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1. Wieland, S., & Baita, S. (2009, November). "Blank" ...Using EMDR with children who dissociate. Presentation at the International Society for the Study of Trauma and Dissociation, Washington, DC.

Language: English

Format: Conference

Abstract: Dissociation is a common response for children who experience abuse, severe neglect, or extreme disorganized attachment. EMDR can help (1) increase a child´s sense of safety and stability, (2) decrease disconnection between aspects of self, and (3) process trauma. While the part of the child existing in the `now´ may be aware of safety, the younger or infant part of the child to whom trauma occurred often is not aware of present safety. This younger part which continues in fear disrupts the child´s functioning. Ideas will be presented for using EMDR to increase knowledge of present safety across the child´s dissociative system as well as recognizing where safety may not exist. Use of EMDR for building secure attachment with child and parent, processing triggers, increasing the child´s connection between dissociative states, and processing both explicit and implicit memories will be described. Dissociative children are often difficult to work with. Ideas will be given for adapting EMDR for use with these highly volatile, dissociative children. The importance of recognizing and acknowledging dissociation when it appears within the child´s EMDR processing will be emphasized. This workshop is appropriate for therapists already trained in EMDR. Numerous case examples will be given.

Keywords: Children  Dissociation  

Accuracy Verified: Yes


2. de Roos, C., & Went, M. (2011, April). Als woorden tekort schieten: EMDR bij preverbaal trauma [When words fail: EMDR for pre-verbal trauma]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Infants (0-4 jarigen) kunnen allerlei traumatische gebeurtenissen meemaken zoals intrusieve medische handelingen, een ongeluk, seksueel misbruik en andere vormen van mishandeling. Daarnaast zijn er negatieve ervaringen die niet duidelijk identificeerbaar zijn zoals chronische oorpijn- of buikpijn. Ook deze ervaringen beinvloeden de ouder-kind interactie/ hechtingsrelatie en hebben daarmee hun weerslag op het vermogen tot emotieregulatie en het gedrag. Herinneringen aan deze gebeurtenissen zijn preverbaal en dus niet op bewust nivo toegankelijk. Daardoor worden zij gemakkelijk over het hoofd gezien als mede-oorzaak of instandhoudende factor van emotionele of gedragsproblematiek in de basisschoolleeftijd. Na aanmelding bij de Geestelijke Gezondheidszorg wordt behandeling daarom vaak gericht op de aanpak van de huidige gedragsproblematiek (symptoombestrijding). Onze ervaring is dat EMDR hier een goede aanvulling biedt. Deze methode richt zich immers op de ‘onderlaag’ van de problematiek door negatieve ervaringen die hieraan gerelateerd zijn te verwerken. Daarna kan een inhaalslag gemaakt worden met betrekking tot de emotieregulatie waardoor zowel gedrag als de ouder-kind interactie verbeteren. Aan de hand van casuïstiek van infants en schoolkinderen wordt de indicatiestelling en toepassing getoond van het EMDR protocol bij de behandeling van kinderen die in de eerste 4 levensjaren getraumatiseerd zijn. In de presentatie wordt geillustreerd hoe de ‘verhalenmethode’ geintegreerd kan worden in een breder behandelaanbod. Werkvorm In de presentatie worden theorie en praktijk gecombineerd. Videobeelden ondersteunen het verhaal.

Infants (0-4 years), all kinds of traumatic experience as intrusive medical procedures, accidents, sexual abuse and other forms ofof abuse . There are also negative experiences that are not clearly identifiable as chronic ear pain or abdominal pain. These experiences affect the parent-infant interaction / attachment relationship and thus have their impact on the capacity for emotion regulation and behavior. Memories of these events are preverbal and not accessible on a conscious level. Thus they are easily overlooked as a cause or co-maintaining factor of emotional or behavioral problems in primary school. After reporting to the Mental Health Treatment is therefore often aimed at addressing the current behavioral problems (symptoms). Our experience here is that EMDR provides a good addition. This method is focused on the 'layer' of the problem by negative experiences related to this process. Then caught up with regard to both behavior and emotion regulation allowing the parent-child interactions improve. Through case studies of infants and schoolchildren being shown the indication and application of the EMDR protocol in the treatment of children who are traumatized life on April 1. The presentation illustrated how the 'stories'method can be incorporated into a broader range of treatment. Form In the presentation combines theory and practice. Video images support the story.

Keywords: Infants  Children  Pre-Verbal Trauma  

Accuracy Verified: Yes


3. Klaus, P. (2005, June). Birth trauma - Causes, effects, methods to heal:  An EMDR approach. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Events at birth are traumatic and create feelings of powerlessness when they are actually or appear life-threatening to self or loved ones, are sudden, change quickly from "normal" to dangerous without explanation, and when the situation appears overwhelming. There is no time to prepare, no way to plan an escape or to prevent something from happening. A number of events during labor or birth such as unplanned interventions, serious problems in the mother, physical damage, a sick infant, and separation from the baby can be classified as traumatic. Major trauma for a woman occurs in childbirth when she has inordinate fear and is in a situation where she has no control. Other aspects of trauma are more subjective and relate to how a woman is treated and how she perceives the experience, often causing humiliation and stigma. Trauma during the prenatal period can affect the parents' perception of the baby, their own self-concept, their relationship, and can impair bonding and attachment. Early trauma can have both immediate and long-range effects on the parents and the infant and may create later in the adult psychological and somatic conditions and a negative self-concept. Equally important is the history the parents bring to this event as well as the quality of their relationship. Birth is a magnet for unresolved issues to emerge. Clinicians will learn about the causes and effects of these early traumas as well as methods, including EMDR to uncover, resolve, and heal them.

Keywords: Birth Defects  

Accuracy Verified: Yes


4. Klaus, P. (2007, June). Birth trauma: Causes, effects, methods to heal with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Clinicians will gain an understanding of the types of events that create psychological and physiological distress and trauma both at birth and afterward. Many conditions have their origin during this early period where generational messages as well as traumatic events surrounding birth and the early period of life can have negative effects. Participants will learn methods to work within the infant mind/body memory to retrieve early trauma and the subsequent events that reinforced it as well as facilitate healing through the life path of the individual. Clinicians can benefit by recognizing the elements that influence these situations, and with EMDR and other adjunctive techniques learn to resolve these very early experiences to help clients reach a higher level of adaptation for health. Objectives: 1.Identify the characteristics of traumatic or negative birth experiences. 2.Recognize the risk factors that affect the birth and can be projected onto the infant. 3.Identify the effects of early trauma on parent-infant relationships, bonding, the marital relationship, and on the infant. 4.Learn about long-term psychological and somatic sequelae of perinatal trauma on the adult individual. 5.Describe, demonstrate, and practice psychotherapeutic methods with EMDR to help resolve and heal these experiences.

Keywords: Birth Trauma  

Accuracy Verified: Yes


5. Forgash, C., Leeds, A., Stramrood, C. A. I., & Robbins, A. (2013). Case consultation: Traumatized pregnant woman. Journal of EMDR Practice and Research, 7(1), 45-49. doi:10.1891/1933-3196.7.1.45.

Language: English

Format: Journal

Abstract:
Case consultation is a new regular feature in the Journal of EMDR Practice and Research in which a therapist requests assistance regarding a challenging case and responses are written by three experts. In this article, Amy Robbins, a certified eye movement desensitization and reprocessing (EMDR) therapist from Atlanta, Georgia, briefly describes a challenging case in which a pregnant woman seeks treatment for trauma suffered in a tornado. The clinician asks if it is advisable to provide EMDR treatment and what concerns she should be aware of. The first expert, Carol Forgash, provides some general information about pregnancy and psychotherapy and outlines considerations, concerns, and contraindications for proceeding with EMDR. She recommends that if treatment is chosen, the therapist proceed with a recent trauma protocol to specifically target the traumatic memories of the recent tornado. The second expert, Andrew Leeds, comments on the absence of randomized controlled trials (RCTs) or other scientific reports exploring the safety of EMDR treatment of pregnant women. He states that pregnant women with symptoms of posttraumatic stress should understand that there is a high probability that EMDR will improve maternal quality of life and that the risks of adverse effects on stability of pregnancy are probably low, but that these remain unknown. The third expert, Claire Stramrood, explains that the few case studies that evaluated EMDR during pregnancy have found positive effects but pertained to women with posttraumatic stress disorder (PTSD) following childbirth. She asserts that once obstetricians have been consulted, women have been informed about possible risks and benefits, and, given their informed consent, they should be able to choose to commence EMDR therapy during pregnancy.

Keywords: Acute Stress Disorder  ASD  Posttraumatic Stress Disorder  Pregnancy  PTSD  Tornado  

Accuracy Verified: Yes


6. Scarlata, B. (1995). Changing cognitions. EMDR Network Newsletter, 5(1), 8-9.

Language: English

Format: Newsletter

Abstract:
Linda (not her real name) is a 40- year-old professional woman whose avocation is healing and who is proficient in several of the touch therapies. She has a Dissociative Disorder with well-defined "parts," but she has not experienced time loss. She is not on medication and although she is often depressed, she is able bfunction fairly well most of the time. As a child, she was emotionally and sexually abused by her father for approximately ten years. He is bedridden now, but she is still subject to his verbal abuse when she visits him once a week. He has never acknowledged his abuse, nor has she confronted him about it (although she has told her mother). She said she will not feel totally safe until he is dead. We have had ten sessions together. EMDR was used in most of our sessions during which she processed specific incidents of abuse that were very traumatic for her. She believes that she has many dissociated infant and child parts-each of whom hold a memory of one of the abusive incidents she experienced.

