Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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1. Maxfield, L. (2003, September). A working memory explanation for the effects of EMs in EMDR. In N. Smyth (Chair), Recent research evaluating the role of eye movements in EMDR. Presentation at the annual meeting of the EMDR International Association, Denver.

Language: English

Format: Conference

Abstract:
Research has consistently demonstrated that performance is degraded when participants engage in two simultaneous tasks that require the same working memory resources. This study tested predictions from working memory theory to investigate the effects of eye movement (EM) on the components of autobiographical memory. In two experiments, 24 and 36 participants, respectively, focused on negative memories while engaging in three dual-attention EM tasks of increasing complexity. Compared to No- EM, Slow-EM and Fast-EM produced significantly decreased ratings of image vividness, thought clarity, and emotional intensity, and the more difficult Fast-EM resulted in larger decreases than did Slow-EM. The effects on emotional intensity were not consistent, with some preliminary evidence that a focus on memory-related thought might maintain emotional intensity during simple dual-attention tasks (Slow-EM, No-EM). The findings of our experiments support a working memory explanation for the effects of EM dual-attention tasks on autobiographical memory. Implications for understanding the mechanisms of action in EMDR are discussed.

Keywords: EMs Eye Movements Working Memory

Accuracy Verified: Yes

2. Ouellette, D. W. (2007, September-October). "Getting the war out:" New paradigms for healing post-traumatic stress. Natural Life News & Directory.

Language: English

Format: Newsletter

Abstract:
EMDR is a psychotherapeutic approach developed by Francine Shapiro that uses dual attention stimulation, such as eye movements, bilateral sound, or bilateral tactile stimulation, to resolve symptoms resulting from exposure to a traumatic or distressing event. Clinical trials have demonstrated EMDR's efficacy in the treatment of PTSD. It has shown to be more effective than some alternative treatments and equivalent to cognitive behavioral and exposure therapies.Although some clinicians may use EMDR for various problems, its research support is primarily for disorders stemming from distressing life experiences.

Keywords: Combat Veterans War

Accuracy Verified: Yes

3. Sime, W., (2002). Absorption, concentration, dissociation, desensitization, flow and neurofeedback: The essence of Tiger Woods performing optimally focused "In the zone". Winter Brain Meeting.

Language: English

Format: Conference

Abstract:
The Absorption that allows an athlete, a surgeon, an astronaut or a musician to get into the Zone, i.e., to block out all distractions unrelated to performance has been assessed by Tellegen, Csikszentmihalyi and others in self-report measures. It occurs relatively rarely at the very highest levels and is very elusive to achieve. Qualitatively speaking, it is the phenomena of being totally immersed in the activity with time moving slowly, senses being sharpened, but pain not recognized. Thoughts and images are clear and controllable while physical performance seems effortless and automatic. To measure this phenomenon accurately and completely is not possible in a dynamic state, but to shape it's appearance and to extend duration is essential in finite psychomotor skills like golf. Physical preparation for performance is mentally grueling and fatiguing. If often results in trance-like, dis-associative and sometimes dissociative states where depersonalization is a valuable technique to block out the intense suffering and pain associated with running, swimming or bicycling. The difficulty in sport is being able to switch in and out of full alertness for some strategic tasks while remaining in the dissociative state for endurance. The experience of flow, absorption and being in the zone is to harness power and ultimately unleash explosive yet finely titrated effort. Concentration is the umbrella concept that also encompasses EMDR. The process of actively shifting eye focus from left to right while striving to hold an image or statement of emotionality is exceedingly difficult and ultimately beyond control. The combination of EMDR with neurofeedback is an innovative intervention that holds potential for greater impact in removing negative images of failed effort or in solidifying the recall of a successful effort. The neurofeedback serves to reinforce the development of greater mental stamina toward intensively focus comparable to zooming in a camera lens thus blocking out distractions and irrelevant stimuli. Enhanced quality of visualization is the desired outcome for the performance enhancement sport psychology consultant and his/her client.

Keywords: Absorption Concentration Dissociation Desensitization Flow Neurofeedback Performance Enhancement Tiger Woods The Zone

Accuracy Verified: No

4. Lee, C. W., Taylor, G., & Drummond, P. D. (2006, March-April). The active ingredient in EMDR: Is it traditional exposure or dual focus of attention?. Clinical Psychology and Psychotherapy, 13(2), 97-107. doi:10.1002/cpp.479.

Language: English

Format: Journal

Abstract:
Very little is known about the mechanisms that underlie the therapeutic effectiveness of eye movement desensitization and reprocessing (EMDR). This study tested whether the content of participants' responses during EMDR is similar to that thought to be effective for traditional exposure treatments (reliving), or is more consistent with distancing, which would be expected given Shapiro's proposal of dual process of attention. The responses made by 44 participants with PTSD were examined during their first EMDR treatment session. An independent rater coded these responses according to whether they were consistent with reliving, distancing, or focusing on material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement on a measure of PTSD symptoms occurred when the participant processed the trauma in a more detached manner. Cross-lagged panel correlations suggest that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that covaried with improvement. [Author Abstract]

Keywords: Adults Attention Australians Cognitive Processes Empirical Study Mechanism of Action Posttraumatic Stress Disorder PSTD Quantitative Study Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

5. Lee, C. (2005, September). An analysis of critical processes and components in EMDR treatment of trauma memories. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Very little is known about the mechanisms that underlie the effectiveness of EMDR. Participants will be presented with information to facilitate their understanding of two competing hypotheses to account for EMDR effectiveness. Namely, because it uses similar processes found effective in traditional exposure treatments (reliving). Alternaitvely according to Shapiro's proposal of dual process of attention, the procedure may be successful because it elicits distancing responses. Participants will be able to describe how these competing hypotheses were investigated. The responses made by 44 participants with Post Traumatic Stress Disorder (PTSD) were examined during their first EMDR treatment session. Participants will be able to describe the key process variable found to be effective in EMDR treatment of trauma memories and the extent to which this process is determined by eye movement or by therapist instructions.

Keywords: Dual Attention Mechanism of Action Reliving

Accuracy Verified: Yes

6. Lu, D. P., Lu, G. P., & Lu, W. I. (2007). Anxiety control of dental patients by clinical combination of acupuncture, bi-digital o-ring test, and eye movement desensitization with sedation via submucosal route. Acupuncture and Electro-Therapeutics Research, 32(1-2), 15-30 .

Language: English

Format: Journal

Abstract:
The data presented in this article was collected after reviewing clinical findings gathered from using various anxiety control methods on apprehensive patients. We examined clinical applications of the eye movement (EM) component of Eye Movement Desensitization (EMD) on fearful dental patients who have histories of traumatic dental experiences. We also used Bi-Digital O-Ring Test (BDORT) to select the proper dosage of sedative to minimize the adverse side effects. For patients who did not respond well to EM, we used BDORT to select the proper sedative medication and its dosage. In certain difficult cases, we supplemented these techniques with acupuncture to augment the sedative effects. Findings were based on the clinical impressions and assessments of both the patients and the operating team. Results showed that EM, although effective in enabling patients to undergo non-invasive dental procedures such as clinical examination and simple prophylaxis, had only limited beneficial effect with invasive procedures such as extraction, drilling, and injections, etc. We also found that BDORT greatly reduced adverse side effects of sedatives such as hypertension, hypotension, hypoxia, tachycardia, bradycardia, nausea, and vomiting. For most apprehensive patients, we found that EMD and acupuncture combined with BDORT predetermined dosage for the submucosal sedation enabled these patients to undergo the complete dental treatment. The authors try to explain the mechanism of BDORT and EM in terms of visual awareness (or consciousness) and preferred patterns, where neurons in the brain respond to the actions and/or direction of movement. The authors believe that BDORT and EM could have better results if the persons performing BDORT have visual awareness and are focused on the task; whereas in EM, the patient's eye on the therapist's hand movements. A more focused approach via visual pathway will result in more favorable results in EM. Likewise, performing BDORT absentmindedly could lead to false results if visual awareness (or consciousness) is absent. "Preferred pattern" will arouse neurons in the brain to cause conscientiousness, and performing BDORT with 'open eyes' arouse the necessary visual awareness that is necessary for the successful performance of BDORT tasks

Keywords: Acupuncture Anxiety Bi-Digital O-Ring Test Dental Phobic Patients Pharmacological sedation Preferred Patterns Visual Pathway

Accuracy Verified: Yes

7. 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

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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes

9. El Khoury-Malhame, M., Lanteaume, L., Beetz, E. M., Roques, J., Reynaud, E., Samuelian, J. C., Blin, O., Garcia, R., & Khalfa, S. (2011, September). Attentional bias in post-traumatic stress disorder diminishes after symptom amelioration. Behavior Research and Therapy, 49(11), 796-801. doi:10.1016/j.brat.2011.08.006.

Language: English

Format: Journal

Abstract:
Background: Avoidance and hypervigilance to reminders of a traumatic event are among the main characteristics of post-traumatic stress disorder (PTSD). Attentional bias toward aversive cues in PTSD has been hypothesized as being part of the dysfunction causing etiology and maintenance of PTSD. The aim of the present study was to investigate the cognitive strategy underlying attentional bias in PTSD and whether normal cognitive processing is restored after a treatment suppressing core PTSD symptoms. Methods: Nineteen healthy controls were matched for age, sex and education to 19 PTSD patients. We used the emotional stroop and detection of target tasks, before and after an average of 4.1 sessions of eye movement desensitization and reprocessing (EMDR) therapy. Results: We found that on both tasks, patients were slower than controls in responding in the presence of emotionally negative words compared to neutral ones. After symptoms removal, patients no longer had attentional bias, and responded similarly to controls. Conclusion: These results support the existence of an attentional bias in PTSD patients due to a disengagement difficulty. There was also preliminary evidence that the disengagement was linked to PTSD symptomatology. It should be further explored whether attentional bias and PTSD involve common brain mechanisms.

Keywords: Attentional Bias Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

10. van den Hout, M., Muris, P., Salemink, E., & Kindt, M. (2001). Autobiographical memories become less vivid and emotional after eye movements. British Journal of Clinical Psychology, 40(2), 121-130. doi:10.1348/014466501163535.

Language: English

Format: Journal

Abstract:
Objectives: To test (1) whether eye movements during retrieval of emotional memories are followed by less vividness and less emotionality of future recollections, (2) whether this effect, if present, is stronger than the effects of a control activity (finger tapping), (3) whether the alleged effects of tapping and eye movements are stronger than a no-movement, control condition (mere imagery), (4) whether reductions in vividness and emotionality after eye movements (and finger tapping) are specific to negative memories or also occur in the case of positive memories. Method: 60 healthy volunteers recalled either positive or negative memories and scored the vividness and emotionality of the recollections. Next, memories were recalled whilst the participant was performing rapid eye movements, finger tapping, or not performing a dual task. Then participants were asked to recall the event again and to rate its vividness and emotionality. Results: Compared to finger tapping and the no-dual-task condition, recollections after eye movements made future recollections less vivid. After eye movements, but not after the other interventions, negative memories became less negative, and positive memories became less positive. Conclusion: The findings show that eye movements not only reduce vividness and emotionality of memories during the eye moving, but also affect future recollections, during which no eye movements are made. Some theoretical explanations are discussed. As to clinical implications, it is suggested that if there is a role for eye-movement-based treatments, it is very limited. [Author Abstract]

Keywords: Adolescents Cognitive Processes College Students Dutch Exposure Therapy Memory Impairment Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness Young Adults

Accuracy Verified: Yes

11. Cortés, C. (2012, June). Ayudando a desarrollar el sistema de procesamiento de la información para la reconstrucción del apego en niños adoptados [Helping to develop the adaptive information system for attachment reconstruction in adopted children]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract:
EMDR is based on the adaptive information system model. Humans have an inherent information processing system that generally processes the complex elements of an experience to an adaptive state. In other words, we have the innate capacity to resolve difficult emotional experiences and move forward in our lives. There are cases where, besides the trauma of abandonment and lack of attachment, there has been no early stimulation, mainly during the first year of life. Sometimes the emotional environment is so poor that results in insufficient attachment, and prevents the motivational system from becoming strong enough to push the baby to find and produce stimulation. Other times, the environment has been so negligent that has not provided the conditions for the baby to adequately cover this first sensory stimulation. Whether it is poor emotional environment or a negligent environment, or both at once, the result is that we find children who have not had the opportunity to generate enough neural connections or the quality required for the reptilian brain to mature. This phenomenon hinders the brain integration, both vertically and horizontally, and makes the processing of the adaptive information system difficult, if not impossible. Aiming to promote and foster the development of the adaptive information system, we have focused on a dual purpose: rebuilding attachment and ensuring the neurofunctional reorganization and development of the child at early stages. For this we rely on both; EMDR processing, as well as sensory integration and sensorimotor therapies, which promote the integration of primitive reflexes and the child´s development at early years. Given the baby's phylogenetic development and the ideal conditions for such development to occur, we try to generate the same conditions, with the aim to facilitate and complete part of the child's development that, so far, has not occurred yet. Therefore, the quality of attachment is what will define the self-‐regulation capacity and the child's motivational system. And in this sense, the neurofunctional organization and sensory integration will provide the child with the necessary resources to meet the challenges of both, development and growth, and the possibility to achieve success and thus to obtain the perception of efficiency. Both aspects, attachment and neurofunctional organization, are interwoven with each other and feed the adaptive information system. Through videos and clinical material, we show the evolution of adopted children with whom we have already intervened from this dual therapeutic point of view; generating a greater vertical and horizontal integration and a better attachment consolidation. Parents will play a key role in this intervention and we prepare them for it through both; psycho-‐education and EMDR. In this way, they can become proper therapeutic parents, capable to parenthesize their own children.

EMDR está basado en el modelo del sistema adaptativo del procesamiento de la información. El ser humano posee un sistema inherente de procesamiento de la información que normalmente procesa los elementos complejos de una experiencia en un sistema adaptativo. En otras palabras, tenemos una capacidad innata para resolver las experiencias emocionalmente difíciles y seguir adelante con nuestras vidas. Existen casos donde, tras el trauma de abandono y la falta de apego, no ha existido estimulación temprana, principalmente durante el primer año de vida. A menudo el ambiente emocional es tan pobre que da como resultado un apego insuficiente, e impide que el sistema emocional sea lo suficientemente fuerte para conseguir que el bebe encuentre y produzca estimulación. En otras ocasiones, el ambiente ha sido tan negligente que no proporciona las condiciones adecuadas para que el bebe cubra su primera estimulación sensorial. Ya sea por ambiente emocional pobre o un ambiente negligente, o bien ambos, el resultado es que encontramos niños que no tienen la oportunidad de generar conexiones neurales suficientes o de calidad requeridas por el cerebro reptiliano para madurar. Este fenómeno dificulta la integración del cerebro vertical y horizontalmente y hace que el sistema de procesamiento de la información sea deficitario, si no imposible. Con el objetivo de promover y fomentar el desarrollo del sistema adaptativo del procesamiento de la información, nos hemos centrado en un propósito dual: Reconstruir el apego y asegurarnos de reorganizar y desarrollar la neurofuncionalidad del niño en las etapas tempranas del niño. Para ello nos apoyamos en el procesamiento del EMDR, así como en las terapias de integración sensorial y sensoriomotoras, que fomentan la integración de los reflejos primitivos y el desarrollo del niño en las etapas tempranas. Dado el desarrollo filogenético del niño y las condiciones ideales para que dicho desarrollo ocurra, intentamos generar las mismas condiciones, con el objetivo de facilitar y completar parte del desarrollo del niño que hasta ahora, no ha ocurrido todavía. Por tanto, la calidad del apego es aquella que será definida por la capacidad de autorregulación y el sistema motivacional del niño. Y en este sentido, la organización neurofuncional y la integración sensorial promoverán en el niño los recursos necesarios para encontrarse con los retos de desarrollo y crecimiento y la posibilidad de conseguir el éxito en ambos, además de obtener la percepción de eficiencia. Ambos aspectos, apego y organización neurofuncional, están entrelazados y alimentan el sistema adaptativo del procesamiento de la información. A través videos y material clínico, mostramos la evolución de los niños adoptados los cuales ya han sido intervenidos desde esta perspectiva terapéutica dual; generando una gran integración vertical y horizontal y una mejora en la consolidación del apego. Los

Keywords: Adoptives

Accuracy Verified: Yes

12. Keller, B., Stevens, L. C., Boyce, K., Lui, C., & Murray, J. (2011). Bilateral eye movements and EEG coherence during positive memories: Implications for PTSD and EMDR. Presentation at the American Psychological Association Conference, Washington, DC.

Language: English

Format: Conference

Abstract:
The purpose of this study was to investigate the role of bilateral eye movements in the processing of long-term emotional memories, especially as it pertains to the treatment method for PTSD known as EMDR. EMDR utilizes methods similar to cognitive therapy and exposure but also employs saccadic eye movements to facilitate the treatment. The saccadic eye movements are theorized by Shapiro and others to decrease emotional valence and vividness of episodic memories allowing for easier reprocessing. There remains some disagreement as to the actual role and importance of the saccadic eye movements as well as to the neurological effects of EMDR. This study used EEG power-spectral analysis and measures of interhemispheric coherence on 30 individuals who underwent one of three conditions while recalling positive episodic memories. The 3 conditions were (1) a solid black dot with no eye movement (control), (2) a low frequency color changing dot with no eye movement, and (3) a bilateral eye movement condition simulating EMDR. After a 5’ eyes-open baseline, participants experienced one of the three conditions while recalling a positive memory for five 1’ episodes. After each episode, each participant had 19-channel EEGs recorded while they stared ahead eyes opened. EEG data were noise artifacted, power spectral analyzed, and statistically analyzed for interhemispheric coherence differences between conditions for clusters of frontal pole (Fp), frontal (F), central (C), parietal (P), and occipital (O) electrodes. ANCOVA analysis of post-treatment coherence values, with baseline values as the covariate, across conditions showed significantly increased Low Beta (12-20Hz) activity in the Frontal region of the brain during the saccadic eye movements condition compared to the low frequency dot condition (p=.012). Also found were significantly increased Low Theta (4-6Hz) coherence values in the Parietal region of the brain in the low frequency dot condition compared to both the eye fixation (p=.017) and saccadic eye movement (p=.022) conditions. Self reports of memory clarity and vividness indicated significantly increased measures across all conditions. LORETA cortical localization analyses revealed Low Beta (12-20Hz) activation during the saccadic eye movements condition occurring primarily in Brodmanns Area 11 (BA11) and Brodmann Area 25 (BA25) and Low Theta (4-6Hz) activation during the low frequency dot condition focused in BA35 and BA36. LORETA neuroimages are presented. Cortical localizations of increased Low Beta interhemispheric coherence in BA11 (VentroMedial Frontal Cortex) and BA25 (Subgenual Anterior Cingulate Cortex) following bilateral eye movements during the recall of positive memories suggest a synchronization of information processing activities in parts of the frontal cortex involved in planning, reasoning, and decision making (11) and in verbal episodic memory retrieval (25). These functions are consistent with the assigned tasks of review of positive episodic memories in this study. Coincident with this pattern of cortical activation was an obtained increase in memory clarity and vividness during episodic memory retrieval. It is possible that the obtained effects on beta activity were an artifact of eye movements; however, the lack of significantly increased signal coherence at the Fp region and the removal of eye movement artifacts prior to data analysis reduce this possibility. These results provide support for an Interhemispheric Coherence Model as an explanation for the positive effects of Eye Movement Desensitization and Reprocessing of retrieved memories. Additionally, these outcomes suggest that it is the saccadic eye movements, not a repetition of a rhythmic stimulus, that elicits the changes in interhemispheric coherence, and possibly in emotional valence and vividness, highlighting the importance of saccadic eye movements in EMDR.

Keywords: Bilateral Stimulation EEG Coherence Eye Movements: Positive Memories Posttraumatic Stress Disorder PTSD

Accuracy Verified: No

13. Christman, S., & Garvey, K. (2001, June). Bilateral eye movements reduce cortical activation asymmetries. Presentation at the 2001 EMDR International Association Conference, Austin, TX.

Language: English

Format: Conference

Abstract:
Alternating left-right eye movements (EMs) have been shown to enhance episodic memory recall (Christman & Garvey, 2000). In turn, enhanced recall of episodic, or autobiographical, memories has been linked to increased interhemispheric interaction (Christman & Propper, 2001; Propper & Christman, 1997). Since leftward versus rightward EMs induce right versus hemisphere activation, respectively (Bakan & Svorad, 1969), bilateral EMs may facilitate interhemispheric interaction by balancing hemispheric activation levels. In other words, asymmetries in cortical activation may impair interhemispheric communication. Christman and Garvey (2000), however, demonstrated only that bilateral EMs enhance episodic memory performance; they did not directly measure hemispheric activation. To test this hypothesis directly, participants were administered two behavioral tests that are sensitive to variations in hemispheric activation. The Chimeric Faces Test (Levy, Heller, Banich, & Burton, 1983) involves mirror-image pairs of faces, with one smiling hemiface and one neutral hemiface, presented under conditions of free viewing. Participants are asked to judge which member of a pair looks happier. Right versus left hemiface biases are associated with relative increases in left versus right hemispheric activation. Line bisection tasks also tap into hemispheric activation, with leftward versus rightward bisection errors reflecting increased right versus left hemisphere activation. Bisection tasks, however, are also influenced by premotor asymmetries (e.g., Luh, 1995), and thus represent a less pure measure of hemispheric activation.
METHODS Participants performed blocks of chimeric face and line bisection trials. They then engaged in 30 seconds of alternating left-right saccades (2 eye movements per second). Participants then performed a second block of trials for both tasks.
RESULTS Results showed that behavioral asymmetries in the chimeric face task were significantly reduced after the EMs (p<.029). This supports the hypothesis that bilateral EMs reduce hemispheric activation asymmetries. Performance on line bisection task, however, was unaffected by EMs (F<1), perhaps reflecting the fact that this task is a less direct measure of hemispheric activation.
DISCUSSION These results provide further insight into mechanisms underlying EMDR therapy used for PTSD patients. Reduction in hemispheric activation asymmetry arising from bilateral EMs employed in the current study (and in EMDR) may enhance interhemispheric communication. This interpretation is consistent with Ramachandran (1995), who showed that vestibular stimulation (inducing optokinetic nystagmus and resulting in involuntary left-right EMs) reduces the denial of deficit found in anosagnosia patients. Ramachandran (1995) suggested that the procedure benefits the hypoaroused right hemisphere, bringing its activation level up to par with the left hemisphere. Similarly, EMs used in EMDR may balance hemispheric activation levels, in turn enhancing interhemispheric communication and retrieval of episodic memories.

Keywords: Bilateral Stimulation Eye Movements

Accuracy Verified: Yes

14. Korman, S. (2007, June). Body-based interventions for self-reguation and resourcing in the treatment of complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
In the clinical treatment of complex trauma, it is important to evaluate a patient’s readiness for trauma processing. This includes recognizing a clinical presentation of complex trauma and an understanding of it etiology. Additionally, it is imperative to understand the effects of trauma on the body system. Pre-mature trauma processing can serve to symptomatically worsen a pervasive pattern of systemic dysregulation. Prior to successful trauma processing, a patient must be able to maintain dual attention, regulate their affect, and tolerate the experience of affective state change. Body-based resourcing and regulatory skills can be utilized by the clinician to increase a patient’s ability to tolerate and more fully integrate pre-frontal lobe cognitive activity with the emotional and sensory experiences resultant of trauma. Strategies from many modalities, such as Dialectic Behavior Therapy, Mindfulness Practices and EMDR Resourcing can be taught to and practiced by the client in preparation for successful regulated integration of traumatic memory.

Keywords: Complex PSTD Creativity Mind/Body Resourcing Self Regulation

Accuracy Verified: Yes

15. Gersons, B. (2013, June). Brief eclectic psychotherapy for PTSD (BEP). Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.

Language: English

Format: Conference

Abstract:
Brief eclectic psychotherapy for PTSD (BEP) is a trauma-focused treatment which has been shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is a need not only for decreasing anxiety but also for learning how the traumatic event has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (www.traumatreatment.eu). BEP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEP-protocol has proved to be effective in randomized controlled trials. Also psychobiological recovery has been demonstrated. In the workshop the different elements of BEP will be outlined and taught, also using a DVD. Similarities and differences between CBT and EMDR will be presented. To summarize, CBT, EMDR and BEP are equally effective in reducing PTSD by different forms of exposure. BEP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Clinical cases will be discussed.

Keywords: BEP Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

16. Gersons, B. (2011, June). Brief eclectic psychotherapy for PTSD (BEPP). Preconference presentation at the 12th annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Brief eclectic psychotherapy for PTSD (BEPP) is a trauma-focused treatment which has shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is need for not only decreasing anxiety but also for learning from the traumatic how it has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (www.traumatreatment.eu). BEPP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEPP -protocol in RCT 's has proofed to be effective. Also psychobiological recovery has been demonstrated. In the Workshop the different elements of BEPP will be outlined and trained, also with DVD. Similarities and differences with CBT and EMDR will be presented. To summarize, CBT, EMDR and BEPP are equal effective in reducing PTSD by different forms of exposure. BEPP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Cases of participants will be discussed.

Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disosder PTSD

Accuracy Verified: Yes

17. Gersons, B. (2011, June). Brief Eclectic Psychotherapy for PTSD (BEPP). Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.

Language: English

Format: Conference

Abstract:
Brief eclectic psychotherapy for PTSD (BEPP) is a trauma-focused treatment which has shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is need for not only decreasing anxiety but also for learning from the traumatic how it has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (http://www.traumatreatment.eu/). BEPP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEPP -protocol in RCT 's has proofed to be effective. Also psychobiological recovery has been demonstrated. In the Workshop the different elements of BEPP will be outlined and trained, also with DVD. Similarities and differences with CBT and EMDR will be presented. To summarize, CBT, EMDR and BEPP are equal effective in reducing PTSD by different forms of exposure. BEPP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Cases of participants will be discussed.

Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

18. Gersons, B. (2011, June). Brief Eclectic Psychotherapy for PTSD (BEPP). PreConference presentation at the 27nd annual meeting of the International Society for Traumatic Stress Studies, Vienna, Austria.

