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1. 国秋 汪永光 王义强 付素芬 曹日芳 [Zhao Guo-Qiu, Wang Yong-Guang, Wang Yi-Qiang, Fu Shu-Fen, & Fang Tsao]. (2008, August). "4•28"胶济铁路交通事故伤员心理危机的干预 [Psychological intervention in the casualties of 4 · 28 train crash on the Jiao-Ji railway line]. 中華急診醫學雜誌 17卷8期 (2008/08), 800-803 [Chinese Journal of Emergency Medicine], 17(8), 800-803 .
Language: Chinese
Format: Journal
Abstract:
目的 分析淄博铁路交通事故伤员心理行为反应特点以寻找救治交通事故后患者的心理的有效方法。方法 采用心理危机结构式访谈问卷,对2008年4月28日发生的山东淄博胶济铁路重大交通事故中的226伤员进行心理状态评估,并对22名ASD患者进行眼动脱敏再加工(eye movement desensitization and reprocessing, EMDR)治疗,比较EMDR治疗前后的心理行为反应的差异。结果 有22名达到ASD(急性应激障碍)诊断标准,本次铁路交通事故中ASD的发生率为9.73%,伤员中主要以闯人、警觉性增高表现为主,并伴随着其他的负性情绪体验。女性组ASD的发生率(14.85%)高于男性组(5.60%),P<0.05。女性组心理行为反应结果明显重于男性组(P<0.05),EMDR能够显著改善ASD患者的闯入、警觉性增高症状(P<0.01),但愤怒情绪没有显著改善((P=0.227))。结论 铁路交通事故后,女性比男性更容易发生ASD。EMDR可有效地解决ASD患者除愤怒以外的心理危机。
Objective: To investigate the psychological characteristics in the casualties of 4.28 train crash on the Jiao-Ji railway track and to find a effective way to relieve the psychological crisis induced by traffic accident. Method: A total of 226 casualties were assessed in respect of psychological crisis with interview questionnaire after 4.28 train track on Jiao-ji railwayine. Twenty-two casualties meeting acute stress disorder (ASD) criteria from DSM-IV were treated with EMDR. The therapeutic effects of eye movement desensitization and reprocessing (EMDR) on ASD were assessed. Results: The incidence of ASD was 9.73% (22 casualties). The major psychological consequences in casualties were intrusive symptoms, symptoms of hyperarousal, and negative emotional symptoms. Significant differences on gender had been found in incidence rate of ASD female 14.85% and male 5.60%, P < 0.05. The women manifested more severe psychological consequences than men in this train crash accident. Significant treatment effect was found in EMDR on ASD. EMDR can significantly improve the intrusive symptoms and symptoms of hyperarousal (P < 0.05), but can not significantly improve negative emotional symptoms (P > 0.05). Conclusions: The women showed more severe psychological consequences than men after train crash accident. EMDR was effective treatment on ASD but negative emotional symptoms.
Keywords: Accident Acute Stress Disorder ASD: Crsis Intervention Psychological Crisis Intervention Traffic Accident Train Collision Train Crashes
Accuracy Verified: Yes
2. Eschenröder, C. T. (2005). "Eye movement desensitization and reprocessing". In M. Linden & M. Hautzinger, Verhaltenstherapiemanual (5th ed.), (pp 163-167). Springer: Berlin Heidelberg. doi:10.1007/978-3-540-75740-5_31.
Language: German
Format: Book Section
Abstract:
"Eye Movement Desensitization and Reprocessing“ (EMDR) ist die Bezeichnung für eine psychotherapeutische Methode, die von der amerikanischen Psychologin Francine Shapiro entwickelt wurde (Shapiro 1998). Das Grundprinzip von EMDR besteht darin, dass die Person sich auf eine traumatische Erinnerung und die damit verbundenen Gedanken und Körperempfindungen konzentriert, während gleichzeitig die Aufmerksamkeit auf einen äußeren Reiz gelenkt wird. Ursprünglich glaubte Shapiro, dass die Induktion von schnellen rhythmischen Augenbewegungen entscheidend für die Wirkung des Verfahrens sei; es zeigte sich aber, dass auch akustische oder taktile Stimulierungen eine ähnliche Wirkung haben. Dennoch wurde die Bezeichnung EMDR als "Markenname“ beibehalten.
"Eye Movement Desensitization and Reprocessing (EMDR) is the name of the psychotherapeutic method that was developed by American psychologist Francine Shapiro (Shapiro 1998). The basic principle of EMDR is that the person to a traumatic memory and the related thoughts and body sensations concentrated while the attention is directed to an external stimulus. Shapiro originally thought that the induction of rapid rhythmic eye movements essential for the effect of the procedure was, it turned out, however, that even acoustic or tactile stimuli have a similar effect have. Nevertheless, the term EMDR has been retained as a "brand name".
Accuracy Verified: Yes
3. 赵国秋 汪永光 王义强 付素芬 唐济生 曹日芳 [Zhao Guoqiu, Wang Yongguang, Wang Yiqiang, FU Shufen, Tang Jisheng, & Cao Rifang] (发表时间). 胶济铁路交通事故伤员心理危机干预结果分析 [The Analysis of Intervention for Casualties in the Accident on Jiaoji Railway on April 28]. 中国首届心理咨询师大会暨心理危机干预研讨会论文集.
Language: Chinese
Format: Conference
Abstract:
对22名ASD患者进行EMDR治疗,比较EMDR治疗前后的心理行为反应的差异。结果:有22名达到ASD(急性应激障碍)诊断标准,ASD发生率为9.73%,伤员中主要以闯入、警觉性增高表现为主,并伴随着其它的负性情绪体验。女性组心理行为反应结果明显重于男性组,女性组ASD...
(Based on the treatment of EMDR for 22 ASD patients, the comparison of psychological and behavior reaction between and after the treatment is shown. Results: there were 22 patients who reached to the diagnosis standard of ASD (Acute Stress Disorder). The incident rate is 9.73%. The major reaction is the increase of intrusive thoughts and alertness, with some other negative emotional experiences. The result of the psychological and behavior reaction of the female group is evidently stronger than that of the male group. The female group…)
Keywords: Acute Stress Disorder ASD Jiaoji Railway
Accuracy Verified: Yes
4. Lucchese, D. (2000, Novembre). Aborto, EMDR e prevenzione della depressione post partum: un caso [Abortion, EMDR and prevention of postpartum depression: A case]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Viene descritto il caso di una giovane donna cui è stato diagnosticata una gravidanza a rischio per malformazione genetica del feto. Dopo un sofferto aborto terapeutico, la paziente ha subito un secondo aborto spontaneo, entrambi con caratteristiche traumatiche. Trattata con EMDR, comprese le complicanze e le sequele dal momento della diagnosi fino al future template, la paziente ha con successo riprocessato i vissuti di colpa e inadeguatezza, i pensieri irrazionali generati dal trauma, e soprattutto una serie di somatizzazioni e comportamenti rituali per lei finora inspiegabili. I target trattati sono stati sei, con cognizioni negative di inadeguatezza del suo ruolo materno e di colpa per le proprie decisioni. L’interesse del caso consiste nella elaborazione di vissuti corporei simbolici e di comportamenti disturbanti anche sul piano pratico e relazionale. Risulta evidente la funzionalità del EMDR nel trattamento dei ricordi delle vicende traumatiche vissute, sperimentate anche e soprattutto sul piano corporeo. L’utilizzo dell’EMDR ha permesso inoltre di evidenziare le possibilità di questo trattamento nella prevenzione della depressione post partum
Describes the case of a young woman whose pregnancy was diagnosed at risk for genetic malformation of the fetus. After suffering a therapeutic abortion, the patient underwent a second miscarriage, both with traumatic characteristics. Treated with EMDR, including complications and sequelae from the time of diagnosis until future templates, the patient with successfully reprocessed the feelings of guilt and inadequacy, irrational thoughts generated by the trauma, especially a series of somatization and conduct rituals for her so far unexplained. I six targets were treated with negative cognition of inadequacy of its role and the breast blame for their decisions. The interest in the case consists in the elaboration of bodily experience symbolic and disruptive behavior also at the practical and relational. The apparent functionality of EMDR in the treatment of memories of traumatic events experienced, tested also and especially on the body. Using EMDR experience has also highlighted the possibility of this treatment in the prevention of postpartum depression.
Keywords: Abortion Postpartum Depression
Accuracy Verified: Yes
5. Cohen-Posey, K. (2004, December). Abreaction and reprocessing: The importance of defining terms. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
Chief Editor’s Introduction: We are delighted to publish Kate Cohen-Posey’s thoughts on the impact of the clinician’s perception of abreaction, especially as this relates to the practice of EMDR. Thanks to Kate for this thoughtful explanation, and for highlighting some key historic roots from which our current practices have evolved, and continue to! We wish her much success with her new book. -SEB [Editor's abstract]
Keywords: Abreaction
Accuracy Verified: Yes
6. Sime, W., (2002). Absorption, concentration, dissociation, desensitization, flow and neurofeedback: The essence of Tiger Woods performing optimally focused "In the zone". Winter Brain Meeting.
Language: English
Format: Conference
Abstract:
The Absorption that allows an athlete, a surgeon, an astronaut or a musician to get into the Zone, i.e., to block out all distractions
unrelated to performance has been assessed by Tellegen, Csikszentmihalyi and others in self-report measures. It occurs relatively rarely at the very highest levels and is very elusive to achieve. Qualitatively speaking, it is the phenomena of being totally immersed in the activity with time moving slowly, senses being sharpened, but pain not recognized. Thoughts and images are clear and controllable while physical performance seems effortless and automatic. To measure this phenomenon accurately and completely is not possible in a dynamic state, but to shape it's appearance and to extend duration is essential in finite psychomotor skills like golf.
Physical preparation for performance is mentally grueling and fatiguing. If often results in trance-like, dis-associative and sometimes
dissociative states where depersonalization is a valuable technique to block out the intense suffering and pain associated with running, swimming or bicycling. The difficulty in sport is being able to switch in and out of full alertness for some strategic tasks while remaining in the dissociative state for endurance. The experience of flow, absorption and being in the zone is to harness power and ultimately unleash explosive yet finely titrated effort.
Concentration is the umbrella concept that also encompasses EMDR. The process of actively shifting eye focus from left to right while striving to hold an image or statement of emotionality is exceedingly difficult and ultimately beyond control. The combination of EMDR with neurofeedback is an innovative intervention that holds potential for greater impact in removing negative images of failed effort or in solidifying the recall of a successful effort. The neurofeedback serves to reinforce the development of greater mental stamina toward intensively focus comparable to zooming in a camera lens thus blocking out distractions and irrelevant stimuli. Enhanced quality of visualization is the desired outcome for the performance enhancement sport psychology consultant and his/her client.
Keywords: Absorption Concentration Dissociation Desensitization Flow Neurofeedback Performance Enhancement Tiger Woods The Zone
Accuracy Verified: No
7. Barreda-Hanson, C. (2012, Septiember). Adaptación del EMDR y terapia breve centrada en el cliente para cambiar percepciones negativas y traumaticas [EMDR adaption of brief client-centered therapy to change negative and traumatic perceptions]. Presentación en la 70 Conferencia Anual del International Council of Psychologist(ICP), Sevilla, España.
Language: Spanish
Format: Conference
Abstract:
El estrés subsiguiente después de un traumatismo, representa un trastorno disfuncional – tanto interno como externo – que se manifiesta en alteraciones en el reconocimiento cognitivo y en los comportamientos, llevando además asociados síntomas somáticos, afloramiento de problemas inconscientes y ansiedades. Pues una de las características del estrés post-traumático, es precisamente la pérdida de equilibrio entre el mundo interno y externo de quien lo sufre. Por eso, ante la complejidad de las respuestas post-traumáticas, éstas se pueden catalogar en gran medida dentro de las perturbaciones psicopatológicas.
El estrés psicológico surge por una situación estresante “real”, externa, tangible y la reacción ante esta difícil experiencia, evoca un conjunto bastante universal y coherente de síntomas y respuestas que provocan reacciones primitivas relacionadas con temores inconscientes ante las amenazas a la vida, que hacen aflorar incipientemente fantasías e impulsos abrumadores. Los resultados son los pensamientos disfuncionales que conducen a las respuestas y a los comportamientos desadaptativos.
Objetivos: el taller está diseñado para proporcionar a estudiantes y profesionales de la Psicología – que trabajan o desean trabajar en esta área del trauma y el cambio de comportamientos -, la habilidad para utilizar eficaz y rápidamente intervenciones breves, que puedan poner en practicar incluso en casa. En el taller se estudiará la forma inicial de evaluar, tanto al trauma como a la clientela. Se trabajará la historia del trauma y se profundizará en sus consecuencias y en cómo diseñar las intervenciones breves para hacerles frente. También se centrará en averiguar qué cambios quieren los y las clientes a través de relatos y visualizaciones, utilizando una adaptación de las terapias EMDR y la Solución Enfocada tanto a crear el cambio deseado, como a mantenerlo.
En consecuencia el taller es de particular interés para quienes trabajan con personas que han sufrido cualquier tipo de trauma, o quienes perciben acontecimientos de la vida, experiencias, etc. que les afectan de forma negativa en su día a día. También es útil para las personas que sufren de TOC, sobre todo trastornos del pensamiento.
Los aspectos más útiles de las dos técnicas que se han adaptado junto con otras innovaciones de la autora, guardan relación con la creación de un ambiente seguro, no-traumático, que actúa rápidamente y que además, se puede realizar en casa sin peligro de consecuencias negativas.
Objetivos específicos:
1. Ser capaz de describir e identificar las manifestaciones del trauma.
2. Aprender y describir dos técnicas terapéuticas breves en el tratamiento del trauma
3. Definir una técnica breve terapéutica que puede ser utilizada para fomentar el cambio
4. Destacar el rol del o de la terapeuta durante el tratamiento de los traumatismos
5. Ser capaz de describir, diseñar y establecer metas de la terapia y promover cambios mediante el uso de técnicas de terapia breve.
Métodos: la Desensibilización y Reprocesamiento por Movimientos Oculares (EMDR), es un método complejo e integrador de la psicoterapia individual, mediante el que se guía al cliente utilizando un procedimiento para acceder a sus experiencias y resolver sus problemas conductuales y emocionales. El EMDR utiliza elementos de múltiples orientaciones psicoterapéuticas tanto psicodinámicas, como cognitivo- conductuales, enfoques centrados en el cliente, gestalt y bioenergéticos.
La premisa subyacente de EMDR es que las experiencias de pánico y ansiedad se procesan de forma diferente por el cerebro que las experiencias habituales. La teoría subyacente es que durante el estrés, la memoria grava en una parte del cerebro responsable de las emociones de modulación (la amígdala) y se cierra temporalmente otra parte del cerebro (el hipocampo), responsable de procesamiento de la memoria normal. La experiencia traumática queda atrapada en el exterior y potencialmente no forma parte del procesamiento normal del cerebro, y el EMDR permite a la persona acceder a la experiencia y transformarla en memoria declarativa en el hipocampo. Con el método EMDR, el hipocampo se puede abrir a las emociones evocadas por la experiencia para que el/la cliente pueda soportarlas mientras se realiza el tratamiento. La distracción y la atención a la estimulación bilateral, desempeñan un importante papel que ayuda al cliente a experimentar las emociones como tolerables. Aunque cómo la distracción bilateral en concreto, facilita el procesamiento de las experiencias dolorosas, sea algo que todavía no se termina de entender.
Por otra parte, las Intervenciones Breves de Terapias enfocadas al Cliente se centran en las excepciones del problema, pensando que a continuación se desarrollará un cambio natural en el comportamiento. Es una especie de visión orientada no en las formas tradicionales, sino hacia el futuro, sin profundizar demasiado en la “patología” sino más bien centrándose en lo que el sistema puede hacer para adaptarse a ella, puesto que ambos pueden decidir si esa “patología” es un problema o no lo es.
Las Intervenciones de Terapia Breve enfocadas al Cliente se utilizan para resolver una variedad de problemas de comportamientos y actitudes, mediante el uso de los propios recursos de los y las clientes y las observaciones de las estrategias que utilizan para alcanzar los resultados deseados, en sus situaciones vitales habituales. Se trata de una buena técnica para establecer y mantener un contexto de cambio en el que los pequeños, pero útiles cambios, se anticipan y se buscan.
En definitiva, la combinación de ambas técnicas con algunas variaciones desarrolladas por la Dra. Barreda-Hanson, han demostrado ser una herramienta poderosa para mejorar la respuesta al tratamiento en un período de tiempo más corto, teniendo también la ventaja de permitir practicar los ejercicios en casa.
Aplicaciones: la aplicación habitual del EMDR ha sido el tratamiento de trastornos emocionales relacionados con eventos muy perturbadores o traumáticos. Pero también se usa para trabajar síntomas preocupantes como la ansiedad, la depresión, la culpa y la ira. E igualmente, se puede utilizar para mejorar recursos emocionales tales como la confianza y la autoestima.
Procedimientos:
- El taller se impartirá en español y el alumnado recibirá amplios folletos complementarios.
- Se realizará en una única jornada, en sesión de mañana para teoría y de tarde para prácticas, trabajando cada modelo por separado.
- Se espera que quienes asistan lleven una cuestión-problema sobre la que trabajar utilizando las diversas técnicas, pues aunque se utilizarán múltiples ej. de casos reales, se alentará a quienes participen a traer sus propias experiencias e ideas para debatir y trabajar sobre ellas.
The subsequent stress after trauma represents a dysfunctional disorder - internal and external - that is manifested in alterations in cognitive recognition and behavior, besides being associated somatic symptoms outcrop unconscious problems and anxieties. As one of the characteristics of post-traumatic stress, is the loss of balance between internal and external world of the sufferer. Therefore, given the complexity of post-traumatic responses, they can be categorized largely into psychopathological disturbances.
Psychological stress arises from a stressful situation "real" external, tangible and reaction to this difficult experience, quite evokes a universal and consistent set of symptoms that cause reactions and responses primitive unconscious fears related to threats to life, which bring out fantasies and impulses incipiently overwhelming. The results are the thoughts that lead to dysfunctional responses and maladaptive behaviors.
Objectives: The workshop is designed to provide students and psychology professionals - who work or want to work in this area of trauma and behavior change - the ability to quickly and efficiently use brief interventions, which may put in practice even in house. The workshop will explore how to evaluate initial both trauma as to clients. It will work history of trauma and its consequences will deepen and how design brief interventions to address them. It will also focus on finding out what changes customers want and through stories and views, using an adaptation of EMDR therapy and Solution Focused both to create the desired change, and to keep it.
Thus the workshop is of particular interest to those working with people who have suffered any kind of trauma, or who perceive life events, experiences, etc.. that negatively affect them in their day to day. Also useful for persons suffering from OCD, especially disorders of thought.
The most useful of the two techniques that have adapted along with other innovations of the author, are related to the creation of a safe, non-traumatic, acting quickly and also can be done at home without fear of consequences negative.
Specific objectives:
1. Be able to describe and identify the manifestations of trauma.
2. Learn and describe two brief therapeutic techniques in the treatment of trauma
3. Define a short therapeutic technique that can be used to promote change
4. Outline the role of the therapist or during treatment of injuries
5. Be able to describe, design and establish goals of therapy and promote change through the use of brief therapy techniques.
Methods: Desensitization and Reprocessing Eye Movement (EMDR), is a complex and inclusive method of individual psychotherapy, which is guided by the client using a procedure to access their experiences and address their behavioral and emotional problems. The EMDR uses multiple elements of both psychodynamic psychotherapeutic approaches as cognitive-behavioral, client-centered approaches, gestalt and bioenergy.
The underlying premise of EMDR is that experiences panic and anxiety are processed differently by the brain than normal experiences. The underlying theory is that during stress, gravel memory part of the brain responsible for emotions modulation (amygdala) and temporarily closes another part of the brain (hippocampus), responsible for normal memory processing. The trapped traumatic experience abroad and potentially not part of the normal brain processing, and EMDR allows people access to the experience and transform it into declarative memory in the hippocampus. With EMDR, the hippocampus can be opened to the emotions evoked by the experience that he / the client is able to bear while performing the treatment. Distraction and attention to bilateral stimulation, play an important role to help the client to experience emotions as tolerable. Although bilateral distraction how specifically facilitates the processing of painful experiences, is something that is not yet fully understood.
Moreover, brief interventions focused Customer Therapies focus on the exceptions of the problem, thinking that then will develop a natural change in behavior. It is a kind of non-oriented view on traditional forms, but to the future, without going too deeply into the "pathology" but rather focus on what the system can do to adapt to it, since both can decide whether this "pathology "is a problem or not.
Brief therapy interventions focused Customer are used to solve a variety of problem behaviors and attitudes, using their own resources and comments from customers and the strategies used to achieve the desired results in their situations normal life. This is a good technique to establish and maintain a context of change in that small but useful changes, anticipate and seek.
In short, the combination of both techniques with some variations developed by Dr. Barreda Hanson, have proved a powerful tool for improving the response to therapy in a shorter period of time, having also the advantage of allowing in practice exercises house.
Applications: the routine application of EMDR has been the treatment of emotional disorders associated with very disturbing or traumatic events. But also used to work worrying symptoms such as anxiety, depression, guilt and anger. And also, can be used to enhance emotional resources such as confidence and self-esteem.
Procedures:
- The workshop will be taught in Spanish and students will receive extensive additional brochures.
- Will be held in a single day, in morning session and afternoon theory to practice, working each model separately.
- Who are expected to attend with a question-problem on which to work using various techniques, for example, although multiple use. real cases, those involved are encouraged to bring their own experiences and ideas to discuss and work on them.
Keywords: Brief Therapy
Accuracy Verified: Yes
8. Waldon, A. (2008, February). Adios pensamientos y sentimientos feos, Manual de EMDR para ninos [Goodbye yucky thoughts and feelings, An EMDR workbook for children] . Lulu.com.
Language: Spanish
Format: Book
Abstract:
Translated from English by Maria Elana Aduriz, Utilizando este cuaderno, el psicoterapeuta de niño EMDR indica el cliente de niño por el protocolo de EMDR. Las ilustraciones visualmente atrayentes basadas en los dibujos de niños son utilizadas para favorecer el niño a dibujar imaginal y recursos existentes para la fuerza, para la maestría, y para el consuelo. Utilizando estos dibujos, el terapeuta prepara al niño para procesar un trauma. Entonces, después de que el niño dibuje un lugar seguro, el terapeuta utiliza el cuaderno para ayudar al niño identifica los pensamientos, las emociones, y las sensaciones del cuerpo relacionadas al trauma. El niño está entonces listo para la Fase 4, la insensibilización y volver a tratar del trauma. El cuaderno continúa ayudando al terapeuta indica el cliente de niño por las fases restantes del protocolo, terminando con un Certificado del Logro para el niño para mantener. Las instrucciones para el terapeuta y hojas de trabajo para las notas del terapeuta son incluidas.
Using this book, the child psychotherapist EMDR client indicates the child EMDR protocol. The visually appealing illustrations based on drawings by children are used to encourage the child to draw imaginal and resources for the strength, expertise, and for comfort. Using these drawings, the therapist prepares the child to process trauma. Then, after the child draw a safe place, the therapist uses the notebook to help the child identify the thoughts, emotions, and sensations of the body related to trauma. The child is then ready for Phase 4, the stunning and come back to the trauma. The book continues to help the therapist tells the client as a child for the remaining phases of the protocol, ending with a Certificate of Achievement for the child to maintain. The instructions for the therapist and worksheets for the therapist's notes are included.
Keywords: Children
Accuracy Verified: Yes
9. Sack, M. (2006). Aktuelle befunde zu wirkfaktoren der EMDR-behandlung [Recent findings on effective factors of EMDR treatment]. Sack Website.
Language: German
Format: Other
Abstract:
Das EMDR-Behandlungsverfahren (EMDR= eye movement desensitization and
reprocessing) wurde von der amerikanischen Psychologin Francine Shapiro
entwickelt und seit 1989 als manualisiertes Therapieverfahren zur Behandlung von
Patienten mit Posttraumatischen Belastungsstörungen (PTSD) und anderen
traumabezogenen Symptomen eingesetzt. Die Grundvorgehensweise besteht darin,
dass der Patient in der Sicherheit einer haltgebenden therapeutischen Beziehung
eine Konfrontation mit seinen traumatischen Erinnerungen erlebt. Ziel der
Traumabearbeitung ist die Integration von kognitiven, emotionalen und körperlichen
Reaktionen auf das Trauma indem die Erinnerungen wiederbelebt, wahrgenommen
und verarbeitet werden. Anders formuliert, wird die durch das Trauma induzierte
Dissoziation wieder aufgehoben. Die in der traumatischen Situation unterbrochene
Verbindung zwischen Wahrnehmungen, Gedanken, Emotionen und
Körperreaktionen wird wieder hergestellt. Danach erfolgt eine Bearbeitung von
dysfunktionalen Kognitionen, wie z.B. von Schuldgefühlen, die auf unrealistischen
Einschätzungen der traumatischen Situation beruhen (Shapiro 1998). Abweichend
von der klassischen verhaltenstherapeutischen Traumaexposition werden im EMDR
die Traumaexpositionsphasen nur relativ kurz (30 – 90 sec) durchgeführt und durch
bilaterale Stimulierung in Form von Augenbewegungen (der Hand des Therapeuten
mit den Augen folgen) oder durch alternative Berührungsreize auf die linke und
rechte Hand (sog. Tapping) oder durch alternativ dargebotene Töne ausgelöst.
The EMDR treatment process (EMDR = eye movement desensitization and
Reprocessing) was developed by psychologist Francine Shapiro of the American
developed and since 1989 as a manualized therapies for the treatment of
Patients with post-traumatic stress disorder (PTSD) and other
traumabezogenen symptoms used. The basic approach is
that the patient in the safety of a therapeutic relationship haltgebenden
a confrontation with traumatic memories experienced. The aim of the
Trauma treatment is the integration of cognitive, emotional and physical
Reactions to the trauma memories revived by the perceived
and processed. In other words, is induced by the trauma
Dissociation rescinded. The interrupted in the traumatic situation
Link between perceptions, thoughts, emotions and
Reaction of the body is restored. This is followed by a treatment of
dysfunctional cognitions, e.g. feelings of guilt, based on unrealistic
Assessments of the traumatic situation are based (Shapiro 1998). Notwithstanding
are from the classical behavioral trauma exposure in EMDR
the phases of trauma exposure is relatively short (30-90 sec) and conducted by
bilateral stimulation in the form of eye movements (the hand of the therapist
follow with the eyes) or by alternative tactile stimuli on the left and
right hand (so-called tapping) or alternatively Helping sounds triggered.
Accuracy Verified: Yes
10. Swedish Council on Technology Assessment (2001, April). Alert: EMDR - Psychotherapy in posttraumatic stress syndrome in young people - early assessment briefs. Swedish Council on Technology Assessment in Health Care (SBU).
Language: English
Format: Publication
Abstract:
Findings by SBU Alert,
Version: 1,
METHOD AND TARGET GROUP:
EMDR (Eye Movement Desensitization and Reprocessing) is a new psychotherapeutic method aimed at processing memories of traumatic events, thereby ameliorating the psychological consequences of these memories. EMDR involves elements from several different psychological approaches. It is uncertain which of the treatment elements are effective. Clients with post traumatic stress disorder (PTSD) are the main target group for EMDR treatment. Although both children and adults have been treated with EMDR, this document is aimed particularly at children and adolescents.
PATIENTS BENEFITS, RISKS AND SIDE EFFECTS:
Published studies of EMDR mainly cover adults with PTSD. There are two randomized and controlled studies, one of which has yet to be published, of EMDR treatment in 47 children and adolescents. One of the studies suggests that EMDR yields a better treatment outcome in the short term compared to the control treatment (active listening). In the second study, no significant difference was found between EMDR treatment in combination with standard treatment and standard treatment alone as regards reduction in avoidance and invading thoughts. However, the PTSD symptom of behavioral disorders declined significantly in the EMDR group. Furthermore, numerous case studies suggest that EMDR has a positive treatment effect in children and adolescents with PTSD. No harmful effects have been reported.
ECONOMIC ASPECTS:
There are no economic assessments of EMDR. Limited data suggest that fewer treatments are needed to achieve the desired outcome with EMDR compared to other psychotherapeutic methods. This suggests that EMDR is a potentially cost-effective method in relation to the alternatives, under the assumption that the effects of treatment are permanent.
CURRENT SCIENTIFIC EVIDENCE:
There is moderate* scientific evidence to show the benefits of EMDR treatment in children and adolescents. There is no* documentation concerning the cost-effectiveness or effects beyond 6 months.
Since the scientific documentation is limited, the effects of EMDR treatment in both the short and long term should be compared in studies with other treatment alternatives, including standard treatment. Furthermore, the cost-effectiveness of the method should be studied under Swedish conditions.
*This assessment by SBU Alert uses a 4-point scale to grade the quality and evidence of the scientific documentation. The grades indicate: (1) good, (2) moderate, (3) poor, or (4) no scientific evidence on the subject.
This summary is based on a report prepared at SBU in collaboration with Kerstin Bergh Johannesson, Lic. Psychol., Akademiska Hospital, Uppsala and has been reviewed by Prof. Mats Fredriksson, Uppsala University, Uppsala.
REFERENCES:
1.) Cahill SP, Carrigan MH, Frueh BC. Does EMDR work? And if so, why? A critical review of controlled outcome and dismantling research. J Anxiety Disord 1999;13(1-2):5-33.
2.) Chemtob CM, Nakashima J, Hamada R, Carlson J. Brief treatment for elementary school children with disaster-related PTSD: a field study. J Clin Psychol, in press.
3.) Chemtob et al. Eye movement desensitization and reprocessing. In: Foa EB, Keane TM, Friedman MJ, eds. Effective treatments for PTSD. New York: Guilford, 2000.
4.) Devilly GJ, Spence SH. The relative efficacy and treatment distress of EMDR and a cognitive-behavior trauma treatment protocol in the amelioration of posttraumatic stress disorders. J Anxiety Disord 1999;13(1-2):131-57.
5.) Lovett J. Small Wonders: Healing childhood trauma with EMDR. New York: Free Press, 1999.
6.) Macklin ML, Metzger LJ, Lasko NB, Berry NJ, Orr SP, Pitman RK. Five-year follow-up study of eye movement desensitization and reprocessing therapy for combat-related post traumatic stress disorder. Comprehensive Psychiatry 2000;41(1),24-27.
7.) Puffer MK, Greenwald R, Elrod DE. A treatment outcome study of eye movement desensitization and reprocessing (EMDR) with traumatized children and adolescents. Presented at the annual conference of the EMDR International Association, Denver, June 1996.
8.) Renfrey G, Spates CR. Eye movement desensitization and reprocessing: A partial dismantling procedure. J Behav Ther Experiment Psychiatr 1994;25:231-239.
9.) Scheck MM, Schaeffer JA, Gilette CS. Brief psychological intervention with traumatized young women: The efficacy of eye movement desensitization and reprocessing. J Trauma Stress 1998;11:25-44.
10.) Shapiro F. Eye movement desensitization and reprocessing: Basic principles, protocols and procedures. New York: Guilford Press, 1995.
11.) Stallard P, Velleman R, Baldwin S. Prospective study of post-traumatic stress disorder in children involved in road traffic accidents. BMJ 1998;317:1619-1623.
12.) Soberman GB, Greenwald R, Rule DL. A controlled study of eye movement desensitization and reprocessing (EMDR) for boys with conduct problems. J Aggression Maltreatment Trauma, in press.
13.) Tinker RH, Wilson SA. Through the Eyes of a Child: EMDR with children. New York: Norton & Co, 1999.
14.) van der Kolk B. Biological response to psychic trauma. In: Wilson JP, Raphael B, eds. International Handbook of Traumatic Stress Syndromes. New York: Plenum Press, 1993:25-33.
15.) van der Kolk B, Burbridge J, Susuki J. The psychobiology of traumatic memory; clinical implications of neuroimagery studies. Annals of the New York Academy of Sciences 1997;821:99-113.
16.) van Etten M, Taylor S. Comparative efficacy of treatments for post-traumatic stress disorder: a meta-analysis. Clin Psychol Psychother 1998;5:126-144.
17.) Wilson SA, Becker LA, Tinker RH. Fifteen-month follow-up of eye movement desensitization and reprocessing (EMDR) treatment for posttraumatic stress disorder and psychological trauma. J Consult Clin Psychol 1997;65(6):1047-1056.
18.) Wilson SA, Tinker RH, Hoff.
Alert is a joint effort by the Swedish Council on Technology Assessment in Health Care (SBU), the Medical Products Agency, the National Board of Health and Welfare, and the Federation of Swedish County Councils.
The complete report is available in Swedish only.
Keywords: Posttraumatic Stress Disorder Practice Guidelines PTSD
Accuracy Verified: Yes
11. de Roos, C., & Went, M. (2011, April). Als woorden tekort schieten: EMDR bij preverbaal trauma [When words fail: EMDR for pre-verbal trauma]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Infants (0-4 jarigen) kunnen allerlei traumatische gebeurtenissen meemaken zoals intrusieve medische handelingen, een ongeluk, seksueel misbruik en andere vormen van mishandeling. Daarnaast zijn er negatieve ervaringen die niet duidelijk identificeerbaar zijn zoals chronische oorpijn- of buikpijn. Ook deze ervaringen beinvloeden de ouder-kind interactie/ hechtingsrelatie en hebben daarmee hun weerslag op het vermogen tot emotieregulatie en het gedrag.
Herinneringen aan deze gebeurtenissen zijn preverbaal en dus niet op bewust nivo toegankelijk. Daardoor worden zij gemakkelijk over het hoofd gezien als mede-oorzaak of instandhoudende factor van emotionele of gedragsproblematiek in de basisschoolleeftijd. Na aanmelding bij de Geestelijke Gezondheidszorg wordt behandeling daarom vaak gericht op de aanpak van de huidige gedragsproblematiek (symptoombestrijding). Onze ervaring is dat EMDR hier een goede aanvulling biedt. Deze methode richt zich immers op de ‘onderlaag’ van de problematiek door negatieve ervaringen die hieraan gerelateerd zijn te verwerken. Daarna kan een inhaalslag gemaakt worden met betrekking tot de emotieregulatie waardoor zowel gedrag als de ouder-kind interactie verbeteren.
Aan de hand van casuïstiek van infants en schoolkinderen wordt de indicatiestelling en toepassing getoond van het EMDR protocol bij de behandeling van kinderen die in de eerste 4 levensjaren getraumatiseerd zijn. In de presentatie wordt geillustreerd hoe de ‘verhalenmethode’ geintegreerd kan worden in een breder behandelaanbod.
Werkvorm
In de presentatie worden theorie en praktijk gecombineerd. Videobeelden ondersteunen het verhaal.
Infants (0-4 years), all kinds of traumatic experience as intrusive medical procedures, accidents, sexual abuse and other forms ofof abuse . There are also negative experiences that are not clearly identifiable as chronic ear pain or abdominal pain. These experiences affect the parent-infant interaction / attachment relationship and thus have their impact on the capacity for emotion regulation and behavior.
Memories of these events are preverbal and not accessible on a conscious level. Thus they are easily overlooked as a cause or co-maintaining factor of emotional or behavioral problems in primary school. After reporting to the Mental Health Treatment is therefore often aimed at addressing the current behavioral problems (symptoms). Our experience here is that EMDR provides a good addition. This method is focused on the 'layer' of the problem by negative experiences related to this process. Then caught up with regard to both behavior and emotion regulation allowing the parent-child interactions improve.
Through case studies of infants and schoolchildren being shown the indication and application of the EMDR protocol in the treatment of children who are traumatized life on April 1. The presentation illustrated how the 'stories'method can be incorporated into a broader range of treatment.
Form
In the presentation combines theory and practice. Video images support the story.
Keywords: Infants Children Pre-Verbal Trauma
Accuracy Verified: Yes
12. Staff. (2002, November/December). Alternative treatments for anxiety disorders: EMDR. Triumph Newsletter.
Language: English
Format: Newsletter
Abstract: The alternative therapy addressed in this article is Eye Movement Desensitization and Reprocessing (EMDR) developed by Francine Shapiro, Ph.D. in 1987. One day, while walking in a park, Dr. Shapiro made a connection between her involuntary eye movements and the reduction of her negative thoughts. She decided to explore this link and began to study eye movements in relation to the symptoms of Posttraumatic Stress Disorder (PTSD). PTSD is an anxiety disorder that is characterized by the development of symptoms after exposure to a traumatic event. Symptoms can include re-experiencing the event - either in flashbacks or nightmares - avoidance of reminders of the event, feeling jumpy, having difficulty sleeping, having an exaggerated startle response, and experiencing feelings of detachment.
Keywords: Anxiety Disorders General Overview
Accuracy Verified: Yes
13. Zangwill, W. M. (1993, March). And still more. the Behavior Therapist, 16(3), 89.
Language: English
Format: Newsletter
Abstract:
This article continues "More thoughts on EMDR training" by J. Kleinman
Accuracy Verified: Yes
14. Roker, A. (2000, May 24). Ann Curry faces her fear of sharks. NBC News.
Language: English
Format: Video
Abstract: Curry: The theory behind this therapy, often called EMDR, is that when a disturbing event occurs, it can get locked in the nervous system with the original picture, sounds, thoughts, and feelings. The eye movement purportedly serves to unlock the nervous system and allow the brain to process the unconscious painful memories.
Keywords: General Overview Sharks
Accuracy Verified: No
15. Garcia, F. (2011, Julio). Aplicacion de EDMR en el tratamiento de distintos trastornos [Application of EMDR in the treatment of various disorders]. Presentación en la IX Congreso Nacional de Psicología Clínica, San Sebastian, España.
Language: Spanish
Format: Conference
Abstract:
EMDR es actualmente un acercamiento psicoterapéutico reconocido como
tratamiento efectivo del trauma (American Psychiatric Association, 2004; Bisson y Andrew,
de 2007; Bleich et al, 2002;. CREST, 2003; Foa et al, 2009; Niza, 2005).
El trauma produce un cambio en nuestro sentido del yo, en nuestro sentido del
significado del mundo, de su seguridad, de su racionalidad, existe un “antes y después” a
nivel vivencial. La psicóloga Francine Shapiro observó que bajo ciertas condiciones el
movimiento ocular puede reducir la intensidad de los pensamientos perturbadores, a partir
de esta observación estudió científicamente este efecto y en 1989, informó del éxito al
utilizar EMDR en el tratamiento de víctimas de trauma en el Journal of Traumatic Stress.
Desde entonces, EMDR se ha desarrollado y ha evolucionado a través de las
contribuciones de terapeutas e investigadores de todo el mundo. Estudios controlados en
víctimas de Vietnam, abusos, accidentes, víctimas de catástrofes..., indican que EMDR es un
método eficaz en el tratamiento del TEPT (trastorno por estrés postraumático), siendo
también efectivo en el tratamiento de otras problemáticas como dolor crónico, trastornos
psicosomáticos, problemas de apego, malos tratos y adopción.(Shapiro and Forrest, 1997;
Shapiro, 2002; Shapiro, 2007; Van Der Kolk et al, 1997). El EMDR está basado en un modelo de "procesamiento adaptativo de la
información" (Shapiro, 1991), que postula que la experiencia (los sentimientos,
pensamientos y sensaciones) se transforma normalmente en aprendizaje adaptativo
(Shapiro, 2001).
Presentamos aquí este abordaje terapéutico, con una primera intervención que
muestra las bases del EMDR y su aplicación en el dolor crónico y tres comunicaciones más
en las que, a partir de la presentación de un caso, se mostrará la aplicación de los
protocolos de tratamiento para los trastornos de la conducta alimentaria, problemas
adaptativos en niños adoptados y la violencia doméstica en menores.
EMDR is now recognized as a psychotherapeutic approach
effective treatment of trauma (American Psychiatric Association, 2004, Bisson and Andrew,
2007, Bleich et al, 2002,. CREST, 2003, Foa et al, 2009, Nice, 2005). The trauma causes a change in our sense of self, our sense of
meaning of the world, their security, their rationality, there is a "before and after" to
experiential level. The psychologist Francine Shapiro observed that under certain conditions
eye movement can reduce the intensity of disturbing thoughts, from
this observation scientifically studied this effect and in 1989, reported the successful
using EMDR to treat trauma victims in the Journal of Traumatic Stress.
Since then, EMDR has developed and evolved through
contributions of therapists and researchers from around the world. Controlled studies in
Victims of Vietnam, abuse, accident, disaster victims ... indicate that EMDR is a
effective method in treating PTSD (PTSD), with
also effective in treating other problems such as chronic pain disorders
psychosomatic problems of addiction, abuse and adoption. (Shapiro and Forrest, 1997;
Shapiro, 2002; Shapiro, 2007; Van Der Kolk et al, 1997). EMDR is based on a model of "adaptive processing of information "(Shapiro, 1991), which postulates that the experience (feelings,
thoughts and feelings) becomes normally adaptive learning (Shapiro, 2001). We present here this therapeutic approach, with the first intervention
shows the basics of EMDR and its application in chronic pain and three more communications
where, from the case report will show the application of protocols of treatment for eating disorders, problems
adaptive adopted children and domestic violence on children.
Keywords: Trauma
Accuracy Verified: Yes
16. Lupo, W., Plans, B., & Seijo, N. (2010, Abril). Aplicación de EMDR en el tratamiento del Trauma (PTSD) [EMDR in the application of trauma treatment (PSTD)]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain .
Language: Spanish
Format: Conference
Abstract:
EMDR es un modelo de terapia, que se basa en el procesamiento adaptativo
de la información (AIP). Además de desensibilizar, se trata de transformar
la memoria afectada por el trauma, en la que las experiencias disfuncionales
queden definitivamente en el pasado e integrarlas al presente de
una forma adaptativa.
En el trastorno de estrés postraumático y en el DESNOS, encontramos
una memoria fragmentada, con un alto nivel de activación psicofisiológica,
una dificultad en regular los afectos y con los síntomas intrusivos y evitativos
vinculados a las experiencias.
El procedimiento de EMDR, consta de 8 fases y mostraremos su aplicación
en la presentación de un caso clínico de Trastorno de Estrés Postraumático.
EMDR therapy is a model that is based on adaptive processing
information (AIP). Desensitize addition, it is transformed
memory affected by trauma, which experiences dysfunctional
are definitely in the past to the present and integrate
adaptive way.
In posttraumatic stress disorder and in the DESNOS, found
a fragmented memory, with a high level of activation psychophysiological
a difficulty in regulating emotions and intrusive and avoidant symptoms
linked to experiences.
The EMDR procedure consists of eight phases and show its application
in presenting a case of PTSD.
Keywords: Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
17. Lupo, W., Plans, B., & Seijo, N. (2010, Abril). Aplicación de EMDR en el tratamiento del Trauma (PTSD) [EMDR in the application of trauma treatment (PSTD)]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain .
Language: Spanish
Format: Conference
Abstract:
EMDR es un modelo de terapia, que se basa en el procesamiento adaptativo
de la información (AIP). Además de desensibilizar, se trata de transformar
la memoria afectada por el trauma, en la que las experiencias disfuncionales
queden definitivamente en el pasado e integrarlas al presente de
una forma adaptativa.
En el trastorno de estrés postraumático y en el DESNOS, encontramos
una memoria fragmentada, con un alto nivel de activación psicofisiológica,
una dificultad en regular los afectos y con los síntomas intrusivos y evitativos
vinculados a las experiencias.
El procedimiento de EMDR, consta de 8 fases y mostraremos su aplicación
en la presentación de un caso clínico de Trastorno de Estrés Postraumático.
EMDR therapy is a model that is based on adaptive processing
information (AIP). Desensitize addition, it is transformed
memory affected by trauma, which experiences dysfunctional
are definitely in the past to the present and integrate
adaptive way.
In posttraumatic stress disorder and in the DESNOS, found
a fragmented memory, with a high level of activation psychophysiological
a difficulty in regulating emotions and intrusive and avoidant symptoms
linked to experiences.
The EMDR procedure consists of eight phases and show its application
in presenting a case of PTSD.
Keywords: Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
18. Mestanza, R. (2007). Aplicación de terapia cognitivo conductual individual, grupal y EMDR, en adolescentes de 11 a 13 anos con altos nivelesde ansiedad del 8º ano de educación básica de la red educativia Helena Cortes Bedoya, en la ciudad de Quito, ano lectivo 2006-2007 [Application of individual and group cognitive behavioral EMDR therapy to 11 to 13 year old adolescents with high levels of anxiety in the 8th year of the Helena Cortes Bedoya educational network, City of Quito School Year 2006-2007]. Universidad Central Del Ecuador, Facultad de Ciencias Psicologicas, Instituto Superior de Postgrado, Quito, Ecuador.
Language: Spanish
Format: Dissertation/Thesis
Abstract:
El presente trabajo de investigación tuvo como objetivo general, verificar si la Terapia Cognitivo-Conductual individual, grupal y EMDR disminuyen la ansiedad en adolescentes de 11 a 13 años del 8º año de Educación Básica de la Red Educativa Helena Cortes Bedoya, Sector Carapungo de la ciudad de Quito, en el año lectivo 2006-2007. Se tomó como referencia que la Terapia Cognitivo-Conductual , es el conjunto de técnicas terapéuticas que han resultado del empleo sistemático del método experimental en la Psicología y demás disciplinas afines, empleados con el propósito de modificar pensamientos y conductas desadaptativas .
En tanto que EMDR consiste en la Desensibilización y Reprocesamiento por medio del Movimiento Ocular u otras estimulaciones bi-hemisféricas especialmente para trabajar sobre recuerdos traumáticos.
La investigación a realizarse fue de tipo explicativo con diseño cuasi- experimental con un grupo de sujetos estimado del 30 al 50 % del total de la población de adolescentes evaluados con el test ISRA-J.
Con ISRAJ (Inventario de Situaciones y Respuestas de Ansiedad – Jóvenes ) se evaluó a 70 estudiantes de 8º Año de Educación Básica obteniendo 14 con alto nivel de ansiedad, a los cuales se les invitó a participar en el taller “ Jóvenes en Aprendizaje” durante 12 sesiones.
Al grupo se realizó la evaluación pre y post tratamiento, para verificar si la Terapia Cognitivo Conductual individual y en grupo + EMDR, son efectivos para bajar niveles de ansiedad y considerando el género saber que grupo fue beneficiado en mayor medida.
Verificada su efectividad, el programa anteriormente señalado, se aplicará para bajar niveles de ansiedad a todos los adolescentes que luego de ser evaluados con el test ISRAJ obtenga un puntaje directo de 51 a 75, con indicación de tratamiento necesario y de 76 a 100 con necesidad de terapia urgente.
The present research aimed generally verify whether cognitive behavioral therapy individual, group and EMDR decrease anxiety in adolescents 11 to 13 years of Grade 8 Basic Education Educational Network Helena Cortes Bedoya, Sector Carapungo of Quito, in the academic year 2006-2007. The reference used was that cognitive behavioral therapy, is the set of therapeutic techniques that have resulted from the systematic use of the experimental method in psychology and other disciplines, employees with the aim of changing maladaptive thoughts and behaviors.
While EMDR is Desensitization and Reprocessing Eye Movement or other bi-hemispheric stimulation specifically to work on traumatic memories.
The research was carried out explanatory type quasi-experimental design with a group of subjects estimated 30 to 50% of the total population of adolescents assessed with the ISRA-J test.
With ISRAJ (Inventory of Situations and Responses of Anxiety - Young) was assessed 70 students from Year 8 Basic Education getting 14 with high anxiety, to which were invited to participate in the workshop "Young People in Learning" for 12 sessions.
The group evaluation was performed before and after treatment, to verify if the individual and Cognitive Behavioral Therapy + EMDR group, are effective in lowering anxiety levels and considering the genre know that group was benefited most.
Verified its effectiveness, the program noted above will apply to lower levels of anxiety to all adolescents be evaluated after the test will score ISRAJ live 51 to 75, indicating the necessary treatment and from 76 to 100 with need Urgent therapy.
Keywords: Adolescents Helena Cortes Bedoya Educational Network Group Behavioral Therapy Quito
Accuracy Verified: Yes
19. Tarquinio, C., Houbre, B., Fayard, A., & Tarquinio, P. (2009, October-December). Application de l’EMDR au deuil traumatique après une collision de train [EMDR applied for traumatic bereavement after train collision]. L’Evolution Psychiatrique, 74(4), 567-580. doi:10.1016/j.evopsy.2009.09.004.
Language: French
Format: Journal
Abstract:
Cette étude exploratoire a pour objectif de tester l’application de la thérapie Eye Movement Desensitization
and Reprocessing (EMDR) dans le cadre de la prise en charge du deuil traumatique. Le deuil traumatique, qui
correspond à la perte brutale d’un autre significatif, répond à un tableau clinique précis dont les principales
caractéristiques sont les pensées intrusives concernant le défunt et des difficultés d’ajustement face à la
perte (sentiment de vide, difficultés à reconnaître le décès, irritabilité, absence de réactivité, etc.). Les huit
participants de l’étude sont tous des membres de la famille des victimes de la collision de train qui a eu lieu
le 12 octobre 2006 à Zoufftgen. Les sujets, âgés en moyenne de 35,2 ans (S.D. = 11,1) et comprenant 75%de
femmes, ont suivi entre huit à 15 séances (m = 10,75 ; S.D. = 2,21) répondant au protocole EMDR. L’efficacité
de la thérapie a été évaluée à partir de plusieurs critères comprenant la mesure du deuil traumatique, de
l’anxiété, de la dépression et de la détresse psychologique. Cinq évaluations ont été réalisées : avant la prise
en charge (T0), après six séances (T1), à la fin de la prise en charge (T2), puis à trois mois (T3) et 12 mois
(T4) après la fin de la thérapie. Les principaux résultats semblent indiquer une efficacité de la prise en charge
EMDR. En effet, on note une diminution de tous les indicateurs entre le début (T0) et la fin de la prise en charge (T2). En outre, lorsque cette diminution ne se poursuit pas à trois et à 12 mois, elle reste, au minimum,
stable à un an. Ces premières observations sont d’autant plus encourageantes que 10 à 15% des patients
endeuillés peuvent développer une dépression chronique.
The aim of this exploratory study is to test the application of therapy EMDR in case of traumatic bereavement.
The traumatic bereavement, which corresponds to the brutal loss of “significant other”, answers
a precise clinical picture whose principal characteristics are the intrusive thoughts concerning the late one
and of the difficulties of adjustment to the loss (feeling of vacuum, difficulties of recognizing the death,
irritability, lack of reactivity, etc). The eight participants all of this study are of the members of the family
of the victims of the train collision, which took place on October 12, 2006 in Zoufftgen. The subjects, old
on average 35.2 years (S.D. = 11.1) and including 75% women, followed between eight to 15 meetings
(m = 10.75, S.D. = 2.21) answering protocol EMDR. The effectiveness of the therapy was evaluated starting
from several criteria including traumatic bereavement, anxiety, depression and psychological distress. Five
evaluations were carried out: before the therapy (T0), after six meetings (T1), at the end of the therapy (T2),
then in three months (T3) and 12 months (T4) after the end of the therapy. The principal results seem to
indicate an effectiveness of the therapy EMDR. Indeed, we observe a reduction in all the indicators between
the beginning (T0) and the end of the therapy (T2). Moreover, when this reduction does not continue to three
and 12 months, it remains, at least, stable at one year. These observations are very encouraging especially
when it is known that 10 to 15% of the patient develops a chronic depression.
Keywords: Affective Disorder Anxiety Depression Traumatic Bereavement
Accuracy Verified: Yes
20. Dunton, R. (1992, July). Application of EMDR in the learning process. Presentation at the Fourth World Congress on Behaviour Therapy, Queensland, Australia.
Language: English
Format: Conference
Abstract:
Individuals who have experienced learning blocks, feeling of underachievement, and patterns of failure in school and/or the work place often manifest low self-esteem, frustration, anxiety, and hopelessness, causing them to become overly sensitive to criticism, distracted by thoughts of anger, to exhibit acting out behaviour and to alienate peers. This in turn causes a continuation of learning deficits. Since EMDE can be used to desensitise reactions to past events and present stimili, as well as install positive self-assessments, it has proved very useful in the treatment of children and adults with learning problems.
Keywords: Education Learning Process
Accuracy Verified: Yes
21. Callipo, N. (2007-2008). Applicazioni del pensiero controfattuale negli esiti post-traumatici [Applications of counterfactual thinking in post-traumatic events]. Università degli Studi di Trieste, Italia.
Language: Italian
Format: Dissertation/Thesis
Abstract:
Applicazione del pensiero controfattuale negli esiti post-traumatici
1. Introduzione.
Il pensiero controfattuale è un processo che esprime la capacità di riflettere e
modificare gli scenari di situazioni da cui sarebbero potuti conseguire esiti differenti
dalla realtà. Nella quotidianità è comune che un sentimento di rammarico – il regret -
venga provato a seguito di una discrepanza tra i risultati attesi e la realtà.
La ricerca e l’esperienza condivisa dicono che, rilevare le differenze tra ciò che
avremmo voluto e ciò che abbiamo ottenuto, ci aiuta a pianificare azioni più efficaci nel
futuro. Tuttavia, in condizioni di elevato stress, come quello provato dopo un evento
indesiderato e traumatico, possono fare irruzione nella coscienza pensieri nella forma
“Se solo non fossi stato così…”, oppure “Se solo non avessi fatto” o “Se avessi fatto
qualcosa per evitare tutto ciò”; nel tentativo di annullare (undoing) idealmente le
conseguenze dell’accaduto. Questi pensieri controfattuali possono sortire l’effetto di
amplificare emozioni e sentimenti come il biasimo, la rabbia, la vergogna e il senso di
colpa. L’attitudine alla generazione automatica, indiscriminata e non finalizzata
all’azione, di domande e affermazioni ricorsive, può condensarsi in un particolare stile
di pensiero – la ruminazione – che sottende sensazioni di disagio diffuse e invalidanti,
come gli stati depressivi, ansiosi ed ossessivi.
La prima parte di questo lavoro è occupato da una rassegna sulle ricerche che,
inizialmente, pongono il pensiero controfattuale nel quadro delle più generali abilità di
problem-solving; successivamente, la prospettiva funzionale, riesce a farne risaltare il
versante adattivo, rilevante ai fini della regolazione degli stati affettivi e, più in
generale, del mantenimento della salute mentale.
Nella seconda parte viene discusso il ruolo del pensiero controfattuale, in relazione al
suo versante disfunzionale , con particolare riguardo agli esiti post-traumatici.
Nella terza parte vengono analizzati i modelli di elaborazione delle informazioni che
riconoscono un ruolo al pensiero controfattuale nella regolazione dell’umore, citando
alcuni paradigmi psicoterapeutici, tra cui l’Eye Movement Desensitization and
Reprocessing (EMDR), ideato da Francine Shapiro.
Per verificare l’applicazione del pensiero controfattuale nel trattamento degli esiti
post-traumatici sono stati riportati due esempi: uno tratto dalla letteratura sull’EMDR e
un caso di disturbo ansioso-depressivo, in trattamento con psicoterapia a orientamento
cognitivo.
Application of counterfactual thinking in a post-traumatic results. Introduction. The counterfactual thinking is a process that expresses the ability to reflect and change scenarios of situations that could have been large gains different from reality. In everyday life it is common that a feeling of regret - the regret - should be tried as a result of a discrepancy between expected results and reality. The research says that shared experience, point out the differences between what we wanted and what we have achieved, helps us to plan more effective actions in the future. However, under conditions of high stress, such as that experienced after a traumatic event and unwanted, they can break into the conscious thoughts in the form "If only I had not been so ..." or "If only I had not done" or "If I had done something to avoid anything "in an attempt to cancel (undoing) the ideal of what the consequences. These counterfactual thoughts may have the effect of amplifying emotions and feelings such as blame, anger, shame and guilt. The ability to generate automatic, indiscriminate and not action-oriented questions and statements recursive, it can condense into a particular style of thinking - rumination - that underlies feelings of discomfort common and disabling, such as depression, anxiety and obsessive . The first part of this work is occupied by a review of the research that initially pose the counterfactual thinking in the context of more general skills of problem-solving, since then the functional perspective, can bring out the side adaptive, relevant to the regulation of affective states and, more generally, of maintaining mental health. The second part discussed the role of counterfactual thinking, in relation to its dysfunctional side, especially with regard to post-traumatic results. In the third part analyzes the patterns of information processing that recognize a role in regulating mood counterfactual thinking, citing some psychotherapeutic paradigms, including eye movement desensitization and reprocessing (EMDR), developed by Francine Shapiro. To test the application of counterfactual thinking in the treatment of post-traumatic results were two examples: one taken from the literature on EMDR and a case of anxiety-depressive disorder, treatment with cognitive-oriented psychotherapy.
Keywords: Counterfactual Thinking Informational Processing
Accuracy Verified: Yes
22. O’Malley, A. (2012, October). BART: A new protocol to enhance EMDR therapy. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK .
Language: English
Format: Conference
Abstract:
Bilateral Affective Reprocessing of thoughts or BART is a dynamic new model of trauma therapy designed to complement traditional EMDR therapy. Often with early touchstone memories the client has no verbal recall. It is impossible to access negative cognitions. In BART gut feelings are activated and connected to feelings and sensations elsewhere in the body. Ultimately heartfelt sensations link to the cerebral hemispheres and eventually the prefrontal cortex. Examples will illustrate combining BART psychotherapy combined with traditional EMDR.
Keywords: BART Bilateral Affective Reprocessing of Thoughts
Accuracy Verified: Yes
23. Laliotis, D. (2008, December). Beyond trauma: EMDR for everyday issues. Presentation at the National Institute for the Clinical Application of Behavioral Medicine Annual Conference, Hilton Head, SC.
Language: English
Format: Conference
Abstract:
Twenty years ago, Eye Movement Desensitization and Reprocessing (EMDR) began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which is also being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma but rather to early experiences that have not been adequately processed and integrated by the brain. This workshop is an introduction to the Eight-Phase Model of EMDR with an emphasis on how these early memories are powerful contributors to a person's current difficulties. Participants will learn through direct experience how present triggers can activate these earlier associations that inform our feelings, thoughts and behaviors. Through lecture, discussion, and videotape of actual cases, participants will gain an appreciation of EMDR as a comprehensive treatment approach and learn how it can be applied to a broad range of clinical issues with lasting results.
Accuracy Verified: Yes
24. Kuiken, D., Chudleigh, M., & Racher, D. (2010, December). Bilateral eye movements, attentional flexibility and metaphor comprehension: The substrate of REM dreaming?. Dreaming, 20(4), 227-247. doi:10.1037/a0020841.
Language: English
Format: Journal
Abstract:
Explanations for the effects of the rapid eye movements induced during Eye Movement Desensitization Reprocessing (EMDR; Shapiro, 2001) have drawn upon an analogy with the eye movements of REM sleep (Kuiken, Bears, Miall, and Smith, 2002). An extension of that analogy posits two orienting systems, one involving threat-fear related mnemonic contextualization and another involving loss-pain related monitoring of conflicting response alternatives. In a study involving individuals who had recently experienced significant loss or trauma, we found that experimentally induced saccadic eye movements decreased reaction times to unexpected stimuli among those reporting traumatic distress (characterized by hyperarousal and intrusive thoughts) and increased reaction times among those reporting separation distress (characterized by vivid reminiscences and the sense of a foreshortened future). Also, we found that saccadic eye movements increased the perceived strikingness of metaphoric sentence endings among those reporting amnesia for events related to either loss or trauma. The eye movements of both EMDR and REM sleep may differently affect the attentional and cognitive reorienting activity of those living with the consequences of loss or trauma. These differences may be evident in their waking reflections and in their dreams.
Keywords: Attention Bereavement Dreams Eye Movements Metaphors REM Sleep Trauma
Accuracy Verified: Yes
25. Borstein, S. S. (2006, September). Brief adjunctive EMDR: A collaborative consultation model. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Non-EMDR trained clinicians sometimes ask if
"a little EMDR" might help some of their clients.
When painful feelings about a single incident continue to intrude or interfere with otherwise
productive psychotherapy, a short trial of EMDR
may indeed resolve the impasse. By narrowly targeting specific traumatic memories or intrusive
material, adjunctive EMDR can accelerate
progress in traditional therapy, help the client and
the primary therapist to clarify stuck points, and
enrich the ongoing work. This workshop will
describe a model of brief adjunctive EMDR
consultation, a focused application of standard
EMDR therapy, provided by the EMDR
consultant to clients in collaboration with their
referring therapist. In this model, adjunctive
EMDR does not replace or intempt ongoing
therapy. It is complementary to the primary therapy
relationship. The workshop will include guidelines
for identifying appropriate referrals and for
maintaining a collaborative stance with referring
therapists. Ethical issues will be addressed, and
potential pitfalls will be discussed. The presenter
will describe a pilot study of this model, including
qualitative and quantitative measures of outcome.
Keywords: Consultation
Accuracy Verified: Yes
26. Fang, L. (2005, June). Case presentation: “Relative mild negative situations” - 2 single session cases using the standard EMDR protocol. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
It has proven that EMDR is successful in helping people who have
experienced psychological difficulties that originate from some kind of
traumatic experience. I used standard EMDR protocol successfully in single
session for two persons who experience short negative moments. One client
was a young man who had intrusive recalls of the male acquaintance telling
him about oral sex intercourse between men that happened 38 hours
before he asked for psychological help. The other client was a young nurse,
one of my colleagues, who was scolded and threatened by the husband of
a patient less than 2 hours ago before I did EMDR for her. They both had
moment of trauma was very precise and very short: the moment the words
were spoken. The recent events don't have several hot spots (difficult affect laden
moments in the experience), but just one clearly shocking moment. So
I used standard protocol and it helped stabilizing them very quickly, they
both retouched their resources quickly. Two months later, I followed up my
colleague. She was still stable and had the same positive cognition about
the negative moment.
Keywords: China Psychotrauma Symposium
Accuracy Verified: Yes
27. Bae, H., Kim, D., & Ahn, J. (2006, September). A case series of post-traumatic obsessive compulsive disorder: A six month follow-up evaluation. Journal of the Korean Neuropsychiatric Association, 45(5), 476-480.
Language: Korean
Format: Journal
Abstract:
A number of recent case reports and series indicate that obsessive compulsive disorder (OCD) can develop after traumatic experience as a comorbid conditon to post-traumatic stress disorder (PTSD). These descriptive studies consistently addressed that those patients respond poorly to treatments and had an unfavorable outcome. However, this conclusion was not supported by prospective follow up with objective measurement of symptomatology. This report presents three single trauma-related PTSD patients who developed full-blown OCD concurrently with or after the initiation of PTSD. These patients represent 10% of new PTSD outpatients at a PTSD clinic during one year period and 25% of PTSD patients who had been admitted. In all three cases compulsion seemed to distract or serve as avoidance to intrusive symptoms of PTSD. Despite Eye Movement Desensitization and Reprocessing (EMDR) and/or exposure therapy for PTSD together with at least two antidepressant trials for PTSD and OCD, at six month follow-up PTSD partially improved and OCD remained unchanged. This finding is consistent with previous reports from western literature (KoreaMed).