Keywords: Cognitions  

Accuracy Verified: Yes


7. Paulsen, S. L. (2008, November). Conversion seizures manifesting as infant alters: EMDR, somatic and ego state therapy. Presentation at International Society for the Study of Trauma and Dissociation, Chicago, IL.

Language: English

Format: Conference

Keywords: Conversion Seizures, Ego State Therapy  Infant Alters, Somatic  

Accuracy Verified: Yes


8. Torres, R. V. (2012, Novembro). Depressão por parto na adoção: A cura pelo EMDR [Partum depression after adoption: The EMDR cure]. In Casos Clínicos I. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Esse trabalho tem o objetivo de apresentar um caso clínico, de uma paciente de 46 anos, no período de adaptação da adoção de uma criança de cinco anos. As dificuldades apresentadas inicialmente eram relacionadas: à vinculação afetiva materna, ao exercício dos cuidados físicos e afetivos com a criança, ao exercício e à percepção do papel materno, aliados a fortes sintomas somáticos. Com a existência de grande desejo de ser mãe, há 15 anos fazia tratamento para engravidar. A adoção não representava um tabu para a mesma. No entanto, a infância vinha à tona com frequência e representava grande parte de seu sofrimento: sua mãe estava com 46 anos quando de seu nascimento e, desde então, fora acometida de enfermidades por toda sua vida, impedindo a realização de cuidados físicos e afetivos para com ela. Foram realizadas 20 sessões de EMDR e as experiências traumáticas da relação mãe x filha, bem como os medos de repetir a história passada, foram processados a uma resolução adaptativa, que permitiram a assimilação de suas lembranças passadas e a incorporação de padrões para experiências positivas, possibilitando a oportunidade de ampliar conexões com redes positivas. As memórias armazenadas que serviam de base para percepção, atitudes e comportamentos foram reprocessadas e, com isso, os sintomas físicos foram extintos, de maneira a permitir que a paciente assumisse uma nova postura frente à maternidade. A percepção sobre sua mãe foi alterada e conseguiu trazer à tona bons momentos de sua infância com a mãe. Também foi reprocessada uma situação relacionada ao perdão mútuo. A paciente hoje vive o processo de maternidade forma saudável e feliz, e 04 meses após o encerramento das sessões, adotou um menino de 03 meses de vida, sem que os sintomas reaparecessem.

This paper aims to present a clinical case of a patient of 46 years in the adjustment period from the adoption of a child of five. Difficulties were initially related: the linking maternal affection, exercise and physical care of the child with affection, exercise and perception of the maternal role, coupled with strong somatic symptoms. With the existence of a great desire to be a mother 15 years ago was receiving treatment for getting pregnant. The adoption did not represent a taboo for the same. However, childhood came to the fore and often represented a large part of his suffering: his mother was 46 years old when his birth and has since been stricken with illness throughout his life, preventing the achievement of physical and emotional care to her. Were performed 20 sessions of EMDR and traumatic experiences of the mother x daughter, as well as fears of repeating past history, were processed to an adaptive resolution, which allowed the assimilation of their past memories and incorporation of standards for positive experiences, allowing the opportunity to expand connections with positive networks. The stored memories that served as the basis for perception, attitudes and behaviors were reprocessed and, therefore, the physical symptoms were abolished, so as to allow the patient to assume a new stance facing the motherhood. The perception has changed about his mother and managed to bring out good moments of his childhood with his mother. It was also reprocessed a situation related to mutual forgiveness. The patient now lives the process of motherhood healthy and happy, and 04 months after the close of the session, adopted a boy of 03 months, without symptoms reappeared.

Keywords: Adoption  Motherhood  Postpartum Depression  

Accuracy Verified: Yes


9. Janssen, J. (2012, February). Een bijzondere casus (serie): EMDR-behandeling van vroegkinderlijke trauma’s bij een cliënte met een eetstoornis [A special case (series): EMDR treatment of early childhood trauma in a client with an eating disorder]. Tijdschrift voor Psychotherapie, 38(1), 21-37. doi:10.1007/s12485-012-0003-3.

Language: Dutch

Format: Journal

Abstract:
Onveilige hechting en vroegkinderlijke trauma’s liggen aan de basis van veel problemen die onze cliënten ervaren in hun dagelijkse leven en zij leiden tot disfunctionele gedachten- en gedragspatronen. In de babyfase ontwikkelt zich het (sociale) brein op basis van liefde of het ontbreken ervan. Het is de interactie tussen baby’s en hun ouders in de eerste jaren die bepalend is. Het introduceren in de therapie van liefde en liefdevolle ouders die er voor hen zijn, lijkt van essentieel belang te zijn voor een succesvolle behandeling. In dit artikel wordt het vier-stappenmodel van Katie O’Shea uiteengezet. De eerste drie stappen bieden de effectieve stabilisatie die nodig is om de behandeling van vroegkinderlijke trauma’s aan te gaan. In stap 4 kan deze behandeling vervolgens op gestructureerde wijze plaatsvinden. Met haar ‘EMDR’-model creëren we als het ware een nieuwe blauwdruk in het brein met als uitkomst ‘een reconstructie van het zelfbeeld’. O’Shea beoogt met haar model herstel van prenataal en perinataal trauma, wat met het standaard EMDR-protocol niet gemakkelijk wordt bereikt. DRS.

Insecure attachment and early childhood traumas are the basis of many problems that our clients experience in their daily life and they lead to dysfunctional thoughts and behavioral patterns. In the infant stage develops the (social) brain based on love or lack thereof. It is the interaction between babies and their parents in the early years is decisive. Introducing into the therapy of love and loving parents who are there for them, seems of vital importance for a successful treatment. In this article, the four-step model Katie O'Shea put apart. The first three steps provide effective stabilization to the necessary for the treatment of early childhood trauma to go. In step 4, this treatment can then structured by manner. With its' EMDR' model we create as were a new blueprint in the brain as being 'a reconstruction of the self '. O'Shea aim with the recovery model of prenatal and perinatal trauma, what with the standard EMDR protocol is not easily achieved. DRS.

Keywords: Childhood Trauma  Eating Disorder  

Accuracy Verified: Yes


10. Sugimoto, K. (2010, October). The effect of PTSD treatments after stillbirth: Eye movement desensitization and reprocessing (EMDR) combined with hypnotherapy. Presentation at the XVI International Congress of International Society of Psychosomatic Obstetrics and Gynecology, Venice, Italy.

Language: English

Format: Journal

Abstract:
Objective: Despite advances in obstetric and neonatal care, many women will experience the birth of stillborn infant or the death of a newborn. Stillbirth is a devastating experience for women, sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for post-traumatic stress after stillbirth. This study explores the possibility the use of EMDR combined with hypnotherapy in the treatment for post-traumatic stress after stillbirth. Methods: the study consisted of a 'before and after' treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (The impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) were collected. In addition, qualitative data from individual interviews with the participants were collected as well. Participants: four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section). Results: Three of the four participants reported reduction of post-traumatic stress after treatment (ranging from two to three sessions) and the beneficial effects remained after 1-3 years. One only took assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. Nevertheless, all of the participants have not finished EMDR treatment completely. They were happy at the possibility at working through their stillbirth experience, but not prepared to work with other disturbing memories (feeder memories) in the past. All of the participants were afraid of the influence upon next pregnancy. Conclusion: EMDR combined with hypnotherapy might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.

Keywords: Hynotherapy  Obstetrics  Posttraumatic Stress Disorder  PSTD  Stillbirth  

Accuracy Verified: Yes


11. Kimiko, S. (2010, October). The effect of PTSD treatments after stillbirth: Eye movement desensitization and reprocessing (EMDR) combined with hypnotherapy. Presentation at the XVI International Congress of International Society of Psychosomatic Obstetrics and Gynecology, Venice, Italy.

Language: English

Format: Conference

Abstract: Objective: Despite advances in obstetric and neonatal care, many women will experience the birth of stillborn infant or the death of a newborn. Stillbirth is a devastating experience for women, sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for post-traumatic stress after stillbirth. This study explores the possibility the use of EMDR combined with hypnotherapy in the treatment for post-traumatic stress after stillbirth. Methods: the study consisted of a ‘before and after’ treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (The impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) were collected. In addition, qualitative data from individual interviews with the participants were collected as well. Participants: four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section). Results: Three of the four participants reported reduction of post-traumatic stress after treatment (ranging from two to three sessions) and the beneficial effects remained after 1-3 years. One only took assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. Nevertheless, all of the participants have not finished EMDR treatment completely. They were happy at the possibility at working through their stillbirth experience, but not prepared to work with other disturbing memories (feeder memories) in the past. All of the participants were afraid of the influence upon next pregnancy. Conclusion: EMDR combined with hypnotherapy might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.

