Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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Your Results - you searched for the keyword Jim Knipe 55 Results

1. Knipe, J. (2009). "Shame is my safe place": Adaptive information processing methods of resolving chronic shame-based depression. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more, (1st Ed.) (pp. 49-89). New York, NY: W. W. Norton & Co..

Language: English

Format: Book Section

Keywords: Depression Shame

Accuracy Verified: Yes

2. Knipe, J. (2010, July). Adaptive information processing as a guiding framework for the treatment of addictive disorders and addictive behavior patterns. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Within our field, the term “addiction” has been used to describe not only chemical dependence but also entrenched, selfdefeating behavior patterns. Either type of addiction may develop in the context of traumatic experience. An impulse to engage in addictive behavior can be thought of as a part of a dysfunctionally-stored memory network connected with traumatic events. In this workshop, an Adaptive Information Processing model of addiction will be presented, including guidelines for treatment planning, preparation, resource installation, urge reduction, and (when necessary) transformation of the addict “identity.” The content of the presentation will be illustrated with video examples.

Keywords: Addictions Addictive Behaviors Addictive Disorders

Accuracy Verified: Yes

3. Forgash, C., & Knipe, J. (2007, April). Advanced treatment of dissociation, personality disorders, couple and disaster survivors. Presentation at the annual meeting of Japan EMDR Association, Kyoto, Japan.

Language: English

Format: Conference

Keywords: Couples Disasters Dissociation Personality Disorders

Accuracy Verified: Yes

4. Leeds, A. (2012, June). Affect phobias in EMDR therapy - developing affect tolerance capacities in client and clinician [Fobias afectivas en la terapia con EMDR -‐ El desarrollo de habilidades para la tolerancia afectiva en el cliente y el clínico]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Affect phobias may also be described as psychodynamic or dissociative defenses or as ego state conflicts. When patients present with affect phobias and fail to progress with standard EMDR procedural interventions, EMDR therapy can still be effective when clinicians have the conceptual knowledge and perceptual skills to recognize these defenses, and when they can make use of a flexible set of advanced EMDR procedural stills for responding. EMDR trained clinicians must also confront their own affect phobias and psychodynamic conflicts as they experience a range of responses to their work with patients including countertransference and vicarious traumatization that can disrupt their ability to make use of their conceptual, perceptual and procedural knowledge and skills. This presentation provides an overview of concepts from Short-Term Dynamic Psychotherapy (STDP: McCullough, 1997, 2003) and the Theory of Structural Dissociation of the Personality (TSDP: van der Hart, Nijenhuis & Steele, 2006) and identifies procedures from Knipe (1999, 2003, 2005, 2008, 2009, 2010a, 2010b, 2010c), Mosquera (2010, 2011), Mosquera and Gonzalez (2010), and Leeds (2001), which clinicians can employ with cases involving affect phobia. We will also consider how clinicians can be sensitive to and mitigate the potential impact of their own affect phobias in their clinical work.

Las fobias al afecto también se pueden describir como defensas psicodinámicas, disociativas ó como conflictos del estado del yo. Cuando los pacientes presentan fobias al afecto y no avanzan con las intervenciones siguiendo los procedimientos de EMDR habituales, EMDR aún puede ser efectivo cuando los clínicos gozan del conocimiento conceptual, así como las habilidades perceptivas para reconocer dichas defensas y cuándo puede servirse de un conjunto flexible de habilidades de procedimiento de EMDR para responder [ante ellas]. Los clínicos formados en el uso de EMDR también han de afrontar sus propias fobias y conflictos psicodinámicos a medida que pasen por una variedad de respuestas a su trabajo con pacientes, incluidas la contra-‐transferencia y la traumatización indirecta que pueden perturbar su capacidad para aprovechar sus conocimientos y habilidades conceptuales, perceptivos y habilidades. La presente ponencia ofrece una visión del conjunto de los conceptos de Short-‐Term Dynamic Psychotherapy (STDP: McCullough, 1997, 2003) [psicoterapia dinámica breve] y de Theory of Structural Dissociation of the Personality (TSDP: van der Hart, Nijenhuis & Steele, 2006) [teoría de la disociación estructural de la personalidad] e identifica procedimientos de Knipe (1999, 2003, 2005, 2008, 2009, 2010a, 2010b, 2010c), Mosquera (2010, 2011), Mosquera y Gonzalez (2010) y Leeds (2001) que pueden aplicar los clínicos en casos de fobia al afecto. También se contemplará cómo los clínicos pueden estar sensibles ante el impacto potencial de sus propias fobias al afecto y cómo mitigarlo en su trabajo clínico.

Keywords: Affect Phobias

Accuracy Verified: Yes

5. Knipe, J. (2009). Back of the head scale (BHS). In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 233-234). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Back of the Head Scale BHS Protocol

Accuracy Verified: Yes

6. Kaplan, S., Wolper, B., Knipe, J., Gierasch, M., & Preston, J. (2006, September). Becoming an EMDRIA approved trainer. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The members of this panel will speak about their unique experiences in becoming Trainers of basic EMDR and their approaches to teaching basic EMDR to particular populations in particular settings: EMDR-HAP training, independent training, Medical University and University Graduate School settings, and the challenges and rewards of training. The panel will address the process and requirements for becoming an EMDRIA Approved Trainer and will describe the networking, sharing of resources, and support that are available for new, as well as for all, EMDRIA Approved Trainers.

Keywords: Approved Trainer

Accuracy Verified: Yes

7. Knipe, J. (1998). Blocking belief questionnaire. Jim Knipe, Ph.D.

Language: English

Format: Other

Abstract:
Sometimes a client's blocking belief will be right out their and apparent to both the client and therapist, and it can be useful to ask some version of the question, "Even though you believe (e.g. you can never get over this problem), would it be alright with you if you did?" If the client say "Yes," then "stay with that" and EM. (Excerpt)

Keywords: Blocking Beliefs Questionnaire

Accuracy Verified: Yes

8. Knipe, J. (2008, June). The CIPOS method -- procedures to therapeutically reduce dissociative processes while preserving emotional safety. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
It is well documented (Maxfield and Hyer, 2002) that the 8-phase EMDR model is highly effective for clients who are troubled by disturbing memories. However, clients who are dissociative often have great difficulty in maintaining present orientation and the "dual attention" that is a necessary condition for processing. Dissociative clients are highly vulnerable, during the EMDR Preparation, Assessment and Dissociation Phases, to becoming disoriented and overwhelmed by the surprising intrusion of dissociated parts that bring intensely disturbing images and other information. Since, with these clients, there is a greater risk of non-therapeutic dissociative abreaction, it is very important to counter this risk with an increased emphasis on safety and containment of affect. In this presentation, I will describe two procedures that can be helpful in making the healing power of EMDR available to clients who have this kind of vulnerability. One is the BHS (Back of the Head Scale), a procedure that can be useful in assessing a client’s moment-to-moment level of dissociation during a traumafocused EMDR session. The other is the CIPOS (Constant Installation of Positive Orientation and Safety) procedure, which is a method of slowing down processing, and carefully containing and controlling the emergence of potentially overwhelming post-traumatic material. These methods will be illustrated with video segments of a therapy session.