Keywords: Obsessive-Compulsive Disorder OCD
Accuracy Verified: Yes
28. Leuning, E. (2009). Casus 17 – ‘Dat met die jongen’: Autistische jongen van 16 dringt aan op behandeling seksueel trauma [Case 17 – "That with that boy": Autistic boy of 16 calls for treatment of his sexual trauma]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 251-258). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_25 .
Language: Dutch
Format: Book Section
Abstract:
Edwin werd op 13-jarige leeftijd opgenomen in de kinderkliniek van het Dr. Leo Kannerhuis (LKH) in verband met zijn stoornis in het autistisch spectrum. Na enkele jaren in de kinderkliniek wordt hij doorgeplaatst naar de jongerenkliniek waar hij, inmiddels 16 jaar oud, behandeling krijgt in een groep van zes adolescenten. Edwin is een jongen met een forse autistische stoornis, wat zich met name uit in een zeer vertraagde informatieverwerking, moeite met sociale contacten en gebrekkig sociaal inzicht. Daarnaast is er bij Edwin sprake van preoccupaties in het denken (steeds dezelfde herhalende gedachten). Edwin raakt snel overprikkeld wanneer hij te veel informatie krijgt of te veel sociale interacties moet verwerken. Hij raakt dan in de war en probeert weer grip te krijgen op zijn verwarring door verklaringen te zoeken. Door Edwins beperkte inzicht in de omgeving zijn deze verklaringen vaak niet conform de werkelijkheid en veroorzaken ze bij hem nog meer verwarring. In het verleden is er daardoor sprake geweest van prepsychoses. Verder is bekend dat Edwin op jonge leeftijd zeer waarschijnlijk te maken heeft gehad met seksueel misbruik door zijn vader. In een later stadium heeft een jongen seksuele handelingen verricht bij Edwin en moest hij bij hem seksuele handelingen verrichten.
Edwin was 13 years of age included in the pediatric clinic of the Dr.. Leo Kanner (LKH) associated with their disorder in the autistic spectrum. After several years in the children's clinic he will be transferred to the clinic for youth, now 16 years old, receives treatment in a group of six adolescents. Edwin is a boy with a strong autistic disorder, in particular in what was a very slow information processing, difficulty with social interaction and lack of social insight. In addition, when Edwin there concerns in mind (repeating the same thoughts). Edwin quickly become overexcited when he gets too much information or too much to handle social interactions. He then gets confused and tries to get a grip on his confusion by looking statements. By Edwin limited understanding of the environment, these statements are often inconsistent with the reality and cause them to him even more confusion. In the past there has therefore been prepsychoses. Edwin is also known that at a young age is very likely to have experienced sexual abuse by his father. At a later stage, a boy sexual acts performed with Edwin and he had to perform sexual acts with him.
Keywords: Autism Sexual Trauma
Accuracy Verified: Yes
29. Struik, A. (2009). Casus 18 – Getraumatiseerd door een eigen misdrijf: Behandeling van een 15-jarig meisje dat vrijkomt uit de jeugdgevangenis [Case 18 – Traumatized by my own crime: Treatment of a 15-year-old girl who is realeased from a youth detention center]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 259-264). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_26.
Language: Dutch
Format: Book Section
Abstract:
Gea is een meisje van 15 jaar met PDD-NOS (een stoornis in het autistisch spectrum; zie kader in de inleiding bij deel VI), waarvoor ze in behandeling is binnen de kinder- en jeugdpsychiatrie. Ze heeft gesprekken met een van mijn collega's waarin psycho-educatie centraal staat. Haar ouders hebben ouderbegeleiding omte leren omgaanmet de handicap van hun dochter. Gea leeft in haar eigen wereld en het is voor haar moeilijk om zich in te leven in gedachten en gevoelens van de mensen om haar heen. Ze reageert vaak vanuit haar eigen behoeften en gevoelens op anderen.
Gea is a girl of 15 years with PDD-NOS (a disorder in the autistic spectrum, see box in the introduction to Part VI), which it is pending in the juvenile and adolescent psychiatry. She talks with one of my colleagues that psychological education is central. Her parents learn to parent guidance omte omgaanmet their daughter's disability. Gea lives in her own world and it is difficult for her to act to live in thoughts and feelings of the people around her. She often responds from its own needs and feelings to others.
Keywords: Adolescents Crime Detention Center PDD-NOS
Accuracy Verified: Yes
30. Niehof, J. (2009). Casus 24 – Afvallen in de eerste lijn: Een vrouw met overgewicht en relatieproblemen [Case 24 – Loosing weight in primary care: A woman with obesity and marital problems]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 319-328). Houton: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_34.
Language: Dutch
Format: Book Section
Abstract:
Mariska is op haar 13de eenmalig seksueel misbruikt door haar zeven jaar oudere broer. Ze heeft veel last van indringende beelden en tijdens het vrijen komen sinds enkele jaren herbelevingen voor. Rondom haar 17de is er gedurende een jaar sprake geweest van seksueel grensoverschrijdend gedrag door haar voormalige werkgever. Hij zat aan haar billen, probeerde haar te kussen en stond vaak plotseling achter haar. Sinds deze tijd wordt ze gehinderd door onzekerheid, neerslachtigheid, te veel eten (snaaien), minderwaardigheidsgedachten en faalangst. Mariska piekert veel, is snel geïrriteerd en heeft slaapproblemen.
Mariska is on her 13th once sexually abused by her older brother seven years. She has much experience of intrusive images during sex and get flashbacks for several years. Around her 17th there for one year there has been sexually transgressive behavior by her former employer. He touched her buttocks, tried to kiss her often and was suddenly behind her. Since this time she is hampered by insecurity, depression, overeating (snatching), thoughts of inferiority and anxiety. Mariska puzzled many, is irritable and has trouble sleeping.
Keywords: Obesity Marital Problems Weight Problems Women
Accuracy Verified: Yes
31. McGowan, I., McLaughlin, D., Miller, P., & Paterson, M. (2010, April). Cessation of suicide related behaviour following EMDR. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland .
Language: English
Format: Conference
Abstract: Deliberate self harm (DSH) and suicidal behaviour are major public health issues. It is estimated that DSH costs around £40 million pounds annually in addition to the incalculable human cost. The aim of the presentation is to highlight on- going work exploring the relationship between trauma and suicide related thoughts and behaviour. Utilising a case series approach the presentation will build upon previous work by the presenters. It report a number of cases in which suicidal behaviour and thoughts have ceased following treatment of a trauma related presentation using Eye Movement Desensitization & Reprocessing. The paper will conclude that suicidal behaviour is related to previous trauma and that by resolving the initial trauma the potential for suicidal behaviour including DSH is greatly diminished or disappears.
Learning Outcomes By the end of the session participants will be able to:
• discuss the relationship between trauma and suicidal behaviour,
• discuss the potential of using trauma focused interventions in treating suicidal behaviour
Keywords: Suicide
Accuracy Verified: Yes
32. Makinson, R. A., & Young, J. S. (2012, April). Cognitive behavioral therapy and the treatment of posttraumatic stress disorder: Where counseling and neuroscience meet. Journal of Counseling & Development, 90(2), 131-140. doi:10.1111/j.1556-6676.2012.00017.x .
Language: English
Format: Journal
Abstract:
There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the neurobiological context underlying the formation and treatment of posttraumatic stress disorders, a mental disorder frequently encountered by counselors, from a cognitive therapy framework.
Recent changes to the Council for Accreditation of Counseling and Related Educational Programs (2009) accreditation standards include the need for counselors-in-training to understand the neurobiological basis of behavior, which marks a new direction for the training of professional counselors who have historically reacted ambivalently toward medical models for understanding client concerns and treatments. Yet recent findings in neuroscience actually support the verbally based interventions that counselors typically use in treatment; therefore, there is much to be gained by counselors and counselor educators in understanding the basics of human neurobiology and how commonly used counseling interventions intervene on these biological systems. The National Institute of Mental Health (2010) stated in a recent strategic plan that “Important discoveries in areas such as genetics, neuroscience, and behavioral science largely account for the substantial gains in knowledge that have helped us to understand the complexities of mental illnesses and behavioral disorders over the past 15 years” (“Introduction,” para. 4).
Given the increasingly biological focus of mental health research, the practicing counselor is faced with the task of understanding and using the emerging mental health treatments and explaining to clients, to reimbursing agencies, and to the broader public how counseling fits within the medically dominated mental health culture. Some counselors have long reacted ambivalently toward the pathologically oriented diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV;American Psychiatric Association, 1994) system and the medication-dominated world of psychiatry. For example, the contrasting viewpoints on this issue were published in the Journal of Counseling & Development between Allen and Mary Ivey (1998, 1999) and Scott Hinkle (1999). Ivey and Ivey (1998) argued for a developmental interpretation to the DSM-IV, opposing what they called the “pathological view” (p. 334) of the manual. According to Ivey and Ivey, disorders could be viewed through a positive development tradition to lie not within the individual but within the contextual systems in which a person lives. Subsequently, disorders are viewed as a “logical response to a developmental history” (Ivey & Ivey, 1999, p. 484). By contrast, Hinkle (1999) argued that because anxiety and depressive disorders “are the most common clinical symptoms associated with presentation to counseling” (p. 475), the counseling profession is weakened if counselors shy away from direct participation in the DSM nomenclature and treatment parlance. As Hinkle indicated, “mental disorders according to the medical model describe disease processes, not people” (p. 475). Regardless of the reader's philosophical perspective, practicing counselors know participation in medical and psychiatric systems is necessary at times. Also, recent discoveries in the field of neuroscience are providing evidence that interventions often used by counselors have direct physiological impact on client neurobiology (Kennedy et al., 2007; Linden, 2006). For example, Felmingham et al. (2007) demonstrated significant differences in brain activity before and after 8 weeks of exposure therapy, which correlated with a reduction in posttraumatic stress disorder (PTSD) symptom severity. Similarly, Paquette et al. (2003) found that cognitive behavioral therapy (CBT) alters the activation and metabolism of specific brain regions following successful treatment of spider phobia. These findings, along with others (for a detailed review, see Beauregard, 2007; Frewen, Dozois, & Lanius, 2008), are significant because they support the techniques, interventions, and approaches used by counselors and provide a mechanism by which counseling positively affects brain physiology. Within the emerging physiologically based treatment milieu, counselors should be prepared to articulate how cognitive counseling interventions make measurable changes to the client. Although cognitive-behavioral-based approaches are effective in the treatment of a number of psychiatric illnesses, adult PTSD is arguably one of the best understood mental disorders from a neurological perspective. It thus presents a valuable model for exploring not only the basic tenets of neurobiology but also the mechanisms behind its successful treatment. Furthermore, PTSD is a disorder that counselors will likely encounter in practice.
PTSD is a mental disorder characterized by a sudden onset of symptoms due to environmental exposure to a psychologically stressful event such as war, natural disaster, or sexual victimization. Thus, it provides a clear example of how, even in adulthood, neurological adaptation (in this case maladaptive changes) can functionally “rewire” the brain in a short period of time, resulting in a sustained array of clinical symptoms. The diagnostic criteria for PTSD are a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyperarousal symptoms. A fifth criterion concerns duration of symptoms and a sixth assesses functioning (American Psychiatric Association, 2000).
The National Comorbidity Survey Replication, conducted between February 2001 and April 2003 (Kessler et al., 2005), determined that the estimated lifetime prevalence of PTSD among American adults is 6.8%, with women (9.7%) twice as likely as men (3.6%) to have the disorder at some point in their lives. These findings are very similar to those of the first National Comorbidity Survey conducted in the early 1990s (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995), which was composed of interviews of a representative national sample of 8,098 Americans ages 15 to 54 years. In this earlier sample, the estimated prevalence of lifetime PTSD was 7.8% in the general population. As in the more recent survey, women (10.4%) were more than twice as likely as men (5%) to have PTSD at some point in their lives (Kessler et al., 2005; Kessler et al., 1995).
Keywords: CBT Cognitive Behavioral Therapy Neurobiological Basis of Behavior Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
33. McMulin, T. (1998, June). Combining EMDR with relapse prevention programs to enhance treatment outcomes with sex offenders. EMDRIA Newsletter, 3(2), 20-24.
Language: English
Format: Newsletter
Abstract:
There have been numerous barriers to the development of comprehensive and successful treatment for sex offenders. One of the primary barriers involved societal views of offenders as being incorrigible and first and foremost deserving of punishment. Offenders themselves have fed that view because of seemingly impenetrable defense mechanisms they develop to maintain a sense of safety from others as well as their own thoughts, feelings, and memories. Other barriers to development of comprehensive treatment models involve the failure of traditional psychodynamic techniques, which focus primarily on resolving intrapsychic conflicts, to provide cost effective, adequate, and reliable treatment results (Lockhart, Saunders, & Cleveland, 1989).
Keywords: Relapse Prevention Programs Sex Offenders
Accuracy Verified: Yes
34. Hogan, W. A. (2001, August). The comparative effects of eye movement desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) in the treatment of depression. Indiana State University, Terre Haute, IN. AAT 3004753.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a unique, short-term therapy shown to be effective in the treatment of Posttraumatic Stress Disorder (PTSD). Application of EMDR to the treatment of depression was considered based upon the relationship between negative life experience and symptom onset, a pattern common to both PTSD and depression. Evaluation of the efficacy of EMDR in the treatment of depression was accomplished via a comparison with cognitive behavioral therapy (CBT). Because EMDR has been shown to be effective in the treatment of PTSD, the impact of EMDR and CBT upon symptoms comorbid to depression was investigated. EMDR was also compared to CBT assessing the participants' satisfaction. The participants, 15 per treatment group, received either one session of EMDR or cognitive behavioral therapy within the first four sessions. Pre and posttreatment assessment utilized two standardized instruments evaluating self-report of depressive and global symptoms. Participant satisfaction was assessed using a rating scale at posttreatment. Both treatment groups reported significant reductions in depressive symptoms and global symptoms. There were no statistical differences between groups on the symptom measures at posttreatment. Four participants in the EMDR group reported near complete remission of depressive symptoms and large reductions in global symptoms. No participants in the CBT group exhibited this pattern of symptom reduction. Regarding participant satisfaction, participants perceived EMDR to be less negative than CBT primarily due to the increased awareness of negative thoughts common to cognitive behavioral therapy but not experienced in EMDR treatment. The similarity in symptom reduction reported for both groups suggested the undue influence of non-specific treatment effects. The marked remission of symptoms reported by the four participants in the EMDR group parallels the symptom reductions noted in EMDR studies of PTSD. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 62(2-B), Aug 2001, pp. 1082.
Keywords: Comorbidity CBT Cognitive Behavioral Therapy Cognitive Therapy Depression Empirical Study Major Depression Treatment
Accuracy Verified: Yes
35. Simon, M. J. (2000, September). A comparison between EMDR and exposure for treating PTSD: A single-subject analysis. the Behavior Therapist, 23(8), 172-175.
Language: English
Format: Newsletter
Abstract:
The intent of this study is to use a single-subject analysis to compare the efficacy of EMDR to imaginal exposure for the treatment of PTSD. More specifically, this study compared exposure and EMDR for treating symptoms associated with the traumatic memories reported by two subjects diagnosed with PTSD. Standardized assessments were used to measure severity of trauma-related intrusive thoughts and sleep disturbances, whereas levels of symptoms were tracked throughout treatment and at 3-month follow-up. [Text, p. 173] [Pilots]
Keywords: Empirical Study Exposure Therapy Females Posttraumtic Stress Disorder PTSD
Accuracy Verified: Yes
36. Oncley, P. R. (1992). A comparison of eye movement desensitization and implosion-like therapy with adult victims of sexual abuse. Fuller Theological Seminary, Pasadena, CA. AAT 9302718.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye movement desensitization and reprocessing is a recently developed technique that has been reported in the literature to be effective in treating many of the symptoms associated with PTSD. This study investigated the role of saccadic eye movements in this technique by utilizing a multiple-baseline, across subjects design with 4 adult victims of childhood sexual abuse.Eye movement desensitization conditions (EMD) were compared to non saccadic eye movement conditions (NM) utilizing a Latin square design over one treatment session. The Structured Clinical Interview for DSM-III-R (SCID-R) and the PTSD module of the Structured Clinical Interview for DSM-III (SCID) were used for initial diagnosis and screening. Treatment effectiveness between the intervention phase and 1 week follow-up was assessed using the Impact of Event Scale (IES) and the PTSD Symptom Checklist. Skin conductance response (SCR), heart rate, and subjective units of distress (SUDS) were assessed during pretreatment, treatment, posttreatment, and follow-up phases. Results showed no significant differences across subjects among SCR, heart rate, and SUDS between the EMD and NM conditions. IES and PTSD Symptom Checklist follow-up data showed symptom improvement for 3 of the 4 subjects. One subject's intrusive symptoms worsened. All subjects displayed less physiological reactivity to the traumatic imagery at follow-up. Mechanisms that contribute to the effectiveness of EMD and recommendations for future study were discussed. [Author Abstract]
Keywords: Adults Arousal Child Abuse Exposure Therapy Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness
Accuracy Verified: Yes
37. Jaberghaderi, N., Dolatabadi, S., & Zand, S. O. (2002, Winter). A comparison of eye movement desensitzation and reprocessing and stress inoculation training (SIT) for sexually abused girls. Advances in Cognitive Science, 3(4), 16-26.
Language: English
Format: Journal
Abstract:
Fourteen sexually abused girls aged 12-13, were randomly assigned to receive either EMDR or SIT. Participants and their parents completed Child Report of Post Traumatic Symptoms (CROPS), and Parent Report of Post Traumatic Symptoms (PROPS), pre and post treatment.
Results indicated that there was significant influence only on the PROPS. But there was a significant impact on both these instrument (CROPS & PROPS), with EMDR. In evaluating CROPS and PROPS, factor analysis with SIT illustrated that, externalizing and internalizing symptoms in PROPS and avoidance thoughts and behaviors in CROPS were treated. Further the results gathered from factor analysis with EMDR, showed that internalizing and somatic symptoms in PROPS and self harm, depression feelings and also somatic symptoms in CROPS improved as well. Clinical findings also suggested that EMDR and SIT did not have any significant differences in treating posttraumatic symptoms. Factor analysis found that, EMDR was more effective than SIT in treating somatic symptoms of sexually abused girls.
Keywords: Iran Sexual Abuse SIT Stress Inocculation Training
Accuracy Verified: Yes
38. Allen, J., & Lewis, L. (1996, Spring). A conceptual framework for treating traumatic memories and its application to EMDR. Bulletin of the Menninger Clinic, 60(2), 238-263.
Language: English
Format: Journal
Abstract:
With burgeoning interest in trauma has come a proliferation of interventions for the treatment of intrusive memories. At this stage of development, uniformity of clinical practice in the trauma field is neither possible nor desirable. The literature suggests that a wide range of treatment interventions are effective. But diversity in practice does not preclude coherence in conceptualization. This article presents a general theoretical framework to provide clinicians and patients with a rationale for treating intrusive symptoms of PTSD. To illustrate the applicability of the framework, the authors critique Shapiro's recent theoretical explanation of Eye Movement Desensitization and Reprocessing (EMDR), an exemplary cognitive-behavioral approach to the treatment of trauma. EMDR merits careful theoretical reappraisal, because it has become a highly popular and seemingly effective technique that currently rests on an unsound neurobiological theoretical foundation. [Author Abstract]
Keywords: Hallucinations Intrusive Thoughts Memory Impairment Neurophysiology Professional Criticism Psychotherapeutic Processes PTSD Treatment Effectiveness
Accuracy Verified: Yes
39. Seyhan, M. M. (2012). Conditionering en de rol van oogbewegingen bij US devaluatie [Conditioning and the role of eye movements in U.S. devaluation]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
Keywords: Anxiety Conditioning Eye Movements Fear Renewal Intrusive Memories Posttraumatic Stress Disorder PTSD U.S. Devaluation, U.S. Deflation
Accuracy Verified: Yes
40. Leeds, A. M. (2007, June). Criteria for assuring appropriate clinical use and avoiding misuse of resource development and installation when treating complex posttraumatic stress syndromes. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories (Brown, Scheflin, & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhius, Steele, 2006). Resource Development and Installation (RDI) has been described in a series of published case reports as an effective stabilizing intervention for adult survivors of adverse childhood experiences (Korn & Leeds, 2202; Leeds, 1997, 1998, 2001b; Leeds & Shapiro, 2000; Popky, 2005). These clinical case reports of RDI have been described observed decreases in intense shame, depersonalization, angry outbursts, self-injurious behaviors, compulsive eating, obsessive self-critical thoughts, persistent negative emotional states (misery), sexual acting out, and substance abuse. There are now several published procedural descriptions (Korn & Leeds, 2002; Leeds, 2001; Leeds & Shapiro, 2000) and a summary in the standard reference text on EMDR (Shapiro, 2001).
The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with post traumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been persistently offered RDI without being offered standard EMDR reprocessing. EMDR has been shown to produce stable, enduring treatment effects for symptoms of posttraumatic stress disorder. RDI has not. Until recently (Korn et al, 2004; Leeds, 2005, 2006; Shapiro, 2004) little attention has been given to assuring appropriate use and avoiding misuse of RDI. This presentation will describe serious clinical and professional issues in continuing to offer RDI over repeated treatment sessions to patients with posttraumatic stress syndromes who meet or achieve readiness criteria for standard EMDR reprocessing and in failing to offer or in excessively delaying EMDR reprocessing.
This presentation will clarify and review specific criteria for identifying: for which patients (1) and clinical situations (2) the use of RDI is indicated; for which patients and clinical situations (3) RDI should be offered cautiously, if at al, but alternate stabilization methods should be considered; and for which patients (4) RDI should not be offered but where standard EMDR processing should be offered without delay. An overview of RDI procedural steps will be presented (5) to clarify its clinical application. Strategies will be offered to address technical, clinical and countertransference issues that may b associated with misuse or excessive use of RDI. A series of ten clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD RDI Resource Development and Installation
Accuracy Verified: Yes
41. Carvalho, E. (2011, August). Curando a galera que mora la dentro: Como o EMDR e as novas terapias de reprocessamento podem curar nossos papeis internos [Healing the folks who live inside: How EMDR can heal our inner gallery of roles]. Reino Editorial .
Language: Portuguese
Format: Book
Abstract:
Este livro tem como proposta identificar e esclarecer a existência da Galera Interna – aqueles personagens que moram dentro de todos nós e que dirigem as nossas vidas, tais como a Medrosinha, o Adolescente em Crise, a Criança Assustada, o Mentiroso (que mente para mim!). Veremos como estes papéis nascem e se desenvolvem dentro de nós, qual a função que cumprem nas nossas vidas, as suas interações e algumas formas de curar aquelas personagens feridas da nossa Galera Interna que nos impedem de viver plenamente. A ênfase especial neste processo de curar é nas novas terapias de reprocessamento tais como EMDR e Brainspotting. Também se aprende a celebrar àqueles papéis que nos edificam, nos jogam para cima e para frente e nos servem de recursos positivos. Enfim, temos como proposta desenvolver a “política da boa convivência” só que dessa vez, com os personagens que vivem dentro de nós, a nossa Galera Interna.
Do you sometimes feel like you don’t understand your reactions, feelings or thoughts? As if someone had hijacked the driver’s seat of your life and you wound up doing something stupid? Or regret your response? You don’t make sense in some situations, even to yourself? Maybe a wounded inner role took over and you didn’t catch it...? This book will explain what you can do about it. Using EMDR therapy to treat our Inner Gallery of Roles has brought together the best of reprocessing and role therapy for trauma and painful memories. Written for the layperson and full of snippets from the author’s case studies, it will give readers information about emotional trauma and why we should treat it. In a fun, entertaining and yet informative manner, it illustrates how our inner roles run our lives – for better or for worse. The purpose of this book is to help identify and clarify the existence of our Inner Gallery of roles – those who live inside all of us and that drive many aspects of our lives, such as the Scaredy-Cat, the Adolescent in Crisis, the Liar (that even lies to myself!), and the Inner Doctor. We will see how these roles are born and develop within, their functions and interactions in our lives, and how to heal the wounded ones, so that we can lead more fulfilling lives. We can also learn how to celebrate those roles that build us up and move us forward in life, and serve as positive resources when we need them. Although Role Theory is an integral part of Psychodrama the special emphasis in this healing process is on EMDR, a new reprocessing therapy developed by Dr. Francine Shapiro. We tie together all of these aspects in order to help our Inner Gallery of roles develop “good neighborhood policies” and live in greater harmony and health. In this book we will explain how roles develop inside of us and how trauma and painful memories keep our roles from proper development as we grow up.
Keywords: Inner Gallery of Roles
Accuracy Verified: Yes
42. Ligeon, S. N. (2011). De invloed van oogbewegingen en klikjes op de naarheid en levendigheid van negatieve herinneringen [The influence of eye movements and clicks into the nature and vibrancy of negative memories]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract: Eye movement desensitization and reprocessing (EMDR) is a widely applied therapy for posttraumatic stress disorder (PTSD). In this therapy patients make eye movements while recalling traumatic memories. It is suggested that EMDR taxes working memory and this reduces ratings of the vividness and emotionality of traumatic memories. Although this has been studied extensively for the effectiveness of eye movements, research on bilateral beeps is scarce. Whit a sample of 42 students we compared the effectiveness of eye movements and bilateral beeps. Results indicate that eye movements are more effective in reducing vividness and emotionality of negative memories. Indirectly testing a mechanism proposed by the Working Memory Theory, we found that participants with a larger working memory focused their attention more on the memory as compared to students with a smaller working memory. In sum we conclude that bilateral beeps are inferior to eye movements in the reduction of vividness and emotionality of memories
Keywords: Intrusive Memory Posttraumatic Stress Disorder PTSD Startle Reflex Working Memory
Accuracy Verified: Yes
43. Bosma, F. (2011). De invloed van oogbewegingen op fear renewal en US devaluatie [The influence of eye movements in fear renewal and U.S. devaluation]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
Keywords: Anxiety Conditioning Eye Movements Fear Renewal Intrusive Memories U.S. Deflation U.S. Devaluation
Accuracy Verified: Yes
44. Stewart-Grey, E. (2008). De-stress: A qualitative investigation of EMDR treatment. Capella University, Minneapolis, MN. AAT 3329849.
Language: English
Format: Dissertation/Thesis
Abstract:
There is no qualitative knowledge of Eye Movement Desensitization and Reprocessing (EMDR) with a sub-clinical stressed population. The vast majority of EMDR research has focused on traumatized populations, leaving a significant gap in what the non-traumatized or sub-clinically stressed clients experience. Sub-clinical stress includes any level of stress that does not meet the DSM-IV-TR criteria for PTSD. The purpose of this study was to evaluate the lived experiences of body sensations, emotions, beliefs, and imagery during EMDR treatment of participants with sub-clinical stress. Participants fit into either a young adult (18-35), adult (36-49), or older adult (50-60) maturity category and did not meet the criteria for PTSD. The sample consisted of 12 participants, from a large metropolitan area in the Northeastern United States. A qualitative phenomenological design was used to gather data following the EMDRIAs treatment protocol including a final interview asking questions about what the participants experienced in their body, thoughts, emotions, and memory images. The data was analyzed using constant comparative techniques using open coding and will be verified with member check techniques. The results identify five thematic holistic experiences across the participants. The themes of responsibility, safety, choices, power, and value emerged from the data. The results imply that is may be necessary to address all 5 themes for effective stress resolution. Also, the scholarly, clinical, and practical understanding of the Adaptive Information Processing Model concepts of responsibility, safety, and choices manifest in participants lived sensory experiences are now expanded and in need of additional research. [Author Abstract]
Keywords: Adults Americans Effects Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
45. Berendsen, S. & de Jongh, A. (2006, November). Debriefing of EMDR: Praten en afwachten, of verwerking versnellen? [Debriefing and EMDR: Talking and wait, or processing speed?]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, Netherland.
Language: Dutch
Format: Conference
Abstract:
In de afgelopen 20 jaar is het aanvankelijke enthousiasme over debriefing en andere vormen van opvang na schokkende gebeurtenissen onder invloed van wisselende onderzoeksresultaten behoorlijk getemperd doordat de effectiviteit steeds meer ter discussie kwam te staan.
De inleiders zullen een overzicht geven van de verschillende vormen van vroege hulp na schokkende gebeurtenissen en uiteenzetten hoe men hierbij geconfronteerd werd met het volgende dilemma:
• Aan de ene kant mogen interventies het natuurlijke verwerkingsproces niet belemmeren. Zo kan het stimuleren van slachtoffers om direct over hun gedachten en gevoelens te praten conform het CISD (Critical Incident Stress Debriefing) model van Mitchell (1983) het risico vergroten dat zij overweldigd worden door de ervaring, hetgeen contraproductief kan werken. Omdat de meeste mensen (70 à 80 %) op eigen kracht herstellen raden de invloedrijke NICE richtlijnen uit 2005 ‘watchfull waiting’ aan: het monitoren van het beloop van de posttraumatische stressreacties bij slachtoffers en het therapeutisch interveniëren wanneer een diagnosticeerbare stoornis tot ontwikkeling komt.
• Aan de andere kant zal zo vroeg mogelijk hulp geboden moeten worden aan zogenaamde ‘hoog-risico’ slachtoffers: dit zijn mensen waarvan direct duidelijk is dat ze niet zo maar op eigen kracht zullen herstellen. Vroege hulp is erop gericht om het lijden te bekorten en de ontwikkeling van secundaire problemen te voorkomen (zoals werkverzuim c.q.-verlies, relatieproblemen en middelenmisbruik).
De inleiders stellen dat niet afgewacht moet worden totdat na 4 weken een PTSS gediagnosticeerd kan worden en dan pas therapeutisch te interveniëren. Bediscussieerd zal worden hoe vroeg na een schokkende gebeurtenis (enkele dagen tot weken) bij indringende herbelevingen (nare beelden met hoge SUD nivo’s) EMDR effectief ingezet kan worden (dit zal geïllustreerd worden met casuïstiek en videobeelden). Het doel is om bij de ‘laag risico’ mensen het natuurlijke verwerkingsproces te versnellen en bij de ‘hoog risico’ mensen een verwerkingstoornis te voorkomen.
Over the past 20 years, the initial enthusiasm for debriefing and other forms of relief after shocking events under the influence of changing research properly tempered by the effectiveness is increasingly being called on them.
The speakers will give an overview of the various forms of early support after traumatic events and explain how this was confronted with the following dilemma:
• On the one hand, the interventions do not impede natural process. Thus, encouraging victims to direct their thoughts and feelings to talk according to the CISD (Critical Incident Stress Debriefing) model of Mitchell (1983) increase the risk that they are overwhelmed by the experience, which is counter-productive work. Because most people (70 to 80%) on its own restore suggest the influential NICE guidelines 2005 'watchful waiting' to: monitoring the course of posttraumatic stress reactions in victims and therapeutic intervention when a diagnosable disorder develops.
• On the other hand, as early as possible should be offered help in so-called high-risk victims, these are people whose right it is clear that not just on their own recovery. Early help is designed to minimize suffering and to the development of secondary problems occur (such as absenteeism or loss, relationship problems and substance abuse).
The speakers that should not wait until 4 weeks after a diagnosis of PTSD can be and then therapeutic intervention. Discussed will be how soon after a shocking event (several days to weeks) in penetrating reliving (unpleasant images with high levels SUD's) EMDR can be used effectively (this will be illustrated with case studies and video). The goal is to "low risk" people's natural process to speed up and at 'high risk' people to avoid a processing disorder.
Keywords: Debriefing
Accuracy Verified: Yes
46. Shapiro, F. (2009). Desensibilizacion y reprocesamiento por medio de movimiento ocular (EMDR) [Eye movement desensitization and reprocessing (EMDR)]. Pax Mexico L.C.C.S.A.
Language: Spanish
Format: Book
Abstract:
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, modeEMDR has become more elaborate treatment for PTSD (among other disturbances) clutter. The methodEMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, the methodEMDR incorporates aspects of systemic therapies, psychodynamic, experienciales, behavioural and body. Consists of eight phases comprising the use of eye movements and other forms of left-right stimulation.
It is effective in treating post-traumatic stress disorder and re-processing thoughts and disturbing memories or psychological problems of survivors of trauma, sexual abuse, of crimes, war combat, as well as phobias and disorders caused by vivenciales experiences and provides deep and stable clinical effects in a short time.
With descriptions and detailed transcripts, the author guides the clinical through every stage of therapeutic, treatment from clients to the implementation of the method and their integration within a comprehensive clinical treatment plan selection.
Written in an accessible manner, this book is an invaluable guide for clinicians in the treatmentEMDR as for people just know the method and for advanced students of clinical psychology and psychotherapy.
Accuracy Verified: No
47. Schmidt, S. J. (2004). Developmental needs meeting strategy: A new treatment approach applied to dissociative identity disorder. Journal of Trauma and Dissociation, 5(4), 55-78. doi:10.1300/J229v05n04_04.
Language: English
Format: Journal
Abstract:
This article describes the use of the Developmental Needs Meeting Strategy (DNMS)
for the treatment of dissociative identity disorder (DID). The DNMS is an ego state
therapy which guides a client’s own internal resources to meet developmental
needs that were not met in childhood. After 17 months of DNMS treatment a client
with DID reported a near total elimination in frequency and severity of symptoms of
depression, anxiety and suicidal thoughts, her Trauma Symptom Inventory scores
indicated no trauma symptoms, and her Multidimensional Inventory of Dissociation
scores indicated she no longer meets the diagnostic criteria for DID. She was
functioning well without any medication. Further research is warranted.
Keywords: Developmental Needs Meeting Strategy
Accuracy Verified: Yes
48. Erdmann, C. (2005). Die beeinflussung chronischer schmerzen durch psychologische, schmerztherapisverfahren und EMDR [The influence of psychological chronic pain, chronic pain procedures and EMDR]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Das in den 80er Jahren von der amerikanischen Psychologin Francine Shapiro veröffentlichte Verfahren EMDR (Eye Movement and Desensitization and Reprocessing) beinhaltet als zentrale Komponente, dass die Aufmerksamkeit des Patienten sich auf eine traumatische Erinnerung und die damit verbundenen Gedanken und Gefühle richtet, während gleichzeitig rhythmische Augenbewegungen induziert werden. (Shapiro 1998)
EMDR eignet sich signifikant gut zur Behandlung der Posttraumatischen Belastungsstörung (PTBS). Hierbei handelt es sich um ein Störungssyndrom, meistens bestehend aus vegetativer Übererregtheit, Erstarrung, Schlaflosigkeit, Angst und Depression, das häufig auftritt nach sehr belastenden Ereignissen oder starken Bedrohungen, wie z.B. schweren Unfällen, Naturkatastrophen, Folter, sexuellem Missbrauch, Vergewaltigungen, usw.
Das Störungsbild der PTBS zeigt große Ähnlichkeiten mit dem Chronischen Schmerzsyndrom. Chronischer Schmerz kann als eigenständiges Trauma gelten mit dem eigenen Körper als Opfer und Täter. Oft finden sich auch Traumata im Vorfeld oder begleitend. Chronischer Schmerz ist signifikant assoziiert mit Posttraumatischer Belastungsstörung, mit Angsterkrankungen, Depressionen und weiteren psychischen Störungen.
EMDR wird inzwischen auch mit guten Erfolgen eingesetzt bei anderen Erkrankungen, z.B. Suchterkrankungen, Depressionen, Angst- und Zwangsstörungen. Überzeugende Erfolge stellen sich ein bei der Behandlung auch sehr kleiner Kinder mit unterschiedlichen psychischen Erkrankungen. (Tinker, Wilson 1999)
Bislang gibt es aber noch relativ wenig Forschungen über die Wirksamkeit von EMDR bei Akutschmerz, bei Chronischem Schmerz und im Bereich der Psychosomatik. Es ist allerdings bekannt, dass EMDR sich bei Akutschmerz eignet zum Abbau der den Schmerz häufig begleitenden Angst und darüber hinaus bei Chronischem Schmerz zur Erhöhung der Schmerztoleranz, zu mehr Entspannung, zu positiven kognitiven Strategien, zu Desensibilisierung und zur Ablenkung. (Groth, Rogers 1994).
EMDR führt zu nachweislichen neurologischen Veränderungen und damit einhergehenden vom Patienten berichteten positiven Veränderungen im Beschwerdebild. (van der Kolk 2000)
EMDR lässt sich nach ersten Untersuchungen ebenfalls erfolgreich einsetzen zur Behandlung von Phantomschmerzen. (Wilson nach Tinker, Wilson 2000).
That in the 80s by the American psychologist Francine Shapiro published procedures EMDR (Eye Movement and Desensitization and Reprocessing) includes as a central component that the patient's attention on a traumatic memory and associated thoughts and feelings directed, while rhythmic eye movements be induced. (Shapiro 1998) EMDR is significantly well to the treatment of post traumatic stress disorder (PTSD). This is a disorder syndrome, consisting mostly of vegetative over-arousal, numbness, insomnia, anxiety and depression that occurs very often after stressful events or severe threats, such as serious accidents, natural disasters, torture, sexual abuse, rape, etc. The disorder of PTSD shows great similarities with the chronic pain syndrome. Chronic pain can be considered as a separate trauma of his own body as victims and perpetrators. Often also found in the run or incidental trauma. Chronic pain is significantly associated with post traumatic stress disorder, with anxiety disorders, depression and other mental disorders. EMDR is now used with good results in other diseases, such as Addiction, depression, anxiety and compulsive disorders. Convincing results are adapting to treat even very young children with different mental disorders. (Tinker, Wilson 1999) So far there is relatively little research on the effectiveness of EMDR in acute pain, Chronic pain and in the field of psychosomatic medicine. However, it is known that EMDR is suitable for acute pain to reduce the pain often associated with anxiety and also to increase the pain Chronic pain tolerance, more relaxation, positive cognitive strategies to desensitization and distraction. (Groth, Rogers 1994). EMDR leads to demonstrable neurological changes resulting from the patient and reported positive changes in symptoms. (Van der Kolk 2000), after initial investigations EMDR can also be used successfully to treat phantom pain. (Wilson to Tinker, Wilson 2000).
Keywords: Chronic Pain Chronic Pain Protocol Protocol
Accuracy Verified: Yes
49. Massiah, E. (2009). Direct targeting intrusive images: A tale of three soldiers. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 389-402). New York, NY: W. W. Norton & Co..
Language: English
Format: Book Section
Keywords: Targets
Accuracy Verified: Yes
50. 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
51. 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
52. Maxfield, L. (2007). Editorial. Journal of EMDR Practice and Research, 1(1), 4-5. doi:10.1891/1933-3196.1.1.4.
Language: English
Format: Journal
Abstract:
Excerpt: EMDR has come a long way in the 20 years
since Francine Shapiro’s 1987 walk in the park.
At that time, she noticed that rapid eye movements
decreased the emotionality of some intrusive
memories, and she intuitively recognized that this phenomenon
had great clinical utility. Shapiro
went on to
develop a treatment approach (Shapiro, 1989) that has
been taught to more than one hundred thousand clinicians
worldwide and that has eliminated the distress
of many millions of clients. Eye movement desensitization
and reprocessing (EMDR; Shapiro, 2001) is a
structured psychotherapy approach and was designed
to facilitate the processing of distressing memories.
Its efficacy in the treatment of posttraumatic stress
disorder (PTSD) has been widely acknowledged, and
EMDR is a recommended therapy in numerous international
guidelines.
Keywords: Editorial
Accuracy Verified: Yes
53. Janssen, J. (2012, February). Een bijzondere casus (serie): EMDR-behandeling van vroegkinderlijke trauma’s bij een cliënte met een eetstoornis [A special case (series): EMDR treatment of early childhood trauma in a client with an eating disorder]. Tijdschrift voor Psychotherapie, 38(1), 21-37. doi:10.1007/s12485-012-0003-3.
Language: Dutch
Format: Journal
Abstract:
Onveilige hechting en vroegkinderlijke trauma’s liggen aan de basis
van veel problemen die onze cliënten ervaren in hun dagelijkse
leven en zij leiden tot disfunctionele gedachten- en gedragspatronen.
In de babyfase ontwikkelt zich het (sociale) brein op basis van
liefde of het ontbreken ervan. Het is de interactie tussen baby’s en
hun ouders in de eerste jaren die bepalend is. Het introduceren in
de therapie van liefde en liefdevolle ouders die er voor hen zijn, lijkt
van essentieel belang te zijn voor een succesvolle behandeling.
In dit artikel wordt het vier-stappenmodel van Katie O’Shea uiteengezet.
De eerste drie stappen bieden de effectieve stabilisatie die
nodig is om de behandeling van vroegkinderlijke trauma’s aan te
gaan. In stap 4 kan deze behandeling vervolgens op gestructureerde
wijze plaatsvinden. Met haar ‘EMDR’-model creëren we als het
ware een nieuwe blauwdruk in het brein met als uitkomst ‘een reconstructie
van het zelfbeeld’. O’Shea beoogt met haar model herstel
van prenataal en perinataal trauma, wat met het standaard
EMDR-protocol niet gemakkelijk wordt bereikt.
DRS.
Insecure attachment and early childhood traumas are the basis
of many problems that our clients experience in their daily
life and they lead to dysfunctional thoughts and behavioral patterns.
In the infant stage develops the (social) brain based on
love or lack thereof. It is the interaction between babies and
their parents in the early years is decisive. Introducing into
the therapy of love and loving parents who are there for them, seems
of vital importance for a successful treatment.
In this article, the four-step model Katie O'Shea put apart.
The first three steps provide effective stabilization to the
necessary for the treatment of early childhood trauma to
go. In step 4, this treatment can then structured by
manner. With its' EMDR' model we create as
were a new blueprint in the brain as being 'a reconstruction
of the self '. O'Shea aim with the recovery model
of prenatal and perinatal trauma, what with the standard
EMDR protocol is not easily achieved.
DRS.
Keywords: Childhood Trauma Eating Disorder
Accuracy Verified: Yes
54. de Jongh, A., & ten Broeke, E. (1993). Een nieuwe behandelingsmethode voor angst en trauma's: ‘Eye movement desensitization and reprocessing’ [A new treatment for anxiety and trauma: Eye movement desensitization and reprocessing]. Directieve Therapie, 13(2), 78-83. doi:10.1007/BF03060028 .
Language: Dutch
Format: Magazine
Abstract:
In deze bijdrage wordt een beschrijving gegeven van de achtergronden en principes van ‘Eye movement
desensitization and reprocessing’ ( EMDR), een recente ontwikkeling op het gebied van de psychotherapie. Deze
procedure wordt gepresenteerd als een snelle en effectieve behandelmethode voor aan angst gerelateerde klachten,
waaronder posttraumatische stress-stoornissen. Een belangrijk onderdeel van EMDR is dat de therapeut bij de cliënt
een aantal snelle en ritmische oogbewegingen uitlokt door hem te vragen zijn vinger te volgen, terwijl de cliënt een
beeld van de traumatische herinnering in gedachten houdt. Dit zou resulteren in cognitieve veranderingen en een
langdurige vermindering van angst, alsmede een verdwijnen van terugkerende herinneringen en indringende
gedachten. Zoals naar voren komt uit onderzoek en twee gepresenteerde gevalsbeschrijvingen (een geval van
extreme angst voor de tandheelkundige behandeling en een geval van seksueel misbruik), kan EMDR reeds effectief
zijn in slechts één zitting. Het artikel sluit af met evaluatieve opmerkingen en aanbevelingen met betrekking tot het
gebruik van deze behandelingsmethode in de praktijk.
In this article describes the background and principles of "Eye movement
desensitization and reprocessing "(EMDR), a recent development in the field of psychotherapy. This
procedure is presented as a rapid and effective treatment for anxiety-related symptoms,
including post-traumatic stress disorder. EMDR is an important part of the therapist to the client
a number of rapid and rhythmic eye movements provokes him by asking his finger to follow, while a client
image of the traumatic memory in mind. This would result in cognitive changes and a
lasting reduction of anxiety and a loss of recurrent and intrusive recollections
thoughts. As emerges from two studies and presented case studies (one case
extreme fear of dental treatment and one case of sexual abuse), EMDR can already effectively
in only one session. The article concludes with evaluative comments and recommendations regarding the
using this treatment method in practice.
Accuracy Verified: Yes
55. Kutz, I., Dekel, R., Schreiber, S., Resnick, V., Dolberg, O. T., Barkai, G., Leor, A., Rapoport, E., & Bloch, M. (2008, November). The effect of a single session of EMDR on intrusive distress in acute stress syndromes. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
Early diagnosis and intervention in mass
casualty events: Since September 2000, Israeli and Palestinian societies suffered
great losses. on the Israeli side, civilians of all ages, and ethnic
groups, have been exposed to various types of terrorist attacks.
This symposium examines issues of diagnosis and interventions
The effect of a single session of EMDR on intrusive distress in acute stress syndromes: Purpose: To examine the efficacy of a single session of a modified
abridged EMDR protocol in reducing Acute Stress Syndromes
(ASS) following accidents and terrorist bombing attacks.
Methods: Treatment was provided, in a general hospital inpatient
and out-patient setting to 86 patients with ASS.
Friday: 11:00 a.m. – 12:15 p.m.
Presenters are underlined and discussants are italicized.
If serving in both roles, they are both underlined and italicized. Findings: Fifty percent reported immediate fading of their intrusive
symptoms and general alleviation of their distress, 27% described
partial alleviation of their symptoms, while 23% reported no
improvement. Four week and six month follow-up, in the terror
victims group only, showed that the immediate responders
remained symptom free, while half of the non-responders, who
also received subsequent additional interventions modalities, were
still symptomatic.
Conclusions: The difference in response may be attributed, in part,
to the fact that immediate responders tended to have an
uncomplicated ASS with fewer risk factors for PTSD, while the
non-responders had higher exposure to former traumas and
endorsed more risk factors for PTSD. These results support other
anecdotal reports on the rapid effects of brief EMDR intervention in
uncomplicated cases and offer a psycho-physiological hypothesis
for immediate response. While additional controlled studies are
essential, this immediate symptomatic relief may be a potential
addition for focused interventions in acute trauma victims.
Keywords: Acute Stress Disorder ASD Bombings Israel Palenstine Panel Symposium Terrorists
Accuracy Verified: Yes
56. Graham, L. B., & Robinson, E. M. (2007, Spring). Effect of EMDR on anxiety and swim times. Journal of Swimming Research, 17, 1-9.
Language: English
Format: Journal
Abstract:
This study investigated the effect of Eye Movement Desensitization and Reprocessing (EMDR) on swimmers who had experienced a traumatic swimming event. Measures of performance, anxiety, and self-perception in (N = 65) competitive college and high school swimmers were collected Swimmers were randomly assigned to one of three conditions; EMDR, imagery or no treatment. All participants took the State-Trait Anxiety Scale and performed a 100 yd freestyle swim pretreatment and posttreatment. The EMDR and imagery group had two additional anxiety measures: [heart rate and Subjective Units of Distress, (SUDS)] and one cognition scale the Validity of Cognition Scale. These two groups had three sessions of either EMDR or imagery. Trait anxiety scores did not differ among groups as expected but the EMDR group's state anxiety decreased compared to the no treatment group p = .002. Heart rate and SUDS decreased as a consequence of group, with EMDR showing a drop in rate p < .001. Swim times were not different for all the groups, but EMDR improved compared to the no treatment p = .043. The EMDR group endorsed greater coping beliefs than the imagery group p < .01. EMDR may provide coaches with an alternative to imagery to help the athlete who has a "mental block" (negative thoughts indicating inability to cope with the swimming event) secondary to a traumatic sport
Accuracy Verified: Yes
57. Sugimoto, K. (2010, October). The effect of PTSD treatments after stillbirth: Eye movement desensitization and reprocessing (EMDR) combined with hypnotherapy. Presentation at the XVI International Congress of International Society of Psychosomatic Obstetrics and Gynecology, Venice, Italy.
Language: English
Format: Journal
Abstract:
Objective: Despite advances in obstetric and neonatal care, many women will experience the birth of stillborn infant or the death of a newborn. Stillbirth is a devastating experience for women, sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for post-traumatic stress after stillbirth. This study explores the possibility the use of EMDR combined with hypnotherapy in the treatment for post-traumatic stress after stillbirth. Methods: the study consisted of a 'before and after' treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (The impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) were collected. In addition, qualitative data from individual interviews with the participants were collected as well. Participants: four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section). Results: Three of the four participants reported reduction of post-traumatic stress after treatment (ranging from two to three sessions) and the beneficial effects remained after 1-3 years. One only took assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. Nevertheless, all of the participants have not finished EMDR treatment completely. They were happy at the possibility at working through their stillbirth experience, but not prepared to work with other disturbing memories (feeder memories) in the past. All of the participants were afraid of the influence upon next pregnancy. Conclusion: EMDR combined with hypnotherapy might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.
Keywords: Hynotherapy Obstetrics Posttraumatic Stress Disorder PSTD Stillbirth
Accuracy Verified: Yes
58. Kimiko, S. (2010, October). The effect of PTSD treatments after stillbirth: Eye movement desensitization and reprocessing (EMDR) combined with hypnotherapy. Presentation at the XVI International Congress of International Society of Psychosomatic Obstetrics and Gynecology, Venice, Italy.
Language: English
Format: Conference
Abstract: Objective: Despite advances in obstetric and neonatal care, many women will experience the birth of stillborn infant or the death of a newborn. Stillbirth is a devastating experience for women, sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for post-traumatic stress after stillbirth. This study explores the possibility the use of EMDR combined with hypnotherapy in the treatment for post-traumatic stress after stillbirth. Methods: the study consisted of a ‘before and after’ treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (The impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) were collected. In addition, qualitative data from individual interviews with the participants were collected as well. Participants: four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section). Results: Three of the four participants reported reduction of post-traumatic stress after treatment (ranging from two to three sessions) and the beneficial effects remained after 1-3 years. One only took assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. Nevertheless, all of the participants have not finished EMDR treatment completely. They were happy at the possibility at working through their stillbirth experience, but not prepared to work with other disturbing memories (feeder memories) in the past. All of the participants were afraid of the influence upon next pregnancy. Conclusion: EMDR combined with hypnotherapy might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.
Keywords: Hynotherapy Obstetrics Stillbirth
Accuracy Verified: Yes
59. Colosetti, S. D. (1997). Effect of relaxation training alone and relaxation training paired with EMDR on incarcerated, battered women. University of Georgia, Athens, GA. AAT 9735499.
Language: English
Format: Dissertation/Thesis
Abstract:
Every 15 seconds a woman is beaten in the U.S. Many of these women meet the criteria for a diagnosis of PTSD. Some of them end up in prison. This study used a sample of 5 battered women, incarcerated in a Southern state prison, to test the efficacy of EMDR following relaxation training. A-B-C designs were used to compare baseline assessment (Phase A), relaxation training utilizing Miller and Halpern's audiotaped instructions (Phase B), and EMDR (Phase C). A script of the worst memory of abuse was dictated by each woman during assessment and read by the researcher at the beginning of each session. The Beck Anxiety Inventory and Impact of Events Scale, measuring avoidant behaviors and intrusive thoughts, were given weekly, following the script. Client logs and measures of SUDS and VOC were taken during the EMDR phase only. A one-month follow-up was used. ANOVAs with repeated measures comparing 2 groups, E1 (n = 2) that received 3 weeks of relaxation training prior to EMDR and E2 (n = 3) that received 6 weeks of relaxation training prior to EMDR, were not statistically significant. Avoidant Behaviors scores approached significance for the main effect of treatment (F = .06) and for the group by phase interaction (F = .08). Due to intrasubject variability, blocking was used to identify trends. A distinct improvement was noted in Subject 2 -- Anxiety dropped from 36.5 to 8.0, Intrusive Thoughts 27.5 to 11.0, and Avoidant Behaviors 27.0 to 24.0. Individually graphed data and calculated mean scores by phase permit further investigation. Implications for future research include appropriate screening for dissociation and development of coping skills prior to EMDR, decreasing avoidance by having the woman read her script aloud prior to completing outcome measures, monitoring medication during treatment, continuing treatment as needed, using additional outcome measures, and employing a multi-baseline design across subjects, matching women on several demographic variables. [Author Abstract]
Dissertation Abstracts International Section A: Humanities and Social Sciences. 58(6-A), Dec 1997, pp. 2392.
Keywords: Adults Americans Battery Empirical Study Females Posttraumatic Stress Disorder Prison Inmates PTSD Relaxation Therapy Survivors Treatment Effectiveness
Accuracy Verified: Yes
60. Kutz, I., Resnik, V., & Dekel, R. (2008). The effect of single-session modified EMDR on acute stress syndromes. Journal of EMDR Practice and Research, 2(3), 190-200. doi:10.1891/1933-3196.2.3.190.
Language: English
Format: Journal
Abstract:
A single session of a modified, abridged EMDR protocol was provided in a general hospital inpatient and outpatient setting to 86 patients with acute stress (AS) syndrome suffering from intrusion distress following accidents and terrorist bombing attacks. Fifty percent reported immediate fading of intrusive symptoms and general alleviation of distress, 27% described partial alleviation of their symptoms and distress, while 23% reported no improvement. Partial and nonresponders were provided with or referred for more comprehensive treatment. At 4-week and 6-month follow-up, the immediate responders in the terror victims group remained symptom free. The immediate responders tended to have uncomplicated AS symptoms with fewer risk factors for posttraumatic stress disorder (PTSD), while the nonresponders had higher exposure to former traumas and endorsed more risk factors for PTSD. These results support other anecdotal reports on the rapid effects of brief EMDR intervention on intrusive symptoms in early uncomplicated posttraumatic cases. Although more controlled studies are essential, this immediate method for symptomatic relief may be a potential addition for focused interventions in acute trauma victims.
Keywords: Acute Stress Disorder ASD Intrusions Mass Casualty Event MCE Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
61. Dunn, T. M. (1995). Effectiveness of eye movement desensitization and reprocessing (EMDR) in a non-clinical population. University of Cincinnati, OH.
Language: English
Format: Dissertation/Thesis
Abstract:
Panic disorder, worsening of depression and relapse of alcohol symptoms (Pitman, et al.).
A relatively new technique for treating PTSD is reported to result in lasting reduction of
anxiety, changes in the cognitive assessment of memory and cessation of flashbacks, intrusive
thoughts, and sleep disturbances. Eye Movement Desensitization and Reprocessing (EMDR) is
an experimental treatment for PTSD which is reported to have almost immediate, long lasting
effects (Shapiro, 1989a). EMDR involves having the patient engage in a series of
therapist-directed saccadic eye movements accompanied by cognitive exercises. The treatment
may take less than an hour to administer and, it is claimed, may completely eliminate some of the
more severe symptoms associated with PTSD and can have long lasting effects (one subject
showed desensitization a year later [Shapiro, 1989a.1) Shapiro found the treatment to produce
the best effect if performed while the patient is recalls a disturbing memory of the traumatic event.
Keywords: Non-clinical Population
Accuracy Verified: Yes
62. MacCulloch, M. (2006, December). Effects of EMDR on previously abused child molesters: Theoretical reviews and preliminary findings from Ricci, Clayton, and Shapiro. Journal of Forensic Psychiatry and Psychology, 17(4), 531-537. doi:10.1080/14789940601075760.
Language: English
Format: Journal
Abstract:
We publish in this issue a preliminary and tentative account of the reduction of deviant sexual arousal, as measured by phallometry, by eye movement desensitisation and reprocessing (EMDR). The purpose of this editorial is to show that the conclusions of Davidson and Parker (2001), and the comment by Salkovskis, can now be set aside, and to present our readers with some theoretical thoughts on some of the mechanisms by which EMDR could induce its effects, including trauma reduction. A major bar to the further acceptance of EMDR as a treatment and as an inviting research topic stems from the fact that workers still cannot see how eye movements can cause the reported clinical changes and the increasing number of temporally related psycho-physiological phenomena. This editorial suggests that the organs of computation of the mind have evolved by natural selection to solve problems of survival and, signally, include corollary discharge and feed forward (CD-FF) mechanisms by which they intrinsically function and also interact with one another. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Abused Child Molesters Editorial Pedophilia Physiology Sexual Arousal
Accuracy Verified: Yes
63. Hampel, J. C. (1997, November). The effects of eye movement desensitization and reprocessing (EMDR) on self-reported test anxiety in college students. Western Michigan University, Kalamazoo, MI. AAT 9732881.
Language: English
Format: Dissertation/Thesis
Abstract:
Test anxiety is a common problem among students in western culture due to the importance of academic achievement and the consequences for failure. Many consider test anxiety to be primarily an issue of poor study habits and test readiness. However, some students who appear to possess excellent study habits also appear to experience severe anxiety during tests. A recent meta-analysis of test anxiety research substantiated these claims, finding that test anxiety appeared to be an emotionally-based as opposed to a cognitively-based problem. Despite these findings, the etiologies for test anxiety remain unknown. Similar to nearly all DSM-IV diagnostic categories, test anxiety is a syndrome with no known pathognomonic sign(s) which singularly diagnose the condition. Hence, treatments for test anxiety, as for nearly all other DSM-IV mental disorders are symptomatic as opposed to strategic. Unfortunately, there are few symptomatic treatments for test anxiety that are both efficient and effective.Eye movement desensitization and reprocessing (EMDR), which was developed for the symptomatic treatment of PTSD, was chosen to treat the symptoms of test anxiety for the following essential reasons: (a) the reported efficacy of EMDR with PTSD; (b) the similarities between test anxiety and PTSD that include intrusive thoughts, inability to concentrate, behavioral avoidance, and emotional symptomatology; and (c) the need for a brief, effective symptomatic treatment for test anxiety. Using a waiting control group against which to compare the treatment group and subsequently replicate treatment effects, the results found that EMDR was highly effective for the symptomatic reduction of self-reported test anxiety as measured by all test anxiety scales. Moreover, these results also suggest that measures of study habits and attitudes are also sensitive to enhancement as a result of treatment with EMD/R. Although the current results did not suggest specific mechanism(s) by which EMDR was effective, the pattern of highly effective results across widely different types of test anxiety presentations suggests the actions of an active placebo treatment. It is suggested that future research contrast EMD/R with known active placebo protocols. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(5-B), Nov 1997, pp. 2676.
Keywords: Anxiety Disorders College Students Empirical Study Life Experiences Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness
Accuracy Verified: Yes
64. Becker, L., Black-Tanski, D., Nugent, N., & Thede, L. (1999, November). The effects of eye movement on the stream of consciousness. Poster presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.
Language: English
Format: Conference
Abstract:
A recent meta-analysis of PTSD treatments (van Etten & Taylor,
1998) found EMDR to be as efficacious as behavioral and drug
treatments. There is considerable controversy, but little research, on
the underlying mechanisms of EMDR. A conditioning model by
Dyck (1993) suggests that eye movements (EM) effect a distraction
from trauma related thoughts, causing an extinction trial.
According to this model, the distraction of EM should cause
thoughts to be directed outward. A psychodynamic model by Allen
and Lewis (1996) suggests that EM facilitate the formation of new
associations to traumatic memories and allow the client to “remain
in the present while thinking of the past.” This model postulates
that EM cause thoughts to be directed inward. We report two
experiments in which thought processes were studied using a
stream of consciousness (SOC) technique (Singer, 1993). In both
studies, undergraduate participants wrote down a sad (or happy)
target event from their life. They then thought about the target
event and let their thoughts go where they may for 10 minutes. At
approximately 1-minute intervals they were asked to report their
thoughts. The baseline study (n = 42) looked at SOC with eyes
closed; the second study (n = 27) compared SOC with eyes open,
eyes closed, and with EM. Relative the to the eyes-open condition,
EM tended to keep the SOC internally focused. During the last 4
minutes of the SOC, eyes open participants were externally
focused (thoughts about the surroundings) about 50% of time;
EM participants were externally focused 25% of the time; and eyes
closed participants were externally focused 3% of the time, F(1,
11) = 6.08, p = .017. Eye movements produced a blend of external
(eyes open) and internal (eyes closed) thoughts, offering support
to the psychodynamic model.
Keywords: Eye Movement Poster Stream of Consciousness
Accuracy Verified: Yes
65. Kavanaugh, D. J., Freese, S., Andrade, J., & May, J. (2001). Effects of visuospatial tasks on desensitization to emotive memories. British Journal of Clinical Psychology, 40(3), 267-280. doi:10.1348/014466501163689.
Language: English
Format: Journal
Abstract:
Objectives. Intrusive memories of extreme trauma can disrupt a stepwise approach
to imaginal exposure. Concurrent tasks that load the visuospatial sketchpad (VSSP)
of working memory reduce the vividness of recalled images. This study tested
whether relief of distress from competing VSSP tasks during imaginal exposure is at
the cost of impaired desensitization.
Design. This study examined repeated exposure to emotive memories using 18
unselected undergraduates and a within-subjects design with three exposure
conditions (Eye Movement, Visual Noise, Exposure Alone) in random, counterbalanced
order.
Method. At baseline, participants recalled positive and negative experiences, and
rated the vividness and emotiveness of each image. A different positive and negative
recollection was then used for each condition. Vividness and emotiveness were rated
after each of eight exposure trials. At a post-exposure session 1 week later,
participants rated each image without any concurrent task.
Results. Consistent with previous research, vividness and distress during imaging
were lower during Eye Movements than in Exposure Alone, with passive visual
interference giving intermediate results. A reduction in emotional responses from
Baseline to Post was of similar size for the three conditions.
Conclusion. Visuospatial tasks may offer a temporary response aid for imaginal
exposure without affecting desensitization.
Keywords: Emotive Memories Eye Movement Imaginal Expsoure Visio-Spatial
Accuracy Verified: Yes
66. Kavanagh, D. J., Freese, S., Andrade, J., & May, J. (2001, September). Effects of visuospatial tasks on desensitization to emotive memories. British Journal of Clinical Psychology, 40(3), 267–280. doi:10.1348/014466501163689.
Language: English
Format: Journal
Abstract:
Objective. Intrusive memories of extreme trauma can disrupt a stepwise approach to imaginal exposure. Concurrent tasks that load the visuospatial sketchpad (VSSP) of working memory reduce the vividness of recalled images. This study tested whether relief of distress from competing VSSP tasks during imaginal exposure is at the cost of impaired desensitization. Design. This study examined repeated exposure to emotive memories using 18 unselected undergraduates and a within-subjects design with three exposure conditions (Eye Movement, Visual Noise, Exposure Alone) in random, counterbalanced order. Method. At baseline, participants recalled positive and negative experiences, and rated the vividness and emotiveness of each image. A different positive and negative recollection was then used for each condition. Vividness and emotiveness were rated after each of eight exposure trials. At a post-exposure session 1 week later, participants rated each image without any concurrent task. Results. Consistent with previous research, vividness and distress during imaging were lower during Eye Movements than in Exposure Alone, with passive visual interference giving intermediate results. A reduction in emotional responses from Baseline to Post was of similar size for the three conditions. Conclusion. Visuospatial tasks may offer a temporary response aid for imaginal exposure without affecting desensitization.
Keywords: Emotive Memories Visuospatial Tasks
Accuracy Verified: Yes
67. Abbasnejad, M., Mahani, K. N., & Zamyad, A. (2007, Winter). Efficacy of "eye movement desensitization and reprocessing" in reducing anxiety and unpleasant feelings due to earthquake experience. Psychological Research, 9(3-4), 104-117.