Keywords: Hynotherapy  Obstetrics  Stillbirth  

Accuracy Verified: Yes


12. Wieland, S. (2012, June). EMDR in children with dissociative disorders [EMDR en niños con trastornos disociativos]. Pre-Conference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
The effect of early interpersonal trauma on adult clients has been extensively studied and reported. Less attention has been given to the effects of complex trauma on children. Because childhood is the time of most rapid brain development as well as the time when children are dependent on adult caregivers, early physical, sexual, and emotional abuse, including neglect and witnessing domestic violence, has severe effects on infants and children – disorganized attachment, affect and behavioral dysregulation, and dissociation. In this preconference Sandra Wieland will describe how early trauma and neglect affects the infant/child’s brain, autonomic nervous system, and body system. She will explain how dissociation is often used by children to protect themselves from the impact – both emotional and physical – of complex trauma. Given this high level of fragmentation and fright, children are often not able to participate successfully in the standardized EMDR protocol. Dr. Wieland will teach ways in which the EMDR protocol can be adapted in order to access more completely the child’s fragmented internal system. She will use clinical vignettes to describe ways EMDR can assist in each of the three stages of trauma treatment – safety/stabilization, trauma processing, and integration. Maria Elena Aduriz will describe a case of a girl whose traumatization is the direct consequence of a disorganized attachment to a schizophrenic, unstable and suicidal mother. Through this case she will focus on the importance of learning how to articulate EMDR interventions with the child and her adoptive parents.

Los efectos del trauma interpersonal temprano han sido extensamente estudiados y documentados. Sin embargo, se ha prestado menos atención a los efectos del trauma complejo en niños. Debido a la etapa del desarrollo en la que se encuentran y a la dependencia respecto de los adultos, los niños son especialmente vulnerables a la exposición a eventos traumáticos en el seno de los cuidados familiares tales como maltrato físico, emocional y abuso sexual. Las consecuencias postraumáticas incluyen, entre otras, apego desorganizado, desregulación afectiva y conductual, y disociación. En esta preconferencia Sandra Wieland comenzará por describir de qué forma el trauma temprano y la negligencia afectan el desarrollo del cerebro, del sistema nervioso autónomo y del sistema corporal del niño. Explicará de qué manera la disociación suele ser utilizada por el niño como protección contra el impacto –tanto emocional como físico- del trauma complejo. Debido al miedo y al alto nivel de fragmentación que presentan estos niños el protocolo EMDR estándar no puede ser utilizado de manera eficaz. La Dra. Wieland enseñará cómo el protocolo EMDR puede ser adaptado para poder acceder de manera más completa al mundo interno fragmentado del niño. Describirá con viñetas clínicas de qué forma EMDR puede

Keywords: Developmental Trauma Disorder  

Accuracy Verified: Yes


13. Sugimoto, K. (2010, July). EMDR in the treatment for post-traumatic stress after stillbirth: How can we help grieving mothers?. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Objective: Despite advances in obstetric and neonatal care, many parents will experience the stillborn birth or death of a infant. Stillbirth is a devastating experience for women, and sometimes leads to depression, anxiety, traumatic grief and post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for posttraumatic stress after stillbirth. This pilot study explores the use of Eye Movement Desensitization and Reprocessing (EMDR) in the treatment for post-traumatic stress after stillbirth. Methods: The pilot study consisted of a ‘before and after’ treatment design combined with follow-up measurements 0.5-3 years after EMDR treatment. Quantitative data was collected using the Impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) questionnaires. In addition, qualitative data from individual interviews with the participants was collected. Participants in the study were four out-patient women with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section) in an urban area in Japan. Results: Three of the four participants reported reduction of post-traumatic stress symptoms after treatment (ranging from two to three sessions) and the beneficial effects remained after 0.5-3 years. One participant only had the assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. None of the participants completed the full EMDR treatment protocol. The participants were not prepared to work with other disturbing memories. They also hesitated to lose some of memories about the stillborn infant. All of the participants were afraid of how they might be influenced in the next pregnancy. Conclusion: EMDR might be a useful tool in the treatment for post-traumatic stress after stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.

Keywords: Grief  Mothers  Poster  Posttraumatic Stress Disorder  PTSD  Stillbirth  

Accuracy Verified: Yes


14. McMahon, E. (2002). EMDR in the treatment of attachment and bonding difficulties. In J. Morris-Smith (Ed.), EMDR: Clinical applications with children, Occasional paper no. 19 (pp. 31-36). London: The Association for Child Psychology and Psychiatry.

Language: English

Format: Book Section

Abstract:
A case of a young mother with an insecure attachment history herself who suffered severe post-natal depression after the birth of her first child and who regretted having this baby. Although recovering well from depression when first seen, having benefited from drug therapy and group therapy, there ware nevertheless little progress regarding her bonding with the child. Assessment indicated the emergence of an insecure/ambivalent attachment on the part of the baby resulting in excessive clinginess, sleeping, feeding and management difficulties. Apart from EMDR a number of other models of therapy were used in this case, including mother-infant psychotherapy, solution-focused and narrative therapy. In my own estimation, and in feedback from Susan, EMDR was the most powerful of all interventions. I think this care then represents a very good example of how EMDR is integrated with other therapeutic approaches. In terms of our understanding of this process, one conceptual model (Shapiro, 1995) is that the positive perspective and more adaptive interpretation that traditional therapy provides – including insight and a coherent narrative – is held in a separate neurological network and therefore cannot influence the network containing the dysfunction ally stored material associated with the traumatic memory. Traditional therapy is often unable to help the client link one to the other, and this is where EMDR is so impressively effective.

Keywords: Attachment  Bonding  Children  Occasional Paper  

Accuracy Verified: Yes


15. Gomez, A. (2012, May). EMDR therapy and adjunct approaches with children: Complex trauma, attachment, and dissociation. New York, NY: Springer Publishing.

Language: English

Format: Book

Abstract:
This is the first book to provide a wide range of leading-edge, step-by-step strategies for clinicians using EMDR therapy and adjunct approaches with children with severe dysregulation of the affective system. Written by an author internationally known for her innovative work with children, the book offers developmentally appropriate and advanced tools for using EMDR therapy in treating children with complex trauma, attachment wounds, dissociative tendencies, and compromised social engagement. The book also presents the theoretical framework for case conceptualization in EMDR therapy and in the use of the Adaptive Information Processing (AIP) model with children.
Principles and concepts derived from the Polyvagal Theory, affective neuroscience, attachment theory, interpersonal neurobiology, developmental neuroscience and the neurosequential model of therapeutics, which can greatly support and expand our understanding of the AIP model and complex trauma, are presented. The text also offers an original and pioneering EMDR therapy-based model to working with parents with abdicated caregiving systems. The model is directed at assisting parents in developing the ability for mentalization, insightfulness, and reflective capacities linked to infant's development of attachment security.
A unique and innovative feature of this book is the masterful integration of strategies from other therapeutic approaches, such as Play therapy, Sandtray therapy, Sensorimotor psychotherapy, Theraplay and Internal Family Systems (IFS), into a comprehensive EMDR treatment maintaining appropriate adherence to the AIP model and EMDR therapy methodology.
Key Features: •Provides creative, step-by-step, "how-to" information about the use of EMDR therapy with children with complex trauma from an internationally known and innovative leader in the field •Explores thoroughly the eight phases of EMDR therapy in helping children with attachment wounds, dissociative tendencies and high dysregulatio •Incorporates adjunct approaches into a comprehensive EMDR therapy while maintaining fidelity to the AIP model and EMDR therapy methodology •Contains an original EMDR therapy-based model for helping parents with abdicated caregiving systems to develop metalizing and reflective capacities

Keywords: Adjunct Approaches  Attachment  Children  Dissociation  Trauma  

Accuracy Verified: Yes


16. Potgieter, R. (2009, June). EMDR with a 14-week old baby with oral trauma. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Infant  Oral Trauma  

Accuracy Verified: Yes


17. Yehuda, R. (2012, October). Epigenetics: What does it explain about trauma survivors?. Plenary presented at the annual meeting of the EMDR International Association, Arlington, VA .

Language: English

Format: Conference

Abstract:
Most persons who develop PTSD in the aftermath of exposure recover from trauma-related symptoms, but remain at risk for a recrudescence of symptoms. This suggests that there are aspects of the response to high magnitude trauma that are long-lasting, despite variations in symptom intensity over time. Current bio-behavioral models of PTSD fall short of explaining the apparent paradox of an enduring response on the one hand and symptom change over time on the other. However, this phenomenon can potentially be explained by epigenetic mechanisms. Epigenetics (literally: “epi” meaning “in addition to” genetics) refers to a heritable change in the genome that can be induced by environmental events and does not involve an alteration of DNA sequence. Such modifications reflect enduring changes in the function of the DNA that are caused by environmental exposures. These changes can alter gene function influencing its biological activity. This presentation will discuss evidence for such changes in PTSD, and will explain how such mechanisms explain many of the salient features of PTSD, including individual variation in responses to events of similar intensity (e.g., combat exposures), and the relative permanence of biological and psychological alterations associated with the disorder. Current models of stress, or even gene-environment interactions, only partially address the influence of prior exposure(s) on PTSD vulnerability and the long-lasting biological and psychological effects of trauma exposure. In addition, epigenetic modifications can be transmitted intergenerationally, both through the maternal and paternal lines. The implications of such changes as PTSD vulnerability factors will also be discussed.