Language: English

Format: Conference

Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disosder PTSD

Accuracy Verified: Yes

19. Emard, P. (1995, June). A brief look at MRI brief therapy. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The MRI approach to brief therapy originated out of the serendipitous coming together of several incredibly creative minds that resulted in a form of psychotherapy in which the major goal was to make psychotherapy more efficient and more effective. It evolved out of research project on communication begun by anthropologist Gregory Bateson that soon involved the work of hypnotherapist Milton H. Erickson and psychiatrist Don Jackson. John Weakland, Jay Haley, Paul Watzlawick and Richard Fisch began to publish the ideas that resulted fiom the early research findings and in doing so developed a particular set of assumptions about the formation and resolution of human problems that differed significantly from traditional treatment models of the time. Further refinements through the clinical application of these methods resulted in a model of treatment that was a pioneer of the brief psychotherapy movement. It is based on a non-normative and non-pathological way of viewing people with problems; it looks at people in the context of their living situations; it resists the idea of client resistance, it places great emphasis on the use of language; and it seeks to amplify client assets and resources and minimize client liabilities and shortcomings. Brief therapists assume a willingness to be an active change agent for the benefit of their clients. They accept responsibility for creating an atmosphere of respect, patience, and creativity in which clients can find alternative ways to think and behave. They believe they have a set of tasks to perform that will hopefully result in the resolution or, as a minimum, the diminishment of the problem situation for which the client originally sought help. These tasks consist of a combination of ways of thinking and acting that are designed to increase the likelihood that the client will experience relief from a painful problem. One of the main tasks for a brief therapist is to find ways to construe the problems presented by the client so that a solution can be found. Brief therapists inquire into the interactional systemic aspects of a problem, the context or environment in which the problem occurs, the people involved in the problematic situation, and the ways the client has attempted to resolve the problem thus far. Another very important task is to identify and gain access to the persons who are the most interested in and willing to work toward changing the problem situation. The idea here is to spend the bulk of the therapeutic time and effort working with the person who is most invested in the change process. Brief therapists find ways to appeal to this person's values and belief systems so that (s)he will engage in activities and/or alter her/his behavior in ways that are likely to change the problem situation. A third task on which brief therapists concentrate is the establishment of clear, concrete, and doable goals of treatment. They collaborate with the client to determine what the client hopes to gain from treatment and when the client will know she is ready to handle life on his/her own, this assumes an emphasis on the client's present and the possibilities for the client's future rather than his/her past. The fourth task brief therapists focus on is the development of ways of intervening in the way the presenting problem is being handled in the present time. This is based on the central assumption that one of the main goals of psychotherapy is to induce clients to change the way a problem is handled. Such intervening is the result of thoughtful and careful consideration of many factors surrounding the problem situation and involves the use of a variety of skills. A final task for the brief therapist is to find ways to remove him/herself from the client's life in such a way that the client has faith in her/his own ability to function effectively without the therapist. This treatment model offers clinicians an opportunity to work in positive, goal-directed ways that clients find helpful and therapists find challenging and satisfying. It calls upon clinicians to develop keen observation skills, the ability to see things fiom a variety of perspectives, and an appreciation for the vast resources clients bring with them to therapy. While it is a simple model of treatment, it is by no means an easy one to master. It requires clinicians to step outside their usual frames of reference in the pursuit of creative solutions to difficult human problems. It rewards them with a greater sense of accomplishment and increased client satisfaction. In the ever-changing world of mental health, this is no small achievement.

Keywords: MRI Brief Therapy

Accuracy Verified: Yes

20. Staff. (2006, July 24). Business snapshots column. Butte, MT: The Montana Standard.

Language: English

Format: Newspaper

Abstract:
EMDR is an adaptive information processing treatment model that uses dual attention through bilateral stimulation to help resolve traumatic and distressing emotional experiences.

Keywords: Butte General Overview

Accuracy Verified: Yes

21. Holmes, E. A., James, E. L., Coode-Bate, T., & Deeprose, C. (2009). Can playing the computer game “Tetris” reduce the build-up of flashbacks for trauma? A proposal from cognitive science. PLoS ONE, 4(1): e4153. doi:10.1371/journal.pone.0004153 .

Language: English

Format: Journal

Abstract:
Background. Flashbacks are the hallmark symptom of Posttraumatic Stress Disorder (PTSD). Although we have successful treatments for full-blown PTSD, early interventions are lacking. We propose the utility of developing a ‘cognitive vaccine’ to prevent PTSD flashback development following exposure to trauma. Our theory is based on two key findings: 1) Cognitive science suggests that the brain has selective resources with limited capacity; 2) The neurobiology of memory suggests a 6-hr window to disrupt memory consolidation. The rationale for a ‘cognitive vaccine’ approach is as follows: Trauma flashbacks are sensory-perceptual, visuospatial mental images. Visuospatial cognitive tasks selectively compete for resources required to generate mental images. Thus, a visuospatial computer game (e.g. “Tetris”) will interfere with flashbacks. Visuospatial tasks post-trauma, performed within the time window for memory consolidation, will reduce subsequent flashbacks. We predicted that playing “Tetris” half an hour after viewing trauma would reduce flashback frequency over 1-week.
Methodology/Principal Findings. The Trauma Film paradigm was used as a well-established experimental analog for Post-traumatic Stress. All participants viewed a traumatic film consisting of scenes of real injury and death followed by a 30-min structured break. Participants were then randomly allocated to either a no-task or visuospatial (“Tetris”) condition which they undertook for 10-min. Flashbacks were monitored for 1-week. Results indicated that compared to the no-task condition, the “Tetris” condition produced a significant reduction in flashback frequency over 1-week. Convergent results were found on a clinical measure of PTSD symptomatology at 1-week. Recognition memory between groups did not differ significantly. Conclusions/Significance. Playing “Tetris” after viewing traumatic material reduces unwanted, involuntary memory flashbacks to that traumatic film, leaving deliberate memory recall of the event intact. Pathological aspects of human memory in the aftermath of trauma may be malleable using non-invasive, cognitive interventions. This has implications for a novel avenue of preventative treatment development, much-needed as a crisis intervention for the aftermath of traumatic events.

Keywords: Flashbacks Tetris

Accuracy Verified: Yes

22. Litt, B. (2007). The child as identified patient: Integrating contextual therapy and EMDR. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 306-324). Hoboken, NJ: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
It is estimated that as many as 2% of children under age 12 and from 5% to 18% of adolescents suffer from a depressive disorder (Birmaher et al., 1996; Northey, Wells, Silverman, & Bailey, 2003) that will likely persist into adulthood (Northey et al., 2003; Wagner & Ambrosini, 2001). Contextual Therapy is a differentiation-based (e.g., Kerr & Bowen, 1988; Schnarch, 1991) approach in that it promotes self-determination in the face of family pressure for compliance, reliance on internal resources for self-validation rather than dependence on others for approval, and the overcoming of emotional discomfort in the interests of responsible action (Boszormenyi-Nagy & Krasner, 1986). Both the contextual approach and the Adaptive Information Processing (AIP) model predict that formative childhood experiences affect both psychological health and relational functioning. With its systemic paradigm and its ethical dimension of relationship, the contextual approach is complementary and additive to Shapiro's (2001) AIP model. The contextual approach shows the clinician where to look for the targets, and Eye Movement Desensitization and Reprocessing (EMDR) provides the potency to transform the experience. A general structure of phase-oriented therapy can be described that accounts for most, if not all, referrals for treatment. An assessment phase, a contracting phase, and an intervention phase characterize the main tasks of the therapist. In practice, these phases may overlap, coincide, or repeat themselves over the course of minutes, weeks, or months. This chapter describes only those practices that are unique to the integrated approach. (PsycINFO Database Record (c) 2008 APA, all rights reserved

Keywords: Adaptive Information Processing Model Affective Disorders Child Patients Contextual Therapy Depressive Disorder Integrated Approach Integrative Psychotherapy Major Depression Models

Accuracy Verified: Yes

23. Knipe, J. (2008, June). The CIPOS method -- procedures to therapeutically reduce dissociative processes while preserving emotional safety. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
It is well documented (Maxfield and Hyer, 2002) that the 8-phase EMDR model is highly effective for clients who are troubled by disturbing memories. However, clients who are dissociative often have great difficulty in maintaining present orientation and the "dual attention" that is a necessary condition for processing. Dissociative clients are highly vulnerable, during the EMDR Preparation, Assessment and Dissociation Phases, to becoming disoriented and overwhelmed by the surprising intrusion of dissociated parts that bring intensely disturbing images and other information. Since, with these clients, there is a greater risk of non-therapeutic dissociative abreaction, it is very important to counter this risk with an increased emphasis on safety and containment of affect. In this presentation, I will describe two procedures that can be helpful in making the healing power of EMDR available to clients who have this kind of vulnerability. One is the BHS (Back of the Head Scale), a procedure that can be useful in assessing a client’s moment-to-moment level of dissociation during a traumafocused EMDR session. The other is the CIPOS (Constant Installation of Positive Orientation and Safety) procedure, which is a method of slowing down processing, and carefully containing and controlling the emergence of potentially overwhelming post-traumatic material. These methods will be illustrated with video segments of a therapy session.

Keywords: Back-of-the-Head Scale BHS CIPOS Method Contant Installation of Present Orientation and Safety Emotional Safety Psycholgical Defenses Targeting

Accuracy Verified: Yes

24. Brewin, C. R. (2001, April). A cognitive neuroscience account of posttraumatic stress disorder and its treatment. Behaviour Research and Therapy, 39(4), 373-393. doi:10.1016/S0005-7967(00)00087-5.

Language: English

Format: Journal

Abstract:
Recent research in the areas of animal conditioning, the neural systems underlying emotion and memory, and the effect of fear on these systems is reviewed. This evidence points to an important distinction between hippocampally-dependent and non-hippocampally-dependent forms of memory that are differentially affected by extreme stress. The cognitive science perspective is related to a recent model of posttraumatic stress disorder, dual representation theory, that also posits separate memory systems underlying vivid reexperiencing versus ordinary autobiographical memories of trauma. This view is compared with other accounts in the literature of traumatic memory processes in PTSD, and the contrasting implications for therapy are discussed. 2001 Elsevier Science Ltd. All rights reserved.

Keywords: Review Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

25. 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

26. Joseph, S. A. (2002, May). Counterpoint: Emperor's new clothes?. The Psychologist, 15(5), 242-243.

Language: English

Format: Magazine

Abstract:
Argues that present-day scientific knowledge is inadequate to warrant the existence of a fully developed therapeutic approach based on eye movements or any other dual-attention task. A comment on: Francine Shapiro and Louise Maxfield, "In the blink of an eye," Psychologist 15(3): 120-124 (March 2002. [Pilots]

Keywords: Posttraumatic Stress Disorder Professional Criticism PTSD Treatment

Accuracy Verified: Yes

27. van den Hout, M. A., Engelhard, I. M., Smeets, M. A. M., Hornsveld, H., Hoogeveen, E., de Heer, E., Toffolo, M. B. J., & Rijkeboer, M. (2010, April). Counting during recall: Taxing of working memory and reduced vividness and emotionality of negative memories. Applied Cognitive Psychology, 24(3), 303-311. doi:10.1002/acp.1677.

Language: English

Format: Journal

Abstract:
While initially subject to debate, meta-analyses have shown that eye movement desensitization and reprocessing (EMDR) is effective in the treatment of posttraumatic stress disorder (PTSD). Earlier studies showed that eye movements during retrieval of emotional memories reduce their vividness and emotionality, which may be due to both tasks competing for limited working memory (WM)resources. This study examined whether another secondary task that taxes WM has beneficial effects, and whether the stronger the taxing, the stronger the reductions in vividness/adversity. A reaction time (RT) paradigm showed that counting backwards requiresWMresources, and that more complex counting is more demanding than simple counting. Relative to a retrieval-only condition, counting during retrieval of emotional memories reduced vividness and emotionality during later recall of these memories. However, the counting conditions did not differ in the magnitude of this reduction, and did not show the predicted dose-response relationship. Implications for a working-memory explanation of EMDR and for clinical practice are discussed. Copyright#2010 JohnWiley & Sons, Ltd.

Keywords: Counting Reaction Time Paradigm Working Memory

Accuracy Verified: Yes

28. Maxfield, L. (2002, June). Current research perspectives: What we know and don’t know about EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
Besides providing an overview of current EMDR research, this presentation examine related clinical implications. Although EMDR is efficacious in PSTD treatment, different studies have achieved a range of results. Factors that might account for this disparity are examined, and their therapeutic relevance is emphasized. Possible explanations for poor outcomes in phobia/panc disorder studies are discussed, with treatment recommendations highlighted. Although fingings for the contribution of eye-movements are inconclusive, this research suggests aspects of dual attention stimulation that could be clinically monitored. Finally, suggestions are made to assist clinicians in objectively assessing client progress and evaluating edivence from their own practices.

Keywords: Research

Accuracy Verified: Yes

29. 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

30. Kuiken, D., Miall, D., Bears, M., & Smith L. (1998). Defamiliarization in dreaming and reading: Eye movements and attentional engagement. Presentation at the VIth Biannual IGEL Conference, Utrecht.

Language: English

Format: Conference

Abstract:
The fictional world imaginatively constituted during literary reading is sometimes compared with the imaginal world created during dreaming. At the core of both reading and dreaming may be the type of attentional adjustment that occurs when departures from expected events emerge in experience. During dreaming, markers of this attentional adjustment – and of the related transformations of dream content – are the eye movements characteristic of REM sleep. Recent research suggests that eye movements induced during wakefulness similarly prompt dreamlike transformations of imaginal activity. Therefore, we hypothesized that, during reading, induced eye movements would facilitate defamiliarization in response to the deviations from literal meanings found in metaphoric expressions. To test this hypothesis, twenty-five undergraduates completed 20 seconds of eye movements or 20 seconds of visual fixation before each of two tasks: (a) a covert visual attention task (Posner & Cohen, 1984), in which a cue indicated the likely position of a subsequent target, and (b) a sentence rating task, in which sentences with either metaphoric or non-metaphoric endings were rated for strikingness. Repeated measures ANOVAs indicated that the eye movement manipulation facilitated attentional adjustments to targets presented in invalidly cued locations and increased the extent to which metaphoric sentence endings were found striking. These results suggest that induced eye movements facilitate attentional reorientation toward the novel meanings found in metaphoric expressions, providing evidence that dreaming and reading involve a similarly “defamiliarizing” attentional adjustment.

Keywords: Dreaming Reading

Accuracy Verified: Yes

31. Alblas, E. E. (2012). Desensitisation and facilitation of memory after eye movements: An effort to solve an apparent contradiction. Utrecht, Nederlands: Universiteit Utrecht.

Language: English

Format: Dissertation/Thesis

Abstract:
Post-traumatic stress syndrome (PTSD) is a disorder characterized by frequent vivid memories of a traumatic event. A current effective treatment for PTSD is Eye Movement Desensitisation Reprocessing treatment (EMDR). A model to explain the desensitizing effects by eye movements is the dual task hypothesis of working memory (WM). This posits that eye movements as second task exceed WM capacity, thus blurring subsequent reconsolidation of the (traumatic) memory. Eye movements prior to recall however have also been observed to facilitate memory. This thesis reviews several models to analyse whether the conflicting findings could result from one underlying process, or whether procedural differences in study design are likely to generate the opposing effects.

Keywords: Memory Desensitization Memory Facilitation Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

32. Vojtova, H., Bob, P., & Ptacek, R. (2012). Desenzitizace a zpracování pomocí očních pohybů (EMDR) - Psychologické a neurobiologické souvislosti terapie posttraumatické stresové poruchy [Desensitization and processing using eye movements (EMDR) - A psychological therapy connection neurobiological posttraumatic stress disorder]. Československá Psychologie, 56(5), 463-472.

Language: Czech

Format: Journal

Abstract:
Eye Movement Desenzibilizace a přepracování (EMDR) představuje slibný přístup k léčbě posttraumatické stresové poruchy. Empirické poznatky poskytují důkazy o vlivu EMDR na snížení subjektivně vnímané živostí a emocionální zátěž z autobiographic vzpomínek a na snížení vzrušení autonomního nervového systému přesouváním rovnováhy směrem aktivace parasympatiku. Poslední hypotézy naznačují, že účinky EMDR spoléhají na neurobiologických mechanismů pracujících v duálním zaměřit pozornost, orientující reflex a REM spánek. Toto přepracování se zdá vyvolat specifickou neurobiological odpověď, že dělá pro zpracování informací v centrálním nervovém systému efektivnější, zejména u jedinců s PTSD.

Eye Movement Desensitization and Reprocessing (EMDR) represents a promising approach to treatment of posttraumatic stress disorder. The empirical findings provide evidence for the effect of EMDR on decreasing of subjectively perceived vividness and emotional burden of autobiographic memories and on reducing arousal of the autonomic nervous system by shifting the balance towards parasympathetic activation. Recent hypotheses suggest that the effects of EMDR rely on neurobiological mechanisms employed in dual focus attention, orienting reflex and REM sleep. This reprocessing seems to provoke a specific neurobiological response that makes the information processing in central nervous system more efficient, particularly in individuals with PTSD [Author Abstract].

Keywords: Neurobiology Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

33. Softic, R, & Becirovic, E, (2009, Septembra). Desenzitizacija pokretima ociju i reprocesiranje (EMDR): Kada su rijeci nemocne [Desensitization of eye movements and reprocessing (EMDR): When words are disabled]. Prvi Psihoterapijski Simpozijum Bosne I Hercegovine Sarajevo, Bosnia and Herzegovina.

Language: Serbian

Format: Conference

Abstract:
Neki ljudi doţive traumatska stanja koja ne mogu u potpunosti opisati rijeĉima. Mnogi od njih nikada ni ne progovore o tome što su doţivjeli. Ali patnja se u njima nastavlja i organizam, a ĉesto i okolina plaćaju ogromnu cijenu. U takvim sluĉajevima psihoterapija koja koristi rijeĉi je nemoćna. Istraţivanja upućuju da jedna, relativno nova psihoterapijska metoda desenzitizacija pokretima oĉiju i reprocesiranje (EMDR), moţe pomoći i takvim osobama. Kada neko iskusi ozbiljnu psihološku traumu, ĉini se da dolazi do narušavanja ravnoteţe u nervnom sistemu. Ta ravnoteţa je, moguće, narušena i posredstvom razliĉitih medijatora poput adrenalina, serotonina, dopamina, kortizola itd. Zbog takve neravnoteţe onemogućeno je optimalno funkcioniranje sistema za procesiranje informacija, a informacije vezane uz traumatiĉan dogaĊaj poput slika, zvukova, afekata i fiziĉkih senzacija se zadrţavaju u disfunkcionalnom, uznemirujućem obliku. Danas izranja shvatanje da postoji неуролошки balans u razliĉitim fiziološkim sistemima što omogućuje da informacije budu procesirane na adaptivan naĉin. EMDR kod nekih traumatiziranih djeluje ĉak i kada osoba ne moţe govoriti o tome što je preţivjela. Ono što je bitno jeste da se fokusira na traumatski dogaĊaj i da suraĊuje sa terapeutom u procesu stimulisanja dualne paţnje što omogućava adaptivno procesiranje informacija. Adaptivno procesiranje znaĉi uspostavljanje adekvatnih asocijacija i pojavu da iskustvo biva konstruktivno ugraĊeno u pozitivne kognitivne i emocionalne sheme pojedinca. Odnosno, oslobaĊa od simptoma i omogućava da se nova iskustva doţive bez blokirajućeg uticaja traume.

Some people doţive traumatic conditions that can not fully describe in words. Many of them never to speak of it as doţivjeli. But the suffering in them continues and the body, and environment, and often pay a huge price. In such cases psychotherapy that uses words of the powerless. Research suggests that a relatively new psychotherapeutic methods desensitization and reprocessing eye movement (EMDR), and can help such people. When someone has experienced serious psychological trauma, it seems that there is a violation of equilibrium in the nervous system. This equilibrium is possible, and disrupted through a variety of mediators such as adrenaline, serotonin, dopamine, cortisol, etc.. Because of such imbalance prevented the optimal functioning of the system for information processing and information related to traumatic an event such as images, sounds, physical sensations and affects it retains in the dysfunctional, disturbing form. It emerges that there is understanding of neurological balance in different physiological systems, which allows information to be processed on adaptive manner. EMDR works by some traumatized even when the person can not talk about what is preţivjela. What is important is to focus on the traumatic events and to co-operate with the therapist in the process of stimulating the attention of the dual provides adaptive information processing. Adaptive processing means getting the right associations and the emergence of the experience of being a built-in positive constructive cognitive and emotional schemas of the individual. That is, oslobaĊa of symptoms and allows for new experiences doţive without blocking effects of trauma.

Keywords: Doţ ivjeli Preţ ivjela

Accuracy Verified: Yes

34. Phillips, M. (2007, September). Die Kraft einer flexiblen integrativen Traumatherapiedie Vereinigung von Ego- State-, Hypno-, Energie- und EMDRPsychotherapie [Energizing self through ego-state therapy, EMDR, and energy psychology methods]. Vortrag im Rahmen der Ersten Europäischer Kongress für Energie-Psychologie und Psychotherapie, Heidelberg, Deutschland.

Language: English

Format: Conference

Abstract:
Mit großer Freude kann ich dieses „Highlight“ mit der international führenden Spezialistin der Trauma- Therapie, von Dissoziationsstörungen und auch der Schmerz- Therapie ankündigen. Maggie Phillips gilt ja schon seit vielen Jahren als eine der besten und erfahrensten SpezialistInnen der Ego-State- Therapie. Ihr "Handbuch der Hypnotherapie bei posttraumatischen und dissoziativen Störungen" (zusammen mit C. Frederick) gilt als eines der maßgeblichsten Werke in diesem Feld. Als einer der ersten ExpertInnen weltweit wies sie aber auch immer wieder darauf hin, dass gerade für den Bereich multipler posttraumatischer und dissoziativer Störungen der Zugang mit einer Methode häufig nicht ausreicht. In beeindruckender Weise drückt ihr Werk "Finding the Energy to Heal: How EMDR, Hypnosis, TFT, & Body Focused Therapy Can Help Restore Mindbody Health (W.W. Norton, 2000)" ihre wunderbare Fähigkeit zum Ausdruck, unterschiedliche Konzepte zu einer sehr effektiven und flexiblen und dabei völlig konsistenten Gesamt- Interventionsmodell für diese schwierigen Aufgaben zu integrieren. Auch ihr neues Buch "Reversing Chronic Pain" verspricht alle Qualitäten für ein Meisterwerk. Wer mit ihr schon einmal gearbeitet hat oder sie in ihrer Arbeit erleben durfte, kann ihre große sehr achtungsvolle Haltung, Einfühlsamkeit und Kongruenz, gepaart mit geradezu virtuoser Fachkompetenz nur bestätigen.

It is with great pleasure that I can highlight to the world's leading specialist in trauma- Therapy, and also announce Dissoziationsstörungen of the pain therapy. Maggie Phillips is yes for many years as one of the best and most experienced specialists of the ego-state therapy. Their "Manual of hypnotherapy for post-traumatic and dissociative disorders" (with C. Frederick) is considered one of the most authoritative works in this field. As one of the first experts worldwide, it also repeatedly pointed out that especially for the Multiple range post-traumatic and dissociative disorders, access to a method frequently is not sufficient. In impressively expresses its work, "Finding the Energy to Heal: How EMDR, Hypnosis, TFT, & Body Focused Therapy Can Help Restore Mind Body Health (WW Norton, 2000), "her wonderful Ability to express different concepts in a very effective and flexible and in complete to integrate consistent overall model of intervention for these difficult tasks. Her new book, "Reversing Chronic Pain" promises all the qualities of a masterpiece. Anyone who has worked with her before, or could they experience in their work, may their very large respectful attitude, empathy and congruence, coupled with an almost virtuoso expertise only . Confirm

Keywords: Ego State Therapy Energy Psychology

Accuracy Verified: Yes

35. Tate, K. (2003). Does naturally occurring EMDR-like phenomena in the work environment increase employment risk for survivors of violent crimes?. Mental Health Santuary. Retrieved from http://www.naturalhealthweb.com/articles/tate1.html on 3/29/2013.

Language: English

Format: Other

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a controversial yet exciting therapy that assists many, including survivors of violent crimes to process their experiences so that they can move forward in their healing. The therapist deliberately stimulates left-right brain processing while facilitating an environment similar to that experienced while dreaming. It is particularly effective in treating people with post traumatic stress disorder. While this carefully constructed set of circumstances is beneficial in the hands of a qualified EMDR practitioner and in a safe environment, is it possible that the very factors which lead to healing in EMDR therapy present themselves unawares outside the clinical environment causing post-traumatic stress episodes? The actual triggers leading to a post traumatic stress episode vary, but perhaps upon inspection a naturally occurring commonality mimicking the EMDR phenomenon is present. Although eye movements are the most commonly used external stimulus employed by EMDR therapists, they also use auditory tones, tapping, or other types of tactile stimulation. Are there naturally occurring corollaries in the everyday environment which would make it difficult for a survivor of violent crime to function in their day to day duties? Are work tasks unknowingly triggering the beginnings of an EMDR session without the presence of an EMDR practitioner to facilitate the information processing? Is a post-traumatic stress response the result? Survivors of violent crimes are at high risk for employment. Does Naturally Occurring EMDR-Like Phenomena in the Work Environment Increase Employment Risk for Survivors of Violent Crimes?

Keywords: Posttraumatic Stress Disorder PSTD Survivors Violent Crimes

Accuracy Verified: Yes

36. Hornsveld, H., & van den Hout, M. (2010, April). Een serie experimenten naar oogbewegingen en klikjes: Wat werkt beter? [A series of experiments on eye movements and clicks, what works better?]. Presentatie op de suxth congres van de Vereniging EMDR Nederlands, Nijmegen, Nederlands.

Language: Dutch

Format: Conference

Abstract:
Er zijn verschillende theorieën over de werkingsmechanismen van EMDR. De belangrijkste theorieën zullen kort worden toegelicht en het wetenschappelijk bewijs ervoor samengevat. Vervolgens zullen we een serie eigen experimenten presenteren: drie studies bij studenten en één studie bij PTSS- patiënten. In deze experimenten zullen oogbewegingen telkens worden vergeleken met andere taakjes of stimuli. Implicaties voor de theorievorming en voor de klinische praktijk zullen worden bediscussieerd tijdens de workshop aan de hand van stellingen. Exp 1 laat zien dat de positieve bevindingen voor oogbewegingen (ten opzichte van een controle conditie) ook gevonden worden bij negatieve herinneringen aan een verlieservaring. Dit geeft een empirische basis voor de suggestie dat EMDR ook zinvol toegepast kan worden bij gecompliceerde rouw. Exp 2 gaat over het werkgeheugen en een eventuele dosis respons relatie. Met andere woorden: geven taken die een grotere belasting voor het werkgeheugen vormen ook grotere SUD-dalingen? Exp 3 Laat zien dat de werkgeheugenbelasting van oogbewegingen veel groter is dan van de bekende koptelefoon met klikjes. Vervolgens vergelijken we de werkzaamheid van oogbewegingen, klikjes, en een controle-conditie bij studenten die negatieve herinneringen ophalen. Exp 4 is een klinische studie bij PTSS patiënten, waarbij we oogbewegingen, klikjes en controle (herinneringsbeeld zonder bilaterale stimulatie) met elkaar vergelijken. Verwacht wordt dat de eerste voorlopige data tijdens het congres beschikbaar zijn.
Hornsveld, H., Landwehr, F., Stein, W., Stomp, G., Smeets, M. &. van den Hout, M. (2010). Emotionality of loss-related memories is reduced after retrieval plus eye movements but not after retrieval plus music or retrieval only. Submitted.
Hout, M.A. van den, Engelhard, I.M., Rijkeboer, M., Koekebakker, J., Hornsveld, H. Toffolo, M., & Akse, N. (2010). Eye movements tax working memory, but binaural stimulation does not. Manuscript in preparation.
Hout, M.A. van den,, Engelhard, I., Smeets, M, Hornsveld, H., Hoogeveen, E., de Heer, E. & Rijkeboer, M. ( 2010). Counting during recall: taxing of working memory and reduced vividness and emotionality of negative memories. In press, Applied Cognitive Psychology.