Language: English
Format: Journal
Abstract:
“EMDR is effective in reducing earthquake anxiety and negative emotions (e.g. PTSD, grief, fear, intrusive thoughts, depression, etc) resulting from earthquake experience. Furthermore, results show that, improvement due to EMDR was maintained at a one month follow up.”
Keywords: Anxiety Earthquake Experience Empirical Study Eye Movements Follow-up Study Natural Disasters Quantitative Study Randomized Controlled Study Unpleasant Feelings
Accuracy Verified: Yes
68. Daroff, L. H. (1996). Efficacy of eye movement desensitization and reprocessing procedure in the treatment of traumatic memories: A replication study. Temple University, Philadelphia, PA. AAT 9632020.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this replication study was either to support or refute the original Eye Movement Desensitization and Reprocessing research conducted by Shapiro. The present study was amended with two additional indices to assess anxiety and social functioning.14 subjects suffering long standing (one or more years) traumatic memory symptomatology, concerning rape, physical abuse, incest, and childhood sexual molestation, were randomly assigned to one of two treatment conditions. Traumatic memories were pivotal to presenting symptoms, which included panic attacks, self-blaming/guilt, intrusive thoughts, anxiety, nightmares, insomnia and avoidant thinking/behavior. All subjects were diagnosed with PTSD, by an independent licensed clinical psychologist. There were 13 females and 1 male. The male subject was in the Control Group. Age range was from 25 to 49 years with a Mean age of 38.64 years. Range for age of traumatic event was five to 19 years of age, with a Mean age of 10.14 years. Range for duration of the subjects' symptoms since traumatic event was 18 to 44 years with a Mean age of 28.5 years. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, (3) primary presenting symptom and (4) social adjustment. Measures utilized were the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition (VoC) self evaluation, primary presenting symptom self report, the Impact of Event Scale (IES), and the Social Adjustment-Self Report (SAS-SR). Initial measures demonstrated that all subjects were essentially the same prior to any treatment. Measures were obtained at the initial session and at 1- and 3-month follow-up sessions. Where applicable the analyses conducted paralleled those used in the original research. The results of the study indicated that a single session of EMDR successfully desensitized the subjects' traumatic memory, significantly mediated their cognitive assessment of the situation, as well as their social adjustment. Treatment effects were maintained over the period of the study for all subjects. These findings support the original conclusions in Shapiro's seminal study of the Eye Movement Desensitization and Reprocessing procedure. The exact neurological mechanisms involved in the Eye Movement Desensitization and Reprocessing procedure remain unknown. [Author Abstract]
Keywords: Adults Anxiety Child Abuse Empirical Study Experimental Replication Incest Memory Posttraumatic Stress Disorder PTSD Rape Self-Evaluation Social Adjustment Survivors Treatment Effectiveness
Accuracy Verified: Yes
69. Lytle, R. A., Hazlett-Stevens, H., & Borkovec, T. D. (2002). Efficacy of eye movement desensitization in the treatment of cognitive intrusions related to a past stressful event. Journal of Anxiety Disorders, 16(3), 273-288. doi:10.1016/S0887-6185(02)00099-3.
Language: English
Format: Journal
Abstract:
Much of the Eye Movement Desensitization and Reprocessing (EMDR) efficacy research has been widely criticized, limiting scientific understanding of its therapeutic components. The present investigation of Eye Movement Desensitization (EMD) effectiveness included undergraduate students reporting current intrusive cognitions concerning a traumatic event. Forty-five participants received a single treatment session of either: (a) EMD, as described by Shapiro [J. Behav. Ther. Exp. Psychiatry 20 (1989b) 211], (b) an identical procedure which employed eye fixation on a stationary target, or (c) non-directive counseling. Standardized self-report, subjective rating, Daily Diary, and intrusive thought sampling measures were collected before and after treatment. Results indicated that participants in the eye fixation group reported marginally (p<.052) fewer cognitive intrusions than the non-directive group 1 week following treatment. No significant differences between the EMD and non-directive conditions or between the EMD and eye fixation conditions on this measure were found. During the treatment session, both desensitization groups were superior to the non-directive group in reducing reported vividness of the mental image of the original event. However, the non-directive group improved to the level of the two other groups by the following week. Rapid saccadic eye movements were therefore unrelated to immediate treatment effects for this sub-clinical sample, and non-directive treatment largely yielded eventual outcomes equivalent to the two desensitization conditions (Pilots).
Keywords: Biologic Markers College Students Intrusive Thoughts Negative Therapeutic Reaction Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness Witnesses
Accuracy Verified: Yes
70. Renfrey, G. (1993). The efficacy of eye movement desensitization in the treatment of trauma related imagery and cognitions: A partial dismantling procedure. Western Michigan University, Kalamazoo MI. AAT 9412220.
Language: English
Format: Dissertation/Thesis
Abstract:
This study investigated the effects of eye movement desensitization (EMD) on post-traumatic sequelae, and attempted a partial dismantling of the procedure to determine the necessity of EMD's characteristic eye movements. 23 persons participated in three groups: (1) those receiving standard EMD, (2) those receiving a variant of EMD in which eye movements were engendered through a light tracking task, and (3) those receiving a variant of EMD in which fixed visual attention replaced eye movements. All participants had experienced traumata as defined by the DSM-III-R and were having intrusive symptoms of PTSD at pre-treatment. All but two met full DSM-III-R criteria for PTSD. Each received two to six treatment sessions.Dependent variables included heart rate changes, subjective units of distress ratings, validity of both initial and targeted trauma-related cognitions during trauma-related imagery, overall frequency and intensity scores on the Clinician Administered PTSD Scale, anxiety and depression T-scores on the Symptom Checklist (SCL-90-R), and scores on the Impact of Events Scale. Assessments were conducted at pre- and post-treatment and at a one- to three-month follow-up. All three interventions produced significant, positive changes in all dependant measures between pre- and post-treatments. Further, these changes were maintained at follow-up. No significant differences between groups were observed. These changes were of comparable magnitude to those reported elsewhere, but were brought about through a greater number of treatment sessions. It was concluded that EMD does bring about fairly rapid therapeutic changes in those post-traumatic sequelae measured, though not as efficiently as most previous reports have suggested. Further, it was concluded that the eye movements peculiar to EMD are not a necessary component of the procedure. The similarities and differences between the present findings and previous reports are discussed, as are the limitations and implications of the present study. Recommendations for future work are made. [Author Abstract]
Keywords: Clinical Trial Partial Dismantling Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
71. Shapiro, F. (1989, April). Efficacy of the eye movement desensitization procedure in the treatment of traumatic memories. Journal of Traumatic Stress, 2(2), 199-223. doi:10.1007/BF00974159.
Language: English
Format: Journal
Abstract:
The aim of the study was to determine the effectiveness of the recently developed Eye Movement Desensitization (EMD) procedure on traumatic memory symptomatology. 22 subjects suffering from symptoms related to traumatic memories were used in the study. All had been victims of traumatic incidents concerning the Vietnam War, childhood sexual molestation, sexual or physical assault, or emotional abuse. Memories of the traumatic incident were pivotal to the presenting complaints which included intrusive thoughts, flashbacks, sleep disturbances, low self-esteem, and relationship problems. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, and (3) presenting complaints. These measures were obtained at the initial session and at 1- and 3-month follow-up sessions. The results of the study indicated that a single session of the EMD procedure successfully desensitized the subjects' traumatic memories and dramatically altered their cognitive assessments of the situation, effects that were maintained through the 3-month follow-up check. This therapeutic benefit was accompanied by behavioral shifts which included the alleviation of the subjects' primary presenting complaints. [Author Abstract]
Keywords: Americans Anxiety Combat Incest Memories Molestation Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Survivors Trauma Veterans Vietnam War
Accuracy Verified: Yes
72. Raju, K. (2005). Ego strengthening and eye movement desensitization reprocessing in post traumatic stress disorder. Medical Journal Armed Forces of India, 61, 289-290.
Language: English
Format: Journal
Abstract:
Post Traumatic Stress Disorder (PTSD) is an anxiety
disorder, which occurs after exposure to
overwhelming stress like combat, rape, serious
accidents, violent crime and other catastrophic events.
The essential characteristics of the condition are
recurrent intrusive memories, images, thoughts or
dreams of the trauma, persistent arousal, emotional
numbing and avoidance of the situations reminiscent of
the trauma. 15-20% of individuals experiencing significant
trauma are known to develop PTSD [1]. Although
anxiolytic, anticonvulsant, antipsychotic and
antidepressant drugs have been tried, none have been
consistently associated with improvement [2]. Eye
Movement Desensitization Reprocessing (EMDR) is
being increasingly utilized as a valid method of treatment
for this distressing condition [3-7]. Ego Strengthening
(ES) is a sequence of simple psychotherapeutic
suggestions given under hypnosis [8]. A long standing
case of PTSD treated with EMDR and ES is reported.
Keywords: Case Report Ego Strengthening Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
73. Shapiro, F., & Sherwel, C. (2004). EMDR (Eye movement desensitization and reprocessing): Desensibilizacion y reprocesamiento por medio de moimiento ocular [EMDR (Eye Movement desensitization and reprocessing): Desensitization and reprocessing of eye movement]. México: Pax México.
Language: Spanish
Format: Book
Abstract:
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, how EMDR has become more elaborate treatment for posttraumatic stress disorder (in other disturbances). EMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, EMDR incorporates various aspects of systemic therapies, psychodynamic, experiential, behavioral and physical. It consists of eight phases that include the use of eye movements and other forms of left-right stimulation.
Is effective in treating post-traumatic stress disorder and reprocess disturbing thoughts and memories or psychological problems of survivors of trauma, sexual abuse, crimes of war fighting, as well as phobias and disorders caused by life experiences and provides in a short time effects clinical deep and stable.
With detailed descriptions and transcripts, the author guides the clinician through every stage of therapeutic treatment, from selection of clients to the application of the method and its integration into a comprehensive clinical treatment.
Written in an accessible, this book is an invaluable guide both for experienced clinicians in the EMDR treatment to people who just know the method, and for advanced students of clinical psychology and psychotherapy.
Accuracy Verified: Yes
74. Hansen, H. S. (2009, Sommeren). EMDR - Et valg til behandling af PTSD?. Aalborg Universitet, Institut for Kommunikation, Aalborg, Denmark.
Language: Danish
Format: Dissertation/Thesis
Abstract:
Denne afhandling har til formål at afdække, om behandling af Eye Movement Desensibilisering
og oparbejdning (EMDR) er en effektiv behandling af Post Traumatic Stress
Disorder (PTSD). EMDR er blevet kaldt The Breakthrough behandling og
Helbredelse af PTSD. Worldwide flere nationale sundhedsorganisationer anbefaler EMDR
da behandlingen for klienter, der lider af PTSD, og denne anbefaling er understøttet
af flere internationalt anerkendte forskere. Derudover en betydelig
stort antal forskere er blevet offentliggjort, viser, at EMDR er en effektiv
måde at behandle PTSD.
I første omgang bør det præjudicielle spørgsmål være let at besvare, hvis det ikke havde været på grund af
opskæring kontrast findes i flere andre offentliggjorte forsker og artikler påstår
at EMDR ikke er effektiv, og ligger ved siden af at være en svindler. Denne kritik viser akademiske
fejl og mangler i metoder til forskning og objektivitet. Som EMDR
synes at opdele den akademiske samfund i "Hvem er for og hvem imod", det foreløbige
Spørgsmålet er ikke ansvarlig i første omgang. I nærmer et svar på spørgsmålet,
to teoretiske dele vil være repræsenteret. I første hoveddel, diagnose af
PTSD vil blive taget igennem. Diagnosen er forholdsvis ny og indeholder en kompleksitet,
som er nødvendig for at afdække, før den fremlægger det teoretiske fundament for
EMDR. Delvis kompleksitet PTSD skyldes det faktum, at mere eller mindre, PTSD
har erstattet begrebet krise i praksis, mens den tidligere adskilte diagnoser
er inkluderet i PTSD i dag. Som et eksempel det har ført til, mentalt stabile personer,
der har været traumatiseret, er diagnosticeret med samme diagnose som traumatiseret
personer, der lider af en alvorlig personlighedsforstyrrelser. For eksempel denne konstellation
gør det vanskeligt at forske i effektiviteten af de behandlinger, som den samme behandling
kan resultere forskelligt, alt efter hvilken gruppe af personer i spørgsmålet. Efter at have gjort
diagnosen PTSD igennem, den anden teoretisk vigtigste del, som er på EMDR,
vil blive præsenteret. Ved første, i denne del, vil det teoretiske grundlag for EMDR være
fremvises for at opnå et bedre perspektiv af følgende kritik. Afhandlingen
rundes af med en bred debat og en efterfølgende konklusion.
Blandt andet konkluderer afhandlingen, at EMDR virker effektivt på isolerede
symptomer på PTSD til en hel del længde. EMDR virker effektivt på flashbacks
negative og invaderende tanker og derfor EMDR kan anbefales som en mulig
valg af behandling, og bekvemt som et supplement. At den teoretiske fundament
af effektiviteten af EMDR bør ikke kun være en variant af kognitiv eksponering
terapi er imidlertid meget svage og mangler en uafhængig evidensbaseret forskning.
This dissertation seeks to uncover whether the therapy of Eye Movement Desensitization
and Reprocessing (EMDR) is an effective treatment of Post Traumatic Stress
Disorder (PTSD). EMDR has been termed as The Breakthrough Therapy and The
Cure of PTSD. Worldwide several national health organizations recommend EMDR
as the treatment for clients suffering from PTSD, and this recommendation is supported
by several internationally recognized academics. Additionally a considerable
large number of researches have been published, showing that EMDR is an effective
way of treating PTSD.
At first, the preliminary question should be easy to answer, had it not been due to
the cutting contrast found in several other published researches and articles claiming
that EMDR is not effective and is next to being a fraud. This criticism indicates academic
errors and deficiencies in methods of research and objectiveness. As EMDR
seems to divide the academic societies into “who´s for and who´s against”, the preliminary
question is not answerable at first. In approaching an answer to the question,
two theoretical parts will be represented. In the first main part, the diagnosis of
PTSD will be taken through. The diagnosis is rather new and contains a complexity,
which is necessary to uncover, before presenting the theoretical foundation of
EMDR. Partly the complexity of PTSD is due to the fact that, more or less, PTSD
has replaced the concept of crisis in practice, whereas former separated diagnoses
are included in PTSD today. As an example it has led to, mentally stable persons,
who have been traumatized, are diagnosed with the same diagnosis as traumatized
persons suffering from severe personality disorders. For example this constellation
makes it difficult to research the efficiency of the therapies, as the same therapies
can result differently according to which group of persons in question. Having taken
the diagnosis of PTSD through, the second theoretical main part which is on EMDR,
will be presented. At first, in this part, the theoretical foundation of EMDR will be
presented to obtain a better perspective of the following criticism. The dissertation
closes with a broad discussion and a subsequent conclusion.
Among others, the dissertation concludes that EMDR works effectively on isolated
symptoms of PTSD to quite some length. EMDR works effectively on flashbacks,
negative and invading thoughts and therefore EMDR is recommendable as a possible
choice of therapy, conveniently as a supplement. That the theoretical foundation
of the effectiveness of EMDR should not be only a variant of cognitive exposure
therapy is, however, very frail and lacks an independent evidence-based research.
Keywords: Literature Review
Accuracy Verified: Yes
75. Johannesson, K. B. (2013, Maj). EMDR - från mirakelkur till vetenskaplig evidens [EMDR - from miracle cure to scientific evidence]. Psykologtidningen, 32-35.
Language: English
Format: Magazine
Abstract:
Eye Movement Desensitization
and Reprocessing (EMDR) är en
behandlingsmetod för plågsamma
minnen och dess psykologiska konsekvenser.
Metoden kom till mera
av en slump än utifrån teoretiska överväganden.
Den amerikanska psykologen Francine Shapiro
fann utifrån en personlig erfarenhet att obehagliga
och problematiska tankar tycktes blekna
bort när hon rörde ögonen snabbt från sida till
sida. Hon utvecklade dessa iakttagelser till en ny
behandling för posttraumatisk stress, i dag känd
som Eye Movement Desensitization and Reprocessing,
EMDR (1).
Eye Movement Desensitization
and Reprocessing (EMDR) is a
treatment for painful
memories and its psychological consequences.
The method came to more
by accident than from theoretical considerations.
The American psychologist Francine Shapiro
found from personal experience that unpleasant
and problematic thoughts seemed to fade
away when she moved her eyes rapidly from side to
side. She developed these observations into a new
treatment of post traumatic stress disorder, today known
as Eye Movement Desensitization and Reprocessing,
EMDR (1). [Excerpt]
Accuracy Verified: No
76. Shapiro, F. (1999). EMDR - Grundlagen und praxis: Handbuch zur behandlung traumatisierter menschen [Eye movement desensitization and reprocessing (EMDR): Basic principles, protocols, and procedures]. Paderborn: Junfermann Verlag GmbH & Co.
Language: German
Format: Book
Abstract:
EMDR ist eine zeitsparende, umfassende Methode zur Behandlung traumatischer Erfahrungen, die die Ursache vieler Pathologien sind. Als integratives Therapiemodell, das verhaltenspsychologische, kognitive, psychodynamische, körperorientierte und systemische Elemente umfaßt, ermöglicht EMDR, in relativ kurzer Zeit tiefreichende und stabile Resultate zu erzielen. Die EMDR-Behandlungssequenz, die acht Phasen umfaßt und Augenbewegungen sowie andere Methoden der Rechts-Links-Stimulation nutzt, hilft Trauma-Opfern bei der Aufarbeitung beunruhigender Gedanken und Erinnerungen. Dieses umfassende Basiswerk zum Thema EMDR gibt einen Überblick über die Entwicklung und Erforschung der neuen Methode und ist eine unverzichtbare Lektüre für alle Kliniker und Forscher, die sich für die Arbeit mit Trauma-Opfern interessieren.
EMDR is a time-saving, comprehensive method for the treatment of traumatic experiences, which are the cause of many diseases. As an integrative therapy model includes the behavioral, cognitive, psychodynamic, body-oriented and systemic elements, EMDR allows to achieve in a relatively short time, profound and stable results. The EMDR treatment sequence that includes eight stages, and uses eye movements as well as other methods of left-right stimulation helps trauma victims in the processing disturbing thoughts and memories. This comprehensive work based on EMDR provides an overview of the development and exploration of the new method and is an essential reading for all clinicians and researchers interested in working with trauma victims
Keywords: Trauma
Accuracy Verified: Yes
77. Petterssonin, P. (2011, July). EMDR - Liikuta silmiäsi kunnes se on hävinnyt (Lapset) [EMDR - Move your eyes until it is gone (Children)]. Revised, EMDR Kind en jeugd, the Netherlands.
Language: Finnish
Format: Journal
Abstract:
Monesta lapsesta tuntuu oudolta kun yhtäk- kiä reagoi eri tavalla kuin ennen. kia reagoi eri tavalla Kuin Ennen. Se kuitenkin Se kuitenkin johtuu tuosta pahasta kokemuksesta ja siihen johtuu tuosta pahasta kokemuksesta ja siihen liittyvistä kauheista tunteista ja kauhistuttavista liittyvistä kauheista tunteista ja kauhistuttavista ajatuksista. ajatuksista. Onneksi on olemassa keino, joka Onneksi op olemassa Keino, joka auttaa sinua nopeasti. auttaa sinua nopeasti. Sen nimi on EMDR. Sen Nimi over EMDR.
Many children feel strange when yhtäk-Kia to react in a different way than before. kia reacts in a different way than before. It is, however, it is because of that, however bad experience and because of that bad experience, and related the terrible and frightening feelings associated with feelings of terrible and horrifying thoughts. thoughts. Fortunately, there is a way that cr Fortunately, there are means by which to help you quickly. helps you quickly. It's called EMDR. Its name over EMDR.
Keywords: Children
Accuracy Verified: Yes
78. Petterssonin, P. (2011). EMDR - Yksinkertaisesti tallennat sen vain uudelleen" (Teini-ikäiset) [EMDR - Quite simply save it again and again (Teenagers)]. EMDR Kind en jeugd, the Netherlands.
Language: Finnish
Format: Journal
Abstract:
Monen nuoren mielestä tuntuu oudolta kun yhtäkkiä reagoi eri tavalla kuin ennen. yhtäkkiä reagoi eri tavalla Kuin Ennen. Tämä Tama kaikki kuitenkin johtuu sinulla olleesta järkyt- kaikki kuitenkin johtuu sinulla olleesta järkyt- tävästä kokemuksesta (kokemuksista) sekä tävästä kokemuksesta (kokemuksista) Seka siihen liittyvistä kauheista tunteista ja kauhis- siihen liittyvistä kauheista tunteista ja kauhis- tuttavista ajatuksista. tuttavista ajatuksista. Onneksi voidaan tehdä Onneksi voidaan tehdä jotain joka saa ne autetuksi ulos nopeasti. jotain joka saa ne autetuksi ulos nopeasti. Se Se jokin on EMDR. jokin over EMDR.
Many young people find it strange when suddenly reacts differently than before. suddenly reacts in a different way than before. This is due to all this, however, you olleesta shocked, however, because all you olleesta shocked by the way, the experience (the experience) as well as the way of experience (the experience) and the related emotions and horrible kauhis-related horrible feelings and thoughts kauhis-acquaintances. acquaintances thoughts. Fortunately, fortunately can be done to do something that makes them be helped out quickly. something that makes them be helped out quickly. That it is one of EMDR. a colleague of EMDR.
Keywords: Adolescents Teenagers
Accuracy Verified: Yes
79. 黃翔 [Huang Xiang]. (2002). EMDR -─眼動心身重建法簡介 [EMDR - Eye tempted body reconstruction technique introduction]. 加州心理研究所臨床心理學 [California Psychological Institute of Clinical Psychology].
Language: Chinese
Format: Dissertation/Thesis
Abstract:
EMDR─眼誘惑身體重建法“的英文全名是眼動脫敏和再加工。採訪,這是一個多次在很短的一段時間後,藥物可在任何情況下,有效地降低程度心理創傷,重建希望和在治療的信心。可減少心理創傷症狀包括“長期累積的創傷痛苦的回憶”,“因創傷引起高度的焦慮和消極情緒”,以及“身體不適造成的創傷反應”等等。一個結果接受EMDR治療可以建立一個積極的影響,包括“健康積極的思想”和“健康行為的一代”等。
"EMDR ─ eye tempted Body Renewal Law" in English is Eye Movement Desensitization and Reprocessing. This is an interview several times in a short period after the drug can be in no circumstances, effectively reducing the degree of psychological trauma, and rebuild hope and confidence in treatment. Can be to reduce the psychological trauma symptoms include "long-term cumulative trauma of painful memories," "due to trauma caused by a high degree of anxiety and negative emotions", and "the physical discomfort caused by trauma response" and so on. A result of receiving EMDR treatment can establish a positive effect, including "a healthy and positive thoughts" and "health behavior generation" and so on.
Keywords: Body Renewal Law
Accuracy Verified: Yes
80. Shapiro, E. (2012). EMDR and early psychological intervention following trauma. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 241-251. doi:10.1016/j.erap.2012.09.003.
Language: English
Format: Journal
Abstract:
Introduction:
This article evaluates developments in the field of early psychological intervention (EPI) after trauma in general and the place of early eye movement desensitization and reprocessing (EMDR) intervention (EEI) in particular. The issues and dilemmas involved with EPI and EEI will be outlined; related research presented and the current status evaluated.
Literature and clinical findings:
Reviewing the literature and drawing on findings from initial research and case studies, the rationale and contribution that EMDR therapy has to offer is discussed relative to current evidence and theory regarding post-traumatic stress syndromes and trauma memories. The relative advantages of EEI will be elaborated.
Discussion and conclusion:
It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also provide a window of opportunity in which a brief intervention, possibly on successive days, could prevent complications and strengthen resilience. Through the rapid reduction of intrusive symptoms and de-arousal response as well as by identifying potential obstructions to adaptive information processing (AIP), EMDR therapy may reduce the sensitisation and accumulation of trauma memories.
Keywords: Early Psychological Intervention EPI Trauma
Accuracy Verified: Yes
81. Shapiro, F., & Maxfield, L. (2003). EMDR and information processing in psychotherapy treatment: Personal development and global implications. In M. F. Solomon & D. J. Siegel (Eds.), Healing trauma: Attachment, mind, body, and brain (pp. 196-220). New York: W. W. Norton.
Language: English
Format: Book Section
Abstract:
EMDR: A peculiar technique. It may give one an idea of hocus-pocus: the eliciting of the eye-movement. But it isn’t! And how it originated also is a peculiar story, but this I suppose is well known. It was a nice case of serendipity.
The adaptive information processing (AIP) model was developed to explain and predict EMDR treatment effects. We read: The AIP model states that all memory is associated, and learning occurs through the creation of new associations. When an incident is not fully processed, the perceptions, thoughts, and emotions that were experienced during the traumatic event are generally stored in state-dependent form. This storage may be in an isolated memory network where the information cannot link up with more appropriate information and learning cannot take place. And, to jump to a conclusion, what EMDR does is linking, forging new connections between the unprocessed memory and more adaptive information that is contained in other memory networks, while the simultaneous eye-movement decreases the intense and painful emotions that are recalled. Again: creating the narrative, cognitively and emotionally.
EMDR, provided it is well indicated and correctly applied, seems to be a very useful technique, a real tool, without pretension. It provides what it offers if… the results last (do they?). The case studies described in this chapter are convincing, one of them with a 5 year old child with a D attachment pattern (disorganized/disoriented attachment pattern, see also chapter 2). Both mother and child treated with EMDR. What happens in the brain when we move our eyes from left to right to left while recalling a traumatic incident is not explained.
In chapters 6-8 we can read about the psychotherapy of traumatized people.
Keywords: Cognitive Processes Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
82. Cole, M. (2010, July). EMDR and metacognitive therapy: Same destination, different language. Poster presented at the 38th Annual Conference of the British Association for Behavioural and Cognitive Therapies, Manchester, UK.
Language: English
Format: Conference
Abstract:
The information processing model has been described in many different ways and is potentially the underlying
process that describes the psychotherapy change process, regardless of orientation. In this poster I will briefly
compare Eye Movement Desensitisation and Reprocessing and Meta-Cognitive Therapy in light of this information
processing model and conclude that although they may use different language to describe their theories, a
unifying information processing model describes both paradigms. Human beings are meaning making machines
(Robbins, 2009). We give meaning to the world, the deeds we do and the interactions we have, as well as the
more fundamental senses we experience (Frankl, 2004). Information arises either from external stimulus or
internal process’s and this information goes through our filters where we delete, distort and generalise this
information based on the rules created in our information processing unit (Fig 1). This information processing
mechanism gives meaning to this filtered information and generates a response, this response interacts with this
information and the cycle then repeats in a self regulatory manner. This process is repeated for everything we do;
we are and continues until we die. Mental health issues arise when this self regulatory system fails to make a
useful functional meaning of the information. Eye Movement Desensitisation and Reprocessing (EMDR) was
developed by Francine Shapiro (1989) for the treatment of trauma memories and associated emotions, changing
the meaning the person gives to their experiences. Metacognitive Therapy (MCT) was developed by Wells and
Matthews (1984) as a way of defining the processes that underpin a range of psychological disorders.
One of the features of psychological disorders such as anxiety or depression is that thinking becomes difficult to
control and biased in particular ways that lead to a worsening and maintenance of emotional suffering. Many
clients report that they feel that they have ‘lost control’ over their thoughts and behaviours. Another important
feature is that the persons thinking and attention becomes fixed in patterns of brooding and dwelling on the self
and threatening information. Both EMDR and MCT describe an information management/processing system that
organises and carries out various tasks such as how to open a door, how to get dressed, how to be anxious, how to
respond to a trauma memory Both therapies appear to change this system / process to something that is much
more adaptive for the client, as if they change the master information management control programme that runs
this system, in the same way a conductor influences the orchestra and the music they produce. Both models
describe the same process, although they utilise different language to describe this change process.
Perhaps a change of focus for the development of pychotherapy towards more process change models rather than
content change interventions.
Keywords: Metacognitive Therapy Poster
Accuracy Verified: Yes
83. St-André, E. (2009, August). EMDR and OCD. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Obsessive Compulsive Disorder (OCD) is a chronic illness with recurrent obsessions, persistent thoughts and compulsions, such as repetitive behaviors that are performed after obsessions. Current treatment for such a disorder includes antidepressants (SSRI, with additional treatment such as antipsychotics) and psychotherapy, usually cognitive behavioral approaches. Nevertheless, there is a lack of available evidence for the long-term effectiveness of psychological treatment (Cochrane Reviews on OCD treatment will be cited). EMDR can be useful in a severe case of OCD and might be of interest for other therapists struggling with OCD cases in their caseload.
Keywords: Obsessive Compulsive Disorder OCD
Accuracy Verified: Yes
84. Lipke, H. (2000). EMDR and psychotherapy integration: Theoretical and clinical suggestions with focus on traumatic stress. Boca Raton, FL: CRC Press.
Language: English
Format: Book
Abstract:
This book is about what I have learned about EMDR and its clinical use, especially with combat veterans. It is also about what trying to understand how EMDR works has taught me about psychotherapy in general. That second lesson is what I call the Four-Activity Model (FAM) of Psychotherapy, which grows out of a concept that Francine Shapiro refers to as Accelerated Information Processing (AIP). Shapiro's AIP description gives name to the idea that learned psychopathology can be considered dysfunctional held information, including thoughts, emotions, sensations, and behavior, that can be modified more quickly than previously believed by most therapists. The Four-Activity Model is an attempt to conceptualize how psychotherapeutic activity can be used most efficiently to reprocess dysfunctional held material and thereby resolve psychological problems.Finally, this book is about what psychotherapy in general has taught me about EMDR. Even in her early explanations of EMDR, Shapiro taught that it was an integrative method, that it relied on the lessons learned by years of clinical work using dynamic, behavioral, and humanistic methods. In this book I will attempt to elaborate on that relationship and offer specific therapeutic suggestions that will rely on the wisdom of previously established therapeutic methods, as well as the wisdom of past philosophical inquiry and religion. The book starts with EMDR, proceeds to try to describe how EMDR and other methods can be integrated into an overall model of psychotherapy, and then works its way back to the concrete practical integration of psychotherapy in general. The second half of the book has a practical focus on examples that are created mostly from my experience working with combat trauma. I hope that readers will see how these examples of interventions are easily generalized to other learning-based problems. [Author Introduction]
Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors
Accuracy Verified: Yes
85. Leeds, A. M., & Shapiro, F. (2000). EMDR and resource installation: Principles and procedures for enhancing current functioning and resolving traumatic experiences. In J. Carlson, & L. Sperry (Eds.), Brief therapy with individuals and couples (pp. 469-534). Phoenix, Arizona: Zeig, Tucker & Theisen, Inc..
Language: English
Format: Book Section
Abstract:
This chapter presents an overview of eye movement desensitization and reprocessing (EMDR), a research-validated treatment for PTSD, and a related set of procedures known as resource development and installation (RDI), which have been reported to be useful in ego strengthening and stabilization. First, the extant research on EMDR, its theoretical model, and the 8 phases of its treatment are summarized (patient history and treatment planning, preparation, assessment, desensitization, installation, body scan, closure, and reevaluation). The 5 main elements of memory networks in EMDR are: image, thoughts and sounds, affect, sensation, and self-appraisal. The principles and theoretical foundations of RDI are then discussed. Then, 2 case examples are given. The 1st case illustrates a simple application of resource development and installation to supplement the standard EMDR PTSD protocol in the brief treatment of a marital crisis. The 2nd case summarizes the brief, strategic use of RDI to stabilize a patient with complex PTSD who was referred for collaborative treatment and to build a foundation for comprehensive EMDR treatment. [Adapted from Text, p. 469] [Pilots]
Keywords: Brief Psychotherapy Clinical Case Study Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD
Accuracy Verified: Yes
86. Allon, M. (2004, June). EMDR and right-left brain stimulation. Poster presented at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
This presentation will present and demonstrate my clinical observations, that clients while talking or working on their issues will sometime lean their heads toward the right or the left shoulder. People with their heads to the left will tend to report thoughts, while those with their heads to the right will tend to report images and emotions. In therapy, utilizing EMDR when clients have leaned their heads to one side, I have tended to reinforce the side they put their head to, utilizing eye movements in a diagonal direction, corresponding to the direction the head was learning. That is. If the person learned their head to the left, I would move my hand from their upper left side to their lower right side, and opposite if their heads leaned to the right. The outcome of these diagonal eye movements was that it tended to evoke cognitions when the head leaned to the left or images when the head learned to the right. Client who come to therapy requesting help concerning fears, tend to lean their heads to the rights, corresponding with imagery and imagination of the right hemisphere and may lack the cognitive, logical thinking skills (left hemisphere) to counter their fears. With these clients, when the SUDS do not drop significantly, I will tend to do body-cognitive interweave. I request that the client lean their head on the left and work over and over with cirrsponding sets of diangonal eye movmenets. The left hemisphere of the brain is thus stimulated and logical thinking (PC) is enhanced. This helps to counter and balance out the negative images, and the fear decreased.
Through care histories and examples, I would like to accomplish the following objectives: 1) to make the participants more aware of body language and it its significance in therapy; 2) to examine the differences between the right and left hemispheres of the brain and their relationship to therapy with EMDR; and 3) to introduce and demonstrate a body-cognitive interweave in EMDR therapy with client s who request help with fears.
Keywords: Body-Cognitive Interweave Left-Right Brain Hemispheres of the Brain Poster
Accuracy Verified: Yes
87. Gelinas, D. J. (2011, August). EMDR and the phobias of structural dissociation in treating complex traumatization. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Managing dissociative interference when treating individuals with early repetitive traumatization requires recognition, then direct intervention. The “phobias of structural dissociation” are especially helpful in recognizing the less readily apparent dissociative interferences. These refer to the individual’s fear and avoidance of their own internal experiencing, (e.g., thoughts, parts, memories) rather than the traditional fear of external objects or processes. They can be responsible for failures to establish the therapy or Safe Place, refusal of EMDR, looping, “stuck” NCs, etc. This presentation describes the phobias (with clinical illustrations), recognition markers, and a stepped hierarchy of EMDR interventions to manage dissociative interferences.
Keywords: Complex Trauma Phobias Structual Dissociation
Accuracy Verified: Yes
88. Mitchell, J. T., & Solomon, R. M. (1995, June). EMDR applications to critical incident stress management. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
A critical incident is any situation that causes unusually strong emotional reactions that have the potential to interfere with a person's
ability to function immediately after the incident or later. These are situations that overwhelm a person's sense of vulnerability
and/or control.
A critical incident stress debriefing (CISD) is a psychoeducational group meeting or discussion about a traumatic incident which
ideally takes place within 72 hours of the event. The goals of a CISD are to mitigate the psychological impact of a traumatic event,
prevent subsequent development of a post-traumatic syndrome, accelerate recovery, and serve as an early identification mechanism
for people who need further follow-up, including EMDR.
The steps of a CISD include:
1) introduction - to introduce the intervention team, explain the process, and set expectations.
2) fact - to describe the event from each participant's perspective on a cognitive level.
3) thought - to allow participants to describe cognitive reactions and to transition to emotional reactions.
4) reaction - to identify the most traumatic aspect of the event for participants.
5) symptom - to identify personal symptoms of distress and transition back to the cognitive level.
6) teaching - to educate as to normal reactions and adaptive coping strategies
7) reentry - to clarefy ambiguities and prepare for termination; access for follow-up.
In the opinion of the authors, the CISD facilitates the processing of the traumatic information before it becomes crystallized in
dysfunctional form.
EMDR can be very effective shortly following a CISD, and is particularly usehl for participants who are experiencing distress or
intrusive symptoms after the CISD. The CISD structure helps the participant understand the traumatic impact of the incident and
provides support and guidance toward adaptive resolution. The EMDR process begins where the CISD leaves off. The CISD helps
to delineate the traumatic image, negative cognition, and emotions associated with the event, making the subsequent EMDR process
more efficient. EMDR appears to have a very powerful and rapid effect after the CISD, perhaps, because of the initial processing.
In other words, the CISD initiates an adaptive processing of the traumatic information; EMDR completes it.
EMDR can be implemented individually immediately following the CISD, or the next day. While the CISD is a group process,
EMDR is an individual method. EMDR can be explained during the teaching phase of the CISD or after the CISD to the whole
group, but EMDR treatment is done individually and privately. EMDR can go beyond a CISD in targeting previous traumas that
may underlie the current incident, delve deeper into the meaning of the incident for the person, and target specific stimuli that are
relevant to the individual (e.g. Smells, tastes, etc.).
The workshop will discuss the application of EMDR to critical incidents. The protocol for recent events will be reviewed.
Guidelines for negative and positive cognitions will be discussed. For example, a critical incident usually involves issues of
responsibility ("Is it my fault?"), Safety ("Am I safe?"), And/or control ("Do I have choices in life?). It is important that such
dynamics are understood when formulating the negative cognition.
The dynamics of fear, a framework for understanding a critical incident and resolving issues of vulnerability and powerlessness, will
be presented. The model discusses the importance of going beyond defining the moment of peak stress to elucidating subsequent
thoughts, actions, and decisions. The implications for cognitive interweaves will be discussed.
Keywords: CISM Critical Incidence Stress Management Recent Events
Accuracy Verified: Yes
89. Tarquinio, C. (2010, June). EMDR applied for traumatic bereavement after train collision. In Accident victims. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The aim of these exploratory study is to test the application
of therapy EMDR in case of traumatic bereavement. The
traumatic bereavement, which corresponds to the brutal loss of
"other significant", answers a precise clinical picture whose principal
characteristics are the intrusive thoughts concerning the
late one and of the difficulties of adjustment to the loss (feeling
of vacuum, difficulties of recognizing the death, irritability, lack
of reactivity, etc.). The 8 participants all of this study are of the took peace on October 12, 2006 in Zoufftgen. The subjects, old
on average 35.2 years ( S D = l I . l ) and including 75% women,
followed between 8 to 15 meetings (m=10.75, SD = 2.21) answering
protocol EMDR The effectiveness of the therapy was
evaluated starting from several criteria including traumatic bereavement,
anxiety, depression and psychological distress. Five
evaluations were carried out: before the therapy (TO), after six
meetings (TI), at the end of the therapy (T2), then in three
months (T3) and twelve months (T4) after the end of the therapy.
The principal results seem to indicate an effectiveness of the
therapy EMDR. Indeed, we observe a reduction in all the indicators
between the beginning (TO) and the end of the therapy
(TI). Moreover, when this reduction does not continue to three
and twelve months, it remains, at least, stable at one year. These
observations are very encouraging especially when it is known
that 10 to 15% of the patients develop a chronic depression.
Keywords: Accident Victims Symposium Train Accident Traumatic Bereavement
Accuracy Verified: Yes
90. van den Berg, D., & Staring, T. (2011, April). EMDR bij patiënten met psychosen, wie durft? [EMDR in patients with psychosis, who dares?]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging.
Language: Dutch
Format: Conference
Abstract:
Patiënten met psychosen hebben vaak ernstige trauma’s meegemaakt. PTSS is bij hen een van de meest voorkomende co-morbide stoornissen. De meeste therapeuten hanteren een psychotische stoornis echter als contra-indicatie voor EMDR. Tijdens deze presentatie tonen wij dat EMDR ondanks psychotische problematiek gewoon kan worden toegepast en dat dit slechts minimale aanpassingen vergt.
Wij zetten daarna uiteen wat de verschillende toepassingsgebieden bij deze doelgroep zijn. EMDR kan namelijk niet alleen veilig en effectief toegepast worden bij psychosen met co-morbide PTSS, het kan ook een belangrijke rol hebben binnen CGT bij stemmen en wanen. Traumatische (leer)ervaringen zijn immers vaak betrokken bij het ontstaan van wanen en hallucinaties. Daarnaast liet recent onderzoek zien dat niet alleen retrospectieve targets behandeld kunnen worden met EMDR, maar ook situaties in de toekomst, de zogenoemde ‘flash forwards’. Dit is nuttig voor patiënten die herhaaldelijk geconfronteerd worden met stemmen of met situaties waarin paranoide gedachten worden getriggerd. Videomateriaal wordt getoond om de presentatie te ondersteunen. Tot slot is er aandacht voor obstakels in de toepassing van EMDR bij deze doelgroep. Aan het einde is er ruimte voor vragen en discussie.
Patients with psychoses often experienced severe trauma. PTSD is with them one of the most common co-morbid disorders. Most therapists use a psychotic disorder but as a contraindication to EMDR. During this presentation we demonstrate that EMDR despite psychotic problems can easily be applied and that it requires only minimal adjustments.
We then set out what the different application of this target group. EMDR can not safely and effectively used in psychoses with co-morbid PTSD, it can also have an important role in CBT for voices and delusions. Traumatic (learning) experiences are often involved in the pathogenesis of delusions and hallucinations. In addition, recent studies showed that not only retrospective targets can be treated with EMDR, but also situations in the future, called "flash forwards". This is useful for patients who are repeatedly confronted with situations in which voices or paranoid thoughts are triggered. Video material is shown to support the presentation. Finally, consideration of obstacles in the application of EMDR with that audience. At the end there is room for questions and discussion.
Keywords: Pyschosis
Accuracy Verified: Yes
91. de Roos, C., & Went, M. (2010, April). EMDR bij preverbaal trauma [EMDR for trauma, preverbal]. Presentatie aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
Hoe kan je preverbaal trauma verwerken, zodat er ruimte ontstaat voor herstel, inhalen en voortgang van de ontwikkeling?
Ook infants (0-4 jarigen) kunnen allerlei traumatische gebeurtenis(sen) in de eerste levensjaren meemaken zoals intrusieve medische handelingen, seksueel misbruik en andere vormen van mishandeling. Herinneringen aan deze gebeurtenissen zijn preverbaal en niet op bewust nivo toegankelijk. Bij deze jonge kinderen is het dan ook moeilijk te zien in hoeverre er sprake is van traumatisering. Door hun beperkte cognitieve ontwikkeling is verbale communicatie over ingrijpende gebeurtenissen niet of beperkt mogelijk. Soms zie je na enige tijd gedragsveranderingen bij dagelijkse handelingen die eerder geen probleem vormden (verzet bij verschonen, bij tandenpoetsen e.d.). Dit gedrag kan echter ook gekoppeld zijn aan de ontwikkelingsfase. Het diagnostisch beeld wordt duidelijker wanneer gedragsveranderingen (verzet, verdriet maar ook submissie!) zich voordoen bij soortgelijke traumatische ervaringen zoals nieuwe medische behandelingen. De link naar de onverwerkte traumatische gebeurtenis(sen) ligt dan voor de hand.
De ouder kan soms uit angst of schuldgevoel over de ingrijpende gebeurtenis(sen) niet goed meer als steunfiguur en opvoeder optreden. Door een klachtbestendigend interactiepatroon kunnen gedragsproblemen van het kind zelfs verergeren. De omgeving gaat denken aan ADHD of ASS...
Aan de hand van casuïstiek van infants bij wie sprake is van traumatisering worden de aanpassingen aan het EMDR protocol getoond bij de behandeling van 0 tot 4 jarigen. Pas na de verwerking van de traumatische herinneringen wordt echt duidelijk wat de invloed is geweest op het verloop van de ontwikkeling van het kind, zoals een sociaal emotionele achterstand, vertraagde spelontwikkeling etc. Er komt ruimte voor herstel, inhalen en voortzetten van de ontwikkeling. Zo nodig wordt een EMDR traject voor ouders ingezet om de behandeling af te maken.
Vorm
In de presentatie worden theorie en praktijk gecombineerd. Videobeelden ondersteunen het verhaal.
How do you handle preverbal trauma, so there room for rehabilitation, catch up and progress of the development?
Even infants (0-4 year olds) can all traumatic event(s) in the first years of life experience as intrusive medical procedures, sexual abuse, and other forms of abuse. Preverbal memories of these events, not consciously accessible level. In these young children it is therefore difficult to see how there is trauma. Because of their limited cognitive development, verbal communication on major events is not possible or limited. Sometimes you see after a while behavioral changes in daily operations which were previously not a problem (resistance to changing, with teeth, etc.). This behavior can also be linked to the development. The diagnostic picture becomes clearer when behavioral change (resistance, but also sadness Submission!) arise from similar traumatic experiences such as new medical treatments. The link to the unprocessed traumatic event (s) is then obvious.
The parent can sometimes out of fear or guilt about the traumatic event(s) not functioning properly to support action figure and educator. By klachtbestendigend interaction pattern may even worsen the child's behavior. The environment is reminiscent of ADHD or ASD ...
Based on case reports of infants with trauma,0 to 4 years old treated with the EMDR protocol show changes only after the processing of traumatic memories is really clear that the impact has been on the course of the development of the child as a social-emotional retardation, slow game development etc. There is room for recovery, overtaking and continued development. If necessary, an EMDR process for parents is used to finish the treatment.
Form
In the presentation combining theory and practice. Video images support the story.
Keywords: Prevebral Trauma
Accuracy Verified: Yes
92. Hagen, H., & Baas, J. (2008, Maart). EMDR binnen de schematherapie voor persoonlijkheidsproblematiek van young enkele overwegingen [Schema therapy EMDR within the personality issues of young a few thoughts]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
De laatste jaren is er veel vooruitgang geboekt in de behandeling van persoonlijkheidstoornissen van met name de borderline persoonlijkheidsstoornis (BPS) met Cognitieve Gedrags Therapie (CGT). Vooral de Schematherapie van Jeffrey Young gooit hoge ogen. Bij een hoog percentage van mensen met persoonlijkheidstoornissen en met name weer bij BPS is er sprake van traumatische gebeurtenissen in de voorgeschiedenis. EMDR gooit hoge ogen in de behandeling van de gevolgen van trauma’s. Een goede vraag is dan ook wat de plaats is van EMDR binnen de Schematherapie. Op deze vraag zullen wij ingaan tijdens onze presentatie.
Eerst presenteren we een simpel model hoe je naar persoonlijkheidstoornissen kunt kijken en uit welke componenten een behandeling meestal zal bestaan. Vervolgens kijken we wat EMDR te bieden heeft binnen de verschillende componenten.
Bij onze presentatie zullen we steeds praktische voorbeelden geven van succes en falen van EMDR binnen Schematherapie en bezien wat we daar uit kunnen leren.
De lezing is niet geschikt voor beginners. Kennis van Schema Focused Therapy wordt aanbevolen.
In recent years there has been much progress in the treatment of personality disorders, especially borderline personality disorder (BPD) and Cognitive Behavioral Therapy (CBT). Especially the Schema Therapy Jeffrey Young gets top marks. In a high percentage of people with personality disorders and BPD in particular, again there is a history of traumatic events. EMDR gets top marks in the treatment of the effects of trauma. A good question is what the site is within the Schema Therapy EMDR. On this question we will discuss during our presentation.
First we present a simple model of how personality disorders can look at and which components of treatment will usually exist. Then we see what EMDR has to offer within the various components.
In our presentation we will always offer practical examples of success and failure of Schema Therapy EMDR inside and see what we can learn from.
The lecture is not suitable for beginners. Schema Focused Therapy knowledge is recommended.
Keywords: Personality Disorder Schema Therapy
Accuracy Verified: Yes
93. Balbo, M. (2008, Novembre). EMDR e disturbi alimentari [EMDR and eating disorders]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
I Disturbi del comportamento alimentare per la complessità che li caratterizza comportano spesso problematiche relative alla diagnosi, alla scelta del trattamento primario e al tipo di terapia.
Il Workshop si propone di rispondere al quesito: “da dove cominciare”, come pianificare il trattamento con l’EMDR , qual è il problema centrale e quindi il primo e più importante da affrontare per aiutare il paziente a superare la preoccupazione estrema per il cibo e le forme corporee.
Gli argomenti che verranno presentati si propongono di affrontare le seguenti aree.:
• Diagnosi descrittiva.
• DSM IV: chiarezza classificatoria.
• Multifattorialità dei disturbi dell'alimentazione.
• Integrazione dell’EMDR nel trattamento: quando e con quale paziente.
• Ricerca dei target significativi nella storia di vita del paziente.
• Preparazione del paziente per il trattamento EMDR, come affrontare il blocco emozionale del paziente DCA e la fuga dalla consapevolezza; installazione di risorse e immagini chiave
• La motivazione al cambiamento nei pazienti difficili.
• La relazione terapeutica.
• Intervento psicoeducazionale.
• Lavoro sui target del passato.
• Aree di contenuto utilizzabili per l’intervento integrativo-cognitivo, analisi dei pensieri disfunzionali.
• Lavoro sui target del presente (gestione delle “emergenze”)
• Lavoro sul futuro:prevenzione delle ricadute e conclusione del trattamento.
• Discussione di casi.
Disorders of eating behavior of the complexity that characterizes them often involve issues related to diagnosis, choice of primary treatment and type of therapy. The Workshop aims to answer the question: "where to start, how to plan treatment with EMDR, which is the central problem and then the first and most important deal to help the patient to overcome the extreme concern for food and body shapes. The topics to be presented are intended to address the following areas.: • descriptive diagnosis. • DSM IV classificatory clarity. • multifactorial nature of eating disorders. • Integrating EMDR treatment: when and how patient. • Research targets in the history of the patient's life. • Preparing the patient for treatment EMDR, how to address the emotional blocks of the patient and the flight from DCA awareness; installation of resources and key images • The motivation to change in patients difficult. • The therapeutic relationship. • psycho-educational intervention. • Work on target in the past. • Content areas used for Integrated intervention-cognitive analysis of dysfunctional thoughts. • Work on this target (management of "emergencies") • Work on the future: prevention of relapses and end of treatment. • Discussion of cases.
Keywords: Eating Disorders
Accuracy Verified: Yes
94. Tonetti, F. (2008, Novembre). EMDR e trauma complesso in adolescente [EMDR and trauma in adolescents complex]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
N. è stata portata in Italia a 14 anni con l’illusione di lavorare come baby sitter, finisce invece vittima dello sfruttamento sessuale organizzato e per circa un anno subisce violenze sessuali, fisiche e psicologiche. Con forza e coraggio notevoli, riesce a fuggire, nuda, da un’auto dove stava subendo l’ennesima violenza. Ha gravi lesioni sul corpo, viene soccorsa e portata in ospedale, dove decide di denunciare i suoi vittimizzatori.
Il caso finisce alla Procura del Tribunale per i Minorenni e N. viene collocata, sotto falso nome, in una comunità.
Il mio primo contatto con la ragazza avviene quando ha 16 anni ed è in comunità da cinque mesi. Presenta ancora i sintomi invadenti del PTSD: flashback, incubi, panico, pensieri ossessivi, isolamento, distacco emotivo che a volte la fa apparire molto calma, sovreccitazione. Non sa controllare gli impulsi e regolare le emozioni: passa dalla rabbia, che sfoga picchiando pugni contro il muro fino a ferirsi o spaccando tutto ciò che le capita sotto mano, alla eccitazione, alla depressione con sentimenti di inutilità a vivere, di colpa e di vergogna (sintomi di PTSD Complesso). Propongo e spiego da subito l’EMDR ritenendo che sia l’unico approccio terapeutico utile; stabiliamo piano terapeutico e N. esprime il suo consenso al trattamento. Particolare attenzione, data la problematicità, alla fase di preparazione e stabilizzazione. Nell’anamnesi emerge primo trauma a 10 anni, prima ricorda di essersi sentita amata e protetta. Rafforzo queste esperienze positive che diventano risorse in suo possesso. Fondamentale si rivela la psicoeducazione sui disturbi: N. accoglie con sollievo l’idea che non è “pazza” o “indemoniata” ma solo traumatizzata. Immaginiamo comportamenti alternativi per esprimere le emozioni e strategie di coping.
Posto al Sicuro: servono due sedute per stabilizzare e installare il posto al sicuro.
Il protocollo EMDR sarà applicato fedelmente nelle sue fasi; i target del passato affrontati in ordine cronologico.
N. è sempre partita da 1 nella scala VoC e da 10 nella SUD; ha concluso tutte le sedute con SUD: 0 e VoC: 6 /7. Ha avuto abreazioni e una volta ha chiesto di fermarsi: la NC era”sto per morire”.
Sono stati raggiunti, dopo 10 mesi di terapia, gli obiettivi del piano terapeutico: la sintomatologia post-traumatica si è risolta dopo otto sedute.
No was taken to Italy 14 years with the illusion of working as a babysitter, instead ends up a victim of sexual exploitation and organized for about a year suffer sexual violence, physical and psychological. With remarkable courage and strength, manages to escape, naked, from where a car was undergoing yet another violence. He has serious injuries on the body, is rescued and taken to hospital, where he decides to denounce his victimization.
The event ends at the General Prosecutor of the Juvenile Court and N. is placed under a false name, in a community.
My first contact with the girl when she is 16 years and is shared by five months. Still has the intrusive symptoms of PTSD: flashbacks, nightmares, panic, obsessive thoughts, isolation, emotional detachment that sometimes makes it appear very calm, excitement. Can not control impulses and regulate emotions: anger passes, which unleashed banging his fists against the wall until injury or cracking everything that happens at hand, the excitement, depression with feelings of futility in life, guilt and shame (symptoms of complex PTSD). Propose and explain EMDR now believing it is the only therapeutic approach useful, we establish a treatment plan and N. expresses its consent to treatment. Particular attention, given the problematic, the preparation and stabilization. Nell'anamnesi apparent trauma to the first 10 years, first recalls that she felt loved and protected. Reinforces these positive experiences that become resources in their possession. Reveals the basic psychoeducation about the disorder: No welcomes with relief the idea that is not "mad" or "possessed" but traumatized. Imagine alternative behaviors to express emotions and coping strategies.
Safe place: it takes two sessions to stabilize and secure way to install.
The EMDR protocol is applied faithfully in its early stages, the targets of the past dealt with in chronological order.
No always started from a ladder in VOC and 10 in South, has completed all the sessions with SUD: 0 and VOC: 6 / 7. Abreactions and had once asked to stop: the NC was "I am going to die."
Were achieved after 10 months of therapy, the goals of treatment plan: post-traumatic symptoms resolved after eight sessions.
Keywords: Adolescents Complex Trauma
Accuracy Verified: Yes
95. 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
96. Farrell, D., Keenan, P., & Basil, J. (2006, March). EMDR HAP training in India in the aftermath of the tsunami. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract:
On 26th December 2005 the southern coastline of India was hit by a tsunami, which resulted in the deaths of over 28,000 people. This natural disaster caused the widespread devastation to the region. As part of the EMDR Humanitarian Assistance Programme as series of EMDR Levels 1 and 2 were established in Chennai, Southern India offering training to mental health workers specifically working the tsunami affected areas. The project was funded by Cerner/First Hand Foundation project with the remit primarily focusing upon the trauma impact upon children. For the purpose of this presentation, the Chennai project will be outlined, providing insight into how the trainings were carried out from a teaching and learning perspective. It will also consider trauma experiences from a cultural viewpoint, which potentially challenges western constructs of PTSD phenomena. Particular attention wil be focused upon the aspects of the Negative and Positive Cognition and how this seems to be potentially a cultural component to the EMDR protocol. Indian practitioners determined that 'mind and body' are one in the same. Yet EMDR training emphasises the importance of distinguishing between thoughts and feelings. As a result many of the trainees struggled with this aspect. Discussion will also explore more widespread trauma characteristics of the tsumani including how the trauma impacted from an individual, family, and community perspective.
Keywords: HAP Training Tsunami
Accuracy Verified: Yes
97. Grant, M. (1997, July). EMDR in a multi-modal approach to chronic pain. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Abstract:
This is an outline of a psychological treatment approach to chronic
pain, integrated with medical treatment, based on EMDR.
EMDR consists of a combination of various elements of standard approaches to pain
management, together with innovations such as dual focus of attention and bilateral
stimulation. Although EMDR initially utilized bilateral eye-movements (EM'S), bilateral tones
and tapping are now also utilized. One of the central elements of EMDR is a desensitization
procedure in which the patient is assisted to focus on the negative thoughts feeling and
sensations associated with their problem, whilst simultaneously attending to a bilateral
stimulation (visual, auditory or tactile). This is frequently followed by change in the level of
distress associated with the problem (Shapiro. 1989, 1995).
Keywords: Chronic Pain
Accuracy Verified: Yes
98. Shapiro, F., & Forrest, M. (2002). EMDR in aktion - Die neue kurzeittherapie in der praxis [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. Paderborn, Germany, Junfermann Verlag GmbH & Co.
Language: German
Format: Book
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) ist eine von Francine Shapiro entwickelte innovative klinische Behandlungsmethode für Trauma-Opfer. Aufgrund äußerst positiver neuer Untersuchungsergebnisse ist EMDR mittlerweile die am gründlichsten untersuchte Methode zur Behandlung der Posttraumatischen Belastungsstörung (PTBS). Gleichzeitig werden Untersuchungen über die Möglichkeiten der Anwendung von EMDR bei anderen Störungen durchgeführt. EMDR ist eine zeitsparende, umfassende Methode zur Behandlung traumatischer Erfahrungen, die die Ursache vieler Pathologien sind. Als integratives Therapiemodell, das verhaltenspsychologische, kognitive, psychodynamische, körperorientierte und systemische Elemente umfaßt, ermöglicht EMDR, in relativ kurzer Zeit tiefreichende und stabile Resultate zu erzielen. Die EMDR-Behandlungssequenz, die acht Phasen umfaßt und Augenbewegungen sowie andere Methoden der Rechts-Links-Stimulation nutzt, hilft Trauma-Opfern bei der Aufarbeitung beunruhigender Gedanken und Erinnerungen. Dieses umfassende Basiswerk zum Thema EMDR gibt einen Überblick über die Entwicklung und Erforschung der neuen Methode. Zu den vielen Patientengruppen, bei denen mit EMDR gearbeitet werden kann, zählen die Opfer von sexuellem Mißbrauch, von Verbrechen, kämpferischen Auseinandersetzungen, Kriegsfolgen und Phobie-Patienten. Als Einführung in eine neue wichtige Methode im Bereich der Traumabehandlung ist dieses Buch eine unverzichbare Lektüre für alle Kliniker und Forscher, die sich für die Arbeit mit Trauma-Opfern interessieren. Das Lehrbuch zu EMDR, dieser neuen, so überaus erfolgreichen Therapiemethode zur Behandlung von Traumaopfern.
EMDR (Eye Movement Desensitization and Reprocessing) is a technology developed by Francine Shapiro innovative clinical treatment for trauma victims. Due to extremely positive new findings EMDR is now the most thoroughly studied method for the treatment of post traumatic stress disorder (PTSD). At the same tests are carried out on the possibilities of the use of EMDR with other disorders. EMDR is a time-saving, comprehensive method for the treatment of traumatic experiences, which are the cause of many diseases. As an integrative therapy model includes the behavioral, cognitive, psychodynamic, body-oriented and systemic elements, EMDR allows to achieve in a relatively short time, profound and stable results. The EMDR treatment sequence that includes eight stages, and uses eye movements as well as other methods of left-right stimulation helps trauma victims in the processing disturbing thoughts and memories. This comprehensive work based on EMDR provides an overview of the development and exploration of the new method. Among the many groups of patients that can be worked in those with EMDR, including the victims of sexual abuse, crime, fight conflicts, war and phobia patients. As an introduction to an important new method in the field of trauma treatment, this book is a unverzichbare reading for all clinicians and researchers interested in working with trauma victims. The textbook to EMDR, this new, so very successful treatment method for the treatment of trauma victims
Accuracy Verified: Yes
99. Sack, M., Lempa, W., & Lamprecht, F. (2003). EMDR in der behandlung dissoziativer störungen [EMDR in the treatment of dissociative disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 1 (3), 25-33.
Language: German
Format: Journal
Abstract: Keywords: Dissociative Disorders, Psychotherapeutic Processes Accuracy Verified: Yes 100. Bohm, K., & Voderholzer, U. (2010, September). EMDR in der behandlung von zwangsstörungen: Eine fallserie [Use of EMDR in the treatment of obsessive-compulsive disorders: A case series]. Verhaltenstherapie [Behavior Therapy], 20(3), 175–181. doi:10.1159/000319439 . Language: English Format: Journal Abstract: (The above link is to the English version of the German article.) Keywords: Obsessive Compulsive Disorder OCD Psychotherapeutic Method Psychotherapy Research Accuracy Verified: Yes 101. Beer, R., & Bronner, M. B. (2010). EMDR in paediatrics and rehabilitation: An effective tool for reduction of stress reactions?. Developmental Neurorehabilitation, 13(5), 307-309. doi:10.3109/17518423.2010.502914. Language: English Format: Journal Abstract: Keywords: Editorial Pediatrics Rehabilitation Stress Reduction Accuracy Verified: Yes 102. Gonzalez, A., Mosquera, D., & Moskowitz, A. (2012, June). EMDR in psychosis and severe mental disorders [EMDR
en
psicosis
y
trastorno
mental
severo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Psychosis Severe Mental Disorders Accuracy Verified: Yes 103. Sugimoto, K. (2010, July). EMDR in the treatment for post-traumatic stress after stillbirth: How can we help grieving mothers?. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Grief Mothers Poster Posttraumatic Stress Disorder PTSD Stillbirth Accuracy Verified: Yes 104. Shapiro, R. (2009). EMDR Solutions II: For depression, eating disorders, performance, and more. New York, NY: W. W. Norton & Co. Language: English Format: Book Abstract: Keywords: Depression, Eating Disorders, Performance Accuracy Verified: Yes 105. Phillips, K. M., Freund, B., Fordiani, J., Kuhn, R., & Ironson, G. (2009). EMDR treatment of past domestic violence: A clinical vignette. Journal of EMDR Practice and Research, 3(3), 192-197. doi:10.1891/1933-3196.3.3.192. Language: English Format: Journal Abstract: Keywords: Domestic Violence Posttraumatic Stress Disorder PTSD Treatment Outcome Accuracy Verified: Yes 106. Erdmann, C. (2007). EMDR und chronischer schmerz [EMDR and chronic pain]. Psychotherapeutisches Zentrum Bad Mergentheim, Deutschland. Language: German Format: Conference Abstract: Keywords: Chronic Pain Protocol Treatment Protocol Accuracy Verified: Yes 107. Saint Paul, N. V. (2001). EMDR und systemische familientherapie [EMDR and family systems therapy]. EMDRIA Deutschland e.V. Rundbrief, 2, 14-17. Language: German Format: Newsletter Abstract: Keywords: Family Systems Therapy Accuracy Verified: Yes 108. Lovett, J. M. (1995, June). EMDR with Children: Eleven months to eleven years. Presentatioj at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Children Accuracy Verified: Yes 109. Bisping, V. (2011, June). EMDR with patients with dentophobia. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Dentophobia Accuracy Verified: Yes 110. Gastright, J. (1995). EMDR works! Is that enough?. Cincinnati Skeptic, 4(3), 1-3. Language: English Format: Magazine Abstract: Keywords: General Overview Skeptic Accuracy Verified: Yes 111. Lange, A., & van de Kerkhoff, K. (2001). EMDR zonder oogbewegingen is imaginaire confrontatie (EMDR (E + M) = IC) [EMDR without eye movements is imaginary confrontation (EMDR - (E + M) = IC)]. Directieve Therapie, 21(3), 246-256. doi:10.1007/BF03060261. Language: Dutch Format: Journal Abstract: Keywords: Grief Imaginary Confrontation Trauma Accuracy Verified: Yes 112. Johannesson, K. B. (2001, April). EMDR – psychotherapy in posttraumatic stress syndrome in young people. Swedish Council on Health Technology Assessment in Health Care (SBU), Stockholm, Sweden. Language: English Format: Other Abstract: Keywords: Posttraumatic Stress Disoder PTSD Young People Accuracy Verified: Yes 113. Faust, T.
