Francine Shapiro Library - EMDR Bibliography Links
Choose any combination of the search options below. If you do not wish to include an option in your search, leave the box blank, or select "Any."
Your Results - you searched for the keyword Literature Revieew 348 Results
1. Qian Ge (2009). 汶川震后心理危机的早期干预:文献综述与评价 [Early mental crisis intervention to post-disaster in Wenchuan Earthquake: Literature review and evaluation]. 兰州学刊 2009年 第03期 [Lanzhou Academic Journal, 3].
Language: Chinese
Format: Journal
Abstract:
四）眼动脱敏再加工技术（Eye Movement Desensitizationand Reprocessing，EMDR）EMDR是一种可以在短短数次晤谈之后，便可在不用药物的情形下，有效减轻心理创伤程度及重建希望和信心的治疗方法。其治疗程序包括了八个阶段，具体见表4：表4眼动脱敏再加工技
(Fourthly, EMDR is a treatment which can effectively alleviate the psychological trauma and rebuild hope and confidence after a short period of time for treatment without medication. The treatment procedure includes eight stages, which are shown in details in the table.)
Keywords: Crisis Intervention Literature Review: Wenchuan Earthquake
Accuracy Verified: Yes
2. スペイツ C.リチャード コッチ エレン I. [Spates, C. R., and Koch, E. I.] (2003). 眼球運動脱感作と再処理(Reprocessing)から表出(Exposure)セラピーまで : 共通するメカニズムへの証拠に対する再考と概観 [From eye movement desensitization and reprocessing to exposure therapy: A review of the evidence for shared mechanisms]. 行动分析学研究18（2）、62から76 [Japanese Journal of Behavior Analysis, 18(2), 62-76].
Language: Japanese
Format: Journal
Abstract:
心的外傷後ストレス障害は、（心的外傷後ストレス障害）のすべての文化と生涯を通じて人々に影響を与える条件である。診断実践心的外傷後ストレス障害の導入以来、多くの研究は、疫学、病態生理、心理的、生理的メカニズムだけでなく、その治療に対処しています。障害の行動製剤は、分野の研究をリードの間に浸透して、効果的な治療につながるなど、暴露療法するヒューリスティックを証明されています。眼球運動脱感作は、サービス（EMD/ R）の再処理は、この定式化から出発すると主張している最近開発された介入は、その有効性の実証的な支持を受けています。本記事では、眼球運動脱感作と再処理の行動策定を支持する証拠をレビューし、それが暴露療法と行動の一般的なメカニズムを共有していることを示唆している。以上の研究関心は心的外傷後ストレス障害より寛容と、クライアントと実務に受け入れられるのレンダリング露出ベースの治療法の検討方法に与えられるべきである。
Posttraumatic stress disorder (PTSD) is a condition that affects people in all cultures and throughout the lifespan. Since the introduction of posttraumatic stress disorder into diagnostic practice, a great deal of research has addressed its epidemiology, pathophysiology, and psychological and physiological mechanisms, as well as its treatment. A behavioral formulation of the disorder has prevailed among leading researchers in the field, and has proved heuristic in leading to efficacious treatments, e.g., exposure therapy. Eye movement desensitization and reprocessing (EMD/R), a recently developed intervention that claims to be a departure from this formulation, has received empirical support for its efficacy. The present article reviews the evidence supporting a behavioral formulation of eye movement desensitization and reprocessing, and suggests that it shares common mechanisms of action with exposure therapy. Greater research attention should be given to examining ways of rendering exposure-based therapies for posttraumatic stress disorder more tolerant and acceptable to clients and practitioners. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
3. 이선혜; 김석현; & 김대호 [Lee, Sun Hye, Kim, Seok Hyeon, & Kim, Daeho] (2007). 차 항우울제 치료에 반응 않는 외상후 스트레스 장애의 EMDR 병합 치료 증례 [ Add-on EMDR for posttraumatic stress disorder not responding to initial antidepressant therapy：Case report]. 생물치료정신의학 제13권 제2호, 46 [Journal of the Korean Society of Biological Therapy in Psychiatry, 13(2), 346-351].
Language: Korean
Format: Journal
Abstract:
외상후 스트레스 장애 (PTSD)의 치료 전략에 대한 문학의 성장 본문있다. 그리고 metaanalyses 및 임상 지침 등장으로 진행합니다. CBT 또는 EMDR이 인구에 대한 치료의 첫번째 라인에 대한 권장되었습니다 최근 외상 중심. 그러나, 아주 작은 문학은 약물과 PTSD의 심리 치료의 통합 치료를위한 존재합니다. 이 사건 보고서는 처음 약은 치료에 대응하는 데 실패하지만, EMDR이 추가된 후에 나중에 향상했다 PTSD 두 개인을 소개합니다. 또한 제어 연구는이 찾는 일반화하기 위해 필요합니다.
There is a growing body of literature on the treatment strategy of posttraumatic stress disorder(PTSD). And metaanalyses and clinical guidelines continue to emerge. Recently, trauma-focused CBT or EMDR have been recommended for the 1st line of therapy for this population. However, very little literature exists for combined treatment of medication and psychotherapy in PTSD. This case report introduces two individuals with PTSD, who had initially failed to respond to antidepressant therapy, but later improved after EMDR was added. Further controlled studies are needed to generalize this finding.
Keywords: Antidepressants Combined Treatment Drug Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
4. 이선혜 (저자) ; 김석현 (저자) ; 김대호 (저자) [Yiseonhye; Seok; & Dae-Ho] (2007). 차 항우울제 치료에 반응 않는 외상후 스트레스 장애의 EMDR 병합 치료 증례 [EMDR for posttraumatic stress disorder not responding to initial antidepressant therapy：Case report]. 생물치료정신의학 제13권 제2호, 46 [Biological Treatment of Psychiatry, 13(2), 246].
Language: Korean
Format: Journal
Abstract:
외상후 스트레스 장애 (PTSD)의 치료 전략에 대한 문학의 성장 본문있다. 그리고 metaanalyses 및 임상 지침 등장으로 진행합니다. CBT 또는 EMDR이 인구에 대한 치료의 첫번째 라인에 대한 권장되었습니다 최근 외상 중심. 그러나, 아주 작은 문학은 약물과 PTSD의 심리 치료의 통합 치료를위한 존재합니다. 이 사건 보고서는 처음 약은 치료에 대응하는 데 실패하지만, EMDR이 추가된 후에 나중에 향상했다 PTSD 두 개인을 소개합니다. 또한 제어 연구는이 찾는 일반화하기 위해 필요합니다.
There is a growing body of literature on the treatment strategy of posttraumatic stress disorder(PTSD). And metaanalyses and clinical guidelines continue to emerge. Recently, trauma-focused CBT or EMDR have been recommended for the 1st line of therapy for this population. However, very little literature exists for combined treatment of medication and psychotherapy in PTSD. This case report introduces two individuals with PTSD, who had initially failed to respond to antidepressant therapy, but later improved after EMDR was added. Further controlled studies are needed to generalize this finding.
Keywords: Antidepressants Combined Treatment Drug Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: No
5. Sinici, F., Erden, H. G., & Yurttas, Y. (2009, October). Akut stres bozuklu¤unda bir müdahale tekni¤inin uygulanabilirli¤i: Göz hareketleri ile duyars›zlaflt›rma ve yeniden ‹flleme (EMDR) [Applicability of an intervention technique in acute stress disorder: Eye movement desensitization and reprocessing (EMDR)]. Yeni Symposium Journal, 47(4), 178-186.
Language: Turkish
Format: Journal
Abstract:
Akut stres bozukluğu, Türkiye'de giderek artan ve kişinin hayat kalitesini oldukça bozabilen bir sorundur. Bu konuyla ilgili olarak yapılan çalışmalarda hangi tedavi şeklinin daha yararlı olduğu konusunda kesin bir karara varılamamıştır. Göz Hareketleri ile Duyarsızlaştırma ve Yeniden İşleme [Eye Movement Desensitization and Reprocessing: EMDR] tekniği, travmatik anıların birkaç uygulama oturumunda çözümlenebileceğini ifâde eden bir yaklaşımdır. EMDR oturumlarında hastadan yaşadığı bir travma sahnesi hayâl etmesini, olumsuz benlik imajı, travma ile ilgili olumsuz duyguları ve beden duyumlarını aklında tutması istenmektedir. Hastaya çift taraflı uyarı verilmektedir [gözün sağa sola hareketi, sağ ve sol kulağa verilen ses veya sağ ve sol ele verilen titreşim vb.]. Daha sonra danışana ortaya çıkan görüntü, duygu ve fiziksel duyumları anlatmaktadır. Bu tekrarlanan işlemler hastadaki olumsuz düşünce ve duygular duyarsızlaşıncaya kadar devam etmektedir. Olumsuz duygu ve düşüncelerin yerini olumlu duygu ve düşünceler almaktadır. Bu çalışmanın amacı hastaların hayat kalitelerini bozan ve travma sonrasındaki ilk 4 hafta içinde aşırı korku, çaresizlik veya duygusal tepkisizlikle beraber, diğer belirtilerin de görülebildiği akut stres bozukluğunun tedavisinde yeni bir yöntem olan ve 2 yıldır aktif olarak uyguladığımız göz hareketleri ile duyarsızlaştırma ve yeniden işleme [EMDR] tekniği konusunda yazılmış literatür bilgilerini gözden geçirerek bu konuda son yaklaşımların ortaya konulmasını sağlamaktır. Bununla birlikte EMDR tekniğinin yaygınlaştırılarak faâl olarak kullanılması hem hastalar hem de uygulayıcılar açısından büyük yararlar sağlayacağı düşünülmektedir.
Acute stress disorder is a syndrome that significantly disturbs the quality of life and has been increasingly observed in Turkey. Although there are many studies on this subject, there is no consensus about the best treatment choice. Eye Movements Desensitization and Reprocessing [EMDR] technique is a novel approach that helps to resolve traumatic memories in a few sessions. In EMDR sessions, patients are asked to think about the trauma scene that has occurred and keep the negative self image and negative feelings about the trauma and bodily feelings in mind. Bilateral stimulation is presented to the patient [right and left movement of the eye, sound to right and left ear and vibration to right and left hand etc]. Later arising images express the feelings and physical sensations. This procedure is repeated until desensitization to negative thought and feelings are achieved. Negative thought and feelings are replaced by positive thought and feelings. Purpose of this study is to review the studies in literature and describe the up-to-date approaches about EMDR technique which is a novel method in treatment of acute stress disorder that disturbs patient quality of life and presents with excessive fear, desperation, emotional desensitization and other symptoms within 4 weeks following the trauma and we have been using this treatment method frequently for more then 2 years. Nevertheless widespread and effective use of EMDR will provide considerable benefit for both patients and the performers.
Keywords: Acute Stress Disorder ASD: Behavior Therapy Emotional Disorder Eye Movement Fear Human Memory Disorder Psychologic Assessment Quality of Life Review Stimulation
Accuracy Verified: Yes
6. Wartik, N. (1994, Aug 7). The amazingly simple, inexplicable therapy. Los Angeles Magazine, 9.
Language: English
Format: Magazine
Abstract:
I've just seen a demonstration taped during the course of a recent study, of what's probably the most controversial psychotherapy in
use today. In 1989, the first articles about an improbable-sounding tech
nique for treating post-traumatic stress disorder (F'ISD) appeared in the
psychological literature. PTSD. an anxiety disorder with a multitude of
mental and physical symptoms, strikes after an ordeal such as rape. combat.
chid abuse or natural disaster and can permanently scar a psyche. But with
little more than a wave of the hand, it seemed, Eye Movement Desensitizatior.
and Reprocessing (EMDR) could undo trauma's tormenting effects in a remarkably
short time, sometimes in a single session.
The procedure, originated by psychologist Francine
Keywords: General Mary Overview
Accuracy Verified: Yes
7. Becker, C. B., Darius, E., & Schaumberg, K. (2007, December). An analog study of patient preferences for exposure versus alternative treatments for posttraumatic stress disorder. Behaviour Research and Therapy, 45(12), 2861-2873. DOI:10.1016/j.brat.2007.05.006 .
Language: English
Format: Journal
Abstract:
Although several efficacious treatments for PTSD exist, these treatments are currently underutilized in clinical practice. To address this issue, research must better identify barriers to dissemination of these treatments. This study investigated patient preferences for PTSD treatment given a wide range of treatment options in an analog sample. 160 individuals, with varying degrees of trauma history, were asked to imagine themselves undergoing a trauma, developing PTSD, and seeking treatment. Participants evaluated 7 different treatment descriptions, which depicted treatment options that they might encounter in a clinical setting. Participants rated their most and least preferred treatments along with their personal reactions to and the perceived credibility of each treatment. Participants also completed a critical thinking skills questionnaire. Participants predominantly chose exposure or another variant of cognitive-behavioral therapy as their most preferred therapy, and those who chose exclusively empirically supported treatments evidenced higher critical thinking skills. The present study contributes to a growing literature indicating that patients may be more interested in these therapies than indicated by utilization rates. The problem of underutilization of empirically supported treatments for PTSD in clinical practice may be due to therapist factors. [Author Abstract]
Keywords: Adults Americans Cognitive Processes Cognitive Therapy College Students Evidence Based Treatment Exposure Empirically Supported Treatment Patient Preference Posttraumatic Stress Disorder Posttraumatic Stress Disorder Psychoanalytic Psychotherapy Psychotherapeutic Processes PTSD Selective Serotonin Reuptake Inhibitors Stressors Survivors TFT Thought Field Therapy
Accuracy Verified: Yes
8. Selvig, A. L. (2004). Analyzing individual patterns of change in two treatments for posttraumatic stress disorder. University of Georgia.
Language: English
Format: Dissertation/Thesis
Abstract:
Two therapies for posttraumatic stress disorder (PTSD) have received considerable support in the clinical literature: prolonged imaginal exposure (PE) and eye movement desensitization and reprocessing (EMDR). Although PE is empirically supported, its critics purport that it causes symptom exacerbation. In contrast, proponents of EMDR claim that its response pattern is characterized by rapid decline in symptoms. The current investigation aimed to study and compare the patterns of symptom change during PE and EMDR using hierarchical linear modeling (HLM). HLM avoids many shortcomings inherent in traditional longitudinal analyses by focusing on trajectories of change rather than group means. 62 women with PTSD following rape were randomly assigned to 9 sessions of PE or EMDR. Results indicated that neither group experienced symptom exacerbation nor rapid symptom decline. The patterns of symptom change in the two groups were not significantly different. The strengths and limitations of HLM and the studys design were discussed.
Keywords: Patterns of Change PE Prolonged Exposure
Accuracy Verified: Yes
9. Kahveci, S., Erdogan, T., Karakus, D., Dogaroglu, S., Aydemir, S., Sen, G., Serpel, A., Kakan, N., & Ozgun S. (2010, June). Analyzing the effect of EMDR on pre-post menstrual disturbance. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Description of the study: Traumatic experiences may
lead to body sensations. Some illnesses such as Migraine, ulcer
and fibromyalgia which causes body disturbance have psychological
roots. Steven Marcus also shows the relation between
traumatic event and migraine in his studies. This study is inspired
by the relationship between body disturbance related illnesses
and traumatic experiences. In this study, physical and
emotional disturbances experienced by women during the
MDR menstrual cycle is studied by the use of EMDR.
Participants in this study will receive a (max) 12 session EMDR
treatment. All participants are going to fill a battery of tests
consisting of Beck Depression Scale, STAI, Life Events Check
List, Subjective Pain Level before and after the study and keep
a diary of disturbance during the study.
EMDR and the study: It is hypothesized that females who have
more traumatic experiences related to menstrual cycle will experience disturbances during the menstrual cycle and after 12 first session of EMDR treatment there will be a decrease in reported
disturbance levels. It is also hypothesized that the more negative cognitions a women has related to her gender/sexuality, the more disturbance she experiences.
Learning objectives: Showing the way EMDR can be used in
PMS and Dismenore Establishing the relationship between Pre- Post Menstrual Disturbances and negative & irrational beliefs related to gender identity.
Enhancing the knowledge on the effect of previous negative
life events on somatic sensations in the long term.
Our study suggests that: Despite the fact that premenstrual
Disturbances and Dismenore are quite common among the
women, it is rarely studied by psychotherapists. In this study
we reviewed the relevant literature and tried to show that these
problems can be studied by using EMDR.
Keywords: Female Issues Pre Menstrual Post Menstrual Symposium
Accuracy Verified: Yes
10. Vos, S. M. (2005, December). An application of the transtheoretical model to a case of sexual trauma in middle childhood. University of Stellenbosch. doi:10019.1/2938 .
Language: English
Format: Dissertation/Thesis
Abstract:
This study demonstrates the use of the transtheoretical model in the context of sexual trauma in middle childhood. Exploring contemporary literature I found that there is no literature in South Africa available on this topic. It was not until 1997 that the transtheoretical model was implemented internationally with regard to sexual abuse. Taking this in consideration, I realised that there was much scope for exploring, discovering and reflecting on the transtheoretical model and its use within the boundaries of childhood sexual trauma. A qualitative case study within the social constructivist/interpretive paradigm, was chosen as research design. The study involved a participant in middle childhood. Elna (pseudonym) was selected from referrals from the Child Protection Unit of the South African Police Services to the Unit for Educational Psychology at Stellenbosch. The reason for referring Elna to the Unit was because of the negative and diverse effects sexual trauma had on her life story. The study explores the transtheoretical model and the appropriateness thereof as alternative treatment model in a case of sexual trauma, as well as insight into progression of the client in the therapeutic process. Data was collected by means of interviews and therapy sessions during which Narrative therapy, EMDR, sandtray therapy (used in a narrative context) and art therapy techniques were used in an integrated manner. The data was analysed by means of interpreting codes, categories and themes. The study concluded with a discussion of the findings and a reflection on the impact the use of the transtheoretical model had on me as a research-therapist-in-training. The literature review and the findings of this research suggest that the transtheoretical model can be applied effectively to a case of sexual trauma in middle childhood. The use of the model also gives insight into progression of the client in the therapeutic process. Thesis (MEdPsych (Educational Psychology)--University of Stellenbosch, 2005.
Keywords: Narrative Therapy South Africa Transtheoretical Model
Accuracy Verified: Yes
11. Cocco, N. (1995, June). Applications of EMDR to children: EMDR in the treatment of darkness phobia in children. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR in the treatment of darkness phobia in children:
1. Overview of Darkness Phobia:
A. Assessment of Childhood Phobias;
B. Definition;
C. Prevalence;
D. Consequences.
2. Treatment Literature on Darkness Phobia:
A. Invivo Exposure;
B. Imaginal Desensitization;
C. Modeling Symbolic and Participant;
D. Coping Self Talk;
E. Emotive Imagery.
3. [Preliminary Data on Controlled Comparison Between Emotive Imagery and EMDR:
A. Aims of Study;
B. Method: Subject,
Design,
Procedure: Assessment, Treatment Protocols;
C. Results;
D. Discussion.
4. EMDR Protocol:
A. Assessment of Darkness Phobia;
B. Hero Interview;
C. EMDR Target Selection;
D. Fantasy Based Cognitive Interweave:
Linking Cues/Cognition/Affect Superheros to Change Cognition and Affect.]
Keywords: Children Darkness Phobia
Accuracy Verified: Yes
12. 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
13. DeBell, C., & Jones, R. D. (1997, April). As good as it seems? A review of EMDR experimental research. Professional Psychology: Research & Practice, 28(2), 153-163. doi:10.1037/0735-7028.28.2.153 .
Language: English
Format: Journal
Abstract:
The article reviews 7 experimental studies that examined eye movement desensitization and reprocessing (EMDR) treatment. The 7 studies varied greatly in their complexity, their designs, how treatment effects were measured, and their results. Each study is detailed and critically examined. A summary of results is provided as well as suggestions for clinical application and future research. In addition, questions are raised regarding F. Shapiro's approach to disseminating information about EMDR. [Author Abstract]
Keywords: Literature Review Methodology Professional Criticism Posttraumatic Stress Disorder PTSD Research Needs Treatment Effectiveness
Accuracy Verified: Yes
14. Cocco, N., & Sharpe, L. (1993, December). An auditory variant of eye movement desensitization in a case of childhood post-traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 24(4), 373-377. doi:10.1016/0005-7916(93)90062-2.
Language: English
Format: Journal
Abstract:
The present paper reports a case study documenting the success of a child-appropriate variant of eye movement desensitization (EMD) in the treatment of PTSD. Although there have been numerous case studies and some preliminary controlled trials of this method in adult cases of PTSD, there does not appear to be any information on its use in children. The available literature suggests that it is a more rapid and less traumatic treatment than traditional exposure based therapies. The present paper describes a child-appropriate auditory variant of eye-movement desensitization applied to a case of childhood PTSD. [Author Summary]
Keywords: Case Report Males Preschool Age Children Posttraumatic Stress Disorder PTSD Robbery Survivors Terrorism
Accuracy Verified: Yes
15. von Knorring, L., Thelander, S., & Pettersson, A. (2005, November 21-27). Behandling av angestsyndrom. En systematisklitteraturaversikt. SBUs sammanfattning och slutsatser [Treatment of anxiety syndrome: A systematic literature review. Summary and conclusions by the SBU]. Lakartidningen , 102(47), 3561-3562, 3565-3566, 3569.
Language: Swedish
Format: Journal
Abstract:
En rapport från det svenska rådet för medicinsk utvärdering (SBU) har gått igenom, klassificeras och utvärderas den vetenskapliga litteraturen om behandling av panik-syndrom, specifika fobier, social fobi, tvångssyndrom syndrom (OCD), generaliserat ångestsyndrom (GAD) och posttraumatiskt stressyndrom (PTSD). Översynen ingår behandling av barn, ungdomar och vuxna. Rapportens slutsats är att det finns effektiv behandling tillgänglig för alla ångest syndrom. Men i allmänhet, är effekten ofta måttliga och symtomen återkommer när behandlingen perioden avbryts. För vuxna, stödjer vetenskapliga bevis användning av paroxetin och sertralin för alla syndrom utom specifika fobier. För övriga SSRI-preparat Det finns också bevis för användning av Fluoxetin i OCD och PTSD, för fluvoxamin i social fobi och tvångssyndrom och för escitalopram i social fobi. Andra antidepressiva läkemedel med ett starkt vetenskapligt stöd är venlafaxin i social fobi och GAD, imipramin i panik syndrom och chlomipramine i panik syndrom och tvångssyndrom. Bland de psykologiska behandlingar, det finns vetenskapliga bevis för kognitiv beteendeterapi (KBT) för behandling av panik-syndrom, specifika fobier, social fobi, PTSD och GAD. Exponering, med eller utan andra psykoterapeutiska interventioner har vetenskapligt stöd för effekt vid paniksyndrom (både i termer av antalet panikattacker och agorafobi för), specifika fobier, tvångssyndrom och PTSD. Användning av ögonrörelser desensibilisering och upparbetning (EMDR) har vetenskapligt stöd för behandling av PTSD.
A report by the Swedish Council on Technology Assessment in Health Care (SBU) has reviewed, classified and evaluated the scientific literature on treatment of panic syndrome, specific phobias, social phobia, obsessive-compulsive syndrome (OCD), generalized anxiety syndrome (GAD) and post-traumatic stress disorder (PTSD). The review included treatment of children, adolescents and adults. The report concludes that there is effective treatment available for all anxiety syndromes. However in general, the effect is often moderate and symptoms reappear when the treatment period is discontinued. For adults, scientific evidence supports the use of paroxetine and sertraline for all syndromes except specific phobias. For the other SSRI's there is also evidence for the use of fluoxetin in OCD and PTSD, for fluvoxamine in social phobia and OCD and for escitalopram in social phobia. Other antidepressant drugs with a strong scientific support is venlafaxin in social phobia and GAD, imipramin in panic syndrome and chlomipramine in panic syndrome and OCD. Among psychological treatments, there is scientific evidence for cognitive behavior therapy (CBT) for treatment of panic syndrome, specific phobias, social phobia, PTSD and GAD. Exposure, with or without other psychotherapeutic interventions, has scientific support for efficacy in panic disorder (both in terms of number of panic attacks and for agoraphobia), specific phobias, OCD and PTSD. Use of eye movement desensitization and reprocessing (EMDR) has scientific support for treatment of PTSD.
Keywords: Review
Accuracy Verified: Yes
16. Kraft, S., Schepker, R., Goldbeck, L., & Fegert, J. M. (2006). Behandlung der posttraumatischen belastungsstörung bei kindern und jugendlichen. Eine übersicht empirischer wirksamkeitsstudien [Treatment of posttraumatic stress disorder in children and adolescents -- A review of treatment outcome studies]. Nervenheilkunde: Zeitschrift für interdisziplinaere Fortbildung, 25(9), 709-716.
Language: German
Format: Journal
Abstract:
Basierend auf einer systematischen Literaturrecherche wird der aktuelle Stand des Wissens über die Wirksamkeit von pharmakologischen und psychotherapeutischen Behandlung der Posttraumatischen Belastungsstörung bei Kindern und Jugendlichen zusammengefasst und bewertet. Neunzehn kontrollierten randomisierten klinischen Studien wurden für die Psychotherapie gefunden, und keiner für die Pharmakotherapie. Die Wirksamkeit von kognitiver Verhaltenstherapie Programme erhärtet worden ist, mit der Teilnahme der Eltern oder Betreuer in die Behandlung zu sein scheint vorteilhaft. Es gibt vielversprechende Studien für Eye Movement Desensitizafion und die Wiederaufbereitung (EMDR) und für Multisystemische Familientherapie. Aufgrund der kleinen Fallzahlen und fehlenden Replikation, haben ihre Ergebnisse als vorläufig zu betrachten. Bis jetzt gibt es keine kontrollierten klinischen Studien zu pharmakologischen Therapien für traumatisierte Kinder und Jugendliche. Weitere Studien zu diesem zahlenmäßig relevant und zum Teil erheblich beeinträchtigt Gruppe sind, geltend gemacht werden. Untersuchungen zur differentiellen Indikation von verschiedenen Behandlungsansätze und über die Wirksamkeit von Kombinationstherapien, die Psychotherapie plus Pharmakotherapie, fehlen. (PsycINFO Database Record (c) 2008 APA, alle Rechte vorbehalten)
Based on a systematic literature search, the current state of knowledge on the efficacy of psychotherapeutic and pharmacologic treatment of posttraumatic stress disorders in children and adolescents is summarized and reviewed. Nineteen randomized controlled clinical trials were found for psychotherapy, and none for pharmacotherapy. The efficacy of cognitive behavioral treatment programs has been substantiated, with the participation of a parent or caretaker in the treatment seeming to be beneficial. There are promising studies for Eye Movement Desensitizafion and Reprocessing (EMDR) and for Multisystemic Family Therapy. However, because of small sample sizes and lacking replication, their results have to be regarded as provisional. Up to now, there are no controlled clinical trials on pharmacological treatments for traumatized children and adolescents. More studies on this numerically relevant and partly severely impaired group are to be claimed. Studies on differential indication of different treatment approaches and on the efficacy of combination treatments, as psychotherapy plus pharmacotherapy, are lacking. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adolescent Psychiatry Child Psychiatry Drug Therapy Literature Review Posttraumatic Stress Disorder Psychotherapy Treatment Outcomes
Accuracy Verified: Yes
17. Stein, D., Rousseau, C., & Lacroix, L. (2004, March). Between innovation and tradition: The paradoxical relationship between eye movement desensitization and reprocessing and altered states of consciousness. Transcultural Psychiatry, 41(1), 5-30. doi:10.1177/1363461504041351.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a relatively new form of psychotherapy to emerge in the West. Using both a case analysis and literature review we situate EMDR within the use of altered states of consciousness (ASCs) in psychological healing practices across times and cultures. We discuss EMDR's unique predicament as a therapy that draws upon techniques common to most therapeutic ASCs, while at the same time distancing itself from this tradition through its pseudoscientific language and technologic aesthetic. Our conclusion attempts to shed light on this paradox and raise questions for further study.
Keywords: Altered States of Consciousness Consciousness States Psychological Healing Review Transcultural Psychiatry
Accuracy Verified: Yes
18. Marich, J. (2012, April). Beyond client, clinician and method: Enhancing empathy in the practice of EMDR/Au delà du client, du clinicien et de la méthode : favoriser l'empathie dans la pratique de l'EMDR . Presentation at the annual meeting of the EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
Even with her emphasis on fidelity to the protocols of EMDR, Shapiro acknowledges the importance of the therapeutic alliance. She described the execution of EMDR as an essential interaction between client, method, and clinician. This workshop encourages participants to take Shapiro’s thinking a step further. After attending this workshop, participants will be able explain what a general literature review of the psychotherapeutic professions reveals about the importance of empathy in treatment. After participating in a guided imagery exercise that is designed to foster empathy, participants will be able to identify with the experience of a new client presenting for and experiencing EMDR treatment. Finally, participants will be able to evaluate one’s own capacity for empathy within the therapeutic context and apply it to their own EMDR practice.
Learning objectives:
1.To explain what a general literature review of the psychotherapeutic professions reveals about the importance of empathy and therapeutic alliance in treatment (regardless of specific method)
2.To identify with the experience of a new client presenting for and experiencing EMDR treatment
3.To evaluate one’s own capacity or empathy within the therapeutic context and apply it to their own EMDR practice
Accuracy Verified: Yes
19. Giti, S. M. (2011, May). Beyond social phobia: A review of the background, manifestations and varied therapeutic approaches for performance anxiety. Alliant International University, Los Angeles, California. 3503418.
Language: English
Format: Dissertation/Thesis
Abstract:
Performance anxiety is ubiquitous in our present culture and is considered one of
the most prevalent forms of anxiety. The famous actor and comedian Jerry Seinfeld once
joked, “ At a funeral, most people would rather be in the casket than giving the eulogy!”
While nearly eighty percent of people experience some form of anxiety when they are the
center of attention, individuals who experience performance anxiety are severely
distressed and debilitated by their anxiety (Plaut, 1990). In most cases, performance
anxiety threatens to restrain an individual’s profession, goals, education, relationships or
daily life activities. While the phenomenon of acute anxiety is commonly labeled as stage
fright in the world of the performing arts, in psychological literature it is rarely specified
or considered a diagnosable mental health disorder. It is often clustered with specific
phobias or social phobia.
Indeed, performance anxiety is not an experience solely limited to actors,
musicians, singers and dancers. It affects athletes, politicians, writers, students,
professionals, leaders, and individuals in all walks of life. For this reason, it is essential
that clinicians become educated in the etiology, symptoms, manifestations and
therapeutic approaches of performance anxiety.
Keywords: Socia Phobia Performance Anxiety
Accuracy Verified: Yes
20. Solomon, E. P., & Heide, K. M. (2005, January). The biology of trauma: Implications for treatment. Journal of Interpersonal Violence, 20(1), 51-60. doi:10.1177/0886260504268119.
Language: English
Format: Journal
Abstract:
During the past 20 years, the development of brain imaging techniques and new biochemical approaches has led to increased understanding of the biological effects of psychological trauma. New hypotheses have been generated about brain development and the roots of antisocial behavior. We now understand that psychological trauma disrupts homeostasis and can cause both short and long-term effects on many organs and systems of the body. Our expanding knowledge of the effects of trauma on the body has inspired new approaches to treating trauma survivors. Biologically informed therapy addresses the physiological effects of trauma, as well as cognitive distortions and maladaptive behaviors. The authors suggest that the most effective therapeutic innovation during the past 20 years for treating trauma survivors has been Eye Movement Desensitization and Reprocessing (EMDR), a therapeutic approach that focuses on resolving trauma using a combination of top-down (cognitive) and bottom-up (affect/body) processing. [Author Abstract]
Keywords: Adolescents Child Abuse Children Criminal Behavior Forensic Evaluation Literature Review Neglect Neuroendocrinology Neurophysiology Posttraumatic Stress Disorder PTSD Survivors
Accuracy Verified: Yes
21. Heide, K. M., & Solomon, E. P. (2006, May-June). Biology, childhood trauma, and murder: Rethinking justice. International Journal of Law and Psychiatry, 29(3), 220-233. doi:10.1016/j.ijlp.2005.10.001.
Language: English
Format: Journal
Abstract:
This article reviews recent findings in the developmental neurophysiology of children subjected to psychological trauma. Studies link extreme neglect and abuse with long-term changes in the nervous and endocrine systems. A growing body of research literature indicates that individuals with severe trauma histories are at higher risk of behaving violently than those without such histories. This article links these two research areas by discussing how severe and protracted child abuse and/or neglect can lead to biological changes, putting these individuals at greater risk for committing homicide and other forms of violence than those without child maltreatment histories. The implications of these biological findings for forensic evaluations are discussed. Based on new understanding of the effects of child maltreatment, the authors invite law and mental health professionals to rethink their notions of justice and offender accountability, and they challenge policymakers to allocate funds for research into effective treatment and for service delivery. [Author Abstract]
Keywords: Adolescents Attachment Brain Development Child Abuse Criminal Behavior Child Neglect Children Criminal Responsibility Forensic Evaluation Homicide Juvenile Offenders Literature Review Mitigating Factors Murder Neglect Neuroendocrinology Neurophysiology Posttraumatic Stress Disorder PTSD Sociopathy Survivors Trauma Violence
Accuracy Verified: Yes
22. Colwell, D. (2000, January). Blind faith. San Francisco Weekly, 17, 18, 23, 24.
Language: English
Format: Magazine
Abstract:
Many clinicians considered Shapiro's
method to be nothing short of a breakthrough,
and the technique, conceived by
the then California graduate student with a
background in English literature, quickly
turned the psychology field on its head.
Accuracy Verified: Yes
23. Bush, Y. R. (1999, June). Bonding and attachment. Prescott College, AZ.
Language: English
Format: Dissertation/Thesis
Abstract:
This paper reviews the issues of major importance in the current study of bonding and attachment. Adopted children and children who have spent some of their childhood in foster care account for a disproportionate number of unattached children. A review of the history of literature relative to bonding and attachment from Freud to Bowlby and to present day experts is presented. The relatively new diagnosis of Reactive Attachment Disorder and the DSM IV diagnostic features are addressed.
The treatment process, including the various accepted techniques that have been somewhat successful, is described. The newest technique, Eye Movement Desensitization and Reprocessing (EMDR), developed by Francine Shapiro, is being used to help children who have been diagnosed with Reactive Attachment Disorder. The technique is explained in this paper.
Chapter six includes information regarding how to complete a family history and assessment and the outline for a more formal narrative report.
This paper was written to explain bonding and attachment and its format was planned so that parts of it can be used as a teaching tool. The purpose of the paper is to gain knowledge and understanding in this field of study so that children will benefit. Assessing the level of bonding and attachment will assist the helping professional plan appropriate treatment for children and families.
Keywords: Adoption Attachment Bonding Children
Accuracy Verified: Yes
24. Greenwald, R. (2007, June). Bridging the trauma scientist-clinician gap with a new journal format. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Scientists have long complained that practitioners do not read research, and thus remain ignorant of how science can inform practice. Clinicians, on the other hand, complain that most research had limited relevance to clinical practice: or even if relevant on occasion, is not very accessible. This poster introduces a hew journal, focused on child/adolescent trauma, loss, and related issues, that is explicitly designed to bridge this gap and facilitate effective communication of research findings to practitioners. The journal will alternate between general and guest-edited special topic issues. Regular features include brief reports of clinically relevant research, as well as “Clinicians Research Digest” style literature reviews and “Consumer Reports” style reviews of assessment instruments, books, web sites, and other resources for practitioners. The approach exemplified in this journal can server as one model for efforts to disseminate effective treatments and other research findings.
Keywords: Poster Scientist-Clinician Gap
Accuracy Verified: Yes
25. Borstein, S. S. (2009). Brief adjunctive EMDR. Journal of EMDR Practice and Research, 3(3), 198-204. doi:10.1891/1933-3196.3.3.198.
Language: English
Format: Journal
Abstract:
Question: How can I provide brief adjunctive EMDR as a
consultation service to other therapists’ clients?
ANSWER FROM SUZANNE S. BORSTEIN:
Eye movement desensitization and reprocessing
(EMDR) has been demonstrated to be an effective treatment
for posttraumatic stress disorder (PTSD), and its
application to other psychological problems has been
documented as well (Maxfi eld, 2007). As the effectiveness
of EMDR is increasingly documented not only in
the professional literature but also in the popular press,
therapists and clients alike have become curious about
whether EMDR might be helpful in their work. [Excerpt]
Keywords: Brief Adjunctive
Accuracy Verified: Yes
26. 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
27. Wesselmann, D., & Potter, A. E. (2009). Change in adult attachment status following treatment with EMDR: Three case dtudies. Journal of EMDR Practice and Research, 3(3),178-191. doi:10.1891/1933-3196.3.3.178.
Language: English
Format: Journal
Abstract:
Three case studies illustrate pre- and post-eye movement desensitization and reprocessing (EMDR) adult attachment status as measured by the Adult Attachment Interview (AAI). Two adult males and one adult female presented for outpatient therapy; all of them were categorized with an insecure or disorganized attachment status at pretreatment. All presented with symptoms of depression and anxiety and complaints regarding problems in their current marital and family relationships. The three patients received 10 to 15 EMDR sessions over the course of approximately 1 year, interspersed with talk therapy sessions for the purpose of debriefing and psychoeducation. The EMDR approach utilized all eight phases of treatment within the three-pronged approach. Following EMDR therapy, all three patients made positive changes in attachment status as measured by the AAI, and all three reported positive changes in emotions and relationships. This article provides an overview of the literature related to adult attachment categories and summarizes the effect of adult attachment status on emotional and social functioning. The rationale and scoring procedures for the AAI are explained.
Keywords: Adult Attachment Interview Attachment Outcome Trauma
Accuracy Verified: Yes
28. Cohn, L., & Chapman, L. (2001, June). A child trauma treatment intervention: Combining neuroscience, EMDR, and drawings. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
This workshop will explain through lecture, slides, and case material, how the combination of EMDR and a drawing technique, along with the most recent neuroscience, child psychiatry, and PTSD literature, strengthen the integration of traumatic material in children.
Keywords: Art Therapy Children Drawing Technique Neuroscience
Accuracy Verified: Yes
29. CIGNA HealthCare (2008, June 15). Cigna Healthcare Coverage Position: Eye movement desensitization and reprocessing. Revised June 15, 2008, .
Language: English
Format: Publication
Abstract:
Systematic reviews: Van Etten et al. (1998) conducted a meta-analysis of the literature regarding
treatments for PTSD. The purpose of the study was to evaluate the relative efficacy of various treatments
for PTSD. A total of 41 studies were included, that yielded sixty-one treatment outcome trials. Eleven
studies were included that examined EMDR. The authors report that behavior therapy and EMDR were
the most effective psychological therapies for PTSD, with the two being generally equally efficacious. The
review noted that behavior therapy was significantly more effective than all treatments, on observer-rated
total PTSD symptoms and no differences in comparative treatment efficacy were discernable between
behavior therapy and EMDR across the specific symptom domains of PTSD. It was noted that effect sizes
for these therapies were large relative to control conditions, indicating good treatment acceptance. It was
also noted, however, that “despite its apparent efficacy, what works in EMDR and the mechanism for how
it works remains unclear. That is, we know little about the active ingredients in EMDR and the
mechanisms by which these ingredients result in decreased PTSD symptoms.” The literature is not
conclusive regarding the role of eye-movement in this treatment.
Keywords: Practice Guidelines
Accuracy Verified: Yes
30. Maxfield, L. (2003). Clinical implications and recommendations arising from EMDR research findings. Journal of Trauma Practice, 2(1), 61-81. doi:10.1300/J189v02n01_04.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a treatment approach found to be efficacious for trauma-related disorders. This article provides an overview of the EMDR treatment process and briefly describes treatment components. It reviews the current research investigating EMDR treatment of PTSD and research investigating the role of eye movements. The practical clinical implications arising from the findings are discussed. These include factors related to treatment provision, such as treatment fidelity, length of treatment, homework, and the use of eye movements. Also highlighted are client-related factors such as population, type of trauma, multiple traumas, symptom severity, comorbid disorders, and complex PTSD. Where possible, recommendations are made for clinical practice and comparisons are made with other types of treatments. [Author Abstract]
Keywords: Clinical Implications Compelx Posttraumatic Stress Disorder Complex PTSD C-PTSD Literature Review Posttraumatic Stress Disorder PTSD Research Stressors Survivors Treatment
Accuracy Verified: Yes
31. Schurmans, K. (2007). A clinical vignette: EMDR treatment of choking phobia. Journal of EMDR Practice and Research, 1(2), 118-121. doi:10.1891/1933-3196.1.2.118.
Language: English
Format: Journal
Abstract:
A vignette is a brief case report that makes a contribution to the literature, but which has used only EMDR's standard protocol measures. This vignette describes the treatment of a woman who developed a severe choking phobia following an allergic reaction to a herbal beverage. She was hospitalized on several occasions because of her resultant inability to consume food and liquids. She received four years of various types of treatment for this phobia, including eating disorder treatment, brief psychodynamic therapy, cognitive behavioral therapy, and psychopharmacological treatment. None were successful in eliminating the disorder. Then when Mary received a course of EMDR treatment, addressing childhood etiological events, there was complete remission of the choking phobia and elimination of all related behaviors. [Author Abstract]
Keywords: Adults Anaphylactic Shock Case Report CBT Child Abuse Choking Phobia Cognitive Behaviorial Therapy Eating Disorders Females Phobia Spouse Abuse Survivors
Accuracy Verified: Yes
32. Wizansky, B. (2007). A clinical vignette: Resource connection in EMDR work with children. Journal of EMDR Practice and Research, 1(1), 57-61. doi:10.1891/1933-3196.1.1.57 .
Language: English
Format: Journal
Abstract:
A vignette is a brief case report that makes a contribution to the literature, but which has used only EMDR's standard protocol measures. This vignette describes a procedure for drawing on and strengthening a child's resources in all phases of EMDR treatment. The procedure facilitates the connection to more authentic and meaningful inner resources that come directly from the child's world, thus strengthening the positive memory networks so that these are available for the child to access when processing his/her traumatic material. Three separate cases are described to illustrate the application. [Author Introduction]
Keywords: Israelis Psychotherapeutic Processes School Age Children Stressors Survivors
Accuracy Verified: Yes
33. Grimmett, J., Hartung, J., Galvin, M. D., & Gray, S. (2012, October). Clinician experiences with EMDR: Factors influencing attrition and retention. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Over 70,000 clinicians worldwide have participated in extensive EMDR training in the past 20 years, but, as with other therapies, not all trained clinicians continue to practice newly acquired techniques.
Whether or not a clinician uses a given treatment modality seems to be a complicated issue, the literature can be organized along the lines of five themes: (a) therapists' pre-training factors, (b) the training itself, (c) clients' experiecnes before and during EMDR, (d) post-training skill development, and (e) socio-enviromental contributors to therapist attrition and retention
Keywords: Attrition Clinician Experiences Retention Training
Accuracy Verified: Yes
34. Ho, M. S. K., & Lee, C. W. (2012). Cognitive behaviour therapy versus eye movement desensitization and reprocessing for post-traumatic disorder: Is it all in the homework then?. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 253-260. doi:10.1016/j.erap.2012.08.001.
Language: English
Format: Journal
Abstract:
Introduction:
Treatment of choice for post-traumatic stress disorder (PTSD) is either eye movement desensitization and reprocessing (EMDR) or trauma-focused cognitive behaviour therapy (TFCBT).
Objective:
The aim of the present meta-analysis was to determine whether there are any differences between these two treatments with respect to efficacy and efficiency in treating PTSD.
Method:
We performed a comprehensive literature search using several electronic search engines as well as manual searches of other review papers. Eight original studies involving 227 participants were identified in this manner.
Results:
There were no differences between EMDR and TFCBT on measures of PTSD. However, there was a significant advantage for EMDR over TFCBT in reducing depression (Hedge's g = 0.63). The analysis also indicated a difference in the prescribed homework between the treatments. Meta-regression analyses were conducted to examine the relationship between hours of homework and gains in depression and PTSD symptoms.
Conclusion: These findings are discussed in terms of efficacy and cost-effectiveness and the use of homework in therapy.
Keywords: CBT Cognitive Behavior Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
35. Brewin, C. R. (2001, April). A cognitive neuroscience account of posttraumatic stress disorder and its treatment. Behaviour Research and Therapy, 39(4), 373-393. doi:10.1016/S0005-7967(00)00087-5.
Language: English
Format: Journal
Abstract:
Recent research in the areas of animal conditioning, the neural systems underlying emotion and memory,
and the effect of fear on these systems is reviewed. This evidence points to an important distinction between
hippocampally-dependent and non-hippocampally-dependent forms of memory that are differentially affected
by extreme stress. The cognitive science perspective is related to a recent model of posttraumatic stress
disorder, dual representation theory, that also posits separate memory systems underlying vivid reexperiencing
versus ordinary autobiographical memories of trauma. This view is compared with other accounts in
the literature of traumatic memory processes in PTSD, and the contrasting implications for therapy are
discussed. 2001 Elsevier Science Ltd. All rights reserved.
Keywords: Review Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
36. Otto, M. W., Penava, S. J., Pollack, R. A., & Smoller, J. W. (1996). Cognitive-behavioral and pharmacologic perspectives on the treatment of posttraumatic stress disorder. In M. H. Pollack, M. W. Otto, & J. F. Rosenbaum (Eds.). Challenges in clinical practice: Pharmacologic and psychosocial strategies (pp. 219-260). New York: Guilford Press.
Language: English
Format: Book Section
Abstract:
The following sections consider biologic and cognitive-behavioral perspectives on PTSD and strategies for its treatment. Pharmacologic strategies examined to date have included treatment with beta-adrenergic blockers and alpha-adrenergic agonists, benzodiazepines, antikindling agents, mood stabilizers, and various antidepressants. Exposure-based treatments have been included in a number of approaches to the disorder, but have received the most direct attention in cognitive-behavioral conceptualizations. Each of these interventions has the potential to change one aspect or a constellation of PTSD symptoms, and must be evaluated relative to the number of symptom domains that each affects. [Text, p. 222]
Keywords: Behavior Therapy Cognitive Therapy Drug Therapy Literature Review Neurobiology Psychopharmacology PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
37. Jayatunge, R. M. (2008). Combating tsunami disaster through EMDR. Journal of EMDR Practice and Research, 2(2), 140-145. doi:10.1891/1933-3196.2.2.140.
Language: English
Format: Journal
Abstract:
After the 2004 tsunami devastation in Sri Lanka, many citizens experienced severe psychological reactions. The effectiveness of EMDR is illustrated in the treatment of 7 of these individuals: 3 children and 2 adults with PTSD symptoms and 2 adults with depressive symptoms. After 3-8 sessions of EMDR the symptoms were eradicated and these clients were free from their depressive feelings, anxieties, intrusions, and nightmares, were able to function normally, and were able to lead productive lives. These outcomes replicate those in the research literature demonstrating that EMDR is an efficacious treatment for PTSD in general, with specific utility for disaster-related PTSD. It is recommended that future controlled studies be conducted to evaluate the effectiveness of EMDR in the immediate aftermath of disasters and to assess its effectiveness with major depressive disorder. [Author Abstract]
Keywords: Adults Children Disaster Recent Events South Asia Sri Lanka Tsunami
Accuracy Verified: Yes
38. Lipke, H. (1997, November-December). Commentary on the Bates et al. report on eye-movement desensitization and reprocessing (EMDR). Journal of Anxiety Disorders, 11(6), 599-602. doi:10.1016/S0887-6185(97)00044-3.
Language: English
Format: Journal
Abstract:
In their 1996 paper, Bates, McGlynn, Montgomery, and Mattke were critical of eye-movement desensitization and reprocessing (EMDR) as an effective method of behavior therapy. The present commentary challenges the Bates et al. review of the literature, and the implementation of EMDR used in reaching their conclusions. Evidence is offered to support the clinical use of EMDR.
Keywords: Commentary Female Spider Phobia
Accuracy Verified: Yes
39. Seidler, G. H., & Wagner, F. E. (2006, November). Comparing the efficacy of EMDR and trauma-focused cognitive-behavioral therapy in the treatment of PTSD: A meta-analytic study. Psychological Medicine, 36(11), 1515-1522. doi:10.1017/S0033291706007963.
Language: English
Format: Journal
Abstract:
Background: Eye movement desensitization and reprocessing (EMDR) and trauma-focused cognitive-behavioral therapy (CBT) are both widely used in the treatment of PTSD. There has, however, been debate regarding the advantages of one approach over the other. This study sought to determine whether there was any evidence that one treatment was superior to the other. Method: We performed a systematic review of the literature dating from 1989 to 2005 and identified 8 publications describing treatment outcomes of EMDR and CBT in active-active comparisons. 7 of these studies were investigated meta-analytically. Results: The superiority of one treatment over the other could not be demonstrated. Trauma-focused CBT and EMDR tend to be equally efficacious. Differences between the two forms of treatment are probably not of clinical significance. While the data indicate that moderator variables influence treatment efficacy, we argue that because of the small number of original studies, little benefit is to be gained from a closer examination of these variables. Further research is needed within the framework of randomized controlled trials. Conclusions: Our results suggest that in the treatment of PTSD, both therapy methods tend to be equally efficacious. We suggest that future research should not restrict its focus to the efficacy, effectiveness, and efficiency of these therapy methods but should also attempt to establish which trauma patients are more likely to benefit from one method or the other. What remains unclear is the contribution of the eye movement component in EMDR to treatment outcome. [Author Abstract]
Keywords: Adults Cognitive Therapy Meta Analysis Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
40. 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
41. Busuttil, W. (2009, August). Complex post-traumatic stress disorder: A useful diagnostic framework?. Psychiatry, 8(8), 310-314 .
Language: English
Format: Journal
Abstract:
The Diagnostic and Statistical Manual and the International Statistical Classification of Diseases do not distinguish clearly between the clinical presentations resulting from exposure to single as opposed to multiple trauma. The developmental age of the victim is similarly not emphasized in symptom development and clinical presentation. Developmental trauma disorder and complex post-traumatic stress disorder (PTSD) are emerging as useful diagnostic frameworks in children and adults. This article reviews the literature and highlights conceptual evolution and differences from simple PTSD, as well as discussing differential diagnoses and clinical management.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
42. 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
43. Schmitt, A. (2011). Conséquences des violences conjugales sur la santé psychologique des victimes, prise en charge par la thérapie EMDR [Consequences of domestic violence on the psychological health of victims, taking care by EMDR therapy]. Université de Metz, Metz, France.
Language: French
Format: Dissertation/Thesis
Abstract:
Les violences conjugales représentent un problème de santé public majeur. En 2011, en France, tous les 2.5 jours, une femme meurt sous les coups de son compagnon. Les violences conjugales résultent de la conjonction de facteurs individuels, conjugaux, sociaux mais également culturels, qui seront détaillés dans cette recherche qui présentera également l'état de l'art concernant les conséquences de ces violences, leurs possibilités de prise en charge et la thérapie EMDR. Quatre études ont été menées dans cette recherche. La première porte sur les conséquences des violences conjugales auprès d'un public de femmes bénéficiant d'un accompagnement social. Il s'agissait d'apporter une contribution aux résultats déjà observés dans la littérature. La seconde étude porte sur la prise en charge de 5 femmes ayant vécu un évènement traumatique en couple et s'étant séparées de leur agresseur. La thérapie EMDR donne des résultats véritablement encourageants, ce qui nous amène à la tester auprès d'un public plus lourdement traumatisé, ayant vécu des violences conjugales d'intensité et de nature variable, durant de nombreuses années (étude 3). Les résultats de l'étude 3 mettent en évidence l'importance de l'adaptation de l'outil thérapeutique à la problématique de la victime et les limites de l'utilisation de l'EMDR auprès de certains types de publics, dont les victimes de violences conjugales. Une analyse de contenu des séances EMDR nous a permis d'affiner nos analyses grâce à une vignette clinique présentée dans l'étude 4. De plus, des personnes n'ayant pas pu être intégrées dans le protocole expérimental ont malgré tout été suivies, ce qui permet une réflexion autour de l'adéquation de la méthode thérapeutique et du cadre expérimental à la victime grâce à une étude de cas, également présentée dans l'étude 4. Toutes ces observations permettront l'émergence de suggestions concernant la prise en charge des victimes de violences conjugales.
Domestic violence represents a major problem for public health. In France, every 2,5 days, a woman dies by the hands of her partner. Domestic violence is the result of the conjunction of individual, domestic, social and also cultural factors to be detailed in this research that will also present the state of art, regarding the consequences of this violence, its means of management and EMDR therapy. Four studies were led in this research. The first one is about the consequences of domestic violence for a group of women benefiting from social support. The idea was to bring a contribution to the results already observed in literature. The second study is about the caretaking of five women who experienced a traumatic event during their couple life, and then split up with their molester. EMDR therapy gives really encouraging results, and it led us to test it with a public more heavily traumatized, who lived intensity and variable violence during many years (study 3). The results of the third study highlight the importance of the adaptation of the therapeutic tools to the problematic of the victim, and the limits of the use of EMDR with some public, included the victims of domestic violence. An analysis of the EMDR sessions content allowed us to refine our analyses thanks to a clinical "vignette" showed in study 4. Moreover, people that could not be included in the experimental protocol were all the same followed up, allowing a reflection around the appropriateness of the therapeutic method and of the experimental frame to the victim thanks to a case study, also presented in study 4. All these observations will allow the emergence of suggestions concerning the caretaking of the domestic violence victims.
Keywords: Domestic Violence
Accuracy Verified: Yes
44. Heijmans, S. (2008, Januari). Controversie rondom EMDR, Een literatuuronderzoek naar de effectiviteit van EMDR [Controversy surrounding EMDR, a literature review on the effectiveness of EMDR]. Universiteit van Tilburg, Netherlands.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
Over de effectiviteit van EMDR bestaat veel controversie. Deze thesis bevat een
kritisch overzicht van de literatuur met betrekking tot de effectiviteit van EMDR. Er wordt
gekeken naar de procedure die EMDR handhaaft en er worden mogelijke verklaringen
gegeven voor de werking van EMDR. Vervolgens wordt de effectiviteit van EMDR
onderzocht bij verschillende soorten aandoeningen en vergeleken met andere
behandelingsvormen. Onderzoek laat zien dat EMDR effectief is bij de behandeling van
PTSS. Ook bij fobieën is EMDR gedeeltelijk effectief. Hier wordt echter voornamelijk een
afname geconstateerd op cognitief niveau en niet gedragsmatig. In vergelijking met
cognitieve gedragstherapie lijkt EMDR evenredig effectief te zijn. Wanneer EMDR echter
vergeleken wordt met exposure therapieën is het niet geheel duidelijk welke
behandelingsvorm het meest effectief is. Exposure therapie is effectiever in de afname van
herbeleving en vermijdingsgedrag, maar EMDR gaat efficiënter te werk. In de discussie
worden vervolgens aanbevelingen gegeven voor toekomstig onderzoek.
There is a lot of controversy about the effectiveness of EMDR. This thesis consists of
a critical overview of the literature concerning the effectiveness of EMDR. First this thesis
will look at the procedure that EMDR maintains and possible explanations for how EMDR
works will be given. Next the effectiveness of EMDR will be researched to see if it differs
between the different diseases. EMDR will also be compared to other treatments. Research
shows that EMDR is an effective treatment when treating PTSD. When treating phobias,
EMDR is partly effective. The effectiveness here is mainly a decrease on a cognitive level and
not a behavioural one. In comparison to CBT EMDR seems to be equally effective. But when
we compare EMDR to exposure treatment it is not fully clear which treatment is the most
effective. Exposure therapy is more effective when it comes to a decrease in reliving and
avoidance, but EMDR has a greater efficiency. At last there will be given recommendations
for future research.
Keywords: Literature Review
Accuracy Verified: Yes
45. Cahill, S. P. (2000, July 1). Counterpoint: Evaluating EMDR in treating PTSD. Psychiatric Times, 17(7), 3-14.
Language: English
Format: Magazine
Abstract:
EMDR: Is Psychiatry Missing the Boat? (point)
EMDR in Treating PTSD (counterpoint)
This discussion focuses on the efficacy of Eye Movement Desensitization and Reprocessing (EMDR), a highly controversial treatment for patients with posttraumatic stress disorder (PTSD). The point article stresses the extensive body of literature that shows the efficacy and safety of EMDR as a treatment protocol. It also explains the treatment process. The counterpoint article argues that much of the research supporting EMDR may not be methodologically sound and that attempting to make statements of efficacy based on the current literature may not be wise.[Psychiatric Times]
Keywords: Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
46. Dattilio, F. (2001). Crisis intervention techniques for panic disorder. American Journal of Psychotherapy, 55(3), 388-405.
Language: English
Format: Journal
Abstract:
Panic disorder is estimated to affect more than 4% of the U.S. population. It is assumed that this incident rate increases during crisis situations. While the professional literature is replete with references on the treatment of panic disorders, few authors address the use of nondrug treatment in conjunction with crisis intervention. This article provides an overview of the latest nonpharmacologic interventions for panic along with a description of their effectiveness in reducing the onset of symptomatology as well as preventing relapse during crisis.
Keywords: Crisis Intervention Non-drug Treatment Panic dsiorder Nonpharmacological Interventions
Accuracy Verified: Yes
47. Perkins, B., & Rouanzoin, C. (2002, January). A critical evaluation of current views regarding eye movement desensitization and reprocessing (EMDR): Clarifying points of confusion. Journal of Clinical Psychology, 58(1), 77-97. doi:10.1002/jclp.1130.
Language: English
Format: Journal
Abstract:
EMDR is an active psychological treatment for PTSD that has received widely divergent reactions from the scientific and professional community. This article examines points of confusion in the published literature on EMDR, including the theoretical, empirical, and historical issues around EMDR and placebo effects, exposure procedures, the eye movement component, treatment fidelity issues, and outcome studies. It also examines historical information relevant to the scientific process and charges of "pseudoscience" regarding EMDR. We conclude that the confusion in the literature is due to (a) the lack of an empirically validated model capable of convincingly explaining the effects of the EMDR method, (b) inaccurate and selective reporting of research, (c) some poorly designed empirical studies, (d) inadequate treatment fidelity in some outcome research, and (e) multiple biased or inaccurate reviews by a relatively small group of authors. Reading the original research articles frequently helps to reduce the confusion arising from the research review literature. [Author Abstract]
Keywords: Literature Review Methodology Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness
Accuracy Verified: Yes
48. Jensma, J. (1999, Summer). Critical incident intervention with missionaries: A comprehensive approach. Journal of Psychology and Theology, 27(2), 130-138.
Language: English
Format: Journal
Abstract:
When people are exposed to, or involved in, traumatic occurrences, they are at risk for PTSD to follow in the wake. This involves more than psychological discomfort; it involves a host of physiological, mental, emotional, and spiritual sequelae. The results of trauma can be so debilitating that a missionary might be unable to continue to minister. The effects can last a lifetime. Given the relatively high level of risk for missionaries to experience critical incidents and the possible aftereffects, it is important for churches and mission boards to have an adequate and comprehensive approach to member care in ministering to missionaries when they encounter critical incidents. A comprehensive plan would include critical incident stress debriefing as soon as possible after an incident, one-to-one counseling -- preferably with a therapist trained in eye movement desensitization and reprocessing (EMDR) -- for those individuals experiencing complex PTSD, debriefing for the debriefers, and a post-critical incident seminar at least 3 months after the incident. [Author Abstract]
Keywords: Complex PTSD Literature Review Missionaries Posttraumatic Stress Disorder Psychological Debriefing PTSD Recent Events Stressors Survivors
Accuracy Verified: Yes
49. Spates, C. R., Waller, S., & Koch, E. I. (2000, Summer). A critique of Lohr et al's (1998) review of EMDR and Lipke's commentary: Of messages and messengers. the Behavior Therapist, 23(7), 148-154.
Language: English
Format: Newsletter
Abstract:
Our goals are as follows: (a) to propose what we believe is a reasonable context within which to evaluate data pertinent to EMDR; (b) to examine how the evidence fits within an evaluation of the more general treatment outcome literature on PTSD; (c) to suggest a constructive direction for future research. [Adapted from Text, p. 148]
A comment on: Jeffrey M. Lohr, David F. Tolin, and Scott O. Lilienfeld, "Efficacy of eye movement desensitization and reprocessing: implications for behavior therapy", Behavior Therapy 29(1): 123-156 (Winter 1998) [20817] and Howard J. Lipke, "Comments on 'Thirty years of behavior therapy..." and the promise of the application of scientific principles", Behavior Therapist 22: 11-14 (1999).
Keywords: Methodology Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness
Accuracy Verified: Yes
50. Maxfield, L. (2007). Current status and future directions for EMDR research. Journal of EMDR Practice and Research, 1(1), 6-14. doi:10.1891/1933-3196.1.1.6.
Language: English
Format: Journal
Abstract:
This review provides the groundwork for a basic understanding of articles written about eye movement desensitization and reprocessing (EMDR), including a brief overview of theory and practice. It documents EMDR's established efficacy in the treatment of PTSD and specifies specific subsets of this population in need of further investigation. The article also provides a review of recent studies evaluating a range of EMDR's clinical applications and outlines new directions for research investigations and for developments in clinical practice. It concludes with an overview of current research evaluating pre- and post-neurobiological changes, and mechanisms of action. Specific recommendations for future areas of investigations are outlined, and rigorous evaluation is strongly encouraged. [Author Abstract]
Keywords: Efficacy Information Processing Literature Review Mechanism of Action Research Needs Review Treatment Effectiveness
Accuracy Verified: Yes
51. Spector, J., & Read, J. (1999, July). The current status of eye movement desensitization and reprocessing (EMDR). Clinical Psychology and Psychotherapy, 6(3), 165-174. doi:10.1002/(SICI)1099-0879(199907).
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing therapy (EMDR) has increasingly been proposed as an effective therapeutic procedure for post-traumatic stress disorder and other mental health problems. However, views on EMDR in the research literature have been polarized. Reasons for this are explored as is the nature and theoretical basis of EMDR. Fifteen controlled studies thus far published on EMDR and PTSD are reviewed, and it is concluded that (i) EMDR is an effective psychotherapy, (ii) EMDR's relative efficacy in comparison to behavioural exposure therapies has yet to be established, (iii) the role of eye movements and laterality in attentional focus remains controversial and (iv) a direct link between the theoretical basis of the therapy and observable psychological and neurobiological changes has yet to be established. [Wiley]
Keywords: Literature Review Posttraumatic Stress Disorder PTSD Reprocessing Therapy
Accuracy Verified: Yes
52. Capezzani, L. (2010, Novembre). Dati preliminari del progetto: Valutazione degli esiti medico- clinici e psicologici in seguito all’applicazione dell’EMDR in pazienti oncologici con disturbi dello spettro post traumatico da stress [Preliminary data of the project: Evaluation of medical-clinical and psychological outcomes following the application of EMDR in cancer patients with autism spectrum post-traumatic stress disorder]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.
Language: Italian
Format: Conference
Abstract:
La ricerca ha lo scopo di indicare se l’intervento con EMDR produce significativi cambiamenti dei parametri medico-clinico, oltre che psicologici, in pazienti oncologici che abbiamo ricevuto una diagnosi di PTSD o di un disturbo dello spettro post-traumatico da stress durante ciascuna delle fasi dell’evoluzione della malattia.
In particolare si vuole verificare se dopo trattamento con EMDR:
- i valori baseline di cortisolo nel sangue cambiano e riproducono anche in pazienti oncologici l’andamento dimostrato in letteratura: in presenza di un PTSD acuto generalmente i livelli sono alti, quando invece il PTSD è cronico i livelli di cortisolo sono bassi ma in ambedue i casi un trattamento con EMDR produce una normalizzazione di suddetti valori.
- si osserva una riduzione della quantità di citochine che rappresentano gli indicatori immunologici correlati a stati di depressione ed ansia sia sottosoglia che non, quasi sempre presenti tra i disturbi dello spettro PTSD e quindi anche nella malattia oncologica (Cantelmi, 2008 in preparazione).
Lo studio consente inoltre di osservare
- per quali delle fasi della malattia il trattamento con EMDR produce la migliore estinzione dei disturbi post-traumatici da stress,
- se le modalità di coping, cioè le strategie di adattamento alla malattia e sua gestione migliorano dopo il trattamento con EMDR
The research is intended to indicate whether the intervention with EMDR produces significant changes in clinical parameters and medical as well as psychological, in cancer patients who have received a diagnosis of PTSD or a spectrum disorder post-traumatic stress disorder during each of the stages of the disease.
In particular, we want to check if after treatment with EMDR:
- The values of baseline cortisol in the blood change and reproduce even in cancer patients the trend shown in the literature: in the presence of an acute PTSD generally the levels are high, when instead the PTSD is chronic cortisol levels are low but in both cases treated with EMDR produces a normalization of these values.
