Francine Shapiro Library - EMDR Bibliography Links
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1. Dworkin, M. (2008, September). Advanced clinical strategies for clients with complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Clients with complex PTSD and dissociation present many challenges. The neurosciences have helped us to begin to understand and deal with them through a recent clarification of mirror neurons and associated neural structures in both the clinician and client. Concepts from the Boston Change Process Study Group and ego state therapy provide methods of analyzing and intervening in the “microprocesses” that occur in treatment. Hoppenwasser’s concept of “dissociative attunement” challenges thinking about the “multiple self states” both clinician and client operate from. Her ideas push us to rethink current conceptualizations of relatedness. Participants will learn how to deal with ruptures in positive empathy that may result in the history taking, assessment, and desensitization phases. In the preparation phase, participants learn to use the therapeutic relationship as an additional resource for containment. Concepts of dyadic regulation of affect, now moments and moments of meeting will be taught to deal with ruptures to the therapeutic relationship throughout treatment. Dealing productively with countertransference ruptures poses additional challenges. Participants will learn a strategy called the “relational interweave”. Its function is to restore EMDR processing when an interpersonal “event” has temporarily derailed the work. A practicum using Dworkin’s Clinician Self Awareness Questionnaire will be held in the afternoon part of the workshop to enhance learning this strategy.
Keywords: Complex Posttraumatic Stress DIsorder Complex PTSD C-PTSD Dissociation
Accuracy Verified: Yes
2. Lu, D. P., Lu, G. P., & Lu, W. I. (2007). Anxiety control of dental patients by clinical combination of acupuncture, bi-digital o-ring test, and eye movement desensitization with sedation via submucosal route. Acupuncture and Electro-Therapeutics Research, 32(1-2), 15-30 .
Language: English
Format: Journal
Abstract:
The data presented in this article was collected after reviewing clinical findings gathered from using various anxiety control methods on apprehensive patients. We examined clinical applications of the eye movement (EM) component of Eye Movement Desensitization (EMD) on fearful dental patients who have histories of traumatic dental experiences. We also used Bi-Digital O-Ring Test (BDORT) to select the proper dosage of sedative to minimize the adverse side effects. For patients who did not respond well to EM, we used BDORT to select the proper sedative medication and its dosage. In certain difficult cases, we supplemented these techniques with acupuncture to augment the sedative effects. Findings were based on the clinical impressions and assessments of both the patients and the operating team. Results showed that EM, although effective in enabling patients to undergo non-invasive dental procedures such as clinical examination and simple prophylaxis, had only limited beneficial effect with invasive procedures such as extraction, drilling, and injections, etc. We also found that BDORT greatly reduced adverse side effects of sedatives such as hypertension, hypotension, hypoxia, tachycardia, bradycardia, nausea, and vomiting. For most apprehensive patients, we found that EMD and acupuncture combined with BDORT predetermined dosage for the submucosal sedation enabled these patients to undergo the complete dental treatment. The authors try to explain the mechanism of BDORT and EM in terms of visual awareness (or consciousness) and preferred patterns, where neurons in the brain respond to the actions and/or direction of movement. The authors believe that BDORT and EM could have better results if the persons performing BDORT have visual awareness and are focused on the task; whereas in EM, the patient's eye on the therapist's hand movements. A more focused approach via visual pathway will result in more favorable results in EM. Likewise, performing BDORT absentmindedly could lead to false results if visual awareness (or consciousness) is absent. "Preferred pattern" will arouse neurons in the brain to cause conscientiousness, and performing BDORT with 'open eyes' arouse the necessary visual awareness that is necessary for the successful performance of BDORT tasks
Keywords: Acupuncture Anxiety Bi-Digital O-Ring Test Dental Phobic Patients Pharmacological sedation Preferred Patterns Visual Pathway
Accuracy Verified: Yes
3. Paulsen, S. (2012, October). Attachment repair and temporal integration: EMDR for early trauma. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.
Language: English
Format: Conference
Abstract:
Progress in neuroscience reveals that attachment learning, affect dysregulation, and traumatic experience are predominantly held in the right hemisphere (Schore, 2009). Therapists can access trauma and neglect held in the right hemisphere using EMDR, somatic awareness, imaginal excursions, and the therapists mirror neuronal experience. This workshop summarizes the Early Trauma approach of EMDR (O'Shea, 2009; and its variations for the dissociative client (Paulsen, in press). Of note is a new stabilization procedure that appears to work directly on the subcortical affective circuits (Panksepp, 1998).
The Early Trauma approach to EMDR processes preverbal implicit memory in sequential time periods, while attending to the nuances of somatic and affective experience as they emerge both in the clients subjective report and in the relationship field. As the infants story is told with the deciphering of these nuances, the therapy repairs developmental milestones imaginally. This enables integration from the bottom up, by time frame, called Temporal Integration (Paulsen, 2009), which contrasts with Strategic and Tactical Integration. Preliminary clinical findings are that the procedure helps repair injuries of attachment, structural dissociation, affect dysregulation and personality. The workshop will interest both EMDR and non-EMDR practitioners because of its significant implications for theory and practice
Learning Objectives:
Participants will be able to list a modification of the ET procedure for dissociative clients for each of the four steps.
Participants will be able to list the seven hardwired subcortical affective circuits described by Panksepp.
Participants will be able to name four steps of the Early Trauma procedure for non-dissociative clients.
Keywords: Attachment Repair Early Trauma Temporal Integration
Accuracy Verified: Yes
4. Christman, S., & Garvey, K. (2001, June). Bilateral eye movements reduce cortical activation asymmetries. Presentation at the 2001 EMDR International Association Conference, Austin, TX.
Language: English
Format: Conference
Abstract:
Alternating left-right eye movements (EMs) have been shown to enhance episodic memory recall (Christman & Garvey, 2000). In turn, enhanced recall of episodic, or autobiographical, memories has been linked to increased interhemispheric interaction (Christman & Propper, 2001; Propper & Christman, 1997). Since leftward versus rightward EMs induce right versus hemisphere activation, respectively (Bakan & Svorad, 1969), bilateral EMs may facilitate interhemispheric interaction by balancing hemispheric activation levels. In other words, asymmetries in cortical activation may impair interhemispheric communication. Christman and Garvey (2000), however, demonstrated only that bilateral EMs enhance episodic memory performance; they did not directly measure hemispheric activation. To test this hypothesis directly, participants were administered two behavioral tests that are sensitive to variations in hemispheric activation. The Chimeric Faces Test (Levy, Heller, Banich, & Burton, 1983) involves mirror-image pairs of faces, with one smiling hemiface and one neutral hemiface, presented under conditions of free viewing. Participants are asked to judge which member of a pair looks happier. Right versus left hemiface biases are associated with relative increases in left versus right hemispheric activation. Line bisection tasks also tap into hemispheric activation, with leftward versus rightward bisection errors reflecting increased right versus left hemisphere activation. Bisection tasks, however, are also influenced by premotor asymmetries (e.g., Luh, 1995), and thus represent a less pure measure of hemispheric activation.
METHODS Participants performed blocks of chimeric face and line bisection trials. They then engaged in 30 seconds of alternating left-right saccades (2 eye movements per second). Participants then performed a second block of trials for both tasks.
RESULTS Results showed that behavioral asymmetries in the chimeric face task were significantly reduced after the EMs (p<.029). This supports the hypothesis that bilateral EMs reduce hemispheric activation asymmetries. Performance on line bisection task, however, was unaffected by EMs (F<1), perhaps reflecting the fact that this task is a less direct measure of hemispheric activation.
DISCUSSION These results provide further insight into mechanisms underlying EMDR therapy used for PTSD patients. Reduction in hemispheric activation asymmetry arising from bilateral EMs employed in the current study (and in EMDR) may enhance interhemispheric communication. This interpretation is consistent with Ramachandran (1995), who showed that vestibular stimulation (inducing optokinetic nystagmus and resulting in involuntary left-right EMs) reduces the denial of deficit found in anosagnosia patients.
Ramachandran (1995) suggested that the procedure benefits the hypoaroused right hemisphere, bringing its activation level up to par with the left hemisphere. Similarly, EMs used in EMDR may balance hemispheric activation levels, in turn enhancing interhemispheric communication and retrieval of episodic memories.
Keywords: Bilateral Stimulation Eye Movements
Accuracy Verified: Yes
5. Dellucci, H. (2007, June). Can EMDR treat transgenerational transmitted trauma?. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
In certain cases, we can be confronted to a need for retreatment of targets that the person in front of us cannot have experienced by herself: second war events, being in a prison or concentration camp…
But the person in therapy show real disorders, including dissociation which seems related to those targets.
How could be treat such transgenerational trauma with EMDR? With which results? Which hypotheses could we formulate out of this work? Which are the implications on the persons’ family environment?
Out of three clinical cases, I propose to share my experience and think together on transgenerational trauma transmission and its treatment, by using the concept of mirror neurons.
