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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. Robertson, J. M., & Williams, B. W. (2010). "Gender aware therapy" for professional men in a day treatment center. Psychotherapy Theory, Research, Practice, Training, 47(3), 316–326. doi:10.1037/a0021163.

Language: English

Format: Journal

Abstract:
High accountability men in the medical, legal, corporate, and mental health professions sometimes engage in behavior that violates their fiduciary responsibilities. These highly skilled men may engage in disruptive or explosive behavior, cross sexual boundaries with clients or patients, abuse substances, or have other psychiatric problems that compromise their workplace performance. When this occurs, licensing boards, professional societies, or supervising executives often require the dysregulated man to seek assistance. This article reports on ways the Professional Renewal Center incorporates recommendations from “Gender Aware Therapy” in developing a male-friendly approach to conducting comprehensive multidisciplinary psychological assessments, and to providing intensive, multimodal, weeks-long treatment services.

Keywords: Assessment  Masculinity  Professionals  Treatment  

Accuracy Verified: Yes


3. 杜鹃 [Du Juan] ( 发表时间). 创伤后应激反应的相关因素分析及眼动疗法干预研究 [The analysis of related factors of post-traumatic stress and the research on EMDR intervention]. 山东大学.

Language: Chinese

Format: Book

Abstract:
5EMDR未来的方向对EMDR治疗持不乐观的文献亦较多,如有人指出目前关于EMDR的对照研究没有严格遵照科学的原则,故其有效性有待进一步考证〔34j。另外,关于EMDR在处理创伤的生理学症状所起的作用和机制的探讨,还不是很清楚,缺乏更多的实证研究。...

[2.1.5. The future of EMDR. There are also many articles which hold negative attitudes on EMDR treatment. Some people pointed that the current control study of EMDR does not follow strictly the scientific rules. Thus, proofs of its effectiveness are needed. Moreover, the exploration of the function and mechanism of EMDR in the treatment of traumatic physiology symptoms is still unclear and yet to be proved…]

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


4. 菅原, 正和 芦澤, 志帆子 田山, 淳 [Sugawara Masakazu, Ashizawa Shihoko, & Tayama Jun]. (2000). 心理療法におけるEMDR(Eye movement desensitization and reprocessing のメカニズム(II): saccadeの問題 [An analysis of stimulous conditions on EMDR protocol (II): Saccadic eye movements]. 教育、岩手県、60の大学(2)、49から59の学部年報 [Annual report of the Faculty of Education, University of Iwate, 60(2), 49-59].

Language: Japanese

Format: Journal

Keywords: Saccadic Eye Movements  

Accuracy Verified: Yes


5. 菅原正和・田山淳 [Masakazu Sugawara, Shihoko Ashizawa, and Jun Tayama]. (2000). 心理療法におけるEMDR(Eye movement desensitization and reprocessing)のメカニズム(I) : EMDRプロトコルの刺激条件に関する生理心理学的検討 [The organic mechanisms of EMDR in psychotherapy (I): An analysis of stimulous conditions on EMDR protocol]. 教育、岩手県、60の大学(1)、1-9学部研究年報 [Annual report of the Faculty of Education, University of Iwate, 60(1), 1-9].

Language: Japanese

Format: Journal

Keywords: Mechanisms of Action  

Accuracy Verified: Yes


6. 赵国秋 汪永光 王义强 付素芬 唐济生 曹日芳 [Zhao Guoqiu, Wang Yongguang, Wang Yiqiang, FU Shufen, Tang Jisheng, & Cao Rifang] (发表时间). 胶济铁路交通事故伤员心理危机干预结果分析 [The Analysis of Intervention for Casualties in the Accident on Jiaoji Railway on April 28]. 中国首届心理咨询师大会暨心理危机干预研讨会论文集.

Language: Chinese

Format: Conference

Abstract:
对22名ASD患者进行EMDR治疗,比较EMDR治疗前后的心理行为反应的差异。结果:有22名达到ASD(急性应激障碍)诊断标准,ASD发生率为9.73%,伤员中主要以闯入、警觉性增高表现为主,并伴随着其它的负性情绪体验。女性组心理行为反应结果明显重于男性组,女性组ASD...

(Based on the treatment of EMDR for 22 ASD patients, the comparison of psychological and behavior reaction between and after the treatment is shown. Results: there were 22 patients who reached to the diagnosis standard of ASD (Acute Stress Disorder). The incident rate is 9.73%. The major reaction is the increase of intrusive thoughts and alertness, with some other negative emotional experiences. The result of the psychological and behavior reaction of the female group is evidently stronger than that of the male group. The female group…)

Keywords: Acute Stress Disorder  ASD  Jiaoji Railway  

Accuracy Verified: Yes


7. Kuhn, G. (2008). 采用EMDR技术对消极表现经历的情绪再加工 [Emotional reprocessing of negative performance using the EMDR technique]. 天津体育学院学报 第03期 [Journal of Tianjin University of Sport, 155(3)] .

Language: Chinese

Format: Journal

Abstract:
许多运动员在他们的职业生涯中都经历过在特定情境中承受反复的身心障碍(如恐惧对手,所谓的"不堪一击",双腿灌铅)。

Many athletics have the experiences of suffering from repeating somatopsychic disorder in a given situation in their career life, such as fear of opponents, i.e. “cannot withstand a single blow”…).

Keywords: Emotional Reprocessing  Negative Performance  Practice  Theory  

Accuracy Verified: Yes


8. Wilson, S., Becker, L., & Tinker, R. H. (1995, June). 15-Month follow up of EMDR treatment for traumatic memory. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
We previously reported on the outcomes of a controlled study of eye movement desensitization and reprocessing (EMDR) effectiveness in the treatment of traumatic memory (Wilson, Tinker, & Becker, 1994; Wilson, Becker, & tinker, in press). In that study we found that three, 90-minute sessions of EMDR (Shapiro, 1995) "normalized the psychological functioning of the previously traumatized participants (g = 80) on all dependent measures. The present study is a 15-month follow up of those participants. I Method: The research design is shown in Table 1. Participants were randomly assigned to EMDR or to Delayed EMDR conditions. Pretreatment measurement occurred at measurement time TI. Participants in the EMDR condition received EMDR between T1 and T2; those in the Delayed EMDR condition received EMDR between T2 and T3. All participants were tested immediately following treatment and at 3 months following treatment (at T4). The 15 month, long-term follow up occurred at measurement time T5. An independent assessor collected all of the following dependent measures: Subjective Units of Disturbance Scale (SUDS; Wolpe, 1990), Impact of Events Scale (IES; Hmowitz, Wilner, & Alvarez, 1979), State/Trait Anxiety Inventory (STAI; Spielberger, Gorsuch, Lushene, Vagg, & Jacobs, 1983), and the Symptom Checklist (SCL-90-R, Derogatis, 1992). [Table 1. The Research Design, Treatment Condition, Measurement Time: T1 T2 T3 T4 T5; EMDR Treatment: 01 x 02 03 04; Delayed EMDR Treatment 01 02 x 03 04 05; Note: T = Time of measurement; 0 = Observation; X = Treatment administered.] II. Results: Two analyses were performed to assess the impact of EMDR treatment at the 15-month follow up. First, in order to assess the overall, long-term impact of EMDR, the 15-month follow-up scores were compared with the pretreatment scores. There was significant improvement on all nine measures at the 15-month follow up: The multivariate effect was significant (Wilk's Lambda =.11, p<.0005) as were all nine of the univariate effects (all p <.0005). Second, in order to assess whether the improvement shown immediately following EMDR treatment had been maintained over the following year the immediate posttreatment scores were compared with, the 15-month follow-up scores. The multivariate test was nonsignificant (Wilk's lambda=.74, p=.079), indicating the improvement shown immediately following EMDR was maintained 15 months later. The univariate analyses indicated additional improvement for the PTSD symptoms of intrusions (IES Intrusion: F(1,56)=7.71, p=307) and avoidance (IES avoidance: F_(1,56) -4.44, p=.040). None of the nine measures showed deterioration at the 15-month follow up. Prior to EMDR treatment 45% (g= 9) of the responders had been diagnosed as PTSD, at the 15-month follow up only 7% (g = 4) were diagnosed as PTSD (chi-squareo, N=61)= .72, p < .05). III. Responders Versus Nonresponders at the 15-Month Follow up.: At the time of writing this abstract, 75% of the participants (g=61) have responded to the 15-month follow up. In general, measures taken prior to treatment did not differentiate responders fiom nonresponders. Responding at the 15-month follow up was unrelated to age, gender, marital status or years of education, although the annual income of the responders (Mdn=21,500) was higher than that of the nonresponders (Mdn = 14,750, Mann-Whitney U=372.5, p=.017). Responding or not at 15 months was unrelated to the type of trauma experienced, whether or not the participants had been in therapy prior to EMDR treatment, or how long ago the trauma had occurred. It was also unrelated to the severity of the trauma as measured by the pretreatment scores on the nine dependent variables and to whether or not the participant met the PTSD diagnosis criteria prior to treatment. A multiple regression analysis used the immediate posttreatment and 90-day posttreatment scores to predict whether or not the participant responded at the 15-month follow up. Nonrespondents were more likely to be depressed at 90-days following treatment than were respondents (R square=.O8, B=-.16, Beta = -.28, F_L1,71)=5.99, p=.017). No other variables entered into the regression model. IV Discussiona and Conclusion, Tretement effects found immediately following EMDR treatment wer maintained or improved 15 months later and thee was a significant decrease in the number of participants diagnosed as PTSD at the 15 month follow up. The comparison of responders to nonresponders at the 15 month follow up showed that the nonresponders were more depressed than the responders, raising the possiblity that the present results may be favorably biased to some extent. The discussion will include the additional, subjective impressions of participants who did not respond to the follow up. Limitations of EMDR with this population will be discussed, including the influence of comorbidity, multiple traumas, retraumatization after treatment, and spontaneous recurrence of symptoms. V. References: 1) Derogatis, L. R. (1992). SCL-90: Administration Scoring and Procedures Manual II. Baltimore: Clinical Psychometric Research. 2) Horowitz, M. J., Wilmer, N. & Alverez, W. (1979). Impact of Event Scale: A Measure of Subjective Distress. Psychosomatic Medicine, 41, 209-218. 3) Shapiro, F. (1995), Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols, and Procedures. 4) Speilberger, C. D., Gorsuch, R. L., Lushene, R. D., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory, Palo Alto: Consulting Psychologists Press. 5) Wilson, S. A., Tinker, R. A., & Becker, L. A. (1994, November). Efficacy of Eye Movement Desensitization and Reprocessing (EMDR)Treatment for Trauma Victims. Paper presented at the Annual Meeting of the International Society for Traumatic Stress Studies, Chicago, IL. 6) Wilson, S. A., Becker, L. A., & Tinker, R. A. (In press), EMDR, treatment for psychologically traumatized individuals, Journal of Consulting and Clinical Psychology.

Keywords: Follow-up  Traumatic Memory  

Accuracy Verified: Yes


9. 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


10. Tarrier, N., Liversidge, T., & Gregg, L. (2006, November). The acceptability and preference for the psychological treatment for PTSD. Behaviour Research and Therapy, 44(11), 1643-1656. doi:10.1016/j.brat.2005.11.012.

Language: English

Format: Journal

Abstract:
The acceptability and preference of psychological treatments is important in understanding patient treatment seeking, choice, engagement and attrition and possibly treatment response in health care. The acceptability of, and preference for, 14 different types of psychological treatment for PTSD were investigated in a student population through invitation to participate in a web-based survey. Respondents were asked to rate each treatment on 10 scales and to rank the treatments in order of preference. Respondents were also asked whether they would seek treatment themselves, recommend treatment to friends and family, feel stigmatised by suffering from PTSD, had any prior knowledge of the treatments and if this had been positive or negative, and whether they had a history of psychological problems or treatment. A total of 330 respondents completed the survey. A past or current history of psychological problems and treatment was surprisingly high. Almost all respondents indicated that they would seek or recommend treatment in spite of high levels of stigmatisation. Factor analysis of the 10 scales indicated two factors: Endorsement and Discomfort. Rank ordering on preference and Endorsement scores was highly consistent. The highly preferred and endorsed treatments involved cognitive therapy, exposure, or psycho-education in spite of high levels of discomfort anticipated with exposure. Treatments involving new technologies, EMDR, and psychodynamic psychotherapy received the lowest Endorsement and preference. There was a modest influence of prior knowledge of a treatment. [Author Abstract]

Keywords: Cognitive-Behaviour Therapy  Cognitive Therapy  Exposure Therapy  College Students  Computer Assisted Psychotherapy  Empirical Study  Family Therapy  Group Psychotherapy  Posttraumatic Stress Disorder  Preference  Psychoanalytic Psychotherapy  Psychological Treatment  Psychotherapeutic Processes  PTSD  Quantitative Study  Relaxation Therapy  Treatment Acceptability  Virtual Reality Exposure  Web-Based Survey  

Accuracy Verified: Yes


11. Crow, C., & Sause, E. (2007, June). Accessing preverbal trauma for effective adult EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Recent research (Moberg, 2003, The Oxytocin Factor) indicates the potential of early pre-verbal trauma to set up biochemical and neurological responses which activate certain triggers. Since the touchstone event is pre-verbal, it is difficult to identify, but crucial in the resolution of later traumas resistant to full EMDR processing (Those who remain stuck at a greater than 0 SUDs). The antedotal experience is that this model can activate the material more fully and facilitate more thorough competion of phases 4-8. "Once upon a Time" contains every element of the EMDR Protocol in the prescribed order, Incident, Image, NC, PC, VOC, Emotion, SUD, Body sensation. This experimental model is not a substitute for standard EMDR. It facilitates access tohese preverbal traumas and the resultant cognitions which may have formed around them. It allows for a return to the standard EMDR protocol after this early material has been effectively targeted and reprocessed. "Once Upon a Time" model allows for fuller connection with early material. History is collected through antedotal information from third party informants and family photographs and is used to create a metaphor; this technique can access the multiple modalities of pre-verbal experience previously intellectualized. Phase three begins with a short continuation of Phase 1 using an interview format to review and briefly discuss the various elements of the troubling material. A "sentence completion" format is used to obtain the TICES elements. Those spontaneous answers form the script for a "Once Upon a Time" (Crow, 2004, EMDRIA Montreal, Canada), a deviation from Phase 4 of the standard protocol. Pertinent examples of the application of this model will be discussed and demonstrated with video taped excerpts of actual clients. Video taped client reports of the long term effect of the shifts resulting from the "Once Upon a Time" experience will provide validation that this technique enables retur to the standard EMDR protocol and full processing of previously incompletely processed material. Participants will create their own "Once Upon a Time" script from a video example of client history as an experiential introduction to the intricacies of this model. Evidence indicates that this technique is effective on a "consultant" basis, where the "Once Upon a Time" can be conducted by a separate therapist skilled in the technique, and returned to their regular EMDR therapist to complete this treatment. Currently a study is underway utilizing a pre/post text design (N=10) and statistical analysis of the results to measure the quantitative change within the client.

Keywords: Model  Poster  Preverbal Trauma  Theory  

Accuracy Verified: Yes


12. Dunne, T., & Farrell, D. (2009, March). Accredited, brand-named psychotherapies and the standard of evidence: A reply to Davidson. Clinical Psychology Forum, 195, 3-4.

Language: English

Format: Journal

Abstract:
Prof Davidson also trots out that old chestnut of McNally’s (1996 a & b) regarding EMDR to wit: “What is new is not effective and what is effective is not new”. This has been effectively rebutted by Perkins & Rouanzoin (2002) who convincingly, even for the most rabid of sceptics, demonstrated that McNally, in dismissing EMDR as just another variant of systematic desensitisation, failed to notice that, unlike EMDR, systematic desensitisation is not particularly helpful in the treatment of PTSD. Perkins & Rouanzoin also showed how McNally misreported data to support his contentions regarding EMDR whiles simultaneously excluding or ignoring Van Etten & Taylor’s (1998) meta-analysis. Van Etten & Taylor concluded that EMDR is not simply a variant of imaginal exposure, a conclusion which contradicts McNally’s argument but is omitted by him. [Excerpt]

Keywords: Letter  Standard of Evidence  

Accuracy Verified: Yes


13. Cotraccia, A. J. (2012). Adaptive information processing and a systemic biopsychosocial model. Journal of EMDR Practice and Research, 6(1), 27-36. doi:10.1891/1933-3196.6.1.27.

Language: English

Format: Journal

Abstract:
Shapiro's (2001) adaptive information processing (AIP) model portrays an innate healing system hypothesized to be composed of neurophysiological mechanisms of action causally related to the resolution of disturbing life experiences. The author expands the model to include psychosocial mechanisms and suggests that a model of a biopsychosocial system can best depict causal properties related to positive outcomes of eye movement desensitization and reprocessing (EMDR). Teleofunctionalist and evolutionary perspectives are applied: the first, to explain the inclusion of the psychological and social features highlighted in the updated model; the second, to support the hypothesis that AIP is a goal of the human attachment system. It is posited that bonding, following a disturbing life experience, facilitates the access of information related to previous states, thus allowing an update of self/world models. These interactions are analogous to psychotherapeutic encounters, with multiple levels of information processing at subpersonal, personal, and interpersonal levels. Analysis of the causal properties of personal and interpersonal levels supports a broader understanding of AIP's scope in conceptualizing psychopathology and informing treatment applications and research.

Keywords: Adaptive Information Processing  AIP  Biopsychosocial  Internal Working Models  Teleofunctionalism  

Accuracy Verified: Yes


14. Grand, D. (1998, July). Advance clinical seminar: Innovation and integration in EMDR based diagnosis, technique, teaching, performance enhancement and creativity. Presentation at the annual meetng of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to understand and utilize EMDR based diagnosis; 2) be able to utilize both forming of "questioning interweaves" and reflection of clients questions for processing; 3) gain an in depth understanding of the rationale and use of auditory and tactile modes of EMDR stimulation; 4) have working knowldge of advanced conceptualizations of parallel protocols, processing interaction between internalized selves and longer term EMDR; 5) have an expanded knowledge of issues in teaching EMDR, such as individual and group supervision and presenting seminars; 6) gain an understanding of a developmental model of performance and techniques for application of EMDR to performance enhancement and sports psychology; and 7) develop comprehensive understanding of issues of creativity and EMDR. This will include both the client's and therapist's creativity in the EMDR process, as well as se of EMDR for creativity enhancement.

Keywords: Creativity  Performance Enhancement  

Accuracy Verified: Yes


15. Foster, S., & Lendl, J. (1996, June). Advanced case consultations on EMDR applications to the workplace:  Enhancing career performance. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Explains the intake process for a client presenting with work-related issues.

Keywords: Career Performance  Case Consultation  Peak Performance  Performance Enhancement  

Accuracy Verified: Yes


16. Giannantonio, M., Guzzi, R., Fernandez, I., & Ziveri, D. (2003, May). Advances in EMDR research – Qualitative analysis of EMDR – Efficacy for PTSD. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
Research on the efficacy of EMDR as a treatment for PTSD has concentrated its focus mostly on the measurement of quantitative variables. This approach facilitates the application of effective procedures of statistical analysis and the comparison of EMDR efficacy with other treatments. Conversely, important information is not reported like the different levels of efficacy in relation to individual characteristics. During this presentation, through the thorough discussion of 3 experimental cases treated with EMDR, we will review how different analysis tools (clinical interviews, biofeedback measures, tests, self-report, etc.) show evidence of different features of EMDR efficacy. The positive results achieved with EMDR treatment with these three subjects will be compared through biofeedback measures and self-administered tests.

Keywords: Efficacy  Qualitative Analysis  

Accuracy Verified: Yes


17. Swedish Council on Technology Assessment (2001, April). Alert: EMDR - Psychotherapy in posttraumatic stress syndrome in young people - early assessment briefs. Swedish Council on Technology Assessment in Health Care (SBU).

Language: English

Format: Publication

Abstract:
Findings by SBU Alert, Version: 1,
METHOD AND TARGET GROUP: EMDR (Eye Movement Desensitization and Reprocessing) is a new psychotherapeutic method aimed at processing memories of traumatic events, thereby ameliorating the psychological consequences of these memories. EMDR involves elements from several different psychological approaches. It is uncertain which of the treatment elements are effective. Clients with post traumatic stress disorder (PTSD) are the main target group for EMDR treatment. Although both children and adults have been treated with EMDR, this document is aimed particularly at children and adolescents.
PATIENTS BENEFITS, RISKS AND SIDE EFFECTS: Published studies of EMDR mainly cover adults with PTSD. There are two randomized and controlled studies, one of which has yet to be published, of EMDR treatment in 47 children and adolescents. One of the studies suggests that EMDR yields a better treatment outcome in the short term compared to the control treatment (active listening). In the second study, no significant difference was found between EMDR treatment in combination with standard treatment and standard treatment alone as regards reduction in avoidance and invading thoughts. However, the PTSD symptom of behavioral disorders declined significantly in the EMDR group. Furthermore, numerous case studies suggest that EMDR has a positive treatment effect in children and adolescents with PTSD. No harmful effects have been reported.
ECONOMIC ASPECTS: There are no economic assessments of EMDR. Limited data suggest that fewer treatments are needed to achieve the desired outcome with EMDR compared to other psychotherapeutic methods. This suggests that EMDR is a potentially cost-effective method in relation to the alternatives, under the assumption that the effects of treatment are permanent.
CURRENT SCIENTIFIC EVIDENCE: There is moderate* scientific evidence to show the benefits of EMDR treatment in children and adolescents. There is no* documentation concerning the cost-effectiveness or effects beyond 6 months. Since the scientific documentation is limited, the effects of EMDR treatment in both the short and long term should be compared in studies with other treatment alternatives, including standard treatment. Furthermore, the cost-effectiveness of the method should be studied under Swedish conditions. *This assessment by SBU Alert uses a 4-point scale to grade the quality and evidence of the scientific documentation. The grades indicate: (1) good, (2) moderate, (3) poor, or (4) no scientific evidence on the subject. This summary is based on a report prepared at SBU in collaboration with Kerstin Bergh Johannesson, Lic. Psychol., Akademiska Hospital, Uppsala and has been reviewed by Prof. Mats Fredriksson, Uppsala University, Uppsala.
REFERENCES: 1.) Cahill SP, Carrigan MH, Frueh BC. Does EMDR work? And if so, why? A critical review of controlled outcome and dismantling research. J Anxiety Disord 1999;13(1-2):5-33. 2.) Chemtob CM, Nakashima J, Hamada R, Carlson J. Brief treatment for elementary school children with disaster-related PTSD: a field study. J Clin Psychol, in press. 3.) Chemtob et al. Eye movement desensitization and reprocessing. In: Foa EB, Keane TM, Friedman MJ, eds. Effective treatments for PTSD. New York: Guilford, 2000. 4.) Devilly GJ, Spence SH. The relative efficacy and treatment distress of EMDR and a cognitive-behavior trauma treatment protocol in the amelioration of posttraumatic stress disorders. J Anxiety Disord 1999;13(1-2):131-57. 5.) Lovett J. Small Wonders: Healing childhood trauma with EMDR. New York: Free Press, 1999. 6.) Macklin ML, Metzger LJ, Lasko NB, Berry NJ, Orr SP, Pitman RK. Five-year follow-up study of eye movement desensitization and reprocessing therapy for combat-related post traumatic stress disorder. Comprehensive Psychiatry 2000;41(1),24-27. 7.) Puffer MK, Greenwald R, Elrod DE. A treatment outcome study of eye movement desensitization and reprocessing (EMDR) with traumatized children and adolescents. Presented at the annual conference of the EMDR International Association, Denver, June 1996. 8.) Renfrey G, Spates CR. Eye movement desensitization and reprocessing: A partial dismantling procedure. J Behav Ther Experiment Psychiatr 1994;25:231-239. 9.) Scheck MM, Schaeffer JA, Gilette CS. Brief psychological intervention with traumatized young women: The efficacy of eye movement desensitization and reprocessing. J Trauma Stress 1998;11:25-44. 10.) Shapiro F. Eye movement desensitization and reprocessing: Basic principles, protocols and procedures. New York: Guilford Press, 1995. 11.) Stallard P, Velleman R, Baldwin S. Prospective study of post-traumatic stress disorder in children involved in road traffic accidents. BMJ 1998;317:1619-1623. 12.) Soberman GB, Greenwald R, Rule DL. A controlled study of eye movement desensitization and reprocessing (EMDR) for boys with conduct problems. J Aggression Maltreatment Trauma, in press. 13.) Tinker RH, Wilson SA. Through the Eyes of a Child: EMDR with children. New York: Norton & Co, 1999. 14.) van der Kolk B. Biological response to psychic trauma. In: Wilson JP, Raphael B, eds. International Handbook of Traumatic Stress Syndromes. New York: Plenum Press, 1993:25-33. 15.) van der Kolk B, Burbridge J, Susuki J. The psychobiology of traumatic memory; clinical implications of neuroimagery studies. Annals of the New York Academy of Sciences 1997;821:99-113. 16.) van Etten M, Taylor S. Comparative efficacy of treatments for post-traumatic stress disorder: a meta-analysis. Clin Psychol Psychother 1998;5:126-144. 17.) Wilson SA, Becker LA, Tinker RH. Fifteen-month follow-up of eye movement desensitization and reprocessing (EMDR) treatment for posttraumatic stress disorder and psychological trauma. J Consult Clin Psychol 1997;65(6):1047-1056. 18.) Wilson SA, Tinker RH, Hoff.
Alert is a joint effort by the Swedish Council on Technology Assessment in Health Care (SBU), the Medical Products Agency, the National Board of Health and Welfare, and the Federation of Swedish County Councils. The complete report is available in Swedish only.

Keywords: Posttraumatic Stress Disorder  Practice Guidelines  PTSD  

Accuracy Verified: Yes


18. 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


19. Mehrotra, S., Raja, T., & Sawant, B. (2001). Analysis of drawings of children impacted by earthquake: The reproduction of visual imagery during EMDR therapy. Presentation at the Annual Conference of Bombay Psychological Association, Gujarat, India.

Language: English

Format: Conference

Abstract:
This study was based on the analysis of drawings produced during visual imagery as part of EMDR therapy with children of Bhuj and Bhachao. This study was conducted to understand the impact of a specific traumatic event and its expression in children in their drawings. The drawings used for the purpose of analysis were the protocols of reproduction of visual imagery brought out during therapy.

Keywords: Bhachao  Bhuj  Children  Drawings  Visual Imagery  

Accuracy Verified: No


20. Mehrotra, S., Raja, T., & Sawant, B. (2002). Analysis of drawings of children impacted by earthquake: The reproduction of visual imagery during EMDR therapy. The Bombay Psychologist.

Language: English

Format: Journal

Abstract:

Keywords: BHUJ Experience    

Accuracy Verified: No


21. Xue, C. (2001, May). An analysis of stimulus conditions for eye movement desensitization and reprocessing (EMDR) in psychotherapy. Pyschologie in Osterreich, 5, 434-441.

Language: English

Format: Journal

Keywords: Stimulus Conditions  

Accuracy Verified: Yes


22. Tibaldi, M. (1996, June). Analytical psychology and EMDR:  “active imagination” and “eye movements” in Jungian practice. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
In this paper I shall be talking about the integration of eye movements in Jungian analysis. I am going to open my paper with a short historical premise, in order to frame Carl Gustav Jung's analytical psychology within the broader context of depth psychologies; then I shall be describing the most important concepts of Jungian model and the methodology of active imagination, explaining, to the end, through a short clinical example, the reasons why I have been induced to integrate 'eye movements' and 'active imagination' in the analytical setting, to process, in particular, 'opaque' somatic symptoms. The aim of this paper is to point out, on the one hand, the surprising affinity among some aspects of the Jungian model, EMDR and the results of contemporary neuro-scientific trauma researchs and to show, on the other hand, the synergic effect of eye movements and active imagination in enlightening and unconscious sufferings.

Keywords: Analytical Psychology  Jung  

Accuracy Verified: Yes


23. 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


24. Hartung, J. (2008, Novembro). Aplicações de EMDR para o desenvolvimento de recursos, melhoria de desempenho e treinamento [Applications of EMDR to resource development, performance enhancement, and coaching]. Apresentação no II Congresso Ibero-Americano de EMDR, Brasilia, Brasil.

Language: Portuguese

Format: Conference

Abstract: The traditional focus of psychotherapists (and their clients) has been on pathology and symptom reduction. Professional therapists are becoming increasingly interested in applications of psychotherapeutic principles to prevention, growth, and other examples of what is being generically called “positive psychology”. EMDR clinicians, like other psychotherapists, are seeking more positive ways to practice, both to increase the services they offer, and to redefine themselves professionally. A focus on performance enhancement and coaching are two examples of how clinicians can offer services beyond symptom reduction. A model for using EMDR in positive applications, pilot tested in several countries, will be presented and demonstrated. The EMDR phases will be reconsidered in light of this positive focus: history taking has a greater focus on solutions; the safe place will be discussed as a tool for developing more specific and relevant resources; the TICES acronym will be expanded to include behavior and the therapy relationship; and greater flexibility will be suggested between the parallel processes of desensitization (of the traumatic past) and installation (of the positive future). This last comment relies on the assumption that participants are already skilled in the use of EMDR as a preferred treatment of trauma. The model to be presented has been successfully field tested in several countries in Asia, Europe, and the Americas.

Keywords: Coaching  Performance Enhancement  Resource Development  

Accuracy Verified: Yes


25. De Divitiis, A. M. (2010, June). Application of resource development and installation (RDI) in delivery preparation in order to prevent post partum depression. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
According to the latest statistical evidence Post-Partum Depression develops in approximately 13% of women during the second -third month after childbirth with symptoms lasting between few weeks and a year and risks of relapse. Unlike the Baby Blues (affecting 70% of mothers, with onset in the 3'd - 6" day after delivery and spontaneous recovery within approximately two weeks), likely to be caused basically by hormone modifications in the immediate aftermath of childbirth. PPD development would seem to be solely determined by psychological factors: the experience of childbirth, the surfacing of unresolved problems in the relationships with attachment figures, the change in the woman's role both in the social sphere and within the couple relationship, the fear of being unable to adequately attend to the new responsibilities (both in terms of skills and of the ability to cope with the additional workioad), etc. Consequently, women experiencing childbirth as a traumatic experience are more destabilized by the event, and therefore. at a higher risk of developing PPD. Childbirth requires the deployment of many personal resources. A woman in labor must be able to bear the pain, while having to "push", 1.e. contrast the automatic antalgic reaction (which would close the delivery channel) and "meeting the pain", during the "expulsion" phase. Considering that "Peak Performances" require moving out of a person's comfort zone and stretching a person's boundaries, childbirth experience can be rightfully considered a "Peak Performance". This work describes RDI application times and modes during Delivery Preparation in order to strengthen the different personal resources needed by pregnant women to experience her childbirth as an ego syntonic experience. In this sense, RDI associated with EMDR can be considered an actual Primary Prevention intervention, capable of teaching women something positive about themselves, thus effectively offsetting the onset of PPD. Furthermore the results of the application of this technique collected during the Post-Partum phase on 48 women will be discussed. Learning objectives: 1 identification of the specific issues predisposing the development of PTSD due to Childbirth and of Post-Partum Depression. 2. Framing Childbirth as a Peak Performance. 3 Learning RDI (Resource Development and Installation) application through Bilateral Stimuli during Delivery Preparation Courses.

Keywords: Delivery Preparation  Female Issues  Resource Development and Installation  RDI  Symposium  

Accuracy Verified: Yes


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

Language: Italian

Format: Conference

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

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

Keywords: Postpartum Depression  RDI  Resource Development and Installation  

Accuracy Verified: Yes


27. Lecoq, J. C. (2007, June). Applied EMDR in sport in the World Equestrian Games of Aachen. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
I had only three weeks to work. Only 15 days to restore self-confidence, serenity, and determination for a woman rider. One week during the competition.
The woman rider had a bad experience during the Olympic Games of Athens. She had the best and the worst during the Olympic Games, The best was a bronze model and 0 mistakes during the jump.
The worst, she made several mistakes and fell down with her horse.
I felt during the first meeting a big atmosphere of fragility (no self confidence, no serenity, big stress) because there were difficulties with her ex-husband and family (her boys).
We had a short time and I decided to use an arrangement with mental imagery and specific EMDR exercise, like butterfly exercise, to install peak performance.
I used Sam Foster’s protocol for the sport and butterfly technique. We began with a SUD=8 and VOC=6 and the SUD finished at 2. This combination gave an amazing result because she rode well and she had a good result in these world equestrian games of AAchen (semi final: 23 place).
The specific exercise in EMDR (butterfly exercise) permits a peal performance in a few times. I gave you an example about the power of EMDR in sport.

Keywords: Aachen  Horses  Poster  Sports  World Equestrian Games  

Accuracy Verified: Yes


28. Piffaut, A. M. (2007, Juin). Apport de l'EMDR dans le traitement de l'hyperacousie, des vertiges et des acouphenes, ORL psychosomatique [EMDR in the treatment of hypercousy, vertigo, and acouphens. Psychosomatic ORL]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Je voudrais partager avec vous mon bonheur de pratiquer l'EMDR et de la communication des résultats dans ma spécialité (ORL Ear Nose Throat) associée à une compétence dans phoniatrique. Je n'ai jamais réussi à guérir des patients présentant une hyperacousie douloureuse à l'aide de l'analyse transactionnelle et de la thérapie comportementale et cognitive. Ces personnes ont tendance à s'isoler, cesser de travailler, devenir ou sont socialement phobique. J'ai reçu des patients dans l'incapacité de travail. Ils sont obligés de porter un casque pour se protéger des bruits extérieurs. Leur situation est aggravée par l'acouphène, car si elles s'isoler pour se protéger contre le bruit qu'ils perçoivent encore plus leurs acouphènes.
Depuis que j'utilise l'EMDR, ces personnes ne guérir. L'autre jour, une personne qui avait souffert de l'hyperacousie pendant douze ans et même dû arrêter de travailler à cause d'elle, m'a fait écrire un document dans lequel je l'ai noté sous sa dictée qu'elle se trouva guérie. Ce certificat a été destiné à son médecin de l'entreprise afin d'éviter l'incapacité, un processus qui était en cours. Depuis, elle a pu circuler dans un train dans la zone entre deux voitures (pas loin de 100 dB) et n'a pas souffert. Un enfant, même crié à côté d'elle et elle n'a pas non plus se sentir quelque chose de désagréable. Elle est étonnée et je le suis aussi
L'objectif était de supporter le bruit intense d'une formation en passant sur un pont alors qu'elle était sous le pont. Il a été la pire situation pour elle parce que la plus intense en termes de décibels. Elle étudie plusieurs canaux dans sa mémoire jusqu'à ce qu'elle se souvenait d'un avortement horrible. Les bruits, les mots de l'équipe médicale, tous les souvenirs audience ont été poignées. C'est seulement avec l'EMDR que j'ai réussi à traiter les hyperacousie jusqu'à disparition. J'ai reçu cette personne 7 fois ¾ d'heure. Avant l'EMDR, j'ai parfois reçu jusqu'à deux ans, ces patients à la vitesse d'une session tous les deux pue et il a eu, au mieux, une amélioration de leur confort. Le bonheur de ce dernier patient était telle que j'ai eu à le partager. Depuis, elle va sur les forums de discussion pour encourager les personnes qui souffrent de ce trouble.

I would like to share with you my happiness to practice EMDR and to notice it results in my specialty ENT (Ear Nose Throat) associated to a competence in Phoniatric. I never managed to cure patients presenting a painful hyperacusis by using the transactional analysis and the behavioral and cognitive therapy. These persons tend to isolate themselves, stop working, become or are socially phobic. I received some patients in incapacity to work. They are obliged to wear a helmet to protect themselves from outside noises. Their situation is aggravated by tinnitus because if they isolate themselves to protect themselves from the noise they perceive even more their tinnitus.
Since I use EMDR, these persons do cure. The other day, one person that had been suffering of hyperacusis for twelve years and even had to stop working because of it, made me write a document where I noted under her dictation that she found herself cured. This certificate was intended for her company doctor to avoid the incapacity, a process that was in progress. Since then, she was able to circulate in a train in the zone between two cars (not far from 100 DB) and did not suffer. A child even screamed next to her and she also didn’t feel anything unpleasant. She is astonished and so am I.
The target was to bear the intense noise of a training passing on a bridge while she was under the bridge. It was the worst situation for her because the most intense in terms of decibels. She investigates several canals in her memory until she remembered a horrible abortion. The noises, the words of the medical team, all the hearing recollections were handles. It is only with EMDR that I managed to treat the hyperacusis until it disappearance. I received this person 7 times ¾ of an hour. Before the EMDR, I sometimes received up to two years these patients at the rate of a session every two reeks and it led to at best an improvement of their comfort. The happiness of this last patient was such that I had to share it. Ever since, she goes on forums of discussion to encourage the persons who suffer from this disorder.

Keywords: Hyperacusis  Vertigo  

Accuracy Verified: Yes


29. Scurfield, R. M., & Wilson, J. P. (2003, April). Ask not for whom the bell tolls: Controversy in post–traumatic stress disorder treatment outcome findings for war veterans. Trauma, Violence, and Abuse, 4(2), 112-126. doi:10.1177/1524838002250763 .

Language: English

Format: Journal

Abstract:
This article reviews and analyzes two national studies of the efficacy of treatment for war veterans suffering from post–traumatic stress disorder (PTSD). Acareful analysis of the studies conducted by the Department of Veterans Affairs (DVA) Northeast Program Evaluation Center (NEPEC) reveals conceptual, methodological, and design flaws in the research, which reports minimal treatment efficacy for PTSD. Based on this limited, if not biased, data, the results were used for policy purposes to dismantle inpatient PTSD hospital units and trauma-focus treatments. Acritique is offered as a review to suggest how future studies might be conducted, designed, and evaluated, including the need for independent, “outside” peer reviews inasmuch as the issue of treatment outcomes generalizes to many nonmilitary populations.[Sagepub]

Keywords: DVA  Outcome  Policy  PTSD  Research  Therapy  Treatment  Vietnam Veterans  

Accuracy Verified: Yes


30. Kirsch, A., & Seidler, G. H. (2004). Ausdruck und erleben von emotionen bei der posttraumatischen belastungsstörung: Erste ergebnisse einer studie mit gewaltopfern [Expression and experience of emotion in patients with posttraumatic stress disorder: First result of a study with victims]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, ZPPM 2(1), 45-60.

Language: German

Format: Journal

Abstract:
Emotionale Betäubung (EN) in PTSD ist ein Cluster von schwächenden Symptomen mit Problemen in der Erfahrung und dem Ausdruck von Emotionen. EN ist in drei separate diagnostischen Kriterien dargestellt: deutlich vermindertes Interesse an wichtigen Aktivitäten, Gefühle der Ablösung oder Entfremdung von anderen, und eingeschränkte Bandbreite des Affekts. Die funktionale Beziehung zwischen anderen Klassen von PTSD Symptome und EN ist nicht gut verstanden. In diesem Artikel werden verschiedene Studien diskutiert werden. Es wird davon ausgegangen, dass Patienten mit psychischen Erkrankungen eine spezifische Wechselwirkung Muster implementieren, die in der Gesichts-affektiven Ausdruck und äußerte sich vor allem in Gesichts-affektiven Mikro-Verhalten. Das Ziel der vorliegenden Pilot-Studie war die Analyse von Gesichts-affektive Verhalten von Patienten mit PTSD im Vergleich zu gesunden Personen. Erste Ergebnisse der ersten EMDR-Sitzungen auf Video aufgezeichnet von Patienten und psychodynamischen Interviews von gesunden Personen (keine psychische / psychiatrische Störungen nach ICD-10) wurden mit dem codierten Emotional Facial Coding System Acting, ein Instrument zur Erfassung von mimischen mit emotionaler Bedeutung. Danach wurden diese Analysen mit Blickverhalten verbunden. PTSD Patienten zeigten eine Verringerung der gesamten Mimik und eine verminderte Häufigkeit von Gesichts wirkt im Vergleich zu gesunden Personen. Unter dem Blickverhalten in Betracht, wurde es offensichtlich, dass PTSD Patienten zeigten Anteil sank gegenseitigen Blick im Vergleich zu gesunden Personen. Außerdem war der Gesichtsausdruck affektiven Ausdruck von vier Patienten (Eltern, die durch den gewaltsamen Tod ihrer Kinder beraubt) erste und letzte EMDR-Sitzung verglichen. Eine leichte Erhöhung des Gesichts affektiven Ausdruck gefunden wurde. [Autor Summary)

Emotional numbing (EN) in PTSD is a cluster of debilitating symptoms involving problems in the experience and expression of emotion. EN is represented in three separate diagnostic criteria: markedly diminished interest in significant activities, feelings of detachment or estrangement from others, and restricted range of affect. The functional relationship between other classes of PTSD symptoms and EN is not well understood. In this article different studies will be discussed. It is assumed that patients with mental diseases implement a specific interaction pattern, that is expressed in the facial affective expression and particularly in facial-affective micro-behaviours. The aim of the presented pilot-study was the analysis of facial-affective behaviour of patients with PTSD in comparison to healthy persons. First results of videotaped first EMDR sessions of patients and psychodynamic interviews of healthy persons (absence of mental/psychiatric disorder according to ICD-10) were coded using the Emotional Facial Acting Coding System, an instrument for the registration of facial movements with emotional relevance. Afterwards these analyses were connected with gazing behaviour. PTSD patients showed a reduction of overall facial expressions and a reduced frequency of facial affects in comparison to healthy persons. Taking the gazing behaviour into consideration, it became obvious that PTSD patients showed decreased portion of mutual gaze compared to healthy persons. Furthermore, the facial affective expression of four patients' (parents bereaved by the violent deaths of their children) first and last EMDR session was compared. A slight increasing of facial affective expression was found. [Author Summary]

Keywords: Crime  Emotional Numbing  Interpersonal Interaction  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Survivors  

Accuracy Verified: Yes


31. Leiner, A. S., Kearns, M. C., Jackson, J. L., Astin, M. C., & Rothbaum, B. O. (2012, January). Avoidant coping and treatment outcome in rape-related posttraumatic stress disorder. Journal of Consulting and Clinical Psychology,80(2), 317-321. doi: 10.1037/a0026814.

Language: English

Format: Journal

Abstract: Objective: This study investigated the impact of avoidant coping on treatment outcome in rape-related posttraumatic stress disorder (PTSD). Method: Adult women with rape-related PTSD (N = 62) received 9 sessions of prolonged exposure (PE) or eye movement desensitization and reprocessing (EMDR). The mean age for the sample was 34.7 years, and race or ethnicity was reported as 67.7% Caucasian, 25.8% African American, 3.2% Latina, and 3.2% other. PTSD was assessed with the PTSD Symptom Scale–Self-Report (Foa, Riggs, Dancu, & Rothbaum, 1993), and avoidant coping was assessed using the Coping Strategies Inventory–Disengagement subscale (CSI-D; Tobin, Holroyd, Reynolds, & Wigal, 1989). Results: Pretreatment avoidant coping was negatively associated with posttreatment PTSD symptom severity even when controlling for initial severity of total PTSD symptoms and when removing PTSD avoidance symptoms from the analysis to account for potential overlap between avoidant coping and PTSD avoidance symptoms: ΔR2 = .08, b = −0.31, 95% CI [−0.17, −0.01], t(60) = −2.27, p = .028. The CSI-D pretreatment mean score of 100 predicted a 96% likelihood of experiencing clinically significant change (CSC) during treatment. A CSI-D pretreatment score of 61 was associated with a 40% likelihood of experiencing CSC. Conclusions: PE and EMDR appear to be beneficial for women who frequently engage in avoidant coping responses following rape. A small subset of women with initially low levels of avoidant coping are unlikely to experience a therapeutic response from PE or EMDR. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Keywords: Rape  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


32. Lendl, J. (2006, September). Back to basics:  The positive template & affect bridge. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
One of the reasons EMDR is such a powerful treatment method is the eight phase, three prong protocol. The robustness of the method is not achieved if any part of the protocol is dismissed. Dr. Shapiro's recent trainings have emphasized the need for the future template. The future template is a combination of the use of imagery, and used successfully in sport performance and health recovery, and bi-lateral stimulation. Back fo Basics: The Positive Template is a workshop to remind participants of the importance of positive templates in complete and incomplete EMDR protocol sessions. The future template, which addresses avoidance, adaptation, and actualization, is a part of phase eight/reevaluation and the third prong (future) of the EMDR protocol. Preliminary research will be presented that suggests positive templates are useful before phase eight. Participants will learn to integrate the positive template to help maintain skills between sessions, encourage new skills and practice ways to handle resistance. There will be supervised practica for using the future template and ESP (End Session Positive) template. Additionally, this workshop has been expanded to go over the Affect Bridge and practice will be included.

Keywords: Affect Bridge  Future Template  Positive Template  

Accuracy Verified: Yes


33. Diehle, J., Beer, R., Boer, F., & Lindauer, R. J. L. (2011, April). Behandeleffecten van traumagerichte cognitieve gedragstherapie en eye movement desensitisation and reprocessing (EMDR) [Treatment effects of trauma-focused cognitive behavior therapy and eye movement desensitisation and reprocessing (EMDR)]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Achtergrond: Dagelijks raken veel kinderen betrokken bij ongelukken, brand, (seksueel) geweld, pesten, of andere ingrijpende gebeurtenissen. Het meemaken van dergelijke gebeurtenissen kan leiden tot een posttraumatische stressstoornis (PTSS). ptss gaat gepaard met hoge comorbiditeit, slechtere schoolprestaties en heeft een negatieve invloed op het lichamelijk herstel van kinderen (Winston 2003). In internationale richtlijnen wordt traumagerichte cognitieve gedragstherapie (TG-CGT) voor de behandeling bij kinderen aanbevolen en eye movement desensitisation and reprocessing (EMDR) is beoordeeld als veelbelovend (nice 2005). Onderzoeksresultaten naar de effecten van deze behandelingen bij kinderen zijn nog steeds schaars (Stallard 2006). Doel: Binnen een pilotonderzoek worden de behandeleffecten van TG-CGT en EMDR bij kinderen vastgesteld. Methoden: Op een poliklinische afdeling zijn gegevens verzameld van 20 kinderen tussen de 8 en 18 jaar met posttraumatische stressklachten en van hun ouders. Van deze kinderen hebben 10 een behandeling met TG-CGT ondergaan en 10 een behandeling met emdr. Bij kinderen en ouders zijn zowel voor als na de behandeling behandeling de klachten in kaart gebracht met behulp van een diagnostisch interview en verschillende vragenlijsten. Voor het stellen van de diagnose ptss en comorbide diagnosen is het Anxiety Disorders Interview Schedule for dsm-iv-Child Version (adis-c) afgenomen. Tevens werden de Children’s Revised Impact of Event Scale (CRIES-13), de Revised Child Anxiety and Depression Scale-Child Version (RCADS) en de Strengths and Difficulties Questionnaire (SDQ) afgenomen om angstklachten en gedragsproblemen te meten. Resultaten: Traumaklachten zijn zowel in de EMDR-groep alsook in de TF-CBTgroep afgenomen. Gedetailleerdere resultaten worden tijdens het congres besproken. Conclusie Zowel TG-CGT als emdr blijkt effectief te zijn bij het verhelpen van ptssklachten bij kinderen.

Background: Daily affects many children involved in accidents, fires, (sexual) violence, bullying, or other major events. The experience of such events can lead to a posttraumatic stress disorder (PTSD). PTSD is associated with high comorbidity, poorer school performance and has a negative impact on the physical recovery of children (Winston 2003). International guidelines is trauma-focused Cognitive behavioral therapy (CBT-TG) recommended for the treatment of children and Eye Movement Desensitisation and Reprocessing (EMDR) has been rated as promising (Nice 2005). Research the effects of these treatments children are still scarce (Stallard 2006). Purpose: In a pilot investigation the treatment effects of TG-CBT and EMDR in children established. Methods: In an outpatient department Data were collected from 20 children between 8 and 18 years with post traumatic stress symptoms and their parents. Of these children have a treatment with 10 undergoing TG-CBT 10 and treatment with EMDR. In children and parents before and after treatment treatment complaints mapped using a diagnostic interview and several questionnaires. For the diagnosis of PTSD comorbid diagnoses and the Anxiety Disorders Interview Schedule for DSM-IV-Child Version (ADIS-C) decreased. Also, the Children's Revised Impact of Event Scale (CRIES-13), the Revised Child Anxiety and Depression Scale-Child Version (RCADS) Strengths and Difficulties Questionnaire and (SDQ) were administered to measure anxiety and behavioral problems. Results: Trauma Complaints are both in the EMDR group and the TF-CBT-groep decreased. More detailed results be discussed during the congress. Conclusion: Both TG-CBT and EMDR appear to be resolving the ptssklachten in children.

Keywords: CBT  Cognitive Behavior Therapy  

Accuracy Verified: Yes


34. Staff. (1998, April). Behavioral therapy works well for PTSD, according to a new meta-analysis. APA Monitor, 29(4).

Language: English

Format: Other

Keywords: General  Overview  

Accuracy Verified: Yes


35. Stein, D., Rousseau, C., & Lacroix, L. (2004, March). Between innovation and tradition:  The paradoxical relationship between eye movement desensitization and reprocessing and altered states of consciousness. Transcultural Psychiatry, 41(1), 5-30. doi:10.1177/1363461504041351.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a relatively new form of psychotherapy to emerge in the West. Using both a case analysis and literature review we situate EMDR within the use of altered states of consciousness (ASCs) in psychological healing practices across times and cultures. We discuss EMDR's unique predicament as a therapy that draws upon techniques common to most therapeutic ASCs, while at the same time distancing itself from this tradition through its pseudoscientific language and technologic aesthetic. Our conclusion attempts to shed light on this paradox and raise questions for further study.

Keywords: Altered States of Consciousness  Consciousness States  Psychological Healing  Review  Transcultural Psychiatry  

Accuracy Verified: Yes


36. Giti, S. M. (2011, May). Beyond social phobia: A review of the background, manifestations and varied therapeutic approaches for performance anxiety. Alliant International University, Los Angeles, California. 3503418.

Language: English

Format: Dissertation/Thesis

Abstract:
Performance anxiety is ubiquitous in our present culture and is considered one of the most prevalent forms of anxiety. The famous actor and comedian Jerry Seinfeld once joked, “ At a funeral, most people would rather be in the casket than giving the eulogy!” While nearly eighty percent of people experience some form of anxiety when they are the center of attention, individuals who experience performance anxiety are severely distressed and debilitated by their anxiety (Plaut, 1990). In most cases, performance anxiety threatens to restrain an individual’s profession, goals, education, relationships or daily life activities. While the phenomenon of acute anxiety is commonly labeled as stage fright in the world of the performing arts, in psychological literature it is rarely specified or considered a diagnosable mental health disorder. It is often clustered with specific phobias or social phobia. Indeed, performance anxiety is not an experience solely limited to actors, musicians, singers and dancers. It affects athletes, politicians, writers, students, professionals, leaders, and individuals in all walks of life. For this reason, it is essential that clinicians become educated in the etiology, symptoms, manifestations and therapeutic approaches of performance anxiety.

Keywords: Socia Phobia  Performance Anxiety  

Accuracy Verified: Yes


37. Korn, D., Weir, J., & Rozelle, D. (2005, June). Beyond the data:  Clinical lesions learned from a four-year treatment outcome study comparing EMDR to prozac. Plenary presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
"Bridging the gap between research and clinical practice" is a challenging and elusive goal. Outcome data, while critical for the legitimacy and advancement of clinical work, often fail to translate into practical skill sets. It is only when clinicians look beyond the data that they learn some of the most valuable lessons of research.
In this session, we will present the results of a four-year, randomized controlled study comparing EMDR to Prozac in the treatment of PTSD. We will also explore the clinical and practical lessons learned throughout the study. We will address assessment and history taking, treatment planning, readiness for processing, target selection. transference and countertransference, and adult versus childhood onset trauma. We hope to give EMDR practitioners an in-depth analysis of the real-life processes, dilemmas, and learning that took place during our protocol based treatment outcome study. Video segments will be used to illustrate clinical concepts and key points. And perhaps, most importantly, these same segments will be used to demonstrate how we struggled to recognize and learn from our own mistakes.

Keywords: Plenary  Prozac  

Accuracy Verified: Yes


38. Laliotis, D. (2008, December). Beyond trauma: EMDR for everyday issues. Presentation at the National Institute for the Clinical Application of Behavioral Medicine Annual Conference, Hilton Head, SC.

Language: English

Format: Conference

Abstract:
Twenty years ago, Eye Movement Desensitization and Reprocessing (EMDR) began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which is also being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma but rather to early experiences that have not been adequately processed and integrated by the brain. This workshop is an introduction to the Eight-Phase Model of EMDR with an emphasis on how these early memories are powerful contributors to a person's current difficulties. Participants will learn through direct experience how present triggers can activate these earlier associations that inform our feelings, thoughts and behaviors. Through lecture, discussion, and videotape of actual cases, participants will gain an appreciation of EMDR as a comprehensive treatment approach and learn how it can be applied to a broad range of clinical issues with lasting results.

Keywords: Practice  Theory  

Accuracy Verified: Yes


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

Language: German

Format: Dissertation/Thesis

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

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

Keywords: Basic Motivation  Existenital Analysis Method  

Accuracy Verified: Yes


40. Oh, D. H., & Park, Y. C. (2010, July). Bilateral eye movement: Changes brain default network functions in EMDR treatment. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Introduction: The aim of this study was to clarify the effect of bilateral eye movement as one of the important therapeutic components through EEG analysis. We examined differences between pre-bilateral eye movement and post-bilateral eye movement of normal healthy volunteers in scalp recorded EEGs in two different ways. First, we used qEEG to examine differences in specific band frequencies after bilateral eye movement. Secondly, we utilized low-resolution electromagnetic tomography (LORETA) source imaging (Pascual-Marqui et al., 1994) to explore the underlying neural generators of changed EEG activity. Methods:32 college students participated in the study. EEG was recorded continuously during the experiment. All participants experienced 3 blocks: 1) pre-experiment, eye-closed EEG in resting state, 2) stimuli condition (either eye movement or fixation) and 3) post-experiment, eye-closed EEG in resting state. 32-channel, eyes-closed EEG (30 artifactfree s/subject) was analyzed (source localization using FFT approximation and LORETA). Results: We demonstrated different functional connectivity patterns of the precuneus/posterior cingulate cortex (Brodmann area 23, 31) between bilateral eye movement and eye fixation phase. Conclusion: These results provided evidence to support that the bilateral eye movements in EMDR procedure gives rise to the changes of ‘brain default network’, accompanied by the alteration of regional brain electrical activity.

Keywords: Eye Movements  Poster  

Accuracy Verified: Yes


41. 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


42. 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


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

Language: English

Format: Newsletter

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

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

Accuracy Verified: Yes


44. Lendl, J. (2002, June). Brain performance and possible EMDR intervention. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
New brain imaging technologies are giving a clearer picture of how memories are stored and how effective treatment may alter brain function. Neuroimaging researchers Bessel van der Kolk and Daniel Amen are investigating EMDR treatment effects. Van der Kolk is studying how traumatic memories differ from memories of ordinary events, while Amen concentrates on evaluating difficult psychiatric cases, ADD, head trauma, memory problems, dementia, aggression, and exposure to toxic substances. This workhop will focus on Amen's research regarding frequently found patterns of brain performance, including specific area functions and problems from a clinician's view. Significant attention will be devoted to integrating EMDR with the Amen multi-discipline intervention approach for problem brian areas.

Keywords: Amen  Brain Performance  van de Kolk  

Accuracy Verified: Yes


45. Lendl, J. (2000, October). Brain performance and possible EMDR intervention. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Keywords: Brain Performance  

Accuracy Verified: Yes


46. Lendl, J. (2001, June). Brain performance and possible EMDR intervention. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to identify functions and problems of several brain areas; 2) be able to identify sepcific targets for suggested EMDR interventions; and 3) learn when to refer for possible brain scan.

Keywords: Brain Performance  Brain Scan  SPECT  

Accuracy Verified: Yes


47. Lendl, J. (2000, September). Brain performance and possible EMDR intervention. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to identify functions and problems of several brain areas; 2) be able to identify the specific targets for suggested EMDR interventions; and 3) learn when to refer for possible brain scan.

Keywords: Brain Performance  Brain Scan  

Accuracy Verified: Yes


48. Gannon, J. P. (2011, April). A brain-based peak performance model using meditation, EMDR and cardio imagery and rehearsal. Peak Performance Systems, San Francisco.

Language: English

Format: Other

Abstract:
This pilot study investigated the effectiveness of a new model of peak performance training based on applications of brain research to stimulate mental skill acquisition leading to enhanced performance capabilities. Brain-based techniques such as Mindfulness Meditation (MM), Eye Movement Desensitization and Reprocessing (EMDR) and Cardio Imagery and Rehearsal (CIR) appear to stimulate various neurological processes including alpha and theta brain waves, higher interhemispheric coherence and reduced sympathetic nervous system arousal. Clinical application of these techniques in a preliminary pilot study with a variety of performers was shown in follow-up self-assessments to have enhanced performance outcomes on seven measures including reduced performance anxiety and self-consciousness, enhanced concentration and focus, improved memorization of performance routines and enhanced overall performance goals. The idea that specific performance routines can be installed using these brain-based techniques that enhance peak performance functioning on demand was supported by these findings.. However, the results of this pilot study are preliminary and further studies using a larger subject sample, empirically validated test measurements and independent control groups are necessary before these findings can be corroborated.

Keywords: Brain-Based Peak Performance  Brainscripting  Cardio Imagery and Rehearsal  Flow  Interhemispheric Coherence  Mindfulness Meditation  Neurofeedback  Neuroplasticity  Performance Anxiety  Pilot Study  

Accuracy Verified: Yes


49. Falaschi, R., & Tizzani, E. (2001, October). Changes in electroencephalographic quantitative analysis in patients treated with EMDR. In International CIANS Conference (CIANS: Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaviour and Psychosomatics), (p 159) Palermo.

Language: English

Format: Other

Abstract:
EMDR’s basic working theory assumes that traumatic memories remain unprocessed because the innate information processing system is stuck by the psychophysiological effects of trauma. Traumatic events are stored in their original form, and the recall of traumatic memories causes a high level of disturbance.
Left-right rhythmic stimulations of EMDR seem to remove the block in the traumatic memories processing and help memories storing mechanism function at an adaptive level. In recent years, many scientific researches have focused on the opportunity to assess the functional connection between different brain areas through quantitative analysis of EEG.
According to the aim of this presentation, our attention was drawn to the correlation between slow bands (4- 7 Hz) and the activity in the sub-cortical areas involved in working memory and, also, high frequency ranges (> 36 Hz) and cortical activities during sensorial stimuli processing. There are a few quantitative EEG studies on patients with PTSD. The EEG analysis of subject with childhood abuse histories revealed less synchronization in the two hemispheres functioning compared to normal control subjects.
EEG quantitative analysis in abused children showed a higher intra-hemispheric left coherence and a lower intra-hemispheric right coherence in comparison with normal control subjects. According to these results, the aim of this presentation is to test if there are recordable changes in the intra and inter hemispheric synchronization between brain areas where information processing occurs (limbic system, prefrontal cortical area, and posterior cortical areas) in patients with PTSD after EMDR treatment.