- There is a reduction in the amount of cytokines representing the immunological indicators related to states of depression and subthreshold anxiety is that, almost always present between the spectrum disorders PTSD and therefore also in the oncological disease (Cantelmi, 2008 in preparation).
The study also allows you to observe
- For which of the stages of the disease treatment with EMDR produces the best extinction of the symptoms of post-traumatic stress,
- Whether the method of coping, ie the strategies of adaptation to the disease and its management to improve after treatment with EMDR.
Keywords: Autism Cancer Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
53. Scharwachter, P. (2001). De behandeling van een vrouw met meermalige traumatisering in één zitting met emdr Behandeling meermalige traumatisering [The treatment of a woman with multiple trauma with EMDR treatment session in a multiple trauma]. Directieve Therapie, 21(3), 210-218. doi:10.1007/BF03060258.
Language: Dutch
Format: Journal
Abstract:
In de literatuur over Eye Movement Desensitization and Reprocessing (emdr ) wordt bericht dat een succesvolle traumabehandeling in één therapiezitting mogelijk is. Dit geldt met name voor eenmalige traumatisering. Dit artikel belicht een succesvolle traumabehandeling met emdr, in één zitting van anderhalf uur, bij een vrouw die in haar adolescentie herhaaldelijk seksueel is misbruikt. Bij de twee follow-ups na twee weken en zes maanden bleven de behandelingsresultaten gehandhaafd.
The literature on Eye Movement Desensitization and Reprocessing (EMDR) is reported that a successful trauma treatment in a therapy session is possible. This is particularly true for single traumatization. This article highlights a successful EMDR trauma treatment, within a half hour session, a woman who repeatedly sexually abused her adolescence. In two follow-ups after two weeks and six months the treatment results were maintained.
Keywords: Case Study Sexual Abuse
Accuracy Verified: Yes
54. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2010). De behandeling van patiënten met PTSS met narrative exposure therapy, het kort eclectisch protocol voor PTSS en eye movement desensitisation [The treatment of patients with PTSD narrative exposure therapy, the short protocol for PTSD and eclectic eye movement desensitisation]. Tijdschrift voor Psychiatrie 52(4), 4.
Language: Dutch
Format: Journal
Abstract:
Achtergrond: Bij de behandeling van patiënten met een posttraumatische stressstoornis (ptss) worden niet altijd de evidence-based behandelvormen toegepast zoals beschreven in de richtlijnen en in de literatuur. Vooral bij de complexere traumapatiënten worden regelmatig alleen stabilisatietechnieken en/of farmacotherapie toegepast.
Doel: In deze bijblijfsessie wordt betoogd dat evidence-based traumagerichte behandeling mogelijk en wenselijk is, ook bij veel complexe patiënten die te maken hebben gehad met oorlog, vervolging, geweld en/of beroepsgerelateerd trauma.
Methoden: Er zullen drie voordrachten worden gegeven, met daarna discussie, door drie specialisten in de behandeling van ptss. De voordrachten zullen drie evidence-based behandelvormen voor ptss illustreren, te weten narrative exposure therapy (net), het Kort Eclectisch Protocol voor ptss (kep) en eye movement desensitisation and reprocessing (emdr).
Resultaten: De drie getoonde behandelvormen zijn goed toepasbaar en effectief bij patiënten met een ptss. Dit zal worden aangetoond met behulp van theoretische uitgangspunten, ervaringen uit de klinische praktijk en onderzoeksgegevens.
Conclusie: Behandeling van complexe traumapatiënten met ptss door middel van traumagerichte psychotherapie heeft doorgaans de voorkeur. De deelnemer van de bijblijfsessie heeft kennisgenomen van drie evidence-based behandelvormen voor ptss.
Background: In the treatment of patients with post traumatic stress disorder (PTSD) are not always evidence-based treatment as described in the application forms and guidelines in the literature. Especially with complex trauma patients are frequently only stabilization techniques and /or pharmacotherapy used.
This goal bijblijfsessie is argued that evidence-based trauma-focused treatment is possible and desirable, even with many complex patients who have experienced war, persecution, violence and / or job-related trauma.
Methods: will be given three nominations, followed by discussion, by three specialists in the treatment of PTSD. The presentations will be three evidence-based treatments for PTSD illustrate, namely narrative exposure therapy (NET), the Short PTSD Eclectic Protocol (KEP) and Eye Movement Desensitisation and Reprocessing (EMDR).
The results shown three forms of treatment are well applicable and effective in patients with PTSD. This will be demonstrated using theoretical assumptions, experiences from clinical practice and research.
Opinion Treatment of complex trauma patients with PTSD using trauma-focused psychotherapy is usually preferred. The participant of bijblijfsessie has noted three evidence-based treatments for PTSD.
Keywords: Narrative Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
55. Leenarts, L. E. W., Doreleijers, Th. A. H., Lindauer, R. J. L., Lodewijks, H. P. B., & Vermeiren, R. R. J. M. (2011, April). De effectiviteit van een traumabehandeling bij getraumatiseerde meisjes in gesloten jeugdinstellingen [The effectiveness of trauma treatment in traumatized girls in closed juvenile institutions]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam .
Language: Dutch
Format: Conference
Abstract:
Achtergrond: Uit onderzoek blijkt dat
in jeugdzorginstellingen geplaatste meisjes vaak
getraumatiseerd zijn en mede hierdoor ernstige
problemen vertonen in het verdere leven. Onderzoek
(Hamerlynck 2008) toont aan dat 85% van de
meisjes een of meer trauma’s heeft meegemaakt
en dat dit gerelateerd is aan zowel openlijke als
heimelijke agressie. Hieruit blijkt de noodzaak om
meisjes in jeugdzorginstellingen bij opname te
onderzoeken op trauma en agressie, ze te behandelen
en om traumabehandelingen te onderzoeken
op hun effectiviteit en op de gevolgen op lange termijn.
Doel: Het doel van het huidige onderzoek
is de effecten vast te stellen van een traumabehandeling
bij meisjes die in een jeugdzorg-plusinstelling
geplaatst zijn. De behandeling die
geëvalueerd wordt, is een stabilisatiefase (met als doel het reduceren van traumagerelateerde klachten) aangevuld met eye movement desensitisation and
reprocessing (emdr).
Methoden: Gebruik wordt gemaakt van
een quasi-experimenteel onderzoeksdesign. De
experimentele groep bestaat uit meisjes die hebben
deelgenomen aan de stabilisatiefase gevolgd
door emdr. De controlegroep bestaat uit meisjes
die treatment as usual (tau) ontvangen. Verschillende
meetmomenten zullen plaatsvinden. De
Childhood Trauma Questionnaire ( ctq) wordt
gebruikt om traumageschiedenis te onderzoeken en de Trauma Symptom Checklist for Children (tscc)
wordt gebruikt om traumaklachten te bevragen.
Resultaten: Tijdens het Voorjaarscongres
zullen de eerste resultaten bekend zijn en
gepresenteerd worden.
Conclusie: Op basis van literatuur kan
verondersteld worden dat een geprotocolleerde
stabilisatiefase gevolgd door emdr effectiever is in de reductie van traumagerelateerde klachten dan
tau bij meisjes in gesloten jeugdzorginstellingen.
Background: Research shows that
girls are often placed in youth welfare institutions
traumatized and because of this serious
exhibit problems later in life. Research
(Hamerlynck 2008) shows that 85% of the
one or more girls experienced trauma
and that this is related to both overt and
covert aggression. This highlights the need to
girls in child welfare institutions in recording
research on trauma and aggression, treat them
and trauma treatments to investigate
their effectiveness and the long-term consequences.
Purpose: The aim of the present study
to determine the effects of trauma treatment
girls in a youth-plus set
placed. The treatment
evaluated, a stabilization phase (with the aim of reducing trauma-related symptoms) supplemented with Eye Movement Desensitisation and
reprocessing (EMDR).
Methods: Use is made of
a quasi-experimental research design. The
experimental group consists of girls who have
participated in the stabilization phase followed
by EMDR. The control group consists of girls
that treatment as usual (TAU) received. Various
measurement points will occur. The
Childhood Trauma Questionnaire (CTQ) is
used to examine trauma history and the Trauma Symptom Checklist for Children (TSCC)
is used to search for trauma symptoms.
Results: During the Spring Congress
the first results are known and
presented.
Conclusion: Based on literature can
believed that food allergies
stabilization phase followed by EMDR is more effective in reducing trauma-related symptoms than
tau girls in secure youth institutions.
Keywords: Girls Juvenile Insitutions Trauma
Accuracy Verified: Yes
56. Worthington, R. (2012, April). Dealing with trauma as an intervention for aggression: A review of approaches and the value of reprocessing. Journal of Aggression, Conflict and Peace Research, 4(2), 108-118. doi:10.1108/17596591211208319.
Language: English
Format: Journal
Abstract:
The purpose of this paper is to explore the impact of trauma with specific consideration to the neurological impact this has on information processing and potential links with aggression. Design/methodology/approach - This paper provides a summary of the literature in relation to theories of aggression and trauma. The paper considers how the two may interact and overlap and considers a theoretical rationale for why addressing trauma through a treatment such as Eye Movement Desensitization Reprocessing (EMDR) may assist to reduce aggression. Findings - The paper argues that the experience of trauma may contribute to inputs which may take a person closer towards engaging in aggression. This is consistent with information processing models and unified models of aggression such as the General Aggression Model. Factors that were specifically identified included physiological hyper-arousal, hostile attributions of stimulus, and neurological impairments. In addition, the paper also argued that there is evidence that as a result of trauma, a person's ability to provide cognitive accounts for the function of their behaviour may also be impaired because of the reduced interactivity between the two prefrontal hemispheres. Research limitations/implications - The paper argues that as a result, interventions designed to reduce aggression may benefit from including additional elements which directly assist clients to process emotional information and that a reprocessing treatment such as EMDR could assist to reduce levels of emotional arousal and improve treatment effectiveness. Differences in the way in which EMDR is carried out and the variances in treatment protocols used should be attended to increase the reliability of future research. Originality/value - Current modes of aggression therapy have focused on exposure based and cognitive behavioural therapy (CBT). However, there is evidence that EMDR has benefits over exposure and CBT approaches because of the way in which cognitive verbal accounts of the trauma are not required and because EMDR does not require the individual to have insight into their trauma experience and the link with aggression.
Keywords: Aggression Trauma Treatment
Accuracy Verified: Yes
57. Velozo, S. A. C. (2010, Noviembre). Desarrollo y procedimiento del método psicoterapéutico llamado E.M.D.R (Desensibilización y reprocesamiento por movimiento ocular) con pacientes que sufren trastorno por estrés postraumático [Procedure development and method of psychotherapy called EMDR (eye movement desentization and reprocessing) with patients suffering from posttraumatic stress disorder]. Universidad Bolivariana, Escuela de Psicologia, Santiago, Chile.
Language: Spanish
Format: Dissertation/Thesis
Abstract:
El siguiente trabajo consta de una revision bibliografica sobre el modelo psicoterapeutico llamado E.M.D.R (Desensibilizacion y Reprocesamiento por Movimiento Ocular), utilizado en patalogias psiquicas que se originan por una vivencia traumatica, esta tecnica es vilidada cientificamente y enfatiza el Sistema de Procesaiento de Informacion intrinseco del cerebro y como son almacenadas las memorias. Se identifica el problema especifico que sera el foco del tratamiento. Mediante un protocol estructuado, la informacion que estaba atrapada y aislada en la neuro-red en la que habia sido almacenada en su forma originalmente perturbadora, es procesada y desensibilizada transformandose en algo util, functional y libre de conflict. Es un metodo psicopterapeutico innovador que accelera el tratamiento en un amplio rango de patalogias de origen psicologico, como le es el Trastorno por Estres Postraumatico. Parte por una breve resena historica del concepto de truma psiquico, descripcion del cuadro de sintomas del trastorno de ester postraumatico y una revision bibliografica sobre el modelo teorico en el que se inserta principios y procedimiento de la terapia EMDR. Por ello se presentan las fases del procedimiento, que son: 1. Historica clinica y plan de tratamiento, 2. Preparacion, 3 Evaluacion/D.I.C. E.S., 4. Desensibilizacion, 5. Instalacion de la creencia positive, 6. Chequeo corporal – Escaner corporal, 7. Cierre – Conclusion, and 8. Reevaluacion/Seguimiento. Finalmente se hara una docil comparacion con las terapias del modelo convencional en base a la triada do los sintomas del Trastorno por Estres Postraumatico, vale decir: rexpermentacion, evitacion e hiperactivacion.
The following work consists of a literature review on the psychotherapeutic model called EMDR (Desensitization and Reprocessing Eye Movement), used in psychic patalogias that are caused by a traumatic experience, this technique is scientifically and emphasizes vilidada System Information Procesaiento intrinsic brain and how memories are stored. It identifies the specific problem will be the focus of treatment. Using a structured protocol, information that was trapped and isolated in the neuro-network that had been stored as originally disturbing is processed and transformed into something useful desensitized, functional and free of conflict. It is an innovative method accelerates psicopterapeutico treatment in a wide range of psychological origin patalogias, as he is Posttraumatic Stress Disorder. Party by a brief history of the concept of psychic Truma, description of box ester disorder symptoms and posttraumatic literature review on the theoretical model that is inserted in the principles and procedure of EMDR therapy. So are procedural steps which are: 1. Historical clinical and treatment plan, 2. Preparation, 3 Evaluation / D.I.C. E.S., 4. Desensitization, 5. Installation of positive belief, 6. Check body - body scanner, 7. Close - Conclusion, and 8. Reassessment / Follow-up. Finally there will be a docile compared to the conventional therapies based on the triad do the symptoms of posttraumatic stress disorder, namely: rexpermentacion, avoidance and hyperarousal.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
58. Marcela, L., & Lemus, G. (2008, December). Desensibilización y reprocesamiento con movimientos oculares [Eye movement desensitization and reprocessing]. Revista Colombiana de Psiquiatría, 37(Supplement 7). .
Language: Spanish
Format: Journal
Abstract:
Introducción: La técnica de desensibilización y reprocesamiento con movimientos oculares (EMDR, por sus iniciales en inglés) es un método terapéutico relativamente reciente que ha mostrado efi cacia en el tratamiento de diferentes entidades psiquiátricas y somáticas. Se postula que sus resultados se logran a través de cambios en el proceso de almacenamiento de recuerdos y en las respuestas físicas y emocionales relacionadas. Objetivo: Describir las características principales de la EMDR y sus aplicaciones. Método: Revisión de la literatura. Desarrollo y conclusiones: La EMDR es una técnica útil para el tratamiento de una gran variedad de trastornos psiquiátricos y somáticos. Se han descrito algunas reacciones adversas, lo cual resalta la importancia de elegir adecuadamente los pacientes candidatos a ser tratados con esta terapia.
Introduction: The Eye Movement Desensitization and Reprocessing technique (EMDR) is a relatively new treatment method that has shown to be effective in treating different psychiatric and somatic entities. It is postulated that its results are achieved through changes in the process of memory storing and in the related physical and emotional responses. Objective: To describe the main characteristics of EMDR and its applications. Method: Literature review. Development and conclusions: EMDR is a useful technique in the treatment of a large series of psychiatric and somatic disorders. Some adverse reactions have been described and this stresses the importance of selecting adequately those patients to be treated with this therapy.
Keywords: Desensitization Eye Movement Psychiatric Disorders
Accuracy Verified: Yes
59. Stierum, A. J., & van Heijningen, J. G. M. (2011, April). Diagnostiek en behandeling van dissociatieve stoornissen bij kinderen en jeugdigen [Diagnosis and treatment of dissociative disorders in children and adolescents]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: Dutch
Format: Conference
Abstract:
Inhoud van de workshop: Dissociatie
en trauma zijn nauw met elkaar verbonden.
Dissociatieve stoornissen worden toch vaak niet
herkend en dissociatieve stoornissen bij kinderen
gelden als controversieel. Kinder- en jeugdpsychiaters
leren in de opleiding weinig over dissociatieve
stoornissen.
In de workshop wordt aandacht besteed aan
het herkennen van dissociatieve stoornissen bij
(seksueel) getraumatiseerde kinderen en aan de
behandeling ervan, geïntegreerd in de traumabehandeling.
Ernstig getraumatiseerde kinderen
hebben vaak meerdere diagnoses, zoals posttraumatische stoornissen essentieel is voor het slagen van een
goede traumabehandeling. We bespreken de
internationale richtlijnen en recente literatuur
over diagnostiek en behandeling van dissociatieve
stoornissen bij kinderen. Neurobiologische aspecten
van vroegkinderlijke traumatisering en de
gevolgen hiervan voor het kind worden behandeld.
Verschillende behandelmethoden zoals eye
movement desensitisation and reprocessing (EMDR) en
differentiatiefasetherapie worden besproken.
Vorm:
—— Aan de hand van presentaties worden de theorie
en de praktijk van de diagnostiek en het behandelen
van dissociatieve stoornissen bij kinderen
en jeugdigen besproken.
—— We tonen beeldmateriaal van diagnostiek en
behandeling van dissociatieve stoornissen bij
kinderen en jeugdigen.
—— Uitwisselen van ervaring en kennis, inbrengen
van casuïstiek en discussie.
Leerdoel:
—— Aan het einde van de workshop erkent de deelnemer
het belang van herkennen en behandelen
van dissociatieve stoornissen bij getraumatiseerde
kinderen en jeugdigen.
—— De deelnemer vergroot zijn kennis van diagnostiek
en behandeling van dissociatieve stoornissen
van kinderen en jeugdigen, waarbij hij op de
hoogte is van de recente literatuur.
stressstoornis (PTSS) en hechtingsstoornis.
Dissociatieve problematiek kan ook verward
worden met onder meer obsessieve-compulsieve
stoornissen (ODD), aandachtstekortstoornis met
hyperactiviteit (ADHD) en vele andere kinderpsychiatrische
stoornissen en zo het resultaat van
therapieën bemoeilijken. Wij gaan er daarom vanuit
dat herkennen en behandelen van dissociatieve.
Contents of the workshop: Dissociation
and trauma are closely linked.
Dissociative disorders are often not yet
recognized and dissociative disorders in children
construed as controversial. Child and adolescent psychiatrists
learning in the training little dissociative
disorders.
The workshop focuses on
recognition of dissociative disorders
(Sexual) traumatized children and the
its treatment, integrated into the trauma treatment.
Severely traumatized children
often have multiple diagnoses, such as post traumatic stress is essential for the success of a
good trauma treatment. We discuss the
International guidelines and recent literature
about diagnosis and treatment of dissociative
disorders in children. Neurobiological Aspects
of early childhood trauma and
consequences for the child to be treated.
Various treatments such as eye
Movement Desensitisation and Reprocessing (EMDR) and
phase modulation therapy are discussed.
Form:
- Based on the theory presentations
and practice of diagnosis and treatment
of dissociative disorders in children
and adolescents are discussed.
- We show footage of diagnosis and
treatment of dissociative disorders
children and adolescents.
- Share the experience and knowledge, contribute
of cases and discussion.
Objective:
- At the end of the workshop, the participant acknowledges
the importance of recognizing and treating
of dissociative disorders among traumatized
children and adolescents.
- Participants increased their knowledge of diagnosis
and treatment of dissociative disorders
of children and youth, taking on the
aware of the recent literature.
stress disorder (PTSD) and attachment disorder.
Dissociative problem can also confused
are including obsessive-compulsive
disorder (ODD), attention deficit
hyperactivity disorder (ADHD) and many other children's psychiatric
disorders and as a result of
therapies difficult. We therefore assume
that recognition and treatment of dissociative.
Keywords: Adolescents Children Dissociative Disorders Sexual Abuse
Accuracy Verified: Yes
60. Wagner, F. (2004). Die wirksamkeit von eye movement desensitization and reprocessing (EMDR) bei der posttraumatischen belastungsstorung im vergleich zu kontrollbedingungen und kognitiv-behavioralen therapien: Eine metaanalytische untersuchung [Efficacy of eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder compared with control conditions, and cognitive-behavioral therapies]. Zugl: Heidelberg. doi:volltextserver/volltexte/2005/5803 . --.
Language: German
Format: Book
Abstract:
Das Ziel der vorliegenden Metaanalyse war es, die Wirksamkeit von EMDR und kognitiv-behavioralen Therapieverfahren bei der posttraumatischen Belastungsstörung mit dem aktuellen Stand an Publikationen metaanalytisch zu untersuchen. In einer umfassenden Literaturrecherche wurden hierfür sowohl publizierte Originalarbeiten als auch unpublizierte Manuskripte recherchiert. Insgesamt gingen 32 Originalstudien in die Metaanalyse ein. 13 der Studien waren reine EMDR-Studien; 7 untersuchten sowohl eine Gruppe mit EMDR als auch eine Gruppe mit kognitiv-behavioraler Therapie. 12 Studien waren reine kognitiv-behaviorale Therapiestudien. Darüber hinaus sollte die Wirksamkeit unter dem Gesichtspunkt der verschiedenen PTSD- und komorbiden Symptomatiken betrachtet werden. In einem weiteren Schritt wurde EMDR direkt mit kognitiv-verhaltenstherapeutischen Behandlungsmethoden verglichen.
Effektstärken wurden sowohl für die PTSD-Symptomkategorien Intrusionen, Vermeidung und erhöhtes Arousal als auch für die komorbiden Symptome Angst und Depression berechnet. Die Berechnung der Effektstärken erfolgte anhand von standardisierten Mittelwertsvergleichen. Neben dem direkten Vergleich von EMDR mit kognitiv-behavioralen Therapieansätzen bzw. von EMDR und kognitiv-behavioraler Therapie mit Kontrollgruppen (Post-/Post-Vergleich) wurden auch die Veränderungen innerhalb der Behandlungsgruppen berechnet (Prä-/Post-Vergleich). In den Post-/Post-Vergleich gingen nur kontrollierte und randomisierte Originalstudien ein. In den Prä-/Post-Vergleich hingegen wurden auch Ein-Gruppen-Studien aufgenommen. Als Effektmaß wurde Hedges´d verwendet.
Die Ergebnisse legen nahe, dass sowohl EMDR als auch die kognitiv-behaviorale Therapie wirksam in der Behandlung der posttraumatischen Belastungsstörung sind. Beide Verfahren reduzieren in klinisch bedeutsamem Umfang, sowohl unmittelbar als auch lang anhaltend, die PTSD-Symptomatiken Intrusionen, Vermeidung und erhöhtes Arousal. Darüber hinaus führen beide Behandlungsmethoden auch zu einer Reduktion der komorbiden Symptomatiken Angst und Depression. Die Effektivität beider Verfahren zeigt sich hierbei sowohl im Prä-/Post-Vergleich als auch im direkten Post-/Post-Vergleich mit einer Kontrollbedingung. Darüber hinaus ergibt sich eine ähnlich hohe Wirksamkeit von EMDR und kognitiv-behavioraler Therapie, sowohl im Vergleich der Prä-/Post-Effektstärken als auch im direkten Post-/Post-Vergleich. Dennoch scheint es unterschiedliche Einflussfaktoren zu geben, welche die Therapieeffektivität sowohl bei EMDR als auch bei kognitiv-behavioraler Therapie beeinflussen. Aufgrund der geringen Studienzahl lassen sich diese Faktoren jedoch nicht näher untersuchen. Des Weitern zeichnen sich Unterschiede hinsichtlich der Effizienz der beiden Therapieformen ab: So beträgt die durchschnittliche Behandlungsdauer bei EMDR 5 Sitzungen, bei der kognitiv-behavioralen Therapie hingegen 8 Sitzungen. Darüber hinaus ist die Expositionsdosis bei den kognitiv-behavioralen Therapien höher als bei EMDR.
Die Befunde zur Wirksamkeit der bilateralen Stimulation sind hingegen weniger eindeutig. Allerdings sind Studien, welche den Versuch unternehmen, die Augenbewegungen bei Personen mit PTSD isoliert zu betrachten, oftmals von erheblichen methodischen Mängeln gekennzeichnet. Einzelne Befunde und Modellvorstellungen zur Rolle der bilateralen Stimulation beim EMDR werden im Diskussionsteil erörtert.
The aim of this meta-analysis was to investigate the efficacy of EMDR and cognitive-behavioral therapy for posttraumatic stress disorder with the current meta-analysis of publications. In a comprehensive literature search for this original work, both published and unpublished manuscripts were researched. A total of 32 original studies were included in the meta-analysis. 13 of the studies were pure EMDR studies; 7 examined both a group and a group with EMDR with CBT. 12 studies were purely cognitive-behavioral therapy studies. Moreover, the effectiveness should be considered in the light of various PTSD and comorbid symptomatology. In a further step EMDR was compared directly with cognitive-behavioral treatment methods. Effect sizes were calculated for both the PTSD symptom categories intrusions, avoidance and increased arousal as well as the comorbid symptoms of anxiety and depression. The calculation of effect sizes was based on standardized mean comparisons. In addition to the direct comparison of EMDR with cognitive-behavioral therapy approaches and EMDR and CBT with control groups (Post-/Post-Vergleich) and the changes within the treatment groups were calculated (Prä-/Post-Vergleich). In the only controlled and randomized Post-/Post-Vergleich original studies were submitted. In contrast Prä-/Post-Vergleich also single-group studies were included. Hedges'd was used as a measure of effect. The results suggest that both the EMDR and cognitive-behavioral therapy are effective in the treatment of post-traumatic stress disorder. Both methods reduce in clinically relevant extent, both immediate and long lasting, the PTSD symptomatology intrusions, avoidance and increased arousal. In addition, both treatments lead to a reduction in comorbid anxiety and depression symptomatology. The effectiveness of both methods is shown here both in Prä-/Post-Vergleich as well as direct Post-/Post-Vergleich with a control condition. Moreover, there is a similar level of effectiveness of EMDR and CBT, both in comparison to the Prä-/Post-Effektstärken as well as direct Post-/Post-Vergleich. Nevertheless, there seems to be different factors that influence the effectiveness of both EMDR therapy as well as cognitive-behavioral therapy. Due to the small number of studies, these factors can, however, examine in detail. Weitern the distinguished differences in the efficiency of the two forms of therapy from: Thus, the average duration of treatment with EMDR is 5 sessions in cognitive-behavioral therapy, however, 8 sessions. In addition, the exposure dose in the cognitive-behavioral therapies is higher than EMDR.
The findings on the effectiveness of bilateral stimulation, however, are less clear. However, studies that attempt to isolate the eye movements with PTSD in persons often characterized by significant methodological flaws. Individual findings and concepts on the role of bilateral stimulation in EMDR are discussed in the discussion section.
Keywords: Posttraumatic Stress Disorder PTSD Trauma
Accuracy Verified: Yes
61. Cotraccia, A. (2008, June). Disorganized attachment in the “worried well”: EMDR in the treatment of adjustment disorders. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
This workshop will begin with a focus on current Adjustment Disorder literature. This section will highlight
problems of intrapersonal and interpersonal attunement as defined from an Interpersonal Neurobiological
perspective. Furthermore, literature on attachment theory will explore the importance of contingent
communication in the development of an integrated mind. The relevance of intersubjective experience in
adaptive information processing will help participants learn to identify experiences of misattuned communication
as relational trauma. Information processing will further be explored as related to self states. An emphasis on
recognizing “cohesive vs coherent” self states will be made. The understanding of the multiplicity of the mind in
this section will provide a context for considering dissociation from an attachment theory perspective. In addition
the emergence of cohesive and “disaggregated” self states will be highlighted as a result of the disorganized
attachment experience. This particular type of relational trauma will be conceptualized as a betrayal trauma.
Disavowal of self states will be established as salient in the vagueness of presenting complaints in the patient
with an Adjustment Disorder. AIP case conceptualization of Adjustment Disorders will be established and a focus
for the remainder of the workshop. Identification of memory networks associated with disorganized/unresolved
experiences and integration of cohesive self states will follow. The 8 phased 3 pronged protocol or modified egostate
specific targeting will be highlighted with a case study. Participants will learn to organize a treatment plan
around negative cognitions, affects and behaviours reflected in the presenting problem and history.
Keywords: Adjustment Disorders
Accuracy Verified: Yes
62. Hembree, E., Foa, E., Dorfan, N., Street, G., Kowalski, J., & Tu, X. (2003, December). Do patients drop out prematurely from exposure therapy for PTSD?. Journal of Traumatic Stress, 16(6), 555-562. doi:10.1023/B:JOTS.0000004078.93012.7d.
Language: English
Format: Journal
Abstract:
Many studies have demonstrated the efficacy of exposure therapy in the treatment of chronic PTSD. Despite the convincing outcome literature, a concern that this treatment may exacerbate symptoms and lead to premature dropout has been voiced on the basis of a few reports. In this paper, we examined the hypothesis that treatments that include exposure will be associated with a higher dropout rate than treatments that do not include exposure. A literature search identified 25 controlled studies of cognitivebehavioral treatment for PTSD that included data on dropout. The results indicated no difference in dropout rates among exposure therapy, cognitive therapy, stress inoculation training, and EMDR. These findings are consistent with previous research about the tolerability of exposure therapy. [Author Abstract]
Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Dropouts
Accuracy Verified: Yes
63. Cahill, S. P., Carrigan, M. H., & Frueh, B. C. (1999, January-April). Does EMDR work? And if so, why?: A critical review of controlled outcome and dismantling research. Journal of Anxiety Disorders, 13(1-2), 5-33. doi:10.1016/S0887-6185(98)00039-5.
Language: English
Format: Journal
Abstract:
Research on Eye Movement Desensitization and Reprocessing therapy (EMDR) was reviewed to answer the questions “Does EMDR work?” and “If so, Why?” This first question was further subdivided on the basis of the control group: (a) no-treatment (or wait list control), (b) nonvalidated treatments, and (c) other validated treatments. The evidence supports the following general conclusions: First, EMDR appears to be effective in reducing at least some indices of distress relative to no-treatment in a number of anxiety conditions, including posttraumatic stress disorder, panic disorder, and public-speaking anxiety. Second, EMDR appears at least as effective or more effective than several nonvalidated treatments (e.g., relaxation, active listening) for posttraumatic stress reactions. Third, despite statements implying the contrary, no previously published study has directly compared EMDR with an independently validated treatment for posttraumatic stress disorder (e.g., therapist-directed flooding). In the treatment of simple phobia, participant modeling has been found to be more effective than EMDR. Fourth, our review of dismantling studies reveals there is no convincing evidence that eye movements significantly contribute to treatment outcome. Recommendations regarding further research directions are provided(ScienceDirect).
Keywords: Anxiety Disorders Literature Review PTSD Relaxation Therapy Treatment Effectiveness
Accuracy Verified: Yes
64. Molster, F. (1998). Door het oog uit het hart: Een literatuurstudie naar EMDR [Through the eye of the heart: A literature review on EMDR]. Universiteit van Amsterdam, Faculteit der Psychologie, Amsterdam, Nederlands.
Language: Dutch
Format: Dissertation/Thesis
Keywords: Literature Review
Accuracy Verified: Yes
65. Hembree, E., Foa, E., & Dorfan, N. (2002, November). Dropout rates across treatments for PTSD. In N. Feeney (Chair), Is exposure therapy for PTSD helpful or harmful? Symposium conducted at the 18th annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Is Exposure Therapy For PTSD Helpful or Harmful?: Does exposure therapy cause severe symptom exacerbation or treatment
dropout? We will examine clinical impressions and research in this area. First,
clinical perspectives on the tolerability of exposure will be presented.Then,
three empirical papers will explore: dropout rates for exposure, symptom
exacerbation in women undergoing imaginal exposure, and factors that influence
treatment choices.
Dropout rates across treatments for PTSD: Many studies have demonstrated the efficacy of exposure therapy in the
treatment of chronic posttraumatic stress disorder (PTSD). Despite the convincing
outcome literature, a concern that this treatment may exacerbate
symptoms and lead to premature dropout has been voiced on the basis of a
few reports. In the present paper, we examined the hypothesis that treatments
that include exposure will be associated with a higher dropout rate
than treatments that do not include exposure. A literature search identified
17 controlled studies of cognitive behavioral treatment for PTSD that
67
Concurrent Sessions–Saturday,November 9
Saturday: 1:00 p.m.–2:15 p.m.
included data on dropout. The results indicated no difference in dropout
rates among exposure therapy, cognitive therapy, stress inoculation training,
and EMDR.These findings are consistent with previous research about the
tolerability of exposure therapy.
Keywords: Dropout Rate Symposium
Accuracy Verified: Yes
66. Turner, S. (2005, November). Drug treatments in the management of PTSD. Symposium conducted (S. Turner, Chair) at the 21st annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.
Language: English
Format: Conference
Abstract:
The UK National Institute for Clinical Excellence
Guidelines on PTSD: Based on rigorous meta-analysis, detailed literature review and two public
consultations, the national guidelines for the assessment, prevention and
treatment of PTSD in the UK will be presented in this symposium on behalf
of the Guideline Development Group.
Drug treatments in the management of PTSD: Drug treatments are increasingly used in the management of PTSD and have
been supported by a number of recent reviews although there have been
increasing concerns about their safety. Recent guidance has been issued in
the UK by the Regulatory Agency concerning the use of SSRI drugs in people
of all ages, but especially in children and young adults. In a meta-analysis
of the clinical trial literature for PTSD, following a rigorous bibliographic
search, 26 RCTs meeting strict criteria were identified. Data on two hitherto
unpublished trials of sertraline were available for inclusion. This review highlights
the methodological issues involved in comparing drug trials and trials
of psychological therapies. Nonetheless, meta-analysis demonstrates that
drug treatments for PTSD are probably more disappointing than hitherto
believed. Only five drugs emerged with recommendations for use. One of
these has a reliable if modest effect (paroxetine). The other four are included
on the basis of small single trial reports. Although there are clear indications
for drug treatments, in general there should be an increasing emphasis on
ensuring that trauma-focused psychological treatments (CBT and EMDR) are
widely available, delivered by competent practitioners, and easily accessible
in a timely fashion in primary and secondary care settings.
Keywords: Drug Treatment Posttraumatic Stress Disorder PTSD Symposium
Accuracy Verified: No
67. Rosch. P. J. 1997, January-February) . Editorial comments: The treatment of posttraumatic stress disorder (PTSD). Psychosomatic Medicine, 59(1), 71 .
Language: English
Format: Journal
Abstract:
These letters criticize alleged omissions in a review of the literature on treatment of PTSD. [Pilots]
Keywords: Letter Posttraumatic Stress Disorder Professional Criticism PTSD Treatment
Accuracy Verified: Yes
68. Glover, H. (1997, January-February). Editorial comments: The treatment of posttraumatic stress disorder (PTSD). Psychosomatic Medicine, 59(1), 70-71.
Language: English
Format: Journal
Abstract:
These letters criticize alleged omissions in a review of the literature on treatment of PTSD. [Pilots]
Keywords: Letter Posttraumatic Stress Disorder Professional Criticism PTSD Treatment
Accuracy Verified: Yes
69. Laugharne, J. (2010, July). The effect of EMDR on pathological personality traits: An initial case series. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
There is little published data regarding the effect of Eye Movement Desensitisation and Reprocessing (EMDR) on personality
disorders and pathological personality traits. A PTSD clinic has been developed at Fremantle Hospital in Western Australia
since May 2009. All patients referred are initially assessed using the MINI–plus for DSM IV axis I diagnoses, the PTSD Checklist,
and the SCID 2 for personality traits/disorders. These assessments are carried out again post treatment. All patients accepted
for treatment have PTSD according to DSM IV criteria but most have comorbid axis I diagnoses and often marked pathological
personality traits or personality disorders. The primary psychological treatment for PTSD offered at the clinic is EMDR. In this
presentation, data will be presented regarding an initial series of cases treated for PTSD at the clinic using EMDR with an
emphasis on changes in their SCID 2 scores post-treatment and how this relates to changes in PTSD scores. The theoretical
and practical implications of the data will be discussed in the context of the existing literature as well as transcultural
considerations and future research directions outlined.
Keywords: Personality Traits
Accuracy Verified: Yes
70. Smith, S. (2003, Spring). The effect of EMDR on the pathophysiology of PTSD. International Journal of Emergency Mental Health, 5(2), 85-91.
Language: English
Format: Journal
Abstract:
The process of understanding PTSD has been a long and difficult one. It is safe to say our understanding of this disorder is incomplete, and our exploration into its pathophysiology is fairly recent. As with any disorder of the brain, the complexities of PTSD are extensive and require integrating cognitive, functional, and chemical components. Given this complexity, it is no wonder that treating PTSD has also been a challenge. Treating a disorder whose components are not fully understood is similar to shooting in the dark. Some shots have hit their mark and some have missed. More than ten years after its conception, the question of whether Eye Movement Desensitization and Reprocessing (EMDR) is a hit or a miss is still debated. If understanding the pathophysiology of PTSD is still recent, understanding the possible physiology behind EMDR is just beginning. This paper will define PTSD, explain some aspects of its physiology, and present some hypotheses as to why EMDR may be a successful treatment for PTSD. [Author Abstract]
Keywords: Literature Review Posttraumtic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
71. Manfield, P. (2006, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The workshop begins with a discussion of which clients this technique is appropriate for. The
technique is not recommended for couples in which
either or both partners do not have adequate affect
tolerance, observing ego, or trust of each other's
integrety. Other risk factors for using EMDR in
couples therapy that have been highlighted in other
presentations and literature will be briefly reviewed.
Participants will learn to differentiate between
clients' statements that represent present experience
and those that represent concepts of present
experience or reporting of past experiences.
Participants will be taught specific interventions
which they will practice in guided exercise that
will enable them to facilitate both individuals and
couples to stay in their present experience during
EMDR targeting. Irrational emotional responses
to daily interactions and conflicts are often the result
of unresolved issues resulting from underlying
feeder memories. Participants will learn a simple
method for identifying underlying issues of each
individual partner related to a given conflict. The
final and most substantial portion of this
presentation will be focused on using a refined
"affect bridge" technique to identify the feeder
memories associated with those issues so that they
can be targeted with the standard EMDR protocol.
Specific methods will be taught to overcome
clients' resistance and difficulties with accessing
memories; these methods include use of accessing
cues (re: Neurolinguistic Programming) and
developing eidetics (re: Eidetic Psychotherapy)
These methods will be illustrated using a case
transcript, guided participant experiential exercise, and live demonstration.
Keywords: Couples Couples Therapy Targeting
Accuracy Verified: Yes
72. Cloitre, M. (2009, January). Effective psychotherapies for posttraumatic stress disorder: A review and critique. CNS Spectrums, 14(1, Supplement 1), 32-43 .
Language: English
Format: Journal
Abstract:
This report reviews and critiques the psychotherapy literature for the treatment of PTSD and systematically presents data on sample size, rates of completion, and effect sizes. Substantial progress has been made in the use of cognitive behavioral therapies and eye movement desensitization and reprocessing for the resolution of PTSD. Innovations in PTSD treatments are identified. Further advances are needed in the treatment of populations with complex and chronic forms of PTSD such as those found in childhood abuse populations, refugee populations, and those experiencing chronic mental illness. The need to address comorbid emotional, social, and physical health consequences of trauma, to implement treatments in community-based settings, and to incorporate larger systems of care into study designs is noted. [Author Abstract]
Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
73. Lothlorien (2010, December). The effectiveness of EMDR: A literature review. (Author) Online .
Language: English
Format: Dissertation/Thesis
Abstract:
This literature review has been conducted to study the effectiveness of Eye-Movement Desensitization and Reprocessing (EMDR) in treating trauma. Articles for this literature review were chosen using the Google Scholar database with OhioLink applying keywords such as EMDR, EMDR and trauma, and EMDR effectiveness. Articles were also found using the EMDR International Association website at http://emdria.org. Most articles were chosen due to their relevance to the research question. Other factors that were considered were the quality of the research, timeliness, the number of times an article was cited by others, and accessibility. . Of these ten articles, 2/10 (20%) were literature reviews, 2/10 (20%) were conceptual articles, and 6/10 (60%) were empirical studies. All of the empirical studies (6/6 or 100%) were quantitative. All empirical studies cited in the literature review (6/6 or 100%) used primary data based on observation. Five out of the six (83%) empirical studies used and experimental design. One out of six (17%) used a quasi-experimental design. In the six empirical studies, the mean sample size was 51. The smallest sample size was 22, and the largest sample size was 88. Based on the articles studied for this review, EMDR is found to be an effective treatment for trauma. It has also been found to work faster than other therapies. Some studies also showed it to be more easily tolerated by clients than other therapies. Major limitations to this review are the number of publications included, the fact that only articles available in full text form via OSU affiliates were selected, and time available for the literature review. Based on the conclusion that EMDR is an effective mode of treatment for trauma survivors, social workers conducting therapy with this population would benefit from learning the technique and incorporating it in their repertoire of therapies.
Keywords: Literature Review Research Methods Trauma
Accuracy Verified: Yes
74. Williams, C. J. (2001). The effectiveness of eye movement desensitization and reprocessing (EMDR) in the treatment of psychologically traumatized individuals: A literature review. University of Wisconsin - Stout.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this literature review was to investigate the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) with traumatized individuals primarily diagnosed with Post Traumatic Stress Disorder (PTSD). In this investigation an overview of Eye Movement Desensitization and Reprocessing (EMDR) as well as other approaches in the treatment of traumatized individuals was explored. Included in this investigation is a critical review of controlled research and the use of EMDR. Finally, the information is summarized and recommendations are offered based upon information gathered.
Keywords: Literature Review Trauma
Accuracy Verified: Yes
75. Thieman, S. L. (2009). The effects of eye movement desensitization and reprocessing (EMDR) on traumatized children. Prescott College, AZ. AAT 1465372.
Language: English
Format: Dissertation/Thesis
Abstract:
The cost and benefits of Eye Movement Desensitization and Reprocessing (EMDR) on children who have endured trauma was reviewed in an effort to answer the following question: can EMDR, an established therapeutic tool for trauma recovery with adults, address the needs of children who are experiencing the after effects of trauma? This literature review included research on the brain, repercussions of trauma, and the process of EMDR treatment. A case study of an eight year old boy attending a psychiatric day treatment program depicts both childhood trauma and EMDR treatment and indicates that EMDR was an effective treatment modality for this boy with a history of abuse and neglect. The client's drawings indicate a reduction and release of trauma following a session of EMDR. These findings are congruent with much of the available literature.
Accuracy Verified: Yes
76. Ruozzi, A. (2002). Efficacia dell'EMDR nella psicoterapia del PTSD e dei ricordi traumatici [Effectiveness of EMDR psychotherapy on PTSD and traumatic memories]. Retrieved from http://www.psicotraumatologia.com/pubblicazioni_psicotraumatologia_italiane.htm on 10/13/2012.
Language: Italian
Format: Dissertation/Thesis
Abstract:
L’EMDR inoltre progredisce su altri due versanti: da un lato incorpora al suo interno spunti teorici ed applicativi provenienti da diversi paradigmi psicoterapeutici allo scopo di potenziare l’efficacia e la flessibilità (Shapiro, 1995); dall’altro lato, si cerca di applicare il metodo a disturbi che vanno oltre al PTSD. Attualmente nei differenti paesi del mondo le persone che hanno effettuato un training organizzato dall’EMDR Institute sono circa 30.000.In Italia i primi corsi sull’EMDR sono stati condotti nel febbraio 1999 e sono attualmente coordinati dall’Associazione EMDR Italia, a sua volta riconosciuta e patrocinata dalla EMDR Europe (Giannantonio, 2000). L’associazione ha sede a Milano e dispone di un sito internet: www.emdritalia.it.
Il dibattito sull’efficacia di questo metodo è tuttora aperto e sono numerose e contrastanti le ricerche che si sono svolte su questo argomento. La questione ha assunto a tratti i toni dello scontro ideologico e sono subentrati anche problemi di carattere commerciale, un metodo che si propone come più efficace e più rapido nella terapia di alcuni disturbi psicologici non può non essere valutato come un rivale, soprattutto in una realtà come quella del Nord America dove le spese per la psicoterapia sono pagate dalle assicurazioni (Giannantonio, 2000).
L’EMDR è uno dei metodi che vanta il maggior numero di conferme sperimentali nella psicoterapia del PTSD. Questo gli ha consentito nel 1995 di essere considerata “trattamento probabilmente efficace” (valutazione A/B) nella terapia del PTSD dalla Task Force on Psychological Intervention dell’American Psychological Association. Questa valutazione di efficacia è uguagliata solo dallo Stress Inoculation Training e dalle terapie basate sull’esposizione (Chambless et al., 1998).
Gli studi prodotti sull’efficacia dell’EMDR sono numerosi (per una rassegna vedi Giannantonio, 2000), molti sono criticabili perché mal strutturati e con grossi problemi di validità. Esistono tuttavia una serie di studi ben organizzati che si sono dimostrati inattaccabili sul piano metodologico...
Questi studi tuttavia commettono uno o più dei seguenti problemi:
1) Impiegano una o due sedute di EMDR con reduci del Vietnam forse anche a causa dell’equivoco suscitato dalla stessa Shapiro (1989) che riferiva risultati importanti nei confronti del PTSD con una sola seduta di EMDR nel 100% dei soggetti. Una tale concezione dell’EMDR non è quella più attuale e condivisa (Shapiro, 1995).
2) Trattano con l’EMDR solo uno o due episodi traumatici in soggetti che devono essere considerati “pluritraumatizzati” (Shapiro, 1999).
La presente Tesi è divisa in due parti: nella prima di carattere essenzialmente bibliografico ho analizzato la letteratura esistente sull’EMDR e sul PTSD.
Nel secondo capitolo descriverò il Disturbo Post-Traumatico da Stress analizzando i vari approcci teorici al problema del trauma.
Nel terzo capitolo verrà analizzata la teoria dell’EMDR ovvero il modello esplicativo ritenuto più adeguato che fa riferimento alla “elaborazione accelerata dell’informazione”.
Il quarto capitolo, che conclude la prima parte, riporta il protocollo standard di somministrazione dell’EMDR per adulti e adolescenti.
Nella seconda parte viene riportata la descrizione della ricerca che si sta producendo in collaborazione con l’EMDR Italia che si propone di valutare l’efficacia dell’EMDR. Nel quinto capitolo viene descritto il disegno sperimentale. Nel sesto capitolo viene analizzato il metodo di campionamento e i presupposti di validità della ricerca. Nel settimo capitolo sono descritti i test che si è deciso di analizzare nel corso della presente tesi. Infine l’ottavo capitolo si concentra sull’analisi dei primi dati emersi dalla ricerca e sulle prime conclusioni.
EnglishSpanishArabicAlpha
EMDR also progressing on two other fronts: on the one hand it incorporates theoretical insights and applications from different psychotherapeutic paradigms in order to enhance the effectiveness and flexibility (Shapiro, 1995), on the other hand, it tries to apply the method to problems that go beyond PTSD.
Currently in different countries of the world, people who have a training organized dall'EMDR Institute 30.000.In Italy are about the first courses on EMDR have been conducted in February 1999 and is currently coordinated by the Association EMDR Italy, in turn recognized and sponsored by the EMDR Europe (Giannantonio, 2000). The association is based in Milan and has a website: www.emdritalia.it.
The debate on the effectiveness of this method is still open and they are many and conflicting research that took place on this topic. The issue has assumed at times the tone of the ideological battle and were replaced also problems of a commercial nature, a method is proposed as a more effective and faster in the treatment of certain psychological disorders can not be assessed as a rival, especially in a situation such as North America where the cost of psychotherapy are paid by insurance (Giannantonio, 2000).
EMDR is one of the methods which has the highest number of experimental confirmation in psychotherapy for PTSD. This enabled him in 1995 to be considered "probably efficacious treatment" (rated A / B) in the treatment of PTSD by the Task Force on Psychological Intervention of the American Psychological Association. This assessment of effectiveness is equaled only by the stress inoculation training and exposure-based therapies (Chambless et al., 1998).
Studies on the effectiveness of EMDR are numerous products (for review see Giannantonio, 2000), many are questionable because poorly structured and serious problems of validity. There are however a number of well-organized studies that have proven resistant in terms of methodology:
......
These studies, however, have committed one or more of the following problems:
1) They use one or two sessions of EMDR with Vietnam veterans possibly because of misunderstanding caused by the same Shapiro (1989) who reported significant results against PTSD with a single session of EMDR in 100% of subjects. Such a conception of EMDR is not the most current and shared (Shapiro, 1995).
2) They deal with EMDR only one or two traumatic events in people who should be considered "pluritraumatizzati" (Shapiro, 1999).
This thesis is divided into two parts: the first character essentially bibliographic I analyzed the existing literature on EMDR and PTSD.
In the second chapter I will describe the Post-Traumatic Stress Disorder analyzing the various theoretical approaches to the problem of trauma.
In the third chapter we will analyze the theory of EMDR or the explanatory model deemed more appropriate that refers to the "accelerated processing of information."
The fourth chapter, which concludes the first part shows the standard protocol of administration of EMDR for adults and adolescents.
In the second part shows the description of the research that is being produced in collaboration with the EMDR Italy that aims to assess the effectiveness of EMDR. In the fifth chapter describes the experimental design. In the sixth chapter analyzes the sampling method and the conditions for validity of the research. In the seventh chapter describes the tests it was decided to analyze the course of this thesis. Finally, the eighth chapter will focus on early evidence from research and initial findings.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
77. Lee, C. (2006, May). Efficacy and mechanisms of action of EMDR as a treatment for PTSD. Murdoch University, Perth, Australia.
Language: English
Format: Dissertation/Thesis
Abstract:
The first aim of this thesis was to describe the characteristics of Posttraumatic Stress Disorder (PTSD) and to elucidate its place as a symptom disorder that sometimes develops when people are exposed to a traumatic event. The current major theoretical approaches to account for why some people who are exposed to trauma develop PTSD and the mechanisms by which this occurs were described. Three classes of theories were reviewed: conditioning/learning approach; information processing theories with a particular focus on the meaning of the trauma event; and biological models with an emphasis on recent neurocircuitry and neurochemistry models.
Successful treatment approaches were then reviewed which indicated two major contenders for the most efficacious treatment for PTSD: traditional cognitive behaviour therapies (CBT) using either stress inoculation or prolonged exposure; and eye movement desensitisation and processing (EMDR). Prior to the first study (Lee, Gavriel, Drummond, Richards, and Greenwald, 2002), a review of the literature indicated equivalent effects for EMDR and CBT. There had been very few direct comparison studies and each had serious methodological flaws, particularly with respect to random assignment and treatment fidelity. Therefore, the first study ensured adequate attention to these areas and involved a direct comparison between the two procedures using a sample of 24 participants diagnosed with PTSD. EMDR and stress inoculation training with prolonged exposure were found to lead to similar symptom improvement at the end of treatment, apart from a slight advantage for EMDR on intrusion symptoms. Both treatments led to significantly greater symptom reduction than a wait list control condition. At follow-up, EMDR led to greater gains on both self-report and observer rated measures of PTSD and self-report measures of depression. Overall, the findings were similar to those described in previously published studies, with a suggestion that EMDR was slightly more efficient than the standard CBT approach.
Given that the evidence suggested that EMDR was a more efficient treatment, it became critical to understand the underlying processes. A process study was undertaken that examined the responses of people with PTSD receiving EMDR treatment (Lee, Taylor, and Drummond, 2006). Guided by process studies of other treatments and theories that might account for why EMDR is effective, participants' responses were examined to see which models better accounted for symptom improvement. The main analysis tested whether or not the responses were consistent with processes that occurred during traditional CBT treatment, which prior research had identified as reliving, or whether they were more consistent with Shapiro's proposal that enhanced information processing occurs because there is a dual focus of attention (that is, the person simultaneously focuses on an external stimulus and on the traumatic memory) (Shapiro, 1995). The responses made by 44 participants were coded by an independent rater according to whether they were primarily reliving, distancing, affect or material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement occurred when the participant processed in a more detached or distant manner, whereas reliving responses were not associated with improvement. Cross-lagged panel correlations suggested that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that co-varied with improvement. The findings underscored a difference in the processes that underlie EMDR and traditional CBT.
The major question left unanswered from this second study was what causes this distancing process? Competing views were that it was facilitated by eye movement; alternatively, the therapist's instructions to participants might have precipitated this distancing phenomenon. The third study tested these ideas by randomly assigning 48 participants to either an eye movement or a no eye movement condition under two types of therapist instructions (reliving or distancing). Participants recalled personal distressing memories, and measures of distress and vividness were taken after treatment and at follow up. Only the eye movements made a significant difference to people's level of distress.
This conclusion appeared at odds with some of the previous literature that had tested the effects of eye movement on levels of distress. A meta-analysis of some of this research had suggested that there was no significant advantage of including eye movement in EMDR treatment unless the person had been diagnosed with PTSD. However, a close examination of this meta-analysis indicated some major methodological flaws in the computation; therefore, this was recalculated. The conclusion from this fourth study was consistent with study three in that EMDR with eye movement was found to lead to significantly greater improvement that EMDR without eye movement.
The results of these four studies were then discussed in terms of their implications for the theoretical models presented in Chapter 1. Aspects of learning theory that might account for EMDR efficiency were discussed as well as the failure of this model to account for treatment gains following EMDR. Information processing models were seen to better account for some of the phenomena observed in EMDR and for the findings from the four studies. Some suggestions of how eye movements might facilitate improved information processing were presented.
Finally, the relative merits of EMDR and CBT treatments were discussed and suggestions made for when to combine approaches. The conclusions highlight the point that EMDR appears to be the most promising treatment for PTSD.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
78. Lohr, J. M., Tolin, D. F., & Lilienfeld, S. O. (1998, Winter). Efficacy of eye movement desensitization and reprocessing: Implications for behavior therapy. Behavior Therapy, 29(1), 123-156. doi:10.1016/S0005-7894(98)80035-X.
Language: English
Format: Journal
Abstract:
The commitment of behavior therapy to empiricism has led it to a prominent position in the development of validated methods of treatment. The recent development and rapid expansion of Eye Movement Desensitization and Reprocessing (EMDR), a treatment that bears a resemblance to behavioral techniques and that has been proposed as an alternative to such techniques for numerous psychological disorders, raises important questions for the field of behavior therapy. In this article, we examine 17 recent studies on the effectiveness of EMDR and the conceptual analysis of its mechanisms of action. The research we review shows that (a) the effects of EMDR are limited largely or entirely to verbal report indices, (b) eye movements appear to be unnecessary for improvement, and (c) reported effects are consistent with non-specific procedural artifacts. Moreover, the conceptual analysis of EMDR is inconsistent with scientific findings concerning the role of eye movements. Implications of the empirical and theoretical literature on EMDR for behavior therapy are discussed. [Author Abstract]
Keywords: Aged Anxiety Disorders Behavior Modification Cognitive Therapy Depressive Disorders Drug Therapy Health Care Utilization Literature Review Psychoanalytic Psychotherapy Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
79. Easton, M. (2009). The efficacy of eye-movement desensitization and reprocessing (EMDR) in the treatment of sexual trauma: A review of the literature. Argosy University, Atlanta, GA.
Language: English
Format: Dissertation/Thesis
Abstract:
Keywords: Review Sexual Trauma Treatment
Accuracy Verified: Yes
80. Konuk, E., & Ergun, B. M. (2012, June). EMDR & complex post traumatic stress disorder [EMDR y Trastorno por estrés post-‐traumático complejo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Complex
Post
Traumatic
Stress
Disorder
(C-‐PTSD)
is
a
psychological
injury
that
results
from
protracted
and
repeated
exposure
to
traumatic
stressor.
Though
the
literature
in
recent
years
presented
and
published
papers
on
C-‐PTSD,
the
category
is
under
consideration
for
inclusion
in
DSM
or
ICD.
PTSD
descriptions
fail
to
capture
some
of
the
core
elements
of
C-‐PTSD.
Such
elements
include
captivity,
psychological
fragmentation,
the
loss
of
a
sense
of
safety,
trust,
and
self-‐
worth,
as
well
as
the
tendency
to
be
re-‐victimized,
and
the
loss
of
a
coherent
sense
of
self.
It
is
this
loss
of
a
coherent
sense
of
self,
and
the
ensuing
symptom
profile,
that
most
pointedly
differentiates
C-‐PTSD
from
PTSD.
Six
clusters
of
symptom
have
been
suggested
for
diagnosis
of
C-‐PTSD.
These
are;
1. Alterations
in
regulation
of
affect
and
impulses
2. Alterations
in
attention
or
consciousness
3. Alterations
in
self-‐perception
4. Alterations
in
relations
with
others
5. Somatization
6. Alterations
in
systems
of
meaning
The
aim
of
this
workshop
is
to
present
C-‐PTSD
and
the
use
of
EMDR
treatment
of
a
severely
disturbed
young
woman
with
unfinished
bereavement
for
her
mother
lost
10
years
ago,
series
of
sexual
abuse
by
12
persons,
rejection
and
emotional
abuse
by
close
family
members.
The
case
will
be
presented
via
DVD
recordings
of
sessions.
El
trastorno
por
estrés
post-‐traumático
complejo
(C-‐TEPT)
es
una
lesión
psicológica
consecuencia
de
una
exposición
prolongada
y
repetida
a
un
estresor
traumático.
Si
bien
la
literatura
ha
presentado
y
publicado
trabajos
sobre
C-‐TEPT
en
los
últimos
años,
la
categoría
se
encuentra
sometida
a
debate
para
su
inclusión
en
el
DSM
o
CIE.
Las
descripciones
de
TEPT
no
captan
algunos
de
los
elementos
esenciales
de
C-‐
TEPT.
Dichos
elementos
incluyen
la
fragmentación
psicológica,
la
pérdida
de
una
sensación
de
seguridad,
confianza
y
valor
propio
de
la
persona,
así
como
la
tendencia
a
sufrir
nuevas
victimizaciones
y
la
pérdida
de
un
sentido
coherente
del
yo.
Es
precisamente
esta
pérdida
un
sentido
coherente
del
yo
y
el
perfil
sintomatológico
consecuente,
lo
que
diferencia
más
marcadamente
el
C-‐TEPT
del
TEPT.
Se
han
planteado
los
siguientes
seis
grupos
(“clusters”)
de
síntomas
para
el
diagnóstico
de
C-‐TEPT:
1. Alteraciones
de
la
regulación
del
afecto
e
impulsos
2. Alteraciones
de
la
atención
o
conocimiento
3. Alteraciones
de
la
auto-‐percepción
4. Alteraciones
de
las
relaciones
con
terceros
5. Somatización
Alteraciones
de
los
sistemas
de
significado
El
objetivo
que
persigue
este
taller
es
el
de
presentar
el
C-‐TEPT
y
el
empleo
del
tratamiento
con
EMDR
de
una
joven
gravemente
perturbada
con
duelo
incompleto
por
la
pérdida
de
su
madre
hacía
10
años,
una
serie
de
abusos
sexuales
por
parte
de
12
personas,
el
rechazo
y
abuso
emocional
por
parte
de
familiares
cercanos.
Se
presentará
el
caso
mediante
las
grabaciones
en
DVD
de
las
sesiones.
Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PSTD
Accuracy Verified: Yes
81. 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
82. Wejdsten, G. (2007, October). EMDR - Metoden [EMDR - method]. Goteborgs Universitet, Institutionen för socialt arbete, Sweden.
Language: Swedish
Format: Dissertation/Thesis
Abstract:
Den här uppsatsen handlar om EMDR- metoden. En psykoterapeutisk metod som syftar till att bearbeta minnen från traumatiska händelser och mildra de psykologiska konsekvenserna. Francine Shapiro utvecklade denna metod 1989 för behandling av trauma. Det påstås att 84- 100 % av dem som behandlas mot Post traumatisk stress syndrom med denna metod blir fria från symptom på endast 1-3 behandlingar. Shapiro påstår att metoden är effektivare än någon annan terapeutisk behandlingsmetod. Huvudsyftet med att välja att skriva om detta, var att införskaffa kunskap om EMDR- metoden i sin helhet. Om dess uppkomst och utveckling. Vem den tillämpas på samt hur den tillämpas och mål med metoden. Jag ville veta vad forskningen säger om metoden. Uppsatsen är främst en litteraturstudie. EMDR- metoden behandlas främst i kapitel 3. Nyckelord behandlas under stycket definitioner. I Teori- delen jämför jag EMDR- metoden med; Kognitiv terapi, Kognitiv beteende terapi och Psykodynamisk terapi. Jag gör det för att jag funnit likheter och skillnader dem emellan. Jag skriver också lite om studier och forskning om metoden. Jag har lärt mig och redovisar metodens uppkomst, utveckling, mål. Hur den tillämpas och på vad. EMDR har viss effekt i behandlingen av PTSD och detta är styrkt vetenskapligt. Det är inte styrkt vetenskapligt att EMDR skulle vara effektivare än andra psykoterapeutiska metoder. Många utövare har positiv upplevelse av EMDR- utbildning och utövande. De flesta anser det är av stor vikt att man har terapi erfarenhet som exempelvis psykolog innan man utövar EMDR- metoden. Detta är också ett krav om man vill gå utbildningen. Det är ej vetenskapligt klarlagt vilken del i behandlingen som är verksam. Det är inte bevisat vad ögonrörelserna eller alternativa stimuleringar har för effekt. EMDR sammanfogar komponenter från flera psykologiska inriktningar. PTSD är den huvudsakliga målgruppen. Man behandlar både barn och vuxna. Det saknas hälsoekonomiska utvärderingar av EMDR- metoden och mer forskning behövs om metoden. Främst för att kunna bevisa effektiviteten på andra symptom än PTSD, kostnadseffektiviteten och för att se om effekten av minskade symptom kvarstår på sikt, en lång tid efter behandlingen. En socionom får gå en EMDR- utbildning om man först läser till psykoterapeut.[Science Direct]
This essay is about EMDR method. A psychotherapeutic approach designed to process the memories of traumatic events and mitigate the psychological consequences. Francine Shapiro developed this method in 1989 for the treatment of trauma. It is claimed that 84 - 100% of those under treatment for post traumatic stress syndrome with this method is free of symptoms of only 1-3 treatments. Shapiro claims that the method is more effective than any other therapeutic treatment. The main purpose of choosing to write about this, was to acquire knowledge of the EMDR method as a whole. If its origin and development. Who it applies to and how it is applied and the objectives of the method. I wanted to know what research says about the method. The essay is primarily a literature review. EMDR method is mainly addressed in Chapter 3. Keywords treated under paragraph definitions. In theory, part I compare EMDR method, Cognitive Therapy, Cognitive-behavioral therapy and psychodynamic therapy. I do it because I found the similarities and differences between them. I also write a bit of study and research methodology. I have learned and identify ways the origin, development, goals. How it is applied and on what. EMDR has some effect in the treatment of PTSD and this is proven scientifically. It is not proved scientifically that EMDR is more effective than other psychotherapeutic methods. Many practitioners have positive experience of EMDR training and exercise. Most believe it is essential that you have other therapies, such as a psychologist before practicing EMDR method. This is also a requirement if you want to attend the program. It is not scientifically clear what part of the treatment that works. It is not proven what the eye movements or alternative stimuli has for effect. EMDR merges components from several psychological approaches. PTSD is the main target group. It treats both children and adults. The lack of health economic evaluations of EMDR method and more research is needed on the method. Mainly in order to prove the effectiveness of other symptoms than PTSD, cost effectiveness and to see if the effect of decreased symptoms persist over time, a long time after treatment. A social worker may go one EMDR training on first reading to the psychotherapist. [Science Direct]
Keywords: Behavioral Theory CBT Cognitive Behaviorial Therapy Cognitive Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
83. Shapiro, F. (2002, January). EMDR 12 years after its introduction: Past and future research. Journal of Clinical Psychology, 58(1), 1-22. doi:10.1002/jclp.1126 .
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) was one of the first treatments of PTSD to be evaluated in controlled research and has to date been empirically supported by 13 such studies. This article reviews the historical context and empirical research of EMDR over the past dozen years. Historically, EMDR's name has caused confusion in that "desensitization" is considered to be only a by-product of reprocessing and because the eye movement component of EMDR is only one form of dual stimulation to be successfully used in this integrative approach. Research is needed to determine the comparative efficacy of EMDR relative to cognitive-behavioral treatments of PTSD. However, this has been hampered by the lack of independent replication studies of the latter treatments. Current component analyses of EMDR have failed to effectively evaluate the relative weighting of its procedures. Parameters for future research and the testing of protocols for diverse disorders are suggested. [Author Abstract]
Keywords: Cognitive Processes Literature Review Posttraumtic Stress Disorder PTSD Research Needs
Accuracy Verified: Yes
84. Capezzani, L. (2012, June). EMDR and cancer patients: Effetcts on PTSD and their illness coping strategies [EMDR y pacientes con cáncer: Efectos sobre el TEPT y sus estrategias de afrontamiento de la enfermedad]. Presentation at the Annual Meeting of the EMDR Europe Association, Madrid Spain.