Keywords: Back-of-the-Head Scale BHS CIPOS Method Contant Installation of Present Orientation and Safety Emotional Safety Psycholgical Defenses Targeting

Accuracy Verified: Yes

9. Knipe, J. (2010, September/October). Dissociation through the AIP lens. Opening address at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Keywords: Adaptive Information Processing AIP Dissociation Opening Address

Accuracy Verified: Yes

10. Knipe, J. (2007, April). Dissociative disorders: An overview using the adaptive information processing model. Presentation at the Japanese EMDR Association Conference, Kyoto, Japan.

Language: English

Format: Conference

Keywords: Adaptive Information Processing Dissociative Disorders

Accuracy Verified: Yes

11. Knipe, J. (2009). Dysfunctional positive affect: Codependence or obsession with self-defeating behavior. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 463-465). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Codependence Dysfunctional Positive Affect Obsession Protocol Self-Defeating Behavior

Accuracy Verified: Yes

12. Knipe, J. (2009). Dysfunctional positive affect: Procrastination. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 453-458). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Dysfunctional Postive Affect Procrastination Protocol

Accuracy Verified: Yes

13. Knipe, J. (2009). Dysfunctional positive affect: To assist clients with unwanted avoidance defenses. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 451-452). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Avoidance Defenses Dysfunctional Positive Affect Protocol

Accuracy Verified: Yes

14. Knipe, J. (2009). Dysfunctional positive affect: To clear the pain of unrequited love. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 459-462). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Dysfunctional Positive Affect Protocol Unrequited Love

Accuracy Verified: Yes

15. Konuk, E., Knipe, J., Eke, I., Yuksek, H., Yurtsever, A., & Ostep, S. (2006, August). The effects of eye movement desensitization and reprocessing (EMDR) therapy on post-traumatic stress disorder in survivors of the 1999 Maramara, Turkey, earthquake. International Journal of Stress Management, 13(3), 291-308. doi:10.1037/1072-5245.13.3.291.

Language: English

Format: Journal

Abstract:
As part of a program of response to the 1999 Marmara, Turkey, earthquake, an estimated 1,500 trauma victims with posttraumatic stress disorder (PTSD) symptoms were treated in tent cities with eye movement desensitization and reprocessing (EMDR). A field study evaluating a representative group of 41 participants with diagnosed PTSD indicated that a mean of five 90-minute sessions was sufficient to eliminate symptoms in 92.7% of those treated, with reduction in symptoms in the remaining participants. Significant reductions occurred between the pre and posttreatment PTSD Symptom Scale Self-Report version (PSS-SR) total scores and all subscales. These gains were maintained at 6-month follow-up. The same pattern of recovery was observed regardless of the use or nonuse of psychotropic medication at the time of intake.

Keywords: Developing Countries Disaster Response Emotional Trauma Empirical Study Follow-up Study Field Study Natural Disasters Posttraumatic Stress Disorder PTSD Quantitative Study Recent Events Survivors Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

16. Knipe, J. (2008, Maart). EMDR en sterk wordt vastgehouden psychologische verdedigingsmechanismen het voorkomen van directe toegang tot bewuste en doelgerichtheid van de post-traumatisch materiaal [EMDR and strongly held psychological defenses preventing direct conscious access and targeting of post-traumatic material]. Presentatie op het derde congres van de Vereniging EMDR Nederland, Amersfoort, The Netherlands.

Language: English

Format: Conference

Abstract:
Een specifieke EMDR procedures die nuttig is met cliënten die zich sterk hebben gehouden psychologische verweren die bewuste directe toegang te voorkomen en de gerichtheid van post-traumatische materiaal is volledig te verklaren met uitgebreid gebruik van video-materiaal met de gerichtheid van de verdedigingswerken van vermijding (bijvoorbeeld vermijden van zeer verontrustende herinneringen , vermijden van verantwoordelijkheden, te vermijden in de vorm van uitstel), idealisering van het zelf (bijv. narcistische karaktertrekken van bijzonders en het recht) en de idealisering van anderen (bv. verlangen naar een verloren geliefde, of trauma-obligatie gehechtheid aan een dader). Vaak zijn cliënten die depressief bent en anderen die te idealiseren opereren vanuit een kern eigen ego staat van schaamte, en tijdens deze zeer praktische workshop leert u hoe jammer soms kan worden opgelost met behulp van gerichte en EMDR-methoden.

A specific EMDR procedures that is useful with clients who have strongly held psychological defenses that prevent direct conscious access and targeting of post-traumatic material is fully explained with extensive use of video material showing the targeting of defenses of avoidance (e.g. avoidance of extremely troubling memories, avoidance of responsibilities, avoidance in the form of procrastination), idealization of self (e.g. narcissistic traits of specialness and entitlement) and idealization of others (e.g. longing for a lost lover, or trauma-bond attachment to a perpetrator). Often clients who are depressed and who idealize others are operating from a core self ego state of shame, and during this highly practical workshop you will learn how shame can sometimes be targeted and resolved using EMDR methods.

Keywords: Psychological Defenses Targeting

Accuracy Verified: Yes

17. Knipe, J., Hartung, J., Konuk, E., Colelli, G., Keller, M., & Rogers, S. (2003, September). EMDR Humanitarian Assistance Programs: Outcome research, models of training, and service delivery in New York, Latin America, Turkey and Indonesia. Symposium conducted at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Since 1995, there have been many programs to provide EMDR humanitarian assistance throughout the world, and from these programs, several lessons have been learned. In this presentation, we will describe four recent programs, which, viewed together, define an emerging model of how to best initiate and structure programs of EMDR therapist training and direct service. In addition, EMDR outcome research from three of the sites will be presented.

Keywords: Humanitarian Assistance Symposium

Accuracy Verified: Yes

18. 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:
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.

Keywords: Depression, Eating Disorders, Performance

Accuracy Verified: Yes

19. Silver, S. M., Rogers, S., Knipe, J., & Colelli, G. (2005, February). EMDR therapy following the 9/11 terrorist attacks: A community-based intervention project in New York City. International Journal of Stress Management, 12(1), 29-42. doi:10.1037/1072-5245.12.1.29.