Keywords: Family Mirror Neurons Poster
Accuracy Verified: Yes
6. Butler, K. (1995, July-August). Divided memories. Family Therapy Networker, 19(4), 1.
Language: English
Format: Magazine
Abstract:
Ann Norris first went to see Laguna Beach psychologist Doug Sawin in 1988. She had recently graduated from college with a degree in music and suffered from insomnia and drank alcohol to sleep. But it was her relationship with her mother, Judy, that troubled her most. After Ann's triumphant college graduation vocal recital, Judy hadn't even congratulated her. Two days later, Judy had called and angrily attacked Ann over the phone until Ann cried.
It was the kind of issue that a good family or individual therapist might have addressed by building on Ann's obvious strengths, teaching her to contain and manage her feelings, and coaching her to develop a better relationship with her mother. But Sawin instead focussed intensely on the past. Ann soon had memories of her father sexually abusing her, and later of elaborate cultic abuse, which her three siblings didn't come close to corroborating. She was hospitalized after attempting suicide, and Sawin bluntly told her father, Al, over the phone, of Ann's charges Al collapsed in tears.
Over the years, Ann drew closer to Sawin while her relations with her family and her own mental state grew more troubled. She was diagnosed with Multiple Personality Disorder and, with Sawin's support, sued her parents and grandparents for $20 million. She spent six years in therapy with Sawin She now describes psychiatric hospitals where she still stays periodically because she cuts and burns herself as her "institutional mothers." She has not spoken to her true mother in six years. And she no longer sings.
It doesn't take a PhD in psychology or a seat on a state licensing board to see that Ann is worse off than when she entered therapy. Millions of nontherapists undoubtedly made just such an assessment when Ann, her therapist and her family told their stories before millions of prime-time viewers on "Divided Memories," a four-hour PBS Frontline documentary screened in early May.
In her wide-ranging investigation of therapy, sexual abuse and memory, producer Ofra Bikel used as her primary subject families divided by recovered memories of abuse. She also managed to persuade nearly half a dozen therapists to do therapy while her camera was running. It was a remarkable event, in which all of America was invited behind the one-way mirror to see therapy in action in the midst of its most divisive controversy and to judge it for themselves.
Keywords: MPD Multiple Personality Disorder
Accuracy Verified: Yes
7. Eimer, B. N. (1995, June). EMDR applications for pain management. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The focus of this 3-hour workshop will be on using EMDR to alleviate emotional distress attendant to coping with acute physical
pain and living with chronic pain. Participants in this workshop will learn:
(a) how to conduct a targeted assessment of the patient whose chief complaint is physical pain;
(b) a guided pain healing meditation;
(c) an EMDR protocol for installing pain relief imagery and self-care techniques;
(d) an EMDR protocol for reprocessing covert pain talk, pain behaviors and pain-related memories;
(e) how to apply A.J. Popky's EMDR protocol for reducing substance abuse (i.e., Overeating,
drinking) and dependence on pain medication in this population.
The presentation will first address how to conduct a structured assessment that identifies targets for EMDR treatment. The
dysfunctional information package associated with chronic pain (termed the "biogram")and "seven keys" to understanding chronic
pain will be discussed. Then, essential principles for designing an effective individual psychotherapy program for the pain sufferer
will be presented.
Next, use of the "seven keys for constructing a guided healing meditation (i.e., Self-care technique) for the pain patient that also
incorporates Francine Shapiro's "light stream" and "spiral" guided meditations will be demonstrated. A script for this, termed the
"C.O.M.P.I.S.S. Pain Healing Meditation," will be distributed.
The workshop will then address how to introduce EMDR to the patient whose chief complaint is physical pain. What EMDR can
do and probably cannot do for pain patients will then be discussed. Next, principles for choosing an initial tarqet for reprocessing
will be discussed.
The presentation will then cover (with clinical case examples):
(1) Red flags and cautions to consider before proceeding with EMDR-
(2) What to do and what not to do if the patient is dissociative;
(3) How to "mirror" and install with EMDR empathic responses to underlying beliefs associated with
"secondary gains" minus primary losses;
(4) Teaching the distinction between pain sensations and suffering;
(5) How to teach and install with EMDR self-care and pain coping techniques such as pain relief
imagery, mental distraction techniques, safe place imagery, and positive motivation for healthy
self-care behaviors;
(6) How to directly address with the patient the application of "cognitive psychology" and imagery
for pain reduction;
(7) EMDR reprocessing of memories around the pain's origins;
(8) EMDR reprocessing of pain-related conflicts, negative beliefs, negative past experiences,
internalized self-identifications, self-punitive tendencies and self-defeating behaviors;
(9) Eliciting core negative pain coping cognitions and suggesting preferable positive cognitions to the pain patient;
(10) EMDR reprocessing of negative cognitions associated with depression and anxiety.
(11) Use of EMDR to facilitate mental rehearsal of coping responses to pain triggers;
(12) Material that often comes up in using EMDR with pain patients;
(13) Strategically restructuring patient "resistance" with coanitive interweave;
(14) Managing narcotic and pain medication seeking behavior and substance abuse;
(15) Use of Popky's EMDR protocol for reducing medication dependence and substance abuse in
this population;
(16) Treating pain patients who also have PTSD.
Videotaped case excerpts will be shown that illustrate important points covered.
If time permits, participants may be able to briefly discuss EMDR applications to specific medical and pain patient populations.
Keywords: Chronic Pain Pain Pain Management
Accuracy Verified: Yes
8. Hoeven, S. B. (2010, Juli ). EMDR en de werkgeheugentheorie: Treden er spiegelbeeldige effecten op bij oogbewegingen en imaginatie? [EMDR and the working memory theory: Are there mirror-image effects of eye movements and imagination?]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
De werking van „Eye Movement Desensitization and Reprocessing‟ (EMDR) is lange tijd onbekend gebleven, maar inmiddels zijn meerdere theorieën beschikbaar om de effecten te verklaren. De werkgeheugentheorie lijkt momenteel de theorie met de meeste wetenschappelijke ondersteuning. Het doel van het huidige onderzoek was het kritisch toetsen van de werkgeheugentheorie door het werkgeheugen te belasten met oogbewegingen tijdens het ophalen van een herinnering of maximale belasting door imaginatie en hyperconcentratie op de herinnering. Verwacht werd dat 1) oogbewegingen tijdens ophalen de herinneringen minder emotioneel, helder, compleet en waarheidsgetrouw maakt, terwijl 2) imaginatie van de herinnering resulteert in spiegelbeeldige effecten. In totaal participeerden 52 studenten verdeeld over twee experimenten, waarbij zij oogbewegingen en imaginatie aangeboden kregen tijdens het ophalen van een herinnering. Zowel oogbewegingen als imaginatie belastten het werkgeheugen in een reactietijdentaak. Imaginatie leidde tot meer complete en waarheidsgetrouwe herinneringen, terwijl voor oogbewegingen geen significante resultaten werden gevonden. Deze opmerkelijke resultaten zouden verklaard kunnen worden door de aard van de gebruikte herinneringen en de lage power van het onderzoek. De werkgeheugentheorie blijft de theorie met de meeste wetenschappelijke ondersteuning.
It has been long unknown what the mechanisms are behind Eye Movement Desensitization and Reprocessing‟ (EMDR), meanwhile there are several theories available to explain its effects. The workingmemory (WM) account seems to be a theory with most scientific support. The effort of the present study was to critically test the WM account by taxing WM with eye movements during recall or by maximum taxation with imagination of and concentration on the memory. Hypotheses were 1) eye movements during recall reduces the emotionality, vividness, completeness and veracity of the memory, while 2) imagination increases emotionality, vividness, completeness and veracity of the memory. In total participated 52 students divided in two experiments, in a within-subjects design. Both eye movements and imagination taxed WM in a reaction time task. Imagination increased the completeness and veracity of the memories, while there were no significant results in the eye movements condition. These remarkable results could be explained by the nature of the memories that were used in the experiments and low statistical power of the experiments. The WM account remains a theory with most scientific support.
Keywords: Imagination Mirror-Image Effects
Accuracy Verified: Yes
9. Brivio, R., & Bergamaschi, L. (2008, January). Human and organizational aspects affecting the wellbeing in rescue-working activity: EMDR (Eye movement desensitization and reprocessing), Mirror Neuron and Stress Inoculation: The role of training methods, practice and simulation for psychological risks prevention and management in emergency workers.. International Workshop Reinforce Rescuers' Resilience by Empowering a well-being Demension Workshop, Turin, Italy .
Language: English
Format: Conference
Abstract:
The wellbeing of rescuers: Relational, organizational and technical aspects that can affect rescuers' wellbeing during
rescue activities: Stress inoculation, role playing and the role of mirror neurons in training, also through the use of
video recordings. Relaxation techniques, psychological debriefing and EMDR in trainings.
Focus of our intervention is the wellbeing of the rescuer. The study and research
on this matter came and were carried out thanks to the activity done both during
trainings and simulations of the Civil Protection than real emergencies.
Our team work received contribution by some psychologists of OPP (Parma’s
Psychologists’ Observatory: A.Sozzi, E.Pedrelli, F.Frati, A. Bocelli, T. Serra). Wellbeing, defined as a subjective and positive emotional state together with a
global life satisfaction (Diener, 1984), is strongly at risk during rescuer’s
emergency activities and can affect the rescuer both physically and
psychologically. The rescuer's capabilities, that we think are technical “know how” and thorough
knowledge, are essential to give the best performance according to the complexity
and urgency of the intervention. These skills can really contribute to the rescuer's
wellbeing, because they can improve the self-efficiency perception.
