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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. Knudsen, N. J. (2004, September). Accelerating differentiation of self: EMDR and Bowen theory. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
How does one create a Self that is both steady and solid enough to stay on course in the face of pressure to conform, yet capable of maintaining intimate connection with others over time? Bowen theory offers us a window into how this fundamental struggle plays out in each human life. Participants will develop a working knowledge of Bowenian concepts and how to use EMDR to help individuals clear away obstacles to healthy connection to Self and Other. This integrative approach then facilitates the re-working and repairing of significant relationships. The format will be lecture, case presentation, experiential exercise, and discussion.
Keywords: Bowen Theory
Accuracy Verified: Yes
3. Knudsen, N. J. (2003, September). Accelerating differentiation of self: EMDR and Bowen theory. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
How does one create a Self that is both steady and solid enought stay on course in the face of pressure to conform, yet capable of maintaining intimate connection with others over time. Bowen theory offers a window into how this fundamental struggle plays out in each human life. Participants will develop a working knowledge of key Bowenian concepts and how to use EMDR to help individuals clear away obstables to healthy connection to Self and Other. This integrative approach then facilitates the reworking and repairing of significant relationships. The format will be lecture, case presentation, experiential exercise, and discussion.
Keywords: Bowen Theory
Accuracy Verified: Yes
4. Wesselmann, D. (2009, August). Adapting EMDR for children with reactive attachment disorder behaviors. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
The EMDR approach is extremely helpful for treating problems in children exhibiting behaviors associated with Reactive Attachment Disorder (RAD). However, children with early pathological care frequently suffer from severe emotion dysregulation. They lack adaptive information or insights, and they feel alienated from others. All of these problems lower the child’s ability to cope, and they become easily overwhelmed and shut down during EMDR. This presentation will help the clinician adapt the standard EMDR protocol for this difficult population through creative methods to overcome resistance, help the child stay regulated, and assist reprocessing, leading to improved behaviors, coping, and relationships.
Keywords: Children RAD Reactive Attachment Disorder
Accuracy Verified: Yes
5. Wesselmann, D. (2010, June). Adapting EMDR for children with reactive attachment disorder behaviours. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The EMDR approach is extremely helpful for treating problems in children exhibiting behaviours associated with Reactive Attachment Disorder (RAD). However, children with early pathological care frequently suffer from severe emotion dysregulation. They lack adaptive information or insights, and they feel alienated from others. All of these problems lower the child's ability to cope, and they become easily overwhelmed and shut down during EMDR. This presentation will help the clinician adapt the standard EMDR protocol for this difficult population through creative methods to overcome resistance, provide a secure holding environment, and assist reprocessing, leading to improved behaviours, coping, and relationships.
Keywords: Children RAD Reactive Attachment Disorder
Accuracy Verified: Yes
6. 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
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. Nielsen, T. (1991). Affect desensitization: A possible function of REMs in both waking and sleeping states. Sleep Research, 20, 10.
Language: English
Format: Journal
Abstract:
Recent evidence (1) that rapid eye movements (REMs) elicited systemically during psychotherapy (Eye Movement Desensitization/Reprocessing (EMD/R) produce immediate and lasting alleviation of post-traumatic stress disorder (PTSD) symptoms suggests that the REMs of REM sleep may serve a similiar affect desensitization function (1.2). Although little is known about how EMD/R works, preliminary, positive results from an independent replication (3) and several independent clinical case studies (4.5) have been reported. Exploration of the relationships between EMD/R and REM sleep may thus prove useful in understanding how both RE/R and REM sleep function to modify affect.
Keywords: Affect Rapid Eye Movements REM
Accuracy Verified: Yes
9. Lovett, J. M. (1998). Am I real?: Mobilizing inner strength to develop a mature identity. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 191-216). New York: Norton.
Language: English
Format: Book Section
Abstract:
Chris was a 44-year old woman who had extremely low self-esteem, depression, panic attacks, and symptoms of dissociation when she began EMDR-facilitated therapy. Eye movement was used initially to reinforce healthy beliefs, physical sensations, and feelings related to experiences of safety, competence, well-being, and success based on prior learning. EMDR was then employed to target painful memories of childhood scenes with her parents, as well as erroneous beliefs and feelings of intense anxiety. Although none of the memories targeted occurred before age 5, the "white empty feeling" that was targeted seemed to represent the earlier deprivation. The desired positive cognition "I am significant" became the "umbrella cognition" containing various "sub-cognitions" (such as "I am loveable," "I deserve respect," and "I can take care of my needs").As Chris reprocessed traumatic childhood memories with EMDR, more and more of these sub-cognitions were integrated. Progress was not linear, but reprocessing the client's issues as she presented them gradually led to a more stable, flexible, and resilient sense of self. Eventually, the negative self-assessments dissipated. After 18 sessions Chris felt strong and confident, fully present, and eager to be involved in intimate relationships that were based on mutual respect. [Text, pp. 215-216] [Pilots]
Keywords: Adults Americans Anxiety Disorders Case Report Child Abuse Cognitive Therapy Depressive Disorders Females Life Experiences Neglect Psychotherapeutic Processes Self Esteem Survivors Treatment Effectiveness
Accuracy Verified: Yes
10. De Divitiis, A. M. (2010, June). Application of resource development and installation (RDI) in delivery preparation in order to prevent post partum depression. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
According to the latest statistical evidence Post-Partum
Depression develops in approximately 13% of women
during the second -third month after childbirth with symptoms
lasting between few weeks and a year and risks of relapse.
Unlike the Baby Blues (affecting 70% of mothers, with onset in
the 3'd - 6" day after delivery and spontaneous recovery within
approximately two weeks), likely to be caused basically by hormone
modifications in the immediate aftermath of childbirth.
PPD development would seem to be solely determined by psychological
factors: the experience of childbirth, the surfacing of
unresolved problems in the relationships with attachment figures,
the change in the woman's role both in the social sphere and
within the couple relationship, the fear of being unable to adequately
attend to the new responsibilities (both in terms of skills
and of the ability to cope with the additional workioad), etc.
Consequently, women experiencing childbirth as a traumatic
experience are more destabilized by the event, and therefore.
at a higher risk of developing PPD.
Childbirth requires the deployment of many personal resources.
A woman in labor must be able to bear the pain, while having
to "push", 1.e. contrast the automatic antalgic reaction (which
would close the delivery channel) and "meeting the pain", during
the "expulsion" phase. Considering that "Peak Performances"
require moving out of a person's comfort zone and
stretching a person's boundaries, childbirth experience can be
rightfully considered a "Peak Performance".
This work describes RDI application times and modes during Delivery
Preparation in order to strengthen the different personal
resources needed by pregnant women to experience her childbirth
as an ego syntonic experience. In this sense, RDI associated
with EMDR can be considered an actual Primary Prevention intervention,
capable of teaching women something positive about
themselves, thus effectively offsetting the onset of PPD. Furthermore
the results of the application of this technique collected
during the Post-Partum phase on 48 women will be discussed.
Learning objectives:
1 identification of the specific issues predisposing the development
of PTSD due to Childbirth and of Post-Partum Depression.
2. Framing Childbirth as a Peak Performance.
3 Learning RDI (Resource Development and Installation) application
through Bilateral Stimuli during Delivery Preparation Courses.
Keywords: Delivery Preparation Female Issues Resource Development and Installation RDI Symposium
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. Richman, S., & O'Connor, M. (2013, March). Attachment and trauma. Presentation at the annual workshops EMDR Association UK & Ireland and AGM, Newcastle.
Language: English
Format: Conference
Abstract:
Presents case studies of children and adults who have experienced early attachment disruptions that have adversely affected their development and relationships in childhood and later life. They will discuss the consequences of early attachment disruptions on relationships and learning and the ways in which the 8 phases of the EMDR protocol have to be adjusted to accommodate different attachment styles. They will discuss treatment strategies stemming from the eight-phase EMDR protocol for clients of all ages suffering from attachment disruptions, linking the effect of attachment trauma to dissociative symptoms and other developmental problems. They will also give attention to how the Adaptive Information Processing Theory addresses the impact of attachment trauma.
Keywords: Attachment Trauma
Accuracy Verified: Yes
16. 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
17. 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
18. 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
19. Giti, S. M. (2011, May). Beyond social phobia: A review of the background, manifestations and varied therapeutic approaches for performance anxiety. Alliant International University, Los Angeles, California. 3503418.
Language: English
Format: Dissertation/Thesis
Abstract:
Performance anxiety is ubiquitous in our present culture and is considered one of
the most prevalent forms of anxiety. The famous actor and comedian Jerry Seinfeld once
joked, “ At a funeral, most people would rather be in the casket than giving the eulogy!”
While nearly eighty percent of people experience some form of anxiety when they are the
center of attention, individuals who experience performance anxiety are severely
distressed and debilitated by their anxiety (Plaut, 1990). In most cases, performance
anxiety threatens to restrain an individual’s profession, goals, education, relationships or
daily life activities. While the phenomenon of acute anxiety is commonly labeled as stage
fright in the world of the performing arts, in psychological literature it is rarely specified
or considered a diagnosable mental health disorder. It is often clustered with specific
phobias or social phobia.
Indeed, performance anxiety is not an experience solely limited to actors,
musicians, singers and dancers. It affects athletes, politicians, writers, students,
professionals, leaders, and individuals in all walks of life. For this reason, it is essential
that clinicians become educated in the etiology, symptoms, manifestations and
therapeutic approaches of performance anxiety.
Keywords: Socia Phobia Performance Anxiety
Accuracy Verified: Yes
20. Leuenberger, R. (2007, November). Beziehungen zwischen dem modell der ersten personal-existentiellen grundmotivation in der existenzanalyse und der EMDR-methode [Relationships between the model of the first personal-existential basic motivation in the existence and analysis of the EMDR method]. Alfried Längle, Internationale Gesellschaft für Logotherapie und Existenzanalyse, Wien, Austria.
Language: German
Format: Dissertation/Thesis
Abstract:
In dieser Arbeit soll gezeigt werden, dass aufgrund der während
vier Jahren in einer ärztlichen Grundversorgerpraxis mit
der EMDR (Eye Movement Desensitization and Reprozessing)-
Methode gesammelten Erfahrungen zur Behandlung psychisch
traumatisierter Patienten mit einem PTBS (posttraumatische
Belastungsstörung)) über die gängigen, zum Teil hypothetischen
neurobiologischen Erklärungsversuche hinaus, die
Existenzanalyse sehr viel zum psychologischen wie auch philosophischen
Verständnis dieser Methode beitragen kann. Aus
den verbalen Äusserungen der Patienten vor, während und
nach der Behandlung kann geschlossen werden, dass von
den betroffenen Defiziten der vier Grundmotivationen der
Existenzanalyse die der ersten Grundmotivation am meisten
Bedeutung haben. Anhand von 23 Krankengeschichten werden
die Wirkfaktoren der EMDR-Methode mit den Begriffen
der ersten Grundmotivation existenzanalytisch verstehbar.
In this work we will show that during the due
four years in a primary care medical practice with
EMDR (Eye Movement Desensitization and Reprozessing) -
Method for treating mental experience
traumatized patients with PTSD (post traumatic
Stress disorder)) on the common, partly hypothetical
neurobiological explanations addition, the
Existential analysis very much a psychological as well as philosophical
May contribute to understanding this method. from
the verbal expressions of patients before, during and
after treatment may be concluded that by
affected the deficits of the four basic motivations of
Analysis, the existence of the first basic motivation most
Meaning. Be the basis of 23 case histories
the impact factors of EMDR with the terms
the first basic existential analytical understandable motivation.
Keywords: Basic Motivation Existenital Analysis Method
Accuracy Verified: Yes
21. Klaus, P. (2007, June). Birth trauma: Causes, effects, methods to heal with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Clinicians will gain an understanding of the types of
events that create psychological and physiological distress
and trauma both at birth and afterward. Many conditions
have their origin during this early period where generational
messages as well as traumatic events surrounding
birth and the early period of life can have negative effects.
Participants will learn methods to work within the infant
mind/body memory to retrieve early trauma and the subsequent
events that reinforced it as well as facilitate
healing through the life path of the individual. Clinicians
can benefit by recognizing the elements that influence
these situations, and with EMDR and other adjunctive
techniques learn to resolve these very early experiences to
help clients reach a higher level of adaptation for health.
Objectives:
1.Identify the characteristics of traumatic or negative birth
experiences.
2.Recognize the risk factors that affect the birth and can
be projected onto the infant.
3.Identify the effects of early trauma on parent-infant relationships,
bonding, the marital relationship, and on
the infant.
4.Learn about long-term psychological and somatic sequelae
of perinatal trauma on the adult individual.
5.Describe, demonstrate, and practice psychotherapeutic
methods with EMDR to help resolve and heal these experiences.
Keywords: Birth Trauma
Accuracy Verified: Yes
22. 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
23. Waters, F. S., Potgieter, R., & Yehuda, N. (2011, November). But they are too young to be traumatized!. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec.
Language: English
Format: Conference
Abstract:
All too often it is assumed that infants or young children are too young to remember frightening, painful, and confusing experiences, and therefore will not suffer harm because they are too young to be traumatized. Clinical experience; however, as well as research on neurobiology of trauma, child development, and attachment, tell a different story. While very often not verbalized, overwhelming early experiences are nonetheless remembered implicitly. As such they tend to find expression in a myriad of debilitating emotional and somatic symptoms across a persons life span; even into adulthood. Understanding how early trauma can affect the child developmentally, and how it might be expressed, is crucial not only to clinicians treating children but also to those working with adults. It is through understanding early traumatic markers and the subtle, often coded signs, sometimes rooted as far back as infancy, that one can begin the process of untangling these symptoms and freeing the individual from a lifetime of pain, suffering, and failed relationships. This workshop will examine the types of early traumamedical, severe neglect, all forms of abuse, disrupted attachmentand how these traumatic experiences impact the young child from birth to five years. The signs and symptoms of traumatized and dissociative children, as well as available research on the topic will be described, along with case examples. The need for careful interpretation of often convoluted and subtle symptoms will be explained. Accurate interpretation of a childs presentation relies on understanding the neurobiology of trauma and dissociation. That, as well as understanding the impact on child development and attachment is crucial for effective intervention. Strategies such as Eye Movement Desensitization Reprocessing (EMDR) and involvement of caregivers in the therapy will be described. Videoed sessions and artwork describing the young traumatized child's inner world and recovery process will augment the presentation.
Accuracy Verified: Yes
24. Allen, J. G. (2003). Challenges in treating post-traumatic stress disorder and attachment trauma. Current Women’s Health Reports, 3, 213–220.
Language: English
Format: Journal
Abstract:
Treating women suffering from trauma poses significant
challenges. The diagnostic prototype of post-traumatic stress
disorder (PTSD) is based on single-event trauma, such as
sexual assault in adulthood. Several effective cognitivebehavioral
treatments for such traumas have been developed,
although many treated patients continue to experience
residual symptoms. Even more problematic is the complex
developmental psychopathology stemming from a lifetime
history of multiple traumas, often beginning with maltreatment
in early attachment relationships. A history of attachment
trauma undermines the development of capacities to
regulate emotional distress and thereby complicates the
treatment of acute trauma in adulthood. Such complex
trauma requires a multifaceted treatment approach that
must balance processing of traumatic memories with
strategies to contain the intense emotions this processing
evokes. Moreover, conducting such treatment places
therapists at risk for secondary trauma such that trauma
therapists also must process this stressful experience
and implement strategies to regulate their own distress.
Keywords: Attachment Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
25. Wesselmann, D., & Potter, A. E. (2009). Change in adult attachment status following treatment with EMDR: Three case dtudies. Journal of EMDR Practice and Research, 3(3),178-191. doi:10.1891/1933-3196.3.3.178.
Language: English
Format: Journal
Abstract:
Three case studies illustrate pre- and post-eye movement desensitization and reprocessing (EMDR) adult attachment status as measured by the Adult Attachment Interview (AAI). Two adult males and one adult female presented for outpatient therapy; all of them were categorized with an insecure or disorganized attachment status at pretreatment. All presented with symptoms of depression and anxiety and complaints regarding problems in their current marital and family relationships. The three patients received 10 to 15 EMDR sessions over the course of approximately 1 year, interspersed with talk therapy sessions for the purpose of debriefing and psychoeducation. The EMDR approach utilized all eight phases of treatment within the three-pronged approach. Following EMDR therapy, all three patients made positive changes in attachment status as measured by the AAI, and all three reported positive changes in emotions and relationships. This article provides an overview of the literature related to adult attachment categories and summarizes the effect of adult attachment status on emotional and social functioning. The rationale and scoring procedures for the AAI are explained.
Keywords: Adult Attachment Interview Attachment Outcome Trauma
Accuracy Verified: Yes
26. 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
27. 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
28. Davidson, M. M., Potter, A. E., & Wesselmann, R. D. (2010, September/October). Comparing dialectical behavior therapy to eye movement desensitization and reprocessing: A phase-based trauma treatment pilot project. Poster presented at the annual meeting of the EMDR Internation Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
• More effective methods to treat adults affected by childhood trauma, disturbed attachments, and adulthood intimate partner violence are critically needed.