Keywords: Epigenetics  Plenary  Survivors  Trauma  

Accuracy Verified: Yes


18. Griffith, H. (2009, July). Evoking the embodied image with EMDR: Jung in the age of the brain. Presentation at the International Association for Jungian Studies Conference, Wales, Scotland.

Language: English

Format: Conference

Abstract:
A new paradigm for understanding psychopathology is emerging out of the convergence of research in formerly disparate domains such as neurobiology, attachment theory, and the effects of trauma. At the same time, unorthodox treatment modalities such as EMDR (Eye Movement Desensitization and Reprocessing) and the Energy therapies are beginning to gain favour in mainstream psychotherapy, not only because they seem to be supported by findings in fields such as neurobiology, but because they are so effective. As Jungians, I believe that our challenge is to revisit our work in the light of these latest scientific discoveries. In this paper, I first outline what brain imaging techniques are revealing about the importance of the dance between mother and infant in the actual hard-wiring of the babys developing brain. I then focus on trauma research, which shows how the release of stress induced hormones can result in the disorganization of the brain and the consequent shut down of integrative neuronal pathways. If we bring these two streams of research together we can see how early trauma within the parent infant bond, in which there is no adequate container to prevent the baby from falling into unbearable anxiety and terror, can initiate the hard-wiring of dysfunctional attitudes and behaviours that become reinforced throughout the childs development. I then briefly describe the EMDR protocol, which is proving to be a very effective technique in helping adult patients work through some of these dysfunctional patterns internalized in that very early parental dyad. This protocol uses a bilateral stimulation of the brain to engage a wider network of neuronal pathways to help process the painful psychological material, or complex, with which the patient is struggling. Facilitating a successful EMDR session is a little like witnessing a spontaneous active imagination as the patient weaves together the threads of a multitude of images, sensations, emotions, and cognitions into the fabric of a fuller, more nuanced, healing story of the self. The purpose of my paper is to demonstrate how these recent theoretical insights and treatment protocols can illuminate and enhance a Jungian approach to conducting psychotherapy. What I find remarkable is the compatibility between much of the contemporary research on the brain and many of Jungs ideas about the psyche. In this paper, however, I focus primarily on what we can learn about the complex. Drawing on numerous examples from case histories, I illustrate the effectiveness of the EMDR protocol in evoking the affect and embodied image at the core of the complex. I also demonstrate how the bilateral stimulation of the brain not only helps facilitate change but also, through the material which is engendered, gives us a window into how the complex was constructed in the first place.

Keywords: Brain  Jung  

Accuracy Verified: No


19. Shapiro, F. (1998). Eye movement desensitization and reprocessing (EMDR): Accelerated information processing and affect-driven constructions. Crisis Intervention and Time-Limited Treatment, 4(2-3), 145-157 .

Language: English

Format: Journal

Abstract:
Serves as an introduction to the primary concepts and procedures of eye movement desensitization and reprocessing (EMDR), as well as briefly reviews the present state of research on its efficacy in the area of posttraumatic stress disorder (PTSD). EMDR is a complex method that incorporates salient aspects of many of the major therapeutic modalities. The basic underlying principles are elucidated in the Accelerated Information Processing model which posits the ability to directly 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. Additionally, rigid and maladaptive schemata are assumed to be caused by earlier life experiences that are dysfunctionally stored. The primary goal of EMDR is to release clients from the non-adaptive bonds of the past, thereby providing them with the ability to make positive and flexible choices in the present. Current research on EMDR substantiates its ability to rapidly and effectively process the targeted event and attendant traumata. The eight phases of treatment are considered necessary to resolve the somatically-based pathologies. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Primary Concepts and Procedures  

Accuracy Verified: Yes


20. Gomory, T. (2001, January ). A fallibilistic response to Thyer’s theory of theory-free empirical research in social work practice. Journal of Social Work Education, 37(1), 26-50.

Language: English

Format: Journal

Abstract:
The author responses to the professor B.A. Thyer's theory of theory-free empirical research in social work practice. Thyer provides a number of examples in the present article, several apparently by his doctoral students. It is not quite clear what he means when he offers them in the spirit of these contemporary qualitative times as anecdotal examples of this distortion of the research process, except to suggest that these case examples are just personal reflections and are not therefore to be taken seriously. That would be most unempirical and to no point. It seems at least to this reviewer that a set of theoretical conjectures formalized in a treatment package was being tested, perhaps something to the effect that the provision of education about the consequence of compliance or noncompliance together with case management support and reminders will significantly improve maternal compliance. Thyer apparently doesn't recognize this as theory testing or using theory, but he would need to spell out specifically why, for example, case management is a theory-free intervention.[Author's abstract]

Keywords: Theory-Free Empirical Research  Thyer  

Accuracy Verified: Yes


21. Cronauer, E. (2012, Juni). Gute bindungen: Das konzept 'dyadic resourcing' von Phillip Manfield [Good bonds: The concept 'Dyadic Resourcing' by Phillip Manfield]. Präsentation auf EMDRIA Tag, Köln, Deutschland.

Language: German

Format: Conference

Keywords: Dyadic Resourcing  

Accuracy Verified: Yes


22. Gomez, A. M. (2012). Healing the caregiving system: Working with parents within a comprehensive EMDR treatment. Journal of EMDR Practice and Research, 6(3), 136-144. doi:10.1891/1933-3196.6.3.136.

Language: English

Format: Journal

Abstract:
This article is an excerpt from the book EMDR Therapy and Adjunct Approaches With Children: Complex Trauma, Attachment, and Dissociation. It presents an original model to work with caregivers of children with complex trauma. This model comprises 3 levels of parental involvement within a comprehensive eye movement desensitization and reprocessing (EMDR) treatment: psychoeducation, self-regulation, and memory reprocessing and integration (Gomez, 2009, 2012a, 2012b). Mentalization and reflective function (Fonagy & Target, 1997), mindsight (Siegel, 1999, 2010), mind-mindedness (Meins, Fernyhough, Fradley, & Tuckey, 2002), insightfulness (Koren-Karie, Oppenheim, Dolev, Sher, & Etziom-Carasso, 2002), and metacognitive monitoring (Flavell, 1979; Main, 1991) are all constructs linked to the parent's capacity to develop infant's attachment security. However, unresolved trauma and loss appears to impair these capacities in parents. Many children wounded by caregivers lacking such competences had to endure repetitive emotional, physical, and sexual overt and covert abuse; enmeshment and intrusiveness; or on the contrary, detachment and lack of connection. When the caregivers have been the wounding agents, their inclusion and active participation in the overall treatment of their children is fundamental.

Keywords: Caregiving System  Connection: Contingecy  Differentiation  Mentalization  Regulation  

Accuracy Verified: Yes


23. Herbert, C. (2004, February). Healing the inner child - EMDR imagery re-scripting technique with complex trauma clients. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.

Language: English

Format: Conference

Abstract:
Neuropsychological findings indicate that affect regulation is learned through secure attachment during the first year of an infant's life (Siegel, 1999; Schore, 1994, 1996). Poor affect regulation is one of the main indicators of clients diagnosed with Personality Disorders and those having experienced early life trauma, e.g. CSA or other abuse. Hence, one of the aims of a successful treatment outcome is healthy affect control. Yet, few therapeutic approaches for Personality Disorder or Complex Trauma currently focus ont the quality and re-building of such clients' early attachment relationships. Herbert (2002, 2003) describes a therapeutic framework, utilizing both EMDR and CBT (Cognitive Behavioural Therapy) technqiues for working with complex client problems, that incorporates an assessment of the quality of early attachment relationships and, based on this, various therapeutic methods, such as imaginal re-nurtuing, which aid clients to re-script and repair ruptures in clients' experiences of their early attachment relationships. Clinical practice indicates that through the use of these techniques, clients with previously poor affect control and functionally disrupted lives, can learn to build a more secure and functionally positive sense of Self with healthy mechanisms of affect regulation. a) The learning objectives for this presentation are to introduce participatns to 1. the concept of attachment and its role ind determining affect control, 2. a therapeutic framework for working with clients with complex problems, and 3, clinicial technqiues that hep repair deficits in early attachment relationships to allow cients build healthy mechanisms of affect control.

Keywords: Complex Trauma  Personality Disorders  Re-Scripting  

Accuracy Verified: Yes


24. Klaus, P. (2005, September). The impact of childhood sexual abuse on childbearing:  EMDR and other therapeutic interventions. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Childhood abuse memories can be activated at significant developmental periods or at stressful life events. Childbearing is especially vulnerable due perhaps to uncontrollable factors such as rapid changes in the woman's body, uncertainty and pain of labor, numerous invasive procedures, coping with medical professionals who are strangers with authority and power, and responsibility for a tiny, dependent infant. Participants will identify symptoms that may be exhibited during childbearing, recognize specific triggers that activate abuse memories and interfere with birth or parenting, and learn how to incorporate EMDR with specific interventions to help survivors reduce fears, minimize htrggers, promote healing and bonding.