Keywords: EEG  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


50. van Hoof, E. (2005, June). Chronic fatigue syndrome and EMDR, a favourable combination. In EMDR in the extreme, chronic fatigue and peak performance. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Chronic fatigue syndrome (CFS) is a complex, sometimes controversial and often confusing condition characterized principally by persistent, unexplained physical and mental fatigue. Researchers and clinicians continue to debate many aspects of CFS. The influence of stress, in conjunction with infection, was introduced early on as a possible cause of chronic illnesses such as CFS.
Patients themselves often report that a virus combined with stress were the triggers of their illness. The etiology and pathophysiology of CFS will be clear to all attending the presentation as well as where and when EMDR should be applied in CFS.

Keywords: Chronic Fatigue Syndrome  CFS  Peak Performance  Symposium  

Accuracy Verified: Yes


51. CIGNA HealthCare (2008, June 15). Cigna Healthcare Coverage Position: Eye movement desensitization and reprocessing. Revised June 15, 2008, .

Language: English

Format: Publication

Abstract:
Systematic reviews: Van Etten et al. (1998) conducted a meta-analysis of the literature regarding treatments for PTSD. The purpose of the study was to evaluate the relative efficacy of various treatments for PTSD. A total of 41 studies were included, that yielded sixty-one treatment outcome trials. Eleven studies were included that examined EMDR. The authors report that behavior therapy and EMDR were the most effective psychological therapies for PTSD, with the two being generally equally efficacious. The review noted that behavior therapy was significantly more effective than all treatments, on observer-rated total PTSD symptoms and no differences in comparative treatment efficacy were discernable between behavior therapy and EMDR across the specific symptom domains of PTSD. It was noted that effect sizes for these therapies were large relative to control conditions, indicating good treatment acceptance. It was also noted, however, that “despite its apparent efficacy, what works in EMDR and the mechanism for how it works remains unclear. That is, we know little about the active ingredients in EMDR and the mechanisms by which these ingredients result in decreased PTSD symptoms.” The literature is not conclusive regarding the role of eye-movement in this treatment.

Keywords: Practice Guidelines  

Accuracy Verified: Yes


52. Fisher, E. (1997, May 26). Coached to success: Professional advisers help many workers break out of career and personal slumps. Washington, DC:   The Washington Times, Business Times, D12.

Language: English

Format: Newspaper

Abstract:
Many in the scientific community dispute EMDR's validity, but Ms. Fox and many patients of EMDR insist the method reduces stress and improves performance at key moments.

Keywords: General  Overview  Washinton, DC  

Accuracy Verified: Yes


53. Allen, W. (2002). Coaching amateur athletes: From frozen to fearless. In L. Grodzki (Ed.), The new private practice: Therapist-coaches share stories, strategies, and advice (pp. 178-191). New York: W. W. Norton.

Language: English

Format: Book Section

Abstract:
This chapter presents a case study in which the coach, who works with amateur athletes, addresses the fear of an amateur horseback rider who broke her arm horseback riding but wanted to continue the sport. The author describes how she set the goals of addressing and diffusing the upsetting mindset; installing a cognitive-behavioral link to support new skill integration and application; and looking at the client's riding through the lens of an amateur but competitive athlete to see how she could best make certain training decisions. She discusses her tools and techniques, including eye movement desensitization and reprocessing (EMDR), neurolinguistic programming, shamanic healing, and Buddhist meditation, and presents an extract from her first EMDR session with her silent thinking about the process as it unfolded. (PsycINFO Database Record (c) 2008 APA, all rights reserved).

Keywords: Athletic Performance  Buddhism  Buddhist Meditation  Coaches  Coaching Amateur Athletes  Emotional Trauma  Fear  Goals  Horses  Neurolinguistic Programming  NLP  Professional Development  Shamanic Healing  Shamanism  Therapists  

Accuracy Verified: Yes


54. Foster, S. (2001). Coaching for peak performance. In J. E. Auerbach (Ed.). Personal and executive coaching, the complete guide for mental health professionals (1st ed.) (pp. 113-116) Ventura, CA:  Executive College Press.

Language: English

Format: Book Section

Abstract:
No abstract available.

Keywords: Coaching  Performance Enhancement  

Accuracy Verified: Yes


55. Deacon, B. J., & Abramowitz, J. S. (2004, April). Cognitive and behavioral treatments for anxiety disorders: A review of meta-analytic findings. Journal of Clinical Psychology, 60(4), 429–441. doi:10.1002/jclp.10255.

Language: English

Format: Journal

Abstract:
Behavioral and cognitive psychotherapies are the most widely studied psychological interventions for anxiety disorders. In the present article, the results of ten years of meta-analytic studies on psychotherapies for the various anxiety disorders are reviewed and the relative effectiveness of cognitive and behavioral therapeutic methods is examined. Meta-analytic results support the effectiveness of combined cognitive and behavioral approaches for anxiety disorders. Pure behavioral therapies also are effective and appear to work as well as combined treatment for some disorders. Due to the small number of outcome studies involving pure cognitive treatments, reliable conclusions about the effectiveness of this approach cannot be offered. Additional theoretical and practical considerations are discussed. © 2004 Wiley Periodicals, Inc. J Clin Psychol 60: 429–441, 2004.

Keywords: Anxiety  GAD  Generalized Anxiety Disorder  Meta-Analysis  Obsessive-Compulsive Disorder  OCD  Panic Disorder  Social Phobia  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


56. Lakey, J. (2007, February). Cognitive behavioral therapy and eye movement desensitization and reprocessing: A comparative analysis for the treatment of post-traumatic stress disorder. St. Gregory’s University.

Language: English

Format: Other

Abstract:
Post-Traumatic Stress Disorder is the primary mental health issue resulting in tours of duty in combat operations. The soldiers returning home from these operations often require treatment in dealing with many of their physical and emotional changes. The therapist who treats these brave men and women needs to understand the treatment methods available for the successful recovery of their clients. After identifying the terms necessary to understand the principles and the historical and etiological background of the disorder and the treatments available, this paper will illuminate several treatment modalities and their success rates in the treatment of PTSD. Cognitive Behavioral Therapy and Eye Movement Desensitization and Reprocessing will be the primary focus of comparison through out this work.

Keywords: Comparative Analysis  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


57. Ho, M. S. K., & Lee, C. W. (2012). Cognitive behaviour therapy versus eye movement desensitization and reprocessing for post-traumatic disorder: Is it all in the homework then?. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 253-260. doi:10.1016/j.erap.2012.08.001.

Language: English

Format: Journal

Abstract:
Introduction: Treatment of choice for post-traumatic stress disorder (PTSD) is either eye movement desensitization and reprocessing (EMDR) or trauma-focused cognitive behaviour therapy (TFCBT). Objective: The aim of the present meta-analysis was to determine whether there are any differences between these two treatments with respect to efficacy and efficiency in treating PTSD. Method: We performed a comprehensive literature search using several electronic search engines as well as manual searches of other review papers. Eight original studies involving 227 participants were identified in this manner. Results: There were no differences between EMDR and TFCBT on measures of PTSD. However, there was a significant advantage for EMDR over TFCBT in reducing depression (Hedge's g = 0.63). The analysis also indicated a difference in the prescribed homework between the treatments. Meta-regression analyses were conducted to examine the relationship between hours of homework and gains in depression and PTSD symptoms. Conclusion: These findings are discussed in terms of efficacy and cost-effectiveness and the use of homework in therapy.

Keywords: CBT  Cognitive Behavior Therapy  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


58. Cusack, K. J., & Spates, C. R. (1999, January-April). The cognitive dismantling of eye movement desensitization and reprocessing (EMDR) treatment of posttraumatic stress disorder (PTSD): A case report. Journal of Anxiety Disorders, 13(1-2), 87-99. doi:10.1016/S0887-6185(98)00041-3 .

Language: English

Format: Journal

Abstract:
Twenty-seven subjects were exposed to standard Eye Movement Desensitization and Reprocessing (EMDR) treatment or a similar treatment without the explicit cognitive elements found in EMDR. Standardized psychometric assessments were administered (Structured Interview for Post Traumatic Stress Disorder, Impact of Event Scale, Revised Symptom Checklist-90) by independent assessors at pretest, posttest and two separate follow-up periods. Potential subjects met specific inclusion/exclusion criteria. Subjective measures including Subjective Units of Disturbance and Validity of Cognition assessments were also conducted. A two-factor repeated measures analysis of variance revealed that both treatments produced significant symptom reductions and were comparable on all dependent measures across assessment phases. The present findings are discussed in light of previous dismantling research that converges to suggest that several elements in the EMDR protocol may be superfluous in terms of the contribution to treatment outcome. These same elements have nevertheless entered unparsimoniously into consideration as possible explanatory variables (ScienceDirect).

Keywords: Adults  Americans  Empirical Study  Longitudinal Study  Posttraumatic Stress Disorder  PTSD  Random Clinical Trial  RCT  Stressors  Survivors  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


59. Oglesby, C., Foster, S., Sime, W., North, T. C., & Lendl, J. (1999). Collaborative partnerships in sport psychology applications of EMDR: High performance and trauma recovery. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.

Language: English

Format: Conference

Abstract:
Clinicians who have grown to accept and support Eye Movement Desensitization Reprocessing (EMDR) have begun to diversify the types of trauma populations in which EMDR is applied. Psychology of injury researchers have suggested, on the basis of their work, that an exciting new direction in sport psychology is the implementation and testing of new interventions aimed at modifying risk factors for athletes. It has also been suggested that extant models of athletic injury may reasonably be re-interpreted to account for other traumatic stressors, additional to injury, in sport. EMDR may reduce stress and trauma reactions in sport participants. EMDR, however, has been developed as a clinical tool and there are limitations on entrance to training in the approach. There are myriad ways, however, in which valuable partnerships may be formed, among psychologists, sport psychologists, and educational sport psychology consultants to use EMDR on behalf of clients. This symposium, within its five sections, will report on many such collaborations. The following are the objectives of the session: (a) provide a brief overview of the research and theory base for EMDR and its use in performance work; (b) describe case reports of successful partnerships among EMDR-trained sport psychologists and variably trained professionals from sport performance.

Keywords: Performance Enhancement  Sports Psychology  Symposium  

Accuracy Verified: Yes


60. Barfoot, K. M., Casey, M. C., & Callaway, A. J. (2012, July). Combined EEG and eye-tracking in sports skills training and performance analysis. Presentation at the World Congress of Performance Analysis of Sport IX, University of Wooster.

Language: English

Format: Conference

Abstract:
The use of mobile EEG brainwave monitoring and eye-tracking recorded synchronously during the training of sports skills offers significant opportunities but creates challenges. Opportunities: ¨ Measuring neurocognitive activity and visual focus in real time which can be used to provide immediate feedback to the coach, in ‘real world’ settings, for optimising training protocols for the individual athlete. ¨ Use of sound output (‘sonification’) in proportion to EEG regions of interest as a neurofeedback mechanism for athlete self-training. ¨ Application of visualisation protocols and ‘EEG-driven’ PC games where game feedback based on state of mind is used to optimise mental state prior to performance. ¨ Examining the relationship between eye movement and neuro activity (e.g. saccades and gamma waves) and in athlete coaching interventions such as sports visual scanning strategies, Eye Movement Desensitisation & Reprocessing (EMDR) therapy, focussed relaxation, etc. Challenges: ¨ The recording of EEG during gross motor behaviour is subject to non-brain artefacts in the raw (time-domain) EEG, due to the much larger (than EEG) electrical voltages arising from muscle and eye movements. Practical approaches and signal processing (frequency domain spectrum) techniques to address these problems will be discussed. ¨ The synchronisation of data recorded on different types of equipment (e.g. EEG, eyetracker, video, sound, EMG, etc.) with different ‘clocks’ and diverse data formats is difficult – both in terms of time-stamping the original recordings across all the systems and playing them back synchronously for subsequent performance analysis. Progress on creating real-time data export methods which allow synchronous data recording and playback will be reported. Examples of studies carried out in archery, golf, motorsport, football and skiing will be discussed, with a focus on archery where: ¨ Measurements were taken from intermediate, county level, near elite and elite archers. ¨ Archery was chosen to demonstrate the real-time and in-situ quantification of neural activity compared with target-based measures of performance that archery provides, over a range of time-spans and skills. ¨ Results demonstrate that there are significant and measurable changes in EEG patterns during a shot with evidence suggesting that the patterns vary as a function of skill level, but not simply as a function of score. Significance of each of these studies for goal-directed learning and performance enhancement are discussed.

Keywords: EEG  Eye Tracking  Performance Analysis  Sports Skills  

Accuracy Verified: Yes


61. van Etten, M. L., & Taylor, S. (1998). Comparative efficacy of treatments for posttraumatic stress disorder:  A meta-analysis. Clinical Psychology and Psychotherapy, 5(3), 126-144. doi:10.1002/(SICI)1099-0879(199809).

Language: English

Format: Journal

Abstract:
A meta-analysis was conducted on 61 treatment outcome trials for PTSD. Conditions included drug therapies (TCAs, carbamazepine, MAOIs, SSRIs, and BDZs), psychological therapies (behaviour therapy, Eye-Movement Desensitization and Reprocessing (EMDR), relaxation training, hypnotherapy, and dynamic therapy), and control conditions (pill placebo, wait-list controls, supportive psychotherapies, and non-saccade EMDR control). Psychological therapies had significantly lower drop-out rates than pharmacotherapies (14% versus 32%), with attrition being uniformly low across all psychological therapies. In terms of symptom reduction, psychological therapies were more effective than drug therapies, and both were more effective than controls. Among the drug therapies, the SSRIs and carbamazepine had the greatest effect sizes, although the latter was based upon a single trial. Among the psychological therapies, behaviour therapy and EMDR were most effective, and generally equally so. The most effective psychological therapies and drug therapies were generally equally effective. Differences across treatment conditions were generally evident across symptom domains, with little matching of symptom domain to treatment type. However, SSRIs had some advantage over psychological therapies in treating depression. Follow-up results were not available for most treatments, but available data indicates that treatment effects for behaviour therapy and EMDR are maintained at 15-week follow-up. [Author Abstract]

Keywords: Antimanic Drugs  Benzodiazepine Derivatives  Hypnotherapy  Meta Analysis  Monoamine Oxidase Inhibitors  Posttraumatic Stress Disorder  Psychoanalytic Psychotherapy  PTSD  Relaxation Therapy  Selective Serotonin Reuptake Inhibitors  Treatment Effectiveness  Tricyclic Derivatives  

Accuracy Verified: Yes


62. Seidler, G. H., & Wagner, F. E. (2006, November). Comparing the efficacy of EMDR and trauma-focused cognitive-behavioral therapy in the treatment of PTSD: A meta-analytic study. Psychological Medicine, 36(11), 1515-1522. doi:10.1017/S0033291706007963.

Language: English

Format: Journal

Abstract:
Background: Eye movement desensitization and reprocessing (EMDR) and trauma-focused cognitive-behavioral therapy (CBT) are both widely used in the treatment of PTSD. There has, however, been debate regarding the advantages of one approach over the other. This study sought to determine whether there was any evidence that one treatment was superior to the other. Method: We performed a systematic review of the literature dating from 1989 to 2005 and identified 8 publications describing treatment outcomes of EMDR and CBT in active-active comparisons. 7 of these studies were investigated meta-analytically. Results: The superiority of one treatment over the other could not be demonstrated. Trauma-focused CBT and EMDR tend to be equally efficacious. Differences between the two forms of treatment are probably not of clinical significance. While the data indicate that moderator variables influence treatment efficacy, we argue that because of the small number of original studies, little benefit is to be gained from a closer examination of these variables. Further research is needed within the framework of randomized controlled trials. Conclusions: Our results suggest that in the treatment of PTSD, both therapy methods tend to be equally efficacious. We suggest that future research should not restrict its focus to the efficacy, effectiveness, and efficiency of these therapy methods but should also attempt to establish which trauma patients are more likely to benefit from one method or the other. What remains unclear is the contribution of the eye movement component in EMDR to treatment outcome. [Author Abstract]

Keywords: Adults  Cognitive Therapy  Meta Analysis  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes


63. Simon, M. J. (2000, September). A comparison between EMDR and exposure for treating PTSD:  A single-subject analysis. the Behavior Therapist, 23(8), 172-175.

Language: English

Format: Newsletter

Abstract:
The intent of this study is to use a single-subject analysis to compare the efficacy of EMDR to imaginal exposure for the treatment of PTSD. More specifically, this study compared exposure and EMDR for treating symptoms associated with the traumatic memories reported by two subjects diagnosed with PTSD. Standardized assessments were used to measure severity of trauma-related intrusive thoughts and sleep disturbances, whereas levels of symptoms were tracked throughout treatment and at 3-month follow-up. [Text, p. 173] [Pilots]

Keywords: Empirical Study  Exposure Therapy  Females  Posttraumtic Stress Disorder  PTSD  

Accuracy Verified: Yes


64. Cook-Vienot, R., & Taylor, R. J. (2012). Comparison of eye movement desensitization and reprocessing and biofeedback/stress inoculation training in treating test anxiety. Journal of EMDR Practice and Research, 6(2), 62-72. doi:10.1891/1933-3196.6.2.62 .

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) and Biofeedback/Stress Inoculation Training (B/SIT) treatment and no treatment (NT) were compared in reducing test anxiety. Thirty college students with high test anxiety were randomly assigned to each condition. Pre-post assessments were conducted using the Test Anxiety Inventory (TAI), State-Trait Anxiety Inventory (STAI), Rational Behavior Inventory (RBI), and Autonomic Perception Questionnaire (APQ). Treatment therapists were licensed professionals with at least 2 years experience in their respective modality. Statistical analysis using a two-way analysis of variance with repeated measures found significant interactions between time (pre-post) and treatment conditions for all measures except the RBI. Post hoc Newman–Keuls analyses were conducted on the change scores, indicating that both EMDR and B/SIT significantly reduced test anxiety. EMDR generally outperformed B/SIT.

Keywords: Biofeedback  Stress Inoculation  Test Anxiety  

Accuracy Verified: Yes


65. Vienot, R. C. (1998, July). A comparison of eye movement desensitization and reprocessing and biofeedback/stress inoculation training in treating test anxiety. Union Institute and University, Cincinnati, OH. AAT 9822000.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) treatment, Biofeedback/Stress Inoculation Training (B/SIT) treatment, and no treatment (NT) were compared in treating test anxiety. Subjects (30) reporting test anxiety were randomly assigned to EMDR, B/SIT or NT. Treatment consisted of three 90 minute sessions using B/SIT and one 45 minute session/three 75 minute sessions using EMDR. Treatment therapists were licensed psychologists, counselors or social workers with two to twenty years experience using EMDR or B/SIT. Subjects in the NT group were offered treatment following the study. Six dependent variables were measured pre/post: trait and state anxiety (State Trait Anxiety Inventory, STAI-T.S.), test anxiety (Test Anxiety Inventory, TAI-T.W.E.), rationality of personal beliefs (Rational Behavior Inventory, RBI), negative self statements (TAI-W) and self report of physiological response (Autonomic Perception Inventory, APQ) using.05 level. ANOVAs were performed followed by a Newman-Keuls Multiple Comparison. There was a significant interaction between pre-post tests and type of group on all dependent measures except the RBI. EMDR showed a tendency toward greater improvement from pre to post test than B/SIT and NT. There were no significant differences between groups on the pre test. Post group means indicated: (a) STAI-S, there was no difference between the groups; (b) STAI-T and APQ, EMDR and B/SIT had a greater reduction than NT; (c) TAI-E, EMDR showed more reduction than B/SIT and NT; (d) TAI-T and W, there were differences between all three groups with EMDR showing the most reduction. A meta-analysis was performed to determine clinical significance. Prior to treatment all three groups were above the normative effect size of 1 SD. The NT group showed no change on post tests. The EMDR group showed a larger reduction in effect size than B/SIT. Based on the data both EMDR and B/SIT reduced test anxiety with EMDR generally outperforming B/SIT. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(1-B), Jul 1998, pp. 0430.

Keywords: Biofeedback/Stress  Biofeedback Training  Empirical Study  Inoculation Training  Stress Management  Test Anxiety  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


66. Jaberghaderi, N., Dolatabadi, S., & Zand, S. O. (2002, Winter). A comparison of eye movement desensitzation and reprocessing and stress inoculation training (SIT) for sexually abused girls. Advances in Cognitive Science, 3(4), 16-26.

Language: English

Format: Journal

Abstract:
Fourteen sexually abused girls aged 12-13, were randomly assigned to receive either EMDR or SIT. Participants and their parents completed Child Report of Post Traumatic Symptoms (CROPS), and Parent Report of Post Traumatic Symptoms (PROPS), pre and post treatment. Results indicated that there was significant influence only on the PROPS. But there was a significant impact on both these instrument (CROPS & PROPS), with EMDR. In evaluating CROPS and PROPS, factor analysis with SIT illustrated that, externalizing and internalizing symptoms in PROPS and avoidance thoughts and behaviors in CROPS were treated. Further the results gathered from factor analysis with EMDR, showed that internalizing and somatic symptoms in PROPS and self harm, depression feelings and also somatic symptoms in CROPS improved as well. Clinical findings also suggested that EMDR and SIT did not have any significant differences in treating posttraumatic symptoms. Factor analysis found that, EMDR was more effective than SIT in treating somatic symptoms of sexually abused girls.

Keywords: Iran  Sexual Abuse  SIT  Stress Inocculation Training  

Accuracy Verified: Yes


67. Garsen, B. (2005). A comparison of post traumatic stress disorder treatment modalities for adolescents. California State University, Long Beach, CA. AAT 1426939.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this study was to explore treatment modalities for Post Traumatic Stress Disorder (PTSD) for adolescents. This study examined current research on the treatment of PTSD by analyzing the content of books and articles written within the past 10 years. The study was a descriptive content analysis of currently used treatment modalities for PTSD. Data analysis involved a recursive process in which themes were identified and developed over numerous readings. The findings of this study indicated that PTSD symptomology was significantly reduced when adolescents were treated with cognitive behavioral methods. Controlled studies were located only for cognitive behavioral interventions. Pharmacological interventions were widely used to treat PTSD symptoms. However, there have been neither controlled nor open-label drug studies conducted regarding this population. Eye Movement Desensitization and Reprocessing (EMDR) is a promising new form of treatment that has yet to be examined in a rigorous manner. Critical Incident Stress Debriefing (CISD) sometimes exacerbated PTSD symptoms in this population. The results of the study indicated that more controlled research needs to be generated targeting adolescents with PTSD.

Keywords: Adolescents  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


68. Ironson, G., Freund, B., Strauss, J., & Williams, J. (2002, January). Comparison of two treatments for traumatic stress:  A community-based study of EMDR and prolonged exposure. Journal of Clinical Psychology, 58(1), 113-128. doi:10.1002/jclp.1132.

Language: English

Format: Journal

Abstract:
This pilot study compared the efficacy of two treatments for PTSD: Eye Movement Desensitization and Reprocessing (EMDR) and Prolonged Exposure (PE). Data were analyzed for 22 patients from a university-based clinic serving the outside community (predominantly rape and crime victims) who completed at least one active session of treatment after three preparatory sessions. Results showed both approaches produced a significant reduction in PTSD and depression symptoms, which were maintained at three-month follow-up. Successful treatment was faster with EMDR as a larger number of people (7 of 10) had a 70% reduction in PTSD symptoms after three active sessions compared to 2 of 12 with PE. EMDR appeared to be better tolerated as the dropout rate was significantly lower in those randomized to EMDR versus PE (0 of 10 vs. 3 of 10). However all patients who remained in treatment with PE had a reduction in PTSD scores. Finally, Subjective Units of Distress (SUDS) ratings decreased significantly during the initial session of EMDR, but changed little during PE. Postsession SUDS were significantly lower for EMDR than for PE. Suggestions for future research are discussed. [Author Abstract]

Keywords: Empirical Study  Meta Analysis  Methodology  Posttraumatic Stress Disorder  Prolonged Exposure  PTSD  Random Clinical Trial  RCT  Treatment Effectiveness  

Accuracy Verified: Yes


69. Schmitt, A. (2011). Conséquences des violences conjugales sur la santé psychologique des victimes, prise en charge par la thérapie EMDR [Consequences of domestic violence on the psychological health of victims, taking care by EMDR therapy]. Université de Metz, Metz, France.

Language: French

Format: Dissertation/Thesis

Abstract:
Les violences conjugales représentent un problème de santé public majeur. En 2011, en France, tous les 2.5 jours, une femme meurt sous les coups de son compagnon. Les violences conjugales résultent de la conjonction de facteurs individuels, conjugaux, sociaux mais également culturels, qui seront détaillés dans cette recherche qui présentera également l'état de l'art concernant les conséquences de ces violences, leurs possibilités de prise en charge et la thérapie EMDR. Quatre études ont été menées dans cette recherche. La première porte sur les conséquences des violences conjugales auprès d'un public de femmes bénéficiant d'un accompagnement social. Il s'agissait d'apporter une contribution aux résultats déjà observés dans la littérature. La seconde étude porte sur la prise en charge de 5 femmes ayant vécu un évènement traumatique en couple et s'étant séparées de leur agresseur. La thérapie EMDR donne des résultats véritablement encourageants, ce qui nous amène à la tester auprès d'un public plus lourdement traumatisé, ayant vécu des violences conjugales d'intensité et de nature variable, durant de nombreuses années (étude 3). Les résultats de l'étude 3 mettent en évidence l'importance de l'adaptation de l'outil thérapeutique à la problématique de la victime et les limites de l'utilisation de l'EMDR auprès de certains types de publics, dont les victimes de violences conjugales. Une analyse de contenu des séances EMDR nous a permis d'affiner nos analyses grâce à une vignette clinique présentée dans l'étude 4. De plus, des personnes n'ayant pas pu être intégrées dans le protocole expérimental ont malgré tout été suivies, ce qui permet une réflexion autour de l'adéquation de la méthode thérapeutique et du cadre expérimental à la victime grâce à une étude de cas, également présentée dans l'étude 4. Toutes ces observations permettront l'émergence de suggestions concernant la prise en charge des victimes de violences conjugales.

Domestic violence represents a major problem for public health. In France, every 2,5 days, a woman dies by the hands of her partner. Domestic violence is the result of the conjunction of individual, domestic, social and also cultural factors to be detailed in this research that will also present the state of art, regarding the consequences of this violence, its means of management and EMDR therapy. Four studies were led in this research. The first one is about the consequences of domestic violence for a group of women benefiting from social support. The idea was to bring a contribution to the results already observed in literature. The second study is about the caretaking of five women who experienced a traumatic event during their couple life, and then split up with their molester. EMDR therapy gives really encouraging results, and it led us to test it with a public more heavily traumatized, who lived intensity and variable violence during many years (study 3). The results of the third study highlight the importance of the adaptation of the therapeutic tools to the problematic of the victim, and the limits of the use of EMDR with some public, included the victims of domestic violence. An analysis of the EMDR sessions content allowed us to refine our analyses thanks to a clinical "vignette" showed in study 4. Moreover, people that could not be included in the experimental protocol were all the same followed up, allowing a reflection around the appropriateness of the therapeutic method and of the experimental frame to the victim thanks to a case study, also presented in study 4. All these observations will allow the emergence of suggestions concerning the caretaking of the domestic violence victims.

Keywords: Domestic Violence  

Accuracy Verified: Yes


70. Staff. (2003, June). Consortial member profile: The Human Performance Laboratory at the University of Calgary. Journal of the Canadian Chiropractic Association, 47(2), 84-92.

Language: English

Format: Journal

Abstract:
The CCCRC now has 12 members and is a network of Canadian researchers designed to foster cross-disciplinary research collaboration on a variety of issues that will advance the CCA’s Research Agenda. Each issue of the JCCA will feature a Consortial Member profile and clinicians and researchers are invited to establish links with those areas of interest. The first Consortial member to be featured is Dr. Walter Herzog at the University of Calgary.
We completed our first study in eye movement desensitization reprocessing therapy (EMDR). The study showed that EMDR is an effective method for helping athletes overcome traumatic events. Athletes significantly reduced their anxiety as a result of the therapy. We also found that those receiving therapy have gaze control characteristics outcome that make have an influence on the conduct and of the therapy.

Keywords: Athletes  Gaze Control Characteristics  

Accuracy Verified: Yes


71. Fernandez, I. (2010, June). The contribution of EMDR with children survivors of mass trauma. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
This paper describes the application of EMDR as an early trauma-focused treatment with children involved in mass disasters (natural disasters, accidents and intentionally provoked incidents).
EMDR treatment was part of a comprehensive treatment of the population and was the elective treatment for children of those elementary schools, which were most exposed to the traumatic events. In most cases, 3 cycles of EMDR treatment were organized at one month, three months and one year after the critical event. Individual sessions were used for the school children due to the serious exposure to trauma and grief including: threat to life, loss of friends and siblings.
Psychological support and EMDR treatment was provided to parents and school personnel, and this aspect has been considered fundamental in enhancing treatment results in children during the last interventions.
Results of questionnaires and clinical interviews to assess posttraumatic symptomatology before and after treatment will be shown along with follow up data. Treatment groups show a significant improvement after EMDR treatment. Results and statistical data regarding EMDR treatment with heavily traumatized children will be presented.
The author will discuss clinical aspects of using EMDR with children following recent traumas of great magnitude. Analysis and evaluation of children's reactions and needs have highlighted significant epidemiological aspects.
The posttraumatic stress reactions of this group in developmental age will be discussed. EMDR treatment for parents and other adults involved in the disaster has proven critical when dealing with children's symptomatology. Guidelines and indications for structured interventions with all parties involved (parents, school personnel, community) from our field studies will be presented.

Keywords: Children  Keynote  Mass Trauma  Survivors  

Accuracy Verified: Yes


72. Power, K., McGoldrick, T., Brown, K., Buchanan, R., Sharp, D., Swanson, V., & Karatzias, A. (2002, August). A controlled comparison of eye movement desensitization and reprocessing versus exposure plus cognitive restructuring, versus waiting list in the treatment of post traumatic stress disorder. Journal of Clinical Psychology and Psychotherapy, 9(5), 299-318. doi:10.1002/cpp.341.

Language: English

Format: Journal

Abstract:
A total of 105 patients with PTSD were randomly allocated to eye-movement desensitization and reprocessing (EMDR) (n = 39) versus exposure plus cognitive restructuring (E + CR) (n = 37) versus waiting list (WL) (n = 29) in a primary care setting. EMDR and E + CR patients received a maximum of 10 treatment sessions over a 10-week period. All patients were assessed by blind raters prior to randomization and at end of the 10-week treatment or waiting list period. EMDR and E + CR patients were also assessed by therapists at the mid-point of the 10- week treatment period and on average at 15 months follow-up. Patients were assessed on a variety of assessor-rated and self-report measures of PTSD symptomatology including the Clinician Administered PTSD Scale (CAPS), the Impact of Events Scale (IOE) and a self-report version of the SI-PTSD Checklist. Measures of anxiety and depression included the Montgomery Asberg Depression Rating Scale (MADRS), the Hamilton Anxiety Scale (HAM-A), and the Hospital Anxiety and Depression Scale (HADS). A measure of social function, the Sheehan Disability Scale, was also used. Drop-out rates between the three groups were 12 EMDR, 16 E + CR, and 5 WL. Treatment end-point analyses were conducted on the remaining 72 patients. Repeated measures analysis of variance of treatment outcome at 10 weeks revealed significant time, interaction, and group effects for all the above measures. In general there were significant and substantial pre-post reductions for EMDR and E + CR groups but no change for the WL patients. Both treatments were effective over WL. The only indication of superiority of either active treatment, in relation to measures of clinically significant change, was a greater reduction in patient self-reported depression ratings and improved social functioning for EMDR in comparison to E + CR at the end of the treatment period and for fewer number of treatment sessions for EMDR (mean 4.2) than E + CR (mean 6.4) patients. At 15 months follow-up treatment gains were generally well-maintained with the only difference, in favour of EMDR over E + CR, occurring in relation to assessor-rated levels of clinically significant change in depression. However, exclusion of patients who had subsequent treatment during the follow-up period diminished the proportion of patients achieving long-term clinically significant change. In summary, at end of treatment and at follow-up, both EMDR and E + CR are effective in the treatment of PTSD with only a slight advantage in favour of EMDR. [Author Abstract]

Keywords: Adults  Brief Psychotherapy  British  Cognitive Therapy  Exposure Therapy  Females  Males  Posttraumatic Stress Disorder  PTSD  Random Clinical Trial  RCT  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


73. Benish, S. G., Imel, Z. E., & Wampold, B. E. (2008, October). Corrigendum to “The relative efficacy of bona fide psychotherapies for treating post-traumatic stress disorder: A meta-analysis of direct comparisons”. Clinical Psychology Review, 28(7), 1281. doi:10.1016/j.cpr.2008.06.001.

Language: English

Format: Journal

Abstract:
In the course of extending our meta-analysis of the relative efficacy of psychotherapy treatment of PTSD (Benish, Imel, & Wampold, 2008), we detected three errors in the original analysis that appear in Table 1. The effect size for all measures should be d=.40 for Foa et al. (1999), while all measures and PTSD measures for Devilly & Spence (1999) should be d=.43 and d=.57, respectively. In the original analysis, data from Resick et al. (1988) was erroneously included in lieu of Resick (2002) including the quotation. The correct effect size for Resick et al. (2002) all measures and PTSD measures should be d=.31 and d=.27, respectively. After correcting these errors, the upper bound of the aggregated effect increases slightly to 0.19 and 0.22 for all measures and PTSD measures, respectively. These errors did not affect the significance level of any test of the hypotheses of the study.

Keywords: Corrigendum  

Accuracy Verified: Yes


74. Feldner, M. T., Monson, C. M., & Friedman, M. J. (2007, January). A critical analysis of approaches to targeted PTSD prevention: Current status and theoretically derived future directions. Behavior Modification, 31(1), 80-116. doi:10.1177/0145445506295057.

Language: English

Format: Journal

Abstract:
Although efforts to prevent posttraumatic stress disorder (PTSD) have met with relatively limited success, theoretically driven preventive approaches with promising efficacy are emerging. The current article critically reviews investigations of PTSD prevention programs that target persons at risk for being exposed to a traumatic event or who have been exposed to a traumatic event. This review uniquely extends prior reviews in this area by using theories of PTSD to suggest future directions in the area of PTSD prevention. The authors first discuss the primary mechanisms of action believed to account for the failure for PTSD symptoms to remit among a substantial minority of traumatic event–exposed individuals. Second, empirical progress in PTSD prevention efforts is reviewed. Third, the authors consider how existing prevention programs target these mechanisms of action. Finally, the authors consider directions for future research in the area of targeted PTSD prevention.

Keywords: Posttraumatic Stress Disorder  Prevention  PTSD  Risk  Trauma  

Accuracy Verified: Yes


75. Grand, D. (1999). Defining and redefining EMDR. Bellmore, New York: Biolateral.

Language: English

Format: Book

Abstract:
Bringing insights and experience into diagnosis, treatment, advanced protocols, ego states work, working with difficult clients and performance and creativity enhancement.

Keywords: Creativity  

Accuracy Verified: Yes


76. Mendez Carrillo, F. M., Quiles Sebastian, M. J., & Ortigosa, J. M. (2002). Desensibilización por movimiento de ojos y reprocesamiento: Una década después [Eye movement desensitization and reprocessing: A decade later]. Psiquis, Revista de Psiquiatria, Psicologia Medica y Psicosomatica 23(1), 39-47.

Language: Spanish

Format: Journal

Abstract:
Zehn Jahre nach Francine Shapiro hat ihren ersten Artikel über Eye Movement Desensitization und die Wiederaufbereitung Methode (EMDR), Interesse an der therapeutischen Anwendung, theoretische Fundierung und physiologischen Mechanismen beteiligt ist gestiegen. Der vorliegende Beitrag führt eine bibliometrische Analyse der wissenschaftlichen Produktion zu dieser Methode ein Jahrzehnt nach ihrer Präsentation in der wissenschaftlichen Gemeinschaft. Die wichtigsten Ergebnisse zeigen, dass die produktivsten Jahre 1996, ist Deutschland das Land, dass die meisten veröffentlichte mit dem Thema und der Autor mit der größeren Anzahl von Literaturangaben Hinsicht ist Francine Shapiro. Auf der anderen Seite ist posttraumatischen Belastungsstörungen der Pathologie, in der EMDR wurde hauptsächlich beantragt hat.

Ten years after Francine Shapiro edited her first article about Eye Movement Desensitization and Reprocessing method (EMDR), interest in the therapeutic application, theoretical basis and involved physiological mechanisms has increased. The present article carries out a bibliometric analysis on the scientific production about this method a decade after its presentation to the scientific community. The main results indicate that the most productive year is 1996, United States is the country that has published most with regard the subject and the author with the greater number of bibliographical references is Francine Shapiro. On the other hand, posttraumatic stress disorder is the pathology in which EMDR has been principally applied.

Keywords: Practice  Theory  

Accuracy Verified: Yes


77. Leuenberger, R. (2008). Die EMDR - Methode und ihr bezug zurbersten grundmotivation [EMDR - the method and its relation to basic motivation]. Existenzanalyse, 25(1), 44-53.

Language: German

Format: Newsletter

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

This thesis should demonstrate that existential analysis can make a substantial contribution to the psychological as well as philosophical understanding of the EMDR (Eye Movement Desensitization and Reprozessing) method of treating mentally traumatized patients with a PTSD (Posttraumatic Stress Disorder), and thus extends beyond the common, and to some degree hypothetical, neurobiological attempts at explaining this method. The study is based on the experiences collected over a period of four years in the practice of a general practitioner who used the EMDR method in the treatment of patients suffering from PTSD. According to the verbal statements of patients made before, during and after treatment, it can be concluded that of the relevant deficiencies in the areas of the four fundamental motivations of existential analysis, those having to do with the first fundamental motivation bear the most significance. On the basis of 23 medical histories the effective factors of the EMDR method will become understandable from an existential-analytic point of view by using the concepts of the first fundamental motivation.

Keywords: Existential Analysis: Fundamental Motivation  Trauma  

Accuracy Verified: Yes


78. Wagner, F. E., & Seidler, G. H. (2005). Die wirksamkeit von EMDR im direkten vergleich zur kognitiv-behavioralen therapie in der behandlung von PTSD:  Eine metaanalytische betrachtung [The efficacy of EMDR in the treatment of PTSD compared to cognitive-behavioral therapy:  A meta analytical examination]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 3(2), 61-72.

Language: German

Format: Journal

Abstract:
In dieser metaanalytischen Betrachtung werden EMDR und kognitiv-behaviorale Therapie direkt miteinander verglichen. Mittlerweile liegen hierzu sieben Originalarbeiten vor. Unsere Ergebnisse legen nahe, dass beide Therapieformen eine ähnlich hohe Wirksamkeit besitzen. Die Überlegenheit einer Behandlungsmethode ist mit der momentanen Datenlage jedoch nicht nachweisbar. Dennoch scheint es Moderatorvariablen zu geben, welche die Therapieeffektivität beeinflussen. Die geringe Anzahl der Originalstudien lässt jedoch eine nähere Untersuchung dieser Faktoren gegenwärtig nicht sinnvoll erscheinen.

In this meta-analytical examination we directly compared EMDR to cognitive-behavioral therapy. At present there are seven original studies concerning the subject. Our results suggest that both treatments tend to be equally effective. The superiority of one treatment over the other cannot be proved with our data. Nonetheless there seem to be moderator variables that influence the treatment efficacy. But the small number of original studies makes a closer examination of these variables rather pointless. [Author Summary]

Keywords: Cognitive Therapy  Exposition  Meta Analysis  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes


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

Language: German

Format: Book

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

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

Keywords: Posttraumatic Stress Disorder  PTSD  Trauma  

Accuracy Verified: Yes


80. Baardseth, T. P. (2012, May). Direct comparisons of cognitive-behavioral treatments and bona fide non-cognitive-behavioral treatments for adult anxiety disorders: A meta-analysis. University of Wisconsin, Madison, WI.

Language: English

Format: Dissertation/Thesis

Abstract:
Despite growing evidence that all treatments intended to be therapeutic (i.e., bona fide treatments) are equally efficacious, the question of relative efficacy persists. In fact, cognitivebehavioral treatments (CBT) have gained a more favorable status over non-CBT treatments for adult anxiety disorders. However, the assertion that CBT treatments are superior is premature due to conceptual and methodological issues affecting the extant CBT research. This metaanalysis addressed these limitations by consensually identifying CBT treatments and determining the true relative efficacy of bona fide CBT and bona fide non-CBT treatments for adult anxiety disorders. The study employed strict inclusion criteria to identify randomized clinical trials that contained at least one direct comparison of a bona fide CBT treatment and a bona fide non-CBT treatment. Additionally, 91 CBT experts from the Association of Behavioral and Cognitive Therapists (ABCT) were surveyed to identify the bona fide treatments as CBT or non-CBT. Thirteen clinical trials met inclusion criteria. CBT treatments and non-CBT treatments were found to be equally efficacious across targeted and non-targeted outcome measures. Additional analyses revealed that researcher allegiance did not account for the significant heterogeneity. The results are consistent with the increasing evidence for uniform efficacy among treatments intended to be therapeutic, and stand in contrast to assertions for the superiority of CBT treatments for adult anxiety. This meta-analysis contributes to the growing body of research revealing that a particular therapeutic approach is not more effective than another treatment when intended to be therapeutic.

Keywords: Adults  Anxiety Disorders  Meta-Analysis  

Accuracy Verified: Yes


81. [Yoshinori Fukui]. (2009, May). Discussion on the use of the dissociative experiences scale (DES): Frequency of dissociative experinces among adolescents. EMDR研究1(1)、12月23日 [Japanese Journal of EMDR Research and Practice, 1(1), 12-23].

Language: Japanese

Format: Journal

Abstract:
This research aims to look at the frequency of dissociative experiences among adolescent population, and collect basic data. Dissociative Experiences Scale (DES) was administered to 816 university students. The results on each item were analyzed and they were very similar to those of previous studies. I-T correlation and G-P analyses results indicate that discriminate power for each item is at best when cut-off of 25 or less is applied. Since the data was not distributed normally, test for median was performed and the same result was obtained. On top of that, to secure the normal distribution of the data, square root transformation was undertaken before the two analyses were performed. The results suggest that on G-P analysis, in order to increase discriminate power, the cut-off needs to be less than 16. However, when false negative and positive were taken into consideration, it was off from practical use. And when compared with other researches, it became apparent that depending on the context of measurers used with DES, there is a possibility of subjecrs being biased. Also it was suggested that items on DES are useful in screening DID but they are not measuring the overall spectrum of dissociative disorder.

Keywords: Adolescence  DES  Dissociative Experience  Dissociative Experiences Scale  

Accuracy Verified: Yes


82. Ehlers, A., Bisson, J., Clark, D. M., Creamer, M., Pilling, S., Richards, D., Schnurr, P. P., Turner, S., & Yule, W. (2010, March). Do all psychological treatments really work the same in posttraumatic stress disorder?. Clinical Psychology Review 30(2), 269–276. doi:10.1016/j.cpr.2009.12.001.

Language: English

Format: Journal

Abstract:
A recent meta-analysis by Benish, Imel, and Wampold (2008, Clinical Psychology Review, 28, 746-758) concluded that all bona fide treatments are equally effective in posttraumatic stress disorder (PTSD). In contrast, seven other meta-analyses or systematic reviews concluded that there is good evidence that trauma-focused psychological treatments (trauma-focused cognitive behavior therapy and eye movement desensitization and reprocessing) are effective in PTSD; but that treatments that do not focus on the patients' trauma memories or their meanings are either less effective or not yet sufficiently studied. International treatment guidelines therefore recommend trauma-focused psychological treatments as first-line treatments for PTSD. We examine possible reasons for the discrepant conclusions and argue that (1) the selection procedure of the available evidence used in Benish et al.'s (2008)meta-analysis introduces bias, and (2) the analysis and conclusions fail to take into account the need to demonstrate that treatments for PTSD are more effective than natural recovery. Furthermore, significant increases in effect sizes of trauma-focused cognitive behavior therapies over the past two decades contradict the conclusion that content of treatment does not matter. To advance understanding of the optimal treatment for PTSD, we recommend further research into the active mechanisms of therapeutic change, including treatment elements commonly considered to be non-specific. We also recommend transparency in reporting exclusions in meta-analyses and suggest that bona fide treatments should be defined on empirical and theoretical grounds rather than by judgments of the investigators' intent. Copyright © 2009 Elsevier Ltd. All rights reserved.

Keywords: Posttraumatic Stress Disorder  PTSD  Treatment  

Accuracy Verified: Yes


83. Rossi, E. L. (1999, June). Does EMDR facilitate new growth in the brain?  Immediate-early genes in optimizing human potentials. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to describe the possible role of immediate-early genes and the growth of the brain during psychological arousal, creative work and innovative approaches to psychotherapy, such as EMDR; and 2) be able to outline the mind-body dynamics of our natural 90 ultradian cycle of peak performance and healing in creative work, as well as psychotherapy.

Keywords: 90 Ultradian Cycle of Peak Performance  Brain Growth  Immediate-Early Genes  

Accuracy Verified: Yes


84. Turner, S. (2005, November). Drug treatments in the management of PTSD. Symposium conducted (S. Turner, Chair) at the 21st annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.

Language: English

Format: Conference

Abstract:
The UK National Institute for Clinical Excellence Guidelines on PTSD: Based on rigorous meta-analysis, detailed literature review and two public consultations, the national guidelines for the assessment, prevention and treatment of PTSD in the UK will be presented in this symposium on behalf of the Guideline Development Group.

Drug treatments in the management of PTSD: Drug treatments are increasingly used in the management of PTSD and have been supported by a number of recent reviews although there have been increasing concerns about their safety. Recent guidance has been issued in the UK by the Regulatory Agency concerning the use of SSRI drugs in people of all ages, but especially in children and young adults. In a meta-analysis of the clinical trial literature for PTSD, following a rigorous bibliographic search, 26 RCTs meeting strict criteria were identified. Data on two hitherto unpublished trials of sertraline were available for inclusion. This review highlights the methodological issues involved in comparing drug trials and trials of psychological therapies. Nonetheless, meta-analysis demonstrates that drug treatments for PTSD are probably more disappointing than hitherto believed. Only five drugs emerged with recommendations for use. One of these has a reliable if modest effect (paroxetine). The other four are included on the basis of small single trial reports. Although there are clear indications for drug treatments, in general there should be an increasing emphasis on ensuring that trauma-focused psychological treatments (CBT and EMDR) are widely available, delivered by competent practitioners, and easily accessible in a timely fashion in primary and secondary care settings.

Keywords: Drug Treatment  Posttraumatic Stress Disorder  PTSD  Symposium  

Accuracy Verified: No


85. Jatzko, A., Ruf, M., & Schmitt, A. (2008, Mai). Durch EMDR normalisierte funktionelle verarbeitungsprozesse bei PTBS: Eine fMRT pilotstudie [EMDR normalized by functional processing in PTSD: An fMRI pilot study] . Poster präsentiert auf der 10. Jahrestagung der DeGPT Deutschsprachige Gesellschaft für Psychotraumatologie, Psychisches Trauma-korperliches Leiden, Basel, Schweiz.

Language: German

Format: Conference

Abstract:
Es existieren kaum Untersuchungen mittels funktioneller Bildgebung, die den Effekt psychotherapeutischer Verfahren und deren Auswirkungen auf das Gehirn eruieren. Eye-Movement-Desensitization and Reprocessing (EMDR) ist ein anerkanntes Verfahren zur Behandlung der posttraumatischen Belastungsstörung, jedoch wurde noch keine fMRT-Studie zu diesem Verfahren veröffentlicht. Diese fMRT-Studie soll erste Hinweise auf die Auswirkungen einer EMDR-Therapie auf die Informationsverarbeitung einer Patientin mit einer posttraumatischen Belastungsstörung (PTBS) zeigen.

The fMRI study was at the ZI in a SIEMENS VISION 1.5 Tesla MR scanner with a 2D/EPI-Sequence (3.43 mm x 3:43 in plane Resolution, 24 layers, 4 mm per layer, 1 mm gap) and a Repetition time of 2.94 s made. It was her description of her of the accident at the moment of impact in a block design alternating with a baseline condition (only MRI noise) presented. Each 8x block was presented for 19.8 sec. After this there is a EMDRBehandlung (2h), where there were violent reactions of the patient. After a 20th Break was repeated the fMRI procedure. The Analysis was performed by BrainVoyager QX 1.9, with a t-test (fixed effect) with a threshold of q <0.5 (corrected) as was assumed significant.

Keywords: fMRI  Pilot Study  Poster  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


86. Ravaglia, G. (2003). E.M.D.R. e percorso analitico [EMDR and path analysis]. Gianfranco Ravaglia.

Language: Italian

Format: Other

Abstract:
Le tesi sviluppate negli scritti di questo sito rinviano a vari indirizzi psicoterapeutici che convergono nel considerare i disturbi psicologici come esiti di atteggiamenti difensivi intenzionali, anziché come "effetti" di "cause" intrapsichiche o ambientali. Il cliente in analisi non è quindi considerato un malato da curare, ma un soggetto che ha costruito le sue difese e che per questo può anche cambiare. Il lavoro analitico verte sul chiarimento delle convinzioni irrazionali su cui si fonda la strategia difensiva della persona e sull'esplorazione dei vissuti profondi non integrati nell'infanzia perché sentiti in tale epoca come intollerabili. Il lavoro analitico si basa sull'idea che i sintomi, gli atteggiamenti difensivi ed anche molti atteggiamenti considerati normali costituiscano una risposta ragionevole nell'infanzia, ma irrazionale nella vita adulta, al dolore. Il bambino evita il dolore, mentre l'adulto può accettarlo perché dispone di risorse che nell'infanzia non aveva. Il lavoro analitico ha come obiettivo l’elaborazione delle esperienze dolorose attuali e dei vissuti dolorosi del passato. Non “cura” i disturbi psicologici, ma serve a renderli superflui; consente quindi alla persona in analisi non solo di "star meglio", ma di modificare l'atteggiamento complessivo nei confronti della sua esistenza. Dal 2000 ad oggi questo sito è cresciuto includendo ogni anno nuovi lavori. Per ogni saggio indico la data della prima pubblicazione; indico anche quella dell’ultima revisione solo nei casi in cui parti significative sono state aggiunte.

The arguments in the writings of this site refer to various addresses psychotherapy converge in considering the results of psychological disorders such as defensive intentional, rather than "effects" of "causes" intrapsychic or environmental. The customer analysis is therefore not considered a patient to be cured, but a person who has built his defenses and that this may also change. The analytical work focuses on clarifying the irrational beliefs underlying the defensive strategy of the person and the exploration of deep feelings are not integrated in childhood because at that time felt as intolerable. The analytical work is based on the symptoms, the defensive and many considered normal behavior in childhood constitute a reasonable response, but irrational in adult life, the pain. The child avoids the pain, while the adult can accept it because it has resources that childhood did not have. The analytical work has as objective the development of painful experiences of current and past painful experiences. Not cure psychological disorders, but serves to make them redundant; then allows the person in analysis not only of "getting better", but change the overall attitude towards its existence. Since 2000 this site has grown to include new works each year. For each test indicates the date of first publication, also indicates that the last review only in cases where significant parts have been added.

Keywords: Path Analysis  

Accuracy Verified: Yes


87. Graham, L. B., & Robinson, E. M. (2007, Spring). Effect of EMDR on anxiety and swim times. Journal of Swimming Research, 17, 1-9.

Language: English

Format: Journal

Abstract:
This study investigated the effect of Eye Movement Desensitization and Reprocessing (EMDR) on swimmers who had experienced a traumatic swimming event. Measures of performance, anxiety, and self-perception in (N = 65) competitive college and high school swimmers were collected Swimmers were randomly assigned to one of three conditions; EMDR, imagery or no treatment. All participants took the State-Trait Anxiety Scale and performed a 100 yd freestyle swim pretreatment and posttreatment. The EMDR and imagery group had two additional anxiety measures: [heart rate and Subjective Units of Distress, (SUDS)] and one cognition scale the Validity of Cognition Scale. These two groups had three sessions of either EMDR or imagery. Trait anxiety scores did not differ among groups as expected but the EMDR group's state anxiety decreased compared to the no treatment group p = .002. Heart rate and SUDS decreased as a consequence of group, with EMDR showing a drop in rate p < .001. Swim times were not different for all the groups, but EMDR improved compared to the no treatment p = .043. The EMDR group endorsed greater coping beliefs than the imagery group p < .01. EMDR may provide coaches with an alternative to imagery to help the athlete who has a "mental block" (negative thoughts indicating inability to cope with the swimming event) secondary to a traumatic sport

Keywords: Anxiety  Swimming  

Accuracy Verified: Yes


88. Lee, H., Yum, M. K., Kim, S. H., Lee, Y. J., & Kim, D. (2008). Effect of horizontal eye movements on the heart rate variability after exposure to a fear-inducing film clip. Korean Journal of Biological Psychiatry, 15(1), 35-45.

Language: Korean

Format: Journal

Abstract:
Objectives: There has been a continued debate regarding the role of eye movements in Eye Movement Desensitization and Reprocessing (EMDR). This study examined the possible autonomic effect of horizontal eye movements after being exposed to fearful stimuli. Methods: Fifty two healthy adult women were randomly allocated to eye movement or eye fixed groups after watching a five minute fear-inducing film clip. ECG was recorded during the resting state, after watching the clip, and the treatment. A spectral power analysis of the heart rate variability was performed. As the variables violated the rule of normal distribution and the number in each group is small the non-parametric test was used. Results: Overall, we did not find the differences between the groups in both time and frequency domains. Some minor differences found were not consistent with results from previous studies. Conclusions: Effect of eye movement on autonomic nervous system during fear desensitization was not supported in this experiment. Further study with other psychophysiological measures is needed to understand the role of eye movements in treatment of traumatic memory.

Keywords: Autonomic Nervous System  Eye Movements  Eye Movements  Females  Fear  Film Clip  Heart Rate Variability  Horitzontal  Korean  

Accuracy Verified: Yes


89. Nakahara, T., Nakahara, K., Uehara, M., Koyama, K., Li, K., Harada, T., Yasuhara, D., Taguchi, H., Kojima, S., Sagiyama, K., & Inui, A. (2007, May). Effect of juggling therapy on anxiety disorders in female patients. doi:doi:10.1186/1751-0759-1-10. BioPsychoSocial Medicine, 1(10), 1-4.

Language: English

Format: Journal

Abstract:
Aims: The aim of this study was to investigate the effect of juggling therapy for anxiety disorder patients. Design and Method: Subjects were 17 female outpatients who met the DSM-IV diagnostic criteria for anxiety disorders. Subjects were treated with standard psychotherapy, medication and counseling for 6 months. For the last 3 months of treatment, subjects were randomized into either a non-juggling group (n = 9) or a juggling therapy group (juggling group: n = 8). The juggling group gradually acquired juggling skills by practicing juggling beanbags (otedama in Japan) with both hands. The therapeutic effect was evaluated using scores of psychological testing (STAI: State and Trate Anxiety Inventry, POMS: Profile of Mood Status) and of ADL (FAI: Franchay Activity Index) collected before treatment, 3 months after treatment (before juggling therapy), and at the end of both treatments. Results: After 6 months, an analysis of variance revealed that scores on the state anxiety, trait anxiety subscales of STAI and tension-anxiety (T-A) score of POMS were significantly lower in the juggling group than in the non-juggling group (p < 0.01). Depression, anger-hostility scores of POMS were improved more than non-jugglers. In the juggling group, activity scores on the vigor subscale of POMS and FAI score were significantly higher than those in the non juggling group (p < 0.01). Other mood scores of POMS did not differ between the two groups. Conclusion: These findings suggest that juggling therapy may be effective for the treatment of anxiety disorders.

Keywords: Anxiety Disorders  Females  

Accuracy Verified: Yes


90. Becker, L. (2000). Effect size. Lee Becker, Ph.D..

Language: English

Format: Other

Abstract:
Effect size (ES) is a name given to a family of indices that measure the magnitude of a treatment effect. Unlike significance tests, these indices are independent of sample size. ES measures are the common currency of meta-analysis studies that summarize the findings from a specific area of research. See, for example, the influential metaanalysis of psychological, educational, and behavioral treatments by Lipsey and Wilson (1993). There is a wide array of formulas used to measure ES. For the occasional reader of meta-analysis studies, like myself, this diversity can be confusing. One of my objectives in putting together this set of lecture notes was to organize and summarize the various measures of ES. In general, ES can be measured in two ways: a) as the standardized difference between two means, or b) as the correlation between the independent variable classification and the individual scores on the dependent variable. This correlation is called the "effect size correlation" (Rosnow & Rosenthal, 1996). These notes begin with the presentation of the basic ES measures for studies with two independent groups. The issues involved when assessing ES for two dependent groups are then described.
The psychotherapies include: behavioral treatments (primarily different forms of exposure therapies), eye movement desensitization and reprocessing (EMDR), relaxation therapy, hypnosis, and psychodynamic therapy. The control conditions include: pill placebo (used in the drug treatment studies), wait list controls, supportive psychotherapy, and no saccades (a control for eye movements in EMDR studies).

Keywords: Effect Size  

Accuracy Verified: Yes


91. Silverman, S. J. (2011). Effecting peak athletic performance with neurofeedback, interactive metronome®, and EMDR: A case study. Biofeedback, 39(1), 40-42. doi:10.5298/1081-5937-39.1.08.

Language: English

Format: Journal

Abstract:
This case study chronicles the application and effects of a customized combination of therapies, including neurofeedback, Interactive Metronome® (IM), and Eye Movement Desensitization and Reprocessing (EMDR) created to help a professional athlete improve his brain function and performance. Brian, a 28-year-old professional baseball player, sought help for difficulty maintaining focus and concentration while playing baseball. He felt his challenges impeded his athletic performance, and he wanted to perform at the highest possible level during the upcoming spring training season. Brian's history combined with the results of a QEEG brain map led to a diagnosis of Attention Deficit Disorder–Inattentive Type. The individualized treatment program for Brian included neurofeedback to lower theta activity and increase beta, IM to improve coordination and timing, and EMDR to address his feelings of anger and lack of self-confidence. At the conclusion of his training, Brian described feeling “clear-headed” and was able to focus his mind when needed. His timing and coordination improved, and he showed a positive attitude about playing baseball and felt confident that he would perform well at spring training.