• Research utilizing Adult Attachment Interview (Hess, 1999) had found that when mothers hold unresolved memories of loss or childhood abuse, their children typically develop disorganized attachments and that when mothers are poorly or inconsistently responsive to their children’s cues, the children typically develop insecure attachments • A history of abuse by childhood attachment figures also increases the likelihood of becoming involved in domestic violence experiences in adulthood for both sexes (Gratz, 2009; Henderson et al, 2005) • Previous research has demonstrated that attachment experiences influence emotional functioning and vulnerability to emotion dysregulation (Critchheld et al, 2008). Numerous empirical works demonstrate the relationship between attachment style and aggression (e. g., Sockwaite et al, 2002; Henderson et al, 2005)
• Emotion dysregulation and problems with impulse control and unstable relationships are common symptoms associated with childhood abuse by attachment figures (Fonagy, 1997; Bhipman et al, 2005)
• Funding more effective treatment for problems in functioning related to childhood trauma and attachment issues is imperative. Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR) are two approaches that have proven beneficial in treating individuals with borderline personality disorders and trauma, respectively, and thus, could prove beneficial as treatment modalities for childhood trauma and attachment problems
• The current investigation is a pilot study aimed at evaluating a treatment protocol aimed at effectively assisting adults with a history of childhood abuse and/or intimate partner violence to regulate emotions, resolve childhood trauma, move toward a healthier and more secure attachment status, and reduce the risk of repeating the cycle of violence and child abuse. More specifically, this pilot project evaluated a phase-based trauma treatment program that included (a) a year-long, initial emotion regulation skills-training phases utilizing DBT and (b) a second phase of either 10 individual sessions of EMDR or 10 individual session focused on further DBT skills training
Keywords: DBT Dialectical Behavior Therapy Poster
Accuracy Verified: Yes
29. Khosropour, F., Ebrahiminejad, G. H., Salehi, M., & Farzad, V. (2012, April-May). Comparing the effectiveness of psychological debriefing, eye movement desensitization reprocessing, and imaginal exposure on treatment of chronic post-traumatic stress disorder. Journal of Kerman University of Medical Sciences, 19(2), 149-159 .
Language: Farsi (Iran)
Format: Journal
Abstract:
Background & Aims: Post-traumatic stress disorder (PTSD) is considered as one of the most prevalent disorder during the life time and can negatively influence the individual, family and social relationships of patients, so, prevention and treatment of this disorder is highly important. Eye movement desensitization and reprocessing (EMDR), psychological debriefing (PD), and imaginal exposure (IE) are some treatment methods, but there is controversy about long effects of these treatments, especially among chronic patients.
Method: In a semi experimental study, a total of 54 adult male patients, based on Davidson scale and psychiatric diagnostic, were randomly selected, and then were divided into 3 equal therapy groups. All participants were evaluated before, after and 3 months after the treatment. Data were analyzed through the repeated variance and Duncan post-hoc tests.
Results: Psychological debriefing and eye movement desensitization and reprocessing were better than imaginal exposure in relief of chronic post-traumatic stress disorder signs and remaining the effectiveness in three months follow-up.
Conclusion: It is concluded that all of the above methods are effective on chronic post-traumatic stress disorder and the efficacy of the therapeutic techniques would be still in force even after 3 months.
Considering the importance of psychological interventions, it is necessary that such methods be taught to psychologists so that they can use them after traumatic accidents.
Keywords: Imaginal Exposure Posttraumatic Stress Disorder Psychological Debriefing PTSD
Accuracy Verified: Yes
30. Singer, M. T., & Lalich, J. (1996). Crazy therapies: What are they? Do they work?. San Francisco: Jossey-Bass.
Language: English
Format: Book
Abstract:
The relationship between patient and therapist is unique in important ways when compared to relationships between clients and other professionals such as physicians, dentists, attorneys, and accountants. The key difference is present from first contact: it is not clearly understood exactly what will transpire. There is no other professional relationship in which consumers are more in the dark than when they first go to see a therapist.
In other fields, the public is fairly well informed about what the professional does. Tradition, the media, and general experience have provided consumers with a baseline by which to judge what transpires. If you break your arm, the orthopedist explains she will take an X ray and set the bone; she tells you something about how long the healing will take if all goes well and gives you an estimate of the cost. When you go to a dentist, you expect him to look at your teeth, take a history, explain what was noted, and recommend a course of treatment with an estimate of time and cost. Your accountant will focus on bookkeeping, tax reports, and finances, and help you deal with regulatory agencies.
Consumers enter these relationships expecting that the training, expertise, and ethical obligations of the professional will keep the client's best interests foremost. Both the consumer and the professional are aware of each person's role, and it is generally expected that the professional will stick to doing what he or she is trained to do. The consumer does not expect his accountant to lure him into accepting a new cosmology of how the world works or to "channel" financial information from "entities" who lived thousands of years ago; or for his dentist to induce him to believe that the status of his teeth was affected by an extraterrestrial experimenting on him. Nor does the patient expect the orthopedist to lead him to think the reason he fell and broke his arm was because he was under the influence of a secret satanic cult.
But seeing a therapist is a far different situation for the consumer. In the field of psychotherapy there is no relatively agreed upon body of knowledge, no standard procedures that a client can expect. There are no national regulatory bodies, and not every state has governing boards or licensing agencies. There are many types and levels of practitioners. Often the client knows little or nothing at all about what type of therapy a particular therapist "believes in" or what the therapist is really going to be doing in the relationship with the client.
In meeting a therapist for the first time, most consumers are almost as blind as a bat about what will transpire between the two of them. At most, they might think they will probably talk to the therapist and perhaps get some feedback or suggestions for treatment. What clients might not be aware of is the gamut of training, the idiosyncratic notions, and the odd practices that they may be exposed to by certain practitioners.
Consumers are a vulnerable and trusting lot. And because of the special, unpredictable nature of the therapeutic relationship, it is easy for them to be taken advantage of. This makes it all the more incumbent on therapists to be especially ethical and aware of the power their role carries in our society. The misuse and abuse of power is one of the central factors in what goes wrong.
Questions to Ask Your Prospective Therapist
Ultimately, a therapist is a service provider who sells a service. A prospective client should feel free to ask enough questions to be able to make an informed decision about whether to hire a particular therapist.
We have provided a general list of questions to ask a prospective therapist, but feel free to ask whatever you need to know in order to make a proper evaluation. Consider interviewing several therapists before settling on one, just as you might in purchasing any product.
Draw up your list of questions before phoning or going in for your first appointment. We recommend that you ask these questions in a phone interview first, so that you can weed out unlikely candidates and save yourself the time and expense of initial visits that don't go anywhere.
If during the process a therapist continues to ask you, "Why do you ask?" or acts as though your questioning reflects some defect in you, think carefully before signing up. Those types of responses will tell you a lot about the entire attitude this person will express toward you - that is, that you are one down and he is one up, and that furthermore you are quaint to even ask the "great one" to explain himself.
If you are treated with disdain for asking about what you are buying, think ahead: how could this person lead you to feel better, plan better, or have more self-esteem if he begins by putting you down for being an alert consumer? Remember, you may be feeling bad and even desperate, but there are thousands of mental health professionals, so if this one is not right, keep on phoning and searching.
Accuracy Verified: Yes
31. 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
32. 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
33. 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
34. 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
35. Kleinman, M., & Kleinman, M. (1998, July). The dynamics of family violence: Its impact on women and children: Using EMDR to treat victims and perpetrators. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will: 1) understand the subtleties and complexities of abusive relationships; 2) be able to assess children for subtle signs of abuse and coercion, including brainwashing; 3) be taken through a case of successful treatment of a perpetrator; 4) be able to employ EMDR with victims of domestic vilence to "unhook" them from a controlling partner; 5) know the strategic points to address therapeutically with children growing up in these families and how to use EMDR to process past trauma and to restore self esteem; 6) better understand what makes an abuser "tick" and to assess whether or not to use EMDR with perpetrators; and 7) gain a fuller understanding of domestic violence.
Keywords: Brainwashing Children Domestic Violence Family Violence Perpetrators Victims Women
Accuracy Verified: Yes
36. 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
37. 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
38. 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.
Keywords: Anxiety Disorders CBT Cognitive Behavior Therapy Mood Disorders
Accuracy Verified: Yes
39. 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
40. 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
41. Errebo, N., & Sommers-Flanagan, R. (2007). EMDR and emotionally focused couple therapy for war veteran couples. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 202-222). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
To help veteran couples, therapists need to understand the effect of war on the warrior, the impact of the warrior's experience on intimate relationships, and effective individual and couple treatments. These considerations are discussed in this chapter. Topic include war trauma and complex posttraumatic stress disorder (PTSD); effects of PTSD symptoms on veterans and their intimate relationships; problems in veterans' marital relationships; and treatment considerations. The therapy process described here is an integration of Emotionally Focused Couple Therapy (EFT) and Eye Movement Desensitization and Reprocessing (EMDR). In case conceptualization and treatment planning, EMDR and EFT can be woven together harmoniously; many of their theoretical concepts and procedural steps are compatible with or parallel to one another. EFT and EMDR are first described separately. Next, the parallels between the two treatments are discussed. Then a plan is presented for combining EMDR and EFT in comprehensive treatment for couples affected by war trauma. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Couples Therapy EFT Emotionally Focused Couple Therapy Emotion Focused Therapy Emotional Freedom Technique Military Posttraumatic Stress Disorder PTSD Trauma Veterans War Trauma War Veteran Couples
Accuracy Verified: Yes
42. Stowasser, J. E. (2007). EMDR and family therapy in the treatment of domestic violence. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 243-261). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Domestic violence (DV) has been defined as a pattern of verbal and physical behavior intended to control another person in an existing, former, or desired intimate relationship (Walker, 1979). Although DV is not confined to heterosexual unions or to males as abusers, this chapter focuses on heterosexual males as offenders because 85% of DV is directed by men toward women (Rennison & Welchans, 2000). This chapter discusses integrating Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1995, 2001) and Therapy of Social Action (TSA) in the treatment of couples with domestic violence issues. A case example is then presented. The concluding discussion asserts that TSA and EMDR appear to be a powerful combination for the treatment of DV. When used with carefully selected couples, EMDR and TSA can repair the damage caused to the victims, strengthen relationships, inhibit abuser and victim tendencies in children, eliminate posttraumatic stress disorder (PTSD), increase personal responsibility, develop nonviolent conflict resolution skills, and increase empathy for self and others. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Domestic Violence Family Therapy Integrative Psychotherapy Therapy of Social Action
Accuracy Verified: Yes
43. Zaccagnino, M. & Cussino, M. (2012, June). EMDR and parenting: A case-report [EMDR y crianza de los hijos: Un informe de caso]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Attachment
research
has
investigated
the
role
of
parents’
attachment
representation
on
the
quality
of
attachment
developed
by
their
children
(George,
Kaplan
e
Main,
1984/1985/1996;
van
Ijzerdoorn,
1995).
Past
research
on
children
has
shown
that
there
is
an
association
between
problematic
care-‐giving,
attachment
insecurity
and
psychopathology
(e.g.,
Greenberg,
1999;
O’Connor,
Marvin,
Rutter,
Olrick,
&
Britner,
2003;
Rutter,
2006).
On
the
other
hand,
secure
attachment
in
childhood
and
adulthood
is
typically
associated
with
a
history
of
involvement
in
supportive
and
sensitive
care
giving
relationships
(Cairns,
2002;
Mikulincer
&
Shaver,
2007).
The
results
lead
to
the
hypothesis
of
the
intergenerational
transmission
of
attachment
identified
by
van
Ijzendoorn
(1995).
These
studies,
however,
failed
to
explain
why
insecure
attachment
in
the
parent
does
not
necessarily
lead
to
an
insecure
attachment
pattern
of
the
child,
nor
why
children
can
develope
insecure
patterns
of
attachment
even
in
the
case
of
positive
attachment
experiences
with
caregivers
(Solomon
e
George,
2000).
In
the
light
of
these
considerations,
and
recovering
an
aspect
sharpened
by
Bowlby
(1969),
George
and
Solomon
(1999;
Solomon
e
George,
2000)
proposed
a
different
approach
to
the
study
of
parent-‐child
relationship,
point
up
the
differences
between
the
attachment
system
and
the
caregiving
system,
despite
the
mutual
influences
due
to
their
complementarity.
These
authors
have
proposed
to
investigate
the
specific
characteristics
of
the
system
of
caregiving,
paying
more
attention
to
the
current
relationship
between
child
and
parent.
Their
hypothesis
is
that
the
characteristics
of
that
relationship
may
affect
the
link
between
past
attachment
experiences
of
the
caregiver
and
attachment
pattern
developed
by
the
child,
representing
a
significant
element
for
understanding
the
behavior
and
the
quality
of
the
care
of
the
caregiver.
Therefore,
the
IWM
of
the
parent
would
be
the
most
important
predictor
of
the
quality
of
attachment
developed
by
the
children,
as
capable
of
driving
the
mental
state
of
the
caregiver
to
him
(Solomon
e
George,
1996).
Given
these
assumptions,
it
is
clear
that
traumatic
experiences
in
the
parent,
stored
in
a
dysfunctional
way,
can
be
reactivated
in
the
parent’s
caregiving
system,
defining
an
IWM
of
attachment
system
of
the
child
that
holds
the
memory
traces
of
such
traumatic
events.
In
this
regard,
a
series
of
tools
such
as
the
Child
Attachment
Interview
(Target
et
al.
2007)
and
the
Parent
Development
Interview
(Slade
et
al.
1993)
which
constitute
a
needful
resource
for
the
assessment
of
IWM
of
attachment
and
caregiving
system
will
be
presented.
A
clinical
case
in
which
mother
in
EMDR
treatment
had
an
indirect
positive
effect
on
mother-‐child
relationship
and
on
the
child’s
wellbeing
will
be
reported.
The
results
have
been
documented
and
show
clear
changes
in
the
mental
representations
of
the
caregiving
system
measured
with
PDI.
The
results
will
be
shown.
La
investigación
sobre
el
apego
ha
proporcionado
representaciones
del
rol
del
apego
parental
en
función
de
la
calidad
del
apego
desarrollado
por
sus
hijos
(George,
Kaplan
e
Main,
1984/1985/1996;
van
Ijzerdoorn,
1995).
Investigaciones
anteriores
han
mostrado
que
existe
una
asociación
entre
los
cuidadores
problemáticos
y
el
apego
inseguro
y
la
psicopatológica
(e.g.,
Greenberg,
1999;
O’Connor,
Marvin,
Rutter,
Olrick,
&
Britner,
2003;
Rutter,
2006).
Por
otro
lado,
el
apego
seguro
en
la
infancia
y
la
etapa
adulta
es
asociado
con
una
historia
de
participación
activa
y
sensible
de
las
relaciones
de
los
cuidadores
(Cairns,
2002;
Mikulincer
&
Shaver,
2007).
Los
resultados
nos
llevan
a
la
hipótesis
de
transmisión
intergeneracional
del
apego
identificada
por
Van
Ijzendoorn
(1995).
Estos
estudios,
sin
embargo,
fallaron
a
la
hora
de
explicar
porqué
el
apego
inseguro
de
los
padres
no
desembocaba
necesariamente
a
un
patrón
de
apego
inseguro
en
el
niño,
no
debido
a
que
los
patrones
inseguros
del
apego
del
niño
pueden
llegar
a
desarrollarse
incluso
con
unas
experiencias
positivas
de
apego
con
sus
cuidadores
(Solomon
e
George,
2000).
En
línea
con
estas
investigaciones
y
recuperando
un
aspecto
propuesto
por
Bowlby
(1969),
George
e
Solomon
(1999;
Solomon
e
George,
2000)
(1969),
los
cuales
propusieron
un
enfoque
diferente
en
el
estudio
de
las
relaciones
padres-‐
hijo,
señalando
las
diferencias
entre
el
sistema
de
apego
y
el
sistema
de
cuidados,
debido
a
las
influencias
entre
ambos
debido
a
que
son
complementarios.
Estos
autores
se
propusieron
investigar
las
características
específicas
del
sistema
de
cuidado,
prestando
más
atención
a
la
relación
entre
el
niño
y
el
cuidador.
Nuestra
hipótesis
es
que
las
características
de
dicha
relación
pueden
afectar
al
enlace
entre
las
experiencias
pasadas
de
apego
del
cuidador
y
los
patrones
de
apego
desarrollados
por
el
niño,
representando
un
elemento
importante
para
el
entendimiento
del
comportamiento
y
la
calidad
del
cuidado.
Sin
embargo
el
IWM
del
padre,
puede
ser
uno
de
os
predictores
más
importantes
a
la
hora
de
estimar
la
calidad
del
apego
desarrollada
por
el
niño,
capaz
de
conducir
el
estado
mental
del
cuidador
al
suyo
propio
(Solomon
e
George,
1996).
Tomando
estas
afirmaciones,
está
claro
que
las
experiencias
traumáticas
en
los
padres,
almacenadas
de
manera
disfuncional,
pueden
ser
reactivadas
en
el
sistema
de
cuidado
de
los
padres,
definiendo
un
IWN
de
sistema
de
apego
del
niño
que
guarda
trazas
de
memoria
de
dichos
eventos
traumáticos
En
relación
con
esto
presentaremos
una
serie
de
herramientas
como
la
“Child
Attachment
Interview
(Target
et
al.
2007)
y
la
“Parent
Development
Interview”
(Slade
et
al.
1993),
que
constituyen
un
recurso
necesario
para
la
asignación
del
IWN
de
apego
y
sistema
de
cuidado.
Mostraremos
un
caso
clínico
en
donde
la
madre
realizo
EMDR
y
tuvo
un
efecto
indirecto
positivo
en
la
relación
madre-‐hijo
y
en
el
bienestar
del
niño.
Los
resultados
han
sido
documentados
con
un
claro
cambio
de
la
representación
mental
del
sistema
de
cuidado
medido
con
el
PDI.