(2012, June). EMDR, los estados del yo, los policías y las reinas en un caso de ansiedad ante los exámenes[EMDR, ego states, policemen and Queens in a case
of test anxiety]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: Spanish Format: Conference Abstract: Keywords: Ego States Policement, Queens Test Anxiety Accuracy Verified: Yes 114. Dyregrov, A. (1993, Oktober). EMDR: Ny metode for traumebehandling [EMDR: A new method in the treatment of trauma]. Tidsskrift for Norsk Psykologforening, 30(10), 975-981. Language: Norwegian Format: Journal Abstract: Keywords: Bereavement Empirical Study Eye Movements Posttraumatic Stress Disorder PTSD Robbery Survivors Systematic Desensitization Accuracy Verified: Yes 115. Shapiro, F. (2008, May). EMDR: 21st-century therapy and the possibilities for healing. Presentation at the Academy for Guided Imagery Conference. Language: English Format: Conference Abstract: Keywords: Webcast Accuracy Verified: Yes 116. Shapiro, F. (2008). EMDR: Desensibilización y reprocesamiento por medio de movimiento ocular [EMDR: Eye movement desensitization and reprocessing]. Santa Cruz Atoyac: Pax Mex Editorial. Language: Spanish Format: Book Abstract: Accuracy Verified: Yes 117. Sweeney, S. (2013, January-April). EMDR: Recovering lives by moving out trauma. The Crazy Wisdom Community Journal, 54-60. Language: English Format: Newsletter Abstract: Accuracy Verified: Yes 118. Grant, M. (2000, May). EMDR: A new treatment for trauma and chronic pain. Complementary Therapies in Nursing and Midwifery, 6(2), 91-94. doi:10.1054/ctnm.2000.0459. Language: English Format: Journal Abstract: Keywords: Chronic Pain Pain Control Trauma Accuracy Verified: Yes 119. Siano, J. (2008, April). Emergency intervention in art therapy with EMDR and somatic experiencing. Workshop presentation at the 1st Bi-annual International European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands
. Language: English Format: Conference Abstract: Keywords: Art Therapy Emergency Intervention Somatic Experiencing Accuracy Verified: Yes 120. Pitman, R., Orr, S., Altman, B., Longpre, R., Poire, R., Macklin, M., Michaels, M. J., & Steketee, G. S. (1996, November-December). Emotional processing and outcome of imaginal flooding therapy in Vietnam veterans with chronic posttraumatic stress disorder. Comprehensive Psychiatry, 37(6), 409-418. doi:10.1016/S0010-440X(96)90025-5. Language: English Format: Journal Abstract: Keywords: Emotional Processing Flooding Therapy Posttraumatic Stress Disorder PTSD Vietnam Veterans Accuracy Verified: Yes 121. Grainger, R., Levin, C., Allen-Byrd, L., Doctor, R., & Lee, H. (1997, October). An empirical evaluation of eye movement desensitization and reprocessing (EMDR) with survivors of a natural disaster. Journal of Traumatic Stress, 10(4), 665-671. doi:10.1023/A:1024806105473. Language: English Format: Journal Abstract: Keywords: Adults Americans Disaster Effects Empirical Study Hurricane Andrew (1992) Hurricanes Longitudinal Study Non-Randomized Study Survivors Treatment Effectiveness Trauma Accuracy Verified: Yes 122. Montgomery, R. W. (1993). An empirical investigation of eye movement desensitization. Georgia State University, Atlanta, GA. AAT 9409413. Language: English Format: Dissertation/Thesis Abstract: Keywords: Clinical Trial Posttraumatic Stress Disorder PTSD Treatment Effectiveness Accuracy Verified: Yes 123. Keller, M. (2010, July). Enhancing EMDR with mindfulness skills. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Mindfulness Skills Accuracy Verified: Yes 124. Ginger, S. (2008, Juillet). Enrichir la Gestalt - thérapie par l’EMDR [Enriching Gestalt - EMDR therapy]. International Journal of Psychotherapy, 12(2), 70-75. Language: French Format: Journal Abstract: Keywords: Gestalt Therapy Accuracy Verified: Yes 125. Ginger, S. (2007, Juin ). Enrichir la gestalt - Thérapie par l’EMDR [Enriching gestalt - EMDR therapy]. Document présenté au Congrès de l' European Association for Psychotherapy Europan (EA), Florence, Italie. Language: French Format: Conference Abstract: Keywords: Gestalt Therapy Accuracy Verified: Yes 126. Corrigan, F. M., & Jennett, J. (2004, August). Ephedra alkaloids and brief relapse in EMDR-treated obsessive compulsive disorder. Acta Psychiatrica Scandinavica, 110(2), 158. doi:10.1111/j.1600-0047.2004.00368.x. Language: English Format: Journal Abstract: Keywords: Comment Desensitization Ephedra Letter Luvoxamine Obsessive Compulsive Disorder OCD Plant Preparations Relapse Reply Review Serotonin Uptake Inhibitors Accuracy Verified: Yes 127. Oswalt, R., Anderson, M., Hagstrom, K., & Berkowitz, B. (1993, August). Evaluation of the one-session eye-movement desensitization reprocessing procedure for eliminating traumatic memories. Psychological Reports, 73(1), 99-104. doi:10.2466/pr0.1993.73.1.99 . Language: English Format: Journal Abstract: Keywords: Americans College Students Empirical Study Intrusive Thoughts Psychiatric Inpatients Treatment Effectiveness Accuracy Verified: Yes 128. Harnett, S. (2012, November 12). Even with new treatments, few PTSD vets seek help. KALW, San Francisco, CA. Retrieved from http://www.kalw.org/post/even-new-treatments-few-ptsd-vets-seek-help on 12/10/212. Language: English Format: Other Abstract: Keywords: Army Posttraumatic Stress Disorder PTSD Veterans Accuracy Verified: Yes 129. Montgomery, R. W., & Ayllon, T. (1994, March). Eye movement desensitization across images: A single case design. Journal of Behavior Therapy and Experimental Psychiatry, 25(1), 23-28. doi:10.1016/0005-7916(94)90059-0
. Language: English Format: Journal Abstract: Keywords: Americans Assault Case Report Females Longitudinal Study Middle Aged Motor Traffic Accidents Posttraumatic Stress Disorder PTSD Survivors Accuracy Verified: Yes 130. MacCulloch, M. J. (1999). Eye movement desensitization and reprocessing. Advances in Psychiatric Treatment, 5, 120-125. doi:10.1192/apt.5.2.120. Language: English Format: Journal Abstract: Accuracy Verified: Yes 131. Substance Abuse and Mental Health Services Administration (SAMHSA). (2010, October). Eye movement desensitization and reprocessing. National Registry of Evidence-Based Programs and Practices, U.S. Department of Health and Human Services (HHS). Retrieved from http://nrepp.samhsa.gov/ViewIntervention.aspx?id=199 on 3/25/2011. Language: English Format: Other Abstract: Keywords: Intervention Summary Accuracy Verified: Yes 132. Shapiro, F. (1998, April). Eye movement desensitization and reprocessing (EMDR). Audio Digest Psychiatry, 27(7). Language: English Format: Audio Abstract: Keywords: Lecture Practice Theory Transcript Accuracy Verified: Yes 133. Fernandez, I. (2001, Aprile). Eye movement desensitization and reprocessing (EMDR). Psicoterapia Cognitiva e Comportamentale, 7(1), 35. Language: English Format: Journal Abstract: Accuracy Verified: Yes 134. Finley, P. A. (2002, April). Eye movement desensitization and reprocessing (EMDR) in the treatment of sex offenders. Walden University, Minneapolis, MN. AAT 3068413. Language: English Format: Dissertation/Thesis Abstract: Keywords: Empirical Study Male Sex Offenders Relapse Prevention Sex Offenders Sex Offenses Sex Offender Treatment Therapeutic Intervention Accuracy Verified: Yes 135. Wilson, S., Becker, L., & Tinker, R. (1995, December). Eye movement desensitization and reprocessing (EMDR) treatment for psychologically traumatized individuals. Journal of Consulting & Clinical Psychology, 63(6), 928-937. doi:10.1037/0022-006X.63.6.928 . Language: English Format: Journal Abstract: Keywords: Adults Americans Empirical Study Intrusive Thoughts Longitudinal Study Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 136. Goldstein, A., & Feske, U. (1994, October-December). Eye movement desensitization and reprocessing for panic disorder: A case series. Journal of Anxiety Disorders, 8(4), 351-362. Language: English Format: Journal Abstract: Keywords: Adults Americans Anxiety Disorders Empirical Study Panic Disorder Phobia Treatment Effectiveness Accuracy Verified: Yes 137. Cerone, M. R. (2000). Eye movement desensitization and reprocessing in the psychological treatment of combat-related guilt: A study of the effects of eye movements. Temple University, Philadelphia, PA. AAT 9990301. Language: English Format: Dissertation/Thesis Abstract: Keywords: Adults Americans Empirical Study Guilt Posttraumatic Stress Disorder PTSD Treatment Effectiveness War Veterans Accuracy Verified: Yes 138. Shepherd. J., & Stein, K. (1998). Eye movement desensitization and reprocessing in the treatment of post traumatic stress disorder. Development and Evaluation Committee (Report No. 91). Bristol, UK: South and West Regional Health Authority [Southampton]: Wessex Institute for Health Research and Development. Language: English Format: Publication Abstract: Keywords: Posttraumatic Stress Disorder PTSD Therapy Accuracy Verified: Yes 139. Coleman, G. L. (1999, October). Eye movement desensitization and reprocessing in the treatment of posttraumatic stress disorder: An investigational study of the eye movement component using a within-subject design. Chicago School of Professional Psychology, Chicago, IL. AAT 9926476. Language: English Format: Dissertation/Thesis Abstract: Keywords: Avoidance Case Report Empirical Study Females Intrusive Thoughts Middle Aged PTSD Treatment Effectiveness Treatment Outcome/Clinical Trial Accuracy Verified: Yes 140. Waters, L. (1997, Spring). Eye movement desensitization and reprocessing treatment for combat PTSD: Commentary. Psychotherapy: Theory, Research, Practice, Training, 34(1), 99. doi:10.1037/h0087777 . Language: English Format: Journal Abstract: Keywords: Commentary Combat Experience Comment Military Posttraumatic Stress Disorder PTSD Reply Veterans Vietnam War Veterans Accuracy Verified: Yes 141. Solomon, R. (2008, November). Eye movement desensitization and reprocessing:
Clinical case presentation. Master clinician series at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL. Language: English Format: Conference Abstract: Keywords: Eight Phases Master Series Three-Pronged Protocol Accuracy Verified: Yes 142. Tootell, E. (2004). Eye movement desensitization and reprocessing: A comprehensive literature review. Argosy University, San Francisco, CA. AAT 3118435. Language: English Format: Dissertation/Thesis Abstract: Keywords: Literature Review Treatment Effectiveness Accuracy Verified: Yes 143. Zeper, R. S. (1996). Eye movement desensitization and reprocessing: A multiple baseline study. The Union Institute, Cincinnati, OH. AAT 9701084. Language: English Format: Dissertation/Thesis Abstract: Keywords: Adults Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial Accuracy Verified: Yes 144. Martin, P. M. (1997, March). Eye movement desensitization and reprocessing: A critical review. United States International University, San Diego, CA. AAT 9810369. Language: English Format: Dissertation/Thesis Abstract: Keywords: Emotional Trauma Literature Review Methodology Theories Accuracy Verified: Yes 145. Feener, R. S. (2004). Eye movement desensitization and reprocessing: A new method in the treatment of performance anxiety for singers. Florida State University, Tallahassee, FL. AAT 3156073. Language: English Format: Dissertation/Thesis Abstract: Keywords: Bilateral Brain Stimulation Brain Stimulation Cognitive Processes Emotional Trauma Eye Movements Information Processing System Mental Health Musicians Performance Anxiety Posttraumatic Stress Disorder PTSD Singers Stress Syndromes Trauma Accuracy Verified: Yes 146. Ilic Z., & Jovic, V. (1997). Eye movement desensitization in therapy of war veterans. European Psychiatry, 12, Supplement 2, 1997, 193s-193s. doi:10.1016/S0924-9338(97)80583-4. Language: English Format: Journal Abstract: Accuracy Verified: Yes 147. Shapiro, F. (1990, July). Eye movement desensitization procedure: A new treatment for anxiety. The California Psychologist, 18-19. Language: English Format: Newsletter Abstract: Keywords: Anxiety Commentary Hypnotherapy Accuracy Verified: Yes 148. Foster, S., Lendl, J., & Wilson, D. (1992, July). Eye movement desensitization useful against anxiety, trauma. The California Psychologist, 20. Language: English Format: Magazine Abstract: Accuracy Verified: Yes 149. Shapiro, F. (1989, September). Eye movement desensitization: A new treatment for post-traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 20(3), 211-217. doi:10.1016/0005-7916(89)90025-6. Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 150. Rosen, G. M., McNally, R. J., & Lilienfeld, S. O. (1999, September 22). Eye movement magic: Eye movement desensitization and reprocessing a decade later. The Skeptic, 7(4), 66-69. Language: English Format: Magazine Abstract: Keywords: Practice Skepticism Theory Accuracy Verified: Yes 151. Taylor, S. (2002, January). An eye on EMDR, does controversial trauma therapy really work?: Con No miracle cure. Parkhurst Exchange, 20(1), 25. Language: English Format: Magazine Abstract: Keywords: Controversy Efficacy Flaw General Overview Outcome Studies Accuracy Verified: Yes 152. Alatalo, G. L. (1994). Eye-movement desensitization and reprocessing: A new treatment for trauma. Spalding University, Louisville, KY. AAT 9522299. Language: English Format: Dissertation/Thesis Abstract: Keywords: Americans Avoidance Cognitive Impairment Empirical Study Intrusive Thoughts Longitudinal Study Self Concept Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial Accuracy Verified: Yes 153. Staff. (2013, January). Eye-opening treatment for PTSD. Army. Retrieved from https://www.army.mod.uk/news/24729.aspx on 3/7/2013. Language: English Format: Magazine Abstract: Keywords: Military Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 154. Wildwind, L. (1995, June). Facilitating live consultation. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Consultation Accuracy Verified: Yes 155. McNally, R. J., & Solomon, R. M. (1999, February). The FBI’s Critical Incident Stress Management program. FBI Law Enforcement Bulletin, 68(2), 20-26. Language: English Format: Newsletter Abstract: Eye movement desensitization
and reprocessing (EMDR) is a component
of the FBI's integrated response
to critical incidents. A therapeutic
method that must be
administered only by mental health
professionals trained in the procedure,
EMDR frequently accelerates
the treatment of trauma. Reportedly,
EMDR stimulates the brain's
natural information-processing
mechanisms, allowing the ÒfrozenÓ
traumatic information to be processed
normally and achieve integration.
8 Negative images often
fade; negative emotions subside. Irrational
thoughts give way to appropriate,
adaptive thoughts and interpretations
(e.g., I did the best I
could...I survived and I am now
safe...I can exercise control). With
EMDR, an individual discards what
is not useful (e.g., irrational
thoughts, distressing emotions, intrusive
images), retains what is
useful, and learns from the event, as
the following hypothetical example
illustrates. Keywords: Critical Incident Stress FBI Recent Events Accuracy Verified: Yes 156. Malgiozzi, T., & Magliozzi, R. (2005, June 26). Form of post-traumatic stress disorder seen in accident victims. Pittsburgh, PA: Pittsburgh Post-Gazette, Five Star, Business, K-12. Language: English Format: Newspaper Abstract: Keywords: Motor Vehicle Accidents Pittsburgh Posttraumatic Stress Disorder PSTD Accuracy Verified: Yes 157. Bergmann, U. (2000, September). Further thoughts on the neurobiology of EMDR: The role of the cerebellum in accelerated information processing. Traumatology, 6(3), 175-200. doi:10.1177/153476560000600303 . Language: English Format: Journal Abstract: Keywords: Cognitive Processes Neurobiology Posttraumatic Stress Disorder PTSD Sleep Behavior Stressors Survivors Accuracy Verified: Yes 158. Bergmann, U. (1999, November). Further thoughts on the neurobiology of EMDR: The role of the cerebellum in accelerated information processing. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Miami, FL. Language: English Format: Conference Keywords: Adaptative Information Processing AIP Cerebellum Neurobiology Accuracy Verified: Yes 159. Bergmann, U. (1996, June). Further thoughts on the neurophysiology of EMDR. EMDRIA Newsletter, 1(1), 5-9. Language: English Format: Newsletter Abstract: Keywords: Cognitive Processes Neurobiology Posttraumatic Stress Disorder PTSD Sleep Behavior Stressors Survivors Accuracy Verified: Yes 160. Hornsveld, H., & Berendsen, S.
(2009). Geschiedenis en achtergronden [History and background]. In H. K. Hornsveld & S. Berendsen, Casusboek EMDR, 25 voorbeelden uit de praktijk , (1st Ed.), (pp. 17-25). Houten: Bohn Stafleu Van Loghum, 358 pages. doi:10.1007/978-90-313-7358-1_1. Language: Dutch Format: Book Section Abstract: Keywords: History Accuracy Verified: Yes 161. Cairella, C. (2012, June). Getting to the heart of the matter: Using EMDR effectively with couples [Llegando
al
corazón
del
problema:
El
empleo
efectivo
de
EMDR
con
parejas]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Couples Accuracy Verified: Yes 162. Waldon, A. P. (2004). Goodbye yucky thoughts and feelings: An EMDR workbook for children. LuLu.com and EMDRResources.com. Language: English Format: Book Abstract: Accuracy Verified: Yes 163. Tutarel-Kislak, S. (2004, December). Görme engelli bireyde göz hareketleriyle duyarsizlastirmave yeniden isleme tedavi yönteminin dize Hhafifçe vurma alternatifininuygulanmasi: Bir olgu sunumu [A knee tapping variant of eye movement desensitization and reprocessing with a blind person: A case report]. Türk Psikoloji Yazilari, 7(14), 77-90. Language: Turkish Format: Journal Abstract: Keywords: Blind Clinical Case Study Knee Knee Tapping Accuracy Verified: Yes 164. Carvalho, E. (2013, April). Healing the folks who live inside: How EMDR can heal our inner gallery of roles. EMDR Treinamento e Consultoria Ltda. Language: English Format: Book Abstract: Keywords: Inner Gallery of Roles Accuracy Verified: Yes 165. Maltz, W. (1995, June). Healing the sexual problems caused by sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Sexual Abuse Sexual Issues Accuracy Verified: Yes 166. Waldon, A. P. (2006). Hello Strength & Bravery: A Resource Workbook for Children. (Online) LuLu.com and EMDRResources.com. Language: English Format: Book Abstract: Keywords: Children Accuracy Verified: Yes 167. Shapiro, F. (2012, August 29). Helping you and your children make it through divorce. Huffington Post. Retrieved from on http://www.huffingtonpost.com/francine-shapiro-phd/helping-you-and-your-chil_2_b_1837948.html?utm_hp_ref=divorce-advice 9/5/2012.. Language: English Format: Other Abstract: Accuracy Verified: Yes 168. Grey, E. (2009, August). Holistically stressed: A qualitative investigation of EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA . Language: English Format: Conference Abstract: Keywords: Poster Sub-Clinical Stress Accuracy Verified: Yes 169. Shapiro, F. (2012, June 13). How to take back your power after a divorce. Huffinton Post. Retrieved from http://www.huffingtonpost.com/francine-shapiro-phd/how-to-take-back-your-pow_b_1582534.html on 6/13/2012. Language: English Format: Other Abstract: Accuracy Verified: Yes 170. Lallerstedt, C. (2010). Hypnos som komplement till EMDR i behandling av posttraumatiskt stressyndrom [Hypnosis as an adjunct to EMDR in the treatment of post-traumatic stress disorder]. Orebro, Sweden: Mementum Nr 50, Rapportserie från Psykiatriskt forskningscentrum. Language: Swedish Format: Book Abstract: Keywords: Hypnosis Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 171. Lallerstedt, C. (2010). Hypnos som komplement till EMDR i behandling av posttraumatiskt stressyndrom: En deskriptiv studie, del 1 [Hypnosis as an adjunct to EMDR in the treatment of post-traumatic stress disorder: A descriptive study, part 1]
. HypnosNytt, 3, 5-17. Language: Swedish Format: Journal Abstract: Keywords: Hypnosis Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 172. Plassmann, R. (2009). Im eigenen rhythmus, die EMDR-behandlung von essstörungen, bindungsstörungen, allergien, schmerz, angststörungen, tinnitus und süchten [In our own rhythm, the connection allergy disorders EMDR treatment of eating disorders, pain, anxiety disorders, tinnitus and addictions]. Giessen, Deutschland:: Psychosozial-Verlag. Language: German Format: Book Abstract: Keywords: Addictions Anxiety Disorders Eating Disorders Pain Tinnitus Accuracy Verified: Yes 173. Tupponce, J. (2005, January 20). In the mind’s eye: Ocular movement and rhythmic stimulation may curb bad thoughts. Richmond, VA: Richmond Times-Dispatch, City, Explore, F-1. Language: English Format: Newspaper Abstract: Keywords: General Overview Richmond Accuracy Verified: Yes 174. Bergmann, U. (2000, September/October). In your mind's eye: Speculations on the neurobiology of eye movement desensitisation and reprocessing (EMDR). New Therapist, 9, 24-27. Language: English Format: Magazine Abstract: Keywords: Neurobiology Accuracy Verified: Yes 175. Frustaci, A., Pozzi, G., Aurigemma, C., La Rosa, C., Lanza, G., Fernandez, I., & Ruggeri, G. (2006, Febbraio). Indicatori di cambiamento in pazienti
con disturbi da eventi stressanti: Impiego
della heart rate variability [Indicators of change in patients with disorders of stressful events: Use of heart rate variability]. Poster presentato al XI Congresso SOPSI (Società Italiana di Psicopatologia), Roma, Italia. Language: Italian Format: Conference Abstract: Keywords: Heart Rate Variability Poster Stress Disorders Accuracy Verified: Yes 176. Winkler, N. (2013, May 9). Innovative therapy helps Minnesotans recover from trauma. ABC Channel 5 Eye Witness News. Retrieved from http://kstp.com/article/stories/s3028427.shtml on 5/14/2013. Language: English Format: Video Abstract: Keywords: Trauma Accuracy Verified: No 177. 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: Keywords: Integration of the Spiritual Dimension Accuracy Verified: Yes 178. Glang, C., & Penner, C. (1996, June). Integrating EMDR with marital and family systems therapy. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Family Therapy Marital Therapy Accuracy Verified: Yes 179. 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: Keywords: Bowen Theory Poster Rape Sexual Disorders Victim Accuracy Verified: Yes 180. Sacco, G. (2006). Integrazioni ed eclettismo in psicoterapia - Psicoterapia: Integrazione, condivisione? - Alcune riflessioni preliminari [Integration and eclecticism in psychotherapy - Psychotherapy: Integration, sharing? - Some preliminary thoughts]. In M. Balbo (a cura). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR: A tool for dialogue among the psychotherapies] 1e edizione, (pp. 1-11) Milano: McGraw-Hill.. Language: Italian Format: Book Section Accuracy Verified: Yes 181. Albers, J. (2010, July). The interplay of resourcefulness and resilience in recovery: A six session approach treating addictive behaviour, an extended EMDR protocol. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Addiction Addictive Behavior Resourcefulness Resilience Accuracy Verified: Yes 182. Thomson, S. S. (1993). An interview with Francine Shapiro, Ph.D., Part II. Treating Abuse Today, 3(3), 17-22. Language: English Format: Magazine Abstract: Keywords: Francine Shapiro Interview Accuracy Verified: Yes 183. Shapiro, E., & Laub, B. (2008, September). Introduction to the (revised) recent traumatic episode protocol (R-TEP): A newly applied conceptual perspective for early EMDR Intervention (EEI). Author. Language: English Format: Other Abstract: Keywords: Recent Events Recent Traumatic Events R-TEP Protocol Accuracy Verified: Yes 184. Lytle, R. A. (1993). An investigation of the efficacy of eye-movement desensitization in the treatment of cognitive intrusions related to memories of a past stressful event. Pennsylvania State University. AAT 9334778. Language: English Format: Dissertation/Thesis Abstract: Keywords: Biologic Markers College Students Intrusive Thoughts Negative Therapeutic Reaction Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness Witnesses Accuracy Verified: Yes 185. Bowden, M. (1995, June 16). It looks like finger-wagging. Logansport, Indiana: Pharos-Tribune, A4. Language: English Format: Newspaper Abstract: Accuracy Verified: Yes 186. Onsager, D., Settle, C., & Adler-Tapia, R. (2004). Kid’s list of cognitions. Authors. Language: English Format: Other Abstract: Keywords: Cognitions Accuracy Verified: Yes 187. Lovett, J. M. (2000). Kleine wunder [Small wonders]. Paderborn: Junfermann. Language: German Format: Book Abstract: Keywords: Children Stressors Survivors Accuracy Verified: Yes 188. Musruck, D., & Pringle, A. (2003, July). Korean war flashbacks: Treating PTSD. Mental Health Nursing, 23(4), 4-8. Language: English Format: Journal Abstract: Keywords: Adults British Case Report Cognitive Therapy Exposure Therapy Korean War Males Posttraumatic Stress Disorder PTSD Reactivation Therapeutic Writing Veterans Accuracy Verified: Yes 189. Gurel, D. (2010). Kronik aðrý tedavisinde güncel bir
psikoterapotik yaklaþým: Göz hareketleri ile
duyarsýzlaþtýrma ve yeniden yapýlandýrma [Eye movement desensitization and reprocessing (EMDR) in treatment of chronic pain as a contemporary psychotherapeutic approach]. Klinik Psikiyatri Dergisi, 13(1), 36-41. Language: Turkish Format: Journal Abstract: Keywords: Chronic Pain Pain Disorders Pain Psychotherapy Accuracy Verified: Yes 190. Ventura, M. (2006). La desensibilización y el reprocesamiento por medio de movimientos oculares [EMDR] en el tratamiento del trauma emocional [Eye movement desensitization and reprocessing EMDR for the treatment of emotional trauma]. Psicología Conductual Revista Internacional de Psicología Clínica de la Salud, 14(3), 387-400. Language: Spanish Format: Newsletter Abstract: Keywords: Bilateral Stimulation Cognitive Processes Cognitive Reprocessing Emotional Trauma Eye Movements Posttraumatic Stress Disorder PTSD Trauma Traumatic Memories Accuracy Verified: Yes 191. Haour, F., & Servan-Schreiber, D. (2009). Les bases neuroscientifiques de l’EMDR [Neuroscientific bases of EMDR]. In J. Cottraux (Ed.), TCC et Neurosciences (pp.187-202). Issy-les-Moulineaux: Elsevier Masson. Language: French Format: Book Section Abstract: Keywords: Neuroscience Neuroscientific Bases Accuracy Verified: Yes 192. Noga, S. (2001, May 14). Letters: EMDR not hypnosis. Detroit, MI: The Detroit News, No Dot, Letters, 08A. Language: English Format: Newspaper Abstract: Keywords: Detroit General Overview Accuracy Verified: Yes 193. Yoeli, F. R. (2002, May/June). Life in the shadow of anxiety; The mask of OCD:
and EMDR. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany. Language: English Format: Conference Abstract: Keywords: Obsessive Compulsive Disorder OCD Accuracy Verified: Yes 194. Wilkinson, S. (2000, Summer). Media review - A closer look. Bulletin of the Menninger Clinic, 64(3), 435-436. Language: English Format: Newsletter Abstract: T Accuracy Verified: No 195. Perry, B. D. (2002). Memories of fear: How the brain stores, retrieves physiologic states, feelings, behaviors and thoughts from traumatic events. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Accuracy Verified: Yes 196. Perry, B. D. (1999). Memories of fears: How the brain stores and retrieves traumatic experiences. In J. Goodwin and R. Attias, Splintered reflections: Images of the body in trauma, (Eds.)(1st Ed.)(pp. 9-38). New York: Basic Books . Language: English Format: Book Section Abstract: Accuracy Verified: Yes 197. Lister, D. (2001, July-December). Memory and the brain: Some thoughts about the neurobiology of regeneration. The New Philosophy, 131-151. Language: English Format: Journal Abstract: Keywords: Brain Memory Neurobiology Accuracy Verified: Yes 198. Brewin, C. (2003, March). Memory, identity and post-traumatic stress disorder. Keynote at the 1st annual Conference of the EMDR UK & Ireland Association, London, UK. Language: English Format: Conference Abstract: Keywords: Identity Memory Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 199. Standart, S. (2012, October). Mints and EMDR: Olfactory methods of bilateral stimulation. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK
. Language: English Format: Conference Abstract: Keywords: Olfactory Methods Accuracy Verified: Yes 200. Kleinman, J. R. (1993, March). More thoughts on EMDR training. the Behavior Therapist, 16(3), 88-89. Language: English Format: Newsletter Abstract: Keywords: Training Accuracy Verified: Yes 201. Weisensee, K. (1999, June). N=1: The 1st guinea pig’s report of its experiences with experimental software for self-administering. EMDRIA Newsletter, 4(2), 13, 28, 32. Language: English Format: Newsletter Abstract: Accuracy Verified: Yes 202. 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: Keywords: Narcissistic Personality Disorder Accuracy Verified: Yes 203. Amendolia, R. D. (1998). A narrative constructivist perspective of treatment of posttraumatic stress disorders with Ericksonian hypnosis and eye movement desensitization and reprocessing. Trauma Response, 13-14. Language: English Format: Journal Abstract: Keywords: Eriksonian Hypnosis Narrative Constructionist Accuracy Verified: Yes 204. Chowdhury, E. H. (2007, August). Negotiating state and NGO politics in Bangladesh: Women mobilize against acid violence. Violence Against Women, 13(8), 857-873. doi:10.1177/1077801207302046. Language: English Format: Journal Abstract: Keywords: Acid Violence Bangladesh Naripokkho Women’s Activism Accuracy Verified: Yes 205. Bergmann, U. (2004). Neurobiologia del EMDR: Especulaciones y pensamientos [Neurobiology of EMDR: Speculations and thoughts]. In R.O. Lescano & D. Arazi (Eds.), Trauma y EMDR: Un nuevo abordaje Terapeutico [Trauma and EMDR: A new therapeutic approach] (pp. 271-294), Buenos Aires: EMDRIA Latinoamerica. Language: Spanish Format: Book Section Abstract: Keywords: Neural Mechanisms Neurobiology Accuracy Verified: Yes 206. Gower, T. (2002, May). The new quick-fix therapy. Health, 98-99. Language: English Format: Magazine Abstract: Keywords: Fear of Flying General Overview Accuracy Verified: Yes 207. Shultz, M. (2007, April 24). New therapy helps families heal. Cleburne, TX: Cleburne Times-Review. Language: English Format: Newspaper Abstract: Keywords: Cleburne, TX General Overview Accuracy Verified: Yes 208. Krystal, S. (2003). A nondual approach to EMDR: Psychotherapy as satsang. In J. J. Prendergast, P. Fenner, & S. Krystal (Eds.), The sacred mirror: Nondual wisdom and psychotherapy, (1st ed.) (pp. 116-137). St. Paul, MN: Paragon House Publishers. Language: English Format: Book Section Abstract: Keywords: Being Fully Present Now Clinical Case Study Cognitive Processes Emptiness Information Processing Model Integrative Psychotherapeutic Approach Models Nondual Approach Psychotherapeutic Processes Psychotherapy Accuracy Verified: Yes 209. Goes, D. A. B. (2012, Novembro). O poder da minha prática: Um caso clínico de enurese noturna [The power of my practice: A case study of nocturnal enuresis]. In EMDR na infância. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Clinical Case Enuresis Accuracy Verified: Yes 210. Morris, M. (2009, March 4). OCD & PSTD. Pulse, 69(7), 25-27, 3. Language: English Format: Magazine Abstract: Keywords: Compulsive Behavior Diagnosis Eye Movement Obsessive Compulsive Disorder OCD Posttraumatic Stress Disorder PTSD Treatment Accuracy Verified: Yes 211. Shillington, P. (2001, October 4). On post-traumatic stress. Miami, FL: The Miami Herald, Final, Living, 3E. Language: English Format: Newspaper Abstract: Keywords: General Miami Overview Accuracy Verified: Yes 212. Rosen, G. M. (1995, June). On the origin of eye movement desensitization. Journal of Behavior Therapy and Experimental Psychiatry, 26(2), 121-122. doi:10.1016/0005-7916(95)00014-Q. Language: English Format: Journal Abstract: Keywords: Letter Professional Criticism Accuracy Verified: Yes 213. Keenan, P. S. (2004, September). Outcome of CBT with adults; The treatment of non-psychotic morbid jealousy using EMDR and cognitive
interweave. Poster presented at the 34th annual Conference of the European Association for Behavioural and
Cognitive Therapies, University of Manchester Institute of Science and Technology(UMIST), Manchester, England. Language: English Format: Conference Abstract: Keywords: CBT Cognitive Behaviorial Therapy Cognitive Interweave Morbid Jealousy Accuracy Verified: Yes 214. Kravic, N., & Hasanovic, M. (2011, January). P02-377 - Moral conflict and first sexual experience - Case presentation. European Psychiatry, 26(Supplement 1), 973-973. doi:10.1016/S0924-9338(11)72678-5. Language: English Format: Journal Abstract: Keywords: Sexual Experience Accuracy Verified: Yes 215. Agius, M., Middleton, E., & Zaman, R. (2011, January). P02-466 - Audit and re-audit of patients with PTSD in a community team in Bedfordshire, UK. European Psychiatry, 26(1), 1062. doi:10.1016/S0924-9338(11)72767-5. Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 216. Plummer, C. D. (2007). Performance enhancement for brass musicians using eye movement desensitization and reprocessing. University of Cincinnati, Cincinnati, OH. AAT 3262543. Language: English Format: Dissertation/Thesis Abstract: Keywords: Auditory Stimulation Brass Musicians Empirical Study Hemispheres Musicians Posttraumatic Stress Disorder PTSD Quantitative Study Syndromes Accuracy Verified: Yes 217. Sandstrom, M., Wiberg, B., Wikman, M., Willman, A. K., & Hogberg, U. (2008, March). A pilot study of eye movement desensitization and reprocessing treatment (EMDR) for post-traumatic stress after childbirth. Midwifery, 24(1), 62–73. doi:10.1016/j.midw.2006.07.008. Language: English Format: Journal Abstract: Keywords: Adults Childbirth Females Longitudinal Study Posttraumatic Stress Disorder PTSD Survivors Swedes Treatment Effectiveness Accuracy Verified: Yes 218. Strom, I., & Christie, H. (2001, May). Possible EMDR targets when working with children diagnosed with OCD: A case history. Poster presented at the EMDR Europe Association annual meeting, London, UK . Language: English Format: Conference Abstract: Keywords: Children Obsessive Compulsive Disorder OCD Poster Accuracy Verified: Yes 219. Yule, W. (1999) . Post-traumatic stress disorders: Concepts and therapy. Chichester, England: John Wiley and Sons. Language: English Format: Book Abstract: Keywords: PTSD Treatment Adults Children Survivors Adolescents Coping Behavior Social Support Networks Personality Traits Psychobiology Intrusive Thoughts Cognitive Processes Cognitive Therapy Behavior Therapy Research Needs Epidemiology Etiology Accuracy Verified: Yes 220. Herbert, J. D., & Forman, E. M. (2006). Posttraumatic stress disorder. In J. E. Fisher & W. T. O'Donohue (Eds.), Practitioner's Guide to Evidence-Based Psychotherapy (pp. 555-566). New York: Springer. Language: English Format: Book Section Abstract: Keywords: Posttraumatic Stress Disorder PSTD Accuracy Verified: Yes 221. Cohen-Posey, K. (2011, May). The power of EMDR: Evoking the self. Presentation at the Israel EMDR Association. Language: Hebrew Format: Conference Abstract: Accuracy Verified: Yes 222. Lamprecht, F. (2000). Praxis der traumatherapie: Was kann EMDR leisten? (mit Therapieführer) [Practice of trauma therapy: What can EMDR?]. Stuttgart: Pfeiffer bei Klett-Cotta. Language: German Format: Book Abstract: Accuracy Verified: Yes 223. Woodward, C. L. (2001). Processing trauma: studies into posttraumatic stress disorder, eye movement desensitisation and reprocessing and posttraumatic growth. University of Warwick. Language: English Format: Dissertation/Thesis Abstract: Keywords: Posttraumatic Growth Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 224. Janssen, W. C., & van der Beek, J. (2010). Prospectieve intrusies worden minder levendig en onaangenaam door oogbewegingen [Prospective intrusions are less vivid and uncomfortable by eye movements]. Utrecht, Nederlands: Universteit Utrecht. Language: Dutch Format: Dissertation/Thesis Abstract: Keywords: Prospective Intrusions Working Memory Theory Accuracy Verified: Yes 225. Solomon, R. M. (1992, December). Protocol for desensitization of recent traumatic events. EMDR Network Newsletter, 2(2), 12-13. Language: English Format: Newsletter Abstract: Keywords: Protocol Recent Event Accuracy Verified: Yes 226. Luber, M. (2012). Protocol for excessive grief. Journal of EMDR Practice and Research, 6(3), 129-135. doi:10.1891/1933-3196.6.3.129. Language: English Format: Journal Abstract: Keywords: Death Grief Intrusive Images Scripted Protocols Unresolved Loss Accuracy Verified: Yes 227. Tarquinio, C., Fayard, A., & Mousel, P. (2008, June). Psychological consequences of family violence act in a small group of women victims
and EMDR therapy: Preliminary results. Presentation at the 9th annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Family Violence Act Accuracy Verified: Yes 228. Schellong, J. (2010, June). Psychophysiological responsivity to trauma and internal resources in patients with PTSD and healthy subjects. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Posttraumatic Stress Disorder PTSD Research Responsivity Symposium Trauma Accuracy Verified: Yes 229. Solomon, S. D. (1997, Winter). Psychosocial treatment of posttraumatic stress disorder. In Session: Psychotherapy in Practice, 3(4), 27-41. doi:10.1002/(SICI)1520-6572. Language: English Format: Journal Abstract: Keywords: Adults Cognitive Therapy Drug Therapy Exposure Therapy Group Psychotherapy Hypnotherapy Posttraumatic Stress Disorder Prevention Psychoanalytic Psychotherapy PTSD Stressors Survivors Accuracy Verified: Yes 230. Schnyder, U. (2005). Psychotherapies pour les PTSD – Une vue d’ensemble [Psychotherapies for PTSD – An overview]. Psychotherapies, 25(1), 39-52. doi:10.3917/psys.051.0039. Language: French Format: Journal Abstract: Keywords: Crisis Intervention Interdisciplinary Treatment Approach Multimodal Treatment Posttraumatic Stress Disorder Power Therapies Psychotherapy PTSD Accuracy Verified: Yes 231. Engelhard, I. M., van den Hout, M. A., Dek, E. C. P., Giele, C. L., van der Wielen, J.-W., Reijnen, M. J., & van Roij, B. (2011, May ). Reducing vividness and emotional intensity of recurrent “flashforwards” by taxing working memory: An analogue study. Journal of Anxiety Disorders, 25(4), 599-603. doi:10.1016/j.janxdis.2011.01.009. Language: English Format: Journal Abstract: Keywords: Flashforwards Intrusive Images PTSD Working Memory Accuracy Verified: Yes 232. Cole, J. W. (2005). The reenactment protocol for trauma and trauma-related pain. In R. Shapiro, Robin (Ed.), EMDR solutions: Pathways to healing (pp. 213-227). New York: W W Norton & Co. Language: English Format: Book Section Abstract: Keywords: Physical Pain Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes Reexperiencing Stressors Survivors Accuracy Verified: Yes 233. Colosetti, S., & Thyer, B. A. (2000, October). The relative effectiveness of EMDR versus relaxation training with battered women prisoners. Behavior Modification, 24(5), 719-739. doi:10.1177/0145445500245006 . Language: English Format: Journal Abstract: Keywords: Adults African American Anxiety Disorders Avoidance Battery Drug Abuse Effectiveness Empirical Study European Americans Females Intrusive Thoughts Quantitative Study Posttraumatic Stress Disorder Prison Inmates PTSD Rape Relaxation Therapy Survivors Treatment Outcome/Clinical Trial Treatment Spouse Abuse Accuracy Verified: Yes 234. Laub, B. (2006, August). Resource connection (RC) protocol (group and individual). Author. Language: English Format: Other Abstract: Keywords: Resource Connection Protocol Accuracy Verified: Yes 235. 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: Keywords: Culture Ethnicity Spirituality Trauma Accuracy Verified: Yes 236. 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: Keywords: Culture Ethnicity Spiriturality Accuracy Verified: Yes 237. Twombly, J. H. (2001, December). Safe place imagery: Handling intrusive thoughts and feelings. EMDRIA Newsletter, 6(Special Edition), 35-38. Language: English Format: Newsletter Abstract: Keywords: Dissociative Disorders Safe Place Imagery SPI Accuracy Verified: Yes 238. Carvalho, E. (2012, May). Sanando la pandilla que vive adentro: Cómo las nuevas terapias de reprocesamiento pueden sanar nuestros roles internos [Healing the folks who live inside: How EMDR can heal our inner gallery of roles]. CreateSpace Independent Publishing Platform . Language: Spanish Format: Book Abstract: Keywords: Inner Gallery of Roles Accuracy Verified: Yes 239. Stickgold, R. (2013, May). Searching for the scientific basis of EMDR
[À la recherche des fondements scientifiques de l’EMDR]. Presentaton at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Memory Processing Posttraumatic Stress Disorder PTSD Scientific Models Sleep Cycle Sleep-Dependent Memory Evolution Accuracy Verified: Yes 240. Stickgold, R. (2013, May). Searching for the scientific basis of EMDR
[À la recherche des fondements scientifiques de l’EMDR]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Memory Processing Posttraumatic Stress Disorder PTSD Scientific Models Sleep Cycle Sleep-Dependent Memory Evolution Accuracy Verified: Yes 241. Sorensen, S. (2007). Seelische selbstheilungskraft
ganzheitliche EMDR-selbsttherapie und individuierende selbstanalyse [Mental self-healing: Holistic self-therapy and EMDR individuating self] . Norderstedt: Books on Demand GmbH . Language: German Format: Book Abstract: Keywords: Holistic Healing Individuation Accuracy Verified: Yes 242. Daniels, N. (2009). Self-care for EMDR practioners. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 399-400). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Accuracy Verified: Yes 243. Dodgson, P. W. (2007, June). Shame: The adaptive information processing model and introduction of the "protocol interweave" in EMDR with victims of torture, rape and organised violence. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Organised Violence Protocol Interweave Rape Shame Torture Accuracy Verified: Yes 244. Cole, M. (2012, June). A single case study of shy bladder syndrome. Poster presented at the BABCP Conference, Leeds, UK. Language: English Format: Conference Abstract: Keywords: Poster Shy Bladder Syndrome Accuracy Verified: Yes 245. Rogers, S., Silver, S. M., Goss, J., Obenchain, J., Willis, A., & Whitney, R. L. (1999, January-April). A single session, group study of exposure and eye movement desensitization and reprocessing in treating posttraumatic stress disorder among Vietnam War veterans: Preliminary data. Journal of Anxiety Disorders, 13(1-2), 119-130. doi:10.1016/S0887-6185(98)00043-7. Language: English Format: Journal Abstract: Keywords: Americans Empirical Study Exposure Therapy Middle Aged Posttrraumatic Stress Disorder PTSD Random Clinical Trial RCT Treatment Effectiveness Treatment Outcome/Clinical Trial Veterans Vietnam War Accuracy Verified: Yes 246. Stickgold, R. (2001, June). Sleep, dreams, PTSD, and EMDR: Who’s causing what?. Presentation at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Keywords: Dreams Posttraumatic Eye Movement PTSD Rapid Eye Movement REM Sleep Accuracy Verified: Yes 247. Ricci, R. J., Clayton, C. A., & Shapiro, F. (2006, December). Some effects of EMDR on previously abused child molesters: Theoretical reviews and preliminary findings. Journal of Forensic Psychiatry and Psychology, 17(4), 538-562. doi:10.1080/14789940601070431. Language: English Format: Journal Abstract: Keywords: Child Molester Childhood Sexual Abuse Emotional Trauma Empirical Study Eye Movements Pedophilia Phallometry Quantitative Study Sex Offenders Sexual Abuse Trauma Treatment Treatment Accuracy Verified: Yes 248. Vaughan, K. (1992, July). The specificity of symptom change in post-traumatic stress disorder treated with eye movement desensitisation. Presentation at the Fourth World Congress on Behaivour Therapy, Queensland, Australia . Language: English Format: Conference Abstract: Accuracy Verified: Yes 249. Kennett, L. (2007, November). Staat EMDR voor genezing? [EMDR stands for healing?]. Ode Magazine, 101. Retrieved from http://nl.odemagazine.com/doc/0101/staat-emdr-voor-genezing/ on 1/16/2011. Language: Dutch Format: Magazine Abstract: Accuracy Verified: Yes 250. Shapiro, F. (1996, June). Stray thoughts. EMDRIA Newsletter, 1(1), 2-5. Language: English Format: Newsletter Abstract: Keywords: Clinical Methods Evaluation Guidance Accuracy Verified: Yes 251. Shapiro, F. (1997, January). Stray thoughts. EMDRIA Newsletter, 2(3), 17-19. Language: English Format: Newsletter Abstract: Keywords: Research Review Accuracy Verified: Yes 252. Shapiro, F. (1998, March). Stray thoughts. EMDRIA Newsletter, 3(1), 2-4. Language: English Format: Newsletter Abstract: Keywords: Pioneers Accuracy Verified: Yes 253. Shapiro, F. (1995). Stray thoughts. EMDR Network Newsletter, 5(3), 1-2. Language: English Format: Newsletter Abstract: Keywords: General Accuracy Verified: Yes 254. Shapiro, F. (1992, May). Stray thoughts. EMDR Network Newsletter, 2(1), 1-2. Language: English Format: Newsletter Abstract: Keywords: Cancer Patients Protocol Courts Hypnosis Posttraumatic Stress Disorder PTSD Severe Illness Accuracy Verified: Yes 255. Shapiro, F. (1995). Stray thoughts. EMDR Network Newsletter, 5(1), 1-2. Language: English Format: Newsletter Abstract: Keywords: Oklahoma City Bombing Accuracy Verified: Yes 256. Shapiro, F. (1991, December). Stray thoughts. EMDR Network Newsletter, 1(2), 1-3. Language: English Format: Newsletter Abstract: Keywords: General Accuracy Verified: Yes 257. Shapiro, F. (1994). Stray thoughts. EMDR Network Newsletter, 4(1), 1-4. Language: English Format: Newsletter Abstract: Keywords: Procedural Elements Eye Movements Accuracy Verified: Yes 258. Shapiro, F. (1995). Stray thoughts: Procedural Elements. EMDR Network Newsletter, 5(2), 1-3. Language: English Format: Newsletter Abstract: Keywords: Procedural Elements Accuracy Verified: Yes 259. Shapiro, F. (1994). Stray thoughts: Affect, imagery, and memory. EMDR Network Newsletter, 4(3), 1-3. Language: English Format: Newsletter Abstract: Keywords: Affect Accuracy Verified: Yes 260. Shapiro, F. (1994). Stray thoughts: The eight phases of EMDR treatment. EMDR Network Newsletter, 4(2), 1-4. Language: English Format: Newsletter Abstract: Keywords: Eight Phases Accuracy Verified: Yes 261. Shapiro, F. (1993, Fall/Winter). Stray thoughts: Cautions. EMDR Network Newsletter, 3(2), 1-4. Language: English Format: Newsletter Abstract: Keywords: Cautions Client Safety Factors Accuracy Verified: Yes 262. Shapiro, F. (1992, December). Stray thoughts: Frozen childhood, Bio-electrical valence. EMDR Network Newsletter, 2(2), 1-2. Language: English Format: Newsletter Abstract: Keywords: Bio-electrical Valence Children Trauma Accuracy Verified: Yes 263. Shapiro, F. (1993, Winter). Stray thoughts: Issues of compliance in EMDR. EMDR Network Newsletter, 3(3), 1-2. Language: English Format: Newsletter Abstract: Keywords: Compliance Resistance Accuracy Verified: Yes 264. Shapiro, F. (1992, Winter). Stray thoughts: Memory retrieval. EMDR Network Newsletter, 2(3), 1-3. Language: English Format: Newsletter Abstract: Keywords: Memory Retrieval Repression Resistance Accuracy Verified: Yes 265. Shapiro, F. (1997, June). Stray thoughts: The search for integration. EMDRIA Newsletter, 2(4), 13-15. Language: English Format: Newsletter Abstract: Keywords: Treatment Effects Accuracy Verified: Yes 266. Magliozzi, T., & Magliozzi, R. (2005, July 8). Stress therapy may help car crash victims. Seattle, WA: Seattle Post-Intelligencer, Final, Wheels, F1. Language: English Format: Newspaper Abstract: Keywords: Letter Motor Vehicle Accidents Seattle Accuracy Verified: Yes 267. Gambuzza, C. A. (2010, June). Supervision, EMDR and ego state therapy. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany
. Language: English Format: Conference Abstract: Keywords: Ego State Therapy Supervision Accuracy Verified: Yes 268. Newman, K. (2006, November). Synthesis of previous research on eye movement desensitization and reprocessing (EMDR). Psychology 203,Mary Baldwin College, Staunton,VA.. Language: English Format: Other Abstract: Keywords: Literature Review Research Accuracy Verified: Yes 269. van Uijen, S. L. (2010). Taxing working memory during memory recall and the startle reflex. Utrecht, Nederlands: Universiteit Utrecht. Language: English Format: Dissertation/Thesis Abstract: Keywords: Intrusive memory Posttraumatic Stress Disorder PTSD Startle Reflex Working memory Accuracy Verified: Yes 270. Onofri, A. (2009, Novembre). Tema intervento: EMDR, stimolazione bilaterale ed elaborazione accellerata delle informazioni [Theme areas: EMDR, bilateral stimulation and accelerated development of information]. Presentatie op de 1e Internationale Conferentie Universa vergeleken universum Lipsi, Orvieto, TR, Italië. Language: Italian Format: Conference Abstract: Keywords: Andean Indian Culture Andean Shamanism Accuracy Verified: Yes 271. Pedone, E. (2010, June). Terapia familiare con l'ausilio dell'EMDR: Uno strumento forte per elaborare piccoli e grandi traumi vissuti dai bambini e dagli adulti [Family therapy with the aid of EMDR: A powerful instrument to process small and big traumas experienced by children and adults]. Ecologia della Mente, 33(1), 35-48, 0394-1310. Language: Italian Format: Journal Abstract: Keywords: Emotional Trauma Family Therapy Accuracy Verified: Yes 272. Tullis, K. F., Westscott, C. L., & Winton, T. R.
(2003). A theory on the use of cognitive behavioral therapy (CBT) plus eye movement desensitization and reprocessing (EMDR) to reduce suicidal thoughts in childhood trauma victims. In K. F. Tullis's (Ed.), The Courage to Live Workbook. Memphis: KFT Press. Language: English Format: Other Abstract: Keywords: CBT Cognitive Behavioral Therapy Accuracy Verified: Yes 273. Tarquinio, C., Fayard, A., & Tarquinio, P. (2007, Juin). Thérapie EMDR chez des vicimes d'accident d'automobile: Une suivi de 6 mois [A 6 month follow-up if victims of automobile accidents undergoing EMDR therapy]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France. Language: French Format: Conference Abstract: Keywords: Automobile Accident Motor Vehicle Accident Accuracy Verified: Yes 274. Rosenthal, H. 2006. Therapy's best: Practical advice and gems of wisdom from twenty accomplished counselors and therapists. Binghamton, NY, London: Haworth Reference. Language: English Format: Book Abstract: Keywords: Francine Shapiro Interview Practice Theory Accuracy Verified: Yes 275. Gomez, A. M. (2009). The thoughts kit for kids. Ana Gomez Products; ISBN: 978-0-9795274-1-8; http://www.anagomeztherapy.com/?page_id=8;. Language: English Format: Other Abstract: Accuracy Verified: Yes 276. Kaplan, S. (1998, September). Thoughts on EMDR and Arundhati Roy’s novel, The God of small things. EMDRIA Newsletter, 3(3), 28-30. Language: English Format: Newsletter Abstract: Keywords: Arundhati Roy Accuracy Verified: Yes 277. Robinson, N. S. (2001). Time-line EMDR. EMDRIA Newsletter, 6(3), 4-5. Language: English Format: Conference Abstract: Accuracy Verified: Yes 278. Pontes, N. O. (2012, Novembro). Transtorno reativo de vinculação na infância e suas repercussões emocionais negativas na vida adulta [Reactive attachment disorder in childhood and their negative emotional repercussions in adulthood]. In EMDR na infância. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Early Childhood trauma, Insecure Attachment Posttraumatic Stress DIsorder PTSD Trauma Accuracy Verified: Yes 279. Arrondo, A., Conde, I. L., Lapeña, P., Alcaiza, C., Ustárroz,J. T., Górriz, F., & Hernández, R. (2001). Tratamiento del trastorno por estres postraumatico mediante la desensibilizacion por movimientos oculares [Posttraumatic stress disorder treatment using eye movement desensitization]. Psiquis: Revista de Psiquiatría, Psicología y Psicosomática, 22(2), 28-36. Language: Spanish Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD Saccadic Movements Accuracy Verified: Yes 280. Nelson, S. (1994). Trauma and self-trust: EMDR can help. EMDR Network Newsletter, 4(1), 7-8. Language: English Format: Newsletter Abstract: Keywords: Self-Trust Trauma Accuracy Verified: Yes 281. de Roos, C., & van Rood, Y. R. (2011, August-September). Trauma treatment (EMDR) as part of CBT for
body dysmorphic disorder. In Case conceptualization
and treatment of body dysmorphic disorder. Symposium conducted at the 41st EABCT annual congress, Reykjavík, Iceland. Language: English Format: Conference Abstract: Keywords: Body Dysmorphic Disorder CBT Cognitive Behavioral Therapy Symposium Accuracy Verified: Yes 282. Midboe, A., Benight, C., Harding, A., Iwaishi, S., & Johnson, L. (2002, November). A trauma-based treatment intervention for
domestic violence victims. Poster presented at the 18th annual meeting of the International Society of Traumatic Stress Studies, Baltimore, MD. Language: English Format: Conference Abstract: Keywords: Domestic Violence Poster Accuracy Verified: Yes 283. Schubbe, O. (2006). Traumatherapie mit EMDR: Ein handbuch für die ausbildung [Trauma therapy with EMDR: A manual for the training]. Göttingen: Vandenhoeck & Ruprecht. Language: German Format: Book Abstract: Keywords: Trauma Accuracy Verified: Yes 284. Ransom, F. V. (1995, September 14). Traumatic relief: Area therapist helps Oklahoma City victims with new treatment. Dayton, OH: Dayton Daily News, 1C. Language: English Format: Newspaper Abstract: Keywords: Dayton Oklahoma City Accuracy Verified: Yes 285. Kavakcı, Ö., Yildirim, O., & Swan, N. (2010). Travma sonrası stres bozukluğu ve sınav kaygısı için EMDR: Olgu sunumu [EMDR for post traumatic stress disorder and test anxiety: A case report]. Klinik Psikiyatri Dergisi, 13(1), 42-47. Language: Turkish Format: Journal Abstract: Keywords: Case Report Posttraumatic Stress Disorer PTSD Test Anxiety Traffic Accidents Accuracy Verified: Yes 286. Kavakci, O., Yildirim, O., & Kugu, N. (2010). Travma sonrasý stres bozukluðu ve sýnav
kaygýsý için EMDR: Olgu sunumu [EMDR for postraumatic stress disorder and test anxiety: A case report]. Klinik Psikiyatri Dergisi[Journal of Clinical Psychology], 13(1), 42-47. Language: Turkish Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD Test Anxiety Accuracy Verified: Yes 287. Keenan, P. (2004, February). Treating non-psychotic morbid jealousy with EMDR utilising cognitive interweave. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK. Language: English Format: Conference Abstract: Keywords: Cognitive Interweave Jealousy Accuracy Verified: Yes 288. Clapson, J. (2013, February 3). Treating PTSD in the armed forces: How pupil movement is helping symptoms of post-traumatic stress. Soldier Magazine. Retrieved from https://www.gov.uk/government/news/treating-ptsd-in-the-armed-forces on 2/3/2013. Language: English Format: Newspaper Abstract: Keywords: Posttraumatic Stress Disorder PSTD Military Soldiers Accuracy Verified: Yes 289. Nickell, A. (1998, July 4). Treatment ends bad memories. Cheyenne, WY: Wyoming Tribune-Eagle, A6. Language: English Format: Newspaper Abstract: Keywords: Cheyenne General Overview Roger Ludwig Accuracy Verified: No 290. Klaff, F. R. (1995, June). Treatment of children's fears with EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Accuracy Verified: Yes 291. Graves, A. L. (1993). Treatment of post-traumatic stress disorder with eye movement desensitization and reprocessing (EMDR). Chicago School of Professional Psychology. AAT 9414735. Language: English Format: Dissertation/Thesis Abstract: Keywords: Case Report Empirical Study Intrusive Thoughts Middle Aged Posttraumatic Stress Disorder PTSD Treatment Effectiveness Accuracy Verified: Yes 292. Silver, S., Brooks, A., & Obenchain, J. (1995, April). Treatment of Vietnam war veterans with PTSD: A comparison of eye movement desensitization and reprocessing, biofeedback, and relaxation training. Journal of Traumatic Stress, 8(2), 337-342. doi:10.1007/BF02109568. Language: English Format: Journal Abstract: Keywords: Adults Americans Biofeedback Training Empirical Study Males Non-Randomized Study Posttraumatic Stress Disorder Psychiatric Inpatients PTSD Relaxation Therapy Treatment Effectiveness Veterans Vietnam War Accuracy Verified: Yes 293. Magliozzi, T., & Magliozzi, R. (2005, June 20). Treatment offers help for car crash victims. Charleston, WV: Charleston Daily Mail, Life, P2C. Language: English Format: Newspaper Abstract: Keywords: Charleston Letter Motor Vehical Accidents Accuracy Verified: Yes 294. Vaughan, K., Armstrong, M., Gold, R., O'Connor, N., Jenneke, W., & Tarrier, N. (1994, December). A trial of eye movement desensitization compared to image habituation training and applied muscle relaxation in post-traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 25(4), 283-291. doi:10.1016/0005-7916(94)90036-1
. Language: English Format: Journal Abstract: Keywords: Adults Australians Exposure Therapy Longitudinal Study Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Relaxation Therapy Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 295. Taylor, S. (2000, July 14). University of British Columbia UBC psychologists offer free post-trauma stress therapy. PressWire. Language: English Format: Other Abstract: Keywords: Trauma Therapy Accuracy Verified: Yes 296. Shapiro, F. (2010, July). Update of EMDR research, theory, and practice. Keynote presented at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Keynote Practice Research Theory Update Accuracy Verified: Yes 297. St. Andre, É. (2010, April/May). Use of EMDR in the treatment of obsessive compulsive disorder: a case study. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario. Language: English Format: Conference Abstract: Keywords: Obsessive Compulsive Disorder OCD Accuracy Verified: Yes 298. 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: Keywords: Aged British Case Report Imprisonment Interpersonal Interaction Intrusive Thoughts Jealousy Males Survivors Treatment Effectiveness Veterans War World War II Accuracy Verified: Yes 299. Allemagne, K. L. (2009, August). The use of EMDR with treatment resistant patients suffering from chronic obsessive-compulsive disorder. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA
. Language: English Format: Conference Abstract: Keywords: Obsessive-Compulsive Disorder OCD Poster Posttraumatic Stress Disorder PTSD Treatment Resistance Accuracy Verified: Yes 300. 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: Keywords: Military Posttraumatic Stress Disorder PTSD Terrorism Accuracy Verified: Yes 301. Blore, D. C. (1996, May). Use of eye movement to reduce stress after trauma. Nursing Times, 92(18), 43-45. Language: English Format: Magazine Abstract: Keywords: Adults British Industrial Accidents Personal Narrative Posttramatic Stress Disorder Psychologists PTSD Review Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 302. Kutz, I. (2007, June). The use of short-term EMDR for symptomic relief of acute stress syndrome in victims of the 2006 Israeli-Lebanese hostilities. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Acute Stress Syndrome Early Intervention War Accuracy Verified: Yes 303. Kutz, I. (2007, June). The use of single session EMDR protocol in acute stress syndromes (ASS). Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Acute Stress Syndrome Early Intervention Accuracy Verified: Yes 304. Tartakovsky, M. (2012, March). Using EMDR therapy to heal your past: Interview with creator Francine Shapiro. PsychCentral. [6 pages] Retrieved from http://psychcentral.com/lib/2012/using-emdr-therapy-to-heal-your-past-interview-with-creator-francine-shapiro/2/ on 3/26/2012. Language: English Format: Other Abstract: Keywords: Francine Shapiro Interview Accuracy Verified: Yes 305. Cecero, J. J., & Carroll, K. M. (2000, January). Using eye movement desensitization and reprocessing to reduce cocaine cravings. American Journal of Psychiatry, 157(1), 150-151. Language: English Format: Journal Abstract: Keywords: Cocaine Cravings Letter Accuracy Verified: Yes 306. Chang, G. (1998, March 27). Using flashing lights to banish bad memories. The Discovery Store, Science Today Online. Language: English Format: Other Abstract: Accuracy Verified: Yes 307. Wesselmann, D. (2000, December). The utilization of EMDR and ego state therapy with two severely depressed, dissociative clients. EMDRIA Newsletter, 5 (Special Edition), 19-24. Language: English Format: Newsletter Abstract: Keywords: Dissociation Ego State Therapy Accuracy Verified: Yes 308. Forgash, C. A. (1997, July). Utilizing EMDR consultation in a concurrent treatment model. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA. Language: English Format: Conference Abstract: Keywords: Concurrent Treatment Model Consultation Accuracy Verified: Yes 309. de Jongh, A., & ten Broeke, E. (2002). Verwerking van schokkende gebeurtenissen met eye movement desensitization and reprocessing (EMDR) [Processing of shocking events in eye movement desensitization and reprocessing (EMDR)]. Psychopraxis, 4(1), 18-20. doi:10.1007/BF03071976. Language: Dutch Format: Journal Abstract: Keywords: Trauma Accuracy Verified: Yes 310. Staff. (1995, May 29). What it is. Miami, FL: The Miami Herald, Final, Living, 1C. Language: English Format: Newspaper Abstract: Keywords: General Miami Overview Accuracy Verified: Yes 311. Wildwind, L. (1995, June). When something is wrong with me--EMDR and ADHD. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: ADHD Attention Deficit Hyperactive Disorder Accuracy Verified: Yes 312. Shapiro, F. (1993, Spring). Whence EMDR? Commentary. EMDR Network Newsletter, 3(1), 18-19. Language: English Format: Newsletter Abstract: Keywords: Response Accuracy Verified: Yes 313. Kasiviswanathan, T. K. (2002, November-December). Why not EMDR for PTSD?... eye movement desensitization and reprocessing. National Journal of Homoeopathy, 4(6), 359-361. Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR. Die EMDR-Behandlung ist nach unserer Erfahrung eine sehr effektive Technik zur Behandlung von traumatischen Erinnerungen bei Patienten mit dissoziativen Störungen. Das Ziel der Traumabehandlung bei dissoziativen Patienten zusätzlich zu der Verringerung der Belastung von posttraumatischen Symptomen, Aussetzen der zuvor abgespaltenen Erinnerungen im Sinne einer Integration von dissoziierten Erfahrung liegt. Die EMDR-Behandlung dissoziativer Patienten brauchen, wenn nötig. durch Ändern der Standard-Protokoll auf den einzelnen Elastizität eingestellt werden. Da dissoziative Speicher Barrieren durch eine EMDRBehandlung sehr schnell untergraben werden kann, kombiniert mit dem Risiko der Übererflutung durch aversive Reize, sollte dies nur von entsprechend erfahrenen Therapeuten und mit Sorgfalt im Rahmen einer umfassenden Traumatherapie eingesetzt werden.