Keywords: Athelete  Attention Deficit Disorder–Inattentive Type  IM  Interactive Metronome®  Neurofeedback  Performance ENhancement  QEEG Brain Map  

Accuracy Verified: Yes


92. Benjamin, A., Rodenburg, R., Stams, G. J., Meijer, A. M., & Jongeneel, R. (2007. Effectiviteit van EMDR bij kinderen gekoppeld aan mogelijkheden van EMDR voor mensen met een verstandelijke beperking. Een meta-analyse naar de effectiviteit van EMDR voor kinderen en een casus waarin de mogelijkheden van EMDR voor mensen met een verstandelijke beperking worden onderzocht [Effectiveness of EMDR in children linked to capabilities of EMDR for people with intellectual disabilities. A meta-analysis of the effectiveness of EMDR for children and a case in which the possibilities of EMDR for people with intellectual disabilities are examined]. Amsterdam: Universiteit van Amsterdam, pedagogische en onderwijskundige Wetenschappen (Masterscriptie Orthopedagogiek).

Language: Dutch

Format: Dissertation/Thesis

Keywords: Children  Intellectual Disabilities  

Accuracy Verified: Yes


93. 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


94. Pagani, M., Hogberg, G., Salmaso, D, Tarnell, B., Nardo, D., Sundin, Ö., Jonsson, C., Soares, J., Aberg-Wistedt, A., Jacobsson, H., Larsson, S.A., Hällström, T. (2007, October). Effects of EMDR psychotherapy on 99mTc-HMPAO distribution in occupation-related post-traumatic stress disorder. Nuclear Medicine Communications, 28(10), 757-765. doi:10.1097/MNM.0b013e3282742035.

Language: English

Format: Journal

Abstract:
Background: Post-traumatic stress disorder (PTSD) is a derangement of mood control with involuntary, emotionally fraught recollections that may follow deep psychological trauma in susceptible individuals. This condition is treated with pharmacological and/or cognitive therapies as well as psychotherapy with eye movement desensitization and reprocessing (EMDR). However, only a very limited number of studies have been published dealing with work-related PTSD, and investigations on the effect of treatment on cerebral blood flow represent an even smaller number. Aim: To investigate the short-term outcome of occupation-related PTSD after EMDR therapy by 99mTc-HMPAO SPECT. Method: Fifteen patients, either train drivers suffering from PTSD after having been unintentionally responsible for a person-under-train accident or employees assaulted in the course of duty, were recruited for the study. 99mTc-HMPAO SPECT was performed on these patients both before and after EMDR therapy while they listened to a script portraying the traumatic event. Tracer distribution analysis was then carried out at volume of interest (VOI) level using a three-dimensional standardized brain atlas, and at voxel level by SPM. The CBF data of the 15 patients were compared before and after treatment as well as with those of a group of 27 controls who had been exposed to the same psychological traumas without developing PTSD. Results: At VOI analysis significant CBF distribution differences were found between controls and patients before and after treatment (P=0.023 and P=0.0039, respectively). Eleven of the 15 patients responded to treatment, i.e., following EMDR they no longer fulfilled the DSM-IV criteria for PTSD. When comparing only the eleven responders with the controls, the significant group difference found before EMDR (P=0.019) disappeared after treatment. Responders and non-responders showed after therapy significant regional differences in frontal, parieto-occipital and visual cortex and in hippocampus. SPM analysis showed significant uptake differences between patients and controls in the orbitofrontal cortex (Brodmann 11) and the temporal pole (Brodmann 38) both before and after treatment. A significant tracer distribution difference present before treatment in the uncus (Brodmann 36) disappeared after treatment, while a significant difference appeared in the lateral temporal lobe (Brodmann 21). Conclusion: Significant 99mTc-HMPAO uptake regional differences were found, mainly in the peri-limbic cortex, between PTSD patients and controls exposed to trauma but not developing PTSD. Tracer uptake differences between responders and patients not responding to EMDR were found after treatment suggesting a trend towards normalization of tracer distribution after successful therapy. These findings in occupational related PTSD are consistent with previously described effects of psychotherapy on anxiety disorders. [PubMed]

Keywords: 99mTc-HMPAO  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


95. Pagani, M., Hogberg, G., Salmaso, D., Nardo, D., Jonsson, C., Danielsson, A.M., Engelin, L., Jacobsson, H., Larsson, S. A., Hallstrom, T., & Sundin, Ö. (2006, September). Effects of EMDR therapy on 99mTc-HMPAO distribution in Post-traumatic stress disorder. Presentation at the European Assocation of Nuclear Medicine Congress, Athens, Greece. European Journal of Nuclear Medical and Molecular Imaging, 33, S169.

Language: English

Format: Conference

Abstract:
Background Post-traumatic stress disorder (PTSD) is a derangement of mood control with emotional trauma recollections that may follow psychological trauma. It is treated with pharmacological and cognitive therapies as well as with eye movement desensitization and reprocessing (EMDR). However, a limited number of studies have been published dealing with job related PTSD, and an even smaller number have assessed the effects of treatment on CBF. The aim of this study was to investigate the short term outcome of occupation based PTSD after EMDR therapy by 99mTc-HMPAO SPECT. Methods Fifteen patients suffering PTSD after having experienced a person under train accident or having been assaulted at work were included into the study. 99mTc-HMPAO SPECT was performed before and after EMDR therapy while listening to a script portraying the traumatic event. Tracer distribution analysis was performed at VOI level using a 3D standardised brain atlas and at cluster of voxel level by SPM and was subjected to an analysis of treatment as well as contrasted to a group of 27 subjects exposed to the same psychological trauma and not developing PTSD. Results Eleven of 15 patients responded to treatment, i.e. they did no longer fulfil the DSM-IV criteria for PTSD after EMDR. Overall VOI analysis showed significant differences between, both before and after treatment conditions and controls (p<0.05) but no effect of period, i.e. treatment. However, when contrasting responders to controls the significant group difference present after treatment disappeared, indicating a normalization effect due to successful EMDR treatment. SPM analysis showed significant uptake differences in orbitofrontal cortex (Brodmann 11) and temporal pole (Brodmann 38) before as well as after treatment as compared to controls. A significant tracer uptake group difference present before treatment in uncus (Brodmann 36) disappeared after treatment while a significant difference appeared in lateral temporal lobe (Brodmann 21). No tracer uptake differences were found by SPM as an effect of treatment, nor between the 11 responders and controls. Conclusion Significant 99mTc-HMPAO uptake differences, mainly in peri-limbic cortex, between PTSD patients investigated before and after EMDR and subject exposed to trauma not developing PTSD were found. Differences between the tracer distribution in patients before and after therapy were not significant neither at SPM nor at VOI analyses but the latter showed at group level an effect of symptom remission on tracer distribution. The findings underscore the validity of psychotherapy in anxiety disorders and confirm the efficacy of SPECT in psychiatry. [EANM]

Keywords: 99mTc-HMPAO Distribution  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


96. Pagani, M., Hogberg, G., Salmaso, D., Nardo, D., Jonsson, C., Danielsson, A. M., Engelin, L., Jacobsson, H., Larsson, S. A., Hallstrom, T., & Sundin, Ö. (2006, September-October). Effects of EMDR therapy on 99mTc-HMPAO distribution in Post-traumatic Stress Disorder. Presentation at the European Assocation of Nuclear Medicine Congress, Athens, Greece.

Language: English

Format: Conference

Abstract:
Background Post-traumatic stress disorder (PTSD) is a derangement of mood control with emotional trauma recollections that may follow psychological trauma. It is treated with pharmacological and cognitive therapies as well as with eye movement desensitization and reprocessing (EMDR). However, a limited number of studies have been published dealing with job related PTSD, and an even smaller number have assessed the effects of treatment on CBF. The aim of this study was to investigate the short term outcome of occupation based PTSD after EMDR therapy by 99mTc-HMPAO SPECT. Methods Fifteen patients suffering PTSD after having experienced a person under train accident or having been assaulted at work were included into the study. 99mTc-HMPAO SPECT was performed before and after EMDR therapy while listening to a script portraying the traumatic event. Tracer distribution analysis was performed at VOI level using a 3D standardised brain atlas and at cluster of voxel level by SPM and was subjected to an analysis of treatment as well as contrasted to a group of 27 subjects exposed to the same psychological trauma and not developing PTSD. Results Eleven of 15 patients responded to treatment, i.e. they did no longer fulfil the DSM-IV criteria for PTSD after EMDR. Overall VOI analysis showed significant differences between, both before and after treatment conditions and controls (p<0.05) but no effect of period, i.e. treatment. However, when contrasting responders to controls the significant group difference present after treatment disappeared, indicating a normalization effect due to successful EMDR treatment. SPM analysis showed significant uptake differences in orbitofrontal cortex (Brodmann 11) and temporal pole (Brodmann 38) before as well as after treatment as compared to controls. A significant tracer uptake group difference present before treatment in uncus (Brodmann 36) disappeared after treatment while a significant difference appeared in lateral temporal lobe (Brodmann 21). No tracer uptake differences were found by SPM as an effect of treatment, nor between the 11 responders and controls. Conclusion Significant 99mTc-HMPAO uptake differences, mainly in peri-limbic cortex, between PTSD patients investigated before and after EMDR and subject exposed to trauma not developing PTSD were found. Differences between the tracer distribution in patients before and after therapy were not significant neither at SPM nor at VOI analyses but the latter showed at group level an effect of symptom remission on tracer distribution. The findings underscore the validity of psychotherapy in anxiety disorders and confirm the efficacy of SPECT in psychiatry. [EANM]

Keywords: 99mTc-HMPAO Distribution  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


97. Hampel, J. C. (1997, November). The effects of eye movement desensitization and reprocessing (EMDR) on self-reported test anxiety in college students. Western Michigan University, Kalamazoo, MI. AAT 9732881.

Language: English

Format: Dissertation/Thesis

Abstract:
Test anxiety is a common problem among students in western culture due to the importance of academic achievement and the consequences for failure. Many consider test anxiety to be primarily an issue of poor study habits and test readiness. However, some students who appear to possess excellent study habits also appear to experience severe anxiety during tests. A recent meta-analysis of test anxiety research substantiated these claims, finding that test anxiety appeared to be an emotionally-based as opposed to a cognitively-based problem. Despite these findings, the etiologies for test anxiety remain unknown. Similar to nearly all DSM-IV diagnostic categories, test anxiety is a syndrome with no known pathognomonic sign(s) which singularly diagnose the condition. Hence, treatments for test anxiety, as for nearly all other DSM-IV mental disorders are symptomatic as opposed to strategic. Unfortunately, there are few symptomatic treatments for test anxiety that are both efficient and effective.Eye movement desensitization and reprocessing (EMDR), which was developed for the symptomatic treatment of PTSD, was chosen to treat the symptoms of test anxiety for the following essential reasons: (a) the reported efficacy of EMDR with PTSD; (b) the similarities between test anxiety and PTSD that include intrusive thoughts, inability to concentrate, behavioral avoidance, and emotional symptomatology; and (c) the need for a brief, effective symptomatic treatment for test anxiety. Using a waiting control group against which to compare the treatment group and subsequently replicate treatment effects, the results found that EMDR was highly effective for the symptomatic reduction of self-reported test anxiety as measured by all test anxiety scales. Moreover, these results also suggest that measures of study habits and attitudes are also sensitive to enhancement as a result of treatment with EMD/R. Although the current results did not suggest specific mechanism(s) by which EMDR was effective, the pattern of highly effective results across widely different types of test anxiety presentations suggests the actions of an active placebo treatment. It is suggested that future research contrast EMD/R with known active placebo protocols. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(5-B), Nov 1997, pp. 2676.

Keywords: Anxiety Disorders  College Students  Empirical Study  Life Experiences  Posttraumatic Stress Disorder  PTSD  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


98. Johnson, M. D. (1996, June). Effects of eye movement desensitization and reprocessing on test anxiety. Texas Woman's University, Denton, TX. AAT 9716578.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) was introduced (Shapiro, 1989) as a treatment for traumatic memories. The necessity of eye movements or another activating stimuli in the treatment of test anxiety and the effectiveness of EMDR as a treatment for test anxiety is the focus of the present study. This study screened subjects for adequate study skills and the presence of test anxiety, and randomly assigned 45 subjects to one of three conditions: EMDR, EMDR with no activating stimuli (EMDR/NS; eyes closed), and a no treatment control group. The results of this study suggest that EMDR and EMDR/NS were equally effective in treating test anxiety and more effective than the control group as measured by the Achievement Anxiety Test, the Emotionality scale of the Test Anxiety Inventory (TAI), the Subjective Units of Disturbance scale, and the Validity of Cognition scale. Test performance and the Worry Scale of the TAI were not significantly impacted by the treatment groups. The inability of EMDR to impact the worry scale or the test performance of subjects in this study draws into question the usefulness of EMDR as a treatment of test anxiety. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(12-B), Jun 1997, pp. 7730.

Keywords: Empirical Study  Test Anxiety  

Accuracy Verified: Yes


99. Becker, L., Black-Tanski, D., Nugent, N., & Thede, L. (1999, November). The effects of eye movement on the stream of consciousness. Poster presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
A recent meta-analysis of PTSD treatments (van Etten & Taylor, 1998) found EMDR to be as efficacious as behavioral and drug treatments. There is considerable controversy, but little research, on the underlying mechanisms of EMDR. A conditioning model by Dyck (1993) suggests that eye movements (EM) effect a distraction from trauma related thoughts, causing an extinction trial. According to this model, the distraction of EM should cause thoughts to be directed outward. A psychodynamic model by Allen and Lewis (1996) suggests that EM facilitate the formation of new associations to traumatic memories and allow the client to “remain in the present while thinking of the past.” This model postulates that EM cause thoughts to be directed inward. We report two experiments in which thought processes were studied using a stream of consciousness (SOC) technique (Singer, 1993). In both studies, undergraduate participants wrote down a sad (or happy) target event from their life. They then thought about the target event and let their thoughts go where they may for 10 minutes. At approximately 1-minute intervals they were asked to report their thoughts. The baseline study (n = 42) looked at SOC with eyes closed; the second study (n = 27) compared SOC with eyes open, eyes closed, and with EM. Relative the to the eyes-open condition, EM tended to keep the SOC internally focused. During the last 4 minutes of the SOC, eyes open participants were externally focused (thoughts about the surroundings) about 50% of time; EM participants were externally focused 25% of the time; and eyes closed participants were externally focused 3% of the time, F(1, 11) = 6.08, p = .017. Eye movements produced a blend of external (eyes open) and internal (eyes closed) thoughts, offering support to the psychodynamic model.

Keywords: Eye Movement  Poster  Stream of Consciousness  

Accuracy Verified: Yes


100. Lee, C. W., & Drummond P. D. (2008, June). Effects of eye movement versus therapist instructions on the processing of distressing memories. Journal of Anxiety Disorders, 22(5), 801-808. doi:10.1016/j.janxdis.2007.08.007.

Language: English

Format: Journal

Abstract:
The effectiveness of components of eye movement desensitization and reprocessing (EMDR) was tested by randomly assigning 48 participants to either an eye movement or an eye stationary condition and to one of two types of therapist instructions (reliving or distancing). Participants were university students (mean age 23) who were asked to recall a personal distressing memory with measures of distress and vividness taken before and after treatment, and at follow-up. There was no significant effect of therapist's instruction on the outcome measures. There was a significant reduction in distress for eye movement at post-treatment and at follow-up but overall no significant reduction in vividness. Post hoc analysis revealed a significant reduction in vividness only for the eye movement and distancing instruction condition. The results were consistent with other evidence that the mechanism of change in EMDR is not the same as traditional exposure.

Keywords: Empirical Study  Eye Movement  Follow-Up Study  Quantitative Study  Randomized Comparison  

Accuracy Verified: Yes


101. Nijdam, M., Olff, M., & Gersons, B. (2005, November). Effects of psychotherapy on neuropsychological performance in PTSD. Poster presented at the 21st annual meeting of the International Society for Traumatic Stress Studies, Toronto, ON.

Language: English

Format: Conference

Abstract:
Deficits in concentration and memory are some of the most persistent symptoms of PTSD. Although many studies have investigated neuropsychological deficits in different trauma populations with and without PTSD, no study to our knowledge has looked carefully at improvement of neuropsychological functioning after psychotherapy. In the present study, we randomly assigned individuals to either Eye Movement Desensitization and Reprocessing (EMDR) therapy (n=60) or Brief Eclectic Psychotherapy (BEP; n=60). Attention and memory were investigated before and after treatment using the following neuropsychological tests: Trail Making Test, STROOP task, Verbal Learning and Memory Test and Rivermead Behavioral Memory Test. Different versions of the memory tests were administrated at pre- and postassessment in order to control for learning effects. Preliminary results of treatment completers are presented, and the clinical relevance of the findings is discussed.

Keywords: Neurobiological Performance  Poster  Posttraumatic Stress Disorder  PSTD  

Accuracy Verified: Yes


102. Taylor, J. E., & Harvey, S. T. (2009, September-October). Effects of psychotherapy with people who have been sexually assaulted: A meta-analysis. Aggression and Violent Behavior, 14(5), 273–285. doi:10.1016/j.avb.2009.03.006 .

Language: English

Format: Journal

Abstract:
This paper presents the results of a meta-analysis of the treatment outcome studies of different types of psychotherapeutic approaches for sexual assault victims experiencing PTSD or rape trauma symptoms. There were 15 outcome studies identified for inclusion in the meta-analysis dating from 1988–2005, and these studies comprised 25 treatment conditions. Separate meta-analyses were conducted according to study design (independent samples and repeated measures), in keeping with meta-analytic conventions. The overall results for the two meta-analyses were highly consistent, and effect sizes were in the large range for independent samples (g=.91) and repeated measures treatments (g=.90). Effects were maintained at follow-up from 6–12 months after treatment. Studies represented diverse treatment approaches, and most treatments were effective in improving outcome according to symptom reduction. A number of moderating variables were examined. Better outcomes were achieved with individual therapy compared to group approaches. The use of semi-structured approaches and homework techniques were positively related to the magnitude of effect size. [Science Direct]

Keywords: Meta-analysis  Outcome  Rape  Sexual assault  Therapy  Treatment  

Accuracy Verified: Yes


103. 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


104. Rodenburg, R., Benjamin, A., de Roos, C., Meijer, A. M., & Stams, G. J. (2009, November). Efficacy of EMDR in children: A meta-analysis. Clinical Psychology Review, 29(7), 599-606. doi:10.1016/j.cpr.2009.06.008.

Language: English

Format: Journal

Abstract:
The efficacy of eye movement desensitization and reprocessing (EMDR) in children with posttraumatic stress symptoms was meta-analytically examined from the perspective of incremental efficacy. Overall post-treatment effect size for EMDR was medium and significant (d = .56). Results indicate efficacy of EMDR when effect sizes are based on comparisons between EMDR and non-established trauma treatment or no-treatment control groups, and incremental efficacy when effect sizes are based on comparisons between EMDR and established (CBT) trauma treatment. The discussion focuses on future replication of EMDR findings and further research on posttraumatic stress in children.

Keywords: Children  Incremental Efficacy  Meta-Analysis  Posttraumatic Stress Symptoms  

Accuracy Verified: Yes


105. Jeffres, M. J. (2003). The efficacy of EMDR with traumatized children. Fielding Graduate Institute, Santa Barbara, CA. AAT 3100543.

Language: English

Format: Dissertation/Thesis

Abstract:
This study evaluated the effectiveness of up to five 60-minute sessions of eye movement desensitization and reprocessing (EMDR) for children (ages 8-12) who had suffered one or more traumas. Participants (N = 48) were randomly assigned to either an EMDR experimental group or a waiting list control. They were provided treatment by one of five therapists, all of whom were experienced, independent clinicians having received Level 2 training in the EMDR technique. The therapists followed Shapiro's protocol for children and were in 90% compliance with the protocol. The participants were carefully screened according to Shapiro criteria. This study was unique in that it included an integrated outcome measure (UCLA PTSD Index), consisting of an assessment of PTSD criteria and a rating of symptoms, reported by both parent and child. Analysis of pre-post changes consisted of two 2 x 3 ANCOVAs, one each for the child and adult report. The analysis of covariance revealed a main effect for the covariate (the pretest total PTSD Score), a main effect for group, and a significant group x time interaction effect, for both the child and adult report. Post hoc (Scheffe) analysis revealed that participants maintained the benefits of treatment at 1-month follow-up. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 64(8-B), 2004, pp. 4042.

Keywords: Emotional Trauma  Empirical Study  Eye Movements  Quantitative Study  

Accuracy Verified: Yes


106. Jensen, J. A. (1992). Efficacy of eye movement desensitization and reprocessing as a treatment for PTSD symptoms of Vietnam combat veterans. University of Wisconsin, Madison, WI. AAT 9221917.

Language: English

Format: Dissertation/Thesis

Abstract:
The efficacy of eye movement desensitization and reprocessing (EMD/R) was compared with that of a control (no treatment) condition in the treatment of Vietnam combat veterans with postraumatic stress disorder. 27 volunteer subjects were randomly assigned to the EMD/R and control conditions, with 13 EMD/R and 12 control subjects completing the entire study. Two therapists trained in EMD/R, and three trained interviewer/testers contributed in running the study.Prior to random assignment, subjects indicated one PTSD-related goal for the study. They were also assessed on a measure of present PTSD symptoms, a measure of subjective anxiety, and a measure of belief in a positive cognition related to war trauma. They were then randomly assigned to conditions, with EMD/R subjects receiving three treatment sessions within a week. Approximately 17 days after the initial assessment, each subject was retested on the measures of PTSD symptoms, subjective anxiety, and of the desired positive cognition. At this time, goal attainment was also assessed, and another general PTSD instrument was given. Statistical analysis of both test-retest and posttest only measures indicated a general lack of effectiveness of EMD/R with the subjects in this study. While EMD/R was effective and statistically superior to the control condition in reducing in-session subjective anxiety, neither condition was effective in improving scores on the two PTSD symptom measures, in contributing to goal attainment, or in increasing subjects' beliefs in their stated desired positive cognition regarding war trauma. This study's lackluster results are in sharp contrast to the considerable success reported in Shapiro'soriginal EMD/R study incorporating few combat veterans. With certain procedural diversions acknowledged, this study's findings provide little support for widespread use of EMD/R as an intervention for Vietnam combat veterans' PTSD symptoms. Implications are that combat veterans with PTSD may comprise a population with distinctly chronic and disturbing symptomotology, and that the brief and novel EMD/R procedure may not be successful with such a population. [Author Abstract]

Keywords: Americans  Males  Middle Aged  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  Veterans  Vietnam War  

Accuracy Verified: Yes


107. Lohr, J. M., Tolin, D. F., & Lilienfeld, S. O. (1998, Winter). Efficacy of eye movement desensitization and reprocessing:  Implications for behavior therapy. Behavior Therapy, 29(1), 123-156. doi:10.1016/S0005-7894(98)80035-X.

Language: English

Format: Journal

Abstract:
The commitment of behavior therapy to empiricism has led it to a prominent position in the development of validated methods of treatment. The recent development and rapid expansion of Eye Movement Desensitization and Reprocessing (EMDR), a treatment that bears a resemblance to behavioral techniques and that has been proposed as an alternative to such techniques for numerous psychological disorders, raises important questions for the field of behavior therapy. In this article, we examine 17 recent studies on the effectiveness of EMDR and the conceptual analysis of its mechanisms of action. The research we review shows that (a) the effects of EMDR are limited largely or entirely to verbal report indices, (b) eye movements appear to be unnecessary for improvement, and (c) reported effects are consistent with non-specific procedural artifacts. Moreover, the conceptual analysis of EMDR is inconsistent with scientific findings concerning the role of eye movements. Implications of the empirical and theoretical literature on EMDR for behavior therapy are discussed. [Author Abstract]

Keywords: Aged  Anxiety Disorders  Behavior Modification  Cognitive Therapy  Depressive Disorders  Drug Therapy  Health Care Utilization  Literature Review  Psychoanalytic Psychotherapy  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


108. Molero-Zafra, M., & Perez-Marín, M. (2009, June). El duelo, la familia, el trauma y el EMDR: Analisis de un caso clínco [Grief, the family, trauma and EMDR: analysis of a clinical case]. Mosaico, 42, 28-35.

Language: Spanish

Format: Magazine

Abstract:
El objetivo de este articulo es mostrar como el acercamiento terapéutico del EMDR puede integrarse en la terapia familiar y narrative favoreciendo y potenciando su poder para restablecer el proceso de duelo. Para ello presentamos el análisis de una caso de duelo complicado tratado con protocolo de EMDR e incluido en un proceso terapéutico de terapia familiar y narrativa.

The aim of this paper is to show how EMDR therapeutic approach can be integrated into family therapy and narrative encouraging and enhancing their power to restore the grieving process. We present the analysis of a case of complicated grief treated with EMDR protocol and included in a therapeutic process of family therapy and narrative.

Keywords: Family  Grief  Narrative Therapy  Trauma  

Accuracy Verified: Yes


109. Molero-Zafra, M., & Pérez-Marín, M. (2010, Abril). El EMRD aplicado al trastorno de duelo patológico. Presentación de un caso [EMDR applied to pathological grief disorder. Case report]. 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, Espagna.

Language: Spanish

Format: Conference

Abstract:
La pérdida de un ser querido es un evento de gran impacto emocional que afectando a todo el sistema familiar, puede ser muy diferente en el modo en que cada uno de sus miembros perciba, interprete, afronte y se adapte a la nueva situación tras la pérdida y las demandas por ella creadas. Es frecuente que una pérdida no elaborada de forma adecuada dé paso a problemas emocionales e incluso trastornos psicopatológicos al cabo de meses o incluso años; sin embargo, un duelo adecuadamente elaborado mejora las capacidades futuras para enfrentarse a las situaciones de pérdida, frustración o sufrimiento. La premisa fundamental del modelo de procesamiento adaptativo de información (PAI) en la que se basa la terapéutica de EMDR sería: la perturbación que la persona sufre en la actualidad es el resultado de un almacenamiento disfuncional de la información (Shapiro, 2001). El procesamiento implica el forjar nuevas asociaciones con información adaptativa proveniente de otras redes de memoria disponibles para vincularse en la red de memoria restaurando la información disfuncional almacenada. Desde este modelo, el duelo complicado se desarrolla cuando los componentes individuales son tan dolorosos, que se desarrolla una alta sensibilidad cada vez que se reactiva un fragmento del recuerdo y no se logra la integración. Los fragmentos activados pueden competir por la atención en la mente, haciendo que ésta vaya de atrás para adelante entre dos o más aspectos de la muerte. Esta falta de foco impide el procesamiento de los fragmentos individuales, como cuando el procesamiento de la pérdida en si misma se desvía por el recuerdo de los detalles de cómo la persona murió. En esta comunicación, presentamos el protocolo de EMDR aplicado al duelo complicado a través del análisis de un caso clínico.

The loss of a loved one is an event of great emotional impact that affect the entire family system, may be very different in the way in that each of its members perceive, interpret, and adapt confronts to the new situation after the loss and the demands created by it. this is loss often not adequately prepared to give way to problems psychopathology emotional and even after months or even years, but properly prepared duel improves future capabilities to face situations of loss, frustration or suffering. The fundamental premise model adaptive information processing (AIP) which is based on EMDR therapy would be: the disturbance the person is currently suffering is the result of a storage Dysfunctional information (Shapiro, 2001). processing involves forging new partnerships with adaptive information from other networks available memory on the network to link memory restoring the dysfunctional information stored. From this model, Complicated grief occurs when the individual components are so painful that develops high sensitivity reactive whenever a fragment of memory and integration is not achieved. fragments activated can compete for attention in the mind, causing it go back and forth between two or more aspects of death. this lack of focus prevents processing of the individual fragments, as when processing the loss itself is diverted by the memory the details of how the person died. In this paper, we present the EMDR protocol applied to Complicated grief through the analysis of a clinical case.

Keywords: Bereavement  Case Study  Grief  Symposium  

Accuracy Verified: Yes


110. Uribe, M. E. R., & Ramírez, E. O. L. (2006, Diciembre). El uso del escalamiento multidimensional en el análisis del procesamiento adaptativo de la información mediante la psicoterapia EMDR, en personas con depresión [The use of multidimensional scaling in the adaptative processing information analysis through EMDR on subjects with depression]. Revista Electrónica de Motivación y Emoción (REME), 9(23-24). Retrieved from http://reme.uji.es/articulos/numero23/article4/article4.pdf on 4/5/2008.

Language: Spanish

Format: Journal

Abstract:
La presente investigación enmarcada en el campo de la ciencia cognitiva de la emoción, se llevó a cabo en la práctica clínica mediante estudios de caso longitudinales con dos pacientes diagnosticadas con depresión mayor. Ellas participaron en un proceso terapéutico que involucró la aproximación EMDR (por sus siglas en inglés -Eye Movement Desensitization and Reprocessing-) y en tres estudios de representación emocional depresogénica, cuyos datos se analizaron mediante la técnica de escalamiento multidimensional. Las gráficas obtenidas permitieron observar el impacto de la terapia en la organización en memoria a largo plazo de la información relacionada con sus experiencias traumáticas. Los resultados muestran que se confirmó la hipótesis y que sí se afectaron los niveles representacionales de la información emocional. 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 clínica.

A cognitive science research on depression is presented. Specifically, patients with mayor depression were required to participate in a therapeutic process which involved the EMDR methodology (Eye Movement Desensitization and Reprocessing) and affective priming experiments, which showed the therapeutic impact over the emotional cognitive processing about relevant negative information of traumatic events. Results showed a significant change and also that there were participants who implemented a cognitive filter to eliminate the autobiographic negative words. Further, it was implemented a bias to facilitate the recognition of positive as well as negative stimuli. In the section of discussion, coincidences between conscious and unconscious evaluations are analyzed about overcoming of depression under this therapy.

Keywords: Cognition  Depression  Emotion  Multidimensional Scaling  

Accuracy Verified: Yes


111. Holmshaw, M. (2008, June). EMDR & CBT work equally well for psychological trauma – Why?. Presentation at the annual meeting of the EMDR Europe Association, London, UK.

Language: English

Format: Conference

Abstract:
The use of EMDR, CBT or a combination of the two, in managing psychological ill health following road Traffic Accidents (RTA): The Results and analysis of 1100 consecutive referrals. This paper determines the role of trauma-focused psychological treatment in the management of psychological ill health following road traffic accidents in the UK. RTA’s are the biggest cause of PTSD in this country. All consecutively referred patients with possible psychological ill-health following a RTA were offered a comprehensive psychological assessment by an established provider of trauma services in the UK. Those with significant psychological ill health were offered trauma-focused psychological treatment, EMDR and/or CBT, in line with NICE (National Institute for Health and Clinical Excellence) guidelines. During the psychological assessment a clinical diagnosis was made and a number of psychometric scores were used. These comprised 1 DSM IV criteria for PTSD and illness severity, 2 General Health Questionnaire, 3 Impact of Event Scale, 4 Hospital Anxiety and Depression Scale. Similar subjective and objective measurements were made after every fourth session of therapy and on discharge. The results offer a breakdown of diagnoses, the number of patients who proceeded to treatment and the type of treatment and outcome of such treatment. Of the 658 patients who proceeded to Trauma-focused psychological treatment, patients had either EMDR by itself (31%), CBT by itself (36%) or a Combination of EMDR and CBT (33%). Subjectively and objectively three out of four patients were completely relieved of their symptoms or were much better. There was no significant difference between CBT and EMDR in terms of treatment results. Closer analysis of the three subgroups revealed a number of variables which seemed to be associated with failure of EMDR treatment and failure of CBT treatment. These variables will be discussed against the background of the trauma focused CBT model of Clarke, D and Ehlers A, 2002. Recommendations will be made of ways to improve the outcome of EMDR Therapy and improving EMDR training.

Keywords: CBT  Cognitive Behaviorial Therapy  Trauma  

Accuracy Verified: Yes


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

Language: Turkish

Format: Other

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

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

Keywords: Emre Konuk  Headaches  Migraines  

Accuracy Verified: Yes


113. Zaro, S. (2013, March 12). EMDR - PEP in the sports arena. Examiner.com. Retrieved from http://www.examiner.com/article/emdr-pep-the-sports-arena 3/21/2013.

Language: English

Format: Newspaper

Abstract:
JL: Over the past twenty years Eye Movement Desensitization Reprocessing (EMDR) has progressed from a technique that could be used within existing psychotherapy modalities such as psychodynamic, behavioral, cognitive behavioral, integrative approaches to address symptoms of post traumatic stress disorder (PTSD). EMDR has evolved into a distinct integrative approach based upon Francine Shapiro’s, Ph.D., Adaptive Information Processing (AIP) which suggests that EMDR address dysfunctionally stored memory networks. Essentially this means that everything we learn whether it enters our sensory receptors through vision, hearing, taste, touch or smell becomes stored in our brains in a way it can be retrieved when needed and it adapts according to other information coming in through the environment. Learning occurs when new associations are created with material already stored in a persons memory. [Excerpt]

Keywords: Interview  Jennifer Lendl  Performance Enhancement  Sports  

Accuracy Verified: Yes


114. Veerbeek, V. (2010, April). EMDR als onderdeel forensische behandeling van ernstig gewelddadig gedrag: Vreemde eend in de bijt? [EMDR as part forensic examination of serious violent behavior: Odd man out?]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.

Language: Dutch

Format: Conference

Abstract:
Op ernstig geweld, zeker met fatale afloop, wordt door de maatschappij doorgaans geschokt gereageerd en is het resultaat van berechting vooral “leedtoevoeging” in de vorm van lange gevangenisstraffen. De behandeling in de gevangenis of op een forensische polikliniek staat overwegend in het teken van het nemen van verantwoording voor het gewelddadig gedrag en het aanleren van agressieregulatievaardigheden. Wanneer de cliënt zich als slachtoffer opstelt, roept dit bij de therapeut irritatie op; de cliënt merkt dit, neemt nog meer afstand van de therapeut, hetgeen vervolgens weer machteloosheid, veroordeling en boosheid oproept bij de therapeut. De cliënt als slachtoffer is taboe. In dat licht wordt door collega’s weleens met de nodige scepsis aangekeken tegen EMDR-behandeling van cliënten met ernstig gewelddadig gedrag. In deze workshop komen allereerst de vooroordelen van de therapeut zelf tegen de cliënt en de vooroordelen van de collega’s tegen traumaverwerking bij ernstig gewelddadige cliënten aan bod. Deze vooroordelen staan goede diagnostiek en een goede therapeutische relatie in de weg. Gepropageerd wordt om “neutraal” en grondig onderzoek te doen, net als bij een vliegtuigcrash. Aan de hand van casuïstiek komen enkele sleutelvragen aan bod, die in het zoekproces en de casusconceptualisatie van groot belang zijn. Wanneer onverwerkte ervaringen vanuit het verleden een rol spelen bij (de mate van) agressie, zullen deze ervaringen middels EMDR bewerkt dienen te worden. Hoe groter de vroeger ervaren machteloosheid en vernedering, hoe groter de kans dat de huidig ervaren agressieve lading niet zal verminderen met uitsluitend agressieregulatietherapie. Geïllustreerd wordt hoe EMDR, al of niet met recripting als CI, daarnaast een rol kan spelen bij actuele wraak-drang en wraakgedachten. Videomateriaal wordt ter illustratie gebruikt. Stil wordt gestaan bij de waarde van het inoefenen van de veilige plek en hoe agitatie in en buiten de therapiezitting hierdoor snel kan verminderen. Tot slot zal worden ingegaan op het experimenteel gebruik van EMDR als hulpmiddel bij delictanalyse – en delictverwerking, onder meer bij een cliënt die zijn kind ombracht. Bij huiselijk geweld is meer dan eens sprake van een lange opmaat tot het delict, waarbij een opstapeling van door de cliënt als vernedering ervaren incidenten (waarbij al of niet vroegere ervaringen worden getriggerd) kan leiden tot excessief en soms fataal geweld. Het middels EMDR “linksom” bewerken van deze “opmaat”-ervaringen, gevolgd door het middels EMDR doorwerken van het delict zelf, kunnen leiden tot het werkelijk voelen en nemen van de eigen verantwoordelijkheid, bieden een heldere inkijk in de emotionele dynamiek van de cliënt ten tijde van het plegen van het delict en bieden derhalve belangrijke aangrijpingspunten voor een gedetailleerd terugvalpreventieplan.

On serious violence, especially fatal, is usually shocked by the company responded and is mainly the result of trial "added suffering" in the form of long prison sentences. The treatment in prison or a forensic clinic is mainly devoted to taking responsibility for violent behavior and learning of aggression control skills. If the client is a victim accounts, the therapist calls this irritation, the client notes it, takes more from the therapist, which in turn helplessness, anger and condemnation by calling the therapist. The client as a victim is taboo. In that light by colleagues ever looked with skepticism at EMDR treatment of clients with serious violent behavior. In this workshop, first, the prejudices of the therapist himself against the client and the prejudices of colleagues from trauma in severely violent clients addressed. These prejudices are good diagnosis and a good therapeutic relationship in the road. Propagated to "neutral" and thorough research, as in a plane crash. Using case studies reveal some key questions addressed, in the search process and casusconceptualisatie of great importance. When unprocessed experiences from the past play a role (level of) aggression, these experiences need to be modified through EMDR. The greater the past experience powerlessness and humiliation, the more likely that the current load experienced aggressive not only will reduce aggression regulation therapy. Illustrated how EMDR, with or without recripting as CI, also play a role in current-craving revenge and revenge. Video material will be used for illustration. Silence is paid to the value of practicing safe and how the agitation inside and outside the therapy session this rapid decrease. Finally, consider the experimental use of EMDR as a tool for crime analysis - and crime scene processing, including in a client that his child killed. In domestic violence more than once been a long prelude to the offense, with an accumulation of humiliation experienced by the client as incidents (with or without previous experience are triggered) can lead to excessive and sometimes lethal force. It means EMDR "left" edit this "overture" experience, followed by using EMDR to work on the crime itself, can lead to really feel and take personal responsibility, provide a clear insight into the emotional dynamics of the client at the time of committing the offense and therefore provide important leads for a detailed relapse prevention plan.

Keywords: Forensic Examination  Violent Behavior  

Accuracy Verified: Yes


115. Tibaldi, M. (2004, June). EMDR and analytical psychology: Imaginal use of eye movements in Jungian analysis. In psychodynamics and EMDR (B. Lilieblad, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Among Jungian typical methodologies, one of the most interested is active imagination indeed. Carl Gustav Jung's active imagination method is a process of "lucid dream," that takes shape from observing an internal emotionally meaningful aspect - mood, image, event. When the client focuses his/her attention on these charged elements, a chain of autonomous images will be activated. The arising of such unconscious images lead consciousness to a new situation: emotional content comes into contact with the rational, can be confronted and integrated, transforming the whole personality.
Epistemologically speaking, it is interesting to point out the affinity between Jungian conscious-unconscious integration process, pursued by active imagination, and the right and left brain connecting process, gained by EMDR.
My Jungian analytical practice, on the one hand, and my EMDR therapeutic experience, on the other, gave me the opportunity to confront both Garl Gustav Jung's and Francine Shapiro's methods and paradigms, giving birth to an EMDR imaginal use, a synergic therapeutic process with interesting outcomes.
The aim of my paper is to present this form of EMDR, stressing the advantages of such integration. The paper will be accompanied by a sequence of psychic images from a client's EMDR treatment; thanks to the imaginal use of eye movements, the client got in touch with some of the unknown emotional horizons, recognized the dissociative defences that prevented him from connections his emotional and rational brain and improved his psychic well being.

Keywords: Analyitical Psychology  Case Study  Imagery  Imaginal  Jungian Analysis  Mind-Body Observation  Symposium  

Accuracy Verified: Yes


116. Zangwill, W. M. (1995). EMDR and applied behavior analysis. the Behavior Therapist, 18(8), 156.

Language: English

Format: Newsletter

Abstract:
No abstract available.

Keywords: Applied Behavior Analysis  Letter  

Accuracy Verified: Yes


117. Foster, S. (1999). EMDR and assisting athletes in coping with a critical incident. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.

Language: English

Format: Conference

Abstract:
This symposium presentation focuses on Eye Movement Reprocessing and Desensitization (EMDR) as an intervention to assist an athlete in recovering from the distressing effects of a critical incident and the adverse impact that such an event can have on the athlete's performance. Two cases will be presented; that of a major league baseball player and a male pair skater and national competitor. Each experienced a life threatening critical incident which triggered symptoms of posttraumatic stress disorder. The EMDR methodology was first used as a treatment for trauma, its original utilization. However, the extension of the EMDR protocol for performance enhancement was also employed, to help restore the athlete's desire for engaging in his sport and to provide mental rehearsal for future participation. The presenter will also discuss the current EMDR neurophysiological research, and the relevance of this method of enhancing athlete performance.

Keywords: Athletes  Critical Incident  Recent Events  Symposium  

Accuracy Verified: Yes


118. Grant, M., & Just, A. (2000, September). EMDR and compassionate psychotherapy:  A new treatment for chronic pain. EMDRIA Newsletter, 5(3), 4.

Language: English

Format: Newsletter

Abstract:
Since its inception as a treatment for trauma, there have been increasing reports of EMDR being efficacious with pain . (McCann, 1992, Hekmat Groth & Rogers, 1994, Wilson, Becker and Tinker,1997, Grant 2000). EMDR is an integrative method with many different components. One of these is the therapeutic relationship. Compassion is also an essential element of any effective intervention (Rubins, 1986, Waldman & Waldman, 1996). However, it is often confused with empathy or pity, indicating the need for a definition based on a concept analysis (Just, 1998). Given its importance in the therapeutic process, and the effects of social isolation on chronic pain sufferers, it is remarkable how little consideration is given to this topic.

Keywords: Chronic Pain  Pain Control  

Accuracy Verified: Yes


119. Ostacoli:, L., Bertino, G., & Faretta, E. (2013, June). EMDR and health: EMDR brief treatment in medical conditions with a high emotional charge: A possible challenge. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Stress and high emotional situations such as complex traumas have a negative influence on the psycho – physiologic adaptive process to illness. If these experiences are not elaborated, they could be stored as dysfunctional memories causing psychophysical vulnerability. EMDR treatment requires a proper detection and reprocessing of stressing memories in present and past events and in future templates, handling worries and fears.
Treatment protocol for serious medical diseases will be presented, focusing in the domains of Multiple Sclerosis and Oncology. Starting from the person and his system (biopsychosocial model), the main interest will be placed on case conceptualization and preparation of the project with EMDR, and then the identification of targets for further processing. From here, through the exposure of specific cases treated, we will work on bodily symptoms (the feeling perceived) through floatback to promote the connection of memories. The presentation of the research project and the first data obtained will follow.
The design helps the person to relate themselves to the traumatic material as something that they can see, represent, touch, by sharing and by exploring their resonances with the therapist; the design provides an emotional containment that allows the processing of intense emotions, reduces significantly the risk of dissociations, and allows the recovery of creative resources.
The fundamental aim of the model is to facilitate the building of a constructive relationship with themselves and with the “sick body”, by elaborating the traumatic events that have led to a dysfunctional self-image and explored, strengthened their resources with the aim of building the “navigation tools” and an effective “first-aid kit” for times of crisis. It will be presented the model of the intervention and the strategies proposed and used, through the presentation of clinical cases.
The analysis of the success factors and of the difficulties encountered will allow us to define a possible direction for future brief interventions with patients affected by complex organic diseases.
Learning objectives: To learn EMDR protocols adapted to deal with serious medical illnesses such as Cancer and Multiple Sclerosis; To analyse the therapeutic process by narrative and graphic material; and To learn specific features to deal with fears of loss and impairment

Keywords: Disease  Medical Illness  Multiple Sclerosis  Oncology  

Accuracy Verified: Yes


120. Martin, A. (1995). EMDR and Meniere’s disease. EMDR Network Newsletter, 5(3), 12.

Language: English

Format: Newsletter

Abstract:
On March 6,1995, a female client, age 26, came in presenting extreme stress about performance anxiety in anticipation of her music halin voice. (She was a music major with a vocal emphasis at the state college where I am a counselor.) The client's complaint was that she could not hear many of the notes on the piano to sing due to the ringing and white noise in her ears.

Keywords: Meniere’s Disease  

Accuracy Verified: Yes


121. McNally, R. J. (1999, January-April). EMDR and mesmerism: A comparative historical analysis. Journal of Anxiety Disorders, 13(1-2), 225-236. doi:10.1016/S0887-6185(98)00049-8.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is among the fastest growing interventions in the annals of psychotherapy. Although many psychologists have commented on its presumably unusual origins and dissemination, history reveals its many parallels with Mesmerism, a previous therapy that spread rapidly throughout 18th century Europe and America. The purpose of this article is to document the many striking similarities between the history of Mesmerism and the history of EMDR (ScienceDirect).

Keywords: Historical Account  Mesmerism  Shapiro  

Accuracy Verified: Yes


122. Grand, D. (2009). EMDR and performance. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 221-241). New York, NY: W. W. Norton & Co..

Language: English

Format: Book Section

Keywords: Performance Enhancement  

Accuracy Verified: Yes


123. Levine, L. (1999, June). EMDR and sex therapy. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will learn: 1) understand how sex-negative cultural messages can lead to a damaged sense of self and understand how to target and reprocess these damaging messages; 2) understand the importance of taking a thorough psycho-social-sexual history before embarking on EMDR; 3) understand the indications and contraindications for using EMDR with sexual issues; and 4) understand how to use the EMDR model of past, present, and future to work on sexual performance issues.

Keywords: Cultural Messages  Sexual Issues  Sex Therapy  Three Prongs  

Accuracy Verified: Yes


124. Knudsen, N. J. (2006, September). EMDR and the treatment of chronic relationship problems. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
A history of failed or disappointing relationships is a primary symptom for many clients. Bowen Theory is a family systems model that offers a conceptual roadmap for working with individuals, as well as families on enhancing the capacity to be a Self, while staying in healthy connection to others. The theory helps guide clear thinking about how the emotional system works within a multigenerational frame and offers concepts that predict human relational behavior over time. Yet, as we know, intellectual understanding can only bring us so far without the kind of whole brain integration that can be so swiftly brought about with EMDR treatment. By integrating the Adaptive Information Processing Model and the EMDR approach with Bowen Theory, this treatment model facilitates a client learning to have a whole new experience in their significant relationships. This workshop will provide a basic overview of Bowen Theory. An integrative model using Bowen Theory and EMDR will then be described, followed by an in-depth case analysis illustrating the approach. The treatment includes an extensive assessment of the family system, the selection and processing of EMDR targets causing high levels of reactivity involving closeness to others, coaching to re-work and repair significant relationships in the family of origin, and finally the targeting of present day triggers in a newly forming relationship.

Keywords: Bowen Theory  Relationship Issues  

Accuracy Verified: Yes


125. Greenwald, R. (2002). EMDR and trauma-focused treatment for conduct problems. In J. Morris-Smith (Ed.), EMDR: Clinical applications with children, Occasional paper No. 19 (pp. 15-21) London: The Association for Child Psychology and Psychiatry.

Language: English

Format: Book Section

Abstract:
Trauma is proposed as a key to understanding the development and persistence of conduct problems, in conjunction with other contributing factors. Preliminary research on child/adolescent trauma treatment indicates that such treatment can successfully reduce post-traumatic symptoms as well as conduct problem symptoms. Eye movement desensitization and reprocessing (EMDR) has shown particular promise. However, it can be difficult to secure treatment compliance for trauma-focused work with this challenging population. A more comprehensive treatment approach is suggested which addresses trauma-related issues of motivation, safety, and self-efficacy as a foundation form which to introduce EMDR. Reductions in post-traumatic stress, related symptoms, and problem behaviours along with improved school performance, indicate the value of further study of this type of treatment approach.

Keywords: Children  Conduct Disorders  Occasional Paper  

Accuracy Verified: Yes


126. Balbo, M. (2003, May). EMDR and treatment of binge eating disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
The study shows use of EMDR therapeutic method in treatment of eating disorders with binge eating episodes with and without purging with clients treated with cognitive-behavioral psychotherapy. Dissatisfaction with the client’s own body and inadequacy stemming from the influence of cultural elements seem to be the highest maintenance factors of eating disorders associated with binge eating episodes. The study analyzes n.10 cases of clients with various dysfunctional ideas caused by distorted constructions with respect to their self-esteem, self-acceptance and personal value, as shown both in their EDI 2 (Eating Disorder Inventory – 2 by David M. Garner) scores and the analysis of their life histories. The SQ (Symptom Questionnaire by R. Keller) was also administered since it is particularly indicated for administration at short intervals. The EDI 2 and SQ tests have been administered after n.6 EMDR sessions. Results: Use of EMDR on the negative cognitions formulated, learnt and maintained by clients in their experience, as well as on alternatives to binge eating, has produced a considerable reduction of their dysfunctional ideas, and binge eating behaviors showing additionally an increase of the drive to change, leading to an increased compliance and autonomy in therapy progress. The results obtained shall be presented and discussed.

Keywords: Binge Eating  Eating Disorders  Symposium  

Accuracy Verified: Yes


127. Foster, S. (1995, June). EMDR applications to performance enhancement for professionals in high-stress work environments. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Case One--35-year old male dentist conducting a solo practice in a small town in Northern California Presenting problem--"Feel stressed; worry alot; have trouble sleeping; don't like to go to work on Mondays."

Keywords: Performance Enhancement  

Accuracy Verified: Yes


128. Kannan, L. (2010, July). EMDR as a tool in change management. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
In 2008-2009, many professionals and executives faced various organizational pressures ranging from pay slash, contrived performance appraisals, layoffs and work overload due to the recession which impacted many traumatically. It affected the morale, motivation and basic sense of security which was previously part of the work culture in Eastern countries especially in India. EMDR is an effective tool for organizations to manage dramatic change without adversely impacting the individual and consequently the organization. Participants will learn: 1. What constitutes work trauma both direct and vicarious and how to identify its impact, 2. The impact of such work trauma on the clinical and non clinical parameters affecting performance, efficiency and well being. 3. How to use EMDR efficiently with work trauma. 4. Adapting EMDR to the different setting where work trauma clients may present themselves in the Eastern context.

Keywords: Change Management  

Accuracy Verified: Yes


129. Ricci, R., & Clayton, C. (2011, August). EMDR as an adjunct to cognitive behavioral treatment of sex offenders. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
Historically the treatment of male adult sex offenders ignored or purposely avoided developmental adversity or trauma in the history of the offender. Emerging theories in the field of adult sex offender treatment allow room for a trauma informed treatment model including collaborative practice between sex offender treatment providers and EMDR practitioners. A promising mixed-methods study adding EMDR to a standard CBT model with ten adult male child molesters found pre-post improvement in both treatment progress and significant reduction in deviant, idiosyncratic sexual arousal as measured by phallometry. The project’s qualitative analysis provides a guide to developing treatment protocol.

Keywords: CBT  Cognitive Behavior Therapy  Sex Offenders  

Accuracy Verified: Yes


130. Fernandez, I. (2008, June). EMDR as an elective treatment with children survivors of mass disasters. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
This paper describes the application of EMDR as an early trauma-focused treatment with children involved in mass disasters (natural disasters, accidents and intentionally provoked). EMDR treatment was part of a comprehensive treatment with the population and was the elective treatment for the children of elementary schools which were the most exposed to the traumatic events. In most cases, 3 cycles of EMDR treatment were organized at one month, three months and a year from the critical event. Individual sessions were used for the school children due to the serious exposure to trauma and grief including: threat to life, loss of friends and sibling. Psychological support and EMDR treatment were provided to parents and school personnel and this aspect has been considered in the last interventions fundamental to enhance treatment results in children. Results of questionnaires and clinical interviews to assess post-traumatic symptomatology before and after treatment will be shown, along with follow up data. Treatment group show a significant improvement after EMDR treatment. Statistical analysis of results will be discussed. The author will highlight clinical aspects of using EMDR with children following recent trauma of great magnitude. The post-traumatic stress reactions of this group in developmental age will be discussed. EMDR treatment for parents and other adults involved in the disaster has proved to be critical when dealing with children’s symptomatology. Guidelines and indications for structured interventions coming from our field studies will be presented.

Keywords: Children  Elective Treatment  Mass Disasters  Recent Events  Survivors    

Accuracy Verified: Yes


131. Hammond, D. C. (1992, Summer). The EMDR bandwagon. American Society of Clinical Hypnosis (ASCH) Newsletter, 32(2), 7-8.

Language: English

Format: Newsletter

Abstract:
Shapiro, in her response to Metter and Michelson, criticizes that their failure to replicate must have been because they used an 'aberrant version' of her technique. She cites many uncontrolled case reports, but her original 1989 publication remains the only 'controlled study' in print. Her original report did not include an alternative treatment condition or betweengroups analysis, only included moderate level and temporally dlstant traumas that patients were already consciously aware.of.. and did not control for expectancy or suggestion effects.

Keywords: Letter  

Accuracy Verified: Yes


132. Balbo, M. (2008, Novembre). EMDR e disturbi alimentari [EMDR and eating disorders]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
I Disturbi del comportamento alimentare per la complessità che li caratterizza comportano spesso problematiche relative alla diagnosi, alla scelta del trattamento primario e al tipo di terapia. Il Workshop si propone di rispondere al quesito: “da dove cominciare”, come pianificare il trattamento con l’EMDR , qual è il problema centrale e quindi il primo e più importante da affrontare per aiutare il paziente a superare la preoccupazione estrema per il cibo e le forme corporee. Gli argomenti che verranno presentati si propongono di affrontare le seguenti aree.: • Diagnosi descrittiva. • DSM IV: chiarezza classificatoria. • Multifattorialità dei disturbi dell'alimentazione. • Integrazione dell’EMDR nel trattamento: quando e con quale paziente. • Ricerca dei target significativi nella storia di vita del paziente. • Preparazione del paziente per il trattamento EMDR, come affrontare il blocco emozionale del paziente DCA e la fuga dalla consapevolezza; installazione di risorse e immagini chiave • La motivazione al cambiamento nei pazienti difficili. • La relazione terapeutica. • Intervento psicoeducazionale. • Lavoro sui target del passato. • Aree di contenuto utilizzabili per l’intervento integrativo-cognitivo, analisi dei pensieri disfunzionali. • Lavoro sui target del presente (gestione delle “emergenze”) • Lavoro sul futuro:prevenzione delle ricadute e conclusione del trattamento. • Discussione di casi.

Disorders of eating behavior of the complexity that characterizes them often involve issues related to diagnosis, choice of primary treatment and type of therapy. The Workshop aims to answer the question: "where to start, how to plan treatment with EMDR, which is the central problem and then the first and most important deal to help the patient to overcome the extreme concern for food and body shapes. The topics to be presented are intended to address the following areas.: • descriptive diagnosis. • DSM IV classificatory clarity. • multifactorial nature of eating disorders. • Integrating EMDR treatment: when and how patient. • Research targets in the history of the patient's life. • Preparing the patient for treatment EMDR, how to address the emotional blocks of the patient and the flight from DCA awareness; installation of resources and key images • The motivation to change in patients difficult. • The therapeutic relationship. • psycho-educational intervention. • Work on target in the past. • Content areas used for Integrated intervention-cognitive analysis of dysfunctional thoughts. • Work on this target (management of "emergencies") • Work on the future: prevention of relapses and end of treatment. • Discussion of cases.

Keywords: Eating Disorders  

Accuracy Verified: Yes


133. Faretta, E. (2012, March-April). EMDR e la terapia cognitivo-comportamentale nel trattamento del disturbo di panico: Un confronto [EMDR and cognitive-behavioural therapy in the treatment of panic disorder: A comparison]. Rivista di Psichiatria, 47(Supp 2):19S-25S. doi: 10.1078/1071.11735.

Language: Italian

Format: Journal

Abstract:
Un confronto tra due trattamenti utilizzati nel disturbo di panico: EMDR, un metodo evidence-based per il PTSD, e la Terapia Cognitivo Comportamentale (CBT), che è oggi considerato l'approccio più efficace psicoterapeutico per questo disordine. Metodo. Al fine di valutare eventuali miglioramento ottenuto dal trattamento adottato, un'analisi descrittiva attraverso l'uso del software SPSS è stata effettuata, su un campione di 20 soggetti, divisi in due gruppi (EMDR e CBT). Risultati. Dai dati ottenuti, una tendenza a migliorare è già chiaro dalla prima valutazione (dopo 12 sedute), in tutte le prove proposte. Il progresso sintomatica è risultato essere molto simile nei due gruppi a confronto. EMDR trattamento sembra però avere un progresso più veloce nella riduzione dei sintomi che viene mantenuta nel tempo, come evidenziato al follow-up. Conclusione. Dai risultati hanno mostrato, è possibile confermare che entrambi i trattamenti sono efficaci per la risoluzione di un disturbo di panico, anche se alcune differenze tra i due terapie sono chiari, sia dal sintomatico e un punto di vista temporizzazione. Così, si suggerisce di portare avanti la ricerca in questo settore di interesse.

A comparison between two treatments used in the Panic Disorder: EMDR, an evidence-based method for PTSD, and Cognitive Behavioural Therapy (CBT), which is nowadays considered the most effective psychotherapeutic approach for this disorder. Method. In order to evaluate any improvement obtained from the adopted treatment, a descriptive analysis through the use of the SPSS software has been carried out, on a sample of 20 subjects, divided in two groups (EMDR and CBT). Results. From the data obtained, a tendency to improve is already clear from the first evaluation (after 12 sessions), in all the proposed tests. The symptomatic progress turned out to be quite similar in the two compared groups. EMDR treatment however seems to have a faster progress in symptom reduction which is maintained over time, as evidenced at follow-up. Conclusion. From the showed results, it is possible to confirm that both treatments are effective for the resolution of a Panic Disorder, even if some differences between the two therapies are clear, both from a symptomatic and a timing point of view. So, it is suggested to carry on the research in this area of interest.

Keywords: CBT  Cognitive Behavioral Therapy  Panic Disorder  

Accuracy Verified: Yes


134. Hartung, J. (2007, Novembro). EMDR e psicologia positiva: Treinamento em resiliência, aprimoramento de desempenho e outros assuntos que nunca ouvimos na universidade [Positive psychology and EMDR: Training resilience, performance enhancement and other matters that we have never heard in the university]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.