Language: English

Format: Journal

Abstract:
This article presents the results of a time-limited psychological relief effort using eye movement desensitization and reprocessing (EMDR) following the attacks on the World Trade Center on September 11, 2001. Clients made highly significant positive gains on a range of outcome variables, including validated psychometrics and self-report scales. Analyses of the data suggest 2 broad conclusions: EMDR is a useful treatment intervention both in the immediate aftermath of disaster as well as later; the longer treatment is delayed, the greater the level of disturbance experienced by clients. Also discussed are problems in conducting research during mass disaster response situations. A demonstration of an analog to a wait-list control group is provided. [Author Abstract]

Keywords: 9/11 Americans Crisis Intervention Empirical Study Quantitative Study September 11 Survivors Terrorism Terrorist Attacks Treatment Effectiveness

Accuracy Verified: Yes

20. Knipe, J. (2008, June). EMDR toolbox. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
It is clear from over 17 published studies that the EMDR method is highly effective in assisting clients in resolving PTSD (Maxfield and Hyer, 2002). However, most clients who enter therapy do not have a simple problem of a single disturbing memory, but a complex history. Typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also mental structures and actions which function to soothe, contain, avoid or dissociate from emotional disturbance. Thus, the initial presentation of most clients is complex and often ambivalent. In this workshop, examples will illustrate Adaptive Information Processing methods of targeting and resolving psychological defenses, such as avoidance, ambivalence, and idealization. Also, the BHS/CIPOS (Back-of-the-Head Scale/Constant Installation of Present Orientation and Safety) method will be described. This method is a set of procedures that can be used during the EMDR Desensitization Phase to therapeutically reverse dissociative processes while preserving emotional safety. Video segments from therapy sessions will be shown to illustrate each of these methods.

Keywords: Back-of-the-Head Scale BHS CIPOS Contant Installation of Present Orientation and Safety Psycholgical Defenses Targeting

Accuracy Verified: Yes

21. Knipe, J. (2012, June). EMDR toolbox [La Caja de herramientas en EMDR]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
EMDR has had a profound positive impact on the lives of many clients and has been shown in more than seventeen published trials to be effective in the treatment of PTSD (Maxfield & Hyer, 2002). However, the DSM IV definition of PTSD is focused on the single traumatic incident, and many clients seeking relief in therapy have a damaging traumatic history that extended over repeated events or over long periods of time. The term, Complex PTSD (Herman, 1992, van der Kolk, 2005) has been proposed to describe a pattern of negative effects of prolonged and extreme stress, particularly during childhood. The focus of this workshop is to describe a theoretical framework, and specific therapy “tools” which may be useful in providing effective therapy, within the EMDR Adaptive Information Processing Model, to individuals suffering with Complex PTSD. Important concepts and particular interventions will be illustrated through video examples and transcripts from therapy sessions. Dr. Knipe will present methods for identifying and treating specific dissociative symptoms with accompanying evidence from available research or case studies. He will offer EMDR “tools” that can be used to make the healing power of EMDR more available to clients who are avoidant, and/or highly vulnerable to dissociative abreaction, chronic shame, and unrealistic idealization of self or of others. He will discuss the primary characteristics of clients with Complex PTSD, including problems with disrupted attachment and inappropriate psychological defenses. He will illustrate how to identify various Ego-‐States and work with these within the Adaptive Information Processing Therapy Approach. Time will be available for participants to discuss difficult EMDR cases.

EMDR ha tenido un profundo efecto sobre la vida de muchos clientes y ha demostrado en más de diecisiete ensayos publicados, ser eficaz para el tratamiento del TEPT (Maxfield & Hyer, 2002). Sin embargo, la definición del DSM IV del TEPT está centrada en el incidente traumático único, mientras que en muchos de los clientes que buscan el alivio a través de la terapia su historial traumático incluye episodios traumáticos repetidos o que se extienden a lo largo de períodos prolongados de tiempo. Se ha propuesto el término TEPT complejo (Herman, 1992, van der Kolk, 2005) para describir un patrón de efectos negativos derivados una situación de estrés prolongado e intenso que ha aparecido principalmente en la infancia. Este taller estará centrado en describir el marco teórico y las “herramientas” terapéuticas específicas que pueden ser necesarias para proporcionar , dentro del modelo de procesamiento adaptativo de la información de EMDR, una terapia eficaz a los individuos que sufran de un cuadro de TEPT complejo. Los conceptos importantes y las intervenciones concretas que se realizan serán ejemplificadas mediante ejemplos en vídeo y mediante transcripciones de sesiones de terapia. El Dr. Knipe presentará diversos métodos que permitan identificar y tratar los síntomas disociativos específicos, los cuales irán acompañado de la evidencia de que se dispone procedente de la investigación existente o de los estudios de casos. Ofrecerá, además, aquellas “herramientas”de EMDR que pueden ser empleadas para que el poder sanador del EMDR esté más disponible para aquellos clientes con comportamientos evitativos y/o que son extremadamente sensibles a experimentar abreacciones disociativas, vergüenza crónica o conceptos idealizados de sí mismos o de los demás no realistas. Comentará también cuales son las características principales de los pacientes que padecen de TEPT complejo, entre los que se incluyen los vínculos afectivos perturbados y los mecanismos de defensa psicológica inadecuados. Ilustrará, igualmente, cómo poder identificar los diversos estados del ego que se producen y cómo trabajar con ellos en el marco del procesamiento adaptativo de la información. Se dispondrá de un tiempo adicional para comentar con los participantes los casos difíciles que se presenten con EMDR.

Keywords: EMDR Toolbox

Accuracy Verified: Yes

22. Knipe, J. (2012, October). EMDR toolbox: Methods of extending EMDR to traumatized clients with significant vulnerability to dissociative abreaction and/or psychological defenses. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
Abstract:The focus of this workshop will be to describe a theoretical framework, and specific EMDR-related therapy tools which may be useful during Janets Phase 2, the Phase of trauma processing, for multiply-traumatized clients with Complex PTSD. Points of similarity and difference will be described between the EMDR Adaptive Information Processing Model, and two other models of dissociation treatment: the Theory of Structural Dissociation of the Personality and the Internal Family Systems model. EMDR variations will be described which increase emotional safety, and thereby extend the use of EMDR to clients who might otherwise be vulnerable to the intrusion of overwhelming post-traumatic memory material. Through transcript and video examples, the Loving Eyes method (for safely accessing a traumatized Part), the Back-of-the-Head Scale (for measuring the degree of dissociative experience, moment-to-moment, in a therapy session), and the method of Constant Installation of Present Orientation and Safety (for maintaining emotional safety during the processing of a traumatic memory) will be presented. In addition, the structure and treatment of psychological defenses will be conceptualized within the Adaptive Information Processing Model.

