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Your Results - you searched for the keyword Minnesota Resilience Project for Veterans 319 Results
1. Ouellette, D. W. (2007, September-October). "Getting the war out:" New paradigms for healing post-traumatic stress. Natural Life News & Directory.
Language: English
Format: Newsletter
Abstract:
EMDR is a psychotherapeutic approach developed by Francine Shapiro that uses dual
attention stimulation, such as eye movements, bilateral sound, or bilateral tactile stimulation,
to resolve symptoms resulting from exposure to a traumatic or distressing event.
Clinical trials have demonstrated EMDR's efficacy in the treatment of PTSD. It has
shown to be more effective than some alternative treatments and equivalent to cognitive
behavioral and exposure therapies.Although some clinicians may use EMDR for
various problems, its research support is primarily for disorders stemming from
distressing life experiences.
Keywords: Combat Veterans War
Accuracy Verified: Yes
2. محمد نريمانی * و سوران رجبی [Narimani, M., Ahari, S. S., & Rajabi, S.] (2010, Winter). مقايسه تاثير روش حساسيت زدايی توام با حرکات چشم و پردازش مجدد (EMDR) با درمان شناختی ـ رفتاری (CBT) در درمان اختلال استرس [Comparison of efficacy of eye movement, desensitization and reprocessing and cognitive behavioral therapy therapeutic methods for reducing anxiety and depression of Iranian combatant afflicted by post traumatic stress disorder]. مجله علوم پزشکی دانشگاه آزاد اسلامی ، واحد پزشکی تهران، 19 (4), 236-245 [Medical Sciences Journal of Islamic Azad University, Tehran Medical Branch, 19(4(58)), 236-245].
Language: Persian
Format: Journal
Abstract:
سابقه و هدف: با توجه به ماهيت علامت محوربودن درمان دارويی، از روش های درمانی حساسيت زدايی توام با حرکات چشم و پردازش مجدد (EMDR) و شناختی- رفتاری (CBT) در درمان اختلال استرس پس از ضربه (PTSD) استفاده می شود. هدف اين مطالعه بررسی تفاوت تاثير دو روش درمانی EMDR و CBT در اختلال استرس است.
روش بررسی: در اين مطالعه مورد شاهدی 51 رزمنده مبتلا به PTSD بستری در بيمارستان ايثار اردبيل يا ساکن در شهر اردبيل به روش نمونه گيری تصادفی ساده انتخاب شدند و به صورت تصادفی به سه گروه تقسيم شدند.روش مطالعه، آزمايشی گسترش يافته و طرح تحقيق از نوع پيش آزمون ـ پس آزمون چندگروهی بود. ابزارهای مورد استفاده شامل آزمون خاطره های آزاردهنده، مقياس براشفتگی ذهنی، مقياس شناخت واره های مثبت و مقياس اضطراب و افسردگی بيمارستانی بود.
يافته ها: روش های درمانی EMDR و CBT باعث کاهش معنی داری در متغيرهای خاطره های آزاردهنده، اضطراب و افسردگی و برآشفتگی ذهنی شد و ميزان اعتماد به شناخت واره مثبت به طور معنی داری افزايش يافت. روش درمانی EMDR در مقايسه با CBT در کاهش علايم PTSD رزمندگان ايرانی موثرتر بود، با اين وجود هر دو روش در کاهش علايم اين اختلال موثر بودند.
نتيجه گيری: با توجه به اثر درمانی EMDR و CBT در درمان PTSD، پيشنهاد می شود به منظور پيشگيری و کاهش علايم اختلال استرس پس از سانحه جنگ در رزمندگان ايرانی از روش های درمانی فوق در مراکز درمانی استفاده شود.
Background: According to symptom oriented of drug therapy in the treatment of post-traumatic stress disorder (PTSD), eye movement, desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) were increasingly used. The aim of this study was to compare effects of EMDR and CBT in acute stress.
Materials and Methods : In this case-control study of 51 combat PTSD patients admitted to hospital or residing in the sacrifice of Ardabil Ardabil simple random sampling were selected randomly divided into three groups. Methods, expanded testing and research design type were tested before Chndgrvhy test. Test tools used included disturbing memories, anger scale, mental, cognitive scale Varh positive and the hospital anxiety and depression scale.
Results : EMDR and CBT treatments significantly reduced the variables disturbing memories, anxiety and depression and mental frustration and level of confidence in recognizing the positive Varh significantly increased. EMDR therapy compared with CBT in reducing PTSD symptoms was more effective Iranian combatants, however, both methods were effective in reducing symptoms of this disorder.
Conclusion : According to the therapeutic effect of EMDR and CBT in treating PTSD, is recommended to prevent and reduce symptoms of post traumatic stress disorder in war veterans of the Persian mentioned therapies used in treatment centers.
Keywords: Anxiety Anxiety Disorders CBT Cognitive Behavioral Therapy Cognitive Therapy Depression Depressive Disorders Iranians Middle Aged Posttraumatic Stress Disorder PSTD Treatment Effectiveness Veterans War
Accuracy Verified: Yes
3. محمد جواد احمدى زاده *، حسين اسکندری ، محمدرضا فلسفى نژاد و احمد برجعلی [Ahmadizadeh, M. J., Eskandari, H., Falsafinejad, M. R., & Borjali, A.] (2010, Fall). مقایسه اثر بخشی جنبش چشم "شناختی رفتاری" و " حساسیت زدایی بازفرآوری "مدل های درمان در بیماران مبتلا به جنگ پس از سانحه اختلال استرس [Comparison the effectiveness of “cognitive-behavioral” and “eye movement desensitization reprocessing” treatment models on patients with war posttraumatic stress disorder]. Iranian Journal of Military Medicine, 12(3), 173-178.
Language: Persian
Format: Journal
Abstract:
Aims: Post Traumatic Stress Disorder (PTSD) is an anxiety disorder which can develop after exposure to any
event which results in psychological trauma. Cognitive-Behavioral Therapy (CBT) is the most commonly used
treatment for the disease and Eye Movement Desensitization and Reprocessing (EMDR) is a more rapid,
relatively recent method. This study was designed with the aim of comparing the efficacy of Cognitive-
Behavioral Therapy and Eye Movement Desensitization and Reprocessing method on reduction of specific
symptoms and recovery in patients suffering from PTSD due to war.
Methods: This experimental study was performed in year 2008. 45 veterans suffering from PTSD were divided
randomly into three CBT, EMDR and control groups. Each of the mentioned groups contained 15 members. Two
questionnaires including PTSD checklist-military version and symptom checklist 90 revised were applied in
order to collect data. Data was analyzed using inferential statistical tests by SPSS 16.
Results: Scores of CBT group and EMDR group had a significant difference from control group scores.
Conclusion: Both models are effective on reduction of symptoms in PTSD.
Keywords: CBT Cognitive Behavior Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
4. Miller, R., & Tay, K. H. (2009, August). Adapting the standard EMDR protocol for clients with mild mental retardation: Some guidelines and implications. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .
Language: English
Format: Conference
Abstract:
EMDR as a psychotherapeutic approach has been shown to be effective. However, there is a paucity of studies examining the efficacy of EMDR for clients diagnosed with mild mental retardation. The DSM-IV defines mild mental retardation as below average intelligence (IQ between 70 and 55) along with some deficiencies in adaptive functioning skills demonstrated before age 18. The purpose of our clinical project was to explore the applicability of EMDR for our adult clients (n = 12; mean age 22.5) diagnosed with mild mental retardation by adapting the standard protocol. Studies showed that individuals with mental retardation learn and retain information more effectively when materials are presented to them in a visual, concrete, and interactive manner while utilizing the principles of positive reinforcements.
The prevalence of mental health problems and the wide range of clinical symptoms among these individuals have been reported in several studies. Additionally, these adults are misunderstood as being overly limited in their ability to reap any therapeutic benefit from counseling interventions. Prout and Strohmer (1998), for instance, argued that adults with mental retardation do benefit from counseling interventions. However, they stressed the need for more sophisticated or modified use of psychotherapeutic interventions. Psychotherapeutic techniques and models should be modified, if feasible, in regards to language and cognitive levels commensurate with the clients’ background.
Based on our clinical observations, the following are some examples of proposed guidelines to assist the EMDR clinicians in thinking more creatively when adapting the standard protocol.
1) Considerable amount of preparation at the onset of EMDR is necessary, as it plays a pivotal role in ensuring a successful outcome.
2) Visual depiction of the SUDs and VOCs on a scale of 0 through 5, or 0 through 10, depending on the client’s cognitive abilities is beneficial. Use of “faces” to depict concretely various levels of distress should be made.
3) The concepts of PC and NC may be too abstract for some in this population. We assist clients by operationally defining those concepts with the list of commonly used PCs and NCs in simpler language.
4) Coping resources are sometimes limited for these adults. Clients will benefit from having multiple reinforcements of self-soothing skills thorough the installation of the “safe place” and “resources”.
5) Positive reinforcements (e.g., frequent verbal reminders) should be used regularly in sessions throughout treatment. However, be mindful of clients’ desire to please the clinician.
6) Role-playing should be used when feasible throughout treatment, e.g., during the installation of future templates, as it heightens more sensory, affective, and behavioral modes of learning rather than verbal modality alone.
Based on the treatment outcomes reported by our clients, EMDR is an effective treatment option, as evidenced by sustained reduction in their level of distress to traumatic memories. Findings from this clinical project have practice and research implications. First, the standard protocol should be adapted for use with adults with mild mental retardation to achieve optimal gain. Second, empirical research is needed to provide further evidence for the efficacy of EMDR for adults with mild mental retardation.
Keywords: Mental Retardation
Accuracy Verified: Yes
5. Popky, A. J. (1995). Addiction research project. EMDR Network Newsletter, 5(3), 12.
Language: English
Format: Newsletter
Abstract:
Silke Voglemann-Sine, Ph.D., and Larry Sine, Ph.D., are developing a research design for addictions to be presented at the 1996 EMDR International Conference in Denver this June. This research project will cover a broad range pf substnace addictions as nicotine, marijuana, cocaine, crack, herion, alcohol, methamphetamine, and prescription drugs. Dysfunctional addictive ehaviors such as overearting, bulimia, and anorexia, sex, shoplifting, and work will also be included. The research project ill be built around and based on, "The Integrative EMDR Addiction Treatment Model."
Keywords: Addictions Integrative EMDR Addiction Treatment Model
Accuracy Verified: Yes
6. Staff. (2005, June). The aftermath of devastation. IMA Around the Globe, 2, 3-4.
Language: English
Format: Other
Abstract:
Dr. Gary Quinn, co-chairman of Eye Movement Desensitization and Reprocessing (EMDR) in Israel and Director of the Jerusalem Stress and Trauma Institute, was the leader of a humanitarian mission, nade up if Angle-Israeli mental-health professionals, and practitioners of EMDR, sent to Thailand at the beginning of February.
Keywords: Gary Quinn Humanitarian Project
Accuracy Verified: Yes
7. Engelhard, I. M. (2011, April). Altrecht en de Universiteit Utrecht [Altrecht and Utrecht University]. Casusbesprekingen op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: Dutch
Format: Conference
Abstract:
Beschrijving casus: Het Utrechtse
samenwerkingsverband dat wordt besproken,
betreft een samenwerking tussen Altrecht en de
Universiteit Utrecht. Altrecht is een gespecialiseerde
ggz-instelling in de regio Utrecht en heeft
een lange historie op het gebied van wetenschappelijk
onderzoek. Door naast het doen van patiëntenzorg,
wetenschappelijk onderzoek te verrichten
in samenwerking met universiteiten en
andere onderzoeksinstituten ontstaat wisselwerking
tussen de klinische en de onderzoekspraktijk
die de patiëntenzorg ten goede komt. In diverse
onderzoekslijnen (onder meer bipolaire stoornissen,
agressie/gedragstoornissen, eetstoornissen,
somatoforme stoornissen, ouderen) zijn onderzoekers
actief wat zich onder meer uit in internationale
publicaties. Om academisering te faciliteren,
is Altrecht in 2006 een formele relatie aangegaan
met de Universiteit Utrecht.
Methoden: De wijze van samenwerken
zal worden besproken en geïllustreerd aan de
hand van een specifiek onderzoeksproject, te
weten een gerandomiseerde en gecontroleerde
studie naar de effectiviteit van eye movement desensitisation and reprocessing (EMDR) bij posttraumatische stressstoornis (PTSS).
Regionale.
Case Description: The Utrecht
partnership that is discussed,
a joint venture between Altrecht and
Utrecht University. Altrecht is a specialized
mental health institution in the region of Utrecht and
a long history in scientific
research. By also doing patient care,
scientific research
in collaboration with universities and
Other research results interact
between clinical and research practice
the patient benefit. In several
lines of research (including bipolar disorder,
aggression / conduct disorder, eating disorders,
somatoform disorders, the elderly) are researchers
what is itself actively in international inter alia,
publications. In order to facilitate academic,
Altrecht was in 2006 entered into a formal relationship
with the University of Utrecht.
Methods: The mode of cooperation
will be discussed and illustrated
using a specific research project, to
out a randomized controlled
study of the efficacy of Eye Movement Desensitisation and Reprocessing (EMDR) for post-traumatic stress disorder (PTSD).
Regional
Keywords: Case Discussions
Accuracy Verified: Yes
8. Oren, U., & Konuk, E. (2010, July). Applied EMDR research: EMDR in the treatment of headache. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The need for research in the EMDR field has been clear since its beginning. EMDR therapists, like most other therapists,
have been reluctant to combine clinical work and research despite offers of support from the EMDR community. One of the
reasons for such an approach has to do with the sense that EMDR research has little to do with the “real” work of clinicians. A
team of Turkish therapists have decided to develop a protocol for treating chronic migraine headaches. Their work is based
on the original work of Grant (1999) and Marcus (2008). The presentation will describe the study they have conducted, the
protocol they have developed, and the future possible applications of their work. The ways in which this project can be used
as a prototype for further applied research in the EMDR field will be described.
A call for more applied research and ways to support it will be made.
Accuracy Verified: Yes
9. Devilly, G. J. (2004, December). An approach to psychotherapy toleration: The Distress/Endorsement Toleration Scale (DEVS) clinical outcome studies. Journal of Behavior Therapy and Experimental Psychiatry, 35(4), 319-336. doi:10.1016/j.jbtep.2004.08.001.
Language: English
Format: Journal
Abstract:
The issue of treatment tolerance within the field of psychotherapy is, at best, a nebulous construct and has been commonly evaluated via rates of subject attrition and homework compliance. This research presents the psychometric properties of a ten-item scale which endeavours to measure treatment distress and participant endorsement of therapy protocols used in clinical research. Two factors emerged and the subscales of Distress and Endorsement were derived. These subscales displayed good reliability with acceptable inter-item correlations within each subscale. The subscales were also able to differentiate the perspectives of male Vietnam veterans from their spouses on a lifestyle management course at the termination of intervention. However, this scale also displayed a cognitive behavioural trauma treatment protocol and eye movement desensitisation and reprocessing to be equivalent in treatment distress and participant endorsement in the treatment of PTSD. Preliminary findings suggest that the relationship between these two subscales and outcome may, to some extent, be population specific. First evidence suggests that intervention distress ratings may be influenced by severity of presentation, whilst endorsement ratings are more influenced by symptomatic improvement over time. Suggestions for future research are presented and the full questionnaire is attached as an appendix. [Author Abstract]
Keywords: Adults Australians Cognitive Therapy Distress Family Therapy Endorsement Females Males Outcome Psychotherapeutic Processes Questionnaire Self Report Instruments Spouses Tolerance Treatment Treatment Effectiveness Veterans Vietnam War
Accuracy Verified: Yes
10. Scurfield, R. M., & Wilson, J. P. (2003, April). Ask not for whom the bell tolls: Controversy in post–traumatic stress disorder treatment outcome findings for war veterans. Trauma, Violence, and Abuse, 4(2), 112-126. doi:10.1177/1524838002250763 .
Language: English
Format: Journal
Abstract:
This article reviews and analyzes two national studies of the efficacy of treatment
for war veterans suffering from post–traumatic stress disorder (PTSD). Acareful
analysis of the studies conducted by the Department of Veterans Affairs (DVA)
Northeast Program Evaluation Center (NEPEC) reveals conceptual, methodological,
and design flaws in the research, which reports minimal treatment efficacy for
PTSD. Based on this limited, if not biased, data, the results were used for policy
purposes to dismantle inpatient PTSD hospital units and trauma-focus treatments.
Acritique is offered as a review to suggest how future studies might be conducted,
designed, and evaluated, including the need for independent, “outside”
peer reviews inasmuch as the issue of treatment outcomes generalizes to many
nonmilitary populations.[Sagepub]
Keywords: DVA Outcome Policy PTSD Research Therapy Treatment Vietnam Veterans
Accuracy Verified: Yes
11. Infield, T. (2006, Mar 7). At 61, answering Uncle Sam's call: A Vietnam veteran hopes to help with war's psychic wounds. Philadelphia, PA: The Philadelphia Inquirer, National, A01.
Language: English
Format: Newspaper
Abstract:
He established the program and is a recognized expert in a form of stress therapy with a long, complex name known by its initials, EMDR (eye movement desensitization and reprocessing).
Keywords: Phildelphia Steve Silver Veterans
Accuracy Verified: Yes
12. Silver, S. (1992. Atonement metaphor. Steven M. Silver, Ph.D.
Language: English
Format: Other
Abstract:
Dr. Silver has been using the atonement metaphor since he began working with veterans in 1972. His incorporation of EMDR cognitive interweave with this metaphor was probably around 1990-91. The first version of this handout was prepared for Level II EMDR Institute trainings when Dr. Silver did presentations on working with veterans in 1992. The use of atonement is further addressed in: Silver, S. M., & Rogers, S. (2002). Light in the heart of darkness: EMDR and the treatment of war and terrorism survivors. W.W. Norton: New York.
Accuracy Verified: Yes
13. Shapiro, F. (2012, January 27). Baby boomers and distant dads. Huffington Post. Retrieved from http://www.huffingtonpost.com/francine-shapiro-phd/ptsd-veterans_b_1228542.html 1/27/2012.
Language: English
Format: Other
Abstract:
If we look carefully, we can see that many of these fathers displayed signs of what we know now is posttraumatic stress disorder (PTSD). It didn't help that PTSD wasn't even listed as a diagnosis until 1980. But the fact that war experiences were common didn't make them any less impactful. From personal experience in treating veterans from World War II, the Korean War and Vietnam, it's clear that there is no difference in the pain and sorrow from those returning from Iraq and Afghanistan. So often their emotional burden is caused by the feelings that they were powerless to save someone. This can be even more devastating than being in danger yourself. Those who were support personnel often carry the same feelings of anger, guilt and lack of control. Who couldn't they save? [Excerpt]
Keywords: Blog Posttraumatic Stress Disorder PTSD Veterans War
Accuracy Verified: No
14. Hurley, E. C. (2012, February 28). Being a veteran can be hazardous to your health. Huffington Post. Retrieved from http://www.huffingtonpost.com/e-c-hurley-phd/ptsd-veterans_b_1299884.html on 2/28/2012.
Language: English
Format: Other
Abstract:
What are effective treatments for chronic pain? Due to the multi-dimensional aspects of pain, a number of treatment approaches have been used. They take into account the cognitive, affective, behavioral, social, and physical aspects of pain. Cognitive-behavioral therapy (CBT), hypnosis, acupuncture, and biofeedback training have all been used. While EMDR therapy was originally utilized in the treatment of PTSD the neurobiological similarities with PTSD patients and chronic pain disorders has led therapists to use EMDR in the treatment of a broad range of disorders including chronic pain, anger, anxiety, and depression (Silver, Rogers, & Russell, 2008). Studies have found EMDR effective in the treatment of chronic pain (Mazzola, Calcagno, Goicochea, Pueyrredon, Leston, & Salvat, 2009; Shapiro, 2012) [Excerpt]
Keywords: Blog Military Posttraumatic Stress Disorder PTSD Stress Veterans War
Accuracy Verified: Yes
15. Amen, D. G. (2003, September). Brain SPECT imaging in PTSD and EMDR. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Brain SPECT provides a window into brain activity and helps us understand the underlying physiology of many neurological and psychiatric illnesses. Specific psychological and medical treatments enhance or change our brain function. In this lecture, Dr. Amen will describe his extensive clinical experience and research into postraumatic stress disorder and EMDR. He has been involved in performing before and after brain SPECT scans for PTSD patients for several years and recently completed a formal research project with Karen Lansing on PTSD and EMDR. The results of this study will also be discussed.
Accuracy Verified: Yes
16. Emard, P. (1995, June). A brief look at MRI brief therapy. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The MRI approach to brief therapy originated out of the serendipitous coming together of several incredibly creative minds that
resulted in a form of psychotherapy in which the major goal was to make psychotherapy more efficient and more effective. It evolved
out of research project on communication begun by anthropologist Gregory Bateson that soon involved the work of hypnotherapist
Milton H. Erickson and psychiatrist Don Jackson. John Weakland, Jay Haley, Paul Watzlawick and Richard Fisch began to publish
the ideas that resulted fiom the early research findings and in doing so developed a particular set of assumptions about the formation
and resolution of human problems that differed significantly from traditional treatment models of the time. Further refinements
through the clinical application of these methods resulted in a model of treatment that was a pioneer of the brief psychotherapy
movement. It is based on a non-normative and non-pathological way of viewing people with problems; it looks at people in the
context of their living situations; it resists the idea of client resistance, it places great emphasis on the use of language; and it seeks
to amplify client assets and resources and minimize client liabilities and shortcomings.
Brief therapists assume a willingness to be an active change agent for the benefit of their clients. They accept responsibility for
creating an atmosphere of respect, patience, and creativity in which clients can find alternative ways to think and behave. They
believe they have a set of tasks to perform that will hopefully result in the resolution or, as a minimum, the diminishment of the
problem situation for which the client originally sought help.
These tasks consist of a combination of ways of thinking and acting that are designed to increase the likelihood that the client will
experience relief from a painful problem. One of the main tasks for a brief therapist is to find ways to construe the problems
presented by the client so that a solution can be found. Brief therapists inquire into the interactional systemic aspects of a problem,
the context or environment in which the problem occurs, the people involved in the problematic situation, and the ways the client has
attempted to resolve the problem thus far.
Another very important task is to identify and gain access to the persons who are the most interested in and willing to work toward
changing the problem situation. The idea here is to spend the bulk of the therapeutic time and effort working with the person who is
most invested in the change process. Brief therapists find ways to appeal to this person's values and belief systems so that (s)he will
engage in activities and/or alter her/his behavior in ways that are likely to change the problem situation.
A third task on which brief therapists concentrate is the establishment of clear, concrete, and doable goals of treatment. They
collaborate with the client to determine what the client hopes to gain from treatment and when the client will know she is ready to
handle life on his/her own, this assumes an emphasis on the client's present and the possibilities for the client's future rather than
his/her past.
The fourth task brief therapists focus on is the development of ways of intervening in the way the presenting problem is being
handled in the present time. This is based on the central assumption that one of the main goals of psychotherapy is to induce
clients to change the way a problem is handled. Such intervening is the result of thoughtful and careful consideration of many factors
surrounding the problem situation and involves the use of a variety of skills.
A final task for the brief therapist is to find ways to remove him/herself from the client's life in such a way that the client has faith in
her/his own ability to function effectively without the therapist.
This treatment model offers clinicians an opportunity to work in positive, goal-directed ways that clients find helpful and therapists
find challenging and satisfying. It calls upon clinicians to develop keen observation skills, the ability to see things fiom a variety of
perspectives, and an appreciation for the vast resources clients bring with them to therapy. While it is a simple model of treatment, it
is by no means an easy one to master. It requires clinicians to step outside their usual frames of reference in the pursuit of creative
solutions to difficult human problems. It rewards them with a greater sense of accomplishment and increased client satisfaction.
In the ever-changing world of mental health, this is no small achievement.
Keywords: MRI Brief Therapy
Accuracy Verified: Yes
17. Zaghrout-Hodali, M., Alissa, F., & Dodgson, P. (2008). Building resilience and dismantling fear: EMDR group protocol with children in an area of ongoing trauma. Journal of EMDR Practice and Research, 2(2), 106-113. doi:10.1891/1933-3196.2.2.106.
Language: English
Format: Journal
Abstract:
A number of studies indicate that EMDR (eye movement desensitization and reprocessing) may be efficacious in treatment of children and young people with symptoms of posttraumatic stress. However, reports are limited in the use of the EMDR psychotherapy approach in situations of ongoing violence and trauma. This case study describes work with 7 children in an area of ongoing violence who were subject to repeat traumas during the course of an EMDR psychotherapy intervention, using a group protocol. Results indicate that the EMDR approach can be effective in a group setting, and in an acute situation, both in reducing symptoms of posttraumatic and peritraumatic stress and in "inoculation" or building resilience in a setting of ongoing conflict and trauma. Given the need for such applications, further research is recommended regarding EMDR's ability to increase personal resources in such settings. [Author Abstract]
Keywords: Acute Stress Disorder Cognitive Processes Conflict Intifada Group Psychotherapy Multiple Traumatic Events Palestinians Psychotherapeutic Processes Recent Events Resilience Group Therapy Survivors School Age Children Trauma Treatment
Accuracy Verified: Yes
18. Lipke, H., & Botkin, A. (1992, Winter). Case studies of eye movement desensitization and reprocessing with chronic post-traumatic stress disorder. Psychotherapy: Theory, Research, Practice, Training, 29(4), 591-595. doi:10.1037/0033-3204.29.4.591.
Language: English
Format: Journal
Abstract:
Five hospitalized Vietnam combat veterans with chronic PTSD were treated with Eye Movement Desensitization and Reprocessing (EMDR), a new psychotherapeutic procedure. Changes in previously refractory symptoms of intrusiveness and arousal were noted for some subjects. The variability of effects was examined in terms of subject variables and therapist training with the procedure. REM sleep findings and studies of cognitive concomitant of waking eye movement were considered in efforts to understand EMDR effects. The overall results suggest that: (1) EMDR can be a powerful clinical tool in the treatment of PTSD, and (2) further research is strongly recommended. [Author Abstract]
Keywords: Adults African Americans Empirical Study European Americans Males Middle Aged Psychiatric Inpatients PTSD Veterans Vietnam War
Accuracy Verified: Yes
19. Sharpless, B. A., & Barber, J. P. (2011). A clinician’s guide to PTSD treatments for returning veterans. Professional Psychology: Research and Practice, 42(1), 8–15. doi:10.1037/a0022351.
Language: English
Format: Journal
Abstract:
What options are available to mental health providers helping clients with posttraumatic stress disorder
(PTSD)? In this paper we review many of the current pharmacological and psychological interventions
available to help prevent and treat PTSD with an emphasis on combat-related traumas and veteran populations.
There is strong evidence supporting the use of several therapies including prolonged exposure (PE), eye
movement desensitization and reprocessing (EMDR), and cognitive processing therapies (CPT), with PE
possessing the most empirical evidence in favor of its efficacy. There have been relatively fewer studies of
nonexposure based modalities (e.g., psychodynamic, interpersonal, and dialectical behavior therapy perspectives),
but there is no evidence that these treatments are less effective. Pharmacotherapy is promising
(especially paroxetine, sertraline, and venlafaxine), but more research comparing the relative merits of
medication vs. psychotherapy and the efficacy of combined treatments is needed. Given the recent influx of
combat-related traumas due to ongoing conflicts in Iraq and Afghanistan, there is clearly an urgent need to
conduct more randomized clinical trials research and effectiveness studies in military and Department of
Veterans Affairs PTSD samples. Finally, we provide references to a number of PTSD treatment manuals and
propose several recommendations to help guide clinicians’ treatment selections.
Keywords: Posttraumatic Stress Disorder Psychotherapy Psychopharmacology PTSD
Accuracy Verified: Yes
20. Rogers, S. (2006, September). Combat veterans. Preconference presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Know the Why and How to Choose Your What: Some Essentials of EMDR Model and Methodology: Part 2 of 2
Accuracy Verified: Yes
21. Cook, J. M., Biyanova, T., & Coyne, J. C. (2009, October). Comparative case study of diffusion of eye movement desensitization and reprocessing in two clinical settings: Empirically supported treatment status is not enough. Professional Psychology: Research and Practice, 40(5), 518-524. doi:10.1037/a0015144.
Language: English
Format: Journal
Abstract:
An in-depth comparative case study was conducted of two attempts at
diffusion of an empirically supported, but controversial, psychotherapy: eye
movement desensitization and reprocessing (EMDR). One Department of Veterans
Affairs (VA) treatment setting in which there was substantial uptake was
compared with a second VA setting in which it was not adopted. Qualitative
interviews were conducted with 10 mental health clinicians at the first
site, and 19 at the second. Critical selling points for EMDR were a highly
regarded champion, the observability of effects with patients, and
personally experiencing its effects during a role training session.
Compatibility with existing psychotherapist practices and values further
allowed the therapy to become embedded in the organizational culture. At the
second site, a sense that EMDR was not theoretically coherent or compelling
overwhelmed other considerations, including its empirical status.
Comparative studies contrasting settings in which innovative therapies are
implemented versus those in which they were rejected may aid in refining
theories of and strategies for dissemination.
Keywords: Diffusion Evidence-Supported Treatment Marketing Psychotherapy
Accuracy Verified: Yes
22. Davidson, M. M., Potter, A. E., & Wesselmann, R. D. (2010, September/October). Comparing dialectical behavior therapy to eye movement desensitization and reprocessing: A phase-based trauma treatment pilot project. Poster presented at the annual meeting of the EMDR Internation Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
• More effective methods to treat adults affected by childhood trauma, disturbed attachments, and adulthood intimate partner violence are critically needed.
• Research utilizing Adult Attachment Interview (Hess, 1999) had found that when mothers hold unresolved memories of loss or childhood abuse, their children typically develop disorganized attachments and that when mothers are poorly or inconsistently responsive to their children’s cues, the children typically develop insecure attachments • A history of abuse by childhood attachment figures also increases the likelihood of becoming involved in domestic violence experiences in adulthood for both sexes (Gratz, 2009; Henderson et al, 2005) • Previous research has demonstrated that attachment experiences influence emotional functioning and vulnerability to emotion dysregulation (Critchheld et al, 2008). Numerous empirical works demonstrate the relationship between attachment style and aggression (e. g., Sockwaite et al, 2002; Henderson et al, 2005)
• Emotion dysregulation and problems with impulse control and unstable relationships are common symptoms associated with childhood abuse by attachment figures (Fonagy, 1997; Bhipman et al, 2005)
• Funding more effective treatment for problems in functioning related to childhood trauma and attachment issues is imperative. Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR) are two approaches that have proven beneficial in treating individuals with borderline personality disorders and trauma, respectively, and thus, could prove beneficial as treatment modalities for childhood trauma and attachment problems
• The current investigation is a pilot study aimed at evaluating a treatment protocol aimed at effectively assisting adults with a history of childhood abuse and/or intimate partner violence to regulate emotions, resolve childhood trauma, move toward a healthier and more secure attachment status, and reduce the risk of repeating the cycle of violence and child abuse. More specifically, this pilot project evaluated a phase-based trauma treatment program that included (a) a year-long, initial emotion regulation skills-training phases utilizing DBT and (b) a second phase of either 10 individual sessions of EMDR or 10 individual session focused on further DBT skills training
Keywords: DBT Dialectical Behavior Therapy Poster
Accuracy Verified: Yes
23. Narimani, M., Ahari, S. S., & Rajabi, S. (2008). Comparison of efficacy of eye movement, desensitization and reprocessing and cognitive behavioral therapy therapeutic methods for reducing anxiety and depression of Iranian combatant afflicted by post traumatic stress disorder. Journal of Applied Sciences, 8(10), 1932-1937. doi:10.3923/jas.2008.1932.1937.
Language: English
Format: Journal
Abstract:
This research aims to determine efficacy of two therapeutic methods and compare them: Eye Movement Desensitization and Reprocessing (EMDR) and Cognitive Behavioral Therapy (CBT) for reduction of anxiety and depression for Iranian combatant afflicted with Post traumatic Stress Disorder (PTSD) after imposed war. Statistical population of current study includes combatants afflicted with PTSD that were hospitalized in Isas Hospital of Ardabil province or were inhabited in Ardabil. These persons were selected through simple random sampling and were randomly located in three groups. The method was extended test method and study design was multi-group test-retest. Used tools include hospital anxiety and depression scale. This survey showed that exercise of EMDR and CBT has caused significant reduction of anxiety and depression. [Author Abstract]
Keywords: Anxiety Anxiety Disorders CBT Cognitive Behavioral Therapy Cognitive Therapy Depression Depressive Disorders Iranians Middle Aged Posttraumatic Stress Disorder PSTD Treatment Effectiveness Veterans War
Accuracy Verified: Yes
24. Brunet, J. (2009, Octobre). Complications thérapeutiques suite au traitement EMDR chez un vétéran traumatisé [Therapeutic complications following treatment in a veteran trauma EMDR]. Journal International de Victimologie [International Journal of Victimology], 1(1), 1-5.
Language: French
Format: Journal
Abstract:
Il s'agit d'une étude de cas concernant une personne ayant vécu un épisode dissociatif sévère suite à une séance EMDR. Un seul article bref a, à ce jour, documenté les réactions adverses susceptibles d'être induites par EMDR... Sans parti pris, il semble essentiel à l'auteur de réfléchir sur les contre-indications que peuvent susciter la psychothérapie EMDR, tout comme sont étudiées les contre-indications des autres psychothérapies.
Keywords: Contraindications Brief Psychotherapy Trauma Veterans
Accuracy Verified: Yes
25. Hyer, L. A., Boudewyns, P. A., Peralme, L., Touze, J., & Kiel, A. (1995, June). Controlled treatment outcome study using EMDR on combat-related post traumatic stress disorder (PTSD). Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
After the status of PTSD was established, subjects were randomly assigned to one of three conditions; EMDR, exposure control (EC), and group (GT). Subjects in EMDR condition received at least five but no more than eight sessions of EMDR. EC condition subjects therapy procedure as the EMDR subjects but without the eye movements. Subjects in the GT condition received five to eight session of group therapy only.
Outcome measures were at intervals; prior to therapy, immediately following therapy and at two follow-up periods. These include: (1) self report or interview-related psychological measures (Combat Exposure scale, MMPI-2 PTSD, Veterans Adjustment Scale (VETS), Mississippi Scale, Hamilton (Depression and Anxiety); (2) behavioral outcome measures (employment, treatment seeking behavior medication therapy, and re hospitalization rate); and (3) psychophysiological response measures (skin conductance, frontalis EMG, heart rate and blood pressure). The last measures involved a change measure in psychological arousal during exposure to tape recorded scripts depicting the patients' most traumatic combat memory. In addition to these pre-, post-,
follow-up measures, measures (SUD, profile of mood scale (POMS), and impact of events scale (IOE) were taken at each therapy session.
Early results on selected outcomes show differences in positive outcome between conditions POMS EMDR>GT (p<.01); IOE Avoidance, EMDR>GT (p<.04); IOE Intrusion, EMDR>GT(p<.03); Heart Rate, EMDR>GT (p<.04). Presently, there were no other significant differences between EMDR or EC. Trends, however suggest that EMDR may be superior to EC on several of the measures.
These results indicate that EMDR may be producing greater reduction in the conditioned emotional response to traumatic memories in these patients, when compared to group therapy approach commonly used to treat these types of patients in a special VA treatment program.
Keywords: Combat Controlled Treatment Outcome Study Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
26. Chard, K. M., & Gilman, R. (2005, August). Counseling trauma victims: 4 brief therapies meet the test. Current Psychiatry, 4(8). 50, 55-58, 61-62, 64.
Language: English
Format: Magazine
Abstract:
Therapists once believed trauma survivors required years of treatment, yet we now know that relatively brief cognitive-behavioral interventions can yield long-term gains in psychosocial and psychological function. Many psychiatric patients meet diagnostic criteria for PTSD, including: 33% of women experiencing sexual assault, 30% of male war veterans, and 30% of the 5 million U.S. children exposed to trauma each year. The authors offer recommendations on how to prepare traumatized adults and children for cognitive-behavioral therapy (CBT) and discuss four tested models -- prolonged exposure (PE), cognitive processing therapy (CPT), eye movement desensitization and reprocessing (EMDR), and stress inoculation training (SIT) -- that psychiatrists may find effective when treating PTSD. [Adapted from Text] [Pilots]
Keywords: Brief Psychotherapy Cognitive Therapy Exposure Therapy Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
27. Capezzani, L. (2010, Novembre). Dati preliminari del progetto: Valutazione degli esiti medico- clinici e psicologici in seguito all’applicazione dell’EMDR in pazienti oncologici con disturbi dello spettro post traumatico da stress [Preliminary data of the project: Evaluation of medical-clinical and psychological outcomes following the application of EMDR in cancer patients with autism spectrum post-traumatic stress disorder]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.
Language: Italian
Format: Conference
Abstract:
La ricerca ha lo scopo di indicare se l’intervento con EMDR produce significativi cambiamenti dei parametri medico-clinico, oltre che psicologici, in pazienti oncologici che abbiamo ricevuto una diagnosi di PTSD o di un disturbo dello spettro post-traumatico da stress durante ciascuna delle fasi dell’evoluzione della malattia.
In particolare si vuole verificare se dopo trattamento con EMDR:
- i valori baseline di cortisolo nel sangue cambiano e riproducono anche in pazienti oncologici l’andamento dimostrato in letteratura: in presenza di un PTSD acuto generalmente i livelli sono alti, quando invece il PTSD è cronico i livelli di cortisolo sono bassi ma in ambedue i casi un trattamento con EMDR produce una normalizzazione di suddetti valori.
- si osserva una riduzione della quantità di citochine che rappresentano gli indicatori immunologici correlati a stati di depressione ed ansia sia sottosoglia che non, quasi sempre presenti tra i disturbi dello spettro PTSD e quindi anche nella malattia oncologica (Cantelmi, 2008 in preparazione).
Lo studio consente inoltre di osservare
- per quali delle fasi della malattia il trattamento con EMDR produce la migliore estinzione dei disturbi post-traumatici da stress,
- se le modalità di coping, cioè le strategie di adattamento alla malattia e sua gestione migliorano dopo il trattamento con EMDR
The research is intended to indicate whether the intervention with EMDR produces significant changes in clinical parameters and medical as well as psychological, in cancer patients who have received a diagnosis of PTSD or a spectrum disorder post-traumatic stress disorder during each of the stages of the disease.
In particular, we want to check if after treatment with EMDR:
- The values of baseline cortisol in the blood change and reproduce even in cancer patients the trend shown in the literature: in the presence of an acute PTSD generally the levels are high, when instead the PTSD is chronic cortisol levels are low but in both cases treated with EMDR produces a normalization of these values.
- There is a reduction in the amount of cytokines representing the immunological indicators related to states of depression and subthreshold anxiety is that, almost always present between the spectrum disorders PTSD and therefore also in the oncological disease (Cantelmi, 2008 in preparation).
The study also allows you to observe
- For which of the stages of the disease treatment with EMDR produces the best extinction of the symptoms of post-traumatic stress,
- Whether the method of coping, ie the strategies of adaptation to the disease and its management to improve after treatment with EMDR.
Keywords: Autism Cancer Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
28. Reno, J. (2010, October 14). Debate rages on how to treat PTSD, the signature wound of this war. Home Post, The Military in San Diego.
Language: English
Format: Newspaper
Abstract:
While it’s invisible to the naked eye, post-traumatic stress disorder (PTSD) has become the signature wound of the fighting in Iraq and Afghanistan and has already had a negative impact on hundreds of thousands of American soldiers and their families.
Keywords: Afghanistan Depression Dr. Adrienne McFadd Drug Abuse Homelessness Iraq Life in the Military Matthew Kiernan Michael Schindler Newsweek Posttraumatic Stress Disorder PTSD San Diego Spouses & Families Suicide VA Secretary Eric Shinseki Veterans Veterans Administration War Virtual Reality
Accuracy Verified: Yes
29. Errebo, N. (2010, July). A decade of EMDR humanitarian trainings in Asia. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
In 1999, EMDR Humanitarian Assistance Programs (HAP) began its work in Asia in Bangladesh. Since then HAP teams have
trained clinicians in India, Indonesia, China, Thailand, Sri Lanka. This presentation will summarize what has been learned
from ten years of experience in Asia. The EMDR HAP training in Sri Lanka following the 2004 tsunami will be presented in
detail. Issues addressed will include needs assessment, organization, collaboration among organizations, ethics, cultural
competence ,and program evaluation. Videotapes will show training and sessions of trainees with tsunami survivors. The
presentation will show how to train participants to think, write, and speak about EMDR as well as how to competently and
ethically utilize EMDR with clients.
An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs
(HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and
December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on
several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided
narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The
crucial steps in establishing and implementing this training program are explained, with a summary of the subjective
impressions and learning experiences most valued by the training team, including an excerpt from a trainer’s journal. This
information may be useful to future cross-cultural humanitarian efforts following large-scale disasters.
This article summarizes the crucial steps in establishing and carrying out this training program as well. Previous HAP programs
in Bangladesh and Turkey (Konuk et al., 2006) had led to the development of a model of therapist training and service delivery
following large-scale natural disasters. Great need for mental health treatment in developing countries following a disaster
and the even greater challenge of delivering effective, culturally competent mental health treatment in these situations.
Silove and Bryant (2006) praised the rapid needs assessment after the tsunami as an important advancement in psychiatric
epidemiology that demonstrated the value of such assessment in guiding mental health interventions after disasters.They
pointed out that the controversy over whether to offer psychological treatment after disasters confuses funding agencies
and those planning mental health programs after disasters. Their concerns were echoed in Raphael and Stevens’s (2006)
delineation of the emerging consensus about good mental health practice after disasters in an article that was not a part of
the Bangkok symposium. IRT directors, EMDR-HAP staff, and SRILNAC leaders discussed crucial political, ethical, economic,
and logistical decisions in conference calls and e-mails. They outlined a program that would be responsive to the culture and
needs of Sri Lanka, would provide world-class EMDR training and consultation, and would follow International Society for
Traumatic Stress Studies (ISTSS) guidelines for mental health programs in post disaster situations (Weine et al., 2002). Following
the funding mandate of IRT, the HAP team took responsibility for ensuring that services would in fact be delivered to tsunami
survivors and that those services would be clinically effective. Therefore, requirements for continuing participation were quite
specific, and trainees were more thoroughly evaluated than in previous HAP projects. These 30 counselors treated more than
1,350 tsunami survivors with EMDR between March and December 2005 and submitted outcome reports on these sessions
that show marked improvement in PTSD symptoms. We know from e-mail contact that a number of participants continue
to use EMDR effectively. As mentioned Important elements of the HAP training program in Sri Lanka included (a) adequate
funding, (b) selection of trainees, (c) negotiation of objectives among HAP,IRT, and SRILNAC, (d) the pre-EMDR training in
traumatology, (e) the consultation between trainings,(f ) the requirements for ongoing participation in the training, (g) a
variety of measures of competence in EMDR, (h) the continuing, ongoing consultation with trainees, and (i) dedication. A
project like this is expensive. IRT received.
Keywords: Asia HAP Humanitarian Assistance Programs Trainings
Accuracy Verified: Yes
30. Shapiro, F., & Mousnier-Lompré, F. (2005). Des yeux pour guérir: EMDR: La thérapie pour surmonter l’angoisse, le stress et les traumatisms [Eye to heal: EMDR: Therapy for overcoming anxiety, stress and trauma]. Paris: Seuil.
Language: French
Format: Book
Abstract:
Tout le monde connaît désormais la thérapie introduite en France par David Servan-Schreiber dans son livre Guérir. Cette nouvelle thérapie appelée EMDR (Eye Movement Desensitization & Reprocessing) consiste pour l'essentiel à refaire vivre au patient victime d'un événement traumatique la scène terrible qui est à l'origine
de sa souffrance, en lui faisant faire des mouvements oculaires provoquant une diminution progressive du stress. Les résultats sont incontestables, mais la raison des progrès enregistrés reste énigmatique. Peut-être s'agit-il d'une reconstruction ce la mémoire profonde du même ordre que celle qui se produit dans le sommeil
paradoxal (où le dormeur connaît des mouvements
oculaires analogues). Cette thérapie a été fondée par Francine Shapiro, du célèbre institut de Palo Alto. Ce livre fondateur raconte l'origine de sa découverte, donne des interprétations scientifiques possibles et surtout décrit de nombreux cas exemplaires où cette thérapie s'est révélée efficace.
Il est de ce fait très poignant. On y rencontre une femme ayant perdu son fils de huit ans dans un accident de train et accablée par l'image terrifiante du corps disloqué de l'enfant, des anciens combattants du Vietnam hantés par les images terribles de la guerre, des victimes de viol... Et surtout on y voit comment ces personnes,
emprisonnées dans leur souffrance, ont pu s'en affranchir et retrouver un équilibre psychologique.
Everyone now knows the therapy introduced in France by David Servan-Schreiber in his book Healing. This new therapy called EMDR (Eye Movement Desensitizer & Reprocessing) is essentially to re live the patient suffered a traumatic event the terrible scene which is at the origin
In his pain, making him make eye movements causing a gradual decrease of stress. The results are undeniable, but the reason of progress remains enigmatic. Perhaps it is a reconstruction of the deep memory similar to that which occurs in sleep
REM (where the sleeper knows movements
eye like). The therapy was founded by Francine Shapiro, the renowned institute Palo Alto. This seminal book describes the origin of his discovery, provides interpretations possible scientific and especially describes many exemplary cases where this therapy has proven effective.
It is therefore very poignant. We meet a woman who lost her eight year old son in a train accident and overwhelmed by the terrifying image of the broken body of the child, the Vietnam veterans haunted by the terrible images of war, victims of rape ... And especially we see how these people
trapped in their suffering, have overcome them and regain a psychological equilibrium.
Keywords: Anxiety, General Overview Stress Trauma
Accuracy Verified: Yes
31. Cotraccia, T. (2008, September). Disorganized attachment and adjustment disorders: An AIP perspective on small 't' trauma and resilience. Poster Session presented at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Keywords: Adjustment Disorders Disorganized Attachment Small 'T' Trauma
Accuracy Verified: Yes
32. Albright, D. L., & Thyer, B. (2010, February). Does EMDR reduce post-traumatic stress disorder symptomatology in combat veterans?. Behavioral Interventions, 25(1), 1-19. doi:10.1002/bin.295.
Language: English
Format: Journal
Abstract:
Prior meta-analyses have suggested that eye-movement desensitization and reprocessing (EMDR) may be effective in alleviating the symptoms of post-traumatic stress disorder (PTSD). EMDR is now being recommended as a treatment for military combat veterans who suffer from PTSD. We provide a review of published outcome studies that appeared in print from 1987 - April, 2008 which examined the specific effects of EMDR on PTSD among military combat veterans. Studies were identified through electronic bibliographic databases, web sites, and manual searches of article reference lists. A total of six randomized controlled trials (RCTs) and three quasi-experimental studies met our inclusionary criteria and are reviewed. The evidence supporting the use of EMDR to treat combat veterans suffering from PTSD is sparse and equivocal, and does not rise to the threshold of labeling the therapy as an empirically supported treatment. It is premature to incorporate EMDR into routine care for veterans to alleviate combat-related PTSD. EMDR needs a considerably stronger evidentiary foundation which includes large-scale RCTs involving credible placebo controlled treatment conditions. Copyright © 2009 John Wiley & Sons, Ltd.
Keywords: Combat Veterans Military Posttraumatic Stress Disorder PSTD
Accuracy Verified: Yes
33. Rogers, S. (2006, December). Drifting away from EMDR. EMDRIA Newsletter, 11(4), 7-8.
Language: English
Format: Newsletter
Abstract:
Those who have attended Francine Shapiro’s Plenary Addresses
in recent EMDRIA Conferences are aware of her wish that
EMDR clinicians accurately reproduce the EMDR procedure
and understand her Adaptive Information Processing model. This
concern was sparked by the frequency of phone calls to the EMDR
Institute from clients who had been treated with variations of the
EMDR protocol with poor results. Also, here in Pennsylvania, we
have had several veterans come into our treatment program claiming
that they had been treated with EMDR and it didn’t work. When
we asked for a description of the treatment, it was clear that the
therapist had added elements to the desensitization phase, such as
affi rmations, positive imagery, and relaxation techniques.
Keywords: Cautions Practice Theory
Accuracy Verified: Yes
34. Cole, F. J. (1996, November). The effect of alpha theta brainwave production on self-efficacy in the treatment of substance abuse. California School of Professional Psychology, Fresno, CA. AAT 9734483.
Language: English
Format: Dissertation/Thesis
Abstract:
Two new brief treatments, Alpha Theta Brainwave Training (ATBT) and Eye Movement Desensitization and Reprocessing (EMDR) were compared to Systematic Muscle Relaxation (SMR) training during the treatment of 45 hospitalized veterans in the Chemical Dependency Treatment Program of the Fresno Department of Veteran Affairs Medical Center. Fifteen veterans were randomly assigned to three treatment groups, ATBT, EMDR, and SMR, to investigate whether these treatments affected self-efficacy, or confidence in the ability to resist the urge to drink. In behavioral change, self-efficacy levels are consistent predictors of short and long-term success. It was hypothesized that the greater the amount of time spent in theta brainwave frequency (4-8 Hz) during treatment, the greater the increase in self-efficacy. Brainwave activity, temperature, skin conductance and electromyographic levels were recorded during the treatment sessions. Measures of self-efficacy, self-efficacy expectancy, outcome expectancy, and level of overall physical and emotional symptoms were taken before and after treatment. Results indicated that all treatments increased self-efficacy and decreased overall physical and emotional symptoms in alcoholic subjects. Overall, there was no significant difference in the amount of time spent in theta brainwave frequency between groups, but results indicated that the treatments did produce a significant difference in the amount of time spent in theta brainwave frequency between the first and last treatment sessions in the groups. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(5-B), Nov 1997, pp. 2667.
Keywords: Brain Stimulation Drug Abuse Drug Rehabilitation Empirical Study Military Veterans Relaxation Therapy Self Efficacy Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
35. George, A., Thilly, N., Rydberg, J. A., Luz, R., & Spitz, E. (2013, March). Effectiveness of EMDR treatment in PTSD after childbirth: A randomized controlled trial protocol. Acta Obstetricia et Gynecologica Scandinavica. doi:10.1111/aogs.12132.
Language: English
Format: Journal
Abstract:
A traumatic experience of childbirth is an important public health issue (1; 2). Approximately 1-2% of women suffer from post-traumatic stress disorder (PTSD) following childbirth (3). To date, no large research project has attempted to evaluate psychotherapeutic interventions for women suffering from PTSD after childbirth in a randomized controlled trial (4). Qualitative pilot studies and clinical expertise suggest that eye movement desensitization and reprocessing (EMDR) treatment is a highly successful psychotherapy for women suffering from traumatic birth (5;6). © 2013 Nordic Federation of Societies of Obstetrics and Gynecology, Acta Obstetricia etGynecologica Scandinavica.