Keywords: Child Bearing  Sexual Abuse  

Accuracy Verified: Yes


25. O'Malley, A. (2008, June). The impact of neglect and trauma on the developing infant brain and the implications for EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
This presentation starts with sensory development in pregnancy. By 22 weeks there is already a high level of brain organisation with touch, taste, hearing and smell already well developed. Balance, vision and motor development follow and the links to learning and states of consciousness are explained. The concept of birth as our first traumatic experience is introduced and the implications for future EMDR therapy are discussed. Infant brain development occurs sequentially implying vulnerabilities during the early years of life. This has a direct relationship on attunement, which is influenced by developmental neglect and trauma. The effects of this trauma for EMDR therapy are explored. New information about the probable mechanism of action of the bilateral stimulation used in EMDR is presented. The mechanism of translating sensory input into new neuronal patterns is explained. The hypothesis of a ‘window of tolerance’ in trauma is mentioned with the reasons why EMDR can help alleviate trauma by expanding the window of tolerance. The concept of a structural developmental model of emotional awareness is explained with how this relates to trauma and a sense of self. The anatomical correlates of emotional processing are suggested at both cortical and limbic system levels. Ways in which EMDR can be modified in light of this knowledge are proposed. An additional model of applying EMDR is outlined. This involves multilateral activation of sympathetic nervous systems to consciously overcome traumas. This process will be shown to lead to brainstem stimulation activating the cranial nerves, which innervate the ocular muscles generating rapid eye movement.

Keywords: Infantile Brain Development  

Accuracy Verified: Yes


26. 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


27. O'Malley, A. (2009, March). Infant mental health & EMDR. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.

Language: English

Format: Conference

Abstract:
The watch wait and wonder (www) approach to parental and infant mental health was developed in Toronto over the last 20 years. In the last few years a number of therapists have set up www clinics in the UK. We have been running a joint EMDR and www clinic in the North West since Jan 2007. As far as we know this is the only clinic to offer trauma focussed psychotherapy together with infant mental health in either the UK or Ireland. Infant brain development occurs sequentially implying vulnerabilities during the early years of life. This has a direct relationship on attunement, which is influenced by developmental neglect and trauma. The effects of this trauma for EMDR therapy are explored. New information about the probable mechanism of action of the bilateral stimulation used in EMDR is presented. The mechanism of translating sensory input into new neuronal patterns is explained. The hypothesis of a ‘window of tolerance’ in trauma is mentioned with the reasons why EMDR can help alleviate trauma by expanding the window of tolerance. An additional model of applying EMDR is outlined. This involves multilateral activation of sympathetic nervous systems to consciously overcome traumas. This process will be shown to lead to brainstem stimulation activating the cranial nerves, which innervate the ocular muscles generating rapid eye movement. This approach involves motor and sensory integration at the level of the 12 cranial nerves. Some case examples using bilateral olfactory desensitisation are discussed. Recommendations for the development of parent infant mental health services within the NHS are outlined

Keywords: Infants  Symposium  

Accuracy Verified: Yes


28. O'Malley, O. (2010, March). Integrating EMDR mindfulness & sensorimotic psychotherapy. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
The watch wait and wonder (www) approach to parental and infant mental health was developed in Toronto over the last 20 years. In the last few years a number of therapists have set up www clinics in the UK. We have been running a joint EMDR and www clinic in the North West since Jan 2007. As far as we know this is the only clinic to offer trauma focussed psychotherapy together with infant mental health in either the UK or Ireland. Over the last 12 months the service has developed as a combined clinic between Adult mental health and child & adolescent mental health services. The team comprises myself and my colleagues Dr Sheena Pollet and Thelma Osborn. Dr Pollet is a consultant psychiatrist in psychotherapy and also practices as a psychoanalyst. She initially receives referrals from the access and advice team or directly from the adult inpatient unit. Thelma Osborn practises as a specialist health visitor in primary care and is employed by the Primary Care Trust (PCT). She runs both individual and group psychotherapy for mothers referred with post natal depression. She has recently completed basic EMDR training (2008-9) I have integrated EMDR and sensorimotor psychotherapy with mindfulness and trauma focussed psychotherapy in a new theoretical paradigm which I have termed integrated reprocessing therapy (IRT). I will outline the use of this approach where traumatic births and neonatal vulnerabilities are a key feature of the presentation Recommendations for the development of parent infant mental health and a tier 3 perinatal mental health services within the 5 Boroughs Partnership Foundation Trust will be outlined.

Keywords: Watch Wait and Wonder Approach  WWW Approach  

Accuracy Verified: Yes


29. Binder, J. L. (2007, June). Mind or brain? Where does therapeutic change originate? A reaction to 'The reunion process: A new focus in short-term dynamic psychotherapy. Psychotherapy, 44(2), 137-141. doi:10.1037/0033-3204.44.2.137.

Language: English

Format: Journal

Abstract:
In "The Reunion Process: A New Focus in Short-Term Dynamic Psychotherapy," by Dr. Sandler (see record 2007-09422-001), addresses posttreatment relapse by a new therapeutic strategy based on attachment theory and recent research findings concerning the neurobiology of memory. This strategy involves the discovery or creation of positive childhood maternal attachment memories as a method of overcoming the dominance of negative memories. Dr. Sandler makes assumptions about what can be achieved in short-term therapies, the pace of therapeutic change, as well as the role in treatment outcome of techniques versus therapist skill and relationship factors. These assumptions are not supported by psychotherapy research. While the attempt to use new discoveries from neurobiology to guide the development of therapeutic techniques is admirable, the author appears to engage in a fair amount of speculative theoretical reductionism in attempting to explain the eventually positive outcome of the case he presents. I offer a more parsimonious psychological explanation, which is consistent with the short-term dynamic psychotherapy theory of change. (PsycINFO Database Record (c) 2007 APA, all rights reserved)

Keywords: Attachment  Attachment Behavior  Brief Psychotherapy  Early Memories  Memory Theory  Panic Disorder  Psychodynamic Psychotherapy  Psychotherapeutic Processes  Relapse  Short-term Dynamic Psychotherapy  

Accuracy Verified: Yes


30. Bradshaw, J. (2008, June). Neurobiological factors when working with children who have been victims of domestic violence and other traumatic events using EMDR. Poster session presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
This presentation will highlight the effects of domestic violence and other traumatic experiences on children from pre birth to 12 years of age and how EMDR can reduce the symptoms and give the subject a more appropriate perception of their experiences. The neurobiological aspects will be discussed at pre and post treatment of EMDR. EMDR therapy has proven to be a highly successful technique in the relief of psychological distress after trauma. It will be shown that babies traumatised before birth can be treated as effectively as children traumatised after birth. The impact on the developing baby will be discussed in relation to the stage of gestation that the mother experienced trauma. Knowledge of sensory development in pregnancy can inform the treatment plan for mother and baby subsequently. The impact of domestic violence and traumatic birth will be explored. If untreated in the mother there can be long lasting effects in the mother, child and the parent child relationship. Clinical examples will explain how EMDR can be modified to treat unresolved traumatic events. In infancy and early childhood memories are stored in sensory form often with little language. We will illustrate on video a narrative approach combined with parent facilitated EMDR in a traumatised 30 month old infant whose parents have a history of drug use. The impact of traumatic stress on the developing brain will be discussed and illustrated by video of two EMDR sessions with 10 and 12 year old children. This will show how the normal EMDR protocol must be modified to take childhood factors into account.

Keywords: Children  Domestic Violence  

Accuracy Verified: Yes


31. Schore, A. (2000, September). The neurobiology of attachment and the origin of self:  Implications for theory and clinical practice. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
The participant will: 1) learn how the attachment relationship acts to regulate the child's emotional state; 2) learn how these interactions influence the experience-dependent maturation of the infant's right hemisphere; and 3) learn the structure-function relationships of a regulatory system in the orbital prefrontal areas of the cortext.

Keywords: Neurobiology  

Accuracy Verified: Yes


32. Stramrood, C., van der Velde, J., Schultz, W. W., & van Pampus, M. (2011, March). A new application of EMDR: Treatment of posttraumatic stress following childbirth. Poster presentation at the American Psychosomatic Society 69th Annual Scientific Meeting, San Antonio, TX.

Language: English

Format: Conference

Abstract:
Purpose: To evaluate the possibility of using eye-movement desensitization and reprocessing (EMDR) treatment for women with posttraumatic stress following childbirth. EMDR is internationally recognized as one of the treatments of choice for posttraumatic stress disorder (PTSD). However, as outlined in a recent article on the management of PTSD following childbirth, very little is known about the effect of the intervention in women who experienced the delivery as traumatic. Methods: Two patients suffering from posttraumatic stress symptoms following childbirth were treated with EMDR. Patient A developed PTSD symptoms following the lengthy labor of her first child that ended in an emergency cesarean section (CS) after unsuccessful vacuum and forceps extraction. Patient B suffered from PTSD symptoms since the birth of her first child, during which a second degree vaginal rupture occurred, causing pain and resulting in the inability to use tampons and engage in sexual intercourse for several years. RESULTS: Both patients received EMDR treatment during their second pregnancy, using the standard protocol. After 2 sessions of EMDR including RDI and future template, patient A felt strong and confident about the upcoming delivery. She did not prefer a CS over vaginal birth or vice versa, as long as she would end up psychologically undamaged. Due to insufficient engaging of the fetal head, patient A underwent a secondary CS, but nonetheless looks back positively at the experience. Patient B felt calm and less anxious after two sessions of EMDR. Despite her initial request for an elective CS, she agreed to attempt vaginal delivery, and a healthy infant was born. Even though she suffered another second degree vaginal rupture, which fortunately did not cause dyspareunia this time, patient B also looks back positively at the second delivery. Conclusion: Treatment with EMDR reduced PTSD symptoms in these two women, and hence proved to be an effective intervention. Furthermore, both women were confident enough to attempt vaginal birth rather than demanding an elective CS. We advocate a large scale RCT involving women with postpartum PTSD to confirm the effect of EMDR in this patient group.

