Francine Shapiro Library ~ EMDR Bibliography

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1. 市井雅哉, 熊野宏昭 [Ichii Masaya & Kumano Hiroaki]. (1996). 急性ストレス障害の阪神・淡路大震災被災者に対する眼球運動による脱感作法(EMD)の適用ブリーフサイコセラピー研究 [Eye movement desensitization by Kobe earthquake victims with acute stress disorder (EMD) application]. ブリーフサイコセラピー、5、53-70の日本人会 [Japanese Association of Brief Psychotherapy, 5, 53-70].

Language: Japanese

Format: Journal

Abstract:
著者らは、EMDを（眼球運動脱感作）阪神淡路大震災から受けたとのASD（急性ストレス障害）の生存者として1ヶ月と診断地震次の2つの女性に適用されます。セッションの中で、彼らの恐れが減少した。その結果、EMDには、ASDクライアントのPTSDを防ぐために使用できることを示した。 25歳焦がすの女性は当初、外傷に関連する画像（例えば、火）、8の初期SUDにレベルを訴えた。眼球運動（EM）の苦痛のレベルの4つの後に0に減少した。眼球運動の7番目のセット後、彼女はそれが終わると、"として完全に本当だった認知"を評価した。 5ヵ月後には、これらの治療の変更が症状のいずれか再発することなく維持された。関連は、この場合、二次的利得と自己使用で議論された。また、結婚28歳の女性、EMDの治療のセッション中に恐怖感の強いreexperienced地震に関連する症状。迅速SUDには0のレベルに減少したEMの11セットの後に恐れている。同時に、彼女は彼女が望ましい認知または"すべては疑いの余地なくすべての権利"は信じられないと報じた。方法はEMDを適用することで画像や正認知の治療に議論された。また、症状の適用範囲やEMDとEMDRの違いが議論された。

Authors applied EMD (Eye Movement Desensitization) to two women who suffered from the Great Hanshin-Awaji Earthquake and diagnosed as ASD (Acute Stress Disorder) survivors one month following the earthquake. Within a session, their fears were diminished. The result showed that EMD can be used for ASD clients to prevent PTSD. A 25 year-old singe woman initially complained of trauma-related imagery (e.g., fire) with an initial SUD level of eight. After four sets of Eye Movement (EM) the level of distress decreased to 0. After the seventh set of eye movement, she rated the cognition "it was over," as completely true. Five months later, these therapeutic changes were maintained without any relapse of symptoms. Associated with this case, secondary gain and self use were discussed. In addition, a married 28-year-old woman, reexperienced earthquake-related symptoms with a strong sense of fear during the therapy session of EMD. The fear quickly decreased to a level of 0 on SUD after the eleventh set of EM. At the same time she reported that she could believe a desirable cognition or "everything is all right" without any doubt. The way to treat imagery and positive cognition in applying EMD was discussed. Furthermore, an applicable range of symptoms, and the differences between EMD and EMDR were discussed.

Keywords: Acute Stress Disorder ASD Earthquake Kobe

Accuracy Verified: Yes

2. 李元華 [Li Yuan-Hua]. (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討：干擾自然眼動對回憶的影響 [The therapeutic mechanism of eye movements in EMDR: The effect of interrupting spontaneous eye movements during recollections]. 國立台灣大學心理學研究所，台灣 [National Taiwan University Graduate Institute of Psychology, Taiwan].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
李元華眼動在眼動減敏訊息再處理法中的療效機制探討：干擾自然眼動對回憶的影響臺灣大學
本研究探討雙側眼動在眼動減敏訊息再處理法(Eye movement Desensitization and reprocessing; EMDR)中的所扮演的角色，過去研究認為雙側眼動可以降低回憶時的影像鮮明度與情緒強度。本研究除了擬再次驗證此一論點外，同時也提出進一步的假設：雙側眼動干擾了個體在回憶創傷經驗時的自然眼動，進而降低其在回憶時的影像畫面清晰度以及情緒強度。參與者為132名的修習普通心理學的台大學生。本研究操弄三種不同的眼動方式來探討不同的眼動干擾對正、負向自傳式回憶的影像鮮明程度、情緒強度以及心跳速率的影響，並且也記錄了參與者在回憶時自然眼動的方向性，即CLEMs (Conjugate Lateral Eye Movements)。本研究所操弄的眼動變項為眼動組、凝視組以及自然回憶組，眼動組又可分為水平眼動以及垂直眼動二操弄組、凝視組又可分為左凝視與右凝視二操弄組。結果顯示CLEMs的方向性在正負向回憶中是一致的，整體來說偏右向次數大於左向，此並不符合情緒側化理論或情緒右腦理論。另外，相較於非眼動組，眼動組對鮮明度與情緒強度的下降程度最大，凝視組次之，自然回憶組則有上升趨勢。在眼動組中水平或垂直眼動的操弄在鮮明度與情緒強度上並無差異，而凝視組中的右凝視操弄組對影像鮮明度以及情緒強度的下降程度較左凝視操弄組大，此結果並不支持水平雙側眼動的特別療效，也不支持情緒側化理論，而較可能支持情緒右腦理論。在負向回憶時的心跳速率指標方面，眼動組並無上升趨勢，但非眼動組則有上升趨勢出現。研究結果支持眼動干擾了個體在回憶創傷經驗時的自然眼動，進而降低其在回憶時的影像畫面清晰度以及情緒強度。本研究最後對各眼動理論做了討論以提出整合性的觀點。

This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.[Author abstract]

Keywords: Autobiographic Memory Eye Movement Valence-Specific Hypothesis

Accuracy Verified: Yes

3. 李元華 [Li YuanHua] (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討：干擾自然眼動對回憶的影響 [The Therapeutic Mechanism of Eye Movements in EMDR: The effect of interrupting spontaneous eye movements during recollections]. 國立台灣大學，台灣 [National Taiwan University, Graduate Institute of PsychologyTaiwan].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
本研究探討的作用眼球運動在眼動脫敏和再加工（EMDR的）。以往的研究指出，眼球運動能降低生動性和情感中的圖像。除了複製以前的研究，本研究提出一個假設：雙側眼球運動中斷了病人的自發性眼球運動創傷的回憶中，減少了生動性和情感性的意象。參加者為 132台大本科生參加了普通心理學課程。本研究操縱三個條件眼球運動，以實現不同的效果中斷生動，情緒和心率在正面和負面的自傳回憶。它也記錄眼球運動方向的自發召回期間，即克萊姆斯（共軛側眼動）。這三個條件的實驗是眼球運動，僅僅是圖像的目光和條件。眼動條件分為水平和垂直運動的團體和凝視條件分為左，右的目光群體。結果表明，該方向的克萊姆斯在正面和負面的回憶是一致的，但數字的右向左凝視超過凝視。價的具體偏側假說和右半球假說的情感都是不支持的調查結果克萊姆斯。此外，最強的中斷生動，情感的是眼睛的運行狀況，其次是凝視條件，而僅僅是提高圖像的條件。生動性和情緒之間沒有顯著不同的水平和垂直眼球運動團體在眼球運動狀況，但是，中斷的生動性和情緒在右凝視組強於左側凝視小組。根據這些發現，特效水平眼球運動不支持，也不是價的具體偏側假說。然而，右半球假說可能得到支持。在負的回憶，心率沒有任何的趨勢，在眼球運動的條件，但越來越多的目光幾乎增加條件和單純的意象條件。總之，結果支持這一假設：雙側眼球運動中斷了病人的自發性眼球運動創傷的回憶中，減少了生動性和情感性的意象。最後，本研究探討的理論眼球運動在EMDR的，並提出一個綜合觀點。

This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.

Keywords: Autobiographic Memory Valence-Specific Hypothesis

Accuracy Verified: Yes

4. 李元華, 張素凰 [Li Yuan-Hua, & Chang Sue Hwang] (2008). 眼動在眼動減敏訊息再處理法中的療效機制探討：干擾自然 [The therapeutic mechanism of eye movements in EMDR: the effect of interrupting spontaneous eye movements during recollections]. 臺灣大學:心理學研究所 [Taiwan: Institute of Psychology].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
本研究探討雙側眼動在眼動減敏訊息再處理法(Eye movement Desensitization and reprocessing; EMDR)中的所扮演的角色，過去研究認為雙側眼動可以降低回憶時的影像鮮明度與情緒強度。本研究除了擬再次驗證此一論點外，同時也提出進一步的假設：雙側眼動干擾了個體在回憶創傷經驗時的自然眼動，進而降低其在回憶時的影像畫面清晰度以及情緒強度。參與者為132 名的修習普通心理學的台大學生。本研究操弄三種不同的眼動方式來探討不同的眼動干擾對正、負向自傳式回憶的影像鮮明程度、情緒強度以及心跳速率的影響，並且也記錄了參與者在回憶時自然眼動的方向性，即CLEMs (Conjugate Lateral Eye Movements)。本研究所操弄的眼動變項為眼動組、凝視組以及自然回憶組，眼動組又可分為水平眼動以及垂直眼動二操弄組、凝視組又可分為左凝視與右凝視二操弄組。結果顯示CLEMs 的方向性在正負向回憶中是一致的，整體來說偏右向次數大於左向，此並不符合情緒側化理論或情緒右腦理論。另外，相較於非眼動組，眼動組對鮮明度與情緒強度的下降程度最大，凝視組次之，自然回憶組則有上升趨勢。在眼動組中水平或垂直眼動的操弄在鮮明度與情緒強度上並無差異，而凝視組中的右凝視操弄組對影像鮮明度以及情緒強度的下降程度較左凝視操弄組大，此結果並不支持水平雙側眼動的特別療效，也不支持情緒側化理論，而較可能支持情緒右腦理論。在負向回憶時的心跳速率指標方面，眼動組並無上升趨勢，但非眼動組則有上升趨勢出現。研究結果支持眼動干擾了個體在回憶創傷經驗時的自然眼動，進而降低其在回憶時的影像畫面清晰度以及情緒強度。本研究最後對各眼動理論做了討論以提出整合性的觀點。

This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.This study examines the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). Previous studies have pointed that eye movements could decrease the vividness and emotionality during imagery. Besides replicating previous studies, this study proposes a hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Participants are 132 NTU undergraduate students enrolled in the general psychology course. This study manipulates three conditions of eye movements in order to realize the effect of different interruptions to vividness, emotionality and heart rate during positive and negative autobiographic recollections. It also records the directions of spontaneous eye movements during recall, namely CLEMs (Conjugate Lateral Eye Movements). The three conditions of the experiment are eye movement, gaze and mere imagery conditions. The eye movement condition is divided into horizontal and vertical movement groups and the gaze condition is divided into left and right gaze groups. Results show that the directions of CLEMs in positive and negative recollections are coherent, however the numbers of rightward gazes are more than leftward gazes. The valence-specific laterality hypothesis and the right hemisphere hypothesis of emotion both are not supported by the findings of CLEMs. In addition, the strongest interruption of vividness and emotionality is eye movement condition, followed by the gaze condition, while increasing in mere imagery condition. Vividness and emotionality are not significantly different between the horizontal and the vertical eye movement groups in the eye movement condition, however, the interruption of vividness and emotionality in the right gaze group is stronger than the left gaze group. According to these findings, the special effect of horizontal eye movements is not supported, neither is valence-specific laterality hypothesis. However, The right hemisphere hypothesis may be supported. In negative recollections, the heart rate does not have any trend in the eye movement condition, but increasing in gaze condition and nearly increasing in mere imagery condition. In summary, the results support the hypothesis: bilateral eye movements interrupt the patients’ spontaneous eye movements during traumatic recollections and decrease the vividness and emotionality of imagery. Lastly, the study discusses the theories of eye movements in EMDR, and proposes an integrated perspective.

Keywords: autobiographic Memory Eye Movements Valence-Specific Hypothesis

Accuracy Verified: Yes

5. 陳致豪 [Chen Chih-Hao]. (2004). 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 [The efficacy of eye movement and positive cognition components of EMDR in the treatment of cockroach phobia]. 國立台灣大學心理學研究所 [National Taiwan University Graduate Institute of Psychology].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
陳致豪眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效
眼動減敏訊息再處理法（Eye Movement Desensitization and Reprocessing; EMDR）是Shapiro（1989a, 1989b）所發展的一套治療方法，最早被用來治療創傷後壓力疾患（post traumatic stress disorder; PTSD，後來也被認為對其他心理疾患具有療效。雖然Shapiro認為眼動程序可以加速訊息處理並降低個案的焦慮與困擾，不同治療變項的療效仍待由控制性研究法進一步釐清。本研究以部分減除（dismantling）的方式，運用實驗法來探討「眼動」與「正向認知」對懼蟑症治療效果的影響。藉2（有眼動、無眼動）× 2（正向認知、減敏延長）受試者間設計，探討單一治療次對懼蟑症者的治療效果。受試者為自大樣本篩選出的40名懼怕蟑螂的大學女生。研究結果顯示治療程序的主要效果顯著，四組的療效相當。在治療階段中，受試者主觀害怕程度、對負向認知之相信程度皆呈顯著的線性下降；對正向認知之相信程度則僅眼動組呈顯著線性上升。雖然生理指標（心跳速率）在前測時顯著較基線時高，而在後測時回復至接近基線水準，但就微觀歷程分析，治療階段中各組之心跳速率變化為，在第一階段內逐漸上升，階段間休息時心跳速率略為降低，在第二階段開始又逐漸上升。本研究結果亦顯示，就微觀的治療歷程（micro process）而言，在正向認知的治療情境中，僅眼動組的受試者對正向認知之相信程度逐漸提高。在治療效果上，雖曝露法（exposure）本身便具有療效；但眼動能夠進一步促進受試者第二階段中正向認知的相信程度（可能藉由促進訊息處理）。就巨觀的療效指標而言，雖然單一治療次在各組皆有顯著的療效，但是正向認知對療效的影響無組別差異，該療效指標可能需要較多的治療次始能反映出來。本研究亦就研究結果所顯示的意義與未來的研究方向提出討論

Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b) was initially used to treat post-traumatic stress disorder (PTSD) and later has been thought to be effective in treating other psychological disorders also. Shapiro suggested that eye movement procedure could accelerate information processing and further reduced the client’s anxiety and disturbance. However, psychotherapy evaluation regarding crucial therapeutic parameters awaits elucidation. This dismantling study was to investigate the therapeutic effects of eye movement and positive cognition on phobias. Specifically, via a 2×2 between subject design, with “eye movement/non eye movement” and “treatment process” being two independent variables, a total of 40 female university students with fear of cockroaches were screened and recruited from introductory psychology class to explore the treatment effect of those two components. The results showed that, according to macro therapeutic indices, the effect of therapy was significant, and was not significantly different among groups. As to micro treatment process, while the participants’ SUDs decreased linearly, and so did the negative cognition VOCs, the positive cognition VOCs increased linearly only for the eye movement condition. In addition, while for macro index, the physical index, heart rate, was significantly higher at pre-test than at baseline and returned to baseline at post-test, the process measures indicated that heart rate increased during the first treatment stage, returned during rest period, and increased again during the second treatment stage. According to the micro process, the results also suggested that when presented with positive cognition participants’ VOCs of positive cognitions increased only for the eye movement condition. As to the therapeutic effects, although exposure by itself might be effective, eye movement could further promote participants’ VOCs of positive cognitions at the second treatment stage, probably by facilitating information processing. Nonetheless, regarding macro therapeutic index, there were equal therapeutic effects across groups within one-session therapy, and the superiority of positive cognition installation remained obscure, which implied that to become obvious more sessions might be called for. The implications of the present results and further research possibilities are postulated.

Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy

Accuracy Verified: Yes

6. 陳致豪張素凰 [Chen Zhi-Hao, & Chang Sue-Hwang]. (2004年9月). 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效國立台灣 [The efficacy of eye movement and positive cognition components of EMDR in the treatment of cockroach phobias]. 紙發表於第43屆年會台灣心理學會會議上，研討會焦慮症：心理素質，調解員和治療問題。政治大學，台北，台灣 [Presentation at the 43rd Annual Conferences on Taiwan Psychological Association, Symposium on Anxiety Disorders: Diatheses, Mediators and Therapeutic Implications. Chengchi University, Taipei, Taiwan].

Language: Chinese

Format: Conference

Abstract:
眼動減敏訊息再處理法（Eye Movement Desensitization and Reprocessing; EMDR）是Shapiro（1989a, 1989b）所發展的一套治療方法，最早被用來治療創傷後壓力疾患（post traumatic stress disorder; PTSD，後來也被認為對其他心理疾患具有療效。雖然Shapiro 認為眼動程序可以加速訊息處理並降低個案的焦慮與困擾，不同治療變項的療效仍待由控制性研究法進一步釐清。本研究以部分減除（dismantling）的方式，運用實驗法來探討「眼動」與「正向認知」對懼蟑症治療效果的影響。藉2（有眼動、無眼動）× 2（正向認知、減敏延長）受試者間設計，探討單一治療次對懼蟑症者的治療效果。受試者為自大樣本篩選出的40 名懼怕蟑螂的大學女生。研究結果顯示治療程序的主要效果顯著，四組的療效相當。在治療階段中，受試者主觀害怕程度、對負向認知之相信程度皆呈顯著的線性下降；對正向認知之相信程度則僅眼動組呈顯著線性上升。雖然生理指標（心跳速率）在前測時顯著較基線時高，而在後測時回復至接近基線水準，但就微觀歷程分析，治療階段中各組之心跳速率變化為，在第一階段內逐漸上升，階段間休息時心跳速率略為降低，在第二階段開始又逐漸上升。本研究結果亦顯示，就微觀的治療歷程（micro process）而言，在正向認知的治療情境中，僅眼動組的受試者對正向認知之相信程度逐漸提高。在治療效果上，雖曝露法（exposure）本身便具有療效；但眼動能夠進一步促進受試者第二階段中正向認知的相信程度（可能藉由促進訊息處理）。就巨觀的療效指標而言，雖然單一治療次在各組皆有顯著的療效，但是正向認知對療效的影響無組別差異，該療效指標可能需要較多的治療次始能反映出來。本研究亦就研究結果所顯示的意義與未來的研究方向提出討論。

[Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b) was initially used to treat post-traumatic stress disorder (PTSD) and later has been thought to be effective in treating other psychological disorders also. Shapiro suggested that eye movement procedure could accelerate information processing and further reduced the client’s anxiety and disturbance. However, psychotherapy evaluation regarding crucial therapeutic parameters awaits elucidation. This dismantling study was to investigate the therapeutic effects of eye movement and positive cognition on phobias. Specifically, via a 2×2 between subject design, with “eye movement/non eye movement” and “treatment process” being two independent variables, a total of 40 female university students with fear of cockroaches were screened and recruited from introductory psychology class to explore the treatment effect of those two components. The results showed that, according to macro therapeutic indices, the effect of therapy was significant, and was not significantly different among groups. As to micro treatment process, while the participants’ SUDs decreased linearly, and so did the negative cognition VOCs, the positive cognition VOCs increased linearly only for the eye movement condition. In addition, while for macro index, the physical index, heart rate, was significantly higher at pre-test than at baseline and returned to baseline at post-test, the process measures indicated that heart rate increased during the first treatment stage, returned during rest period, and increased again during the second treatment stage. According to the micro process, the results also suggested that when presented with positive cognition participants’ VOCs of positive cognitions increased only for the eye movement condition. As to the therapeutic effects, although exposure by itself might be effective, eye movement could further promote participants’ VOCs of positive cognitions at the second treatment stage, probably by facilitating information processing. Nonetheless, regarding macro therapeutic index, there were equal therapeutic effects across groups within one-session therapy, and the superiority of positive cognition installation remained obscure, which implied that to become obvious more sessions might be called for. The implications of the present results and further research possibilities are postulated.]

Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy Symposium

Accuracy Verified: Yes

7. Spierings, J. (2011, August). (Non) cognitive interweaves in EMDR. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
Working with severely damaged clients we can hardly expect EMDR-processing to go smoothly by itself. ‘Just staying out of the way’ is not enough to help these clients process their traumatic material. A more active approach is called for to bring trauma resolution. In EMDR this type of intervening is called ‘(cognitive) interweaving’. The therapist may need to intervene on the process level with process interweaves, in order to keep the client within his window of (affect)tolerance.Or the therapist has to intervene on the content level with content interweaves, when the client gets stuck in a specific problem is unable to solve with the information he has available. In this workshop the participant learns to use process interweaves to modulate the arousal level of the client. In addition to this a toolkit of useful content interweaves is presented, cognitive and non-cognitive, e.g. sensory, physical, humorous, symbolic and spiritual interweaves. The presentation includes metaphors for all kinds of blocks, bits and pieces of psycho-education for specific stuck points, unorthodox, creative or hilarious interweaves to get round resistance, and interweaves to bring reconciliation and forgiveness.

Keywords: (Non) Cognitive Interweaves

Accuracy Verified: Yes

8. Popky, A. J. (1995). Addiction research project. EMDR Network Newsletter, 5(3), 12.

Language: English

Format: Newsletter

Abstract:
Silke Voglemann-Sine, Ph.D., and Larry Sine, Ph.D., are developing a research design for addictions to be presented at the 1996 EMDR International Conference in Denver this June. This research project will cover a broad range pf substnace addictions as nicotine, marijuana, cocaine, crack, herion, alcohol, methamphetamine, and prescription drugs. Dysfunctional addictive ehaviors such as overearting, bulimia, and anorexia, sex, shoplifting, and work will also be included. The research project ill be built around and based on, "The Integrative EMDR Addiction Treatment Model."

Keywords: Addictions Integrative EMDR Addiction Treatment Model

Accuracy Verified: Yes

9. Edgerson, L. D. (2012). Advanced trauma training: Integration of EMDR and clinical hypnosis for the effective resolution of post-traumatic stress disorder. The University of the Rockies, Colorado Spring, CO. 3539756.

Language: English

Format: Dissertation/Thesis

Abstract:
Currently, the statistics associated with PTSD are staggering. Countless numbers of men, women, and children around the world are impacted every moment of every day by this extremely disruptive disorder. PTSD is very difficult to live with and can be even more challenging to resolve. A primary reason that the resolution of traumatic memories is such a challenge to treat is the fact that whenever any ounce of negative experience connected to the initial sensitizing event is sensed, the victim immediately reacts in a self-protective fashion by avoiding the experience any way he or she can. Cognitive behavioral therapy (CBT) appears to be the treatment of choice for many mental health clinicians who attempt to help patients recover from their traumatic memories. This author believes that CBT offers some benefit with regard to an understanding of the mechanism behind post-traumatic stress, as well as offer numerous ways to manage stress related symptoms. However, it does poorly in terms of completely resolving multiple traumas or working with chronic complex cases. In addition, a CBT approach has the proclivity to make the disorder more challenging by further increasing insult on the already malfunctioning autonomic nervous system of the victim. Instead, this manual suggests the combined use of EMDR and hypnosis as a more healthy and effective therapeutic modality model that can assist most individuals who suffer from even the most severe post-traumatic stress. The combination of EMDR and hypnosis takes a holistic approach towards healing by working with the defensive systems and the complete neuroanatomical system of the human being, as opposed to against.

Keywords: Anxiety Clinical Hypnosis Posttraumatic Stress Disorder PTSD Traumatic Stress

Accuracy Verified: Yes

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

Language: Dutch

Format: Conference

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

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

Keywords: Infants Children Pre-Verbal Trauma

Accuracy Verified: Yes

11. Lupo, W., Plans, B., & Seijo, N. (2010, Abril). Aplicación de EMDR en el tratamiento del Trauma (PTSD) [EMDR in the application of trauma treatment (PSTD)]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain .

Language: Spanish

Format: Conference

Abstract:
EMDR es un modelo de terapia, que se basa en el procesamiento adaptativo de la información (AIP). Además de desensibilizar, se trata de transformar la memoria afectada por el trauma, en la que las experiencias disfuncionales queden definitivamente en el pasado e integrarlas al presente de una forma adaptativa. En el trastorno de estrés postraumático y en el DESNOS, encontramos una memoria fragmentada, con un alto nivel de activación psicofisiológica, una dificultad en regular los afectos y con los síntomas intrusivos y evitativos vinculados a las experiencias. El procedimiento de EMDR, consta de 8 fases y mostraremos su aplicación en la presentación de un caso clínico de Trastorno de Estrés Postraumático.

EMDR therapy is a model that is based on adaptive processing information (AIP). Desensitize addition, it is transformed memory affected by trauma, which experiences dysfunctional are definitely in the past to the present and integrate adaptive way. In posttraumatic stress disorder and in the DESNOS, found a fragmented memory, with a high level of activation psychophysiological a difficulty in regulating emotions and intrusive and avoidant symptoms linked to experiences. The EMDR procedure consists of eight phases and show its application in presenting a case of PTSD.

Keywords: Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

12. Lupo, W., Plans, B., & Seijo, N. (2010, Abril). Aplicación de EMDR en el tratamiento del Trauma (PTSD) [EMDR in the application of trauma treatment (PSTD)]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain .

Language: Spanish

Format: Conference

Keywords: Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

13. Fullam, P. (2003, Autumn). Applications of client self administered bilateral stimulation in the treatment of trauma. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net/ on 12/27/2008..

Language: English

Format: Other

Abstract:
This article looks at some of the situations where client self-administered bi-lateral stimulation has facilitated EMDR by increasing the client’s sense of control during therapy. Three conditions where this may be appropriate are discussed and partial presentations of two cases, Allen and Anna, in which the general approach has been used, are given. The second case, relating to client belief in childhood sexual abuse has, in addition to the above, some relevance to the debate relating to false memory syndrome.[Author abstract]

Keywords: Bilateral Stimulation

Accuracy Verified: Yes

14. De Divitiis, A. M. (2008, Novembre). Applicazione dello sviluppo e installazione delle risorse (RDI) nella psicoprofilassi al parto finalizzata alla prevenzione delle depressione post partum (DPP) [Application of resource development and installation (RDI) in psychoprophylaxis geared to the prevention of postpartum depression(DPP)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Dagli ultimi dati statistici risulta che la Depressione Post Partum viene sviluppata da circa il 13% delle puerpere nel corso del secondo – terzo mese successivi al parto e la durata dei sintomi varia da qualche settimana ad un anno, con rischi di recidiva. A differenza del Baby Blues (colpisce il 70% delle puerpere, insorge in III – VI giornata e si risolve spontaneamente nell’arco di un paio di settimane), imputabile essenzialmente alle fisiologiche modificazioni ormonali (calo degli estrogeni e progesterone) dell’im-mediato post partum, lo sviluppo della DPP sembrerebbe invece essere determinata da fattori di natura strettamente psicologica: l’esperienza del parto, il riemergere di problematiche irrisolte nelle relazioni con le figure di attaccamento, il cambiamento di ruolo della donna sia nell’ambito sociale che all’interno della coppia, il timore di non essere in grado di attendere adeguatamente alle nuove responsabilità (sia sul piano delle proprie capacità, che del nuovo carico di fatica fisica), ecc. Le donne che hanno vissuto il parto come esperienza traumatica risultano essere maggiormente destabilizzate da tale evento e quindi maggiormente esposte allo sviluppo della DPP. Il parto richiede alla donna il reclutamento di molteplici risorse personali. Nel corso del “travaglio” la donna deve riuscire a contenere il dolore, mentre nella fase dell’“espulsione” le viene richiesto inoltre di “spingere”, ossia di contrastare una reazione antalgica automatica (che chiuderebbe il canale da parto) per andare invece “incontro al dolore”. Se consideriamo che le “Prestazioni di Picco” si caratterizzano per essere “al di fuori” del proprio ambito di sicurezza, di agio e di conforto, nel tentativo di oltrepassare il limite estremo delle proprie capacità, l’esperienza del parto può essere inscritta a pieno titolo nelle “Prestazioni di Picco”. Nel presente lavoro vengono descritte le modalità e i tempi di applicazione del RDI nel corso della Preparazione al Parto, finalizzata al rafforzamento delle diverse risorse personali di cui ogni gestante ha bisogno per poter vivere il parto come esperienza egosintonica. In tal senso l’RDI, tramite EMDR, è da considerarsi un vero e proprio Intervento di Prevenzione Primaria, in grado di insegnare alle donne qualcosa di positivo riguardo sé stesse, contrastando efficacemente l’insorgere della DPP. Verranno esposti, inoltre, i risultati dell’applicazione di tale tecnica su 48 gestanti, raccolti nella fase del Post Partum.

The latest statistics show that postpartum depression is developed by about 13% of mothers during the second to third months after delivery and the duration of symptoms varies from few weeks to a year, with risks of recurrence. Unlike the Baby Blues (affects 70% of mothers, occurs in III - VI day and resolves spontaneously within a couple of weeks), largely because of the physiological hormonal changes (decline in estrogen and progesterone) of IM-mediated post-partum, the development of the DPP seems to be determined by factors strictly psychological: the experience of childbirth, the resurgence of unresolved issues in relations with attachment figures, the changing role of women both in social the couple, the fear of not being able to wait adequately to new responsibility (both in terms of its ability, that the new burden of physical labor, etc.). Women who have experienced childbirth as a traumatic experience become more undermined by this event and, therefore, at greater risk of developing the DPP. The birth of the woman requires the recruitment of many personal resources. During the "Labor" the woman must be able to contain the pain, while in phase the 'expulsion' is the also required to "push", i.e. a reaction to counter analgesic automatic (which close the channel by birth) to go instead "to meet the pain." If we consider that "Peak Performance" are characterized by being "outside" the extent of its security, ease and comfort, in an attempt to go beyond the bounds of their abilities, experience delivery can be fully inscribed in the "peak performance". The present paper describes the methods and timing of application of RDI during the preparation for childbirth, which aims to reinforce the various personal resources which each pregnant woman needs to live the experience of childbirth as ego syntonic. In this sense, the RDI, through EMDR is considered true primary prevention interventions that can teach women something positive about themselves to effectively counter the rise DPP. Will be exposed, in addition, the results of applying this technique on 48 pregnant women, collected at the stage of post-partum.

Keywords: Postpartum Depression RDI Resource Development and Installation

Accuracy Verified: Yes

15. Forgash, C. (2008). Applying EMDR and ego state therapy in collaborative treatment. In C. Forgash and M. Copeley, (Eds.), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 313-341). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
This chapter will describe the application of the collaborative treatment model to clients who undergo EMDR and ego state therapy with a specialist in addition to their regular therapy. EMDR and ego state therapy specialists are uniquely positioned to assist primary therapists in resolving stalled therapies and enhancing the treatment provided by the primary therapist. We will explore in this chapter the issues that become problematic over time in a course of therapy, which clients are good candidates for collaborative EMDR and ego state treatment, how to develop an effective working relationship with the primary therapist, and how to avoid problems that may arise out of this dual relationship. A detailed case study will illustrate each step of the treatment, from the initial contact with the primary therapist through the conclusion of the adjunct therapy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Collaborative Treatment Ego State Therapy

Accuracy Verified: Yes

16. MacCulloch, M., & Barrowcliff, A. (2001, May). Are EMDR effects caused by de-arousal?. Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is increasingly being recognised as a coherent therapeutic procedure in the treatment of Post Traumatic Stress Disorder (PTSD) and other anxiety disorders, yet we still do not fully understand by which process or mechanisms it might work. We consider a number of models implicating orienting or investigatory reflexes as a significant contributor to the success of EMDR as a treatment method. A series of experiments were designed to test the predictions derived from these models, examining the physiological effects of eye-movements following auditory challenge compared to an eyes-stationary condition. A significant physiological de-arousal effect is observed in conditions requiring eye-movements similar to those used in the EMDR protocol. We go on to consider the implications for this de-arousal effect in the treatment of PTSD and present preliminary data from a case series designed to examine the unique contribution of EMDR when used with treatment resistant clients. A range of psychometric and psychophysiological process and outcome measures were utilised in this study, providing a detailed evaluation of change over the course of the treatment design. Specialised software was developed for use in this study, in addition to a computerised test and software is provided, along with data obtained from this test.

Keywords: De-Arousal

Accuracy Verified: Yes

17. DeBell, C., & Jones, R. D. (1997, April). As good as it seems? A review of EMDR experimental research. Professional Psychology: Research & Practice, 28(2), 153-163. doi:10.1037/0735-7028.28.2.153 .

Language: English

Format: Journal

Abstract:
The article reviews 7 experimental studies that examined eye movement desensitization and reprocessing (EMDR) treatment. The 7 studies varied greatly in their complexity, their designs, how treatment effects were measured, and their results. Each study is detailed and critically examined. A summary of results is provided as well as suggestions for clinical application and future research. In addition, questions are raised regarding F. Shapiro's approach to disseminating information about EMDR. [Author Abstract]

Keywords: Literature Review Methodology Professional Criticism Posttraumatic Stress Disorder PTSD Research Needs Treatment Effectiveness

Accuracy Verified: Yes

18. Gros, D. F., & Antony, M. (2006, August). The assessment and treatment of specific phobias: A review. Current Psychiatry Reports, 8(4), 298-303.

Language: English

Format: Journal

Abstract:
Specific phobia is one of the most common and easily treated mental disorders. In this review, empirically supported assessment and treatment procedures for specific phobia are discussed. Exposure-based treatments in particular are highlighted given their demonstrated effectiveness for this condition. The format and characteristics of exposure-based treatment and predictors of treatment response are outlined to provide recommendations for maximizing outcome. In addition, several other treatments for specific phobia are reviewed and critiqued, including cognitive therapy, virtual reality, eye movement desensitization and reprocessing, applied tension, and pharmacologic treatments. The review concludes with a discussion of future directions for research.

Keywords: Phobias

Accuracy Verified: Yes

19. Roberts, A. R. (2002, Spring). Assessment, crisis intervention, and trauma treatment: The integrative ACT intervention model. Brief Treatment & Crisis Intervention, 2(1), 1-21.

Language: English

Format: Journal

Abstract:
This article presents a conceptual three-stage framework and intervention model that should be useful in helping mental health professionals provide acute crisis and trauma treatment services. The ACT model stands for Assessment, Crisis Intervention, and Trauma Treatment. This new model may be thought of as a sequential set of assessments and intervention strategies. The ACT intervention model integrates various assessment and triage protocols with the seven-stage crisis intervention model, and the ten-step acute traumatic stress management protocol. In addition, this article introduces and briefly highlights the other eight narrative, theoretical, and empirically based papers in this issue that focus on mental health and crisis-oriented intervention strategies implemented within 1 month after the September 11, 2001, terroristic mass disaster at the World Trade Center and the Pentagon.

Keywords: ACT Model Assessment Assessment Crisis Intervention Triage Crisis Assessment Crisis Intervention Trauma Treatment

Accuracy Verified: Yes

20. Forbes, D., Creamer, M., Phelps, A., Bryant, R., McFarlane, A., Devilly, G. J., Lynda Matthews, L., Raphael, B., Doran, C., Merlin, T., & Skye N. (2007, August). Australian guidelines for the treatment of adults with acute stress disorder and post-traumatic stress disorder. Australian & New Zealand Journal of Psychiatry, 41(8), 637-648. doi:10.1080/00048670701449161.

Language: English

Format: Journal

Abstract:
Over the past 2-3 years, clinical practice guidelines (CPGs) for post-traumatic stress disorder (PTSD) and acute stress disorder (ASD) have been developed in the USA and UK. There remained a need, however, for the development of Australian CPGs for the treatment of ASD and PTSD tailored to the national health-care context. Therefore, the Australian Centre for Posttraumatic Mental Health in collaboration with national trauma experts, has recently developed Australian CPGs for adults with ASD and PTSD, which have been endorsed by the National Health and Medical Research Council (NHMRC). In consultation with a multidisciplinary reference panel (MDP), research questions were determined and a systematic review of the evidence was then conducted to answer these questions (consistent with NHMRC procedures). On the basis of the evidence reviewed and in consultation with the MDP, a series of practice recommendations were developed. The practice recommendations that have been developed address a broad range of clinical questions. Key recommendations indicate the use of trauma-focused psychological therapy (cognitive behavioural therapy or eye movement desensitization and reprocessing in addition to in vivo exposure) as the most effective treatment for ASD and PTSD. Where medication is required for the treatment of PTSD in adults, selective serotonin re-uptake inhibitor antidepressants should be the first choice. Medication should not be used in preference to trauma-focused psychological therapy. In the immediate aftermath of trauma, practitioners should adopt a position of watchful waiting and provide psychological first aid. Structured interventions such as psychological debriefing, with a focus on recounting the traumatic event and ventilation of feelings, should not be offered on a routine basis. [InformaWorld]

Keywords: ASD Guidelines Posttraumatic Stress Disorder PTSD Trauma Treatment

Accuracy Verified: Yes

21. Australian Centre for Posttraumatic Mental Health (2007, February). Australian Guidelines for the treatment of Adults with Acute Stress disorder and posttraumatic stress disorder. Melbourne, Victoria: ACPMH.

Language: English

Format: Other

Abstract:
The Australian Centre for Posttraumatic Mental Health in collaboration with national trauma experts, has recently developed Australian CPGs for adults with ASD and PTSD, which have been endorsed by the National Health and Medical Research Council (NHMRC). In consultation with a multidisciplinary reference panel (MDP), research questions were determined and a systematic review of the evidence was then conducted to answer these questions (consistent with NHMRC procedures). On the basis of the evidence reviewed and in consultation with the MDP, a series of practice recommendations were developed. The practice recommendations that have been developed address a broad range of clinical questions. Key recommendations indicate the use of trauma-focused psychological therapy (cognitive behavioural therapy or eye movement desensitization and reprocessing in addition to in vivo exposure) as the most effective treatment for ASD and PTSD. Where medication is required for the treatment of PTSD in adults, selective serotonin re-uptake inhibitor antidepressants should be the first choice. Medication should not be used in preference to trauma-focused psychological therapy. In the immediate aftermath of trauma, practitioners should adopt a position of watchful waiting and provide psychological first aid. Structured interventions such as psychological debriefing, with a focus on recounting the traumatic event and ventilation of feelings, should not be offered on a routine basis. [InformaWorld]

Keywords: Treatment Guidelines

Accuracy Verified: Yes

22. Stofsel, M., & Mooren, T. (2012, March). Behandeling van complex trauma: EMDR en meer hoe geef je zo’n behandeling vorm, welke valkuilen kunnen er zijn, welke plek heeft EMDR en hoe bewaak je de rode lijn bij deze vaak langdurige behandelingen? [Treatment of complex trauma: EMDR and more how do you form such a treatment, what pitfalls may exist, which place has EMDR and how do you monitor the red line in these often long-term treatments?]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.

Language: Dutch

Format: Conference

Abstract:
Behandeling van ‘Complex trauma’ is lastig, omdat er vaak op veel verschillende levensgebieden problemen zijn. Daarbij is er sprake van een opeenstapeling van traumatische ervaringen. Dit kan leiden tot een soort schrik of terughoudendheid bij behandelaren, om complex trauma adequaat aan te pakken. In deze workshop willen wij duidelijk maken dat complex trauma goed te behandelen is, mits men de ruimte heeft om een langere behandeling aan te gaan, een therapeutische relatie (met tegenoverdrachtelijke valkuilen) aan kan gaan met cliënten met een geschokt wantrouwen in hun medemens en men niet te snel terugschrikt en mits men goed overzicht houdt over het verloop van de behandeling. Wij presenteren een model dat richting geeft aan de behandeling van complex trauma. We gaan uit van het drie-fasen model (Herman, 1992) met stabilisatie, verwerking en integratie en vullen dit aan met handvatten voor praktisch gebruik. Dit model gebruiken we om op systematische wijze de verandermogelijkheden te kunnen bepalen bij complexe traumaproblematiek. We zullen uit elke fase een of meerdere technieken demonstreren en op een rijtje zetten hoe EMDR toegepast wordt bij de behandeling van j complexe traumaproblematiek.

Treatment of 'Complex trauma is difficult, because there are often many different areas of life problems. In addition, there is an accumulation of traumatic experiences. This can lead to a kind of fear or reluctance of clinicians to adequately handle complex trauma. In this workshop we want to make clear that complex trauma can be treated well, provided they have the space for a longer treatment to enter a therapeutic relationship (with counter-transference traps) to can deal with clients with a shaken confidence in their fellow man and one not afraid to quickly and if one does good overview over the course of treatment. We present a model that gives direction to the treatment of complex trauma. We assume the three-phase model (Herman, 1992) with stabilization, processing and integration and supplement this with handles for practical use. The model we use to systematically change the options to determine in complex trauma problems. We will phase out any one or more techniques and demonstrate how this straight EMDR is used in the treatment of complex trauma problems j.

Keywords: Complex Trauma

Accuracy Verified: Yes

23. Leuenberger, R. (2007, November). Beziehungen zwischen dem modell der ersten personal-existentiellen grundmotivation in der existenzanalyse und der EMDR-methode [Relationships between the model of the first personal-existential basic motivation in the existence and analysis of the EMDR method]. Alfried Längle, Internationale Gesellschaft für Logotherapie und Existenzanalyse, Wien, Austria.

Language: German

Format: Dissertation/Thesis

Abstract:
In dieser Arbeit soll gezeigt werden, dass aufgrund der während vier Jahren in einer ärztlichen Grundversorgerpraxis mit der EMDR (Eye Movement Desensitization and Reprozessing)- Methode gesammelten Erfahrungen zur Behandlung psychisch traumatisierter Patienten mit einem PTBS (posttraumatische Belastungsstörung)) über die gängigen, zum Teil hypothetischen neurobiologischen Erklärungsversuche hinaus, die Existenzanalyse sehr viel zum psychologischen wie auch philosophischen Verständnis dieser Methode beitragen kann. Aus den verbalen Äusserungen der Patienten vor, während und nach der Behandlung kann geschlossen werden, dass von den betroffenen Defiziten der vier Grundmotivationen der Existenzanalyse die der ersten Grundmotivation am meisten Bedeutung haben. Anhand von 23 Krankengeschichten werden die Wirkfaktoren der EMDR-Methode mit den Begriffen der ersten Grundmotivation existenzanalytisch verstehbar.

In this work we will show that during the due four years in a primary care medical practice with EMDR (Eye Movement Desensitization and Reprozessing) - Method for treating mental experience traumatized patients with PTSD (post traumatic Stress disorder)) on the common, partly hypothetical neurobiological explanations addition, the Existential analysis very much a psychological as well as philosophical May contribute to understanding this method. from the verbal expressions of patients before, during and after treatment may be concluded that by affected the deficits of the four basic motivations of Analysis, the existence of the first basic motivation most Meaning. Be the basis of 23 case histories the impact factors of EMDR with the terms the first basic existential analytical understandable motivation.

Keywords: Basic Motivation Existenital Analysis Method

Accuracy Verified: Yes

24. van Deusen, K. M. (2004, Summer). Bilateral stimulation in EMDR: A replicated single-subject component analysis. the Behavior Therapist, 27(4), 79-86.

Language: English

Format: Newsletter

Abstract:
This study attempted to determine whether the eye movement component of Eye Movement Desensitization and Reprocessing (EMDR) was necessary to account for positive treatment effects in subjects with posttraumatic stress disorder (PTSD). A single-subject alternating treatments design was replicated across four subjects to compare the effectiveness of EMDR with the effectiveness of a modified EMDR procedure in which the eyes remained in a natural state. The comparative procedure was chosen to eliminate the contribution of distraction and the addition of any other form of bilateral stimulation. The first hypothesis was supported. Subjects showed statistically significant pre- (baseline) to posttreatment improvement following EMDR and the modified EMDR procedure (without eye movements). The second hypothesis was not supported. While subjects significantly improved following both EMDR and the modified, without-eye-movements EMDR procedure, there were no statistically significant differences between treatments on within- or between-session measures. Instead, both treatments were found to be effective in reducing trauma and global symptoms in the four female subjects who participated in the study. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Bilateral Stimulation BLS Empirical Study Quantitative Study Single-Subject Componnent Analysis

Accuracy Verified: Yes

25. Rossello-Mir, J., Revert-Vidal, X., Obrador, P., & Cardell, E. (2007, June). Brief EMDR protocol versus bilateral stimulation in the treatment of spider phobia. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
EMDR, that includes bilateral stimulation, causes the desensitization and reprocessing of traumatic memories, thus reducing anxiety, distress, fear, and other symptoms related with several anxiety disorders. Previous results show it is effective in reducing symptoms of PTSD, panic disorder, public speaking anxiety, etc. Relying on some previous results we think that a brief EMDR protocol could be applied to relieve symptoms of specific phobias.
To investigate this issue, we study the efficacy of a new brief EMDR protocol in the treatment of spider phobia. Furthermore, our design tries to clarify the controversy about which components of the EMDR procedure are relevant for patient’s improvement. More specifically, we compare the effectiveness of our brief procedures with that of simple bilateral stimulation that is, without eye movements, which necessity to obtain therapeutic outcome has been questioned.
We randomly assign twenty volunteers, female university students with spider phobia to one of three groups. We applied the brief EMDR protocol to the first one and bilateral stimulation to the second one, being the third group the control one. To assess the effectiveness of both treatments, in addition to apply traditional questionnaires, we designed a specific emotional Stroop task in order to make use of this tool to evaluate, before and after each treatment, the selective attentional biases, that seem to play an important role in the etiology and maintenance of anxiety disorders. We discuss the differences found in our results in reference to the controversy aforementioned and how they can help to understand the EMDR mechanism of action.

Keywords: Bilateral Stimulation BLS Brief EMDR Spider Phobia

Accuracy Verified: Yes

26. Rosental, V. (2009, Febrero 3). Caso clínico de horacio (Pedro). Trastorno por estrés postraumático crónico [Case report of Horace (Peter). Chronic PTSD]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=469 4/6/2010.

Language: Spanish

Format: Other

Abstract:
Paciente que consulta a los 36 años de edad. Al momento de la consulta estaba realizando tratamientos psiquiátrico y psicológico sin resultados desde el año 1995, con un diagnóstico de Ataque de Pánico. El comienzo del problema es después de la guerra de las Malvinas. Es en el año 1985 cuando él decide consultar por primera vez porque no se sentía bien, se encontraba muy nervioso e irritable. El médico clínico, después de varios exámenes de rutina le manifiesta que se encuentra bien, aunque le prescribe un ansiolítico, psicofármaco que tomo por 11 años, hasta el año 1996. En ese año es derivado a un psiquiatra y a un psicólogo por sus reiteradas visitas a la guardia. Había estado en la guerra de las Malvinas como conscripto. Al volver, no podía concentrarse, por lo cual decidió abandonar sus estudios terciarios faltándo un año para recibirse. Se aisló además de todos sus amigos. Se casa con su vecina con quien tiene dos hijos. Presentaba dificultades maritales e inestabilidad laboral.

Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack. The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency. He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Chronic Posttraumatic Stress Disorder Chronic PTSD

Accuracy Verified: Yes

27. Leuning, E. (2009). Casus 17 – ‘Dat met die jongen’: Autistische jongen van 16 dringt aan op behandeling seksueel trauma [Case 17 – "That with that boy": Autistic boy of 16 calls for treatment of his sexual trauma]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 251-258). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_25 .

Language: Dutch

Format: Book Section

Abstract:
Edwin werd op 13-jarige leeftijd opgenomen in de kinderkliniek van het Dr. Leo Kannerhuis (LKH) in verband met zijn stoornis in het autistisch spectrum. Na enkele jaren in de kinderkliniek wordt hij doorgeplaatst naar de jongerenkliniek waar hij, inmiddels 16 jaar oud, behandeling krijgt in een groep van zes adolescenten. Edwin is een jongen met een forse autistische stoornis, wat zich met name uit in een zeer vertraagde informatieverwerking, moeite met sociale contacten en gebrekkig sociaal inzicht. Daarnaast is er bij Edwin sprake van preoccupaties in het denken (steeds dezelfde herhalende gedachten). Edwin raakt snel overprikkeld wanneer hij te veel informatie krijgt of te veel sociale interacties moet verwerken. Hij raakt dan in de war en probeert weer grip te krijgen op zijn verwarring door verklaringen te zoeken. Door Edwins beperkte inzicht in de omgeving zijn deze verklaringen vaak niet conform de werkelijkheid en veroorzaken ze bij hem nog meer verwarring. In het verleden is er daardoor sprake geweest van prepsychoses. Verder is bekend dat Edwin op jonge leeftijd zeer waarschijnlijk te maken heeft gehad met seksueel misbruik door zijn vader. In een later stadium heeft een jongen seksuele handelingen verricht bij Edwin en moest hij bij hem seksuele handelingen verrichten.

Edwin was 13 years of age included in the pediatric clinic of the Dr.. Leo Kanner (LKH) associated with their disorder in the autistic spectrum. After several years in the children's clinic he will be transferred to the clinic for youth, now 16 years old, receives treatment in a group of six adolescents. Edwin is a boy with a strong autistic disorder, in particular in what was a very slow information processing, difficulty with social interaction and lack of social insight. In addition, when Edwin there concerns in mind (repeating the same thoughts). Edwin quickly become overexcited when he gets too much information or too much to handle social interactions. He then gets confused and tries to get a grip on his confusion by looking statements. By Edwin limited understanding of the environment, these statements are often inconsistent with the reality and cause them to him even more confusion. In the past there has therefore been prepsychoses. Edwin is also known that at a young age is very likely to have experienced sexual abuse by his father. At a later stage, a boy sexual acts performed with Edwin and he had to perform sexual acts with him.

Keywords: Autism Sexual Trauma

Accuracy Verified: Yes

28. McGowan, I., McLaughlin, D., Miller, P., & Paterson, M. (2010, April). Cessation of suicide related behaviour following EMDR. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland .

Language: English

Format: Conference

Abstract: Deliberate self harm (DSH) and suicidal behaviour are major public health issues. It is estimated that DSH costs around £40 million pounds annually in addition to the incalculable human cost. The aim of the presentation is to highlight on- going work exploring the relationship between trauma and suicide related thoughts and behaviour. Utilising a case series approach the presentation will build upon previous work by the presenters. It report a number of cases in which suicidal behaviour and thoughts have ceased following treatment of a trauma related presentation using Eye Movement Desensitization & Reprocessing. The paper will conclude that suicidal behaviour is related to previous trauma and that by resolving the initial trauma the potential for suicidal behaviour including DSH is greatly diminished or disappears.
Learning Outcomes By the end of the session participants will be able to: • discuss the relationship between trauma and suicidal behaviour, • discuss the potential of using trauma focused interventions in treating suicidal behaviour

Keywords: Suicide

Accuracy Verified: Yes

29. Amen, D. G. (2003, September). Change your brain, change your life: Breakthrough information on seeing and healing the brain. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Utilizing the latest, most sophistcated brain imaging technology in medicine, physician and clinical neuroscientist Daniel Amen will give you an intimate look into a "working brain." Based on his brain imaging work with over 16,000 brain SPECT studies, Dr.Amen will teach you what specific parts of the brain do, and graphically show what happens when things go wrong, illustrated by many case stories and a number of the actual brain images. He will correlate different brain patterns with specific feelings and behaviors, such as moodiness, irritability, conflict avoidance, worrying and temper outbursts, along with certain common psychiatric disorders such as depression, attenton deficit disorder, anxiety, and substance abuse. In addition, there will be prescriptions for healing each part of the brain, including cognitive, behavioral, nutritional and medicinal strategies.

Keywords: Brain SPECT

Accuracy Verified: Yes

30. Oh, D., & Choi, J. (2004). Changes in the regional cerebral perfusion after EMDR: A SPECT study of two cases. Journal of the Korean Society of Biological Psychiatry, 11(2), 173-180.

Language: Korean

Format: Journal

Abstract:
Over the last decade, EMDR(Eye Movement Desensitization and Reprocessing) has emerged as a promising new treatment for trauma and other anxiety-based disorders. However, neurobiological mechanism of EMDR has not been well understood. Authors report SPECT findings of two patients of PTSD before and after EMDR.Brain 99mTc-ECD-SPECT was performed before and after EMDR treatment. To evaluate the significance of changes in the regional cerebral perfusion, t-test was conducted on the resulting images using SPM99 . In addition, clinical scales(CAPS, CGI, STAI) were employed to asses the changes in the clinical symptoms of the patients. After EMDR treatment, each showed significant improvement in clinical symptoms. The cerebral perfusion increased in bilateral dorsolateral prefrontal cortex, and decreased in the temporal association cortex. The differences in the cerebral perfusion between patients after treatment and normal controls decreased. These changes appeared mainly in the limbic area the and the prefrontal cortex.These results suggest that EMDR may show the therapeutic effect through 1) improvement in the emotional control by increased activity in the prefrontal cortex, 2) inhibited hyperstimuli on amygdala by deactivation of the association cortex, 3) inhibition on past trauma related memory, and 4) keeping the functional balance between the limbic area and the prefrontal cortex. This case report needs further replication from studies with larger sample. [Author Abstract]

Keywords: Brain Imagining Adults Females Koreans Motor Vehicle Accidents Neurophysiology Posttraumatic Stress Disorder Psychiatric Inpatients PTSD: Rape SPECT Survivors Treatment Effectiveness

Accuracy Verified: Yes

31. Oh, D. H., & Choi, J. (2007). Changes in the regional cerebral perfusion after eye movement desensitization and reprocessing: A SPECT study of two cases. Journal of EMDR Practice and Research, 1(1), 24-30. doi:10.1891/1933-3196.1.1.24.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) has emerged as a promising new treatment for trauma and other anxiety-based disorders. However, the neurobiological mechanism of EMDR has not been well understood. This study reports changes in the resting regional cerebral blood flow after successful EMDR treatment in 2 patients with PTSD. Brain 99mTc-ECD-SPECT (Technetium 99m-ethyl cysteinate dimmer-single photon emission computerized tomography) was performed before and after EMDR, and, in addition, a pre- and posttreatment comparison was made with 10 non-PTSD participants as a control group. After EMDR, cerebral perfusion increased in bilateral dorsolateral prefrontal cortex and decreased in the temporal association cortex. The differences between participants and normal controls also decreased. Changes appeared mainly in the limbic area and the prefrontal cortex. These results are in line with current understanding of neurobiology of PTSD. EMDR treatment appears to reverse the functional imbalance between the limbic area and the prefrontal cortex. [Author Abstract]

Keywords: Adults Brain Imaging Females Koreans Motor Traffic Accidents Neuroimaging Neurophysiology Posttraumatic Stress Disorder Psychiatric Inpatients PTSD Rape RCBF Regional Cerebral Blood Flow Single Photon Emission Computerized Tomography Survivors Treatment Effectiveness

Accuracy Verified: Yes

32. Greenwald, R. (1997). Children's mental health care in the 21st century: Eliminating the trauma burden. Child and Adolescent Psychiatry On-Line.

Language: English

Format: Journal

Abstract:
Contemporary child mental health care is compared unfavorably to its medical counterpart, which offers prevention and early intervention in addition to treatment of symptoms. Child trauma, broadly defined., is characterized as a ubiquitous, under-treated, primary source of psychopathology. Traumatic experiences which remain unintegrated accumulate as a trauma burden, leading to reactivity and impairment. Two recently developed trauma-focused interventions atre described: critical incident stress debriefing (CISD) and eye movement desensitization and reprocessing (EMDR). Combined with screening and early identification of traumatized children, CISD and EMDR can be used economically for widespread elimination of the trauma burden.

Keywords: Children Mental Health Care Trauma

Accuracy Verified: Yes

33. Carinci, A. J., Mehta, P., & Christo, P. J. (2010, April). Chronic pain in torture victims. Current Pain Headache Reports, 14(2), 73-79 .

Language: English

Format: Journal

Abstract:
Torture is widely practiced throughout the world. Recent studies indicate that 50% of all countries, including 79% of the G-20 countries, continue to practice systematic torture despite a universal ban. It is well known that torture has numerous physical, psychological, and pain-related sequelae that can inflict a devastating and enduring burden on its victims. Health care professionals, particularly those who specialize in the treatment of chronic pain, have an obligation to better understand the physical and psychological effects of torture. This review highlights the epidemiology, classification, pain sequelae, and clinical treatment guidelines of torture victims. In addition, the role of pharmacologic and psychologic interventions is explored in the context of rehabilitation.

Keywords: Chronic Pain Torture Victims

Accuracy Verified: Yes

34. Figley, C. R., Carbonnell, J., Boscarino, J., & Chang, J. (1999, Summer). A clinical demonstration model for assessing the effectiveness of therapeutic interventions: An expanded clinical trials methodology. International Journal of Emergency Mental Health, 1(Part 3), 155-164 .

Language: English

Format: Journal

Abstract:
Both the evaluation of current treatment interventions and the innovation of new ones are vital to maintaining a viable clinical profession. In the field of psychology, however, often there are serious challenges facing these worthy endeavors. This article reviews several problems and limitations with evaluation of innovative psychotherapy treatments in clinical practice and suggests a strategy to overcome these. This approach, which we term the "Systematic Clinical Demonstration Methodology" (SCDM), combines the skills of clinicians with the rigors of clinical trials methods and permits concurrent clinical innovation and scientific evaluation. Here we suggest that the SCDM approach allows innovative practitioners to assist in the development and evaluation of promising clinical interventions by working closely with clinical trials researchers. This allows innovative clinicians to demonstrate new treatment approaches, while clinical researchers evaluate the effectiveness and safety of these interventions using clinical trials methods that incorporate qualitative data. We suggest that this approach can result in the development and evaluation of new treatment innovations more quickly and cost effectively than traditionally has been the case. In addition, some limitations commonly associated with clinical trials, such as not treating patients typically found in clinical practice, failing to treat patients with multiple disorders, or treating patients from different cultural or sociodemographic groups, can be more effectively addressed. Our experiences with using this method to evaluate different psychotherapy treatments for PTSD are presented as an example of this new approach. [Author Abstract]

Keywords: Brief Psychotherapy Methodology Neurolinguistic Programming NLP Outcomes Research Posttraumatic Stress Disorder PTSD Random Controlled Trials RCT Systematic Clinical Demonstration Methodology TFT Thought Field Therapy TIR Traumatic Incident Reduction Treatment Effectiveness

Accuracy Verified: Yes

35. Splete, H. (2005, January). Clinical Psychiatry news’ top stories of 2004: Development on antidepressant labeling, psychologist prescribing could affect the specialty. Clinical Psychiatry News, 33(1), 14.

Language: English

Format: Newspaper

Abstract:
Biologic and psychosocial treatments of posttraumatic stress disorder were equally effective in their first direct comparison ("Psychotherapy May Offer More Benefits for PTST," June 2004, p. 20). In addition, psychotherapy patients were more likely to remit or even become asymptomatic, according to the study of 88 adults randomized to fluoxetine, placebo, or an exposure therapy method known as eye movement desensitization reprocessing (EMDR). Patients in the EMDR group ininally responded to the treatment with psychophysiologic arousal and appeared to relive the trauma. But they ultimately improved significantly more than did the placebo group and continued to improve at 2 and 6 months' follow-up, when the fluoxetine group remained stable.

Keywords: Efficacy

Accuracy Verified: Yes

36. Byron, H. (1999). Clinician adherence to and combination of methods with EMDR for post traumatic stress disorder. University of Canberra, Australia.

Language: English

Format: Dissertation/Thesis

Abstract:
The clinical adherence to and combination of methods with EMDR to treat PTSD has not been explored. This is of some concern as 27 000 clinicians are trained in EMDR globally. This exploratory study gained information on Australian trained EMDR clinicians' adherence to EMDR, and the methods they combined with EMDR to treat PTSD. Survey responses from 126 clinicians were analysed using predominantly descriptive statistics. The findings of this study showed that the majority of respondents perceived that they closely adhered to the standard EMDR treatment. However, respondents reported adhering more closely to the phases than the steps of EMDR. Statistically significant findings showed that more experienced EMDR level 1 clinicians were more likely to add steps and phases to EMDR, and to change the standard sequence of steps. Clinicians with greater years of experience were also more likely to change the standard sequence of steps. In addition, more experienced EMDR level 2 clinicians, were less likely to educate their clients about PTSD. Almost all respondents combined EMDR with other methods to treat PTSD. Combined methods included CBT, hypnosis / relaxation, system / solution focused methods and exposure. This research has contributed to theory and practice by uncovering that clinicians appear to use EMDR differently to researchers, by changing EMDR to meet client needs, combining EMDR with other methods and Holly Byron 16/9/99 vi therapies, and introducing EMDR in the mid stage of treatment. These findings are vital to reduce the scientist-practitioner divide by accurately testing EMDR's efficacy and enabling future controlled trials to reflect the clinical use of EMDR.

Keywords: Postrraumatic Stress Disorder PTSD

Accuracy Verified: Yes

37. Grimmett, J. (2012). Clinician experiences with EMDR: Factors influencing attrition and retention. University of the Rockies, Colorado Springs. UMI 3517361.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated factors contributing to clinician attrition from eye movement desensitization and reprocessing therapy. The primary areas under investigation were factors contributing to attrition and retention, as well as the quest to obtain information pertaining to training experiences. A sample of 239 clinicians was purposefully obtained. Several patterns emerged within the data, highlighting the issues of attrition: Loyalty to other treatment modalities and discomfort with using EMDR, either through lack of confidence, inadequate training, or discomfort with client distress, were both correlated with clinician attrition. Treatment efficacy and ongoing consultation were remarkable for retention. Practice setting surfaced as statistically significant, and operating in private practice was positively correlated with greater participation in EMDR support activities. Additionally, the adequacy of the training format was presented, as well as how prepared the participants felt after completion of EMDR training. A number of findings were consistent with earlier studies and the converging results of loyalty to previous modalities and discomfort using EMDR gave rise to recommendations for future training and support of newly trained clinicians. The limitations of the current study were presented, in addition to directions for future research.

Keywords: Attrition Clinician Experiences Retention Training

Accuracy Verified: Yes

38. Kristjánsdóttir, K., & Lee, C. W. (2011). A comparison of visual versus auditory concurrent tasks on reducing the distress and vividness of aversive autobiographical memories. Journal of EMDR Practice and Research, 5(2), 34-41. doi:10.1891/1933-3196.5.2.34.

Language: English

Format: Journal

Abstract:
This study investigated the benefits of eye movement similar to that used in eye movement desensitization and reprocessing (EMDR) on reducing the vividness and emotionality of negative autobiographical memories. It was hypothesized, based on the working memory model, that any task that disrupts working memory would reduce the vividness and emotionality of distressing memories. In addition, it was predicted that the more visual a memory, the greater the reduction in vividness by a concurrent visual task over an auditory task (counting). Thirty-six nonclinical participants were asked to recall an unpleasant autobiographical memory while performing each of three dual-attention tasks: eye movement, listening to counting, or control (short exposure). Results showed that vividness and emotionality ratings of the memory decreased significantly after eye movement and counting, and that eye movement produced the greatest benefit. Furthermore, eye movement facilitated greater decrease in vividness irrespective of the modality of the memory. Although this is not consistent with the hypothesis from a working memory model of mode-specific effects, it is consistent with a central executive explanation. Implications for enhancing exposure treatment for posttraumatic stress disorder (PTSD) are discussed.