Language: Spanish

Format: Conference

Abstract:
No treinamento profissional de um psicoterapeuta, tende-se a focalizar aquilo que está “errado” com clientes: psicopatologia, transtornos de ajustamento, categorias diagnósticas, mesmo abordagens de tratamento baseiam-se na premissa de que nossos clientes vêm nos ver apenas quando algo está errado com eles. O terapeuta, por sua vez, pode finalizar o trabalho depois que os sintomas foram corrigidos, ou ao menos reduzidos. Nos últimos anos, muitos terapeutas (e seus clientes) têm prestando atenção ao que está certo conosco; como podemos incrementar nossos recursos pessoais e nossas emoções positivas, com a finalidade de obter maiores benefícios para nós mesmos e os outros com quem convivemos.

In the professional training of an psychotherapist, tends to focus on what is "wrong" with customers: psychopathology, adjustment disorders, categories diagnostic, treatment approaches that based on the premise that our customers come see us only when something is wrong with them. The therapist, in turn, may end work after the symptoms have been corrected, or at least reduced. In recent years, many therapists (and their customers) are paying attention to what is right with us, as we increase our resources and our personal positive emotions, in order to obtain greater benefits for ourselves and others with whom we live.

Keywords: Positive Psychology  

Accuracy Verified: Yes


135. Faretta, E. (2008, Novembre). EMDR e trattamento del disturbo di panico: Un protocollo specifico integrato [EMDR and the treatment of panic disorder: a specific protocol integrated]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Nell’ambito degli studi sulle possibilità terapeutiche offerte dall’impiego dell’EMDR in diverse patologie si sono evidenziate delle prospettive interessanti in relazione agli interventi sui disturbi di panico, in grado di fornire una possibilità di lavoro terapeutico globale e completo focalizzato non solo sulla condizione presente e quindi sulla gestione degli attacchi di panico, ma anche sulla comprensione dinamica di tale disturbo. Facendo riferimento alla letteratura e ai resoconti che hanno supportato l’efficacia del-l’EMDR per il trattamento del Disturbo d’Attacchi di Panico (Feske & Goldstein, 1997; Goldstein & Feske, 1994; Nadler, 1996; Shapiro & Forrest, 1997) e dalla analisi ed applicazione del protocollo Whisman, è stato messo a punto, attraverso la personale pratica clinica, un preciso protocollo integrato per il trattamento del disturbo di panico secondo l’approccio EMDR. Facendo riferimento a questi studi, l’ipotesi di intervento dalla quale sono partita è quella che si basa sulla considerazione che l’attacco di panico può rappresentare un evento traumatico di per sé e che quindi il lavoro clinico proposto, seguendo l’approccio EMDR, risulta efficace per desensibilizzare e rielaborare convinzioni, comportamenti, emozioni e sensazioni corporee legate alla paura fino a farle rientrare all’interno di un sistema di convinzioni più gestibile, in modo da permettere al paziente di affrontare le situazioni precedentemente temute e quindi evitate. In questo workshop vengono presentate le modalità di applicazione nel disturbo panico in relazione alle 8 fasi di lavoro dell’approccio EMDR, facendo riferimento ai casi clinici e quindi ad esperienze pratiche derivanti dal personale lavoro terapeutico. Da qui vengono fornite le linee per la strutturazione dello specifico piano di trattamento, secondo un protocollo di lavoro, appositamente elaborato, che conduce, passo dopo passo, all’applicazione del progetto terapeutico Il protocollo di lavoro presentato si focalizza sulla rielaborazione degli attacchi di panico e quindi sulla gestione della sintomatologia caratteristica di questo disturbo. Fornisce, inoltre, indicazioni per effettuare un’attenta anamnesi, che permetta al terapeuta di predisporre un adeguato piano di individuazione e di rielaborazione dei fattori precipitanti e delle esperienze traumatiche pregresse della storia personale del paziente sin dall’infanzia, che possono costituire la base emotiva sulla quale può instaurarsi, in particolari circostanze, la sintomatologia del DAP. Si tratta di eventi stressanti o traumatici del passato sui quali risulta indispensabile un lavoro di rielaborazione al fine di far emergere possibili capacità e comportamenti adattivi per realizzare azioni future adeguate.

As part of studies into the therapeutic possibilities offered by EMDR in various diseases appear to be any interesting perspectives in relation to work on problems panic, unable to provide an opportunity for therapeutic work focused global and comprehensive not only on the present condition and therefore on the management of panic attacks, but also on dynamic understanding of the disorder. Referring to the literature and the reports that have supported the efficacy of on-l'EMDR the treatment of Panic Disorder (FESK & Goldstein, 1997; FESK & Goldstein, 1994; Nadler, 1996, Shapiro & Forrest, 1997) and the analysis and application of the protocol Whisman, was developed through personal clinical practice, a precise protocol integrated treatment of panic disorder according to the EMDR approach. Referring to these studies, the possibility of intervention from which game is the one based on the consideration that the panic attack can be a traumatic event in itself and therefore the clinical work proposed, following the approach EMDR, is effective for desensitize and reprocess beliefs, behaviors, emotions and body sensations associated fear until they fall within a belief system more manageable, so allow the patient to deal with situations previously feared and avoided. In this workshop presents the detailed rules in panic disorder report at 8 phases of EMDR work of the approach, referring to clinical cases and then practical experiences arising from personal therapeutic work. From here, we provide the guidelines for the structuring of a specific treatment, according a working protocol, specially developed, which leads, step by step, application therapeutic project the protocol of work presented focuses on the recasting of panic attacks and then the management of symptoms characteristic of this disorder. Also provides instructions for making a careful medical history, which allows the therapist to prepare an adequate plan for the identification and revision of precipitating factors and past traumatic experiences of the patient's personal history from childhood, which may form the emotional basis on which it can establish, in certain circumstances, symptoms of CAD. It is stressful or traumatic events of the past on which it is essential work of reworking in order to identify possible skills and adaptive behaviors to achieve appropriate future action.

Keywords: Panic Disorder  

Accuracy Verified: Yes


136. Baldé, P. (2005). EMDR en hypnose: Suggestieve elementen in een populaire techniek [EMDR and hypnosis: Suggestive elements in popular technique]. Directieve Therapie, 25(1) 35-41. doi:10.1007/BF03060369.

Language: Dutch

Format: Journal

Abstract:
Over de werkzame bestanddelen van Eye Movement Desensitisation and Reprocessing (EMDR) is veel gespeculeerd, maar er is nog weinig duidelijkheid over. Hoewel vaak wordt beweerd dat EMDR voornamelijk op suggestie berust, ontbreken serieuze analyses in die richting. De auteur stelt dat EMDR overeenkomt met de gefractioneerde inductietechniek van Langen. Hij bespreekt de suggestibiliteitverhogende factoren van EMDR en de overeenkomsten met hypnose, zoals het toepassen van impliciete suggesties. Conclusie: EMDR werkt. Niet uitsluitend vanwege de suggestieve technieken, maar wel door daar optimaal gebruik van te maken.

About the active ingredients of Eye Movement Desensitisation and Reprocessing (EMDR) has been much speculation, but there is still little clarity about. Although often claimed that EMDR is based mainly on suggestions, no serious analysis in this direction. The author proposes that EMDR corresponding to the fractional induction technique of Langen. He discusses the factors suggestibiliteitverhogende of EMDR with hypnosis and agreements, such as the use of implicit suggestions. Conclusion: EMDR works. Not only because of the suggestive techniques, but by making best use of it.

Keywords: Hypnosis  

Accuracy Verified: Yes


137. McNally, R. J. (2001). EMDR en mesmerisme: Een vergelijkend historisch onderzoek [EMDR and mesmerism: A comparative historical analysis]. Directieve Therapie, 21(3), 270-285. doi:10.1007/BF03060263.

Language: Dutch

Format: Journal

Abstract:
Oogbeweging desensibilisatie and Reprocessing (EMDR) is een van de snelst groeiende interventies in de annalen van de psychotherapie. Hoewel veel psychologen hebben opmerkingen gemaakt over haar ongewone vermoedelijk ontstaan en de verspreiding, geschiedenis onthult de vele parallellen met het mesmerisme, een eerdere therapie die zich snel verspreid over de hele 18e eeuw in Europa en Amerika. Het doel van dit artikel is het documenteren van de vele opvallende gelijkenissen tussen de geschiedenis van het mesmerisme en de geschiedenis van EMDR (ScienceDirect).

Eye movement desensitization and reprocessing (EMDR) is among the fastest growing interventions in the annals of psychotherapy. Although many psychologists have commented on its presumably unusual origins and dissemination, history reveals its many parallels with Mesmerism, a previous therapy that spread rapidly throughout 18th century Europe and America. The purpose of this article is to document the many striking similarities between the history of Mesmerism and the history of EMDR (ScienceDirect).

Keywords: Mesmerism  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Attachment  Childhood Abuse  Dimension of Cognitions  Dissociation  Processing  

Accuracy Verified: Yes


139. Beer, R., & Bronner, M. B. (2010). EMDR in paediatrics and rehabilitation: An effective tool for reduction of stress reactions?. Developmental Neurorehabilitation, 13(5), 307-309. doi:10.3109/17518423.2010.502914.

Language: English

Format: Journal

Abstract:
Having to cope with life-threatening injury or illness can be very stressful for children and their parents. In medical settings children—and parents—can be traumatized by various events both before and during hospitalization as well as during the rehabilitation-phase. Although most children and parents display remarkable resilience over time, stress levels can remain extremely high for a part of these children and parents throughout the entire hospital period and thereafter, culminating in various stress reactions. These reactions can be summarized in a framework of Pediatric Medical Traumatic Stress (PMTS). However, several evidence-based interventions are available presently. One of these evidence-based treatment interventions is Eye Movement Desensitization and Reprocessing (EMDR). Clinical efficiency of EMDR for children has been demonstrated by a recent meta-analysis and other studies. Application of EMDR should be taken into consideration whenever there is suffering from PMTS reactions—particularly intrusive memories, flashbacks, nightmares, anxiety and guilt feelings—or when these reactions interfere with either the recovery process or acceptance of a new situation. Integrated trauma-informed practice together with validated screening tools could be beneficial to families and possibly minimize or even prevent long-term PMTS reactions after life-threatening injury or illness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Editorial  Pediatrics  Rehabilitation  Stress Reduction  

Accuracy Verified: Yes


140. van Rood,Y., & de Roos, C. (2010, June). EMDR in the treatment of body dysmorphic disorder. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Body dysmorphic disorder (BDD) is defined in the Diagnostic and Statistical Manual IV-TR (DSM-IV-TR) as a disorder characterised by a preoccupation with an imagined defect in one's appearance (American Psychiatric Association (APA), 1994). BDD can be treated effectively with selective serotonin reuptake inhibitors (SSRls) or cognitive behaviour therapy (CBT) (Williams et al.. 2006). CBT interventions which are most often described in the literature are exposure and response prevention (ERP) and cognitive techniques. These interventions successfully weaken the catastrophic expectations of the patients. However, they do not affect the negative valence of patients' appearance. This negative meaning is not inborn but acquired during life through association with distressful or even traumatic events. Patients with BDD often report stressful events as the starting point of their complaints (Buhlmann et al., 2007) as well as PTSS like symptoms. i.e. intrusions (Osman et al.. 2004). Processing of these unprocessed memories might free the way to the development of a more positive meaning of their appearance. Indeed, case series have been described in which EMDR has been successfully applied in the treatment of BDD (Brown et al , 1997). In the first part of this workshop background information will be presented which might help identifying BDD patients who might profit from EMDR and planning subsequent EMDR treatment. In the second part of the workshop we share our experiences treating BDD patients with EMDR. Clinical issues will be analysed using videotaped cases of patients for illustration. The goal of this workshop is to increase knowledge and understanding of the use of EMDR in the treatment for BDD. American Psychiatric Association (APA) (1994). Diagnostic and statistical manual of mental disorders. (4th ed.) Washington DC. American Psychiatric Association. Brown, K. W., McGoldrick, T., & Buchanan, R. (1997). Body dysmorphic disorder: Seven cases treated with eye movement desensitization and reprocessing. Behavioural and Cognitive Psychotherapy. 25(2), 203-207 Buhlmann, U., Cook, L. M., Fama, 1. M., & Wilhelm, 5. (2007). Perceived teasing experiences in body dysmorphic disorder. Body Image. 4, 381-385. Osman. S., Cooper, M., Hackmann, A,, & Veale, D. (2004). Spontaneously occurring images and early memories in people with body dysmorphic disorder Memory, 12, 428-436. Williams, J., Hadjistavropoulos, T., & Sharpe, D. (2006). A meta- analysis of psychological and pharmacological treatments for Body Dysmorphic Disorder. Behaviour Research and Therapy. 44, 99-111.

Keywords: Body Dysmorphic Disorder  

Accuracy Verified: Yes


141. Laliotis, D. (2007, September). EMDR master series – I. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Twenty years ago, EMDR began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach that is being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma, but rather to networks of unprocessed early experiences. This workshop will help clinicians develop a way of thinking about and applying EMDR to these cases where the “traumas” are not so obvious, but nonetheless, a powerful contributor to the client’s current difficulties. Cases will be presented in depth with videotape to illustrate how the treatment process evolves using EMDR and how to adequately address the insidious nature of these childhood experiences. Participants will learn how to conceptualize the case over time, how to apply cognitive interweave strategies to facilitate the client’s process, and how to develop future templates to facilitate personal growth and lasting change.

Keywords: Masters Series  

Accuracy Verified: Yes


142. Laizeau, M., Nousse, A., & Chakroun, N. (2008, June). EMDR optimism protocol: A pilot study on athletes. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Peterson and Seligman (1984) developed a theory based on the psychological characteristic of optimism. They discovered that a more pessimistic explanatory style is correlated with a deeper depression. The most optimistic explanatory style for a bad event is external, specific and temporary. For a good event the explanatory style is reverse. The pessimistic explanatory style evaluates the causes of bad and good events in the opposite way. Seligman and al (1990) administrated the Attribution Style Questionnaire (ASQ) to swimmers. After negative feedback, optimistic swimmers swim significantly faster compared to pessimistic swimmers. Goldwurm and al. 23 (2006) showed the efficacy of an optimism training proposed by Seligman. Andrew Leeds worked in 1997 on a new protocol known as Resource Development and Installation (RDI). This protocol has been reported to be useful in ego strengthening and stabilization. RDI protocol comes from EMDR that has been extensively researched and proven effective for the treatment of trauma even on athletes (Graham, 2004). An expansion of the basic EMDR protocol, called “EMDR Peak Performance protocol” has been developed by Lendl & Foster (1997) for enhancing performance in the workplace, to aid in the reduction of performance anxiety experienced by creative and performing artists, and for competition preparation and psychological recovery from injury in athletes. This orientation leads us to go on with a nonpathologizing view developing optimistic client’s potential with the elaboration of this new protocol that we call: the EMDR optimism protocol (Laizeau and Nousse 2008). It has been developed on the basis of a study lead on rugbymen and swimmers. The aim of our study was to show that this EMDR optimism protocol can easily improve athletic performance.

Keywords: Optimism Protocol  

Accuracy Verified: Yes


143. Lendl, J. & Foster, S. (2005). EMDR per il miglioramento della performance sul posto de lavoro [EMDR for peak performance in the workplace]. Presentazione al convegno annuale della Associazione per l'EMDR in Italia, Milano.

Language: Italian

Format: Conference

Keywords: Peak Performance  Workplace Performance  

Accuracy Verified: No


144. Lendl, J., & Foster, S. (2009). EMDR performance and enhancement psychology protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 377-396). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The EMDR Performance Enhancement Psychology Protocol (EMDR-PEP) addresses performance anxiety, self-defeating beliefs, behavioral inhibition, posttraumatic stress, and psychological recovery from injury for creative and performing artists, workplace employees, and athletes. The EMDR-PEP can be very useful with everyday nonpathological complaints such as procrastination, fear of failure, setbacks, and life transitions. Note: Clinicians, working with athletes require rigorous training in Sport Psychology and Sociology of Professional Sport. The EMDR-PEP encompasses a full spectrum viewpoint (body, mind, and spirit) regarding optimal functioning at work and in life. This perspective inspires clients to identify their strengths as well as areas to improve and to prioritize their work accordingly. The EMDR-PEP approach draws upon Maslow's (1971) Human Potential Movement and Positive Psychology (Amen, 2002; Buss, 2000; Csikzentmihalyi, 1990; Seligman, 1998; Taylor, Kemeny, Reed, Bower, & Gruenwald, 2000), as well as Sport Psychology Research and Principles (levleva & Orlick, 1991; Kohl, Ellis, & Roenkerm, 1992; Mamassis & Doganis, 2004; Martin, Moritz, & Hall, 1999; Nideffer, 1976; Short & Short, 2005; Simons, 2000; Unestahl, 1982), and Health Psychology (Graham, 1995; Levine, 1991; Simonton & Creighton, 1982; Whiting & den Brinker, 1982). The first single subject series (Foster & Lendl, 1996) reported promising findings with four diverse work-related situations and was republished in APA's seminal coaching papers in Consulting Psychology, The Wisdom of Coaching (Foster & Lendl, 2007). Reduced anxiety and increased self-confidence were reported for mature performing artists launching an existing repertoire into a new arena (Foster, 2000) and in a controlled study of master swimmers (Linebarger, 2005). Note: The Linebarger study included the Brief Intervention Focusing Protocol; the paper does not include inner advisor and mental room. Special attention is given to performance elements such as ability, focus, and motivation. The EMDR Performance Enhancement Psychology protocol Forms and Script are included. [PsycINFO Database]

Keywords: Performance Enhancement  Protocol  

Accuracy Verified: Yes


145. Lendl, J., & Foster, S. (2003). EMDR performance enhancement for the workplace:  A practitioners' manual, 2nd edition. EMDR Humanitarian Assistance Programs.

Language: English

Format: Book

Abstract:
This manual offers a step-by-step model for clinicians who conduct performance enhancement work with employees. It does not speak to the needs of performing artists or athletes. The authors differentiate 'clinical' from 'performance enhancement' EMDR. Written for clinicians who have been trained in Level I and Level II of EMDR. [EMDR-HAP]

Keywords: Performance Enhancemnent  Work Place  

Accuracy Verified: Yes


146. Shapiro, F., Beutler, L., Norcross, J., Maxfield, L., & Rogers, S. (2002). EMDR research and its future: Ecological validity, process research, component analysis, outcome findings, and sociopolitical context. Panel discussion at the Society for Psychotherapy Research International Conference, Santa Barbara, CA.

Language: English

Format: Conference

Abstract:
This panel presentation addresses ecological validity, process factors, methodological variables, and sociopolitical context in the interpretation and dissemination of outcome research. Since its introduction, EMDR (eye movement desensitization and reprocessing) has been the focus of controversy because of its departure from existing paradigms, its non-traditional dissemination, and immoderate claims for rapid effectiveness. This panel reviews the socio-political context in which EMDR developed and its relevance for other emerging psychotherapeutic approaches. Findings from a recent methodological meta-analysis are reviewed to provide an empirical context for assessing the range of results in different outcome studies. Specific client, therapist, and methodological variables that could account for disparities in outcome are examined and implications for interpreting research outcomes are discussed. The panel also summarizes the findings of various recent studies that identified the effects of eye movements as decreasing vividness and emotionality of memory, physiological arousal, and in-session subjective distress. Findings from two recently completed studies are reported in which both process variables and active ingredients were examined. Limitations of the group design approach to the dismantling of psychotherapies are also discussed.

Keywords: Panel Discussion  

Accuracy Verified: Yes


147. Spector, J. (2001, May). EMDR research update and research questions answered. Presentation at the EMDR Europe Association annual meeting, London, UK.

Language: English

Format: Conference

Abstract:
It is vital that EMDR has a strong research base. The ultimate credibility of EMDR will depend on Randomised Controlled Studies demonstrating the effectiveness of EMDR as a psychotherapy especially for Post Traumatic Stress Disorder. Also of importance will be Component Analysis Studies teasing apart the therapeutically active elements of EMDR. Research internationally on EMDR has been in two phases. Prior to 1999 the main questions were whether EMDR was an effective psychotherapy, and what was the value of these eye movements. From 1999 it is accepted that EMDR is an effective psychotherapy and the questions now are whether EMDR is more effective than CBT and is its effectiveness because it is CBT. This paper will trace the history of research into EMDR and address some of the most commonly asked questions about the validity of EMDR as manifested in the research literature. Particular attention will be drawn to some new papers about to be published very significant for EMDR. Finally some of the papers critical of EMDR will be reviewed also and examined as to their credibility. There will be opportunities for questions and discussion.

Keywords: Research  

Accuracy Verified: Yes


148. Shapiro, R. (2009). EMDR Solutions II: For depression, eating disorders, performance, and more. New York, NY: W. W. Norton & Co.

Language: English

Format: Book

Abstract:
A clear and comprehensive guide to using EMDR in clinical practice. This edited collection—a follow-up to Shapiro’s successful EMDR Solutions—presents step-by-step instructions for implementing EMDR approaches to treat a range of issues, written by leading EMDR practitioners. The how-to approach, mixed with ample clinical wisdom, will help clinicians excel when using EMDR to treat their clients. The units include: A comprehensive compendium of EMDR interventions for Depression, it begins with Robin Shapiro’s Assessment, Trauma-Based and Endogenous Depression chapters, continues with Jim Knipe’s Shame-Based Depression chapter, and ends with Shapiro’s Attachment-Based chapter. The eight chapters of the Eating Disorder unit cover all the bases. From etiology to neurology through Preparation phases and treatment strategies, you’ll learn how to work with Bulimia, Anorexia, Body Dysmorphia, Binge Eating Disorder, disorders of Desire and more. Andrew Seubert is the ring leader. The other writers are Janie Scholom, Linda Cooke, Celia Grand, DaLene Forester, Janet McGee, Catherine Lidov, and Judy Lightstone. Performance, Coaching, and Positive Psychology unit emphasizes strengths, skills, focus, and whatever gets in the way of reaching the goal. David Grand shares his foundational 15 Strategies for Performance enhancement. Ann Marie McKelvey integrates EMDR with Coaching and Positive Psychology. The Complex Trauma unit includes Katie O’Shea’s useful and user-friendly Preparation Methods and Early Trauma Protocol, Sandra Paulsen and Ulrich Lanius’s brilliant collaboration Integrating EMDR with Somatic and Ego State Interventions, Liz Massiah’s hair-raising Intrusive Images chapter, and Shapiro’s treatment strategies for OCPD. Robin Shapiro gives an overview of Medically-Based Trauma and her strategies for successful treatment of Multiple Chemical Sensitivities. Katherine Davis shows us how Post-Partum “Depression” is often treatable Post-Partum PTSD. Ronald Ricci and Cheryl Clayton tell us how to use EMDR in our work with Sex Offenders and their complete therapeutic milieu. Martha S. Jacobi develops our “third ear” for using EMDR with Religious and Spiritually-Attuned clients.

Keywords: Depression, Eating Disorders, Performance  

Accuracy Verified: Yes


149. Lendl, J. (1999). EMDR Specialists as adjuncts to multi-discipline performance practice. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.

Language: English

Format: Conference

Abstract:
There is evidence for the efficacy of eye movement desensitization and reprocessing (EMDR) with athletes. Case studies will be used to demonstrate the value of a trauma and performance specialist trained in EMDR as an adjunct to a multi-disciplinary support team. Three multiteam situations will be discussed. The first includes military base personnel working to improve performance after trauma and, in some cases, transition to the private sector. The second is a behavioral medicine clinic with a focus on working with trauma hindering performance and performance anxiety. The third is a sport group utilizing a trainer, exercise physiologist, and nutritionist working with a community college basketball team.

Keywords: Athletes  Performance Enhancement  Sports Psychology  Symposium  

Accuracy Verified: Yes


150. Zangwill, W., & Britt, V. (2006, September). The EMDR therapist as case consultant. Presentataion at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
As EMDR's reputation for powerful and effective treatment grows, EMDR clinicians are increasingly being asked to provide services as consulting or adjunct therapists. These consultations can be intensely productive and stimulating if done properly; they can also be counterproductive if not. This workshop will provide the consulting therapist with specific techniques for ethical and effective treatment of the patient and guidelines for working with the primary therapist. It will include: 1) setting realistic goals with both the patient and the primary therapist; 2) exploring the eight phases of EMDR treatment from a consulting perspective; 3) understanding the ethical issues concerned with this type of treatment; 4) dealing with treatment implications such as splitting and transference; 5) how to avoid common pitfalls such as judging the primary clinician's performance; and 6) the satisfaction of developing an ongolng productive, collegial relationships. The workshop will provide a step-by-step framework for consultation work, clear case examples and didactic information woven into a lively interactive format.

Keywords: Case Consultation  

Accuracy Verified: Yes


151. Landin-Romero, R., Novo, P., Vicens, V., McKenna, P. J., Santed, A., Pomarol-Clotet, E., Salgado-Pineda, P., Shapiro. F., & Amann, B. L. (2013, March). EMDR therapy modulates the default mode network in a subsyndromal, traumatized bipolar patient. Neuropsychobiology, 67(3), 181-184. doi:10.1159/000346654.

Language: English

Format: Journal

Abstract:
Background: Some functional imaging abnormalities found in bipolar disorder are state related, whereas others persist into euthymia. It is uncertain to what extent these latter changes may reflect continuing subsyndromal affective fluctuations and whether those can be modulated by therapeutic interventions. Method: We report functional magnetic resonance imaging (fMRI) findings during performance of the n-back working memory task in a bipolar patient who showed a marked improvement in subsyndromal affective symptoms after receiving eye movement desensitization and reprocessing (EMDR) therapy in the context of a clinical trial. Results: The patient's clinical improvement was accompanied by marked changes in functional imaging, as compared to 30 healthy subjects. fMRI changes were noted particularly in deactivation, with failure of deactivation in the medial frontal cortex partially normalizing after treatment. Conclusions: This case supports the potential therapeutic overall benefit of EMDR in traumatized bipolar patients and suggests a possible neurobiological mechanism of action: normalization of default mode network dysfunction. Copyright © 2013 S. Karger AG, Basel.

Keywords: Bipolar Disorder  Subsyndromal Affective Symptoms  

Accuracy Verified: Yes


152. Landin-Romero, R., Novo, P., Vicens, V., McKenna, P. J., Santed, A., Pomarol-Clotet, E., Salgado-Pineda, P., Shapiro. F., & Amann, B. L. (2013, March). EMDR therapy modulates the default mode network in a subsyndromal, traumatized bipolar patient. Neuropsychobiology, 67(3), 181-184. doi:10.1159/000346654.

Language: English

Format: Journal

Abstract:
Background: Some functional imaging abnormalities found in bipolar disorder are state related, whereas others persist into euthymia. It is uncertain to what extent these latter changes may reflect continuing subsyndromal affective fluctuations and whether those can be modulated by therapeutic interventions. Method: We report functional magnetic resonance imaging (fMRI) findings during performance of the n-back working memory task in a bipolar patient who showed a marked improvement in subsyndromal affective symptoms after receiving eye movement desensitization and reprocessing (EMDR) therapy in the context of a clinical trial. Results: The patient's clinical improvement was accompanied by marked changes in functional imaging, as compared to 30 healthy subjects. fMRI changes were noted particularly in deactivation, with failure of deactivation in the medial frontal cortex partially normalizing after treatment. Conclusions: This case supports the potential therapeutic overall benefit of EMDR in traumatized bipolar patients and suggests a possible neurobiological mechanism of action: normalization of default mode network dysfunction. Copyright © 2013 S. Karger AG, Basel.

Keywords: Bipolar Disorder  Subsyndromal Affective Symptoms  

Accuracy Verified: Yes


153. Landin-Romero, R., Novo, P., Vicens, V., McKenna, P. J., Santed, A., Pomarol-Clotet, E., Salgado-Pineda, P., Shapiro. F., & Amann, B. L. (2013, March). EMDR therapy modulates the default mode network in a subsyndromal, traumatized bipolar patient. Neuropsychobiology, 67(3), 181-184. doi:10.1159/000346654.

Language: English

Format: Journal

Abstract:
Background: Some functional imaging abnormalities found in bipolar disorder are state related, whereas others persist into euthymia. It is uncertain to what extent these latter changes may reflect continuing subsyndromal affective fluctuations and whether those can be modulated by therapeutic interventions. Method: We report functional magnetic resonance imaging (fMRI) findings during performance of the n-back working memory task in a bipolar patient who showed a marked improvement in subsyndromal affective symptoms after receiving eye movement desensitization and reprocessing (EMDR) therapy in the context of a clinical trial. Results: The patient's clinical improvement was accompanied by marked changes in functional imaging, as compared to 30 healthy subjects. fMRI changes were noted particularly in deactivation, with failure of deactivation in the medial frontal cortex partially normalizing after treatment. Conclusions: This case supports the potential therapeutic overall benefit of EMDR in traumatized bipolar patients and suggests a possible neurobiological mechanism of action: normalization of default mode network dysfunction. Copyright © 2013 S. Karger AG, Basel.

Keywords: Bipolar Disorder  Subsyndromal Affective Symptoms  

Accuracy Verified: Yes


154. Tormey, M. E. (2003, May). EMDR treatment of children and adolescents with school refusal in the outpatient setting: The role of trauma resolution, imaginal exposure and in vivo desensitization and reprocessing resulting in student reintegration to the classroom. In EMDR with children and adolescents. Symposium conducted at the annual mmeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
School refusal behavior is defined as a child-motivated refusal to attend school, or difficulties remaining in school for the entire day. As a heterogeneous condition, it can encompass aspects of phobic-type responses or separation anxiety disorder. This condition interferes with the child’s development as it impacts upon academic performance, family and peer relationships in the short-term realm. Long-term effects may include fewer employment and educational opportunities, as well as the development of psychiatric sequelae. This presentation will describe the use of EMDR as a comprehensive treatment for the child or adolescent with school refusal. Case presentations will describe assessment of the problem, with treatment of targets in the individual child or as part of a family systems intervention. Highlights will be placed on the rapid resolution of school refusal behaviors through the processing of traumatic incidents, versus those conditions requiring a more extended and extensive treatment program. The creative implementation of in vivo EMDR will be described in the successful classroom reintegration of two students [Author abstract]

Keywords: Adolescents  Children  Imaginal Exposure, In Vivo Desentization, Outpatient Setting  School Refusal  Student Reintegration  Symposium  

Accuracy Verified: Yes


155. Holmshaw, M. (2009, March). EMDR treatment of four cases of long term heterosexual unconsummated relationships: Efficacy of trauma-based, adaptive psychological approach. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.

Language: English

Format: Conference

Abstract:
Four women between the ages of 29 and 35 presented with distress and relationship problems due to their perceived inability to sexually consummate their marriages. On average they had been married for 48 months and in all four cases presented with considerable distress as they perceived themselves as failures fearing that they would not be able to have children. Despite varied past histories, this small cohort all had either sexual abuse histories (one case) or unusual fantasies about sexual penetration and their own and their partners’ sexual organs. This presentation illustrates the helpfulness of history taking and case conceptualisation with specific emphasis on sexual and developmental history, the role of the “normal” male partner and the use of the touchstone memory in obtaining initial targets for processing The four women are compared to establish individual variables which determined sessions numbers and successful treatment outcome. (Session numbers varied between 6 and 35, with three subjects needing fewer than 10 sessions). Suggestions for the use of a similar approach to treat sexual performance anxiety are put forward

Keywords: Heterosexual Unconsummated Relationships  Symposium  

Accuracy Verified: Yes


156. Jacobs, S., Rackowitz, M., Strack, M., & de Jongh, A. (2009). EMDR und biofeedback in der behandlung der posttraumatischen belastungsstorung - Erweiterung der evaluation des neuropsychotherapeutischen behandlungsprogramms [EMDR and biofeedback in the treatment of post traumatic stress disorder - extension of the evaluation of the neuropsychological treatment program]. In S. Jacobs, (Hrsg.), Neurowissenschaften und Traumatherapie. Grundlagen und Behandlungskonzepte [Neurosciences and Trauma Therapy, Bases and treatment approaches] (pp. 51-81). Göttingen: Universitätsverlag.

Language: German

Format: Book Section

Abstract: In the year (2007) the manual of the neuropsychotherapeutic intervention program EMDR and biofeedback in the therapy of posttraumatic stress disorder by Jacobs and de Jong was published. The therapeutic concept based on new neuroscienctific findings, which declare a dissociation of implicit and explicit traumamemory as one reason for emergence a PTSD. On this background the treatment program integrates selective modules. The allocation of information carried out by an educational movie for patients, specific cognitive-behavioural intervention techniques, which are supplemented by biofeedback-supported Eye Movement Desensitisation and Reprocessing (EMDR). During the treatment the skin conductance (electrodermal activity), which is a stress parameter, is mesured. This program was already evaluated in the pilot-study. The patient pool could be enlarged, so that 28 patients were available for the evaluation. Additionally the educational movie was examined on efficiency. The total feedback was positive. After therapy-end the PTSD-symptomatology decreased consistently (demp=2.48), as well as the psychological stress in another problem areas (demp=1.30). Moreover the EMDR-method achieved objective a significant decrease of the autonomic arousal (demp=.79) and subjective an explicit reduction of the felt stress (demp=2.40), while growth of the coherence of a worked out positive cognition (demp=2.52). Three- and 12-month follow-up analysis could demonstrate the stability and sustainability of the changes. The intervention program EMDR and biofeedback was also proved to be efficient ( 19 sessions) and effective (demp=1.39) in the enlarged sample, with high

Keywords: Biofeedback  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


157. Silvestre, M., & Morris-Smith, J. (2010, July). EMDR with children and families. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
During this practical skills gaining workshop using video examples of clinical material and theoretical presentation, we will talk about basic ideas of EMDR work with children, EMDR protocol adaptation according to the child developmental level, safety and attachment issues, family dynamics and integration with family therapy work. We will discuss case conceptualisation and treatment planning through video clips analysis. The participants will be invited to bring case material and questions during the course of the workshop.

Keywords: Children  Families  

Accuracy Verified: Yes


158. Gastright, J. (1995). EMDR works!  Is that enough?. Cincinnati Skeptic, 4(3), 1-3.

Language: English

Format: Magazine

Abstract:
In 1987 a 39-year-old, Brooklyn-born, new age seeker was walking in a park in San Gateo, California. Without warning she was overwhelmed with disturbing thoughts. They vanished as quickly as they had arrived, and on analysis she decided that the improvement occurred after she had flicked her eyes from side to side. She tried the technique on other traumatic memories and noticed that after the eye movement the memories just "didn't have the same charge." When she tried the technique with friends, she noticed that many people were unable to flick their eyes properly, so she started "conducting" them by moving her fingers back and forth in front of their eyes at the correct speed. The fingers move about as fast as a tennis match on fast forward.

Keywords: General  Overview  Skeptic  

Accuracy Verified: Yes


159. Foster, S., Lendl, J., & Paulsen-Inobe, S. L. (2000, September). EMDR – Integrated coaching for effective leadership and innovative strategic visioning. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) understand and be able to describe the theoretical foundation for applying a trauma methodology to issues of optimal performance; 2) observe and practice effective techniques for positive resource installation for peak performance; and 3) be able to identify specific targets and negative and positive cognitions for enhancing leadership and increasing productivity using EMDR - integrating coaching.

Keywords: Coaching  Performance Enhancement  Resource Installation  

Accuracy Verified: Yes


160. Faust, T. (2012, June). EMDR, los estados del yo, los policías y las reinas en un caso de ansiedad ante los exámenes[EMDR, ego states, policemen and Queens in a case of test anxiety]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract:
We present a case of Test Anxiety, handled using a combination of EMDR and Ego State Short Term Therapy. Shira, aged 27, is a bright science student. She recently failed a math test due to an anxiety attack. Shira feels that her ability to complete her degree studies is under a real threat. Reported symptoms: great stress, chest pain, pessimistic thoughts, and a general feeling of low self-­‐esteem. The treatment consisted of four sessions before her forthcoming math exam, and a fifth follow-­‐up session after it. The therapeutical approach Psycho-­‐educational counseling, self-­‐relaxation and guided imagery, EMDR phobia protocol (Shapiro F.), use of puppets for work on Ego States (Cohen-­‐Posey K.) based on Voice Dialogue (Stone). During her EMDR processing, Shira chose different puppets to represent both her negative and positive cognitions (PC, NC). A Policeman puppet (NC) represented the "protecting part" of the vulnerable child. This failed part lacks in self-­‐confidence and blocks her progress. Shira's successful PC part is represented by the Queen puppet. She is sure Shira will succeed, because she's able to. During the desensitization process, Shira created a dialogue between her different parts, and empowered the successful, functioning, Queen part. This reinforced her self-­‐esteem and her Ego Awareness The awareness of these parts in her becomes a resource used by Shira for a successful performance in her math exam, in which she gets the highest grades. We shall present the protocol of our sessions, and the use of puppets as projection tools of the Ego parts.

Presentamos un caso de ansiedad ante exámenes, llevado a través del uso del EMDR y la terapia breve de estados del Ego combinados. Shira, tiene 27 años, es una brillante estudiante de ciencias. Recientemente suspendió un test de matemáticas debido a un ataque de ansiedad. Shira siente que su habilidad para completar sus estudios de grado esta bajo una amenaza real. Síntomas registrados: Gran estrés, dolor de pecho, pensamientos pesimistas, y sentimientos generales de baja autoestima. El tratamiento consistió en cuatro sesiones antes de su siguiente examen de matemáticas, y un seguimiento de 5 sesiones después de este. El enfoque terapéutico. El consejo psico-­‐educacional, auto-­‐relajación e imaginación guiada, protocolo EMDR para fobia(Shapiro F.), uso de marionetas para trabajar con los estados del Ego (Cohen-­‐Posey K.) basado en el la voz del dialogo (Stone). Durante su procesamiento EMDR, Shira escoge diferentes marionetas para representar sus cogniciones negativas y positivas (PC, NC). Una marioneta de agente de policía (NC) representaba la “parte protectora” de un niño vulnerable. Esta parte fallo en su autoconfianza y bloque su progreso. La parte que representaba el éxito de Shira PC era la marioneta de la Reina. Ella estaba segura de que Shira Durante el proceso de desensibilización, Shira creó un dialogo entre sus diferentes partes, y reforzó el existo, y el funcionamiento de la parte de la Reina. Esto reforzó su autoestima y su conciencia del Ego. La conciencia de estas partes se convirtió en un recurso usado por Shira para el existo en la realización de su examen de matemáticas, en donde saco las notas más altas. Presentaremos el protocolo con nuestras sesiones y el uso de marionetas como herramientas de proyección de las partes del ego.

Keywords: Ego States  Policement, Queens  Test Anxiety  

Accuracy Verified: Yes


161. Crombez, J.-C. (2006). EMDR. La forme nouvelle d’une évidence de fond [EMDR. The new form of substantive evidence]. Santé Mentale au Québec, 31(2), 263-266.

Language: French

Format: Magazine

Abstract:
Ce qui est passionnant, c’est la clinique ou, plus précisément la clinique thérapeutique, non pas tant celle qui décrit que celle qui agit. Celle qui décrit accumule du savoir ; celle qui agit est une sorte d’art, un art de la rencontre. Puisque cette rencontre est motivée par le besoin ou le désir du changement, une question se pose : ce changement souhaité pourrait-il se réaliser sans la nécessité de cette rencontre ? Il faudrait pour cela analyser ce que permet cette rencontre, analyser son dispositif et sa dynamique et considérer alors si ceux-ci peuvent être retrouvés sans le recours obligatoire à un tiers. Mais il n’est pas facile pour l’intervenant de décoder son propre savoir thérapeutique et de délaisser son propre pouvoir pour le bénéfice de l’autre.

What is exciting is the clinic or, more precisely the clinical therapy, not as one that describes that which acts. It describes accumulates knowledge; the acting is a kind of art, an art of encounter. Since this meeting is motivated by the need or desire for change, a question arises: what could he desired change be achieved without the need for this meeting? It would require an analysis that allows the meeting, to analyze its mechanism and dynamics, and then consider whether these can be found without recourse to compulsory third. But it is not easy for the player to decode its own therapeutic knowledge and away from its own power for the benefit of another.

Keywords: Substantive Evidence  

Accuracy Verified: Yes


162. Kingerlee, P. (2006, September). EMDR: The evidence base is growing. Clinical Psychology Forum, 165, 3 .

Language: English

Format: Journal

Abstract:
No abstract available

Keywords: Behavior Therapy  Cost Effectiveness Analysis  Evidence Based Medicine  General Practice  Human  Letter  Medical Decision Making  Patient Counseling  Patient Referral  Posttraumatic Stress Disorder  PTSD  Treatment Outcome  

Accuracy Verified: Yes


163. Timoshchuk, I. G. (1997, January). EMDR:  Functions providing the dynamics of transformation. EMDRIA Newsletter, 2(3), 15-16.

Language: English

Format: Newsletter

Abstract:
In psychotherapy, the solving of a client’s problems is usually connected with the transformation of his or her personal features or some aspects of his or her experience. These could be changes in his or her systems of values, personal meanings and rules, habitual behavioral patterns, etc. These changes derive from the complex of deep transformations involving while systems of psychics. The system analysis of the multilevel hierarchical; structure formed by connections between the conscious and unconscious allows us to detest both the changing mechanisms and main functions providing the transformation, e.g., to solve a problem.

Keywords: Transformation  

Accuracy Verified: Yes


164. Butler, A. C., Chapman, J. R., Forman, E. M., & Beck, A. T. (2006, January). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26(1), 17-31. doi:10.1016/j.cpr.2005.07.003.

Language: English

Format: Journal

Abstract:
This review summarizes the current meta-analysis literature on treatment outcomes of CBT for a wide range of psychiatric disorders. A search of the literature resulted in a total of 16 methodologically rigorous meta-analyses. Our review focuses on effect sizes that contrast outcomes for CBT with outcomes for various control groups for each disorder, which provides an overview of the effectiveness of cognitive therapy as quantified by meta-analysis. Large effect sizes were found for CBT for unipolar depression, generalized anxiety disorder, panic disorder with or without agoraphobia, social phobia, PTSD, and childhood depressive and anxiety disorders. Effect sizes for CBT of marital distress, anger, childhood somatic disorders, and chronic pain were in the moderate range. CBT was somewhat superior to antidepressants in the treatment of adult depression. CBT was equally effective as behavior therapy in the treatment of adult depression and obsessive-compulsive disorder. Large uncontrolled effect sizes were found for bulimia nervosa and schizophrenia. The 16 meta-analyses we reviewed support the efficacy of CBT for many disorders. While limitations of the meta-analytic approach need to be considered in interpreting the results of this review, our findings are consistent with other review methodologies that also provide support for the efficacy CBT. [Author Abstract]

Keywords: Cognitive Therapy  Literature Review  Meta Analysis  Posttraumatic Stress Disorder  PTSD  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


165. Hartung, J. G. (2002, September). Energy psychology in the service of EMDR. EMDRIA Newsletter, 7(3), 3-5.

Language: English

Format: Newsletter

Abstract:
For some years EMDR has been linked with other more traditional therapies such as “psychodynamic, behavioral, Gestalt, and Adlerian Life style Analysis” (EMDR Institute, 2002). More recently, the use of EMDR along with energy psychology (EP) techniques has also been explored. Listed on the agenda of the 2002 EMDRIA annual Conference, for example, were two presentations explicitly referring to combined uses of EMDR with energy psychology (Phillips, 2002; Yoder, 2002). EP can refer to as many as eight different energy systems (Eden & Feinstein, 1998). Along with most energy practitioners in the US, I use the term primarily as a synonym for the meridian-based psychotherapies (Gallo, 1999, 2000; Lambrou & Pratt, 2000), and secondarily as including the chakra system (Fleming, 2001).

Keywords: Energy Psychology  

Accuracy Verified: Yes


166. Foster, S. (2008, June). Enhancing EMDR resource installation with techniques from positive psychology. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
The field of positive psychology is emerging as a specialty area within psychology. As such, it has much to offer us as clinicians and those of us who have been involved in peak performance work. This workshop provides the participants with immediately usable techniques that can enhance their existing resource work with clients. There is a well established empirical basis for the efficacy of the techniques presented, very much in keeping with EMDR’s scientific roots. This workshop is the first effort (originally conducted in 2003 at the EMDRIA Conference) 20 to integrate into EMDR Peak Performance work specific techniques from positive psychology, the emerging science of happiness and excellence and strengths such as courage. The presenter will explain how the EMDR Peak Performance protocol (which she co-created) is based on the standard EMDR protocol with three modifications: the Future is emphasized; resource development is oriented toward empowerment and possibility; and skills are taught to help clients reach optimal functioning. While the ‘Peak’ protocol already had self-actualization as its goal, its efficacy is enhanced by integrating the positive psychology techniques of using: positive emotions in the performance venue of importance to the client; the Appreciative Inquiry method for envisioning the future and for performance improvement; and optimistic explanatory style. Given time constraints, it is not possible to fully prepare participants to use the Peak Performance protocol. However, in an interactive format that includes a mini practicum, participants will be able to: 1-describe the key differences between the Peak and basic protocols, 2-help clients develop ‘Peak’ resources, 3-begin to establish an empowerment stance with clients, 4-summarize the benefits of teaching clients basic positive psychology concepts, 5-pursue further learning from the extensive positive psychology bibliography

Keywords: Postive Psychology  Resource Installation  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Performance Enhancement  Positive Emotion  

Accuracy Verified: Yes


168. Hartung, J. (2009). Enhancing postive emotion and performance with EMDR. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 339-375). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The scripts included in this chapter exemplify how an EMDR therapist might talk with a client when the focus is on positive psychology and performance enhancement: reaching for a goal not yet realized, looking for a way to strengthen a positive quality, or hoping to fine-tune existing skills. The scripts accompany a model that has been taught in a number of countries to therapists, coaches, and human resource advisors. The model combines elements of coaching and psychotherapy. Coaches attend to a client's skills and deficits, look for solutions that are behavioral and strategic, and focus on the present and future while downplaying the past. Psychotherapists, on the other hand, attend to the client's internal experience: emotions, self-talk, beliefs, and other not-so-observable factors. The focus is largely on the past and present. It follows that the model will be most useful to persons who practice both coaching and psychotherapy. As a coach, the practitioner is familiar with the situation in which the client seeks to perform, whether the client hopes to run faster, lead more effectively, parent better, or study smarter. Competency issues for coaches have been detailed by Hays. As a psychotherapist, the practitioner—it will be assumed—will be comfortable using EMDR in the treatment of traumatic memories and other matters that interfere with the client's personal growth. This chapter provides appropriate scripts. [PsycINFO Database]

Keywords: Performance  Positive Emotion  Protocol  

Accuracy Verified: Yes


169. Smithson, M. (2003, September). Enhancing somatic interventions in EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
The somatic intervention is key to effective EMDR processing. It makes every possible use of EMDR more effective, whether it be trauma work, performance enhancement or resource development. How then, do we maximize the potentia1 for healing with EMDR through our somatic interventions? In this workshop, specific methods for enhancing somatic intervention will be presented. We will experience some of these methods and review cases where others have been used effectively. We will look at blending movement and creative modalities to flush out the wisdom in the body and enhance EMDR therapy.

Keywords: Somatic Complaints  

Accuracy Verified: Yes


170. Henry-Schneider, P. (2007, September). Enhancing the flow toward mental health: Integrating EMDR and ai chi. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Ai Chi is a moving meditation in warm water that can be understood within the context of the Adaptive Information Processing Model. It can be utilized as part of the overall EMDR-oriented treatment plan, both to prepare for desensitization and as a way to close down incomplete sessions. It can also be part of performance enhancement EMDR. As a multimodal experience, Ai Chi helps to develop the body as a resource and parallels the interpersonal neurobiology definition of mental health. Unique qualities that Ai Chi offers will be explored. Participants will be given the opportunity to experience the process firsthand. Please Note: In order to fully participate, please bring a swimsuit or other suitable attire for use in a swimming pool.

Keywords: Ai Chi  Meditation  

Accuracy Verified: Yes


171. 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


172. Gracheck, K. A. (2010). Evaluating the efficacy of EMDR as an athletic performance enhancement intervention. The University of the Rockies, Colorado Springs, CO. 3433356.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye movement desensitization and reprocessing (EMDR) is traditionally regarded as a treatment for trauma; however, recent literature suggested that EMDR is also a promising athletic performance enhancement intervention. Sport psychology literature cited the need for scientifically sound research investigating new performance enhancement interventions. This study answered that call and sought to determine the validity of theories speculating about the efficacy of EMDR in sport. An internationally competitive cyclist participated in a case study investigating the efficacy of a unique EMDR protocol designed specifically for sport. The protocol integrated Resource Development and Installation, typically conducted during Phase 8, into Phase 2. Quantitative and qualitative results demonstrated that EMDR had a positive impact on measurable performance outcomes, performance anxiety, self-esteem, and motivation.

Keywords: Athletes  Performance Enhancement  

Accuracy Verified: Yes


173. Inoue, N. (2009). Evaluation of an EMDR treatment outcome using the Rorschach, the TAT, and the IES-R: A case study of a human-caused trauma survivor. Rorschachiana, 30(2), 180-218. doi:10.1027/1192-5604.30.2.180.

Language: English

Format: Journal

Abstract:
In order to better understand treatment outcome through eye movement desensitization and reprocessing (EMDR) trauma therapy, the author conducted comprehensive pre- and posttreatment assessments using the Impact of Event Scale-Revised (IES-R), the Rorschach Comprehensive System (CS), and the Thematic Apperception Test (TAT) on a survivor of human-caused trauma. The results of the Rorschach CS and the TAT showed significant improvements in terms of interpersonal relationships after the treatment. On the other hand, the posttreatment Rorschach scores indicated that the EMDR therapy promoted self-insight in much the same way as a traditional uncovering therapy. In this case study, the findings gained through the two performance-based methods shed light on what a successful EMDR trauma therapy can yield aside from symptom reduction. (PsycINFO Database Record (c) 2009 APA, all rights reserved)

Keywords: Rorschach  TAT  Trauma  Treatment Outcome  

Accuracy Verified: Yes


174. Adler-Tapia, R., & Settle, C. (2009). Evidence of the efficacy of EMDR with children and adolescents in individual psychotherapy: A review of the research published in peer-reviewed journals. Journal of EMDR Practice and Research, 3(4), 232-247. doi:10.1891/1933-3196.3.4.232.

Language: English

Format: Journal

Abstract:
Research on psychotherapy with children is generally underrepresented in the empirical literature. Currently, there are four randomized clinical trials (RCT) evaluating EMDR in individual psychotherapy with traumatized children—two for children diagnosed with PTSD and two for children presenting with symptoms of posttraumatic stress. Since the first case studies of EMDR with children were published in 1993, 19 studies were identified that met the inclusion criteria for this review. The gold standards identified by Foa and Meadows (1997) to assess the methodology of studies designed to treat trauma were applied to the research on EMDR with children. This analysis discusses the challenges to conducting research on psychotherapy with children including the debate regarding the assessment and diagnosis of PTSD in children. Recommendations for future studies designed with methodological rigor are suggested to investigate the efficacy of EMDR with children who have experienced trauma and other mental health symptoms and diagnoses.

Keywords: Adolescents  Children  Efficacy  Review  Trauma  

Accuracy Verified: Yes


175. Naccarato, C. (2008). The experience of eye movement desensitization and reprocessing as a therapeutic approach in healing trauma. University of Miami, Coral Gables, FL. AAT 3306738.

Language: English

Format: Dissertation/Thesis

Abstract:
Grounded theory method was used to explore the experiences of patients suffering the effects of psychological trauma who had received eye movement desensitization and reprocessing approach (EMDR) as treatment. Saturation of the categories was achieved with the analysis of 15 interviews. The basic social psychological process that emerged is transforming suffering and the core category is changes in perception. The three subcategories, relinquishing, presencing and emerging, form the conceptual framework for the stages of transforming suffering. The stages of relinquishing, presencing and emerging contain concepts and their properties to guide practice. The two dimensions of processing subsumed within each stage are temporal perspectives (past, present and future) and processing fields (physical field, cognitive field and transformative field). These concepts help explain the progression of the patient to experience resolution of the trauma and/or related symptoms/behaviors. Transforming suffering: changes in perception using EMDR is the resultant substantive theory. The implications of this theoretical framework for psychotherapeutic practice and future research are reviewed. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 69(3-B), 2008, pp. 1571.

Keywords: Empirical Study  Grounded Theory  Quantitative Study  Therapeutic Processes  Trauma  

Accuracy Verified: Yes


176. Blore, D. C., Farrell, D., & Clifford, C. (2008, June). The experience of post traumatic growth amongst road traffic accidents victims who have completed EMDR treatment: A status report on research. Poster presented at the annual meeting of the EMDR Europe Conference, London, England.

Language: English

Format: Conference

Abstract:
According to Tedeschi & Calhoun (1995; 2004 and 2006), Post Traumatic Growth (PTG) consists of five ‘domains’: discovery of new possibilities in life; improvements in relating to others; an increased sense of personal strength; greater appreciation of life and spiritual changes. The first author’s experience of treating Road Traffic Accidents (RTA) victims with Eye Movement Desensitisation & Reprocessing (EMDR) suggests that the experience of PTG is far wider and more complicated than Tedeschi & Calhoun’s domains. This paper reports on the current status of a study whose aim is to identify PTG that may be occurring at any point from the immediate aftermath of an RTA through to completion of EMDR. The study so far consists of 11 interviews utilising an Interpretative Phenomenological Analysis (IPA) methodology. So far well over 50 PTG themes have emerged although only the first hermeneutical analysis has been completed on the interviews analysed so far, it is currently difficult, therefore, to establish the degree of ‘theme overlap’. However, new themes include growth ‘by proxy’ (growth in those who have come into contact with the participants, but who have not themselves been traumatised by the RTA); somewhat paradoxically, ‘pre-trauma growth’ apparently activated by a subsequent RTA; and a ‘cascade’ of growth attributed to events subsequent to the initial trauma (such as the EMDR and the EMDR therapist). Some implications of these themes are also discussed, particularly in relation to EMDR.

Keywords: Motor Vehicle Accidents  Poster  Posttraumatic Stress Disorder  PTSD  Victims  

Accuracy Verified: Yes


177. Brown, P. (2011, March). An exploration of the use of eye movement desensitization and reprocessing (EMDR) techniques within a solution focused brief therapy (SFBT) framework with children experiencing personal and school related problems. Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.

Language: English

Format: Conference

Abstract:
This study was set in a mainstream primary school in Scotland where a group of children had been identified by their class teachers and parents as presenting as quiet, shy, withdrawn and/or anxious. The researcher was an educational psychologist in the local authority where the study took place. 5 primary aged children at stages P5, P6 and P7 (aged 9 to 11 years) of the Scottish Primary education system were involved in a group process which took place in their school, consisting of 6 sessions over the course of 2 months. The intervention combined elements from Eye Movement Desensitization and Reprocessing (EMDR) and Solution Focused Brief Therapy (SFBT). This was a strength based approach which aimed to focus on positive strengths and increase resilience. The individual nature of the therapy required a flexible model. A qualitative research methodology was used. The general aim of this research was to investigate this combined therapeutic process within an applied psychology perspective. The research set out to study the experiences of a group of children during and after they participated in the process. A further aim of the research was to explore the process from my own perspective as the therapist and facilitator. Data was collected during and after each session and post intervention data was collected from children, parents and teachers. Interpretative Phenomenological Analysis (IPA) was used to analyse the data. Findings indicated that the children found the intervention helpful and they were able to identify particular aspects of SFBT and EMDR which they had found useful.

Keywords: Children  School-Related Problems  SFBT  Solution Focused Brief Therapy  

Accuracy Verified: Yes


178. Boyer, W. R. (2007). An exploratory study of the effects of EMDR on state/trait anxiety and anger in adult male sex offenders. Argosy University, San Francisco, CA. ATT 3286571.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this exploratory study was to investigate the effects of EMDR on state and trait anxiety and anger levels associated with developmental traumas of sexual offenders in outpatient sex offender treatment. A qualitative component explored the participants' perceptions of their therapy experiences as helpful in resolving problematic reactive behaviors linked with the developmental traumas and other negative life experiences. The male participants ranged in age from 20 to 49 and were self-selected from a purposive sample of clients receiving treatment in an outpatient sex offender program in Southwest Florida. From this sample group, N = 17, the study participants were randomly assigned to one of two treatment modalities, EMDR or CBT. This exploratory study utilized a quasi-experimental, mixed methods format to analyze the effects of EMDR on state/trait anxiety and anger levels. The study utilized both quantitative and qualitative research strategies to acquire what Webster and Marshall (2004) described as "the clearest, fullest picture of behavior" (p. 118). The quantitative analysis of data obtained from the pre and post-testing found no significant differences between the treatment groups in reducing state/trait anxiety and anger levels. The analysis of the qualitative interview data revealed four core themes: Treatment Efficacy, Emotional Processing, Therapeutic Alliance, and Empowerment. The emergent themes of emotional processing and the therapeutic alliance have not been fully explored in sex offender therapy and may warrant further scrutiny. Additionally, processing of developmental traumas and past victimization has been avoided or minimized in standard cognitive-behavioral sex offender treatment contrary to more recent research findings that identify attachment problems and intimacy deficits as key dynamic risk factors associated with sexual recidivism (Adams, 2003). The field of sex offender therapy may benefit from future research that investigates the role of trauma resolution in mitigating dynamic risk factors that are linked with recidivistic sexual violence. EMDR may serve as an adjunctive therapy to assist sexual offenders to effectively process developmental wounds and in so doing target dynamic risk factors by improving their ability to emotionally self-regulate and enhance their ability to more fully experience victim empathy and improve interpersonal relationships. Future sex offender research may benefit from more expanded investigations of EMDR and other limbic therapies. Dissertation Abstracts International: Section B: The Sciences and Engineering. 68(10-B), 2008, pp. 6951.

Keywords: Anger  Anxiety  Criminals  Developmental Disabilities  Empirical Study  Qualitative Study  Outpatients  Quantitative Study  Sex Offenders  Sex Offenses  Trauma  Treatment  

Accuracy Verified: Yes


179. Spector, J. (2007). Eye movement desensitisation and reprocessing (EMDR). In C. Freeman & M. J. Power, (Eds.) Handbook of evidenced-based psychotherapies: A guide to research and practice (pp. 93-109) Hoboken, NJ: John Wiley & Sons.

Language: English

Format: Book Section

Abstract:
No abstract available.

Keywords: Dysfunctional Memories  Dysmorphophia  Random Control Study  RCT  Work Performance  

Accuracy Verified: Yes


180. MacCulloch, M. J., & Feldman, P. (1996, November). Eye movement desensitisation treatment utilises the positive visceral element of the investigatory reflex to inhibit the memories of post-traumatic stress disorder:  A theoretical analysis. British Journal of Psychiatry, 169(5), 571-579.