There are several theories about the mechanisms of action of EMDR. The main theories will be briefly explained and summarized the scientific evidence before. Then we will present a series of own experiments: studies in three students and a study in PTSD patients. In these experiments will be compared with each eye movement or other minor assignments stimuli. Implications for theory and for clinical practice will be discussed during the workshop by means of propositions. Exp 1 shows that the positive findings for eye movements (compared to a control condition) also found associated with negative memories of a loss experience. This provides an empirical basis for the suggestion that EMDR is also useful can be used for complicated grief. Exp 2 is about memory and a possible dose response relationship. In other words, tasks that give a greater burden on working memory are also larger SUD decreases? Exp 3 Shows that the memory load of eye movements is much greater than the known Headphones clicks. Then we compare the efficacy of eye movements, clicks, and a control condition in which students negative memories. Exp 4 A clinical study in PTSD patients, we eye movements, clicks and control (memory image without bilateral stimulation) compared. It is expected that the preliminary data available at the conference.
Horn Field, H., Landwehr, F., Stein, W., Stump, G., Smeets, M. &. van den Hout, M. (2010). Emotionality or loss-related pleadings Reduced after retrieval plus eye movements but not after retrieval or retrieval plus music only. Submitted.
Wood, M.A. van den, Engelhard, IM, Rijkeboer, M., Koekebakker, J., Horn Field, H. Toffolo, M., & Akse, N. (2010). Eye movements tax working memory, but Does Not binaural stimulation. Manuscript in preparation.
Wood, M.A. van den, Engelhard, I., Smeets, M, Horn Field, H., Hoogeveen, E., Mr. E. Farmer & Rich, M. (2010). Counting consistently recall: Taxing of working memory and Reduced vivid ness and emotionality or negative statements. In press, Applied Cognitive Psychology.

Keywords: Eye Movements Mechanism of Action

Accuracy Verified: Yes

37. Ernst, R. (2011, Juli). Effectiviteit van oogbewegingen, klikjes en geen dubbeltaak bij EMDR in een klinische steekproef [Effectiveness of eye movements, clicks and no double task of EMDR in a clinical sample]. Utrecht: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Een werkgeheugen rekening van Eye Movement Desensitization and Reprocessing (EMDR) is op grote schaal ondersteund door laboratoriumonderzoek. Taken die belasting werkgeheugen voldoende Het een traumatische gebeurtenis herinneren terwijl het verminderen van emotionaliteit en levendigheid van traumatische herinneringen. Vaak therapeuten vervangen EMDR-Eye Movements met minder belasten binaurale piept, terwijl de laatste Suggest Sommige onderzoeken zijn inferieur aan oogbewegingen. De huidige studie direct vergelijken oogbewegingen en piept met EMDR in een klinisch monster. In een within-subjects design, 51 patiënten verwezen voor EMDR traumatherapie Hun herinneringen herinnerde tijdens het (a) het maken van gaten horizontale bewegingen, (b) binauraal luisteren naar pieptonen en (c) gericht op een punt (controle). Volgorde van de stimulaties gerandomiseerde WAS Deelnemers en Elke stimulatie over duurde zes minuten. De resultaten toonden aan dat oogbewegingen emotionaliteit en levendigheid van de herinnering reduceert aanzienlijk meer dan de controle, terwijl de emotionaliteit Meer met aanzienlijk minder in de buurt van oogbewegingen dan met pieptonen. Geen significante verschillen in Vermindering van levendigheid en emotionaliteit Beide werden gevonden tussen piept en controle. Hun trauma patiënten gewaardeerd meestal visuele herinneringen, terwijl meer in de buurt van visuele herinneringen significant geassocieerd met een grotere daling van de emotionaliteit en levendigheid met oogbewegingen. De studie ondersteunt Bewijs voor een cumulatief voordeel van oogbewegingen met EMDR. Resultaten worden besproken Deze modaliteit in termen van een specifieke werkgeheugen rekening en klinische implicaties worden besproken.

A working memory account of Eye Movement Desensitization and Reprocessing (EMDR) has been widely supported by laboratory research. Tasks that sufficiently tax working memory while recollecting a traumatic event reduce emotionality and vividness of traumatic memories. EMDR-therapists often substitute eye movements with less taxing binaural beeps, while some studies suggest the latter are inferior to eye movements. The present study directly compares eye movements and beeps with EMDR in a clinical sample. In a within-subjects design, 51 patients referred for EMDR therapy recollected their trauma memories while (a) making horizontal eye movements, (b) listening to binaural beeps and (c) focusing on one point (control). Sequence of stimulations was randomized across participants and each stimulation lasted for six minutes. Results showed that eye movements reduce emotionality and vividness of the memory significantly more than control, while emotionality reduced near significantly more with eye movements than with beeps. No significant differences in reduction of both emotionality and vividness were found between beeps and control. Patients rated their trauma memories mostly visual, while more visual memories were near significantly associated with a larger decrease of emotionality and vividness with eye movements. The study supports evidence for a cumulative benefit of eye movements with EMDR. Results are discussed in terms of a modality specific working memory account and clinical implications are discussed.

Keywords: Eye Movements Posttraumatic Stress Disorder PTSD Working Memory

Accuracy Verified: Yes

38. Parker, A., Relph, S., & Dagnall, N. (2008, January). Effects of bilateral eye movements on the retrieval of item, associative, and contextual information. Neuropsychology, 22(1), 136-145. doi:10.1037/0894-4105.22.1.136.

Language: English

Format: Journal

Abstract:
Two experiments are reported that investigate the effects of saccadic bilateral eye movements on the retrieval of item, associative, and contextual information. Experiment 1 compared the effects of bilateral versus vertical versus no eye movements on tests of item recognition, followed by remember-know responses and associative recognition. Supporting previous research, bilateral eye movements enhanced item recognition by increasing the hit rate and decreasing the false alarm rate. Analysis of remember-know responses indicated that eye movement effects were accompanied by increases in remember responses. The test of associative recognition found that bilateral eye movements increased correct responses to intact pairs and decreased false alarms to rearranged pairs. Experiment 2 assessed the effects of eye movements on the recall of intrinsic (color) and extrinsic (spatial location) context. Bilateral eye movements increased correct recall for both types of context. The results are discussed within the framework of dual-process models of memory and the possible neural underpinnings of these effects are considered. [PsycINFO]

Keywords: Bilateral Stimulation BLS Eye Movements

Accuracy Verified: Yes

39. Kavanaugh, D. J., Freese, S., Andrade, J., & May, J. (2001). Effects of visuospatial tasks on desensitization to emotive memories. British Journal of Clinical Psychology, 40(3), 267-280. doi:10.1348/014466501163689.

Language: English

Format: Journal

Abstract:
Objectives. Intrusive memories of extreme trauma can disrupt a stepwise approach to imaginal exposure. Concurrent tasks that load the visuospatial sketchpad (VSSP) of working memory reduce the vividness of recalled images. This study tested whether relief of distress from competing VSSP tasks during imaginal exposure is at the cost of impaired desensitization. Design. This study examined repeated exposure to emotive memories using 18 unselected undergraduates and a within-subjects design with three exposure conditions (Eye Movement, Visual Noise, Exposure Alone) in random, counterbalanced order. Method. At baseline, participants recalled positive and negative experiences, and rated the vividness and emotiveness of each image. A different positive and negative recollection was then used for each condition. Vividness and emotiveness were rated after each of eight exposure trials. At a post-exposure session 1 week later, participants rated each image without any concurrent task. Results. Consistent with previous research, vividness and distress during imaging were lower during Eye Movements than in Exposure Alone, with passive visual interference giving intermediate results. A reduction in emotional responses from Baseline to Post was of similar size for the three conditions. Conclusion. Visuospatial tasks may offer a temporary response aid for imaginal exposure without affecting desensitization.

Keywords: Emotive Memories Eye Movement Imaginal Expsoure Visio-Spatial

Accuracy Verified: Yes

40. Kavanagh, D. J., Freese, S., Andrade, J., & May, J. (2001, September). Effects of visuospatial tasks on desensitization to emotive memories. British Journal of Clinical Psychology, 40(3), 267–280. doi:10.1348/014466501163689.

Language: English

Format: Journal

Abstract:
Objective. Intrusive memories of extreme trauma can disrupt a stepwise approach to imaginal exposure. Concurrent tasks that load the visuospatial sketchpad (VSSP) of working memory reduce the vividness of recalled images. This study tested whether relief of distress from competing VSSP tasks during imaginal exposure is at the cost of impaired desensitization. Design. This study examined repeated exposure to emotive memories using 18 unselected undergraduates and a within-subjects design with three exposure conditions (Eye Movement, Visual Noise, Exposure Alone) in random, counterbalanced order. Method. At baseline, participants recalled positive and negative experiences, and rated the vividness and emotiveness of each image. A different positive and negative recollection was then used for each condition. Vividness and emotiveness were rated after each of eight exposure trials. At a post-exposure session 1 week later, participants rated each image without any concurrent task. Results. Consistent with previous research, vividness and distress during imaging were lower during Eye Movements than in Exposure Alone, with passive visual interference giving intermediate results. A reduction in emotional responses from Baseline to Post was of similar size for the three conditions. Conclusion. Visuospatial tasks may offer a temporary response aid for imaginal exposure without affecting desensitization.

Keywords: Emotive Memories Visuospatial Tasks

Accuracy Verified: Yes

41. Lee, C. (2006, May). Efficacy and mechanisms of action of EMDR as a treatment for PTSD. Murdoch University, Perth, Australia.

Language: English

Format: Dissertation/Thesis

Abstract:
The first aim of this thesis was to describe the characteristics of Posttraumatic Stress Disorder (PTSD) and to elucidate its place as a symptom disorder that sometimes develops when people are exposed to a traumatic event. The current major theoretical approaches to account for why some people who are exposed to trauma develop PTSD and the mechanisms by which this occurs were described. Three classes of theories were reviewed: conditioning/learning approach; information processing theories with a particular focus on the meaning of the trauma event; and biological models with an emphasis on recent neurocircuitry and neurochemistry models. Successful treatment approaches were then reviewed which indicated two major contenders for the most efficacious treatment for PTSD: traditional cognitive behaviour therapies (CBT) using either stress inoculation or prolonged exposure; and eye movement desensitisation and processing (EMDR). Prior to the first study (Lee, Gavriel, Drummond, Richards, and Greenwald, 2002), a review of the literature indicated equivalent effects for EMDR and CBT. There had been very few direct comparison studies and each had serious methodological flaws, particularly with respect to random assignment and treatment fidelity. Therefore, the first study ensured adequate attention to these areas and involved a direct comparison between the two procedures using a sample of 24 participants diagnosed with PTSD. EMDR and stress inoculation training with prolonged exposure were found to lead to similar symptom improvement at the end of treatment, apart from a slight advantage for EMDR on intrusion symptoms. Both treatments led to significantly greater symptom reduction than a wait list control condition. At follow-up, EMDR led to greater gains on both self-report and observer rated measures of PTSD and self-report measures of depression. Overall, the findings were similar to those described in previously published studies, with a suggestion that EMDR was slightly more efficient than the standard CBT approach. Given that the evidence suggested that EMDR was a more efficient treatment, it became critical to understand the underlying processes. A process study was undertaken that examined the responses of people with PTSD receiving EMDR treatment (Lee, Taylor, and Drummond, 2006). Guided by process studies of other treatments and theories that might account for why EMDR is effective, participants' responses were examined to see which models better accounted for symptom improvement. The main analysis tested whether or not the responses were consistent with processes that occurred during traditional CBT treatment, which prior research had identified as reliving, or whether they were more consistent with Shapiro's proposal that enhanced information processing occurs because there is a dual focus of attention (that is, the person simultaneously focuses on an external stimulus and on the traumatic memory) (Shapiro, 1995). The responses made by 44 participants were coded by an independent rater according to whether they were primarily reliving, distancing, affect or material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement occurred when the participant processed in a more detached or distant manner, whereas reliving responses were not associated with improvement. Cross-lagged panel correlations suggested that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that co-varied with improvement. The findings underscored a difference in the processes that underlie EMDR and traditional CBT. The major question left unanswered from this second study was what causes this distancing process? Competing views were that it was facilitated by eye movement; alternatively, the therapist's instructions to participants might have precipitated this distancing phenomenon. The third study tested these ideas by randomly assigning 48 participants to either an eye movement or a no eye movement condition under two types of therapist instructions (reliving or distancing). Participants recalled personal distressing memories, and measures of distress and vividness were taken after treatment and at follow up. Only the eye movements made a significant difference to people's level of distress. This conclusion appeared at odds with some of the previous literature that had tested the effects of eye movement on levels of distress. A meta-analysis of some of this research had suggested that there was no significant advantage of including eye movement in EMDR treatment unless the person had been diagnosed with PTSD. However, a close examination of this meta-analysis indicated some major methodological flaws in the computation; therefore, this was recalculated. The conclusion from this fourth study was consistent with study three in that EMDR with eye movement was found to lead to significantly greater improvement that EMDR without eye movement. The results of these four studies were then discussed in terms of their implications for the theoretical models presented in Chapter 1. Aspects of learning theory that might account for EMDR efficiency were discussed as well as the failure of this model to account for treatment gains following EMDR. Information processing models were seen to better account for some of the phenomena observed in EMDR and for the findings from the four studies. Some suggestions of how eye movements might facilitate improved information processing were presented. Finally, the relative merits of EMDR and CBT treatments were discussed and suggestions made for when to combine approaches. The conclusions highlight the point that EMDR appears to be the most promising treatment for PTSD.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

42. Schubert, S. (2010, July). The efficacy and psycho physiological correlates of dual-attention tasks in EMDR. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Methods: Sixty-two non-clinical participants with negative autobiographical memories received a single EMDR session that involved fixed or varied rate eye movements, or exposure without eye movements. Subjective units of distress and vividness of the memory were recorded at pre-treatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress (SUDs) than EMDR-without eye movements. Psycho physiological measures were continuously recorded throughout each session. Results: Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. Conclusion: These findings indicate that eye movements in EMDR are beneficial, and are coupled with distinct psycho physiological changes that may aid in the processing of negative memories. Implications for clinical practice, directions for future research, and the importance of building bridges between East & West whilst conducting EMDR research will also be discussed.

Keywords: Dual Attention Poster Physiological Correlates

Accuracy Verified: Yes

43. Schubert, S. (2010, July). The efficacy and psychobiological correlates of dual-attention task. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The study being presented aimed to investigate the psycho physiological correlates and the effectiveness of different dualattention tasks used during eye movement desensitisation and reprocessing (EMDR). Sixty-two non-clinical participants with negative autobiographical memories received a single EMDR session that involved fixed or varied rate eye movements, or exposure without eye movements. Subjective units of distress and vividness of the memory were recorded at pretreatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress (SUDs) than EMDR-without eye movements. Psycho physiological measures were continuously recorded throughout each session. Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. These findings indicate that eye movements in EMDR are beneficial, and are coupled with distinct psycho physiological changes that may aid in the processing of negative memories. Implications for clinical practice, directions for future research, and the importance of building bridges between East & West whilst conducting EMDR research will also be discussed.

Keywords: Dual Attention Psychophysiological Correlates

Accuracy Verified: Yes

44. Schubert, S. (2009, June). The efficacy and psychophysiological correlates of different dual attention tasks in EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Amsterdam, The Netherlands.

Language: English

Format: Conference

Keywords: Dual Attention Poster

Accuracy Verified: Yes

45. Schubert, S. J., Lee, C. W., & Drummond, P. D. (2011, January). The efficacy and psychophysiological correlates of dual-attention tasks in eye movement desensitization and reprocessing (EMDR). Journal of Anxiety Disorders, 25, 1-11. doi:10.1016/j.janxdis.2010.06.024.

Language: English

Format: Journal

Abstract:
This study aimed to investigate the psychophysiological correlates and the effectiveness of different dual-attention tasks used during eye movement desensitization and reprocessing (EMDR). Sixty-two non-clinical participants with negative autobiographical memories received a single session of EMDR without eye movements, or EMDR that included eye movements of either varied or fixed rate of speed. Subjective units of distress and vividness of the memory were recorded at pre-treatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress than EMDR-without eye movements. Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. Findings indicate that the eye movement component in EMDR is beneficial, and is coupled with distinct psychophysiological changes that may aid in processing negative memories.

Keywords: Eye Movements Autobiographical Memory Psychophysiology Orienting Response

Accuracy Verified: Yes

46. Artigas, L., & Jarero, I. (2007, March). El abrazo de la mariposa [The butterfly hug]. Asociación Mexicana para Ayuda Mental en Crisis, Mexico.

Language: Spanish

Format: Other

Abstract:
El Abrazo de la Mariposa es una Estimulación de Atención Dual (EAD) que consiste en cruzar los brazos sobre el pecho. La punta del dedo medio de cada mano debe de quedar bajo la clavícula correspondiente y el resto de los dedos y la mano deben de cubrir el área que se encuentra debajo de la unión de la clavícula con el hombro y de la clavícula con el esternón. Para ello, mano y dedos deben de estar lo más verticalmente posible (los dedos dirigidos hacia el cuello y NO hacia los brazos). Una vez hecho esto, se pueden entrelazar los dedos pulgares (formando el cuerpo de la mariposa) y los otros dedos formarán sus alas.

The Embrace of a Butterfly Dual Stimulation Care (EAD) that is crossing his arms over his chest. The tip of the middle finger of each hand should be under the collarbone for the rest of the fingers and hand should cover the area immediately below the junction of the clavicle to the shoulder and clavicle to the sternum. To do this, hand and fingers must be as upright as possible (fingers directed toward the neck and NO to the arms). Once done, you can weave your thumbs (forming the body of the butterfly) and fingers form the wings.

Keywords: Butterfly Hug

Accuracy Verified: Yes

47. Artigas, L. & Jarero, I. (2009, Septiembre). El abrazo de la mariposa [The butterfly hug]. Asociación Mexicana para Ayuda Mental en Crisis, EMDR México.

Language: Spanish

Format: Other

Abstract:
El Abrazo de la Mariposa, es una Estimulación de Atención Dual (EAD) que consiste en cruzar los brazos sobre el pecho. La punta del dedo medio de cada mano debe de quedar bajo la clavícula y el resto de los dedos y la mano deben de cubrir el área que se encuentra debajo de la unión de la clavícula con el hombro y de la clavícula con el esternón, para ello, mano y dedos deben de estar lo más verticalmente posible (los dedos dirigidos hacia el cuello y NO hacia los brazos). Una vez hecho esto, se pueden entrelazar los dedos pulgares (formando el cuerpo de la mariposa) y los otros dedos formarán sus alas.

Embrace the Butterfly, is a dual attention stimulation (EAD) that is crossing his arms over his chest. The tip of the middle finger of each hand should be under the collarbone and the rest of the fingers and hand should cover the area immediately below the junction of the clavicle to the shoulder and clavicle to the sternum to Thus, hand and fingers must be as upright as possible (fingers directed toward the neck and NO to the arms). Once done, you can weave your thumbs (forming the body of the butterfly) and fingers form the wings.

Keywords: Butterfly Hug

Accuracy Verified: Yes

48. Artigas, L., & Jarero, I. (2011). El abroza de la mariposa [The butterly hug). Revista Iberoamericana de Psicotraumatología y Disociación, 1(1).

Language: Spanish

Format: Other

Abstract:
El Abrazo de la Mariposa fue originado y desarrollado por Lucina (Lucy) Artigas, M.A., M.T. (Fundadora de la Asociación Mexicana para Ayuda Mental en Crisis). Durante el trabajo realizado en Acapulco, Guerrero (México); con los sobrevivientes del huracán Paulina en 1997. (Artigas et al. 2000; Boel, 1999). Por la creación y el desarrollo del Abrazo de la Mariposa, Lucina Artigas fue honrada con el Premio a la Innovación Creativa de la EMDR International Association (EMDRIA), en el año 2000. El Abrazo de la Mariposa es una Estimulación de Atención Dual (EAD) que consiste en cruzar los brazos sobre el pecho. La punta del dedo medio de cada mano debe de quedar bajo la clavícula correspondiente y el resto de los dedos y la mano deben de cubrir el área que se encuentra debajo de la unión de la clavícula con el hombro y de la clavícula con el esternón. Para ello, mano y dedos deben de estar lo más verticalmente posible (los dedos dirigidos hacia el cuello y NO hacia los brazos). Una vez hecho esto, se pueden entrelazar los dedos pulgares (formando el cuerpo de la mariposa) y los otros dedos formarán sus alas.

The Butterfly Hug was originated and developed by Lucina (Lucy) Artigas, MA, MT (Founder of the Mexican Association for Crisis Assistance Mental). During the work done in Acapulco, Guerrero (Mexico), with the survivors of Hurricane Pauline in 1997. (Artigas et al. 2000; Boel, 1999). For the creation and development of the Butterfly Hug, Lucina Artigas was honored with the Award for Creative Innovation of the EMDR International Association (EMDRIA), in 2000. The Butterfly Hug a Dual Attention Stimulation (EAD) that is crossing his arms over his chest. The tip of the middle finger of each hand should be under the collarbone for the rest of the fingers and hand should cover the area immediately below the junction of the clavicle to the shoulder and clavicle to the sternum. To do this, hand and fingers should be as upright as possible (fingers directed toward the neck and NOT to the arms). Once done, you can weave your thumbs (forming the body of the butterfly) and fingers form the wings.

Keywords: Bilateral Stimulation Butterly Hug

Accuracy Verified: Yes

49. Shapiro, F. (2002, January). EMDR 12 years after its introduction: Past and future research. Journal of Clinical Psychology, 58(1), 1-22. doi:10.1002/jclp.1126 .

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) was one of the first treatments of PTSD to be evaluated in controlled research and has to date been empirically supported by 13 such studies. This article reviews the historical context and empirical research of EMDR over the past dozen years. Historically, EMDR's name has caused confusion in that "desensitization" is considered to be only a by-product of reprocessing and because the eye movement component of EMDR is only one form of dual stimulation to be successfully used in this integrative approach. Research is needed to determine the comparative efficacy of EMDR relative to cognitive-behavioral treatments of PTSD. However, this has been hampered by the lack of independent replication studies of the latter treatments. Current component analyses of EMDR have failed to effectively evaluate the relative weighting of its procedures. Parameters for future research and the testing of protocols for diverse disorders are suggested. [Author Abstract]

Keywords: Cognitive Processes Literature Review Posttraumtic Stress Disorder PTSD Research Needs

Accuracy Verified: Yes

50. Cole, M. (2010, July). EMDR and metacognitive therapy: Same destination, different language. Poster presented at the 38th Annual Conference of the British Association for Behavioural and Cognitive Therapies, Manchester, UK.

Language: English

Format: Conference

Abstract:
The information processing model has been described in many different ways and is potentially the underlying process that describes the psychotherapy change process, regardless of orientation. In this poster I will briefly compare Eye Movement Desensitisation and Reprocessing and Meta-Cognitive Therapy in light of this information processing model and conclude that although they may use different language to describe their theories, a unifying information processing model describes both paradigms. Human beings are meaning making machines (Robbins, 2009). We give meaning to the world, the deeds we do and the interactions we have, as well as the more fundamental senses we experience (Frankl, 2004). Information arises either from external stimulus or internal process’s and this information goes through our filters where we delete, distort and generalise this information based on the rules created in our information processing unit (Fig 1). This information processing mechanism gives meaning to this filtered information and generates a response, this response interacts with this information and the cycle then repeats in a self regulatory manner. This process is repeated for everything we do; we are and continues until we die. Mental health issues arise when this self regulatory system fails to make a useful functional meaning of the information. Eye Movement Desensitisation and Reprocessing (EMDR) was developed by Francine Shapiro (1989) for the treatment of trauma memories and associated emotions, changing the meaning the person gives to their experiences. Metacognitive Therapy (MCT) was developed by Wells and Matthews (1984) as a way of defining the processes that underpin a range of psychological disorders. One of the features of psychological disorders such as anxiety or depression is that thinking becomes difficult to control and biased in particular ways that lead to a worsening and maintenance of emotional suffering. Many clients report that they feel that they have ‘lost control’ over their thoughts and behaviours. Another important feature is that the persons thinking and attention becomes fixed in patterns of brooding and dwelling on the self and threatening information. Both EMDR and MCT describe an information management/processing system that organises and carries out various tasks such as how to open a door, how to get dressed, how to be anxious, how to respond to a trauma memory Both therapies appear to change this system / process to something that is much more adaptive for the client, as if they change the master information management control programme that runs this system, in the same way a conductor influences the orchestra and the music they produce. Both models describe the same process, although they utilise different language to describe this change process. Perhaps a change of focus for the development of pychotherapy towards more process change models rather than content change interventions.

Keywords: Metacognitive Therapy Poster

Accuracy Verified: Yes

51. Spierings, J. J. (1999). EMDR and mourning. New Hope, PA: EMDR Humanitarian Assistance Programs.

Language: English

Format: Book

Abstract:
This manual is based on presentations given by Dr. Spierings. Specific topics are covered, such as the definitions, phases and tasks of handling the normal mourning process. Also included are topics based on clinical indicators, high risk factors and protocols for the complicated mourning process. [EMDR-HAP]

Keywords: Grief Mourning

Accuracy Verified: Yes

52. Spierings, J. (2000, May 6). EMDR and mourning. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.

Language: English

Format: Conference

Abstract:
This presentation consists of the following two parts:
I. The normal mourning process:
Defintions, phases, mourning tasks and characteristics
General treatment principles, EMDR and other treatment techniques
Therapeutic attitude and your own grief reactions as a therapist
II. The complicated mourning process:
Definitions, high-risk factors, diagnostic criteria and clinical indicators
Patterns of complicated mourning
For each pattern: specialized treatment techniques, EMDR protocols and treatment plans

Keywords: Complicated Grief Grief Mourning Protocol

Accuracy Verified: Yes

53. Marotta, S. A. (1998, July). EMDR and psychosocial development post childhood trauma. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) describe relevant research on EMDR with childhood trauma; 2) analyze the developmental tasks that are affected by childhood trauma; 3) use case study data to illustrate how EMDR enables reprocessing of trust, autonomy, identity and intimacy issues; and 4) describe some ways race/ethnicity might mediate response to EMDR treatment.

Keywords: Childhood Trauma Ethnicity Psychosocial Development Race Research

Accuracy Verified: Yes

54. Shapiro, F., & Broderson, G. (1997). EMDR for trauma: Eye movement desenitization and reprocessing. Washington, DC: American Psychological Association.

Language: English

Format: Video

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a complex treatment approach that combines salient elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although the eye movement stimulation (and other forms of dual stimulation used in the approach) have garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions, which are organized into eight phases of therapy. Currently, 13 completed controlled studies of EMDR make it one of the most researched methods of psychotherapy used in the treatment of trauma. Its efficacy has been supported by these studies: the four most recent studies of victims who have suffered single traumas have demonstrated that after the equivalent of three 90-minute sessions, 84% to 90% of patients no longer have symptoms of posttraumatic stress disorder (PTSD; Rothbaum, 1997; Wilson, Becker, & Tinker, 1995).
EMDR is based on the assumption that specific experiences from the past continue to guide the client`s responses in the present. These experiences can be the "big T" traumas that result in PTSD or the "small t" traumas that are the ubiquitous experiences known to have a less dramatic but still negative impact on personality and behavior.
To influence such experiences from the past, EMDR draws on an information processing model of behavior. Conceptually, disturbing trauma-related information is believed to be held in the patient`s nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information in an adaptive fashion so that what is useful from the experience can be learned; stored appropriately, cognitively, and affectively; and made available for behavioral guidance in the future. What is useless to adaptation, such as excess negative emotions, irrational self-assessments, and disturbing physical sensations, can be discarded.
Assessment is focused not on global diagnoses but rather on specific delineations of problematic behaviors, attitudes, and affects that need to be transmuted to allow for adaptive resolution of trauma or conflict. Specifically, the EMDR clinician asks, what is the patient being influenced by past experiences to do in the present that is dysfunctional and what is he or she prevented from doing that would be adaptive?
Although originally applied to PTSD, EMDR shows promise in a variety of clinical complaints that are based on earlier life experiences that underlie the pathology and current experiences and that restimulate the disturbance. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. In all cases, the goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable.
EMDR as an eight-phase intervention approach can be considered a complete treatment in some clinical cases, or it may be part of a more complex treatment plan that includes other more traditional approaches to treating a specific pathology (e.g., borderline personality disorder). Within this latter integrative context, EMDR appears to be useful for a broad range of clinical complaints and seems to provide more rapid achievement of positive treatment effects than do these more traditional approaches alone.
Dr. Shapiro identifies her approach as "eye movement desensitization and reprocessing." What does this imply to you? More specifically, what do you expect of her? Will Dr. Shapiro be active or passive? Will the session be structured or unstructured? Directive or nondirective? Will it focus on the past or on the present? Will the session focus on behaviors, on thoughts, or on feelings? What do you expect to be the relative balance between attention to technique versus the interpersonal interaction?