Psychological treatment of traumatic stress disorders with EMDR. The EMDR treatment is, in our experience a very effective technique for the treatment of traumatic memories in patients with dissociative disorders. The aim of trauma treatment in dissociative patients in addition to reducing the burden of post-traumatic symptoms, exposing the previously split-off memories in the sense of an integration of dissociated experience content. The EMDR treatment of dissociative patients need, if necessary. be adjusted by modifying the standard protocol on the individual resilience. Since dissociative memory barriers through a EMDRBehandlung may be undermined very quickly, combined with the risk of Übererflutung by aversive stimuli, this should only be used by suitably experienced therapists and with care in the context of a comprehensive trauma therapy.
Hintergrund: Die kognitive Verhaltenstherapie mit Exposition
und Reaktionsverhinderung ist die am besten untersuchte
und derzeit wirksamste Therapie bei Zwängen.
15–40% der Patienten können jedoch nicht von diesem
Verfahren profitieren. Sie berichten Motivationsprobleme,
brechen die Behandlung vorzeitig ab oder zeigen
anhaltende Probleme in der Emotionsregulation. Der zusätzliche
Einsatz der Therapiemethode «Eye Movement
Desensitization and Reprocessing» (EMDR) zur Reduktion
dieser Schwierigkeiten wird vorgestellt und beschrieben.
Methode: Es werden drei Kasuistiken vorgestellt,
die mittels deskriptiver Analysen ausgewertet werden.
Hierbei wird auf das inhaltliche Vorgehen sowie die
Therapiemotivation und Emotionsregulation im Therapieverlauf
eingegangen. Ein Patient mit Kontrollzwängen
erhielt zunächst EMDR-Sitzungen und anschließend Expositionsübungen.
Eine andere Patientin mit vorwiegend
Zwangsgedanken wurde zuerst mit Expositionen und danach
mit EMDR behandelt. Im dritten Fall wurden Expositionen
und EMDR-Sitzungen abwechselnd durchgeführt.
Ergebnisse: Die drei behandelten Patienten berichteten
eine Reduktion der Zwänge um etwa 60%. EMDR
wurde von allen drei Patienten als motivierend und hilfreich
beschrieben. Die Arbeit an den Emotionen konnte
durch EMDR angeregt und verstärkt werden. Eine deutliche
Reduktion der Zwänge durch die Expositionen
zeigte sich bei 2 Patienten, während diese im Zuge der
EMDR-Sitzungen nur leicht abnahmen. Diskussion:
EMDR könnte eine vielversprechende Augmentationsoption
bei der Behandlung von Zwängen darstellen. Für
eine bessere Beurteilung sind kontrollierte und randomisierte
Studien erforderlich.
Introduction: Various studies have demonstrated that
cognitive behavioural therapy with exposure response
prevention is the most effective method to treat obsessive-
compulsive disorders. However, 15–40% of patients
do not respond to it; they cannot be motivated to undergo
treatment, drop out, or experience persisting difficulties
in regulating their emotions. In this article, EMDR
is presented as an additional method for these specific
problems. Method: Three case studies are reported and
descriptively analysed. Special focus is placed on the patients’
motivation and on how they regulate their emotions.
Different ways of applying EMDR in the course of
psychological treatment are described as well. EMDR before
confrontation therapy was applied in the first patient
(checking behaviour); the second patient (compulsive
thoughts) was first treated with confrontation therapy
and then with EMDR; in the third patient, EMDR and
confrontation therapy were applied alternately. Results:
All three patients showed a reduction of symptoms by
about 60%. They experienced EMDR as a useful and motivating
method. Furthermore, they felt encouraged to
deal with their emotions in additional psychological
treatments. Confrontation therapy markedly reduced
OCD symptoms in two of the patients. Discussion: EMDR
could be a useful augmentation method in treating patients
with OCD, but further controlled and randomised
studies are required to validate this conclusion.
Having to cope with life-threatening injury or illness can be very stressful for children and their parents. In medical settings children—and parents—can be traumatized by various events both before and during hospitalization as well as during the rehabilitation-phase. Although most children and parents display remarkable resilience over time, stress levels can remain extremely high for a part of these children and parents throughout the entire hospital period and thereafter, culminating in various stress reactions. These reactions can be summarized in a framework of Pediatric Medical Traumatic Stress (PMTS). However, several evidence-based interventions are available presently. One of these evidence-based treatment interventions is Eye Movement Desensitization and Reprocessing (EMDR). Clinical efficiency of EMDR for children has been demonstrated by a recent meta-analysis and other studies. Application of EMDR should be taken into consideration whenever there is suffering from PMTS reactions—particularly intrusive memories, flashbacks, nightmares, anxiety and guilt feelings—or when these reactions interfere with either the recovery process or acceptance of a new situation. Integrated trauma-informed practice together with validated screening tools could be beneficial to families and possibly minimize or even prevent long-term PMTS reactions after life-threatening injury or illness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Interactions between trauma and biology, dissociation and psychosis are
complex. Some cases could be more biologically based, and traumatic events may
trigger a psychotic episode or contribute to the low-response to usual
interventions. But traumatic experiences could also influence neurodevelopment
and brain structure. In some cases past adverse events may be a main factor in the
development of psychotic psychopathology. The treatment of psychotic disorders
with a specifically trauma-oriented therapy as EMDR, can help us to evaluate the
relative contribution of these different factors from clinical results. The empirical
research about the application of EMDR will be also reviewed.
A relevant point for EMDR therapy in psychotic disorders is the complex
relationship between dissociation and psychosis. Patients presenting with the
belief of being controlled by an external force, intrusive thoughts and hallucinatory
voices that comment on one's thoughts or actions or that have a conversation with
other hallucinated voices, are easily diagnosed as schizophrenic or psychotic but
can often be best understood and approached as dissociative symptoms. These
patients can be treated with EMDR, but the procedures present relevant
modifications in relation with the standard EMDR procedure for PTSD.
In this workshop we will briefly describe how EMDR can be applied in different
examples of psychotic patients, and based on these clinical examples (presented a case-descriptions or videos, we will reflect on the previously described aspects.
Las
interacciones
entre
trauma
y
biología,
disociación
y
psicosis
son
complejas.
Algunos
casos
pueden
estar
más
basados
en
el
ámbito
biológico,
y
los
eventos
traumáticos
pueden
ser
disparadores
de
un
episodio
psicótico
o
contribuir
a
la
baja
respuesta
ante
las
intervenciones
usuales.
Pero
las
experiencias
traumáticas
pueden
también
influenciar
el
neurodesarrollo
y
la
estructura
cerebral.
En
Algunos
casos
eventos
adversos
del
pasado
pueden
ser
el
principal
factor
para
desarrollar
psicosis
o
una
psicopatología.
El
tratamiento
de
los
trastornos
psicóticos
con
un
terapia
orientada
al
trauma
como
el
EMDR
nos
ayudan
a
evaluar
la
contribución
relativa
de
distintos
factores
a
los
resultados
clínicos.
La
investigación
empírica
acerca
de
la
aplicación
del
EMDR
también
será
revisada.
Un
punto
relevante
de
la
Terapia
EMDR
en
trastornos
psicóticos
es
el
resultado
complejo
de
la
relación
entre
disociación
y
psicosis.
Los
pacientes
que
presentan
creencias
de
control
por
fuerzas
externas,
pensamientos
intrusivos
y
voces
alucinatorias
que
comentan
las
acciones
o
pensamientos
o
tienen
una
conversación
con
otras
voces
alucinatorias,
normalmente
son
diagnosticadas
como
esquizofrenia
y
psicosis
pero
en
algunas
ocasiones
estarían
mejor
entendidas
desde
un
enfoque
que
las
considerara
síntomas
disociativos.
Estos
pacientes
pueden
ser
tratados
con
EMDR,
pero
los
procedimientos
presentan
modificaciones
referentes
al
procedimiento
estándar
de
EMDR
para
el
TEPT.
Objective: Despite advances in obstetric and neonatal care, many parents will experience the stillborn birth or death of a
infant. Stillbirth is a devastating experience for women, and sometimes leads to depression, anxiety, traumatic grief and
post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for posttraumatic
stress after stillbirth. This pilot study explores the use of Eye Movement Desensitization and Reprocessing (EMDR)
in the treatment for post-traumatic stress after stillbirth. Methods: The pilot study consisted of a ‘before and after’ treatment
design combined with follow-up measurements 0.5-3 years after EMDR treatment. Quantitative data was collected using
the Impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) questionnaires. In addition, qualitative
data from individual interviews with the participants was collected. Participants in the study were four out-patient women
with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section) in
an urban area in Japan. Results: Three of the four participants reported reduction of post-traumatic stress symptoms after
treatment (ranging from two to three sessions) and the beneficial effects remained after 0.5-3 years. One participant only
had the assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. None of the participants
completed the full EMDR treatment protocol. The participants were not prepared to work with other disturbing memories.
They also hesitated to lose some of memories about the stillborn infant. All of the participants were afraid of how they might
be influenced in the next pregnancy. Conclusion: EMDR might be a useful tool in the treatment for post-traumatic stress after
stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.
A clear and comprehensive guide to using EMDR in clinical practice. This edited collection—a follow-up to Shapiro’s successful EMDR Solutions—presents step-by-step instructions for implementing EMDR approaches to treat a range of issues, written by leading EMDR practitioners. The how-to approach, mixed with ample clinical wisdom, will help clinicians excel when using EMDR to treat their clients. The units include:
A comprehensive compendium of EMDR interventions for Depression, it begins with Robin Shapiro’s Assessment, Trauma-Based and Endogenous Depression chapters, continues with Jim Knipe’s Shame-Based Depression chapter, and ends with Shapiro’s Attachment-Based chapter.
The eight chapters of the Eating Disorder unit cover all the bases. From etiology to neurology through Preparation phases and treatment strategies, you’ll learn how to work with Bulimia, Anorexia, Body Dysmorphia, Binge Eating Disorder, disorders of Desire and more. Andrew Seubert is the ring leader. The other writers are Janie Scholom, Linda Cooke, Celia Grand, DaLene Forester, Janet McGee, Catherine Lidov, and Judy Lightstone.
Performance, Coaching, and Positive Psychology unit emphasizes strengths, skills, focus, and whatever gets in the way of reaching the goal. David Grand shares his foundational 15 Strategies for Performance enhancement. Ann Marie McKelvey integrates EMDR with Coaching and Positive Psychology.
The Complex Trauma unit includes Katie O’Shea’s useful and user-friendly Preparation Methods and Early Trauma Protocol, Sandra Paulsen and Ulrich Lanius’s brilliant collaboration Integrating EMDR with Somatic and Ego State Interventions, Liz Massiah’s hair-raising Intrusive Images chapter, and Shapiro’s treatment strategies for OCPD.
Robin Shapiro gives an overview of Medically-Based Trauma and her strategies for successful treatment of Multiple Chemical Sensitivities. Katherine Davis shows us how Post-Partum “Depression” is often treatable Post-Partum PTSD.
Ronald Ricci and Cheryl Clayton tell us how to use EMDR in our work with Sex Offenders and their complete therapeutic milieu.
Martha S. Jacobi develops our “third ear” for using EMDR with Religious and Spiritually-Attuned clients.
This case study describes the use of eye movement desensitization and reprocessing (EMDR) for a woman who met criteria for posttraumatic stress disorder (PTSD) related to past domestic violence. Outcome measures were used to assess the client's symptoms at intake, after the third and sixth active EMDR sessions, and at 1- and 3-month follow-ups. In addition to the use of outcome measures, at 3-month follow-up the client was evaluated by a therapist who was blind to the type of treatment the client had received. Results indicated that after nine active sessions of EMDR, the client no longer met criteria for PTSD and no longer endorsed symptoms of depression or intrusive thoughts. Thus, EMDR was successful in treating PTSD symptoms associated with past domestic violence, and effects were maintained at 3-month follow-up.
Das in den 80er Jahren von der amerikanischen Psychologin Francine Shapiro veröffentlichte Verfahren
EMDR (Eye Movement and Desensitization and Reprocessing) beinhaltet als zentrale Komponente, dass
die Aufmerksamkeit des Patienten sich auf eine traumatische Erinnerung und die damit verbundenen
Gedanken und Gefühle richtet, während gleichzeitig rhythmische Augenbewegungen induziert werden.
(Shapiro 1998).
The published in the 80s by the American psychologist Francine Shapiro Procedure
EMDR (Eye Movement Desensitization and Reprocessing and) includes as a central component that
the patient's attention on a traumatic memory and associated
Thoughts and feelings directed, while rhythmic eye movements are induced.
(Shapiro 1998).
Bei der gemeinsamen Betrachtung von EMDR mit familientherapeutischen Ansätzen fallen zunächst die Gegensätze auf.
EMDR wird üblicherweise im Einzelsetting angewendet. Die Behandlung steht meist im Kontext von bestimmten Krankheitsdiagnosen (typischerweise von traumabedingten - aber auch anderen - Störungen).
In der (systemischen) Familientherapie wird eine Diagnostizierung möglichst vermieden, Konzepte werden "verflüssigt", Symptome werden im Hinblick auf ihre Wirkung im (Familien-)System hin untersucht. Beispielsweise wird ein Patient als "Symptomträger" innerhalb der Familie bezeichnet. Man sucht also nach dem Sinn oder Nutzen, den die Symptomatik für die Familie hat. Insofern ist man recht weit davon entfernt, gezielte Interventionsmethoden zu suchen, mit denen dann der einzelne behandelt wird, um ein Symptom zu beseitigen. Allerdings wurde dies von den Begründern der Familientherapie keineswegs für ausgeschlossen erklärt (vgl. bspw. Stierlin et al. 1977, 16).
EMDR ist dementsprechend in der familientherapeutischen Literatur und den einschlägigen Fachzeitschriften bisher so gut wie nicht zur Kenntnis genommen worden. Eine Ausnahme bildet The Family Therapy Networker im Jahr 1993, der dem Thema EMDR ein Special Feature widmet (vgl. Butler (1993) und O'Brien (1993)).
Von Seiten der EMDR Praktizierenden gibt es durchaus Hinweise auf die Vereinbarkeit. Tinker & Wilson (2000, 229) verweisen auf die Nützlichkeit der Ergänzung der EMDR-Arbeit durch familientherapeutisches Vorgehen. Lempa (2000) beschreibt die Verbindung der EMDR-Einzelbehandlung mit familientherapeutischen Gesprächen innerhalb des stationären Settings und berichtet über positive Erfahrungen im Hinblick auf die Akzeptanz der Behandlung in den Familien.
Ich halte die wechselseitige Betrachtung der Ansätze für sehr fruchtbar und möchte hier einige Gedanken und Erfahrungen dazu darstellen.
In the common view of EMDR with family therapy approaches, first fall to the opposition.
EMDR is usually applied in individual settings. Treatment is usually in the context of specific disease diagnoses (typically from trauma-related - errors - but also others).
In the (systemic) family therapy, a diagnosis will be avoided where possible, concepts will be "liquefied" symptoms in terms of their effect in the (family) system were investigated. For example, a patient is a "symptom carrier" within the family. Therefore, we look for the meaning or benefit that the symptoms for the family. In this respect it is quite far from seeking specific intervention methods by which the individual is then treated to remove a symptom. However, this was by the founders of family therapy not declared excluded (see, for example, Stierlin et al. 1977, 16).
EMDR has been accordingly in the family therapy literature and the relevant journals previously taken almost no notice. The Family Therapy Networker an exception is in 1993, the subject of EMDR devotes a special feature (see Butler (1993) and O'Brien (1993)).
Sides of the EMDR practitioner, there are indications of the compatibility. Tinker & Wilson (2000, 229) point to the usefulness of supplementing EMDR work with family therapeutic approach. Lempa (2000) describes the connection of individual EMDR treatment with family therapy calls within the inpatient setting and reported positive experiences with regard to the acceptance of the treatment in the home.
I think the mutual inspection of approaches for very fruitful and would like to present some thoughts and experience to do so.
There are special considerations when treating children for critical incidents, anxiety, or other "EMDR amenable" conditions.
Especially challenging for EMDR practitioners, young children may not be able to verbalize their thoughts, feelings, or beliefs
children old enough to understand treatment options may choose to keep their symptoms rather than experience temporarily
increased anxiety during treatment. Even cooperative children may not be able to identify a positive cognition because their life
experience and/or cognitive development have not yet permitted resources for self-soothing or making sense of life changing events.
Furthermore, children are dependent on an adult or family for their physical safety and emotional wellbeing. Although the child may
be the "identified patient," the parents' own post-traumatic beliefs may be triggering the child's symptoms, and a successful outcome
for the child may depend on the parents' reprocessing of traumatic material.
Case studies will be presented to illustrate how the EMDR practitioner workmg with children can integrate EMDR techniques with
play therapy, use "EMDR enhanced" games, choose an appropriate positive cognition for a young child, introduce creative
interweaves to reach trauma resolution, and work with parents to separate their PTSD triggers from their child's behavior.
An appointment at the dentist’s is not what most people look forward to. For some people, however, even the mere thought of having to undergo dental treatment causes them to feel extreme fear and panic. Between 5 and 15% of the world population suffer from such a pathological form of dental fear, called dental phobia. Dentally anxious individuals commonly avoid necessary dental procedures for many years despite deteriorating oral health, agonizing pain and severe psychosocial problems. The majority of individuals with dental phobia recall a traumatic event as cause for the onset of their fear. Interestingly, nearly 50% of them even suffer from posttraumatic stress symptoms, such as intrusive memories, nightmares, hyperarousal and avoidance behavior. EMDR can be a very useful instrument to help dentally anxious people to cope with past traumatic experiences and to prepare them for future confrontations with phobic stimuli.
The 90-minute workshop will give background information to the problem of pathological dental fear and present evidence from research showing that EMDR is an effective treatment method for dentophobia. The main focus will be on the practical procedure, which will be illustrated using video sequences of patient sessions.
Learning objectives:
This workshop will provide you with the following information:
•a short review of current research and literature
•the use of the EMDR protocol in its specific application to dentally anxious patients, with special emphasis on preparing the patient for future confrontations
by working with flashforwards, future template and video check
•ways of combining EMDR with other cognitive, behavioral and imagery techniques in the treatment of dental phobia.
In 1987 a 39-year-old, Brooklyn-born, new age seeker was walking in a
park in San Gateo, California. Without warning she was overwhelmed with
disturbing thoughts. They vanished as quickly as they had arrived, and on
analysis she decided that the improvement occurred after she had flicked
her eyes from side to side. She tried the technique on other traumatic
memories and noticed that after the eye movement the memories just
"didn't have the same charge." When she tried the technique with friends,
she noticed that many people were unable to flick their eyes properly, so
she started "conducting" them by moving her fingers back and forth in
front of their eyes at the correct speed. The fingers move about as fast as a
tennis match on fast forward.
Drie jaar na een verkeersongeluk had de hoofdpersoon uit deze gevalsbeschrijving nog last van storende, intrusieve gedachten en beelden. De – succesvolle – behandeling bestond uit slechts één sessie van anderhalf uur, waarvan Imaginaire Confrontatie (ic) de hoofdschotel was. De ic wordt op de voet gevolgd en vergeleken met Eye Movement Desensitization and Reprocessing (emdr), waarvan ook ‘one session treatment’-gevalsbeschrijvingen bekend zijn. In het nawoord kijken de behandelaar (eerste auteur) en de cliënte (tweede auteur) terug op de behandeling.
Three years after a traffic accident, the protagonist of this case report is irritating, intrusive thoughts and images. The - successful - treatment consisted of only a half hour session, which Imaginary Confrontation (ic) was the main dish. ICU is being closely monitored and compared to Eye Movement Desensitization and Reprocessing (EMDR), which also at one session treatment'-known case studies. In the afterword watch the therapist (first author) and the client (second author) returned to treatment.
EMDR (Eye Movement Desensitization and Reprocessing) is a new psychotherapeutic method aimed at processing memories of traumatic events, thereby ameliorating the psychological consequences of these memories. EMDR involves elements from several different psychological approaches. It is uncertain which of the treatment elements are effective. Clients with post traumatic stress disorder (PTSD) are the main target group for EMDR treatment. Although both children and adults have been treated with EMDR, this document is aimed particularly at children and adolescents.
Patient Benefits, Risks, and Side Effects
Published studies of EMDR mainly cover adults with PTSD. There are two randomized and controlled studies, one of which has yet to be published, of EMDR treatment in 47 children and adolescents. One of the studies suggests that EMDR yields a better treatment outcome in the short term compared to the control treatment (active listening). In the second study, no significant difference was found between EMDR treatment in combination with standard treatment and standard treatment alone as regards reduction in avoidance and invading thoughts. However, the PTSD symptom of behavioral disorders declined significantly in the EMDR group. Furthermore, numerous case studies suggest that EMDR has a positive treatment effect in children and adolescents with PTSD. No harmful effects have been reported.
We
present
a
case
of
Test
Anxiety,
handled
using
a
combination
of
EMDR
and
Ego
State
Short
Term
Therapy.
Shira,
aged
27,
is
a
bright
science
student.
She
recently
failed
a
math
test
due
to
an
anxiety
attack.
Shira
feels
that
her
ability
to
complete
her
degree
studies
is
under
a
real
threat.
Reported
symptoms:
great
stress,
chest
pain,
pessimistic
thoughts,
and
a
general
feeling
of
low
self-‐esteem.
The
treatment
consisted
of
four
sessions
before
her
forthcoming
math
exam,
and
a
fifth
follow-‐up
session
after
it.
The
therapeutical
approach
Psycho-‐educational
counseling,
self-‐relaxation
and
guided
imagery,
EMDR
phobia
protocol
(Shapiro
F.),
use
of
puppets
for
work
on
Ego
States
(Cohen-‐Posey
K.)
based
on
Voice
Dialogue
(Stone).
During
her
EMDR
processing,
Shira
chose
different
puppets
to
represent
both
her
negative
and
positive
cognitions
(PC,
NC).
A
Policeman
puppet
(NC)
represented
the
"protecting
part"
of
the
vulnerable
child.
This
failed
part
lacks
in
self-‐confidence
and
blocks
her
progress.
Shira's
successful
PC
part
is
represented
by
the
Queen
puppet.
She
is
sure
Shira
will
succeed,
because
she's
able
to.
During
the
desensitization
process,
Shira
created
a
dialogue
between
her
different
parts,
and
empowered
the
successful,
functioning,
Queen
part.
This
reinforced
her
self-‐esteem
and
her
Ego
Awareness
The
awareness
of
these
parts
in
her
becomes
a
resource
used
by
Shira
for
a
successful
performance
in
her
math
exam,
in
which
she
gets
the
highest
grades.
We
shall
present
the
protocol
of
our
sessions,
and
the
use
of
puppets
as
projection
tools
of
the
Ego
parts.
Presentamos
un
caso
de
ansiedad
ante
exámenes,
llevado
a
través
del
uso
del
EMDR
y
la
terapia
breve
de
estados
del
Ego
combinados.
Shira,
tiene
27
años,
es
una
brillante
estudiante
de
ciencias.
Recientemente
suspendió
un
test
de
matemáticas
debido
a
un
ataque
de
ansiedad.
Shira
siente
que
su
habilidad
para
completar
sus
estudios
de
grado
esta
bajo
una
amenaza
real.
Síntomas
registrados:
Gran
estrés,
dolor
de
pecho,
pensamientos
pesimistas,
y
sentimientos
generales
de
baja
autoestima.
El
tratamiento
consistió
en
cuatro
sesiones
antes
de
su
siguiente
examen
de
matemáticas,
y
un
seguimiento
de
5
sesiones
después
de
este.
El
enfoque
terapéutico.
El
consejo
psico-‐educacional,
auto-‐relajación
e
imaginación
guiada,
protocolo
EMDR
para
fobia(Shapiro
F.),
uso
de
marionetas
para
trabajar
con
los
estados
del
Ego
(Cohen-‐Posey
K.)
basado
en
el
la
voz
del
dialogo
(Stone).
Durante
su
procesamiento
EMDR,
Shira
escoge
diferentes
marionetas
para
representar
sus
cogniciones
negativas
y
positivas
(PC,
NC).
Una
marioneta
de
agente
de
policía
(NC)
representaba
la
“parte
protectora”
de
un
niño
vulnerable.
Esta
parte
fallo
en
su
autoconfianza
y
bloque
su
progreso.
La
parte
que
representaba
el
éxito
de
Shira
PC
era
la
marioneta
de
la
Reina.
Ella
estaba
segura
de
que
Shira
Durante
el
proceso
de
desensibilización,
Shira
creó
un
dialogo
entre
sus
diferentes
partes,
y
reforzó
el
existo,
y
el
funcionamiento
de
la
parte
de
la
Reina.
Esto
reforzó
su
autoestima
y
su
conciencia
del
Ego.
La
conciencia
de
estas
partes
se
convirtió
en
un
recurso
usado
por
Shira
para
el
existo
en
la
realización
de
su
examen
de
matemáticas,
en
donde
saco
las
notas
más
altas.
Presentaremos
el
protocolo
con
nuestras
sesiones
y
el
uso
de
marionetas
como
herramientas
de
proyección
de
las
partes
del
ego.
Francine Shapiro 'metoden av "Eye Movement desensitivisering og gjenvinning" er beskrevet, illustrert med vellykket behandling av tre saker etter væpnet ran (to) og plutselig død. Rask reduksjon av påtrengende bilder fulgte behandlingen. En kritisk gjennomgang av litteraturen er foretatt, og ulike metodiske begrensninger i de eksisterende studiene er noted.Although det teoretiske grunnlaget er tvilsomt, og det er alvorlige metodologiske begrensninger i studiene som finnes, kliniske erfaringer med metoden viser svært gode resultater. Klinikere oppfordres til å oppsøke mer kunnskap om metoden, så vel som bruk systematiske metoder for å studere resultatene. [Forfatter sammendrag]
Francine Shapiro's method of "Eye Movement Desensitization and Reprocessing" is described, illustrated with the successful treatment of three cases following armed robbery (two) and sudden death. Rapid reduction of intrusive images followed the treatment. A critical review of the literature is undertaken, and different methodological limitations in the existing studies are noted.Although the theoretical foundation is questionable, and there are serious methodological limitations in the studies that exist, clinical experiences with the method indicate very favourable results. Clinicians are encouraged to seek out more knowledge about the method, as well as use systematic methods to study its results. [Author abstract]
EMDR (Eye Movement Desensitization and Reprocessing) has been so well researched that it is
now recommended as a front line treatment for trauma in the Practice Guidelines of American
Psychiatric Association, and those of the Department of Defense and of Veterans Affairs. It is
an integrative psychotherapy that offers a new and distinct approach to personality
development and the treatment of pathology.
The clinical applications of EMDR with an information processing focus can be used as a general
model of psychotherapy addressing a full range of issues of everyday clinical practice, including
family therapy impasses. Increasingly, research evidence is showing that there’s a kind of
psychological change that can happen at the level of adaptive information processing, opening
up the possibility of powerful therapeutic effects that can exceed expectations both in the speed
and depth of their impact.
In this presentation, you’ll get an experience of the implicit and associational memory networks
that govern our feelings, thoughts, and reactions outside the realm of rational thought. You’ll
learn how EMDR and the Adaptive Information Processing model apply not only to trauma, but
also to personality disorders, depression, chronic pain, sexual compulsivity, and other
dysfunctional behaviors and thoughts.
EMDR group protocols will be illustrated that have been used worldwide after both natural and
man-made disasters. It is believed that the treatment of trauma through networks of clinicians
can aid in breaking the cycle of violence worldwide.
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, mode EMDR has become more elaborate treatment for PTSD (among other disturbances) clutter. The methodEMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, the methodEMDR incorporates aspects of systemic therapies, psychodynamic, experienciales, behavioural and body. Consists of eight phases comprising the use of eye movements and other forms of left-right stimulation.
It is effective in treating post-traumatic stress disorder and re-processing thoughts and disturbing memories or psychological problems of survivors of trauma, sexual abuse, of crimes, war combat, as well as phobias and disorders caused by vivenciales experiences and provides deep and stable clinical effects in a short time.
With descriptions and detailed transcripts, the author guides the clinical through every stage of therapeutic, treatment from clients to the implementation of the method and their integration within a comprehensive clinical treatment plan selection.
Written in an accessible manner, this book is an invaluable guide for clinicians in the treatmentEMDR as for people just know the method and for advanced students of clinical psychology and psychotherapy.
A methodology unique to EMDR [is] bilateral stimulation
of the brain’s hemispheres. While the client focuses on the
physical sensations, images, and negative thoughts related
to his traumatic event, his eyes follow the movements of
a light bar, or the therapist’s fingers, for about 30 seconds.
However, research into EMDR has discovered that moving
the eyes is not the only way for bilateral stimulation to occur.
Other methods, such as alternating tones played through
headphones or the therapist tapping the client’s hands one
after the other, have been found to be just as effective. [Excerpt]
EMDR (eye movement desensitization and reprocessing) is a new psychological treatment for trauma that is capable of facilitating rapid and permanent reduction in distressing thoughts and feelings (Carlson et al. 1998,Wilson et al. 1995). In addition to reduction of psychological distress, the method leads to more adaptive attitudes and functioning. The utility of the method also appears to extend beyond trauma with Goldstein & Feske 1994, Grant 1986). As a treatment for pain EMDR offers a method of positive results reported in the treatment of addictions, phobias, and pain (Henry 1996, facilitating permanent changes in how pain is experienced somatically and emotionally. Knowledge and understanding of the principles underlying EMDR can also provide a guide for more effective interventions by pain specialists. [PubMed]
The following presentation shows a model, which was built and applied with many
different populations, children, aged people and adults, during the Lebanon War 2006 and
after it. The purpose was prevention of PTSD and overcoming the difficult and painful
period. Originally it was aimed at art therapists, psychologists, and other mental health
staff – Jews and Arabs. They work with already traumatized children and youth in the
shelled north of Israel, have to contain much pain and to be strong for others. They were
close to break down, or already broke down. The same model served the presenter later
in many cases of crisis, with groups and individuals. Especially it was adapted with some
much dissociated clients, giving voice (visual representation) to the different sub –
personalities. The model aims for (1) bridging between state of freezing or collapsing and
functioning; (2) providing tools for self regulation and helping others to self regulate; and
(3) strengthening the felt sense of well-being connected to resources within the person
and preventing PTSD. The methods used are: (1) evaluation of body-sensation, feeling
and thoughts with SUDS (Subjective Units of Disturbance Scale); (2) drawing a picture of
resource; installation of resource; (3) drawing a deficiency picture, a picture which
represents the disturbing part in one’s present life; (4) EM (eye movements) between both
pictures, through working in couples - bilateral stimulation; (5) re-evaluation of body –
sensation, feeling and thought with SUDS.
Learning objectives:
1. To demonstrate the impact of art in developing inner boundaries
towards integration of ego states.
2. To legitimize extreme emotions and to understand that they are
normal defenses to trauma.
3. To acquire tools for coping with trauma in the present.
This study examined emotional processing and outcome in 20 Vietnam veterans with chronic posttraumatic stress disorder (PTSD) who underwent imaginal flooding therapy. Results supported the occurrence of emotional processing, as manifest in significant activation, within-session habituation, and partial across-session habituation of physiologic and self-reported process variables. The flooding therapy produced only modest overall improvement, which was statistically significant for avoidance symptomatology measured by the Impact of Events Scale (TOES) and number of intrusions per day recorded by the subject in a log. Symptomatic improvement appeared to generalize from a treated to an untreated experience. Heart rate activation during the first flooding session predicted a decrease in daily number of intrusive combat memories across the therapy. Otherwise, there was little association between extent of emotional processing and therapeutic outcome. The results provide limited support for the notion that mobilization of phychophysiologic arousal during exposure therapy predicts improvement. [Author Abstract]
Controlled studies of treatments effective with victims of natural disasters are almost nonexistent. This is a small study conducted under difficult conditions to test the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) in treating trauma related reactions following Hurricane Andrew. The results were positive in that EMDR produced significant improvement over wait list controls in perceived posttraumatic avoidance behaviors and thoughts as measured by changes in the Impact of Event Scale and significant improvement in subjective aversive reactions to representative experiences of the hurricane. These results suggest and support other studies that EMDR can be an effective therapeutic intervention for trauma reactions. [Author Abstract]
Recently, a series of studies have presented a highly unorthodox procedure, Eye Movement Desensitization (EMD), which involved the repeated exposure of a subject to their own disturbing memories while generating a series of saccadic eye movements. These reports are largely clinical case reports, therefore the technique has not been empirically validated. The current investigation determined if the simple saccadic eye movements (rhythmically tracking a stimulus) in conjunction with the repeated exposure decreased the intensity of disturbing memories experienced in PTSD or whether such decreases could be obtained through repeated exposure alone. Subject's self-reports and physiological information regarding the discomfort experienced during their disturbing memories were recorded prior to, during, and following treatment. Diagnostic procedures including a structured clinical interview were utilized in making diagnoses.A series of three multiple baseline across subjects single-case experimental designs were utilized. Results indicate that rates of distress were uniformly high during the intake/baseline. The initial control treatment condition, Shapiro's EMD treatment package minus the saccadic eye movements, was ineffective in altering these high levels of distress. Treatment of these 6 patients with the EMD protocol resulted in 5 of the 6 subjects showing clinically significant decreases in their self-reported levels of distress around their intrusive disturbing memories. Physiological data also reflected greater positive change during the EMD treatment for each subject. Overall, the EMD treatment protocol resulted in over a 70% decrease in self-reported distress across the 6 subjects investigated. This investigation of the use of EMD with non-combat PTSD subjects reflects the first investigation of EMD with this population utilizing single-case experimental methodology. The results were clear and dramatic. The treatment was effective with 5 of the 6 subjects and for that subject who reported no positive changes issues of secondary gain for continued disability were salient. Overall, this report represents an attempt to investigate EMD with a PTSD population utilizing a systematically replicated multiple baseline across subjects design. Further investigation, particularly focusing on treatment package dismantling, is therefore called for with EMD. [Author Abstract]
“Enhancing EMDR with Mindfulness Skills”
1. Introduction and overview of the evolution of mindfulness practice.
2. Current uses of mindfulness in clinical practice.
3. Summary of research.
4. Similarities between mindfulness and EMDR:
a. Just noticing,
b. “Go with that”,
c. Becoming less reactive to mental content,
d. Living in the present.
5. Enhancing EMDR:
a. Increasing awareness of images, thoughts, emotions, and body sensations,
b. Increasing trust to allow the mind to spontaneously process memory networks,
c. Improving reprocessing between sessions,
d. Reducing reactivity to current and future distress,
e. Improve attunement of the therapist.
6. Brief mindfulness practice and conclusion.
Je pratique la Gestalt-thérapie depuis plus de trente cinq ans, en séances individuelles, en thérapie de couples et en groupes continus thérapeutiques. Je développe une variante intégrant les dimensions corporelles et émotionnelles, et je me suis intéressé de près aux phénomènes psychobiologiques concomitants, analysés par les recherches des neurosciences contemporaines. J’ai d’ailleurs détaillé ces aspects — insuffisamment explicités dans la littérature gestaltiste traditionnelle — dans deux ouvrages, traduits aujourd’hui en une douzaine de langues. Dès 1985, j’ai présenté aux États-Unis une conférence sur le thème : « Is Gestalt Therapy "Chemotherapy" Without Knowing It? »2 — où je développais l’idée que la Gestalt entraînait de rapides modifications biochimiques du fonctionnement du cerveau (nouvelles liaisons synaptiques et modifications des neurotransmetteurs), expliquant en partie son efficacité.
Lorsque j’aperçus, par hasard, au cours de l’un de mes fréquents déplacements aux USA, l’ouvrage de Francine Shapiro : (Eye Movement Desensitization and Reprocessing, Basic Principles, Protocols, ansd Procedures, The Guilford Press, New York, 1995) qui venait de paraître, je l’achetai donc sans hésiter, et je le parcourus avidement le soir même.
Au moment où une formation sérieuse à l’EMDR s’est mise en place en France avec David Servan-Schreiber, je me suis donc formé tout naturellement à cette approche nouvelle — qui prenait délibérément en compte l’activité cérébrale (même si elle n’a pas encore réussi à l’analyser de manière scientifique explicite).
Aujourd’hui, il m’arrive assez fréquemment d’introduire une série de sessions d’EMDR dans le suivi d’un client — notamment lorsqu’émerge dans l’anamnèse un traumatisme psychologique majeur : décès, suicide ou accident grave d’un proche (ou du client lui-même), agression, attentat, viol, annonce d’une maladie grave, etc., ou inversement, il m’arrive de prendre des clients en urgence en EMDR, puis de poursuivre et d’élargir éventuellement la psychothérapie, en Gestalt.
Je voudrais partager avec vous quelques réflexions sur une telle pratique combinée, intégrant ces deux approches.
Je ne m’attarderai pas sur la description de la Gestalt-thérapie, puisqu’il s’agit d’une méthode maintenant largement connue — bien que les styles en soient assez variés. J’ai, pour ma part, développé une approche holistique prenant en compte les cinq dimensions principales de l’être (cf. Le Pentagramme de Ginger). Je voudrais signaler, au passage, que la Gestalt-thérapie est devenue aujourd’hui l’une des méthodes les plus pratiquées au monde; ainsi, en France, elle a conquis aujourd’hui le 2e rang, après la psychanalyse, et bien avant les TCC (thérapies cognitivo-comportementales), les thérapies familiales et les autres thérapies humanistes.
I have been practicing Gestalt therapy for over thirty five years, individual sessions, couples therapy and continuous therapy groups. I develop a variant incorporating body size and emotional, and I am a keen interest in psychobiological concurrent phenomena, analyzed by the research of contemporary neuroscience. I also detailed these aspects - insufficiently explained in the traditional Gestalt literature - in two books, translated now into a dozen languages. Since 1985, I submitted to the U.S. conference on the theme: "Is Gestalt Therapy" Chemotherapy "Without Knowing It? "2 - when I developed the idea that Gestalt led rapid biochemical changes in brain function (new synaptic connections, and changes in neurotransmitters), partly explaining its effectiveness. When I saw by chance during one of my frequent trips to the USA, the work of Francine Shapiro: (Eye Movement Reprocessing and Desensitizer, Basic Principles, Protocols, Procedures ANSD, The Guilford Press, New York 1995) which had just appeared, so I bought it without hesitation, and I eagerly traveled the same evening. Just as serious training in EMDR was introduced in France with David Servan-Schreiber, so I trained quite naturally to this new approach - which deliberately took into account the brain activity (even if it has yet to analyze it scientifically explicit). Today, it happens frequently enough to introduce a series of sessions of EMDR in the monitoring of a client - including lorsqu'émerge in history a major psychological trauma, including death, suicide or serious accident of a closest (or the client itself), assault, attack, rape, announcement of a serious illness, etc.. or vice versa, I sometimes take clients emergency EMDR, then continue and possibly expand psychotherapy, Gestalt. Let me share with you some thoughts on this practice combined, integrating these two approaches. I will not dwell on the description of Gestalt therapy, since it is a method now widely known - although the styles are quite varied. For my part, developed a holistic approach taking into account the five main dimensions of being (cf. The Pentagram Ginger). I should note in passing that Gestalt therapy is now one of the most practiced in the world and in France it has won today the second largest, after psychoanalysis and long before CBT (cognitive behavioral therapy), family therapy and other therapies humanists.
Je pratique la Gestalt-thérapie depuis plus de trente cinq ans, en séances individuelles, en thérapie de couples et en groupes continus thérapeutiques. Je développe une variante intégrant les dimensions corporelles et émotionnelles, et je me suis intéressé de près aux phénomènes psychobiologiques concomitants, analysés par les recherches des neurosciences contemporaines. J’ai d’ailleurs détaillé ces aspects — insuffisamment explicités dans la littérature gestaltiste traditionnelle — dans deux ouvrages, traduits aujourd’hui en une douzaine de langues. Dès 1985, j’ai présenté aux États-Unis une conférence sur le thème : « Is Gestalt Therapy "Chemotherapy" Without Knowing It? » — où je développais l’idée que la Gestalt entraînait de rapides modifications biochimiques du fonctionnement du cerveau (nouvelles liaisons synaptiques et modifications des neurotransmetteurs), expliquant en partie son efficacité.
Lorsque j’aperçus, par hasard, au cours de l’un de mes fréquents déplacements aux USA, l’ouvrage de Francine Shapiro : (Eye Movement Desensitization and Reprocessing, Basic Principles, Protocols, ansd Procedures, The Guilford Press, New York, 1995) qui venait de paraître, je l’achetai donc sans hésiter, et je le parcourus avidement le soir même. Au moment où une formation sérieuse à l’EMDR s’est mise en place en France avec David Servan-Schreiber, je me suis donc formé tout naturellement à cette approche nouvelle — qui prenait délibérément en compte l’activité cérébrale (même si elle n’a pas encore réussi à l’analyser de manière scientifique explicite). Aujourd’hui, il m’arrive assez fréquemment d’introduire une série de sessions d’EMDR dans le suivi d’un client — notamment lorsqu’émerge dans l’anamnèse un traumatisme psychologique majeur : décès, suicide ou accident grave d’un proche (ou du client lui-même), agression, attentat, viol, annonce d’une maladie grave, etc., ou inversement, il m’arrive de prendre des clients en urgence en EMDR, puis de poursuivre et d’élargir éventuellement la psychothérapie, en Gestalt.
Je voudrais partager avec vous quelques réflexions sur une telle pratique combinée, intégrant ces deux approches. Je ne m’attarderai pas sur la description de la Gestalt-thérapie, puisqu’il s’agit d’une méthode maintenant largement connue — bien que les styles en soient assez variés. J’ai, pour ma part, développé une approche holistique prenant en compte les cinq dimensions principales de l’être (cf. Le Pentagramme de Ginger). Je voudrais signaler, au passage, que la Gestalt-thérapie est devenue aujourd’hui l’une des méthodes les plus pratiquées au monde ; ainsi, en France, elle a conquis aujourd’hui le 2e rang, après la psychanalyse, et bien avant les TCC (thérapies cognitivo-comportementales), les thérapies familiales et les autres thérapies humanist.
I have been practicing Gestalt therapy for over thirty five years, individual sessions, couples therapy and continuous therapy groups. I develop a variant incorporating body size and emotional, and I am a keen interest in psychobiological concurrent phenomena, analyzed by the research of contemporary neuroscience. I also detailed these aspects - insufficiently explained in the traditional Gestalt literature - in two books, translated now into a dozen languages. Since 1985, I submitted to the U.S. conference on the theme: "Is Gestalt Therapy" Chemotherapy "Without Knowing It? "- Where I developed the idea that Gestalt led rapid biochemical changes in brain function (new synaptic connections and changes in neurotransmitters), partly explaining its effectiveness.
When I saw by chance during one of my frequent trips to the USA, the work of Francine Shapiro: (Eye Movement Reprocessing and Desensitizer, Basic Principles, Protocols, Procedures ANSD, The Guilford Press, New York 1995) which had just appeared, so I bought it without hesitation, and I eagerly traveled the same evening. Just as serious training in EMDR was introduced in France with David Servan-Schreiber, so I trained quite naturally to this new approach - which deliberately took into account the brain activity (even if it has yet to analyze it scientifically explicit). Today, it happens frequently enough to introduce a series of sessions of EMDR in the monitoring of a client - including lorsqu'émerge in history a major psychological trauma, including death, suicide or serious accident of a closest (or the client itself), assault, attack, rape, announcement of a serious illness, etc.. or vice versa, I sometimes take clients emergency EMDR, then continue and possibly expand psychotherapy, Gestalt.
Let me share with you some thoughts on this practice combined, integrating these two approaches. I will not dwell on the description of Gestalt therapy, since it is a method now widely known - although the styles are quite varied. For my part, developed a holistic approach taking into account the five main dimensions of being (cf. The Pentagram Ginger). I should note in passing that Gestalt therapy is now one of the most practiced in the world and in France it has won today the second largest, after psychoanalysis and long before CBT (cognitive behavioral therapy), family therapy and other therapies humanist.
Letter to the editor commenting on an article by E. Ernst (see record 2003-05653-002). We report the case of a patient who was effectively treated for severe obsessive compulsive disorder but relapsed briefly following ingestion of herbal products containing ephedra alkaloids that she bought to facilitate weight loss. The patient was a 29-year-old woman with a 10-year history of obsessive compulsive disorder who was referred for Eye Movement Desensitisation and Reprocessing (EMDR) when her condition had not responded to cognitive behavior therapy nor to various medications including Fluoxetine, Paroxetine, Clomipramine and Amitriptyline. Her score on the Dissociative Experiences Scale was low and there was nothing in the clinical history to suggest major dissociative disorder, so after preparation with mindfulness, relaxation and safe place imagery she proceeded to treatment with EMDR. Nine months later she reported a relapse into increased anxiety with a partial return to compulsive thoughts and behaviours after she had obtained a herbal health product sold to promote weight loss. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Eye-movement Desensitization Reprocessing (EMDR) is a relatively new therapy technique originally reported to eliminate traumatic memories (rape, catastrophes) in one session. Early published research has tended to support the technique. However, there is controversy and at least one unpublished recent study by Rothbaum who reported only about one-half of her cases had successful outcomes. The present study was conducted as a preliminary evaluation in 1990. Our results were judged to be unsuccessful in five of eight cases and successful in three cases. Further, the cases with the most pathology improved the least. The techniques, cases, and outcomes are presented to provide additional data on this new and controversial therapeutic technique. [Author Summary]
PTSD was only formally recognized as a mental disorder by the American Psychiatric Association in 1980. Modern day treatments still focus on accessing and reprocessing traumatic memories. In 1981, Bay Area doctor Francine Shapiro developed a new therapy called EMDR, or eye movement desensitization and reprocessing. The treatment combines physical stimulation and talk therapy.
“You ask the person to identify the image that has been bothering them and the thoughts that have been bothering them,” says Doctor Shapiro.
Then you add bilateral stimulation: “Either taps or tones or eye movement, generally. All this together helps to activate the brain's information processing system, and then you just allow the brain to go wherever it needs to go. You allow whatever associations that need to come up, come up.” [Excerpt]
The use of eye movement desensitization (EMD) was investigated in a multiple baseline across two images. The subject was diagnosed as suffering from PTSD and had suffered from two distinct traumas which continued to generate intrusive disturbing images. Dependent variables included self-report information (Subjective Units of Distress, behavioral symptoms reports) and physiological data (heart rate and systolic blood pressure). Subjective and physiological data both demonstrated significant changes during the course of treatment which were maintained at a 2-month follow-up. This study represents the first investigation of EMD with multiple images within a single subject experimental design. Findings suggest that generalization across the images under investigation was not demonstrated. EMD treatment gains were clinically significant. However, the immediate and profound effects often cited in the literature were not demonstrated. [Author Summary]
Eye movement desensitisation and reprocessing
(EMDR) was described by Shapiro (1989a,b)as a new
method for treating post-traumatic stress disorder
(PTSD). In May 1987, while walking in the park,
Shapiro noticed that her own disturbing thoughts
changed then disappeared "without any conscious
effort" (Shapiro, 1995) when they had been tempor
ally paired with diagonal upward to and fro eye
movements. Over the next six months Shapiro
worked with approximately 70 people to develop a
procedure based on the temporal pairing of
distressing images and thoughts with various eye
movements. Shapiro began to develop strategies to
unblock stalled emotional processing, which was
initiated by EMDR in non-patients. She successfully
tried the method on a Vietnam veteran suffering from
severe PTSD and then embarked upon a trial of
EMDR on a mixed group of victims of rape,
molestation and Vietnam combat trauma. Initially,
EMDR achieved wide recognition as a new break
through treatment for PTSD. This was, in part,
because of very positive early reports (e.g. Wolpe &
Abrams, 1991), but also because the EMDR effect
appeared to occur with unprecedented speed, often
in cases of PTSD that had previously resisted
treatment by many other methods over a long period.
Eye Movement Desensitization and Reprocessing (EMDR) is a one-on-one form of psychotherapy that is designed to reduce trauma-related stress, anxiety, and depression symptoms associated with posttraumatic stress disorder (PTSD) and to improve overall mental health functioning. Treatment is provided by an EMDR therapist, who first reviews the client's history and assesses the client's readiness for EMDR. During the preparation phase, the therapist works with the client to identify a positive memory associated with feelings of safety or calm that can be used if psychological distress associated with the traumatic memory is triggered. The target traumatic memory for the treatment session is accessed with attention to image, negative belief, and body sensations. Repetitive 30-second dual-attention exercises are conducted in which the client attends to a motor task while focusing on the target traumatic memory and then on any related negative thoughts, associations, and body sensations. The most common motor task used in EMDR is side-to-side eye movements that follow the therapist's finger; however, alternating hand tapping or auditory tones delivered through headphones can be used. The exercises are repeated until the client reports no emotional distress. The EMDR therapist then asks the client to think of a preferred positive belief regarding the incident and to focus on this positive belief while continuing with the exercises. The exercises end when the client reports with confidence comfortable feelings and a positive sense of self when recalling the target trauma. The therapist and client review the client's progress and discuss scenarios or contexts that might trigger psychological distress. These triggers and positive images for appropriate future action are also targeted and processed. In addition, the therapist asks the client to keep a journal, noting any material related to the traumatic memory, and to focus on the previously identified positive safe or calm memory whenever psychological distress associated with the traumatic memory is triggered.
The underlying mechanism for how this process works to reduce trauma-related stress, anxiety, and depression is unknown. Researchers have theorized that the positive effect is due to adaptive information processing, the theoretical model behind EMDR. Through adaptive information processing, the dual-attention exercises disrupt the client's stored memory of the trauma to allow for an elimination of negative beliefs, emotions, and somatic symptoms associated with the memory as it connects with more adaptive information stored in the memory networks. Once recall of the trauma no longer elicits negative beliefs, emotions, or somatic symptoms and the memory simultaneously shifts to a more adaptive set of beliefs, emotions, and somatic responses, it is stored again, overwriting the original memory of the trauma.
EMDR is typically delivered in 60- to 90-minute sessions, although shorter sessions have been used successfully. The number of sessions varies with the complexity of the trauma being treated. For an isolated, single traumatic event, one to three sessions may be sufficient for treatment. However, when the trauma involves repeated traumatic events, such as combat trauma and physical, sexual, or emotional abuse, many more sessions may be needed for comprehensive treatment.
Origin of EMDR: "I noticed that some disturbing thoughts I
was having were suddenly disappearing, and when I went
to bring them back, they just didn't have the same charge
anymore, they just weren't as emotionally loaded; ..I noticd
that when that kind of thought came to mind, my
eyes started moving spontaneously in a certain way, a very
rapid ballistic movement, and I noticed the thought shift
out of consciousness, and then when I brought it back
again. it no longer had that same charge; . . . I wanted to see
whether it would work if I did it deliberately, so I brought
up something that bothered me, something minor, and I
moved my eyes in the same way, and I found the same
thing happen; the thought shifted, and then on retrieval it
wasn't as valid. it didn't have the same emotional load; .. .
I wanted to see if it would work for anyone else"
L'articolo di J. Wolpe e J. Abrams presenta un caso trattato nel 1991 con Eye Movement Desensitization (EMD), erano le prime applicazioni cliniche dopo la scoperta di F. Shapiro nel 1989 dell'azione dei movimenti oculari sullo stress traumatico e sulle situazioni ansiogene. Negli anni successivi l'EMD è diventato EMDR, infatti, la desensibilizzazione è il primo effetto che avviene durante una seduta dove viene applicata la stimolazione bilaterale, ma successivamente l'osservazione massiccia ed approfondita degli effetti clinici di questo metodo terapeutico ha rivelato che il processo che avviene è molto più complesso. È stato notato che simultaneamente alla desensibilizzazione avviene una ristrutturazione cognitiva e che entrambe sono il risultato dell'elaborazione dell'informazione legata ai ricordi traumatici. Nel lavoro realizzato con la paziente Shirley, Wolpe descrive tutta la storia di terapie a cui era stata sottoposta fino a quel momento che però non erano riuscite ad affrontare e risolvere l'esperienza traumatica della violenza sessuale. L'EMDR è stato efficace perché ha lavorato sul piano neurofisiologico, dove l'informazione è immagazzinata in modo disfunzionale ed è accessibile soltanto a questo livello, infatti, le terapie prettamente verbali non sempre riescono ad accedere e ad agire su questo piano e di conseguenza non riescono a modificare gli aspetti clinici legati alle esperienze di stress traumatico. Il programma terapeutico di Wolpe per l'introduzione dell'EMDR si è focalizzato inizialmente sull'esperienza traumatica della violenza (2 sedute) e dopo aver elaborato l'esperienza in sé sono stati individuati altri bisogni terapeutici legati all'ansia sociale e agli spunti agorafobici. Le 5 sedute successive sono state utilizzate per la desensibilizzazione di una serie di situazioni a cui era stato attribuito dalla paziente un valore della scala SUD. Si è iniziato dalla situazione più ansiogena (85) nella scala SUD e anziché utilizzare il rilassamento proprio della desensibilizzazione sistematica, sono stati realizzati movimenti oculari. La paziente riportava una riduzione dell'ansia dopo ogni set di stimolazione bilaterale e l'immagine della situazione temuta tendeva a sparire e in alcune situazioni addirittura diventava positiva. La ristrutturazione cognitiva è avvenuta nella paziente in modo spontaneo man mano che la terapia procedeva, fino a riportare che poteva camminare per strada sentendosi una cittadina normale, avendo un progetto per il futuro, inoltre aveva smesso quasi completamente di bere e si sentiva che un peso si era sollevato dalle sue spalle. Riportava di essere più rilassata sul lavoro, si godeva le passeggiate solitarie sulla spiaggia, aveva cominciato a curare il suo aspetto fisico e aveva iniziato ad avere interesse per gli uomini e ad avvicinarsi a qualcuno, ha riportato che non temeva più di essere violentata e non aveva più i pensieri suicidi e gli autori hanno ritenuto la terapia conclusa. I risultati si sono mantenuti ai vari follow up realizzati nel tempo. Quindi possiamo vedere i risultati della terapia con EMDR a livello cognitivo, nelle attribuzioni che fa del mondo e di se stessa, differenziando i pericoli veri da quelli meramente ansiogeni, soggettivo per quello che la paziente riporta emotivamente e a livello comportamentale, dove ha messo in atto dei nuovi comportamenti adattivi in modo spontaneo. Nella parte conclusiva gli autori menzionano una serie di 100 casi che sarebbero stati pubblicati nel Journal of Behaviour Therapy and Experimental Psychiatry e si augurano che altre pubblicazioni potessero rispondere al bisogno di delucidare i meccanismi che permettono questi cambiamenti dopo una seduta di EMDR. Come si evince dagli articoli che vengono pubblicati in questo numero la ricerca, il lavoro empirico e le osservazioni cliniche hanno dato un grande contributo in questo senso negli ultimi anni. Sull'EMDR sono stati pubblicati più di 150 articoli che ne dimostrano la efficacia. Tra le riviste scientifiche più accreditate dove sono pubblicati dei lavori di ricerca sull'EMDR troviamo: Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behaviour and experimental psychiatry, Behavioural and Cognitive psychotherapy, Behaviour Therapy, Journal of traumatic stress, The Clinical Psychologist, Journal of Psychotherapy integration, Harvard Mental Health letter, Journal of Clinical psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Inoltre, sono stati pubblicati libri e manuali per terapeuti tradotti in varie lingue (in Italia dall'Astrolabio e dalla Mc Graw Hill Italia). Inoltre, recentemente, l'International Society for Traumatic Stress Studies (ISTSS) ha stabilito e comunicato che l'EMDR è uno dei metodi terapeutici più rapidi ed efficaci per superare e risolvere il disturbo post-traumatico da stress.
The article by J. Wolpe, J. Abrams has a case treated in 1991 with Eye Movement Desensitization (EMD), were the first clinical applications since the discovery of F. Shapiro in 1989 of the eye movements on traumatic stress and anxiety-provoking situations. In subsequent years the EMD became EMDR, in fact, the first effect is the desensitization that occurs during a session where the stimulation is applied bilaterally, but then observing massive and thorough clinical effects of this therapy revealed that the process that takes place is much more complex. It was noted that desensitization occurs simultaneously with a cognitive restructuring, and that both are the result of information related to traumatic memories. In work done with the patient Shirley, Wolpe describes the history of therapies that had been subjected up to that point but had failed to address and resolve the traumatic experience of sexual violence. EMDR was effective because he worked on the neurophysiological level, where information is stored in a dysfunctional and is accessible only at this level, in fact, purely verbal therapies are not always able to access and act on this plan and therefore can not modify the clinical aspects related to the experience of traumatic stress. The treatment plan for the introduction of Wolpe EMDR focused initially traumatic experience of violence (2 sessions) and after processing the experience itself more therapeutic needs were identified related to social anxiety and agoraphobic cues . 5 The subsequent sessions were used for the desensitization of a variety of situations to which the patient was given a value of SUD scale. It was started by the most anxiety-inducing situation (85) in the scale instead of using SUD and their relaxation in systematic desensitization, eye movements were made. The patient reported a reduction in anxiety after each set of bilateral stimulation and the image of the feared situation, and tended to disappear in some situations even became positive. The cognitive restructuring has taken place in the patient spontaneously as the therapy progressed, he could bring up to walk down the street feeling like a normal citizen, having a vision for the future, also had almost completely stopped drinking and felt that a weight had lifted from his shoulders. Reported to be more relaxed at work, enjoyed solitary walks on the beach, he began to treat her physical appearance and had started to have interest to men and to approach someone, reported that no longer feared being raped and not had more suicidal thoughts and the authors have considered the therapy ended. The results were maintained at various follow-up made in time. So we can see the results of EMDR therapy at the cognitive level, which is within the functions of the world and of itself, differentiating the real dangers than mere anxiety, subjective to what the patient experiences emotional and behavioral level, where he implemented of new adaptive behaviors in a spontaneous way. In the concluding section the authors refer to a series of 100 cases were published in the Journal of Behavior Therapy and Experimental Psychiatry and hope that other publications might respond to the need to elucidate the mechanisms that allow these changes after a session of EMDR. It is clear from articles published in this issue the research, the empirical work and clinical observations have given a great contribution in this direction in recent years. EMDR has been published over 150 articles which demonstrate its effectiveness. Among the most accredited scientific journals which are published on EMDR research work are: the Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behavior and Experimental Psychiatry, Behavioural and Cognitive Psychotherapy, Behaviour Therapy , Journal of Traumatic Stress, The Clinical Psychologist, Journal of Psychotherapy Integration, Harvard Mental Health Letter, American Journal of Clinical Psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Were also published books and manuals for therapists translated into several languages (in Italy and the McGraw Hill dall'Astrolabio Italy). In addition, recently, the International Society for Traumatic Stress Studies (ISTSS) has established and communicated that EMDR is one of the fastest and most effective treatment methods to overcome and resolve the post-traumatic stress disorder.
Most sex offenders in treatment in the United States understand and adapt well to the predominantly cognitive/behavioral/relapse prevention (RP) aspects of their treatment. "No more victims" is the fundamental goal of sex offender treatment, and due to this focus on relapse prevention, most sex offenders do not adequately address their own emotional wounding from early trauma and victimization. This author believes these unresolved affective issues lead to the cognitive distortions and justifications that allow sex offenders to give themselves permission to offend in the first place. Eye Movement Desensitization and Reprocessing (EMDR) is a therapeutic intervention that assists in rapidly resolving troubling thoughts, feelings, and physical sensations. Incorporating EMDR into the current cognitive/behavioral/relapse prevention (RP) treatment model for sex offender treatment opens the possibility of reducing the reoffense rate in society. In this study, affective issues of adult male sex offenders (n = 27) were addressed, employing EMDR; this comprised the experimental treatment group. The experimental group received a pretest, three EMDR sessions, and a posttest over an average time of 3.8 months. The Multiphasic Sex Inventory (MSI) was the measure used for this research. The three scales on that test designed to measure for thinking errors were: the Cognitive Distortion and Immaturity (CDI Scale; the Justification (Ju) Scale; and the Treatment Attitudes (TA) Scale. Archived pretest/posttest scores of randomly selected and anonymous adult male sex offenders comprised the control group (n = 27). This group was tested on the MSI and MSI 2 before entering Module 4 and after finishing Module 5, representing 22.5 months of treatment pretest/posttest. All control and experimental group subjects took part in a mandated cognitive/behavioral/relapse prevention (RP) program. The independent two-sample t test was used to compare two means utilizing the rate of change between the experimental and control group. The results of the study indicate a statistically significant reduction in justifications for offender behavior in the experimental group on the Ju scale (p-value = 0.008). On the CDI and TA scale, the null hypotheses were supported. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(10-B), Apr 2003, pp. 4899.
The effects of 3 90-minute eye movement desensitization and reprocessing (EMDR) treatment sessions on traumatic memories of 80 participants were studied. Participants were randomly assigned to treatment or delayed-treatment conditions and to 1 of 5 licensed therapists trained in EMDR. Participants receiving EMDR showed decreases in presenting complaints and in anxiety and increases in positive cognition. Participants in the delayed-treatment condition showed no improvement on any of these measures across the 30 days before treatment, but after treatment participants in the delayed-treatment condition showed similar effects on all measures. The effects were maintained at 90-day follow-up. [Author Abstract]
Eye Movement Desensitization and Reprocessing (EMDR), a new technique that has shown some promise in the treatment of traumatic memories, was evaluated in this pilot study. Subjects were seven clients suffering from panic disorder who received EMDR treatment for memories of past and anticipated panic attacks and other anxiety-evoking memories of personal relevance. Standardized self-report inventories and behavioral monitoring instruments were employed to measure change with treatment. After five sessions of EMDR, subjects reported a considerable decrease in the frequency of panic attacks, fear of experiencing a panic attack, general anxiety, thoughts concerning negative consequences of experiencing anxiety, fear of body sensations, depression, and other measures of pathology (ScienceDirect).