Keywords: Autobiographical Memory Counting Method Eye Movement Vividness Working Memory

Accuracy Verified: Yes

39. Miller, J. (2013, May). Complex trauma and EMDR: Basic skills. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
This workshop will provide EMDR therapists with direction and skills in working with clients with complex PTSD (C-PTSD). It is particularly designed to help those therapists who have completed their Basic Training and do not feel competent to treat the more complex presentations many clients exhibit when they come for help. The presentation will include a discussion of the three stages of C-PTSD recovery and the six core components of C-PTSD treatment. In addition, attendees will learn to apply the AIP model to C-PTSD and case conceptualization, learn and practice multiple grounding and containment exercises to be utilized before, during and after EMDR treatment, and multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients.
Learning Objectives: • Identify the three stages of C-PTSD recovery • Identify 6 core components of C-PTSD treatment • Apply the AIP model to C-PTSD and case conceptualization • Learn and practice multiple grounding and containment exercises to be utilized before, during and after EMDR treatment • Learn multiple skills for use in facilitating EMDR trauma processing with C-PTSD clients

Keywords: Case Conceptualization Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

40. Miller, J. (2013, May). Complex trauma and EMDR: Basic skills. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Keywords: Case Conceptualization Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

41. Carrigan, M., & Levis, D. (1999, January-April). The contributions of eye movements to the efficiacy of brief exposure treatment for reducing fear of public speaking. Journal of Anxiety Disorders, 13(1-2), 101-118. doi:10.1016/S0887-6185(98)00042-5.

Language: English

Format: Journal

Abstract:
The present study was designed to isolate the effects of the eye-movement component of the Eye Movement Desensitization and Reprocessing (EMDR) procedure in the treatment of fear of public speaking. Seventy-one undergraduate psychology students who responded in a fearful manner on the Fear Survey Schedule II and on a standardized, self-report measure of public speaking anxiety (Personal Report of Confidence as a Speaker; PRCS) were randomly assigned to one of four groups in a 2 × 2 factorial design. The two independent variables assessed were treatment condition (imagery plus eye movements vs. imagery alone) and type of imagery (fear-relevant vs. relaxing). Dependent variables assessed were self-reported and physiological anxiety during exposure and behavioral indices of anxiety while giving a speech. Although process measures indicated exposure to fear-relevant imagery increased anxiety during the procedure, no significant differences among groups were found on any of the outcome measures, except that participants who received eye movements were less likely to give a speech posttreatment than participants who did not receive eye movements. Addition of the eye movements to the experimental procedure did not result in enhancement of fear reduction. It was concluded, consistent with the results of past research, that previously reported positive effects of the EMDR procedure may be largely due to exposure to conditioned stimuli (ScienceDirect).

Keywords: Americans College Students Empirical Study Experimental Stressors Females Phobia Psychophysiology Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

42. Marcus, S., Marquis, P., & Sakai, C. (1997, Fall). Controlled study of treatment of PTSD using EMDR in an HMO setting. Psychotherapy, 34(3), 307-315. doi:10.1037/h0087791.

Language: English

Format: Journal

Abstract:
67 individuals diagnosed with PTSD were randomly assigned to either Eye Movement Desensitization and Reprocessing (EMDR) treatment or Standard Care (SC) treatment. Participants were assessed pretreatment, after 3 sessions, and at the completion of treatment using the Symptom Checklist-90, Beck Depression Inventory, Impact of Events Scale, Modified PTSD Scale, Spielberger State-Trait Anxiety Inventory, and Subjective Units of Disturbance. In addition, an independent evaluator assessed participants using DSM-III-R criteria for PTSD including Global Assessment of Functioning at the 3 data points. The individuals in the EMDR treatment group showed significantly greater improvement with greater rapidity than those in the SC treatment group on measures of PTSD, depression, anxiety, and general symptoms. Participants who received EMDR treatment used fewer medication appointments for their psychological symptoms and needed fewer psychotherapy appointments. [Author Abstract]

Keywords: Adults Americans Empirical Study Managed Care Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

43. Hyer, L. A., Boudewyns, P. A., Peralme, L., Touze, J., & Kiel, A. (1995, June). Controlled treatment outcome study using EMDR on combat-related post traumatic stress disorder (PTSD). Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
After the status of PTSD was established, subjects were randomly assigned to one of three conditions; EMDR, exposure control (EC), and group (GT). Subjects in EMDR condition received at least five but no more than eight sessions of EMDR. EC condition subjects therapy procedure as the EMDR subjects but without the eye movements. Subjects in the GT condition received five to eight session of group therapy only. Outcome measures were at intervals; prior to therapy, immediately following therapy and at two follow-up periods. These include: (1) self report or interview-related psychological measures (Combat Exposure scale, MMPI-2 PTSD, Veterans Adjustment Scale (VETS), Mississippi Scale, Hamilton (Depression and Anxiety); (2) behavioral outcome measures (employment, treatment seeking behavior medication therapy, and re hospitalization rate); and (3) psychophysiological response measures (skin conductance, frontalis EMG, heart rate and blood pressure). The last measures involved a change measure in psychological arousal during exposure to tape recorded scripts depicting the patients' most traumatic combat memory. In addition to these pre-, post-, follow-up measures, measures (SUD, profile of mood scale (POMS), and impact of events scale (IOE) were taken at each therapy session. Early results on selected outcomes show differences in positive outcome between conditions POMS EMDR>GT (p<.01); IOE Avoidance, EMDR>GT (p<.04); IOE Intrusion, EMDR>GT(p<.03); Heart Rate, EMDR>GT (p<.04). Presently, there were no other significant differences between EMDR or EC. Trends, however suggest that EMDR may be superior to EC on several of the measures. These results indicate that EMDR may be producing greater reduction in the conditioned emotional response to traumatic memories in these patients, when compared to group therapy approach commonly used to treat these types of patients in a special VA treatment program.

Keywords: Combat Controlled Treatment Outcome Study Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

44. Spierings, J. J. (2008, June). Creative cognitive interweaves with EMDR. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Working with severely damaged clients, we can hardly expect EMDR-processing to go smoothly by itself. ‘Just staying out of the way’ is not enough to help these clients process their traumatic material. A more active approach is called for to bring traumaresolution. In EMDR this type of intervening is called ‘(cognitive) interweaving’. The therapist may need to intervene on the process level with process interweaves, in order to keep the client within his window of (affect) tolerance. Or the therapist has to intervene on the content level with content interweaves; when the client gets stuck in a specific problem he is unable to solve with the information he has available. In this workshop the participant learns to use process interweaves to modulate the arousal level of the client. In addition to this a toolkit of useful content interweaves is presented, cognitive and non-cognitive, e.g. sensory, physical, and religious interweaves. Metaphors for all kinds of blocks, bits and pieces of psycho-education for specific stuck points, unorthodox, creative or hilarious interweaves to get round resistance, and interweaves to bring reconciliation and forgiveness.

Keywords: Cognitive Interweave

Accuracy Verified: Yes

45. Greenwald, R. (1999, June). A crisis response approach for suicidal teens. Poster presented at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
In my current position as a clinical psychologist based on a hlgh school campus, I often have occasion to meet with adolescents who are suicidal, some having recently made suicidal gestures. Despite the complexity and variety of presenting issues, there is a set of more or less standardized steps to follow to ensure safety as well as appropriate follow-up. In this paper I present a case to illustrate how I have integrated EMDR. This approach to teen suicidality uses several elements of the motivation - anger - trauma therapy (MATT) approach for teens with conduct disorder, which has been described in detail elsewhere (Greenwald 1998, 1999, in press). In addition to the standard crisis interventions - letting the client talk out the problem, contracting for safety, implementing supports and restrictions as needed, and arranging follow-up - I have been using EMDR in various ways to enhance present safety as well as subsequent resiliency. For example: the Choices Have Consequences intervention (cited above, described below) helps the client to realize that self-harm leads to a poor outcome despite its initial appeal; the standard use of EMDR can help to reduce vulnerability to the type of stressor which led to the current crisis; and the Future Movies intervention (also cited above and described below) helps to create a more hopeful long-term perspective while enhancing coping skills.

Keywords: Adolescents Poster Suicide Teens

Accuracy Verified: Yes

46. Young, W., Puk, G., & Rouanzoin, C. C. (1995, June). Current trends using EMDR in dissociative disorders. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This workshop covers the screening, diagnosis, treatment and pitfalls encountered in using EMDR in Dissociative Disorders. The unexpected finding of dissociative disorders among trauma victims using EMDR requires therapists to be able to recogme and screen for dissociative conditions. Under special circumstances, these patients may have negative reactions which the EMDR therapist should be prepared to manage. Treatment requires a strong alliance, an awareness of dissociation and the management of patients' abreactions. Treatment guidelines have been established for using EMDR which can guide therapists as our expmence with dissociative disorders evolves. A careful informed consent should be obtained and an assessment of the patient's inner resources made so that ffagile patients with histories of chronic trauma are not inadvertently injured. Further, EMDR is not designed as a tool for "memory work" but for the reduction of distress for events or experiences already known. Lectures, discussions, handouts and video tape demonstrations show the application of EMDR in a variety of conditions. The results of a pilot study using EMDR in 15 patients with 33 target symptoms will be presented. In this limited sample, between 50% and 60% of patients achieved significant reduction of their distress levels on selected targets. A variety of responses occurred including fusions, generalization effects, and establishmg inner dialogue. In addition, a variety of problems arose resulting in treatment failures or cessation of EMDR. These include such reactions as flooding, escalation of anger, paranoia and resistance to the treatment. The implications of these findings suggest that cautious patient selection and use of EMDR has a potential use and that as research in this population continues, strategies for overcoming problem areas can be developed.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

47. van Arkel, E. P. M., & Baas, A. M. (2008, Juni). De rol van het op afstand beleven en het herbeleven in eye movement desensitisation and reprocessing (EMDR) [The role of the remote experience and relive in eye movement desensitisation and reprocessing (EMDR)]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Dit onderzoek was voor ons zowel een eerste kennismaking met Eye Movement Desensitisation and Reprocessing (EMDR) als een eerste kennismaking met het klinische werkveld. Naast het leerzame traject van het onderzoek zelf, waren deze aspecten een speciale aanvulling op onze scriptie. Wij hebben dan ook met veel enthousiasme aan deze scriptie gewerkt en ons op verschillende gebieden breder ontwikkeld. Wij zijn voornamelijk blij dat wij „op de valreep van onze studie‟ nog kennis hebben mogen maken met de behandelmethode EMDR. Het is een behandelmethode die wij in onze verdere loopbaan binnen de psychologie zeker mee zullen nemen. Onze dank gaat uit naar de therapeuten en cliënten die mee wilden werken aan dit onderzoek. Zonder deze medewerking was dit onderzoek immers niet tot stand gekomen! Daarnaast willen wij graag onze begeleidster mw. dr. H.K. Hornsveld bedanken voor het overbrengen van haar enthousiasme voor EMDR en al haar op- en aanmerkingen op ons onderzoek. Mede dankzij haar is dit onderzoek goed afgerond en is ons enthousiasme gegroeid.

This study gave us both a first encounter with Eye Movement Desensitisation and Reprocessing (EMDR) as a first introduction to the clinical field. Besides the educational process of research itself, these issues were a special addition to our thesis. We also have enthusiastically worked on this paper and our wider development in various fields. We are especially pleased that we are "at the very end of our study" may even be familiar with the EMDR treatment method. It is a treatment that in our careers in psychology will certainly take it. Our thanks go to the therapists and clients who wanted participate in this study. Without this cooperation, this research was not realized! In addition, we want our companion mw. Dr. H.K. Hornsveld thanks for transferring her enthusiasm for EMDR and all her observations and comments on our research. Partly thanks to her that this study is well rounded and our enthusiasm grew.

Keywords: Desensitization, Distancing Reliving Vividness

Accuracy Verified: Yes

48. Rijken, T. A. (2012). De werkzaamheid van eye movement desensitization and reprocessing (EMDR): Ondersteuning voor een afleidingstheorie [The efficacy of eye movement desensitization and reprocessing (EMDR): Support for a theoretical derivation]. Universiteit Utrecht, Utrecht, Netherlands.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
De eye movement desensitization and reprocessing (EMDR) interventie wordt veelvoudig gebruikt in de gezondheidszorg en is een van de meest onderzochte interventies voor posttraumatische stress-stoornis. De populariteit van deze interventie kan mede worden toegeschreven aan de aangetoonde werkzaamheid van EMDR voor het verminderen van traumasymptomen. EMDR is een behandeling die bedoeld is om de helderheid en aversiviteit van traumaherinneringen te verminderen. Tijdens de interventie staat het ophalen van traumatische herinneringen en tegelijkertijd het maken van oogbewegingen centraal. De laatste jaren zijn labstudies toegepast om te achterhalen hoe EMDR precies werkt. Uit deze studies blijkt dat de belasting van het werkgeheugen door een duale taak een belangrijk component van EMDR is. Het werkgeheugen heeft namelijk een beperkte capaciteit. Dit zorgt ervoor dat er minder capaciteit beschikbaar is voor de traumatische herinnering wanneer deze tijdens de behandeling wordt belast met een taak (bv. oogbewegingen). De werkgeheugentheorie is bruikbaar, maar er is wellicht een simpelere verklaring voor de werkzaamheid van EMDR: afleiding. Het is praktisch te weten hoe EMDR werkt zodat er meer duidelijkheid ontstaat over hoe EMDR precies moet worden toegepast. Daarnaast is het begrip van de werking van EMDR belangrijk voor het vaststellen van eventuele bruikbaarheid bij meerdere stoornissen. Het doel van huidig experiment is het kritisch onderzoeken of er een verschil is tussen het ophalen van een negatieve herinnering met een visuele afleidingstaak en het ophalen van een negatieve herinnering met het maken van oogbewegingen op de mate van levendigheid en emotionaliteit. Daarnaast dient het onderzoek als replicatie van Kavanagh et al. (2001) die hetzelfde beoogde te onderzoeken, maar geen rekening hield met de cognitieve belasting van de taken. Uit de resultaten van het huidige onderzoek blijkt dat de oogbewegingstaak en de visuele afleidingstaak verschillen in de mate van vertraging op de reactietijdtaak. De oogbewegingen leiden tot een grotere vertraging. Desondanks laten de resultaten van het experiment zien dat tijdens het toepassen van de interventies de visuele ruis tot grotere reductie van zowel levendigheid als emotionaliteit leidt in vergelijking met de oogbewegingen en het niets doen. Oogbewegingen laten intermediaire resultaten zien. Het lijkt er op dat de resultaten in strijd zijn met de gangbare werkgeheugentheorie en de ‘afleidingstheorie’ ondersteunen als verklaring voor de werkzaamheid van EMDR. Het is wellicht afleiding dat voldoende zou kunnen zijn om de werkzaamheid van EMDR te bewerkstelligen. Meer onderzoek is nodig om deze resultaten te ondersteunen.

The Eye Movement Desensitization and Reprocessing (EMDR) intervention is multiple used in health care and is one of the most studied treatments for posttraumatic stress disorder. The popularity of this intervention may also be attributed to the demonstrated efficacy of EMDR for reducing trauma symptoms. EMDR is a treatment designed to reduce the brightness and aversiviteit memories of trauma reduction. During the intervention is retrieving traumatic memories while making eye movements centrally. In recent years labstudies used to determine how EMDR works. These studies show that the load on working memory by a dual task is an important component of EMDR. The memory has a limited capacity ie. This ensures that there is less capacity available for the traumatic memory during treatment when it is subjected to a task (eg eye movements). The working memory theory is useful, but there may be a simpler explanation for the efficacy of EMDR: distraction. It is practical to know how EMDR works so that more clarity about exactly how EMDR should be applied. In addition, the concept of the operation of EMDR important for determining the potential usefulness in multiple disorders. The purpose of the present experiment is to critically examine whether there is a difference between getting a negative memory with a visual distraction task and retrieval of a negative memory making eye movements on the degree of vividness and emotionality. Research must also as a replication of Kavanagh et al (2001) that the same was intended to investigate, but took no account of the cognitive load of the tasks. The results of the present study show that the oogbewegingstaak and visual distraction task differences in the extent of delayed response task. The eye movements lead to a longer delay. Nevertheless, the results of the experiment show that while applying the intervention visual noise to greater reduction in both vividness and emotionality results in comparison with the eye movements and do nothing. Eye movements show intermediate results. It seems that the results are contrary to the usual working memory theory and the "distraction theory 'support as an explanation for the efficacy of EMDR. It might distractions that may be sufficient to establish the efficacy of EMDR to achieve. More research is needed to support these results.

Keywords: Theory Derivation Working Memory Theory

Accuracy Verified: Yes

49. Worthington, R. (2012, April). Dealing with trauma as an intervention for aggression: A review of approaches and the value of reprocessing. Journal of Aggression, Conflict and Peace Research, 4(2), 108-118. doi:10.1108/17596591211208319.

Language: English

Format: Journal

Abstract:
The purpose of this paper is to explore the impact of trauma with specific consideration to the neurological impact this has on information processing and potential links with aggression. Design/methodology/approach - This paper provides a summary of the literature in relation to theories of aggression and trauma. The paper considers how the two may interact and overlap and considers a theoretical rationale for why addressing trauma through a treatment such as Eye Movement Desensitization Reprocessing (EMDR) may assist to reduce aggression. Findings - The paper argues that the experience of trauma may contribute to inputs which may take a person closer towards engaging in aggression. This is consistent with information processing models and unified models of aggression such as the General Aggression Model. Factors that were specifically identified included physiological hyper-arousal, hostile attributions of stimulus, and neurological impairments. In addition, the paper also argued that there is evidence that as a result of trauma, a person's ability to provide cognitive accounts for the function of their behaviour may also be impaired because of the reduced interactivity between the two prefrontal hemispheres. Research limitations/implications - The paper argues that as a result, interventions designed to reduce aggression may benefit from including additional elements which directly assist clients to process emotional information and that a reprocessing treatment such as EMDR could assist to reduce levels of emotional arousal and improve treatment effectiveness. Differences in the way in which EMDR is carried out and the variances in treatment protocols used should be attended to increase the reliability of future research. Originality/value - Current modes of aggression therapy have focused on exposure based and cognitive behavioural therapy (CBT). However, there is evidence that EMDR has benefits over exposure and CBT approaches because of the way in which cognitive verbal accounts of the trauma are not required and because EMDR does not require the individual to have insight into their trauma experience and the link with aggression.

Keywords: Aggression Trauma Treatment

Accuracy Verified: Yes

50. Forgash, C. A. (2005, June). Deepening EMDR treatment effects across the trauma spectrum: Integrating EMDR and ego state work. Föreningen EMDR Sverige, EMDR Tidningen, 7(2), 6-14.

Language: English

Format: Newsletter

Abstract:
The concepts, interventions, and techniques presented in this workshop are culled from theory and techniques of working with the range of the dissociative disorders). They have proved to be an effective addition to the preparation stage of the EMDR protocol. In other words, they can be used with clients who dissociate under certain conditions but do not have a dissociative disorder Most of the traumatized clients seen for EMDR treatment have a range of dissociative symptoms as well as symptoms of PTSD. This combination of PTSD and a dissociative disorder is often labeled DDNOS. However, people with a more complex variety of PTSD usually have experienced very early and enduring severe physical or sexual abuse (generally perpetrated by a family member), atrocities, war, or severe environmental disruption such as earthquakes. They are more accurately diagnosed with disorders of extreme stress (DESNOS). For these clients, the dissociated neural networks, or dissociative fragmentation, cause serious problems in adult life. The adaptive information processing system is on hold for these dissociated fragments or parts. They are easily triggered by internal or external cues to which they can have extreme reactions, (flashbacks, amnesia, losing time and place, and so forth.) Our goal as therapists is to use EMDR to help clients (and their internal dissociated neural networks or parts) find stability and resources to function adaptively in their present life, and then desensitize and reprocess the dissociated trauma memories and the PTSD symptoms. We aim to help our clients manage their symptoms. It is not our goal to eliminate dissociation, which has been a major survival strategy, but to help the client utilize it with conscious control. It is important to note that attachment issues are an aspect of development that are especially impacted by trauma. The attachment styles of the family pre trauma may have already affected the client in negative ways, impacting the client's resources and responses to trauma. One way to look at this set of problems is to utilize two approaches in the preparation phase of EMDR. These approaches combine the treatment of dissociative symptoms with ego state work and are an essential aspect of treating these clients with EMDR. This work may extend the preparation phase considerably, but will add safety and structure to the trauma processing experiences for these clients.

Keywords: Ego State Therapy

Accuracy Verified: Yes

51. Wagner, F. (2004). Die wirksamkeit von eye movement desensitization and reprocessing (EMDR) bei der posttraumatischen belastungsstorung im vergleich zu kontrollbedingungen und kognitiv-behavioralen therapien: Eine metaanalytische untersuchung [Efficacy of eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder compared with control conditions, and cognitive-behavioral therapies]. Zugl: Heidelberg. doi:volltextserver/volltexte/2005/5803 . --.

Language: German

Format: Book

Abstract:
Das Ziel der vorliegenden Metaanalyse war es, die Wirksamkeit von EMDR und kognitiv-behavioralen Therapieverfahren bei der posttraumatischen Belastungsstörung mit dem aktuellen Stand an Publikationen metaanalytisch zu untersuchen. In einer umfassenden Literaturrecherche wurden hierfür sowohl publizierte Originalarbeiten als auch unpublizierte Manuskripte recherchiert. Insgesamt gingen 32 Originalstudien in die Metaanalyse ein. 13 der Studien waren reine EMDR-Studien; 7 untersuchten sowohl eine Gruppe mit EMDR als auch eine Gruppe mit kognitiv-behavioraler Therapie. 12 Studien waren reine kognitiv-behaviorale Therapiestudien. Darüber hinaus sollte die Wirksamkeit unter dem Gesichtspunkt der verschiedenen PTSD- und komorbiden Symptomatiken betrachtet werden. In einem weiteren Schritt wurde EMDR direkt mit kognitiv-verhaltenstherapeutischen Behandlungsmethoden verglichen. Effektstärken wurden sowohl für die PTSD-Symptomkategorien Intrusionen, Vermeidung und erhöhtes Arousal als auch für die komorbiden Symptome Angst und Depression berechnet. Die Berechnung der Effektstärken erfolgte anhand von standardisierten Mittelwertsvergleichen. Neben dem direkten Vergleich von EMDR mit kognitiv-behavioralen Therapieansätzen bzw. von EMDR und kognitiv-behavioraler Therapie mit Kontrollgruppen (Post-/Post-Vergleich) wurden auch die Veränderungen innerhalb der Behandlungsgruppen berechnet (Prä-/Post-Vergleich). In den Post-/Post-Vergleich gingen nur kontrollierte und randomisierte Originalstudien ein. In den Prä-/Post-Vergleich hingegen wurden auch Ein-Gruppen-Studien aufgenommen. Als Effektmaß wurde Hedges´d verwendet. Die Ergebnisse legen nahe, dass sowohl EMDR als auch die kognitiv-behaviorale Therapie wirksam in der Behandlung der posttraumatischen Belastungsstörung sind. Beide Verfahren reduzieren in klinisch bedeutsamem Umfang, sowohl unmittelbar als auch lang anhaltend, die PTSD-Symptomatiken Intrusionen, Vermeidung und erhöhtes Arousal. Darüber hinaus führen beide Behandlungsmethoden auch zu einer Reduktion der komorbiden Symptomatiken Angst und Depression. Die Effektivität beider Verfahren zeigt sich hierbei sowohl im Prä-/Post-Vergleich als auch im direkten Post-/Post-Vergleich mit einer Kontrollbedingung. Darüber hinaus ergibt sich eine ähnlich hohe Wirksamkeit von EMDR und kognitiv-behavioraler Therapie, sowohl im Vergleich der Prä-/Post-Effektstärken als auch im direkten Post-/Post-Vergleich. Dennoch scheint es unterschiedliche Einflussfaktoren zu geben, welche die Therapieeffektivität sowohl bei EMDR als auch bei kognitiv-behavioraler Therapie beeinflussen. Aufgrund der geringen Studienzahl lassen sich diese Faktoren jedoch nicht näher untersuchen. Des Weitern zeichnen sich Unterschiede hinsichtlich der Effizienz der beiden Therapieformen ab: So beträgt die durchschnittliche Behandlungsdauer bei EMDR 5 Sitzungen, bei der kognitiv-behavioralen Therapie hingegen 8 Sitzungen. Darüber hinaus ist die Expositionsdosis bei den kognitiv-behavioralen Therapien höher als bei EMDR.
Die Befunde zur Wirksamkeit der bilateralen Stimulation sind hingegen weniger eindeutig. Allerdings sind Studien, welche den Versuch unternehmen, die Augenbewegungen bei Personen mit PTSD isoliert zu betrachten, oftmals von erheblichen methodischen Mängeln gekennzeichnet. Einzelne Befunde und Modellvorstellungen zur Rolle der bilateralen Stimulation beim EMDR werden im Diskussionsteil erörtert.

The aim of this meta-analysis is to examine the efficacy of EMDR and Cognitive Behavioral Therapy approaches in the treatment of Posttraumatic Stress Disorder (PTSD) on the basis of the publications relating to this issue up to the present. A large-scale search for pertinent literature came up with a total of 32 original studies. The results of these studies suggest that both the EMDR approach and Cognitive Behavioral Therapy methods are effective in the treatment of Posttraumatic Stress Disorder. Both approaches bring about immediate and sustained reduction of the PTSD symptoms intrusions, avoidance, and hyperarousal to a clinically significant degree. In addition, both treatments lead to a reduction of the comorbid symptomatologies anxiety and depression. The comparison of pre/post effect sizes and direct post/post comparison indicate that EMDR and cognitive behavioral therapy are similar in their efficacy. In terms of efficiency the EMDR method appears to have a slight advantage. However, the present meta-analytic study makes no attempt to address the issue of whether this efficiency advantage should be interpreted as having a bearing on clinical practice.

Keywords: Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

52. Cotraccia, A. (2008, June). Disorganized attachment in the “worried well”: EMDR in the treatment of adjustment disorders. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
This workshop will begin with a focus on current Adjustment Disorder literature. This section will highlight problems of intrapersonal and interpersonal attunement as defined from an Interpersonal Neurobiological perspective. Furthermore, literature on attachment theory will explore the importance of contingent communication in the development of an integrated mind. The relevance of intersubjective experience in adaptive information processing will help participants learn to identify experiences of misattuned communication as relational trauma. Information processing will further be explored as related to self states. An emphasis on recognizing “cohesive vs coherent” self states will be made. The understanding of the multiplicity of the mind in this section will provide a context for considering dissociation from an attachment theory perspective. In addition the emergence of cohesive and “disaggregated” self states will be highlighted as a result of the disorganized attachment experience. This particular type of relational trauma will be conceptualized as a betrayal trauma. Disavowal of self states will be established as salient in the vagueness of presenting complaints in the patient with an Adjustment Disorder. AIP case conceptualization of Adjustment Disorders will be established and a focus for the remainder of the workshop. Identification of memory networks associated with disorganized/unresolved experiences and integration of cohesive self states will follow. The 8 phased 3 pronged protocol or modified egostate specific targeting will be highlighted with a case study. Participants will learn to organize a treatment plan around negative cognitions, affects and behaviours reflected in the presenting problem and history.

Keywords: Adjustment Disorders

Accuracy Verified: Yes

53. Omaha, J. (1999). Dissociation in nicotine addiction: A case study. Presentation at the International Society for the Study of Dissociation Fall Conference, Miami, FL.

Language: English

Format: Conference

Keywords: Case Study Dissociation Nicotine Addition

Accuracy Verified: No

54. Fraser, G., & Welburn, K (1999, November). Dissociative table technique: Guided imagery strategy for PTSD with dissociation. Poster presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
In keeping with the theme of bridging gaps across disciplines, the Dissociative Table Technique brings to this trauma conference a strategy from the field of dissociative disorders. This therapeutic adjunct has been used by many therapists over the past 10 years for managing dissociated ego states in trauma victims who also have dissociation as part of their clinical picture. This strategy has been used with dissociative disorders, Ego-State therapy and more recently in conjunction with EMDR for patients having dissociative state alterations in addition to their PTSD. This guided imagery strategy provides a protocol for clinical intervention in such clients and will provide an additional therapeutic adjunct for trauma workers when PTSD is complicated by dissociative pathology. Based on gestalt, guided imagery and hypnosis strategies, the Dissociative Table Technique assists the clinician to bring order to the random dissociation which can complicate therapy in such cases. Also clients can be taught to become aware of and integrate dissociated ego states. This strategy must be carefully considered as it can have a profound effect on the dissociative processes. It is advised that it only be employed by clinicians whose fields permit hypnosis-based therapy.The workshop will commence with a therapeutic rationale for this technique followed by an outline of the clinical application. Included will be a video introducing the technique in a clinical case. The video will be followed by a second speaker discussing possible applications to EMDR. Useful suggestions for utilizing EMDR in this trance-prone population (those with dissociation in addition to PTSD) will be addressed in addition to presenting clinical examples in which the Dissociative Table Technique was integrated with EMDR in appropriate clinical groups.

Keywords: Dissociative Table Technique Dissociation Guided Imagery Poster Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

55. Grey, E. (2009, August). Earning security with EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .

Language: English

Format: Conference

Abstract:
The experience of safety associated with a secure attachment is essential in promoting social engagement. Social engagement requires the capacity to identify, tolerate and communicate our emotional states. This poster illustrates the pathogenic role that relational trauma plays in thwarting such intrapersonal attunement necessary for interpersonal integration. In particular, disorganized attachment experiences are highlighted as small-t traumas and “touchstone memories” related to “affect phobias”. These phobias are key psychopathological agents that maintain dissociative barriers between components of internal working models of self and other involved in attachment relationships. Internal working models related to disorganized attachment experiences include segregated information of parent/child interactions in which the parent is the “source and solution of the child’s fright”. The establishment of “trauma coded” internal working models is instrumental in the development of “extra-personal attunement”. As opposed to intrapersonal attunement, extra-personal attunement is characterized by a preoccupation with the feelings, thoughts, and behaviors of others and simultaneous dissociation of one’s own internal experience. In the wake of such relational trauma, the adaptive information processing system within the individual becomes “corrupt”. The AIP model provides a way to understand the salience of dysfunctionally held information in the brain in thwarting interpersonal attunement and intrapersonal attunement and maintenance of a “corrupt information processing system”. Furthermore, it assists in the clinical navigation of the paths between memory, internal working models, and auto and interactive psychobiological regulation. From a clearer point of view and with an appreciation for the vulnerability of relational misattunement to be traumatic relevant EMDR processing targets can be indentified and targeted. In addition, this AIP conceptualization of relational trauma offers a parsimonious framework within which the effects of trauma can been seen in a variety of psychopathologies. From adjustment disorders to dissociative identity disorder the feeling of “insecurity” associated with relationships reinforces extra-personal attunement and avoidance of interactive regulation necessary for social engagement. In addition, extrapersonal attunement leads to a preoccupation with the emotional states of others, avoidance of social engagement and substitution of work, play, food, and sex to regulate distress and amplify positive affect. This poster will offer an Adaptive Information Processing model conceptualization of relational trauma and will outline the role of EMDR in reducing phobic responses to innate affect. It will also highlight the identification and processing of touchstone memories related to disorganized attachment experiences in both the standard EMDR protocol and the adapted “Ego-state specific” protocol. These interventions will be portrayed as necessary components of a comprehensive treatment plan in the treatment of relational trauma. Finally the successful treatment of relational trauma will be depicted as a relevant in promoting intrapersonal attunement necessary for interpersonal integration.

Keywords: Affect Phobias Phobias Relational Trauma

Accuracy Verified: Yes

56. Cotraccia, T. (2009, August). Earning security with EMDR - Promoting social engagement in the wake of relational trauma. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Keywords: Poster Social Engagement

Accuracy Verified: Yes

57. Kutz, I., Dekel, R., Schreiber, S., Resnick, V., Dolberg, O. T., Barkai, G., Leor, A., Rapoport, E., & Bloch, M. (2008, November). The effect of a single session of EMDR on intrusive distress in acute stress syndromes. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.

Language: English

Format: Conference

Abstract:
Early diagnosis and intervention in mass casualty events: Since September 2000, Israeli and Palestinian societies suffered great losses. on the Israeli side, civilians of all ages, and ethnic groups, have been exposed to various types of terrorist attacks. This symposium examines issues of diagnosis and interventions

The effect of a single session of EMDR on intrusive distress in acute stress syndromes: Purpose: To examine the efficacy of a single session of a modified abridged EMDR protocol in reducing Acute Stress Syndromes (ASS) following accidents and terrorist bombing attacks. Methods: Treatment was provided, in a general hospital inpatient and out-patient setting to 86 patients with ASS. Friday: 11:00 a.m. – 12:15 p.m. Presenters are underlined and discussants are italicized. If serving in both roles, they are both underlined and italicized. Findings: Fifty percent reported immediate fading of their intrusive symptoms and general alleviation of their distress, 27% described partial alleviation of their symptoms, while 23% reported no improvement. Four week and six month follow-up, in the terror victims group only, showed that the immediate responders remained symptom free, while half of the non-responders, who also received subsequent additional interventions modalities, were still symptomatic. Conclusions: The difference in response may be attributed, in part, to the fact that immediate responders tended to have an uncomplicated ASS with fewer risk factors for PTSD, while the non-responders had higher exposure to former traumas and endorsed more risk factors for PTSD. These results support other anecdotal reports on the rapid effects of brief EMDR intervention in uncomplicated cases and offer a psycho-physiological hypothesis for immediate response. While additional controlled studies are essential, this immediate symptomatic relief may be a potential addition for focused interventions in acute trauma victims.

Keywords: Acute Stress Disorder ASD Bombings Israel Palenstine Panel Symposium Terrorists

Accuracy Verified: Yes

58. Vaughan, K. (1995, June). The effect of eye movement component of EMDR on emotional processing and arousal in PTSD. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract: T
he aim of this study is to investigate in a controlled manner the effect of eye movements on emotional processing and physiological arousal in 22 PTSD patients. Changes in emotional processing and physiological arousal were measured before during and after EMDR eye movement procedure: for this experiment the EMDR procedure was varied: with a condition with eyes moving in a normal manner; with eyes watching a stationary non-moving finger; and with eyes closed acting as a control condition. In order to measure emotional processing a manual for measuring emotional processing was made. In addition to the results of this experiment the main features of this manual for scoring emotional processing including reliability measures will also be presented. Physiological arousal was measured using galvanic skin response.

Keywords: Arousal Emotional Reprocessing Eye movement Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

59. Rooijmans, J., Rosenkamp, N. H. G., Vernholt, P., & Visscher, R. A. (2012). The effect of eye movements on craving, pleasantness and vividness in smokers. Social Cosmos, 3(2), 200-214.

Language: English

Format: Journal

Abstract:
The presence of craving is an important factor in continuing smoking. Following the Elaborated Intrusion (EI) theory of Desire, craving is effective through the formation of smoking-related mental images. In the current study, craving was generated through the use of a future personal smoking-related image. Eye movements were observed in accordance with the Eye Movement Desensitization Reprocessing (EMDR) intervention. The effect of these eye movements on craving was investigated. In addition, the effect of eye movements on the pleasantness and vividness of the image was examined. 36 participants took part in a withinsubjects design with repeated measures. In line with expectations, perceived craving decreased immediately after the experimental condition (eye movements) was experienced. This decrease was not found in the control condition (fixation on a plain wall). After recall of the smoking-related image, the extra measurement showed that the decrease was temporary. Contrary to expectations, the degree of pleasantness and vividness did not decrease after eye movements. In conclusion, the eye movements were found to have only a temporary effect on craving for cigarettes, and did not result in desensitization of the pleasantness and vividness of the personal smoking-related images.

Keywords: Craving EI-Theory Eye Movement Smoking

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Hynotherapy Obstetrics Posttraumatic Stress Disorder PSTD Stillbirth

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Hynotherapy Obstetrics Stillbirth

Accuracy Verified: Yes

62. Kutz, I., Resnik, V., & Dekel, R. (2008). The effect of single-session modified EMDR on acute stress syndromes. Journal of EMDR Practice and Research, 2(3), 190-200. doi:10.1891/1933-3196.2.3.190.

Language: English

Format: Journal

Abstract:
A single session of a modified, abridged EMDR protocol was provided in a general hospital inpatient and outpatient setting to 86 patients with acute stress (AS) syndrome suffering from intrusion distress following accidents and terrorist bombing attacks. Fifty percent reported immediate fading of intrusive symptoms and general alleviation of distress, 27% described partial alleviation of their symptoms and distress, while 23% reported no improvement. Partial and nonresponders were provided with or referred for more comprehensive treatment. At 4-week and 6-month follow-up, the immediate responders in the terror victims group remained symptom free. The immediate responders tended to have uncomplicated AS symptoms with fewer risk factors for posttraumatic stress disorder (PTSD), while the nonresponders had higher exposure to former traumas and endorsed more risk factors for PTSD. These results support other anecdotal reports on the rapid effects of brief EMDR intervention on intrusive symptoms in early uncomplicated posttraumatic cases. Although more controlled studies are essential, this immediate method for symptomatic relief may be a potential addition for focused interventions in acute trauma victims.

Keywords: Acute Stress Disorder ASD Intrusions Mass Casualty Event MCE Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

63. Borstein, S. S. (2009, August). The effectiveness of brief adjunctive EMDR: A pilot study. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
A pilot study was conducted to assess the effectiveness of brief adjunctive EMDR treatment, in the naturalistic setting of an outpatient clinical office. All clients referred for adjunctive EMDR were considered for this study. A total of 14 individuals were accepted for treatment and completed that treatment, utilizing the standard EMDR protocol. Length of treatment was four to thirteen 50 minute sessions (mean = 8.8 sessions). Each subject was administered five self-report measures pre- and post-treatment. In addition, referring therapists were asked to rate the intensity of one to three presenting problems, pre- and post-treatment. Four out of five self-report measures indicated statistically significant improvement, with significance greater than .001. The effect size was Large or Very Large for those four measures.

Keywords: Adjunctive Treatment Brief Adjunctive EMDR Treatment Poster

Accuracy Verified: Yes

64. Aytun, O. A. (2010, June). The effectiveness of EMDR and support group treatment model in smoking cessation. In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The purpose of this study is to assess the effectiveness of a treatment model in cigarette cessation. Among the volunteers who enrolled to participate in the study, 15 participants were selected as our subject group in terms of their scores in Fagerstrom Test for Nicotine Dependence (middle or upper level of dependency). The participants of this study attended 9 weeks of treatment including a preliminary session in the first week following 8 EMDR sessions (once a week) and 4 group sessions (once every two weeks). The 5 follow up sessions (15-day, a month, 3 month. 6 month. 1 year foilow-up) are included in the study to evaluate the efficacy of the model and the relapse rate of the subjects. EMDR (Eye Movement Desensitization and Reprocessing) DeTUR Protocol (Popky, 1993) and a support group format is used as treatment methods. Hughes-Watsukami Withdrawal Questionnaire, STAI, Traumatic Life Events Questionnaire (TLEQ) and Fagerstrom Test for Nicotine Dependence is the instruments of this study.

Keywords: Group Treatment Smoking Cessation Symposium

Accuracy Verified: Yes

65. 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

66. Swiney, U. M. (2004). The efficacy of EMDR for survivors of a natural disaster: Intervention after Hurricane Floyd. University of North Carolina at Chapel Hill. AAT 3129821.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye movement desensitization and reprocessing (EMDR) is considered effective for civilian PTSD, but no controlled evaluation of EMDR, or any other treatment for PTSD, has been conducted with adults in a natural disaster context. Following Hurricane Floyd, 8 individuals from disaster-torn North Carolina communities were randomly assigned to 6 sessions of EMDR or a 1-month waiting list followed by treatment. All of the predominantly Caucasian, female participants met DSM-IV criteria for PTSD, and half reported moderate to severe levels of depression. Participants completed standardized self-report measures of PTSD, depression, and anxiety before and after the waiting period, or before, during (Session 4), and after the 6-week intervention. The principal investigator (PI) and blind assistants conducted a PTSD symptom interview before and after treatment and waiting period. Weekly progress was monitored with additional PTSD and depression self-report measures. The PI, a Level II-trained EMDR therapist, provided treatment. Treatment integrity, assessed by undergraduate assistants following an established checklist, was good.Compared to the untreated control condition, EMDR produced significantly larger decreases in self-reported PTSD and depression symptoms, and tended to promote greater improvement in observer-rated PTSD. However, random effects regression analyses of the secondary PTSD measure failed to detect a significant difference between the two groups. In contrast, random regression analyses confirmed a significant decrease in depression during treatment compared to the control condition. Controlled effect sizes for PTSD symptoms were large and compared favorably to research with other trauma populations. Nevertheless, despite sizeable reductions in symptoms, many clients continued to report elevated levels of PTSD even after treatment. In addition, despite random assignment, the average age of the two groups differed, and age was non-significantly but negatively associated with change in PTSD symptoms. This association, and the small size of this sample, limit the interpretation and generalizability of these findings. Thus, while results tentatively support extending EMDR to disaster survivors with depression and PTSD, this work is best considered as preliminary data. Research with a larger sample remains necessary to better evaluate both the impact of treatment and the potentially more complex treatment needs of this population. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(4-B), 2004, pp. 2116.

Keywords: Adults Americans Depressive Disorders Females Hurricane Floyd Hurricanes Posttraumatic Stress Disorders PTSD Random Clinical Trial RCT Recent Events Survivors Treatment Effectiveness

Accuracy Verified: Yes

67. Rosental, V. (2008, Diciembre 16). El método de EMDR: Un cambio de paradigma [The method of EMDR: A paradigm shift]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=454 om 1/4/2009.

Language: Spanish

Format: Other

Abstract:
Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack. The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency. He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack. The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency. He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability Trabajo desde hace años en esta profesión, la psicología, una especialidad que puede ayudar a muchas personas que sufren, que estoy investigando y encontrando nuevas maneras de dar a los pacientes alternativas que conduzcan a un cambio real. En este viaje tuve la oportunidad de explorar el mundo un poco más emocionante de la mente humana a través de un enfoque integrado que cambió mi paradigma de la psicoterapia. Me refiero a EMDR, basado en el modelo de procesamiento de información, una poderosa herramienta para aliviar el sufrimiento de los pacientes que nos consultan a tiempo para mantener sus logros. reprocesamiento de adaptación se lleva a cabo a nivel neurofisiológico que permite a la salud mental.

Working for years in this profession, psychology, a specialty that can help many people suffering, I am researching and finding new ways to give patients alternatives that lead to real change. In this journey I had the opportunity to explore a bit more exciting world of the human mind through an integrated approach that changed my paradigm of psychotherapy. I refer to EMDR, based on the information processing model, a powerful tool to alleviate the suffering of patients who consult us in time sustaining their achievements. Adaptive reprocessing takes place at a neurophysiological level that enables mental health. The letters called EMDR that mean in English: Eye Movement Desensitization and Reprocessing, which translates as desensitization and reprocessing eye movement. It is a method to work emotional difficulties caused by traumatic events such as war, natural disasters, accidents, assaults, duels unprocessed disturbing childhood experiences as well as phobias, somatic diseases and disorders, anxiety and disruptive behavior.

Keywords: Practice, Theory

Accuracy Verified: Yes

68. Blore, D., & Holmshaw, D. (2009). EMDR "blind to therapist protocol". In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 233-240). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The "Blind to Therapist Protocol" (B2T) is, essentially, that. It allows a client to go through the Standard EMDR Protocol, without revealing the content of the problem. This protocol is often used in conjunction with any client group in which divulging information might be uncomfortable to the individual prior to the use of EMDR. It has been used to treat train engineers, airplane pilots, ship captains, police officers, prison guards, doctors, nurses, paramedics, and firemen—workers characterized by the need to make life-and-death decisions for which they are personally responsible. In other words, those who have memories associated with not being in control at precisely the time when they are responsible for being in control. Another client group that can often have difficulties with divulging information is child abuse survivors where the client fears overwhelming or disgusting the therapist with the nature of the material to be treated. In such instances the protocol is very successful and can be a useful addition to the therapist's repertoire. It helps build the therapeutic relationship by demonstrating to the client that the therapist has trust in them. Once the client has seen how the therapist copes with material being raised, the Standard EMDR Protocol would be used. The Blind to Therapist Protocol Script is presented. [PsycINFO Database]

Keywords: EMDR Blind to Therapist Protocol Script Survivors Therapeutic Relationship Traumatic Memories

Accuracy Verified: Yes

69. Albers, J. (2008, June). EMDR & cue exposure – How cue exposure catalyses the effectiveness of the EMDR protocol to diminish craving. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
A structured six-session group therapy has been developed for overcoming craving. Treatment is based upon a standard EMDR protocol supported by cue exposure techniques. The EMDR protocol supported by cue exposure catalyses the recovery process as follows: In the very beginning the participants are taught a set of three ideodynamic resources for coping with the urge to drink. Then they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught to initialize the standard EMDR protocol - with continued exposure to alcohol. Subsequently, the power of desensitisation and reprocessing followed by one ideodynamic strategy influences the intensity of craving significantly. Craving symptoms diminish and finally disappear. In addition to that new experience the clients acquire greater and deeper knowledge about their personal drinking triggers. They also find out which strategy is the most effective one for each specific trigger. A strategy, which works well with one trigger, may not work with a different one. Workshop participants will learn the system of using cue exposure as a powerful cognitive interweave. This program is designed to improve the treatment of various types of addiction, such as gambling, etc. and can easily be integrated into existing EMDR treatment strategies.

Keywords: Cue Exposure

Accuracy Verified: Yes

70. Ersen, M., & Cumartesi, H. (2009, Aralık). EMDR İle kronik başağrılarına son [EMDR with chronic headaches]. Aktüel Psikoloji.

Language: Turkish

Format: Other

Abstract:
EMDR, savaş stresi, taciz, doğal afetler veya çocukluk döneminde yaşanan üzücü olaylar gibi rahatsız edici deneyimlerin neden olduğu duygusal sorunlarda kullanılan psikolojik bir yöntem. Ayrıca fobi, performans kaygısı, panik bozukluk, yas, kronik ağrı ve başka sorunların tedavisinde de uygulanıyor. Davranış Bilimleri Entitüsü uzmanları, yöntemi kullandıkları kişilerin migren ve kronik baş ağrılarının azaldığını tespit edince migren hastalarıyla bir çalışma başlattı. Gaziosmanpaşa Hastanesi’nden en şiddetli migren hastalarını kendilerine yönlendirmelerini istediler. 10 hastaya EMDR uyguladılar. Hastalarda atak şiddeti, sıklığı, süresi ve alınan ilaçlarda ciddi düşüşler oldu.

EMDR, war stress, harassment, or natural disasters experienced in childhood, such as the irritating experience distressing events caused by psychological methods used in emotional problems. In addition, phobias, performance anxiety, panic disorder, age, in the treatment of chronic pain and other problems are being implemented. Behavioral Sciences Entitüsü experts, the method they use people and chronic migraine headaches migraine patients reduced their study found that when launched. The most severe migraine patients themselves Gaziosmanpaşa Hospital referrals wanted. 10 hastaya EMDR uyguladılar. EMDR applied to 10 patients. Attacks in patients with severity, frequency, duration and had taken drugs for serious decline.

Keywords: Emre Konuk Headaches Migraines

Accuracy Verified: Yes

71. Johannesson, K. B. (2011, June). EMDR - An integrative psychotherapy approach for working with trauma based disorders. Preconference presentation at the 12th annual meeting of the European Society for Traumatic Stress Studies (ESTSS) Conference, Vienna, Austria.

Language: English

Format: Conference

Abstract:
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children. The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world. Guidelines from the International Society of Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD. This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.

Keywords: Treatment Trauma

Accuracy Verified: Yes

72. Johannesson, K. B. (2011, June). EMDR - An integrative psychotherapy approach for working with trauma based disorders. Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.

Language: English

Format: Conference

Abstract:
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children. The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world. Guidelines from the International Society for Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD. This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.

Keywords: Trauma-Based Disorders

Accuracy Verified: Yes

73. Omaha, J. (2004, June). EMDR and affect centered therapy. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Aim: This presentation will describe the integration of principles of emotion regulation into EMDR therapy for a range of disorders. Population: All ages; mostly Axis I and II disorders. Learning objectives: 1) to describe the development of emotion regulation beginning in the context of the attachment and continuing through adolescence; 2) to describe the origin of emotion dysregulation and psychopathology in deficit experience adversity, and trauma; 3) to describe a protocol, Affect Management Skills Training (AMST), that remediates failures of emotion regulation; 4) to describe how AMST prepares the client for uncovering therapy by providing for containment, safety, emotion regulation, improved left-right hemisphere integration, and remediation of attachment deficits; 5) to describe integration of MAST into EMDR therapies for substance abuse and eating disorders. Abstract: The workshop will summarize the principal affective developments that occur from birth through age four. These include fulfillment of yearning affect, facial imprinting, gaze transaction, stimulation of positive affect, and provision of optimal disapproval-shame experiences. The qualities of the child of “good enough” parenting are described. Developmental failures and their consequences for affect regulation and psychopathology will be described. These include: (1) avoidant attachment leading to problems of anger management, to depression, and development of narcissistic features; (2) anxious-ambivalent attachment leading to development of anxiety-related disorders and borderline features; (3) failure to elicit optimal positive affects leading to impaired vitality across the life span and depression; (4) socialization of the senior toddler with anger, leading to problems with anger expression, or with disgust, leading to problems with shame, impaired self-worth, and defective self-efficacy. Adversity (raised by a single parent, witness to spousal abuse, divorce, substance abuse in the home) and trauma (psychological, physical, and/or sexual abuse) occurring during latency and adolescence will be shown to exacerbate difficulties with emotional regulation.
The seven basic skills of the AMST protocol will be described. These skills provide for regocnition, tolerance, and regulation of both positive and negative emtoins. They include containment, safe place, sensation-affect recognition, sensation-as-signal, grounded and present, noticing, and regulation.
The workshop will describe how AMST prepares the client for uncovering therapy and for EMDR by teaching the client to regulate emotion prior to it elicitation in therapy, by improving hemispheric integration, and by correcting deficits in the attachment.
The workshop concludes by describing how MAST is integrated into EMDR therapy for substance abuse disorders (alcohol, drugs, nicotine) and eating disorders.

Keywords: Affect Centered Therapy Affect Theory

Accuracy Verified: Yes

74. Eliscu, M.S., Fitzgerald, J., Gomez, A., Bergmann, U., Page, R., Cloud, L., Davis, K., & Janis, K. O. (2010, September/October). EMDR and diversity: A panel presentation discussion. Panel discussion at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
The workshop will consist of a panel of EMDR clinicians who work with a particular population of clients with whom the clinician shares a background or heritage or with whom he/she has a deep sense of empathy and understanding. Each presenter will explain how he/she came to work with this population. This will be followed by a response to three questions about using EMDR with a particular population. In addition, presenters will explain what special approaches and adaptations (if any) work to benefit the population they serve. They will also address what unspoken issues may be important in treating each population.

Keywords: Diversity Panel Discussion

Accuracy Verified: Yes

75. Whalen, J. E. (1999, September). EMDR and hypnosis: A theoretical and clinical investigation. University of Tennessee, Knoxville, TN. AAT 9923344.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a controversial new treatment for anxiety disorders that is proported to evince rapid and lasting treatment gains. EMDR theorists argue that humans have an innate biological drive to process events and their memories into adaptive and useful forms. Traumatic memories become "stuck" and unprocessed, resulting in a host of psychopathological symptoms. EMDR's curative power rests primarily in the eye movements. Shapiro argues that the eye movements directly access and alter traumatic memories at a neurophysiological level. Memories are then processed down into adaptive forms, with a concomitant abatement of symptoms. Research supports the clinical efficacy of EMDR. However, there is much debate as to the actual mutative element in the EMDR protocol. Support for eye movements playing a curative role is meager and equivocal. This study examines the proposition that the primary mutative component of EMDR is response to suggestion. Specifically, this study proposes that the EMDR treatment protocol is laced with suggestion for improvement. Highly hypnotizable individuals will respond to these suggestions even though EMDR is an explicitly nonhypnotic treatment. That is, subjects will improve to the extent they respond to suggestion. Further, this study tests the viability of Shapiro's eye movement theory. An eye movement condition is compared to an eye fixation condition in terms of treatment outcome. Results indicate a positive correlation between subjects' hypnotizability and treatment outcome. In addition, eye movement conditions were as efficacious as eye fixation conditions where treatment outcome is concerned. (PsycINFO Database Record (c) 2008 APA, all rights reserved)Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(3-B), Sep 1999, pp. 1319.

Keywords: Anxiety Disorder Anxiety Disorders Effectiveness Empirical Study Hypnotic Susceptibility Hypnotizability Treatment Outcomes Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

76. Bar-Sade, E. (2002, May). EMDR and the challenge of working with young children. EMDR Israel Association, Nazereth Ilit, Israel.

Language: English

Format: Other

Abstract:
Treatment of very young children who experienced trauma poses a challenge for the therapist using EMDR. Very young children lack the ability to express their experiences verbally. In addition, their cognitive development is not mature enough to process their experiences via the cognitive channel. Their understanding of time is not developed enough to distinguish between past, present and future and they are not yet able to take an alternative perspective on experiences they have encountered, some of which may have been traumatic for them.

Keywords: Children

Accuracy Verified: Yes

77. 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

78. Epozdemir, P., Haciomeroglu, S., & Konuk, E. (2012, June). EMDR and treatment of stuttering: Towards a protocol [EMDR y el tratamiento del tartamudeo: Hacia un protocolo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Stuttering can be defined in general terms as disturbance in the fluency of speech. Stuttering shows itself with psychological reactions as abstaining from talking, being afraid of making mistakes and with motor reactions as tics in different parts of the body, elongations, repetitions of the words and hesitations. In addition stuttering people are often observed to avoid speaking in certain situations, with certain people, showing social anxiety, high levels of distress and muscle contractions before and/or while speaking. They are also noted to experience relational difficulties and poor quality of life related to all the above factors. Even though there are different etiological approaches for stuttering, we observe that people with stuttering problem have early childhood traumas. Throughout their lives, other traumatic events, mostly related to stuttering; feelings of humiliation, inadequacy, rejection and others worsen the problem. According to our limited number of cases working with those traumas significantly decreases our clients’ social anxiety and this improvement is positively reflected to the fluency of their speech. In this workshop, we will first give general information about stuttering and its etiology, emphasize how relations are organized around stuttering and with video clips we will present how we approach the treatment of stuttering from an EMDR perspective.

En términos generales, se puede definir el tartamudeo como una alteración en la fluidez del lenguaje. El tartamudeo se manifiesta a través de reacciones psicológicas tales como abstenerse de hablar, tener miedo de equivocarse y con reacciones motrices como tics en distintas partes del cuerpo, prolongaciones, repeticiones de las palabras y vacilaciones. Es más, a menudo se observa que las personas que sufren del tartamudeo evitan hablar durante ciertas situaciones, con algunas personas en particular; muestran ansiedad social, niveles altos de estrés, y contracciones musculares antes y/o mientras hablan. También se ve que sufren dificultades con las relaciones y una mala calidad de vida relacionada con los factores previamente mencionados. Si bien existen planteamientos etiológicos distintos para tratar el tartamudeo, hemos observado que los individuos con problemas de tartamudeo han sufrido eventos traumáticos en la infancia. A lo largo de sus vidas, otros sucesos traumáticos, en su mayoría relacionados con el tartamudeo; sentimientos de humillación, ineptitud, rechazo y otros empeoran el problema. En nuestra experiencia limitada, el trabajo con estos sucesos traumáticos disminuye significativamente la ansiedad social de nuestros clientes y dicha mejoría se refleja positivamente en la fluidez de su habla. En este taller, empezaremos por ofrecer información general acerca del tartamudeo y su etiología; señalaremos cómo se organizan las relaciones entorno al tartamudeo y, con vídeos, presentaremos nuestra forma de afrontar el tratamiento del tartamudeo desde la perspectiva de EMDR.

Keywords: Stuttering

Accuracy Verified: Yes

79. Parnell, L. A. (2007, September). EMDR as a transpersonal psychotherapy. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
EMDR is a powerful and effective psychotherapeutic method for healing trauma-based problems. In addition to its therapeutic effectiveness, it also leads in many cases to clients opening to transpersonal experiences. In this presentation, information on EMDR’s Adaptive Information Processing model and EMDR procedure are reviewed. Description and discussion of the spiritual unfoldment in EMDR clients is given, along with new research highlighting the following areas: the development of wisdom, compassion, trust in life, forgiveness, insights, epiphanies, experiences of spiritual freedom, and openings into the psychic realm (Turpin, 1999). Also included will be discussion of how to use EMDR to access and strengthen spiritual experiences, using EMDR with clients who have experienced near death experiences, and EMDR and after death communication to heal grief, including research using a new protocol, (Botkin, 1995, 2005). Suggestions on ways to enhance client’s spiritual experiences will be provided, as well as meditation practices.

Keywords: Transpersonal Psychotherapy

Accuracy Verified: Yes

80. Leuning, E., & Mevissen, L. (2012, March). EMDR bij autisme spectrum stoornis en EMDR bij verstandelijke beperking, zoek de verschillen [Complex PTSD: Evaluation of treatment by patient and therapist - "You need not type during EMDR."]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland .

Language: Dutch

Format: Conference

Abstract:
Het herkennen van PTSS bij mensen met een stoornis in het autisme spectrum (ASS), of een verstandelijke beperking (VB) kan moeilijk zijn. Bij ASS, maar ook bij VB wordt de ontregeling vaak gezien als iets dat bij de stoornis hoort, en niet gekoppeld aan bijzondere ervaringen. De client zelf beschikt doorgaans over onvoldoende vaardigheden om te overzien dat zijn veranderde stemming/gedrag te maken heeft met een bepaalde gebeurtenis, en kan dit vervolgens doorgaans ook onvoldoende helder communiceren vanwege zijn beperkingen op dit gebied. Vanuit de literatuur is door diverse mensen aangegeven dat kinderen en jongeren met een stoornis in het autistisch spectrum een grotere kans hebben om getraumatiseerd te raken in verband met hun kwetsbaarheid en onvermogen om te communiceren. Dit geldt ook voor volwassenen met ASS en/of een verstandelijke beperking. PTSS wordt in deze beide groepen dan ook zelden onderkend. Wanneer PTSS wel onderkend wordt, is er nagenoeg niets geschreven over eventuele behandeling ervan bij de bovengenoemde doelgroepen. Als EMDR wordt toegepast bij mensen met een verstandelijke beperking wordt het protocol afgestemd op de ontwikkelingsleeftijd. Ook voor volwassenen met een VB wordt het protocol voor kinderen gebruikt. Als er dan nog stagnaties zijn in de EMDR behandeling is de kans groot dat er sprake is van comorbide problemen. ASS is zo'n veel voorkomende comorbide stoornis bij deze populatie: in ongeveer 50% van de gevallen gaat ASS samen gaat met een VB. In de workshop worden beelden getoond van verschillen tussen cliënten met ASS en cliënten met VB. Tevens wordt aandacht besteed aan het kiezen van de juiste afleidende stimulus bij cliënten met ASS. Daarnaast wordt een video getoond van een cliënt waar naar aanleiding van het verloop van de EMDR behandeling de diagnose wordt aangescherpt.

Recognizing PTSD in people with autism spectrum disorder (ASD), or an intellectual disability (VB) can be difficult. In ASD, but also in VB is the disruption often seen as something that belongs to the disorder, and not linked to specific experiences. The client will generally have insufficient skills to oversee his altered mood / behavior has to do with a certain event, and can then usually also lack clear communication because of its limitations in this area. From the literature by several people indicated that children and young people with autistic spectrum disorder are more likely to become traumatized because of their vulnerability and inability to communicate. This also applies to adults with ASD and / or intellectual disabilities. PTSD in these two groups therefore rarely recognized. When PTSD is recognized, there is almost nothing written about its possible treatment with the above target groups. If EMDR is used in people with intellectual disabilities is the protocol tailored to the developmental age. For adults with VB is the protocol used for children. If there are still blockages in the EMDR treatment is likely that there is comorbid problems. ASD is a common comorbid disorder in this population in about 50% of ASD cases coincides with a VB. In the workshop are shown images of differences between clients with ASD and clients with VB. Attention is also paid to choosing the right distracting stimulus in clients with ASD. In addition, a video display of a client, which as a result of the course of the treatment EMDR the diagnosis is tightened.

Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PTSD

Accuracy Verified: Yes

81. van den Berg, D., & Staring, T. (2011, April). EMDR bij patiënten met psychosen, wie durft? [EMDR in patients with psychosis, who dares?]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging.

Language: Dutch

Format: Conference

Abstract:
Patiënten met psychosen hebben vaak ernstige trauma’s meegemaakt. PTSS is bij hen een van de meest voorkomende co-morbide stoornissen. De meeste therapeuten hanteren een psychotische stoornis echter als contra-indicatie voor EMDR. Tijdens deze presentatie tonen wij dat EMDR ondanks psychotische problematiek gewoon kan worden toegepast en dat dit slechts minimale aanpassingen vergt. Wij zetten daarna uiteen wat de verschillende toepassingsgebieden bij deze doelgroep zijn. EMDR kan namelijk niet alleen veilig en effectief toegepast worden bij psychosen met co-morbide PTSS, het kan ook een belangrijke rol hebben binnen CGT bij stemmen en wanen. Traumatische (leer)ervaringen zijn immers vaak betrokken bij het ontstaan van wanen en hallucinaties. Daarnaast liet recent onderzoek zien dat niet alleen retrospectieve targets behandeld kunnen worden met EMDR, maar ook situaties in de toekomst, de zogenoemde ‘flash forwards’. Dit is nuttig voor patiënten die herhaaldelijk geconfronteerd worden met stemmen of met situaties waarin paranoide gedachten worden getriggerd. Videomateriaal wordt getoond om de presentatie te ondersteunen. Tot slot is er aandacht voor obstakels in de toepassing van EMDR bij deze doelgroep. Aan het einde is er ruimte voor vragen en discussie.

Patients with psychoses often experienced severe trauma. PTSD is with them one of the most common co-morbid disorders. Most therapists use a psychotic disorder but as a contraindication to EMDR. During this presentation we demonstrate that EMDR despite psychotic problems can easily be applied and that it requires only minimal adjustments. We then set out what the different application of this target group. EMDR can not safely and effectively used in psychoses with co-morbid PTSD, it can also have an important role in CBT for voices and delusions. Traumatic (learning) experiences are often involved in the pathogenesis of delusions and hallucinations. In addition, recent studies showed that not only retrospective targets can be treated with EMDR, but also situations in the future, called "flash forwards". This is useful for patients who are repeatedly confronted with situations in which voices or paranoid thoughts are triggered. Video material is shown to support the presentation. Finally, consideration of obstacles in the application of EMDR with that audience. At the end there is room for questions and discussion.