Learning Objectives: 1. Describe the Loving Eyes method of developing a co-consciousness between an adult Part and a traumatized child Part. 2. Describe the clinical situations in which the use of the Back-of-the-Head Scale and the method of Constant Installation of Present Orientation and Safety would be likely to be helpful to a traumatized client. 3. Describe how psychological defense may be conceptualized within the Adaptive Information Processing model, and how defenses may be safely released, so that underlying post-traumatic material may be processed.

Keywords: Dissociative Abreaction Psychological Defenses Toolbox

Accuracy Verified: Yes

23. Knipe, J. (2010, July). EMDR toolbox: Specific methods of treating adult clients with complex PTSD, psychological defenses and dissociative personality structure. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
EMDR has had a profound positive impact on the lives of many clients and has been shown in more than twenty randomized, peer-reviewed trials to be effective in the treatment of PTSD. However, the DSM IV definition of PTSD is focused on the single traumatic incident, and many clients seeking relief in therapy have a damaging traumatic history that extended over repeated events or over many years. The term, Complex PTSD (Herman, 1992, van der Kolk, 2005) has been proposed to describe a pattern of negative effects of prolonged and extreme stress, particularly during childhood. The focus of this workshop is to describe a theoretical framework, and specific therapy “tools” which may be useful in providing effective therapy, within the EMDR Adaptive Information Processing Model, to individuals suffering with Complex PTSD. Methods will be described that can make the healing power of EMDR more available to clients who are avoidant, defensive, and/or highly vulnerable to dissociative abreaction, chronic shame, and unrealistic idealization of self or of others. Important concepts and particular interventions will be illustrated through video examples and transcripts from therapy sessions.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD, C-PSTD Dissociative Personality Structure Psychological Defenses Toolbox

Accuracy Verified: Yes

24. Knipe, J. (2006, June). EMDR toolbox: Video examples of methods of targeting avoidance, procrastination, affect dysregulation, the pain of being "dumped" by a lover, and a shame-based ego state in a client with a identity disorder. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Keywords: Back-of-the-Head Scale BHS CIPOS Contant Installation of Present Orientation and Safety Psycholgical Defenses Targeting

Accuracy Verified: Yes

25. Errebo, N., Knipe, J., Forte, K., Karlin, V., & Altayli, B. (2008). EMDR-HAP training in Sri Lanka following the 2004 tsunami. Journal of EMDR Practice and Research, 2(2), 124-139. doi:10.1891/1933-3196.2.2.124.

Language: English

Format: Journal

Abstract:
On December 26, 2004, an earthquake in the Indian Ocean triggered a catastrophic tsunami. In Sri Lanka, 35,000 people died, 21,000 were injured, and more than half a million were displaced. An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs (HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The crucial steps in establishing and implementing this training program are explained, with a summary of the subjective impressions and learning experiences most valued by the training team, including an excerpt from a trainer's journal. This information may be useful to future cross-cultural humanitarian efforts following large-scale disasters. [Author Abstract]

Keywords: Adults Children Cross-Cultural Treatment Humanitarian Efforts Indian Ocean Tsunami Mental Health Personnel Personal Narrative Professional Training Sri Lanka Sri Lankans Survivors Treatment Effectiveness Tsunamis

Accuracy Verified: Yes

26. Knipe, J. (1997). Identifying blocking beliefs worksheet. EMDRIA Newsletter, 2(6), 11.

Language: English

Format: Newsletter

Abstract:
Sometime, EMDR processing can be blocked by a belief or “point of view” that the client has about the problem that is the focus of treatment. The situation can be difficult if the blocking belief is hidden to both client and therapist. Often the belief is just outside the client’s awareness, or is not linked up in the client’s mind with the problem to be solved.

Keywords: Blocking Beliefs

Accuracy Verified: Yes

27. Knipe, J. (1998, March). Identifying blocking beliefs worksheet. EMDRIA Newsletter, 3(1), 29.

Language: English

Format: Newsletter

Abstract:
Corrected version of worksheet to be used with: Knipe, J.,(1997, December), Identifying hidden blocking beliefs, EMDRIA Newsletter, 2(6), 10-11

Keywords: Blocking Beliefs

Accuracy Verified: Yes

28. Knipe, J. (1997, December). Identifying hidden blocking beliefs. EMDRIA Newsletter, 2(6), 10-11.

Language: English

Format: Newsletter

Keywords: Blocking Beliefs

Accuracy Verified: Yes

29. Forgash, C., & Knipe, J. (2008). Integrating EMDR and ego state treatment for clients with trauma disorders. In C. Forgash & M. Copeley (Eds), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 1-59) New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
In this chapter, we will introduce what we have termed the "cross-training model," an approach that integrates several lines of psychotherapy theory, practice, and research in order to assist clients with complex presentations. This model consists of EMDR (Eye Movement Desensitization and Reprocessing), ego state therapy, and dissociative disorder treatment methods. We believe that this model will enable therapists to extend the scope of treatment beyond trauma resolution to include the extensive life issues often faced by clients with complex disorders (Wachtel, 2002) and to have the opportunity to develop mastery and competence in treating these challenging clients. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Egp State Therapy Dissociative Disorders Trauma

Accuracy Verified: Yes

30. Forgash, C., & Knipe J. (2012). Integrating EMDR and ego state treatment for clients with trauma disorders. Journal of EMDR Practice and Research, 6(3), 120-128. doi:10.1891/1933-3196.6.3.120.

Language: English

Format: Journal

Abstract:
This article is an excerpt from Healing the Heart of Trauma and Dissociation with EMDR and Ego State Therapy (edited by Carol Forgash and Margaret Copeley, 2007, pp. 1-59). The preparation phase of eye movement desensitization and reprocessing (EMDR) is very important in the therapy of multiply traumatized clients with complex posttraumatic stress disorder (PTSD) and dissociative symptoms. EMDR clinicians who treat clients with complex trauma will benefit from learning specific readiness and stabilization interventions that are inherent to Phase 1 of a well-accepted phased trauma-treatment model. Extending the preparation phase of EMDR by including these interventions provides sequential steps for the development of symptom-management skills and increased stability. Additional focus is placed on helping clients work with their ego state system to develop boundaries, cooperative goals, and healthier attachment styles. Following an individually tailored preparation phase, the processing of long-held traumatic memory material becomes possible.