Language: English
Format: Conference
Abstract:
The
nature
of
this
study
is
both
observational
and
clinical.
On
the
one
hand
it’s
aimed
to
see
how
the
criteria
of
PTSD
(DSM-‐IV,
2000)
are
represented
in
traumatized
cancer
patients
in
between
two
different
illness
stages
-‐
medical
treatments
and
medical
follow-‐up
stages,
-‐
and
to
see
witch
coping
strategies
are
used
by
these
patients
with
PTSD
in
each
stage.
On
the
other
hand
it’s
aimed
to
know:
a)
whether
CBT
integrated
with
EMDR
produces
different
effects
on
PTSD
in
between
the
two
illness
stages
and
their
specific
coping
strategies;
b)
whether
CBT
with
EMDR
and
CBT
without
EMDR
produce
different
effects
on
PTSD
and
on
the
coping
strategies
within
the
only
medical
follow-‐up
stage.
All
31
subjects
were
recruited
randomly,
10
for
treatment
stage,
11
for
follow-‐up
stage,
both
receiving
CBT
and
EMDR,
and
10
for
a
follow-‐up
stage
treaty
with
CBT
and
no
EMDR.
CAPS
and
COPE
were
used
to
assess
PTSD
and
coping
strategies
respectively.
Results
show
similar
changes
in
between
the
two
illness
stages
after
CBT
with
EMDR,
and
different
ones
within
the
follow-‐up
stage
depending
on
whether
CBT
with
EMDR
or
without
EMDR
was
used.
This
may
suggest
considering
PTSD
such
a
disorder
that
removes
specific
stage
demands/threats
of
cancer
illness,
just
described
in
literature,
as
well
as
the
more
functional
coping
for
each
of
them.
You
may
instead
claim
that
only
CBT
with
EMDR
allows
cancer
patients
to
overcome
the
PTSD
and
consequently
retrieve
selective
specificity
in
coping
strategies
for
each
stage.
La
naturaleza
de
este
estudio
es
tanto
observacional
como
clínica.
Por
un
lado,
pretende
ver
como
se
representan
los
criterios
del
TEPT
(DSM-‐IV,
2000)
en
pacientes
con
cáncer
traumatizados
entre
dos
fases
diferentes
de
la
enfermedad
–
fases
de
tratamientos
médicos
y
seguimientos
médicos
-‐
,
y
ver
qué
estrategias
de
afrontamiento
son
usadas
por
estos
pacientes
con
TEPT
en
cada
una
de
estas
fases.
Por
otro
lado,
pretende
saber:
a)
si
la
TCC
integrada
con
EMDR
produce
efectos
diferentes
sobre
el
TEPT
entre
las
dos
fases
de
la
enfermedad
y
sus
estrategias
de
afrontamiento
específicas;
b)
si
la
TCC
con
EMDR
y
la
TCC
sin
EMDR
producen
efectos
diferentes
sobre
el
TEPT
y
sobre
las
estrategias
de
afrontamiento
tan
sólo
dentro
de
la
fase
de
seguimiento.
Cada
uno
de
los
31
sujetos
fueron
seleccionados
aleatoriamente,
10
para
la
fase
de
tratamiento,
11
para
la
fase
de
seguimiento,
ambos
grupos
recibiendo
TCC
y
EMDR,
y
10
para
la
fase
de
seguimiento
con
TCC
y
sin
EMDR.
Se
utilizaron
CAPS
y
COPE
para
evaluar
el
TEPT
y
las
estrategias
de
afrontamiento
respectivamente.
Los
resultados
muestran
cambios
similares
entre
las
dos
fases
de
la
enfermedad
después
de
la
TCC
con
EMDR,
y
cambios
diferentes
en
la
fase
de
seguimiento
en
función
de
si
se
utilizaba
la
TCC
con
o
sin
EMDR.
Esto
puede
sugerir
que
se
ha
de
considerar
al
TEPT
como
un
trastorno
que
quita
específicas
demandas/amenazas
de
cada
una
de
las
fases
de
la
enfermedad
del
cáncer,
tal
y
como
se
describe
en
la
literatura,
así
como
el
afrontamiento
más
funcional
para
cada
una
de
ellas.
En
vez
de
eso,
se
puede
afirmar
que
tan
sólo
la
TCC
con
EMDR
permite
a
los
clientes
superar
el
TEPT
y
consecuentemente
recuperar
especificidad
selectiva
en
estrategias
de
afrontamiento
para
cada
fase.
Keywords: Cancer Coping Strategies Illness
Accuracy Verified: Yes
85. Smyth, N. J., & Poole, A. D. (2002). EMDR and cognitive-behavior therapy: Exploring convergence and divergence. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 151-180). Washington, DC: American Psychological Association.
Language: English
Format: Book Section
Abstract:
Since first introduced by Shapiro, eye movement desensitization and reprocessing (EMDR) has been the subject of considerable interest, debate, and controversy within the behavioral literature. In this chapter, EMDR is examined from a behavioral perspective with the goal of exploring connections between it and behavior therapy. Since its initial introduction as an intervention for PTSD, EMDR has been expanded and is used to treat a range of other disorders. The present discussion centers on its application in the management of PTSD for two reasons: First, PTSD is the diagnostic category on which the majority of research studies have focused. Second, empirical research has determined that EMDR and cognitive-behavioral therapy (CBT) are efficacious in the treatment of PTSD; they seem to be equally effective, although EMDR may be more efficient.The chapter begins with a brief consideration of the development and essential principles of behavior therapy and of the manner in which behavioral approaches have conceptualized PTSD. This context is essential to understanding how EMDR is conceptualized from a behavioral perspective. The relationship between EMDR and behavior therapy is then explored and mechanisms for its apparent effectiveness considered. Finally, contributions of behavior therapy to EMDR and of EMDR to behavior therapy are discussed, including challenges that each poses to the other. [Text, pp. 151-152]
Keywords: Adults Cognitive Therapy Posttraumtic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors
Accuracy Verified: Yes
86. McNeal, S. A. (2001, July). EMDR and dream interpretation. Presentation at the International Association for the Study of Dreams, Santa Cruz, CA.
Language: English
Format: Conference
Abstract:
This paper describes a method of dream interpretation useful in psychotherapy.The therapist can use the treatment method EMDR (eye-movement desensitization and reprocessing) for processing dream images. The associations elicited in this manner provide a wealth of significant material for psychotherapy as well as resulting in meaningful dream interpretation.
Learning Objectives:
1) To present a new method of dream interpretation
2) To describe the protocol so that others could use it
3) To indicate how this method can enhance therapeutic results
Evaluation questions:
1) How does this use of EMDR differ from the standard use of EMDR with dream imagery?
2) Summarize briefly how EMDR is used for dream interpretation?
3) What are the advantages and disadvantages of this method of dream interpretation?
EMDR and Dream Interpretation
When utilizing EMDR to resolve a trauma, one of the four target areas in the standard EMDR protocol is the nightmare image. During reprocessing, the nightmare image often changes to reveal the real life experiences that are part of the traumatic material. If processing is complete, the nightmare image will not reoccur.
Theoretically, the periods of REM sleep when dreaming occurs are thought to be natural survival mechanisms whereby experiences from the day are synthesized and stored in memory. It has been speculated that nightmares are the mind's attempts to metabolize trapped information. Because trauma can also produce interrupted and dysfunctional REM sleep, nightmares may reoccur indefinitely without resolution taking place. EMDR has been shown to effectively process nightmare images so that reoccurring nightmares cease.
Less has been reported in the EMDR literature regarding dream images that are not nightmarish and do not reoccur. It is usually assumed that if the dreaming process is natural and healthy without nightmares or interrupted sleep, then it is not to be tampered with and is not a focus of treatment. However, EMDR can be very helpful in processing information from dreams, even when the dream images may not appear to be relevant. Case material will be presented to demonstrate how EMDR can be useful in processing dream images during the normal course of treatment as well as contributing to the resolution of specific traumas.
Keywords: Dreams
Accuracy Verified: Yes
87. 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
88. Protinsky, H., Flemke, K., & Sparks, J. (2001, June). EMDR and emotionally oriented couples therapy. Contemporary Family Therapy, 23(2), 153-168. doi:10.1023/A:1011193518301.
Language: English
Format: Journal
Abstract:
When reviewing past and current research on the role of emotion in couples therapy, there appeared to be a lack of articulation concerning how emotional expressions and relational dynamics are affected by emotional trauma that has not been accessed. The authors demonstrate how emotionally and experientially oriented therapy with couples can be enhanced by accessing stored trauma through the use of Eye Movement Desensitization and Reprocessing (EMDR). This approach is called Eye Movement Relationship Enhancement (EMRE) therapy and includes key clinical areas such as accessing and tolerating previously disowned emotion, reprocessing emotional experiences, and amplifying couple intimacy. These key areas are discussed and illustrated with case examples. [Springer]
Keywords: Empirical Study Family Therapy Literature Review Marital Problems Nonclinical Case Study Psychotherapeutic Processes Survivors Treatment Effectiveness
Accuracy Verified: Yes
89. Schneider, J., Hofmann, A., Rost, C., & Shapiro, F. (2007). EMDR and phantom limb pain: Theoretical implications, case study, and treatment guidelines. Journal of EMDR Practice and Research, 1(1), 31-45. doi:10.1891/1933-3196.1.1.31.
Language: English
Format: Journal
Abstract:
This article reviews the literature on EMDR treatment of somatic complaints and describes the application of Shapiro's Adaptive Information Processing (AIP) model in the treatment of phantom limb pain. The case study explores the use of EMDR with a 38-year-old man experiencing severe phantom limb pain 3 years after the loss of his leg and part of his pelvis in an accident. Despite treatment at several rehabilitation and pain centers during the 3 years, and the use of opiate medication, he continued to experience persistent pain. After 9 EMDR treatment sessions, the patient's phantom limb pain was completely ablated, and he was taken off medication. Effects were maintained at 18-month follow-up. The clinical implications of this application of EMDR are explored. [Author Abstract]
Keywords: Adaptive Information Processing Adults AIP Amputation Case Report Depressive Disorders Males Motor Traffic Accidents Pain Phantom Limb Physical Pain Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors
Accuracy Verified: Yes
90. de Jongh, A., & ten Broeke, E. (2009). EMDR and the anxiety disorders: Exploring the current status. Journal of EMDR Practice and Research, 3(3), 133-140. doi:10.1891/1933-3196.3.3.133.
Language: English
Format: Journal
Abstract:
Based on the assumptions of Shapiro's adaptive information-processing model, it could be argued that a large proportion of people suffering from an anxiety disorder would benefit from eye movement desensitization and reprocessing (EMDR). This article provides an overview of the current empirical evidence on the application of EMDR for the anxiety disorders spectrum other than posttraumatic stress disorder (PTSD). Reviewing the existing literature, it is disappointing to find that 20 years after its introduction, support for the efficacy of EMDR for other conditions than PTSD is still scarce. Randomized outcome research is limited to panic disorder with agoraphobia and spider phobia. The results suggest that EMDR is generally more effective than no-treatment control conditions or nonspecific interventions but less effective than existing evidence-based (i.e., exposure-based) interventions. However, since these studies were based on incomplete protocols and limited treatment courses, questions about the relative efficacy of EMDR for the treatment of anxiety disorders remain largely unanswered.
Keywords: Anxiety Disorders Panic Disorder Specific Phobia
Accuracy Verified: Yes
91. Rogers, S. (1998, July). EMDR and the resolution of guilt in a veteran population. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to differentiate between survivor guilt, bystander guilt, and perpetrator guilt and will become familiar with some of the literature addressing this issue; 2) become familiar with common patterns of naturally-occurring resolution of guilt during EMDR; 3) learn some ways the issue of guilt in clients'presentations, how to present EMDR in a way which can be accepted by clients, and how to frame cognitive interweaves which can be used by clients whose guilt may be "reality based."
Accuracy Verified: Yes
92. Shapiro, F. (2002, December). EMDR and the role of the clinician in psychotherapy evaluation: Towards a more comprehensive integration of science and practice. Journal of Clinical Psychology, 58(12), 1453-1463. doi:10.1002/jclp.10104.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that has been consistently evaluated as efficacious in the treatment of PTSD. The information processing model that guides its clinical application posits that EMDR should be effective in treating other psychological disorders that have experiential contributors. Research is needed to assess such applications. This special issue features three case series in which EMDR was applied to the treatment of complex PTSD, phobias, and chronic pain, respectively. The authors discuss deficits in the research literature, provide preliminary data on EMDR treatment of these conditions, and offer descriptive guidelines for evaluation that are achievable by the practicing clinician. Two additional articles offer preliminary data on physiological and cognitive/affective concomitants of therapeutic change. It is argued that clinicians should play a greater role in the rigorous and extensive examination of psychological treatments in the context of the exigencies of clinical practice. [Author Abstract]
Keywords: Assessment Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD EVT Integration Pain Phobia PTSD Treatment Effectiveness
Accuracy Verified: Yes
93. Hale, S. J. N. (2009). EMDR and the six healing sounds. Universal Healing Tao System, Thailand.
Language: English
Format: Other
Abstract:
Master Chia has recently incorporated the use of Eye Movement Desensitization and Reprocessing (EMDR) when utilizing the Six Healing Sounds in the practice of the Universal Tao system. According to the literature on EMDR, it is believed that the left/right pattern of eye movements assist in completing emotional processing. Most of us are not very good at letting go of our negative emotions, but through the practice of using the Six Healing Sounds we learn to compost the less healthy emotions of sadness, depression, fear, anxiety, anger, cruelty, impatience, hastiness, worry or pity and change or transform them into their positive counterpart emotions of courage, stillness, generosity, happiness and compassion.
Accuracy Verified: Yes
94. Korn, D. L. (2009). EMDR and the treatment of complex PTSD: A review. Journal of EMDR Practice and Research, 3(4), 264-278. doi:10.1891/1933-3196.3.4.264.
Language: English
Format: Journal
Abstract:
The diagnosis of posttraumatic stress disorder (PTSD) covers a wide range of conditions, ranging from patients
suffering from a one-time traumatic accident to those who have been exposed to chronic traumatization
and repeated assaults beginning at an early age. While EMDR and other trauma treatments have been
proven efficacious in the treatment of simpler cases of PTSD, the effectiveness of treatments for more
complex cases has been less widely studied. This article examines the body of literature on the treatment
of complex PTSD and chronically traumatized populations, with a focus on EMDR treatment and research.
Despite a still limited number of randomized controlled studies of any treatment for complex PTSD,
trauma treatment experts have come to a general consensus that work with survivors of childhood abuse
and other forms of chronic traumatization should be phase-oriented, multimodal, and titrated. A phaseoriented
EMDR model for working with these patients is presented, highlighting the role of resource development
and installation (RDI) and other strategies that address the needs of patients with compromised
affect tolerance and self-regulation. EMDR treatment goals, procedures, and adaptations for each of the
various treatment phases (stabilization, trauma processing, reconnection/development of self-identity) are
reviewed. Finally, reflections on the strengths and unique advantages of EMDR in treating complex PTSD
are offered along with suggestions for future investigations.
Keywords: Childhood Trauma Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD DESNOS Psychotherapy Research Review
Accuracy Verified: Yes
95. Wesselmann, D., Davidson, M., Armstrong, S., Schweitzer, C., Bruckner, D., & Potter, A. E. (2012). EMDR as a treatment for improving attachment status in adults and children. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 223-230. doi:10.1016/j.erap.2012.08.008.
Language: English
Format: Journal
Abstract:
Introduction:
The purpose of the article is to examine the current literature regarding evidence for positive change in attachment status following Eye Movement Desensitization and Reprocessing (EMDR) therapy and to describe how an integrative EMDR and family therapy team model was implemented to improve attachment and symptoms in a child with a history of relational loss and trauma.
Literature:
The EMDR method is briefly described along with the theoretical model that guides the EMDR approach. As well, an overview of attachment theory is provided and its implication for conceptualizing symptoms related to a history of relational trauma. Finally, a literature review is provided regarding current preliminary evidence that EMDR can improve attachment status in children and adults.
Clinical findings:
A case study is described in which an EMDR and family therapy integrative model improved attachment status and symptoms in a child with a history attachment trauma.
Conclusion:
The case study and literature review provide preliminary evidence that EMDR may be a promising therapy in the treatment of disorders related to attachment trauma.
Keywords: Adult Attachment Interview Attachment Disorder Family Therapy Trauma
Accuracy Verified: Yes
96. Giannantonio, M. (2003, May). EMDR as an assessment tool in complex models of post-traumatic states. In Dissociation and theoretical models. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Abstract:
Though EMDR is normally conceived as a psychotherapeutical approach or, at least, as a clinical method with psychotherapeutical aims, any EMDR practitioner also knows it’s a useful means to make subtle diagnostic remarks on the client.
Despite its importance, this matter has never been methodically studied in depth, but it’s informally discussed among clinicians when exchanging subtle pieces of information on micro-interventions and strategies employed in everyday practice.
My purpose is therefore to make a report on EMDR as an assessment tool. Some cases will show how a full comprehension of EMDR as an assessment tool requires much more complex etiological and maintenance models of post-traumatic disorders than usually seen in part of the literature.[Author abstract]
Keywords: Posttraumatic Stress Disorder PTSD Symposium
Accuracy Verified: Yes
97. Leuning, E., & Mevissen, L. (2012, March). EMDR bij autisme spectrum stoornis en EMDR bij verstandelijke beperking, zoek de verschillen [Complex PTSD: Evaluation of treatment by patient and therapist - "You need not type during EMDR."]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland .
Language: Dutch
Format: Conference
Abstract:
Het herkennen van PTSS bij mensen met een stoornis in het autisme spectrum (ASS), of een verstandelijke beperking (VB) kan moeilijk zijn. Bij ASS, maar ook bij VB wordt de ontregeling vaak gezien als iets dat bij de stoornis hoort, en niet gekoppeld aan bijzondere ervaringen. De client zelf beschikt doorgaans over onvoldoende vaardigheden om te overzien dat zijn veranderde stemming/gedrag te maken heeft met een bepaalde gebeurtenis, en kan dit vervolgens doorgaans ook onvoldoende helder communiceren vanwege zijn beperkingen op dit gebied.
Vanuit de literatuur is door diverse mensen aangegeven dat kinderen en jongeren met een stoornis in het autistisch spectrum een grotere kans hebben om getraumatiseerd te raken in verband met hun kwetsbaarheid en onvermogen om te communiceren. Dit geldt ook voor volwassenen met ASS en/of een verstandelijke beperking. PTSS wordt in deze beide groepen dan ook zelden onderkend.
Wanneer PTSS wel onderkend wordt, is er nagenoeg niets geschreven over eventuele behandeling ervan bij de bovengenoemde doelgroepen. Als EMDR wordt toegepast bij mensen met een verstandelijke beperking wordt het protocol afgestemd op de ontwikkelingsleeftijd. Ook voor volwassenen met een VB wordt het protocol voor kinderen gebruikt. Als er dan nog stagnaties zijn in de EMDR behandeling is de kans groot dat er sprake is van comorbide problemen. ASS is zo'n veel voorkomende comorbide stoornis bij deze populatie: in ongeveer 50% van de gevallen gaat ASS samen gaat met een VB. In de workshop worden beelden getoond van verschillen tussen cliënten met ASS en cliënten met VB. Tevens wordt aandacht besteed aan het kiezen van de juiste afleidende stimulus bij cliënten met ASS. Daarnaast wordt een video getoond van een cliënt waar naar aanleiding van het verloop van de EMDR behandeling de diagnose wordt aangescherpt.
Recognizing PTSD in people with autism spectrum disorder (ASD), or an intellectual disability (VB) can be difficult. In ASD, but also in VB is the disruption often seen as something that belongs to the disorder, and not linked to specific experiences. The client will generally have insufficient skills to oversee his altered mood / behavior has to do with a certain event, and can then usually also lack clear communication because of its limitations in this area.
From the literature by several people indicated that children and young people with autistic spectrum disorder are more likely to become traumatized because of their vulnerability and inability to communicate. This also applies to adults with ASD and / or intellectual disabilities. PTSD in these two groups therefore rarely recognized.
When PTSD is recognized, there is almost nothing written about its possible treatment with the above target groups. If EMDR is used in people with intellectual disabilities is the protocol tailored to the developmental age. For adults with VB is the protocol used for children. If there are still blockages in the EMDR treatment is likely that there is comorbid problems. ASD is a common comorbid disorder in this population in about 50% of ASD cases coincides with a VB. In the workshop are shown images of differences between clients with ASD and clients with VB. Attention is also paid to choosing the right distracting stimulus in clients with ASD. In addition, a video display of a client, which as a result of the course of the treatment EMDR the diagnosis is tightened.
Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PTSD
Accuracy Verified: Yes
98. de Jongh, A., & ten Broeke, E. (2001, September). EMDR bij de behandeling van PTSS na verkrachting [EMDR treatment of PTSD following rape]. Directieve Therapie, 21(3), 229-245. doi:10.1007/BF03060260.
Language: Dutch
Format: Journal
Abstract:
Dat verkrachting een ingrijpende gebeurtenis is, behoeft geen betoog. Niet zelden is een posttraumatische stressstoornis
(PTSS) het gevolg. Behandeling is dan noodzakelijk. In dit artikel wordt beschreven hoe bij een dergelijke
behandeling gebruik kan worden gemaakt van Eye Movement Desensitization and Reprocessing (EMDR).
Stapsgewijs wordt de EMDR-procedure beschreven, hetgeen wordt geïllustreerd aan de hand van een
gevalsbeschrijving. Mede op grond van vergelijkbare ervaringen in de therapeutische praktijk, maar vooral op grond
van de onderzoeksliteratuur, wordt EMDR naar voren geschoven als voorkeursbehandeling bij PTSS in het algemeen
en PTSS ten gevolge van verkrachting in het bijzonder.
That rape is a traumatic event, is obvious. Quite often a post-traumatic stress disorder
(PTSD) caused. Treatment is necessary. This article describes how such a
treatment may be used for eye movement desensitization and reprocessing (EMDR).
Gradually, the EMDR procedure described, which is illustrated by a
case study. Partly based on similar experiences in the therapeutic practice, but especially under
of the research literature, EMDR is put forward as the preferred treatment for PTSD in general
and PTSD resulting from rape in particular.
Keywords: Case Report Females Posttraumatic Stress Disorder PTSD Rape Survivors Young Adults
Accuracy Verified: Yes
99. Lichti, J. (2005, September). The EMDR consultation process: Findings & fine-tuning the future. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
This workshop will review the development of EMDR consultation in order
to improve future consultation practices. The differences and similarities
between therapy, consultation and consultation-of-consultation will be
highlighted. The literature on effective clinical supervision/consultation
will be reviewed. New research on the practices of North American Approved
Consultants will be presented. Current activities and innovation in EMDR
consultation will be critiqued using case examples. All this information will
be used to identify the knowledge and skills needed for competent consultation.
Participants will then analyze their own practices using all the above
information and discuss in small groups how they plan to improve their consultation services.
Keywords: Consultation
Accuracy Verified: Yes
100. Lichti, J. (2007, September). EMDR consultation: Using practice research to develop best practices. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
This workshop will review the context of EMDR consultation. The differences between therapy, consultation and consultation-of-consultation will be highlighted. The implications of the literature on clinical supervision/consultation will be reviewed. Examples of tools and resources for consultants will be presented. Research on the practices of EMDRIA Approved Consultants will be presented. Best Practices emerging from the literature and consultation practices research will be identified. Participants will analyze their own consultation practices using all the above information and discuss in small groups how they plan to improve their consultation services.
Keywords: Consultation
Accuracy Verified: Yes
101. Lichti, J. (2009, May). EMDR consultation: Using practice research to develop best practices. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.
Language: English
Format: Conference
Abstract:
This workshop is for Approved Consultants, Consultants-in-training and those considering becoming ACs. We will
review the context of EMDR consultation and identify the differences between therapy, consultation and
consultation-of-consultation [Objective 1]. The implications of the supervision/consultation literature will be reviewed
[Objective 2]. Tools, resources and recordings from actual consultations will be presented. Original research about
EMDR consultation will be reviewed. Best Practices emerging from the literature and EMDR consultation research
will be identified [Objective 3]. Participants will use all the above information to analyze their own consultation
practices [Objective 4] and discuss with peers how to improve their consultation services [Objective 5].
Keywords: Consultation
Accuracy Verified: Yes
102. Zabukovec, J., & Tetreault, M.A. (2006, September). EMDR consultation: How to be the best you can be. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The functions of EMDRIA Approved Consultants
include the provision of consultation and
supervision. However, consultation is not the same
as supervision. One of the areas of consultation is to provide guidance and training to applicants for EMDRIA Certification. There is support in the
literature that EMDR works best in a therapeutic
relationship, when fidelity to the method is
maintained. This workshop will address ways to
examine and assess the expectations of the
consultants-in-training, such as skills with case
conceptualization, knowledge and ability to implement the EMDR treatment method, and
ablllty to assert that knowledge with confidence.
This workshop hopes to build upon the skills that
consultants already possess, refining and upgrading their competencies. It is hoped that it will assist EMDRIA-Certification Applicants and Consultants-in-Training in determining their needs for consultaton.
Keywords: Consultation
Accuracy Verified: Yes
103. Arnone, R., Orrico, A., D'Aquino, G., & Di Munzio, W. (2012, March-April). EMDR e terapia psicofarmacologica nel trattamento del disturbo da stress post-traumatico [EMDR and psychopharmacological therapy in the treatment of the post-traumatic stress disorder]. Rivista di Psichiatria, 47(Supplement 1), 8-11. doi:10.1708/1071.11732 .
Language: Italian
Format: Journal
Abstract:
Questo studio si propone di valutare l’efficacia di due diversi trattamenti nella cura del disturbo da stress post-traumatico (PTSD): la terapia psicofarmacologica, attraverso l’utilizzo di serotoninergici, e l’EMDR. Metodo. Sono stati utilizzati due gruppi indipendenti ai quali venivano somministrati due trattamenti differenti: il trattamento con sertralina per il gruppo assegnato alla terapia psicofarmacologica; il trattamento con sedute monosettimanali di EMDR per l’altro gruppo. Per la valutazione dei sintomi del PTSD è stata utilizzata la Clinician-Administered PTSD Scale (CAPS). L’assegnazione dei soggetti ai due gruppi è stata randomizzata. Risultati. I risultati confermano precedenti studi riportati in letteratura, evidenziando l’efficacia sia dell’EMDR sia della sertralina nel migliorare la sintomatologia post-traumatica e i livelli di sofferenza soggettiva. Tuttavia il numero di soggetti che al termine della condizione sperimentale non rientrava più nei criteri diagnostici del PTSD è risultato nettamente superiore nel gruppo trattato con EMDR. Conclusioni. Data la differenza nei due gruppi, a favore di quello trattato con EMDR, del numero di soggetti che possono essere considerati responder e che, come tali, non soddisfano più i criteri del PTSD al termine della condizione sperimentale, possiamo affermare che l’ipotesi per cui l’EMDR è un trattamento più efficace rispetto al trattamento psicofarmacologico è stata confermata. Questo dato potrebbe stimolare ricerche future con campioni più numerosi che indaghino anche l’efficacia a lungo termine.
This study evaluates the efficacy of two different treatment for post-traumatic stress disorder (PTSD): the psychopharmacological therapy, with a SSRI drug, and EMDR. Method. Two indipendent groups have been administered two different treatments: the treatment with sertraline to the group for psychopharmacological therapy; the treatment with one-week sessions of EMDR to the other group. For the evaluation of the symptoms of PTSD has been used the Clinician-Administered PTSD Scale (CAPS). The inclusion of the subjects in the two groups has been absolutely random. Results. The results confirm previous studies available in literature, pointing out the efficacy of EMDR and of sertraline in improving the post-traumatic symptomatology and the levels of subjective sufference. But the number of subjects which at the end of the study didn't satisfy any more the criteria for PTSD has been absolutely greater in the group treated with EMDR. Conclusions. The study confirms the hypothesis of EMDR as a more efficacious treatment for PTSD compared to psychopharmacological therapy. This result could be a stimolous for further research with greater groups to investigate also the long term efficacy.
Keywords: CAPS Clinician-Administered PTSD Scale Efficiacy PTSD, Sertraline
Accuracy Verified: Yes
104. Faretta, E. (2008, Novembre). EMDR e trattamento del disturbo di panico: Un protocollo specifico integrato [EMDR and the treatment of panic disorder: a specific protocol integrated]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Nell’ambito degli studi sulle possibilità terapeutiche offerte dall’impiego dell’EMDR in diverse patologie si sono evidenziate delle prospettive interessanti in relazione agli interventi sui disturbi di panico, in grado di fornire una possibilità di lavoro terapeutico globale e completo focalizzato non solo sulla condizione presente e quindi sulla gestione degli attacchi di panico, ma anche sulla comprensione dinamica di tale disturbo.
Facendo riferimento alla letteratura e ai resoconti che hanno supportato l’efficacia del-l’EMDR per il trattamento del Disturbo d’Attacchi di Panico (Feske & Goldstein, 1997; Goldstein & Feske, 1994; Nadler, 1996; Shapiro & Forrest, 1997) e dalla analisi ed applicazione del protocollo Whisman, è stato messo a punto, attraverso la personale pratica clinica, un preciso protocollo integrato per il trattamento del disturbo di panico secondo l’approccio EMDR.
Facendo riferimento a questi studi, l’ipotesi di intervento dalla quale sono partita è quella che si basa sulla considerazione che l’attacco di panico può rappresentare un evento traumatico di per sé e che quindi il lavoro clinico proposto, seguendo l’approccio EMDR, risulta efficace per desensibilizzare e rielaborare convinzioni, comportamenti, emozioni e sensazioni corporee legate alla paura fino a farle rientrare all’interno di un sistema di convinzioni più gestibile, in modo da permettere al paziente di affrontare le situazioni precedentemente temute e quindi evitate.
In questo workshop vengono presentate le modalità di applicazione nel disturbo panico in relazione alle 8 fasi di lavoro dell’approccio EMDR, facendo riferimento ai casi clinici e quindi ad esperienze pratiche derivanti dal personale lavoro terapeutico.
Da qui vengono fornite le linee per la strutturazione dello specifico piano di trattamento, secondo un protocollo di lavoro, appositamente elaborato, che conduce, passo dopo passo, all’applicazione del progetto terapeutico
Il protocollo di lavoro presentato si focalizza sulla rielaborazione degli attacchi di panico e quindi sulla gestione della sintomatologia caratteristica di questo disturbo.
Fornisce, inoltre, indicazioni per effettuare un’attenta anamnesi, che permetta al terapeuta di predisporre un adeguato piano di individuazione e di rielaborazione dei fattori precipitanti e delle esperienze traumatiche pregresse della storia personale del paziente sin dall’infanzia, che possono costituire la base emotiva sulla quale può instaurarsi, in particolari circostanze, la sintomatologia del DAP.
Si tratta di eventi stressanti o traumatici del passato sui quali risulta indispensabile un lavoro di rielaborazione al fine di far emergere possibili capacità e comportamenti adattivi per realizzare azioni future adeguate.
As part of studies into the therapeutic possibilities offered by EMDR in various diseases appear to be any interesting perspectives in relation to work on problems panic, unable to provide an opportunity for therapeutic work focused global and comprehensive not only on the present condition and therefore on the management of panic attacks, but also on dynamic understanding of the disorder. Referring to the literature and the reports that have supported the efficacy of on-l'EMDR the treatment of Panic Disorder (FESK & Goldstein, 1997; FESK & Goldstein, 1994; Nadler, 1996, Shapiro & Forrest, 1997) and the analysis and application of the protocol Whisman, was developed through personal clinical practice, a precise protocol integrated treatment of panic disorder according to the EMDR approach. Referring to these studies, the possibility of intervention from which game is the one based on the consideration that the panic attack can be a traumatic event in itself and therefore the clinical work proposed, following the approach EMDR, is effective for desensitize and reprocess beliefs, behaviors, emotions and body sensations associated fear until they fall within a belief system more manageable, so allow the patient to deal with situations previously feared and avoided. In this workshop presents the detailed rules in panic disorder report at 8 phases of EMDR work of the approach, referring to clinical cases and then practical experiences arising from personal therapeutic work. From here, we provide the guidelines for the structuring of a specific treatment, according a working protocol, specially developed, which leads, step by step, application
therapeutic project the protocol of work presented focuses on the recasting of panic attacks and then the management of symptoms characteristic of this disorder. Also provides instructions for making a careful medical history, which allows the therapist to
prepare an adequate plan for the identification and revision of precipitating factors and past traumatic experiences of the patient's personal history from childhood, which may form the emotional basis on which it can establish, in certain circumstances, symptoms of CAD. It is stressful or traumatic events of the past on which it is essential work of reworking in order to identify possible skills and adaptive behaviors to achieve appropriate future action.
Keywords: Panic Disorder
Accuracy Verified: Yes
105. Hase, M. (2001, May). EMDR in a critical incident in Germany (prison riot). Presentation at the EMDR Europe Association annual meeting, London, UK.
Language: English
Format: Conference
Abstract:
The prison system serves, among many others, one important goal: to separate those members
of society, who are dangerous to others, from the more peaceful and law-abiding majority. As
a consequence one could assume that the inmates of a prison from a, subgroup of human
beings, distinct by their aggressive potential. Though this is not true for all of the prisoners, it may be true for many of them. It is a well known fact, at least in Germany, that procedures
for controlling the safety in a prison, can't eliminate criminal behaviour or dealing with drugs
in a prison. One could assume, that even if an adequate standard of safety is upheld, a prison
would be a dangerous place to work in and that prison staff would be at a considerable risk of
being traumatised at work. In the prison system in Lower Saxony, Germany, between 5 and
10 recently traumatised staff are invited to participate in a group consultation each year. The
number of unrecorded cases is certainly much higher. In contrast there is not much literature about traumatisation of prison staff. On the other hand
prison staff are regarded as a population often reluctant to engage in psychotherapy and
leaving psychotherapy prematurely, without a significant treatment effect.
On 13th of August 1999 a prisoner attacked prison staff at Uelzen prison in Lower Saxony,
Germany. The perpetrator killed two members of staff, wounded two others severely and
committed suicide immediately afterwards. More members of staff suffered from the
psychological effects of the violence. The Critical Incident Team within the Ministry of
Justice provided intensive care and counselling. 15 members of staff were identified as a
high risk group to develop PTSD. 10 members of staff began psychotherapy. 7 qualified for
a diagnosis of PTSD, 3 for related diagnoses, according to ICD-10 criteria None of them left
therapy prematurely. One member of staff suffered from the effects of a civil war situation
experienced 15 years before, with a late onset PTSD triggered by vicarious traumatisation.
Only one remains out of work, but does not qualify for a diagnosis of PTSD at present. Three
are still in therapy. 7 patents ended therapy with a complete recovery. EMDR was applied to
great extent in 9 of the 10 cases. EMDR was tolerated well and proved to be fast and
efficient. Treatment effects seem to last over time. Setting the focus on the trauma and using
EMDR as a specific psychotherapeutic method seems to provide an accepted strategy with
significant gains for this population.
Keywords: Critical Incident Prison Recent Events Riot
Accuracy Verified: Yes
106. Kahrs, C., & Schubbe, O. (2005). EMDR in der schwangerschaft [EMDR in the pregnancy]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Ist EMDR in der Schwangerschaft contraindiziert?
Obgleich die Frage von Indikation und Contraindikation von EMDR (engl. Eye Movement Desensitization and Reprocessing) während der Schwangerschaft denkbar wichtig ist, gibt es gerade in der deutschsprachigen Literatur bislang kaum Studien zu diesem Thema. Die nachfolgenden Überlegungen basieren auf zwei englischsprachigen Artikeln (Cloyd, 1999; Forgash, 2000) und Emails, die über eine moderierte Email-Verteilerliste für Absolventen des EMDR-Instituts von Francine Shapiro ausgetauscht wurden.
EMDR is contraindicated in pregnancy? Although the question of indications and contraindications of EMDR (Eye Movement Desensitization and Reprocessing Data Sheet) during pregnancy is extremely important, it is precisely in the German-language literature to date very little research on this topic. The following comments are based on two English-language articles (Cloyd, 1999; Forgash, 2000) and emails on a moderated email distribution list for graduates of the Institute of EMDR, Francine Shapiro were exchanged.
Keywords: Pregnancy
Accuracy Verified: Yes
107. Marich, J. N. (2009). EMDR in the addiction continuing care process: Case study of a cross-addicted female's treatment and recovery. Journal of EMDR Practice and Research, 3(2), 98-106. doi:10.1891/1933-3196.3.2.98.
Language: English
Format: Journal
Abstract:
There have been suggestions in the literature since 1994 that eye movement desensitization and reprocessing (EMDR) may serve as an effective adjunct to the addiction treatment process; however, follow-up research in this area has been limited. This case study of a cross-addicted female includes a case review illustrating how EMDR was used in the continuing care process and a semistructured phenomenological interview conducted at 6-month follow-up. Prior to this course of treatment, the participant was treated 12 times with traditional approaches but was unable to achieve more than 4 months of sobriety at any given time. Following EMDR, the participant reported 18 months of sobriety and important changes in functional life domains. The phenomenological interview revealed six critical themes about the addiction and recovery process that can offer insight to clinicians treating co-occurring addiction and trauma.
Keywords: Addiction Cross-Addiction Phenomenology Posttraumatic Stress Disorder PTSD Relapse Prevention
Accuracy Verified: Yes
108. van Rood,Y., & de Roos, C. (2010, June). EMDR in the treatment of body dysmorphic disorder. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Body dysmorphic disorder (BDD) is defined in the Diagnostic
and Statistical Manual IV-TR (DSM-IV-TR) as a disorder characterised by a preoccupation with an imagined defect
in one's appearance (American Psychiatric Association (APA),
1994). BDD can be treated effectively with selective serotonin reuptake inhibitors (SSRls) or cognitive behaviour therapy (CBT)
(Williams et al.. 2006). CBT interventions which are most often
described in the literature are exposure and response prevention
(ERP) and cognitive techniques. These interventions successfully
weaken the catastrophic expectations of the patients.
However, they do not affect the negative valence of patients'
appearance. This negative meaning is not inborn but acquired
during life through association with distressful or even traumatic
events. Patients with BDD often report stressful events as the
starting point of their complaints (Buhlmann et al., 2007) as
well as PTSS like symptoms. i.e. intrusions (Osman et al.. 2004).
Processing of these unprocessed memories might free the way
to the development of a more positive meaning of their appearance.
Indeed, case series have been described in which EMDR
has been successfully applied in the treatment of BDD (Brown
et al , 1997). In the first part of this workshop background information
will be presented which might help identifying BDD
patients who might profit from EMDR and planning subsequent
EMDR treatment. In the second part of the workshop we share
our experiences treating BDD patients with EMDR. Clinical issues
will be analysed using videotaped cases of patients for illustration.
The goal of this workshop is to increase knowledge and
understanding of the use of EMDR in the treatment for BDD.
American Psychiatric Association (APA) (1994). Diagnostic and
statistical manual of mental disorders. (4th ed.) Washington
DC. American Psychiatric Association.
Brown, K. W., McGoldrick, T., & Buchanan, R. (1997). Body
dysmorphic disorder: Seven cases treated with eye movement
desensitization and reprocessing. Behavioural and Cognitive
Psychotherapy. 25(2), 203-207
Buhlmann, U., Cook, L. M., Fama, 1. M., & Wilhelm, 5. (2007).
Perceived teasing experiences in body dysmorphic disorder.
Body Image. 4, 381-385.
Osman. S., Cooper, M., Hackmann, A,, & Veale, D. (2004).
Spontaneously occurring images and early memories in people
with body dysmorphic disorder Memory, 12, 428-436.
Williams, J., Hadjistavropoulos, T., & Sharpe, D. (2006). A meta-
analysis of psychological and pharmacological treatments for
Body Dysmorphic Disorder. Behaviour Research and Therapy.
44, 99-111.
Keywords: Body Dysmorphic Disorder
Accuracy Verified: Yes
109. de Roos, C., & Veenstra, S. (2009). EMDR pain control for current pain. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 537-557). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
It is estimated that approximately 30% of the population world-wide suffer
from chronic pain. In this workshop you will learn how to use EMDR in
order to treat patients who have specific forms of chronic pain e.g. phantom
limb pain, whiplash and chronic differentiation pain. Theoretical
information, practical instructions with demonstration videos of illustrative
cases and exercises or role-playing to practise yourself will all be utilised.
You will be provided with enough information and skills in order to be
confident to start treating pain patients in your own clinical practice.
This workshop will provide you with the following information:
•relevant neurobiological information about chronic pain in order to
determine whether a specific type of pain can be treated using EMDR
•the empirical status of the application of EMDR on pain and a short
review of current research and literature
•how to motivate this difficult patient group to try EMDR
•how to conceptualise a case for EMDR, the indications and contraindications
•how to choose suitable targets with pain patients
•the use of the EMDR protocol in its specific application to pain
patients and how to work with pain itself as a target
•complications you can expect and how to deal with these.
Aims:
•identify clients with chronic pain for whom EMDR may be
appropriate
•increase knowledge and understanding of the use of EMDR
in the treatment of chronic pain
•apply EMDR in the treatment of patients with chronic pain.
Target group:
EMDR trained therapists working with patients with chronic pain.
Keywords: Current Pain Pain Control Protocol
Accuracy Verified: Yes
110. Spector, J. (2001, May). EMDR research update and research questions answered. Presentation at the EMDR Europe Association annual meeting, London, UK.
Language: English
Format: Conference
Abstract:
It is vital that EMDR has a strong research base. The ultimate credibility of EMDR will
depend on Randomised Controlled Studies demonstrating the effectiveness of EMDR as a
psychotherapy especially for Post Traumatic Stress Disorder. Also of importance will be
Component Analysis Studies teasing apart the therapeutically active elements of EMDR.
Research internationally on EMDR has been in two phases. Prior to 1999 the main questions
were whether EMDR was an effective psychotherapy, and what was the value of these eye
movements. From 1999 it is accepted that EMDR is an effective psychotherapy and the
questions now are whether EMDR is more effective than CBT and is its effectiveness because
it is CBT. This paper will trace the history of research into EMDR and address some of the most
commonly asked questions about the validity of EMDR as manifested in the research
literature. Particular attention will be drawn to some new papers about to be published very
significant for EMDR.
Finally some of the papers critical of EMDR will be reviewed also and examined as to their
credibility. There will be opportunities for questions and discussion.
Keywords: Research
Accuracy Verified: Yes
111. Ross, C. (2012). EMDR se basa en un modelo trauma-disociacion de trastornos mentales [EMDR is based on a trauma-dissociation model of mental disorders]. Revista Iberoamericana de Psicotraumatología y Disociación, 3(Edicion Especial Sobre Disociacion).
Language: Spanish
Format: Other
Abstract:
El autor presenta una serie de argumentos del porque el reprocesamiento y desensibilización a través del movimiento ocular (EMDR por sus siglas en inglés: Eye Movement Desenstization and Reprocessing) se basa en un modelo trauma-disociación de trastornos mentales. El modelo de EMDR es consistente con las teorías trauma-disociación de Pierre Janet, el modelo BASK de disociación de Braun y la teoría de disociación estructural, la cual es una elaboración reciente de las ideas de Janet. Los procedimientos terapéuticos del EMDR son consistentes con los modelos de tres etapas de psicoterapia para trauma, y EMDR puede utilizarse en el tratamiento de trastornos disociativos complejos sin modificaciones significativas. El autor sugiere que la literatura con los resultados del tratamiento con EMDR puede considerarse como literatura sobre el tratamiento de la disociación inducida por trauma.
The author presents a series of arguments for why desensitization and reprocessing through eye movement (EMDR for short English: Desenstization and Reprocessing Eye Movement) is based on a trauma-dissociation model of mental disorders. The model is consistent with EMDR trauma-dissociation theory of Pierre Janet, the BASK model of dissociation of Braun and the theory of structural dissociation, which is a recent development ideas Janet. EMDR therapeutic procedures are consistent with models of three stages of psychotherapy for trauma, EMDR can be used in the treatment of complex dissociative disorders without significant modifications. The author suggests that literature with the results of EMDR therapy can be considered as literature on the treatment of trauma-induced dissociation
Keywords: Trauma-Dissociation Model
Accuracy Verified: Yes
112. Ferrie, R. (2013, May). EMDR therapy and psychiatric medication. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
Many clients who present for EMDR are medicated with psychiatric drugs. The question arises whether these
medications are helpful in the context of EMDR therapy or not. We as psychotherapists, by definition, are involved
in a dialogue about mental health with our clients; therefore, on the important subject of psychoactive medication
we have a responsibility to be informed ourselves and to share this information with our clients. This presentation
is intended to provide tools especially for the non-medical therapist to learn how to navigate the territory of
psychiatric drugs-use in a way that helps clients. Included in the presentation will be a discussion of individual
case studies of traumatized clients, who had first been treated with psychiatric medication and then sought EMDR
therapy; an examination of how psychiatric drugs help or hinder and how they compare to the EMDR therapy
approach; and evidence from the current literature which calls into question the assumption of mental disorders
being due to a chemical imbalance requiring life-long medication. The robustness of the EMDR protocol and how
helpful it has proven to be to clients who have dealt with being heavily medicated and suffering from attendant
side effects will be illustrated. Learning objectives:
• Critique the evidence-based literature on psychiatric medication and the now insupportable information, given
to clients and doctors, which excludes the findings of long-term harm caused by all classes of psychiatric
medication. Participants will be able to assess the importance of the few reliable long-term outcome studies
and compare the effectiveness of psychotherapy/EMDR with psychiatric drugs.
• Evaluate a series of cases studies of clients, previously traumatized, who were medicated with psychoactive
drugs when first seeking EMDR Therapy.
• Gain knowledge of the different available protocols designed to help clients to be safely weaned off
psychiatric medication.
• In the process of discussion, participants will compare their own and other participants’ experiences with
such medicated clients.
Keywords: Medication
Accuracy Verified: Yes
113. Shapiro, F. (2012). EMDR therapy: An overview of current and future research. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 193-195. doi:10.1016/j.erap.2012.09.005.
Language: English
Format: Journal
Abstract:
Introduction:
EMDR therapy is an eight-phase treatment approach widely recognized as a frontline treatment for trauma. Research over the past decade has addressed the utility of the eye movements, mechanism of action and comparisons with other forms of therapy.
Literature and clinical findings:
More than two-dozen randomized controlled trials (RCT) demonstrate the positive effects of EMDR therapy with trauma victims. Comparisons with trauma-focused cognitive behavioral therapy (TF-CBT) indicate comparable effects sizes. Approximately 20 additional RCT evaluated the eye movement component of EMDR in isolation, without the rest of the therapy procedures. These studies document a variety of positive effects, including a rapid decrease in distress and reduced clarity of the targeted disturbing image when compared to exposure-only conditions.
Discussion:
Research findings indicate that EMDR therapy and TF-CBT are based on different mechanisms of action in that EMDR therapy does not necessitate daily homework, sustained arousal or detailed descriptions of the event, and appears to take fewer sessions. EMDR is guided by the adaptive information processing model, which posits a wide range of adverse life experiences as the basis of pathology.
Conclusions:
Research is suggested to further explore mechanisms of action and address issues of efficiency and treatment differences. Rigorous research is also needed to investigate additional clinical applications.
Keywords: Research
Accuracy Verified: Yes
114. Oren, U., & Solomon, R. (2012). EMDR therapy: An overview of its development and mechanisms of action. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 197-203. doi:10.1016/j.erap.2012.08.005.
Language: English
Format: Journal
Abstract:
Introduction:
This article examines the history and development of Eye Movement Desensitization and Reprocessing (EMDR), from Dr. Francine Shapiro's original discovery in 1987, to current findings and future directions for research and clinical practice.
Elements of the literature:
An overview is provided of significant milestones in the evolution of EMDR over the first 20 years, including key events, research and scientific publications, and humanitarian efforts. The authors also describe the Adaptive Information Processing (AIP) model, which is the theoretical basis of the therapy; they address the question of mechanisms of action, and EMDR's specific contribution to the field of psychotherapy.
Discussion:
EMDR is an integrative psychotherapy, which sees dysfunctionally stored memories as the core element of the development of psychopathology. In its view of memory, it integrates information that is sensory, cognitive, emotional and somatic in nature. The EMDR protocol looks at past events that formed the presented problem, at the present situations where the problem is experienced, and at the way, the client would like to deal with future challenges.
Conclusion:
EMDR is a 25-year-old therapy that has accumulated a substantial body of research proving its efficiency, and is now part of many professional treatment guidelines. The research is pointing to its potentially large positive impact in the fields of mental and physical health.
Keywords: Development Mechanisms of Action
Accuracy Verified: Yes
115. Murray, K. (2010, September/October). EMDR to reduce fears of recurrence of breast cancer. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
How can we support women with breast cancer (BC) in their bio-psycho-social healing? Are fearsof recurrence inevitable or a re-experiencing of unresolved BC diagnosis and treatment experiences? Participants will identify traumatic stress symptoms in women with BC, and the impacton treatment, quality of life, and fears of recurrence; review the seven cancer treatment stages, and potential traumas, triggers, and EMDR interventions of each; describe phase two interventions to manage worry, develop healing imagery and promote coping and positive health behaviors; and explain how past-present-future targeting can address fears of recurrence. Expanded from 2008, this workshop draws on psycho-oncology literature, clinical observations, and one client’s EMDR journey from “coping” to “living”.
Keywords: Breast Cancer
Accuracy Verified: Yes
116. Mevissen, L., Lievegoed, R., & de Jongh, A. (2010, March). EMDR treatment in people with mild ID and PTSD: 4 cases. Psychiatric Quarterly, 82(1), 43-57. doi:10.1007/s11126-010-9147-x.
Language: English
Format: Magazine
Abstract:
Although there is evidence to suggest that people with intellectual disabilities (ID) are likely to be more susceptible to the development of posttraumatic stress disorder (PTSD) than persons in the general population, until now only eight case reports on the treatment of people with ID suffering from PTSD symptoms have been published. In an effort to enrich the literature on this subject, the aim was to investigate the applicability of an evidence-based treatment for PTSD (i.e., EMDR) in four people with mild ID, suffering from PTSD following various kinds of trauma. In all cases PTSD symptoms decreased and the gains were maintained at 3 months to 2.5 year follow-up. In addition, depressive symptoms and physical complaints subsided, and social and adaptive skills improved. It is concluded that clients' improvements converge to suggest the applicability of EMDR in people with mild ID. Difficulties involved in arriving at an accurate PTSD diagnosis in ID clients are discussed.
Keywords: ID Intellectual Disabilities Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
117. de Roos, C., & de Jongh, A. (2008). EMDR treatment of children and adolescents with a choking phobia. Journal of EMDR Practice and Research, 2(3), 201-211. doi:10.1891/1933-3196.2.3.201.
Language: English
Format: Journal
Abstract:
Given the limited number of reported cases in literature, it might be concluded that it is rare to develop a choking phobia in childhood. However, it appears as though confusion in terminology and the time lapse between the onset of the disorder and treatment often results in the diagnosis being missed. In this article, we discuss a review of the clinical symptoms, differential diagnosis, comorbidity, etiology, and treatment options for choking phobia. We present a case series, describing the successful EMDR treatment of choking phobia for 4 children and adolescents, with positive outcomes achieved in 1 or 2 sessions. In addition, a detailed transcript is presented of a 15-year-old girl with a choking phobia related to an incident that occurred 5 years previously. The rapid elimination of symptoms in all 4 cases indicates that EMDR can be an effective treatment for choking phobias resulting from previous disturbing events. Randomized research on this promising intervention is strongly suggested.
Keywords: Adolescents Children Choking Phobia Specific Phobia
Accuracy Verified: Yes
118. Konuk, A. (2010, June). EMDR treatment of chronic daily headache and migraine. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Chronic headache is a prevalent clinical problem
which affects negatively the majority of the population. The
most common type of headache is migraine and tension headache.
These can decrease the functioning and the quality of
life of people who suffer from headaches in different contexts
as work, family, school and social life. In addition, a lot of psychological
disorders such as depression and anxiety are seen or
occur in people who have headaches.
Purpose: The purpose of this study is to investigate the effectiveness
of EMDR (Eye Movement Desensitization and Reprocessing)
on Chronic Daily Headache and Migraine. Within this
framework there are three goals, one of which is to measure the
efficiency of EMDR treatment on chronic headache population.
The second one is to develop an EMDR Headache Protocol so
that the treatment is standardized and will be used, revised and
updated by researchers and clinicians in the future. The third
one IS to find an answer to the question: How long does it take
to treat a headache? That is, to determine the minimum and
maximum sessions necessary for the treatment.
Method: The study is carried out at Gaziosmanpa,sa Hospital
Neurology Department in Istanbul with 11 Turkish patients
who had suffered from chronic daily headache and migraine.
The sample of this study consisted of 9 women and 2 males.
Results: The results demonstrated that the frequency, the intensity
and the duration of headaches were reduced by using
EMDR Also it was shown that the number of emergency visits
and the amount of painkillers used were decreased. The study
will be explained in more detail and the results will be discussed
during the presentation.
Our learning objectives are:
1. to gain theoretical information about the rationale of using
EMDR in treatment of chronic headache and migraine
2. to gain empirical information about the efficacy of this treatment
and
3. to discuss the EMDR Headache Protocol as well as the number
of sessions necessary for the treatment.
In previous studies, EMDR has been found to be efficient in the
treatment of chronic pain. Nevertheless, there was a gap in the
literature regarding the efficacy of EMDR in the treatment of
chronic daily headache and migraine.
The novelties that are provided by this current study are
1. It may be an alternative treatment for chronic headache and
migraine in the future
2. although the research question needs further investigation, it is the first empirical study which examines the effectiveness
of this treatment.
Keywords: Headache Medical Issues Migraine Symposium
Accuracy Verified: Yes
119. Abel, N. J., & O'Brien, J. M. (2010). EMDR treatment of comorbid PTSD and alcohol dependence: A case example. Journal of EMDR Practice and Research, 4(2), 50-59. doi:10.1891/1933-3196.4.2.50.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a therapy that has been demonstrated to be effective in the treatment of posttraumatic stress disorder (PTSD). A relatively small but growing body of literature indicates that EMDR may be an effective adjunctive treatment for substance abuse. This article reviews the various protocols that have been developed for that purpose, including protocols by Vogelmann-Sine et al., Omaha, Popky, and Hase. A case study that incorporates the use of some of these interventions is presented to illustrate successful EMDR treatment of a woman who had long-standing comorbid alcohol abuse and PTSD. Two-year follow-up after EMDR showed that the woman was successfully maintaining sobriety and that the PTSD continued in full remission. After a discussion of the important aspects of this case, the authors explore future directions for research.
Keywords: Alcohol Dependence Comorbid PTSD
Accuracy Verified: Yes
120. Leeds, A. (2012). EMDR treatment of panic disorder and agoraphobia: Two model treatment plans. Journal of EMDR Practice and Research, 6(3), 110-119. doi:10.1891/1933-3196.6.3.110.
Language: English
Format: Journal
Abstract:
This article, condensed from Chapter 14 of A Guide to the Standard EMDR Protocols for Clinicians, Supervisors, and Consultants (Leeds, 2009), examines applying eye movement desensitization and reprocessing (EMDR) to treating individuals with panic disorder (PD) and PD with agoraphobia (PDA). The literature on effective treatments for PD and PDA is reviewed focusing on cognitive and behavioral therapies, pharmacotherapy, and EMDR. Case reports and controlled studies of EMDR treatment of PD and PDA are examined for lessons to guide EMDR clinicians. Two model EMDR treatment plans are presented: one for cases of simple PD without agoraphobia or other co-occurring disorders and the other for cases of PDA or PD with co-occurring anxiety or Axis II disorders. A more extensive literature discussion, detailed treatment guidelines, and client education resources can be found in the original chapter.
Keywords: Agoraphobia CBT Cognitive Behavior Therapy Panic Pharmacotherapy Review
Accuracy Verified: Yes
121. Lilienfeld, S. O. (2011, April). EMDR Treatment: Less Than Meets the Eye? - Update. Quackwatch. Retrieved from http://www.quackwatch.org/01QuackeryRelatedTopics/emdr.html 0n November 3, 2011..
Language: English
Format: Other
Abstract:
The most reasonabIe conclusion to be drawn from the extant literature is that EMDR is no more effective than standard treatments that rely on exposure to anxiety-provoking stimuli and is almost certainly effective because it happens to incorporate such exposure. In the words of Harvard psychologist Richard McNally, "What is effective in EMDR is not new, and what is new is not effective." Importantly, controlled data do not support the use of EMDR for anxiety disorders other than PTSD (e.g., phobias, obsessive-compulsive disorder, generalized anxiety disorder), mood disorders, sexual disorders, eating disorders, or psychotic disorders, although it is commonly used to treat the symptoms of these and other conditions. (Excerpt)
Keywords: Skepticism
Accuracy Verified: Yes
122. 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:
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.
Keywords: Family Systems Therapy
Accuracy Verified: Yes
123. 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:
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.
Keywords: Dentophobia
Accuracy Verified: Yes
124. 杨善真 [Yang Zhen]. (2006). EMDR（眼动身心重建法）的研究探讨 [EMDR (Eye Movement mental and physical reconstruction of Law), a detailed study]. 嘉义大学辅导咨商学系研究所 [National Chiayi University, Counseling Institute, Chiayi, Taiwan].
Language: Chinese
Format: Dissertation/Thesis
Abstract:
EMDR（眼動身心重建法）的研究探討
眼物质重建法（眼动脱敏和再加工）在过去10年来，作为一个新兴的心理治疗方法，并正成为越来越受欢迎，并确保特别是对创伤后应激综合征的治疗，是新兴的治疗方法，根据Greewald回想起来，一个文献研究指出，“它已被用于治疗许多人的选择”（由约翰库萨克和斯帕茨，1999年报价），因为传统的治疗心理咨询技术的使用往往需要耗费时间，对于一些不长的治疗或治疗病人的具有时间限制并不适用，而且还描述伤痛的经历，以repeat简单动作usually只会使病情恶化，最后连药物也无效，所以今天非常受欢迎并EMDR可应用于其他精神疾病，如：恐惧，疼痛疾病，性虐待的创伤，手术后感情伤害，而且由于其方法和结果仍在广泛讨论，因此对EMDR in treatment和谐促进more 。
Eye physical reconstruction method (Eye Movement Desensitization and Reprocessing) for the last 10 years, emerging as a psychological treatment method, and are becoming increasingly popular, and sure, especially for the treatment of post-traumatic stress syndrome is emerging treatment techniques, according to Greewald In retrospect, a study of the literature pointed out that "it has been used as treatment for many people a choice" (a quote from Cusack & Spates, 1999), because the use of traditional healing counseling psychology techniques often require time-consuming, for some not long for treatment or for treatment of patients has its time limits do not apply, but also describing the traumatic experience to repeat simple movements usually only make the patient's condition worsened and finally even the drugs are also ineffective, so very popular today and be EMDR be applied to other mental diseases, such as: fear, pain diseases, sexual abuse trauma, post-operative emotional harm, and because of its methods and results are still being widely discussed, so the promotion of EMDR in treatment more harmony.
Accuracy Verified: Yes
125. O'Brien, J. M., & Abel, N. J. (2011). EMDR, addictions, and the stages of change: A road map for intervention. Journal of EMDR Practice and Research, 5(3), 121-130. doi:10.1891/1933-3196.5.3.121.
Language: English
Format: Journal
Abstract:
A growing body of literature indicates that eye movement desensitization and reprocessing (EMDR) can be useful in the treatment of addictions. When combined with traditional addictions treatment approaches, EMDR can enhance client stability, prevent relapse, and promote recovery. Clinical decision making about when and how to use EMDR techniques with clients who present with addictions is complicated. The purpose of this article is to explore the use of EMDR interventions with clients presenting various levels of awareness of their addiction as well as varied levels of motivation to change. The authors explore the Stages of Change and suggest appropriate pre-EMDR EMDR interventions at each stage.
Keywords: Addiction Stages of Change Trauma
Accuracy Verified: Yes
126. McCabe, S. (2004, September-October). EMDR: Implications of the use of reprocessing therapy in nursing practice. Perspectives in Psychiatric Care, 40(3), 104-113. doi:10.1111/j.1744-6163.2004.tb00003.x.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR). Purpose: To examine the available evidence base for EMDR treatment in psychiatric nursing practice. Sources: Evidenced-based research findings, published case and anecdotal reports, and primary source documents on the development of the treatment method. Conclusions: EMDR use remains controversial. Although it is safe, little is known regarding the mechanism of action of any therapeutic effect; more rigorous empirical establishment of efficacy is needed. [Author Abstract]
Keywords: Clinical Efficacy Literature Review Nursing Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
127. 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:
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]
Keywords: Bereavement Empirical Study Eye Movements Posttraumatic Stress Disorder PTSD Robbery Survivors Systematic Desensitization
Accuracy Verified: Yes
128. Sikes, C., & Sikes, V. (2003, September). EMDR: Why the controversy?. Traumatology, 9(3), 169-181. doi:10.1177/153476560300900304.
Language: English
Format: Journal
Abstract:
Eye-movement Desensitization and Reprocessing (EMDR) has been widely supported in the literature for its effectiveness in treating PTSD and a variety of other diagnoses and symptoms. The variable findings regarding whether its effects are for reasons unique to this treatment, however, have become the focus of extensive discussion and debate. The following article reviews the studies targeting this question, and proceeds to consider why these studies' findings, and other findings in the EMDR literature, vary so vastly. Implications of the EMDR controversy for the process of psychological research at large are considered. [Author Abstract]
Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
129. Logie, R. (2011, October). EMDR: A new OCD protocol. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.
Language: English
Format: Conference
Abstract:
OCD is described and current recognised treatment approaches are outlined. Existing literature regarding the treatment of OCD with EMDR is reviewed. Theories about the aetiology of OCD are described in relation to the Adaptive Information Processing (AIP) model and a rationale for the use of EMDR is described. A protocol for the use of EMDR in treating OCD is explained. Finally two case studies are described in order to illustrate the proposed protocol. (Author abstract)
Keywords: Obsessive Compulsive Disorder OCD
Accuracy Verified: Yes
130. Spector, J. (2001, Aprile). EMDR: Sviluppi attuali e aggiornare recensione [EMDR: Current developments and review update]. Psicoterapia Cognitiva e Comportamentale, 7(1), 25.
Language: Italian
Format: Journal
Abstract:
Il presente lavoro esamina le evidenze empiriche a sostegno e contrarie all'EMDR inteso come metodologia terapeutica efficace per il trattamento del Disturbo Da Stress Post Traumatico. Vengono in particolar modo enfatizzati i seguenti aspetti: a) l'EMDR è stato spesso oggetto di forti critiche formulate con un linguaggio eccessivamente emotivo; b) l'EMDR comprende principi terapeutici efficaci e ben conosciuti come l'esposizione, la ristrutturazione cognitiva e le tecniche di auto-controllo; c) non ci sono sufficienti dati empirici per rifiutare o sostenere le basi teoriche dell'EMDR (compreso il ruolo dei movimenti oculari); d) l'EMDR è molto di più che una procedura di esposizione; f) l'EMDR è un trattamento efficace per il Disturbo da Stress Post Traumatico. Ciascuno di questi aspetti viene considerato in dettaglio e le tre ricerche più recenti sull'EMDR vengono attentamente analizzate e commentate.
This paper examines the empirical evidence in support and against all'EMDR understood as effective therapeutic approach for treating post-traumatic stress disorder. Are particularly emphasized the following aspects: a) EMDR has often been the subject of strong criticism in language too emotional, b) EMDR treatment principles include effective and well known as exposure, cognitive restructuring and techniques of self-control, c) there is insufficient empirical data to support or reject the theoretical EMDR (including the role of eye movements) d) EMDR is much more than a process of exposure, f) EMDR is an effective treatment for Post Traumatic Stress Disorder. Each of these aspects is considered in detail and the three most recent research on EMDR are carefully analyzed and commented.
Keywords: Literature Review Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
131. Shapiro, F. (1997, April). EMDR: Setting the record straight. Contemporary Psychology,APA Review of Books, 42(2), 363-364. doi:10.1037/005088 .