Keywords: Childbirth Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
36. Nettz, S. L. (1995, August). Effects of a single session of EMDR, flooding, and a credible placebo treatment on traumatic memories in male veterans. Illinois Institute of Technology, Chicago, IL. AAT 9614404.
Language: English
Format: Dissertation/Thesis
Abstract:
This study explored the effectiveness of a single session of three different treatments for traumatic memories. Subjects were 45 adult males, randomly assigned to Eye Movement Desensitization and Reprocessing (EMDR), Flooding, or Placebo therapy (Modified Avoidance Response Conditioning [ MARC]). Self-report and physiological measures were employed to measure treatment effectiveness. Subjects completed the following pre-treatment inventories: Michigan Alcohol Screening Test, Impact of Event Scale, State-Trait Anxiety Inventory, Questionnaire on Mental Imagery, and the Treatment Credibility Questionnaire. Post-treatment measures included self-report measures (Subjective Units of Distress [ SUDs] and Treatment Credibility Questionnaire) and physiological measures (heart rate, skin conductance, and skin temperature). Treatments were rated as equally credible before and after the session. Both EMDR and Flooding produced a significant decrease in the self-report of anxiety compared to the Placebo (MARC) group. Neither heart rate or skin conductance channels showed a significant change for any of the three groups during post-treatment assessment phases. However, skin temperature was significantly lower for the Flooding group compared to the MARC group during two post-treatment phases, suggesting that the Flooding group was more physiologically aroused than Placebo (MARC) subjects. Findings suggest that during Flooding, exposure to disturbing elements of a trauma is associated with physiological arousal, which in turn leads to lessening of subjective distress. However, a different mechanism may account for EMDR treatment effects. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(1-B), Jul 1996, pp. 0687
Keywords: Adults Emotional Trauma Empirical Study Evaluation Male Memory Military Treatment Effectiveness Treatment Outcome/Clinical Trial Veterans
Accuracy Verified: Yes
37. Altan Aytun, O., Ozcan, G., Ciftci, A,. Konuk, E. Yuksek, H., Karakus, D., Cavusoglu S., & Vatan Ozcelik, D. (2010, June). The effects of early EMDR interventions (EMD and R-TEP) on the victims of a terrorist bombing in Istanbul. In Treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Presenter: Filiz Kaya
The present study is carried out within a psychological
counseling project which is governed by Istanbul metroplitan Municipality. The study was designed to assess the effects
of Early EMDR Intervention (EEI) on the victims of a terrorist
bombing in Gungoren, Istanbul. Subjects were the victims of
a terrorist bombing in Gungoren, Istanbul. The participants
were selected from a pool of children and adults, who lived in
Gungoren and scored high on the Turkish version of 'Impact of
Event Scale' (IES) and PTSD Symptom Checklist. The subjects
were contacted 2 days after the bomb attack so that we were
able to measure the event impact right after the traumatic experience,
which will help us to demonstrate how EMDR affects
the impact of the event more accurately.
Eye Movement Desensitization (EMD) as an EEI technique was
used to treat the child participants, whereas Recent Traumatic
Event Protocol (R-TEP) which incorporates the EMD and Recent
Event (RE) protocols, was received by the adult participants
The therapists (EMDR certified therapists, who were receiving
supervision) met with the participants weekly to work only on
the trauma of the bombing and participants completed impact
of Event Scale prior to each session. The number of the sessions was restricted to the completion of EMD and R-TEP. The study
is completed with a three month follow-up. Analyses of the
data collected from the participants demonstrates the level of
effectiveness of EMDR in children and adults, in prevention of
PTSD and the use of EMDR as a crises intervention tool.
Keywords: Acute Stress Bombing Early Interventions EMD Istanbul Recent Events R-TEP Symposoium Terrorism
Accuracy Verified: Yes
38. Wills, S. M., & Kraber, G. (2001, December). The effects of exposure-based therapy on attitudes about guilt in Vietnam combat veterans. Poster presented at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA.
Language: English
Format: Conference
Abstract:
There has long been consistent agreement that guilt has both cognitive and affective
dimensions. Cognitive components of guilt can be seen in the errors of logic and
resulting faulty conclusions that trauma victims often make about their roles in traumatic
events. The present investigation will present outcome data on the Changing Attitudes
About Guilt in a group of Vietnam Combat Veterans who were treated in a 20-week
program that included a combination of Cognitive Processing group therapy and
individual Eye Movement Desensitization Reprocessing (EMDR). The ten veterans
participated in a structured, time-limited trauma group in which they addressed issues
peripheral to combat exposure in 20 weekly 90-minute group sessions. Each individual
group member also underwent a minimum of theree individual EMDR sessions to
process traumatic combat experiences. The Kubany Attitudes About Guilt Inventory was
administered at the beginning of the group prior to EMDR sessions and again at the
final session of group. Post-group follow up data is also included in this presentation.
Keywords: Combat Group Therapy Poster Veterans Vietnam
Accuracy Verified: Yes
39. Ruozzi, A. (2002). Efficacia dell'EMDR nella psicoterapia del PTSD e dei ricordi traumatici [Effectiveness of EMDR psychotherapy on PTSD and traumatic memories]. Retrieved from http://www.psicotraumatologia.com/pubblicazioni_psicotraumatologia_italiane.htm on 10/13/2012.
Language: Italian
Format: Dissertation/Thesis
Abstract:
L’EMDR inoltre progredisce su altri due versanti: da un lato incorpora al suo interno spunti teorici ed applicativi provenienti da diversi paradigmi psicoterapeutici allo scopo di potenziare l’efficacia e la flessibilità (Shapiro, 1995); dall’altro lato, si cerca di applicare il metodo a disturbi che vanno oltre al PTSD. Attualmente nei differenti paesi del mondo le persone che hanno effettuato un training organizzato dall’EMDR Institute sono circa 30.000.In Italia i primi corsi sull’EMDR sono stati condotti nel febbraio 1999 e sono attualmente coordinati dall’Associazione EMDR Italia, a sua volta riconosciuta e patrocinata dalla EMDR Europe (Giannantonio, 2000). L’associazione ha sede a Milano e dispone di un sito internet: www.emdritalia.it.
Il dibattito sull’efficacia di questo metodo è tuttora aperto e sono numerose e contrastanti le ricerche che si sono svolte su questo argomento. La questione ha assunto a tratti i toni dello scontro ideologico e sono subentrati anche problemi di carattere commerciale, un metodo che si propone come più efficace e più rapido nella terapia di alcuni disturbi psicologici non può non essere valutato come un rivale, soprattutto in una realtà come quella del Nord America dove le spese per la psicoterapia sono pagate dalle assicurazioni (Giannantonio, 2000).
L’EMDR è uno dei metodi che vanta il maggior numero di conferme sperimentali nella psicoterapia del PTSD. Questo gli ha consentito nel 1995 di essere considerata “trattamento probabilmente efficace” (valutazione A/B) nella terapia del PTSD dalla Task Force on Psychological Intervention dell’American Psychological Association. Questa valutazione di efficacia è uguagliata solo dallo Stress Inoculation Training e dalle terapie basate sull’esposizione (Chambless et al., 1998).
Gli studi prodotti sull’efficacia dell’EMDR sono numerosi (per una rassegna vedi Giannantonio, 2000), molti sono criticabili perché mal strutturati e con grossi problemi di validità. Esistono tuttavia una serie di studi ben organizzati che si sono dimostrati inattaccabili sul piano metodologico...
Questi studi tuttavia commettono uno o più dei seguenti problemi:
1) Impiegano una o due sedute di EMDR con reduci del Vietnam forse anche a causa dell’equivoco suscitato dalla stessa Shapiro (1989) che riferiva risultati importanti nei confronti del PTSD con una sola seduta di EMDR nel 100% dei soggetti. Una tale concezione dell’EMDR non è quella più attuale e condivisa (Shapiro, 1995).
2) Trattano con l’EMDR solo uno o due episodi traumatici in soggetti che devono essere considerati “pluritraumatizzati” (Shapiro, 1999).
La presente Tesi è divisa in due parti: nella prima di carattere essenzialmente bibliografico ho analizzato la letteratura esistente sull’EMDR e sul PTSD.
Nel secondo capitolo descriverò il Disturbo Post-Traumatico da Stress analizzando i vari approcci teorici al problema del trauma.
Nel terzo capitolo verrà analizzata la teoria dell’EMDR ovvero il modello esplicativo ritenuto più adeguato che fa riferimento alla “elaborazione accelerata dell’informazione”.
Il quarto capitolo, che conclude la prima parte, riporta il protocollo standard di somministrazione dell’EMDR per adulti e adolescenti.
Nella seconda parte viene riportata la descrizione della ricerca che si sta producendo in collaborazione con l’EMDR Italia che si propone di valutare l’efficacia dell’EMDR. Nel quinto capitolo viene descritto il disegno sperimentale. Nel sesto capitolo viene analizzato il metodo di campionamento e i presupposti di validità della ricerca. Nel settimo capitolo sono descritti i test che si è deciso di analizzare nel corso della presente tesi. Infine l’ottavo capitolo si concentra sull’analisi dei primi dati emersi dalla ricerca e sulle prime conclusioni.
EnglishSpanishArabicAlpha
EMDR also progressing on two other fronts: on the one hand it incorporates theoretical insights and applications from different psychotherapeutic paradigms in order to enhance the effectiveness and flexibility (Shapiro, 1995), on the other hand, it tries to apply the method to problems that go beyond PTSD.
Currently in different countries of the world, people who have a training organized dall'EMDR Institute 30.000.In Italy are about the first courses on EMDR have been conducted in February 1999 and is currently coordinated by the Association EMDR Italy, in turn recognized and sponsored by the EMDR Europe (Giannantonio, 2000). The association is based in Milan and has a website: www.emdritalia.it.
The debate on the effectiveness of this method is still open and they are many and conflicting research that took place on this topic. The issue has assumed at times the tone of the ideological battle and were replaced also problems of a commercial nature, a method is proposed as a more effective and faster in the treatment of certain psychological disorders can not be assessed as a rival, especially in a situation such as North America where the cost of psychotherapy are paid by insurance (Giannantonio, 2000).
EMDR is one of the methods which has the highest number of experimental confirmation in psychotherapy for PTSD. This enabled him in 1995 to be considered "probably efficacious treatment" (rated A / B) in the treatment of PTSD by the Task Force on Psychological Intervention of the American Psychological Association. This assessment of effectiveness is equaled only by the stress inoculation training and exposure-based therapies (Chambless et al., 1998).
Studies on the effectiveness of EMDR are numerous products (for review see Giannantonio, 2000), many are questionable because poorly structured and serious problems of validity. There are however a number of well-organized studies that have proven resistant in terms of methodology:
......
These studies, however, have committed one or more of the following problems:
1) They use one or two sessions of EMDR with Vietnam veterans possibly because of misunderstanding caused by the same Shapiro (1989) who reported significant results against PTSD with a single session of EMDR in 100% of subjects. Such a conception of EMDR is not the most current and shared (Shapiro, 1995).
2) They deal with EMDR only one or two traumatic events in people who should be considered "pluritraumatizzati" (Shapiro, 1999).
This thesis is divided into two parts: the first character essentially bibliographic I analyzed the existing literature on EMDR and PTSD.
In the second chapter I will describe the Post-Traumatic Stress Disorder analyzing the various theoretical approaches to the problem of trauma.
In the third chapter we will analyze the theory of EMDR or the explanatory model deemed more appropriate that refers to the "accelerated processing of information."
The fourth chapter, which concludes the first part shows the standard protocol of administration of EMDR for adults and adolescents.
In the second part shows the description of the research that is being produced in collaboration with the EMDR Italy that aims to assess the effectiveness of EMDR. In the fifth chapter describes the experimental design. In the sixth chapter analyzes the sampling method and the conditions for validity of the research. In the seventh chapter describes the tests it was decided to analyze the course of this thesis. Finally, the eighth chapter will focus on early evidence from research and initial findings.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
40. Bumke, P. J., & Sodemann, U. (2010, July). The efficacy of EMDR in a new context: Some findings from the ACEH survey. Symposium (Carolyn L. Neunuebel, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Context: As a response to the Tsunami in 2004 the Aceh Project organized by TraumaAid and sponsored byTDH and the BMZ
from 2007 to 2009 treated more than 3200 clients for psychic disorders related to traumatic experiences .The treatment was
given by Indonesian therapists who against the background of a lack of local therapists trained in psychotraumatology had to
be trained within the project under the auspices of TraumaAid. This combination of EMDR-Training and EMDR-Therapy in an
extremely challenging context also offered an unique opportunity for a parallel and wide ranging monitoring and evaluation
of the social and diagnostic parameters involved. Methodology: To guide the therapeutic process and to check on its long
term efficacy 1200 adults and 1000 children were at the outset of their therapies asked to contribute detailed diagnostic
data. While for adults the Hopkins Anxiety and Depression scales along with a 42-item Harvard Trauma Questionnaire was
administered, children and adolescents up to age of 17 were given an adapted version of the CBCL. At the conclusion of their
therapies 20 % of all respondents were rechecked with the same diagnostic scales, another group of 5 % again after 6 months.
Results: The diagnostic data indicate a dramatic improvement after therapies that involved a range of therapeutic techniques
including stabilising and EMDR protocols. The relation between diagnostic dimensions (intrusions, somatic reactions, social
relations, expression of feelings and attention problems) and social factors (gender, age) was further explored.
Keywords: ACEH Survey
Accuracy Verified: Yes
41. Jayatunge, R. M. (2006). The efficacy of EMDR – A study based on Sri Lankan combatants. New Hope, PA: EMDR Humanitarian Assistance Programs.
Language: English
Format: Other
Abstract:
This paper discusses the therapeutic effects of EMDR or Eye Movement Desensitization
and Reprocessing. EMDR is a relatively new trauma management method that has been
used to treat Sri Lankan combatants with PTSD and other trauma related disorders. The
feasibility of this mode of therapy is summarized. Practical trauma management issues in
the field setups are reviewed and some case examples are provided. EMDR is considered
to be an effective treatment for PTSD and Sri Lankan combat veterans diagnosed with
combat related PTSD (uncontrolled study; 18 males) showed significant improvements
from pre- to posttreatment following EMDR.
Keywords: Combatants Posttraumatic Stress Disorder PTSD Sri Lanka
Accuracy Verified: Yes
42. Niroomandi, R. (2012). Efficacy of eye movement desensitization and reprocessing (EMDR) in the Iranian veterans with chronic post-traumatic stress disorder (PTSD) after Iran-Iraq War. Presentation at the International Conference on Psychological Sciences and Behaviors (ICPSB), Hong Kong.
Language: English
Format: Conference
Abstract:
To explore the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) to treat Iranian Veterans who have experienced Post-Traumatic Stress Disorder (PTSD) after Iran-Iraq war, a pilot study was designed with pre-test, post-test and control group. First through clinical interview (psychiatrist and clinical psychologist views) and PTSD scale of Mississipi, 30 people of the war Veterans suffering from chronic PTSD were chosen. Then the patients were placed in two different experimental and control groups randomly. Only experimental group were treated with EMDR for four-session in four weeks. After treatment, both groups were assessed with PTSD scale of Mississipi. The obtained results were analyzed with ANCOVA and the results showed that the difference between the experimental and control groups were statistically significant (f=5.501, p=0.027). With regard to results, it can be stated that this difference was created by EMDR treatment.
Keywords: Complext Posttraumatic Stress Disorder Complex PTSD C-PTSD Iran Iran-Iraq War Veterans
Accuracy Verified: Yes
43. Niroomandi, R. (2012). Efficacy of eye movement desensitization and reprocessing (EMDR) in the Iranian veterans with chronic post-traumatic stress disorder (PTSD) after Iran-Iraq War. International Proceedings of Economic Development and Research, 40, 52-56.
Language: English
Format: Journal
Abstract:
To explore the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) to treat
Iranian Veterans who have experienced Post-Traumatic Stress Disorder (PTSD) after Iran-Iraq war, a pilot study was designed with pre-test, post-test and control group. First through clinical interview (psychiatrist and clinical psychologist views) and PTSD scale of Mississipi, 30 people of the war Veterans suffering from
chronic PTSD were chosen. Then the patients were placed in two different experimental and control groups randomly. Only experimental group were treated with EMDR for four-session in four weeks. After treatment, both groups were assessed with PTSD scale of Mississipi. The obtained results were analyzed with ANCOVA and the results showed that the difference between the experimental and control groups were statistically significant (f=5.501, p=0.027). With regard to results, it can be stated that this difference was
created by EMDR treatment
Keywords: Chronic Post-Traumatic Stress Disorder PTSD Therapy Veterans War Injured People
Accuracy Verified: Yes
44. Cronin, H. L. (2005). The efficacy of eye movement desensitization and reprocessing (EMDR) with racially and culturally diverse populations: A project based upon an independent investigation. Smith College School for Social Work, Northampton, MA.
Language: English
Format: Dissertation/Thesis
Keywords: Cross-Cultural Counseling Minorities Psychic Trauma Treatment
Accuracy Verified: Yes
45. Jensen, J. A. (1992). Efficacy of eye movement desensitization and reprocessing as a treatment for PTSD symptoms of Vietnam combat veterans. University of Wisconsin, Madison, WI. AAT 9221917.
Language: English
Format: Dissertation/Thesis
Abstract:
The efficacy of eye movement desensitization and reprocessing (EMD/R) was compared with that of a control (no treatment) condition in the treatment of Vietnam combat veterans with postraumatic stress disorder. 27 volunteer subjects were randomly assigned to the EMD/R and control conditions, with 13 EMD/R and 12 control subjects completing the entire study. Two therapists trained in EMD/R, and three trained interviewer/testers contributed in running the study.Prior to random assignment, subjects indicated one PTSD-related goal for the study. They were also assessed on a measure of present PTSD symptoms, a measure of subjective anxiety, and a measure of belief in a positive cognition related to war trauma. They were then randomly assigned to conditions, with EMD/R subjects receiving three treatment sessions within a week. Approximately 17 days after the initial assessment, each subject was retested on the measures of PTSD symptoms, subjective anxiety, and of the desired positive cognition. At this time, goal attainment was also assessed, and another general PTSD instrument was given. Statistical analysis of both test-retest and posttest only measures indicated a general lack of effectiveness of EMD/R with the subjects in this study. While EMD/R was effective and statistically superior to the control condition in reducing in-session subjective anxiety, neither condition was effective in improving scores on the two PTSD symptom measures, in contributing to goal attainment, or in increasing subjects' beliefs in their stated desired positive cognition regarding war trauma. This study's lackluster results are in sharp contrast to the considerable success reported in Shapiro'soriginal EMD/R study incorporating few combat veterans. With certain procedural diversions acknowledged, this study's findings provide little support for widespread use of EMD/R as an intervention for Vietnam combat veterans' PTSD symptoms. Implications are that combat veterans with PTSD may comprise a population with distinctly chronic and disturbing symptomotology, and that the brief and novel EMD/R procedure may not be successful with such a population. [Author Abstract]
Keywords: Americans Males Middle Aged Posttraumatic Stress Disorder PTSD Treatment Effectiveness Veterans Vietnam War
Accuracy Verified: Yes
46. Shapiro, F. (1989, April). Efficacy of the eye movement desensitization procedure in the treatment of traumatic memories. Journal of Traumatic Stress, 2(2), 199-223. doi:10.1007/BF00974159.
Language: English
Format: Journal
Abstract:
The aim of the study was to determine the effectiveness of the recently developed Eye Movement Desensitization (EMD) procedure on traumatic memory symptomatology. 22 subjects suffering from symptoms related to traumatic memories were used in the study. All had been victims of traumatic incidents concerning the Vietnam War, childhood sexual molestation, sexual or physical assault, or emotional abuse. Memories of the traumatic incident were pivotal to the presenting complaints which included intrusive thoughts, flashbacks, sleep disturbances, low self-esteem, and relationship problems. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, and (3) presenting complaints. These measures were obtained at the initial session and at 1- and 3-month follow-up sessions. The results of the study indicated that a single session of the EMD procedure successfully desensitized the subjects' traumatic memories and dramatically altered their cognitive assessments of the situation, effects that were maintained through the 3-month follow-up check. This therapeutic benefit was accompanied by behavioral shifts which included the alleviation of the subjects' primary presenting complaints. [Author Abstract]
Keywords: Americans Anxiety Combat Incest Memories Molestation Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Survivors Trauma Veterans Vietnam War
Accuracy Verified: Yes
47. Artigas, L., & Jarero, I. (2005, March). El abrazo de la mariposa [The butterfly hug]. Revista de Psicotrauma para Iberoamérica, 4(1), 30-31.
Language: Spanish
Format: Journal
Abstract:
E.M.D.R. Son las siglas de Eye Movement Desensitization and Reprocessing, que se podría traducir como Desensibilización y reprocesamiento por medio de movimiento oculares. Se trata de un tratamiento psicoterapéutico innovador utilizado para tratar un amplio rango de patologías. Originalmente fue diseñado por F. Shapiro en 1987 para tratar el estrés postraumático y su eficacia fue probada experimentalmente para casos de abusos infantiles, violaciones, veteranos de la guerra de Vietnam y otros trastornos. Su éxito fue tan rotundo que se multiplicaron las investigaciones sobre su capacidad de curar otras patologías, demostrándose su utilidad en los trastornos que implican ansiedad, dolor crónico, duelos y fobias. Cientos de estudios de casos han sido publicados y la amplia investigación experimental realizada en EEUU y en Europa El abrazo Mariposa es una técnica de Auto control.
E.M.D.R. Stands for Eye Movement Desensitization and Reprocessing, which could be translated as Desensitization and Reprocessing Eye Movement. This is an innovative psychotherapy used to treat a wide range of pathologies. Originally designed by F. Shapiro in 1987 to treat PTSD and its effectiveness was tested experimentally for cases of child abuse, rape, veterans of the Vietnam War and other disorders. Its success was so resounding that multiplied the research on their ability to cure other diseases, proving its usefulness in disorders involving anxiety, chronic pain, grief and phobias. Hundreds of case studies have been published and extensive experimental research conducted in the U.S. and Europe The butterfly hug is a technique of self-control.
Keywords: Butterfly Hug
Accuracy Verified: Yes
48. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N. L., Muraoka, M. Y., Saitou, Y., & Saitou, I. (1997). EMDR (eye movement desensitization and reprocessing) for combat related post-traumatic stress disorder. Japanese Journal of Biofeedback Research, (24), 50-64.
Language: English
Format: Journal
Abstract:
Studied the efficacy of eye movement desensitization and reprocessing (EMDR) treatment for combat-related posttraumatic stress disorder (PTSD). Human Ss: 35 male American adults (aged 41-70 yrs) (PTSD) (34 Vietnam War veterans and 1 Korean War veteran). Tests used: The Clinician Administered PTSD Scale (D. D. Blake et al, 1995), the restandardized MMPI, the Mississippi Scale for Combat Related PTSD (T. M. Keane et al, 1988), the State-Trait Anxiety Inventory, the Beck Depression Inventory, the Impact of Events Scale and the Initial Screening Questionnaire. Treatments: 10 Ss were administered 12 EMDR sessions, 13 Ss were administered 12 sessions of biofeedback and relaxation, and 12 Ss were administered standard treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Combat Empirical Study Military Posttraumatic Stress Disorder PSTD Treatment Outcome/Clinical Trial War
Accuracy Verified: Yes
49. Zimmermann, P., Guse, U., Barre, K., & Biesold, K. (2005, Juni). EMDR - Therapie in der bundeswehr - Zurwirksamkeit untersuchung posttraumatischer belastungsstörungv [EMDR in the German armed forces - Therapeutic impact of inpatient therapy of posttraumatic stress disorder / EMDR]. Krankenhauspsychiatrie, 16(2), 57-63. doi:10.1055/s-2004-830275.
Language: German
Format: Journal
Abstract:
In dieser retrospektiven Studie 89 deutsche Soldaten, die als stationäre zur posttraumatischen Belastungsstörung behandelt wurden, zwischen 1998 und 2002 untersucht wurden. Nach einer mittleren von 29 Monaten mit Fragebögen They Were neu bewertet. Behandelt wurden 20 Patienten mit EMDR Konnte bis 14 Patienten mit einer unterstützenden Behandlung verglichen werden. Die Ergebnisse (Jes SOUTH. Voc) direkt nach der Behandlung und in der Langzeit-Follow-up waren deutlich überlegen in der EMDR-Gruppe im Vergleich zu den Kontrollen. Traumatisierte Soldaten in Out-of-area-Einsätze eher eine bessere als die kurzfristigen Ergebnisse Traumatisierte Soldaten in Deutschland haben. (PsycINFO Database Record (c) 2008 APA, alle Rechte vorbehalten)
In this retrospective study 89 German soldiers being treated as inpatients for a posttraumatic stress disorder between 1998 and 2002 were investigated. After a mean of 29 months they were reevaluated with questionnaires. 20 patients treated with EMDR could be compared to 14 patients with a supportive treatment. The results (Isa. SUD. VoC) directly after treatment and in the long-term follow-up were significantly superior in the EMDR group compared to the controls. Soldiers traumatized in out-of-area missions tended to have a better short-term outcome than traumatized soldiers in Germany. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Empirical Study Inpatient Therapy Hospitalized Patients Longitudinal Study Military Veterans Posttraumatic Stress Disorder, PTSD, Psychotherapy, Stress Quantitative Study Retrospective Study
Accuracy Verified: Yes
50. Hurley, E. C., Zabukovec, J., Click, J., Francke, B., & Burd, J. (2009, August). EMDR and combat trauma. Preconference presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract: This one-day workshop is designed to provide EMDR clinicians essential information for providing psychotherapy to veterans, active military personnel with combat trauma, and military families. The morning session provides essential information for psychotherapists working with military and veteran cultures, including how soldiers transition to combat and later transition from combat to home. Video interviews with key individuals within the military will address issues in working within the DOD/VA. The afternoon part of the session will include a panel of EMDR consultants, representing extensive experience working with combat trauma and military families. The panel will address treatment issues in working with combat trauma, as well as address questions generated by participants. Video presentations will highlight issues in the treatment of life adjustment issues, combat trauma and military families.
Keywords: Combat
Accuracy Verified: Yes
51. Shapiro, E. (2012). EMDR and early psychological intervention following trauma. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 241-251. doi:10.1016/j.erap.2012.09.003.
Language: English
Format: Journal
Abstract:
Introduction:
This article evaluates developments in the field of early psychological intervention (EPI) after trauma in general and the place of early eye movement desensitization and reprocessing (EMDR) intervention (EEI) in particular. The issues and dilemmas involved with EPI and EEI will be outlined; related research presented and the current status evaluated.
Literature and clinical findings:
Reviewing the literature and drawing on findings from initial research and case studies, the rationale and contribution that EMDR therapy has to offer is discussed relative to current evidence and theory regarding post-traumatic stress syndromes and trauma memories. The relative advantages of EEI will be elaborated.
Discussion and conclusion:
It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also provide a window of opportunity in which a brief intervention, possibly on successive days, could prevent complications and strengthen resilience. Through the rapid reduction of intrusive symptoms and de-arousal response as well as by identifying potential obstructions to adaptive information processing (AIP), EMDR therapy may reduce the sensitisation and accumulation of trauma memories.
Keywords: Early Psychological Intervention EPI Trauma
Accuracy Verified: Yes
52. Errebo, N., & Sommers-Flanagan, R. (2007). EMDR and emotionally focused couple therapy for war veteran couples. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 202-222). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
To help veteran couples, therapists need to understand the effect of war on the warrior, the impact of the warrior's experience on intimate relationships, and effective individual and couple treatments. These considerations are discussed in this chapter. Topic include war trauma and complex posttraumatic stress disorder (PTSD); effects of PTSD symptoms on veterans and their intimate relationships; problems in veterans' marital relationships; and treatment considerations. The therapy process described here is an integration of Emotionally Focused Couple Therapy (EFT) and Eye Movement Desensitization and Reprocessing (EMDR). In case conceptualization and treatment planning, EMDR and EFT can be woven together harmoniously; many of their theoretical concepts and procedural steps are compatible with or parallel to one another. EFT and EMDR are first described separately. Next, the parallels between the two treatments are discussed. Then a plan is presented for combining EMDR and EFT in comprehensive treatment for couples affected by war trauma. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Couples Therapy EFT Emotionally Focused Couple Therapy Emotion Focused Therapy Emotional Freedom Technique Military Posttraumatic Stress Disorder PTSD Trauma Veterans War Trauma War Veteran Couples
Accuracy Verified: Yes
53. Ostacoli:, L., Bertino, G., & Faretta, E. (2013, June). EMDR and health: EMDR brief treatment in medical conditions with a high emotional charge: A possible challenge. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Stress and high emotional situations such as complex traumas have a negative influence on the psycho – physiologic adaptive process to illness. If these experiences are not elaborated, they could be stored as dysfunctional memories causing psychophysical vulnerability. EMDR treatment requires a proper detection and reprocessing of stressing memories in present and past events and in future templates, handling worries and fears.
Treatment protocol for serious medical diseases will be presented, focusing in the domains of Multiple Sclerosis and Oncology. Starting from the person and his system (biopsychosocial model), the main interest will be placed on case conceptualization and preparation of the project with EMDR, and then the identification of targets for further processing. From here, through the exposure of specific cases treated, we will work on bodily symptoms (the feeling perceived) through floatback to promote the connection of memories. The presentation of the research project and the first data obtained will follow.
The design helps the person to relate themselves to the traumatic material as something that they can see, represent, touch, by sharing and by exploring their resonances with the therapist; the design provides an emotional containment that allows the processing of intense emotions, reduces significantly the risk of dissociations, and allows the recovery of creative resources.
The fundamental aim of the model is to facilitate the building of a constructive relationship with themselves and with the “sick body”, by elaborating the traumatic events that have led to a dysfunctional self-image and explored, strengthened their resources with the aim of building the “navigation tools” and an effective “first-aid kit” for times of crisis. It will be presented the model of the intervention and the strategies proposed and used, through the presentation of clinical cases.
The analysis of the success factors and of the difficulties encountered will allow us to define a possible direction for future brief interventions with patients affected by complex organic diseases.
Learning objectives:
To learn EMDR protocols adapted to deal with serious medical illnesses such as Cancer and Multiple Sclerosis;
To analyse the therapeutic process by narrative and graphic material; and
To learn specific features to deal with fears of loss and impairment
Keywords: Disease Medical Illness Multiple Sclerosis Oncology
Accuracy Verified: Yes
54. Cane, P. (1991, August). EMDR and Project CAPACITAR in Central America. EMDR Network Newsletter, 1(1), 2.
Language: English
Format: Newsletter
Abstract:
CAPACITAR is a project of healing and
enablement connecting North American
and Third World Women. In the past two years we have traveled to very poor
regions in Nicaragua and Guatemala to
work with women suffering from the
effects of war, violence, and grinding
poverty. We have offered group workshops
in stress management, body movement,
simple acupressure and massage
to help alleviate the physical symptoms of
stress and trauma--headaches, insomnia,
stomach disorders, neck and shoulder
pain.
Keywords: Project CAPACITSAR
Accuracy Verified: Yes
55. Lipke, H. (2000). EMDR and psychotherapy integration: Theoretical and clinical suggestions with focus on traumatic stress. Boca Raton, FL: CRC Press.
Language: English
Format: Book
Abstract:
This book is about what I have learned about EMDR and its clinical use, especially with combat veterans. It is also about what trying to understand how EMDR works has taught me about psychotherapy in general. That second lesson is what I call the Four-Activity Model (FAM) of Psychotherapy, which grows out of a concept that Francine Shapiro refers to as Accelerated Information Processing (AIP). Shapiro's AIP description gives name to the idea that learned psychopathology can be considered dysfunctional held information, including thoughts, emotions, sensations, and behavior, that can be modified more quickly than previously believed by most therapists. The Four-Activity Model is an attempt to conceptualize how psychotherapeutic activity can be used most efficiently to reprocess dysfunctional held material and thereby resolve psychological problems.Finally, this book is about what psychotherapy in general has taught me about EMDR. Even in her early explanations of EMDR, Shapiro taught that it was an integrative method, that it relied on the lessons learned by years of clinical work using dynamic, behavioral, and humanistic methods. In this book I will attempt to elaborate on that relationship and offer specific therapeutic suggestions that will rely on the wisdom of previously established therapeutic methods, as well as the wisdom of past philosophical inquiry and religion. The book starts with EMDR, proceeds to try to describe how EMDR and other methods can be integrated into an overall model of psychotherapy, and then works its way back to the concrete practical integration of psychotherapy in general. The second half of the book has a practical focus on examples that are created mostly from my experience working with combat trauma. I hope that readers will see how these examples of interventions are easily generalized to other learning-based problems. [Author Introduction]
Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors
Accuracy Verified: Yes
56. Sabey, A. (2011, October). EMDR and strengthening children's emotional resilience. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.
Language: English
Format: Conference
Abstract:
This workshop explores the assessment and development of emotional resilience within children. Case examples are used to demonstrate how EMDR may be integrated into child-centred therapy sessions, helping children to find ways to manage strong emotions, gain emotional literacy, fully utilise social networks and develop a toolbox of skills and resources. The resilience of the parent/carer, and that of the therapist is considered. The importance of attunement and collaboration within the therapeutic relationship is highlighted. (Author abstract)
Keywords: Children Emotional Resilience
Accuracy Verified: Yes
57. Rogers, S. (1998, July). EMDR and the resolution of guilt in a veteran population. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to differentiate between survivor guilt, bystander guilt, and perpetrator guilt and will become familiar with some of the literature addressing this issue; 2) become familiar with common patterns of naturally-occurring resolution of guilt during EMDR; 3) learn some ways the issue of guilt in clients'presentations, how to present EMDR in a way which can be accepted by clients, and how to frame cognitive interweaves which can be used by clients whose guilt may be "reality based."
Accuracy Verified: Yes
58. Rogers, S. M. (2008, June). EMDR and the treatment of combat trauma. Keynote at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
From the first days of its development, EMDR was applied to those suffering from the trauma of war.
As EMDR pioneers worked with this population, the unique features of resolving combat-related PTSD
rapidly became clear. These features included not only the complexity of the symptoms, issues, and
the involvement of other life experiences but included also the particular skills, knowledge, and
attitudes needed of the clinician. In the area of research, while the population of survivors with warrelated
PTSD steadily and unfortunately has grown, research has not kept pace. This has resulted not
only in deficits of the scientific support for EMDR but has contributed to challenges to the use of
EMDR with combat veterans.
Accuracy Verified: Yes
59. Ricci, R., & Clayton, C. (2011, August). EMDR as an adjunct to cognitive behavioral treatment of sex offenders. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Historically the treatment of male adult sex offenders ignored or purposely avoided developmental adversity or trauma in the history of the offender. Emerging theories in the field of adult sex offender treatment allow room for a trauma informed treatment model including collaborative practice between sex offender treatment providers and EMDR practitioners. A promising mixed-methods study adding EMDR to a standard CBT model with ten adult male child molesters found pre-post improvement in both treatment progress and significant reduction in deviant, idiosyncratic sexual arousal as measured by phallometry. The project’s qualitative analysis provides a guide to developing treatment protocol.
Keywords: CBT Cognitive Behavior Therapy Sex Offenders
Accuracy Verified: Yes
60. Farrell, D. (2010, June). EMDR based treatment of psychotraumatic antecedents in illicit drug abusers: A report of two cases. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In March 2007 an EMDR Europe HAP project, in conjunction
with the University of Birmingham, commenced in Northern
Pakistan in the aftermath of the earthquake that occurred in
the region October 2005. Presently over 75 mental health workers
have now been trained in EMDR in August 2009 six of these
Pakistani mental health workers had successfully completed their
EMDR Facilitator training. As a means of evaluating their EMDR
training a Q Methodology was utilised. Q-Methodology allows
a researcher to explore a complex phenomenon from a subject's
point of view by using a distinct approach which rates the value
of 25 statements in order from least to most desirable. These
statements related to EMDR clinical practice, cultural application
of EMDR. EMDR research development, and their experiences of
their EMDR training. Results highlighted important issues around
their training experience, how cultural sensitivities play an important
part in the application of EMDR in Pakistan, and how the
EMDR trainings can be adapted and improved for the future.
Keywords: HAP Project Q-Methodology Pakistan Poster
Accuracy Verified: No
61. Adler-Tapia, R., & Settle, C. (2008, February). EMDR butterfly hug/group protocol: Fidelity research manual. Hamden, CT : EMDR Humanitarian Assistance Programs.
Language: English
Format: Book
Abstract:
This manual is based on EMDR theory created by Dr. Francine Shapiro and documented in Dr. Shapiro's books (1995, 2001); and, the EMDR Group Protocol created by Dr. Ignacio Jarero and Dr. Lucina Artigas documented in Artigas,L., Jarero,I., Mauer,M., López Cano,T., & Alcalá,N.(2000); Jarero, Artigas, López Cano, Maure, & Alcalá, (1999). This manual also references the fidelity manual created by Korn, D.L. & Spinazzola, J. (January, 2001); and the fidelity scales created by Korn, D.L., Zangwill, W., Lipke, H. & Smyth, N. (January, 2001).
In addition, we have included information provided by Dr. Robert Tinker and Dr. Sandra Wilson regarding additional directions for the group protocol with children.
This protocol references the book and treatment manual, EMDR and the Art of Psychotherapy with Children (2008) by Dr. Adler-Tapia and Ms. Settle.
This is a fidelity manual created for use in research. The protocol will need to be adjusted for the environment, culture and unique needs of the participants. All resources are documented in the reference section of this manual.
This manual was donated to the EMDR Humanitarian Assistance Program in order to sustain and advance the EMDR HAPKIDS Project which supports programs providing EMDR for children by training therapists, conducting research, and most importantly, providing treatment for those children who are most in need.
Keywords: Butterfly Hug Group Protocol
Accuracy Verified: Yes
62. O’Dell, K. (2005, April 05). EMDR can fight fears, soften troubling memories. Springfield, MO: Springfield News-Leader, Health, E4.
Language: English
Format: Newspaper
Abstract:
Psychologists say Eye Movement Desensitization and Reprocessing, or EMDR, appears to help clients thoroughly process old painful events so they "unstick" from the conscious mind and move into resolved memory.
Several Springfield-area therapists say they have used EMDR to successfully treat troubled war veterans as well as clients with a host of phobias, eating disorders, a history of sexual abuse, depression and low-self esteem.
Keywords: General Mike Murrell Overview Springfield
Accuracy Verified: Yes
63. Francke, B. (2008, August). EMDR case studies. Presentation at the USMC Combat Operational Stress Control Conference, San Diego, CA.
Language: English
Format: Conference
Abstract:
EMDR is one of the most effective short term treatment approaches for trauma. The use of EMDR in the treatment of combat stress improves Marines’ and Sailors’ adaptive functioning, thus improving Mission Readiness. Research has shown a rapid decline in self reported distress after only one session of EMDR (Rogers, et al 1999). Additionally, 77.7% of combat veterans treated with EMDR no longer met criteria for PTSD (Carlson et al, 1998). Now more than ever effective short term treatment is available. This presentation will include several case studies highlighting the use of EMDR in treating combat stress symptoms.
Keywords: Case Studies Combat Stress Marines Mission Readiness
Accuracy Verified: Yes
64. Post, L. L. (2000, September). EMDR case study: Micronesia. EMDRIA Newsletter, 5(3), 4-5.
Language: English
Format: Newsletter
Abstract:
As a physician board-certified in Psychiatry,
Addiction Medicine, Addiction
Psychiatry, Sexology, Traumatology, and with
credentials in Massage Therapy, EMDR, and
as a Forensic Examiner, I have worked in
almost every practice setting imaginable and
with a broad variety of patients. Having been
based from a hospital, community clinic,
halfway-house residence, private office,
Veterans Administration Medical Center,
training institution, and doing outreach on the
streets, I am clinically familiar with the
behavioral challenges of children, adolescents,
young adults, old adults, couples, families, and
groups manifesting acute symptoms and
exacerbations of chronic disorders, with and
without chemical dependency, physical
problems, and sociological impairments. I like
to teach trainees, do interactive lectures, travel
and experience ‘difference.’ It is thus that I
have found myself a settled homeowner on
Saipan, a Manhattan-sized island that, as part
of the Commonwealth of the Northern Mariana
Islands (U.S.), is the farthest-flung American
overseas possession. Always the outsider; here
among the various tan tones of complexion
found among the indigenous of the western
Pacific, I have experimented with several
interventional strategies, both to establish
rapport and some trust and also to start creating
that unique and culturally competent treatment
modality that will foster growth among my
patients. Cognitive-behavioral approaches
generally work better than insight-oriented
ones because of the ‘here-and-now’ mindset
of Chamorros, Carolinians, Yapese, Chukese,
Pohnpeians, Kosraeans, and Filipinos who
comprise the population base here. Let me
briefly discuss one fascinating case. Twenty two
year old Chamolinian woman, married and
with three young children was involved in a
minor motor vehicle accident. This accident was
a spinoff of a more serious one primarily
involving two other vehicles. In a large truck
(Toyota T100), she was not hurt, and the two
children riding with her were also unharmed.
Keywords: Case Study Micronesia
Accuracy Verified: Yes
65. Wilson, S., Becker, L., & Tinker, R. (1995, June). EMDR Colorado Research Project: One year follow-up. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Keywords: Colorado Research Project
Accuracy Verified: Yes
66. Grégoire, P. A. (2010, Avril/Mai). EMDR dans les cas de deuil et de dépression [EMDR in bereavement and depression]. Atelier présenté à la réunion annuelle de l'EMDR Canada, Toronto, Ontario.
Language: French
Format: Conference
Abstract:
Le deuil et la dépression sont des expériences de vie qui présentent un défi pour les mécanismes d’adaptation et remettent en question les états d’équilibre déjà établis. Les liens qui deviennent de plus en plus évidents entre ces états expérientiels et la présence de mécanismes défectueux de traitement de l’information soulignent l’importance d’offrir des services psychothérapeutiques, telle l’approche EMDR qui tient compte de ces besoins et de ces processus spécifiques. Notre présentation veut souligner : 1) l’importance des protocoles et des principes de base de l’approche EMDR comme modèle d’intégration des processus de psychothérapie 2) les recherches qui explorent les mécanismes dysfonctionnels des réseaux de mémoire impliqués lors du travail du deuil et 3) les applications de protocoles spécifiques EMDR pour les diverses étapes du deuil. La partie expérientielle de cette présentation explorera certains des facteurs adaptatifs permettant le renouvellement de cet équilibre perdu et la consolidation de mécanismes reliés à la résilience. (Tous les niveaux)
Grief and depression are life experiences that are challenging for coping and challenge the already established equilibrium states. The links are becoming increasingly evident between these experiential states and the presence of defective mechanisms of information processing emphasize the importance of providing psychotherapeutic services, such as the EMDR approach that addresses these needs and these specific processes. Our presentation will highlight: 1) the importance of protocols and basic principles of the EMDR approach as a model for the integration of psychotherapy process 2) research that explores the dysfunctional mechanisms of memory networks involved in the work of mourning and 3) applications of EMDR protocols specific for the various stages of grief. The experiential part of this presentation will explore some of the factors adaptive to the renewal of this lost balance and strengthening mechanisms associated with resilience. (All levels)
Keywords: Bereavement Depression: Grief
Accuracy Verified: Yes
67. Hartung, J. (2007, Novembro). EMDR e psicologia positiva: Treinamento em resiliência, aprimoramento de desempenho e outros assuntos que nunca ouvimos na universidade [Positive psychology and EMDR: Training resilience, performance enhancement and other matters that we have never heard in the university]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.
Language: Spanish
Format: Conference
Abstract:
No treinamento profissional de um
psicoterapeuta, tende-se a focalizar aquilo que
está “errado” com clientes: psicopatologia,
transtornos de ajustamento, categorias
diagnósticas, mesmo abordagens de tratamento
baseiam-se na premissa de que nossos clientes
vêm nos ver apenas quando algo está errado com eles. O terapeuta, por sua vez, pode finalizar o
trabalho depois que os sintomas foram corrigidos,
ou ao menos reduzidos. Nos últimos anos, muitos
terapeutas (e seus clientes) têm prestando atenção
ao que está certo conosco; como podemos
incrementar nossos recursos pessoais e nossas
emoções positivas, com a finalidade de obter
maiores benefícios para nós mesmos e os outros
com quem convivemos.
In the professional training of an
psychotherapist, tends to focus on what
is "wrong" with customers: psychopathology,
adjustment disorders, categories
diagnostic, treatment approaches that
based on the premise that our customers
come see us only when something is wrong with them. The therapist, in turn, may end
work after the symptoms have been corrected,
or at least reduced. In recent years, many
therapists (and their customers) are paying attention to what is right with us, as we
increase our resources and our personal
positive emotions, in order to obtain
greater benefits for ourselves and others
with whom we live.
Keywords: Positive Psychology
Accuracy Verified: Yes
68. Faretta, E. (2008, Novembre). EMDR e trattamento del disturbo di panico: Un protocollo specifico integrato [EMDR and the treatment of panic disorder: a specific protocol integrated]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Nell’ambito degli studi sulle possibilità terapeutiche offerte dall’impiego dell’EMDR in diverse patologie si sono evidenziate delle prospettive interessanti in relazione agli interventi sui disturbi di panico, in grado di fornire una possibilità di lavoro terapeutico globale e completo focalizzato non solo sulla condizione presente e quindi sulla gestione degli attacchi di panico, ma anche sulla comprensione dinamica di tale disturbo.
Facendo riferimento alla letteratura e ai resoconti che hanno supportato l’efficacia del-l’EMDR per il trattamento del Disturbo d’Attacchi di Panico (Feske & Goldstein, 1997; Goldstein & Feske, 1994; Nadler, 1996; Shapiro & Forrest, 1997) e dalla analisi ed applicazione del protocollo Whisman, è stato messo a punto, attraverso la personale pratica clinica, un preciso protocollo integrato per il trattamento del disturbo di panico secondo l’approccio EMDR.
Facendo riferimento a questi studi, l’ipotesi di intervento dalla quale sono partita è quella che si basa sulla considerazione che l’attacco di panico può rappresentare un evento traumatico di per sé e che quindi il lavoro clinico proposto, seguendo l’approccio EMDR, risulta efficace per desensibilizzare e rielaborare convinzioni, comportamenti, emozioni e sensazioni corporee legate alla paura fino a farle rientrare all’interno di un sistema di convinzioni più gestibile, in modo da permettere al paziente di affrontare le situazioni precedentemente temute e quindi evitate.
In questo workshop vengono presentate le modalità di applicazione nel disturbo panico in relazione alle 8 fasi di lavoro dell’approccio EMDR, facendo riferimento ai casi clinici e quindi ad esperienze pratiche derivanti dal personale lavoro terapeutico.
Da qui vengono fornite le linee per la strutturazione dello specifico piano di trattamento, secondo un protocollo di lavoro, appositamente elaborato, che conduce, passo dopo passo, all’applicazione del progetto terapeutico
Il protocollo di lavoro presentato si focalizza sulla rielaborazione degli attacchi di panico e quindi sulla gestione della sintomatologia caratteristica di questo disturbo.
Fornisce, inoltre, indicazioni per effettuare un’attenta anamnesi, che permetta al terapeuta di predisporre un adeguato piano di individuazione e di rielaborazione dei fattori precipitanti e delle esperienze traumatiche pregresse della storia personale del paziente sin dall’infanzia, che possono costituire la base emotiva sulla quale può instaurarsi, in particolari circostanze, la sintomatologia del DAP.
Si tratta di eventi stressanti o traumatici del passato sui quali risulta indispensabile un lavoro di rielaborazione al fine di far emergere possibili capacità e comportamenti adattivi per realizzare azioni future adeguate.
As part of studies into the therapeutic possibilities offered by EMDR in various diseases appear to be any interesting perspectives in relation to work on problems panic, unable to provide an opportunity for therapeutic work focused global and comprehensive not only on the present condition and therefore on the management of panic attacks, but also on dynamic understanding of the disorder. Referring to the literature and the reports that have supported the efficacy of on-l'EMDR the treatment of Panic Disorder (FESK & Goldstein, 1997; FESK & Goldstein, 1994; Nadler, 1996, Shapiro & Forrest, 1997) and the analysis and application of the protocol Whisman, was developed through personal clinical practice, a precise protocol integrated treatment of panic disorder according to the EMDR approach. Referring to these studies, the possibility of intervention from which game is the one based on the consideration that the panic attack can be a traumatic event in itself and therefore the clinical work proposed, following the approach EMDR, is effective for desensitize and reprocess beliefs, behaviors, emotions and body sensations associated fear until they fall within a belief system more manageable, so allow the patient to deal with situations previously feared and avoided. In this workshop presents the detailed rules in panic disorder report at 8 phases of EMDR work of the approach, referring to clinical cases and then practical experiences arising from personal therapeutic work. From here, we provide the guidelines for the structuring of a specific treatment, according a working protocol, specially developed, which leads, step by step, application
therapeutic project the protocol of work presented focuses on the recasting of panic attacks and then the management of symptoms characteristic of this disorder. Also provides instructions for making a careful medical history, which allows the therapist to
prepare an adequate plan for the identification and revision of precipitating factors and past traumatic experiences of the patient's personal history from childhood, which may form the emotional basis on which it can establish, in certain circumstances, symptoms of CAD. It is stressful or traumatic events of the past on which it is essential work of reworking in order to identify possible skills and adaptive behaviors to achieve appropriate future action.
Keywords: Panic Disorder
Accuracy Verified: Yes
69. Farrell, D., Keenan, P., & Basil, J. (2006, March). EMDR HAP training in India in the aftermath of the tsunami. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract:
On 26th December 2005 the southern coastline of India was hit by a tsunami, which resulted in the deaths of over 28,000 people. This natural disaster caused the widespread devastation to the region. As part of the EMDR Humanitarian Assistance Programme as series of EMDR Levels 1 and 2 were established in Chennai, Southern India offering training to mental health workers specifically working the tsunami affected areas. The project was funded by Cerner/First Hand Foundation project with the remit primarily focusing upon the trauma impact upon children. For the purpose of this presentation, the Chennai project will be outlined, providing insight into how the trainings were carried out from a teaching and learning perspective. It will also consider trauma experiences from a cultural viewpoint, which potentially challenges western constructs of PTSD phenomena. Particular attention wil be focused upon the aspects of the Negative and Positive Cognition and how this seems to be potentially a cultural component to the EMDR protocol. Indian practitioners determined that 'mind and body' are one in the same. Yet EMDR training emphasises the importance of distinguishing between thoughts and feelings. As a result many of the trainees struggled with this aspect. Discussion will also explore more widespread trauma characteristics of the tsumani including how the trauma impacted from an individual, family, and community perspective.
