Francine Shapiro Library - EMDR Bibliography Links

 

 

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

Language: English

Format: Conference

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

Keywords: Children  Dissociation  

Accuracy Verified: Yes

2. O'Shea, M. K. (2003, May). Accessing and repairing preverbal and neglect. Poster presented at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Keywords: Neglect, Poster  

Accuracy Verified: Yes

3. O'Shea, M. K. (2003, September). Accessing and repairing preverbal trauma/neglect. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Numerous methods have attempted to repair distress remaining from very early trauma (especially adoption) or neglect, but most have been difficult, cumbersome, even traumatic. The presenter will describe and demonstrate a direct, simple, safe and incredibly effective EMDR extension, which is based on our current scientific knowledge of early brain development. Participants will (1) learn how to be able to adapt the Basic EMDR protocol when treating preverbal experiences with infants, children, adolescents and adults; (2) what language to use when accessing and repairing preverbal experiences: (3) be able to use "imaginative interweaves" to stimulate release of trapped energy and fully learn from the experience; (4) learn to use the 3 R's (Review, Release, Repair) to ensure that reprocessing of preverbal material is complete.

Keywords: Adoption  Neglect  Preverbal Trauma  

Accuracy Verified: Yes

4. Vogelmann-Sine, S., Popky, A. J., Lazrove, S., Sine, L., Speare, J., Wade, D., & Wade, T. (1995, June). Advanced clinical applications of EMDR to addictive behaviors. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This workshop addresses the application of standard and modified EMDR treatment protocols to addictive and compulsive behaviors including substance abuse/dependence, overeating, smoking, love addiction. Individuals with addictive and compulsive behaviors frequently have suffered from childhood trauma and neglect resulting in developmental arrests, as well as a variety of maladaptive behaviors which are trauma-related and serve to minimize pain. The successful implementation of EMDR to addictive behaviors requires that EMDR be used as part of an overall treatment program carefully addressing the needs of individuals who have been traumatized and are exhibiting addictive behaviors. A thorough diagnostic work up is needed aimed at assessing comorbidity, dissociation, and a detailed trauma history covering childhood traumas and traumas suffered as adults including traumas that occur as a consequence of addictive behaviors. Careful client preparation is essential to assist individuals in coping adequately with the high levels of emotion experienced during EMDR Clients' readiness to stop compulsive/addictive behaviors needs to be carefully evaluated. A decision tree aimed at determining the appropriateness of EMDR to individuals diagnosed with addictive behaviors is presented which assists clinicians in minimizing the premature use of EMDR. EMDR is a client centered method, and thus, careful pacing is needed with this population to reprocess underlying traumatic issues. This frequently implies utilizing a modified EMDR treatment protocol with only partial resolutions of underlying traumatic material. Guidelines will be discussed to assist clinicians in selecting EMDR targets for optional results which relate to the stages of recovery. EMDR can be used at all stages of recovery to neutralize the negative impact of memories contributing to problematic behaviors, such as urges to use, ambivalence about treatment, fear of facing painfull feelings from the past. EMDR also has the power to install templates for future actions which assist individuals with skill deficits in more rapidly acquiring necessary skills for a successful recovery. Examples of cognitive interweaves are presented which take into consideration clients' readiness, as well as the need to accelerate the recovery process. EMDR has a unique role in the recovery of traumatized individuals with addictive and compulsive behaviors since the accelerated processing of negative experiences and the installation of positive adaptive cognitions assist clients in more rapidly overcoming barriers throughout the recovery process. It also challenges rigid approaches to recovery which frequently stress that trauma work should not be attempted before abstinence has been accomplished for a specified period of time. EMDR is especially valuable in processing core issues which center around shame and manifest in cognitions, such as "I am defective," "There is something wrong with me," "I am not good enough," "I am not quite right," "I don't belong," "I don't deserve to live." Case examples will be given as to how such core issues can be targeted to accelerate the recovery process. A.J. Popky has developed a specialized EMDR treatment protocol which targets levels of urges of addictive/compulsive behaviors directly and installs a positive internal state of feeling empowered without relying on compulsive and addictive behaviors. Case examples fiom clinical practice indicate that when levels of urges are targeted directly, underlying traumas frequently emerge without increasing clients' usage. The symposium addresses the application of this protocol to a range of addictive and compulsive behaviors. The Wades' integrative psychotherapy combines ego-state therapy and EMDR in a psychosocial developmental context. Their substance use disorders treatment program incorporates specialized applications of their integrative psychotherapy, which includes both individual and group therapy and employs hypnosis as well as EMDR Their presentation focuses on applications of the standard EMDR protocol in individual therapy, which is limited primarily to desensitization of dysphoric affect and reprocessing negative cognitions associated with grief and trauma. Their conceptual framework of substance use disorders proceeds from a goal of reducing the harm caused by substance use and a primary distinction between functional and autonomous use (rather than the DSM conceptualizations of "dependence" or "abuse") because this guides interventions. Initial treatment planning depends upon external constraints (e.g., lack of support for positive change, hostile environment), internal limitations (e.g., severity of substance use and its effects, neurocognitive deficits, inadequate "ego strength," lack of skills, disrupted psychosocial development, psychological trauma) and the nature of the substance use disorder (i.e., functional, autonomous, or both). Methods include education about substance use disorders and processes of change, group therapy to develop skills and obtain feedback and support, individual therapy to correct disrupted development and resolve traumatic stress reactions, and exercises to apply what is learned in real-life situations. The standard EMDR protocol is applied to disrupted development involving grief and to resolve psychological trauma that lead to substance use. Case vignettes in which such applications of the standard EMDR protocol were employed are presented in detail.

Keywords: Addictions  Substance Abuse  Symposium  

Accuracy Verified: Yes

5. Turner, E. (2005, September). Affect regulation for children through art, play and storytelling. Presentation at the annual mmeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Traumatized and neglected children are likely to have deficits that results in low affect tolerance, leading to a tendency to become overwhelmed and dissociate during trauma processing. This workshop will describe the impact of the abuse and neglect on emotional regulation and the need for fun and developmentally appropriate experiences that build internal resources prior to trauma processing. Through live demonstration and small group activities, participants will learn to integrate EMDR principles with art interventions that help children identify emotion and tolerate affect. They will be able to apply EMDR principles to common games to increase affect tolerance and install resources and will be able to identify the EMDR principles inherent in effective storytelling appropriate for the preparation phase.

Keywords: Affect Regulation  Art Therapy  Children  Play Therapy  Storytelling  

Accuracy Verified: Yes

6. Lovett, J. M. (1998). Am I real?: Mobilizing inner strength to develop a mature identity. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 191-216). New York: Norton.

Language: English

Format: Book Section

Abstract:
Chris was a 44-year old woman who had extremely low self-esteem, depression, panic attacks, and symptoms of dissociation when she began EMDR-facilitated therapy. Eye movement was used initially to reinforce healthy beliefs, physical sensations, and feelings related to experiences of safety, competence, well-being, and success based on prior learning. EMDR was then employed to target painful memories of childhood scenes with her parents, as well as erroneous beliefs and feelings of intense anxiety. Although none of the memories targeted occurred before age 5, the "white empty feeling" that was targeted seemed to represent the earlier deprivation. The desired positive cognition "I am significant" became the "umbrella cognition" containing various "sub-cognitions" (such as "I am loveable," "I deserve respect," and "I can take care of my needs").As Chris reprocessed traumatic childhood memories with EMDR, more and more of these sub-cognitions were integrated. Progress was not linear, but reprocessing the client's issues as she presented them gradually led to a more stable, flexible, and resilient sense of self. Eventually, the negative self-assessments dissipated. After 18 sessions Chris felt strong and confident, fully present, and eager to be involved in intimate relationships that were based on mutual respect. [Text, pp. 215-216] [Pilots]

Keywords: Adults  Americans  Anxiety Disorders  Case Report  Child Abuse  Cognitive Therapy  Depressive Disorders  Females  Life Experiences  Neglect  Psychotherapeutic Processes  Self Esteem  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

7. Carter, A. (2007, June). Assessment and treatment of complex PTSD and dissociative disorders in childhood and adolescence, the role and use of EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Damage occurs to a child’s self in the context of relationship when raised in an environment of abuse and neglect. This damage to self is manifested through disruptions in development. A child or adolescent will be unable to perform tasks a non-traumatized child or adolescent has not difficulty mastering. These tasks may be physical, emotional, intellectual, sexual, social, or spiritual. When these disruptions become manifest in the environment with which the child or adolescent is interacting, home, school, or community, conflict arises. The conflict is both internal with self and external in relationship, behavioral, and biological. This is generally when a child or adolescent is brought into therapy for intervention Caregivers are not always aware of the impact traumatic events have on a child’s life or may not want to deal with the impact and the long term implications. The therapeutic relationship is a context outside of the system where the child was traumatized that provide the potential environment and relationship which can facilitate healing for the child, adolescent, and possible, the system in which they live.
Children and adolescents with a complex PTSD will often employ the use of dissociation as a way to cope with overwhelming events or chronically dysfunctional lifestyles. The degree and way in which the child dissociates to self regulate internal systems will determine behavioural and neurological trajectories in their life such as, how the child will cope, rupture of developmental task attainment, and it will determine what type of attachment process the child experiences. Also determined are: impulse control, sleep regulation, meta cognitive functioning, neurobiological processes and the integrative processes of self. When there is no therapeutic intervention, the self which emerges as a result of these processes is a “traumatic self” organization, that is a self structural in response to traumatic experience determined to avoid the repetition of the traumatic experience “at all costs.” The biological body that emerges is the traumatized body organized for avoidance in the forms of fighting, fleeing, or freezing and submitting.
The assessment phase of therapy will map for the therapist and client where the internal dysregulation occur, what are the maladaptive response which have been developed, and what the negative beliefs are which all contribute to the construction of the “traumatic self." There are a variety of assessment tools specifically designed for this purpose.
Once the map is established, a plan can be developed to use with children and adolescents and family for therapy and for EMDR. There are a variety of models which have been developed to use with children and adolescents to process bad memories, negative cognitions and to strengthen internal resources. EMDR can also be used to facilitate state change, strengthen self regulatory capacities, and promote integrative processes of authentic self, facilitating healing throughout self, body, and relational systems.

Keywords: Adolescents  Children  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Dissociative Disorders  

Accuracy Verified: Yes

8. 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

9. Parnell, L. (2012). Attachment-focused EMDR a client-centered therapy for healing childhood trauma and neglect. Shreveport, LA: Summit Interactive.

Language: English

Format: Video

Abstract:
Dr. Parnell presents the five basic principles of Attachment-Focused EMDR and how they are implemented in the treatment of traumatized clients with attachment wounds"--Container

Keywords: Attachment  Container  

Accuracy Verified: Yes

10. Solomon, E. P., & Heide, K. M. (2005, January). The biology of trauma:  Implications for treatment. Journal of Interpersonal Violence, 20(1), 51-60. doi:10.1177/0886260504268119.

Language: English

Format: Journal

Abstract:
During the past 20 years, the development of brain imaging techniques and new biochemical approaches has led to increased understanding of the biological effects of psychological trauma. New hypotheses have been generated about brain development and the roots of antisocial behavior. We now understand that psychological trauma disrupts homeostasis and can cause both short and long-term effects on many organs and systems of the body. Our expanding knowledge of the effects of trauma on the body has inspired new approaches to treating trauma survivors. Biologically informed therapy addresses the physiological effects of trauma, as well as cognitive distortions and maladaptive behaviors. The authors suggest that the most effective therapeutic innovation during the past 20 years for treating trauma survivors has been Eye Movement Desensitization and Reprocessing (EMDR), a therapeutic approach that focuses on resolving trauma using a combination of top-down (cognitive) and bottom-up (affect/body) processing. [Author Abstract]

Keywords: Adolescents  Child Abuse  Children  Criminal Behavior  Forensic Evaluation  Literature Review  Neglect  Neuroendocrinology  Neurophysiology  Posttraumatic Stress Disorder  PTSD  Survivors  

Accuracy Verified: Yes

11. Heide, K. M., & Solomon, E. P. (2006, May-June). Biology, childhood trauma, and murder: Rethinking justice. International Journal of Law and Psychiatry, 29(3), 220-233. doi:10.1016/j.ijlp.2005.10.001.

Language: English

Format: Journal

Abstract:
This article reviews recent findings in the developmental neurophysiology of children subjected to psychological trauma. Studies link extreme neglect and abuse with long-term changes in the nervous and endocrine systems. A growing body of research literature indicates that individuals with severe trauma histories are at higher risk of behaving violently than those without such histories. This article links these two research areas by discussing how severe and protracted child abuse and/or neglect can lead to biological changes, putting these individuals at greater risk for committing homicide and other forms of violence than those without child maltreatment histories. The implications of these biological findings for forensic evaluations are discussed. Based on new understanding of the effects of child maltreatment, the authors invite law and mental health professionals to rethink their notions of justice and offender accountability, and they challenge policymakers to allocate funds for research into effective treatment and for service delivery. [Author Abstract]

Keywords: Adolescents  Attachment  Brain Development  Child Abuse  Criminal Behavior  Child Neglect  Children  Criminal Responsibility  Forensic Evaluation  Homicide  Juvenile Offenders  Literature Review  Mitigating Factors  Murder  Neglect  Neuroendocrinology  Neurophysiology  Posttraumatic Stress Disorder  PTSD  Sociopathy  Survivors  Trauma  Violence  

Accuracy Verified: Yes

12. Waters, F. S., Potgieter, R., & Yehuda, N. (2011, November). But they are too young to be traumatized!. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec.