Language: English

Format: Journal

Abstract:
Background: Eye movement desensitisation and reprocessing (EMDR) has attracted controversy and has led to publications covering a wide range of psychological problems treated by EMDR, in particular, PTSD. There is growing clinical evidence of the effectiveness of EMDR, but a lack of a convincing theoretical basis to explain its rapid effect. Method: This paper argues that a combination of Pavlovian and Darwinian theory provide a theoretical explanation for the therapeutic effectiveness of EMDR. Results: We suggest that the investigatory component of the orienting reflex is an evolutionary development enabling organisms to assess their environment for both opportunities and threats. We propose that EMDR is rapidly effective because it is a clinical method of Pavlovian conditioning by which the positive visceral element of the investigatory reflex can be paired with clinically-induced noxious memories to remove their negative affect. Conclusion: Compared with established forms of treatment for PTSD, EMDR is rapid, with resulting clinical and economic benefits. Our suggested theoretical basis for EMDR has implications for further explanatory research and for developments in EMDR treatment. [Author Abstract]

Keywords: Conditioned Emotional Responses  Literature Review  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes


181. Klingler, O. J. (2010). Eye movement desensitization and reprocessing (EMDR) in der behandlung der posttraumatischen belastungsstörung (PTSD): Seine irksamkeit im vergleich zu alternativen verfahren [Eye movement desensitization and reprocessing (EMDR) in the treatment of post traumatic stress disorder (PTSD): Its effectiveness compared to alternative methods]. Grin, 34.

Language: German

Format: Book

Abstract:
Hintergrund: Untersuchungen zur Wirksamkeit des EMDR in der Behandlung der Posttraumatischen Belastungsstörung liefern uneinheitliche Ergebnisse und keine ausreichende Grundlagen für Behandlungsentscheidungen. Fragestellung: Welche Entscheidungsgrundlagen liefert ein „entscheidungsorientiertes Modell der besten Vergleiche“, nach dem nur jene direkten Vergleiche mit anderen aktiven Behandlungsverfahren berücksichtigt werden, die besonderen methodischen Kriterien entsprechen? Methoden: Zusammenfassende Auswertung von randomisierten Vergleichen des EMDR mit alternativen Behandlungsverfahren bezüglich der Zielvariablen Remissionen, Schweregrad der Symptomatik, allgemeines Wohlbefinden und Completer. Ergebnisse: EMDR führt zu günstigeren Ergebnissen im Vergleich zu Placebo und ver-haltenstherapeutischer Exposition und zu keinen ungünstigeren Ergebnissen als Fluoxetine, Entspannungsverfahren und „unvollständiges“ EMDR ohne Augenbewegungen. Schlussfolgerungen: Bei Anwendung des entscheidungs-orientierten Modells der besten Vergleiche legen die vorliegenden Ergebnisse nahe, bei der Posttraumatischen Belastungsstörung EMDR vorläufig als die Behandlungsmethode der Wahl anzusehen.
[Background: Studies on the effectiveness of EMDR in the treatment of posttraumatic stress disorder deliver inconsistent results and insufficient basis for treatment decisions. Question: What are the bases for decision provides a "decision-oriented model of the best comparisons" are taken into account according to which only those direct comparisons with other active treatments that meet specific methodological criteria? Methods: Summary analysis of randomized comparisons of EMDR with alternative treatment methods in relation to the target variable remission, severity of symptoms, general well-being and Completer. Results: EMDR leads to better results compared to placebo and behavioral therapeutic exposure and no less favorable results than fluoxetine, relaxation techniques and "incomplete" EMDR without eye movements. Conclusions: Application of decision-oriented model of the best comparisons suggest the results presented at the post-traumatic stress disorder EMDR provisionally be regarded as the treatment of choice.]

Background: Studies on the effectiveness of EMDR in the treatment of posttraumatic stress disorder deliver inconsistent results and insufficient basis for treatment decisions. Question: What are the bases for decision provides a "decision-oriented model of the best comparisons" are taken into account according to which only those direct comparisons with other active treatments that meet specific methodological criteria? Methods: Summary analysis of randomized comparisons of EMDR with alternative treatment methods in relation to the target variable remission, severity of symptoms, general well-being and Completer. Results: EMDR leads to better results compared to placebo and behavioral therapeutic exposure and no less favorable results than fluoxetine, relaxation techniques and "incomplete" EMDR without eye movements. Conclusions: Application of decision-oriented model of the best comparisons suggest the results presented at the post-traumatic stress disorder EMDR provisionally be regarded as the treatment of choice.
[Background: Studies on the effectiveness of EMDR in the treatment of post traumatic stress disorder deliver inconsistent results and insufficient basis for treatment decisions. Question: What are the bases for decision provides a "decision-oriented model of the best comparisons" are taken into account according to Which only those direct comparisons with other active treatments that meet specific methodological criteria? Methods: Summary analysis of randomized comparisons of EMDR with alternative treatment methods in relation to the target variable remission, severity of symptoms, general well-being and Completer. Results: EMDR leads to better results compared to placebo and behavioral therapeutic exposure and no less Favorable results than fluoxetine, relaxation techniques and "incomplete" EMDR without eye movements. Conclusions: Application of decision-oriented model of the best comparisons suggest the results presented at the post-traumatic stress disorder EMDR provisionally be regarded as the treatment of choice].

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


182. Fannin, J. L. (1998, February). Eye movement desensitization and reprocessing (EMDR) in the treatment of anxiety as it pertains to work-related issues. Walden University, Minneapolis, MN. AAT 9804439.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this study was to determine the effect Eye Movement Densitization and Reprocessing (EMDR) has as a treatment protocol on work-related stressors. Today's faster pace, the growing perception of job insecurity, greater demands on the job, and inability to juggle family and work responsibilities has left millions of Americans to experience the debilitating effects of anxiety and stress. Many people lack the knowledge, resources, and strategies to effectively deal with such problems. The issue of stressors in work-related situations is costly and negatively impacts many individuals, organizations, and families. EMDR was found to be both effective and efficient in removing or substantially decreasing anxiety associated with work-related stressors and increase the association to positive cognitions. The data indicated both statistical and clinical improvement in all four areas of measure: subjective units of disturbance (SUD), verification of cognition (VOC), emotional state, and trait anxiety, after EMDR had been administered to members of the experimental group. This study found no statistical significance with these measures as they pertain to the control group. The three null hypotheses were rejected. Several different measures were employed to evaluate the statistical significance of the data produced by this study. Process measures of the verification of cognition (VOC) and subjective units of disturbance (SUD) scales were evaluated through paired sample t-tests. Analysis of variance (ANOVA) was used to evaluate the state and trait anxiety measures. Interactional analysis tested the hypotheses for interaction using repeated measures ANOVA with method and time. Pearson's product moment correlation tested for the association between two variables. Further study is recommended in both the conceptual and theoretical foundations of the EMDR protocol. Such research could lead to more effective and cost-efficient therapy for a wide range of problems affecting the individual, family, and the organization. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(8-B), Feb 1998, pp. 4512.

Keywords: Anxiety  Empirical Study  Eye Movement Desensitization Therapy  Occupational Stress  Stress Management  Treatment Outcome/Clinical Trial  Workplace Stress  

Accuracy Verified: Yes


183. Soberman, G. B. (1998). Eye movement desensitization and reprocessing (EMDR) in the treatment of conduct disorder with preadolescents and adolescents. Walden University, Minneapolis, MN. AAT 9910218.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this study was determine the efficacy of Eye Movement Desensitization Reprocessing (EMDR) with traumatized adolescents primarily diagnosed with conduct disorder (CD). The effect of exposure to domestic violence and other forms of human initiated violence puts children at risk of developing significant mental health problems including CD and other childhood disorders that can have a profound effect on the community. In order to test the null hypotheses that the EMDR treatment protocol would not lead to any significant reduction in posttraumatic or behavioral symptoms with this population, a repeated measures MANOVA was utilized for four of the five dependent variables. These variables were the Impact of Event Scale (IES), the Child Report of Posttraumatic Symptoms (CROPS), the Parent Report of Posttraumatic Symptoms (PROPS), and the Problem Rating Scale (PRS). A simple two-group independent t-test analysis was used to analyze the fifth independent variable (reward points) and the 2-month follow-up data. All of the 5 null hypotheses were supported by an inferential analysis (MANOVA; t-test) of the dependent variables of this study. EMDR treatment was not found to be statistically significant on any of the dependent variables. Despite these findings, future research should continue to focus on the efficacy of EMDR with childhood trauma. Future research should also continue to focus on the emotional needs of children in residential treatment, the benefits of therapeutic as opposed to punitive intervention with delinquent youths, and the role that EMDR can play in breaking the cycle of violence in our society. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(10-B), April 1999, pp. 5587.

Keywords: Adolescents  Conduct Disorder  Emotional Trauma  Empirical Study  Preadolescents  Symptoms  Trauma  Treatment Outcomes  

Accuracy Verified: Yes


184. Vyas, K. J. (2008, April). Eye movement desensitization and reprocessing (EMDR) to decrease human immunodefiency virus (HIV) risk behaviors among Latino men who have sex with men (MSM). Presentation at the National Conference on Undergraduate Research, Salisbury University, MD.

Language: English

Format: Conference

Abstract:
Among Latino MSM, those who have reported early childhood sexual abuse continually report high levels of HIV risk behaviors. The objective of this study was to test if EMDR can be more effective as an HIV risk reduction behavioral intervention than a non-trauma based comparison, the Explore Study intervention. At a university-based outpatient clinic, 35 Latino MSM were randomized into Explore (n=13) and EMDR (n=22). The main outcome measure was a self-report questionnaire assessing unprotected anal sex, number of sexual partners, and use of substances before or during sexual activity during the previous month. Sexual risk behaviors were assessed at baseline, before randomization, and at one week post-intervention. Compared to baseline rates, participants who didn’t report unprotected receptive anal intercourse increased by 11% in Explore and decreased by 12% in EMDR. The corresponding comparisons for number of sexual partners were a 4% increase for Explore and a 41% decrease in EMDR. Explore and EMDR participants showed an increment of 25% and 9%, respectively, in those who denied having used alcohol or drugs before or during sexual activity. Follow-up data at 2 and 6 months post-intervention are being collected. This preliminary analysis suggests that certain HIV risk behaviors can be reduced by EMDR, while others can be equally reduced by more conventional interventions.

Keywords: AIDS  HIV  Latino  

Accuracy Verified: No


185. Wittje-Berger, T. (2012). Eye movement desensitization and reprocessing (EMDR) zur belastungsreduzierung bei kindern und jugendlichen in der integrativen lerntherapie [And reprocessing eye movement desensitization (EMDR) for stress reduction in children and adolescents in integrative learning therapy]. Aachen Verlag.

Language: German

Format: Book

Abstract:
Die Autorin untersucht in ihrer Forschungsarbeit den Einsatz der EMDR-Methode innerhalb der integrativen Lerntherapie zur gezielten Belastungsreduzierung bei Kindern und Jugendlichen. Die EMDR-Methode gilt als effektives Psychotherapieverfahren insbesondere für posttraumatische Belastungsstörungen bei Kindern, Jugendlichen und Erwachsenen. Für die EMDR-Arbeit mit Kindern und Jugendlichen werden weitere wissenschaftliche Forschungsarbeiten gefordert. Dazu leistet die vorliegende Pilotstudie ihren Beitrag. Die EMDR-Therapie bietet einen methodenübergreifenden Zugang. In dieser Untersuchung wurde der Versuch unternommen, die Belastungen und Auffälligkeiten der Kinder und Jugendlichen mit einem neuen (innovativen) lern- und psychotherapeutischen Therapiekonzept (Integrative Lerntherapie plus EMDR-Therapie) zu behandeln. ...In der ?Fazitfrage? zur Einschätzung der Belastung ihrer Kinder bemerkten die Eltern am Ende des Behandlungszeitraums mit EMDR eine signifikante Verringerung der Belastungen. Bei der Intervention ohne EMDR gab es nur geringfügige Veränderungen, die sogar auf eine leicht stärkere Belastung hinwiesen. Die Daten verdeutlichen, dass die durch die Eltern wahrgenommenen Belastungen ihrer Kinder nur bei zusätzlicher EMDR-Therapie reduziert wurden. Zusammenfassend sprechen die Erfahrungen mit der praktischen Durchführung der EMDR-Behandlungen innerhalb der integrativen Lerntherapie für das vorliegende Behandlungskonzept. Ein positiver Einfluss der EMDR-Therapie auf die Reduzierung von Belastungssymptomen und Verhaltensauffälligkeiten sowie auf bessere schulische Leistungen bei Kindern und Jugendlichen scheint gegeben. Die gewonnenen Erkenntnisse könnten sich im Rahmen eines Gesamtbehandlungsplanes als praxisrelevant für lerntherapeutische Institutionen und für den kreativen Einsatz der EMDR-Methode erweisen. Darüber hinaus ermutigen sie zur weiteren Forschung und Durchführung künftiger Projekte.

The author examines the use of their research in EMDR in the integrative learning for targeted therapy stress reduction in children and adolescents. The EMDR method is considered effective psychotherapy methods, particularly for post traumatic stress disorder in children, adolescents and adults. For the EMDR work with children and young people, further scientific research will be required. This makes the present pilot study their contribution. The EMDR therapy offers a cross-access methods. In this study, an attempt was made to the stresses and abnormalities in children and adolescents with a new (innovative) approach to learning and psychotherapeutic treatment (therapy plus learning Integrative EMDR therapy) to treat. ...In? Conclusion question? to assess the burden of their children, the parents noticed at the end of the period of treatment with EMDR, a significant reduction of stress. During the intervention without EMDR There were only slight changes were even able to load a slightly stronger. The data show that the perceived pressures from parents to their children only when additional EMDR therapy were reduced. To summarize the experiences speak to the practice of EMDR treatment within the integrative learning therapy for the treatment of this concept. A positive effect of EMDR therapy on the reduction of stress symptoms and behavioral problems as well as improved academic performance in children and adolescents seems to be given. The findings could prove to be part of an overall treatment plan as a practical therapeutic relevance to learning institutions and the creative use of the EMDR method. They also encourage further research and implementation of future projects.

Keywords: Adolescents  Children  Integrative Play Therapy  Stress Reduction  

Accuracy Verified: Yes


186. Wittje-Berger, T. (2012). Eye movement desensitization and reprocessing (EMDR) zur belastungsreduzierung bei kindern und jugendlichen in der integrativen lerntherapie [Eye Movement Desensitization and Reprocessing (EMDR) for stress reduction in children and adolescents in the integrative learning therapy]. Zugl: Hamburg University.

Language: German

Format: Dissertation/Thesis

Abstract:
Die Autorin untersucht in ihrer Forschungsarbeit den Einsatz der EMDR-Methode innerhalb der integrativen Lerntherapie zur gezielten Belastungsreduzierung bei Kindern und Jugendlichen. Die EMDR-Methode gilt als effektives Psychotherapieverfahren insbesondere für posttraumatische Belastungsstörungen bei Kindern, Jugendlichen und Erwachsenen. Für die EMDR-Arbeit mit Kindern und Jugendlichen werden weitere wissenschaftliche Forschungsarbeiten gefordert. Dazu leistet die vorliegende Pilotstudie ihren Beitrag. Die EMDR-Therapie bietet einen methodenübergreifenden Zugang. In dieser Untersuchung wurde der Versuch unternommen, die Belastungen und Auffälligkeiten der Kinder und Jugendlichen mit einem neuen (innovativen) lern- und psychotherapeutischen Therapiekonzept (Integrative Lerntherapie plus EMDR-Therapie) zu behandeln. ...In der ?Fazitfrage? zur Einschätzung der Belastung ihrer Kinder bemerkten die Eltern am Ende des Behandlungszeitraums mit EMDR eine signifikante Verringerung der Belastungen. Bei der Intervention ohne EMDR gab es nur geringfügige Veränderungen, die sogar auf eine leicht stärkere Belastung hinwiesen. Die Daten verdeutlichen, dass die durch die Eltern wahrgenommenen Belastungen ihrer Kinder nur bei zusätzlicher EMDR-Therapie reduziert wurden. Zusammenfassend sprechen die Erfahrungen mit der praktischen Durchführung der EMDR-Behandlungen innerhalb der integrativen Lerntherapie für das vorliegende Behandlungskonzept. Ein positiver Einfluss der EMDR-Therapie auf die Reduzierung von Belastungssymptomen und Verhaltensauffälligkeiten sowie auf bessere schulische Leistungen bei Kindern und Jugendlichen scheint gegeben. Die gewonnenen Erkenntnisse könnten sich im Rahmen eines Gesamtbehandlungsplanes als praxisrelevant für lerntherapeutische Institutionen und für den kreativen Einsatz der EMDR-Methode erweisen. Darüber hinaus ermutigen sie zur weiteren Forschung und Durchführung künftiger Projekte.

The author examines the use of their research in EMDR in the integrative learning for targeted therapy stress reduction in children and adolescents. The EMDR method is considered effective psychotherapy methods, particularly for post traumatic stress disorder in children, adolescents and adults. For the EMDR work with children and young people, further scientific research will be required. This makes the present pilot study their contribution. The EMDR therapy offers a cross-access methods. In this study, an attempt was made to the stresses and abnormalities in children and adolescents with a new (innovative) approach to learning and psychotherapeutic treatment (therapy plus learning Integrative EMDR therapy) to treat. ...In? Conclusion question? to assess the burden of their children, the parents noticed at the end of the period of treatment with EMDR, a significant reduction of stress. During the intervention without EMDR There were only slight changes were even able to load a slightly stronger. The data show that the perceived pressures from parents to their children only when additional EMDR therapy were reduced. To summarize the experiences speak to the practice of EMDR treatment within the integrative learning therapy for the treatment of this concept. A positive effect of EMDR therapy on the reduction of stress symptoms and behavioral problems as well as improved academic performance in children and adolescents seems to be given. The findings could prove to be part of an overall treatment plan as a practical therapeutic relevance to learning institutions and the creative use of the EMDR method. They also encourage further research and implementation of future projects.

Keywords: Adolescents  Children  Integrative Learning Therapy  Stress Reduction  

Accuracy Verified: Yes


187. Karlsson, A. (2002). Eye movement desensitization and reprocessing (EMDR): En presentation och analys av metoden, samt redogörelse för svenska utövares upplevelser [Eye Movement desensitization and processing (EMDR): A presentation and analysis of the method, and explanation of Swedish practitioners' experiences]. Psykologexamensarbete, Stockholms Universersit Psyckologiska Institutionen. .

Language: Swedish

Format: Other

Abstract:
Posttraumatiskt stressyndrom är en komplex och mångdimensionell störning. Lyckligtvis finns det effektiva behandlingsmetoder. 1989 utvecklade Francine Shapiro metoden, sedermera namngiven, Eye Movement Desensitization and Reprocessing (EMDR), för behandling av traumatiska minnen. Det hävdas att mellan 84 – 100% som behandlats med EMDR inte längre uppfyller diagnoskriterierna för PTSD. Uppsatsens huvudsyfte är att göra en grundläggande granskning av EMDR och metodtillämpningen i Sverige. Datainsamling skedde genom litteraturgranskning, enkätundersökning samt intervjuer med EMDR-utbildade kliniker. Resultatet visar att EMDR är effektivare än ingen behandling alls eller icke-validerade behandlingsmetoder, såsom aktivt lyssnande. Det är däremot inte styrkt att EMDR är effektivare än KBT. Vidare antyder komponentstudier att ögonrörelsestimulering, eller alternativ bilateral stimulering, inte är nödvändig för att uppnå behandlingsframgångar. Samtliga intervjuade utövare upplever EMDR som ett värdefullt och verksamt verktyg i behandlingsarbetet. Diskussion förs kring resultaten från effektstudierna och nödvändigheten av fortsatt forskning.

Post-traumatic stress disorder is a complex, multidimensional disorder. Fortunately there are effective treatments. 1989 Developed Francine Shapiro method, later named, eye movement desensitization and Reprocessing (EMDR), for the treatment of traumatic memories. It is alleged that between 84 - 100% treated with EMDR are no longer meet diagnostic criteria for PTSD. The main purpose is to make a fundamental review of the EMDR method and application in Sweden. Using data obtained from literature review, survey and interviews with EMDR-trained clinicians. The results show that EMDR is more effective than no treatment or non-validated therapies, such as active listening. It is however not shown that EMDR is more effective than CBT. Further studies suggest component of eye movement stimulation, or alternative bilateral stimulation, it is not necessary to achieve treatment success. All interviewees experienced EMDR practitioners as a valuable and effective tool in the treatment process. Talk out of the result, from efficacy trials and the need for further research.

Keywords: Component Studies  Impact Studies  Posttraumatic Stress Disorder  PTSD  Swedish Practice  Travel Experiences  

Accuracy Verified: Yes


188. D’Andrea, L. M., D’Andrea, L., & Detweiler, J. (2003, Spring). Eye movement desensitization and reprocessing (EMDR):  A closer look at treatment outcome. Trauma and Loss:  Research and Interventions, 3(1), 9-19.

Language: English

Format: Journal

Abstract:
EMDR therapy, using bilateral audio-tones as the stimulus, was given to 30 women for two to six sessions (the number determined by the individual). Results from the Impact of Event Scale (IES) and the State-Trait Anxiety Inventory (STAI) suggested that treatment was moderately successful for the study sample. Analysis of pre- and post-treatment item responses suggested individuals who benefited from EMDR had significant reductions in intrusion and avoidance behaviors. The need to look beyond sample-mean comparisons and focus on scale-item analysis is discussed. [Author abstract]

Keywords: Adults  Americans  Females  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


189. Davidson, P. R., & Parker, K. C. H. (2001, April). Eye movement desensitization and reprocessing (EMDR):  A meta-analysis. Journal of Consulting & Clinical Psychology, 69(2), 305-316. doi:101037//0022-006x.69.2.305.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR), a controversial treatment suggested for PTSD and other conditions, was evaluated in a meta-analysis of 34 studies that examined EMDR with a variety of populations and measures. Process and outcome measures were examined separately, and EMDR showed an effect on both when compared with no treatment and with therapies not using exposure to anxiety-provoking stimuli and in pre-post EMDR comparisons. However, no significant effect was found when EMDR was compared with other exposure techniques. No incremental effect of eye movements was noted when EMDR was compared with the same procedure without them. R. J. DeRubeis and P. Crits-Christoph noted that EMDR is a potentially effective treatment for noncombat PTSD, but studies that examined such patient groups did not give clear support to this. In sum, EMDR appears to be no more effective than other exposure techniques, and evidence suggests that the eye movements integral to the treatment, and to its name, are unnecessary. [Author Abstract]

Keywords: Behavior Therapy  Exposure Therapy  Meta Analysis  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes


190. Marich, J. (2010, September). Eye movement desensitization and reprocessing in addiction continuing care: A phenomenological study of women in recovery. Psychology of Additive Behaviors, 24(3), 498-507. doi:10.1037/a0018574.

Language: English

Format: Journal

Abstract:
Traditional models of addiction treatment and relapse prevention fail to consider the role that unresolved trauma plays in an addicted woman's recovery experience. Implementing Eye Movement Desensitization and Reprocessing (EMDR) into the treatment process offers a potential solution to this problem. Ten women (alumnae of an extended-care treatment facility) participated in a semistandardized interview to share their experiences with active addiction, treatment, EMDR therapy, and recovery. With the use of A. P. Giorgi's descriptive phenomenological psychological method for analysis, four major thematic areas emerged from the interview data: the existence of safety as an essential crucible of the EMDR experience, the importance of accessing the emotional core as vital to the recovery experience, the role of perspective shift in lifestyle change, and the use of a combination of factors for successful treatment. All 10 women, to some degree, credited EMDR treatment as a crucial component of their addiction continuing-care processes, especially in helping with emotional core access and perspective shift. Implications emerge from the data on how to best implement EMDR into a comprehensive addiction treatment program.

Keywords: Client-Centered Therapy  Client Safety  Phenomenology  Protocols  Therapeutic Alliance  Therapists  Training  

Accuracy Verified: Yes


191. Legg, E., O'Halloran, M. S., & Oyer, L. (2012, October). Eye movement desensitization and reprocessing in conjoint couples therapy: A grounded theory study. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
EMDR is a comprehensive evidence-based treatment, typically offered through individual therapy. Though it has been incorporated into couples therapy, limited research has examined its use within conjoint couples therapy, and none has included interviews with couples and therapists, The purpose of this qualitative grounded theory study was to explore the experience of clients and therapists during conjoint EMDR treatment.
Specific researcg questions included: 1) How do members of a couple describe their experience of conjoint couples therapy involving EMDR? 2) How do therapists describe their experience providing EMDR treatment within couples therapy? 3) What do participants perceive as valuable or meaningful about the conjoint EMDR process? 4) What do they perceive as impeding the process? 5) How does each participant describe the status of the couple prior to and following EMDR, both individually and relationally? An initial theory was developed about the conjoint EMDR process. Interviews were conducted with 21 participants, including both partners of ocuples in treatment and the therapists. interviews were analyzed using Strauss and Corbin's (1998) grounded theroy data analysis. The theory emerging from the data provides perspectives not captured in previous research and may prove useful in decision making about the appropriateness of conjoint EMDR for couples as well as methods of assessment and preparation.

Keywords: Conjoint Couples Therapy  Poster  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

Keywords: Test Anxiety  

Accuracy Verified: Yes


193. Gosselin, P., & Matthews, W. (1995, December). Eye movement desensitization and reprocessing in the treatment of test anxiety:  A study of the effects of expectancy and eye movement. Journal of Behavior Therapy and Experimental Psychiatry, 26(4), 331-337. doi;10.1016/0005-7916(95)00038-0.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a recently invented technique acclaimed as a major breakthrough for a range of anxiety-related symptoms. To determine the importance of the eye movement and expectancy variables, we conducted a one-hour session with 41 undergraduate subjects (11 males and 30 females) with test anxiety. A 2 (eye movement vs no eye movement) x 2 (high expectancy vs low expectancy) analysis of variance was performed on 3 dependent measures: (1) Subjective Units of Disturbance Scale (SUDs); (2) Validity of Cognition Scale (VOC); and (3) the Test Anxiety Inventory (TAI). The data indicate that all subjects, regardless of treatment condition, showed a significant decrease in anxiety on the TAI. Subjects in the eye-movement condition reported feeling less anxious (SUDs) than those in the no-eye-movement condition. We found no significant main effect or interactions for any of the dependent measures for expectancy. [Author Summary]

Keywords: Adults  Americans  College Students  Experimental Stressors  Posttraumatic Stress Disorder  PTSD  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


194. Salkovskis, P. (2002, February). Eye movement desensitization and reprocessing is not better than exposure therapies for anxiety of trauma. Evidence-Based Mental Health, 5(1), 13. doi:10.1136/ebmh.5.1.13.

Language: English

Format: Journal

Abstract:
Comment on: Davidson, P. R., & Parker, K. C. H. (2001, April). Eye movement desensitization and reprocessing (EMDR): A meta-analysis. Journal of Consulting & Clinical Psychology, 69(2), 305-316; with the QUESTION: Is eye movement desensitisation and reprocessing (EMDR) effective for trauma or anxiety? Do the presence of eye movements, therapist training, or disorder influence effectiveness?

Keywords: Practice  Theory  Treatment Effectiveness  

Accuracy Verified: Yes


195. Foley, T. (1996). Eye movement desensitization and reprocessing treatment of communication anxiety: A closer look. Western Michigan University. AAT 9640073.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this study was to replicate the results of previous research with respect to EMD/R (eye movement desensitization and reprocessing) and of this researcher's investigation of EMD/R treatment of public-speaking anxiety (Foley & Spates, 1995). The present study, however, included components to permit more extensive analysis of the elements of treatment that contribute to therapeutic effectiveness. The study investigated the contribution of assessment speeches to treatment effectiveness by using a two factor design in which one factor featured a condition of pre-treatment/post-treatment speeches vs. a condition of post-treatment speeches only. The other factor featured two treatment conditions, permitting consideration of the contribution of the imaginal exposure component of EMD/R to treatment effectiveness. One treatment condition received EMD/R while the other condition received an alternative treatment that differed from EMD/R only in that there were no instructions to visualize the traumatic event during the eye movement component. Subjects were 32 college students who suffered from communication anxiety and had experienced a specific traumatic event related to a communication situation. The research was carried out in a two factor repeated measures design consisting of four treatment groups: EMD/R-speech condition, EMD/R-no speech condition, Alternative treatment-speech condition, Alternative treatment-no speech condition. Results showed a significant decrease from pre to post-treatment for all groups on several measures. There were no significant differences between groups; however, the results on one measure (CAI) suggests that if power were increased, the groups would differ significantly with respect to the pre-treatment behavioral assessment factor. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(7-B), Jan 1997, pp. 4705.

Keywords: Assessment Speeches  College Students With Communication Anxiety  Effectiveness Evaluation  Empirical Study  Oral Communication  Speech Anxiety  Treatment  Treatment Effectiveness  

Accuracy Verified: Yes


196. Balcom, D., Call, E., & Pearlman, D. (2000, August). Eye movement desensitization and reprocessing treatment of internalized shame. Traumatology, 6(2), 69-83. doi:10.1177/153476560000600202 .

Language: English

Format: Journal

Abstract:
13 subjects were administered the Internalized Shame Scale (ISS) before and after EMDR therapy to determine whether Eye Movement Desensitization and Reprocessing (EMDR) significantly reduced internalized shame and increased self-esteem as measured by the ISS. While the study did not control for alternative treatment effects, age, diagnosis, SES, or ethnicity of subjects, statistical analysis indicated a significant decrease in internalized shame subscale scores and a significant increase in self-esteem subtest scores following treatment with EMDR. These results support the hypothesis that EMDR is an effective treatment for internalized shame, even when shame is not the identified target of treatment. These preliminary findings suggest that future research is warranted to explore the efficacy of EMDR in the treatment of internalized shame. [Author Abstract]

Keywords: Shame  Self Esteem  Treatment Effectiveness  Adults  European Americans  

Accuracy Verified: Yes


197. Rafferty, P. (2005). Eye movement desensitization and reprocessing: An analysis of a controversial evidence based treatment. The New School for Social Research, New York, NY. The New School Psychology Bulletin, 3(2), 83-105.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye movement desensitization and reprocessing (EMDR) is an inventive, popular and highly controversial treatment. Within the scientific and professional community, there is divergent support for each side of this debate. The heart of this controversy critically examines the question of whether EMDR is as efficacious as other well-established interventions for the treatment of PTSD. The efficacy of EMDR could be due to its employment of a variety of clinically sound therapeutic procedures, such as those similar or the same as Prolonged Exposure Therapy, and not because of its centerpiece eye-movements. Indeed, some researchers have argued that the eye-movements are completely unnecessary and that EMDR is best understood as an exposure technique (Renfrey & Spates, 1994; Davidson & Parker, 2001; Lohr, Lilienfeld, Tolin & Herbert, 1999). EMDR may be an effective treatment for non-combat related PTSD but is not effective for PTSD etiologically related to combat induced trauma. Thus there are three questions that serve as the focus of this evaluation: is EMDR qualitatively different than Prolonged Exposure Therapy; are the eye-movements necessary for treatment efficacy; and is EMDR effective for combat-related PTSD?

Keywords: Efficacy  

Accuracy Verified: Yes


198. Edmond, T. E. (1998, August). Eye movement desensitization and reprocessing: Evaluating its effectiveness in reducing trauma symptoms in adult female survivors of childhood sexual abuse. University of Texas at Austin. AAT 9824929.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of the study was to evaluate, through the use of a randomized experimental design, the effectiveness of EMDR in reducing trauma symptoms in adult female survivors of childhood sexual abuse. No EMDR research to date has been exclusively comprised of adult survivors of childhood sexual abuse, a historically difficult treatment population. Additionally, while numerous clinical accounts of treatment with sexual abuse survivors have been published, controlled treatment research has rarely been done. Of the studies found that examine treatment efficacy exclusively with this population, none involved the use of random assignment.A sample of 60 adult female sexual abuse survivors were selected and randomly assigned to one of three groups: (1) individual EMDR treatment; (2) individual eclectic treatment; or (3) delayed treatment control group. The participating survivors' trauma symptoms were measured in pretests and posttests on standardized as well as subjective instruments that measured anxiety, posttraumatic stress, depression, negative beliefs about the sexual abuse, emotional distress and desired positive self beliefs. The survivors in the study assigned to the experimental or comparison treatment groups received six 90 minute individual sessions of either EMDR or eclectic therapy. The delayed treatment control group subjects were pretested, asked to delay treatment for six weeks, and after being post tested were assigned a therapist with which to work. Data analysis consisted primarily of multivariate and univariate analysis of variance. The posttest results indicated that EMDR was very effective in reducing the targeted trauma symptoms compared to the control group. Eclectic therapy at posttest was also found to be very effective, resulting in a lack of statistically significant differences between the experimental and comparison treatments. However, analysis conducted at the three month follow-up revealed that EMDR was significantly more effective than eclectic therapy at maintaining therapeutic gains. The results of this study suggest that while both EMDR and eclectic therapy, when applied as brief psychotherapy models of treatment for survivors, can produce significant alleviation of trauma symptoms, EMDR may provide more enduring resolution. These findings have important implications for both survivors and the service providers available to them. [Author Abstract] Dissertation Abstracts International Section A: Humanities and Social Sciences. 59(2-A), Aug 1998, pp. 0617.

Keywords: Adults  Child Abuse  Empirical Study  Females  Posttraumatic Stress Disorder  PTSD  Rape  Survivors  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


199. Foster, S., & Lendl, J. (2007). Eye movement desensitization and reprocessing: Four case studies of a new tool for executive coaching and restoring employee performance after setbacks. In R. R. Kilburg & R. C. Diedrich (Eds.), The Wisdom of Coaching: Essential Papers in Consulting Psychology for a World of Change (1st ed.) (pp. 407-412). Washington, DC.

Language: English

Format: Book Section

Abstract:
No abstract available.

Keywords: Coaches  Consultation  Executive Coaching  Job Performance  Professional Personnel  Professional Work Place Performance  

Accuracy Verified: Yes


200. Lohr, J. M., Lilienfeld, S. O., Tolin D. F., & Herbert J. D. (1999, January-April). Eye movement desensitization and reprocessing: An analysis of specific versus nonspecific treatment factors. Journal of Anxiety Disorders, 13(1-2), 185-207. doi:10.1016/S0887-6185(98)00047-4.

Language: English

Format: Journal

Abstract:
Incremental validity and incremental efficacy have become important issues in the evaluation of psychological assessment and intervention procedures. Incremental validity in assessment is that shown by novel measures over and above established ones. Incremental efficacy is that shown by novel treatments over and above nonspecific and established treatment effects. In this paper, we critically examine the question of whether Eye Movement Desensitization and Reprocessing (EMDR) possesses efficacy above and beyond nonspecific treatment effects and components that are shared with well-established interventions. A review of recently published efficacy studies reveals that (a) the effects of EMDR are largely limited to verbal report indices, (b) eye movements and other movements appear to be unnecessary, and (c) reported effects are consistent with nonspecific treatment features. Examination of individual studies shows that control procedures for nonspecific features have been minimal. We analyze EMDR for nonspecific treatment features and suggest experimental controls to examine the incremental efficacy of EMDR. [Author Abstract]

Keywords: Literature Review  Methodology  Treatment Effectiveness  

Accuracy Verified: Yes


201. Marquis, P. A. (1994). Eye movement desensitization and reprocessing: Are the eye movements an effective component?. Pacific Graduate School of Psychology, Carpinteria, CA. AAT 9528198.

Language: English

Format: Dissertation/Thesis

Abstract:
This study explored the effects of eye movements, as compared with eye stabilization and an attention control in reducing anxiety related to public speaking in a non-clinical sample. Nineteen subjects with public speaking anxiety identified their worst memory of speaking in public and either moved their eyes in cadence with the experimenter's fingers, fixated their eyes on the experimenter's fingers, or simply talked about negative experiences related to public speaking. Reduction in anxiety was measured by the Subjective Units of Disturbance scale (Wolpe, 1982) or the Personal Report of Confidence as a Speaker (Paul, 1966). Cognitive change was measured by the Validity of Cognition scale (Shapiro, 1989). Global symptoms were measured by the Symptom Checklist-90-Revised (SCL-90-R, Derogatis, 1983). Analysis of the data indicated that there was no significant difference between groups on any of the measures. This study did not explore the efficacy of Eye Movement Desensitization and Reprocessing (EMDR), but rather the effects of eye movements alone. According to the results of the this study, eye movements are not sufficient to create the kind of changes seen in the EMDR literature. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(4-B), Oct 1995, pp. 2335.

Keywords: Behavioral Psychology  Clinical Psychology  Empirical Study  Psychophysiology  Public Speaking  Speech Anxiety  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Chronology  Research  Science  

Accuracy Verified: Yes


203. Erwin, T. M. (2001). Eye movement desensitization and reprocessing: A critical analysis. Columbus, OH: Ohio University.

Language: English

Format: Dissertation/Thesis

Abstract:
Since Shapiro's introduction of Eye Movement Desensitization and Reprocessing (EMDR) in 1989, it has been a highly controversial therapeutic technique. Critical reviews of Shapiro's initial study have highlighted many methodological shortcomings in her work. And early empirical research that followed Shapiro's original study has been criticized for using small samples, using limited or nonrepresentative samples, or issues of treatment integrity. Research on EMDR has dramatically increased in both quantity and methodological rigor since the mid-1990s. Moreover, since its first appearance in the literature, EMDR has undergone a number of modifications. This article reviews key research conducted on EMDR since 1995 (using university students and war veterans), highlights issues of concern raised by researchers, and discusses the implications of these findings for the clinical counselor.

Keywords: Counseling Techniques  Counseling Theories  Criticism  Evaluation Methods  Eye Movements  Research Problems  Therapy  

Accuracy Verified: Yes


204. Foster, S., & Lendl, J. (1995, September). Eye movement desensitization and reprocessing: Initial application for enhancing performance in athletes. Presentation at the annual meeting of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA..

Language: English

Format: Conference

Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam veterans experienced a significant decrease in distressing symptoms--flashbacks, ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional outcomes were the subjects cognitive restructuring of what had happened to them. Subsequent research studies reported therapeutic outcomes with a variety of disorders- phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder (Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first EMDR-trained clinician to apply EMDR in performance enhancement work, beginning with sales professionals. The authors have now used EMDR with nearly sixty Individual athletes ranking from amateur to Olympic hopeful, across several different sports. Their single case findings suggest that EMDR amplifies and accelerates the benefits of standard mental training. Their data indicates EMDR speeds psychological recovery from sport injury and coming back from a loss, adds in working through difficulties with past coaches, reduces fears about competition, and improves overall athletic performance.

Keywords: Athletes  Performance Enhancement  

Accuracy Verified: Yes


205. Foster, S., & Lendl, J. (1996, Summer). Eye movement desensitization and reprocessing:  Four case studies of a new tool for executive coaching and restoring employee performance after setbacks. Consulting Psychology Journal:  Practice & Research, 48(3), 155-161.

Language: English

Format: Journal

Abstract:
The effects of eye movement desensitization and reprocessing (EMDR) integrated into executive coaching are reported in 4 case studies illustrating varied job titles and industries. Participants received 1–10 hr of coaching in which EMDR was used to desensitize an upsetting event that had impaired their performance at work. Outcomes indicated that EMDR desensitized the disturbing incident and that participants shifted their negative view to a more positive one. Work performance was restored or enhanced. In the 4th case EMDR appeared to decrease anxiety about job interviewing and the participant reported a satisfactory result. Findings suggest that EMDR is a promising adjunct to coaching for workplace performance enhancement.

Keywords: Coaches  Empirical Study  Executive Coaching  Job Performance  Professional Consultation  Professional Personnel  Work Place Performance  

Accuracy Verified: Yes


206. Feener, R. S. (2004). Eye movement desensitization and reprocessing:  A new method in the treatment of performance anxiety for singers. Florida State University, Tallahassee, FL. AAT 3156073.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this thesis is to provide information and exposure for EMDR therapy as it relates to performance anxiety in singers and other musicians. Since EMDR therapy is a relatively new approach to relieving issues of anxiety, this thesis provides a description of its discovery, background, development, and proper procedures and protocols. In 1987 Francine Shapiro discovered and began to develop a new method in the treatment of trauma using guided eye movements. These guided eye movements were theorized to create bilateral brain stimulation, which through the simultaneous component of recalling ones trauma both physically and emotionally, an individual’s trauma can be processed toward a state of mental health. This is similar to what is theorized to happen during REM sleep. Francine Shapiro states that every human being possesses an innate information processing system that guides each individual toward a balanced state of mental health, similar to the way our bodies heal physically. Once an individual experiences a trauma, the events become locked into the nervous system into its own separate neuro-network, unable to be accessed by the individual for positive processing. Our ability to process the traumatic experience is hindered and the trauma relives itself through nightmares, flashbacks, disturbing or intrusive thoughts, anxiety, or any number of life hindering events. The theory of EMDR is that through guided eye movements, or other sources of bilateral brain stimulation such as hand taps, alternating lights or sounds, or hand buzzers, the traumatic information held in its separate neuro-network is able to bridge itself to more positive information stored in the individual’s memory. EMDR not only helps to desensitize our traumatic memories but also helps to reprocess our thoughts and feelings regarding the trauma with positive statements and beliefs such as “I am in control” and “I deserve this”. One of the most impressive aspects of the therapy is the rate in which patients improve. The success rate of EMDR is between 84 and 90 percent effective in one to three sessions or less, depending on the severity of the trauma. EMDR began treating patients suffering primarily from PTSD (Post-Traumatic Stress Syndrome) but has expanded over the years to include a wide range of pathologies, traumas, and anxiety disorders. Francine Shapiro is continuously striving to enhance the protocols and procedures of EMDR in order to better understand and improve its effectiveness. I discovered EMDR only a ew years ago and realized that it was being used by therapists across the country in the treatment of performance anxiety, but very little had been written on this topic. Therefore, my goal is to expose both singers and instrumentalists to this new method as a new option in the treatment of performance anxiety.

Keywords: Bilateral Brain Stimulation  Brain Stimulation  Cognitive Processes  Emotional Trauma  Eye Movements  Information Processing System  Mental Health  Musicians  Performance Anxiety  Posttraumatic Stress Disorder  PTSD  Singers  Stress  Syndromes  Trauma  

Accuracy Verified: Yes


207. Foster, S. (1995, September). Eye movement desensitization reprocessing: Initial application for enhancing performance in athletes. In (Doug Asher, Presider) Non-traditional Interventions for Performance Enhancement. Colloquium presented at the 10th Annual Conference of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA.

Language: English

Format: Conference

Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam veterans experienced a significant decrease in distressing symptoms--flashbacks, ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional outcomes were the subjects cognitive restructuring of what had happened to them. Subsequent research studies reported therapeutic outcomes with a variety ofdisorders- phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder (Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first EMDR-trained clinician to apply EMDR in performance enhancement work, beginning with sales professionals. The authors have now used EMDR with nearly sixty Individual athletes ranking from amateur to Olympic hopeful, across several different sports. Their single case findings suggest that EMDR amplifies and accelerates the benefits of standard mental training. Their data indicates EMDR speeds psychological recovery from sport injury and coming back from a loss, adds in working through difficulties with past coaches, reduces fears about competition, and improves overall athletic performance.

Keywords: Athletes  Colloquium  Performance Enhancement  

Accuracy Verified: Yes


208. Kapoula, Z., Misset, P., Poncet, S., Bruneau, S., & Bucci, M. P. (2007, June). Eye movement patterns during the Rorschach test: Implications for EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
It is hypothesized that eye movements used in EMDR practice influence both memory and emotional state, some laboratory studies provide evidence for such influence (Christman et al, 2003, Neurobiology; Barrowcliff et al., J. Forensic Psychiatry and Psychology, 2004). From a neurophysiological point of view, it is also interesting to examine to what extent some eye movement parameters may be modulated by memory and emotions. For instance, it is well established that memory driven saccades in simplified laboratory tests, present different characteristics (longer preparation time, lower accuracy, lower velocity) than visually guided movement. During EMDR the eye movements (mostly pursuit) are elicited externally by the therapist, yet at the same time the patient is in touch mentally with the traumatic image and related negative emotions. The physiology of such movements might be different and this could be explored with specific studies. Another important issue is to what extent movements of the eyes are helpful in coding and retrieving visual images. Accordingly to scanpath theory, eye movements are cognitively driven by sensory and motor representation; repetitive eye movements to the same area of an image are attributed to checking if the image corresponds to what the observer imagines (Noton & Stack, 1971; Brandt & Stark, 1997). Future laboratory research could bring together such theories and EMDR psychotherapy, e.g., by examining spontaneous eye movements related to negative image.
In this conference, we will present preliminary data from a laboratory study on eye movement patterns during the Roschach test. Eight healthy students conducted the experiment. Seated in front of a computer screen, subjects were equipped with a binocular video eye tracker (Chronos) sampling eye position images from each eye every 4 msec. Instantaneous eye position data were stored on a computer and analyzed afterwards with laboratory software. Each are of the Roschach test was presented for 30 sec., after which, the experimenter (a psychologist) recorded the response given by the subject.
Analysis of eye movement patterns were examined in relation to subjective verbal reports.
Results: The first question asked was to what extent the eye movement pattern reflected the imaged projected by the subject or by the visual properties of the Rorschach image itself. To gain some insight, we concentrated on the cards for which our subjected gave no standard responses, thus very different from one subject to the other (e.g., card IX). Eye movement exploration (the surface of the image explored, its patiaol composition e.g. the resprctive proportion of horizontal versus vertical movements) was correlated with the verbal report and the specific mental imagery (larger surface, multiple focusing points when several personages or objects were imaged). This provides evident for top-down influence; the eyes are exploring the projective interpretative image; repetitive movements back and forth to same points which help in turn consolidate this mental imagery.
Psychological analysis of eye movements (saccades and fixation) was also made. Saccades are found to be as fast as when looking reflexively to single visual targets; during fixations, however, between saccades, the eyes were more instable, particularly the visual uses were crossing at different depths from one fixation to another. Further ongoing analysis will correlate fixation duration and depth instability to spatial and emotional content of the subjective report.

Keywords: Eye Movements  Mechanism of Action  Neurobiology  Poster  Rorschach Test  

Accuracy Verified: Yes


209. Dees, L. (2006, November 2). Eye-movement therapists tackle post-traumatic stress. Portland, OR:  The Forecaster.

Language: English

Format: Newspaper

Abstract: Eye Movement Desensitization and Reprocessing (EMDR) is a form of psychotherapy used to relieve the symptoms of post-traumatic stress disorder. EMDR was developed in 1987 by American psychologist Dr. Francine Shapiro. Shapiro studied the impact of EMDR on reducing the symptoms of post-traumatic stress syndrome in Vietnam combat veterans. EMDR has since been expanded to include applications for grief, phobias, anxiety, depression, abuse, performance anxiety and addictions.

Keywords: General  Molly Stanley  Overview  Portland  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


210. Lohr, J., Tolin, D., & Lilienfeld, S. (2000, Summer). Final comments on Lipke's critique of Lohr, Tolin, and Lilienfeld (1998). the Behavior Therapist, 23(7), 145-147.

Language: English

Format: Newsletter

Abstract:
Responds to H. Lipke's critique of J. Lohr, D. Tolin, and S. Lilienfeld's study which reviews 17 studies on the effectiveness of eye movement desensitization and reprocessing (EMDR) and the conceptual analysis of its mechanisms of action. The authors address a number of issues from Lipke's critique, including the assertion that EMDR is more efficacious or effective than extant behavioral treatments. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Anxiety Disorders  Behavior Therapy  Emotional Trauma  Memory  Posttraumatic Stress Disorder  PTSD  Traumatic Memories  

Accuracy Verified: Yes


211. Macklin, M. L., Metzger, L. J., Lasko, N. B., Berry, N. J., Orr, S.P., & Pitman, R. K. (2000, January-February). Five-year follow-up study of eye movement desensitization and reprocessing therapy for combat-related posttraumatic stress disorder. Comprehensive Psychiatry, 41(1), 24-27. doi:10.1016/S0010-440X(00)90127-5.

Language: English

Format: Journal

Abstract:
This study reports the results of a 5-year follow-up evaluation of 13 Vietnam combat veterans with chronic PTSD who participated in a study of eye movement desensitization and reprocessing (EMDR) therapy previously reported in this journal. Pretreatment and follow-up psychometric outcome measures were compared with those of a demographically matched control group of 14 combat veterans with chronic PTSD who did not receive EMDR. Analysis of variance showed that the modest to moderate therapeutic benefits that were manifest immediately following EMDR were lost at the 5-year follow-up evaluation, and there was an overall worsening of PTSD symptomatology over the 5-year period in both EMDR-treated and nontreated control subjects. [Author Abstract]

Keywords: Adults  Americans  Empirical Study  Follow-up Study  Males  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  Treatment Outcome/Clinical Trial  Veterans  Vietnam War  

Accuracy Verified: Yes


212. van der Kolk, B. A., Spinazolla, J., & Hopper, J. (2000, November). Fluoxetine vs. prozac in PTSD: Preliminary analysis of psychological and psychophysiological changes following effective treatment. In B. A. van der Kolk (Chair), Current Research on EMDR. Symposium conducted at the annual meeting of the International Society for the Study of Traumatic Stress, San Antonio, TX.

Language: English

Format: Conference

Keywords: Fluxotine  Posttraumatic Stress Disorder  Prozac  PTSD  Research  Symposium  

Accuracy Verified: Yes


213. Abbott, G. (2005, September). Four methods of target identification and ordering for EMDR. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
This workshop will present an important review of Phase One of EMDR treatment as it fits within the Adaptive Information Processing Model. The presenter will describe and analyze four strategies for identifying and ordering targets for EMDR rreatment. Strategies to be covered are I ) Francine Shapiro's standard method; 2) A time line method, 3) A Genogram method proposed by Maureen Kitchur in her Strategic Developmental Model and 4) A hypnotic method inspired by Milton Erickson's February Man cases. Analysis of the unique strengths and limitations of each approach will be made. Clinical choices will be outlined with respect to the use of each strategy in light of characteristics of the client, the clinician, and the clinical setting itself. Case examples will be presented. Handouts wlth guidelines for each method will be distributed. Participants will be invited to engage in imaginal exercises to further the exploration of these strategies.

Keywords: February Man  Genogram  Maureen Kitchur  Milton Erickson  Targeting  Timeline  

Accuracy Verified: Yes


214. Sime, W. (1999). From critic to consumer: Evolving personal conceptions of EMDR applications in sport psychology. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.

Language: English

Format: Conference

Abstract:
Initial responses of this presenter to EMDRIA years ago were not favorable. Now there is cautious optimism that the procedure is safe, valid, and effective. While multichannel EEG wave forms do not reveal a significant change in brain state before and after a bout of training, there may be more quantifiable measures with newer brain mapping procedures. Successful cases have been seen ranging from severely injured athletes fearful of return to competition to an obsessive/compulsive disorder involving exercise as the repetitive, problematic behavior. Ironically, the procedure itself is so routine that it probably is used unknowingly by some elite athletes who have developed preperformance routines that involve repetitive left/right motions or eye movement. Regardless of the function, process, and mechanism of action, it would appear that EMDR is a promising technique that can be applied effectively with athletes who have injury and/or performance breakdown

Keywords: Athletes  Performance Breakdown  Sports Psychology  Symposium  

Accuracy Verified: Yes


215. Adler-Tapia, R. (2006, September). From research to practice: What the research has taught us about training therapists to use EMDR with young children. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Our initial research study explored the therapist's ability to demonstrate fidelity to the EMDR protocol with young children. While data collection focused on documenting fidelity to the EMDR protocol, ancillary data emerged that identified skills and training that therapists needed in order to successfully implement the full EMDR protocol in the treatment of children. The preliminary content analysis of the data from the research group identified six major themes that impact treating children with the full EMDR protocol that include therapist issues, client issues, treatment issues, parent/home environment issues, clinical environment issues and therapist training issues. This presentation will review the findings from the research with focus on teaching specific skills for therapists to improve their practice of using EMDR with young children. Therapists need to understand the implication of attachment and attunement in the therapeutic relationship, the impact of parents and the home environment on the treatment, and learn skills to teach children emotional literacy in order to improve the efficacy of EMDR in the treatment of young children. This presentation will summarize the advanced skills that therapists working with young children will need after completing basic training in EMDR. With consultation focused on EMDR and additional training in using EMDR with young children, the research study has demonstrated that therapists trained in child development and play therapy can successfully implement the full eight phases of EMDR with children.

Keywords: Children  

Accuracy Verified: Yes


216. Foster, S. (2009, June). From trauma to triumph: Applying the peak performance protocol in the treatment of those recovering from trauma. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Peak Performance  Positive Psychology  Trauma  

Accuracy Verified: Yes


217. Spindler, C. (2007, June). Gentle EMDR: A precursor to standard EMDR protocol. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
In the last few years several EMDR clinicians have introduced new approaches which have expanded on EMDR. Two examples are Ricky Greenwald's techniques for 'running a movie' and David Grand's performance enhancement techniques using visualization. GENTLE EMDR is a similar expansion of standard protocol. GENTLE EMDR follows basic EMDR protocol with additional emphasis on the emotions and body sensations connected to the target. Visualilzation is then tuilized to release these emotions and sensations one at a time until the target shows a SUDS of 0. At this point, positive cognitions are installed. The advantage of visualization is that it buffers the emotions with associated with the target, thus reducing abreactions, dissociations and resistance to further EMDR treatment. One advantage of Gentle EMDR is that a client does not need to face the target directly because emotions and body sensations are broken down into management segments. Thus, Gentle EMDR works well with clients who are too fragile to tolerate the standard protocol. One example of the use of visualization would be if the target is "being physically attacked." Clients are first asked what they feel when they think of the attack and where they feel it in their body. Next, clients are asked to visualize a river passing them, while they sit in a protective (safe) place. Finally, clients are asked how the water would appear if it was the identified emotion (such as a particular color) and to let the water flow past until the appearance of the emotional reaction dissipates. Once this is done, clients are asked to name the next emotion that eminates when thinking about the physical attack, allowing the water to 'clear' that emotion as well. When the emotions are approached in this way, the target typically becomes neutralized. The entire process is done using bilateral stimulation. Gentile EMDR is easily taught and has been well received by clinicians at Univerities and Clinical Practices in the United States.

Keywords: Poster  Technique  

Accuracy Verified: Yes


218. Pagani, M., Nardo, D., Höberg, G., & Larson, S. (2009, November). Gray matter changes in limbic cortex in PTSD are associated with trauma load and EMDR outcome. Presentation at the 25th annual meeting of the International Society for Traumatic Stress Studies, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Psychophysiological Research
There is converging evidence of gray matter (GM) structural alterations in different limbic structures in Post-Traumatic Stress Disorder (PTSD) patients. The aim of this study was to evaluate GM reduction in PTSD in relation to trauma load, and to assess the volumetric differences between responders (R) and non-responders (NR) to EMDR therapy. Magnetic Resonance Imaging scans of 21 subjects exposed to occupational trauma, who developed PTSD (S), and of 22 who did not (NS), were compared by means of an optimized Voxel-Based Morphometry (VBM) analysis as implemented in SPM. Within S, further comparisons were made between 10 R and 5 NR. A regression analysis between GM density and the Traumatic Antecedents Questionnaire (TAQ) was also performed on all 43 subjects. Results showed a highly significant GM volume reduction in S as compared to NS, bilaterally in posterior cingulate and in the left hemisphere in precuneus, lingual and parahippocampal gyri. Moreover, NR showed a highly significant GM volume reduction as compared to R in bilateral posterior cingulate, as well as insula, parahippocampal gyrus and amygdala in the right hemisphere. Regression analysis showed that GM volume reductions positively correlated with trauma load in bilateral anterior and posterior cingulate and right parahippocampal gyrus. In conclusion, GM volume reductions in posterior cingulate and parahippocampal cortex were associated with PTSD diagnosis, trauma load, and EMDR treatment outcome.

Keywords: Limbic Cortex  Posttraumatic Stress Disorder  PTSD  Outcome  Trauma Load  

Accuracy Verified: Yes


219. Nardo, D., Hogberg, G., Looi, J. C., Larsson, S., Hallstrom, T., & Pagani, M. (2010, May). Gray matter density in limbic and paralimbic cortices is associated with trauma load and EMDR outcome in PTSD patients. Journal of Psychiatric Research, 44(7), 477-485. doi:10.1016/j.jpsychires.2009.10.014.

Language: English

Format: Journal

Abstract:
There is converging evidence of gray matter (GM) structural alterations in different limbic structures in Post-Traumatic Stress Disorder (PTSD) patients. The aim of this study was to evaluate GM density in PTSD in relation to trauma load, and to assess the GM differences between responders (R) and non-responders (NR) to EMDR therapy. Magnetic Resonance Imaging (MRI) scans of 21 subjects exposed to occupational trauma, who developed PTSD (S), and of 22 who did not (NS), were compared by means of an optimized Voxel-Based Morphometry (VBM) analysis as implemented in SPM. Within S, further comparisons were made between 10 R and 5 NR. A regression analysis between GM density and the Traumatic Antecedents Questionnaire (TAQ) was also performed on all 43 subjects. Results showed a significantly lower GM density in S as compared to NS in the left posterior cingulate and the left posterior parahippocampal gyrus. Moreover, NR showed a significantly lower GM density as compared to R in bilateral posterior cingulate, as well as anterior insula, anterior parahippocampal gyrus and amygdala in the right hemisphere. Regression analysis showed that GM density negatively correlated with trauma load in bilateral posterior cingulate, left anterior insula, and right anterior parahippocampal gyrus. In conclusion, a GM lower density in limbic and paralimbic cortices were found to be associated with PTSD diagnosis, trauma load, and EMDR treatment outcome, suggesting a view of PTSD characterized by memory and dissociative disturbances.[Pubmed]

Keywords: Limbic Cortex  Posterior Cingulate  Posttraumatic Stress  PTSD  

Accuracy Verified: Yes


220. Pagani, M. (2010, June). Gray matter density is associated with EMDR outcome in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
There is converging evidence of gray matter (GM) structural alterations in different limbic structures in Post-Traumatic Stress Disorder patients. Eye Movement Desensitization Reprocessing (EMDR) is currently used to treat PTSD but its neurobiological implications are still unknown. The aim of this study was to evaluate GM density in PTSD relation to trauma load, and to assess the GM differences between responders (R) and non-responders (NR) to EMDR therapy. Structured clinical interviews for DSM-IV Axis I Disorders were carried out before and after EMDR treatment. Those who no longer fulfilled the DSM-IV criteria for PTSD were classified as R and those who still met the diagnostic criteria of PTSD after treatment were classified as NR. Two scales 0f self-related Trauma Antecedent Questionnaire (‘trauma and neglect’ TAQ-, and ‘resilience factors’ TAQ+), were administered to assess lifelong trauma load and resilience. Magnetic Resonance Imaging (MRI) scans 10 R and of 5 NR were compared before therapy by means of an optimized Voxel-Based Morphometry (VBM) analysis as implemented in SPM. For group analysis, a threshold of p<0.05 corrected for multiple comparisons at cluster level and an uncorrected threshold of p <0.001 at voxel-level were used. NR subjects showed no significant differences nor in TAQ- scores neither in TAQ+ as compared to R(t=0.140, p+0.891). The contract R>NR exhibited a significant GM lower density in NR as compared to R in three different cluster: the first bilaterally located over posterior cingulate (Brodmann Areas, Bas 23 and 31); the second centered over the left precentral (BA 4), middle and medial frontal gyri (BA 6); the third including anterior insula (BA 13), and the complex anterior parahippocampal gyrus/amygdala, over the right hemisphere. To our knowledge, this is the first study investigating GM alterations with a VBM approach in a sample of PTSD patients respond and non responding to EMDR therapy. Posterior cingulate, parahippocampal and insular lower GM concentrations have been found to relate to responsiveness to EMDR therapy suggesting a high vulnerability of these structures to the effects of stress and trauma. These regions are well known to be implicated in processes such as: integration, encoding and retrieval of autobiographical and episodic memories; emotional processing, interoceptive awareness and sefl-referential conscious experience. Thus, our study supports lower GM densities in limbic and paralimbic cortices as a potential structural basis for memory and dissociative dysfunction in PTSD. Using such methodological approach can contribute to better understand the neurostructural basis for traumatic responses and their treatment. The goals for the audience are: 1. To understand the methodological research principles; 2. To be updated on neurobiological research in EMDR; 3. to be informed on the neural basis of EMDR.