Keywords: Pyschosis

Accuracy Verified: Yes

82. Aelen, F., & Chateau, K. (2005, November). EMDR bij systeemtherapie [EMDR therapy and systems]. Workshop gepresenteerd aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Bij de keuze systeemleden bij de behandeling te betrekken spelen, ook bij behandelaren, cognities een rol mee. Cognities over de groei-en helingmogelijkheden die het gezin (van oorsprong) biedt en over zijn beperkende of zelfs schadelijke invloed op de ontwikkeling van individuen. De systeemtherapeut beweegt zich in het -voor anderen soms onoverzichtelijke- moeras van kansen en gevaren voor het individu: zij heeft leren sturen en wijken, neemt risico’s om gedragsverandering te bewerkstelligen, maar stelt veiligheid voorop. Hoe kan een individueel therapeut op een veilige manier systeemleden betrekken en waartoe kan een systeemtherapeut EMDR inzetten ? Getraumatiseerd is een individu op zijn kwetsbaarst: Het besluit om systeemleden bij de behandeling te betrekken moet dan ook altijd in het voordeel van de getraumatiseerde cliënt zijn Wanneer traumatisering heeft plaatsgevonden binnen het gezinssysteem van oorsprong (of wanneer de ouders niet bij machte zijn geweest om op traumatisering ‘van buiten’ adequaat te reageren) ontwikkelt een individu disfunctionele cognities over zichzelf en over zijn kernrelaties, die vaak generaliseren naar de wereld buiten het gezin. Dit is van invloed op o.m. latere partnerrelaties. Het betrekken bij de EMDR-behandeling van een ‘good enough’ partner kan de individuele cliënt helpen deze gegeneraliseerde cognities te vervangen door passender en meer productiever cognities. In de workshop besteden we aandacht aan de vraag hoe een individueel therapeut op een veilige manier systeemleden kan betrekken bij de EMDR-behandeling en aan de vraag waartoe een systeemtherapeut EMDR kan inzetten. Een eerste stap in het gebruik maken van de extra kansen die het systeemdenken biedt aan EMDR-therapeuten, is het, hypothetisch, in kaart brengen van de positieve en negatieve systeeminvloeden voor de cliënt middels het maken van het genogram . Dit om de effecten van de EMDR te plaatsen in de relationele leergeschiedenis van het individu. Een tweede stap is het betrekken van liefdevolle en betrouwbaar geïnvolveerde partners (of vrienden) en het “verzilveren” van de EMDR met de kernrelatie, waarbij op natuurlijke wijze verbeteringen of soms (tijdelijke) moeilijkheden aan bod komen. Een derde stap is het ineenweven van EMDR en systeemgesprekken, waarbij naast traumaverwerking gezonder verhoudingen het doel zijn en resultaten op beide gebieden elkaar logischerwijs versterken.

In select members for the treatment system involvement, here when medical professionals play a role with Cognitions. Cognitions about the growth and healing potential of the family (or origin) and limiting or Has Been here Harmful Effects on the Development of Individuals. The therapist moves the system to others-Sometimes-confuse Morass of opportunities and risks for the Individual: the therapist has learned to steer and districts, taking risks for behavior change, but does put safety first. How Can an Individual therapist in a safe way to members and involvement System Which Can Deploy a system EMDR therapist? A traumatized individuality to be vulnerable: The decision to members in the treatment system involvement Should therefore always in favor of the traumatized client When trauma occurred HAS Within the Family System of Origin (or When parents are Unable to bone traumatization 'outside' appropriate response) initially develop an individuality Dysfunctional Cognitions about himself and his key relationships in loss or That Generalize to the world outside the family. This subsequent component seem ambiguous to partner relationships. The involvement of the EMDR treatment or a 'good enough' partner, an individuality to help client thesis generalized Cognition to replace more and more Productive Appropriate Cognitions. In the workshop we focus on how an individuality in a safe system therapist members Can Participate in the EMDR treatment and to demand a System Which Can use EMDR therapist. A first step in making use of the extra opportunities the system offers to think EMDR Therapists, it is, hypothetically, identify the positive and negative Influences on the client system through the creation of the genogram. That the effects of EMDR to place in the relational learning history of the individuality. A second step is the involvement or permission and secure agreement of the partners (or friends) and "Redeem" the core relationship with EMDR, which Sometimes Naturally Speaking Improvements or (temporary) problems to be addressed. A third step is weaving together of EMDR and system calls, which in addition to trauma and healthy relationships are the results in objectifying both areas reinforcement each other logically.

Keywords: Systems Therapy

Accuracy Verified: Yes

83. Adler-Tapia, R., & Settle, C. (2008, February). EMDR butterfly hug/group protocol: Fidelity research manual. Hamden, CT : EMDR Humanitarian Assistance Programs.

Language: English

Format: Book

Abstract:
This manual is based on EMDR theory created by Dr. Francine Shapiro and documented in Dr. Shapiro's books (1995, 2001); and, the EMDR Group Protocol created by Dr. Ignacio Jarero and Dr. Lucina Artigas documented in Artigas,L., Jarero,I., Mauer,M., López Cano,T., & Alcalá,N.(2000); Jarero, Artigas, López Cano, Maure, & Alcalá, (1999). This manual also references the fidelity manual created by Korn, D.L. & Spinazzola, J. (January, 2001); and the fidelity scales created by Korn, D.L., Zangwill, W., Lipke, H. & Smyth, N. (January, 2001). In addition, we have included information provided by Dr. Robert Tinker and Dr. Sandra Wilson regarding additional directions for the group protocol with children. This protocol references the book and treatment manual, EMDR and the Art of Psychotherapy with Children (2008) by Dr. Adler-Tapia and Ms. Settle. This is a fidelity manual created for use in research. The protocol will need to be adjusted for the environment, culture and unique needs of the participants. All resources are documented in the reference section of this manual. This manual was donated to the EMDR Humanitarian Assistance Program in order to sustain and advance the EMDR HAPKIDS Project which supports programs providing EMDR for children by training therapists, conducting research, and most importantly, providing treatment for those children who are most in need.

Keywords: Butterfly Hug Group Protocol

Accuracy Verified: Yes

84. Shapiro, F. (2007, November). EMDR clinical parameters and research findings: “What’s new and useful”. Master clinician series at the 23rd annual meeting of the International Society for Traumatic Stress, Baltimore MD.

Language: English

Format: Conference

Abstract:
Numerous controlled studies have indicated that EMDR´s effects on PTSD symptoms are comparable to those of trauma-focused CBT. However, EMDR does not require homework, sustained arousal, detailed verbalization of the index trauma, or prolonged exposure to the event. In this invited presentation, videotapes of an incest survivor and a disaster victim will demonstrate the EMDR treatment, and the de-arousal effects of the eye movements, which have been documented in numerous controlled laboratory studies. In addition, the clinical procedures of an EMDR group-protocol used subsequent to disasters and terrorist attacks will be illustrated. The presentation will review research findings, with long-term follow up, indicating that the resolution of etiological events can result in the successful treatment of conditions that have often been considered intractable. A recent study will be used to explore the clinical parameters of the EMDR treatment of child molesters, which has resulted in the sustained reduction of deviant arousal. Likewise, representative case examples from studies documenting the elimination/ reduction of phantom limb pain subsequent to EMDR processing will be presented to explore both the clinical and theoretical implications.

Keywords: De-arousal Effects of Eye Movement Group Protocol Master Series

Accuracy Verified: Yes

85. Zangwill, W. M. (1998, December). EMDR consultation: The need for flexible rigidity. EMDRIA Newsletter, 3(4), 8, 10, 12, 26, 28.

Language: English

Format: Newsletter

Abstract:
In addition to my work as an EMDR trainer and private practitioner, for the past several years I have provided supervision to EMDR-trained clinicians. During supervision, one of the most frequently asked questions has concerned how to handle requests for EMDR from a client currently in therapy with someone else.

Keywords: Consultation

Accuracy Verified: Yes

86. St. André, É. (2010, Avril/Mai). EMDR dans le traitement d’un trouble obsessif compulsif: Une étude de cas [EMDR in the treatment of obsessive compulsive disorder: A case study]. Atelier présenté à la réunion annuelle de l'EMDR Canada, Toronto, Ontario.

Language: French

Format: Conference

Abstract:
Le trouble obsessif compulsif (TOC) est un trouble anxieux généralement chronique se présentant avec des obsessions récurrentes tel des idées persistantes, des images mentales et des compulsions (suivant les obsessions) tel des actes physiques ou mentaux répétitifs. Dans cet atelier, le médecin fournira des indications cliniques sur son utilisation de l’EMDR dans le traitement d’un patient souffrant de TOC, et donnera quelques exemples tirés de la pratique d’autres cliniciens, en sus d’une révision des notions de base utiles à la compréhension du TOC (théorie neurobiologiques, épidémiologie, etc.). La présentatrice tentera de souligner ce qu’il y a d’unique dans l’utilisation de l’EMDR dans le traitement de l’OCD, les difficultés rencontrées et les solutions utilisées dans ce cas précis. Elle décrira l’utilisation de la méthode de traitement standard en 8 étapes dans un cas spécifique, et dans les modalités de temps (passé, présent, futur), Nous verrons l’identification des cibles de traitement, et la gestion des symptômes de TOC qui entravent le fonctionnement quotidien des patients affectés. Nous verrons aussi les défis proposés par cette population, en clinique. Les participants pourront utiliser certaines stratégies dans un exercice pratique. (Tous les niveaux)

Obsessive Compulsive Disorder (OCD) is an anxiety disorder typically presenting with chronic recurrent obsessions such persistent ideas, images and mental compulsions (as obsessions) as acts of physical or mental patterns. In this workshop, the doctor will provide information on clinical use of EMDR in treating a patient suffering from OCD, and provide some examples from the practice of other clinicians, in addition to a review of concepts useful background for understanding the TOC (theory neurobiology, epidemiology, etc..). The presenter will attempt to highlight what is unique in the use of EMDR in the treatment of OCD, the difficulties encountered and solutions used in this case. She will describe the use of the method of standard treatment in 8 steps in a specific case and in terms of time (past, present, future), we see the identification of treatment targets, and management of symptoms of OCD which hinder the daily operation of affected patients. We will also see the challenges offered by this population in clinical practice. Participants may use certain strategies in a practical exercise.

Keywords: Case Study Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

87. Dautovic, E., Aldenkamp, E., & Rodenburg, R. (2012, June). EMDR effectiveness in adults with PTSD and an intellectual disability: A case series [La efectividad del EMDR en adultos con una discapacidad intelectual y TEPT: Series de casos]. Presentation at the annual meeting of the EMDR Europe Assocation, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Background People with an intellectual disability (ID) have an increased vulnerability for abuse and assault, and subsequently an increased risk of developing post-traumatic stress disorder (PTSD). The prevalence of PTSD is found to be significantly higher in people with intellectual disabilities than in people without disabilities. Eye movement Desensitization and Reprocessing (EMDR) has proved to be an effective PTSD treatment in people without ID. EMDR is widely used in treating people with ID, while research into the effectiveness of EMDR in individuals with an ID is very scarce. Therefore more research is necessary to speak of EMDR being an evidence-based trauma treatment for this specific population. Objective The objective of this study was to investigate the efficacy of eye movement desensitization and reprocessing (EMDR) in treating PTSD in adults with an ID. The effects of the treatment on anxiety, symptoms of depression, and quality of life were also investigated. Methods From September 2010 till december 2012, adults with an ID, diagnosed with PTSD and treated with EMDR, were included in the study. Before and after treatment questionnaires were completed by the participants. Normative deviation scores (NDS) were calculated to estimate the condition of the participant before and after treatment compared to the non-disabled population. The Reliable Change Index (RCI) was used to establish statistically significant change due to treatment. Preliminary results Primarily, a significant change in PTSD symptoms, from clinical to non-clinical levels, is found. Secondarily, co-morbid anxiety and depression complaints are detected, which decline after treatment with EMDR. In addition, an increase in wellbeing in the participants is found. Conclusion From the preliminary results EMDR seems an effective treatment for PTSD in adults with an ID. However, for calculations are still being conducted, the final results and conclusions will be presented at the conference

La población con una discapacidad intelectual, tiene un riesgo mayor de vulnerabilidad para el abuso y el asalto, y por tanto un aumento en el riesgo de desarrollar un trastorno de estrés post-‐traumático (TEPT). La prevalencia del TEPT es significativamente mayor en personas con retraso mental que en personas sin este tipo de discapacidad. El EMDR ha sido mostrado como efectivo en el tratamiento del TEPT en personas sin discapacidad intelectual. EDMR es ampliamente usado en el tratamiento de personas con discapacidad intelectual, mientras tanto la investigación en la efectividad del EMDR en personas con discapacidad intelectual es muy escasa. Consecuentemente mas investigaciones son necesarias para hablar de EMDR siendo un tratamiento valido para el trauma en esta población especifica. El objetivo de este estudio fue investigar la eficacia del reprocesamiento por movimiento oculares (EMDR) en el tratamiento del TEPT en adultos con una deficiencia mental. Los efectos de este tratamiento en ansiedad, síntomas de depresión y calidad de vida fueron también investigados. Desde Septiembre de 2010 hasta diciembre de 2012, los adultos con una deficiencia mental, fueron diagnosticados de TEPT y tratados con EMDR, fueron incluidos en este estudio. Se pasaron cuestionarios pre y post tratamiento a los participantes. Las puntuaciones de desviación típica fueron calculadas para estimar la condición del participante antes y después del tratamiento comparada con la población sin discapacidad. El índice de cambio real (RCI) fue utilizado para establecer de manera estadísticamente significativa el cambio debido al tratamiento. Los resultados preliminares, muestran un cambio significativo en el los síntomas del TEPT, en niveles clínicos y no clínicos. De manera secundaria, quejas de comorbilidad con ansiedad y depresión fueron detectadas que disminuyeron tras el tratamiento con EMDR. Además, un incremento en el bienestar de los participantes fue encontrado. La conclusión de estos datos preliminares es que el EMDR parece ser un tratamiento efectivo para el TEPT en adultos con una discapacidad intelectual. Sin embargo, los cálculos aún están siendo analizados, los resultados finales y las conclusiones serán presentadas en la conferencia.

Keywords: Adults Intellectual Disability Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

88. Rijnders, H. (2006, November). EMDR en schemagerichte therapie: Casusconceptualisate en traumatische kernervaringen [EMDR and schema-focused therapy: Heart and traumatic experiences case conceptilization]. Workshop gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
In deze presentatie zal een conceptueel model gepresenteerd worden voor het vinden van de kerntraumatische ervaringen( targets) die aan de basis liggen van de schema’s van Young. Er zal kort worden ingegaan op de theorie van de schemagerichte therapie van Jeffrey Young. De belangrijkste schema’s in zijn model zullen worden besproken die in veel gevallen verantwoordelijk zijn voor de persoonlijkheidsproblematiek en complexe ptss klachten waar wij als behandelaars mee kunnen worden geconfronteerd. Daarnaast hoe met behulp van het emdr standaard protocol de targets worden opgespoord die ten grondslag kunnen liggen aan de eerdergenoemde schema’s of valkuilen.Het zijn deze traumatische ervaringen die later in de behandeling zullen moeten worden gedesensitiseerd. De integratieve psychotherapeutische behandeling van persoonlijkheidsproblematiek en complexe ptss klachten gaat uit van een fasengericht traumamodel. Het thema tijdens deze presentatie omvat een belangrijk onderdeel van deze behandelingswijze. Het biedt de behandelaar zowel als de cliënt(e) inzicht in de ontwikkelingspsychologische aspecten van de klachten en kan extra motiverend werken voor langer durende behandelingen. Interessant is hoe de voorgestelde cognitieve domeinen van Eric ten Broeke en Ad de Jongh een belangrijk hulpmiddel zijn bij het vinden van de correcte NC’s en PC’s bij bovengenoemde problematiek. De schemagerichte therapie van Young heeft op basis van recent wetenschappelijk onderzoek bewezen een van de meest effectieve behandelvormen te zijn bij ingrijpende persoonlijkheidsproblematiek. De emdr therapie van Shapiro wordt door onderzoek voortdurend genoemd als een van de meest effektieve behandelvormen bij acuut trauma. Experimenteel wordt emdr nu ook aangewend bij complex trauma. Samen vormen zij een gouden duo. Deze presentatie lijkt geschikt voor beginnende emdr therapeuten die zich meer willen gaan bezighouden met complex trauma en persoonlijkheidsproblematiek. Voor gevorderde therapeuten is de presentatie een platform voor discussie aangezien vele wegen naar Rome leiden. Een en ander zal worden toegelicht met casuïstiek en mogelijk met videobeelden.

This presentation will be presented a conceptual model for Finding the key traumatic experiences (targets) that form the basis of the diagrams of Young. It will briefly examine the theory of schema-focused therapy by Jeffrey Young. The main schemes in his model will be discussed in many cases responsible for PTSD complex personality problems and complaints that we clinicians may be faced with. In addition, how to use the EMDR standard protocol targets are identified that may underlie the aforementioned schedules or valkuilen. These traumatic experiences will be desensitized later in treatment. The integrative psychotherapy of personality problems and complex PTSD symptoms is based on a phase oriented trauma model. The theme of this presentation includes an important component of this treatment method. It provides both the therapist and client (e) understanding of the developmental aspects of the complaint and may provide additional motivation to work for longer term treatments. It is interesting how the proposed cognitive domains of Eric ten Broeke and Ad de Jongh an important tool in finding the correct NCs and PCs to the abovementioned issues. The schema-focused therapy for Young, based on recent scientific study proved one of the most effective forms of treatment to be for major personality problems. The EMDR therapy research by Shapiro constantly mentioned as one of the most effective forms of treatment in acute trauma. EMDR is now used experimentally to complex trauma. Together they form a golden combination. This presentation appears to be suitable for beginning EMDR therapists who want to deal with complex trauma and personality problems. For experienced therapists, presenting a platform for discussion, since many roads lead to Rome. This will be illustrated by case studies and possibly video.

Keywords: Schema Focused Therapy

Accuracy Verified: Yes

89. Waters, F. S., & Adler-Tapia, R. (2009, November). EMDR for children with trauma and dissociation: Case conceptualization from stabilization to integration. Presentation at the 26th annual meeting of the International Society for the Study of Trauma and Dissociation, Washington, DC .

Language: English

Format: Conference

Abstract: This workshop initially will review the 8 phase EMDR protocol for implementation with severely traumatized and dissociative children and provide advanced skills utilizing the EMDR protocol with this population. The 8 phase EMDR protocol will be described. Therapeutic challenges for therapists in implementing this protocol with young children with complex trauma will be explored with recommendations for clinicians on how to provide efficacious treatment to children. Each phase of the protocol will be discussed identifying specific goals and specialized interventions presented with linguistic sensitivity to maintain adherence to the EMDR protocol with young children. Client History and Treatment Planning Phase, and the Preparation Phase of the EMDR Protocol will be detailed. The assessment of dissociation in young children will include recommendations for specific assessment tools. Stabilization skills for helping children address the phobic response to reprocessing traumatic events with mastery and resourcing while learning self-soothing and calming techniques will be demonstrated. Innovative and creative interventions integrating play and art therapy will be presented with child friendly language using the protocol sequence for effective treatment with children. In addition, adjustments to the EMDR protocol through the trauma processing phases, including integration, will be described and demonstrated with case presentations and videos. Creatively maneuvering these phases with children who display dissociative symptoms will be explored with recommendations for the successful implementation of the protocol throughout the healing process

Keywords: Case Conceptualization Children Dissociation Stabilization Trauma

Accuracy Verified: Yes

90. Knipe, J., Hartung, J., Konuk, E., Colelli, G., Keller, M., & Rogers, S. (2003, September). EMDR Humanitarian Assistance Programs: Outcome research, models of training, and service delivery in New York, Latin America, Turkey and Indonesia. Symposium conducted at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Since 1995, there have been many programs to provide EMDR humanitarian assistance throughout the world, and from these programs, several lessons have been learned. In this presentation, we will describe four recent programs, which, viewed together, define an emerging model of how to best initiate and structure programs of EMDR therapist training and direct service. In addition, EMDR outcome research from three of the sites will be presented.

Keywords: Humanitarian Assistance Symposium

Accuracy Verified: Yes

91. Liz Royle, L., & Kerr, C. (2012). EMDR i klinisk praktik [EMDR in clinical practice]. Studentlitteratur, Holmberg: Lund.

Language: Swedish

Format: Book

Abstract:
EMDR är en evidensbaserad metod för att behandla PTSD (Post Traumatic Stress Disorder). Emellertid kan EMDR tillämpas på ett betydligt bredare sätt. Många av de besvär som människor bär på har inte orsakats av något livshotande trauma men kan förstås utifrån att plågsamma minnen inte kunnat bearbetas. Författarna använder en enkel, rättfram framställning med många kliniska exempel. Vanliga nybörjarfel och missuppfattningar illustreras, men boken lyfter också fram sådant som underlättar bearbetningen av plågsamma minnen. Terapeuter och klienter berättar om egna erfarenheter på ett instruktivt sätt. Läsaren får följa tillämpningen av EMDR-protokollet genom samtliga åtta faser – från den första anamnesdelen till den avslutande behandlingsutvärderingen, och får praktiska råd såsom ”Vad du än gör, gör inte så här!” Boken ersätter inte en grundkurs i EMDR eller Francine Shapiros ursprungliga bok, men är ett utmärkt komplement, en handbok med konkreta förslag, väsentlig vägledning, och strategier för att undvika vanliga fallgropar i EMDR- arbete med vuxna klienter.

EMDR is an evidence-based approach to treating PTSD (Post Traumatic Stress Disorder). However, EMDR applicable to a much broader way. Many of the problems that people carry has not been caused by something life-threatening trauma but can be understood from the painful memories could not be processed. The authors use a simple, straightforward production with many clinical examples. Frequently nybörjarfel and misconceptions illustrated, but the book also highlights things that facilitate processing of painful memories. Therapists and clients talk about their experiences in an instructive way. The reader may follow the application of the EMDR protocol through all eight phases - the first history part of the final treatment evaluation, and get practical advice such as "Whatever you do, do not do this!" The book does not replace a basic course in EMDR or Francine Shapiro's original book, but is an excellent addition, a handbook of practical suggestions, guidance material, and strategies for avoiding common pitfalls in EMDR work with adult clients.

Keywords: Practice

Accuracy Verified: Yes

92. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N. L., & Muroaka, M. Y. (1995, June). EMDR in combat-related PTSD: A controlled study. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
In view of potential, but largely undocumented benefits of eye movement desensitization and reprocessing (EMDR) as an intervention for PTSD in combat veterans, in our laboratory a study of EMDR treatment included (1) randomized patient assignment, (2) clinically appropriate comparison (treatment and control) groups, (3) a 12-session EMDR protocol administered by experienced, EMDR trained clinicians, and (4) extensive clinical assessment, including physiological evaluation at pre-treatment, post-treatment, and 3-month follow-up. Thirty-five veterans who met DSM-IV criteria for PTSD completed an extensive multimodal assessment protocol. Assessment instruments included: The Mississippi Scale for Combat-Related PTSD, the Impact of Events Scale (IES), the Clinician Administered PTSD Scale (CAPS), a self-rating of overall severity of "PTSD symptoms," the Beck Depression Inventory, and the Spielberger State and Trait Anxiety Inventories (STAI). In addition, each subject completed a Stressful Scene Construction Questionnaire (SSCQ) in which scripts of specific traumatic combat incidents were prepared for presentation during psychophysiological assessment. Following pre-assessment, a subset of the subjects constituted a waiting list control (CON, N = 12). Routine clinical care for these subjects was available at the VA Medical Center. Seven of these subjects also participated in group sessions for discussion of PTSD designed as an attentional control. There were no differences between the two control subgroups and their data was combined for all subsequent analyses. For the treatment groups, subjects assigned to the EMDR (EMD, N = 10) and relaxation (RXT, N = 13) groups were seated in a semi-reclined chair and continuous measures were taken of muscle tension levels (four sites), hand temperature, skin conductance levels, heart rate, and blood pressure. For all subjects, there were 20 minutes in each of the baseline sessions with no additional stimuli presented. At the end of session 2 of baseline, the patients remained in the experimental room and were assessed for an additional 20 minutes (pre-treatment) during which the SSCQ scripts also were presented. There were two sessions per week with a minimum of one day between sessions. Each subsequent treatment session for the EMD and RXT subjects was approximately 60 minutes in duration, allowing for set-up time and briefing. In the EMD group, a standard protocol for the EMDR interventions was administered, including periodic SUDS ratings and VoC scaling of combat and related images and cognitions (cf Shapiro, 1995). In the RXT group, home relaxation tapes and biofeedback on four sites (face, neck, arm, and back) to assist lowered muscle tension were provided. Following 12 treatment sessions (post-treatment), and again after three months (follow-up) the psychometric instruments and psychophysiological assessment were readministered using the format outlined above. Relative to the other conditions, the EMDR treatment produced substantially more positive clinical effects at post-treatment and follow-up. Comparing the EMD group to the CON group, significant effects (p<.05 or better) were obtained on measures of PTSD including the Mississippi and PTSD symptoms self-rating, and on the Beck and STAI-Trait. Comparing the EMD group to the RXT subjects, significant differences were found on the Mississippi, the IES-Intrusion scale, the CAPS, PTSD symptoms ratings, and the STAI-Trait scale. No differences were obtained on any of the physiological measures. Therefore, the present results support the effectiveness of EMDR with combat veterans with chronic PTSD. The data strongly suggest that some previous negative results obtained when EMDR was applied to chronic and severe combat PTSD may have resulted from methodological artifacts, such as inadequate amount of treatment and therapist inexperience. While the failure to find physiological effects is consistent with results of other controlled treatment exposure trials in PTSD, this finding raises clinical and conceptual questions with respect to the arousal component of the disorder.

Keywords: Combat Controlled Study

Accuracy Verified: Yes

93. Horst, F., & Baeten, B. (2012, Maart). EMDR in de behandeling van paniekstoornissen met of zonder agorafobie [EMDR in the treatment of panic disorders with or without agoraphobia]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.

Language: Dutch

Format: Conference

Abstract:
Op de polikliniek psychiatrie van het St. Elisabeth Ziekenhuis in Tilburg loopt sinds anderhalf jaar een wetenschappelijk onderzoek (RCT) naar de behandeling van paniekstoornissen met of zonder agorafobie. De therapievorm Eye Movement Desensitisation and Reprocessing (EMDR) wordt hierbij vergeleken met Cognitieve Gedrags Therapie (CGT). Zo wordt onder meer onderzocht of EMDR een effectieve behandelmethode is voor patiënten met een paniekstoornis met of zonder agorafobie. EMDR wordt hierbij direct vergeleken met een CGT behandeling. Daarnaast wordt in dit onderzoek onderzocht wat de impact van beide behandelingen is op de kwaliteit van leven. Als behandelaren in de EMDR conditie van dit onderzoek willen we graag vertellen wat onze ervaringen zijn met een geprotocolleerde behandeling van paniekstoornissen middels EMDR. Tijdens onze workshop zal getracht worden de theorie en praktijk met elkaar te verbinden. Aangezien een groot gedeelte van de EMDR behandelingen binnen dit wetenschappelijk onderzoek gefilmd wordt, zullen we ons verhaal ondersteunen met veel filmmateriaal.

On the psychiatry outpatient clinic of the St. Elisabeth Hospital in Tilburg runs a half years since a scientific trial (RCT) for the treatment of panic disorders with or without agoraphobia. The form of therapy Eye Movement Desensitisation and Reprocessing (EMDR) is hereby compared with Cognitive Behavioural Therapy (CBT). These include whether EMDR is an effective treatment for patients with panic disorder with or without agoraphobia. EMDR is hereby directly compared with a treatment CBT. In addition, this study investigated the impact of both treatments on the quality of life. As clinicians in the EMDR condition of this research we would like to tell you what our experiences with food allergies treatment of panic disorder using EMDR. During our workshop will be tried with the theory and practice together. Since a large part of the EMDR treatments within this research is being filmed, we will support our story with lots of footage.

Keywords: Agoraphobia Panic Disorders

Accuracy Verified: Yes

94. Sack, M., Lempa, W., & Lamprecht, F. (2003). EMDR in der behandlung dissoziativer störungen [EMDR in the treatment of dissociative disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 1 (3), 25-33.

Language: German

Format: Journal

Abstract:
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR. Die EMDR-Behandlung ist nach unserer Erfahrung eine sehr effektive Technik zur Behandlung von traumatischen Erinnerungen bei Patienten mit dissoziativen Störungen. Das Ziel der Traumabehandlung bei dissoziativen Patienten zusätzlich zu der Verringerung der Belastung von posttraumatischen Symptomen, Aussetzen der zuvor abgespaltenen Erinnerungen im Sinne einer Integration von dissoziierten Erfahrung liegt. Die EMDR-Behandlung dissoziativer Patienten brauchen, wenn nötig. durch Ändern der Standard-Protokoll auf den einzelnen Elastizität eingestellt werden. Da dissoziative Speicher Barrieren durch eine EMDRBehandlung sehr schnell untergraben werden kann, kombiniert mit dem Risiko der Übererflutung durch aversive Reize, sollte dies nur von entsprechend erfahrenen Therapeuten und mit Sorgfalt im Rahmen einer umfassenden Traumatherapie eingesetzt werden.

Psychological treatment of traumatic stress disorders with EMDR. The EMDR treatment is, in our experience a very effective technique for the treatment of traumatic memories in patients with dissociative disorders. The aim of trauma treatment in dissociative patients in addition to reducing the burden of post-traumatic symptoms, exposing the previously split-off memories in the sense of an integration of dissociated experience content. The EMDR treatment of dissociative patients need, if necessary. be adjusted by modifying the standard protocol on the individual resilience. Since dissociative memory barriers through a EMDRBehandlung may be undermined very quickly, combined with the risk of Übererflutung by aversive stimuli, this should only be used by suitably experienced therapists and with care in the context of a comprehensive trauma therapy.

Keywords: Dissociative Disorders, Psychotherapeutic Processes

Accuracy Verified: Yes

95. Woller, W. (2003). EMDR in der psychotherapie von persönlichkeitsstörungen [EMDR in the treatment of personality disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 1(3), 17-24.

Language: German

Format: Journal

Abstract:
Behandlung psychotraumatischer belastungsstörungen mit EMDR
Die Arbeit stellt dar, (1) welche Modifikationen oder Einschränkungen sich für die Behandlung Posttraumatischer Belastungsstörungen mit EMDR durch die Präsenz komorbider Persönlichkeitsstörungen ergeben und (2) welche Möglichkeiten EMDR darüber hinaus für die Behandlung von Persönlichkeitsstörungen ohne die Symptomatik einer PTBS bieten kann. Beim Vorliegen einer Persönlichkeitsstörung muss EMDR in einen Gesamtbehandlungsplan integriert werden, der neben umfassender Stabilisierung, Symptomkontrolle und Ressourcenaktivierung die Modifikation verzerrter interpersoneller Wahrnehmungsmuster und maladaptiver Interaktionsmuster umfasst. Probleme der therapeutischen Arbeitsbeziehung können die Stabilisierungsphase schwierig und zeitaufwändig gestalten. Die EMDR-Technik muss entsprechend dem Typ der Persönlichkeitsstörung, der Abwehrstruktur und der symptomatischen Komorbidität modifiziert werden. Zusätzlich zur Behandlung von Traumatisierungen kann EMDR zur Bewältigung aktueller und künftiger Stressoren und zur Ressourcenstärkung eingesetzt werden.

EMDR has been shown to be an effective treatment method in posttraumatic stress disorder (PTSD). There is a marked comorbidity between PTSD and personality disorders, some of which have been found to be long-term sequelae of cumulative childhood physical and sexual traumatization. Personality disorders are also included in the concepts of "complex PTSD" and "DESNOS". The paper discusses (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations. Problems of therapeutic alliance due to transference phenomena and acting-out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e.g. as in dissociative identity disorder) call for a consideration of all ego-states of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.

Keywords: Personality Disorders

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Grief Mothers Poster Posttraumatic Stress Disorder PTSD Stillbirth

Accuracy Verified: Yes

97. van der Horst, F. (2013, June). EMDR in the treatment of panic disorders with or without agoraphobia. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
At the department of Psychiatry at the St. Elisabeth Hospital in Tilburg, The Netherlands, several years ago a study (RCT) started investigating the treatment of panic disorder with or without agoraphobia. Within this study Eye Movement Desensitisation and Reprocessing (EMDR) is compared with Cognitive Behavioural Therapy (CBT).
Among other things, the goal is to determine whether EMDR is an effective treatment method for patients with a panic disorder with or without agoraphobia. IN this study EMDR is directly compared with a CBT treatment. In addition, this study examines the impact of both treatments on quality of life.
As a therapist in the EMDR condition of this study I would like to share my experiences with a protocolised treatment of panic disorders by means of EMDR. During the workshop, I will try to connect theory and practice. Since a large part of the EMDR treatments within this research is filmed, I will support my presentation with video material. Finally, I will present the first results of my research.
Learning objectives: Describe if EMDR is an effective treatment method for PDA compared to CBT; Describe the impact on QOL before and after both treatment methods; Describe qualitative differences between both treatment methods; and Share experiences with a protocolised treatment of panic disorders by means of EMD

Keywords: Agoraphobia Panic Disorders

Accuracy Verified: Yes

98. Laub, B. (2006, June). EMDR standard protocol in the personal resources and the settlement to be found. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
Resource Development, EMDR is an addition to standard protocol. Procedure of each session to reveal the source of healing and therapy by the end of the beginning of a resource series covers the creation. Personal resources and the settlement to be found exactly matching procedure to the problem of uncovering the unconscious and strengthen cross-country skiing in both sessions, as well as in everyday life is to make accessible. There are three types of resource development: Historical Resource Development, Present and Future Development Resources Resources Development. Standard protocol problems, sensory, cognitive, emotional and somatic components are becoming a focus can be achieved. Personal Resources Development in the settlement, resources focus dialectic movement is intensified. Sources of development activity in recent years both in Israel and other EMDR therapists Brurit Laub'ın is observed in the practice. Procedures and video images live applications and small groups will be presented with applications that can be made, personal resources development and placement will be given immediately to the practice of protocol participants.

Keywords: Historical Resource Development Resource Development

Accuracy Verified: Yes

99. Shapiro, F. (2011, August). EMDR therapy update: Theory, research and practice. Plenary presented at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
EMDR therapy directly addresses the physiologically stored memory networks that underlie both psychological problems and mental health. This adaptive information processing orientation to both case conceptualization and clinical application will be explored in relation to diverse populations. The latest research evaluating both treatment outcomes and underlying mechanisms will be addressed. In addition, clinical cases and questions collected from participants will be used to illustrate the ways in which EMDR can be applied.

Keywords: Adaptive Information Processing AIP Practice Research Theory Update

Accuracy Verified: Yes

100. Shapiro, F. (2012, October). EMDR therapy update: Theory, research and practice. Plenary presented at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Keywords: Plenary Practice Research Theory Update

Accuracy Verified: Yes

101. Vogelmann-Sine, S., Sine, L., & Smyth, N. (1999, October). EMDR to reduce stress and trauma-related symptoms during recovery from chemical dependency. International Journal of Stress Management, 6(4), 285-290. doi:10.1023/A:1021996406108.

Language: English

Format: Journal

Abstract:
The following letter from S. Vogelmann-Sine, L. Sine, and N. Smyth discusses a unique application of a therapeutic method termed "eye movement desensitization and reprocessing (EMDR)" to chemical dependency, suggesting effects of EMDR additional to its impact on symptoms of current and prior stress/trauma in a patient's life. The method of EMDR ordinarily consists of a number of brief "desensitization" periods during a treatment session in which a patient focuses on imaginal material in relation to movements. These desensitization periods are interrupted by the therapist who will probe for associations and redirect the images for the next period. In addition, the EMDR involves "processing" of negative self-cognitions in relation to the stressor(s) and "installation" of positive self-statements in the course of therapy. Other components of the method are detailed by F. Shapiro(see record 1995-98132-000) in the reference cited by Vogelmann-Sine et al in their letter. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Drug Dependency Emotional Trauma Human Patients Letter Stress Symptoms Trauma-Related Symptoms During Chemical Recovery

Accuracy Verified: Yes

102. Knipe, J. (2012, October). EMDR toolbox: Methods of extending EMDR to traumatized clients with significant vulnerability to dissociative abreaction and/or psychological defenses. 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:
Abstract:The focus of this workshop will be to describe a theoretical framework, and specific EMDR-related therapy tools which may be useful during Janets Phase 2, the Phase of trauma processing, for multiply-traumatized clients with Complex PTSD. Points of similarity and difference will be described between the EMDR Adaptive Information Processing Model, and two other models of dissociation treatment: the Theory of Structural Dissociation of the Personality and the Internal Family Systems model. EMDR variations will be described which increase emotional safety, and thereby extend the use of EMDR to clients who might otherwise be vulnerable to the intrusion of overwhelming post-traumatic memory material. Through transcript and video examples, the Loving Eyes method (for safely accessing a traumatized Part), the Back-of-the-Head Scale (for measuring the degree of dissociative experience, moment-to-moment, in a therapy session), and the method of Constant Installation of Present Orientation and Safety (for maintaining emotional safety during the processing of a traumatic memory) will be presented. In addition, the structure and treatment of psychological defenses will be conceptualized within the Adaptive Information Processing Model.

Learning Objectives: 1. Describe the Loving Eyes method of developing a co-consciousness between an adult Part and a traumatized child Part. 2. Describe the clinical situations in which the use of the Back-of-the-Head Scale and the method of Constant Installation of Present Orientation and Safety would be likely to be helpful to a traumatized client. 3. Describe how psychological defense may be conceptualized within the Adaptive Information Processing model, and how defenses may be safely released, so that underlying post-traumatic material may be processed.

Keywords: Dissociative Abreaction Psychological Defenses Toolbox

Accuracy Verified: Yes

103. Mevissen, L., Lievegoed, R., & de Jongh, A. (2010, March). EMDR treatment in people with mild ID and PTSD: 4 cases. Psychiatric Quarterly, 82(1), 43-57. doi:10.1007/s11126-010-9147-x.

Language: English

Format: Magazine

Abstract:
Although there is evidence to suggest that people with intellectual disabilities (ID) are likely to be more susceptible to the development of posttraumatic stress disorder (PTSD) than persons in the general population, until now only eight case reports on the treatment of people with ID suffering from PTSD symptoms have been published. In an effort to enrich the literature on this subject, the aim was to investigate the applicability of an evidence-based treatment for PTSD (i.e., EMDR) in four people with mild ID, suffering from PTSD following various kinds of trauma. In all cases PTSD symptoms decreased and the gains were maintained at 3 months to 2.5 year follow-up. In addition, depressive symptoms and physical complaints subsided, and social and adaptive skills improved. It is concluded that clients' improvements converge to suggest the applicability of EMDR in people with mild ID. Difficulties involved in arriving at an accurate PTSD diagnosis in ID clients are discussed.

Keywords: ID Intellectual Disabilities Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

104. de Roos, C., & de Jongh, A. (2008). EMDR treatment of children and adolescents with a choking phobia. Journal of EMDR Practice and Research, 2(3), 201-211. doi:10.1891/1933-3196.2.3.201.

Language: English

Format: Journal

Abstract:
Given the limited number of reported cases in literature, it might be concluded that it is rare to develop a choking phobia in childhood. However, it appears as though confusion in terminology and the time lapse between the onset of the disorder and treatment often results in the diagnosis being missed. In this article, we discuss a review of the clinical symptoms, differential diagnosis, comorbidity, etiology, and treatment options for choking phobia. We present a case series, describing the successful EMDR treatment of choking phobia for 4 children and adolescents, with positive outcomes achieved in 1 or 2 sessions. In addition, a detailed transcript is presented of a 15-year-old girl with a choking phobia related to an incident that occurred 5 years previously. The rapid elimination of symptoms in all 4 cases indicates that EMDR can be an effective treatment for choking phobias resulting from previous disturbing events. Randomized research on this promising intervention is strongly suggested.

Keywords: Adolescents Children Choking Phobia Specific Phobia

Accuracy Verified: Yes

105. Konuk, A. (2010, June). EMDR treatment of chronic daily headache and migraine. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Chronic headache is a prevalent clinical problem which affects negatively the majority of the population. The most common type of headache is migraine and tension headache. These can decrease the functioning and the quality of life of people who suffer from headaches in different contexts as work, family, school and social life. In addition, a lot of psychological disorders such as depression and anxiety are seen or occur in people who have headaches. Purpose: The purpose of this study is to investigate the effectiveness of EMDR (Eye Movement Desensitization and Reprocessing) on Chronic Daily Headache and Migraine. Within this framework there are three goals, one of which is to measure the efficiency of EMDR treatment on chronic headache population. The second one is to develop an EMDR Headache Protocol so that the treatment is standardized and will be used, revised and updated by researchers and clinicians in the future. The third one IS to find an answer to the question: How long does it take to treat a headache? That is, to determine the minimum and maximum sessions necessary for the treatment. Method: The study is carried out at Gaziosmanpa,sa Hospital Neurology Department in Istanbul with 11 Turkish patients who had suffered from chronic daily headache and migraine. The sample of this study consisted of 9 women and 2 males. Results: The results demonstrated that the frequency, the intensity and the duration of headaches were reduced by using EMDR Also it was shown that the number of emergency visits and the amount of painkillers used were decreased. The study will be explained in more detail and the results will be discussed during the presentation. Our learning objectives are: 1. to gain theoretical information about the rationale of using EMDR in treatment of chronic headache and migraine 2. to gain empirical information about the efficacy of this treatment and 3. to discuss the EMDR Headache Protocol as well as the number of sessions necessary for the treatment. In previous studies, EMDR has been found to be efficient in the treatment of chronic pain. Nevertheless, there was a gap in the literature regarding the efficacy of EMDR in the treatment of chronic daily headache and migraine. The novelties that are provided by this current study are 1. It may be an alternative treatment for chronic headache and migraine in the future 2. although the research question needs further investigation, it is the first empirical study which examines the effectiveness of this treatment.

Keywords: Headache Medical Issues Migraine Symposium

Accuracy Verified: Yes

106. Phillips, K. M., Freund, B., Fordiani, J., Kuhn, R., & Ironson, G. (2009). EMDR treatment of past domestic violence: A clinical vignette. Journal of EMDR Practice and Research, 3(3), 192-197. doi:10.1891/1933-3196.3.3.192.

Language: English

Format: Journal

Abstract:
This case study describes the use of eye movement desensitization and reprocessing (EMDR) for a woman who met criteria for posttraumatic stress disorder (PTSD) related to past domestic violence. Outcome measures were used to assess the client's symptoms at intake, after the third and sixth active EMDR sessions, and at 1- and 3-month follow-ups. In addition to the use of outcome measures, at 3-month follow-up the client was evaluated by a therapist who was blind to the type of treatment the client had received. Results indicated that after nine active sessions of EMDR, the client no longer met criteria for PTSD and no longer endorsed symptoms of depression or intrusive thoughts. Thus, EMDR was successful in treating PTSD symptoms associated with past domestic violence, and effects were maintained at 3-month follow-up.

Keywords: Domestic Violence Posttraumatic Stress Disorder PTSD Treatment Outcome

Accuracy Verified: Yes

107. Jacobs, S., Schmidt, S., Ludecke, C., & Strack, M. (2009). EMDR und biofeedback in der behandlung von substituierten traumapatienten [EMDR and biofeedback in the treatment of substituted traumatic patients]. EMDR und biofeedback in der behandlung von substituierten traumapatienten, In S. Jacobs, (Hrsg.), Neurowissenschaften und Traumatherapie. Grundlagen und Behandlungskonzepte, [Neurosciences and Trauma Therapy, Bases and treatment approaches] (pp. 107-134). Göttingen: Universitätsverlag.

Language: German

Format: Book Section

Abstract: Prevalence of Posttraumatic Stress Disorder is alarmingly high among substanceabusing inpatients. Although many studies have shown this problem, treatment offered for combined trauma and substance abuse-therapy can hardly be found. Many patients are told to initially treat their substance abuse before treating the PTSD. This study deals with the trauma-treating method EMDR and biofeedback with substituted inpatients. 15 of these inpatients recieved questionnaires at three different point in time during their therapy, in addition nine of them during a 3-month-follow-up. Furthermore biofeedback-conductance was held within the EMDR-sets to represent the decline of the psycological affrivation, measured wit electrodermal activity h electrodermal activity. These data were compared to not-consuming outpatients, who received the same treatment. Overall there were positive changes in ratings regarding the traumaspecific variables, general psychic strain, depressivity, somatic discomfort and dissociative symptoms. An increased satisfaction in different areas of life could also be observed. Data associated with electrodermal activities showed only marginal differences compared to the reference data.

Keywords: Biofeedback

Accuracy Verified: Yes

108. Jacobs, S., de Jong, A., & Strack, M. (2007). EMDR und biofeedback in der therapie posttraumatischer belastungsstörungen: Evaluation eines neuropsychotherapeutischen behandlungsprogramms [EMDR and biofeedback in the therapy of posttraumatic stress disorder: Evaluation of a neuropsychotherapeutic intervention]. Verhaltenstherapie & Psychosoziale Praxis: VPP, 39(4), 855-876.

Language: German

Format: Journal

Abstract:
Eine neu entwickelte multimodale, neuropsychotherapeutic Programm für die Behandlung der Posttraumatischen Belastungsstörung (PTBS) wurde ausgewertet. Ausgehend von neueren Erkenntnissen in der Forschung neuroscienctific, so dass eine Dissoziation zwischen impliziter und expliziter Trauma-Speicher die wichtigste Grundlage der PTBS ist, verschiedene Module wurden im Rahmen der Behandlung integriert anzuzeigen. Die vereinigten Komponenten sind: spezifische Hintergrundinformationen über die Unordnung und typische PTSD-Symptome, eine pädagogische Film für Patienten, spezifische kognitive Verhaltenstherapie und Biofeedback-Techniken unterstützte Eye Movement Desensitization and Reprocessing (EMDR). Das Ziel der Biofeedback-Sitzungen während EMDR ist es, den Patienten eine direkte Rückmeldung über die implizite Prozesse während der Trauma-Exposition. Darüber hinaus Erfassung der physiologischen Daten über Biofeedback ermöglicht das Testen, ob es eine Korrelation zwischen dem Grad der subjektiven Belastung durch traumatische Erinnerungen ausgelöst (quantifiziert mit der SUD-Skala), und messbare physiologische Erregung. Elektrodermale Aktivität (EDA; Hautleitfähigkeit) wurde als eine physiologische Parameter gemessen. Die Ergebnisse einer durchgeführten Pilot-Studie (16 Patienten auf der Grundlage, mit einem wartenden Gruppe als Kontrollgruppe) zeigen verschiedene EDA-Muster während EMDR-desensitivation (fad und assoziative Wiederaufbereitung). Ein offensichtlich Reduktion der PTBS-Symptome gefunden (d = 2,27) sein, die stärker ist als in anderen Behandlungen. Die traumatischen Erinnerungen mit EMDR behandelt wurde weniger Anstrengung, die ebenfalls reflektiert in der Physiologie (verminderte autonome Erregung) und in der subjektiven Belastung fühlte sich durch die Patienten. Die Kürzungen der Erregung (d = 1,01) und subjektive Belastung (d = 2,55) zeigen, dass eine effektive Hemmung der Aktivierung der Amygdala-und damit der Angstreaktion selbst-aufgrund der Intervention geschaffen. Mit EMDR reduziert die Amygdala physiologische Erregung. Wir vermuten, dass aus diesem Grund den medialen präfrontalen Kortex und im Hippocampus kann eine kortikale Inhibition, die erfolgreich reduziert die Angst-Reaktion (Grawe, 2004) zu etablieren. Die berichteten Ergebnisse wurden durch einen dreimonatigen Follow-up-Bewertung bestätigt. Mit einer durchschnittlichen Dauer von 16 Sitzungen und einer nicht vorhandenen Drop-out-Rate (0%), die Intervention erwiesen sich ebenfalls als sehr effizient. (PsycINFO Database Record (c) 2010 APA, alle Rechte vorbehalten)

A newly developed multimodal, neuropsychotherapeutic program for the treatment of posttraumatic stress disorder (PTSD) was evaluated. Starting from recent findings in the neuroscienctific research, which indicate that a dissociation between implicit and explicit trauma-memory is the main basis of PTSD, different modules were integrated within the treatment. The combined components are: specific background information regarding the disorder and typical PTSD-symptoms, an educational movie for patients, specific cognitive behavioral intervention techniques and biofeedback-supported Eye Movement Desensitization and Reprocessing (EMDR). The aim of using biofeedback during EMDR sessions is to give patients a direct feedback about the implicit processes during trauma-exposition. In addition, recording the physiological data via biofeedback allows testing if there is a correlation between the level of subjective strain, triggered by traumatic memories (quantified with the SUD-scale), and measurable physiological arousal. Electrodermal activity (EDA; skin conductance) was measured as a physiological parameter. The results of a conducted pilot-study (based on 16 patients, with a waiting group as a control group) show different EDA-patterns during EMDR-desensitivation (bland and associative reprocessing). An evident reduction of the PTSD-symptoms could be found (d = 2.27), which is stronger than in other treatments. The traumatic memories treated with EMDR became less straining, which reflects likewise in physiology (decreased autonomous arousal) and in the subjective strain felt by the patients. The reductions of arousal (d = 1.01) and subjective strain (d = 2.55) indicate that an effective inhibition of the amygdala activation—and thereby of the anxiety reaction itself—is created due to the intervention. Using EMDR reduces the amygdala induced physiological arousal. We suppose that for this reason the medial prefrontal cortex and the hippocampus can establish a cortical inhibition, which successfully reduces the anxiety reaction (Grawe, 2004). The reported results were confirmed by a three month follow-up evaluation. With an average duration of 16 sessions and a non-existing drop-out rate (0%), the intervention also proved to be very efficient. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Biofeedback PTSD

Accuracy Verified: Yes

109. [Kondo Chikako]. (2009, May). EMDR with a violent child at school: Collaborative treatment for an abused child who witnessed her mother's suicide. EMDR研究1（1）、34から43 [Japanese Journal of EMDR Research and Practice, 1(1), 34-43].

Language: Japanese

Format: Journal

Abstract:
The junior high school girl in this case witnessed her mother's suicide at the age of four. She has been acting violently since she entered elementary school. One yearbefore the author met her, a consultation office for children intervened due to physical abuse by her father. Flashbacks and dissociation caused wrist cutting and panic. After a few EMDR sessions, wrist cutting, panic and PTSD symptoms disappeared. As she gained affect regulation skills, she gradually improved her interpersonal relationship and began to trust others. The consultation aclivities by a school counselor, namely the offering of psycho-educational information to the school, supporting teachers and improving teacher's psychological understandings about her, was also important in addition to individual treatment. The author discussed about the treatment of school children survivors who rarely visit mental or medical institutions.

Keywords: Child Abuse Collaboration at School Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

110. Cooper, A. (1995, June). EMDR with victims of trauma: Protecting your client, protecting yourself. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
EMDR is an innovative and rapidly expanding new, treatment technique. Therapists are provided with two weekends of intensive training and encouraged to obtain supervision and be active in peer consultation groups and networks, and work to refine their skills. It is uncertain what percentage follow through in this regard. Estimates of the numbers of people who are victims of sexual trauma in our society are staggering (one in 3 girls, one in seven boys). Research finds that approximately half the people who present for psychotherapy have some sexual trauma in their history. EMDR has been hailed as an important new technique in facilitating the treatment of those who have been sexually traumatized. With correct usage, EMDR can greatly facilitate the treatment. At the same time, sexual trauma is a complex and volatile issue and awkward, poorly timed, or overly simplistic usage of EMDR could potentially lead to adverse consequences for the patient and treatment. As with any therapeutic technique or paradigm it can only be as helpful as that of the overall treatment. In addition the mere usage of EMDR will have an impact on the therapy, as well as the therapeutic container, and therapists need to be cognizant of what that impact will be as well as to be sure that they know how to incorporate the patient reactions into the treatment in a positive way and not allow them to undermine, or otherwise detrimentally effect both patient and therapist primary therapy goals. Particularly in these times of increased litigation, malpractice suits, and professional grievances against therapists those professionals utilizing EMDR would be wise to be aware of the particular risks inherent in the patient population in which they work, as well as the inherent vulnerability of utilizing a newly developed technique. In treating sexual trauma many experts agree that the crucible of the therapeutic container- is whether the healing will occur if the therapist sucessfully deals with the challenges the patient will offer lip. Again how those utilizing EMDR negotiates those challenges may be he difference between a successful course of therapy and a disaster. Finally, working with sexual trauma is an emotionally, intellectually, and sometimes physically demanding undertaking. Many therapists do not fully realize or acknowledge the toll that this type of work exacts and may be blind to the countertransferentia1 responses which arise and how they are communicated to the patient. In this workshop we will first reveal, some of the current thinking on the primary treatment issues (and obstacles) in therapy with victims of sexual trauma. We will then examine how and when is the most propitious time to use EMDR with this population and what reactions patients are likely to have to this type of intervention. Specific ways that EMDR and its implementation may activate certain issues in sexual trauma victims be elucidated as well as strategies for addressing those issues. Finally participants will engage in a series of experiential exercises designed to heighten their awareness of their own personal reactions and feelings (i.e., countertransference) to working with the intensity of sexual trauma. Once again these potential reactions will be linked to more or less effective usage of EMDR.

Keywords: Trauma

Accuracy Verified: Yes

111. Smucker, M. R. (2000, January). EMDR: A closer look. Journal of Cognitive Psychotherapy, 14(2), 206-208.

Language: English

Format: Journal

Abstract:
Since the 1980s, the diagnosis and treatment of PTSD has received increased attention from theorists and clinicians alike, resulting in a number of new treatment approaches. Among them, EMDR (eye-movement desensitization and reprocessing) has gained popularity in recent years, although it has been and continues to be shrouded in controversy. In addition to addressing specific criticisms levied against EMDR, this videotape and companion manual offer a brief overview of EMDR's eight-stage model and discuss its application for treating PTSD, anxiety, ...

Keywords: Review

Accuracy Verified: Yes

112. Greenwald, R. (2007, October). EMDR: Within a phase model of trauma-informed treatment. New York: Haworth Press. ix, 255 pp.

Language: English

Format: Book

Abstract:
Trauma is a potential source of most types of emotional or behavioral problems. Extensive research has shown EMDR to be an effective and efficient trauma treatment. EMDR Within a Phase Model of Trauma-Informed Treatment offers mental health professionals an accessible plain-language guide to this popular and successful method. The book also introduces the “Fairy Tale Model” as a way to understand and remember the essential phases of treatment and the tasks in each phase. This manual teaches a clear rationale and a systematic approach to trauma-informed treatment, including often-neglected elements of treatment that are essential to preparing clients for EMDR. The reader is led step by step through the treatment process, with scripted hands-on exercises to learn each skill. In addition to presenting the fundamental EMDR procedures, EMDR Within a Phase Model of Trauma-Informed Treatment teaches a treatment system that can be applied to a variety of cases. Using research-supported and proven-effective methods, this book takes you through the treatment process with easily-understood dialogues and examples. Explicitly guided exercises produce hands-on skills and familiarize you with ways to explain trauma to clients and prepare them for EMDR. You will also learn to problem-solve challenging cases using the trauma framework.

Keywords: Phase Model of Trauma-Informed Treatment

Accuracy Verified: Yes

113. Marr, J. (2011, October). EMDR: Developments in the treatment of obsessive compulsive disorder. Presentation at the 3rd annual EMDR Yorkshire Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
The use of Eye Movement, Desensitisation and Reprocessing (EMDR) with the addition of a Mental Videotape with any disturbance experience by the client reprocessed with EMDR has been trialled within this research document as an alternative to exposure and response prevention (Ex/RP) or a combination of Ex/RP and CBT, for the treatment of OCD. The main hypothesis addressed was that an adapted form of EMDR with the inclusion of a Mental Videotape could also address OCD, where the Mental Videotape would replace the Exposure and the EMDR used to reprocess the response. (Author abstract)

Keywords: Obsessive Compulsive Disorder OCD Treatment

Accuracy Verified: Yes

114. Johannesson, K. B. (2011, June). EMDR: An integrative psychotherapy approach for working with trauma based disorders. Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria .

Language: English

Format: Conference

Keywords: Practice Theory

Accuracy Verified: Yes

115. Parnell, L. (2009, December). EMDR: A trauma therapy power-tool. Presentation at the 21st International Psychology of Health, Immunity & Disease Conference, Hilton Head, SC.

Language: English

Format: Conference

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a revolutionary, powerful therapeutic method for healing the devastation of trauma. In addition to the treatment of PTSD, EMDR can treat the psychological effects of smaller traumas related to symptoms of depression, anxiety, phobias, low self-esteem, creativity blocks and relationship difficulties. Not only can healing occur more rapidly with EMDR than in traditional therapy, but the clearing of emotional/physical blockages results in positive spirituality.

Keywords: Practice Theory

Accuracy Verified: Yes

116. Parnell, L. (2009, October). EMDR: A trauma therapy power-tool. Presentation at the NICABM (National Institute for the Clinical Application of Behavioral Medicine) Conference, Hilton Head, SC.

Language: English

Format: Conference

Keywords: Practice Theory

Accuracy Verified: Yes

117. Hofmann, A., Fischer, G., Galley, N., & Shapiro, F. (1998). EMDR: Memory reprocessing and accelerated emotional learning. European Journal of Clinical Hypnosis, 4, 206-213.

Language: English

Format: Journal

Abstract:
A number of recent controlled studies has shown that EMDR (Eye Movement Desensitization and Reprocessing) can reprocess disturbing memories and bring them to therapeutic resolution whether or not patients fulfil the DSM (or ICD)- criteria of post-traumatic stress disorder (PTSD). The method can be integrated into treatment plans of different therapeutic approaches and integrates aspects of a number of the major treatment orientations. Clinical experience and EEG research show that the reprocessing in EMDR is not a trance-related phenomenon (Nicosia, 1995). However, EMDR blends well with hypnotic techniques in specific cases, especially with severe complex traumatised and dissociative patients. In addition, EMDR seems to help stabilise and generalise positive self-referencing beliefs as well as positive images, such as "a safe place", and accelerates future projectionsof new orientations and behaviours. In this sense, EMDR can be viewed not only as a method for the treatment of traumatic memories, but as a method of accelerated emotional learning.

Keywords: Accelerated Emotional Learning Therapeutic Integation

Accuracy Verified: Yes

118. Grant, M. (2000, May). EMDR: A new treatment for trauma and chronic pain. Complementary Therapies in Nursing and Midwifery, 6(2), 91-94. doi:10.1054/ctnm.2000.0459.

Language: English

Format: Journal

Abstract:
EMDR (eye movement desensitization and reprocessing) is a new psychological treatment for trauma that is capable of facilitating rapid and permanent reduction in distressing thoughts and feelings (Carlson et al. 1998,Wilson et al. 1995). In addition to reduction of psychological distress, the method leads to more adaptive attitudes and functioning. The utility of the method also appears to extend beyond trauma with Goldstein & Feske 1994, Grant 1986). As a treatment for pain EMDR offers a method of positive results reported in the treatment of addictions, phobias, and pain (Henry 1996, facilitating permanent changes in how pain is experienced somatically and emotionally. Knowledge and understanding of the principles underlying EMDR can also provide a guide for more effective interventions by pain specialists. [PubMed]

Keywords: Chronic Pain Pain Control Trauma

Accuracy Verified: Yes

119. Spates, C. R. (2012). Empirically supported psychological treatments: EMDR. In J. G. Beck & D. M. SLoan (Eds.), The Oxford handbook of traumatic stress (pp. 449-462). New York, NY: Oxford University Press.

Language: English

Format: Book Section

Abstract:
In this chapter we review the empirical foundation for Eye Movement Desensitization and Reprocessing Therapy (EMDR) for posttraumatic stress disorder. We present a brief description of the therapy, critically review recent primary and meta-analytic investigations concerning its efficacy and effectiveness, offer a summary of recent primary investigations that addressed the mechanism of action for EMDR, and based on this overall review, we suggest limitations with recommendations for future research. Recent empirical investigations of the efficacy of EMDR have improved along a number of important dimensions, and these along with the few completed effectiveness trials, position this therapy among evidence-based frontline interventions for PTSD. What is less thoroughly researched, and thus less well understood, are putative models of its theoretical mechanism of action. In addition to continuing specific improvements in research concerning efficacy and effectiveness, we recommend more and higher quality empirical studies of its mechanism of action. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Keywords: Practice Theory

Accuracy Verified: Yes

120. Hartung, J. G. (2005, September). Enhancing performance and positive emotion with EMDR. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
While the presenter will provide some information through lecture and handouts, this workshop will be mostly based on experiential learning processes. Demonstrations, a supervised practicum, and other hands-on experiences are seen as the best ways to learn the model of perfomance enhancement with EMDR. Because the practicum focus will be exclusively on the development and strengthening of positive emotion, risks to participants are not predicted. The presenter will focus on ways to define psychotherapy in addition to its value as a treatment of problems in living. Positive psychology and coaching for development will be terms used frequently, both in the lecture and throughout the demonstration and practicum experiences.

Keywords: Performance Enhancement Positive Emotion

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Epigenetics Plenary Survivors Trauma

Accuracy Verified: Yes

122. Jenkins, S., & Baker, J. (2011). The equine-assisted EMDR manual: A guide to the integration of eye movement desensitization reprocessing and equine-assisted therapy. Tempe, AZ: Dragonfly International Therapy .

Language: English

Format: Book

Abstract:
This manual includes an overview of Equine-Assisted Psychotherapy (EAP) and Eye Movement Desensitization Reprocessing (EMDR) individually, and the rationale for integrating them through the EquiLateral Protocol(TM). Learn about EMDR practitioner types and organizations in the marketplace. You will also get valuable "how-to's" for client selection, case conceptualization, target sequence planning and treatment planning! In addition, you will find case examples for each phase, treatment team roles, along with a sample eight-phased equine-based activity!

Keywords: EAP Equine-Assisted Psychotherapy Horses

Accuracy Verified: Yes

123. Des Groseilliers, I. B. (2009, June). Évaluation longitudinale de l'efficacité d'une nouvelle intervention dyadique, brève et précoce visant la prévention du TSPT [Longitudinal evaluation of the effectiveness of a new intervention dyadic brief and early for the prevention of PTSD]. Université du Québec à Montréal.