Language: English

Format: Conference

Abstract:
All too often it is assumed that infants or young children are too young to remember frightening, painful, and confusing experiences, and therefore will not suffer harm because they are too young to be traumatized. Clinical experience; however, as well as research on neurobiology of trauma, child development, and attachment, tell a different story. While very often not verbalized, overwhelming early experiences are nonetheless remembered implicitly. As such they tend to find expression in a myriad of debilitating emotional and somatic symptoms across a persons life span; even into adulthood. Understanding how early trauma can affect the child developmentally, and how it might be expressed, is crucial not only to clinicians treating children but also to those working with adults. It is through understanding early traumatic markers and the subtle, often coded signs, sometimes rooted as far back as infancy, that one can begin the process of untangling these symptoms and freeing the individual from a lifetime of pain, suffering, and failed relationships. This workshop will examine the types of early traumamedical, severe neglect, all forms of abuse, disrupted attachmentand how these traumatic experiences impact the young child from birth to five years. The signs and symptoms of traumatized and dissociative children, as well as available research on the topic will be described, along with case examples. The need for careful interpretation of often convoluted and subtle symptoms will be explained. Accurate interpretation of a childs presentation relies on understanding the neurobiology of trauma and dissociation. That, as well as understanding the impact on child development and attachment is crucial for effective intervention. Strategies such as Eye Movement Desensitization Reprocessing (EMDR) and involvement of caregivers in the therapy will be described. Videoed sessions and artwork describing the young traumatized child's inner world and recovery process will augment the presentation.

Keywords: Children  Infants  

Accuracy Verified: Yes

13. Leeds, A. M., & Korn, D. L. (1998, July). Clinical applications of EMDR in the treatment of adult survivors of childhood abuse and neglect. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
This paper was co-presented with with Deborah L. Korn, Psy.D. In my portion of this presentation I introduced Alan Schore's research on the neurobiological correlates of early trauma and abuse and with implications for treatment stragegy. The presentation covered the use of EMDR, Resource Development and Resource Installation methods across the entire treatment plan. Dr. Korn reviewed treatment principles and adaptations to the EMDR trauma protocol for this population.[Author abstract] Participants will learn how to: 1) apply specific EMDR protocols in each of the three strategies of recovery: stabilization and safety, trauma focused processing, and reconnection and identify development; 2) integrate ego strengthening strategies into a comprehensive EMDR based treatment plan for clients who have limited affect tolerance and self-capacities; 3) apply cognitive interweave strategies to address blocking beliefs and fears about the treatment process; and 4) use EMDR to address maladaptive schemas commonly seen in this population.[Conference Program Abstract]

Keywords: Adults  Neglect  Sexual Abuse  Survivors  

Accuracy Verified: Yes

14. Leeds, A. M., & Korn, D. L. (1998, October). Clinical applications of EMDR in the treatment of adult survivors of childhood abuse and neglect. Presentation at The Menninger Clinic, Topeka, KS.

Language: English

Format: Other

Keywords: Abuse  Adult  Neglect  Survivors  

Accuracy Verified: Yes

15. Korn, D. (2001, June). Clinical applications of EMDR in treating adult survivors of childhood abuse and neglect. Preconference presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
This workshop will focus on integrating EMDR into a phase-oriented recovery plan in treating adult survivors of childhood abuse and neglect. EMDR applications with the full range of trauma-related syndromes, including simple and complex PTSD, Borderline Personality Disorder and Dissociative Disorders, will be addressed. Treatment planning and pacing will be discussed in view of presenting problem, attachment style, defenses, and self-capacities. In recognition of clients' rigid, maladaptive schemas, poor impulse control, dissociative tendencies and limited affect tolerance, strategies for modifying and supplementing standard EMDR protocols will be explored, Significant attention will be devoted to integratring EMDR ego strengthening and resource development protocols into all phases of treatment.

Keywords: Borderline Personality Disorder  Child Abuse  Dissociative Disorders  Ego Strengthening  Neglect  Posttraumatic Stress Disorder  PSTD  Resource Development  

Accuracy Verified: Yes

16. Thieman, S. L. (2009). The effects of eye movement desensitization and reprocessing (EMDR) on traumatized children. Prescott College, AZ. AAT 1465372.

Language: English

Format: Dissertation/Thesis

Abstract:
The cost and benefits of Eye Movement Desensitization and Reprocessing (EMDR) on children who have endured trauma was reviewed in an effort to answer the following question: can EMDR, an established therapeutic tool for trauma recovery with adults, address the needs of children who are experiencing the after effects of trauma? This literature review included research on the brain, repercussions of trauma, and the process of EMDR treatment. A case study of an eight year old boy attending a psychiatric day treatment program depicts both childhood trauma and EMDR treatment and indicates that EMDR was an effective treatment modality for this boy with a history of abuse and neglect. The client's drawings indicate a reduction and release of trauma following a session of EMDR. These findings are congruent with much of the available literature.

Keywords: Children  Trauma  

Accuracy Verified: Yes

17. Farkas, L. (2008, December). The effects of motivation-adaptive skills-trauma resolution (MASTR) - Eye movement desensitization and reprocessing (EMDR) on traumatized adolescents with conduct problems. Universite de Montreal, Canada. AAT NR55659.

Language: English

Format: Dissertation/Thesis

Abstract:
Objective.- This dissertation explored the effectiveness of a treatment package, Motivation-Adaptive Skills-Trauma Resolution (MASTR) in combination with Eye Movement Desensitization and Reprocessing (EMDR). This intervention was assessed in a sample of traumatized adolescents manifesting conduct problems (CPs) admitted to youth protective services. CP adolescents have been found to be particularly treatment-resistant and the treatments used with them often neglect to target the trauma that many of these youths have faced. Therefore, it seemed promising to implement a trauma-focused treatment with these youths that accounts for their resistance to treatment. MASTR-EMDR was studied with this population due to the favorable findings in the few studies assessing its use with high-risk populations. In addition to examining the effects of this treatment with CP youth exposed to various types of trauma, a particular focus was given to victims of sexual abuse (SA). This type of trauma seemed particularly suited for EMDR due to its circumscribed nature, which may be more easily worked through in this treatment that targets one trauma at a time.
Method.- Participants in the first study were 40 adolescents (ages 13-17) exhibiting CPs and exposed to trauma in youth protective services. A subsample (n = 30), consisting of victims of SA, was included in the second study. Participants in both studies were randomly assigned to MASTR-EMDR treatment or to a wait list condition where they were offered routine care. Self-report questionnaires and semi- structured interviews were administered to participants and one of their parents or caregivers by independent evaluators at three points in time: pre-treatment, post-treatment (12 weeks later) and follow-up (12 weeks after post-treatment). These measures evaluated trauma history, trauma-related sequelae, CPs, social competence and internalizing problems. The MASTR-EMDR sessions were administered once a week over a 12 week period, with each session lasting a maximum of 1.5 hours.
Results.- ANCOVAs and repeated measures ANCOVAs were used to assess treatment effects and the maintenance of gains at a 3-month follow-up. As predicted, MASTR-EMDR led to significant gains in outcome measures compared to routine treatment with both samples. In addition, gains were maintained at follow-up.
Conclusions.- This dissertation supports the use of MASTR-EMDR in populations exposed to general trauma and SA who exhibit CPs. This research was innovative in its implementation of a novel treatment-approach in youth protective services, where empirically-supported treatments are necessary and sometimes lacking. Therefore, the results have both clinical and scientific value and can help pave the way toward more trauma-focused treatments for CP youth, more evidence-based practices in youth protective services as well as enrich current understanding of the effects of this treatment approach.[Author Abstract]

Keywords: Conduct Problems  Protective Services  Psychotherapeutic Techniques  Trauma  Treatment Outcome  Youth  

Accuracy Verified: Yes

18. Sack, M., Lempa, W., & Lamprecht, F. (1999). Eine neue psychotherapeutische behandlungsmethode für patienten mit posttraumatischer belastungsstörung: EMDR. Behandlungsdurchführung und ergebnisse einer pilotstudie [A new psychotherapy treatment for patients with Post-Traumatic Stress Disorder: EMDR. Treatment implementation and results of a pilot study]. Psychomed, 11, 164-169 .

Language: German

Format: Journal

Abstract:
Nicht erst seit dem Zugunglück von Eschede und den damit im Zusammenhang stehenden Medienberichten wird zunehmend auch in der Öffentlichkeit bekannt, daß psychische Traumatisierungen zu einer tiefen und anhaltenden Verletzung des Gefühls der persönlichen Sicherheit und Unverletzbarkeit führen können. Dies wird oft wie ein Riß im Selbstverständnis oder wie ein Zusammenbruch des persönlichen Weltbildes beschrieben. Plötzlich wird die Welt als bedrohlich erlebt. Der Betroffene fühlt sich schutzlos und ausgeliefert. Typische Symptome, die in der Folge von belastenden Ereignissen auftreten, sind Schlafstörungen und Alpträume, quälende Wiedererinnerungen, Ängste und situationsbezogenes Vermeidungsverhalten sowie erhöhte Schreckhaftigkeit und Konzentrationsstörungen. Normalerweise bilden sich diese Symptome innerhalb einiger Tage bis einiger Wochen zurück. Bleiben diese psychischen und psychosomatischen Beeinträchtigungen jedoch bestehen, so ist bei einem Vorliegen von länger als 3 Monaten eine Posttraumatische Belastungsstörung zu diagnostizieren. In den letzten Jahren wurde die Forschung über Traumafolgen erheblich intensiviert. Es wurden neue Erkenntnisse gewonnen, die dazu beigetragen haben, daß die psychotherapeutischen Verfahren zur Behandlung traumatisierter Menschen erheblich verbessert werden konnten. Seit vier Jahren behandelt die Abteilung Psychosomatik und Psychotherapie der MHH Menschen mit Posttraumatischen Belastungsstörungen im Rahmen einer Traumasprechstunde und erforscht die psychischen und biologischen Auswirkungen von Traumatisierungen. Epidemiologie Nach Ergebnissen einer Vielzahl von epidemiologischen Studien, ist die Posttraumatische Belastungsstörung (Posttraumatic stress disorder, kurz PTSD) infolge von Traumatisierungen in der Kindheit oder im späterem Leben, eine in ihrer Häufigkeit und sozioökonomischen Bedeutung lange unterschätzte Erkrankung. Unter Zugrundelegen der Diagnosekriterien der Posttraumatischen Belastungsstörung nach DSM-III-R liegt die Lebenszeitprävalenz in den USA für beide Geschlechter bei 7,8 Prozent bis 12,3 Prozent, wobei etwa doppelt so viele Frauen betroffen sind wie Männer (5). Für die deutsche Bevölkerung gib es noch keine epidemiologisch gesicherten Prävalenzzahlen, aber die Bedeutung von "Traumatisierungen" für die Entstehung oder für die erhebliche Verschlechterung psychischer Störungen wird immer deutlicher. Ein Beispiel hierfür ist die lebhafte Diskussion in den Medien über die psychischen Folgen von Traumatisierungen für Unfallopfer und Rettungskräfte in der letzten Zeit. Die empirischen und klinischen Befunde zu Traumatisierungen in der Kindheit haben Egle, Hoffmann & Joraschky jüngst in einer Monographie zusammengestellt (1). Danach ist die Rolle von Vernachlässigung, Mißbrauch und Mißhandlung für eine Reihe von psychischen Störungen wie Selbstverletzendem Verhalten, Borderline-Störungen und Dissoziativen Störungen mittlerweile unstrittig und scheint auch für Subgruppen von Patienten mit Eßstörungen, Angststörungen, Persönlichkeitsstörungen und Somatisierungsstörungen von erheblicher Relevanz zu sein. Weit unterschätzt ist zudem die Häufigkeit von Posttraumatischen Belastungsstörungen infolge von Unfällen oder Einsätzen in Krisengebieten. 20 Jahre nach dem Vietnamkrieg leiden noch immer ca. 15 Prozent aller Vietnamkriegsveteranen an einer PTSD. Opfer von Gewaltverbrechen und Überfällen sowie auch Zeugen von Gewalttaten, wie z.B. Rettungspersonal und Feuerwehrangehörige, stellen eine weitere Risikogruppe für die Entwicklung einer PTSD dar.