Keywords: HAP Training Tsunami
Accuracy Verified: Yes
70. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N. L., & Muroaka, M. Y. (1995, June). EMDR in combat-related PTSD: A controlled study. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
In view of potential, but largely undocumented benefits of eye movement desensitization and reprocessing (EMDR) as an intervention for PTSD in combat veterans, in our laboratory a study of EMDR treatment included (1) randomized patient assignment, (2) clinically appropriate comparison (treatment and control) groups, (3) a 12-session EMDR protocol administered by experienced, EMDR trained clinicians, and (4) extensive clinical assessment, including physiological evaluation at pre-treatment, post-treatment, and 3-month follow-up. Thirty-five veterans who met DSM-IV criteria for PTSD completed an extensive multimodal assessment protocol. Assessment instruments included: The Mississippi Scale for Combat-Related PTSD, the Impact of Events Scale (IES), the Clinician Administered PTSD Scale (CAPS), a self-rating of overall severity of "PTSD symptoms," the Beck Depression Inventory, and the Spielberger State and Trait Anxiety Inventories (STAI). In addition, each subject completed a Stressful Scene Construction Questionnaire (SSCQ) in which scripts of specific traumatic combat incidents were prepared for presentation during psychophysiological assessment. Following pre-assessment, a subset of the subjects constituted a waiting list control (CON, N = 12). Routine clinical care for these subjects was available at the VA Medical Center. Seven of these subjects also participated in group sessions for discussion of PTSD designed as an attentional control. There were no differences between the two control subgroups and their data was combined for all subsequent analyses. For the treatment groups, subjects assigned to the EMDR (EMD, N = 10) and relaxation (RXT, N = 13) groups were seated in a semi-reclined chair and continuous measures were taken of muscle tension levels (four sites), hand temperature, skin conductance levels, heart rate, and blood pressure. For all subjects, there were 20 minutes in each of the baseline sessions with no additional stimuli presented. At the end of session 2 of baseline, the patients remained in the experimental room and were assessed for an additional 20 minutes (pre-treatment) during which the SSCQ scripts also were presented. There were two sessions per week with a minimum of one day between sessions. Each subsequent treatment session for the EMD and RXT subjects was approximately 60 minutes in duration, allowing for set-up time and briefing. In the EMD group, a standard protocol for the EMDR interventions was administered, including periodic SUDS ratings and VoC scaling of combat and related images and cognitions (cf Shapiro, 1995). In the RXT group, home relaxation tapes and biofeedback on four sites (face, neck, arm, and back) to assist lowered muscle tension were provided. Following 12 treatment sessions (post-treatment), and again after three months (follow-up) the psychometric instruments and psychophysiological assessment were readministered using the format outlined above. Relative to the other conditions, the EMDR treatment produced substantially more positive clinical effects at post-treatment and follow-up. Comparing the EMD group to the CON group, significant effects (p<.05 or better) were obtained on measures of PTSD including the Mississippi and PTSD symptoms self-rating, and on the Beck and STAI-Trait. Comparing the EMD group to the RXT subjects, significant differences were found on the Mississippi, the IES-Intrusion scale, the CAPS, PTSD symptoms ratings, and the STAI-Trait scale. No differences were obtained on any of the physiological measures. Therefore, the present results support the effectiveness of EMDR with combat veterans with chronic PTSD. The data strongly suggest that some previous negative results obtained when EMDR was applied to chronic and severe combat PTSD may have resulted from methodological artifacts, such as inadequate amount of treatment and therapist inexperience. While the failure to find physiological effects is consistent with results of other controlled treatment exposure trials in PTSD, this finding raises clinical and conceptual questions with respect to the arousal component of the disorder.
Keywords: Combat Controlled Study
Accuracy Verified: Yes
71. Sack, M., Lempa, W., & Lamprecht, F. (2003). EMDR in der behandlung dissoziativer störungen [EMDR in the treatment of dissociative disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 1 (3), 25-33.
Language: German
Format: Journal
Abstract: Keywords: Dissociative Disorders, Psychotherapeutic Processes Accuracy Verified: Yes 72. Beer, R., & Bronner, M. B. (2010). EMDR in paediatrics and rehabilitation: An effective tool for reduction of stress reactions?. Developmental Neurorehabilitation, 13(5), 307-309. doi:10.3109/17518423.2010.502914. Language: English Format: Journal Abstract: Keywords: Editorial Pediatrics Rehabilitation Stress Reduction Accuracy Verified: Yes 73. Silver, S. (2012, October). EMDR in the military: Trauma, attachment and families. Presentation at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Keywords: Attachment Families, Military Trauma Accuracy Verified: Yes 74. Aytun, O. A. (2010, June). The EMDR integrated group treatment with child victims of a terrorist. In treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Acute Stress Children Group Therapy Symposium Terrorism Victims Accuracy Verified: Yes 75. Silver, S. (2004). EMDR military update. EMDRIA Newsletter, 9(3), 17. Language: English Format: Newsletter Abstract: Keywords: Military Accuracy Verified: Yes 76. Silver, S. M., & Rogers, S. (2007, September). EMDR on the firing line: Working with war and
terrorism survivors. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Survivors Terrorism War Accuracy Verified: Yes 77. Hacker-Hughes, J., & Wesson, M. (2008, June). EMDR on the frontline: Early interventions during military operations. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Early Interventions Military Accuracy Verified: Yes 78. Jarero, I., & Uribe, S. (2012). The EMDR protocol for recent critical incidents: Follow-up report of an application in a human massacre situation. Journal of EMDR Practice and Research, 6(2), 50-61. doi:10.1891/1933-3196.6.2.50. Language: English Format: Journal Abstract: Keywords: Human Massacre PRECI Posttraumatic Stress Disorder Protocol for Recent Critical Incidents PTSD Recent Events Accuracy Verified: Yes 79. Dunne, T. (2011, March). EMDR therapists integrating EMDR into their clinical practice. Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol. Language: English Format: Conference Abstract: Accuracy Verified: Yes 80. Doherty, M. (2012, July 27). EMDR therapy can alleviate PTSD for those affected by Aurora shooting. Austin, TX, SBWire. Retrieved from http://www.sbwire.com/press-releases/emdr-therapy-can-alleviate-ptsd-for-those-affected-by-aurora-shooting-155639.htm on 7/29/2012. Language: English Format: Other Abstract: Keywords: Aurora Shooting Accuracy Verified: Yes 81. Silver, S. M., Rogers, S., Knipe, J., & Colelli, G. (2005, February). EMDR therapy following the 9/11 terrorist attacks: A community-based intervention project in New York City. International Journal of Stress Management, 12(1), 29-42. doi:10.1037/1072-5245.12.1.29. Language: English Format: Journal Abstract: Keywords: 9/11 Americans Crisis Intervention Empirical Study Quantitative Study September 11 Survivors Terrorism Terrorist Attacks Treatment Effectiveness Accuracy Verified: Yes 82. Cerone, M. R. (2000, November). EMDR treatment of combat-related guilt: A study of the effects of eye movements. Poster presented at the annual meeting of the International Society for Traumatic Stress Studies, San Antonio, TX. Language: English Format: Conference Keywords: Adults Americans Guilt Poster Posttraumatic Stress Disorder PTSD Treatment Effectiveness Veterans War Accuracy Verified: Yes 83. Konuk, E., Epozdemir, H., & Haciomeroglu, S. (2012, June). EMDR treatment of migraine and chronic daily headache [Tratamiento de migrañas y cefalea
diaria y crónica con EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Accuracy Verified: Yes 84. Rost, C., Hofmann, A., & Wheeler, K. (2009). EMDR treatment of workplace trauma: A case series. Journal of EMDR Practice and Research, 3(2), 80-90. doi:10.1891/1933-3196.3.2.80. Language: English Format: Journal Abstract: Keywords: Bank Robbery Trauma Resilience Workplace Violence Accuracy Verified: Yes 85. ter Heide, F. J. J. (2011). EMDR versus stabilisaite: Resulten van een pilot studie [Eye movement desensitisation and reprocessing (EMDR) versus stabilisation in the outpatient treatment of traumatised asylum seekers and refugees: A randomised controlled trial]. Refereer Centrum '45, Oegstgeest, the Nederlands. Language: Dutch Format: Publication Abstract: Keywords: Asylum Seekers Randomized Control Trial Outpatient Treatment RCT Refugees Accuracy Verified: Yes 86. Zobel, M. (2010, June). EMDR with alcohol addicted patients with
comorbid PTSD in a treatment facility for
alcoholism - experiences, outcome, perspectives. In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Alcoholism Treatment Comorbid Posttraumatic Stress Disorder Comorbid PTSD Symposium Accuracy Verified: Yes 87. Hughes, J. H. (2006, March). EMDR with combat veterans. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK. Language: English Format: Conference Abstract: Keywords: Combat Veterans Accuracy Verified: Yes 88. Gonzalez, A., & & Mosquera, D. (2012). EMDR y disociación. El enfoque progresivo [EMDR and dissociation: The progressive approach]. Madrid, Spain: Ediciones Pleyades. Language: Spanish Format: Book Abstract: Keywords: Dissociation Accuracy Verified: Yes 89. Drozd, L. M. (1994, July). EMDR – A natural healling process: A brief explanation. The Orange County Psychologist. Language: English Format: Newsletter Abstract: Accuracy Verified: Yes 90. Jarero, I. (2012). EMDR, el SPIA y el desarrollo de resiliencia [EMDR, AIP, and development of resilience]. Revista Iberoamericana de Psicotraumatología y Disociación, 2(2). Retrieved from http://revibapst.com/EMDR-SPIA-RESILIENCIA.pdf 11/20/2012. Language: Spanish Format: Other Abstract: Keywords: Adaptive Information Processing AIP Resilience Accuracy Verified: Yes 91. Devilly, G. J., Spence, S. H. & Rapee, R. M. (1996). EMDR, post traumatic stress disorder and war veterans: Little evidence for a new paradigm. Presentation at the 31st Annual Conference of the Australian Psychological Society, Sydney, Australia. Language: English Format: Conference Keywords: Posttraumatic Stress Disorder PTSD War War Veterans Accuracy Verified: Yes 92. Couto, M., Farate, C., Ramos, S., & Fleming, M. (2012, June). EMDR, setting and therapeutic relationship: A comparative study with CBT and psychoanalytic therapists. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain. Language: English Format: Conference Abstract: The therapeutic efficacy of EMDR is increasingly documented in process and outcome studies. However there is an ongoing debate on whether this effectiveness is mainly due to EMDR therapeutic techniques or to other variables. Since EMDR technical procedures are also related to the way the therapist manages both the space and the therapeutic relationship with the patient there is a growing trend towards the study of the influence of contextual and therapist variables on treatment outcome. This study aims to compare the management of both setting and therapeutic relationship among experienced EMDR, CBT and psychoanalytic therapists. The data and sample correspond to a preliminary phase of a broader research project whose aim is the construction of a psychometric instrument of trans-theoretical nature (Management of the Setting Scale-MSS) aimed at the assessment of setting on therapeutic outcome.
Keywords: CBT Cogntive Behavior Therapy, Poster Psychoanalysis Accuracy Verified: Yes 93. Errebo, N., Knipe, J., Forte, K., Karlin, V., & Altayli, B. (2008). EMDR-HAP training in Sri Lanka following the 2004 tsunami. Journal of EMDR Practice and Research, 2(2), 124-139. doi:10.1891/1933-3196.2.2.124. Language: English Format: Journal Abstract: Keywords: Adults Children Cross-Cultural Treatment Humanitarian Efforts Indian Ocean Tsunami Mental Health Personnel Personal Narrative Professional Training Sri Lanka Sri Lankans Survivors Treatment Effectiveness Tsunamis Accuracy Verified: Yes 94. Capps, F., Andrade, H., & Cade, R. (2005). EMDR: An approach to healing betrayal wounds in couples counseling. In G. R. Walz & R. K. Yep (Eds.), VISTAS: Compelling Perspectives on Counseling (pp. 107-110). Alexandria, VA: American Counseling Association. Language: English Format: Book Section Abstract: Keywords: Betrayal Wounds Couples Counselling Couples Therapy Accuracy Verified: Yes 95. Shapiro, F. (2008, May). EMDR: 21st-century therapy and the possibilities for healing. Presentation at the Academy for Guided Imagery Conference. Language: English Format: Conference Abstract: Keywords: Webcast Accuracy Verified: Yes 96. McDonnell, F. (2006). EMDR: The breakthrough therapy. Body and Soul Magazine. Language: English Format: Magazine Abstract: Accuracy Verified: Yes 97. Morris-Smith, J. (2002). EMDR: Clinical applications with children. ACPP Occasional Paper No. 19, Oxford: Blackwell Publishers. Language: English Format: Book Abstract: Keywords: Children Accuracy Verified: Yes 98. Burns, M. (2011). EMDR: A documentary film. Author. Language: English Format: Video Abstract: Keywords: Interviews Practice Theory Accuracy Verified: Yes 99. Hanlon, P. (2012, November 1). EMDR: Research prompts acceptance. New England Psychologist. Retrieved from http://www.nepsy.com/articles/leading-stories/emdr-research-prompts-acceptance/ on 1/2/2012. Language: English Format: Newsletter Abstract: Keywords: Kate Wheeler Practice Research Theory Accuracy Verified: Yes 100. Solomon, R. M. (2002). EMDR:n pitka matka tunnustetuksi hoitomuodoksi [Eye movement desensitization and reprocessing: We have come a long way, with a long way to go]. European Society for Trauma and Dissociation. Retrieved from http://www.estd.org/fi/ARTICLES/EMDRn_pitka_matka_tunnetuksi_hoitomuodoksi.pdf on 8/16/2012. Language: Finnish Format: Conference Abstract: Keywords: Trauma Centre Therapy Project Accuracy Verified: Yes 101. Pitman, R., Orr, S., Altman, B., Longpre, R., Poire, R., Macklin, M., Michaels, M. J., & Steketee, G. S. (1996, November-December). Emotional processing and outcome of imaginal flooding therapy in Vietnam veterans with chronic posttraumatic stress disorder. Comprehensive Psychiatry, 37(6), 409-418. doi:10.1016/S0010-440X(96)90025-5. Language: English Format: Journal Abstract: Keywords: Emotional Processing Flooding Therapy Posttraumatic Stress Disorder PTSD Vietnam Veterans Accuracy Verified: Yes 102. Pitman, R., Orr, S., Altman, B., Longpre, R., Poire, R., & Macklin, M. (1996, November-December). Emotional processing during eye-movement desensitization and reprocessing therapy of Vietnam veterans with chronic post-traumatic stress disorder. Comprehensive Psychiatry, 37(6), 419-429. doi:10.1016/S0010-440X(96)90025-5. Language: English Format: Journal Abstract: Keywords: Americans Clinical Trial Empirical Study Longitudinal Study Males Middle Aged Posttraumatic Stress Disorder PTSD Treatment Effectiveness Veterans Vietnam War Accuracy Verified: Yes 103. U.S. Department of Veterans Affairs, National Center for PTSD. (2001). Empirical evidence regarding behavioral treatments for PTSD, Factsheet. Washington, DC. Language: English Format: Publication Abstract: Keywords: Behavioral Treatments Fact Sheet Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 104. Levin, C. (1993, July/August). The enigma of EMDR: An intriguing, new treatment method promises dramatic results. Family Therapy Networker, 17(4), 75-83. Language: English Format: Magazine Abstract: Keywords: Case Report Diseases Males Middle Aged Professional Criticism Professional Criticism Reply Sexual Dysfunctions Survivors Accuracy Verified: Yes 105. Luber, M., & Shapiro, F. (2010). Entretien avec Francine Shapiro: Aperçu historique, questions actuelles et directions futures de l'EMDR [Interview with Francine Shapiro: Historical, current issues and future directions of EMDR]. Journal of EMDR Practice and Research, 4(2), 1E-17E. doi:10.1891/1933-3196.3.4.217. Language: French Format: Journal Abstract: Accuracy Verified: Yes 106. Doering, S., Bisping, V., Nora Liebergesell, N., Höffkes, B., Junghöfer, M., & Dobel, C. (2012). Erfassung neurobiologischer orrelate der EMDR-behandlung bei patienten mit zahnbehandlungsangst [Detection of neurobiological correlates of EMDR treatment in patients with dental anxiety]. Universitätsklinikum Münster, Kliniken, Psychosomatik und Psychotherapie, Forschung, Munster, Deutschland. Language: German Format: Other Abstract: Keywords: Dental Phobia Accuracy Verified: Yes 107. Stofsel, M. (2005, November). Ervaringen met EMDR bij complex trauma [Experience with complex trauma and EMDR]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland. Language: Dutch Format: Conference Abstract: Keywords: Complex Trauma Accuracy Verified: Yes 108. Tareen, M. S. (2010, July). The evaluation of an Urdu version of Impact of events scale - revised (UIES-R). Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Impact of Events Scale - Revised UIES Urdi Version Accuracy Verified: Yes 109. Harnett, S. (2012, November 12). Even with new treatments, few PTSD vets seek help. KALW, San Francisco, CA. Retrieved from http://www.kalw.org/post/even-new-treatments-few-ptsd-vets-seek-help on 12/10/212. Language: English Format: Other Abstract: Keywords: Army Posttraumatic Stress Disorder PTSD Veterans Accuracy Verified: Yes 110. Turpin, R. C. (1999, August). An exploration of reported transpersonal/spiritual experiences during and after eye movement desensitization and reprocessing (EMDR) treatment of traumatic memories. California Institute of Integral Studies, San Francisco, CA. AAT 9962663. Language: English Format: Dissertation/Thesis Abstract: Keywords: Emotional Trauma Empirical Study Religious Experiences Therapists Transpersonal Psychology Transpersonal/Spiritual Experiences Accuracy Verified: Yes 111. Brown, P. (2011, March). An exploration of the use of eye movement desensitization and reprocessing (EMDR) techniques within a solution focused brief therapy (SFBT) framework with children experiencing personal and school related problems. Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol. Language: English Format: Conference Abstract: Keywords: Children School-Related Problems SFBT Solution Focused Brief Therapy Accuracy Verified: Yes 112. Shapiro, F. (1991, May). Eye movement desensitization & reprocessing procedure: From EMD to EMD/R--A new treatment model for anxiety and related traumata. the Behavior Therapist, 14(5), 133-135. Language: English Format: Newsletter Abstract: Keywords: Posttraumatic Stress Disorder Psychophysiology PTSD Treatment Effectiveness Accuracy Verified: Yes 113. Boudewyns, P. A. & Hyer, L. A. (1996, October). Eye movement desensitization and reprocessing (EMDR) as treatment for post-traumatic stress disorder (PTSD). Clinical Psychology and Psychotherapy, 3(3), 185-195. doi:10.1002/(SICI)1099-0879(199609)3:3<185::AID-CPP101>3.0.CO;2-0. Language: English Format: Journal Abstract: Keywords: Adults Americans Posttraumatic Stress DIsorder PTSD Random Clinical Trial RCT Treatment Effectiveness Veterans Accuracy Verified: Yes 114. Renssen, M. R., & Winkel, F. W. (1999). Eye movement desensitization and reprocessing (EMDR) bij verkeersslachtoffers met chronische whiplash-klachten: Een exploratieve studie naar het verzachten va traumasymptomen [Eye movement desensitization and reprocessing (EMDR) in road casualties with chronic whiplash injuries: An exploratory study to alleviate symptoms of trauma]. Directieve Therapie, 19(4), 148-156. doi:10.1007/BF03060223. Language: Dutch Format: Journal Abstract: Keywords: Motor Vehicle Accidents Road Casualties Whiplash Accuracy Verified: Yes 115. Albright, D. L., Thyer, B., Becker, B. J., & Rubin, A. (2011, November). Eye movement desensitization and reprocessing (EMDR) for posttraumatic stress disorder (PTSD) in combat veterans. Oslow, Norway: The Campbell Collaboration. Retrieved from www.campbellcollaboration.org on 2/16/2012. Language: English Format: Other Abstract: Keywords: Combat Veterans Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 116. Silver, S. M., Rogers, S., & Russell, M. C. (2008, August). Eye movement desensitization and reprocessing (EMDR) in the treatment of war veterans. Journal of Clinical Psychology, 64(8), 947-957. doi:10.1002/jclp.20510. Language: English Format: Journal Abstract: Keywords: Military Veterans Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Psychotherapy Trauma Treatment Effectiveness War Accuracy Verified: Yes 117. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N.L., & Muraoka, M. Y. (1998, January). Eye movement desensitization and reprocessing (EMDR) treatment for combat-related posttraumatic stress disorder. Journal of Traumatic Stress, 11(1), 3-24. doi:10.1023/A:1024448814268. Language: English Format: Journal Abstract: Keywords: Adults Americans Arousal Biofeedback Training Males Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Relaxation Therapy Treatment Effectiveness Veterans War Accuracy Verified: Yes 118. Brower, K. L. (2006). Eye movement desensitization and reprocessing for the treatment of psychological distress caused by a recurrent cancer diagnosis. Clinical Research Project, Argosy University, The Illinois School of Professional Psychology, Chicago. Language: English Format: Dissertation/Thesis Accuracy Verified: Yes 119. Cerone, M. R. (2000). Eye movement desensitization and reprocessing in the psychological treatment of combat-related guilt: A study of the effects of eye movements. Temple University, Philadelphia, PA. AAT 9990301. Language: English Format: Dissertation/Thesis Abstract: Keywords: Adults Americans Empirical Study Guilt Posttraumatic Stress Disorder PTSD Treatment Effectiveness War Veterans Accuracy Verified: Yes 120. Maxfield, L. (2002). Eye movement desensitization and reprocessing in the treatment of post-traumatic stress disorder. In C. R. Figley, (Ed.), Brief treatments for the traumatized: A project of the Green Cross Foundation (pp. 148-169). Westport, Connecticut: Greenwood Press. Language: English Format: Book Section Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 121. Carlson, J., Chemtob, C., Rusnak, K., & Hedlund, N. (1996, Spring). Eye movement desensitization and reprocessing treatment for combat PTSD. Psychotherapy, 33(1), 104-113. doi:10.1037/0033-3204.33.1.104. Language: English Format: Journal Abstract: Keywords: African Americans Case Report European Americans Male Middle Aged Posttraumatic Stress Disorder Psychophysiology PTSD Treatment Effectiveness Veterans Vietnam War Accuracy Verified: Yes 122. Waters, L. (1997, Spring). Eye movement desensitization and reprocessing treatment for combat PTSD: Commentary. Psychotherapy: Theory, Research, Practice, Training, 34(1), 99. doi:10.1037/h0087777 . Language: English Format: Journal Abstract: Keywords: Commentary Combat Experience Comment Military Posttraumatic Stress Disorder PTSD Reply Veterans Vietnam War Veterans Accuracy Verified: Yes 123. Puffer, M. K. (1995, May). Eye movement desensitization and reprocessing with children and adolescents experiencing traumatic memories. Walden University, Minneapolis, MN. AAT 9608112. Language: English Format: Dissertation/Thesis Abstract: Keywords: Adolescents Children Empirical Study Trauma Accuracy Verified: Yes 124. Shapiro, F. (1995). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures, 1st Ed. New York: Guilford Press. Language: English Format: Book Abstract: Keywords: Abuse Adults Assessment Child Abuse Children DID Dissociative Identity Disorder Dissociative Symptoms Incest Methodology Neurophysiology Patient Selection Posttraumatic Stress Disorder PTSD Rape Spouse Survivors Veterans Accuracy Verified: Yes 125. Shapiro, F. (2001). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures, 2nd Ed. New York: Guilford Press. Language: English Format: Book Abstract: Keywords: Adults Assessment Child Abuse Children Dissociative Identity Disorder Dissociative Symptoms Incest Methodology Neurophysiology Patient Selection Posttraumatic Stress Disorder PTSD Rape Spouse Abuse Survivors Veterans Accuracy Verified: Yes 126. Maxfield, L. (1999). Eye movement desensitization and reprocessing: An empirical review of the effectiveness of EMDR as a treatment for PTSD. Traumatology, 5(4), 1-17. doi:10.1177/153476569900500401
. Language: English Format: Journal Abstract: Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness Accuracy Verified: Yes 127. Maxfield, L. (1999). Eye movement desensitization and reprocessing: A review of the efficacy of EMDR in the treatment of PTSD. Traumatology, 5(4), 1-17. doi:10.1177/153476569900500401. Language: English Format: Journal Abstract: Keywords: Review Accuracy Verified: Yes 128. Erwin, T. M. (2001). Eye movement desensitization and reprocessing: A critical analysis. Columbus, OH: Ohio University. Language: English Format: Dissertation/Thesis Abstract: Keywords: Counseling Techniques Counseling Theories Criticism Evaluation Methods Eye Movements Research Problems Therapy Accuracy Verified: Yes 129. Martin, P. M. (1997, March). Eye movement desensitization and reprocessing: A critical review. United States International University, San Diego, CA. AAT 9810369. Language: English Format: Dissertation/Thesis Abstract: Keywords: Emotional Trauma Literature Review Methodology Theories Accuracy Verified: Yes 130. Foster, S., & Lendl, J. (1995, September). Eye movement desensitization and reprocessing: Initial application for enhancing performance in athletes. Presentation at the annual meeting of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA.. Language: English Format: Conference Abstract: Keywords: Athletes Performance Enhancement Accuracy Verified: Yes 131. Boudewyns, P. A., Stwertka, S. A., Hyer, L. A., Albrecht, J. W., & Sperr, E. V. (1993, February). Eye movement desensitization for PTSD of combat: A treatment outcome pilot study. the Behavior Therapist, 16(2), 29-33. Language: English Format: Newsletter Abstract: Keywords: Americans Combat Posttraumatic Stress Disorder Psychobiology Psychophysiology PTSD Treatment Effectiveness Veterans Vietnam War Accuracy Verified: Yes 132. Ilic Z., & Jovic, V. (1997). Eye movement desensitization in therapy of war veterans. European Psychiatry, 12, Supplement 2, 1997, 193s-193s. doi:10.1016/S0924-9338(97)80583-4. Language: English Format: Journal Abstract: Accuracy Verified: Yes 133. Foster, S. (1995, September). Eye movement desensitization reprocessing: Initial application for enhancing performance in athletes. In (Doug Asher, Presider) Non-traditional Interventions for Performance Enhancement. Colloquium presented at the 10th Annual Conference of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA. Language: English Format: Conference Abstract: Keywords: Athletes Colloquium Performance Enhancement Accuracy Verified: Yes 134. Young, W. (1995, Spring). Eye movement desensitization/reprocessing: Its use in resolving the trauma caused by the loss of a war buddy. American Journal of Psychotherapy, 49(2), 282-291. Language: English Format: Journal Abstract: Keywords: Americans Bereavement Case Report Males Middle Aged Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness Veterans Vietnam War Accuracy Verified: Yes 135. Dees, L. (2006, November 2). Eye-movement therapists tackle post-traumatic stress. Portland, OR: The Forecaster. Language: English Format: Newspaper Abstract: Eye Movement Desensitization and Reprocessing (EMDR) is a form of psychotherapy used to
relieve the symptoms of post-traumatic stress disorder. EMDR was developed in 1987 by
American psychologist Dr. Francine Shapiro. Shapiro studied the impact of EMDR on reducing
the symptoms of post-traumatic stress syndrome in Vietnam combat veterans. EMDR has
since been expanded to include applications for grief, phobias, anxiety, depression, abuse,
performance anxiety and addictions. Keywords: General Molly Stanley Overview Portland Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 136. Atkinson, J. (1998, Sep). The eyes have it. Texas Monthly, 26(9), 60-68. Language: English Format: Magazine Abstract: Accuracy Verified: Yes 137. Staff. (1996, March 14). The eyes have it: How the method works -- Here's how eye-movement desensitization and reprocessing is performed. Salt Lake City, UT: Salt Lake Tribune, Final, C8. Language: English Format: Newspaper Abstract: Keywords: General Overview Salt Lake City Accuracy Verified: Yes 138. Kreck, C. (1996, September 4). The eyes heal it: Therapy eases painful memories. Denver, CO: The Denver Post, Rockies, Living, G-01. Language: English Format: Newspaper Abstract: Keywords: Abused Children Denver Raped Women Regugees War Veterans Accuracy Verified: Yes 139. Macklin, M. L., Metzger, L. J., Lasko, N. B., Berry, N. J., Orr, S.P., & Pitman, R. K. (2000, January-February). Five-year follow-up study of eye movement desensitization and reprocessing therapy for combat-related posttraumatic stress disorder. Comprehensive Psychiatry, 41(1), 24-27. doi:10.1016/S0010-440X(00)90127-5. Language: English Format: Journal Abstract: Keywords: Adults Americans Empirical Study Follow-up Study Males Posttraumatic Stress Disorder PTSD Treatment Effectiveness Treatment Outcome/Clinical Trial Veterans Vietnam War Accuracy Verified: Yes 140. Lipke, H. (2001). Foreword. In S. Silver & S. Rogers Light in the heart of darkness: EMDR & the treatment of war and terrorism survivors (pp. xiii-xiv). Chicago: W. W. Norton. Language: English Format: Book Section Abstract: Keywords: Forward Military Terrorism Veterans War Accuracy Verified: Yes 141. Malgiozzi, T., & Magliozzi, R. (2005, June 26). Form of post-traumatic stress disorder seen in accident victims. Pittsburgh, PA: Pittsburgh Post-Gazette, Five Star, Business, K-12. Language: English Format: Newspaper Abstract: Keywords: Motor Vehicle Accidents Pittsburgh Posttraumatic Stress Disorder PSTD Accuracy Verified: Yes 142. Russell, M. C., & Friedberg, F. (2010). Formation, accès au traitement et recherche sur les interventions dans les cas de trauma dans les forces armées [Training, access to treatment and intervention research in cases of trauma in the military]. Journal of EMDR Practice and Research, 4(2), 18E-26E. doi:10.1891/1933-3196.4.2.E18. Language: French Format: Journal Abstract: Keywords: Military Training Trauma Treatment Accuracy Verified: Yes 143. Winkler, N. (2013, February 25). Free Therapy Offered to Minnesota Veterans. KSTP-TV, 5 Eyewitness News, St. Paul/Minneapolis. Retrieved from http://kstp.com/news/stories/S2943598.shtml?cat=1 on 3/13/2013. Language: English Format: Video Abstract: Keywords: Minnesota Resilience Project for Veterans Veterans Accuracy Verified: Yes 144. Belber, S. (2008). Geometry of fire. Rattlestick Theater, New York, NY. Language: English Format: Other Abstract: Play: There's more than one way to write an anti-war play, and in "Geometry of Fire," Stephen Belber picks the hard way. There are no heroics in this edgy drama about a Marine who comes home from Iraq with a bad case of post-combat stress. There's no glory, either, in the sad story of how he alienates friends and menaces strangers. What the play has, instead, is substance and purpose -- and plenty of guts. Tough subject matter is presented with few compromises in Lucie Tiberghien's smartly cast and unaffected production for Rattlestick, which should add to its appeal to serious, discerning auds. Keywords: Off-Broadway Play Accuracy Verified: Yes 145. Shapiro, F. (2012, March 19). Getting past the past: Healing the suffering heroes of war. Big Think. Retrieved from http://www.bigthink.com/ideas/getting-past-the-past-healing-the-suffering-heroes-of-war?page=1 on 3/19/2012. Language: English Format: Other Abstract: Keywords: Posttraumatic Stress Disorder Veterans War Accuracy Verified: Yes 146. Lipke, H., Rogers, S., & Errebo, N. (2005, September). Getting past “You weren’t there”: EMDR and the combat veteran. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Combat Countertransference Veteran Accuracy Verified: Yes 147. Pagani, M. (2010, June). Gray matter density is associated with EMDR outcome in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Gray Matter Posttraumatic Stress Disorder PTSD Research Symposium Accuracy Verified: Yes 148. Viola, J.M., Hicks, R., & Porter, T. (1993, March). Gulf War veterans with PTSD. Military Medicine, 158(3), A4. Language: English Format: Magazine Abstract: Keywords: Gulf War Posttraumatic Stress Disorder PTSD Veterans Accuracy Verified: Yes 149. Jayatunge, R. M. (2011, May). Healing combat trauma in Sri Lanka via EMDR. LankaWeb. Retrieved from http://www.lankaweb.com/news/items/2011/05/10/healing-combat-trauma-in-sri-lanka-via-emdr/ on 5/10/2011. Language: English Format: Other Abstract: Keywords: Combat Trauma Eelam War Sri Lanka Veterans Accuracy Verified: Yes 150. Feagin, R. M. (2003, March 17). Healing dimensions: Personnel treat myriad of emotional disorders. Mansfield, OH: News Journal, B1. Language: English Format: Newspaper Abstract: Keywords: General Overview Mansfield Accuracy Verified: Yes 151. Craig, J. (1996, October). Healing emotional trauma. Chatelaine Magazine for Canadian Women, 69(1), 190. Language: English Format: Magazine Abstract: Accuracy Verified: Yes 152. Turton, M. (2010, January 13). Helping local vets deal with stress. Cold Spring, NY: Putnam County News and Recorder. Language: English Format: Newspaper Abstract: Keywords: General Hope Turino Overview Posttraumatic Stress Disorder PTSD Veterans Accuracy Verified: Yes 153. Shapiro, F. (2012, February 5). How memories keep us apart: The past is present. Huffington Post. Retrieved from http://www.huffingtonpost.com/francine-shapiro-phd/ptsd-military_b_1250202.html 2/5/2012. Language: English Format: Other Abstract: Keywords: Blog Military Posttraumatic Stress Disorder PTSD Relationships Veterans War Accuracy Verified: Yes 154. Fox, E. (2001, June). I have a new story: Integrating EMDR with narrative ideas and the neurobiology of the narrated self. Presentation at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Keywords: Daniel Siegel Externalizing Interview of Problems Narration Narrative Self Restorying Accuracy Verified: Yes 155. Flumeri, F., Salmaso, D., & Pagani, M. (2008, 26-28 Settembre). Impatto dell'EMDR sulle fuzioni e sulla neurobiologia cerebrali [Impact on EMDR and neurobiological brain functions]. In T. Farma (Chair), Simposio, Il modello psicotraumatologico: Un ponte tra indicatori neurobiologici e Psicoterapia. VII Congresso SPR Italia, Modena. Language: Italian Format: Conference Abstract: Keywords: Brain Functions Neurobiology Accuracy Verified: Yes 156. Leeds, A. (2007, June). Improving self-regulation and social functioning for survivors of early emotional neglect and abuse with positive affect tolerance and integration protocol: A case series. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Affect Tolerance Poster Self-Regulation Social Functioning Accuracy Verified: Yes 157. Botkin, A. L., & Hogan, R. C. (2005). Induced after-death communication:
A new therapy for healing grief and trauma. Charlottesville, VA: Hampton Roads Publishing Co. Language: English Format: Book Abstract: Keywords: After Death Communication Hospitals Posttraumatic Stress Disorder Psychic Trauma PTSD Trauma Treatment Vietnam War Veterans Accuracy Verified: Yes 158. Winkler, N. (2013, May 9). Innovative therapy helps Minnesotans recover from trauma. ABC Channel 5 Eye Witness News. Retrieved from http://kstp.com/article/stories/s3028427.shtml on 5/14/2013. Language: English Format: Video Abstract: Keywords: Trauma Accuracy Verified: No 159. MacDonald, D. J. (2006, November 13). Insight into PTSD. U.S. News & World Report, 141(18). Language: English Format: Magazine Abstract: Accuracy Verified: No 160. Brown, S., & Gilman, S. (2007). An integrated trauma treatment program (ITTP) in the Thurston County Drug Court Program: Program summary - An integrated trauma treatment program (EMDR and seeking safety) as an enhancement in the Thurson County drug court program. Author. Language: English Format: Other Abstract: Keywords: Posttraumatic Stress Disorder PTSD Substance Use Disorder Accuracy Verified: Yes 161. Dunne, T. (2010, June). Integration of EMDR into clinical practice: What therapists are saying. In Training issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Research Symposium Training Issues Accuracy Verified: Yes 162. Kim, N. (2011, Spring). An integrative program to treat refugees suffering from PTSD through group EMDR. Saint Mary’s College of California. 1502784. Language: English Format: Dissertation/Thesis Abstract: Keywords: Groups Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 163. Scagliotti, J. (2011). Interoceptive exposure therapy for combat veterans: A group treatment approach. University of Hartford, Hartford, CT. Language: English Format: Dissertation/Thesis Abstract: Keywords: Combat Veterans Interoceptive Exposure Therapy Accuracy Verified: Yes 164. Albers, J. (2010, July). The interplay of resourcefulness and resilience in recovery: A six session approach treating addictive behaviour, an extended EMDR protocol. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Addiction Addictive Behavior Resourcefulness Resilience Accuracy Verified: Yes 165. Jarero, I., & Uribe, S. (2012). Intervención temprana en salud mental en una situación de masacre humana: Fosas clandestinas en durango 2011 [Early mental health intervention in human slaughter situation: Mass graves in 2011 Durango]. Revista Iberoamericana de Psicotraumatología y Disociación, 4(1). Language: Spanish Format: Other Abstract: Resumen.
La Comisión Nacional de los Derechos Humanos solicitó el apoyo de la Asociación Mexicana para Ayuda Mental en Crisis, con la solicitud de atender al personal forense de la Fiscalía General del Estado de Durango en México. Una sola sesión del Protocolo de EMDR para Incidentes Críticos Recientes fue brindada a 32 personas que estuvieron trabajando con 258 cuerpos recuperados de fosas clandestinas. Tanto los resultados estadísticos pre y post tratamiento, como el seguimiento que se hizo a los 3 y 5 meses, mostraron la mejoría de las personas atendidas y una significativa reducción en síntomas de estrés postraumático y de Trastorno por Estrés Postraumático (TEPT), a pesar de que continuaron realizando el trabajo de recuperación de cuerpos extraídos de las fosas clandestinas y estuvieron expuestos continuamente a terribles estresores emocionales. Los resultados estadísticos obtenidos sugieren que la intervención ayudó a prevenir el desarrollo del TEPT en su fase crónica y a incrementar la resiliencia psicológica y emocional.
Nota: Este documento es una reseña de dos artículos publicados por Ignacio Jarero y Susana Uribe en el Journal of EMDR Practice and Research durante 2011 y 2012 titulados The EMDR Protocol for Recent Critical Incidents: Application in a Human Massacre Situation y Follow-UP Report of an Application in a Human Massacre Situation. Keywords: Durango Early Intervention Human Slaughter Mass Graves Accuracy Verified: Yes 166. Russell, A., & O'Connor, M. (2002). Interventions for recovery: The use of EMDR with children in a community-based project. In J. Morris-Smith (Ed.), EMDR: Clinical applications with children, Occasional Paper No. 19 (pp. 43-45) London: The Association for Child Psychology and Psychiatry. Language: English Format: Book Section Abstract: Keywords: Children Community-Based Project Occasional Paper Accuracy Verified: Yes 167. Luber, M., & Shapiro, F. (2009). Interview with Francine Shapiro: Historical overview, present issues, and future directions of EMDR. Journal of EMDR Practice and Research, 3(4), 217-231. doi:10.1891/1933-3196.3.4.217. Language: English Format: Journal Abstract: Accuracy Verified: Yes 168. Kamari, A. Sahragard, M., Zinati, A. (2011, July). The investigating of the effectiveness of eye movmement desensitization and reprocessing on war veterans with PTSD. Poster presentation at the 12th European Congress of Psychology, Istanbul, Turkey. Language: English Format: Conference Abstract: Keywords: Poster Posttraumatic Stress Disoders PTSD Veterans War Accuracy Verified: Yes 169. Jensen, J. A. (1994, Spring). An investigation of eye movement desensitization and reprocessing (EMD/R) as a treatment for posttraumatic stress disorder (PTSD) symptoms of Vietnam combat veterans. Behavior Therapy, 25(2), 311-325. doi:10.1016/S0005-7894(05)80290-4. Language: English Format: Journal Abstract: Keywords: Americans Empirical Study Longitudinal Study Males Middle Aged PTSD Random Clinical Trial RCT Treatment Effectiveness Veterans Vietnam War Accuracy Verified: Yes 170. Dunn, T. (2008, June). An investigation of therapists’ beliefs about how EMDR works?. Poster presented at the annual meeting of the EMDR Europe Association, London, England UK. Language: English Format: Conference Abstract: Keywords: Poster Therapist's Beliefs Accuracy Verified: Yes 171. National Council on Disability (2009, March). Invisible wounds: Serving service members and veterans with PTSD and TBI. Author. Language: English Format: Publication Abstract: Keywords: Afghanistan Iraq Military Posttraumatic Stress Disorder PTSD TBI Traumatic Brain Injury Veterans Accuracy Verified: Yes 172. Musruck, D., & Pringle, A. (2003, July). Korean war flashbacks: Treating PTSD. Mental Health Nursing, 23(4), 4-8. Language: English Format: Journal Abstract: Keywords: Adults British Case Report Cognitive Therapy Exposure Therapy Korean War Males Posttraumatic Stress Disorder PTSD Reactivation Therapeutic Writing Veterans Accuracy Verified: Yes 173. Seijo, N. (2011, Julio). La distorsion de la imagen corporal en TCA y EMDR [The distortion of body image in eating disorders and EMDR]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España. Language: Spanish Format: Conference Abstract: Keywords: Eating Disorders Symposium Accuracy Verified: Yes 174. Schrage, J. (2012). Law enforcement and trauma: Psychological intervention strategy, methodology, and techniques. Alliant International University, Los Angeles. 3502349. Language: English Format: Dissertation/Thesis Abstract: Keywords: Law Enforcement Trauma Accuracy Verified: Yes 175. Silver, S. M., & Rogers, S. (2002). Light in the heart of darkness: EMDR and the treatment of war and terrorism survivors (1st ed.). New York: Norton. Language: English Format: Book Abstract: Keywords: Psychotherapeutic Processes Posttraumatic Stress Disorder PTSD Survivors Terrorism Veterans War Accuracy Verified: Yes 176. Errebo, N. (2007, January/February). Like a ghost: Using EMDR to revive a traumatized vet's marriage; Case commentary; Author's response. Psychotherapy Networker, 31(1) 73-79. Language: English Format: Magazine Abstract: Keywords: Marital Issues Veterans Accuracy Verified: Yes 177. Dodgson, P. (2006, July). Links with the West Bank. The Psychologist, 19(7), 409. Language: English Format: Magazine Abstract: Keywords: Letter Accuracy Verified: Yes 178. Cohen, A. (2012, May). A long-term grief counseling group for adult survivors of childhood sexual abuse. Saint Mary’s College of California, Moraga, CA. 1514521. Language: English Format: Dissertation/Thesis Abstract: Keywords: Adult Survivors Childhood Sexual Abuse Person-Centered Group Counseling Accuracy Verified: Yes 179. Lipke, H. (1995). Manual for the teaching of Shapiro's EMDR in the treatment of combat-related PTSD. Pacific Grove, CA: EMDR Institute. Language: English Format: Book Abstract: Keywords: Combat Military Posttraumatic Stress Disorder PTSD Veterans War Accuracy Verified: Yes 180. Shapiro, F. (2012, February 29). The many faces of fear and how to deal with them. Huffington Post. Retrieved from http://www.huffingtonpost.com/francine-shapiro-phd/ptsd-fear_b_1299786.html on 2/29/2012. Language: English Format: Other Abstract: Keywords: Blog Mental Health Military Posttraumatic Stress Disorder PTSD Stress Veterans War Accuracy Verified: Yes 181. Hurley, E. C. (2012 February 19). Married to a veteran: When memories of past interrupt the present. Huffington Post. Retrieved from http://www.huffingtonpost.com/e-c-hurley-phd/ptsd-veterans_b_1284627.html?ref=healthy-living on 2/19/2012. Language: English Format: Other Abstract: Keywords: Blog Posttraumatic Stress Disorder PTSD Veterans War Accuracy Verified: Yes 182. Russell, M. (2008, September). Meeting military mental health needs in the 21st century and beyond: A critical analysis of the effects of dualism, disparity and scientific bias. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Military Accuracy Verified: Yes 183. Chandarasiri, P.