Se
mostrarán
los
resultados
Keywords: Parenting
Accuracy Verified: Yes
44. Matthess, H., & Woller, W. (2010, June). EMDR and personality disorders. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Over the last few years, causal relationships between childhood traumatic experiences and the development of personalities have been increasingly discussed. An understanding of personality disorders as a consequence of attachment trauma creates new therapeutic approaches for patients who are considered difficult to treat, though urgently in need of therapy.
First of all, the workshop will present an overview of possible neurobiological causes responsible for evolutionary principles of specific patterns of experiencing and behaviour in personality disorders. Most of their features can be explained as being natural reactions to extreme traumatic stress: unresolved traumatic experiences that cannot be encoded chronologically are, to a varying degree, subjectively experienced as separated from the personality. Other features of personality disorders, such as emotion regulation and mentalization function, can be understood as being a consequence of attachment trauma as well.
Following this, a treatment conception will be presented that combines elements from trauma therapies with aspects of a psychodynamic understanding of attachment relationships. Among others, the problems of personality-disordered patients related to regulating closeness and distance, resulting from their fears of intimacy and abandonment, will be addressed. Finally, the implications of the discussed topics for EMDR treatment will be considered.
Keywords: Personality Disorders
Accuracy Verified: Yes
45. Wachtel, P. L. (1999, June). EMDR and psychoanalysis: An intriguing interface. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Cognitive-behavioral features of EMDR (contrasts with psychoanalytic
treatment):
1. Structured, spelled out "protocols" (versus more free form)
2. Focus on "disorders" (in contract with primary focus on character and
relationships).
3. Emphasis on "cognitions" (differs from the dynamic structures and schemas of
psychodynamic models).
4. View of what it means to be "empirically validated."
Keywords: Psychoanalysis
Accuracy Verified: Yes
46. 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
47. Konuk, E., & Epozdemir, H. (2010, July). EMDR and strategic family therapy. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Strategic Family Therapy developed some 50 years ago by a handful of visionaries at MRI (Mental Research Institute) in Palo
Alto, California. This is why sometimes it is known as the “Palo Alto Group”. The kind of therapy evolved at that time changed
the therapy world radically. The major shift was that:
• The theory was a theory of change. The emphasis was on change rather than to understand how and why problems
exist.
• The focus was relationships rather than the phenomena going on under the skin of an individual. This meant that the way
the therapist approached the clients was Systemic or interactional.
• Strategic map was large enough to allow the therapist work with almost any kind of problem, borrow and use different
techniques that belong to other approaches without conflict and confusion.
• At that time therapy meant globally 4-5 sessions a week for many years. This was reduced to an average of 7-10 sessions.
So when a therapist learned one of the Family Therapies, he learned essentially how to do therapy briefly.
One of the approaches that EMDR therapists may integrate efficiently into their practice is Family Therapy. It may speed up
the therapy especially when both trauma and relationships are particularly having a role in the formation and maintenance
of the problem.
In this workshop, the participants will learn:
• The basic principles and techniques of Strategic Family Therapy,
• Why and how change occurs,
• When Strategic Family Therapy is called upon for help,
• How interventions are designed and implemented.
Keywords: Strategic Family Therapy
Accuracy Verified: Yes
48. Konuk, E. & Epozdemir, H. (2010, March). EMDR and strategic family therapy. Presentation at the XVIII World International Family Therapy (IFTA) Congress, Buenos Aires, Argentina.
Language: English
Format: Conference
Abstract: Strategic Family Therapy developed some 50 years ago by a handful of visionaries at MRI (Mental Research Institute) in Palo Alto, California. This is why sometimes it is known as the “Palo Alto Group”. The kind of therapy evolved at that time changed the therapy world radically. The major shift was that: • The theory was a theory of change. The emphasis was on change rather than to understand how and why problems exist. • The focus was relationships rather than the phenomena going on under the skin of an individual. This meant that the way the therapist approached the clients was Systemic or interactional. • Strategic map was large enough to allow the therapist work with almost any kind of problem, borrow and use different techniques that belong to other approaches without conflict and confusion. • At that time therapy meant globally 4-5 sessions a week for many years. This was reduced to an average of 7-10 sessions. So when a therapist learned one of the Family Therapies, he learned essentially how to do therapy briefly. One of the approaches that Family and Marriage Therapists integrate efficiently into their practice is EMDR. Though EMDR (Eye Movement Desensitization and Reprocessing) is relatively new in the therapy world, now it is credited by many professional and governmental organizations as either “treatment of choice” or a valid psychotherapy approach. Especially when trauma is particularly have a role in the formation of the problem, then EMDR is a “life saver” for the therapist. In this workshop, the participants will learn: • The basic principles and techniques of EMDR and Strategic Family Therapy • Why and how change occurs • When EMDR is called upon for help • How interventions are designed and implemented The cases will be presented by live video recordings of sessions.
Keywords: Strategic Family Therapy
Accuracy Verified: Yes
49. Weston, D. L. (1995, June). EMDR and the issues of gay clients. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR is an effective therapeutic method for working with the emotional issues of gay clients. The first portion of this workshop
will examine the "pubic" and "relationship" definitions of homosexuality. Being gay is much more than how people express
themselves sexually.
A brief historical and cultural kamework for understanding the emotional issues of lesbian I gay persons will be presented. There
will be a review of the psychological theories and the research about the origins of homosexuality.
The second portion of the workshop will focus on the psychological path of persons recognizing they are gay. The changes in the
"pre-stonewall' and "post-stonewall" experience will be highlighted. This review of psychological experience will look at the points
where EMDR therapists can be sensitive to the presence of emotional issues related to being gay.
Feeling "different" is often a precursor to recognizing that one is gay. It is impossible to grow up in our culture without
internalization of negative attitudes about gay people. When an individual recognizes (s)he is lesbian or gay, this negative learning
now applies to one's self. EMDR is effective in resolving this "internalized homophobia."
"Coming out" to one's self is a shock because, "I am no longer the person I believed myself to be." EMDR helps clients see gayness,
not as an event happening in Me at this moment, but as something with a history related to earlier life experiences and feelings.
This perception of continuity reduces the sense of crisis around being homosexual. As internalized homophobia is resolved,
acceptance and valuing of self increases.
Using the EMDR "future template" protocol assists people in preparing to "come out" to family, fiiends, employers, etc. Gay
activists suggests that lesbian/gay persons need to be "out" in all situations. EMDR can help people understand why they want to
come out to various people in various situations. It assists in idenhfxation of what people want as the result of "coming out."
EMDR is effective in workmg with the myths about homosexuality; the cultural homophobia. Among the myths to be focused are:
gay men are promiscuous, being gay is immoral, gay sexual expression is perversion, gay relationships don't last, lesbian/gay
persons recruit young people, etc.
The third portion of this workshop will focus on issues of HIV disease. There will be a brief epidemiological presentation and focus
on the medical and psychological issues of persons with HIV disease. Application of EMDR at "crisis points" of HIV disease will
be presented: (1) the worried well, a diminishing population as the aids epidmc continues, (2) the time of HIV+ diagnosis when
the potential for suicide is highest, (3) the time of the first AIDS defining illness, (4) response to declining health and approaching
death, and (5) issues of "meaning" as life moves toward death.
EMDR's application in grief and multiple loss will be presented. Our culture's attitude that grief is something to "be resolved" and
"get over" is a mistake. Grief is an ongoing process, especially when people are dealing with multiple losses of partners, fiends, etc.
EMDR is effective in reducing the pain around loss so that the grief process can proceed more comfortably.
The workshop will end with discussion of characteristics which therapists need to evaluate in relation to the decision to work or not
work with gay and gay HIV infected clients. Working with gay men leads to working with clients with HIV disease. Therapists
need to be clear about their boundaries and comfort in dealing with home and hospital visits, touching people who have AIDS, being
present at the death of a client, and other issues that arise in HIVIAIDS care.
The rewards of working with this population and the life changes it may make for the therapist will also be highlighted.
Keywords: Gay Clients Homosexuality
Accuracy Verified: Yes
50. Knudsen, N. J. (2006, September). EMDR and the treatment of chronic relationship problems. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
A history of failed or disappointing relationships
is a primary symptom for many clients. Bowen
Theory is a family systems model that offers a
conceptual roadmap for working with individuals,
as well as families on enhancing the capacity to be
a Self, while staying in healthy connection to others.
The theory helps guide clear thinking about how
the emotional system works within a
multigenerational frame and offers concepts that
predict human relational behavior over time. Yet,
as we know, intellectual understanding can only
bring us so far without the kind of whole brain
integration that can be so swiftly brought about
with EMDR treatment. By integrating the Adaptive
Information Processing Model and the EMDR
approach with Bowen Theory, this treatment model
facilitates a client learning to have a whole new
experience in their significant relationships. This
workshop will provide a basic overview of Bowen
Theory. An integrative model using Bowen Theory
and EMDR will then be described, followed by an
in-depth case analysis illustrating the approach. The treatment includes an extensive assessment of the family system, the selection and processing of
EMDR targets causing high levels of reactivity
involving closeness to others, coaching to re-work
and repair significant relationships in the family
of origin, and finally the targeting of present day triggers in a newly forming relationship.
Keywords: Bowen Theory Relationship Issues
Accuracy Verified: Yes
51. 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
52. Aelen, F., & Chateau, K. (2005, November). EMDR bij systeemtherapie [EMDR therapy and systems]. Workshop gepresenteerd aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Bij de keuze systeemleden bij de behandeling te betrekken spelen, ook bij behandelaren, cognities een rol mee.
Cognities over de groei-en helingmogelijkheden die het gezin (van oorsprong) biedt en over zijn beperkende of zelfs schadelijke invloed op de ontwikkeling van individuen.
De systeemtherapeut beweegt zich in het -voor anderen soms onoverzichtelijke- moeras van kansen en gevaren voor het individu: zij heeft leren sturen en wijken, neemt risico’s om gedragsverandering te bewerkstelligen, maar stelt veiligheid voorop.
Hoe kan een individueel therapeut op een veilige manier systeemleden betrekken en waartoe kan een systeemtherapeut EMDR inzetten ?
Getraumatiseerd is een individu op zijn kwetsbaarst: Het besluit om systeemleden bij de behandeling te betrekken moet dan ook altijd in het voordeel van de getraumatiseerde cliënt zijn
Wanneer traumatisering heeft plaatsgevonden binnen het gezinssysteem van oorsprong (of wanneer de ouders niet bij machte zijn geweest om op traumatisering ‘van buiten’ adequaat te reageren) ontwikkelt een individu disfunctionele cognities over zichzelf en over zijn kernrelaties, die vaak generaliseren naar de wereld buiten het gezin. Dit is van invloed op o.m. latere partnerrelaties. Het betrekken bij de EMDR-behandeling van een ‘good enough’ partner kan de individuele cliënt helpen deze gegeneraliseerde cognities te vervangen door passender en meer productiever cognities.
In de workshop besteden we aandacht aan de vraag hoe een individueel therapeut op een veilige manier systeemleden kan betrekken bij de EMDR-behandeling en aan de vraag waartoe een systeemtherapeut EMDR kan inzetten.
Een eerste stap in het gebruik maken van de extra kansen die het systeemdenken biedt aan EMDR-therapeuten, is het, hypothetisch, in kaart brengen van de positieve en negatieve systeeminvloeden voor de cliënt middels het maken van het genogram . Dit om de effecten van de EMDR te plaatsen in de relationele leergeschiedenis van het individu.
Een tweede stap is het betrekken van liefdevolle en betrouwbaar geïnvolveerde partners (of vrienden) en het “verzilveren” van de EMDR met de kernrelatie, waarbij op natuurlijke wijze verbeteringen of soms (tijdelijke) moeilijkheden aan bod komen.
Een derde stap is het ineenweven van EMDR en systeemgesprekken, waarbij naast traumaverwerking gezonder verhoudingen het doel zijn en resultaten op beide gebieden elkaar logischerwijs versterken.
In select members for the treatment system involvement, here when medical professionals play a role with Cognitions.
Cognitions about the growth and healing potential of the family (or origin) and limiting or Has Been here Harmful Effects on the Development of Individuals.
The therapist moves the system to others-Sometimes-confuse Morass of opportunities and risks for the Individual: the therapist has learned to steer and districts, taking risks for behavior change, but does put safety first.
How Can an Individual therapist in a safe way to members and involvement System Which Can Deploy a system EMDR therapist?
A traumatized individuality to be vulnerable: The decision to members in the treatment system involvement Should therefore always in favor of the traumatized client
When trauma occurred HAS Within the Family System of Origin (or When parents are Unable to bone traumatization 'outside' appropriate response) initially develop an individuality Dysfunctional Cognitions about himself and his key relationships in loss or That Generalize to the world outside the family. This subsequent component seem ambiguous to partner relationships. The involvement of the EMDR treatment or a 'good enough' partner, an individuality to help client thesis generalized Cognition to replace more and more Productive Appropriate Cognitions.
In the workshop we focus on how an individuality in a safe system therapist members Can Participate in the EMDR treatment and to demand a System Which Can use EMDR therapist.
A first step in making use of the extra opportunities the system offers to think EMDR Therapists, it is, hypothetically, identify the positive and negative Influences on the client system through the creation of the genogram. That the effects of EMDR to place in the relational learning history of the individuality.
A second step is the involvement or permission and secure agreement of the partners (or friends) and "Redeem" the core relationship with EMDR, which Sometimes Naturally Speaking Improvements or (temporary) problems to be addressed.
A third step is weaving together of EMDR and system calls, which in addition to trauma and healthy relationships are the results in objectifying both areas reinforcement each other logically.
Keywords: Systems Therapy
Accuracy Verified: Yes
53. 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
54. Salomoni, S. R. (2012, Novembro). EMDR e terapia familiar: Um caso de fibromialgia [EMDR and family therapy: A case of fibromyalgia]. In EMDR e fibromialgia. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Terapia Familiar Sistêmica, de forma integrada. Objetivo: Demonstrar como a associação das duas abordagens permite alterar o foco do individual para o familiar e do familiar para o individual, resultando em superação de traumas e integração individual, com relações mais saudáveis. Método: O EMDR foi
utilizado para reprocessar traumas, a partir de queixas da cliente. Segundo Bruck, “o trauma é uma experiência que explode a capacidade de suportar um revés, traz perda de sentido, desorganização corporal e paralisação da consciência corporal; pode deixar marcas que influenciam a criatividade e a motivação para a vida”. Assim, mesmo uma pessoa com boa estrutura de personalidade, resiliente e com família funcional, não está imune ao trauma.O outro pilar teórico norteador do trabalho é a Terapia Familiar, uma vez que os modelos de transação experimentados na família de origem constituem-se matrizes de aprendizagem para as transações sociais futuras. Para Souza, a família é um microcosmo, um universo em miniatura, representativo do mundo lá fora e do lá dentro de cada um de nós. Considera-se também a rede social pessoal, definida por Sluzki como a soma das relações que o indivíduo percebe serem significativas para si. Desta maneira, busca-se a dinâmica na família, que pode facilitar ou dificultar o trabalho com o indivíduo. Com o EMDR lidamos com traumas recentes e antigos e com crenças limitantes, e a partir daí são mobilizados recursos positivos inacessíveis até então, devido ao bloqueio de traumas. Esses recursos individuais já mais acessíveis são então integrados na vida familiar e social. Resultados: Apresento o caso de uma moça de 28 anos com diagnóstico médico de fibromialgia, universitária, que tinha abandonado os estudos e estágio, com fortes dores e muito tempo na cama, que após 15 sessões de psicoterapia, incluindo as sessões familiares, voltou às suas atividades normais.
Systemic Family Therapy, seamlessly. Objective: To demonstrate how the combination of the two approaches allows you to change the focus from the individual to the family and the family for the individual, resulting in overcoming traumas and individual integration with healthier relationships. Method: The EMDR was
used to reprocess trauma, from customer complaints. According to Bruck, "trauma is an experience that explodes the ability to support a setback, brings loss of meaning, and paralysis of body clutter body awareness, can leave marks that influence creativity and motivation for life." Thus, even a person with good personality structure, resilient and functional family, is not immune to trauma.O another pillar guiding theoretical work is Family Therapy, once the transaction models experienced in the family of origin constitute matrices of social learning for future transactions. For Souza, the family is a microcosm, a miniature universe, representative of the outside world and the inside of each of us. It is also considered a social network, defined by Sluzki as the sum of the relations that the individual perceives itself to be significant. In this way, search the dynamics in the family, which can facilitate or hinder the work with the individual. With EMDR deal with recent and old traumas and limiting beliefs, and from there are positive resources mobilized hitherto inaccessible, due to blockage of trauma. These individual features are now more accessible then integrated into family and social life. Results: I present the case of a girl of 28 years with a medical diagnosis of fibromyalgia, university, who had abandoned his studies and internship, with severe pain and a lot of time in bed, that after 15 sessions of psychotherapy, including family sessions, returned to their normal activities.
Keywords: Family Therapy Fibromyalgia
Accuracy Verified: Yes
55. 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
56. 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
57. 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
58. Woller, W. (2004). EMDR in der psychotherapie von persönlichkeitsstörungen - Grenzen, voraussetzungen, möglichkeiten [EMDR in the treatment of personality disorders - frontiers, conditions, possibilities]. PPmP - Psychotherapie, Psychosomatik, Medizinische Psychologie, 54, AB124.