Not since the train wreck of Eschede and the related media reports, is increasingly known to the public that psychological trauma can lead to a deep and persistent breach of the feeling of personal safety and invulnerability. This is often described as a crack in the self or as a breakdown of the personal worldview. Suddenly the world is experienced as threatening. The person concerned feels defenseless and delivered. Typical symptoms that occur as a result of stressful events are insomnia and nightmares, distressing recollections, fears and situational avoidance behavior and increased nervousness and difficulty concentrating. Usually these symptoms are back within a few days to a few weeks. But they remain psychological and psychosomatic disturbances exist, so with a presence of more than 3 months is a post-traumatic stress disorder to diagnose. In recent years, research on consequences of trauma was significantly intensified. It gained new insights that have contributed to the psychotherapeutic method for the treatment of traumatized people could be greatly improved. For four years, the Department of Psychosomatic Medicine and Psychotherapy, MHH treats people with post-traumatic stress disorder in a trauma clinic and explores the psychological and biological effects of trauma. Epidemiology According to results of a large number of epidemiological studies, post-traumatic stress disorder (Post Traumatic Stress Disorder, PTSD short) as a result of trauma in childhood or in later life, a decrease in frequency and socio-economic importance of long underestimated disease. Inter alia with the diagnostic criteria of posttraumatic stress disorder according to DSM-III-R lifetime prevalence in the U.S. is for both sexes at 7.8 percent to 12.3 percent, with about twice as many women are affected as men (5). For the German people give it no epidemiological prevalence data secure, but the meaning of "trauma" in the development or for the serious deterioration of mental disorders is increasingly clear. An example is the lively discussion in the media about the psychological consequences of trauma for victims and rescue workers in recent times. The empirical and clinical findings concerning traumatic experiences in childhood have Egle, Hoffmann & Joraschky recently compiled in a monograph (1). Then disorders the role of neglect, abuse and mistreatment for a number of mental disorders such as self-injurious behavior, borderline disorders and dissociative now undisputed, and appears to be for subgroups of patients with eating disorders, anxiety disorders, personality disorders and somatization disorders is of considerable relevance. Also greatly underestimated the incidence of post-traumatic stress disorder as a result of accidents or operations in critical areas. 20 years after the Vietnam War still suffer about 15 percent of Vietnam War veterans in a PTSD. Victims of violent crimes and robberies, as well as witnesses of violence, such as Rescue workers and firefighters, are another risk group for the development of PTSD dar.

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

19. Tripolt, R. (2012, June). EMDR in Motion. Using movement and body oriented therapeutic interweaves for complex trauma and dissociative symptoms [EMDR en movimiento. Usar el movimiento y la terapia orientada al cuerpo para traumas complejos y síntomas disociativos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
"The Body Keeps the Score" (B. v.d. Kolk, 1996) Clients who suffer from traumatic stress are often afraid about disturbing and painful somatic symptoms. Structural dissociation alienates from body reactions. Nevertheless it is the body that "holds" the discomfort and painful memory of neglect and violence. Trauma Survivors tend to perceive their body as hostile. They suffer from Alexithymia deficiency of interpreting the meaning of body reactions and muscle activation. Trauma Survivors are easily irritated and tend to react with rage on very slight provocations and freeze when they are frustrated. Even minor problems cause fear and helplessness. The Polyvagal Theory (S. Porges 2010) proves the neurological aspect of behavioral patterns. Neurozeption describes how we perceive others in a neurological way. Certain behavioral patterns are established through life experiences. This research underlines Francine Shapiros AIP model and confirms the importance of a body orientated approach. We know that experiencing the effect of eye movement -­‐ and other bilateral stimulation, is a gentle and powerful way to bring the voice of the body into the therapeutic space. EMDR helps to integrate cognitive, emotional and body sensations. Using movement and body orientated skills in difficult processes f.e. with severely and/or early traumatised clients, even enhances the effect of EMDR. Content of the Workshop: Short theoretical implications: Polyvagal Theory and AIP Model. Stabilisation and Movement -­‐ creating a „Moving Container“: How to create a safe place of relationship and attachment between the client and the therapist by using movement and bodywork? The body is the most powerful resource: How to use movement to access this power. How to recognize and dissolve dissociation by body and movement awareness. EMDR Process and Movement : How to widen the „window of tolerance“ by using movement and deeper levels of body consciousness. Adding a fourth level of attention to the EMDR process: cognition -­‐ emotion -­‐ body scan -­‐ movement. Movement and reflex feedback as interweave technique in difficult processes. Methods used in the Workshop: Lecture and Video Presentation. Practical demonstration of some movement orientated techniques. Discussion.

“El cuerpo lleva la cuenta” (B. v.d. Kolk, 1996), los clientes que sufren de estrés traumático tienen a menudo miedo sobre sus síntomas somáticos preocupantes y dolorosos. La disociación estructural aliena las reacciones del cuerpo, sin embargo es el cuerpo el que “mantiene” el disconfort y el recuerdo doloroso de negligencia y violencia. Los supervivientes a un trauma suelen tender a percibir su propio cuerpo como hostil. Sufren de Alexitimia, deficiencias para interpretar las señales corporales y la activación muscular. Son fácilmente irritables y tienden a reaccionar con ira, con leves provocaciones y se “congelan” cuando están frustrados. Incluso problemas de fuerza menor causan miedo y desesperanza. La teoría polivagal (S. Porges 2010) prueba el aspecto neurológico de los patrones de comportamiento. La neurocepción describe cómo percibimos a los otros desde un punto de vista neurológico. Ciertos patrones de comportamiento están establecidos a través de las experiencias vitales. Esta investigación se basa en el modelo SPIA de Francine Shapiro y confirma la importancia del enfoque orientado al cuerpo. Sabemos que al experimentar el efecto de la estimulación ocular, y otras estimulaciones bilaterales, es un camino poderoso y suave para traer la voz del cuerpo dentro del espacio terapéutico. EMDR facilita la integración cognitiva emocional y corporal. Usar el movimiento y las habilidades orientadas al cuerpo en los procesos difíciles con clientes traumatizados, severamente o tempranamente, incluso amplifica el efecto terapéutico del EMDR Contenido del taller: Implicaciones teóricas: Teoría Polivagal y modelo SPIA Estabilización y movimiento – Crear un “recipiente de movimiento” Cómo crear un lugar seguro en relación al apego entre el cliente y el terapeuta usando movimiento y trabajo corporal. El cuerpo es el recurso más poderoso: Cómo usar el movimiento para acceder a este poder. Cómo reconocer y disolver la disociación en el cuerpo y la atención al movimiento. Procesamiento EMDR y movimiento: Cómo ampliar la "ventana de tolerancia" mediante el uso de movimientos y niveles más profundos de la conciencia del cuerpo. Añadir un 4 nivel de atención al procesamiento de EMDR: Cognición-­‐Emoción-­‐ Escáner corporal-­‐movimiento.

Keywords: Body Oriented Therapeutic Interweaves  

Accuracy Verified: Yes

20. Korn, D. (2010, April). EMDR & the treatment of adult survivors of childhood abuse and neglect: EMDR aanpassingen voor disregulatie bij Complexe PTSS [EMDR adaptations dysregulation in complex PTSD]. Keynote presented at the 4th EMDR Association Netherlands Conference, Nijmegen, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Wanneer clienten met vroege, chronische traumatisering door middel van EMDR behandeld worden, moet de therapeut vaak als een soort ‘psychobiologische regelaar’ functioneren, om ervan verzekerd te zijn dat cliënten binnen hun Window of Tolerance blijven. De EMDR therapeut dient daarvoor actief te zijn in het bepalen van het optimale tempo van het verwerkingsproces gedurende de EMDR zitting. Dit is van belang om toegang te kunnen krijgen tot de eerder gedissocieerde kennis, gedragsmatige impulsen, gevoelens, en/of sensaties, en deze te kunnen blijven verdragen. De therapeut moet in staat zijn de signalen van disregulatie (bv hyper/hypo-arousal, bevriezen, dissociëren) te herkennen en door middel van specifieke interweaves erop in te kunnen spelen, om de cliënt in het proces te houden en te helpen met het verwerken van diverse aspecten met betrekking tot verantwoordelijkheid, veiligheid en keuze. Deze keynote zal een kader neerzetten voor het werken met complexe PTSS en disregulatie. Een aantal specifieke technieken, gericht op het omzeilen van therapeutische valkuilen bij deze chronisch getraumatiseerde cliënten, zullen kort worden besproken. Dit zal verduidelijkt worden door middel van opnames van EMDR sessies waarin er van moment tot moment de interacties tussen de therapeut en de cliënt geanalyseerd zullen worden. In de eendaagse workshop op de maandag na het congres zal veel uitvoeriger ingegaan worden op de ‘hoe, wat, wanneer en waarom vragen’ in de behandeling van Complexe PTSS.

When clients with early, chronic trauma treated by EMDR, the therapist often as a kind of 'psychobiological regulator "function, to satisfy itself that its customers remain within their Window of Tolerance. The EMDR therapist is therefore to be active in determining the optimal pace of the process during the EMDR session. This is important in order to be granted access to the previously dissociated knowledge, behavioral impulses, feelings, and/or sensations, and to continue to bear. The therapist should be able to dysregulation of signals (e.g. hyper / hypo-arousal, freezing, dissociate) to recognize specific interweaves through it in order to respond to the client in the process to keep and help in processing various aspects of responsibility, security and choice. This keynote will provide a framework drop for working with complex PTSD and dysregulation. Some specific techniques designed to circumvent these therapeutic pitfalls in chronically traumatized clients, will be briefly discussed. This will be clarified by means of recordings of sessions in which EMDR is from moment to moment interactions between therapist and client will be analyzed. The one-day workshop on the Monday after the congress will be much more detailed presentation on the 'how, what, when and why questions "in the treatment of Complex PTSD.

Keywords: Abuse  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Keynote  Neglect  

Accuracy Verified: Yes

21. Sochaczewsky, E. M. (2001, May). EMDR and intergenerational violence in a children's psychiatric hospital. Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
Most of the children who come to our Clinic are multi-traumatised and very often they have been hurt in their own families. Domestic violence is usually understood as physical and sexual abuse and neglect, and we have learned to look at the "T-traumatas", Silent Violence, the "t-traumatas", including constant negative feedback to the child, devaluation and narcissistic abuse suffered from for many years in the "ghetto family" do also cause severe woundings, which we have not yet learned to look at.

Keywords: Children  Intergenerational Violence  

Accuracy Verified: Yes

22. Hofmann, A. (2009, June). EMDR and the treatment of adult survivors of childhood abuse and neglect. Keynote presented at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Abstract:
Patients with complex PTSD and dissociative symptoms are a challenging patient population . Concepts like the Disorder of Extreme Stress (Herman et al.) and the the research on memory networks and especially structural dissociation (Nijenhuis et al.) helps to understand this patients better. In the treatment of this patients EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also enclose other EMDR modalities besides the EMDR standard protocol. New developments in EMDR and an decission help when to apply them can help pacing the therapy of these patients and making it successful.

Keywords: Adults  Childhood Sexual Abuse  Keynote  Neglect  Survivors  

Accuracy Verified: Yes

23. Korn, D. L. (2011, August). EMDR and the treatment of complex PTSD. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
This workshop will focus on integrating EMDR into an overall recovery plan in working with adult survivors of childhood abuse and neglect. Individuals with histories of chronic victimization often struggle with extreme vulnerability and shame, heightened dissociative tendencies, and limited affect tolerance. In considering their unique needs, strategies for modifying and supplementing standard EMDR protocols will be explored. Fears and blocking beliefs commonly seen in this population will be discussed, along with suggestions for effective cognitive interweave interventions. In addition, significant attention will be devoted to integrating EMDR ego strengthening and resource development protocols into all phases of treatment. This program will include lecture, videotape presentations, and case discussion.

Keywords: C-PTSD  Complex Posttraumatic Stress Disorder  Complex PTSD  

Accuracy Verified: Yes

24. Korn, D. (2010, April). EMDR behandeling bij volwassenen met een verleden van incest en verwaarlozing. Het herstellen van ontwikkelings tekorten en het beschadigde ‘zelf’ [EMDR treatment in adults with a history of incest and neglect. Developmental deficits and restore the damaged self]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederland.

Language: Dutch

Format: Conference

Abstract:
In deze workshop zal er worden ingegaan op het integreren van EMDR in een algemeen behandelingsplan voor volwassenen die incest en verwaarlozing in hun jeugd hebben meegemaakt. De workshop is een verdieping van de keynote van het congres. De werkwijze zal gedetailleerd worden uitgelegd en zal worden geïllustreerd aan de hand van videopresentaties en bespreking van casuïstiek. In eerste instantie wordt uitgelegd hoe de ontwikkelings- en hechtingsbehoeften van de cliënt onderzocht kunnen worden en hoe een betekenisvolle beschrijvende diagnose kan worden ontwikkeld om tot een geïntegreerd, logisch opgebouwd behandelingsplan te komen. Bij deze groep cliënten, waarbij er sprake is van beperkte affect tolerantie, kwetsbaarheid voor hyper- en hypoarousal, en dissociatieve kenmerken, kan het standaard EMDR protocol worden aangepast met specifieke strategieën. Daar zal uitvoerig op worden ingegaan. Ook zal er veel aandacht besteed worden aan het integreren van specifieke EMDR technieken, zoals diverse ego-versterkende protocollen en hulpbron installatie (RDI), in alle fasen van de behandeling. Tevens zullen er technieken besproken worden die cliënten helpen om hun disfunctionele afweermechanismen los te laten, waardoor het veranderen van schema’s met hun kenmerkende kerngedachten en kernaffecten mogelijk wordt Deelnemers aan deze workshop zullen leren om pathogene gevoelstoestanden, (zoals schaamte, wanhoop, onverdraagelijke eenzaamheidsgevoelens), angsten en ‘blocking beliefs’, ego state conflicten te herkennen, zodat de meest effectieve interweaves en hulpbron opties kunnen worden toegepast. Verder zullen er strategieën voor herstel, zoals het verduidelijken van verantwoordelijkheid, het vaststellen van veiligheid en keuze, en het verwerken van rouw, verlangen en woede, worden besproken.