Keywords: Gray Matter  Posttraumatic Stress Disorder  PTSD  Research  Symposium  

Accuracy Verified: Yes


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

Language: French

Format: Journal

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

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

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

Accuracy Verified: Yes


222. Connor, P. K. (2005). Guideline-based programs in the treatment of complex PTSD. Deakin University, Victoria, Australia.

Language: English

Format: Dissertation/Thesis

Abstract:
The term “post-traumatic stress disorder” (PTSD) is a relatively new diagnostic label, being formally recognized in 1980 in the Diagnostic Statistical Manual for Psychiatric Illness – Third Edition (DSM-III) of the American Psychiatric Association (APA, 1980). Complex Post-Traumatic Stress Disorder (CP) is a more recently discussed, and newly-classified, phenomenon, initially discussed in the early 1990s (Herman, 1992a). Thus, as research into effective treatments for CP is sparse, the treatment of CP is the topic of this study, in which a guideline-based treatment program developed by the researcher for the treatment of CP is implemented and evaluated. Ten individuals participated in this study, undertaking individualized, guideline-based treatment programs spanning a period of six months. In providing background information relevant to this study, an explanation is provided regarding the nature of CP, and the reasons for its consideration as a separate phenomenon to PTSD. The adequacy of the PTSD formulation in enabling effective assessment and treatment of CP is also explored, with endorsement of previous researchers’ conclusions that the CP construct is more useful than the PTSD construct for assessing and treating survivors of long-term and multiple forms of abuse. The PTSD classification is restrictive, and not necessarily appropriate for certain forms of trauma (such as prolonged trauma, or multiple forms of trauma), as such trauma experiences may lead to specific effects that lay outside those formerly associated with PTSD. Such effects include alterations in affect regulation, consciousness, self-perception, interpersonal relationships, and in systems of meaning. Following discussion regarding the PTSD/CP classification, an examination of treatment methods currently used in the treatment of PTSD, and a review of treatment outcome studies, takes place. The adequacy of primary treatment methods in treating CP symptoms is then examined, with the conclusion that a range of treatment methods could potentially be useful in the treatment of CP symptoms. Individuals with a diagnosis of CP may benefit from the adoption of an eclectic approach, drawing on different treatment options for different symptoms, and constantly evaluating client progress and re-evaluating interventions. This review of treatment approaches is followed by details of an initial study undertaken to obtain feedback from individuals who had suffered long-term/multiple trauma and who had received treatment. Participants in this initial study were asked open-ended questions regarding the treatment approach they had experienced, the most useful aspect of the treatment, the least useful aspect, and other strategies/treatment approaches that may have been useful – but which were not used. The feedback obtained from these individuals was used to inform the development of treatment guidelines for use in the main study, as were recommendations made by Chu (1998). The predominant focus of the treatment guidelines was “ego strengthening”, a term coined by Chu (1998) to describe the “initial (sometimes lengthy) period of developing fundamental skills in maintaining supportive relationships, developing self-care strategies, coping with symptomatology, improving functioning, and establishing a positive self identity” (p.75). Using a case study approach, data are then presented relating to each of the ten individuals involved in the treatment program: details of his/her trauma experience(s)and the impact of the trauma (as perceived by each individual); details of each individual’s treatment program (as planned, and as implemented); post-treatment evaluation of the positive and negative aspects of the treatment program (from the therapist’s perspective); and details of the symptoms reported by the individual post-treatment, via psychometric assessment and also during interview. Analysis and discussion of the data relating to the ten participants in the study are the focal point of this study. The evaluation of the effectiveness of each individual’s treatment has been based predominantly on qualitative data, obtained from an analysis of language (discourse analysis) used by participants to describe their symptoms pre- and post-treatment. Both blatant and subtle changes in the language used by participants to describe themselves, their behaviour, and their relationships pre- and post-treatment have provided an insight into the possible changes that occurred as a result of the treatment program. The language used by participants has been a rich source of data, one that has enabled the researcher to obtain information that could not be obtained using psychometric assessment methods. Most of the participants in this study portrayed notable changes in many of the CP symptoms, including being more stable and having improved capacity to explore their early abuse. Although no direct cause-effect relationship between the participants’ treatment program and the improvements described can be established from this study, the participants’ perception that the program assisted them with their symptoms, and reported many aspects of “ego strengthening”, is of major importance. Such self-perception of strength and empowerment is important if an individual is going to be able to deal with past trauma experiences. In fact, abreactive work may have a greater chance of succeeding if those who have experienced long-term or multiple trauma are feeling more empowered, and more stable, as were the participants in this study (post-intervention). In concluding this study, recommendations have been made in regard to the use of guideline-based treatment programs in the responsible treatment of CP. Strengths and limitations of this study have also been highlighted, and recommendations have been made regarding possibilities for future research related to CP treatment. On the whole, this study has supported strongly other research that highlights the importance of focusing on “ego strengthening” in assisting those who have suffered long-term/multiple trauma experiences. Thus, a guideline-based program focusing on assisting sufferers of long-term trauma with some, or all, of the symptoms of CP, is recommended as an important first stage of any treatment of individuals who have experienced long-term/multiple trauma, allowing them to develop the emotional and psychological strength required to deal with past traumatic events. Clinicians who are treating patients whose history depicts long-term or multiple trauma experiences (either from their childhood, or at some stage in their adult life) need, therefore, to be mindful of assessing individuals for symptoms of CP – so that they can treat these symptoms prior to engaging in any work associated directly with the past traumatic experiences. [Author abstract]
D.H.Sc.(Psych.) thesis, School of Psychology.

Keywords: Posttraumatic Stress Disorder  Psychotherapy  Treatment  

Accuracy Verified: Yes


223. Adúriz, M. E., Bluthgen, C., & Knopfler, C. (2009, May). Helping child flood victims using group EMDR intervention in Argentina: Treatment outcome and gender differences. International Journal of Stress Management, 16(2), 138-153. doi:10.1037/a0014719.

Language: English

Format: Journal

Abstract:
A comprehensive group intervention with 124 children who experienced disaster-related trauma during a massive flood in Santa Fe, Argentina, in 2003 is illustrated, utilizing a one-session group eye movement desensitization and reprocessing (EMDR) protocol. A posttreatment session was done 3 months after the treatment intervention to evaluate results. Results of this one-session treatment procedure, utilizing the EMDR-Integrative Group Treatment Protocol, showed statistically significant reduction of symptoms immediately after the intervention. These statistically significant differences were sustained at posttreatment evaluation 3 months later, as measured by psychometric scales, and by clinical and behavioral observation. Data analysis also revealed significant gender differences. Despite methodological limitations, this study supports the efficacy of EMDR group treatment in the amelioration and prevention of posttraumatic stress disorder symptoms, providing an efficient, simple, and economic (in terms of time and resources) tool for disaster-related trauma. (PsycINFO Database Record (c) 2009 APA, all rights reserved)

Keywords: Argentina  Floods  Gender Difference  Group Interventions  Integrative Group Treatment Protocol  Treatment Outcome  Victims  

Accuracy Verified: Yes


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

Language: German

Format: Dissertation/Thesis

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

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

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

Accuracy Verified: Yes


225. 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


226. Brivio, R., & Bergamaschi, L. (2008, January). Human and organizational aspects affecting the wellbeing in rescue-working activity: EMDR (Eye movement desensitization and reprocessing), Mirror Neuron and Stress Inoculation: The role of training methods, practice and simulation for psychological risks prevention and management in emergency workers.. International Workshop Reinforce Rescuers' Resilience by Empowering a well-being Demension Workshop, Turin, Italy .

Language: English

Format: Conference

Abstract:
The wellbeing of rescuers: Relational, organizational and technical aspects that can affect rescuers' wellbeing during rescue activities: Stress inoculation, role playing and the role of mirror neurons in training, also through the use of video recordings. Relaxation techniques, psychological debriefing and EMDR in trainings.

Focus of our intervention is the wellbeing of the rescuer. The study and research on this matter came and were carried out thanks to the activity done both during trainings and simulations of the Civil Protection than real emergencies. Our team work received contribution by some psychologists of OPP (Parma’s Psychologists’ Observatory: A.Sozzi, E.Pedrelli, F.Frati, A. Bocelli, T. Serra). Wellbeing, defined as a subjective and positive emotional state together with a global life satisfaction (Diener, 1984), is strongly at risk during rescuer’s emergency activities and can affect the rescuer both physically and psychologically. The rescuer's capabilities, that we think are technical “know how” and thorough knowledge, are essential to give the best performance according to the complexity and urgency of the intervention. These skills can really contribute to the rescuer's wellbeing, because they can improve the self-efficiency perception. To effectively manage and train rescuers, it is furthermore important to consider and acknowledge the influence of interpersonal relationships on technical performances. It is, in fact, particularly important to recognize and support the typical relationships that can be created in a team with the same task and specialization, as well as in multidisciplinary teams, or teams belonging to different Institutions but operating in the same scenario.

In recent years increasing attention has been given to training activities, even through the use of the role play for interventions in artificial emergency scenarios. To recreate scenarios of massive emergencies, different Civil Protection Associations, as well as First Aid volunteer associations and the local Institutions have been involved. In these simulations, most cases focus on improving technical performances. Lately psychologists have been asked to join the rescuers team. During these simulations, the role-play of emotional and psychological problems occurs thanks to the cooperation between emergency psychologists and the medical team. The introduction of the role and expertise of psychologists allowed to extend and strengthen the attention to cross support and care aspects for the psychological wellbeing of both victims and rescuers. The psychologist must therefore consider the “wellbeing” in all the emergency scenarios and contexts, as a sum of all the components that we talked about here and the ones we will describe during our intervention. He must first of all be aware of the complexity of each intervention in the field, and adopt a kind of approach aimed at creating and recovering wellbeing strategies, that can be used by himself as well. Strategies on how to build, recover and maintain the wellbeing identify stress as the first danger source the rescuer has to face in his training and emergency activity. When external events or stimuli are perceived as difficult to face compared with resources available at that moment, the individual gets stressed. When the person's efforts are not adaptive to the external requests and/or coherent with his performance expectations, he becomes vulnerable to emotional, behavioural, cognitive and physical reactions, which can be even very difficult to manage both in the short and/or in the medium-long term. This can happen when the sources of stress depend on the rescuer’s performance, and it can also happen in case of post traumatic stress, visible in different stages after the event. From the psychologist's specialist background and from the integration of this with the result of field experiences, the demand for a range of different tools to manage the different kinds of stress emerges, and these tools must be applicable both to the individual and to the group. This range is still improving, and the results of our observational activity from past and present experiences lead us to see the opportunity to carry on our research of tools of efficacy. During this speech we would like to underline that approaches like Stress Inoculation Training (SIT, Michenbaum, 1983) and the use of role playing allow the technical appraisal and let the rescuers improve their stress management skills, and all that can lead to a decrease in the risk of PTSD. In past simulations of emergencies, we found out that the use of videotapes for the role plays is a tool that should be taken more into account. We think it is important to evaluate its potential for the rescuers' benefit, because it seems to be not only “a record of technical performances”, but also an observation and learning tool about the rescuer's own defence and adaptive strategies. In fact, during these simulations we found out that the rescuers' psychological and emotional vulnerability emerged in several situations. The fact that even in these artificial situations there were acute stress episodes and O codes urged us to focus more on the matter of mutual influence between technical performance and internal experience of stress. We understand that such acute stress episodes may occur during real life critical events but we can see how role playing and video recordings show that such acute stress episodes affected the simulators themselves even during the simulation. The videos show that even apparently “high immunity” simulators, who are considered 'immune' thanks to their comprehensive and strong experience, experienced acute stress, perhaps because of an incorrect selfevaluation of their own stress management skills. The interest in the use of videos as a training and reprocessing tool for rescuers led some of us to specialize in role playing recording, so as to carry out a more accurate and comprehensive study on those same videos and use them as a mirror of reality and better educational tool through a vicar experience or through “seeing oneself from within the experience” and in the interpersonal dynamics that took place in the scenario. Videotapes are a very known and widely used tool in other kinds of trainings, disciplines and therapies (i.e. Family Therapy and CBT). The discovery of mirror neurons by Rizzolati, Gallese et Al., provides the evidence that when someone observes the same action performed by another person, the neurons "mirrors" the behaviour of that person, as though the observer were itself acting. Thanks to these researchers it is now proven that this can happen thanks to the motor neurons in the pre-motor cortex. Therefore, we would like to underline the role of videos as very useful and versatile training tools, since they expose a situation in an unexpected realistic manner “as if” it were true and “as if” we were really experiencing that situation, with the consequent learning movements at the emotional, cognitive and behavioural level, at the stress management level, as well as at the level of team work dynamics. Visual imagination activates the same brain regions that are active during visual perception and motor imagination activates the same brain regions activated the movement is really happening. More importantly, it was possible for us to verify that the videos recorded by other operators were not focused on showing the important psychological aspects we mentioned for the goal of the trainings, thing that happened instead with the videos recorded by psychologists. We think therefore that the use of videotapes recorded by psychologists should be given more consideration in the trainings of rescuers. During this intervention we will devote part of the time to broadcasting two short videos; the first one shows the role playing of an intervention in an emergency context, and the second one shows a part of an EMDR session (Eye Movement Desensitization Reprocessing). We think it is important to recreate and protect rescuers wellbeing in the post-role playing and post emergency stages too. For years EMDR has been proven effective in improving the individual's coping skills and in reprocessing, wherever necessary, the post traumatic aspects resulting from critical events to whom not only the victims, but also the rescuers too, are exposed during emergencies.

Keywords: Emergency Workers  Mirror Neuron and Stress Inoculation  Rescue-Working Activity  Risk Prevention and Management  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Burundi  Humiliation  Germany  Rwanda  Somalia  Trauma    

Accuracy Verified: Yes


228. Simone, M. (2012, June). Hypnosis and EMDR with athletes. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .

Language: English

Format: Conference

Abstract: My intention is to present a model of intervention in sport psychology that I have defined with the acronym O.R.A., using techniques of Gestalt therapy, EMDR protocol adapted to peak performance and Hypnosis Eriksoniana. The O.R.A model was conceived and developed from my working experience as a sport psychologist of elite athletes of various disciplines. ORA in Italian means NOW and the acronym stands for: Obiettivi (Objectives); Risorse (Resources); Autoefficacia (self-efficacy). Being myself an athlete and having had the opportunity to make an experience / internship of about 4 months at a sports center for professional athletes still continuing to follow a few, I could realize that it is important to them essentially a work of defining targets from which to identify the resources needed to achieve them through EMDR. This allows an increase of self-efficacy as one goes to work with the four sources identified by Bandura and that identify past successful experiences, the feelings connected, verbal persuasion and reference models. The work is enhanced by the use EMDR with hypnosis Eriksoniana that allows you to experience a future scenario more vividly, more multi-sensory experience where the athlete may be able to excel in his sport performance.

Keywords: Athletes, Hypnosis  

Accuracy Verified: Yes


229. Ranck, C., & Nutter, C. L. (2009, August). Ignite the genius within; Discover your full potential. Dutton Books.

Language: English

Format: Book

Abstract:
This small (5.5x8") inspirational guide is based on principles of the therapy technique known as eye movement and desensitization and reprocessing (EMDR). The book's color photos, brief essays, and questions for reflection and meditation, when combined with a podcast soundtrack (available for download), are designed to stimulate both sides of the brain simultaneously to awaken creativity and break out of destructive mindsets. The images on every page come from diverse sources such as NASA, stock agencies, news services, nature photographers, and contemporary and classic artists; however, the reflections are original to the authors. Readers are advised to use headphones rather than speakers for the performance enhancement for artists and performers. She has appeared on national talk soundtrack. Ranck is an EMDR therapist and psychoanalyst, specializing in creativity and shows. Nutter is a freelance writer and photographer.

Keywords: Meditation  Reflection  

Accuracy Verified: Yes


230. Honarian, M., Younesi, J., Shafiabadi, A., & Nafissi, G. (2011, July). The impact of EMDR for decreasing deterministic thinking among couples. Poster presentation at the 12th European Congress of Psychology, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
The purpose of the current research was to examine the effectiveness of eye movement desensitization and reprocessing (EMDR) for decreasing of deterministic thinking among couples. Deterministic thinking is an absolute thought to ignore any probability in incidents and their inferences. It is one of the most important cognitive distortions to sabotage martial satisfaction of couples. Twenty couples were involved in this study who to come for consultation centers from three areas of Tehran (Iran). They were randomly assigned to the experimental and control groups. The experimental group was exposed to emdr in five weekly 1.5 hour sessions. The dependent variable of this research was evaluated through questionnaire of deterministic thinking (younesi &mirafzal 2007) before and after the treatment. Then the data was analyzed through using an an COVA analysis. The results indicated that the EMDR was effective for decreasing deterministic thinking of couples.

Keywords: Couples  Determinism  

Accuracy Verified: Yes


231. Handberg, H. H. (2007, June). Implications of "unity of duality" Tibetan psychology and philosophy in regard to psychotherapy and personal development and its correlations to EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
In the Tibetan psychology and philosophy, the understanding that what we identify as the object does not exist as such independently of the experiencing subject is – at all levels of mind – essential. The subject perceives the object at a conceptual, feeling and sense level. In other words, as individuals we create the object at these three levels, and it becomes an integral part of our reality experience.
Tibetan Psychology has as it basis an understanding of the nature and functioning of the mind in its many different states of experiences. However, it does not see the mind-experience as an isolated phenomenon. It sees the body and mind as mutually interdependent and interdetermining on all levels – from both an ordinary level of body and mind to the basic energy level. The former is characteristic by an experience of great separation, and the latter by the experience of the inseparability of the body/mind.
In accordance with Tibetan metaphysics matter emerges from four basic “energy origins,” such that energy is seen as both the basis of matter, and is continuously pervading matter. From the energy resource all forms of existence arise and return again in a continuous movement of birth, existence and death, taking places every instant of time. It is because of the relationship of subject and object that we can change our object-experience, as well as our experience of the world and of the situations which arise in it.
Tibetan psychology maintains in this respect that the notion of self or self-identity is the core around which psychological patterns and the reality of the individual develop. The transformation process of an adequate self-identity into a healthier an less artificial identity takes the adept or client through the following process of change: (1) from a solid form level of the problematic subject/object experience, (2) to an energy level, taking us beyond the artificial identity and connect experience of reality, and (23) back into a new creation o the form level, into a new an more genuine experience of oneself and reality. Thus, when applying the insight of this basic interrelatedness of body and mind, subject and object and energy and matter – Unity in Duality – the experience of self-identity and that of the object undergoes a change, and the former problematic subject/object is transcended. The Tibetan self-development methods and the Tibetan psychotherapeutic methods, which Tarab Tulku has developed, deal essentially with healing and strengthening of the self-feeling and refining the self-reference/self-identity. It gives the theoretical analysis for changing the experience of self and the surroundings – of changing the approximation of reality – and it offers adequate psychotherapeutic as wall as self-development methods for its attainment. All in the Tibetan psychology and psychotherapy gives a new and valuable perspective, foundation and method supplementing and enriching Western Psychology in general and EMDR in particular.

Keywords: Poster  Tibet  Unity of Duality  

Accuracy Verified: Yes


232. Delpierre, M. (2005, June). Improving human potential in sport, business and education with EMDR. In EMDR in the extreme, chronic fatigue and peak performance. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
'Mental Fitness' has nothing to do with a killer instinct or ruthless play. Rather it is a precise way of thinking and acting under stress. Consider top athletes: do words like cold, callous and insensitive accurately describe their competitive performance? Hardly. Much more accurate words are flexible, responsive, strong and resilient. The difference in 'winning' is as much in technical and physical ability/potential than in mental performance. Top athletes recognize that to be at their best, they must think their best. To perform at an optimum level under high pressure (the same for top manager, musician, fire fighters...), they need to keep their ability to make choice at every moment.
EMDR and other techniques can help them (others tools also presented: Goal setting, Self-talk, Relaxation techniques, Imagery, Rituals.)

Keywords: Chronic Fatigue Syndrome  CFS  Peak Performance  Symposium  

Accuracy Verified: Yes


233. Hammond, D. C. (1991, Summer). In search of rapid, magical cures for trauma:  The eye movement desensitization and reprocessing technique. American Society of Clinical Hypnosis Newsletter (ASCH), Clinical Exchange Corner, 32(2), 7-8.

Language: English

Format: Newsletter

Abstract:
Many of us are experienced enough to have observed the bandwagons of enthusiams as psychotherapy fads and trends have come and gone, each accompaied by overzealous claims. We don't hear much anymore about Transactional Analysis or marathon encounter groups, and rolling only seems to be popular in California. Over 400 brands of psychotherapy have appeared claiming to be "the one-true-light," only to subsequently fade away. We joke about how we better use new miracle drugs quickly while expections for effectiveness are still high.

Keywords: Practice  Theory  

Accuracy Verified: Yes


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

Language: French

Format: Journal

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

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

Keywords: Efficacy  GAD  Generalized Anxiety Disorder  

Accuracy Verified: Yes


235. Frustaci, A., Pozzi, G., Aurigemma, C., La Rosa, C., Lanza, G., Fernandez, I., & Ruggeri, G. (2006, Febbraio). Indicatori di cambiamento in pazienti con disturbi da eventi stressanti: Impiego della heart rate variability [Indicators of change in patients with disorders of stressful events: Use of heart rate variability]. Poster presentato al XI Congresso SOPSI (Società Italiana di Psicopatologia), Roma, Italia.

Language: Italian

Format: Conference

Abstract:
Introduzione: i pazienti traumatizzati presentano alterazioni sintomatiche quali intrusività, evitamento ed aumentato arousal, che ostacolerebbe la possibilità di elaborazione/integrazione delle tracce mnesiche, oltre ad esprimersi a livello periferico. Tecniche specifiche di trattamento sembrano promuovere l’elaborazione/integrazione delle memorie traumatiche, tra cui la Eye Movement Desensitization and Reprocessing (EMDR). Nella ricerca valutativa è quindi necessario affiancare alle scale psicologiche un appropriato indicatore biologico di attivazione neurovegetativa. La variabilità della frequenza cardiaca (Heart Rate Variability – HRV) esprime l’integrità funzionale del sistema neurovegetativo in risposta allo stress e può essere misurata nei domini di tempo o di frequenza. Lo studio della HRV è stato applicato in psichiatria ai disturbi d’ansia (panico, DOC, PTSD) e dell’umore (depressione unipolare) in ricerche trasversali (confronto con controlli sani) e longitudinali di trattamento farmacologico (triciclici, SSRIs) ma in pochi casi a trattamenti psicoterapici. Gli AA. valutano l’impiego della HRV come indicatore biologico nel trattamento psicoterapeutico di pazienti con Disturbo dell’adattamento erdurante da oltre un mese dopo l’esposizione ad eventi vitali stressanti (EVS). Metodi: sono stati reclutati 6 soggetti (M/F = 1/5, età 40,5 ± 11,0) esposti ad EVS ed avviati a ciclo di trattamento psicoterapico breve (4-6 sedute a cadenza settimanale) di tipo specifico (EMDR) o generico (colloqui supportivi). Costituivano criteri di esclusione: età < 18 o > 65 anni; comorbilità psichiatrica, neurologica e cardiologica; uso di farmaci interferenti. Le valutazioni psicopatologiche sono state eseguite al reclutamento (TBASE: colloquio anamnestico, MINI, Brief COPE), a inizio e fine ciclo di trattamento (TINI, TFINE: IES, SCL-90-R), a uno e tre mesi di follow-up (T30, T90: IES, SCL-90-R, Brief COPE). Le registrazioni Holter sono state effettuate ad ogni intervallo valutativo coprendo: 60 min. attività libera, 10 min. tilt-test, 3-5 min. ascolto dell’evento traumatico, 30-45 min. seduta psicoterapica. Sono stati impiegati test statistici non parametrici per l’analisi delle correlazioni (Spearman) e delle differenze (Wilcoxon). Risultati preliminari: vengono valutate le correlazioni a TINI e le variazioni T90 vs. TINI. Sono significative le seguenti correlazioni: ansia fobica SCL e SDNN (dev. standard intervalli R-R) [r = + 0,9; p = ,037]; collera-ostilità SCL e SDNN [r = -0,95; p =.014]; depressione SCL e r-MSSD (radice media somma quadrati diff. R-R) [r = + 0,9; p = ,037]; sint. intrusivi IES e LF (basse frequenze) [r = -0,9; p = ,037]. Sono risultate statisticamente significative le seguenti variazioni: IES totale [Z = -1,99; p = ,046], sintomi intrusivi IES [Z = -2,21; p = ,027], sintomi di evitamento IES [Z = -1,99; p = ,046], ideazione paranoide SCL [Z = -2,21; p = ,027]; R-R, LF e LF/HF (rapporto basse/alte frequenze) durante ascolto evento [Z = -2,02; p = ,043]. Discussione: a livello basale gli indicatori HRV di distress vegetativo correlano positivamente con collera-ostilità e sintomi intrusivi, negativamente con ansia e depressione. Anche dopo tre mesi dalla fine del trattamento gli interventi psicoterapeutici tendono a ridurre i punteggi sintomatici, e migliorano il bilancio simpato-vagale durante il riascolto dell’evento traumatico.

Introduction: trauma patients have symptomatic changes such as intrusiveness, avoidance and increased arousal, which hampers the development / integration of memory traces, as well as speak at the peripheral level. Specific techniques of treatment seem to promote the formulation and integration of traumatic memories, including eye movement desensitization and reprocessing (EMDR). In evaluation research is therefore necessary to combine psychological scales appropriate indicator organic autonomic activation. The heart rate variability (Heart Rate Variability - HRV) expresses functional integrity of the autonomic nervous system in response stress and can be measured in time or frequency domains. The study of HRV has been applied in psychiatric disorders anxiety (panic, DOC, PTSD) and mood (unipolar depression) in cross-disciplinary (compared with healthy controls) and longitudinal drug treatment (tricyclic SSRIs), but in a few cases in psychotherapeutic treatment. The AA. evaluate the use of HRV as a biological indicator in the psychotherapeutic treatment of patients with adjustment disorder erdurante more than a month after exposure to stressful life events (EVS). Methods: 6 subjects were recruited (M / F = 1 / 5, age 40.5 ± 11.0) exposed to EVS and initiated treatment cycle psychotherapeutic short (4-6 sessions weekly) type specific (EMDR) or generic (hearing supported). Exclusion criteria were: age <18 or> 65 years, psychiatric comorbidity, neurological and cardiological, use of drugs interfering. Psychopathological assessments were performed at recruitment (TBASE: anamnestic interview, MINI, Brief COPE) at the beginning and end of treatment cycle (TINI, TFINE: IES, SCL-90-R) in a three-month follow-up (T30, T90: IES, SCL-90-R, Brief COPE). Holter recordings were made at each interval evaluation covering: 60 min. free activity, 10 min. tilt-test, 3-5 min. listening to the traumatic event, 30-45 minutes. psychotherapy session. Were used nonparametric statistical tests for analysis correlations (Spearman) and differences (Wilcoxon). Preliminary results: the correlations are evaluated and changes TINI vs. T90. TINI. Significant correlations are the following: SCL phobic anxiety and SDNN (standard dev. RR intervals) [r = + 0.9, p =, 037]; anger-hostility SCL SDNN [r = -0.95, p =. 014]; SCL depression r-mssd (root mean square sum diff. RR) [r = + 0.9, p =, 037]; sint. IES intrusive and LF (low frequency) [r = -0.9, P =, 037]. Were statistically significant, the following changes: IES total [Z = -1.99, p =, 046], IES intrusive symptoms [Z = -2.21, p =, 027], symptoms of avoidance IES [Z = -1.99, p =, 046] , SCL paranoid [Z = -2.21, p =, 027], RR, LF and LF / HF ratio (low / high frequencies) while listening event [Z = -2.02, p =, 043]. Discussion: At baseline HRV indicators of distress correlated positively with growing anger-hostility, and intrusive symptoms, negatively with anxiety and depression. Even after three months of the end of psychotherapeutic treatment interventions aimed at reducing symptom scores and enhance sympathetic vagal balance during the playback of the traumatic event.

Keywords: Heart Rate Variability  Poster  Stress Disorders  

Accuracy Verified: Yes


236. Maxfield, L. (2002, June). The influence of methodological variables on outcome in psychotherapy research. Panel discussion (L. Beutler, Discussant, EMDR research and its future: Ecological validity, process research, outcome findings, and socio-political context) at the (SPR) Society for Psychotherapy Research, International Conference, Santa Barbara, CA.

Language: English

Format: Conference

Abstract:
Although there is consensus that EMDR is efficacious in the treatment of PTSD, different studies have achieved a range of results. This presentation reviews a methodological meta-analysis that found a significant positive correlation between effect size and ratings of methodological rigor. Specific client, therapist, and methodological factors were identified in the analysis as accounting for some of the disparities in outcome. These variables are examined, and include the over-all rigor of the study, qualities of the assessor, treatment fidelity, symptom severity, and appropriate course of treatment. Implications for interpreting research outcomes are discussed, and recommendations are made for future research. The scale for assessing methodological variables was adapted from Foa and Meadows (1997), and the analysis suggests modifications and additions to improve the measurement of methodology.

Keywords: Methodology  Outcome Research  

Accuracy Verified: Yes


237. Grand, D. (1995, June). Integrating EMDR into the psychodynamic treatment process. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The discovery of EMDR (Eye Movement Desensitization and Reprocessing) has led to a structured treatment model conceptualized in cognitive constructs (the three pronged approach). Based on the diagnostic and treatment situation, this may or may not, be easily integrated into a psychodynamic (insight oriented) treatment approach. However, I have empirically found a dramatic, acceleration and deepening of the psychodynamic treatment process with patients when flexibly utilizing EMDR in session. This presentation will explore the different applications of EMDR incorporating Freudian, ego psychological, separation/individuation and self psychological theories with practice wisdom derived from extensive case material. Attention will be given to the associative process, screen memories, dream work, resistance, transference, countertransference and character analysis. The structural (id, ego and superego) and topographical (unconscious, preconscious and conscious) models of the mind as well as the listening process will be examined as they inform the use of EMDR. Particular focus will be devoted to how the cognitive interweave can be expanded conceptually to incorporate the techniques of interpretation and mirroring. The anxieties, resistances and allegiance issues evoked in the psychodynamically trained therapist, as they attempt to integrate EMDR into their practices will also be addressed.

Keywords: Psychodynamic  

Accuracy Verified: Yes


238. Foster, S. (2012). Integrating positive psychology applications into the EMDR peak performance protocol. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 213-217. doi:10.1016/j.erap.2012.04.005.

Language: English

Format: Journal

Abstract:
Introduction: This article describes an innovative Eye Movement Desensitization and Reprocessing (EMDR) protocol which applies the standard EMDR protocol, with modifications, to the reduction of performance anxiety and enhancement of skillful performance in higher functioning clients. Objective: The intention was to compare a modified version of the standard EMDR protocol for the reduction of performance anxiety and the enhancement of performance. Method: The method was applying the special EMDR protocol for peak performance with higher functioning clients. A further enhancement applied three empirically valid techniques drawn from the subfield of positive psychology. Results: Published case studies suggest that this special EMDR protocol aided an experienced commercial pilot in overcoming his avoidance and returning to the flight simulator following a failed proficiency check, and assisted an executive in managing his sense of failure following a significant business setback. Athletes preparing for competition have also found the protocol assists them in managing precompetition anxiety. A further enhancement is the application of three techniques drawn from positive psychology which the empirical research in this subfield of psychology suggests can further enhance the benefits of this protocol. Conclusion: Limitations are discussed and recommendations for future research are outlined.

Keywords: Performance Enhancement  Positive Psychology  

Accuracy Verified: Yes


239. Foster, S. (2004, June). Integrating positive psychology concepts into the EMDR peak performance protocol. Presentation at the annual meeting of EMDR Europe, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
This workshop is the first effort to integrate EMDR Peak Performance with techniques from positive psychology, the new science of happiness and excellence and strengths such as courage. The presenter will explain how the EMDR Peak Performance protocol (which she co-created) is based on the standard EMDR protocol with three modifications: the Future is emphasized; resource development is oriented toward empowerment and possibility; and skills are taught to help clients reach optimal functioning. While the ‘Peak’ protocol already had self-actualization as its goal, its efficacy is enhancing by integrating the positive psychology techniques of using: positive emotions in the performance venue of importance to the client; the Appreciative Inquiry method for envisioning the future and for performance improvement; and optimistic explanatory style. Given time constraints; it is not possible to fully prepare participants to use the Peak Performance protocol. However, in an interactive format that include mini practica, participants will be able to: 1) describe the key difference between the Peak and basic protocols 2) help client develop “Peak’ resources 3) begin to establish an empowerment stance with clients 4) summarize the benefits of teaching clients basic positive psychology concepts 5) pursue further learning from the extensive positive psychology bibliography.

Keywords: Positive Psychology  Protocol  

Accuracy Verified: Yes


240. Foster, S. (2003, May). Integrating positive psychology into EMDR peak performance work: Empowering and inspiring clients. In E. Tizzabu and M. Jakobsen (Chairs), EMDR empowering. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
This application of EMDR was originally developed for business, performing arts, and sport. A second application is helping recovering trauma survivors to become more fully functioning.

Keywords: Empowerment  Peak Performance  Positive Psychology  Symposium  

Accuracy Verified: Yes


241. Keenan, L. (2010, June). The integration and progression of EMDR within a generic primary care mental health service. In Trainiing issues. Symposium conducted at the annual meeting of the Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In 2007 the Department of Health (DoH. UK) published "Improving Access to Psychological Therapies" (IAPT). This meant that primary care mental health services (PCMHS) had to seriously consider the mode, method and efficacy of their service delivery. This paper will consider one such service, critically reflecting on the integration of EMDR as a mainstream therapeutic intervention. The service utilises therapists from various therapeutic paradigms, counselors, graduate workers, cognitive behavioural psychotherapists, cognitive analytical psychotherapists, clinical psychologists and registered mental nurses. Clients are referred with a wide range of psychological issues such as Depression, anxiety disorders, OCD, and PTSD. Following a further EMDR training initiative in 2007 (Birmingham University), the service now boasts, One EMDR Consultant/Facilitator, three accredited practitioners, three level three trained therapists and two clinicians at level two. This paper will present a brief history of the development of EMDR within the PCMHS, exploring how EMDR has been utilised not only in the treatment of PTSD (NIHCE 20051, but also in the treatment of other psychological pathologies. The paper will highlight the number of clients treated with EMDR (retrospectively over a twelve month period), the average number of sessions per client and the therapeutic outcomes as measured by the Patients Health Questionnaire [PHQ-9) (Kroenke & Spitzer, 2002) and the Generalized Anxiety Disorder Questionnaire (CAD-7) ( Spitzer et al 2006). The Dissociative Experience Scale is used when considering EMDR as an intervention strategy and the Impact of Events Scale- Revised (WEISS et al 2004) when appropriate. The paper will conclude with a brief analysis of qualitative data from clinicians as to the impact EMDR has had on their clinical practice. Learning Outcomes: By the conclusion of the presentation the participants will: 1. Be able to discuss the application of EMDR in the treatment of psychopathologies other than PTSD. 2. To consider the integration of EMDR with other psychotherapeutic paradigms. 3. To critical consider the treatment outcomes and in particular the cost effectiveness of EMDR as a psychotherapeutic tool in a generic primary care setting. 4. Be aware of the ethical and political considerations of integrating EMDR into a generic primary care mental health service. Innovation: This work is innovative as it focuses on how EMDR can be utilised within generic mental health services. It critically reflects on the phenomenology of integrating EMDR into a PCMHS and it has encouraged the training of other EMDR clinicians outside of the primary care mental health team.

Keywords: Generic Primary Care  Symposium  Training Issues  

Accuracy Verified: Yes


242. Chang, S. H. & Lee, Y. H. (2005, August). Interfering CLEM reduces vividness and emotionality of autobiographical memories. Presentation at the 2005 American Psychological Association Annual Convention, Washington, DC C. (NSC 93-2413-H-002-002-).

Language: English

Format: Conference

Abstract:
Research background: It was noted that when people recalled an emotional event, there is a spontaneous eye movements during retrieval of memory, known as conjugate lateral eye movements (CLEM). Eye movements during mental imagery are not epiphenomenal but assist the process of image generation (Hebb, 1968; Brandt & Stark, 1997). If restricted to a fixed point, then the image of recall is impaired (Laeng & Teodorescu 2002). These findings might shed light on why bilateral eye movements during imagery could decrease vividness and emotionality of recollections. Objectives: Based on the above findings, this study examined possible therapeutic mechanism of eye movements in Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001), of which eye movement was a crucial treatment component. Specifically, the hypothesis that interfering CLEM via introducing bilateral eye movements or a fixed position could reduce vividness and emotionality of autobiographical memories was examined in the present study. Further, whether there are different CLEMs (more rightward in positive and more leftward in negative) during retrieval of positive and negative memories was also investigated. Method: Seventeen healthy volunteers recalled two positive and two negative memories and rated their vividness and emotionality of the recollections. Next, memories were recalled whilst the participant was performing either bilateral eye movements (interference of CLEM) or mere image condition (non-interference of CLEM). Then participants were asked to recall the event again and to rate its vividness and emotionality. Vividness and emotionality ratings were analyzed using a 2 (EM condition: bilateral eye movement vs. mere image) × 2 (valence of memory: positive vs. negative) × 2 (time: before vs. after the intervention) repeated measures analysis of variance (ANOVA). During the first and last recall of each memory CLEM were recorded by a digital camera. To examine the effect of CLEM during recollections on emotionality and vividness of autobiographical memories, eye movements in each recall were counted into percentage time of eye gaze in three regions (leftward, middle, rightward), instead of counting the first lateral eye movement as used by the traditional method. Results: Compared to mere image condition, recollections after bilateral eye movements made subsequent recollections less vivid and less emotive, while the opposite was true for mere image condition. Regarding vividness, the 2 × 2 × 2 ANOVA showed that there was a significant condition × time interaction. None of the other interactions or main effects reached significance. Simple main effect indicated that the change in vividness was significant in the mere image condition, but not in the eye movement condition. As to emotionality, the three way ANOVA showed that there was also a significant condition × time interaction. None of the other interactions or main effects reached significance. Simple main effect indicated that the change in emotionality was significant in the mere image condition, and in eye movement condition. Concerning percentage of gaze direction (left, right) in positive and negative memories, pair t test showed that there was a significant right gaze difference between positive and negative memories, and approached significant left gaze difference between positive and negative memories. With regard to CLEM, negative memories showed less right gazes and more left gazes than positive memories. Conclusion:The bilateral eye movements made autobiographical memories less vivid and less emotive than mere image condition, while mere image increased the vividness and emotionality of autobiographical memories. Further, there is different CLEM for negative and positive memories. While the hypothesis that interference of CLEM reduced the vividness and emotionality of autobiographical memories was confirmed, the role of eye movement in the EMDR was discussed and future research possibilities are proposed.

Keywords: Autobiographical Memory  CLEM  Eye Movements  Gaze Direction  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

Keywords: Interpretative Phenomenological Analysis  IPA  PPC  Positive Psychological Change  

Accuracy Verified: Yes


244. Simpson, B., & Farrell, D. (2009, June). An interpretative phenomenological analysis of the experiences of EMDR consultants in training. Poster presented at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands .

Language: English

Format: Conference

Keywords: Consultants  Poster  Training  

Accuracy Verified: Yes


245. Fernandez, I. (2008, Novembre). Interventi precoci con EMDR: Applicazione nei disturbi post-traumatici acuti con vittime di disastri collettivi [Early intervention with EMDR: Application in mass post-traumatic stress/acute disaster victims. Plenaria presentato le applicazioni cliniche di EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Questa relazione descrive l’applicazione dell’EMDR come trattamento precoce focalizzato sul trauma rivolto a bambini coinvolti in diastri collettivi (disastri naturali, incidenti e provocato in modo intenzionale dalla mano dell’uomo). Il trattamento con EMDR in tutti questi casi è stato parte di un intervento con questa popolazione ed è stato il trattamento di elezione di bambini in età scolastica che erano stati i più esposti a eventi traumatici. In molti di questi casi, 3 cicli di sedute di EMDR sono stati organizzati ad un mese, a tre mesi e ad un anno dall’evento critico. I bambini hanno avuto delle sedute individuali nella maggior parte dei casi dato che avevano avuto una grave traumatizzazione, unite al lutto, dove avevano vissuto una minaccia alla propria vita e la perdita di amici e fratelli. Il supporto psicologico e il trattamento EMDR sono stati forniti anche ai genitori, al personale scolastico e questo aspetto è stato di fondamentale importanza negli ultimi interventi per rafforzare e mantenere i risultati nei bambini. I risultati di questionari e delle interviste cliniche per valutare la sintomatologia post-traumatica prima e dopo il trattamento verranno descritti durante la presentazione insieme ai dati del follow-up. Il gruppo trattato dimostra un miglioramento significativo dopo il trattamento con EMDR. L’analisi statistica dei risultati sarà descritta in modo approfondito. Durante la relazione verranno sottolineati gli aspetti clinici dell’applicazione dell’EMDR con i bambini dopo un trauma recente particolarmente grave. Le reazioni post-traumatiche di questo gruppo in età evolutiva sono state valutate, misurate e hanno dato delle informazioni rilevanti per questo campo di applicazione. Il trattamento EMDR con i genitori e con altri adulti coinvolti nel disastro e che era a contatto con i bambini si è rivelato un intervento chiave per quanto riguarda la sintomatologia dei bambini. A conclusione verranno presentate delle linee guida e delle indicazioni per la strutturazione di interventi sulla base di questi studi sul campo.

This report describes the application of EMDR as early treatment focused on trauma facing children involved in mass disasters (natural disasters, accidents and pollution in intentionally by man). Treatment with EMDR in all these cases was part of an intervention with this population and was the treatment of choice for school-age children who were most exposed to events traumatic. In many of these cases, 3 cycles of EMDR sessions were held one month, three months and one year after the event critical. The children have had some individual sessions in most cases because they had severe trauma, united in mourning, where they had lived a threat to his life and the loss of friends and brothers. Psychological support and treatment EMDR was provided to parents, staff school and this aspect was of paramount importance in recent efforts to reinforce and keep the results in children. The results of questionnaires and clinical interviews to assess the symptoms post trauma before and after treatment will be described during the presentation along with the data of follow-up. The treated group demonstrated significant improvement after treatment with EMDR. The statistical analysis of results will be described in detail. The report will be highlighted during the clinical application of EMDR with children after a recent trauma particularly serious. Post-traumatic reactions of this growing age group were assessed, measured and have information relevant to this scope. EMDR treatment with parents and other adults involved in disaster and who was in contact with children has proved a key intervention regarding symptoms of children. A conclusion will discuss the guidelines and indications for the structuring of interventions based on these field studies.

Keywords: Early Intervention  Mass Disasters  Plenary  Recent Events  

Accuracy Verified: Yes


246. Regourd-Laizeau, M., Martin-Krumm, C., & Tarquinio, C. (2012, March). Interventions dans le domaine du sport: Le protocole d’optimisme [Interventions in the field of sports: Protocol of optimism]. Pratiques psychologiques, 18(2), 189-204. doi:10.1016/j.prps.2012.02.001.

Language: French

Format: Journal

Abstract:
L’optimisme peut être envisagé selon plusieurs approches. Il est possible d’envisager une approche directe comme, par exemple, la proposition de Carver et Scheier, 1982 et le concept d’optimisme dispositionnel. Il est également possible d’envisager une approche indirecte comme celle d’Abramson et al., 1978 et le concept de style explicatif optimiste. Quelle que soit l’option retenue, l’optimisme est associé principalement à des effets bénéfiques, et ce quels que soient les contextes : la santé, le monde du travail et de l’école, ou la performance sportive par exemple. En conséquence, mettre au point des techniques destinées à augmenter le niveau d’optimisme est devenu crucial dans différents domaines. Cet article a pour objectif de présenter brièvement certaines de ces techniques et de développer plus précisément l’apport de l’eye movement desensitization and reprocessing (EMDR) au développement d’un style explicatif optimiste dans le domaine du sport. Les limites, mais aussi les pistes prometteuses seront précisées.

Summary: Optimism can be seen in several approaches. It is possible to consider a direct approach, for example, the proposal of Carver and Scheier, 1982 and the concept of dispositional optimism. It is also possible to consider an indirect approach like that of Abramson et al., 1978 and the concept of optimistic explanatory style. Whatever option is chosen, the optimism is mainly associated with beneficial effects, and whatever contexts: health, the world of work and school, or athletic performance for example. As a result, developing techniques to increase the level of optimism has become crucial in various fields. This article aims to briefly present some of these techniques and develop more precisely the contribution of eye movement desensitization and reprocessing (EMDR) to develop an optimistic explanatory style in the field of sport. Limits, but also promising directions will be specified.

Keywords: Intervention  Sports  

Accuracy Verified: Yes


247. Lendl, J., & Foster, S. (2011, August). Intro to EMDR performance enhancement psychology: A twenty year update. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
While EMDR Performance Enhancement Psychology can address clinical issues such as performance anxiety, self-defeating beliefs, behavioral inhibitions, PTSD, and psychological recovery from injury for creative and performing artists, workplace employees, and athletes; it can also be very useful with everyday non-pathological complaints such as procrastination, fear of failure, setbacks and life transitions. Lendl and Foster initiated EMDR-PEP in 1991. This workshop will be a twenty year update to the introduction of EMDR-PEP. There will be a brief history of EMDR-PEP, research, AIP theory, and useful performance skills that therapists can integrate into their work with clients. The workshop will include lecture, role playing demo with group practice and, hopefully, time for questions.

Keywords: Performance Enhancement  Update  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Practice  Theory  

Accuracy Verified: Yes


249. Kamari, A. Sahragard, M., Zinati, A. (2011, July). The investigating of the effectiveness of eye movmement desensitization and reprocessing on war veterans with PTSD. Poster presentation at the 12th European Congress of Psychology, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
The aim of his study was to examine the effectiveness of treatment of Eye Movement Desensitization and Reprocessing (EMDR) on war veterans with Post Traumatic Stress Disorder. In this Rresearch 14 war veterans with PTSD were selected availability sampling and divided into 2 groups of: Treatment of EMDR (N=7) and control group (N=7). Three treatment sessions were individually hold by use of EMDR method, while control group was waiting. All of the subject was evaluated PTSD Symptom Scale_Interview (PSS_I) sefore and after the treatment. Analysis of data showed that comparison with control group the said treatment EMDR Caused a Decrease In PTSD syndrome. It can be generally noted that experimental groups has been found to be effective on PTSD among Iranian war veterans.

Keywords: Poster  Posttraumatic Stress Disoders  PTSD  Veterans  War  

Accuracy Verified: Yes


250. Dunne, T. (2010, March). An investigation into therapists’ beliefs about how eye movement desensitization & reprocessing (EMDR) works in clinical practice: Do the eyes have it?. Poster presented at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
These were subject to statistical analysis using Analysis of Variance (ANOVA) and Chi-Square tests to examine the relationships between Questionnaire items for significance. A total of 9 subjects agreed to be interviewed regarding their EMDR practice and integration issues. This qualititative data was content analyzed. No differences were found between both groups on Biodata factors, years of experience as a Therapist or years using EMDR which gives further confidence in the results when comparing both cohorts. Results: Respondents endorsed two types of explanation as to why they believed EMDR works (ie) EMDR facilitates communication between the Limbic system and Frontal Lobes (77%) and Adaptive Information Processing (73%). This suggests that Therapists are not just following Shapiro’s AIP model slavishly but are rather making up their own minds. There were no significant differences between Analytic, CBT, Integrative and Humanistic Therapists in terms of explanatory mechanisms endorsed about EMDR’s “active ingredient”. CBT Therapists found it easier to incorporate EMDR into their clinical practice than Analytic or Humanist Therapists. This finding was supported by the results of the qualitative interview data. Indeed, up to 40% of Therapists sampled experienced difficulties in integrating EMDR into their clinical practice, post training. The types of difficulties identified included: Differences in theoretical beliefs, more active style of EMDR, structure of EMDR Protocol, Therapist confidence issues, Organizational issues and hostility from clinical colleagues, bullying, lack of supervision and support post training. Conclusions: The results of this study confirm findings from earlier studies regarding Therapists’ beliefs about EMDR but also extend those finding internationally so that previous findings can now be accepted as universal given that this present study contained respondents from three other continents other than North America. This study also found that up to 40% of Therapists trained in EMDR experienced significant difficulties in integrating EMDR into their clinical practice post-training. Analytic and Humanist Therapists reported the biggest difficulties which included conflict with the Therapists’ original theoretical model, the EMDR Protocol structure itself, Therapist confidence and lack of supervision and support, Organizational and Management issues of opposition to EMDR and Therapist Bullying. The implications for EMDR training are discussed and communicated to relevant EMDR Training Organizations.

Keywords: Poster  Research  Therapist's Beliefs  

Accuracy Verified: Yes


251. Oglesby, C. A. (1999, September). An investigation of the effect of eye movement desensitization reprocessing on states of consciousness, anxiety, self-perception, and coach-perceived performance ratings of selected varsity collegiate athletes. Temple University, Philadelphia, PA. AAT 9921186.

Language: English

Format: Dissertation/Thesis

Abstract:
PTSD experts have recently pointed out that while traumatic events have been the core of cultural tales for centuries, it is highly unlikely today that any individual will avoid the direct experience of a traumatic event during a lifetime. The present study was an initial exploration of the effectiveness of an approach, designed for clinical issues of trauma, in sport; a nonclinical, field study environment marked by consistent high pressure to perform with excellence. The hypotheses of the study called for examination of pre and post treatment scores of control, EMDR, and placebo group subjects on five dependent variables: States of Consciousness During Movement Activity Inventory (SCMAI); State-trait Anxiety Inventory (STAI); Coach-Perceived Performance Rating (CPPR); Subjective Units of Distress Scale (SUDS); and Validity of Cognition Scale (VoC).Collegiate varsity athletes (N = 48) from the sports of field hockey, gymnastics, lacrosse, track and field, and volleyball were randomly assigned to one of three treatment groups. The control group completed the SCMAI and STAI with 3 to 4 weeks intervening. The placebo group completed the inventories and a week later met with a sport psychology consultant (researcher) for focus on the identified "worst moment in sport." The SUDS and VoC scores were collected during the session. After another week, the inventories were completed for the last time. The pattern for the eye movement desensitization reprocessing (EMDR) group was identical to the placebo group except the session followed a basic protocol for EMDR. The focus of the session was, again, the subjects, worst moment in sport. The results revealed no statistically significant pre to post changes in treatment group scores in regard to the SCMAI, STAI, and coach-perceived performance. Results significant p < .02 were found on the SUDS and VoC as the EMDR group reported more favorable gains that did the placebo group. Additionally, descriptive statistics, and qualitative protocol examples, were utilized to illustrate trends of potential individual benefit from the EMDR procedure. This research represented the first study of a potential line of research examining the efficacy of EMDR with athletes and, perhaps, with performers in various peak performance settings. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(3-B), Sep 1999, pp. 1292.

Keywords: Athletes  College Students  Effects  Empirical Study  Stressors  Survivors  Treatment Effects  

Accuracy Verified: Yes


252. Greenwald, R. (1997, June). Is EMDR being held to an unfair standard? Rejoinder to Van Ommeren (1996). Professional Psychology: Research & Practice, 28(3), 306. doi:10.1037/0735-7028.28.3.306.a .

Language: English

Format: Journal

Abstract:
Author points out a propensity among some professionals to respond unfairly to data supporting EMDR, and he calls for open-minded critical analysis of available data. [Adapted from Text]

Keywords: Letter  Professional Criticism Reply  

Accuracy Verified: Yes


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

Language: English

Format: Newsletter

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

Keywords: Efficacy  

Accuracy Verified: Yes


254. Munder, T., Fluckiger, C., Gerger, H., Wampold, B. E., & Barth, J. (2012, October). Is the allegiance effect an epiphenomenon of true efficacy differences between treatments? A meta-analysis. Journal of Counseling Psychology, 59(4), 631-637. doi:10.1037/a0029571.

Language: English

Format: Journal

Abstract:
Many meta-analyses of comparative outcome studies found a substantial association of researcher allegiance (RA) and relative treatment effects. Therefore, RA is regarded as a biasing factor in comparative outcome research (RA bias hypothesis). However, the RA bias hypothesis has been criticized as causality might be reversed. That is, RA might be a reflection of true efficacy differences between treatments (true efficacy hypothesis). Consequently, the RA-outcome association would not be indicative of bias but an epiphenomenon of true efficacy differences. This meta-analysis tested the validity of the true efficacy hypothesis. This was done by controlling the RA-outcome association for true efficacy differences by restricting analysis to direct comparisons of treatments with equivalent efficacy. We included direct comparisons of different versions of trauma-focused therapy (TFT) in the treatment of posttraumatic stress disorder (PTSD). RA was measured from the research reports. Relative effect sizes for symptoms of PTSD were calculated. Random effects meta-regression was conducted. Twenty-nine comparisons of TFTs from 20 studies were identified. Initial heterogeneity among relative effect sizes was low. RA was a significant predictor of outcome and explained 12% of the variance in outcomes. The true efficacy hypothesis predicted the RA-outcome association to be zero; however, a substantial association was found. Thus, this study does not support the true efficacy hypothesis. Given findings from psychotherapy research and other fields that support a biasing influence of researcher preferences, RA should be regarded as a causal factor and conceptualized as a threat to the validity of conclusions from comparative outcome studies.

Keywords: Comparative Outcome Research  Meta-Analyses  Researcher Allegiance  

Accuracy Verified: Yes


255. Gurel, D. (2010). Kronik aðrý tedavisinde güncel bir psikoterapotik yaklaþým: Göz hareketleri ile duyarsýzlaþtýrma ve yeniden yapýlandýrma [Eye movement desensitization and reprocessing (EMDR) in treatment of chronic pain as a contemporary psychotherapeutic approach]. Klinik Psikiyatri Dergisi, 13(1), 36-41.

Language: Turkish

Format: Journal

Abstract:
Klinik psikoloji alanında ağrıya ilişkin çalışmalar son yıllarda gittikçe artmaktadır. Önceleri kronik ağrının psikolojik boyutlarına yönelik model oluşturmaya ağırlık verilirken daha sonraları tedaviye yönelik psikoterapotik yaklaşımların geliştirilmesine odaklanılmıştır. 1987 yılında Klinik Psikolog olan Francine SHAPİRO, istemli ve sistematik olarak yapılan göz hareketlerinin, olumsuz ve rahatsız edici düşüncelerin yoğunluğunu azalttığı tezinden hareketle Göz Hareketleri ile Duyarsızlaştırma ve Yeniden Yapılandırma-Eye Movement Desensitization and Repocessing (EMDR) tekniğini geliştirmiş. İki yıl boyunca etkinliğini araştırmak üzere çalışmalar yapmıştır. EMDR ilk olarak, savaş stresi, taciz, doğal afetler veya çocukluk döneminde yaşanan üzücü olaylar gibi rahatsız edici yaşam deneyimlerinin neden olduğu duygusal sorunların iyileştirilmesinde kullanılmıştır. Daha sonraları fobi, performans kaygısı, panik bozukluk, beden algısı bozukluğu, çocuklardaki travma belirtileri, yas, dermatolojik bozukluklar, fantom organ ağrısı ve en son olarak da kronik ağrı tedavisinde kullanılmış oldukça çarpıcı sonuçlar elde edilmiştir. Aşağıdaki yazıda ülkemizde henüz yeni yeni yaygınlaşan bu tekniğin tedavi rasyoneli ve uygulaması hakkında kısa bir bilgi sunulmaktadır. Özünü bilgi işleme yaklaşımlarından ve davranışın nöropsikolojik temellerinden alan EMDR Tekniğin in kronik ağrıyı açıklanma biçiminin zenginliği yanı sıra tedavideki sıra dışı başarısının önümüzdeki yıllarda psikoterapi alanında daha çok ilgi yaratacağı düşünülmektedir.

Psychological treatment studies in pain disorders have greatly increased in recent years. The focus was first on the development of theories and models related to chronic pain. However, main focus has been on the development of therapeutic approaches which are effective in the treatment of chronic pain. In 1987, Clinical Psychologist Francine Shapiro developed the novel Eye Movement Desensitization and Reprocessing (EMDR ) technique based on the idea that voluntary and systematic eye movements could effectively decrease the intensity of negative and disturbing thoughts and has since then been undertaking research on the topic. EMDR was first used in post-travmatic stres disorders as a result of wars, rape, earthquake and childhood abuse to deal with the emotional disturbaunces of problematic life experiences. It later started to encompass phobias, performance anxiety, panic attacks, body-image disorders, trauma symptoms in children bereavement, skin diseases, phantom limb pains and lastly chronic pain treatment with striking results. This paper consists of brief information on the underlying principles and application procedures of EMDR. This technique is mainly based on both information processing and neuropsychological approaches. EMDR has comprehensive approaches to explain the reasons for chronic pain. It seems most likely that the technique will prove widespread to be of great interest within the area of psychotherapies.

Keywords: Chronic Pain  Pain Disorders  Pain Psychotherapy  

Accuracy Verified: Yes


256. Riberto, S., Fernandez, I., Furlani, F., & Vigorelli, M. (2010). L'alleanza terapéutica nel trattamento cognitivo-costruttivista e nell' eye movement desensitization and reprocessing (EMDR) [Therapeutic alliance in cognitive-constructivist treatment and in eye movement desensitization and reprocessing (EMDR).]. Psicoterapia Cognitiva E Comportamentale, 16(1), 85-101.