(2012, June). Mekong Project - EMDR treatment for traumatised populations [El
proyecto
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traumatizadas]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Mekong Project Trauma Aid Accuracy Verified: Yes 184. Siegel, D. J. (2007, September). The mindful brain: Reflection and attunement in the cultivation of well-being. Plenary presented at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Brain Mindfulness Plenary Accuracy Verified: Yes 185. Siegel, D. (2011, August). Mindsight and the power of neutral integration in healing. Plenary presented at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Neural Integration Accuracy Verified: Yes 186. Zangwill, W. (1994). Mistakes to avoid in using EMDR: Or “Do what I say, not what I’ve done”. EMDR Network Newsletter, 4(1), 13-14. Language: English Format: Newsletter Abstract: Keywords: Mistakes Accuracy Verified: Yes 187. Hauschild, S., & Vecchio, J. (2002, June). Modification of the RDI protocol for inpatient use. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Inpatient RDI Resource Development & Installation Accuracy Verified: Yes 188. Larsen, W. (1992, December). Monitoring therapeutic change via dream content. EMDR Network Newsletter, 2(2), 20. Language: English Format: Newsletter Abstract: Keywords: Dreams Combat Veterans Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 189. Grondahl, P. (1995, July 1). Mystery miracle? Eye movement therapy is helping trauma patients at Albany VA hospital, but no one can put a finger on why it works. Albany, NY: Times Union, One Star, Life & Leisure, D1. Language: English Format: Newspaper Abstract: Keywords: Albany Posttraumatic Stress Disorder PTSD Trauma Veterans Accuracy Verified: Yes 190. Gisick, M. (2007, February 27). N.M. prepares for a novel method for treating vets' PTSD. Albuquerque, NM: The Albuquerque Tribune, A1. Language: English Format: Newspaper Abstract: Keywords: Albuquerque Peggy Moore Posttraumatic Stress Disorder PTSD: Veterans Accuracy Verified: Yes 191. Eisele, N. (2012, Novembro). O conceito de resiliência aplicado a situações extremas: Como o EMDR pode ajudar? [The concept of resilience applied to extreme situations: How EMDR can help?]. In EMDR em traumas. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Resiliency Accuracy Verified: Yes 192. Wilson, S. A. (1995). Oklahoma city. EMDR Network Newsletter, 5(1), 14. Language: English Format: Newsletter Abstract: Keywords: EMDR Helping Hands Project 1995 Oklahoma City Disaster Project Accuracy Verified: Yes 193. Kleiner, K. (1995). Oklahoma City. EMDR Network Newsletter, 5(1), 14
. Language: English Format: Newsletter Abstract: Keywords: EMDR Helping Hands Project 1995 Oklahoma City Disaster Project Accuracy Verified: Yes 194. Albert, J. (1995). Oklahoma city: "EMDR helping hands" Oklahoma city disaster. EMDR Network Newsletter, 5(1), 13-14. Language: English Format: Newsletter Abstract: Keywords: EMDR Helping Hands Project 1995 Oklahoma City Disaster Accuracy Verified: Yes 195. Goldman, R. (1995). Oklahoma city: One more second. EMDR Network Newsletter, 5(1), 13. Language: English Format: Newsletter Abstract: Poem by Rebecca Goldman about the Oklahoma City disaster and the individuals who helped the victims. Keywords: Oklahoma City Disaster Assistance Project Poetry Accuracy Verified: Yes 196. Lee, C. W., & Schubert, S. (2009). Omissions and errors in the Institute of Medicine's report on scientific evidence of treatment for posttraumatic stress disorder. Journal of EMDR Practice and Research, 3(1), 32-38. doi:10.1891/1933-3196.3.1.32. Language: English Format: Journal Abstract: Keywords: Evidence Based Institute of Medicine IOM Posttraumatic Stress Disorder PSTD Accuracy Verified: Yes 197. Blake, D. D., & Sonnenberg, R. T. (1998). Outcome research on behavioral and cognitive-behavioral treatments for trauma survivors. In V. M. Follette, J. I. Ruze & F. R. Abueg (Eds.), Cognitive-behavioral therapies for trauma (pp. 15-47), New York: Guilford Press. Language: English Format: Book Section Abstract: Keywords: Americans Behavior Therapy Child Abuse Cognitive Therapy Females Males Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Veterans Vietnam War Accuracy Verified: Yes 198. Potter, A., & Wesselmann, D. (2009, August). Phase-based trauma treatment of adults with problems of trauma and attachment: DBT and EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: DBT Dialectical Behavior Therapy Accuracy Verified: Yes 199. Porges, S. (2012, October). The polyvagal theory: A biobehavioral deconstruction of trauma-related experiences, vulnerabilities, resilience and treatment. Presentation at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Keywords: Polyvagal Theory Accuracy Verified: Yes 200. Mattioli, G. (2004, May). The post traumatic stress disorder and EMDR therapy. Full Informatiu, 169. Retrieved http://guillermomattioli.com/?p=540&lang=en on 2/10/2013. Language: English Format: Other Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 201. Hurley, E. C., & Colelli, G. (2006, September). Post-Katrina disaster response: EMDR Humanitarian Assistance Program (HAP) volunteers discuss post-Katrina recovery work and its comparison with the 9/11 New York City response. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Accuracy Verified: Yes 202. Sekhon, R. (2008). Post-traumatic stress disorder and treatment. Rose University of Lethbridge, Lethbridge, Alberta Canada. Language: English Format: Dissertation/Thesis Abstract: Keywords: Posttraumatic Stress Disorder PTSD Treatment Accuracy Verified: Yes 203. Nijdam, M., Olff, M., & Gersons, B. (2006, November). Posttraumatic growth and posttraumatic
cognitions in response to trauma-focused
psychotherapy. Poster presented at the 22nd annual meeting of the International Society for Traumatic Stress Studies Fall Conference, Hollywood, CA . Language: English Format: Conference Abstract: Keywords: Cognitions Poster Posttraumatic Growth Inventory Accuracy Verified: Yes 204. Herbert, J. D., & Forman, E. M. (2006). Posttraumatic stress disorder. In J. E. Fisher & W. T. O'Donohue (Eds.), Practitioner's Guide to Evidence-Based Psychotherapy (pp. 555-566). New York: Springer. Language: English Format: Book Section Abstract: Keywords: Posttraumatic Stress Disorder PSTD Accuracy Verified: Yes 205. Salvatore, R. P. (2009, May). Posttraumatic stress disorder: A treatable public health problem. Health and Social Work, 34(2), 153-155. doi:10.1093/hsw/34.2.153. Language: English Format: Journal Abstract: Keywords: Commentary Posttraumatic Stress Disorder PTSD Social Casework Treatment Effectiveness Veterans Accuracy Verified: Yes 206. Obenchain, J., Rogers, S., Silver, S., & Goss, J. (1999, November). Preliminary results of data comparing EMDR to flooding. Poster presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL. Language: English Format: Conference Abstract: Accuracy Verified: Yes 207. Tarquinio, C. (2007). Présentation d'un cas clinique d'ancien combattant traité par la thérapie EMDR [Presentation of a clinical case of veterans treated with EMDR]. In En L. Crocq, (Ed.) Traumatismes psychiques: Prise en charge psychologique des victimes (pp. 245-248). Issy-les-Moulineaux: Elsevier-Masson. http://dx.doi.org/10.1016/B978-2-294-07144-7.50025-7,
. Language: French Format: Book Section Keywords: Veterans Accuracy Verified: Yes 208. Russell, M. C. (2012, January 27). Preventing military misconduct stress behaviors. Huffington Post. Retrieved from http://www.huffingtonpost.com/mark-c-russell-phd-abpp/ptsd-veterans_b_1228546.html on 2/5/2023.. Language: English Format: Other Abstract: Keywords: Blog Military Stress Veterans War Accuracy Verified: Yes 209. Veerbeek, H. (2013, June). Processing anger and revenge with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland. Language: English Format: Conference Abstract: Accuracy Verified: Yes 210. Easterling, M. (2002, June). A protocol for building emotional resilience within a troubled world. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Emotional Resilience Protocol Heartmath Accuracy Verified: Yes 211. Dexter, B. A. (2009, January). Providing EMDR mental health services for the military - Know the facts. Austin, TX: EMDR International Association. Language: English Format: Publication Abstract: Keywords: Military Accuracy Verified: Yes 212. Tarquinio, C., Fayard, A., & Mousel, P. (2008, June). Psychological consequences of family violence act in a small group of women victims
and EMDR therapy: Preliminary results. Presentation at the 9th annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Family Violence Act Accuracy Verified: Yes 213. Melville, A. (2003, April). Psychosocial interventions: Evaluation of UNICEF supported projects (1999-2001). UNICEF Indonesia. Language: English Format: Publication Abstract: Keywords: Psychosocial Interventions Accuracy Verified: Yes 214. Graca, J., Palmer, G. A., & Occhietti, K. (2010, September/October). Psychotherapeutic interventions for symptom reduction in veterans with PTSD: A nonrandomized study in a residential clinical setting. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Nonrandomized Study Poster Posttraumatic Stress Disorer PTSD Residential Clinical Setting Symptom Reduction Veterans Accuracy Verified: Yes 215. Fouya, V. (2010, Novembre). Psychotherapie - EMDR: Le pouvoir des yeux [Psychotherapy - EMDR: The power of eyes]. Le Vif/L'express, (Supplement) Extra, (46), 36. Language: French Format: Magazine Abstract: Accuracy Verified: Yes 216. Porpiglia, T. (2011, June 30). PTSD can be managed!. Salem-News. Retrieved from http://www.salem-news.com/articles/june302011/managing-ptsd-tp.php on 2/3/2013. Language: English Format: Newspaper Abstract: Keywords: General Overview Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 217. Thomas, R., & Gafner, G. (1993, October). PTSD in an elderly male: Treatment with eye movement desensitization and reprocessing (EMDR). Clinical Gerontologist, 14(2), 57-59. doi:10.1300/J018v14n02_04. Language: English Format: Journal Abstract: Keywords: Aged Case Report Commentary Empirical Study Korean War Males Native Americans Posttraumatic Stress Disorder PTSD Veterans World War II Accuracy Verified: Yes 218. Farrell, D. (2010, March). A Q-methodology evaluation of EMDR HAP facilitators training
in Pakistan. Poster presented at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland. Language: English Format: Conference Abstract: Keywords: Earthquake Europe HAP Q-Methodology Evaluation Pakistan Poster Research Training Accuracy Verified: Yes 219. Farrell, D., & Keenan, P. (2010, July). A Q-Methodology evaluation of EMDR HAP facilitators training in Pakistan. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Facilitators Q-Methodology Evaluation Pakistan Poster Accuracy Verified: Yes 220. Braude, T. (2001, May 29). Quick visual treatment may help heal trauma. Detroit, MI: Detroit Free Press, Metro Final, Science, Body & Mind, 3F. Language: English Format: Newspaper Abstract: Keywords: General Detroit Overview Accuracy Verified: Yes 221. Ross, R. J., Ball, W. A., Dinges, D. F., Kribbs, N. B., Morrison, A. R., Silver, S. M., & Mulvaney, F. D. (1994, February). Rapid eye movement sleep disturbance in posttraumatic stress disorder. Biological Psychiatry, 35(3), 195–202, doi:10.1016/0006-3223(94)91152-5. Language: English Format: Journal Abstract: Keywords: Eye Movement Posttraumatic Stress Disorder PTSD Sleep Disturbance Accuracy Verified: Yes 222. Mason, P. (2013, March 5). The realities of PTSD: Healing in small doses. LivingWithAnxiety.com. Retrieved from http://www.livingwithanxiety.com/lifestyle/ptsd/the-realities-of-ptsd-healing-in-small-doses 3/13/2013. Language: English Format: Other Abstract: Keywords: Blog Posttraumatic Stress Disorder PTSD Veterans Accuracy Verified: Yes 223. Smyth, N., Maxfield, L., & Rogers, S. (2003, September). Recent research evaluating the role of eye movements in EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Eye Movements Research Accuracy Verified: Yes 224. Shapiro, E. & Laub, B. (2010, September/October). The recent traumatic episode protocol (R-TEP) for early EMDR intervention. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Early Intervention Recent Events Recent Traumatic Episode Protocol R-TEP Accuracy Verified: Yes 225. Shapiro, E., & Laub, B. (2010, June). The recent-traumatic episode protocol (R-TEP) a comprehensive approach for early EMDR intervention. Pre-conference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Early Intervention Recent Events Recent-Traumatic Episode Protocol R-TEP Accuracy Verified: Yes 226. Shapiro, E., & Laub, B. (2009). The recent-traumatic episode protocol (R-TEP): An integrative protocol for early EMDR intervention (EEI). In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 251-269). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Early EMDR Intervention EEI Protocol Recent Events Recent Traumatic Episode R-TEP Accuracy Verified: Yes 227. Shapiro, E. (2012, June). The recent-traumatic episode protocol. A comprehensive approach for early EMDR intervention (EEI) [Protocolo
del
Trauma
Reciente
Un
planteamiento
integral
para
la
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precoz
con
EMDR
(EEI)]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Early EMDR Intervention EEI Recent-Traumatic Episode Protocol R-TEP Accuracy Verified: Yes 228. Lushyn, P., & Borrelli, S. ([2003]). Rediscovery of EMDR: In search of a rationale. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008. Language: English Format: Other Abstract: Keywords: Pavel Lushyn Accuracy Verified: Yes 229. Gallo, F. P. (1996, March). Reflections on Active Ingredients in Efficient Treatments of PTSD, Part 2. Traumatology, 2(1), 7-12. doi:10.1177/153476569600200102. Language: English Format: Journal Abstract: Keywords: TFT Thought Field Therapy TIR Traumatic Incident Reduction Visual/Kinesthetic Dissociation V/KD Accuracy Verified: Yes 230. Gallo, F. P. (1996, January). Reflections on Active Ingredients in Efficient Treatments of PTSD,, Part 2. Traumatology, 2(2), 9-14. doi:10.1177/153476569600200202. Language: English Format: Journal Abstract: Keywords: Neurolinguistic Programming NLP Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD TFT Thought Field Therapy TIR Traumatic Incident Reduction Accuracy Verified: Yes 231. Knaff, D. L., & Oring, S. (1994, Dec 20). Relieving stress with a wave of the hand. Cleveland, OH: The Plain Dealer, Final, All, Every Woman, 2E. Language: English Format: Newspaper Abstract: Keywords: Cleveland General Overview Accuracy Verified: Yes 232. Cooper, G. (2008, March-April). Replicating Milgram. Psychotherapy Networker, 32(2), 13-16. Language: English Format: Magazine Abstract: Keywords: Efficacy Posttraumatic Stress Disorder PSTD Treatment Veterans Accuracy Verified: Yes 233. Lee, C. (2008, February). A reply to the Institute of Medicine report commissioned by the Department of Veterans Affairs to assess the scientific evidence on treatment modalities for posttraumatic stress disorder (PTSD). EMDR International Association, Austin, Texas. Language: English Format: Other Abstract: Keywords: Efficacy Letter Reply Accuracy Verified: Yes 234. Wheeler, K. (2010, September/October). Research EMDR in your practice. Presentaion at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Research Accuracy Verified: Yes 235. Cuenca, L., Romero, S., & Solepsi, J. C. (2010, Octubre/Noviembre). Resiliencia y trauma [Resilience and trauma]. Mesa redonda en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador. Language: Spanish Format: Conference Keywords: Resilience Trauma Accuracy Verified: Yes 236. Parnell, L. (2012). Resource tapping activating your healing resources through bilateral stimulation. Shreveport, LA: Summit Interactive. Language: English Format: Video Abstract: Keywords: Resource Tapping Accuracy Verified: Yes 237. Russell, M. C., Silver, S. M., Rogers, S., & Darnell, J. N. (2007, February). Responding to an identified need: A joint Department of Defense/Department of Veterans Affairs training program in eye movement desensitization and reprocessing (EMDR) for clinicians providing trauma services. International Journal of Stress Management, 14(1), 61-71. doi:10.1037/1072-5245.14.1.61. Language: English Format: Journal Abstract: Keywords: Americans Empirical Study Mental Health Personnel Military Professional Training United States Department of Defense United States Department of Veterans Affairs Posttraumatic Stress Disorder PTSD Quantitative Study Training Veterans Accuracy Verified: Yes 238. Hurley, E. C. (2010, November). A response to the meta-analysis by Albright & Thyer: What best serves our troops?. Behavioral Interventions, 25(4), 349-353. doi:10.1002/bin.314. Language: English Format: Journal Abstract: Keywords: Albright Letter Thyer Troops Accuracy Verified: Yes 239. Carlson, J., & Chemtob, C. (1997, Spring). The role of "resolute perception" in EMDR: Reply to Linda Waters. Psychotherapy: Theory, Research, Practice, Training, 34(1), 100. doi:10.1037/h0087719
. Language: English Format: Journal Abstract: Keywords: Combat Experience Commentary Letter Military Posttraumatic Stress Disorder PTSD Rapid Reply Veterans Vietnam War Veterans Accuracy Verified: Yes 240. Luber, M., & Shapiro, F. (2009). The safe/calm place protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 67-69). New York, NY: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Protocol Safe/Calm Place Accuracy Verified: Yes 241. Russell, M. C. (2008, December). Scientific resistance to research, training and utilization of eye movement desensitization and reprocessing (EMDR) therapy in treating post-war disorders. Social Science & Medicine, 67(11), 1737-1746. doi:10.1016/j.socscimed.2008.09.025. Language: English Format: Journal Abstract: Keywords: Adults Americans Health Personnel Attitudes Posttraumatic Stress Disorer PTSD Scientific Research Accuracy Verified: Yes 242. Daniels, N. (2009). Self-care for EMDR practioners. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 399-400). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Accuracy Verified: Yes 243. Jarero, I., & Hartung, J. (2002, March). The seven phases model for mental health interventions in disaster situations. EMDRIA Newsletter, 7(1), 30. Language: English Format: Newsletter Abstract: Keywords: Disaster Interventions Accuracy Verified: Yes 244. Shapiro, F. (1994, Summer). Shapiro’s response [to Steketee and Goldstein]. the Behavior Therapist, 17(7), 157-158. Language: English Format: Newsletter Abstract: Keywords: Letter Accuracy Verified: Yes 245. Rogers, S., Silver, S. M., Goss, J., Obenchain, J., Willis, A., & Whitney, R. L. (1999, January-April). A single session, group study of exposure and eye movement desensitization and reprocessing in treating posttraumatic stress disorder among Vietnam War veterans: Preliminary data. Journal of Anxiety Disorders, 13(1-2), 119-130. doi:10.1016/S0887-6185(98)00043-7. Language: English Format: Journal Abstract: Keywords: Americans Empirical Study Exposure Therapy Middle Aged Posttrraumatic Stress Disorder PTSD Random Clinical Trial RCT Treatment Effectiveness Treatment Outcome/Clinical Trial Veterans Vietnam War Accuracy Verified: Yes 246. Kinowski, K. (2002, June). A somatosensory anchoring of confidence using EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Confidence Somatosenory Anchoring Accuracy Verified: Yes 247. Kennedy, K. (2001, September 11). Specialists, patients critical of PTSD care. Army Times, Navy Times, Marine Times, Military Times. Language: English Format: Newspaper Abstract: Keywords: Military Accuracy Verified: Yes 248. Storey, N. (2007, January 29). State trains therapists to treat veterans. Sante Fe, NM: The Sante Fe New Mexican, A-1. Language: English Format: Newspaper Abstract: Accuracy Verified: Yes 249. Devilly, G. J., Spence, S. H., & Rapee, R. M. (1998, Summer). Statistical and reliable change with eye movement desensitisation and reprocessing: Treating trauma within a veteran population. Behavior Therapy, 29(3), 435-455. doi:10.1016/S0005-7894(98)80042-7. Language: English Format: Journal Abstract: Keywords: Adults Australians Empirical Study Follow-up Study Longitudinal Study Males Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Treatment Effectiveness Veterans Vietnam War Accuracy Verified: Yes 250. Hanson, S. (2005, March). Stress takes its toll on combat veterans. VFW, Veterans of Foreign Wars Magazine. Retrieved from http://www.vfw.org/resources/levelxmagazine/0503_Stress%20on%20Combat%20Veterans.pdf on November 16, 2008. Language: English Format: Magazine Abstract: Keywords: Combat Stress Veterans Accuracy Verified: Yes 251. Magliozzi, T., & Magliozzi, R. (2005, July 8). Stress therapy may help car crash victims. Seattle, WA: Seattle Post-Intelligencer, Final, Wheels, F1. Language: English Format: Newspaper Abstract: Keywords: Letter Motor Vehicle Accidents Seattle Accuracy Verified: Yes 252. Silver, S. M., Rogers, S., Knipe, J., & Colelli, G. (2005). A study of a psychological relief effort conducted in New York City following September 11th: Preliminary results of a pro bono community based intervention project. Unpublished. Language: English Format: Other Keywords: 9/11 September 11th World Trade Center WTC Accuracy Verified: Yes 253. Wheeler, K. (2013, March 5). Suicide and treatment of PTSD at the VA. EIN News. Retrieved from http://world.einnews.com/247pr/333198 on 3/5/2013. Language: English Format: Other Abstract: Keywords: Posttraumatic Stress Disorder PTSD VA Veteran's Administration Accuracy Verified: Yes 254. Lipke, H. (1995, June). Theoretical understanding of EMDR: Examples from treatment of veterans. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Veterans Accuracy Verified: Yes 255. Tarquinio, C., Fayard, A., & Tarquinio, P. (2007, Juin). Thérapie EMDR chez des vicimes d'accident d'automobile: Une suivi de 6 mois [A 6 month follow-up if victims of automobile accidents undergoing EMDR therapy]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France. Language: French Format: Conference Abstract: Keywords: Automobile Accident Motor Vehicle Accident Accuracy Verified: Yes 256. Evans, S., Alter-Reid, K., & Schaefer, S. (2010, September/October). Therapy for therapists project: Impact of intensive EMDR treatment post-Katrina. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Accuracy Verified: Yes 257. Daniel, K. (1994, March 1). Therapy helps combat veterans: VA doctor wants to test groups of veterans to show how process can reduce painful memories. Augusta, GA: The Augusta Chronicle, All, Metro, A10. Language: English Format: Newspaper Abstract: Keywords: Augusta Combat Veterans Accuracy Verified: Yes 258. Dexter, B. A. (2007, September). Therapy with military and their families in a time of war. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Accuracy Verified: Yes 259. Crudele, B. (2012, November 16). Touch, sound and light help heal inner wounds. Marine Corps Times. Retrieved from http://www.marinecorpstimes.com/article/20121126/NEWS/211260306/Touch-sound-and-light-help-heal-inner-wounds 4/9/2013. Language: English Format: Newspaper Abstract: Keywords: Military Posttraumatic Stress Disorder PTSD Veterans Accuracy Verified: Yes 260. Crudele, B. (2012, November 26). Touch, sound and light help heal inner wounds: Veteran turns to innovative therapy to relieve PTSD. Army Times. Retrieved from http://www.armytimes.com/news/2012/11/marine-emdr-ptsd-112612/ on 11/26/2012. Language: English Format: Newspaper Abstract: Keywords: Military Posttraumatic Stress Disorder PTSD Veterans Accuracy Verified: Yes 261. Russell, M. C., & Silver, S. M. (2007, September). Training needs for the treatment of combat-related posttraumatic stress disorder: A survey of Department of Defense clinicians. Traumatology, 13(3), 4-10. doi:10.1177/1534765607305440. Language: English Format: Journal Abstract: Keywords: Cognitive Therapy Exposure Therapy Mental Health Personnel Military Psychiatry Posttraumatic Stress Disorder Professional Training PTSD United States Department of Defense Accuracy Verified: Yes 262. Russell, M. C., & Friedberg, F. (2009). Training, treatment access, and research on trauma intervention in the armed services. Journal of EMDR Practice and Research, 3(1), 24-31. doi:10.1891/1933-3196.3.1.24. Language: English Format: Journal Abstract: Keywords: Clinical Training Military Posttraumatic Stress Disorder PTSD Treatment Access Veterans Accuracy Verified: Yes 263. Rasolkhani-Kalhorn, T. (2005). Translation and adaption of the EMDR protcol to the Iranian culture. Colorado School of Professional Psychology, Colorado Springs, CO. AAT 3295606. Language: English Format: Dissertation/Thesis Abstract: Keywords: Empirical Study Eye Movements Quantitative Study Sociocultural Factors Accuracy Verified: Yes 264. Solvey, P., Lescano, R., Arazi, D., & Rosental, V. (2002, Junio). Trastorno de estres postraumatico en veteranos de malvinas, un nuevo abordaje terapeutico: EMDR [Posttraumatic stress disorder in Falklands veterans, a new therapeutic approach: EMDR]. Ponencia en el II Congreso Internacional de, Trauma y Estrés Traumático y mental Buenos Aires. Language: Spanish Format: Conference Keywords: Falklands Posttraumatic Stress Disorder PTSD Veterans Accuracy Verified: Yes 265. Mosquera, D. (2011, Julio). Trastorno limite de personalidad y EMDR [Borderline personality disorder and EMDR]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España
. Language: Spanish Format: Conference Abstract: Keywords: Borderline Personality Disorder Symposium Accuracy Verified: Yes 266. Zampieri, A. J., & Filho, J. M. (2012, Novembro). Tratamento de disfunção erétil com EMDR: Estudo comparativo [Treatment of erectile dysfunction with EMDR: A comparative study]. In comunicações de pesquisa. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Beck Depression Inventory Comparative Study Erectile Dysfunction Accuracy Verified: Yes 267. Melbeck, H.-H. (2008, Marz). Trauma Aid/HAP setzt das Indonesien-Projekt fort [Trauma Aid/HAP continues the Indonesia Project]. EMDRIA Deutschland e.V. Rundbrief, 14, 36-38. Language: German Format: Newsletter Abstract: Keywords: HAP Indonesia Project Accuracy Verified: Yes 268. Haskin, P. S. (2005). Trauma and the relational matrix: The therapeutic relationship in eye movement desensitization reprocessing (EMDR): A project based upon an independent investigation. Smith College School for Social Work, Northampton, MA. Language: English Format: Dissertation/Thesis Keywords: Countertransference Intersubjectivity Transference Accuracy Verified: Yes 269. Bumke, P. (2011, June). Trauma centered psychotherapy and EMDR in a humanitarian mass disaster: Evaluating the ACEH experience. Keynote presented at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: ACEH Disasters Keynote Plenary Accuracy Verified: Yes 270. Brown, P. A. (2012). Trauma research and treatment of combat veterans: An evidence-based integrative literature review. California Institute of Integral Studies, San Francisco, CA. Language: English Format: Dissertation/Thesis Abstract: Keywords: Combat Veterans Literature Review Accuracy Verified: Yes 271. Fosha, A. (2002, April). Trauma reveals the roots of resilience. Constructivism in the Human Sciences, 6 (1 & 2), 7-15. Language: English Format: Journal Abstract: Keywords: Resilience Accuracy Verified: Yes 272. Trotter, K., Baranowsky, A. B., Carbonell, J., & Figley, C. R. (2004). Traumatology. In V. R. Volkman (Ed). Beyond conversations on traumatic incident reduction (pp. 99-122). Ann Arbor, MI, US: Loving Healing Press. Language: English Format: Book Section Abstract: Keywords: Counseling Emotional Trauma Mental Health Personnel Mental Health Services Posttraumatic Stress Disorder Psychotherapeutic Processes Psychotherapeutic Techniques PTSD Self Concept Accuracy Verified: Yes 273. Russell, M. C. (2006). Treating combat-related stress disorders: A multiple case study utilizing eye movement desensitization and reprocessing (EMDR) with battlefield casualties from the Iraqi war. Military Psychology, 18(1), 1-18. doi:10.1207/s15327876mp1801_1. Language: English Format: Journal Abstract: Keywords: Acute Stress Disorder ASD Battlefield Casualties Combat Experience Combat Related Stress Disorders Empirical Study Eye Movements Follow-up Study Hospitals Iraqi War Posttraumatic Stress Disorder Posttraumatic Symptoms PTSD Quantitative Study War Accuracy Verified: Yes 274. Russell, M. C., & Figley, C. R. (2012, December). Treating traumatic stress injuries in military personnel: An EMDR practitioner's guide. New York, NY: Routledge. Language: English Format: Book Abstract: Keywords: Combat Military Traumatic Stress Injuries Treatment Accuracy Verified: Yes 275. Institute of Medicine, Committee on Treatment of Posttraumatic Stress Disorder (2008). Treatment of posttraumatic stress disorder:
An assessment of the evidence. The National Academies Press, Washington, D. C. Retrieved from http://www.nap.edu/catalog/11955.html on 1/16/2009. Language: English Format: Other Abstract: Keywords: Posttraumtic Stress Disorder PTSD Accuracy Verified: Yes 276. Committee on Treatment of Posttraumatic Stress Disorder, Institute of Medicine (2008). Treatment of posttraumatic stress disorder: An assessment of the evidence. National Academy of Sciences, Institute of Medicine(IOM), Washington, D.C.: The National Academies Press. Language: English Format: Publication Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 277. Institute of Medicine, Committee on Treatment of Posttraumatic Stress Disorder (2008). Treatment of posttraumatic stress disorder: An assessment of the evidence. Atlanta, GA: The National Academies Press. Language: English Format: Other Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 278. Silver, S., Brooks, A., & Obenchain, J. (1995, April). Treatment of Vietnam war veterans with PTSD: A comparison of eye movement desensitization and reprocessing, biofeedback, and relaxation training. Journal of Traumatic Stress, 8(2), 337-342. doi:10.1007/BF02109568. Language: English Format: Journal Abstract: Keywords: Adults Americans Biofeedback Training Empirical Study Males Non-Randomized Study Posttraumatic Stress Disorder Psychiatric Inpatients PTSD Relaxation Therapy Treatment Effectiveness Veterans Vietnam War Accuracy Verified: Yes 279. Magliozzi, T., & Magliozzi, R. (2005, June 20). Treatment offers help for car crash victims. Charleston, WV: Charleston Daily Mail, Life, P2C. Language: English Format: Newspaper Abstract: Keywords: Charleston Letter Motor Vehical Accidents Accuracy Verified: Yes 280. Fisher, N. (2010, April). Treatment options for combat veterans with PTSD. Poster presented at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: Keywords: Poster Posttraumatic Stress Disorder PSTD Veterans Accuracy Verified: Yes 281. Schnurr, P. P. (2008, Summer). Treatments for PTSD: Understanding the evidence - Psychotherapy. PTSD Research Quarterly, 19(3), 1-3. Language: English Format: Newsletter Abstract: Keywords: Evidence Base Psychotherapy Accuracy Verified: Yes 282. Diegelmann, C., & Isermann, M. (2011, July). Trust: Activating positive emotions in patients facing cancer or death. Poster presented at the 2nd World Congress on Positive Psychology, Philadelphia PA.. Language: English Format: Conference Abstract: Keywords: Cancer Positive Emotions Trust Accuracy Verified: Yes 283. Gelbach, R. A. (2007, August 19). The truth about EMDR. The Stars and Stripes. Language: English Format: Newsletter Abstract: Keywords: Letter Accuracy Verified: Yes 284. Bar-Sade, S. (2008, June). Under the shadow - Fostering children’s resilience and coping strategies in an ongoing
crisis situation. Keynote presented at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Children Crisis Keynote Resilience Accuracy Verified: Yes 285. Russell, M. C. (2012, February 5). Underestimating the true prevalence of war stress injury in the military. Huffington Post. Retrieved from http://www.huffingtonpost.com/mark-c-russell-phd-abpp/ptsd-military-_b_1250227.html on 2/5/2012. Language: English Format: Other Abstract: Keywords: Blog Military Posttraumatic Stress Disorder PTSD Veterans War Accuracy Verified: Yes 286. Pessina, C (2007, June). The use and adaptation of EMDR technique with sexually abused children. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Children Sexual Abuse Accuracy Verified: Yes 287. Klaus, P. H. (1995, June). The use of EMDR in medical and somatic problems. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Medical Problems Somatic Problems Accuracy Verified: Yes 288. Zabukovec, J. (2008, September). The use of EMDR in medical settings. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Medical Settings Accuracy Verified: Yes 289. Blore, D. C. (1997, September-October). Use of EMDR to treat morbid jealousy: A case study. British Journal of Nursing, 6(17), 984-988. Language: English Format: Journal Abstract: Keywords: Aged British Case Report Imprisonment Interpersonal Interaction Intrusive Thoughts Jealousy Males Survivors Treatment Effectiveness Veterans War World War II Accuracy Verified: Yes 290. Zabukovec, J. (1993, Winter). The use of EMDR with combat veterans. EMDR Network Newsletter, 3(3), 18-25. Language: English Format: Newspaper Abstract: Accuracy Verified: Yes 291. Lipke, H. (1996, June). Using EMDR in the treatment of veterans. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Keywords: Veterans Accuracy Verified: Yes 292. Staff. (1997, May). Using EMDR to treat psychological trauma. Clinician's Research Digest, 15(5), 3. Language: English Format: Newsletter Abstract: Keywords: Emotional Trauma Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 293. Weinberg, R., & Caspers, S. (1998, July). Using EMDR with learning disabled students to improve reading. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD. Language: English Format: Conference Abstract: Keywords: Learning Disabilities Reading Students Accuracy Verified: Yes 294. Donneau, D., Barry, S., Heteau, C., Hamrioui, M., Journniac, K., Ferric, O., Heron, A., & Paris, P. (2012, Decembre). Utilisation de l'outil EMDR pour améliorer la prise en charge des psycho-traumatismes
dans un service d'urgence psychiatrique [Using EMDR tool to improve the management of psychological trauma
in a psychiatric emergency service ]. Poster présenté au 40ème Congrès annuel de l'Association Française de Thérapie comportementale cognitive de et), Paris, France. Language: French Format: Conference Abstract: Keywords: Emergency Service Trauma Accuracy Verified: Yes 295. U.S. Department of Veterans Affairs & U.S. Department of Defense. (2004). VA/DoD clinical practice guidelines for the management of post-traumatic stress. Washington, DC: Office of Quality and Performance (10Q-CPG/PTSD-04). Language: English Format: Publication Abstract: Keywords: Treatment Guidelines Accuracy Verified: Yes 296. Murphy, D. (2010, April). The value of multidisciplinary work in responding to trauma. Healthcare Counselling & Psychotherapy Journal, 10(2), 6-9. Language: English Format: Journal Abstract: Keywords: Cognitive Therapy Mental Health Care Teams Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 297. Padgett, M. (1995 March 15). Vet finally able to live with demon. Phoenix, AZ: The Phoenix Gazette, 4, 4. Language: English Format: Newspaper Abstract: Accuracy Verified: Yes 298. Arazi, D., & Rosental, V. (2008). Veteranos de malvinas, dramas evitables [Falklands Veterans, avoidable tragedies]. In P. Solvey & R. C. Ferrazzano de Solvey (Eds.), Terapias de avanzada [Advanced therapies]: Vol. 5, Abordajes en EMDR: Trauma y disociacion – Ninos y adolescentes – Fertilidad, inferitilidad, y esterilidad - Psicoprofilaxis, quiruigica, adicciones [Approaches in EMDR: Trauma and dissociation – Children and adolescents – Fertility, infertility, and sterility – Psychoprofilaxis, Surgery , Addictions] (1st ed) (pp. 19-28). Buenos Aires: TdeA Ediciones. Language: Spanish Format: Book Section Abstract: Keywords: Falkland Islands Veterans Accuracy Verified: Yes 299. Lipke, H. (1994, March). Veterans. Presentation at the EMDR Network Conference, Sunnyvale, CA. Language: English Format: Conference Keywords: Veterans Accuracy Verified: Yes 300. Lipke, H. (1993, March). Veterans. Presentation at the EMDR Network Conference, Sunnyvale, CA. Language: English Format: Conference Keywords: Veterans Accuracy Verified: Yes 301. Hurley, E. C. (2012, February 5). Veterans and PTSD treatment. Huffinton Post. Retrieved from http://www.huffingtonpost.com/e-c-hurley-phd/ptsd-military_b_1250216.html 2/5/2012. Language: English Format: Other Abstract: Keywords: Blog Military Posttraumatic Stress Disorder PTSD Veterans War Accuracy Verified: Yes 302. Daniels, N., Lipke, H., Richardson, R., & Silver, S. (1992, October). Vietnam veterans' treatment programs using eye movement desensitization and reprocessing. Symposium conducted at the annual meeting of the International Society for Traumatic Stress Studies, Los Angeles, CA. Language: English Format: Conference Keywords: Symposium Treatment Veterans Viet Nam Accuracy Verified: Yes 303. Russell, M. (2012, March 23). War atrocities in Afghanistan: Who is blameworthy?. Huffington Post. Retrieved from http://www.huffingtonpost.com/mark-c-russell-phd-abpp/robert-bales-mental-health-_b_1371478.html on 3/26/2012. Language: English Format: Other Abstract: Keywords: Afghanistan Blog Military Posttraumatic Stress Disorder PTSD Veterans War Accuracy Verified: Yes 304. Russell, M. C. (2008). War-related medically unexplained symptoms, prevalence, and treatment: Utilizing EMDR within the armed services. Journal of EMDR Practice and Research, 2(3), 212-225. doi:10.1891/1933-3196.2.3.212. Language: English Format: Journal Abstract: Keywords: Adults Americans Iraq War Marine Personnel Medically Unexplained Symptoms Military Psychiatry Operation Iraqi Freedom Combat Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Somatic Symptoms Veterans War Syndromes Accuracy Verified: Yes 305. Herbert, J. D., & Mueser, K. T. (1995, August). What is EMDR?. The Harvard Mental Health Letter, 12(2), 8. Language: English Format: Newsletter Abstract: Accuracy Verified: Yes 306. Hurley, E. C. (2012, January 27). When veterans come home. Huffington Post. Retrieved from http://www.huffingtonpost.com/e-c-hurley-phd/ptsd-veterans_b_1228541.html on 1/27/2012. Language: English Format: Other Abstract: Keywords: Blog Postraumatic Stress Disorder PTSD Veterans War Accuracy Verified: Yes 307. Russell, M. C. (2012, June). Who cares? Part II: Mortgaging the future of veteran's mental healthcare. Huffington Post. Retrieved from http://www.huffingtonpost.com/mark-c-russell-phd-abpp/who-cares-part-ii-mortgag_b_1588631.html on 6/19/2012. Language: English Format: Other Abstract: Keywords: Blog Department of Defense Department of Veteran's Affairs Military Posttraumatic Stress Disorder PTSD Veterans Accuracy Verified: Yes 308. Kasiviswanathan, T. K. (2002, November-December). Why not EMDR for PTSD?... eye movement desensitization and reprocessing. National Journal of Homoeopathy, 4(6), 359-361. Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 309. Bisping, V. S. (2011). Wirksamkeit von eye movement desensitization and reprocessing (EMDR) bei zahnbehandlungsphobie [Efficacy of eye movement desensitization and reprocessing (EMDR) treatment for dental phobia]. Universitätsklinikum Münster, Kliniken, Psychosomatik und Psychotherapie,Forschung, Munster, Deutschland
. Language: German Format: Dissertation/Thesis Abstract: Keywords: Dental Phobia Accuracy Verified: Yes 310. Dexter, B. A. (2008, September). Working with active duty, Reserve and National Guard, military, and military organizations. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Combat Military Veterans Accuracy Verified: Yes 311. Staff. (2013, May 13). Workshop introduces use of EMDR as treatment to help veterans with PTSD. Moultrie News, Mount Pleasant, SC. Retrieved from http://www.moultrienews.com/article/20130510/MN01/130519997/1014/workshop-introduces-use-of-emdr-as-treatment-to-help-veterans-with-ptsd 5/13/2013. Language: English Format: Newspaper Abstract: Keywords: Posttraumatic Stress Disorder PTSD Veterans Accuracy Verified: No 312. Greenwald, R. (2009, August). Writing for the Journal of EMDR Practice & Research. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Writing Accuracy Verified: Yes 313. Greenwald, R. (2010, September/October). Writing for the Journal of EMDR Practice & Research. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Writing Accuracy Verified: Yes 314. Greenwald, R. (2011, August). Writing for the Journal of EMDR Practice & Research. Presentation at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Writing Accuracy Verified: Yes 315. Young, J. (2009, October 9). Young: Help all those wounded vets; John Young, Cox newspapers. Austin American Statesman. Language: English Format: Newspaper Abstract: Keywords: Commentary General Overview Veterans Accuracy Verified: Yes 316. Botkin, A. L. & Hogan, C. (2009). Zwischen trauer und versöhnung
IADC, therapeutische kommunikation mit verstorbenen - Heilung von schuld und trauma. 1. Aufl, Kirchzarten bei Freiburg: VAK-Verl.-GmbH . Language: German Format: Book Abstract: Keywords: After Death Communication Accuracy Verified: Yes 317. Silver, S. M. (1995). The “active ingredient” project and EMDR perspective of a participant. EMDR Network Newsletter, 5(3), 4-5. Language: English Format: Newsletter Abstract: Keywords: Active Ingredient Accuracy Verified: Yes 318. Besser, L. (2005, June). The “Sarajevo-EMDR-protokoll” [The "Sarajevo EMDR protocol"]. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: Dutch Format: Conference Abstract: Accuracy Verified: Yes 319. ten Broeke, E., & Meijer, S. (2010, April). “Zelfbeeld-reparatie”: Een project in fasen ["Self-repair": A project in phases]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands. Language: Dutch Format: Conference Abstract: Zelfbeeldproblematiek of negatief zelfbeeld speelt een rol bij verschillende vormen van psychopathologie. Het is in zeker opzicht een transdiagnostische categorie. In de DSM-IV is ‘negatief zelfbeeld’ echter niet opgenomen, hetgeen er onder andere toe heeft geleid dat er geen duidelijke richtlijnen, laat staan specifieke protocollen bestaan voor de ‘reparatie’ van een negatief zelfbeeld. Dat stelt de behandelaar voor de vraag hoe de herstelwerkzaamheden mogelijk het beste zouden kunnen worden aangepakt. In deze workshop wordt een in de praktijk vaak effectief gebleken ‘gefaseerde’ werkwijze gepresenteerd. Daarbij zijn drie elementen te onderscheiden die vaak maar niet altijd in enige mate deel uitmaken van de behandeling. Hoewel de inzet van EMDR de nodige aandacht zal krijgen, heeft de workshop uitdrukkelijk als insteek dat in verreweg de meeste gevallen ‘EMDR-alleen’ tekort zal schieten om te komen tot reparatie van het zelfbeeld. De in de praktijk vaak noodzakelijke ‘andere’ interventies en methoden worden daarom eveneens besproken en in een kader geplaatst.
Keywords: Self-Repair Accuracy Verified: Yes
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR. Die EMDR-Behandlung ist nach unserer Erfahrung eine sehr effektive Technik zur Behandlung von traumatischen Erinnerungen bei Patienten mit dissoziativen Störungen. Das Ziel der Traumabehandlung bei dissoziativen Patienten zusätzlich zu der Verringerung der Belastung von posttraumatischen Symptomen, Aussetzen der zuvor abgespaltenen Erinnerungen im Sinne einer Integration von dissoziierten Erfahrung liegt. Die EMDR-Behandlung dissoziativer Patienten brauchen, wenn nötig. durch Ändern der Standard-Protokoll auf den einzelnen Elastizität eingestellt werden. Da dissoziative Speicher Barrieren durch eine EMDRBehandlung sehr schnell untergraben werden kann, kombiniert mit dem Risiko der Übererflutung durch aversive Reize, sollte dies nur von entsprechend erfahrenen Therapeuten und mit Sorgfalt im Rahmen einer umfassenden Traumatherapie eingesetzt werden.
Psychological treatment of traumatic stress disorders with EMDR. The EMDR treatment is, in our experience a very effective technique for the treatment of traumatic memories in patients with dissociative disorders. The aim of trauma treatment in dissociative patients in addition to reducing the burden of post-traumatic symptoms, exposing the previously split-off memories in the sense of an integration of dissociated experience content. The EMDR treatment of dissociative patients need, if necessary. be adjusted by modifying the standard protocol on the individual resilience. Since dissociative memory barriers through a EMDRBehandlung may be undermined very quickly, combined with the risk of Übererflutung by aversive stimuli, this should only be used by suitably experienced therapists and with care in the context of a comprehensive trauma therapy.
Having to cope with life-threatening injury or illness can be very stressful for children and their parents. In medical settings children—and parents—can be traumatized by various events both before and during hospitalization as well as during the rehabilitation-phase. Although most children and parents display remarkable resilience over time, stress levels can remain extremely high for a part of these children and parents throughout the entire hospital period and thereafter, culminating in various stress reactions. These reactions can be summarized in a framework of Pediatric Medical Traumatic Stress (PMTS). However, several evidence-based interventions are available presently. One of these evidence-based treatment interventions is Eye Movement Desensitization and Reprocessing (EMDR). Clinical efficiency of EMDR for children has been demonstrated by a recent meta-analysis and other studies. Application of EMDR should be taken into consideration whenever there is suffering from PMTS reactions—particularly intrusive memories, flashbacks, nightmares, anxiety and guilt feelings—or when these reactions interfere with either the recovery process or acceptance of a new situation. Integrated trauma-informed practice together with validated screening tools could be beneficial to families and possibly minimize or even prevent long-term PMTS reactions after life-threatening injury or illness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
This workshop provides participants with information on the unique nature of military service, including sources of stress and trauma not commonly found in the civilian sector. The current operational environment of the Global War on Terror as well as experiences and issues of veterans of other eras are covered. Military-based trauma can be complex and therapeutic approaches often need to take this into account as well as the value systems of military personnel. While EMDR is highly effective with service members, “fine tuning” of the protocol is often useful. Family problems in attachment are addressed.
The present study is carried out within a psychological
counseling project which is governed by Istanbul Metropolitan Municipality. The study was designed to assess the effects
of EMDR Integrated Group Treatment Protocol (EMDR-ICTP:
on the child victims of a terrorist bombing in Gun Goren, Istanbul.
In this study the EMDR-IGTP was used with 60 children
who are in 5th, 3rd and 4th grade and effected by the event
(exposed, witnessed or their relatives harmed, etc.) with high
scores on the Turkish version of 'Impact of Event Scale' (IES).
Before the group session. Child Report of Post-Traumatic Symptoms
(CROPS) and a survey asking 5 stress-related symptoms
of their lives after the bomb attack were applied. The group sessions consist of: meeting with children. explaining trauma,
psychological debriefing, EMDR (Installing the safe place, assessment,
drawing the first picture, drawing the second and the
third picture, tapping, relaxation), healing story and art therapy.
Participants completed another survey about what they have
realized during and after their group experience.
The study is completed with a re-evaluation of one and three
months follow-up. Analyses of the data collected from the participants
will demonstrate the effectiveness of EMDR in group
setting with children for reducing traumatic symptoms and developing
new resources to handle problems. In this study the
effectiveness of EMDR is examined according to the difference
between the ages of children, and the level of exposure (witnessing,
watching on TV etc.) to the traumatic event.
A number of EMDRIA members have asked about
the possibility of assisting returning Iraq War
veterans possibly as volunteers working for the
military or the Department of Veterans Affairs. Steve
Silver, Ph.D, Director of the inpatient PTSD
Program at the VA Medical Center in Coatesville,
PA, provided us with the following information.
A great deal of the history of EMDR involves its use with war and terrorism survivors. In recent years, that use has included the newest generation of American veterans from the War on Terror. In the face of steadily increasing numbers of people with trauma reactions, many therapists are reporting that they are seeing more veterans seeking help outside the traditional venues, such as the Veterans Administration. This presentation will focus on what has been learned, why it is important for clinicians to be aware of the needs of this population, and the sometimes unique demands such work places on clinicians.
Some of the earliest applications of EMDR were with military veterans (Shapiro 1995, Shapiro & Forrest 1997).
EMDR is now widely used to treat UK military personnel suffering from combat related PTSD. This presentation
will consider extending the use of EMDR as an early intervention during frontline operations. Research suggests
the importance of early detection in PTSD (Lee et al 2005) and the benefits of early intervention (North 2001).
Current practice is that UK personnel who are having significant difficulties in functioning after exposure to
trauma are sent back to the UK for treatment after a brief period of watchful waiting. This is can be detrimental,
both to the unit and individual (Shepard 2000, Solomon et al 2005). EMDR offers a potential solution to this
problem. A case study will be presented of a soldier who was suffering significant post trauma symptoms whilst
serving in Afghanistan. Through the successful use of EMDR in theatre just 2 weeks after the trigger event, he
was able to resume his normal duties and hence avoid the negative effects of being returned to the UK for
treatment. The use of EMDR as a frontline treatment has far reaching implications but currently there is little
evidence for its use as an early intervention with military personnel (Russell 2006). Future research to evaluate
this novel application of EMDR is planned. This presentation will introduce participants to the challenges of
providing psychological treatment during military operations and the potential value of EMDR in this setting.
This article reports the follow-up results of our field study (Jarero & Uribe, 2011) that investigated the
application of the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical
Incidents (EMDR-PRECI) in a human massacre situation. A single individual session was provided to
32 forensic personnel of the State Attorney General in the Mexican state of Durango who were working
with 258 bodies recovered from clandestine graves. Pre-post results showed significant improvement for
both immediate treatment and waitlist/delayed treatment groups on the Impact of Event Scale (IES) and
Short PTSD Rating Interview (SPRINT). In this study, we report the follow-up assessment, which was
conducted, at 3 and 5 months posttreatment. Follow-up scores showed that the original treatment results
were maintained, with a further significant reduction of self-reported symptoms of posttraumatic stress
and PTSD between posttreatment and follow-up. During the follow-up period, the employees continued
to work with the recovered corpses and were continually exposed to horrific emotional stressors, with
ongoing threats to their own safety. This suggests that EMDR-PRECI was an effective early intervention,
reducing traumatic stress for a group of traumatized adults continuing to work under extreme stressors in
a human massacre situation. It appears that the treatment may have helped to prevent the development
of chronic PTSD and to increase psychological and emotional resilience.
This research project investigated how EMDR Therapists integrated EMDR into their clinical
practice post-training and what, if any, difficulties they experienced. A total of 74 respondents
completed a questionnaire and 9 respondents were interviewed using a semi-structured interview,
giving a total of 83 respondents. 40% of both samples (which came from around the world)
reported experiencing difficulties with integrating EMDR into their clinical practice. The types of
difficulties which they reported included differences between EMDR protocol and the therapists’
original training and orientation, patient characteristics, therapists’ own anxieties and confidence
as well as organizational and management hostility to EMDR up to and including bullying of the
therapist in different ways including “being sent to Coventry”. These organization & management
issues are not covered in the current training model for EMDR and whilst supervision is necessary
post training, it is not be sufficient to address the organizational issues relating to integration of
EMDR into clinical practice. This will be highlighted in the presentation.
There are a number of accepted psychological treatments that can alleviate the mental suffering and heal individuals. Among them is Eye Movement Desensitization and Reprocessing (EMDR), an extensively researched psychotherapy approach.
It is an efficient and rapid treatment of trauma, incorporating elements of many other treatment modalities. EMDR has helped an estimated two million people. EMDR has been accepted as a treatment for PTSD and Acute Stress Disorder by the American Psychological Association, American Psychiatric Association, U. S. Department of Defense, and the U. S. Department of Veterans Affairs.
The intensity of experiencing a life-threatening trauma can take time to subside. Seeking treatment for PTSD can help restore balance, control, and enjoyment to life. [Excerpt]
This article presents the results of a time-limited psychological relief effort using eye movement desensitization and reprocessing (EMDR) following the attacks on the World Trade Center on September 11, 2001. Clients made highly significant positive gains on a range of outcome variables, including validated psychometrics and self-report scales. Analyses of the data suggest 2 broad conclusions: EMDR is a useful treatment intervention both in the immediate aftermath of disaster as well as later; the longer treatment is delayed, the greater the level of disturbance experienced by clients. Also discussed are problems in conducting research during mass disaster response situations. A demonstration of an analog to a wait-list control group is provided. [Author Abstract]
The
prevalence
of
chronic
migraine
headache
in
western
societies
ranges
between
12-‐24%
for
women
and
5-‐12%
for
men.
In
Turkey,
about
21%
of
women
and
11%
of
men
suffer
from
migraine.
It
is
one
of
the
most
disabling
problems
that
a
person
can
have.
Pharmacological
treatment
and
behavioral
interventions
are
the
most
widely
used
approaches
for
migraine.
The
term
‘chronic’
implies
that
the
problem
is
not
solvable.
In
this
case
it
means
that
although
pharmacological
treatments
and
behavioral
interventions
meaningfully
reduce
the
pain
for
some
of
the
patients,
there
remains
a
population
of
headache
sufferers
who
get
large
amounts
of
medicine,
have
to
go
to
the
emergency
room
frequently
because
of
too
much
pain
prolonged
over
many
hours
and
at
times
days.
Furthermore,
some
medications
have
moderate
to
severe
adverse
effects
or
contraindicate
with
clients’
existing
conditions.
Eye
Movement
Desensitization
and
Reprocessing
(EMDR)
is
an
integrative
psychotherapy
approach
that
was
developed
to
reduce
or
eliminate
the
symptoms
resulting
from
unresolved
traumatic
memories.
Recently
EMDR
treatment
has
provided
promising
results
in
alleviating
chronic
pain
and
increasing
sufferers’
psychological
wellbeing.
Research
pointing
out
the
neurobiological
similarities
found
in
patients
who
suffers
PTSD
and
chronic
pain,
encouraged
many
clinician
and
researcher
to
explore
the
utilization
of
EMDR
in
the
treatment
of
chronic
pain.
We
developed
the
EMDR
Chronic
Migraine
Headache
Protocol
in
order
to
obtain
and
maintain
a
high
level
of
treatment
fidelity
and
stick
to
scientific
rigor
and
as
a
guide
for
future
research.
In
collaboration
with
a
public
hospital
in
Turkey,
we
conducted
a
pilot
study
with
chronic
migraine
patients
diagnosed
also
as
having
chronic
daily
headache.
The
study
continues
with
an
enlarged
sample
and
the
present
analyses
revealed
that
there
was
a
significant
decrease
in
the
frequency,
the
duration
and
the
strength
of
the
headaches
of
patients
treated
with
the
EMDR
Chronic
Headache
Protocol.
Besides,
the
number
of
the
Emergency
Care
visits
and
the
amount
of
medication
taken
were
also
decreased
significantly
in
patients
treated
with
EMDR.
The
major
aim
of
this
workshop,
is
to
present
to
the
participants,
how
to
use
The
EMDR
Chronic
Headache
Protocol
in
the
treatment
of
patients
diagnosed
as
having
both
Chronic
Migraine
and
Chronic
Daily
Headache
(CDH).
Participants
will
gain
detailed
information
about
how
to
use
EMDR
Chronic
Migraine
Headache
Protocol
in
emergency
cases
too.
There
will
be
DVD
recordings
of
sessions
demonstrating
how
to
intervene
a
migraine
attack
during
a
session
and
also
how
the
EMDR
Chronic
Headache
Protocol
is
used
for
the
treatment
of
chronic
migraine
headache.
The
assessment
tools
used
for
the
project
will
be
given
to
participants
as
hand
outs
La
prevalencia
de
migraña
crónica
en
las
sociedades
occidentales
oscila
entre
el
12-‐24%
entre
las
mujeres
y
el
5-‐12%
en
los
hombres.
En
Turquía,
alrededor
del
21%
de
las
mujeres
y
11%
de
los
hombres
sufren
jaquecas.
Es
una
de
las
dolencias
más
discapacitantes
que
se
pueda
tener.
Los
tratamientos
más
habituales
para
tratar
las
migrañas
son
de
tipo
farmacológico
e
intervenciones
conductuales.
El
término
‘crónico’
implica
que
el
problema
no
tiene
solución.
En
este
caso,
significa
que
aunque
los
tratamientos
farmacológicos
y
conductuales
reducen
el
dolor
significativamente
en
algunos
pacientes,
sigue
habiendo
una
población
de
individuos
que
sufren
cefaleas
y
que
reciben
grandes
cantidades
de
medicamentos,
que
tienen
que
acudir
a
urgencias
con
frecuencia
debido
a
que
sufren
demasiado
dolor
que
se
prolonga
durante
muchas
horas
y,
en
ocasiones,
días.
Es
más,
algunos
fármacos
tienen
efectos
secundarios
entre
moderados
y
graves
o
cuyas
contraindicaciones
incluyen
afecciones
que
padecen
los
clientes.
La
desensibilización
y
reprocesamiento
con
movimientos
oculares
(EMDR)
supone
un
planteamiento
psicoterapéutico
integral
desarrollado
para
reducir
o
eliminar
los
síntomas
que
son
consecuencia
de
recuerdos
traumáticos
sin
resolver.
Hace
poco,
se
ha
visto
que
el
tratamiento
con
EMDR
ha
logrado
resultados
prometedores
en
el
alivio
del
dolor
crónico
y
que
aumenta
el
bienestar
psicológico
de
las
personas
afectadas.
Las
investigaciones
que
señalan
las
similitudes
neurobiológicas
detectadas
entre
los
pacientes
que
sufren
TEPT
y
los
que
padecen
el
dolor
crónico
han
animado
a
muchos
clínicos
e
investigadores
a
explorar
el
empleo
de
EMDR
en
el
tratamiento
del
dolor
crónico.
Hemos
desarrollado
el
protocolo
de
EMDR
para
tratar
la
migraña
crónica
para
conseguir
y
mantener
un
alto
nivel
de
fidelidad
terapéutico
y
para
mantener
el
rigor
científico,
además
de
para
que
sirva
para
orientar
la
investigación
en
el
futuro.
En
colaboración
con
un
hospital
público
en
Turquía,
hemos
llevado
a
cabo
un
estudio
piloto
en
pacientes
con
un
diagnóstico
de
migraña
crónica
diaria.
El
estudio
sigue
en
curso
con
una
muestra
ampliada
y
los
análisis
actuales
han
mostrado
que
ha
habido
una
disminución
significativa
en
la
frecuencia,
duración
e
intensidad
de
las
cefaleas
de
los
pacientes
tratados
con
el
protocolo
de
EMDR
para
tratar
la
cefalea
crónica.