Language: French

Format: Dissertation/Thesis

Abstract:
La présente thèse s'intéresse à l'évaluation de l'efficacité à court et à long terme d'une nouvelle intervention dyadique, brève et précoce ayant pour but la prévention du trouble de stress post-traumatique (TSPT). L'exposition à un événement traumatique provoque, chez certains individus, une souffrance émotionnelle considérable qui entrave leur fonctionnement quotidien de manière parfois importante. Au cours des deux dernières décennies, des interventions curatives efficaces ont été créées, soit la thérapie cognitive-comportementale (TCC) et la désensibilisation par mouvement oculaire (EMDR). On remarque cependant un manque criant d'interventions efficaces à court et à long terme qui ont pour but la prévention du TSPT, malgré les efforts du débriefing et de la TCC brève en ce sens. Cette thèse vise donc, dans un premier temps, à faire le point sur l'état des connaissances au niveau de l'efficacité des interventions précoces et, dans un deuxième temps, évaluer de manière empirique l'efficacité à moyen (3 mois) et surtout à long terme (2 ans) d'une nouvelle intervention dyadique, brève et précoce pour prévenir le TSPT. La nouvelle intervention dont il est question dans le présent ouvrage se déroule en deux séances et est offerte à la victime et une personne-soutien de son choix par une travailleuse sociale ou une infirmière. Elle met l'accent sur la psychoéducation, l'apprentissage à la communication exempte de soutien social négatif (minimisation, hostilité, impatience, etc.) et sur l'importance de ne pas éviter les stimuli associés à l'événement traumatique. La thèse comporte quatre chapitres. Le premier propose une recension de la littérature qui met à jour les principales conclusions quant à l'efficacité du débriefing et de la TCC brève pour prévenir le TSPT. Cette recension met en évidence les principales failles méthodologiques et les difficultés d'application de ces interventions. De plus, elle expose le rationnel derrière l'utilisation du soutien social comme ingrédient actif d'une intervention de prévention de ce trouble. Le second chapitre présente une étude d'efficacité randomisée et contrôlée de l'efficacité de la nouvelle intervention. Soixante-six participants ont été randomisés soit dans la condition intervention ou dans la condition de contrôle. Les résultats ont démontré qu'au post-test de trois mois, les participants de la condition intervention manifestaient des symptômes de TSPT significativement moins intenses que ceux de la condition contrôle. De plus, les participants de la condition intervention rapportent une diminution significative du soutien social perçu, contrairement aux participants de la condition de contrôle qui n'observent pas cette différence. Il est intéressant de souligner que le taux d'abandons en cours de traitement fut équivalent et très bas au sein des deux groupes. Ceci suggère que les participants tolèrent bien cette nouvelle intervention. Aucune différence n'a été observée entre les deux groupes en ce qui a trait à l'occurrence de psychopathologies comorbides. Le troisième chapitre se veut une relance à 2 ans post-trauma de l'étude présentée au chapitre précédent. Quarante-six des 66 participants ont accepté de prendre part à cette relance. Les résultats révèlent que, deux ans après l'événement traumatique, les participants ayant reçu l'intervention étaient encore beaucoup moins symptomatiques que les participants n'ayant pas reçu cette intervention. Un fait plus qu'intéressant qui ressort de cette étude est qu'aucun participant de la condition intervention ne rapporte un TSPT et cinq participants de la condition contrôle souffrent encore de ce trouble deux ans après l'événement traumatique. Parallèlement, il a été observé que les participants ayant reçu l'intervention perçoivent encore moins de soutien social négatif que ceux de la condition contrôle. À l'instar de ce qui a été rapporté au post-test de trois mois, les deux groupes ne révèlent pas de différence significative par rapport à la manifestation d'autres affections psychologiques. Le quatrième et dernier chapitre propose une discussion générale des résultats en fonction des interprétations qui peuvent en être tirées, des différentes forces et limites intrinsèques ainsi que des implications théoriques et cliniques qui peuvent en découler.

This thesis focuses on the evaluation of the effectiveness in the short and long-term reoperation dyadic brief and early aimed at the prevention of posttraumatic stress disorder (PTSD). Exposure to a traumatic event causes in some individuals, suffering considerable emotional hinders their daily operations be significant. Over the past two decades, effective curative interventions were created either cognitive-behavioral therapy (CBT) and eye movement desensitization (EMDR). We note, however, a dearth of effective interventions in the short and long-term aim of preventing PTSD, despite the efforts of debriefing and brief CBT in this direction. This thesis therefore aims, firstly, to take stock of the state of knowledge at the effectiveness of early interventions, and in a second step, empirically assess the efficacy medium (3 months) especially in the long term (2 years) of a new intervention dyadic brief early to prevent PTSD. The new intervention mentioned in this book takes place in two sessions and is offered to the victim and a support person of their choice by a social worker or nurse. It focuses on psychoeducation, learning to communicate free of negative social support (minimization, hostility, impatience, etc..) And the importance of not avoiding stimuli associated with the traumatic event. The thesis consists of four chapters. The first provides a literature review that updates the main conclusions about the effectiveness of debriefing and brief CBT to prevent PTSD. This review highlights the main methodological flaws and difficulties in implementing these interventions. In addition, it outlines the rationale behind the use of social support as an active ingredient of an intervention to prevent this disorder. The second chapter presents an efficacy study randomized controlled effectiveness of the new intervention. Sixty-six participants were randomized to either intervention or condition in the control condition. The results showed that post-test three months, participants in the condition action had symptoms of PTSD significantly less intense than those of the control condition. In addition, participants reported response provided a significant reduction in perceived social support, unlike the members of the control condition who do not observe this difference. It is interesting to note that the dropout rate during treatment was low and similar in both groups. This suggests that participants tolerate this new intervention. No difference was observed between the two groups in regard to the occurrence of comorbid psychopathology. The third chapter is a raise to 2 years post-trauma of the study presented in the previous chapter. Forty-six of the 66 participants agreed to take part in this revival. The results show that two years after the traumatic event, participants who received the intervention were still much less symptomatic than participants who did not receive this intervention. A more than interesting fact that emerges from this study is that no participant intervention condition reported PTSD and five participants from the control condition still suffer from this disorder two years after the traumatic event. Meanwhile, it was observed that participants who received the intervention perceive less social support than the negative control condition. Like what has been reported in post-test three months, the two groups did not show a significant difference in the expression of other psychological ailments. The fourth and final chapter provides a general discussion of the results based on interpretations that can be drawn, different strengths and inherent limitations as well as theoretical and clinical implications that may arise.

Keywords: CBT Cognitive-Behavioral Therapy Dyadic Intervention Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

124. Tareen, M. S. (2010, July). The evaluation of an Urdu version of Impact of events scale - revised (UIES-R). Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Background: The study arose from an EMDR Humanitarian Assistance Programme training set up in response to the 2005 earthquake in Northern Pakistan. Part of this project set out to evaluate an Urdu version of IES-R. We wanted to evaluate the work done by newly trained EMDR Practitioners and there was paucity of measurement tools in Urdu language. We decided to translate IES-R and evaluate it. It will give us reliable scale to measure progress against treatment. The present study aims to present this Urdu version of the IES-R as a psychometrically sound instrument for both research and clinical use in its Urdu translation. Methods:Translation was completed in four stages. Two stages involved translation and two involved back translation. Recruitment for the evaluation took place at a Medical School in Abbotabad, and involved (N=118) participants. The inclusion criteria were that subjects must be fluent in both Urdu and English. Results: The results of Urdu and English versions of IES_R and GHQ were compared for Linguistic Equivalence, conceptual equivalence, and scale equivalence. All these measures showed no statistically significant differences. In conclusion the Urdu version of the IES-Revised can be used for clinical populations in Pakistan with evidence of good reliability and satisfactory validity. In developing EMDR research in Pakistan the utilisation of the U-IES-R will be an extremely useful addition.

Keywords: Impact of Events Scale - Revised UIES Urdi Version

Accuracy Verified: Yes

125. Crystal, S. (2010, March). Evidence based practice and practice based evidence: Improving effectiveness and efficiency in EMDR practice. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
There have been over five “gold standard” studies supporting the importance of routine measurement of outcome in clinical practice. However, no measures that take more than 5 minutes would appeal to clinicians. The Outcome Rating Scale (ORS or Child ORS) and the Session Rating Scale (SRS or Child SRS) are both four-item measures developed to track outcome and the therapeutic alliance, respectively. The measures have been tested and correlated to other reputable measures for their robust reliability, validity and most importantly feasibility. In addition, these measures are a clinical tool for the EMDR practitioner as, it takes under a minute to score and, it helps to focus each session on what is relevant for the client; giving us the opportunity to tailor and pace the protocol to a better” fit” for each particular client; offering us a chance to improve our drop out rates. Learning points: 1) Updated research information on the importance of using client’s feedback in everyday practice; 2) Introduction of brief measures that can have immediate application in your EMDR practice. 3) Learn about a system that can help you learn about and increase your effectiveness as a therapist in comparison to a normative data of thousands of practitioners. 4) How to download for free and to use routine outcome measures to monitor the quality of the therapeutic relationship and to inform the fit between the EMDR and the clients’ perceptions.

Keywords: Client Feedback ORS Outcome Measures Outcome Rating Scale Research Session Rating Scale SRS Gold Standard

Accuracy Verified: Yes

126. Turpin, R. C. (1999, August). An exploration of reported transpersonal/spiritual experiences during and after eye movement desensitization and reprocessing (EMDR) treatment of traumatic memories. California Institute of Integral Studies, San Francisco, CA. AAT 9962663.

Language: English

Format: Dissertation/Thesis

Abstract:
This research project sought to investigate if EMDR therapists observed their clients reporting transpersonal/spiritual experiences during or following EMDR. In addition, it sought to identify and explore the client and therapist factors that may influence the frequency with which these experiences are observed. One hundred sixty-nine questionnaires were mailed to EMDR facilitators throughout the United States and 50 were returned with usable data. Quantitative statistical analyses were performed on much of the questionnaire data and several significant associations and differences were found (p < .05). However, these significant associations and differences did not lead to more global statements regarding the factors that were analyzed. Interviews were conducted with 11 of the respondents in an attempt to shed light on these research questions. The results indicate that a number of EMDR therapists are observing their clients reporting transpersonal/spiritual experiences during or following EMDR. Several potentially important client and therapist factors were noted that may be influencing factors in therapists observing their clients reporting these experiences. (PsycINFO Database Record (c) 2008 APA, all rights reserved)Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(2-B), Aug 2000, pp. 1099.

Keywords: Emotional Trauma Empirical Study Religious Experiences Therapists Transpersonal Psychology Transpersonal/Spiritual Experiences

Accuracy Verified: Yes

127. Follette, V., & and Smith, A. (2004). Exposure Therapy. In A. Freeman, S. H. Felgoise, A. M. Nezu, C. M. Nezu, & M. A. Reinke (Eds.), Encyclopedia of Cognitive Behavior Therapy (pp. 185-188). Springer.

Language: English

Format: Book Section

Abstract:
Exposure therapy has increasingly been used in conjunction with other cognitive—behavioral therapies in a variety of formats and techniques, particularly in the treatment of anxiety disorders. Reasons for the addition of cognitive enhancements to exposure therapy include concerns for client well-being and/or an interest in increasing client willingness to engage the treatment. Other newer therapies such as CPT, ACT, and EMDR, while based in differing theoretical paradigms, incorporate cognitive and behavioral strategies that are consistent with exposure and cognitive change. Several empirical studies support combinations of exposure and other cognitive—behavioral therapies. However, studies evaluating a possible augmenting effect of other CBT components have generally shown equally promising effects with exposure alone and exposure combined conditions. Further research is needed to more fully understand which components of other cognitive—behavioral therapies are most helpful in addressing concerns of using exposure therapy alone, and the manner in which exposure therapy can be most effectively integrated.

Keywords: Exposure Cognitive Processing Therapy Posttraumatic Stress Disorder PTSD Stress Inoculation Training

Accuracy Verified: Yes

128. Montgomery, R. W., & Ayllon, T. (1994, September). Eye movement desensitization across subjects: Subjective and physiological measures of treatment efficacy. Journal of Behavior Therapy and Experimental Psychiatry, 25(3), 217-230. doi:10.1016/0005-7916(94)90022-1.

Language: English

Format: Journal

Abstract:
Eye movement desensitization (EMD) was investigated in an experimental multiple baseline across subjects design. Six subjects who met the diagnostic criteria for PTSD were included in the study. While the EMD technique advanced by Shapiro has been reported to be clinically effective, major methodological issues have been raised which remain to be addressed. One issue raised is whether exposure to the traumatic image is sufficient to account for the reported clinical effects of EMD or whether the addition of saccadic eye movements is central to the treatment. This study attempted to address this concern by comparing two EMD-based procedures: a Non-saccade phase (without the saccadic eye movements) which functioned as a control and a second that included saccadic eye movements. Dependent variables included self-report information (SUDs, behavioral symptoms reports) and physiological data (heart rate and systolic blood pressure). The results showed no significant decreases in SUDs level with the EMD minus the saccadic eye movements procedure. However, five of the six subjects reported clinically significant decreases in their SUDs levels with the inclusion of the saccadic eye movements. This study appears to corroborate previous work employing single-case design as well as pre and postcomparisons. [Author Summary]

Keywords: Adults Americans Posttraumatic Stress Disorder Psychophysiology PTSD Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

129. Substance Abuse and Mental Health Services Administration (SAMHSA). (2010, October). Eye movement desensitization and reprocessing. National Registry of Evidence-Based Programs and Practices, U.S. Department of Health and Human Services (HHS). Retrieved from http://nrepp.samhsa.gov/ViewIntervention.aspx?id=199 on 3/25/2011.

Language: English

Format: Other

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a one-on-one form of psychotherapy that is designed to reduce trauma-related stress, anxiety, and depression symptoms associated with posttraumatic stress disorder (PTSD) and to improve overall mental health functioning. Treatment is provided by an EMDR therapist, who first reviews the client's history and assesses the client's readiness for EMDR. During the preparation phase, the therapist works with the client to identify a positive memory associated with feelings of safety or calm that can be used if psychological distress associated with the traumatic memory is triggered. The target traumatic memory for the treatment session is accessed with attention to image, negative belief, and body sensations. Repetitive 30-second dual-attention exercises are conducted in which the client attends to a motor task while focusing on the target traumatic memory and then on any related negative thoughts, associations, and body sensations. The most common motor task used in EMDR is side-to-side eye movements that follow the therapist's finger; however, alternating hand tapping or auditory tones delivered through headphones can be used. The exercises are repeated until the client reports no emotional distress. The EMDR therapist then asks the client to think of a preferred positive belief regarding the incident and to focus on this positive belief while continuing with the exercises. The exercises end when the client reports with confidence comfortable feelings and a positive sense of self when recalling the target trauma. The therapist and client review the client's progress and discuss scenarios or contexts that might trigger psychological distress. These triggers and positive images for appropriate future action are also targeted and processed. In addition, the therapist asks the client to keep a journal, noting any material related to the traumatic memory, and to focus on the previously identified positive safe or calm memory whenever psychological distress associated with the traumatic memory is triggered. The underlying mechanism for how this process works to reduce trauma-related stress, anxiety, and depression is unknown. Researchers have theorized that the positive effect is due to adaptive information processing, the theoretical model behind EMDR. Through adaptive information processing, the dual-attention exercises disrupt the client's stored memory of the trauma to allow for an elimination of negative beliefs, emotions, and somatic symptoms associated with the memory as it connects with more adaptive information stored in the memory networks. Once recall of the trauma no longer elicits negative beliefs, emotions, or somatic symptoms and the memory simultaneously shifts to a more adaptive set of beliefs, emotions, and somatic responses, it is stored again, overwriting the original memory of the trauma. EMDR is typically delivered in 60- to 90-minute sessions, although shorter sessions have been used successfully. The number of sessions varies with the complexity of the trauma being treated. For an isolated, single traumatic event, one to three sessions may be sufficient for treatment. However, when the trauma involves repeated traumatic events, such as combat trauma and physical, sexual, or emotional abuse, many more sessions may be needed for comprehensive treatment.

Keywords: Intervention Summary

Accuracy Verified: Yes

130. Fernandez, I. (2001, Aprile). Eye movement desensitization and reprocessing (EMDR). Psicoterapia Cognitiva e Comportamentale, 7(1), 35.

Language: English

Format: Journal

Abstract:
L'articolo di J. Wolpe e J. Abrams presenta un caso trattato nel 1991 con Eye Movement Desensitization (EMD), erano le prime applicazioni cliniche dopo la scoperta di F. Shapiro nel 1989 dell'azione dei movimenti oculari sullo stress traumatico e sulle situazioni ansiogene. Negli anni successivi l'EMD è diventato EMDR, infatti, la desensibilizzazione è il primo effetto che avviene durante una seduta dove viene applicata la stimolazione bilaterale, ma successivamente l'osservazione massiccia ed approfondita degli effetti clinici di questo metodo terapeutico ha rivelato che il processo che avviene è molto più complesso. È stato notato che simultaneamente alla desensibilizzazione avviene una ristrutturazione cognitiva e che entrambe sono il risultato dell'elaborazione dell'informazione legata ai ricordi traumatici. Nel lavoro realizzato con la paziente Shirley, Wolpe descrive tutta la storia di terapie a cui era stata sottoposta fino a quel momento che però non erano riuscite ad affrontare e risolvere l'esperienza traumatica della violenza sessuale. L'EMDR è stato efficace perché ha lavorato sul piano neurofisiologico, dove l'informazione è immagazzinata in modo disfunzionale ed è accessibile soltanto a questo livello, infatti, le terapie prettamente verbali non sempre riescono ad accedere e ad agire su questo piano e di conseguenza non riescono a modificare gli aspetti clinici legati alle esperienze di stress traumatico. Il programma terapeutico di Wolpe per l'introduzione dell'EMDR si è focalizzato inizialmente sull'esperienza traumatica della violenza (2 sedute) e dopo aver elaborato l'esperienza in sé sono stati individuati altri bisogni terapeutici legati all'ansia sociale e agli spunti agorafobici. Le 5 sedute successive sono state utilizzate per la desensibilizzazione di una serie di situazioni a cui era stato attribuito dalla paziente un valore della scala SUD. Si è iniziato dalla situazione più ansiogena (85) nella scala SUD e anziché utilizzare il rilassamento proprio della desensibilizzazione sistematica, sono stati realizzati movimenti oculari. La paziente riportava una riduzione dell'ansia dopo ogni set di stimolazione bilaterale e l'immagine della situazione temuta tendeva a sparire e in alcune situazioni addirittura diventava positiva. La ristrutturazione cognitiva è avvenuta nella paziente in modo spontaneo man mano che la terapia procedeva, fino a riportare che poteva camminare per strada sentendosi una cittadina normale, avendo un progetto per il futuro, inoltre aveva smesso quasi completamente di bere e si sentiva che un peso si era sollevato dalle sue spalle. Riportava di essere più rilassata sul lavoro, si godeva le passeggiate solitarie sulla spiaggia, aveva cominciato a curare il suo aspetto fisico e aveva iniziato ad avere interesse per gli uomini e ad avvicinarsi a qualcuno, ha riportato che non temeva più di essere violentata e non aveva più i pensieri suicidi e gli autori hanno ritenuto la terapia conclusa. I risultati si sono mantenuti ai vari follow up realizzati nel tempo. Quindi possiamo vedere i risultati della terapia con EMDR a livello cognitivo, nelle attribuzioni che fa del mondo e di se stessa, differenziando i pericoli veri da quelli meramente ansiogeni, soggettivo per quello che la paziente riporta emotivamente e a livello comportamentale, dove ha messo in atto dei nuovi comportamenti adattivi in modo spontaneo. Nella parte conclusiva gli autori menzionano una serie di 100 casi che sarebbero stati pubblicati nel Journal of Behaviour Therapy and Experimental Psychiatry e si augurano che altre pubblicazioni potessero rispondere al bisogno di delucidare i meccanismi che permettono questi cambiamenti dopo una seduta di EMDR. Come si evince dagli articoli che vengono pubblicati in questo numero la ricerca, il lavoro empirico e le osservazioni cliniche hanno dato un grande contributo in questo senso negli ultimi anni. Sull'EMDR sono stati pubblicati più di 150 articoli che ne dimostrano la efficacia. Tra le riviste scientifiche più accreditate dove sono pubblicati dei lavori di ricerca sull'EMDR troviamo: Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behaviour and experimental psychiatry, Behavioural and Cognitive psychotherapy, Behaviour Therapy, Journal of traumatic stress, The Clinical Psychologist, Journal of Psychotherapy integration, Harvard Mental Health letter, Journal of Clinical psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Inoltre, sono stati pubblicati libri e manuali per terapeuti tradotti in varie lingue (in Italia dall'Astrolabio e dalla Mc Graw Hill Italia). Inoltre, recentemente, l'International Society for Traumatic Stress Studies (ISTSS) ha stabilito e comunicato che l'EMDR è uno dei metodi terapeutici più rapidi ed efficaci per superare e risolvere il disturbo post-traumatico da stress.

The article by J. Wolpe, J. Abrams has a case treated in 1991 with Eye Movement Desensitization (EMD), were the first clinical applications since the discovery of F. Shapiro in 1989 of the eye movements on traumatic stress and anxiety-provoking situations. In subsequent years the EMD became EMDR, in fact, the first effect is the desensitization that occurs during a session where the stimulation is applied bilaterally, but then observing massive and thorough clinical effects of this therapy revealed that the process that takes place is much more complex. It was noted that desensitization occurs simultaneously with a cognitive restructuring, and that both are the result of information related to traumatic memories. In work done with the patient Shirley, Wolpe describes the history of therapies that had been subjected up to that point but had failed to address and resolve the traumatic experience of sexual violence. EMDR was effective because he worked on the neurophysiological level, where information is stored in a dysfunctional and is accessible only at this level, in fact, purely verbal therapies are not always able to access and act on this plan and therefore can not modify the clinical aspects related to the experience of traumatic stress. The treatment plan for the introduction of Wolpe EMDR focused initially traumatic experience of violence (2 sessions) and after processing the experience itself more therapeutic needs were identified related to social anxiety and agoraphobic cues . 5 The subsequent sessions were used for the desensitization of a variety of situations to which the patient was given a value of SUD scale. It was started by the most anxiety-inducing situation (85) in the scale instead of using SUD and their relaxation in systematic desensitization, eye movements were made. The patient reported a reduction in anxiety after each set of bilateral stimulation and the image of the feared situation, and tended to disappear in some situations even became positive. The cognitive restructuring has taken place in the patient spontaneously as the therapy progressed, he could bring up to walk down the street feeling like a normal citizen, having a vision for the future, also had almost completely stopped drinking and felt that a weight had lifted from his shoulders. Reported to be more relaxed at work, enjoyed solitary walks on the beach, he began to treat her physical appearance and had started to have interest to men and to approach someone, reported that no longer feared being raped and not had more suicidal thoughts and the authors have considered the therapy ended. The results were maintained at various follow-up made in time. So we can see the results of EMDR therapy at the cognitive level, which is within the functions of the world and of itself, differentiating the real dangers than mere anxiety, subjective to what the patient experiences emotional and behavioral level, where he implemented of new adaptive behaviors in a spontaneous way. In the concluding section the authors refer to a series of 100 cases were published in the Journal of Behavior Therapy and Experimental Psychiatry and hope that other publications might respond to the need to elucidate the mechanisms that allow these changes after a session of EMDR. It is clear from articles published in this issue the research, the empirical work and clinical observations have given a great contribution in this direction in recent years. EMDR has been published over 150 articles which demonstrate its effectiveness. Among the most accredited scientific journals which are published on EMDR research work are: the Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behavior and Experimental Psychiatry, Behavioural and Cognitive Psychotherapy, Behaviour Therapy , Journal of Traumatic Stress, The Clinical Psychologist, Journal of Psychotherapy Integration, Harvard Mental Health Letter, American Journal of Clinical Psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Were also published books and manuals for therapists translated into several languages (in Italy and the McGraw Hill dall'Astrolabio Italy). In addition, recently, the International Society for Traumatic Stress Studies (ISTSS) has established and communicated that EMDR is one of the fastest and most effective treatment methods to overcome and resolve the post-traumatic stress disorder.

Keywords: Practice Theory

Accuracy Verified: Yes

131. de Jongh, A., & ten Broeke, E. (2010, January). Eye movement desensitization and reprocessing (EMDR). Bijblijven, 26(1), 15-20. doi:10.1007/s12414-010-0004-5 .

Language: Dutch

Format: Journal

Abstract:
EMDR is een geprotocolleerde, evidence-based behandelprocedure gericht op het ‘desensitiseren’ – verzwakken – van herinneringen aan beschadigende gebeurtenissen. Volgens de Multidisciplinaire richtlijn Angststoornissen uit 2003 is EMDR één van de twee meest in aanmerking komende psychologische interventies bij de posttraumatische stressstoornis (PTSS). Een belangrijk voordeel ten opzichte van andere behandelmethoden is de snelheid waarmee resultaten worden bereikt. Daarnaast ervaren veel patiënten en therapeuten EMDR als relatief weinig emotioneel belastend. Wij zullen de behandelaanpak illustreren aan de hand van twee casussen en informatie verschaffen over verwijzing, opleiding, beroepsvereniging en kwaliteitsbeleid.

EMDR is a manualized, evidence-based treatment procedure aimed at 'desensitisation' - weaken - memories of damaging events. According to the Anxiety Disorders Multidisciplinary guideline in 2003, EMDR is one of the two most appropriate psychological interventions for posttraumatic stress disorder (PTSD). An important advantage over other treatment methods is the speed of results. In addition, many patients experienced EMDR therapists and have relatively low emotionally stressful. We will illustrate the treatment approach using two case studies and information about referral, education, professional associations and quality.

Keywords: Practice Theory

Accuracy Verified: Yes

132. Reyes, M. A. (1999, October). The eye movement desensitization and reprocessing (EMDR) program: intervention for children with posttraumatic stress disorder. Carlos Albizu University, Miami, FL. AAT 9925128.

Language: English

Format: Dissertation/Thesis

Abstract:
This dissertation examines research pertaining to the diagnosis and characteristics of childhood Posttraumatic Stress Disorder (PTSD), natural disasters, and Eye Movement Desensitization and Reprocessing (EMDR) theory and technique in children. In addition, the effectiveness of EMDR theory and technique related to childhood PTSD is reviewed. The purpose of this study is to develop a program within a school setting suitable for children diagnosed with PTSD as a result of having witnessed, confronted, or experienced a natural disaster. The program is referred to as the EMDR Program or the Eye Movement Desensitization and Reprocessing Program. An attempt was made to be like no other programs related to children and natural disasters researched. The program's goal is to design a program that investigates the effectiveness of EMDR theory and technique related to children who have developed PTSD as a result of being exposed to a hurricane, tornado, flood, earthquake, or fire. The objectives of this program include creating a safe environment in order to help children reprocess their traumatic experiences within a short period of time utilizing EMDR with age appropriate alterations as suggested by Shapiro (1995) and Greenwald (1997). The philosophy of this program is based on an Accelerated Information Processing Model. The EMDR program established an admission criteria and a means of monitoring the progress of each child. An evaluation and budget were also proposed as a guide, were this design be implemented. Overall, it was believed that by utilizing EMDR with age appropriate alterations, the EMDR program would help children overcome their PTSD symptoms related to their traumatic experiences involving natural disasters within a short period of time. (Abstract shortened by UMI.) (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(4-B), Oct 1999, pp. 1869.

Keywords: Children Natural Disasters Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness

Accuracy Verified: Yes

133. Luber, M. (2012). Eye movement desensitization and reprocessing (EMDR) scripted protocols with summary sheets CD-ROM version: Basic and special situations. New York, NY: Springer Publishing, ISBN-13:9780826193414.

Language: English

Format: Book

Abstract:
These scripted protocols and summary sheets in a fill-in PDF format offer the EMDR practitioner an adjunct to the chapters of Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: Basics and Special Situations. The excerpted digitalized scripts give the clinician a unique opportunity to record data on the computer or as a hard copy. In addition, there are new summary sheets for each chapter to condense the data collected, allowing for quick retrieval. These digital scripts and summary sheets assist in protocol information retrieval for different populations, and facilitate the gathering and organization of important client data, as well as case conceptualization. These forms are available as a digital download or on a CD-ROM and are compatible with any computer or device that supports PDF. Special populations addressed include children, adolescents, couples, and clients suffering from complex posttraumatic stress disorder, dissociative disorders, anxiety, addictive behaviors, and severe pain. Key Features: •Available in an expandable and editable digital format for easy access and customized tailoring •Provides concise summary sheets for quick information retrieval and case conceptualization •Facilitates gathering and organization of protocol and client data •Assists in the formulation of concise and clear treatment plans •Offers select scripts and summary sheets customized for client populations •Includes templates for repeat use

Keywords: Scripted Protocols Special Populations Summary Sheets

Accuracy Verified: Yes

134. Derksen, M. T., & Baeten, B. M. (2009). Eye movement desensitization and reprocessing in de ziekenhuispsychiatrie: Een stap voorwaarts [Eye movement desensitization and reprocessing in hospital psychiatry: A step forward]. Tijdschrift voor Psychiatrie, 51(3).

Language: Dutch

Format: Journal

Abstract:
EMDR (eye movement desensitization and reprocessing) is een intensieve vorm van psychotherapie voor mensen die last houden van de gevolgen van een schokkende ervaring. Een deel van de getroffenen 'verwerkt' deze ervaringen op eigen kracht. Anderen ontwikkelen psychische klachten. Juist deze klachten in het hier en nu als gevolg van een schokkende gebeurtenis in het verleden maken de gebeurtenis tot een traumatische gebeurtenis. In 1993 werd emdr in Nederland geïntroduceerd. Na een bloeiende ontwikkeling onder therapeuten die werken met getraumatiseerde patiënten en tegelijkertijd veel wetenschappelijke scepsis, is emdr tegenwoordig vastgesteld als behandeling van eerste keus voor posttraumatische stressstoornis (ptss). In de afgelopen jaren werd de procedure verfijnd en evolueerde zij tot een volwaardige therapeutische behandelmethode met protocollen voor verschillende vormen van traumagerelateerde psychopathologie zoals ptss, fobieën, rouw, pijnstoornis, paniekstoornis, somatoforme stoornis en verslaving. Het is een snelle, effectieve therapievorm die zelfstandig of aanvullend binnen de behandeling kan worden gebruikt. Vorm: Tijdens deze workshop wordt de emdr-procedure in hoofdlijnen uiteengezet. De bijzondere kenmerken en effecten van emdr worden besproken en geïllustreerd met videobeelden van behandelingen van patiënten met traumatische ervaringen in de levensgeschiedenis. Het toepassingsgebied wordt besproken zodat adequaat verwezen kan worden. Er is tijd voor vragen en een interactieve discussie. Leerdoel: (1) Kennis van de emdr-procedure; (2) kennis van de plaats van emdr binnen de psychotherapie; (3) inzicht in de indicatiestelling van emdr; (4) inzicht in het nut voor psychiaters zich de emdr-methode eigen te maken als welkome aanvulling op bestaande psychotherapieën.

EMDR (Eye Movement Desensitization and Reprocessing) is an intensive form of psychotherapy for people to suffer from the effects of a shocking experience. Some of the victims 'process' these experiences on their own. Others develop psychological problems. Precisely these problems in the here and now because of a shocking event in the past to make the event a traumatic event. In 1993, EMDR was introduced in the Netherlands. After a thriving development among therapists working with traumatized patients, while many scientific skepticism, EMDR is now established as the treatment of choice for post-traumatic stress disorder (PTSD). In recent years, the procedure was refined and evolved it into a valuable therapeutic approach with protocols for various forms of trauma related psychopathology such as PTSD, phobias, grief, pain disorder, panic disorder, somatoform disorder and addiction. It is a fast, effective form of therapy on their own or within the additional treatment may be used. This workshop will form the EMDR procedure guidelines put out. The particular characteristics and effects of EMDR are discussed and illustrated with video images of treatment for patients with traumatic experiences in the life. The scope is to be discussed so that appropriate reference. There is a time for questions and interactive discussion. learning goal (1) Knowledge of the EMDR procedure, (2) knowledge of the location of EMDR in psychotherapy, (3) understand the indications for EMDR, (4) perceptions of the usefulness of psychiatrists to the EMDR method to own make a welcome addition to existing psychotherapies.

Keywords: Hospital Psychiatry

Accuracy Verified: Yes

135. Hudson, J., Chase, E., & Pope, H. (1998, January). Eye movement desensitization and reprocessing in eating disorders: Caution against premature acceptance. International Journal of Eating Disorders, 23(1), 1-5.

Language: English

Format: Journal

Abstract:
Objective: Eye movement desensitization and reprocessing (EMDR) has been claimed effective in the treatment of a wide variety of psychiatric disorders, including eating disorders. An informal survey suggests that EMDR is now widely offered to patients with eating disorders. Before accepting a new therapy such as EMDR, one must determine that its benefits outweigh its adverse effects. This paper reviews the literature in an attempt to assess the benefits and risks of the use of EMDR in the treatment of eating disorders. Method: We reviewed the literature on the use of EMDR to treat eating disorders and other conditions. Results: Looking at the question of its benefits, we were unable to find any methodologically sound studies that have shown efficacy for EMDR in eating disorders, or, indeed, any psychiatric disorder. We were also unable to find a sound theoretical basis for expecting EMDR to be effective. In addition, EMDR may have adverse effects. First, EMDR is sometimes used in conjunction with efforts to "recover" memories of traumatic events. But "recovered memory" therapy may carry a risk of inducing potentially harmful false memories. Second, use of EMDR may prevent or delay other therapies of established efficacy for eating disorders, such as cognitive behavioral therapy and antidepressants. Discussion: In light of the findings of our review, the risk/benefit ratio of EMDR does not as yet encourage its widespread acceptance.

Keywords: Eating Disorders Literature Review

Accuracy Verified: Yes

136. Tufnell, G. (2005, October). Eye movement desensitization and reprocessing in the treatment of pre-adolescent children with post-traumatic symptoms. Clinical Child Psychology and Psychiatry, 10(4), 587-600. doi:10.1177/1359104505056320.

Language: English

Format: Journal

Abstract:
This article describes the treatment of PTSD using eye movement desensitization and reprocessing (EMDR) with four pre-adolescent children. EMDR has been shown to bring rapid relief in adults with PTSD. Studies are beginning to show that it can also be useful in work with young children. However, the standard protocol requires some adjustment to make it suitable for use with young children. In addition, in situations where children have complex difficulties in addition to PTSD, EMDR may need to be used alongside other interventions within a complex treatment package. This study describes brief work carried out with four pre-adolescent children with PTSD. Three of these children had received no treatment despite suffering from significant and chronic symptoms for some years. One had suffered a recent traumatic bereavement. All had additional problems that required intervention. EMDR was used as part of a multimodal treatment package. In all cases, the children's PTSD symptoms resolved within 2-4 sessions of EMDR. The maximum total number of sessions was 7. The children's symptomatic improvements were maintained at 6-month follow-up. EMDR can be adapted for use with pre-adolescent children. It can provide rapid and lasting symptomatic relief. EMDR can be a useful part of a multi-modal treatment package for young children with PTSD and additional mental health problems. [Author Abstract]

Keywords: Brief Psychotherapy Clinical Case Study Energy Psychotherapy Posttraumatic Stress DIsorder Psychotherapeutic Processes PTSD Stressors Survivors

Accuracy Verified: Yes

137. Gosselin, P. W. (1994). Eye movement desensitization and reprocessing in the treatment of test anxiety: A study of the effects of eye movement and expectancy on the procedure's results. University of Massachusetts Amherst. AAT 9420630.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing, abbreviated EMDR, is a recently discovered technique acclaimed as a major breakthrough for the reduction of anxiety. Numerous anecdotal studies have been presented showing the efficacy of EMDR. There are currently no published studies investigating use of EMDR specifically for test anxiety. The purpose of this study was to use the EMDR technique to study its efficacy for test anxiety. This study also examined whether or not high and low expectancy conditions significantly affected scores on post-session anxiety ratings. In addition, the procedure was used with and without eye movement to see whether or not eye movement was a critical factor in eliciting positive change in anxiety ratings. A single session of approximately one hour was conducted individually with 41 subjects, college students reporting test anxiety. The subjects were randomly assigned to one of four conditions reflecting varying combinations of eye movement and expectancy conditions. A 2 x 2 analysis of variance was conducted for expectancy and eye movement factors on two dependent measures. These measures were Subjective Units of Disturbance Scale (SUDs) and the Test Anxiety Inventory (TAI). Results of the study show a significantly greater amount of reduction in the SUDs using the eye movement supporting the hypothesis that eye movement is critical to the efficacy of EMDR. No other statistically significant main effects or interactions were found with measuring the SUDs or TAI. However, it should be noted that all groups showed substantial reductions in post-treatment TAI scores. The expectancy conditions presented to subjects also had no measureably significant effects. There was anecdotal support of the power of the eye movement but no significant behavioral changes other than the reduction in SUDs. It was concluded that EMDR is worthy of further study with larger samples of the test anxious population. Further study may want to use EMDR in conjunction with other techniques and for more than one session.

Keywords: Test Anxiety

Accuracy Verified: Yes

138. EMDR International Association (EMDRIA) (2012, October 7). Eye movement desensitization and reprocessing international association response to the Institute of Medicine report on “Treatment for posttraumatic stress disorder in military and veteran populations: Initial assessment”. EMDRIA. Retrieved from http://www.emdria.org/associations/12049/files/EMDRIA%20IOM%20Response.pdf on 10/19/2012.

Language: English

Format: Other

Abstract:
In response to the Institute of Medicine’s (IOM) July 2012, publication, Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Initial Assessment, the Eye Movement Desensitization and Reprocessing International Association (EMDRIA) applauds the IOM for its leadership role in calling for the use of evidence-based methods for treatment of posttraumatic stress disorder (PTSD) and for advocating stepped-up research on therapies for war stress injuries, with an appropriate recognition of the urgency required.
We do, however, see errors and omissions in the portrayal of eye movement desensitization and reprocessing (EMDR) therapy in the IOM reports; we believe that the misrepresentation of EMDR in the 2008 document unfortunately has been perpetuated in the 2012 Initial Assessment. We are concerned that these misunderstandings will be incorporated as Phase 2 of this study proceeds; thus we are providing you with information with the hope that these inaccuracies can be addressed and corrected. This would positively impact further research on the treatment of PTSD. In the following, we have identified several specific statements in the IOM report that misquote or misrepresent the original EMDR research papers. The inaccuracy of the quotes are serious enough to bias the conclusions of the IOM report and call into question the validity of the document.
In addition, we want to highlight the fact that the original IOM report on PTSD called for randomized clinical trials (RCT) to further evaluate EMDR (IOM, 2008), but this recommendation has not been implemented. It is our hope that our response will encourage the IOM to address this lack of follow through and advocate for randomized clinical trials to test the efficacy of all the evidence-based therapies.

Keywords: Institute of Medicine Report IOM Report Military Posttraumatic Stress PTSD

Accuracy Verified: Yes

139. Shapiro, F., Vogelmann-Sine, S., & Sine, L. F. (1994, October-December). Eye movement desensitization and reprocessing: Treating trauma and substance abuse. Journal of Psychoactive Drugs, 26(4), 379-391.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a new psychological methodology that has been applied to a wide range of psychological disorders. Clinical reports over the past three years indicate that it is an important addition to the treatment of substance abuse. EMDR offers a structured, client-centered model that integrates key elements of intrapsychic, behavioral, cognitive, body-oriented, and interactional approaches. Treatment effects are quite rapid and, during an individual session, the therapist may witness accelerated processing of information involving a shift of cognitive structures (including the assimilation of positive beliefs) along with the desensitization of attendent traumata. The application of EMDR apparently stimulates an inherent physiological processing system that allows dysfunctional information to be adaptively resolved, resulting in increased insight and more functional behavior. The judicious use of EMDR includes a comprehensive client history and extensive preparation, allowing the client to deal with the high levels of disturbance often engendered by the treatment itself. After the inauguration of a sufficient therapeutic alliance, adequately addressing potential issues of secondary gain, and appropriate client stabilization, EMDR may be used to ameliorate the effects of earlier memories that contribute to the dysfunction, potential relapse triggers, and physical cravings. In addition, EMDR is used to incorporate new coping skills and assist in learning more adaptive behaviors. Other potential targets for reprocessing include treatment noncompliance, ambivalence about abstinence, and present crises. Finally, EMDR should be used on this clinical population only by a trained clinician who is educated and experienced with this problem area. [Author Abstract]

Keywords: Adults Drug Abuse Psychotherapeutic Processes Stressors Survivors

Accuracy Verified: Yes

140. Devilly, G. J. (2002, Fall-Winter). Eye movement desensitization and reprocessing: A chronology of its development and scientific standing. The Scientific Review of Mental Health Practice, 1(2), 113-138.

Language: English

Format: Journal

Abstract:
The development of eye movement desensitization and reprocessing (EMDR) has been hotly debated, with rhetoric often being posited as evidence either for or against the technique. This paper aims to provide a brief overview of the procedure, a critical review of the studies completed to date, a meta-analytic review of the available data, and a chronology of the evolution of EMDR over the past 10 years. Treatment-outcome studies were of such disparate quality-even studies meeting similar broad criteria-that combining their results in a meta-analysis was of very questionable value. Overall, an appraisal of the published research supported the following conclusions: (1) There is overwhelming evidence that eye movements are neither a necessary nor a useful addition to the procedure; (2) there is strong and consistent evidence that EMDR is better than no treatment, yet only as good as any other treatment that utilizes some aspect of exposure therapy; and (3) there is strong evidence that a full-exposure-based intervention package is superior to EMDR. There is also some evidence that "reprocessing" is likewise superfluous to EMDR and that the effects of EMDR dissipate over time. It is also concluded that the current debate cannot be entirely settled through scientific investigation due to the rapid and constant reshaping of what constitutes EMDR, the similarity to extant alternative methods, and the lack of a falsifiable theory underpinning the procedure. [Author abstract]

Keywords: Chronology Research Science

Accuracy Verified: Yes

141. Rose, L. (2012). Eye movement desensitization and reprocessing: An exploration from science to soul. Pacifica Graduate Institute, Carpinteria, CA. 1507791.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a treatment for trauma that has been approached primarily from cognitive-behavioral and neurobiological perspectives. This thesis explores the notion that much of EMDR's effect in the way of transformation and healing trauma is due to its ability to provoke imagination. The possibility of EMDR's connection with the imaginal faculty of the psyche is investigated with an emphasis on the qualities of EMDR that are grounded in depth psychology principles. Trauma and the importance of imagination in the healing process are discussed from the approach of the analytical and archetypal schools of psychology in addition to current bioscience perspectives. The research methodology used is alchemical hermeneutics, which facilitates the mining of unconscious material through transference dialogues. The thesis demonstrates that EMDR, when practiced within the context of depth psychology, is one avenue for activating significant, transformative imagery and accessing the unconscious to facilitate healing.

Keywords: Archetype Biological Sciences Dream

Accuracy Verified: Yes

142. Solomon, R. M., & Kaufman, T. E. (1994, March). Eye movement desensitization and reprocessing: An effective addition to critical incident treatment protocols. Presentation at the 14th annual meeting of the Anxiety Disorders Association of America, Santa Monica, CA.

Language: English

Format: Conference

Keywords: Critical Incident Recent Events

Accuracy Verified: Yes

143. Boudewyns, P. A., Stwertka, S. A., Hyer, L. A., Albrecht, J. W., & Sperr, E. V. (1993, February). Eye movement desensitization for PTSD of combat: A treatment outcome pilot study. the Behavior Therapist, 16(2), 29-33.

Language: English

Format: Newsletter

Abstract:
The purpose of this study is to evaluate the short-term effectiveness of eye movement desensitization (EMD) in reducing negative affect associated with traumatic memory in PTSD patients. In addition to evaluating the general efficacy of the EMD technique, we were also interested in controlling for the possible contribution of an exposure effect in accounting for any positive outcome. Shapiro finds that the technique can be effective in only one session. The present study uses two sessions of EMD offered to veterans diagnosed with combat-related PTSD. [Adapted from Text, p. 30]

Keywords: Americans Combat Posttraumatic Stress Disorder Psychobiology Psychophysiology PTSD Treatment Effectiveness Veterans Vietnam War

Accuracy Verified: Yes

144. Datta, P. C. (1995). Eye movement desensitization reprocessing (EMDR) and clinical hypnosis (CH): Possible role of melatonin in the attenuation of trauma. In G. D. Burrows & R. Stanley, (Eds.) Contemporary International Hypnosis, Proceedings of the XIIIth International Congress of Hypnosis, Melbourne, Australia, August 6-12, 1994 (pp. 177-188). New York: Wiley.

Language: English

Format: Book Section

Abstract:
Eye movement desensitization and Reprocessing (EMDR), also called by some EMD or EMD/R, is a relatively new therapeutic procedure. This therapeutically beneficial procedure was originally designed and envisaged for the treatment of post-traumatic stress disorder (PTSD) by Dr. Francine Shapiro (Shapiro, 1989, a,b). Various subsequent studies showed that -4 sessions (ach of ½ to 2 hrs duration) of EMDR are effective in significantly reducing the traumatic memories and associated anxiety to negligible levels (Lipke & Botkin, 1992; Shapiro, 1989 a,b; Spector & Huthwaite, 1993). There are, however, scanty reports of lack of treatment outcome with EMDR which has been explained by the client’s lack of cooperation in following the procedure or the therapist’s lack of experience (Lipke & Botkin, 1992). Similar reports are available with many other effective therapeutic procedures including clinical hypnosis (CH), mainly where there is “fear of failure” or “anxiety to succeed” present in the client’s mind, in addition to lack of experience of the therapist (Hartland, 1982).

Keywords: Hypnosis Melatonin

Accuracy Verified: Yes

145. Alatalo, G. L. (1994). Eye-movement desensitization and reprocessing: A new treatment for trauma. Spalding University, Louisville, KY. AAT 9522299.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye-movement desensitization and reprocessing (EMDR) has been hailed as a new experimental treatment for survivors of trauma that can provide rapid relief from the debilitating symptoms associated with PTSD. EMDR's efficacy reportedly stems from the use of eye-movements that are postulated to stimulate physiological changes in brain activity to produce cognitive restructuring and desensitization of emotional discomfort. This novel procedure has become more prominent with reported benefits for an increasing range of clinical applications. Since there is minimal controlled research, especially in a civilian population, on psychological methods to treat the ill effects of trauma and because EMDR has limited empirical support, further controlled investigation was warranted to supplement this limited body of scientific knowledge.Consequently, the specific goals of this controlled study were to evaluate (1) the efficacy of EMDR in the treatment of civilian trauma survivors, (2) whether or not eye-movements are instrumental to the therapeutic process, and (3) the treatment impact on intrusive and avoidant symptoms. It was hypothesized that (1) an EMDR treatment group would demonstrate greater efficacy when compared to an Alternative group which followed the same treatment protocol except for the substitution of deep breathing for the eye-movements, (2) both the EMDR and Alternative treatments would show significant improvement over a Control group, and (3) there would be similar changes in intrusive and avoidant symptoms. Findings at two month follow-up indicated the EMDR group had significant reductions in intrusive/avoidant symptoms (using the Impact of Event Scale), decreased emotional discomfort related to traumatic memories (rated by Subjective Units of Distress), and improvements in positive self-evaluations (measured by the Validity of Cognition Scale). There were similar results in the Alternative group with the exception of no significant improvement in self-evaluation. This latter finding provides some support for the hypothesis that eye-movements facilitate a cognitive restructuring. Comparisons between the EMDR and Alternative treatments, however, found no significant differences on any of the dependent measures. That is, both treatments appeared to produce comparable positive results which implied eye-movements were no more effective than deep breathing. In addition, both treatments were found to be more effective in easing intrusive symptoms. Other similarities included observable relaxation reactions in both treatments. These overall findings imply a similar change mechanism. Therefore, the efficacy of EMDR may stem more from reciprocal inhibition rather than a cognitive restructuring induced by the eye-movements. If this is valid, then EMDR may be a variant of systematic desensitization. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(3-B), Sep 1995, pp. 1690

Keywords: Americans Avoidance Cognitive Impairment Empirical Study Intrusive Thoughts Longitudinal Study Self Concept Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

146. Shusta-Hochberg, S. (2011, November). Fairy tales and singing bowls: Creatively augmenting adult trauma treatment. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec .

Language: English

Format: Conference

Abstract:
Trauma work requires intense and often protracted effort for therapists and patients alike. While talk therapy to address trauma, empower patients and reduce maladaptive behaviors is a cornerstone of trauma therapy, sometimes it is insufficient. If a patient becomes destabilized during a session, we will need to employ containment or grounding techniques. When the work hits an impasse, we may spark new energy and momentum by introducing an adjunctive technique. Hypnosis and EMDR can be used in various effective ways, and there are many other interventions worth considering. Some adult trauma survivors find that symbolic play with toys or games enables them to work better in session. Several of my patients have found comfort from interventions such as sharing and discussing classic fairy tales and other readings or ringing a Tibetan singing bowl in session. While some interventions are stabilizing, others are perturbing or instigating, bringing up new material to explore. This paper will discuss varying interventions the therapist can utilize that can calm, energize, contain or provoke insights, or provide access to deeper material needed for therapeutic healing. Judicious use of adjunctive alternative referrals such as craniosacral or chiropractic treatment, music and art therapy will be discussed as well. Learning Objectives: 1) Participants will be able to assess skills and/or materials they have now that could be utilized in this supplemental way: art skills, musical skills or aids such as Tibetan singing bowls, aromatherapy aids such as candles, essential oils or incense; or consider techniques they might like to employ in therapy. 2)Participants will be able to determine which of their current trauma patients might benefit from the addition of supplemental techniques in treatment or from referrals to outside professionals for adjunctive treatment such as art or music therapy, or for bodywork such as craniosacral treatment. 3) Participants will be able to identify opportunities to utilize new interventions in a treatment such as impasses, stalemates, prolonged repeat of narratives without progress, and helping an unstable patient contain affect, achieve relief from agitation or move from a highly dysphoric state.

Accuracy Verified: Yes

147. Taylor, R. J. (2003, September). Family unifications with reactive attachment disorder: Children – A brief treatment approach. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
This presentation will discuss the symptomology of reactive attachment disorder in children and the effects on the family. In addition, the presentation will focus on the treatment mileau of Eye Movement Desensitization and Reprocessing (EMDR) and how it may be used in the treatment of reactive attachment disorder in children. The discussion also will include a case study of a family with a child age 8 with reactive attachment disorder and the subsequent individual and family therapy. Treatment of choice was EMDR for the child and supportive therapy for the parents. Qualitative evaluation of the process demonstrated that the parents observed an instant changing in the child's attitude. The child reported that she felt better about herself, family, school, and truthfulness. Her statement about the therapy: "It opened a windown for me." In relation to outcomes, a 12 and 24-month evaulation demonstrated continued positive effects. The importance of working with the family in understanding the dynamics of reactive attachement disorder and how improvement occurs will be discussed. Objectives of the session will be to give clinical information to practitioners about children with reactive attachment disorder, how this disorder affects the family, and possible therapeutic intervention techniques to open a diaglogue that will lead to understanding children who are in treatment.

Keywords: Attachment Disorders Educational Counseling Family Therapy Family Unification Individual Psychotherapy Parent Child Relations RAD Reactive Attachment Disorder Treatment

Accuracy Verified: Yes

148. Mankuta, D., Aziz-Suleyman, A., Yochail, L., & Allon, M. (2012, November). Field evaluation and treatment of short-term psycho-medical trauma after sexual assault in the Democratic Republic of Congo. Israel Medical Assocation Journal, 14, 653-657.

Language: English

Format: Journal

Abstract:
Background: During the horrific war in the Democratic Republic of Congo during the years 1996–2007 the number of casualties is estimated to be 5.4 million. In addition, 1.8 million women, children and men were raped, many as a social weapon of war. Many of these women still suffer from post-traumatic stress disorder (PTSD) and mutilated genitals. Objectives: To assess a short-term interventional team for the evaluation and treatment of sexual trauma victims. Methods: The intervention program comprised four components: training the local staff, medical evaluation and treatment of patients, psychological evaluation and treatment of trauma victims, and evacuation and transport of patients with mutilated genitals. A diagnostic tool for posttraumatic stress disorder (PTSD) – the Impact Event Scale (IES) – was used. The psychological treatment was based on EMDR (eye movement desensitization and reprocessing) principles. Using questionnaires, the information was obtained from patients, medical staff and medical records. Results: Three primary care clinics were chosen for intervention. Of the 441 women who attended the clinics over a period of 20 days, 52 women were diagnosed with severe PTSD. Psychological intervention was offered to only 23 women because of transport limitations. The most common medical problems were pelvic inflammatory disease and secondary infertility. Nine patients suffered genital mutilation and were transferred for surgical correction. The 32 local nurses and 2 physicians who participated in the theoretical and practical training course showed improved knowledge as evaluated by a written test. Conclusions: With the short-term interventional team model for sexual assault victims the combined cost of medical and psychological services is low. The emphasis is on training local staff to enhance awareness and providing them with tools to diagnose and treat sexual assault and mutilation.

Keywords: Congo IES Impact of Event Scale Sexual Assault Trauma Violence

Accuracy Verified: No

149. de Jongh, A. (2010, April). Fijne kneepjes bij angsten en fobieën [Intricacies of fears and phobias]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.

Language: Dutch

Format: Conference

Abstract:
De fijne kneepjes van het behandelen van angsten- en fobieën Een fobie is de meest voorkomende psychische aandoening. Het hebben van een dergelijke angst is vervelend en degene die er last van heeft wordt vaak behoorlijk beperkt in het dagelijks functioneren. Omdat angsten meestal ontstaan als gevolg van gebeurtenissen blijkt EMDR – middels het op therapeutische wijze beïnvloeden van de kennisbestanden die daaraan ten grondslag liggen - een bijzonder geschikte behandelaanpak. Deze workshop is bedoeld voor ervaren therapeuten die hun reikwijdte ten aanzien van behandeling van patiënten met een angst of fobie - al dan niet met behulp van EMDR - verder wil vergroten. De deelnemers krijgen naast tips en ideeën, een nieuwe vorm van casusconceptualisatie en targetselectie aangereikt die vooral bij patiënten met veel vermijdingstendenties effectief is. Daarnaast wordt uitgelegd hoe cognitieve gedragstherapeutische interventies behulpzaam kunnen zijn om de patiënt voor te bereiden op - of te laten wennen aan – toekomstige, potentieel moeilijke confrontaties met de fobische stimulussituatie. Het aangeleerde materiaal - dat wordt ondersteund door videobeelden uit de praktijk - kan direct in de praktijk worden toegepast. Aan de orde komen een grote variëteit aan voorbeelden van behandelingen van patiënten met fobische problematiek: braakfobie, tandartsfobie, stikfobie, kattenfobie en bloed-letsel-injectiefobie. De workshop is geschikt voor behandelaars, zowel op het terrein van volwassenen als kinderen en jeugd. Het doel van de workshop is deelnemers na de workshop in staat te stellen om: ● fobische problematiek te conceptualiseren in termen van EMDR ● gebruik te maken van een nieuwe methode van casusconceptualisatie en targetselectie voor het behandelen van angsten en fobieën ● de verschillende effectieve componenten van een EMDR behandeling aan te wenden en te integreren (cognitive interweaves, future template, mental video etc.) ten behoeve van de behandeling van angsten en fobieën ● EMDR te combineren met diverse evidence based interventies zoals, copingstrategieën (bijvoorbeeld bij injectiefobie) gedragsexperimenten (bijvoorbeeld bij stikfobie) en applied tension (bij bloed-letsel-injectiefobie)

This workshop is designed for experienced therapists who range in relation to treatment of patients with a fear or phobia - or not using EMDR - continue to increase. Participants receive tips and ideas in addition, a new form of target selection and casusconceptualisatie handed mainly in patients with many avoiding tendencies effective. Besides explaining how cognitive behavioral interventions may be helpful to the patient to prepare for - or get used to - future, potentially difficult confrontation with the phobic stimulussituatie. The learned material - supported by video footage from the ground - straight into practice. It discusses a variety of examples of treatments of patients with phobic problem: empty phobia, dentist phobia, phobia sewing, cats phobia and blood-injection-injury phobia. The workshop is suitable for therapists, both in the field of adults and children and youth. The aim of the workshop participants after the workshop to allow for: ● phobic to conceptualize problems in terms of EMDR ● Using a new method of target selection and casusconceptualisatie to treat fears and phobias ● the various components of an effective EMDR treatment to use and integrate (cognitive interweaves futures template, mental video etc.) for the treatment of fears and phobias ● EMDR combined with various evidence based interventions such as coping strategies (eg injection phobia) behavioral experiments (eg nitrogen phobia) and Applied tension (In blood-injection-injury phobia)

Keywords: Fears Phobias

Accuracy Verified: Yes

150. Cahill, S., & Frueh, C. (1997, September-October). Flooding versus eye movement desensitization and reprocessing therapy: Relative efficacy has yet to be investigated -- comment on Pitman et al (1996). Comprehensive Psychiatry, 38(5), 300-303. doi:10.1016/S0010-440X(97)90064-X.

Language: English

Format: Journal

Abstract:
Pitman et al. recently published a pair of studies on the relationship between indicators of emotional processing and outcome in flooding therapy and eye movement desensitization and reprocessing (EMDR) therapy. Among their conclusions, they asserted EMDR was found to be at least as effective [as] flooding in the treatment of combat-related PTSD and produced fewer adverse consequences. Although this research constitutes an important contribution to the literature on psychosocial treatments for PTSD, their conclusions regarding the relative effectiveness of these two treatments are unwarranted. The bases of our objections are that (1) assignment of participants to treatment conditions was nonrandom, and (2) several significant procedural differences existed between the two studies in addition to the specific treatments under investigation. These include different inclusion and exclusion criteria, the confounding of psychological treatment with psychiatric medication status, and differences in assessment procedures. Since the two treatments were not compared in a single head-to-head controlled trial, we conclude that their relative efficacy has yet to be investigated. [Author Abstract]

Keywords: Comment Exposure Therapy Posttraumatic Strerss Disorder Professional Criticism PTSD Reply Treatment Effectiveness

Accuracy Verified: Yes

151. Browning, C. (1999). Flotar hacia atrás y flotar hacia delante: Técnicas para ligar el pasado, Presente y futuro [Floatback and Float Forward: Techniques for the Tie Past, Present and Future]. Presentation at EMDRIA Latinoamericana.