To effectively manage and train rescuers, it is furthermore important to consider
and acknowledge the influence of interpersonal relationships on technical
performances. It is, in fact, particularly important to recognize and support the
typical relationships that can be created in a team with the same task and
specialization, as well as in multidisciplinary teams, or teams belonging to
different Institutions but operating in the same scenario.
In recent years increasing attention has been given to training activities, even through the use of the role play for interventions in artificial emergency
scenarios. To recreate scenarios of massive emergencies, different Civil Protection
Associations, as well as First Aid volunteer associations and the local
Institutions have been involved. In these simulations, most cases focus on improving technical performances.
Lately psychologists have been asked to join the rescuers team.
During these simulations, the role-play of emotional and psychological problems
occurs thanks to the cooperation between emergency psychologists and the
medical team. The introduction of the role and expertise of psychologists allowed to extend and
strengthen the attention to cross support and care aspects for the psychological
wellbeing of both victims and rescuers.
The psychologist must therefore consider the “wellbeing” in all the emergency
scenarios and contexts, as a sum of all the components that we talked about here
and the ones we will describe during our intervention.
He must first of all be aware of the complexity of each intervention in the field,
and adopt a kind of approach aimed at creating and recovering wellbeing
strategies, that can be used by himself as well.
Strategies on how to build, recover and maintain the wellbeing identify stress as
the first danger source the rescuer has to face in his training and emergency
activity.
When external events or stimuli are perceived as difficult to face compared with
resources available at that moment, the individual gets stressed.
When the person's efforts are not adaptive to the external requests and/or
coherent with his performance expectations, he becomes vulnerable to emotional,
behavioural, cognitive and physical reactions, which can be even very difficult to
manage both in the short and/or in the medium-long term.
This can happen when the sources of stress depend on the rescuer’s
performance, and it can also happen in case of post traumatic stress, visible in
different stages after the event.
From the psychologist's specialist background and from the integration of this
with the result of field experiences, the demand for a range of different tools to
manage the different kinds of stress emerges, and these tools must be applicable
both to the individual and to the group.
This range is still improving, and the results of our observational activity from
past and present experiences lead us to see the opportunity to carry on our
research of tools of efficacy.
During this speech we would like to underline that approaches like Stress
Inoculation Training (SIT, Michenbaum, 1983) and the use of role playing allow
the technical appraisal and let the rescuers improve their stress management
skills, and all that can lead to a decrease in the risk of PTSD.
In past simulations of emergencies, we found out that the use of videotapes for
the role plays is a tool that should be taken more into account. We think it is
important to evaluate its potential for the rescuers' benefit, because it seems to
be not only “a record of technical performances”, but also an observation and
learning tool about the rescuer's own defence and adaptive strategies.
In fact, during these simulations we found out that the rescuers' psychological
and emotional vulnerability emerged in several situations. The fact that even in these artificial situations there were acute stress episodes and O codes urged us
to focus more on the matter of mutual influence between technical performance
and internal experience of stress.
We understand that such acute stress episodes may occur during real life critical
events but we can see how role playing and video recordings show that such
acute stress episodes affected the simulators themselves even during the
simulation. The videos show that even apparently “high immunity” simulators,
who are considered 'immune' thanks to their comprehensive and strong
experience, experienced acute stress, perhaps because of an incorrect selfevaluation
of their own stress management skills.
The interest in the use of videos as a training and reprocessing tool for rescuers
led some of us to specialize in role playing recording, so as to carry out a more
accurate and comprehensive study on those same videos and use them as a
mirror of reality and better educational tool through a vicar experience or through
“seeing oneself from within the experience” and in the interpersonal dynamics
that took place in the scenario.
Videotapes are a very known and widely used tool in other kinds of trainings,
disciplines and therapies (i.e. Family Therapy and CBT).
The discovery of mirror neurons by Rizzolati, Gallese et Al., provides the evidence
that when someone observes the same action performed by another person, the
neurons "mirrors" the behaviour of that person, as though the observer were itself
acting. Thanks to these researchers it is now proven that this can happen
thanks to the motor neurons in the pre-motor cortex.
Therefore, we would like to underline the role of videos as very useful and
versatile training tools, since they expose a situation in an unexpected realistic
manner “as if” it were true and “as if” we were really experiencing that situation,
with the consequent learning movements at the emotional, cognitive and
behavioural level, at the stress management level, as well as at the level of team
work dynamics.
Visual imagination activates the same brain regions that are active during visual
perception and motor imagination activates the same brain regions activated the
movement is really happening.
More importantly, it was possible for us to verify that the videos recorded by other
operators were not focused on showing the important psychological aspects we
mentioned for the goal of the trainings, thing that happened instead with the
videos recorded by psychologists. We think therefore that the use of videotapes
recorded by psychologists should be given more consideration in the trainings of
rescuers. During this intervention we will devote part of the time to broadcasting
two short videos; the first one shows the role playing of an intervention in an
emergency context, and the second one shows a part of an EMDR session (Eye
Movement Desensitization Reprocessing). We think it is important to recreate and
protect rescuers wellbeing in the post-role playing and post emergency stages
too. For years EMDR has been proven effective in improving the individual's
coping skills and in reprocessing, wherever necessary, the post traumatic
aspects resulting from critical events to whom not only the victims, but also the rescuers too, are exposed during emergencies.
Keywords: Emergency Workers Mirror Neuron and Stress Inoculation Rescue-Working Activity Risk Prevention and Management
Accuracy Verified: Yes
10. Humi, M. P., Godoy-Izquierdo, D., Vazquez, M. L., & Godoy, J. F. (2012, June). Hypothesis of emotional trauma and structural dissociation in idiopathic parkinson’s disease: Treatment by EMDR?. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .
Language: English
Format: Conference
Abstract: INTRODUCTION: Idiopathic Parkinson’s disease (PD) is proposed to be the result of a multifactorial process that causes the loss of dopaminergic neurons in the substantia nigra. The first symptoms appear when dopamine is reduced by 80% in the striatum nucleus or when 60% of the negro-striatal neurons have disappeared. This indicates that the cause of PD happens or starts to be active years if not decades before the first symptoms appear. There is evidence from animal and human models that PD has an early pre-symptomatic or masked onset as a result of pre- or perinatal disruption of the neuronal development of the brain and/or by a postnatal traumatic impact very early in life affecting the neurogenesis and/or making the nigro-striatal system vulnerable to subsequent experiences (Diseth, 2005; Le, Chen and Jankovic, 2009). Medical research identifies such (subsequent) traumatic impacts in genetic or environmental factors or following a neurodevelopmental insult by aging alone (Le et al., 2009).
Keywords: Parkinson’s Disease Poster
Accuracy Verified: Yes
11. Bartozzi, R. (2008, Novembre). Il trattamento breve dei disturbi puerperali mediante assessment specifico del trauma e applicazione del protocollo EMDR [The brief treatment of puerperal disorders through assessment of specific trauma e applicazione del protocollo EMDR trauma and application of the EMDR protocol]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Il presente contributo nasce dall’esperienza maturata in psicoterapia con soggetti affetti da
depressione post-partum (DPN) e dall’assunto teorico secondo il quale la condizione di
neomaternità e la conseguente naturale disposizione all’accudimento possa entrare in conflitto
dirompente con nuclei antichi e dissociati, riconducibili a ferite traumatiche nelle relazioni primarie
d’attaccamento delle neo mamme. In altri termini, può verificarsi una ritraumatizzazione a causa
della condizione speculare in cui la mamma viene a trovarsi.
This contribution comes from the experience in psychotherapy with individuals with
post-partum depression (DPN) and the assumption according to which the theoretical condition
neomaternità natural disposition and the resulting conflict could all'accudimento
bursting with ancient nuclei and differentiated due to traumatic injuries in primary relationships
of attachment of new mothers. In other words, can occur due ritraumatizzazione
condition of the mirror in which the mother is to be.
Keywords: Assessment Attachment Conflict Handling Post-Partum Depression
Accuracy Verified: Yes
12. D'Hooghe, D. (2012, June). Integrating attachment theory and the AIP model in working with early childhood trauma in an attachment relationship [La integración de la teoría del apego y el modelo AIP al trabajar sobre el trauma infantil precoz dentro de una relación de apego]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
In
this
presentation
I
would
emphasize
the
relationship
between
attachment,
trauma
and
the
development
of
the
AMN
(adaptive
memory
network).
From
a
psychobiological
point
of
view,
we
understand
that
early
relational
experiences
shape
brain
growth
and
organization
and
that
the
major
environmental
influence
on
the
development
of
the
brain
is
the
attachment
relationship.
Reductions
in
brain
volume
and
dysfunctional
memory
networks
following
traumatic
experiences
in
early
childhood
are
documented.
When
there
is
a
distressing
incident,
it
may
become
stored
in
state-‐specific
form,
unable
to
connect
with
other
memory
networks
that
hold
adaptive
information.