Keywords: C-PTSD Complex Posttraumatic Stress Disorder Complex PTSD Dissociative Disorders Ego State Therapy

Accuracy Verified: Yes

31. Heber, R., Linnihan. C., Butler, P., Leighton, J., & Knipe, J. (2003, September). Integrating EMDR and psychoanalytic psychotherapies. Symposium conducted at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
The symposium will explore integration of EMDR into analytic framework and promote a dialogue among clinicians of various orientations. The chair will provide overview and panelists will present three cases representing somewhat different orientations. Issues addressed will include reason for doing EMDR, timing, ways of introducing and incorporating EMDR, relational considerations, and challenges of identifying and dealing with such phenomena as transference, countertransference, enactment or resistance. Discussant will provide additional perspective by reframing some analytic constructs in term of the EMDR trauma-based, information processing model. Second part will consist of audience participation and discussion. Case materials are invited. Clinicians from all perspectives (analytic, cognitive, etc.) are encouraged to participate.

Keywords: Psychoanalytic Psychotherapies Symposium

Accuracy Verified: Yes

32. Knipe, J. (1998). It was a golden time...: Treating narcissistic vulnerability. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 232-255), New York: Norton.

Language: English

Format: Book Section

Abstract:
This chapter focuses on EMDR-enhanced therapeutic protocols to treat individuals whose painful life experience is separated from consciousness by complex defensive structures, particularly those associated with narcissistic and avoidance defenses.In many of the clients I have worked with, the healing power of EMDR is prevented or impaired by unresolved positive feelings that block the client's full awareness of the negative experience associated with trauma. This can occur when the overall complex of posttraumatic images, self-defeating cognitions, unpleasant feelings and sensations (what Francine Shapiro calls the unprocessed "memory network") contains embedded strong positive affect that is highly valued by the client. In the case of a person with narcissistic defenses, the positive material may block awareness of negative memories, especially if the positive experience occurred in the larger context of trauma and neglect. In such instances the positive part of the experience is idealized through selective memory and strengthened in intensity, because it serves as a defense against the core PTSD. The negative part of the memory is partially or wholly dissociated and is thus less accessible to processing. [Adapted from Text, pp. 232, 233-234]

Keywords: Adults Americans Case Report Defense Mechanisms Life Experiences Males Posttraumatic Stress Disorder PTSD Self Concept Survivors Treatment Effectiveness

Accuracy Verified: Yes

33. Knipe J. (2008). Loving eyes: Procedures to therapeutically reverse dissociative processes while preserving emotional safety. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 181-225). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
Dual attention (simultaneous awareness of both the disturbing material and a neutral or safe aspect of the present situation) is an essential element of the effectiveness of EMDR (Shapiro, 2001). That is, in EMDR therapy, the therapist assists the client in keeping "one foot in the present, one foot in the past." Metaphorically, "two feet in the past" would simply be emotionally reliving the trauma, and not therapeutic. For those clients with highly dissociated and intense affect, there is a danger with standard EMDR that uncontrolled emotion may intrude into consciousness in a way that undermines this important balance between present and past. In this chapter, several methods are described that seem to be useful in empowering clients with dissociated ego states to stay oriented to the present while processing unfinished disturbing memories. Specifically, these EMDR variations seem to enable the client to maintain the balance between emotional safety and the controlled emergence of unresolved affect, so as to avoid dissociative abreaction and make possible the healing and eventual integration of separate parts of the self. (PsycINFO Database Record (c) 2008 APA, all rights reserved

Keywords: Dual Attention

Accuracy Verified: Yes

34. Plagaro-Neill, I. (2011, October). Managing dissociation in EMDR. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
In EMDR we are assisting the client to be simultaneously aware of disturbance and the relative safety of the current moment. However, for clients with high levels of dissociation it is often more difficult for him/her to maintain this delicate balance so if we are to use EMDR it is necessary to proceed with caution. I will therefore demonstrate techniques, largely based on the work of Jim Knipe, which can help clients reverse dissociation and provide safety and containment. (Author abstract)

Keywords: Dissociation

Accuracy Verified: Yes

35. Knipe, J. (2007, September). Master Series - II. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Often a client’s clinical picture includes somatic symptoms that are part of the sequelea of traumatic experience, but which are regarded by the client as outside the domain of psychotherapy. Examples would include physical pain, difficulty in breathing, and odd, atypical physical sensations. There are times when these types of symptoms provide the best point of access to memory networks holding unresolved traumatic material. In this presentation, video segments will illustrate the case conceptualization, treatment planning and course of treatment for several clients with complex Post-Traumatic Stress Disorder.

Keywords: Masters Series

Accuracy Verified: Yes

36. Knipe, J. (2009). The method of constant installation of present orientation and safety (CIPOS). In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 235-241). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: CIPOS Constant Installation Present Orientation Protocol Safety

Accuracy Verified: Yes

37. Jaspers, J. (2011, March). Over behandeleffectiviteit en verandermechanismen [About treatment effectiveness and change mechanisms]. Psychologie & Gezondheid, 39(1), 3-4.