Language: Spanish

Format: Conference

Abstract:
El protocolo estándar de EMDR requiere enfocar los orígenes de la perturbación, los gatillos del presente y crear un patrón de conductas adecuadas para el futuro (Shapiro). Algunos pacientes, sin embargo pueden tener dificultades para conectar su problema actual con acontecimientos del pasado. Así también, otros pacientes pueden tener dificultades para crear patrones positivos para el futuro, especialmente si ensayar conductas nuevas los pone ansiosos. Para estos problemas las técnicas de "Flotar hacia atrás" y "Flotar hacia delante" desarrolladas por William Zangwill Ph. D., entrenador del Instituto EMDR, son métodos efectivos para ligar el pasado, presente y futuro en un ámbito terapéutico y proveen al terapeuta de instrumentos para abordar eficientemente ambos temas. LA TÉCNICA DE FLOTAR HACIA ATRÁS Abordar recuerdos tempranos asociados con el material perturbador es fundamental para EMDR. Shapiro dice que ayudar al paciente a encontrar un recuerdo temprano "debe ser una de las primeras opciones que debe considerar al terapeuta..." (Shapiro, 1995). La Técnica de Flotar hacia atrás es un camino eficiente y poderoso para llegar a esta meta, permitiendo al terapeuta asistir al paciente a llevar a cabo sus propias asociaciones con acontecimientos del pasado. Su uso es muy apropiado cuando el terapeuta sospecha que una perturbación que el paciente experimenta en el presente, tiene sus raíces en experiencias del pasado; especialmente cuando preguntas como "Cuál es su recuerdo más temprano en relación a lo que se siente ahora? no ha tenido éxito en ayudar al paciente a conectar con eventos del pasado. También cuando un paciente presenta un tema o experiencia recurrente, la Técnica de Flotar hacia Atrás es ideal para ayudar al paciente a identificar un target para el reprocesamiento. Muchos pacientes se ponen en contacto con los problemas actuales con relativa facilidad. Por ejemplo, una paciente que se queja que se siente abandonada cuando su marido se va de viaje de negocios, probablemente pueda recordar sus problemas actuales con facilidad. Entonces el terapeuta puede aplicar la Técnica de Flotar hacia Atrás para ayudarle a la paciente a recordar un acontecimiento del pasado con rapidez y eficiencia. Para usar la Técnica de Flotar hacia Atrás, arme el protocolo con el problema actual, utilizando los pasos que figuran en el Manual de Entrenamiento del Nivel I y del Nivel II (Shapiro, 1994) incluyendo la imagen, la cognición negativa (CN), la cognición positiva (CP), la validación de la cognición (VoC), emociones, Unidad Subjetiva de Perturbación (SUD) y sensación corporal. Sin embargo, no incide todavía el procesamiento (es decir, movimientos oculares u otra estimulación). En vez de eso, diga a su paciente: "Fíjese en la imagen de... y esas palabras (repita la imagen perturbadora del paciente y su cognición negativa), fíjese que emociones le vienen y donde las siente en el cuerpo. Ahora cierre los ojos y deje que su mente flote hacia atrás a un período anterior en su vida, no busque, simplemente deje que su mente flote a una época donde usted pensaba cosas similares... (repita las emociones que dijo el paciente) en ...(repita los lugares del cuerpo donde el paciente sintió las sensaciones). Cuando esté listo abra los ojos y dígame lo primero que le viene a la mente". Utilice esta experiencia más temprana como target, completando todos los items del protocolo: imagen, CN, CP, VoC, emociones, SUD y ubicación de las sensaciones corporales y comience a procesar con movimientos oculares u otro estímulo bilateral. Una vez que se ha procesado este material, vuelva al target original del material actual. Muy a menudo se generaliza el trabajo realizado sobre el material más temprano y ya no hace falta procesar el material actual. Es importante usar términos generales cuando se le dan al paciente las instrucciones de la Técnica de Flotar hacia Atrás, es decir, pedir un recuerdo temprano y no el más temprano. Hay varias razones que avalan esto. Primero, muchas veces es el peor recuerdo y no el primero que funciona como el mejor target para el reprocesamiento,. Además, usar términos generales es una ayuda para los pacientes más compulsivos y perfeccionistas que de otra manera estarían demasiado preocupados en no equivocarse y encontrar exactamente la primera asociación. Finalmente, la flexibilidad que permite la utilización de términos generales más que términos específicos aumenta la posibilidad de éxito del paciente de conectarse con el pasado que es la meta de esta técnica. El rasgo esencial de la Técnica de Flotar hacia Atrás es usar las preguntas del protocolo para conectar los problemas del presente con eventos del pasado. Pasar las preguntas como fueron desarrolladas por Shapiro es un potente método para ayudar a los pacientes a sintonizar con todos los aspectos de su experiencia del problema. El material perturbador se vuelve más vívido y actual para el paciente y posibilita recordar experiencias similares. Se supone, como hipótesis, que al haber desarrollado el protocolo con todas las preguntas sobre el problema actual, estimula la red neuronal de asociaciones y posibilita casi sin esfuerzo el "flotar hacia atrás" a asociaciones tempranas. Además, el vínculo paciente-terapeuta es realzado porque el terapeuta valida la experiencia del paciente (la perturbación actual) al empezar el trabajo desde el punto en el que se encuentra el paciente. Las asociaciones son del paciente, eliminando el tema de la resistencia a cualquier idea o interpretación introducida por el terapeuta. El paciente se da cuenta vivencialmente de la conexión del presente con el pasado usando la Técnica de Flotar hacia Atrás, pudiendo esquivar la evitación y otras defensas. LA TÉCNICA DE FLOTAR HACIA DELANTE Mientras que la Técnica de Flotar hacia Atrás posibilita muy a menudo que los pacientes vean y sientan la conexión entre el problema actual y los eventos pasados, la Técnica de Flotar hacia delante permite que el paciente identifique y reprocese la ansiedad anticipatoria y desarrolle patrones positivos para el futuro. Es un método que puede ser utilizado en cualquier momento del proceso terapéutico para solucionar bloqueos, renuencias y en algunos casos, resistencias o temas de beneficios secundarios o pérdidas. Es especialmente útil para trabajar con el miedo del paciente a hacer EMDR. Para ponerlo en práctica, primero pida al paciente que imagine lo peor que le puede pasar si hace "X" (por ej. probar una nueva conducta, testear una nueva habilidad, empezar una experiencia nueva). ¿Qué es lo peor que le puede pasar si hace EMDR? Que es lo peor que le puede pasar si soluciona este problema? ¿Qué es lo peor que le puede pasar si le pone límites a su jefe respecto a la cantidad de trabajo que espera que usted haga? El paciente puede necesitar ayuda para identificar la peor escena. Algunas sugerencias incluyen el miedo a perder el control de sus emociones, el miedo a perder el control de sus funciones corporales como el control de esfínteres, miedo a tener un ataque de pánico, y no poder manejar su vida emocional entre las sesiones. Una vez que el paciente ha identificado el incidente, pregunte por la peor parte de esa escena y utilícelo como el target de EMDR, armando el protocolo con las preguntas estándar, pero con una leve modificación: pregunte por la imagen que representa la peor parte del peor incidente, por ej. "Cuando usted ve una imagen de si mismo/a haciendo......, que es lo peor que puede pasar?" Después siga con el resto de las preguntas estándar, es decir, CN, CP, VoC, emociones, SUD, y ubicación de la sensación corporal. Estimule el procesamiento del paciente con movimientos oculares u otro estímulo bilateral. Si el desarrollo de la peor escena del paciente le provoca un miedo racional, puede que se tengan que tomar medidas prácticas para solucionar estas preocupaciones. Por ejemplo, usando la técnica de flotar hacia delante con un chico de 13 años que estaba en un hogar adoptivo transitorio, la peor escena evocada por él fue: "Me van a devolver al Hogar si esta adopción no resulta". Durante el procesamiento, el SUD se redujo de 8 a 3 con bastante rapidez pero de ahí no bajaba. El paciente comentó que no bajaba porque esta "peor escena" podría sucederle realmente y le había sucedido en el pasado. Paramos los movimientos oculares, charlamos un rato y elaboramos un plan para: a) una sesión con sus padres adoptivos para hablar sobre la permanencia de la adopción y b) una llamada en conferencia a su asesor legal para clarificar sus derechos y opciones. Volviendo al target después de esto, le fue posible reducir el SUD a 1 con unos pocos sets de movimientos oculares. Al utilizar la Técnica de Flotar hacia delante para reprocesar la peor escena, el paciente tiene una oportunidad para resolver la ansiedad anticipatoria. Durante la instalación de la cognición positiva, el paciente está creando patrones positivos para acciones en el futuro. Una mujer cuyo hermano fue verbalmente abusivo con ella en la infancia y en la actualidad la intimidaba, armó una "peor escena" con: "Va a ser igualmente abusivo cuando lo vea la próxima vez". La paciente había hecho mucho EMDR, reprocesando incidentes de la infancia relacionados con el abuso verbal del hermano. Sin embargo, sin un referente positivo vivencial, seguía ansiosa cada vez que interactuaba con él. Pidiéndole que "flote hacia delante" y usando EMDR sobre una de las peores escenas, alivió su ansiedad respecto a una fiesta familiar que tenía pendiente. Instalando una CP de "Ahora estoy más fuerte" le permitió crear una imagen de si misma manejando a su hermano con humor y sintiéndose segura. A aplicar las Técnicas de Flotar hacia Atrás y hacia Delante y ocuparse así del pasado, presente y futuro, el terapeuta de EMDR puede sanar mejor a su paciente. Es más, las Técnicas de Flotar hacia Atrás y hacia Delante están basadas en EMDR. Las dos incorporan las preguntas del protocolo standard y le dan al terapeuta y al paciente la oportunidad de manejarse más fluidamente con dicho protocolo.

EMDR standard protocol requires a focus of the origins of the disturbance, the triggers of this and create a pattern of behaviors appropriate to the future (Shapiro). Some patients, however, may have difficulty connecting the current problem with past events. Also, other patients may have difficulty creating positive patterns for the future, especially if you try new behaviors makes them anxious. For these problems the techniques of "float back" and "Float forward" developed by William Zangwill Ph.D., EMDR Institute trainer, are effective methods to link the past, present and future in a therapeutic area and provide the therapist tools to effectively address both issues. THE ART OF FLOATING BACK Addressing early memories associated with foreign material is essential to EMDR. Shapiro said that helping the patient to find early memory "must be one of the first options to consider when therapist ..." (Shapiro, 1995). Floating Technique back is a powerful and efficient way to reach this goal, allowing the therapist to assist the patient to carry out their own associations with past events. Its use is most appropriate when the clinician suspects that a disturbance that the patient is experiencing at present, is rooted in past experiences, especially when questions like "What is your earliest memory in relation to what you feel now? Not been successful in helping patients to connect with past events. Also when a patient has a recurrent theme or experience, the Backward Floating Technique is ideal for helping the patient to identify a target for reprocessing. Many patients come into contact with the current problems with relative ease. For example, a patient who complains that she feels abandoned when her husband goes on a business trip, you can probably recall their current problems with ease. Then the therapist can apply the technique Float Backwards to help the patient to remember a past event quickly and efficiently. To use the technique to back float, arm the protocol to the current problem, using the steps listed in the Training Manual Level I and Level II (Shapiro, 1994) including the image, negative cognition (NC) positive cognition (PC), validation of cognition (VoC), emotions, Subjective Unit of Disturbance (SUD) and bodily sensation. However, it still affects the processing (ie, eye movements or other stimulation). Instead, tell your patient: "Look at the picture ... and those words (repetition of the disturbing image of the patient and negative cognition), note that emotions come from and where you sit on the body. Now close eyes and let your mind float back to an earlier period in your life, look no further, just let your mind float to a time when you thought things like ... (repeat the emotions that said the patient) .. . (repeat parts of the body where the patient felt the sensation). When you are ready open your eyes and tell me the first thing that comes to mind. " Use this early experience as a target, completing all protocol items: image, CN, CP, VoC, emotions, SUD and location of bodily sensations and begin processing with eye movements or other bilateral stimulation. Once this material has been processed, return to the original target of the current material. Very often we generalize the work done on the earlier material and no longer have to render the current material. It is important to use general terms when the patient is given instructions Technique Float Backwards, ie a memory request early and not earlier. There are several reasons that support this. First, it is often the worst memory and not the first that works as the best target for reprocessing. In addition, using general terms is an aid for compulsive and perfectionistic patients who otherwise would be too concerned with avoiding failure and find exactly the first association. Finally, the flexibility that allows the use of general rather than specific terms increases the likelihood of success of the patient to connect with the past that is the goal of this technique. The essential feature of the technique is to use Float Backwards questions of protocol to connect the problems of the present with past events. Skip the questions and were developed by Shapiro is a powerful method to help patients to tune into all aspects of their experience of the problem. The foreign material becomes more vivid and present to the patient and possible recall similar experiences. It is assumed, arguendo, that having developed the protocol with all the questions about the current problem, the neural network encourages and facilitates partnerships almost effortlessly "float back" early associations. In addition, the patient-therapist relationship is enhanced because the therapist validates the patient's experience (current disruption) to start work from the point where the patient is. Partnerships are the patient, eliminating the issue of resistance to any idea or interpretation introduced by the therapist. The patient realizes experientially connecting the present with the past by using the technique Float Backwards, can avoid the avoidance and other defenses. THE ART OF FLOATING FORWARD While technology enables Float Backwards often patients to see and feel the connection between the current problem and past events, the forward float technique allows the patient to identify and reprocess anticipatory anxiety and develop positive patterns the future. It is a method that can be used at any time of the therapeutic process to troubleshoot crashes, reluctance and in some cases, resistance or topics of ancillary benefits or losses. It is especially useful for working with the patient's fear to do EMDR. To put this into practice, first ask the patient to imagine the worst that can happen if you "X" (eg. Try a new behavior, test a new skill, start a new experience.) What's the worst that can happen if you EMDR? That's the worst that can happen if you solve this problem? What's the worst that can happen if you put your head limits on the amount of work expected to do? The patient may need help to identify the worst scene. Some suggestions include fear of losing control of his emotions, fear of losing control of their bodily functions such as bowel and bladder control, fear of having a panic attack and can not manage their emotional life between sessions. Once the patient has identified the incident, ask for the worst part of that scene and use it as the target of EMDR, setting up the protocol with the standard questions, but with a slight modification: ask for the image that represents the worst of worst incident, eg. "When you see a picture of him / herself by ......, it's the worst that can happen?" Then follow with the rest of the standard questions, ie, CN, CP, VoC, emotions, SUD, and location of bodily sensation. Stimulate the processing of patients with eye movements or other bilateral stimulation. If the development of the patient's worst scene provokes a rational fear, you may have to take practical steps to address these concerns. For example, using the technique of floating forward with a boy of 13 who was in a temporary foster home, the worst scene evoked for him was: "I will return home if this adoption is not." During processing, the LDS was reduced from 8 to 3 fairly quickly but it does not down. The patient said he did not go down because the "worst scene" could really happen and had happened in the past. Eye movements stopped, we chatted a while and developed a plan for: a) a meeting with her adoptive parents to discuss the permanence of the adoption and b) a conference call to his legal adviser to clarify your rights and options. Returning to the target after that, it was possible to reduce the LDS-1 with a few sets of eye movements. Using Floating Technique forward to reprocess the worst scenario, the patient has an opportunity to resolve the anticipatory anxiety. During the installation of the positive cognition, the patient is creating positive patterns for future action. A woman whose brother was verbally abusive to her children and now intimidated, put together a "worst stage" with: "It will be equally unfair when I see him next time." The patient had done much EMDR reprocessing childhood incidents related to verbal abuse of his brother. However, without a positive reference experiential, still anxious every time I interacted with him. Asking him to "float forward" and using EMDR on one of the worst scenes, relieved her anxiety about a family party that was pending. Installing a CP of "I'm stronger now allowed him to create an image of herself driving her brother with humor and feeling safe. To apply the techniques to float back and forth and deal well past, present and future, the EMDR therapist can heal your patient better. Moreover, techniques to float back and forth are based on EMDR. Both incorporate the standard protocol questions and give the therapist and the patient the opportunity to be managed more smoothly with this protocol.

Keywords: Floatback Technique Float Foward Technique

Accuracy Verified: Yes

152. Marler, M. (2005, September). Frank, E.R. Wrecked, a novel. Kliatt.

Language: English

Format: Novel(Book)

Abstract:
To quote the review of the hardcover in KLIATT, September 2005: Sixteen-year-old Anna kills her brother's girlfriend Cameron in a car crash after drinking at a party, but she was not drunk. Her best friend Ellen is also seriously injured. To make matters worse, Anna and her brother have an emotionally abusive father, a weak and distant mother, and this problem has driven a wedge into their relationship even before the trauma of the accident. This is a story of grief and the different ways people are changed by extreme events and how they heal. It is also the story of the power of friendship and the need for other people in our lives and suggests the necessity of forgiveness for the weakness of others. In addition, it explores the use of EMDR therapy to deal with post-traumatic stress disorder. Frank's use of language and her powerful flashbacks, accompanied by her insight into the human condition, make this novel rich and compelling, one whose images linger in the memory after the last page. Frank (author of America, Friction, and Life is Funny) allows her characters to speak for themselves. No authorial voice jumps in to make pronouncements. The characters chide, comfort, warn, and get angry at each other and ultimately their interactions are an essential part of the healing process. This novel's themes and execution make it an excellent read for all adolescents, though younger teens may not appreciate it as much as older teens because of its sophisticated imagery.

Keywords: Fiction Novel

Accuracy Verified: No

153. Page, M. G. (2007, July). Gathering objective data from assessment to discharge in EMDR therapy: Galvanic skin responses, verbal prompts and tactile desensitization. EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
This study shows how three changes (one addition to the EMDR protocol, plus two alterations) were used in the treatment of anxiety disorders. The addition to the EMDR protocol was: 1) The use of Galvanic Skin Response (GSR) monitors to provide a constant flow of objective, testable and measurable data specific to the experience of suffering or disturbance, exclusively to the clinician (and not to the patient) throughout the therapy process, The two other alterations were: 2) Incorporating specifically targeted verbal prompts at various points in the process, thus serving to maintain the patients emotional and intellectual focus on the experience of suffering the presenting disorder. 3) Allowing the patient to close his or her eyes and using tactile desensitization and reprocessing rather than eye movements, thereby allowing the patient to maintain the mental imagery specific to the suffering. The study group achieved beneficial outcomes sooner and more effectively than the control group who were given standard EMDR therapy.[Author abstract]

Keywords: Galvanic Skin Response Tactile Desensitization Verbal Prompts

Accuracy Verified: Yes

154. Wylie, M. S. (1996, July/August). Going for the cure. Family Therapy Networker, 20(4), 20-37 .

Language: English

Format: Magazine

Abstract:
This article discusses the challenges that working with PTSD clients present to therapists who wish to avoid vicarious traumatization. In addition, the work of Charles Figley and Joyce Carbonell to further understanding and treatment of PTSD is addressed, with particular emphasis on eye movement desensitization, traumatic incident reduction, visual kinesthetic dissociation, and thought field therapy.

Keywords: Behavior Therapy Commentary Epidemiology Neurolinguistic Programming NLP Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Research Needs TFT Thought Field Therapy TIR Traumatic Incident Reduction Treatment Effectiveness

Accuracy Verified: Yes

155. Staff. (2012, July 18). The great accomplishments of Francine Shapiro. News Direct. Retrieved from http://www.newsdx.com/articles/162890-the-great-accomplishments-of-francine-shapiro/ on 7/22/2012.

Language: English

Format: Other

Abstract:
If you learn about the accomplishments of Francine Shapiro, you will quickly discover that she is a humanitarian who cares deeply about the well being of people. In addition to all of these great successes, she also offers various different continuing education courses. These courses are available to all professional therapists who need to keep their licenses up to date. It all takes place so that these professionals can stay informed of all the new developments in psychology and mental health care so the best proper treatment can be given to all clients. [Excerpt]

Keywords: Francine Shapiro Practice Theory

Accuracy Verified: Yes

156. Allon, M. (2010, June). Group therapy of women raped in the Congo. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In 2008 i was invited to work and train professionals working with women who had been raped in the wars raging in the Congo. Seeing that there are tens of thousands of women who were raped, I decided to apply a group therapy model using EMDR The Power Point presentation will include videos of the work and the process that was used. In addition the statistical methods and findings of the work will be provided. The workshop will provide further information about the power of EMDR in group settings. The workshop will provide information about how to work with groups and when group work is not an appropriate method of therapy. The workshop will also teach what tools to use prior and post for assessing the results of group therapy. The workshop will also address the difficulties and methods of working with a population that does not know to read or write.

Keywords: Congo Group Therapy Rape Women

Accuracy Verified: Yes

157. Bériault, M., & Larivée, S. (2005). Guérir avec l'EMDR: Preuves et controversies [Healing with EMDR: Evidence and controversies]. Revue de Psychoéducation, 34(2), 355-396.

Language: French

Format: Journal

Abstract:
L'EMDR est une approche psychothérapie intégrative proposé de traiter un large éventail de troubles psychologiques. Il s'agit de la première revue française de l'efficacité de l'EMDR. L'efficacité EMDR est d'abord montrer par des études de cas non contrôlé qui souffre d'importantes lacunes méthodologiques. études de cas expérimentale des résultats équivoques. Des études contrôlées sont ensuite examinés en fonction du type de contrôle expérimental utilisé et le type de trouble traité. EMDR semble aussi efficace que la thérapie cognitivo-comportementale pour le traitement du trouble de stress post-traumatique, mais la thérapie cognitivo-comportementale reste le traitement de choix pour la phobie spécifique et le trouble panique. En outre, des études montrent que le démantèlement de façon répétée les mouvements oculaires ne sont pas nécessaires à l'efficacité de l'EMDR. Une analyse des différences et des similitudes entre l'EMDR et l'approche cognitivo-comportementale est présentée. pseudoscience éléments intégrés dans le développement de l'EMDR et la diffusion sont également présentées. (Base de données PsycINFO Record (c) 2008 APA, tous droits réservés)

EMDR is an integrative psychotherapy approach proposed to treat a wide range of psychological disorders. This is the first French review of EMDR effectiveness. The EMDR effectiveness is initially show with uncontrolled cases studies that suffers from important methodological weaknesses. Experimental case studies provide equivocal results. Controlled studies are then reviewed as a function of the type of experimental control used and the type of disorder treated. EMDR appears as effective as cognitive-behavioral therapy for the treatment of post-traumatic stress disorder but cognitive-behavioral therapy remains the treatment of choice for specific phobia and panic disorder. In addition, dismantling studies repeatedly show that eye movements are not necessary for the efficacy of EMDR. An analysis of the differences and similarities between EMDR and the cognitive behavioral approach is presented. Pseudoscience elements embedded in EMDR development and diffusion are also presented. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Cognitive Behavioral Therapy Cognitive Therapy Integrative Psychotherapy Approach Mental Disorders Psychological Disorders

Accuracy Verified: Yes

158. Tutarel-Kislak, S. (2004, December). Görme engelli bireyde göz hareketleriyle duyarsizlastirmave yeniden isleme tedavi yönteminin dize Hhafifçe vurma alternatifininuygulanmasi: Bir olgu sunumu [A knee tapping variant of eye movement desensitization and reprocessing with a blind person: A case report]. Türk Psikoloji Yazilari, 7(14), 77-90.

Language: Turkish

Format: Journal

Abstract:
Bu çalışmada, Göz Hareketleriyle Duyarsızlaştırma ve Yeniden İşleme yaşlı, kör erkek üniversite öğrencisi bir 26 yıl kullanıldı. Onun görsel handikap nedeniyle, diz vurma işlemi EMDR alternatif olarak kullanılmaktadır. kardeşinin ölümünden sonra intihar girişiminde sonra müşteri bir kriz merkezinde tedavi oldu. Onun psikolojik sıkıntı (ve, görmek ve dokunmak onu morga zorla kardeşinin ölümünden sonra, örneğin, soğukluk ve koku ölüm vücudun hakkındaki duyumları) özel anıları ile ilgili, günlük yaşamda onu rahatsız etti. kardeşinin ölüm, intihar öyküsü, suçluluk, çaresizlik hakkında O'nun anıları ve düşüncelerini o diğerleri seans boyunca değerlendirildi hayal kırıklığına söyledi. Bilişsel-örgü tekniği de oturumları sırasında kullanılmıştır. Kısa Semptom Envanteri (KSE) ön ve son test ölçümleri olarak uygulanmıştır. üç ay kadar, bu BSI puanları genellikle indirdi olduğu bulunmuştur takip iki seans ve bir aylık ve sonra. Ayrıca, o onun kişisel gelişim bir ilerleme olduğunu bildirdi. Olgu bildirilmektedir bir kör kişi ile EMDR tekniğinin formu dokunarak diz ilk başarılı uygulama olduğunu anlamda ilginçti. Bu çalışmanın sonuçları travmatik görüntüleri canlılığını işitme nedeniyle ve kokulu o EMDR çalışmalarda olarak azalmış olacaktır dokunmadan gösterdi. Bu makalede ayrıca EMDR yöntemi ve etkinlik hakkında olumsuz sonuçlarını içermektedir. (PsycINFO Veritabanı Record (c) 2008 APA, tüm hakları saklıdır) (dergi soyut)

In this study, the Eye Movement Desensitization and Reprocessing was used with a 26 years old, blind male university student. Because of his visual handicap, knee tapping procedure has been used as an alternative to the EMDR. After his brother's death he attempted to suicide and then the client had a therapy in a crisis center. His psychological distress related to specific memories (e.g., after his brother's death, being forced to the morgue to see and touch him, and his sensations about coldness and scent of the death body) was bothering him in his daily life. His memories about his brother's death, suicidal history, guiltiness, helplessness, and his thoughts that he disappointed the others were evaluated throughout the sessions. Cognitive-weave technique was also utilized during the sessions. The Brief Symptom Inventory (BSI) was applied as a pre and post test measures. After the two sessions and one-month and three-month follow-up, it was found that the BSI scores were generally lowered. In addition, he reported that he had a progress in his personal growth. The case reported here was interesting in the sense that it was the first successful application of knee tapping form of the EMDR technique with a blind person. The results of this study showed that the vividness of traumatic images due to hearing, smelling and touching would be reduced as in the EMDR studies. This article also includes the negative results about EMDR method and its efficacy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)(from the journal abstract)

Keywords: Blind Clinical Case Study Knee Knee Tapping

Accuracy Verified: Yes

159. Yordy, J. (2010, April/May). Helping children shrink the worry monster utilizing EMDR. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
An increasing number of children are suffering from anxieties, stress and even obsessive and compulsive behaviors. Different EMDR approaches are helpful for children in facilitating the release of anxieties and altering primitive brain patterns. This workshop will briefly describe some of the causes of children’s anxieties, the brain/body connection to anxiety and some simple calming techniques for releasing stress. In addition, an in-depth introduction to three EMDR child-friendly techniques for working with anxiety and trauma will be described. Case examples for each technique will be utilized to enhance the understanding of the three therapy techniques.

Keywords: Children Worry Monster

Accuracy Verified: Yes

160. Verstraaten, M. J., & van Vliet, E. (2009, Juni). Het werkzame mechanisme van eye movement desensitization and reprocessing (EMDR): Is dit het van een afstand bekijken of het herbeleven van een traumatische gebeurtenis? [The active mechanism of eye movement desensitization and reprocessing (EMDR): Is this the view from a distance or reliving a traumatic event?]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Dit onderzoek is een replicatie van de studie van Lee, Taylor en Drummond (2006) waarin de werkingsmechanismen beschrijft tijdens een desensibilisatie Eye Movement and Reprocessing (EMDR) behandeling. Deze studie onderzocht of er een relatie is tussen verbetering van de symptomen en de manier waarop de cliënt ziet de traumatische gebeurtenis, is dit vanuit een oogpunt van vrijstaande (afstand) of wanneer het trauma opnieuw wordt ervaren (herbeleving). De reacties van de 30 klanten tijdens een EMDR sessie, worden ingedeeld in vier categorieën volgens de classificatie van Lee et al.. (2006) (distantiëring, herbeleven, beïnvloeden en verbonden). Toegevoegd in dit onderzoek is de categorie onbeslist. De resultaten laten zien is er geen verschil in de antwoorden die tijdens een EMDR sessie en de vermindering van PTSS-symptomen (gemeten met de Nederlandse versie van de Impact of Event Scale) en van het verdriet (gemeten met de subjectieve Eenheden van Disturbance Scale). Alle reacties zijn gerelateerd aan een verbetering, ongeacht de categorie. Deze resultaten zijn niet in overeenstemming met de bevindingen van Lee et al.. (2006) die aantonen dat afstand-reacties zijn geassocieerd met een grotere vermindering van de symptomen dan herbeleven-reacties. Naast Lee et al.. (2006), de huidige studie is gebleken dat zowel de aard van het trauma (opzettelijk of niet opzettelijk) alsmede de negatieve cognitie van een cliënt (onmacht of eigenwaarde) niet zijn geassocieerd met een verbetering van de symptomen tijdens de EMDR behandeling. Toekomstig onderzoek kan bijdragen aan kennis over andere factoren die geassocieerd kan worden met de effectiviteit van EMDR.

This research is a replication of the study of Lee, Taylor and Drummond (2006) which describes the working mechanisms during an Eye Movement Desensitization and Reprocessing (EMDR) treatment. This study tested whether there is a relation between improvement in symptoms and the way the client sees the traumatic event; is this from a detached point of view (distancing) or when the trauma is re-experienced (reliving).The responses of 30 clients during an EMDR session, are classified into four categories according to the classification of Lee et al. (2006) (distancing, reliving, affect and associated). Added in this study is the category undecided. The results show there is no difference in the responses given during an EMDR session and the reduction of PTSD-symptoms (measured with the Dutch version of the Impact of Event Scale) and of the distress (measured with the Subjective Units of Disturbance Scale). All the responses are related to an improvement, regardless of the category. These results are not in line with the findings of Lee et al. (2006) that show distancing-reactions are associated with a greater reduction in symptoms than reliving-reactions. In addition to Lee et al. (2006), the current study found that both the nature of the trauma (intentional or not intentional) as well as the negative cognition of a client (powerlessness or self-esteem) are not associated with an improvement in symptoms during EMDR treatment. Future research may contribute to knowledge about other factors that may be associated with the effectiveness of EMDR.

Keywords: Distancing Reliving

Accuracy Verified: Yes

161. Lansing, K., Amen, D. G., Hanks, C., & Rudy, L. (2005, Fall). High-resolution brain SPECT imaging and eye movement desensitization and reprocessing in police officers with PTSD. Journal of Neuropsychiatry and Clinical Neuroscience, 17(4), 526-532. doi:10.1176/appi.neuropsych.17.4.526.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) has been shown to be an effective treatment for PTSD. In this study, the authors evaluated the effectiveness and physiological effects of EMDR in police officers involved with on-duty shootings and who had PTSD. 6 police officers involved with on-duty shootings and subsequent delayed-onset PTSD were evaluated with standard measures, the Posttraumatic Stress Diagnostic Scale (PDS), and high-resolution brain single photon emission computed tomography (SPECT) imaging before and after treatment. All police officers showed clinical improvement and marked reductions in the PDS score. In addition, there were decreases in the left and right occipital lobe, left parietal lobe, and right precentral frontal lobe as well as significant increased perfusion in the left inferior frontal gyrus. In our study EMDR was an effective treatment for PTSD in this police officer group, showing both clinical and brain imaging changes. [Author Abstract]

Keywords: Empirical Study Off-Duty Shootings Police Officers Posttraumatic Stress Disorder PTSD Quantitative Study SPECT

Accuracy Verified: Yes

162. Pieper, G. (2005, November). Hilfen für opfer von katastrophen und gezielter gewalt ein konzept zur psychotraumatologischen versorgung. Inaugural-Dissertation zur Erlangung der Doktorwürde der Wirtschafts- und Verhaltenswissenschaftlichen Fakultät der Albert -Ludwigs-Universität zu Freiburg im Breisgau [Assistance for victims of targeted violence and disasters: A framework for psycho-trauma clinician supply].

Language: German

Format: Dissertation/Thesis

Abstract:
Die vorliegende Arbeit zur psychotraumatologischen Versorgung von Katastrophenopfern ist aus der praktischen therapeutischen Arbeit des Autors mit Traumatisierten und Felderfahrungen im Bereich von Großschadensbetreuungen der vergangenen 17 Jahre entstanden. Leitprinzip war dabei, einer kritisch wissenschaftlichen Analyse zu unterziehen, was in der Praxis oft aus Sach- und Zeitzwängen heraus ohne tiefere Reflektion getan wird und die eigene Arbeit mit den Ergebnissen internationaler Forschungsberichte zu vergleichen. Darüber hinaus ist es das Ziel, basierend auf den eigenen Felderfahrungen und den wissenschaftlichen Erkenntnissen Hinweise für die Praxis zu geben, um die psychologische Betreuung von Katastrophenopfern zu verbessern.

The present work for psychotraumalogical care of disaster victims is the result of practical therapeutic work with traumatized by the author and field experience in major loss of support over the past 17 years. Guiding principle was about to undergo a critical scientific analysis, which in practice is often done out of time and material constraints out without deeper reflection and to compare their work with the results of international research reports. In addition, it is the goal, based on their own to give field experience and scientific knowledge for practical information to improve the psychological care of disaster victims.

Keywords: Catastrophe After Care Disaster Disaster Response Posttraumatic Stress Disorder Psychological First Aid PTSD SBK School Violence Seven-Step Treatment Program

Accuracy Verified: Yes

163. Havelka, J. (2006). Hoe groot ben jij naast een brandweerman?' Traumaverwerkingmet EMDR als een episode in een kindertherapie [When you stand next to a fireman: Dealing with trauma using EMDR in therapy with children]. Tijdschrift Cliëntgerichte Psychotherapie, 44 (3), 191-208.

Language: Dutch

Format: Magazine

Abstract:
Dit artikel tracht te illustreren hoe traumaverwerking deel kan uitmaken van een langdurige individuele therapie. Wanneer één, of meerdere traumatische gebeurtenissen het therapieproces blokkeren, is het mogelijk een episode van traumaverwerking in therapie in te bouwen waarbij men - als aanvulling van de gesprekstherapie - gebruik kan maken van EMDR. Het eerste deel van dit artikel is een kort overzicht van de belangrijkste kenmerken van het PTSS-syndroom en er wordt uitvoerig ingegaan op de geschiedenis, theorie en praktijk van EMDR en meer specifiek het gebruik ervan bij kinderen. Vervolgens wordt de parallel getrokken tussen cliëntgerichte therapie, cognitieve gedragstherapie en traumaverwerking met EMDR. Het tweede deel van dit artikel is een casusbespreking van een 11-jarige jongen wiens moeder voor zijn ogen verbrand werd door gloeiende frituurolie, waarin het gebruik van EMDR bij kinderen wordt uitgewerkt.

This article tries to illustrate how trauma can be part of a long-term individual therapy. If one or more traumatic events of the therapy process to block, it is possible one episode of trauma therapy model using in one - an addition to the conversation therapy - may use EMDR. The first part of this article is a brief overview of the main characteristics of the PTSD syndrome, and a full explanation of the history, theory and practice of EMDR and more specifically its use in children. Then, the parallel between client-centered therapy, cognitive behavioral therapy and trauma with EMDR. The second part of this article is a case review of a 11-year-old boy whose mother before his eyes burned by hot cooking oil in which the use of EMDR in children is developed.

Keywords: Children Therapy Trauma Treatment

Accuracy Verified: Yes

164. Gaarde Madsen, P-E. (2009). I patientens tjeneste: NLP, hypnose og EMDR i kombination og samspil som en mulig virksom form for psykoterapi i det 21. århundrede [Inpatient services, NLP, hypnosis and EMDR in combination and interaction as a possible form of psychotherapy in the 21st century]. Udgave: 1, Oplag: 1 [1st ed] , Copenhagen, Dansk: Frydenlund.

Language: Danish

Format: Other

Abstract:
Beskrivelse
Det etablerede systems opfattelse af sig selv og af såkaldt alternativ terapi debatteres i denne bog. Forfatteren har valgt at sætte fokus på problemerne med spiseforstyrrelser. Kritikken af de eksisterende forhold i det etablerede system på dette område er meget skarp, men derimod er de beskrevne terapeutiske forslag om en mulig virksom terapi generøse. Disse nye muligheder er terapeutiske tiltag, der stadig betragtes som alternative, men de kan ikke desto mindre anvendes på alle de områder, hvorom man i dag mener, der kan bedrives psykoterapi. Det kræver dog, at man forlader illusionen om, at terapi baseret på samtale med såkaldt sund fornuft har nogen som helst terapeutisk effekt. Den omfattende, mulige terapeutiske værktøjskasse beskrives. Det drejer sig om NLP som basis for hypnose. Denne metode kan kombineres med modificeret EMDR. Der fremlægges i bogen mange forskellige paradigmer; det drejer sig bl.a. om tilknytningsteorier, affectteorier, den tredelte hjerne og ikke mindst også de resultater, som den moderne hjerneforskning har produceret i de sidste femten år. Dette omfattende materiale bliver sat sammen til en klinisk enhed, der er fleksibel og mangfoldig. Desuden rummer bogen detaljerede beskrivelser af terapiforløbet for flere patienter med en spiseforstyrrelse. --

Description: The system established perceptions of themselves and the so-called alternative therapies discussed in this book. The author has chosen to focus on problems with eating disorders. Criticism of the existing conditions in the established system in this area is very sharp, but they are described therapeutic suggestions about a possible business therapy generous. These new opportunities are therapeutic interventions that are still considered alternative, but they can nevertheless be applied to all areas on which we now believe there may commit psychotherapy. It requires that you leave the illusion that therapy based on interviews with "common sense has any therapeutic effect. The extensive potential therapeutic tool sets. It is about NLP as a basis for hypnosis. This method can be combined with modified EMDR. Presented in the book many different paradigms, namely, inter alia, on related theories affectteorier, the triune brain, and not least also the results of modern brain research has produced over the last fifteen years. This extensive material is put together to form a clinical entity that is flexible and diverse. In addition the book contains detailed descriptions of therapy for more patients with an eating disorder.

Keywords: Hypnosis Neurolingquistic Programming NLP

Accuracy Verified: Yes

165. Lansing, K. (2004, November). Images of healing: SPECT images of PTSD and recovery in police officers. Preconference presentation at the 20th annual meeting of the International Society of Traumatic Stress Studies, New Orleans, LA.

Language: English

Format: Conference

Abstract:
The effects of “lethal contact” (i.e., close range firefights) in both the military and law enforcement populations can render long-standing psychological impairment. In this study we evaluated the effectiveness and physiological effects of EMDR in police officers involved with on-duty shootings who had delayed PTSD. Method: Six police officers involved with on-duty shootings and subsequent delayed-onset PTSD were evaluated with standard measures, the Posttraumatic Stress Diagnostic Scale and high-resolution brain SPECT imaging, before and after treatment. Results: All police officers showed clinical improvement and marked reductions in the PDS (mean reduction from scores of 43.2 pre EMDR to 5.2 post EMDR). In addition, there were decreases in the left and right occipital lobe, left parietal lobe and right precentral frontal lobe, as well as significant increased perfusion (>0.001) in the left inferior frontal gyrus. Conclusions: In our study EMDR was an effective treatment for PTSD in this police officer group, showing both clinical and brain imaging changes. This multimedia presentation integrates selected case reviews including the dispatch recordings of the officer’s actual shooting incident/s, follow-up “check-in” messages documenting the officer’s reactions upon return to duty as well as pre- and post-treatment brain images. Brief selections of video also are used to further illustrate key principals. Clinical methodologies that were used with this group of subjects also will be discussed. Participant Alert: EMDR is a stepwise protocol designed to facilitate the reexperiencing of “trauma based” memories in order to assist the client in reformatting them into a non-disturbing / more “normalized” memory. During this protocol highly charged/upsetting images, feelings or experiences can arise for the client.

Keywords: Police Officers SPECT

Accuracy Verified: Yes

166. Laub, B., & Bar-Sade, E. (2009). The IMMA EMDR group protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 289-296). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The Imma Group Protocol is based on the Integrative Group Treatment Protocol (IGTP) by Jarero, Artigas, Alcala, and Lopez Cano (see record 2009-08399-029), the Four Elements Exercise by Elan Shapiro (see record 2009-08399-009), and the principles of group therapy work. This protocol is designed for small groups of children from the age of 5 upward. The language can, of course, be adjusted to suit the developmental level of the group. The protocol is to be used only by EMDR-trained therapists. The therapist must have the ability to react on the spot, evaluate, and provide further treatment for clients who are overwhelmed by the traumatic material. We recommend that work with this protocol include at least two group facilitators, in addition to the leader, in order to monitor the group and help the children carry out the instructions. The younger the children, the more facilitators are needed to insure that each child feels safe and emotionally supported. The appropriate scripts are provided. [PsycINFO Database]

Keywords: Group Imma Protocol

Accuracy Verified: Yes

167. Flumeri, F., Salmaso, D., & Pagani, M. (2008, 26-28 Settembre). Impatto dell'EMDR sulle fuzioni e sulla neurobiologia cerebrali [Impact on EMDR and neurobiological brain functions]. In T. Farma (Chair), Simposio, Il modello psicotraumatologico: Un ponte tra indicatori neurobiologici e Psicoterapia. VII Congresso SPR Italia, Modena.

Language: Italian

Format: Conference

Abstract:
Introduzione:negli ultimi anni il numero di studi condotti nell’ambito dei disturbi causati da eventi traumatici ha subito una forte accelerazione rilevando l’esistenza di alterazioni fisiologiche e morfologiche in specifiche aree cerebrali associate sia alla risposta emotiva al trauma che alla insorgenza dei sintomi della sindrome da stress post-traumatico (PTSD). L’impiego delle tecniche di neuroimmagine ha consentito di fare luce sui correlati neurali della psicoterapia, rivelando i suoi effetti neurobiologici sulla funzione cerebrale. Nell’ambito dei diversi approcci psicoterapeutici, l’EMDR (Eye Movement Desensitization and Reprocessing therapy) è emerso come promettente risorsa per il trattamento del trauma e di altri disturbi d’ansia, sebbene ancora non sia stata completamente chiarita la sua modalità di azione sui circuiti neurali. Molte ricerche sono state effettuate per valutare l’efficacia dell’EMDR, ma solo un numero esiguo di esse ha indagato il substrato neurobiologico di questa psicoterapia. Le metodiche di neuroimmagini utilizzate finora per studi sull’EMDR sono la Single Photon Emission Computed Tomography (SPECT) e la Magnetic Resonance Imaging (MRI). La prima raccoglie dati sull’attivita’ cellulare cerebrale mentre la seconda riporta dati anatomici strutturali. Gli studi funzionali condotti con SPECT consentono di identificare le variazioni del metabolismo e del flusso ematico cerebrale, suggerendo un ruolo specifico per ciascuna area cerebrale coinvolta nel complesso meccanismo che sottende il processamento delle emozioni; la MRI consente invece di rilevare la presenza di variazioni morfologiche e volumetriche di specifiche strutture cerebrali. Negli ultimi anni, studi SPECT e MRI, volti ad esaminare gli effetti dell’EMDR sulla fisiopatologia cerebrale in pazienti affetti da disturbi d’ansia, hanno riscontrato sostanziali variazioni del flusso ematico ed alterazioni strutturali di alcune regioni cerebrali in seguito a terapia. L’efficacia dell’EMDR nel trattamento del PTSD è stata confermata da uno studio SPECT su sei soggetti ( Lansing et al.) (1) che ha evidenziato dopo terapia una diminuzione del flusso ematico nel lobo occipitale bilateralmente e nel lobo parietale sinistro e un aumento di flusso nel giro frontale inferiore sinistro. Sempre utilizzando la SPECT Oh e Choi (2) hanno riportato una significativa modificazione del flusso cerebrale in seguito ad EMDR, prevalentemente riscontrabile nell’area limbica e nella corteccia prefrontale. Un recente studio con utilizzo di MRI (3) ha inoltre messo in evidenza un aumento di volume dell’ippocampo in seguito a trattamento con EMDR, aumento invece non riportato in un lavoro di Lindauer et al. su 9 soggetti con PTSD, nonostante il successo clinico della psicoterapia eclettica eseguita (4). Obiettivi: il nostro gruppo ha studiato gli effetti a breve e lungo termine dell’EMDR (5, 6) dimostrando la sua efficacia nel trattamento di soggetti traumatizzati sul lavoro, e una stabilità del miglioramento clinico ottenuto in risposta alla terapia, ancora presente a distanza di tre anni. Nell’ambito dello stesso progetto sono state anche studiate le variazioni del flusso ematico cerebrale e della volumetria di alcune strutture cerebrali in relazione alla terapia con EMDR. Un primo studio SPECT ha analizzato la variazione della distribuzione di flusso in 11 soggetti guariti clinicamente da PTSD in seguito a EMDR messi a confronto con 5 soggetti nei quali la terapia non ha avuto effetto (7). Risultati: è stato evidenziato nei soggetti con remissione sintomatologica significative differenze di flusso in 4 aree corticali, alla disfunzione delle quali sono ascrivibili alcuni sintomi presenti in corso di PTSD. Diminuzioni di flusso post-terapia sono state registrate nell’ippocampo, nella corteccia parieto-occipitale e nella corteccia visiva primaria. L’ippocampo e’ sede della memoria a breve termine; la corteccia parieto-occipitale processa il riconoscimento di volti, dei corpi e delle parole; la corteccia visiva primaria custodisce la memoria visiva degli eventi. La mancata inibizione e/o l’iperattivita’ di queste regioni nel PTSD sono responsabili della rivisitazione patologica dell’evento traumatico e della presenza di flashback ed immagini allucinatorie. Inoltre la corteccia frontale dorsolaterale ha dimostrato un aumento di flusso nei soggetti che hanno risposto positivamente alla terapia. Questa regione chiave oltre ad essere deputata ad inibire la risposta patologica a stimoli che ricordano l’evento traumatico e’ essenziale per i processi di attenzione e di autostima, diminuiti in corso di PTSD e recuperati in seguito alla remissione della malattia. In ulteriori studi che combinano indagini funzionali e strutturali utilizzando SPECT e MRI abbiamo messo in evidenza il valore predittivo delle dimensioni dell’ippocampo riguardo all’efficacia della terapia con EMDR (Pagani et al. sottomesso). Conclusioni: gli effetti della terapia con EMDR sono risultati, unitamente ad un consistente miglioramento della sintomatologia e ad una riduzione della iperreattività a stimoli di carattere emotivo, in una normalizzazione funzionale di alcune aree specifiche e in un aumento del volume ippocampale probabilmente ascrivibile a neo-neurogenesi. Questi risultati sono in linea con la pregressa letteratura e con le attuali conoscenze sul PTSD e suggeriscono basi neurobiologiche dell’effetto terapeutico dell’EMDR confermandone l’impatto funzionale su strutture cerebrali coinvolte in patologie ansiogene. Bibliografia: 1. Lansing et al. (2005). J Neuropsych Clin Neurosci;17(4):526-532. 2. Ho DH and Choi J. (2007). J EMDR Pract Res;1(1):24-30. 3. Bossini et al. (2007). J Neuropsych Clin Neurosci; 19(4):475-476. 4. Lindauer et al. (2005). Psychol Med ; 35 :1-11. 5. Hogberg et al. (2007). Nord J Psych; 61(1):54-61. 6. Hogberg et al. (2008). Psych Res; doi:10.1016/j.psychres.2007.10.019. 7. Pagani et al. (2007). Nuc Med Comm; 28(10):757-65. [Pagani abstract]

Introduction In recent years the number of studies in disorders caused by traumatic events has been greatly accelerated by detecting the existence of morphological and physiological changes in specific brain areas associated with both the emotional response to trauma to the onset of symptoms Post-traumatic stress syndrome (PTSD). The use of neuroimaging techniques has allowed to shed light on the neural correlates of psychotherapy, revealing the neurobiological effects on brain function. Under the different psychotherapeutic approaches, EMDR (eye movement desensitization and reprocessing therapy) has emerged as a promising resource for the treatment of trauma and other anxiety disorders, although still not been fully elucidated its mode of action on neural circuits. Many studies have been carried out to assess the effectiveness EMDR, but only a small number of them have investigated the neurobiological substrate of this psychotherapy. The methods used so far for neuroimaging studies on EMDR are Single Photon Emission Computed Tomography (SPECT) and Magnetic Resonance Imaging (MRI). The first collects data on 'brain cells while the second contains structural anatomical data. The functional studies performed with SPECT to identify changes in metabolism and cerebral blood flow, suggesting a specific role for each brain area involved in the complex mechanism underlying the processing of emotions, instead of MRI allows detection of morphological changes and volume of specific brain structures. In recent years, MRI and SPECT studies, aimed to examine the effects of EMDR on brain pathophysiology in patients with anxiety disorders, have found substantial variations in blood flow and structural alterations of some brain regions after treatment. The effectiveness of EMDR in the treatment of PTSD was confirmed by a SPECT study in six subjects (Lansing et al.) (1) showed that after treatment reduced blood flow in the occipital lobe bilaterally and in left parietal lobe and a increase of flow in left inferior frontal gyrus. Always using SPECT Oh and Choi (2) reported a significant change of cerebral blood flow after EMDR, mainly found in limbic and prefrontal cortex. A recent study using MRI (3) has also highlighted an increase in volume of the hippocampus after treatment with EMDR, but no increase in reported work of Lindauer et al. on 9 subjects with PTSD, despite the clinical success of eclectic psychotherapy performed (4). Objectives: Our group has studied the effects of short and long term EMDR (5, 6) demonstrating its effectiveness in treating traumatized individuals at work, and stability of clinical improvement obtained in response to therapy, yet this distance three years. Within the same project were also studied changes in cerebral blood flow and volume of certain brain structures in relation to treatment with EMDR. A first SPECT study analyzed the change in flow distribution in 11 subjects clinically recovered from PTSD after EMDR compared with 5 subjects in whom treatment had no effect (7). Results: It was shown in patients with symptomatic remission, significant differences in flow in 4 cortical areas, which are attributable to dysfunction of some symptoms of PTSD being present. Flow decreases post-treatment were recorded in the hippocampus, cortex parietal-occipital and primary visual cortex. The hippocampus and 'seat of short-term memory, the parietal-occipital cortex processes the recognition of faces, bodies and words, the primary visual cortex preserves the visual memory of events. The lack of inhibition and / or 'hyperactivity' of PTSD in these regions are responsible for the pathological review of the traumatic event and the presence of flashbacks and hallucinatory images. Moreover, the dorsolateral frontal cortex showed an increase in flow in subjects who responded positively to therapy. This key region in addition to being appointed to inhibit the pathological response to stimuli that recall the traumatic event and 'essential for the processes of attention and self-esteem, decreased in the course of PTSD and recovered following the remission of the disease. In further studies that combine functional and structural investigations using SPECT and MRI have shown the predictive value of the size of the hippocampus on the effectiveness of EMDR therapy (Pagani et al. Submitted). Conclusion: the effects of EMDR therapy were coupled with a significant improvement in symptoms and a reduction of hyperreactivity to stimuli, emotional, functional in a normalization of some specific areas and an increase in hippocampal volume probably due to neo- neurogenesis. These results are consistent with previous literature and with current knowledge about PTSD and suggest a neurobiological basis of therapeutic EMDR confirming the functional impact on brain structures involved in anxiety-disorders. Bibliography: 1. Lansing et al. (2005). J Neuropsych Clin Neurosci, 17 (4) :526-532. 2. I DH and J. Choi (2007). J EMDR pract Res, 1 (1) :24-30. 3. Bossini et al. (2007). J Neuropsych Clin Neurosci, 19 (4) :475-476. 4. Lindauer et al. (2005). Psychol Med, 35 :1-11. 5. Högberg et al. (2007). Nord J Psych, 61 (1) :54-61. 6. Högberg et al. (2008). Psych Res, doi: 10.1016/j.psychres.2007.10.019. 7. Pagani et al. (2007). NUC Med Comm, 28 (10) :757-65. [Pagani abstract]

Keywords: Brain Functions Neurobiology

Accuracy Verified: Yes

168. Gauvreau, P., & Bouchard, S. (2010). Indications préliminaires de l’efficacité de l’EMDR dans le traitement du trouble anxieux généralisé [Preliminary indications of the effectiveness of EMDR in the treatment of generalized anxiety disorder]. Journal of EMDR Practice and Research, 4(4), E47-E62. doi:10.1891/1933-3196.4.4.E47.

Language: French

Format: Journal

Abstract:
Cette étude préliminaire a tenté d’évaluer l’effi cacité potentielle de l’EMDR ( Eye Movement Desensitization and Reprocessing: désensibilisation et retraitement par les mouvements oculaires) en tant que modalité de traitement du trouble anxieux généralisé (TAG). L’effi cacité de 15 séances EMDR a été évaluée à travers un protocole de cas unique avec des lignes de base multiples en fonction des participants. Les résultats indiquent qu’à la suite du ciblage de facteurs expérientiels favorisant le TAG et de situations actuelles et anticipées provoquant une inquiétude excessive, les scores d’anxiété et d’inquiétude excessive ont baissé sous le seuil diagnostique et, dans deux cas, jusqu’à la rémission totale des symptômes du TAG. A la fi n du traitement et lors du suivi après deux mois, aucun des quatre participants ne relevait du diagnostic de TAG. De plus, les analyses de séries temporelles (ARMA) indiquent une amélioration statistiquement signifi cative sur les deux mesures quotidiennes de l’inquiétude et de l’anxiété au cours du traitement EMDR.
Cet article a paru que Gauvreau, P. & Bouchard, S. (2008). Les données préliminaires pour l'efficacité de l'EMDR dans le traitement du trouble anxieux généralisé. Journal de pratique EMDR et de la recherche, 2 (1), 26-40. Traduction française par Ann Rydberg Jenny.

This preliminary study attempted to assess the potential effi ciency of EMDR (Eye Movement Desensitization and Reprocessing: desensitization and reprocessing eye movement) as a treatment modality for generalized anxiety disorder (GAD). The efficiency of 15 EMDR sessions was evaluated through a protocol unique case with multiple baselines according to participants. The results indicate that following the targeting of experiential factors favoring the TAG and current and anticipated situations causing excessive worry, the scores of anxiety and excessive worry dropped below the diagnostic threshold, and in both cases up 'to the total remission of symptoms of GAD. In the fi n of treatment and at follow-up after two months, none of the four participants was outside the diagnosis of GAD. In addition, time series analysis (ARMA) indicate statistically signifi cannot improvement over the two daily measurements of anxiety and anxiety during treatment EMDR.
This article originally appeared as Gauvreau, P. & Bouchard, S. (2008). Preliminary Evidence for the Efficacy of EMDR in Treating Generalized Anxiety Disorder. Journal of EMDR Practice and Research, 2 (1) , 26–40. French translation by Jenny Ann Rydberg.

Keywords: Efficacy GAD Generalized Anxiety Disorder

Accuracy Verified: Yes

169. Soderlund, J. (2000, September/October). Integral EMDR: An interview with Francine Shapiro. New Therapist, 9, 18-22.

Language: English

Format: Magazine

Abstract:
The preparation phase is working strongly within the experiential tradition because you’re making the person fully able to deal with the processing that needs to arise. And bringing in different self-control techniques also which come from the cognitive behavioural and hypnotic traditions. These are more on-the-spot shifts of state. It is important to discriminate between changing state and trait. Cognitive behavioural techniques help the person to keep down their stress level in the present. These are important tools, but they are considered a first step in the EMDR treatment. The primary goal is to change the dysfunctional traits of the person, in addition to giving them “state” control. [Excerpt]

Keywords: Francine Shapiro Interview

Accuracy Verified: Yes

170. Brown, S., & Gilman, S. (2007). An integrated trauma treatment program (ITTP) in the Thurston County Drug Court Program: Program summary - An integrated trauma treatment program (EMDR and seeking safety) as an enhancement in the Thurson County drug court program. Author.

Language: English

Format: Other

Abstract:
The prevalence of co-occurring Posttraumatic Stress Disorder (PTSD) and Substance Use Disorder (SUD) in the criminal justice system is a serious issue for both men and women. The inattention to trauma before, during, and after involvement in the criminal justice system is problematic. Some research suggests that trauma-related disorders among those with SUD negatively affect post-incarceration outcomes (Kubiak, 2004). Therefore, from a practice and policy perspective, interventions addressing these co-occurring disorders should be made available to men and women within the criminal justice system. Current research recommends a phased and integrated treatment approach for co-occurring PTSD and SUD. SAMHSA (2005) reports that the integration of substance abuse treatment and mental health services for persons with co-occurring disorders (COD) has become a major treatment initiative. The specific Integrated Trauma Treatment Program (ITTP) described in this report is one possible treatment approach for this challenging population. This report will outline the rationale for the ITTP implemented in the Thurston County Drug Court Program (TCDCP) in Olympia, WA. In addition, it is hoped that results from this project will be considered when making policy recommendations for Drug Courts and other programs in the criminal justice system, as well as other public and private substance abuse treatment settings.

Keywords: Posttraumatic Stress Disorder PTSD Substance Use Disorder

Accuracy Verified: Yes

171. Knudsen, N. J. (2007). Integrating EMDR and Bowen Theory in treating chronic relationship dysfunction. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp.169-186). Hoboken,. xxxiii, 470 pp.

Language: English

Format: Book Section

Abstract:
The concept of Chronic Relationship Dysfunction was developed by the author to describe the experience of those who are unable to find and maintain a healthy relationship with a mate and who feel considerable related emotional distress. The types of experiences that people with this problem typically present in a clinical setting include the inability to make any meaningful contact with an appropriate partner and making a series of poor choices so that no relationship lasts. Clients seeking treatment for relationship problems can be effectively treated using a Bowen family systems perspective (Bowen, 1978; Kerr & Bowen, 1988) as the theoretical backdrop for understanding the bigger relational context. In addition, the Adaptive Information Processing (AIP) model (Shapiro, 2001) can be used to understand the physiological link between critical early life experiences and current dysfunction. Together these theories provide a cohesive theoretical base and integrative treatment approach for use with clients with chronic relationship dysfunction. The AIP model and the Eye Movement Desensitization and Reprocessing (EMDR) approach address current symptoms such as chronic relationship dysfunction by allowing the individual to reprocess the old material, thus integrating it with current information. The treatment model described here utilizes the basic structure of the EMDR protocol with the clinical application of Bowen Theory at certain key times. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Adaptive Information Processing Model AIP Bowen Theory Chronic Relationship Dysfunction Cognitive Processes Family Systems Theory Interpersonal Relationships Models

Accuracy Verified: Yes

172. Wernimont, T. (2004, September). Integrating EMDR into the treatment of brain injury. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Brain injury is the often overlooked result of abuse, accidents, sports injury, seizure disorder, tumors/surgery, and toxic exposure/overdose. Symptoms from brian injury are often attributed to other causes, including depression, addiction, and even schizophrenia impeding treatment. There will be practical suggestions regarding: 1) assessment for symptoms of brain injury in your population; 2) applying EMDR approach within a comprehensive treatment plan; and 3) how to use strategies to treat symptoms of dysregulation and to reinforce skills. In addition, the cognitive, emotional, behavioral, and social effects of brain injury will be addressed.

Keywords: Brain Injury

Accuracy Verified: Yes

173. Aloisio, T. M. F. (2012, October). Integrating structural Bowen theory and EMDR: Healing trauma and sexual disorders after a rape suffered. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
The couple was assaulted by four men, one appeared to be a minor. They forced the couple into their own car and raped the wife, forcing the husband to watch the rape under gunpoint.
With both parents assaulted and raped, the family reported a history of sexual trauma and underwent an EMDR therapy in addition to Bowen theory.
They presented the following symptoms: The wife: episodes of panic, depression, insomnia and nightmares, anorgasmia and vaginismus. The husband: anxiety disorder, insomnia, intrusive negative thoughts, premature ejaculation and erectile difficulties. The children: Larissa - difficultues in sleeping and concentrating in her studies. Yago - nocturnal enuresis and difficulty sleeping alone in his bedroom.
The EMDR standard protocol was used to clear the trauma within the relationship as well as with outside relationships. Experiences from before and after the rape were also targeted, as well as differentiation in the couple, including unsatisfactory sex.
There were nine encounters, during nine weeks, with an average of three hours each.
Follow up data from the couple was obtaained after six months.

Keywords: Bowen Theory Poster Rape Sexual Disorders Victim

Accuracy Verified: Yes

174. Woller, W. (2011, June). Integration von EMDR in tiefenpsychologische therapien [Integration of EMDR in deep psychological therapies]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: German

Format: Conference

Abstract:
Der Workshop beschäftigt sich mit Fragen der Integration von EMDR in ein psychodynamisches Therapiesetting. Zum einen kann EMDR sinnvoll mit psychodynamischer Therapie kombiniert werden, wenn bei komplexen posttraumatischen Belastungsstörungen Symptome einer PTSD zusammen mit depressiven, dissoziativen, somatoformen und anderen Symptomen auftreten. Daneben finden sich verschiedene andere Anwendungsmöglichkeiten von EMDR im Rahmen psychodynamischer Therapien, bspw. wenn dysfunktionale Erinnerungsnetzwerke die Wirkungsweise klarifizierender, konfrontierender und deutender Interventionen blockieren. Dies gilt für Anpassungsstörungen ebenso wie fixierte, aber verhaltenssteuernde negative Selbstkognitionen und für psychosomatisch abgewehrte implizite Emotionen im Rahmen somatoformer Störungen. Schließlich können ressourcenaktivierende Interventionen im Rahmen des EMDR den Aufbau von Ich-Funktionen bei Strukturpathologien unterstützen.

The workshop will focus on integration of EMDR in a psychodynamic therapy setting. First, EMDR can be usefully combined with psychodynamic therapy, which may arise in complex post-traumatic stress disorder symptoms of PTSD with depressive, dissociative, somatoform and other symptoms. In addition, various other applications of EMDR in related psychodynamic therapies, for example, if dysfunctional memory block the operation of networks klarifizierender, confrontational and interpretive interventions. This applies for adjustment disorders as well as fixed, but behavior-controlling negative self-cognitions and psychosomatic thwarted emotions implicit in the context of somatoform disorders. Finally, support resource-activating interventions of EMDR the development of ego functions in structural pathologies.

Keywords: Posttraumatic Stress Disorder PTSD Psychodyamic Therapy

Accuracy Verified: Yes

175. Korn, D. (1995, June). Integrative and strategic utilization of EMDR in treating survivors of sexual abuse. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This presentation will focus on integrating EMDR into an overall treatment plan and utilizing EMDR in conjunction with other cognitive behavioral approaches. Strategic utilization of EMDR to move clients through the various stages of recovery will be discussed. 1) In the first stage of treatment, safety, stabilization, coping, and development of a strong therapeutic relationship are emphasized. Treatment focuses on decreasing (1) suicidal and parasuicidal behavior, (2) treatment - interfering behavior, and (3) quality-of-life-interfering behavior (Linehan, 1993). Efforts are made to assist the client in developing a repertoire of cognitive-behavioral coping skills; relevant skills address grounding, trigger awareness, basic self - care, mindfullness, distress tolerance, affect regulation, assertiveness, relaxation, self - monitoring, stress inoculation, and cognitive restructuring. At this stage, EMDR can be used to shift negative cognitions which interfere with commitment to treatment, skill development, and the restoration of hope. The following are examples of negative cognitions whlch interfere with first stage stabilization goals: - I will only get acknowledgment of my pain if I act out. - I don't deserve to feel better. - If I take care of myself, no one will know I hurt. - I'm pathetic, a failure. - I will die/go crazy fiom these feelings. - I can never do anything right. - I can't stand this feeling. I must cut myself. - Don't trust anyone or anything. Newly learned information about coping can be reinforced and further integrated in the course of an EMDR session. Clients can be encouraged to notice their ability to tolerate affect and to practice their assertiveness skills, grounding skills, mindfulness skills, etc. 2) In the second stage of treatment, the focus is on processing traumatic memories and decreasing behaviors related to post-traumatic stress. EMDR interventions can be designed to assist clients with specific recovery tasks or issues: - fear/terror and associated avoidance - sense of powerlessnesshelplessness - responsibility/accountability - safety - self, others, environment - self-esteem/self as bad, defective, unlovable - lack of individuation - dependency - anger - grief/mouming - trust/mistrust - fear of abandonment - guilt/self-blame - shame/self-loathing With regard to each of these issues, maladaptive schemas can be addressed via effective cognitive interweave strategies. Ideas for supplementing EMDR work with written assignments, imagery exercises, recovery rituals, and planned in vivo exposure will be discussed. Strategies for handling possible problems, obstacles, or resistance at this stage will also be noted. Finally, the role of ongoing assessment and data collection in making decisions about EMDR targets will be addressed. 3) In the third stage of treatment, the emphasis is on personal development and increased connection with others. Recovery tasks and issues addressed via EMDR include: - Increasing intimacy and healthy connections - Increasing self-esteem - Increasing self-efficacy and sense of mastery - Reclaiming sexuality - Increasing self-efficacy and sense of mastery - Identity exploration and development - Establishing goals, initiating new projects, and taking reasonable risks At this stage, EMDR can be useful in detecting remnants of shame, fear, etc. In addition, EMDR can be used to reduce anxiety and increase confidence as a client sets his/her sights on the future and prepares to face new and challenging situations. EMDR can aid in the generalization of skills and adaptive schemas across time and place. It can facilitate the integration of a new, more positive and vital self-image. The presentation will conclude with a videotape case presentation highlighting relevant recovery tasks and issues in applying EMDR at a specific stage of treatment.

Keywords: Sexual Abuse Survivors

Accuracy Verified: Yes

176. Dworkin, M. (2003, June). Integrative approaches to EMDR: Empathy, the intersubjective, and the cognitive interweave. Journal of Psychotherapy Integration, 13(2), 171-187. doi:10.1037/1053-0479.13.2.171.

Language: English

Format: Journal

Abstract:
EMDR represents an integrative model of psychotherapy at the theoretical level. During its 16-year history, it has created quite a controversy in academic psychology. Missing from these debates have been additional therapeutic elements that are necessary to propel productive thinking into ways of making greater use of the model. These elements—empathy, the intersubjective, and usage of the cognitive interweave in conjunction with transference and countertransference issues—are explored. This addition constitutes an assimilative approach to an ever-evolving model of resolving posttraumatic stress disorder.

Keywords: Empathy Intersubjective Cognitive Interweave Cognitive Processes Countertransference Integrative Model Integrative Psychotherapy Interpersonal Interaction Models Posttraumatic Stress Disorder Psychotherapy PTSD Transference Psychotherapeutic Transference Subjectivity

Accuracy Verified: Yes

177. Kim, N. (2011, Spring). An integrative program to treat refugees suffering from PTSD through group EMDR. Saint Mary’s College of California. 1502784.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this project was to provide a guide for practioners to treat refugees who are suffering from posttraumatic stress disorder with eye movement desensitization reprocessing in a group environment. The literature has shown that using EMDR in a group setting can be effective in treating a larger number of individuals than individual psychotherapy. In addition, the structure of the group presented is a brief group intervention model aimed at treating groups of six to eight individuals in four to eight weekly sessions.