This workshop will address the integration of EMDR into an overall treatment plan for adult incest and neglect in childhood have experienced. The workshop is a deepening of the keynote of the conference. The methodology will be explained in detail and will be illustrated with video presentations and discussion of case studies. Initially, explains how the development and bonding needs of the client can be investigated and how a meaningful descriptive diagnosis can be developed into an integrated, logical plan of treatment. In this group of clients, where there is limited affect tolerance, vulnerability to hyper-and hypoarousal and dissociative characteristics, the standard EMDR protocol to be adapted to specific strategies. As will be discussed in detail. Also, much attention is paid to the integration of EMDR specific techniques, such as various ego-enhancing protocols and resource installation (RDI) in all phases of treatment. Will also discuss techniques that help clients to their dysfunctional defense mechanisms to let go, so changing schedules with their distinctive core ideas and possible kernaffecten Participants in this workshop will learn to pathogenic emotional states (such as shame, despair, unbearable loneliness feelings), and fears "blocking beliefs", ego-state conflicts to recognize that the most effective and interweaves resource options can be applied. Moreover, through strategies for recovery, such as clarifying responsibilities, establishing security and choice, and the process of mourning, desire and anger are discussed.

Keywords: Adults  Developmental Deficits  Incest  

Accuracy Verified: Yes

25. Withers, D. (2000, December). EMDR bilateral movement groups for children with ADHD. EMDRIA Newsletter, 5(Special Edition), 11-13.

Language: English

Format: Newsletter

Abstract:
Using EMDR to treat children diagnosed with ADHD is challenging on many levels. Differentiating the effects of trauma versus pure ADHD or other diagnoses such as OCD, learning disabilities, and even autism is difficult at best because these symptoms could be present as the result of early trauma (Tinker, 1999). These experiences include birth trauma, illness, medical procedures and surgery as well as abuse or neglect (Becker, 2000). These children may be unintentionally further traumatized on a daily basis by parents, teachers, coaches and peers for missing social cues, being impulsive and disruptive and no paying attention or cooperating. They may not easily engage in therapy and tend to avoid new situations due to past failures and harbor negative views of themselves because of their belief that they somehow need to be “fixed.” These response could also be due to attachment disorders or to a “poor match” between temperament of parent and child (Bowlby, 1973).

Keywords: ADHD  Attention Deficit Hyperactivity Disorder  Children  

Accuracy Verified: Yes

26. Leeds, A. M. (1995, June). EMDR case formulation symposium. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The focus of this symposium will be on intermediate and advanced topics in EMDR case formulation in more challenging cases. The presentation will include how affect and schema theories can help organize and guide treatment planing and selection of protocols, targets and cognitions. Time will be allowed to discuss problem cases. The symposium will begin with an overview of the EMDR theoretical model and the role of metacognitions in the accelerated information processing paradigm. Guideposts to application will include principles such as: good enough cognitions and warning indicators fiom cognitions and the history taking of potential blocked responses. A model of EMDR case formulation issues will be presented involving treatment planning and selection of protocols, targets and cognitions. A fundamental issue in case formulation will be proposed as the extent to which the case involves simple adult trauma with a good premorbid history or is a more complex case conceptualized as involving some degree of neglect or pervasive failure of the early environment to provide healthy models of self-other interaction. Alternate treatment protocols will be offered for more complex cases presentations where there are insufficient healthy resources present to permit the successfull use of standard EMDR protocols even with creative application of cognitive interweave strategies. Protocols will be offered for "practice" EMDR sessions and for building up healthy internal resources in advance of targeting disturbing memories. Affect theory as developed by Silvan S. Tomkins and reviewed in Donald Nathanson's (1992) Shame and Pride, Affect Sex, and the Birth of the Self, W. W. Norton & Co, New York, and its relationship to EMDR will be considered. Emphasis will be on the biological theory of emotions, the nine innate affects, the central and unique role of shame in human development, and how affect theory supports EMDR theory and application. For example, EMDR theory emphasizes the central role of physiological and emotional responses and views cognitions as "distallations of experience" (Francine Shapiro, 1995, Eve Movement Desensitization and Reprocessing, Basic Principles, Protocols, and Procedures, Guilford Press, NY). Shame and its attendant distorted self concepts is a central problem in PTSD and other pervasive traumageric disorders. Aspects of this case formulation approach have been influenced by members of the EMDR facilitator staff most notably Landry Wildwind's speciality and conference presentations on working with chronic depression and personal communications with Marguerite McCorkle. Case examples will be given in which alternate EMDR protocols were used to successfully work through unresolved developmental issues and massive layers of shame that had blocked previous treatment efforts. A large portion of the symposium will be devoted to a case conference round table where these issues will be explored through a discussion of problem cases offered by participants.

Keywords: Case Formulations  

Accuracy Verified: Yes

27. Manfield, P. (2010, June). EMDR clinical skills: Dyadic resourcing. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
This workshop introduces 'dyadic resourcing,' a form of resourcing designed to facilitate the processing of very early trauma with severely deprived clients, including those with attachment disorders. The goal of this process is to help a client connect affectively to the experience of being in a nurturing relationship Through this process clients experience both roles, the role of the adult who loves them and the role of the child who is lovable and loved. These roles become increasingly real to them and clients come away with access to a loving non-judgmental view of themselves as a child. Clients whose original trauma was a result of or exacerbated by a lack of a strong connection to a nurturing caregiver will benefit from a variety of resources, but the resource that is essential is access to a secure internal nurturing relationship, which this process provides. This procedure is particularly useful for clients who think they were bad or worthless as children, who think the abuse or neglect they suffered chronically was deserved, who are overwhelmed by the intensity of their pain from early childhood experiences, or who cannot view their child selves in an accepting nurturing way. In other words, this type of resourcing is ideal for some of the most difficult EMDR clients, and helps to prepare them for trauma processing. Once developed, these resources allow the EMDR clinician to utilize cognitive interweaves in which the adult client is able to support the child self. Dyadic resourcing is typically a five step process: identifying a nurturing adult resource, make the resource real for the client, formulating a parent-child relationship involving the resource, intensify the client's experience of that relationship, and helping the client to have the experience of both the child and adult in the resource dyad. This workshop will address each of these steps, covering the basic principles and processes central to this form of resourcing. The process will be illustrated using clinical videos, transcripts, and a live demonstration. Techniques borrowed from Eidetic Psychotherapy, Neuro-Linguistic Programming, Gestalt Therapy, hypnotic phrasing and other disciplines will be addressed Links to free downloadable explanatory material from the presenter's book. EMDR Clinical Skills: Case Conceptualization and Dyadic re^ sourcing will be offered for those interested in sharpening their skills in this useful resourcing approach. Learning objectives: Participants will be able to - Explain why cognitive Interweaves are often not helpful to clients with attachment disorders -List 15 possible sources of resource figures - List 8 techniques that can be used to help a client feel more intensely connected to a resource. - Describe 4 indications that clients are NOT assuming an outside observer role and are instead overly identifying with their child selves.

Keywords: Dyadic Resourcing  Keynote  

Accuracy Verified: Yes

28. Quilez, R. (2010). EMDR en los trastornos de la conducta alimentaria: revision [EMDR in eating disorders: a review]. Revista de psicoterapia, 20(80. Terapias Psiconeurologicas del Trauma) .

Language: Spanish

Format: Journal

Abstract:
El TCA es un síndrome diagnóstico concreto de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar de la superficie al recoveco. Los profesionales de TCA disponen en el EMDR de un modelo psicológico capaz de dar una respuesta eficaz. Este escrito presenta una revisión bibliográfica de la eficacia del EMDR en TCA así como otros estudios y datos sobre aspectos que pueden darse en el cliente y en el tratamiento de 8 fases. Aparecen datos sobre 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.

The Disorder of Feeding Behavior is an specific syndrome with a complex origin and multidimensional affectation, which treatment should be able to go beyong the surface. Disorder of Feeding Behavior clinicians have in EMDR a psychological approach able to give an effective response. This article present a bibliographic review about the EMDR efficacy with Disorders of Feeding Behavior as of other studies and dates about different aspects that we can see in the patient and in the use of 8 phases of EMDR. We present dates about thinness wish, shame and control, defensive conditioned reactions, body image, attachment difficulties, physical, sexual mistreatment, neglect, dissociation, impulse uncontrol, emotional anesthesia, self-mutilation, limits need, labels, male attachment figure, disfunctional families,etc.

Keywords: Diet  Disorder of Feeding Behavior  Dissociation  Trauma  

Accuracy Verified: Yes

29. Adler-Tapia, R. (2012). EMDR for the treatment of children in the welfare system who have been traumatized by abuse and neglect. In A. Rubin, (Ed.), Programs and interventions for maltreated children and families at risk, The clinician's guide to evidence-based practice series, (pp. 141-160). Hoboken, N.J.: John Wiley & Sons, Inc.

Language: English

Format: Book Section

Abstract:
The use of Eye Movement Desensitization and Reprocessing (EMDR) with traumatized children is discussed. The Adaptive Information Processing model that supports EMDR is explained, as well as assessment and diagnostic processes for children in the child welfare system, the phases of the EMDR treatment protocol, and the impact of child welfare involvement on EMDR with children.

Keywords: Abuse  Children  Neglect  Welfare System  

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Keywords: Developmental Trauma Disorder  

Accuracy Verified: Yes

31. Egli-Bernd, H. (2011). EMDR in dissociative processes within the framework of personality disorders: The impact of cognitions in the EMDR Process: The “dialogue protocol“. Journal of EMDR Practice and Research, 5(3), 131-139. doi:10.1891/1933-3196.5.3.131.

Language: English

Format: Journal

Abstract:
A theoretical analysis of the psychodynamic dimension of cognitions in the eye movement desensitization and reprocessing (EMDR) protocol can be beneficial in addressing the specific issues affecting the choice of appropriate cognitions in working with clients with personality disorders. This group of patients share the biographic commonality of emotional-narcissistic abuse and neglect in childhood by primary attachment figures and significant others in their lives. Arising from these experiences, a subtle dissociation (in childhood) can cause the development of parts of self with an emotional and cognitive fixation on a self-image. This is defined by the child's attachment figures and other significant people, and has subsequently been internalized by the child themselves. In such cases, the actual goal of treatment is not primarily the event on which the EMDR session is initially focused, but rather the complex emotional and cognitive significance that the event has on the client's self-perception and self-evaluation.

Keywords: Attachment  Childhood Abuse  Dimension of Cognitions  Dissociation  Processing  

Accuracy Verified: Yes

32. Korn, D. (2008, September). EMDR Master Series - I. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
This workshop will address the challenges of working with clients raised in invalidating environments marked by deprivation and neglect. With significant disruptions in attachment (caregivers who were unpredictable, rejecting, frightening or frightened) and without the experience of a secure base from which to explore the world, such individuals often fail to develop a sense of object constancy and permanence and the capacity for reflection and metacognition. They lack self-compassion, self-confidence, and the capacity to self-regulate. They are often plagued by a profound sense of aloneness, shame, and self-hatred, denying their needs or convinced that their needs can never be met. Together, we will examine the ways in which EMDR can be utilized to promote the development of a secure, coherent sense of self. Protocol adaptations and cognitive interweaves to address feelings and beliefs associated with invisibility, unworthiness, and core badness will be highlighted. Cases will be presented with accompanying videotape segments, highlighting EMDR developmental repair strategies.

Keywords: Masters Series  

Accuracy Verified: Yes

33. Korn, D. (2010, April). EMDR treatment in adults with a history of incest and neglect. Developmental deficits and restore the damaged self. Presentation at the 4th EMDR Association Netherlands Conference, Nijmegen, The Nederlands.

Language: English

Format: Conference

Abstract:
This workshop will address the integration of EMDR into an overall treatment plan for adult incest and neglect in childhood have experienced. The workshop is a deepening of the keynote of the conference. The methodology will be explained in detail and will be illustrated with video presentations and discussion of case studies. Initially, explains how the development and bonding needs of the client can be investigated and how a meaningful descriptive diagnosis can be developed into an integrated, logical plan of treatment. In this group of clients, where there is limited affect tolerance, vulnerability to hyper-and hypoarousal and dissociative characteristics, the standard EMDR protocol to be adapted to specific strategies. As will be discussed in detail. Also, much attention is paid to the integration of EMDR specific techniques, such as various ego-enhancing protocols and resource installation (RDI) in all phases of treatment. Will also discuss techniques that help clients to their dysfunctional defense mechanisms to let go, so changing schedules with their distinctive core ideas and possible kernaffecten Participants in this workshop will learn to pathogenic emotional states (such as shame, despair, unbearable loneliness feelings), and fears "blocking beliefs", ego-state conflicts to recognize that the most effective and interweaves resource options can be applied. Moreover, through strategies for recovery, such as clarifying responsibilities, establishing security and choice, and the process of mourning, desire and anger are discussed.

Keywords: Adults  Developmental Deficits  Incest  

Accuracy Verified: Yes

34. Korn, D. L. (2008, May). EMDR treatment with survivors of chronic abuse and neglect: Repairing developmental deficits and shattered selves - [Utilisation d’EMDR dans le traitement des survivants d’abus ou négligence chroniques: Réparer les déficits développementaux et les sois éclatés]. Presentation at an annual meeting of EMDR Canada, Montréal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Cet atelier d’une journée met l’accent sur l’intégration de l’EMDR à l’intérieur d’un plan thérapeutique. Nous aborderons l’utilisation d’EMDR pour traiter le Stress post-traumatique complexe, de même que d’autres syndromes cliniques d’origine traumatique, tels que le Trouble de personnalité limite et les Troubles dissociatifs. Des modifications et/ou additions au protocole EMDR seront proposées afin de tenir compte des capacités limitées à tolérer les affects, des défenses rigides, de la sur-utilisation des stratégies d’évitement, des conflits entre les états du moi, des tendances à la dissociation ou des dérégulations émotionnelles importantes.