Language: Dutch

Format: Journal

Abstract: In het vorige nummer van Psychologie & Gezondheid schreef Remco Havermans een kritische forumbijdrage over mindfulness. Zijn stelling, dat de werkzaamheid van mindfulnessmeditatie nog onvoldoende is aangetoond om de toepassing ervan in de gezondheidszorg te rechtvaardigen, wordt in dit nummer beargumenteerd tegengesproken door Maya Schroevers en haar collega’s en door Ivan Nyklíček. Zijmenen dat het effectonderzoek naar mindfulness weliswaar nog uitgebreider en beter kan, maar dat het onderzoek tot nu toe voldoende evidentie heeft opgeleverd om toepassing te rechtvaardigen. Nyklíčekmerkt hierbij op dat in de psychologie een nieuwe therapie meestal eerst in de klinische praktijk jarenlang wordt toegepast voordat wetenschappelijk deugdelijk wordt onderzocht of de therapie wel werkt. Havermans blijkt verre van overtuigd en fileert de aangedragen evidentie genadeloos. Deze interessante discussie roept de vraag op wanneer we een behandeling evidence based mogen noemen. Het standpunt dat hiervan pas sprake kan zijn als gecontroleerd onderzoek de effectiviteit van de behandeling heeft aangetoond, zal door de meeste vakgenoten worden onderschreven. Maar wat is ‘gecontroleerd onderzoek’? Volstaat een wachtlijstcontrolegroep of moet de (nieuwe) behandeling worden vergeleken met andere actieve interventies, waarvan al eerder de effectiviteit is aangetoond? Ook de relatie tussen praktijk en theorie is interessant. Afgezien van de vraag of de opmerking van Nyklíček nog steeds hout snijdt in deze tijd van evidence based interventies, is het wel verantwoord om op grote schaal een nieuwe psychologische interventie toe te passen als de effectiviteit of specifieke werkzaamheid nog niet is aangetoond? Havermans meent dat men een nieuwe gedragstherapeutische interventie ontwikkelt op basis van veelbelovende klinische observaties en gedragswetenschap, met andere woorden er moet ook een theoretische onderbouwing van de interventie zijn. Voor dit laatste is inderdaad veel te zeggen, maar de geschiedenis leert dat de theorieën die aanvankelijk als verklaring voor de werkzaamheid van de interventie werden geformuleerd, meestal bij nader inzien de toets van de wetenschappelijke kritiek niet konden doorstaan. Onderzoek in de traditie van de experimentele psychopathologie (Jansen, Van den Hout & Merckelbach, 2010) heeft al heel wat reinigend werk verricht op theoretisch gebied. Op de keper beschouwd is van heel wat evidence based interventies aangetoond dat deze effectief zijn, maar hoe deze werken is veelal nog onduidelijk of voor de theoretische onderbouwing ervan is nog onvoldoende steun gevonden. Het laatste Najaarscongres van de Vereniging voor Gedragstherapie en Cognitieve Therapie (VGCT) had als thema ‘Change. Verandermechanismen en cognitieve gedragstherapie’. Tijdens het congres werd duidelijk dat over de verandermechanismen van evidence based interventies nog veel onduidelijkheid bestaat en dat het onderzoek hiernaar soms verrassende resultaten laat zien (Jaspers, 2011). Het is bepaald niet alleen EMDR (eye movement desensitization and reprocessing), waarover de theoretische inzichten zijn veranderd, ook al bestaat over de werkzaamheid van de interventie geen twijfel. In het volgend nummer van Psychologie & Gezondheid leest u hier meer over. In dit nummer vindt u nog een forumbijdrage, waarin de spreekwoordelijke knuppel in het hoenderhok wordt gegooid. De prikkelende titel ‘Huidige behandeling depressie is weggegooid geld’ nodigt op zijn minst uit tot lezing. Hoezo weggegooid geld? Als er een probleem is waarvoor evidence based behandelingen bestaan, is het immers depressie. Kok en collega’s laten echter zien dat ondanks de enorme bedragen die jaarlijks in Nederland worden uitgegeven aan de behandeling van depressie, in de huidige financiering van de gezondheidszorg nog onvoldoende rekening wordt gehouden met het hoge risico op terugval bij depressie. Het door velen, om uiteenlopende redenen verfoeide DBC-systeem (Diagnose Behandel Combinatie) ontmoedigt om langdurig met behandelingen door te gaan. Bestaande effectieve interventies om het risico op terugval te verminderen worden nauwelijks toegepast, terwijl deze bij de behandeling van een vaak chronische aandoening als depressie uitdrukkelijk zijn aangewezen. Hiermee wijzen de auteurs impliciet op een belangrijke tekortkoming van het bestaande effectonderzoek: het gebrek aan evaluatie van de langetermijneffecten van de onderzochte interventie. Ook voor psychologische interventies bij depressie is duidelijk dat deze werkzaam zijn. En al geldt ook voor depressie dat we nog lang niet weten wat de specifieke werkingsmechanismen zijn (hoe deze werken), de noodzaak van implementatie van evidence based interventies om terugval te vermijden of uit te stellen kan niet genoeg worden benadrukt. Het recidiverend karakter maakt depressie immers tot een aandoening met zowel hoge maatschappelijke kosten als een zeer hoge ziektelast, lijdensdruk en risico op suïcide.

In the previous issue of Psychology & Health Havermans Jim wrote a critical forum posting about mindfulness. His thesis, that the efficacy of mindfulness meditation is insufficient evidence to its application in health care to justify, this issue argued contradicted by Schroevers Maya and her colleagues and by Ivan Nyklicek. Zijmenen mindful that the impact study, while still more extensive and better, but that the investigation so far has yielded enough evidence to justify the application. Nyklíčekmerkt in psychology here that a new therapy in clinical practice usually first applied for years before being properly scientifically investigated whether the therapy works. Havermans appears far from convinced the fillets and put forward evidence mercilessly. This interesting discussion raises the question if we may call evidence-based treatment. The view that this only if there can be controlled study the efficacy of treatment has shown, most colleagues will be endorsed. But what is 'controlled study'? Is a waiting list control group or to the (new) treatment are compared with other active interventions whose effectiveness has already been demonstrated? The relationship between practice and theory is interesting. Apart from the question whether the remark Nyklicek still holds water in this era of evidence-based interventions, it is widely recognized for a new psychological intervention should be as specific activity or effectiveness is not proven? Havermans believes that a new behavioral intervention developed on the basis of promising clinical observations and behavioral science, in other words, there is also a theoretical justification for the intervention. For the latter is indeed much to say, but history shows that the theories initially as an explanation for the efficacy of the intervention were formulated, mostly on closer inspection the test of scientific criticism could not stand. Research in the tradition of experimental psychopathology (Jansen, Van den Hout & Merckelbach, 2010) has a lot of work cleaning the theoretical field. On closer examination of many evidence-based interventions shown to be effective, but how they work is often unclear whether the theoretical substantiation is found insufficient support. The last Autumn Congress of the Association for Behavioral and Cognitive Therapy (VGCt)'s theme was "Change. Change mechanisms and cognitive behavioral therapy. During the conference it became clear that the change mechanisms of evidence-based interventions much uncertainty and that the research on this surprising results show (Jaspers, 2011). It provides not only EMDR (Eye Movement Desensitization and Reprocessing), which the theoretical views have changed, even as to the efficacy of the intervention no doubt. In the next issue of Psychology & Health You can read more about. In this issue you will find a forum posting where the proverbial cat among the pigeons thrown. The provocative title "Current treatment depression is a waste of money 'invites at least into reading. Why wasted? If there is a problem for which evidence-based treatments exist, it is indeed depression. Cook and colleagues reveal that despite the enormous sums spent each year in the Netherlands for the treatment of depression in the current financing of health care is still insufficiently taken into account the high risk of relapse in depression. By many, for various reasons detested system DBC (Diagnosis Treatment Combination) discourages long-term treatments to continue. Existing effective interventions to reduce the risk of relapse are rarely used, while in the treatment of a chronic condition such as depression often explicitly designated. This, the authors implied a major weakness in the current outcome research: the lack of evaluation of the long-term effects of the tested intervention. For psychological interventions for depression is clear that this work. And already includes a long depression that we do not know the specific mechanisms of action (how they work), the necessity of implementation of evidence-based interventions to prevent relapse or delay can not be overstated. The recurrent nature makes depression after a disease with both high social cost as a very high disease burden, distress and risk of suicide.