Es
más,
el
número
de
visitas
a
urgencias
y
la
cantidad
de
fármacos
administrados
también
se
redujo
de
forma
significativa
en
los
pacientes
tratados
con
EMDR.
Violence and aggression in the workplace is an increasing international concern. No studies have yet determined the most efficacious psychotherapeutic strategies to alleviate the consequences of workplace violence, and none have identified interventions that might fortify workers who are repeatedly exposed to danger. This case series describes the eye movement desensitization and reprocessing (EMDR) treatment of seven bank employees and one transportation worker who suffered repeated acute traumatization. The Impact of Events Scale, the Post-Traumatic Stress Syndrome 10-Questions Inventory, and the Beck Depression Inventory were used to measure changes in symptom severity. Results showed that EMDR effectively reduced symptoms and may provide a possible protective buffer in situations of ongoing workplace violence.
Despite the scientific evidence concerning the efficacy of EMDR in the treatment of PTSD, in clinical practice many clinicians are reluctant to apply EMDR to traumatised asylum seekers and refugees. Because they regard the traumatisation of this population as too complex, and for fear of psychological decompensation, they tend to avoid confrontation with traumatic memories and stick to stabilisation techniques. This research project focuses on the efficacy of EMDR versus stabilisation in traumatised asylum seekers and refugees. The aim is to improve the treatment of this target group. (Doctoral research project of Jackie June ter Heijde, clinical psychologist, with the cooperation of Dr Trudy Mooren, Dr Jeroen Knipscheer and Prof. Dr Rolf Kleber)
Patients with alcohol addiction often report sexual abuse
and neglect in childhood and/or other traumatic events during
lifetime. In addiction treatment facilities symptoms of PTSD are
frequently not treated, because there is no sufficient method.
which could be completed within the addiction treatment period?
The lecture will inform about an ongoing scientific project dealing with the question, if EMDR is an intervention, which is equal
or superior to common multimodal stabilizing interventions. The
project is supported by the Deutsche Rentenversicherung Bund.
Patients with alcohol addiction and comorbid PTSD are divided
into two groups: EMDR or multimodal therapy including stabilizing methods. Prevalence of PTSD-symptoms is measured
before and after intervention and one year after treatment.
Up to date nearly 90 Patients with alcohol addiction and PTSD
have been treated. Data indicate, that both trauma treatments
are effective but that EMDR leads to a significant larger decrease
in trauma symptoms. The results of the one year after
treatment evaluation are presented and discussed.
Educational objectives: Addiction therapy in a treatment facility
can be effectively combined with trauma therapy.
EMDR is an effective method in the treatment of patients with
alcohol addiction and comorbid PTSD.
Most patients with alcohol addiction and PTSD show multiple
trauma and need a prolonged period of treatment.
What's new? There are only few studies in Germany, which
have investigated the effects of EMDR in a sample of alcohol
addicted patients.
The presented study includes a follow up evaluation one year
after treatment (currently in progress), which rarely is the case
in research on EMDR-effectiveness.
EMDR is a useful tool in the clinical armarnentarium for the treatment of
posttraumatic stress reactions in service personnel who have been involved in
armed conflict. Some of the issues involved in working with this client group will
be discussed and illustrated, where appropriate, with case material.
Outcome measures of the successful use of EMDR with this population will be
presented.
Durante las últimas dos décadas, el EMDR se ha convertido en una opción de primera línea para el tratamiento de trastornos de estrés postraumático asociados a la exposición de eventos traumáticos, como accidentes, catástrofes naturales o desastres creados por el hombre. Mientras tanto, los clínicos han visto que la aplicación de EMDR es útil en el tratamiento de pacientes que han sufrido episodios emocionalmente traumáticos, descritos por ellos como característicos de su familia de origen, su historia personal y sus relaciones de apego. Un gran número de investigaciones y publicaciones han examinado en profundidad la eficacia de EMDR en este campo de trabajo de la psicoterapia. Por lo tanto, el EMDR está siendo utilizando cada vez más por los clínicos, trabajando con personas que sufren de traumas crónicos vinculados a relaciones interpersonales traumáticas.
Es de sobra conocido que, en los primeros años de vida, las interacciones con los demás dan lugar a conexiones importantes en el cerebro, que progresivamente influyen en la sensación interna que tenemos de nosotros mismos y la capacidad de tener relaciones sanas con el mundo exterior. Las experiencias de relaciones con las figuras de apego durante la infancia temprana pueden ayudar a desarrollar la autorregulación emocional y contribuir a la formación de patrones cognitivos, conductuales y emocionales. La investigación sobre el apego ha demostrado que son estas relaciones las que influyen en el desarrollo de la capacidad de equilibrar las emociones, establecer intimidad interpersonal, así como de la capacidad de autorreflexión y mentalización. Además, es evidente que la comunicación interpersonal y emocional dentro de la familia de origen puede sentar las bases para el desarrollo de recursos, el sentirse valioso y la resiliencia cuando uno está bajo una fuerte tensión emocional, fomentando por tanto la salud mental.
During the past two decades, EMDR has become a first line option for the treatment of PTSD associated with exposure to traumatic events such as accidents, natural disasters or man-made disasters. Meanwhile, clinicians have found that the application of EMDR is useful in treating patients who have suffered emotionally traumatic events described by them as characteristic of their family of origin, personal history and their attachment relationships. A lot of research and publications have examined in depth the effectiveness of EMDR in this field of work of psychotherapy. Therefore, EMDR is being used increasingly by clinicians, working with people suffering from chronic trauma related to interpersonal trauma. It is well known that in the first years of life, interactions with others lead to important connections in the brain that progressively influence the internal sense of ourselves and the ability to have healthy relationships with the outside world . The experiences of relationships with attachment figures in early childhood may help develop emotional self-regulation and contribute to the formation of cognitive patterns, behavioral and emotional problems. The attachment research has shown that it is these relationships that influence the development of the ability to balance emotions, establish interpersonal intimacy and the capacity for self-reflection and awareness. It is also clear that interpersonal and emotional communication within the family of origin may lay the foundation for the development of resources, to feel valued and resilience when one is under emotional stress, thus promoting mental health.
(EMDR) was developed by Francine Shapiro, Ph.D.
from the Mental Research Institute
in Palo Alto in 1987 and was
utilied clinically beginning in 1989
with Vietnam veterans. Numerous
scientific studies have been and
continue to be done and data
collected regarding the reliability
and validity of EMDR as a
psychotherapeutictechnique. It isno
longer considered to be experimental.
Por medio de este Sistema de Procesamiento de Información (SPI), las nuevas experiencias son normalmente procesadas a estados adaptativos.
Esto significa que son asimiladas en redes de memoria ya existentes con información adaptativa.
Through this Information Processing System (IPS), new experiences are processed normally adaptive states. This means they are assimilated into existing memory networks with adaptive information. [Excerpt]
On December 26, 2004, an earthquake in the Indian Ocean triggered a catastrophic tsunami. In Sri Lanka, 35,000 people died, 21,000 were injured, and more than half a million were displaced. An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs (HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The crucial steps in establishing and implementing this training program are explained, with a summary of the subjective impressions and learning experiences most valued by the training team, including an excerpt from a trainer's journal. This information may be useful to future cross-cultural humanitarian efforts following large-scale disasters. [Author Abstract]
Since its introduction by Francine Shapiro in
1989, eye movement desensitization and reprocessing
(EMDR) has gained wide acceptance as an efficacious
clinical treatment. It is particularly useful in the
treatment of posttraumatic stress disorder (PTSD) (Alto,
2001). Despite its relative novelty, EMDR has been used
to treat survivors, emergency workers, and disaster
relief counselors worldwide. EMDR therapists have
successfully employed EMDR in Oklahoma City,
Belfast, Zagreb, Rwanda, Dunblane, Sarajevo,
Columbine, and Londonderry. EMDR has also been
used in the treatment of PTSD for combat veterans from
World War II, the Korean War, Beirut, and the Vietnam
War (Silver & Rogers, 2002, p. xix). EMDR effects
exceed those of nonspecific effects shared by all
treatments and are independent of client expectations.
Moreover, EMDR effects are at least equal to effects
of cognitive behavioral therapy, and EMDR requires
less time than other models with less client attrition
(Silver & Rogers, p. 254). Importantly, the American
Psychological Association has listed EMDR as an
efficacious treatment for civilian PTSD (Alto, 2001).
EMDR (Eye Movement Desensitization and Reprocessing) has been so well researched that it is
now recommended as a front line treatment for trauma in the Practice Guidelines of American
Psychiatric Association, and those of the Department of Defense and of Veterans Affairs. It is
an integrative psychotherapy that offers a new and distinct approach to personality
development and the treatment of pathology.
The clinical applications of EMDR with an information processing focus can be used as a general
model of psychotherapy addressing a full range of issues of everyday clinical practice, including
family therapy impasses. Increasingly, research evidence is showing that there’s a kind of
psychological change that can happen at the level of adaptive information processing, opening
up the possibility of powerful therapeutic effects that can exceed expectations both in the speed
and depth of their impact.
In this presentation, you’ll get an experience of the implicit and associational memory networks
that govern our feelings, thoughts, and reactions outside the realm of rational thought. You’ll
learn how EMDR and the Adaptive Information Processing model apply not only to trauma, but
also to personality disorders, depression, chronic pain, sexual compulsivity, and other
dysfunctional behaviors and thoughts.
EMDR group protocols will be illustrated that have been used worldwide after both natural and
man-made disasters. It is believed that the treatment of trauma through networks of clinicians
can aid in breaking the cycle of violence worldwide.
In 2005 the National Institute for Health and Clinical Excellence (NICE) published
new guidelines on Post-Traumatic Stress Disorder (PTSD), recommending either
trauma-focused CBT or Eye Movement Desensitisation and Reprocessing (EMDR)
as treatment. EMDR was created in the1980s by the American clinical psychologist
Dr Francine Shapiro. From her research with Vietnam veterans she developed a
specific protocol. Now worldwide over a million people have been treated and EMDR
is the most thoroughly researched method of trauma treatment.
Since Francine Shapiro published her original study on Eye Movement Desensitisation Reprocessing (EMDR) in 1989, more than 20,000 therapists in 55 countries have been taught to use this technique. Over the past decade, the procedure has evolved, making it accessible to a wider range of psychological difficulties. The ACPP recently held a very successful conference examining the context in which EMDR can be applied and the range of psychological disorders that it can help.
Contents:
Robert H. Tinker. EMDR for traumatised children around the world
Ricky Greenwald. EMDR and trauma-focused treatment for conduct problems
Joanne Morris-Smith. EMDR: a case for pre-verbal memory?
Eamon McMahon. EMDR in the treatment of attachment and bonding difficulties
Guinevere Tufnell. EMDR: working with the legal system
Alison Russell & Mike O'Connor. Interventions for recovery: the use of EMDR with children in a community-based project
Umran Korkmazler-Oral & Seniz Pamuk. Group EMDR with child survivors of the earthquake in turkey
Tony Roberts. Websites relating to psychological trauma: with emphasis on children
This film weaves personal stories into discussion about Eye Movement Desensitization and Reprocessing's evolution and remarkable development. Researchers and practitioners from across the world share their reflections about EMDR's early days when founder Francine Shapiro began honing the therapy's methodology as well as how EMDR has transformed their practices in the decades since. Interviews explore the acute need for PTSD and trauma treatment that works efficiently and quickly to address the needs of the millions upon millions in need.
Through interviews with the top EMDR community memebers, this documentary introduces and explains this therapy's components. Combining powerful personal stories from the military and civilian worlds, the film explores the ability of the human brain to re-wire itself when given the opportunity. More and more people every day, are affected by trauma personally. Many more feel the ripple-effects as family, friends, and co-workers of a traumatized person. This project's premise is that the trajectory of lives touched by tragedy and pain need not be predetermined.
For skeptics, Wheeler points to the research. She indicates that more than 27 randomized clinical trials have shown EMDR to be effective for PTSD and adds that the American Psychiatric Association, the Veterans Administration Department of Defense (VA-DOD) and many other national and international practice guidelines have approved EMDR as a Level A treatment for this disorder. “A Kaiser Permanente study found that after six sessions, 100 percent with a single trauma and 77 percent with multiple trauma events no longer had PTSD,” she says. “This is a well researched treatment and compares favorably to other treatments for PTSD. It’s good to be skeptical, but people should read the research.”
Minulla on ilo ja kunnia osallistua traumaterapiassa keskuksen hankkeen raportti kirjallisesti sekä muisto-seminaari. Olen käynyt Suomessa useita kertoja vuodesta 1995. Joten haluan jakaa joitakin maata suomalaisten saamistani käsityksiä. Monet lahja maailmalle mielestä Suomi on sauna. Kyllä, kylvyt ovat ihania, ja ne ovat saatavilla Yhdysvalloissa. Mielestäni Suomi on todellinen lahja maailmalle ja Fazerin Sininen suklaa, jota taas on vaikea löytää Yhdysvalloista.
It is an honor and pleasure to take part in this conference which celebrates the Trauma Center. I have been coming to Finland several times a year since 1995. I want to share some of my impressions about Finland the Finnish people. Many would say that the gift Finland has given to the world is the sauna. Yes, saunas are wonderful and are available in the US. But I think the real gift of Finland is Fazer Blue chocolate, which is difficult to find in the United States.
This study examined emotional processing and outcome in 20 Vietnam veterans with chronic posttraumatic stress disorder (PTSD) who underwent imaginal flooding therapy. Results supported the occurrence of emotional processing, as manifest in significant activation, within-session habituation, and partial across-session habituation of physiologic and self-reported process variables. The flooding therapy produced only modest overall improvement, which was statistically significant for avoidance symptomatology measured by the Impact of Events Scale (TOES) and number of intrusions per day recorded by the subject in a log. Symptomatic improvement appeared to generalize from a treated to an untreated experience. Heart rate activation during the first flooding session predicted a decrease in daily number of intrusive combat memories across the therapy. Otherwise, there was little association between extent of emotional processing and therapeutic outcome. The results provide limited support for the notion that mobilization of phychophysiologic arousal during exposure therapy predicts improvement. [Author Abstract]
This study examined emotional processing and outcome in 27 Vietnam veterans with chronic PTSD who underwent eye movement desensitization and reprocessing (EMDR) therapy, with and without the eye movement component, in a crossover design. Results supported the occurrence of partial emotional processing, but there were no differences in its extent in the eye-movement versus eyes-fixed conditions. Therapy produced a modest to moderate overall improvement, mostly on the Impact of Event Scale. There was slightly more improvement in the eyes-fixed than eye-movement condition. There was little association between the extent of emotional processing and therapeutic outcome. In our hands, EMDR was at least as efficacious for combat-related PTSD as imaginal flooding proved to be in a previous study, and was better tolerated by subjects. However, results suggest that eye movements do not play a significant role in processing of traumatic information in EMDR and that factors other than eye movements are responsible for EMDR's therapeutic effect. [Author Abstract]
EMDR involves having the patient bring to mind images of the trauma while engaging in back-and-forth eye movements (or while alternating oneâs attention back and forth using taps or sounds). It also addresses trauma-related negative beliefs. It has been shown to be more effective than psychodynamic, relaxation, supportive, or placebo wait list therapies (where patients are put on a waiting list to receive treatment but don't actually receive it by the time they are tested). Research comparing EMDR to the more generally accepted cognitive-behavioral techniques shows significantly better results with CBT than with EMDR, particularly at three-month follow-up. CBT results also show greater sustainability. Research looking at the different components of EMDR shows that the eye
movement component adds no additional treatment effect to the imagery exposure and the process of dealing with negative beliefs.
EMDR produces extraordinarily rapid results. Therapists across the country are reporting success with Vietnam veterans, incest victims and other survivors of trauma. This article describes its successful use in curing sexual problems attributed to childhood trauma.
Cet entretien avec Dr Francine Shapiro, inventrice et conceptrice de la thérapie EMDR (Eye Movement
Desensitization and Reprocessing : thérapie d’intégration neuro-émotionnelle par des stimulations bilatérales
alternées) apporte un aperçu de l’histoire et de l’évolution de l’EMDR depuis ses origines jusqu’aux
résultats actuels et à leur utilisation, ainsi que les directions futures pour la recherche et le développement
de la clinique. Dr Shapiro examine les traditions psychologiques qui ont guidé le développement
de l’EMDR et le modèle de l’information adaptative, ainsi que les implications pour les traitements
actuels. La logique qui sous-tend l’application de l’EMDR à un large éventail de troubles est envisagée,
tout comme son intégration avec d’autres approches thérapeutiques. Les sujets évoqués comprennent la
recherche sur le rôle des mouvements oculaires, l’utilisation de l’EMDR avec les vétérans de guerre, les
troubles somatoformes, les questions de l’attachement et les caractéristiques uniques de l’EMDR qui ont
permis son utilisation lors d’interventions de crise à travers le monde.
This interview with Dr. Francine Shapiro, inventor and developer of EMDR (Eye Movement Desensitization and Reprocessing: Integration Therapy Neuro-Emotional alternating bilateral stimulation) provides an overview of the history and evolution of EMDR from its origins to the present results and their use as well as future directions for research and development of the clinic. Dr. Shapiro examines the psychological traditions that have guided the development of EMDR and adaptive information model, and the implications for current treatments. The logic behind the application of EMDR to a wide range of disorders is considered, as its integration with other therapeutic approaches. Topics discussed include research on the role of eye movements, the use of EMDR with war veterans, somatoform disorders, issues of attachment and the unique features of EMDR which allowed its use in Response to crisis around the world.
Im Rahmen des zuvor dargestellten Projektes werden die Patienten vor und nach der EMDR-Intervention mit einer Magnetencephalografie (MEG) untersucht. Dabei soll erfasst werden, ob die erwarteten angstassoziierten kortikalen Aktivierungen nach der EMDR-Behandlung zurückgehen. Als Angst auslösende Stimuli werden im MEG Bilder, Geräusche und Gerüche dargeboten werden, die in Zusammenhang mit der Zahnbehandlung stehen.
As part of the [Wirksamkeit des Eye Movement Desensitization and Reprocessing (EMDR) bei Patienten mit Zahnbehandlungsphobie, (Doering, Bisping, Bohnke)] project a Magnetencephalografie (MEG) will be presented before the patients were examined before and after the EMDR intervention. It should be recognized that the expected angst associated cortical activations to go back to the EMDR treatment. As fear-inducing stimuli in the MEG images, sounds and smells will be presented, which are associated with dental treatment.
The purpose of this study is to find out whether Eye Movement Desensitization and Reprocessing (EMDR) is effective in the treatment of patients with dental phobia. This U.S. National Institues of Health Clinical trial has been completed. (U.S. National Institutes of Health ClinicalTrials.gov Identifier: NCT01207960)
Binnen de instelling waar ik werk, het SinaiCentrum (gespecialiseerd in de behandeling van de psychische gevolgen van structureel geweld bij slachtoffers van de tweede wereldoorlog (concentratiekampoverlevende, jappenkampoverlevenden, verzetsmensen, burgeroorlogsgetroffenen), de tweede generatie, vluchtelingen, asielzoekers en veteranen uit recente oorlogsgebieden treffen wij vooral type 2 trauma/complex trauma aan. De afgelopen drie jaar heb ik een ruime ervaring opgegaan met de toepassing van EMDR bij deze doelgroepen.
De toepassing van EMDR bij type 2 trauma is een nog relatief nieuw gebeid. In deze lezing wil ik stilstaan bij de ervaringen met betrekking tot
- de indicatiestelling en diagnostiek,
- stabilisatiefase, therapeutische relatie en de organisatorische inbedding hiervan,
- keuzes met betrekking tot de te bewerken situaties en hoe beelden van mekaar te onderscheiden,
- abrecations,
- aantal sessies,
- de taaiheid en soms moeizame vooruitgang,
- verwevenheid met andere problematiek,
- de fouten die gemaakt kunnen worden.
Ik zal een ander illustreren met enig video-materiaal
Daarna gelegenheid tot diskussie.
Within the institution where I work, the Sinai Center specializing in the treatment of psychological consequences of structural violence in victims of WWII (concentration camp survivor, Japanese camp survivors, resisters, civil war victims), second generation refugees, asylum seekers and veterans of recent war zones we especially take Type 2 trauma / complex trauma. In the last three years I have extensive experience in applying EMDR absorbed by these groups.
The application of EMDR in type 2 trauma is a relatively new gebeid. In this lecture, I want to experience on
- The indication and diagnostics,
- Stabilization phase, therapeutic relationship and the organizational embedding of this,
- Choices about the situations and how to edit images of each to distinguish
- Abrecations,
- Number of sessions,
- The toughness and sometimes painful progress
- Integration with other problems,
- The mistakes that can be made.
I will illustrate with some video material with the opportunity for discussion afterwards.
Background: The study arose from an EMDR Humanitarian Assistance Programme training set up in response to the 2005
earthquake in Northern Pakistan. Part of this project set out to evaluate an Urdu version of IES-R. We wanted to evaluate the
work done by newly trained EMDR Practitioners and there was paucity of measurement tools in Urdu language. We decided
to translate IES-R and evaluate it. It will give us reliable scale to measure progress against treatment. The present study aims
to present this Urdu version of the IES-R as a psychometrically sound instrument for both research and clinical use in its
Urdu translation. Methods:Translation was completed in four stages. Two stages involved translation and two involved back
translation. Recruitment for the evaluation took place at a Medical School in Abbotabad, and involved (N=118) participants.
The inclusion criteria were that subjects must be fluent in both Urdu and English. Results: The results of Urdu and English
versions of IES_R and GHQ were compared for Linguistic Equivalence, conceptual equivalence, and scale equivalence. All
these measures showed no statistically significant differences. In conclusion the Urdu version of the IES-Revised can be used
for clinical populations in Pakistan with evidence of good reliability and satisfactory validity. In developing EMDR research in
Pakistan the utilisation of the U-IES-R will be an extremely useful addition.
PTSD was only formally recognized as a mental disorder by the American Psychiatric Association in 1980. Modern day treatments still focus on accessing and reprocessing traumatic memories. In 1981, Bay Area doctor Francine Shapiro developed a new therapy called EMDR, or eye movement desensitization and reprocessing. The treatment combines physical stimulation and talk therapy.
“You ask the person to identify the image that has been bothering them and the thoughts that have been bothering them,” says Doctor Shapiro.
Then you add bilateral stimulation: “Either taps or tones or eye movement, generally. All this together helps to activate the brain's information processing system, and then you just allow the brain to go wherever it needs to go. You allow whatever associations that need to come up, come up.” [Excerpt]
This research project sought to investigate if EMDR therapists observed their clients reporting transpersonal/spiritual experiences during or following EMDR. In addition, it sought to identify and explore the client and therapist factors that may influence the frequency with which these experiences are observed. One hundred sixty-nine questionnaires were mailed to EMDR facilitators throughout the United States and 50 were returned with usable data. Quantitative statistical analyses were performed on much of the questionnaire data and several significant associations and differences were found (p < .05). However, these significant associations and differences did not lead to more global statements regarding the factors that were analyzed. Interviews were conducted with 11 of the respondents in an attempt to shed light on these research questions. The results indicate that a number of EMDR therapists are observing their clients reporting transpersonal/spiritual experiences during or following EMDR. Several potentially important client and therapist factors were noted that may be influencing factors in therapists observing their clients reporting these experiences. (PsycINFO Database Record (c) 2008 APA, all rights reserved)Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(2-B), Aug 2000, pp. 1099.
This study was set in a mainstream primary school in Scotland where a group of children
had been identified by their class teachers and parents as presenting as quiet, shy, withdrawn and/or
anxious. The researcher was an educational psychologist in the local authority where the study took
place. 5 primary aged children at stages P5, P6 and P7 (aged 9 to 11 years) of the Scottish Primary
education system were involved in a group process which took place in their school, consisting of
6 sessions over the course of 2 months. The intervention combined elements from Eye Movement
Desensitization and Reprocessing (EMDR) and Solution Focused Brief Therapy (SFBT). This was a
strength based approach which aimed to focus on positive strengths and increase resilience.
The individual nature of the therapy required a flexible model. A qualitative research methodology
was used. The general aim of this research was to investigate this combined therapeutic process
within an applied psychology perspective. The research set out to study the experiences of a group
of children during and after they participated in the process. A further aim of the research was to
explore the process from my own perspective as the therapist and facilitator.
Data was collected during and after each session and post intervention data was collected from
children, parents and teachers. Interpretative Phenomenological Analysis (IPA) was used to analyse
the data. Findings indicated that the children found the intervention helpful and they were able to
identify particular aspects of SFBT and EMDR which they had found useful.
This article examines the author's physiological explanation for the efficacy of eye movement desensitization, referencing the use of this treatment in her earlier (1989) study of Vietnam War veterans and victims of rape who had PTSD-related symptoms and traumatic memories.
Eye Movement Desensitization and Reprocessing is a new and controversial cognitive-behavioural treatment technique that combines cognitive processing and exposure methodology to treat conditioned emotional responding and other trauma-related symptoms. EMDR is controversial in part due to initial excessive claims by its originator, Francine Shapiro, and also because of what many believe to be Shapiro's proprietary emphasis in controlling who may use the technique with patients. In this paper our aim is to take an objective look at the process and effectiveness of this technique. The purpose here is to (1) offer a brief objective review of the outcome literature to date on EMDR; (2) present a short summary of results of an 'early look' at an ongoing controlled study of this method that we are presently conducting; (3) speculate on the merits of this approach based on both scientific and clinical experience with EMDR and (4) offer a brief description of the evolved process of EMDR along with a commentary on that process. [Author Abstract]
Dit onderzoek bij verkeersslachtoffers met whiplash-klachten maakte deel uit van een omvangrijker studie naar de kwaliteit van hulpverlening aan slachtoffers van verkeersongevallen, in het kader van het Achmea-project ‘Kwaliteit Slachtofferhulp’. Gerapporteerd wordt een viertal gevalsbeschrijvingen van patiënten met chronische whiplash-klachten. Vier vrouwen die gemiddeld 22 maanden geleden bij een auto-ongeval betrokken waren, werden tweemaal anderhalf uur behandeld met Eye Movement Desensitization and Reprocessing (EMDR). Voor en na de behandeling werden de Symptom Checklist 90 (SCL-90) en de Schokverwerkingslijst (SVL) afgenomen. Vergelijking van voor- en nameting toonde een duidelijke afname van klachten, onder meer op Herbeleving en Vermijding (SVL) en Somatisatie, Angst, Depressie, Slaapproblemen, Wantrouwen en Interpersoonlijke Sensitiviteit (SCL-90). Deze resultaten zijn hoopgevend: EMDR bleek bij te dragen aan een verzachting van traumasymptomen. In verder onderzoek zouden de effecten en onderliggende mechanismen van emdr bij een grotere groep chronische whiplash-patiënten bestudeerd moeten worden.
This study of road accident victims with whiplash injuries was part of a larger study on the quality of assistance to victims of traffic accidents, as part of the Achmea project 'Quality Victim'. Reported four case reports of patients with chronic whiplash injuries. Four women who averaged 22 months ago in a car accident, were two and a half hours with Eye Movement Desensitization and Reprocessing (EMDR). Before and after treatment were the Symptom Checklist 90 (SCL-90) and Shock Treatment List (SVL) decreased. Comparison of pre-and post-test showed a significant reduction of complaints, including the re-experiencing and Avoidance (IES) and Somatization, Anxiety, Depression, Insomnia, Distrust, and Interpersonal Sensitivity (SCL-90). These results are encouraging: EMDR appeared to contribute to an alleviation of trauma symptoms. In further research, the effects and underlying mechanisms of EMDR in a larger group of chronic whiplash patients should be studied.
EMDR was introduced as a treatment modality about twenty five years ago (Shapiro, 1989). EMDR has eight treatment phases. The first three stages include: 1) history taking; 2) preparation (introduction to the EMDR protocol, coping strategies and affect management techniques) and 3) assessment (bringing to mind an image of a traumatic incident, identifying beliefs and emotions associated with that incident, rating the degree of disturbance felt in recalling the traumatic incident, and rating the validity of preferred cognitions about oneself). During the next phase desensitization the core component of the intervention is implemented. It involves using a dual attention/bilateral stimulation procedure that aims to reprocess the disturbing emotions and cognitions associated with the traumatic incident. The client is instructed to keep in mind the image, beliefs and cognitions while simultaneously visually tracking the therapist’ s fingers as they are moved back and forth in front of the client in a prescribed manner. (Bilateral tactile taps or auditory tones are used instead of eye movements for clients who have difficulty visually tracking.) Bilateral stimulation is also used during the next two phases - installation and body scan - which aim to install a positive cognition to replace the negative cognition associated with the trauma and to reprocess any remaining bodily sensations. During the next phase closure the client is advised about what to do between sessions if experiencing distress. The final phase re-evaluation occurs at the start of the next session and involves identifying and reprocessing any residual material from the previous session or that arose between sessions. The length of treatment sessions varies, but typically lasts from 60 to 90 minutes. The number of treatment sessions also varies, ranging between 5 and 15 sessions. [Excerpt]
Recent practice guidelines and meta-analyses have designated eye movement desensitization and reprocessing (EMDR) as a first-line treatment for trauma. Eye movement desensitization and reprocessing is an eight-phase therapeutic approach guided by an information-processing model that addresses the combat veteran's critical incidents, current triggers, and behaviors likely to prove useful in his or her future. Two case examples of combat veterans illustrate the ability of EMDR to achieve symptom reduction in a variety of clinical domains (e.g., anxiety, depression, anger, physical pain) simultaneously without requiring the patient to carry out homework assignments or discuss the details of the event. The treatment of phantom limb pain and other somatic presentations is also reviewed. The ability of EMDR to achieve positive effects without homework indicates that it can be effectively employed on consecutive days, making it especially useful during combat situations. [Wiley]
Despite the clinical and social impact of PTSD, there are few controlled studies investigating its treatment. In this investigation, the effectiveness of two psychotherapeutic interventions for PTSD were compared using a randomized controlled outcome group design. 35 combat veterans diagnosed with combat-related PTSD were treated with either (a) 12 sessions of eye movement desensitization and reprocessing, EMDR (n = 10), (b) 12 sessions of biofeedback-assisted relaxation (n = 13), or (c) routine clinical care, serving as a control (n = 12). Compared with the other conditions, significant treatment effects in the EMDR condition were obtained at posttreatment on a number of self-report, psychometric, and standardized interview measures. Relative to the other treatment group, these effects were generally maintained at 3-month follow-up. Psychophysiological measures reflected an apparent habituation effect from pretreatment to posttreatment but were not differentially affected by treatment condition. [Author Summary]
The purpose of this study was to investigate the role of eye movements in eye movement desensitization and reprocessing (EMDR), and to test the efficacy of EMDR in the treatment of guilt associated with combat trauma. EMDR was compared to a non-eye movement (NEM) analog, which entailed the full EMDR procedure minus the eye movements. A single-case multiple component cross-over design across 7 participants was utilized.Participants were combat veterans who were receiving inpatient treatment for PTSD at the Coatesville Veterans Administration Medical Center. 4 participants were introduced first to the EMDR condition and 3 participants were introduced first to the NEM analog condition. Each participant was exposed to both conditions. Dependent measures included: (1) pre- and post-treatment scores on the Clinician Administered PTSD Scale for DSM-IV - One Week Symptom Status Version (CAPS-SX), Beck Depression Inventory (BDI), Impact of Event Scale (IES), and Trauma Related Guilt Inventory (TRGI), (2) self-monitoring data on the frequency and intensity of intrusive thoughts, disturbing dreams, and guilt, and (3) measures of participants' subjective level of distress within sessions and pre- and post-treatment using the Subjective Units of Distress Scale (SUDS). As measured by SUDS ratings, EMDR resulted in a greater decrease in dyphoric affect within-session than the NEM analog. EMDR also resulted in a significant decrease in mean SUDS ratings from pre- to post-treatment. EMDR resulted in significant decreases in combat-related PTSD symptomatology, as measured by pre- and post-treatment scores on the CAPS-SX, BDI, and IES. EMDR also resulted in significant decreases in mean pre- and post-treatment frequency of self-reported intrusive thoughts and mean pre- and post-treatment intensity of intrusive thoughts, disturbing dreams, and guilt. Additionally, EMDR resulted in a significant decrease in pre- and post-treatment scores on one scale and two subscales of the TRGI. No differences in the mean frequency and intensity of self- reported intrusive thoughts, disturbing dreams, and guilt were detected between EMDR and the NEM analog. Results of the present study support the role of eye movements in attaining treatment gains with EMDR. Additionally, this study supports the efficacy of EMDR in the treatment of combat-related guilt. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(10-B), Apr 2001, pp. 5555.
Since Eye Movement Desensitization and Reprocessing (EMDR) was introduced 12 years ago it has become the most researched treatment for PTSD and its efficacy has been widely recognized. EMDR is a comprehensive treatment protocol in which the client attends to emotionally disturbing material in short sequential doses while simultaneously focusing on an external stimulus (therapist-directed eye movements, hand-tapping, auditory tones). This chapter provides an overview of the development of EMDR and Shapiro's Adaptive Information Processing model, which hypothesizes that EMDR works by forging new links between elements of traumatic memories and adaptive information contained in other memory networks. The empirical evidence is examined, with summaries of 12 controlled studies: civilian participants demonstrated a 70 to 90% decrease in PTSD diagnosis after 3 to 4 EMDR sessions, and combat veterans a 78% decrease in PTSD diagnosis after 12 sessions. A concise explanation of the 8 phases of EMDR treatment process is augmented with multiple client vignettes. Finally, a case illustration provides a detailed description of the application of EMDR in the treatment of PTSD (Pilots). [Text, p. 148]
4 Vietnam veterans diagnosed with PTSD were treated with 12 sessions of eye movement desensitization and reprocessing (EMDR), targeting their combat memories. An extensive multimodal assessment battery showed very substantial clinical improvement for 3 of the veterans along a number of psychological dimensions that characterize the disorder, but not along several physiological parameters. A fourth veteran showed only very modest changes. The results are discussed in terms of the importance of several issues, including numbers of treatment sessions and differential effects of treatment on cognitive-behavioral and physiological symptoms. [Author Abstract]
Comments on the article by J. G. Carlson et al (see record 84-01737) regarding the use of eye movement desensitization and reprocessing treatment (EMDR) to treat posttraumatic stress disorder (PTSD) in Vietnam veterans. The author suggests that EMDR seems simplistic and lacks face validity altogether. L. Waters proposes that EMDR works because of resolute perception, a process defined by F. J. Hanna and K. Puhakka (1991) as a deliberate sustained focus of attention on an identified problem with the goal of achieving clarity, at a point when the client is ready and willing to confront and perceive. Waters suggest that a way to test whether or not EMDR works because of resolute perception would be to assign a similar group of clients to a totally different task (e.g., drawing straight lines) while giving them the same instructions as are given in EMDR regarding their memories, thoughts, and desirable cognitions. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
This research project evaluated the effectiveness of using Eye Movement Desensitization and Reprocessing (EMDR) techniques on children and adolescents (N = 20) between the ages of 7 to 18, who were experiencing anxiety due to traumatic memories. EMDR therapeutic techniques were administered in one 90-minute therapy session to subjects in an experimental group (N = 10) and after a 30-day waiting period, EMDR was administered to subjects in a delayed treatment group (N = 10) to help substantiate the effectiveness of using EMDR with this population. The results of the study indicated a highly significant reduction in anxiety related to traumatic memories in both an experimental group and a delayed treatment group, as measured by the Subjective Units of Distress Scale (SUDS), the Impact of Events (IES) scale, and in the delayed treatment group using the Children's Manifest Anxiety Scale (CMAS) after treatment. There was a lack of significance in the reduction of anxiety in the experimental group, as measured by the Children's Manifest Anxiety Scale (CMAS). The results showed a significant difference in cognition, changing from negative to positive thinking, as measured by the Validity of Cognition (VoC) scale. The findings demonstrate that EMDR may help to measure, treat, and enhance the lives of children and adolescents experiencing anxiety from traumatic memories. It is recommended that future research focus on using standardized psychological tests to support the efficacy of using EMDR with children and adolescents. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(11-B), May 1996, pp. 6421.
This book reviews research and development; discusses theoretical constructs and possible underlying mechanisms; and presents protocols and procedures for treatment of adults and children with a range of complaints. Among the many clinical populations for whom the material is this volume is applicable are victims of sexual abuse, violence, combat, grief, and phobias.To assist the learning process, detailed descriptions and transcripts guide the clinician through every stage of therapeutic treatment, ranging from the safety issues necessary for appropriate client selection through the administration of EMDR and its integration within a comprehensive treatment plan. Only licensed mental health professionals, or those under direct supervision of licensed clinicians, should use the procedures and protocols in this book. The book has been written with four kinds of readers in mind: academicians, researchers, clinicians, and clinical graduate students. [Adapted from Text]
This book reviews research and development; discusses theoretical constructs and possible underlying mechanisms; and presents protocols and procedures for treatment of adults and children with a range of complaints. Among the many clinical populations for whom the material is this volume is applicable are victims of sexual abuse, violence, combat, grief, and phobias. To assist the learning process, detailed descriptions and transcripts guide the clinician through every stage of therapeutic treatment, ranging from the safety issues necessary for appropriate client selection through the administration of EMDR and its integration within a comprehensive treatment plan. Only licensed mental health professionals, or those under direct supervision of licensed clinicians, should use the procedures and protocols in this book. The book has been written with four kinds of readers in mind: academicians, researchers, clinicians, and clinical graduate students. [Adapted from Text of 1st Edition]
The level of evidence for EMDR is based upon 12 controlled studies that investigated the efficacy of EMDR treatment of participants with PTSD. The 7 civilian studies, with 1 exception, all found EMDR to be efficacious in the treatment of PTSD: EMDR was equivalent to cognitive behavioral therapy, and superior to other control conditions. 4 of the 5 studies with combat veterans addressed only one or two memories in this multiply traumatized population, and their findings were equivocal. The 1 combat veteran study which administered a longer course of treatment provides preliminary evidence that EMDR may be efficacious with that population. EMDR is a rapid treatment and appears to be well tolerated by clients, with effects being maintained at follow-up. [Author Abstract]
The level of evidence for EMDR is based upon twelve controlled studies that investigated the efficacy of EMDR treatment of participants with posttraumatic stress disorder (PTSD). The seven civilian studies, with one exception, all found EMDR to be efficacious in the treatment of PTSD: EMDR was equivalent to cognitive behavioral therapy, and superior to other control conditions. Four of the five studies with combat veterans addressed only one or two memories in this multiply traumatized population, and their findings were equivocal. The one combat veteran study which administered a longer course of treatment provides preliminary evidence that EMDR may be efficacious with that population. EMDR is a rapid treatment and appears to be well tolerated by clients, with effects being maintained at follow-up.
Since Shapiro's introduction of Eye Movement Desensitization and Reprocessing (EMDR) in 1989, it has been a highly controversial therapeutic technique. Critical reviews of Shapiro's initial study have highlighted many methodological shortcomings in her work. And early empirical research that followed Shapiro's original study has been criticized for using small samples, using limited or nonrepresentative samples, or issues of treatment integrity. Research on EMDR has dramatically increased in both quantity and methodological rigor since the mid-1990s. Moreover, since its first appearance in the literature, EMDR has undergone a number of modifications. This article reviews key research conducted on EMDR since 1995 (using university students and war veterans), highlights issues of concern raised by researchers, and discusses the implications of these findings for the clinical counselor.
Eye Movement Desensitization and Reprocessing, EMDR, is a new clinical treatment shown to be effective for victims of trauma. EMDR is a time efficient, comprehensive methodology backed by positive, controlled research, for the treatment of the disturbing experiences that underlie many pathologies. An eight phase treatment approach that includes using eye movements or other left-right stimulation, EMDR helps victims of trauma reprocess disturbing thoughts and memories. This project reviews research and development, discusses theoretical constructs and possible underlying mechanisms, and presents protocols and procedures for the treatment of adults and children with a range of complaints. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(9-B), Mar 1998, pp. 5129.
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed
by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and
related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam
veterans experienced a significant decrease in distressing symptoms--flashbacks,
ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional
outcomes were the subjects cognitive restructuring of what had happened to them.
Subsequent research studies reported therapeutic outcomes with a variety of disorders-
phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder
(Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first
EMDR-trained clinician to apply EMDR in performance enhancement work,
beginning with sales professionals. The authors have now used EMDR with nearly
sixty Individual athletes ranking from amateur to Olympic hopeful, across several
different sports. Their single case findings suggest that EMDR amplifies and
accelerates the benefits of standard mental training. Their data indicates EMDR
speeds psychological recovery from sport injury and coming back from a loss, adds
in working through difficulties with past coaches, reduces fears about competition,
and improves overall athletic performance.
The purpose of this study is to evaluate the short-term effectiveness of eye movement desensitization (EMD) in reducing negative affect associated with traumatic memory in PTSD patients. In addition to evaluating the general efficacy of the EMD technique, we were also interested in controlling for the possible contribution of an exposure effect in accounting for any positive outcome. Shapiro finds that the technique can be effective in only one session. The present study uses two sessions of EMD offered to veterans diagnosed with combat-related PTSD. [Adapted from Text, p. 30]
After reviewing Eye Movement Desensitization and Reprocessing (EMDR) technique, claimed to be the most successful in the treatment of most resistent intrusive symptoms of Posttraumatic Stress Disorder (PTSD), the authors report the case study of a war veteran who received EMDR treatment over two sessions. Asessments were made pre and posttreatment and at a year follow-up by using the Symptom Checklist 90 Revised (SCL-90-R) and Impact of Event Scale (IES), Significant improvements were accomplished in all PTSD clusters.
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and
related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam
veterans experienced a significant decrease in distressing symptoms--flashbacks,
ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional
outcomes were the subjects cognitive restructuring of what had happened to them.
Subsequent research studies reported therapeutic outcomes with a variety ofdisorders-
phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder
(Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first
EMDR-trained clinician to apply EMDR in performance enhancement work,
beginning with sales professionals. The authors have now used EMDR with nearly
sixty Individual athletes ranking from amateur to Olympic hopeful, across several
different sports. Their single case findings suggest that EMDR amplifies and
accelerates the benefits of standard mental training. Their data indicates EMDR
speeds psychological recovery from sport injury and coming back from a loss, adds
in working through difficulties with past coaches, reduces fears about competition,
and improves overall athletic performance.
A case of refractory PTSD was treated with Eye Movement Desensitization/Reprocessing (EMDR). Within one 60-minute session there was a dramatic resolution of two traumatic memories that persisted at nine-month follow-up. Long-standing personality factors did not appear to change during this single-session intervention. This report supports the need for good controlled clinical studies on EMDR. [Author Abstract]
By the time that vietnam veteran Jerry Smith (not his real name) found his way to psychologist John Black at the Veterans Administration North Texas Health Care System in Dallas in the fall of 1995, he was an absolute mess. In and out of the V.A. system since 1976 suffering from depression, anxiety, alcoholism, and post-traumatic stress disorder (PTSD), he had tried various medications and sat through hours of conventional therapy to no avail. He was an unemployable shut-in: Driving anywhere or visiting the mall—being in any crowd, in fact—made him anxious. He was tormented by sleep terrors, meaning he would wake up in the middle of the night in a cold sweat. And he was so morose that in the previous year he had checked into the V.A. center ten times, five for attempting or considering suicide.
The V.A. first tackled 53-year-old Smith’s drinking problem in the center’s substance-abuse ...
Therapists say clients with a single tramuatic event may need only one to three 90-minute sessions.
Those with chronic post-traumatic stress disorder -- women molested for years as children or Vietnam veterans -- can require many more sessions as well as other kinds of assistance to treat what EMDR creator Francine Shapiro calls ``secondary gain.'' These are the benefits that reinforce the trauma, such as the disability checks a Vietnam veteran receives or the attention and nurturing a molestation victim gets.
But a neurological process called Eye Movement Desensitization and Reprocessing as a possible cure for the disorder has piqued interest, and the WHO will send Denver psychiatrist Bert Furmansky across the world to see if the process can help some of the shell-shocked casualties of Afghanistan's civil war.
Discovered and developed by California psychologist Francine Shapiro over the last 10 years, EMDR requires no drugs, may take only three sessions with a trained therapist and isn't
language-based.
This study reports the results of a 5-year follow-up evaluation of 13 Vietnam combat veterans with chronic PTSD who participated in a study of eye movement desensitization and reprocessing (EMDR) therapy previously reported in this journal. Pretreatment and follow-up psychometric outcome measures were compared with those of a demographically matched control group of 14 combat veterans with chronic PTSD who did not receive EMDR. Analysis of variance showed that the modest to moderate therapeutic benefits that were manifest immediately following EMDR were lost at the 5-year follow-up evaluation, and there was an overall worsening of PTSD symptomatology over the 5-year period in both EMDR-treated and nontreated control subjects. [Author Abstract]
No abstract available.
Your recent newspaper column regarding the person experiencing trauma after her Toyota was rear-ended by some guy going 70 mph invited me to add my thoughts: I am a psychologist in Minnesota and have treated a number of car-crash victims just like your reader. They are indeed suffering from a form of post-traumatic stress disorder, and can easily be helped by a therapeutic procedure called EMDR -- eye movement desensitization and reprocessing. Don't ask me to explain how it works, but believe me, it does. I have treated car-crash victims, carjacking victims, rape victims and holdup victims with the same method of EMDR.
Depuis 2001, les guerres en Irak et en Afghanistan exercent une pression considérable sur la médecine militaire pour gérer efficacement la demande croissante de soins en santé mentale du personnel déployé. Cet article examine la capacité du Ministère de la défense des Etats-Unis à fournir des services de santé mentale de qualité en fonction de la disponibilité (a) de la formation clinique, (b) des interventions en santé mentale et (c) de la recherche subventionnée portant sur les traitements de l'état de stress post-traumatique. Alors que des progrès notables ont été réalisés au niveau de l'accès au traitement cognitivo-comportemental et des études dans ce domaine, l'Intégration neuro-émotionnelle par les stimulations bilatérales alternées ou EMDR (Eye Movement Desensitization & Reprocessing) est beaucoup moins disponible - peut-être à cause de la controverse actuelle qui entoure la technique. Nous suggérons qu'une meilleure disponibilité des traitements comportementaux basés sur les données probantes, peut-être par le biais de la poursuite d'un récent programme régional de formation, serait bénéfique pour les vétérans qui y ont aujourd'hui peu accès.
Since 2001, wars in Iraq and Afghanistan is considerable pressure on military medicine to effectively manage the growing demand for mental health of deployed personnel. This article examines the capacity of the Ministry of Defence of the United States to provide mental health services quality depending on availability (a) of clinical training, (b) mental health interventions and (c) sponsored research into the treatment of posttraumatic stress disorder. While significant progress has been achieved in access to cognitive behavioral treatment and studies in this field, neuro-emotional integration by alternating bilateral stimulation or EMDR (Eye Movement Desensitization Reprocessing &) is much less available - perhaps because of the current controversy surrounding the art. We suggest that greater availability of behavioral treatments based on evidence, perhaps through the continuation of a recent regional training program would be beneficial for veterans who now have little access.
It's part of the Minnesota Resilience Project for Veterans, which has trained therapists across the state in EMDR therapy.
One of the play's themes is the use of EMDR in working with Iraq veterans experiencing trauma.
As a psychologist for the last 20 years, the first combat veterans I treated were those of the Vietnam War. When I walked into my local Veterans Outreach Center, I was startled to see how much suffering still existed. Although the war had ended twenty years earlier, these men were still haunted by their experiences. It was then that I learned about the depth of their suffering. The memories they often talked about, ones that still awoke them screaming from nightmares, involved the people who had died. One veteran spoke of the guilt he felt because, after going to war at the age of 19 to serve his country and help his fellow soldiers, he discovered that to do that he had to take lives. He cried as he recounted his fear that the artillery he had called in to save his battalion might have killed children in a nearby village. Others spoke of being powerless as they watched a friend die. They felt anger, fear, powerlessness and above all guilt. [Excerpt]
The EMDR trauma protocol was based, in part, on Shapiro's early work with combat veterans. In a time of ongoing military conflicts, private practitioners may be encountering the challenges of working with returning veterans for the first time. Using a combination of case examples, videotapes, and research, the presenters will discuss common characteristics of combat veterans, countertransference and other therapist issues, and integration and modification of the EMDR protcol.
There is converging evidence of gray matter (GM) structural alterations in different limbic structures in Post-Traumatic Stress Disorder patients. Eye Movement Desensitization Reprocessing (EMDR) is currently used to treat PTSD but its neurobiological implications are still unknown. The aim of this study was to evaluate GM density in PTSD relation to trauma load, and to assess the GM differences between responders (R) and non-responders (NR) to EMDR therapy.
Structured clinical interviews for DSM-IV Axis I Disorders were carried out before and after EMDR treatment. Those who no longer fulfilled the DSM-IV criteria for PTSD were classified as R and those who still met the diagnostic criteria of PTSD after treatment were classified as NR. Two scales 0f self-related Trauma Antecedent Questionnaire (‘trauma and neglect’ TAQ-, and ‘resilience factors’ TAQ+), were administered to assess lifelong trauma load and resilience. Magnetic Resonance Imaging (MRI) scans 10 R and of 5 NR were compared before therapy by means of an optimized Voxel-Based Morphometry (VBM) analysis as implemented in SPM. For group analysis, a threshold of p<0.05 corrected for multiple comparisons at cluster level and an uncorrected threshold of p <0.001 at voxel-level were used.
NR subjects showed no significant differences nor in TAQ- scores neither in TAQ+ as compared to R(t=0.140, p+0.891). The contract R>NR exhibited a significant GM lower density in NR as compared to R in three different cluster: the first bilaterally located over posterior cingulate (Brodmann Areas, Bas 23 and 31); the second centered over the left precentral (BA 4), middle and medial frontal gyri (BA 6); the third including anterior insula (BA 13), and the complex anterior parahippocampal gyrus/amygdala, over the right hemisphere.
To our knowledge, this is the first study investigating GM alterations with a VBM approach in a sample of PTSD patients respond and non responding to EMDR therapy. Posterior cingulate, parahippocampal and insular lower GM concentrations have been found to relate to responsiveness to EMDR therapy suggesting a high vulnerability of these structures to the effects of stress and trauma. These regions are well known to be implicated in processes such as: integration, encoding and retrieval of autobiographical and episodic memories; emotional processing, interoceptive awareness and sefl-referential conscious experience. Thus, our study supports lower GM densities in limbic and paralimbic cortices as a potential structural basis for memory and dissociative dysfunction in PTSD. Using such methodological approach can contribute to better understand the neurostructural basis for traumatic responses and their treatment.
The goals for the audience are: 1. To understand the methodological research principles; 2. To be updated on neurobiological research in EMDR; 3. to be informed on the neural basis of EMDR.
No abstract available.