Nous aborderons l’évaluation des aspects développementaux et des besoins d’attachement du client, l’établissement d’une bonne compréhension de la situation clinique et le développement d’un plan de traitement intégré avec des objectifs atteignables et réalisables. On portera plus particulièrement notre attention sur l’intégration de l’EMDR comme moyen de renforcer l’Ego et le développement des ressources au cours des différentes étapes du traitement. This full-day workshop will focus on integrating EMDR into an overall recovery plan. The use of EMDR in treating complex PTSD as well as other trauma-related syndromes such as borderline personality disorder and dissociative disorders will be addressed. In recognition of clients’ limited affect tolerance, rigid defenses, overdeveloped avoidance patterns, ego state conflicts, dissociative tendencies, and extreme emotional dysregulation, strategies for modifying and supplementing standard EMDR protocols will be explored. Assessing the developmental and attachment needs of the client, establishing a useful case conceptualization, and developing an integrated treatment plan with achievable goals will be discussed. Considerable attention will be devoted to integrating EMDR ego strengthening and resource development protocols into all phases of treatment.

Keywords: Complex PTSD  Dissociative Disorders  

Accuracy Verified: Yes

35. 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:
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.

Keywords: Alcoholism Treatment  Comorbid Posttraumatic Stress Disorder  Comorbid PTSD  Symposium  

Accuracy Verified: Yes

36. Holm, O. (2009, November). An EMDR-based tactical and strategic integrational approach combined with IFS personality scale in survivors of severe abuse and neglect with complex trauma and comorbid cluster C personality traits. About 5 clinical cases. Presentation at the 26th annual meeting of the International Society for the Study of Trauma and Dissociation, Washington, DC .

Language: English

Format: Conference

Keywords: Cluster C Personality Traits  IFS Personality Scale  

Accuracy Verified: Yes

37. Manfield, P. (1998). Extending EMDR: A casebook of innovative applications. New York: W. W. Norton.

Language: English

Format: Book

Abstract:
"Extending EMDR" is divided into two parts: those cases in which it was possible to target a relatively small number of distinct traumatic experiences, and those in which the client's symptoms have resulted from ongoing childhood trauma or neglect for which they are initially unable to identify representative discrete traumatic events. The cases in which clear targets were available required the therapists to identify those targets and work with a variety of resistances in order to achieve adaptive resolution. These clients could generally address their maladaptive defenses directly. Typically, their therapists relied on extensive cognitive interweave, structuring, support, and sometimes direct nurturing to make it possible for these clients to tolerate and utilize EMDR to process their targeted traumas.Where there were no distinct memories to target, the therapists needed to create innovative interventions. Their clients tended to be unable to address their maladaptive defenses directly without fragmenting or closing off. These cases required far more treatment time than those for which there were a limited number of discreet traumatic memories to target and process. Each therapist working with these clients needed to find a way to strengthen their ability to maintain internal cohesion and increase their sense of safety so that they could relinquish defenses without the threat of becoming overwhelmed and fragmented. Several of the therapists attempted to address directly the deficits that prevented their clients from recalling their past experiences, organizing them, and gaining access to specific memories and affect. [Text, pp. 9-10] [Pilots]

Keywords: Adults  Americans  Child Abuse  Complex PTSD  Defense Mechanisms  Depressive Disorders  Females  Life Experiences  Males  Neglect  Personality Disorders  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

38. 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:
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.

Keywords: Gray Matter  Posttraumatic Stress Disorder  PTSD  Research  Symposium  

Accuracy Verified: Yes

39. Vogelmann-Sine, S. (1998). Healing hidden pain: resolving the effects of childhood abuse and neglect. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications (1st ed.) (pp. 167-190). New York: W. W. Norton.

Language: English

Format: Book Section

Abstract: W
hen EMDR is incorporated into a treatment plan, the treatment outcome is primarily determined by the clients' willingness and ability to trust their therapists and face the painful feelings that are limiting their functioning. Each treatment plan has to be carefully designed in order to assist individuals to overcome behavior adaptations based on trauma and assist them to function more adequately in the present. I have found it most effective to educate clients about their trauma history and the adaptations they have to make and enlist them as active participants in the healing process. A collaborative relationship is necessary in order to determine whether clients are willing and able to take the risks necessary to face painful emotions and experiences in order to overcome barriers in their lives. The therapeutic journey discussed in this chapter is inspiring because it illustrates the complexity of such a healing process. "Susan's" story demonstrates that EMDR is a tool that can help clients go back in time and develop those parts of their personalities that could not emerge because of an invalidating environment. [Text, p. 169]

Keywords: Adults  Americans  Case Report  Child Abuse  Females  Life Experiences  Neglect  Psychotherapeutic Processes  Self Concept  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

40. van der Berg, D., van der Vleugel, P., & de Bont, P. (2013, June). How to treat trauma in psychosis. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Research shows that the majority of people with hallucinations or delusions have been the victimized during childhood. Experiencing childhood trauma triples the chance of psychosis in adulthood. Cognitive research shows that negative basic ideas about self and others are important mediators of the relationship between trauma and psychosis. Paranoia appears to be related to childhood interpersonal victimisation and emotional neglect and auditory verbal hallucinations are strongly linked to childhood sexual abuse.
EMDR can be used to desensitize traumatic experiences that keep intruding into awareness with strong negative emotional valence (first method) and to target experiences that have led to negative core beliefs about self and others (second method). We have developed a model for implementing the two method approach of EMDR in a broader cognitive behavioural therapy for psychosis. The rationale of this model will be shown and conceptualizing EMDR for psychosis will be practiced. Clinical vignettes will be shown to illustrate EMDR for psychosis.
Learning objectives: Know that trauma influences psychotic symptoms, Understand how EMDR can influence paranoia and hallucinations, and Be able to conceptualize EMDR for these symptoms

Keywords: Psychosis  

Accuracy Verified: Yes

41. Lindner, E. G. (2001, March). Humiliation-trauma that has been overlooked: An analysis based on fieldwork in Germany, Rwanda/Burundi, and Somalia. Traumatology, 7(1), 43-68. doi:10.1177/153476560100700104.

Language: English

Format: Journal

Abstract:
What differentiates trauma from humiliation? This is one of the questions this article tries to answer. Trauma may occur without humiliation, as in the case of natural disaster, however, humiliation may be the core agent of trauma. Furthermore, this paper suggests that the role and significance of humiliation for traumatic experiences has long been overlooked by researchers and practitioners. The paper highlights the macro-historical backdrop for this neglect. It is the unfolding of human rights as opposed to more traditional honour codes at all levels of society both national and international. This change is a major force in making the category of trauma increasingly important, and in moving such practices as `breaking the will of the child,' that were once legitimate and even prescribed, into the category of trauma. The paper also addresses the fact that social science is part of this transition and would benefit from making more visible how it is deeply interlinked with this process. [Sage]

Keywords: Burundi  Humiliation  Germany  Rwanda  Somalia  Trauma    

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Infantile Brain Development  

Accuracy Verified: Yes

43. Goldfried, M. R. (1993, November). Implications of research for the practicing therapist:  An unfulfilled promise?. Clinician’s Research Digest, 10, 1-3.

Language: English

Format: Magazine

Abstract:
Supplemental Bulletin; SB #10
There is an ongoing debate among practicing therapists and psychotherapy researchers about the potential contributions that research might have for clinical practice. lhis essential tension between research and practice - indeed between researcher and practitioner- is evidenced in several ways. Practicing therapists complain that psychotherapy research, because of the methodological constraints associated with the research design, tends to oversimpIify and is not directly relevant to clinical practice. On the other hand, therapy researchers lament the neglect of the research literature by practicing therapists.

Keywords: Research  

Accuracy Verified: Yes

44. 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:
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.

Keywords: Affect Tolerance  Poster  Self-Regulation  Social Functioning  

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Infants  Symposium  

Accuracy Verified: Yes

46. Parnell, L. (2010, September/October). Integrating an attachment repair orientation into EMDR treatment for clients with relational trauma. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Clients who have experienced childhood traumas that have impacted their sense of safety and capacity to form close emotional relationships in adulthood require adjustments to the EMDR phases and procedural steps. These relational traumas can include childhood physical or sexual abuse, neglect, early losses, birth trauma, medical trauma, caregiver misattunement and vicarious trauma. In order for EMDR therapists to be most successful with this population it is important to incorporate an attachment repair orientation into the therapy. Through lecture, case examples, and video clips, participants will learn how an attachment-repair orientation can be integrated into all phases of EMDR treatment.

Keywords: Attachment Repair Orientation  Relational Trauma  

Accuracy Verified: Yes

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

Language: English

Format: Book Section

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

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

Accuracy Verified: Yes

48. 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:
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.

Keywords: Eating Disorders  Symposium  

Accuracy Verified: Yes

49. Tofani, L. R. (2006, March). Le famiglie cosiddette multiproblematiche. Trauma e intervento integrato con EMDR [The so-called multiproblematic family. Trauma and intervention integrated with EMDR]. Terapia Familiare, 80, 35-59.

Language: Italian

Format: Journal

Abstract:
Famiglie multiproblematiche sono un obiettivo difficile per qualsiasi approccio terapeutico a causa della rilevanza delle esperienze traumatiche per tutti i membri della famiglia. Essi vengono sostituiti con maltrattamenti, uso di sostanze o altri comportamenti illeciti, abusi sessuali e il problema principale è quello di superare i danni di attaccamento disorganizzato e per interrompere il ciclo della violenza psicosociale e trascuratezza. Nell'esempio riportato, terapia familiare sistemi indirizzata alla realtà ecologica di queste famiglie è stato integrato con EMDR, un approccio metodologico specifico per traumi, e questo ha rafforzato i risultati attesi solo con la terapia familiare. (PsycINFO Database Record (c) 2008 APA, tutti i diritti riservati)

Multiproblem families are a difficult target for any therapeutic approach because of the high relevance of traumatic experiences for all family members. They are overridden with maltreatment, substance use or other illegal behavior, sexual abuse and the main problem is to overcome damage from disorganized attachment and to interrupt the cycle of psychosocial violence and child neglect. In the example reported, family systems therapy addressed to the ecological reality of these families has been integrated with EMDR, a methodological approach specific for trauma, and this has strengthened the expected outcome using only family therapy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Family Members  Family Therapy  Family  Integrated Services  Intervention  Trauma  

Accuracy Verified: Yes

50. Leeds, A. (2006, September). Learning to feel good about positive emotions with the positive affect tolerance and integration protocol. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Survivors of profound early childhood emotional neglect and abuse often experience shared positive emotional states as aversive. For such survivors, these states are unfamiliar and may be associated with formative experiences of being ignored, shamed or hurt. Concepts from attachment theory, Putnam’s discrete behavioral states model and McCullough’s affect phobia, provide the foundation for the Positive Affect Tolerance and Integration Protocol. Standard EMDR procedural steps increase tolerance for an integration of positive emotional states and develop a more resilient and positive self-concept. Case examples illustrate criteria and potential benefits of this approach with the aim of encouraging further research.

Keywords: Affect Tolerance and Integration Protocol  

Accuracy Verified: Yes

51. Leeds, A. (2007, September). Learning to feel good about positive emotions with the positive affect tolerance and integration protocol. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Survivors of profound early childhood emotional neglect and abuse often experience shared positive emotional states as aversive. For such survivors, these states are unfamiliar and may be associated with formative experiences of being ignored, shamed or hurt. Concepts from attachment theory, Putnam’s discrete behavioral states model and McCullough’s affect phobia, provide the foundation for the Positive Affect Tolerance and Integration Protocol. Standard EMDR procedural steps increase tolerance for an integration of positive emotional states and develop a more resilient and positive self-concept. Case examples illustrate criteria and potential benefits of this approach with the aim of encouraging further research.

Keywords: Positive Affect Tolerance and Integration Protocol  

Accuracy Verified: Yes

52. Leeds, A. M. (1998). Lifting the burden of shame: Using EMDR resource installation to resolve a therapeutic impasse. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 256-281). New York: W. W. Norton.

Language: English

Format: Book Section

Abstract:
With Meredith, what had seemed an insurmountable impasse using a standard PTSD protocol had become amenable to significant resolution when addressed with a non-standard protocol. The key to this approach was to install multiple positive resources without deliberately activating the distressing emotions and associations of a specific, disturbing memory or current stimuli. I have coined the phrase "EMDR resource installation" to describe this protocol. I have since used this approach with other challenging clients who have childhood histories of significant failures of attachment with their primary caregivers. In these cases, their histories and current functioning led me to conclude that their capacity for self-soothing and affect modulation was not yet developed to the point where they could tolerate directly targeting distressing memories using the standard EMDR protocol. [Text, pp. 276-277]

Keywords: Adults  Case Report  Child Abuse  Defense Mechanisms  Diseases  Females  Neglect  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

53. Giannantonio, M. (2001, Ottobre). L’eye movement desensitization and reprocessing (E.M.D.R.) negli adulti e adolescenti abusati sessualmente in età infantile [The eye movement desensitization and reprocessing (EMDR) in adults and adolescents sexually abused in childhood]. Congresso AIAMC, Palermo, Italia.