Language: Italian

Format: Journal

Abstract:
Alleanza terapeutica è un tema centrale della ricerca contemporanea e di valutazione in psicoterapia. Sulla base di un riconoscimento della letteratura internazionale e su dati di ricerca, l'alleanza trasversale emerge come un fattore terapeutico comune ai modelli di trattamenti diversi, che quindi, si pone al di là delle tecniche, ma al tempo stesso intreccia con loro e con le loro specificità. Lo studio presentato si propone di osservare l'alleanza terapeutica tra il paziente e il terapeuta, usando Horvath (1981, 1982) strumento di valutazione entro due corsi brevi psicoterapeutico; un corso condotto con un approccio cognitivo-costruttivista, l'altra con il movimento oculare Desensibilizzazione e Rielaborazione (EMDR). I risultati delle analisi descrittiva effettuata sui dati e le osservazioni emerse hanno confermato l'importanza che entrambi gli approcci attribuiscono alla alleanza terapeutica, sul piano teorico e metodologico. In particolare, le valutazioni alleanza fornite dal paziente e dal terapeuta nella terapia con Eye Movement desensibilizzazione e rielaborazione sono stati trovati per essere molto più consistente che riflette la sintonia emotiva distintivo di questo approccio.

Therapeutic alliance is a central theme of contemporary research and assessment in psychotherapy. Based on an acknowledgement of international literature and on research data, the alliance emerges as a common therapeutic factor transversal to the different treatment models, which therefore, sets itself beyond the techniques, but at the same time interlaces with them and with their specificities. The study presented aims to observe the therapeutic alliance between the patient and the therapist by using Horvath's (1981; 1982) assessment tool within two short psychotherapeutic courses; one course conducted with a cognitive-constructivist approach, the other with the Eye Movement Desensitization and Reprocessing (EMDR). The results of the descriptive analysis performed on the data and the observations which emerged have confirmed the importance that both approaches attach to therapeutic alliance on the theoretical and methodological level. In particular, the alliance assessments provided by the patient and by the therapist in the therapy with Eye Movement Desensitization and Reprocessing were found to be much more consistent in reflecting the distinctive emotional attunement of the approach.

Keywords: Cognitive Constructivist Treatment  Therapeutic Alliance  

Accuracy Verified: Yes


257. Grand, D. (2010, Octubre/Noviembre). Las 15 directrices de EMDR para incrementar el desempeño y la creatividad [Spanish to English translation The 15 guidelines of EMDR to enhance performance and creativity]. Conferència magistral presentada II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.

Language: English

Format: Conference

Keywords: Creativity  Performance Enhancement  

Accuracy Verified: Yes


258. Rogers, S. (2002, June). Latest findings in EMDR process research and component analyses. In L. Beutler, Discussant, EMDR research and its future: Ecological validity, process research, outcome findings, and socio-political context (Panel Discussion, June 24) (SPR) Society for Psychotherapy Research, International Conference, Santa Barbara, CA .

Language: English

Format: Conference

Abstract:
EMDR has gained recognition as an effective PTSD treatment, with effects comparable to prolonged exposure or combinations of exposure with cognitive restructuring. Attempts to dismantle EMDR have led some reviewers to conclude that the eye movements are an inert treatment component and that EMDR is simply a form of exposure therapy. However, several studies have shown that eye movements are associated with decreased subjective distress during treatment sessions, decreased vividness and emotionality of mental imagery, decreased physiological arousal and enhanced episodic memory. These findings have implications for clinicians who are interested in ‘ease of useEas well as treatment outcome. They also have implications for the habituation/extinction model of anxiety reduction. Limitations of the group design approach to the dismantling of psychotherapies will be discussed, along with the results of two recently completed studies.

Keywords: CBT  Cognitive Behaviorial Therapy  Component Analysis  Process Research  

Accuracy Verified: Yes


259. Rogers, S. (2003, August). Latest findings in EMDR process research and component analysis. Presentation at the 111th annual meeting of the American Psychological Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
EMDR has gained recognition as an effective PTSD treatment, with effects comparable to prolonged exposure or combinations of exposure and cognitive restructuring. Attempts to dismantle EMDR have led some reviewers to conclude that the eye movements are an inert treatment component and that EMDR is best regarded as a form of exposure therapy. However, several studies have shown that eye movements are associated with decreased subjective distress during treatment sessions, decreased vividness and emotionality of mental imagery, decreased physiological arousal and enhanced episodic memory. These finding have implications for clinicians who are interested in 'ease of use' as well as treatment outcome. They also have implications for the habituation model of anxiety reduction. This presentation provides a review of the results of group and single-case EMDR component analyses, methodological issues and suggestions for future research.

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


260. Bossini, L., Tavanti, M., Calossi, S., Marino, G., Pieraccini, F., Vatti, G., & Castrogiovanni, P. (2008, Novembre). Le modificazioni del volume hippocampale dopo una terapia con EMDR nel PTSD [EMDR treatment for PTSD: effect on hippocampal volume]. Plenaria presentato le applicazioni cliniche di EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Molti studi di Risonanza Magnetica (RM) hanno mostrato che in pazienti con Disturbo Post-Traumatico da Stress (DPTS) è presente un volume ippocampale più piccolo se confrontato con i controlli sani. Allo stesso tempo altre indagini hanno mostrato che i farmaci psichiatrici bloccano gli effetti dello stress nell’ippocampo e promuovano la neurogenesi a livello ippocampale. Comunque il solo studio che ha investigato gli effetti di un tipo di psicoterapia non ha evidenziato modificazioni volumetriche significative (1). Scopo dello Studio: Scopo dello studio è indagare gli effetti del trattamento con EMDR (Eye Movement Desensitization and Reprocessing) sul volume ippocampale e sui sintomi clinici di un gruppo di pazienti con DPTS. Metodologia: Abbiamo paragonato gli ippocampi di 9 pazienti con DPTS cronico e mai sottoposti ad alcun tipo di terapia (farmacologica e/o psicoterapica) a 9 soggetti sani accoppiati per sesso, età e scolarità. La diagnosi e la severità del DPTS è stata misurata tramite la Clinician-Administered PTSD Scale (CAPS) (Fase 1). Successivamente tutti i soggetti con DPTS sono stati sottoposti a 12 sedute settimanali di EMDR della durata di 90 minuti ciascuna e nuovamente sottoposti a valutazione clinica e RM (Fase 2). Risultati: Fase 1 - E’ stata scelta una p inferiore di .05 per indicare la significatività statistica. L’analisi della covarianza (ANCOVA) con l’emisfero (ippocampo sinistro vs. ippocampo destro) come fattore ripetuto, il volume totale cerebrale come covariata ha mostrato che i soggetti con DPTS hanno il volume ippocampale più piccolo rispetto ai controlli (F=12.53, d.f=1,15, p=.003). La media del punteggio della CAPS nei soggetti con DPTS era 55.78 ± 21.74. Fase 2 - Il trattamento con EMDR è associate ad un incremento del volume ippocampale sia a destra (5.9 %) (t=-3.34, df=8, p=.010) sia a sinistra (6.1 %) (t=-3.27, df=8, p=.011). I risultati indicano anche che il trattamento con EMDR produce un significativo decremento del punteggio totale della CAPS (da 55.78±21.74 a 19.33±15.49; t=4.78, df=8, p=.001 Conclusioni: La prima parte dello studio conferma i dati che mostrano che i soggetti con DPTS hanno un ippocampo più piccolo dei controlli sani La seconda parte suggerisce che il trattamento con EMDR può essere associato ad un miglioramento sintomatologico e ad un incremento del volume degli ippocampi. Questi risultati suggeriscono l’opportunità di continuare ad indagare gli effetti biologici delle psicoterapie.

Many studies of Magnetic Resonance Imaging (MRI) showed that in patients with Post-Traumatic Stress Disorder (PTSD) is a smaller hippocampal volume compared with healthy controls. At the same time other studies have shown that psychiatric drugs block the effects of stress and promote hippocampus neurogenesis in the hippocampus. However, the only study that investigated the effects of a type of psychotherapy showed no significant volume changes (1). Objective: The purpose of this study is to investigate the effects of treatment with EMDR (eye movement desensitization and reprocessing) on hippocampal volume and clinical symptoms of a group of patients with PTSD. Methods: We compared the hippocampi of nine patients with chronic PTSD and never subjected to any kind of treatment (pharmacological and / or psychotherapy) in 9 healthy subjects matched for sex, age and education. The diagnosis and severity of PTSD was measured by the Clinician-Administered PTSD Scale (CAPS) (Phase 1). Then all subjects with PTSD were subjected to 12 weekly sessions of EMDR lasting 90 minutes each and again subjected to clinical evaluation and MRI (Phase 2). Results: Step 1 - E 'was chosen p less than .05 to indicate statistical significance. The analysis of covariance (ANCOVA) with hemisphere (left vs. hippocampus. Right hippocampus) as repeated factor, the total brain volume as covariate showed that individuals with PTSD have smaller hippocampal volume than controls (F = 12:53 , df = 1.15, p =. 003). The average score of the CAPS in subjects with PTSD was 55.78 ± 21.74. Step 2 - Treatment with EMDR is associated with an increase in both right hippocampal volume (5.9%) (t =- 3:34, df = 8, p =. 010) and left (6.1%) (t =- 3.27, df = 8, p =. 011). The results also indicate that treatment with EMDR produces a significant decrease in the CAPS total score (from 21.74 to 55.78 ± 19:33 15:49 ± t = 4.78, df = 8, p =. 001 Conclusion: The first part of the study confirms the data showing that individuals with PTSD have a smaller hippocampus of healthy controls The second part suggests that treatment with EMDR may be associated with symptomatic improvement and an increase in the volume of the hippocampus. These results suggest the desirability of continuing to investigate the biological effects of psychotherapy.

Keywords: Hippocampal Volume  Plenary  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


261. Tofani, L. R., & Wheeler, K. (2012). Le protocole de l'épisode traumatique récent: Evaluation et analyse des résultats de trois études de cas [The protocol for recent traumatic episode: Evaluation and analysis of the results of three case studies]. Journal of EMDR Practice and Research, 6(4), 46E-63E. doi:10.1891/1933-3196.6.4.46.

Language: French

Format: Journal

Abstract:
Cet article évalue et illustre l’application du protocole de l’épisode traumatique récent (R-TEP : recenttraumatic episode protocol) avec trois clients différents : un enfant atteint d’une maladie chronique, une femme ayant subi une perte importante et un adolescent qui s’automutilait. Le R-TEP est une adaptation du protocole EMDR pour l’intervention EMDR précoce. Les séances sont présentées de manière détaillée afin de souligner les changements qui se produisent au niveau du traitement de l’information au cours de la thérapie. Des marqueurs observés identifiés ont permis d’analyser le déroulement du traitement, incluant la distanciation vis-à-vis du trauma ; la diminution des affects négatifs ou le changement des émotions rapportées ; l’accès à des informations plus adaptatives ; des changements au niveau de l’échelle des unités subjectives de perturbation (SUDS : Subjective Units of Disturbance scale) ; l’échelle de validité de la cognition (Validity of Cognition) et l’échelle révisée d’impact de l’événement (Impact of Event Scale––Revised) indiquant des modifications de la perception du souvenir traumatique. Tous les clients ont montré des gains thérapeutiques pré/post du R-TEP, avec des changements au niveau du comportement et du fonctionnement. Les soubassements du R-TEP sont envisagés à la lumière des observations rapportées. La contribution spécifique du protocole est soulignée en considération de ses composants procéduraux et des mécanismes de changement associés plausibles.

This article evaluates and illustrates the application of the protocol recent traumatic episode (R-PET: recenttraumatic episode protocol) with three different clients: a child with a chronic illness, woman who suffered a major loss and a teenager who automutilait. The R-TEP is an adaptation EMDR protocol for early EMDR intervention. The sessions are presented in detail to highlight the changes that occur in the processing of information during therapy. Observed identified markers were used to analyze the course of treatment, including distance vis-à-vis the trauma, decrease negative affect or change reported emotions; access to information more adaptive, changes at scale subjective units of disturbance (SUDS: Subjective Units of Disturbance Scale) scale validity of cognition (Validity of Cognition) and the revised scale of impact of the event (Impact of Event Scale - Revised) indicating changes in the perception of the traumatic memory. all customers have shown therapeutic gains pre / post R-TEP, with changes in behavior and functioning. The foundations of the R-TEP are considered in the light of reported sightings. The specific contribution of the protocol is emphasized in view of its procedural components and related plausible mechanisms of change.

Keywords: Evaluation of Results  Mechanisms of Action  Recent Trauma  R-TEP  

Accuracy Verified: Yes


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

Language: French

Format: Book Section

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

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

Keywords: Neuroscience  Neuroscientific Bases  

Accuracy Verified: Yes


263. Bondarenko, A. F. (1997, January). Love trauma psychotherapy using EMDR:  An analysis of three cases. EMDRIA Newsletter, 2(3), 13-14.

Language: English

Format: Newsletter

Abstract:
Most psychologists and psychotherapists practicing in the former Soviet Union (FSU) can be divided into two groups: the problems-oriented ones (who prefer to work in once of the counseling or psychotherapy fields, e.g., family psychotherapy, PTSD psychotherapy, etc.) and those who are technically oriented, i.e., prefer to work strictly with a definite psychotherapeutic paradigm, (behavioral, existential, etc.).

Keywords: Love  

Accuracy Verified: Yes


264. Gallagher, C. (2002). Making sense of EMDR: Efficacy of EMDR and the application of Horowitz's control process theory to a psychological analysis of EMDR psychotherapy. Widener University, Institute for Graduate Clinical Psychology, Chester, PA. AAT 3132374.

Language: English

Format: Dissertation/Thesis

Abstract:
Originally a technique that seemed to desensitize disturbing memories, EMDR is now a full-scale protocol that is being used to treat a wide-range of disorders. Even its proponents acknowledge, however, that the mechanism of action in EMDR is still unknown. It is argued that there has been an over-emphasis on neurophysiological explanations of EMDR. After a review of controlled studies and a discussion of proposed mechanisms, two case studies of EMDR therapy (one child and one adult) with pathological grief are presented. The cases are analyzed for their adaptive changes as this term is applied in Horowitz's control process theory (1992). It is argued that Horowitz's theory represents a theoretical foundation by which a psychological understanding of the EMDR psychotherapy process can be achieved. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(5-B), 2004, pp. 2625.

Keywords: Clinical Case Study  Empirical Study  Horowitz's Control Process Theory  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


265. Arnstein, M. (1996, December). Marital therapy, EMDR, Herman's model of recovery from trauma:  The journey of one woman and her family. Australian & New Zealand Journal of Family Therapy, 17(4), 212-224.

Language: English

Format: Journal

Abstract:
Judith Herman delineates a 3-stage model of recovery from trauma: (1) Safety; (2) Remembrance and Mourning; (3) Reconnection. She criticises current treatment methods for their failure to make a difference in the "constrictive symptoms of numbing and social withdrawal...and marital, social and work problems do not necessarily improve." Family therapy has been criticised often for insufficient focus on emotion and general sensations. This case analysis will illustrate how these shortcomings can be successfully addressed with the use of marital counseling and EMDR. The use of multiple treatment approaches contributed to one client's resolution of recent trauma due to a car accident, of past crises due to marital infidelity and early childhood abuse, with significant changes for her in her current family as well as in her family of origin. Theoretical implications for "family therapy" are raised. [Author Abstract]

Keywords: Adults  Australians  Case Report  Child Abuse  Family Therapy  Females  Marital Problems  Motor Traffic Accidents  Posttraumatic Stress Disorder  PTSD  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


266. Dunn, T. M., Schwartz, M., Hatfield, R. W., & Wiegele, M. (1996, September). Measuring effectiveness of eye movement desensitization and reprocessing (EMDR) in non-clinical anxiety:  A multi-subject, yoked-control design. Journal of Behavior Therapy and Experimental Psychiatry, 27(3), 231-239. doi:10.1016/S0005-7916(96)00034-1.

Language: English

Format: Journal

Abstract:
28 subjects from a university's subject pool were paired on sex, age, severity, and type of stressful or traumatic incident. 1 subject in each pair was selected to receive EMDR; the experimental partner spent the same amount of time receiving a visual (non-movement) placebo. Subjective units of discomfort (SUD) scores and physiological measurements were taken prior to and following treatment. Analysis of physiological measurements and self-reported levels of stress were performed within and between each group. While the EMDR group showed significant reductions of stress, EMDR was no better than a placebo. This suggests EMDR's specific intervention involving eye movement may not be a necessary component of the treatment protocol. [Author Summary]

Keywords: Americans  Arousal  College Students  Effects  Empirical Study  Stressors  Survivors  Treatment Effectiveness  Young Adults  

Accuracy Verified: Yes


267. Nicosia, G. J. (1994, March). A mechanism for dissociation suggested by the quantitative analysis of electroencephalography. Presentation at the EMDR Network Conference, Sunnyvale, CA..

Language: English

Format: Conference

Keywords: Electroencephalography  Quanitative Analysis  

Accuracy Verified: Yes


268. Russell, M. (2008, September). Meeting military mental health needs in the 21st century and beyond: A critical analysis of the effects of dualism, disparity and scientific bias. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Since 2001, the wars in Iraq and Afghanistan have caused considerable strain on military medicine to effectively manage the large and growing mental health demand from deployed personnel. Current trends, initiatives and on-going barriers in meeting war-related mental health needs for this and future war generations as reported by military officials, including the 2007 Department of Defense’s (DoD) Task Force on Mental Health, is reviewed including training of providers, access to high quality mental health assessment and treatments and research innovations. Lastly, a model for a 21st century modern military mental health care system is proposed within the context of historical and present-day analysis of the cyclical impact of dualistic approaches toward mental and physical health and consequent effects of mental health stigma and disparity. Authors’ note: The findings and opinions expressed are the authors’ alone and are not intended to represent the views of the Department of the Navy, the Department of Defense, or the Department of Veterans Affairs.

Keywords: Military  

Accuracy Verified: Yes


269. Usita, A. L. (2012, April). Mental health providers' perspectives on youth trauma services: Usual care and evidence-based practices. University of Hawaii at Hilo. 1511570.

Language: English

Format: Dissertation/Thesis

Abstract: Evidence-based practices (EBPs) are a means to improve the quality of care within children's mental health. Currently, little is known about independent practitioners' use of EBPs in treating children who have experienced traumatic events. Qualitative methodology was used to examine clinician's practice patterns, perceptions and knowledge regarding EBPs in treatment of children with trauma histories. Twenty-one interviews were conducted, representing clinicians within the public school, private practice, and third party provider agency settings. Open coding analysis was used to examine relevant themes surrounding youth trauma care. Clinicians identified often utilizing a variety of cognitive, art, play and humanistic therapies. Of note regarding treatment practices, clinicians discussed limited use of Exposure. There was also expressed interest in Eye Movement Desensitization and Reprocessing [EMDR] and tapping. Though use of EBPs (or components of EBPs) is one of many approaches within therapists' "toolbox" of interventions to choose from various concerns were voiced regarding EBPs. Interviews indicate that limited use of specific treatments including EBPs may be due to limited training and understanding. Clinicians displayed apprehension in using any one specific treatment practice for all clients with trauma related issues, and were cautious when discussing the term "evidence-based" specifically. Generally, positive attitudes towards EBPs as aiding in accountability and for informing practices have been stated, along with concern over managed care, use of EBPs as guidelines and applicability to varied diverse cultural populations.

Keywords: EBP  Evidence-based practices  

Accuracy Verified: Yes


270. Sack, M., Lempa, W., & Lamprecht, F. (2001, September-Oktober). Meta-analyse von studien über EMDR - Behandlung von patienten last mitposttraumatischen störungen: Der einfluss der studienqualität auf effektstärken [Study quality and effect-sizes: A meta-analysis of EMDR-treatment for posttraumatic stress disorder]. Psychotherapie, Psychosomatik, Medizinische Psychologie, 51 (9-10), 350-355. doi:10.1055/s-2001-16898.

Language: German

Format: Journal

Abstract:
Obwohl die Wirksamkeit von Augenbewegungen Desensitizer gute und Wiederaufbereitung (EMDR) in der Behandlung von Patienten mit PTSD ist bis heute eine Reihe von Studien dokumentiert, ist diese neue Technik noch die Behandlung der höchst umstrittene kritischen Ziel. Unsere Meta-Analyse versucht, die Frage, ob EMDR-Therapie-Studien mit hohen Qualitätsstandards zu beantworten, erzielen Sie bessere Ergebnisse als andere. Dafür werden alle veröffentlichten Studien ein Verfahren der Scoring-Studie die Qualität und Wirkung Größen berechnet unterzogen wurden. Es kann sehr sorgfältig geplante Studien gezeigt werden, einschließlich der Behandlung von gut ausgebildeten Therapeuten und mit einer hohen Anzahl von ausreichend Behandlungen im Vergleich zur Erzielung besserer Ergebnisse Methodische Studien mit niedrigen Standards. [Abstract Autor]

Although the efficacy of eye movement desensitization good and reprocessing (EMDR) in the treatment of patients with PTSD is up to now documented by a number of studies, this new treatment technique is still the target of highly controversial critique. Our meta-analysis tries to answer the question of Whether EMDR-therapy studies with higher quality standards, achieve better results than others. Therefore, all published studies underwent a scoring procedure of study quality and effect sizes were computed. It can be shown that carefully planned studies, including treatment by well-trained therapists and with a Sufficiently high number of treatment sessions, achieve better results compared to studies with low methodological standards. [Author Abstract]

Keywords: Meta Analysis  Posttraumatic Stress Disorder, PTSD, Treatment Effectiveness  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes


272. Lee, C. W., & Cuijpers, P. (2012, November). A meta-analysis of the contribution of eye movements in processing emotional memories. Journal of Behavior Therapy and Experiential Psychiatry, 44(2), 231-239. doi:10.1016/j.jbtep.2012.11.001.

Language: English

Format: Journal

Abstract:
Background and Objectives: Eye Movement Desensitisation and Reprocessing (EMDR) is now considered evidence based practice in the treatment of trauma symptoms. Yet in a previous meta-analysis, no significant effect was found for the eye movement component. However methodological issues with this study may have resulted in a type II error. The aim of this meta-analysis was to examine current published studies to test whether eye movements significantly affect the processing of distressing memories. Method: A systematic review of the literature revealed two groups of studies. The first group comprised 15 clinical trials and compared the effects of EMDR therapy with eye movements to those of EMDR without the eye movements. The second group comprised 11 laboratory trials that investigated the effects of eye movements while thinking of a distressing memory versus the same procedure without the eye movements in a non-therapy context. The total number of participants was 849. Results: The effect size for the additive effect of eye movements in EMDR treatment studies was moderate and significant (Cohen's d = 0.41). For the second group of laboratory studies the effect size was large and significant (d = 0.74). The strongest effect size difference was for vividness measures in the non-therapy studies (d = 0.91). The data indicated that treatment fidelity acted as a moderator variable on the effect of eye movements in the therapy studies. Conclusions: Results were discussed in terms of current theories that suggest the processes involved in EMDR are different from other exposure based therapies.

Keywords: Meta-Analysis  Review  

Accuracy Verified: Yes


273. Kehle, S., Polusny, M., & Meis, L. (2009, November). A meta-analytic review of exposure therapy and EMDR in the treatment of adult PTSD. Presentation at the 25th Annual Meeting of the International Society for Traumatic Stress Studies, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Eye movement desensitization (EMDR) and exposure therapies (e.g. prolonged exposure therapy) have both been recommended as first-line treatments for posttraumatic stress disorder (PTSD). However, relatively little is known about the comparative efficacy of the two types of treatments. To date, the few studies that have been conducted have small sample sizes, making it difficult to draw conclusions. The goal of the current study was to use meta-analytic techniques to synthesize the existing data on the relative efficacy of exposure therapies and EMDR. Through a comprehensive literature search, we identified six randomized control trials that met our inclusion criteria. We calculated Hedges g effect sizes for the continuous variables (positive values favor exposure therapies) and risk ratios (RRs) for dichotomous variables (values greater than one favor exposure therapies). EMDR and exposure therapies did not differ significantly on clinician-rated PTSD (g = 0.32), self-report PTSD (g = -0.08), selfreport depression (g = -0.01), loss of PTSD diagnosis (RR = 1.46), or dropout (RR = 0.79). However, higher-quality studies (based on Foa & Meadows’ 1997 criteria) consistently favored exposure therapies. Clinical implications will be discussed

Keywords: Exposure Therapy  Meta-analysis  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


274. Powers, M. B., Halpern, J. M., Ferenschak, M. P., Gillihan, S. J., & Foa, E. B. (2010, August). A meta-analytic review of prolonged exposure for posttraumatic stress disorder. Clinical Psychology Review, 30(6), 635-641. doi:10.1016/j.cpr.2010.04.007.

Language: English

Format: Journal

Abstract:
Two decades of research demonstrate the efficacy of exposure therapy for posttraumatic stress disorder (PTSD). The efficacy of prolonged exposure (PE), a specific exposure therapy program for PTSD that has been disseminated throughout the world, has been established in many controlled studies using different trauma populations. However, a meta-analysis of the effectiveness of PE for PTSD has not been conducted to date. The purpose of the current paper is to estimate the overall efficacy of PE for PTSD relative to adequate controls. We included all published randomized controlled trials of PE vs. control (wait-list or psychological placebo) for the treatment of PTSD in adolescents or adults. Treatments were classified as PE if they included multiple sessions of imaginal and in vivo exposure and were based on the manualized treatment developed by Foa, Rothbaum, Riggs, and Murdock (1991). Thirteen studies with a total sample size of 675 participants met the final inclusion criteria. The primary analyses showed a large effect for PE versus control on both primary (Hedges's g = 1.08) and secondary (Hedges's g = 0.77) outcome measures. Analyses also revealed medium to large effect sizes for PE at follow-up, both for primary (Hedges's g = 0.68) and secondary (Hedges's g = 0.41) outcome measures. There was no significant difference between PE and other active treatments (CPT, EMDR, CT, and SIT). Effect sizes were not moderated by time since trauma, publication year, dose, study quality, or type of trauma. The average PE-treated patient fared better than 86% of patients in control conditions at post-treatment on PTSD measures. PE is a highly effective treatment for PTSD, resulting in substantial treatment gains that are maintained over time.

Keywords: CBT  Cognitive Behavioral Therapy  PE  Prolonged Exposure  Exposure  Meta-Analysis  Review  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


275. Glans, E., & Dahlberg, U. O. (2004). Minne efter påverkan, Bilateral stimulering och dess effekt på episodiskt minne [Memory after impact: Bilateral stimulation and its effect on episodic memory]. Umeå Universiter, Institutionen för psykologi Psykologprogrammet.

Language: Swedish

Format: Dissertation/Thesis

Abstract:
Ett kognitivt minnesexperiment med mellangruppsdesign genomfördes i syfte att undersöka auditiv bilateral stimulerings inverkan på episodiskt minne. Bakgrunden till studien var att många kliniska iakttagelser gjorts i den psykoterapeutiska behandlingsmetoden Eye Movement Desensitization and Reprocessing, (EMDR) angående den bilaterala stimuleringens effekt på minnesprocesser. Frågeställningen var: Har auditiv bilateral stimulering någon positiv effekt på det episodiska minnet? Ett randomiserat urval bestående av 110 universitetsstuderande försökspersoner (55 kvinnor och 55 män), jämnt fördelade över fem grupper, i åldrarna 19-46 år, deltog. Auditivt stimulus gavs i fyra av grupperna. Den beroende variabeln var episodiskt minnesprestation och mättes med hjälp av meningstest och ordtest. Någon generell effekt av bilateral stimulering på episodiskt minne kunde inte påvisas. Bilateralt stimuli vid inlärning visade dock på signifikanta resultat avseende minnesprestation i förhållande till de två grupper som erhöll bilateralt stimuli vid återgivning. Signifikans erhölls även avseende prestation i förhållande till försökspersonernas upplevelse av stimulus. Resultaten diskuterades utifrån försökspersonernas upplevelse av stimulus samt inflytande av arousal. Avsaknad av emotionella komponenter, som i förlängningen bidragit till skillnader i minnesprocessande, antogs vara huvudsaklig förklaring till utebliven positiv effekt av bilateral stimulering.

A cognitive memory experiment with between group design was conducted to investigate the auditory bilateral stimulation effect on the episode of animal memory. The background to study was that many clinical observations made in the psychotherapeutic treatment Eye Movement Desensitization and Reprocessing (EMDR) regarding bilateral stimulation effect on memory processes. The issue was: Did auditory bilateral stimulation a positive effect on the episodic memory? A randomized sample of 110 university student volunteers (55 women and 55 males), evenly distributed over five groups, aged 19-46 years, participated. Audi TIVE stimulus was given in four groups. The dependent variable was episode-Semitic memory performance and measured with the help of meaningful test and ordtest. A general effect of bilateral stimulation of episode animal memory could not be demonstrated. Bilateral stimuli at learning, however, showed the significant results relating to memory performance in relation to the two groups who received bilateral stimulation at reproducing. Significance was obtained including performance in relation to the trial subject's experience of stimulus. The results are discussed from the trial subject's experience of stimulus and the influence of arousal. Lack of emotional components, which ultimately contributed to differences in memory processing, was adopted as the primary explanation for non - positive effect of bilateral stimulation.

Keywords: Auditory Bilateral Stimulation  BLS  Episodic Memory  

Accuracy Verified: Yes


276. Zangwill, W. (1994). Mistakes to avoid in using EMDR:  Or “Do what I say, not what I’ve done”. EMDR Network Newsletter, 4(1), 13-14.

Language: English

Format: Newsletter

Abstract:
There are a number of people involved with EMDR who have specialties in various areas including children, veterans, sexual abuse, peak performance, smoking cessation, etc. Though I have my own areas of clinical specialization, when it comes to EMDR, my particular area of expertise seems to be in the area of What NOT To Do. In this first of a two-part article, I want to review many of the mistakes that I and others have made using EMDR. While this list is probably most helpful for those beginning to use EMDR, I have found it useful for experienced clinicians as well.

Keywords: Mistakes  

Accuracy Verified: Yes


277. Andonucci, H. (2004). The modifications of the EMDR protocol for sexually abused children. Alliant International University, San Francisco Bay. AAT 3133439.

Language: English

Format: Dissertation/Thesis

Abstract:
There is an increasing interest in using the procedures of EMDR with sexually abused children because of its effectiveness in treating PTSD and trauma in adults and children. Within the literature clinicians have reported modifications of the standard adult protocol originally developed by Shapiro in order to facilitate the therapy with children. To date, no study has investigated the actual modifications clinicians use when treating sexually abused children. A study was designed to elicit information about the actual use of such modifications from appropriately trained clinicians who work with sexually abused children 12 years and younger. A questionnaire was developed to obtain demographic information from therapists about their background and experience with abused children. An EMDR protocol modification survey was also created to elicit information about whether and how clinicians alter the standard EMDR protocol for use with abused children. Eight completed surveys were returned and the results of data analysis showed that clinicians do indeed modify the protocol as described and discussed. In particular, the results indicated the importance of modifications in the EMDR procedure for children and suggested important changes in the questionnaire that could be used for future data collection. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(5-B), 2004, pp. 2611.

Keywords: Child Abuse  Empirical Study  Psychotherapeutic Processes  Qualitative Study  Rape  School Age Children  Survivors  

Accuracy Verified: Yes


278. Greenwald, R. (2002). Motivation-adaptive skills-trauma resolution (MASTR) therapy for adolescents with conduct problems:  An open trial. Journal of Aggression, Maltreatment and Trauma, 6(1), 237-261. doi:10.1300/J146v06n01_12.

Language: English

Format: Journal

Abstract:
Trauma is proposed as a key to understanding the development and persistence of adolescent conduct problems, in conjunction with other contributing factors. A trauma-focused individual therapy approach is presented as one example of how this population might be more effectively treated. This approach features motivational interviewing, self-control training (cognitive-behavioral therapy), and trauma resolution (eye movement desensitization and reprocessing). This paper reports on an open trial of six adolescents with school and conduct problems who received school-based Motivation-Adaptive Skills-Trauma Resolution (MASTR) treatment. Reductions in post-traumatic stress, related symptoms, and problem behaviors, along with improved school performance, indicate the value of further study of this treatment approach. [Author Summary]

Keywords: Adolescents  Americans  Clinical Trial  Cognitive Therapy  Depressive Disorders  Disruptive Behavior Disorders  High School Students  Individual Psychotherapy  Junior High School Students  Preadolescents  School Based Treatment  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


279. Greenwald, R. (2001, June). Motivational interviewing for offenders. Presentation at the annual meeting of EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Motivational Interviewing (MI) is a structured counseling approach designed to elicit motivation for change. Innovative component interventions involve the EMDR-based "Future Movies" intervention - to help the offender identify and invest in personal goals - and Functional Behavioral Analysis - to help the offender understand the relationship and the trauma history to the problem behaviors. Workshop participants will learn how to use Future Movies and Functional Behavioral Analysis within the MI approach, to mobilize offenders to engage in treatment activities, including EMDR, to interrupt and defuse the offense cycle. This approach is applicable to adolescents and adults with a variety of problem behaviors.

Keywords: Functional Behavioral Analysis  Future Movies  Motivational Interviewing  Offenders  

Accuracy Verified: Yes


280. Nogueira, R. L. (2012, Novembro). Movimentos oculares e a teoria da memória de trabalho: Implicações clínicas [Eye movements and the theory of working memory: Clinical implications]. In EMDR e memórias. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
O objetivo do trabalho é apresentar uma revisão sobre o efeito dos movimentos oculares durante a exposição a memórias traumáticas a partir do paradigma da Teoria da Memória de Trabalho. Shapiro (2001) afirmou que a compreensão do mecanismo de ação do EMDR por meio da análise do efeito de seus componentes pode permitir cada vez mais seu aprimoramento. A meta-análise de Lee e Cuijpers (2012) mostra a importância dos movimentos oculares para a diminuição da vivacidade e das emoções negativas associadas às memórias traumáticas. Segundo a Teoria da Memória de Trabalho, a realização de movimentos oculares durante a manutenção de memórias traumáticas causaria a taxação da memória de trabalho, tornando as imagens menos vívidas e emocionais (ex. Gunter e Bodner 2008; van Den Hout et al. 2011). Quanto maior a taxação da memória de trabalho, desde que não cause prejuízo da manutenção da memória na mente, maior é a redução da vivacidade e intensidade (Gunter e Bodner 2008; van Den Hout et al. 2011, Engelhard et al. 2010, 2011). Portanto, a intensidade dos movimentos oculares parece ser importante para o efeito terapêutico. Smeets et al. (2012), ao investigarem o decurso temporal desses efeitos, verificaram que os movimentos oculares interferem primeiro com a vivacidade da memória. A redução da emocionalidade ocorre posteriormente. Por sua vez, Engelhard et al. (2010, 2011) têm mostrado que os movimentos oculares também são benéficos em relação a imagens negativas de eventos futuros, indicando um efeito terapêutico do EMDR sobre psicopatologias em que essas imagens estão presentes.Assim, em consonância com a afirmação de Shapiro (2001), estudos mostram a importância de se correlacionar a prática clínica com as investigações científicas sobre componentes do EMDR (ver Engelhard 2012). Além de favorecer a compreensão, a aplicação e a revisão dos protocolos, a correlação possui implicações clínicas importantes.

The objective is to present a review on the effect of eye movements during exposure to traumatic memories from the paradigm of the Theory of Working Memory. Shapiro (2001) stated that understanding the mechanism of action of EMDR through the analysis of the effect of its components can increasingly allow their improvement. A meta-analysis of Lee and Cuijpers (2012) shows the importance of eye movements to decrease the vividness and negative emotions associated with traumatic memories. According to the Theory of Working Memory, conducting eye movements during maintenance of traumatic memories cause the tax working memory, making the images less vivid and emotional (eg Gunter and Bodner 2008; van den Hout et al. 2011) . The higher taxation of working memory, since it does not cause prejudice to the maintenance of memory in mind, the greater the reduction in vividness and intensity (Gunter and Bodner 2008; van den Hout et al., 2011, Engelhard et al. 2010, 2011 ). Therefore, the intensity of eye movements seem to be important to the therapeutic effect. Smeets et al. (2012) investigated the time course of these effects and found that eye movements interfere first with the vividness of memory. The reduction in emotionality occurs later. In turn, Engelhard et al. (2010, 2011) have shown that eye movements are also beneficial in relation to negative images of future events, indicating a therapeutic effect of EMDR on psychopathology in which these images are presentes.Assim, in line with the statement Shapiro (2001) studies show the importance of correlating clinical practice with scientific research on components of EMDR (see Engelhard 2012). Besides promote understanding, implementation and review of protocols, the correlation has important clinical implications.

Keywords: Eye movements  Clinical Implications  Theory of Working Memory  

Accuracy Verified: Yes


281. Wells, J. (1992, October 26). Moving finger points way to better performance. The Australian.

Language: English

Format: Magazine

Abstract:
The moving finger may have written one of the most important sport storles of the age in the past fortnight. The finger of Sydney psychiatrist Dr. Bob Hampshire was waved daily in the eyes of Brett Dutton, Jeff Stewart, Jamie Kelly, David Perry, and Mark Elliott of the Ansett Australia team during the Pacific Power-Commonwealth Bank Cycle Classic.
And if Hampshire is right, a painless technique called EMD (Eye Movement Desensitisation) may have opened up a golden avenue in the brain for improved sporting performance.

Keywords: General  Overview  Sports Performance  

Accuracy Verified: No


282. Bradley, R., Greene, J., Russ, E., Dutra, L., & Westen, D. (2005, February). A multidimensional meta-analysis of psychotherapy for PTSD. American Journal of Psychiatry, 162(2), 214-227. doi:10.1176/appi.ajp.162.2.214.

Language: English

Format: Journal

Abstract:
Objective: The authors present a multidimensional meta-analysis of studies published between 1980 and 2003 on psychotherapy for PTSD. Method: Data on variables not previously meta-analyzed such as inclusion and exclusion criteria and rates, recovery and improvement rates, and follow-up data were examined. Results: Results suggest that psychotherapy for PTSD leads to a large initial improvement from baseline. More than half of patients who complete treatment with various forms of cognitive behavior therapy or eye movement desensitization and reprocessing improve. Reporting of metrics other than effect size provides a somewhat more nuanced account of outcome and generalizability. Conclusions: The majority of patients treated with psychotherapy for PTSD in randomized trials recover or improve, rendering these approaches some of the most effective psychosocial treatments devised to date. Several caveats, however, are important in applying these findings to patients treated in the community. Exclusion criteria and failure to address polysymptomatic presentations render generalizability to the population of PTSD patients indeterminate. The majority of patients posttreatment continue to have substantial residual symptoms, and follow-up data beyond very brief intervals have been largely absent. Future research intended to generalize to patients in practice should avoid exclusion criteria other than those a sensible clinician would impose in practice (e.g., schizophrenia), should avoid wait-list and other relatively inert control conditions, and should follow patients through at least 2 years. [Author Abstract]
Erratum in American Journal of Psychiatry 2005, Apr, 162(4), 832 and 2006, Feb, 163(2), 330

Keywords: Cognitive Therapy  Meta Analysis  Posttraumatic Stress Disorder  Psychotherapy  PTSD  Treatment  Treatment Effectiveness  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Narcissistic Personality Disorder  

Accuracy Verified: Yes


284. Perez-Marin, M., & Molero-Zafra, M. (2008, June). Narrative family therapy, eye movement desensitization and reprocessing (EMDR) and adoption: Fostering interactions in clinical settings [Intermediate workshop]. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Narrative family therapy is the study of individuals, systems and the research on origins, development and transmission of values, as well as their meaning, and influence on social dynamics. Using tales we could symbolically represent an entity, both individual and collective, and express a personal identification, a family tie, a community link or a socially recognized status or personal worth. Externalisation, in narrative family therapy, is a process to “get out” from the person any element or quality that is transformed in some with entity. In psychotherapy, externalising is the use of language to convert problems that affect person or family on to independent entity. This transformation allows people to fight against them or to view them from a new perspective. Externalisation technique thorough the metaphoric use of tales as external representation of family entity and individual’s worth inside the family system is applied in adoption cases. The objective here is to create a link between the child history and the family history in order to cope with difficulties that children and families find after adoption. We use tales inside the symbolic techniques that permits families work together with meanings, individualism and cohesion within their members, and after adoption. We present some clinical cases with families that have adopted a child. During the treatment we have combined EMDR and narrative family therapy techniques in clinical interventions. Using them, we carried out an analysis of the therapeutic issues and benefices of EMDR and narrative therapy in these family processes.

Keywords: Adoption  Narrative Family Therapy  

Accuracy Verified: Yes


285. Prado-Gasco, V. J., Perez-Marin, M., & Molero-Zafra, M. (2010, July). Narrative family therapy, eye movement desensitization and reprocessing (EMDR) and adoption: An intervention protocol. Poster presented at the 27th International Congress of Applied Psychology, Melbourne, Australia.

Language: English

Format: Conference

Abstract: From the model of Narrative family therapy we use tales that could symbolically represent in therapy settings a person or a legal entity, both individual and collective, and which expresses a personal identification, a family tie, a community link or a socially recognized status or personal worth. Externalisation, in narrative family therapy, is a process to “get out” from the person any element or quality that is transformed in some with entity (White, 1991; White y Epston, 1993). In psychotherapy, externalising is the use of language to convert problems that affect the person or family on to an independent entity. This transformation allows people to fight against them or to view them from a new perspective. Externalisation technique through the metaphoric use of tales as external representation of family entity and individual’s worth inside the family system is applied in children adoption cases. The objective here is not to fight against the external representation of the family. We use tales inside the symbolic techniques that permits families to work together with meanings, individualism and cohesion within their members, and after adoption. We present a therapeutic protocol that combined EMDR and narrative family therapy externalisation techniques. We expose in a format of clinical case report the therapeutic work with a family that have adopted a child who suffer of a simple phobia. Using the protocol we describe above we carried out an analysis of the therapeutic issues and benefices of EMDR and narrative therapy in these family processes. This protocol has been useful to manage the phobia symptoms and to improve the adoptive family identity and cohesion. The combined approach we describe could help adoptive families to understand and to interpret the meanings from the construction that family systems make of their own world and relieve psychological symptoms that children could present.

Keywords: Adoption  Intervention Protocol  Narrative Family Therapy  Poster  

Accuracy Verified: Yes


286. Pagani, M., DiLorenzo, G., Verardo, A. R., Nicolais, G., Monaco, L., Lauretti, G., Russo, R., Niolu, C., Ammaniti, M. Fernandex, I., & Siracusano, A. (2012). Neurobiological correlates of EMDR monitoring - an EEG study. PLoS ONE, 7(9), 1-12. doi:10.1371/journal.pone.0045753.

Language: English

Format: Journal

Abstract:
Background: Eye Movement Desensitization and Reprocessing (EMDR) is a recognized first-line treatment for psychological trauma. However its neurobiological bases have yet to be fully disclosed. Methods: Electroencephalography (EEG) was used to fully monitor neuronal activation throughout EMDR sessions including the autobiographical script. Ten patients with major psychological trauma were investigated during their first EMDR session (T0) and during the last one performed after processing the index trauma (T1). Neuropsychological tests were administered at the same time. Comparisons were performed between EEGs of patients at T0 and T1 and between EEGs of patients and 10 controls who underwent the same EMDR procedure at T0. Connectivity analyses were carried out by lagged phase synchronization. RESULTS: During bilateral ocular stimulation (BS) of EMDR sessions EEG showed a significantly higher activity on the orbito-frontal, prefrontal and anterior cingulate cortex in patients at T0 shifting towards left temporo-occipital regions at T1. A similar trend was found for autobiographical script with a higher firing in fronto-temporal limbic regions at T0 moving to right temporo-occipital cortex at T1. The comparisons between patients and controls confirmed the maximal activation in the limbic cortex of patients occurring before trauma processing. Connectivity analysis showed decreased pair-wise interactions between prefrontal and cingulate cortex during BS in patients as compared to controls and between fusiform gyrus and visual cortex during script listening in patients at T1 as compared to T0. These changes correlated significantly with those occurring in neuropsychological tests. Conclusion: The ground-breaking methodology enabled our study to image for the first time the specific activations associated with the therapeutic actions typical of EMDR protocol. The findings suggest that traumatic events are processed at cognitive level following successful EMDR therapy, thus supporting the evidence of distinct neurobiological patterns of brain activations during BS associated with a significant relief from negative emotional experiences.

Keywords: EEG Study  Neurobiological Correlates  

Accuracy Verified: Yes


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

Language: Italian

Format: Conference

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

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

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


288. Olff, M., Nijdam, M., Samuelson, K., Golier, J., Meewisse, M., Marmar, C., Yehuda, R., Gersons, B., & Neylan, T. (2007, November). Neuropsychological Symptoms in Posttraumatic Stress Disorder and Changes Over Time. Symposium conducted at the 23rd annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Neuropsychological symptoms in posttraumatic stress disorder and changes over time: Attention and memory problems are some of the most persisting and debilitating symptoms related to PTSD. This symposium will focus on neuropsychological symptoms in posttraumatic stress disorder with particular emphasis on changes over time or changes due to treatment.

Effects of psychotherapy on neuropsychological performance in PTSD: Two of the most common findings in neuropsychological studies of posttraumatic stress disorder (PTSD) are impairments of attention and verbal memory. This presentation addresses whether these impairments improve after trauma-focused psychotherapy. Data are presented from an ongoing randomized controlled trial comparing Eye Movement Desensitization and Reprocessing (EMDR) therapy (n = 70) and Brief Eclectic Psychotherapy (BEP; n = 70). Participants were outpatients diagnosed with PTSD after a type I trauma of different kind. Attention and memory were investigated before and after treatment using the following neuropsychological tests: Trail Making Test, STROOP task, California Verbal Learning Test and Rivermead Behavioral Memory Test. Different versions of the memory tests were administrated at pre- and postassessment in order to control for learning effects. Preliminary results of treatment completers indicate significant improvements of verbal memory and divided attention after both treatments. Differences between the treatments as well as the clinical relevance of the findings will be discussed.

Keywords: Neuropsychological Performance  Posttraumatic Stress Disorder  PTSD  Symposium  

Accuracy Verified: Yes


289. Blore, D. C. (2012, October). New directions for EMDR: The EMDR UK & Ireland, Internet-based: Positive psychology & EMDR special interest group (SIG). Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK .

Language: English

Format: Conference

Abstract:
This presentation – the first face-to-face meeting of the SIG, is an update on the status of the SIG and the effectiveness of uniquely launching the group on the www.linkedin.com website. In the first year of its existence, the SIG has attracted over 330 members from 36 countries. Although its inception was created by EMDR UK & Ireland it is clear from the current membership of over 330 from 36 countries worldwide that interest in this field far exceeds national boundaries. Nevertheless at present two thirds of members are from the UK. The aims of the SIG are: To bring together members of EMDR UK & Ireland who share a common interest in Positive Psychology as applied to EMDR and to foster awareness of a 'total beneficial outcome' of EMDR i.e. not just the ability of EMDR to reduce negative psychological symptomatology, but to additionally examine Positive Psychological Change including Post Traumatic Growth, Performance Enhancement and the development of the Maslowvian principle of an individual's full 'psychological height'. The aims are to be achieved by: Encouraging members to contribute to EMDR conferences, other related presentations, writing of papers for publication, whilst also acting as a resource/ support for EMDR researchers as well as fostering links to other appropriate organisations e.g. members of other National and International EMDR Associations as well as other Positive Psychology Associations e.g. the UK Centre for Applied Positive Psychology (CAPP). The presentation will also set out the SIG’s agenda for the next two years up until the EMDR Europe Conference in Edinburgh 2014.

Keywords: Internet  Positive Psychology & EMDR Special Interest Group  SIG  

Accuracy Verified: Yes


290. Alden, S. (2001, April). New uses for eye movement therapy. Shape, 101.

Language: English

Format: Magazine

Abstract:
Some people sufferinq from post-traumatic stress disorder, such as rape or accident victims, have been helped by eye movement desensitization reprocessinq (EMDR), a technique that involves a trained therapist rapidly movinq his or finqers in front of the patient's eyes. Now, some practitioners are usinq it to enhance performance in fields as varied as sports, business and the arts and to help people overcome psycholoqical hurdles such as stage fright. One example: Arden Mahlberq. P~.D..a clinical psycholoqist in Madison, Wis., treated a woman who wanted to qo on a horseback-ridinq vacation with her husband but was afraid of horses. "The woman attained her qoal after one EMDR session," Mahlberq says. "In fact, they qave her the most challenqinq horse."

Keywords: General  Overview  

Accuracy Verified: Yes


291. Michaut, D. (2007, June). One patient can have another within! A specific protocol to treat such cases using EMDR and transactional analysis. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
In EMDR, even when there's a clear indication for therapy, and it's been conducted in a complete manner with a clearly defined target(and cognition), it sometimes happens that the patient's problme remains unsolved, without any real explanation available for the therapist. My clinical experience has shown me repeatedly that the problem persists because it donesn't really have to do the patient himself, but with one of his parents, grandparents or ancestors from whom he has "inherited" and "introjected": an unresolved traumatism: a kind of "hot potato" (grief, accident, rape, war, bankruptcy, etc.). By blending some aspects of Transactional Analysis and Psychogenealogy with EMDR, I have developed a special protocol for use in such cases: the introjected Parent's Therapy with EMDR. On the bases of a clinical case, I will present the different stages of this protocol.

Keywords: Poster  Protocol  Technique  Transactional Analysis  

Accuracy Verified: Yes


292. Hekmat, H., Groth, S., & Rogers, D. (1994, June). Pain ameliorating effect of eye movement desensitization. Journal of Behavior Therapy and Experimental Psychiatry, 25(2), 121-129. doi:10.1016/0005-7916(94)90004-3.

Language: English

Format: Journal

Abstract:
Explored the efficacy of eye movement desensitization and reprocessing (EMDR) without music vs eye movement desensitization with music (EMDM) in the management of acute pain induced by hand exposures to ice water. 30 Ss were randomly assigned to EMDR, EMDM, or control. The EMDR Ss focused on negative experiences associated with exposure to ice water, generated positive self-talk, and diverted their attention away from pain by focusing on a rapidly moving light on a monitor. The EMDM group received eye movement desensitization coupled with preferred music. Measures of hypnotic susceptibility, mood states, pain, and treatment credibility were obtained. Repeated measures univariate and multivariate analysis of covariance (ANCOVA) was used to analyze the data. Both procedures alleviated participants' pain to a similar degree and significantly more than the control. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Acute Pain  College Students  Empirical Study  Pain  Music  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

Keywords: Reduction of Distress  

Accuracy Verified: Yes


294. Bodill, B., and Collings, S. (2011, March). Patterns of reduction of distress in personality patterns and clinical conditions using EMDR. Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol .

Language: English

Format: Conference

Abstract:
This 36 month study investigated the effects of EMDR on the reduction of clinical personality patterns and depressive symptoms. With respect to personality patterns, the study found that EMDR is most effective in reducing the symptoms of dependent personality patterns, as 76% of participants who evidenced clinically significant dependent personality patterns prior to EMDR treatment no longer had clinically significant post-treatment scores (>75 on the MCMIIII), compared to reductions in clinically significant scores for other personality patterns of 75% (masochistic pattern), 77% (negativistic pattern), 69% (avoidant pattern), 40% (depressive pattern), and 29% (schizoid pattern). However, at follow-up assessment these gains were maintained for dependent personality pattern (reduction in clinically significant symptoms in 76% of participants) and schizoid personality pattern (29%), but only partially maintained for other personality patterns: masochistic (64% reduction), negativistic (46% reduction), avoidant (38% reduction), and depressive (33% reduction). The analysis of depressive constructs revealed that EMDR is effective in reducing symptoms of depression, as 86% of participants with clinically significant major depression before EMDR treatment no longer had a clinically significant post-treatment score (>75 on the MCMI-III); while 73% of participants with clinically significant dysthymia no longer has clinically significant posttreatment scores. These gains were maintained at follow-up for major depression (86% reduction) and partially maintained for dysthymia (58% reduction).

Keywords: Depressive Symptoms  Personality Patterns  

Accuracy Verified: Yes


295. Foster, S., & Lendl, J. (1992, April). Peak performance. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Peak Performance  Performance Enhancement  

Accuracy Verified: Yes


296. Lendl, J., Foster, S., & Parrett, B. (1994, March). Peak performance. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Peak Performance  Performance Enhancement  

Accuracy Verified: Yes


297. Lendl, J., Foster, S., & Parrett, B. (1993, March). Peak performance. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Peak Performance  Performance Enhancement  

Accuracy Verified: Yes


298. Foster, S., & Lendl, L. (2002, March). Peak performance EMDR: Adapting trauma treatment to positive psychology outcomes and self-actualization. EMDRIA Newsletter, 7(1), 4-7.

Language: English

Format: Newsletter

Abstract:
An expansion of the basic EMDR protocol (Lendl & Foster, 1997) has been developed for enhancing performance in the workplace, to aid in the reduction of performance anxiety experienced by creative and performing artists, and for competition preparation and psychological recovery from injury in athletes. The authors, in their Silicon Valley practices, often witnessed the upsetting, even traumatic effect that layoffs and competitive pressures could have on employees in corporate workplaces. They likewise observed the adverse impact that ‘stage fright’ and audition anxiety could have on actors, dancers, and musicians, as well as the emotionally bruising experience for an athlete who loses a crucial competition. Reasoning that a trauma method such as EMDR could be applied to procrastination, fear of failure, and the reprocessing of actual setbacks, the EMDR Peak Performance protocol was created (Lendl & Foster, 1997).

Keywords: Peak Performance  

Accuracy Verified: Yes


299. Foster, S. (2000, August). Peak performance EMDR: Adapting trauma treatment to positive psychology outcomes. Poster presented at the annual meeting of the American Psychological Association, Washington, DC.

Language: English

Format: Conference

Keywords: Peak Performance  Poster  Positive Psychology  

Accuracy Verified: Yes


300. Foster, S., & Lendl, J. (2001). Peak performance EMDR: Adapting trauma treatment to positive psychology outcomes and self-actualization. Portale Italiano de Psicotraumatologia e Psciopteri.

Language: English

Format: Newsletter

Abstract:
An expansion of the basic EMDR protocol (Lendl & Foster, 1997) has been developed for enhancing performance in the workplace, to aid in the reduction of performance anxiety experienced by creative and performing artists, and for competition preparation and psychological recovery from injury in athletes. The authors, in their Silicon Valley practices, often witnessed the upsetting, even traumatic effect that layoffs and competitive pressures could have on employees in corporate workplaces. They likewise observed the adverse impact that ‘stage fright’ and audition anxiety could have on actors, dancers, and musicians, as well as the emotionally bruising experience for an athlete who loses a crucial competition. Reasoning that a trauma method such as EMDR could be applied to procrastination, fear of failure, and the reprocessing of actual setbacks, the EMDR Peak Performance protocol was created (Lendl & Foster, 1997).

Keywords: Peak Performance  Performance Enhancement  

Accuracy Verified: Yes


301. Foster, S., Lendl, J., & Parrett, B. (1995, June). Peak performance in the work place. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
In his book, Anxietv Disorders and Phobias, Aaron Beck, MD, wrote cogently about the so-called "evaluation anxieties." He employed the metaphor of the tightrope walker to describe the constant worry about a possible "fall from grace" experienced by the person troubled by concern about performing well in a variety of life situations. Beck divided these situations into three categories: social situations; school and work settings; and what he called "transactions with the outside world," meaning instances of shopping and traveling. The focus of this three-hour presentation is evaluation or performance anxiety (as it is more often termed) in the workplace and applications of EMDR to removing blocks to optimal functioning at work. The theoretical contribution of Beck and his colleagues will shape the presenters' information about why performance anxiety develops and who is likely to be vulnerable to it. The rationale for this extension of the EMDR model will be grounded in the theoretical framework of cognitive therapy. The two presenters bring their considerable experience with EMDR (five+ years) and expertise in peak performance consulting to participants in this session. From their background, they will derive the presentation's emphasis on EMDR applications that are immediately useful to the participants. To begin, the presenters will provide the aforementioned theoretical understanding of "evaluation anxiety" and its manifestation as performance anxiety in the workplace. Approximately the first quarter of the presentation will be spent in didactic material that describes specifically how performance anxiety interferes with optimal functioning at work across a variety of occupations. Drs. Foster and Lendl will elaborate on two situations in which performance anxiety is especially likely to occur in work-related situations: 1) during periods of rapid change; and 2) during the performance review process. Having established this basis of understanding, the presenters will move on to describe the most commonly observed psychological blocks that impede optimal performance in work settings: 1) external conflicts brought into work; 2) feeling like an 'impostor' in one's position at work, 3) perfectionism as a barrier to performance; 4) past failures that operate as anticipatory anxieties (for example, a client's worry that a past mistake or setback might recur in the future); 5) discrimination on the basis of gender, race, ethnicity, sexual orientation, education or age. Using actual transcripts and videotaped excerpts of their sessions, the presenters will demonstrate how their EMDR interventions may be applied. The presenters will show participants how to assess their own current and prospective clients for the psychological blocks that are interfering with work performance. Efficient ways to elicit negative and positive cognition for these work-related issues will be precisely described. The expected course of the EMDR processing will be illustrated using the presenters' cases which include a perfectionistic dentist, a high level executive after a layoff, a female manager desiring a promotion who is grappling with a chauvinistic boss, and performing artists struggling with stage fright and other barriers to their optimal performance. The presenters will then share with participants the ways in which they assist their clients in reaching and maintaining balance in their life- and work styles, in what the presenters call "Using EMDR to meet daily challenges with optimal response." Specific strategies for integrating EMDR into broader-based interventions will be described for assisting clients in: 1) increasing self-trust; 2) learning to capably manage crises; 3) increasing focus and attention at work; and 4) setting priorities and using time effectively. Lastly, Drs. Foster and Lend will demonstrate additional EMDR applications for assisting clients in attaining and maintaining what the presenters call "Optimal Well-Being." Citing case material, the presenters will show participants the means by which EMDR can be employed to speed recovery from illness and to decrease the rehabilitation time needed following an injury. Participants will be given the opportunity to rehears several of the applications described and to receive feedback fiom the instructors. Reference: Beck, A.T. (1985). Anxiety Disorders and Phobias, Basic Books, New York.