The Sri Lankan society is hugely affected by combat related stress as a result of the 30 year armed conflict. Combatants as well as a large number of civilians including members of the LTTE have undergone a tremendous amount of war related stress for the last 3 decades. There had been large military operations where the combatants were directly exposed to hostile battle conditions. Following these traumatic combat events a considerable number of soldiers became psychologically wounded. Deplorably Psychological wounds of the Eelam war were not addressed appropriately. As a result of the armed conflict in Sri Lanka a callous wave of PTSD, Depression, Somatization, and Adjustment Disorders etc has been generated. Many cases are not yet diagnosed entirely and following the late reactions of combat trauma the numbers would be high. To heal the war trauma in Sri Lanka an effective psychotherapeutic method was needed. In 2005 the EMDR HAP trained Sri Lankan mental health clinicians to use EMDR to deal with psychological trauma. EMDR was effectively used to treat Sri Lankan combatants. Many of the EMDR sessions were conducted under the supervision of the EMDR HAP facilitators. Following these treatment the Sri Lankan combatants with PTSD and Depression showed positive therapeutic outcome. Their psychological distress reduced significantly. This article reveals the efficacy of EMDR in the treatment of four combatants with PTSD and two with Depressive Disorder. After 5 to 8 sessions of EMDR most of the veterans became free of their disturbing symptoms and today living productive lives.
EMDR, or Eye Movement Desensitization Reprocessing as it is technically known, was developed by Dr. Francine Shapiro in 1989. Its first major application was with Vietnam veterans who were still suffering from Post-Traumatic Stress Disorder.
With EMDR, help is in the eye of the beholder
Christine Baird (not her real name) never had reason to distrust her husband of 22 years. So when he confessed to an affair, Baird plunged into four months of sleeplessness, anxiety and despair. "I couldn't see the future as holding any hope for me," says Baird, 49. What she didn't know was that she was suffering from post-traumatic stress disorder, a condition associated with sexual assault victims and war veterans. Counseling didn't help, and Baird was referred to Glenis Holmes, a therapist trained in Eye Movement Desensitization and Reprocessing (EMDR). It's a technique Baird says helped turn her life around.
The EMDR technique is intriguing. Turino explained that once a counselor and client have
developed a comfortable rapport, the client focuses on a disturbing aspect of the traumatic
incident. The counselor and client talk briefly about the negative beliefs, feelings, and physical
sensations associated with the disturbing experience. During the session, using a board that
shows lights blinking alternately on the left and the right, the patient's eyes follow the flashing
lights back and forth. Turino says that dramatic reduction in traumatic memories can usually be
achieved in three to twelve sessions. For some patients, using alternating sounds or tapping can
produce the same results as back and forth eye movements.
When I first began to develop EMDR therapy back in 1987, I experimented with everyone who was willing to volunteer. I'd ask: Do you have anything bothering you? Not surprisingly, everyone had something. Whether it was a problem at work or a fight at home, by having them concentrate on it and using the procedures, rapid change usually occurred. Fascinating connections were made, and it was like having a window into the brain. For instance, one of the things I found very interesting was that often the problem they were concentrating on would spontaneously connect in their minds to earlier memories that were related in some way. That's how I began to discover that the past was really present. [Excerpt]
This workshop playfully explores the blending of Daniel Siegel's work in memory, EMDR, and Narrative Therapy in service of transforming fragmented stories of pain into adaptive, coherent stories of resilience. Participants will: 1) learn how "restorying" represents adaptive resolution of traumatic stress; and 2) learn about the playful "Externalizing" Interview of Problems from which negative and positive cognitions can be extracted for processing, while simulataneously uncovering unique perspectives of the problem for both client and therapist.
Introduzione:negli ultimi anni il numero di studi condotti nell’ambito dei disturbi causati da eventi traumatici ha subito una forte accelerazione rilevando l’esistenza di alterazioni fisiologiche e morfologiche in specifiche aree cerebrali associate sia alla risposta emotiva al trauma che alla insorgenza dei sintomi della sindrome da stress post-traumatico (PTSD).
L’impiego delle tecniche di neuroimmagine ha consentito di fare luce sui correlati neurali della psicoterapia, rivelando i suoi effetti neurobiologici sulla funzione cerebrale. Nell’ambito dei diversi approcci psicoterapeutici, l’EMDR (Eye Movement Desensitization and Reprocessing therapy) è emerso come promettente risorsa per il trattamento del trauma e di altri disturbi d’ansia, sebbene ancora non sia stata completamente chiarita la sua modalità di azione sui circuiti neurali. Molte ricerche sono state effettuate per valutare l’efficacia dell’EMDR, ma solo un numero esiguo di esse ha indagato il substrato neurobiologico di questa psicoterapia.
Le metodiche di neuroimmagini utilizzate finora per studi sull’EMDR sono la Single Photon Emission Computed Tomography (SPECT) e la Magnetic Resonance Imaging (MRI). La prima raccoglie dati sull’attivita’ cellulare cerebrale mentre la seconda riporta dati anatomici strutturali.
Gli studi funzionali condotti con SPECT consentono di identificare le variazioni del metabolismo e del flusso ematico cerebrale, suggerendo un ruolo specifico per ciascuna area cerebrale coinvolta nel complesso meccanismo che sottende il processamento delle emozioni; la MRI consente invece di rilevare la presenza di variazioni morfologiche e volumetriche di specifiche strutture cerebrali. Negli ultimi anni, studi SPECT e MRI, volti ad esaminare gli effetti dell’EMDR sulla fisiopatologia cerebrale in pazienti affetti da disturbi d’ansia, hanno riscontrato sostanziali variazioni del flusso ematico ed alterazioni strutturali di alcune regioni cerebrali in seguito a terapia.
L’efficacia dell’EMDR nel trattamento del PTSD è stata confermata da uno studio SPECT su sei soggetti ( Lansing et al.) (1) che ha evidenziato dopo terapia una diminuzione del flusso ematico nel lobo occipitale bilateralmente e nel lobo parietale sinistro e un aumento di flusso nel giro frontale inferiore sinistro. Sempre utilizzando la SPECT Oh e Choi (2) hanno riportato una significativa modificazione del flusso cerebrale in seguito ad EMDR, prevalentemente riscontrabile nell’area limbica e nella corteccia prefrontale. Un recente studio con utilizzo di MRI (3) ha inoltre messo in evidenza un aumento di volume dell’ippocampo in seguito a trattamento con EMDR, aumento invece non riportato in un lavoro di Lindauer et al. su 9 soggetti con PTSD, nonostante il successo clinico della psicoterapia eclettica eseguita (4).
Obiettivi: il nostro gruppo ha studiato gli effetti a breve e lungo termine dell’EMDR (5, 6) dimostrando la sua efficacia nel trattamento di soggetti traumatizzati sul lavoro, e una stabilità del miglioramento clinico ottenuto in risposta alla terapia, ancora presente a distanza di tre anni. Nell’ambito dello stesso progetto sono state anche studiate le variazioni del flusso ematico cerebrale e della volumetria di alcune strutture cerebrali in relazione alla terapia con EMDR. Un primo studio SPECT ha analizzato la variazione della distribuzione di flusso in 11 soggetti guariti clinicamente da PTSD in seguito a EMDR messi a confronto con 5 soggetti nei quali la terapia non ha avuto effetto (7). Risultati: è stato evidenziato nei soggetti con remissione sintomatologica significative differenze di flusso in 4 aree corticali, alla disfunzione delle quali sono ascrivibili alcuni sintomi presenti in corso di PTSD. Diminuzioni di flusso post-terapia sono state registrate nell’ippocampo, nella corteccia parieto-occipitale e nella corteccia visiva primaria. L’ippocampo e’ sede della memoria a breve termine; la corteccia parieto-occipitale processa il riconoscimento di volti, dei corpi e delle parole; la corteccia visiva primaria custodisce la memoria visiva degli eventi. La mancata inibizione e/o l’iperattivita’ di queste regioni nel PTSD sono responsabili della rivisitazione patologica dell’evento traumatico e della presenza di flashback ed immagini allucinatorie. Inoltre la corteccia frontale dorsolaterale ha dimostrato un aumento di flusso nei soggetti che hanno risposto positivamente alla terapia. Questa regione chiave oltre ad essere deputata ad inibire la risposta patologica a stimoli che ricordano l’evento traumatico e’ essenziale per i processi di attenzione e di autostima, diminuiti in corso di PTSD e recuperati in seguito alla remissione della malattia. In ulteriori studi che combinano indagini funzionali e strutturali utilizzando SPECT e MRI abbiamo messo in evidenza il valore predittivo delle dimensioni dell’ippocampo riguardo all’efficacia della terapia con EMDR (Pagani et al. sottomesso).
Conclusioni: gli effetti della terapia con EMDR sono risultati, unitamente ad un consistente miglioramento della sintomatologia e ad una riduzione della iperreattività a stimoli di carattere emotivo, in una normalizzazione funzionale di alcune aree specifiche e in un aumento del volume ippocampale probabilmente ascrivibile a neo-neurogenesi. Questi risultati sono in linea con la pregressa letteratura e con le attuali conoscenze sul PTSD e suggeriscono basi neurobiologiche dell’effetto terapeutico dell’EMDR confermandone l’impatto funzionale su strutture cerebrali coinvolte in patologie ansiogene.
Bibliografia:
1. Lansing et al. (2005). J Neuropsych Clin Neurosci;17(4):526-532.
2. Ho DH and Choi J. (2007). J EMDR Pract Res;1(1):24-30.
3. Bossini et al. (2007). J Neuropsych Clin Neurosci; 19(4):475-476.
4. Lindauer et al. (2005). Psychol Med ; 35 :1-11.
5. Hogberg et al. (2007). Nord J Psych; 61(1):54-61.
6. Hogberg et al. (2008). Psych Res; doi:10.1016/j.psychres.2007.10.019.
7. Pagani et al. (2007). Nuc Med Comm; 28(10):757-65. [Pagani abstract]
Introduction In recent years the number of studies in disorders caused by traumatic events has been greatly accelerated by detecting the existence of morphological and physiological changes in specific brain areas associated with both the emotional response to trauma to the onset of symptoms Post-traumatic stress syndrome (PTSD).
The use of neuroimaging techniques has allowed to shed light on the neural correlates of psychotherapy, revealing the neurobiological effects on brain function. Under the different psychotherapeutic approaches, EMDR (eye movement desensitization and reprocessing therapy) has emerged as a promising resource for the treatment of trauma and other anxiety disorders, although still not been fully elucidated its mode of action on neural circuits. Many studies have been carried out to assess the effectiveness EMDR, but only a small number of them have investigated the neurobiological substrate of this psychotherapy.
The methods used so far for neuroimaging studies on EMDR are Single Photon Emission Computed Tomography (SPECT) and Magnetic Resonance Imaging (MRI). The first collects data on 'brain cells while the second contains structural anatomical data.
The functional studies performed with SPECT to identify changes in metabolism and cerebral blood flow, suggesting a specific role for each brain area involved in the complex mechanism underlying the processing of emotions, instead of MRI allows detection of morphological changes and volume of specific brain structures. In recent years, MRI and SPECT studies, aimed to examine the effects of EMDR on brain pathophysiology in patients with anxiety disorders, have found substantial variations in blood flow and structural alterations of some brain regions after treatment.
The effectiveness of EMDR in the treatment of PTSD was confirmed by a SPECT study in six subjects (Lansing et al.) (1) showed that after treatment reduced blood flow in the occipital lobe bilaterally and in left parietal lobe and a increase of flow in left inferior frontal gyrus. Always using SPECT Oh and Choi (2) reported a significant change of cerebral blood flow after EMDR, mainly found in limbic and prefrontal cortex. A recent study using MRI (3) has also highlighted an increase in volume of the hippocampus after treatment with EMDR, but no increase in reported work of Lindauer et al. on 9 subjects with PTSD, despite the clinical success of eclectic psychotherapy performed (4).
Objectives: Our group has studied the effects of short and long term EMDR (5, 6) demonstrating its effectiveness in treating traumatized individuals at work, and stability of clinical improvement obtained in response to therapy, yet this distance three years. Within the same project were also studied changes in cerebral blood flow and volume of certain brain structures in relation to treatment with EMDR. A first SPECT study analyzed the change in flow distribution in 11 subjects clinically recovered from PTSD after EMDR compared with 5 subjects in whom treatment had no effect (7). Results: It was shown in patients with symptomatic remission, significant differences in flow in 4 cortical areas, which are attributable to dysfunction of some symptoms of PTSD being present. Flow decreases post-treatment were recorded in the hippocampus, cortex parietal-occipital and primary visual cortex. The hippocampus and 'seat of short-term memory, the parietal-occipital cortex processes the recognition of faces, bodies and words, the primary visual cortex preserves the visual memory of events. The lack of inhibition and / or 'hyperactivity' of PTSD in these regions are responsible for the pathological review of the traumatic event and the presence of flashbacks and hallucinatory images. Moreover, the dorsolateral frontal cortex showed an increase in flow in subjects who responded positively to therapy. This key region in addition to being appointed to inhibit the pathological response to stimuli that recall the traumatic event and 'essential for the processes of attention and self-esteem, decreased in the course of PTSD and recovered following the remission of the disease. In further studies that combine functional and structural investigations using SPECT and MRI have shown the predictive value of the size of the hippocampus on the effectiveness of EMDR therapy (Pagani et al. Submitted).
Conclusion: the effects of EMDR therapy were coupled with a significant improvement in symptoms and a reduction of hyperreactivity to stimuli, emotional, functional in a normalization of some specific areas and an increase in hippocampal volume probably due to neo- neurogenesis. These results are consistent with previous literature and with current knowledge about PTSD and suggest a neurobiological basis of therapeutic EMDR confirming the functional impact on brain structures involved in anxiety-disorders.
Bibliography:
1. Lansing et al. (2005). J Neuropsych Clin Neurosci, 17 (4) :526-532.
2. I DH and J. Choi (2007). J EMDR pract Res, 1 (1) :24-30.
3. Bossini et al. (2007). J Neuropsych Clin Neurosci, 19 (4) :475-476.
4. Lindauer et al. (2005). Psychol Med, 35 :1-11.
5. Högberg et al. (2007). Nord J Psych, 61 (1) :54-61.
6. Högberg et al. (2008). Psych Res, doi: 10.1016/j.psychres.2007.10.019.
7. Pagani et al. (2007). NUC Med Comm, 28 (10) :757-65. [Pagani abstract]
Survivors of early emotional neglect experience pervasive difficulties including vulnerability to adult psychiatric disorders and inability to regulate emotional states (Schore, 1996, 1997, 2000, 2001a, 2001b; Teicher, 2000, 2002; Teicher et al, 1993; Teicher et al., 1997). Their inability to regulate emotional states is not solely linked to effects of adverse events, but is significantly linked to insufficient exposure to normal, developmental attachment sequences that foster capacities for self-regulation.
A subset of adult survivors of early, pervasive, emotional neglect who meet full or partial criteria for posttraumatic stress disorder also present with comorbid Cluster C Axis II symptoms (Avoidant, Dependent, Obsessive-Compulsive) and meet criteria for dismissing (or fearful) insecure attachment (Cassidy & Shaver, 1999; Main, 1996).
Clinical assessment reveals these patients have low tolerance for positive interpersonal emotions and engage in defensive strategies to dismiss, minimize, deny or subtly avoid experiencing and assimilating this positive emotional states into their internal model of self. These strategies include overt and covert behavioral avoidance as well as dissociate defenses. Paradoxically, these patients may show superficial characteristics or competence, interpersonal skills, or emotional stability which on closer examination prove to be fragile or which collapse in the face of social stressors.
The general theoretical base for the Positive Affect Tolerance and Integration (PAT) protocol is related to McCullough’s (1996, 2003) model of affect phobia and recognizes McCullough’s emphasis on an anxiety regulating, titrated approach to developing tolerance for adaptive affect and associated coping behaviors. Putnam’s (1997) discrete behavioral states model provides an important conceptual framework for understanding these patients’ needs to gradually develop new discrete behavioral (psychophysiological and affective) states and new pathways (schemes and scripts) fostering access to these shared positive states often as a crucial early phase of treatment to help resolve their impairments in emotional self-regulation.
This presentation describes the use of standard EMDR procedural steps in a treatment plan that postpones the standard three pronged (past, present, future) PTSD protocol, but which is consistent with the consensus model for Complex PTSD (Brown, Scheflin & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhuis, Steele, 2006) and other EMDR approaches focused initially on improving response to current stimuli (Hoffman, 2004; Leeds & Korn, 1998; Leeds & Shapiro, 2000) before attempting to target childhood traumatic memories. Targets for PAT are recent experiences in which the patient was exposed to positive, shared, interpersonal emotional states. The purposes for applying PAT to these targets are: to decrease defensive avoidance; dissociation and anxiety about shared positive emotional states; to increase capacity to tolerate and enjoy these shared positive emotional states; and to integrate these shared positive emotional states into positive schemas and self-concepts. Observed clinical gains following PAT included: improved mood and resilience, and decreased depersonalization during subsequent use of EMDR to reprocess traumatic memories.
The goal in presenting this “Positive Affect Tolerance and Integration Protocol” case series is to encourage research to evaluate the clinical effectiveness of this application of the standard EMDR procedures for a clinical subpopulation generally considered challenging to treat.
"Relates the story of how Dr. Botkin, while using a variation of EMDR therapy, discovered a new therapy for helping patients permanently overcome grief and trauma. Dr. Botkin used this therapy primarily with Vietnam War veterans in his work at a VA hospital"--Provided by publisher.
5 Eyewitness News has been granted a rare glimpse at an innovative therapy that's helping Minnesotans recover from trauma in ways other therapies have not enabled them to do.
EMDR, or eye movement desensitization and reprocessing, uses light-emitting devices patients follow with their eyes to reprocess traumatic memories.
People undergoing therapy are prompted to relive traumatic experiences in an effort to ultimately remember them differently.
The goal is to neutralize or even replace negative thoughts or emotions with more positive thoughts.
5 Eyewitness News went inside a therapy session to show how the therapy is helping a veteran recover from traumatic Iraq war experiences.
Also highlighted is the recovery effort of a survivor of the mass workplace shooting incident at Accent Signage in Minneapolis last year.
The therapy has been so successful it is being offered for free for up to 100 veterans in Minnesota.
[Excerpt]
"Treating War's Toll on the Mind" [October 9] was helpful in illuminating the enormous toll that post-traumatic stress disorder is taking on the lives of the men and women involved in war. Untreated PTSD damages the lives of the soldiers. Unfortunately, your article mentioned but failed to accurately represent an effective treatment for PTSD called eye movement desensitization and reprocessing. EMDR is actually a treatment of choice for combat-related PTSD and has been listed in the Department of Veterans Affairs and the Department of Defense's Practice Guidelines as "highly recommended" for the treatment of trauma.
The prevalence of co-occurring Posttraumatic Stress Disorder (PTSD) and Substance Use Disorder (SUD) in the criminal justice system is a serious issue for both men and women. The inattention to trauma before, during, and after involvement in the criminal justice system is problematic. Some research suggests that trauma-related disorders among those with SUD negatively affect post-incarceration outcomes (Kubiak, 2004). Therefore, from a practice and policy perspective, interventions addressing these co-occurring disorders should be made available to men and women within the criminal justice system.
Current research recommends a phased and integrated treatment approach for co-occurring PTSD and SUD. SAMHSA (2005) reports that the integration of substance abuse treatment and mental health services for persons with co-occurring disorders (COD) has become a major treatment initiative. The specific Integrated Trauma Treatment Program (ITTP) described in this report is one possible treatment approach for this challenging population. This report will outline the rationale for the ITTP implemented in the Thurston County Drug Court Program (TCDCP) in Olympia, WA. In addition, it is hoped that results from this project will be considered when making policy recommendations for Drug Courts and other programs in the criminal justice system, as well as other public and private substance abuse treatment settings.
40% of Therapists trained in EMDR report difficulties
integrating EMDR into their clinical practice. This paper will report
on a qualitative study of Therapists who were interviewed
as part of my Doctoral research project at the University of
Middlesex, London. The paper will explore and report on the
types of difficulties which therapists are reporting and the reasons
why. It will explore ways forward to resolve these issues
including the implications for training, and the need for ongoing
clinical supervision post training.
Participants will learn of the difficulties in integration of EMDR
in clinical practice and the reasons why.
Participants will come away with a better understanding of the
professional and organizational difficulties involved in integration
Participants will also learn how to resolve these issues.
This study is unique because it is the first study undertaken with
Therapists trained in EMDR outside the USA and because the
qualitative nature of the study is counterbalanced with the findings
of quantitative data which make the findings more generalizable
and cross cultural in nature.
The purpose of this project was to provide a guide for practioners to treat refugees who are suffering from posttraumatic stress disorder with eye movement desensitization reprocessing in a group environment. The literature has shown that using EMDR in a group setting can be effective in treating a larger number of individuals than individual psychotherapy. In addition, the structure of the group presented is a brief group intervention model aimed at treating groups of six to eight individuals in four to eight weekly sessions.
This paper explores the application of interoceptive exposure (IE) therapy to treat the arousal and avoidant symptoms in veterans with posttraumatic stress disorder (PTSD). The historical background of PTSD and the functional impact of the disorder in veterans from Vietnam and Operation Enduring Freedom/Operation Iraqi Freedom are discussed in the first chapter. Literature on romantic and family relationship impairment, employment challenges, decreased physical health and overall quality of life, and increased mental health issues in veterans of combat are presented. Following the introductory chapter is a brief description of the history of treatment for combat trauma and a detailed review of the most common treatments for PTSD in their application to the veteran population. Research on psychophysiological approaches to treatment, pharmacotherapy, and EMDR is discussed. The extensive literature on cognitive behavioral treatment approaches for combat trauma is reviewed. As noted, exposure therapy appears to be the treatment approach with the most scientific support. A relatively new form of exposure therapy known as IE, as well as the small but promising body of research on the potential to augment conventional long-term exposure therapy with IE, are also addressed here. A new treatment protocol proposed here is built upon the foundation of empirical support for cognitive behavioral therapy for PTSD. It is intended to incorporate trauma-informed best practices and exposure therapy tenets through the implementation of group based IE for individuals with combat-related PTSD. Outlines of the following two sections will provide detailed descriptions of the group design and the specific treatment modules, the first of which addresses therapeutic rationale and group composition, and the second lists the specific twelve treatment modules.
A structured six-session group therapy has been developed and approved for overcoming craving. The six session protocol
can easily be integrated to well-applied EMDR protocols (DeTur from Popky, CravEx from Haase) supported by systematic
implementation of cue exposure techniques and guided imagery. The EMDR protocol supported by cue exposure catalyses
the recovery process as follows:
At the beginning the patients are taught a set of three ideodynamic resources for coping with the urge to drink; “Rewards
of sobriety”, “Support of relatives and friends” and “Irrepressible commitment to sobriety”. The patients learn rapid activation
of these resources by the use of the “Seven Cue Word Induction–technique” and kinaesthetic bilateral stimulation (SingleblAiR).
Then they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught to initialize
resourcefulness - with continued exposure to alcohol. Subsequently, the power of one ideodynamic strategy diminishes
the intensity of craving significantly. Craving symptoms finally disappear and are replaced by self-reinforcing thoughts and
feelings due to state dependent learning. In addition to this new experience the patients acquire a high level of self-efficacy
as well as greater and deeper knowledge about their personal drinking triggers. They also find out which strategy is the
most effective one for each specific trigger. After regaining self-control over triggers, the patients are more receptive to
working with their core addiction issues, which have now become easier to treat by especially using Desensitization and
Reprocessing of the Standard- EMDR protocol. Workshop participants will become acquainted with the six-session protocol
by the use of DVD-demonstrations and by practising. In addition they will receive a manual with standardised instructions.
Finally they will also be given the opportunity to participate in a cross-cultural research project proving the effectiveness of
the six-step program which starts in 2011. This approach is designed to improve the treatment of various types of addiction
and can easily be integrated into existing EMDR treatment strategies.
Summary.
The National Commission on Human Rights requested the support of the Mexican Association for Crisis Assistance Mental, with the request to address the forensic staff of the Attorney General of the State of Durango in Mexico. A single session of EMDR Protocol for Recent Critical Incident was given to 32 people who were working with 258 bodies recovered from mass graves. Both statistical results before and after treatment, the monitoring was done at 3 and 5 months, showed the improvement of people served and significant reduction in symptoms of posttraumatic stress and posttraumatic stress disorder (PTSD), despite they continued doing the work of recovery of bodies extracted from the mass graves and were continuously exposed to terrible emotional stressors. The statistical results obtained suggest that the intervention helped prevent the development of PTSD in its chronic phase and increase psychological and emotional resilience.
Note: This document is a review of two articles published by Ignacio Uribe Jarero and Susanna in the Journal of EMDR Practice and Research in 2011 to 2012 graduates The EMDR Protocol for Critical Incidents Recent: Application in Human Massacre Situation and Follow-Up Report of an Application in a Human Situation Massacre.
The impact of psychological trauma on the mental health of children is now well documented. There is a growing body of clinical evidence indicating tat EMDR is an effective treatment for a variety of childhood complaints. The authors’ experience of using EMDR with children in the aftermath of a major disaster confirmed its effectiveness and highlighted its applicability to everyday “small trauma.” Drawing on past experience, they have set up a community-based project to provide a range of services for children who have experienced trauma and to investigate the use of EMDR for the enhancement of self-esteem.
This interview with Dr. Francine Shapiro, originator and developer of Eye Movement Desensitization and
Reprocessing (EMDR), provides an overview of the history and evolution of EMDR from its inception
to current findings and utilization, as well as future directions in research and clinical development.
Dr. Shapiro discusses the psychological traditions that informed the development of EMDR and the Adaptive
Information model, as well as the implications for current treatment. The rationale for the application
of EMDR to a wide range of disorders is discussed, as well as its integration with other therapeutic approaches.
Topics include research on the role of eye movements, the use of EMDR with combat veterans,
somatoform disorders, attachment issues, and the distinct features of EMDR that have allowed it to be
used for crisis intervention worldwide.
Dr. Francine Shapiro is the originator and developer of EMDR. She is a senior research fellow at the Mental Research Institute
(MRI) in Palo Alto, California, executive director of the EMDR Institute in Watsonville, California, and the founder and
president emeritus of the EMDR Humanitarian Assistance Program, a nonprofit organization that coordinates disaster
response and supports low fee training worldwide. She has written the primary text on EMDR: Eye Movement Desensitization
and Reprocessing: Basic Principles and Procedures (Guilford Press) and co-authored or edited four others: EMDR: The
Breakthrough Therapy for Overcoming Anxiety, Stress and Trauma (Basic Books), EMDR as an Integrative Psychotherapy Approach:
Experts of Diverse Orientations Explore the Paradigm Prism (American Psychological Association Books), Handbook of EMDR
and Family Therapy Processes (Wiley), and Short-Term Therapy for Long-Term Change. She has written and co-authored more
than 60 articles and chapters and is an invited speaker at psychology conferences all over the world. Dr. Shapiro is a recipient
of the American Psychological Association Division 56 Award for Outstanding Contributions to Practice in Trauma
Psychology, the Distinguished Scientific Achievement in Psychology Award presented by the California Psychological Association
and the International Sigmund Freud Award for Psychotherapy presented by the City of Vienna in conjunction
with the World Council of Psychotherapy. She was appointed one of the “Cadre of Experts” by the American Psychological
Association and Canadian Psychological Association Joint Initiative on Ethno-political Warfare. She has served as an
advisor to many trauma treatment and outreach organizations and journals. She has three awards bestowed in her honor.
Those given by the EMDR International Association and the EMDR-Ibero-American Association celebrate members of
the EMDR community who follow in her footsteps of creative thinking, service, and dedication to the standard of EMDR.
The EMDR Europe Association presents the Francine Shapiro EMDR-Europe Research Award in order to encourage
research in the field. In 2008, a comprehensive electronic resource for scholarly articles and other important references
related to EMDR and adaptive information processing was introduced and was named The Francine Shapiro Library in
honor of Dr. Shapiro (http://emdr.nku.edu/emdr_data.php).
The aim of his study was to examine the effectiveness of treatment of Eye Movement
Desensitization and Reprocessing (EMDR) on war veterans with Post Traumatic Stress
Disorder. In this Rresearch 14 war veterans with PTSD were selected availability
sampling and divided into 2 groups of: Treatment of EMDR (N=7) and control group
(N=7). Three treatment sessions were individually hold by use of EMDR method, while
control group was waiting. All of the subject was evaluated PTSD Symptom
Scale_Interview (PSS_I) sefore and after the treatment. Analysis of data showed that
comparison with control group the said treatment EMDR Caused a Decrease In PTSD
syndrome. It can be generally noted that experimental groups has been found to be
effective on PTSD among Iranian war veterans.
Eye movement desensitization and reprocessing (EMD/R) was investigated with 25 Vietnam combat veterans with PTSD, randomly assigned to EMD/R or a control condition. First, PTSD was assessed and subjects were assisted in developing a PTSD-related treatment goal. Subjective anxiety and a belief in a positive cognition related to war trauma were also assessed. Second, EMD/R subjects were then seen for one history-taking session and two treatment sessions. Approximately 17 days after the initial assessment, repeat assessments of PTSD symptomatology, goal attainment, subjective anxiety, and belief in desired positive cognitions were conducted. Overall, EMD/R showed little effectiveness in this study. Although effective in reducing in-session subjective anxiety, EMD/R was not effective in improving other PTSD symptoms, in contributing to goal attainment, or in increasing subjects' beliefs in their desired positive cognition. The results imply that EMD/R may not be successful in treating Vietnam combat veterans with PTSD. [Author Abstract]
The aim of my study is to explore how EMDR trained Therapists explain to themselves and their clients, how
EMDR works in clinical practice, in their views. A second aim of my study is to examine how EMDR trained
Therapists’ explanations relate to their original clinical training. The Research Question is: Do CBT trained
Therapists differ in the explanations they give about the therapeutic mechanisms of EMDR from, say, analytically
oriented Therapists? Do Humanistic Therapists explain how EMDR works from existentially oriented Therapists?
A third aim of my study is to examine how Therapists from different backgrounds incorporate EMDR into their
clinical practice. The Research Question here is: Do Therapists from some backgrounds such as CBT find it easier
to incorporate EMDR into their everyday clinical work than other types of Therapists? Research Methodology: I
24
shall use a combination of quantitative and qualitative methods in this research project. The quantitative method
will be a short 2 page anonymous questionnaire which will be given out at the Conference for delegates to
complete and return to the stand. I would hope to have at least 50 such Questionnaires completed by consenting
delegates to the Conference. The qualitative methods will be a number of focus groups (maximum number of 12
people in each group) which I hope to run at the end of each day of the Conference. I plan to have 3-4 such focus
groups from which the data will be gathered. The other qualitative method will be 1:1 semi-structured interviews
either face to face at the Conference or by telephone (post conference) with consenting delegates attending the
Conference. Altogether, I would hope to have a total of about 50 participants in the qualitative data gathering
methods.
More than 1.6 million American service members have deployed to Iraq and Afghanistan in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). As of December 2008, more than 4,000 troops have been killed and over 30,000 have returned from a combat zone with visible wounds and a range of permanent disabilities. In addition, an estimated 25-40 percent have less visible wounds--psychological and neurological injuries associated with post traumatic stress disorder (PTSD) or traumatic brain injury (TBI), which have been dubbed "signature injuries" of the Iraq War. National Council on Disability (NCD) concurs with the recommendations of previous Commissions, Task Forces and national organizations that: (1) A comprehensive continuum of care for mental disorders, including PTSD, and for TBI should be readily accessible by all service members and veterans. This requires adequate staffing and adequate funding of Veterans Administration (VA) and Department of Defense (DoD) health systems; (2) Mechanisms for screening service members for PTSD and TBI should be continuously improved to include baseline testing for all Service Members pre-deployment and follow up testing for individuals that are placed in situations where head trauma may occur; and (3) The current array of mental health and substance abuse services covered by TRICARE should be expanded and brought in line with other similar health plans. As this report indicates, the medical and scientific knowledge needed to comprehensively address PTSD and TBI is incomplete. However, many evidence-based practices do exist. Unfortunately, service members and veterans face a number of barriers in accessing these practices including stigma; inadequate information; insufficient services to support families; limited access to available services, and a shortage of services in some areas. Many studies and commissions have presented detailed recommendations to address these needs. There is an urgent need to implement these recommendations. (Contains 4 exhibits.)
United Kingdom military personnel have been involved in the recent Iraq war. While fatalities and casualties were relatively light compared to other conflicts historically, individual incidents can, nevertheless, have a lasting impact on individuals who witness them or are involved. Subsequent wars, though not participated in, can lead to a recurrence of damage. In this case study, the authors illustrate the use of scripted exposure and EMDR in the treatment of John, an English veteran of the Korean War who presented with PTSD. Scripted exposure involves the patient keeping a written record of their most intrusive and distressing thoughts and feelings. [Author Abstract]
Los trastornos de la conducta alimenticia (TCA), entre los cuales está la anorexia y la
bulimia nerviosas, constituyen un problema de salud emergente que tiene un fuerte
impacto en nuestra sociedad. La problemática de estos trastornos es tan variada y
multifactorial que exige una atención y actuación que incluya los aspectos clínicos,
familiares, pero también culturales, sociales y especialmente, educativos. Nos encontramos ante un síndrome diagnóstico de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar desde la superficie al fondo de su etiología. Todo lo que nos han dicho que somos y como nos han dicho que somos se vincula a nuestra imagen, detrás de esto hay todo un significado que en las personas con TCA cobra una relevancia mayor porque se acaba convirtiendo en el centro de sus vidas alrededor de lo que giran, de lo que proyectan sus dolor, su falta de conexión con el mundo y en lo que se acaba convirtiendo en su mundo distorsionado. Los elementos de trabajo que aparecen en el tratamiento de personas con TCA son el deseo de delgadez, el control y la vergüenza, TCC, reacciones defensivas condicionadas, imagen corporal, dificultades de apego, maltrato
físico, sexual, negligencia, disociación, descontrol de los impulsos, TCA como anestesia emocional, automutilaciones, necesidad de límites, etiquetas, personaje, figura masculina de apego, familias disfuncionales, etc. (Quílez, 2009).
Los profesionales que trabajan con TCA disponen en el EMDR de un modelo
psicológico capaz de dar una respuesta eficaz a estos pacientes. El objetivo de esta
comunicación es el explicar como se puede trabajar con EMDR para poder tomar
conciencia de unos de las partes mas nucleares en el trabajo de los TCA como es la toma de conciencia del cuerpo real y llegar a la aceptación del mismo.
The feeding behavior disorders (ED), one of which is anorexia and
bulimia nervosa, are an emerging health problem that has a strong
impact on our society. The problem of these disorders is as varied and
multifactorial requiring attention and action, including the clinical,
family, but also cultural, social and especially educational. We are facing a syndrome diagnosis of complex origin and multidimensional impairment, its treatment should be able to reach from the surface to the bottom of its etiology. All you have told us that we are and how we have been told that we are linking our image, behind this there is a whole meaning that people with TCA charges a higher relevance because it ends up turning into the center of their lives around so they spin, what project their pain, their lack of connection to the world and when it eventually becomes distorted your world. Work items that appear in the treatment of patients with eating disorders are the desire for thinness, control and shame, TCC, conditioned defensive reactions, body image, attachment difficulties, abuse
physical, sexual, neglect, dissociation, poor impulse control, emotional eating disorders as anesthesia, self-mutilation, need for limits, labels, character, male figure of attachment, dysfunctional families, etc.. (Quílez, 2009).
Professionals working with eating disorders have the EMDR model psychologically able to respond effectively to these patients. The objective of this
communication is to explain how EMDR can work with in order to make awareness of some of the most nuclear parts of the TCA work as awareness of the real body and reach acceptance.
This doctoral project and brochure is meant to provide an understanding of the effects of trauma on law enforcement officers in order to provide insight and treatment strategies for this population. Effects of culture and diversity within the law enforcement community are discussed. The following chapters review various aspects impacting the research such as a brief history of trauma, Posttraumatic stress disorder within the law enforcement community, officer resiliency, coping, cognitive behavioral treatment strategies, EMDR, positive psychology, community psychology, critical incident stress debriefing as well as biological-based treatments. Treatment modalities and research for mental health professionals working with law enforcement are discussed. Evidenced-Based treatment methods are reviewed as well. The implications of this project are reviewed, as well as the limitation and further suggestions for future research.
Notes that the effects of war and terrorism can be long-lasting and discreet, emerging years later in different forms of psychological and physical strain in the body. In this work, the authors uncover how developments in Eye Movement Desensitization and Reprocessing (EMDR) can be successfully applied to the treatment of war and terrorism trauma. They address issues confronted by all clinicians attempting to respond to this particular type of trauma--the psychological aftermath of man's inhumanity to man. The authors focus on the application of EMDR to clients' traumatic experiences, covering a wide range of traumatic settings and survivors from school violence to "near-war" experiences, refugees, combat soldiers, children, and emergency service workers. They provide a review of the research on the use of EMDR, specific case studies to demonstrate their results as well as general suggestions for integrating EMDR into the therapeutic process. It is stated that this book can be used as a general reference for all practitioners looking to broaden their understanding and care of trauma patients. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Errebo presents a case study of an Iraq War veteran with PTSD whose marriage was saved due to Eye Movement Desensitization and Reprocessing (EMDR) therapy. The case is especially relevant, given the numbers of soldiers returning from Iraq and Afghanistan, and the numbers who are reported to have ongoing post-traumatic symptoms up to and including post-traumatic stress disorder (PTSD). Case Commentary by Christine Courtois; Response by Author.
Thank you for
publishing Anna Costin’s
interesting article ‘Psychology
in Gaza and the West Bank’
(May 2006). I recently went to
the West Bank as part of an
ongoing EMDR Humanitarian
Assistance Programs (HAP)
project, at the invitation of East
Jerusalem YMCA. As Anna
Costin notes, there is a
tremendous need for further
training, especially at a
postgraduate level, and for the
development of academic and
clinical links. Colleagues from
Palestine, the HAP project and
the UK have good clinical
links, and we are currently
developing academic links,
including the exploration of
PhD research.
The purpose of this project was to propose a long-term, theoretically sound and research
supported person-centered grief counseling group for adult women who were sexually abused as
children. A review of the literature indicated that child abuse survivors can benefit from
supportive group counseling; sharing a context of common experience seems to aid in their
healing process. The proposed program recognizes the need to provide women who were abused
with a trusting, social environment that helps to remove the secrecy and isolation, decrease the
feelings of shame and self-blame, and increase self-esteem and self-worth. The integration of a
nondirective approach with grief counseling creates a more comprehensive approach in which to
support the development of social skills and healthy and trusting relationships. The group is
structured for survivors to share their experiences, heal from their traumas, and find the tools to
move forward into happier, healthier, and better functioning lives.
Manual for the Teaching of Shapiro’s EMDR in the Treatment of Combat Related PTSD. An original Professional Psychology manuscript outlining the basic tenets of EMDR and their application to the treatment of post-traumatic stress in combat veterans. [EMDR-HAP]
We've all heard the phrase "life is suffering." Unfortunately, some people misinterpret this to mean there is nothing they can do about their unhappiness. Everyday fears can range from minor anxieties to an intense fear of things that can often be avoided, like snakes or spiders. But generally people enter therapy when life has become unmanageable -- when they can't ignore the level of emotional pain they are experiencing. That often happens when they can't avoid the situation that disturbs them. For some, turning to therapy makes them feel like they have "failed" on their own and that their fears are a sign of "weakness." It helps to know that fear is not a "mental" problem. It's a physiological response arising from physiologically stored memories in your brain. However, just because a fear is "irrational," doesn't mean there is no reason for it. It just means it is unnecessary and that there are things you can do to change it. [Excerpt]
Incorporating an evidence-based model of psychotherapy such as Eye Movement Desensitization and Reprocessing (EMDR) helps resolves the reactivity. It assists both parties in reclaiming their lives. Recently, after completing treatment, a veteran said to me "I am home now!" In a follow-up session his spouse noted the amount of fun they regained in their marriage now that memories from the past had been resolved. Dr. Shapiro's book can give you a good overview of how EMDR can help. Individual veterans and a military couple volunteered to share their stores to help others. In addition, the book describes self-help techniques in detail as well as relationship advice. It also gives guidelines to decide if memory processing is a good choice for you. [Excerpt]
Since 2001, the wars in Iraq and Afghanistan have caused considerable strain on military medicine to effectively manage the large and growing mental health demand from deployed personnel. Current trends, initiatives and on-going barriers in meeting war-related mental health needs for this and future war generations as reported by military officials, including the 2007 Department of Defense’s (DoD) Task Force on Mental Health, is reviewed including training of providers, access to high quality mental health assessment and treatments and research innovations. Lastly, a model for a 21st century modern military mental health care system is proposed within the context of historical and present-day analysis of the cyclical impact of dualistic approaches toward mental and physical health and consequent effects of mental health stigma and disparity. Authors’ note: The findings and opinions expressed are the authors’ alone and are not intended to represent the views of the Department of the Navy, the Department of Defense, or the Department of Veterans Affairs.
Trauma
Aid
is
a
non-‐profit
association
whose
major
aim
is
to
improve
the
quality
of
trauma
treatment
of
people
who
have
been
exposed
to
violence
and
other
forms
of
extreme
psychological
distress.
Project
Mekong
was
established
in
response
to
the
living
circumstances
of
the
target
region
populations
of
Thailand,
Cambodia,
Myanmar
and
Indonesia
whose
experiences
have
been
shaped
by
natural
disasters,
military
conflicts
and
acts
of
interpersonal
violence.
The
main
objective
of
this
EMDR
Humanitarian
Assistance
Programme
(EMDR
HAP)
project
is
to
establish
an
integrated
training
program
for
the
treatment
of
PTSD
for
therapists
in
the
Mekong
region
and
Indonesia.
The
project
commenced
in
early
2011
and
offers
a
unique
layered
approach
by
offering
five
different
training
levels,
training
participants,
EMDR
facilitators
in
training,
EMDR
supervisors
in
training,
EMDR
trainers
in
training,
and
continuous
professional
development
of
existing
EMDR
trainers.
Within
the
training
program
there
are
over
60
participants
from
eleven
different
countries.
This
culturally
rich
component
of
the
project
allows
the
bringing
together
of
personal
resources,
creativity
and
a
wealth
of
experiences
between
the
project
participants
and
the
training
team.
The
purpose
of
this
presentation
is
to
outline
some
of
the
audit
data
being
collected
by
training
participants
with
the
clinical
work
with
clients
and
provides
an
insight
into
how
EMDR
is
being
successfully
applied
with
trauma
populations
within
the
Mekong
region.
Trauma
Aid
es
una
asociación
sin
ánimo
de
lucro
cuyo
objetivo
principal
es
el
de
mejorar
la
calidad
del
tratamiento
para
trauma
de
personas
expuestas
a
violencia,
así
como
a
otras
formas
de
angustia
psicológico
extremo.
El
Proyecto
Mekong
se
estableció
como
respuesta
a
las
circunstancias
de
vida
de
las
poblaciones
de
la
región
diana
en
Tailandia,
Camboya,
Birmania
e
Indonesia,
cuyas
experiencias
han
sido
conformadas
por
las
catástrofes
naturales,
conflictos
militares
y
actos
de
violencia
interpersonal.
El
objetivo
fundamental
de
este
proyecto
del
Programa
de
Ayuda
Humanitaria
de
EMDR
(EMDR
HAP,
por
sus
siglas
en
inglés)
consta
de
implantar
un
programa
de
formación
integral
para
el
tratamiento
de
TEPT
para
los
terapeutas
en
la
región
del
Mekong
e
Indonesia.
El
proyecto
tuvo
su
comienzo
a
principios
del
año
2011
y
ofrece
un
planteamiento
singular
por
capas
al
proporcionar
cinco
niveles
distintos
de
formación:
la
formación
de
participantes,
facilitadores
de
EMDR
en
formación,
supervisores
de
EMDR
en
formación,
formadores
de
EMDR
en
formación
y
desarrollo
profesional
de
los
formadores
de
EMDR
ya
existentes.
Dentro
del
programa
de
formación,
existen
más
de
60
participantes
de
once
países
diferentes.
Este
componente
del
proyecto
tan
rico
en
cultura
permite
aunar
recursos
personales,
creatividad,
así
como
una
plétora
de
experiencias
entre
los
participantes
en
el
proyecto
y
el
equipo
a
cargo
de
la
formación.
El
propósito
de
esta
presentación
es
el
de
esbozar
algunos
de
los
datos
de
auditoría
que
se
están
recabando
por
parte
de
los
participantes
en
formación
con
el
trabajo
clínico
con
clientes
y
dar
mayor
conocimiento
y
perspectiva
acerca
de
cómo
se
está
aplicando
EMDR
con
éxito
en
poblaciones
traumatizadas
dentro
de
la
región
del
Mekong.
Mindful awareness has been scientifically proven to promote social, emotional and physical well-being and is an effective part of psychotherapy practice. Research has demonstrated that mindful awareness is useful in the prevention of relapse of drug addiction and chronic depression, and in the treatment of anxiety and borderline personality disorder. This ancient practice of being fully aware in the present moment, without grasping onto judgments, has been found in cultures throughout the world. This lecture will explore the possible ways in which mindfulness may actually work to enrich our lives and be a part of EMDR and effective psychotherapy. The state of mindful awareness harnesses specific social and emotional circuits in the brain. With practice, this receptive state of mindfulness becomes a trait of resilience. The development of these “resonance circuits” creates an integrated brain state that creates the benefits of improved immune and cardiac function, enhanced empathy and self-understanding, and a deeper connection to oneself and others.
In this seminar, we’ll discuss strategies that patients can learn to monitor and modify energy and information flow with more clarity and power, and also describe how the process of integration can serve as an organizing principle that illuminates the nature of resilience and well-being. Integration is defined as the linkage of differentiated parts of a system. When integration is present, flexibility and harmony result; when integration is absent, chaos or rigidity occur. EMDR can be seen as a profoundly useful integrative therapeutic practice. Mindsight is a teachable skill with which people can learn to monitor energy and information flow with clarity and depth and then modulate that flow with specificity and power toward integration. Within this framework, clinicians can focus assessment on the findings of chaos and rigidity as examples of impediments to integration. Clinical intervention harnesses the power of therapeutic techniques to cultivate differentiation and linkage in various domains of integration that may be impaired.
There are a number of people involved with EMDR who have specialties in various areas including children, veterans, sexual abuse, peak performance,
smoking cessation, etc. Though
I have my own areas of clinical specialization,
when it comes to EMDR, my
particular area of expertise seems to
be in the area of What NOT To Do. In
this first of a two-part article, I want to
review many of the mistakes that I
and others have made using EMDR.
While this list is probably most helpful
for those beginning to use EMDR, I
have found it useful for experienced
clinicians as well.
A recent pilot project was initiated in an inpatient adult psychiatric unit to enhance programming and provide interventions to individuals in crisis. The project added a group component to the existing RDI protocol. This presentation will summarize the recent pilot study and results. It will include a review of RDI procedures, and guidelines for assessing patients' needs and choosing appropriate RDI protocols. ParticipaNTs will leave the workshop with new tools that will enable them to evaluate the clinical needs of their inpatient populations and modify the RDI protocol to suit them. Participants will also discuss data collection and research methods.
Many of my clients are combat veterans
who have been experiencing their various PTSD symptomatology for 20 years or longer. Because of the extremely subjective nature of their experiences,
and the fact that gains in reprocessing do not necessarily transfer
into immediate behavioral changes, I have sought ways to document my clients' progress as treatment continues.
The therapy is known as Eye Movement Desensitization and Reprocessing (EMDR). Even while the experimental and controversial treament is being heavily scrutinized largely because it looks so simple yet purports to achieve remarkable success it has gained grudging acceptance at the Albany VA hospital for treatment of trauma in Vietnam veterans.
In EMDR treatment, patients call to mind traumatic memories while following a counselor's finger with their eyes, said Peggy Moore, an Albuquerque social worker and one of the trainers in the state program.
Exactly how that process helps a patient isn't fully understood.
Resiliência é um conceito que se utiliza para explicar fenômenos psicossociais referidos a indivíduos e grupos que superam ou transcendem situações adversas. O EMDR estimula o sistema de informações disfuncionais. Assim, acelera o processamento de informações traumáticas e possibilita que se manifestem emoções e insights apropriados e saudáveis, ou seja: resilientes. Pretendo compartilhar minha experiência em dois casos distintos: com desabrigados das catástrofes naturais em Nova Friburgo, que ocorreu em janeiro de 2011, e com funcionários da Escola Municipal Tasso da Silveira/RJ, onde um atirador matou 11 crianças. Apresento o EMDR como pedra angular de uma psicoterapia que pode ajudar a identificar aspectos resilientes, que permitam a integração dos elementos cognitivos, emocionais e traumáticos, favorecendo o enfrentamento das perdas, rupturas e situações de extrema tensão, características das pessoas que vivenciam situações de grandes choques emocionais e enorme sofrimento. O EMDR, nesses casos, tem se mostrado de grande ajuda para que o indivíduo encontre o elo de ligação entre a vida “até ontem” e a vida “de amanhã”, resignificando o momento atual, fortalecendo a possibilidade de alteração dos rumos de sua vida e prevenindo os TEPTs.
Resilience is a concept that is used to explain psychosocial phenomena referred to individuals and groups that transcend or overcome adverse situations. EMDR stimulates the information system dysfunctional. Thus, speeds processing of traumatic information and makes it possible to express emotions and insights appropriate and healthy, ie: resilient. I intend to share my experience in two different cases: with homeless natural disasters in New Freiburg, which occurred in January 2011, and with officials of the Municipal School Tasso da Silveira / RJ, where a gunman killed 11 children. I offer EMDR as a cornerstone of a psychotherapy that can help identify aspects resilient, allowing the integration of cognitive, emotional and traumatic, favoring coping with loss, breakage and situations of extreme stress, characteristics of people experiencing situations of great emotional shock and immense suffering. EMDR in such cases has proved of great help for the individual to find the link between life "until yesterday" and life "tomorrow", redefining the present time, strengthening the possibility of changing the course of his life and preventing TEPTs.
This is a report on the EMDR Helping Hands Project which involved the volunteering and assistance provided by EMDR professional practitioners for the victims of the Oklahoma City bombing disaster in 1995.
This is a report on the EMDR Helping Hands Project which involved the volunteering and assistance provided by EMDR professional practitioners for the victims of the Oklahoma City bombing disaster in 1995.
This is a report on the EMDR Helping Hands Project which involved the volunteering and assistance provided by EMDR professional practitioners for the victims of the Oklahoma City bombing disaster in 1995.
