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1. Roth, W. T. (2010). Diversity of effective treatments of panic attacks: What do they have in common?. Depression and Anxiety, 27(1), 5-11. doi:10.1002/da.20601.

Language: English

Format: Journal

Abstract:
By comparing efficacious psychological therapies of different kinds, inferences about common effective treatment mechanisms can be made. We selected six therapies for review on the basis of the diversity of their theoretical rationales and evidence for superior efficacy: psychoanalytic psychotherapy, hypercapnic breathing training, hypocapnic breathing training, reprocessing with and without eye-movement desensitization, muscle relaxation, and cognitive behavior therapy. The likely common element of all these therapies is that they reduce the immediate expectancy of a panic attack, disrupting the vicious circle of fearing fear. Modifying expectation is usually regarded as a placebo mechanism in psychotherapy, but may be a specific treatment mechanism for panic. The fact that this is seldom the rationale communicated to the patient creates a moral dilemma: Is it ethical for therapists to mislead patients to help them? Pragmatic justification of a successful practice is a way out of this dilemma. Therapies should be evaluated that deal with expectations directly by promoting positive thinking or by fostering non-expectancy.

Keywords: Anxiety  Depression  

Accuracy Verified: Yes

2. Wolinsky, H. (1993, October 10). Menacing memories - When wartime trauma surfaces, treatment can help. Chicago, IL: Chicago Sun-Times, Late Sports Final, Medlife, 57.

Language: English

Format: Newspaper

Abstract:
Another intriguing new therapy appears to help people with PTSD integrate traumatic experiences. With the approach known as eye-movement desensitization and reprocessing (EMDR), the therapist first works with the patient to evoke the distressing memories. Once the patient recalls these events, the therapist can apply a variety of techniques to help him "process the memories." Oak Park psychologist Irvin Roth, who has been trained in EMDR, said he has patients follow with their eyes the back-and-forth movements of a conductor's baton. These eye movements are similar to the eye fluttering that takes place during REM sleep.

Keywords: Chicago  Irvin Roth  War  

Accuracy Verified: Yes

3. Schottenbauer, M. A., Arnkoff, D. B., Glass, C. R., & Gray, S. H. (2006). Psychotherapists in the community: Reported prototypical psychodynamic treatments of trauma. Journal of the American Psychoanalytic Association, 54(4), 1347-1353. doi:doi:10.1177/00030651060540040111.

Language: English

Format: Journal

Abstract:
The effort to categorize psychotherapeutic treatments according to their efficacy has in the past decade led to a number of lists of empirically supported treatments (ESTs; Chambless and Ollendick 2001). With regard to trauma, the primary treatments that have undergone the rigorous empirical testing necessary to be included in lists of ESTs (e.g., Nathan and Gorman 1998; Roth and Fonagy 2005) are largely cognitive—behavioral treatments and eye movement desensitization and reprocessing (EMDR; Shapiro 1995). Nevertheless, there are many indications that clinicians in the community use psychodynamic psychotherapy for treating trauma. A recent guideline for psychiatrists on the treatment of PTSD notes clinical consensus on the usefulness of psychodynamic psychotherapy in treating certain types of trauma, particularly in cases where interpersonal functioning is substantially impacted (APA 2004). Empirical research reveals that many clinicians in the community employ psychodyna

Keywords: Poster  Psychodynamic Treatments  Trauma  

Accuracy Verified: Yes

4. Unfried, N. (2003). Trauma und entwicklung: Physiologische und biologische veränderungen nach frühen kindlichen traumata und deren behandlungsmöglichkeit [Trauma and development: Physiologic and biologic variations after early infant traumatisations and attendance of them]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 1(3), 59-71.