The
research
of
the
neurobiology
of
the
social
brain
and
the
mirror
neuron
system
let
us
assume
that
the
AMN
is
developing
in
the
presence
of
an
attuned
caretaker.
Healing
traumatic
memories
is
relational
and
procedural.
I
use
EMDR
within
the
Phase-‐
model
of
trauma-‐informed
treatment.
During
the
preparation
phase
(phase
1
and
2
EMDR
protocol)
I
would
like
to
stress
the
importance
of:
• evaluating
the
attachment
pattern
of
the
child.
It
affects
how
the
child
relates
to
the
therapist.
Establishing
a
healing
therapeutic
relationship
is
a
goal
of
phase
2.
• the
activation
of
networks
containing
adaptive
information
and
positive
memories
• increasing
coping
abilities,
self-‐efficacy
and
sense
of
mastery.
That
may
result
in
reduction
of
the
fear
responses
and
enabling
changes
in
the
meaning
of
the
experiences,
and
a
new
memory
can
be
formed.
En
esta
presentación,
queremos
enfatizar
la
relación
que
existe
entre
apego,
trauma
y
desarrollo
de
la
red
adaptativa
de
memoria
(AMN).
Desde
un
punto
de
vista
psicológico,
entendemos
que
una
temprana
experiencia
relacional
forma
el
cerebro
y
hace
crecer
la
organización
y
consideramos
que
la
principal
influencia
ambiental
del
desarrollo
del
cerebro
es
la
relación
de
apego.
Las
reducciones
en
el
tamaño
del
volumen
del
cerebro
y
las
redes
de
memoria
disfuncionales
seguidas
de
experiencias
traumáticas
en
la
infancia
están
documentadas.
Cuando
existe
un
evento
vital
estresante,
puede
ser
almacenado
en
una
forma
específica
de
estado,
impidiendo
conectar
con
otras
redes
de
memoria
que
retienen
la
información
adaptativa.
La
investigación
de
la
neurobiología
del
cerebro
social
y
el
sistema
de
neuronas
espejo,
nos
permite
asumir
que
la
AMN
se
desarrolla
en
presencia
de
un
cuidador
acostumbrado.
Sanar
recuerdos
traumáticos
es
relacional
y
referente
al
procesamiento.
Yo
uso
EMDR
dentro
del
modelo-‐fase
del
tratamiento
para
el
trauma
informado
por
el
paciente.
Tratamiento
del
modelo
de
fase
para
el
trauma
informado:
Durante
la
preparación
fase
(fase
1
y
2
del
protocolo
EMDR)
me
gustaría
recalcar
la
importancia
de:
-‐ Evaluar
el
patrón
de
apego
del
niño.
Que
afecta
en
como
el
niño
se
relaciona
con
el
terapeuta.
-‐ La
activación
de
redes
que
contienen
información
adaptativa
y
recuerdos
positivos.
-‐ Incremento
de
las
habilidades
de
afrontamiento,
autoeficacia
y
autocontrol.
Esto
puede
conllevar
una
reducción
de
las
respuestas
de
miedo
e
inhibir
cambios
en
significado
de
las
experiencias
y
puede
llevar
a
la
formación
de
un
nuevo
recuerdo.
Keywords: Adaptive Information Processing AIP Attachment Theory Childhood Trauma
Accuracy Verified: Yes
13. Dellucci, H. (2010, Novembre). Les neurones miroirs: Une nouvelle clé pour comprendre les traumatismes transmis? [Mirror neurons: A new key to understanding the trauma transmitted?]. A l'Approfondissement Psychotherapeutique en EMDR. Moderateur, EMDRRevue, Theorie et Clinique therapeutiques.
Language: French
Format: Other
Abstract:
Cet article traite de la transmission de traumatismes aussi bien transgénérationnels
que vicariants en intégrant la notion de neurones miroirs. A partir du travail thérapeutique
mené avec deux patientes présentant des séquelles post-traumatiques en lien avec des
événements du passé qu’elles n’ont pas vécus, nous questionnons le concept de traumatismes
transmis à la lumière de la notion de neurones miroirs. Nous terminons par une réflexion
épistémologique sur le débat entre processus intrapsychiques et interactionnels en vue
d’obtenir une lecture et une intervention thérapeutique intégrative.
This paper aims to reflect about transmitted trauma, as well transgenerational trauma
as also vicarious trauma with the support of the concept of mirror neurons. Out of empirical
therapeutic work with two persons who presented post-traumatic stress disorder related to
historical dated events that they cannot have experienced, we reflect on transmitted trauma
and its possible links with the concept of mirror neurons.
We conclude with an epistemological reflection on the intrapsychic – interactional
debate in order to join more integrated views and therapeutic interventions.
Keywords: Mirror Neurons Posttraumatic Stress Disorder PTSD Transgenerational Trauma Transmitted Trauma Vicarious Trauma
Accuracy Verified: Yes
14. Bossini, L., Poliziotto, N., Tavanti, M., Calossi, S., Lombardelli, A., Vatti, G., & Castrogiovanni, P. (2006, Febbraio). Neuroimaging e PTSD: Dati morfovolumetrici e loro variazioni dopo trattamento [Neuroimaging and PTSD: Facts morfovolumetrici and their changes after treatment]. Presentazione al Congresso XI SOPSI (Società Italiana di Psicopatologia), Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Introduzione: molti studi concordano sulla riduzione del volume ippocampale nei pazienti affetti da PTSD 1 e che tale alterazione anatomica è correlata con deficit cognitivi e
con la gravità dei sintomi. Comunque ad oggi non è stato ancora chiarito se l’atrofia ippocampale rappresenta l’esito di un effetto neurotossico del trauma o, piuttosto, una condizione
preesistente che predispone allo sviluppo di alcune patologie psichiatriche. Già da tempo studi su animali dimostrano
come lo stress causi atrofia ippocampale e inibizione della
neurogenesi, con meccanismi verosimilmente legati ai glucocorticoidi, all’increzione del fattore corticotropo, all’aumento degli aminoacidi eccitatori, all’inibizione fattore
neurotrofico cerebrale con perdita della plasticità neuronale. Nell’uomo, tuttavia, i risultati non sono così lineari. Da un
lato alcuni studi hanno individuato come fattore principale l’aumento dei glucocorticoidi 2, dall’altro tale teoria è stata fortemente criticata 3. Secondo Yehuda il meccanismo di
atrofia ippocampale è dovuto ad un’alterazione dell’asse
Ipotalamo-Ipofisi-Surrene (HPA), ma in termini di una bassa
increzione di glucocorticoidi che determina un aumento del
feedback negativo dell’asse stesso ed un’ipersensibilità recettoriale.
Indipendentemente dal meccanismo d’azione, la perdita di neuroni a livello ippocampale nei soggetti che hanno subito eventi traumatici sembra sufficientemente dimostrata e, fino a poco tempo fa, era considerata irreversibile. In realtà l’ippocampo sembra presentare una inusuale e spontanea capacità rigenerativa. Questo dato è stato individuato in molte specie animali e, in un unico studio, anche nell’uomo 4. Inoltre recenti evidenze pre-cliniche e cliniche hanno indicato che gli SSRI (Selective Serotonin Reuptake Inhibitors) promuovono la neurogenesi e riducono l’atrofia ippocampale
indotta dallo stress nell’animale 5 e nell’uomo sono in grado
di ridurre i sintomi del PTSD, incrementare le dimensioni
dell’ippocampo e ridurre i deficit mnesici tipici della patologia
6 7. Un altro fattore che sembra essere in grado di stimolare la neurogenesi negli animali sembra essere “l’ambiente arricchito” verosimilmente tramite i meccanismi molecolari dell’apprendimento che sembrano in grado di attivare la trascrizione dell’mRNA per il Brain Derived Neurotrophic Factor. Questo dato della letteratura supporta il razionale dell’efficacia della psicoterapia anche se l’unico studio
che valuta le modificazioni morfostrutturali dopo psicoterapia non ha riportato risultati positivi 8. Gli scopi di questo studio sono:
– valutare la presenza di atrofia ippocampale nei pazienti affetti da PTSD (T0-drug-free);
– valutare l’effetto della terapia: farmacologica con SSRI e
psicoterapica con EMDR (Eye Movement Desensitization and Reprocessing) sia sul piano clinico e neuropsicologico,
che sul volume ippocampale, sia sulla memoria (T1). Metodologia: abbiamo analizzato un campione di 20 pazienti, di età compresa tra i 15 ed i 65 anni, reclutati nell’ambulatorio psichiatrico del Policlinico universitario di
Siena affetti da PTSD e un gruppo di controllo di soggetti
sani appaiati per sesso, età, peso e altezza. I soggetti di entrambi
i gruppi sono stati sottoposti ad uno studio morfovolumetrico
computerizzato dell’Ippocampo tramite RM (Risonanza Magnetica). Inoltre, i diciassette pazienti con PTSD sono stati valutati tramite la somministrazione di test neuropsicologici
e scale psicometriche per approfondire il quadro
psicopatologico e valutare l’eventuale presenza di deficit cognitivi. Nei soggetti affetti da PTSD dopo un periodo di sei mesi di
terapia psicofarmacologica sono stati ripetuti i test neuropsicologici,
le scale psicometriche e l’analisi morfovolumetrica dell’ippocampo tramite RM.