Language: Czech
Format: Journal
Abstract:
EMDR gilt inzwischen als effizientes Verfahren in der Behandlung posttraumatischer Belastungsstörungen. Die Anwendung des Verfahrens erfordert wie jedes traumaverarbeitende Verfahren jedoch neben einer ausreichenden äußeren und inneren Stabilität die Beachtung der Komorbidität.. Da Persönlichkeitsstörungen, namentlich die Borderline-Persönlichkeitsstörung, eine häufige Komorbidität der posttraumatischen Belastungsstörung darstellen, ist die Berücksichtigung einer komorbiden Persönlichkeitsstörung für die Indikationsstellung einer EMDR-Behandlung von großer Bedeutung.
Auf der Basis kasuistischer Mitteilungen in der Literatur und eigener klinischer Erfahrungen soll dargestellt werden,
(1) unter welchen Voraussetzungen die Behandlung einer PTBS auch bei komorbider Persönlichkeitsstörung denkbar ist,
(2) wie EMDR in einen Gesamtbehandlungsplan integriert werden kann, der neben umfassender Stabilisierung, Symptomkontrolle und Ressourcenaktivierung die Modifikation verzerrter interpersoneller Wahrnehmungsmuster und maladaptiver Interaktionsmuster umfasst,
(3) welche Modifikationen des Verfahrens in Abhängigkeit vom Typ der Persönlichkeitsstörung, der Abwehrstruktur und der symptomatischen Komorbidität möglich und auch notwendig ist,
(4) welche Möglichkeiten EMDR darüber hinaus für die Behandlung von Persönlichkeitsstörungen ohne die Symptomatik einer PTBS zur Bewältigung aktueller und künftiger Stressoren und zur Ressourcenstärkung bieten kann.
EMDR is now regarded as an effective method in the treatment of posttraumatic stress disorder. The application of the method requires as any trauma processing method, however, only sufficient external and internal stability, the observance of comorbidity .. Because personality disorders, especially borderline personality disorder, a common comorbidity of post-traumatic stress disorder present, the consideration of a comorbid personality disorder for the indication of EMDR treatment is of great importance.
On the basis of casuistic messages in the literature and our own clinical experiences to be represented,
(1) the conditions under which the treatment of PTSD is possible even with comorbid personality disorder,
(2) how EMDR can be integrated into an overall treatment plan, in addition to comprehensive stabilization, symptom control and resource activation involves the modification of distorted interpersonal perceptions and maladaptive patterns of interaction patterns
(3) depending on the type of personality disorder, structure and defense of symptomatic comorbid is possible and also necessary which modifications of the method,
(4) the opportunity EMDR for the treatment of personality disorders without the symptoms of PTSD can offer to address current and future stressors and resources to strengthen beyond.
Keywords: Conference Abstract Practice Theory
Accuracy Verified: Yes
59. 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
60. Woller, W. (2003). EMDR in der psychotherapie von persönlichkeitsstörungen [EMDR in the treatment of personality disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 3, 73-78.
Language: German
Format: Journal
Abstract:
EMDR gilt inzwischen als effizientes Verfahren in der Behandlung posttraumatischer Belastungsstörungen. Die Anwendung des Verfahrens erfordert wie jedes traumaverarbeitende Verfahren jedoch neben einer ausreichenden äußeren und inneren Stabilität die Beachtung der Komorbidität.. Da Persönlichkeitsstörungen, namentlich die Borderline-Persönlichkeitsstörung, eine häufige Komorbidität der posttraumatischen Belastungsstörung darstellen, ist die Berücksichtigung einer komorbiden Persönlichkeitsstörung für die Indikationsstellung einer EMDR-Behandlung von großer Bedeutung.
Auf der Basis kasuistischer Mitteilungen in der Literatur und eigener klinischer Erfahrungen soll dargestellt werden,
(1) unter welchen Voraussetzungen die Behandlung einer PTBS auch bei komorbider Persönlichkeitsstörung denkbar ist,
(2) wie EMDR in einen Gesamtbehandlungsplan integriert werden kann, der neben umfassender Stabilisierung, Symptomkontrolle und Ressourcenaktivierung die Modifikation verzerrter interpersoneller Wahrnehmungsmuster und maladaptiver Interaktionsmuster umfasst,
(3) welche Modifikationen des Verfahrens in Abhängigkeit vom Typ der Persönlichkeitsstörung, der Abwehrstruktur und der symptomatischen Komorbidität möglich und auch notwendig ist,
(4) welche Möglichkeiten EMDR darüber hinaus für die Behandlung von Persönlichkeitsstörungen ohne die Symptomatik einer PTBS zur Bewältigung aktueller und künftiger Stressoren und zur Ressourcenstärkung bieten kann.
EMDR is now regarded as an effective method in the treatment of posttraumatic stress disorder. The application of the method requires as any trauma processing method, however, only sufficient external and internal stability, the observance of comorbidity .. Because personality disorders, especially borderline personality disorder, a common comorbidity of post-traumatic stress disorder present, the consideration of a comorbid personality disorder for the indication of EMDR treatment is of great importance.
On the basis of casuistic messages in the literature and our own clinical experiences to be represented,
(1) the conditions under which the treatment of PTSD is possible even with comorbid personality disorder,
(2) how EMDR can be integrated into an overall treatment plan, in addition to comprehensive stabilization, symptom control and resource activation involves the modification of distorted interpersonal perceptions and maladaptive patterns of interaction patterns
(3) depending on the type of personality disorder, structure and defense of symptomatic comorbid is possible and also necessary which modifications of the method,
(4) the opportunity EMDR for the treatment of personality disorders without the symptoms of PTSD can offer to address current and future stressors and resources to strengthen beyond.
Keywords: Personality Disorders
Accuracy Verified: Yes
61. 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
62. Zangwill, W., & Britt, V. (2006, September). The EMDR therapist as case consultant. Presentataion at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
As EMDR's reputation for powerful and effective
treatment grows, EMDR clinicians are
increasingly being asked to provide services as
consulting or adjunct therapists. These
consultations can be intensely productive and
stimulating if done properly; they can also be
counterproductive if not. This workshop will
provide the consulting therapist with specific
techniques for ethical and effective treatment of
the patient and guidelines for working with the
primary therapist. It will include: 1) setting
realistic goals with both the patient and the
primary therapist; 2) exploring the eight phases
of EMDR treatment from a consulting
perspective; 3) understanding the ethical issues
concerned with this type of treatment; 4) dealing
with treatment implications such as splitting and
transference; 5) how to avoid common pitfalls
such as judging the primary clinician's
performance; and 6) the satisfaction of developing
an ongolng productive, collegial relationships.
The workshop will provide a step-by-step
framework for consultation work, clear case
examples and didactic information woven into a
lively interactive format.
Keywords: Case Consultation
Accuracy Verified: Yes
63. 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
64. 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
65. Manon, M. (2007). EMDR Treatment of family abuse: Eye movement to "I" movement. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 95-110). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
This chapter presents an inside view of Eye Movement Desensitization and Reprocessing (EMDR) narrated by a client who was requested to tell her story to educate clinicians and clients so that others might be healed. The client's vivid account of her emotional history, along with the description of various memories targeted in treatment and the results of her processing sessions, provide an illustration of the therapy. Her emotional upheaval and adult relationships are a reflection of the cauldron of abuse, deceit, and chaos intrinsic to her family of origin. As indicated by the Adaptive Information Processing model, her symptoms were largely the result of the earlier negative experiences from childhood that were dysfunctionally stored in her brain. These memories had inherent within them the emotions and perspectives that generated her negative sense of self and inability to function happily in the world. The processing of the memories of these early events resulted in accelerated learning and a concomitant transmutation of her personal identity and self-efficacy. An addendum to the case by Kaslow elucidates the family systems perspective. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adaptive Information Processing Model Child Abuse Cognitive Processes Early Memories Family Abuse Family Systems Perspective Memories
Accuracy Verified: Yes
66. Holmshaw, M. (2009, March). EMDR treatment of four cases of long term heterosexual unconsummated relationships: Efficacy of trauma-based, adaptive psychological approach. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.
Language: English
Format: Conference
Abstract:
Four women between the ages of 29 and 35 presented with distress
and relationship problems due to their perceived inability to sexually consummate their
marriages. On average they had been married for 48 months and in all four cases presented
with considerable distress as they perceived themselves as failures fearing that they would
not be able to have children.
Despite varied past histories, this small cohort all had either sexual abuse histories (one
case) or unusual fantasies about sexual penetration and their own and their partners’ sexual
organs.
This presentation illustrates the helpfulness of history taking and case conceptualisation
with specific emphasis on sexual and developmental history, the role of the “normal” male
partner and the use of the touchstone memory in obtaining initial targets for processing
The four women are compared to establish individual variables which determined sessions
numbers and successful treatment outcome. (Session numbers varied between 6 and 35,
with three subjects needing fewer than 10 sessions).
Suggestions for the use of a similar approach to treat sexual performance anxiety are put
forward
Keywords: Heterosexual Unconsummated Relationships Symposium
Accuracy Verified: Yes
67. 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
68. 近藤千加子[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
69. Morris-Smith, J., & Silvestre, M. (2009, June). EMDR with children, adolescents and family relationships in the context of domestic violence. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Keywords: Children Domestic Violence
Accuracy Verified: Yes
70. 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
71. 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
72. 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
73. 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
74. 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
75. 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
76. 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
77. Reamer, F. G. (2004, September). Ethical issues in EMDR: Risk-management implications. Presentation at the annual meeting of the EMDR International Association, Montreal, Ontario Canada.
Language: English
Format: Conference
Abstract:
This workshop will provide participants with a comprehensive overview of ethical, malpractice, and risk-management issues encountered in EMDR. Using extensive case material, participants will learn how to handle complex practice-based ethical dilemmas, prevent professional malpractice, and avoid liablity. Emphasis will be on practical strategies designed to protect clients, professionals, and employers. Key topics will include the limits to clients' rights to confidentiality and self-determination, privileged communications, informed consent procedures, the use of high-risk treatment techniques, boundary issues and dual relationships, conflicts of interest, defamation of character, consultation and referral, supervision, termination of services, documentation, and the problem of impaired colleagues. Participants will be provided with a typology of compelling ethical dilemmas and "high risk" areas, and acquainted with practical decision-making strategies.
Keywords: Ethics Risk Management
Accuracy Verified: Yes
78. 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
79. Capps, F. (2005). The EXACT method: Resolution of substance abuse-related trauma in couples counseling utilizing eye movement desensitization and reprocessing (EMDR). Texas A&M University, Corpus Christi, TX. AAT 3173700.
Language: English
Format: Dissertation/Thesis
Abstract:
This study utilized single session EMDR (Shapiro, 1995, 2002) and the Experiential Approach to Couples Treatment (EXACT method) to target substance abuse related trauma in non-dependent partners (NDPs) of former substance abusers. Chemical dependent partners (CDPs) received simultaneous experiential treatment. Treatment effects and maintenance of treatment between experimental and wait-list control groups were examined for trauma reduction, commitment to sobriety, and emotional intimacy. Correlations among intimacy, emotional quality, between and commitment to sobriety were examined. Meta-analyses informed the literature review and described the gold standards (Foa & Meadows, 1997) which were used to rate controlled research. The Emogram (Priesmeyer, Knickerbocker, Comstock, & Mudge, 2001) was used for pre-posttest comparisons. This study met the gold standards at a rating of seven (RGS = 7.0). The sample consisted of 12 couples (N = 24) drawn from adult volunteers who met screening criteria. Data was analyzed using within subjects multivariate analyses of variance with repeated measures, and Pearson product-moment correlations. Trauma-related symptoms were significantly reduced for NDPs. Commitment to sobriety was measured by anxiety and depression symptoms which were significantly reduced for chemical dependent partners (CDPs). Trauma, anxiety, and depression reductions were maintained for all participants at follow-up. Maintenance of gains in commitment to sobriety and in emotional intimacy for CDPs failed to reject the null hypotheses. Measures of Self Disclosure, Love and Affection, and Personal Validation were significantly correlated, but were not significantly correlated to Trust or to Emotional Quality. No significant relationship was found between Emotional Quality and Commitment to Sobriety or between Emotional Quality and Emotional Intimacy for CDPs. Conclusions include that a single session of the treatment was efficacious for trauma, anxiety, and depression reduction and for increased commitment to sobriety and intimacy. Treatment gains for trauma, anxiety, and depression reduction were maintained. Commitment to sobriety and emotional intimacy gains tended to be maintained but were not significant. Intimacy measures tended to be related to each other, but relationships among other measures were not significant. Recommendations include larger sample sizes, additional variables of study, and lengthening follow-ups. Comparative treatment methods are recommended. Future research should include families. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International Section A: Humanities and Social Sciences. 66(4-A), 2005, pp. 1282.
Keywords: Counseling Couples Drug Abuse Emotional Trauma Empirical Study Quantitative Study
Accuracy Verified: Yes
80. 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
81. 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
82. McCullough, L. (2002, December). Exploring change mechanisms in EMDR applied to "small-t trauma" in short-term dynamic psychotherapy: Research questions and speculations. Journal of Clinical Psychology, 58(12), 1531-1544. doi:10.1002/jclp.10103.
Language: English
Format: Journal
Abstract:
This article represents a process of preliminary search and discovery regarding the active mechanisms in Eye Movement Desensitization and Reprocessing (EMDR) when used in Short-Term Dynamic Psychotherapy (STDP). Patients' (N = 7) responses to EMDR interventions were categorized as either "trauma" or "resolution" responses and examined in relationship to (a) the number of EMDR sets, (b) patient Global Assessment of Functioning Rating (GAF) scores, and (c) raw change in Subjective Units of Distress (SUD) ratings of severity of traumatic memory and Validity of Cognition (VoC) ratings of positive cognitions before and after EMDR sessions. Further subcategorization and development of the broad categories of trauma and resolution were recommended and may be useful in shedding light on how change happens in EMDR. This study was exploratory and attempted only to identify possible variables for further study. However, the results show potential relationships among variables that merit further refinement and study. Research questions generated from this study are discussed. [Author Abstract]
Keywords: Effects Empirical Study Posttraumatic Stress Disorder Psychoanalytic Psychotherapy PTSD Research Needs Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
83. 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
84. 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
85. 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
86. 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
87. Medeiros, K. (2009). Eye-movement desensitization and reprocessing: Implementation and utilization of EMDR as a treatment for trauma. Undergraduate Review, 5(9), 32-36.
Language: English
Format: Journal
Abstract:
Trauma is a pervasive global issue that affects both children and adults.
It is officially defined in the most recent Diagnostic Manual as an event
that threatens death or serious injury, and that elicits a response of
fear, helplessness, or horror (American Psychiatric Association, 2002).
Other respected definitions include a “sudden, unexpected, overwhelmingly intense
emotional blow....[that] quickly becomes incorporated into the mind” (Terr,
1992, p. 8), and something that makes “both internal and external resources...
inadequate to cope with external threat” (Van der Kolk, 1989, p. 393). Literature
suggests that people who have experienced trauma may present with symptoms
including depression, anxiety, insomnia, phobias, delayed development, difficulty
maintaining social relationships, and personality disorders.
Accuracy Verified: Yes
88. Wesselmann, D. (2009, June). Facilitating the Journey From Fear to Love: Using EMDR to Treat Attachment Problems in Children and Adults. Keynote presented at the annual meeting of the EMDR Europe Association, Amsterdam.
Language: English
Format: Conference
Abstract:
Children who suffer emotional wounds within their earliest attachment experiences frequently build strong walls of defense that continue into adulthood. Participants will learn to identify anxious core beliefs related to unhealthy attachment patterns and implement EMDR to remove obstacles to closeness. Case studies illustrate the application of EMDR to improve the quality of attachment relationships for adults and children.
Keywords: Adults Attachment Children
Accuracy Verified: Yes
89. Wesselmann, D. (2009, June). Facilitating the journey from fear to love: using EMDR to treat attachment problems in children and adults. Keynote presented at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Abstract:
Children who suffer emotional wounds within their earliest attachment experiences frequently build strong walls of defense that continue into adulthood. Participants will learn to identify anxious core beliefs related to unhealthy attachment patterns and implement EMDR to remove obstacles to closeness. Case studies illustrate the application of EMDR to improve the quality of attachment relationships for adults and children.
Keywords: Adults Attachment Children Keynote
Accuracy Verified: Yes
90. McGuire-Bouwman, K. (1998). Focusing and the "power" therapies. Presentation at the 10th International Focusing Conference, Spring Valley, New York .
Language: English
Format: Conference
Abstract:
While research is needed to prove what look to be dramatic effects, the attention of medical and psychological science is being captured by approaches which work with the "body,"such as Eye Movement Desensitization and Reprocessing (EMDR), Thought Field Therapy, and Emotional Freedom Techniques™. Focusing has always been a "body-based" therapy and has always, in the experience of we who practice focusing-oriented therapy, produced results much more dramatic than "just talking" therapy. What is the relationship between focusing, EMDR, TFT, and EFT? How are they similar/different? How can knowledge of focusing therapy integrate with and enhance the application of these new "power" therapies? Without claiming to be an expert in the new techniques, Dr. McGuire will demonstrate Focusing Therapy, EMDR, and EFT with audience volunteers and lead a discussion on inter-relationships. Other focusing-oriented therapists who are specialized in one of the power therapies would be welcome to participate. If others have submitted similar proposals, we could combine into a three-hour panel with demonstrations. 1.5 hrs. Kathy McGuire-Bouwman, PhD.