The purpose of this study was to investigate the role of eye movements in eye movement desensitization and reprocessing (EMDR), and to test the efficacy of EMDR in the treatment of guilt associated with combat trauma. EMDR was compared to a non-eye movement (NEM) analog, which entailed the full EMDR procedure minus the eye movements. A single-case multiple component cross-over design across 7 participants was utilized.Participants were combat veterans who were receiving inpatient treatment for PTSD at the Coatesville Veterans Administration Medical Center. 4 participants were introduced first to the EMDR condition and 3 participants were introduced first to the NEM analog condition. Each participant was exposed to both conditions. Dependent measures included: (1) pre- and post-treatment scores on the Clinician Administered PTSD Scale for DSM-IV - One Week Symptom Status Version (CAPS-SX), Beck Depression Inventory (BDI), Impact of Event Scale (IES), and Trauma Related Guilt Inventory (TRGI), (2) self-monitoring data on the frequency and intensity of intrusive thoughts, disturbing dreams, and guilt, and (3) measures of participants' subjective level of distress within sessions and pre- and post-treatment using the Subjective Units of Distress Scale (SUDS). As measured by SUDS ratings, EMDR resulted in a greater decrease in dyphoric affect within-session than the NEM analog. EMDR also resulted in a significant decrease in mean SUDS ratings from pre- to post-treatment. EMDR resulted in significant decreases in combat-related PTSD symptomatology, as measured by pre- and post-treatment scores on the CAPS-SX, BDI, and IES. EMDR also resulted in significant decreases in mean pre- and post-treatment frequency of self-reported intrusive thoughts and mean pre- and post-treatment intensity of intrusive thoughts, disturbing dreams, and guilt. Additionally, EMDR resulted in a significant decrease in pre- and post-treatment scores on one scale and two subscales of the TRGI. No differences in the mean frequency and intensity of self- reported intrusive thoughts, disturbing dreams, and guilt were detected between EMDR and the NEM analog. Results of the present study support the role of eye movements in attaining treatment gains with EMDR. Additionally, this study supports the efficacy of EMDR in the treatment of combat-related guilt. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(10-B), Apr 2001, pp. 5555.
Objective/Purpose: Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new form of psychotherapy designed to alleviate symptoms of anxiety, depression, avoidance of trauma related thoughts and intrusive memories associated with Post Traumatic Stress Disorder (PTSD). Under therapist instruction, the patient makes rhythmic eye movements while imagining the traumatic event, designed to facilitate cognitive reprocessing to alleviate stress. Methods: Electronic searching of Medline, PsyClit, Health Star, CCTR, The National Research Register and a range of other databases was conducted. Once trials had been identified, data were extracted and methodological quality assessed. Cost-utility was estimated indirectly through consultation with expert clinicians. Costs per Quality Adjusted Life Year (QALY) gained were also calculated. Results: 12 randomised controlled trials (RCTs) were identified, comparing EMDR to alternative psychotherapy treatments; variants of EMDR; and to delayed treatment groups in various combinations. The trials are generally small, with partial blinding of outcome assessors, and in some cases with high attrition. Results suggest the EMDR may be effective at reducing symptoms up to 3 months after treatment in comparison to delayed treatment groups. Two studies suggest that EMDR is as effective as other psychotherapy treatments for PTSD, and 3 claim greater effectiveness. Cost per QALY ranged from Pounds 983 to Pounds 20,568. CONCLUSIONS: Further trials are needed with larger samples, and longer post-intervention measurement to assess maximum length of treatment effect, as well as to ascertain the effectiveness of different treatment components.
Eye movement desensitization and reprocessing (EMDR) is a recently developed psychotherapy treatment procedure which combines imaginal exposure with eye movements and is reported to dramatically reduce negative symptoms associated with trauma related psychological disturbances and memories. The author reviewed and analyzed the current literature regarding EMDR, and conducted a within-subject design investigating the importance of the eye movement component in the EMDR treatment protocol by comparing the efficacy of an eye movement treatment condition, with two non-eye movement treatment conditions. The use of two different control conditions allowed comparisons of the eye movement condition (EMDR), which involved bilateral stimulation of the brain, with exposure to memory of the trauma without eye movements (Eye-Focus Desensitization), which served as a placebo, and exposure to memory of the trauma with a competing motor activity (Single Hand Tapping), which represented unilateral stimulation of the brain. This study also employed a delayed treatment condition to investigate the overall effectiveness of EMDR in treating PTSD. The subject was a 53-year-old Caucasian female who met DSM-IV criteria for PTSD. Dependent variables included a diagnostic instrument, which was the Structured Interview for Posttraumatic Stress Disorder (SI-PTSD); global instruments, which included the Beck Anxiety Inventory (BAI), Impact of Events Scale (IES), and Subjective Units of Distress scale (SUDs); process measures, which included the Subjective Units of Distress scale (SUDs) and Validity of Cognition (VOC) scale; and a self-report measure of overall improvement, which was the Image Desensitization Rating Scale (IDRS).Results demonstrated support for the superiority of an eye movement condition over that of both a no-eye movement condition (EFD), and a competing motor activity of single hand tapping (SHT) on process variables (SUDs and VOC), but not on weekly global measures (IES, BAI, and SUDs) in the single subject studied. Also, this study found support for the effectiveness of EMDR (delayed treatment phase) in reducing symptoms of anxiety, intrusiveness and avoidance, and subjective distress related to memory of trauma as measured by BAI, IES, and SUDs, and also in alleviating DSM-IV symptoms of Posttraumatic Stress Disorder for this subject. Experimental single-subject studies, as well as group designs, need to investigate possible neurological and theoretical explanations for the effectiveness of EMDR in future research. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(4-B), Oct 1999, pp. 1846.
Comments on the article by J. G. Carlson et al (see record 84-01737) regarding the use of eye movement desensitization and reprocessing treatment (EMDR) to treat posttraumatic stress disorder (PTSD) in Vietnam veterans. The author suggests that EMDR seems simplistic and lacks face validity altogether. L. Waters proposes that EMDR works because of resolute perception, a process defined by F. J. Hanna and K. Puhakka (1991) as a deliberate sustained focus of attention on an identified problem with the goal of achieving clarity, at a point when the client is ready and willing to confront and perceive. Waters suggest that a way to test whether or not EMDR works because of resolute perception would be to assign a similar group of clients to a totally different task (e.g., drawing straight lines) while giving them the same instructions as are given in EMDR regarding their memories, thoughts, and desirable cognitions. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Eye Movement Desensitization and Reprocessing (EMDR) is an
integrative psychotherapeutic approach that conceptualizes current
symptoms resulting from experiences that are inadequately
processed; that is, “frozen” in the brain. When these inadequately
stored memories are triggered, symptoms result (e.g. nightmares,
flashbacks, intrusive thoughts, etc.). The EMDR protocol involves
accessing the dysfunctionally stored information, stimulating the
innate processing system through standardized protocols (including
eye movements), allowing it to transmute the memory to an
adaptive resolution. Processing is evident by a rapid progression of
intrapsychic connections as emotions, insights, sensations and
memories surface and change with each new set of bilateral
stimulation. The mechanisms of action include adaptive information
from other memory networks linking into the network holding the
dysfunctionally stored information. There is a shifting of the
information from implicit to episodic and then semantic memory.
The memory is no longer isolated, and becomes appropriately
integrated within the larger memory network. Hence, processing
involves the forging of new associations and connections enabling
learning to take place with the memory stored in a new adaptive
form.
This presentation will discuss the eight phases, three-pronged,
EMDR treatment model and illustrate the dynamics of treatment
through a video case presentation.
Participant Alert: A taped session with a client who has
experienced trauma will be presented.
Since Francine Shapiro's first published paper on EMD therapy in 1989, there has been a tendency toward polarization in EMDR research. Those who tend to believe in the effectiveness of EMDR tend to find results which confirm their point of view. Those who have been very skeptical about the effectiveness of EMDR have tended to produce findings which validated their perspective also. The result of this has been years of back and forth research, without a great deal of moving forward by asking new questions based on previous findings. This literature review involved evaluating all available research on EMDR published in English as of March 1, 2002. Studies were categorized as contributing to knowledge about EMDR in general, or emphasizing specific aspects. Specific aspects were breadth of application, subjectivity of effects, EMDR's effect on intrusive PTSD symptoms, the necessity for eye movements, how EMDR works, if it does, and whether it produces lasting change.Findings included a probable effect from EMDR in treating traumatic memories. It has not been found equally effective in treating other kinds of anxiety or other psychological maladies. Subjectivity is an ongoing issue in EMDR research, yet there are several forms of data indicating an effect in a context in which subjectivity could not have been a significant factor. If EMDR works better for intrusive PTSD symptoms compared to others, the difference is minor. The necessity of eye movements has not been clarified, largely because of the use of alternate forms of bilateral brain stimulation as a control condition when these in fact may promote a similar process. EMDR appears to produce change that is as lasting as any other form of psychotherapy. The main conclusion is that there is a paucity of research including a variety of independent variables. The ongoing battle as to whether EMDR works or not has delayed thorough inquiry into for whom it works, compared to for whom it does not work. It is argued that the field, as well as the clinical population, would be well served if research could move in the direction of rectifying this situation. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(1-B), 2004, pp. 455.
Eye Movement Desensitization and Reprocessing (EMDR) was developed in 1987 by Francine Shapiro, as a modality for relieving anxiety, traumatic memories, intrusive thoughts, and reprocessing negative self-beliefs to positive self-beliefs. One of the most common uses of EMDR in recent years has been the treatment of PTSD.This current study investigated the effects of EMDR across a sample of 3 sexually abused women diagnosed with PTSD using a multiple baseline design across subjects. The study specifically focused on whether or not intervention with EMDR effects traumatic memory and negative/irrational cognitions, decreases stress or changes levels of anxiety, depression and heart rate. The study intended to assess the efficacy of EMDR while simultaneously reduce human suffering and answer some of the more serious criticisms which have blurred confidence in EMDR outcome research. Specifically, the study controlled for a number of the criticisms in the literature predominantly through a confirmation of an accurate PTSD diagnosis and through the use of a multiple baseline design. The multiple baseline design was applied sequentially to the same problem across different but matched subjects sharing the same environmental conditions. Heart rate level and well-known psychometrics were used to obtain baseline, intervention and post-intervention measures. Psychometric scores reflecting levels of depression, anxiety, and subjective levels of the impact of distress regarding the trauma were assessed along with the levels of anxiety currently experienced about the trauma and subjective ratings regarding the acceptance of the preferred, self-generated positive cognition. The measures used in this study were an initial clinical interview, an Anxiety Disorders Interview Schedule for the DSM-IV, Beck Depression Inventory, Beck Anxiety Inventory, Wolpe's Subjective Unit of Disturbance Scale, Validity of Cognition, Impact of Event Scale and heart rate. The study reported descriptive statistics to analyze the multiple baseline study and to determine EMDR's clinical significance in treating PTSD. The effects of EMDR on the three PTSD subjects of this study demonstrated that meaningful changes occurred in several areas. Subjective disturbance and stress surrounding the traumatic memory decreased, positive self-cognitions increased, and both depression and anxiety levels decreased following EMDR treatment. No change in heart rate physiology occurred. All of the study's treatment measures were maintained at follow-up. The results of this study suggest that EMDR may be a powerful and effective intervention to reduce patient suffering in a relatively painless fashion. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(8-B), Feb 1997, pp. 5350.
Eye Movement Desensitization and Reprocessing, EMDR, is a new clinical treatment shown to be effective for victims of trauma. EMDR is a time efficient, comprehensive methodology backed by positive, controlled research, for the treatment of the disturbing experiences that underlie many pathologies. An eight phase treatment approach that includes using eye movements or other left-right stimulation, EMDR helps victims of trauma reprocess disturbing thoughts and memories. This project reviews research and development, discusses theoretical constructs and possible underlying mechanisms, and presents protocols and procedures for the treatment of adults and children with a range of complaints. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(9-B), Mar 1998, pp. 5129.
The purpose of this thesis is to provide information and exposure for EMDR therapy as it relates to performance anxiety in singers and other musicians. Since EMDR therapy is a relatively new approach to relieving issues of anxiety, this thesis provides a description of its discovery, background, development, and proper procedures and protocols. In 1987 Francine Shapiro discovered and began to develop a new method in the treatment of trauma using guided eye movements. These guided eye movements were theorized to create bilateral brain stimulation, which through the simultaneous component of recalling ones trauma both physically and emotionally, an individual’s trauma can be processed toward a state of mental health. This is similar to what is theorized to happen during REM sleep. Francine Shapiro states that every human being possesses an innate information processing system that guides each individual toward a balanced state of mental health, similar to the way our bodies heal physically. Once an individual experiences a trauma, the events become locked into the nervous system into its own separate neuro-network, unable to be accessed by the individual for positive processing. Our ability to process the traumatic experience is hindered and the trauma relives itself through nightmares, flashbacks, disturbing or intrusive thoughts, anxiety, or any number of life hindering events.
The theory of EMDR is that through guided eye movements, or other sources of bilateral brain stimulation such as hand taps, alternating lights or sounds, or hand buzzers, the traumatic information held in its separate neuro-network is able to bridge itself to more positive information stored in the individual’s memory. EMDR not only helps to desensitize our traumatic memories but also helps to reprocess our thoughts and feelings regarding the trauma with positive statements and beliefs such as “I am in control” and “I deserve this”. One of the most impressive aspects of the therapy is the rate in which patients improve. The success rate of EMDR is between 84 and 90 percent effective in one to three sessions or less, depending on the severity of the trauma.
EMDR began treating patients suffering primarily from PTSD (Post-Traumatic Stress Syndrome) but has expanded over the years to include a wide range of pathologies, traumas, and anxiety disorders. Francine Shapiro is continuously striving to enhance the protocols and procedures of EMDR in order to better understand and improve its effectiveness. I discovered EMDR only a ew years ago and realized that it was being used by therapists across the country in the treatment of performance anxiety, but very little had been written on this topic. Therefore, my goal is to expose both singers and instrumentalists to this new method as a new option in the treatment of performance anxiety.
After reviewing Eye Movement Desensitization and Reprocessing (EMDR) technique, claimed to be the most successful in the treatment of most resistent intrusive symptoms of Posttraumatic Stress Disorder (PTSD), the authors report the case study of a war veteran who received EMDR treatment over two sessions. Asessments were made pre and posttreatment and at a year follow-up by using the Symptom Checklist 90 Revised (SCL-90-R) and Impact of Event Scale (IES), Significant improvements were accomplished in all PTSD clusters.
The Eye Movement Desensitization (EMD) procedure is a recently developed rapid treatment for anxiety and traumatic memories. Although, according to the DSM-III, post-traumatic stress disorder (PTSD) develops from a "psychologically traumatic event that is generally outside thr ange orusual human experience," many people are affected. Symptoms include nightmares, flashbacks and intrusive thoughts based on inidents of combat, rape, incest, accidents and natural disasters such as the 1989 Lom Prieta earthquake. Clinical experience has demonstrated that one to four sessions iwth EMD are sufficient to produce cessation of trauma-related anxiety and pronounced symtomatology suffered by victims of such events.
The Eye Movement Desensitization
and Reprocessing (EMDR)
procedure, developed by Francine
Shapiro, Ph.D., was introduced as a
new rapid treatment for anxiety and
related traumata. Dr. Shapiro
serendipitously discovered that
lateral eye movements (saccades)
produced a decrease in distress
associated with dysfunctional
thoughts. The basic protocol for
integrating EMDR into clinical work
involves the client performing sets
of saccades (usually when tracking
the therapist's finger) while visualizing
a disturbing image, thinking a
disconcerning thought or focusing
on an unpleasant affect. The result is
- often a rapid working through of
even strong negative feelings, a
disappearance of the upsetting
images and a facilitation of cognitive restructuring of dysfunctional
thoughts.
The use of saccadic eye movements for treating PTSD is described. The procedure involves eliciting from clients sequences of large-magnitude, rhythmic saccadic eye movements while holding in mind the most salient aspect of a traumatic memory. This results in (1) a lasting reduction of anxiety, (2) changes in the cognitive assessment of the memory, and (3) cessation of flashbacks, intrusive thoughts, and sleep disturbances. The procedure can be extremely effective in only one session, as indicated by a previous controlled study and a case history presented here. It does not require a hierarchical approach, as in desensitization, or the elicitation of disturbingly high levels of anxiety over a prolonged period of time, as in flooding. Some speculations are offered concerning the basis for the effectiveness of procedure. [Author Summary]
While strolling through a park one day, Francine Shapiro notices that certain of her troubling thoughts suddenly lost their distressing qualities. Curious about what had happened; Shapiro regenerated the mental images and again found them no longer upsetting. Attending closely to her behavior, she realized that her eyes had been spontaneously and rapidly shifting back and forth. Suspecting that rapid eye movements might possess hitherto untapped therapeutic powers, Shapiro began informal tests on her friends. She asked them to concentrate on a traumatic or disturbing memory and to track her finger visually as she moved it back and forth in front of their eyes. Her friends reported feeling better and their memories were no longer disturbing.
Reprinted in M. Shermer (ed.), The Skeptic Encyclopedia of Pseudoscience,Volume I, Santa Barbara:ABC-CLIO, Inc.
EMDR is a controversial but widely used method for treating PTSD and other psychiatric conditions. Controversy surrounding EMDR stems from two main sources. FIrst, it lacks convincing scientific rationale. The main intervention in EMDR requires the patient to recall trauma-related memories while also attending to some form of external oscillatory stimulation. This stimulation is typically induced by the therapist moving a finger from side to side, across the patient's field of vision, inducing eye movements. After each set of eye movements, the patient is asked to natice what memories, images, thoughts, or feelings arise, and then more sets of eye movements are induced until distress is reduced.
Eye-movement desensitization and reprocessing (EMDR) has been hailed as a new experimental treatment for survivors of trauma that can provide rapid relief from the debilitating symptoms associated with PTSD. EMDR's efficacy reportedly stems from the use of eye-movements that are postulated to stimulate physiological changes in brain activity to produce cognitive restructuring and desensitization of emotional discomfort. This novel procedure has become more prominent with reported benefits for an increasing range of clinical applications. Since there is minimal controlled research, especially in a civilian population, on psychological methods to treat the ill effects of trauma and because EMDR has limited empirical support, further controlled investigation was warranted to supplement this limited body of scientific knowledge.Consequently, the specific goals of this controlled study were to evaluate (1) the efficacy of EMDR in the treatment of civilian trauma survivors, (2) whether or not eye-movements are instrumental to the therapeutic process, and (3) the treatment impact on intrusive and avoidant symptoms. It was hypothesized that (1) an EMDR treatment group would demonstrate greater efficacy when compared to an Alternative group which followed the same treatment protocol except for the substitution of deep breathing for the eye-movements, (2) both the EMDR and Alternative treatments would show significant improvement over a Control group, and (3) there would be similar changes in intrusive and avoidant symptoms. Findings at two month follow-up indicated the EMDR group had significant reductions in intrusive/avoidant symptoms (using the Impact of Event Scale), decreased emotional discomfort related to traumatic memories (rated by Subjective Units of Distress), and improvements in positive self-evaluations (measured by the Validity of Cognition Scale). There were similar results in the Alternative group with the exception of no significant improvement in self-evaluation. This latter finding provides some support for the hypothesis that eye-movements facilitate a cognitive restructuring. Comparisons between the EMDR and Alternative treatments, however, found no significant differences on any of the dependent measures. That is, both treatments appeared to produce comparable positive results which implied eye-movements were no more effective than deep breathing. In addition, both treatments were found to be more effective in easing intrusive symptoms. Other similarities included observable relaxation reactions in both treatments. These overall findings imply a similar change mechanism. Therefore, the efficacy of EMDR may stem more from reciprocal inhibition rather than a cognitive restructuring induced by the eye-movements. If this is valid, then EMDR may be a variant of systematic desensitization. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(3-B), Sep 1995, pp. 1690
Lost in mental illness, he became one of the first troops to try out the intriguing and cutting-edge therapy called eye movement desensitisation and reprocessing (EMDR) - a practice which would force him to relive suicidal thoughts but ultimately go on to help save his life. [Excerpt]
The objectives of this presentation are to define ADHD in the various ways it presents adults, using EMDR cognitions and
observations of clients as clues; then, to clarify why and EMDR works differently before, during, and after diagnosis,
The presenter will provide background on the biological differences of those with the disorder, some thoughts on why this diagnosis
is becoming so frequent at this time, and why therapists who use EMDR may be more likely to have the disorder and to see it in their
clients.
During the workshop participants will explore their own attitudes toward ADHD and learn about how these attitudes influence their
ability to identify and assess ADHD symptoms in clients. Values, judgments and common myths about ADHD will be briefly
discussed.
Specific suggestions about modifying treatment when ADHD is suspected, suggested as a possible diagnosis to the client, and
treated will be given, including a list of modified positive cognitions. Treatment planning ideas for clients with a variety of
concurrent diagnoses will be offered, with special attention to the problems of resistance to the diagnosis, the medications use for
treatment, and the process of adapting patterns to solve specific problems, using a specific example a group treatment planning
exercise will be conducted. The actual treatment history of the case will be given clarifying how the treatment goals were reached.
There will he time for participants to formulate negative and positive cognitions regarding their attitudes toward ADHD clients and
the use of appropriate medications, and to assess the strength those attitudes, SUDS scales will be used.
Participants will have an opportunity to ask questions and will obtain a bibliography, a client questionnaire, a list of modified
cognitions, and a summary of resources for medical treatment, education and social support.
Your recent newspaper column regarding the person experiencing trauma after her Toyota was rear-ended by some guy going 70 mph invited me to add my thoughts: I am a psychologist in Minnesota and have treated a number of car-crash victims just like your reader. They are indeed suffering from a form of post-traumatic stress disorder, and can easily be helped by a therapeutic procedure called EMDR -- eye movement desensitization and reprocessing. Don't ask me to explain how it works, but believe me, it does. I have treated car-crash victims, carjacking victims, rape victims and holdup victims with the same method of EMDR.
This discussion explores, briefly, the position that the repetitive redirecting of attention in EMDR is capable of turning on the brain's REM sleep system, leading to the activation of specific areas of the the anterior cortex of the cingulate gyrus, facilitating its function as a filter, thereby facilitating the integration of traumatic memory into general semantic networks. This integration is seen to lead to the subsequent reduction in both the strength of hippocampally mediated episodic memories of the traumatic event as well as the amygdaloid mediated negative affect of PTSD. The possibility is suggested that another underlying mechanisms of EMDR stimulation is the activation of the lateral cerebellum. The contribution of the cerebellum to cognitive and language functions is explored. The activation of the dentate nuclei in the lateral neocerebellum is shown to facilitate activation of the ventrolateral and central lateral thalamic nuclei. The activation of the ventrolateral nucleus is shown to lead to the activation of the left dorsolateral prefrontal cortex; further facilitating the integration of traumatic memory into general semantic and other neocortical networks. [Author Abstract]
The following speculations considered in this paper are submitted to stimulate further discussion and research about the primary Neurophysiological processes that are involved in EMDR.
‘Eye Movement Desensitisation and Reprocessing’ (EMDR) is een therapievorm die ontwikkeld is voor mensen die last hebben van de gevolgen van een ingrijpende gebeurtenis. Kenmerkend voor de effecten van een ingrijpende gebeurtenis is dat de persoon de herinnering niet kan loslaten; telkens komen beelden terug (soms als flashbacks of nachtmerries) en elke keer blijft de herinnering nare emoties oproepen, zoals angst, verdriet of walging. Tijdens de behandeling zal de EMDR-therapeut vragen weer aan de nare gebeurtenis terug te denken, inclusief de beelden, de gedachten en de gevoelens bij de herinnering. Als de herinnering zo goed mogelijk is opgehaald, starten de ‘eye movements’: de cliänt wordt gevraagd om met de ogen de hand van de therapeut te volgen die zich horizontaal heen en weer beweegt. Aan deze oogbewegingen dankt EMDR zijn naam, hoewel deze oogbewegingen tegenwoordig vaak vervangen worden door geluiden, die door een koptelefoon afwisselend links en rechts worden aangeboden. Bij kinderen worden vaak ‘handtaps’ gebruikt. Na elke set oogbewegingen (of andere stimuli) wordt er gevraagd wat er naar boven komt.
'Eye Movement Desensitisation and Reprocessing (EMDR) is a form of therapy developed for people who suffer from the effects of a dramatic event. Characterize the effects of a drastic event that the person can not release the memory, always come back images (sometimes as flashbacks or nightmares) and each time the memory remains nasty emotions like fear, sadness or disgust. During treatment, the EMDR therapist questions back to the bad event to remember, including images, thoughts and feelings at the memory. If the memory is retrieved as well as possible, start the 'eye movements': THE CUSTOMER will be asked to hand the eyes of the therapist to follow horizontally back and forth. These EMDR eye movement owes its name, although eye movements now often replaced by sounds, by an alternating left and right headphones are offered. When children are often "hand tapping 'is used. After each set of eye movements (or other stimuli) are asked what comes up.
This presentation outlines how EMDR and Couple's Therapy can be
integrated in the field of psychotherapy. The audience will learn how to conduct a
couple's therapy session based on the 8 Phases of the EMDR protocol. During this
presentation, video recordings will be provided to demonstrate how EMDR can be
used in the couple's therapy setting when emotionally disruptive events, such as
infidelity, attachment injuries or childhood trauma have negatively affected the
relationship.
Couples therapy examines the negative cycle that occurs within the relationship,
helps to deepen the couple's awareness of both their internal experience and the
experience of their partner, and to cultivate intimacy within the relationship.
However, if the couple is unable to tolerate their own anxiety or the distress of
their partner, their mid-brain can become emotionally charged, thus leading to
further discord within the relationship.
Based on the AIP model, if either one or both members of the relationship are
being triggered by unresolved past traumatic events both parties can become
activated. Since the initial perceptions, emotions and distorted thoughts are stored
as they were experienced at the time of the event, the couple can get caught in an
unending negative cycle that further exacerbates the anxiety and distress in the
relationship. By integrating EMDR in Couple's Therapy we hypothesize that EMDR
helps to both increase one’s ability to tolerate anxiety and decrease the intensity of
past traumatic events and present day triggers, thus decreasing the level of
distress in the relationship.
Esta
presentación
esboza
cómo
se
puede
integrar
EMDR
y
la
terapia
de
pareja
en
el
campo
de
la
psicoterapia.
Los
participantes
aprenderán
a
llevar
a
cabo
una
sesión
terapéutica
de
pareja
sobre
la
base
de
las
8
fases
del
protocolo
de
EMDR.
Durante
esta
presentación,
se
ofrecerán
vídeos
para
demostrar
cómo
se
puede
utilizar
EMDR
en
el
contexto
de
una
terapia
de
pareja
cuando
han
afectado
la
relación
de
forma
negativa
eventos
emocionalmente
perturbadores,
como
la
infidelidad,
daños
al
apego
o
trauma
infantil.
La
terapia
de
pareja
examina
el
ciclo
negativo
que
se
da
dentro
de
la
relación,
ayuda
a
profundizar
la
conciencia
de
la
pareja
tanto
de
su
experiencia
interna
y
la
experiencia
del
otro
miembro
de
la
pareja
y
a
cultivar
la
intimidad
dentro
de
la
relación.
Sin
embargo,
si
la
pareja
no
es
capaz
de
tolerar
su
propia
ansiedad
o
el
estrés
de
su
pareja,
se
les
puede
quedar
cargado
el
cerebro
medio
y
así,
provocar
más
discordia
dentro
de
la
relación.
De
acuerdo
con
el
modelo
AIP,
si
eventos
traumáticos
sin
resolver
“disparan”
a
un
miembro
de
la
relación
o
a
ambos,
pueden
activarse
ambas
personas.
Desde
las
primeras
percepciones,
se
guardan
las
emociones
y
pensamientos
distorsionados
igual
que
se
vivieron
en
el
momento
del
suceso,
la
pareja
puede
acabar
atrapada
en
un
ciclo
negativo
sin
fin
que
agudiza
aún
más
la
ansiedad
y
el
estrés
en
la
relación.
Al
integrar
EMDR
en
la
terapia
de
pareja,
nuestra
hipótesis
es
que
EMDR
contribuye
tanto
a
aumentar
la
capacidad
de
la
persona
a
tolerar
la
ansiedad,
como
a
disminuir
la
intensidad
de
los
sucesos
traumáticos
pasados
y
los
desencadenantes
actuales
y
así,
reducir
el
nivel
de
estrés
dentro
de
la
relación.
Using this workbook, the child EMDR psychotherapist guides the child client through the EMDR protocol. Visually appealing illustrations based on children's drawings are used to encourage the child to draw imaginal and existing resources for strength, mastery, and comfort. Using these drawings, the therapist prepares the child for processing a trauma. Then, after the child draws a safe place, the therapist uses the workbook to help the child identify the thoughts, emotions, and body sensations related to the trauma. The child is then ready for Phase 4, desensitization and reprocessing of the trauma. The workbook continues by helping the therapist guide the child client through the remaining phases of the protocol, finishing with a Certificate of Accomplishment for the child to keep. Instructions for the therapist and worksheets for the therapist's notes are included. [EMDRResources abstract]
Bu çalışmada, Göz Hareketleriyle Duyarsızlaştırma ve Yeniden İşleme yaşlı, kör erkek üniversite öğrencisi bir 26 yıl kullanıldı. Onun görsel handikap nedeniyle, diz vurma işlemi EMDR alternatif olarak kullanılmaktadır. kardeşinin ölümünden sonra intihar girişiminde sonra müşteri bir kriz merkezinde tedavi oldu. Onun psikolojik sıkıntı (ve, görmek ve dokunmak onu morga zorla kardeşinin ölümünden sonra, örneğin, soğukluk ve koku ölüm vücudun hakkındaki duyumları) özel anıları ile ilgili, günlük yaşamda onu rahatsız etti. kardeşinin ölüm, intihar öyküsü, suçluluk, çaresizlik hakkında O'nun anıları ve düşüncelerini o diğerleri seans boyunca değerlendirildi hayal kırıklığına söyledi. Bilişsel-örgü tekniği de oturumları sırasında kullanılmıştır. Kısa Semptom Envanteri (KSE) ön ve son test ölçümleri olarak uygulanmıştır. üç ay kadar, bu BSI puanları genellikle indirdi olduğu bulunmuştur takip iki seans ve bir aylık ve sonra. Ayrıca, o onun kişisel gelişim bir ilerleme olduğunu bildirdi. Olgu bildirilmektedir bir kör kişi ile EMDR tekniğinin formu dokunarak diz ilk başarılı uygulama olduğunu anlamda ilginçti. Bu çalışmanın sonuçları travmatik görüntüleri canlılığını işitme nedeniyle ve kokulu o EMDR çalışmalarda olarak azalmış olacaktır dokunmadan gösterdi. Bu makalede ayrıca EMDR yöntemi ve etkinlik hakkında olumsuz sonuçlarını içermektedir. (PsycINFO Veritabanı Record (c) 2008 APA, tüm hakları saklıdır) (dergi soyut)
In this study, the Eye Movement Desensitization and Reprocessing was used with a 26 years old, blind male university student. Because of his visual handicap, knee tapping procedure has been used as an alternative to the EMDR. After his brother's death he attempted to suicide and then the client had a therapy in a crisis center. His psychological distress related to specific memories (e.g., after his brother's death, being forced to the morgue to see and touch him, and his sensations about coldness and scent of the death body) was bothering him in his daily life. His memories about his brother's death, suicidal history, guiltiness, helplessness, and his thoughts that he disappointed the others were evaluated throughout the sessions. Cognitive-weave technique was also utilized during the sessions. The Brief Symptom Inventory (BSI) was applied as a pre and post test measures. After the two sessions and one-month and three-month follow-up, it was found that the BSI scores were generally lowered. In addition, he reported that he had a progress in his personal growth. The case reported here was interesting in the sense that it was the first successful application of knee tapping form of the EMDR technique with a blind person. The results of this study showed that the vividness of traumatic images due to hearing, smelling and touching would be reduced as in the EMDR studies. This article also includes the negative results about EMDR method and its efficacy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)(from the journal abstract)
Do you sometimes feel like you don’t understand your reactions, feelings or thoughts? As if someone had hijacked the driver’s seat of your life and you wound up doing something stupid? Or regret your response? You don’t make sense in some situations, even to yourself? Maybe a wounded inner role took over and you didn’t catch it...? This book will explain what you can do about it. Using EMDR therapy to treat our Inner Gallery of Roles has brought together the best of reprocessing and role therapy for trauma and painful memories. Written for the layperson and full of snippets from the author’s case studies, it will give readers information about emotional trauma and why we should treat it. In a fun, entertaining and yet informative manner, it illustrates how our inner roles run our lives – for better or for worse. The purpose of this book is to help identify and clarify the existence of our Inner Gallery of roles – those who live inside all of us and that drive many aspects of our lives, such as the Scaredy-Cat, the Adolescent in Crisis, the Liar (that even lies to myself!), and the Inner Doctor. We will see how these roles are born and develop within, their functions and interactions in our lives, and how to heal the wounded ones, so that we can lead more fulfilling lives. We can also learn how to celebrate those roles that build us up and move us forward in life, and serve as positive resources when we need them. Although Role Theory is an integral part of Psychodrama the special emphasis in this healing process is on EMDR, a new reprocessing therapy developed by Dr. Francine Shapiro. We tie together all of these aspects in order to help our Inner Gallery of roles develop “good neighborhood policies” and live in greater harmony and health. In this book we will explain how roles develop inside of us and how trauma and painful memories keep our roles from proper development as we grow up.
Sexual abuse is abuse to a person's sexuality. It can seriously harm the development of healthy sexual attitudes, self-concept, and
behavior. In particular, survivors are often troubled by a variety of sexual problems, such as, fear and avoidance of sex, approaching
sex as an obligation, automatic negative reactions to touch, difficulty becoming aroused or feeling sensation, emotional detachment
during sex, disturbing sexual thoughts and fantasies, compulsive sexual behaviors, difficulty with intimate partners, and sexual
functioning concerns.
EMDR is a technique which can effect significant changes in cognition, sensation, and emotional experience. It can be a powerful tool to help survivors reprocess traumatic material blocking healthy sexual experience. But because sex is often an extremely loaded
issue for survivors, and EMDR is seen as technique in which the therapist "does something" to the client, precautions must be taken
to avoid negative, retraumatizing reactions and increase positive results. Due to the high potential for negative transference in sex
therapy with survivors, the therapist must present the EMDR technique in a style which values client safety and empowerment. This
can involve associating the techque with safe images and prior positive experiences, developing relaxation and containment skills,
and modifying the physical aspects associated with the technique.
There are a variety of sexual concerns which respond well to EMDR intervention. EMDR can be used to help replace old negative
messages about sex with new messages which view sex as based on consent, equality, respect and safety. Sexual self-concept can
be improved as survivors undo irrational belief systems which blame their sexuality and/or sexual parts for having caused the abuse.
EMDR can help introduce new experiences of self-forgiveness and self-acceptance. EMDR can also help desensitize particular
objects, sexual settings, types of touch, and associations to the intimate partner which trigger negative reactions.
Therapists who focus on sexual healing need to be familiar with a variety of sexual healing techniques. These include the sexual
response cycle exercise, relearning touch exercises, techniques for healing unwanted sexual fantasies, and techniques for improving
sexual functioning. Therapists can use EMDR to help survivors work through blocks and impasses encountered with the
techniques.
Using this workbook, the child EMDR psychotherapist guides the child client to create a notebook of drawings of the child`s own strengths and resources. Each page offers a "pick list" of examples related to the positive thought in the headline for that page. On each page the child is instructed to create a drawing or sculpture, or to tell or write a story related to that positive thought or resource.
This workbook is helpful to the EMDR therapist in several situations - for installation of resources in the Preparation phase of EMDR Therapy, for positive hands-on activities at the end of child therapy sessions, for selected parents to use at home to reinforce installation of positive resources, and for strength building if the child`s home life is too unstable for trauma processing. This workbook serves as a good companion to Goodbye Yucky Thoughts and Feelings. The workbook is also designed for use by non-EMDR therapists to help build confidence and a sense of mastery.[EMDRResources Abstract]
The need to regulate your own responses cannot be overstated. Your anger, depression or anxiety can cause lifelong problems for your children. Remember, just because negative reactions emerge does not make them true or useful. Self-help techniques can help you stay in control. You can find some in my book, Getting Past Your Past: Take Control of Your Life with Self-Help Techniques from EMDR Therapy. For instance, one adult client kept rehashing a fight. Another child client kept seeing his father angrily walk out the door for the last time. You can help yourself and your children get rid of distressing mental pictures by imagining it on top of paint in a can. Then, just stir it up. That disrupts "working memory" and makes it go away. You can also use other techniques to immediately change negative emotions or thoughts. This will empower both you and your children. It will also allow you to be present with your children and show enough happiness so they don't feel like they have to take care of you. No child deserves that burden. [Exceprt]
To the researcher’s knowledge, there is no phenomenological knowledge of Eye Movement Desensitization and Reprocessing (EMDR) with a sub-clinical stressed population. The vast majority of EMDR research has focused on traumatized and clinical populations, leaving a significant gap in what the non-traumatized or sub-clinically stressed participants’ experience. Sub-clinical stress includes any level of stress that does not meet the DSM-IV-TR’s criteria for posttraumatic stress disorder (PTSD) or acute stress disorder (ASD). Additionally, a gap in the literature exists in giving a voice to the participants’ experience of EMDR treatment. The purpose of this study was to evaluate the lived experiences of body sensations, emotions, beliefs, and imagery during EMDR treatment of participants with sub-clinical stress. Participants fit into either a young adult (18-35), adult (36-49), or older adult (50-60) maturity category and did not meet the criteria for PTSD or ASD. The sample consisted of 12 participants, from a large metropolitan area in the Northeastern United States. The participants chief complaints included economic stress, relationship stressor, and critical self-talk. The researcher employed a qualitative phenomenological design to gather data in order to answer the research question: what are the lived experiences of sub-clinically stressed participants’ body sensations, beliefs, emotions, and memory imagery during EMDR treatment? The data was collected using the EMDRIA approved research treatment protocol. The researcher included the floatback technique in every reprocessing session to complying with the tenet of the Adaptive Information Processing Model. After installing a safe-place and five reprocessing sessions, the researcher administered a final interview asking questions about what the participants’ experienced in their body, thoughts, emotions, and memory images. All reprocessing session were completed when the participant indicated a SUDs of ‘0’ and a VOC of ‘7’. The data collected during every reprocessing session and the final interviews were analyzed using constant comparative techniques and open coding; verified with member check techniques. The results identify five thematic holistic experiences common in all participants. The themes of responsibility, safety, choices, power, and value emerged from the data. The findings indicate a participants’ lived experience may expand the cognitive themes described in the Adaptive Information Processing Model. The themes of responsibility, safety, power, and value were targeted and reprocessed as disturbing memories. The participants experienced these themes as feeling overly responsible, unsafe, valueless, and/or powerless. The holistic manifestation of the themes of choices emerged as the outcome towards a more adaptive perspective of the disturbing targeted memories. The results of this study further indicate that it may be beneficial to address all four maladaptive themes in mind and body for effective sub-clinical stress resolution. The findings inform scholarly and clinical understanding of the Adaptive Information Processing Model concepts of responsibility, safety, and choices. The findings of this study preliminarily expand the previously unknown holistic manifestation of these themes in sub-clinical participants’ lived sensory experiences. These themes are now in need of additional research to verify and validate the findings of this study.
Self-help techniques can often do the trick and may make it possible to deal with negative emotions, images and thoughts that arise. For instance, here's one from my book, Getting Past Your Past: Take Control of Your Life with Self-Help Techniques from EMDR Therapy: Whenever you find yourself bothered by negative self-talk (you know, that voice that tells you how defective you are), notice how your body feels. Then think of a cartoon character with a funny voice like Elmer Fudd, Popeye or Daffy Duck and make your critical inner voice sound like that character. For most people, the disturbing feelings will go away. {Excerpt]
Posttraumatiskt stressyndrom (PTSD) innebär en ångestproblematik och en svårighet att
hantera affekter och stress på ett funktionellt sätt. Traumatiska minnen väcker starka känsloreaktioner
som kan vara översvallande och upplevas som förgörande för individen. Vissa
individer kan ha svårighet att hantera affekter pga. irrationella tankar och föreställningar
som stör förmågan att hantera stress, eller så har patienten aldrig utvecklat förmågan att
hantera intensiva affekter och som hindrar en bearbetning. I den här studien vill jag visa hur
hypnos och EMDR i kombination skulle kunna hjälpa klienter att hantera dessa reaktioner
där hypnos kan ha en stabiliserande effekt och EMDR en mer bearbetande effekt. Studien har
en kvalitativ undersökningsdesign och är upplagd som en fallstudie av tre patienter som
genomgick en psykoterapeutisk traumaterapi. Datainsamlingen gjordes genom deltagande
observation och efter varje avslutad session gjordes minnesanteckningar som sedan systematiserades
och analyserades. Behandlingsutfallet utvärderades med hjälp av Impact Event
Scale som visade en påtaglig minskning av traumasymtom. En slutsats av denna studie är att
det finns många fördelar med att använda hypnotiska tekniker för att skapa stabilitet i det
terapeutiska rummet vid behandling av posttraumatisk stress med EMDR.
Post-traumatic stress disorder (PTSD) is an anxiety problems, and difficulty
manage emotions and stress in a functional way. Traumatic memories arouses strong emotions
which can be exuberant and experienced as devastating to the individual. Some
individuals may have difficulty dealing with emotions due. irrational thoughts and beliefs
that interferes with the ability to handle stress, or so the patient has never developed the ability to
manage intense emotions that prevent a machine. In this study, I show how
hypnosis and EMDR in combination could help clients to manage these reactions
where hypnosis can have a stabilizing effect and EMDR more processing power. The study has
a qualitative research design is conceived as a case study of three patients
underwent a psychotherapeutic trauma therapy. The data was collected by participating
observation and after completion of each session were made notes which are then systematized
and analyzed. Treatment outcome was evaluated using the Impact Event
Scale showed a significant reduction in trauma symptoms. One conclusion of this study is to
there are many advantages to using hypnotic techniques to create stability in the
therapeutic consideration in the treatment of post traumatic stress disorder with EMDR.
Posttraumatiskt stressyndrom (PTSD) innebär en ångestproblematik och en svårighet att
hantera affekter och stress på ett funktionellt sätt. Traumatiska minnen väcker starka känsloreaktioner
som kan vara översvallande och upplevas som förgörande för individen. Vissa
individer kan ha svårighet att hantera affekter pga. irrationella tankar och föreställningar
som stör förmågan att hantera stress, eller så har patienten aldrig utvecklat förmågan att
hantera intensiva affekter och som hindrar en bearbetning. I den här studien vill jag visa hur
hypnos och EMDR i kombination skulle kunna hjälpa klienter att hantera dessa reaktioner
där hypnos kan ha en stabiliserande effekt och EMDR en mer bearbetande effekt. Studien har
en kvalitativ undersökningsdesign och är upplagd som en fallstudie av tre patienter som
genomgick en psykoterapeutisk traumaterapi. Datainsamlingen gjordes genom deltagande
observation och efter varje avslutad session gjordes minnesanteckningar som sedan systematiserades
och analyserades. Behandlingsutfallet utvärderades med hjälp av Impact Event
Scale som visade en påtaglig minskning av traumasymtom. En slutsats av denna studie är att
det finns många fördelar med att använda hypnotiska tekniker för att skapa stabilitet i det
terapeutiska rummet vid behandling av posttraumatisk stress med EMDR.
Post-traumatic stress disorder (PTSD) is an anxiety problems, and difficulty
manage emotions and stress in a functional way. Traumatic memories arouses strong emotions
which can be exuberant and experienced as devastating to the individual. Some
individuals may have difficulty dealing with emotions due. irrational thoughts and beliefs
that interferes with the ability to handle stress, or so the patient has never developed the ability to
manage intense emotions that prevent a machine. In this study, I show how
hypnosis and EMDR in combination could help clients to manage these reactions
where hypnosis can have a stabilizing effect and EMDR more processing power. The study has
a qualitative research design is conceived as a case study of three patients
underwent a psychotherapeutic trauma therapy. The data was collected by participating
observation and after completion of each session were made notes which are then systematized
and analyzed. Treatment outcome was evaluated using the Impact Event
Scale showed a significant reduction in trauma symptoms. One conclusion of this study is to
there are many advantages to using hypnotic techniques to create stability in the
therapeutic consideration in the treatment of post traumatic stress disorder with EMDR.
Weil Emotionen direkt mit dem Körper in Verbindung stehen, treten bei starken
emotionalen Belastungen regelmäßig körperliche Störungen auf, beispielsweise
Magersucht, Bulimie, Allergien, Schmerzen, Tinnitus, Süchte und Kopfschmerzen.
Mit erstaunlichem Erfolg haben nun einzelne innovative Therapeutinnen und
Therapeuten begonnen, solche emotional bedingten Störungen mit EMDR zu
behandeln, und berichten in diesem Buch darüber. Bei der EMDR-Therapie regt
der Therapeut den Patienten nach strukturierter Vorbereitung zu bestimmten
Augenbewegungen an, wodurch belastende Gedanken besser verarbeitet werden
können.
Weitere Kapitel schildern die Behandlung von Angststörungen mit EMDR, das
seelische Auftanken (Ressourcenorganisation) und die Wirkmechanismen des
EMDR. In ihrem Kapitel über Bindungstherapie mit EMDR zeigt Marion Seidel, wie
sie mit Müttern und Kindern gemeinsam arbeitet und sich dabei die emotionalen
Blockierungen lösen können.
Das Buch gibt Behandelnden und Patienten einen sehr ermutigenden Einblick in
die neu entwickelten Behandlungsmöglichkeiten dieser Erkrankungen.
Because emotions directly with the body are connected to contact with strong
emotional stress regularly to physical disorders, such as
Anorexia, bulimia, allergies, pain, tinnitus, headaches and addictions.
With amazing success now have some innovative therapists and
Therapists begun such emotionally related disorders with EMDR to
treat, and report in this book about it. Excited at the EMDR therapy
the therapist to the patient according to certain structured preparation
Eye movements, thereby upsetting thoughts workable
can.
Other chapters describe the treatment of anxiety disorders with EMDR, the
emotional refueling (Resource Organization) and the mechanisms of action of
EMDR. In her chapter on bond with EMDR therapy Marion Seidel shows how
it together with mothers and children working and it's emotional
Can dissolve blockages.
The book gives a very encouraging patients administering treatment and insight into
The newly developed treatment of these diseases.
In her case, one EMDR session proved helpful. "After we finished, I felt like I knew something that I had always known," she said. "It helped me process the messages in a normal way like most people do. I noticed that I wasn't replaying the tape in my head anymore. It's been two years and I still haven't replayed it. I know what I did [in my marriage] was OK."
Francine Shapiro, the originator of Eye Movement Desensitisation and Reprocessing (EMDR), stumbled quite by accident upon the potentially positive effects of eye movements in desensitising negative emotions and cognitions. Ironically, she wasn't the first to do so. These findings had been made almost two decades earlier by Antrobus and his colleagues (Antrobus, 1973; Antrobus, Antrobus, & Singer, 1964). What unified the findings of Shapiro and Antrobus, apart from their agreement on the utility of eye movements, was that there was no theoretical system which could convincingly explain the findings to the skeptical research community to which Shapiro began disclosing her findings. What distinguished their approaches was that Shapiro set out to vigorously sell her belief in their utility in the relative absence of explanations as to why that might be the case. Uri Bergmann, an EMDR Institute Facilitator in New York, has recently put together a speculative neurobiological hypothesis for the effects of EMDR. In this article, he draws on a growing body of research into the area, particularly the ideas of Harvard University sleep researcher Robert Stickgold, who first identified the physiological pathways that link EMDR to REM functioning. Bergmann' offers his thoughts on the matter in a form accessible to the neurologically naïve as a first step to understanding the neurobiology of EMDR.
Introduzione: i pazienti traumatizzati presentano alterazioni sintomatiche quali intrusività, evitamento ed aumentato arousal, che ostacolerebbe la possibilità di elaborazione/integrazione
delle tracce mnesiche, oltre ad esprimersi a livello periferico. Tecniche specifiche di trattamento sembrano promuovere
l’elaborazione/integrazione delle memorie traumatiche, tra cui la Eye Movement Desensitization and Reprocessing
(EMDR). Nella ricerca valutativa è quindi necessario affiancare alle scale psicologiche un appropriato indicatore
biologico di attivazione neurovegetativa. La variabilità della frequenza cardiaca (Heart Rate Variability – HRV) esprime
l’integrità funzionale del sistema neurovegetativo in risposta
allo stress e può essere misurata nei domini di tempo o di frequenza. Lo studio della HRV è stato applicato in psichiatria ai disturbi
d’ansia (panico, DOC, PTSD) e dell’umore (depressione unipolare) in ricerche trasversali (confronto con controlli sani) e longitudinali di trattamento farmacologico (triciclici,
SSRIs) ma in pochi casi a trattamenti psicoterapici. Gli AA. valutano l’impiego della HRV come indicatore biologico nel trattamento psicoterapeutico di pazienti con Disturbo dell’adattamento erdurante da oltre un mese dopo l’esposizione ad eventi vitali stressanti (EVS). Metodi: sono stati reclutati 6 soggetti (M/F = 1/5, età 40,5 ± 11,0) esposti ad EVS ed avviati a ciclo di trattamento psicoterapico
breve (4-6 sedute a cadenza settimanale) di tipo
specifico (EMDR) o generico (colloqui supportivi). Costituivano criteri di esclusione: età < 18 o > 65 anni; comorbilità psichiatrica, neurologica e cardiologica; uso di farmaci interferenti. Le valutazioni psicopatologiche sono state eseguite al reclutamento
(TBASE: colloquio anamnestico, MINI, Brief
COPE), a inizio e fine ciclo di trattamento (TINI, TFINE: IES, SCL-90-R), a uno e tre mesi di follow-up (T30, T90: IES, SCL-90-R, Brief COPE). Le registrazioni Holter sono state effettuate ad ogni intervallo valutativo coprendo: 60 min. attività libera, 10 min. tilt-test, 3-5 min. ascolto dell’evento traumatico, 30-45 min. seduta psicoterapica. Sono stati impiegati test statistici non parametrici per l’analisi
delle correlazioni (Spearman) e delle differenze
(Wilcoxon). Risultati preliminari: vengono valutate le correlazioni a TINI e le variazioni T90 vs. TINI. Sono significative le seguenti correlazioni: ansia fobica SCL e SDNN (dev. standard intervalli R-R) [r = + 0,9; p = ,037]; collera-ostilità
SCL e SDNN [r = -0,95; p =.014]; depressione SCL e
r-MSSD (radice media somma quadrati diff. R-R) [r = + 0,9; p = ,037]; sint. intrusivi IES e LF (basse frequenze) [r
= -0,9; p = ,037]. Sono risultate statisticamente significative le seguenti variazioni:
IES totale [Z = -1,99; p = ,046], sintomi intrusivi IES [Z = -2,21; p = ,027], sintomi di evitamento IES [Z = -1,99; p = ,046], ideazione paranoide SCL [Z = -2,21; p = ,027]; R-R, LF e LF/HF (rapporto basse/alte frequenze) durante ascolto evento [Z = -2,02; p = ,043].
Discussione: a livello basale gli indicatori HRV di distress vegetativo correlano positivamente con collera-ostilità e sintomi intrusivi, negativamente con ansia e depressione. Anche dopo tre mesi dalla fine del trattamento gli interventi psicoterapeutici tendono a ridurre i punteggi sintomatici, e migliorano il bilancio simpato-vagale durante il riascolto dell’evento traumatico.
Introduction: trauma patients have symptomatic changes such as intrusiveness, avoidance and increased arousal, which hampers the development / integration
of memory traces, as well as speak at the peripheral level. Specific techniques of treatment seem to promote
the formulation and integration of traumatic memories, including eye movement desensitization and reprocessing
(EMDR). In evaluation research is therefore necessary to combine psychological scales appropriate indicator
organic autonomic activation. The heart rate variability (Heart Rate Variability - HRV) expresses
functional integrity of the autonomic nervous system in response
stress and can be measured in time or frequency domains. The study of HRV has been applied in psychiatric disorders
anxiety (panic, DOC, PTSD) and mood (unipolar depression) in cross-disciplinary (compared with healthy controls) and longitudinal drug treatment (tricyclic
SSRIs), but in a few cases in psychotherapeutic treatment. The AA. evaluate the use of HRV as a biological indicator in the psychotherapeutic treatment of patients with adjustment disorder erdurante more than a month after exposure to stressful life events (EVS). Methods: 6 subjects were recruited (M / F = 1 / 5, age 40.5 ± 11.0) exposed to EVS and initiated treatment cycle psychotherapeutic
short (4-6 sessions weekly) type
specific (EMDR) or generic (hearing supported). Exclusion criteria were: age <18 or> 65 years, psychiatric comorbidity, neurological and cardiological, use of drugs interfering. Psychopathological assessments were performed at recruitment
(TBASE: anamnestic interview, MINI, Brief
COPE) at the beginning and end of treatment cycle (TINI, TFINE: IES, SCL-90-R) in a three-month follow-up (T30, T90: IES, SCL-90-R, Brief COPE). Holter recordings were made at each interval evaluation covering: 60 min. free activity, 10 min. tilt-test, 3-5 min. listening to the traumatic event, 30-45 minutes. psychotherapy session. Were used nonparametric statistical tests for analysis
correlations (Spearman) and differences
(Wilcoxon). Preliminary results: the correlations are evaluated and changes TINI vs. T90. TINI. Significant correlations are the following: SCL phobic anxiety and SDNN (standard dev. RR intervals) [r = + 0.9, p =, 037]; anger-hostility
SCL SDNN [r = -0.95, p =. 014]; SCL depression
r-mssd (root mean square sum diff. RR) [r = + 0.9, p =, 037]; sint. IES intrusive and LF (low frequency) [r
= -0.9, P =, 037]. Were statistically significant, the following changes:
IES total [Z = -1.99, p =, 046], IES intrusive symptoms [Z = -2.21, p =, 027], symptoms of avoidance IES [Z = -1.99, p =, 046] , SCL paranoid [Z = -2.21, p =, 027], RR, LF and LF / HF ratio (low / high frequencies) while listening event [Z = -2.02, p =, 043].
Discussion: At baseline HRV indicators of distress correlated positively with growing anger-hostility, and intrusive symptoms, negatively with anxiety and depression. Even after three months of the end of psychotherapeutic treatment interventions aimed at reducing symptom scores and enhance sympathetic vagal balance during the playback of the traumatic event.
5 Eyewitness News has been granted a rare glimpse at an innovative therapy that's helping Minnesotans recover from trauma in ways other therapies have not enabled them to do.
EMDR, or eye movement desensitization and reprocessing, uses light-emitting devices patients follow with their eyes to reprocess traumatic memories.
People undergoing therapy are prompted to relive traumatic experiences in an effort to ultimately remember them differently.
The goal is to neutralize or even replace negative thoughts or emotions with more positive thoughts.
5 Eyewitness News went inside a therapy session to show how the therapy is helping a veteran recover from traumatic Iraq war experiences.
Also highlighted is the recovery effort of a survivor of the mass workplace shooting incident at Accent Signage in Minneapolis last year.
The therapy has been so successful it is being offered for free for up to 100 veterans in Minnesota.
[Excerpt]
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.
This presentation reflects our thoughts and clinical experiences regarding ways that EMDR can
broaden the therapeutic interplay between individual and systemic issues. We will discuss
iwmerous areas of consideration, along with case examples. A list of questions will be handed out,
which can help to guide therapists' thinking. We will also suggest ways to design cognitive
interweaves with a systemic focus.
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.
A structured six-session group therapy has been developed and approved for overcoming craving. The six session protocol
can easily be integrated to well-applied EMDR protocols (DeTur from Popky, CravEx from Haase) supported by systematic
implementation of cue exposure techniques and guided imagery. The EMDR protocol supported by cue exposure catalyses
the recovery process as follows:
At the beginning the patients are taught a set of three ideodynamic resources for coping with the urge to drink; “Rewards
of sobriety”, “Support of relatives and friends” and “Irrepressible commitment to sobriety”. The patients learn rapid activation
of these resources by the use of the “Seven Cue Word Induction–technique” and kinaesthetic bilateral stimulation (SingleblAiR).
Then they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught to initialize
resourcefulness - with continued exposure to alcohol. Subsequently, the power of one ideodynamic strategy diminishes
the intensity of craving significantly. Craving symptoms finally disappear and are replaced by self-reinforcing thoughts and
feelings due to state dependent learning. In addition to this new experience the patients acquire a high level of self-efficacy
as well as greater and deeper knowledge about their personal drinking triggers. They also find out which strategy is the
most effective one for each specific trigger. After regaining self-control over triggers, the patients are more receptive to
working with their core addiction issues, which have now become easier to treat by especially using Desensitization and
Reprocessing of the Standard- EMDR protocol. Workshop participants will become acquainted with the six-session protocol
by the use of DVD-demonstrations and by practising. In addition they will receive a manual with standardised instructions.
Finally they will also be given the opportunity to participate in a cross-cultural research project proving the effectiveness of
the six-step program which starts in 2011. This approach is designed to improve the treatment of various types of addiction
and can easily be integrated into existing EMDR treatment strategies.
In this second installment of our interview Dr.
Shapiro discusses the clinical issues in the use of Eye Movement Desensitization and Reprocessing, the phenomenon of the EMDR movement, the mind/body relationship and her thoughts on the nature of EMDR.
The Recent-Traumatic Episode Protocol (R-TEP) takes the wisdom of the Standard EMDR
Protocol (Shapiro, 1995, 2001) and applies it in adapted form for recent events to provide a
comprehensive approach to Early EMDR Intervention (EEI). The R-TEP thus presents an
integrative protocol for EEI, which incorporates and extends existing procedures. It is a protocol
that utilises both the EMD and EMDR protocols together with some elements of the Recent
Event protocol within a newly conceived extended time perspective, termed here the
"Traumatic Episode". The Traumatic Episode (or T-Episode) comprises multiple targets of
disturbing images/ events/ other experiences, from the original incident until today, including
disturbing thoughts about the future, which need to be processed. [Excerpt]
A novel clinical technique, referred to as "eye-movement desensitization," has recently been reported to rapidly achieve significant reductions in the frequency and intensity of the two primary symptoms of PTSD; cognitive intrusions and the behavioral and emotional avoidance of trauma related fear cues. The current study was intended to provide an experimentally controlled replication of this procedure. The 45 students with the highest scores on a self-report questionnaire were selected for participation in the study and randomly assigned to one of three treatment conditions. These conditions included "eye-movement desensitization," "eye-fixation desensitization," and a non-directive control condition.Sessions One and Three consisted of pretest and posttest assessment respectively, administered by questionnaire and behavioral measures of cognitive intrusions relating to the reported trauma. Session Two, consisted of immediate pretest and posttest assessment of information regarding subjective discomfort, perceived validity of adaptive cognitions, and vividness of images related to the reported trauma. The results of this experiment indicated that treatment-related pretest to posttest change was limited to (a) a relative reduction in cognitive intrusions for the eye-fixation group compared to the other treatment conditions, and (b) initial superiority of both desensitization techniques in immediately reducing subject distress, vividness of the initial image (and for eye-fixation, improved validity of an adaptive cognition) in comparison to the non-directive condition. The latter condition, however, then achieved equivalent gains by one-week follow-up. It was concluded that: (a) the relative efficacy of the eye-movement desensitization technique, was not supported in this non-clinical population, (b) to the degree that the outcomes resulting from the two desensitization conditions were at variance from those of the more traditional non-directive technique, those differences appear to have been predominantly transient in character, and (c) the induction of saccadic eye-movements did not demonstrably function as an active component of treatment within this experimental context. It was additionally concluded that further research will be required to satisfactorily resolve the discrepant findings of experimentation and case reports regarding the efficacy of this technique. Specific suggestions for further research were presented. [Truncated Author Abstract] [Pilots]
EMDR came to Shapiro in one of
those inexplicable, serendipitous
leaps that are typical of both crackpot
notions and breakthrough ideas. She
was walking in a park, she said,
plagued by disturbing thoughts,
when, all at once, the thoughts went
away. (Excerpt)
List of bad and good thoughts appropriate for children.
Traumatische Erlebnisse, wie sie bei Kindern häufig vorkommen, können die normale gesunde Entwicklung der Betreffenden, ihre Selbstachtung und das Zusammenleben ihrer Familien stark belasten.
Eye Movement Desensitization and Reprocessing (EMDR) ist ein umfassender therapeutischer Ansatz, der Patienten in kurzer Zeit hilft, belastende Gedanken und Emotionen, die durch traumatische Erlebnisse entstanden sind, aufzulösen. Traumatisch wirken im allgemein akzeptierten Sinne Mißbrauchs- oder Mißhandlungserlebnisse, Naturkatastrophen und Gewalttätigkeit, doch können Kinder auch viel harmlosere Vorgänge als sehr bedrohlich erfahren. Ein Unfall auf dem Spielplatz, der Verlust eines sehr nahestehenden Menschen oder Probleme in der Schule schockieren ein Kind oft viel stärker als einen Erwachsenen. Außerdem können solche Vorfälle bewirken, daß sich ein Kind hilflos und machtlos fühlt, ängstlich wird und belastende Verhaltensprobleme entwickelt.
Das Buch Kleine Wunder befaßt sich auf sehr ansprechende und eingehende Weise mit den Möglichkeiten therapeutischer EMDR-Arbeit mit Kindern. Das Buch wendet sich an Eltern, die sich Sorgen darum machen, wie ihre Kinder ein gewisses grundlegendes Vertrauen entwickeln können, außerdem an Erwachsene, die sich damit beschäftigen wollen, wie die Geschehnisse in ihrer Kindheit ihr Selbstbild geprägt haben, und an Therapeuten, die mehr über EMDR sowie auch darüber erfahren wollen, wie diese Methode auf die besonderen Bedürfnisse traumatisierter Kinder abgestimmt werden kann.
Traumatic experiences, such as occur frequently in children, can pollute the normal healthy development of the individuals themselves, their self-esteem and the coexistence of their families strong. Eye Movement Desensitization and Reprocessing (EMDR) is a comprehensive therapeutic approach that patients in a short time helps to resolve stressful thoughts and emotions that are caused by traumatic experiences. Traumatic effect in the generally accepted meaning abuse or maltreatment experiences, natural disasters and violence, but children can also learn much more harmless activities as very threatening. An accident on the playground, the loss of a very loved one or problems at school to shock a child often much stronger than an adult. Furthermore, such incidents have the effect that a child feels helpless and powerless, anxious and is developed incriminating behavior problems. Small wonder the book deals in a very appealing and detailed way with the possibilities of therapeutic EMDR work with children. This book is for parents who are worried about how their children can develop some basic trust, also for adults who want to deal with how the events have shaped her childhood her self-image, and therapists, the more about EMDR, and also about to learn how this method can be adapted to the special needs of traumatized children.