Language: Italian

Format: Conference

Abstract:
L’Eye Movement Desensitization and Reprocessing (EMDR) nasce come interevento elettivo nella terapia del Disturbo Post-traumatico da Stress (PTSD) e, in particolar modo nelle fasi iniziali del suo consolidamento clinico e teoretico, ha calibrato il proprio protocollo di intervento standard sul PTSD generato da combattimenti bellici, catastrofi naturali e provocate dall’uomo. L’abuso sessuale, soprattutto se avvenuto nell’infanzia, in modo prolungato ed all’interno di un contesto familiare (ovvero il tipo di abuso sessuale sul quale concentrerò ora la mia attenzione), è un tipo di evento traumatico che può presentare caratteristiche peculiari: elementi dissociativi da marcati ad assenti, alterazioni mnestiche e codifiche mnestiche statodipendenti, massicci meccanismi di repressione operanti anche per decenni, condizionamento negativo dell’evoluzione del sistema comportamentale dell’attaccamento, presenza di memorie somatiche di difficile gestione da parte del paziente, disturbi sessuali, difficoltà nell’instaurazione e nel mantenimento della relazione terapeutica. L’abuso sessuale intrafamiliare si accompagna abitualmente alla trascuratezza emotiva ed alla violenza psicologica, in alcuni casi anche a quella fisica. Di fronte ad un quadro 2 clinico così complesso (laddove la presenza di PTSD è semplicemente uno dei possibili esiti psicopatologici, e con ogni probabilità non il più frequente), l’intervento con l’EMDR richiede modificazioni rispetto al protocollo standard di intervento per il PTSD ma, soprattutto, l'inserimento all'interno di un intervento clinico di respiro decisamente più ampio rispetto all’impiego di algoritmi terapeutici ridotti all’essenziale. Il sottoscritto ritiene che, al momento attuale, lo studio più approfondito sull’argomento sia una pubblicazione di Laurel Parnell del 1999. Personalmente, ed in modo concorde con quest’ultimo autore, ho verificato la notevole efficacia nell’operare con l'EMDR - anche molto direttivamente - sulla storia di attaccamento del paziente al fine di colmarne le falle evolutive o eliminare gli ostacoli per il conseguimento di questo fondamentale obiettivo terapeutico.

The eye movement desensitization and reprocessing (EMDR) is born as interevento elective in the treatment of Posttraumatic Stress Disorder (PTSD) and, especially in the early stages of its consolidation clinical and theoretical, has calibrated their intervention protocols for the standard PTSD generated by fighting wars, natural disasters and caused man. Sexual abuse, especially if done in childhood, so Prolonged and within a family context (ie the type of abuse which focus on sex now my attention) is a type of event trauma that may have special characteristics: elements dissociative to be marked absent, changes in mnemonic and mnemonic encodings statodipendenti, massive repression mechanisms operating for decades negative evolution of behavioral conditioning system attachment, presence of somatic memories of unmanageable the patient's sexual problems, difficulty in establishing and maintaining the therapeutic relationship. Sexual abuse is intrafamilial usually accompanies the emotional neglect and violence psychological, in some cases to physical. Faced with a framework 2 clinical as complex (where the presence of PTSD is simply a possible outcomes of psychopathology, and probably not the most frequent), intervention with EMDR requires changes compared to standard protocol of intervention for PTSD but, more importantly, the inclusion within a clinical intervention to breath much larger than use of therapeutic algorithms reduced to essentials. My opinion that, at present, more thorough study on the subject is a Published by Laurel Parnell in 1999. Personally, and so agreed with this page, I checked the remarkable effectiveness in working with EMDR - very directly - on the history of attachment of the patient in order to bridge the evolutionary gaps or eliminate obstacles to achieving this important therapeutic target.

Keywords: Adolescents  Adults  Postttraumatic Stress Disorder  PTSD  Sexual Abuse  

Accuracy Verified: Yes

54. Egli-Bernd, H. (2009, October). MDR bei dissoziativen prozessen im rahmen von persönlichkeitsstörungen ; Zur Bedeutung der kognitionen im EMDR-prozess, Das „Dialog-Protokoll“ [EMDR in dissociative processes within the framework of Personality Disorders; On the importance of cognitions in EMDR process, The "dialogue protocol"] . EMDR Deutschland e.V. Rundbrief, 19, 20-34.

Language: German

Format: Newsletter

Abstract:
Spezifische Schwierigkeiten bei einer Gruppe von KlientInnen mit Persönlichkeitsstörungen bei der Wahl adäquater Kognitionen erfordern eine theoretische Auseinandersetzung mit der psychodynamischen Bedeutung der Kognitionen im EMDR-Protokoll. Die biographische Gemeinsamkeit dieser Patientengruppe ist der emotional-narzisstische Missbrauch in der Kindheit sowie Vernachlässigung durch primäre Bindungs- und Beziehungspersonen. Diese Lebenserfahrungen haben zur Folge, dass durch eine subtile Dissoziation (kindliche) Selbstteile entstehen, die emotional und kognitiv auf dasjenige Selbstbild fixiert sind, welches von den Bindungs- und Beziehungspartnern definiert und vom Kind verinnerlicht wurde. Das Ziel der Bearbeitung mit der EMDR-Methode ist in diesen Fällen nicht primär das anvisierte Ereignis, sondern dessen komplexe emotionale und kognitive Bedeutung für die Selbstwahrnehmung und -bewertung. Im vorliegenden Artikel wird vorgeschlagen, bei der EMDR-Bearbeitung dieser spezifischen Foki während der Bewertungsphase 3 sich der subtilen dissoziativen Struktur bewusst zu sein und sich ihrer, falls nötig, explizit zu bedienen. Dies geschieht durch die Fokussierung auf die gleichzeitige „Aktivierung“ zweier neuronaler Netzwerke (Selbstteile,) nämlich des „betroffenen (kindlichen) Selbst“ (Traumanetzwerk) und des erwachsenen „Gegenwarts-Selbst“ (Alltagsnetzwerk). Die Formulierung des schlimmsten Momentes (Bild), der Negativen Kognition sowie Affekt und Körperlokalisierung obliegen dem „betroffenen Selbst“, welches das zu bearbeitende verzerrte Selbstbild verinnerlicht hat. Die Positive Kognition hingegen soll vom „Gegenwarts-Selbst“ als eine dialogische, alternative Sichtweise aus der Gegenwartsperspektive formuliert und in den EMDR Prozess als direkte Anrede in der 2.Person Einzahl eingebracht werde n („du bist…“ etc.)

Specific difficulties in a group of clients with personality disorders in the choice of adequate cognition require a theoretical discussion of the psychodynamic significance of cognitions in EMDR protocol. The biography of this common group of patients is the emotional and narcissistic childhood abuse and neglect through primary attachment and relationship people. These life experiences have the effect that, due to a subtle dissociation (childish) Auto Parts, which are fixed to that of emotional and cognitive self-image, which was defined by the attachment and relationship partners and internalized by the child. The goal of treatment with the EMDR method in these cases is not primarily the targeted event, but the complex emotional and cognitive meaning for the self-perception and assessment. In this article it is proposed to be in the EMDR treatment of these specific foci during the evaluation phase 3 is aware of the subtle dissociative structure of her, if necessary, to use explicitly. This is done by focusing on the simultaneous "activation" of two neural networks (auto parts,) namely, the "concerned (children's) self" (Trauma Network) and the adult "present-self '(everyday network). The wording of the worst moment (picture), the negative cognition and affect and body localization is responsible for the "self-interested", which has internalized the distorted self-image to be processed. The positive cognition on the other hand will be the "present-self," formulated as a dialogical, alternative view from the present perspective, and placed in the EMDR process as a direct address to the 2nd person singular ("you are ..." etc.).

Keywords: Cognitions  Dialogue Protcol  Dissociation  Personality Disorders  

Accuracy Verified: Yes

55. Mosquera, D. (2012, March). Met behulp van EMDR bij de behandeling van borderline-stoornis bersonality [Using EMDR in the management of borderline personality disorder]. Preconference presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland .

Language: Dutch

Format: Conference

Abstract:
Onveilige en ongeorganiseerd bijlagen en het begin van relationele verwaarlozing en trauma diepgaand effect op het ontwikkelingstraject van de toekomstige volwassen en verhogen het risico op het ontwikkelen Borderline persoonlijkheidsstoornis (BPD). Mensen met een borderline-stoornis en een geschiedenis complex trauma hebben veel problemen met zelfregulering en met betrekking tot anderen. Het beheer van deze zelfregulering en relationele problemen zijn centrale aspecten in de behandeling van BPS. De stabilisatiefase is opgemerkt als essentieel oor trauma werk. Bij de behandeling van de borderline-stoornis en complexe trauma betekent dit vele bijzonderheden die we moeten in gedachten houden, waaronder: de rol van gehechtheid-gerelateerde gemoedstoestanden en fobieën voor de bevestiging, beïnvloeden en traumatische herinneringen. Werken met gevallen van BPS en complex trauma is intrinsiek relationeel en vaak gepaard gaat met de noodzaak om momenten van intense beïnvloeden en invloed hebben op fobieën beheren in de overdracht en tegenoverdracht. Inzicht in deze aspecten en met strategieën voor het aanpakken van hen is van essentieel belang zowel voor als tijdens EMDR opwerking van traumatische herinneringen om ervoor te zorgen dat de verwerking van traumatische herinneringen veilig en effectief kan worden gedaan met deze patiënten. Deze workshop integreert theoretische uiteenzetting met de presentatie van video's gevallen. De algemene structuur van EMDR therapie bij de behandeling van BPD, interventies in de voorbereidings-en overwegingen voor trauma-gerichte EMDR werk zal worden gedemonstreerd en uitgelegd.

Insecure and disorganized attachments and early relational neglect and trauma profoundly affect the developmental trajectory of the future adult and increase the risk of developing Borderline Personality Disorder (BPD). People with BPD and a history complex trauma have many difficulties with self-regulation and relating to others. The management of these self-regulation and relational difficulties are central aspects in the treatment of BPD. The stabilization phase has been remarked as essential prior to trauma work. In treating BPD and complex trauma this implies many particularities that we should keep in mind including: the role of attachment-related states of mind and phobias for attachment, affect and traumatic memories. Working with cases of BPD and complex trauma is intrinsically relational and often involves the need to manage moments of intense affect and affect phobias in the transference and countertransference. Understanding these aspects and having strategies for addressing them is essential both before and during EMDR reprocessing of traumatic memories to ensure that reprocessing of traumatic memories can be done safely and effectively with these patients. This workshop integrates theoretical exposition with the presentation of videos cases. The general structure of EMDR therapy in treating BPD, interventions for the preparation phase and considerations for trauma-focused EMDR work will be demonstrated and explained.

Keywords: Borderline Personality Disorder  

Accuracy Verified: Yes

56. Paterson, M. (2011, March). The neurobiology of EMDR. Presentation at the annual meeting of the EMDR Association of UK & Ireland, Bristol.

Language: English

Format: Conference

Abstract:
The study of traumatology is increasingly more reliant on an understanding of the neurological and biological mechanisms involved. It is a complex area for many people working with trauma who have not had a background in human biology. So often presentations on neurobiology and trauma are complex and focus on a specific topic thus never giving the overall picture. This presentation will take delegates through the field of trauma, initially giving a good understanding of how we acquire traumatic memories. It will go on to explain what the body does to compensate for hyperarousal, and will outline the impact on brain development of early life trauma and neglect. The paper will conclude with a description of the neurobiology of dissociation. There will be an opportunity for questions and discussion.

Keywords: Neurobiology  

Accuracy Verified: Yes

57. Greenwald, R. (1999, November-December). The power of suggestion - Comment on EMDR and mesmerism: A comparative historical analysis. Journal of Anxiety Disorders, 13(6), 611-615. doi:10.1016/S0887-6185(99)00019-5.

Language: English

Format: Journal

Abstract:
This response to McNally challenges the notion that scientific controversy should be waged with smear tactics. McNally's anti-EMDR conclusions are contested as premature and based on red herrings, selective neglect of the literature, and erroneous application of scientific principles. The importance of treatment fidelity is highlighted as a way of distinguishing between EMDR studies of widely varying quality (ScienceDirect).

Keywords: Franz Anton  Hypnotherapy  Mesmerism  Professional Criticism  

Accuracy Verified: Yes

58. Korn, D., & Leeds, A. (2002, December). Preliminary evidence of efficacy for EMDR resource development and installation in the stabilization phase of treatment of complex posttraumatic stress disorder. Journal of Clinical Psychology, 58(12), 1465-1487. doi:10.1002/jclp.10099.

Language: English

Format: Journal

Abstract:
This article reviews the complexity of adaptation and symptomatology in adult survivors of childhood neglect and abuse who meet criteria for the proposed diagnosis of Complex PTSD, also known as Disorders of Extreme Stress, Not Otherwise Specified (DESNOS). A specific EMDR protocol, Resource Development and Installation (RDI), is proposed as an effective intervention in the initial stabilization phase of treatment with Complex PTSD/DESNOS. Descriptive psychometric and behavioral outcome measures from two single case studies are presented which appear to support the use of RDI. Suggestions are offered for future treatment outcome research with this challenging population. [Author Abstract]

Keywords: Adults  Child Abuse  Clinical Case Study  Complex Empirical Study  Females  Neglect  Postt traumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Review  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes

59. Pearson, H. J. (2009). Present and accounted for: Sensory stimulation and parietal neuroplasticity. Journal of EMDR Practice and Research, 3(1), 39-49. doi:10.1891/1933-3196.3.1.39.