A recently released report by the Institute of Medicine (IOM, 2008) commissioned by the U.S. Department of Veterans Affairs examined the evidence for psychotherapeutic and pharmacological treatments for posttraumatic stress disorder (PTSD). It concluded that the evidence was inadequate to determine the efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of PTSD. However, a critical examination of the basis for this conclusion reveals errors in three areas. First, the findings of key studies that reported positive outcomes for EMDR were misrepresented; second, a number of positive studies were excluded without apparent justification; and, finally, the IOM report failed to consider additional readily available studies that also reported benefits for EMDR. These factors appear to explain why the conclusions of the IOM report are at odds with the numerous meta-analyses and practice guidelines of PTSD treatments issued by other scientific committees worldwide. [Author abstract]
In this chapter, we describe the current status of outcome research on behavioral and cognitive-behavioral therapy for PTSD. In this endeavor, we describe these treatments and outline their empirical foundations, providing rationale for their use. We then review and critique the existing research and propose future directions for outcome research. [Text, p. 42]
Clients who have experienced traumatic events, as well as other complex psychiatric issues, have significant skill deficits in the area of emotion regulation and attachments. Phase-based trauma treatment (DBT followed by EMDR) assists clients in developing adequate emotion regulation skills and developing healthy interpersonal relationships during a preliminary phase of therapy prior to trauma processing. This presentation offers rationale and instruction for phase-based treatment with complex client populations. Case and video examples and the results of a small pilot project are utilized to illustrate topics presented.
The Polyvagal Theory is an innovative theory that links the evolution of the autonomic nervous system to affective experience, emotional expression, facial gestures, vocal communication and contingent social behavior. The theory describes how, via evolution, a connection emerged in the brain between the nerves that control the heart and the face. The workshop has three objectives: 1) to provide an explicit statement of the theory, 2) to illustrate how a Polyvagal perspective provides insights into the clinical assessment and treatment of several clinical conditions, and 3) to describe a face-heart connection that defines a social engagement system that links our bodily feelings with facial expression, vocal intonation, and gesture.
“Post traumatic stress” contains all the features required to mark an epoch. To start with, it has a long prehistory under the name of traumatic neurosis, which includes all the debates about trauma and its etiological value, a “narrative” (here’s another one) that began with Freud and have still not finished.
As a coined label (post traumatic stress disorder, PTSD) is fairly recent, appears about the 80ties in the DSM-III, ranged in the chapter on Anxiety Disorders, although some doubts have later been raised about this classification, since PSTD could also be included under Major Depression or also Dissociation. Finally, PSTD has triggered a proliferation of methods to treat it, based on advances in general psychology and neuroscience.
Suffering PTSD means that the person affected has experienced, witnessed, imagined or listened about one or more events entailing deaths or threats to his or another one’s safety, and has reacted with fear, helplessness and horror leaving intense negative feelings warded off into his emotional memory, stored in the limbic system. Traumatic scenes may come from either natural disasters, or caused by terrorist acts, of being involved in violent situations, such as war veterans or out of having suffered physical and sexual violence, such as abused children or women
This presentation provides a collective body of
knowledge helpful for EMDR clinicians in
understanding disaster response at sites both in
post-Katrina operations in Louisiana and 911 operations in New York City. The presentation will
include information learned by EMDR
Humanitarian Assistance Program (HAP)
volunteers in establishing an on-site network for trauma recovery clinicians serving in Louisiana.
Lessons learned include establishing initial onsite networks, noting key contact persons, and
networking with local agencies in providing
EMDR services. EMDR Consultation and the
importance of daily debriefings of the clinical
work will be discussed. Differences in protocols
such as EMD, Recent Events Protocol, and
EMDR, as they relate to the timing of the trauma
will be outlined. The importance of practicing
healthy self-care and avoiding burnout will be
noted. A summation will include the similarities
and differences between the EMDR community-based
intervention project in New York City with
responders and civilian following 9/11 and the
post-Katrina HAP project with first responders in
Louisiana.
Post-traumatic stress disorder and treatment
Abstract: Post-traumatic stress disorder (PTSD) symptoms have been estimated to affect about 8 to 9% of the world population. Research has shown that PTSD occurs in 25% of persons who have been exposed to a traumatic stressor. It has occurred in 35-92% of those who have experienced rape, 65% of those who have endured a nonsexual assault, and 30% of Vietnam veterans. In 1980, the definition of PTSD was created and counsellors were at a loss of how to treat this disorder. Presently, treatment for this disorder is still being developed. This paper conducts a literature review on therapies for PTSD and available studies of their effectiveness. Most psychotherapies for PTSD focus on the reprocessing of traumatic memory, through cognitive or exposure strategies. These treatments include various cognitive behavioural therapies such as exposure therapy, eye movement desensitization and reprocessing (EMDR), psychoanalytic, as well as multimodal combinations of therapies. Research has shown that some of these interventions have produced favourable results in providing relief of symptoms to victims of PTSD. The current discussion found that therapies such as cognitive and exposure have been successful in decreasing symptoms of PTSD; certain therapies were found to be more successful than others with clients who suffered from specific trauma-inducing events.
In clinical research it is important to address both vulnerabilities and
positive processes that occur in response to traumatic stress.
Therefore, we chose the concepts of posttraumatic growth and posttraumatic
cognitions to examine how these reactions change in
The Psychobiology of Trauma and Resilience
206 www.istss.org
Poster Presentations – Session 3
International Society for Traumatic Stress Studies 22nd Annual Meeting
A C R O S S
Tuesday Poster Presentations
response to trauma-focused psychotherapy. In this presentation, preliminary
data from a randomized controlled trial comparing Eye
Movement Desensitization and Reprocessing (EMDR) therapy (n =
70) and Brief Eclectic Psychotherapy (BEP; n = 70) are presented.
Participants were patients of the Outpatient Psychiatry Clinic of the
Academic Medical Center / De Meren who had a diagnosis of PTSD
following various kinds of type I trauma. Posttraumatic growth was
assessed with the Posttraumatic Growth Inventory, whereas posttraumatic
cognitions were examined by use of the Posttraumatic
Cognitions Inventory. Both measures were administered at pre- and
postassessment to determine whether these concepts change after
EMDR and/or BEP. Changes in and relationships between these variables
are presented and future directions for research arising from
the findings are discussed.
What is Posttraumatic Stress Disorder?
Posttraumatic Stress Disorder (PTSD) is a syndrome characterized by persistent anxiety-related symptoms provoked by a traumatic event. These symptoms are comprised of three clusters: Re-experiencing symptoms such as recurrent intrusive thoughts about the trauma, nightmares, and flashbacks, numbing symptoms such as detachment from others and loss of interest in usual activities, and a third cluster of miscellaneous symptoms including an exaggerated startle response, sleep disturbance, and memory impairment. Estimates of the prevalence of PTSD vary widely; the National Comorbidity Survey found rates of 8.2% among men and 20.4% among women (Kessler et al., 1995). The National Vietnam Veterans Readjustment Study (NVVRS, Kulka et al., 1990) reported that 30.9% of American soldiers who served in Vietnam developed PTSD; this figure rose to 50% if subsyndromal PTSD was counted. Although these figures continue to be widely cited, the NVVRS has been widely criticized on several grounds, including reliance on undocumented, retrospective self-reports of trauma, lack of measurement of impairment, and most importantly the simple fact that only 15% of those serving in Vietnam were actually in combat units.
Clinical social workers need to be aware of the growing problem of untreated and under treated trauma in society. This is an especially important issue affecting our veteran population. However, most veterans do not ask for help with posttraumatic stress disorder (PTSD) symptoms out of shame or fear that it will negatively affect their career advancement. There is a highly effective psychotherapeutic treatment called eye movement desensitization and reprocessing (EMDR) that works very quickly to end PTSD in clients. Veterans typically dislike talking to non veterans about their combat experience. One of the benefits of using EMDR (for patients and therapists) is that they do not have to talk about the details of their trauma for the EMDR process to work. During EMDR, the patient's brain heals itself and the therapist just needs to adhere to the EMDR protocol. In light of its effectiveness, it makes sense that all social workers should familiarize themselves with EMDR. The most clinical social workers should be trained in EMDR, as most of our clients have trauma histories. If the estimates of PTSD in veterans are accurate, we could save them and their families from years of suffering. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Preliminary Data was collected on a group of Vietnam veterans
from10/20/97 to 9/1/98. All Subjects met criteria for PTSD
according to DSM IV utilizing the CAPS scale. Patients were then
randonly assigned to either the EMDR group or the Flooding
group. One therapist completed one EMDR session on the
patient’s Primary Combat Image; another therapist completed one
session on the PCI using Flooding technique. The head nurse,
blind to the treatment provided, met with each subject prior to
group assignment and measured their Blood pressure and pulse
using DINAMAP Blood Pressure Monitor. He then asked the subjects
to keep a SUDS Scale on their PCI noting frequency and
intensity for the next week. He also asked them to complete an
Impact of Event Scale on their PCI. Subjects then received one
session of EMDR or Flooding and were asked to keep a SUDS
Scale on their PCI for another week. Subjects then returned to the
head nurse, were asked to recall their PCI and blood pressure,
pulse and SUDS and IES were again measured. Because of small
cell sizes (EMDR =8, Flooding =10) treatment effects did not
always reach Statistical significance. Nonetheless several differences
were found between the two groups. ANOVA’s were performed
using the changes in blood pressure and heart rate measured at a
final assessment period during a baseline period and while recalling
their PCI. For systolic blood pressure the EMDR group showed
no change while the Flooding group increased by 9.2. For diastolic
blood pressure the EMDR group declined an average of 3.3 while
the Flooding group increased by 7.6. For heart rate, the EMDR
group remained essentially unchanged while the Flooding group
increased an average of 6.6. This difference was significant at the
(p<.05). The EMDR group reported their PCI memories were less
severe during the week following treatment while the Flooding
group showed little change. ANOVA analysis found these differences
to tend toward statistical significance (p=.10). The EMDR
group showed improvement on the SUDS scale amd some subscales
of the IES.With prelimiary data suggesting that EMDR is
more effective than flooding,further research needs to be pursued.
Since 2004, EMDR has been recognized by the DVA and DoD as a top evidence-based treatment for post-traumatic stress disorders according to their own clinical practice guidelines. With high rates of mental health stigma in the military, EMDR has the unique advantage of being noticeably different than standard talk therapy. Service personnel are not required to self-disclose details of events that they have witnessed or participated in, and the effects tend to be more rapid and generalize to other contributing experiences that often underlie difficulties associated with depression, suicide, anger, substance use, aggression, medically unexplained conditions, and so on. [Excerpt]
Until now, best practise regarding treatment of anger seems to be mostly focused on improving control over angry outbursts. The treatment as usual is cognitive and behaviour oriented. For trauma related internalizing symptoms (anxiety, panic, nightmares, avoidance, intrusions), we know that EMDR is much more effective than a standard cognitive behavioural approach. Anger, embitterment and revenge are, more often than we think, also trauma-related symptoms and can be viewed as externalizing reactions to severe maltreatment, powerlessness and/or humiliation. A lot of our veterans have to deal with a permanent elevated arousal and an aggressive response style after they return from war. These externalizing symptoms can have devastating effects on marriage, work and daily live. In trauma-literature, there has been a lack of attention to this debilitating and externalizing side of PTSD.
In the workshop, after a brief review of the literature on anger and revenge, a new perspective will be presented in understanding anger and revenge. An EMDR-based protocol will be demonstrated, which can be used as a cognitive interweave and also as a “stand-alone” tool to process anger- and revenge symptoms. Extensive video footage will be used to illustrate the effect of this treatment on a patient with severe, dangerous and obsessive revenge symptoms. The question, when this add-on tool can be used and when it will be preferable to stick to the standard EMDR protocol, will be discussed. In conclusion, questions from the audience will hopefully lead to an inspiring discussion.
Learning objectives:
Being able to apply the theoretical framework of Posttraumatic Anger in understanding anger symptoms in clients;
Being able to detect which experiences en people from the past contributed to current anger – and anxiety symptoms and know when to apply the standard EMDR protocol or the Rage, Resentment and Revenge Protocol; and
Being able to apply the Rage, Resentment and Revenge Protocol to process and resolve the anger symptoms.
The participant will be able to 1) develop the imaginational context of and employ this stabilizing protocol, useful in clients with insecure attachments, strategically ordered to elicit and allow desensitization of the inhibitory and adaptive affects within the basic EMDR protocol to allow completion typically within a fifty minute session; 2) teach to clients necessary integrated aspects of short term anxiety regulating psychotherapy and Heartmath methods, including how innate affects can act to guide adaptive behavior within a functional and dysfunctional system and how commonly used defenses and inhibitory affects impede adaptive behavior. Case examples and videos demonstrate the protocol.
Individuals injured during U.S. military service receive world class medical care—tragically, the same cannot be said of the mental health care available for Active Duty military and Veterans with psychological injury. Even more disturbing is the fact that world class psychiatric care, such as Eye Movement Desensitization and Reprocessing (EMDR), is available and is often denied to Active Duty service members and Veterans. Although psychiatric diagnoses and treatment have generally been harder to define than diagnosis and treatment of medical conditions, such as infection, debate in mental health circles in recent years over what and how to treat seems to have deteriorated into a shark feeding frenzy. The question of “evidence-based” has become “evidence-based according to whom?” This has resulted in funding to a number of non-evidence-based experimental treatments and a complete lack of funding on two of the four recommended evidence-based treatments for Posttraumatic Stress Disorder (PTSD).
Objective: The present study would expose first results of a study about the consequences of family
violence act in a small group of women victims treated by EMDR therapy. Subjects: All of the victims
underwent EMDR therapy for seven 90-minute sessions. The subjects were included in the
therapeutic project for 12 months and were followed for 6 month after the end of the therapy.
Procedure: The victims (n=9) were referred by different associations of victims to consult with two of
the authors who took charge of all of the treatments. We have constructed a control group (n=9) with
the same characteristics (age, study level,...). After the first consultation a proposal was made to the
subjects to be part of a research protocol. The subjects then had to answer questions from Horowitz’s
Revised Impact Event Scale (Horowitz & al., 1979) and the State-Trait Anxiety Inventory –STAI-
(Spielberger & al. 1983). In the framework of therapeutic protocol, the subjects had to do a SUDS
evaluation. These different measures were administered to all of the subjects before beginning the
therapy (T1), after the seven sessions of EMDR (T2), and six months later (T3). Main results: Because
of the small size of the sample and a non-normal distribution, the data were processed with nonparametric
tests. We show differences between victims and non victims in the beginning of therapy.
The victims have higher scores in the IES-R and STAI than the control subjects. Difference continues
for the all duration of the experimentation, but the assessments after seven sessions and after six
months show fewer differences. It’s important to note that the differences between the pre-test, the
postest and the evaluation after six months are shown to be equally very significant, indicating a very
positive effect with EMDR on the reduction of intrusive symptoms and avoidance.
This evaluation assessed the design, implementation and impact of the two major psychosocial
projects sponsored by UNICEF Indonesia from October 1999 until the end of 2001. The first, the
‘Psychosocial HelpTraining Project’ aimed to support teachers and counsellors to provide basic
psychosocial assistance to children, first in West Timor and then throughout the conflict zones in
Indonesia. The second was the EMDR project, which trained professionals and paraprofessionals in
the use of Eye Movement and Desensitisation Reprocessing. The project aimed to treat the effects of
trauma, and as such, was a treatment intervention.
Posttraumatic stress dlsorder (PTSD) is the most serious and prevalent of the
mental disorders among returning United States combat veterans. As veterans who
have sewed in Iraq and Afghanistan join the ranks of combat veterans from prior
conflicts the need and availability of evidence-based treatments tor PTSD is
increasing. Three psychotherapies for PTSD consistently have been identified in
recent meta-analyses as evidence-based treatments for PTSD. Results of the
analyses indicate that trauma-focused cognitive behavior therapy (CPT), exposurebased
therapy (PE) and eye movement desensitization and reprocessing (EMDR) are
effective. International treatment guidelines for PTSD have the same consensus
regarding EMDR, PE and CPT as treatments of choice for PTSD (e.g., APA, 2004;
Department of Veterans Affairs and Department of Defense (DoD). 2004).
Ce sont d’abord les vétérans de la guerre du Vietnam qui en ont bénéficié. Aujourd’hui, l’EMDR s’utilise pour guérir des traumatismes de toutes natures. Rien qu’en bougeant les yeux...
Traumatisme. Le mot résonne avec force. Il est associé à la violence, à l’intensité, à la mémoire aussi. Le traumatisme laisse des traces, il empêche souvent de vivre. On le conçoit aisément quand il s’agit de catastrophe naturelle ou de conflit armé, mais les blessés de la vie, nous en croisons tous les jours... La perte d’un enfant, des violences sexuelles, un accident de la route, ...
Comment continuer après ?
Psychologue spécialisée dans les traumatismes, Evelyne Josse a appris à utiliser l’EMDR lors d’interventions humanitaires ou auprès d’enfants malades. « La psychanalyse ne fonctionne pas pour ce type d’indications. Vous pouvez revisiter votre passé à loisir et identifier les causes de vos difficultés, ce n’est pas pour autant que vous serez soulagé de vos symptômes » D’abord séduite par l’hypnose, la psychothérapeute recourt aujourd’hui également à l’EMDR - désensibilisation et retraitement par le mouvement des yeux - pour traiter les phobies, les troubles alimentaires, les acouphènes, les dépressions et les stress post- traumatiques. « Non seulement c’est efficace mais c’est aussi rapide et une fois traités, les symptômes ne reviennent plus. »
Concrètement, le travail démarre par un ou deux entretiens préalables qui vont permettre au thérapeute de cerner les difficultés de son patient. Ou plutôt sa difficulté majeure car il n’est pas question ici de s’interroger ici sur le sens de l’existence.... On identifie un problème spécifique et on s’attache à le traiter. Au cours des séances, le patient doit associer une image et des sensations à son expérience négative ; pendant qu’il la revit, il suit des yeux les mouvements des doigts du thérapeute. Une manière de stimuler latéralement les hémisphères cérébraux qui permettrait de « débloquer » l’information traumatique et de la reprogrammer de manière adéquate dans le cerveau. Anne a assisté à l’assassinant de son voisin. L’image de la terrasse ensanglantée la hantait jour et nuit et elle souffrait de crampes abdominales. « Pendant les séances, dès que les mouvements oculaires commençaient, les sensations revenaient en même temps que mes crampes. Au fur et à mesure, je suis arrivée à effacer ces images insoutenables et à les remplacer par des images plus « gérables ». J’ai retrouvé le sommeil, je peux à nouveau voir du sang et je me sens suffisamment sereine. J’ai fait 6 séances en tout et pour tout.»
First come the veterans of the Vietnam War who have benefited. Today, EMDR is used to heal injuries of all kinds. Just by moving the eyes ...
Trauma. The word resonates strongly. It is associated with violence, intensity, memory too. Trauma leaves its mark, it often prevents them from living. It is easy to see when it comes to natural disaster or armed conflict, but the casualties of life, we come across every day ... The loss of a child, sexual violence, a car accident, ...
How to continue after that?
Psychologist specializing in trauma, Evelyne Josse has learned to use EMDR during humanitarian or with sick children. "Psychoanalysis does not work for such indications. You can revisit your past at your leisure and identify the causes of your problems is not to say that you will be relieved of your symptoms "At first seduced by hypnosis, psychotherapy today also uses EMDR - desensitization and reprocessing eye movement - to treat phobias, eating disorders, tinnitus, depression and post traumatic stress. "It's not only effective but also fast and once treated, the symptoms come back. "
Specifically, the work starts with one or two prior interviews that will allow the therapist to identify the difficulties of his patient. Or rather the major problem because it is not about to question here on the meaning of life .... We identify a specific problem and is working to address it. During the sessions, the patient must attach an image and feeling to his negative experience, as he saw her, his eyes follow the movements of the fingers of the therapist. One way of stimulating the cerebral hemispheres laterally that would "unlock" the traumatic information and reprogram adequately in the brain. Anne attended the killing of his neighbor. The image of the terrace bloody haunted her day and night and she suffered from abdominal cramps. "During the meeting, that the eye movements began, the feeling came back together my cramps. As in, I got to clear these unbearable images and replace them with images more "manageable." I found the sleep, I can again see blood and I feel calm enough. I made six sessions in all and for all. "
In 1987, a new technology called Eye Movement Desensitization Reprocessing (EMDR) was in the early stages of development. An internationally respected PTSD expert, psychologist Charles Figley, director of the Institute of Traumatology at Florida State University, did a formal research project on EMDR in 1993. Additionally, Figley also researched Thought Field Therapy (TFT – the grandfather of EFT), Traumatic Incident Reduction (TIR) and Visual Kinesthetic Dissociation (VKD) at the same time. Figley and an associate conducted the research because Figley deeply understood that the conventional therapies were not suitable for treating PTSD. That research proved both EMDR and TFT as effective treatments for PTSD both achieving over 50% reduction in symptoms. Although the DOD has officially approved EMDR for PTSD treatment (http://www.news.navy.mil/search/display.asp?), many VA centers do not allow its use.
In the interim, psychiatrist and PTSD expert Bessel van der Kolk, presently the Medical Director at the Trauma Center in Massachusetts, (http://www.traumacenter.org/) began groundbreaking researching on PTSD. Dr. van der Kolk is trained in both EMDR and TFT/EFT and now endorses the use of Energy Psychology methods like EFT to alleviate the symptoms of PTSD in a very gentle, quick, safe and easy manner.
The authors briefly report successful eye movement desensitization treatment in a veteran who was exhibiting symptoms of chronic PTSD.
In March 2007 an EMDR Europe HAP project, in conjunction with the University of
Birmingham, commenced in Northern Pakistan in the aftermath of the earthquake that
occurred in the region October 2005.
Presently over 75 mental health workers have now been trained in EMDR. In August 2009
six of these Pakistani mental health workers had successfully completed their EMDR
Facilitator training. As a means of evaluating their EMDR training a Q Methodology was
utilised.
Q-Methodology allows a researcher to explore a complex phenomena from a subject´s
point of view by using a distinct approach which rates the value of 25 statements in order
from least to most desirable. These statements related to EMDR clinical practice, cultural
application of EMDR, EMDR research development, and their experiences of their EMDR
training.
Results highlighted important issues around their training experience, how cultural
sensitivities play an important part in the application of EMDR in Pakistan, and how the
EMDR trainings can be adapted and improved for the future.
In March 2007 an EMDR Europe HAP project, in conjunction with the University of Birmingham & Edge Hill University,
commenced in Northern Pakistan in the aftermath of the earthquake. Presently over 75 mental health workers have now
been trained in EMDR. In August 2009 six of these Pakistani mental health workers had successfully completed their EMDR
Facilitator training. As a means of evaluating their EMDR training a Q Methodology was utilised. Q methodology provides
a foundation for the systematic study of subjectivity, a person’s viewpoint, opinion, beliefs, and attitudes (Brown 1993). It is
an inverted form of factor analysis which then considers discourse patterns. Typically, in a Q methodological study people
are presented with a sample of statements about a topic called the Q-set. By Q sorting research participants give their
subjective meaning to the statements, and by doing so reveal their subjective viewpoint (Smith 2001) or personal profile
(Brouwer 1999). These individual rankings (or viewpoints) are then subjected to factor analysis to determine factor solution
and interpretation. Results highlighted important issues around the facilitators training experience, how cultural sensitivities
play an important part in the application of EMDR in Pakistan, and considered how EMDR trainings can be adapted and improved for the future.
EMDR was developed by Francine Shapiro, PhD, while she was a graduate student at University of California at Berkeley in 1987. Initially applied to people who had suffered severe traumatic stress -- like rape victims and Vietnam War veterans -- it has become a successful methodology for working with people who have experienced a variety of stressful conditions.
The subjective sleep disturbance in posttraumatic stress disorder (PTSD), including the repetitive, stereotypical anxiety dream, suggests dysfunctional rapid eye movement (REM) sleep mechanisms. The polysomnograms of a group of physically healthy combat veterans with current PTSD were compared with those of an age-appropriate normal control group. Tonic and phasic REM sleep measures in the PTSD subjects were elevated on the second night of recorded sleep. Increased phasic REM sleep activity persisted in the PTSD group on the subsequent night. During the study, an anxiety dream occurred in a PTSD subject in REM sleep. The results are consistent with the view that a dysregulation of the REM sleep control system, particularly phasic event generation, may be involved in the pathogenesis of PTSD. The finding of a specific disturbance of sleep unique to PTSD may have significant implications for the design of effective treatments for PTSD.
A lot of VAs do offer EMDR these days, and it works for many people. Processing the trauma may only be the beginning of recovery, however, if you grew up in a home where there was a war between men and women. EFT offers the chance to make your home a sanctuary instead of a battleground. So does applying the principles of Al-anon to life with PTSD, and I'm sure there are other effective therapies, but this is the one that I know about. [Excerpt]
Findings of component studies are summarized, with a review of studies which reported that EMs reduced memory vividness and emotiveness. The results of three recent studies are presented. 1) A study evaluated the effects of EMs on the components of memory to test working memory explanations of EMDR; 2) a study using participants with dental phobia determined if memories of disturbing dental events,and related dental anxiety, were influenced by EMs; 3) A large-N comparison with combat veterans, compared EMDR and a non-eye-movement analog to evaluate the effect of EMs on treatment outcome, process and changes in trauma narratives.
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) has not received much attention from EMDR researchers or clinicians. It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also provide a window of opportunity in which a brief intervention, possibly on successive days, could prevent complications and strengthen resilience. Checking for sub-clinical sticking points which can obstruct the Adaptive Information Processing (AIP) and don’t necessarily show up on the DSM radar, the R-TEP may reduce the sensitization and accumulation of trauma memories. As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols within a new conceptual framework, together with additional measures for containment and safety. The R-TEP will be taught with video case illustrations, live demonstration and a practicum.
As part of a comprehensive approach to Early EMDR Intervention (EEI), thls workshop, presents the Recent Traumatic Episode Protocol (R-TEP) which is an integrative protocol that incorporates and extends existing protocols within a new conceptual framework, together with additional measures for containment and safety. The workshop will include video case illustrations. Participant will learn about the issues involved with EEI, the rationale of the developmen: of the R-TEP, 4 key conceptual procedures & their application. EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) has not received much attention from EMDR researchers or clinicians. It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also be a window of opportunity in which a brief intervention, possibly on successive days, could prevent complications& strengthen resilience. Checking for sub-clinical sticking points which can obstruct the Adaptive information Processing (AIP) and don't necessarily show up on the DSM radar, the R-TEP may reduce the sensitisation and accumulation of trauma memories.
The question of how early to intervene with EMDR in the face of natural and manmade disasters has been an important part of the dialogue of those working in this field. Early EMDR intervention, before consolidation of the memory has taken place, may influence adaptive integration (e.g., process sticking points), promote positive coping (especially if this is not occurring spontaneously), and contribute to the development of resilience. Informed by the work of Francine Shapiro, Roger Solomon, and all of the friends and colleagues in the field who have contributed to the evolution of their thinking and practice and following clinical and empirical experience with early EMDR intervention (EEI) in the wake of the 2006 Lebanon war, the authors have observed that the existing EEI protocols appear to focus on certain aspects or parts of the traumatic episode along an approximate time line continuum following a trauma, in accordance with the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) (APA, 2000). They concluded that the unfinished processing of recent traumatic events may require a broader focus than existing EEI protocols provided. They propose a new protocol called the Recent- Traumatic Episode Protocol (R-TEP), which incorporates and extends the existing EEI protocols by providing a new comprehensive, integrative protocol. The R-TEP thus bridges the gaps left by previous protocols and facilitates a transition from the EMD and RE protocols to the Standard EMDR Protocol. The R-TEP takes the wisdom of the Standard EMDR Protocol (Shapiro, 1995, 2001), and applies it in adapted form for recent events to provide a comprehensive approach to Early EMDR Intervention. After describing the main issues in early EMDR intervention, the authors present the Recent-Traumatic Episode Protocol and the Episode Narrative and Initial Goodle Search Script. The EMD Protocol for R-TEP Script adapted from the EMD Protocol by Shapiro (1995) is also presented, as is the Standard EMDR Protocol Script (Adapted from the Standard EMDR Protocol for R-TEP, Shapiro, 2001). [PsycINFO Database]
EMDR
has
demonstrated
effectiveness
in
treating
chronic
PTSD
and
old
trauma
memories,
yet
Early
EMDR
Intervention
(EEI)
protocols
have
not
received
much
attention
from
EMDR
researchers
or
clinicians.
It
is
proposed
that
EEI,
while
trauma
memories
have
not
yet
been
integrated,
may
be
used
not
only
to
treat
acute
distress
but
may
also
provide
a
window
of
opportunity
in
which
a
brief
intervention,
possibly
on
successive
days,
may
prevent
complications
&
strengthen
resilience.
Checking
for
sub-‐clinical
sticking
points,
which
can
obstruct
the
Adaptive
Information
Processing
(AIP)
and
don’t
necessarily
show
up
on
the
DSM
radar,
the
R-‐TEP
may
reduce
the
sensitisation
and
accumulation
of
trauma
memories.
As
part
of
a
comprehensive
approach
to
EEI,
this
workshop
presents
the
Recent
Traumatic
Episode
Protocol
(R-‐TEP),
which
is
an
integrative
protocol
that
incorporates
and
extends
existing
protocols
within
a
new
conceptual
framework,
together
with
additional
measures
for
containment
and
safety.
An
introduction
to
the
R-‐TEP
will
be
presented
with
video
case
illustrations.
EMDR
ha
demostrado
su
eficacia
en
el
tratamiento
de
TEPT
crónico,
al
igual
que
para
los
recuerdos
traumáticos
antiguos;
no
obstante,
los
protocolos
para
la
intervención
precoz
con
EMDR
(EEI)
no
han
recibido
mucha
atención
ni
por
parte
de
los
que
investigan
en
el
campo
de
EMDR
ni
por
parte
de
los
clínicos.
Se
propone
que
la
EEI,
durante
el
período
en
el
cual
aún
no
han
sido
integrados
los
recuerdos
traumáticos,
puede
emplearse
no
solo
para
tratar
el
estrés
agudo,
sino
que
también
es
posible
que
ofrezca
una
ventana
de
oportunidades
durante
la
cual
una
intervención
breve,
posiblemente
en
días
sucesivos,
puede
prevenir
las
complicaciones
y
fortalecer
la
resiliencia.
Al
comprobar
[posibles]
puntos
de
fricción
subclínicos
que
pueden
impedir
el
procesamiento
adaptativo
de
la
información
(AIP)
y
que
no
siempre
se
manifiestan
en
el
radar
del
DSM,
el
R-‐TEP
puede
reducir
la
sensibilización
y
acumulación
de
recuerdos
del
trauma.
Como
parte
del
planteamiento
integral
a
la
EEI,
este
taller
presenta
el
protocolo
para
episodios
traumáticos
recientes
(R-‐TEP),
un
protocolo
integrador
que
incorpora
y
extiende
los
protocolos
existentes
dentro
de
un
nuevo
marco
conceptual,
junto
con
medidas
adicionales
para
la
contención
y
seguridad.
Se
presentará
una
introducción
al
R-‐TEP
junto
con
casos
que
sirvan
de
ejemplos.
I am a clinical psychologist and professor of psychological counseling from Ukraine,. My
introduction to EMDR happened in Kiev, in 1995, when Professor A. Bondarenko
(initiator and one of the prominent EMDR proponents in Ukraine) invited me to
participate in one of the first Ukrainian EMDR workshops (Level 1) lead by Dr. Roger
Solomon. After that, Francine Shapiro sponsored my Level I1 training in Los Angeles in
1996. By that time I have had a rather extended EMDR experience with Chernobile
clients. I would not say that all has been totally positive. But still, some of my results
attracted Dr. Shapiro and she used a few cases from my practice in her second book coauthored
with M. Forrest (Shapiro & Forrest, 1997). 1 had mixed feelings about EMIIR.
On the one hand, I intuitively sensed that there are many clinical possibilities for its use.
On the other, the absence of a "strong" rationale added to my subconscious search for a
more grounded EMDR explanation than the metaphors Francine used. My first attem~ptto
create one of my own coincided with some major life change-events, influenced by the
breakdown of the USSR and consequently, dramatic social and personal transformations
in the fate of the nation. At the same time (1995-2001), 1 started my post-doctoral project
on personality change processes. I nearly stopped practicing EMDR and was totally
overwhelmed with personal survival issues facing the challenges of the economic mi
political situation.
Part 1 of this essay summarized data and summarized the methods studied in the 'Active Ingredients' Project. Part 2 explores possible change-producing ingredients germane to each as well as across the methods
Part 2 of this paper focuses on possible active, change-producing elements of the four therapies for PTSD included in the Active Ingredients Demonstration Project (Figley, C and Carbonell, J., 1995). The methods studied were Eye Movement Desensitization and Reprocessing (Shapiro, 1995), Visual/Kinesthetic Dissociation (Bandler & Grinder, 1979), Traumatic Incident Reduction (Gerbode, 1989), and Thought Field Therapy (Callahan, 1985). While detailed research is indicated toward clarifying the extent of treatment effects, as well as the necessary ingredients involved, momentarily allow some speculation as to the active ingredients. The following is not intended to be a comprehensive compilation but rather a highlighting of some feasible ingredients. It is hoped that this will prove of heuristic value toward advancing understanding of active ingredients, stimulating research, and promoting the evolution and utilization of effective means of treating trauma-based conditions.
Acting on the maxim that extraordinary claims require extraordinary proofs, researchers are setting out to discover if the therapy known as Eye Movement Desensitization and Reprocessing, or EMDR, offers help to rape victims, veterans and cancer survivors.
Stanley Milgram's classic
experiments in the 1960s
demonstrated that ordinary
people would - with
encouragement from
authority figures - give
escalating electric shocks to
innocent people so painful
that the subjects, who were
actually in league with the
researchers, would scream
in pain. Some critics have
dealt with Milgram's
troubling findings by
pointing out that his
studies have never been
replicated, making it easier
to treat his outcomes as a
possible anomaly or even
slipshod research. But they
continue to haunt us.
EMDRIA has submitted comments critical of the Institute of Medicine (IOM) report commissioned by the Department of Veterans Affairs to assess the scientific evidence on treatment modalities for PTSD. The 2007 report concluded that “the evidence is inadequate to determine the efficacy of EMDR in the treatment of PTSD.” The response, authored by Dr. Christopher Lee, Research Chair, and reviewed by the Research Committee, details serious omissions and misinterpretations of the scientific literature that would have effected the conclusions about EMDR in the report. Dr. Lee also prepared a PowerPoint presentation for EMDRIA members to use.
Research in EMDR practice is critically important in determining the ‘value’ of EMDR to clients, insurers, policymakers, the general public and ourselves. This presentation will provide the EMDR clinician with levels of evidence; the elements of the research process; the how, when and where to measure outcomes; and components of a time-series case study design. Comparing the client’s own to the scores at different points in time to themselves is considered a bona fide research design that makes an empirically valid case study worthy of publication. Resources and opportunities available to the budding EMDR researcher are examined. Research consultation for your project will be available by members of EMDRIA's Research Committee from 12:15pm to 1:15pm in the same room after this presentation.
Dr. Parnell teaches basic skills in resource tapping, an EMDR-related technique that harnesses the power of imagery and bilateral body stimulation to achieve healing. She describes how this clinically recognized system impacts affect management, ego strengthening, and emotional regulation as well as its capacity to build resilience and calm the body on a deep physiological level.
An earlier study of federal Department of Defense mental health professionals found relatively few trained in the psychotherapies for PTSD previously identified as effective by both this department and the federal Department of Veterans Affairs. In response to that need, a training program for one of the psychotherapies, eye movement desensitization and reprocessing (EMDR), was implemented utilizing personnel from these federal departments with assistance from a nonprofit agency. This article presents an evaluation of that program with rating data gathered from participants as well as treatment outcome data from the application of the training to patients. The program was highly rated by the participants and the impact of EMDR treatment was significant. Suggestions for similar programs and for further research are offered. [Author Abstract]
Comments on Does EMDR reduce post-traumatic stress disorder symptomatology in combat veterans? by David L. Albright and Bruce Thyer (see record 2010-02408-001). As an Army Chaplain and psychotherapist for 30 years, I have used a variety of psychotherapy modalities to treat soldiers and military families in various combat zones, as well as military installations in the United States. In this capacity I have found eye movement desensitization and reprocessing (EMDR) to be efficacious in the treatment of both trauma and life adjustment issues. In my present position as Director of Soldier Center, Clarksville, TN, I use EMDR on a daily basis to treat soldiers and veterans recovering from combat trauma. Based on my extensive experience in the successful application of EMDR, I am dismayed by the pre-suppositional bias against and potentially serious misrepresentations of EMDR that are evident in the Albright and Thyer article from the authors' very first mention of it. The authors have done a great disservice to clinicians, as well as to veterans, with their paper. In summary, the best way to serve our troops is to urge comparative research between EMDR and the extant cognitive behavioral therapy (CBT) treatments. Our men and women in uniform deserve the best treatment possible. EMDR has amply demonstrated its efficacy with multiple trauma populations and should not be minimized because of subjective biases and misinformation. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Replies to the comments by L. Waters (see record 84-36309) on the article by J. G. Carlson et al (see record 84-01737) regarding the use of eye movement desensitization and reprocessing treatment (EMDR) to treat posttraumatic stress disorder (PTSD) in Vietnam combat veterans. The authors suggest that Waters' interest in considering curative elements in psychotherapy common to a number of methods is useful because it encourages clinicians to focus on EMDR as a complex of procedures. The EMDR method of psychotherapy purports to provide a mechanism to enable and accelerate the resolution of experiences that otherwise might remain in stasis indefinitely. Waters' thoughtful letter suggests to the authors that EMDR may be reaching a level of clinical acceptance that is provoking a careful examination beyond an exclusive focus on 1 component, the eye movements, to consideration of EMDR as a sophisticated method of brief psychotherapy. (PsycINFO Database Record (c) 2007 APA, all rights reserved)
The idea of the safe place has been a staple in practices of Clinical Hypnosis practitioners. The first known use of the Safe Place with EMDR was when Dr. Neal Daniels, an EMDR practitioner working at the Veterans Administration Hospital in Philadelphia, adopted this resource to assist the veterans with whom he worked to ground themselves and contain their affect before doing trauma work. Dr. Francine Shapiro saw the merit of this intervention and by 1995 included a formalized version into the first EMDR text. This chapter was written by Marilyn Luber; the script from Francine Shapiro, 2006. This chapter was reprinted from EMDR New Notes on Adaptive Information Processing with Case Formulation Principles, Forms, Scripts and Worksheets by Francine Shapiro, with permission from The EMDR Institute, 2006. [PsycINFO Database]
In this study, Barber's [(1961). Resistance by scientists to scientific discovery. Science, 134, 596-602] analysis of scientists' resistance to discoveries is examined in relation to an 18-year controversy between the dominant cognitive-behavioral paradigm or zeitgeist and its chief rival - eye movement desensitization and reprocessing (EMDR) in treating trauma-related disorders. Reasons for persistent opposition to training, utilization and research into an identified 'evidence-based treatment for post-traumatic stress disorder' (EBT-PTSD) within US military and veterans' agencies closely parallels Barber's description of resistance based upon socio-cultural factors and scientific bias versus genuine scientific skepticism. The implications of sustained resistance to EMDR for combat veterans and other trauma sufferers are discussed. A unified or super-ordinate goal is offered to reverse negative trends impacting current and future mental healthcare of military personnel, veterans and other trauma survivors, and to bridge the scientific impasse.[PUBMED]
This protocol was derived from the notes of Neal Daniels, a clinical psychologist who was the director of the PTSD Clinical Team at the Veterans Affairs Medical Center in Philadelphia, Pennsylvania. Always concerned about the welfare of clients and practitioners, he put together a short, simple, and effective protocol for the practitioner, on the completion of any session where there was negative affect remaining. In Neal's words, "The procedure is short, simple, effective. Right after the session or later on in the day when it is possible, bring up the image of the patient; do 10-15 eye movements; generate a positive cognition and install it with the patient's image and another 10-15 movements. Once the negative affects have been reduced, realistic formulations about the patient's future therapy are much easier to develop. Residual feelings of anger, frustration, regret, or hopelessness have been replaced by clearer thoughts about what can or cannot be done. Positive, creative mulling can proceed without the background feelings of unease, weariness, and ineffectiveness. Daily, weekly, or even career-long "burn-out" can be viewed as the accumulated residual of negative feelings that were not dealt with effectively when they occurred." The idea was to work on the material right after the session or later in the day when time allowed. The Clinician Self-Care Script is provided [PsycINFO Database]
A seven phase trauma treatment project is being carried out in El Salvador under the coordination of Ignatio “Nacho” Jarero from
Mexico, with team members from Guatemala, Argentina, and the USA. Readers will recognize Nacho’s wife, Lucina Artigas, as
the inventor of the Butterfly Hug. Nacho and Lucina have been dedicated EMDR clinicians for a long time, and recently they
were approved by Robbie Dunton to become HAP facilitators in training with John Hartung. The El Salvador local coordinator is
Reginaldo Hernandez, psychiatrist and acupuncturist. The training has been quite successful so far and could become a model for other
countries.
Steketee's and Goldstein's
thoughtful comments concentrate
on the need for empirical
study of EMDR and I could not agree
more. Treatment outcome research is
notoriously scarce and traditionally
lags far behind clinical practice. For instance,
13 years after PTSD was officially
classified in the 1980 DSM-111,
only six controlled clinical treatment
studies were cited in the published literature
(Solomon, 1992) and four of these were limited to male Vietnam
combat veterans.
This report summarizes data gathered thus far from an ongoing study. Two groups (total N = 12) of Vietnam War veterans diagnosed with Posttraumatic Stress Disorder (PTSD) received a single session of exposure or Eye Movement Desensitization and Reprocessing (EMDR) focusing on the veterans’ most distressing war experience. Group assignment was random, treatment providers were blind to assessment data, and the pre- and posttreatment assessor was blind to treatment assignment. Both groups showed improvement on the Impact of Event Scale. EMDR treatment resulted in greater positive changes in within-session Subjective Units of Discomfort levels and on self-monitored severity of intrusive recollection. A trend toward decreased heart rate reactivity was observed in both groups. Results must be considered carefully due to the small number of subjects used in the study. [Author Abstract]
This workshop will present a treatment protocol that is specifically aimed at finding and strengthening a somatosensory basis for confidence
to help clients deal with recurrent difficulties. Short sets of slow eye movements are used. Participants will see video illustrations of different sections of the protocol and review in session outcomes with follow-up report by clients that suggest a generalization towards increased resilience. Participants will also learn the conjectured theoretical underpinnings of
the protocol in terms of neurophysiological processes and relationship attachment issues. This treatment protocol does not replace the standard EMDR protocol but may be used as an adjunct or as a stand alone therapy
for mild to moderate range GAF problems.
Experts told the House Veterans’ Affairs Committee that reliable methods exist to immediately diagnose and treat post-traumatic stress disorder — but they’re not used.
Udero began treating him with a method of therapy he had just learned: Eye Movement Desensitization and Reprocessing, or EMDR.
51 war veterans with PTSD symptomatology were randomly allocated to one of three conditions: two sessions of eye movement desensitization and reprocessing (EMDR), an equivalent procedure without EMDR, or a standard psychiatric support control condition. There was an overall significant main effect of time from pre- to posttreatment, with a reduction in symptomatology for all groups. However, no statistically significant differences were found between the groups. Participants in the two treatment conditions were more likely to display reliable improvement in trauma symptomatology than subjects in the control group. By 6-month follow-up, reductions in symptomatology had dissipated and there were no statistical or reliable differences between the two treatment groups. Overall, the results indicated that, with this war veteran population, improvement rates were less than has been reported in the past. Also, where improvements were found, eye movements were not likely to be the mechanism of change. Rather, the results imply that other nonspecific or therapeutic processes may account for any beneficial effects of EMDR. [Author Abstract]
The wars in Iraq and Afghanistan are producing more than just physical casualties. A study released last year shows that up to 17% of combat troops return with emotional problems, including PTSD. "In an honest: assessment of threats to this new generation of veterans, PTSD and emotional or mental [VFW Magazine Abstract]
Dear Tom and Ray: Your recent column about the person experiencing trauma after her Toyota was rear-ended by some guy going 70 mph invited me to add my thoughts: I am a psychologist in Minnesota and have treated a number of car crash victims just like your reader. They are indeed suffering from a form of post-traumatic stress disorder, and can easily be helped by a therapeutic procedure called EMDR - eye movement desensitization and reprocessing. Don't ask me to explain how it works, but believe me, it does. I have treated car crash victims, carjacking victims, rape victims and holdup victims with the same method of EMDR. They were symptom-free - and stayed that way - after just one session of the procedure. Pretty amazing. It wasn't me; it was the procedure that did the work, along with the client's own brain - which helped reprocess the trauma memory. So, tell this woman to go to the EMDR Web site, www.emdria.org, and click on the link for Find an EMDR Therapist. She should get relief from her symptoms quite rapidly - and they'll stay away. I wish her the best. - Ken
Despite a high percentage of soldiers with posttraumatic stress disorder (PTSD) and the increasing rates of suicide, the Department of Defense has failed to research one of the most effective and widely recognized trauma treatments, Eye Movement Desensitization and Reprocessing (EMDR). EMDR is included as a first line treatment for PTSD in numerous national and international practice guidelines as well as in the Veterans Administration/Department of Defense's (VA/DoD) own Clinical Practice Guideline for the Management of Post-Traumatic Stress (2010). See EMDR research and practice guidelines at the website below. [Excerpt]
The rapidity and thoroughness of EMDR therapeutic effectiveness, compared to more traditional methods of psychotherapy, calls for
a general reconceptualization of the field. As EMDR and, perhaps, other new methods continue to demonstrate what Francine
Shapiro has referred to as "accelerated information processing" these new therapeutic effects will undoubtedly become better
understood. In an initial effort to systematically integrate EMDR with other methods of treatment, the following four categories of
psychotherapeutic activity are proposed: 1. Accessing of present associative networks - the bringing forward of information (distressing, dysfunctional,
comforting, adaptive, etc.) already stored in both procedural and non-procedural systems.
2. Introduction of new information - the teaching of facts and skills, which form new or add to old associative networks.
3. Inhibition of information accessing - the tuming of attention away from dysfunctional information, with the goal of
decreasing arousal, such as with relaxation training.
4. Facilitation of the processing of information - abstract activity that makes it more likely information networks will
connect in an adaptive way, leading to the dissipation of unwarranted negative emotion and the attainment of adaptive
understanding.
Methods of psychotherapy may be distinguished by the ways in which they use or don't use activities in each of these categories.
EMDR like other methods can be so distinguished. While the proposed categorization system can be used to clarify the differences
and similarities among the various methods of psychotherapy, more relevantly to clinical practice, this conceptualization may
promote more efficient intervention choices when progress during therapy sessions has slowed or stopped. Examples of the
theoretical and clinical value of the proposed model are offered, especially in the treatment of combat related psychological trauma.
Objectif: présenter les résultats d'une étude réalisée dans le cadre du traitement des victimes de la route. Nous avons fait la distinction entre les sujets qui ont présenté un (complet n = 16) ou une forme partielle (n = 8) du syndrome de stress post-traumatique (définie par la présence de grappes A et B et l'un des groupes C ou D ).
Sujets: Toutes les victimes (âge moyen: 34,3, s = 4,19; 17 hommes et 7 femmes) ont subi une thérapie EMDR pour quatre séances de 90 minutes. Les sujets ont été inclus dans le projet thérapeutique de 18 mois et ont été suivis pendant 6 mois après la fin de la thérapie.
Procédure: Les sujets ont été envoyées par différentes associations de victimes de consulter l'un des auteurs qui ont pris en charge tous les traitements, après la première consultation, une proposition a été faite au sujet de faire partie d'un protocole de recherche. Après des explications ont été données au diagnostic (complet vs partielle SSPT) a été faite par les deux autres co-auteurs qui ont également participé à l'évaluation des différentes phases.
Les sujets devaient ensuite répondre aux questions de l'échelle d'impact de l'événement d'Horowitz (Horowitz et al, 1979) et la State-Trait Anxiety Inventory - STAI (Spielberger et al 1983). Dans le cadre du protocole thérapeutique, les sujets devaient faire une évaluation SUDS (Wolpe, 1990) qui mesure l'état de détresse concevable par le patient, évalué sur un formulaire échelle de 0 (aucun) à 10 (le pire). Ces différentes mesures ont été administrés à tous les sujets avant de commencer le traitement (T1), après quatre séances de l'EMDR (T2), et six mois plus tard (T3).
Principaux résultats: En raison de la petite taille de l'échantillon et une distribution non normale, les données ont été traitées avec des tests non paramétriques (Mann et Whitney pour les groupes indépendants et de Wilcoxon pour les mesures appariées). [Tableau 1 de l'étude des données du Programme de la conférence originale abstraite ne figurent pas ici.]
Les différences entre le prétest, post-test et l'évaluation après six mois sont montrés également très importante, indiquant un effet très positif avec l'EMDR sur la réduction des symptômes intrusifs et d'évitement. Les effets positifs du traitement sur l'anxiété de la victime peuvent également être des notes, ainsi que sur la réduction de la mousse.
Objective: To present the results of a study carried out in the framework of treating road victims. We have made the distinction between the subjects who presented a complete (n=16) or a partial form (n=8) of post-traumatic stress disorder (defined by the presence of clusters A and B and one of the clusters C or D).
Subjects: All the victims (mean age: 34.3, s=4.19; 17 men and 7 women) underwent EMDR therapy for four 90 minute sessions. The subjects were included in the therapeutic project for 18 months and were followed for 6 months after the end of the therapy.
Procedure: The subjects were sent by different associations of victims to consult with one of the authors who took charge of all of the treatments, After the first consultation, a proposal was made to the subject to be part of a research protocol. After explanations were given the diagnosis (complete vs. partial PTSD) was made by the other two co-authors who also participated in evaluations of the different phases.
The subjects then had to answer questions from Horowitz’s Impact Event Scale (Horowitz et al, 1979) and the State-Trait Anxiety Inventory – STAI (Spielberger et al 1983). In the framework of therapeutic protocol, the subjects had to do a SUDS evaluation (Wolpe, 1990) which measures the state of distress conceivable by the patient, evaluated on a scale form 0 (none) to 10 (the worst). These different measures were administered to all of the subjects before beginning the therapy (T1), after four sessions of EMDR (T2), and six months later (T3).
Main results: Because of the small size of the sample and a non-normal distribution, the data was processed with non-parametric tests (Mann and Whitney for the independent groups and Wilcoxon for the paired measures). [Table 1 of study's data from the original Conference Program abstract not included here.]
The differences between the pretest, the posttest and the evaluation after six months are shown to be equally very significant, indicating a very positive effect with EMDR on the reduction of intrusive symptoms and avoidance. The positive effects of the treatment on the victim’s anxiety can also be notes, as well as on the reduction of the SUDS.