Tre pazienti, dopo le valutazioni al T0, hanno effettuato un protocollo terapeutico con solo EMDR e sono stati rivalutati
dopo 8 sedute (due mesi).
Risultati: i risultati della prima parte sperimentale (T0-drug-free) evidenziano che le dimensioni dell’ippocampo di
sinistra nei soggetti affetti da PTSD sono significativamente minori rispetto ai controlli sani. Dai risultati osservati al follow-up (T1-post-terapia) è possibile
evincere che la terapia nei soggetti considerati è associata ad un miglioramento della sintomatologia e ad un aumento
dei volumi ippocampali, pari al 9,87% per l’ippocampo di destra e dell’8,37% per l’ippocampo di sinistra. Questi dati
sono concordi con i dati presenti in letteratura, anche se la percentuale di recupero su base neuroplastica nel nostro studio
risulta sensibilmente superiore rispetto ai due studi presenti in letteratura incremento pari al 4,6% 6; pari al 5% 7. I tre pazienti che hanno effettuato terapia con EMDR hanno
anch’essi mostrato al T1 un miglioramento sintomatologico (CAPS non più positiva per i criteri diagnostici) ed un aumento
medio dei volumi ippocampali pari a 338,25 mm3 per
l’ippocampo DX e 357,93 mm3 per l’ippocampo SN.
Conclusioni: la terapia nei soggetti considerati si è associata ad un aumento dei volumi ippocampali (9,87%-8,37%).
L’aumento dei volumi ippocampali appare rilevante, consistente con i dati in letteratura, sebbene quantitativamente superiore, sottolineando l’efficacia degli SSRI verosimilmente tramite il meccanismo di attivazione della neurogenesi;
è ipotizzabile che l’aumento di volume non sia da imputare ad un aumento delle cellule gliali ma ad un aumento di neuroni ippocampali visto il contemporaneo miglioramento clinico. Particolarmente interessante ci sembra il dato relativo all’efficacia clinica e sulla plasticità neurale della EMDR.
Questa osservazione su solo tre casi, necessita chiaramente di essere confermata su un campione più ampio ma rappresenta la prima evidenza in letteratura di un’azione della psicoterapia
diretta alla struttura cerebrale.
Introduction: Many studies agree on the reduction of hippocampal volume in patients with PTSD and that an anatomical alteration is correlated with cognitive deficits and the severity of symptoms. However to date has not yet been clarified whether hippocampal atrophy is the result of a neurotoxic effect of trauma or, rather, an underlying condition that predisposes to the development of some psychiatric disorders. For some time animal studies show that stress causes hippocampal atrophy and inhibition of neurogenesis, by mechanisms probably related to glucocorticoids, all'increzione corticotropo factor, increased excitatory amino acid, inhibition of brain neurotrophic factor with loss of neuronal plasticity. In humans, however, the results are not so linear. On the one hand, some studies have identified as the main factor increasing glucocorticoid two other such theory was strongly criticized 3. According to Yehuda mechanism of hippocampal atrophy is due to an alteration of hypothalamic-pituitary-adrenal (HPA), but in terms of a low secretion of glucocorticoids leading to an increase of negative feedback axis and the same receptor hypersensitivity . Regardless of the mechanism of action, loss of neurons in hippocampus in people who have suffered traumatic events seems sufficiently established and, until recently, was considered irreversible. In fact, the hippocampus appears to be an unusual and spontaneous regenerative capacity. This figure has been identified in many animal species and in one study in humans 4. Moreover, recent evidence pre-clinical and clinical studies have shown that SSRIs (Selective Serotonin Reuptake Inhibitors) promote neurogenesis and reduce stress-induced hippocampal atrophy in animals 5 and humans are able to reduce symptoms of PTSD, increase the size of the hippocampus and reduce the deficit mnesic typical of the disease 6 7. Another factor that seems to be able to stimulate neurogenesis in animals seems to be "enriched environment" probably through molecular mechanisms of learning that seem able to activate the transcription of mRNA for Brain Derived Neurotrophic Factor. This finding supports the rationale of the literature of the effectiveness of psychotherapy, even if the only study that evaluates changes morphostructural after psychotherapy has shown positive results 8. The aims of this study are: - To evaluate the presence of hippocampal atrophy in patients with PTSD (T0-drug-free) - to assess the effect of therapy: pharmacological SSRI and psychotherapy with EMDR (eye movement desensitization and reprocessing) is a clinical and neuropsychological, and on hippocampal volume, and memory (T1). Methods: We analyzed a sample of 20 patients, aged between 15 and 65, recruited nell'ambulatorio Psychiatric University Hospital of Siena with PTSD and a control group of healthy subjects matched by sex, age, weight and height. Subjects in both groups were subjected to a computerized study morfovolumetrico dell'Ippocampo using MRI (Magnetic Resonance). In addition, seventeen patients with PTSD were assessed through administration of psychometric scales and neuropsychological tests to study the psychopathological picture and evaluate the possible presence of cognitive deficits. In subjects with PTSD after a period of six months of pharmacological therapy were repeated neuropsychological tests, scales psychometric analysis morfovolumetrica hippocampus by MRI. Three patients at T0 after assessments, carried out a treatment protocol with only EMDR and were reassessed after eight sessions (two months). Results: The results of the first experiment (T0-drug-free) show that the size of the left hippocampus in patients with PTSD are significantly lower compared to healthy controls. The results observed during the follow-up (T1-post-therapy) can be inferred that therapy in patients considered to be associated with improvement in symptoms and an increase in hippocampal volume, equal to 9.87% for the right hippocampus and 8, 37% for the left hippocampus. These data are consistent with the data in the literature, although the recovery rate based on neuroplastic in our study is significantly higher than in the two studies in the literature increase of 4.6% 6; 5% 7. The three patients who have treatment with EMDR have also shown an improvement in symptoms at T1 (CAPS no longer positive for the diagnostic criteria) and an average increase in hippocampal volume amounted to 338.25 mm3 for the hippocampus and DX 357, 93 mm3 for the hippocampus SN. Conclusions: Therapy in patients considered was associated with an increase in hippocampal volume (9.87% -8.37%). The increase in hippocampal volume appear to be relevant, consistent with the literature data, although quantitatively greater, stressing the effectiveness of SSRIs probably through the mechanism of activation of neurogenesis, it is conceivable that the increase in volume is attributable to an increase glial cells but an increase of hippocampal neurons seen the simultaneous clinical improvement. Seems particularly interesting given the relative clinical effectiveness of EMDR and neural plasticity. This observation on only three cases, clearly needs to be confirmed on a larger sample but represents the first evidence in the literature of action of psychotherapy directed at brain structure.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
15. Monticelli, M. L. (2008, Novembre). Psicoterapia cognitivo costruttivista e EMDR integrati: verso un’evoluzione mente-corpo consapevole e collettiva [Cognitive constructivist EMDR integrated into development mind-body awareness and collective]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
I limiti mentali autoimposti acquisiti da copioni familiari reiterati in età evolutiva e da modelli operativi interiori acquisiti dalle autorità societarie attraverso mezzi di comunicazione di massa e regole educativo-lavorative, inducono percentuali sempre più rilevanti della popolazione europea alla vulnerabilità psicopatologica. L’esordio delle sintomatologie psichiche e somatiche di varia entità, avviene già in fasi precoci, nella primissima infanzia e spesso già nelle fasi prenatali, e il limite di età tende percentualmente a essere sempre più sensibile fin dal primo mese di vita. In età scolare si manifestano situazioni comportamentali quali il cosiddetto “bullismo” e fenomeni con campionature rilevanti di sindromi ipercinetiche con deficit attentivo e disturbi del-l’apprendimento. In adolescenza il contesto si complica e gli attacchi di panico, le sindromi depressive e i disturbi alimentari psicogeni dilagano, fino all’esordio di disturbi post-traumatici da stress che si incrementano in seguito alle difficili scelte di orientamento universitario o lavorativo. La vulnerabilità dell’età adulta si manifesta con disturbi somatoformi di diversa natura, disturbi psicocardiologici, sindromi ansioso-depressive, attacchi di panico, disturbi di coppia e relazionali, per citare i più frequenti e limitandomi solo ad accennare l’esistenza della molteplicità di disturbi iatrogeni. In tali soggetti, la consapevolezza di essere indotti in stati di shock che incrementano molteplici disturbi somatoformi e psicopatologici è praticamente assente. Essi, come pazienti, si rivolgono agli specialisti in ambito sanitario con la convinzione, spesso indotta da propagande dei mass-media, che tutto sia solo genetico, e vada "curato" con farmaci per lunghi periodi se non per tutta la vita. Anche da parte degli operatori sanitari vi sono ampie aree di inadeguatezza metodologica: ad esempio, la gravidanza viene gestita come fosse una malattia, riducendo la donna partoriente a una paziente alla quale troppo facilmente si “consiglia” il parto cesareo (statisticamente tra i più frequenti in Italia!) come metodo “veloce e sicuro” di parto, togliendo la competenza materna dell’imprinting alla nascita del bambino con le conseguenze psicologiche che ne derivano per la relazione madre-bambino e per la crescita serena di quest’ultimo, e, sempre a titolo esemplificativo, ignorano quasi del tutto gli aspetti di psicocardiologia, e il loro intervento si riduce a esami medici invasivi e a somministrazione di farmaci. Eppure, la psicoterapia cognitiva costruttivista, e specificamente modelli teorici e tecniche strategiche specialistiche note come EMDR (Eye Movement Desensitization and Reprocessing), l’utilizzo di biofeedback, l’innovativo training emotivo-cognitivo-comportamentale da me ideato nelle due versioni per la psicoterapia e per i gruppi in formazione che incrementa il riconoscimento emotivo e l’implementazione di immagini mentali idonee a modificare cognizioni e comportamenti irrazionali, quando eticamente e competentemente applicati, fanno molto per questi pazienti, sia in quanto si incrementa sensibilmente il livello della loro consapevolezza e della loro capacità di farsi protagonisti nel-l'evoluzione positiva della loro “guarigione”, sia in quanto si può intervenire in modo mirato con sperimentati protocolli per la risoluzione dello stato di trauma psichico in tempi ragionevolmente rapidi e con risultati attendibili e verificabili. Passando dalla dimensione individuale a quella collettiva, ossia alla psicopatologia collettiva cagionata dall’esposizione (anche solo mediatica) ad eventi catastrofici o angoscianti (magari associati a senso di impotenza, insicurezza, precarietà) o a diversi tipi di stress e vulnerabilità, possiamo aggiungere che, analogamente, mediante un lavoro su sistemi di neuroni specchio e sull'attivazione di nuove connessioni di reti neurali con un modello operativo non invasivo, si potrebbe migliorare la condizione di intere popolazioni rispetto a disturbi che, oggettivamente, sono in continua diffusione.