Keywords: Client Francine Shapiro Male

Accuracy Verified: Yes

55. Grant, M. (1997, July). EMDR in a multi-modal approach to chronic pain. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Abstract:
This is an outline of a psychological treatment approach to chronic pain, integrated with medical treatment, based on EMDR. EMDR consists of a combination of various elements of standard approaches to pain management, together with innovations such as dual focus of attention and bilateral stimulation. Although EMDR initially utilized bilateral eye-movements (EM'S), bilateral tones and tapping are now also utilized. One of the central elements of EMDR is a desensitization procedure in which the patient is assisted to focus on the negative thoughts feeling and sensations associated with their problem, whilst simultaneously attending to a bilateral stimulation (visual, auditory or tactile). This is frequently followed by change in the level of distress associated with the problem (Shapiro. 1989, 1995).

Keywords: Chronic Pain

Accuracy Verified: Yes

56. Martin, A. J. (2004, Winter). EMDR in the treatment of PTSD: A restrospective of a patient and therapist. Stress Points, Newsletter for the Australasian Society for Traumatic Stress Studies, 15-16.

Language: English

Format: Newsletter

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a therapy often used in the treatment of PTSD. During EMDR the patient focuses on emotionally disturbing experiences while stimulus such as eye movement or finger-tapping. This dual (internal/external) focus is combined with frequent, briefsimultaneously focusing on an external periods of focusing on new associations as they arise. Throughout the therapy, the therapist methodically rates the patient’s SUDs (Subjective Units of Disturbance) on a scale of 0 - 10, (“0” being the lowest amount of stress the patient is presently experiencing about the target issue; “10” being the highest); and VoCs (Validity of Cognition) on a scale of 1 - 7, (“1” being the lowest amount of belief the patient holds in a specific positive statement about himself; “7” being the highest amount - ie: the positive statement is “completely true.”)

Keywords: Practice Theory

Accuracy Verified: Yes

57. Holmshaw, M. (2004, February). EMDR treatment of travel phobia after road traffic incidents (RTI). Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.

Language: English

Format: Conference

Abstract:
Road Traffic Incidents are the most common cause of PTSD (post-traumatic stress disorder) in the UK. Travel phobia is a frequent comorbid condition in these cases and in some cases the primary disorder with which clients present. This paper addresses the systematic treatment of travel phoia after RTIs, highlighting the following: assessment and preparation for treatment with the emphasis on safety and resource installation; common themes or treatment targets to be addressed with EMDR; common blocking beliefs which prevent treatment progress and practical homework tasks to be used in conjunction with future templates. The aim of the paper is to offer a focused approach to the treatment of travel phobia with or without PTSD which has a high success rate in the author's experience.

Keywords: Road Traffic Incidents RTI Travel Phobia

Accuracy Verified: Yes

58. Bethiaume, B. (2001, May). EMDR treatment with two school-based referrals. Poster presented at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
School referral for behaviour is many times a last resort for teachers and administrators at a loss to deal with a student's distress. This post illustrates two such cases and the effective use of EMDR to clear underlying trauma at the core of the observable behaviour. It raises the issue of age of trauma with critical developmental tasks of children and implications for treatment. The first is a single trauma at age 11 and treated at age 13. The second occurred at age 3 and treatment occurred at age 7. L. is a 13 year old girl whose family had moved three times in the past 3 years and at her new school, she became extremely distressed in the morning to the point of not being able to stay in class. The underlying trauma took place 2 years ago, and did not manifest itself behaviourally until the current move. Using EMDR, resolution was achieved in a short period of time. C. is a 7 year old girl referred because her fears were preventing her from normal activities of her grade level. The sound of fire alarm bells were particularly distressful. The family recently moved from another country and reported no prior history of this type of behaviour. Interweaving EMDR in the treatment process was effective in treating past traumas, some of which appeared to have no verbal memory and culminated in her current distress. Parental understanding and involvement in using EMDR was crucial to the treatment.

Keywords: Children Poster School Referrals

Accuracy Verified: Yes

59. Seubert, A. (2005). EMDR with clients with mental disability. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 293-311). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
Until recent times those with the dual diagnosis of mental retardation and mental health issues were deemed inappropriate candidates for counseling or psychotherapy. Dysfunctional behaviors and emotional displays generated by mood disorders, grief, or trauma were often written off as part of the mental disability, in what has come to be known as diagnostic overshadowing. Time, experience, and compassion have changed this. Counseling and psychotherapy have been shown to be "feasible and successful" with this population. Most effective are approaches that utilize and integrate concrete, experiential, and behavioral aspects of the treatment. The task and responsibility of the therapist is to follow the client's internal and interpersonal process as it reveals itself and find the ways, means, and language to facilitate this organic movement toward well-being. [Text, p. 293] [Pilots]

Keywords: Mentally Retarded Psychotherapeutic Processes Stressors Survivors

Accuracy Verified: Yes

60. Hornsveld, H. & van den Hout, M. A. (2010, June). EMDR working mechanisms research. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
It has repeatedly been shown that eye movements during retrieval of negative memories reduce their emotionality. In this presentation we will present a series of analogue studies (with undergraduate students) which further investigates the role of eye movements and other dual tasks.
Study 1 shows that the positive findings for eye movements could be replicated in subjects with negative memories of experiences of loss. This provides an empirical basis for the suggestion that EMDR can be used in the treatment of complicated grief.
Study 2 examined whether another secondary task that taxes working memory has beneficial effects, and whether the stronger the taxing, the stronger the reductions in vividness adversity.
Study 3 shows that eye movements do tax working memory but right-left auditory stimulation does not.
Study 4 compared eye movements (EM), auditory bilateral stimulation (ABS) and no stimulation. Results show EM do better (i.e, larger decreases in emotionality) than ABS and ABS do better than no stimulation.
Study 5 is a replication of study 4 in PTSS patients. EM will be compared to ABS and no stimulation. Data are expected to be available in June 2010.
Objective: Implications for a working-memory explanation of EMDR and for clinical practice will be discussed.

Keywords: Mechanism of Action Research Symposium

Accuracy Verified: Yes

61. Garcia, F. (2010, Abril). EMDR y el procesamiento adaptativo de la información [EMRD and adaptive processing of the information]. 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:
El EMDR se ha desarrollado como una psicoterapia integrada que se ha utilizado a nivel mundial en la última década como tratamiento empíricamente validado para el trauma. A lo largo de este tiempo, se ha hecho evidente que es posible aliviar el sufrimiento, ayudar a parar el ciclo de la violencia y abordar los devastadores efectos de la transmisión generacional. Este acercamiento psicoterapéutico utiliza un protocolo de tratamiento para acceder a los sucesos vitales perturbadores, los disparadores actuales y las experiencias futuras proyectadas, y procesarlas con una resolución adaptativa (Shapiro, 2002). Se accede a todos los aspectos de la experiencia (imaginación, creencias, afecto y sensaciones corporales), mientras de forma simultánea se da estimulación dual de la atención, por movimientos oculares bilaterales, tonos o estimulación táctil. El procesamiento de las memorias perturbadoras indica un cambio simultáneo en la cognición, el afecto y las sensaciones físicas, dando como resultado una integración adaptativa de la experiencia. Este acercamiento integra elementos de distintas escuelas de psicoterapia, haciendo del EMDR aplicable a una enorme variedad de patologías y accesible a terapeutas de distintas orientaciones dentro de una serie de protocolos estandarizados (Van der Kolk, B., 1997). En esta presentación exponemos las líneas generales de este modelo psicoterapéutico a partir de la descripción del protocolo básico en EMDR que se estructura en ocho fases: 1) Recopilación sobre la historia del cliente; 2) preparación del cliente para el trabajo a realizar; 3) valorar todos los componentes de la diana de tratamiento 4) desensibilizar el material traumático objeto de la diana mediante la estimulación bilateral; 5) instalar la cognición positiva identificada; 6)revisar el cuerpo para localizar cualquier material residual sin resolver; 7) cierre de la sesión y 8) reevaluación del impacto del evento reprocesado.

EMDR has been developed as an integrated psychotherapy has used worldwide in the last decade as a treatment empirically validated for trauma. Throughout this time, it has become evident it is possible to alleviate suffering, help stop the cycle of violence and address the devastating effects of the generational transmission. This approach uses a psychotherapeutic treatment protocol accessing disruptive life events, current triggers and projected future experiences, and process them with a resolution Adaptive (Shapiro, 2002). Access to all aspects of the experience (Imagination, beliefs, affection and bodily sensations), while in simultaneously gives dual attention stimulation for movement bilateral eye tones or tactile stimulation. The processing of memories disturbing indicates a simultaneous change in cognition, affection and physical sensations, resulting adaptive integration experience. This approach integrates elements from different schools of psychotherapy, doing the EMDR applicable to a wide variety of pathologies therapists and accessible to different orientations within a range of standardized protocols (Van der Kolk, B., 1997). In this paper we present the outlines of this model psychotherapeutic from the description of the basic EMDR protocol which is divided into eight phases: 1) collection on the history of the client; 2) preparing the client for the work to be performed, 3) evaluate all components treatment of the target 4) desensitize traumatic material object of the target by bilateral stimulation; 5) install cognition positively identified; 6) reviewing the body to locate any residual material unresolved; 7) logoff and 8) reassessment of the impact of reprocessed event.

Keywords: Adaptive Information Processing AIP

Accuracy Verified: Yes

62. Herbert, C. (2011, June). EMDR – Practical applications and different treatment protocols for different needs. Presentation at the 7th International Congress of Cognitive Therapy, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
Eye-movement desensitization and reprocessing (EMDR) was introduced by Shapiro (1989) as a cognitivebehavioural therapy for clients with trauma a little over 20 years ago. After an initial period of intense controversy and scepticism regarding its proclaimed evidence base, EMDR has been studied extensively, its efficacy has been confirmed (Van Etten & Taylor, 1998; Shepherd et al. 2000, Alto, 2001; Davidson & Parker, 2001; Maxfield & Hyer, 2002; Bisson & Andrew, 2005; Bradley, et.al., 2005; Bisson, Ehlers, Matthews, Pilling, Richards, & Turner, 2007) and is one of the effective treatments of PTSD recommended by the National Institute of Clinical Excellence (NICE) of the UK Department of Health in March 2005. It has been estimated (Farrell & Keenan, 2010) that in the United Kingdom and Ireland approximately 6,000 mental health clinicians have been trained in EMDR. Although studies have evaluated EMDR as a distinct therapeutic modality, during the course of their different levels of EMDR training, clinicians are encouraged to integrate the EMDR treatment protocol into their predominant therapeutic orientation. Thus, EMDR can be used across different psychological therapies, including the Cognitive Psychotherapies. While this makes EMDR a highly versatile modality, it can pose a practical challenge to clinicians in terms of when and how to integrate EMDR into their work with clients. Further, for therapists not trained in EMDR, the concepts may seem strange and scepticism may remain to this date. This workshop seeks to close the gap between false perception and reality about EMDR, by drawing on the facilitator’s 14 years of practical experience in the use and integration of EMDR alongside her work as a Cognitive Behavioural Psychotherapist. This practice-oriented workshop will explore different applications of EMDR across the trauma spectrum, as well as, some treatment protocols for other client problems. The important roles of resource installation and interweaves will be introduced. Several forms of bilateral stimulation (DAS - Dual attention stimulus) and an EMDR-based protocol for the installation of a Safe Place for complex trauma (Herbert, 2002) will be practically demonstrated. Learning Objective • To learn about different EMDR applications both in the treatment of different types of trauma, as well as, other psychological problems. • To alleviate scepticism and encourage understanding on how EMDR can be integrated alongside the Cognitive Psychotherapies. • To gain some practical exposure on how EMDR is applied. Training Modality • Training will be practice-oriented and will include some experiential exercise.

Keywords: Protocols Treatment

Accuracy Verified: Yes

63. 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

64. Horne, B. (2012, April). EMDR: Containment and closure. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.

Language: English

Format: Conference

Abstract: Containment involves a great deal more than pretty little exercises that help the client drive home safely. This workshop will focus on the importance of containment in EMDR and its role in helping clients with the affect regulation that is necessary for trauma reprocessing. Containment work in Phase 2 can help the client develop this necessary dual attention skill (proof of requisite affect regulation). We will also look at containment in EMDR’s Phase 7 (Closure). An AIP-informed rational for containment will be offered, with supporting research. By learning an array of strategies for containing negative affect, participants will increase their ability to both prepare clients for 11-step protocols and properly close incomplete. Experiential exercises will enable participants to practice at least one new method for use with clients.
Learning Objectives: 1. Participants will identify the importance of containment in EMDR and its implications with respect to dual attention and trauma reprocessing 2. Participants will identify some key strategies for completing Phase 2 (Preparation) with respect to building the affect regulation skill necessary for maintaining dual awareness during trauma reprocessing (Phases 3-7) 3. Participants will be able to define and describe the essentials of Phase 7 (Closure) of the EMDR protocol, in particular, the need to ensure containment of remaining negative affect in the case of incomplete protocols. 4. Participants will develop knowledge of several effective closure methods 5. Participants will acquire mastery of at least one new closure method through practicum experience

Keywords: Closure Containment

Accuracy Verified: Yes

65. Cuijpers, A. (2012). EMDR: Experimentele studie naar de werkgeheugentheorie en introductie van de afleidingstheorie [EMDR: Experimental study of the working memory theory and introduction of the distraction theory]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Eye Movement and Desensitisation Reprocessing (EMDR) is al jaren een veelgebruikte behandelmethode voor Post-traumatische Stresstoornis (PTSS). In voorgaande onderzoeken werd een verklaringsmechanisme voor het effect van EMDR aangetoond, de werkgeheugentheorie. Deze studies lieten zien dat de kenmerkende oogbewegingen (EM) van EMDR als secundaire taak, tijdens het ophalen van de negatieve herinnering, zorgen voor een afname van emotionaliteit en levendigheid. Dit doordat beide taken competeren voor het werkgeheugen welke slechts een beperkte capaciteit heeft. Deze studie onderzoekt een nieuwe theorie, de afleidingstheorie, welk gebruik maakt van visuele ruis (VN) als alternatieve secundaire taak. Huidig onderzoek richt zich op de vraag of EMDR verklaard kan worden volgens de actieve werkgeheugen belasting van de EM-taak of volgens de passieve belasting van de VN-taak. Om beide condities te vergelijken werd middels een pilot de mate van cognitieve belasting gelijk gemaakt. Aan deze pilot namen 10 participanten deel. Uit de resultaten bleek dat een vertraagde cyclus van 8 seconde voor een gelijke belasting zorgde voor alle condities. In totaal namen er 30 participanten aan dit onderzoek deel. Het eerste deel van het onderzoek bestond uit een reactietijdtijdtaak (RT) bestaande uit RT alleen, RT+EM en RT+VN. Het tweede deel bestond uit het ophalen van de herinnering alleen, herinneren+EM en herinneren+VN. Tijdens het tweede deel werd tevens bij iedere meting de emotionaliteit en levendigheid van de herinnering gemeten. De werkgeheugentheorie voorspelt dat (a) na de interventie de mate van levendigheid en emotionaliteit bij herinneren + EM significant lager zal zijn voor de interventie en dat (b) de gemiddelde daling van de score van herinneren + EM in vergelijking met de andere twee condities groter zal zijn. De afleidingstheorie voorspelt dat (a) na de interventie de mate van levendigheid en emotionaliteit bij herinneren + VN significant lager zal zijn voor de interventie en dat (b) het gevonden effect groter is dan herinneren alleen en gelijk aan herinneren + EM. Uit de resultaten blijkt dat beide hypothesen niet bevestigd kunnen worden. Er is te zien dat visuele ruis in vergelijking met de voor- en nameting, tegen de verwachting in, bij zowel emotionaliteit als levendigheid voor een grotere daling van de scores zorgt in vergelijking met oogbewegingen en de controleconditie. Wanneer er werd gekeken naar de tussenmetingen was er te zien dat de scores van visuele ruis (oogbewegingen + levendigheid) in het midden lagen tussen herinneren alleen en oogbewegingen in. Verklaringen en aanbevelingen worden besproken.

Eye Movement Desensitisation and Reprocessing (EMDR) has been a commonly used method of treatment for Post-traumatic Stress Disorder (PTSD). In previous studies, an explanation mechanism for the effect of EMDR demonstrated the working memory theory. These studies showed that the characteristic eye movements (EM) of EMDR as a secondary task during retrieval of negative memories, ensuring a reduction of emotionality and vividness. This is because both tasks compete for the main memory to which only has a limited capacity. This study examines a new theory, the theory derivation, which uses visual noise (UN) as alternative secondary task. Current research focuses on the question whether EMDR can be explained by the active working memory load of the EM task or by the passive load of the UN mission. In order to compare both conditions was a pilot held the degree of cognitive load equal. 10 participants in this pilot took part. The results showed that a delayed cycle of 8 seconds for an equal load caused all conditions. In total there are 30 participants in this study. The first part of the study consisted of a reaction time task (RT) consisting of RT alone, RT + RT + EM and UN. The second part consisted of retrieving the memory only, recall + EM and recall + UN. During the second part was also in each measurement the emotionality and vividness of the memory were measured. The working memory theory predicts that (a) after the intervention the degree of vividness and emotionality in recall + EM significantly lower for the intervention and (b) the average decrease of the score of recall + EM compared to the other two conditions greater will be. The derivation theory predicts that (a) after the intervention the degree of vividness and emotionality in recall + UN significantly lower for the intervention and (b) the observed effect is greater than and equal to only remember remind + EM. The results show that both hypotheses can not be confirmed. It can be seen that visual noise in comparison with the pre-and post-test, contrary to expectation, both emotionality and vividness to a larger decrease in the scores causes compared with eye movements and the control condition. When it was examined between the measurements was to see that the scores of visual noise (eye movements + vividness) in the middle layer between recall and eye movements only in. Statements and recommendations are discussed.

Keywords: Distraction Memory Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

66. van den Hout, M. A., Engelhard, I. M., Rijkeboer, M. M., Koekebakker, J., Hornsveld, H., Leer, A., Toffolo, M. B. J., & Akse, N. (2011, February). EMDR: Eye movements superior to beeps in taxing working memory and reducing vividness of recollections. Behaviour Research and Therapy, 49(2), 92-98. doi:10.1016/j.brat.2010.11.003.

Language: English

Format: Journal

Abstract:
Posttraumatic Stress Disorder (PTSD) is effectively treated with eye movement desensitization and reprocessing (EMDR) with patients making eye movements during recall of traumatic memories. Many therapists have replaced eye movements with bilateral beeps, but there are no data on the effects of beeps. Experimental studies suggest that eye movements may be beneficial because they tax working memory, especially the central executive component, but the presence/degree of taxation has not been assessed directly. Using discrimination Reaction Time (RT) tasks, we found that eye movements slow down RTs to auditive cues (experiment I), but binaural beeps do not slow down RTs to visual cues (experiment II). In an arguably more sensitive “Random Interval Repetition” task using tactile stimulation, working memory taxation of beeps and eye movements were directly compared. RTs slowed down during beeps, but the effects were much stronger for eye movements (experiment III). The same pattern was observed in a memory experiment with healthy volunteers (experiment IV): vividness of negative memories was reduced after both beeps and eye movements, but effects were larger for eye movements. Findings support a working memory account of EMDR and suggest that effects of beeps on negative memories are inferior to those of eye movements.

Keywords: Eye Movements Recollection Vividness Working Memory

Accuracy Verified: Yes

67. Beer, R., Ten Broeke, E., Hornsveld, H., de Jongh, A., Meijer, S., se Roos, C., & Spierings, J. (2011). EMDR: Oogbewegingen of een andere duale taak? [EMDR: Eye movements or any other dual task?]. Authors. Retrieved from http://www.emdr.nl/acrobat/EMDR%20Richtlijnen%20door%20trainers%202011DEF.pdf on 8/28/2012.

Language: Dutch

Format: Other

Abstract:
Naar aanleiding van alle nieuwe onderzoeksresultaten over EMDR en de rol van het werkgeheugen (zie referentielijst), hebben de Nederlandse EMDR trainers (i.o.) zich gebogen over de consequenties van deze resultaten voor de praktijk. Ze zijn daarbij tot de volgende richtlijnen gekomen, die ook vanaf heden gedoceerd worden in de EMDR opleidingen.

Following the latest research on EMDR and the role of working memory (see reference), the Dutch EMDR trainers (io) examined the consequences of this results for the practice. They have reached the following guidelines come also from today taught in the EMDR training.

Keywords: Eye Movements Dual Attention Working Memory

Accuracy Verified: Yes

68. Hornsveld, H. K., Landwehr, F., Stein. W., Stomp, M. P. H., Smeets, M. A. M., & van den Hout. M. A. (2010). Emotionality of loss-related memories is reduced after recall plus eye movements but not after recall plus music or recall only. Journal of EMDR Practice and Research, 3(4), 106-112. doi:10.1891/1933-3196.4.3.106.

Language: English

Format: Journal

Abstract:
Numerous studies have shown that eye movements during recall of negative memories reduce their emotionality. We investigated whether these findings can be extended specifically to negative memories of loss. Sixty undergraduate students participated and recalled a negative autobiographical memory of loss and performed—in counterbalanced order—three types of tasks: recall-plus-eye-movements, recall-only, and recall-plus-relaxing-music. Recall-plus-music was added to investigate whether reductions in emotionality are associated with relaxation. Levels of emotionality, relaxation, and concentration were assessed before and after each stimulus condition. Participants reported a greater decline in emotionality and concentration after eye movements in comparison to recall-only and recall-with-music. It is concluded that eye movements are effective when negative memories pertain to loss and grief, suggesting possibilities for treatment intervention in individuals suffering from complicated grief.

Keywords: Eye Movements Grief Loss Mechanism of Action Relaxation Working Memory Grief

Accuracy Verified: Yes

69. Reamer, F. G. (2004, September). Ethical issues in EMDR: Risk-management implications. Presentation at the annual meeting of the EMDR International Association, Montreal, Ontario Canada.

Language: English

Format: Conference

Abstract:
This workshop will provide participants with a comprehensive overview of ethical, malpractice, and risk-management issues encountered in EMDR. Using extensive case material, participants will learn how to handle complex practice-based ethical dilemmas, prevent professional malpractice, and avoid liablity. Emphasis will be on practical strategies designed to protect clients, professionals, and employers. Key topics will include the limits to clients' rights to confidentiality and self-determination, privileged communications, informed consent procedures, the use of high-risk treatment techniques, boundary issues and dual relationships, conflicts of interest, defamation of character, consultation and referral, supervision, termination of services, documentation, and the problem of impaired colleagues. Participants will be provided with a typology of compelling ethical dilemmas and "high risk" areas, and acquainted with practical decision-making strategies.

Keywords: Ethics Risk Management

Accuracy Verified: Yes

70. Rosa-Uribe, M. E., & Ramírez, E. O. L. (2011). Evaluación de la naturaleza cognitiva dual de la depresión bajo la psicoterapia EMDR [Assessment of cognitive dual nature of EMDR psychotherapy on depression]. Revista Iberoamericana de Psicotraumatología y Disociación, 1(1), [29 pages].

Language: Spanish

Format: Other

Abstract:
La presente investigación se llevó a cabo con personas que fueron diagnosticadas con depresión mayor y que participaron en un proceso terapéutico EMDR (por sus siglas en inglés -Eye Movement Desensitization and Reprocessing-). La recolección de datos se realizó en la práctica clínica mediante el diseño de estudios de caso longitudinales, dentro de los cuales se consideraron a la vez dos tipos de estudios cognitivos, organizados en tres fases (inicial, intermedia y final). Los estudios cuasiexperimentales, de identificación de valencia emocional bajo el paradigma de facilitación afectiva, se realizaron para observar los cambios en el mecanismo de sesgo cognitivo emocional sobre las palabras depresogénicas. Por su parte los estudios descriptivos, de análisis de representación emocional depresogénica bajo la técnica de escalamiento multidimensional y de escalamiento PathFinder, se utilizaron para determinar la forma en la que el esquema disfuncional era modificado. Los resultados muestran que EMDR impactó tanto el procesamiento cognitivo de la información emocional, como la organización conceptual en memoria a largo plazo. En la sección de la discusión se hacen señalamientos interesantes sobre la integración de las herramientas de la ciencia cognitiva de la emoción a la práctica del EMDR para la evaluación cognitiva dual (implícita/explícita) de la recuperación de la depresión.

This research was conducted with people who were diagnosed with major depression who participated in a therapeutic process EMDR (for short English-Eye Movement Desensitization and Reprocessing-). Data collection is performed in clinical practice by designing longitudinal case studies, within which were considered simultaneously two types of cognitive studies, organized in three phases (initial, intermediate and final). Quasi studies, the identification of emotional valence in the affective priming paradigm were conducted to observe the changes in the mechanism of emotional cognitive bias on the words depressogenic. For their part, descriptive studies, analysis of emotional representation depresogénica under the multidimensional scaling technique and scaling PathFinder, were used to determine the manner in which the pattern was dysfunctional modified. The results show that both EMDR impacted cognitive processing emotional information, such as conceptual organization in long term memory. in the discussion section of the interesting remarks are made on the integration of tools of cognitive science of emotion to the practice of EMDR for the evaluation cognitive dual (implicit / explicit) of recovery of depression.

Keywords: Affective Priming Cognition Depression, Depressive Patterns Emotion

Accuracy Verified: Yes

71. Hornsveld, H. K., Houtveen, J. H., Vroomen, M., Kapteijn, I., Aalbers, D., & van den Hout, M. A. (2011). Evaluating the effect of eye movements on positive memories such as those used in resource development and installation. Journal of EMDR Practice and Research, 5(4), 146-155. doi:10.1891/1933-3196.5.4.146.

Language: English

Format: Journal

Abstract:
Resource development and installation (RDI) is an eye movement desensitization and reprocessing (EMDR)-related procedure developed to strengthen positive associations in positive and resourceful memories (Korn & Leeds, 2002). This study tested the assumption that bilateral stimulation (horizontal eye movements [EM]) in RDI “appears to lead to spontaneous, rapid increases in affective intensity . . . and to rich, emotionally vivid associations” (Korn & Leeds, p. 1469). This study also tested whether eye movement effects could be better accounted for by working memory or by interhemispheric interaction theory. Fifty-three undergraduate students each recalled three memories of pride, perseverance, and self-confidence. They provided pretest and posttest ratings of each memory for vividness, pleasantness, and experienced strength of the positive quality, before and after performing three simultaneous tasks during recall: horizontal EM, vertical EM, and recall only. Results were fully in line with working memory predictions, with significant decreases for all variables following both eye movement tasks. There was no support for the interhemispheric hypothesis. It is concluded that the effectiveness of bilateral stimulation in RDI is questionable. Clinical implications are discussed.