Language: English

Format: Journal

Abstract:
There are commonalities between neurologic syndromes arising from lesions of the parietal cortex and psychiatric syndromes secondary to psychological trauma. Additionally some posttraumatic syndromes may reflect functional disruption of parietal areas. Directional or bilateral alternating peripheral sensory stimulation appear to assist in the amelioration of a wide range of clinical conditions, including the neglect syndrome and Posttraumatic Stress Disorder. It is posited that the stimulation may exert its effect through activation of parietal higher-order functions. The activation may result in an integration of sensory information and an updating of the current representation of person and space, which incorporates an awareness of current body reality, sense of self, and world view. It is hypothesized that the EMDR procedure is ideally constructed to facilitate parietal activation through multimodal sensory stimulation, attention and episodic memory retrieval and focus on internal and external body, space, and self. Further investigations and an integration of data between disciplines are suggested, in order to expand our range of effective treatments.

Keywords: Neglect  Parietal Lobe  Plasticity  

Accuracy Verified: Yes

60. Cantelmi, T. (2010, Novembre). Prevalenza, incidenza e diagnosi differenziale dei disturbi da stress post-traumatici in oncologia [Prevalence, incidence and differential diagnosis of post-traumatic stress disorder in oncology]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.

Language: Italian

Format: Conference

Abstract:
Il PTSD abbraccia una gamma ampia di fenomeni: dagli eventi naturali catastrofici, dalle violenze maltrattamenti ed abusi su bambini ed adulti ad altre forme di aggressioni fisiche, gravi malattie ed interventi chirurgici, gravi problemi nel lavoro, come il mobbing ed altro ancora. L prevalenza del PTSD oscilla tra l’1 ed il 9% della popolazione generale e può raggiungere il 50/60% in sottogruppi di soggetti esposti a traumi considerati di particolare gravità.. Tra i disturbi mentali conseguenti a traumi solo il PTSD è identificato dall’evento traumatico che in questo disturbo assume un ruolo specifico, tanto che la presenza di uno stressor a cui collegare i sintomi è l’elemento necessario per fare diagnosi. Si discute se lo stesso possa e debba sufficientemente essere rappresentato da un evento che ha le qualità per minacciare alla vita e qualità della vita di un soggetto o se sia identificabile esaurientemente con un vissuto soggettivo di impotenza che cambia l’adattamento della persona alla realtà in modo disfunzionale. Sembra comunque che la malattia oncologica e le sue fasi evolutive nonché i processi di guarigione che implica presentano occasioni ripetute per il paziente oncologico a rischio di traumatizzazione sia a causa delle circostanze oggettive che mettono in pericolo la qualità di vita della persona e la sua vita medesima, sia per le simbolizzazioni drammatiche che a volte essa può assumere nell’immaginario collettivo e soggettivo. Gli studi epidemiologici indicano come il PTSD interessi maggiormente il sesso femminile (11% vs 5% del sesso maschile) sulla cui prevalenza può anche influire il tipo di trauma (violenze e molestie sessuali, neglect ed abusi infantili vs. aggressioni fisiche, minacce con armi prigionia e rapimento negli uomini. IL PTSD rappresenta una sfida in psichiatria non solo in generale perché i sintomi che emergono sono diversi e sintetizzano una miscela di processi sociali, biologici e psicologici, ma anche soprattutto in oncologia perché esiste una vasta gamma di sintomi dello spettro post-traumatico, come ad esempio i disturbi dell’adattamento, ma si è spesso in presenza di un PTSD sottosoglia difficilmente discriminabile anche agli occhi di esperti preparati. Così possiamo intendere i disturbi dell’adattamento come tutte quelle manifestazioni in cui, in assenza di vulnerabilità individuale, un evento stressante, ad esempio la diagnosi di cancro ed i trattamenti ad essa legati, rappresenta il fattore causale ed esclusivo di insorgenza dei sintomi, che si presume non sarebbero altrimenti occorsi. Essi influiscono negativamente sull’adattamento del soggetto alla malattia e sul funzionamento psicofisico generale. I sintomi possono essere rappresentati da reazioni depressive, reazioni d’ansia o miste (ansioso-depressive), reazioni con altri aspetti emozionali (irritabilità, aggressività labilità emotiva) o con disturbi della condotta (comportamenti inadeguati). Importante risulta la diagnosi differenziale con i disturbi d’ansia e depressivi. I disturbi dell’adattamento rappresentano i quadri di sofferenza psicologica più frequentemente diagnosticabili nei pazienti con cancro, avendo una prevalenza del 30-35%. I sintomi sottosoglia possono rappresentare invece i prodromi di una sindrome conclamata oppure i sintomi residui di un PTSD in remissione parziale. E’ importante volgere l’attenzione ai PTSD in oncologia, alla diagnosi differenziale con altri tipi di disagi psicooncologici, ed in particolare alla peculiarità, gravità cronicità del quadro clinico per la possibilità di attuare una prevenzione efficace prima che il disturbo insorga o si strutturi, e per le potenzialità di comprensione di alcuni meccanismi di funzionamento cerebrale che creano un ponte fra psicologico e biologico.

The PTSD embraces a wide range of phenomena: from natural catastrophic events, from violence and abuse, ill-treatment of children and adults with other forms of physical assaults, serious illness and surgery, severe problems in the work, such as bullying and more. The prevalence of PTSD ranges between 1 and 9% of the general population and can reach 50/60% in subgroups of subjects exposed to trauma considered particularly serious .. Among the mental disorders resulting from trauma, PTSD is identified only by the traumatic event that in this disorder takes on a specific role, so that the presence of a stressor that link symptoms is a necessary element to diagnose. It was discussed whether the same can and should be sufficiently represented by an event that has the quality to threaten the life and quality of life of an individual, or whether it is fully identifiable with a subjective experience of powerlessness that changes to adapt to the reality of the person in dysfunctional way. It seems that the oncological disease and its evolutionary phases as well as the healing process that involves repeated opportunities to present the cancer patient at risk of trauma and because of objective circumstances that endanger the quality of life of the person and his life itself , both for the dramatic symbolization that sometimes it can take in the collective and subjective. Epidemiological studies indicate that PTSD interests most of the women (11% vs. 5% of males) on the prevalence of which may also affect the type of trauma (violence and sexual harassment, child abuse and neglect Vs. Physical attacks, threats with weapons imprisonment and kidnapping in men. IL PTSD represents a challenge in psychiatry not only in general because the symptoms that emerge are different and synthesize a mixture of social processes, biological and psychological, but also especially in oncology because there exists a wide range of symptoms spectrum post-traumatic, such such as adjustment disorders, but it is often in the presence of a subthreshold PTSD hardly discriminated even in the eyes of experts prepared. So we can understand the adjustment disorders like all those events where, in the absence of individual vulnerability, a stressful event, such as the diagnosis of cancer and the treatments associated with it, is the causal factor and exclusive of onset of symptoms, which it is assumed would not otherwise have occurred. They have a negative impact on the adaptation of the subject to physical and mental illness and the general operation. Symptoms may be represented by depressive reactions, anxiety reactions or mixed (anxious-depressive), reactions with other aspects of emotional (irritability, aggressiveness, emotional lability) or conduct disorder (inappropriate behavior). Important results in the differential diagnosis of anxiety disorders and depression. The adjustment disorders represent the paintings of psychological distress more frequently diagnosed in patients with cancer, having a prevalence of 30-35%. The subthreshold symptoms may instead represent the beginnings of a full-blown syndrome or residual symptoms of PTSD in partial remission. It 'important to turn our attention to PTSD in oncology, the differential diagnosis with other types of inconvenience psicooncologici, and in particular to the peculiarities, chronicity, severity of the clinical picture for the possibility of implementing effective prevention before the disorder arises or is structured, and the potential of understanding of some mechanisms of brain function that create a bridge between psychological and biological.

Keywords: Cancer  Posttraumatic Stress Disorder  PSTD  

Accuracy Verified: Yes

61. Leeds, A. M. (2001, December). Principals and procedures for enhancing current functioning in complex posttraumatic stress disorder with EMDR resource development and installation. EMDRIA Newsletter, 6(Special Edition), 4-11 .

Language: English

Format: Newsletter

Abstract:
When developing a treatment plan, clinicians need to be able to recognize not only the specific effects of trauma but to consider symptoms reflecting limited capacities for emotional self regulation. Such problems are often found when client histories included significant childhood neglect or other disruptions of each childhood attachment (Damasio, 1999; Schore, 2000; Sigel, 1999). Clients with a history of secure attachment appear to be more vulnerable to PTSD (Alexander, et al., 1998; Muller, Sicoli, & Kemieux, 2000) and initially need to be addressed with procedures different from those for trauma specific symptoms. Therefore in the consensus model of posttraumatic treatment (Browm Scheflin, & Hammond, 1998; Chu, 1998; Courtois, 1999) clinicians are urged to focus on clients’ personal safety, stabilization, and the development of client capacities for tolerating and modulating strong affect in the early phases of treatment.

Keywords: DESNOS  RDI  Resource Development and Installation  Posttraumatic Stress Disorder  PTSD  Stabalization  

Accuracy Verified: Yes

62. Oren, U. (2008, December). Promising results with the EMDR method - Alleviating traumatized bodies and minds . Rehabilitation and Research Centre for Torture Victims: An International Evidence-Based Conference, Copenhagen, Denmark .

Language: English

Format: Conference

Abstract:
A patient moving his eyes back and forth following the therapist's fingers as they move across his field of vision for 20-30 seconds. EMDR (Eye movement desensitization and reprocessing) might sound as a scam, but in fact it is becoming a highly recognized and widespread treatment method. It is an innovative clinical treatment. It has successfully helped over one million people who have experienced psychological difficulties which originate from some kind of traumatic experience, such as sexual abuse, childhood neglect, road traffic accidents and violence.

Keywords: Mind-Body  

Accuracy Verified: Yes

63. O'Shea, K., & Paulsen, S. (2007, September). A protocol for increasing affect regulation and clearing early trauma. Presentation at the annual meeting of the EMDR International Assocation, Dallas, TX.

Language: English

Format: Conference

Abstract:
This workshop will address two of the most challenging issues in EMDR treatment of individuals with affect dysregulation from early traumatic experience, including emotional neglect and attachment failure. It will offer protocols to: 1) increase client affect tolerance by resetting emotions; and 2) maintain client sense of safety, while enabling access to neuron networks containing implicit memories from early life.

Keywords: Affect Tolerance  Clearing  

Accuracy Verified: Yes

64. Jarero, I., Roque-López, S., & Gomez, J. (2013). The provision of an EMDR-based multicomponent trauma treatment with child victims of severe interpersonal trauma. Journal of EMDR Practice and Research, 7(1), 17-28. doi:10.1891/1933-3196.7.1.17.

Language: English

Format: Journal

Abstract:
This study evaluated a multicomponent phase-based trauma treatment approach for 34 children who were victims of severe interpersonal trauma (e.g., rape, sexual abuse, physical and emotional violence, neglect, abandonment). the children attended a week-long residential psychological recovery camp, which provided resource building experiences, the eye movement desensitization and reprocessing integrative group treatment protocol (emdr-igtp), and one-on-one emdr intervention for the resolution of traumatic memories. the individual emdr sessions were provided for 26 children who still had some distress about their targeted memory following the emdr-igtp. results showed significant improvement for all the participants on the child's reaction to traumatic events scale (crtes) and the short ptsd rating interview (sprint), with treatment results maintained at follow-up. more research is needed to assess the emdr-igtp and the one-on-one emdr intervention effects as part of a multimodal approach with children who have suffered severe interpersonal trauma.

Keywords: Children  Complex Trauma  Integrative Group Treatment Protocol  Interpersonal Trauma  Multicomponent-Phased Therapy  

Accuracy Verified: Yes

65. Teegen, F. (2000). Psychotherapie der posttraumatischen belastungsstörung [Psychotherapy of post-traumatic stress disorder]. Psychotherapeut, 45(6), 341-349. doi:10.1007/PL00006723.

Language: German

Format: Journal

Abstract:
Die Posttraumatische Belastungsstörung (PTBS) ist ein häufiges Krankheitsbild und mit einer Standardtherapie, die die spezifische Problematik der Störung unberücksichtigt lässt, nur eingeschränkt behandelbar. Der Beitrag geht auf aktuelle diagnostische Kriterien sowie spezifische Risikofaktoren für die Ausbildung chronischer und komplexer PTBS-Symptome ein. Verschiedene Behandlungsansätze – Konfrontationstherapie, Kognitive Restrukturierung, EMDR, psychodynamische Therapie, angeleitetes Schreiben – werden auf der Basis validierter Therapiestudien vorgestellt. Ausführlicher berücksichtigt werden Behandlungsmöglichkeiten für sexuell traumatisierte Frauen mit chronischer PTBS und komorbiden Beschwerden.

Post-traumatic stress disorder (PTSD) is a frequent disorder. But standard treatments which neglect the specific characteristics of the symptomatology are only of limited outcome. The paper focuses on recent diagnostic criteria and specific risk factors that are likely to influence the development of chronic and complex PTSD symptoms. Different treatment programmes and techniques are presented on the basis of validated therapy studies: prolonged exposure, cognitive restructuring, EMDR, psychodynamic therapy and writing assignments. Particular attention is payed to the psychotherapy of sexually traumatised women who suffer from chronic PTSD and comorbid disorders.