Sarebbe opportuno iniziare una sensibilizzazione collettiva partendo dalla formazione per livelli differenziati degli operatori educativi e sanitari, per poi estenderla alla popolazione suddividendola
per fasce di età e per territori di appartenenza; purtroppo la consapevolezza non è tra le aspettative primarie di committenti rivolti solo al profitto economico.
In un contesto storico-culturale dove l’etica, le relazioni umane, la cooperazione sembrano utopiche fiabe, questa è la sfida di essere una perturbatrice emotivamente orientata ad amplificare la consapevolezza attraverso un nuovo modello psicoterapeutico e formativo integrato, al quale sto lavorando da alcuni anni con risultati incoraggianti e che sarà mia premura esporre dettagliatamente durante il Congresso EMDR 2008.
The self-imposed mental limitations acquired from family scripts repeated age and developmental models inner acquired by the company operating through means of mass communication and
educational and working rules, induce percentage increasing as the population of Europe vulnerability to psychopathology. The onset of symptoms of various psychological and somatic
entity, is already in the early stages, in early childhood and often known during prenatal and age limit percentage tends to be more sensitive since the first month of life. Age
school behavioral situations occur where the so-called "bullying" and phenomena samples relevant syndromes of attention-deficit and hyperactive disorder - learning. In adolescence the context is complicated and panic attacks, the syndromes psychogenic depression and eating disorders are rampant, until onset of post-traumatic disorders stress which increases as a result of difficult choices of university or business orientation. The vulnerability of adulthood is manifested by different types of somatoform disorders, disorders psycho, anxious-depressive syndrome, panic attacks, disorders of torque and relational to cite the most frequent is limited only to mention the existence of multiplicity of disorders iatrogenic. In these subjects, conscious of being led into a state of shock that increase multiple somatoform disorders and psychopathology is virtually absent. They, like patients, addressed to specialists in the health field with the belief, often driven by propaganda media, that everything is just genetic, and must be "cured" with drugs for long periods if not for life. Including by health workers there are large areas of inadequacy
methodological: for example, pregnancy is managed as if it were a disease, reducing the woman in labor to a patient which too easily "advise" Caesarean (statistically the most frequent in Italy!) as a method of "fast and safe childbirth, removing the competence of imprinting the birth mother of the child with the psychological consequences that entailed for the mother-child and to the peaceful growth of the latter, and, also example, know little about the aspects of psycho, and their intervention reduces to invasive medical examinations and medication. Yet, cognitive psychotherapy
constructivist theoretical models and specific strategic and technical specialists known as EMDR (eye movement desensitization and reprocessing), the use of biofeedback, the innovative
emotional-cognitive-behavioral training which I designed in two versions for psychotherapy and groups in training that increases the emotional recognition and implementation of
mental images likely to change, knowledge and irrational behavior, when ethically and competently applied, do a lot for these patients, both because it increases
significantly the level of their awareness and their ability to get players in - the positive development of their "healing", both as it can intervene in a targeted manner with
tested protocols for the resolution of the state of psychic trauma in the reasonably rapid and reliable and verifiable results. Moving from individual dimension to that
collective, that is caused by exposure to psychopathology group (even the media) to distressing or catastrophic event (perhaps associated with the sense of powerlessness, insecurity, instability) or
different types of stress and vulnerability, we can add that, similarly, through a work on systems of mirror neurons and activation of new connections of neural networks with a model
operating non-invasive, it could improve the condition of entire populations than disorders that, objectively, are in constant circulation. It would be appropriate to start a collective awareness levels, starting from training differential operators' education and health, then extend it to the population divides
by age and territories belonging unfortunately the awareness is not between the expectations primary principals addressed only in profit or loss. In a historical-cultural context where ethics, human relations, cooperation seem utopian fairy tales, this is the challenge of being an emotionally disturbing oriented to amplify the awareness through a new model of psychotherapy and integrated training, which I working for several years with encouraging results and that will spell out my readiness EMDR 2008 during the Congress.
Keywords: Mind-Body Awareness Poster
Accuracy Verified: Yes
16. Stern, L. L., & Grey, E. (2010, September/October). A recipe for health: Combining expressive arts with EMDR in the treatment of eating disorders. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
Eating-disordered clients begin treatment with a series of
unique and specific behavioral symptoms such as binge
eating, bingeing and purging, starving themselves, or overexercising,
that impede progress when using purely verbal
therapies. The research team has found that the
combination of expressive arts techniques and EMDR
treatment can be highly effective in overcoming these
impediments. This poster will briefly review basic
knowledge and practice concerning the major eating
disorders and their etiologies. We will then describe our
therapeutic process that combines expressive arts with
EMDR. This process includes (1) preparation of the client
for EMDR treatment through the use of expressive arts
techniques done in between sessions at home, (2) the use
of client drawing and writing as targets when they appear
to be a useful tool, (3) the use of a mirror exercise with
BLS as a resourcing tool to address, desensitize and help
the client reformulate body image distortion and body
hatred, and (4) the reiniorcement of gains from
reprocessing through the use of expressive techniques
throughout treatment. This poster describes these
additions to and modifications of the EMDR protocol with
expressive arts techniques, as well as the results of a pilot
experiment that compares outcomes for clients treated
with expressive arts approaches, with and without EMDR.
Keywords: Eating Disorders Expressive Arts Poster
Accuracy Verified: Yes
17. Dworkin, M., & Errebo, N. (2010). Rupture and repair in the EMDR client/clinician relationship: Now moments and moments of meeting. Journal of EMDR Practice and Research, 4(3), 113-123. doi:10.1891/1933-3196.4.3.113.
Language: English
Format: Journal
Abstract:
This article proposes that eye movement desensitization and reprocessing (EMDR) would be strengthened
by being conceptualized as a two-person therapy; that is, a therapy that employs dialogue between clinician
and client about the resonance, attunement, and intention of their relationship. Current research on
the mirror neuron system provides a hypothetical neurological underpinning to this proposal. Detailed
clinical examples illustrate rupture (Now Moments) and subsequent repair (Moments of Meeting) of the
therapeutic relationship in the Eight Phases of EMDR. The high potential for relationship rupture during
EMDR therapy is discussed. Suggestions are made for improving EMDR practice, training, and consultation
by attending to the intersubjective experience between client and clinician, especially when working
with clients who have experienced repeated and pervasive disappointments in love and work.
Keywords: Integrative Therapy Now Moments Moments of Meeting Therapeutic Relationship
Accuracy Verified: Yes
18. Dworkin, M., & Errebo, N. (2011). Rupture et réparation dans la relation patient/thérapeute EMDR: Moments urgents et moments de rencontre [Rupture and repair in the EMDR client/clinician relationship: Now moments and moments of meeting]. Journal of EMDR Practice and Research, 5(4), E74-E85. doi:10.1891/1933-3196.5.4.E74.