Keywords: Eye Movements RDI Resource Development and Installation

Accuracy Verified: Yes

72. Hornsveld, H. K., Houtveen, J. H., Vroomen, M., Kapteijn, I., Aalbers, D., & van den Hout, M. A. (2013). Evaluation de l’effet des mouvements oculaires sur les souvenirs positifs tels que ceux utilisés dans le développement et installation des ressources [Evaluation of the effect of eye movements on the positive memories such as those used in the development and installation of resources]. Journal of EMDR Practice and Research, 6(1), E1-E11. doi:10.1891/1933-3196.7.1.E1.

Language: French

Format: Journal

Abstract:
Le Développement et installation de ressources (DIR) est une procédure EMDR (désensibilisation et retraitement par les mouvements oculaires) développée afin de renforcer les associations positives dans les souvenirs positifs qui sont pleins de ressources (Korn & Leeds, 2002). Cette étude a testé la supposition selon laquelle les stimulations bilatérales (mouvements oculaires [MO] horizontaux) dans le DIR paraissent “conduire à des augmentations spontanées et rapides de l’intensité affective... et à des associations riches et émotionnellement vives” (Korn & Leeds, p. 1469). Cette étude a également testé si les effets des mouvements oculaires pouvaient être mieux expliqués par la théorie de la mémoire du travail ou par celle de l’interaction hémisphérique. Cinquante-trois étudiants du premier cycle se sont chacun rappelé trois souvenirs de fierté, de persévérance et de confiance en soi. Ils ont apporté des évaluations prétest et posttest de chaque souvenir en termes de clarté, d’agrément et de la force éprouvée de la qualité positive, avant et après avoir réalisé trois tâches simultanées au cours du rappel : des MO horizontaux, des MO verticaux et le rappel seul. Les résultats étaient pleinement concordants avec les prédictions de la mémoire de travail, avec des diminutions significatives pour toutes les variables après les deux tâches de mouvements oculaires. Il n’y avait pas de soutien en faveur de l’hypothèse interhémisphérique. Il est conclu que l’efficacité des stimulations bilatérales dans le DIR est discutable. Les implications cliniques sont envisagées.

English Spanish Arabic Development and installation of Resources (DIR) is a procedure EMDR (desensitization and reprocessing Eye Movement) developed to enhance the positive associations in positive memories that are full of resources (Korn & Leeds, 2002). This study tested the assumption that the bilateral stimulation (eye movements [MO] horizontal) appear in the DIR "Lead to rapid increases spontaneous and emotional intensity ... and associations emotionally rich and strong "(Korn & Leeds, p. 1469). This study also tested whether the effects of eye movements could be better explained by the theory of working memory or the interaction hemispherical. Fifty-three undergraduate students each recalled three were memories of pride, perseverance and self-confidence. They provided pretest and posttest assessments each memory in terms of clarity, pleasure and strength tested positive quality, before and after performing three simultaneous tasks during recall: MO of horizontal and vertical of MO recall alone. The results were fully consistent with the predictions of the working memory with significant decreases for all variables following both eye movement tasks. There was no support for the hypothesis interhemispheric. It is concluded that the effectiveness of bilateral stimulation in the DIR is questionable. The clinical implications are considered.

Keywords: Development and Installation of Resources DIR Eye Movements Interhemispheric Interaction Memory Work

Accuracy Verified: Yes

73. de Bok, D., & van Daalen, M. (2010, June). Exploring the mechanism underlying the working memory account of EMDR: The effect of fading in and fading out of negative and arousing images on emotionality, vividness, vividness, completeness and detail recall of traumatic memories. Utrecht, Nederlands: Universiteit Utrecht.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a psychological intervention for the treatment of posttraumatic stress disorder (PTSD). Currently, the working memory account gives the best explanation for the functionality of EMDR. This account states that conducting a dual task, mostly horizontal eye movements, while retrieving a traumatic memory will make this memory less emotional, vivid and complete. It was hypothesized that the fading in and/or fading out of traumatic images are in itself causally contributing to the reduced emotionality, vividness and completeness of the recalled memories. This experimental study (N=27) examined the fading in (the image starts vague and gets more clear) and fading out (the image starts clear and gets more vague) of traumatic images as an underlying mechanism of the working memory account. By using a within-subject design, participants engaged in three conditions (fading in, fading out and control) in which they had to rate their memories on emotionality, vividness and completeness. A detail recall test was also conducted for all conditions. No significant differences were found between the three conditions on emotionality, vividness and completeness. However, a trend was found indicating that fewer details were recalled in the fading out condition. Based on these results, the hypothesis that fading in or fading out will result in diminishing emotionality, vividness and completeness was not confirmed. Shortcomings of the experiment and implications for future research are addressed

Keywords: Fading in Fading out Traumatic Image Working Memory Account

Accuracy Verified: Yes

74. Schlosser, F. J. (1993, Fall/Winter). Exposure/EMDR: Diagnostic use of feedback. EMDR Network Newsletter, 3(2), 7-10.

Language: English

Format: Newsletter

Abstract:
One of the tasks of psychotherapists is to attempt to reduce anxiety in their patients. They determine the level of this anxiety through patient reports, observations of body language, intuition, or results of projective and objective tests. They then gauge therapeutic effectiveness by the amount of anxiety reduction as indicated by these relatively subjective measures. Even behaviorists, who make much use of numbers in their evaluations, are not measuring anxiety but its effect on the client's behavior. It is my contention that subjective measures of anxiety are not appropriate scientific tools and, if we are to progress in the development of more effective techniques for removing or reducing anxiety, we must devise more objective and accurate techniques for measuring this state which we describe ourselves as "treating."

Keywords: Exposure Feedback

Accuracy Verified: Yes

75. Smith, P. A., & Yule, W. (1999). Eye movement desensitization and reprocessing. In W. Yule (Ed.), Post-traumatic stress disorders: concepts and therapy (pp. 267-284). Chichester, England: John Wiley & Sons.

Language: English

Format: Book Section

Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is one of the most recent additions to the armoury of treatments for posttraumatic stress disorder (PTSD). This chapter briefly outlines the EMDR procedure, and reviews the growing number of outcome evaluation studies, before considering some of the recent theoretical explanations that have been offered. EMDR has been used with a variety of populations, and its use with children and adolescents is considered here. At the heart of EMDR is the notion that accelerated processing of disturbing material can be directly facilitated at a neurophysiological level using a variety of dual attention tasks. Accordingly, a by-product of resolution at the neurophysiological level is cognitive and emotional well-being. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Adolescents Children Literature Review Psychotherapeutic Processes PTSD Research Needs Survivors Treatment Effectiveness

Accuracy Verified: Yes

76. 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

77. Albright, D. L., Thyer, B., Becker, B. J., & Rubin, A. (2011, November). Eye movement desensitization and reprocessing (EMDR) for posttraumatic stress disorder (PTSD) in combat veterans. Oslow, Norway: The Campbell Collaboration. Retrieved from www.campbellcollaboration.org on 2/16/2012.

Language: English

Format: Other

Abstract:
EMDR was introduced as a treatment modality about twenty five years ago (Shapiro, 1989). EMDR has eight treatment phases. The first three stages include: 1) history taking; 2) preparation (introduction to the EMDR protocol, coping strategies and affect management techniques) and 3) assessment (bringing to mind an image of a traumatic incident, identifying beliefs and emotions associated with that incident, rating the degree of disturbance felt in recalling the traumatic incident, and rating the validity of preferred cognitions about oneself). During the next phase desensitization the core component of the intervention is implemented. It involves using a dual attention/bilateral stimulation procedure that aims to reprocess the disturbing emotions and cognitions associated with the traumatic incident. The client is instructed to keep in mind the image, beliefs and cognitions while simultaneously visually tracking the therapist’ s fingers as they are moved back and forth in front of the client in a prescribed manner. (Bilateral tactile taps or auditory tones are used instead of eye movements for clients who have difficulty visually tracking.) Bilateral stimulation is also used during the next two phases - installation and body scan - which aim to install a positive cognition to replace the negative cognition associated with the trauma and to reprocess any remaining bodily sensations. During the next phase closure the client is advised about what to do between sessions if experiencing distress. The final phase re-evaluation occurs at the start of the next session and involves identifying and reprocessing any residual material from the previous session or that arose between sessions. The length of treatment sessions varies, but typically lasts from 60 to 90 minutes. The number of treatment sessions also varies, ranging between 5 and 15 sessions. [Excerpt]

Keywords: Combat Veterans Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

78. Rose, B. K. (2004). Eye movement desensitization reprocessing (EMDR): A treatment protocol for addicted inmates with traumatic histories. Carlos Albizu University, Miami, FL. AAT 3102092.

Language: English

Format: Dissertation/Thesis

Abstract: S
ubstance Abuse is the use and abuse of mood and mind altering substances often having undesired effects on the lives of those addicted, and having a negative impact on the lives of others. Those addicted may expose themselves and others to physical and psychological harm; may create forensic problems; cause disintegration of the family, and problematic interpersonal relationships. Underlying reasons for addictive behavior include but are not limited to: genetic predisposition, psychosocial involvement, psychobiological complications, developmental conditions, and pre-existing psychological and environmental events. Some deficits found in those addicted include: poor coping skills, inability to problem solve, inability to function in difficult situations, and may use cognitive avoidance as a means of coping with life. The idea that children might be negatively impacted by exposure to substance abuse using parents is not a new revelation. However, the degree of damage done to these children is severe, and more is being learned about the severity of that damage. Children often are enmeshed with their dysfunctional families, and many problems arise involving their inability to maintain intimate relationships with others. Attachment issues may develop in infancy and early stages of maturation, and adversely affect children's ability to function as adults. Abusive pasts and traumatic incidents often may hinder the psychological growth and maturity of those who have experienced trauma and abuse.Eye Movement Desensitization Reprocessing (EMDR) is a fairly new concept of treatment. It was first designed to address therapy with those who had been exposed to trauma. However, over the past 22 years since its inception, it has been adapted to treat many other types of Axis I disorders. It has been determined that EMDR is useful in addressing substance abuse and other Axis I diagnoses, especially PTSD. Hiller, Knight, and Simpson completed a study with 161 persons who resided at a residential halfway house for newly released inmates. Their results found: 80% of the sample of had psychological problems; 72% had significant drug abuse problems; 58% had concurrent psychopathology and drug abuse problems. Research indicates prison confinement is increasing, and the idea of therapy in the forensic setting is gaining in popularity. Thus, the purpose of this dissertation is to design a substance abuse program to address the difficulties of substance abuse treatment for the dual diagnosed clients. The data collected from this program will help provide much needed information in order to further research and increase our understanding of the needs of this underserved population. [Author Abstract]

Keywords: Comorbidity Drug Abuse Prison Inmates Psychiatric Disorders Stressors Survivors Therapeutic Community

Accuracy Verified: Yes

79. Kuiken, D., Bears, M., Miall, D., & Smith, L. (2001/2002). Eye movement desensitization reprocessing facilitates attentional orienting. Imagination, Cognition and Personality, 21(1), 3-20. doi:10.2190/L8JX-PGLC-B72R-KD7X .

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization Reprocessing (EMDR) is a controversial treatment for PTSD that requires clients to make rapid eye movements while revisualizing a traumatic event. Although seemingly effective, the process by which EMDR exerts its effects is poorly understod. We propose that EMDR's eye movements facilitate the orienting response, i.e., the attentional adjustment to unexpected stimuli. Since the orienting response has been implicated in spontaneous transformations of dream content during REM sleep, we reasoned that, similarly, activation of the orienting response during EMDR may facilitate content transformations in traumatic memories. To examine this hypothesis, 25 undergraduates completed 20 seconds of eye movements or 20 seconds of visual fixation before each of two tasks: (1) a covert visual attention task, in which a cue indicated the likely position of a subsequent target, and (2) a sentence rating task, in which sentences with either metaphoric or non-metaphoric endings were rated for strikingness. Repeated measures ANOVAs indicated that the eye movement manipulation facilitated attentional adjustments to targets presented in invalidly cued locations and increased the extent to which metaphoric sentence endings were found striking. Together these results suggest that the eye movements in EMDR induce attentional and semantic flexibility, thereby facilitating transformations in the client's narrative representation of the traumatic event. The implications of these findings for theories of dream formation and metaphor comprehension are also considered. [Author Abstract]

Keywords: Adults College Students Empirical Study Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

80. Engelhard, I., van den Hout, M. A., Janssen, W. C., & van der Beek, J. (2010, May). Eye movements reduce vividness and emotionality of “flashforwards”. Behaviour Research and Therapy, 48(5), 442-447. doi:10.1016/j.brat.2010.01.003.

Language: English

Format: Journal

Abstract:
Earlier studies have shown that eye movements during retrieval of disturbing images about past events reduce their vividness and emotionality, which may be due to both tasks competing for working memory resources. This study examined whether eye movements reduce vividness and emotionality of visual distressing images about feared future events: "flashforwards". A non-clinical sample was asked to select two images of feared future events, which were self-rated for vividness and emotionality. These images were retrieved while making eye movements or without a concurrent secondary task, and then vividness and emotionality were rated again. Relative to the no-dual task condition, eye movements while thinking of future-oriented images resulted in decreased ratings of image vividness and emotional intensity. Apparently, eye movements reduce vividness and emotionality of visual images about past and future feared events. This is in line with a working memory account of the beneficial effects of eye movements, which predicts that any task that taxes working memory during retrieval of disturbing mental images will be beneficial.

Keywords: Anxiety Cognitive Process Eye Movements Flashforwards Posttraumatic Stress Disorder PTSD Visual Images Working memory

Accuracy Verified: Yes

81. Andrade, J., Kavanagh, D., & Baddeley, A. (1997, May). Eye-movements and visual imagery: A working memory approach to the treatment of post-traumatic stress disorder. British Journal of Clinical Psychology, 36(2), 209-223. doi:10.1111/j.2044-8260.1997.tb01408.x.

Language: English

Format: Journal

Abstract:
It has been claimed that the symptoms of post-traumatic stress disorder (PTSD) can be ameliorated by eye-movement desensitization-reprocessing therapy (EMD-R), a procedure that involves the individual making saccadic eye-movements while imagining the traumatic event. We hypothesized that these eye-movements reduce the vividness of distressing images by disrupting the function of the visuospatial sketchpad (VSSP) of working memory, and that by doing so they reduce the intensity of the emotion associated with the image. This hypothesis was tested by asking non-PTSD participants to form images of neutral and negative pictures under dual task conditions. Their images were less vivid with concurrent eye-movements and with a concurrent spatial tapping task that did not involve eye-movements. In the first three experiments, these secondary tasks did not consistently affect participants' emotional responses to the images. However, Expt 4 used personal recollections as stimuli for the imagery task, and demonstrated a significant reduction in emotional response under the same dual task conditions. These results suggest that, if EMD-R works, it does so by reducing the vividness and emotiveness of traumatic images via the VSSP of working memory. Other visuospatial tasks may also be of therapeutic value (PubMed).

Keywords: Australia Empirical Study Eye movements Experimental Stressors Pictorial Stimuli Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness

Accuracy Verified: Yes

82. Grand, D. (2001, May). Flow EMDR - Advanced clinical practice. Presentation at the EMDR Europe Association annual meeting, London, UK.

Language: English

Format: Conference

Abstract:
Although the structured protocols and procedures of EMDR practice have provided therapists with enhanced healing opportunities, the awkwardness of the procedure remains unnatural to many EMDR therapists. However, EMDR can be modified to a more natural face-to-face flowing treatment process. This presentation will comprehensively examine flow EMDR and its dual naturalising components of "essential listening" and extended bi-lateral stimulation. "Essential listening" entails the therapists accepting that all potential answers reside in the clients system. This information and the ensuing healing process is supported by the therapist suspending all meta communications emanating from the client. Following this procedure, combined with the targeted information of the protocol activated by bi-lateral stimulation, allows the client to process information until they arrive at their "essential truths". Flow EMDR also utilises longer sets and/or continuous bi-lateral stimulation afforded by auditory and tactile stimulation. Innovations in eye movement, called ''paint brushing", will also be demonstrated with varied pace, direction, pausing and distance. Auditory stimulation will be reviewed as to its current modes and tactile stimulation will also be explored in terms of tapping, pressing and mechanical activation. Flow EMDR also actively integrates ego state work, part protocols, multiple protocols, parallel protocols, self questioning interweaves, targeting of present mood states, resource activation's of locating and installing positive body sensations and body processing enhanced by colour and image associations. This presentation will include lecture, clinical demonstratipn, audience participation and extensive hand-out material.

Keywords: Essential Listening Flow EMDR

Accuracy Verified: Yes

83. Wizansky, B. ([2003]). Footsteps through the maze - A model for using EMDR with oppositional children. Presentation at the EMDR Israel Association, Nazereth Ilit, Israel.

Language: English

Format: Other

Abstract:
This paper presents a therapeutic model developed to facilitate communication with children who have difficulty cooperating with the therapeutic process. The model utilizes the concept of a Maze metaphorically, in combination with the directed focusing, dual attention, and bilateral stimulation of EMDR in order to meet and process disturbing emotion. Underlying this model is the concept of an internal psychic space, connected to memory and association, wherein reside the child's potential range of emotions. “The Maze”, becomes the metaphor for that space, while a step by step process leads gradually to playful, non threatening communication with the child about his problem. (the entrance). The Footsteps (self drumming on alternate knees) provide the bilateral stimulation and dual attention required by EMDR. These lead the child on his own path to better ways of coping (the exit). Before presenting the model, the paper discusses several points: First, the necessity of touching on this inner space in order to bring about balance and change; second, the difficulties which traumatized, rigidly defended children have in approaching their emotions; and third, the role of cumulative trauma in preserving the child’s defenses and oppositional stance.

Keywords: Children Footsteps Through the Maze Opposition Disorder

Accuracy Verified: Yes

84. van Rens, L. W., de Weert-van Oene, G. H., van Oosteren, A. A., & Rutten, C. (2012). Gevalsbeschrijving - Klinische behandeling van posttraumatische stressstoornis bij patiënten met ernstige dubbele diagnose [Case Study - Clinical treatment of posttraumatic stress disorder in patients with serious dual diagnosis problems]. Tijdschrift voor Psychiatrie, 54(4), 383-388.

Language: Dutch

Format: Journal

Abstract:
Three patients with severe addiction problems, early sexual trauma, posttraumatic stress disorder PTSD comorbid psychotic vulnerability and personality problems received integrated treatment following admission to a clinic specialising in the care of patients with a dual diagnosis. Treatment was administered in accordance with current guidelines and involved either imaginal exposure or eye movement desensitization and reprocessing EMDR, integrated with relapse management of addiction problems. It is concluded that the current evidence-based guidelines regarding PTSD and addiction can also be applied successfully and effectively to an extremely vulnerable patient population.

Keywords: Dual Diagnosis Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

85. Marques, L. (2011). Het effect van oogbewegingen, klikjes en geen dubbeltaak op de emotionaliteit en levendigheid van een herinnering in EMDR in de klinische praktijk. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Eye movement desensitization and reprocessing (EMDR) is één van de behandelingen van keuze voor posttraumatische stress stoornis (PTSS). Hoewel in ongeveer de helft van de EMDR behandelingen gebruik wordt gemaakt van klikjes is er slechts weinig onderzoek in de klinische praktijk gedaan naar de werkzaamheid van deze vorm van stimulatie. In dit onderzoek is het effect van oogbewegingen, klikjes en geen dubbeltaak op de emotionaliteit en levendigheid van een nare herinnering onderzocht bij 51 cliënten die een EMDR behandeling ondergingen. De behandeling als geheel bleek effectief te zijn in de afname van emotionaliteit en levendigheid. Hoewel de verschillen in effectiviteit van de stimulaties in de richting van de gestelde hypothese lagen, bleken de verschillen niet significant te zijn op een significantie niveau van 0.05. Er was een trend zichtbaar waarbij oogbewegingen effectiever lijken te zijn dan klikjes en geen dubbeltaak, waarbij klikjes effectiever lijken te zijn dan geen dubbeltaak. Deze trend biedt ondersteuning voor de werkgeheugen verklaring. Daarnaast is ook de ernst van de symptomen en de effectiviteit van de stimulaties onderzocht. Implicaties van het gehele onderzoek voor de klinische praktijk worden besproken.

Keywords: Beeps Emotionality No Dual Tasks Vividness Working Memory Account

Accuracy Verified: Yes

86. Engelhard, I. M., van den Hout, M. A., & van Uijen, S. L. (2011, May). Het vervagen van negatieve en positieve herinneringen [The blurring of negative and positive memories]. Psychologie & Gezondheid, 39(2), 61-69. doi:10.1007/s12483-011-0017-5.

Language: Dutch

Format: Journal

Abstract:
Earlier studies have shown that horizontal eye movements (EM) during retrieval of a negative memory reduce its vividness and emotionality. This may be due to both tasks competing for working memory (WM) resources. This study examined whether playing the computer game “Tetris” also blurs memory. Participants recalled negative and positive memories in three conditions: recall only, recall with concurrent EM, and recall with playing Tetris. Before and after these conditions, vividness, emotionality, and physiological startle responses during recall were measured. A reaction time task showed that EM and Tetris both draw on WM, compared to no dual-task. Compared to recall only, EMand Tetris both decreased reported emotionality and startle responses. The effects of EM and Tetris did not differ, even though the tasks differed in the degree of taxing WM. This suggests that taxing WM and its effects on emotional memories may not be linearly related. Potential clinical implications are discussed.

Keywords: Memory Retrieval Tetris

Accuracy Verified: Yes

87. van den Hout, M. A., & Engelhard, I. M. (2011, March). Hoe het komt dat EMDR werkt [How it is that EMDR works]. Directieve Therapie, 31(1), 5-23. doi:10.1007/s12433-011-0002-5.

Language: Dutch

Format: Journal

Abstract:
Eye Movement and Desensitisation Reprocessing (EMDR) is een effectieve behandeling van traumasymptomen en de positieve effecten worden teruggevonden in het laboratorium, onder goed gecontroleerde omstandigheden. Dat biedt de mogelijkheid om na te gaan hoe EMDR werkt. Er wordt verslag gedaan naar de bevindingen uit een lange reeks experimenten. De hypothese dat oogbewegingen (of andere taken die worden uitgevoerd tijdens het ophalen van herinneringen) overbodig zijn en dat de exposure aan aversieve herinneringen tijdens EMDR de effecten verklaart, is niet houdbaar. Het idee dat ‘bilaterale stimulatie’ noodzakelijk is, snijdt evenmin hout. Je kunt net zo goed de ogen van boven naar beneden laten bewegen of taken laten doen waarbij helemaal geen oogbewegingen worden gemaakt. Belangrijk is dat de taak het werkgeheugen belast. Uit de werkgeheugenverklaring van EMDR is een lange reeks voorspellingen af te leiden. Die blijken wonderwel bestand tegen kritische experimentele tests en er tekent zich een solide verklaring af van hoe EMDR werkt. Die theorie en de empirische bevindingen hebben allerhande implicaties voor de techniek van EMDR.

Eye Movement and Desensitization Reprocessing (EMDR) is an effective treatment of trauma symptoms, while beneficial effects can be reproduced under controlled laboratory conditions. This opens the door for testing how EMDR works. The paper reports data from a long series of experiments. The hypothesis that eye movements (or other dual tasks) are superfluous and that EMDR effects are explained by exposure is untenable. The idea that ‘bilateral stimulation’ is crucial, does not match the data either. One can just as well move the eyes vertically, or carry out tasks that do not involve eye movements. The crucial factor seems to be that the dual task is taxing working memory. From the working memory account of EMDR a long series of predictions can be derived. The predictions survived critical experimental tests. The theory and empirical data have a range of technical implications for carrying out EMDR. These implications are discussed.

Keywords: Practice Theory

Accuracy Verified: Yes

88. Barrowcliff, A., Gray, N., MacCulloch, S., Freeman, T., & MacCulloch, M. (2003, September). Horizontal rhythmical eye movements consistently diminish the arousal provoked by auditory stimuli. British Journal of Clinical Psychology, 42(3). 289-302. doi:10.1348/01446650360703393.

Language: English

Format: Journal

Abstract:
Objectives: Theoretical models implicating the orienting reflex as an explanatory mechanism in the eye-movement desensitization and reprocessing (EMDR) treatment protocol are contrasted and tested empirically. We also test whether EMDR effects are due to a distraction effect. Design: A repeated measure design is used in two experiments. The first experiment employed two independent variables, eye condition (moving vs. stationary) and tone (a pseudo-randomized series of low and high intensity tones). In Expt 2, eye condition was replaced by attentional demand conditions (low or high). In both cases, electrodermal responses served as the dependent variable. Method: Participants were recruited from the Psychology Department at Cardiff University. In Expt 1, participants were required to either pursue a moving stimulus following auditory challenge or engage in an eyes-stationary task. In Expt 2, the task following auditory challenge required participants to identify specific items from letter strings in low and high attentional demand conditions. Results: Lower levels of electrodermal arousal were identified in tasks eliciting eye movements, compared to no eye movements. This effect was not due to the attentional requirements of the task. Conclusions: Eye movements following auditory challenge result in an effect of psychophysiological de-arousal. This supports the reassurance reflex model of EMDR proposed by MacCulloch and Feldman (1996).

Keywords: Distraction Effect Empirical Study Orienting Reflex Quantitative Study

Accuracy Verified: Yes

89. Brunyé, T. T., Mahoney, C. R., Augustyn, J. S., & Taylor, H. A. (2009). Horizontal saccadic eye movements enhance the retrieval of landmark shape and location information. Brain and Cognition, 70(3), 279–288. doi:10.1016/j.bandc.2009.03.003.

Language: English

Format: Journal

Abstract:
Recent work has demonstrated that horizontal saccadic eye movements enhance verbal episodic memory retrieval, particularly in strongly right-handed individuals. The present experiments test three primary assumptions derived from this research. First, horizontal eye movements should facilitate episodic memory for both verbal and non-verbal information. Second, the benefits of horizontal eye movements should only be seen when they immediately precede tasks that demand right and left-hemisphere processing towards successful performance. Third, the benefits of horizontal eye movements should be most pronounced in the strongly right-handed. Two experiments confirmed these hypotheses: horizontal eye movements increased recognition sensitivity and decreased response times during a spatial memory test relative to both vertical eye movements and fixation. These effects were only seen when horizontal eye movements preceded episodic memory retrieval, and not when they preceded encoding (Experiment 1). Further, when eye movements preceded retrieval, they were only beneficial with recognition tests demanding a high degree of right and left-hemisphere activity (Experiment 2). In both experiments the beneficial effects of horizontal eye movements were greatest for strongly right-handed individuals. These results support recent work suggesting increased interhemispheric brain activity induced by bilateral horizontal eye movements, and extend this literature to the encoding and retrieval of landmark shape and location information.

Keywords: Bilateral Eye Movements Hemispheric Interaction Episodic Memory Spatial Memory

Accuracy Verified: Yes

90. Gunter, R. W. (2007, 2008). How eye movements affect unpleasant memories: Support for a working memory account. University of Calgary, Canada. AAT NR44352.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye movement desensitization and reprocessing can reduce ratings of the vividness and emotionality of unpleasant memories--hence it is commonly used to treat posttraumatic stress disorder. The present experiments compared three accounts of how eye movements produce these benefits. Participants rated unpleasant autobiographical memories before and after eye movements or an eyes stationary control condition. In Experiment 1, eye movements produced benefits only when memories were held in mind during the movements, and eye movements increased arousal, contrary to an investigatory-reflex account. In Experiment 2, horizontal and vertical eye movements produced equivalent benefits, contrary to an interhemispheric-communication account. In Experiment 3, two other distractor tasks (auditory shadowing, drawing) produced benefits that were negatively correlated with working memory capacity. These findings support a working-memory account of the eye movement benefit in which the central executive is taxed when a person performs a distractor task while attempting to hold a memory in mind.