Language: English
Format: Journal
Abstract:
Originally published in Contemporary Psychology: APA Review of Books, 1997, Vol 42(4), 363-364. Francine Shapiro comments on Jeffrey Lohr's review (see record 2004-17623-008)of Shapiro's book Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols and Procedures (see record 1995-98132-000). The author points out that Lohr has bolstered his argument by citing his own literature reviews, which are also characterized by pervasive misrepresentations of the actual data (Lohr, Kleinknecht, Tolin, & Barrett, 1995; Tolin, Montgomery, Kleinknecht, & Lohr, 1995). In his book review, Lohr questions the interpretations of the research the author gives in the text by saying that "Published accounts that cast doubt on the effect of treatment are ignored or discounted for insubstantial reasons." The author lists four criteria specified in the book for evaluating the clinical applicability of PTSD research results and states that the readers may judge if these criteria are indeed "insubstantial". Contrary to Lohr's implications, the judicious and diverse clinical applications of EMDR explored in the book have been supported by many experts in the field in conjunction with relevant published data. Rather than argue the merits of the proposed Accelerated Information Processing model or review the pervasive errors in Lohr's discussion of it, the author will allow readers to come to their own conclusions. She reaffirms here as she does throughout the text, that debates regarding the model, or the eye movements per se, are not relevant to the question of whether or not the method actually works. EMDR consists of much more than directed eye movements (or alternate stimulation). Rather, it is a complex integrative approach, drawing from psychodynamic, behavioral, cognitive, systems, and body-oriented therapies. More positive controlled studies support EMDR than any other treatment for PTSD (e.g., Carlson, Chemtob, Rusnak, Hedlund, & Muraoka, in press; Rothbaum, in press; Scheck, Schaeffer, & Gillette, in press; Wilson, Becker, Tinker, 1995, in press; Shapiro, 1996b). All of these studies fulfill accepted standards of objective psychometrics and independent assessors. (PsycINFO Database Record (c) 2008 APA, all rights reserved).
Keywords: Lohr Point/Counterpoint
Accuracy Verified: Yes
132. Thompson, M. M., Pasto, L., & McCreary, D. R. (2002, July). Empirical assessment of Lanius, et al.s’ “functional MRI of EMDR in peacekeepers,’ a review of the EMDR literature and an annotated bibiliography. Defence R&D Canada – Toronto, Technical Memorandum, DRDC Toronto.
Language: English
Format: Other
Abstract:
This report reviews a research proposal, the major objective of which is to assess the relation between PTSD (Post Traumatic Stress Disorder) and limbic, paralimbic, and prefrontal brain function as assessed with functional MRI (Magnetic Resonance Imaging), and to determine whether an Eye Movement Desensitization and Reprocessing (EMDR) intervention causes those structures to return to a normal mode of functioning. The proposed study secondarily explores the effectiveness of EMDR in reducing PTSD symptomatology. While the first and second objectives of the study may have scientific merit, the mandates of other funding agencies would appear to be more appropriate for investigations of basic neuroscience processes associated with brain functioning in PTSD (e.g., NSERC or CIHR). Importantly, a critical review of the EMDR research reveals that a great deal of controversy surrounds the effectiveness of this therapy. EMDR has not been shown to be more effective than presently validated PTSD exposure-based therapies, and the eye movement component of EMDR appears to provide no therapeutic benefit. Finally, there is a lack of clarity around specific items listed in the proposed budget. Given these concerns it is not recommended that this proposal be funded at this time.
Keywords: Bibliographies Canada Desensitizing' Magnetic Resonance Imaging Eye Movements Mental DIsorders MRI Medical Research Order Disorder Transofrmations Signs and Symptoms Stress (Physiology) Traumatic Shock
Accuracy Verified: Yes
133. Butler, A. C., Chapman, J. R., Forman, E. M., & Beck, A. T. (2006, January). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26(1), 17-31. doi:10.1016/j.cpr.2005.07.003.
Language: English
Format: Journal
Abstract:
This review summarizes the current meta-analysis literature on treatment outcomes of CBT for a wide range of psychiatric disorders. A search of the literature resulted in a total of 16 methodologically rigorous meta-analyses. Our review focuses on effect sizes that contrast outcomes for CBT with outcomes for various control groups for each disorder, which provides an overview of the effectiveness of cognitive therapy as quantified by meta-analysis. Large effect sizes were found for CBT for unipolar depression, generalized anxiety disorder, panic disorder with or without agoraphobia, social phobia, PTSD, and childhood depressive and anxiety disorders. Effect sizes for CBT of marital distress, anger, childhood somatic disorders, and chronic pain were in the moderate range. CBT was somewhat superior to antidepressants in the treatment of adult depression. CBT was equally effective as behavior therapy in the treatment of adult depression and obsessive-compulsive disorder. Large uncontrolled effect sizes were found for bulimia nervosa and schizophrenia. The 16 meta-analyses we reviewed support the efficacy of CBT for many disorders. While limitations of the meta-analytic approach need to be considered in interpreting the results of this review, our findings are consistent with other review methodologies that also provide support for the efficacy CBT. [Author Abstract]
Keywords: Cognitive Therapy Literature Review Meta Analysis Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
134. Lohr, J., Kleinknecht, R., Tolin, D., & Barrett, R. (1995, December). The empirical status of the clinical application of eye movement desensitization and reprocessing. Journal of Behavior Therapy and Experimental Psychiatry, 26(4), 285-302. doi:10.1016/0005-7916(95)00041-0.
Language: English
Format: Journal
Abstract:
The published reports of the clinical application of eye movement desensitization and reprocessing (EMDR) are reviewed in terms of empirical validity. Case studies, single-subject experiments and group design experiments on clinical problems are evaluated for the effectiveness of the protocol, component effects, comparative effects and treatment fidelity. Classification of disorders and measurement issues are addressed. The protocol frequently reduces verbal report and independent observer ratings of distress - strikingly in some instances. Psychophysiologic measures show little effect of treatment. There is little empirical evidence to indicate the effect of treatment on motoric or behavioral indices. Eye movements do not appear to be an essential component of treatment, and there have been no substantial comparisons with other treatments. No studies have adequately controlled for nonspecific (placebo) effects of treatment. Suggestions are made for applying improved methodological controls for future applications of EMDR to clinical disorders. [Author Summary]
Keywords: Literature Review Methodology Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
135. DeRubeis, R., & Crits-Christoph, P. (1998, February). Empirically supported individual and group psychological treatments for adult mental disorders. Journal of Consulting & Clinical Psychology, 66(1), 37-52. doi:10.1037/0022-006X.66.1.53 .
Language: English
Format: Journal
Abstract:
The experimental literature on individual and group psychological treatments for adult disorders is reviewed. For each of the 11 disorders or problems covered, treatments that fall into the following categories, as defined by D.L. Chambless and S. D. Hollon (1998), are identified: efficacious and specific, efficacious, and possibly efficacious. Behavioral and cognitive-behavioral treatments dominate the lists, especially in the anxiety disorders, with notable exceptions. Reasons for the hegemony of the behavioral and cognitive modalities are discussed, and some limitations of the empirically supported treatment concept are addressed. Continued research is recommended on Aptitude x Treatment interactions, cost-benefit ratios, and generalization of treatments to a variety of patient populations, therapists, and treatment settings.
Keywords: Review
Accuracy Verified: Yes
136. Ponniah, K., & Hollon, S. D. (2009). Empirically supported psychological treatments for adult acute stress disorder and posttraumatic stress disorder: A review. Depression and Anxiety, 26(12), 1086-1109. doi:10.1002/da.20635..
Language: English
Format: Journal
Abstract:
Background: Acute stress disorder (ASD) predicts the development of posttraumatic stress disorder (PTSD), which in some sufferers can persist for years and lead to significant disability. We carried out a review of randomized controlled trials to give an update on which psychological treatments are empirically supported for these disorders, and used the criteria set out by Chambless and Hollon [1998: J Consult Clin Psychol 66:7-18] to draw conclusions about efficacy, first irrespective of trauma type and second with regard to particular populations. METHODS: The PsycINFO and PubMed databases were searched electronically to identify suitable articles published up to the end of 2008. Fifty-seven studies satisfied our inclusion criteria. RESULTS: Looking at the literature undifferentiated by trauma type, there was evidence that trauma-focused cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) are efficacious and specific for PTSD, stress inoculation training, hypnotherapy, interpersonal psychotherapy, and psychodynamic therapy are possibly efficacious for PTSD and trauma-focused CBT is possibly efficacious for ASD. Not one of these treatments has been tested with the full range of trauma groups, though there is evidence that trauma-focused CBT is established in efficacy for assault- and road traffic accident-related PTSD. Conclusions: Trauma-focused CBT and to a lesser extent EMDR (due to fewer studies having been conducted and many having had a mixed trauma sample) are the psychological treatments of choice for PTSD, but further research of these and other therapies with different populations is needed. [Pubmed]
Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder Psychological Therapies PTSD Qualitative Review Random Control Trials, RCT
Accuracy Verified: Yes
137. D'Anca, J. A. (1996). Employing eye movement, desensitization/reorientation (EMDR) to treat posttraumatic stress disorder: A case study. Chicago School of Professional Psychology, Chicago, IL. AAT 9701975.
Language: English
Format: Dissertation/Thesis
Abstract:
The author presents a case study of a 42- year-old white female, the victim of multiple sexual traumas resulting in PTSD. Eye Movement Desensitization/Reorientation (EMDR), a relatively new technique, is employed within the broader context of talk therapy to effect change. EMDR's therapeutic effectiveness is evaluated on a trauma-by-trauma basis through Subjective Units of Distress (SUD), pre- and post-treatment. The maintenance of sustained effected change in SUD ratings is monitored over time on a monthly basis throughout psychotherapy's duration. The patient's changes in overall level of functioning resulting from EMDR and talk therapy are evaluated through changes in MMPI and Rorschach scores. Patient progress is monitored three times through the assessment combination of these two measures: pre-, mid-, and post-treatment. This study addresses the following questions: Is Eye Movement Desensitization/Reorientation an effective technique in decreasing or eliminating symptomatology and psychopathology resulting from PTSD; and are any therapeutic benefits from its use maintained over a period of at least one year? Finally, what changes in the patient's overall level of functioning result from the combination of EMDR and talk therapy?The review of literature presents four models of PTSD: (a) the information processing model, (b) the psychological model, (c) the structural-developmental model (Fluid character pathology), and (d) the structural-developmental model (Dysregulation of impulse). These models offer a basis for conceptualizing PTSD as well as present the typical features of this pathology. The current diagnostic criteria for diagnosis as presented in DSM-IV also are included. Finally, a comprehensive review of the current literature available on Eye Movement Desensitization is presented. Results from the employ of EMDR evidence substantial reduction of PTSD symptomatology for all traumas treated. The reduction of symptomatology sustained for as long as 26 months. A summary of the case, findings, discussion of relevant information along with recommendations completes this work. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(8-B), Feb 1997, pp. 5321.
Keywords: Adults Adult Child Abuse Case Study Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
138. 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:
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.
Keywords: Gestalt Therapy
Accuracy Verified: Yes
139. Ginger, S. (2007, Septembre ). Enrichir la Gestalt - thérapie par l’EMDR [Enriching Gestalt - EMDR therapy]. Document présenté au 9e Congrès de l’Europan Association for Gestalt Therapy (EAGT), Athens, Grèce.
Language: French
Format: Conference
Abstract:
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. [Author]
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. [Author]
Keywords: Gestalt Therapy
Accuracy Verified: Yes
140. 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:
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.
Keywords: Gestalt Therapy
Accuracy Verified: Yes
141. Shapiro, F. (1996, September). Errors of context and review of eye movement desensitization and reprocessing research. Journal of Behavior Therapy and Experimental Psychiatry, 27(3), 313-317. doi:10.1016/S0005-7916(96)00035-3 .
Language: English
Format: Journal
Abstract:
The development of eye movement desensitization and reprocessing (EMDR) has been marked by an emphasis on research, beginning with its introduction by a controlled study in 1989. However, misconceptions regarding the method abound. A recent inaccurate literature review demonstrates the need for more careful scrutiny. To date, 12 controlled studies have been completed in the area of PTSD, most of which support EMDR's efficacy. Nevertheless, a careful examination of a number of studies and of a recent literature review reveal the need for greater methodological rigor and higher clinical standards in both the research and research evaluation process. [Author Summary]
Keywords: Posttraumatic Stress Disorder Professional Criticism PTSD Scientific Research
Accuracy Verified: Yes
142. Gracheck, K. A. (2010). Evaluating the efficacy of EMDR as an athletic performance enhancement intervention. The University of the Rockies, Colorado Springs, CO. 3433356.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye movement desensitization and reprocessing (EMDR) is traditionally regarded as a treatment for trauma; however, recent literature suggested that EMDR is also a promising athletic performance enhancement intervention. Sport psychology literature cited the need for scientifically sound research investigating new performance enhancement interventions. This study answered that call and sought to determine the validity of theories speculating about the efficacy of EMDR in sport. An internationally competitive cyclist participated in a case study investigating the efficacy of a unique EMDR protocol designed specifically for sport. The protocol integrated Resource Development and Installation, typically conducted during Phase 8, into Phase 2. Quantitative and qualitative results demonstrated that EMDR had a positive impact on measurable performance outcomes, performance anxiety, self-esteem, and motivation.
Keywords: Athletes Performance Enhancement
Accuracy Verified: Yes
143. Des Groseilliers, I. B. (2009, June). Évaluation longitudinale de l'efficacité d'une nouvelle intervention dyadique, brève et précoce visant la prévention du TSPT [Longitudinal evaluation of the effectiveness of a new intervention dyadic brief and early for the prevention of PTSD]. Université du Québec à Montréal.
Language: French
Format: Dissertation/Thesis
Abstract:
La présente thèse s'intéresse à l'évaluation de l'efficacité à court et à long terme d'une nouvelle intervention dyadique, brève et précoce ayant pour but la prévention du trouble de stress post-traumatique (TSPT). L'exposition à un événement traumatique provoque, chez certains individus, une souffrance émotionnelle considérable qui entrave leur fonctionnement quotidien de manière parfois importante. Au cours des deux dernières décennies, des interventions curatives efficaces ont été créées, soit la thérapie cognitive-comportementale
(TCC) et la désensibilisation par mouvement oculaire (EMDR). On remarque cependant un manque criant d'interventions efficaces à court et à long terme qui ont pour but la prévention du TSPT, malgré les efforts du débriefing et de la TCC brève en ce sens. Cette thèse vise donc, dans un premier temps, à faire le point sur l'état des connaissances au niveau de l'efficacité des interventions précoces et, dans un deuxième temps, évaluer de manière empirique l'efficacité à moyen (3 mois) et surtout à long terme (2 ans) d'une nouvelle intervention dyadique, brève et précoce pour prévenir le TSPT. La nouvelle intervention dont il est question dans le présent ouvrage se déroule en deux séances et est offerte à la victime et une personne-soutien de son choix par une travailleuse sociale ou une infirmière. Elle met l'accent sur la psychoéducation, l'apprentissage à la communication exempte de soutien social négatif (minimisation, hostilité, impatience, etc.) et sur l'importance de ne pas éviter les stimuli associés à l'événement traumatique. La thèse comporte quatre chapitres. Le premier propose une recension de la littérature qui met à jour les principales conclusions quant à l'efficacité du débriefing et de la TCC brève pour prévenir le TSPT. Cette recension met en évidence les principales failles méthodologiques et les difficultés d'application de ces interventions. De plus, elle expose le rationnel derrière l'utilisation du soutien social comme ingrédient actif d'une intervention de prévention de ce trouble.
Le second chapitre présente une étude d'efficacité randomisée et contrôlée de l'efficacité de la nouvelle intervention. Soixante-six participants ont été randomisés soit dans la condition intervention ou dans la condition de contrôle. Les résultats ont démontré qu'au post-test de trois mois, les participants de la condition intervention manifestaient des symptômes de TSPT significativement moins intenses que ceux de la condition contrôle. De plus, les participants de la condition intervention rapportent une diminution significative du soutien social perçu, contrairement aux participants de la condition de contrôle qui n'observent pas cette différence. Il est intéressant de souligner que le taux d'abandons en cours de traitement fut équivalent et très bas au sein des deux groupes. Ceci suggère que les participants tolèrent bien cette nouvelle intervention. Aucune différence n'a été observée entre les deux groupes en ce qui a trait à l'occurrence de psychopathologies comorbides. Le troisième chapitre se veut une relance à 2 ans post-trauma de l'étude présentée au chapitre précédent. Quarante-six des 66 participants ont accepté de prendre part à cette relance. Les résultats révèlent que, deux ans après l'événement traumatique, les participants ayant reçu l'intervention étaient encore beaucoup moins symptomatiques que les participants
n'ayant pas reçu cette intervention. Un fait plus qu'intéressant qui ressort de cette étude est qu'aucun participant de la condition intervention ne rapporte un TSPT et cinq participants de la condition contrôle souffrent encore de ce trouble deux ans après l'événement traumatique. Parallèlement, il a été observé que les participants ayant reçu l'intervention perçoivent encore moins de soutien social négatif que ceux de la condition contrôle. À l'instar de ce qui a été rapporté au post-test de trois mois, les deux groupes ne révèlent pas de différence significative par rapport à la manifestation d'autres affections psychologiques. Le quatrième et dernier chapitre propose une discussion générale des résultats en fonction des interprétations qui peuvent en être tirées, des différentes forces et limites intrinsèques ainsi que des implications théoriques et cliniques qui peuvent en découler.
This thesis focuses on the evaluation of the effectiveness in the short and long-term reoperation dyadic brief and early aimed at the prevention of posttraumatic stress disorder (PTSD). Exposure to a traumatic event causes in some individuals, suffering considerable emotional hinders their daily operations be significant. Over the past two decades, effective curative interventions were created either cognitive-behavioral therapy
(CBT) and eye movement desensitization (EMDR). We note, however, a dearth of effective interventions in the short and long-term aim of preventing PTSD, despite the efforts of debriefing and brief CBT in this direction. This thesis therefore aims, firstly, to take stock of the state of knowledge at the effectiveness of early interventions, and in a second step, empirically assess the efficacy medium (3 months) especially in the long term (2 years) of a new intervention dyadic brief early to prevent PTSD. The new intervention mentioned in this book takes place in two sessions and is offered to the victim and a support person of their choice by a social worker or nurse. It focuses on psychoeducation, learning to communicate free of negative social support (minimization, hostility, impatience, etc..) And the importance of not avoiding stimuli associated with the traumatic event. The thesis consists of four chapters. The first provides a literature review that updates the main conclusions about the effectiveness of debriefing and brief CBT to prevent PTSD. This review highlights the main methodological flaws and difficulties in implementing these interventions. In addition, it outlines the rationale behind the use of social support as an active ingredient of an intervention to prevent this disorder.
The second chapter presents an efficacy study randomized controlled effectiveness of the new intervention. Sixty-six participants were randomized to either intervention or condition in the control condition. The results showed that post-test three months, participants in the condition action had symptoms of PTSD significantly less intense than those of the control condition. In addition, participants reported response provided a significant reduction in perceived social support, unlike the members of the control condition who do not observe this difference. It is interesting to note that the dropout rate during treatment was low and similar in both groups. This suggests that participants tolerate this new intervention. No difference was observed between the two groups in regard to the occurrence of comorbid psychopathology. The third chapter is a raise to 2 years post-trauma of the study presented in the previous chapter. Forty-six of the 66 participants agreed to take part in this revival. The results show that two years after the traumatic event, participants who received the intervention were still much less symptomatic than participants
who did not receive this intervention. A more than interesting fact that emerges from this study is that no participant intervention condition reported PTSD and five participants from the control condition still suffer from this disorder two years after the traumatic event. Meanwhile, it was observed that participants who received the intervention perceive less social support than the negative control condition. Like what has been reported in post-test three months, the two groups did not show a significant difference in the expression of other psychological ailments. The fourth and final chapter provides a general discussion of the results based on interpretations that can be drawn, different strengths and inherent limitations as well as theoretical and clinical implications that may arise.
Keywords: CBT Cognitive-Behavioral Therapy Dyadic Intervention Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
144. Adler-Tapia, R., & Settle, C. (2009). Evidence of the efficacy of EMDR with children and adolescents in individual psychotherapy: A review of the research published in peer-reviewed journals. Journal of EMDR Practice and Research, 3(4), 232-247. doi:10.1891/1933-3196.3.4.232.
Language: English
Format: Journal
Abstract:
Research on psychotherapy with children is generally underrepresented in the empirical literature.
Currently, there are four randomized clinical trials (RCT) evaluating EMDR in individual psychotherapy
with traumatized children—two for children diagnosed with PTSD and two for children presenting with
symptoms of posttraumatic stress. Since the first case studies of EMDR with children were published in
1993, 19 studies were identified that met the inclusion criteria for this review. The gold standards identified by Foa and Meadows (1997) to assess the methodology of studies designed to treat trauma were
applied to the research on EMDR with children. This analysis discusses the challenges to conducting
research on psychotherapy with children including the debate regarding the assessment and diagnosis of
PTSD in children. Recommendations for future studies designed with methodological rigor are suggested
to investigate the efficacy of EMDR with children who have experienced trauma and other mental health
symptoms and diagnoses.
Keywords: Adolescents Children Efficacy Review Trauma
Accuracy Verified: Yes
145. Falzon, L., Davidson, K. W., & Bruns, D. (2010). Evidence searching for evidence-based psychology practice. Professional Psychology: Research and Practice, 41(6), 550-557. doi:10.1037/a0021352.
Language: English
Format: Journal
Abstract:
There is an increased awareness of evidence-based methodology among psychologists, but little exists in the literature about how to access the research. Moreover, the prohibitive cost of this information and limited time are barriers to the identification of evidence to answer clinical questions. This article presents an example of a question worked though in an evidence-based way. Methods are highlighted, including distinguishing background and foreground questions, breaking down questions into searchable statements, and adapting statements to suit both the question being asked and the resource being searched. A number of free, evidence-based resources are listed. Knowing how and where to access this information will enable practitioners to more easily use an evidence-based approach to their practice.
Note: In its “An Applied Example” section (pp. 553-554), this article explores how to use widely accessible databases to answer the question: “In people with PTSD, is eye movement desensitization and reprocessing (EMDR) more effective than cognitive–behavioral therapy (CBT) to improve symptoms and prevent recurrence?”
Keywords: Evidence-Based Methodology
Accuracy Verified: Yes
146. Capps, F. (2005). The EXACT method: Resolution of substance abuse-related trauma in couples counseling utilizing eye movement desensitization and reprocessing (EMDR). Texas A&M University, Corpus Christi, TX. AAT 3173700.
Language: English
Format: Dissertation/Thesis
Abstract:
This study utilized single session EMDR (Shapiro, 1995, 2002) and the Experiential Approach to Couples Treatment (EXACT method) to target substance abuse related trauma in non-dependent partners (NDPs) of former substance abusers. Chemical dependent partners (CDPs) received simultaneous experiential treatment. Treatment effects and maintenance of treatment between experimental and wait-list control groups were examined for trauma reduction, commitment to sobriety, and emotional intimacy. Correlations among intimacy, emotional quality, between and commitment to sobriety were examined. Meta-analyses informed the literature review and described the gold standards (Foa & Meadows, 1997) which were used to rate controlled research. The Emogram (Priesmeyer, Knickerbocker, Comstock, & Mudge, 2001) was used for pre-posttest comparisons. This study met the gold standards at a rating of seven (RGS = 7.0). The sample consisted of 12 couples (N = 24) drawn from adult volunteers who met screening criteria. Data was analyzed using within subjects multivariate analyses of variance with repeated measures, and Pearson product-moment correlations. Trauma-related symptoms were significantly reduced for NDPs. Commitment to sobriety was measured by anxiety and depression symptoms which were significantly reduced for chemical dependent partners (CDPs). Trauma, anxiety, and depression reductions were maintained for all participants at follow-up. Maintenance of gains in commitment to sobriety and in emotional intimacy for CDPs failed to reject the null hypotheses. Measures of Self Disclosure, Love and Affection, and Personal Validation were significantly correlated, but were not significantly correlated to Trust or to Emotional Quality. No significant relationship was found between Emotional Quality and Commitment to Sobriety or between Emotional Quality and Emotional Intimacy for CDPs. Conclusions include that a single session of the treatment was efficacious for trauma, anxiety, and depression reduction and for increased commitment to sobriety and intimacy. Treatment gains for trauma, anxiety, and depression reduction were maintained. Commitment to sobriety and emotional intimacy gains tended to be maintained but were not significant. Intimacy measures tended to be related to each other, but relationships among other measures were not significant. Recommendations include larger sample sizes, additional variables of study, and lengthening follow-ups. Comparative treatment methods are recommended. Future research should include families. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International Section A: Humanities and Social Sciences. 66(4-A), 2005, pp. 1282.
Keywords: Counseling Couples Drug Abuse Emotional Trauma Empirical Study Quantitative Study
Accuracy Verified: Yes
147. Schottenbauer, M. A. (2006). Expert therapists and practicing clinicians: Reported prototypical treatments of trauma. The Catholic University of America. AAT 3239353.
Language: English
Format: Dissertation/Thesis
Abstract:
PTSD is a frequent psychiatric response to a variety of extreme psychological stressors. While several effective treatments for PTSD such as cognitive-behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) have been included on lists of empirically supported treatments, nonresponse rates to these treatments can be high. According to patient report, psychodynamic interventions are more common than CBT for PTSD in the community, yet only one randomized controlled trial has included a psychodynamic treatment for PTSD. This dissertation reviews the treatment dropout and non-response rates in studies of empirically supported treatments for PTSD. Next, a case for the value of psychodynamic treatment of PTSD is made, utilizing empirical research on links between the psychopathology of PTSD and psychodynamic concepts such as defenses and relationship patterns. Then, an empirical study was conducted to find out how psychodynamic and CBT therapists treat patients with PTSD, to discover commonalities and defining characteristics of treatment within each group of respondents, and to delineate the unique contributions of psychodynamic psychotherapy to the treatment of such patients.Therapists who identified themselves primarily with psychodynamic/psychoanalytic or cognitive-behavioral theoretical orientations were recruited online through professional organization listservs. They were randomly presented one of four case studies, describing variations on trauma. Participants then completed a Psychotherapy Process Q-Sort to describe quantitatively their ideal treatment of the given patient. Results indicated many similarities among clinicians of widely different perspectives. Among clinicians who indicated that their primary theoretical orientation was psychodynamic, three prototypical treatments were discovered, and among clinicians who indicated that their primary theoretical orientation was cognitive-behavioral, four prototypical treatments were found. Overall, the prototypes in the current study were correlated with, but not identical to, prototypes of PD, CBT, or interpersonal therapy (IPT) developed in previous studies based on experts' ratings. While the literature has suggested that clinicians who treat patients who have PTSD may make alterations in their techniques to address issues that are specific to PTSD, the current study provides some evidence that therapists are not aware of how their treatment for trauma is different from the theoretical approaches they endorse. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 67(10-B), 2007, pp. 6077.
Keywords: Cognitive Therapy Empirical Study Health Personnel Attitudes Mental Health Personnel Posttraumatic Stress Disorder Psychoanalytic Psychotherapy Psychotherapeutic Processes PTSD Quantitative Study
Accuracy Verified: Yes
148. Kitchiner, N. J., Bisson, J. I., & Robert, N. (2005, October). Eye movement desensitisation and reprocessing is now recommended as one of the first-line treatments for post-traumatic stress disorder. Mental Health Practice, 9(7), 19-22.
Language: English
Format: Magazine
Abstract:
Interest in the area of traumatic stress has grown considerably since post-traumatic stress disorder (PTSD) was first classified as a mental health condition in 1980 by the American Psychiatric Association (APA 1980). The current classification can be viewed in Box 1. There is now a well-established literature on the effects of traumatic experience following a range of traumatic events. The National Institute for Health and Clinical Excellence (NICE 2005) has reviewed the evidence base for the treatment of PTSD and recommended trauma-focused cognitive behavioural therapy (TFCBT) and EMDR as the two first-line treatments for PTSD.
Keywords: Posttraumatic Stress Disorder Professional Training PTSD Treatment Effectiveness
Accuracy Verified: Yes
149. MacCulloch, M. J., & Feldman, P. (1996, November). Eye movement desensitisation treatment utilises the positive visceral element of the investigatory reflex to inhibit the memories of post-traumatic stress disorder: A theoretical analysis. British Journal of Psychiatry, 169(5), 571-579.
Language: English
Format: Journal
Abstract:
Background: Eye movement desensitisation and reprocessing (EMDR) has attracted controversy and has led to publications covering a wide range of psychological problems treated by EMDR, in particular, PTSD. There is growing clinical evidence of the effectiveness of EMDR, but a lack of a convincing theoretical basis to explain its rapid effect. Method: This paper argues that a combination of Pavlovian and Darwinian theory provide a theoretical explanation for the therapeutic effectiveness of EMDR. Results: We suggest that the investigatory component of the orienting reflex is an evolutionary development enabling organisms to assess their environment for both opportunities and threats. We propose that EMDR is rapidly effective because it is a clinical method of Pavlovian conditioning by which the positive visceral element of the investigatory reflex can be paired with clinically-induced noxious memories to remove their negative affect. Conclusion: Compared with established forms of treatment for PTSD, EMDR is rapid, with resulting clinical and economic benefits. Our suggested theoretical basis for EMDR has implications for further explanatory research and for developments in EMDR treatment. [Author Abstract]
Keywords: Conditioned Emotional Responses Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
150. Lee, C., Gavriel, H., & Richards, J. (1996, November). Eye movement desensitisation: Past research, complexities, and future directions. Australian Psychologist, 31(3), 168-173. doi:10.1080/00050069608260202.
Language: English
Format: Journal
Abstract:
This paper reviews the present state of knowledge about the efficacy of eye movement desensitisation and reprocessing (EMDR) as a treatment for traumatic memories, and draws on information-processing theory to identify basic problems with much of the research on this procedure. The general failure of this research to take into account the complexity and hypothesised theoretical underpinnings of EMDR is discussed, and suggestions are made for future research. Although EMDR has shown some promise as an effective intervention for PTSD, well controlled comparative outcome studies are required to establish its efficacy before investigation of its active therapeutic components should be undertaken. [Author Abstract]
Keywords: Emotional Trauma Literature Review
Accuracy Verified: Yes
151. Dunne, T. (2011, May). Eye movement desensitization & reprocessing (EMDR): A brief history, controversies and evidence of clinical effectiveness. The Irish Psychologist, 37(7), 108-185.
Language: English
Format: Magazine
Abstract:
In the previous paper, [Dunne, T. (2011, February). The history and development of eye movement desensitization and reprocessing. The Irish Psychologist, 37(4), 99-105] we reviewed the origins and beginnings of EMDR and outlined the EMDR Protocol in clinical practice. I should now like to critically examine the literature on the effectiveness of EMDR in the treatment of post traumatic stress disorder (PTSD) as this is the area where most of the studies on EMDR have been conducted.[Author abstract]
Accuracy Verified: Yes
152. 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:
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]
Keywords: Americans Assault Case Report Females Longitudinal Study Middle Aged Motor Traffic Accidents Posttraumatic Stress Disorder PTSD Survivors
Accuracy Verified: Yes
153. Chemtob, C. M., Tolin, D. F., van der Kolk, B. A., & Pitman, R. K. (2000). Eye movement desensitization and reprocessing. In E. B. Foa, T. M. Keane, & M. J. Friedman (Eds.), Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies (pp. 139-154, 333-335). New York: Guilford Press.
Language: English
Format: Book Section
Abstract:
Eye movement desensitization and reprocessing (EMDR), an emerging therapy for psychological trauma, has been in use for nearly a decade. Although it has stimulated strong interest and enthusiasm, EMDR has also received intense critical scrutiny. This chapter provides an overview of the history and theory of EMDR. Next, the ENDR procedure is summarized, followed by a review of the outcome literature. Dismantling studies of the contribution of eye movements to the efficacy of the EMDR procedure are then reviewed, followed by an overall rating reflecting the current knowledge of EMDR's efficacy, along with recommendations for its use. The chapter concludes with suggestions for further research. [Text, p 139] [Pilots]
Keywords: Literature Review Practice Guidelines Treatment Effectiveness
Accuracy Verified: Yes
154. Smith, P. A., & Yule, W. (1999). Eye movement desensitization and reprocessing. In W. Yule (Ed.), Post-traumatic stress disorders: concepts and therapy (pp. 267-284). Chichester, England: John Wiley & Sons.
Language: English
Format: Book Section
Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is one of the most recent additions to the armoury of treatments for posttraumatic stress disorder (PTSD). This chapter briefly outlines the EMDR procedure, and reviews the growing number of outcome evaluation studies, before considering some of the recent theoretical explanations that have been offered. EMDR has been used with a variety of populations, and its use with children and adolescents is considered here. At the heart of EMDR is the notion that accelerated processing of disturbing material can be directly facilitated at a neurophysiological level using a variety of dual attention tasks. Accordingly, a by-product of resolution at the neurophysiological level is cognitive and emotional well-being. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adolescents Children Literature Review Psychotherapeutic Processes PTSD Research Needs Survivors Treatment Effectiveness
Accuracy Verified: Yes
155. Staff. (2004, July). Eye movement desensitization and reprocessing. Office of Substance Abuse Services, Current Tx Trends, 2(7), 1-2.
Language: English
Format: Magazine
Abstract:
Over the last decade, Eye Movement Desensitization and Reprogramming (EMDR) has emerged as a well documented treatment for Post-Traumatic Stress Disorder (PTSD). A growing body of research is exploring its application to the treatment of other pathological conditions, including substance use disorders. EMDR was developed in the late 1980s by Francine Shapiro, at the time a graduate student in English literature confronting a diagnosis of cancer. Ms. Shapiro noted that, when dealing with her own distressing memories, simultaneously focusing on eye movements appeared to decrease the associated negative emotions. She assumed that eye movements had a desensitizing effect, and upon further investigation found that others also had the same response to the technique.
Keywords: Pathological Conditions Posttraumatic Stress Disorder PTSD Substance Abuse Disorders
Accuracy Verified: Yes
156. Spates, C. R., Koch, E., Cusack, K., Pagoto, S., & Waller, S. (2009). Eye movement desensitization and reprocessing. In E. B. Foa, T. M. Keane, M. Terence, M. J. Friedman, & J. A. Cohen, (Eds) Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies (2nd ed.) (pp. 279-305). New York: Guilford Press.
Language: English
Format: Book Section
Abstract:
This chapter critically summarizes state-of-the-art knowledge relevant to the use of eye movement desensitization and reprocessing (EMDR) treatment for traumatic stress. We review empirical evidence and pertinent meta-analyses since the first edition of this volume was published. Data pertaining to EMDR treatment of both adults and children are incorporated. We also examined the evidence for its bearing on "questions in need of further research" from the previous update to determine whether the recommended research questions have been addressed. Finally, we raise a number of questions for continuing research relevant to EMDR and, more generally, the treatment of posttraumatic stress disorder (PTSD), in which the evidence points to opportunities for emerging, empirically supported practice. In this chapter we address the empirical foundation of EMDR in terms of efficacy, comparative effectiveness, and durability. We also present evidence bearing on the conceptual framework, at least insofar as procedural components are concerned. (PsycINFO Database Record (c) 2009 APA, all rights reserved)
Keywords: Chronic Posttraumatic Stress Disorder Chronic PSTD Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Traumatic Stress Treatment Treatment Effectiveness
Accuracy Verified: Yes
157. Shapiro, F. (1999, January-April). Eye movement desensitization and reprocessing (EMDR) and the anxiety disorders: Clinical and research implications of an integrated psychotherapy treatment. Journal of Anxiety Disorders, 13(1-2), 35-67. doi:10.1016/S0887-6185(98)00038-3.
Language: English
Format: Journal
Abstract:
Four recent, independent, rigorously controlled studies of Eye Movement Desensitization and Reprocessing (EMDR) have reported that 84 to 100% of single-trauma victims no longer maintain the posttraumatic stress disorder diagnosis after the equivalent of three 90-minute sessions. The rapidity of EMDR treatment effects makes many ancillary research opportunities available. Specifically, the increased number of cases resolved in a relatively short period of time allows investigation of neurophysiological phenomena, patterns of cognitive and emotional processing, component analyses of a large range of procedural factors, and evaluation of the efficacy of application to diverse clinical populations. Unfortunately, some research has been conducted that has been severely hampered by insufficient treatment fidelity and lack of clinical validity. Consequently, this article will attempt to describe the procedures and protocols that are believed to contribute to EMDR's clinical effects and are, therefore, suggested for the EMDR treatment and research of the anxiety disorders. This is particularly relevant given the misconceptions that have abounded due to the unfortunate naming of the procedure after the eye movements, which have proved to be only one of many useful types of stimulation, and only one of many components of this complex, integrated treatment. [PubMed]
[Note: Erratum in Journal of Anxiety Disorders 13(6), 621, Nov-Dec 1999]
Keywords: Anxiety Disorders Literature Review Methodology Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Research Needs
Accuracy Verified: Yes
158. Boudewyns, P. A. & Hyer, L. A. (1996, October). Eye movement desensitization and reprocessing (EMDR) as treatment for post-traumatic stress disorder (PTSD). Clinical Psychology and Psychotherapy, 3(3), 185-195. doi:10.1002/(SICI)1099-0879(199609)3:3<185::AID-CPP101>3.0.CO;2-0.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing is a new and controversial cognitive-behavioural treatment technique that combines cognitive processing and exposure methodology to treat conditioned emotional responding and other trauma-related symptoms. EMDR is controversial in part due to initial excessive claims by its originator, Francine Shapiro, and also because of what many believe to be Shapiro's proprietary emphasis in controlling who may use the technique with patients. In this paper our aim is to take an objective look at the process and effectiveness of this technique. The purpose here is to (1) offer a brief objective review of the outcome literature to date on EMDR; (2) present a short summary of results of an 'early look' at an ongoing controlled study of this method that we are presently conducting; (3) speculate on the merits of this approach based on both scientific and clinical experience with EMDR and (4) offer a brief description of the evolved process of EMDR along with a commentary on that process. [Author Abstract]
Keywords: Adults Americans Posttraumatic Stress DIsorder PTSD Random Clinical Trial RCT Treatment Effectiveness Veterans
Accuracy Verified: Yes
159. Giannantonio, M. (2001, Augusto). Eye movement desensitization and reprocessing (EMDR) e psicoterapia del disturbo post-traumatico da stress: Considerazioni critiche e linee di tendenza [EMDR and PTSD psychotherapy: Critical evaluations and current trends]. Psicoterapia Cognitiva e Comportamentale, 7(1), 5-23.
Language: Italian
Format: Journal
Abstract:
L'Eye Movement Desensitization and Reprocessing (EMDR) è una forma di psicoterapia relativamente recente nota soprattutto per la sua discussa efficacia nella psicoterapia del Disturbo Post-Traumatico da Stress (PTSD), ma anche per l'accesa polemica che ruota attorno ad essa. Nel presente articolo viene valutata la più recente letteratura sull'efficacia dell'EMDR nella psicoterapia del PTSD, prestando una particolare attenzione alla comparazione con altre forme di psicoterapia ed alle critiche concettuali e metodologiche che sono state rivolte a questa metodica. Una review della letteratura porta con un ragionevole grado di certezza ad affermare l'efficacia dell'EMDR nella psicoterapia del PTSD. È invece necessaria ancora molta ricerca per dipanare le incertezze relative ai meccanismi specifici sui quali si basa l'efficacia dell'EMDR. Vengono infine accennate alcune attuali linee di tendenza nell'evoluzione dell'EMDR.
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively recent model of psychotherapy known especially for its controversial effectiveness in PTSD psychotherapy, but also for the intense polemic centred on it. In the present article the most recent literature about effectiveness of EMDR in PTSD psychotherapy is evaluated, paying a particular attention to the comparison with other forms of psychotherapy and to the conceptual and methodological criticisms addressed to this psychotherapeutic approach. A review of literature leads to assert -- with a reasonable degree of certainty -- EMDR efficacy. On the contrary, extensive research is still required to dispel doubts concerning the specific mechanisms on which the efficacy of EMDR is based. Finally, some of the current trends in EMDR development are mentioned. [Author Summary]
Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
160. Kim, D. (2005, March). Eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder. Journal of the Korean Neuropsychiatric Association, 44(2), 147-151.
Language: Korean
Format: Journal
Abstract:
This article reviews existing Eye Movement Desensitization and Reprocessing (EMDR) literature concerning its effectiveness, theory, mechanism, and procedural aspects in the treatment of post-traumatic stress disorder (PTSD). Evidence from randomized clinical trials and meta-analyses indicates that EMDR is as effective as well established treatments such as exposure and cognitive behavior therapy. And moreover, EMDR may be more efficient in terms of unnecessary homework assignment and fewer treatment sessions. The current status of EMDR occupies one of legitimate and standard psychotherapeutic approaches in adult PTSD treatment. Mechanism for treatment efficacy is poorly understood at present and putative at most, however, there is a growing body of literature on neurobiological change after successful EMDR treatment.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
161. Marich, J. N. (2009, May). Eye movement desensitization and reprocessing (EMDR) in the addiction continuing care: A phenomenological study of women treated in early recovery. Capella University, Minneapolis, MN. UMI 3355347.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this study is to explore: (a) the lived experiences of clients participating in Eye Movement Desensitization and Reprocessing (EMDR) treatment as part of their addiction continuing care, and (b) the impact of the EMDR experience on their lives as individuals recovering from addiction. A review of the critical literature was conducted to reveal a wealth of information concerning EMDR's efficacy with posttraumatic stress disorder (PTSD), suggestions for implementing EMDR into addiction treatment, and various ethical-clinical issues that continue to be addressed within the scope of EMDR treatment. Research on implementing EMDR as part of the overall addiction recovery process is minimal at present. In this study, ten women who received EMDR at a treatment program in the urban Midwest participated in a semi-standardized phenomenological interview to share their experiences with active addiction, treatment, EMDR, and recovery. Using Giorgi's Descriptive Phenomenological Psychological Method to analyze the data, four major thematic areas emerged: safety as an essential crucible of the EMDR experience, accessing the emotional core as vital to the recovery experience, lifestyle change, and using a combination of factors for successful treatment. All ten of the women who came forward through the established recruitment process expressed positive sentiments about their EMDR experiences, and in various degrees, they credited their EMDR treatment with being a crucial competent of their addiction continuing care processes. As a collective sample, the participants shared experiences about how EMDR altered their perspectives of self, others, and situations. These perspective shifts resulted in meaningful lifestyle changes that were critical to developing healthy, enduring recoveries.[Author abstract]
Keywords: Addiction Early Recovery Women
Accuracy Verified: Yes
162. Adler-Tapia, R., Settle, C., & Shapiro, F. (2012). Eye movement desensitization and reprocessing (EMDR) psychotherapy with children who have experienced sexual abuse and trauma . In P. Goodyear-Brown, (Ed.), Handbook of child sexual abuse: Identification, assessment, and treatment (pp. 229-250). Hoboken, NJ: John Wiley & Sons. doi:10.1002/9781118094822.
Language: English
Format: Book Section
Abstract:
This book is a comprehensive guide to the identification, assessment, and treatment of child sexual abuse. The field of child sexual abuse has experienced an explosion of research, literature, and enhanced treatment methods over the last thirty years. Representing the latest refinements of thought in this field, this volume combines the most current research with a wealth of clinical experience. The contributing authors, many of whom are pioneers in their respective specialties, include researchers and clinicians, forensic interviewers and law enforcement professionals, caseworkers and victim advocates, all of whom do the work of helping children who have been sexually victimized. Offering a snapshot of the state of the field as it stands today, the authors explore a variety of issues related to child sexual abuse, from identification, assessment, and treatment methods to models for implementation and prevention, including: The impact of sexual abuse on the developing brain; The potential implications of early sexual victimization; Navigating the complexities of multidisciplinary teams; Forensic interviewing and clinical assessment; Treatment options for children who have traumagenic symptoms as a response to their sexual victimization; Treating children with sexual behavior problems and adolescents who engage in illegal sexual behavior; Secondary trauma and vicarious traumatization; and Cultural considerations and prevention efforts. Edited by a leader in the field of child therapy, this important reference equips helping professionals on the front lines in the battle against child sexual abuse- not merely with state-of-the-art knowledge, but also with a renewed vision for the importance of their role in the shaping of our culture and the healing of victimized children.
Keywords: Children Sexual Abuse
Accuracy Verified: Yes
163. Karlsson, A. (2002). Eye movement desensitization and reprocessing (EMDR): En presentation och analys av metoden, samt redogörelse för svenska utövares upplevelser [Eye Movement desensitization and processing (EMDR): A presentation and analysis of the method, and explanation of Swedish practitioners' experiences]. Psykologexamensarbete, Stockholms Universersit Psyckologiska Institutionen. .
Language: Swedish
Format: Other
Abstract:
Posttraumatiskt stressyndrom är en komplex och mångdimensionell störning.
Lyckligtvis finns det effektiva behandlingsmetoder. 1989 utvecklade
Francine Shapiro metoden, sedermera namngiven, Eye Movement Desensitization
and Reprocessing (EMDR), för behandling av traumatiska minnen.
Det hävdas att mellan 84 – 100% som behandlats med EMDR inte längre
uppfyller diagnoskriterierna för PTSD. Uppsatsens huvudsyfte är att göra en
grundläggande granskning av EMDR och metodtillämpningen i Sverige.
Datainsamling skedde genom litteraturgranskning, enkätundersökning samt
intervjuer med EMDR-utbildade kliniker. Resultatet visar att EMDR är effektivare
än ingen behandling alls eller icke-validerade behandlingsmetoder,
såsom aktivt lyssnande. Det är däremot inte styrkt att EMDR är effektivare
än KBT. Vidare antyder komponentstudier att ögonrörelsestimulering, eller
alternativ bilateral stimulering, inte är nödvändig för att uppnå behandlingsframgångar.
Samtliga intervjuade utövare upplever EMDR som ett värdefullt
och verksamt verktyg i behandlingsarbetet. Diskussion förs kring resultaten
från effektstudierna och nödvändigheten av fortsatt forskning.
Post-traumatic stress disorder is a complex, multidimensional disorder.
Fortunately there are effective treatments. 1989 Developed
Francine Shapiro method, later named, eye movement desensitization
and Reprocessing (EMDR), for the treatment of traumatic memories.
It is alleged that between 84 - 100% treated with EMDR are no longer
meet diagnostic criteria for PTSD. The main purpose is to make a
fundamental review of the EMDR method and application in Sweden.
Using data obtained from literature review, survey and
interviews with EMDR-trained clinicians. The results show that EMDR is more effective
than no treatment or non-validated therapies,
such as active listening. It is however not shown that EMDR is more effective
than CBT. Further studies suggest component of eye movement stimulation, or
alternative bilateral stimulation, it is not necessary to achieve treatment success.
All interviewees experienced EMDR practitioners as a valuable
and effective tool in the treatment process. Talk out of the result,
from efficacy trials and the need for further research.
Keywords: Component Studies Impact Studies Posttraumatic Stress Disorder PTSD Swedish Practice Travel Experiences
Accuracy Verified: Yes
164. Story, T. (2004). Eye movement desensitization and reprocessing (EMDR): Impacting communication apprehension. Washington State University. AAT 3165135.
Language: English
Format: Dissertation/Thesis
Abstract:
This study was designed to test the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) in reducing communication apprehension (CA) specifically public speaking apprehension (PSA). Literature on CA and available interventions is reviewed. An overview of the EMDR process is discussed. The study employs a pre/posttest experimental design. The independent variables involve four treatment conditions--EMDR, Systematic Desensitization (SD), placebo, and control. The dependent variables include the Personal Report of Communication Apprehension-trait public speaking subscale (PRCA-PSS) (McCroskey, 1997) and the State CA scale (STAI) (Spielberger, Gorsuch, and Lushene, 1970). These data indicated significant results in reduction of trait and state communication apprehension for both EMDR and SD interventions. EMDR and SD appear to be equally effective in reducing CA associated with public speaking. The implications of these findings are discussed in the final chapter of this dissertation.
Keywords: Speech Anxiety
Accuracy Verified: Yes
165. Shapiro, F., & Maxfield, L. (2002, August). Eye movement desensitization and reprocessing (EMDR): Information processing in the treatment of trauma. Journal of Clinical Psychology, 58(8), 933-946. doi:10.1002/jclp.10068.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is an efficacious and efficient treatment for PTSD. This article provides a brief overview of the findings of 20 controlled-outcome studies and describes Shapiro's Adaptive Information Processing model. This model posits that pathology results when distressing experiences are processed inadequately and hypothesizes that EMDR accelerates information processing, resulting in the adaptive resolution of traumatic memories. A detailed description of the eight phases of treatment highlights the procedures, assumptions, and clinical observations that currently guide EMDR clinical practice. A case study, with an in-session transcript, illustrates the application of EMDR to address the past events that have laid the groundwork for dysfunction, the present circumstances that elicit distress, and skills acquisition needed for adaptive functioning (Pilots).
Keywords: Clinical Case Study Cognitive Processes Empirical Study Information Processing Literature Review Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes Treatment Process
Accuracy Verified: Yes
166. Shapiro, F. (1996, September). Eye movement desensitization and reprocessing (EMDR): Evaluation of controlled PTSD research. Journal of Behavior Therapy and Experimental Psychiatry, 27(3), 209-218. doi:10.1016/S0005-7916(96)00029-8.
Language: English
Format: Journal
Abstract:
The complete controlled PTSD research on eye movement desensitization and reprocessing (EMDR) is placed within the context of other methods used in the treatment of PTSD. A number of studies are presented that support EMDR as an empirically validated method. However, in several studies, clinical standards have not always been integrated with rigorous scientific methdology. The suggested standards include fidelity checks for the method being tested, the use of appropriate psychometrics, and assessment of co-morbidity factors. At the same time, because of common misconceptions about the method, a variety of problematic issues are discussed. [Author Abstract]
Keywords: Adults European Americans Arousal Literature Review Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
167. Greenwald, R. (1998, April). Eye movement desensitization and reprocessing (EMDR): New hope for children suffering from trauma and loss. Clinical Child Psychology and Psychiatry, 3(2), 279-287.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a recently developed method for working through traumatic memories and related psychological problems. Recent literature reviews find strong support for EMDR's value in trauma therapy. The first studies using EMDR wth children and adolescents yield similar findings. A case is presented to illustrate the procedure as used in clinical practice. EMDR appears to be a promising new resource for helping children and adolescents recover from truama and loss. [Author Abstract]
Keywords: Case Report Clinical Case Study Empirical Study Females Posttraumatic Stress Disorder Preadolescents PTSD Rape Survivors Torture
Accuracy Verified: Yes
168. Field, A., & Cottrell, D. (2011, November). Eye movement desensitization and reprocessing as a therapeutic intervention for traumatized children and adolescents: A systematic review of the evidence for family therapists. Journal of Family Therapy, 33(4), 374-388. doi:10.1111/j.1467-6427.2011.00548.x.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a relatively new form of psychotherapy for post-traumatic symptoms of relevance to systemic therapists. The literature available on individual EMDR in traumatized children is reviewed in this article. A sample of eight studies was examined, consisting of three controlled trials, two uncontrolled studies and three case reports or series. The controlled trials compared EMDR with waiting list controls or cognitive behavioural therapy (CBT). The study samples were small and their methodological quality variable. In all the studies, the results suggested a positive effect for EMDR but did not appear superior to CBT. It is therefore possible that systemic interventions may be improved by the integration of EMDR and family therapy with children and adolescents.
Keywords: Adolescents Children Family and Systemic Therapy
Accuracy Verified: Yes
169. Hudson, J., Chase, E., & Pope, H. (1998, January). Eye movement desensitization and reprocessing in eating disorders: Caution against premature acceptance. International Journal of Eating Disorders, 23(1), 1-5.
Language: English
Format: Journal
Abstract:
Objective: Eye movement desensitization and reprocessing (EMDR) has been claimed effective in the treatment of a wide variety of psychiatric disorders, including eating disorders. An informal survey suggests that EMDR is now widely offered to patients with eating disorders. Before accepting a new therapy such as EMDR, one must determine that its benefits outweigh its adverse effects. This paper reviews the literature in an attempt to assess the benefits and risks of the use of EMDR in the treatment of eating disorders. Method: We reviewed the literature on the use of EMDR to treat eating disorders and other conditions. Results: Looking at the question of its benefits, we were unable to find any methodologically sound studies that have shown efficacy for EMDR in eating disorders, or, indeed, any psychiatric disorder. We were also unable to find a sound theoretical basis for expecting EMDR to be effective. In addition, EMDR may have adverse effects. First, EMDR is sometimes used in conjunction with efforts to "recover" memories of traumatic events. But "recovered memory" therapy may carry a risk of inducing potentially harmful false memories. Second, use of EMDR may prevent or delay other therapies of established efficacy for eating disorders, such as cognitive behavioral therapy and antidepressants. Discussion: In light of the findings of our review, the risk/benefit ratio of EMDR does not as yet encourage its widespread acceptance.
Keywords: Eating Disorders Literature Review
Accuracy Verified: Yes
170. Estergard, L. (2008). Eye movement desensitization and reprocessing in the treatment of chronic pain. Walden University, Minneapolis, MN. AAT 3336660.
Language: English
Format: Dissertation/Thesis
Abstract:
Previous research has indicated that individuals with chronic pain who exhibit adaptive coping mechanisms are more likely to manage their pain effectively. If they experienced little success with pain management in the past, they are not likely to exhibit adaptive coping strategies in the present. However, there remains an important gap in the literature regarding the use of eye movement desensitization and reprocessing (EMDR) as a strategy for chronic pain. One purpose of this study was to establish the effectiveness of EMDR in the reduction of chronic pain; another was to examine the relationship between chronic pain intensity and emotion, as suggested by the biopsychosocial model of pain and measured by the Multiple Affect Adjective Checklist-Revised. In this matched 2-group design, participants were matched on pretest chronic pain scores and randomized to EMDR and a delayed treatment group. Pre- and posttreatment chronic pain levels were determined using the Short-Form McGill Pain Questionnaire. Data were analyzed using paired samples t-tests. There was a significant reduction in chronic pain following six EMDR sessions for the participants in the experimental group and the delayed-treatment group. The results also indicated a reduction in dysphoria for both groups following EMDR. The findings may help to clarify whether EMDR is effective in alleviating chronic pain, which may lead to more satisfying lives for patients and their families. This study is an important contribution to the literature and enhances social change initiatives by showing that collaboration between EMDR and other types of treatment may offer more expedient and long-term relief to patients, thus affecting the costs (e.g., health insurance) associated with chronic pain.[Author abstract]
Keywords: Biopsychosocial Models Chronic Pain Coping Treatment
Accuracy Verified: Yes
171. Shepherd. J., Stein, K., & Milne, R. (2000, July). Eye movement desensitization and reprocessing in the treatment of post-traumatic stress disorder: A review of an emerging therapy. Psychological Medicine, 30(4), 863-871.
Language: English
Format: Journal
Abstract:
Background: Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new form of psychotherapy for PTSD. We critically reviewed randomized controlled trials of EMDR. Methods: A wide range of electronic databases and reference lists of articles obtained were searched and relevant experts were consulted. Studies were critically appraised according to established criteria. Results: We found 16 published randomized controlled trials (RCTs) comparing EMDR with alternative psychotherapy treatments, variants of EMDR, and with delayed treatment groups. Studies were generally small (mean number of patients = 35) and of variable methodological quality, with only 5 reporting blinding of outcome assessors to treatment allocation, and in some cases with high loss to follow-up. In most cases EMDR was shown to be effective at reducing symptoms up to 3 months after treatment. In one case benefit was maintained up to 9 months and in another (uncontrolled) followup treatment effect was present at 15 months. 2 studies suggest that EMDR is as effective as exposure therapies, 3 claim greater effectiveness in comparison to relaxation training, and 3 claim superiority over delayed treatment groups. Of the studies examining specific treatment components, 2 found that treatment with eyes moving was more effective than eyes fixed, while 3 studies found the two procedures to be of equal effectiveness. CONCLUSION: The evidence in support of EMDR is of limited quality but results are encouraging for this inexpensive, simple therapy. Further research is warranted in larger samples with longer periods of follow-up. [Author Abstract]
Keywords: Health Care Costs Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
172. 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:
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.
Keywords: Avoidance Case Report Empirical Study Females Intrusive Thoughts Middle Aged PTSD Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
173. Tye, J. A. (2001, August). Eye movement desensitization and reprocessing treatment for posttraumatic stress disorder and other psychological traumas: A decade of research in review. United States International University, San Diego, CA. AAT 3006172.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new complex treatment method that incorporates salient aspects of many of the major therapeutic modalities as a treatment for PTSD and other psychological trauma in a civilian population. One of the basic underlying principles is elucidated in the Accelerated Processing Model which posits the ability to access and process dysfunctional perceptions that were stored at the time of the traumatic event. These state-dependent perceptions are considered the primary cause of posttraumatic stress symptomatology.The purpose of this review was to investigate whether the EMDR method is an efficacious treatment for individuals diagnosed with PTSD, as reflected in a critical review of the literature from the initial study conducted in 1989 through 2000. The review included the history and background, development, and research to date of EMDR as a method of treatment for PTSD. A description was provided of the psychometric instruments utilized in the assessment; diagnosis; and measurement of the presence, absence, and level of severity of PTSD symptomatology, as described in the research literature of EMDR. Of special concern was the discrepancy between the diagnostic criteria and the presence, absence, and level of severity of PTSD symptomology as described in the treatment outcomes presented in the literature. Included were criteria for assessment instrument comparison, as well as the current limitations in assessment conformity and methodology which restrict the generalizability and assumptions about the way in which traumatic experiences manifest and influence treatment outcomes. [Author Abstract]
Keywords: Empirical Study Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
174. Greenwald, R. (2006). Eye movement desensitization and reprocessing with traumatized youth. In N. B. Webb (Ed.), Working with traumatized youth in child welfare (pp. 246-264). New York: Guilford Press. xx, 316 pp.
Language: English
Format: Book Section
Abstract:
This chapter provides an overview of how eye movement desensitization and reprocessing (EMDR) may be used to treat trauma/loss memories and related symptoms in children and adolescents. The literature on EMDR indicates not only that it works well, but that it may be more efficient than other methods. The reasons for its effect are unclear. Several cases are presented. It is important that clinicians receive formal training to use EMDR, and that it is integrated into a comprehensive trauma-informed treatment approach. [Text, p. 246]
Keywords: Bereavement Child Abuse Children Community Violence Effects Psychotherapeutic Processes Rape Survivors
Accuracy Verified: Yes
175. 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:
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.
Keywords: Literature Review Treatment Effectiveness
Accuracy Verified: Yes
176. Maxfield, L. (1999). Eye movement desensitization and reprocessing: An empirical review of the effectiveness of EMDR as a treatment for PTSD. Traumatology, 5(4), 1-17. doi:10.1177/153476569900500401 .
Language: English
Format: Journal
Abstract:
The level of evidence for EMDR is based upon 12 controlled studies that investigated the efficacy of EMDR treatment of participants with PTSD. The 7 civilian studies, with 1 exception, all found EMDR to be efficacious in the treatment of PTSD: EMDR was equivalent to cognitive behavioral therapy, and superior to other control conditions. 4 of the 5 studies with combat veterans addressed only one or two memories in this multiply traumatized population, and their findings were equivocal. The 1 combat veteran study which administered a longer course of treatment provides preliminary evidence that EMDR may be efficacious with that population. EMDR is a rapid treatment and appears to be well tolerated by clients, with effects being maintained at follow-up. [Author Abstract]
Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
177. Yarvis, J. S., & Spivey, C. (2003, Fall-Winter). Eye movement desensitization and reprocessing: Ethical considerations of EMDR marketing, training, and research. The Scientific Review of Mental Health Practice, 2(2), 89-95.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) has been both popularized and criticized in recent literature. Although a number of investigators continue to examine the efficacy of EMDR, few articles have critically evaluated the training practices and requirements for EMDR certification. This editorial is a qualitative and informal look into some of the training practices and requirements of EMDR level I training. The marketing of EMDR is discussed to identify ethical concerns relevant to EMDR's promotion. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Ethical Considerations Professional Certification Professional Standards Training Practices
Accuracy Verified: Yes
178. 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:
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.
Keywords: Adults Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
179. Lohr, J. M., Lilienfeld, S. O., Tolin D. F., & Herbert J. D. (1999, January-April). Eye movement desensitization and reprocessing: An analysis of specific versus nonspecific treatment factors. Journal of Anxiety Disorders, 13(1-2), 185-207. doi:10.1016/S0887-6185(98)00047-4.
Language: English
Format: Journal
Abstract:
Incremental validity and incremental efficacy have become important issues in the evaluation of psychological assessment and intervention procedures. Incremental validity in assessment is that shown by novel measures over and above established ones. Incremental efficacy is that shown by novel treatments over and above nonspecific and established treatment effects. In this paper, we critically examine the question of whether Eye Movement Desensitization and Reprocessing (EMDR) possesses efficacy above and beyond nonspecific treatment effects and components that are shared with well-established interventions. A review of recently published efficacy studies reveals that (a) the effects of EMDR are largely limited to verbal report indices, (b) eye movements and other movements appear to be unnecessary, and (c) reported effects are consistent with nonspecific treatment features. Examination of individual studies shows that control procedures for nonspecific features have been minimal. We analyze EMDR for nonspecific treatment features and suggest experimental controls to examine the incremental efficacy of EMDR. [Author Abstract]
Keywords: Literature Review Methodology Treatment Effectiveness
Accuracy Verified: Yes
180. Marquis, P. A. (1994). Eye movement desensitization and reprocessing: Are the eye movements an effective component?. Pacific Graduate School of Psychology, Carpinteria, CA. AAT 9528198.
Language: English
Format: Dissertation/Thesis
Abstract:
This study explored the effects of eye movements, as compared with eye stabilization and an attention control in reducing anxiety related to public speaking in a non-clinical sample. Nineteen subjects with public speaking anxiety identified their worst memory of speaking in public and either moved their eyes in cadence with the experimenter's fingers, fixated their eyes on the experimenter's fingers, or simply talked about negative experiences related to public speaking. Reduction in anxiety was measured by the Subjective Units of Disturbance scale (Wolpe, 1982) or the Personal Report of Confidence as a Speaker (Paul, 1966). Cognitive change was measured by the Validity of Cognition scale (Shapiro, 1989). Global symptoms were measured by the Symptom Checklist-90-Revised (SCL-90-R, Derogatis, 1983). Analysis of the data indicated that there was no significant difference between groups on any of the measures. This study did not explore the efficacy of Eye Movement Desensitization and Reprocessing (EMDR), but rather the effects of eye movements alone. According to the results of the this study, eye movements are not sufficient to create the kind of changes seen in the EMDR literature. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(4-B), Oct 1995, pp. 2335.
Keywords: Behavioral Psychology Clinical Psychology Empirical Study Psychophysiology Public Speaking Speech Anxiety
Accuracy Verified: Yes
181. Erwin, T. M. (2001). Eye movement desensitization and reprocessing: A critical analysis. Columbus, OH: Ohio University.
Language: English
Format: Dissertation/Thesis
Abstract:
Since Shapiro's introduction of Eye Movement Desensitization and Reprocessing (EMDR) in 1989, it has been a highly controversial therapeutic technique. Critical reviews of Shapiro's initial study have highlighted many methodological shortcomings in her work. And early empirical research that followed Shapiro's original study has been criticized for using small samples, using limited or nonrepresentative samples, or issues of treatment integrity. Research on EMDR has dramatically increased in both quantity and methodological rigor since the mid-1990s. Moreover, since its first appearance in the literature, EMDR has undergone a number of modifications. This article reviews key research conducted on EMDR since 1995 (using university students and war veterans), highlights issues of concern raised by researchers, and discusses the implications of these findings for the clinical counselor.
Keywords: Counseling Techniques Counseling Theories Criticism Evaluation Methods Eye Movements Research Problems Therapy
Accuracy Verified: Yes
182. 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:
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.
Keywords: Emotional Trauma Literature Review Methodology Theories
Accuracy Verified: Yes
183. Taylor, S. (2001, Augusto). Eye movement desensitization and reprocessing: Current debates and comparative efficacy. Psicoterapia Cognitiva e Comportamentale, 7(2), 169-178.
Language: English
Format: Journal
Abstract:
For over a decade, Eye Movement Desensitization and Reprocessing (EMDR) has been used to treat symptoms of PTSD. While EMDR advocates have been enthusiastic of this treatment, EMDR critics have raised several important concerns. This article examines claims presented in this journal by two comentators; one an EMDR critic and the other an EMDR advocate. One argues that dismantling studies that test the effects of bilateral stimulation will end the EMDR controversy. While such studies will provide useful information, such studies are incapable of resolving the controversy. This is because there are several contentious issues concerning EMDR. For clinicians treating PTSD, perhaps the most important question concerns the efficacy of EMDR compared to other therapies. This issue is not addressed in dismantling studies. The other commentator claims that EMDR is the treatment of choice for PTSD. While the literature suggests that EMDR is a useful intervention, the available data does not support their claim. EMDR appears to be no more effective than well-established behavioural and cognitive-behavioural therapies, and there is no consistent evidence that EMDR works more quickly than other therapies. There are currently no empirical guidelines for deciding whether the first choice of treatment should be EMDR or some other intervention, such as behvioural or cognitve-behavioural therapy. Patient preference and therapist expertise in one treatment versus another are important considerations. [Author Summary]
Keywords: Debates Eye Movements Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
184. Greyber, L. R., Dulmus, C. N., & Cristalli, M. E. (2012, January). Eye movement desensitization reprocessing, posttraumatic stress disorder, and trauma: A review of randomized controlled trials with children and adolescents. Child and Adolescent Social Work Journal, 1-17. doi:10.1007/s10560-012-0266-0.