An EMDR-HAP team provided three EMDR sessions to 21 Gulf State clinicians 2½ to 3 years after Hurricane Katrina. This presentation investigates the impact of treatment on clinicians’ suffering from the stress of disaster on their emotional health. The hypotheses that clinicians receiving EMDR treatment would show statistically significant reductions in depression, anxiety, and trauma symptoms at one week post-treatment were supported. Implications of results include adding a treatment component to EMDR-HAP trainings for clinicians in disaster stricken areas. Clinicians’ trauma resolution could lead to improved learning of EMDR, greater immunity to compassion fatigue, and hence have EMDR reach exponentially into the community and the public practice domain.
The image is familiar: A combat veteran so bothered by the memories of war that he cannot live a normal life seeks therapy to erase his demons. What you won't recognize is the treatment he's now likely to receive.
A new form of therapy, eye movement desensitization and reprocessing, or EMDR, is being used at Veterans Affairs centers across the country to help veterans who suffer from post-traumatic stress disorder. Described as "slightly odd," EMDR incorporates rapid-eye movements into an otherwise typical therapy session, making it sort of a shifty-eyed, shell-shocked trip into the potholes of memory lane.
Numerous military and veteran organizations recognize EMDR as a recommended treatment for PTSD. Rapidly increasing numbers of Active Duty, Reserve and National Guard combat veterans and their families are in need of mental health treatment, and most of that treatment will likely be provided by civilian therapists who may not have personal military experience. Therapists who have not served in the military can develop military cultural knowledge and provide equally high quality service to military individuals and families. We will discuss and develop EMDR targets related to Combat Stress Reactions, narcissism, ‘violations of the social contract’ and other trauma.
EMDR therapy, recognized by the Defense Department as an evidence-based treatment for PTSD, includes image exposure, desensitization, cognitive processing, assessment, psychoeducation and coping strategies, according to the Naval Center for Combat & Operational Stress Control.
During each session, patients are asked to recall a traumatic event and identify the positive and negative feelings associated with the event. Repetitive exercises including bilateral eye movements, with simultaneous bilateral sounds through headphones and tapping sensations in the palms, are provided to stimulate both hemispheres of the brain.
The most common task is side-to-side eye movements, allowing the patient to focus on the provider's moving finger or a light bar. The exercises are conducted for each traumatic event until the patient reassesses or recalibrates his level of emotional distress. [Excerpt]
“It was [about] learning how to get resolution with all those events, to move past them — not forget about them or make them any less impactful in my mind or in my life — but learning how, in a healthy way, I can deal with that loss and pain,” Stowe said. “I have a healthier response to adversity. I have what I consider a very healthy, productive outlook on life, and it’s directly because of EMDR [therapy].” [Excerpt]
In 2004, the United States Departments of Veterans Affairs (VA) and Defense jointly published clinical-practice guidelines for posttraumatic stress disorder (CPG-PTSD). These identified 4 psychotherapies for PTSD: cognitive therapy, eye-movement desensitization and reprocessing, exposure therapy, and stress inoculation therapy. One hundred thirty-seven mental-health professionals employed by the military or the VA were surveyed as to whether they used any of these psychotherapies and the extent of their training in them. Ninety percent of respondents reported not using any of the 4 psychotherapies. Of those who did, most had received their training before their affiliation with the military, and only a handful had training in the specific use of psychotherapy with PTSD. The lack of available, CPG-identified, effective psychotherapies is discussed as a barrier to treatment, as are possible reasons the psychotherapies are not used. A brief description of a training program is provided along with suggestions for the future.[Author]
Since 2001, the wars in Iraq and Afghanistan have caused considerable strain on military medicine to effectively manage the growing mental health demand from deployed personnel. This article examines the ability of the U.S. Department of Defense to provide quality mental health services based on the availability of (a) clinical training, (b) mental health interventions, and (c) funded research of treatments for posttraumatic stress disorder. While notable progress has been made in cognitive-behavioral treatment access and research, eye movement desensitization and reprocessing is far less available—perhaps attributable to ongoing controversy over the technique. We suggest that underserved veterans would benefit from increased availability of evidence-based behavioral treatments, perhaps through continuation of a recent regional training program.
Francine Shapiro's eye movement desensitization and reprocessing (EMDR) treatment and training manual (1995, 2001) was translated into Persian and reviewed for cross-cultural adaptation. The EMDR Persian translated edition was clinically tested in the earthquake stricken regions of Bam and Zarand in southern Iran. Therapists using this manual provided feedback in the form of an email questionnaire. According to this feedback, the manual was useful for training therapists to administer EMDR therapy in Iran. A more recent proposal for the neurobiological basis of EMDR therapy, which I have co-authored, is presented in this dissertation project. It addresses EMDR as a physical healing process that will have further acceptance by Iranians and the Iranian medical community. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 68(12-B), 2008, pp. 8409.
Los trastornos de personalidad son un grupo complejo a la hora de trabajar en
psicoterapia. Los problemas relacionales y las reacciones emocionales desbordantes suelen estar en un primer plano. Muchos de estos trastornos están generados en una historia de trauma temprano y relaciones de apego disfuncionales con los cuidadores primarios que pueden ser tratados con EMDR.
El trastorno límite de la Personalidad o TLP, se ha relacionado con una historia
temprana de apego disfuncional, con trauma en la infancia (abuso sexual, físico, trauma de apego y/o negligencia), sin embargo no todas las orientaciones terapéuticas específicas para el trastorno límite abordan de modo directo estas experiencias traumáticas previas.
Algunos autores destacan los contextos invalidantes en la historia biográfica de las
personas con este diagnostico, lo que suele ir unido a una traumatización compleja. El
concepto de trauma en EMDR es un concepto mucho más amplio del que se maneja de manera habitual, no solo es trauma. Francine Shapiro explica que muchos de nosotros pensamos que el trauma consiste en grandes acontecimientos que aparecen en las noticias (veteranos de guerra, sobrevivientes de catástrofes naturales y ataques terroristas……) pero, de hecho, por definición, trauma es cualquier hecho que ha tenido un efecto negativo duradero.
La terapia EMDR ha demostrado su eficacia en el trastorno de estrés postraumática,
siendo en estos momentos un tratamiento de elección para el TEPT. Su aplicación en una amplia gama de trastornos en cuya base se encuentran experiencias traumáticas previas se está desarrollando cada vez más. Uno de estos diagnósticos es el del trastorno límite de la personalidad que será planteado en esta mesa con un caso práctico que permitirá visualizar los resultados que se pueden conseguir en una sesión. A través del caso se
ilustrará la teoría del Modelo de Procesamiento Adaptativo de la Información (PAI) y la
posible aplicación de EMDR en los trastornos de la personalidad con trauma complejo
Personality disorders are a complex group when working in
psychotherapy. Relational problems and emotional reactions are often overflowing
be in the forefront. Many of these disorders are built on a history of
early trauma and dysfunctional attachment relationships with primary caregivers
can be treated with EMDR.
The BPD or BPD personality has been associated with a history
early attachment dysfunctional childhood trauma (sexual abuse, physical trauma
attachment and / or neglect), but not all specific therapeutic guidelines
for BPD directly addressed these previous traumatic experiences.
Some authors emphasize the disabling contexts in the biographical history of the
People with this diagnosis, which often goes hand in complex traumatization. The
EMDR trauma concept is a much broader concept of which is handled as usual, not only is trauma. Francine Shapiro explains that many of us
think that the trauma is to great events in the news (War veterans, survivors of natural disasters and terrorist attacks ......)
but, in fact, by definition, trauma is any event that has had a negative effect
durable. EMDR therapy has proven effective in post-traumatic stress disorder, being at present a treatment of choice for PTSD. Its application in a wide range of disorders whose base are previous traumatic experiences are
is developing more and more. One of these diagnoses is that of BPD personality that will be raised at this table with a case study that will
visualize the results that can be achieved in one session. Through the case
illustrate the theory of Model Adaptive Information Processing (AIP) and
possible application of EMDR in personality disorders with complex trauma.
Introdução: A prevalência da disfunção sexual masculina em suas várias formas atinge a faixa de quase 90% em alguma fase da vida. Dentre elas, a Disfunção Erétil afeta aspectos primordiais do homem e pode ter sua origem em causas psicológicas, físicas ou mistas. Notam-se investimentos científicos para uma melhor compreensão e tratamento desses transtornos, nem sempre bem sucedidos. Objetivou-se no presente projeto comparar casos diagnosticados e encaminhados por médico urologista, em tratamento de disfunção erétil, sendo um grupo tratado com o método do EMDR, e outro tratado exclusivamente pelo médico. Os pacientes serão submetidos a uma entrevista estruturada e testes antes e após o tratamento. Método: Estudo comparativo de dois grupos com diagnóstico médico de disfunção erétil, submetidos ao tratamento médico. O grupo estudo será tratado com EMDR e o controle, apenas pelo médico. Antes e ao final do tratamento responderão a inventários de Beck para Ansiedade, depressão e desesperança além de um questionário mais específico sobre sua disfunção sexual, o Índice Internacional de Função Erétil (IIFE). Resultados: Projeto em andamento.
Introduction: The prevalence of male sexual dysfunction in its various forms reaches the age of almost 90% in some stage of life. Among them, Erectile Dysfunction affects key aspects of the man and may have its origin in causes psychological, physical or mixed. Note the scientific investments to better understanding and treatment of these disorders, not always successful. The objective of this project is to compare cases diagnosed and referred by the urologist in treating erectile dysfunction, one group treated with EMDR method and handled exclusively by another doctor. Patients will undergo a structured interview and tests before and after treatment. Methods: A comparative study of two groups with a medical diagnosis of erectile dysfunction, undergoing medical treatment. The study group will be treated with EMDR and control, just by the doctor. Before and after the treatment of inventories to respond to Beck Anxiety, depression and hopelessness as well as a more specific questionnaire about their sexual dysfunction, International Index of Erectile Function (IIEF). Results: Project in progress.
Im Januar 2008 flogen Frau Dr. Helga Mattheß, Herr Dr. Arne Hofmann, Frau Silke Mehler und
Herr Dr. Hans-Henning Melbeck für Trauma-Aid / HAP nach Java/Indonesien, um das dort
begonnene Ausbildungsprojekt fortzusetzen.
Seit Anfang des Jahres 2007 engagiert sich Trauma Aid /HAP-Deutschland in einem Projekt,
bei dem indonesische PsychotherapeutInnen für die Behandlung traumatisierter Menschen in
der Region Aceh auf Sumatra ausgebildet werden. Silke Mehler und Dr. Andrea Möllering
haben im EMDRIA-Rundbrief Nr. 11 - 2/2007 darüber berichtet. Die Region Aceh war von dem
Tsunami im Indischen Ozean am 26.12.2004 mit 160.000 Toten und mehr als 500.000
Obdachlosen besonders gravierend betroffen. Eine psychosoziale Versorgung war bis dahin
kaum und eine psychotraumatologische Fachbehandlung der in großer Zahl traumatisierten
Bewohner überhaupt nicht möglich. Das Projekt versucht, diese humanitäre
Katastrophensituation zu mildern. Es ist auf drei Jahre bis Ende 2009 angelegt und wird von
der Bundesregierung (Bundesministerium für wirtschaftliche Zusammenarbeit und Entwicklung,
BMZ) finanziert und von Terre des hommes federführend betreut.
In January 2008, Dr. Helga flew Mattheß, Dr. Arne Hofmann, Silke Mehler and Dr. Hans-Henning Melbeck flew for Trauma Aid / HAP to Java / Indonesia, to continue the training project.
Since the beginning of 2007 trauma Aid / HAP Germany is involved in a project
at the Indonesian psychotherapists for treatment of traumatized people in
the Aceh region of Sumatra are trained. Silke Mehler and Dr. Andrea Möllering
have EMDRIA-Newsletter No. 11 - 2 / 2007 reported. Aceh was the region of the
Tsunami in the Indian Ocean on 26.12.2004 with 160,000 dead and more than 500,000
Homeless hit particularly severe. A psycho-social care until then
and a little psychotraumatological specialist treatment in large numbers of traumatized
Residents at all possible. The project attempts to those humanitarian
Mitigate disaster situation. It will run for three years until the end of 2009 and will
the Federal Government (Federal Ministry for Economic Cooperation and Development,
BMZ) and Terre des Hommes supports the lead.
In a project carried out by Trauma Aid-HAP Germany between 2007 and 2009 and sponsored by Terre des Hommes
and the German Official Development Assistance more than 3200 adult and child clients were treated
for mental disorders related to traumatic experiences after the Tsunami in 2004 and the civil war in Aceh/
Indonesia.
An accompanying monitoring and research component provided detailed diagnostic data before and after therapy.
This guided both the therapeutic process, and the training process in psychotraumatology. Also with this
component the long term effectiveness of the interventions was assessed. In turn these findings were related to
various traumatic events, socio-economic conditions and other non-psychological factors that influenced therapy
outcome. Particular attention was paid to a variety of cultural implications entailed in using therapies such as
EMDR in a non-Western, deeply religious and traditional context. Main results, implications for further research
and future intervention strategies will be addressed.
The mainstream treatments for Post Traumatic Stress
Disorder (PTSD) are Cognitive Behavioral and Prolonged
Exposure Therapies (CBT & PE). These closely studied evidence based
treatments also show high relapse, dropout, and failure
rates of up to half of those treated (Bryant, R., et al., 2008, p.
555). While not as well researched and harder to measure in
terms of the gold standard in Evidence Based Practice of
Psychology (EBPP), studies of “alternative” treatments and their
methods, yield different and interesting evidence.
Using the standards espoused by EBPP alongside
alternative movements, this study examined modalities used in
veterans’ treatment. A guiding question was “What can the field
of trauma studies learn from a systematic and comparative
review of the research and treatment of combat veterans
suffering the sequelae of trauma?” Included in this integrative literature review—which
generates a critique and theoretical synthesis of a body of
literature (Torraco, R., 2005, p. 356)—were peer-reviewed
studies from 2006-2010. The participating studies consisted
largely of Veterans Administration (VA)-funded, CBT/PE
treatments, with an average of over 32 patients per participating
study, of approximately 13 weeks duration, and where 20% of
patients avoided treatment, 25% dropped out, and 30% failed
treatment altogether. Concept matrix analysis of data included
distillation of essential statements further reflecting poor
tolerability, dropout, failure, and an inability to maintain
symptom reductions (75% of studies). Authors tended to
overstate positive effects while omitting adequate examination of
study design and construct validity, leading to dearth bias,
defined as scarcity of evidence hiding behind citations.
From this integrative review of the literature a
reconceptualization and agenda for future research emerged.
The reconceptualization stems from the usefulness of hybridized
efficacy and effectiveness research, self-reflection and
bracketing, and more accounting for dearth bias. The future
agenda recommends practitioners use concept matrices as
iv
research and practice tools, conduct more common factors
research, and develop more clinical practice-based evidence.
Especially as related to knowledge evaluation, increased
accountability, and system-wide change, these recommendations
can assist the spread of more diverse and useful EBPP, to help
relieve some of the pain of the traumatized combat veteran.
After September 11, a friend sent me the following quote from Hemingway, a
gift I want to share it with you.
"The world breaks everyone and afterward some are strong at the broken
places." I cannot think of a better way to capture what our aim is than to say that
through our work, we try to help our patients –and ourselves-- become stronger
at the broken places. In the process of doing the work, we also sometimes
discover amazing places that have always been strong and were never broken.
Not so infrequently, in the course of dealing with tragedy, with destruction, with
misfortune, and evil, we are taken aback by the miracles that we are privileged to
witness. Steeled for the worst, we encounter the best. It is not only that some are
strong at the broken places; it is also that, through trauma, others become
strong, and discover they’re strong in ways they never knew. For sometimes
trauma awakens extraordinary capacities that otherwise would lie dormant,
unknown and untapped. Without the trauma, they would never see the light of
day.
This section highlights the stories of several people involved in the ongoing development of traumatology and how well it's being put into practice on the front lines of trauma. This chapter is primarily oriented toward mental health professionals and clinicians. "Traumatology on the front lines with Karen Trotter" / Karen Trotter / This chapter describes Trotter's involvement with the Green Cross project, which provides consultation, information, and education to traumatologists who respond to communities in need. /// "The Green Cross Projects: Who, What, and How" / This information, excerpted from the Green Cross Projects website, describes the organization of the Project, what the Project does, and and how the Project provides services to traumatized communities. /// "Dr. Anna B. Baranowsky and the Traumatology Institute of Canada" / Anna B. Baranowsky / This chapter provides information on Baranowsky's involvement with the Green Cross Project and the Traumatology Institute of Canada. /// "Active Ingredient Study--Preliminary Findings" / Joyce Carbonell / In 1994, TIR, V/KD, EMDR, and TFT were investigated through a systematic clinical demonstration (SCD) methodology at Florida State University. This paper discusses the theoretical, clinical, and methodological implications of this study. /// "TIR in Traumatology: A Conversation with Charles R. Figley, Ph.D" / Charles R. Figley / The article is an excerpt of a brief interview with Figley on the use of TIR in traumatology. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Casualties from the Iraqi War were evacuated to a field hospital in Rota, Spain, and were screened for combat-related stress conditions. Four combat veterans requested immediate relief of their posttraumatic symptoms prior to returning to the United States. A single session of Eye Movement Desensitization and Reprocessing (EMDR) led to significant improvement in their acute stress disorder and posttraumatic stress disorder symptoms. A detailed account of those treatment sessions, as well as the proposed alterations of standard protocols for time-limited fieldwork, is presented. Compared to other early interventions, EMDR may be better suited for combat veterans. The results are promising but in need of further research.
Treating Traumatic Stress Injuries in Military Personnel: An EMDR Practitioner’s Guide offers a comprehensive treatment manual for mental health professionals treating traumatic stress injuries in both male and female veterans. It is the first book to combine the most recent knowledge about new paradigms of combat-related traumatic stress injuries (Figley & Nash, 2006) and offers a practical guide for treating the spectrum of traumatic stress injuries with EMDR, which has been recognized by the Department of Veterans Affairs and Department of Defense clinical practice guidelines as one of the most studied, efficient, and particularly well-suited evidence-based treatments for military-related stress injuries.
Russell and Figley introduce an array of treatment innovations designed especially for use with military populations, and readers will find pages filled with practical information, including appendices that feature a glossary of military terminology, breakdowns of rank and pay grades, and various clinical forms.
This report was commissioned by the Department of Veterans Affairs
(VA) to assess the scientific evidence on treatment modalities for Posttraumatic
Stress Disorder (PTSD). Reviewing the PTSD treatment
literature dating back to 1980, the year the disorder was first defined
by
the Diagnostic and Statistical Manual of the American Psychiatric Association,
proved to be a challenging task. Assessing the outcomes of treatment
depends entirely upon the self-report of those affected, without “objective”
measures such as laboratory tests or imaging. Treatment modalities
and research methods used in their evaluation have been in continuous
development. The last 30 years have also seen dramatic changes in the way
scientific evidence has been assessed in general with emerging international
standards for conducting systematic qualitative and quantitative reviews
that are quite different from the methods used in the 1980s when research
on the treatment of PTSD began.
In applying a rigorous approach to the assessment of evidence that
meets today’s standards, the committee identified significant gaps in the
evidence that made it impossible to reach conclusions establishing the
efficacy
of most treatment modalities. This result was unexpected and may
surprise VA and others interested in the disorder. Important treatment
decisions for most modalities will need to be made without a strong body of evidence meeting current standards (the committee summarizes clinical
practice guidelines developed by others in the face of this scientific uncertainty).
This overall conclusion of scientific inadequacy is not a clinical
practice recommendation or guideline. It is also not a judgment on the quality
of the research in this field using methods acceptable at the time. The
overall conclusion also adds urgency to the committee’s recommendations
for a more strategic research effort that defines the relevant populations
and subpopulations; develops and tests treatment modalities alone and in
combination, in individual and group formats (for psychotherapy), and of
various intensities and durations; uses the latest and most rigorous methods
for designing and executing study protocols; and follows all study participants
through the end of treatment and for meaningful periods thereafter.
The committee was also struck by the scant evidence exploring some of
the possibly unique aspects of PTSD in veterans. For the most part we cannot
say whether the treatment of PTSD in veterans should be the same as in
civilians, and whether important subpopulations of veterans defined by age,
sex, trauma type, socioeconomic status, educational level, comorbidities,
and brain injury should be treated the same or differently.
The committee could only conclude that well-designed research is
needed to answer the key questions regarding the efficacy of treatment
modalities in veterans. Success will depend on the collaboration of VA and
other government agencies, researchers, clinicians, and patient and veterans’
groups and will further require the continued support and attention of
policymakers and the public. The individuals returning from current conflicts
and now re-entering civilian life with this disorder deserve no less.
Alfred O. Berg, Chair
The committee concludes that the evidence is inadequate to determine
the efficacy of the following psychotherapy modalities in the treatment
of PTSD:
• EMDR
• cognitive restructuring
• coping skills training [Extracted from p. 9).
This report was commissioned by the Department of Veterans Affairs to assess the
scientific evidence on treatment modalities for Posttraumatic Stress Disorder (PTSD). Reviewing
the PTSD treatment literature dating back to 1980, the year the disorder was first defined by the
Diagnostic and Statistical Manual of the American Psychiatric Association, proved to be a
challenging task. Assessing the outcomes of treatment depends entirely upon the self-report of
those affected, without “objective” measures such as laboratory tests or imaging. Treatment
modalities and research methods used in their evaluation have been in continuous development.
The last 30 years have also seen dramatic changes in the way scientific evidence has been
assessed in general with emerging international standards for conducting systematic qualitative
and quantitative reviews that are quite different from the methods used in the 1980s when
research on the treatment of PTSD began.
Mental disorders, including posttraumatic stress disorder (PTSD), constitute an important health care need of veterans, especially those recently separated from service. Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence takes a systematic look the efficacy of pharmacologic and psychological treatment modalities for PTSD on behalf of the Department of Veterans Affairs. By reviewing existing studies in order to draw conclusions about the strength of evidence on several types of treatment, the Committee on the Treatment of Posttraumatic Stress Disorder found that many of these studies were faulty in design and performance, and that relatively few of these studies have been conducted in populations of veterans, despite suggestions that civilian and veteran populations respond differently to various types of treatment. The committee also notes that the evidence is scarce on the acceptability, efficacy, or generalizability of treatment in ethnic and cultural minorities, as few studies stratified results by ethnic background.
Despite challenges in the consistency, quality, and depth of research, the committee found the evidence sufficient to conclude the efficacy of exposure therapies in treating PTSD. The committee found the evidence inadequate to determine efficacy of different types of pharmacotherapies, of three different psychotherapy modalities, and of psychotherapy delivered in group formats. The committee also made eight critical recommendations, some in response to the VA's questions related to recovery and the length and timing of PTSD treatment, and others addressing research methodology, gaps in evidence and funding issues.
Analyses of scaled self-report data from Vietnam War veterans receiving inpatient treatment for PTSD drawn during a program evaluation study suggested inpatient treatment as provided by the program resulted in significant improvement in the areas of anxiety, anger, depression, isolation, intrusive thoughts (of combat experiences), flashbacks, nightmares (of combat experiences), and relationship problems. Comparing the relative effects of the incremental addition of eye movement desensitization and reprocessing (EMDR), relaxation training, and biofeedback found that EMDR was for most problems the most effective extra treatment, greatly increasing the positive impact of the treatment program. [Author Abstract]
Your recent newspaper column regarding the person experiencing trauma after her Toyota was rear-ended by some guy going 70 mph invited me to add my thoughts: I am a psychologist in Minnesota and have treated a number of car-crash victims just like your reader. They are indeed suffering from a form of post-traumatic stress disorder, and can easily be helped by a therapeutic procedure called EMDR - eye movement desensitization and reprocessing. Don't ask me to explain how it works, but believe me, it does. I have treated car-crash victims, carjacking victims, rape victims and holdup victims with the same method of EMDR. They were symptom-free - and stayed that way - after just one session of the procedure. Pretty amazing. It wasn't me; it was the procedure that did the work, along with the client's own brain - which helped reprocess the trauma memory. So, tell this woman to go to the EMDR Web site, www.emdria.org, and click on the link for Find a Therapist. She should get relief from her symptoms quite rapidly - and they will stay away. I wish her the best
In this review I explored the most effective treatment options available for military veterans with Post Traumatic Stress Disorder. Specifically, psychotherapy and pharmacotherapy was examined. Psychotherapy encompassed cognitive behavioral therapy, emotional desensitization and reprocessing and exposure therapy. Pharmacotherapy included selective serotonin reuptake inhibitors, tricyclic antidepressants, monoamine oxidase inhibitors, novel antidepressants and benzodiazepines. Meta analyses, literature reviews and research experiments formed the basis for the comparisons between treatments. The main findings include that the psychotherapies cognitive behavioral therapy and eye movement desensitization and reprocessing, and the pharmacotherapy selective serotonin reuptake inhibitors are the most superior treatments for veterans with PTSD.
Learning Outcomes
Delegates will learn about the variables which make treating combat veterans with PTSD different than other groups with PTSD. In terms of treatment, psychotherapeutic and psychopharmacologic options will be examined. Delegates will leave the presentation aware of what current research states on treatment efficacy of CBT, EMDR, Exposure Therapy, Antidepressants and Anxiolytics.
The first practice guideline for PTSD was published in 2000 by the International Society for Traumatic Stress Studies (ISTSS). Guidelines produced by the American Psychiatric Association and the US Departments of Veterans Affairs and Defense followed later, along with guidelines by groups in the United Kingdom and Australia (see Kilpatrick’s column, this issue, for information about PTSD treatment guidelines and references for these works). Psychotherapy figures prominently in these guidelines, especially treatments that are based on cognitive-behavioral techniques. A lot of research has appeared since 2000, so much that the ISTSS is issuing an updated guideline in 2008.
This article describes key issues to consider in interpreting the underlying literature on psychotherapy (Schnurr, 2007) and suggests articles for readers who want to read the original sources to find out which techniques are most effective. The focus is on randomized controlled trials (RCTs) and recent publications, although the bibliography includes a few references to older studies as well.
Trust interventions focus on strengthening resilience and prevent clients from being flooded by uncontrollable ideas. They include working with imagination, metaphors, symbols and artwork and cognitions. Bilateral stimulation (BLS), an element of EMDR therapy is used for: 1) resource installation and anchoring, 2)reducing distress, 3) creating new chains of associations, 4) finding new perspectives. Trust interventions aim to: 1) bring the brain back from fear made into a a state of balance, 2) draw attention to concrete [new] experiences, 3) discover and strengthen subjective and objective resources in everyday life, 4) identify and, if required, change evaluation processes and attitudes.
Steve Mraz has done a service to your readers by bringing them solid information about eye movement desensitization and reprocessing (EMDR), the evidence-based treatment for post-traumatic stress disorder that has won the highest level of recommendation in the joint Department of Defense/Veterans Affairs treatment guidelines (“Seeing relief from post-traumatic stress,” article, Aug. 7). EMDR is not only highly successful at reducing symptoms, it is also highly tolerable to clients when properly administered.
The consistent findings on the adverse psychological effects of war and terror on
children have led to a recognized need for suitable early intervention in the immediate,
midterm and post term, of mass crisis situation. This presentation will try to overview
the clinical and empirically supported interventions operating in the last two years in
Israel, with children and families living in a constant threat of bombardment and
shelling of populated areas on both sides. This presentation will focus on the war related
stress reactions of young Israeli children exposed to these experiences and
present some creative interventions done to foster resilience and coping, as well as the
treatment of PTSD reactions.
It was estimated that during this war, 4,000 Katyusha rockets and missiles hit the
northern parts of Israel. More then 1 million people were at the danger zone for a
potential direct hit. More then 500,000 Israelis relocated during the war to live in safer
areas out of the range of the rockets. The children in the war zones experienced
sounds of sirens' explosions and sound of artillery. They spent considerable time in
bomb shelters and were exposed to sights (directly or through the media of damaged
houses and casualties). This situation continues now in the southern part of the
country along the Gaza Strip were children on both sides live under the daily reality of
bombardment, casualties and death.
Many programs and individual treatments were and are still operating as the
professionals are trying to meet the needs of communities and individuals under this
chronic ongoing stress situation. A community project is operating in the southern part
of the country, where mothers and toddlers as well as the staff members of the
kindergartens, are being supported by dyadic trauma focused play therapy and
enrolled in stress managements programs. Findings on the interrelation between the
degree of the parent's PTSD on the child's aversive symptomology,and the follow up of
dyadic treatment data, will be presented.
Another program the "Huggy Puppy", exemplifies the implementation of a
developmental appropriate intervention with children in the midst of the crisis, and
the effects of building a sense of self efficacy and relatedness. This will be illustrated in
the study done by Prof. Avi Sadhe from Tel Aviv University on the effects of the "Huggy
Puppy".
The use of the modified EMDR Group Protocol for children during the war and the
efficacy of the EMDR individual treatment in the post war situation as compared to
CBT and SE FAR will be examined in the research done by Dr. Moshe Farchi of the Tel
Chai College.
These diverse interventions and treatments represent the wide range of theoretical
and practical thinking which are necessary in order to create a comprehensive holistic
model which will serve as a guideline for interventions with children in crisis.
Media and official reports on prevalence rates of military war stress injury have focused almost exclusively on escalating rates of well-known war stress injuries such as PTSD, depression, generalized anxiety, substance abuse, and traumatic brain injury (TBI). Take a look at some of this week's headlines:
•Michelle Obama Tackling PTSD Treatment For Veterans
•Veteran PTSD: Lawmakers Want Audit Of Wait Times For Appointments
However, the true impact from war trauma cannot be reduced to a handful of psychiatric diagnoses, as some may want. It is a well-established, albeit uncomfortable, and conveniently ignored historical, medical and scientific fact that human adaptation to uncontrollable, unpredictable and potentially traumatic stress "causes" or significantly contributes to a wide-range of neurobiological, physical, cognitive, emotional and behavioral changes that, when chronic and/or severe enough, will inevitably cause significant physiological alterations in the brain-mind-body, eventually leading to physical and/or psychological breakdown. It's not just me saying it. [Excerpt]
Thanks to a European Equal project the sexually abused children who came to our Center for therapy have been treated with EMDR. We will illustrate, through the use of clinical examples, the main therapeutic issues, the difficulties and strategies in order to exceed them. In particular, we will address the following topics: the use of "menus,” the use of positive installations, how to identify targets, how to exceed the use of psychological defenses, mainly dissociative, etc. We will then highlight the advantages of using EMDR with those children.
Patients facing medical problems present for psychotherapy with a variety of concerns which include: distress or fears about
the illness or condition itself (i.e., cancer, need for surgery, etc.); anxiety about various aspects of the treatment they need to
undergo; and some have trepidation about interaction with medical personnel. At the same time, patients may also be
concerned about the strength or weakness of their bodies to heal.
In addition, many patients suffer from chronic conditions which occur in either acute or chronic episodes and undermine
their lives, leaving them feeling debilitated and less functional than desired (i.e., asthma, migraine, functional bowel
distress, PMS). Some aspects of illness may be the result of somatization due to childhood trauma, secondary gain,
unconscious need to mask strong negative affect; Dissociative disorders or conversion reactions; as well as acute or chronic
stress.
History-taking includes, 1) a description of the condition, 2) the patient's perceptions or beliefs about the illness, 3) the
patient's experience with the medical system, 4) the patient's medical and personal goals. Personal history should include,
1) current life issues and past stressors, 2) significant life events, as well as the patient's pattern of coping. EMDR in
association with other psychotherapeutic techniques such as hypnosis is useful in the following ways; A) to desensitize
negative or traumatic events associated with medical treatments; B) to uncover as appropriate, stress-related or
psychological factors which may either exacerbate or be causal to the condition; C) to more quickly gain access to
underlying factors which may block healing; D) to activate the patient's own potential to heal; E) to enable the patient to
project oneself with hope into the future. Specific cases using EMDR along with other psychotherapeutic techniques will be
presented.
The EMDR treatment method and the Adaptive Information Processing model provide helpful ways to conceptualize medical issues and other issues that bring clients into treatment in medical settings. A framework to incorporate EMDR into a comprehensive treatment plan for medical patients will be provided. Case examples will be used to demonstrate case conceptualization issues, along with the eight phases of EMDR treatment. This workshop is designed for the EMDR professional who works in a medical setting. The presenter works in a VA medical center; while the focus will be on her work with veterans, the information provided may be adapted to work in civilian populations.
Eye movement desensitization and reprocessing (EMDR) is a relatively new psychological intervention which has mainly been utilized to treat PTSD symptoms. The following case study of a 75-year-old World War II veteran, however, illustrates that such symptoms can present in less obvious ways. During his incarceration, the soldier had been subjected to systematic taunting by his Japanese captives. The resultant traumatic memories had been triggered in a range of social situations over the next 50 years, leaving a legacy of morbid jealousy which was quickly and effectively treated. Potential areas for research are indicated. [Author Abstract]
In discussing the use Eye Movement Desensitization and Reprocessing (EMDR) with veterans with military-related Post-Traumatic Stress Disorder (PTSD), an overview of the disorder will be provided. Additionally, salient aspects of PTSD will be reviewed; considerations for dissociative clients will be delineated; case examples illustrating applications of EMDR will be provided; issues with respect to client preparation will be discussed; and special needs, such as treating outpatients, will be explored.
This article discusses outcome studies on eye movement desensitization and reprocessing (EMDR). It is noted that EMDR was originally designed for rapid treatment of traumatic memories, but practitioners have also applied it to such other problems as phobias, panic disorder, grief, chemical dependence, and dissociative disorders. Since the development of EMDR, numerous outcome reports in the form of case studies, single-subject experiments, and group design experiments have appeared in the literature. Several studies and meta-analyses of EMDR are described. While one meta-analysis concluded that the effects of EMDR are (a) not strong, (b) most apparent with self-report measures but absent with physiological indices of the disorder, and (c) absent altogether in some studies, other authors believe this is an overstatement. Two other meta-analyses note that there have been more controlled studies of EMDR than all other treatments for post-traumatic stress disorder (PTSD), and both acknowledge a range in findings. It has been suggested that there are numerous explanations for negative or limited findings for EMDR, most notably the use of chronic, multiply traumatized veterans (where secondary gain may be a concern), lack of treatment fidelity, and insufficient length of treatment.
Participants will: 1) learn results of research project using EMDR; 2) learn to explore the use of EMDR in an educational setting; and 3) learn to report on EMDR intervention with learning disabled students.
Problématique : L’outil thérapeutique EMDR est recommandé par l’HAS dans la prise en charge du psycho-traumatisme. Mais comment le mettre en place en pratique dans nos unités d’urgence psychiatrique ?
Méthode : La structuration suit les 8 phases du protocole validé, dont la « préparation » où l’on détermine l’indication et les cibles à traiter , une phase « ressources » indispensable dans les traumatismes complexes et en cas de risque de déstabilisation. Enfin, la phase de « désensibilisation des cognitions inadaptées et « d’installation » des cognitions plus adaptées amenant à une restructuration cognitive.
Résultats : 83 patients (sex ratio=0.76) ont mobilisé 330 interventions, soit 3.9 interventions/patient en moyenne. Ces PEC ont conduit à 6% de séances complètes de désensibilisation à l’impact de souvenir traumatique, 10% de séances incomplètes de désensibilisation, 13% d’arrêts précoces en raison d’une déstabilisation persistante ce qui est la Contre-Indication fonctionnelle principale . Dans le cas des traumatismes récents, l’efficience de l’EMDR a été confirmée avec un nombre moyen de 3 séances de 90 min par patient, permettant d’obtenir une désensibilisation complète. Dans les cas de traumatismes complexes, le nombre de séances de préparation est plus important (>5 séances) car ils nécessitent une recherche de ressources.
Discussion : L’EMDR est un outil utilisable aux urgences psychiatriques qui peut être très efficace dans le cas de traumatismes récents et simples. Le protocole est structurant et permet ainsi une bonne implication des patients et des intervenants. Mais cela nécessite une formation exigeante et couteuse. L’organisation est plus difficile dans le cas des traumatismes complexes, anciens, avec comorbidités psychiatriques. L’espacement des séances de 10j est difficile à respecter en pratique hospitalière, elles sont chronophages et fatigantes, aussi bien pour le soigné que le soignant. Projet : à la suite de cette observation, démontrer en 2013 que cette approche pourrait réduire la durée d’hospitalisation et la fréquence des récidives dans les cas de troubles de la personnalité souvent associés à des traumatismes anciens en permettant en quelque sorte d’activer une restructuration cognitive.
Problem: The EMDR therapeutic tool is recommended by the HAS in the management of psychological trauma. But how to set up in practice in our emergency psychiatric units? Method: The structure follows the eight phases of the validated protocol, the "preparation" where we determine the indication and the target process, a phase "resources" essential in complex trauma and in case of risk of destabilization. Finally, the phase of "desensitization inadequate cognitions and" installation "cognitions leading to a more appropriate cognitive restructuring. Results: 83 patients (sex ratio = 0.76) mobilized 330 interventions, or 3.9 interventions / patient on average. These PEC led to 6% of full sessions of desensitization to the impact of traumatic memories, 10% incomplete desensitization sessions, 13% of stops early due to a persistent destabilization which is the main functional Counter Indication . In the case of recent trauma, EMDR efficiency was confirmed with an average of 3 sessions of 90 minutes per patient to obtain a complete desensitization. In cases of complex trauma, the number of preparation sessions is larger (> 5 sessions) because they require research resources. Discussion: EMDR is a useful tool for psychiatric emergencies that can be very effective in the case of recent trauma and simple. The protocol allows structuring and good involvement of patients and stakeholders. But it requires a demanding and costly. The organization is more difficult in the case of complex trauma, elders with psychiatric comorbidities. The spacing of sessions 10j is difficult to achieve in hospital practice, they are time consuming and tiring for both the cared caregiver. Project as a result of this observation, in 2013 demonstrate that this approach could reduce the duration of hospitalization and the frequency of relapses in cases of personality disorders often associated with trauma Oldest to somehow activate a cognitive restructuring.
EMDR was one of four therapies given the highest level of evidence and recommended for treatment of PTSD.
In the article the author examines post-traumatic stress disorder treatment trends, discusses multidisciplinary work in responding to trauma and presents case studies of PTSD. Great Britain's National Institute for Health and Clinical Excellence (NICE) supports two approaches to PTSD including cognitive-behavior therapy and eye movement desensitisation and reprocessing (EMDR). The Centre for Trauma, Resilience and Growth's (CTRG) approach to PTSD is also discussed.
Jones said the EMDR therapy,
used with counseling helps
veterans deal with traumatic incidents.
not conquer them. She said
EMDR won't erase trauma victims'
memories, but it will help
them cope with the memories'
negative effect on their lives.
No abstract available.
Many veterans never dreamed of needing help coping with life following combat deployments. While the impact of surviving in a combat zone has left many veterans seeking help in overcoming posttraumatic stress disorder (PTSD), there have been significant advances in treatment. An overview of available therapy approaches for PTSD can enhance a veteran's treatment options. There are three evidenced-based psychotherapies researched with veterans and recognized to be effective in the treatment of combat-related PTSD. Cognitive Processing Therapy (CPT), Prolonged Exposure (PE), and Eye Movement Desensitization and Reprocessing (EMDR) are all accepted as being effective treatment approaches. Each form of therapy has the potential to make a positive difference in the lives of veterans who are treated. Since each therapy addresses specific treatment issues, veterans should know that if one treatment has not worked well for them, other options are available in your ]community. [Excerpt]
When Politics Trumps Science in Military Mental Health Care
In January 2011, the Government Accountability Office (GAO) investigated the DVA's indefensible decision to limit veterans' access to two of its homegrown PTSD treatments --Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT) -- while excluding external competitors, like EMDR, developed outside the DVA. For instance, despite billions of dollars spent by the DVA/DoD to research PTSD treatments (e.g., massage, art therapy, marijuana derivatives, etc.), no EMDR research has been conducted since the wars began -- a blatant disregard of military medicine's mission to ensure that all war veterans have unrestricted access to the highest quality mental health treatment possible.
Scientific and personal bias should never enter into the equation. The status quo is even more inexplicable when in February, 2012, the DVA informs the Congressional Budget Office that only 40 percent of VA PTSD patients successfully complete PTSD treatment -- a 60 percent wash-out rate!
In stark contrast, randomized controlled trials of EMDR in 1998 with Vietnam combat veterans demonstrated that 77 percent of veterans no longer had PTSD diagnosis after 12 sessions -- with no drop-out [2]. Promising results; however, 1998 marked the last EMDR research trial the DVA has funded. [Excerpt]
The mental health impact of war is often underestimated by military, government, and media officials who focus primarily on well-known conditions like depression and posttraumatic stress disorder (PTSD) while ignoring the complex toll of modern warfare. These effects are clearly evident in "war syndromes," many of which can be collectively understood as medically unexplained symptoms (MUS). The current study provides a brief historical review of combat-related MUS as well as an analysis of present evidence of a possible "Iraqi War Syndrome." An overview of past and current treatments for combat MUS is followed by a single case study treating an Iraqi war combat veteran with combat-related MUS with eye movement desensitization and reprocessing (EMDR). Therapy resulted in significant improvement of the patient's 1-year psychophysical condition and comorbid PTSD. We provide a detailed account of those treatment sessions as well as a discussion of EMDR's potential to simultaneously treat a range of combat-related psychophysical conditions without requiring extensive homework or self-disclosure that some military patients may resist. The results are promising, but they require further research. [Author Abstract]
EMDR may seem innocuous, but it is not. There are
well-established, validated treatments for many of
the conditions for which EMDR is being recommended.
Patients should not be induced to forgo
established treatments for the sake of an unproven
therapy -in effect, participating in a research
project -when they cannot give informed consent
because they are not told about the altern a t'I ves.
Furthermore, public trust in the mental healtll
professions is eroded when faddish treatments
make exaggerated claims that inevitably fall under
the weight of scientificevidence and the disillusionment
of practitioners.
It's important to remember that there are different types of treatments being used for veterans. There are three evidence-based models of psychotherapy that have been deemed efficacious as a category "A" (top rating) in the treatment of adult trauma. They are Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE). However, each of these forms of therapy has its unique approach in treating trauma. Those differences can affect the outcomes with individuals seeking therapy. If veterans have had a poor experience in treatment they should not be discouraged but rather seek other options. I'll be discussing the therapies and their differences in the future. [Excerpt]
At the time of this writing in mid-2012, there has been notable progress in terms of increased opportunities for DoD clinicians to obtain EMDR training and ensuring military beneficiary access to EMDR therapy, however the Military Health System has never researched EMDR since its 1989 inception, a remarkable gaffe given frequent reports of EMDR's effectiveness by military mental health practitioners. Moreover, to date, the Military Health System has spent well-over $400 million in researching PTSD and TBI, but has yet to conduct a single randomized clinical trial (RCT) on EMDR -- despite a decades-long war and an irate Joint Chief of Staff. Meanwhile the lead agency for training and research in Institutional Military Medicine, the DVA's National Center for PTSD, continues its staunch all-out resistance toward EMDR. In fact, despite PTSD research funding increasing from $9.9 million in fiscal year 2005 to $24.5 million in fiscal year 2009, the DVA has refused to fund a single clinical trial on EMDR since 1998. This is entirely mystifying given the significant positive results from the VA's last RCT on EMDR.
People with PTSD frequently feel as if the trauma is happening again. This is technically called "Intrusive re-experiencing. The person may have intrusive pictures in his/her head about the trauma, have recurrent nightmares or may even experience hallucinations about the trauma. Intrusive symptoms sometimes cause people to lose touch with the "here and now" or the present moment and react in ways that they did when the trauma originally occurred. Earlier the psychotherapists often downplayed this aspect until after the return of the Vietnam War veterans with severe PTSD. While with counseling and rational minds these patients might very well understand that this trauma was not of their making, yet their lives would continue to be disrupted by anger, shame and fear with recurring nightmares. Special techniques such as flooding and systematic desensitization, devised to diminish the emotional charge of traumatic memories ironically and unfortunately involved reliving those memories again and again."
In dieser Studie werden 30 Patienten mit Zahnbehandlungsphobie in einem Warte-Kontrollgruppen-Design mit Eye Movement Desensitization and Reprocessing (EMDR) behandelt. Die manualisierte Intervention umfasst drei ca. 90-minütige Sitzungen. Vor und nach der Behandlung wird die Angst vor der Zahnbehandlung mit Fragebögen und einem Verhaltenstest erfasst. Darüber hinaus werden bildgebende Untersuchungen durchgeführt (siehe folgendes Projekt).
In this study, 30 patients treated with dental anxiety in a wait-control group design with Eye Movement Desensitization and Reprocessing (EMDR). The manualized intervention includes three 90-minute sessions. Before and after the treatment, the fear of dental treatment with a behavior test questionnaires and is detected. In addition, imaging studies are performed (see next project: Erfassung neurobiologischer Korrelate der EMDR-Behandlung bei Patienten mit Zahnbehandlungsangst, by S.
Doering, V. Bisping, N. Nora Liebergesell, B. Höffkes, M. Junghöfer, C. Dobel).
Rapidly increasing numbers of Active Duty, Reserve and National Guard combat veterans and their families are receiving mental health treatment provided by civilian therapists. Therapists who have not served in the military can develop military cultural knowledge and provide equally high quality service to military individuals and families. We will discuss and develop EMDR targets related to Combat Stress Reactions, narcissism, ‘violations of the social contract’ and other trauma. Participants will receive a large amount of material in handouts and have considerable opportunity for case discussion and more.
This workshop is designed to assist participants in gaining a better understanding of what it is like to go off to war and return home, the growing need for timely, effective treatment in our communities, the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) as a treatment modality, and how local mental health providers can help military personnel, veterans and their families. [Excerpt]
Many EMDR therapists have something to contribute to the field, but may be unsure about how to write a paper for a scholarly journal. Participants in this workshop will learn to identify the types of papers that might be submitted and how to determine in which category their own project belongs. Participants will also learn a clear structured model for composing a paper, so it will have its best chance of favorable review. Finally, participants will be guided to evaluate their own project and develop a plan to bring the project to publication.
Many EMDR therapists have something to contribute to the field, but may be unsure about how to write a paper for a scholarly journal. Participants in this workshop will learn to identify the types of papers that might be submitted and how to determine in which category their own project belongs. Participants will also learn a clear structured model for composing a paper, so it will have its best chance of favorable review. Finally, participants will be guided to evaluate their own project and develop a plan to bring the project to publication.
Many EMDR therapists have something to contribute to the field, but may be unsure about how to write a paper for a scholarly journal. Participants in this workshop will learn to identify the types of papers that might be submitted and how to determine in which category their own project belongs. Participants will also learn a clear structured model for composing a paper, so it will have its best chance of favorable review. Finally, participants will be guided to evaluate their own project and develop a plan to bring the project to publication.
A book from my childhood about Medal of Honor winners has a chapter about him: "Too Young to Fight."
The Texas boy lied about his age at 17, his face and physique betraying him to the Marines who turned him away. Enlisting in the Army at the stroke of 18, he was nicknamed "Baby." Then he become one of World War II's most highly decorated warriors. From there, Second Lt. Audie Murphy graduated to the rank of movie star and, away from the set lights, to basket case.
Weitere Angaben Verfasser: Dr. Allan L. Botkin ist Psychotherapeut mit eigener Praxis. 20 Jahre lang hat er am Veterans Administration Hospital in Chicago mit Kriegsveteranen gearbeitet, wo er Menschen behandelte, die massivste Traumata erlitten hatten. Dr. R. Craig Hogan ist Direktor des Business Writing Center, eines Online-Trainingsinstituts für professionelles Schreiben....
As one of the two EMDR clinicians
involved in the "Active Ingredient"
project (Roger Solomon being the
other), I have found myself receiving
a number of questions about the other
therapies investigated and how they
might relate to EMDR. In the EMDR
Level I trainings I have conducted, it
has become clear that some clinicians
have heard a variety of storiesof what
took place at Florida State University
(under the direction of Charles Figley,
Ph.D.), where the project was conducted,
which has led to some unfortunate
misunderstandings.
Resource-georiënteerde groep EMDR in een Trauma-en EMDR-opleiding groep van inheemse helpers, die zelf te lijden van de oorlog in Bosnië-trauma-Herzigowina. De presentatie toont een succesvolle en indrukwekkende experiment van de EMDR-groep behandeling (22 volwassen helpers) na een nieuwe installatie ontwikkeld ressource protocoll door Lutz-Ulrich Besser, EMDRIA Trainer voor EMDR met kinderen, in verband met de EMDR-trauma-expositie en "4 vierkante verf -techniek ". Het experiment is reeds uitgevoerd in het jaar 2000 als een onderzoeks-en project te helpen door Robert H. Tinker Wilson en Sandra met de oorlog getraumatiseerde kinderen uit Kosovo wonen in een vluchtelingenkamp in Duitsland. Het zal niet alleen de techniek aan te tonen met foto's en "SUC-Werten" (subjectieve eenheden van comfort), maar toont ook de processieweg zoals de zaken er van negatieve naar positieve ontwikkeling in beelden, cognities, emoties en lichamelijke gevoelens. De "Sarajevo-Protocoll" en dat de mogelijkheid van EMDR behandeling in groepen zal zeer binnenkort het voorwerp uitmaken van een wetenschappelijke studie, georganiseerd door de ZPTN (Zentrum für Psychotraumatologie und Traumatherapie Niedersachsen), LMU München / Kinderklinik im Dr von Haunerschen Kinderspital en de stichting "Wings of Hope" Deutschland.
Resource oriented group-EMDR in a Trauma- and EMDR-Training group of native helpers who suffered themselves from war-trauma in Bosnia-Herzigowina. The presentation shows a successful and impressive experiment of EMDR group treatment (22 adult helpers) after a new developed ressource installation protocoll by Lutz-Ulrich Besser, EMDRIA Trainer for EMDR with children, in connection with EMDR-Trauma-Exposition and “4 square paint-technique”. The experiment has already been carried out in the year 2000 as a research- and help project by Robert H. Tinker and Sandra Wilson with war traumatised children from Kosovo living in a refugee camp in Germany. It will not only demonstrate the technique with pictures and “SUC-Werten”(subjective units of comfort) but also show the processional way as things develop from negative to positive in pictures, cognitions, emotions and physical feelings. The “Sarajevo-Protocoll” and with that the possibility of EMDR treatment in groups will be very shortly the subject of a scientific study organised by the ZPTN (Zentrum für Psychotraumatologie und Traumatherapie Niedersachsen), LMU München / Kinderklinik im Dr. von Haunerschen Kinderspital and the foundation “Wings of Hope” Deutschland.
Zelfbeeldproblematiek or negative self-image plays a role in various forms of psychopathology. It is in one sense a trans diagnostic category. In the DSM-IV 'negative self-image' is not included, which, inter alia, has no clear guidelines, let alone specific protocols exist for the "repair" of a negative self-image. This enables the practitioner to how the repair may be the best that could be addressed. This workshop is a proven effective in practice often "staged" approach presented. There are three distinct elements which are often but not always to some extent part of the treatment. Although the use of EMDR will receive due attention, the workshop approach explicitly that the vast majority of cases "EMDR-only 'will fail to achieve the self-repair. The practice often necessary 'other' interventions and methods are therefore also discussed in a framework.