Keywords: Eye Movements Working Memory

Accuracy Verified: Yes

91. Gunter, R. W., & Bodner, G. E. (2008, August). How eye movements affect unpleasant memories: Support for a working-memory account. Behaviour Research and Therapy, 46(8), 913-931. doi:10.1016/j.brat.2008.04.006.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing can reduce ratings of the vividness and emotionality of unpleasant memories—hence it is commonly used to treat posttraumatic stress disorder. The present experiments compared three accounts of how eye movements produce these benefits. Participants rated unpleasant autobiographical memories before and after eye movements or an eyes stationary control condition. In Experiment 1, eye movements produced benefits only when memories were held in mind during the movements, and eye movements increased arousal, contrary to an investigatory-reflex account. In Experiment 2, horizontal and vertical eye movements produced equivalent benefits, contrary to an interhemispheric-communication account. In Experiment 3, two other distractor tasks (auditory shadowing, drawing) produced benefits that were negatively correlated with working-memory capacity. These findings support a working-memory account of the eye movement benefits in which the central executive is taxed when a person performs a distractor task while attempting to hold a memory in mind.

Keywords: Autobiographical Memory Eye Movements Psychotherapy Working Memory

Accuracy Verified: Yes

92. Engelhard, I. M., van Uijen, S. L., & van den Hout, M. A. (2010, December). The impact of taxing working memory on negative and positive memories. European Journal of Psychotraumatology, 1, 5623,[8 pages]. doi:10.3402/ejpt.v1i0.5623.

Language: English

Format: Journal

Abstract:
Background: Earlier studies have shown that horizontal eye movement (EM) during retrieval of a negative memory reduces its vividness and emotionality. This may be due to both tasks competing for working memory (WM) resources. This study examined whether playing the computer game ‘‘Tetris’’ also blurs memory. Method: Participants recalled negative and positive memories in three conditions: recall only, recall with concurrent EM, and recall with playing Tetris. Before and after these conditions, vividness, emotionality, and physiological startle responses during recall were measured. Results: A reaction time task showed that EM and Tetris both draw on WM, compared to no dual-task. Compared to recall only, EM and Tetris decreased reported emotionality and startle responses. Conclusions: The effects of EM and Tetris did not differ, even though the tasks differed in the degree of taxing WM. This suggests that taxing WM and its effects on emotional memories may not be linearly related. Potential clinical implications are discussed.

Keywords: Emotionality Horizontal Eye Movement Vividness

Accuracy Verified: Yes

93. 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

94. Miller, K. (2013, May). The intricacies of time orientation: Going beyond “What year is this? . Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
Dual attention is necessary for successful EMDR trauma reprocessing. This implies the client has sufficient time orientation, knowing the feelings are from a memory and the event is not happening now. Complex trauma and PTSD’s component of flashbacks and reliving requires that clinicians have a myriad of time orientation skills readily available when needed. EMDR therapists need to be especially attentive to this issue because of the high intensity of affect EMDR can stimulate. This 90 minute workshop will teach the art and intricacies of time orientation within an EMDR framework. Lecture, case transcripts and video clips will show the power, depth and art of time orientation skills. Learning Objectives: • Describe the theoretical reason why time orientation skills are • Necessary when using EMDR with PTSD and complex trauma • Describe the EMDR Standard Protocol Phase where the majority of time orientation interventions are used. • Describe 5 ways to time orient a client • Understand the power of time orientation to stabilize a client when using EMDR.

Keywords: Orientation Interventions Time Orientation Skills

Accuracy Verified: Yes

95. 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

96. Wildwind, L. (1998, July). It’s never too late to have a happy childhood: Using EMDR to create and install essential experiences. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) anticipate and prepare for resistance to EMDR based on the history and symptoms presented; 2) minimize resistance and failure by proper framing and staging of the tasks involved in healing; 3) prepare the client to meet developmental gaps and losses through imaged interventions; 4) create and install appropriate experiential interweaves; and 5) utilize resistance and setbacks to identify successive areas appropriate for experiential interweaves.

Keywords: Experiential Interweave Imaged Interventions Resistance

Accuracy Verified: Yes

97. Knipe J. (2008). Loving eyes: Procedures to therapeutically reverse dissociative processes while preserving emotional safety. In C. Forgash and M. Copeley, (Eds.) Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 181-225). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
Dual attention (simultaneous awareness of both the disturbing material and a neutral or safe aspect of the present situation) is an essential element of the effectiveness of EMDR (Shapiro, 2001). That is, in EMDR therapy, the therapist assists the client in keeping "one foot in the present, one foot in the past." Metaphorically, "two feet in the past" would simply be emotionally reliving the trauma, and not therapeutic. For those clients with highly dissociated and intense affect, there is a danger with standard EMDR that uncontrolled emotion may intrude into consciousness in a way that undermines this important balance between present and past. In this chapter, several methods are described that seem to be useful in empowering clients with dissociated ego states to stay oriented to the present while processing unfinished disturbing memories. Specifically, these EMDR variations seem to enable the client to maintain the balance between emotional safety and the controlled emergence of unresolved affect, so as to avoid dissociative abreaction and make possible the healing and eventual integration of separate parts of the self. (PsycINFO Database Record (c) 2008 APA, all rights reserved

Keywords: Dual Attention

Accuracy Verified: Yes

98. Giannantonio, M. (2008, Novembre). L’integrazione possible: accedere alle emozioni con strategie imaginative e corporee [Integration impossible: Access to emotions with imaginative and corporeal strategies]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Il modello paradigmatico di intervento clinico al quale l’EMDR si ispira è di non interferenza all’interno dell’elaborazione adattiva prodotta autonomamente dal paziente, stimolato da una ottimale relazione terapeutica e dalla stimolazione bilaterale all’interno di un campo di attenzione duale. Nondimeno, è esperienza abituale del clinico come tale modello incappi regolarmente all’interno di stalli rielaborativi che impediscono una adeguata desensibilizzazione e rielaborazione degli eventi stressanti o francamente traumatici. Per tale motivo, l’EMDR può massimizzare la sua efficacia psicoterapeutica attraverso l’impiego di specifiche strategie di “intervento cognitivo integrativo”, finalizzate all’implementazione adattiva ed ecologica delle risorse inattingibili da parte del paziente. In questa comunicazione, che prende in parte ispirazione dalle domande e dalle difficoltà emergenti nei colleghi durante l’attività di supervisione, attraverso numerose esemplificazioni cliniche si intenderà mostrare l’impiego flessibile ed euristico di strategie immaginative e corporee come interventi integrativi di particolare efficacia. In particolare, verrà posta una specifica attenzione nei confronti degli stalli integrativi dovuti principalmente a meccanismi dissociativi che possono causare difficoltà anche notevoli all’attività dello psicoterapeuta. Fenomeni dissociativi massicci, infatti, possono mostrarsi sin dall’inizio (in particolare qualora l’evento abbia suscitato una dissociazione peritraumatica), rendendo apparentemente non affrontabile il ricordo del paziente, in quanto non evocatore di alcuna risonanza emotiva; diversamente, la gestione dissociativa dei ricordi comparirà tra una seduta e l’altra, oppure all’interno del processo elaborativo condotto con l’EMDR. Verrà mostrato come la dissociazione, che può rendere impossibile l’elaborazione, possa essere gradualmente ridotta iperassociando il paziente nei confronti dei propri ricordi, di volta in volta privilegiando attività rivolte nei confronti delle immagini mentali oppure attraverso l’adozione di posture corporee finalizzate alla rottura delle barriere dissociative.

The paradigmatic model of clinical intervention in which EMDR is based is not interference in preparing adaptive generate themselves from the patient, stimulated by optimal therapeutic relationship and the bilateral stimulation within a field of attention dual. Nevertheless, it is habitual experience of the clinician how this model regularly encountering processed within stalls that prevent a adequate desensitization and reworking frankly stressful or traumatic events. Therefore, EMDR can maximize its effectiveness through the use of specific psychotherapeutic strategies, "Integrative cognitive intervention, aimed at the implementation of adaptive and ecological resources unattainable by the patient. In this communication, which takes some inspiration, the questions and difficulties emerging in the colleagues during the supervisory activities through numerous clinical examples to show you will understand the use of flexible, heuristic imaginative strategies and body as supplementary measures, particularly effective. In particular, specific attention will be paid in respect of the stalls due mainly to additional dissociative mechanisms that can cause considerable difficulties although the activity of psychotherapist. Dissociative phenomena massive, in fact, can show the beginning (in particularly if the event has generated a dissociation peritraumatica), making apparently not face the memory of the patient, because not suggestive of any resonance emotional, otherwise the management dissociative memories appear between sessions and one or within the computational process conducted with EMDR. Will be shown as the dissociation which may make it impossible to process, can be gradually reduced iperassociando the patient against their own recollections, each time focusing on activities aimed respect of mental images or through the adoption of body postures designed to rupture of dissociative barriers.

Keywords: Imaginative Strategies Somatic Interventions

Accuracy Verified: Yes

99. Greene, J. (2010, September/October). Mindfulness and EMDR: Strengthening key skills in preparation phase. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Clinicians will learn the synergy of Mindfulness and EMDR, focusing on key skills developed in the Preparation Phase. The workshop reviews mindfulness basic principles, their relationship with EMDR and the AIP Model, and outcome research relating mindfulness with neuroplasticity. The session also explores Mindfulness strategies for strengthening observer capacity (dual attention), affect tolerance, somatic, and sensory awareness, including techniques useful for both rigid/conceptualizing clients and chaotic/overemotional clients. Finally the workshop addresses options for integrating Mindfulness with Resource Development Installation (RDI). The presentation includes lecture, slides, client case examples, and guided experiential Mindfulness exerices.

Keywords: Mindfulness: Preparation Phase

Accuracy Verified: Yes

100. Radke, M. (2004, September). Mindfulness meets EMDR. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Trauma interferes with living in the present moment; mindfulness expands awareness of the present. It is a helpful adjunct to therapy by increasing the client's dual focus of the "observing self' while processing past material. This workshop will apply mindfulness to EMDR protocol in these specific areas: safe place, resource accessing and installing, feedback of present beliefs, feelings and sensation, looping and cognitive interweaves. Bilaterally stimulated relaxation exercises will be offered to enhance mindfulness. It will also be used to bracket and contain unfinished material as well as aid between-session integration.

Keywords: Mindfulness

Accuracy Verified: Yes

101. Bergmann, U. (2008). The neurobiology of EMDR: Exploring the thalamus and neural integration. Journal of EMDR Practice and Research, 2(4), 300-314. doi:10.1891/1933-3196.2.4.300.

Language: English

Format: Journal

Abstract:
Recent neuroimaging studies on posttraumatic stress disorder (PTSD) have revealed a consistent decrease in thalamic activity, relative to non-PTSD controls. Empirical studies of the past decade have shown the thalamus to be centrally involved in the integration of perceptual, somatosensory, memorial, and cognitive processes (thalamo-cortical-temporal binding). A theoretical model is proposed to suggest that one underlying mechanism of EMDR stimulation (dual-attention stimulation/bilateral stimulation [DAS/BLS] ) is thalamic activation, specifi cally of the ventrolateral and central-lateral nuclei. It is hypothesized that this may facilitate the repair and integration of somatosensory, memorial, cognitive, frontal lobe and synchronized hemispheric functions that are disrupted in PTSD.

Keywords: 40-Hz Gamma-Band Activity (GBA) Neural Oscillation Thalamo-Cortical-Temporal Binding Thalamus

Accuracy Verified: Yes

102. Vojtova, H., & Hasto, J. (2009). Neurobiology of eye movement desensitization and reprocessing. Activitas Nervosa Superior, 51(3), 98-102.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing represents a promising approach to treatment of posttraumatic disord-ers. The specific factors underlying its effectiveness rely particularly on bilateral stimulation, which seems to provoke a specific neurobiological response during traumatic recall particularly in individuals with PTSD. The empirical findings provide evidence for the effect of BLS on autonomic nervous system shifting the balance towards parasympathetic acti-vation (reducing arousal) as well as the effect on subjectively perceived vividness and emotional burden of autobiograph-ic memories (decrease). The most credible hypotheses derive the effects from neurobiological mechanisms employed in dual focus attention, orienting reflex and REM sleep. Further research is needed to explore the processes included in the EMDR therapy in more detail and clarify the role of bilateral stimulation.

Keywords: Brain Dissociation Neurobiology Posttraumatic Stress Disorder PTSD Psychotherapy

Accuracy Verified: Yes

103. Fernandez, I., & Solomon, R. M. (2001, October). Neurophysiological components of EMDR treatment. In International CIANS Conference (CIANS: Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaviour and Psychosomatics), (pp 137-140) Palermo, Italy.

Language: English

Format: Conference

Abstract:
The research on Eye Movement Desensitization and Reprocessing (EMDR) has had a significant development in the last 10 years. The EMDR consists on a dual focalization activity (the use o eye movements or other forms of left/right rhythmical stimulation, while focusing on personal disturbing material). Many hypotheses have been made on how EMDR works and why the clinical results are so significant. One of the most possible reasons may regard the fact that there seems to be an innate information processing system that is physiologically configured to facilitate mental health in much the same way the rest of the body is designed to heal itself when injured (Shapiro, 1995). When operating appropriately, this system takes the perceptual and emotional information from a traumatic event to an adaptive resolution - useful information is stored with appropriate affect and is available for future use. The physiological and emotional arousal stemming from a traumatic event may disrupt the information processing mechanism. The blocked processing prevents the traumatic information from progressing through the normal steps of adaptive integration. The physiological stimulation appears to activate the innate information processing systems and may be linked to the mechanisms inherent in memory storage. EMDR apparently intervenes in brain functions, especially in the limbic system and amygdale, which have been already identified as actively involved in traumatic experiences.

Keywords: Information Processing System Neurophysiology

Accuracy Verified: Yes

104. Isaacs, J. S. (2004, March). Numerical distraction therapy: Initial assessment of a treatment for posttraumatic stress disorder. Traumatology, 10(1), 39-54. doi:10.1177/153476560401000104 .

Language: English

Format: Journal

Abstract:
The efficacy of a new therapy, numerical distraction therapy (NDT), in treating symptoms of PTSD was investigated. It was hypothesized that the therapy would change the traumatic visual memories of PTSD patients and reduce the intensity of negative feelings associated with them. Both hypotheses were supported: 92% of patients reported post-treatment (positive) changes in their visual memories, and these same patients reported diminished levels of fear, shame, anxiety, and other negative feelings. A subsample of patients reported stable treatment effects in follow-up surveys conducted two to four months later. The author also discusses possible mechanisms of NDT and suggests that NDT, eye movement desensitization and reprocessing (EMDR), and some forms of thought field therapy (TFT) might have "dual attention" as a common underlying mechanism. [Author Abstract]

Keywords: Adults Americans Behavior Therapy Empirical Study PTSD Quantitative Study Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial

Accuracy Verified: Yes

105. Freitag, W. (2008, September). The nuts and bolts of EMDR consultation. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
As EMDRIA’s requirements for Basic Training programs now include consultation hours, this has become a hot topic. This workshop will review EMDRIA’s philosophy of consultation and the requirements which now exist. An explanation of what consultation is and is not will be given, and the role of the consultant will be explored. There are now four different types of consultation to be conducted by an EMDRIA Approved Consultant. These are: Consultation within the Basic Training Curriculum; Consultation for Certification; Consultation of a Consultant-In-Training, and Ongoing consultation for professional development. The function, content and goals of the four different types of consultation will be defined, and the expectation of the consultant examined. Examples of specific tasks or ways to do effective consultation will be identified.

Keywords: Consultation

Accuracy Verified: Yes

106. Freitag, W., & Swan, S. (2009, August). The nuts and bolts of EMDR consultation - Expanded. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Consultation has become a topic of interest over the last few years. This workshop will review EMDRIA’s philosophy of consultation, what consultation is and is not, and its benefits. The function, content and goals of the four types of consultation will be reviewed, along with the consultant’s roles. Consultation for Certification and Consultation of a Consultant-In-Training (CIT) will be fully explored with specific tasks and methods for effective consultation identified. A newly credentialed Approved Consultant, with a well-developed consultation practice, will share practical methods to market, set-up and run consultation groups, as well as introduce a system for organizing and documenting group and individual consultation sessions. Ethical concerns in both EMDR practice and in conducting EMDR consultation will be discussed.

Keywords: Consultation

Accuracy Verified: Yes

107. Grant, M. (1997). Pain control based on EMDR. TherapistsResources.com.

Language: English

Format: Audio

Abstract:
Pain Control is designed to help you reduce pain and suffering, naturally. Pain is an experience and Pain Control works by changing the way you experience your pain. This tape incorporates bilateral stimulation with two guided visualizations designed to evoke soothing thoughts, feelings and images. The bilateral stimulation will enhance the feelings generated by the healing imagery, whether you are *visual* or not, and also cause relaxation.. Pain Control can supplement whatever treatment you are having, but it is not intended as a substitute for proper multi-disciplinary care. These unique self-help tapes incorporate the latest findings regarding the treatment of anxiety and pain. In addition to positive suggestions and relaxation, the tapes teach the listener how to be more in touch with their feelings, how to access their own inner emotional resources and how to allow transformation of negative emotional states. The tapes are based on EMDR (Eye Movement Desensitization & Reprocessing) and incorporate bilateral stimulation and dual focus of attention. Bilateral stimulation and dual focus of attention have been shown to facilitate rapid reduction of negative affective states. On the tapes, the unique combination of soothing words and music and bilateral stimulation is designed to produce relaxation almost in spite of any resistance. Users also not only feel relaxed after listening to the tape, but with repetitive listenings they learn how to release emotional blockages to relaxation and to experience less anxiety and greater emotional integration. The tapes can be used as a 'stand-alone' product or as an invaluable aid to treatment. When used in conjunction with treatment, the tapes serve to both facilitate and reinforce the therapeutic process, sometimes in quite dramatic and unforseen ways. Many therapists also use them on themselves These tapes have helped thousands of people, with all kinds of conditions, all over the world.

Keywords: Chronic pain Pain Control Posttraumatic Stress Disorder Psychic Trauma Treatment Psychosomatic Aspects PTSD Sound Recording

Accuracy Verified: Yes

108. Kreyer, A. K., & Egon, S. (2008, June). Physiological effects of eye movements of different speeds and eye fixation during engagement in negative autobiographical memories: Experimental research regarding EMDR. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract: The aim of the study was to explore the working mechanism of the bilateral stimulation component in EMDR in relation to current hypotheses. Physiological hypotheses (of orienting response and relaxation response) were tested in an analogous experimental setting. Moreover, the clinical advice to use different stimulation speeds for different phases of EMDR was examined at the autonomic level, exploring two different speeds of eye movements. In a within-subject design 42 female students performed 7 short sets each of rapid eye movements (1 Hz), slow eye movements (0.3 Hz) and eye fixation while engaging in negative autobiographical memories. Order of the tasks was counterbalanced. Electrooculogramm (EOG), electrocardiogramm, electrodermal activity and distal pulswave were recorded continuously. Skin conductance level (SCL), heart rate (HR), heart rate variability (RMSSD) and pulse wave transit time (PWTT) were calculated. Performance of the eye movement tasks were controlled through EOG. All three conditions showed a clear-cut de-arousal at stimulation onset, which was 30 indicated by a decrease in HR and SCL and an increase in RMSSD and PWTT. That means, fast and slow eye movements as well as eye fixation initiated a moderate, but clear relaxation response with increased parasympathetic and reduced sympathetic activity. These results suggest that the speed of eye movements do not influence autonomic functions. Furthermore, the results of this study do not support most of the current hypotheses regarding the working mechanism of the bilateral stimulation in EMDR. Alternative explanations are discussed

Keywords: Autobiographical Memories Research

Accuracy Verified: Yes

109. Laliotis, D. (2011, August). Plateaus of responsibility, safety, and choices: Case conceptualization and treatment. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
This workshop is for EMDR clinicians seeking to deepen their understanding of EMDR case conceptualization and treatment planning incorporating the informational plateaus of Responsibility, Safety and Choices. These informational plateaus are being presented as developmental plateaus, where deficits in the memory network exist due to a lack of earlier positive experiences to master developmental tasks. Participants will be able to: develop a working definition of each of the plateaus that informs target memory selection and negative beliefs; develop a treatment plan distinguishing between primary and secondary issues; identify and implement present triggers and future template scenarios that address developmental deficits and skills.

Keywords: Choice Responsibility Safety

Accuracy Verified: Yes

110. Hasto, J., & Vojtova, H. (2012). Posttraumatická stresová porucha, bio-psycho-sociálne aspekty EMDR a autogénny tréning pri pretrvávajúcom ohrození: Prípadová stúdia [Post-traumatic stress disorder, bio-psycho-social aspects of EMDR and autogenic training with ongoing risk: A case study]. (1.vyd) Olomouc: Univerzita Palackého v Olomouci.

Language: Slovak

Format: Book

Abstract:
Eye Movement Desenzibilizácia a prepracovanie predstavuje sľubný prístup k liečbe poúrazových porúch. Medzi špecifické faktory, z ktorých jej účinnosť spoliehajú predovšetkým na bilaterálnej stimulácie, ktorá ako sa zdá, vyvolať špecifickú neurobiological odpoveď počas traumatické odvolanie najmä u jedincov s PAS. Empirické poznatky poskytujú dôkazy o vplyve BLS na autonómneho nervového systému dosiahnuť rovnováhu smerom aktivácia parasympatiku (zníženie vzrušenie), ako aj vplyv na subjektívne vnímanú živosťou a emocionálne záťaž z autobiographic pamätí (pokles). Najdôveryhodnejší hypotézy odvodiť účinky z neurobiologických mechanizmov pracujúcich v duálnom zamerať pozornosť, orientujúca reflex a REM spánok. Ďalší výskum je potrebné preskúmať procesy zahrnuté v terapii EMDR podrobnejšie a objasniť úlohu bilaterálne stimulácie. (PsycINFO Database Record (c) 2012 APA, všetky práva vyhradené)

Eye Movement Desensitization and Reprocessing represents a promising approach to treatment of posttraumatic disorders. The specific factors underlying its effectiveness rely particularly on bilateral stimulation, which seems to provoke a specific neurobiological response during traumatic recall particularly in individuals with PTSD. The empirical findings provide evidence for the effect of BLS on autonomic nervous system shifting the balance towards parasympathetic activation (reducing arousal) as well as the effect on subjectively perceived vividness and emotional burden of autobiographic memories (decrease). The most credible hypotheses derive the effects from neurobiological mechanisms employed in dual focus attention, orienting reflex and REM sleep. Further research is needed to explore the processes included in the EMDR therapy in more detail and clarify the role of bilateral stimulation. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Keywords: Autonomic Nervous System Bilateral Stimulation Neurobiology Posttraumatic Stress Disorder PTSD REM Sleep

Accuracy Verified: Yes

111. Barbery, S. (2007, Juin). Pourquoi l'EMDR doit changer de nom [Why EMDR must change its name]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
"Depuis ce temps, les thérapeutes EMDR ont découvert que les différents types de stimulation double attention, comme les robinets à main et les tons sont susceptibles d'avoir les mêmes effets. En face, il ya une bonne possibilité que le dénominateur commun est le principal élément d'attention plutôt que le mouvement des muscles en particulier. Par conséquent, la désensibilisation des mouvements oculaires nom et le traitement est regrettable à bien des égards. Le mouvement des yeux terme est trop restrictive, et la même chose peut être dit pour la désensibilisation terme "(Francine Shapiro, 2002, EMDR comme une psychothérapie intégrative approche, APA, p. 28).
Je vais commencer par cette citation de poser la question cruciale: quel est vraiment le «plus petit dénominateur commun primaires" de l'EMDR?
Certainement pas les yeux car on utiliser plusieurs types de double attention! Et pourtant, la quasi-totalité de la communication externe sur l'EMDR accent uniquement sur les mouvements oculaires.
Il est la stimulation de rechange? La question reste ouverte, mais des preuves solides d'infirmer cette hypothèse.
Si la spécificité de l'EMDR ne réside ni dans les yeux, ni dans la stimulation de remplacement, at-il seulement existé? Je vais défendre mon intervention à l'idée que cette spécificité existe et repose sur la ruse de l'Assemblée des charges et des procédures d'autres techniques.
De ce point de vue, pourquoi continuer, autrement que pour des raisons marketing ou tribale, d'appeler EMDR une technique qui n'a rien à voir avec les mots censés qu'il symbolise, pour le représenter? N'est-ce pas induire en erreur et révélatrice d'une position de faiblesse pour continuer à appeler "smurf" quelque chose dont on sait qu'elle n'a rien à voir avec "Schtroumpf?" Ne l'exigence éthique de probité et de la science implique de renommer le protocole ? Le public aurait tort de là, bien au contraire. Si le nom ne doit pas être changé, l'EMDR peut avoir le même avenir que le magnétisme dans le 19ème siècle et peut être relégué dans le secteur de la parapsychologie. Il serait vraiment triste.

“Since that time, EMDR therapists have discovered that various types of dual attention stimulation, such as hand taps and tones are capable of having the same effects. In face, there is a good possibility that the primary common denominator is the attentional element rather than the particular muscle movement. Therefore, the name eye movement desensitization and processing is unfortunate in many ways. The term eye movement is unduly limiting, and the same can be said for the term desensitization” (Francine Shapiro, 2002, EMDR as an Integrative Psychotherapy Approach, APA, p. 28).
I will start from this quotation to ask the crucial question: What is really the “primary common denominator” of EMDR?
Certainly not the eyes since one use several types of dual attention! And yet almost all the external communication on the EMDR emphasis only on the eye movements.
It is alternate stimulation? The question remains open but strong evidence invalidate this assumption.
If the specificity of the EMDR lies neither in the eyes nor in alternate stimulation, does it only exist? I will defend in my intervention the idea that this specificity exists and rests on the cunning assembly of loads and procedures from other techniques.
From this point of view, why continue, otherwise than for marketing or tribal reasons, to call EMDR a technique which has nothing to do with the words supposed to symbolize it, to represent it? Isn’t this misleading and revealing a position of weakness to continue to call “smurf” something which one knows that it does not have anything to do with “smurf?” Doesn’t the ethical requirement of probity and science imply to rename the protocol? The public would be mistaken there, quite to the contrary. If the name is not to be changed, EMDR may have the same future as magnetism in the 19th century and may be relegated to the sector of the parapsychology. It would really be sad.

Keywords: Strategy

Accuracy Verified: Yes

112. Cohen-Posey, K. (2009, August). The power of EMDR: Evoking the self. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
EMDR has enjoyed a comfortable alliance with Ego-State Therapy. ‘Inner Critics’ or ‘People Pleasers’ may be the repository for such Negative Cognitions (NCs) as, “It’s my fault,” or, “I cannot upset anyone.” But who is the author of Positive Cognitions (PCs)? Are they constructed in the assessment phase of treatment, or do PCs emerge spontaneously with Dual Attention Stimuli from the Self: our unfettered awareness and contemplation? This workshop reveals EMDR as a catalyst for dialogues between the Self and NCs. Extraordinary imagery tools that enhance work with children and adults are offered to illuminate the surfacing of the Self.