Language: English
Format: Journal
Abstract:
This article examines the methodological rigor of randomized controlled
trials (RCTs) of eye movement desensitization reprocessing (EMDR) conducted
specifically with children and adolescents who had a diagnosis of posttraumatic
stress disorder and history of trauma. A thorough search for RCTs of EMDR with
children and adolescents that were published between 1998 and 2010 was conducted
utilizing several databases. A total of five studies were identified. Following an
extensive review of the literature, it became apparent that the number of RCTs
conducted with EMDR with children and adolescents was negligible, though initial
results suggest that it is a promising practice. Although current EMDR studies have
been conducted with children and adolescents, and have indicated that EMDR is a
promising practice, the state of knowledge at this point is insufficient. EMDR tends
to produce less positive results when compared to other trauma-focused interventions,
although some research indicates the opposite.
Keywords: Children Adolescents Randomized Control Trials RCT Posttraumatic Stress Disorder PTSD Review
Accuracy Verified: Yes
185. Herbert, J. D., & Mueser, K. T. (1992, September). Eye movement desensitization: A critique of the evidence. Journal of Behavior Therapy and Experimental Psychiatry, 23(3), 169-174. doi:10.1016/0005-7916(92)90033-F.
Language: English
Format: Journal
Abstract:
The scientific evidence supporting the efficacy of eye movement desensitization (EMD), a novel intervention for traumatic memories and related conditions, is reviewed. The sparse research conducted in this area has serious methodological flaws, precluding definite conclusions regarding the effectiveness of the procedure. Clinicians are cautioned against uncritically accepting the clinical efficacy of EMD. [Author Summary]
Keywords: Literature Review Treatment Effectiveness
Accuracy Verified: Yes
186. Medeiros, K. (2009). Eye-movement desensitization and reprocessing: Implementation and utilization of EMDR as a treatment for trauma. Undergraduate Review, 5(9), 32-36.
Language: English
Format: Audio
Abstract:
Trauma is a pervasive global issue that affects both children and adults.
It is officially defined in the most recent Diagnostic Manual as an event
that threatens death or serious injury, and that elicits a response of
fear, helplessness, or horror (American Psychiatric Association, 2002).
Other respected definitions include a “sudden, unexpected, overwhelmingly intense
emotional blow....[that] quickly becomes incorporated into the mind” (Terr,
1992, p. 8), and something that makes “both internal and external resources...
inadequate to cope with external threat” (Van der Kolk, 1989, p. 393). Literature
suggests that people who have experienced trauma may present with symptoms
including depression, anxiety, insomnia, phobias, delayed development, difficulty
maintaining social relationships, and personality disorders.
Accuracy Verified: Yes
187. Cahill, S., & Frueh, C. (1997, September-October). Flooding versus eye movement desensitization and reprocessing therapy: Relative efficacy has yet to be investigated -- comment on Pitman et al (1996). Comprehensive Psychiatry, 38(5), 300-303. doi:10.1016/S0010-440X(97)90064-X.
Language: English
Format: Journal
Abstract:
Pitman et al. recently published a pair of studies on the relationship between indicators of emotional processing and outcome in flooding therapy and eye movement desensitization and reprocessing (EMDR) therapy. Among their conclusions, they asserted EMDR was found to be at least as effective [as] flooding in the treatment of combat-related PTSD and produced fewer adverse consequences. Although this research constitutes an important contribution to the literature on psychosocial treatments for PTSD, their conclusions regarding the relative effectiveness of these two treatments are unwarranted. The bases of our objections are that (1) assignment of participants to treatment conditions was nonrandom, and (2) several significant procedural differences existed between the two studies in addition to the specific treatments under investigation. These include different inclusion and exclusion criteria, the confounding of psychological treatment with psychiatric medication status, and differences in assessment procedures. Since the two treatments were not compared in a single head-to-head controlled trial, we conclude that their relative efficacy has yet to be investigated. [Author Abstract]
Keywords: Comment Exposure Therapy Posttraumatic Strerss Disorder Professional Criticism PTSD Reply Treatment Effectiveness
Accuracy Verified: Yes
188. Pagani, M. (2013, June). Functional and structural neuroimaging and EEG monitoring related to EMDR and CBT treatments for PTSD. Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.
Language: English
Format: Conference
Abstract:
In the recent past several neuroimaging studies aimed at evaluating the neural correlates of PTSD-related psychotherapies revealing their neurobiological effects on brain function. Functional studies by single photon emission computed tomography (SPECT) and electroencephalography (EEG) detected changes in cerebral blood flow and neuronal activation patterns, identifying the brain areas implicated in the various components of emotional processing and/or affected by the disorder. Investigations by magnetic resonance imaging (MRI) have also revealed PTSD-related structural changes.
The first part of the workshop will review the neuroimaging methodologies and findings in PTSD treatment-related research with an extensive review of previous literature on the neurobiological effects of the various psychotherapies. The second part will deal with the description and implementation in research and clinic of neuropsychological testing with brief comments and discussion about their use in recent studies published by our group. In the third part the EEG monitoring of a complete set of Eye Movement Desensitization and Reprocessing therapies in 30 patients suffering of major trauma as compared to 20 healthy controls will be presented. These findings will also be compared to the neurobiological effects of trauma-focussed Cognitive Behavioural Therapy in a second group of psychologically traumatized clients. The results are the first report ever on the neurobiological changes occurring before, during and after PTSD-related psychotherapies shedding light on the neuronal processes underlying their clinical efficacy.
The description and the discussion about the contents of the workshop will provide the audience (1) the necessary information to understand the methodological principles behind neuroimaging techniques (SPECT, EEG and MRI) and their possible applications in research and clinic; (2) the up-dated critical knowledge of the published papers in the field of PTSD-related psychotherapies functional and anatomical studies; (3) the basic research principles and examples to be motivated to start, take part and/or collaborate to functional studies in order to better understand the neural basis of psychotherapeutic techniques. The presented material will represent the state-of-the-art of the current neuroscience PTSD-related research and of the neuroimaging methodologies available at the moment.
Accuracy Verified: Yes
189. Hamblen, J. L., Schnurr, P. P., Rosenberg, A., & Eftekhari, A. (2009, June). A guide to the literature on psychotherapy for PTSD. Psychiatric Annals, 39(6), 348-354.
Language: English
Format: Journal
Abstract:
1. Identify empirically supported treatments for posttraumatic
stress disorder (PTSD).
2. Explain how methodological issues impact psychotherapy
trials.
3. Describe PTSD treatments for which there is growing
evidence.
Keywords: Posttraumatic Stress Disorder PTSD Treatments
Accuracy Verified: Yes
190. Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (2009). Guideline 8 - Eye movement desensitization and reprocessing. In E. B. Foa, T. M. Keane, M. J. Friedman, & J. A. Cohen (Ed.), Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies, (2nd ed.) (pp. 573-576). New York, NY: Guilford Press.
Language: English
Format: Book Section
Abstract:
Eye movement desensitization and reprocessing (EMDR), an emerging
therapy for psychological trauma, has been in use for nearly a decade.
Although it has stimulated strong interest and enthusiasm, EMDR has
also received intense critical scrutiny. This chapter provides an
overview of the history and theory of EMDR. Next, the ENDR procedure
is summarized, followed by a review of the outcome literature.
Dismantling studies of the contribution of eye movements to the
efficacy of the EMDR procedure are then reviewed, followed by an
overall rating reflecting the current knowledge of EMDR's efficacy,
along with recommendations for its use. The chapter concludes with
suggestions for further research. [Text, p 139]
Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness Treatment Guidelines
Accuracy Verified: Yes
191. Dyregrov, A. (2004, Oktober). Hjelper terapi for traumatiserte mennesker? [Does trauma therapy help?]. Tidsskrift for Norsk Psykologforening, 41(10), 787-793.
Language: Norwegian
Format: Journal
Abstract:
Denne artikkelen beskriver de psykologiske og fysiske konsekvenser av traumer. Det vurderinger deretter ulike terapeutiske tiltak for posttraumatisk stresslidelse (PTSD). Metoder basert på atferds-og kognitive strategier synes mest effektive i behandling av traumer. Studier har vist at et stort flertall av personer med en eksisterende PTSD diagnosen ikke har PTSD etter opphør av behandlingen. Videre er positiv behandling resultatet tydelig demonstrert lenge etter behandling nedleggelse. Effektiv behandlingsmetoder omfatter eksponering terapi, kognitiv terapi, Eye Movement Desensitisation og Rengjøring (EMDR), og kognitiv atferdsterapi. Nye behandlingsmetoder vil uten tvil utvide antall hvordan PTSD kan behandles, slik at programmer bedre tilpasset behovene til hver enkelt pasient. (PsycINFO Database Record (c) 2008 TFO, alle rettigheter reservert)
This article describes the psychological and physical consequences of trauma. It then reviews different therapeutic interventions for Posttraumatic Stress Disorder (PTSD). Methods based on behavioural and cognitive strategies seem most effective in the treatment of trauma. Studies have shown that a large majority of persons with an existing PTSD diagnosis do not have PTSD after termination of treatment. Furthermore, positive treatment outcome is clearly demonstrated long after treatment closure. Effective methods of treatment include exposure therapy, cognitive therapy, Eye Movement Desensitisation and Reprocessing (EMDR), and cognitive behavioural therapy. New treatment methods will no doubt broaden the number of ways in which PTSD may be treated, allowing for programmes better suited to the needs of each particular patient. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Literature Review Physical Consequences Posttraumatic Stress Disorder Psychological Consequences Psychotherapy PTSD Therapeutic Interventions Therapeutic Processes Trauma Therapy
Accuracy Verified: Yes
192. 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:
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.
Keywords: Poster Sub-Clinical Stress
Accuracy Verified: Yes
193. Brunyé, T. T., Mahoney, C. R., Augustyn, J. S., & Taylor, H. A. (2009). Horizontal saccadic eye movements enhance the retrieval of landmark shape and location information. Brain and Cognition, 70(3), 279–288. doi:10.1016/j.bandc.2009.03.003.
Language: English
Format: Journal
Abstract:
Recent work has demonstrated that horizontal saccadic eye movements enhance verbal episodic memory
retrieval, particularly in strongly right-handed individuals. The present experiments test three primary
assumptions derived from this research. First, horizontal eye movements should facilitate episodic memory
for both verbal and non-verbal information. Second, the benefits of horizontal eye movements should
only be seen when they immediately precede tasks that demand right and left-hemisphere processing
towards successful performance. Third, the benefits of horizontal eye movements should be most pronounced
in the strongly right-handed. Two experiments confirmed these hypotheses: horizontal eye
movements increased recognition sensitivity and decreased response times during a spatial memory test
relative to both vertical eye movements and fixation. These effects were only seen when horizontal eye
movements preceded episodic memory retrieval, and not when they preceded encoding (Experiment 1).
Further, when eye movements preceded retrieval, they were only beneficial with recognition tests
demanding a high degree of right and left-hemisphere activity (Experiment 2). In both experiments
the beneficial effects of horizontal eye movements were greatest for strongly right-handed individuals.
These results support recent work suggesting increased interhemispheric brain activity induced by bilateral
horizontal eye movements, and extend this literature to the encoding and retrieval of landmark
shape and location information.
Keywords: Bilateral Eye Movements Hemispheric Interaction Episodic Memory Spatial Memory
Accuracy Verified: Yes
194. Flumeri, F., Salmaso, D., & Pagani, M. (2008, 26-28 Settembre). Impatto dell'EMDR sulle fuzioni e sulla neurobiologia cerebrali [Impact on EMDR and neurobiological brain functions]. In T. Farma (Chair), Simposio, Il modello psicotraumatologico: Un ponte tra indicatori neurobiologici e Psicoterapia. VII Congresso SPR Italia, Modena.
Language: Italian
Format: Conference
Abstract:
Introduzione:negli ultimi anni il numero di studi condotti nell’ambito dei disturbi causati da eventi traumatici ha subito una forte accelerazione rilevando l’esistenza di alterazioni fisiologiche e morfologiche in specifiche aree cerebrali associate sia alla risposta emotiva al trauma che alla insorgenza dei sintomi della sindrome da stress post-traumatico (PTSD).
L’impiego delle tecniche di neuroimmagine ha consentito di fare luce sui correlati neurali della psicoterapia, rivelando i suoi effetti neurobiologici sulla funzione cerebrale. Nell’ambito dei diversi approcci psicoterapeutici, l’EMDR (Eye Movement Desensitization and Reprocessing therapy) è emerso come promettente risorsa per il trattamento del trauma e di altri disturbi d’ansia, sebbene ancora non sia stata completamente chiarita la sua modalità di azione sui circuiti neurali. Molte ricerche sono state effettuate per valutare l’efficacia dell’EMDR, ma solo un numero esiguo di esse ha indagato il substrato neurobiologico di questa psicoterapia.
Le metodiche di neuroimmagini utilizzate finora per studi sull’EMDR sono la Single Photon Emission Computed Tomography (SPECT) e la Magnetic Resonance Imaging (MRI). La prima raccoglie dati sull’attivita’ cellulare cerebrale mentre la seconda riporta dati anatomici strutturali.
Gli studi funzionali condotti con SPECT consentono di identificare le variazioni del metabolismo e del flusso ematico cerebrale, suggerendo un ruolo specifico per ciascuna area cerebrale coinvolta nel complesso meccanismo che sottende il processamento delle emozioni; la MRI consente invece di rilevare la presenza di variazioni morfologiche e volumetriche di specifiche strutture cerebrali. Negli ultimi anni, studi SPECT e MRI, volti ad esaminare gli effetti dell’EMDR sulla fisiopatologia cerebrale in pazienti affetti da disturbi d’ansia, hanno riscontrato sostanziali variazioni del flusso ematico ed alterazioni strutturali di alcune regioni cerebrali in seguito a terapia.
L’efficacia dell’EMDR nel trattamento del PTSD è stata confermata da uno studio SPECT su sei soggetti ( Lansing et al.) (1) che ha evidenziato dopo terapia una diminuzione del flusso ematico nel lobo occipitale bilateralmente e nel lobo parietale sinistro e un aumento di flusso nel giro frontale inferiore sinistro. Sempre utilizzando la SPECT Oh e Choi (2) hanno riportato una significativa modificazione del flusso cerebrale in seguito ad EMDR, prevalentemente riscontrabile nell’area limbica e nella corteccia prefrontale. Un recente studio con utilizzo di MRI (3) ha inoltre messo in evidenza un aumento di volume dell’ippocampo in seguito a trattamento con EMDR, aumento invece non riportato in un lavoro di Lindauer et al. su 9 soggetti con PTSD, nonostante il successo clinico della psicoterapia eclettica eseguita (4).
Obiettivi: il nostro gruppo ha studiato gli effetti a breve e lungo termine dell’EMDR (5, 6) dimostrando la sua efficacia nel trattamento di soggetti traumatizzati sul lavoro, e una stabilità del miglioramento clinico ottenuto in risposta alla terapia, ancora presente a distanza di tre anni. Nell’ambito dello stesso progetto sono state anche studiate le variazioni del flusso ematico cerebrale e della volumetria di alcune strutture cerebrali in relazione alla terapia con EMDR. Un primo studio SPECT ha analizzato la variazione della distribuzione di flusso in 11 soggetti guariti clinicamente da PTSD in seguito a EMDR messi a confronto con 5 soggetti nei quali la terapia non ha avuto effetto (7). Risultati: è stato evidenziato nei soggetti con remissione sintomatologica significative differenze di flusso in 4 aree corticali, alla disfunzione delle quali sono ascrivibili alcuni sintomi presenti in corso di PTSD. Diminuzioni di flusso post-terapia sono state registrate nell’ippocampo, nella corteccia parieto-occipitale e nella corteccia visiva primaria. L’ippocampo e’ sede della memoria a breve termine; la corteccia parieto-occipitale processa il riconoscimento di volti, dei corpi e delle parole; la corteccia visiva primaria custodisce la memoria visiva degli eventi. La mancata inibizione e/o l’iperattivita’ di queste regioni nel PTSD sono responsabili della rivisitazione patologica dell’evento traumatico e della presenza di flashback ed immagini allucinatorie. Inoltre la corteccia frontale dorsolaterale ha dimostrato un aumento di flusso nei soggetti che hanno risposto positivamente alla terapia. Questa regione chiave oltre ad essere deputata ad inibire la risposta patologica a stimoli che ricordano l’evento traumatico e’ essenziale per i processi di attenzione e di autostima, diminuiti in corso di PTSD e recuperati in seguito alla remissione della malattia. In ulteriori studi che combinano indagini funzionali e strutturali utilizzando SPECT e MRI abbiamo messo in evidenza il valore predittivo delle dimensioni dell’ippocampo riguardo all’efficacia della terapia con EMDR (Pagani et al. sottomesso).
Conclusioni: gli effetti della terapia con EMDR sono risultati, unitamente ad un consistente miglioramento della sintomatologia e ad una riduzione della iperreattività a stimoli di carattere emotivo, in una normalizzazione funzionale di alcune aree specifiche e in un aumento del volume ippocampale probabilmente ascrivibile a neo-neurogenesi. Questi risultati sono in linea con la pregressa letteratura e con le attuali conoscenze sul PTSD e suggeriscono basi neurobiologiche dell’effetto terapeutico dell’EMDR confermandone l’impatto funzionale su strutture cerebrali coinvolte in patologie ansiogene.
Bibliografia:
1. Lansing et al. (2005). J Neuropsych Clin Neurosci;17(4):526-532.
2. Ho DH and Choi J. (2007). J EMDR Pract Res;1(1):24-30.
3. Bossini et al. (2007). J Neuropsych Clin Neurosci; 19(4):475-476.
4. Lindauer et al. (2005). Psychol Med ; 35 :1-11.
5. Hogberg et al. (2007). Nord J Psych; 61(1):54-61.
6. Hogberg et al. (2008). Psych Res; doi:10.1016/j.psychres.2007.10.019.
7. Pagani et al. (2007). Nuc Med Comm; 28(10):757-65. [Pagani abstract]
Introduction In recent years the number of studies in disorders caused by traumatic events has been greatly accelerated by detecting the existence of morphological and physiological changes in specific brain areas associated with both the emotional response to trauma to the onset of symptoms Post-traumatic stress syndrome (PTSD).
The use of neuroimaging techniques has allowed to shed light on the neural correlates of psychotherapy, revealing the neurobiological effects on brain function. Under the different psychotherapeutic approaches, EMDR (eye movement desensitization and reprocessing therapy) has emerged as a promising resource for the treatment of trauma and other anxiety disorders, although still not been fully elucidated its mode of action on neural circuits. Many studies have been carried out to assess the effectiveness EMDR, but only a small number of them have investigated the neurobiological substrate of this psychotherapy.
The methods used so far for neuroimaging studies on EMDR are Single Photon Emission Computed Tomography (SPECT) and Magnetic Resonance Imaging (MRI). The first collects data on 'brain cells while the second contains structural anatomical data.
The functional studies performed with SPECT to identify changes in metabolism and cerebral blood flow, suggesting a specific role for each brain area involved in the complex mechanism underlying the processing of emotions, instead of MRI allows detection of morphological changes and volume of specific brain structures. In recent years, MRI and SPECT studies, aimed to examine the effects of EMDR on brain pathophysiology in patients with anxiety disorders, have found substantial variations in blood flow and structural alterations of some brain regions after treatment.
The effectiveness of EMDR in the treatment of PTSD was confirmed by a SPECT study in six subjects (Lansing et al.) (1) showed that after treatment reduced blood flow in the occipital lobe bilaterally and in left parietal lobe and a increase of flow in left inferior frontal gyrus. Always using SPECT Oh and Choi (2) reported a significant change of cerebral blood flow after EMDR, mainly found in limbic and prefrontal cortex. A recent study using MRI (3) has also highlighted an increase in volume of the hippocampus after treatment with EMDR, but no increase in reported work of Lindauer et al. on 9 subjects with PTSD, despite the clinical success of eclectic psychotherapy performed (4).
Objectives: Our group has studied the effects of short and long term EMDR (5, 6) demonstrating its effectiveness in treating traumatized individuals at work, and stability of clinical improvement obtained in response to therapy, yet this distance three years. Within the same project were also studied changes in cerebral blood flow and volume of certain brain structures in relation to treatment with EMDR. A first SPECT study analyzed the change in flow distribution in 11 subjects clinically recovered from PTSD after EMDR compared with 5 subjects in whom treatment had no effect (7). Results: It was shown in patients with symptomatic remission, significant differences in flow in 4 cortical areas, which are attributable to dysfunction of some symptoms of PTSD being present. Flow decreases post-treatment were recorded in the hippocampus, cortex parietal-occipital and primary visual cortex. The hippocampus and 'seat of short-term memory, the parietal-occipital cortex processes the recognition of faces, bodies and words, the primary visual cortex preserves the visual memory of events. The lack of inhibition and / or 'hyperactivity' of PTSD in these regions are responsible for the pathological review of the traumatic event and the presence of flashbacks and hallucinatory images. Moreover, the dorsolateral frontal cortex showed an increase in flow in subjects who responded positively to therapy. This key region in addition to being appointed to inhibit the pathological response to stimuli that recall the traumatic event and 'essential for the processes of attention and self-esteem, decreased in the course of PTSD and recovered following the remission of the disease. In further studies that combine functional and structural investigations using SPECT and MRI have shown the predictive value of the size of the hippocampus on the effectiveness of EMDR therapy (Pagani et al. Submitted).
Conclusion: the effects of EMDR therapy were coupled with a significant improvement in symptoms and a reduction of hyperreactivity to stimuli, emotional, functional in a normalization of some specific areas and an increase in hippocampal volume probably due to neo- neurogenesis. These results are consistent with previous literature and with current knowledge about PTSD and suggest a neurobiological basis of therapeutic EMDR confirming the functional impact on brain structures involved in anxiety-disorders.
Bibliography:
1. Lansing et al. (2005). J Neuropsych Clin Neurosci, 17 (4) :526-532.
2. I DH and J. Choi (2007). J EMDR pract Res, 1 (1) :24-30.
3. Bossini et al. (2007). J Neuropsych Clin Neurosci, 19 (4) :475-476.
4. Lindauer et al. (2005). Psychol Med, 35 :1-11.
5. Högberg et al. (2007). Nord J Psych, 61 (1) :54-61.
6. Högberg et al. (2008). Psych Res, doi: 10.1016/j.psychres.2007.10.019.
7. Pagani et al. (2007). NUC Med Comm, 28 (10) :757-65. [Pagani abstract]
Keywords: Brain Functions Neurobiology
Accuracy Verified: Yes
195. Goldfried, M. R. (1993, November). Implications of research for the practicing therapist: An unfulfilled promise?. Clinician’s Research Digest, 10, 1-3.
Language: English
Format: Magazine
Abstract:
Supplemental Bulletin; SB #10
There is an ongoing debate among
practicing therapists and psychotherapy
researchers about the potential contributions that research might have for clinical practice. lhis essential tension between research and practice - indeed between researcher and practitioner- is evidenced in several ways. Practicing therapists complain that psychotherapy research, because of the methodological constraints associated with the research design, tends to oversimpIify and is not
directly relevant to clinical practice. On the other hand, therapy researchers lament the neglect of the research literature by practicing therapists.
Keywords: Research
Accuracy Verified: Yes
196. Lichti, J. (2009, August). Improving EMDR consultation: Using practice research to develop best practices. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This workshop is for EMDRIA Approved Consultants, Consultants-In-Training and those seriously considering becoming Approved Consultants. We will review the context of EMDR consultation and identify the differences between therapy, consultation and consultation-of-consultation. The implications of the supervision/consultation literature will be reviewed, and the tools, resources, and recordings from actual consultations will be presented. Original research on the practices of EMDRIA Approved Consultants will be reviewed and Best Practices emerging from the literature and EMDR consultation research will be identified. Participants will use all the above information to analyze their own consultation practices and discuss with peers how to improve their consultation services.
Keywords: Consultation
Accuracy Verified: Yes
197. Paulsen, S. (2009, August). Infant alters and conversion seizures: EMDR with ego-state and somatic interweaves. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
The recent literature on conversion seizures suggests that they are not only traumatic but dissociative in nature. In two cases, the presenter has found conversion seizures to be manifestations of infant alters. The presentation will convey, by lecture and videotape, the treatment of a remarkable client and how EMDR, Ego-State Therapy, and somatic interweaves were seminal in treating conversion seizures to remission. The video illustrates AIP and Porges polyvagal theories’ expression in infant trauma and will illustrate how the therapeutic relationship and increased compassion between parts of self are avenues for the transformation of attachment injury in EMDR.
Keywords: Conversion Seizures Ego-State Interweaves Infant Alters Somatic Interweaves
Accuracy Verified: Yes
198. Greenwald, R. (1996, February). The information gap in the EMDR controversy. Professional Psychology: Research & Practice, 27(1), 67-72. doi:10.1037/0735-7028.27.1.67 .
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a recently developed treatment for traumatic memories. The literature on EMDR is characterized by widely contrasting results and interpretations of findings. The author traces this variation to the substantial information gap between those with and without formal EMDR training. Misconceptions are highlighted, and EMDR is reassessed favorably with fidelity to the treatment protocol emerging as a critical factor. Recommendations are made for higher standards of publication, research, and training in EMDR, particularly in light of the wider availability of information and training engendered by the publication of an EMDR textbook. [Author Abstract]
Keywords: Literature Review Professional Training Treatment Effectiveness
Accuracy Verified: Yes
199. Hoffman, S., & Laub, B. (2006). Innovative interventions in psychotherapy. Boca Raton, FL: Universal-Publishers.
Language: English
Format: Book
Abstract:
The present volume unquestionably constitutes a significant contribution to clinical literature. The case reports, with their descriptions of many types of therapeutic interventions and combinations of interventions in dealing with a wide variety of difficulties presented by different patients and patient groups, as well as the discussions of important topics in psychotherapy, add to our knowledge of the many facets of psychotherapy, enrich our understanding of the treatment process, and deepen our appreciation of the importance of therapeutic sensitivity and flexibility.
Accuracy Verified: Yes
200. Nichols, L. M. (2012). Integrating complementary therapies with counseling: A qualitative study of practicing counselors' approaches to wellness. Pennsylvania State University, University Park, PA.
Language: English
Format: Dissertation/Thesis
Abstract:
There is a growing interest in the United States in complementary therapies (CT) to
address the health needs and hopes of individuals. Research in the medical and allied
health communities has reflected the expanding interest, however, the counseling
profession has limited literature focusing on CT integration practices. The current study
expands on existing research using a constructivist lens and grounded theory approach; a
sample of 16 practicing counselors were interviewed to develop a theoretical model of
CT integration in the counseling context. Scholarly literature has described CT and
reasons for its use, which can be linked to counseling through professional identity, the
wellness model, and ethical practice. The results of this study indicate that experience,
beliefs, competence, and practice are primary factors in the integration of CT in
counseling. Implications of the results on the counseling profession will be detailed in
terms of practice, training, and future research.
Keywords: Complementary Therapies Counselor Approaches Qualitative Study
Accuracy Verified: Yes
201. Sherzer, M. (2008, June). Integrating EMDR in family & couple therapy. Poster presented at the annual meeting of the EMDR Europe Association, London, England UK.
Language: English
Format: Conference
Abstract:
In this poster I am going to raise the question of integrating EMDR in family and couple therapy. This is a
philosophical question. I actually am asking if it's possible to integrate an individual approach with a systemic
one. Those scholars who dealt with this question found some common roots in the attachment period. For
example, the Hendrix' IMAGO approach presume that the marital crisis has its roots in the childhood wounds. We
can find other approaches that enforce this assumption. The literature that deals with integrating EMDR with
couple therapy does not find differences between traumas caused by marital crisis and traumas caused by other
stimuli. This brings us to the idea it is possible that EMDR will be useful in a marital crisis also. The novelty was
that those therapists who mastered both skills, family therapists and EMDR therapists, started with protocols
that integrate EMDR in couple therapy in the presence of both spouses. From the first beginning, Francine
Shapiro mentions in her basic book on EMDR that are cases where EMDR is contra-indicated in couple therapy in
the presences of both mates. Later on we found that we can classify the cases when to use EMDR in the presence
of both spouses and when to use it individually. Of course, this categorization is based on clinical observation. We
like to refer this question to the members of this poster presentation if they have some more insights about this
Keywords: Couples Therapy Family Therapy Poster
Accuracy Verified: Yes
202. Konuk, E., & Epozdemir, H. (2010, June). The integration of EMDR and brief strategic therapy. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Directives and strategic interventions were used in
therapy for the first time almost half a century ago by a small
number of 'communication researchers' at MRI (Mental Research
institute) in Palo Alto. California.
First time in the history of therapy, the therapist was not alone
with the dent in the therapy room. He began inviting to the
sessions the family members. people who are contributing to
the problem and people who will come up and help to find
solutions.
The radical difference was that; The Palo Alto Group was not
preoccupied with searching the reasons why there is a problem.
Their emphasis was to find a solution to the problems the individual or the family is having. Therefore they always asked how
change is possible. Another major shift in therapy was that:
they focused not on the "intra-psychic" phenomena but on the
relationships. Hence the terms 'interactional' and 'systemic'.
They assumed that, if you can manage to change the interaction
(behavior) or the system (how the family gets organized
around the problem) you can overcome the problem. Another contribution was that the new map or the new paradigm was
large enough to allow the therapist to incorporate and use varieties
of techniques that belong to other approaches without
any confusion.
In '50s and '60s therapy used to take couple of sessions a week
for many years. The Interactional or the Systemic approach
heaped reduce the number of sessions per client to an average
of 7-15 sessions. They coined the term 'Brief' to described their
approach. Traditionally the new approach took several names:
Interactional Therapy, Family Therapy, Brief Strategic Family
Therapy, Systemic Family Therapy, Solution Focus Therapy and
some others.
One of the approaches that Family and Marriage Therapists integrate
efficiently into their practice is EMDR. Especially when
trauma is particularly having a role in the formation of the problem,
then EMDR 18 a "life saver" for the therapist.
Our learning objectives are:
1. to describe basic principles and techniques of EMDR and
Brief Strategic Family Therapy
2 to explain the rationale of integrating EMDR and BSFT
3 to demonstrate skills on designing and implementing an intervention.
The innovative view which stands behind this workshop is that
the BSFT and EMDR can be efficiently integrated, which has
not been frequentiy addressed in previous literature. At times
the therapist may need to intervene in the process by using interventions
other than BSFT EMDR very nicely serves this purpose
without causing any mental confusion on the part of the
therapist and the client.
Keywords: Brief Strategic Therapy
Accuracy Verified: Yes
203. de Villiers, E. F. (2005). An integrative approach to narrative therapy and eye movement desensitization and reprocessing (EMDR). University of Stellenbosch, South Africa.
Language: English
Format: Dissertation/Thesis
Abstract:
As I engaged in a therapy journey with a single client, the possibilities for research on the
integrative use of narrative therapy and EMDR unfolded. I investigated recent literature and
realised that much had been written about narrative therapy as single approach to therapy
within the postmodern paradigm. There was also extensive writing on EMDR and its
integrative use with other therapies in assisting people who struggle with upsetting memories
of trauma.
Since I was unable to find any literature to date on the integrative use of narrative therapy
and EMDR, I realized that there was much to be discovered and learned on such an
integrative research journey.
The client's experiences and descriptions of overwhelming emotional distress (as the
problem in her life) during the process of integration was the main focus of this qualitative
case study. During our therapy conversations knowledges were gathered and
deconstructed. Video or tape recordings, photographs, work with clay, sketches, letters and
other documents were useful in keeping track of the research journey. A reflecting team and
the participation of the client's boyfriend contributed and enriched both the therapy and
research journeys.
Tydens terapeutiese werk met 'n enkele kliënt het die moontlikhede van navorsing oor die
integrasie van narratiewe terapie en EMDR vir my 'n werklikheid geword. Ek het onlangse
navorsing bestudeer en besef dat narratiewe terapie as 'n enkele benadering tot terapie
binne die post-moderne paradigma, al 'n geruime tyd lank nagevors is. Daar bestaan ook
literatuur oor EMDR en die integrasie daarvan met ander terapeutiese benaderings in die
ondersteuning van persone wat probleme ondervind met ontstellende herinnerings van
trauma.
Aangesien ek tot op hede geen literatuur oor die integrasie van narratiewe terapie en EMDR
kon vind nie, het ek vermoed dat 'n navorsingsreis op hierdie terrein verskeie ontdekkings en
die ontginning van nuwe kennis moontlik sou maak.
Die fokus van hierdie kwalitatiewe gevallestudie val op die kliënt se belewing en beskrywings
van oorweldigende emosies (as probleem in haar lewe) tydens die terapeutiese
integrasieproses. Waarhede of kennis is tydens terapiegesprekke versamel en
gedekonstrueer. Video- of bandopnames, foto's, kleiwerk, sketse, briewe en ander
dokumente was waardevol om die koers van die navorsingsreis aan te dui. Insette en
deelname van 'n refekterende span, asook die kliënt se kêrel, het beide die terapie- en
navorsingsreise verryk en uitgebrei.
Keywords: Education Narrative Therapy Psychic Trauma
Accuracy Verified: Yes
204. Sato-Perry, C. (2003). An integrative literature review concerning the treatment of breast cancer patients through eye movement desensitization and reprocessing. School of Professional Psychology, San Francisco, CA. AAT 3101179.
Language: English
Format: Dissertation/Thesis
Abstract:
As remarkable as breast cancer killing a record 190,000 individuals in 2001 is the modern phenomenon of increased survival. With a relative five-year survival rate of 86% after diagnosis and a "long-term" (10-year) survival rate of 76%, the issue of living longer with the harmful effects of cancer has been well documented. A growing understanding of breast cancer's psychological impact has resulted from the DSM-IV no longer necessitating the diagnosis of PTSD to result from a stressor outside the range of usual human experience; thus, a chronic illness such as cancer is qualified for consideration. Considered systemically, individuals, families and the public health delivery system as a whole suffer as a consequence of medical trauma. The purpose of this review was to provide a medical and psychosocial understanding of breast cancer and investigate psychological trauma as it has pertained to breast cancer. On this basis, a literature review documenting Eye Movement Desensitization and Reprocessing's effect on trauma is explored in terms of its potential effectiveness in treating medical trauma specific to the breast cancer patient. [Author Abstract]
Keywords: Cancer Survivors Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
205. Kim, N. (2011, Spring). An integrative program to treat refugees suffering from PTSD through group EMDR. Saint Mary’s College of California. 1502784.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this project was to provide a guide for practioners to treat refugees who are suffering from posttraumatic stress disorder with eye movement desensitization reprocessing in a group environment. The literature has shown that using EMDR in a group setting can be effective in treating a larger number of individuals than individual psychotherapy. In addition, the structure of the group presented is a brief group intervention model aimed at treating groups of six to eight individuals in four to eight weekly sessions.
Keywords: Groups Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
206. Tarquinio, C., Schmitt, A., Tarquinio, P., Rydberg, J.-A., & Spitz, E. (2012, April-June). Intérêt de la psychothérapie « eye movement desensitization reprocessing » dans le cadre de la prise en charge de femmes victimes de viols conjugaux [Benefits of "eye movement desensitization and reprocessing" psychotherapy in the treatment of female victims of intimate partner rape]. Sexologies, 21(2), 92-99. doi:10.1016/j.sexol.2011.05.001 .
Language: French
Format: Journal
Abstract:
L’objectif de cette étude est de mettre en évidence à partir du suivi de six femmes
victimes de viols par leur conjoint, les effets de la thérapie « eye movement desensitization
reprocessing », notamment en ce qui concerne la réduction des symptômes d’état de stress posttraumatique,
d’anxiété et de dépression. Toutes ces femmes ont, en outre, fait l’objet d’une
évaluation quantitative à partir d’échelles de mesure proposées avant la prise en charge ainsi
qu’à l’issue de chacune des séances. Les échelles utilisées sont l’Hospital Anxiety and Depression
scale, l’Impact Event Scale et un indicateur propre à la thérapie Eye Movement Desensitization
Reprocessing, le Subject Unit of Distress. Les victimes ont également participé à deux entretiens
plus qualitatifs avant et après la prise en charge, afin d’évaluer plus précisément la présence ou
non de symptômes d’état de stress post-traumatique sur la base des indications fournies par le
Manuel Diagnostic et Statistique des troubles mentaux (American Psychiatric Association [APA],
2004). Les résultats obtenus sont conformes à nos attentes et montrent une diminution significative
et progressive des scores aux différentes échelles au fur et à mesure des séances. Ainsi,
comme on le rencontre classiquement dans la littérature, une prise en charge par la thérapie
Eye Movement Desensitization Reprocessing conduit les sujets à s’auto-évaluer comme étant
de moins en moins perturbés au fur et à mesure que la psychothérapie progresse. Nous avons également pu observer une réduction importante des scores aux différentes échelles à l’issue
des deux premières séances. Enfin, la prise en charge psychologique réalisée à partir de la
thérapie « eye movement desensitization reprocessing » a conduit à une diminution notable du
nombre de symptômes liés au diagnostic d’état de stress post-traumatique. Cette diminution
s’est révélée homogène pour les trois critères pris en compte (critère B, C et D du American
Psychiatric Association [APA], 2004).
The objective of this study is to demonstrate through monitoring of six women
raped by their spouses, the effects of therapy "Eye Movement Desensitization
reprocessing, "including with regard to reducing symptoms of posttraumatic stress state,
anxiety and depression. All these women have also been a
quantitative assessment based on measurement scales proposed by the management and
at the end of each session. The scales used were the Hospital Anxiety and Depression
Scale, the Impact Event Scale and an indicator specific therapy Eye Movement Desensitization
Reprocessing, the Subject Unit of Distress. Victims have also participated in two interviews
more qualitative before and after treatment to assess more accurately the presence or
without symptoms of Posttraumatic Stress Disorder on the basis of information provided by the
Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association [APA],
2004). The results are consistent with our expectations and show a significant decrease
and progressive scores at different levels as and when the sessions. Thus,
as is typically found in the literature, supported by a therapy
Eye Movement Desensitization Reprocessing leads individuals to assess themselves as
less disturbed as and as psychotherapy progresses. We also observed a significant reduction in scores on different scales at the end
the first two sessions. Finally, the psychological care made from the
therapy "eye movement Desensitization Reprocessing" led to a significant reduction in the
number of symptoms to diagnosis of posttraumatic stress disorder. This decrease
has been consistent for the three criteria considered (criterion B, C and D of the American
Psychiatric Association [APA], 2004).
Keywords: Anxiety Depression Females Marital Rape Partner Rape Victims Women
Accuracy Verified: Yes
207. Propper, R. E., & Christman, S. D. (2008). Interhemispheric interaction and saccadic horizontal eye movements - Implications for episodic memory, EMDR, and PTSD. Journal of EMDR Practice and Research, 2(4), 269-281. doi:10.1891/1933-3196.2.4.269.
Language: English
Format: Journal
Abstract:
The growing body of literature on the effects of bilateral saccadic eye movements, patterned after those
employed in eye movement desensitization and reprocessing (EMDR), on memory is reviewed. Research
indicates that engaging in bilateral saccadic eye movements prior to lab-based memory testing results in
signifi cant improvement in episodic memory across a wide range of memory tests. Other effects of these
types of eye movements on hemispheric activation and emotional state are also discussed. The fi ndings
are interpreted within a framework suggesting that bilateral saccadic eye movements, such as those employed
in EMDR, increase interaction between the left and right cerebral hemispheres. This framework
is also used to explain the effects of such eye movements on memory during EMDR treatment of posttraumatic
stress disorder.
Keywords: Eye Movements Episodic Memory Handedness Interhemispheric Interaction
Accuracy Verified: Yes
208. Scagliotti, J. (2011). Interoceptive exposure therapy for combat veterans: A group treatment approach. University of Hartford, Hartford, CT.
Language: English
Format: Dissertation/Thesis
Abstract:
This paper explores the application of interoceptive exposure (IE) therapy to treat the arousal and avoidant symptoms in veterans with posttraumatic stress disorder (PTSD). The historical background of PTSD and the functional impact of the disorder in veterans from Vietnam and Operation Enduring Freedom/Operation Iraqi Freedom are discussed in the first chapter. Literature on romantic and family relationship impairment, employment challenges, decreased physical health and overall quality of life, and increased mental health issues in veterans of combat are presented. Following the introductory chapter is a brief description of the history of treatment for combat trauma and a detailed review of the most common treatments for PTSD in their application to the veteran population. Research on psychophysiological approaches to treatment, pharmacotherapy, and EMDR is discussed. The extensive literature on cognitive behavioral treatment approaches for combat trauma is reviewed. As noted, exposure therapy appears to be the treatment approach with the most scientific support. A relatively new form of exposure therapy known as IE, as well as the small but promising body of research on the potential to augment conventional long-term exposure therapy with IE, are also addressed here. A new treatment protocol proposed here is built upon the foundation of empirical support for cognitive behavioral therapy for PTSD. It is intended to incorporate trauma-informed best practices and exposure therapy tenets through the implementation of group based IE for individuals with combat-related PTSD. Outlines of the following two sections will provide detailed descriptions of the group design and the specific treatment modules, the first of which addresses therapeutic rationale and group composition, and the second lists the specific twelve treatment modules.
Keywords: Combat Veterans Interoceptive Exposure Therapy
Accuracy Verified: Yes
209. Hembree, E., & Foa, E. (2003, April). Interventions for trauma-related emotional disturbances in adult victims of crime. Journal of Traumatic Stress, 16(2), 187-199. doi:10.1023/A:1022803408114.
Language: English
Format: Journal
Abstract:
This paper provides an overview of several treatment interventions for trauma-related disturbances in adult victims of crime. Following a brief discussion of mental health service utilization among crime victims, we describe interventions for acute and chronic reactions to trauma. We present some controlled studies of psychosocial treatments for PTSD that have gained empirical support and are recommended as first line interventions by expert consensus including exposure therapy, cognitive therapy, and stress inoculation training, followed by a brief summary of selected studies examining the efficacy of pharmacological treatment for PTSD. Finally, we discuss multicultural issues, factors associated with treatment outcome, and challenges we have encountered in treating crime victims. [Author Abstract]
Keywords: Adults Crime Literature Review Posttraumatic Stress Disorder PTSD Survivors Treatment Treatment Effectiveness
Accuracy Verified: Yes
210. Stergiopoulos, E., Cimo, A., Cheng, C., Bonato, S., & Dewa, C. S. (2011, October). Interventions to improve work outcomes in work-related PTSD: A systematic review. BMC Public Health, 11(1), 838. doi:10.1186/1471-2458-11-838.
Language: English
Format: Journal
Abstract:
Background:
Posttraumatic stress disorder acquired at work can be debilitating both for workers and their employers. The disorder can result in increased sick leave, reduced productivity, and even unemployment. Furthermore, workers are especially unlikely to return to their previous place of employment after a traumatic incident at work because of the traumatic memories and symptoms of avoidance that typically accompany the disorder. Therefore, intervening in work-related PTSD becomes especially important in order to get workers back to the workplace.
Methods:
A systematic literature search was conducted using Medline, PsycINFO, Embase, and Web of Science. The articles were independently screened based on inclusion and exclusion criteria, followed by a quality assessment of all included articles.
Results:
The systematic search identified seven articles for inclusion in the review. These consisted of six research articles and one systematic review. The review focused specifically on interventions using real exposure techniques for anxiety disorders in the workplace. In the research articles addressed in the current review, study populations included police officers, public transportation workers, and employees injured at work. The studies examined the effectiveness of EMDR, cognitive-behavioural techniques, and an integrative therapy approach called brief eclectic psychotherapy. Interestingly, 2 of the 6 research articles addressed add-on treatments for workplace PTSD, which were designed to treat workers with PTSD who failed to respond to traditional evidence-based psychotherapy.
Conclusions:
Results of the current review suggest that work-related interventions show promise as effective strategies for promoting return to work in employees who acquired PTSD in the workplace. Further research is needed in this area to determine how different occupational groups with specific types of traumatic exposure might respond differently to work-tailored treatments.
Keywords: Employees Posttraumatic Stress Disorder PTSD Workers
Accuracy Verified: Yes
211. Rogers, S., & Silver, S. M. (2002, January). Is EMDR an exposure therapy? A review of trauma protocols. Journal of Clinical Psychology, 58(1), 43-59. doi:10.1002/jclp.1128.
Language: English
Format: Journal
Abstract:
This article presents the well established theoretical base and clinical practice of exposure therapy for trauma. Necessary requirements for positive treatment results and contraindicated procedures are reviewed. EMDR is contrasted with these requirements and procedures. By the definitions and clinical practice of exposure therapy, the classification of EMDR poses some problems. As seen from the exposure therapy paradigm, its lack of physiological habituation and use of spontaneous association should result in negligible or negative effects rather than the well researched positive outcomes. Possible reasons for the effectiveness of EMDR are discussed, ranging from the fundamental nature of trauma reactions to the nonexposure mechanisms utilized in information processing models. Copyright 2002 John Wiley & Sons, Inc.
Keywords: Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Trauma Trauma Protocols
Accuracy Verified: Yes
212. Tutarel-Kıslak, S. (2004). Kaygi duyarligini azaltmada göz hareketieriyle duyarsizlastirma ve yeniden isleme (EMDR) tedavisi [Eye movement desensitization and reprocessing (EMDR) approach in the treatment of anxiety sensitivity]. Türk Psikoloji Dergisi, 19(53), 65-67.
Language: Turkish
Format: Journal
Abstract:
Göz Hareketleriyle Duyarsızlaştırma ve Yeniden İşleme (EMDR) ve kontrollü araştırma destek olmak amacıyla Travma Sonrası Stres Bozukluğu (TSSB) ilk tedavilerden biridir artık giderek diğer psikolojik bozukluklar kadar uzatıldı. Bu çalışmada anksiyete duyarlılığı tedavisinde kas gevşetme ve EMDR işlemlerin etkilerini karşılaştırmak için planlandı. Ondokuz lisans öğrencileri dört alt ölçekleri ile standartlaştırılmış, özbildirim ölçmek oldu Anksiyete Duyarlılığı Profile (ASP) cevap verdi. Onlar rastgele iki gruba (; kas gevşeme ve EMDR tedavisi koşul); atanmış oldukları ve beş gün önce, ASP ölçek doldurulan ve girişim (müdahale süresi; öncesi ve sonrası müdahale ve takip) dört ay sonra. Sonuçlar, EMDR tedavisi alt puanı solunum semptomları korkusu önemli bir düşüş gösterdi üretilen bu düşüşün ardından devam etmek için ortaya dört aylık takip. Kardiyak semptomların yanı sıra korku içinde çok sonra EMDR durumda azalmış dört aylık takip. bulgular EMDR kim bir travma ilgili etyolojisi bir kaygı duyarlılığı olanlar için kas gevşeme daha etkili tedavi ve ayrıca bazı durumlarda deneyim kaygı duyarlılığı edilebilir olduğu görüşünü desteklemektedir. literatür ile elde edilen bulguların tutarlılığı tartışılmıştır. (PsycINFO Veritabanı Record (c) 2008 APA, tüm hakları saklıdır) (dergi soyut)
Eye Movement Desensitization and Reprocessing (EMDR) is one of the first treatments of Posttraumatic Stress Disorder (PTSD) to be supported in controlled research, and it is now increasingly extended to other psychological disorders. The present study was designed to compare the effects of muscle relaxation and EMDR procedures in the treatment of anxiety sensitivity. Nineteen undergraduate students responded on the Anxiety Sensitivity Profile (asp) which was a standardized, self-report measure with four subscales. They were randomly assigned to two groups (treatment condition; muscle relaxation and EMDR); and they were filled out the ASP scale before, five days, and four months after the intervention (intervention time; pre and post intervention and follow up). Results showed that EMDR treatment produced a significant decline in fear of respiratory symptoms subscale score, and this decline appeared to continue after a four month follow-up. In addition fear of the cardiac symptoms too decreased in EMDR condition after a four month follow-up. The findings support the notion that EMDR can be a more effective treatment than the muscle relaxation for those who have an anxiety sensitivity with a trauma related etiology and also who experience anxiety sensitivity in certain circumstances. Consistency of the findings with the literature was discussed. (PsycINFO Database Record (c) 2008 APA, all rights reserved)(from the journal abstract)
Keywords: Anxiety Sensitivity Empirical Study Etiology Follow-up Study Psychological Disorders Posttraumatic Stress Disorder PTSD Quantitative Study Treatment
Accuracy Verified: Yes
213. Riberto, S., Fernandez, I., Furlani, F., & Vigorelli, M. (2010). L'alleanza terapéutica nel trattamento cognitivo-costruttivista e nell' eye movement desensitization and reprocessing (EMDR) [Therapeutic alliance in cognitive-constructivist treatment and in eye movement desensitization and reprocessing (EMDR).]. Psicoterapia Cognitiva E Comportamentale, 16(1), 85-101.
Language: Italian
Format: Journal
Abstract:
Alleanza terapeutica è un tema centrale della ricerca contemporanea e di valutazione in psicoterapia. Sulla base di un riconoscimento della letteratura internazionale e su dati di ricerca, l'alleanza trasversale emerge come un fattore terapeutico comune ai modelli di trattamenti diversi, che quindi, si pone al di là delle tecniche, ma al tempo stesso intreccia con loro e con le loro specificità. Lo studio presentato si propone di osservare l'alleanza terapeutica tra il paziente e il terapeuta, usando Horvath (1981, 1982) strumento di valutazione entro due corsi brevi psicoterapeutico; un corso condotto con un approccio cognitivo-costruttivista, l'altra con il movimento oculare Desensibilizzazione e Rielaborazione (EMDR). I risultati delle analisi descrittiva effettuata sui dati e le osservazioni emerse hanno confermato l'importanza che entrambi gli approcci attribuiscono alla alleanza terapeutica, sul piano teorico e metodologico. In particolare, le valutazioni alleanza fornite dal paziente e dal terapeuta nella terapia con Eye Movement desensibilizzazione e rielaborazione sono stati trovati per essere molto più consistente che riflette la sintonia emotiva distintivo di questo approccio.
Therapeutic alliance is a central theme of contemporary research and assessment in psychotherapy. Based on an acknowledgement of international literature and on research data, the alliance emerges as a common therapeutic factor transversal to the different treatment models, which therefore, sets itself beyond the techniques, but at the same time interlaces with them and with their specificities. The study presented aims to observe the therapeutic alliance between the patient and the therapist by using Horvath's (1981; 1982) assessment tool within two short psychotherapeutic courses; one course conducted with a cognitive-constructivist approach, the other with the Eye Movement Desensitization and Reprocessing (EMDR). The results of the descriptive analysis performed on the data and the observations which emerged have confirmed the importance that both approaches attach to therapeutic alliance on the theoretical and methodological level. In particular, the alliance assessments provided by the patient and by the therapist in the therapy with Eye Movement Desensitization and Reprocessing were found to be much more consistent in reflecting the distinctive emotional attunement of the approach.
Keywords: Cognitive Constructivist Treatment Therapeutic Alliance
Accuracy Verified: Yes
214. Bériault, M., Larivee, S., & Gregoire, P. A. (2006). L'EMDR est-elle une intervention efficace pour traiter l'état de stress post-traumatique? [Is EMDR an effective treatment for PTSD?]. In S. Guay & A. Marchand (Eds.), Les troubles liés aux événements traumatiques: dépistage, évaluation et traitements (pp. 215-242). Montréal: Presses de l'Université de Montréal.
Language: French
Format: Book Section
Abstract:
Certains chercheurs considèrent que l'EMDR pour représenter une ouverture importante dans le traitement du SSPT et d'autres y voient davantage une approche basée sur la pseudo-science. Ce chapitre décrit l'EMDR en tant que méthode thérapeutique et le modèle théorique sous-jacent, puis présente des preuves empiriques quant à son efficacité dans le traitement du SSPT. [Texte, p. 217] [Pilotes]
Some researchers consider EMDR to represent an important opening in the treatment of PTSD while others see it more as an approach based on pseudo-science. This chapter describes EMDR as a therapeutic method and the theoretical model underlying it, then presents empirical evidence concerning its effectiveness in treating PTSD. [Text, p. 217] [Pilots]
Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
215. Puliatti, M. (2008, Novembre). L'EMDR nel trattamento del dolore uro-genitale [EMDR in the treatment of uro-genital pain]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifica da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura.
A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica.
L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività.
Nell’ambito del Workshop verranno approfondite le seguenti tematiche:
• Diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico.
• Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici.
• Ruolo dell’abuso sessuale.
• Meccanismi psicofisiologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare.
• Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico.
• Strumenti di screening psicodiagnostico.
• Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche
• Pianificazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifiche, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.
The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost intangible, but can also prove crippling. In addition to vaginismus and dyspareunia, well known in the scientific literature for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature.
Apart from unilateral and reductionist approaches more clearly, there is a vested interest in literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy.
EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, offering the possibility to intervene directly understood as a symptom is pain, which adversely on future scenarios of patient characteristics, which are frequently associated with pain perception itself. Finally, it proves particularly useful in cases where the pain is related to interpersonal difficulties characterized by lack of assertiveness.
As part of the workshop will examine the following issues:
• Differential diagnosis between different types of pain, uro-gynecology.
• Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events.
• Role of sexual abuse.
• psychophysiological mechanisms in the onset of the disorder: the role of muscle tension.
• Psychological characteristics of women with uro-gynecological pain.
• psycho-diagnostic screening tools.
• Work on the main strategies for assessment and intervention uro-gynecological and pharmacological
• Planning and stages of treatment with EMDR, and their integration with different psychotherapeutic approaches: areas of inquiry, psychoeducational aspects, technical sexological specific target features, using EMDR in different stages of treatment.
Keywords: Urogenital Pain
Accuracy Verified: Yes
216. Gilson, S., & Foisson, P. (2005). L'EMDR science ou croyance? Une revue critique de la littérature [EMDR science or faith? A critical review of the literature EMDR science or belief?]. Acta Psychiatrica Belgica, 105(1), 47-58.
Language: French
Format: Journal
Abstract:
L'« Eye Movement Desensitization and Reprocessing » (EMDR) est une intervention thérapeutique controversée utilisée essentiellement dans le traitement des syndromes de stress post traumatiques (PTSD). Cet article a pour objectif de passer en revue la littérature scientifique afin d'évaluer l'état des connaissances actuelles quant à l'efficacité et la spécificité de la technique et de pouvoir éventuellement envisager d'autres champs de recherche. Le nombre et la qualité scientifique des études sont encore insuffisants. Leurs conclusions contradictoires ne permettent pas de valider l'EMDR comme une technique efficace et spécifique dans le traitement du PTSD ou d'autres pathologies. Néanmoins, certains résultats positifs, la rapidité d'action et le faible coût de la technique justifient de plus amples recherches.
The "Eye Movement and Desensitizer Reprocessing (EMDR) is a controversial therapeutic intervention used primarily in the treatment of post traumatic stress syndrome (PTSD). This article aims to review the scientific literature to assess the state of current knowledge regarding the effectiveness and specificity of the technique and to possibly explore other fields of research. The number and quality of scientific studies are still insufficient. Their contradictory findings do not validate EMDR as an effective technical and specific in the treatment of PTSD or other disorders. Nevertheless, some positive results, speed of action and the low cost of technology warrant further investigation.
Keywords: Review Posttraumatic Stress Disorder PSTD
Accuracy Verified: Yes
217. Gauvreau, P. (2007). La methode eye movement desensitization and reprocessing (EMDR) comme traitement du trouble d'anxiete generalisee [The method and eye movement desensitization reprocessing (EMDR) as treatment of generalized anxiety disorder] [Second article:] Preliminary evidence for the efficacy of EMDR in treating generalized anxiety disorder.. Universite de Sherbrooke, Canada, 115 pages. AAT NR37973.
Language: English
Format: Dissertation/Thesis
Abstract:
This doctoral dissertation in clinical psychology sought to investigate the potential efficacy of Eye Movement Desensitization and Reprocessing (EMDR) in treating generalized anxiety disorder (GAD). It consists of two articles. The first article, written in French, presents a recent review of the literature on the efficacy of EMDR in treating post-traumatic stress disorder (PTSD). Having focused on recent experimental designs and meta-analyses, this review indicates that (1) EMDR's efficacy is superior to the absence of treatment or than non-specific treatments; (2) EMDR and cognitive-behavioral approaches are equally efficacious in treating PTSD; and (3) that the effects of EMDR are maintained over time. A brief discussion on the possible distinctions between EMDR and exposure therapies is presented, as well as hypotheses concerning the possible role of eye movements.
The second article constituting this doctoral dissertation focuses on and presents the results following this initial investigation of EMDR's potential efficacy in treating GAD. A single-case design with multiple baselines across participants was used for this research. It sought to investigate to effects of 15 EMDR sessions for four participants. Results indicate that by targeting past experiential contributors, current and future triggers of excessive worry with EMDR, there was a statistically significant decrease in levels of excessive worry and its accompanying anxiety, as indicated by Time-series analyses. As well, various self-report and clinician administered measures show that at both post-treatment and at follow-up all four participants no longer presented a diagnosis of GAD.
First article is in French, Second article is in English
Keywords: GAD Generalized Anxiety Disorder Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
218. Dantonio, T. & Onofri, A. (2009, Maggio). La terapia del lutto complicato. Interventi preventivi, psicoeducazione, prospettiva cognitivo-evoluzionista, approccio EMDR [Treatment of complicated grief. Preventive interventions, psychoeducation, cognitive-evolutionary perspective, approach EMDR]. Psicobiettivo, 3, 1-23. doi:10.3280/PSOB2009-003004 .
Language: Italian
Format: Journal
Abstract:
Gli Autori descrivono il processo del lutto secondo la teoria dell’attaccamento e la prospettiva evoluzionista. Passano quindi in rassegna i principali interventi preventivi descritti in letteratura e le attività di psicoeducazione e counseling rivolte alle persone in lutto, quindi le tecniche cognitivo- comportamentali più usate e infine l’approccio EMDR, particolarmente utile nei casi di lutto complicato o traumatico
The authors describe the process of mourning according to the theory and evolutionary perspective. Therefore reviewed the main preventive interventions described in the literature and the activities of psychoeducation and counseling addressed the mourners, and the cognitive-behavioral techniques most used and finally the EMDR approach, particularly useful in cases of traumatic or complicated grief.
Keywords: Complicated Grief Preventive Interventions Psychoeducation
Accuracy Verified: Yes
219. Rotaru, J., Peluso, C., & Cherukuri, N. (2010, March). A literature review of the use of eye movement desensitization and reprocessing (EMDR) in adults diagnosed with post traumatic stress disorder. The Journal of Experiential Psychotherapy, (1), 48-51. doi:10.1177/1524838004264340.
Language: English
Format: Journal
Abstract:
Posttraumatic stress disorder (PTSD) is a
pernicious mental health problem that causes severe
occupational and social impairments. Epidemiologic
studies show that about 56% of the population will be
exposed to a traumatic event and about 8-12% will meet
the criteria for PTSD during their lifetime. Given the
chronicity and the high rates of PTSD in today’s society,
it is imperative to determine the most efficacious
intervention that has the potential to reduce
symptomatology. This literature review indicates that
EMDR is a therapy that can be implemented with sustained benefits.
Keywords: CBT Cognitive Behavioral Therapy Literature Review Trauma Focused Cognitive Behavioral Therapy Posttraumtic Stress Disorder PTSD
Accuracy Verified: Yes
220. Cohen, A. (2012, May). A long-term grief counseling group for adult survivors of childhood sexual abuse. Saint Mary’s College of California, Moraga, CA. 1514521.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this project was to propose a long-term, theoretically sound and research
supported person-centered grief counseling group for adult women who were sexually abused as
children. A review of the literature indicated that child abuse survivors can benefit from
supportive group counseling; sharing a context of common experience seems to aid in their
healing process. The proposed program recognizes the need to provide women who were abused
with a trusting, social environment that helps to remove the secrecy and isolation, decrease the
feelings of shame and self-blame, and increase self-esteem and self-worth. The integration of a
nondirective approach with grief counseling creates a more comprehensive approach in which to
support the development of social skills and healthy and trusting relationships. The group is
structured for survivors to share their experiences, heal from their traumas, and find the tools to
move forward into happier, healthier, and better functioning lives.
Keywords: Adult Survivors Childhood Sexual Abuse Person-Centered Group Counseling
Accuracy Verified: Yes
221. Sikes, C., & Sikes, V. (2003). A look at EMDR: Technique, research, and use with college students. Journal of College Student Psychotherapy, 18(1), 65-76. doi:10.1300/J035v18n01_06.
Language: English
Format: Journal
Abstract:
Eye-Movement Desensitization and Reprocessing (EMDR), often resulting in dramatic symptom relief in clients, has become an increasingly popular treatment for Post-traumatic Stress Disorder (PTSD) and a variety of other diagnoses and symptoms. EMDR may prove more effective and timely than other methods in treating college students for a number of common presenting concerns, particularly within the framework of the brief therapy model. The following article will provide an overview of the process of and theory behind EMDR treatment, and the current research on its outcomes. The use of EMDR in treating college students will then be considered. [Haworth Press]
Keywords: Brief Therapy College Students Literature Outcomes Posttraumatic Stress Disorder PTSD Research Review Technique Theory
Accuracy Verified: Yes
222. Lovell, K. (2011). Lovell, Karina. In D. J. Stein, M. J. Friedman, and Carlos Blanco (Eds.), Post-traumatic stress disorder (pp. 208-210). Wiley-Blackwell.
Language: English
Format: Book Section
Abstract:
Comments on the original article by R. A. Bryant (see record 2011-21915-016) regarding psychological interventions for trauma exposure and PTSD. Systematic reviews demonstrate that of the CBT interventions, exposure-based interventions are considered the treatment of choice for PTSD. However, what is most striking about this chapter is the dearth of literature focusing on the essential components of the evidence-based interventions for PTSD. Thus, despite the increasing evidence base, there remains ambiguity concerning the 'active ingredients' of CBT and EMDR interventions for PTSD, including the specific content of the intervention, the delivery style, where the intervention should take place and the skills and expertise required to deliver it. It could be argued that we have two evidence-based interventions but that they are not being implemented into the clinical arena by therapists for a variety of reasons, we don't know whether they are acceptable to patients and there is a lack of literature concerning the critical ingredients. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Keywords: CBT Cognitive Behavior Therapy Evidence Based Practice Posttraumatic Stress Disorder PTSD Psychotherapy Trauma Treatment Effectiveness Evaluation
Accuracy Verified: Yes
223. Puliatti, M. (2009). L’EMDR nel trattamento delle sindromi uro-ginecologiche [EMDR in the treatment of uro-gynecological syndromes] . Medicina Psicosomatica, 54(4), 131-142 .
Language: Italian
Format: Journal
Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifi ca da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura. A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica. L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività. In questo lavoro verranno approfondite le seguenti tematiche: • diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico. • Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici. • Ruolo dell’abuso sessuale. • Meccanismi psicofi siologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare. • Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico. • Strumenti di screening psicodiagnostico. • Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche • Pianifi cazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifi che, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.
The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost impalpable, but may also prove to be disabling. In addition to vaginismus and dyspareunia, well known in the scientific literature about for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature. Apart from the unilateral and reductionist approaches more clearly, there is a vested interest in the literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy. EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, while also offering the opportunity to speak directly about pain is understood as a symptom, which negatively on future scenarios of patient characteristics, which are frequently related to the perception of pain itself. Finally, it proves particularly useful in cases where the pain is related to relationship difficulties with low assertiveness. In this paper we will examine the following issues: • differential diagnosis between different types of pain, uro-gynecology. • Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events. • Role of sexual abuse. • psychophysical mechanisms in the onset of physiological disorders: the role of muscle tension. • Psychological characteristics of women with uro-gynecological pain. • Tools psychodiagnostic screening. • Work on the main strategies of assessment and intervention and uro-gynecological drug • Plans and application phases of treatment with EMDR, and their integration with different psychotherapeutic approaches: survey areas, psychoeducational aspects, specific sexological techniques that target characteristic the use of EMDR in various stages of treatment.
Keywords: Uro-Gynecological Syndromes
Accuracy Verified: Yes
224. Lapp, L. K., Agbokou, C., Peretti, C. S., & Ferreri, F. (2010, September). Management of post traumatic stress disorder after childbirth: A review. Journal of Psychosomatic Obstetrics & Gynecology, 31(3), 113-122. doi:10.3109/0167482X.2010.503330.