Keywords: Groups Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

178. Lohr, J., Tolin, D., & Kleinknecht, R. (1996, January). An intensive design investigation of eye movement desensitization and reprocessing of claustrophobia. Journal of Anxiety Disorders, 10(1), 73-88. doi:10.1016/0887-6185(95)00036-4.

Language: English

Format: Journal

Abstract:
Two claustrophobic subjects were treated with eye movement desensitization and reprocessing (EMDR), a new treatment for induced anxiety disorders. Both subjects were interviewed to construct detailed images of fear-related events before treatment. The treatment followed a within-series phase-change design to examine the effects of eye movement added to the general treatment protocol. Both subjects' verbal reports of fear changed substantially when eye movements were added to the general treatment protocol. It was concluded that the addition of eye movement was necessary to reduce the aversiveness of some phobic imagery. No change in heart rate was observed for either subject. These results are discussed within the framework of the growing number of EMDR outcome studies (ScienceDirect).

Keywords: Claustrophia

Accuracy Verified: Yes

179. Spence, J. M., & Johnston, L. (2011, August-September). Internet-based CBT and EMDR for posttraumatic stress disorder: the results from two trials. Presentation at the 41st EABCT annual conference, Reykjavík, Iceland.

Language: English

Format: Conference

Abstract:
Objectives: Post traumatic stress disorder (PTSD) is a severe, distressing, and chronic condition. Limited availability of appropriately trained professionals is a significant barrier to accessing appropriate treatment. This presentation reports the results of two pilot studies: (i) a pilot RCT of Internet-based cognitive behavioral therapy (CBT); (ii) an open trial of Internetbased eye movement desensitzation and reprocessing (EMDR) for PTSD. RCT: Internet-delivered CBT Methods: 43 people with PTSD were randomly allocated to receive clinician-assisted Internet-based treatment for PTSD, or to a waitlist control condition. Participants in the clinician-assisted version received access to the 7-lesson PTSD program plus regular emails from a clinician, automatic reminder emails, and access to an online discussion forum. Results: Participants reported significant reductions in PTSD symptoms, depression and anxiety (Cohen’s d respectively: 1.3, 1.2 and 0.7). Furthermore, participant satisfaction with the treatment program was high. Conclusions: PTSD is a disabling disorder, but access to treatment is limited for many people. Developing addditional effective techniques for treating patients with PTSD is an important priority for mental health clinicians. OPEN TRIAL: Internet-delivered EMDR Methods: This trial is due to commence in March, 2011 and will run for 8 weeks. It involves 15 people with PTSD allocated to receive internet-based EMDR in addition to the existing internetbased CBT protocol used in the above RCT. To our knowledge, this is the first time that EMDR has been delivered via the internet or tested despite EMDR being recommended as a first-line intervention for PTSD by several treatment guidelines for PTSD [1, 2]. We expect that clinically significant improvements will be observed and that participants will rate the EMDR module as acceptable.

Keywords: Internet-Based CBT Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

180. Albers, J. (2010, July). The interplay of resourcefulness and resilience in recovery: A six session approach treating addictive behaviour, an extended EMDR protocol. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
A structured six-session group therapy has been developed and approved for overcoming craving. The six session protocol can easily be integrated to well-applied EMDR protocols (DeTur from Popky, CravEx from Haase) supported by systematic implementation of cue exposure techniques and guided imagery. The EMDR protocol supported by cue exposure catalyses the recovery process as follows: At the beginning the patients are taught a set of three ideodynamic resources for coping with the urge to drink; “Rewards of sobriety”, “Support of relatives and friends” and “Irrepressible commitment to sobriety”. The patients learn rapid activation of these resources by the use of the “Seven Cue Word Induction–technique” and kinaesthetic bilateral stimulation (SingleblAiR). Then they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught to initialize resourcefulness - with continued exposure to alcohol. Subsequently, the power of one ideodynamic strategy diminishes the intensity of craving significantly. Craving symptoms finally disappear and are replaced by self-reinforcing thoughts and feelings due to state dependent learning. In addition to this new experience the patients acquire a high level of self-efficacy as well as greater and deeper knowledge about their personal drinking triggers. They also find out which strategy is the most effective one for each specific trigger. After regaining self-control over triggers, the patients are more receptive to working with their core addiction issues, which have now become easier to treat by especially using Desensitization and Reprocessing of the Standard- EMDR protocol. Workshop participants will become acquainted with the six-session protocol by the use of DVD-demonstrations and by practising. In addition they will receive a manual with standardised instructions. Finally they will also be given the opportunity to participate in a cross-cultural research project proving the effectiveness of the six-step program which starts in 2011. This approach is designed to improve the treatment of various types of addiction and can easily be integrated into existing EMDR treatment strategies.

Keywords: Addiction Addictive Behavior Resourcefulness Resilience

Accuracy Verified: Yes

181. Blore, D. C. (2011, September). An interpretative phenomenological analysis (IPA) investigation of positive psychological change (PPC), including post traumatic growth (PTG). School of Health and Population Sciences, The University of Birmingham, UK.

Language: English

Format: Dissertation/Thesis

Abstract:
Positive Psychological Change (PPC) following trauma is a developing field for which there is no standard terminology. The plethora of labels, of which Post Traumatic Growth (PTG) is probably the most common descriptor, arguably masks a significant gap in clinical and theoretical understanding of the phenomenon. One specific gap addressed by this study is PPC following psychological trauma stemming from a Road Traffic Accident (RTA) in which the person involved has subsequently received Eye Movement Desensitisation & Reprocessing (EMDR). To investigate this gap in knowledge, an Interpretative Phenomenological Analysis (IPA) approach was used and twelve participants recruited via a snowball sampling method. The participants were then interviewed using a Semi-structured Interview Questionnaire (SSIQ) and the interviews were then transcribed for IPA analysis. Key themes that emerged included Navigational Struggle (NS) to describe Negative Psychological Change (NPC), and Network Growth (NG), to describe PPC. At any one post-RTA/EMDR point there was a preponderance of one over the other, however, NS and NG were inseparable and found to co-exist along an NS-NG continuum. In addition, Figurative Language Use (FLU) had a significant role in both NS and NG yet was independent of both and apparently driving change towards the development of NG. Whilst NS and NG were both post-trauma phenomena, FLU seemed to hallmark expansion of memory networks as part of a general maturation process post-RTA. Furthermore, there was evidence that participants were incorporating their traumatic experiences via FLU into the rebuilding of their assumptive worlds. To account for these findings, an extension to Adaptive Information Processing (AIP) – the theory widely accepted to underpin EMDR - is proposed based upon a hypothesised Plasticity of Meaning (PoM), which is observable through FLU. PoM predicts which, why and how memory networks connect resulting in the adaptive processing predicted by AIP. The study’s findings are re-examined in terms of consequential modifications to the clinical use of EMDR. Extensive suggestions for further research are provided.

Keywords: Interpretative Phenomenological Analysis IPA PPC Positive Psychological Change

Accuracy Verified: Yes

182. Spierings, J. (2011, June). Interweaves. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Working with severely damaged clients we can hardly expect EMDR-processing to go smoothly by itself. ‘Just staying out of the way’ is not enough to help these clients process their traumatic material. A more active approach is called for to bring trauma resolution. In EMDR this type of intervening is called ‘(cognitive) interweaving’. The therapist may need to intervene on the process level with process interweaves, in order to keep the client within his window of (affect) tolerance. Or the therapist has to intervene on the content level with content interweaves, when the client gets stuck in a specific problem is unable to solve with the information he has available. interweaves to get round resistance, and interweaves to bring reconciliation and forgiveness. Learning objectives: In this workshop the participant learns to use process interweaves to modulate the arousal level of the client. In addition to this a toolkit of useful content interweaves is presented, cognitive and non-cognitive, e.g. sensory, physical, humorous, symbolic and spiritual interweaves. The presentation includes metaphors for all kinds of blocks, bits and pieces of psycho-education for specific stuck points, unorthodox, creative or hilarious.

Keywords: Interweaves

Accuracy Verified: Yes

183. Karim, S. F. (2002-2003). Introducing EMDR: Its implications for clinical practice and research. Journal of the Faculty of Arts, The Dhaka University Studies, 59(1), 50 (2), & 60(1), 201-206.

Language: English

Format: Journal

Abstract:
EMDR is a complex, time efficient and powerful method of psychotherapy that integrates many of the most successful elements of a wide range of therapeutic approaches, even long-term Freudian analysis. The procedure involves having the client focus intensively on the traumatic memory while moving the eyes rapidly from side to side, by visually tracking the therapist's moving hand. This seems to render the traumatic memory accessible to the healing resources of the rest of the personality, where it may be worked through and integrated. In addition, it uses eye movements or other forms of rhythmical stimulation. such as taps or tones, in a way that seems to assist the brain's information-processing system to processed at a rapid rate. Special protocols may be used for a single traumatic event, current anxiety and behaviour, recent traumatic events, phobias, excessive grief, illness and somatic disorders and different forms of addictions. Protocols include the sequence of progressing on a particular target. EMDR as an integrative approach starts from the moment the client enters through the door. Although called Eye Movement Desensitisation and Reprocessing, directed eye movements (where the eye movement is given a direction by tracking with two fingers) is only one form of stimulation used as a part of its complete methodology. Other forms of stimulation include bilateral auditory stimulation and alternate hand tapping. It is an innovative clinical treatment for victims of trauma. Francine Shapiro introduced it in 1989 and a large number of clinicians worldwide have been trained in the method. Francine Shapiro defines "the goal of EMDR is to achieve the most profound and comprehensive treatment effects possible in the shortest period of time, while maintaining client stability with a balanced system" (Shapiro, 2001).

Keywords: Practice Theory

Accuracy Verified: Yes

184. Farrell, D. (2005, June). An investigation into participants’ experiences of EMDR training and the implications for future developments in the teaching and learning of EMDR. In Teaching EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
This study investigates the experiences of participants (N=103) who had undertaken EMDR Level 1 or 2 training in Ireland. The audit ascertained participant's core profession, main psychological treatment orientation, present utilization of EMDR within current clinical practice, number of clients treated, types of referral issues, average number of sessions, and provision for clinical supervision. In addition participants provided feedback as to their views on their EMDR training experience. EMDR trainings were criticised in areas which included participant involvement, group practicum's, competency and fitness to practice, clinical supervision, post training professional development, and the lack of any systems of assessment of either knowledge or application of EMDR. The findings were integrated into the development of a university based EMDR training at Masters Degree level with multiple modes of assessment.

Keywords: Symposium Training

Accuracy Verified: Yes

185. Snyker, E. (1998). The invisible volcano: Overcoming denial of rage. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 91-112). New York: W. W. Norton. xii, 292 pp.

Language: English

Format: Book Section

Abstract:
The case in this chapter integrates EMDR and interpretive short-term dynamic therapy as contrasted with cognitive, interpersonal, or existential short-term therapies. I became interested in Davanloo's technique of intensive short-term dynamic psychotherapy (ISTDP) after attending a workshop in 1981. Short-term dynamic therapy, which is rooted in psychoanalytic theory, emphasizes brevity, focus, therapist activity, and patient selection. The goal is to effect change in the personality or character structure of the person, not simply alleviate symptoms. The treatment is dynamic in that it emphasizes a single focal issue that serves as a link to core conflicts arising from early life experiences. The transference relationship is used to examine and reexperience important past relationships that account for current difficulties. In addition to dealing with issues of transference and complexity of the case (single versus multi-foci), handling resistance (conscious and unconscious) aimed at avoiding painful affects must be addressed. [Text, p. 91]

Keywords: Adults Americans Anger Anxiety Disorders Brief Psychotherapy Case Report Child Abuse Defense Mechanisms Depressive Disorders Females Life Experiences Psychotherapeutic Processes Survivors Treatment Effectiveness

Accuracy Verified: Yes

186. National Council on Disability (2009, March). Invisible wounds: Serving service members and veterans with PTSD and TBI. Author.

Language: English

Format: Publication

Abstract:
More than 1.6 million American service members have deployed to Iraq and Afghanistan in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). As of December 2008, more than 4,000 troops have been killed and over 30,000 have returned from a combat zone with visible wounds and a range of permanent disabilities. In addition, an estimated 25-40 percent have less visible wounds--psychological and neurological injuries associated with post traumatic stress disorder (PTSD) or traumatic brain injury (TBI), which have been dubbed "signature injuries" of the Iraq War. National Council on Disability (NCD) concurs with the recommendations of previous Commissions, Task Forces and national organizations that: (1) A comprehensive continuum of care for mental disorders, including PTSD, and for TBI should be readily accessible by all service members and veterans. This requires adequate staffing and adequate funding of Veterans Administration (VA) and Department of Defense (DoD) health systems; (2) Mechanisms for screening service members for PTSD and TBI should be continuously improved to include baseline testing for all Service Members pre-deployment and follow up testing for individuals that are placed in situations where head trauma may occur; and (3) The current array of mental health and substance abuse services covered by TRICARE should be expanded and brought in line with other similar health plans. As this report indicates, the medical and scientific knowledge needed to comprehensively address PTSD and TBI is incomplete. However, many evidence-based practices do exist. Unfortunately, service members and veterans face a number of barriers in accessing these practices including stigma; inadequate information; insufficient services to support families; limited access to available services, and a shortage of services in some areas. Many studies and commissions have presented detailed recommendations to address these needs. There is an urgent need to implement these recommendations. (Contains 4 exhibits.)

Keywords: Afghanistan Iraq Military Posttraumatic Stress Disorder PTSD TBI Traumatic Brain Injury Veterans

Accuracy Verified: Yes

187. Hermans, H. P., & de Putter, M. (2012). Is een toevoeging van een aspect uit de contraconditionering aan EMDR zinvol? [Is an addition of one aspect of the counter-conditioning to EMDR useful?]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Eye Movement and Desensitization Reprocessing (EMDR) is een beproefde methode voor de behandeling van posttraumatische stressstoornis (PTSS). Het verklaringsmechanisme van EMDR lijkt de werkgeheugentheorie te zijn. De werkgeheugentheorie voorspelt dat het belasten van het werkgeheugen tijdens het ophalen van een nare herinnering, de emotionaliteit van de herinnering doet afnemen. Het huidige onderzoek betrekt een aspect vanuit de contraconditionering bij oogbewegingen. Participanten werden ingedeeld in 3 condities: positief, negatief en neutraal. Elke participant voerde een tweetal reactietijd taken uit op de computer, waarvan één met een stilstaande stip en één met een bewegende stip. Daarnaast haalde elke participant 2 negatieve autobiografische herinneringen op, tijdens het ophalen van één herinnering keken participanten naar een stilstaande stip, terwijl bij de andere herinnering een bewegende stip gepresenteerd werd. Op het beeldscherm werd – afhankelijk van de conditie – een positieve, neutrale of negatieve foto als achtergrond geselecteerd om te kijken of de valentie van aangeboden foto’s het effect van oogbewegingen beïnvloeden. De reactietijd taken bieden inzicht in welke mate oogbewegingen een belasting voor het werkgeheugen vormen. De resultaten tonen significant tragere reactietijden wanneer participanten oogbewegingen moesten maken. Op het gebied van emotionaliteit is er eveneens een significant effect van oogbewegingen gevonden. De narigheid van de opgehaalde herinnering nam – onafhankelijk van conditie - af wanneer participanten oogbewegingen maakten. Uitkomsten van het huidige onderzoek vormen een bevestiging van de werkgeheugentheorie. Het verwachtte effect van valentie is uitgebleven, vermoedelijk doordat participanten de valentie van de foto’s niet goed meekregen. Adequaat vervolg onderzoek zal moeten uitwijzen of een toevoeging aan EMDR vanuit de contraconditioneringstheorie zinvol is.

Eye Movement Desensitization and Reprocessing (EMDR) is a proven method for the treatment of post traumatic stress disorder (PTSD). The declaration mechanism of EMDR seems to be working memory theory. The working memory theory predicts that taxing working memory during retrieval of a bad memory, the emotionality of the memory decreases. The present study involves an aspect from the counter-conditioning at eye movements. Participants were divided into 3 conditions: positive, negative and neutral. Each participant performed a two reaction tasks on the computer, one with a stationary dot and one with a moving dot. In addition, each participant took 2 negative autobiographical memories, while retrieving a reminder to participants watched a stationary spot, while the other memory a moving dot was presented. On the screen was - depending on the condition - a positive, neutral or negative picture as background selected to see if the valence of pictures presented the effect of eye movements influence. The response functions provide insight into the extent to which eye movements constitute a burden on the working memory. The results show significantly slower reaction times when participants had to make eye movements. In the area of emotionality is also a significant effect of eye movements found. The misery of the retrieved memory Rose - regardless of condition - off when participants made eye movements. Results of the present study are a confirmation of the working memory theory. The expected effect of valence failed to materialize, probably because participants the valence of the pictures are not good afterworld. Adequate follow-up study is needed to determine whether an addition to EMDR from the contralateral conditioning theory makes sense.

Keywords: Counter Conditioning Memory Theory

Accuracy Verified: Yes

188. Staff. (2001, December). Is EMDR effective? A meta-analytic answer. Clinician's Research Digest, 19(12), 5.

Language: English

Format: Newsletter

Abstract:
A recent meta-analysis of 34 experimental treatment studies and 2 within-participant studies attempted to answer the following 4 questions about eye movement desensitization and reprocessing (EMDR): (1) Is EMDR effective? (2) Are eye movements necessary? (3) Is EMDR more or less effective for different client populations? and (4) Is EMDR more or less effective on the basis of whether the therapist was trained by the EMDR Institute? The authors conclude that EMDR is a more effective treatment than no treatment and nonspecific treatments. In addition, EMDR seems not superior but rather equal in effectiveness to other exposure-based therapies.

Keywords: Efficacy

Accuracy Verified: Yes

189. Woller, W. (2004, June). Is there a place for EMDR in the treatment of personality disorders?. In complex traumatisation and EMDR (K. Linder, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
There is substantial evidence that EMDR is an effective treatment method un posttraumatic stress disorder (PTSD). However, comorbid disorders have to be taken into account when treating PTSD with EMDR. Personality disorders are a frequent comorbid disorder of PTSD, and a high prevalence of childhood traumatization has been found in personality disorders as well. Given this background, the paper to be presented discussed (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations, Problems of therapeutic alliance due to transference phenomena and acting out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e. g., as in dissociative identity disorder) call for a consideration of all ego-sates of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.

Keywords: Personality Disorders Symposium Trauma

Accuracy Verified: Yes

190. Tutarel-Kıslak, S. (2004). Kaygi duyarligini azaltmada göz hareketieriyle duyarsizlastirma ve yeniden isleme (EMDR) tedavisi [Eye movement desensitization and reprocessing (EMDR) approach in the treatment of anxiety sensitivity]. Türk Psikoloji Dergisi, 19(53), 65-67.

Language: Turkish

Format: Journal

Abstract:
Göz Hareketleriyle Duyarsızlaştırma ve Yeniden İşleme (EMDR) ve kontrollü araştırma destek olmak amacıyla Travma Sonrası Stres Bozukluğu (TSSB) ilk tedavilerden biridir artık giderek diğer psikolojik bozukluklar kadar uzatıldı. Bu çalışmada anksiyete duyarlılığı tedavisinde kas gevşetme ve EMDR işlemlerin etkilerini karşılaştırmak için planlandı. Ondokuz lisans öğrencileri dört alt ölçekleri ile standartlaştırılmış, özbildirim ölçmek oldu Anksiyete Duyarlılığı Profile (ASP) cevap verdi. Onlar rastgele iki gruba (; kas gevşeme ve EMDR tedavisi koşul); atanmış oldukları ve beş gün önce, ASP ölçek doldurulan ve girişim (müdahale süresi; öncesi ve sonrası müdahale ve takip) dört ay sonra. Sonuçlar, EMDR tedavisi alt puanı solunum semptomları korkusu önemli bir düşüş gösterdi üretilen bu düşüşün ardından devam etmek için ortaya dört aylık takip. Kardiyak semptomların yanı sıra korku içinde çok sonra EMDR durumda azalmış dört aylık takip. bulgular EMDR kim bir travma ilgili etyolojisi bir kaygı duyarlılığı olanlar için kas gevşeme daha etkili tedavi ve ayrıca bazı durumlarda deneyim kaygı duyarlılığı edilebilir olduğu görüşünü desteklemektedir. literatür ile elde edilen bulguların tutarlılığı tartışılmıştır. (PsycINFO Veritabanı Record (c) 2008 APA, tüm hakları saklıdır) (dergi soyut)

Eye Movement Desensitization and Reprocessing (EMDR) is one of the first treatments of Posttraumatic Stress Disorder (PTSD) to be supported in controlled research, and it is now increasingly extended to other psychological disorders. The present study was designed to compare the effects of muscle relaxation and EMDR procedures in the treatment of anxiety sensitivity. Nineteen undergraduate students responded on the Anxiety Sensitivity Profile (asp) which was a standardized, self-report measure with four subscales. They were randomly assigned to two groups (treatment condition; muscle relaxation and EMDR); and they were filled out the ASP scale before, five days, and four months after the intervention (intervention time; pre and post intervention and follow up). Results showed that EMDR treatment produced a significant decline in fear of respiratory symptoms subscale score, and this decline appeared to continue after a four month follow-up. In addition fear of the cardiac symptoms too decreased in EMDR condition after a four month follow-up. The findings support the notion that EMDR can be a more effective treatment than the muscle relaxation for those who have an anxiety sensitivity with a trauma related etiology and also who experience anxiety sensitivity in certain circumstances. Consistency of the findings with the literature was discussed. (PsycINFO Database Record (c) 2008 APA, all rights reserved)(from the journal abstract)

Keywords: Anxiety Sensitivity Empirical Study Etiology Follow-up Study Psychological Disorders Posttraumatic Stress Disorder PTSD Quantitative Study Treatment

Accuracy Verified: Yes

191. Puliatti, M. (2008, Novembre). L'EMDR nel trattamento del dolore uro-genitale [EMDR in the treatment of uro-genital pain]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifica da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura. A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica. L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività. Nell’ambito del Workshop verranno approfondite le seguenti tematiche: • Diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico. • Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici. • Ruolo dell’abuso sessuale. • Meccanismi psicofisiologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare. • Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico. • Strumenti di screening psicodiagnostico. • Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche • Pianificazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifiche, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.

The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost intangible, but can also prove crippling. In addition to vaginismus and dyspareunia, well known in the scientific literature for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature. Apart from unilateral and reductionist approaches more clearly, there is a vested interest in literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy. EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, offering the possibility to intervene directly understood as a symptom is pain, which adversely on future scenarios of patient characteristics, which are frequently associated with pain perception itself. Finally, it proves particularly useful in cases where the pain is related to interpersonal difficulties characterized by lack of assertiveness. As part of the workshop will examine the following issues: • Differential diagnosis between different types of pain, uro-gynecology. • Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events. • Role of sexual abuse. • psychophysiological mechanisms in the onset of the disorder: the role of muscle tension. • Psychological characteristics of women with uro-gynecological pain. • psycho-diagnostic screening tools. • Work on the main strategies for assessment and intervention uro-gynecological and pharmacological • Planning and stages of treatment with EMDR, and their integration with different psychotherapeutic approaches: areas of inquiry, psychoeducational aspects, technical sexological specific target features, using EMDR in different stages of treatment.

Keywords: Urogenital Pain

Accuracy Verified: Yes

192. Zillhardt, P. (2007, Juin). La thérapie EMDR avec les troubles des comportements alimentaires [EMDR therapy with eating disorders]. Document présenté lors de la réunion de l'Institut Français d'EMDR, Paris, France.

Language: French

Format: Conference

Abstract:
Si les troubles des comportements alimentaires (TCA) sont considérés par de nombreux auteurs comme une pathologie addictive du fait de schémas comportementaux et d’un support neurobiologique comparables aux autres dépendances (substances ou comportements), l’accord paraît unanime pour y voir une réponse spécifique à un modèle biopsychosocial. Un tel modèle implique : des facteurs inducteurs et déclencheurs, et des facteurs facilitants et de pérennisation. Par exemple, des travaux récents mettent l’accent sur la prépondérance de facteurs socio-culturels indissociables des forces médiatiques actuelles. L’importance de ces derniers facteurs se fait particulièrement ressentir depuis la seconde moitié du 20ème siècle et pourrait aller « crescendo ». En outre, la problématique des TCA est rendue plus complexe par l’existence d’une lourde comorbidité dont les éléments pathologiques sont autant causes que conséquences. Notons que 40% des patients souffrant de TCA ont eu, à un moment de leur vie, un PTSD. Nous, praticiens, ne sommes pas étonnés de constater que bon nombre de ces patients souffrent d’une altération notable de leur identité. Le caractère dit « synclétique » de la thérapie EMDR permet une approche intégrative dans le traitement des TCA : un aspect cognitif indéniable, le processus associatif induit par les stimulations alternées met souvent en lumière des matériaux reflétant des conflits intrapsychiques plus ou moins archaïques. Le travail portant sur l’imagerie mentale ou les états dissociés du moi peut aussi être associé dans les cas difficiles de patients souffrant de TCA. Le travail d’anamnèse et l’approche phénoménologique jouent un rôle primordial dans l’approche EMDR des TCA. L’un des aspects forts de la thérapie EMDR est l’identification de « clusters possibles » représentatifs des thématiques inductrices des souffrances et des symptômes inhérents à l’expérience de vie tragique de ces patients. Le plan de la thérapie est bien sûr personnalisé pour chaque patient.

If the eating disorders (TCA) are considered by many authors pathology as a result of addictive patterns behavioral and neurobiological support comparable to other addictions (substances or behavior), the agreement seems unanimous see a specific response to a biopsychosocial model. Such a model implies: inducing factors and triggers, and facilitating factors and sustainability. For example, recent studies emphasize on the balance of socio-cultural factors inseparable forces current media. The importance of these factors is particularly experience since the second half of the 20th century and could go "crescendo". In addition, the problem of TCA is made more complex by the existence of a heavy comorbidity whose elements are all pathological causes the consequences. Note that 40% of patients with TCA had, at some point in their lives, PTSD. We practitioners are not surprised to note that many of these patients suffer a significant change of their identity. The character says "Syncletica" of EMDR provides an integrative approach in the treatment CAW: a cognitive undeniable, the process associative stimulation induced by alternating often sheds light reflecting materials intrapsychic conflicts more or less archaic. The work on mental imagery or statements dissociated ego can also be associated in the case difficult patients with TCA. Work history and the phenomenological approach play an important role in the approach EMDR CAW. One of the strengths of EMDR is identifying "clusters possible" representative inducing themes of suffering and symptoms inherent in the tragic experience of life of these patients. The plan of therapy is of course customized for each patient.

Keywords: Eating Disorders

Accuracy Verified: Yes

193. Haour, F., & Servan-Schreiber, D. (2009). Les bases neuroscientifiques de l’EMDR [Neuroscientific bases of EMDR]. In J. Cottraux (Ed.), TCC et Neurosciences (pp.187-202). Issy-les-Moulineaux: Elsevier Masson.

Language: French

Format: Book Section

Abstract:
France Haour et David Servan-Schreiber présentent avec clarté la désensibilisation par les mouvements oculaires et le retraitement de l’information (EMDR), ainsi que les études qui ont été effectuées par des méthodes neuroscientifiques pour tester ces processus. Plusieurs points restent néanmoins en suspens. Effectivement, l’EMDR est d’efficacité démontrée dans le stress post-traumatique, et les traumatismes plus légers, mais il n’y a pas de données dures pour le valider dans d’autres indications. De plus, son processus, comme il est souligné dans le chapitre, demeure controversé. Il ne faudrait pas oublier qu’un EMDR sans mouvements oculaires aboutit à de résultats identiques à ceux d’un EMDR avec mouvements oculaires, dans la méta-analyse de Davidson et Parker (2001), qui inclut 13 études comparant ces deux conditions. Cinq méta-analyses ne retrouvent pas de différence d’efficacité entre TCC et EMDR. Ces faits expérimentaux ont amené aussi bien l’Association psychiatrique américaine (2004) que le rapport INSERM (2004) à classer l’EMDR dans les TCC, dont il représente une variante technique, sans véritable discontinuité. Par ailleurs, l’analogie souvent faite entre EMDR et la phase REM (phase paradoxale du sommeil correspondant au rêve et à des mouvements oculaires rapides) n’est qu’une hypothèse et ne repose pas à ce jour sur des données scientifiques. Enfin, toutes les thérapies d’exposition utilisent des distracteurs (relaxation, images mentales de sécurité, pensées positives) pour faciliter l’accès aux émotions liées au traumatisme. L’hypnose, qui a montré son efficacité dans le stress post-traumatique lors d’une seule étude contrôlée (Brom, 1989), elle aussi, se sert de mouvements oculaires, pour capter l’attention. Ainsi faisait son ancêtre, Franz Anton Mesmer, comme le montre le rapport établi en 1784 par la commission royale sur le magnétisme animal (Darnton, 1995). Quoi qu’il en soit, l’EMDR propose un protocole utile, robuste et aisé à enseigner et à appliquer.

France Haour and David Servan-Schreiber present with clarity desensitization Eye Movement and reprocessing of information (EMDR) and studies that have been conducted by neuroscientists methods to test these processes. Several points are still open. Indeed, EMDR is proven efficacy in post-traumatic stress, and lighter injuries, but there is no hard data to validate in other indications. In addition, its process, as outlined in the chapter remains controversial. We should not forget that EMDR without eye movements leads to results identical to those of EMDR with eye movements in the meta-analysis of Davidson and Parker (2001), which includes 13 studies comparing these two conditions. Five meta-analyzes found no difference in efficacy between CBT and EMDR. These experimental facts led both the American Psychiatric Association (2004) report that the INSERM (2004) to classify EMDR in CBT, which is a variant technique, no real discontinuity. Moreover, the analogy often made between EMDR and REM sleep (REM sleep corresponding dreams and rapid eye movement) is only a hypothesis and not based so far on scientific data. Finally, all therapies exposure using distractors (relaxation, mental imagery security positive thoughts) to facilitate access to the emotions related to the trauma. Hypnosis, which has shown its effectiveness in post-traumatic stress in one controlled study (Brom, 1989), it also uses movements eye for attention. So was his ancestor, Franz Anton Mesmer, as shown in the report prepared in 1784 by the Royal Commission on Animal Magnetism (Darnton, 1995). Anyway, EMDR offers a useful protocol, robust and easy to teach and apply.

Keywords: Neuroscience Neuroscientific Bases

Accuracy Verified: Yes

194. Zimmermann, P., Biesold, K. H., Barre, K., & Lanczik, M. (2007, May). Long-term course of post-traumatic stress disorder (PTSD) in German soldiers: Effects of in patient eye movement desensitization and reprocessing therapy and specific trauma characteristics in patients with non-combat-related PTSD. Military Medicine, 172(5), 456-460 .

Language: English

Format: Journal

Abstract:
Objective: In this study, we retrospectively evaluated a patient population of 89 German soldiers who received inpatient treatment for PTSD at the German Armed Forces Hospital in Hamburg from 1998 to 2003. Methods: Patients were nonrandomly assigned to a treatment group who received eye movement desensitization and reprocessing (EMDR) and a comparison group with general hospital treatment and relaxation training. Follow-up information was obtained 29 months post-treatment. Trauma-related symptoms were assessed using the Impact of Event Scale and the Post-Traumatic Stress Scale (PTSS-10) as parameters of improvement. Results: The Impact of Event Scale showed that inpatient trauma therapy with EMDR significantly improved the course of PTSD. In addition, the Impact of Event Scale indicated a significantly poorer long-term outcome for patients who had been confronted with death during their traumatic experience. Other factors tested were of no significant influence. CONCLUSIONS: These results may influence further treatment strategies for traumatized German soldiers. [Author Abstract]

Keywords: Adults Army Personnel German Posttraumatic Stress Disorder PSTD Psychiatric Inpatients Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

195. Puliatti, M. (2009). L’EMDR nel trattamento delle sindromi uro-ginecologiche [EMDR in the treatment of uro-gynecological syndromes] . Medicina Psicosomatica, 54(4), 131-142 .

Language: Italian

Format: Journal

Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifi ca da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura. A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica. L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività. In questo lavoro verranno approfondite le seguenti tematiche: • diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico. • Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici. • Ruolo dell’abuso sessuale. • Meccanismi psicofi siologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare. • Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico. • Strumenti di screening psicodiagnostico. • Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche • Pianifi cazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifi che, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.

The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost impalpable, but may also prove to be disabling. In addition to vaginismus and dyspareunia, well known in the scientific literature about for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature. Apart from the unilateral and reductionist approaches more clearly, there is a vested interest in the literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy. EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, while also offering the opportunity to speak directly about pain is understood as a symptom, which negatively on future scenarios of patient characteristics, which are frequently related to the perception of pain itself. Finally, it proves particularly useful in cases where the pain is related to relationship difficulties with low assertiveness. In this paper we will examine the following issues: • differential diagnosis between different types of pain, uro-gynecology. • Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events. • Role of sexual abuse. • psychophysical mechanisms in the onset of physiological disorders: the role of muscle tension. • Psychological characteristics of women with uro-gynecological pain. • Tools psychodiagnostic screening. • Work on the main strategies of assessment and intervention and uro-gynecological drug • Plans and application phases of treatment with EMDR, and their integration with different psychotherapeutic approaches: survey areas, psychoeducational aspects, specific sexological techniques that target characteristic the use of EMDR in various stages of treatment.

Keywords: Uro-Gynecological Syndromes

Accuracy Verified: Yes

196. Litt, B. K. (2006, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Great strides have been made in applying EMDR to different populations with a variety of diagnoses. Integrating this powerful treatment into couples therapy is relatively new and very promising. By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. Through didactic presentation and case illustration, participants will understand the relational nature of the Self, psychobiological and psychodynamic mechanisms of attachment, the structure of the relational self, and the challenges of individuation/differentiation. In addition, all participants will learn and be able to access the intergenerational pathogenesis of ego fragmentation, and will be able to identify clinical manifestations of ego state conflict in conjoint sessions, including the doublebind, split loyalty, and reenactments. Participants will be able to use this learning to diagnose the interlock of negative cognitions in their client couples, and implement strategies to contract for individually-focused EMDR therapy. Participants will be able to explain to clients the risks and benefits of conjoint EMDR, and understand the contraindications for conjoint EMDR. Participants will learn a model of EMDR treatment planning that includes target selection and salience, and will be able to utilize a progressive sequence of techniques for facilitation EMDR processing with dissociative clients who are blocked, looping, or at risk of abreaction.

Keywords: Couples Therapy Ego State Therapy

Accuracy Verified: Yes

197. Hurley, E. C. (2012 February 19). Married to a veteran: When memories of past interrupt the present. Huffington Post. Retrieved from http://www.huffingtonpost.com/e-c-hurley-phd/ptsd-veterans_b_1284627.html?ref=healthy-living on 2/19/2012.

Language: English

Format: Other

Abstract:
Incorporating an evidence-based model of psychotherapy such as Eye Movement Desensitization and Reprocessing (EMDR) helps resolves the reactivity. It assists both parties in reclaiming their lives. Recently, after completing treatment, a veteran said to me "I am home now!" In a follow-up session his spouse noted the amount of fun they regained in their marriage now that memories from the past had been resolved. Dr. Shapiro's book can give you a good overview of how EMDR can help. Individual veterans and a military couple volunteered to share their stores to help others. In addition, the book describes self-help techniques in detail as well as relationship advice. It also gives guidelines to decide if memory processing is a good choice for you. [Excerpt]

Keywords: Blog Posttraumatic Stress Disorder PTSD Veterans War

Accuracy Verified: Yes

198. Shapiro, F. (2010, March). Mente humana, psicoterapia y EMDR/Human mind, psychotherapy and EMDR. XVII Scientific Symposium "From Neurobiology to Nosology of Mental Disorders," Lilly Foundation, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Over the past decade, the rapid treatment effects of EMDR have provided neuro-physiological and clinical researchers with a “window into the brain.” In addition to the neurobiological changes, the rapid shifts in cognition, affect and somatic response reveal consistent patterns of internal associative processes. Systematic evaluation has also demonstrated that a wide variety of diagnoses are caused or exacerbated by unprocessed memories. Hence, EMDR treatment directly addresses the physiologically stored memory networks that underlie both psychological problems and mental health. A clinical tape will illustrate the findings, and the implications will be explored.

Keywords: Human Mind Psychotherapy

Accuracy Verified: Yes

199. Alto, C. (2001, November). Meta-analysis of eye movement desensitization and reprocessing efficacy studies in the treatment of PTSD. Seton Hall University, South Orange, NJ. AAT 3015591.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new psychological therapy used in the treatment of PTSD and other disorders. EMDR is unique in that it combines sets of therapist-administered eye movements in conjunction with protocol-driven cognitive and affective processing related to past trauma. EMDR has become a controversial technique for reasons including a lack of explanation for why it works and stunning claims made for its efficacy in the literature. Despite a large amount of research over the past decade, EMDR has not before been studied meta-analytically in its own right.The present investigation used meta-analysis to examine the collection of EMDR PTSD studies available in the literature. The literature search resulted in a total of 21 studies, which met inclusion criteria. These primary studies in turn resulted in a collection of 118 effect sizes included in the analysis. Two separate analyses were conducted dependent on whether EMDR was compared to a no treatment control group or an alternative treatment control group. In addition to an overall estimate of the efficacy of EMDR in the treatment of PTSD represented through an effect size, five sub-hypotheses were investigated. First, it was hypothesized that RMDR would be more efficacious with a non-combat population than with combat-related PTSD. The second sub-hypothesis was that there would be significantly larger treatment effects associated with verbal report measures than with physiological outcome measures used in EMDR PTSD studies. Third, it was hypothesized that earlier EMDR studies would show larger treatment effects than more recent EMDR studies. The fourth sub-hypothesis concerned treatment dosage. It was hypothesized that there would not be significant differences based on the number of treatment sessions administered. Finally, it was hypothesized that the bilateral stimulation component of EMDR therapy would not contribute significantly to treatment effects. The analysis consisted of generating effect sizes in the form of standardized difference scores on the various outcome measures. Effect sizes were then grouped according to independent variable categories and averaged together. Before testing for between-group differences, homogeneity testing was completed. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 62(5-B), Nov 2001, pp. 2474.

Keywords: Empirical Study Meta Analysis Posttraumatic Stress Disorder PTSD Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

200. Darker-Smith, S. (2007, June). Mindfulness as a stabilisation tools for trauma processing. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Both EMDR and Trauma-Focused CBT are the two main recommended treatments for symptoms of trauma meeting diagnostic criteria for Post Traumatic Stress Disorder.
In accordance with current literature, contrasting the use of Trauma-Focused CBT with EMDR, it has been found in practise by the author that overall, clients using EMDR experience significantly less long-term distress and appears to process much more quickly than clients engaging in trauma-focused CBT. However, the effect of bodily sensations does not tend to differ between the two groups nor does flashbacks or dissociative tendencies.
Specifically, dissociation is not uncommon in traumatised clients and in clients with a diagnosis of post traumatic stress disorder. The existence of dissociative tendencies can pose a realistic problem in effectively processing traumatic memories, regardless of whether the method being used is trauma-focused cognitive-behavioural exposure-based methods or EMDR.
Mindfulness has been utilised by the Author as a stabilisation method for reducing dissociation in clients, prior to trauma processing (CEP conference – Darker-Smith, 2005) and has since been found to reduce dissociation on the DES scale, when measured pre and post teaching clients the basics of the MBSR programme (taught on a 1-to-1 basis).
Equally, the level of flashbacks and bodily reactions subside dramatically when Mindfulness is taught prior to trauma processing, compared with clients who engage in trauma processing without any form of stabilisation.
The author has not found any evidence that the use of Mindfulness body-scan increases traumatic body memory in trauma survivors.
The purpose of this workshop is to explore the application of mindfulness, through experiencing aspects of the Mindfulness programme. Case studies will be presented to demonstrate the application of mindfulness as a stabilisation took, paying specific attention to clients with dissociative tendencies and personality disorders evolving from trauma.
In addition, role plays between participants will be used to practise the skills of mindfulness in relation to stabilisation prior to trauma processing.

Keywords: Mindfulness Poster Stabilization

Accuracy Verified: Yes

201. Sultan, K. (2012, October). My mission to Turkey & Libya. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.

Language: English

Format: Conference

Abstract:
This presentation covers my mission to Turkey during February 2012, and Libya during April 2012. I am a Psychiatrist practising EMDR and living in Yorkshire and originating from Syria. My mission to Turkey resulted in diagnosing and successfully treating fifteen cases of PTSD with EMDR treatment as well as an additional seven cases of clinical depression. In addition I was able to review clients with several other psychiatric disorders. My mission to Libya resulted in assessing and treating around forty patients with PTSD with or without depression, Psychotic illnesses, autistic spectrum disorder, learning disability, phobias, and depression with bereavement. I can report that 32 of the 40 cases resulted in significant improvement.

Keywords: Libya Turkey

Accuracy Verified: Yes

202. Manfield, P. (1995, June). Narcissistic disorders: Using EMDR with these difficult clients. Presentation at the EMDR Network Conference Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Definition of client population: Disorder of the self. The narcissistic character is often identified by his or her grandiose facade concealing an underlying sense of emptiness and worthlessness. To experience the underlying emptiness is so painful for them that these people cut off their inner experience and rely instead on external admiration and praise to support their grandiose or superior view of themselves; their condition is often referred to as a "disorder of the self." Because of their dependence on others for their sense of themselves, they are exquisitely sensitive to criticism or disapproval, often warding off deflation by becoming increasingly grandiose, superior, disdainful or demeaning. Many conceal their grandiosity, maintaining a secret sense of superiority which may be based upon their perfectionism or their quiet devaluing of others. View of others: there is a range of severity of the narcissistic character from personality disorders to a narcissistic character style. People with personality disorders, are unable to form a trusting bond with another person; they view people primarily as interchangeable, performing a function which could equally be performed by many others. Less impaired narcissistic characters, however, are able to form varying degrees of attachments to other people, although their ability to trust and care about other people is limited. Most commonly they relate to people they can idealize or be admired by. People tend to be seen in extremes as either superior and powerful or inferior and worthless; supportive and admiring or critical and attacking. Difficulties in using EMDR: Clinically these clients represent a difficult and often frustrating population to treat; they are brittle and easily injured if they to not feel perfectly understood by their therapists, and they will distance at the slightest hint that they are being judged or used. They resist focusing inward and defining their problems as arising within themselves, and find it difficult to sustain any genuine affect, other than perhaps rage. If they feel understood and accepted, however, they will eventually talk about their sense of emptiness and worthlessness and their confusion about who they are and what is truly meaningful and valuable to them. Beck, Young and others have described factors that make it difficult to treat any personality disorder using a cognitive behavioral approach. There have in fact been very few reported "successes" in the literature. Most of the difficulties are related to the self and object splitting characteristic of these clients. These clients have limited access to feelings, limited access to spontaneous thoughts, body sensations, memories, etc., and vague unfocussed presenting problems making targeting difficult. They usually have difficulty with emotional and often intellectual continuity from session to session; they will rarely keep a log or follow through with homework; transference issues often come into central focus and must be addressed before other targets; and their selfdefeating beliefs and behavior patterns are extremely deeply held, pervasive and resistant to change. In addition to varying degrees of these difficulties, narcissistic clients present all of the problems in EMDR that they do in more traditional therapies; including their tendencies to act out, deny, and avoid. These and other defenses interfere with completion of segments of therapeutic work and make it difficult for the clinician to keep work focused within one neural network. Self and object splitting leads to continuity problems within or between sessions and a difficulty maintaining clarity about the reason for being in treatment. The client may feel suicidal one week and declare himself or herself to be fully recovered the next. Perhaps the most confirming aspect of the treatment of these clients, however, is their emotionally impoverished pasts; they have very limited experience of nurturing, loving and caring to draw !?om in order to interweave new meanings and perspectives into traumatic or painful past experiences. Length of treatment: I have found that I have been able to achieve good results with higher level narcissistic clients with whom I have had an established relationship at the time I introduced EMDR into the treatment. My results with clients who have come to therapy asking specifically for EMDR and with whom I have begun using EMDR soon after the beginning of treatment have been generally poorer, varying with the severity of the client's disorder, the less severe doing best. The client needs to be able to establish a meaningful trusting relationship with the therapist; the more severe the client's difficulties with attachment, the more time this process requires. Narcissistic clients do not tend to see their difficulty with vulnerability, trust and intimacy as a problem within themselves. If they are able to recognize personal problems, they are usually in the area of self esteem and obstacles to achievement. When they are able to resolve some of these latter problems fairly rapidly through treatment they tend to terminate, no longer seeing a sufficient purpose for treatment. In a sense, they can become better narcissists; their grandiose view of themselves is enhanced and they are reinforced in their use of self-sufficiency as a defense against interpersonal vulnerability. I view the relative efficiency of EMDR as a problem for deeper treatment of narcissistic clients because there is less time for the therapeutic relationship to develop and consequently a limited opportunity to impact the client's object splitting. I believe that this is why I have found EMDR with narcissistic clients to be most effective when it is introduced after a therapeutic relationship has had time to develop. Negative cognitions: The early maladaptive schemas of narcissistic clients are pervasive in their lives and point to a plethora of negative cognitions. Typical early schemas are: I must control myself (or my feelings, my behavior, my body) at all times; no one cares; my needs will never be met; I can't trust anyone; I am deeply flawed and unlovable; I am dikeable, unattractive to others; I will always fail; my flaws are totally unacceptable to others; I must be perfect or I am worthless; I deserve to be treated more specially than others; I must please others to avoid attack; I'm alone; nobody understands me; I am OK if I am better than others; I am OK only if others admire me. It is often helpful to narrow these cognitions down to make them manageable with EMDR Treatment: In addition to the recommended protocol of establishing a safe space to which the client can retreat if necessary, before doing an EMDR session with one of these clients, the therapist should identify as many of the client's emotional resources possible, in particular expriences if any of having felt loved and accepted ad examples of loving people or relationships the client has observed Among other things, these facilitate more effective copitive interweaves. The initial task in doing an EMDR session with this client population is to establish an appropriate and richly defined target. Since it is more difficult for these clients to access meanm&l memories in an emotionally alive way, the therapist must be more active in helping the client stimulate the associated neural netork as I l l y as possible. In addition to the client's reaction to the plight of children he may be related to or observe (Level I1 training), a rich source of emotional responsiveness and resources is the client's own response to situations he has witnessed in news media, TV, movies or theater. A major challenge in addressing a narcissistic character type using EMDR is tracking the course of the session with these clients and identifying when they drip out of the targeted neural network. This process can be subtle because it requires an ability to differentiate true avoidance hm spontaneous associations which may appear at hat to be irrelevant; it requires a familiarity with and sensitivity to the protective or defensive mechanisms they use to insulate themselves fiom painful memories and affect. As the patterns ofmovement in and out of the targeted network are identified it is important to use interventions that are experienced by the client as supportive but nevertheless make hun or her aware of having wandered. Although the narcissistic client may initiate treatment with the stated goal of improving his performance in specified areas, he will agree upon reflection that the real problem is that he feels an overriding need to perform in order to feel worthwhile. Since he has never known any other way of dealing with his self-worth, he will be skeptical about whether it is possible to feel a sense of worth that is not based upon performance, and it is easy for the therapist to lose perspective and join him in that beliet especially while doing EMDR with its potential for reprocessing with extraordinary precision specific obstacles to performance. The therapist must, however, retain her healthy perspective if the client is to learn to accept himself. For more clinical information about treating disorders of the self: 1.)Beck, Aaron T., et al, Cognitive Therapy Of Personality Disorder Guilford Press, New York, N. Y., 1990 2.)Manfield, Philip, Split Self/Split Object: Understanding And Treating Borderline, Narcissistic And Schizoid Disorders, Jason Aronson Publishers, Northvale, N.J., 1992. 3.)Young, Jeffrey, E, Cognitive Therapy For Personality Disorders: A Schema-Focused Approach, Professional Resource Exchange, Inc., Sarasota, Florida, 1990.

Keywords: Narcissistic Personality Disorder

Accuracy Verified: Yes

203. Chowdhury, E. H. (2007, August). Negotiating state and NGO politics in Bangladesh: Women mobilize against acid violence. Violence Against Women, 13(8), 857-873. doi:10.1177/1077801207302046.

Language: English

Format: Journal

Abstract:
This note showcases the story of Nurun Nahar, a survivor of acid violence in Bangladesh, to demonstrate that, despite protective measures, state, medical, and legal institutions continually fail to adequately respond to violence against women systematically and deny women rights to state protection, which are affirmatively embodied in law. The failure of state institutions to ensure appropriate care has been somewhat mitigated by nongovernmental organizations (NGOs), particularly women’s groups, which are albeit heavily constrained because of the volume of demand yet scarcity of expertise, infrastructure, and funds. In addition, this note offers some thoughts on how nonstate actors, namely, women’s NGOs, have created alternative strategies and visions for victimized women’s recovery and empowerment.

Keywords: Acid Violence Bangladesh Naripokkho Women’s Activism

Accuracy Verified: Yes

204. Bergmann, U. (2008, June). The neurobiology of EMDR: Recent findings and insights. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Prior presentations focused on EMDR’s ability to activate REM-sleep systems and to mediate frontal lobe activation. New research on the Thalamus and thalamo-cortical-temporal-binding and Somato-sensory integration will be introduced. Accordingly, new speculations will be offered regarding EMDR’s ability to reset/repair the impairment in thalamic functioning that is inherent in PTSD. This presentation will, also, introduce more recent research, contrasting thalamic impairment in Type 1 PTSD vs. Complex PTSD. In addition, new findings regarding the formation, content and storage of memory and its impairment, in PTSD, will be explored vis-à-vis EMDR's ability to make repairs, in this area.

Keywords: Neurobiology

Accuracy Verified: Yes

205. Bossini, L., Poliziotto, N., Tavanti, M., Calossi, S., Lombardelli, A., Vatti, G., & Castrogiovanni, P. (2006, Febbraio). Neuroimaging e PTSD: Dati morfovolumetrici e loro variazioni dopo trattamento [Neuroimaging and PTSD: Facts morfovolumetrici and their changes after treatment]. Presentazione al Congresso XI SOPSI (Società Italiana di Psicopatologia), Roma, Italia.

Language: Italian

Format: Conference

Abstract:
Introduzione: molti studi concordano sulla riduzione del volume ippocampale nei pazienti affetti da PTSD 1 e che tale alterazione anatomica è correlata con deficit cognitivi e con la gravità dei sintomi. Comunque ad oggi non è stato ancora chiarito se l’atrofia ippocampale rappresenta l’esito di un effetto neurotossico del trauma o, piuttosto, una condizione preesistente che predispone allo sviluppo di alcune patologie psichiatriche. Già da tempo studi su animali dimostrano come lo stress causi atrofia ippocampale e inibizione della neurogenesi, con meccanismi verosimilmente legati ai glucocorticoidi, all’increzione del fattore corticotropo, all’aumento degli aminoacidi eccitatori, all’inibizione fattore neurotrofico cerebrale con perdita della plasticità neuronale. Nell’uomo, tuttavia, i risultati non sono così lineari. Da un lato alcuni studi hanno individuato come fattore principale l’aumento dei glucocorticoidi 2, dall’altro tale teoria è stata fortemente criticata 3. Secondo Yehuda il meccanismo di atrofia ippocampale è dovuto ad un’alterazione dell’asse Ipotalamo-Ipofisi-Surrene (HPA), ma in termini di una bassa increzione di glucocorticoidi che determina un aumento del feedback negativo dell’asse stesso ed un’ipersensibilità recettoriale. Indipendentemente dal meccanismo d’azione, la perdita di neuroni a livello ippocampale nei soggetti che hanno subito eventi traumatici sembra sufficientemente dimostrata e, fino a poco tempo fa, era considerata irreversibile. In realtà l’ippocampo sembra presentare una inusuale e spontanea capacità rigenerativa. Questo dato è stato individuato in molte specie animali e, in un unico studio, anche nell’uomo 4. Inoltre recenti evidenze pre-cliniche e cliniche hanno indicato che gli SSRI (Selective Serotonin Reuptake Inhibitors) promuovono la neurogenesi e riducono l’atrofia ippocampale indotta dallo stress nell’animale 5 e nell’uomo sono in grado di ridurre i sintomi del PTSD, incrementare le dimensioni dell’ippocampo e ridurre i deficit mnesici tipici della patologia 6 7. Un altro fattore che sembra essere in grado di stimolare la neurogenesi negli animali sembra essere “l’ambiente arricchito” verosimilmente tramite i meccanismi molecolari dell’apprendimento che sembrano in grado di attivare la trascrizione dell’mRNA per il Brain Derived Neurotrophic Factor. Questo dato della letteratura supporta il razionale dell’efficacia della psicoterapia anche se l’unico studio che valuta le modificazioni morfostrutturali dopo psicoterapia non ha riportato risultati positivi 8. Gli scopi di questo studio sono: – valutare la presenza di atrofia ippocampale nei pazienti affetti da PTSD (T0-drug-free); – valutare l’effetto della terapia: farmacologica con SSRI e psicoterapica con EMDR (Eye Movement Desensitization and Reprocessing) sia sul piano clinico e neuropsicologico, che sul volume ippocampale, sia sulla memoria (T1). Metodologia: abbiamo analizzato un campione di 20 pazienti, di età compresa tra i 15 ed i 65 anni, reclutati nell’ambulatorio psichiatrico del Policlinico universitario di Siena affetti da PTSD e un gruppo di controllo di soggetti sani appaiati per sesso, età, peso e altezza. I soggetti di entrambi i gruppi sono stati sottoposti ad uno studio morfovolumetrico computerizzato dell’Ippocampo tramite RM (Risonanza Magnetica). Inoltre, i diciassette pazienti con PTSD sono stati valutati tramite la somministrazione di test neuropsicologici e scale psicometriche per approfondire il quadro psicopatologico e valutare l’eventuale presenza di deficit cognitivi. Nei soggetti affetti da PTSD dopo un periodo di sei mesi di terapia psicofarmacologica sono stati ripetuti i test neuropsicologici, le scale psicometriche e l’analisi morfovolumetrica dell’ippocampo tramite RM. Tre pazienti, dopo le valutazioni al T0, hanno effettuato un protocollo terapeutico con solo EMDR e sono stati rivalutati dopo 8 sedute (due mesi). Risultati: i risultati della prima parte sperimentale (T0-drug-free) evidenziano che le dimensioni dell’ippocampo di sinistra nei soggetti affetti da PTSD sono significativamente minori rispetto ai controlli sani. Dai risultati osservati al follow-up (T1-post-terapia) è possibile evincere che la terapia nei soggetti considerati è associata ad un miglioramento della sintomatologia e ad un aumento dei volumi ippocampali, pari al 9,87% per l’ippocampo di destra e dell’8,37% per l’ippocampo di sinistra. Questi dati sono concordi con i dati presenti in letteratura, anche se la percentuale di recupero su base neuroplastica nel nostro studio risulta sensibilmente superiore rispetto ai due studi presenti in letteratura incremento pari al 4,6% 6; pari al 5% 7. I tre pazienti che hanno effettuato terapia con EMDR hanno anch’essi mostrato al T1 un miglioramento sintomatologico (CAPS non più positiva per i criteri diagnostici) ed un aumento medio dei volumi ippocampali pari a 338,25 mm3 per l’ippocampo DX e 357,93 mm3 per l’ippocampo SN. Conclusioni: la terapia nei soggetti considerati si è associata ad un aumento dei volumi ippocampali (9,87%-8,37%). L’aumento dei volumi ippocampali appare rilevante, consistente con i dati in letteratura, sebbene quantitativamente superiore, sottolineando l’efficacia degli SSRI verosimilmente tramite il meccanismo di attivazione della neurogenesi; è ipotizzabile che l’aumento di volume non sia da imputare ad un aumento delle cellule gliali ma ad un aumento di neuroni ippocampali visto il contemporaneo miglioramento clinico. Particolarmente interessante ci sembra il dato relativo all’efficacia clinica e sulla plasticità neurale della EMDR. Questa osservazione su solo tre casi, necessita chiaramente di essere confermata su un campione più ampio ma rappresenta la prima evidenza in letteratura di un’azione della psicoterapia diretta alla struttura cerebrale.

Introduction: Many studies agree on the reduction of hippocampal volume in patients with PTSD and that an anatomical alteration is correlated with cognitive deficits and the severity of symptoms. However to date has not yet been clarified whether hippocampal atrophy is the result of a neurotoxic effect of trauma or, rather, an underlying condition that predisposes to the development of some psychiatric disorders. For some time animal studies show that stress causes hippocampal atrophy and inhibition of neurogenesis, by mechanisms probably related to glucocorticoids, all'increzione corticotropo factor, increased excitatory amino acid, inhibition of brain neurotrophic factor with loss of neuronal plasticity. In humans, however, the results are not so linear. On the one hand, some studies have identified as the main factor increasing glucocorticoid two other such theory was strongly criticized 3. According to Yehuda mechanism of hippocampal atrophy is due to an alteration of hypothalamic-pituitary-adrenal (HPA), but in terms of a low secretion of glucocorticoids leading to an increase of negative feedback axis and the same receptor hypersensitivity . Regardless of the mechanism of action, loss of neurons in hippocampus in people who have suffered traumatic events seems sufficiently established and, until recently, was considered irreversible. In fact, the hippocampus appears to be an unusual and spontaneous regenerative capacity. This figure has been identified in many animal species and in one study in humans 4. Moreover, recent evidence pre-clinical and clinical studies have shown that SSRIs (Selective Serotonin Reuptake Inhibitors) promote neurogenesis and reduce stress-induced hippocampal atrophy in animals 5 and humans are able to reduce symptoms of PTSD, increase the size of the hippocampus and reduce the deficit mnesic typical of the disease 6 7. Another factor that seems to be able to stimulate neurogenesis in animals seems to be "enriched environment" probably through molecular mechanisms of learning that seem able to activate the transcription of mRNA for Brain Derived Neurotrophic Factor. This finding supports the rationale of the literature of the effectiveness of psychotherapy, even if the only study that evaluates changes morphostructural after psychotherapy has shown positive results 8. The aims of this study are: - To evaluate the presence of hippocampal atrophy in patients with PTSD (T0-drug-free) - to assess the effect of therapy: pharmacological SSRI and psychotherapy with EMDR (eye movement desensitization and reprocessing) is a clinical and neuropsychological, and on hippocampal volume, and memory (T1). Methods: We analyzed a sample of 20 patients, aged between 15 and 65, recruited nell'ambulatorio Psychiatric University Hospital of Siena with PTSD and a control group of healthy subjects matched by sex, age, weight and height. Subjects in both groups were subjected to a computerized study morfovolumetrico dell'Ippocampo using MRI (Magnetic Resonance). In addition, seventeen patients with PTSD were assessed through administration of psychometric scales and neuropsychological tests to study the psychopathological picture and evaluate the possible presence of cognitive deficits. In subjects with PTSD after a period of six months of pharmacological therapy were repeated neuropsychological tests, scales psychometric analysis morfovolumetrica hippocampus by MRI. Three patients at T0 after assessments, carried out a treatment protocol with only EMDR and were reassessed after eight sessions (two months). Results: The results of the first experiment (T0-drug-free) show that the size of the left hippocampus in patients with PTSD are significantly lower compared to healthy controls. The results observed during the follow-up (T1-post-therapy) can be inferred that therapy in patients considered to be associated with improvement in symptoms and an increase in hippocampal volume, equal to 9.87% for the right hippocampus and 8, 37% for the left hippocampus. These data are consistent with the data in the literature, although the recovery rate based on neuroplastic in our study is significantly higher than in the two studies in the literature increase of 4.6% 6; 5% 7. The three patients who have treatment with EMDR have also shown an improvement in symptoms at T1 (CAPS no longer positive for the diagnostic criteria) and an average increase in hippocampal volume amounted to 338.25 mm3 for the hippocampus and DX 357, 93 mm3 for the hippocampus SN. Conclusions: Therapy in patients considered was associated with an increase in hippocampal volume (9.87% -8.37%). The increase in hippocampal volume appear to be relevant, consistent with the literature data, although quantitatively greater, stressing the effectiveness of SSRIs probably through the mechanism of activation of neurogenesis, it is conceivable that the increase in volume is attributable to an increase glial cells but an increase of hippocampal neurons seen the simultaneous clinical improvement. Seems particularly interesting given the relative clinical effectiveness of EMDR and neural plasticity. This observation on only three cases, clearly needs to be confirmed on a larger sample but represents the first evidence in the literature of action of psychotherapy directed at brain structure.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

206. Earley, P. H. (2009, January). New tools and troubles in addiction treatment. Presentation at the 9th annual CAPTASA (Clinical Applications of the Principles in Treatment of Addictions and Substance Abuse) Conference, Lexington, KY.

Language: English

Format: Conference

Abstract:
EMDR and Recovery • EMDR helps patients reframe their attachment to drug use and drug lifestyle into “addiction trauma.” • EMDR decreases traumatic memories that destabilize the path to recovery. • EMDR provides hope of trauma resolution for patients who have suffered past physical, sexual and emotional trauma in addition to addiction trauma. • EMDR may decrease euphoric recall. • EMDR may reprogram the procedural learning produced by past use behaviors, and thus, decrease relapse. [Excerpt]

Keywords: Addictions Substance Abuse

Accuracy Verified: Yes

207. Lipke, H. (2011, August). An overview of EMDR. Author.

Language: English

Format: Other

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a method of psychotherapy developed by psychologist Francine Shapiro as a treatment for psychological distress associated with trauma, when she chanced to notice a connection between a decrease in her own emotional distress over a personal concern after having spontaneously moved her eyes back and forth. Integrating her eye movement (em) observation with aspects of, at least, imaginal exposure, cognitive therapy, psychodynamic therapy, and mindfulness teachings, and adding an early positive psychology idea, Shapiro developed a treatment, which she informally tested. Shapiro (1989a) first systematically tested her work in a wait list control study of 21 subjects recruited from local mental health centers, including a DVA veteran readjustment center. Remarkably, all of her first 21 subjects showed profound single session desensitization effects. In addition, Shapiro (1989b) published a case study in a journal edited by Joseph Wolpe, an originator of behavior therapy, in which Wolpe, in an editorial footnote, endorsed Shapiro’s rapid effects from his own informal replication. [Excerpt]

Keywords: General Overview

Accuracy Verified: Yes

208. Kahn, D. (2008, November). PAA: Positive affect activation, addition to/modification of phase 6 of the standard EMDR protocol. Israel EMDR. Retrieved from http://www.emdr.org.il/dls/eyes2body.swf on 8/12/2010.