Keywords: Childbirth  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


33. Rebeiro, G. (2007, Novembro). O tratamento do trauma infantil [The treatment of infant trauma]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Keywords: Infant  Trauma  

Accuracy Verified: Yes


34. Wesselmann, D. (2007, September). Overcoming obstacles to healthy bonds: Treating parent-child attachments with EMDR. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Disturbed attachment in childhood is associated with serious emotional and behavioral disorders throughout the lifespan. Unfortunately, problems related to poor attachments and abuse by attachment figures are frequently transmitted from one generation to the next. This workshop will explain how these problems are transmitted and describe strategies for using EMDR to heal the effects of past trauma and strengthen the bonds between parents and children in birth families and challenging adoptive situations. By targeting blocks to healthy attachment and strengthening new, healthier patterns of relating for parents and children, even parents who were not lucky enough to have grown up with a secure attachment can be helped to overcome the odds and give their children a better life. This workshop blends technical, theoretical, and clinical elements in a manner that is both practical and enjoyable for participants.

Keywords: Attachment  Bonds  Children  Parents  

Accuracy Verified: Yes


35. Wesselmann, D. (2009, June). Overcoming obstacles to healthy bonds: Treating parent-child attachments with EMDR. Preconference presentation at the annual meeting of the EMDR Europe Association, Amsterdam, The Netherlands.

Language: English

Format: Conference

Keywords: Attachment Disorders  Attachment Theory  

Accuracy Verified: Yes


36. Schore, A. (2009, August). Part I: Right brain affect regulation: An essential mechanism of development, trauma, dissociation and psychotherapy. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Dr. Schore will discuss current models of the neurobiology of attachment, detailing the enduring positive and negative impact of interactively regulated and dysregulated bodily-based affective transactions on the organization of the infant’s developing right brain, which for the rest of the life span is dominant for the nonconscious processing of emotions, stress regulation, and intersubjectivity. Dr. Schore will then describe the negative impact of relational trauma on the developmental trajectory of the right brain and the origins of pathological dissociation. Applying the developmental model to the change process of psychotherapy, he will then describe the critical role of the right brain in implicit facial, gestural, and prosodic communications within the therapeutic alliance, in dysregulated states of affective hyper- and hypoarousal, and in empathy, transference-countertransference, and affect regulation. This work suggests that interactive regulation within the therapeutic alliance is a central mechanism in the treatment of patients with a history of early relational trauma.

Keywords: Dissociation  Mechanism  Plenary  Right Brain Affect Regulation  Trauma  

Accuracy Verified: Yes


37. Wesselmann, D. (2003, May). Plenary. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract: Attachment theory has identified adults with a secure attachment style as more resilient to stress and trauma than insecurely attached adults. The secure adult tends to have supportive relationships which buffer him from stress (Bowlby, 1988), and he is able to reflect upon his inner state and process emotions without becoming overwhelmed (Fonagy, 2000; van der Kolk 1996). In infancy secure attachment is related to the capacity to be soothed and comforted by the caregiver. The caregivers of secure infants are observed to be emotionally attuned, responsive and nurturing (Solomon & George, 1999). Schore (1996) explains that mothers of secure babies synchronize with the infant. The mother's organized brain synchronizes or harmonizes with the baby's disorganized brain, attuning to its feelings and needs, helping it calm when distressed and stay regulated when it is happy and excited. As a result, the infant's brain develops optimal circuitry for emotion regulation, and also learns through experience to trust and be comforted and to comfort himself. His basic sense of safety and trust gives him confidence as he begins leaving his parent's side and exploring the world.

Keywords: Plenary  

Accuracy Verified: Yes


38. 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


39. Luber, M., & Shapiro, F. (2009). Protocol for excessive grief. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 175-187). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
This protocol is to be used when there is a high level of suffering, self-denigration, and lack of remediation over time concerning the loss of a loved one. EMDR does not eliminate healthy appropriate emotions, including grief. It allows clients to mourn with a greater sense of inner peace. The protocol is similar to the Standard EMDR Protocol for trauma. The goal of this work is to have your client accept the loss and think back on aspects of life with the loved one with a wide range of feelings, including an appreciation for the positive experiences they shared. Francine Shapiro often brings up the issue: How long does one have to grieve? She asks us to not place our limitations on our clients as this would be antithetical to the notion of the ecological validity of the client's self-healing process. For example, a woman who believed that the death of her infant son was her fault despite her doing everything she could to prevent it, worked with EMDR soon after his death. "I can feel him in my heart. I am grateful for the time we had together. He's in a better place." Her work with EMDR did not take away her grieving but allowed her to accept the loss and to have a full range of feelings about her son. This chapter is a summary of the Excessive Grief Protocol (Shapiro, 2001, 2006). When there is excessive grief, target the following: past memories, present triggers, and a future template. The Excessive Grief Protocol Script is provided. [PsycINFO Database]

Keywords: Excessive Grief  Protocol  

Accuracy Verified: Yes


40. Madrid, A., Skolek, S., & Shapiro, F. (2006, October). Repairing failures in bonding through EMDR. Clinical Case Studies, 5(4), 271-286. doi:10.1177/1534650104267403.

Language: English

Format: Journal

Abstract:
Maternal-infant bonding is an intense emotional tie between mother and infant that often begins during pregnancy and continues after birth. Prolonged physical separation from one's infant or traumatic interference can sometimes impede this process, leading to a lack of bonding. Whereas many medical procedures and illnesses can cause mother and child to become separated immediately after birth and affect bonding, other causes of emotional separation may be somewhat more difficult to identify. Nevertheless, maternal trauma has been identified as one such form of emotional separation that can interfere with bonding. This article illustrates the application of Eye Movement Desensitization and Reprocessing (EMDR) for addressing bonding difficulties related to trauma issues. EMDR is an integrative psychotherapy that uses a standardized eight-phase approach to treatment and is a well-accepted treatment for trauma. Although more research is needed, this case suggests that EMDR may be an appropriate and efficient treatment for bonding difficulties. [Author Abstract]

Keywords: Attachment Behavior  Bonding Failures  Case Report  Clinical Case Study  Females  Integrative Psychotherapy  Maternal Infant Bonding  Maternal  Mother Child Relations  Separation Reactions  Parenting Behavior  Physical Separation  Pregnancy  Stressors  Survivors  Trauma  

Accuracy Verified: Yes


41. Madrid, A., Skolek, S., & Shapiro, F. (2007). Repairing maternal-infant bonding failures. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 131-145). Hoboken, NJ: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
This chapter presents an inside view of Eye Movement Desensitization and Reprocessing (EMDR) narrated by a client who was requested to tell her story to educate clinicians and clients so that others might be healed. The client's vivid account of her emotional history, along with the description of various memories targeted in treatment and the results of her processing sessions, provide an illustration of the therapy. Her emotional upheaval and adult relationships are a reflection of the cauldron of abuse, deceit, and chaos intrinsic to her family of origin. As indicated by the Adaptive Information Processing model, her symptoms were largely the result of the earlier negative experiences from childhood that were dysfunctionally stored in her brain. These memories had inherent within them the emotions and perspectives that generated her negative sense of self and inability to function happily in the world. The processing of the memories of these early events resulted in accelerated learning and a concomitant transmutation of her personal identity and self-efficacy. An addendum to the case by Kaslow elucidates the family systems perspective. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Asthma  Attachment  Attachment Behavior  Attachment Disorders  Bonding Problems  Bonding Failure  Maternal-Infant Bonding  Mother-Infant Bonding  Mother Child Relations  Mothers  

Accuracy Verified: Yes


42. Steele, A. (2001). The right side:  Therapy from the right side of the brain:  A role for EMDR with imaginal nurturing in the treatment of early neglect. Unpublished.

Language: English

Format: Other

Abstract: T
his paper proposes that early deficits in adult clients with insecure-attachment patterns can be addressed directly through a therapeutic component of imaginal nurturing with EMDR. These clients may exhibit little sense of self, low self-esteem, a sense of alienation, poor affect tolerance, inability to regulate emotions, inability to empathize, and impaired interpersonal relationships. Traditionally, the burden of the client's attachment deficits is left to be resolved through the therapeutic relationship itself. In this paper, a three-pronged approach to therapy is suggested: affect tolerance and emotion regulation skills training, imaginal nurturing, and trauma reprocessing, all within the context of a validating and caring therapeutic relationship. The focus of this paper is imaginal nurturing, the goals of which include developing an attachment between the adult, and infant and child selves to create a new relationship to self in the present. Two forms of imaginal nurturing are presented: Core Imaginal Nurturing, freestanding imaginal work in which the client experiences both providing and receiving nurturance, and Adjunctive Imaginal Nurturing which is incorporated into trauma reprocessing. A conceptual basis for this work is provided, and examples are given showing its use, benefits, and problems that can arise.