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes

66. O'Shea, K., & Wilensky, M. (2006, June). Re-building the foundations of: Early Age (0-3 Years) repair of trauma and neglect. Presentation at the annual meeting of the EMDR Europe Assocation, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
Three years ago in which a person's life during the trauma itself in the world can feel safe, confident and have a very significant impact on the relations have to feel effective. In the study, participants simple, safe and effective type of standard protocols will have the opportunity to practice. In this protocol, 1) the early years of trauma for the required security işlemleme create his natural in a way that provides a fast and Preparatory Phase. At this stage, the "Safe Place" instead of "Secure Status" a non-stressful way to define and EMDR'la to be able to meet the "feelings to re-adjustment" method exists. After that, trainers, each age (babies, children, adolescents and adults) for the method will show how to use. After the participants to reach 0-3 years of trauma and to repair 2) more secure, fast and efficient to sort the language and, 3) (Review the experience to assign appropriate Responsibility-Release emotional and physical energy to reach a sense of Safety-Repair the experience by Imagining what was needed in order to have future Choices): Experience of the review, the security of his reach, needed something to imagine the experience to repair and 4) "Creative Blending" (not a therapist, counseling by the uncovered). Study, early age may be a symptom of trauma will be descriptions (eg, somatic disorders and personality disorders), and suspected cases of trauma and neglect the benefits of using this methodology will be revealed.

Keywords: Neglect  Trauma  

Accuracy Verified: Yes

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

Language: English

Format: Other

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

Keywords: Imaginal Nurturing  Neglect  

Accuracy Verified: Yes

68. Matthess, H., & Yang, Y. (2010, July). Social and cultural adaptation. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
We know from research that since neurobiology is the same for humans, then the reaction to stress is the same for all human beings in the world. That is why EMDR works so well with victims of natural disasters and of adverse childhood experiences, including sexual and physical violence and emotional neglect. Because of cognitive functioning, e.g., creating metaphors and images for self-soothing, establishing social contact and/ or personal interpretation, or assigning meaning to stressful experiences, we have to emphasize the importance of cultural influences. We want to invite people from different cultures to join this open meeting to present, share, and discuss their experiences and perhaps difficulties with cultural adaptation of trauma-therapy techniques, including EMDR. For example, we may need to examine where and how the wording of the EMDR-protocol needs to be adapted to recognize and accommodate cultural differences; perhaps we need to look at the language structure and its accessibility. Let us share our ideas and experiences so that we may get new insights on how to more effectively implement our trauma-therapy techniques and spread our knowledge about neurobiology to various cultural backgrounds.

Keywords: Social and Cultural Adaptation  

Accuracy Verified: Yes

69. Thaxton, D. (2007, June). Star wars therapy: Integrating EMDR with children. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract: EMDR with children can be clinically challenging. Traditional protocols are difficult to follow, especially with younger children. Unique to this approach, Star Wars therapy allows children to produce their own bilateral stimulation while the therapist installs verbal cognitive interweaves. Star Wars therapy facilitates the integration of resource installations; it provides children with an exciting venue to explore schemas and ego states resulting form trauma, abuse and neglect. Star Wars play therapy is a practical skill set for clinicians interested in integrating EMDR with children. Star Wars is unique in its immediate accessibility for children. The rich story line it provides them with accessible themes of good and evil, betrayal, injustice, universal hierarchy, and connectedness with “the force:’ the main characters act as primary archetypes. The body of this work is dived into two mains sections. The first section outlines Star Wars Play Therapy from a theoretical standpoint. The goal is to address the neurobiological, psychological, and attachment aspects which are the basis for treatment. The second reaction addresses the technique form a practical perspective. A complete clinical protocol is outlines, from conceptualization to execution of play, to the integration of EMDR instillations and trauma targeting.

Keywords: Children  Star Wars Therapy  

Accuracy Verified: Yes

70. Leeds, A. M. (2000). Strengthening the self: Principles and procedures for creating successful treatment outcomes for adult survivors of neglect and abuse. Andrew M. Leeds, Ph.D., Santa Rosa, CA.

Language: English

Format: Other

Keywords: Abuse  Adult  Neglect  Survivors    

Accuracy Verified: Yes

71. Fernandez, B. R. (2010, December). Through the eyes of a child: A symbolic, narrative journey through complex childhood trauma. Pacifica Graduate Institute, Carpinteria, CA . 1490015.

Language: English

Format: Dissertation/Thesis

Abstract:
This research examines how symbolic expression in the form of written autobiographical stories, dream images, and original art can heal the survivor of complex childhood trauma. Chronic neglect, witnessing and/or experiencing physical and sexual abuse, systematic humiliation, or other terrorizing experiences can lead to psychic fragmentation, disruptions in memory, and other adaptations that can cause lifelong suffering and functional impairment. These trauma sequelae concern psychotherapists and other professionals who treat survivors. Included is a discussion of attachment theory, brain development, memory, and other psychological experiences endured by childhood trauma survivors. Presented is the author's artistic, phenomenological, and hermeneutic engagement with healing such trauma through depth psychology, psychotherapy, and symbolic artistic representations including memoir. There is a focus on the importance of rebuilding self through the piecing together of coherent autobiographical narrative. It includes coverage of stages of recovery and various treatment approaches including EMDR, art therapy, and Jungian dreamwork.

Keywords: Art  Autobiographical Stories  Dream Images  Narration  Symbolic Expression  

Accuracy Verified: Yes

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

Language: English

Format: Newsletter

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

Keywords: Dissociation  

Accuracy Verified: Yes

73. 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:
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.

Keywords: Borderline Personality Disorder  Symposium  

Accuracy Verified: Yes

74. Robredo, J. (2011, Julio). Tratamiento con EMDR en menores victimas de abuso [EMDR treatment with children victims of abuse]. 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:
Las estadísticas acerca del maltrato físico de los niños son alarmantes. Se estima que cientos de miles de niños han recibido abuso y maltrato a manos de sus padres o parientes. Los que sobreviven el abuso, viven marcados por el trauma emocional, que perdura mucho después de que las consecuencias físicas hayan desaparecido. A menudo el daño emocional severo a los niños maltratados no se refleja hasta la adolescencia, o aún más tarde, cuando muchos de estos niños maltratados se convierten en padres abusivos y comienzan a maltratar a sus propios hijos. El reconocer y dar tratamiento inmediato es importante para minimizar los efectos a largo plazo causados por el abuso o maltrato físico. En este sentido, en los últimos años venimos trabajando con menores que han sido víctimas de abuso, negligencia, violencia familiar o abandono. El abordaje terapéutico desde el EMDR se muestra como un paradigma muy eficaz a la hora de trabajar con niños y menores. El trabajo con la red de recuerdos y el reprocesamiento de recuerdos traumáticos ayuda a su recuperación. A través de los dibujos que los niños han ido haciendo en las sesiones se observa como el reprocesamiento en el niño es diferente al del adulto. Además la etapa del desarrollo del niño interfiere tanto en el modo de procesar información traumática como en la construcción de los recuerdos y su posterior reprocesamiento. Por lo que los protocolos de EMDR en el niño son diferentes a los del adulto para que sean igualmente eficaces. En esta comunicación se presenta el protocolo de trabajo para tratar a los menores víctimas de abuso, desarrollado desde la perspectiva de EMDR, exhibiendo cómo funciona el protocolo a través de la presentación de los datos que se han ido recogiendo durante la aplicación del programa de intervención.

The statistics on physical child abuse are alarming. It is estimated that hundreds of thousands of children are physically abused by their parents or relatives. Those who survive abuse, living marked by the emotional trauma remains long after the physical consequences are gone. Often the emotional damage severely abused children is not reflected until adolescence or even later, when many of these abused children become abusive parents and begin to abuse their own children. Early recognition and treatment is important for minimize long-term effects caused by abuse or physical abuse. In this regard, in recent years we have been working with children who have been victims of abuse, neglect, family violence or neglect. The therapeutic approach from the EMDR appears as a very effective paradigm for working with children and minors. Working with the memory network and reprocessing of traumatic memories aid their recovery. Through drawings children have been doing in the sessions were observed as the reprocessing in children is different from the adult. also stage of child development interfere much in the way of processing information traumatic as the construction of memories and subsequent reprocessing. by what EMDR protocols in children are different from the adult to be equally effective. In this paper we present the working protocol for dealing with juveniles victims of abuse, developed from the perspective of EMDR, showing how protocol through the presentation of the data have been collected during the implementation of the intervention program.

Keywords: Abuse  Children  Symposium  

Accuracy Verified: Yes

75. Schore, A. (2000, September). Traumatic attachment and the development of the right brain. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will learn: 1) how a history of early abuse and/or neglect induces severe attachment pathology in infants and toddlers; 2) the deleterious effects of early abuse and neglect on the development of right brain coping systems, specifically focusing on the impairment of the maturation of higher right coritcal interconnections into the hypothalamo-pituitary-adrenal axis and the sympthomedullary axis; and 3) a developmental psychoneurobiological model of dissociation.

Keywords: Attachment  Dissociation  Right Brain  Trauma  

Accuracy Verified: Yes

76. Huso, D. R. (2010, March/April). Treating child abuse trauma with EMDR. Social Work Today, 10(2), 20. Retrieved from http://www.socialworktoday.com/archive/032210p20.shtml 8/3/2010 .

Language: English

Format: Magazine

Abstract:
EMDR has been successful in treating trauma from childhood abuse in victims and survivors young and old. With more than 3 million instances of child abuse reported annually in the United States and probably many more cases going unreported, social workers face an often daunting client list of children and adults who are or have been victims of abuse and neglect. Left untreated, these individuals’ chances of leading lives fraught with substance abuse, incarceration, unwanted pregnancies, and future psychological conditions are multiplied by many degrees. In the last two decades, however, researchers have made major strides in developing methods for treating victims and survivors of child abuse, including therapies that work as well (and in some cases better) with children as with adults. Among the most successful of these treatments is Eye Movement Desensitization and Reprocessing (EMDR), a therapeutic process that uses eye movements, sounds, and repetitive motions to help clients process and come to terms with traumatic memories more quickly than talk therapy alone. And since many children and some adults are unable to verbalize traumatic experiences, EMDR can often provide the breakthrough that more traditional therapies can’t.

Keywords: Practice  Theory  

Accuracy Verified: Yes

77. Wieland, S. (2013, May). Understanding and treating trauma/dissociation in children: The importance of EMDR. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
This workshop will explain how early chaos and/or neglect affects a child’s brain, autonomic nervous system, and body system and how this can lead to the development of complex trauma. To protect the self from the overwhelming affect or complete shut-down that occurs with complex trauma, a child develops dissociation. Dr. Wieland will explain dissociation from both a neurological and a conceptual perspective. The three-stage trauma treatment model will be described with particular attention to the role of EMDR within each stage of this treatment. Because of the dynamics of dissociation – the separation off of emotions, cognitions/memories, and body sensations – an adapted form of the EMDR protocol is required in the work with these children and adults. Several clinical cases will be described with details on how EMDR is incorporated.

Keywords: Children  Dissociation  Trauma  

Accuracy Verified: Yes

78. Wieland, S. (2009, May). Using EMDR with children who dissociate. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.

Language: English

Format: Conference

Abstract:
Dissociation is a common response for children who experience abuse, severe neglect, or extreme disorganized attachment. This workshop will briefly describe the effect of dissociation on a child’s inner world and the emotional, behavioural, cognitive, and somatic symptoms that appear in the child’s outer world. The use of EMDR to (1) increase a child’s sense of safety and stability (the first stage in trauma treatment), (2) decrease the disconnection between aspects of self, and (3) process trauma will be described. Attention will be given to recognizing and responding to dissociation during EMDR processing. Numerous case examples will be presented.

Keywords: Children  Dissociation  

Accuracy Verified: Yes

79. Hofmann, A., & Matthess, H. (2010, July). Using EMDR with different populations - AIP: Working with implicit memory system. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
In recent years a lot of different EMDR-protocols, based on the adaptive information processing model (AIP) have been developed. Many of them have shown to be effective in controlled clinical studies. This workshop will review the AIP-model and its benefits. Using the idea of adaptive processing we will develop ideas of various applications looking also beyond the PTSD diagnosis’. We will focus on EMDR-interventions with: 1. Complex PTSD and other forms of childhood trauma and neglect 2. Addictions 3. Depressive disorders 4. Children 5. Use of group protocols for acute traumatizations We will focus mainly on the practical aspect. Clinical questions are welcome.

Keywords: Implicit Memory System  

Accuracy Verified: Yes

80. Becker-Fritz, T. (2003, September). Using EMDR with young adoptive children who have attachment disorders. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Many children and adolescents who present for serious behavior problems have been adopted both from here and from other counties. Parents and teachers are not prepared to deal with the attachment disorders that are part of the child. This workshop will present the symptoms of attachment disorders, as well as highlight those that are different for the Reactive Attachment Disorder. Use of EMDR protocols will be reviewed as they apply to working with young children who have experienced serious trauma and neglect at any early age and have not way to share these experieces except through their behaviors. Part of this presentation will address areas to assess with the parent regarding their own attachment issues that often get in the way of successful treatment. Finally, case review of several children will be presented that gives practical,hands on protocols that can be used to treat these children using EMDR.

Keywords: Adoptive Children  Attachment Disorder  

Accuracy Verified: Yes

81. Pace, P. (2002, June). Using imagery and EMDR to facilitate the healing of adults with a history of abuse and neglect. Poster presented at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Keywords: Abuse  Imagery  Neglect  Poster  

Accuracy Verified: Yes