Keywords: EFT Focusing Therapy
Accuracy Verified: Yes
91. 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
92. 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
93. Forgash, C. A. (2005, June). Healing complex trauma through EMDR, ego state therapy and somasensory work: Healing the heart of complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
The integration of Ego state and Somatosensory work and EMDR will be
shown to help patients with Complex PTSD repair fragmentation.
disconnections and develop the safety to utilize EMDR successfully.
Although complex trauma victims are seeking help for PTSD. depression and
anxiety, additional trauma responses may lead them to encounter difficulty
in dealing with triggers, stress and relationships.
The sequential exercises presented will provide stability for dissociated
"parts" unable to cope with symptoms.
Learning Objectives include the importance of including information in the
history taking about inability to love. fragmentation, and alienation; defining
and selecting the appropriate ego state/somatosensory/affect
management strategies to help challenging clients.
Keywords: Complex Trauma Ego State Therapy Somasensory
Accuracy Verified: Yes
94. Forgash, C. (2004, June). Healing the heart of trauma: Restoring connections and stability. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
When trauma victims enter therapy, they generally seek help for symptoms of PTSD, depression and anxiety. However, additional trauma responses may lead the client to encounter difficulty in dealing with the trauma and also with the trauma and also with relationships in their life. These responses also include the inability to love, nurture and bond with other individuals (even those currently in relationship to victim). These clients often experience feeling internally fragmented, detached, alienated and fearfully isolated. Gathering this information is an important part of history taking and becomes crucial to treatment planning. The aim of this presentation is to help clinicians learn to implement strategies that help traumatized clients to experience reconnection, stability, and then, trauma processing. Integrating ego state strategies with the preparation phase of the EMDR protocol results in a safety/stability focused therapeutic approach necessary for these clients to resolve the sequelae of trauma.
Emphasis is placed on the sequential formulation of guided imaginal and somatosensory exercises (enhanced with DAW) that provide stability for the dissociated aspects of the self unable to cope with symptoms and current stresses. The central work includes the development of an internal Home Base, Workplace, and a positive body resource that compliments the standard safe place/stress reduction work. Stabilizing exercises include constructive avoidance, distancing, grounding, containment as well as affect and dissociative symptom management techniques. When stabilized, client’s access and work with their ego state system to resolve conflicts, develop resources, reconnect and then successfully desensitize and reprocess trauma.
Learning objective include: the importance of including information in the history taking about an inability to love, loss of connections, fragmentation, detachment and alienation; defining the ego state strategies that help such client s successfully process traumas with the EMDR protocol; learning the preparation exercises for managing affect and dissociative symptoms. Participants will select the appropriate interventions to help trauma clients reconnect with dissociated, disconnected parts and employ this sequential method in their practice with traumatized clients.
Keywords: Affect Theory
Accuracy Verified: Yes
95. Forgash, C. A. (2004, September). Healing the heart of trauma: Restoring connections and stability. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Trauma victims enter therapy seeking help with the symptoms of PTSD, depression and anxiety. Additional trauma responses lead the client to encounter difficulty in dealing with trauma as well as with relationships. This can include the inability to love, nurture and bond with other individuals (even those currently in relationship with the victim). Integrating ego state strategies into the preparation phase of the standard protocol results in a safety and stability focused therapeutic approach. The emphasis in this presentation will be on developing interventions that provide stability and reconnection for the aspects of the self unable to cope with symptoms and life stresses and help clients access/work with their ego state system to desensitize and reprocess trauma.
Keywords: Connections Stability
Accuracy Verified: Yes
96. Herbert, C. (2004, February). Healing the inner child - EMDR imagery re-scripting technique with complex trauma clients. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.
Language: English
Format: Conference
Abstract:
Neuropsychological findings indicate that affect regulation is learned through secure attachment during the first year of an infant's life (Siegel, 1999; Schore, 1994, 1996). Poor affect regulation is one of the main indicators of clients diagnosed with Personality Disorders and those having experienced early life trauma, e.g. CSA or other abuse. Hence, one of the aims of a successful treatment outcome is healthy affect control. Yet, few therapeutic approaches for Personality Disorder or Complex Trauma currently focus ont the quality and re-building of such clients' early attachment relationships. Herbert (2002, 2003) describes a therapeutic framework, utilizing both EMDR and CBT (Cognitive Behavioural Therapy) technqiues for working with complex client problems, that incorporates an assessment of the quality of early attachment relationships and, based on this, various therapeutic methods, such as imaginal re-nurtuing, which aid clients to re-script and repair ruptures in clients' experiences of their early attachment relationships. Clinical practice indicates that through the use of these techniques, clients with previously poor affect control and functionally disrupted lives, can learn to build a more secure and functionally positive sense of Self with healthy mechanisms of affect regulation. a) The learning objectives for this presentation are to introduce participatns to 1. the concept of attachment and its role ind determining affect control, 2. a therapeutic framework for working with clients with complex problems, and 3, clinicial technqiues that hep repair deficits in early attachment relationships to allow cients build healthy mechanisms of affect control.
Keywords: Complex Trauma Personality Disorders Re-Scripting
Accuracy Verified: Yes
97. Bayliss, S. (2010, April). Healing trauma with eye movement integration - with reference to victims of controlling and abusive relationships. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Keywords: Abuse Relationships
Accuracy Verified: Yes
98. 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
99. Shapiro, F. (2012, February 5). How memories keep us apart: The past is present. Huffington Post. Retrieved from http://www.huffingtonpost.com/francine-shapiro-phd/ptsd-military_b_1250202.html 2/5/2012.
Language: English
Format: Other
Abstract:
When I first began to develop EMDR therapy back in 1987, I experimented with everyone who was willing to volunteer. I'd ask: Do you have anything bothering you? Not surprisingly, everyone had something. Whether it was a problem at work or a fight at home, by having them concentrate on it and using the procedures, rapid change usually occurred. Fascinating connections were made, and it was like having a window into the brain. For instance, one of the things I found very interesting was that often the problem they were concentrating on would spontaneously connect in their minds to earlier memories that were related in some way. That's how I began to discover that the past was really present. [Excerpt]
Keywords: Blog Military Posttraumatic Stress Disorder PTSD Relationships Veterans War
Accuracy Verified: Yes
100. 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
101. 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
102. 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
103. Bartozzi, R. (2008, Novembre). Il trattamento breve dei disturbi puerperali mediante assessment specifico del trauma e applicazione del protocollo EMDR [The brief treatment of puerperal disorders through assessment of specific trauma e applicazione del protocollo EMDR trauma and application of the EMDR protocol]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Il presente contributo nasce dall’esperienza maturata in psicoterapia con soggetti affetti da
depressione post-partum (DPN) e dall’assunto teorico secondo il quale la condizione di
neomaternità e la conseguente naturale disposizione all’accudimento possa entrare in conflitto
dirompente con nuclei antichi e dissociati, riconducibili a ferite traumatiche nelle relazioni primarie
d’attaccamento delle neo mamme. In altri termini, può verificarsi una ritraumatizzazione a causa
della condizione speculare in cui la mamma viene a trovarsi.
This contribution comes from the experience in psychotherapy with individuals with
post-partum depression (DPN) and the assumption according to which the theoretical condition
neomaternità natural disposition and the resulting conflict could all'accudimento
bursting with ancient nuclei and differentiated due to traumatic injuries in primary relationships
of attachment of new mothers. In other words, can occur due ritraumatizzazione
condition of the mirror in which the mother is to be.
Keywords: Assessment Attachment Conflict Handling Post-Partum Depression
Accuracy Verified: Yes
104. 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
105. Flemke, K., & Protinsky, H. (2001, December). Imago dialogues: Treatment enhancement with EMDR. Journal of Family Psychotherapy, 12(4), 1-14. doi:10.1300/J085v12n04_01.
Language: English
Format: Journal
Abstract:
The goal of Imago Relationship Therapy (IRT) is to have a healing connection form within the couple relationship. Some tools for achieving such connection include the Couples-Dialogue and the Parent-Child Dialogue. Despite the effectiveness of these interventions, it seems that some past childhood hurts and traumas remain unprocessed within the brain of certain individuals, thus inhibiting intimacy. By implementing Eye Movement Desensitization Reprocessing (EMDR) in tandem with IRT, clients who are stuck within these communication enhancement exercises are often able to establish a healing connection, thus further repairing past childhood wounds. Case studies have been included to illustrate the effectiveness of such integration.
Keywords: Childhood Childhood Development Conversation Couples-Dialogue Couples Relationships Couples Therapy Emotional Trauma Healing connection Imago Relationship Therapy Interventions Intimacy Marital Relations Parent Child Communication Parent-Child Dialogue Psychotherapeutic Techniques Relationship Therapy Trauma
Accuracy Verified: Yes
106. Flemke, K., & Protinsky, H. (2003). Imago dialogues: Treatment enhancement with EMDR. Journal of Family Psychotherapy, 14(2), 31-45. doi:10.1300/J085v14n02_03 .
Language: English
Format: Journal
Abstract:
The goal of Imago Relationship Therapy (IRT) is to have a healing connection form within the couple relationship. Some tools for achieving such connection include the Couples-dialogue and the Parent-Child dialogue. Despite the effectiveness of these interventions, it seems that some past childhood hurts and traumas remain unprocessed within the brain of certain individuals, thus inhibiting intimacy. By implementing Eye Movement Desensitization Reprocessing (EMDR) in tandem with IRT, clients who are stuck within these communication enhancement exercises are often able to establish a healing connection, thus further repairing past childhood wounds. Case studies have been included to illustrate the effectiveness of such integration.
Keywords: Child Dialogue Childhood Childhood Development Conversation Couples-Dialogue Couple Relationships Couples Therapy Emotional Trauma Healing Connection Imago Relationship Therapy Intimacy Marital Relations Parent Child Communication Parent-Child Interventions Psychotherapeutic Techniques Relationship Therapy Trauma
Accuracy Verified: Yes
107. 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
108. 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
109. Bluthgen, C., & Pomeranec, E. (2007, Novembro). Incidencia del trauma temprano en conflictos de pareja [Impact of trauma early in marital conflict] . Apresentação no I Congresso Ibero-Americano de EMDR, Brasilia, Brasil.
Language: Spanish
Format: Conference
Abstract:
Objetivos de aprendizagem:
• Este trabajo enfoca el impacto de experiencias
traumáticas tempranas, especialmente
abuso sexual infantil, en relaciones de pareja
disfuncionales y en el conflicto marital.
Aprendizagem objectives:
• This study addresses the impact of experiences
early traumatic, especially
child sexual abuse in relationships
dysfunctional and marital conflict.
Keywords: Marital Conflict
Accuracy Verified: Yes
110. Potexki, A. K. (2012, Novembro). Integração da dimensão espiritual na cura do trauma [Integration of the spiritual dimension in healing trauma]. In temas diversos. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Objetivo: Apresentar situações que sugerem que um trauma afeta a dimensão espiritual e, uma vez reintegrada, colabora com a cura do trauma. David Grand, diz que o EMDR integra corpo, mente, pensamento, emoção e espírito. Então, as interconexões entre essas partes voltam a acontecer. Sabe-se que alguns traumas estão ligados a pensamentos referentes a Deus, como: “Deus me abandonou”; “Deus me castigou”. A sensação de “abandono por Deus”, causa um profundo sofrimento à pessoa, Bessel Van Der Kolk, evidencia aquilo que ele denomina God-Forsaken (sensação de abandono por parte de Deus, solidão; não se acredita mais em nada, há falta de significado para a vida). Um paciente, violentado na infância, durante a sessão disse: “Eu tenho mágoa de Deus ... Deus esta olhando e não está fazendo nada!... Abandono de Deus... isso me corroía... Eu estendia o bracinho, mas não havia ninguém...Deus não estava lá!” Certa paciente veio com um histórico de agressão física por parte do marido. No decorrer da sessão, foi se lembrando dos piores episódios. A pior surra foi quando estava grávida. Ao longo das sessões foi possível perceber que as frases a respeito de Deus afetaram diretamente sentimentos, emoções, relacionamentos, enfim, a vida como um todo. No momento em que o paciente reprocessa essas frases a cura acontece.
Objective: To present situations that suggest that trauma affects the spiritual dimension and once reinstated, collaborates with the healing of trauma. David Grand, says the EMDR integrates body, mind, thought, emotion and spirit. So, the interconnections between these parties happen again. It is known that some traumas are linked to thoughts concerning God as "God forsaken me", "God punished me." The feeling of "abandonment by God," cause deep suffering to the person, Bessel van der Kolk, highlights what he calls God-Forsaken (feeling of abandonment by God, loneliness, no longer believe in anything, there is a lack of meaning to life). A patient abused in childhood, during the session said: "I have hurt God ... God is watching and not doing anything! ... Abandonment of God ... it gnawed me ... I stretched a little arm, but there was nobody ... God was not there! "One patient came with a history of physical abuse by her husband. During the session, was remembering the worst episodes. The worst spanking was when I was pregnant. Throughout the sessions was possible to see that the phrases about God directly affected feelings, emotions, relationships, finally, life as a whole. At the time the patient reprocesses these phrases healing occurs.
Keywords: Integration of the Spiritual Dimension
Accuracy Verified: Yes
111. Parnell, L. (2010, September/October). Integrating an attachment repair orientation into EMDR treatment for clients with relational trauma. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
Clients who have experienced childhood traumas that have impacted their sense of safety and capacity to form close emotional relationships in adulthood require adjustments to the EMDR phases and procedural steps. These relational traumas can include childhood physical or sexual abuse, neglect, early losses, birth trauma, medical trauma, caregiver misattunement and vicarious trauma. In order for EMDR therapists to be most successful with this population it is important to incorporate an attachment repair orientation into the therapy. Through lecture, case examples, and video clips, participants will learn how an attachment-repair orientation can be integrated into all phases of EMDR treatment.
Keywords: Attachment Repair Orientation Relational Trauma
Accuracy Verified: Yes
112. 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
113. D'Antonio, M. D. (1999, March). Integrating EMDR into couples therapy. EMDRIA Newsletter, 4(1), 27-28.
Language: English
Format: Newsletter
Abstract:
This protocol (D’Antonio, 1997) integrates Bowen’s (1976) concept of differentiation with a trauma model of relationships. Differentiation refers to a quality of both individuals and relationships: non-defensiveness, responsiveness rather than reactivity, connection without fusion, centeredness without self-absorption, openness with clear boundaries. It might best be though of as a continuum from extremely undifferentiated to well differentiated. Individuals pair off with others as roughly the same level of differentiation.
Keywords: Couples Therapy
Accuracy Verified: Yes
114. 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
115. Silvestre, M. (2007, Juin). Integration EMDR et therapie familiale [Integration of EMDR and family therapy]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.
Language: French
Format: Conference
Abstract:
Cette présentation s'articule autour de l'intégration du travail EMDR avec des enfants et de l'approche de thérapie familiale systémique. Nous savons qu'à la suite d'un incident traumatique vécu par un member d'une famille, les liens familiaux souffrent au point parfois de se déchirer. Nous pouvons aider la personne traumatisée et aussi permettre à la famille de digérer les conséquences de cet incident sans perdre son unité. Le travail insistra sur l'aide individuelle (EMDR) et l'aide aux liens familiaux malmenès lors l'accidents traumatiques. Le système familial peut alors garder son intégrité et ètre un lieu de ressources. Les points de comment, quand et pourquoi intégrer ces deux approches seront illustrés par des éléments théoriques et des exemples cliniques.
This presentation focuses on the integration of EMDR work with children and the approach to systemic family therapy. We know that following a traumatic incident experienced by a member of a family, family relationships suffer sometimes to the point of tearing. We can help the traumatized person and also allow the family to digest the implications of this incident without losing its unity. The work on individual aid insistra (EMDR) and assistance to abused family ties in the traumatic accident. The family system can then maintain its integrity and be a resource. The points of how, when and why to integrate these two approaches are illustrated by theoretical and clinical examples.
Keywords: Family Therapy
Accuracy Verified: Yes
116. Konuk, E., & Epozdemir, H. (2010, June). The integration of EMDR and brief strategic therapy. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Directives and strategic interventions were used in
therapy for the first time almost half a century ago by a small
number of 'communication researchers' at MRI (Mental Research
institute) in Palo Alto. California.
First time in the history of therapy, the therapist was not alone
with the dent in the therapy room. He began inviting to the
sessions the family members. people who are contributing to
the problem and people who will come up and help to find
solutions.
The radical difference was that; The Palo Alto Group was not
preoccupied with searching the reasons why there is a problem.
Their emphasis was to find a solution to the problems the individual or the family is having. Therefore they always asked how
change is possible. Another major shift in therapy was that:
they focused not on the "intra-psychic" phenomena but on the
relationships. Hence the terms 'interactional' and 'systemic'.
They assumed that, if you can manage to change the interaction
(behavior) or the system (how the family gets organized
around the problem) you can overcome the problem. Another contribution was that the new map or the new paradigm was
large enough to allow the therapist to incorporate and use varieties
of techniques that belong to other approaches without
any confusion.
In '50s and '60s therapy used to take couple of sessions a week
for many years. The Interactional or the Systemic approach
heaped reduce the number of sessions per client to an average
of 7-15 sessions. They coined the term 'Brief' to described their
approach. Traditionally the new approach took several names:
Interactional Therapy, Family Therapy, Brief Strategic Family
Therapy, Systemic Family Therapy, Solution Focus Therapy and
some others.
One of the approaches that Family and Marriage Therapists integrate
efficiently into their practice is EMDR. Especially when
trauma is particularly having a role in the formation of the problem,
then EMDR 18 a "life saver" for the therapist.