Keywords: Imaginal Nurturing  Neglect  

Accuracy Verified: Yes


43. Paulsen, S. (2008, November). Somatic aspects of treatment - Conversion seizures manifesting as infant alters: EMDR, ego state therapy & somatic therapy. Presentation at the 25th Annual Meeting of the Society for the Study of Trauma and Dissociation, Chicago, IL.

Language: English

Format: Conference

Keywords: Conversion Seizures  Ego State Therapy  Infant Alters  Somatic Therapy  

Accuracy Verified: Yes


44. Wesselmann, D. (2006, September). Strengthening parent-child attachments with EMDR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Although professionals and parents are often challenged by the provocative behaviors exhibited by children who have a history of pathogenic care and a diagnosis of reactive attachment disorder, children who-have attachment issues related to more subtle problems in parenting may be equally challenging. Negative family patterns related to poor attachments, once established, can create a negative feedback loop that is extremely difficult to change. EMDR offers a method for resolving trauma and loss and changing beliefs, feelings, and responses that may interfere with trust and the development of affectional bonds. Workshop participants will learn to identify significant precursors to attachment problems for EMDR reprocessing with parents and with children. They will learn methods to engage parents to do their own atttachement work and to change their automatic negative responses to their child's behaviors. Participants will learn methods of bilateral stimulation to strengthen feelings of closeness and connection between parents and children prior to EMDR reprocessing, and methods for effectively utilizing parents during EMDR with children in the treatment of attachment problems. Workshop participants will also learn how storytelling can be integrated into treatment as a method to help solidify new cognitions and develop a positive sense of self.

Keywords: Attachment  Storytelling  

Accuracy Verified: Yes


45. Gambuzza, C. A. (2010, June). Supervision, EMDR and ego state therapy. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .

Language: English

Format: Conference

Abstract:
The aim of this paper is to illustrate a self-reparation model within the framework of a supervision conducted my me. a therapy plan was defined for my colleague whose patent’s traumatic experience brought to light her own unresolved traumatic material. This innovative approach is not limited to the parallel therapy involving both patient and therapist, but is an intervention model. a syncletic approach integrating the standard EMDR protocol and other contributions: the attachment theory. Freud's and Bion's 'dream-work', A, van der Kolk's and 0,van der Hart's dissociative disorders treatment, Forgash's and Knipe's Ego States Therapy, A. Shore's affection regulation and self-repair therapy, Eigen's vision of damaged bonds. Maternal abandonment was the common traumatic event. The patient's mother abandoned him at birth in hospital, where he remained for a year before being institutionalized and then adopted. My colleague was abandoned by her mother when she was one year old. The transition from supervision to EMDR was facilitated by the vast dream material produced by my colleague; her dreams represented targets for EMDR. According to Eigen, dream-work addresses the damage inflicted on the self, thus the traumas experienced, and plays a major role in digesting the impact of events and in metabolizing emotions: through the dreams we try to make the indigestible digestible. Dream-work constantly reveals states of the self: dreams evolve within damaged bonds and express the psyche's attempts to undo the damage or to get the best from it. EMDR shares the same objectives and tools same as dreams. At an operational level, EMDR made it possible to analyze the dream material and to integrate the dissociated dream material related to the traumatic, catastrophic abandonment induced damage. The Ego States Therapy allowed my colleague to talk with her dissociated Ego States, to negotiate with the States a higher behavioural model, and to free her Ego States held hostage by others. At the end of this journey, a dream expresses Ego States integration. Work on the future using EMDR is concluded with these thoughts "I want to thank you because the supervision, albeit not therapy, was an important experience that opened up a new space for me: the space of perspective. The beam of light crossing the two sheaves in the dream gives a meaning to the supervision, supervision has created a third dimension in me: the dream within the dream. It is the vehicle, the skill to perceive this dialogue space, intersubjective and intrasubjective, where things change. It alleviates the feeling of being impotent. The dialectical position enables me to speak. I am very grateful for that." My colleague's dreams were incorporated in a dream network and indicate the phases of EMDR induced mental digestion. My colleague has rebuilt herself in a supervision scenario. This study demonstrates the effectiveness of EMDR in hitherto unthought-of areas, i.e., within the framework of supervision.

Keywords: Ego State Therapy  Supervision  

Accuracy Verified: Yes


46. Lamprecht, F. (2003). Themenschwerpunkt behandlung psychotraumatischer belastungsstörungen mit EMDR [Topics focus on treatment of psychological trauma with EMDR]. Kröning: Asanger.

Language: German

Format: Book

Abstract:
Mit Beiträgen über EMDR in der Behandlung von chronischem Schmerz, EMDR in der Psychotherapie von Persönlichkeitsstörungen mit und ohne Symptomatik einer PTPS, EMDR in der Behandlung dissoziativer Störungen, EMDR bei Schädel-Hirn-Traumatisierten, über die psychophysiologische Regulation bei Patienten mit PTSD und den Veränderungen nach einer EMDR-Behandlun sowie den physiologischen und biologischen Veränderungen nach frühen kindlichen Traumata und deren Behandlungsmöglichkeit.

Focus: Treatment of psycho traumatischer stress disorders with EMDR (ed. Lamprecht). With contributions of EMDR in the treatment of chronic pain, EMDR in psychotherapy personality disorders with and without symptoms of a PTPS EMDR in treatment of dissoziativer disorders, EMDR at skull-brain-Traumatisierten, on the psycho physiological regulation in patients with underlying and changes after a EMDR Behandlun and the physiological and biological changes after early infant trauma and their treatment option.

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


47. Zirlinger, S. (2008, Octubre 8). Trauma temprano, apego y EMDR [Early trauma, attachment and EMDR]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=454 om 1/4/2009.

Language: Spanish

Format: Other

Abstract:
Muchos autores, de diversas orientaciones, se han interesado en indagar, entender y explicar las consecuencias psíquicas y biológicas que padece un sujeto que ha estado expuesto a traumas psíquicos tempranos. Tomaré ideas de John Bowlby, quien ha desarrollado la noción de apego y las vicisitudes de su perturbación ligándolos a traumas tempranos. Vincularé estas nociones con las posibilidades terapéuticas que brinda el EMDR (Desensibilización y reprocesamiento por los movimientos oculares) en los cuadros clínicos que llevan implícitos estos traumas. El patrón de apego del niño es afectado cuando padece un traumatismo temprano. Pierden la confianza en su capacidad de cuidarse, aferrándose ansiosamente a alguien o se desapegan patológicamente. En 1950, Bowlby J. estuvo vinculado seis meses con la OMS, y en 1951 publicó Cuidado maternal y salud mental. A partir de 1957 se interesó en los enfoques que lo condujeron a proponer la Teoría del Apego en el intento de definir “la naturaleza del vínculo que une al niño con su madre”, lo que lo llevó a iniciar una revisión desgarradora de los lazos humanos.

Many authors, from different directions, are often interested in investigating, understanding and explaining the biological and psychological consequences suffered by a subject who has been exposed to early psychic traumas. I'll have ideas of John Bowlby, who developed the notion of attachment and the vicissitudes of his disturbance linking them to early trauma. Interconnectedness of these concepts with the therapeutic possibilities offered by EMDR (desensitization and reprocessing eye movement) in the clinical pictures that are placed these traumas.

Keywords: Attachment  Early Trauma  

Accuracy Verified: Yes


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

Language: German

Format: Journal

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

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

Keywords: Attachment  Chidlren  Biologic Variations  Psysiologic Variations  Trauma  

Accuracy Verified: Yes


49. Tufnell, G. (2008, June). Traumatised parents of traumatised children: A brief EMDR intervention. Presentation at the annual mmeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Where children have suffered traumatic experience, parents may also have been affected by the same event and may themselves suffer significant post traumatic symptoms. Parents affected in this way are often unable to attend as well as they would like to the needs of their children, to respond appropriately, or to provide optimal support for their children. It is well known that parental mental ill-health – especially maternal mental health problems - is a risk factor for mental health problems and the development and perpetuation of PTSDs in children. Our clinic has seen many children with parents who have been affected in this way. This paper describes a brief EMDR intervention developed by our team for providing help to these traumatized parents. It is shows how a brief intervention of this kind can be useful in bringing rapid relief to parents suffering from PTSs and how the resulting improvement in attunement and responsiveness to the child is associated with improvements in the child’s functioning.

Keywords: Children  

Accuracy Verified: Yes


50. Settle, C., & Bolte, C. S. (2012, October). Treating dissociation, ritual abuse and mind control from an attachment perspective. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
Using EMDR as an integrative therapeutic approach from an attachment and developmental trauma lens, this presentation will give practical strategies for treating clients with Dissociative Identity Disorder (DID) symptoms who have experienced Ritual Abuse and Mind Control (RA/MC). Infant disorganized attachment is an important precursor to adult dissociation and perhaps even more of a predictor of Post Traumatic Stress Disorder (PTSD) than severe trauma alone (van der Kolk). RA/MC programming will be explained so the clinician understands the layers of complexity in treating these dissociative symptoms and ego states.