Keywords: Negative Cognitions

Accuracy Verified: Yes

113. Janssen, W. C., & van der Beek, J. (2010). Prospectieve intrusies worden minder levendig en onaangenaam door oogbewegingen [Prospective intrusions are less vivid and uncomfortable by eye movements]. Utrecht, Nederlands: Universteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
In eerder onderzoek werd aangetoond dat intrusieve herinneringen aan het verleden minder levendig en onaangenaam worden wanneer deze worden opgehaald tijdens het maken van oogbewegingen. Dit zou kunnen komen doordat beide taken beslag leggen op de capaciteit van het werkgeheugen. Sommige mensen gaan echter gebukt onder verontrustende voorstellingen van de toekomst. In dit onderzoek wordt geprobeerd vast te stellen of ook deze zogenoemde prospectieve intrusies minder levendig en onaangenaam worden wanneer deze worden opgehaald tijdens het maken van oogbewegingen. Methode 28 gezonde deelnemers werd gevraagd twee prospectieve intrusies op te halen en deze op levendigheid, onaangenaamheid en toegankelijkheid te beoordelen. Alle deelnemers werden toegewezen aan een controleconditie, waarin deze intrusie enkel hoefde te worden opgehaald en vastgehouden, en een experimentele conditie, waarin de proefpersonen gevraagd werd tijdens het vasthouden van de intrusie horizontale oogbewegingen te maken. Na iedere conditie werd de herinnering opnieuw opgehaald en gescoord. Resultaten In de experimentele conditie namen de levendigheid en onaangenaamheid van prospectieve intrusies af, terwijl de levendigheid in de controleconditie juist toenam en de onaangenaamheid gelijk bleef. Discussie De resultaten suggereren dat het maken van oogbewegingen tijdens het ophalen van prospectieve intrusies de levendigheid en onaangenaamheid van deze beelden vermindert. De implicaties van deze bevinding worden besproken.

Earlier research has shown that intrusive memories of the past are less vivid and unpleasant when they are retrieved when making eye movements. This could be because both tasks seize the capacity of working memory. Some people, however, suffer from disturbing images of the future. This study attempted to determine whether these prospective intrusions known as less vivid and unpleasant when they are retrieved while making eye movements. Methods 28 healthy participants were asked to pick two prospective intrusions and the liveliness, unpleasantness and accessibility assessment. All participants were assigned to a control condition in which these intrusions just have to be picked up and detained, and an experimental condition in which the subjects were asked during the intrusion of horizontal eye movements hold it. After each condition, the memory retrieval and scored. Results In the experimental condition took the vibrancy and unpleasantness of prospective intrusions, while the liveliness in the control condition just increased and remained constant discomfort. Discussion The results suggest that making eye movements prospective intrusions while getting the vibrancy and reduces discomfort of these images. The implications of this finding are discussed.

Keywords: Prospective Intrusions Working Memory Theory

Accuracy Verified: Yes

114. Bruck, N. R. V. (2007, March). A psicologia das emergências: Um estudo sobre angústia pública e o dramático cotidiano do trauma [The psychology of emergencies: A survey of public angst and dramatic daily life of trauma]. Pontifica Universidade Catolica Do Rio Grande Do Sul, Programa De Pos-Graduacao Em Psicologia Doutorado Em Psicologia, Porto Alegre.

Language: Portuguese

Format: Dissertation/Thesis

Abstract:
O assunto “trauma” vem adquirindo novos significados, considerando principalmente acontecimentos sociais recentes, sejam eventos adversos, catástrofes, desastres, sejam as situações-limite vividas pelas pessoas no cotidiano urbano. A psicologia das emergências estuda o comportamento das pessoas nos acidentes e desastres desde uma ação preventiva até o pós-trauma e, se for o caso, subsidia intervenções de compreensão, apoio e superação do trauma às vítimas e profissionais do SAMU. O assunto se estende às questões que vão desde a experiência pessoal do trauma até os eventos adversos provocados por calamidades, sejam estas naturais e/ou provocadas pelo homem. A psicologia das emergências é um tema de angústia pública, sentimento difuso de mal-estar que se origina dos acontecimentos públicos traumáticos, chamados estressores, tais como os acidentes de trânsito com vítima, assim como os provenientes das demais situações limites de toda a violência urbana. O trauma é uma experiência que explode a capacidade de suportar um revés, traz a perda de sentido, desorganização corporal e paralisação da consciência temporal, pode deixar marcas que influenciam a criatividade e a motivação para a vida. Os objetivos nos primeiros auxílios psicológicos são de aliviar as manifestações sintomáticas e o sofrimento, reduzindo os sentimentos de anormalidade e de enfermidade. Um dos objetivos é a familiarização com temas considerados complexos e muitas vezes distantes das discussões sobre trauma psicológico, sendo que o problema da pesquisa é a compreensão da psicologia das emergências e como colocá-la em prática. Os autores mais utilizados são Edgar Morin, Alfredo Moffatt, Serge Moscovici, Gilles Deleuze e Michel Foucault, dentre outros. São abordados os temas do não-reducionismo, da epistemologia de si mesmo e da relação da Teoria das Representações Sociais com o EMDR (dessensibilização e reprocessamento através de movimentos oculares). O método desta pesquisa, com suporte na observação participante refere às questões da complexidade, análise multirreferencial e de implicação. As técnicas mais utilizadas foram entrevistas, grupos focais-“histórias significativas” e análise documental. É indicado, como atitudes favoráveis pensar não a partir de algo, mas, sobretudo sobre algo e que para mudar o modo de agir torna-se necessário modificar a imagem que uma pessoa tenha de si próprio. Como conclusões da pesquisa, observou-se: que as pessoas acidentadas trazem outros acontecimentos considerados difíceis junto com o depoimento sobre o acidente, como situações de luto e de sofrimento com familiares; que o estresse pós-traumático não é uma conseqüência inevitável do trauma; que não há nenhuma orientação, ou rotina, nas missões de socorros e nos documentos oficiais do SAMU sobre o tema psicologia das emergências. Também são indicadas considerações finais sobre os temas da Síndrome de Burnout, sobre a influência da instituição no cotidiano dos atendimentos, sobre a relação da clínica com a psicologia social.

The subject of "trauma" has acquired new meanings, especially considering recent social events, are adverse events, catastrophes, disasters, are the extreme situations experienced by people in urban daily life. Psychology emergencies studies the behavior of people in accidents and disasters from preventive action to post-trauma and, if necessary, subsidize interventions understanding, support and overcoming the trauma victim and professional SAMU. The subject extends to issues ranging from the personal experience of trauma to adverse events caused by disasters, whether natural and / or manmade. The psychology of emergencies is a topic of anguish public diffuse feeling of uneasiness that stems from public events traumatic, called stressors, such as traffic accidents with victims, as well as from the other extreme edge of all violence urban. Trauma is an experience that explodes the ability to support a setback, brings loss of meaning, and paralysis of body clutter temporal awareness, can leave marks that influence creativity and motivation for life. The goals in psychological first aid are to relieve symptomatic manifestations and suffering, reducing feelings of abnormality and disease. One goal is to become familiar with issues as complex and often distant from the discussions on trauma psychological, and the research problem is understanding the psychology of emergencies and how to put it into practice. The authors are more used Edgar Morin, Alfredo Moffatt, Serge Moscovici, Gilles Deleuze and Michel Foucault, among others. Issues are addressed in the non-reductionism, the epistemology of self and even the relationship of the Theory of Representations to EMDR (Desensitization and reprocessing through eye movements). The method this research, supported in participant observation matters relating to complex, multi-referential analysis and implication. The most used techniques were interviews, focus groups, "meaningful stories and documentary analysis. It indicated as positive attitudes to think not from something, but mainly on something and to change the mode of action becomes necessary to modify the image a person has of himself. As the survey findings revealed the following: that rugged people bring other events to be difficult with with testimony about the accident, as situations of grief and suffering with family, whereas the post-traumatic stress is not an inevitable consequence of trauma, there is no guidance, or routine tasks in the relief and SAMU official documents on the subject of psychology emergencies. Also concluding remarks are given on the topics of the Burnout on the influence the institution in the routine of care, about the relationship of clinical with social psychology.

Keywords: Emergency Treatment Postrraumatic Stress Disorder PTSD Social Psychology Stress

Accuracy Verified: Yes

115. Sack, M., Hofmann, A, Wizelman, L., & Lempa, W. (2007, June). Psychophysiological changes during EMDR - Are they related to treatment outcome?. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Objective: Dual attention stimulation seems to provoke orienting response like patterns of psychophysiological deactivation during “real-life” EMDR treatment sessions (Sack et al, in review). Objective of this study was to investigate the association of psych-physiological effects during dual attention stimulation with treatment outcome as measured by questionnaire and by psychophysiological reactions during presentations of an individualized trauma script.
Methods: A total of 24 EMDR treatment sessions from 10 patients with PTSD were monitored applying impedance Cardiography. The onset of every stimulation/exposure period was marked and effects within and across stimulation sets on heart rate (HR), heart rate variability (RMSSD), pre-ejection period (PEP) and respiration rate were examined. Heart rate reactivity during presentation of an audiotaped trauma script was measured at beginning of every session and additionally one week before the first session and one week after the last treatment session. Statistical correlations between both subjective (Impact of Event Scale, SUD) and objective (heart rate reactivity) measures of treatment outcome with psychophysiological changes during session (orienting response at beginning of stimulation, slope of HR) were computed.
Results: A significant reduction of trauma-related symptoms was noticed over the course of EMDR treatment: (IES one week pre: 61.2(SD 10.9), IES pre: 55.4(SD 19.0), IES post: 13.3(SD 12.2), F(2,27); 32.6, p < .001). Subjective distress during trauma script decreased significantly (SUD one week pre: 6.6(SD 1.4), SUD pre: 6.9(SD1.4), SUD post: 2.1(SD 1.7); F(2, 27); 31.5, p < .001). The statistical analysis of physiological variables is currently in process. Results will be presented at the conference.
Conclusions: The results of this study will allow further insights into the working mechanism of EMDR.
This study was co-sponsored by EMDREA and EMDRIA-Germany.

Keywords: Medical Treatment Outcome

Accuracy Verified: Yes

116. McFarlane, A. (2010, June). PTSD as an information processing disorder. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Posttraumatic stress disorder is a challenging condition, as people become captured by their past experiences and have difficulty engaging with the present. At the core of this condition is the role of traumatic memories, which orientate the individual's awareness and reactivity to reminders of the instigating traumatic event. The role of traumatic events has not been fully understood and grappled with in the full range of psychopathological conditions. This has important implications for the application of EMDR as a treatment for disorders above and beyond posttraumatic stress disorder.
However, the problems with information processing in PTSD go above and beyond the fear circuitry and reactivity to traumatic memories. Individuals with PTSD also have major difficulties with their self-orientation, which is reflected in deficits in default networks, the idling systems of the brain. These changes are indicative of problems in self-registration and free-floating reflection. Dissociative symptoms may relate to these abnormalities of individuals resting states as they reflect a sense of disconnection and integration of internal states into consciousness.
Secondly, posttraumatic stress disorder is associated with major problems in dealing with neutral environmental information. This is reflected in the symptoms of difficulty with concentration and emotional numbing. The underlying neurobiology of the working memory abnormalities in posttraumatic stress disorder will be highlighted. These studies show that, in PTSD, relatively simple attentional tasks recruit neural networks normally reserved for more demanding and higher order tasks. When confronted with more demanding challenges, individuals with PTSD do not have any further capacity to allocate to processing complex environments.
Individuals with PTSD also demonstrate a problem with switching their attentional focus from an idling to active state. The data suggests that they continue to use visio-spatial networks more than language-based systems for dealing with verbal tasks. This observation is in keeping with a broad body of literature, which suggests that there are problems with the processing of verbal memory tasks in PTSD. EMDR, as a treatment, may have an advantage, as it is not so dependent on verbal representations of traumatic experiences as other treatment approaches.
Finally, an important development in the field is a better understanding of the patterns of abnormal cortical arousal that accompany the peripheral arousal abnormalities in PTSD. Quantitative EEG has given insights into the instability of the cortical neural networks. Neurotherapy represents a treatment that can further assist clinicians in the management of these patients. It is important to consider the underlying psychosomatic aspects of posttraumatic stress disorder and ensure that treatment addresses these components as well the traumatic memories. Treatment should be thought of as a staged process where the processing of traumatic memories is only one component of a disorder that impacts on a range of information processing domains.

Keywords: Information Processing Keynote Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

117. Koppel, R. H. (2009, May). Rapid eye movement effects on traumatic memories: A test of the working memory hypothesis. The College of William and Mary, Williamsburg, VA.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing therapy (EMDR) is a psychotherapy that uses rapid eye movements to alleviate traumatic memories. This experiment examined two working memory hypotheses proposed to explain how performing rapid eye movements can affect the vividness, emotionality and completeness of traumatic memories. Participants (N=25) recalled three traumatic memories and rated them on vividness, emotionality and completeness before and after performing rapid eye movements. Participants also completed six working memory tasks to see if a correlation existed between working memory and the effect of rapid eye movements on memory rating variables. Findings illustrate that there was a significant decrease pre-test to post-test in vividness. Additionally, the factor underlying the reading span operation task and the Sternberg item order task significantly correlated with the effect of rapid eye movements for all memory ratings. The results of the current study support the central executive hypothesis explanation more than the visuospatial sketchpad storage hypothesis for EMDR. 3 Rapid Eye Movement Effects on Traumatic Memories: A Test of the Working Memory Hypothesis In 1987, Francis Shapiro discovered that performing horizontal eye saccades while holding a traumatic event in mind helped her alleviate the negative symptoms she experienced from that memory. She developed this intuition into a psychotherapy that is called Eye Movement Desensitization and Reprocessing (EMDR). This therapy is now a widely-used technique to treat victims of trauma, people suffering from post-traumatic stress disorder (PTSD), and people suffering from phobias and other anxiety disorders (Muris & Meckleberger, 1999). Shapiro (2001) describes EMDR as an eight-phase treatment method that includes history taking, client preparation, assessment, desensitization, installation, body scan, closure and reevaluation. An important, and distinguishing, component of the EMDR procedure involves the patient performing rapid bilateral eye movements while thinking about their traumatic memory and communicating any negative cognition associated with that memory. The horizontal saccadic eye movements generally involve watching the therapist’s quickly moving finger for 15-20 seconds/set (Shapiro, 2001). Eye saccade sets continue until the patient begins to report that negative aspects of the memory are being alleviated, and that positive self-cognitions have replaced the negative self-cognitions associated with the memory (Shapiro, 2001).

Keywords: Hypotheses Rapid Eye Movements REM Traumatic Memories

Accuracy Verified: Yes

118. Courtois, C. (1998, July). Recollections of sexual abuse: Principles and guidelines of treatment (EMDR not the focus). Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) discuss some of the major issues in the delayed/recovered memory controversy; 2) list some of the long-term clinical correlates associated with a history of child sexual abuse; 3) list some of the clinical presentations of adults abuse or possibly abused as children as they pretain to memory; and 4) describe suggested guidelines for treatement of adults abused or possibley abused as children and most common stages and tasks of posttrauma treatment.

Keywords: Sexual Abuse

Accuracy Verified: Yes

119. Dameshek, L. A. (2008). A recommended process for developing a prototype of a software tool incorporating dual focus of attention with bilateral stimulation to enhance academic outcomes. Prescott College, AZ. AAT 1457010.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a psychological intervention that combines bilateral stimulation and dual focus of attention to help subjects with various emotional conditions restructure traumatic memories in a brief yet effective treatment. This technique has been employed to help individuals visualize new concepts for creative purposes when prior emotional experiences block the individual's ability to perform desired tasks. The current research hypothesizes that bilateral stimulation and dual focus of attention could be valuable in educational scenarios, and it explores the design and prototype of a computerized tool that includes a similar combination of practices within an automated training system to test whether this could be an efficient and effective tool for teaching individuals complex or troubling material.[Author Abstract]

Keywords: Dual Focus Eye Movement Software

Accuracy Verified: Yes

120. Parker, A., Buckley, S., & Dagnall, N. (2009, February). Reduced misinformation effects following saccadic bilateral eye movements. Brain and Cognition, 69(1), 89-97. doi:10.1016/j.bandc.2008.05.009.

Language: English

Format: Journal

Abstract:
The effects of saccadic bilateral (horizontal) eye movements on memory for a visual event narrative were investigated. In the study phase, participants were exposed to a set of pictures accompanied by a verbal commentary describing the events depicted in the pictures. Next, the participants were asked either misleading or control questions about the depicted event and were then asked to engage in 30 s of bilateral vs. vertical vs. no eye movements. Finally, recognition memory was tested using the remember–know procedure. It was found that bilateral eye movements increased true memory for the event, increased recollection, and decreased the magnitude of the misinformation effect. The findings are discussed in terms of source monitoring, dual-process theories of memory and the potential neural foundations of such effects.

Keywords: Bilateral Eye Movements False Memory Hemispheric Interaction Misinformation Effects Source Memory

Accuracy Verified: Yes

121. Juraschka, W. (2009, May). Resourcing the child inside the trauma memory. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.

Language: English

Format: Conference

Abstract:
Learn this therapeutic intervention for adults traumatized as children by working inside the trauma memory when EMDR reprocessing breaks down because of emotional flooding. The inability to maintain dual attention is the primary cause of feeling overwhelmed and needing to stop. Intense emotions pull the client back into their memory and make it feel like they are reliving it (Re-traumatize). The goal of working inside the memory is to Rescue, Witness, Nurture, and Restore resourceful qualities to the frozen child within. This will help stabilize the client and allow the therapist to continue EMDR reprocessing.

Keywords: Children Trauma

Accuracy Verified: Yes

122. Kaye, B. (2008). Reversing reciprocal suppression in the anterior cingulated cortex: A hypothetical model to explain EMDR effectiveness. Journal of EMDR Practice and Research, 2(1), 88-99. doi:10.1891/1933-3196.1.2.88.

Language: English

Format: Journal

Abstract:
A theoretical model is proposed to explain desensitization during Eye Movement Desensitization and Reprocessing (EMDR) as resulting from the reversal of reciprocal suppression of cognitive processing in the anterior cingulate cortex (ACC). Dual-attention and error monitoring are known to activate dorsal regions of the ACC that mediate metacognitive processing. Neuroimaging research has produced evidence that cognitive areas in the upper ACC may reciprocally suppress affective processing in the lower areas and vice versa. It is therefore proposed that the original eye-to-finger tracking task of EMDR may achieve its therapeutic effect by using error monitoring to reverse suppression of the upper ACC by the lower ACC. Contributions to EMDR effectiveness from resource installation and novelty-driven orienting reflexes may also influence ACC functioning. A distraction effect is proposed to be a negative and potentially disruptive by-product of very interactive stimulation tasks. A semantic priming procedure is suggested to limit distraction effects during more interactive forms of stimulation. [Author Abstract]

Keywords: Anterior Cingulate Cognitive Processes Neurotransmitters Reciprocal Suppression Semantic Priming

Accuracy Verified: Yes

123. 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

124. 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

125. Najavits, L. (2004, September). Seeking safety: A stabilization therapy for PTSD and substance abuse. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Ontario Canada.

Language: English

Format: Conference

Abstract:
The goal of this presentation is to describe current state-of-the-art knowledge about the treatment of patients with the dual diagnosis of posttraumatic stress disorder and substance abuse, a population that is typically considered "difficult to treat" We will cover background on PTSD (including rates, the “typical case”, models and stages of treatment, clinical dilemmas, and gender issues) and clinical interventions for PTSD and substance abuse (including demonstration of specific treatment strategies, assessment tools, and community resources).

Keywords: PTSD Substance Abuse

Accuracy Verified: Yes

126. Schubbe, O. (2011, June). Self care during the EMDR session: The application of the standard protocol for working with counter-transference. Presention presented at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Secondary traumatization and appropriate self care are relevant current topics for psychotherapists, especially when working with complex trauma. During the application of the standard protocol, EMDR therapists are often confronted with reports of severe traumatic incidents, strong emotions, and different forms of transference. In reaction, they experience post-traumatic counter-transference, and sometimes even secondary trauma. The EMDR standard protocol provides the opportunity for dual application - parallel for client and therapist. Through processing of the initial counter-transference, the therapist experiences a unique EMDR process. This process resolves any disturbance that might occur through counter-transference issues. Learning objectives: The therapist can better support the EMDR process of the client, e.g. through more creative ideas for cognitive interweaves. The indication and contra-indications for this procedure will be discussed.

Keywords: Countertransference Self-Care

Accuracy Verified: Yes

127. Gerge, A. (2012, June). Seven ways to extend the EMDR-protocol based in clinical hypnosis for clients with complex dissociative disorders [Siete maneras de extender el protocolo EMDR basadas en hipnosis clínica para pacientes con trastornos disociativos complejos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Clients with complex dissociative disorders usually are in trauma-‐ induced wake trance-‐states. Due to this, they might thrive from treatment-‐ strategies, where skills in clinical hypnosis, from the side of the therapists, are added to the treatment model. Clinical hypnosis also offers excellent tools for working with attachment traumas and reinstalls the neuroception of safety. This workshop highlights seven strategies for extending the EMDR standard protocol, mainly built on clinical hypnosis. They consist of: (1) Formal hypnotic induction of safe place/safe state BEFORE introducing EMDR under phase I treatment (2) Informal hypnotic induction for ongoing activation of the social engagement system when clients are in trance (3) Using hyper-‐empirical trance inductions under exposure phase (ie helping the clients to stay present with dual awareness by continuously inducing trance, thus helping them to titrate the trauma-‐material (4) Addressing ego-‐states that react as if they still are bound in trauma-‐time (5) Addressing resource-‐rich ego-‐states and parts of the self, f ex ISH (internal self-‐ helper), thus helping the client to begin to metabolize the trauma material (6) Installation of hope and the “memory of the future” (7) Using post-‐hypnotic suggestions for enhancing the neuroception of safety between sessions. Learning objectives: Demonstrate how to use EMDR and hypnosis for stabilization and work with parts within phase II work, addressing the special needs of continuous stabilization for this population. Develop an understanding of how to enhance the integrative capacity during trauma-‐work with DD-‐clients. Apply structured techniques and rationales for calming and soothing patients related to their integrative capacity during extended EMDR-‐work.

Los clientes con trastornos disociativos complejos normalmente se encuentran en estados de trance despierto inducido por el trauma. Debido a esto, pueden crecer rápidamente de estrategias de tratamiento, donde estrategias de hipnosis clínica se añaden al modelo de tratamiento por parte del terapeuta. La hipnosis clínica ofrece también excelentes herramientas para trabajar con traumas de apego y reinstalar la neurocepción de seguridad. Este taller subraya siete estrategias para extender el protocolo estándar de EMDR, principalmente basadas en la hipnosis clínica. Consisten en: (1) Inducción hipnótica formal del lugar seguro/ estado de seguridad ANTES de introducir la fase I de tratamiento de EMDR (2) Inducción hipnótica informal para la activación continuada de los sistemas de compromiso social cuando los clientes están en trance (3) Uso de inducciones al trance hiper-‐empíricas en la fase de exposición (ej, ayudar a los clientes a estar presentes con conciencia dual mediante la inducción continua al trance, por tanto ayudándoles a valorar el material traumático. (4) Dirigirse a los estados del ego que reaccionan como si aún estuviesen atados al tiempo traumático (5) Dirigirse a estados del ego ricos en recursos y a partes del yo, por ejemplo, al ISH (en inglés yo-‐interno ayudante), por tanto ayudando al cliente a empezar a metabolizar el material traumático (6) Instalación de esperanza y la “memoria de futuro” (7) Usando sugestión post-‐hipnótica para fomentar la neurocepción de seguridad entre sesiones. Objetivos de aprendizaje: Demostrar cómo usar EMDR e hipnosis para estabilizar y trabajar con las partes en el trabajo de la fase II, dirigiéndonos a las necesidades especiales de estabilización continua para esta población. Desarrollar un entendimiento de cómo fomentar la capacidad integrativa cuando se trabaja el trauma con clientes-‐DD. Aplicación de técnicas estructuradas y racionales para calmar y tranquilizar a los pacientes en relación con su capacidad integrativa durante trabajo extendido con EMDR.

Keywords: Dissociative Disorders Hypnosis

Accuracy Verified: Yes

128. Gerge, A. (2012, June). Seven ways to extend the EMDR-protocol based in clinical hypnosis for clients with complex dissociative disorders [Siete maneras de extender el protocolo EMDR basadas en hipnosis clínica para pacientes con trastornos disociativos complejos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Clients with complex dissociative disorders usually are in trauma-induced wake trance-states. Due to this, they might thrive from treatment-strategies, where skills in clinical hypnosis, from the side of the therapists, are added to the treatment model. Clinical hypnosis also offers excellent tools for working with attachment traumas and reinstalls the neuroception of safety. This workshop highlights seven strategies for extending the EMDR standard-protocol, mainly built on clinical hypnosis. They consist of: 1. Formal hypnotic induction of safe place/safe state BEFORE introducing EMDR under phase I treatment. 2. Informal hypnotic induction for ongoing activation of the social engagement system when clients are in trance. 3. Using hyper-empirical trance inductions under exposure phase (ie helping the clients to stay present with dual awareness by continuously inducing trance, thus helping them to titrate the trauma-material. 4. Addressing ego-states that react as if they still are bound in trauma-time. 5. Addressing resource-rich ego-states and parts of the self, f ex ISH (internal self-helper), thus helping the client to begin to metabolize the trauma material. 6. Installation of hope and the “memory of the future”. 7. Using post-hypnotic suggestions for enhancing the neuroception of safety between sessions. Learning objectives: Demonstrate how to use EMDR and hypnosis for stabilization and work with parts within phase II work, addressing the special needs of continuous stabilization for this population. Develop an understanding of how to enhance the integrative capacity during trauma-work with DD-clients. Apply structured techniques and rationales for calming and soothing patients related to their integrative capacity during extended EMDR-work.

Los clientes con trastornos disociativos complejos normalmente se encuentran en estados de trance despierto inducido por el trauma. Debido a esto, pueden crecer rápidamente de estrategias de tratamiento, donde estrategias de hipnosis clínica se añaden al modelo de tratamiento por parte del terapeuta. La hipnosis clínica ofrece también excelentes herramientas para trabajar con traumas de apego y reinstalar la neurocepción de seguridad. Este taller subraya siete estrategias para ampliar el protocolo estándar de EMDR, principalmente basadas en la hipnosis clínica. Consisten en: 1. Inducción hipnótica formal del lugar seguro / estado de seguridad ANTES de introducir la fase I de tratamiento de EMDR. 2. Inducción hipnótica informal para la activación continuada de los sistemas de compromiso social cuando los clientes están en trance. 3. Uso de inducciones al trance hiper-empíricas en la fase de exposición (ej, ayudar a los clientes a estar presentes con conciencia dual mediante la inducción continua al trance, por tanto ayudándoles a valorar el material traumático. 4. Dirigirse a los estados del ego que reaccionan como si aún estuviesen atados al tiempo traumático. 5. Dirigirse a estados del ego ricos en recursos y a partes del yo, por ejemplo, al ISH (en inglés yo-interno ayudante), por tanto ayudando al cliente a empezar a metabolizar el material traumático. 6. Instalación de esperanza y la “memoria de futuro”. 7. Usando sugestión post-hipnótica para fomentar la neurocepción de seguridad entre sesiones. Objetivos de aprendizaje: Demostrar cómo usar EMDR e hipnosis para estabilizar y trabajar con las partes en el trabajo de la fase II, dirigiéndonos a las necesidades especiales de estabilización continua para esta población. Desarrollar un entendimiento de cómo fomentar la capacidad integrativa cuando se trabaja el trauma con clientes-DD. Aplicación de técnicas estructuradas y racionales para calmar y tranquilizar a los pacientes en relación con su capacidad integrativa durante trabajo extendido con EMDR.