Language: English

Format: Other

Abstract:
It is suggested that when we receive a clean body scan, before we continue on to closure, we elicit positive affect and body activation that may currently be associated with the target and install with BLS. Following this we would return to the standard protocol with closure. The rationale for this is presented along with the introduction of an additional scale of SUPAs – Subjective Units of Positive Activation.

Keywords: PAA Positive Affect Activation Shock Wave Flash

Accuracy Verified: Yes

209. Kahn, D. (2008, November). PAAP. לגוף עיניים - Models for EMDR treatment with Enhanced Focus on the Body, Tel Aviv, Israel.

Language: Hebrew

Format: Conference

Abstract: Kahn will present a proposal for the anchoring of positive effect in the body as an addition or modification of the standard protocol.

Keywords: PAAP

Accuracy Verified: Yes

210. Bodill, B. (2009, September). Patterns of reduction of distress in clinical conditions using eye movement desensitisation and reprocessing (EMDR). University of University of Kwa Zulu Natal.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated the patterns of reduction of distress in clinical personality patterns, severe personality patterns, depressive constructs, other clinical syndromes, severe clinical syndromes and dissociation following EMDR treatment. Thirty-two people, ranging from 23 to 65 years old, underwent the full EMDR protocol treatment for up to three traumas. The findings regarding clinical personality patterns revealed that EMDR is most effective in reducing the symptoms of dependent personality pattern because 76% of participants with clinically significant dependent personality pattern before EMDR treatment no longer had a clinically significant score (>75) on the MCMI-III at the end of EMDR treatment; compared to 75% with masochistic personality pattern, 77% with negativistic personality pattern, 69% with avoidant personality pattern, 40% with depressive personality pattern and 29% with schizoid personality pattern. These gains were maintained on the MCMI-III at follow-up by 76% with dependent personality pattern, 64% with masochistic personality pattern, 46% with negativistic personality pattern, 38% with avoidant personality pattern, 30% with depressive personality pattern and 29% with schizoid personality pattern. The analysis of the severe personality patterns at the end of EMDR treatment revealed that the scores on the MCMI-III reduced from within one standard deviation above the mean (60-74) to below the mean (<60) for 84% of participants with borderline personality pattern, compared to 68% with paranoid personality pattern and 52% with schizotypal personality pattern. These gains were maintained on the MCMI-III at follow-up by 84% with borderline personality pattern, 68% with paranoid personality pattern and 48% with schizotypal personality pattern. The analysis of the depressive constructs revealed that EMDR is most effective in reducing symptoms of major depression as 86% of participants with clinically significant major depression before EMDR treatment no longer had a clinically significant score (>75) on the MCMI-III at the end of EMDR treatment; compared to 73% with dysthymia and 40% with depressive personality pattern. These gains were maintained on the MCMI-III at followup by 86% with major depression, 58% with dysthymia, and 33% with depressive personality pattern. The findings regarding the other clinical syndromes revealed that 91% of participants with clinically significant post traumatic stress before EMDR treatment, no longer had a clinically significant score (>75) on the MCMI-III at the end of EMDR treatment, compared to 75% of participants with anxiety. These gains were maintained on the MCMI-III at followup by 91% of participants with post traumatic stress and 69% of participants with anxiety. The analysis of the severe clinical syndromes at the end of EMDR treatment revealed that the scores on the MCMI-III reduced from within one standard deviation above the mean (60-74) to below the mean (<60) for 78% of participants with delusional disorder, compared to 67% with thought disorder, 32% with bipolar (manic), 28% with alcohol dependence and 28% with drug dependence. These gains were maintained on the MCMI-III at follow-up by 67% of participants with delusional disorder, compared to 63% with thought disorder, 53% with bipolar (manic), 48% with alcohol dependence and 57% with drug dependence. The analysis of the effects of EMDR on dissociation revealed that there was a significant decrease in symptoms of dissociation on the DES at the end of EMDR treatment and these gains were maintained at the follow-up measurement at the end of the study. Whilst the findings of the present study cannot be generalised due to the small sample size, the findings do suggest that EMDR is successful in the treatment of a number of clinical conditions in addition to post traumatic stress; with further research being strongly indicated in order to further explicate the efficacy of EMDR across different psychiatric conditions.

Keywords: Reduction of Distress

Accuracy Verified: Yes

211. Solomon, R. M., & Kaufman, T. E. (2002, Fall/Winter). A peer support workshop for the treatment of traumatic stress of railroad personnel: Contributions of eye movement desensitization and reprocessing (EMDR). Journal of Brief Therapy, 2(1), 27-33.

Language: English

Format: Journal

Abstract:
This study evaluated the therapeutic efficacy of a 3-day peer support workshop for 60 railroad employees who had experienced fatal grade crossing accidents. Participants received training on trauma and coping strategies, peer support strategies, and peer debriefing. Half the group also receive Eye Movement Desensitization and Reprocessing (EMDR). The Impact of Event Scale was administered at the workshop, a post-treatment followed 2 months later, and finally a 10-month follow-up. There was a significant decrease in scores at post-treatment and follow-up was conducted. The addition of EMDR led to significantly lower scores than having only the workshop. The workshop appeared successful in decreasing the effects of long-term trauma. [Author Abstract]

Keywords: Adults Critical Incident Stress Debriefing Longitudinal Study Males Non-Randomized Study Posttraumatic Stress Disorder PTSD Railroad Accident Survivors Transport Workers Treatment Effectiveness

Accuracy Verified: Yes

212. Sandstrom, M., Wiberg, B., Wikman, M., Willman, A. K., & Hogberg, U. (2008, March). A pilot study of eye movement desensitization and reprocessing treatment (EMDR) for post-traumatic stress after childbirth. Midwifery, 24(1), 62–73. doi:10.1016/j.midw.2006.07.008.

Language: English

Format: Journal

Abstract:
Objective: To explore the possibility of using eye movement desensitisation and reprocessing (EMDR) to treat women who have experienced post-traumatic stress after childbirth. Design: The pilot study consisted of a "before and after" treatment design combined with follow-up measurements 1-3 years after EMDR treatment. Quantitative data from questionnaires (Traumatic Event Scale [TES]) were collected. In addition, qualitative data from individual interviews with the participants were collected as well as data from the psychotherapist's treatment notes of the EMDR treatment sessions. Setting: The north of Sweden. Participants: 4 women with PTSD after childbirth (1 pregnant and 3 non-pregnant). Findings: All participants reported reduction of post-traumatic stress after treatment. After 1-3 years, the beneficial effects of EMDR treatment remained for 3 of the 4 women. Symptoms of intrusive thoughts and avoidance seemed most sensitive for treatment. Implications for Practice: EMDR might be a useful tool in the treatment of non-pregnant women severely traumatised by childbirth; however, further research is required. [Author Abstract]

Keywords: Adults Childbirth Females Longitudinal Study Posttraumatic Stress Disorder PTSD Survivors Swedes Treatment Effectiveness

Accuracy Verified: Yes

213. Daniel, J. (2000). Play therapy and EMDR. The Children’s Group Association Newsletter. Retrieved from http://www.cgta.net/newsletters/play_therapy.html November 16, 2011.

Language: English

Format: Newsletter

Abstract:
Children vary greatly in their ability to tolerate focusing on “the problem.” The wise EMDR therapist has various ways of approaching a traumatic memory or a current day problem to fit the tolerance level of the client. EMDR and the process of bilateral stimulation to address problematic material is one method of speeding up therapeutic work with children. However, when using bilateral stimulation with children I am simultaneously using my training as a family systems therapist, and the various play therapy strategies that were the backbone of my work with children before I learned EMDR or other alternative therapies. In a way, EMDR and the sand tray saved my professional life. In my first year of practice after my family therapy post-graduate training, I got a job at a family therapy clinic in Louisville, Kentucky. I was assigned to handle all referrals that came to the agency through a Victim Assistance grant. All of these were cases in which a child had been victim of some crime, and the majority were victims of abuse from some one other than a family member. You can imagine the population. Families who had found that a neighbor or teacher had abused their child were common. Both child and family were traumatized. My family therapy skills were good. But in addition to them I needed two things: a better way for children to communicate their feelings and a way to help both adults and children reduce the intensity of emotions around the trauma they had been through. Just (Continued from page 1) when I was beginning to feel that I was not up to the job, I learned EMDR. With this wonderful knowledge, I found I could help both children and adults move beyond the trauma and regain their grasp on the present moment, their strengths and their security. A deepening understanding of play therapy provided the additional communication tools I needed. Since Then I have never looked back, and find that our field is continually generating new perspectives and more efficient tools for us to use.

Keywords: Children Play Therapy

Accuracy Verified: Yes

214. Servan-Schreiber, D. (2000, July). Point: Eye movement desensitization and reprocessing: Is psychiatry missing the point?. Psychiatric Times, 17(7), 36-40.

Language: English

Format: Magazine

Abstract:
Posttraumatic stress disorder (PTSD) is a common and disabling condition. Recent estimates of the lifetime prevalence range between 6% and 15%, making this condition possibly more common than major depressive disorder (Breslau et al., 1998; Kessler et al., 1995). In addition, many patients who have been the victims of directed violence, such as rape or assault, continue to meet PTSD criteria 10 years after the incident (Breslau et al., 1998).

Keywords: Pottraumatic Stress Disorder PTSD

Accuracy Verified: Yes

215. Farrell, D. P. (2004, September). Political elements of PTSD within former Royal Ulster Constabulary (RUC) Police Officers and its implications for effective psychological treatment. Presentation at the 34th annual Conference of the European Association for Behavioural and Cognitive Therapies, University of Manchester Institute of Science and Technology(UMIST), Manchester, England.

Language: English

Format: Conference

Abstract:
This paper will explore some of the limitations of the Post Traumatic Stress Disorder Framework in accounting for the myriad of psychological symptoms encountered by former Royal Ulster Constabulary (RUC) within the Northern Ireland Province. Several case studies of ex RUC police will be used to highlight not only the legacy of multiple trauma experiences, but also multiple re-traumatisation by both the RUC as an organisation and its individual membership. Within the context of the war in Northern Ireland, Catholic RUC officers in particular experienced discrimination that often maximised their exposure to additional traumas. This indicates a potential political dimension to our conventional understanding of PTSD, which therefore has subsequent psychological treatment implications. The Police Rehabilitation and Retraining Trust (PRRT) in Belfast offers a psychological therapy services for retired, retiring and/ or medically discharged police officers. Predominant treatment involves a combination of Cognitive Behavioural Therapy (CBT) and that of Eye Movement Desensitisation & Reprocessing (EMDR). However, because of the ongoing security issues in Northern Ireland, particularly for this client group, there are several limitations within treatment approaches particularly regarding the utilisation of exposure in vivo. In addition this client group is often ostracised by both communities further reinforcing isolationism and social exclusion.

Keywords: Politics Royal Ulster Constabulary (RUC) Police Officers Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

216. Walte, C. (2010). Posttraumatische belastungsstörung bei kindern und jugendlichen: Traumafokussierte kognitive verhaltenstherapie und eye movement desensitization and reprocessing als mögliche interventionsformen [Post-traumatic stress disorder in children and adolescents: Trauma-focused cognitive behavioral therapy, and eye movement desensitization and reprocessing as possible forms of intervention]. University of Hildesheim, Grin, 31. doi:10.3239/9783640733767.

Language: German

Format: Book

Abstract: Abstract: In der Gegenwart erfährt sowohl die Thematik des Traumas bei Kindern, als auch die Posttraumatische Belastungsstörung erhöhte Aufmerksamkeit und eine Reihe von Befunden zeigt, dass ein erheblicher Teil von Kindern nach einem Trauma eine Posttraumatische Belastungsstörung entwickelt, was eine genauere und detaillierte Betrachtung des Störungsbildes und seiner Behandlungsmöglichkeiten erfordert. Besonders die Traumafokussierte kognitive Verhaltenstherapie und die Methode des Eye Movement Desensitization and Reprocessing finden neben anderen Interventionsverfahren in der Fachliteratur vermehrt Beachtung. Auf der Grundlage dieser Aspekte habe ich die folgende Fragestellung entwickelt, die ich in meiner Arbeit untersuche: Durch welche Merkmale sind die Traumafokussierte kognitiv-behaviorale Verhaltenstherapie nach Cohen und das Eye Movement Desensitization and Reprocessing nach Shapiro als mögliche Interventionsformen der Posttraumatischen Belastungsstörung gekennzeichnet, in welchen Aspekten bestehen Gemeinsamkeiten und Unterschiede beider Therapieformen und welche Therapieform ist aus welchen Gründen wirksam(er)?
Abstract undergoes in the presence of both the issue of trauma in children, as well as post-traumatic stress disorder increased attention and a series of findings indicates that a significant proportion developed by children after a trauma a post-traumatic stress disorder, which is a more accurate and detailed consideration of the disorder and its treatment requires. In particular, the trauma-focused cognitive behavioral therapy and the method of Eye Movement Desensitization and Reprocessing find more in addition to other intervention methods in the literature attention. Based on this, I have developed the following question that I explore in my work: Which features are the trauma-focused cognitive-behavioral behavioral therapy according to Cohen and the Eye Movement Desensitization and Reprocessing for Shapiro characterized as a possible intervention forms of post-traumatic stress disorder, in which Aspects are the similarities and differences between the two forms of therapy and which treatment is effective for any reason(s)?

Keywords: Children Adolescents CBT Cognitive Behavior Therapy Posttraumatic Stress Disoder PTSD Treatment

Accuracy Verified: Yes

217. Zimmermann, E. (2010, June). The potential of EMDR in gynaecology and obstetrics: Special application with infertile women. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The author of this presentation works as psychologist and psychotherapist in a clinic in Fribourg/Switzerland in the department of gynecology and obstetrics. Various applications of EMDR are used, both in gynecologic and obstetrical outcomes. A special patient population, namely infertile women in search of becoming pregnant, are an important part of the work. The purpose of this presentation is to show the special approach that E. Zimmermann has developed by working with infertile women. Infertile women - in opposition to sterile women - are women with no apparent medical reason why they do not become pregnant. These infertile women often pass a particularly long and difficult phase to get pregnant. They are always disappointed by the repeated negative outcome of all their efforts to become pregnant. This is a very difficult phase in the life of the couple too, and not few couples separate during this phase. Especially women feel unable being a mother and their self-esteem is very low. This is why the author has developed a special application of EMDR to this population. The aim is to cope with the difficulties related to these different stages. Another purpose is preparing a desired and possible pregnancy. Women mostly have very different anamnesis, some also including trauma. They have in particular a personal pregnancy or non-pregnancy history, e.g. also abortion. In addition the medical assistance utilized for getting pregnant is quite different for every case. Lots of them end up by using fertilization techniques, which have a low chance of success. This makes it rather difficult for EMDR to treat these women i a standardized way. The author of this workshop has developed a flow-chart providing an concept of applying EMDR at different stages with different types of targets in order to compare the outcomes. By working with EMDR and infertile women, it appears that they become pregnant quicker than what the statistics predict. There are also women who become pregnant after working with EMDR before they start the fertility-program. This is why the author prepares a research study to try to figure out if the EMDR-process can have a positive impact on fertility.

Keywords: Female Issues Gynecology Infertility Obstetrics Symposium

Accuracy Verified: Yes

218. Commons, M. L. (2000, August). The power therapies: A proposed mechanism for their action and suggestions for future empirical validation. Traumatology, 6(2), 119-138. doi:10.1177/153476560000600205 .

Language: English

Format: Journal

Abstract:
Power Therapies claim to achieve rapid results in reducing fear elicited by a large number of situations. This paper presents a theory of how competition among stimuli may be the basis for how the Power Therapies work. The compelling features of these therapies are that they all interrupt old habits and conditioned reflexes and provide new habits and conditioning. Therefore, many of the protocols involve overcoming prior-stimulus dominance. In addition to proposing a mechanism for these therapies, this article also reveals that, despite superficial differences, power therapies fundamentally accomplish the same thing. These therapies reduce the intensify of emotional responses elicited by stimuli associated with trauma. It is proposed that they accomplish this end through working at the subcortical level of brain activity to interrupt the negative emotional responses elicited by the trauma stimuli. [Author Abstract]

Keywords: Conditioned Emotional Responses TFT Thought Field Therapy Neurolinguistic Programming NLP: Posttraumatic Stress Disorder PTSD TIR: Traumatic Incident Reduction

Accuracy Verified: Yes

219. Lamprecht, F. (2000). Praxis der traumatherapie: Was kann EMDR leisten? (mit Therapieführer) [Practice of trauma therapy: What can EMDR?]. Stuttgart: Pfeiffer bei Klett-Cotta.

Language: German

Format: Book

Abstract:
Mit Therapieführer
EMDR (Eye Movement Desensitization and Reprocessing) wurde 1989 von Francine Shapiro als eine neue Methode zur Behandlung traumatisierter Menschen vorgestellt. Die »Augenbewegungs-Desensibilisierungstherapie« gilt als spektakuläres Verfahren, weil sich in vielen Fällen bereits nach wenigen Behandlungen erstaunliche Besserungen einstellten. Traumatische Bilder und Erinnerungen werden in EMDR-Sitzungen bearbeitet, indem der Klient diese intensiv wiedererlebt, während er gleichzeitig eine Wahrnehmungsaufgabe erfüllt: Mit den Augen folgt er der sich hin und her bewegenden Hand des Therapeuten. Dies leitet auf neuronaler Ebene einen beschleunigten Verarbeitungsprozeß ein; belastende Erinnerungen verblassen, und neue, konstruktivere Gedanken können an ihre Stelle treten. Inzwischen wurde das Verfahren in vielen unabhängigen Studien überprüft und als effektive Behandlungstechnik bestätigt. Friedhelm Lamprecht war einer der ersten Psychotherapeuten, die EMDR erlernten und anwendeten. So gehören er und sein Autorenteam zu den wenigen Fachleuten, die in der Lage sind, über eigene Anwendungserfahrungen zu berichten, die Methode kritisch zu beurteilen, ihre Möglichkeiten und Grenzen zu beschreiben, eigene statistische Erfahrungswerte vorzulegen und selbstentwickelte Weiterführungen darzustellen. Darüber hinaus gibt das Buch eine allgemeine Einführung in die Theorie und Praxis heutiger Traumatherapie und enthält einen Therapieführer. Da sich EMDR sowohl in den verhaltenstherapeutischen als auch in den psychoanalytischen Therapierahmen einfügt, ist das Buch für eine breite professionelle Leserschaft von Interesse. Mit Beiträgen von Ursula Gast, Wolfgang Lempa, Martin Sack. »Der hohe Informationswert des Buches basiert einesteils darauf, dass Friedhelm Lamprecht und sein Autorenteam im deutschsprachigen Bereich mit zu den ersten Psychotherapeuten gehörten, die EMDR erlernt haben. Infolgedessen vermochten sie für ihre psychotraumatologische Forschungsarbeit eine hohe Kompetenz einzubringen. Andererseits erhält das Buch auch dadurch eine attraktive Note, dass die Befunde in den verschiedenartigen Settings eines Universitätskrankenhauses erhoben wurden.« Hellmuth Freyberger (Psychotherapie, Psychosomatik, medizinische Psychologie).

With EMDR therapy guide (Eye Movement Desensitization and Reprocessing) was introduced in 1989 by Francine Shapiro as a new method for the treatment of traumatized people. The "eye movement desensitization therapy" is considered spectacular procedure, because in many cases ceased after a few treatments amazing improvements. Traumatic images and memories are processed in EMDR sessions by the client this intensely relived, while he simultaneously fulfills a perception problem: With the eyes he is the to and fro moving hand of the therapist. This leads to a neuronal level, a process accelerated processing; incriminating memories fade, and new and constructive thoughts can take their place. Meanwhile, the process was in many independent studies reviewed and confirmed as an effective treatment technique. Friedhelm Lamprecht was one of the first psychotherapists who EMDR learned and applied. So he and his team of writers are among the few professionals who are able to report on their own application experience to assess the critical method to describe their capabilities and limitations, provide their own self-developed statistical experience and represent continuations. In addition, the book gives a general introduction to the theory and practice of today's trauma therapy, and includes a treatment guide. Since EMDR fits in both the behavioral and in the framework of psychoanalytic therapy, is the book for a broad readership of professional interest. With contributions by Ursula guest, Wolfgang Lempa, Martin sack. "The high information value of the book is based the one hand that Friedhelm Lamprecht and his team of authors included in the German area of the first psychotherapists have learned the EMDR. Consequently, they could for their research work psychotraumatological a high level of competence contribute. On the other hand, the book also replaced by an attractive note that the findings were collected in the various settings of a university hospital. "Hellmuth Freyberger (psychotherapy, psychosomatic medicine, medical psychology).

Keywords: Practice Theory

Accuracy Verified: Yes

220. Gauvreau, P., & Bouchard, S. (2008). Preliminary evidence for the efficacy of EMDR in treating generalized anxiety disorder. Journal of EMDR Practice and Research, 2(1), 26-40. doi:10.1891/1933-3196.2.1.26.

Language: English

Format: Journal

Abstract:
This preliminary study sought to evaluate the potential effectiveness of eye movement desensitization and reprocessing (EMDR) as a treatment modality for generalized anxiety disorder (GAD). Using a singlecase design with multiple baselines across four subjects, the effectiveness of 15 EMDR sessions was evaluated. Results indicate that subsequent to targeting the experiential contributors to GAD and the current and anticipated situations that caused excessive worry, the scores of anxiety and of excessive worry dropped to levels below diagnostic threshold and in two cases to full remission of GAD symptoms. At both posttreatment and at 2 months follow-up, all four participants no longer presented with GAD diagnosis. In addition, time-series analyses (ARMA) indicate statistically significant improvement on both daily measures of worry and anxiety over the course of the EMDR treatment. [Author Abstract]

Keywords: Efficacy Generalized Anxiety Disorder Single-Case Design Time-Series Analyses Treatment

Accuracy Verified: Yes

221. Vidal, C. (2006, March 6). Program lead to certification in trauma treatment. U.S. States News.

Language: English

Format: Other

Abstract:
Participants who successfully complete the Child & Adolescent Trauma Treatment Certification Program will receive a certificate of completion from the Child Trauma Institute and will be eligible for EMDR certification. In addition, they will receive 116 continuing education units through the National Association of Social Workers.

Keywords: Certification Training

Accuracy Verified: Yes

222. Paunovic, N. (2002, April). Prolonged exposure counterconditioning (PEC) as a treatment for chronic post-traumatic stress disorder and major depression in an adult survivor of repeated child sexual and physical abuse. Clinical Case Studies, 1(2), 148-169. doi:10.1177/1534650102001002004.

Language: English

Format: Journal

Abstract:
Prolonged exposure counterconditioning (PEC) was tested as a treatment for chronic post-traumatic stress disorder (PTSD) in an adult survivor of repeated child sexual and physical abuse. PEC utilizes imaginal reliving of very pleasurable life moments in order to weaken traumatic conditioned emotional responses (CERs). A higher-order conditioned stimuli (CS) is used as a traumatic CER elicitor. Prolonged imaginal reliving of pleasurable CSs is used as a counterconditioner to the traumatic CERs. A statistical technique for analyzing single-case subject designs based on classical test theory was used to evaluate the client’s progress in treatment. Results showed that PEC effectively decreased the client’s PTSD symptoms, depression, and anxiety. In addition, the client’s negative cognitions became considerably more positive. Also, the client lost his comorbid conditions of chronic major depressive disorder and social phobia. Finally, other clinically observed symptoms, which are described in the article, improved markedly. All results were maintained at a 3-month follow-up.

Keywords: Imaginal Reliving PEC Posttraumatic Stress Disorder Prolonged Exposure Counterconditioning PTSD

Accuracy Verified: Yes

223. Brewin, C. R., Scragg, P., Robertson, M., Thompson, M., D'Ardenne, P., & Ehlers, A. (2008, February). Promoting mental health following the London bombings: A screen and treat approach. Journal of Traumatic Stress, 21(1), 3-8.

Language: English

Format: Journal

Abstract:
Following the 2005 London bombings, a novel public health program was instituted to address the mental health needs of survivors. In this article, the authors describe the rationale for the program, characteristics of individuals assessed within the program, and preliminary outcome data. In addition to validated screening instruments and routine service usage data, standardized questionnaire outcome measures were collected. 71% of individuals screened positive for a mental disorder. Of those receiving a more detailed clinical assessment, PTSD was the predominant diagnosis. Preliminary outcome data on 82 patients revealed large effect sizes for treatment comparable to those previously obtained in randomized controlled trials. The program succeeded in its aim of generating many more referrals of affected individuals than came through normal referral channels. [Author Abstract]

Keywords: Adults British Cognitive Therapy Epidemiology London Transport Bombings (2005) Posttraumatic Stress Disorder Psychiatric Disorders PTSD Survivors Terrorism Treatment Effectiveness Victim Services

Accuracy Verified: Yes

224. Zangwill, W. (2007, June). Providing adjunctive EMDR treatment. EMDRIA Newsletter, 12(2), 8-11.

Language: English

Format: Newsletter

Abstract:
For the past several years, in addition to my work as an EMDR trainer and private practitioner, I have provided consultation to many EMDR clinicians. During these consultations, one of the most frequently asked questions has been how to handle requests for EMDR treatment for a client currently in therapy with someone else. Providing adjunctive EMDR treatment can be intensely productive and stimulating if done properly; it can also be counterproductive if not. In this article I want to share with you a series of steps that I have found to be important if adjunctive EMDR treatment is to be optimally effective and problems avoided, or at least minimized.

Keywords: Adjunctive EMDR Treatment

Accuracy Verified: Yes

225. Gillies, D., Taylor, F., Gray, C., O’Brien, L., & D’Abrew, N. (2012). Psychological therapies for the treatment of post-traumatic stress disorder in children and adolescents (Review). Cochrane Database of Systematic Reviews (Online), 12, CD006726. doi:10.1002/14651858.CD006726.pub2.

Language: English

Format: Journal

Abstract:
Background: Post-traumatic stress disorder (PTSD) is highly prevalent in children and adolescents who have experienced trauma and has high personal and health costs. Although a wide range of psychological therapies have been used in the treatment of PTSD there are no systematic reviews of these therapies in children and adolescents. Objectives: To examine the effectiveness of psychological therapies in treating children and adolescents who have been diagnosed with PTSD. Search methods: We searched the Cochrane Depression, Anxiety and Neurosis Review Group’s Specialised Register (CCDANCTR) to December 2011. The CCDANCTR includes relevant randomised controlled trials fromthe following bibliographic databases: CENTRAL (the Cochrane Central Register of Controlled Trials) (all years), EMBASE (1974 -), MEDLINE (1950 -) and PsycINFO (1967 -). We also checked reference lists of relevant studies and reviews. We applied no date or language restrictions. Selection criteria: All randomised controlled trials of psychological therapies compared to a control, pharmacological therapy or other treatments in children or adolescents exposed to a traumatic event or diagnosed with PTSD. Data collection and analysis: Two members of the review group independently extracted data. If differences were identified, they were resolved by consensus, or referral to the review team. We calculated the odds ratio (OR) for binary outcomes, the standardised mean difference (SMD) for continuous outcomes, and 95% confidence intervals (CI) for both, using a fixed-effect model. If heterogeneity was found we used a random-effects model. Main results Fourteen studies including 758 participants were included in this review. The types of trauma participants had been exposed to included sexual abuse, civil violence, natural disaster, domestic violence and motor vehicle accidents. Most participants were clients of a traumarelated support service. The psychological therapies used in these studies were cognitive behavioural therapy (CBT), exposure-based, psychodynamic, narrative, supportive counselling, and eye movement desensitisation and reprocessing (EMDR). Most compared a psychological therapy to a control group. No study compared psychological therapies to pharmacological therapies alone or as an adjunct to a psychological therapy. Across all psychological therapies, improvement was significantly better (three studies, n = 80, OR 4.21, 95% CI 1.12 to 15.85) and symptoms of PTSD (seven studies, n = 271, SMD -0.90, 95% CI -1.24 to -0.42), anxiety (three studies, n = 91, SMD -0.57, 95% CI -1.00 to -0.13) and depression (five studies, n = 156, SMD -0.74, 95% CI -1.11 to -0.36) were significantly lower within a month of completing psychological therapy compared to a control group. The psychological therapy for which there was the best evidence of effectiveness was CBT. Improvement was significantly better for up to a year following treatment (up to one month: two studies, n = 49, OR 8.64, 95% CI 2.01 to 37.14; up to one year: one study, n = 25, OR 8.00, 95% CI 1.21 to 52.69). PTSD symptom scores were also significantly lower for up to one year (up to one month: three studies, n = 98, SMD -1.34, 95% CI -1.79 to -0.89; up to one year: one study, n = 36, SMD -0.73, 95% CI -1.44 to -0.01), and depression scores were lower for up to a month (three studies, n = 98, SMD -0.80, 95% CI -1.47 to -0.13) in the CBT group compared to a control. No adverse effects were identified. No study was rated as a high risk for selection or detection bias but a minority were rated as a high risk for attrition, reporting and other bias. Most included studies were rated as an unclear risk for selection, detection and attrition bias. Authors’ conclusions: There is evidence for the effectiveness of psychological therapies, particularly CBT, for treating PTSD in children and adolescents for up to a month following treatment. At this stage, there is no clear evidence for the effectiveness of one psychological therapy compared to others. There is also not enough evidence to conclude that children and adolescents with particular types of trauma are more or less likely to respond to psychological therapies than others. The findings of this review are limited by the potential for methodological biases, and the small number and generally small size of identified studies. In addition, there was evidence of substantial heterogeneity in some analyses which could not be explained by subgroup or sensitivity analyses. More evidence is required for the effectiveness of all psychological therapiesmore than one month after treatment.Much more evidence is needed to demonstrate the relative effectiveness of different psychological therapies or the effectiveness of psychological therapies compared to other treatments. More details are required in future trials in regards to the types of trauma that preceded the diagnosis of PTSD and whether the traumas are single event or ongoing. Future studies should also aim to identify the most valid and reliable measures of PTSD symptoms and ensure that all scores, total and sub-scores, are consistently reported.

Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD Review

Accuracy Verified: Yes

226. van Loey, N. E. E., & van Son, M. J. M. (2003). Psychopathology and psychological problems in patients with burn scars: Epidemiology and management. American Journal of Clinical Dermatology, 4(4), 245-272.

Language: English

Format: Journal

Abstract:
Burn injury is often a devastating event with long-term physical and psychosocial effects. Burn scars after deep dermal injury are cosmetically disfiguring and force the scarred person to deal with an alteration in body appearance. In addition, the traumatic nature of the burn accident and the painful treatment may induce psychopathological responses. Depression and PTSD, which are prevalent in 13-23% and 13-45% of cases, respectively, have been the most common areas of research in burn patients. Risk factors related to depression are pre-burn depression and female gender in combination with facial disfigurement. Risk factors related to PTSD are pre-burn depression, type and severity of baseline symptoms, anxiety related to pain, and visibility of burn injury. Neuropsychological problems are also described, mostly associated with electrical injuries. Social problems include difficulties in sexual life and social interactions. Quality of life initially seems to be lower in burn patients compared with the general population. Problems in the mental area are more troublesome than physical problems. Over a period of many years, quality of life was reported to be rather good. Mediating variables such as low social support, emotion and avoidant coping styles, and personality traits such as neuroticism and low extraversion, negatively affect adjustment after burn injury. Few studies of psychological treatments in burn patients are available. From general trauma literature, it is concluded that cognitive (behavioral) and pharmacological (selective serotonin reuptake inhibitors) interventions have a positive effect on depression. With respect to PTSD, exposure therapy and eye movement reprocessing and desensitization [EMDR] are successful. Psychological debriefing aiming to prevent chronic post-trauma reactions has not, thus far, shown a positive effect in burn patients. Treatment of problems in the social area includes cognitive-behavioral therapy, social skills training, and community interventions. Sexual health promotion and counseling may decrease problems in sexual life. In conclusion, psychopathology and psychological problems are identified in a significant minority of burn patients. Symptoms of mood and anxiety disorders (of which PTSD is one) should be the subject of screening in the post-burn phase and treated if indicated. A profile of the patient at risk, based on pre-injury factors such as pre-morbid psychiatric disorder and personality characteristics, peri-traumatic factors and post-burn factors, is presented. Finally, objective characteristics of disfigurement appear to play a minor role, although other factors, such as proneness to shame, body image problems, and lack of self-esteem, may be of significance. [Author Abstract]

Keywords: Burns Comorbidity Epidemiology Literature Review Posttraumatic Stress Disorder Predisposition PTSD Survivors Treatment

Accuracy Verified: Yes

227. Foa, E. (2000). Psychosocial treatment of posttraumatic stress disorder. Journal of Clinical Psychiatry, 61(Supplement 5), 43-51.

Language: English

Format: Journal

Abstract:
This article reviews empirically validated psychosocial treatments for PTSD and considers factors associated with successful therapy outcome. Most of the treatments whose efficacy was studied empirically fall within the broad category of cognitive-behavioral therapy. These include exposure therapy, anxiety management programs, and cognitive therapy. These therapy modalities have been developed to modify conditioned fear and erroneous cognitions that are thought to underlie PTSD. Exposure therapy has the most empirical support because it was found to be effective across different populations of trauma victims with PTSD. Combinations of therapies have also been used, and the value of these is discussed. In addition, this article presents recent evidence about the efficacy of eye movement and desensitization reprocessing. A growing body of evidence supports the use of psychosocial treatments for PTSD, but not all patients benefit. Future research should develop programs that increase the motivation of patients to take advantage of these efficacious treatments. [Author Abstract]

Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

228. Knipscheer, J. (2011, March). Psychosociale problematiek na eenmalig trauma bij migranten: De casus van een Marokkaanse man met PTSS [Psychosocial problems after a single trauma among migrants: The case of a Moroccan man with PTSS]. Psychologie & Gezondheid, 39(3), 159-162.

Language: Dutch

Format: Journal

Abstract:
In this paper, the case and treatment of a 43-year-old Moroccan man is described who suffered from post-traumatic stress disorder (PTSS) following an accident at the workplace. In addition to his PTSS symptoms, he reported anger and embitterment. Treatment consisted of Eye Movement Desensitization and Reprocessing (EMDR) and cognitive therapy. Attention was paid to culturally sensitive aspects of the interventions, including allowing additional time for psycho-education and explanation of the therapy rationale, optimizing homework exercises, cognitive restructuring concerning the regaining of authority, and affect regulation to endure arousal during EMDR-sessions.

Keywords: Moroccans Posttraumatic Stress Disoder PTSD Single Incident

Accuracy Verified: Yes

229. Cusack, K. J. (2001). Refugee experiences of trauma and PTSD: Effects on psychological, physical, and financial well-being. Western Michigan University. AAT 3028752.

Language: English

Format: Dissertation/Thesis

Abstract:
This study examined the traumatic experiences and psychological symptoms of 60 refugees who were recently resettled in the United States. Subjects were from Cuba, Iraq, Haiti, Sudan, and Bosnia. Data was collected for each subject on traumatic experiences occurring prior to their arrival. In addition, anxiety and depression were assessed using the Hopkins Symptom Checklist (HSC-25). Quality of life and coping skills were assessed using the WHO Quality of Life-BREF and the Coping Styles Questionnaire, respectively. Trained, bi-lingual interviewers assessed for PTSD using the Clinician-Administered PTSD Scale. All instruments were translated into the appropriate language for subjects who did not speak English. Measures were back-translated to assure accuracy of translations. Three months following their arrival, information was collected regarding employment and public assistance. Predictors of PTSD, quality of life, and refugee self-sufficiency were analyzed using multiple regression and logistic regression analyses. Trauma-related variables were predictive of PTSD, which in turn had a negative impact on quality of life and self-sufficiency. Implications for the resettlement programs of government and non-governmental organizations are discussed.

Keywords: Hopkins Symptom Checklist (HSC-25) Posttraumatic Stress Disorder PTSD PTSD Scale Surveys

Accuracy Verified: Yes

230. van den Berg, D. (2011, June). Research on clinical applicaton of EMDR other than PTSD - EMDR with trauma in psychosis: Preliminary findings. Presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria .

Language: English

Format: Conference

Abstract:
Posttraumatic stress disorder is one of the most common comorbid conditions in patients with psychotic disorders. A large proportion of this group indicate that they want to be treated for their PTSD symptoms. Conversely, a psychotic disorder is nearly always used as an exclusion criterion for effective psychotherapeutic treatments. The clinical experience and limited scientific research conducted in this area, however, indicate that these patients can be effectively treated with techniques directly aimed at processing the trauma. However, research in this area is lacking. During this presentation the different interactions between trauma, psychosis and PTSD will briefly be discussed. In addition, the results of a feasibility trial of EMDR in patients with psychosis and comorbid PTSD will be presented. The main finding of this trial was that treatment did not result in any adverse effects. EMDR appeared to be very effective in alleviating PTSD symptoms. Even more surprisingly, other symptomatology, such as symptoms of psychosis and depression decreased significantly. Hence, treating PTSD in patients suffering from psychosis with EMDR appears to be feasible and safe.

Keywords: Psychosis Trauma

Accuracy Verified: Yes

231. Laub, B. (2001, May). Resource installation (connection) in the standard EMDR protocol. Presentation at the annual meeting of the EMDR Europe Association, London, UK .

Language: English

Format: Conference

Abstract:
Resource Installation (RDI) is presented as an option for use in the standard protocol of EMDR. Consistent with the self healing aspect of the EMDR model, it allows the creation of an authentic resource sequence which is unique to the client, precisely matching her need or problem. The resource connection can also serve as a centre of inner strength in the solution of future problems. This work draws upon three conceptual frameworks in addition to Dr Shapiro's innate information processing model; (1) the assumption of an unconscious connection to resources as a source of healing (Erickson and Rossi 1976); (2) Narrative Therapy approaches of White and Epston (1990) and de Shazer (Focused Solution Therapy 1985); (3) the Jungian assumption of a need to reach a balance between the dialectical opposites of the psyche (Jung 1963). An appreciation of this dialectic can explain the unconscious matching between the problem and the resource. Three types of Resource connections (RC) will be presented: I. Past resource Connection, or PRC, which is carried out in the beginning of therapy after identification of the target and before specifying the picture. This is an image of a memory when the client felt at his best. There is an unconscious match between this resource and the problem. 2. Present resource connection, or PR. RC. This is a positive image which appears spontaneously during the processing, or induced by Cognitive Interweave. 3. Future Resource Connection, or FRC, which is an image of the way the client would like to see himself in a few months or in the more distant future. The use of this chain of resources during the sessions and outside the therapy room has been found 16 be very effective. I will give several examples to demonstrate different possibilities of using RC.

Keywords: Resource Installation

Accuracy Verified: Yes

232. Manfield, P. (2010). Resourcing in the preparation phase of EMDR. In Philip Manfield, Dyadic Resourcing: Creating a Foundation for Processing Trauma (pp. 55-66). CreateSpace Independent Publishing Platform, ISBN-13: 9781453738139 .

Language: English

Format: Book Section

Abstract:
The preparation phase of EMDR is designed to allow the therapist to establish rapport with the client, familiarize the client with EMDR processes, and prepare her to begin trauma processing. The therapist attends to the physical setup, explanation of EMDR, explains the stop signal, explains the basic metaphors, and describes what to expect during processing. In addition, the therapist may want to give the client a brief explanation of EMDR‟s model of change, the Adaptive Information Processing model (AIP).

Keywords: Preparation Phase

Accuracy Verified: Yes

233. Rost, C. (2008). Ressourcenarbeit mit EMDR, bewährte techniken im uberblick [Resources working with EMDR. Proven techniques at a glance: From survival to life]. (Hsrg) Paderborn: Junfermann.

Language: German

Format: Book

Abstract:
In der Traumatherapie wird nicht mehr automatisch nur auf das Schwere fokussiert, sondern ganz bewusst mit den Klientinnen und Klienten nach Ereignissen in ihrem Leben gesucht, die gelungen sind, schön waren, erfolgreich und lustbetont. Diese Buch vermittelt bewährte Techniken zur Ressourcenaktivierung mit EMDR, von denen die Autoren aufgrund ihrer praktischen Arbeit überzeugt sind. Zusätzlich zum EMDR-Standardprotokoll haben sich eine ganze Reihe von Protokollen entwickelt, in denen die bilaterale Stimulation von EMDR mit verschiedenen anderen Techniken kombiniert wird. Das Buch soll einen Überblick über genau die Techniken geben, bei denen sich die Ressourcenaktivierung mit EMDR im klinischen Einsatz bewährt hat und möchte andere Therapeuten ermutigen, die Techniken ebenfalls auszuprobieren und zu erforschen. Mit Beiträgen von: Christine Rost, Franz Ebner, Dagmar Eckers, Reinhard Plassmann, Michael Hase, Susanne Leutner, Mark Novy, Björke Kühn von Burgdorff.

In trauma treatment is not automatically focuses only on the severity, but deliberately sought with the clients and clients for events in their lives that are successful, beautiful, were successful and pleasurable. This book provides proven techniques for resource activation with EMDR, of which the authors are confident because of their practical work. In addition to the standard EMDR protocol contains a number of protocols have been developed in which the bilateral stimulation of EMDR with various other techniques combined. The book gives an accurate overview of the techniques which has proven itself the resources activation with EMDR in clinical use and would encourage other therapists to try out the techniques and also to explore. With contributions from: Christine Rost, Franz Ebner, Dagmar Ecker, Reinhard Plassmann, Michael Hare, Susanne Leutner, Mark Novy, Kühn Björke of Burgdorff.

Keywords: Practice Theory

Accuracy Verified: Yes

234. Chang, S. H. (2007, September). Role of EM and stimulus valence presentation order in the return of fear: Possible implications for the therapeutic mechanism. Presentation at the annual meeting of the EMDR International Association Conference, Dallas, Texas. (NSC 93-2413-H-002-002-).

Language: English

Format: Conference

Abstract:
Research background & aims: This study examined possible therapeutic mechanisms of eye movements in Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001) in terms of exposure and information processing model. While exposure model contended process of extinction and response habituation, Stickgold (2002) proposed that sleep induced change in associative memory via activation of weak association during REM state and EM functioned as REM sleep to integrate the episodic memory of trauma into general semantic memory. In this study, the effect of EM compared to that of Exposure-Only (non-EM) on process measures of SUDs, ratings of cockroach phobia across sessions, along with outcome measures were examined. Specifically, the degree of return of fear and response habituation was explored. Methods: Thirty-six college students with cockroach phobias were recruited as participants and invited after informed consent for 4 1-week interval treatment sessions and a 1 month follow-up session. The instruments for outcome measures included Cockroach Phobia Questionnaire, fear ratings of cockroach slides, FSS, STAI-S, BDI, short form of SCL-90, the Revised Thought-Action Fusion Questionnaire, White Bear Suppression Inventory, and cognitive tasks for measuring strength of associations. The SUDs, credibility and therapeutic relationship rating, and physiological measures such as HR, HRV, EOG, served as process measures. Due to space limitations, the results of cognitive task and physiological measures were reported elsewhere. The participants were randomly assigned to one of the four groups: EM condition (EM vs. Non-EM exposure only) × block order of cockroach theme presentation (negative cognition first vs. positive cognition first). A 2 (EM condition) × 2 (order of valence presentation) × 9 (time: pre-assessment and post-assessment for each of the 4 sessions plus 1 month follow-up assessment) mixed factorial design was performed, with time serving as within Ss factor and the other two variables serving as between Ss factors. There were 20 trials in each therapeutic session. The duration of each trial was 30s for both the EM and Exposure-Only conditions. Results: After preliminary analyses for group differences on pretreatment variables, credibility-relationship ratings, and outcome variables were explored, the 2 (EM condition) × 2 (order of valence presentation) × 9 (time) ANOVA on SUDs showed that the main effects of time and EM were both significant (p < .001 and p < .034). Subsequently, two 2 (order of valence presentation) × 9 (time) ANOVAs were performed for EM condition and Exposure-Only condition, respectively. The results showed that for EM condition, only time effect was significant (p < .006); while for Exposure-Only condition, there were a significant time effect (p < .001) and an approaching significant valence presentation order effect (p < .065), with the SUDs being higher in negative cognition presented first condition compared to positive cognition presented first condition; whereas the effect was not significant for the EM condition. Using trend analyses and inspection of time effect showed that significant within session SUDs reduction for Exposure-Only conditions. Notwithstanding, the pairwise comparisons for the 9 time points indicated salient phenomena of return of fear among several of the 5 sessions for this condition when comparing the pre-assessment of each session with post-assessment of its previous session. Whereas for EM condition the return of fear between sessions was small and the trend analysis showed a reduction with linear trend. Conclusions & Discussion: Compared to Exposure-Only, EM resulted in less degree of sufferings while participants encountering negative theme which in turn might facilitate further processing of negative memory. In addition, EM might add something beyond the mechanism of pure exposure. The less return of fear indicating that information processing in addition to response inhibition might take place between sessions. The results echoed Shapiro’s Adaptive Information Processing model and Stickgold’s REM-sleep dependent memory reprocessing model, suggesting that EM in EMDR might reflect a shift in associative memory systems by activating different strength of associations of negative semantic nodes for different semantically related words. Given that previous research showed that EM decreased emotionality and also generate greater amount of associations for negative stimuli, the implications of the present results from theoretical and therapeutic point of views and future research possibilities are discussed.

Keywords: Adaptive Information Processing Model REM-Sleep Dependent Memory Reprocessing Model Saccadic Eye Movement Semantic Association

Accuracy Verified: Yes

235. Chang, S. H. (2009). Role of EM and stimulus valence presentation order in the return of fear: Possible implications for the therapeutic mechanism. National Taiwan University, Taipei, Taiwan.

Language: English

Format: Dissertation/Thesis

Keywords: Adaptive Information Processing Model REM-Sleep Dependent Memory Reprocessing Model Saccadic Eye Movement Sematic Association

Accuracy Verified: Yes

236. Goldstein, A. (1992, July). The role of eye movement desenitisation and reprocessing in the treatment of panic and agrophobia. Presentation at the Fourth World Congress on Behaviour Therapy, Queensland, Australia .

Language: English

Format: Conference

Abstract:
This presentation will focus upon the addition of EMD/R to an Integrated Models Psychotherapy approach to agoraphobia and panic disorder.

Keywords: Agoraphobia Integrated Models Psychotherapy Approach Panic Disorder

Accuracy Verified: Yes

237. Mize, S. (2002, February). The role of eye-movement desensitization and reprocessing (EMDR) in the interdisciplinary treatment of low sexual desire women. Presentation at the American Psychological Association Public Interest Directorate; Women's Programs.

Language: English

Format: Other

Abstract:
Low sexual desire disorder is the most common sexual dysfunction in women. There is no standard definition for "normal" sexual desire and there are many factors that can influence it, hence, low desire can be one of the more difficult sexual dysfunctions treat. Given its inherent complexity, it frequently requires interdisciplinary assessment and treatment. The present symposium is an attempt to share our model for the treatment of this widespread and yet, poorly understood dysfunction. One component of the complexity of low sexual desire is its correlation with other difficulties, for example, PTSD, depression, anxiety, relationship disturbance, physical illness, and life stress. Another one of these concerns is childhood sexual abuse. EMDR has been used very successfully to resolve the trauma associated with sexual assault as well as sexual dysfunctions. We will illustrate the use of EMDR with a woman presenting with low sexual desire and a history of sexual abuse. EMDR methodology will be described. The use of EMDR for abuse recovery as a method of resolving low desire will be discussed. We will explore a number of important therapeutic issues including: (1) fundamental questions of responsibility, control and safety as they relate to sexual abuse and ultimately sexual desire in the current relationship; (2) individuation from partner and perpetrator, barriers to this process and the impact on sexual desire of successful differentiation; and (3) repression of anger and the concomitant physical manifestations. In addition, we will discuss the collaboration with both sexual medicines and psychiatry around modulation of medications to maximize treatment outcomes with EMDR.

Enhancing Outcomes in Women's Health: Translating Psychosocial Behavioral Research Into Primary Care, Community Interventions, and Health Policy; American Psychological Association [American Psychological Association Public Interest Directorate; Women's Programs].

Keywords: Females Inhibited Sexual Desire Low Sexual Desire Sexual Abuse

Accuracy Verified: No

238. Giovannozzi, G. (2013, June). Safety, regulation, self-regulation and eye contact: New challenges for EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Porges’ polivagal theory of the hierarchical interpretation of the autonomic nervous system (ANS), in addition to extending the range of human beings’ possible responses to environmental demands, links the first line ventral-vagal response with the regulation of important viscera as well as that of facial and head muscles, mediating social interactions, and associates its activation with the feeling of safety, identifying this latter condition as essential for a person’s well-being.
Without safety no social relations, physiological regulation or healing are possible. Hence the importance for EMDR therapists to lead their clients to this condition: lacking the activation of the ventral-vagal circuit there can be no processing. EMDR therapists will be provided with tools to keep their clients in safe conditions within the setting.
Clients exposed to trauma and/or insecure attachment do not have a good ANS regulation and maintain inadequate defensive attitudes – as demonstrated by Porges’ results, easily comparable with Schore’s on affective development and with those of several multi-disciplinary scholars.
Exploring this dysfunction provides EMDR therapists with useful elements to guide their clients in the difficult task of confronting what they did not/could not process at that time. We propose a three-pronged cross-sectional assessment, regardless of the pathology, aimed at identifying the defensive arousal state of the ANS needed to face the dysregulating impact at that time, focusing on the prevalent activation style of the client, when meeting environmental challenges, and that emerging in the session. Starting from this assessment, EMDR therapists will be provided with tools to help clients recognize and master their defenses to increase their flexibility.
Using the regulation as a healing instrument and goal, and given the two-directional psychophysiological approach, where psychological and physiological processes meet, a new intervention model, stemming from the AIP-EMDR approach, is proposed, acting directly on the missing or impaired developmental stages of the self-regulation ability, consistently with what Porges hoped for.
The intervention focuses on Eye Contact (EC), because, as confirmed by several scholars, this is a privileged communication pathway, in particular in the mother-child dyad, to learn self-regulating skills and is easily impaired in psychiatric clients.
Learning objectives: Raise EMDR therapists’ awareness of the importance of safety for their clients, based on Porges’ Polyvagal Theory; Provide therapists with tools to maintain clients’ safety during the session; Help EMDR therapist to recognize and modulate clients’ Autonomic Nervous System activation; and Present an EMDR Protocol to regulate Eye Contact

Keywords: Eye Contact Protocol Regulation Safety

Accuracy Verified: Yes

239. Greenwald, R. (2002, June). Session checklist forms in treatment research: A tool to support supervision and treatment fidelity. Poster presented at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Treatment fidelity is of primary concern in treatment research, because unless the specified treatment is being properly implemented, the study’s findings cannot be interpreted. In addition to the “gold standard” of videotaping sessions for later supervision and fidelity rating - which is costly and labor-intensive - there are many procedures to support treatment fidelity, including manualizing the treatment, providing training, and providing supervision. I have developed a “session checklist” form as another tool in support of treatment fidelity. This form, keyed to the steps specified in the treatment manual, prompts the therapist to implement each component of the intervention, to take notes along the way, and to check off those steps which were completed. This form supports treatment fidelity by reminding the therapist what to do, and by serving as an organized record of the session, to facilitate supervision as well as fidelity rating. A sample session form is presented.

Keywords: Fidelity Poster Research Session Checklist Form Supervision

Accuracy Verified: Yes

240. Silver, S. (2008, September). Shades of gray, Part II: Ethical issues for EMDR therapists. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
EMDR Consultants face the challenging task of providing consultation to EMDR therapists so they can help those therapists understand the nature of ethical EMDR practice and then apply those principals within their practice. In addition, practicing EMDR consultation ethically carries its own challenges. This workshop will: explore the ethical principals that are especially uniquely relevant to EMDR consultation; discuss the meaning of ethical consultation for EMDR consultants; and describe strategies for facilitating ethical practice among their consultees. While participants will be asked to work within their own discipline’s ethical standards, the workshop will use the ethical code of the American Psychological Association as its reference point (because this is what EMDRIA utilizes when there is no ethical code that applies to a particular practitioner). Practitioners who are governed by an ethical code (e.g. nurses, social workers, marriage and family therapists) should review their own ethical codes prior to coming to the workshop.

Keywords: Ethics

Accuracy Verified: Yes

241. DeYoung, R. R. (2009, July). A single-case design implementing eye-movement desensitization and reprocessing (EMDR) with an ex-cult member. Presentation at the International Cultic Studies Association Conference, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
This single-case study utilized a repeated-measures design with an ex-Jehovah’s Witness who was treated with EMDR over a two-month period. A brief background history and mental status, particularly relevant to a 37-year old female who was “disfellowshipped” by her entire support network and family after 28 years, served as a baseline for treatment. Symptoms relevant to the Post-Cult Trauma Syndrome, as defined by M. Thaler Singer (1979), are addressed via the Validity of Cognitions Scale (VOC) and the Subjective Units of Distress Scale (SUDS) used by practitioners of EMDR. In addition, the Beck Depression Inventory (BDI) and the Impact of Event Scale (IES) were implemented to further validate intervention results. All measures revealed significant improvement in symptoms following this brief, short-term treatment. Despite the fact EMDR is touted as one of the most effective interventions for trauma-related disorders, there are virtually no empirically based studies that explore the application of this type of therapy with individuals traumatized by cults. It is concluded that EMDR might serve as a standard therapeutic intervention in the treatment of individuals exiting from cults. Ramifications for future research are discussed. [Author abstract]

Keywords: Cults Ex-Cult Members Single Case Design

Accuracy Verified: Yes

242. Neuner, F. (2008, Juli). Stabilisierung vor konfrontation in der traumatherapie -- Grundregel oder mythos? [Stabilization before confrontation in trauma treatment -- Elementary rule or myth?]. Verhaltenstherapie, 18(2), 109-118. doi:10.1159/000134006.

Language: German

Format: Journal

Abstract:
Psychotherapie der PTBS ist oft in die Phasen der Stabilisierung und Konfrontation unterteilt. In der Stabilisierungsphase lernt der Patient, Strategien zur Regulierung und Kontrolle beeinflussen Symptome. Danach kann die Erinnerungen an das traumatische Ereignis offen gelegt und verarbeitet werden in der Konfrontation Phase. Deutsch Behandlungsrichtlinien und etwas Text Pfund postulieren, dass eine Phase der Stabilisierung bedingungslos vor der Konfrontation mit dem Trauma Erinnerungen erforderlich stattfinden kann. Im Gegensatz zu dieser Aussage, Evidenz aus randomisierten, kontrollierten Studien zeigt, dass die sogenannten Trauma-Ansätze konzentrieren (Varianten der kognitiven Verhaltenstherapie, Exposition Therapie und EMDR) die erfolgreichsten Methoden für die Behandlung von PTBS sind. Als Konsequenz empfehlen mehreren internationalen Verbänden und Instituten diese Verfahren als Therapie der ersten Wahl. Alle Trauma-konzentrierte Ansätze umfassen irgendeine Art von Konfrontation mit nur rudimentären Stabilisierung oder ohne Stabilisierung bei allen. Darüber hinaus gibt es keine Hinweise, dass die Exposition Verfahren gefährlicher als Stabilisierung oder dass sie weniger gut toleriert und akzeptiert werden. Ebenso gibt es keinen Beweis, dass die Stabilisierung ist notwendig für Patienten mit komplexen Trauma-bedingten Erkrankungen wie bei erwachsenen Patienten mit einer Vorgeschichte von sexuellem Missbrauch. Entgegen der gängigen Lehre, eine Phase der Stabilisierung ist nicht notwendig, Trauma Behandlung und die Möglichkeit der negativen Auswirkungen der Stabilisierung kann nicht ausgeschlossen werden. [Abstract Autor]

Psychotherapy of PTSD is often divided into the phases of stabilization and confrontation. In the stabilization phase, the patient learns strategies to regulate affect and control symptoms. Thereafter, the memories of the traumatic event can be disclosed and processed in the confrontation phase. German treatment guidelines and some text books postulate that a phase of stabilization is unconditionally required before the confrontation with trauma memories can take place. In contrast to this statement, evidence from randomized controlled trials shows that the so-called trauma-focused approaches (variants of cognitive-behavioral therapy, exposure therapy, and EMDR) are the most successful methods for the treatment of PTSD. As a consequence, several international associations and institutes recommend these procedures as the treatment of first choice. All trauma-focused approaches include some type of confrontation with only rudimentary stabilization or with no stabilization at all. In addition, there is no evidence that exposure procedures are more dangerous than stabilization, or that they are less well tolerated and accepted. Likewise, there is no evidence that stabilization is necessary for patients with complex trauma-related disorders such as adult patients with a history of childhood sexual abuse. Contrary to the common doctrine, a stabilization phase is not necessary for trauma treatment and the possibility of negative effects of stabilization cannot be ruled out. [Author Abstract]

Keywords: Confrontation Exposure Posttraumatic Stress Disorder PTSD Stabilization Trauma

Accuracy Verified: Yes

243. Adler-Tapia, R., Settle, C., & Onsager, D. (2004, September). Staying true to the model: Using the 8 phases of EMDR with children 2-10 years of age. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
This half-day workshop focuses on how staying true to eight phases of the EMDR model will result in successful treatment outcomes with children ages 2-10. Participants will be provided with specific and creative bilateral techniques to use with children, and methods for identifying a child's PC, NC, VOC, and SUDS. Skills to utilize with children to further facilitate processing, including cognitive interweaves and resource installation techniques will be demonsuated. In addition, the efficacy of utilizing a parent co-therapist model will be established.

Keywords: Children

Accuracy Verified: Yes

244. Hann, G. R. (2001, Fall). Students: For your eyes only!. Psychotherapy Bulletin, 36(4) .

Language: English

Format: Newsletter

Abstract:
This article discusses a once-in-a-lifetime meeting of living legends in psychology and psychotherapy held on February 22-24, 2002. Included will be Drs. James F.T. Bugental, Albert Ellis, Alvin R. Mahler and Rachel Hare-Mustin. In addition to the "living legends," students will have the chance to hear from and talk with another esteemed cohort of "cutting edge" therapists and psychologists: Drs. Norman Ables (Geriatric Psychotherapy and Assessment), James Bray (Psychotherapy in Primary Care Settings), Gary DeNelsky (Tobacco Addiction), Hanna Levinson (Time-limited Dynamic Psychotherapy for Personality Disorders), Don David Lusterman (Divorce Mediation), Francine Shapiro (EMDR), and Jeffery Younggren (Risk Management).

Keywords: Albert Ellis Alvin R. Mahler Don Lusterman Francine Shapiro Gary DeNelsky Hanna Levinson James Bray James F.T. Bugental Norman Ables Psychology Psychotherapy Rachel Hare-Mustin

Accuracy Verified: Yes

245. Pagani, M. (2008, Novembre). Sub-strato neurobiologico della sindrome da stress post-traumatico e relativo impatto funzionale e strutturale della terapia con EMDR [Neurobiological substrate of post-traumatic stress syndrome and impact on functional and structural therapy with EMDR]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Recenti studi hanno dimostrato come la sindrome da stress post-traumatico (PTSD) possa causare nel cervello cambiamenti sia strutturali che funzionali. Studi di imaging funzionale tramite tomografia ad emissione di fotone singolo (SPECT) e ad emissione di positrone (PET) hanno evidenziato significative variazioni del flusso cerebrale in pazienti con PTSD durante la rivisitazione del trauma. A questo proposito sono stati riportati aumenti e diminuzioni di flusso nell’ippocampo, nell’amigdala, nella corteccia prefrontale mediale, nel cingolo anteriore e posteriore e nella corteccia temporale. Il modello prevalente collega i sintomi del PTSD ad una mancata inibizione dell’ amigdala, iperattivata dalla sensazione di incombente minaccia, da parte della corteccia prefrontale. E’ stato anche proposto che i cambiamenti strutturali dell’ippocampo e del cingolo anteriore rivelati dalla risonanza magnetica strutturale (RM) siano causati dalla risposta neuronale allo stress. L’obiettivo delle nostre ricerche e’ stato quello di analizzare la risposta funzionale e le variazioni strutturali in due gruppi di soggetti esposti a trauma occupazionale che hanno sviluppato (S=sintomatici, n=20) o no (NS=non sintomatici, n=27) il PTSD. Una parte dei S (n=16) è stata trattata con EMDR. La diagnosi di PTSD prima e dopo la terapia è stata basata sia sui criteri del DSM-IV sia su vari test neuropsicologici mirati. La SPECT (n=47) e la RM (n=33) sono state eseguite da 3 mesi a sei anni dal trauma e la prima è stata ripetuta dopo EMDR. I sintomi sono stati provocati da uno script individualizzato che ha riportato alla memoria il trauma e durante il quale è stato iniettato il tracciante di flusso cerebrale. Le analisi eseguite hanno mostrato differenze significative tra S e NS nella risposta del flusso cerebrale allo script. Nei 33 soggetti in cui sono state eseguite sia la SPECT che la RM sono state trovate differenze significative sia funzionali che strutturali nella corteccia temporo-parietale sinistra e nell’ippocampo, regioni nelle quali gli score dei test neuropsicologici correlano significativamente con il flusso cerebrale. Nei soggetti con remissione sintomatologica dopo EMDR (R; n=11) sono state trovate rispetto ai soggetti che non hanno risposto alla terapia (NR; n=5) significative differenze di flusso in 4 aree corticali che processano funzioni deteriorate in corso di PTSD. Diminuzioni di flusso dopo la terapia sono state registrate nei R rispetto ai NR nell’ippocampo, nel giro fusiforme (corteccia parieto-occipitale) e nella corteccia visiva primaria. L’ippocampo è sede della memoria episodica ed autobiografica; il giro fusiforme processa il riconoscimento di volti, dei corpi e delle parole; la corteccia visiva primaria custodisce la memoria visiva degli eventi. La mancata inibizione e/o l’iperattività di queste regioni nel PTSD sono responsabili della rivisitazione patologica figurata e somatica dell’evento traumatico e della presenza di flashback ed immagini allucinatorie. Viceversa la corteccia frontale dorsolaterale ha mostrato un aumento di flusso nei R. Questa regione oltre ad essere deputata ad inibire nel sistema limbico la risposta patologica a stimoli che ricordano l’evento traumatico è essenziale per i processi di attenzione e del “senso di sé”, diminuiti in corso di PTSD e recuperati in seguito alla remissione della malattia. In questi soggetti la RM ha inoltre messo in evidenza il valore predittivo delle dimensioni dell’ippocampo rispetto all’efficacia della terapia con EMDR. I nostri risultati confermano il coinvolgimento della corteccia temporo-parieto-occipitale nel PTSD e sottolineano il valore delle neuroimmagini sia nello svelare gli effetti neurobiologici dell’EMDR che determinare il valore delle indagini strutturali nel predirne l’efficacia.