Our learning objectives are:
1. to describe basic principles and techniques of EMDR and
Brief Strategic Family Therapy
2 to explain the rationale of integrating EMDR and BSFT
3 to demonstrate skills on designing and implementing an intervention.
The innovative view which stands behind this workshop is that
the BSFT and EMDR can be efficiently integrated, which has
not been frequentiy addressed in previous literature. At times
the therapist may need to intervene in the process by using interventions
other than BSFT EMDR very nicely serves this purpose
without causing any mental confusion on the part of the
therapist and the client.
Keywords: Brief Strategic Therapy
Accuracy Verified: Yes
117. 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
118. Treadway, D. C. (2008, September). Intimacy and healing: Utilizing EMDR in couples therapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Many couples struggle with intimacy and sexuality issues, often, due to the harm done to one or both members of the couple by emotional and sexual abuse from their early childhoods. Dr. Treadway, who specializes in working with couples, will discuss how he utilizes adjunctive short term EMDR in his work with couples and their PTSD issues. Treadway will discuss both referring a member of a couple out for EMDR around their trauma issues so that they might have the privacy of a relationship with EMDR specialist, as well as the value of bringing an EMDR therapist into couples therapy as a consultation and piece of work with one or both members of the couple. Although not an EMDR practitioner himself, Dr. Treadway has profound respect for the therapeutic power of EMDR to clear significant trauma and help clients separate their past pain from their present lives and relationships. Dr. Treadway will also discuss how to integrate the deep healing work into the couple’s relationship in order to enhance their experience of a deep, compassionate, loving connection.
Keywords: Couples Therapy
Accuracy Verified: Yes
119. 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
120. 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
121. 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
122. Ackerman, M. (2012, July 3). Is EMDR the cure?. The Fix, Addiction and Recovery Straight Up. Retrieved from http://www.thefix.com/content/emdr-cure-for-addiction-10083?page=1 on Juky 14, 2012.
Language: English
Format: Other
Abstract:
When Nicole, a 40-year-old teacher from Santa Barbara, began doing EMDR therapy, she had already been in regular old therapy since the age of 18. But despite years of cognitive behavioral work, she suffered an emotional breakdown at 38 and wound up at an inpatient treatment center. While being in treatment helped, what brought Nicole back to normalcy was a form of psychotherapy known as EMDR—which stands for Eye Movement Desensitization and Reprocessing and involves a therapist leading a patient through an eight-phase treatment, including a series of left-to-right and right-to-left eye movements, in a way that’s meant to process memories stored in the brain. Within a matter of weeks of once-a-week treatments, Nicole realized just how much her past experiences of bad romantic relationships were affecting her physically. “I realized that I was engaging in my addiction to avoid emotional pain,” she says. “When you don’t have a full self, you fill that emptiness with whatever substance you can get. Because EMDR is so focused on how trauma is stored in your body, it allowed me to experience the grieving process that I needed and let me release the negative emotions that were affecting me.”
Keywords: Addiction
Accuracy Verified: Yes
123. 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
124. 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
125. 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
126. Aduriz, M. E., Rozas, G., & Loyacono, I. (2010, 29-1 Octubre/Noviembre). Ligando - Creando lazos en el vinculo madre - hijo [EMDR: Como poder reparar el vínculo entre madre e hijo [EMDR: How to repair the bond between mother and son]. Mini curso en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.
Language: Spanish
Format: Conference
Keywords: Bond Relationships Mother Son
Accuracy Verified: Yes
127. Cohen, A. (2012, May). A long-term grief counseling group for adult survivors of childhood sexual abuse. Saint Mary’s College of California, Moraga, CA. 1514521.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this project was to propose a long-term, theoretically sound and research
supported person-centered grief counseling group for adult women who were sexually abused as
children. A review of the literature indicated that child abuse survivors can benefit from
supportive group counseling; sharing a context of common experience seems to aid in their
healing process. The proposed program recognizes the need to provide women who were abused
with a trusting, social environment that helps to remove the secrecy and isolation, decrease the
feelings of shame and self-blame, and increase self-esteem and self-worth. The integration of a
nondirective approach with grief counseling creates a more comprehensive approach in which to
support the development of social skills and healthy and trusting relationships. The group is
structured for survivors to share their experiences, heal from their traumas, and find the tools to
move forward into happier, healthier, and better functioning lives.
Keywords: Adult Survivors Childhood Sexual Abuse Person-Centered Group Counseling
Accuracy Verified: Yes
128. 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
129. 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
130. Carlson, B. E. (2005, January). The most important things learned about violence and trauma in the past 20 years. Journal of Interpersonal Violence, 20(1), 119-126. doi:10.1177/0886260504268603.
Language: English
Format: Journal
Abstract:
In the past 2 decades, important insights have been gained regarding violence and trauma. Complications occur in how violence and trauma, their causes, and their effects on victims should be defined. Violence and abuse to women -- physical, sexual, and emotional -- are not rare events and are most often perpetrated by partners or acquaintances rather than strangers and occur in nonmarital as well as marital relationships, including same-sex relationships. A promising methodological innovation in the study of violence and trauma is the use of longitudinal designs. Innovations in treatments for victims such as evidence-based interventions have been slow to emerge; they include eye movement desensitization and reprocessing (EMDR) and the Seeking Safety group intervention for drug-abusing women with trauma histories. Future research should address increased understanding of variation in individual responses to violence and trauma, matching of treatment to different types of male offenders, better understanding of how culture affects violence perpetration and victimization, and evaluation of domestic violence interventions. [Author Abstract]
Keywords: Commentary Empirical Study Longitudinal Study Review Scientific Research Spouse Abuse Survivors Treatment
Accuracy Verified: Yes
131. 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
132. Herbert, C. (2005, June). Neither good nor bad, just perfect as you are! Facilitating emergence of the self. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Clients with traumatic childhood experiences and subsequent diagnoses of
Personality Disorder, hold self-identities that may have had adaptive, survival
enhancing functions during their upbringing, but may now be hindering and
even damaging. As babies their needs for secure attachment and nurturing
may have been compromised and as children they may not have
experienced unconditional love and acceptance of themselves. As adults,
they may carry internalized self-images about either being intrinsically 'bad'
or having to be especially 'good' in order to be accepted, valued and
loved by others. Subsequently, their Behaviour and their relationships with
others are determined by a distorted view of themselves, often causing
them to lead lives that involve great compromise and further suffering. They
may struggle with their capacity to regulate affect (Siegel, 1999: Shore, 1994,
1996). experiencing little self-control over their various fluctuating mood
states. The aim of this workshop is to introduce clinical techniques, involving
the interweave between EMDR and Schema-focused, cognitive
approaches, which help clients build a more secure and 6nctionally
positive sense of Self with healthy mechanisms of affect regulation. Based on current research, clinical practice and Herbert's (2002, 2003) therapeutic
framework for working with complex trauma, this workshop will focus
especially on two therapeutic ingredients for this work. One is the quality of
the therapeutic relationship as a necessary transitory phase for healthy
dependency in the client and the second is 'inner child' work as a method to
help clients modify and re-script their distorted images of self and repair
ruptures in their attachment relationships.
Keywords: Emergence of Self
Accuracy Verified: Yes
133. Uram, S. (2008, June). The neurobiology of adult and childhod trauma made simple: What every EMDR clinician should know. Presentation at the annual mmeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
This workshop presents three related and integrated themes: I. - The neurobiology of trauma made simple, yet highly “usable” for clinical formulation. A. How trauma is defined by our culture and DSM-IV, versus the reality of how each human brain individually “defines” trauma. Organized and logical presentation of clinically relevant brain parts/circuits and how they process, or don’t adequately process traumatic experiences; the differing length of time the effects of trauma may manifest from these parts; the masking and masquerading of earlier traumas by the prefrontal cortex, etc. Which brain parts/circuits “trump” one another, and how this shows up in symptoms, in our personalities or in our relationships. II. - Child/Adolescent/Adult stages of human brain development made simple, but geared for clinical understanding and EMDR treatment planning. Childhood through young adulthood brain development generally mature along a sequence; Bottom to Top, and Inner to Outer .The brain areas that become more active as 31 children mature “show up” as increasing or decreasing behaviours, levels of thinking abilities, levels of emotional and mood development/stability, relational abilities, decreased dominance of certain other brain parts, etc.. Symptoms frequently reflect how each person’s level of brain maturation “filters” life experience at a given time. III. - Trauma neurobiology + different stages of brain development = potentially very different EMDR formulations, negative cognitions, etc. How the child and adult brain can identify “danger”, and therefore, “trauma” similarly, or very differently. How trauma is “understood” in the adult brain and the child brain. How and why “danger” or “traumas” are perceived, processed and present differently in children and adults
Keywords: Neurobiology
Accuracy Verified: Yes
134. Schore, A. (2000, September). The neurobiology of attachment and the origin of self: Implications for theory and clinical practice. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
The participant will: 1) learn how the attachment relationship acts to regulate the child's emotional state; 2) learn how these interactions influence the experience-dependent maturation of the infant's right hemisphere; and 3) learn the structure-function relationships of a regulatory system in the orbital prefrontal areas of the cortext.
Keywords: Neurobiology
Accuracy Verified: Yes
135. 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
136. 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
137. Wesselmann, D. (2003, May). Plenary. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract: Attachment theory has identified adults with a secure attachment style as more resilient to stress and trauma than insecurely attached adults. The secure adult tends to have supportive relationships which buffer him from stress (Bowlby, 1988), and he is able to reflect upon his inner state and process emotions without becoming overwhelmed (Fonagy, 2000; van der Kolk 1996). In infancy secure attachment is related to the capacity to be soothed and comforted by the caregiver. The caregivers of secure infants are observed to be emotionally attuned, responsive and nurturing (Solomon & George, 1999). Schore (1996) explains that mothers of secure babies synchronize with the infant. The mother's organized brain synchronizes or harmonizes with the baby's disorganized brain, attuning to its feelings and needs, helping it calm when distressed and stay regulated when it is happy and excited. As a result, the infant's brain develops optimal circuitry for emotion regulation, and also learns through experience to trust and be comforted and to comfort himself. His basic sense of safety and trust gives him confidence as he begins leaving his parent's side and exploring the world.
Keywords: Plenary
Accuracy Verified: Yes
138. Nijdam, M., Olff, M., & Gersons, B. (2006, November). Posttraumatic growth and posttraumatic cognitions in response to trauma-focused psychotherapy. Poster presented at the 22nd annual meeting of the International Society for Traumatic Stress Studies Fall Conference, Hollywood, CA .
Language: English
Format: Conference
Abstract:
In clinical research it is important to address both vulnerabilities and
positive processes that occur in response to traumatic stress.
Therefore, we chose the concepts of posttraumatic growth and posttraumatic
cognitions to examine how these reactions change in
The Psychobiology of Trauma and Resilience
206 www.istss.org
Poster Presentations – Session 3
International Society for Traumatic Stress Studies 22nd Annual Meeting
A C R O S S
Tuesday Poster Presentations
response to trauma-focused psychotherapy. In this presentation, preliminary
data from a randomized controlled trial comparing Eye
Movement Desensitization and Reprocessing (EMDR) therapy (n =
70) and Brief Eclectic Psychotherapy (BEP; n = 70) are presented.
Participants were patients of the Outpatient Psychiatry Clinic of the
Academic Medical Center / De Meren who had a diagnosis of PTSD
following various kinds of type I trauma. Posttraumatic growth was
assessed with the Posttraumatic Growth Inventory, whereas posttraumatic
cognitions were examined by use of the Posttraumatic
Cognitions Inventory. Both measures were administered at pre- and
postassessment to determine whether these concepts change after
EMDR and/or BEP. Changes in and relationships between these variables
are presented and future directions for research arising from
the findings are discussed.
Keywords: Cognitions Poster Posttraumatic Growth Inventory
Accuracy Verified: Yes
139. Schnyder, U., Gersons, B., Wittmann, L., Nijdam, M., Maercker, A., Mueller, J., & Olff, M. (2008, November). Posttraumatic growth and PTSD symptoms in response to brief eclectic psychotherapy and EMDR. In Brief eclectic psychotherapy for PTSD: New evidence. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
Brief eclectic psychotherapy for PTSD:
New evidence: Brief Eclectic Psychotherapy (BEP) is a multimodal treatment for
PTSD comprising five essentials: psychoeducation; imaginal
exposure; writing assignments and mementos; domain of meaning
and integration; and a farewell ritual. This symposium presents
findings from two recent randomized controlled trials testing BEP
versus a minimal attention control group, and versus EMDR.
Posttraumatic growth and PTSD symptoms in response to brief eclectic psychotherapy and EMDR: How posttraumatic growth is related to posttraumatic stress
pathology is a matter of ongoing debate. Examining these
reactions in response to trauma-focused psychotherapy can help
us gain more insight into these phenomena. In this paper,
preliminary results are presented from a randomized controlled
trial comparing Brief Eclectic Psychotherapy (BEP; n = 70) and Eye
Movement Desensitization and Reprocessing therapy (EMDR; n =
70). Participants were outpatients who had a diagnosis of PTSD
following various kinds of type I trauma. The measures we applied
to assess pre-post differences were SI-PTSD, SCID-I/P, IES-R, and
PTGI. Preliminary analyses indicate a significant increase in
posttraumatic growth and a significant decrease in PTSD
symptomatology for both treatment conditions. Relationships
between these variables and differences between treatment
conditions are discussed.
Keywords: Brief Eclectic Psychotherapy New Evidence Posttraumatic Growth PTSD Symposium
Accuracy Verified: Yes
140. 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
141. 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
142. 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
143. 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
144. 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
145. Carruth, B. (2006). Psychological trauma and addiction treatment. Binghamton, NY: Haworth Press.
Language: English
Format: Book
Abstract:
Important reading for current and future addictions treatment clinicians--this book synthesizes and integrates the expanding body of knowledge about combined trauma/addiction treatment to specifically address the needs of clinicians in addiction treatment environments
Here, in a single source, is an essential overview of trauma treatment for people in addiction treatment settings. Psychological Trauma and Addiction Treatment presents specific methodologies and techniques for clients in inpatient and outpatient addiction/mental health settings. The contributors--leading clinicians and researchers in the field--provide a comprehensive set of scientific treatment approaches addressing a broad spectrum of trauma disorders.
Psychological Trauma and Addiction Treatment brings you up-to-date, authoritative coverage of:
The dynamics of co-occurring psychological trauma and addiction
All of the primary treatment frameworks currently utilized in trauma treatment
Treatment frameworks that take gender into account
Cognitive therapies in treating these co-occurring disorders
The role of psychodynamic psychotherapies in treatment
Attachment disorders and their relation to trauma and addiction treatment
EMDR as a treatment for traumatized addicts
The psychoneurology of trauma and the implications of psychoneurology in addictions and trauma treatment
How self-help groups can contribute to and limit recovery for psychologically traumatized clients
Forgiveness therapy as an adjunct to trauma treatment
Counselor self-care for those who work with this client population
Ultimately, this is a book of hope. Every author in this text has a firm belief that people with co-occurring trauma and addiction can recover, can maintain quality relationships, can confront life's challenges as they arise, and can be happy and fulfilled. Psychological Trauma and Addiction Treatment is designed as essential reading for entry-level and experienced addiction counselors, social workers, professional counselors, psychologists, and others working in the trauma treatment field.
Accuracy Verified: Yes
146. Sondergaard, H. P., von Scheele, B., Garpe, F., Elofsson, U., & Theorell, T. (2004, June). The psychophysiology effects of eye movement in EMDR. In symposium EMDR, biology, and the body (J. Spector, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
EMDR has in its short time of existence become an established therapy treating PTSD. The importance of the eye movement (EM) has so far been difficult to demonstrate, given that data supporting possible relationships between physiological variables and the therapeutic effect while conducting EM has not yet been recorded. Although theories have been presented, there is no data to support them. Our dismantling case study presents the first preliminary results from actual treatment studies and compares them with suggested theories. The results are based on three EMDR sessions treating a refugee diagnosed with chronic PTSD. In each session, heart rate, skin conductance, finger temptation, EMG, expiratory carbon dioxide, and oxygen saturation were recorded continuously. Our data demonstrates a strong and consistent trend toward an altered physiological state during EM. The directions of physiological change were consistent in all sessions. All alterations indicated raised activitry in the parasympatic nervous system and were thus compatible with the Stickgold hypothesis suggestion that EMDR increases processing of unprocessed traumatic memories through activation of cholinergic systems. Despite the small scale of our study, these novel and interesting findings generate a new fore further research. Our psychophysiological approach appears to be a promising path.
Keywords: Dismantling Study Psychophysiology Symposium
Accuracy Verified: Yes
147. 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
148. 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: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
149. 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
150. Corrigan, F. M. (2004). Psychotherapy as assisted homeostasis: Activation of emotional processing mediated by the anterior cingulate cortex. Medical Hypotheses, 63(6), 968-973. doi:10.1016/j.mehy.2004.06.009.
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
151. Roberson, M. (2004, November). Psychotherapy for trauma: A three part holistic approach. Bountiful Health.
Language: English
Format: Magazine
Abstract:
A person’s response to trauma is always both physical and emotional. For
many, it is also important to integrate the spiritual aspect into the recovery. Often
there are three parts to holistic trauma psychotherapy: (1) stabilization
(understanding symptoms in a new way, as well as learning skills to manage
emotions and cope with life stresses); (2) processing the trauma itself; and (3)
reexamining the spiritual meaning, life direction, and relationships.
Keywords: Holistic Approach Practice Theory
Accuracy Verified: Yes
152. Norcross, J. C. (2007, September). Psychotherapy relationships that work: Evidence-based practices in EMDR. Presentation at the annual meeting of the EMDR International Assocation, Dallas, TX.