Language: English
Format: Journal
Abstract:
Prevalence and risk factors for the development of post traumatic stress disorder (PTSD) after childbirth is well described in the literature. However, its management and treatment has only begun to be investigated. The aim of this article is to describe the studies that examine the effects of interventions on PTSD after childbirth. MedLine, PILOTS, CINAHL and ISI Web of Science databases were systematically searched for randomised controlled trials, pilot studies and case studies using key words related to PTSD, childbirth, treatment and intervention. The reference lists of the retrieved articles were also used to supplement the search. A total of nine studies were retrieved. Seven studies that examined debriefing or counselling were identified; six randomised controlled trials and one pilot study. Also found were one case report describing the effects of cognitive behavioural therapy (CBT) on two women, and one pilot study of eye movement desensitisation and reprocessing (EMDR). Overall, there is limited evidence concerning the management of women with PTSD after childbirth. The results agree with the findings from the non-childbirth related literature: debriefing and counselling are inconclusively effective while CBT and EMDR may improve PTSD status but require investigation in controlled trials before conclusions could be drawn.
Keywords: Childbirth Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
225. Watson, P. J., Friedman, M. J., Ruzek, J. I., & Norris, F. (2002, August). Managing acute stress response to major trauma. Current Psychiatry Reports, 4(4), 247-253. doi:10.1007/s11920-996-0043-x.
Language: English
Format: Journal
Abstract:
In this article, the authors review the current empiric literature on early interventions. Findings on the effects, course, help-seeking, and recovery from disasters are first reviewed, with recommendations given that are pertinent to intervention following mass casualties. In reviewing the most commonly used interventions, it is clear that evidence from well-controlled studies showing that early intervention can help prevent longer-term problems is limited. The authors discuss the approaches that have received the most attention or empiric support as early interventions following trauma, which include psychologic debriefing, cognitive-behavioral interventions, eye movement desensitization and processing (EMDR) and other neoteric approaches, and psychopharmacology. At this time, the most promising results for prevention of psychopathology have been achieved with brief four- or five-session cognitive-behavioral therapy. In contrast, randomized clinical trials on psychologic debriefing currently suggest that this approach is either ineffective at preventing psychopathology, or contributive to PTSD symptoms. Research support is currently lacking for EMDR and pharmacotherapy as early interventions. A major challenge to the field is to integrate the practical experience and knowledge of professional responders with well-controlled, timely intervention research, and to effectively disseminate these findings to practitioners in the field. [Author Abstract]
Keywords: Critical Incident Stress Debriefing Effects Literature Review Negative Research Needs Review Posttraumatic Stress Diorder Psychological Debriefing PTSD Stressors Survivors Therapeutic Reaction Treatment Effectiveness
Accuracy Verified: Yes
226. Bryant, R. A., & Friedman, M. J. (2001, March). Medication and non-medication treatments of post-traumatic stress disorder. doi:10.1097/00001504-200103000-00004. Current Opinion in Psychiatry, 14(2), 119-123.
Language: English
Format: Journal
Abstract:
Recent developments in the psychological and pharmacological management of post-traumatic stress disorder are reviewed. This review of controlled outcome studies indicates that: (i) cognitive behavior therapy is the psychological treatment of choice; (ii) different components of cognitive behavior therapy can be effective; (iii) eye movement desensitization and reprocessing is not as effective as cognitive behavior therapy; (iv) selective serotonin re-uptake inhibitors are the pharmacological treatment of choice; and (v) there is increasing support for nefazadone but not for cyproheptadine in reducing the symptoms of post-traumatic stress disorder. The need for increased treatment effectiveness and the integration of recent findings into clinical practice is discussed. [Author Abstract]
Keywords: Atypical Antidepressants Cognitive Therapy Drug Therapy Literature Review Posttraumatic Stress Disorder PTSD Selective Serotonin Reuptake Inhibitors Treatment Treatment Effectiveness
Accuracy Verified: Yes
227. Dieffenbach, R. (2001). Medikamentöse behandlung und EMDR [Drug therapy and EMDR]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Arzneimittel und Psychotherapie
Medikamentengabe und psychotherapeutische Prozesse treffen sich an der Schnittstelle sehr unterschiedlicher Paradigmen.
So ergeben die meisten Forschungen der unterschiedlichen psychotherapeutischen Prozesse, solange sie schulenübergreifend sind, dass die methodische Ausrichtung für den Erfolg einer psychotherapeutischen Behandlung relativ unerheblich ist. Lambert et al. (1986) sowie Miller et al. (1997) haben in Literaturübersichten über Therapieerfolgsforschung darauf hingewiesen, dass die erfolgsbeeinflussenden Faktoren für die Änderung in einer Therapie sich nur zu 15% auf Technik- und Modellfaktoren zurückführen lassen, mit gleicher Häufigkeit werden Plazebofaktoren aufgeführt, sehr viel wichtiger werden die Beziehungsfaktoren mit 30% und am wichtigsten werden die (außertherapeutischen) Klientenfaktoren mit 40% eingestuft.
Drug medication and psychotherapy and psychotherapeutic processes meet at the intersection of very different paradigms. So devoted, most research of different psychotherapeutic processes, as long as they are across the school that the methodological approach for the success of a psychotherapeutic treatment relatively insignificant. Lambert et al. (1986) and Miller et al. (1997), in literature reports on successful therapy research pointed out that the erfolgsbeeinflussenden factors allow for the change in therapy is attributed only to 15% on technique and model factors, with the same frequency can be placebo factors listed, much more important are the relationship factors with 30% and most importantly the (außertherapeutischen) client factors are classified with 40%.
Keywords: Drug Therapy
Accuracy Verified: Yes
228. Hagen, H. A. (2012, May). Mental health professionals’ perspectives of best practices with children who have experienced complex trauma. University of St. Thomas.
Language: English
Format: Dissertation/Thesis
Abstract:
Complex trauma in early childhood has the ability to impact a child’s development in
multiple domains, thus influencing development throughout the rest of their life. The
purpose of this study was to explore best practices with children who have experienced
complex trauma from the perspective of mental health professionals, with a focus on
children between the ages of three and five. Qualitative interviews were conducted with
six mental health professionals who were asked to discuss the presentation, interventions,
and outcomes of a case where the child experienced complex trauma. Consistent with
previous literature, all participants in this study reported self-regulation deficits and
relational impairments for the case they discussed. Additionally, all six participants
utilized play therapy and expressed the importance of collaboration with other adults and
systems in the child’s life in order for treatment to be successful, exemplifying the need
to utilize an ecological approach. Other practices used by professionals included
Cognitive Behavioral Therapies, feelings/emotion interventions, EMDR, and relational
interventions such as including the parents/caregivers in treatment, addressing the
attachment needs, and coaching parents. Overall, participants utilize a combination of
approaches and interventions in order to provide best practices, always emphasizing
safety, attachment, and development.
Keywords: Best Practice Children Trauma
Accuracy Verified: Yes
229. van der Velden, P. G., & Kleber, R. J. (1996). Met het oog op morgen: Een overzicht van EMDR-studies [With an eye to tomorrow: A review of EMDR studies]. Tijdschrift voor Psychiatrie, 38(1), 30-39.
Language: Dutch
Format: Journal
Abstract:
De Eye Movement Desensibilisatie Reprocessing (EMDR), ontwikkeld door Shapiro, is een relatief nieuwe methode voor de korte psychotherapeutische PTSS gerelateerde symptomen. Dit artikel is een overzicht van 27 empirische studies met behulp van de EMDR-methode. Het bleek dat de meeste studies, vooral de niet-gecontroleerde studies, aanzienlijke verbeteringen in het verslag cliënten binnen een paar sessies met EMDR. Echter, de meeste studies hebben ernstige methodologische tekortkomingen, betreffende het ontbreken van (1) een goede controle groepen, (2) gestandaardiseerde en gevalideerde vragenlijsten voor pre-en post-test metingen, (3) een adequate steekproefgrootte, (4) controle voor eerder ontvangen psychotherapie of andere niet-EMDR-interventies en / of (5) lange-termijn follow-up evaluaties. Deze tekortkomingen hinderen conclusies over de effectiviteit van de EMDR-methode, in tegenstelling tot andere behandelmethoden. [Samenvatting Auteur]
The Eye Movement Desensitization Reprocessing (EMDR), developed by Shapiro, is a relatively new brief psychotherapeutic method for PTSD related symptoms. This article is a review of 27 empirical studies using the EMDR method. It was found that most studies, especially the non-controlled studies, report considerable improvements in clients within a few sessions with EMDR. However, most studies have serious methodological flaws, concerning absence of (1) proper control groups, (2) standardized and validated questionnaires for pre- and post-test measurements, (3) adequate sample sizes, (4) controlling for previous received psychotherapy or other non-EMDR interventions, and/or (5) long-term follow-up assessments. These shortcomings hinder conclusions about the efficacy of the EMDR method in contrast to other treatment methods. [Author Summary]
Keywords: Brief Psychotherapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
230. Alto, C. (2001, November). Meta-analysis of eye movement desensitization and reprocessing efficacy studies in the treatment of PTSD. Seton Hall University, South Orange, NJ. AAT 3015591.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new psychological therapy used in the treatment of PTSD and other disorders. EMDR is unique in that it combines sets of therapist-administered eye movements in conjunction with protocol-driven cognitive and affective processing related to past trauma. EMDR has become a controversial technique for reasons including a lack of explanation for why it works and stunning claims made for its efficacy in the literature. Despite a large amount of research over the past decade, EMDR has not before been studied meta-analytically in its own right.The present investigation used meta-analysis to examine the collection of EMDR PTSD studies available in the literature. The literature search resulted in a total of 21 studies, which met inclusion criteria. These primary studies in turn resulted in a collection of 118 effect sizes included in the analysis. Two separate analyses were conducted dependent on whether EMDR was compared to a no treatment control group or an alternative treatment control group. In addition to an overall estimate of the efficacy of EMDR in the treatment of PTSD represented through an effect size, five sub-hypotheses were investigated. First, it was hypothesized that RMDR would be more efficacious with a non-combat population than with combat-related PTSD. The second sub-hypothesis was that there would be significantly larger treatment effects associated with verbal report measures than with physiological outcome measures used in EMDR PTSD studies. Third, it was hypothesized that earlier EMDR studies would show larger treatment effects than more recent EMDR studies. The fourth sub-hypothesis concerned treatment dosage. It was hypothesized that there would not be significant differences based on the number of treatment sessions administered. Finally, it was hypothesized that the bilateral stimulation component of EMDR therapy would not contribute significantly to treatment effects. The analysis consisted of generating effect sizes in the form of standardized difference scores on the various outcome measures. Effect sizes were then grouped according to independent variable categories and averaged together. Before testing for between-group differences, homogeneity testing was completed. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 62(5-B), Nov 2001, pp. 2474.
Keywords: Empirical Study Meta Analysis Posttraumatic Stress Disorder PTSD Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
231. Lee, C. W., & Cuijpers, P. (2012, November). A meta-analysis of the contribution of eye movements in processing emotional memories. Journal of Behavior Therapy and Experiential Psychiatry, 44(2), 231-239. doi:10.1016/j.jbtep.2012.11.001.
Language: English
Format: Journal
Abstract:
Background and Objectives: Eye Movement Desensitisation and Reprocessing (EMDR) is now considered evidence based practice in the treatment of trauma symptoms. Yet in a previous meta-analysis, no significant effect was found for the eye movement component. However methodological issues with this study may have resulted in a type II error. The aim of this meta-analysis was to examine current published studies to test whether eye movements significantly affect the processing of distressing memories.
Method: A systematic review of the literature revealed two groups of studies. The first group comprised 15 clinical trials and compared the effects of EMDR therapy with eye movements to those of EMDR without the eye movements. The second group comprised 11 laboratory trials that investigated the effects of eye movements while thinking of a distressing memory versus the same procedure without the eye movements in a non-therapy context. The total number of participants was 849.
Results: The effect size for the additive effect of eye movements in EMDR treatment studies was moderate and significant (Cohen's d = 0.41). For the second group of laboratory studies the effect size was large and significant (d = 0.74). The strongest effect size difference was for vividness measures in the non-therapy studies (d = 0.91). The data indicated that treatment fidelity acted as a moderator variable on the effect of eye movements in the therapy studies.
Conclusions: Results were discussed in terms of current theories that suggest the processes involved in EMDR are different from other exposure based therapies.
Keywords: Meta-Analysis Review
Accuracy Verified: Yes
232. Kehle, S., Polusny, M., & Meis, L. (2009, November). A meta-analytic review of exposure therapy and EMDR in the treatment of adult PTSD. Presentation at the 25th Annual Meeting of the International Society for Traumatic Stress Studies, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Eye movement desensitization (EMDR) and exposure therapies
(e.g. prolonged exposure therapy) have both been recommended
as first-line treatments for posttraumatic stress disorder (PTSD).
However, relatively little is known about the comparative efficacy
of the two types of treatments. To date, the few studies that have
been conducted have small sample sizes, making it difficult
to draw conclusions. The goal of the current study was to use
meta-analytic techniques to synthesize the existing data on the
relative efficacy of exposure therapies and EMDR. Through a
comprehensive literature search, we identified six randomized
control trials that met our inclusion criteria. We calculated
Hedges g effect sizes for the continuous variables (positive values
favor exposure therapies) and risk ratios (RRs) for dichotomous
variables (values greater than one favor exposure therapies).
EMDR and exposure therapies did not differ significantly on
clinician-rated PTSD (g = 0.32), self-report PTSD (g = -0.08), selfreport
depression (g = -0.01), loss of PTSD diagnosis (RR = 1.46),
or dropout (RR = 0.79). However, higher-quality studies (based
on Foa & Meadows’ 1997 criteria) consistently favored exposure
therapies. Clinical implications will be discussed
Keywords: Exposure Therapy Meta-analysis Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
233. Kehle, S., Polusny, M., & Meis, L. (2009, November). A meta-analytic review of exposure therapy and EMDR in the treatment of adult PTSD. Presentation at the 25th annual meeting of the International Society for Traumatic Stress Studies, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Treatment Studies: I
Eye movement desensitization (EMDR) and exposure therapies
(e.g. prolonged exposure therapy) have both been recommended
as first-line treatments for posttraumatic stress disorder (PTSD).
However, relatively little is known about the comparative efficacy
of the two types of treatments. To date, the few studies that have
been conducted have small sample sizes, making it difficult
to draw conclusions. The goal of the current study was to use
meta-analytic techniques to synthesize the existing data on the
relative efficacy of exposure therapies and EMDR. Through a
comprehensive literature search, we identified six randomized
control trials that met our inclusion criteria. We calculated
Hedges g effect sizes for the continuous variables (positive values
favor exposure therapies) and risk ratios (RRs) for dichotomous
variables (values greater than one favor exposure therapies).
EMDR and exposure therapies did not differ significantly on
clinician-rated PTSD (g = 0.32), self-report PTSD (g = -0.08), selfreport
depression (g = -0.01), loss of PTSD diagnosis (RR = 1.46),
or dropout (RR = 0.79). However, higher-quality studies (based
on Foa & Meadows’ 1997 criteria) consistently favored exposure
therapies. Clinical implications will be discussed.
Keywords: Adult Exposure Therapy Meta-Analytic Review Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
234. Lohr, J. M., Kleinknecht, R. A., Conley, A. T., Dal Cerro, S., Schmidt, S., & Sonntag, M. E. (1992, September). A methodological critique of the current status of eye movement desensitization (EMD). Journal of Behavior Therapy and Experimental Psychiatry, 23(3), 159-167. doi:10.1016/0005-7916(92)90032-E.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization (EMD) has been recently advocated as a rapid treatment for the elimination of traumatic memories responsible for the maintenance of a number of anxiety disorders and their clinical correlates. Despite a limited conceptual framework, EMD has attracted considerable interest among clinicians and researchers. The popularity and interest generated by EMD will likely result in wide usage. We present a methodological critique of it with reference to assessment, treatment outcome, and treatment process. We also provide guidelines for judging the methodological adequacy of research on EMD and suggest intensive research to assess effectiveness, treatment components, and comparisons with other procedures. [Author Summary]
Keywords: PTSD Assessment Instruments Literature Review Methodology Posttraumatic Stress Disorder PTSD Research Needs Review
Accuracy Verified: Yes
235. Darker-Smith, S. (2007, June). Mindfulness as a stabilisation tools for trauma processing. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Both EMDR and Trauma-Focused CBT are the two main recommended treatments for symptoms of trauma meeting diagnostic criteria for Post Traumatic Stress Disorder.
In accordance with current literature, contrasting the use of Trauma-Focused CBT with EMDR, it has been found in practise by the author that overall, clients using EMDR experience significantly less long-term distress and appears to process much more quickly than clients engaging in trauma-focused CBT. However, the effect of bodily sensations does not tend to differ between the two groups nor does flashbacks or dissociative tendencies.
Specifically, dissociation is not uncommon in traumatised clients and in clients with a diagnosis of post traumatic stress disorder. The existence of dissociative tendencies can pose a realistic problem in effectively processing traumatic memories, regardless of whether the method being used is trauma-focused cognitive-behavioural exposure-based methods or EMDR.
Mindfulness has been utilised by the Author as a stabilisation method for reducing dissociation in clients, prior to trauma processing (CEP conference – Darker-Smith, 2005) and has since been found to reduce dissociation on the DES scale, when measured pre and post teaching clients the basics of the MBSR programme (taught on a 1-to-1 basis).
Equally, the level of flashbacks and bodily reactions subside dramatically when Mindfulness is taught prior to trauma processing, compared with clients who engage in trauma processing without any form of stabilisation.
The author has not found any evidence that the use of Mindfulness body-scan increases traumatic body memory in trauma survivors.
The purpose of this workshop is to explore the application of mindfulness, through experiencing aspects of the Mindfulness programme. Case studies will be presented to demonstrate the application of mindfulness as a stabilisation took, paying specific attention to clients with dissociative tendencies and personality disorders evolving from trauma.
In addition, role plays between participants will be used to practise the skills of mindfulness in relation to stabilisation prior to trauma processing.
Keywords: Mindfulness Poster Stabilization
Accuracy Verified: Yes
236. Andonucci, H. (2004). The modifications of the EMDR protocol for sexually abused children. Alliant International University, San Francisco Bay. AAT 3133439.
Language: English
Format: Dissertation/Thesis
Abstract:
There is an increasing interest in using the procedures of EMDR with sexually abused children because of its effectiveness in treating PTSD and trauma in adults and children. Within the literature clinicians have reported modifications of the standard adult protocol originally developed by Shapiro in order to facilitate the therapy with children. To date, no study has investigated the actual modifications clinicians use when treating sexually abused children. A study was designed to elicit information about the actual use of such modifications from appropriately trained clinicians who work with sexually abused children 12 years and younger. A questionnaire was developed to obtain demographic information from therapists about their background and experience with abused children. An EMDR protocol modification survey was also created to elicit information about whether and how clinicians alter the standard EMDR protocol for use with abused children. Eight completed surveys were returned and the results of data analysis showed that clinicians do indeed modify the protocol as described and discussed. In particular, the results indicated the importance of modifications in the EMDR procedure for children and suggested important changes in the questionnaire that could be used for future data collection. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(5-B), 2004, pp. 2611.
Keywords: Child Abuse Empirical Study Psychotherapeutic Processes Qualitative Study Rape School Age Children Survivors
Accuracy Verified: Yes
237. Winter, L. B. (2004). Moglichkeiten der behandlung von patienten mit folgeerkrankungen nach psychischer traumatisierung: Eine literaturubersicht [Allowed the treatment of patients with sequelae after psychological trauma: A literature review]. Aus der Klinik fur Psychiatrie und Psychosomatik, Abteilung fur Psychosomatische Medizin und Psychotherapie der Albert-Ludwigs-Universitat Feiburg im Breisgau.
Language: German
Format: Dissertation/Thesis
Abstract:
In unserem Sprachgebrauch werden immer wieder Worte wie „traumatisch“ oder „katastrophal“ zur
Beschreibung unangenehmer Erlebnisse benutzt. Dabei führen längst nicht alle derartig betitelten
Ereignisse zu einem seelischen Trauma. Vielmehr ist die Entwicklung eines Traumas im Sinne einer
seelischen Verletzung abhängig von dem Stressor.
Während eine Trennung, eine hohe Belastung am Arbeitsplatz oder auch der Verlust desselben nur selten
zu einem Trauma führen, obwohl diese Ereignisse meist als tragisch empfunden werden, ähneln sich die
Stressoren, die häufig ein Trauma auslösen, vor allem in einem: Die Person befindet sich in einer
unerwartet eingetretene Gefahrensituation, die sie aus eigener Kraft nicht verändern kann und die große
emotionale Aufruhr wie Angst und Panik oder körperliche Verletzungen und Schmerzen bewirkt.
Manchmal reicht es auch aus, Zeuge einer solchen Situation zu sein.
In our language again and again such words as "traumatic" or "catastrophic" for the
Description of unpleasant experiences in use. This result not all such titled
Events to a psychic trauma. Rather, the development of trauma in terms of a
mental injury depends on the stressor.
During a separation, a high stress at work or even the loss of it rarely
lead to trauma, although these events are often perceived as tragic, similar to the
Stressors that cause frequent trauma, especially in one: The person is in a
unexpected conditions hazardous situation, which they can change their own efforts and not the great
emotional turmoil such as fear and panic or causes physical injury and pain.
Sometimes it is better just to witness such a situation
Keywords: Literatire Review Trauma
Accuracy Verified: Yes
238. Manfield, P. (1995, June). Narcissistic disorders: Using EMDR with these difficult clients. Presentation at the EMDR Network Conference Santa Monica, CA.
Language: English
Format: Conference
Abstract:
Definition of client population:
Disorder of the self. The narcissistic character is often identified by his or her grandiose facade concealing an underlying sense of
emptiness and worthlessness. To experience the underlying emptiness is so painful for them that these people cut off their inner
experience and rely instead on external admiration and praise to support their grandiose or superior view of themselves; their
condition is often referred to as a "disorder of the self." Because of their dependence on others for their sense of themselves, they are
exquisitely sensitive to criticism or disapproval, often warding off deflation by becoming increasingly grandiose, superior, disdainful
or demeaning. Many conceal their grandiosity, maintaining a secret sense of superiority which may be based upon their
perfectionism or their quiet devaluing of others.
View of others: there is a range of severity of the narcissistic character from personality disorders to a narcissistic character style.
People with personality disorders, are unable to form a trusting bond with another person; they view people primarily as
interchangeable, performing a function which could equally be performed by many others. Less impaired narcissistic characters,
however, are able to form varying degrees of attachments to other people, although their ability to trust and care about other people
is limited. Most commonly they relate to people they can idealize or be admired by. People tend to be seen in extremes as either
superior and powerful or inferior and worthless; supportive and admiring or critical and attacking.
Difficulties in using EMDR:
Clinically these clients represent a difficult and often frustrating population to treat; they are brittle and easily injured if they to not
feel perfectly understood by their therapists, and they will distance at the slightest hint that they are being judged or used. They
resist focusing inward and defining their problems as arising within themselves, and find it difficult to sustain any genuine affect,
other than perhaps rage. If they feel understood and accepted, however, they will eventually talk about their sense of emptiness and
worthlessness and their confusion about who they are and what is truly meaningful and valuable to them.
Beck, Young and others have described factors that make it difficult to treat any personality disorder using a cognitive behavioral
approach. There have in fact been very few reported "successes" in the literature. Most of the difficulties are related to the self and
object splitting characteristic of these clients. These clients have limited access to feelings, limited access to spontaneous thoughts,
body sensations, memories, etc., and vague unfocussed presenting problems making targeting difficult. They usually have difficulty
with emotional and often intellectual continuity from session to session; they will rarely keep a log or follow through with
homework; transference issues often come into central focus and must be addressed before other targets; and their selfdefeating
beliefs and behavior patterns are extremely deeply held, pervasive and resistant to change.
In addition to varying degrees of these difficulties, narcissistic clients present all of the problems in EMDR that they do in more
traditional therapies; including their tendencies to act out, deny, and avoid. These and other defenses interfere with completion of
segments of therapeutic work and make it difficult for the clinician to keep work focused within one neural network. Self and object
splitting leads to continuity problems within or between sessions and a difficulty maintaining clarity about the reason for being in
treatment. The client may feel suicidal one week and declare himself or herself to be fully recovered the next. Perhaps the most
confirming aspect of the treatment of these clients, however, is their emotionally impoverished pasts; they have very limited
experience of nurturing, loving and caring to draw !?om in order to interweave new meanings and perspectives into traumatic or
painful past experiences.
Length of treatment:
I have found that I have been able to achieve good results with higher level narcissistic clients with whom I have had an established
relationship at the time I introduced EMDR into the treatment. My results with clients who have come to therapy asking specifically
for EMDR and with whom I have begun using EMDR soon after the beginning of treatment have been generally poorer, varying
with the severity of the client's disorder, the less severe doing best. The client needs to be able to establish a meaningful trusting
relationship with the therapist; the more severe the client's difficulties with attachment, the more time this process requires.
Narcissistic clients do not tend to see their difficulty with vulnerability, trust and intimacy as a problem within themselves. If they
are able to recognize personal problems, they are usually in the area of self esteem and obstacles to achievement. When they are
able to resolve some of these latter problems fairly rapidly through treatment they tend to terminate, no longer seeing a sufficient
purpose for treatment. In a sense, they can become better narcissists; their grandiose view of themselves is enhanced and they are
reinforced in their use of self-sufficiency as a defense against interpersonal vulnerability. I view the relative efficiency of EMDR as
a problem for deeper treatment of narcissistic clients because there is less time for the therapeutic relationship to develop and
consequently a limited opportunity to impact the client's object splitting. I believe that this is why I have found EMDR with
narcissistic clients to be most effective when it is introduced after a therapeutic relationship has had time to develop. Negative cognitions:
The early maladaptive schemas of narcissistic clients are pervasive in their lives and point to a plethora of negative cognitions.
Typical early schemas are: I must control myself (or my feelings, my behavior, my body) at all times; no one cares; my needs will
never be met; I can't trust anyone; I am deeply flawed and unlovable; I am dikeable, unattractive to others; I will always fail; my
flaws are totally unacceptable to others; I must be perfect or I am worthless; I deserve to be treated more specially than others; I must
please others to avoid attack; I'm alone; nobody understands me; I am OK if I am better than others; I am OK only if others admire
me. It is often helpful to narrow these cognitions down to make them manageable with EMDR
Treatment:
In addition to the recommended protocol of establishing a safe space to which the client can retreat if necessary, before doing an
EMDR session with one of these clients, the therapist should identify as many of the client's emotional resources possible, in
particular expriences if any of having felt loved and accepted ad examples of loving people or relationships the client has observed
Among other things, these facilitate more effective copitive interweaves.
The initial task in doing an EMDR session with this client population is to establish an appropriate and richly defined target. Since
it is more difficult for these clients to access meanm&l memories in an emotionally alive way, the therapist must be more active in
helping the client stimulate the associated neural netork as I l l y as possible. In addition to the client's reaction to the plight of
children he may be related to or observe (Level I1 training), a rich source of emotional responsiveness and resources is the client's
own response to situations he has witnessed in news media, TV, movies or theater.
A major challenge in addressing a narcissistic character type using EMDR is tracking the course of the session with these clients
and identifying when they drip out of the targeted neural network. This process can be subtle because it requires an ability to
differentiate true avoidance hm spontaneous associations which may appear at hat to be irrelevant; it requires a familiarity with
and sensitivity to the protective or defensive mechanisms they use to insulate themselves fiom painful memories and affect. As the
patterns ofmovement in and out of the targeted network are identified it is important to use interventions that are experienced by the
client as supportive but nevertheless make hun or her aware of having wandered.
Although the narcissistic client may initiate treatment with the stated goal of improving his performance in specified areas, he will
agree upon reflection that the real problem is that he feels an overriding need to perform in order to feel worthwhile. Since he has
never known any other way of dealing with his self-worth, he will be skeptical about whether it is possible to feel a sense of worth
that is not based upon performance, and it is easy for the therapist to lose perspective and join him in that beliet especially while
doing EMDR with its potential for reprocessing with extraordinary precision specific obstacles to performance. The therapist must,
however, retain her healthy perspective if the client is to learn to accept himself.
For more clinical information about treating disorders of the self:
1.)Beck, Aaron T., et al, Cognitive Therapy Of Personality Disorder Guilford Press, New York,
N. Y., 1990
2.)Manfield, Philip, Split Self/Split Object: Understanding And Treating Borderline, Narcissistic And Schizoid Disorders, Jason Aronson Publishers, Northvale, N.J., 1992.
3.)Young, Jeffrey, E, Cognitive Therapy For Personality Disorders: A Schema-Focused Approach,
Professional Resource Exchange, Inc., Sarasota, Florida, 1990.
Keywords: Narcissistic Personality Disorder
Accuracy Verified: Yes
239. Willemsen, H., Chowdhury, U., & Briscall, L. (2002, October). Needle phobia in children: A discussion of aetiology and treatment options. Clinical Child Psychology and Psychiatry, 7(4), 609-619. doi:10.1177/1359104502007004012.
Language: English
Format: Journal
Abstract:
In this article we review the current literature surrounding needle phobia, concentrating
on clinical symptoms, aetiology and treatment options. Clinical symptoms
include sudden increase in heart rate and blood pressure on exposure to needles
followed by an immediate slowing of the heart and decrease in blood pressure
(vasovagal reflex). The various schools of thought surrounding aetiology of this
condition include biological, psychological and psychodynamic theories. Treatment
options vary from simple education and reassurance to medication and
specific behavioural approaches. Consideration should be given to past trauma
associated with the phobia and relevant family factors. Careful clinical assessment
will not only identify the problem but will also help to indicate appropriate treatment
options.
Keywords: Behavioural Therapy Needle Phobia Psychotherapy Trauma Vasovagal Reflex
Accuracy Verified: Yes
240. Pagani, M., Salmaso, D., Flumeri, F., & Hogberg, G. (2008, June). The neurobiological substrates of PTSD and EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, London, England UK.
Language: English
Format: Conference
Abstract:
In the recent years, the number of studies using neuro-imaging to evaluate neural correlates of psychotherapy
has steadily increased revealing its clear neurobiological effects on brain function across a wide range of
psychiatric disorders. Functional studies by single photon emission computed tomography (SPECT) and positron
emission tomography (PET) can now reliably detect changes in cerebral blood flow (CBF) and metabolism
patterns, suggesting a specific role for each of the brain areas in various components of emotional processing.
Investigations by magnetic resonance imaging (MRI) have also revealed psychiatry disease-related structural
changes. Some regions have been reported to be associated with emotional response to trauma, and with
symptom formation in posttraumatic stress disorder (PTSD). Several studies have provided evidence for the
efficacy of Eye Movement Desensitization and Reprocessing therapy (EMDR) in the treatment of PTSD. However
a very limited number of studies have investigated the neurobiological substrate of such therapy in clinical
practice. SPECT and MRI studies, performed to examine the effects of EMDR on brain patho-physiology have
provided some preliminary evidence that changes in brain CBF and structure patterns may follow effective
treatment. In general in PTSD and in anxiety disorders functional deactivations parallel symptoms relief and
decreased hyperreactivity to emotional and memory disturbances. Functional neuro-imaging is a promising tool
for the investigation of the physiological impact of psychotherapy in anxiety related disorders and may thus pave
the road for a better detection of its effects in psychiatric treatment. The scientific literature reporting
PTSD/EMRD related neuro-imaging studies will be extensively reviewed.
Keywords: Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
241. Pagani, M. (2011, June). Neuroimaging and novel neurobiological findings in EMDR research [Neuroimaging und neuartige neurobiologische erkenntnisse in der EMDR forschung]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
In the recent years the number of neuroimaging studies evaluating neural correlates of psychotherapy has steadily increased revealing its clear neurobiological effects on brain function across a wide range of psychiatric disorders. Functional studies by single photon emission computed tomography (SPECT) and positron emission tomography (PET) detect changes in cerebral blood flow and metabolism patterns, identifying the brain areas processing the various components of emotional processing and/or affected by the disorders. Investigations by magnetic resonance imaging (MRI) have also revealed psychiatry disease-related structural changes.
The first part of the workshop (20 minutes) will describe the neuroimaging methodologies and findings in PTSD/EMDR research with and extensive review of previous literature on the neurobiological effects of EMDR. The second part of the workshop (20 minutes) will deal with the description and implementation in research and clinic of neuropsychological testing with brief comments and discussion about their use in the recent experiments performed by our group. In the third part the EEG monitoring of a complete set of EMDR therapies in 10 patients suffering of major trauma will be presented. The relative results are the first report ever on the neurobiological changes occurring before, during and after EMDR therapy sheding light on the neuronal processes underlying its clinical efficacy.
Learning objectives:
The description and the discussion about the contents of the workshop will provide the audience (1) the necessary information to understand the methodological principles behind the neuroimaging techniques (PET, SPECT and MRI) and their possible applications in research and clinic; (2) the critical knowledge of the limited number of published papers in the field of EMDR-related functional and anatomical studies; (3) the basic research principles and examples to be motivated to begin, take part and/or collaborate to EMDR research in order to better understand the neural basis of this fascinating psychotherapeutic technique.
Keywords: Neurobiology Neuroimaging
Accuracy Verified: Yes
242. Bossini, L., Poliziotto, N., Tavanti, M., Calossi, S., Lombardelli, A., Vatti, G., & Castrogiovanni, P. (2006, Febbraio). Neuroimaging e PTSD: Dati morfovolumetrici e loro variazioni dopo trattamento [Neuroimaging and PTSD: Facts morfovolumetrici and their changes after treatment]. Presentazione al Congresso XI SOPSI (Società Italiana di Psicopatologia), Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Introduzione: molti studi concordano sulla riduzione del volume ippocampale nei pazienti affetti da PTSD 1 e che tale alterazione anatomica è correlata con deficit cognitivi e
con la gravità dei sintomi. Comunque ad oggi non è stato ancora chiarito se l’atrofia ippocampale rappresenta l’esito di un effetto neurotossico del trauma o, piuttosto, una condizione
preesistente che predispone allo sviluppo di alcune patologie psichiatriche. Già da tempo studi su animali dimostrano
come lo stress causi atrofia ippocampale e inibizione della
neurogenesi, con meccanismi verosimilmente legati ai glucocorticoidi, all’increzione del fattore corticotropo, all’aumento degli aminoacidi eccitatori, all’inibizione fattore
neurotrofico cerebrale con perdita della plasticità neuronale. Nell’uomo, tuttavia, i risultati non sono così lineari. Da un
lato alcuni studi hanno individuato come fattore principale l’aumento dei glucocorticoidi 2, dall’altro tale teoria è stata fortemente criticata 3. Secondo Yehuda il meccanismo di
atrofia ippocampale è dovuto ad un’alterazione dell’asse
Ipotalamo-Ipofisi-Surrene (HPA), ma in termini di una bassa
increzione di glucocorticoidi che determina un aumento del
feedback negativo dell’asse stesso ed un’ipersensibilità recettoriale.
Indipendentemente dal meccanismo d’azione, la perdita di neuroni a livello ippocampale nei soggetti che hanno subito eventi traumatici sembra sufficientemente dimostrata e, fino a poco tempo fa, era considerata irreversibile. In realtà l’ippocampo sembra presentare una inusuale e spontanea capacità rigenerativa. Questo dato è stato individuato in molte specie animali e, in un unico studio, anche nell’uomo 4. Inoltre recenti evidenze pre-cliniche e cliniche hanno indicato che gli SSRI (Selective Serotonin Reuptake Inhibitors) promuovono la neurogenesi e riducono l’atrofia ippocampale
indotta dallo stress nell’animale 5 e nell’uomo sono in grado
di ridurre i sintomi del PTSD, incrementare le dimensioni
dell’ippocampo e ridurre i deficit mnesici tipici della patologia
6 7. Un altro fattore che sembra essere in grado di stimolare la neurogenesi negli animali sembra essere “l’ambiente arricchito” verosimilmente tramite i meccanismi molecolari dell’apprendimento che sembrano in grado di attivare la trascrizione dell’mRNA per il Brain Derived Neurotrophic Factor. Questo dato della letteratura supporta il razionale dell’efficacia della psicoterapia anche se l’unico studio
che valuta le modificazioni morfostrutturali dopo psicoterapia non ha riportato risultati positivi 8. Gli scopi di questo studio sono:
– valutare la presenza di atrofia ippocampale nei pazienti affetti da PTSD (T0-drug-free);
– valutare l’effetto della terapia: farmacologica con SSRI e
psicoterapica con EMDR (Eye Movement Desensitization and Reprocessing) sia sul piano clinico e neuropsicologico,
che sul volume ippocampale, sia sulla memoria (T1). Metodologia: abbiamo analizzato un campione di 20 pazienti, di età compresa tra i 15 ed i 65 anni, reclutati nell’ambulatorio psichiatrico del Policlinico universitario di
Siena affetti da PTSD e un gruppo di controllo di soggetti
sani appaiati per sesso, età, peso e altezza. I soggetti di entrambi
i gruppi sono stati sottoposti ad uno studio morfovolumetrico
computerizzato dell’Ippocampo tramite RM (Risonanza Magnetica). Inoltre, i diciassette pazienti con PTSD sono stati valutati tramite la somministrazione di test neuropsicologici
e scale psicometriche per approfondire il quadro
psicopatologico e valutare l’eventuale presenza di deficit cognitivi. Nei soggetti affetti da PTSD dopo un periodo di sei mesi di
terapia psicofarmacologica sono stati ripetuti i test neuropsicologici,
le scale psicometriche e l’analisi morfovolumetrica dell’ippocampo tramite RM.
Tre pazienti, dopo le valutazioni al T0, hanno effettuato un protocollo terapeutico con solo EMDR e sono stati rivalutati
dopo 8 sedute (due mesi).
Risultati: i risultati della prima parte sperimentale (T0-drug-free) evidenziano che le dimensioni dell’ippocampo di
sinistra nei soggetti affetti da PTSD sono significativamente minori rispetto ai controlli sani. Dai risultati osservati al follow-up (T1-post-terapia) è possibile
evincere che la terapia nei soggetti considerati è associata ad un miglioramento della sintomatologia e ad un aumento
dei volumi ippocampali, pari al 9,87% per l’ippocampo di destra e dell’8,37% per l’ippocampo di sinistra. Questi dati
sono concordi con i dati presenti in letteratura, anche se la percentuale di recupero su base neuroplastica nel nostro studio
risulta sensibilmente superiore rispetto ai due studi presenti in letteratura incremento pari al 4,6% 6; pari al 5% 7. I tre pazienti che hanno effettuato terapia con EMDR hanno
anch’essi mostrato al T1 un miglioramento sintomatologico (CAPS non più positiva per i criteri diagnostici) ed un aumento
medio dei volumi ippocampali pari a 338,25 mm3 per
l’ippocampo DX e 357,93 mm3 per l’ippocampo SN.
Conclusioni: la terapia nei soggetti considerati si è associata ad un aumento dei volumi ippocampali (9,87%-8,37%).
L’aumento dei volumi ippocampali appare rilevante, consistente con i dati in letteratura, sebbene quantitativamente superiore, sottolineando l’efficacia degli SSRI verosimilmente tramite il meccanismo di attivazione della neurogenesi;
è ipotizzabile che l’aumento di volume non sia da imputare ad un aumento delle cellule gliali ma ad un aumento di neuroni ippocampali visto il contemporaneo miglioramento clinico. Particolarmente interessante ci sembra il dato relativo all’efficacia clinica e sulla plasticità neurale della EMDR.
Questa osservazione su solo tre casi, necessita chiaramente di essere confermata su un campione più ampio ma rappresenta la prima evidenza in letteratura di un’azione della psicoterapia
diretta alla struttura cerebrale.
Introduction: Many studies agree on the reduction of hippocampal volume in patients with PTSD and that an anatomical alteration is correlated with cognitive deficits and the severity of symptoms. However to date has not yet been clarified whether hippocampal atrophy is the result of a neurotoxic effect of trauma or, rather, an underlying condition that predisposes to the development of some psychiatric disorders. For some time animal studies show that stress causes hippocampal atrophy and inhibition of neurogenesis, by mechanisms probably related to glucocorticoids, all'increzione corticotropo factor, increased excitatory amino acid, inhibition of brain neurotrophic factor with loss of neuronal plasticity. In humans, however, the results are not so linear. On the one hand, some studies have identified as the main factor increasing glucocorticoid two other such theory was strongly criticized 3. According to Yehuda mechanism of hippocampal atrophy is due to an alteration of hypothalamic-pituitary-adrenal (HPA), but in terms of a low secretion of glucocorticoids leading to an increase of negative feedback axis and the same receptor hypersensitivity . Regardless of the mechanism of action, loss of neurons in hippocampus in people who have suffered traumatic events seems sufficiently established and, until recently, was considered irreversible. In fact, the hippocampus appears to be an unusual and spontaneous regenerative capacity. This figure has been identified in many animal species and in one study in humans 4. Moreover, recent evidence pre-clinical and clinical studies have shown that SSRIs (Selective Serotonin Reuptake Inhibitors) promote neurogenesis and reduce stress-induced hippocampal atrophy in animals 5 and humans are able to reduce symptoms of PTSD, increase the size of the hippocampus and reduce the deficit mnesic typical of the disease 6 7. Another factor that seems to be able to stimulate neurogenesis in animals seems to be "enriched environment" probably through molecular mechanisms of learning that seem able to activate the transcription of mRNA for Brain Derived Neurotrophic Factor. This finding supports the rationale of the literature of the effectiveness of psychotherapy, even if the only study that evaluates changes morphostructural after psychotherapy has shown positive results 8. The aims of this study are: - To evaluate the presence of hippocampal atrophy in patients with PTSD (T0-drug-free) - to assess the effect of therapy: pharmacological SSRI and psychotherapy with EMDR (eye movement desensitization and reprocessing) is a clinical and neuropsychological, and on hippocampal volume, and memory (T1). Methods: We analyzed a sample of 20 patients, aged between 15 and 65, recruited nell'ambulatorio Psychiatric University Hospital of Siena with PTSD and a control group of healthy subjects matched by sex, age, weight and height. Subjects in both groups were subjected to a computerized study morfovolumetrico dell'Ippocampo using MRI (Magnetic Resonance). In addition, seventeen patients with PTSD were assessed through administration of psychometric scales and neuropsychological tests to study the psychopathological picture and evaluate the possible presence of cognitive deficits. In subjects with PTSD after a period of six months of pharmacological therapy were repeated neuropsychological tests, scales psychometric analysis morfovolumetrica hippocampus by MRI. Three patients at T0 after assessments, carried out a treatment protocol with only EMDR and were reassessed after eight sessions (two months). Results: The results of the first experiment (T0-drug-free) show that the size of the left hippocampus in patients with PTSD are significantly lower compared to healthy controls. The results observed during the follow-up (T1-post-therapy) can be inferred that therapy in patients considered to be associated with improvement in symptoms and an increase in hippocampal volume, equal to 9.87% for the right hippocampus and 8, 37% for the left hippocampus. These data are consistent with the data in the literature, although the recovery rate based on neuroplastic in our study is significantly higher than in the two studies in the literature increase of 4.6% 6; 5% 7. The three patients who have treatment with EMDR have also shown an improvement in symptoms at T1 (CAPS no longer positive for the diagnostic criteria) and an average increase in hippocampal volume amounted to 338.25 mm3 for the hippocampus and DX 357, 93 mm3 for the hippocampus SN. Conclusions: Therapy in patients considered was associated with an increase in hippocampal volume (9.87% -8.37%). The increase in hippocampal volume appear to be relevant, consistent with the literature data, although quantitatively greater, stressing the effectiveness of SSRIs probably through the mechanism of activation of neurogenesis, it is conceivable that the increase in volume is attributable to an increase glial cells but an increase of hippocampal neurons seen the simultaneous clinical improvement. Seems particularly interesting given the relative clinical effectiveness of EMDR and neural plasticity. This observation on only three cases, clearly needs to be confirmed on a larger sample but represents the first evidence in the literature of action of psychotherapy directed at brain structure.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
243. McNally, R. J. (1995). New developments in cognitive-behavior therapy. Current Opinion in Psychiatry, 8(6), 395-399.
Language: English
Format: Journal
Abstract:
The purpose of this review is to highlight new developments in cognitive-behavior therapy (CBT) that have occurred during the past year [including two relating to Eye Movement Desensitization and Reprocessing for the treatment of PTSD]. It is impossible for one short essay to do justice to a field of such breadth; therefore, only papers of particular importance or interest have been selected. [Adapted from Text, p. 395]
Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
244. Schottenbauer, M. A., Glass, C. R., Arnkoff, D. B., Tendick, V., & Gray, S. H. (2008, Summer). Nonresponse and dropout rates in outcome studies on PTSD: Review and methodological considerations. Psychiatry: Interpersonal and Biological Processes, 71(2), 134-168. doi:10.1521/psyc.2008.71.2.134.
Language: English
Format: Journal
Abstract:
Post-traumatic stress disorder (PTSD) represents a frequent consequence of a variety of extreme psychological stressors. Lists of empirically supported treatments for PTSD usually include cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR), but nonresponse and dropout rates in these treatments often are high. We review the treatment dropout and nonresponse rates in 55 studies of empirically supported treatments for PTSD, review the literature for predictors of dropout and nonresponse, discuss methodological inconsistencies in the literature that make comparisons across studies difficult, and outline future directions for research. Dropout rates ranged widely and may have depended, at least in part, on the nature of the study population. It was not uncommon to find nonresponse rates as high as 50%. Standard methods of reporting dropout and nonresponse rates are needed for reporting outcomes. We suggest guidelines for collecting data to help identify characteristics and predictors of dropouts and nonresponders.
Keywords: CBT Cognitive Behavioral Therapy Literature Revieew Posttraumatic Stress Disorder Prediction PSTD Treatment Dropouts Treatment Outcomes
Accuracy Verified: Yes
245. Lipke, H. (2009). On science, orthodoxy, EMDR, and the AIP. Journal of EMDR Practice and Research, 3(2), 109-110. doi:10.1891/1933-3196.3.2.109.
Language: English
Format: Journal
Abstract:
Comments on the book by Francine Shapiro (see record 2001-05049-000). I was fortunate to observe Shapiro’s concern for the principles of science in the development of eye movement desensitization and reprocessing (EMDR). She insisted that EMDR be called experimental until after there was supportive peer-reviewed literature, limited training to mental health professionals, and strongly encouraged research. EMDRIA and its peer-reviewed journal have generally continued in this admirable direction. However, when an association is organized around a specific method of treatment rather than a problem area or a more general philosophy of approach, the question of orthodoxy must be addressed. At its best, orthodoxy ensures that practice is consistent with what has been demonstrated to be worthwhile, and all benefit from adherence. Also, there are aspects of the adaptive information processing (AIP), as it is described in the text, that are debatable and some that appear even self-contradictory. One example is Shapiro’s claim that the AIP is a “psychophysiological” model while also denying that enough is known about the details of psychophysiology to offer an explicit model. (PsycINFO Database Record (c) 2009 APA, all rights reserved)
Keywords: Adaptive Information Processing AIP
Accuracy Verified: Yes
246. Zlomke, K., & Davis III, T. E. (2008, September). One-session treatment of specific phobias: A detailed description and review of treatment efficacy. Behavior Therapy, 39(3), 207–223. doi:10.1016/j.beth.2007.07.003.
Language: English
Format: Journal
Abstract:
One-Session Treatment (OST) is a form of massed exposure
therapy for the treatment of specific phobias. OSTcombines
exposure, participant modeling, cognitive challenges, and
reinforcement in a single session, maximized to three hours.
Clients are gradually exposed to steps of their fear hierarchy
using therapist-directed behavioral experiments. Although
there are several studies in the literature examining the
efficacy of OST, little has been done to summarize this
research. In the following review, research on and empirical
support for OST are reviewed with an emphasis on the types
of stimuli, samples, and methodologies utilized. Research
generally supports OST's efficacy, although replication by
independent examiners using adult and child samples is
needed using more rigorous comparisons (e.g., psychological
placebo or other treatments). Overall, OST continues to
be a promising treatment for specific phobias; however, a
great deal more investigation is needed to identify mechanisms
of change, mediators, and moderators.
Keywords: Phobias
Accuracy Verified: Yes
247. Vaughan, K., & Armstrong, M. (1995, June). An orienting response model to EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The authors reviewed the literature of EMDR and consulted their own clinical experiences to establish the characteristic
phenomenology of EMDR. Dyck's (1993) conditioning model of eye movement desensitization provides a useful account of failure
and habituation in post-traumatic stress disorder (PTSD), but does not account for some of these common EMDR phenomena. The
authors propose an alternative model in which the therapist's waving hand-- in the presence of a trauma-related cortical set-triggers
an intense orienting response (OR). Intrinsic effects of the OR facilitate continuing attention to the memory without avoidance, and
provide for effective input of new trauma-related information. The person's neuronal model of the trauma alters to reflect their
survival and current safety -- as true outcome of the trauma - and associated conditioned responses extinguish. Some proposals for
experimental evaluation of the model are described.
Keywords: Orienting Response
Accuracy Verified: Yes
248. Richard, D. (2005, November). Outlining the effectiveness of prolonged exposure treatment. Poster presented at the 21st annual meeting of the International Society for Traumatic Stress Studies, Toronto, ON.
Language: English
Format: Conference
Abstract:
Prolonged exposure (PE) is an empirically validated treatment for PTSD.
However, there remain issues surrounding the optimal length of exposure
sessions, the efficacy of prolonged exposure vis-a-vis other behavioral (Foa et
al., 1999), cognitive (Resick et al., 2002), cognitive-behavioral (Feske &
Chambless, 1995), and EMDR (Ironson et al., 2002) interventions, whether
patterns of symptom change differ between PE and cognitive treatments
(Nishith, et al., 2002), and those variables that predict significant amounts of
variance in treatment outcome (Tarrier, Sommerfield, Pilgrim, & Faragher,
2000). In this presentation, I will discuss the theoretical basis of prolonged
exposure therapy, review the comparative outcome literature surrounding
prolonged exposure, and summarize empirical research findings with regard
to its efficacy and optimal use. Mechanisms of action involved in PE will be
discussed with an emphasis on providing a context for the subsequent
papers in the Poster.
Keywords: Poster Prolonged Exposure
Accuracy Verified: Yes
249. Maynard, S. (2006, February). Personal and professional coaching: A literature review. Walden University, Minneapolis, MN.
Language: English
Format: Dissertation/Thesis
Abstract:
Research on the efficacy of coaching has been slow to emerge since the inception of its use in the late 1930s. Existing theoretical and empirical evidence is scarce, yet the successful use of many proprietary methods and models of coaching have been reported. The purpose of this literature review was to summarize current methods and models of personal and professional coaching to identify a common theoretical foundation upon which empirical studies can be conducted. The findings of the literature review revealed that humanistic theory can provide the theoretical framework for coaching. All methods and models of coaching emphasized unconditional respect for each individual's capacity to make their own choices and achieve fulfillment through self-actualization. The coaching process was found to be holistic, client-centered and focused on human value and potential. Due to the lack of theoretical and empirical evidence supporting the efficacy of coaching, a randomized study is proposed that is designed to assess the efficacy of coaching based on humanistic theory. The with-in subject study suggests using a quantitative Likert summated scale to assess client attitudes before and after coaching. It is designed to eliminate possible confounding variables that may have been present in previous research. The purpose of the proposed research study is to test the hypothesis that coaching increases client satisfaction as measured by quality of life indices in an effort to determine if this new helping intervention is impacting our society in a useful and positive way. Demonstrating the efficacy of coaching is not only socially significant for the protection of the consumer, but ethically imperative to substantiate claims being made by those who coach.
Keywords: Personal Coaching Professional Coaching
Accuracy Verified: Yes
250. Quiroga, J., & Jaranson, J. M. (2005). Politically-motivated torture and its survivors: A desk study review of the literature. Torture, 16(2-3), 1-112.
Language: English
Format: Journal
Abstract:
This desk study intends to update and complement
the desk study review of the torture
rehabilitation literature completed in 1998
(Gurr and Quiroga, 2001), emphasizing
areas not covered by the original study but
updating the torture rehabilitation literature
from the publication of the original desk
study. Some selected earlier references have
been retained, but the focus remains primarily
on the published literature from 1998
through mid-2004. This paper intends to
stand alone but will refer back to original
study. The target audience is those working
in or interested in the field of rehabilitation
of politically motivated torture survivors.
Accuracy Verified: Yes
251. Creamer, M., & O'Donnell, M. (2002). Post-traumatic stress disorder. Current Opinion in Psychiatry, 15(2), 163-168.
Language: English
Format: Journal
Abstract:
This paper provides an overview of recent developments in the literature on post-traumatic stress disorder. Epidemiological studies indicate that approximately 15-25% of individuals experiencing a significant trauma will go on to develop post-traumatic stress disorder, although approximately half will recover without formal intervention. Potential vulnerability factors for post-traumatic stress disorder have been identified, but the mechanisms and complexities require further exploration, with recent research suggesting that prevalence rates and risk factors may differ across populations. Studies of psychological treatment have demonstrated prolonged exposure and cognitive therapies to be equally beneficial, whereas eye movement desensitization and reprocessing may be useful but perhaps less effective in the long term. Pharmacological treatment studies indicate that selective serotonin reuptake inhibitors may be the first choice of drug treatments for post-traumatic stress disorder. Non-selective primary prevention strategies remain contentious, although secondary prevention, in the form of cognitive behavioural interventions for acutely symptomatic survivors, appears to reduce the subsequent development of post-traumatic stress disorder.
Keywords: Cognitive Therapies Drug Therapy Exposure Therapies Posttraumatic Stress Disorder Prevention Primary Prevention PTSD Risk Factors Secondary Prevention Susceptibility (Disorders) Treatment Vulnerability Factors
Accuracy Verified: Yes
252. Sekhon, R. (2008). Post-traumatic stress disorder and treatment. Rose University of Lethbridge, Lethbridge, Alberta Canada.
Language: English
Format: Dissertation/Thesis
Abstract:
Post-traumatic stress disorder and treatment
Abstract: Post-traumatic stress disorder (PTSD) symptoms have been estimated to affect about 8 to 9% of the world population. Research has shown that PTSD occurs in 25% of persons who have been exposed to a traumatic stressor. It has occurred in 35-92% of those who have experienced rape, 65% of those who have endured a nonsexual assault, and 30% of Vietnam veterans. In 1980, the definition of PTSD was created and counsellors were at a loss of how to treat this disorder. Presently, treatment for this disorder is still being developed. This paper conducts a literature review on therapies for PTSD and available studies of their effectiveness. Most psychotherapies for PTSD focus on the reprocessing of traumatic memory, through cognitive or exposure strategies. These treatments include various cognitive behavioural therapies such as exposure therapy, eye movement desensitization and reprocessing (EMDR), psychoanalytic, as well as multimodal combinations of therapies. Research has shown that some of these interventions have produced favourable results in providing relief of symptoms to victims of PTSD. The current discussion found that therapies such as cognitive and exposure have been successful in decreasing symptoms of PTSD; certain therapies were found to be more successful than others with clients who suffered from specific trauma-inducing events.
Keywords: Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
253. Kennedy, J. E., Jaffee, M. S., Leskin, G. A., Stokes, J. W., Leal, F. O., & Fitzpatrick, P. J. (2007). Posttraumatic stress disorder and posttraumatic stress disorder-like symptoms and mild traumatic brain injury. Journal of Rehabilitation Research and Development, 44(7), 895-920. doi:10.1682/JRRD.2006.12.0166.
Language: English
Format: Journal
Abstract:
In this article, we review the literature on posttraumatic
stress disorder (PTSD) and PTSD-like symptoms that
can occur along with mild traumatic brain injury (TBI) and concussion,
with specific reference to concussive injuries in the military.
We address four major areas: (1) clinical aspects of TBI
and PTSD, including diagnostic criteria, incidence, predictive
factors, and course; (2) biological interface between PTSD and
TBI; (3) comorbidity between PTSD and other mental disorders
that can occur after mild TBI; and (4) current treatments for
PTSD, with specific considerations related to treatment for
patients with mild TBI or concussive injuries.
Keywords: Biological Factors Blast Concussion Clinical Course Comorbidity Concussion Incidence Mild Traumatic Brain Injury Posttraumatic Stress Disorder PTSD Rehabilitation TBI Traumatic Brain Injury Treatment
Accuracy Verified: Yes
254. Yu, B. H., & Dimsdale, J. (1999, September). Posttraumatic stress disorder in patients with burn injuries. Journal of Burn Care and Rehabilitation, 20(5), 426-433 [Discussion 422-425].
Language: English
Format: Journal
Abstract:
This article reviews the literature about the extent of posttraumatic stress disorder (PTSD) in patients with burns. PTSD is a relatively new diagnostic label, although the emotional effects of severe trauma have long been recognized. A burn injury-one of the most traumatic of all injuries--can be accompanied by serious psychological sequelae, including PTSD. Psychiatric symptoms may not be immediately apparent in patients with burns because the patients often develop PTSD many months after the injury. The reported prevalence rate of PTSD in patients with burns varies from 8% to 45%. The factors increasing these patients' risks include preburn affective disorder, delirium or severe pain during acute treatment, and less perceived social support. Psychosocial issues must be considered in the recovery or rehabilitation phase. Pharmacotherapy, psychodynamic psychotherapy, cognitive-behavioral therapy, and eye-movement desensitization and reprocessing may be helpful to the PTSD patient. Early detection and treatment of PTSD cannot only diminish the effects of this disabling disorder but can also help the rehabilitation of patients with this condition.
Keywords: Burn Injuries Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
255. Lamprecht, F., & Sack, M. (2002). Posttraumatic stress disorder revisited. Psychosomatic Medicine, 64, 222-237.
Language: English
Format: Journal
Abstract:
In this review we trace the history of and professional discussion on psychological traumatization due to "railroad spine syndrome," "shell-shock syndrome," and "war neuroses," as well as the more or less endemic "posttraumatic stress disorder" of today. Psychological trauma engenders longlasting consequences in the biological, intrapsychic, and social organization of individuals. Medical experts have reported a shift in attention from exogenous to endogenous and back to exogenous causes, as indicated by new diagnostic systems (DSM-IV and ICD-10). As far as the relevant literature is concerned, the medical profession demonstrates the same partial amnesia as their patient counterparts. The purpose of this review is to overcome this fragmented memory and thus reach a more integrated view of what constitutes psychological trauma by reviewing trauma-related articles published in Psychosomatic Medicine. Moreover, we point out the direction in which research is desperately needed and ought to develop.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
256. Stramrood, C., Paarlberg, K. M., Vingerhoets, A. J., van den Berg, P. P., & van Pampus, M. G. (2012, March). Posttraumatic stress following childbirth: Diagnosis, treatment and prevention. Poster presented at the 70th annual scientific meeting of the American Psychomatic Society, Athens, Greece.
Language: English
Format: Conference
Abstract:
Background: What to do with women who experienced childbirth as so
traumatic that they keep having nightmares, flashbacks and problems
concentrating, who do not want to become pregnant again or demand a
cesarean section at the next delivery? One to two percent of women
suffers from posttraumatic stress disorder (PTSD) following childbirth,
which may affect mother-child bonding as well as future pregnancies.
Methods: Based on current knowledge from literature, including own
research, an overview will be presented of the prevalence, risk factors,
diagnosis and treatment of PTSD following childbirth. Results: PTSD
is an anxiety disorder affecting 1-2 percent of women after childbirth.
Risk factors include [a] obstetric complications and interventions
(emergency cesarean section, preterm birth), [b] history of psychiatric
problems or depression/anxiety during pregnancy, [c] psychosocial
factors (low coping skills, low social support). Furthermore, 50 percent
of women with PTSD following childbirth also suffers from
postpartum depression. When PTSD is suspected, clinicians can use the
self-report measure Traumatic Event Scale-B to quantify symptoms,
and refer to a psychiatrist/psychologist if necessary. Several studies
indicate that spontaneous remission of PTSD following childbirth is
uncommon. Possible negative consequences of the condition include
insecure attachment of the infant, impaired partner relationship,
avoiding future pregnancies and demanding a cesarean section in a
subsequent pregnancy. Although these possible adverse outcomes
justify treatment and prevention, effective interventions and prevention
strategies have not been adequately researched in this patient group.
International guidelines regarding PTSD in other (non-pregnant)
populations point to eye-movement desensitization and reprocessing
(EMDR) and cognitive behavioral therapy (CBT) as the most
promising treatments. Identification of women at risk, both during
pregnancy and postpartum, is key to early intervention and possible
prevention. Conclusions: Posttraumatic stress disorder following
childbirth is a serious condition affecting 1-2 percent of postpartum
women, with higher prevalence rates among women with complicated pregnancies/deliveries and those with a history of mental health issues.
Adequate identification of women at risk and those with clinical
symptoms is key to early intervention and eventually prevention.
Keywords: Childbirth
Accuracy Verified: Yes
257. Walte, C. (2010). Posttraumatische belastungsstörung bei kindern und jugendlichen: Traumafokussierte kognitive verhaltenstherapie und eye movement desensitization and reprocessing als mögliche interventionsformen [Post-traumatic stress disorder in children and adolescents: Trauma-focused cognitive behavioral therapy, and eye movement desensitization and reprocessing as possible forms of intervention]. University of Hildesheim, Grin, 31. doi:10.3239/9783640733767.
Language: German
Format: Book
Abstract: Abstract: In der Gegenwart erfährt sowohl die Thematik des Traumas bei Kindern, als auch die Posttraumatische Belastungsstörung erhöhte Aufmerksamkeit und eine Reihe von Befunden zeigt, dass ein erheblicher Teil von Kindern nach einem Trauma eine Posttraumatische Belastungsstörung entwickelt, was eine genauere und detaillierte Betrachtung des Störungsbildes und seiner Behandlungsmöglichkeiten erfordert. Besonders die Traumafokussierte kognitive Verhaltenstherapie und die Methode des Eye Movement Desensitization and Reprocessing finden neben anderen Interventionsverfahren in der Fachliteratur vermehrt Beachtung. Auf der Grundlage dieser Aspekte habe ich die folgende Fragestellung entwickelt, die ich in meiner Arbeit untersuche: Durch welche Merkmale sind die Traumafokussierte kognitiv-behaviorale Verhaltenstherapie nach Cohen und das Eye Movement Desensitization and Reprocessing nach Shapiro als mögliche Interventionsformen der Posttraumatischen Belastungsstörung gekennzeichnet, in welchen Aspekten bestehen Gemeinsamkeiten und Unterschiede beider Therapieformen und welche Therapieform ist aus welchen Gründen wirksam(er)?
Abstract undergoes in the presence of both the issue of trauma in children, as well as post-traumatic stress disorder increased attention and a series of findings indicates that a significant proportion developed by children after a trauma a post-traumatic stress disorder, which is a more accurate and detailed consideration of the disorder and its treatment requires. In particular, the trauma-focused cognitive behavioral therapy and the method of Eye Movement Desensitization and Reprocessing find more in addition to other intervention methods in the literature attention. Based on this, I have developed the following question that I explore in my work: Which features are the trauma-focused cognitive-behavioral behavioral therapy according to Cohen and the Eye Movement Desensitization and Reprocessing for Shapiro characterized as a possible intervention forms of post-traumatic stress disorder, in which Aspects are the similarities and differences between the two forms of therapy and which treatment is effective for any reason(s)?
Keywords: Children Adolescents CBT Cognitive Behavior Therapy Posttraumatic Stress Disoder PTSD Treatment
Accuracy Verified: Yes
258. Greenwald, R. (1999, November-December). The power of suggestion - Comment on EMDR and mesmerism: A comparative historical analysis. Journal of Anxiety Disorders, 13(6), 611-615. doi:10.1016/S0887-6185(99)00019-5..
Language: English
Format: Journal
Abstract:
This response to McNally challenges the notion that scientific controversy should be waged with smear tactics. McNally's anti-EMDR conclusions are contested as premature and based on red herrings, selective neglect of the literature, and erroneous application of scientific principles. The importance of treatment fidelity is highlighted as a way of distinguishing between EMDR studies of widely varying quality (ScienceDirect).
Keywords: Franz Anton Hypnotherapy Mesmerism Professional Criticism
Accuracy Verified: Yes
259. Devilly, G. J. (2005, June). Power therapies and possible threats to the science of psychology and psychiatry. Australian & New Zealand Journal of Psychiatry, 39(6), 437-445. doi:10.1111/j.1440-1614.2005.01601.x .