United Kingdom military personnel have been involved in the recent Iraq war. While fatalities and casualties were relatively light compared to other conflicts historically, individual incidents can, nevertheless, have a lasting impact on individuals who witness them or are involved. Subsequent wars, though not participated in, can lead to a recurrence of damage. In this case study, the authors illustrate the use of scripted exposure and EMDR in the treatment of John, an English veteran of the Korean War who presented with PTSD. Scripted exposure involves the patient keeping a written record of their most intrusive and distressing thoughts and feelings. [Author Abstract]
Klinik psikoloji alanında ağrıya ilişkin çalışmalar son yıllarda gittikçe artmaktadır. Önceleri kronik ağrının psikolojik boyutlarına yönelik model oluşturmaya ağırlık verilirken daha sonraları tedaviye yönelik psikoterapotik yaklaşımların geliştirilmesine odaklanılmıştır. 1987 yılında Klinik Psikolog olan Francine SHAPİRO, istemli ve sistematik olarak yapılan göz hareketlerinin, olumsuz ve rahatsız edici düşüncelerin yoğunluğunu azalttığı tezinden hareketle Göz Hareketleri ile Duyarsızlaştırma ve Yeniden Yapılandırma-Eye Movement Desensitization and Repocessing (EMDR) tekniğini geliştirmiş. İki yıl boyunca etkinliğini araştırmak üzere çalışmalar yapmıştır. EMDR ilk olarak, savaş stresi, taciz, doğal afetler veya çocukluk döneminde yaşanan üzücü olaylar gibi rahatsız edici yaşam deneyimlerinin neden olduğu duygusal sorunların iyileştirilmesinde kullanılmıştır. Daha sonraları fobi, performans kaygısı, panik bozukluk, beden algısı bozukluğu, çocuklardaki travma belirtileri, yas, dermatolojik bozukluklar, fantom organ ağrısı ve en son olarak da kronik ağrı tedavisinde kullanılmış oldukça çarpıcı sonuçlar elde edilmiştir. Aşağıdaki yazıda ülkemizde henüz yeni yeni yaygınlaşan bu tekniğin tedavi rasyoneli ve uygulaması hakkında kısa bir bilgi sunulmaktadır. Özünü bilgi işleme yaklaşımlarından ve davranışın nöropsikolojik temellerinden alan EMDR Tekniğin in kronik ağrıyı açıklanma biçiminin zenginliği yanı sıra tedavideki sıra dışı başarısının önümüzdeki yıllarda psikoterapi alanında daha çok ilgi yaratacağı düşünülmektedir.
Psychological treatment studies in pain disorders have greatly increased in recent years. The focus was first on the development of theories and models related to chronic pain. However, main focus has been on the development of therapeutic approaches which are effective in the treatment of chronic pain. In 1987, Clinical Psychologist Francine Shapiro developed the novel Eye Movement Desensitization and Reprocessing (EMDR ) technique based on the idea that voluntary and systematic eye movements could effectively decrease the intensity of negative and disturbing thoughts and has since then been undertaking research on the topic. EMDR was first used in post-travmatic stres disorders as a result of wars, rape, earthquake and childhood abuse to deal with the emotional disturbaunces of problematic life experiences. It later started to encompass phobias, performance anxiety, panic attacks, body-image disorders, trauma symptoms in children bereavement, skin diseases, phantom limb pains and lastly chronic pain treatment with striking results. This paper consists of brief information on the underlying principles and application procedures of EMDR. This technique is mainly based on both information processing and neuropsychological approaches. EMDR has comprehensive approaches to explain the reasons for chronic pain. It seems most likely that the technique will prove widespread to be of great interest within the area of psychotherapies.
Eye Movement desensibilización y reprocesamiento [EMDR] fue desarrollado originalmente para el tratamiento de recuerdos traumáticos. Este procedimiento incluye la exposición imaginación, el reprocesamiento cognitivo y estimulación bilateral inicialmente decidió considerando inducida por los movimientos oculares. El procedimiento consta de ocho fases, en busca de la desensibilización del impacto emocional y cognitivo de reprocesamiento de recuerdos y pensamientos inquietantes desarrollado tras un traumatismo. Aunque hay muchos estudios que apoyan su eficacia, se conoce muy poco sobre los mecanismos subyacentes. EMDR es una de las técnicas reconocidas por la American Psychological Association [APA] como eficaz para el tratamiento del trastorno por estrés postraumático [TEPT] y algunos estudios han demostrado su eficacia en el tratamiento de otros problemas de salud mental. (Registro de bases de datos PsycINFO (c) 2008 APA, todos los derechos reservados)
Eye Movement Desensitization and Reprocessing [EMDR] was originally developed to treat traumatic memories. This procedure includes imagination exposure, cognitive reprocessing and bilateral stimulation initially decided by considering induced eye movements. The procedure consists of eight phases, looking for desensitization of the emotional impact and cognitive reprocessing of disturbing memories and thoughts developed after trauma. Although there are many studies supporting its effectiveness, very little is known about the underlying mechanisms. EMDR is one of the techniques recognized by the American Psychological Association [APA] as effective for treating posttraumatic stress disorder [PTSD] and some studies have proved its effectiveness in the treatment of other mental health problems. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
France Haour et David Servan-Schreiber présentent avec clarté la désensibilisation
par les mouvements oculaires et le retraitement de l’information (EMDR),
ainsi que les études qui ont été effectuées par des méthodes neuroscientifiques
pour tester ces processus. Plusieurs points restent néanmoins en suspens. Effectivement,
l’EMDR est d’efficacité démontrée dans le stress post-traumatique, et
les traumatismes plus légers, mais il n’y a pas de données dures pour le valider
dans d’autres indications. De plus, son processus, comme il est souligné dans le
chapitre, demeure controversé. Il ne faudrait pas oublier qu’un EMDR sans
mouvements oculaires aboutit à de résultats identiques à ceux d’un EMDR avec
mouvements oculaires, dans la méta-analyse de Davidson et Parker (2001), qui
inclut 13 études comparant ces deux conditions. Cinq méta-analyses ne retrouvent
pas de différence d’efficacité entre TCC et EMDR. Ces faits expérimentaux
ont amené aussi bien l’Association psychiatrique américaine (2004) que le rapport
INSERM (2004) à classer l’EMDR dans les TCC, dont il représente une variante
technique, sans véritable discontinuité. Par ailleurs, l’analogie souvent
faite entre EMDR et la phase REM (phase paradoxale du sommeil correspondant
au rêve et à des mouvements oculaires rapides) n’est qu’une hypothèse et
ne repose pas à ce jour sur des données scientifiques. Enfin, toutes les thérapies
d’exposition utilisent des distracteurs (relaxation, images mentales de sécurité,
pensées positives) pour faciliter l’accès aux émotions liées au traumatisme.
L’hypnose, qui a montré son efficacité dans le stress post-traumatique lors
d’une seule étude contrôlée (Brom, 1989), elle aussi, se sert de mouvements
oculaires, pour capter l’attention. Ainsi faisait son ancêtre, Franz Anton Mesmer,
comme le montre le rapport établi en 1784 par la commission royale sur le
magnétisme animal (Darnton, 1995). Quoi qu’il en soit, l’EMDR propose un
protocole utile, robuste et aisé à enseigner et à appliquer.
France Haour and David Servan-Schreiber present with clarity desensitization
Eye Movement and reprocessing of information (EMDR)
and studies that have been conducted by neuroscientists methods
to test these processes. Several points are still open. Indeed,
EMDR is proven efficacy in post-traumatic stress, and
lighter injuries, but there is no hard data to validate
in other indications. In addition, its process, as outlined in the
chapter remains controversial. We should not forget that EMDR without
eye movements leads to results identical to those of EMDR with
eye movements in the meta-analysis of Davidson and Parker (2001), which
includes 13 studies comparing these two conditions. Five meta-analyzes found
no difference in efficacy between CBT and EMDR. These experimental facts
led both the American Psychiatric Association (2004) report that the
INSERM (2004) to classify EMDR in CBT, which is a variant
technique, no real discontinuity. Moreover, the analogy often
made between EMDR and REM sleep (REM sleep corresponding
dreams and rapid eye movement) is only a hypothesis and
not based so far on scientific data. Finally, all therapies
exposure using distractors (relaxation, mental imagery security
positive thoughts) to facilitate access to the emotions related to the trauma.
Hypnosis, which has shown its effectiveness in post-traumatic stress in
one controlled study (Brom, 1989), it also uses movements
eye for attention. So was his ancestor, Franz Anton Mesmer,
as shown in the report prepared in 1784 by the Royal Commission on
Animal Magnetism (Darnton, 1995). Anyway, EMDR offers a
useful protocol, robust and easy to teach and apply.
I am a practitioner of Eye Movement Desensitization and Reprocessing (EMDR). The writer evidently knows little if anything about EMDR as she claims it is "hypnotic" and leaves clients open to suggestions (of sexual abuse) during the procedure. During the use of EMDR, clients make their own associations to their own thoughts and feelings. It is not the therapists' place to make suggestions of any kind regarding a person's history during the use of EMDR. Further, EMDR is not a hypnotic method.
Chairs: Sack M. & Spector J.
My focus today is on the etiology of the trauma-based predisposition to OCD.
I would like to demonstrate how the obsessive-compulsive disorder serves the dissociative adult as a MASK thereby maintaining the hidden status of both the traumatic memories, and the dissociation;
and finally I would like to demonstrate how EMDR can be used to target the OCD as an ego state to uncover the dissociated parts, the anxiety and the original trauma.
I would like to share with you some thoughts and examples from my clinic in the form of these goals, which you will find in your handouts:...[Author abstract]
his video gives a visual recipe of the theory and process of how to do Eye Movement and Desensitization and Reprocessing (EMDR). The founder of EMDR, Francine Shapiro, demonstrates how to conduct an EMDR session. Several other well-known and respected clinicians and researchers provide their personal thoughts and experiences of EMDR. Hearing what these clinicians have to say about the impact o EMDR on their practice and research is interesting and compelling.
In this chapter, Dr. Perry explores how the brain "stores and retrieves physiologic states, feelings, behaviors and thoughts from traumatic events", and illustrates these issues with several case examples of traumatized children and adolescents. Concluding sections focus on vulnerable children and the law, and on transgenerational memory in society and culture. Four figures and 59 references are included in this online version
This article is a Modification of a talk at the Swedenborg Scientific Association Annual Meeting in Bryn Athyn on 5 May 2001.
In June 1998 I learned of a technique called Eye Movement Desensitization
and Reprocessing (EMDR), for treating painful memories. It basically
seems to involve stimulating the patient’s brain bilaterally, while the
patient holds the memory or memories in their mind. Originally, Francine
Shapiro,1 the discoverer and developer of the technique, used saccadic
(sideways movement, to and fro) of the eyes. Subsequently it has been
found that bilateral alternating ear sound, or tapping the hands alternately,
or even the feet in desperate situations, helps to transform the
nature of the memory in various positive ways. Occasionally nothing
happens, but usually the memory fades, becomes laughable, of no importance,
and with or without a host of other reactions. There are temporary
unpleasant reactions on the way to resolution, but if dealt with skillfully,
the result is usually positive. Francine Shapiro stresses the importance of
getting proper training before practicing EMDR, as these reactions can be
quite frightening to someone not used to dealing with them. But the good
results are often astonishing. A fresh way of looking at the problem,
impossible before, becomes attainable. Though memories be as scarlet
they become whiter than snow to use the familiar words from Isaiah.
Recent research indicates that the reactions to a traumatic event we know as PTSD are complicated because they may incorporate two quite separate sets of processes. One set of processes is concerned with specific reactions to extreme threat. The other set of processes is concerned with the challenge the trauma poses to the victim's beliefs and identity. These processes are not specific to trauma, hence the overlap between symptoms of PTSD and other disorders. Repeated exposure to threat will lead to the longer term establishment of identities that have lost much capacity for optimism, trust or intimacy. But even a single event which is merely upsetting for one person may fatally undermine the positive aspirations of another. Negative reactions to trauma go beyond thoughts and include impulses, imagined pictures, emotions, such as anger and shame, a feeling of being more than one person and a sense of disconnection from others. These individual responses are also highly varied and yet at the same time contain their own internal organisation, suggesting that a helpful framework for understanding them is the social psychological approach to identity involving multiple selves. Treating PTSD involves understanding how the survivor adapts to these twin challenges of memory and identity.
Traumatic tastes and smells can be intrusive in PTSD and difficult to eradicate. They can cause intense abreactions during bilateral stimulation in EMDR. Adding a taste and smell protocol to bilateral stimulation can unblock these memories rapidly. A case series of clients will be presented and a new EMDR protocol will be discussed with participants and developed using other participants’ experiences with their clients.
I have continued with interest the continuing exchange of feelings concerning Shapiro's desire to limit the use of EMDR to those who have completed her workshops.
What a weird thing – that was my first thought, as I read a short notice about EMDR for the first time. A work in a psychiatric/psychotherapeutic day treatment programme, the number of multiple-traumatised patients increased rapidly. One patient decided to climb the roof and jumped, nearly to her death, driven by the memories of long-ago cruelties her father had done to her. With this in mind, I was conscious of urgently needing a method to treat these patients and finding something to manage the challenges of intrusive pictures and memories.
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.
In a trauma survivor, physiological responses are exacerbated when the affect-laden memories stored in associative networks are triggered by environmental sensory inputs or cues and activate the autonomic nervous system. Recovery from trauma involves not only amelioration of physiological and dissociative symptoms, but also the cognitive rebuilding of a viable assumptive world view which integrates the realms of vulnerability, meaning and self-esteem. This world view is contextualized in cultural idioms and values.
From an Ericksonian perspective, persons are usually attempting to problem-solve, even in a dissociative date. A symptom such as an intrusive recollection or recurrent dream of a traumatic event is therefore construed as a request for help in problem-solving. Hypnosis is a structured dissociation which facilitates cognitive flexibility; that is, the broadening of choices of the client' s belief system, rather than direct work on changing affect or behaviors. The goal of Ericksonian hypnosis is to recontextualize the traumatic memory, the affect of fear, and the physiological hyperarousal cued by the traumatic memory. This occurs within a broader context of pride, mastery and courage, and within a context inclusive of other memories and affects, which are positive for the client.
Eye Movement Desensitization and Reprocessing (EMDR), similarly has as its goal the facilitation of a transfer of traumatic data from the cortical right hemisphere to the left hemisphere. EMDR also utilizes the attainment of a state of heightened awareness, or collaborative structured dissociation, in order to facilitate the orientation of the traumatized client's conscious mind toward "revisiting" traumatic memories.
Both interventions can facilitate the self-narrative reconstruction process of trauma survivors by simultaneously modulating the person's hyperarousal while attending to the culturally significant metaphors which form the building blocks of a person' s world of meanings.
[AAETS]
This note showcases the story of Nurun Nahar, a survivor of acid violence in
Bangladesh, to demonstrate that, despite protective measures, state, medical, and legal
institutions continually fail to adequately respond to violence against women systematically
and deny women rights to state protection, which are affirmatively embodied
in law. The failure of state institutions to ensure appropriate care has been somewhat
mitigated by nongovernmental organizations (NGOs), particularly women’s groups,
which are albeit heavily constrained because of the volume of demand yet scarcity of
expertise, infrastructure, and funds. In addition, this note offers some thoughts on how
nonstate actors, namely, women’s NGOs, have created alternative strategies and visions
for victimized women’s recovery and empowerment.
No abstract available.
Anita Anderson tried all sort of ways to relieve her fear of flying. She listened to soft music before takeoff, make herself think soothing thoughts – nothing worked. Then, two years ago, the 52-year-old from Brewster, Massachusetts, learned that a psychotherapist friend of hers had been trained to perform EMDR, a new treatment that allegedly relieves anxiety quickly. She promptly made an appointment.
EMDR involves having a client think about either positive or negative thoughts while focusing on the therapist’s hands. While the client recalls a memory, the therapist either makes passes in front of the client’s eyes or taps on alternating knees. Noles said these passes force the client to use both sides of the brain.
Tibetan Buddhist Dzogchen, Hindu Advaita, Taoism, Kabbalism, and mystical Christianity all suggest that the fulfillment of human potential and the liberation from suffering happen when attention rests peacefully in its source, prior to thought. These traditional spiritual disciplines inform a nondual approach to psychotherapy that views form as a natural and temporary expression of a unified, omnipresent, nonlocatable, and pregnant emptiness. In time all forms--everything and everyone--dissolve back into this emptiness which is present now. Once clients begin to appreciate that they are actually not their distracting thoughts, emotions, or bodily sensations, but rather a dispassionate, observing Presence, a process of disidentification begins and peace of mind unfolds naturally. Clients learn that they have within a natural predisposition toward health and wholeness. Freedom from psychological suffering is often immediately available when clients know how to look or how to just be. Clients learn that simply being fully present now in a timeless moment of silence can reveal what is already and always free. This philosophy informs the EMDR therapeutic approach. This chapter explains the EMDR model, illustrating its use with a case study. EMDR is an integrative psychotherapeutic appproach first discovered and developed by Dr. Francine Shapiro (2001) in 1987, which is guided by an information processing model that has numerous protocols and procedures including the administration of bilateral stimulation to the client. The procedure was originally used to treat trauma, but it has now developed into a comprehensive approach used widely to ameliorate a variety of psychological symptoms and disorders including anxiety and depression, phobia, addiction and substance abuse, among others. In fact, EMDR is now used to target experiential contributors of all clinical complaints. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Júlia é uma menina de seis anos de idade. Sempre foi acompanhada por mim, como pediatra, desde o seu nascimento. Nasceu de parto cesáreo e é a primeira filha. Teve um desenvolvimento psicomotor e físico normal até o momento. Fruto de uma relação estável, os pais da Júlia são relativamente bem estruturados. A mãe tem 38 anos, é professora universitária. O pai tem 40 anos e é também professor universitário. Júlia apresentou enxaqueca infantil entre dois e três anos, que melhorou com medicação homeopática. Tem uma irmãzinha de um ano e meio. A queixa atual é de que não consegue controlar o xixi de noite, e acorda sempre molhada. Já foram feitas várias tentativas para melhorar isso. Diminuir a água da noite, por a Júlia no vaso antes de ir dormir, acordar com despertador, usar remédio homeopático, usar remédio alopático, mas nada dá resultado. Júlia acorda sempre molhada. Após quatro sessões, a partir de jogos, as cartas de bons e maus pensamentos, brincadeiras com as com as tabelas de Suds e de Voc, leitura do livro “Um dia Ruim”, os ajudantes de EMDR (Eva, Maravilha, Dudu e Requinho), entre outros recursos, Júliabv passou a semana inteira acordando sequinha, e nunca mais fez xix na cama.
English
Portuguese
Galician
Julia is a girl of six years old. Where was accompanied by me, as a pediatrician, since birth. He was born by cesarean section, and is the first child. Had a normal physical and psychomotor development so far. The result of a stable relationship, Julia's parents are relatively well structured. The mother is 38 years old, is a university professor. The father is 40 years old and is also a university professor. Julia had migraine child between two and three years, which improved with homeopathic medication. It has a little sister a year and a half. The current complaint is that you can not control the pee at night and always wake up wet. Various attempts have been made to improve this. Lowering the water at night, by Julia in the vase before going to sleep, waking up alarm, use homeopathic medicine, allopathic medicine use, but nothing has worked. Julia always wake up wet. After four sessions, from games, letters of good and bad thoughts, jokes with with tables and Suds You, reading the book "A Day Poor," the helpers of EMDR (Eva, Wonder, and Dudu Requinho ), among other features, Júliabv spent the whole week waking sequinha, and never did in bed xix
The article focuses on the conditions with obsessive-compulsive disorder (OCD) and post-traumatic stress disorder (PTSD). These conditions often have distressing recurrent and persistent thoughts called obsessions. Hence, the author has noted that the use of a technique known as eye movement desensitisation and reprocessing (EMDR) has been gaining popularity on its effectiveness and even claimed to have helped in laying disturbing memories to rest.
The treatment I use is EMDR, a technique developed by California psychologist Francine Shapiro that has shown to be successful treating post-traumatic stress. The technique is designed to process traumatic memory by mimicking the way people generally process thoughts into memory, during the Rapid Eye Movement (REM) phase of sleep. You can put patients into rapid-eye movement in several ways, including having them move their eyes back and forth as if following the ball in a tennis match, or tapping their hands. They concentrate on the troubling images in
their mind or repeat `I feel horror,' for example, and the brain can then begin to process it. I work with children with nightmares or fears and they usually go away fast. Even if you don't understand it, EMDR can still work.
Francine Shapiro, the founder of eye movement desensitization therapy (EMD) claims to have serendipitously discovered this technique by experiencing spontaneous saccadic eye movements in response to disturbing thoughts during a walk in the woods. This explanation is difficult to accept because normal saccadic eye movements appear to be physiologically undetectable and are typically triggered by external stimuli. In the present limited study, all subjects failed to elicit any experience of eye movements, thus calling into question how best to interpret Dr. Shapiro's experience and the origin of EMD. [Author Summary]
Jealousy is an unwelcome emotion, which most people will have
experienced at sometime in their lives. In its mildest form it may be seen as an expression of devotion, however, for
some people it can become obsessive and destructive (Mullen, 1990) The possible consequences of this very
serious condition can result in suspician, violence and the complete breakdown of a relationship. This study
highlights the case of a man with a long standing history of jealousy towards his partner. Cognitive Behavioural
Therapy (CBT) would suggest that jealousy was maintained by a person's erroneous assumptions about sexual
behaviour and attractiveness of their partner, as well as pervasive negative schemas of self-worth. Any consideration
for treatment therefore, needed to address both these areas. The treatment intervention of Eye Movement
Desensitisation and Reprocessing (EMDR) utilising cognitive interweave was used to reduce the intensity of the
emotionof jealous reactions. Results showed a marked reduction in the intensity of the emotion of jealousy, which
lead to a reduction in the client's challenging and checking behaviours towards his partner. Results also indicate a
clear reduction in the client's erroneous automatic negative and jelous thoughts. What is unclear is whether it was the
EMDR therapy itself, or a combination of EMDR and other cognitive behavoural therapy interventions that brought
about these reducitons in symptomatology. Acknowledging the limitations of generalising from single case designs,
consideration will be given to the need for further investigation and research in to the application of EMDR with this
client group.
Objectives: In our mind as well as in our body and nature nothing is happened accidentally, we can often see that there is mutual connection between them. There is a case presentation of young man age 29 with obsessive thoughts for getting fatal disease if step on junky needles which he had seen in his neighbor. It thoughts influence his all life he is avoiding to go out of his apartment, poorly sleep, he insisted to be admitted to in patient treatment because he „would probably kill himself if he had to stay there jet…” His first difficulties appeared when he was 20, after his first sexual experience which he has had with prostitute, after his friend’s birthday party. Then he obsessively started to think about getting AIDS, getting died… Four years ago he really have got malignant testicular tumor and in his 24he had passed through exhausting surgery and chemotherapy. As a child he was growing up during the war time, experienced snake bite, often tonsil infections.Now he has no job, live with parents and one year older brother, no girlfriend or other relationship. Treated with antidepressant venlafaxin, and atypical narcoleptic risperidon, with additionally used EMDR, he showed good recovery and getting into every day activities.
Post-traumatic stress disorder (PTSD) is a disorder which can develop following exposure to one or more severely traumatic events. Symptoms experienced by PTSD suffers include re-experiencing the trauma through intrusive ‘flashbacks’ and recurrent dreams or nightmares, distress when exposed to reminders of the trauma, hyperarousal and emotional blunting. These symptoms can cause significant impairment of function and reduction in quality of life for suffers. Both psychotherapies, including cognitive behavioural therapies (CBTs) and eye movement desensitisation and reprocessing (EMDR), and pharmacotherapy are used in the treatment of PTSD.
Method
We audited patients with PTSD in Bedford East performed in November 2008. A re-audit was performed using data from August 2010 patient database. Demographic information, risk factors, co-morbidities, psychological therapy and pharmacotherapy were compared between these audit and re-audit.
Results
There is increased use of antidepressant augmentation between 2008 and 2010. While no patients in 2008 were on antidepressant augmentations, by 2010, 9 patients were. All 25 patients on anti-psychotics have important identified risk factors. There is no evidence of Psychosis in our PTSD patients except in two cases. There is an increase in Anti-psychotic use in our PTSD Patients. There is an increased use of Mood Stabilisers in our patients with PTSD.
Discussion
PTSD is being identified more frequently in our patients, probably because of greater awareness and more accurate identification.
Conclusion
New patients being identified represent a group of more difficult to treat patients who represent severe risks. Present psychotherapies offered are not all recommended in present guidelines.
Eye Movement Desensitization and Reprocessing (EMDR) is an innovative therapy that is currently used to treat anxiety disorders. Discovered by Francine Shapiro in 1987, the treatment was originally utilized on individuals suffering from Post Traumatic Syndrome Disorder; however, the original treatment protocol has evolved to include other forms of trauma such as performance anxiety. The main hypothesis of EMDR states that traumatic memories cause the nervous system to become dysfunctional and unbalanced. As a result, stimuli such as sound and images from these events are looped continuously within the nervous system until the body can functionally process the events toward an adaptive solution. Until a solution is established, the original thoughts and feelings encountered during previous disturbing events resurface each time a resembling experience occurs. EMDR serves as a performance enhancement for brass musicians by desensitizing and reprocessing maladaptive memories through bilateral stimulation of both hemispheres of the brain. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International Section A: Humanities and Social Sciences. 68(4-A), 2007, pp. 1221.
Objective: To explore the possibility of using eye movement desensitisation and reprocessing (EMDR) to treat women who have experienced post-traumatic stress after childbirth. Design: The pilot study consisted of a "before and after" treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (Traumatic Event Scale [TES]) were collected. In addition, qualitative data from individual interviews with the participants were collected as well as data from the psychotherapist's treatment notes of the EMDR treatment sessions. Setting: The north of Sweden. Participants: 4 women with PTSD after childbirth (1 pregnant and 3 non-pregnant). Findings: All participants reported reduction of post-traumatic stress after treatment. After 1-3 years, the beneficial effects of EMDR treatment remained for 3 of the 4 women. Symptoms of intrusive thoughts and avoidance seemed most sensitive for treatment. Implications for Practice: EMDR might be a useful tool in the treatment of non-pregnant women severely traumatised by childbirth; however, further research is required. [Author Abstract]
This poster will describe a girl who is 13 years of age and how she is living with mother and
stepfather, her symptoms and her obsessive thought and actions. The poster will give
information about a girl who is a very lively and charming person and who is strongly
motivated to get help. There will be information about how the girl's life is strongly
influenced by obsessions both thoughts and actions and her symptoms. For example, she
feels frequently she must ask whether it will be a fire, if there is any risk for her being
contaminated, or if she will get different diseases like AIDS, or even getting pregnant. How
the girl thinks she can hurt other persons and that she will get hurt herself. For example the
girl has to check and dry off the toilet several times before, leaving, she also thinks she must
wash her hands several times a day. She could seldom stay or play with her friends. Further
the poster will describe how she enjoys school and feels sorry for having to do all the constant
asking and the different rituals - how she understands that it is stupid to go on doing what she
does - and that she can not help it. The poster will give examples of targets, how and when
the EMDR is used in the treatment. Information on the poster about the treatment, and the
experience and effect of the EMDR interventions. This information from the therapeutic
process will be separately provided and presented from the girl, the mother and the therapist.
This book, written by contributors from the Institute of Psychiatry in London, represents the fruits of ten years of working with survivors of accidents and disasters. It contains a coherent approach to the psychology underpinning their stress reactions, and places these disorders within a broad social psychological perspective. It applies many of the latest insights from experimental cognitive psychology to the experiences of the survivors. [Adapted from Preface]
What is Posttraumatic Stress Disorder?
Posttraumatic Stress Disorder (PTSD) is a syndrome characterized by persistent anxiety-related symptoms provoked by a traumatic event. These symptoms are comprised of three clusters: Re-experiencing symptoms such as recurrent intrusive thoughts about the trauma, nightmares, and flashbacks, numbing symptoms such as detachment from others and loss of interest in usual activities, and a third cluster of miscellaneous symptoms including an exaggerated startle response, sleep disturbance, and memory impairment. Estimates of the prevalence of PTSD vary widely; the National Comorbidity Survey found rates of 8.2% among men and 20.4% among women (Kessler et al., 1995). The National Vietnam Veterans Readjustment Study (NVVRS, Kulka et al., 1990) reported that 30.9% of American soldiers who served in Vietnam developed PTSD; this figure rose to 50% if subsyndromal PTSD was counted. Although these figures continue to be widely cited, the NVVRS has been widely criticized on several grounds, including reliance on undocumented, retrospective self-reports of trauma, lack of measurement of impairment, and most importantly the simple fact that only 15% of those serving in Vietnam were actually in combat units.
Who is the author of PCs? Are they constructed during the assessment phase of treatment or do empowering, calming thoughts emerge during processing? Can we think of these compassionate, confident thoughts as the Self that has been described historically by Carl Jung and currently by Eckart Tolle? This workshop will offer surprising answers to these questions and suggest a new perspective on what really happens during EMDR processing. The Standard Protocol is not changed, but re-examined and extended with exciting treatment tools.
Psychodrama, presenter/participant dialogues, role plays, small group discussion, and practicum experience make this a highly experiential training that is backed by cutting edge neurobiological research and solid theory from leaders in the field.
Mit Therapieführer
EMDR (Eye Movement Desensitization and Reprocessing) wurde 1989 von Francine Shapiro als eine neue Methode zur Behandlung traumatisierter Menschen vorgestellt. Die »Augenbewegungs-Desensibilisierungstherapie« gilt als spektakuläres Verfahren, weil sich in vielen Fällen bereits nach wenigen Behandlungen erstaunliche Besserungen einstellten. Traumatische Bilder und Erinnerungen werden in EMDR-Sitzungen bearbeitet, indem der Klient diese intensiv wiedererlebt, während er gleichzeitig eine Wahrnehmungsaufgabe erfüllt: Mit den Augen folgt er der sich hin und her bewegenden Hand des Therapeuten. Dies leitet auf neuronaler Ebene einen beschleunigten Verarbeitungsprozeß ein; belastende Erinnerungen verblassen, und neue, konstruktivere Gedanken können an ihre Stelle treten. Inzwischen wurde das Verfahren in vielen unabhängigen Studien überprüft und als effektive Behandlungstechnik bestätigt.
Friedhelm Lamprecht war einer der ersten Psychotherapeuten, die EMDR erlernten und anwendeten. So gehören er und sein Autorenteam zu den wenigen Fachleuten, die in der Lage sind, über eigene Anwendungserfahrungen zu berichten, die Methode kritisch zu beurteilen, ihre Möglichkeiten und Grenzen zu beschreiben, eigene statistische Erfahrungswerte vorzulegen und selbstentwickelte Weiterführungen darzustellen. Darüber hinaus gibt das Buch eine allgemeine Einführung in die Theorie und Praxis heutiger Traumatherapie und enthält einen Therapieführer.
Da sich EMDR sowohl in den verhaltenstherapeutischen als auch in den psychoanalytischen Therapierahmen einfügt, ist das Buch für eine breite professionelle Leserschaft von Interesse.
Mit Beiträgen von Ursula Gast, Wolfgang Lempa, Martin Sack.
»Der hohe Informationswert des Buches basiert einesteils darauf, dass Friedhelm Lamprecht und sein Autorenteam im deutschsprachigen Bereich mit zu den ersten Psychotherapeuten gehörten, die EMDR erlernt haben. Infolgedessen vermochten sie für ihre psychotraumatologische Forschungsarbeit eine hohe Kompetenz einzubringen. Andererseits erhält das Buch auch dadurch eine attraktive Note, dass die Befunde in den verschiedenartigen Settings eines Universitätskrankenhauses erhoben wurden.«
Hellmuth Freyberger (Psychotherapie, Psychosomatik, medizinische Psychologie).
With EMDR therapy guide (Eye Movement Desensitization and Reprocessing) was introduced in 1989 by Francine Shapiro as a new method for the treatment of traumatized people. The "eye movement desensitization therapy" is considered spectacular procedure, because in many cases ceased after a few treatments amazing improvements. Traumatic images and memories are processed in EMDR sessions by the client this intensely relived, while he simultaneously fulfills a perception problem: With the eyes he is the to and fro moving hand of the therapist. This leads to a neuronal level, a process accelerated processing; incriminating memories fade, and new and constructive thoughts can take their place. Meanwhile, the process was in many independent studies reviewed and confirmed as an effective treatment technique. Friedhelm Lamprecht was one of the first psychotherapists who EMDR learned and applied. So he and his team of writers are among the few professionals who are able to report on their own application experience to assess the critical method to describe their capabilities and limitations, provide their own self-developed statistical experience and represent continuations. In addition, the book gives a general introduction to the theory and practice of today's trauma therapy, and includes a treatment guide. Since EMDR fits in both the behavioral and in the framework of psychoanalytic therapy, is the book for a broad readership of professional interest. With contributions by Ursula guest, Wolfgang Lempa, Martin sack. "The high information value of the book is based the one hand that Friedhelm Lamprecht and his team of authors included in the German area of the first psychotherapists have learned the EMDR. Consequently, they could for their research work psychotraumatological a high level of competence contribute. On the other hand, the book also replaced by an attractive note that the findings were collected in the various settings of a university hospital. "Hellmuth Freyberger (psychotherapy, psychosomatic medicine, medical psychology).
While PTSD results in various symptomatology, key characteristics concern a sense of being "stuck" on the trauma which keeps the person reliving it through thoughts, feelings and images and a need to avoid anything which reminds them of the trauma. Such avoidance is suggested to prevent the opportunity for processing and integrating the distressing material. One key clinical question is how to help the person work through their trauma without them becoming overwhelmed by trauma symptoms? Eye Movement Desensitisation and Reprocessing (EMDR) is a relatively new technique that has been reported to help PTSD sufferers reduce the intensity and intrusiveness of traumatic thoughts and images. Despite the growing clinical evidence of the effectiveness of EMDR, a strong debate exists within the research literature regarding its empirical and theoretical validity. One aspect of this dissertation is an experimental study looking at the role of eye movements in Eye Movement Desensitisation and Reprocessing and testing a working memory model of "distress reduction". Of course not everyone who experiences a traumatic event will go on to develop PTSD. An often neglected area of trauma investigation is how some individuals experience positive change and personal growth as a result of their traumatic experiences. This is an area that is now beginning to receive some attention and has been termed Posttraumatic Growth (PTG). The move away from looking exclusively at the impact of trauma to consider how people who have experienced trauma might construct a more positive understanding of themselves in the light of the trauma forms the main section of this dissertation. This exploratory study uses personal experience narratives of posttraumatic growth.
In eerder onderzoek werd aangetoond dat intrusieve herinneringen aan het verleden minder levendig en onaangenaam worden wanneer deze worden opgehaald tijdens het maken van oogbewegingen. Dit zou kunnen komen doordat beide taken beslag leggen op de capaciteit van het werkgeheugen. Sommige mensen gaan echter gebukt onder verontrustende voorstellingen van de toekomst. In dit onderzoek wordt geprobeerd vast te stellen of ook deze zogenoemde prospectieve intrusies minder levendig en onaangenaam worden wanneer deze worden opgehaald tijdens het maken van oogbewegingen. Methode 28 gezonde deelnemers werd gevraagd twee prospectieve intrusies op te halen en deze op levendigheid, onaangenaamheid en toegankelijkheid te beoordelen. Alle deelnemers werden toegewezen aan een controleconditie, waarin deze intrusie enkel hoefde te worden opgehaald en vastgehouden, en een experimentele conditie, waarin de proefpersonen gevraagd werd tijdens het vasthouden van de intrusie horizontale oogbewegingen te maken. Na iedere conditie werd de herinnering opnieuw opgehaald en gescoord. Resultaten In de experimentele conditie namen de levendigheid en onaangenaamheid van prospectieve intrusies af, terwijl de levendigheid in de controleconditie juist toenam en de onaangenaamheid gelijk bleef. Discussie De resultaten suggereren dat het maken van oogbewegingen tijdens het ophalen van prospectieve intrusies de levendigheid en onaangenaamheid van deze beelden vermindert. De implicaties van deze bevinding worden besproken.
Earlier research has shown that intrusive memories of the past are less vivid and unpleasant when they are retrieved when making eye movements. This could be because both tasks seize the capacity of working memory. Some people, however, suffer from disturbing images of the future. This study attempted to determine whether these prospective intrusions known as less vivid and unpleasant when they are retrieved while making eye movements. Methods 28 healthy participants were asked to pick two prospective intrusions and the liveliness, unpleasantness and accessibility assessment. All participants were assigned to a control condition in which these intrusions just have to be picked up and detained, and an experimental condition in which the subjects were asked during the intrusion of horizontal eye movements hold it. After each condition, the memory retrieval and scored. Results In the experimental condition took the vibrancy and unpleasantness of prospective intrusions, while the liveliness in the control condition just increased and remained constant discomfort. Discussion The results suggest that making eye movements prospective intrusions while getting the vibrancy and reduces discomfort of these images. The implications of this finding are discussed.
Go through the incident with the
client "frame by frame," with the
client describing what took place
moment by moment. It is important
that the client not only describe the
events that occurred, but also the
perceptions, thoughts, and feelings
he or she experienced. Be sure to
ask about the aftermath of the event.
“Protocol for Excessive Grief“ is excerpted from Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: Basics and Special Situations illustrating a scripted protocol from one of Francine Shapiro's 6 basic protocols. “Scripting“ informs and reminds EMDR practitioners of the component parts, sequence, and language used to create effective outcomes, and also generates a template for practitioners and researchers to use for reliability and/or a common denominator so that the form of working with EMDR is consistent. This protocol includes 5 steps: process actual events, including the loved one's suffering or death; process any intrusive images that are occurring; process the nightmare images; process any stimuli/triggers associated with the grief experience; and address issues of personal responsibility, mortality, or previous unresolved losses. The future template is included This protocol addresses the many aspects of grief and mourning to assure the full processing of clients' concerns.
Objective: The present study would expose first results of a study about the consequences of family
violence act in a small group of women victims treated by EMDR therapy. Subjects: All of the victims
underwent EMDR therapy for seven 90-minute sessions. The subjects were included in the
therapeutic project for 12 months and were followed for 6 month after the end of the therapy.
Procedure: The victims (n=9) were referred by different associations of victims to consult with two of
the authors who took charge of all of the treatments. We have constructed a control group (n=9) with
the same characteristics (age, study level,...). After the first consultation a proposal was made to the
subjects to be part of a research protocol. The subjects then had to answer questions from Horowitz’s
Revised Impact Event Scale (Horowitz & al., 1979) and the State-Trait Anxiety Inventory –STAI-
(Spielberger & al. 1983). In the framework of therapeutic protocol, the subjects had to do a SUDS
evaluation. These different measures were administered to all of the subjects before beginning the
therapy (T1), after the seven sessions of EMDR (T2), and six months later (T3). Main results: Because
of the small size of the sample and a non-normal distribution, the data were processed with nonparametric
tests. We show differences between victims and non victims in the beginning of therapy.
The victims have higher scores in the IES-R and STAI than the control subjects. Difference continues
for the all duration of the experimentation, but the assessments after seven sessions and after six
months show fewer differences. It’s important to note that the differences between the pre-test, the
postest and the evaluation after six months are shown to be equally very significant, indicating a very
positive effect with EMDR on the reduction of intrusive symptoms and avoidance.
This study aims to measure psychophysiological
parameters during activation of internal resources k g .
positive memories) and to compare these to activated traumatic
internal networks.
Antecedent studies show that traumatic stimulation on patients
with posttraumatic stress disorder (PTSD) finalizes in various
psychophysiological correlates. During therapy of these patients
a strong demand for activation of internal resources, i.e. activation
of fortitude and positives thoughts, exists. Especially EMDR
therapy uses resource stimulating elements such as position of
power and absorption in preparation for exposure. In this study
standardized EMDR protocols establish a solid basis to explore
individual internal resources.
Researches on trauma stimuli in EMDR- patients show effects
on parasympathetic tonus (Sack 2006) as well as increased cerebral
blood flow in defined brain regions (Levin 1999. Lamprecht
2000). Especially the heart rate variability (HRV) may describe
the sympatheticovagal balance (Cohen, 2002, Porges 1991). This
study focuses on psychophysiological effects and neurobiological
regulative mechanisms of stabilizing methods and activation of
internal resources in PTSD patients and healthy control group.
Methods: Healthy subjects and patients with diagnosed PTSD
(DIAX) listened to a commonly neutral script, an individual
trauma script and an individual absorption script. Following
each script measurements of heart rate variability (HRV), respiratory
flow, skin conductance responses (SCR) and skin blood
flow (LCF, TU50%) took place.
Results: Preliminary results revealed a significant reduced heart
rate variability in patients compared to the healthy controls in
reaction to the stress script as well as to the positive and the
neutral scripts.
Conclusion: To our knowledge this is the first time to be proven
that altered autonomous functions are found in PTSD not only
in reaction to traumatic reminders, but even to a positive, resource
activation situation. This provides our basement for further
research. Detailed analysis of different effects to each script
on both groups are currently underway.
A review of the psychosocial treatment research literature indicates that several forms of therapy appear to be useful in reducing the symptoms of PTSD. Strongest support is found for the treatments that combine cognitive and behavioral techniques. Hypnosis, psychodynamic, anxiety management, and group therapies may also produce short-term symptom reduction. Still unknown is whether any approach produces lasting effects. Imaginal exposure to trauma memories and hypnosis are techniques most likely to affect the intrusive symptoms of PTSD, whereas cognitive and psychodynamic approaches may better address the numbing and avoidance symptoms cluster. Treatment should be tailored to the severity and type of presenting PTSD symptoms, to the type of trauma experience, and to the many likely comorbid diagnoses and adjustment problems. [Author Abstract]
Depuis le diagnostic du syndrome de stress post-traumatique (SSPT) a été introduit dans le DSM-III en 1980, une variété d'approches psychothérapeutiques ont été développées pour résoudre les problèmes et besoins spécifiques des patients traumatisés. Le succès du traitement du SSPT a besoin d'un bien pensée sur l'attitude thérapeutique. Le thérapeute doit trouver une position équilibrée entre les sur-identification et de se détourner de l'impuissance. Une attitude la recherche de sensations doivent être évités de même que le risque de traumatisme du fait d'autrui. Dans de nombreux cas, le SSPT peut pas être traité suffisamment par la psychothérapie seule: un plan complet de traitement multi-modal peut comprendre pharmacothérapeutique, les interventions physiques, sociaux, juridiques et autres. Les premières interventions psychothérapeutiques au lendemain d'un événement traumatique suivre les règles d'intervention de crise (immédiateté, l'accent sur les problèmes actuels de limitation de temps). Une attention particulière devrait être accordée aux questions de développement d'une relation de confiance thérapeutique, en créant une atmosphère de sécurité, aider le patient à reprendre le contrôle de et / ou se distancier de souvenirs intrusifs. traitements de désensibilisation des mouvements oculaires et retraitement (EMDR) et d'autres «pouvoir» peut offrir un soulagement rapide des symptômes. Après un traumatisme collectif, des débriefings psychologiques sont largement utilisés, bien que la preuve de leur utilité dans la prévention de l'ESPT est discutable. Chez les patients porteurs chroniques du SSPT, le psychothérapeute ne devrait pas travailler exclusivement sur l'événement traumatique et ses séquelles: le traitement doit être orientée vers l'avenir plutôt que par le passé. Au lieu de l'exploration, le thérapeute devrait essayer d'activer les ressources des patients et les aider à trouver un nouveau sens à leur vie future. Il ya un besoin urgent d'soigneusement conçus, randomisés, études d'intervention contrôlée sur l'efficacité de l'intervention précoce chez les patients gravement traumatisés et la mi-aux psychothérapies à long terme chez les patients souffrant de PTSD chronique. En outre, les études futures devraient inclure les approches psychodynamiques, ainsi que des protocoles de traitement multimodal, et d'élaborer des critères d'évaluation cliniques plus sophistiqués. (Base de données PsycINFO Record (c) 2008 APA, tous droits réservés)
Since the diagnosis of posttraumatic stress disorder (PTSD) was introduced in DSM-III in 1980, a variety of psychotherapeutic approaches have been developed to address the specific problems and needs of traumatised patients. Successful treatment of PTSD requires a well thought-out therapeutic attitude. The therapist must find a well-balanced position between over-identification and turning away out of helplessness. A sensation-seeking attitude should be avoided as should the danger of vicarious traumatisation. In many instances, PTSD cannot be treated sufficiently by psychotherapy alone: a comprehensive, multi-modal treatment plan may include pharmacotherapeutic, physical, social, legal, and other interventions. Early psychotherapeutic interventions in the immediate aftermath of a traumatic event follow the rules of crisis intervention (immediacy, focus on the current problems, time limitation). Special attention should be paid to the issues of developing a trusting therapeutic relationship, creating an atmosphere of safety, helping the patient to regain control over and/or distance himself from intrusive recollections. Eye Movement Desensitisation and Reprocessing (EMDR) and other "power therapies" can offer quick relief from symptoms. After collective traumatization, psychological debriefings are widely used, although the evidence for their usefulness in preventing PTSD is questionable. In patients with chronic PTSD, the psychotherapist should not work exclusively on the traumatic event and its sequelae: treatment should be oriented towards the future rather than the past. Instead of exploring, the therapist should try to activate the patients' resources and help them to find new meaning in their future life. There is an urgent need for carefully designed, randomized, controlled intervention studies investigating the effectiveness of early interventions in acutely traumatized patients and of mid- to long-term psychotherapies in patients suffering from chronic PTSD. Furthermore, future studies should include psychodynamic approaches as well as multimodal treatment protocols, and elaborate more sophisticated clinical endpoints. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Several studies have found that making eye movements while retrieving visual images about past negative events reduces their vividness and emotional intensity. A working memory account states that eye
movements tax working memory and interfere with visual imagery, thus degrading images. This study
examined whether eye movements also affect recurrent, intrusive visual images about potential future
catastrophes (“flashforwards”) in a sample of female undergraduates who had indicated on a screening-scale that they suffer from such intrusions. They were asked to recall two intrusive images with or without
making eye movements. Before and after each condition, participants retrieved the image, and rated its
vividness and emotionality. Results showed that vividness of intrusive images was lower after recall
with eye movement, relative to recall only, and there was a similar trend for emotionality. Potential implications are discussed.
After a trauma, an individual is often tormented by the images of the tragic incident. These recollections return as nightmares, intrusive thoughts, and flashbacks. Physical pain related to the trauma triggers recollections of the trauma. These images reinforce the victimization. Those who take flight or who fight back during a trauma hold images of being active while those who freeze have more passive images. The Reenactment Protocol (RP) is a process of developing a new active image that reflects control, safety, and efficacy that is then associated with the trauma to allow the client a new set of meanings. I've never seen an abreaction, or reexperiencing of the trauma, arise during the RP. After the RP, clients report feeling in control. Their Subjective Units of Distress Scale (SUDS) have significantly lowered. Their physical pain has often lessened or disappeared. Clients often laugh at the point of reenacting their story, and the positive affect remains for the rest of the session. In therapies that have relied heavily on the RP, many clients gain a sense of control and sureness and increase their assertive behaviors. [Text, p. 213] [Pilots]
5 women prisoners with a history of being battered and who met the DSM-IV criteria for PTSD were assessed (A phase) and provided with structured relaxation training (RT) (B phase, or placebo treatment), followed by eye movement desensitization and reprocessing (EMDR) therapy (C phase). Using the Beck Anxiety Inventory and the Impact of Events Scale's avoidance behavior and intrusive thoughts subscales as outcome measures, RT alone did not result in any clinical improvements. The subsequent provision of EMDR did not improve upon this lack of success with 4 of the 5 participants; 1 did improve on anxiety and intrusive thoughts. The apparent ineffectiveness of EMDR with these participants may be attributed to several explanations. Foremost perhaps is the hypothesis that EMDR is not sufficient to ameliorate the effects of chronic abuse. [Author Abstract]
Compact Focusing (on the sensual, emotional, cognitive and somatic aspects)
The client is asked to close her eyes , focus on one picture of the positive memory and enter it anew. While tapping the therapist says: “Take all the time necessary to relive it… with all your senses...notice what you hear, smell and see...allow your feelings, sensations and thoughts to emerge...breathe into it...let yourself be there for a few moments.“ The therapist gives short tapping (up to 14 taps) The therapist inquires about the feelings, thoughts, and sensations and writes them down. ((If the partially positive past resource includes negative elements, suggest focusing on the positive aspects. If the client doesn’t succeed she should find another positive memory).
Proceed until there is no change. [Excerpt]
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.
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.
This paper will expand on the EMDR protocol of Safe Place Imagery (SPI) making it useful to a wider range of clients. Clients with overt and covert trauma histories will frequently experience traumatic intrusions in to the Safe Place or not be able to find one. Knowledge of trance both explains these phenomena and informs the process of teaching these clients to block out intrusions. Use of SPI with clients with complex ego states and Dissociative Disorders will also be discussed.
¿Te ha pasado que a veces no entiendes tus reacciones, emociones o pensamientos? ¿Como que se alguien hubiera secuestrado el asiento de motorista de tu vida y y acabas por hacer algo tonto? ¿Te arrepientes de tu respuesta? Hay momentos que no haces sentido aún para ti?
Quizás un rol interno, herido, asumió el control de tu vida y no te diste cuenta?
Este libro te puede ayudar a hacer algo a respecto de ello.
Utilizar la nueva terapia de EMDR para trata nuestra Pandilla Interna ha permitido juntar lo mejor de la terapia de reprocesamiento con terapia de roles para sanar los traumas y recuerdos dolorosos. Escrito en lenguaje popular, lleno de viñetas de los casos de la autora (psicóloga renomada), dará a sus lectores mucha información sobre trauma emocional y porqué debemos tratar los recuerdos difíciles. De una manera entretenida, pero informativa, ilustra como nuestros roles internos pueden mandar en nuestras vidas - para mejor o peor.
Este libro tiene como propuesta identificar la existencia de la Pandilla Interna - aquellos personajes que viven adentro de todos y que dirigen nuestras vidas, tales como la Miedosita, el Adolescente en Crisis, el Niño Asustado, el Mentiroso (que miente ¡hasta para mí! Veremos cómo nacen estos roles y se desarrollan dentro de nosotros, cuál la función que cumplen en nuestras vidas, sus interacciones y algunas maneras de sanar los personajes heridos de nuestra Pandilla Interna que nos impiden de vivir plenamente. La énfasis especial en este proceso de sanación es en la nueva terapia de reprocesamiento, EMDR. También se aprende a celebrar los roles que nos edifican y nos sirven de recursos positivos. Tenemos como propuesta desarrollar la "política de la buena convivencia" pero ahora con los personajes que viven adentro, nuestra Pandilla Interna.
Do you sometimes feel like you don’t understand your reactions, feelings or thoughts? As if someone had hijacked the driver’s seat of your life and you wound up doing something stupid? Or regret your response? You don’t make sense in some situations, even to yourself? Maybe a wounded inner role took over and you didn’t catch it...? This book will explain what you can do about it. Using EMDR therapy to treat our Inner Gallery of Roles has brought together the best of reprocessing and role therapy for trauma and painful memories. Written for the layperson and full of snippets from the author’s case studies, it will give readers information about emotional trauma and why we should treat it. In a fun, entertaining and yet informative manner, it illustrates how our inner roles run our lives – for better or for worse. The purpose of this book is to help identify and clarify the existence of our Inner Gallery of roles – those who live inside all of us and that drive many aspects of our lives, such as the Scaredy-Cat, the Adolescent in Crisis, the Liar (that even lies to myself!), and the Inner Doctor. We will see how these roles are born and develop within, their functions and interactions in our lives, and how to heal the wounded ones, so that we can lead more fulfilling lives. We can also learn how to celebrate those roles that build us up and move us forward in life, and serve as positive resources when we need them. Although Role Theory is an integral part of Psychodrama the special emphasis in this healing process is on EMDR, a new reprocessing therapy developed by Dr. Francine Shapiro. We tie together all of these aspects in order to help our Inner Gallery of roles develop “good neighborhood policies” and live in greater harmony and health. In this book we will explain how roles develop inside of us and how trauma and painful memories keep our roles from proper development as we grow up.
Several scientific models have been proposed to explain the unique efficacy of EMDR in treating PTSD. These
include models based on the relaxation response, on working memory, and on REM-sleep associative processing.
In this workshop I will describe and discuss these and other models within a larger framework that views PTSD as
primarily a memory disorder.
Memories are not like photographs. They evolve. After a memory is initially formed, it goes through an extended
period of processing—a complex set of automatic processes, occurring without intent or conscious awareness,
that modifies the memory. In the end, a memory can be substantially different from its original form, with some
parts still as vivid as the day they were formed and other parts forgotten. At the same time, the memory becomes
integrated into wide-ranging memory networks that create a context for the original memory and, in the process,
construct an implicit interpretation of the memory.
While the processing of small, everyday, distressful events is normally handled efficiently by these automatic
mechanisms, grief and painful traumas can overwhelm them. When this happens, the memory is left frozen in its
original form—raw, intrusive, distressing, and unexplained––a condition that can lead to PTSD. The goal of any
treatment for PTSD, then, should be to “restart” these processes of memory evolution, and to thereby support
resolution of the trauma. How each of the various scientific models of EMDR might explain this facilitation of
memory processing will be the focus of the workshop.
Learning Objectives:
• The structure and physiology of the human sleep cycle
• The role of sleep in memory “evolution”
• How PTSD can be seen as a disorder of sleep-dependent memory evolution
• How EMDR might act to restore normal memory processing
Plusieurs modèles scientifiques ont tenté d’expliquer l’efficacité de l’approche EMDR dans le traitement du SSPT.
Dans ces modèles, il y a ceux portant sur la réponse de relaxation, sur la mémoire de travail, sur le processus
associatif durant la phase ‘REM’ du sommeil. Dans cet atelier, l’auteur abordera ces différents modèles et bien
d’autres et ce dans une optique élargie mais qui se fonde sur la prémisse que le SSPT est principalement un
trouble de la mémoire.
Les souvenirs ne sont pas comme des photos. Elles évoluent. Alors que le souvenir prend forme, il se passe
un certain laps de temps où le traitement de l’information se poursuit –une série complexe de processus
automatiques, loin du champs de la conscience, modifiant le souvenir. Finalement, le souvenir peut être
considérablement différent de sa forme originale dans ce sens que certaines parties demeurent très claires et
très vivides et d’autres sont oubliées. Lorsque le souvenir se forme, celui-ci est intégré dans un large réseau de la
mémoire qui crée un contexte et dans son traitement de l’information construit une interprétation implicite de ce
souvenir.
Alors que le traitement d’événements stressants du quotidien sont normalement bien gérés par ces mécanismes
automatiques, ceux-ci sont complètement envahis par les pertes ou les traumas douloureux. Quand cela
se produit, le souvenir demeure ‘gelé’ (‘frozen’) dans sa forme originale- à l’état brute, intrusif, perturbant,
inexpliqué- conditions pouvant mener au SSPT. L’objectif du traitement du SSPT est de ‘’redémarrer’’ ces
processus évolutifs de la mémoire afin de permettre la résolution du trauma. L’intérêt premier de cet atelier
est de voir comment les différents modèles scientifiques en EMDR facilitent ces processus de traitement de la
mémoire.
Objectifs d’apprentissage:
• La structure et la physiologie du cycle du sommeil chez l’humain
• Le rôle du sommeil dans ‘’ l’évolution ‘’ de la mémoire
• Comment le SSPT peut être vu comme un syndrome dépendant du sommeil dans l’évolution de la mémoire
• Comment l’ EMDR peut jouer un rôle important à rétablir le processus normal de la mémoire.
Several scientific models have been proposed to explain the unique efficacy of EMDR in treating PTSD. These
include models based on the relaxation response, on working memory, and on REM-sleep associative processing.
In this workshop I will describe and discuss these and other models within a larger framework that views PTSD as
primarily a memory disorder.
Memories are not like photographs. They evolve. After a memory is initially formed, it goes through an extended
period of processing—a complex set of automatic processes, occurring without intent or conscious awareness,
that modifies the memory. In the end, a memory can be substantially different from its original form, with some
parts still as vivid as the day they were formed and other parts forgotten. At the same time, the memory becomes
integrated into wide-ranging memory networks that create a context for the original memory and, in the process,
construct an implicit interpretation of the memory.
While the processing of small, everyday, distressful events is normally handled efficiently by these automatic
mechanisms, grief and painful traumas can overwhelm them. When this happens, the memory is left frozen in its
original form—raw, intrusive, distressing, and unexplained––a condition that can lead to PTSD. The goal of any
treatment for PTSD, then, should be to “restart” these processes of memory evolution, and to thereby support
resolution of the trauma. How each of the various scientific models of EMDR might explain this facilitation of
memory processing will be the focus of the workshop.
Learning Objectives:
• The structure and physiology of the human sleep cycle
• The role of sleep in memory “evolution”
• How PTSD can be seen as a disorder of sleep-dependent memory evolution
• How EMDR might act to restore normal memory processing
Plusieurs modèles scientifiques ont tenté d’expliquer l’efficacité de l’approche EMDR dans le traitement du SSPT.
Dans ces modèles, il y a ceux portant sur la réponse de relaxation, sur la mémoire de travail, sur le processus
associatif durant la phase ‘REM’ du sommeil. Dans cet atelier, l’auteur abordera ces différents modèles et bien
d’autres et ce dans une optique élargie mais qui se fonde sur la prémisse que le SSPT est principalement un
trouble de la mémoire.
Les souvenirs ne sont pas comme des photos. Elles évoluent. Alors que le souvenir prend forme, il se passe
un certain laps de temps où le traitement de l’information se poursuit –une série complexe de processus
automatiques, loin du champs de la conscience, modifiant le souvenir. Finalement, le souvenir peut être
considérablement différent de sa forme originale dans ce sens que certaines parties demeurent très claires et
très vivides et d’autres sont oubliées. Lorsque le souvenir se forme, celui-ci est intégré dans un large réseau de la
mémoire qui crée un contexte et dans son traitement de l’information construit une interprétation implicite de ce
souvenir.
Alors que le traitement d’événements stressants du quotidien sont normalement bien gérés par ces mécanismes
automatiques, ceux-ci sont complètement envahis par les pertes ou les traumas douloureux. Quand cela
se produit, le souvenir demeure ‘gelé’ (‘frozen’) dans sa forme originale- à l’état brute, intrusif, perturbant,
inexpliqué- conditions pouvant mener au SSPT. L’objectif du traitement du SSPT est de ‘’redémarrer’’ ces
processus évolutifs de la mémoire afin de permettre la résolution du trauma. L’intérêt premier de cet atelier
est de voir comment les différents modèles scientifiques en EMDR facilitent ces processus de traitement de la
mémoire.
Objectifs d’apprentissage:
• La structure et la physiologie du cycle du sommeil chez l’humain
• Le rôle du sommeil dans ‘’ l’évolution ‘’ de la mémoire
• Comment le SSPT peut être vu comme un syndrome dépendant du sommeil dans l’évolution de la mémoire
• Comment l’ EMDR peut jouer un rôle important à rétablir le processus normal de la mémoire.
Seelische Selbstheilungskraft - Ganzheitliche EMDR-Selbstherapie und individuierende Selbstanalyse. In dem 700 Seiten umfassenden Werk inklusive umfangreichen Nachschlageverzeichnissen beschreibt Sofia Sörensen ihre Selbstheilung von einer ausgeprägten posttraumatischen Belastungsstörung, die ihr Leben 53 Jahre lang nach einem Mordanschlag und schwerem Mobbing in der Kindheit geprägt hat. Die Störungen bestanden in hoher Empfindlichkeit, Hypervigilanz, zuweilen Panikstörungen, Phobien, teils suchtartigen Verhaltensweisen mit Kaufrausch und Zwängen, Alpträumen, Gedankenkreisen, teilweise schweren psychosomatischen Krämpfen, Angina pectoris, Stimmritzenkrämpfen, hoher Infektanfälligkeit und vor allem unter neuen Traumatisierungen und Frust auch in allgemein gestörtem sozialen Verhalten. Kompensation und Dekompensation bestimmten ihr Kräfte aufreibendes Leben. Sofia Sörensen hat sich schließlich selbst geheilt, indem sie sich intensiv sachkundig gemacht hat, ihre seelischen Selbstheilungskräfte nicht mehr durch Ängste und vorgefasste Ansichten blockierte sondern durch eine mehrdimensionale, ganzheitliche Selbsttherapie unter Einbeziehung von EMDR freigelegt hat. Selbsttherapie ist letztendlich auf die immer vorhandene Selbstheilungskraft zurückzuführen. Diese schreibt die Autorin der Schöpfungskraft und damit dem Schöpfer selbst zu. Das Buch ist zugleich Erfahrungsbericht, Biografie und Sachbuch.
Mental self-healing-Holistic EMDR Selbstherapie and individuating self. In the 700 page work, including extensive Nachschlageverzeichnissen Sofia Sorensen describes their self-healing from a severe post-traumatic stress disorder, which has shaped their lives 53 years after an assassination attempt and severe bullying in childhood. The disturbances were in high sensitivity, hypervigilance, and sometimes panic disorders, phobias, sometimes addictive behaviors with a spending spree and constraints, nightmares, thoughts circles, some severe psychosomatic cramps, angina pectoris, glottic spasm, high susceptibility to infection and especially under the new trauma and frustration in general degraded social behavior. Compensation and decompensation certain forces exhausting their life. Sofia Sorensen has finally cured himself, has made intense by competent, their psychological self-healing by no more fears and preconceived views blocked but has uncovered a multidimensional and holistic self-therapy, involving EMDR. Self-therapy is ultimately due to the ever-present self-healing power. This writes the author of the power of creation and thus to the Creator himself. The book is also a field report, biography and nonfiction.
//www.emdr-selbsttherapie.de//
This protocol was derived from the notes of Neal Daniels, a clinical psychologist who was the director of the PTSD Clinical Team at the Veterans Affairs Medical Center in Philadelphia, Pennsylvania. Always concerned about the welfare of clients and practitioners, he put together a short, simple, and effective protocol for the practitioner, on the completion of any session where there was negative affect remaining. In Neal's words, "The procedure is short, simple, effective. Right after the session or later on in the day when it is possible, bring up the image of the patient; do 10-15 eye movements; generate a positive cognition and install it with the patient's image and another 10-15 movements. Once the negative affects have been reduced, realistic formulations about the patient's future therapy are much easier to develop. Residual feelings of anger, frustration, regret, or hopelessness have been replaced by clearer thoughts about what can or cannot be done. Positive, creative mulling can proceed without the background feelings of unease, weariness, and ineffectiveness. Daily, weekly, or even career-long "burn-out" can be viewed as the accumulated residual of negative feelings that were not dealt with effectively when they occurred." The idea was to work on the material right after the session or later in the day when time allowed. The Clinician Self-Care Script is provided [PsycINFO Database]
Shame is often a key component of post-traumatic stress and one that can inhibit processing because the person concerned feels no compassion for the self that was shamed. Shame may lead to despising or hating that self so that allowing the self to grow, to recovered, feels almost impossible. Shame is experienced cognitively, emotionally, and somatically: in “brain, heart, and body.”