Keywords: Attachment  Dissociation  Mind Control  Ritual Abuse  

Accuracy Verified: Yes


51. Went, M., & Struik, A. L. (2010, June). The use of EMDR with infants. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Often it is said that traumatization in the preverbal period cannot be treated. Doctors, psychologists, police officers tell parents to wait until the child is older, so it can talk about it. In this presentation we will demonstrate the contrary. That EMDR is a very useful method for processing preverbal traumatic memories in infants. We will start by explaining how to structure the EMDR sessions, illustrated by videotapes of boy (nearly three) and his parents who was traumatized by medical treatments starting in the first months of his life. We will explain how to access and activate the traumatic memories, how to help the child during desensitization by timing and dosing stimuli, and how to determine whether the traumatic memory is completely processed. Then we will illustrate the devastating consequences on the development of an infant of preverbal traumatization. These consequences usually are underestimated by parents, pediatricians and even psychologist. As these children get older, their development is more and more disturbed and they behave like children with ADHD of Autistic disorders, and sometimes even get diagnosed. After EMDR these infants start to recover and grow rapidly in emotional en social development and the use of play. Their oppositional behavior changes in daily life activities as changing a diaper, brushing teeth, going to bed and changing clothes. They become less resistant. Parents see that the presumed characteristics of their child change and looking back they recognize those as symptoms of traumatization. This is even clearer with children who are traumatized by medical treatment. They are usually referred to EMDR therapist because of their resistant behavior in the hospital which makes medical treatment impossible. The urgent requirement of medical care is often the main reason for staking treatment. The realization of the impact of the medical treatment on their child is very painful for the parents. Nowadays parents are often asked to assist during these treatments and they feel as perpetrators. If necessary we also offer parents EMDR. New and unique: The use of EMDR in infants is quite unique because it requires knowledge of infant psychiatry and traumatization and EMDR It is a very complicated but rewarding treatment. The aspect of traumatization and the use of EMDR in medical treatment is very underestimated The material in this workshop is new and unique for the use of EMDR in these children. Learning objectives: - Participant will learn the basic tenants of the assessment of preverbal traumatization. - Participant will learn the basic tenants of the assessment of preverbal medical traumatization, which is very much underestimated. - Participant will learn how to access and activate the traumatic memories in infants and how to help the child during desensitization by timing and dosing stimuli. -Participant will learn how to determine whether the traumatic memory is completely processed in these infants.

Keywords: Infants  Preverbal Medical Traumatization  

Accuracy Verified: Yes


52. O'Malley, A. (2007, June). Using EMDR in unresolved neonatal trauma in a 13 year old and in a 7 year old whose father killed their mother. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract: I am presenting the case of a 13-year-old boy who was referred because of uncontrolled rage evident in his relationship with peers in one incident he had a fellow pupil’s head under water until he was gasping for air.. He had shown little remorse towards the boy and described the incident as funny. The family had experienced a series of traumatic events. They were forced to evacuate their home when criminal gangs attempted to burn them out; his was to use the house for drug-related activity. Gang members had assaulted my patient and his mother in the street after going to the police. After meeting with the parents and brother and older sister, I had identified that on top of this recent trauma L had extreme hostility towards his mother who he described as “that woman.” My initial EMDR sessions were with L and his father. During processing of the trauma, my video will show bizarre movement including rolling his head back, hypotonic posture and behavior similar to an infant. This can be understood in relation to L’s early development. He was born at 33 weeks gestation and spends his first 6 weeks in a special care baby unit (CBU) in an incubator. My presentation will discuss the neurological consequences of early trauma and how a narrative approach using EMDR can help in recovery. This approach is based on the work of Dr. Joan Lovett. She is a California-based pediatrician who has developed a protocol for working with children who have experienced significant trauma following premature birth.
My second case is J, a 7-year-old boy who witnessed his father murder his mother approx 1 year ago. He was then held hostage by his father for 6 hours with the body of his mother lying in a pool of blood in the kitchen while the police negotiated with J’s father for his release. My first involvement with J was an in depth assessment of his emotional attachment and placement needs for the court. During this process, he developed frequent infantile rages and I advised the system of care around J on their management. At one stage, he had recurrent dreams about joining his mother in heaven and he was discovered attempting to strangle himself. I will discuss how I used the safe place protocol to alleviate his distress. I am now using EMDR directly with J. I use a variety of bilateral alternating stimuli. These include drumming, musical symbols, and a xylophone. I am able to get J to draw sequentially with each new drawing generated by J performing the “Butterfly hug.” I was inspired to use this technique after I attended a wonderful workshop facilitated by Michel Silvestre entitled “integrating family therapy and EMDR.” I hope to discuss in this presentation how EMDR can be combined with other therapeutic approached in a case of extreme trauma experienced by a 6-year-old boy who is now effectively orphaned as his father is in prison probably for the rest of his natural life. I will also allude to some of the techniques discussed by Dr. Atle Dyregrov at the 5th annual UK and Ireland conference in London in March last year. He presented in depth therapeutic work with a girl who suffered the trauma of her mother’s suicide. I will discuss some of the challenges presented by traumatic grief and how the EMDR protocol can be adapted for use in children.

Keywords: Children  

Accuracy Verified: Yes


53. van Nuys, D. (2007, November 17). Using Hypnosis and EMDR to Repair Broken Maternal-Infant Bonds, David Van Nuys, Ph.D., aka “Dr. Dave” interviews Tony Madrid, Ph.D.. Shrink Rap Radio #119.

Language: English

Format: Audio

Keywords: Hypsosis  Maternal-Infant Bonds  

Accuracy Verified: Yes


54. O'Malley, A. (2010, March). The watch wait and wonder. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland .

Language: English

Format: Conference

Abstract:
The watch wait and wonder (www) approach to parental and infant mental health was developed in Toronto over the last 20 years. In the last few years a number of therapists have set up www clinics in the UK. We have been running a joint EMDR and www clinic in the North West since Jan 2007. As far as we know this is the only clinic to offer trauma focussed psychotherapy together with infant mental health in either the UK or Ireland. Over the last 12 months the service has developed as a combined clinic between Adult mental health and child & adolescent mental health services. The team comprises myself and my colleagues Dr Sheena Pollet and Thelma Osborn. Dr Pollet is a consultant psychiatrist in psychotherapy and also practices as a psychoanalyst. She initially receives referrals from the access and advice team or directly from the adult inpatient unit. Thelma Osborn practises as a specialist health visitor in primary care and is employed by the Primary Care Trust (PCT). She runs both individual and group psychotherapy for mothers referred with post natal depression. She has recently completed basic EMDR training (2008-9) I have integrated EMDR and sensorimotor psychotherapy with mindfulness and trauma focussed psychotherapy in a new theoretical paradigm which I have termed integrated reprocessing therapy (IRT). I will outline the use of this approach where traumatic births and neonatal vulnerabilities are a key feature of the presentation Recommendations for the development of parent infant mental health and a tier 3 perinatal mental health services within the 5 Boroughs Partnership Foundation Trust will be outlined.

Keywords: Practice  Theory  

Accuracy Verified: Yes


55. Wesselmann, D. (2012, June). Working with EMDR in adopted children and their parents. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Many children who are adopted due to difficult early circumstances exhibit severe and challenging behaviors due to a history of attachment trauma and loss. This presentation will describe an EMDR Integrative Team Treatment of attachment trauma in children. Integration of family therapy interrupts unhealthy dynamics and increases parents’ compassion and emotional support for their children, allowing them to open up emotionally and resolve trauma and loss with EMDR. Participants will learn to implement EMDR Attachment Resource Development exercises to strengthen the bonds between children and their adoptive parents. They will be able to apply cognitive interweaves to assist children in EMDR reprocessing who are looping, overwhelmed, or dissociating. The use of storytelling aids in accessing preverbal trauma. Preliminary research data will be presented showing positive changes in attachment and decrease in aggression and defiance following EMDR Integrative Team Treatment. The presentation will combine lecture, practicum, and videos.

Muchos niños que son adoptados debido a sus tempranas circunstancias difíciles exhiben comportamientos graves y desafiantes debido a su historia de trauma de apego y pérdida. Esta presentación describe un tratamiento integrado en equipo de EMDR del trauma de apego en niños. La integración de la terapia familiar interrumpe las dinámicas dañinas y aumenta la compasión de los padres y el apoyo emocional para sus hijos, permitiéndoles abrirse emocionalmente y resolver el trauma de abandono con EMDR. Los participantes aprenderán a implementar las herramientas de apego en EMDR y los ejercicios para estrechar los lazos entre el niño y los padres adoptivos. Serán capaces de aplicar entretejidos cognitivos para ayudar a sus hijos en reprocesamiento EMDR cuando están en “looping”, en abreacción o disociados. El uso de el Cuentacuentos para acceder al trauma preverbal. Datos preliminares de investigaciones serán presentados mostrando los cambios positivos en las relaciones de apego y el descenso en la agresividad y la confrontación después del tratamiento integrado en equipo EMDR. Esta presentación combinara, ponencia, práctica y videos.

Keywords: Adoptives  

Accuracy Verified: Yes