Language: French
Format: Journal
Abstract:
Cet article avance l’idée qu’il serait avantageux de conceptualiser l’EMDR (désensibilisation et retraitement
par les mouvements oculaires) comme une thérapie à deux personnes, c’est-à-dire une thérapie
qui emploie le dialogue entre le thérapeute et le patient autour de la résonance, de l’accordage mutuel
et de l’objectif de leur relation. Les recherches en cours sur le système des neurones-miroirs fournissent
une possible base neurologique à cette proposition. Des exemples cliniques détaillés illustrent la rupture
(moments urgents) et la réparation subséquente (moments de rencontre) de la relation thérapeutique
au cours des huit phases EMDR. Nous exposons le risque élevé de rupture de la relation au cours de la
thérapie EMDR. Nous faisons des propositions pour améliorer la pratique, la formation et les consultations
d’EMDR en prêtant attention à l’expérience intersubjective entre le patient et le thérapeute, en
particulier dans le travail avec des patients qui ont vécu des déceptions répétées et généralisées dans
leurs relations amoureuses ou professionnelles.
This article proposes that eye movement desensitization and reprocessing (EMDR) would be strengthened by being conceptualized as a two-person therapy; that is, a therapy that employs dialogue between clinician and client about the resonance, attunement, and intention of their relationship. Current research on the mirror neuron system provides a hypothetical neurological underpinning to this proposal. Detailed clinical examples illustrate rupture (Now Moments) and subsequent repair (Moments of Meeting) of the therapeutic relationship in the Eight Phases of EMDR. The high potential for relationship rupture during EMDR therapy is discussed. Suggestions are made for improving EMDR practice, training, and consultation by attending to the intersubjective experience between client and clinician, especially when working with clients who have experienced repeated and pervasive disappointments in love and work.
Keywords: Integrative Therapy Now Moments Moments of Meeting Therapeutic Relationship
Accuracy Verified: Yes
19. Dworkin, M. (2010, March). Solving transference and counter-transference with dissociative disorders in EMDR. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Chair, Michael Paterson
This workshop will focus on the types of transference and counter-transference that arise in
EMDR with dissociative clients and teach solutions. Procedural modifications have been the
focus in dealing with pathological dissociation in EMDR treatment. Separately, transference
and counter-transference with dissociative patients have been written about extensively by
experts in the dissociation field. Research findings about the effects of mirror neurons and
embedded simulation on the inter-subjective field of patient and therapist have also been
published. Strategies for dealing with these transference and counter-transference in EMDR
treatment have received little attention even though this population has intense transference,
and can activate intense counter-transference. These issues may begin during an evaluation
of the presenting problems. Strategies for identifying and using transference to enhance
dual awareness during history taking will be demonstrated. An elongated preparation phase
to develop enough trust and stabilization before exploring traumatic memories can limit
induced transference. Different parts of a dissociative patient may have different kinds of
transferences. These transferences may cause the patient to withdraw, cling or attack;
affecting the therapist’s abilities to stay attuned and focused on the work in different phases
of EMDR. Strategies of attunement to the activated part of the client will be demonstrated
in order to repair or prevent ruptures of attunement. Interactions are bi-directional, and
different (transferential) parts may activate dissociative parts of the therapist. Strategies to
somatically identify and use these counter-transferential activations in the therapist will be
taught through body based awarenesses. R/D/I strategies can be used to limit countertransference
to remain grounded and attuned. Transference and counter-transference during
the assessment phase will be identified and solutions presented. During the Desensitization
phase under-accessing or over-accessing target memories; abreaction vs. vehement emotions
will be discussed as unacknowledged dissociative moments with indications for inducing
transference, counter-transference, or both. Decisions need be made collaboratively whether
to process or contain these events. Understanding and dealing with dilemmas of dissociative
enactments are crucial to keeping the healing process going. These inter-subjective issues
may be most intense during the first four phases, but some problems may continue into
Installation and the Body Scan. Problems and solutions during Incomplete Closure and the
Re-evaluation phases will be given. Activated parts in the patient may cling or be angry with
the therapist at the end of an EMDR session. Failure or defectiveness parts of the therapist
may become activated as well. Solutions to these issues that occur during different phases
will be taught so that participants will leave the workshop with additional strategies to use
with their dissociative patients. Attunement to dissociative parts, identifying transference
and counter-transference binds; The Clinician Self Awareness Questionnaire ;
Compartmentalization; use of self soothing skills; using Relational, Empathic, and
Transferential Interweaves; identifying moments of projective identification and enactments,
and then to use them to deepen EMDR will be taught, as well as innovative inter-subjective
strategies . Case examples and awareness exercises will used throughout the workshop to
facilitate intellectual and experiential learning.
Keywords: Counter-transference Dissociative Disorders Transference
Accuracy Verified: Yes
20. Dworkin, M. (2009, August). Solving transference and countertransference with dissociative disorders in EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This workshop will focus on transference and countertransference problems and solutions in EMDR with dissociative clients. There will be a short literature review on procedural modifications in dealing with dissociation in EMDR, and transference and countertransference with dissociative patients. Research findings on mirror neurons and embodied simulation will be taught to enhance the participant’s understanding of the neurobiological substrates for attunement and resonance, and for solving transference and countertransference with dissociatives in EMDR when ruptures to relatedness occurs. Identifying and using transference reactions to enhance dual awareness will be demonstrated in history taking. Enhancements in preparation phase will be shown through case example to limit induced transference. Transference and countertransference during the assessment phase will be identified and solutions offered. In the Desensitization phase EMDR processing may induce transference, countertransference, or both (even with procedural modifications). Intersubjective challenges seem to be more intense during phases 1 -4 and 7-8. Activated parts in the patient may cling or be angry with the therapist at the end of an EMDR session, or during Re-evaluation. Failure or defectiveness parts of the therapist may become activated then as well. Different parts of a dissociative patient may appear with different kinds of transferences during different EMDR phases. These transferences challenge therapist’s abilities to stay attuned. Strategies of attunement to the activated part of the patient will be demonstrated in order to repair or prevent ruptures to the alliance and to understand the nature of the dissociated communication. Bi-directional interactions may activate parts of the patient and therapist without conscious awareness. Strategies to somatically identify and use these countertransferential activations will be taught through experiential exercises so that the therapist may have a more in depth understanding of the dissociative patient’s communications. R/D/I strategies will be reviewed and applied to the therapist to limit countertransference activations. Dealing with dissociative enactments are crucial to identify ruptures to the therapeutic alliance, restore attunement and resonance, uncover dissociative messages that can be used during EMDR processing.. Solutions to the problems that occur during different EMDR phases will be taught using lecture, discussion, case examples, written and experiential exercises so that participants will leave the workshop with additional strategies. Solutions include how to maintain attunement to dissociative parts during transferential activations while enhancing dual awareness; how to identify transference and countertransference problems during phases 1-4 and 7-8 and use them as additional sources of dissociated communications that can be used in EMDR processing ; how to use the Clinician Self Awareness Questionnaire to identify and process countertransference problems ; how to use compartmentalization strategies using R/D/I to limit countertransference activations; how to develop self soothing skills for the therapist’s dissociated parts; how and when to use Relational, Empathic, and Transferential Interweaves during Desensitization; and how to identify moments of enactments, and using EMDR strategies to deepen the EMDR experience .
Keywords: Countertransference Transference
Accuracy Verified: Yes
21. Liggan, D. Y., & Kay, J. (1999, Spring). Some neurobiological aspects of psychotherapy: A review. Journal of Psychotherapy Practice and Research, 8(2), 103-114.
Language: English
Format: Journal
Abstract:
Ever since the idea was accepted that memory is associated with alterations in synaptic strength, studies on the cellular and molecular mechanisms responsible for the plastic changes in neurons have attracted wide interest in the scientific community. This article explores the process of memory consolidation leading to persistent modifications in synaptic plasticity as a mechanism by which psychotherapy facilitates changes in the permanent storage of information acquired throughout the individual's life. The psychobiological interrelationships of affect, attachment, and memory offer a perspective regarding the etiology and treatment of clinical disturbances of affect. Analogies between brain physiology and modes of psychotherapy provide the foundation for a review of psychiatric disorders involving the inability to control fear, obsessions, compulsions, and delusions, all of which respond to psychotherapeutic interventions.
Keywords: Brain Physiology Compulsions Delusions Fear Modes of Psychotherapy Obsessions
Accuracy Verified: Yes
22. Veenstra, A. C. (2009, Maart). Spiegeltherapie en EMDR bij fantoompijn [Mirror Therapy and EMDR for phantom pain]. Presentatie op de Reahbilitation Psychologen Conferentie, Egmond aan Zee, English.
Language: Dutch
Format: Conference
Keywords: Mirror Therapy Phantom Pain
Accuracy Verified: Yes
23. Pupulin, P. (2008, Novembre). Trauma ed EMDR nei pazienti oncologici [Trauma and EMDR in cancer patients]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
L’intensità delle reazioni individuali quando viene comunicata una diagnosi di tumore può avere accenti diversi ma, generalmente, alla comunicazione della diagnosi si apre una prima fase psicologica caratterizzata da uno stato di shock per una notizia appresa come una catastrofe.
Il momento della diagnosi può rappresentare uno shock traumatico perché, da un istante all’altro, la persona si trova di fronte ad una condizione di minaccia alla propria vita. I sintomi che si presentano sono gli stessi dei Disturbi Post traumatici da Stress.
Nel corso del workshop verranno presentate le modalità efficaci di trattamento con l’approccio EMDR.