Keywords: Change Mechanisms

Accuracy Verified: Yes

38. Knipe, J. (2006, September). Personality disorders. Preconference presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Know the Why and How to Choose Your What: Some Essentials of EMDR Model and Methodology: Part 2 of 2

Keywords: Personality Disorders

Accuracy Verified: Yes

39. Randolph, E. (2000, January 4). Psychologist eases pain of quake victims: Controversial new therapy used to treat Turks. Colorado Springs, CO: The Gazette, Metro, 2.

Language: English

Format: Newspaper

Abstract:
Knipe organized an international team of 16 psychologists to counsel earthquake victims and teach 70 Turkish psychologists to use a relatively new therapy called eye movement desensitization and reprocessing, or EMDR.

Keywords: Colorado Springs Earthquake Jim Knipe Turkey

Accuracy Verified: Yes

40. Cevikthe, I. (1999, October 29). Republic is our treasure. Turkish Daily News.

Language: English

Format: Newspaper

Abstract:
The Turkish Psychologists Association has initiated psychological treatment for earthquake victims through the Trauma Treatment Center, established jointly with experts from the American Eye Movement Desensitization Reprocessing Institute (EMDR). The Trauma Treatment Center was introduced on Wednesday by Dr. Emre Konuk, the director of the Turkish Psychologists Association's Istanbul Office, and representatives of EMDR Dr. Philip Manfield and Dr. James Knipe. Konuk said they had contacted EMDR three days after the earthquake for psychological treatment of the victims. Konuk, who noted that they had prepared a one-year program as the result of the cooperation, said they established a Trauma Treatment Center for carrying on work as an organization. The training of volunteer psychologists who will work at the center is being undertaken by EMDR, experts of problems related to trauma. Seventeen experts will come to Turkey twice at four-month intervals to provide training to 115 psychologists on active treatment techniques for trauma.

Keywords: Earthquakes Turkey

Accuracy Verified: Yes

41. Forgash, C. A., & Knipe, J. (2001, June). Safety-focused EMDR/Ego state treatment of severe ego state disorders. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Participants will learn 1) why emotional safety is a primary concern in the treatment of Ego State Disorders with EMDR; 2) a way to accurately monitor, using treatment, a client's orientation to present time and safety; and 3) specific innovative treatment strategies which use alternate stimulation to enhance feelings of safety, thereby facilitating processing.

Keywords: Ego State Therapy Emotional Safety Integrated EMDR/Ego State Treatment

Accuracy Verified: Yes

42. Knipe, J. (2010, September/October). Shame is my safe place: AIP targeting of shame as a psychological defense. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Within the AIP model, psychological defense can be defined as the part of the trauma-based dysfunctionally stored memory network that blocks access to other parts of the network. For many clients, an essential first step in therapy is to identify and target defense, in order to then access and resolve post-traumatic emotional disturbance. For the AIP therapist, it is useful to categorize defenses as avoidant, idealizing and/or shame-based (i.e. shame as a distortion in identity, left over from a time when it was “better to be a bad kid with good parents than a good kid with bad parents”). This presentation will focus on a method of targeting and processing an identity of shamefulness that is functioning as a defense against full realization of the original trauma.

Keywords: Shame

Accuracy Verified: Yes

43. Knipe, J. (1999, June). Strengthening affect tolerance and adult perspective through construction of imagined dissociative avoidance. EMDRIA Newsletter, 4(2), 10, 25.

Language: English

Format: Newsletter

Abstract:
Some clients, because of very difficult life experience, have low affect tolerance; that is, they are unable to endure, even briefly, their own intensely disturbing post-traumatic images and affect. For these clients, the therapeutic benefits of EMDR are blocked because of an automatic response of overwhelming terror or disorientation, often accompanied by a loss of objectivity or adult perspective. For these individuals, the experience is not so much one of remembering, but of emotionally reliving their trauma. Understandably, when this occurs, the client may being to “numb out,” dissociate, or consciously avoid thinking of the material.

Keywords: Affect Tolerance Dissociative Avoidance

Accuracy Verified: Yes

44. Silver, S. M., Rogers, S., Knipe, J., & Colelli, G. (2005). A study of a psychological relief effort conducted in New York City following September 11th: Preliminary results of a pro bono community based intervention project. Unpublished.

Language: English

Format: Other

Keywords: 9/11 September 11th World Trade Center WTC

Accuracy Verified: Yes

45. 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:
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.

Keywords: Ego State Therapy Supervision

Accuracy Verified: Yes

46. Knipe, J. (1995). Targeting defensive avoidance and dissociated numbing. EMDR Network Newsletter, 5(2), 6-7.

Language: English

Format: Newsletter

Abstract:
For some clients (perhaps 10-15%),I have found that the effectiveness of EMDR (Level I, Level I1 version) is blocked or hindered by defensive processes which may or may not be conscious or voluntary, and which function to protect the individual against unpleasant affect. In such instances, it has frequently been useful to use the 0-10 scale to measure aspects of experience other than unpleasant affect. This is similar to the Level of Urge (LOU) innovation designed by Popky (1994) and used as part of his protocol for the treatment of substance addictions.

Keywords: Numbing Targeting

Accuracy Verified: Yes

47. Knipe, J. (2005). Targeting positive affect to clear the pain of unrequited love, codependence, avoidance, and procrastination. In R. Shapiro (Ed.). EMDR solutions: Pathways to healing (pp. 189-212). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
Most clients who enter therapy do not have a simple problem of a single disturbing memory. More typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also a history of conscious or unconscious choices about how best to soothe, contain, or avoid that disturbance. When the client has a problem that includes positive and negative affective components, we could say (in the language of Shapiro's Adaptive Information Processing Model) that the chain of experiential associations -- the dysfunctionally stored memory network -- has positively valued experience at the entry point into the network and disturbing material at other, less accessible places. Clients often experience this situation as one of conflicting ego states. Specifically, one ego state may be positively emotionally invested in an outcome that is an obstacle to the person's larger life goals. When this happens and the usual EMDR method of targeting negative affect is stalled, it may be useful to target the positive side of the issue, that is, an image that has a positive emotional valence. Such clients are asked to hold in mind the enjoyable aspects of a problematic wish or identity while engaging in Dual Attention Stimulation (DAS). In this way, they can process these positive aspects, "disinvest" from the problem, and go on to resolve the conflict. Several session transcripts illustrate how this approach can work in practice. [Adapted from Text, pp. 189-190]

Keywords: Life Experiences Psychotherapeutic Processes Survivors

Accuracy Verified: Yes

48. Colelli, G., & Patterson, B. (2008). Three case reports illustrating the use of the protocol for recent traumatic events following the World Trade Center terrorist attack. Journal of EMDR Practice and Research, 2(2), 114-123. doi:10.1891/1933-3196.2.2.114.