Language: German

Format: Journal

Abstract:
Behandlung psychotraumatischer belastungsstörungen mit EMDR
Die Entwicklung des Kindes ist heutzutage als Prozess zu verstehen. Ein Kind ist dementsprechend zu jedem Zeitpunkt seiner Entwicklung "reif", einschließlich seines intrauterinen Lebens, d.h. es verfügt über die für die jeweilige Zeit notwenige Ausstattung. Von Beginn an erfolgt dieses mehr oder weniger störanfällige Geschehen mit anderen im aktiven intra- und interagierenden informativen, energetischen und stofflichen Austausch. An diesem Entwicklungsprozess nimmt der gesamte Körper, jede Zelle, einschließlich des Gehirns als Organ der sensomotorischen und psychophysischen Verarbeitung teil. Die Stressreaktion und Stress auf bewältigbarem Niveau hilft dem Kind kritische Phasen zu überstehen (Hüther, 1999). Jedoch führt nicht bewältigbarer Stress zu tiefgreifenden Veränderungen funktionell bis strukturell, wenn der Organismus keine neue Lösungsmöglichkeit findet. Mehrere Autoren belegen, dass traumatische Erlebnisse Veränderungen im limbischen System und Cortex zeigen können (Hüther, 1999; van den Kolk, 1998; Roth, 1998). Bei unkontrolliertem Stress (frühzeitig) kommt es zur Daueraktivierung der Amygdala und über die Amygdala zur Aktivierung mehrerer Systeme, unter anderem auch der Hypothalamus-Hypophysen-Nebennieren- Achse mit einem Ausschütten von Stresshormonen. Diese Daueraktivierung löst körperlich die Notfallreaktion im Sinne einer Schockreaktion aus, gleichzeitig führt sie zur Störung der Einspeicherung von Informationen in den Hippocampus. Die imaginativ-methodische Herangehensweise scheint für frühtraumatisierte Kinder und Jugendliche eine Möglichkeit zu sein, die dissoziierten Anteile der traumatischen Szene abzurufen und somit einen Weg zur Integration zu finden. Die therapeutische Beziehung ermöglicht das Wiedererleben der Schmerzen, der Angst, aber auch die Beendigung der traumatischen Situation. Es konnte gezeigt werden, wie die triggerabhängigen Projektionen bei den Kindern endeten und Veränderungen der Persönlichkeitsentwicklung nachweisbar waren. Der Erfahrungsbericht stellt ein vorläufiges Ergebnis dar.

Psychosocial treatment of traumatic stress disorders with EMDR
Children’s development is now understood as a process. Balance and imbalance are said to alternate with one another, and impaired functioning is to be seen as an inducement for further development. Even the early organism has the opportunity of finding a new level of organisation. Right from the beginning, this process, which is susceptible to disruption to a greater or lesser extent, takes place with others in an intra- and interactive exchange of energy and material. This developmental process involves the entire body, every cell, including the brain as the organ of sensomotoric and psychophysical processing. The stress reaction and stress at a manageable level help the child to survive critical periods (Hüther, 1999). However, stress that is not manageable leads to far-reaching changes, in both functional and structural terms, unless the organism finds new solutions. There are sensitive stages during prenatal development that give the brain a high degree of adaptability; however, they also make the embryo, foetus and young infant receptive for disruptive or even hostile influences can lead to changes in the limbic system and the cortex (Hüther 1999; van den Kolk 1998; Roth, 1998). In the event of (early) uncontrolled stress, the amygdala becomes permanently activated, and via the amygdala, several systems are also activated, including the hypothalamic-pituitary-adrenal axis, by the secretion of stress hormones. This permanent activation triggers a physical emergency reaction in the sense of a shock reaction and at the same time leads to a disruption of the storage of information in the hippocampus. The imaginative approach to be a way for children and adolescents with early traumas to recall the dissociated parts of the traumatic scene and hence to find a way of integrating them. The therapeutic relationship allows the pain and fear to be reenacted, but also enables the traumatic situation to be brought to a close. It was able to be shown how the trigger-dependent projections stopped in the children, and changes in personality development were able to be observed. The report presents preliminary results.

Keywords: Attachment  Chidlren  Biologic Variations  Psysiologic Variations  Trauma  

Accuracy Verified: Yes