Language: English
Format: Journal
Abstract:
Objective: Advocates of new therapies frequently make bold claims regarding therapeutic effectiveness, particularly in response to disorders which have been traditionally treatment-refractory. This paper reviews a collection of new therapies collectively self-termed "The Power Therapies", outlining their proposed procedures and the evidence for and against their use. These therapies are then put to the test for pseudoscientific practice. Method: Therapies were included which self-describe themselves as "Power Therapies". Published work searches were conducted on each therapy using Medline and PsychInfo databases for randomized controlled trials assessing their efficacy, except for the case of Eye Movement Desensitization and Reprocessing (EMDR). Eye Movement Desensitization and Reprocessing has more randomized controlled studies conducted on its efficacy than any other treatment for trauma and thus, previous meta-analyses were evaluated. Results and conclusions: It is concluded that these new therapies have offered no new scientifically valid theories of action, show only non-specific efficacy, show no evidence that they offer substantive improvements to extant psychiatric care, yet display many characteristics consistent with pseudoscience. [Author Abstract]
Keywords: Commentary Energy Psychotherapy Literature Review Neurolinguistic Programming NLP Psychotherapeutic Processes TFT: Thought Field Therapy TIR: Traumatic Incident Reduction Treatment Effectiveness
Accuracy Verified: Yes
260. Poole, A. D., de Jongh, A., & Spector, J. (1999, January). Power therapies: Evidence versus emotion: A reply to Rosen, Lohr, McNally and Herbert. Behavioural and Cognitive Psychotherapy, 27(1), 3-8.
Language: English
Format: Journal
Abstract:
Rosen, Lohr, McNally and Herbert’s (1998) arguments directed at the so-called “Power Therapies” and, in particular, Eye Movement Desensitization and Reprocessing (EMDR) are examined. It is suggested that their paper does not adequately review the available research data and, therefore, draws unwarranted conclusions. Based on published controlled studies it is concluded that there is evidence to support the use of EMDR in the treatment of post traumatic stress disorder (PTSD).
Keywords: Letter Literature Review Outcome Research Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness
Accuracy Verified: Yes
261. Ehntholt, K. A., & Yule, W. (2006, December). Practitioner review: Assessment and treatment of refugee children and adolescents who have experienced war-related trauma. Journal of Child Psychology & Psychiatry, 47(12), 1197-1210. doi:10.1111/j.1469-7610.2006.01638.x.
Language: English
Format: Journal
Abstract:
Background: Increasingly clinicians are being asked to assess and treat young refugees, who have experienced traumatic events due to war and organised violence. However, evidence-based guidance remains scarce. Mthod: Published studies on the mental health difficulties of refugee children and adolescents, associated risk and protective factors, as well as effective interventions, particularly those designed to reduce war-related post-traumatic stress disorder (PTSD) symptoms, were identified and reviewed. The findings are summarised. Results: Young refugees are frequently subjected to multiple traumatic events and severe losses, as well as ongoing stressors within the host country. Although young refugees are often resilient, many experience mental health difficulties, including PTSD, depression, anxiety and grief. An awareness of relevant risk and protective factors is important. A phased model of intervention is often useful and the need for a holistic approach crucial. Promising treatments for alleviating symptoms of war-related PTSD include cognitive behavioural treatment (CBT), testimonial psychotherapy, narrative exposure therapy (NET) and eye movement desensitisation and reprocessing (EMDR). Knowledge of the particular needs of unaccompanied asylum-seeking children (UASC), working with interpreters, cross-cultural differences, medico-legal report writing and the importance of clinician self-care is also necessary. Conclusion: More research is required in order to expand our limited knowledge base.
Keywords: CBT Children Cognitive Behaviorial Therapy Literature Review Narrative Exposure Therapy NET Posttraumatic Stress Disorder PTSD War Refugees
Accuracy Verified: Yes
262. Storie, M. S. (2010, February). Practitioners' views of effective treatment options for childhood trauma. McNair Scholars Research Journal, 1(1), 101-124.
Language: English
Format: Journal
Abstract:
In today’s society the number of children who experience childhood
trauma is increasing signifi cantly. As a result of this increase, the
number of people seeking treatment is also on the rise. For this study,
data were collected using both qualitative interviews (N=10) and an online
quantitative survey (N=32). Practitioners’ views of effectiveness
ranged from both more traditional treatments to emerging alternative
treatments. Recent knowledge from brain research shows trauma impacts
both the left and right side of the brain. Many practitioners noted
effective treatment needs to be comprehensive. This is supported by
literature recommending modalities that work with the effect trauma has
on both sides of the brain
Keywords: Treatment Options
Accuracy Verified: Yes
263. Canadian Coordinating Office for Health Technology Assessment (2004, May). Pre-Assessment - EMDR for treatment of post-traumatic stress disorder. CCOHTA, 35.
Language: English
Format: Other
Abstract:
Before CCOHTA decides to undertake a health technology assessment, a pre-assessment of the
literature is performed. Pre-assessments are based on a limited literature search; they are not
extensive, systematic reviews of the literature. They are provided here as a quick guide to important, current assessment information on this topic. Readers are cautioned that the pre-assessments have not been externally peer reviewed.
Keywords: Practice Guidelines Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
264. Lehrer, P. M., Woolfolk, R. L., & Sime, W. E. (2007). Principles and practice of stress management. (3rd. ed.) New York, NY, US: Guilford Press.
Language: English
Format: Book
Abstract:
Recent years have seen significant advances in understanding psychosocial stress and its clinical management. Now in a thoroughly revised and expanded third edition, this comprehensive work reviews effective stress management techniques and their applications for treating psychological problems and enhancing physical health and performance. Bringing together recognized leaders in the field to present their respective approaches and demonstrate the nuts and bolts of intervention, the volume is structured for optimal use as a clinical reference and text. All chapters retained from the prior edition have been extensively rewritten, and many new chapters have been added. Part I examines conceptual foundations and describes basic mechanisms of stress and relaxation. Part II, the largest section, covers the full range of methods, including progressive relaxation, hypnosis, biofeedback, meditation, cognitive methods, and other therapies. Each tightly edited chapter: (1) Details the method's history, theoretical underpinnings, and evidence base; (2) Spells out assessment procedures and techniques; (3) Provides step-by-step implementation guidelines; (4) Considers common treatment obstacles and how to overcome them; (5) Discusses strategies for increasing patient motivation and adherence; and (6) Illustrates the method with an in-depth case example. New to the third edition are chapters on mindfulness meditation, neurofeedback, EMDR, breathing retraining, heart rate variability biofeedback, exercise therapy, and Qigong. Finally, Part III explores applications in mental health, behavioral medicine, and sport psychophysiology (another new topic in this edition), shedding light on which approaches are most suitable for particular problems. The concluding chapter reviews the clinical research literature and offers clear recommendations for improving outcomes. This timely, authoritative book is an indispensable resource for clinical and health psychologists, psychiatrists, social workers, counselors, nurses, and other professionals interested in learning and using stress management techniques. It will serve as a text in graduate-level courses in stress management, behavioral medicine, social work in health care, and related areas. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Stress Management
Accuracy Verified: Yes
265. Veerbeek, H. (2013, June). Processing anger and revenge with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Until now, best practise regarding treatment of anger seems to be mostly focused on improving control over angry outbursts. The treatment as usual is cognitive and behaviour oriented. For trauma related internalizing symptoms (anxiety, panic, nightmares, avoidance, intrusions), we know that EMDR is much more effective than a standard cognitive behavioural approach. Anger, embitterment and revenge are, more often than we think, also trauma-related symptoms and can be viewed as externalizing reactions to severe maltreatment, powerlessness and/or humiliation. A lot of our veterans have to deal with a permanent elevated arousal and an aggressive response style after they return from war. These externalizing symptoms can have devastating effects on marriage, work and daily live. In trauma-literature, there has been a lack of attention to this debilitating and externalizing side of PTSD.
In the workshop, after a brief review of the literature on anger and revenge, a new perspective will be presented in understanding anger and revenge. An EMDR-based protocol will be demonstrated, which can be used as a cognitive interweave and also as a “stand-alone” tool to process anger- and revenge symptoms. Extensive video footage will be used to illustrate the effect of this treatment on a patient with severe, dangerous and obsessive revenge symptoms. The question, when this add-on tool can be used and when it will be preferable to stick to the standard EMDR protocol, will be discussed. In conclusion, questions from the audience will hopefully lead to an inspiring discussion.
Learning objectives:
Being able to apply the theoretical framework of Posttraumatic Anger in understanding anger symptoms in clients;
Being able to detect which experiences en people from the past contributed to current anger – and anxiety symptoms and know when to apply the standard EMDR protocol or the Rage, Resentment and Revenge Protocol; and
Being able to apply the Rage, Resentment and Revenge Protocol to process and resolve the anger symptoms.
Accuracy Verified: Yes
266. 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:
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.
Keywords: Posttraumatic Growth Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
267. Gabarra, D. O. (2012, Novembro). A proposição teórica e eficácia do EMDR no tratamento da dor crônica [The theoretical proposition and efficacy of EMDR in the treatment of chronic pain]. In EMDR e dor crônica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
O presente estudo tem por objetivo apresentar os fundamentos de porque o EMDR funciona no tratamento da dor crônica e apresentar os dados de um estudo piloto que será realizado até a data da apresentação. Diante de uma experiência de dor, o cérebro desenvolve uma rede associativa de memória que pode ficar congelada devido à intensidade e/ou persistência da dor. Aspectos psicológicos associados ao evento disparador ou possíveis ganhos secundários também podem fortalecer o congelamento dessas redes associativas (Grant 2002). Dessa forma, a dor crônica, mesmo que justificada por uma questão física, vem associada à memória da dor que é expressa em sensações corporais. Entendendo que o EMDR trata o trauma psicológico por descongelar e resignificar os eventos passados por meio da reconexão dessas redes associativas com as redes de recursos psíquicos do sujeito, podemos entender que o reprocessamento da rede associativa da dor irá reorganizar essa memória de forma a desconstruir a memória da dor enquanto uma sensação corporal presente (Schneider et al 2008). O Estudo piloto será composto por 4 sujeitos adultos que desenvolveram dor crônica a partir de um trauma físico. Os sujeitos serão submetidos a uma entrevista de linha de base com os seguintes instrumentos traduzidos: MINI (Amorim 2000), Short-Form McGill Melzack Pain Questionnaire (Schneider 2008 e Melzack 1987), Impact of Event Scale (Schneider 2008) e Multiple Affect Adjective Checklist-Revised (Estergard 2008); além do registro das medicações utilizadas. Essa avaliação será realizada em 3 momentos distintos. No início do estudo; após três meses sem intervenção adicional além do tratamento que o sujeito estava previamente submetido e após a intervenção do estudo de um processo de psicoterapia breve de 12 sessões com EMDR fundamentada no Protocolo de Dor (Mark Grant 1998/2009). As diferenças entre a primeira e segunda testagem serão comparadas com a diferença entre a segunda e terceira testagem para verificar a eficácia do tratamento. Espera-se obter uma diferença significativa para fortalecer a tese da eficácia do EMDR nesse tipo de tratamento assim como demonstra a literatura levantada (Bisson et all 2007, Estergard 2008, Friedberg 2004, Grant 2002 e 2009, Schneider et all 2008 e Shapiro 2002).
The present study aims to present the fundamentals of why EMDR works in treating chronic pain and present data from a pilot study that will be held until the date of the presentation. Faced with an experience of pain, the brain develops a network of associative memory that can be frozen due to the intensity and / or persistence of pain. Psychological aspects associated with the event trigger or possible secondary gains can also strengthen the freezing of these associative networks (Grant 2002). Thus, chronic pain, even if justified by a physical issue, comes the pain associated with memory that is expressed in bodily sensations. Understanding the psychological trauma EMDR treats for thawing and reframe past events through the reconnection of these associative networks with the networks of psychological resources of the subject, we can understand that the reprocessing of pain associative network will rearrange this memory in order to deconstruct the memory of pain as a bodily sensation present (Schneider et al 2008). The pilot study will consist of four adult subjects who developed chronic pain from physical trauma. The subjects will undergo a baseline interview with the following instruments translated: MINI (Amorim 2000), Short-Form McGill Melzack Pain Questionnaire (Melzack 2008 and Schneider 1987), Impact of Event Scale (Schneider 2008) and the Multiple Affect Adjective Checklist-Revised (Estergard 2008); beyond the record of the medications used. This evaluation will be conducted in three distinct moments. At baseline and after three months without further intervention beyond treatment that the subject was previously submitted to and after intervention study of a process of brief psychotherapy of 12 sessions with EMDR based on the Pain Protocol (Mark Grant 1998/2009). The differences between the first and second test are compared with the difference between the second and third testing to verify the effectiveness of the treatment. It is expected to obtain a difference significant strengthening the argument of effectiveness of EMDR this type of treatment as well as the literature demonstrates raised (Bisson et all 2007, 2008 Estergard, Friedberg 2004, 2002 and 2009 Grant, Schneider et al 2008 and Shapiro 2002) .
Keywords: Chronic Pain Effectiveness of Treatment Theoretical Hypothesis
Accuracy Verified: Yes
268. van der Kolk, B. A., Burbridge, J. A., & Suzuki, J. (1997, June). The psychobiology of traumatic memory: Clinical implications of neuro imaging studies. Annals of the New York Academy of Sciences, 821, 99-113. doi:10.1111/j.1749-6632.1997.tb48272.x .
Language: English
Format: Journal
Abstract:
Whereas most patients with PTSD construct a narrative of their trauma over time, it is a characteristic of PTSD that sensory elements of the trauma itself continue to intrude as flashbacks and nightmares, altered states of consciousness in which the trauma is relived, unintegrated with an overall sense of self. Because traumatic memories are so fragmented, it seems reasonable to postulate that extreme emotional arousal leads to failure of the central nervous system (CNS) to synthesize the sensations related to the trauma into an integrated whole. Earlier models for a biological substrate of these phenomena have become rapidly outdated with the availability of new information derived from neuroimaging studies of patients with PTSD. The emerging body of knowledge from these studies has stimulated a gradual shift in emphasis away from the neurochemicals involved in the organisms' response to overwhelming threat to a focus on the neuronal filters concerned in the interpretation of sensory information: the interactions between the various parts of the CNS that process and interpret the meaning of incoming information, such as the amygdala, hippocampus, corpus callosum, anterior cingulte, and prefrontal cortex. [Text, p. 99]
Review Article: 58 references. This volume of the Annals was published as "Psychobiology of posttraumatic stress disorder," edited by Rachel Yehuda and Alexander C. McFarlane (New York: New York Academy of Sciences, 1997; ISBN 1-57331-078-6). These papers are the result of a conference entitled "Psychobiology of Posttraumatic Stress Disorder" sponsored by the New York Academy of Sciences, New York, 1996 September 7-10.
Keywords: Brain Imaging Dissociative Amnesia Etiology Literature Review Neuroanatomy Neuroendocrinology Psychobiology PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
269. Keane, T. M. (1998). Psychological and behavioral treatments of post-traumatic stress disorder. In P. E. Nathan, & J. M. Gorman (Eds.), A guide to treatments that work (pp. 398-407). New York: Oxford University Press.
Language: English
Format: Book Section
Abstract:
Several Type 1 and Type 2 random clinical trials (RCTs) have confirmed exposure therapy (including systematic desensitization, flooding, prolonged exposure, and implosive therapy) and, to a lesser extent, anxiety management techniques (using both cognitive and behavioral strategies) as the psychosocial treatments of choice for PTSD.Eye-movement desensitization and reprocessing (EMDR), a recently introduced approach to the treatment of PTSD, has shown some promise, although its research base to date, consisting largely of open clinical trials, is inadequte. [Author Abstract]
Keywords: Cognitive Therapy Epidemiology Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
270. Stallard, P. (2006, November). Psychological interventions for post-traumatic reactions in children and young people: A review of randomised controlled trials. Clinical Psychology Review, 26(7), 895-911. doi:10.1016/j.cpr.2005.09.005.
Language: English
Format: Journal
Abstract:
Children exposed to a wide range of traumatic events suffer significant post-traumatic reactions. Randomised controlled trials assessing the effectiveness of interventions with traumatised children are described, the limitations of the current literature base identified, and issues regarding the applicability of these findings and interventions to everyday clinical practice discussed. Methodological issues, variations in interventions, parental involvement, theoretical underpinning, and outcomes will be discussed and implications for future studies highlighted. [Author Abstract]
Keywords: Adolescents CBT Children Cognitive Behavior Therapy Cognitive Therapy Literature Review Methodology Parents Posttraumatic Reactions Posttraumatic Stress Disorder Preschool Age Children Psychotherapy PTSD Random Control Trials RCT School Age Children Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
271. Bisson, J. I., Ehlers, A., Matthews, R., Pilling, S., Richards, D., & Turner, S. (2007, February). Psychological treatments for chronic post-traumatic stress disorder: Systematic review and meta-analysis. British Journal of Psychiatry, 190(2), 97-104. doi:10.1192/bjp.bp.106.021402.
Language: English
Format: Journal
Abstract:
Background: The relative efficacy of different psychological treatments for chronic PTSD is unclear.AIMS: To determine the efficacy of specific psychological treatments for chronic PTSD. Method: In a systematic review of randomised controlled trials, eligible studies were assessed against methodological quality criteria and data were extracted and analysed. RESULTS: 38 randomised controlled trials were included in the meta-analysis. Trauma-focused cognitive-behavioural therapy (TFCBT), eye movement desensitisation and reprocessing (EMDR), stress management, and group cognitive-behavioural therapy improved PTSD symptoms more than waiting-list or usual care. There was inconclusive evidence regarding other therapies. There was no evidence of a difference in efficacy between TFCBT and EMDR but there was some evidence that TFCBT and EMDR were superior to stress management and other therapies, and that stress management was superior to other therapies. Conclusions: The first-line psychological treatment for PTSD should be trauma-focused (TFCBT or EMDR). [Author Abstract]
Keywords: Chronic Mental Illness Cognitive Behavior Therapy Cognitive Therapy Group Counseling Literature Review Meta Analysis Posttraumatic Stress Disorder PTSD Stress Management Systematic Review Trauma
Accuracy Verified: Yes
272. Livanou, M. (2001, August). Psychological treatments for post-traumatic stress disorder: An overview. International Review of Psychiatry, 13(3), 181-188. doi.org/10.1080/09540260120074046.
Language: English
Format: Journal
Abstract:
There is a growing research literature on the psychological treatment of PTSD. This paper provides an overview and an evaluation of this research. The focus is mainly on cognitive-behavioural interventions, as they are the most widely studied and they have a sound evidence base. Other forms of psychological therapy are also considered. Some general issues pertaining to treatment efficacy are also discussed. [Author Abstract]
Keywords: Cognitive Therapy Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Treatment Effectiveness
Accuracy Verified: Yes
273. Bisson, J. (2005, November). Psychological treatments for PTSD. Symposium conducted at the 21st International Society for Traumatic Stress Studies Conference, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
The UK National Institute for Clinical Excellence Guidelines on PTSD: Based on rigorous meta-analysis, detailed literature review and two public consultations, the national guidelines for the assessment, prevention and treatment of PTSD in the UK will be presented in this symposium on behalf of the Guideline Development Group.
Psychological treatments for PTSD: A systematic review and meta-analysis of all randomised controlled trials of
psychological treatment for PTSD was undertaken. Thirty-eight RCTs of psychological
treatments for PTSD were identified. Trauma focused cognitive
behavioural therapy (TFCBT) and eye movement desensitisation and reprocessing
(EMDR) showed clinically important benefits over waitlist/usual care
on measures of PTSD. The evidence base for EMDR was not as strong as
that for TFCBT, both in terms of the number of RCTs available and the certainty
with which clinical benefit was established. There was limited evidence
that TFCBT and EMDR were superior to supportive/non-directive treatments,
hence it is highly unlikely that their effectiveness is due to non-specific
factors such as attention. There was limited evidence for stress management
and group CBT but other therapies (supportive/non-directive therapy,
psychodynamic therapies and hypnotherapies) that focus on current or past
aspects of the patient’s life other than the trauma or general support, did
not show clinically important effects on PTSD symptoms. However, this may
be due to the limited number of studies available and does not mean that
these treatments were shown to be ineffective.
Keywords: Posttraumatic Stress Disorder PSTD Psychological Treatments Symposium
Accuracy Verified: Yes
274. van Loey, N. E. E., & van Son, M. J. M. (2003). Psychopathology and psychological problems in patients with burn scars: Epidemiology and management. American Journal of Clinical Dermatology, 4(4), 245-272.
Language: English
Format: Journal
Abstract:
Burn injury is often a devastating event with long-term physical and psychosocial effects. Burn scars after deep dermal injury are cosmetically disfiguring and force the scarred person to deal with an alteration in body appearance. In addition, the traumatic nature of the burn accident and the painful treatment may induce psychopathological responses. Depression and PTSD, which are prevalent in 13-23% and 13-45% of cases, respectively, have been the most common areas of research in burn patients. Risk factors related to depression are pre-burn depression and female gender in combination with facial disfigurement. Risk factors related to PTSD are pre-burn depression, type and severity of baseline symptoms, anxiety related to pain, and visibility of burn injury. Neuropsychological problems are also described, mostly associated with electrical injuries. Social problems include difficulties in sexual life and social interactions. Quality of life initially seems to be lower in burn patients compared with the general population. Problems in the mental area are more troublesome than physical problems. Over a period of many years, quality of life was reported to be rather good. Mediating variables such as low social support, emotion and avoidant coping styles, and personality traits such as neuroticism and low extraversion, negatively affect adjustment after burn injury. Few studies of psychological treatments in burn patients are available. From general trauma literature, it is concluded that cognitive (behavioral) and pharmacological (selective serotonin reuptake inhibitors) interventions have a positive effect on depression. With respect to PTSD, exposure therapy and eye movement reprocessing and desensitization [EMDR] are successful. Psychological debriefing aiming to prevent chronic post-trauma reactions has not, thus far, shown a positive effect in burn patients. Treatment of problems in the social area includes cognitive-behavioral therapy, social skills training, and community interventions. Sexual health promotion and counseling may decrease problems in sexual life. In conclusion, psychopathology and psychological problems are identified in a significant minority of burn patients. Symptoms of mood and anxiety disorders (of which PTSD is one) should be the subject of screening in the post-burn phase and treated if indicated. A profile of the patient at risk, based on pre-injury factors such as pre-morbid psychiatric disorder and personality characteristics, peri-traumatic factors and post-burn factors, is presented. Finally, objective characteristics of disfigurement appear to play a minor role, although other factors, such as proneness to shame, body image problems, and lack of self-esteem, may be of significance. [Author Abstract]
Keywords: Burns Comorbidity Epidemiology Literature Review Posttraumatic Stress Disorder Predisposition PTSD Survivors Treatment
Accuracy Verified: Yes
275. Adler-Nevo, G., & Manassis, K. (2005, September). Psychosocial treatment of pediatric posttraumatic stress disorder: The neglected field of single-incident trauma. Depression and Anxiety, 22(4), 177-189. doi:10.1002/da.20123.
Language: English
Format: Journal
Abstract:
Despite the prevalence of childhood trauma, studies regarding psychotherapy for children suffering from PTSD are scarce, especially regarding the treatment for pediatric PTSD following single-incident trauma. Treatment practices for this population rely mainly on the paradigms of therapy for adult PTSD and pediatric PTSD following sexual abuse. This review outlines the studies published in the last 10 years pertaining to the treatment of pediatric PTSD following single-incident trauma. This is done in the context of available literature on the paradigms mentioned above. Of 742 articles dealing with treatment of pediatric trauma, 10 were found relevant to the treatment of pediatric PTSD following single-incident trauma. The modalities of treatment most frequently reported in this context were cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), and play therapy. As a whole, CBT studies were methodologically more rigorous, used manualized, reproducible treatment, and were group, school-based therapies. EMDR treatments were usually short and individual. Most studies showed statistically significant improvement but were still methodologically lacking. We conclude that research on the subject of treatment for pediatric PTSD following single-incident trauma constitutes a neglected part of the study of pediatric PTSD. This stands in contrast to the obvious prevalence of this type of trauma. We encourage future research that will address issues such as clarifying the role of pharmacotherapy, comparing different modes of treatment, dismantling treatment "packages", researching developmentally sensitive treatments, conducting long-term follow-up, and comparing different PTSD populations. [Author Abstract]
Keywords: Adolescents Case Studies Cognitive Therapy Literature Review Pediatric Play Therapy Psychotherapy Review School Age Children PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
276. 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:
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]
Keywords: Adults Cognitive Therapy Drug Therapy Exposure Therapy Group Psychotherapy Hypnotherapy Posttraumatic Stress Disorder Prevention Psychoanalytic Psychotherapy PTSD Stressors Survivors
Accuracy Verified: Yes
277. Foa, E. (2000). Psychosocial treatment of posttraumatic stress disorder. Journal of Clinical Psychiatry, 61(Supplement 5), 43-51.
Language: English
Format: Journal
Abstract:
This article reviews empirically validated psychosocial treatments for PTSD and considers factors associated with successful therapy outcome. Most of the treatments whose efficacy was studied empirically fall within the broad category of cognitive-behavioral therapy. These include exposure therapy, anxiety management programs, and cognitive therapy. These therapy modalities have been developed to modify conditioned fear and erroneous cognitions that are thought to underlie PTSD. Exposure therapy has the most empirical support because it was found to be effective across different populations of trauma victims with PTSD. Combinations of therapies have also been used, and the value of these is discussed. In addition, this article presents recent evidence about the efficacy of eye movement and desensitization reprocessing. A growing body of evidence supports the use of psychosocial treatments for PTSD, but not all patients benefit. Future research should develop programs that increase the motivation of patients to take advantage of these efficacious treatments. [Author Abstract]
Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
278. Rothbaum, B. (2001). Psychosocial treatments for posttraumatic stress disorder. The Economics of Neuroscience: Ten, 3(10), 59-63.
Language: English
Format: Journal
Abstract:
Impressive advances in treating posttraumatic stress disorder (PTSD) have been made in the past 15 years especially with respect to pharmacotherapy and cognitive-behavioral therapy (CBT). This review offers a summary of literature on psychosocial interventions for PTSD. It begins with a brief review of traditional therapies for PTSD and then examines the larger literture on the efficacy of CBTs for PTSD.
Keywords: Posttraumatic Stress Disorder PTSD Review
Accuracy Verified: Yes
279. Institut national de la santé et de la recherche médicale (INSERM). (2004). Psychothérapie, trois approches évaluées [Psychotherapy: An evaluation of three approaches]. INSERM. Retrieved from http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4007323.
Language: English
Format: Publication
Abstract:
This document presents a review of the work of the expert group convened by Inserm through the collective expert evaluation procedure to answer the questions raised by the General Directorate of Health (Direction générale de la santé, DGS) on the evaluation of psychotherapies.
It is based on the scientific information available as at the last six months of 2003. The documental base for this expert evaluation consisted of approximately 1,000 articles and documents.
The Inserm collective expert evaluation centre co-ordinated this collective work with the Department for facilitation and scientific partnership (Département animation et partenariat scientifique, Daps) to instruct the dossier and with the documentation service of the department for scientific information and communication (Département de l’information scientifique et de la communication, Disc) for the literature search.
Keywords: Review
Accuracy Verified: Yes
280. Lindauer, R. J. L. (2011, April). Psychotraumagerelateerde stoornissen binnen de kinder-en jeugdpsychiatrie: Stand van zaken en implementatieperikelen [Psychotrauma-related disorders in child and adolescent psychiatry: Current situation and implementation troubles]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: Dutch
Format: Conference
Abstract:
Achtergrond: Meer dan 50% van de
kinderen maakt een of meerdere ingrijpende
gebeurtenissen mee voor het 18e jaar, ongeveer
20% ontwikkelt traumagerelateerde psychopathologie
en in 45% van de gevallen is er een verband
tussen het meemaken van een ingrijpende gebeurtenis en de start van een kinder- en jeugdpsychiatrische diagnose. Kennis over traumadiagnostiek
en behandeling is dan ook niet alleen voorbehouden
aan gespecialiseerde centra. Implementatie
van deze kennis is belangrijk en gaat zeker niet
zonder slag of stoot. Doel: Het geven van een update rond traumadiagnostiek en behandeling. Tevens het bespreken van implementatieperikelen binnen de
eigen instelling en hoe hiermee om te gaan.
Methoden: Onderzoek van wetenschappelijke
literatuur en raadpleging van verschillende
richtlijnen, en casuïstiek betreffende implementatie.
Resultaten: De laatste jaren is er toenemend
onderzoek gedaan naar diagnostiek en
behandeling van psychotrauma bij kinderen en
adolescenten. Het gaat daarbij om het ontwikkelen
van screenings- en diagnostische instrumenten
en onderzoek naar effecten van behandeling.
Traumagericht cognitieve gedragtherapie en eye
movement desensitisation and reprocessing (EMDR)
zijn effectieve behandelvormen. Implementatie
van deze kennis in de klinische praktijk verloopt
moeizaam en vraagt naast een andere manier van werken van de behandelaren ook een organisatiestructuur die hierin faciliterend werkt. Conclusie: Evidence-based traumadiagnostiek
en behandeling is voorhanden. Implementatie
van deze kennis in de klinische praktijk
is belangrijk en vraagt een andere expertise. Weten is nog niet kunnen toepassen.
Background: More than 50% of the
children makes one or more major
events count for the 18th year, approximately
20% develop trauma related psychopathology
and 45% of cases there is a connection
between experiencing a traumatic event and the start of a child and adolescent psychiatric diagnosis. Knowledge about trauma assessment
and treatment is not only reserved
to specialized centers. Implementation
this knowledge is important and is certainly not
without a struggle. Purpose: To give an update on trauma assessment and treatment. Also discuss implementation turmoil within
own institution and how to deal with.
Methods: Analysis of scientific
literature and consultation with various
guidelines, and case studies on implementation.
Results: In recent years there is increasing
research into diagnostics and
psychotrauma treatment in children and
adolescents. This involves developing
of screening and diagnostic tools
and research into effects of treatment.
Trauma-focused cognitive behavioral therapy and eye Movement Desensitisation and Reprocessing (EMDR) are effective forms of treatment. Implementation this knowledge in clinical practice runs difficult and requires a different way of working alongside the clinicians also an organizational structure facilitating this work. Conclusion: Evidence-based trauma assessment
and treatment is available. Implementation
this knowledge in clinical practice
is important and requires a different expertise. Knowing is not to apply.
Keywords: Adolescents Children Psychiatry Symposium Trauma
Accuracy Verified: Yes
281. Mevissen, L., & de Jongh, A. (2010). PTSD and its treatment in people with intellectual disabilities: A review of the literature. Clinical Psychological Review, 30(3), 308-316. doi:10.1016/j.cpr.2009.12.005.
Language: English
Format: Journal
Abstract:
Although there is evidence to suggest that people with intellectual disabilities (ID) are likely to suffer from Post-Traumatic Stress Disorder (PTSD), reviews of the evidence base, and the potential consequences of this contention are absent. The purpose of this article is to present a comprehensive account of the literature on prevalence, assessment, and treatment of PTSD in people with ID. Some support was found for the notion that people with ID have a predisposition to the development of PTSD. Differences in comparison with the general population may consist of the expression of symptoms, and the interpretation of distressing experiences, as the manifestation of possible PTSD seems to vary with the level of ID. Since reliable and valid instruments for assessing PTSD in this population are completely lacking, there are no prevalence data on PTSD among people with ID. Nine articles involve treatment of PTSD in people with ID. Interventions reported involve those aimed to establish environmental change, the use of medication and psychological treatments (i.e., cognitive behavioral therapy, EMDR and psychodynamic based treatments). Case reports suggest positive treatment effects for various treatment methods. Development of diagnostic instruments for assessment of PTSD symptomatology in this population is required, as it could facilitate further research on its prevalence and treatment. Copyright © 2010 Elsevier Ltd. All rights reserved.
Keywords: Assessment Intellectual disability (ID) Learning Disabilities Mental retardation (MR) Post-Traumatic Stress Disorder (PTSD) Prevalence Psychological trauma Trauma treatment
Accuracy Verified: Yes
282. McFarlane, A. (2010, June). PTSD as an information processing disorder. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Posttraumatic stress disorder is a challenging condition, as people become captured by their past experiences and have difficulty engaging with the present. At the core of this condition is the role of traumatic memories, which orientate the individual's awareness and reactivity to reminders of the instigating traumatic event. The role of traumatic events has not been fully understood and grappled with in the full range of psychopathological conditions. This has important implications for the application of EMDR as a treatment for disorders above and beyond posttraumatic stress disorder.
However, the problems with information processing in PTSD go above and beyond the fear circuitry and reactivity to traumatic memories. Individuals with PTSD also have major difficulties with their self-orientation, which is reflected in deficits in default networks, the idling systems of the brain. These changes are indicative of problems in self-registration and free-floating reflection. Dissociative symptoms may relate to these abnormalities of individuals resting states as they reflect a sense of disconnection and integration of internal states into consciousness.
Secondly, posttraumatic stress disorder is associated with major problems in dealing with neutral environmental information. This is reflected in the symptoms of difficulty with concentration and emotional numbing. The underlying neurobiology of the working memory abnormalities in posttraumatic stress disorder will be highlighted. These studies show that, in PTSD, relatively simple attentional tasks recruit neural networks normally reserved for more demanding and higher order tasks. When confronted with more demanding challenges, individuals with PTSD do not have any further capacity to allocate to processing complex environments.
Individuals with PTSD also demonstrate a problem with switching their attentional focus from an idling to active state. The data suggests that they continue to use visio-spatial networks more than language-based systems for dealing with verbal tasks. This observation is in keeping with a broad body of literature, which suggests that there are problems with the processing of verbal memory tasks in PTSD. EMDR, as a treatment, may have an advantage, as it is not so dependent on verbal representations of traumatic experiences as other treatment approaches.
Finally, an important development in the field is a better understanding of the patterns of abnormal cortical arousal that accompany the peripheral arousal abnormalities in PTSD. Quantitative EEG has given insights into the instability of the cortical neural networks. Neurotherapy represents a treatment that can further assist clinicians in the management of these patients. It is important to consider the underlying psychosomatic aspects of posttraumatic stress disorder and ensure that treatment addresses these components as well the traumatic memories. Treatment should be thought of as a staged process where the processing of traumatic memories is only one component of a disorder that impacts on a range of information processing domains.
Keywords: Information Processing Keynote Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
283. van der Gaag, M., van der Vleugel, B., van den Berg, D., de Bont, P., de Jongh, A., & van Minnen, A. (2011, August-September). A randomized multicentered trial of trauma focused treatment of psychotic patients with PTSD in the Netherlands; design and research questions. In Treating PTSD in patients with psychotic disorders. Symposium conducted at the 41st EABCT Annual Congress, Reykjavík, Iceland .
Language: English
Format: Conference
Abstract:
Objectives: The prevalence of postraumatic stress disorder
(PTSD) in severe mental illness varies from 10 to 60% is the
published literature. Probably between 10 to 20% of lifetime
psychotic patients, also meet the criteria for having a PTSD. There
is not much evidence for the efficacy and safeness of treatment in
patients with a lifetime psychotic disorder who also meet the
criteria for PTSD. Some pilot studies show promising results.
Method: A study is designed to investigate whether treatment of
PTSD is effective and safe in a group of people with a psychotic
disorder? A multi-site randomised clinical trial with 80 patients
Eye Movement Desensitisation and Reprocessing (EMDR) versus
80 patients Prolonged Exposure (PEx) versus 80 patients
Treatment as Usual/Waiting list (TAU) is now being performed to
answer these research questions. The outcome measures in this
study are: Primary: Posttraumatic stress disorder (diagnose and
severity) Secundary: psychosis, depression, adverse events.
Moderators en mediators of treatment success. Cost-effectiveness
will be assessed and expressed in Euro per gained Quality
Adjusted Life Years. If no effectivity can be demonstrated, a costminimalisation
calculation will be made.
Results: Therapist have been trained in EMDR and in PEx during
eight days. Therapies are closely supervised an monitored during
the study. Fidelity measures are collected from a rond sample of
sessions.
Conclusions and Discussion: Pilots have been promising in
showing effective treatment for PTSD without any adverse events
or worsening of the condition in psychotic patients with a chronic
course. If this study can demonstrate effectivesness and safety,
this can change the treatment for many patients with severe
mental illness and reduce suffering from symptoms of PTSD and
probably also the burden of psychotic symptoms can be reduced
in a subsample of the patients.
Keywords: Netherlands Posttraumatic Stress Disorder PTSD Psychotic Disorders Symposium
Accuracy Verified: Yes
284. Blore, D. C. (2009, March). The range and diversity of post traumatic growth following EMDR for involvement in a road traffic accident. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.
Language: English
Format: Conference
Abstract:
This paper is a further progress report (see Blore, Farrell & Clifford 2008; Blore
2007) on data analysis from N=12 interviews from an Interpretative
Phenomenological Analysis (IPA) study into Post Traumatic Growth (PTG) following
successful EMDR treatment. The second round of hermeneutic analysis identified eight
categories of PTG outcomes. Five of the categories: New Directions in Life; Enhancement of
Social Development; Enhancement of Personal Development; Appreciation of Life and
Spiritual & Philosophical Development, are consistent with the five factor analysis categories
of the Post Traumatic Growth Inventory (PTGI)(Tedeschi & Calhoun 1996). The remaining
three categories are: Development of ‘Success Heuristic’; Expression of Positive Emotions;
and Growth Aspirations which can be seen as yet-to-be-attained PTG. One implication of
these categories is that positive outcomes of EMDR are consistently being under-reported in
the scientific literature simply because evidence-based practice is focussed solely on
reducing negative symptomatology.
Keywords: Diversity Motor Vehicle Accident Symposium
Accuracy Verified: Yes
285. Vickerman, K. A., & Margolin, G. (2009, July). Rape treatment outcome research: Empirical findings and state of the literature. Clinical Psychology Review, 29(5), 431-448. doi:10.1016/j.cpr.2009.04.004.
Language: English
Format: Journal
Abstract:
This article reviews empirical support for treatments targeting women sexually assaulted during adolescence or adulthood. 32 articles were located using data from 20 separate samples. Of the 20 samples, 12 targeted victims with chronic symptoms, 3 focused on the acute period post-assault, 2 included women with chronic and acute symptoms, and 3 were secondary prevention programs. The majority of studies focus on PTSD, depression, and/or anxiety as treatment targets. Cognitive Processing Therapy and Prolonged Exposure have garnered the most support with this population. Stress Inoculation Training and Eye Movement Desensitization and Reprocessing also show some efficacy. Of the 4 studies that compared active treatments, few differences were found. Overall, cognitive behavioral interventions lead to better PTSD outcomes than supportive counseling does. However, even in the strongest treatments more than one-third of women retain a PTSD diagnosis at post-treatment or drop out of treatment. Discussion highlights the paucity of research in this area, methodological limitations of examined studies, generalizability of findings, and important directions for future research at various stages of trauma recovery. [Author Abstract]
Keywords: Adults Cognitive Therapy Drug Therapy Epidemiology Exposure Therapy Females Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Rape Survivors Treatment Treatment Effectiveness
Accuracy Verified: Yes
286. Steketee, G., & Goldstein, A. J. (1994, Summer). Reflections on Shapiro’s reflections: Testing EMDR within a theoretical context. the Behavior Therapist, 17(7), 156-157.
Language: English
Format: Newsletter
Abstract:
As Shapiro points out, controversy
has surrounded Eye
Movement Desensitization and
Reprocessing (EMDR) since it was first
described. Although some of this controversy
pertains to training methods
and clinical issues (see the Behavior
Therapist, 1992), most of it focuses on
insufficient empirical study. Regardless
of whether EMDR represents a
paradigm shift as Shapiro suggests, its
clinical utility depends on empirical
demonstration of clinical efficacy and
mechanisms of action. We summarize
the available literature here to balance
Shapiro's views. In accord with Shapiro's
view that EMDR targets the
blocking effects of trauma in any context
on normal information processing,
we agree that EMDR needs to be
tested not only with posttraumatic
stress disorder (PTSD), but also with
other disorders whose etiology may be
traumatic.
Keywords: Research
Accuracy Verified: Yes
287. Caroppo, E., Muscelli, C., Brogna, P., Paci, M., Camerino, C., & Bria, P. (2009). Relating with migrants: ethnopsychiatry and psychotherapy]. Annali dell'Istituto Superiore di Sanita, 45(3), 331-340.
Language: English
Format: Magazine
Abstract:
Dopo avere dato dei cenni
storici di antropologia culturale, psichiatria transculturale ed etnopsichiatria si passa ad esaminare
la letteratura che descrive gli interventi nel campo della salute mentale effettuati con i migranti.
Nella prima parte si prendono in considerazione dei suggerimenti tecnici quando si ha a che fare
con pazienti arabi musulmani e si analizzano questioni come differenza genere, individualismo/collettività,
stigma, religione. Nella seconda parte si descrivono altre questioni: mediazione culturale,
migrazione e intervento rispetto alla famiglia, Disturbo Post Traumatico da Stress per finire ad analizzare
il caso in cui ad essere straniero è il terapeuta. Nella conclusione si riflette sull’importanza di
tenere in considerazione, oltre alla variabile cultura, anche la peculiarità di ogni singolo paziente e
l’universalità della sofferenza umana.
After an historical review of cultural anthropology, transcultural psychiatry and ethno
psychiatry, we will examine the literature on intervention with migrants within mental health system.
In the first part, we will consider the therapeutic relationship with Arab-Muslim patients and look at
specific issues such as gender differences, individualism, sociality, stigma, religion. The second part
will be focused on cultural mediation, migration and family intervention and post-traumatic stress
disorder and, finally, the experience of being a foreign therapist. Conclusions will discuss the importance
of culture, individuality and universality of human suffering, when treating a foreign patient.
Keywords: Cultural Competence Ethnopsychiatry Ethnopsychology Health and Culture Migration Psychotherapy
Accuracy Verified: Yes
288. Maxfield, L., & Hyer, L. (2002, January). The relationship between efficacy and methodology in studies investigating EMDR treatment of PTSD. Journal of Clinical Psychology, 58(1), 23-41. doi:10.1002/jclp.1127.
Language: English
Format: Journal
Abstract:
The controlled treatment outcome studies that examined the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) in the treatment of PTSD have yielded a range of results, with the efficacy of EMDR varying across studies. The current study sought to determine if differences in outcome were related to methodological differences. The research was reviewed to identify methodological strengths, weaknesses, and empirical findings. The relationships between effect size and methodology ratings were examined, using the Gold Standard (GS) Scale (adapted from Foa and Meadows). Results indicated a significant relationship between scores on the GS Scale and effect size, with more rigorous studies according to the GS Scale reporting larger effect sizes. There was also a significant correlation between effect size and treatment fidelity. Additional methodological components not detected by the GS Scale were identified, and suggestions were made for a Revised GS Scale. We conclude by noting that methodological rigor removes noise and thereby decreases error measurement, allowing for the more accurate detection of true treatment effects in EMDR studies (Pilots).
Keywords: Literature Review Meta Analysis Methodology Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
289. Carrigan, M., & Cahill, S. (1995, December). The relevance of the anxiety literature to research on eye movement desensitization. Journal of Behavior Therapy and Experimental Psychiatry, 26(4), 365-366. doi:10.1016/0005-7916(95)00045-3.
Language: English
Format: Journal
Abstract:
The purpose of this letter is to draw attention to anxiety literature that we believe is relevant to research in eye movement desensitization and reprocessing therapy but has not been adequately integrated as of yet.
Keywords: Exposure Therapy Letter Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
290. Lee, C. (2008, February). A reply to the Institute of Medicine report commissioned by the Department of Veterans Affairs to assess the scientific evidence on treatment modalities for posttraumatic stress disorder (PTSD). EMDR International Association, Austin, Texas.
Language: English
Format: Other
Abstract:
EMDRIA has submitted comments critical of the Institute of Medicine (IOM) report commissioned by the Department of Veterans Affairs to assess the scientific evidence on treatment modalities for PTSD. The 2007 report concluded that “the evidence is inadequate to determine the efficacy of EMDR in the treatment of PTSD.” The response, authored by Dr. Christopher Lee, Research Chair, and reviewed by the Research Committee, details serious omissions and misinterpretations of the scientific literature that would have effected the conclusions about EMDR in the report. Dr. Lee also prepared a PowerPoint presentation for EMDRIA members to use.
Keywords: Efficacy Letter Reply
Accuracy Verified: Yes
291. McNally, R. J. (1999, Winter). Research on eye movement desensitization and reprocessing (EMDR) as a treatment for PTSD. PTSD Research Quarterly, 10(1), 1-3.
Language: English
Format: Newsletter
Abstract:
This article reviews literature on the use of Eye Movement Desensitization and Reprocessing (EMDR) as a Treatment for posttraumatic stress disorder (PTSD). The review looks at some of the historical data as well as clinical. Please see the full text PDF for more.
Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
292. Leeds, A. M. (2009). Resources in EMDR and other trauma-focused psychotherapy: A review. Journal of EMDR Practice and Research, 3(3), 152-160. doi:10.1891/1933-3196.3.3.152.
Language: English
Format: Journal
Abstract:
The present review examines how resources have been used in trauma-focused psychotherapy with an emphasis on their use in eye movement desensitization and reprocessing (EMDR). Current practices of EMDR-trained clinicians are presented in a historical context and considering a range of contemporary approaches to ego strengthening. This article describes the use of resources as presented in the EMDR literature along with research findings. The review concludes with a call for controlled research on widely used resource-focused procedures and practice guidelines for their use in clinical applications of EMDR.
Keywords: Ego Strengthening RDI Resources Resource Development and Installation Review
Accuracy Verified: Yes
293. MacCluskie, K. (1998, April). A review of eye movement desensitization and reprocessing (EMDR): Research findings and implications for counselors. Canadian Journal of Counseling, 32(2), 116-137.
Language: English
Format: Journal
Abstract:
The last 6 years have seen the emergence of a new therapeutic technique, most often used to treat symptoms of PTSD, called Eye Movement Desensitization and Reprocessing (EMDR). A number of uncontrolled case studies followed the initial studies of EMDR alleging remarkable successes in the treatment of PTSD. More recently, controlled studies examining the efficacy of this strategy have appeared, most often in the behavioural literature. Considerable variability exists in the findings of the controlled studies, making definitive conclusions difficult to achieve. This article examines the strengths and weaknesses of the published studies, illuminates the nature of the debate about efficacy of EMDR, and reviews implications for practicing counsellors and counsellor trainees. [Author Abstract]
Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
294. Figley, C., Dietrich, A., Maxfield, L., & Gentry, J. E. (1999, November). Review of neoteric trauma treatments and suggested practice guidelines. In C. Figley (Chair) Discussion, Clinical Theory. International Society for Traumatic Stress Studies, Miami, FL.
Language: English
Format: Conference
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR),
Thought Field Therapy (TFT), Time-Limited Trauma Therapy (TLTT),
Traumatic Incident Reduction (TIR), and Visual/Kinesthetic
Dissociation (V/KD) are relatively new approaches in the treatment
of trauma-related disorders. These approaches have come
under intense scientific and professional scrutiny and criticism,
with proponents and critics offering diverse and intriguing arguments
in support of their respective points of view. This discussion
will focus on the current empirical and anecdotal evidence on
the efficacy of these five approaches, as well as various criticisms
that have been proferred in response to the empirical and clinical
literature on treatment efficacy and theory. EMDR will be highlighted,
given the growing empirical database on EMDR outcome
studies and the contention surrounding the treatment and its’ theory.
The evidence for and/or against the other four approaches will
also be presented, upon which we will raise for discussion issues
relating to methodological rigour, scientific reporting of clinical
data, and the interpretation of efficacy studies in general. The discussion
will occur within the context of philosophical discourse on
the ideal of integration of science and practice, and the feasibility
of attaining this ideal within the current scientific Zeitgeist.
INTERVENTION RESEARCH, CLINICAL CASE STUDY
Sandringham
Skills-Based Treatment
of Dissociation: A Case Study 238
Chair: ELHAI, Jon D., Nova Southeastern University
Discussant: GOLD, Stephen
A clinical case study of skills-based treatment of a 48-year-old,
female survivor of child sexual abuse (CSA) reporting severe dissociative
symptomatology is presented. Chief complaints were daily
amnestic episodes, depersonalization, panic attacks, agoraphobia,
and consequent long-term unemployment. In contrast to most
approaches to therapy for dissociative syndromes, it is argued that
treatment does not need to be primarily trauma-focused. Instead
treatment focused on targeting dissociation and anxiety by teaching
skills to be implemented by the client outside of session.
Functional behavioral analysis of particular recent incidents of dissociation
were conducted over several sessions. Imagery-based
relaxation and progressive muscle relaxation were used and monitored
to help the client learn additional methods of reducing distress.
Grounding techniques were implemented to counter the dissociative
tendency to lose experiential awareness of the here and
now. Cognitive interventions were utilized to challenge the erroneous
notions reported about dissociative experiences, such as the
panic she experienced when her dissociation had been revealed to
others. Last, in vivo systematic desensitization was used with a fear
hierarchy, ranging from the least to most fearful stimuli that precipitate
dissociation, where graduated exposure was followed by relaxation.
At termination the client reported elimination of panic
attacks, resumption of driving, and marked reduction in frequency
and duration of amnestic periods, with substantial additional gains
and progress in finding full-time employment reported at 8 month
follow-up. Treatment outcome is assessed based on psychological
test data obtained at intake, discharge, and 8 month follow-up, as
well as client anecdotal report.
Keywords: Neoteric Trauma Treatments Practice Guidelines
Accuracy Verified: Yes
295. Acierno, R. E., Hersen, M., van Hesselt, V. B., Tremont, G., & Meuser, K. T. (1994). Review of the validation and dissemination of eye-movement desensitization and reprocessing: A scientific and ethical dilemma. Clinical Psychology Review, 14(4), 287-299. doi:10.1016/0272-7358(94)90026-4.
Language: English
Format: Journal
Abstract:
Eye-Movement Desensitization and Reprocessing (EMDR), a technique that combines imaginal exposure with eye movement, recently has been proposed by its originator, F. Shapiro, as a prescriptive treatment for trauma-related anxiety. To date, several uncontrolled case studies have found EMDR to be effective. However, none employed objective or standardized dependent measures of therapeutic improvement and all combined EMDR with other interventions. In contrast to results obtained from case studies, controlled experiments utilizing objective and standardized dependent measures have failed to support the efficacy of the technique beyond that of its imaginal exposure component. Unfortunately, these experiments employed small samples with a limited range of disorders, indicating the need for further evaluation. However, unbiased replication is impeded by Shapiro's practice of prohibiting individuals not associated with her EMDR Institute from training others in the technique. We articulate our concern that despite its lack of empirical validation clinical application of the technique by behavior therapists is rapidly increasing. [Author Abstract]
Keywords: Commentary Literature Review Treatment Effectiveness
Accuracy Verified: Yes
296. Wernik, U. (1993). The role of the traumatic component in the etiology of sexual dysfunctions and its treatment with eye movement desensitization procedure. Journal of Sex Education and Therapy, 19(3), 212-222.
Language: English
Format: Journal
Abstract:
This is the first field report of the application of the Eye Movement Desensitization (EMD) procedure to the treatment of sexual dysfunctions. EMD and its application are described using case illustrations.When a careful examination of clients is made, it is often discovered that the very inception of the dysfunction becomes traumatic. In the relevant sex therapy literature, the role of trauma in the etiology of sexual dysfunctions is largely underestimated. Clinical experience suggests that EMD is an effective economic and safe technique, which combines easily with other sex therapy measures. It is an option to be considered when other techniques fail, and is especially suitable for clients without partners. The assessment as to whether or not to use EMD is, in and of itself, therapeutically beneficial. [Author Abstract]
Keywords: Adults Etiology Israelis Males Posttraumtatic Stress Disorder PTSD Sexual Dysfunctions Treatment Effectiveness
Accuracy Verified: Yes
297. Wernick, U. (1993). The role of the traumatic component in the etiology of sexual dysfunctions and its treatment with eye movement desensitization procedure. Journal of Sex Education and Therapy, 19(3), 212-222.
Language: English
Format: Journal
Abstract:
This is the 1st field report of the application of the Eye Movement Desensitization (EMD) procedure to the treatment of sexual dysfunctions. EMD and its application are described using 2 case illustrations. When a careful examination of clients is made, it is often discovered that the very inception of the dysfunction becomes traumatic. In the relevant sex therapy literature, the role of trauma in the etiology of sexual dysfunctions is largely underestimated. Clinical experience suggests that EMD is an effective, economic, and safe technique, which combines easily with other sex therapy measures. It is an option to be considered when other techniques fail, and is especially suitable for clients without partners. The assessment as to whether or not to use EMD is, in and of itself, therapeutically beneficial. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Keywords: Sexual Dysfunctions
Accuracy Verified: Yes
298. Lilienfeld, S. O., & Landfield, K. (2008, October). Science and pseudoscience in law enforcement: A user-friendly primer. Criminal Justice and Behavior, 35(10), 1215-1230. doi:10.1177/0093854808321526.
Language: English
Format: Journal
Abstract:
Pseudoscience and questionable science are largely neglected problems in police and other law enforcement work. In this
primer, the authors delineate the key differences between science and pseudoscience, presenting 10 probabilistic indicators
or warning signs, such as lack of falsifiability, absence of safeguards against confirmation bias, and lack of self-correction,
that can help consumers of the police literature to distinguish scientific from pseudoscientific claims. Each of these warning
signs is illustrated with an example from law enforcement. By attending to the differences between scientific and
pseudoscientific assertions, police officers and other law enforcement officials can minimize their risk of errors and make
better real-world decisions.
Keywords: Confirmation Bias Falsifiability Law Enforcement Peer Review Police Pseudoscience
Accuracy Verified: Yes
299. Tavanti, M., Bossini, L., Calossi, S., Lombardelli, A., Polizzotto, N., Vatti, G., Galli, R., Pieraccini F., & Castrogiovanni, P. (2008, Febbraio). Sertralina vs EMDR: Effetti sul volume ippocampale [Sertraline vs. EMDR: Effects on hippocampal volume]. Poster presentato al XII Congresso SOPSI (Società Italiana di Psicopatologia), Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Molti dati sperimentali hanno mostrato che la terapia farmacologica
con SSRI può incrementare il volume dell’ippocampo,
invece il solo studio che ha investigato gli effetti di un tipo
di psicoterapia (TEB, Terapia Eclettica Breve) non ha evidenziato
alcuna efficacia sul volume ippocampale 1. Scopo
del nostro studio è valutare gli effetti del trattamento con EMDR
(Eye Movement Desensitization and Reprocessing) sul
volume ippocampale, sui sintomi e sulle performances mnesiche
di pazienti con Disturbo Post-Traumatico da Stress
(DPTS). La EMDR è una terapia la cui efficacia nel DPTS è
stata dimostrata in numerosi studi sperimentali.
Sono stati selezionati 12 soggetti drug-free con diagnosi di
DPTS alla SCID-P, senza comorbidità psichiatrica.
Ogni soggetto reclutato è stato sottoposto alla prima visita
(Tempo 0, Drug-Free) ad una indagine psicometrica (tramite
DTS), ad una indagine neuropsicologica (tramite una batteria
di test) e alla misurazione dei volumi cerebrali tramite
Risonanza Magnetica.
Successivamente, i 12 soggetti sono stati attribuiti in maniera
random a due diversi protocolli terapeutici. Sei soggetti
hanno effettuato 12 sedute di EMDR della durata di 1,5
ore, mentre sei soggetti sono stati trattati con 100 mg di sertralina.
Dopo il trattamento (Tempo 1, Post-Terapia) i soggetti sono
stati nuovamente sottoposti alle indagini effettuate al Tempo
0.
La seconda valutazione al Tempo 1 è stata effettuata dopo
tre mesi nei soggetti trattati con EMDR e dopo 6 mesi nei
soggetti trattati con la sertralina, in base ai tempi medi necessari
per la remissione cilinica del DPTS riportati in letteratura
per i due presidi terapeutici.
In questo studio verranno presentati i dati relativi alle differenze
volumetriche, ai miglioramenti clinici e alla performance
mnesica nei due gruppi di soggetti (soggetti sottoposti
ad EMDR e soggetti trattati con sertralina) e un dettagliato
confronto dei risultati ottenuti.
Many experimental data have shown that drug therapy
with SSRIs may increase the volume of the hippocampus,
Instead the only study that has investigated the effects of a type
psychotherapy (TEB, Brief Therapy Eclectic) showed no
no effect on hippocampal volume 1. Purpose
of our study was to evaluate the effects of treatment with EMDR
(Eye movement desensitization and reprocessing) on
hippocampal volume, symptoms and performance mnesic
of patients with Post-Traumatic Stress Disorder
(PTSD). The EMDR is a therapy whose efficacy in PTSD is
been demonstrated in numerous experimental studies.
Were selected 12 subjects with a diagnosis of drug-free
PTSD in the SCID-P, without psychiatric comorbidity.
Each recruited subject was submitted to the first visit
(Time 0, Drug-Free) at a psychometric investigation (by
DTS), a neuropsychological investigation (using a battery
test) and measurement of brain volume through
Magnetic Resonance Imaging.
Subsequently, 12 subjects have been allocated
random to two different treatment protocols. Six subjects
have carried out 12 sessions of EMDR duration of 1.5
hours, while six patients were treated with 100 mg of sertraline.
After treatment (Time 1, Post-Therapy) subjects are
were again subjected to the investigations made at the time
0.
The second evaluation at Time 1 was made after
three months in subjects treated with EMDR and after 6 months in
subjects treated with sertraline, based on the average time needed
cylinder for the remission of PTSD reported in the literature
for the two therapeutic aids.
In this study will be presented data on differences
displacement, the clinical improvements and performance
mnesic in the two groups of subjects (subjects
EMDR for patients treated with sertraline) and a detailed
comparison of results.
Listen
Read phonetically
Dictionary - View detailed dictionaryGoogle Translate for my:SearchesVideosEmailPhoneChatBusinessAbout Google TranslateTurn off instant translationPrivacyHelp
©2010Business ToolsTranslator ToolkitAbout Google TranslateBlogPrivacyHelp►
Keywords: Hippocampal Volume Poster Sertraline
Accuracy Verified: Yes
300. Astbury, J. (2006, December). Services for victim/ survivors of sexual assault - Identifying needs, interventions and provision of services in Australia. Issues, Australian Centre for the Study of Sexual Assault, 6, 1-26.
Language: English
Format: Publication
Abstract:
Firstly, the perceived needs of
victim/survivors are identified. Secondly, literature
on the existing interventions that are perceived to
address these needs, and data on their effectiveness
are reviewed. Currently, most of these interventions
are therapeutic or counselling interventions. Finally,
data on the services that currently provide these
interventions, with patterns of service usage, barriers
to using these services, and the characteristics of these
services that victim/survivors find particularly valuable
are identified. The paper will end by making some
recommendations for primary health care providers
working with victim/survivors of sexual assault.
The paper employs a gendered, health and human
rights perspective and an ‘ecological framework’
to inform the overall aim of investigating current
intervention programs for victim/survivors of sexual
assault. A multilevel ecological perspective informed
This paper begins to address this gap by providing a summary of the international
and national literature that exists on sexual assault services. The paper focuses by a gender and human rights perspective is considered
the most appropriate model for understanding
interpersonal violence including sexual violence
(Krug, Dahlberg, Mercy, Zwi, & Lozano, 2002). The
ecological framework recognises the multifaceted
nature of sexual violence and encourages exploration
of the relationship between individual and contextual
factors. Sexual violence is seen as the product of
multiple levels of influence on behaviour from the
level of the individual, to relationships, community
and society.
Keywords: Violence
Accuracy Verified: Yes
301. Leserman, J. (2005). Sexual abuse history: Prevalence, health effects, mediators, and psychological treatment. Psychosomatic Medicine, 67(6), 906-915. doi:10.1097/01.psy.0000188405.54425.20.
Language: English
Format: Journal
Abstract:
Objective: Lifetime history of sexual abuse is estimated to range between 15% and 25% in the general female population. People
who are sexually abused are at greater risk for a whole host of physical health disorders that may occur many years after the abusive
incident(s). Despite the high prevalence of this trauma and its association with poor health status, abuse history often remains hidden
within the context of medical care. The aims of this review are to determine which specific health disorders have been associated
with sexual abuse in both women and men, to outline the types of sexual abuse associated with the worst health outcome, to discuss
some possible explanations and mediators of the abuse/health relationship, to discuss when and how to talk about abuse within a
clinical setting, and to present evidence for which psychological treatments have been shown to improve the mental health of
patients with past sexual abuse. Method: To meet these objectives, we have reviewed a wide literature on the topic of sexual abuse.
Results: We demonstrate that abuse appears to be related to greater likelihood of headache and gastrointestinal, gynecologic, and
panic-related symptoms; that the poor health effects associated with abuse are also seen in men; that abuse involving penetration
and multiple incidents appears to be the most harmful, and that exposure-type therapies with and without cognitive behavioral
therapy hold promise for those with abuse history. Conclusion: We need more research examining psychological treatments that
might be efficacious in treating the physical health problems associated with sexual abuse history.
Keywords: HMO Health Maintenance Organization HPA Hypothalamic-Pituitaryadrenocortical Review Posttraumatic Stress DIsorder PTSD Sexual Abuse Trauma
Accuracy Verified: Yes
302. Shapiro, F. (1994, Summer). Shapiro’s response [to Steketee and Goldstein]. the Behavior Therapist, 17(7), 157-158.
Language: English
Format: Newsletter
Abstract:
Steketee's and Goldstein's
thoughtful comments concentrate
on the need for empirical
study of EMDR and I could not agree
more. Treatment outcome research is
notoriously scarce and traditionally
lags far behind clinical practice. For instance,
13 years after PTSD was officially
classified in the 1980 DSM-111,
only six controlled clinical treatment
studies were cited in the published literature
(Solomon, 1992) and four of these were limited to male Vietnam
combat veterans.
Keywords: Letter
Accuracy Verified: Yes
303. de Roos, C., & de Jongh, A. (2006). Slikken of stikken - EMDR bij kinderen en jongeren met een slikfobie [Do or die - EMDR in children and adolescents with a mud phobia]. Kinder- & Jeugdpsychotherapie, 33(3), 83-102.
Language: Dutch
Format: Journal
Abstract:
In de kindertijd zijn ontwikkelingsgerelateerde angsten normaal. Wanneer een
angst echter aanhoudt en uitgelokt wordt door de aanwezigheid van of
anticipatie op een bepaald voorwerp of een specifieke situatie spreekt men van
een specifieke fobie (American Psychiatric Association, 2003). De in de
literatuur gerapporteerde prevalentiepercentages lopen nogal uiteen en variëren
van 1,7 tot 16 procent, maar de meeste studies komen uit op een percentage
tussen de 7 en 9 procent (Silverman & Moreno, 2005).
In childhood development-related fears are normal. When a
But fear persists and is triggered by the presence or
anticipation of a certain object or a particular situation is called
a specific phobia (American Psychiatric Association, 2003). In the
literature reported prevalence rates vary considerably, ranging
from 1.7 to 16 percent, but most studies come up with a percentage
between 7 and 9 percent (Silverman & Moreno, 2005).
Keywords: Adolescents Children Mud Phobia
Accuracy Verified: Yes
304. Dworkin, M. (2009, August). Solving transference and countertransference with dissociative disorders in EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This workshop will focus on transference and countertransference problems and solutions in EMDR with dissociative clients. There will be a short literature review on procedural modifications in dealing with dissociation in EMDR, and transference and countertransference with dissociative patients. Research findings on mirror neurons and embodied simulation will be taught to enhance the participant’s understanding of the neurobiological substrates for attunement and resonance, and for solving transference and countertransference with dissociatives in EMDR when ruptures to relatedness occurs. Identifying and using transference reactions to enhance dual awareness will be demonstrated in history taking. Enhancements in preparation phase will be shown through case example to limit induced transference. Transference and countertransference during the assessment phase will be identified and solutions offered. In the Desensitization phase EMDR processing may induce transference, countertransference, or both (even with procedural modifications). Intersubjective challenges seem to be more intense during phases 1 -4 and 7-8. Activated parts in the patient may cling or be angry with the therapist at the end of an EMDR session, or during Re-evaluation. Failure or defectiveness parts of the therapist may become activated then as well. Different parts of a dissociative patient may appear with different kinds of transferences during different EMDR phases. These transferences challenge therapist’s abilities to stay attuned. Strategies of attunement to the activated part of the patient will be demonstrated in order to repair or prevent ruptures to the alliance and to understand the nature of the dissociated communication. Bi-directional interactions may activate parts of the patient and therapist without conscious awareness. Strategies to somatically identify and use these countertransferential activations will be taught through experiential exercises so that the therapist may have a more in depth understanding of the dissociative patient’s communications. R/D/I strategies will be reviewed and applied to the therapist to limit countertransference activations. Dealing with dissociative enactments are crucial to identify ruptures to the therapeutic alliance, restore attunement and resonance, uncover dissociative messages that can be used during EMDR processing.. Solutions to the problems that occur during different EMDR phases will be taught using lecture, discussion, case examples, written and experiential exercises so that participants will leave the workshop with additional strategies. Solutions include how to maintain attunement to dissociative parts during transferential activations while enhancing dual awareness; how to identify transference and countertransference problems during phases 1-4 and 7-8 and use them as additional sources of dissociated communications that can be used in EMDR processing ; how to use the Clinician Self Awareness Questionnaire to identify and process countertransference problems ; how to use compartmentalization strategies using R/D/I to limit countertransference activations; how to develop self soothing skills for the therapist’s dissociated parts; how and when to use Relational, Empathic, and Transferential Interweaves during Desensitization; and how to identify moments of enactments, and using EMDR strategies to deepen the EMDR experience .