Recent studies have shown that the post-traumatic stress syndrome (PTSD) may result in both structural and functional brain changes. Imaging studies using functional Single photon emission tomography (SPECT) and positron emission tomography (PET) shown significant changes in cerebral blood flow in patients with PTSD during revisiting the trauma. In this regard have been reported increases and decreases in flow hippocampus, amygdala, medial prefrontal cortex, the anterior cingulate and posterior and temporal cortex. The dominant model linking the symptoms of PTSD to a no inhibition of 'amygdala hyperactivity disorder by the sense of impending threat by the prefrontal cortex. E 'was also proposed that the structural changes of the hippocampus and anterior cingulate revealed by structural magnetic resonance imaging (MRI) are caused by the response neuronal stress. The aim of our research and 'was to analyze the response functional and structural variations in two groups of subjects exposed to occupational trauma that have developed (S = symptomatic, n = 20) or not (NS = non-symptomatic, n = 27) PTSD. Part of S (n = 16) was treated with EMDR. The diagnosis of PTSD before and after the therapy was based on both DSM-IV has on several neuropsychological tests targeting. SPECT (n = 47) and MRI (n = 33) are were performed from 3 months to six years from the trauma and the first was repeated after EMDR. Symptoms were caused by a script individual who reported to the memory of the trauma and during which were injected with a tracer of cerebral blood flow. The analysis performed showed significant differences between S and NS in the response of flow brain to the script. In the 33 subjects in which they were performed both SPECT and MRI were found significant differences in both functional and structural temporo-parietal cortex left hippocampus, regions in which the scores of neuropsychological tests correlate significantly with the flow in the brain. In subjects with symptomatic remission after EMDR (R; n = 11) were found compared with subjects who did not respond to therapy (NR, n = 5) significant differences in flow in 4 cortical areas that process functions deteriorated in the course of PTSD. Decreases in flow after treatment were recorded in R than NR hippocampus, within fusiform (parieto-occipital cortex) and in the primary visual cortex. The hippocampus is the seat of episodic memory and autobiographical, and the processes around the fusiform recognition of faces, bodies and words, the primary visual cortex preserves the memory visual events. The non-inhibition and / or 'hyperactivity of these regions in PTSD are responsible for pathological figured revisiting the traumatic event and physical and presence of flashbacks and hallucinatory images. Contrast, the dorsolateral frontal cortex has showed an increase of flow in R. This region in addition to being deputies to inhibit the system limbic response to pathological stimuli that recall the traumatic event is essential for processes of attention and the "sense of self, decreased in the course of PTSD and recovered following remission. In these subjects, MRI has also highlighted the predictive value the size of the hippocampus compared the efficacy of EMDR therapy. Our results confirm the involvement of the temporo-parietal-occipital cortex in PTSD and emphasize the value of neuroimaging in revealing both the neurobiological effects of EMDR that determine the value of the structural surveys in predicting effectiveness.

Keywords: Neurobiology Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

246. L'Abate, L. (1999). Taking the bull by the horns: Beyond talk in psychological interventions. The Family Journal: Counseling and Therapy for Couples and Families, 7(3), 206-220.

Language: English

Format: Journal

Abstract:
The purpose of this article is to argue that as long as the therapeutic community relies on commonly accepted sacred cows to produce results, little if any progress will take place. The five sacred cows of traditional psychological interventions (prevention, psychotherapy, and rehabilitation) are based on the following: (a) talk; (b) face-to-face contact; (c) the professionals’ proper style and personality; (d) adding family members, the more people the better; and (e) the more sessions the better. New psychological interventions that may challenge the sacred cows as we know them are as follows: (a) psychoeducational skill training programs; (b) computer assisted interventions, including verbal, visual (i.e., virtual reality), and neurobiofeedback; (c) manualized therapies; (d) eye movement desensitization and reprocessing; and (e) programmed distance writing, as exemplified by mental health workbooks. The latter is an inexpensive approach that can be administered concurrently with the new approaches as well as with talk-oriented interventions to obtain synergistic results. In addition, suggestions for minimally verbal and maximally action-oriented props and prescribed tasks are given.

Keywords: Commentary Computer Applications Computer Assisted & Programmed Distance Writing Interventions Oral Communication Preference to Traditional Talk-Oriented Techniques Therapeutic Processes Written Communication

Accuracy Verified: Yes

247. Gomez, A. M. (2009). The thoughts kit for kids. Ana Gomez Products; ISBN: 978-0-9795274-1-8; http://www.anagomeztherapy.com/?page_id=8;.

Language: English

Format: Other

Abstract:
A part of a series of games and tools designed to make EMDR treatment developmentally appropriate for children. The Thoughts Kit for Kids consists of four sets of cards. Two sets are for young children and the other two for young adolescents. Each set contains child appropriate positive and negative cognitions along with a VOC scale with which children can play and interact. In addition, The Thought Kit for Kids contains a 16 page booklet with specific EMDR games and protocols than can be used with the cards.
The Thoughts Kit for Kids is designed to aid clinicians with these procedural steps of the EMDR protocol.
The Thoughts Kit for Kids can help you by: ■Helping children develop cognitive and emotional awareness and literacy. ■Making the process of identifying negative and positive cognitions easier for children during EMDR treatment. ■Facilitating the use of the VOC scale for children. ■Assisting youngsters in selecting potential targets for EMDR treatment.

Keywords: Children Games

Accuracy Verified: Yes

248. Tinker, R. H., & Wilson, S. A. (1999). Through the eyes of a child: EMDR with children. New York W. W. Norton.

Language: English

Format: Book

Abstract:
Explores the use of eye movement desensitization and reprocessing (EMDR) with children and adolescents. The book demystifies the application of EMDR for children, from the first session with the parents to later sessions with children at all developmental stages. The adult protocol is modified so that it can be applied to children as young as two years old (and possibly younger). A system of classification of childhood trauma allows therapists to predict a child's response to EMDR is presented. Myriad cases illustrate the use of EMDR with various traumas. Many examples of simple traumas are presented, including automobile accidents, lightning strikes, bereavement, and specific phobias such as a fear of animals. In addition, cases illustrate success with complex traumas, where aspects of the trauma are ongoing and EMDR becomes part of several possible therapeutic interventions. EMDR is also discussed as an intervention for children who have problems that are not caused by trauma. Case illustrations show how EMDR can be used with children with attention deficit hyperactivity disorder (ADHD), anxiety, depressive, or reactive attachment disorders as well as learning difficulties and somatoform disorders. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Children Mental Disorders Phobias Posttraumatic Stress Disorder PTSD Stressors Survivors Therapeutic Processes

Accuracy Verified: Yes

249. Krystal, D. S., Berbower, S., Katz, I., Pregerson, S., Slyman, S., & Wager, J. (1995, June). Transpersonal psychotherapy panel: EMDR & transpersonal approaches to psychotherapy. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
1) In the Transpersonal approach to psychotherapy, the existence is acknowledged and the presence is invoked of a higher order of Consciousness, the already healthy and perfect organizing principle that Jung called the Self. After using EMDR to process and integrate the personal history, it is possible to transcend the personal self and its strong beliefs and attitudes, and to rest in a state of no-mind or Self, which is beyond or before the experience of duality, and is often recognized as emptiness, peace, contentment, wisdom and love. It is from this state that the therapist can best use EMDR, fully listening to the Oneness of himself and the client. This listening is often called intuition. In addition to introducing the Transpersonal approach in general, Sheila Krystal will present psychotherapy as Satsang and describe the use of EMDR to facilitate movement from self to Self. She will discuss the state of mind most effective for the therapist to enter while using EMDR and will lead a meditation to help create this no-mind state. 2) Joan Wager will present the basic premises of body-based psychology within a Transpersonal content and its relationship to EMDR, illustrating through discussion and case presentation how embodied consciousness, wisdom, compassion, concern for all sentient beings, is the path of body-based transpersonal psychology. She will show how, as we broaden., our concept of who we are, and as body, emotions and mind become integrated, we experience transformation of our being with a new sense of Self in relation to others and the universe. 3) Suzanne Slyman will demonstrate, through theoretical discussion and case presentations, how she combines Gestalt, Self- Acceptance-Training, Transpersonal approaches to psychotherapy, and EMDR She will emphasize several interesting commonalties in these approaches to psychotherapy, including the following; each relies on the belief that there is, in every individual, an inner organizing principle that moves towards wholeness, each assumes that we are self-regulating organisms, each understands and values the power of being witness to the present moment, and each makes room for the client to discover a heretofore "unimaginable outcome" to his or her work. The Enneagram is an ancient psychological typology that describes nine personality types and their interrelationships. Each type is defined by a chief mental and emotional preoccupation to which attention habitually returns. The types correlate well with the diagnostic categories of current psychological practice, but can open us to the fact that the repeating preoccupation of heart and mind that we in the West tend to dismiss as merely neurotic can also be used as potential access points to higher states of consciousness. 5) During their presentation, Sharon Berbower and Suzanne Pregerson will explore their use of the Enneagram and EMDR especially examining how EMDR can access the core personality strategies and defense mechanisms of each of the nine types. With the deconstruction of the habitual responses of the personality, the possibility exists for the emergence of 'True Self. EMDR may be a key to the profound transformation of personality types. 6) Irv Katz will then make a concluding presentation including tying the earlier presentations together and facilitating a question and answer period between the audience and the panel members.

Keywords: Guided Imagery Hypnosis Panel Transpersonal Transpersonal Psychotherapy

Accuracy Verified: Yes

250. Seijo, N. (2012, June). Trastornos de alimentación y EMDR [EMDR in eating disorders]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract:
Everything we have heard we are and the way we were told to be is tied to our image. Behind this there is a meaning that in people with BDD (Body Dismorphic Disorder) acquires a value that ends up becoming the centre of their lives, around which they revolve. The goal of this presentation is to explain how you can work the distortion of body image from the perspective of EMDR in order to work on one of the source problems in eating disorders, such as awareness of the real body and reach acceptance. One of the first definitions of body image is: The image we create in our mind regarding our own body, it means, the way we see ourselves. Schilder (1935). In addition to the perception of our body, including the assessment of our size, there is an emotional or attitudinal image, an evaluation, that is, the way we feel about it. This is the aspect that we usually focus on when we talk about negative body image in people with eating disorders, using body dissatisfaction or rejection. EMDR works by floating the subject back in time, looking for the earliest or most significant memories in which the person felt or saw him or herself in the way as he or she does in the present. When working with distortion of body image and EMDR, we take the picture representing the rejected self, since when the person sees him/herself, the image seen is the undesired self image from the past. We help the subject recognize the existence of the rejected self and work towards integration.

Todo lo que hemos escuchado qué somos, y cómo nos han dicho que seamos, está atado a nuestra imagen. Detrás de esto existe un significado que en gente con BDD (Trastorno dismórfico corporal) adquiere un valor que termina convirtiéndose en el centro de sus vidas, y alrededor del cual giran. El objetivo de este artículo es explicar cómo se puede trabajar la distorsión de la imagen corporal como núcleo y cómo podemos manejar el tratamiento de trastornos de la alimentación desde la perspectiva del EMDR y cómo con el fin de alcanzar una de las partes más importantes en los trastornos de la alimentación como la atención al cuerpo real y la consecución de la aceptación del mismo.

Keywords: Eating Disorders

Accuracy Verified: Yes

251. Albermann, E. M. (2007, September). Trauma - therapie energetisch u. integrativ, EP, EMDR, EMI und hynotherapie [Trauma therapy - Energetic and integrative, EP, EMDR, EMI and hynotherapy]. Vortrag im Rahmen der Ersten Europäischer Kongress für Energie-Psychologie und Psychotherapie, Heidelberg, Deutschland.

Language: German

Format: Conference

Abstract:
Traumatherapie – energetisch, integrativ und modern: Energetische Psychologie, EMDR, EMI (Eye Movement Integration) und systemische Hypnotherapie bieten in ihrer Kombination eine einzigartige Möglichkeit, Traumata zu integrieren. Dazu kommen noch neue Möglichkeiten mit Biofeedback am Computer in Form von Spielen und ansprechenden Rückmeldemöglichkeiten über die Balance der autonomen Körpersysteme, die Patienten und Therapeuten auch spielerisch selbst einsetzen können. Ein paar Vorschläge auf diesem spannenden Feld soll dieser Workshop aufzeigen in einer Kombination von Theorie, praktischen Übungen, gemeinsamer Diskussion und Demonstration.

Trauma therapy - energetic, inclusive and modern: energy psychology, EMDR, EMI (Eye Movement Integration) and systemic hypnotherapy when combining a unique opportunity to integrate trauma. In addition, there are new opportunities with biofeedback on the computer in the form of games and use feedback attractive opportunities over the balance of the autonomous body systems, patients and therapists also play themselves. A few suggestions in this exciting field, this workshop is to show a combination of theory, practical exercises, joint discussion and demonstration.

Keywords: EMI Energy Psychology Hypnotherapy

Accuracy Verified: Yes

252. Samardzic, D. (2010, August). Trauma and the body: The somatic experience in psychotherapy. John F. Kennedy University, Pleasant Hill, CA.

Language: English

Format: Dissertation/Thesis

Abstract:
According to recent neuroscience research, psychological trauma disrupts homeostasis and can negatively affect various organs and biological systems (Solomon & Heide, 2005). Somatic therapy addresses the physiological elements of the trauma by focusing on the body, which, in turn, helps individuals cognitively and emotionally process trauma (Ogden & Minton, 2000; Levine, 1997). This qualitative study aimed to explore the experience of 5 participants who underwent ongoing somatic therapy in the treatment of symptoms associated with Posttraumatic Stress Disorder (PTSD). The results revealed twelve common essential elements among all the participants that illustrated their experience prior to and during the somatic therapeutic process. Some of the elements identified included: presence of severe trauma history of emotional, physical, and/or sexual abuse; failure to treat PTSD symptoms prior to somatic therapy; manifestation of PTSD in physical symptoms and/or illness; increasing awareness of body allowed access to trauma; newfound knowledge and tools gained in helping to manage triggers; and gaining a sense of physical and psychological freedom. Three additional essential elements were found that were not shared by all or most of the participants, which included: EMDR as unsuccessful in treating PTSD symptoms; healing through artistic expression; and ineffectiveness of psychotropic medication in the treatment of PTSD. A process was identified in which a non-verbal bodily experience became a verbal, intellectual, or cognitive experience. In addition, seven characteristics were identified within the transformative process of improving PTSD symptoms occurring during the somatic therapy. According to the participants’ reports, somatic therapy not only decreased their PTSD symptoms, but the process had a significant positive impact on the quality of their lives. This study’s findings highlight the potential of somatic therapy to help those dealing with the effects of psychological trauma.

Keywords: Body Biological Systems Somatic Therapy Trauma

Accuracy Verified: Yes

253. Pupulin, P. (2008, Novembre). Trauma ed EMDR nei pazienti oncologici [Trauma and EMDR in cancer patients]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
L’intensità delle reazioni individuali quando viene comunicata una diagnosi di tumore può avere accenti diversi ma, generalmente, alla comunicazione della diagnosi si apre una prima fase psicologica caratterizzata da uno stato di shock per una notizia appresa come una catastrofe. Il momento della diagnosi può rappresentare uno shock traumatico perché, da un istante all’altro, la persona si trova di fronte ad una condizione di minaccia alla propria vita. I sintomi che si presentano sono gli stessi dei Disturbi Post traumatici da Stress. Nel corso del workshop verranno presentate le modalità efficaci di trattamento con l’approccio EMDR. Il primo obiettivo da stabilire con il paziente è il seguente: trasformare il suo ruolo da vittima di eventi incontrollabili (malattia vissuta come una condanna che viene dall’alto) a protagonista attivo della propria vita (farò tutto il possibile per vincere la malattia). Un altro obiettivo importante è quello di risolvere i sintomi relativi al PTSD. Al termine del trattamento EMDR, il paziente si trova non più bloccato al momento della diagnosi e della paura di non farcela, ma con un atteggiamento più consapevole e più forte associato alla sensazione di potercela fare. Oltre che per il trauma della diagnosi, l’EMDR si può utilizzare in modo molto efficace per rielaborare anche altri nodi traumatici che i pazienti possono manifestare: 1. la paura di fare la stessa fine dell’amica/parente malata di cancro, ora deceduta; 2. la paura di guardarsi allo specchio e vedere un corpo mutilato o disgustoso; 3. l’ansia di seguire i trattamenti post-operatori e le loro conseguenze (chemioterapia, radioterapia); 4. l’ansia, che tende ad affacciarsi alla fine di questo lungo percorso, della recidiva. L’EMDR viene applicato sui ricordi dei momenti più traumatici, sulla situazioni attuali che causano ansia e disagio e su quelle future che creano ansia anticipatoria e angoscia. Il trauma della diagnosi di cancro quindi deve essere affrontato per primo, per evitare che il paziente si ritrovi costantemente bloccato a pensare all’idea della morte. In questo modo si può facilitare e favorire il processo che porterà ad intraprendere la via della guarigione.

The intensity of individual reactions notified when a diagnosis of cancer can have different accents but, generally, the communication of the diagnosis opens a first phase characterized by a state of psychological shock to the news learned as a catastrophe. The time of diagnosis can be a traumatic shock because, from one moment to another, the person is faced with a condition of threat to their lives. The symptoms that occur are the same as post-traumatic stress disorders. The workshop will discuss the effective ways to approach treatment with EMDR. The first objective to establish the patient is as follows: to transform its role from being a victim of uncontrollable events (illness experienced as a conviction that comes from) to an active player of his life (I will do everything possible to cure disease). Another important objective is to resolve symptoms related to PTSD. After treatment, EMDR, the patient is no longer blocked at diagnosis and the fear of not succeeding, but with a more aware and stronger associated with the feeling that I can do. In addition to the trauma of diagnosis, EMDR can be used very effectively to reprocess other traumatic knots that patients may experience: 1. fear of the same fate of his friend / relative suffering from cancer, now deceased; 2. fear of looking in the mirror and see a mutilated body or disgusting; 3. anxiety to follow post-operative treatments and their consequences (chemotherapy, radiotherapy); 4. anxiety, which tends to appear at the end of this long path of recidivism. EMDR is applied on the memories of the most traumatic, the actual situations that cause anxiety and unease over future that create anxiety and anticipatory anxiety. The trauma of cancer diagnosis therefore must be addressed first, so that the patient constantly find yourself stuck to think the idea of death. In this way we can facilitate and encourage the process leading to take the path of healing.

Keywords: Cancer Trauma

Accuracy Verified: Yes

254. Paola, P. (2008, Novembre). Trauma ed EMDR nei pazienti oncologici [Trauma and EMDR in patients with cancer]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
L’intensità delle reazioni individuali quando viene comunicata una diagnosi di tumore può avere accenti diversi ma, generalmente, alla comunicazione della diagnosi si apre una prima fase psicologica caratterizzata da uno stato di shock per una notizia appresa come una catastrofe. Il momento della diagnosi può rappresentare uno shock traumatico perché, da un istante all’altro, la persona si trova di fronte ad una condizione di minaccia alla propria vita. I sintomi che si presentano sono gli stessi dei Disturbi Post traumatici da Stress. Nel corso del workshop verranno presentate le modalità efficaci di trattamento con l’approccio EMDR. Il primo obiettivo da stabilire con il paziente è il seguente: trasformare il suo ruolo da vittima di eventi incontrollabili (malattia vissuta come una condanna che viene dall’alto) a protagonista attivo della propria vita (farò tutto il possibile per vincere la malattia). Un altro obiettivo importante è quello di risolvere i sintomi relativi al PTSD. Al termine del trattamento EMDR, il paziente si trova non più bloccato al momento della diagnosi e della paura di non farcela, ma con un atteggiamento più consapevole e più forte associato alla sensazione di potercela fare. Oltre che per il trauma della diagnosi, l’EMDR si può utilizzare in modo molto efficace per rielaborare anche altri nodi traumatici che i pazienti possono manifestare: 1. la paura di fare la stessa fine dell’amica/parente malata di cancro, ora deceduta; 2. la paura di guardarsi allo specchio e vedere un corpo mutilato o disgustoso; 3. l’ansia di seguire i trattamenti post-operatori e le loro conseguenze (chemioterapia, radioterapia); 4. l’ansia, che tende ad affacciarsi alla fine di questo lungo percorso, della recidiva. L’EMDR viene applicato sui ricordi dei momenti più traumatici, sulla situazioni attuali che causano ansia e disagio e su quelle future che creano ansia anticipatoria e angoscia.

The intensity of individual reactions will be notified when a diagnosis of cancer can have different accents but, generally, the communication of the diagnosis opens a first phase characterized by a psychological state of shock for information acquired as a catastrophe. The time of diagnosis can be a traumatic shock because, from one moment to another, the person is faced with a condition of threat to their lives. The symptoms that occur are the same as Post Traumatic Stress Disorder. The workshop will discuss the effective ways to approach treatment with EMDR. The first objective to determine the patient is as follows: to transform its role from being a victim of uncontrollable events (illness experienced as a conviction that comes from) to an active player of his life (I will do everything possible to cure disease). Another important objective is to resolve the symptoms related to PTSD. After treatment, EMDR, the patient is no longer locked at the time of diagnosis and the fear of not succeeding, but with a more conscious and more associated with the strong feeling we can do it. In addition to the trauma of diagnosis, EMDR can be used very effectively in other nodes to reprocess traumatic patients may experience: 1. the fear of the same fate of his friend / relative suffering from cancer, now deceased; 2. fear of looking in the mirror and see a mutilated body or disgusting; 3. anxiety to follow post-operative treatments and their consequences (chemotherapy, radiotherapy); 4. anxiety, which tends to appear at the end of this long process of relapse. EMDR is applied on the memories of the most traumatic, the actual situations that cause anxiety and unease about future ones that create anxiety and anticipatory anxiety.

Keywords: Cancer Trauma

Accuracy Verified: No

255. Midboe, A., Benight, C., Harding, A., Iwaishi, S., & Johnson, L. (2002, November). A trauma-based treatment intervention for domestic violence victims. Poster presented at the 18th annual meeting of the International Society of Traumatic Stress Studies, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Twenty-four participants from a local domestic violence center were selfselected into an individual therapy-plus-standard advocacy group (P/SA) or a standard advocacy (SA) group. The center’s advocacy staffed administered treatment for the SA group and the P/SA group. In addition to the SA treatment received by individuals in the P/SA group, there were also six licensed therapists who provided a manualized treatment incorporating CBT and EMDR. Symptoms of PTSD, depression, CSE, self-esteem, and coping skills were assessed.Additionally, saliva sample measurements were taken to examine the effect of treatment on the regulation of salivary cortisol. Results indicate that participants in the P/SA treatment condition experienced a significantly greater reduction in intrusive symptomatology and overall level of PTSD symptom severity, as well as a greater increase in CSE over time than those individuals in the SA condition. Moreover, changes in CSE were related to changes in psychological symptoms in individuals in the P/SA group from pretreatment to posttreatment and at follow-up.Almost no linear relationship between changes in CSE and other psychological variables in the SA group emerged.A minimal impact of treatment on coping skills was observed. There was a move towards a greater regulation of salivary cortisol at posttreatment in the P/SA group.

Keywords: Domestic Violence Poster

Accuracy Verified: Yes

256. Forbes, D., Creamer, M. C., Phelps, A. J., Couineau, A. L., Cooper, J. A., Bryant, R. A., McFarlane, A. C., Devilly, G. J., Matthews, L. R., & Raphael, B. (2007, July). Treating adults with acute stress disorder and post-traumatic stress disorder in general practice: A clinical update. Medical Journal of Australia, 187(2), 120-123.

Language: English

Format: Journal

Abstract:
General practitioners have an important role to play in helping patients after exposure to severe psychological trauma. In the immediate aftermath of trauma, GPs should offer "psychological first aid", which includes monitoring of the patient's mental state, providing general emotional support and information, and encouraging the active use of social support networks, and self-care strategies. Drug treatments should be avoided as a preventive intervention after traumatic exposure; they may be used cautiously in cases of extreme distress that persists. Adults with acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) should be provided with trauma-focused cognitive behaviour therapy (CBT). Eye movement desensitisation and reprocessing (EMDR) in addition to in-vivo exposure (confronting avoided situations, people or places in a graded and systematic manner) may also be provided for PTSD. Drug treatments should not normally replace trauma-focused psychological therapy as a first-line treatment for adults with PTSD. If medication is considered for treating PTSD in adults, selective serotonin reuptake inhibitor antidepressants are the first choice. Other new generation antidepressants and older tricyclic antidepressants should be considered as second-line pharmacological options. Monoamine oxidase inhibitors may be considered by mental health specialists for use in people with treatment-resistant symptoms.

Keywords: Acute Stress Disorder Anti-Depressants ASD MAO Inhibitors Posttraumatic Stress Disorder PSTD SSRIs

Accuracy Verified: Yes

257. Marcus, S. (2007, June). Treating headaches with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Headaches are the most common pain-related complaint and the seventh leading ailment seen in medical practice. Yearly, over 35% of the population is affected by tension-type headaches. Migraine headaches are a common condition with one-year prevalence rates around 15%. Prevalence rates generally peak in the third and fourth decades but for many migraines become a chronic condition requiring a lifetime of treatment.
Migraine sufferers are frequently disabled during their acute attacks. A 2001 study found that 90% of migraineurs reported functional impairment. 53% required bed rest and nearly 30% missed 1 day of work or school within a 3-month period. Migraine in the USA results in 112 million bedridden days per year. The cost of the migraine to the total American work force is estimated at $13 billion per year in missed work days and lost productivity. Direct medical costs (i.e., MD office visits, prescription medication claims, and hospitalizations) for migraine care average $1 billion annually. Clouse & Osterhaus (1994) found that migraineurs generate twice the medical claims and two times the pharmacy claims in HMO’s when compared to patients without migraines.
Considering the sheet number of individuals afflicted with migraine and tension headaches, the societal impact with increased medical costs, lost work days, and reduced productivity represent a major public health concern.
The pharmacologic therapies have long been the most common and widely used method of treating headaches. Unfortunately, pharmacologic treatments are ineffective or inadequate for a sizeable number of patients. One third of patients participating in clinical trials with oral triptans fail to respond. Moreover, fewer than half become pain-free, which is the primary efficacy measure recommended by the International Headache Society. Reasons for considering an EMDR treatment for migraine and tension headaches are patient preferences for non-pharmacologic interventions, pregnancy, planned pregnancy or nursing, deficient stress coping skills, medication rebound, patient overuse of medications, medical contraindications, and poor medication tolerance.
In view of the state of the art of current headache treatment an EMDR approach that can eliminate severe headache pain in less time than an oral medication (20 to 30 min) and within 5 to 10 sessions may reduce frequency, duration and intensity of future headaches could result in a decrease in medication utilization, physician visits and overall medical costs, with an improvement in patient satisfaction. This would be a welcome addition to current headache treatments.
This workshop will employ lecture, demonstration and actual practice of an integrated EMDR approach. The purpose of this teaching strategy is to prepare you for clinical practice. Objectives include understanding headache etiology, headache trigger identification, threshold theory, training in the EMDR protocol used in Dr. Marcus’s migraine research, discussion of protocol utilization in clinical practice, informed consent, transference issues, and discussion of the role of provider when deploying this approach. This workshop is for advanced EMDR practitioners but previous experience in headache treatment is not required.

Keywords: Headaches Health Problems Illness Pain

Accuracy Verified: Yes

258. Omaha, J. (1999, June). Treating nicotine dependency: An application of the Chemotion/EMDR protocol. Presentation at the annual meeting of the EMDR International Assocation, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will learn: 1) the definition of denial as an unconscious mechanism preventing awareness and acceptance of a relationship between negative consequences of nicotine abuse and the nicotine abuse iself; 2) the origin of denial in a defected ego function of reality testing; 3) how defected reality testing in nicotine dependents means they cannot distinguish what is inside them - their archaic, unresolved trauma-coded affects, memories, cognitions, and images - from what is outside them - the smoking-induced affects, cognitions, and images; 4) how smokers reenact their childhood emotional trauma through their nicotine abuse. Cigarettes facilitate re-experiencing affects directed against the child by traumatizer and also re-experiencing the unmetabolized affect felt by the child during traumatization; 5) the Chemotion/EMDR protocol, a brief, effective treatment for nicotine dependency; 6) how Gestalt commmunication technique in Chemotion/EMDR protocol can evoke the object relations deficits during nicotine dependency; 7) how EMDR can desensitize and reprocess the specific childhood emotional trauma driving the dependency; and 8) how EMDR can install or strengthen the reality testing ego function.

Keywords: Chemotion Denial Gestalt Communication Nicotine Dependency Object Relations Deficits Reality Testing

Accuracy Verified: Yes

259. Staff. (1997, October 7). Treating pathological gambling with eye movement desensitization/reprocessing. The Wager, 2(40).

Language: English

Format: Magazine

Abstract:
Eye movement desensitization/reprocessing (EMDR) is a relatively new treatment that has produced beneficial results for individuals with post-traumatic stress disorder and other anxiety complaints. EMDR is a clinical treatment method developed to stimulate central nervous system information processing which has been disrupted by trauma experiences. A recent study tested whether EMDR was an effective treatment for decreasing gambling events among pathological gamblers. A gambling event was considered to be each separate gambling activity (i.e., buying a lottery ticket, a session of video poker). Pathological gamblers were hypothesized to be viable candidates for EMDR treatment because of the potential existence of unresolved trauma-related anxiety which may drive pathological gambling behavior. That is, pathological gambling may be a way for anxious individuals to cope with and try to control their anxiety. Nineteen clients who met DSM-IV criteria for pathological gambling and reported trauma histories appropriate for EMDR treatment were non-randomly classified into the EMDR treatment group or a control group. There were no significant differences in mean frequency of gambling events between the two groups pre-intervention. The EMDR-treament group received psychotherapy before and after their treament; control subjects received psychotherapy while they were on a wait list for EMDR treatment. The EMDR treatment targeted life events, not gambling-specific events. This study found that among pathological gamblers, EMDR was effective in significantly decreasing the mean frequency of gambling events. In addition, EMDR was significantly more effective in reducing frequency of gambling events than standard psychotherapy. EMDR was more effective among clients who had trauma histories. This study’s author suggests that these preliminary findings support an anxiety-based etiological model for gambling disorders. While EMDR treatment for pathological gambling needs to be further researched, alternative explanations for these findings must be considered. Particularly, the variability of time in therapy pre-EMDR in this study may indicate that simply staying in treatment longer and being committed to change may be driving the successful treatment outcome.

Keywords: Gambling

Accuracy Verified: Yes

260. Russo, S. A., Hersen, M., & van Hasselt, V. B. (2001, January). Treatment of reactivated post-traumatic stress disorder: Imaginal exposure in an older adult with multiple traumas. Behavior Modification, 25(1), 94-115. doi:10.1177/0145445501251006.

Language: English

Format: Journal

Abstract:
A single-case analysis was used to assess the effects of imaginal exposure in a 57-year-old woman suffering from current and reactivated post-traumatic stress disorder (PTSD) following a transient ischemic attack. The client’s responses to self-reported depression, anxiety, and PTSD symptoms were repeatedly recorded during four phases: (a) initial psychotherapy, (b) imaginal exposure, (c) skill generalization, and (d) fading of treatment. In addition to dramatic reduction in levels of depression and anxiety, results showed a significant improvement in PTSD symptoms relating to recent and remote traumatic experiences. Improvements were maintained approximately 16 months after imaginal exposure ended, despite ongoing external stressors.

Keywords: Adults Imaginal Exposure Posttraumatic Stress Disorder PTSD Trauma

Accuracy Verified: Yes

261. Silver, S., Brooks, A., & Obenchain, J. (1995, April). Treatment of Vietnam war veterans with PTSD: A comparison of eye movement desensitization and reprocessing, biofeedback, and relaxation training. Journal of Traumatic Stress, 8(2), 337-342. doi:10.1007/BF02109568.

Language: English

Format: Journal

Abstract:
Analyses of scaled self-report data from Vietnam War veterans receiving inpatient treatment for PTSD drawn during a program evaluation study suggested inpatient treatment as provided by the program resulted in significant improvement in the areas of anxiety, anger, depression, isolation, intrusive thoughts (of combat experiences), flashbacks, nightmares (of combat experiences), and relationship problems. Comparing the relative effects of the incremental addition of eye movement desensitization and reprocessing (EMDR), relaxation training, and biofeedback found that EMDR was for most problems the most effective extra treatment, greatly increasing the positive impact of the treatment program. [Author Abstract]

Keywords: Adults Americans Biofeedback Training Empirical Study Males Non-Randomized Study Posttraumatic Stress Disorder Psychiatric Inpatients PTSD Relaxation Therapy Treatment Effectiveness Veterans Vietnam War

Accuracy Verified: Yes

262. Chambless, D.L., Sanderson, W.C., Shoham, V., Bennett Johnson, S., Pope, K.S., Crits-Christoph, P., Baker, M., Johnson, B., Woody, S.R., Sue, S., Beutler, L., Williams, D.A., & McCurry, S. (1996). An update on empirically validated therapies. The Clinical Psychologist, 49, 5-18.

Language: English

Format: Journal

Abstract:
In 1995 the Division 12 Task Force on Promotion and Dissemination of Psychological Procedures published its report in this journal. A major focus of that report was increasing training in psychological interventions that have been supported in empirical research by making clinical psychologists and students more aware of these treatments and facilitating training opportunities. To provide the basis for a survey on the degree to which clinical programs and internships were currently providing training in empirically supported therapies, the task force constructed a list of examples of treatments meeting criteria for efficacy as established by the task force. Based on feedback that members of the profession found this list of interventions to be very useful in training and clinical work, while also recognizing its very incomplete basis, the Division 12 board charged the succeeding task force (Task Force on Psychological Interventions), appointed in succession by Presidents Martin Seligman and Gerald Koocher, with adding to this preliminary list on an annual basis. This is one purpose of the current report. In addition, we raise several issues about the use and limitations of empirically supported treatments as currently identified. In keeping with the practice established by the first task force, the members of the group who constructed the present report are diverse in theoretical orientation and work in a variety of settings -- psychology departments, medical schools, and private practice.

Accuracy Verified: Yes

263. Popky, A. J. (2011, October). An urge reduction protocol as a new way to address addictions and dysfunctional behaviors based on the AIP model of EMDR. Presentation for Care For the Troops, Marietta, Ohio.

Language: English

Format: Other

Abstract:
The purpose of this document is to act as a training manual for those clinicians that work with addictive populations and that have completed already completed EMDR level 1 and 2 trainings. Previous research on EMDR has focused on its usefulness for treating trauma-related symptoms in a diverse sample of subjects. This protocol deals with targeting triggers that bring up urges rather than traumas. It is the authors beliefs that the targeting of triggers is a gentler way of dealing with this addictive population and that as triggers are reprocessed ego strength grows until the thread to the trauma or core issues are ready to emerge to be reprocessed. Background This treatment model and the theories involved are based on experience from personal client observation and anecdotal reports received from other therapists using this same protocol. It is an eclectic model and combines many methodologies, including but not limited to, cognitive-behavioral, solution focused, Ericksonian, narrative, object relations, EFT, TFT, to name a few. The bi-lateral stimulation from the accelerated information processing model (EMDR) seems to form the catalyst for rapid processing and change, the turbo-charger that speeds the healing process. Successful results have been reported across the wide spectrum of addictions and dysfunctional behaviors: chemical substances (nicotine, marijuana, alcohol, methamphetamine, cocaine, crack, heroin/methadone, etc.), eating disorders such as compulsive overeating, anorexia and bulimia, along with other behaviors such as sex, gambling, shoplifting, anger outbursts, OCD and trichotillomania, etc. Since this is an urge reduction protocol the scope of applications can include a wide variety of applications.

Keywords: Adaptive Information Processing Addictions AIP Desensitization of Triggers and Urge Reprocessing DeTUR Dysfunctional Behaviors

Accuracy Verified: Yes

264. Ferrie, R. (2012, April). The use of dreams in ego state and EMDR therapies for trauma and dissociation. Presentation at the annual meeting of the EMDR Canada, Montreal, Canada.

Language: English

Format: Conference

Abstract:
Today, the dreaming mind is understood to improve learning, organize novel solutions to problems from waking consciousness and, thus, creatively support survival. This function, of finding new creative solutions, is also observed in the desensitization phase four of the EMDR protocol and is a key component in Ego State Therapy (EST). Dreams appear to select targets from the client’s history, that are causing problems in current time. In addition, dreams may respond to interventions made during a therapeutic session, as if the dreaming mind were in a dialogue with the client and the therapist. This type of dream leads to a more creative dialogue in subsequent therapy. Repetitive nightmares are the dreaming signature of PTSD, and these too respond well to EMDR and rehearsed changes in imagery, including that of ego states and can result in improved sleep quality. Dreams can offer a resource figure in blocked therapy; demonstrate the validity of ego states and of ego state relationships. This presentation focuses on the use of dreams, in combination with EMDR, as well as EST, for clients suffering from post traumatic syndromes. A review of the literature will be given but primarily case studies and video material from actual sessions will shared.
Learning objectives: 1. Understand the neuroscience that underlies the present state ofknowledge of the dreaming mind/brain 2. Develop skill in using the language of the dreaming mind to improve interweaves and interventions in the course of therapy 3. Develop skills in carrying nightmares forward using EMDR and thus improving sleep quality 4. Formulate a script that explains to clients why dreams and the imagination are useful in therapy. 5. Participate in a practicum on the use of dreams.

Keywords: Dissociation Dreams Ego State Therapy Trauma

Accuracy Verified: Yes

265. Klaus, P. H. (1995, June). The use of EMDR in medical and somatic problems. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Patients facing medical problems present for psychotherapy with a variety of concerns which include: distress or fears about the illness or condition itself (i.e., cancer, need for surgery, etc.); anxiety about various aspects of the treatment they need to undergo; and some have trepidation about interaction with medical personnel. At the same time, patients may also be concerned about the strength or weakness of their bodies to heal. In addition, many patients suffer from chronic conditions which occur in either acute or chronic episodes and undermine their lives, leaving them feeling debilitated and less functional than desired (i.e., asthma, migraine, functional bowel distress, PMS). Some aspects of illness may be the result of somatization due to childhood trauma, secondary gain, unconscious need to mask strong negative affect; Dissociative disorders or conversion reactions; as well as acute or chronic stress. History-taking includes, 1) a description of the condition, 2) the patient's perceptions or beliefs about the illness, 3) the patient's experience with the medical system, 4) the patient's medical and personal goals. Personal history should include, 1) current life issues and past stressors, 2) significant life events, as well as the patient's pattern of coping. EMDR in association with other psychotherapeutic techniques such as hypnosis is useful in the following ways; A) to desensitize negative or traumatic events associated with medical treatments; B) to uncover as appropriate, stress-related or psychological factors which may either exacerbate or be causal to the condition; C) to more quickly gain access to underlying factors which may block healing; D) to activate the patient's own potential to heal; E) to enable the patient to project oneself with hope into the future. Specific cases using EMDR along with other psychotherapeutic techniques will be presented.

Keywords: Medical Problems Somatic Problems

Accuracy Verified: Yes

266. St. Andre, É. (2010, April/May). Use of EMDR in the treatment of obsessive compulsive disorder: a case study. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
Obsessive compulsive disorder (OCD) is a chronic anxiety disorder with recurrent obsessions, like persistent thoughts, mental images, impulses, and compulsions such as repetitive behaviours or mental acts, that are performed after obsessions. This workshop will provide clinical information on the presenter's use of EMDR with a patient with OCD, as well as some examples provided by other clinicians who have worked with patients with OCD. In addition, general information on OCD (e.g., epidemiology, neurobiology) will be discussed. The presenter will highlight what is unique about the use of EMDR with OCD, difficulties she met in using EMDR with an OCD patient, and adaptations she used to improve treatment. She will describe how to use the standard 8 step approach (past, present, future), how to identify targets, managing OCD symptoms and barriers in his day-to-day life. The presenter will look at how to manage challenges that arise for the clinician with this population. Participants will have an opportunity to apply the strategies with a case example exercise. (All Levels)

Keywords: Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

267. de Roos, C., & Veenstra, S. (2006, June). Using EMDR in the treatment of chronic pain. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
This study group, EMDR and chronic pain, chronic pain related to traditional theories, treatments, and the relationship between trauma, stress and pain, including research results reveal that an entry be made. As a possible intervention in the treatment of chronic pain EMDR'ın reasons that will be explained. In addition, Update and Re-Processing of Eye Movements and insensitive amputation (legs cut off) then imagined the impact of chronic leg pain was a pilot study will be presented revealed. In the third part of the study, EMDR'ın will focus on the use in the treatment of chronic pain. Clinical issues, accidents occurring after the head and spine trauma, imaginary leg pain in patients who take pictures with the case will be examined. This presentation aims: - Understanding of the relationship between trauma and chronic pain. - Chronic pain is appropriate for study, EMDR can be consulted to distinguish those who. - In the treatment of chronic pain-related knowledge and skills EMDR'ın increasing use.

Keywords: Chronic Pain

Accuracy Verified: Yes

268. Tufnell. G. (2004, February). Using EMDR to treat PTSD in preadolescent children. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.

Language: English

Format: Conference

Abstract: This paper will describe the treatment of Post Traumatic Stress Disorder in preadolescent children using Eye Movement Desensitisation and Reprocessing (EMDR). EMDR has shown to bring rapid relief in adults with PTSD, Studies are begining to show that it can also be useful in work with young children. However, the standard protocol requires some adjustment. In addition, in situation where children have complex difficulties in addition to PTSD, EMDR may need to be used alongside other interventions within a complex treatment package. Method: This study describes brief work carried out with 4 preadolescent children with PTSD. Three of these children had receive no treatment in spite of suffering from significant and chronic symptoms ofr years. One had suffered a traumatic bereavement. All had additional problems that required intervention. EMDR was used as part of a comprehensive treatment package. Results: In all cases, the children's PTSD symptoms resolved within 2-4 sessions of EMDR. The maximum total number of sessions was 7. The children's symptomatic improvements were maintained at 6 month follow-up. Comment: EMDR can be adapted for use with preadolescent children. It can povide rapid and lasting symptomatic relief. EMDR can be a useful part of a multi-modal treatment package for young childen with PTSD and additional mental health problems.

Keywords: Children Posttraumatic Stress Disorder Preadolescents PTSD

Accuracy Verified: Yes

269. Tufnell, G. (2004, June). Using EMDR to treat PTSD in preadolescent children. In children and EMDR (R. Oras, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
This paper will describe the treatment of Post Traumatic Stress Disorder in preadolescent children using Eye Movemetn Desensitization and Reprocessing (EMDR). EMDR has been shown to bring rapid relief in adults with PTSD. Studies are beginning to show that it can also be useful in work with young children. However, the standard protocol requires some adjustment. In addition, in situations where children have complex difficulties in addition to PTSD, EMDR may need to be used alongside other interventions within a complex treatment package.
Method: This study describes brief work carried out with 4 preadolescent children with PTSD. Three of these children had received no treatment, in sprit of suffering from significant and chronic symptoms for some years. One had suffered traumatic bereavement. All had additional problems with required intervention. EMDR was use as part of a comprehensive treatment package.
Results: In all cases, the children’s PTSD symptoms resolved within 2-4 sessions of EMDR. The maximum total number of sessions was 7. The children’s symptomatic improvement was maintained at 6 month follow-up.
Comment: EMDR can be adapted for use with preadolescent children. It can provide rapid and lasting symptomatic relief. EMDR can be a useful part of a multi-modal treamtne package for young children with PTSD and additional mental helath problems.
Reference: Tinker, R., & Wilson, S. (1999). Through the eyes of a child: EMDR with children. New York: Norton.

Keywords: Children Posttraumatic Stress Disorder PTSD Symposium

Accuracy Verified: Yes

270. Kreitzberg, J. (2011). Using magneto encephalography to determine the therapeutic efficacy of EMDR in the treatment of PTSD. Symposium presented at the Annual Linfield College Science Symposium.

Language: English

Format: Conference

Abstract:
Post-traumatic stress disorder (PTSD) is a condition that can be produced by traumatic experiences. A new study has shown that a brain scan called magneto encephalography (MEG) can identify people who have PTSD with an accuracy of 95%. Sensors measure tiny magnetic fields generated by currents flowing in and around neurons. In addition they have recently stated in the Journal of Neural Engineering that they can now watch the brain as it experiences PTSD. Imaging shows that the brain becomes hyperactive in the right temporal lobe, the location responsible for memory. Besides diagnosing PTSD, the researchers also are able to judge the severity of how much patients are suffering. Eye-movement desensitization and reprocessing (EMDR) was designed in 1987 as a treatment for PTSD. EMDR is a structured eight-phase therapy that allows for adequate reprocessing of dysfunctionally stored memory. In the processing phases the client attends to the disturbing memory in brief intervals of 15-30 seconds while also experiencing bilateral stimulation (eye movements, tones or tapping). The eight phases integrate effective elements of psychodynamic, imaginal exposure, cognitive therapy, interpersonal, experiential, physiological and somatic therapies. Now that we can locate specific biomarkers for PTSD using MEG, my hypothesis is that we will find a statistically significant difference between the control group and the group that has EMDR treatment, and that EMDR will be shown to be effective in resolving PTSD as measured by pre and post therapy MEG scans. Also using the MEG, we may be able to observe those brain actions responsible for the therapeutic efficacy of EMDR and isolate which components of EMDR trigger those brain actions. The significance of finding the answer to these questions could potentially help millions of people overcome years of suffering from psychological pain due to the after effects of severe trauma and restore them to productive lives. It could establish the status of EMDR, assisting in the decision of whether it should be listed among the evidence-based, best-practice therapy modalities and covered by insurance. Also knowing the underlying pathophysiology could contribute to the evolution, revision and refinement of diagnostic constructs for PTSD.

Keywords: Efficacy Magneto Encephalography Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

271. Bender, S. S. (2006, September). Wash your hands: Healthy and practical EMDR practices. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
This workshop will focus on insider tips for healthy and practical EMDR practice issues. An effective strategy for introducing EMDR therapy and how to make it part of your initial patient interview will be described from the nitty-gritty aspect of dealing with sanitizing your equipment whether using your hands or plastic sensors to an assortment of useful forms. Three forms will be distributed and explained: Welcome to My Practice form, Tracking EMDR Session form, and Addendum to the Multimodal form. In addition, a means of "previewing" with your patient the safe place, the VOC and SUD scales and each of the questions in the assessment phase will be discussed. Emphasis will be placed on the importance of each of these steps for de;eloping a sound therapeutic relationship and gleaning more information about the patient. Newcomers to EMDR will have an opportunity to get the answers to basic questions and the hands on materials that will increase their comfort and competence using and integrating EMDR into their practices.

Keywords: Practice Theory

Accuracy Verified: Yes

272. Spierings, J. (2011, juni). Werken met EMDR bij (gecompliceerde) rouw [Working with EMDR in (complicated) grief] . Presentatie op de vijfde Vereniging EMDR Nederland, Nijmegen in het Kolpinghuis, The Netherlands .

Language: Dutch

Format: Conference

Abstract:
Doel: In deze workshop wordt de deelnemer vertrouwd gemaakt met de psychodynamiek van (gecompliceerde) rouw, en het gebruik van EMDR bij de behandeling van allerlei verschillende patronen van vastgelopen rouw. Naast theorie bevat de workshop verhalen, casusmateriaal, en volop ideeën voor interventies en interweaves. Voor ieder van de verschillende vormen van gecompliceerde rouw worden specifieke behandelplannen besproken: wat is de essentie van de problematiek, wat moet er gebeuren en in welke volgorde? Naast EMDR komen ook andere behandeltechnieken aan bod, zoals rituelen, Gestalt, metaforen, schrijfopdrachten, spirituele interventies; de deelnemer leert tevens hoe deze technieken te integreren zijn binnen EMDR. De cursus heeft een uitgesproken praktisch karakter: de deelnemer krijgt onmiddellijk toepasbare handvaten, interventies, en tips aangereikt.

Purpose: In this workshop, the participant familiar with the psychodynamics of (complicated) grief, and the use of EMDR in the treatment of many different patterns of frozen grief. Besides the workshop includes theory stories, case material, and plenty of ideas for interventions and interweaves. For each of the various forms of complicated grief are specific treatment plans discussed: what is the essence of the problem, what to do and in what order? EMDR in addition, other treatment techniques are discussed, such as rituals, Gestalt, metaphors, writing, spiritual interventions, participants will also learn how to integrate these techniques in EMDR. The course has a distinctly practical nature: the participant is immediately applicable handles, interventions, and tips suggested.

Keywords: Complicated Grief

Accuracy Verified: Yes

273. Knipe, J. (2010, September/October). What the adaptive information processing model brings to the assessment and treatment of dissociative disorders. Plenary presented at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Clients with a dissociative personality structure can be very vulnerable to dissociative abreaction – i.e. “reliving” the trauma with intense disturbance while experiencing a loss of present orientation and safety. In addition, a client who has repeatedly experienced this type of traumatic intrusion is likely to have developed complex psychological defenses. This presentation will include the description of certain AIP “tools” that can be used to help dissociative clients who have strong phobic fears of their own post-traumatic material and who have developed additional mental actions to prevent the emergence of that troubling material. These “tools” will be illustrated with brief session transcripts and video segments.

Keywords: Dissociative Disorders Plenary

Accuracy Verified: Yes

274. Curry, S. (2007, June). Where protocol meets client: Choices in case conceptualization in EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
EMDR is being increasingly – and successfully – utilized for a broader range of big “T” and small “t” traumas. Research indicates that adherence to the 8-phase protocol and the 3-pronged approach brings about the most successful outcomes in our clients. The problem in their application, however, is frequently “how?” A day in the life of an EMDR therapist can involve a plethora of symptoms: attachment difficulties, anxiety, Phobias, relational dysfunction, dissociation, and mood disorders, to name just a few client presentations. Much confusion and discouragement can arise as the clinician struggles with the variety of client presentations and the awkwardness of learning a significantly different approach to psychotherapy. Consultation experience reveals that it is most often psychotherapy. Consultation experience reveals that it is most often these two factors which bring about the unfortunate discrepancy between the numbers of those who take EMDR training and those who utilize it frequently. By means of a discussion of pre-screening typical and atypical case scenarios and the provision of a decision tree using appropriate resources and specialize protocols, participants will learn a more systematic way to conceptualize their cases. In addition, there will be a summary of frequently asked questions about the course of EMDR therapy garnered from the presenter’s consultees. And guidelines for keeping treatment on a course as common challenges in EMDR present themselves. This workshop is an outgrowth of “Decisions, Decisions ... Forks in the Road in EMDR: What, When and Why” presented at the EMDR Europe Conference in Istanbul and the EMDRIA conference in Philadelphia in 2006.

Keywords: Case conceptualization Protocol

Accuracy Verified: Yes

275. Bisping, V. S. (2011). Wirksamkeit von eye movement desensitization and reprocessing (EMDR) bei zahnbehandlungsphobie [Efficacy of eye movement desensitization and reprocessing (EMDR) treatment for dental phobia]. Universitätsklinikum Münster, Kliniken, Psychosomatik und Psychotherapie,Forschung, Munster, Deutschland .

Language: German

Format: Dissertation/Thesis

Abstract:
In dieser Studie werden 30 Patienten mit Zahnbehandlungsphobie in einem Warte-Kontrollgruppen-Design mit Eye Movement Desensitization and Reprocessing (EMDR) behandelt. Die manualisierte Intervention umfasst drei ca. 90-minütige Sitzungen. Vor und nach der Behandlung wird die Angst vor der Zahnbehandlung mit Fragebögen und einem Verhaltenstest erfasst. Darüber hinaus werden bildgebende Untersuchungen durchgeführt (siehe folgendes Projekt).

In this study, 30 patients treated with dental anxiety in a wait-control group design with Eye Movement Desensitization and Reprocessing (EMDR). The manualized intervention includes three 90-minute sessions. Before and after the treatment, the fear of dental treatment with a behavior test questionnaires and is detected. In addition, imaging studies are performed (see next project: Erfassung neurobiologischer Korrelate der EMDR-Behandlung bei Patienten mit Zahnbehandlungsangst, by S. Doering, V. Bisping, N. Nora Liebergesell, B. Höffkes, M. Junghöfer, C. Dobel).

Keywords: Dental Phobia

Accuracy Verified: Yes

276. Meusers, M. (2005, June). Work with a pupil collective involved in a traffic accident with the help of EMDR. In EMDR and children. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
On Tuesday. November llth 2004 in Gevelsberg, Germany a traffic accident happened with a truck and a school bus. A number of children were slightly injured. 17 pupils of a basic school were involved. A part of them were in need of acute ambulatory medical care in a hospital. In addition were some siblings, attending higher schools likewise casualties of the accident. At request of the "Opferschutzbeauftragten" and the school the Psychiatry for children and youngsters, Herdecke, Germany as hospital in responsibility at Monday, November 29th were asked to treat this incident with this 17 pupils of the school. Three co-worker8 of the Kinder- und Jugendpsychiatrie Herdecke, a policeman, the "Opferschutzbeauftragte" [commissioner for victim protection], a person from the bus company, the principal of the school and the 17 pupils were present. The methods were presented, involving EMDR in the collective. Installation of a safe location. Treatment of the actual accident event in the group as well as strategies for stabilisation of the pupils was represented in detail. Especially the persons present were entered into the legal, organisational and practical topics of the problem. Later a re-inquiry took place in the families, the result will be also presented at congress. On the occasion of this event a concept of proceeding in acute trauma was developed together with the "Opfenchutzbeauftrogten" of our region of providing. This will be presented as well, if finished until then, at congress.

Keywords: Children Symposium Traffic Accident

Accuracy Verified: Yes

277. Gattinara, P. C. (2009). Working with EMDR in chronic incapacitating diseases: The experience of a neuromuscular diseases center. Journal of EMDR Practice and Research, 3(3), 169-177. doi:10.1891/1933-3196.3.3.169.

Language: English

Format: Journal

Abstract:
This article examines the use of EMDR in a rehabilitation center to deal with traumatic experiences associated with serious incapacitating disease. Through clinical examples, the author describes the utility and function of EMDR treatment in helping both patients and their families overcome the frightening events related to the worsening of the illness and in helping them cope with feelings of loss and separation. The usefulness of attachment theory for a better comprehension of the dysfunctional interpersonal patterns that can arise between family members is discussed. In addition, the importance of eye movement desensitization and reprocessing (EMDR) is explored in helping to facilitate secure attachment relationships between patients and their caregivers, allowing the families to grow closer and more supportive. EMDR appears to offer specific advantages in treating this especially difficult population, affording patients who live with a chronic condition of extreme physical vulnerability a sense of greater control over their own bodies and therefore over their own lives.

Keywords: Attachment Neuromuscular Pathologies Respiratory Crisis Traumatic Events

Accuracy Verified: Yes

278. de Jongh, A. (2008, Maart). Workshop effectief conceptualiseren en scherpstellen [Workshop effectively conceptualize and focus]. Presentatie op de derde conferentie van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
‘Conceptualiseren en ‘scherpstellen’ zijn twee belangrijke aspecten van een EMDR-behandeling. Het doel van deze onderdelen is om vanuit klachten en problemen die een patiënt presenteert targetherinneringen te identificeren en vervolgens voldoende lading te creëren om desensitisatie mogelijk te maken. Veel therapeuten vinden dit niet altijd gemakkelijk. In deze workshop wordt geleerd om zowel eenvoudige als efficiënte wegen te leren bewandelen om (1) een casus te conceptualiseren voor behandeling met EMDR, (2) essentiële, zogenaamde ‘touchstone’, targets te identificeren, en (3) de juiste NCs en PCs te selecteren. Aan de hand van oefeningen en diverse videofragmenten van stroef verlopende EMDR behandelingen wordt gedemonstreerd waar mogelijke valkuilen liggen. Daarnaast wordt uitgelegd hoe in moeilijke situaties, waarin het standaard protocol niet voorziet, kan worden gehandeld en hoe deze moeilijkheden op creatieve wijze kunnen worden opgelost. Deze interactieve workshop is vooral bedoeld voor therapeuten die nog geen vervolgopleiding hebben gedaan en die hun vaardigheden op EMDR gebied willen vergroten.

'Conceptualise and' focus' are two important aspects of EMDR treatment. The objective of this component is to identify complaints and problems from a patient and then target memories enough charge to create desensitization possible. Many therapists are not always easy. This workshop is taught to both simple and efficient ways to learn to walk to (1) a case to conceptualize treatment with EMDR, (2) key, so-called "touch stone", target identification, and (3) the proper NCS and PCs to select. Using various exercises and video clips of sluggish EMDR treatment is demonstrated where potential pitfalls lie. In addition, how to in difficult situations where the standard protocol is not provided, can be traded and how these problems can be solved creatively. This interactive workshop is intended primarily for therapists who have not yet done so and continuing their fields to increase skills in EMDR.

Keywords: Case Conceptualization Cognitions Identifying Touchstone Event

Accuracy Verified: Yes

279. Veerbeek, H. (2012, March). Wraakfantasie en wraakdrang: de externaliserende kant van PTSS [Revenge and vengeance urge Fantasy: Externalizing side of PTSD]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.

Language: Dutch

Format: Conference

Abstract:
In deze workshop richt de aandacht zich op de EMDR-behandeling van agressie- en wraakproblemen als gevolg van beschadigende ervaringen in het verleden. Allereerst wordt stilgestaan bij valkuilen in de therapeutische relatie die het vanuit trauma-perspectief behandelen van agressie en wraak in de weg kunnen staan. Een belangrijke vraag is wanneer cognitief gedragtherapeutische technieken geïndiceerd zijn en wanneer verwacht kan worden dat EMDR juist effectiever zal kunnen zijn bij de behandeling van de agressie en wraak. Daartoe wordt een model van Ogden gepresenteerd. Voordat begonnen wordt met verwerking van traumamateriaal en/of wraakfantasieën, is essentieel dat aan de agressieve cliënt geleerd wordt hoe middels de veilige plek de soms gevaarljike arousel omlaag gebracht kan worden. Dit wordt met videomateriaal geïllustreerd. Na uitleg over het ontstaan van wraakfantasieen en wraakdrang wordt met gebruikmaking van uitgebreid videomateriaal gedemonstreerd hoe middels een aangepast EMDR-protocol wraakfantasieën en wraakdrang goed behandeld kunnen worden. Een pleidooi wordt gehouden om bij de behandeling van PTSS meer aandacht te hebben voor de externaliserende kant (woede en wraak) en deze ook te behandelen, zoals hier wordt voorgesteld. Daarnaast is het pleidooi om bij de behandeling van agressie en wraak meer aandacht te hebben voor de traumatische oorsprong hiervan.

In this workshop the focus is on the EMDR treatment of aggression and revenge problems resulting from damaging experiences in the past. First, examines pitfalls in the therapeutic relationship from the trauma perspective in treating aggression and revenge can hinder. An important question is when cognitive behavioral therapy techniques are indicated and when it is expected that EMDR will be very effective in the treatment of aggression and revenge. To this end, a model of Ogden presented. Before commencing treatment of trauma material and / or revenge fantasies is essential that the client is taught how aggressive the safe place through the sometimes gevaarljike arousel can be lowered. This is illustrated with video material. After explanation of the origin of wraakfantasieen and revenge urge is using extensive video demonstrates how using a modified EMDR protocol fantasies of revenge and vengeance urge successfully treated. A plea is held to the treatment of PTSD more attentive to the side externalizing (anger and revenge), and also to treat, as proposed here. In addition, the plea for the treatment of aggression and revenge more attention to the traumatic origin of this.

Keywords: Revenge Vengeance Urge

Accuracy Verified: Yes

280. Coppens, L., & and van Kregten, C. (2013, APril). Zorgen voor getraumatiseerde kinderen: Een training voor opvoeders [Caring for traumatized children: A training for educators]. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Veel van de kinderen die in hun vroege kinderjaren herhaaldelijk zijn blootgesteld aan traumatische ervaringen, worden uit huis geplaatst. De gevolgen van de traumatisering zijn meestal ernstig en vergaand doordat het de organisatie van de in ontwikkeling zijnde hersenen negatief beinvloedt. Voor herstel van complex trauma is individuele traumagerichte therapie niet genoeg. Kinderen hebben heel veel nieuwe (herstellende) ervaringen nodig om weer vertrouwen te krijgen in zichzelf, de ander en de wereld om hen heen. De thuissituatie biedt hiertoe de beste mogelijkheden mits de opvoeders goed af kunnen stemmen op wat het kind nodig heeft. De training ‘Zorgen voor getraumatiseerde kinderen’ biedt opvoeders en begeleiders onmisbare informatie over de effecten van traumatisering op het dagelijks functioneren van hun kind en de relatie die zij als belangrijke volwassene met hun kind ontwikkelen. (Pleeg-)ouders en andere belangrijke volwassenen in het leven van het kind kunnen hierdoor meer doen aan het herstel van hun kind en raken minder snel uitgeput, wat de kans op (nog) een uithuisplaatsing verkleint. De training is gebaseerd op recente wetenschappelijke inzichten die op een overzichtelijke en concrete manier zijn verwerkt in o.a. powerpoint dia’s, casusbeschrijvingen en oefeningen. De training is oorspronkelijk ontwikkeld door de National Child Traumatic Stress Network (NCTSN). Leony Coppens en Carina van Kregten hebben de training bewerkt en vertaald voor de Nederlandse situatie. In de workshop is aandacht voor de eerste ervaringen met de training in het veld. Daarnaast wordt er ingegaan op achtergronden bij de onderwerpen die in de training aan bod komen en kunnen deelnemers aan de workshop ervaring opdoen met de oefeningen uit de training.

Many of the children in their early childhood repeatedly exposed to traumatic experiences, are from their homes. The effects of trauma are usually severe and largely because the organization of the developing brains negative influences. For repair of complex trauma trauma-focused individual therapy is not enough. Children have lots of new (healing) experience needed to regain confidence in themselves, others and the world around them. The home must establish best opportunities provided educators tightly to vote on what the child needs. The training 'Caring for traumatized children "provides educators and counselors indispensable information about the effects of trauma on the daily functioning of their child and the relationship which they consider important to their adult child development. (Foster-) parents and other significant adults in the life of the child can therefore do more to restore their child and become less exhausted, the chance of (still) a placement reduces. The training is based on recent scientific insights in a clear and concrete way to digest in PowerPoint slides, case studies and exercises. The training was originally developed by the National Child Traumatic Stress Network (NCTSN). Leony Coppens and Carina of Kregten have the training edited and translated for the Dutch situation. During the workshop's focus on the first experiences with the training in the field. In addition, examine the background to the topics covered in the training are discussed and participants in the workshop experience with the exercises from the workout.

Keywords: Children Trauma Training

Accuracy Verified: Yes