Language: English

Format: Journal

Abstract:
Following the attacks on the New York World Trade Center on September 11, 2001, the EMDR Humanitarian Assistance Program initiated a response establishing the New York City Disaster Mental Health Recovery Network. The network provided coordination and assistance to local psychotherapists who volunteered to provide treatment to individuals directly affected by the tragedy. The psychotherapists utilized both the EMDR standard protocol and the EMDR Recent Events protocol during the initial aftermath and ongoing recovery at the World Trade Center site. The development of the network is reviewed, and detailed descriptions are provided regarding three cases to illustrate the use of the EMDR Recent Events protocol. The research findings reported by Silver, Rogers, Knipe, and Colelli that demonstrated support for EMDR as a postdisaster treatment are summarized. Further research is recommended. [Author Abstract]

Keywords: 9/11 Adults Americans Case Report Man-Made Disasters Recent Events Protocol September 11 Survivors Terrorism Terrorist Attacks

Accuracy Verified: Yes

49. Knipe, J. (2002, June). A tool for working with dissociative clients. EMDRIA Newsletter, 7(2), 14-15.

Language: English

Format: Newsletter

Abstract:
For those clients who are suffering from Complex PTSD, especially those whose condition originates in childhood abuse or neglect, dissociation is likely to be part of the presenting clinical picture. To the extent that dissociation is occurring, the healing power of EMDR may be blocked, and more importantly, the use of the standard EMDR protocol may put the client at risk for a non-therapeutic dissociative abreaction.

Keywords: Dissociation

Accuracy Verified: Yes

50. Mosquera, D., & Gonzalez, A. (2010, June). Understanding dissociative language. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In order to get a complete and comprehensive case conceptualization in Phase 1 of the EMDR protocol, it is important to explore dissociative symptomatology. But the cinicai picture of dissociation may be difficult to identify for inexperienced clinicians; some symptoms can be difficult to observe even for experienced therapist who haven't seen severe cases. in consultation we often find therapist who bring a 'complex case' for supervision and quite frequently this 'complexity' has to do with dissociation. Our goal with this presentation is to show the many different ways dissociation can be manifested during EMDR sessions. Another goal is to give practical examples of interventions with dissociative patients during EMDR processing. Many examples of subtle manifestations (what we call 'dissociative language') will be illustrated with video cases. Severely traumatized people don't communicate in a direct and clear way, they have their 'own language' and in order to understand the patient's inner world, we need to understand the silences, the somatic symptoms the subtle (and not so subtle) intrusions; all of these are frequent symptoms that the patient can't detect, understand or disclose to us (not directly). It is widely known that EMDR clinicians must be careful when dealing with dissociative patients; techniques that can be used during the stabilization phase have been developed for the treatment of dissociative disorders (Knipe, Forgash .......). These techniques are complementary to the basic protocols and are very useful but the problem arises when therapists are not able to identify and/or understand what we call the 'dissociative language'. We must keep in mind that most dissociative patients have grown in an early environment where their needs were not taken into account. Many never had the possibility to express their feelings openly. For this, it is important to focus and under^ stand the indirect, complex and ambivalent communication of these people especially during an EMDR session. The approach to these difficulties is not only a question of protocol modifications. but a complex learning from the therapist of the 'dissociative language'. Several examples from videos of therapy sessions and case descriptions will be presented.

Keywords: Dissociation

Accuracy Verified: Yes

51. Rost, C. (2005, June). Using EMDR during the stabilization phase for patients with complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
This presentation offers a systematic approach for the treatment of patients with complex traumatization. The first step involves assessing the severity of the illness, using Babette Rothchild's trauma classification. A variety of techniques will then be introduced, all of which have recently been successfully combined with bipolar EMDR stimulation, and which serve to increase stability and resources ["a safe place", Forgash's body sensation resource, working with the inner child, Popkin's "position of power", Hofmann's absorption routine, the CIPOS-technique developed by Knipe and Forgash, etc.]. The lecture closes with a survey of methods useful for fractioning trauma in EMDR.

Keywords: Complex Trauma Stabilization

Accuracy Verified: Yes

52. Knipe, J. (2008, Maart). Using EMDR with dissociative clients: The CIPOS method. Keynote gepresenteerd op het derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: English

Format: Conference

Abstract:
During this keynote the so called CIPOS procedure will be fully explained which is helpful with clients who are vulnerable to dissociative aabreaction (e.g. DID, DDNOS). This involves first a method for measuring degree of dissociation during a session (the so-called Back-of-the-Head Scale) and then a method for maintaining present orientation during traums processing (the moeht of Constant Installation of Present Orientation and Safety)

Keywords: CIPOS Dissociation Keynote

Accuracy Verified: Yes

53. Manfield, P., Knipe, J., & Snyker, E. (1998, July). Using EMDR with narcissistic personalities. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to identify narcissistic defenses of splitting, projective identification, avoidance, denial, primitive idealization, devaluation, grandiosity; 2) learn methods of addressing these defenses; and 2) learn how to use EMDR to process transference issues that typically arise.

Keywords: Narcissistic Defenses Transference

Accuracy Verified: Yes

54. Knipe, J. (2006, June). Using EMDR with substance addictions and with behavior problems that have an addictive pattern. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Keywords: Addictions Substance Abuse

Accuracy Verified: Yes

55. Knipe, J. (2010, September/October). What the adaptive information processing model brings to the assessment and treatment of dissociative disorders. Plenary presented at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Clients with a dissociative personality structure can be very vulnerable to dissociative abreaction – i.e. “reliving” the trauma with intense disturbance while experiencing a loss of present orientation and safety. In addition, a client who has repeatedly experienced this type of traumatic intrusion is likely to have developed complex psychological defenses. This presentation will include the description of certain AIP “tools” that can be used to help dissociative clients who have strong phobic fears of their own post-traumatic material and who have developed additional mental actions to prevent the emergence of that troubling material. These “tools” will be illustrated with brief session transcripts and video segments.

Keywords: Dissociative Disorders Plenary

Accuracy Verified: Yes