Keywords: Countertransference Transference
Accuracy Verified: Yes
305. Maxfield, L., Lake, K., & Hyer, L. A. (2004). Some answers to unanswered questions about the empirical support for EMDR in the treatment of PTSD. Traumatology, 10(2), 73-89. doi:10.1177/153476560401000202.
Language: English
Format: Journal
Abstract:
A recent review [by Rubin] summarized research studies investigating EMDR treatment of PTSD. Rubin identified populations in which there has been insufficient research to determine what treatments, if any, are effective, and he articulated questions about EMDR's efficacy with these groups. He also addressed the problem of potential reviewer bias. Unfortunately his own review of the literature contained numerous errors and failed to consider the context of the larger research field. The purpose of the current article is to provide a more balanced perspective and to clarify confusion that may have been raised by Rubin's article. We provide some answers to the unanswered questions about the efficacy of EMDR treatment for PTSD with child, multiply traumatized civilian, and combat-veteran populations. We also address the methodological questions raised by Rubin (Pilots).
Keywords: Methodology Populations Posttraumatic Stress Disorder Professional Criticism PTSD Research Treatment Effectiveness
Accuracy Verified: Yes
306. Blore, D. C. (2006, October). Some Marxist reflections on a decadent capitalist ‘battle’: The CBT/EMDR War. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net 12/27/2008.
Language: English
Format: Other
Abstract:
This paper comes with a health warning. The intention of this paper is twofold: firstly to highlight the absurdity of two psychological treatments attacking each other, Eye Movement Desensitisation & Reprocessing (EMDR) and Cognitive Behaviour Therapy (CBT), both of whom are recommended by the National Institute for Clinical Excellence (NICE) in the treatment of Post Traumatic Stress Disorder (PTSD), and secondly to question the use of the medium of scientific literature as a forum for a territorial rather than academic debate. Rather than fall into the ‘trap’ that other authors have done and support either or even give any credence to a blow-by-blow account from the ‘inside’ of the battle, the author has written from a ‘non-aligned’ Marxist standpoint and provided a possible solution. [Author's Abstract]
Дзвид Блор(aka Blore, David)
Keywords: CBT Cognitive Behaviorial Therapy
Accuracy Verified: Yes
307. Arnold, L. (1995). Some nontraditional (unconventional and/or innovative) psychosocial treatment for children and adolescents: Critique and proposed screening principles. Journal of Abnormal Child Psychology, 23(1), 125-140. doi:10.1007/BF01447048 .
Language: English
Format: Journal
Abstract:
Five examples of nontraditional psychosocial treatments used for children/adolescents are reviewed: eye movement desensitization and reprocessing, electroencephalographic (EEG) biofeedback, deep pressure/touch therapies, stress-challenge treatments, and confrontational scare treatments. The generic recommendations from the September 1992 National Institutes of Health Conference on Unconventional Medical Treatments are summarized. Additional screening principles specific for psychosocial treatments are proposed and applied to the five treatments. The screens do not validate treatment efficacy or evaluate the quality of any previous research, but only facilitate decisions as to whether treatments deserve controlled investigation. Scientific evaluation of the nontraditional treatments reviewed could in general benefit from blinds (at least for assessment); control conditions matched for intensity, frequency, and duration (double blind where feasible); dose-response studies; testing of generalization and endurance supplements or boosters for quick, cheap treatments with time- or domain-limited effects; and comparing cost-effectiveness with established treatments. Two unscientific pitfalls must be avoided: embracing new treatments uncritically and rejecting them without fair examination. These pitfalls must be skirted without dissipating scarce research resources. [Author Abstract]
Keywords: Adolescents Adventure Therapy Aversion Therapy Biofeedback Training Body Psychotherapy Children Literature Review Research Needs Treatment Effectiveness
Accuracy Verified: Yes
308. Lohr, J., DeMaio, C., & McGlynn, F. (2003, July). Specific and nonspecific treatment factors in the experimental analysis of behavioral treatment efficacy. Behavior Modification, 27(3), 322-368. doi:10.1177/0145445503027003005.
Language: English
Format: Journal
Abstract:
Interest in the empirical demonstration of the clinical efficacy of psychosocial treatments has been rekindled by societal concerns over accountability and cost-effectiveness in the delivery of mental health services. Behavior therapy has had a long history of experimental research on treatment efficacy and enjoys a visible presence in contemporary mental health practice. The demonstration of behavioral treatment efficacy, however, requires experimental evidence that shows the efficacy of prescriptive structured procedures beyond nonspecific factors in delivery of such procedures. The authors provide an analysis of the nature of nonspecific treatment factors and nonspecific effects and suggest experimental procedures testing the incremental validity of specific treatments. They examine two widely promoted, prescriptive structured treatments to analyze the specificity of their clinical efficacy: eye movement desensitization and reprocessing for anxiety disorders and cognitive-behavioral treatment of generalized anxiety disorder. They conclude that the treatments show different levels of efficacy and different degrees of specificity.
Keywords: Behavior Therapy Efficacy Literature Review Methodology Specific Factors Treatment Effectiveness
Accuracy Verified: Yes
309. Foreningen EMDR Sverige. (2009). Synpunkter akutstressyndrom och PTSD [EMDR Sweden Association comments acute stress syndrome and PTSD]. In Foreningen EMDR Sverige, Inkomna synpunkter, Nationella riktlinjer för depressionssjukdom och ångestsyndrom preliminär, (pp. 163-164). Denmark: Riksforeningen Psykoterapi Centrum.
Language: Swedish
Format: Newsletter
Abstract:
Föreningen EMDR Sverige vill lämna följande kommentarer till
utkastet till riktlinjer avseende behandling av akut stressyndrom
och posttraumatiskt stressyndrom.
International Society for Traumatic Stress studies gör regelbundet sammanställningar
av evidensläget [1]. Det är viktigt att beakta att psykologiska
behandlingsformer i form av traumafokuserad KBT och EMDR är de viktigaste
och mest effektiva behandlingar. EMDR har varit kontroversiell men
är det inte längre, utan är en internationellt accepterad behandlingsmetod för
PTSD. Det är fortfarande inte allmänt accepterad att ögonrörelser har betydelse,
men nyligen har svensk och australisk forskning visat att ögonrörelser
under EMDR har tydliga fysiologiska effekter som är meningsfulla [2, 9],
dessutom har alla studier av fysiologi vid EMDR hittills samstämmande
visat dessa effekter, enligt en litteratursammanställning [3].
Under senaste åren har forskning om minnesfunktion och sakkadiska
ögonrörelser visat att minnessystem som till exempel episodminne (som ofta
är störd vid PTSD) påverkas på ett gynnsamt sätt av ögonrörelser [4-8]. Således
finns det i dag mycket som stödjer att ögonrörelser är meningsfulla
även om det kan vara svårt att förstå vid första anblicken. EMDR och exponeringsbehandling
är lika effektiva enligt metastudier, bland annat Cochrane
och i ISTSS aktuella genomgång av effektiva behandlingsmetoder för
PTSD.
Referenser
1. Foa E, Keane TM, Friedman MJ & Cohen JA. 2009. Effective
Treatments for PTSD Practice Guidelines from the International Society
fro Traumatic Stress Studies. Guilford,New York.
2. Elofsson, U.O., et al., Physiological correlates of eye movement desensitization
and reprocessing. Journal of anxiety disorders, 2008.
22(4): p. 622-34.
3. Söndergaard, E., Psychophysiological studies of EMDR. Journal of
EMDR Practice and Research, 2008. 2(4): p. 282-288.
4. Stickgold, R., EMDR: A putative neurobiological mechanism of action.
Journal of Clinical Psychology, 2002. 58(1): p. 61-75.
5. Parker, A. and N. Dagnall, Effects of bilateral eye movements on
gist based false recognition in the DRM paradigm. Brain and cognition,
2007. 63(3): p. 221-5.
6. Parker, A., S. Relph, and N. Dagnall, Effects of bilateral eye movements
on the retrieval of item, associative, and contextual information.
Neuropsychology, 2008. 22(1): p. 136-45.
EMDR Association of Sweden makes the following comments to
Draft Guidelines for the treatment of acute stress disorder
and post-traumatic stress disorder.
International Society for Traumatic Stress Studies makes regular summaries
of evidence-mode [1]. It is important to note that psychological
treatments in the form of trauma-focused CBT and EMDR is the most important
and most effective treatments. EMDR has been controversial but
it is no longer, but is an internationally accepted method of treatment for
PTSD. There is still no generally accepted that eye movements are important,
but lately, Swedish and Australian research has shown that eye movements
during EMDR has clear physiological effects that are meaningful [2, 9],
Moreover, all studies of physiology at the convergence of EMDR to date
shown these effects, according to a literature review [3].
In recent years, research on memory function and Sakka wash
eye movements showed that memory systems, such as episodic memory (which is often
is disturbed in PTSD) is affected in a favorable way of eye movements [4-8]. Thus
today there are a lot of support that eye movements are meaningful
although it may be difficult to understand at first glance. EMDR and exposure therapy
are as effective as meta-studies, including Cochrane
and in ISTSS current review of effective treatments for
PTSD.
References
1st Foa E, Keane TM, Friedman MJ & Cohen JA. 2009th Effective
Treatments for PTSD Practice Guidelines from the International Society
fro Traumatic Stress Studies. Guilford, New York.
2nd Elofsson, UO, et al., Physiological correlator of eye movement desensitization
and Reprocessing. Journal of Anxiety Disorders, 2008.
22 (4): p. 622-34.
3rd Sondergaard, E., Psychophysiological studies of EMDR. Journal of
EMDR Practice and Research, 2008. 2 (4): p. 282-288.
4th Gold Stick, R., EMDR: A putative neuro Biological mechanism of action.
Journal of Clinical Psychology, 2002. 58 (1): p. 61-75.
5th Parker, A. and N. Dagnall, Effects of bilateral eye movements on
GIST-based false recognition in the DRM paradigm. Brain and Cognition,
2007th 63 (3): p. 221-5.
6th Parker, A., S. Relph, and N. Dagnall, Effects of bilateral eye movements
On the retrieval of item, associative, and contextual information.
Neuro-Psychology, 2008. 22 (1): p. 136-45.
Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
310. 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:
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.
Keywords: Literature Review Research
Accuracy Verified: Yes
311. Hertlein, K. M., & Ricci, R. J. (2004, July). A systematic research synthesis of EMDR studies: Implementation of the platinum standard. Trauma, Violence, and Abuse, 5(3), 285-300. doi:10.1177/1524838004264340..
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a psychological treatment method used primarily for people who have experienced trauma. This article provides a systematic research synthesis of EMDR studies targeting trauma symptomatology published between 1997 and 2003. This synthesis builds on the Revised Gold Standard (RGS) as a guide to evaluate empirical EMDR studies. Modifications and additions to the RGS criteria are proposed. The resulting standard is referred to as the Platinum Standard (PS). 16 EMDR studies are reviewed and critiqued using the PS criteria. None of the studies reviewed met full PS criteria. The mean score for the studies on the PS was 8.28, with 9 of the studies exceeding the mean. The review calls for researchers to employ more rigorous research designs for EMDR effectiveness using PS criteria. Implications for practice, policy, and research are discussed. [Author Abstract]
Keywords: Literature Review Methodology Posttraumatic Stress Disorder Professional Criticism PTSD Review Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
312. Puliatti, M., & Giannantonio, M. (2008, April). T08-O-15 Childhood sexual abuse and vulvodynia: Hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR) – An integrated approach. Sexologie, 17(Supplement 1), S109-S110. doi:10.1016/S1158-1360(08)72816-0 .
Language: English
Format: Journal
Abstract:
Objectives: Dysesthetic vulvodynia plays an important role in the sexology of the most common female genital system disorders; its psychosomatic origin is by now widely acknowledged.
Its main symptoms are: acute pain at each penetration attempt (dyspareunia), pain under local pressure on the vaginal vestibule, erythemas of different intensities.
In recent years the role of childhood sexual abuse as one of the possible predisposing (vulnerability) factors of vulvodynia development has found positive confirmations in the literature. Author's aims are to verify this correlation and check efficacy of specific psychotherapeutical approaches.
Method: The choice of psychodiagnostic reactive tests, such as the Sexuality Questionnaire (symptomatology screening), the recent Female Sexual Disorders Analytical Questionnaire (screening and sexual abuse) and the Chronic Pain Risk Factors Questionnaire, assessing stressful and traumatic events such as sexual abuse, to identify vulvodynia is of particular importance.
The therapeutic approach presented here is integrated: gynecological, physical-rehabilitational, psycho-educational and psycho-sexological.
Results and conclusions; The psychological therapies recommended for the treatment of this disorder and the associated abuse (substantiated by international literature and years of clinical practice) are EMDR and hypnotic psychotherapy, integrated with sexological techniques, starting from the assumption that any eventual effective therapy of vulvodynia cannot but include appropriate (psychosomatic and not merely verbal) processing of the childhood sexual abuse.
Keywords: Dyspareunia Dysesthetic Vulvodynia Sexual Pain Sexological Techniques
Accuracy Verified: Yes
313. Sweet, A. (1995, January). A theoretical perspective on the clinical use of EMDR. the Behavior Therapist, 18(1), 5-6.
Language: English
Format: Newsletter
Abstract:
Compares Foa and Kozak's model of emotional processing with the PTSD outcome literature, and discusses the value of EMDR in clinical practice.
Keywords: Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
314. Abel, N. J., & O'Brien, J. M. (2012). Traitement par l’EMDR d’états comorbides d’ESPT et de dépendance à l’alcool: Un exemple de cas [EMDR treatment of comorbid PTSD and alcohol dependence: A case example]. Journal of EMDR Practice and Research, 6(2), E1-E11. doi:10.1891/1933-3196.6.2.E1.
Language: French
Format: Journal
Abstract:
L’EMDR (désensibilisation et retraitement par les mouvements oculaires) est une thérapie qui a démontré
son efficacité dans le traitement de l’état de stress post-traumatique (ESPT). Une littérature clinique
encore relativement réduite, mais croissante, montre que l’EMDR peut aussi être un traitement complémentaire
efficace de la toxicomanie. Le présent article passe en revue les divers protocoles qui ont été
développés dans ce but, avec les protocoles de Vogelmann-Sine et al., Omaha, Popky et Hase. Une étude
de cas intégrant certaines de ces interventions est présentée afin d’illustrer la réussite du traitement par
l’EMDR d’une femme souffrant de longue date d’une dépendance à l’alcool et d’un ESPT comorbides.
Le suivi, deux ans plus tard, a montré que cette femme restait sobre et que l’ESPT était en rémission
complète. Après une discussion des aspects importants de ce cas, les auteurs explorent de futures directions
de recherche.
Eye movement desensitization and reprocessing (EMDR) is a therapy that has been demonstrated to be effective in the treatment of posttraumatic stress disorder (PTSD). A relatively small but growing body of literature indicates that EMDR may be an effective adjunctive treatment for substance abuse. This article reviews the various protocols that have been developed for that purpose, including protocols by Vogelmann-Sine et al., Omaha, Popky, and Hase. A case study that incorporates the use of some of these interventions is presented to illustrate successful EMDR treatment of a woman who had long-standing comorbid alcohol abuse and PTSD. Two-year follow-up after EMDR showed that the woman was successfully maintaining sobriety and that the PTSD continued in full remission. After a discussion of the important aspects of this case, the authors explore future directions for research.
Keywords: Alcohol Dependence Comorbid PTSD
Accuracy Verified: Yes
315. Cashin, J. (2000, June). Trauma and multigenerational trauma caused by genocide and oppression: A comparison of Western and Native American healing methods. Union Institute and University, Cincinnati, OH. AAT 9997330.
Language: English
Format: Dissertation/Thesis
Abstract:
This dissertation examines multigenerational trauma that is caused by genocide and oppression. The literature reviewed covers multigenerational trauma , biological origins of traumatic states, trauma transmission, and healing/therapeutic methods including body-centered therapy, Hakomi, and EMDR (Eye Movement Desensitization and Reprocessing). Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(12-B), Jun 2001, pp. 6758.
Keywords: American Indians Cross Cultural Differences Emotional Trauma Empirical Study Genocide
Accuracy Verified: Yes
316. Schleyer, M. A. (2000, July). The trauma client's experience of eye movement desensitization and reprocessing: A heuristic analysis. Union Institute and University, Cincinnati, OH. AAT 9958854 .
Language: English
Format: Dissertation/Thesis
Abstract:
Traumatic stress and its impact on the individual, family and society have been described in the literature for over one hundred years. Controversy exists regarding etiology, determinants and therapeutic intervention for traumatic stress. There is limited research regarding the comparative value of treatment of trauma. In 1989 Eye Movement Desensitization and Reprocessing (EMDR) emerged as a therapeutic intervention for traumatic stress. Studies have shown the benefits of EMDR to be equal to or superior to those of other therapies in the treatment of PTSD. To date, the value of EMDR has been measured primarily by the decrease or amelioration of symptoms. Limited research has focused on the client's experience of EMDR and life changes after EMDR. The specific aim of this study was to: (a) generate a description of the personal experience of the EMDR process, (b) identify whether life changes had occurred after EMDR, and (c) if any life changes had occurred describe the changes and the nature of these changes.Data were collected via unstructured interviews with seven individuals who had experienced some form of trauma, and who had experienced EMDR as a therapeutic intervention for trauma. Van Manen's and Heidegger's interpretive processes were used to guide the method of data analysis. The shared meanings identified were: (a) Set-up for Harm, (b) Being Stuck, (c) Willing to Risk in Spite of..., (d) Release, (e) Movement and (f) Ongoing Movement. The participants all described childhood events of being put in harm's way. As adults participants felt frustrated with their inability to change personal and relational alienation which resulted from the childhood events. However, in spite of incredulity and fears, risking the experience of EMDR was primarily dependent on trust in the therapist. All experienced emotional, cognitive and physical release in response to the EMDR experience which allowed participants to move forward with their lives. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(1-B), Jul 2000, pp. 549.
Keywords: Adults Americans Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
317. Brown, P. A. (2012). Trauma research and treatment of combat veterans: An evidence-based integrative literature review. California Institute of Integral Studies, San Francisco, CA.
Language: English
Format: Dissertation/Thesis
Abstract:
The mainstream treatments for Post Traumatic Stress
Disorder (PTSD) are Cognitive Behavioral and Prolonged
Exposure Therapies (CBT & PE). These closely studied evidence based
treatments also show high relapse, dropout, and failure
rates of up to half of those treated (Bryant, R., et al., 2008, p.
555). While not as well researched and harder to measure in
terms of the gold standard in Evidence Based Practice of
Psychology (EBPP), studies of “alternative” treatments and their
methods, yield different and interesting evidence.
Using the standards espoused by EBPP alongside
alternative movements, this study examined modalities used in
veterans’ treatment. A guiding question was “What can the field
of trauma studies learn from a systematic and comparative
review of the research and treatment of combat veterans
suffering the sequelae of trauma?” Included in this integrative literature review—which
generates a critique and theoretical synthesis of a body of
literature (Torraco, R., 2005, p. 356)—were peer-reviewed
studies from 2006-2010. The participating studies consisted
largely of Veterans Administration (VA)-funded, CBT/PE
treatments, with an average of over 32 patients per participating
study, of approximately 13 weeks duration, and where 20% of
patients avoided treatment, 25% dropped out, and 30% failed
treatment altogether. Concept matrix analysis of data included
distillation of essential statements further reflecting poor
tolerability, dropout, failure, and an inability to maintain
symptom reductions (75% of studies). Authors tended to
overstate positive effects while omitting adequate examination of
study design and construct validity, leading to dearth bias,
defined as scarcity of evidence hiding behind citations.
From this integrative review of the literature a
reconceptualization and agenda for future research emerged.
The reconceptualization stems from the usefulness of hybridized
efficacy and effectiveness research, self-reflection and
bracketing, and more accounting for dearth bias. The future
agenda recommends practitioners use concept matrices as
iv
research and practice tools, conduct more common factors
research, and develop more clinical practice-based evidence.
Especially as related to knowledge evaluation, increased
accountability, and system-wide change, these recommendations
can assist the spread of more diverse and useful EBPP, to help
relieve some of the pain of the traumatized combat veteran.
Keywords: Combat Veterans Literature Review
Accuracy Verified: Yes
318. Ricci, R. J., & Clayton, C. A. (2008). Trauma resolution treatment as an adjunct to standard treatment for child molesters: A qualitative study. Journal of EMDR Practice and Research, 2(1), 41-50. doi:10.1891/1933-3196.2.1.41.
Language: English
Format: Journal
Abstract:
A literature review of current treatment models for child molesters and contemporary theories of etiology suggests a gap between theory and practice. Despite emerging recognition of the importance of addressing etiological issues in sexual offender treatment, many programs resist addressing the trauma sequelae of childhood sexual abuse (CSA) in those sex offenders where it is present. Adding trauma treatment to standard sexual offender treatment was identified as a means to closing some of that gap. 10 child molesters with reported histories of CSA were treated with eye movement desensitization and reprocessing. Subsequent to adding this trauma resolution component, there was improvement on all six subscales of the Sex Offender Treatment Rating Scale as well as decreased idiosyncratic deviant arousal as measured by the penile plethysmograph. The current study reviews qualitative data collected during treatment and at posttreatment interviews. [Author Abstract]
Keywords: Abuse Propensity Adults Child Abuse Child Molester Clinical Trial Cognitive Therapy European Americans Males Qualitative Perpetrators Rape Sex Offenders Survivors Treatment Effectiveness
Accuracy Verified: Yes
319. Muris, P., & Merckelbach, H. (1999, January-April). Traumatic memories, eye movements, phobia, and panic: A critical note on the proliferation of EMDR. Journal of Anxiety Disorders, 13(1-2), 209-223. doi:10.1016/S0887-6185(98)00048-6.
Language: English
Format: Journal
Abstract:
In the past years, Eye Movement Desensitization and Reprocessing (EMDR) has become increasingly popular as a treatment method for Posttraumatic Stress Disorder (PTSD). The current article critically evaluates three recurring assumptions in EMDR literature: (a) the notion that traumatic memories are fixed and stable and that flashbacks are accurate reproductions of the traumatic incident; (b) the idea that eye movements, or other lateralized rhythmic behaviors have an inhibitory effect on emotional memories; and (c) the assumption that EMDR is not only effective in treating PTSD, but can also be successfully applied to other psychopathological conditions. There is little support for any of these three assumptions. Meanwhile, the expansion of the theoretical underpinnings of EMDR in the absence of a sound empirical basis casts doubts on the massive proliferation of this treatment method. (ScienceDirect)
Keywords: Literature Review Panic Disorder Phobia Posttraumatic Stress Disorder PTSD Research Needs Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
320. Armstrong, M. (1998). Treating trauma with focusing and EMDR. The Folio: A Journal for Focusing and Experiential Therapy, 17(1), 23-30.
Language: English
Format: Journal
Abstract:
"..at least 20% of American women and 5% of American men have experienced some form of sexual abuse in childhood.. without regard to race, ethnicity, or socioeconomic status."
(APA Working Group on Investigation of Memories of Childhood Abuse - Final Report, 1996 p.20)
This statement from the American Psychological Association gives a conservative estimate for the prevalence of child sexual abuse in our society. In Canada, the federal government commissioned the 1984 Badgley Report on Sexual Offences Against Children and Youth. It found that as many as one in two females and one in three males under the age of 21 years reported experiencing some sort of unwanted sexual touching by a perpetrator older than themselves. Yet, thirty years ago child abuse was considered rare. Child sexual abuse was thought to be practically non-existent. Child psychiatrists had never heard of it. There was nothing in the academic literature and there were no statistics or studies available about this unacknowledged endemic problem. (Steed, 1994.)
Keywords: Focusing
Accuracy Verified: Yes
321. Wright, S. A., & Russell, M. C. (2013, April). Treating violent impulses: A case study utilizing eye movement desensitization and reprocessing with a military client. Clinical Case Studies, 12(2), 128-144, doi:10.1177/1534650112469461.
Language: English
Format: Journal
Abstract:
The growing attention to acts of interpersonal violence and misconduct among military members has accompanied a host of research investigating the nature and causes associated with these behaviors. As such, a robust body of literature exists lending insight into risk factors and clinical presentations associated with anger and aggression; however, such factors are multidimensional and complex, particularly for those suffering with war stress injuries. Furthermore, mental health stigma and treatment compliance with exposure and cognitive-based models, particularly in clients with aggressive presentations, can impact successful outcomes. One active-duty marine was referred to an outpatient mental health clinic for the treatment of posttraumatic stress disorder (PTSD). Four sessions of eye movement desensitization and reprocessing (EMDR) were used to significantly reduce obsessive violent impulses, traumatic grief, and depression. The benefit of EMDR therapy as a treatment for violent impulses is explored. The results are promising, but more research is needed.
Keywords: Military Misconduct Violence
Accuracy Verified: Yes
322. Tormey, M. E. (2004, June). Treatment and resolution of the traumatic component of erectile dysfunction with eye movement desensitization and reprocessing (EMDR). In EMDR, biology, and the body (J. Spector, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
The role of trauma in the etiology of impotence or erectile dysfunction (ED) appears to be underestimated in the current sex therapy literature. With newer pharmacological treatments available, less attention is being given to exploring other modalities of intervention for this condition. In a thorough assessment of a client presenting with a complaints of impotence, it becomes evident that once a medical clearance is given which rules out organic factors, the very existence of the condition becomes an issue fraught with complexities and drama. The original onset of the ED may be perceived as traumatic in itself or evoke successive traumas over time. Or there may be residual trauma from the client’s early history, which impact on the development of the ED is not immediately accessible or evident to the client and/or therapist, thereby undermining the traditional sex therapy interventions for impotence. EMDR is an effective means of identifying and resolving trauma of varying origins. In light of this, it was offered as a treatment intervention to two clients, both of which were in their fifth decade of life and had opted out of pharmacological treatment of ED and who had not resolve the issue with other techniques. This 30 minute symposium presentation will include two clinical case presentations with the goals of elucidating the : 1) role of the traumatic component in erectile dysfunction, 2) use of the EMDR standard protocol as an element of the treatment and rapid resolution of ED, 3) unique suitability of EMDR in sex therapy for client without partners.
Keywords: ED Erectile Dysfunction Sex Therapy Symposium
Accuracy Verified: Yes
323. de Jongh, A. (2012). Treatment of a woman with emetophobia: A trauma focused approach. Mental Illness, 4(1), 10-14. doi:10.4081/mi.2012.e3.
Language: English
Format: Journal
Abstract:
A disproportionate fear of vomiting, or emetophobia,
is a chronic and disabling condition
which is characterized by a tendency to avoid a
wide array of situations or activities that might
increase the risk of vomiting. Unlike many
other subtypes of specific phobia, emetophobia
is fairly difficult to treat. In fact, there are only
a few published cases in the literature. This
paper presents a case of a 46-year old woman
with emetophobia in which a trauma-focused
treatment approach was applied; that is, an
approach particularly aimed at processing disturbing
memories of a series of events which
were considered to be causal in the etiology of
her condition. Four therapy sessions of Eye
Movement Desensitization and Reprocessing
(EMDR) produced a lasting decrease in symptomatology.
A 3-year follow up showed no indication
of relapse.
Keywords: Emetophobia Specific Phobia Vomiting Phobia
Accuracy Verified: Yes
324. Wetherell, J. L. (1998, Winter). Treatment of anxiety in older adults. Psychotherapy, 35(4), 444-458. doi:10.1037/h0087745.
Language: English
Format: Journal
Abstract:
Although late life anxiety is common and appears to have potentially serious consequences, older adults generally underutilize mental health services. This article is a broad review of psychological literature that addresses the prevalence, consequences, and psychological treatment of anxiety in older adults. Psychological treatments, including relaxation, cognitive-behavioral therapy, psychodynamic therapy, and life review, are explored as alternatives to pharmacological approaches to treatment of anxiety. Several anxiety associated conditions are discussed: dementia, depression, phobias, generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, and PTSD. Case histories illustrate the effectiveness of psychological intervention for treatment of anxiety in the elderly. Included is a comprehensive list of manuals for anxiety treatment procedures. [Author Abstract]
Keywords: Aged Anxiety Disorders Behavior Modification Cognitive Therapy Depressive Disorders Drug Therapy Health Care Utilization Literature Review Psychoanalytic Psychotherapy Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
325. Solomon, R., & Rando, T. A. (2012). Treatment of grief and mourning through EMDR: Conceptual considerations and clinical guidelines. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 231-239. doi:10.1016/j.erap.2012.09.002.
Language: English
Format: Journal
Abstract:
Introduction:
Eye Movement Desensitization and Reprocessing (EMDR) is an empirically-supported psychotherapeutic approach for treating trauma, which is also applicable to a wide range of other experientially-based clinical complaints. It is particularly useful in treating grief and mourning.
Literature findings:
EMDR is guided by the Adaptive Information Processing Model (AIP), which conceptualizes the effects of traumatic experiences in terms of dysfunctional memory networks in a physiologically-based information processing system. Numerous empirical studies have demonstrated EMDR's efficacy.
Discussion:
The death of a loved one can be very distressing, with memories and experiences associated with the loss becoming dysfunctionally stored and preventing access to adaptive information, including positive memories of the deceased. EMDR can be utilized to integrate these distressing experiences and facilitate the assimilation and accommodation of the loss and movement through the mourning processes.
Conclusion:
Applying the eight phases of EMDR to grief and mourning can yield potent clinical results in the aftermath of loss.
Keywords: Clinical Guidelines Grief Mourning
Accuracy Verified: Yes
326. Matthieu, M., & Ivanoff, A. (2006). Treatment of human-caused trauma: Attrition in the adult outcomes research. Journal of Interpersonal Violence, 12(21), 1654-1664.
Language: English
Format: Journal
Abstract:
Attrition or dropout is the failure of a participant to complete, comply, or the prematurely discontinuation or discharge from treatment, resulting in lost data and affecting outcomes. This review of 10 years of adult posttraumatic stress disorder (PTSD) treatment outcome literature specific to Criterion A events of human origin examines how attrition is defined and addressed, methodologically and statistically. Of the 13 experimental or quasi-experimental studies, 11 report attrition information. Compared to treatment completers, attriters more often had elevated pretest scores on PTSD and other symptom measures. The characteristics of dropouts given the intentional nature of the traumatic events reviewed in this study are shared to inform clinical practice. Recommendations for consistent methods in examining, analyzing, and interpreting treatment outcome data are also discussed.
Keywords: Attrition Dropout Posttraumatic Stress Disorder PTSD Treatment Outcome
Accuracy Verified: Yes
327. Whisman, M. (2000, May 6). Treatment of obsessive compulsive disorder (OCD) with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.
Language: English
Format: Conference
Abstract:
This presentation will focus on key factors believed to contribute to the development and maintenance of OCD: a damaged, diffuse sense of self; a perceived inadequacy to function, to meet the vicissitudes of life; and an elaborate defence system designed to offer the illusion of safety and control (avoidance of affect and action). Given the prominence of cognitive distortions and avoidance of affect in OCD, and the impact of EMDR on such phenomena as exhibited in the literature about EMDR treatment with PTSD, Whisman believes EMDR has the potential to be quite beneficial in the treatment of OCD. EMDR seems to allow the OCD client to hold a dual focus: the illusion of the disorder and the reality of the self; and to tolerate the affect accompanying this processing. Bridging past experience and present behavior, EMDR appears to allow new connections to be made that offer the client a distance form the disorder and a strengthening of the self. A model for educating the client about OCD will be presented a model whcih develops a "language" between therapist and client and bridges self and disorder; changes in the standard EMDR protocol will be presented and demonstrated via videotape; and EMDR components such as targeting, cognitive interweaves, and resource installation will be addressed. Clinical observation and client self-report are pointing to EMDR as an effective treatment component for OCD.
Keywords: Obsessive Compulsive Disorder OCD
Accuracy Verified: Yes
328. 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:
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.
Keywords: Case Report Empirical Study Intrusive Thoughts Middle Aged Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
329. Institute of Medicine, Committee on Treatment of Posttraumatic Stress Disorder (2008). Treatment of posttraumatic stress disorder: An assessment of the evidence. The National Academies Press, Washington, D. C. Retrieved from http://www.nap.edu/catalog/11955.html on 1/16/2009.
Language: English
Format: Other
Abstract:
This report was commissioned by the Department of Veterans Affairs
(VA) to assess the scientific evidence on treatment modalities for Posttraumatic
Stress Disorder (PTSD). Reviewing the PTSD treatment
literature dating back to 1980, the year the disorder was first defined
by
the Diagnostic and Statistical Manual of the American Psychiatric Association,
proved to be a challenging task. Assessing the outcomes of treatment
depends entirely upon the self-report of those affected, without “objective”
measures such as laboratory tests or imaging. Treatment modalities
and research methods used in their evaluation have been in continuous
development. The last 30 years have also seen dramatic changes in the way
scientific evidence has been assessed in general with emerging international
standards for conducting systematic qualitative and quantitative reviews
that are quite different from the methods used in the 1980s when research
on the treatment of PTSD began.
In applying a rigorous approach to the assessment of evidence that
meets today’s standards, the committee identified significant gaps in the
evidence that made it impossible to reach conclusions establishing the
efficacy
of most treatment modalities. This result was unexpected and may
surprise VA and others interested in the disorder. Important treatment
decisions for most modalities will need to be made without a strong body of evidence meeting current standards (the committee summarizes clinical
practice guidelines developed by others in the face of this scientific uncertainty).
This overall conclusion of scientific inadequacy is not a clinical
practice recommendation or guideline. It is also not a judgment on the quality
of the research in this field using methods acceptable at the time. The
overall conclusion also adds urgency to the committee’s recommendations
for a more strategic research effort that defines the relevant populations
and subpopulations; develops and tests treatment modalities alone and in
combination, in individual and group formats (for psychotherapy), and of
various intensities and durations; uses the latest and most rigorous methods
for designing and executing study protocols; and follows all study participants
through the end of treatment and for meaningful periods thereafter.
The committee was also struck by the scant evidence exploring some of
the possibly unique aspects of PTSD in veterans. For the most part we cannot
say whether the treatment of PTSD in veterans should be the same as in
civilians, and whether important subpopulations of veterans defined by age,
sex, trauma type, socioeconomic status, educational level, comorbidities,
and brain injury should be treated the same or differently.
The committee could only conclude that well-designed research is
needed to answer the key questions regarding the efficacy of treatment
modalities in veterans. Success will depend on the collaboration of VA and
other government agencies, researchers, clinicians, and patient and veterans’
groups and will further require the continued support and attention of
policymakers and the public. The individuals returning from current conflicts
and now re-entering civilian life with this disorder deserve no less.
Alfred O. Berg, Chair
The committee concludes that the evidence is inadequate to determine
the efficacy of the following psychotherapy modalities in the treatment
of PTSD:
• EMDR
• cognitive restructuring
• coping skills training [Extracted from p. 9).
Keywords: Posttraumtic Stress Disorder PTSD
Accuracy Verified: Yes
330. Committee on Treatment of Posttraumatic Stress Disorder, Institute of Medicine (2008). Treatment of posttraumatic stress disorder: An assessment of the evidence. National Academy of Sciences, Institute of Medicine(IOM), Washington, D.C.: The National Academies Press.
Language: English
Format: Publication
Abstract:
This report was commissioned by the Department of Veterans Affairs to assess the
scientific evidence on treatment modalities for Posttraumatic Stress Disorder (PTSD). Reviewing
the PTSD treatment literature dating back to 1980, the year the disorder was first defined by the
Diagnostic and Statistical Manual of the American Psychiatric Association, proved to be a
challenging task. Assessing the outcomes of treatment depends entirely upon the self-report of
those affected, without “objective” measures such as laboratory tests or imaging. Treatment
modalities and research methods used in their evaluation have been in continuous development.
The last 30 years have also seen dramatic changes in the way scientific evidence has been
assessed in general with emerging international standards for conducting systematic qualitative
and quantitative reviews that are quite different from the methods used in the 1980s when
research on the treatment of PTSD began.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
331. de Jongh, A., ten Broeke, E., & Renssen, M. (1999, January-April). Treatment of specific phobias with eye movement desensitization and reprocessing (EMDR): Protocol, empirical status, and conceptual issues. Journal of Anxiety Disorders, 13(1-2), 69-85. doi:10.1016/S0887-6185(98)00040-1.
Language: English
Format: Journal
Abstract:
This paper considers the current empirical status of Eye Movement Desensitization and Reprocessing (EMDR) as a treatment method for specific phobias, along with some conceptual and practical issues in relation to its use. Both uncontrolled and controlled studies on the application of EMDR with specific phobias demonstrate that EMDR can produce significant improvements within a limited number of sessions. With regard to the treatment of childhood spider phobia, EMDR has been found to be more effective than a placebo control condition, but less effective than exposure in vivo. The empirical support for EMDR with specific phobias is still meagre, therefore, one should remain cautious. However, given that there is insufficient research to validate any method for complex or trauma related phobias, that EMDR is a time-limited procedure, and that it can be used in cases for which an exposure in vivo approach is difficult to administer, the application of EMDR with specific phobias merits further clinical and research attention (ScienceDirect).
Keywords: Literature Review Phobia Review Treatment Effectiveness
Accuracy Verified: Yes
332. Fisher, N. (2010, April). Treatment options for combat veterans with PTSD. Poster presented at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
In this review I explored the most effective treatment options available for military veterans with Post Traumatic Stress Disorder. Specifically, psychotherapy and pharmacotherapy was examined. Psychotherapy encompassed cognitive behavioral therapy, emotional desensitization and reprocessing and exposure therapy. Pharmacotherapy included selective serotonin reuptake inhibitors, tricyclic antidepressants, monoamine oxidase inhibitors, novel antidepressants and benzodiazepines. Meta analyses, literature reviews and research experiments formed the basis for the comparisons between treatments. The main findings include that the psychotherapies cognitive behavioral therapy and eye movement desensitization and reprocessing, and the pharmacotherapy selective serotonin reuptake inhibitors are the most superior treatments for veterans with PTSD.
Learning Outcomes
Delegates will learn about the variables which make treating combat veterans with PTSD different than other groups with PTSD. In terms of treatment, psychotherapeutic and psychopharmacologic options will be examined. Delegates will leave the presentation aware of what current research states on treatment efficacy of CBT, EMDR, Exposure Therapy, Antidepressants and Anxiolytics.
Keywords: Poster Posttraumatic Stress Disorder PSTD Veterans
Accuracy Verified: Yes
333. Robbins, I. (1995, May). Treatments for post-traumatic stress disorder. Current Opinion in Psychiatry, 8(3), 172-175.
Language: English
Format: Journal
Abstract:
Despite a growing literature relating to post-traumatic stress disorder, few studies detailing the effects of treatment have been published; those that have are often of small sample size or poorly controlled. Treatments may be successful but without further research their true efficacy is unlikely to be known.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
334. Schnurr, P. P. (2008, Summer). Treatments for PTSD: Understanding the evidence - Psychotherapy. PTSD Research Quarterly, 19(3), 1-3.
Language: English
Format: Newsletter
Abstract:
The first practice guideline for PTSD was published in 2000 by the International Society for Traumatic Stress Studies (ISTSS). Guidelines produced by the American Psychiatric Association and the US Departments of Veterans Affairs and Defense followed later, along with guidelines by groups in the United Kingdom and Australia (see Kilpatrick’s column, this issue, for information about PTSD treatment guidelines and references for these works). Psychotherapy figures prominently in these guidelines, especially treatments that are based on cognitive-behavioral techniques. A lot of research has appeared since 2000, so much that the ISTSS is issuing an updated guideline in 2008.
This article describes key issues to consider in interpreting the underlying literature on psychotherapy (Schnurr, 2007) and suggests articles for readers who want to read the original sources to find out which techniques are most effective. The focus is on randomized controlled trials (RCTs) and recent publications, although the bibliography includes a few references to older studies as well.
Keywords: Evidence Base Psychotherapy
Accuracy Verified: Yes
335. Rubin, A. (2003, March). Unanswered questions about the empirical support for EMDR in the treatment of PTSD: A review of research. Traumatology, 9(1), 4-30. doi:10.1177/153476560300900102 .
Language: English
Format: Journal
Abstract:
A literature review was conducted to examine whether EMDR should be considered an empirically-supported treatment for PTSD. Relying largely but not exclusively on electronic data bases such as Medline and PsycInfo, journal articles published through April 2003 were identified which reported a randomized experimental evaluation of the effectiveness of EMDR in treating PTSD. EMDR appears to be an empirically supported treatment for adults with single-trauma civilian PTSD. However, the evidence supporting the effectiveness of EMDR is much less compelling when we focus on children, combat PTSD, multiple-trauma PTSD, and whether EMDR is more effective than exposure therapies. Proponents of EMDR hotly debate proponents of exposure therapy regarding methodological issues, with each side in the debate frequently employing a double standard. Clinicians are advised to use either EMDR, exposure therapy, or stress-inoculation therapy when treating civilian adults with single-trauma PTSD. They may also want to employ EMDR when treating children with PTSD or clients with multiple-trauma or chronic PTSD. But if they do, they should do so in light of the inadequate evidence base, be guided by future evaluations of EMDR with these populations, and recognize that many more sessions of EMDR, with less robust effects, may be required than what they might currently expect. [Author Abstract]
Keywords: Literature Review Posttraumtic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
336. van Vliet, I. M. (2010, April). Update van de multidisciplinaire richtlijn angststoornissen [Multidisciplinary guideline update anxiety]. Presentatie op het 38ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Maastricht, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
Een herziening van de Multidisciplinaire richtlijn Angststoornissen is nodig in verband met nieuwe wetenschappelijke kennis over effectieve interventies en wijzigingen in de organisatie van de zorg.
Doel: De belangrijkste veranderingen van de herziening van de richtlijnen Paniekstoornis met of zonder agorafobie en Posttraumatische stressstoornis worden besproken alsmede implicaties voor de praktijk.
Methoden: De wetenschappelijke literatuur met betrekking tot de paniekstoornis met of zonder agorafobie en posttraumatische stressstoornis werd vanaf 2001 verzameld, beoordeeld en verwerkt in de herziene versie van de richtlijn.
resultaten Bij de paniekstoornis met of zonder agorafobie is de grootste verandering ten opzichte van de eerste versie van de richtlijn dat de combinatiebehandeling van antidepressiva met exposure in vivo niet meer de meest effectieve behandeling is bij ernstige agorafobie. Bij korter bestaande en lichtere vormen van de aandoening gaat de voorkeur uit naar cognitieve gedragstherapie of daarop gebaseerde interventies. Bij de posttraumatische stressstoornis is de belangrijkste verandering dat cognitieve gedragstherapie en eye movement desensitization and reprocessing (emdr) nog meer dan in de eerste versie van de richtlijn geprioriteerd zijn als behandeling van eerste voorkeur. De nieuwe behandelalgoritmes worden besproken.
Conclusie: De nieuwe richtlijn geeft aanwijzingen voor een stepped-care behandeling van angststoornissen. Meer nadruk is gegeven aan niet-medicamenteuze behandelvormen. medicamenteuze behandelingen worden gereserveerd voor de meer langdurige, ernstige en voor psychotherapie resistente angststoornissen alsmede voor angststoornissen met een comorbide ernstige depressieve stoornis.
A review of the Anxiety Disorders Multidisciplinary guideline is necessary because of new scientific knowledge about effective interventions and changes in the organization of care.
Purpose: The main changes from the revision of the guidelines Panic Disorder with or without agoraphobia, and posttraumatic stress disorder are discussed and implications for practice.
Methods: The scientific literature on panic disorder with or without agoraphobia, and posttraumatic stress disorder since 2001 were collected, assessed and reflected in the revised version of the directive.
Results In the panic disorder with or without agoraphobia is the biggest change from the first version of the directive that the combination treatment of antidepressants with exposure in vivo no longer the most effective treatment for severe agoraphobia. For existing shorter and milder forms of the disease is preferable to cognitive behavioral therapy or interventions based thereon. In the post-traumatic stress disorder is the most important change that cognitive behavioral therapy and Eye Movement Desensitization and Reprocessing (EMDR) more than in the first version of the directive are prioritized for treatment of first choice. The new treatment algorithms are discussed.
Conclusion: The new directive gives instructions for a stepped-care treatment of anxiety disorders. More emphasis is given to non-pharmacological treatment modalities. drug treatments are reserved for the more prolonged, severe and resistant to psychotherapy for anxiety disorders and anxiety disorders with a comorbid major depressive disorder.
Keywords: Anxiety Multidisplinary Guideline
Accuracy Verified: Yes
337. Ferrie, R. (2012, April). The use of dreams in ego state and EMDR therapies for trauma and dissociation. Presentation at the annual meeting of the EMDR Canada, Montreal, Canada.
Language: English
Format: Conference
Abstract:
Today, the dreaming mind is understood to improve learning, organize novel solutions to problems from waking consciousness and, thus, creatively support survival. This function, of finding new creative solutions, is also observed in the desensitization phase four of the EMDR protocol and is a key component in Ego State Therapy (EST). Dreams appear to select targets from the client’s history, that are causing problems in current time. In addition, dreams may respond to interventions made during a therapeutic session, as if the dreaming mind were in a dialogue with the client and the therapist. This type of dream leads to a more creative dialogue in subsequent therapy. Repetitive nightmares are the dreaming signature of PTSD, and these too respond well to EMDR and rehearsed changes in imagery, including that of ego states and can result in improved sleep quality. Dreams can offer a resource figure in blocked therapy; demonstrate the validity of ego states and of ego state relationships. This presentation focuses on the use of dreams, in combination with EMDR, as well as EST, for clients suffering from post traumatic syndromes. A review of the literature will be given but primarily case studies and video material from actual sessions will shared.
Learning objectives:
1. Understand the neuroscience that underlies the present state ofknowledge of the dreaming mind/brain
2. Develop skill in using the language of the dreaming mind to improve interweaves and interventions in the course of therapy
3. Develop skills in carrying nightmares forward using EMDR and thus improving sleep quality
4. Formulate a script that explains to clients why dreams and the imagination are useful in therapy.
5. Participate in a practicum on the use of dreams.
Keywords: Dissociation Dreams Ego State Therapy Trauma
Accuracy Verified: Yes
338. de Jongh, A., Holmshaw, M., Carswell, W., & van Wijk, A. (2011, March-APril). Usefulness of a trauma-focused treatment approach for travel phobia. Clinical Psychology and Psychotherapy, 18(2), 124-37. doi:10.1002/cpp.680.
Language: English
Format: Journal
Abstract:
Despite its prevalence and potential impact on functioning, there are surprisingly little data regarding the treatment responsiveness of travel phobia. The purpose of this non-randomized study was to evaluate the usefulness of a trauma-focused treatment approach for travel phobia, or milder travel anxiety arising as a result of a road traffic accident. Trauma-focused Cognitive Behavioural Therapy (TF-CBT), and Eye Movement Desensitization and Reprocessing were used to treat a sample of 184 patients, who were referred to a psychological rehabilitation provider. Patients in both treatment groups were encouraged to encounter their feared objects and situations between sessions. Specific (i.e., travel) phobia was diagnosed in 57% of cases. Patients in both treatment conditions showed equally large, and clinically significant, decreases in symptoms as indexed by three validated measures (Impact of Event Scale, Hospital Anxiety and Depression Scale, and General Health Questionnaire), therapist ratings of treatment outcome, and a return to driving or travelling by car or motorbike. These improvements were obtained within an average course of 7.3 sessions of 1 hour each. Patients with travel phobia responded with a greater reduction of anxiety and post-traumatic stress disorder symptoms than those with milder travel anxiety. Passengers reported higher levels of trauma symptoms than drivers, but no difference in effectiveness of treatment was found between these groups. The results suggest that trauma-focused psychological interventions can be a treatment alternative for patients with travel anxiety. Given the seriousness of the clinical problems related to road traffic accidents more rigorous outcome research is warranted and needed. Copyright (c) 2010 John Wiley & Sons, Ltd.Key Practitioner Message: As the literature on the treatment of travel phobia is largely limited to small-n studies, this is the largest naturalistic outcome study of the treatment of patients with fear and avoidance of travel, subsequent to a traumatic event, to date. Travel phobia following road traffic accidents should be regarded as a treatable psychological condition requiring a limited number of sessions. In a significant minority of cases the condition is unlikely to remit spontaneously, potentially disrupting occupational, social and personal adjustment. Besides a purely exposure, in vivo-based approach, a mainly trauma-focused approach, such as imagery exposure or Eye Movement Desensitization and Reprocessing, can be an effective intervention for both travel phobia and milder forms of travel anxiety, and for both drivers and passengers.
Keywords: Phobia Travel Phobia
Accuracy Verified: Yes
339. Ross, C., & Rouanzoin, C. (2012, October). Uses of EMDR in complex dissociative disorders. 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:
EMDR can be used in the treatment of complex dissociative disorders. Both presenters have been treating dissociative disorders for decades and one is an approved EMDR trainer. This workshop will not include instruction on specific techniques: these can be learned from approved EMDR trainings which require six full days of workshop teaching, assigned readings, and 10 hours of supervision. Instead, the presenters will explain how EMDR is based on a trauma-dissociation model and is therefore highly suited to the treatment of complex dissociative disorders including DID. A brief description of EMDR will be provided, including its 8 phases, of which only one involves eye movements or other forms of bilateral stimulation. EMDR is consistent with three-stage models of trauma therapy: the eye movements are used in stage two, the active working phase of therapy. In EMDR this is called Phase 4. The work in trauma stage one (EMDR phases 1-3), in patients with DID or DDNOS, involves grounding, stabilization, system mapping, building co-consciousness, orientation of parts to the body and the present, and other elements from the dissociative disorders literature. The bilateral stimulation phase of EMDR should not be used until this phase one work is complete, or at least well underway. The presenters will then go on to provide case examples of how EMDR can be used in the psychotherapy of DID, DDNOS and the complex comorbidity that usually accompanies both.
Learning Objectives:
Participants will be able to describe how EMDR can be used in complex dissociative disorders.
Participants will be able to describe how EMDR is based on a trauma-dissociation model of mental disorders and addictions.
Participants will be able to describe the basic feaures of EMDR.
Keywords: Dissociative Disorders
Accuracy Verified: Yes
340. Marich, J. (2010, September/October). Using EMDR as a complement to 12-step recovery. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
Twelve-step recovery models and EMDR are highly complementary when appropriately combined. In this workshop, participants will identify the most common problems encountered in traditional addiction treatment models and consider how proper implementation of EMDR can provide elegant solutions. Participants will learn how to apply knowledge from the literature to formulate a list of “best practices” for using EMDR with addicted populations. Finally, participants will learn how to utilize the standard EMDR protocol (along with some simplified variations) in a recovery-specific fashion to help clients overcome their recovery roadblocks. This workshop contains interactive lecture, video clips/discussion, small group discussion activities, and a live demonstration/discussion.
Keywords: 12-Step Recovery Addiction Substance Abuse
Accuracy Verified: Yes
341. Marich, J. (2010, April/May). Using EMDR to overcome roadblocks in addiction recovery: Clinical applications based on phenomenological inquiry. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
The presenter will apply the EMDR protocol to work with recovering addicts. EMDR can assist these clients in working through recovery roadblocks such as inability to express feelings in a healthy manner and improper perspectives on lifestyle change. The workshop will reference the findings of the presenter’s 2008-2009 doctorial dissertation, “EMDR in Addiction Continuing Care: A Phenomenological Study of Clients Treated in Early Recovery.” The presenter, who regularly uses EMDR with recovering addicts, will draw upon the literature and extrapolate the clinical relevance of her study’s findings in a way that is palatable to both scholars and practitioners. (Intermediate)
Keywords: Addiction Addiction Recovery Phenomenological Inquiry
Accuracy Verified: Yes
342. Marich, J. N. (2009, August). Using EMDR to overcome roadblocks in addiction recovery: Insights from phenomenological inquiry. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Phenomenological inquiry places value in the lived experience of individuals. This workshop will present the findings of the presenter’s 2008-2009 doctoral dissertation, EMDR in Addiction Continuing Care: A Phenomenological Study of Clients Treated in Early Recovery. However, this workshop goes a step beyond presenting the research findings. The presenter, who regularly uses EMDR with recovering addicts, will extrapolate the clinical relevance of her study’s findings in a way that is palatable to both scholars and practitioners. Using existing knowledge from the literature and the field, combined with the study’s findings, the presenter will relay a series of general guidelines for using EMDR with recovering addicts.
Keywords: Addictions
Accuracy Verified: Yes
343. Staff. (1997, May). Using EMDR to treat psychological trauma. Clinician's Research Digest, 15(5), 3.
Language: English
Format: Newsletter
Abstract:
This article discusses outcome studies on eye movement desensitization and reprocessing (EMDR). It is noted that EMDR was originally designed for rapid treatment of traumatic memories, but practitioners have also applied it to such other problems as phobias, panic disorder, grief, chemical dependence, and dissociative disorders. Since the development of EMDR, numerous outcome reports in the form of case studies, single-subject experiments, and group design experiments have appeared in the literature. Several studies and meta-analyses of EMDR are described. While one meta-analysis concluded that the effects of EMDR are (a) not strong, (b) most apparent with self-report measures but absent with physiological indices of the disorder, and (c) absent altogether in some studies, other authors believe this is an overstatement. Two other meta-analyses note that there have been more controlled studies of EMDR than all other treatments for post-traumatic stress disorder (PTSD), and both acknowledge a range in findings. It has been suggested that there are numerous explanations for negative or limited findings for EMDR, most notably the use of chronic, multiply traumatized veterans (where secondary gain may be a concern), lack of treatment fidelity, and insufficient length of treatment.
Keywords: Emotional Trauma Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
344. Marich, J. (2013). Using eye movement desensitization and reprocessing (EMDR) in addiction treatment with African American women: A case series. In Jamie Marich's (Ed.), The Psychology of women: Diverse perspectives from the modern world (pp ). Nova Science Pub Inc.
Language: English
Format: Book Section
Abstract:
The experience of being a woman in the modern world cannot be easily described using a series of psychological cliches and generic feminist language. This book contains contributions from scholars and clinical practitioners around the globe (USA, Canada, China, Italy, UK). Collectively, these chapters show that studying the psychology of women in the modern world mandates the appreciation of diversity. Topics include pregnancy, motherhood, lifestyle issues, healthcare, gender role conflicts, stress management, addiction recovery, and trauma resolution. Information on causality and development of phenomena; implications for clinical care; and offering improved services for women are discussed throughout. Although primarily a psychology volume, influences from many academic disciplines, including public health, sociology, medicine, and literature are woven into the chapters, highlighting the importance of integrated approaches in conceptualising the experiences of women in the modernity.
Keywords: Addiction African Women Case Study
Accuracy Verified: No
345. Laban, C. J., Somers, J. A. G., Gokoel, K., & Minkenberg, E. (2011, April). Van transculturele verwarring, naar kennis en kunde [Of cross-cultural confusion, for knowledge and skills]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam .
Language: Dutch
Format: Conference
Abstract:
Toelichting: Hoe vanzelfsprekend is
het om even na te slaan wat het onderzoek over
discriminatie oplevert (Brondolo 2009), wat de
gegevens over uitsluiting toevoegen, wat de ervaring
van community health bijdraagt aan de psychiatrische
behandeling van een geïmmigreerd persoon
of diens nageslacht (De Jong 2010)? Waar
vindt de medicus practicus theoretische steun als
een patiënt bij hem komt voor een nieuw huis
omdat het oude behekst is, wat hij afleidt uit vreemd gedrag van zijn kind dat de arts herkent
als paniekstoornis? Hoe kan de psychiater wiens
eye movement desensitisation and reprocessing (EMDR)
vastloopt, profiteren van de kennis over cultuurverschillen
bij emoties? (Mesquita 2003). Hoe
helpt het cultureel identiteitsconcept, waarin
identiteit wordt gezien als de resultante van een
altijd doorgaande onderhandeling, de aanpak van
de depressieve oudere die levenslang gezorgd heeft
en nu steun van de kinderen moet ontberen? (Wei-
Chin Hwang 2010). Vertrekkend vanuit de casus
bespreken wij literatuur en keren terug naar de
casus.
Leerdoel: Aan het einde van de sessie
kan de deelnemer sleutelwoorden herkennen die
helpen om de verwarring op te heffen van niet
overeenkomende appraisal en attributie tussen
behandelaar en patiënt. Vervolgens herkent hij
hoe deze sleutelwoorden de weg wijzen naar relevant
onderzoek en vertaalt hij dat terug naar de
behandelpraktijk.
Explanation: How obvious
it just to save some research on
discriminatory (Brondolo 2009), which
Add information about exclusion, what the experience
community mental health contributes to
treatment of a person immigrated
or its progeny (De Jong 2010)? Where
medical practitioner finds theoretical support as
a patient comes to him for a new home
because the old bewitched, he infers the strange behavior of his child that the doctor recognizes
as panic disorder? How can the psychiatrist whose
Eye Movement Desensitisation and Reprocessing (EMDR)
freezes, benefit from the knowledge of cultural differences
with emotions? (Mesquita 2003). How
helps the cultural identity concept, which
identity is seen as the result of a
unceasing negotiation, addressing
the depressed older person who has brought life
and now must do without the support of the children? (Wei-
Chin Hwang 2010). Starting from the case
we discuss literature and return to the
case.
Objective: At the end of the session
The participant can recognize keywords
help to eliminate the confusion of not
matching between appraisal and attribution
practitioner and patient. Then it recognizes
how these keywords are relevant to the way
research and translates it back to that
treatment practices.
Keywords: Cross-Cultural
Accuracy Verified: Yes
346. Marich, J. (2009, August). What makes a good EMDR therapist?: Exploratory findings from client-centered inquiry. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .
Language: English
Format: Conference
Abstract:
Although there is emerging literature on training clinicians in principles of trauma (Black, 2008; Greenwald, Maguin, Smyth, Greenwald, Johnston, & Weiss, 2008), there is a lack of systematized research on the teaching of EMDR, formation of EMDR therapists, and the role of the therapeutic alliance in EMDR treatment. Despite the numerous changes in approved training models since the creation of EMDR, all the EMDR community has gathered is commentary and hypotheses on what works in terms of training therapists. Greenwald (2006) asserted that studying the clients of EMDR trainees would be “an impossibly resource-intensive endeavor,” (51), yet principles of phenomenology (Crotty, 1998) suggest that using clients as primary sources could yield the best possible information about what constitutes an effective EMDR therapist.
Keywords: Client-Centered Inquiry
Accuracy Verified: Yes
347. Muramoto, K. (2001, September). Women's trauma and healing in Japanese culture. Union Institute, Cincinnati, OH. AAT 3007972.
Language: English
Format: Dissertation/Thesis
Abstract:
This dissertation explores the reality of women's trauma and the effective treatment for traumatized women in Japanese culture. Current research on PTSD supports the universality of many of the biologically determined components of PTSD experiences, while the importance of considering the cultural aspect of trauma is also stressed. Key research questions were: Can PTSD and trauma-related disorders be diagnosed in Japanese women? To what degree are the trauma theory and treatment methods from the West applicable to Japanese women? The primary research method was a literature review supplemented by interviews with Japanese clinicians and reflections on the author's experience as a psychotherapist.In Japan, the interest in trauma has been rapidly growing in the 1990s, particularly after the year 1995 when the Great Hanshin (Kobe) Earthquake happened. The developing statistics of women's trauma in Japan signify a serious problem to women's mental health, as is found in United States. Although the literature is limited yet, the research indicated that Japanese women suffer almost the same symptoms of PTSD and other trauma-related symptoms as women in the U.S. One distinctive characteristic is that Japanese people tend to complain of physical pain rather than psychological symptoms. The assessment and treatment procedures for traumatized women were not studied enough in Japan. The author illustrated the effective assessment and treatment plan for Japanese women as an example. The Western trauma theories and treatment methods are applicable to Japanese women, requiring some additional devices. Supportive psychotherapy and EMDR seem to be prevalent approaches at present. Creative art therapy and body-centered approaches have the potential to be effective in Japanese culture. Vicarious traumatization in mental health professionals is becoming a serious problem in Japan, too. The author also paid attention to multigenerational trauma in Japanese society. The trauma caused by World War II is reviewed in an effort to suggest the enormity of the task we have in dealing with trauma. It is time for Japanese people to resolve multigenerational trauma so as to stop continuous trauma and to take care of traumatized people. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 62(3-B), Sep 2001, pp. 1591.
Keywords: Adults Cross Cultural Assessment Cross Cultural Treatment Diagnostic Validity Empirical Study Females Japanese Posttraumatic Stress Disorder PTSD Stressors Survivors
Accuracy Verified: Yes
348. van der Landen, M. E. (2012). Zijn de effecten van EMDR en imagination inflation tegengesteld bij herinneringen? Een onderzoek naar levendigheid en emotionaliteit van herinneringen bij geconcentreerde imaginatie en oogbewegingen [Are the effects of EMDR and imagination inflation opposed to memories? A study of vividness and emotionality of memories with concentrated imagery and eye movements]. Universiteit Utrecht, Utrecht.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is een veelgebruikte, effectieve therapievorm voor posttraumatische stressstoornis (PTSS). Imagination Inflation (II) kan optreden na geconcentreerde imaginatie. Bij EMDR worden herinneringen minder levendig en minder emotioneel. Het omgekeerde gebeurt bij II; door geconcentreerde imaginatie lijken herinneringen juist levendiger en emotioneler te worden. De vraag is of EMDR begrepen kan worden als de inverse van II. De effecten van EMDR zijn goed te modelleren onder laboratorium condities. Als II het omgekeerde is van EMDR zouden onder dezelfde lab condities, maar met het vervangen van oogbewegingen door geconcentreerde imaginatie er omgekeerde effecten op moeten treden van EMDR. Namelijk een toename van levendigheid en emotionaliteit van de herinneringen. Methoden: In totaal participeerden 60 personen verdeeld over twee groepen. Bij de ene groep werd 1) ophalen + oogbewegingen en 2) alleen ophalen toegepast, waarbij men twee negatieve herinneringen kreeg. De andere groep kreeg 1) ophalen + geconcentreerde imaginatie en 2) alleen ophalen toegepast met twee neutrale herinneringen. Resultaten: Geconcentreerde imaginatie leidde tot meer levendigheid van de neutrale herinnering, maar leidde niet tot toename van de emotionaliteit van de herinnering. Bij oogbewegingen zijn er geen statistisch significante resultaten gevonden. Conclusie: In tegenstelling tot eerdere literatuur, kon er geen significant effect van oogbewegingen aangetoond worden. Verondersteld is dat dit mogelijk een toevalsfluctuatie betreft. Geconcentreerde imaginatie leidde wel tot een significante toename van levendigheid van een neutrale herinnering. Vervolgonderzoek is nodig om dit verder te onderzoeken.
Eye Movement Desensitization and Reprocessing (EMDR) is a widely used and effective form of therapy for post-traumatic stress disorder (PTSD). Imagination Inflation (II) can occur after concentrated imagination. In EMDR memories are less vivid and less emotional. The reverse happens when II by concentrated imagination seem more vivid and emotional memories just be. The question is whether EMDR can be understood as the inverse of II. The effects of EMDR are well modeled under laboratory conditions. If II is the opposite of EMDR would under the same laboratory conditions, but with the replacement of movements by concentrated imagination is opposite effects have occurred in EMDR. Namely an increase of vividness and emotionality of memories. Methods: A total of 60 people participated divided into two groups. In one group, 1) + pick eye movements, and 2) only applied retrieval, where one received two negative memories. The other group received 1) + pick concentrated imagination and 2) only get applied with two neutral memories. Results: Concentrated imagination led to greater vividness of the neutral memory, but did not lead to increased emotionality of memory. When eye movements are no statistically significant results were found. Conclusion: Contrary to previous literature, there could be no significant effect of eye movements demonstrated. It is assumed that this may be a chance fluctuation concerns. Concentrated imagination did lead to a significant increase vibrancy of a neutral memory. Further research is needed to investigate this further.
Keywords: Emotionality Eye Movements Imagery Imagination Inflation Vividness
Accuracy Verified: Yes