Language: English
Format: Conference
Abstract:
Decades of clinical experience and controlled research consistently demonstrate that the therapy relationship accounts for as much psychotherapy success as the treatment method itself. This plenary address will present evidence-based practices on: (1) creating a facilitative therapeutic relationship; and (2) tailoring that relationship to the individual patient in ways that improve treatment outcome. These practices are then applied specifically to the different phases of EMDR. The talk synthesizes three of the most crucial developments in contemporary mental health: evidence-based practice, the therapeutic relationship, and EMDR.
Keywords: Evidence-Based Practices
Accuracy Verified: Yes
153. Butler, K. (2007, September-October). Refeathering the nest: From dutiful daughter to self-aware caregiver. Psychotherapy Networker, 31(5), 26-33, 54-55.
Language: English
Format: Magazine
Abstract:
Butler reflects on her relationship with her parents from the time she was a child. After her father had a stroke, Butler's relationship with her mother improved. Butler has found ways to help her mother, who is the primary caregiver. Both Butler and her mother have developed in positive ways.
Keywords: Caregivers Fathers Mothers Personal Development Personal Relationships
Accuracy Verified: Yes
154. 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
155. Maxfield, L., & Hyer, L. (2002, January). The relationship between efficacy and methodology in studies investigating EMDR treatment of PTSD. Journal of Clinical Psychology, 58(1), 23-41. doi:10.1002/jclp.1127.
Language: English
Format: Journal
Abstract:
The controlled treatment outcome studies that examined the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) in the treatment of PTSD have yielded a range of results, with the efficacy of EMDR varying across studies. The current study sought to determine if differences in outcome were related to methodological differences. The research was reviewed to identify methodological strengths, weaknesses, and empirical findings. The relationships between effect size and methodology ratings were examined, using the Gold Standard (GS) Scale (adapted from Foa and Meadows). Results indicated a significant relationship between scores on the GS Scale and effect size, with more rigorous studies according to the GS Scale reporting larger effect sizes. There was also a significant correlation between effect size and treatment fidelity. Additional methodological components not detected by the GS Scale were identified, and suggestions were made for a Revised GS Scale. We conclude by noting that methodological rigor removes noise and thereby decreases error measurement, allowing for the more accurate detection of true treatment effects in EMDR studies (Pilots).
Keywords: Literature Review Meta Analysis Methodology Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
156. Largo-Marsh, L. K. (1996). The relationships among expectancy, hypnotizability, and treatment outcome associated with eye movement desensitization in the treatment of post-traumatic stress disorder. Western Michigan University, Kalamazoo, MI. AAT 9636868.
Language: English
Format: Dissertation/Thesis
Abstract:
Two treatments: Eye Movement Desensitization and Reprocessing (EMDR) or structured writing sessions. A standardized diagnostic interview was used to screen subjects and provide diagnosis and symptom profile at intake and one-month follow-up. Standardized self-report measures were used to assess treatment outcomes. Repeated measures ANOVA revealed no significant differences between the two treatments. Both treatments were effective in significantly reducing post-traumatic symptoms at post-test and follow-up, although slightly different patterns were evident. EMDR subjects tended to evidence a larger reduction in symptoms immediately after treatment, while subjects assigned to the writing condition evidenced more gradual improvement, which continued between post-test and follow-up periods. Measures of subject expectations regarding treatment effectiveness revealed no statistical correlation to treatment outcome. Similarly, hypnotic susceptibility was found to be unrelated to the effectiveness of either treatment. [Author Abstract]
Keywords: Empirical Study Hypnotic Susceptibility Posttraumatic Stress Disorder PTSD Stressors Survivors Therapeutic Writing Treatment Effectiveness
Accuracy Verified: Yes
157. Madrid, A., Skolek, S., & Shapiro, F. (2007). Repairing maternal-infant bonding failures. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 131-145). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
This chapter presents an inside view of Eye Movement Desensitization and Reprocessing (EMDR) narrated by a client who was requested to tell her story to educate clinicians and clients so that others might be healed. The client's vivid account of her emotional history, along with the description of various memories targeted in treatment and the results of her processing sessions, provide an illustration of the therapy. Her emotional upheaval and adult relationships are a reflection of the cauldron of abuse, deceit, and chaos intrinsic to her family of origin. As indicated by the Adaptive Information Processing model, her symptoms were largely the result of the earlier negative experiences from childhood that were dysfunctionally stored in her brain. These memories had inherent within them the emotions and perspectives that generated her negative sense of self and inability to function happily in the world. The processing of the memories of these early events resulted in accelerated learning and a concomitant transmutation of her personal identity and self-efficacy. An addendum to the case by Kaslow elucidates the family systems perspective. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Asthma Attachment Attachment Behavior Attachment Disorders Bonding Problems Bonding Failure Maternal-Infant Bonding Mother-Infant Bonding Mother Child Relations Mothers
Accuracy Verified: Yes
158. 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
159. 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
160. 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
161. Cohen-Posey, K. (2000, September). The role of ‘second-order’ NCs in anxiety disorders and relationship problems. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) list NCs that are frequently acquired as a result of experience panic attacks and OCD; 2) describe how to use EMDR protocols to ensure that clients have integrated adaptive information about their disorder; 3) list negative cognitions that interfere with the ability to acquire communication, parenting, and anger management skills; 4) list negative cognitions that interfere with the process of individuation and enjoying satisfying relationships, 5) "compute" positive cognitions that are related to negative cognitions generated by various problems and disorders; and 6) identify negative cognitions that could be used to start targeting problem areas from listening to case examples.
Keywords: Anxiety Disorders Negative Cognitions Obsessive Compulsive Disorders OCD Positive Cognitions Relationship Problems
Accuracy Verified: Yes
162. 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
163. Scarf, M. (2004). Secrets, lies, betrayals: How the body holds secrets of a life and how to unlock them. 1st ed. New York: Random House.
Language: English
Format: Book
Abstract:
Bestselling author Scarf (Intimate Partners; Unfinished Business) explores new therapies that claim to be able to "reprocess" or "detoxify" traumatic memories through physical manipulation of the nervous system. Via accessibly presented neuroscience, Scarf explains how the body stores memories of intensely stressful experiences. A writer rather than a clinician (she's a senior fellow at Yale's Bush Center in Child Development and Social Policy), Scarf generates her data through meeting women subjects in marital distress and exploring their pasts through gentle discussion. Throughout, Scarf weaves her own autobiographical reflections, centered on painful memories of an autocratic father and a negligent mother. Seeking to advance her own emotional well-being, she enters into a reprocessing therapy session and becomes an advocate of the technique; she persuades one of her subjects to try it out, with apparently successful results. Although the physical ailments presented in Scarf's account seem extremely slight, she makes much of a sense of emotional breakthrough and release. Scarf's investigation into the methodology of reprocessing therapies is scientifically limited, yet she does allow us some insights into how they function. Admirers of her work will enjoy her ability to evoke relationship dynamics (including abusive relationships), her seductively flowing style and her emphasis on perceptive readings of life histories. Readers with a serious interest in psychology will find little cutting-edge scholarship here, and some may question why all Scarf's subjects are women.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
Accuracy Verified: Yes
164. 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
165. 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
166. Lovett, J. M. (2004, September). Small wonders: Healing childhood trauma with EMDR. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Dr. Lovett's workshop will focus on practical treatment approaches for resolving trauma and attachment issues in children and inner children. The presentation will include experiential learning, case studies, slides, and videos demosntrating EMDR-facilitated play, storytelling, and imagination exercises. Participants will learn to recognize the impact of early trauma on development, trust, and relationships. They will learn to use post traumatic behaviors and trauma history to guide treatment, and to choose interweaves, positive cognitions, and stories that facilitate healing. This workshop will present ways by which EMDR can help adults, as well as children, raise healthy inner parents.
Keywords: Children Stressors Survivors
Accuracy Verified: Yes
167. Lovett, J. M. (2005, June). Small Wonders: Healing childhood trauma with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Dr. Lovett’s workshop will focus on practical treatment approaches for resolving trauma and attachment issues in children. The presentation will include experiential learning, case studies, slides, and videos demonstrating EMDR-facilitated play, storytelling, and imagination exercises. Participants will learn to recognize the impact of early trauma on development, trust, and relationships. They will learn to use post traumatic behaviors and trauma history to guide treatment, and to choose interweaves, positive cognitions, and stories that facilitate healing. The workshop will present ways by which EMDR can help children develp healthy “inner parents.”
Keywords: Children Stressors Survivors Trauma
Accuracy Verified: Yes
168. van der Weele, J., & With, A. (2007, June). Stabilization groups with ethnic minority women after domestic violence: Presentation of a model based on structural theory of dissociation, EMDR, intercultural comunication and expressive artwork. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Alternative to violence has developed a group treatment model structured by the theory of structural dissociation and EMDR trauma treatment theory. Woman with ethnic minority background received short terms group treatment at a shelter for victims of domestic violence at an outpatient clinic and at a domestic violence family treatment center. The groups were supplements to individual therapy/counseling. We have had 10 groups; one with only Pakistani women, several mixed ethnic minority cultural groups with translation and groups in “simple Norwegian.” Recruitment was enhanced by the policy of sharing of symptoms and problems today with no obligation to share about personal past. The model has low drop out rate and therapist working with the individuals report more effective treatment sessions. For some women the group becomes the preferred choice of treatment. We discovered that early phase trauma work can be done in a group format with severely and recently traumatized women. Methods used are resource installation and safe place work, increase awareness of negative/positive cognitions, butterfly hug, nightmare protocol, expressive art therapy techniques as grounding, breathing techniques working with personal borders, working with imagination and playfulness. Structural therapy of dissociation concepts as ANP/EP structures and mental capacity, working from here and now, focusing on the ANP above EP's are woven into how the therapists regulate the group process and plan content. The theory organizes how we handle flashbacks, current acute crisis and how we focus on the womens’ personal trauma. We also teach about the effect of violence in relationships, the need to work on personal safety and the needs of children in the aftermath of violence. Theory from the field of intercultural communication gave us guidelines in working with women from high context, indirect and collectivistic cultures. A workbook for the clients on violence, PTSD symptoms and stabilisation treatment has been developed in the aftermath of these groups and is translated into several languages. We will present the material at the conference in the structure of the early fase trauma treatment group format. Showing in vivo how we apply the theory to severely traumatized women. We will share some of our favorite group exercises, metaphors and group rituals. Our goal is: 1. to show how the theory of structural dissociation serves as guideline for organizing and resulting treatment with severely traumatized clients in groups. 2. Give insight into typical adjustments that have been made to tailor treatment to ethnic minority populations. 3. Explain how expressive art work needs to make adjustments to the population of severely traumatized women. 4. Finally show how the group uses elements from EMDR and enhances individual EMDR work. In our experience, the stabilisation groups have integrated the heart, mind and body in the work of healing with a population that is often found difficult to treat effectively. We hare started to retain other therapists in using the model and are in the process of applying for a research grant.
Keywords: Artwork Domestic Violence Dissociation Ethnic Intercultural Communication Minority Stabilization Women
Accuracy Verified: Yes
169. 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
170. 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
171. Beswick, K. (2008, June). Theory and practice at the interface of EMDR and systemic psychotherapy. Presentation at the annual meeting of the EMDR Europe Association, London, England .
Language: English
Format: Conference
Abstract:
Theory - EMDR can be seen as working on one level of the human system - the neurobiological level. However
the human brain is formed and is constantly changed by it’s interactions with others. The neurobiology of
relationships is an expanding field and I will be arguing that EMDR and systemic theory have much to offer each
other at this juncture. I will be putting forward my ideas about the scope for creative thinking and practice at the
interface of these paradigms. By utilizing the client’s relationships and seeing them as a resource in the EMDR,
EMDR practitioners can facilitate change at that wider level. In order to make the presentation accessible to
those who are not particularly familiar with current systemic theory, I will briefly outline some of the main
systemic principles currently in use. Practice - I will illustrate my theoretical points with examples from my EMDR
practice where I have: 1) included more than one family member in the room at the same time; 2) where parallel
work has been done with the family and the individual; and 3) where I have incorporated significant systemic
thinking into my work with an individual. These examples will demonstrate skills in applying EMDR within a
broad systemic frame. They will illustrate how EMDR can enhance relationships, and conversely, how systemic
thinking can enhance the application of EMDR.
Keywords: Practice Systematic Psychotherapy Theory
Accuracy Verified: Yes
172. 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
173. 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
174. 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
175. Mosquera, D. (2011, Julio). Trastorno limite de personalidad y EMDR [Borderline personality disorder 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 personalidad son un grupo complejo a la hora de trabajar en
psicoterapia. Los problemas relacionales y las reacciones emocionales desbordantes suelen estar en un primer plano. Muchos de estos trastornos están generados en una historia de trauma temprano y relaciones de apego disfuncionales con los cuidadores primarios que pueden ser tratados con EMDR.
El trastorno límite de la Personalidad o TLP, se ha relacionado con una historia
temprana de apego disfuncional, con trauma en la infancia (abuso sexual, físico, trauma de apego y/o negligencia), sin embargo no todas las orientaciones terapéuticas específicas para el trastorno límite abordan de modo directo estas experiencias traumáticas previas.
Algunos autores destacan los contextos invalidantes en la historia biográfica de las
personas con este diagnostico, lo que suele ir unido a una traumatización compleja. El
concepto de trauma en EMDR es un concepto mucho más amplio del que se maneja de manera habitual, no solo es trauma. Francine Shapiro explica que muchos de nosotros pensamos que el trauma consiste en grandes acontecimientos que aparecen en las noticias (veteranos de guerra, sobrevivientes de catástrofes naturales y ataques terroristas……) pero, de hecho, por definición, trauma es cualquier hecho que ha tenido un efecto negativo duradero.
La terapia EMDR ha demostrado su eficacia en el trastorno de estrés postraumática,
siendo en estos momentos un tratamiento de elección para el TEPT. Su aplicación en una amplia gama de trastornos en cuya base se encuentran experiencias traumáticas previas se está desarrollando cada vez más. Uno de estos diagnósticos es el del trastorno límite de la personalidad que será planteado en esta mesa con un caso práctico que permitirá visualizar los resultados que se pueden conseguir en una sesión. A través del caso se
ilustrará la teoría del Modelo de Procesamiento Adaptativo de la Información (PAI) y la
posible aplicación de EMDR en los trastornos de la personalidad con trauma complejo
Personality disorders are a complex group when working in
psychotherapy. Relational problems and emotional reactions are often overflowing
be in the forefront. Many of these disorders are built on a history of
early trauma and dysfunctional attachment relationships with primary caregivers
can be treated with EMDR.
The BPD or BPD personality has been associated with a history
early attachment dysfunctional childhood trauma (sexual abuse, physical trauma
attachment and / or neglect), but not all specific therapeutic guidelines
for BPD directly addressed these previous traumatic experiences.
Some authors emphasize the disabling contexts in the biographical history of the
People with this diagnosis, which often goes hand in complex traumatization. The
EMDR trauma concept is a much broader concept of which is handled as usual, not only is trauma. Francine Shapiro explains that many of us
think that the trauma is to great events in the news (War veterans, survivors of natural disasters and terrorist attacks ......)
but, in fact, by definition, trauma is any event that has had a negative effect
durable. EMDR therapy has proven effective in post-traumatic stress disorder, being at present a treatment of choice for PTSD. Its application in a wide range of disorders whose base are previous traumatic experiences are
is developing more and more. One of these diagnoses is that of BPD personality that will be raised at this table with a case study that will
visualize the results that can be achieved in one session. Through the case
illustrate the theory of Model Adaptive Information Processing (AIP) and
possible application of EMDR in personality disorders with complex trauma.
Keywords: Borderline Personality Disorder Symposium
Accuracy Verified: Yes
176. 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
177. Punamaki, R.L., & Peltonen, K. (2008). Trauma among children and adolescents: Treatments and interventions. European Trauma Bulletin, 15(2), 3-13.
Language: English
Format: Newsletter
Abstract:
Keywords: Adolescents Children
Accuracy Verified: Yes
178. Siegel, D. J. (2004, June). Trauma and the mind: attachment, relationships, and neural integration. Plenary presented at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Keywords: Attachment Neural Integration Plenary Relationships Trauma
Accuracy Verified: Yes
179. Lovett, J. (2000). The trauma-attachment tangle: Let's help children and parents out of the bind. The Children's Group Therapy Association Newsletter. Retrieved from http://www.cgta.net/newsletters/play_therapy.html November 16, 2011.
Language: English
Format: Newsletter
Abstract:
What does help children and adults who have had experiences that ruptured their trust in the world and who have been unable to develop close, reciprocal, loving relationships?
1. Experiences of being safe for an extended period of time.
2. EMDR to desensitize and reprocess upsetting memories.
3. Development of healthy “inner parents” who nurture, encourage, and offer guidance.
4. Children benefit from nurturing cuddle time with parents – and alternating bilateral stimulation to reinforce positive experiences of safety, care, tenderness, and attunement.
5. Adults benefit from imagination exercises to help them experience nurturing.
6. Children and adults need a cohesive life story that is developmentally appropriate and explains and reframes what happened to them and offers trauma resolution and hope for the future.
7. EMDR to target confusion, so that uncertainty (necessary for approaching new experiences and learning) does not trigger anxiety.