Keywords: Dissociative Disorders Hypnosis

Accuracy Verified: Yes

129. Dworkin, M. (2010, March). Solving transference and counter-transference with dissociative disorders in EMDR. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Chair, Michael Paterson
This workshop will focus on the types of transference and counter-transference that arise in EMDR with dissociative clients and teach solutions. Procedural modifications have been the focus in dealing with pathological dissociation in EMDR treatment. Separately, transference and counter-transference with dissociative patients have been written about extensively by experts in the dissociation field. Research findings about the effects of mirror neurons and embedded simulation on the inter-subjective field of patient and therapist have also been published. Strategies for dealing with these transference and counter-transference in EMDR treatment have received little attention even though this population has intense transference, and can activate intense counter-transference. These issues may begin during an evaluation of the presenting problems. Strategies for identifying and using transference to enhance dual awareness during history taking will be demonstrated. An elongated preparation phase to develop enough trust and stabilization before exploring traumatic memories can limit induced transference. Different parts of a dissociative patient may have different kinds of transferences. These transferences may cause the patient to withdraw, cling or attack; affecting the therapist’s abilities to stay attuned and focused on the work in different phases of EMDR. Strategies of attunement to the activated part of the client will be demonstrated in order to repair or prevent ruptures of attunement. Interactions are bi-directional, and different (transferential) parts may activate dissociative parts of the therapist. Strategies to somatically identify and use these counter-transferential activations in the therapist will be taught through body based awarenesses. R/D/I strategies can be used to limit countertransference to remain grounded and attuned. Transference and counter-transference during the assessment phase will be identified and solutions presented. During the Desensitization phase under-accessing or over-accessing target memories; abreaction vs. vehement emotions will be discussed as unacknowledged dissociative moments with indications for inducing transference, counter-transference, or both. Decisions need be made collaboratively whether to process or contain these events. Understanding and dealing with dilemmas of dissociative enactments are crucial to keeping the healing process going. These inter-subjective issues may be most intense during the first four phases, but some problems may continue into Installation and the Body Scan. Problems and solutions during Incomplete Closure and the Re-evaluation phases will be given. Activated parts in the patient may cling or be angry with the therapist at the end of an EMDR session. Failure or defectiveness parts of the therapist may become activated as well. Solutions to these issues that occur during different phases will be taught so that participants will leave the workshop with additional strategies to use with their dissociative patients. Attunement to dissociative parts, identifying transference and counter-transference binds; The Clinician Self Awareness Questionnaire ; Compartmentalization; use of self soothing skills; using Relational, Empathic, and Transferential Interweaves; identifying moments of projective identification and enactments, and then to use them to deepen EMDR will be taught, as well as innovative inter-subjective strategies . Case examples and awareness exercises will used throughout the workshop to facilitate intellectual and experiential learning.

Keywords: Counter-transference Dissociative Disorders Transference

Accuracy Verified: Yes

130. Dworkin, M. (2009, August). Solving transference and countertransference with dissociative disorders in EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This workshop will focus on transference and countertransference problems and solutions in EMDR with dissociative clients. There will be a short literature review on procedural modifications in dealing with dissociation in EMDR, and transference and countertransference with dissociative patients. Research findings on mirror neurons and embodied simulation will be taught to enhance the participant’s understanding of the neurobiological substrates for attunement and resonance, and for solving transference and countertransference with dissociatives in EMDR when ruptures to relatedness occurs. Identifying and using transference reactions to enhance dual awareness will be demonstrated in history taking. Enhancements in preparation phase will be shown through case example to limit induced transference. Transference and countertransference during the assessment phase will be identified and solutions offered. In the Desensitization phase EMDR processing may induce transference, countertransference, or both (even with procedural modifications). Intersubjective challenges seem to be more intense during phases 1 -4 and 7-8. Activated parts in the patient may cling or be angry with the therapist at the end of an EMDR session, or during Re-evaluation. Failure or defectiveness parts of the therapist may become activated then as well. Different parts of a dissociative patient may appear with different kinds of transferences during different EMDR phases. These transferences challenge therapist’s abilities to stay attuned. Strategies of attunement to the activated part of the patient will be demonstrated in order to repair or prevent ruptures to the alliance and to understand the nature of the dissociated communication. Bi-directional interactions may activate parts of the patient and therapist without conscious awareness. Strategies to somatically identify and use these countertransferential activations will be taught through experiential exercises so that the therapist may have a more in depth understanding of the dissociative patient’s communications. R/D/I strategies will be reviewed and applied to the therapist to limit countertransference activations. Dealing with dissociative enactments are crucial to identify ruptures to the therapeutic alliance, restore attunement and resonance, uncover dissociative messages that can be used during EMDR processing.. Solutions to the problems that occur during different EMDR phases will be taught using lecture, discussion, case examples, written and experiential exercises so that participants will leave the workshop with additional strategies. Solutions include how to maintain attunement to dissociative parts during transferential activations while enhancing dual awareness; how to identify transference and countertransference problems during phases 1-4 and 7-8 and use them as additional sources of dissociated communications that can be used in EMDR processing ; how to use the Clinician Self Awareness Questionnaire to identify and process countertransference problems ; how to use compartmentalization strategies using R/D/I to limit countertransference activations; how to develop self soothing skills for the therapist’s dissociated parts; how and when to use Relational, Empathic, and Transferential Interweaves during Desensitization; and how to identify moments of enactments, and using EMDR strategies to deepen the EMDR experience .

Keywords: Countertransference Transference

Accuracy Verified: Yes

131. L'Abate, L. (1999). Taking the bull by the horns: Beyond talk in psychological interventions. The Family Journal, 7(3), 206-220. doi:10.1177/1066480799073002.

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

132. Knipe, J. (2005). Targeting positive affect to clear the pain of unrequited love, codependence, avoidance, and procrastination. In R. Shapiro (Ed.). EMDR solutions: Pathways to healing (pp. 189-212). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
Most clients who enter therapy do not have a simple problem of a single disturbing memory. More typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also a history of conscious or unconscious choices about how best to soothe, contain, or avoid that disturbance. When the client has a problem that includes positive and negative affective components, we could say (in the language of Shapiro's Adaptive Information Processing Model) that the chain of experiential associations -- the dysfunctionally stored memory network -- has positively valued experience at the entry point into the network and disturbing material at other, less accessible places. Clients often experience this situation as one of conflicting ego states. Specifically, one ego state may be positively emotionally invested in an outcome that is an obstacle to the person's larger life goals. When this happens and the usual EMDR method of targeting negative affect is stalled, it may be useful to target the positive side of the issue, that is, an image that has a positive emotional valence. Such clients are asked to hold in mind the enjoyable aspects of a problematic wish or identity while engaging in Dual Attention Stimulation (DAS). In this way, they can process these positive aspects, "disinvest" from the problem, and go on to resolve the conflict. Several session transcripts illustrate how this approach can work in practice. [Adapted from Text, pp. 189-190]

Keywords: Life Experiences Psychotherapeutic Processes Survivors

Accuracy Verified: Yes

133. Bartelski, N. (2011). Taxing of the working memory and the accessibility of memories. Utrecht, Nederlands: Universiteit Utrecht.

Language: English

Format: Dissertation/Thesis

Abstract:
Most laboratory studies concerning eye movement desensitization and reprocessing (EMDR) have focused on investigating how EMDR reduces the vividness and emotionality of memories. There has however been less focus on what occurs to the accessibility of the memory following EMDR. To assess accessibility we utilized three experiments. In each participant’s encoded two pictorial stimuli (images), held one of them in-mind, and simultaneously performed or did not perform EMDR-like working memory taxing (WM-taxing) tasks. Participants then freely-recalled or recognized as many details as they could from both images. In experiments 1a and 1b we found that free-recalled accessibility was reduced for the image that was held in-mind whilst WM-taxing tasks were performed, compared to when no-WM-taxing tasks were performed. In experiment 2, accessibility was measured in reaction time (RT). Decreased accessibility (slower RT) was observed when an image was held in-mind whilst WM-taxing tasks were performed. The decrease in accessibility, along with an observed decrease in vividness, possibly helps to give a more complete picture of EMDR’s effectiveness. Additionally it demonstrates that the effects of EMDR can be observed via non self-report measures.

Keywords: Fading In Fading Out Memory Accessibility Traumatic Image Working Memory Account Working Memory Taxing

Accuracy Verified: Yes

134. van Uijen, S. L. (2010). Taxing working memory during memory recall and the startle reflex. Utrecht, Nederlands: Universiteit Utrecht.

Language: English

Format: Dissertation/Thesis

Abstract:
A dual-task during recall of an emotional memory reduces its vividness and emotionality, which may be due to both tasks competing for limited working memory (WM) resources. The dose-response relationship between WM taxing during memory recall and its benefits was investigated. Additionally, the fear-potentiated startle reflex was measured to obtain more objective information about the expected decrease in vividness and emotionality. Participants recalled negative and positive memories while performing no dual-task, a moderately taxing dual-task (eye movements), or a very taxing dual-task (Tetris), after which vividness, emotionality and the startle reflex were measured. Compared to no dual-task, eye movements and Tetris similarly decreased image vividness and/or emotionality, and the startle reflex. The findings suggest a WM account of EMDR, which indicates that a concurrent task is beneficial because it taxes WM during memory recall; and that WM taxing during memory recall and its benefits are not linearly related.

Keywords: Intrusive memory Posttraumatic Stress Disorder PTSD Startle Reflex Working memory

Accuracy Verified: Yes

135. de Heer, E. W., & Hoogeveen, E. M. (2009). Taxing working memory during recall of distressing memories with a counting task and EMDR benefits. Utrecht, Nederlands: Universiteit Utrecht.

Language: English

Format: Dissertation/Thesis

Abstract:
Dit experiment is gebaseerd op de hypothese dat de omvang van de EMDR-effecten kritisch hangt af van de mate waarin het werkgeheugen (WM) is belast tijdens het ophalen. De deelnemers deden herinneren aan pijnlijke herinneringen tijdens het uitvoeren van een van de twee afleidende taken (terugtellend met stappen van 2 of 7), het ene meer, afhankelijk van WM dan de andere. Hoe meer WM was belast, de grotere verlagingen van de levendigheid en emotionaliteit werden verwacht. De uitkomsten werden vergeleken met een controle conditie. Terugtellend met stappen van 2 of 7, terwijl we een verontrustende autobiografisch geheugen in het achterhoofd, verlaagt de emotionaliteit van het geheugen dat met name in vergelijking met het tellen van helemaal geen. De verlaging van de 7's staat, echter niet significant afwijken van de verlaging van de eenvoudige (dwz 2's) staat. Kortingen voor levendigheid werden niet gevonden. Deze resultaten ondersteunen het werkgeheugen account. Er is echter meer onderzoek nodig om de dosis-respons relatie tussen WM-load en EMDR-effecten en tot een beter begrip van de elementaire onderdelen van EMDR te krijgen verklaren.

This experiment is based upon the hypothesis that the magnitude of the EMDR effects critically depends on the degree to which working memory (WM) is taxed during retrieval. Participants did recall distressing memories while performing one of two distracting tasks (counting backwards with steps of 2 or 7); the one more depending on WM than the other. The more WM was taxed, the larger reductions in vividness and emotionality were expected. The outcomes were compared to a control condition. Counting backwards with steps of 2 or 7, while holding a distressing autobiographical memory in mind, decreases the emotionality of that particular memory compared to no counting at all. The reduction in the 7’s condition, however, did not differ significantly from the reduction in the simple (i.e. 2’s) condition. Reductions for vividness were not found. These results do support the working memory account. However, more research is needed to explain the dose-response relation between WM-load and EMDR-effects and to get a better understanding of the elementary components in EMDR.

Keywords: Retrieval Working Memory

Accuracy Verified: Yes

136. Engelhard, I. M., van den Hout, M. A., & Smeets, M. A. (2011, March). Taxing working memory reduces vividness and emotional intensity of images about the queen's day tragedy. Journal of Behavior Therapy and Experimental Psychiatry, 42(1), 32-37. doi:10.1016/j.jbtep.2010.09.004.

Language: English

Format: Journal

Abstract:
Eye movements during exposure to distressing mental images reduce their vividness and emotional intensity, which may be due to both tasks competing for working memory (WM) resources. WM theory predicts an inverted U-shaped relationship between degree of taxing and beneficial effects: greater taxing of WM will more greatly reduce vividness/emotionality, but extremely taxing tasks prevent holding the image in mind, thereby reducing benefits. This study examined whether mental arithmetic (subtraction) tasks during visual imagery reduce image vividness/emotionality ratings, and taxing WM and reduced vividness/emotionality show the predicted quadratic relationship. A non-clinical sample retrieved a distressing image of the Queen's Day tragedy (which occurred 1-3 months earlier in the Netherlands), and rated it for vividness and emotionality. Participants were assigned to one of four conditions: exposure alone or exposure with concurrent 'simple' subtraction, 'intermediate' subtraction, or 'complex' subtraction. Afterwards, vividness and emotionality were rated again. A reaction time task showed that the subtraction tasks increasingly taxed WM. Consistent with WM theory, exposure with subtraction reduced image vividness and emotionality compared to exposure alone. The expected inverse U-curve relationship was found for emotionality, but not for vividness: simple or intermediate subtraction had more beneficial effects than no dual-task or complex subtraction. Clinical implications are discussed.

Keywords: Emotionality Vividness

Accuracy Verified: Yes

137. Mosquera, D., González, A., & Vazquez, I. (2012, Enero ). Terapia EMDR (eye movement desensitization reprocessing) en el trastorno límite de personalidad: Reflexiones en torno a un caso de patología dual [EMDR (Eye Movement Desensitization Reprocessing) in BPD personality: Reflections on a case of dual diagnosis]. Revista Espanola de Drogodependencias, 37(1), 82-95.

Language: Spanish

Format: Magazine

Abstract:
Los pacientes con trastorno límite de la personalidad y adicciones suponen un desafío para los centros de atención específicos. Los pacientes con patología dual suelen presentar dificultades en los programas orientados a la evitación del consumo. No solo por sus frecuentes problemas interpersonales sino debido a que su problemática de adicción no se ajusta al patrón prototípico de abuso o dependencia de sustancias. La terapia Eye Movement Desensitization Reprocessing (EMDR), orientada al tratamiento de las experiencias desde las cuales se han desarrollado ambos trastornos, permite un abordaje integral de ambos problemas. EMDR es una terapia que aborda las situaciones relacionadas con trauma temprano y apego disfuncional, altamente prevalentes tanto en el trastorno límite de personalidad como en las conductas adictivas.A través de un caso clínico se ilustra un posible plan de tratamiento para trabajar la patología dual desde EMDR.

Patients diagnosed with borderline personality and substance abuse disorders represent a challenge for specific treatment centers.These patients tend to experience difficulties in substance or alcohol abuse programs due to their frequent interpersonal problems and their addiction patterns, which do not fit into a standard pattern of substance abuse or dependence. Eye Movement Desensitization Reprocessing (EMDR) therapy, oriented toward the treatment of the experiences that originate both disorders, allows an integrated approach of both problems. EMDR is a psychotherapy that addresses early trauma and dysfunctional attachment experiences, which are highly prevalent both in BPD and substance abuse disorders.We will illustrate a possible treatment plan from the EMDR perspective through a case example.

Keywords: Alcohol Abuse Borderline Personaity Disorder BPD Dual Diagnosis

Accuracy Verified: Yes

138. Streeck-Fischer, A. (2005). Traumaexposition bei jugenlichen? Ein fallbeispiel [Trauma exposure with adolescents? A case report]. PTT: Personlichkeitsstorungen Theorie und Therapie, 9(1), 22-29.

Language: German

Format: Magazine

Abstract:
Im Allgemeinen ist es vorgeschlagen, um Jugendlichen mit schweren posttraumatischen Belastungsstörung zu einer EMDR-Behandlung in der Psychotherapie eingebettet aussetzen. Wegen der Jugendlichen spezifische Konflikte wie Autonomie und Unabhängigkeit, Sprachlosigkeit und "erlassen Nachrichten" und der instabilen Lebens-Situation der Jugendlichen therapeutische Schritte statbilization und Entwicklung der Humanressourcen zu vorheriger Schwerpunkt sein. Trauma Exposition mit EMDR kann innerhalb bestimmter Grenzen, die sich aus aktuellen Konflikten und Aufgaben erfolgen benutzen, was muss zuerst gelöst werden. Ein Fallbericht zeigt die verschiedenen Probleme.

In general it is suggested to expose adolescents with severe posttraumatic stress disorder to an EMDR treatment embedded in psychotherapy. Because of adolescent-specific conflicts like autonomy and independency, speechlessness and "enacted messages" and the unstable life-situation of those adolescents therapeutic steps of statbilization and resource development have to be given prior emphasis. Trauma exposure with EMDR can be done within certain limits resulting from actual conflicts and tasks whih have to be resolved first. A case report demonstrates the different problems.

Keywords: Practice Theory

Accuracy Verified: Yes

139. Whisman, M. (2000, May 6). Treatment of obsessive compulsive disorder (OCD) with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.

Language: English

Format: Conference

Abstract:
This presentation will focus on key factors believed to contribute to the development and maintenance of OCD: a damaged, diffuse sense of self; a perceived inadequacy to function, to meet the vicissitudes of life; and an elaborate defence system designed to offer the illusion of safety and control (avoidance of affect and action). Given the prominence of cognitive distortions and avoidance of affect in OCD, and the impact of EMDR on such phenomena as exhibited in the literature about EMDR treatment with PTSD, Whisman believes EMDR has the potential to be quite beneficial in the treatment of OCD. EMDR seems to allow the OCD client to hold a dual focus: the illusion of the disorder and the reality of the self; and to tolerate the affect accompanying this processing. Bridging past experience and present behavior, EMDR appears to allow new connections to be made that offer the client a distance form the disorder and a strengthening of the self. A model for educating the client about OCD will be presented a model whcih develops a "language" between therapist and client and bridges self and disorder; changes in the standard EMDR protocol will be presented and demonstrated via videotape; and EMDR components such as targeting, cognitive interweaves, and resource installation will be addressed. Clinical observation and client self-report are pointing to EMDR as an effective treatment component for OCD.

Keywords: Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

140. Shapiro, R. (2005). Using EMDR in couples therapy. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 283-292). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
Why would you do EMDR, a decidedly individual therapy, with couples? How do you decide with whom to use EMDR? And is there anything besides trauma processing that EMDR brings to conjoint couples therapy?In 8 out of 10 couples sessions, I use the Standard Protocol to clear trauma from inside and outside the relationship and from before and after the couple met. The partners envision and practice new behaviors with the Future Template. Dual Attention Stimulus (DAS) can enhance self-soothing. Additionally, when a partner sees the other partner do EMDR or is seen doing EMDR, differentiation is enhanced in each. [Text, p. 283] [Pilots]

Keywords: Adults Family Therapy Marital Problems Sex Therapy Stressors Survivors

Accuracy Verified: Yes

141. Britt, V., Bender, S. S., & Diepold, J. (2009, August). Using energy psychology to address inability to maintain dual attention focus in EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
The AIP model requires a dual focus with patient’s attention on the traumatic memory concomitant with an awareness of the present moment. Despite an intensive EMDR preparation phase, some patients lack the resources to tolerate the desensitization phase and are unable to achieve or maintain dual attention during the bilateral stimulation. In this workshop, we will teach techniques from the emerging field of energy psychology, such as polarity corrections and touch and breathe, which provide additional tools for the EMDR process and expand therapists’ strategies for assisting patients who are dissociative, fearful, abreactive or have limited self-regulatory skills.

Keywords: Energy Psychology

Accuracy Verified: Yes

142. Dworkin, M. (2008, June). Using the therapeutic relationship in EMDR with patients with complex PTSD. Presentation at the annual meeting of the EMDR Europe Association, London, England UK.

Language: English

Format: Conference

Abstract:
Now that the therapeutic relationship is firmly part of EMDR, it is time to show its uses with difficult populations. Skilful emphasis on empathic attunement beginning in the history taking phase with emphasis on using the Procedural Steps Outline diagnostically, and Light stream as an affect management tool, starting in the first session will be shown to be of use specifically with this population. This population needs special attention regarding alterations in affect regulation, self perception, consciousness and attention, somatisation, trust, and identity. In the preparation phase participants will learn various relational strategies to accomplish these tasks. They will also learn to use the relationship as an additional resource for containment with appropriate boundaries. Relational concepts such as “Implicit Relational Knowing”, “Moments of Meeting”, and “Dyadic Expansion of Consciousness” will be taught to expand methods of stabilization for preparation, and for active trauma work. Modifications of active trauma work using active resourcing; titrating or dosing; treating transference and counter transference phenomenon will all be demonstrated to enhance EMDR work with complex PTSD and Dissociation. Dworkin's Trauma Case Conceptualization Questionnaire and his Clinician Self Awareness Questionnaire will be taught and used to

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Therapeutic Relationship

Accuracy Verified: Yes

143. Lilley, S. A., Andrade, J., Turpin, G., Sabin-Farrell, R., & Holmes, E. A. (2009, September). Visuospatial working memory interference with recollections of trauma. British Journal of Clinical Psychology, 48(3), 309–321. doi:10.1348/014466508X398943.

Language: English

Format: Journal

Abstract:
Objectives: Laboratory research using a working memory framework has shown modality-specific reductions in image vividness and emotionality when concurrent tasks are performed while maintaining the image in consciousness. We extended this research to trauma images in a clinical population awaiting treatment for post-traumatic stress symptoms. Design: A within-subjects design was used, with each participant completing an imagery task under three concurrent task conditions: side-to-side eye-movements, counting, and exposure only (no concurrent task). Methods: Eighteen participants selected three images each, the images being those that were the most distressing from participants’ trauma memories and most likely to intrude involuntarily. Participants gave baseline ratings of the vividness and emotionality of each of their trauma images. Each image was assigned to a condition. Each condition comprised 8 trials in which participants recollected the appropriate image for 8 s while performing eye-movements, counting or no concurrent task, and then rated its vividness and emotionality. Follow-up ratings were obtained by telephone 1 week later. Results: The eye-movement task reduced vividness and emotionality of the trauma images relative to the counting task and exposure only, but did so only during the imagery period and not at follow-up. The images were predominantly visual. Conclusions: Concurrent tasks matched to the modality of trauma images may provide a useful treatment aid for temporarily dampening emotional responses to recollections of trauma.

Keywords: Trauma Memory Visuospatial Working Memory Interference

Accuracy Verified: Yes

144. Linklater, A. (2007, February 10). The woman who was afraid of water. London, England: The Guardian, Weekend, 69.

Language: English

Format: Newspaper

Abstract:
Iris explained that, in cognitive therapy, this was called memory "processing", and the particular method she used had a rather scientific-sounding name - EMDR, or Eye Movement Desensitisation and Reprocessing. But it was actually quite simple. It wasn't about revisiting childhood fears; it didn't even do what was expected in some trauma treatment, which was to relive an event through "imaginal exposure". With EMDR, you had only to think about your particular symptoms, and the events or beliefs that went with them. This was called "dual awareness" - thinking about the past and present at the same time. And there was an easy trick involved. Iris would tap Mai's knees while she let her reactions sink in, or move a finger back and forward across her eyes.

Keywords: General Overview Phobia

Accuracy Verified: Yes

145. Altink, A. J. A., van Terwisga, P., Helms, F. D. G., & Oostenbroek, S. H. (2012). Word tracking task as an alternative to horizontal eye movements in the reduction of vividness and emotionality of aversive memories in EMDR. Social Cosmos, 3(2), 185-199.

Language: English

Format: Journal

Abstract:
When treating a patient with PTSD, therapists often use eye movement desensitization and reprocessing (EMDR). In EMDR patients make horizontal eye movements (HEM) while the image of a traumatic memory is recalled. Various studies showed that making HEM during recall of an aversive memory results in a decline in vividness and emotionality of this memory. This study aimed to create an alternative task that would be less physically demanding for the therapist than applying HEM. This task should, according to the working memory (WM) hypothesis, tax the WM as much as HEM. To accomplish this goal, a word-tracking task (WTT) was created in which an oval that moved over a matrix with color-words had to be followed with the eyes. Experiment I showed that the WTT taxes WM, though not as much as HEM. In experiment II, both the WTT and HEM resulted in a decrease in vividness and emotionality of an aversive memory. The results obtained raise questions about a supposed linear relationship between the WM-taxing and EMDR-efficacy of tasks. Further investigation of this relationship is recommended. Also recommended is further study in a clinical population. The WTT seems to be a good alternative for horizontal eye movements in EMDR.

Keywords: Posttraumatic Stress Disorder PTSD Working Memory

Accuracy Verified: Yes

146. van der Wielen, J. W. (2012). The working mechanism of eye movements: Dual-tasking or task switching?. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:

Keywords: Eye movements Task Switching Working Memory

Accuracy Verified: Yes

147. Maxfield, J. L. (2003). A working memory analysis of the dual attention component of eye movement desensitization and reprocessing. Lakehead University, Thunder Bay, Ontario Canada. AAT NQ85018.

Language: English

Format: Dissertation/Thesis

Abstract:
This dissertation applied the concepts and predictions of working memory theory to a psychotherapeutic approach, Eye Movement Desensitization and Reprocessing (EMDR). The overview of EMDR included a description of the treatment, theoretical model, empirical studies, and possible mechanisms of action. The overview of working memory included a summary of concepts and theories, and a comprehensive research review. Seven studies that investigated the related effects of eye movements (EMs) were described in detail. Two experiments were conducted to test predictions from working memory research about the effect of EMs on autobiographical memory. In both Experiments, participants identified 3 negative memories and focused on each for 2 minutes, while simultaneously engaging in 1 of 3 divided attention (DA) conditions: an easy EM task (Slow-EM), a difficult EM task (Fast-EM), and a task with no EM (Control). Measures were pre-post ratings of memory-related image vividness, thought clarity, and emotional intensity. In Experiment 2, participants were also randomly assigned to a focus on image-only or image-thought. Memory recall during Control resulted in significant post-condition increases in all measures, except emotional intensity in Experiment 1. Compared to Control, recall during both Slow-EM and Fast-EM produced significantly smaller scores for image vividness and thought clarity, and, in Experiment 2, for emotional intensity. At post-condition, Fast-EM resulted in significantly lower scores than Slow-EM for image vividness in both Experiments and emotional intensity in Experiment 2. There were no differences in outcomes between focus on image-only and on image-thought. Findings of the current experiments supported a working memory explanation for the effects on visual and thought clarity. The competition of resources during simultaneous EM and memory recall reduced memory quality. The greater degradation of memory components resulting from the more difficult condition, Fast-EM, may be attributed to demands made on visuospatial sketchpad resources. The components of each memory appeared to be linked and to show similar patterns of change, within conditions. Reported levels of pre-task emotional intensity did not predict change in thought clarity and image vividness. Finally, a theoretical application of working memory theory to EMDR was presented and recommendations were made for future research. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 64(10-B), 2004, pp. 5225.

Keywords: Attention Dual Attention Component Empirical Study Eye Movements Short-Term Memory Working Memory

Accuracy Verified: Yes

148. Maxfield, L., Melnyk, W. T., & Hayman, C. A. G. (2008). A working memory explanation for the effects of eye movements in EMDR. Journal of EMDR Practice and Research, 2(4), 247-261. doi:10.1891/1933-3196.2.4.247.

Language: English

Format: Journal

Keywords: Eye Movements Mechanism of Action Memory Components Working Memory

Accuracy Verified: Yes