Il primo obiettivo da stabilire con il paziente è il seguente: trasformare il suo ruolo da vittima di eventi incontrollabili (malattia vissuta come una condanna che viene dall’alto) a protagonista attivo della propria vita (farò tutto il possibile per vincere la malattia). Un altro obiettivo importante è quello di risolvere i sintomi relativi al PTSD.
Al termine del trattamento EMDR, il paziente si trova non più bloccato al momento della diagnosi e della paura di non farcela, ma con un atteggiamento più consapevole e più forte associato alla sensazione di potercela fare.
Oltre che per il trauma della diagnosi, l’EMDR si può utilizzare in modo molto efficace per rielaborare anche altri nodi traumatici che i pazienti possono manifestare:
1. la paura di fare la stessa fine dell’amica/parente malata di cancro, ora deceduta;
2. la paura di guardarsi allo specchio e vedere un corpo mutilato o disgustoso;
3. l’ansia di seguire i trattamenti post-operatori e le loro conseguenze (chemioterapia, radioterapia);
4. l’ansia, che tende ad affacciarsi alla fine di questo lungo percorso, della recidiva.
L’EMDR viene applicato sui ricordi dei momenti più traumatici, sulla situazioni attuali che causano ansia e disagio e su quelle future che creano ansia anticipatoria e angoscia.
Il trauma della diagnosi di cancro quindi deve essere affrontato per primo, per evitare che il paziente si ritrovi costantemente bloccato a pensare all’idea della morte. In questo modo si può facilitare e favorire il processo che porterà ad intraprendere la via della guarigione.
The intensity of individual reactions notified when a diagnosis of cancer can have different accents but, generally, the communication of the diagnosis opens a first phase characterized by a state of psychological shock to the news learned as a catastrophe.
The time of diagnosis can be a traumatic shock because, from one moment to another, the person is faced with a condition of threat to their lives. The symptoms that occur are the same as post-traumatic stress disorders.
The workshop will discuss the effective ways to approach treatment with EMDR.
The first objective to establish the patient is as follows: to transform its role from being a victim of uncontrollable events (illness experienced as a conviction that comes from) to an active player of his life (I will do everything possible to cure disease). Another important objective is to resolve symptoms related to PTSD.
After treatment, EMDR, the patient is no longer blocked at diagnosis and the fear of not succeeding, but with a more aware and stronger associated with the feeling that I can do.
In addition to the trauma of diagnosis, EMDR can be used very effectively to reprocess other traumatic knots that patients may experience:
1. fear of the same fate of his friend / relative suffering from cancer, now deceased;
2. fear of looking in the mirror and see a mutilated body or disgusting;
3. anxiety to follow post-operative treatments and their consequences (chemotherapy, radiotherapy);
4. anxiety, which tends to appear at the end of this long path of recidivism.
EMDR is applied on the memories of the most traumatic, the actual situations that cause anxiety and unease over future that create anxiety and anticipatory anxiety.
The trauma of cancer diagnosis therefore must be addressed first, so that the patient constantly find yourself stuck to think the idea of death. In this way we can facilitate and encourage the process leading to take the path of healing.
Accuracy Verified: Yes
24. Paola, P. (2008, Novembre). Trauma ed EMDR nei pazienti oncologici [Trauma and EMDR in patients with cancer]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
L’intensità delle reazioni individuali quando viene comunicata una diagnosi di tumore può avere accenti diversi ma, generalmente, alla comunicazione della diagnosi si apre una prima fase psicologica caratterizzata da uno stato di shock per una notizia appresa come una catastrofe.
Il momento della diagnosi può rappresentare uno shock traumatico perché, da un istante all’altro, la persona si trova di fronte ad una condizione di minaccia alla propria vita. I sintomi che si presentano sono gli stessi dei Disturbi Post traumatici da Stress.
Nel corso del workshop verranno presentate le modalità efficaci di trattamento con l’approccio EMDR.
Il primo obiettivo da stabilire con il paziente è il seguente: trasformare il suo ruolo da vittima di eventi incontrollabili (malattia vissuta come una condanna che viene dall’alto) a protagonista attivo della propria vita (farò tutto il possibile per vincere la malattia). Un altro obiettivo importante è quello di risolvere i sintomi relativi al PTSD.
Al termine del trattamento EMDR, il paziente si trova non più bloccato al momento della diagnosi e della paura di non farcela, ma con un atteggiamento più consapevole e più forte associato alla sensazione di potercela fare.
Oltre che per il trauma della diagnosi, l’EMDR si può utilizzare in modo molto efficace per rielaborare anche altri nodi traumatici che i pazienti possono manifestare:
1. la paura di fare la stessa fine dell’amica/parente malata di cancro, ora deceduta;
2. la paura di guardarsi allo specchio e vedere un corpo mutilato o disgustoso;
3. l’ansia di seguire i trattamenti post-operatori e le loro conseguenze (chemioterapia, radioterapia);
4. l’ansia, che tende ad affacciarsi alla fine di questo lungo percorso, della recidiva.
L’EMDR viene applicato sui ricordi dei momenti più traumatici, sulla situazioni attuali che causano ansia e disagio e su quelle future che creano ansia anticipatoria e angoscia.
The intensity of individual reactions will be notified when a diagnosis of cancer can have different accents but, generally, the communication of the diagnosis opens a first phase characterized by a psychological state of shock for information acquired as a catastrophe.
The time of diagnosis can be a traumatic shock because, from one moment to another, the person is faced with a condition of threat to their lives. The symptoms that occur are the same as Post Traumatic Stress Disorder.
The workshop will discuss the effective ways to approach treatment with EMDR.
The first objective to determine the patient is as follows: to transform its role from being a victim of uncontrollable events (illness experienced as a conviction that comes from) to an active player of his life (I will do everything possible to cure disease). Another important objective is to resolve the symptoms related to PTSD.
After treatment, EMDR, the patient is no longer locked at the time of diagnosis and the fear of not succeeding, but with a more conscious and more associated with the strong feeling we can do it.
In addition to the trauma of diagnosis, EMDR can be used very effectively in other nodes to reprocess traumatic patients may experience:
1. the fear of the same fate of his friend / relative suffering from cancer, now deceased;
2. fear of looking in the mirror and see a mutilated body or disgusting;
3. anxiety to follow post-operative treatments and their consequences (chemotherapy, radiotherapy);
4. anxiety, which tends to appear at the end of this long process of relapse.
EMDR is applied on the memories of the most traumatic, the actual situations that cause anxiety and unease about future ones that create anxiety and anticipatory anxiety.
Accuracy Verified: No
25. Kreitzberg, J. (2011). Using magneto encephalography to determine the therapeutic efficacy of EMDR in the treatment of PTSD. Symposium presented at the Annual Linfield College Science Symposium.
Language: English
Format: Conference
Abstract:
Post-traumatic stress disorder (PTSD) is a condition that can be produced by traumatic experiences. A new study has shown that a brain scan called magneto encephalography (MEG) can identify people who have PTSD with an accuracy of 95%. Sensors measure tiny magnetic fields generated by currents flowing in and around neurons. In addition they have recently stated in the Journal of Neural Engineering that they can now watch the brain as it experiences PTSD. Imaging shows that the brain becomes hyperactive in the right temporal lobe, the location responsible for memory. Besides diagnosing PTSD, the researchers also are able to judge the severity of how much patients are suffering. Eye-movement desensitization and reprocessing (EMDR) was designed in 1987 as a treatment for PTSD. EMDR is a structured eight-phase therapy that allows for adequate reprocessing of dysfunctionally stored memory. In the processing phases the client attends to the disturbing memory in brief intervals of 15-30 seconds while also experiencing bilateral stimulation (eye movements, tones or tapping). The eight phases integrate effective elements of psychodynamic, imaginal exposure, cognitive therapy, interpersonal, experiential, physiological and somatic therapies. Now that we can locate specific biomarkers for PTSD using MEG, my hypothesis is that we will find a statistically significant difference between the control group and the group that has EMDR treatment, and that EMDR will be shown to be effective in resolving PTSD as measured by pre and post therapy MEG scans. Also using the MEG, we may be able to observe those brain actions responsible for the therapeutic efficacy of EMDR and isolate which components of EMDR trigger those brain actions. The significance of finding the answer to these questions could potentially help millions of people overcome years of suffering from psychological pain due to the after effects of severe trauma and restore them to productive lives. It could establish the status of EMDR, assisting in the decision of whether it should be listed among the evidence-based, best-practice therapy modalities and covered by insurance. Also knowing the underlying pathophysiology could contribute to the evolution, revision and refinement of diagnostic constructs for PTSD.
Keywords: Efficacy Magneto Encephalography Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
26. Shapiro, F. (2012, May 9). Why do we still feel fat after losing weight?. She Knows. Retrieved from http://www.lovingyou.com/articles/845497/why-do-we-still-feel-fat-after-losing-weight on 5/11/2012.
Language: English
Format: Other
Abstract:
Yes, the mirror does lie! Sometimes we actually are “fat heads.” That’s when being fat is in our brains, not our bodies. No matter how much weight we lose, it doesn’t seem like enough. But, it isn't your fault! It's just how our minds work. [Excerpt]
Keywords: Blog Body Distortions
Accuracy Verified: Yes