8. Grief work, to deal with loss and find ways to be loyal to more than one person or family.
9. Creative opportunities for healing. Art, play therapy, drama, sandtray work can be used to express feelings, as well as provide targets for desensitizing and reprocessing traumatic experiences. Fortunately, children can resolve trauma even when EMDR is used to help the action figure, the baby doll, or the toy horse resolve a challenging situation.
10. Work with parents (or refer them) to understand and desensitize their own triggers for reactivity. Children who are fearful, angry, needy, or sad need mature parents who can stay objective and help them contain their strong emotions.
11. While the work of resolving trauma and developing trust can be slow, EMDR can facilitate the process. The rewards are sweet and well worth the effort. [Excerpt]
Keywords: Adults Attachment Children Trauma Treatment
Accuracy Verified: Yes
180. Wesselmann, D. (2005, September). Treating attachment issues through EMDR and a family systems approach. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
EMDR and Family Systems Theory offer different but complimentary approaches to improving quality of attachment relationships. The presentation
will provide a clinical understanding of the similarities between EMDR,
famlly systems, and attachment theory models and an ovewiew of the combined
treatment approach. Participants will learn to identify possible precursors to
attachment problems within the family that may be useful as targets for
EMDR processing, and specific family therapy strategies that will help interrupt
negative feedback loops. Participants will learn to utilize parents in EMDR
treatment and incorporate the narrative method as an adjunct to EMDR.
Keywords: Attachment Theory Family Systems Theory Narrative Method Negative Feedback Loop
Accuracy Verified: Yes
181. Wesselmann, D. (2007). Treating attachment Issues through EMDR and a family systems approach. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp.113-130). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
The difficult behaviors exhibited by children who meet the criteria for a diagnosis of Reactive Attachment Disorder (American Psychiatric Association, 1994) can be challenging to both parents and professionals. Utilizing the point of view of three models--attachment, Adaptive Information Processing, and family systems--can enhance the clinician's understanding of attachment-related symptoms. Although the models hold shared views, each brings an additional piece of the puzzle to case conceptualization and treatment planning. Family systems therapy and Eye Movement Desensitization and Reprocessing (EMDR) therapy are different but complementary approaches to improving attachment relationships. Some general treatment strategies combining a family systems approach with an EMDR approach that are helpful in working with families affected by disturbed parent-child attachments are presented here. Case examples and a concluding discussion complete the chapter. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adaptive Information Processing AIP Attachment Attachment Disorders Cognitive Processes Family Systems Approach Family Systems Theory Family Therapy RAD Reactive Attachment Disorder Treatment Strategies
Accuracy Verified: Yes
182. 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
183. 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
184. Falls, N. (1998). Treating trauma with focusing and EMDR. Presentation at the 10th Annual International Focusing Conference.
Language: English
Format: Conference
Abstract:
While research is needed to prove what look to be dramatic effects, the attention of medical and psychological science is being captured by approaches which work with the "body,"such as Eye Movement Desensitization and Reprocessing (EMDR), Thought Field Therapy, and Emotional Freedom Techniques™. Focusing has always been a "body-based" therapy and has always, in the experience of we who practice focusing-oriented therapy, produced results much more dramatic than "just talking" therapy. What is the relationship between focusing, EMDR, TFT, and EFT? How are they similar/different? How can knowledge of focusing therapy integrate with and enhance the application of these new "power" therapies? Without claiming to be an expert in the new techniques, Dr. McGuire will demonstrate Focusing Therapy, EMDR, and EFT with audience volunteers and lead a discussion on inter-relationships. Other focusing-oriented therapists who are specialized in one of the power therapies would be welcome to participate. If others have submitted similar proposals, we could combine into a three-hour panel with demonstrations.
Keywords: Focusing
Accuracy Verified: Yes
185. 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
186. 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
187. 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
188. Adler-Tapia, R. (2012, October). Treatment of attachment trauma and the dissociative sequelae: A developmentally grounded approach to case conceptualization with EMDR. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
When earliest relationships are traumatic, attachment injuries can significantly change the trajectory of one’s life. Bonding and attachment are neurobiologically driven survival mechanisms; but when irreconcilable conflict exists within the innate mechanisms of survival and attachment, individuals can experience extreme distress leading to mental health disorders and physical disease. Although these conditions may begin in infancy, if untreated they can endure for a lifetime. Through the lens of AIP, this workshop will teach a developmentally grounded approach to treating attachment issues in clients of all ages by integrating EMDR with Erikson’s stages and the re-organization of the three-pronged approach in a Reverse Protocol (Adler-Tapia, 2012).
Keywords: Attachment Case Conceptualization Dissociation
Accuracy Verified: Yes
189. 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
190. 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
191. 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
192. Herbert, C. (2003, March). The treatment of complex trauma: EMDR in conjunction with schema-focused Cognitive Behavioural Therapy approaches. Presentation at the 1st annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract:
Some clients with complex trauma whose experience goes back many years may never learn to form an intact, whole sense of themselves or engaged in health relationships with others. For these people, trust is a major issue and usually time-limited protocols of treatment either fail or are only partially helpful. Drawing on examples from clinical practice with complex trauma clients, this presentation will describe the use of a number of specifc technqiues and introduce a therapeutic framework, combining the use of EMDR and schema-focused cognitive behavioural psychotherapy.
Keywords: Cognitive Behavioral Therapy Complex Trauma
Accuracy Verified: Yes
193. 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
194. 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
195. National Center for PTSD. (2011, February). Understanding PTSD treatment. Washington, DC: U. S. Department of Veteran's Affairs.
Language: English
Format: Publication
Abstract:
Do you or a loved one have PTSD? There is no need to suffer. Treatment works. If you have PTSD - posttraumatic stress disorder - you don't have to suffer. There are good treatments that can help. This booklet describes therapies and medications that are proven to help people with PTSD. You'll hear from experts about what treatment is like, and how it can help you. Don't let PTSD get in the way of your enjoyment of life, hurt your relationships, or cause problems for you at work or school. PTSD treatment works.
Keywords: Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
196. Ferrie, R. (2012, April). The use of dreams in ego state and EMDR therapies for trauma and dissociation. Presentation at the annual meeting of the EMDR Canada, Montreal, Canada.
Language: English
Format: Conference
Abstract:
Today, the dreaming mind is understood to improve learning, organize novel solutions to problems from waking consciousness and, thus, creatively support survival. This function, of finding new creative solutions, is also observed in the desensitization phase four of the EMDR protocol and is a key component in Ego State Therapy (EST). Dreams appear to select targets from the client’s history, that are causing problems in current time. In addition, dreams may respond to interventions made during a therapeutic session, as if the dreaming mind were in a dialogue with the client and the therapist. This type of dream leads to a more creative dialogue in subsequent therapy. Repetitive nightmares are the dreaming signature of PTSD, and these too respond well to EMDR and rehearsed changes in imagery, including that of ego states and can result in improved sleep quality. Dreams can offer a resource figure in blocked therapy; demonstrate the validity of ego states and of ego state relationships. This presentation focuses on the use of dreams, in combination with EMDR, as well as EST, for clients suffering from post traumatic syndromes. A review of the literature will be given but primarily case studies and video material from actual sessions will shared.
Learning objectives:
1. Understand the neuroscience that underlies the present state ofknowledge of the dreaming mind/brain
2. Develop skill in using the language of the dreaming mind to improve interweaves and interventions in the course of therapy
3. Develop skills in carrying nightmares forward using EMDR and thus improving sleep quality
4. Formulate a script that explains to clients why dreams and the imagination are useful in therapy.
5. Participate in a practicum on the use of dreams.
Keywords: Dissociation Dreams Ego State Therapy Trauma
Accuracy Verified: Yes
197. 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
198. 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
199. 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
200. 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
201. 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
202. 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
203. 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
204. Keller, M. (2010, July). Using EMDR at each stage of the trauma recovery process. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
“Using EMDR at Each Stage of the Trauma Recovery Process”
1) Introduction and overview of general principles of traumatology.
2) The stages of trauma recovery:
a) Safety,
b) Self-regulation capacity,
c) Social connection,
d) Reprocessing traumatic memories,
e) Rebuilding a life worth living.
3) Safety:
a) Calm/safe place-indications and contraindications,
b) EMD,
c) RTEP,
d) Coping with current lack of safety.
4) Self-Regulation:
a) EMDR self-regulation interventions with the whole brain in mind.
5) Social connection:
a) Interventions based on client attachment style,
b) Enhancing memories of positive relationships,
c) Building layers of connection—intimacy, family, community, religious,
6) Reprocessing traumatic memories:
a) Considerations for selecting appropriate memory targets,
b) A continuum of reprocessing approaches-EMD through EMDR,
c) Recent event and more distant past event issues,
d) Cultural considerations.
7) Rebuilding a life worth living:
a) The positive future template,
8) Conclusion.
The presentation will include video examples of interventions at each stage of the trauma recovery process. Audience
questions and interactions will be encouraged.
Keywords: Trauma Recovery Process
Accuracy Verified: Yes
205. Yarosh, D. (2005, September). Using EMDR to achieve breakthroughs in the treatment of love relationship problems: Case conceptualization and technique. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
The Adaptive Information Processing Model can provide a potent conceptual
framework for working with clients experiencing "stuck points" in their
love relationships. In this workshop. participants will learn to apply the
model to trauma-related love relationship problems. Participants will learn
to move from the presenting complaint to the foundation issues. Through
the use of a Trauma History, "peelback" and floatback, participants will
learn to move from the presenting complaint with the painful memories and
blocking beliefs that underlie the current love relationship impasse. Creative
cognitive and imaginal interweaves to deal with blocked processing will be
demonstrated.
Keywords: Blocking Beliefs Cognitive Interweave Floatback Imaginal Interweave Love Relationship Issues Peelback
Accuracy Verified: Yes
206. Wesselmann, D. (2013, April). Using EMDR to treat attachment trauma in adults and children. Preconference presentation at the Congress EMDR Vereniging EMDR Nederland, Nijmegen, the Netherlands.
Language: English
Format: Conference
Abstract:
Trauma experienced within the earliest attachment relationships leave children and adults at great risk for the development of psychiatric disorders. Maltreatment by attachment figures and traumatic losses are both closely associated with attachment disorganization, the attachment category identified in 70% of patients in psychiatric hospitals. Research shows insecure and disorganized attachments to be transmitted transgenerationally at a rate of between 70 and 80%.Adults and children with disturbed attachments frequently experience severe emotional dysregulation along with intense feelings of despair, anxiety, shame, and mistrust of others. Affected children and adults frequently lack helpful or adaptive information or insights and exhibit behaviors that elicit negative responses from those around them. Due to heavy defenses and poor self-regulation and self-awareness, patients suffering from attachment trauma are traditionally difficult to treat. However, with proper adaptations, the EMDR approach becomes a powerful method for healing attachment injuries in adults, children, and parent-child dyads. Participants will learn creative methods of adapting EMDR for the special challenges that accompany attachment injury. Participants will learn to utilize attachment resource development techniques designed to strengthen the capacity for closeness, trust, and self-compassion. They will discover how to coach an attachment figure to provide emotional regulation and help with cognitive interweaves. Participants will be able to write a therapeutic story to help process pre-verbal trauma and develop adaptive information for successful reprocessing. Creative interweaves, contained reprocessing, and methods for weaving together of past, present, and future will help participants experience successful EMDR with their most challenging cases. Case studies, video, and EMDR/attachment research will be presented.
Keywords: Adults Children Trauma Attachment
Accuracy Verified: Yes
207. Thompson, P. (1995, June). Using EMDR with adolescents: Life changes for adlescents - an empowerment tool. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This presentation describes an EMDR protocol for working with an adolescent in such a way as to enhance their self-empowerment
capabilities. As a preliminary, a medical and developmental history of the adolescent is taken from the parents, as well as obtaining
their view of present problems. Using this infomation and a subsequent history obtained from the adolescent provides the basis for
what may prove to be targets later.
I will talk about how, in early discussions with adolescents, when my aim is to gain rapport, I often go back over some of the
information their parents provided so as to obtain the teenager's views and feelings, idenfying the highs and lows in their view of
their life so far. I look for where they have felt successful and powerful, and where they have suffered trauma, loss and sadness with
reference to themselves as individuals and also in their family relationships. I seek to refine targets from both parental and
adolescent information. I also seek to understand what the teen would like in their life and begin to introduce the idea that they can
give direction to their life.
I believe it is important to provide the adolescent with new or clarified information about him or her. I use psychological tests to
assist in this process. I will cover briefly ways that I use the Behavior Assessment System for Children (BASC), as well as other
assessment instruments such as the Strong Interest Inventory, Rorschach and Millon Adolescent Personality Inventory (MAPI), to
give both the adolescent and me important information. Because the information stems from a comparison with the general
population, I can present it more objectively than if it were solely my assessment of them. The adolescent decides what fits them
and what doesn't. This process allows us jointly to identify problems and to look for ways to handle them. Emphasis is always
placed on the adolescent having the power - the information about themselves is power. What they choose to do with it breeds
power. They are in control. This process usually leads to a further explanation of EMDR and how they might choose to work with
me using EMDR.
In summary, I will cover :
Helping the adolescent look at choices as giving freedom Presenting EMDR as a way of having more choices; Looking at behavior problems as habits that can be changed if desired. Encouraging the use of imagination, imaging, finding a
safe place and helping make changes; Taking the position of being their coach for their effort to develop the kind of life they want.
Looking at what they think stands in their way and what they can do to change it.
Identifying negative cognition from these blocks.
Using EMDR in the context of what they want.
Building Self Esteem through goal attainment-EMDR as a tool for performance.
Coaching for positive change and clear thinking.
Teaching self direction and organization reinforcing with EMDR.
Teaching self coaching.
Keywords: Adolescents Self Coaching
Accuracy Verified: Yes
208. Paulsen, S. (2006, September). Using EMDR with individuals with austistic spectrum disorders – A protocol. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Individuals with Autism have a number of
complex differences that make Trauma processing
exceptionally difficult. In order to use the eight
step protocol with these individuals, preparation
and some modifications are necessary. The
process presented in this workshop will provide
some general information about the characteristics
of autistic individuals, step by step skill training
to precede the EMDR process, the use of Carol
Gray's Social Stories to help clarify those targets
and situations being processed, and the EMDR
protocol with slight adaptations for individuals
with speech and language impairments. Also
included are cautions for using EMDR with this
population due to their complex differences. This
process has been used successfully with
individuals across the Autistic Spectrum as well
as individuals with Asperger's Syndrome and
other developmental disorders including Williams
Syndrome. This has been developed over a 7 year
span. This step by step program has been
successful with abused individuals with global
developtnent delays, significantly impaired speech and language abilities, and significant cognitive
disabilities. Following use of the EMDR
process, individuals have dcmonstrated a
significant reduction in symptoms, increased
verbal ability, as well as improved social relationships and self-regulation skills. These
improvements have remained over time.
Keywords: Autistic Spectrum Disorder
Accuracy Verified: Yes
209. 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
210. 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
211. Morris-Smith, J. (2007, June). What can we learn from using EMDR with children on the autistic spectrum?. Presentation at the annual meeting of the EMDR Europe Assocation, Paris, France.
Language: English
Format: Conference
Abstract:
Children suffering from Autistic Spectrum Disorders have fundamental impairments in their understanding of social relationships, emotions and understand the perspectives of others. They also have impairment in their communicative abilities. They can be frequently traumatized by their daily living experiences whilst living in a world in which their understandings are impaired. This paper aims to open up the discussion and stimulate research into and about just how far their deficits in understanding their worlds extends and to what extent these might be addressed or ameliorated during EMDR therapy. The paper will consider the cases of 10 ASD children when EMDR was used and its affects. ASD is a spectrum of disorders subsumed under a single diagnostic category. This paper also hopes to shed some light on these and will also offer some directions for parental differential diagnosis of different forms of ASD and whether EMDR therapy might be efficacious for these. Recent research in ASD suggests that the corpus callosum may be affected and also included in this paper, for comparison, are two cases of children who have agenesis of the corpus callosum who also receive EMDR. The paper will be illustrated by the use of video clips.
Accuracy Verified: Yes
212. 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
213. Nutting, R. W. (1996, June). Working with couples: The use of EMDR in relationship counseling. Presentation at the annual meeting of the EMDR International Assocation, Denver, CO.
Language: English
Format: Conference
Abstract:
It is well recognised that child abuse can result in Post Traumatic Stress Disorder in a developing child. One of the outcomes of trauma is the development of irrational, self-denigrating cognitions or beliefs which helps that child survive and protects (that child) from further damage. However, these cognitions can become the overriding beliefs driving behaviour well into adulthood, this providing the basis for much adult behaviour, including behaviour in relationships. Some individuals find relationships traumatic and have difficulty coping with them. If their experience of childhood relationships was traumatic, then entering into any relationship can trigger emotions associated with the earlier trauma. In working with couples over a long period of time it has been found that it is the negative self-referencing cognitions held by one or both (usually both) partners that are responsible for much of the disagreement and dysfunction occurring with the relationship. At first it is the positive interaction between the two belief systems that unites the couple, but it is this same interaction that later becomes negative and eventually causes conflict typically one to two years following marriage. Once the negative cognitions have been identified, Eye Movement Desensitization and Reprocessing (EMDR) has been shown to be successful in being able to resolve the original traumas and to transform negative cognitions into more positive self-referencing cognitions as well as assist in the assimilation of more positive beliefs within each individual, thus producing changed behaviours and a resolution of some major relationship issues. EMDR can be used to empower individuals in a relationship to create the major shifts necessary to enable them to increase the possibility of a more functional relationship.
Keywords: Couples Therapy
Accuracy Verified: Yes
214. 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