Shame may lead to blocked processing that does not respond to cognitive interweaves or other approaches such as changes in speed, modality and direction of bilateral stimulation, or “TICES’ strategies, changing aspects of images, cognitions or emotional and sensory interventions. Typically, Subjective Units of Distress scale scored stick at 4.
This paper will draw on clinical work with people who have experienced rape, torture and organized violence and explore ways of unlocking the inhibiting factors of shame, enabling the victim of personal violence to have compassion for themselves, and forgiveness. With compassion, a person can allow themself to recover, and processing the memories of the traumatic incident or incidents can move to adaptive resolution.
The paper will present case material using the adaptive information processing model as a helpful way of enabling clinets to normalize their mental, emotional and somatic reactions, to structure what often seems like a chaotic inner world and to address issues including shame.
This paper will propose a protocol for EMDR psychotherapy with people who have been victims of rape, torture, and organized violence and will introduce a “protocol interweave” for working with people for whom shame is a factor that impedes effective processing.
The “protocol interweave” focuses on the ‘self who has been shamed” and adapts the desensitization phase to enable the individual to process material associated with their thoughts, feelings, and sensations with regards to the self of whom they are ashamed and whom they may despise. The paper will also examine recent thinking about shame, compassion and forgiveness and reflect on similarities across psychotherapeutic modalities such as gestalt and cognitive behaviour therapy and the way in which EMDR is an integrative model that accommodates these.
The presentation will include PowerPoint and video clips of clinical consultations.
Ok, your looking a this poster, you have been at the conference all day, drunk numerous cups of tea and coffee, is your bladder full? Do you need to go to the toilet? Ok off you go, you will be back in just a few minutes won't you, going to the toilet is a simple activity, not even worth thinking about. Now just imagine if going to the toilet here at Leeds University caused you immense anticipatory anxiety and feelings of dread and thoughts such as “I can't do this" so much so you may not even have attended this event, it's easier to avoid an event rather than use the toilet in public. This anxiety response is often called shy bladder syndrome or paruresis.
This report summarizes data gathered thus far from an ongoing study. Two groups (total N = 12) of Vietnam War veterans diagnosed with Posttraumatic Stress Disorder (PTSD) received a single session of exposure or Eye Movement Desensitization and Reprocessing (EMDR) focusing on the veterans’ most distressing war experience. Group assignment was random, treatment providers were blind to assessment data, and the pre- and posttreatment assessor was blind to treatment assignment. Both groups showed improvement on the Impact of Event Scale. EMDR treatment resulted in greater positive changes in within-session Subjective Units of Discomfort levels and on self-monitored severity of intrusive recollection. A trend toward decreased heart rate reactivity was observed in both groups. Results must be considered carefully due to the small number of subjects used in the study. [Author Abstract]
PTSD is accompanied by disturbance of sleep that may contribute to a positive feedback loop which maintains the PTSD condition. Experimental data will be presented in support of a model of off-line memory reprocessing in which traumatic memories are seen to be normally processed during sleep so as to finally eliminate both the intrusive nature of the memories and the heightened emotions associated with them. Participatns will be shown how sleep onset, non-REM and REM sleep may each contribute to this process, and how EMDR might activate this process in individuals for whom the normal sleep processing has broken down.
Ten child molesters with reported histories of childhood sexual abuse underwent eye movement desensitization and reprocessing (EMDR) trauma treatment as an adjunct to standard cognitive-behavioural therapy-relapse prevention (CBT-RP) group treatment. Trauma resolution produced significant pre/post changes on all relevant subscales of the Sexual Offender Treatment Rating Scale (SOTRS). One unanticipated benefit was a consistent and sustained decline in deviant sexual arousal compared to the control condition. As measured by the SOTRS, decrease in arousal was also correlated with a decrease in sexual thoughts, increased motivation for treatment, and increased victim empathy. Deviant arousal is strongly associated with sexual recidivism. Clinical observations support the notion that those sexual offenders with histories of childhood sexual abuse may be left with aberrant sexual arousal, which is one pathway to sexual offending. The adaptive information processing model offers an explanation of the decreased and sustained deviant arousal observed in this study. This preliminary evidence supports a call for further research into this phenomenon.
Since official recognition of post-traumatic stress a number of ways. These include intrusive recollections, indicated by nightmares or “flashbacks” to the event, avoidance of stimuli associated with the trauma, and increased arousal (DSM-III-R, 1987). Behavioural approaches have been somewhat successful in treatment (e.g.., Cooper & Clum, 1989; Keane & Kalouped, 1982) however, such methods have been time consuming, require intense effort by the patient, and symptom improvement can be slow.
De therapie waaraan Mary zoveel had gehad, was Eye Movement Desensitization and Reprocessing (EMDR), een behandeling waarbij de patiënt om te beginnen met zijn of haar ogen de vingers van de therapeut volgt, die deze van links naar rechts beweegt. Terwijl de patiënt zich concentreert op de oogbewegingen (of andere bilaterale stimuli, zoals klopjes op de knieën of geluidssignalen), functioneert de therapeut als een soort gids die de patiënt terugleidt naar de herinnering aan de traumatische ervaring, waardoor de patiënt geholpen wordt bij het opnieuw ordenen en uiteindelijk opnieuw verwerken van negatieve gedachten en emoties.
The therapy to which Mary had so much was Eye Movement Desensitization and Reprocessing (EMDR), a treatment where the patient to begin his or her eyes following the fingers of the therapist, who moves from left to right. While the patient focuses on the eye movements (or other bilateral stimuli, such as pats on the knee or beeps), does the therapist as a guide the patient goes back to the memory of the traumatic experience, so the patient is helped to re-organize and eventually reprocess negative thoughts and emotions.
As we move into the era of managed care, we can only hope that science will weigh more heavily in evaluation and guidance of clinical methods. Unfortunately, regardless of rhetoric to the contrary, this has not previously been the case.
There is an obvious need for dispassionate reviews of all methods of psychotherapy. Unfortunately, misinformation often has colored the atmosphere surrounding the appraisal of EMDR. I will use part of this column to try and give a summation of a number of errors, and the actual historical facts.
The field of psychology has suffered the loss of four of its pioneers...Joseph Wolpe, Andrew Salter, Viktor Frankl, and Hans Eysenck.
One of the most upsetting professional
experiences I have so far encountered
occurred in November 1995. One of
the participants at the Level I1 training
in New York handed me a letter
from a relative of hers. She had suggested
that her sister get EMDR treatment
and counseled her to call the
EMDR Institute office for a referral.
The following are excerpts from the
letter:
Questions have arisen about the use
of EMDR in the courts and the
comparison to hypnosis. So far
EMDR is not well enough known to
have been tested in court; it is simply
described under the rubric of cognitive-
behavioral techniques (as it is
for insurance purposes). However, I
want to make sure everyone realizes
that just because a scene emerges
during an EMDR session, does not
mean that it is "true" in a literal
sense. Things can be "truly experienced
without having actually happened.
The report of the bombing in Oklahoma
City was extremely painful for
many of us. As I watched TV, I was
struck again by the level of pain we
put each other through, and the level
of suffering some of us endure. It also
made me think of the obligation we
have as mental health professionals
to the world at large.
As I have mentioned in the workshops, I
feel that there is an experiential base to
most existing pathologies. One of the beauties
of EMDR is the ability to metabolize
quickly the dysfunctional residue of the
past and shift the material into something
useful and fruitful. In the Intermediate
Training (now the Level I1 Training), I
cover ways of rapidly accessing this painful
information so that it can be more easily
assimilated into a functional superstructure.
(In the following material, I am assuming
the reader has taken the Level I1
Training.)
I thought it might be interesting to
review some of the prevalent theories
regarding the effectiveness of EMDR.
Over the years I have been asked a number of times why the EMDR procedural steps are done in the present order. I would like to give a brief summary to clear up any confusion.
It has appeared me that affect
plays a pivotal, and perhaps under It has appeared me that
plays a pivotal, and perhaps under appreciated, role in the information processing we observe in EMDR therapy. I have found that the ability to achieve positive treatment effects is not based on the ability to retrieve images, but rather on the ability to tap into the network of dysfunctional material through the affect and connected body sensations. As I have explored in earlier Newsletters, in the Accelerated Information Processing model, the dysfunctionl information is typified by its storage in state-specific form, along with its inability to link up with
more adaptive information characterized by
different affect. In either case,
the parallel positive or negative cognitions
are merely constructions which
are simply verbal manifestations of
the affect. These verbalizations allow
the dysfunctionally stored information
to be more readily accessed which, in
turn, stimulates physical sensations
that can be both focal points for the
client during processing, and indications
of the degree of treatment success.
EMDR consists of eight essential
phases and should always be used
within a comprehensive treatment
plan. It is never to be attempted without
appropriate preparation and the
opportunity for reevaluation. The following
is a quick review of the crucial
phases for EMDR treatment.
I have compiled the following list that
should be kept in mind in regards to
client safety factors. It is being included
in this column both as a reminder
and as an incentive for clinicians
to write in with other items they
consider important for screening or
client care.
Clinical observations of EMDR treatment
sessions indicate that therapeutic
results are often achieved through
the progressive emergence of an adult
perspective, particularly when the client
was previously locked into the
emotional responses of a childhoodbased
trauma. Clearly, most childhood
experiences are infused with a
sense of powerlessness, lack of choice,
lack of control, and inadequacy. Even
the best of childhoods have moments
when the parents attempt to leave for
the evening and the child feels abandoned,
powerless, and uncared for.
Indeed, an entire generation of children
was raised by a book that dictated
feeding hours and parents were
encouraged to avoid reinforcing the
child's crying for food at other times.
Consequently, thousands of children
were left crying in the dark for food.
Regardless of the fact that language
was not yet encoded, arguably, this
situation set up certain emotional
nodes regarding "Self," "Suffering,"
and "Others." The EMDR model posits
that the wide variety of childhood
experiences are neurological touchstones
for many dysfunctions.
Too often the limitations of the
therapist's model, repertoire of interventions,
or ability to interact with the
client are dismissed as due to client
"resistance." While client resistance
and non-compliance may certainly be
issues that need to be overcome, the
interaction between the client and the
clinician should not be discounted as
possibly contributing to the lack of the
therapeutic effect.
It appears as though one of the heritages
ofthe psychodynmc model is the belief
in the need for "uncovering memories"
as necessary prerequisites for "working
themthrough." Consequently, it appears
as though some EMDR-trained clinicians
have decided to use a combination
of EMDR and hypnosis for "memory
retrieval." While hypnosis has been a
highly successful and standard form of
practice for many years, its interaction
effects with EMDR have not been systematically
investigated. Therefore, I
would like to issue some additional words
of caution in this regard, since each
clinician is bound to approach issues of
possible "repression" and "resistance"
in ahighly subjective manner. The points
are made below in order to highlight
factors that might possibly have been
forgotten or overlooked by some clinicians
in the merging of variant models.
Since EMDR is an integrated mode of psychotherapy, there are incorporated principles, protocols, and procedures that are compatible with al the major modalities. It is important to remember that this integration was developed over time in order to strengthen EMDR treatment effects. That development is on-going and every trained clinician has the ability to assist in making the procedures and protocols more robust. The only caveat is to make sure that the treatment effects derived from any alteration or change of existing practices leads to treatment effects that are at least as good, or better than those currently achieved. The best way to determine that is through standardized and behavioral measures that document robust and stable effects over time.
Dear Tom and Ray: Your recent column about the person experiencing trauma after her Toyota was rear-ended by some guy going 70 mph invited me to add my thoughts: I am a psychologist in Minnesota and have treated a number of car crash victims just like your reader. They are indeed suffering from a form of post-traumatic stress disorder, and can easily be helped by a therapeutic procedure called EMDR - eye movement desensitization and reprocessing. Don't ask me to explain how it works, but believe me, it does. I have treated car crash victims, carjacking victims, rape victims and holdup victims with the same method of EMDR. They were symptom-free - and stayed that way - after just one session of the procedure. Pretty amazing. It wasn't me; it was the procedure that did the work, along with the client's own brain - which helped reprocess the trauma memory. So, tell this woman to go to the EMDR Web site, www.emdria.org, and click on the link for Find an EMDR Therapist. She should get relief from her symptoms quite rapidly - and they'll stay away. I wish her the best. - Ken
The aim of this paper is to illustrate a self-reparation
model within the framework of a supervision conducted my me.
a therapy plan was defined for my colleague whose patent’s
traumatic experience brought to light her own unresolved traumatic
material.
This innovative approach is not limited to the parallel therapy involving
both patient and therapist, but is an intervention model.
a syncletic approach integrating the standard EMDR protocol and
other contributions: the attachment theory. Freud's and Bion's
'dream-work', A, van der Kolk's and 0,van der Hart's dissociative
disorders treatment, Forgash's and Knipe's Ego States Therapy, A.
Shore's affection regulation and self-repair therapy, Eigen's vision
of damaged bonds.
Maternal abandonment was the common traumatic event. The
patient's mother abandoned him at birth in hospital, where
he remained for a year before being institutionalized and then
adopted. My colleague was abandoned by her mother when she
was one year old. The transition from supervision to EMDR was
facilitated by the vast dream material produced by my colleague;
her dreams represented targets for EMDR.
According to Eigen, dream-work addresses the damage inflicted
on the self, thus the traumas experienced, and plays a major role
in digesting the impact of events and in metabolizing emotions:
through the dreams we try to make the indigestible digestible.
Dream-work constantly reveals states of the self: dreams evolve
within damaged bonds and express the psyche's attempts to undo
the damage or to get the best from it.
EMDR shares the same objectives and tools same as dreams.
At an operational level, EMDR made it possible to analyze the
dream material and to integrate the dissociated dream material
related to the traumatic, catastrophic abandonment induced
damage. The Ego States Therapy allowed my colleague to talk
with her dissociated Ego States, to negotiate with the States a
higher behavioural model, and to free her Ego States held hostage
by others.
At the end of this journey, a dream expresses Ego States integration.
Work on the future using EMDR is concluded with these
thoughts "I want to thank you because the supervision, albeit
not therapy, was an important experience that opened up a new
space for me: the space of perspective. The beam of light crossing
the two sheaves in the dream gives a meaning to the supervision,
supervision has created a third dimension in me: the dream within
the dream. It is the vehicle, the skill to perceive this dialogue
space, intersubjective and intrasubjective, where things change.
It alleviates the feeling of being impotent. The dialectical position
enables me to speak. I am very grateful for that."
My colleague's dreams were incorporated in a dream network
and indicate the phases of EMDR induced mental digestion. My
colleague has rebuilt herself in a supervision scenario.
This study demonstrates the effectiveness of EMDR in hitherto
unthought-of areas, i.e., within the framework of supervision.
In 1987, Professional School of Psychological Studies graduate student Francine Shapiro was on a walk in the park when she personally observed that randomized eye movements seemed to make disturbing thoughts less upsetting (Colwell, 2000). From this initial experience Shapiro created the therapy known as Eye Movement Desensitization (EMD), integrating rhythmic eye movements with “other treatment elements” (EMDR 2004). Shapiro investigated this phenomenon further in a controlled study on twenty-three subjects with traumatic memories and Post-Traumatic Stress Disorder (PTSD) symptoms. In the study, the subjects were first asked to rate their feelings of discomfort regarding a particular traumatic memory using the Subjective Units of Disturbance (SUDs) scale which uses a 0 – 10 rating system to express emotional distress. Subjects were also asked to think of a Positive Self-Statement (PSS) they would like to attach to the memory, erasing a negative one. The subjects then evaluated their confidence in the truth of the PSS on a scale from 1 - 7, where one was completely false, and seven were completely true. On average, before treatment the subjects reported a SUDs score of seven and expressed the validity of the PSS as four. After a single EMD session, subjects on average evaluated the memory as less than one on the SUDs scale, and the positive self-thought was receiving ratings above six. These results remained consistent three months later (Lipke & Botkin, 1992), leading Shapiro claim in her dissertation that “a single session of the procedure was sufficient to desensitize subjects” (EMDR, 2004). The publication of Shapiro’s dissertation came nine years after the American Psychiatric Association added Post-Traumatic Stress Disorder to the DSM-III in 1980 (Friedman, 2006), and EMD quickly became a popular PTSD treatment.
A dual-task during recall of an emotional memory reduces its vividness and emotionality, which may be due to both tasks competing for limited working memory (WM) resources. The dose-response relationship between WM taxing during memory recall and its benefits was investigated. Additionally, the fear-potentiated startle reflex was measured to obtain more objective information about the expected decrease in vividness and emotionality. Participants recalled negative and positive memories while performing no dual-task, a moderately taxing dual-task (eye movements), or a very taxing dual-task (Tetris), after which vividness, emotionality and the startle reflex were measured. Compared to no dual-task, eye movements and Tetris similarly decreased image vividness and/or emotionality, and the startle reflex. The findings suggest a WM account of EMDR, which indicates that a concurrent task is beneficial because it taxes WM during memory recall; and that WM taxing during memory recall and its benefits are not linearly related.
I° Convegno Internazionale universi a confronto.
La terapeutica occidentale incontra quella sciamanica andina
Con questo primo Convegno Internazionale UniVerso LiPsi inaugura Universi a confronto, un nuovo e permanente Motore culturale di Ricerca e Dialogo sulle diverse pratiche terapeutiche e su come sviluppare una maggiore integrazione tra le stesse, con l’obiettivo di promuovere il benessere della persona vista nella sua interezza ed unicità, attraverso un percorso di condivisione di conoscenze, esperienze, riflessioni e idee da far confluire in un più ampio bacino cui attingere anche per il reciproco arricchimento umano e professionale
1st International Universi Conference comparing universes comparison.
The western therapy compared to the Andean Shamanism. With this first International Conference opens Universes in Universe Lipsi comparison, a new engine, permanent cultural Research and Dialogue on the various therapeutic practices and how to develop greater integration between them, with the objective of promoting the welfare of the person seen in its wholeness and oneness, through a sharing of knowledge, experiences, thoughts and ideas to feed into a wider pool to draw upon for the mutual enrichment of human and professional.
The use of Eye Movement Desensitization and Reprocessing (EMDR) in several cases of Family Therapy I treated effectively accelerated the resolution of problems. The EMDR is defined by its originator, Francine Shapiro, as a method mainly used to access, process the memories of traumatic experiences, memories that trigger the patient's current psychological disorders, and to lead to their adaptive resolution. I will describe a few cases of family therapy and, for one of them, I will focus on a session in which, with the help of the EMDR, I accompanied the patient, whom I will call Giulia (the mother in the family undergoing treatment), in the reprocessing of a trauma she experienced 16 years earlier: the death of her 6-month-old daughter. During the session, Giulia revisited the traumatic memory by expressing thoughts, feelings, and physical reactions linked to the event. During the processing phase, she distanced herself, she saw herself again in her pain, felt compassion for it, and then she favored the access to positive thoughts that had been frozen for all those past years. The surprising aspect is that the processing took place in a single session, something that usually requires a much longer psychotherapy treatment. (PsycINFO Database Record (c) 2011 APA, all rights reserved) (journal abstract)
Many victims of childhood trauma struggle with recurrent suicidal thoughts and behaviors even after traditional therapies. We used a combination of Cognitive Behavioral Therapy (CBT) plus Eye Movement Desensitization and Reprocessing (EMDR) in five patients with histories of childhood trauma and recurrent suicidal thoughts to reduce or eliminate suicidal thoughts, behaviors, and attempts after 3 months to 5 years follow up. These findings suggest that CBT plus EMDR might be a combination therapy to reduce or eliminate suicidal thoughts in victims of childhood trauma.
K. Tullis, C. Westcott, T. Winton, A Theory on the Use of Cognitive Behavioral
Therapy (CBT) Plus Eye Movement Desensitization and Reprocessing (EMDR)
To Reduce Suicidal Thoughts in Childhood Trauma Victims, appendix in, The
Courage to Live Workbook, Memphis: KFT Press, 2003.
Objectif: présenter les résultats d'une étude réalisée dans le cadre du traitement des victimes de la route. Nous avons fait la distinction entre les sujets qui ont présenté un (complet n = 16) ou une forme partielle (n = 8) du syndrome de stress post-traumatique (définie par la présence de grappes A et B et l'un des groupes C ou D ).
Sujets: Toutes les victimes (âge moyen: 34,3, s = 4,19; 17 hommes et 7 femmes) ont subi une thérapie EMDR pour quatre séances de 90 minutes. Les sujets ont été inclus dans le projet thérapeutique de 18 mois et ont été suivis pendant 6 mois après la fin de la thérapie.
Procédure: Les sujets ont été envoyées par différentes associations de victimes de consulter l'un des auteurs qui ont pris en charge tous les traitements, après la première consultation, une proposition a été faite au sujet de faire partie d'un protocole de recherche. Après des explications ont été données au diagnostic (complet vs partielle SSPT) a été faite par les deux autres co-auteurs qui ont également participé à l'évaluation des différentes phases.
Les sujets devaient ensuite répondre aux questions de l'échelle d'impact de l'événement d'Horowitz (Horowitz et al, 1979) et la State-Trait Anxiety Inventory - STAI (Spielberger et al 1983). Dans le cadre du protocole thérapeutique, les sujets devaient faire une évaluation SUDS (Wolpe, 1990) qui mesure l'état de détresse concevable par le patient, évalué sur un formulaire échelle de 0 (aucun) à 10 (le pire). Ces différentes mesures ont été administrés à tous les sujets avant de commencer le traitement (T1), après quatre séances de l'EMDR (T2), et six mois plus tard (T3).
Principaux résultats: En raison de la petite taille de l'échantillon et une distribution non normale, les données ont été traitées avec des tests non paramétriques (Mann et Whitney pour les groupes indépendants et de Wilcoxon pour les mesures appariées). [Tableau 1 de l'étude des données du Programme de la conférence originale abstraite ne figurent pas ici.]
Les différences entre le prétest, post-test et l'évaluation après six mois sont montrés également très importante, indiquant un effet très positif avec l'EMDR sur la réduction des symptômes intrusifs et d'évitement. Les effets positifs du traitement sur l'anxiété de la victime peuvent également être des notes, ainsi que sur la réduction de la mousse.
Objective: To present the results of a study carried out in the framework of treating road victims. We have made the distinction between the subjects who presented a complete (n=16) or a partial form (n=8) of post-traumatic stress disorder (defined by the presence of clusters A and B and one of the clusters C or D).
Subjects: All the victims (mean age: 34.3, s=4.19; 17 men and 7 women) underwent EMDR therapy for four 90 minute sessions. The subjects were included in the therapeutic project for 18 months and were followed for 6 months after the end of the therapy.
Procedure: The subjects were sent by different associations of victims to consult with one of the authors who took charge of all of the treatments, After the first consultation, a proposal was made to the subject to be part of a research protocol. After explanations were given the diagnosis (complete vs. partial PTSD) was made by the other two co-authors who also participated in evaluations of the different phases.
The subjects then had to answer questions from Horowitz’s Impact Event Scale (Horowitz et al, 1979) and the State-Trait Anxiety Inventory – STAI (Spielberger et al 1983). In the framework of therapeutic protocol, the subjects had to do a SUDS evaluation (Wolpe, 1990) which measures the state of distress conceivable by the patient, evaluated on a scale form 0 (none) to 10 (the worst). These different measures were administered to all of the subjects before beginning the therapy (T1), after four sessions of EMDR (T2), and six months later (T3).
Main results: Because of the small size of the sample and a non-normal distribution, the data was processed with non-parametric tests (Mann and Whitney for the independent groups and Wilcoxon for the paired measures). [Table 1 of study's data from the original Conference Program abstract not included here.]
The differences between the pretest, the posttest and the evaluation after six months are shown to be equally very significant, indicating a very positive effect with EMDR on the reduction of intrusive symptoms and avoidance. The positive effects of the treatment on the victim’s anxiety can also be notes, as well as on the reduction of the SUDS.
Insightful interviews with a Who’s Who of the world’s foremost therapists
Therapy’s Best is a lively and entertaining collection of one-on-one interviews with some of the top therapists and counselors in the world. Educator and psychotherapist Dr. Howard G. Rosenthal talks with twenty of therapy’s legends, including Albert Ellis, arguably the greatest clinical psychologist and therapist of our time; assertiveness training pioneer Robert Alberti; experiential psychotherapist Al Mahrer; and William Glasser, the father of reality therapy and choice theory. Each interview reveals insights into the therapists’ personal lives, their observations on counseling, and the helping profession in general, and their thoughts on what really works when dealing with clients in need.
The interviews found in Therapy’s Best uncover treatment strategies that are often missing from traditional textbooks, journal articles, courses, and seminars related to assertiveness training, Rational Emotive Behavior Therapy (REBT), marriage and family counseling, transactional analysis, psychoanalysis, suicide prevention, voice therapy, experiential psychotherapy, and Emotion Focused Therapy (EFT). Conversations with the “best and brightest” (including two recipients of the American Psychological Association’s Division of Psychotherapy’s “Living Legends” award) reveal why these therapists are such effective helpers, what makes their theories so popular, and most important, what makes them tick. This unique book lets you “rub elbows” with these consummate professionals and learn more about their theories, ideas, and experiences.
Therapy’s Best includes interviews with:
Dr. Albert Ellis—creator of Rational Emotive Behavior Therapy (REBT) and APA Division of Psychotherapy “Living Legend”
Dr. Edwin Schneidman—the foremost expert on suicide prevention, suicidology, and thanatology
Richard Nelson Bolles—author of What Color Is Your Parachute?
Dr. Dorothy and Dr. Ray Bevcar—husband and wife therapists who write textbooks on marriage counseling
Dr. Al Mahrer—father of experiential psychotherapy and APA Division of Psychotherapy “Living Legend”
Les Greenberg—father of Emotion-Focused Therapy (EFT)
Muriel James—co-author of Born to Win
and many more!
Therapy’s Best is a must read for professionals who practice counseling and psychotherapy, students preparing to do likewise, and anyone else with an interest in therapy—and the people with provide it
A part of a series of games and tools designed to make EMDR treatment developmentally appropriate for children. The Thoughts Kit for Kids consists of four sets of cards. Two sets are for young children and the other two for young adolescents. Each set contains child appropriate positive and negative cognitions along with a VOC scale with which children can play and interact. In addition, The Thought Kit for Kids contains a 16 page booklet with specific EMDR games and protocols than can be used with the cards.
The Thoughts Kit for Kids is designed to aid clinicians with these procedural steps of the EMDR protocol.
The Thoughts Kit for Kids can help you by:
■Helping children develop cognitive and emotional awareness and literacy.
■Making the process of identifying negative and positive cognitions easier for children during EMDR treatment.
■Facilitating the use of the VOC scale for children.
■Assisting youngsters in selecting potential targets for EMDR treatment.
I want to bring Arundhati Roy’s remarkable, new novel, The God of Small Things, to the attention of psychotherapists, especially EMDR therapists, as we work with people in pain and suffering from serious psychological trauma. Almost every character in the book, like many of our clients, has been traumatized y death, loss, rejection, sexual abuse gender or caste exploitation, abandonment, violence, deceit, betrayal, inappropriate blaming, shame, rage, guilt, lack of validation, humiliation, fear, and/or terror.
We often find clients who are not satisfied with their life
situation, are underfunctioning, or have negative thoughts/
cognitions about themselves. These issues persist in spite of
successful lives or significant amounts of therapy. Trauma concerns
are either non-existent or resolved. Existing EMDR techniques such
as Resource Development and Installation (Deborah Korn, Andrew
Leeds), Performance Enhancement (Lendl & Foster, 1997) or doing a
“float back” can be tried with these clients. RDI can strengthen clients
and increase their ability to cope. Performance protocol can help them
improve functioning with mental rehearsals. The float back technique
can put them in touch with affect and accompanying bodily sensations
which can help identify blocking beliefs or identify early events still
impacting current difficulties. These techniques have not always been
sufficient for some of my clients. I have turned to my family systems
training in order to expand my clinical resources. Family systems
reminds us that negative and positive messages, beliefs, loyalties and
ways of being are passed down through generations and have a farreaching
impact on each of us. I have developed a time-line technique
that allows me to use EMDR to tap into historical and cultural sources
to help clients clear through blockages as well as discover new personal
resources.
Objetivo: Traçar um paralelo entre os aspectos de vida na infância e na fase adulta de um caso clínico, com base na Teoria do Apego de John Bowlby e enfoque na modalidade de apego inseguro e ambivalente. Este pode muitas vezes levar o indivíduo a produzir um vínculo disfuncional e antiprodutivo consigo mesmo. Método: Apresentar o caso clínico para ilustrar e enriquecer os aspectos teóricos abordados, comparando atitudes e comportamentos no passado e no presente. A tendência destrutiva da paciente lugar a pensamentos construtivos e transformações em sua vida, depois do tratamento com a técnica de EMDR, passando por todas as fases do protocolo desenvolvido por Francine. Resultado: O caso nos mostra melhora significativa no quadro de depressão recorrente seguida de somatização e tentativas de suicídio. Atualmente, podemos dizer que essa paciente não apresenta pensamentos destrutivos nem comportamento suicida. Conclusão: Os bons resultados obtidos com intervenções psicológicas focadas em trauma e memória dessas imagens, principalmente nos primeiros anos de vida, nos fazem pensar seriamente no aprofundamento e na utilização da técnica do EMDR. Essa nova abordagem pode beneficiar de modo marcante pessoas que sofrem dor psíquica constante.
Objective: To establish a parallel between aspects of life in childhood and adulthood of a case, based on Attachment Theory John Bowlby and focus on the type of insecure attachment and ambivalent. This can often cause the individual to produce a bond dysfunctional and counterproductive himself. Method: To present a case to illustrate and enrich the theoretical aspects discussed, comparing attitudes and behaviors in the past and present. The destructive tendency of the patient to place thoughts and constructive changes in your life, after treatment with the technique of EMDR, through all phases of the protocol developed by Francine. Result: The case shows significant improvement in the context of recurrent depression and somatization then attempted suicide. Currently, we can say that this patient has no destructive thoughts or suicidal behavior. Conclusion: Good results with psychological interventions focused on trauma and memory of these images, especially early in life, make us think seriously about stepping in and using the technique of EMDR. This new approach may benefit markedly from those suffering psychic pain constantly.
Trastorno de estrés postraumático se caracteriza por síntomas intrusivos, comportamientos evitative, y un alto nivel de activación. Este trastorno aparece después de que la persona está expuesta a un acontecimiento traumático. Varias técnicas han sido utilizadas para hacer frente a este trastorno como la exposición, las inundaciones, la desensibilización, y otras técnicas para tratar la ansiedad. En este trabajo una nueva técnica cognitivo-conductual se propone. La desensibilización del movimiento del ojo se caracteriza por una fácil aplicación y resultados rápidos. Procedimiento, los posibles mecanismos de acción, y los estudios sobre su eficacia son revisados. [Adaptado de Resumen del autor]
PTSD is characterised by intrusive symptoms, evitative behaviours, and a high level of activation. This disorder appears after the person is exposed to a traumatic event. Several techniques have been used to deal with this disorder such as exposure, flooding, desensitisation, and other techniques to treat anxiety. In this paper a new cognitive-behavioural technique is proposed. Eye Movement Desensitization is characterised by easy application and fast results. Procedure, possible mechanisms of action, and studies about its efficiency are reviewed. [Adapted from Author abstract]
Self-trust and trust of others are core issues that emerge time and time again in individual and relationship therapy In the broadest sense, trust implies instinctive, unquestioning belief and
reliance upon something or someone.
We require some measure of this trust
to function even minimally. Specifically,
and in terms of our everyday
experience, self-trust at least emcompasses
the abihty to:
l ) Trust awareness of external reality (People, places, things, degree of
safety, etc.).
2)Trust awareness of internal reality
(visual images, feelings, motives,
thoughts, body sensations).
3)Trust personal control of expression,
actions, thoughts, motives, body
experience, impulses.
4)Trust ability to sustain/meet personal
needs.
5)Trust our knowledge of past and
present events.
Eye Movement Desensitization and Reprocessing (EMDR) is a
widely used and acknowledged treatment modality for PTSD but
is still in its experimental phase for other disorders, such as BDD.
With EMDR, the vividness and emotionality of unpleasant mental
representations, which resulted from one or more traumatic
events can be, reduced (Günter & Bodner, 2008). BDD patients
often report traumatic events preceding the development of BDD
and intrusive images referring to these events (Osman, et al.,
2004). Brown et al., (1997) were the first to treat BDD patients
for their traumas, using EMDR. The results of their case series
were promising but lacked a theoretical base. The learning
theoretical model of BDD provides a strong base for the selection
of interventions for individual patients and the application of
EMDR. This presentation outlines how to select the essential
target memories for EMDR treatment in BDD patients. One way is
to order etiological and/or aggravating events meaningfully on a
time line and select those memories for processing which
preceded an increase in BDD symptoms. The other way is to select
targets related tot anxious expectations and avoidance behaviour.
Video fragments illustrate the EMDR process in a BDD patient.
Twenty-four participants from a local domestic violence center were selfselected
into an individual therapy-plus-standard advocacy group (P/SA) or a
standard advocacy (SA) group. The center’s advocacy staffed administered
treatment for the SA group and the P/SA group. In addition to the SA treatment
received by individuals in the P/SA group, there were also six licensed
therapists who provided a manualized treatment incorporating CBT and
EMDR. Symptoms of PTSD, depression, CSE, self-esteem, and coping skills
were assessed.Additionally, saliva sample measurements were taken to examine
the effect of treatment on the regulation of salivary cortisol. Results indicate
that participants in the P/SA treatment condition experienced a
significantly greater reduction in intrusive symptomatology and overall level
of PTSD symptom severity, as well as a greater increase in CSE over time
than those individuals in the SA condition. Moreover, changes in CSE were
related to changes in psychological symptoms in individuals in the P/SA group
from pretreatment to posttreatment and at follow-up.Almost no linear relationship
between changes in CSE and other psychological variables in the SA
group emerged.A minimal impact of treatment on coping skills was observed.
There was a move towards a greater regulation of salivary cortisol at posttreatment
in the P/SA group.
"Traumatherapie mit EMDR" ist ein Trainingsmanual für Psychotherapeuten, die sich für eine Ausbildung in dieser Traumaverarbeitungsmethode interessieren oder sie in ihrer therapeutischen Arbeit bereits anwenden. EMDR steht für Eye Movement Desensitization and Reprocessing, deutsch: Desensibilisierung und Neubearbeitung mit Augenbewegungen. Es ist eine Technik therapeutischer Traumaverarbeitung und gleichzeitig eine innere Haltung und fast ein kleines Wunder. Die Methode folgt einer klaren Zielorientierung, um dysfunktionale Lernerfahrungen in funktionale verwandeln zu helfen. Ausgegangen wird davon, dass Menschen ein natürlicher Antrieb zu Wachstum und Integration von Erfahrung innewohnt. Der angeleitete EMDR-Prozess unterstützt die genaue Beobachtung und das differenzierte Erleben bewusstseinsfähiger innerer Prozesse und ein nachvollziehendes Verstehen und Akzeptieren von Zusammenhängen. Oft berichten die Klienten von spontanen inneren Einsichten, die sich mit den traumatischen Erinnerungen verbinden und anschließend zu neuen Gefühlen, Gedanken und Handlungen befähigen.
Nach einer Einführung zur allgemeinen Psychotraumatologie und zum theoretischen Hintergrund werden empirische Erfahrungen m it EMDR berichtet.
Der Schwerpunkt des Buches liegt auf der Erläuterung der praktischen Durchführung von EMDR. Dabei werden therapeutische Schwierigkeiten differenziert aufgegriffen, angemessene Umgangsweisen damit dargestellt, professionelles Affektmanagement und ressourcenorientiertes Arbeiten vorgestellt.
"Trauma Therapy with EMDR is a training manual for psychotherapists who are interested in training in this trauma processing method or apply them in their therapeutic work already. EMDR stands for Eye Movement Desensitization and Reprocessing, German: desensitization and revised edition with eye movements. It is a technique of therapeutic trauma processing, while an inner attitude, and almost a small miracle. The method follows a clear goal orientation, to help transform learning experiences into functional dysfunctional. The starting point is the fact that inherent in a natural human impulse to growth and integration of experience. The guided EMDR process supports the close monitoring and the differentiated experience of becoming conscious of inner processes and understand understanding and accepting connections. Often, clients report of spontaneous internal insights that are combined with the traumatic memories and then to new feelings, thoughts and actions qualify.
After a general introduction to psychological trauma and the theoretical background, empirical experience w ith EMDR are reported.
The focus of the book is on explaining the practical application of EMDR. These therapeutic difficulties are addressed differentiated, appropriate ways of dealing presented thus presented professional resource-management and emotional work.
After the Oklahoma City bomb blast killed 167 people, the call went out for help - and Centerville therapist Thomas Verdon headed west, spending a week helping victims cope with post-traumatic stress.
He used Eye Movement Desensitization and Reprocessing, or EMDR, a method involving rapid movements of the eye that are believed to unlock and relieve disturbing thoughts.
Travma sonrası stres bozukluğu (TSSB) gelişmesine yol açan etkenlerden biri de trafik kazalarıdır ve Türkiye'de oldukça yaygındır. Göz hareketleri ile duyarsızlaştırma ve yeniden işleme (EMDR) son yıllarda özellikle travma sonrası stres bozukluğunda (TSSB) etkili olduğu gösterilmiş bir yaklaşımdır. Sınav kaygısı; öğrenciler için sıklıkla akademik alanda performans düşüklüğü ve psikolojik problemlerle birlikte olan önemli bir sorundur. Sınav kaygısı olanlar; değerlendirileceği zaman gerilim, endişe ve santral sinir sisteminin aşırı uyarılmasını içeren istenmeyen bir durum yaşarlar. Endişe içeren tekrarlayıcı düşünceler, kendini eleştiren felaketleştirici düşünceler, fizyolojik uyarılmışlık ve belirgin duygusal sıkıntı sınav kaygısına eşlik eder. Sınavlarla ilgili olumsuz deneyimler sınav kaygısının oluşmasına neden olabilmektedir. Sınav kaygısının tedavisi için çeşitli psikoterapi yöntemlerinin yararlı olduğu bildirilmiştir. Sınav kaygısı tedavisinde EMDR denediğini bildiren az sayıda yayın vardır. Bu çalışmada trafik kazası sonrası TSSB gelişen ve EMDR uygulanması sonucunda iyileşen 17 yaşında bir olgu sunulmuştur. TSSB belirtilerinin düzelmesinin ardından üniversite giriş sınavı ile ilgili yoğun korku ve kaygı bildiren hastada, bu kaygının önceki olumsuz sınav yaşantıları ile ilişkili olduğu belirlenmiş, bu yaşantılarına yönelik EMDR tedavisi sonunda sınav kaygısı belirtilerinde belirgin düzelme görülmüştür.
Prevalence of traffic accidents is very high in Turkey and traffic accidents are one of the underlying reasons of Posttraumatic Stress Disorder (PTSD). Eye Movement Desensitization and Reprocessing (EMDR) is a new therapeutic method which is effective for PTSD. Test anxiety is a significant problem for students which leads to a decline in academic performance and cause severe psychological problems. People with test anxiety experience undesirable symptoms like tension, worry and overstimulation of the central nervous system when they are under evaluation. Recurrent worried, self-critical and catastrophic thoughts and physiologic arousal accompany test anxiety. Negative experiences about examinations can lead to test anxiety. Various psychoterapeutic approaches have been reported that are beneficial in the treatment of test anxiety. Few publications have reported trial of EMDR in the treatment of test anxiety. We describe a 17 year-old girl who had PTSD following a traffic accident and who was treated by EMDR. After treatment of PTSD, the girl reported intense fear and anxiety about the university entrance examination. This anxiety was associated with negative experiences about previous examinations. EMDR treatment focused on these negative experiences and significant improvement was obtained.
Travma sonrası stres bozukluğu (TSSB) gelişmesine yol açan etkenlerden biri de trafik kazalarıdır ve Türkiye'de oldukça yaygındır. Göz hareketleri ile duyarsızlaştırma ve yeniden işleme (EMDR) son yıllarda özellikle travma sonrası stres bozukluğunda (TSSB) etkili olduğu gösterilmiş bir yaklaşımdır. Sınav kaygısı; öğrenciler için sıklıkla akademik alanda performans düşüklüğü ve psikolojik problemlerle birlikte olan önemli bir sorundur. Sınav kaygısı olanlar; değerlendirileceği zaman gerilim, endişe ve santral sinir sisteminin aşırı uyarılmasını içeren istenmeyen bir durum yaşarlar. Endişe içeren tekrarlayıcı düşünceler, kendini eleştiren felaketleştirici düşünceler, fizyolojik uyarılmışlık ve belirgin duygusal sıkıntı sınav kaygısına eşlik eder. Sınavlarla ilgili olumsuz deneyimler sınav kaygısının oluşmasına neden olabilmektedir. Sınav kaygısının tedavisi için çeşitli psikoterapi yöntemlerinin yararlı olduğu bildirilmiştir. Sınav kaygısı tedavisinde EMDR denediğini bildiren az sayıda yayın vardır. Bu çalışmada trafik kazası sonrası TSSB gelişen ve EMDR uygulanması sonucunda iyileşen 17 yaşında bir olgu sunulmuştur. TSSB belirtilerinin düzelmesinin ardından üniversite giriş sınavı ile ilgili yoğun korku ve kaygı bildiren hastada, bu kaygının önceki olumsuz sınav yaşantıları ile ilişkili olduğu belirlenmiş, bu yaşantılarına yönelik EMDR tedavisi sonunda sınav kaygısı belirtilerinde belirgin düzelme görülmüştür.
Prevalence of traffic accidents is very high in Turkey and traffic accidents are one of the underlying reasons of Posttraumatic Stress Disorder (PTSD). Eye Movement Desensitization and Reprocessing (EMDR) is a new therapeutic method which is effective for PTSD. Test anxiety is a significant problem for students which leads to a decline in academic performance and cause severe psychological problems. People with test anxiety experience undesirable symptoms like tension, worry and overstimulation of the central nervous system when they are under evaluation. Recurrent worried, self-critical and catastrophic thoughts and physiologic arousal accompany test anxiety. Negative experiences about examinations can lead to test anxiety. Various psychoterapeutic approaches have been reported that are beneficial in the treatment of test anxiety. Few publications have reported trial of EMDR in the treatment of test anxiety. We describe a 17 year-old girl who had PTSD following a traffic accident and who was treated by EMDR. After treatment of PTSD, the girl reported intense fear and anxiety about the university entrance examination. This anxiety was associated with negative experiences about previous examinations. EMDR treatment focused on these negative experiences and significant improvement was obtained.
Jealousy is an unwelcomed emotion, which most poeple will have experienced at some time in their lives. In its mildest form, it may be seen as an expression of devoion, however, for some people it can become obsessive and destructive (Mulle, 1991). The possible consequences of this very serious condition can result in suspicion, violence, and the complete breakdown of a relationship. This study highlights the case of man with a long-standing history of jealousy towards his partner. Cognitive Behavioural Therapy (CBT) would suggest that jealousy was maintained by the person's erroneous assumptioms about sexual behaviour and attractiveness of their partner, a well as pervasive negative schemes of self worth. Any consideration for treatment therefore, needed to address both these areas. The treatment intervention of Eye Movement Desensitization and Reprocessing (EMDR) utilising cognitive interweaved was used to reduce the inensity of the jealous reaction. Results showed a marked reduction in the intensity of the emotion of jealosy, which lead to a reduction in the client's challenging and checking behaviours towards his partner. Results also indicate a clear reduction in the client's erroneous automatic negative and jealous thoughts. What is uclear is whether it was the EMDR therapy itself, or a combination of EMDR and other cognitive behavioural therapy interventions that brought about these reductions in symtomatology. Acknowledging the limitations of generalising from single case designs, consideration will be given to the need for further inestigation and research in to the application of EMDR with this client group.
Lost in mental illness, he became one of the first troops to try out the intriguing and cutting-edge therapy called eye movement desensitisation and reprocessing (EMDR) - a practice which would force him to relive suicidal thoughts but ultimately go on to help save his life. [Excerpt]
A therapy developed in 1987 by psychologist Dr. Francine Shapiro is helping patients diminish and remove the effects of those disturbing memories.The therapy is called eye movement desensitization and reprocessing (EMDR). Trained therapists use it by alternating stimulation between the two hemispheres of the brain while the patient focuses on the trauma."It's a fairly complicated therapy," said licensed counselor Roger Ludwig. "I go through a series of steps with my patients. "Those steps include getting to know the patient and understanding what triggers the anxiety.The patient also must isolate a mental snapshot to represent the event, a feeling about the event and thoughts about the event, such as "He's going to kill me."The doctor then runs the patient through a sequence of bilateral stimuli.
Through case material, the usefullness of EMDR is illustrated for the treatment of children's fears and phobias. The issue of
integrating EMDR treatment with more traditional treatment is also addressed, especially with more complex contextual problems.
Three case histories are presented with emphasis on the most complicated case. Family therapy treatment espouses the notion that
psychopathology in the child results from dysfunctional family functioning, and as such the entire family system has to be treated.
This concept is broadened with the use of EMDR.
The first case illustrates a single trauma event in which a 6 year old boy was bitten by a rottweiler. Presenting symptoms were
nightmares, fear of sleeping alone, poor school performance, persistent thoughts and fear of dogs. The first session of EMDR was
successful in eliminating most of these fears. A second EMDR session focusing on a nightmare was also successful. Two follow
up sessions with the family dealt with other parenting issues and the possibility of attention deficit disorder. The targeted problem
was eliminated via EMDR.
The second case demonstrates a successful one session treatment of an otherwise healthy 6 year old girl who had fears of the dark
and had slept in her parent's bed for years.
In the third case, a complex symptomatology is presented of a nine year old girl (Lily) with a severe, life threatening heart condition
for which she has undergone 4 delicate aortal surgeries since age 2 and is on a medication maintenance regimen. Future surgery is
anticipated during adolescence. Family history is significant for mother's struggle to overcome alcohol addiction, depression and
past abuse. The family has financial pressures. Family system analysis reveals over involvement between mother and daughter,
peripheral father and sibling rivalry (daughter 11). Family treatment involved boundary and limit setting, hierarchical restructuring
and family communication skills. The illness as an organizing factor in the family system was repeatedly addressed.
Interspersed with this treatment approach were EMDR sessions for daughters and mother. Lily had fears of separation fiom mother,
fears of dying, choking, becoming ill, swimming, going to bed, and fears of the devil (as learned in their fundamentalist religion) as
well as several other fears. EMDR sessions targeted these fears, and sometimes several fears were intertwined, such as fear of
sleeping, the devil coming into her room and taking her away to die. Cognitive interweave was used when she appeared stuck.
Through the EMDR treatments, Lily was able to deeply examine her fears, based on the real life uncertainties she faced. Her
progress demonstrated a particularly poignant attempt to make sense of the meaning of life and cope with the threat of death.
This work examines the effect of Eye Movement Desensitization and Reprocessing (EMDR) on a 51-year-old PTSD patient. Using a multiple baseline design, the author compared EMDR with supportive therapy and a distraction technique. The author used the Impact of Events Scale (IES), the State-Trait Anxiety Inventory (STAI), and electromyograph (EMG) readings as treatment measures. The study specifically addresses the eye movement component of EMDR as the crucial element of the intervention.The literature review includes the etiology and treatment of PTSD, an overview of EMDR, and case studies of EMDR in the treatment of PTSD. Along with these topics, the author also examines Rapid Eye Movement (REM) sleep and its possible connection to EMDR. The results of this work indicate that, when compared to expressive interventions and eye fixation, EMDR made the greatest changes in the subject's PTSD symptoms, particularly in the area of intrusive thoughts. The author concludes this work with recommendations pertaining to EMDR and its impact on the future of PTSD treatment. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 55(2-B), 1994, pp. 592.
Analyses of scaled self-report data from Vietnam War veterans receiving inpatient treatment for PTSD drawn during a program evaluation study suggested inpatient treatment as provided by the program resulted in significant improvement in the areas of anxiety, anger, depression, isolation, intrusive thoughts (of combat experiences), flashbacks, nightmares (of combat experiences), and relationship problems. Comparing the relative effects of the incremental addition of eye movement desensitization and reprocessing (EMDR), relaxation training, and biofeedback found that EMDR was for most problems the most effective extra treatment, greatly increasing the positive impact of the treatment program. [Author Abstract]
Your recent newspaper column regarding the person experiencing trauma after her Toyota was rear-ended by some guy going 70 mph invited me to add my thoughts: I am a psychologist in Minnesota and have treated a number of car-crash victims just like your reader. They are indeed suffering from a form of post-traumatic stress disorder, and can easily be helped by a therapeutic procedure called EMDR - eye movement desensitization and reprocessing. Don't ask me to explain how it works, but believe me, it does. I have treated car-crash victims, carjacking victims, rape victims and holdup victims with the same method of EMDR. They were symptom-free - and stayed that way - after just one session of the procedure. Pretty amazing. It wasn't me; it was the procedure that did the work, along with the client's own brain - which helped reprocess the trauma memory. So, tell this woman to go to the EMDR Web site, www.emdria.org, and click on the link for Find a Therapist. She should get relief from her symptoms quite rapidly - and they will stay away. I wish her the best
36 patients with PTSD were randomly allocated to individual treatment with imaginal exposure (image habituation training - IHT), or applied muscle relaxation (AMR) or eye movement desensitization (EMD). Assessment by a blind independent rater and self-report instrument applied pre and posttreatment and at 3-month follow-up indicated that all groups improved significantly compared with a waiting list and that treatment benefits were maintained at follow-up. Despite a failure to demonstrate differences among groups, there was some suggestion that immediately after treatment EMD was superior for intrusive memories. [Author Summary]
In the first direct comparison study ever done, researchers who are also qualified therapists will evaluate the effectiveness of two traditional therapies (exposure therapy and relaxation training) and eye movement desensitization and reprocessing (EMDR).
EMDR, a controversial treatment created in the mid-1980s, combines conscious rapid eye movement and thoughts of the trauma. Although shown to be effective, it has not been directly compared to traditional treatments.
In its twenty-year history, EMDR has evolved into a distinct form of psychotherapy with a wide range of
clinical applications. Guided by the Adaptive Information Processing model clinicians are able to directly
impact the implicit and associational memory networks that govern feelings, thoughts, and reactions
outside the realm of rational thought.
Increasingly, research evidence is showing that EMDR can rapidly produce change simultaneously on cognitive, emotional,
and somatic levels. This presentation will explore research and case reports that address a full range of issues of everyday
clinical practice, including family therapy impasses, attachment disorders, chronic pain, sexual compulsivity, and other
dysfunctional behaviors and thoughts.
Obsessive compulsive disorder (OCD) is a chronic anxiety disorder with recurrent obsessions, like persistent thoughts, mental images, impulses, and compulsions such as repetitive behaviours or mental acts, that are performed after obsessions. This workshop will provide clinical information on the presenter's use of EMDR with a patient with OCD, as well as some examples provided by other clinicians who have worked with patients with OCD. In addition, general information on OCD (e.g., epidemiology, neurobiology) will be discussed. The presenter will highlight what is unique about the use of EMDR with OCD, difficulties she met in using EMDR with an OCD patient, and adaptations she used to improve treatment. She will describe how to use the standard 8 step approach (past, present, future), how to identify targets, managing OCD symptoms and barriers in his day-to-day life. The presenter will look at how to manage challenges that arise for the clinician with this population. Participants will have an opportunity to apply the strategies with a case example exercise. (All Levels)
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]
The use of Eye Movement Desensitization Reprocessing Therapy in the treatment of trauma and stress is well documented (Shapiro, 2001). Since its inception, several studies documenting the effectiveness of EMDR in the treatment of other mental health issues has also been studied (Parnell, 2006). Bae, Kim, and Ahn’s, (2006) clinical case study demonstrates no success with the use of EMDR to treat patients that developed obsessive-compulsive disorder after being diagnosed with posttraumatic stress disorder. Their article suggests little research in support of the use of EMDR in the treatment of OCD.
This presentation illustrates two case studies of men diagnosed with chronic OCD, and their inability to find relief from their symptoms from both pharmacological and psychotherapeutic interventions. The study illustrates the use of Parnell’s modified EMDR protocol with both patients, and the importance of identifying and resolving feeder memories.
Patient A is a male who was diagnosed with OCD twenty years ago. He has received both psychotherapy and psychiatric services from a major university hospital since being diagnosed. Part of the obsessive thoughts include shouting obscenities at his congregation, committing violent acts towards members of the parish, and ultimately jumping over a choir railing with the goal of killing himself.
Patient A began psychotherapy using the Parnell’s modified protocol of EMDR. The patient was able to tap into core (feeder) memories from childhood where he violated trust and confidence with a friend that had not been fully resolved. This also connected with security issues with his mother, which eventually were completely resolved through EMDR. The patient’s obsessive thoughts ceased. The patient has been free of these obsessive thoughts post therapy for one year.
Patient B sought therapy for compulsive behaviors related to exposing himself to unsuspecting victims. Additionally, this patient also engaged in compulsive masturbation behaviors for eight to ten hours a day. His actions not only were psychologically distressing to him, but also causing him problems with the local authorities. Patient B had sought psychotherapy and psychiatric services in the past on several occasions, but with no improvement.
Patient B demonstrated radical improvement using Parnell’s modified EMDR protocol. The patient identified feeder memories that were not initially discussed during the assessment phase. After successful processing, patient B has not engaged in any inappropriate sexual behaviors or compulsive masturbation for three months.
While psychodynamic principles rooted in experiences of life are not novel or innovative in the practice of psychotherapy, often therapists will focus on reducing the problematic symptoms accompanying a diagnosis of OCD, without considering the full implication of prior experiences. Continuing advances in the application of EMDR with an ever expanding array of mental and emotional disorders requires researchers to consider the importance of identifying feeder memories as a possible source of problematic symptoms. These results offer promising techniques for EMDR therapists, and new avenues in research exploring the efficacy of EMDR and OCD. This presentation will illustrate the process involved in identifying feeder memories.
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.
In 1987 an accidental discovery revealed an association between certain eye movements and reduced levels of distress resulting from traumatic memories. The result was a new psychological intervention, eye movement desensitisation and reprocessing (EMDR). The treatment consists of generating rapid and rhythmic eye movements while simultaneously holding traumatic images, thoughts and emotions in the active memory. This paper describes the experiences of one psychotherapist in using EMDR to treat people with PTSD. 6 case studies illustrate aspects of this complex treatment. [Author Abstract]
During the 2006 hostilities between Israel and the Hezbollah militia, many northern Israeli towns were under the continuous threat of rocket bombardment for several weeks. Thirty people who arrived at the general hospital with Acute Stress Reaction (ASR) and were found later to suffer from Acute Stress Syndrome (ASS) were treated by a group of senior EMDR clinicians with a two-session modified EMDR intervention.
The raw results indicate that about 50% of ASS outpatients treated with a brief modified EMDR protocol responded to a single session EMDR with an initial very significant (SUDs dropping or points or more) or a significant alleviation, of their, mostly intrusive, symptoms. The other half of the ASS population showed partial response or no response. We also report the results of a 7 month follow-up of these patients. The advantages and limitations of using the modified brief EMDR protocol in ASS victims are discussed. The response of prolonged war-stress to EMDR is compared to the reason of victim of a single trauma like terrorist attacks and road accidents.
The workshop provides novel concepts regarding the nature of Acute Stress Syndromes following research in Israel. The use of a single session, modified protocol for EMDR in ASS is described, following terror attacks, motor vehicle accidents, and the war with Lebanon. The following themes will be covered in the workshop.
Part one: Novel approaches to Acute Stress Syndromes – Redefining the time axis of SS; the diagnosis of Immediate; Acute Stress Reaction (ASR) and Prediction of Risk Vulnerability: A novel assessment tool; a review of Acute Post Traumatic Stress Syndromes and how they differ from chronic PTSD; the characteristics of intrusive phenomena in ASS; and a phase oriented intervention model for ASS.
Part Two: EMDR in ASS – A brief review regarding the nature of EMDR and PTSD; the modified brief EMDR Protocol; the use of a single session EMDR in ASS – in a GH practice, during terror attacks and following war situations; clinical demonstrations of a single session EMDR in ASS patients (video movies); indications, advantages and precautions using the single session EMDR intervention; and possible psycho-physiological mechanisms.
Is there something from EMDR that could be generalized to helping people live more mentally healthy, even if they don’t have a PTSD concern?
Recent research has shown that certain types of life experiences can cause more PTSD symptoms than major trauma. It has also been documented that negative childhood experiences can cause later problems.
EMDR therapy addresses the life experiences that set the foundation for a wide range of clinical complaints involving negative emotions, physical sensations, thoughts, beliefs, behaviors and relationship difficulties. It also incorporates procedures to address future concerns and challenges.
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We hypothesized that drug cravings, like disturbing thoughts, might be reduced through eye movement desensitization and reprocessing, so we used the procedures described by Popky (unpublished report) to conduct a preliminary evaluation of the effects of eye movement desensitization and reprocessing on cocaine cravings and drug use among opioid addicts who were maintained with methadone. We received the approval of our institutional review board and obtained signed informed consent forms from the subjects.
The idea does seem a bit ridiculous. Tiny green lights on a horizontal bar flashing in sequence, back and forth, back and forth -- guiding the eyes of a patient side to side as he concentrates on a traumatic memory and talks about his feelings and thoughts related to the experience.
The process is called EMDR (Eye Movement and Desensitization and Reprocessing) and it is touted to relieve symptoms of post traumatic stress disorder (PTSD) -- that sometimes take years to treat -- in only a few sessions.
Personality is a multiplicity, encompassing many different states of mind. Ego state is a useful term describing a state of mind in which certain thoughts, feelings, and behaviors tend to operate together. The well-functioning adult will shift ego states are needed to adapt to the roles required by the environment. In an individual raised with healthy attachments and normal development, the shift between ego states does not create discontinuity or confusion of experience. The boundaries of the core self, or core ego expand to include the differentiated ego states, and the boundaries of the differentiated ego states are permeable (Watkins & Watkins, 1997). This allows the individual to maintain a healthy integration of ego states and a continuity of identity.
Psychotherapy treatment with sexual abuse survivors is often lengthy and complex. For
therapists and patients alike, intrusive and dissociative aspects of Post Traumatic Stress
symptoms in combination with self injurious behavior, mood disorders and current problems
produce a variety of treatment difficulties. These range from dealing with destabilization,
dissociative episodes and crisis intervention to more typical treatment impasses and resistances.
These difficulties and resistances to theraputic work may involve a range of fears of
exposure, violating early taboos against "telling", sequelae to revelations, and overwhelming
shame and concern about rejection by the therapist. Other patient concerns are of being flooded
by feelings and memories; or of dissociating in such a way as to remain "lost" to themselves.
Stuck, immobilized and frozen in this state. the patient may have a sense of "pseudosafety"
in the familiarity of these feelings. At the same time, as the symptoms persist with small
or no reduction in levels of distress, patients may experience high levels of frustration. increased
feelings of defeat, depression and anxiety. Loss of motivation and belief in the efficacy of
therapy often follows.
At such times, the therapist may wish to consider EMDR as an adjunctive course of
treatment to resolve problems such as the above.
Een verkrachting, een gewapende overval of de plotselinge dood van een dierbaar persoon, is een gebeurtenis die in het algemeen diep ingrijpt in het leven van betrokkenen. In eerste instantie kan dit leiden tot klachten als ontreddering, hulpeloosheid en gevoelens van angst en verdoving. Op langere termijn kan men last krijgen van indringende beelden (herbelevingen) van het gebeurde, vermijding van zaken die ermee te maken hebben en extreme schrikachtigheid. We spreken dan vaak van een posttraumatische stress-stoornis (PTSS). Een PTSS is een invaliderende aandoening die echter goed te behandelen is als dit op de juiste manier gebeurt.
Rape, armed robbery or the sudden death of a loved one, an event which is generally far reaching effects on the lives of those involved. Initially this can lead to symptoms such as confusion, helplessness and feelings of fear and numbness. In the longer term, can suffer from intrusive images (flashbacks) of the event, avoidance of things that have to do, and extreme nervousness. We often speak of a post-traumatic stress disorder (PTSD). PTSD is a debilitating disease but is treatable if properly done.
Eye Movement Desensitization and Reprocessing is a method of unlocking and relieving troubling thoughts, but it has been controversial and is not yet proved.
The objectives of this presentation are to define ADHD in the various ways it presents adults, using EMDR cognitions and
observations of clients as clues; then, to clarify why and EMDR works differently before, during, and after diagnosis,
The presenter will provide background on the biological differences of those with the disorder, some thoughts on why this diagnosis
is becoming so frequent at this time and why therapists who use EMDR may be more likely to have the disorder and to see it in their
clients.
During the workshop participants will explore their own attitudes toward ADHD and learn about how these attitudes influence their
ability to identify and assess ADHD symptoms in clients. Values, judgments and common myths about ADHD will be briefly
discussed.
Specific suggestions about modifying treatment when ADHD is suspected, suggested as a possible diagnosis to the client, and
treated will be given, including a list of modified positive cognitions. Treatment planning ideas for clients with a variety of
concurrent diagnoses will be offered, with special attention to the problems of resistance to the diagnosis, the medications use for
treatment, and the process of adapting patterns to solve specific problems, using a specific example a group treatment planning
exercise will be conducted. The actual treatment history of the case will be given clarifying how the treatment goals were reached.
There will he time for participants to formulate negative and positive cognitions regarding their attitudes toward ADHD clients and
the use of appropriate medications, and to assess the strength those attitudes, SUDS scales will be used.
Participants will have an opportunity to ask questions and will obtain a bibliography, a client questionnaire, a list of modified
cognitions, and a summary of resources for medical treatment, education and social support.
Dr. Silver asked me to comment on his submission. Rather than attempt to make this a “counterpoint,” I would like to share the thoughts that reading it has engendered. This is in no way to be considered a definitive statement. Dr. Silver’s article is quite provocative and of great service and if EMDR is to thrive, it is essential that trained EMDR practitioners maintain a stance of on-going scrutiny and diversity.
People with PTSD frequently feel as if the trauma is happening again. This is technically called "Intrusive re-experiencing. The person may have intrusive pictures in his/her head about the trauma, have recurrent nightmares or may even experience hallucinations about the trauma. Intrusive symptoms sometimes cause people to lose touch with the "here and now" or the present moment and react in ways that they did when the trauma originally occurred. Earlier the psychotherapists often downplayed this aspect until after the return of the Vietnam War veterans with severe PTSD. While with counseling and rational minds these patients might very well understand that this trauma was not of their making, yet their lives would continue to be disrupted by anger, shame and fear with recurring nightmares. Special techniques such as flooding and systematic desensitization, devised to diminish the emotional charge of traumatic memories ironically and unfortunately involved reliving those memories again and again."