Keywords: Peak Performance  Performance Enhancement  

Accuracy Verified: Yes


302. King, W. (2008, September). Peak performance with EMDR. The Counseling Center News, 3(1), 2, 4.

Language: English

Format: Newsletter

Abstract:
The purpose of this article is to examine how EMDR, a therapeutic intervention developed to help individuals resolve traumatic memories, can be used to help people perform at their highest levels in their jobs. Work is an important part of most adults’ lives. Beyond their contributions to our financial well-being, our jobs can also contribute to our identity and sense of self‐esteem. So, when one is experiencing difficulty with work, the impact can be far reaching.

Keywords: Peak Performance  

Accuracy Verified: Yes


303. Foster, S. (2002). Peak Performance – Parts 1- 4. EMDR Institute Listserv.

Language: English

Format: Other

Abstract:
Soon after I completed Level II, Ibegan to wonder if EMDR could be useld to address issues other than trauma, depression and phobias. In the early days of the EMDR Network, Francine suggested that special interest groups be formed. I founded the Peak Performance Special Interest Group (SIG) in December of 1990. Several newly trained practitioners attended the first SIG meeting and were intrigued by the questions, "Could EMDR be used to alleviate performance anxiety?" and "Could a high functioning person's sense of well-being and happiness be enhanced with EMDR?"

Keywords: Peak Performance  

Accuracy Verified: Yes


304. Plummer, C. D. (2007). Performance enhancement for brass musicians using eye movement desensitization and reprocessing. University of Cincinnati, Cincinnati, OH. AAT 3262543.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is an innovative therapy that is currently used to treat anxiety disorders. Discovered by Francine Shapiro in 1987, the treatment was originally utilized on individuals suffering from Post Traumatic Syndrome Disorder; however, the original treatment protocol has evolved to include other forms of trauma such as performance anxiety. The main hypothesis of EMDR states that traumatic memories cause the nervous system to become dysfunctional and unbalanced. As a result, stimuli such as sound and images from these events are looped continuously within the nervous system until the body can functionally process the events toward an adaptive solution. Until a solution is established, the original thoughts and feelings encountered during previous disturbing events resurface each time a resembling experience occurs. EMDR serves as a performance enhancement for brass musicians by desensitizing and reprocessing maladaptive memories through bilateral stimulation of both hemispheres of the brain. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International Section A: Humanities and Social Sciences. 68(4-A), 2007, pp. 1221.

Keywords: Auditory Stimulation  Brass Musicians  Empirical Study  Hemispheres  Musicians  Posttraumatic Stress Disorder  PTSD  Quantitative Study  Syndromes  

Accuracy Verified: Yes


305. Simpson, B., & Farrell, D. (2008, June). A phenomenological investigation of the experiences of EMDR consultants in training. Poster presented at the annual meeting of the EMDR Europe Association, London, England UK.

Language: English

Format: Conference

Abstract:
This poster presentation will present the initial results of research exploring the needs and experiences of a group of EMDR practitioners in the process of training and accreditation to become EMDR Consultants. The research describes the views of a cohort of 20 trainee Consultants who attended an intensive 3-day Consultant training course in Birmingham in 2007. The poster will summarise data from semi-structured telephone interviews to explore previous experiences of clinical supervision and changes in professional identity associated with EMDR training to date, and the supervision required in achieving EMDR Europe Approved Accreditation. The interview will focus on the experiences of the transition from Practitioner to Consultant. The qualitative interview data will be analysed using Interpretive Phenomenological Analysis (IPA) and the findings will inform the recruitment and training of future EMDR Consultants.

Keywords: Consultation  Poster  

Accuracy Verified: Yes


306. Hudson, P. (2011, March). A phenomenological study of anxiety following trauma during competitive cycling: Implications for the EMDR protocol. Presentation at the annual meeting of the EMDR Association of UK & Ireland, Bristol.

Language: English

Format: Conference

Abstract:
This research study seeks to illuminate the impact of post-traumatic anxiety on elite level competitive cycling performance. Although there is much outcome research supporting the effectiveness of EMDR in treating post- traumatic anxiety in general, relatively little is known about the nature of anxiety among athletes who have experienced accident, injury or other trauma in sporting contexts. Interpretative Phenomenological analysis (IPA) will be used to gather data from an opportunity sample of competitive cyclists who have experienced trauma during sporting participation. Analysis of the data will attempt to capture these participants’ experience of anxiety and its impact upon performance. This information will be used to inform therapeutic practice when using EMDR with this client group. It is hypothesised that due to the specific psychomotor actions necessary for competitive cycling, adaptations to the future template within EMDR will be required to maximise therapist efficacy when working with this particular client group.

Keywords: Athletes  Cyclists  Interpretive Phenomenological Analysis  IPA  Research  

Accuracy Verified: Yes


307. 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


308. Ellis, T. L. (1999). Play therapy versus eye movement desensitization and reprocessing (EMDR): A comparative study examining the treatment effects with school-age children, Homan Elementary School, Fresno, California. California State University, Fresno. AAT 1401332.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated the differences between play therapy and Eye Movement Desensitization and Reprocessing (EMDR) when applied to children. Eleven participants from Homan Elementary School, Fresno, California, participated in this study. The treatment consisted of four combinations of varied administrations of play therapy and EMDR. Dependent variables included the self-reporting instruments of the Trauma Reaction Indicators Child Questionnaire (TRICQ), the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition Scale (VOC), and the Global Feelings Self-Report Scale. Qualitative data included observed changes in behaviors on the educational risk assessment. No clinical significance was demonstrated on the self-report instruments; however, statistical significance was found on the qualitative data using the chi-square goodness-of-fit test on the posteducational risk assessment. Positive changes were reported in the qualitative analysis on the educational risk assessment.

Keywords: Counseling in Elementary Education  Play Therapy  

Accuracy Verified: Yes


309. Gregoire, A. (2008, Mai). Pourquoi, quand et comment intégrer l’EMDR dans le processus thérapeutique [Why, when, and how to integrate EMDR in the therapeutic process]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.

Language: French

Format: Conference

Abstract:
Cette présentation explore les contributions spécifiques d’EMDR en tant que modèle d’analyse et de compréhension de la psychopathologie et en tant que technique thérapeutique. Quelles situations cliniques sont propices pour introduire l’EMDR, que le modèle soit intégré à l’intérieur du processus thérapeutique, ou encore, introduit par le biais d’une référence à un thérapeute EMDR pour une série de sessions ? Pourquoi introduire l’EMDR dans un processus thérapeutique? À quel moment l’EMDR est-il le plus approprié en tant que modèle ou comme technique? Enfin, quelle est la meilleure façon d’entreprendre un processus EMDR et quels sont les éléments cliniques pouvant servir de déclencheurs ou de préambule au protocole EMDR?

This presentation will explore the specific contributions of EMDR as model of analysis, interpretation of psychopathology and psychotherapeutic techniques within the context of the psychotherapy relationship. What are the clinical situations in which EMDR can best be introduced either as integrated in the psychotherapy process or as we have observed, as involving a referral to an EMDR therapist for a series of sessions. Why introduce EMDR into the psychotherapy process?, When is an EMDR intervention most appropriate for its optimal use as model and as technique?, and How can an EMDR process best be introduced? and what are the clinical issues which can be used as triggers and as preamble to the EMDR protocol?

Keywords: Psychotherapeutic Orientation  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Franz Anton  Hypnotherapy  Mesmerism  Professional Criticism  

Accuracy Verified: Yes


311. Obenchain, J., Rogers, S., Silver, S., & Goss, J. (1999, November). Preliminary results of data comparing EMDR to flooding. Poster presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
Preliminary Data was collected on a group of Vietnam veterans from10/20/97 to 9/1/98. All Subjects met criteria for PTSD according to DSM IV utilizing the CAPS scale. Patients were then randonly assigned to either the EMDR group or the Flooding group. One therapist completed one EMDR session on the patient’s Primary Combat Image; another therapist completed one session on the PCI using Flooding technique. The head nurse, blind to the treatment provided, met with each subject prior to group assignment and measured their Blood pressure and pulse using DINAMAP Blood Pressure Monitor. He then asked the subjects to keep a SUDS Scale on their PCI noting frequency and intensity for the next week. He also asked them to complete an Impact of Event Scale on their PCI. Subjects then received one session of EMDR or Flooding and were asked to keep a SUDS Scale on their PCI for another week. Subjects then returned to the head nurse, were asked to recall their PCI and blood pressure, pulse and SUDS and IES were again measured. Because of small cell sizes (EMDR =8, Flooding =10) treatment effects did not always reach Statistical significance. Nonetheless several differences were found between the two groups. ANOVA’s were performed using the changes in blood pressure and heart rate measured at a final assessment period during a baseline period and while recalling their PCI. For systolic blood pressure the EMDR group showed no change while the Flooding group increased by 9.2. For diastolic blood pressure the EMDR group declined an average of 3.3 while the Flooding group increased by 7.6. For heart rate, the EMDR group remained essentially unchanged while the Flooding group increased an average of 6.6. This difference was significant at the (p<.05). The EMDR group reported their PCI memories were less severe during the week following treatment while the Flooding group showed little change. ANOVA analysis found these differences to tend toward statistical significance (p=.10). The EMDR group showed improvement on the SUDS scale amd some subscales of the IES.With prelimiary data suggesting that EMDR is more effective than flooding,further research needs to be pursued.

Keywords: Flooding  Poster  

Accuracy Verified: Yes


312. Lehrer, P. M., Woolfolk, R. L., & Sime, W. E. (2007). Principles and practice of stress management. (3rd. ed.) New York, NY, US: Guilford Press.

Language: English

Format: Book

Abstract:
Recent years have seen significant advances in understanding psychosocial stress and its clinical management. Now in a thoroughly revised and expanded third edition, this comprehensive work reviews effective stress management techniques and their applications for treating psychological problems and enhancing physical health and performance. Bringing together recognized leaders in the field to present their respective approaches and demonstrate the nuts and bolts of intervention, the volume is structured for optimal use as a clinical reference and text. All chapters retained from the prior edition have been extensively rewritten, and many new chapters have been added. Part I examines conceptual foundations and describes basic mechanisms of stress and relaxation. Part II, the largest section, covers the full range of methods, including progressive relaxation, hypnosis, biofeedback, meditation, cognitive methods, and other therapies. Each tightly edited chapter: (1) Details the method's history, theoretical underpinnings, and evidence base; (2) Spells out assessment procedures and techniques; (3) Provides step-by-step implementation guidelines; (4) Considers common treatment obstacles and how to overcome them; (5) Discusses strategies for increasing patient motivation and adherence; and (6) Illustrates the method with an in-depth case example. New to the third edition are chapters on mindfulness meditation, neurofeedback, EMDR, breathing retraining, heart rate variability biofeedback, exercise therapy, and Qigong. Finally, Part III explores applications in mental health, behavioral medicine, and sport psychophysiology (another new topic in this edition), shedding light on which approaches are most suitable for particular problems. The concluding chapter reviews the clinical research literature and offers clear recommendations for improving outcomes. This timely, authoritative book is an indispensable resource for clinical and health psychologists, psychiatrists, social workers, counselors, nurses, and other professionals interested in learning and using stress management techniques. It will serve as a text in graduate-level courses in stress management, behavioral medicine, social work in health care, and related areas. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Stress Management  

Accuracy Verified: Yes


313. Maldonado, G. (2007, Novembro). Protocolo de EMDR para el analisis y reprocesamiento de los sueños [EMDR protocol for the analysis and reprocessing of dreams]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasilia, Brasil.

Language: Spanish

Format: Conference

Abstract:
Objetivos de aprendizaje: • Los participantes al salir de la presentación podrán reconocer los aspectos constitutivos del sueño, aplicar el protocolo adecuadamente e investigar con técnicas de amplificación varios aspectos del sueño.

Learning Objectives: • Participants to exit the slideshow may recognize the constitutional aspects sleep properly implement the protocol and investigate amplification techniques various aspects of sleep.

Keywords: Dreams  

Accuracy Verified: Yes


314. 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


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

Language: English

Format: Journal

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

Keywords: Adolescents  Children  Posttraumatic Stress Disorder  PTSD  Review  

Accuracy Verified: Yes


316. Sanchez-Meca, J., Rosa-Alcazar, A. I., Marín-Martínez, F., & Gomez-Conesa, A. (2010). Psychological treatment of panic disorder with or without agoraphobia: A meta-analysis. Clinical Psychology Review, 30(1), 37–50. doi:10.1016/j.cpr.2009.08.011.

Language: English

Format: Journal

Abstract:
Although the efficacy of psychological treatment for panic disorder (PD) with or without agoraphobia has been the subject of a great deal of research, the specific contribution of techniques such as exposure, cognitive therapy, relaxation training and breathing retraining has not yet been clearly established. This paper presents a meta-analysis applying random- and mixed-effects models to a total of 65 comparisons between a treated and a control group, obtained from 42 studies published between 1980 and 2006. The results showed that, after controlling for the methodological quality of the studies and the type of control group, the combination of exposure, relaxation training, and breathing retraining gives the most consistent evidence for treating PD. Other factors that improve the effectiveness of treatments are the inclusion of homework during the intervention and a follow-up program after it has finished. Furthermore, the treatment is more effective when the patients have no comorbid disorders and the shorter the time they have been suffering from the illness. Publication bias and several methodological factors were discarded as a threat against the validity of our results. Finally the implications of the results for clinical practice and for future research are discussed.

Keywords: Panic Disorder  Agoraphobia  Psychological Treatment  Outcome Evaluation  Meta-Analysis  

Accuracy Verified: Yes


317. Bisson, J., & Andrew, M. (2007, 2009 ). Psychological treatment of post-traumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews, 3, Art. no. CD003388. doi:10.1002/14651858.CD003388.pub3.

Language: English

Format: Journal

Abstract:
This review concerns the efficacy of psychological treatment in the treatment of PTSD. There is evidence that individual trauma focused cognitive-behavioural therapy (TFCBT), eye movement desensitisation and reprocessing (EMDR), stress management and group TFCBT are effective in the treatment of PTSD. Other non-trauma focused psychological treatments did not reduce PTSD symptoms as significantly. There is some evidence that individual TFCBT and EMDR are superior to stress management in the treatment of PTSD at between 2 and 5 months following treatment, and also that TFCBT, EMDR and stress management are more effective than other therapies. There is insufficient evidence to show whether or not psychological treatment is harmful. Trauma focused cognitive behavioural therapy or eye movement desensitisation and reprocessing should be considered in individuals with PTSD. Psychological treatments can reduce symptoms of post traumatic stress disorder (PTSD). Trauma focused treatments are more effective than non-trauma focused treatments.

Keywords: Meta-analysis  Review  

Accuracy Verified: Yes


318. Sánchez-Meca, J., Rosa-Alcázar, A. I., & López-Soler, C. (2011). The psychological treatment of sexual abuse in children and adolescents: A meta-analysis. International Journal of Clinical and Health Psychology, 11(1), 67-93.

Language: English

Format: Journal

Abstract:
By means of a meta-analytic review, the current study investigated the efficacy of the psychological treatment of children and adolescents that have suffered sexual abuse. Thirty-three articles met our selection criteria and, using the group as the analysis unit, the meta-analytic database was composed of 44 treatment groups and 7 control groups. The effect size index was the standardized mean change between the pretest and the posttest means, and it was separately applied for different outcome measures (sexualised behaviours, anxiety, depression, self-esteem, behaviour problems, and other outcomes) and assessment methods (child self-reports, parent reports, and clinician assessments). For all of the outcome measures, the mean effect size for the treatment groups was statistically and clinically significant, whereas the control groups did not achieve a significant improvement. Significant differences among the various psychological treatment approaches were found for the global outcome measure, sexualised behaviours, and behaviour problems. In general, trauma-focused cognitive-behavioural treatments combined with supportive therapy and a psychodynamic element (e.g., play therapy) showed the best results. Finally, the implications for clinical practice and for future research of the results in this field are discussed.

Keywords: Adolescents  Children  Meta-Analysis  Outcome Evaluation  Psychological Treatment  

Accuracy Verified: Yes


319. Bisson, J. I., Ehlers, A., Matthews, R., Pilling, S., Richards, D., & Turner, S. (2007, February). Psychological treatments for chronic post-traumatic stress disorder: Systematic review and meta-analysis. British Journal of Psychiatry, 190(2), 97-104. doi:10.1192/bjp.bp.106.021402.

Language: English

Format: Journal

Abstract:
Background: The relative efficacy of different psychological treatments for chronic PTSD is unclear.AIMS: To determine the efficacy of specific psychological treatments for chronic PTSD. Method: In a systematic review of randomised controlled trials, eligible studies were assessed against methodological quality criteria and data were extracted and analysed. RESULTS: 38 randomised controlled trials were included in the meta-analysis. Trauma-focused cognitive-behavioural therapy (TFCBT), eye movement desensitisation and reprocessing (EMDR), stress management, and group cognitive-behavioural therapy improved PTSD symptoms more than waiting-list or usual care. There was inconclusive evidence regarding other therapies. There was no evidence of a difference in efficacy between TFCBT and EMDR but there was some evidence that TFCBT and EMDR were superior to stress management and other therapies, and that stress management was superior to other therapies. Conclusions: The first-line psychological treatment for PTSD should be trauma-focused (TFCBT or EMDR). [Author Abstract]

Keywords: Chronic Mental Illness  Cognitive Behavior Therapy  Cognitive Therapy  Group Counseling  Literature Review  Meta Analysis  Posttraumatic Stress Disorder  PTSD  Stress Management  Systematic Review  Trauma  

Accuracy Verified: Yes


320. Bisson, J. (2005, November). Psychological treatments for PTSD. Symposium conducted at the 21st International Society for Traumatic Stress Studies Conference, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
The UK National Institute for Clinical Excellence Guidelines on PTSD: Based on rigorous meta-analysis, detailed literature review and two public consultations, the national guidelines for the assessment, prevention and treatment of PTSD in the UK will be presented in this symposium on behalf of the Guideline Development Group.

Psychological treatments for PTSD: A systematic review and meta-analysis of all randomised controlled trials of psychological treatment for PTSD was undertaken. Thirty-eight RCTs of psychological treatments for PTSD were identified. Trauma focused cognitive behavioural therapy (TFCBT) and eye movement desensitisation and reprocessing (EMDR) showed clinically important benefits over waitlist/usual care on measures of PTSD. The evidence base for EMDR was not as strong as that for TFCBT, both in terms of the number of RCTs available and the certainty with which clinical benefit was established. There was limited evidence that TFCBT and EMDR were superior to supportive/non-directive treatments, hence it is highly unlikely that their effectiveness is due to non-specific factors such as attention. There was limited evidence for stress management and group CBT but other therapies (supportive/non-directive therapy, psychodynamic therapies and hypnotherapies) that focus on current or past aspects of the patient’s life other than the trauma or general support, did not show clinically important effects on PTSD symptoms. However, this may be due to the limited number of studies available and does not mean that these treatments were shown to be ineffective.

Keywords: Posttraumatic Stress Disorder  PSTD  Psychological Treatments  Symposium  

Accuracy Verified: Yes


321. Smith, G. (2005, September). The psychology of high-performing leaders. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
This workshop will introduce the latest research on the psychology of high performing leaders, and a system for applying it to your EMDR Performance Enhancement work. Participants will lean how to: explain to their client the skills, psychological characteristics, and critical success factors of High- Performing Leaders; explain to their clients the "derailment" factors and non-rational thinking patterns that are the primary barriers lo high performance; use this information to do optimum EMDR Performance Enhancement case conceptualization; utilize the standard EMDR protocol to reduce/eliminate any performance barriers; utilize an integrated RDI protocol to strengthen and develop high-performance skills and traits.

Keywords: High Performance  Leaders  Performance Enhancement  Performance Barriers  

Accuracy Verified: Yes


322. Lamprecht, F., Sack, M., Lempa, W., & Eickhoff-Fels, S. (2001). Psychophysiological activation via trauma script in PTSD patients and matched healthy controls and its reversal after succesful treatment. Presentation at the annual meeting of the German Society for Psychotraumatology.

Language: English

Format: Conference

Abstract:
Purpose: It is well known that hyperarousal in PTSD patients leads to an increase in heart rate to trauma related stimuli. The purpose of this study was to see if this peripheral physiological activation in PTSD patients by a trauma script can be reversed by successful trauma treatment including EMDR (Eye Movement Desensitization and Reprocessing). Methods: 12 PTSD patients fulfilling DSM IV criteria with 52.6 mean level of the impact of event scale (IES) and 8.1 of the subjective unit of distress (SUD) were compared to 12 matched healthy controls (IES level 23, SUD level 4.8). Glued electrodes were placed according to published guidelines for electrophysiological research on thorax (ECG) and palmar skin of the left (non dominant) hand (SCL). Psychophysiological data (heart rate and skin conductance) were recorded continually and stored on a PC card during three conditions: neutral, relaxation and trauma script. In the patient group the procedure was repeated after finishing treatment. Results: The patient group and control group did not differ in the baseline heart rate, however, the stimulation by the trauma script in the PTSD patients was significant in the mean 15.6 (T-2.88) (p < 0.01) increase in heart rate and in the control group 1.6 not significant (the script here was derived from the worst life event). There was a wide variation in the patient group with three patients without any reaction. In those with a strong reaction after trauma script, successful treatment was accompanied by a decline in heart rate response after trauma script, which remained stable during 6 months follow-up. SCL data did not show any consistent relationship. Since this is an ongoing study with increasing numbers and further analysis, additional data will be given during presentation. A decline of the SUD level to 2.3 and within the IES-score to 21 at the three months follow-up measurement was also significant (p < 0.01).

Keywords: Posttraumatic Stress Disorder  Psychophysiological Activation  PSTD  Trauma Script  

Accuracy Verified: Yes


323. Guzzi, R., Bossa, R., & Masaraki, S. (2003). Psychophysiological analysis of eye movement desensitisation and reprocessing treatment. Homeostasis in Health and Disease, 42(3), 129-131.

Language: English

Format: Journal

Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is a new controversial treatment that claims to resolve long-standing traumatic memories within few treatment sessions. Evidence based data indicate that EMDR markedly reduces anxiety associated with a traumatic memory already at the first session, and behavioural changes tend to be maintained. In spite of the positive results, critical reviews have outlined some methodological biases in the EMDR previous studies, such as the lacking of a pre and post treatment standardised assessments, lacking of standardised inclusion criteria, poor study design. In the present study we have examined three subjects with PTSD, before and after EMDR therapy. Clinical interviews, psychological tests and self-reports have been administered. Biofeedback measures of electromyographic muscle tension, body temperature, heart rate and skin potential reaction have been used as well. An independent investigator was responsible for the collection of final data. The results showed an interesting trend after treatment compared to baseline. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Empirical Study  Quantitative Study  Posttraumatic Stress Disorder  PTSD  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


324. 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


325. Schellong, J. (2010, June). Psychophysiological responsivity to trauma and internal resources in patients with PTSD and healthy subjects. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
This study aims to measure psychophysiological parameters during activation of internal resources k g . positive memories) and to compare these to activated traumatic internal networks. Antecedent studies show that traumatic stimulation on patients with posttraumatic stress disorder (PTSD) finalizes in various psychophysiological correlates. During therapy of these patients a strong demand for activation of internal resources, i.e. activation of fortitude and positives thoughts, exists. Especially EMDR therapy uses resource stimulating elements such as position of power and absorption in preparation for exposure. In this study standardized EMDR protocols establish a solid basis to explore individual internal resources. Researches on trauma stimuli in EMDR- patients show effects on parasympathetic tonus (Sack 2006) as well as increased cerebral blood flow in defined brain regions (Levin 1999. Lamprecht 2000). Especially the heart rate variability (HRV) may describe the sympatheticovagal balance (Cohen, 2002, Porges 1991). This study focuses on psychophysiological effects and neurobiological regulative mechanisms of stabilizing methods and activation of internal resources in PTSD patients and healthy control group. Methods: Healthy subjects and patients with diagnosed PTSD (DIAX) listened to a commonly neutral script, an individual trauma script and an individual absorption script. Following each script measurements of heart rate variability (HRV), respiratory flow, skin conductance responses (SCR) and skin blood flow (LCF, TU50%) took place. Results: Preliminary results revealed a significant reduced heart rate variability in patients compared to the healthy controls in reaction to the stress script as well as to the positive and the neutral scripts. Conclusion: To our knowledge this is the first time to be proven that altered autonomous functions are found in PTSD not only in reaction to traumatic reminders, but even to a positive, resource activation situation. This provides our basement for further research. Detailed analysis of different effects to each script on both groups are currently underway.

Keywords: Posttraumatic Stress Disorder  PTSD  Research  Responsivity  Symposium  Trauma  

Accuracy Verified: Yes


326. Peñalba, V., McGuire, H., & Leite, J. R. (2009). Psychosocial interventions for prevention of psychological disorders in law enforcement officers. Cochrane Database of Systematic Reviews 2008, Issue 3. Art. No.: CD005601. doi:10.1002/14651858.CD005601.pub2.

Language: English

Format: Other

Abstract:
Background: Psychosocial interventions are widely used for the prevention of psychological disorders in law enforcement officers. Objectives: To assess the effectiveness and comparative effectiveness of psychosocial interventions for the prevention of psychological disorders in law enforcement officers. Search strategy: CCDANCTR-References was searched on 12/5/2008, electronic databases were searched, reference lists of review articles and included studies were checked, a specialist journal was handsearched, specialist books were checked and we contacted experts and trialists. Selection criteria: Randomised and quasi randomised controlled trials were eligible. The types of participants were people employed directly in law enforcement, including police officers and military police, regardless of gender, age and country of origin, and whether or not they had experienced some psychological trauma. All types of psychosocial intervention were eligible. The relevant outcome measures were psychological symptoms, adverse events and acceptability of interventions. Data collection and analysis: Datawas entered intoReviewManager 4.2 for analysis, but this reviewwas converted toRevMan 5.0 for publication.Quality assessments were performed. Two authors independently selected studies, extracted data and assessed the quality of studies. Summary effects were to be calculated using RevMan but no meta-analyses were possible. For individual studies, dichotomous outcome data are presented using relative risk, and continuous outcome data are presented using the weighted mean difference. These results are given with their 95% confidence intervals (CI). Main results: Psychosocial interventions for prevention of psychological disorders in law enforcement officers (Review) 1 Copyright © 2009 The Cochrane Collaboration. Published by JohnWiley & Sons, Ltd. Ten studies were included in the review but only five reported data that could be used. Three of the ten studies were related to exercisebased psychological interventions. Seven were related to psychological interventions. No meta-analyses were possible due to diversity of participants, interventions and outcomes. Two studies compared a psychosocial intervention versus another intervention. Three studies compared a psychosocial intervention to a control group. Only one primary prevention trial reported data for the primary outcomes and, although this study found a significant difference in depression in favour of the intervention at endpoint, this difference was no longer evident at 18 months. No studies of primary prevention comparing different interventions and reporting primary outcomes of interest were identified. The methodological quality of the included studies was summarised. No study met our full quality criteria and one was regarded as low-quality. The remainder could not be rated because of incomplete data in the published reports and inadequate responses from the trialists. Authors’ conclusions: There is evidence only from individual small and low quality trials with minimal data suggesting that police officers benefit from psychosocial interventions, in terms of physical symptoms and psychological symptoms such as anxiety, depression, sleep problems, cynicism, anger, PTSD, marital problems and distress. No data on adverse effects were available. Meta-analyses of the available data were not possible. Further well-designed trials of psychosocial interventions are required. Research is needed on organization-based interventions to enhance psychological health among police officers.

Keywords: Law Enforcement, Officers  Review  

Accuracy Verified: Yes


327. Lindauer, R. J. L. (2011, April). Psychotraumagerelateerde stoornissen binnen de kinder-en jeugdpsychiatrie: Stand van zaken en implementatieperikelen [Psychotrauma-related disorders in child and adolescent psychiatry: Current situation and implementation troubles]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Achtergrond: Meer dan 50% van de kinderen maakt een of meerdere ingrijpende gebeurtenissen mee voor het 18e jaar, ongeveer 20% ontwikkelt traumagerelateerde psychopathologie en in 45% van de gevallen is er een verband tussen het meemaken van een ingrijpende gebeurtenis en de start van een kinder- en jeugdpsychiatrische diagnose. Kennis over traumadiagnostiek en behandeling is dan ook niet alleen voorbehouden aan gespecialiseerde centra. Implementatie van deze kennis is belangrijk en gaat zeker niet zonder slag of stoot. Doel: Het geven van een update rond traumadiagnostiek en behandeling. Tevens het bespreken van implementatieperikelen binnen de eigen instelling en hoe hiermee om te gaan. Methoden: Onderzoek van wetenschappelijke literatuur en raadpleging van verschillende richtlijnen, en casuïstiek betreffende implementatie. Resultaten: De laatste jaren is er toenemend onderzoek gedaan naar diagnostiek en behandeling van psychotrauma bij kinderen en adolescenten. Het gaat daarbij om het ontwikkelen van screenings- en diagnostische instrumenten en onderzoek naar effecten van behandeling. Traumagericht cognitieve gedragtherapie en eye movement desensitisation and reprocessing (EMDR) zijn effectieve behandelvormen. Implementatie van deze kennis in de klinische praktijk verloopt moeizaam en vraagt naast een andere manier van werken van de behandelaren ook een organisatiestructuur die hierin faciliterend werkt. Conclusie: Evidence-based traumadiagnostiek en behandeling is voorhanden. Implementatie van deze kennis in de klinische praktijk is belangrijk en vraagt een andere expertise. Weten is nog niet kunnen toepassen.

Background: More than 50% of the children makes one or more major events count for the 18th year, approximately 20% develop trauma related psychopathology and 45% of cases there is a connection between experiencing a traumatic event and the start of a child and adolescent psychiatric diagnosis. Knowledge about trauma assessment and treatment is not only reserved to specialized centers. Implementation this knowledge is important and is certainly not without a struggle. Purpose: To give an update on trauma assessment and treatment. Also discuss implementation turmoil within own institution and how to deal with. Methods: Analysis of scientific literature and consultation with various guidelines, and case studies on implementation. Results: In recent years there is increasing research into diagnostics and psychotrauma treatment in children and adolescents. This involves developing of screening and diagnostic tools and research into effects of treatment. Trauma-focused cognitive behavioral therapy and eye Movement Desensitisation and Reprocessing (EMDR) are effective forms of treatment. Implementation this knowledge in clinical practice runs difficult and requires a different way of working alongside the clinicians also an organizational structure facilitating this work. Conclusion: Evidence-based trauma assessment and treatment is available. Implementation this knowledge in clinical practice is important and requires a different expertise. Knowing is not to apply.

Keywords: Adolescents  Children  Psychiatry  Symposium  Trauma  

Accuracy Verified: Yes


328. 清水 裕文 [Shimizu Hirofumi]. (2004年6月). PTSDの治療法に共通するメカニズムは何か? : スペイツ氏の論文の要約 [What Are the Shared Mechanisms of Therapy for PTSD : Summary of Spates' Article]. 行动分析学研究18(2)、77から82 [Japanese Journal of Behavior Analysis, 18(2), 77-82].

Language: Japanese

Format: Journal

Abstract:
本稿では、行動分析学研究に掲載された心的外傷後ストレス障害(PTSD)に関するスペイツ氏の英語論文(Spates & Koch, 2003)を日本語で要約した。原文では、「エキスポージャー療法」と「眼球運動による外傷的記憶の脱感作と再体制化を行う技法(EMD/R療法)」に共通する治療メカニズムについて言及している。原文を読む前、あるいは後に本稿を読んでいただいたとき、少しでも本稿がお役にたてば幸いである。

The present article is a summary in Japanese of Spates & Koch's (2003) article about Posttraumatic Stress Disorder (PTSD), published in the Japanese Journal of Behavior Analysis. In his article, he attempts to identify shared mechanisms between exposure therapy and eye movement desensitization and reprocessing (EMD/ R). The summary in Japanese is intended to assist Japanese readers of Spates' article.

Keywords: Spates  

Accuracy Verified: Yes


329. Farrell, D., & Keenan, P. (2010, July). A Q-Methodology evaluation of EMDR HAP facilitators training in Pakistan. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
In March 2007 an EMDR Europe HAP project, in conjunction with the University of Birmingham & Edge Hill University, commenced in Northern Pakistan in the aftermath of the earthquake. Presently over 75 mental health workers have now been trained in EMDR. In August 2009 six of these Pakistani mental health workers had successfully completed their EMDR Facilitator training. As a means of evaluating their EMDR training a Q Methodology was utilised. Q methodology provides a foundation for the systematic study of subjectivity, a person’s viewpoint, opinion, beliefs, and attitudes (Brown 1993). It is an inverted form of factor analysis which then considers discourse patterns. Typically, in a Q methodological study people are presented with a sample of statements about a topic called the Q-set. By Q sorting research participants give their subjective meaning to the statements, and by doing so reveal their subjective viewpoint (Smith 2001) or personal profile (Brouwer 1999). These individual rankings (or viewpoints) are then subjected to factor analysis to determine factor solution and interpretation. Results highlighted important issues around the facilitators training experience, how cultural sensitivities play an important part in the application of EMDR in Pakistan, and considered how EMDR trainings can be adapted and improved for the future.

Keywords: Facilitators  Q-Methodology Evaluation  Pakistan  Poster  

Accuracy Verified: Yes


330. Kowal, J. (2008, September). QEEG analysis of EMDR in the treatment of childhood trauma. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
The presentation will examine the quantitative electroencephalogram (EEG) of patients with PTSD that reveals high amplitude low frequencies in the posterior region of the brain. These brain wave patterns also form abnormal amplitude asymmetries that are present prior to treatment. After EMDR treatment there is a marked improvement in the brain wave abnormalities. The presentation will explain the quantitative measurements obtained from digital analysis of quantitative EEGs and will compare the pre-treatment and post-treatment EEG analysis of PTSD patients. Analyzing the brain patterns of various psychological disorders reveals similarity in brain wave activity that interferes with memory.

Keywords: QEEG  Trauma  

Accuracy Verified: Yes


331. Kowal, J. A. (2005). QEEG analysis of treating PTSD and bulimia nervosa using EMDR. Journal of Neurotherapy, 9(4), 114-115.

Language: English

Format: Journal

Keywords: Bulimia Nervosa  Eating Disorders  QEEG  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


332. Nicosia, G. J. (1994, March). The quantitative analysis of EEG representing a localized psychogenic amnesia and its resolution by eye movement desensitization and reprocessing psychotherapy. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Keywords: Posttraumatic Stress Disorder  Psychogenic Amnesia  PTSD  QEEG  

Accuracy Verified: Yes


333. Arditi, I. (2009, May). Rafael de Morra: Performance anxiety due to inferiority and cultural difference in "The Bewitched". York University, Toronto, Canada. AAT MR51500.

Language: English

Format: Dissertation/Thesis

Abstract:
This thesis is about my primary artistic challenge and how it was addressed in my thesis role, the character Rafael De Morra (the court jester to Carlos II the King of Spain) in the play The Bewitched by Peter Barnes. My artistic challenge was to overcome the performance anxiety and the fear of humiliation that had surfaced during training and performance work at York University. I chose to address my performance anxiety by incorporating internal and external approaches simultaneously. The internal approach I developed to deal with my performance anxiety was a combination of different procedures: defining and analyzing it (and the inferiority complex behind it) through personal practices of psychoanalysis and EMDR Therapy (Eye Movement Desensitization and Reprocessing), examining the cultural factors that reinforce it, exploring it in other actors, observing it in my studio work, rehearsals and performance and investigating personal practice of Yoga, Feldenkrais and Craniosacral Therapy as tools to work on it. To further prepare for my thesis role Rafael De Morra, I researched the historical period in Spain and Europe between 1600 and 1700, the years during which the play takes place and the origins and significance of court jester tradition at the time. Such research helped me to better understand my character, Rafael De Morra. The external approach, on the other hand included confronting the anxiety by taking risks in my thesis role such as accentuating the more theatrical aspects of Rafael and creating an effective physicality for the character, both of which were difficult for me as an actor. The internal approach and the research I've done about the time period, the playwright and the court jester tradition prepared me for my external approach: taking risks in performing my thesis role. I can conclude that the methodology I devised to overcome my performance anxiety yielded favourable results as I didn't experience extreme versions of it in acting Rafael De Morra in the play The Bewitched by Peter Barnes. At the end of the process I also discovered some other actor challenges that I should be working on in the future.

Keywords: Cultural Differences  Performance Anxiety  

Accuracy Verified: Yes


334. Blore, D. C. (2009, March). The range and diversity of post traumatic growth following EMDR for involvement in a road traffic accident. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.

Language: English

Format: Conference

Abstract:
This paper is a further progress report (see Blore, Farrell & Clifford 2008; Blore 2007) on data analysis from N=12 interviews from an Interpretative Phenomenological Analysis (IPA) study into Post Traumatic Growth (PTG) following successful EMDR treatment. The second round of hermeneutic analysis identified eight categories of PTG outcomes. Five of the categories: New Directions in Life; Enhancement of Social Development; Enhancement of Personal Development; Appreciation of Life and Spiritual & Philosophical Development, are consistent with the five factor analysis categories of the Post Traumatic Growth Inventory (PTGI)(Tedeschi & Calhoun 1996). The remaining three categories are: Development of ‘Success Heuristic’; Expression of Positive Emotions; and Growth Aspirations which can be seen as yet-to-be-attained PTG. One implication of these categories is that positive outcomes of EMDR are consistently being under-reported in the scientific literature simply because evidence-based practice is focussed solely on reducing negative symptomatology.

Keywords: Diversity  Motor Vehicle Accident  Symposium  

Accuracy Verified: Yes


335. Tofani, L. R., & Wheeler, K. (2011). The recent-traumatic episode protocol: Outcome evaluation and analysis of three case studies. Journal of EMDR Practice and Research, 5(3), 95-110. doi:10.1891/1933-3196.5.3.95.

Language: English

Format: Journal

Abstract:
This article evaluates and illustrates the application of the recent-traumatic episode protocol (R-TEP) with three diverse clients: a child with chronic illness, a woman with a significant loss, and an adolescent who self-harmed. The R-TEP is an adaptation of the Eye Movement Desensitization and Reprocessing (EMDR) protocol for early EMDR intervention. Sessions are presented in detail to highlight the shifts in information processing that occur during treatment. Observed markers used to analyze the flow of processing are identified, which include distancing from the trauma; reduction in negative affect or change in reported emotions; accessing more adaptive information; changes in the Subjective Units of Disturbance scale; and the Validity of Cognition scale and Impact of Event Scale--Revised indicating shifts in perception of the traumatic memory. Pre-post R-TEP treatment gains were noted for all clients, with changes in behavior and functioning. Theoretical underpinnings of the R-TEP are discussed with respect to the reported observations. The specific contribution of the protocol is highlighted, considering its procedural components and related plausible mechanisms of change.

Keywords: Mechanism of Action  Outcome Evaluation  Recent Evemts  Recent Trauma  R-TEP  

Accuracy Verified: Yes


336. Maxfield, L., & Hyer, L. (2002, January). The relationship between efficacy and methodology in studies investigating EMDR treatment of PTSD. Journal of Clinical Psychology, 58(1), 23-41. doi:10.1002/jclp.1127.

Language: English

Format: Journal

Abstract:
The controlled treatment outcome studies that examined the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) in the treatment of PTSD have yielded a range of results, with the efficacy of EMDR varying across studies. The current study sought to determine if differences in outcome were related to methodological differences. The research was reviewed to identify methodological strengths, weaknesses, and empirical findings. The relationships between effect size and methodology ratings were examined, using the Gold Standard (GS) Scale (adapted from Foa and Meadows). Results indicated a significant relationship between scores on the GS Scale and effect size, with more rigorous studies according to the GS Scale reporting larger effect sizes. There was also a significant correlation between effect size and treatment fidelity. Additional methodological components not detected by the GS Scale were identified, and suggestions were made for a Revised GS Scale. We conclude by noting that methodological rigor removes noise and thereby decreases error measurement, allowing for the more accurate detection of true treatment effects in EMDR studies (Pilots).

Keywords: Literature Review  Meta Analysis  Methodology  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes


337. Benish, S. G., Imel, Z. E., & Wampold, B. E. (2008 June). The relative efficacy of bona fide psychotherapies for treating post-traumatic stress disorder: A meta-analysis of direct comparisons. Clinical Psychology Review, 28(5), 746–758. doi:10.1016/j.cpr.2007.10.005..

Language: English

Format: Journal

Abstract:
Psychotherapy has been found to be an effective treatment of post-traumatic stress disorder (PTSD), but meta-analyses have yielded inconsistent results on relative efficacy of psychotherapies in the treatment of PTSD. The present meta-analysis controlled for potential confounds in previous PTSD meta-analyses by including only bona fide psychotherapies, avoiding categorization of psychotherapy treatments, and using direct comparison studies only. The primary analysis revealed that effect sizes were homogenously distributed around zero for measures of PTSD symptomology, and for all measures of psychological functioning, indicating that there were no differences between psychotherapies. Additionally, the upper bound of the true effect size between PTSD psychotherapies was quite small. The results suggest that despite strong evidence of psychotherapy efficaciousness vis-à-vis no treatment or common factor controls, bona fide psychotherapies produce equivalent benefits for patients with PTSD.

Keywords: Comparison  Meta-analysis  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


338. Cybela, D., & Karger, B. (2005, September). Removing internal barriers to leadership – An EMDR performance enhancement program. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
A Performance Enhancement Program using EMDRA can be an effective leadership development tool. The issue of management related stress was explored as a roadblock to effective leadership. APEX, LLC, in partnership wit Marathon County, has created an innovative package for leadership development, which has demonstrated positive results in improving the participants' self-confidence, optimism, and social skills in the work setting, along with reducing overall job stress. The program incorporates EMDR and a non-clinical personality to assess the individual's coping style for managing stress in the workplace. Specific strategies for identifying negative and positive cognitions unique to this population are noted.

Keywords: Job Stress  Management Related Stress  Performance Enhancement  

Accuracy Verified: Yes


339. Spector, J. (2003, February). Reprocessing. The Psychologist, 16(2), 65.

Language: English

Format: Journal

Abstract:
The news analysis article on disaster planning from a psychological viewpoint in the December issue (‘Healing the wounds of the mind’) described EMDR as ‘eye movement desensitisation and reprogramming’. The correct name is of course ‘eye movement desensitisation and reprocessing’ – reprogramming has no place in this procedure.

Keywords: Letter  Reprocessing  

Accuracy Verified: Yes


340. Koichi, T., Matuso, K., Toshiyuki, O., Tadashi, K., Akira, I., & Nobumasa, K. [綱島浩一、松尾幸治、大溪俊幸、加藤忠史、岩波明、加藤進昌] (2003). Research on cerebral hemodynamics of frontal lobe in PTSD using NIRS. Annual Report of the Research on Nervous and Mental Disorders, 186.

Language: English

Format: Other

Abstract:
For 34 victims of Tokyo subway sarin attack, the frontal lobe function was investigated during eye movement desensitization reprocessing (EMDR). And, cerebral hemodynamics in frontal lobe was examined using near infrared spectral analysis (NIRS) for 10 healthy subjects and 2 patients with posttraumatic stress disorder (PTSD). As the result, frontal lobe functional depression of frontal lobe was indicated in PTSD patients. It was indicated that the lowering of the cathexis was concerned in frontal lobe functional depression in PTSD patients. In patients with PTSD, according to the advance of EMDRt, the activation of the frontal lobe was decreased, and it was indicated that this pattern would be similar to that of healthy subject.

Keywords: Cerebral Hemodynamics of Frontal Lobe  NIRS  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: No


341. Hurley, E. C. (2010, November). A response to the meta-analysis by Albright & Thyer: What best serves our troops?. Behavioral Interventions, 25(4), 349-353. doi:10.1002/bin.314.

Language: English

Format: Journal

Abstract:
Comments on Does EMDR reduce post-traumatic stress disorder symptomatology in combat veterans? by David L. Albright and Bruce Thyer (see record 2010-02408-001). As an Army Chaplain and psychotherapist for 30 years, I have used a variety of psychotherapy modalities to treat soldiers and military families in various combat zones, as well as military installations in the United States. In this capacity I have found eye movement desensitization and reprocessing (EMDR) to be efficacious in the treatment of both trauma and life adjustment issues. In my present position as Director of Soldier Center, Clarksville, TN, I use EMDR on a daily basis to treat soldiers and veterans recovering from combat trauma. Based on my extensive experience in the successful application of EMDR, I am dismayed by the pre-suppositional bias against and potentially serious misrepresentations of EMDR that are evident in the Albright and Thyer article from the authors' very first mention of it. The authors have done a great disservice to clinicians, as well as to veterans, with their paper. In summary, the best way to serve our troops is to urge comparative research between EMDR and the extant cognitive behavioral therapy (CBT) treatments. Our men and women in uniform deserve the best treatment possible. EMDR has amply demonstrated its efficacy with multiple trauma populations and should not be minimized because of subjective biases and misinformation. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Keywords: Albright  Letter  Thyer  Troops  

Accuracy Verified: Yes


342. Figley, C., Dietrich, A., Maxfield, L., & Gentry, J. E. (1999, November). Review of neoteric trauma treatments and suggested practice guidelines. In C. Figley (Chair) Discussion, Clinical Theory. International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR), Thought Field Therapy (TFT), Time-Limited Trauma Therapy (TLTT), Traumatic Incident Reduction (TIR), and Visual/Kinesthetic Dissociation (V/KD) are relatively new approaches in the treatment of trauma-related disorders. These approaches have come under intense scientific and professional scrutiny and criticism, with proponents and critics offering diverse and intriguing arguments in support of their respective points of view. This discussion will focus on the current empirical and anecdotal evidence on the efficacy of these five approaches, as well as various criticisms that have been proferred in response to the empirical and clinical literature on treatment efficacy and theory. EMDR will be highlighted, given the growing empirical database on EMDR outcome studies and the contention surrounding the treatment and its’ theory. The evidence for and/or against the other four approaches will also be presented, upon which we will raise for discussion issues relating to methodological rigour, scientific reporting of clinical data, and the interpretation of efficacy studies in general. The discussion will occur within the context of philosophical discourse on the ideal of integration of science and practice, and the feasibility of attaining this ideal within the current scientific Zeitgeist. INTERVENTION RESEARCH, CLINICAL CASE STUDY Sandringham Skills-Based Treatment of Dissociation: A Case Study 238 Chair: ELHAI, Jon D., Nova Southeastern University Discussant: GOLD, Stephen A clinical case study of skills-based treatment of a 48-year-old, female survivor of child sexual abuse (CSA) reporting severe dissociative symptomatology is presented. Chief complaints were daily amnestic episodes, depersonalization, panic attacks, agoraphobia, and consequent long-term unemployment. In contrast to most approaches to therapy for dissociative syndromes, it is argued that treatment does not need to be primarily trauma-focused. Instead treatment focused on targeting dissociation and anxiety by teaching skills to be implemented by the client outside of session. Functional behavioral analysis of particular recent incidents of dissociation were conducted over several sessions. Imagery-based relaxation and progressive muscle relaxation were used and monitored to help the client learn additional methods of reducing distress. Grounding techniques were implemented to counter the dissociative tendency to lose experiential awareness of the here and now. Cognitive interventions were utilized to challenge the erroneous notions reported about dissociative experiences, such as the panic she experienced when her dissociation had been revealed to others. Last, in vivo systematic desensitization was used with a fear hierarchy, ranging from the least to most fearful stimuli that precipitate dissociation, where graduated exposure was followed by relaxation. At termination the client reported elimination of panic attacks, resumption of driving, and marked reduction in frequency and duration of amnestic periods, with substantial additional gains and progress in finding full-time employment reported at 8 month follow-up. Treatment outcome is assessed based on psychological test data obtained at intake, discharge, and 8 month follow-up, as well as client anecdotal report.

Keywords: Neoteric Trauma Treatments  Practice Guidelines  

Accuracy Verified: Yes


343. 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


344. 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

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  Sematic Association  

Accuracy Verified: Yes


345. Grand, D. (2002, March/April). The role of EMDR in enhancing creativity and performance. EMDRNews.com.

Language: English

Format: Newsletter

Abstract:
By its nature, creativity takes place in the moment. The therapist tunes in and listens in the moment, and flows with his clients wherever they go. EMDR works with directed activation of sensory, cognitive, affective and bodily experience -- all in the moment. It's notwhat happened then, it's what you're experiencing now. Activation of imagery, sound, smell and emotion and where they are felt in the body open the doors to EMDR's creative processing. And when creativity is blocked, EMDR can be a godsend.

Keywords: Creativity  Performance Enhancement  

Accuracy Verified: Yes


346. Cohen, L. (2005, June). Rorschach assessment of treatment with EMDR, a multiple case study. In Research issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Rorschach protocols from patients whose treatment includes the use of EMDR are analyzed. Rorschach protocols are obtained prior to a first EMDR session and following treatment. The structural summary for the pretreatment protocols are used to formulate ideas (hypotheses) concerning the desired and/or expected effects of treatment. Post-treatment protocols are compared with pre-treatment protocols. Effects reported by patients in treatment is related to changes in Rorschach protocols. The study is relevant for the analysis of perceptual changes occurring in treatment involving EMDR.

Keywords: Multiple Case Study  Research  Rorschach Assessment  Symposium  

Accuracy Verified: Yes


347. Russell, M. C. (2008, December). Scientific resistance to research, training and utilization of eye movement desensitization and reprocessing (EMDR) therapy in treating post-war disorders. Social Science & Medicine, 67(11), 1737-1746. doi:10.1016/j.socscimed.2008.09.025.

Language: English

Format: Journal

Abstract:
In this study, Barber's [(1961). Resistance by scientists to scientific discovery. Science, 134, 596-602] analysis of scientists' resistance to discoveries is examined in relation to an 18-year controversy between the dominant cognitive-behavioral paradigm or zeitgeist and its chief rival - eye movement desensitization and reprocessing (EMDR) in treating trauma-related disorders. Reasons for persistent opposition to training, utilization and research into an identified 'evidence-based treatment for post-traumatic stress disorder' (EBT-PTSD) within US military and veterans' agencies closely parallels Barber's description of resistance based upon socio-cultural factors and scientific bias versus genuine scientific skepticism. The implications of sustained resistance to EMDR for combat veterans and other trauma sufferers are discussed. A unified or super-ordinate goal is offered to reverse negative trends impacting current and future mental healthcare of military personnel, veterans and other trauma survivors, and to bridge the scientific impasse.[PUBMED]

Keywords: Adults  Americans  Health Personnel Attitudes  Posttraumatic Stress Disorer  PTSD  Scientific Research  

Accuracy Verified: Yes


348. Sorensen, S. (2007). Seelische selbstheilungskraft ganzheitliche EMDR - Selbsttherapie und individuierende selbstanalyse [Mental self healing power: Holistic EMDR self therapy and individual self-analysis]. Norderstedt Books on Demand GmbH.

Language: German

Format: Book

Abstract:
Erfahrungsbericht einer Selbsttherapie an Leib und Seele, Biografie und Sachbuch. Sofia Sörensen hat sich während ihres turbulenten Lebens selbst sachkundig gemacht und mutig unter multidimensionaler Psychotherapie mit EMDR, Verhaltenstherapie, Psychoanalyse und anderem selbständig erfolgreich behandelt. In der Wagneroper Die Meistersinger von Nürnberg fragt Walther von Stolzing: "Wie fang' ich nach der Regel an?" Und Hans Sachs antwortet ihm: "Ihr stellt sie selbst und folgt ihr dann." Der eigene Leitsatz von Sofia Sörensen lautet: "Irren kann ich mich auch selbst. Dafür benötige ich keinen Therapeuten mehr."Erfahrungsbericht einer Selbsttherapie an Leib und Seele, Biografie und Sachbuch. Sofia Sörensen hat sich während ihres turbulenten Lebens selbst sachkundig gemacht und mutig unter multidimensionaler Psychotherapie mit EMDR, Verhaltenstherapie, Psychoanalyse und anderem selbständig erfolgreich behandelt. In der Wagneroper Die Meistersinger von Nürnberg fragt Walther von Stolzing: "Wie fang' ich nach der Regel an?" Und Hans Sachs antwortet ihm: "Ihr stellt sie selbst und folgt ihr dann." Der eigene Leitsatz von Sofia Sörensen lautet: "Irren kann ich mich auch selbst. Dafür benötige ich keinen Therapeuten mehr."

Review of self-therapy, body and soul, biography and nonfiction. Sofia Sorensen has made during her turbulent life itself competently and courageously with under multidimensional EMDR psychotherapy, behavior therapy, psychoanalysis and other self-treated successfully. In Wagner's opera Die Meistersinger von Nürnberg Walther von Stolzing asks: "How could I begin to the rule?" And Hans Sachs replied: "You will own it and then follows her." The own motto of Sofia Sorensen is: "To err may I also own this I do not need a therapist anymore." Review of self-therapy, body and soul, biography and nonfiction. Sofia Sorensen has made during her turbulent life itself competently and courageously with under multidimensional EMDR psychotherapy, behavior therapy, psychoanalysis and other self-treated successfully. In Wagner's opera Die Meistersinger von Nürnberg Walther von Stolzing asks: "How could I begin to the rule?" And Hans Sachs replied: "You will own it and then follows her." The own motto of Sofia Sorensen is: "To err may I also own this I do not need a therapist anymore."

Keywords: General  Overview  

Accuracy Verified: No


349. Tavanti, M., Bossini, L., Calossi, S., Lombardelli, A., Polizzotto, N., Vatti, G., Galli, R., Pieraccini F., & Castrogiovanni, P. (2008, Febbraio). Sertralina vs EMDR: Effetti sul volume ippocampale [Sertraline vs. EMDR: Effects on hippocampal volume]. Poster presentato al XII Congresso SOPSI (Società Italiana di Psicopatologia), Roma, Italia.

Language: Italian

Format: Conference

Abstract:
Molti dati sperimentali hanno mostrato che la terapia farmacologica con SSRI può incrementare il volume dell’ippocampo, invece il solo studio che ha investigato gli effetti di un tipo di psicoterapia (TEB, Terapia Eclettica Breve) non ha evidenziato alcuna efficacia sul volume ippocampale 1. Scopo del nostro studio è valutare gli effetti del trattamento con EMDR (Eye Movement Desensitization and Reprocessing) sul volume ippocampale, sui sintomi e sulle performances mnesiche di pazienti con Disturbo Post-Traumatico da Stress (DPTS). La EMDR è una terapia la cui efficacia nel DPTS è stata dimostrata in numerosi studi sperimentali. Sono stati selezionati 12 soggetti drug-free con diagnosi di DPTS alla SCID-P, senza comorbidità psichiatrica. Ogni soggetto reclutato è stato sottoposto alla prima visita (Tempo 0, Drug-Free) ad una indagine psicometrica (tramite DTS), ad una indagine neuropsicologica (tramite una batteria di test) e alla misurazione dei volumi cerebrali tramite Risonanza Magnetica. Successivamente, i 12 soggetti sono stati attribuiti in maniera random a due diversi protocolli terapeutici. Sei soggetti hanno effettuato 12 sedute di EMDR della durata di 1,5 ore, mentre sei soggetti sono stati trattati con 100 mg di sertralina. Dopo il trattamento (Tempo 1, Post-Terapia) i soggetti sono stati nuovamente sottoposti alle indagini effettuate al Tempo 0. La seconda valutazione al Tempo 1 è stata effettuata dopo tre mesi nei soggetti trattati con EMDR e dopo 6 mesi nei soggetti trattati con la sertralina, in base ai tempi medi necessari per la remissione cilinica del DPTS riportati in letteratura per i due presidi terapeutici. In questo studio verranno presentati i dati relativi alle differenze volumetriche, ai miglioramenti clinici e alla performance mnesica nei due gruppi di soggetti (soggetti sottoposti ad EMDR e soggetti trattati con sertralina) e un dettagliato confronto dei risultati ottenuti.

Many experimental data have shown that drug therapy with SSRIs may increase the volume of the hippocampus, Instead the only study that has investigated the effects of a type psychotherapy (TEB, Brief Therapy Eclectic) showed no no effect on hippocampal volume 1. Purpose of our study was to evaluate the effects of treatment with EMDR (Eye movement desensitization and reprocessing) on hippocampal volume, symptoms and performance mnesic of patients with Post-Traumatic Stress Disorder (PTSD). The EMDR is a therapy whose efficacy in PTSD is been demonstrated in numerous experimental studies. Were selected 12 subjects with a diagnosis of drug-free PTSD in the SCID-P, without psychiatric comorbidity. Each recruited subject was submitted to the first visit (Time 0, Drug-Free) at a psychometric investigation (by DTS), a neuropsychological investigation (using a battery test) and measurement of brain volume through Magnetic Resonance Imaging. Subsequently, 12 subjects have been allocated random to two different treatment protocols. Six subjects have carried out 12 sessions of EMDR duration of 1.5 hours, while six patients were treated with 100 mg of sertraline. After treatment (Time 1, Post-Therapy) subjects are were again subjected to the investigations made at the time 0. The second evaluation at Time 1 was made after three months in subjects treated with EMDR and after 6 months in subjects treated with sertraline, based on the average time needed cylinder for the remission of PTSD reported in the literature for the two therapeutic aids. In this study will be presented data on differences displacement, the clinical improvements and performance mnesic in the two groups of subjects (subjects EMDR for patients treated with sertraline) and a detailed comparison of results. Listen Read phonetically Dictionary - View detailed dictionaryGoogle Translate for my:SearchesVideosEmailPhoneChatBusinessAbout Google TranslateTurn off instant translationPrivacyHelp ©2010Business ToolsTranslator ToolkitAbout Google TranslateBlogPrivacyHelp►

Keywords: Hippocampal Volume Poster  Sertraline  

Accuracy Verified: Yes


350. Fernandez, I. (2010, March). Small victims of big disasters: Post-traumatic stress reactions and EMDR efficacy. Keynote presented at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
The presentation describes post-traumatic stress reactions in children victims of mass disasters and the application of EMDR as an early trauma-focused treatment with them. Different kind of disasters (natural disasters, accidents and intentionally provoked) in the last years have involved specific populations of children in Italy and results from epidemiological studies and clinical interventions will be analyzed during the presentation. EMDR treatment was part of a comprehensive treatment with the population and was the elective treatment for the children of elementary schools which were the most exposed to the traumatic events. In most cases, 3 cycles of EMDR treatment were organized at one month, three months and a year from the critical events. Individual sessions were used for the school children due to the serious exposure to trauma and grief including: threat to life, loss of friends and sibling. Psychological support and EMDR treatment were provided to parents and school personnel and this aspect has been considered in the last interventions fundamental to enhance treatment results in children. Results of questionnaires and clinical interviews to assess post-traumatic symptomatology before and after treatment will be shown, along with follow up data. Treatment group show a significant improvement after EMDR treatment. Statistical analysis of results will be discussed. The author will highlight clinical aspects of using EMDR with children following recent trauma of great magnitude. Guidelines and indications for structured interventions coming from our field studies will be presented.

Keywords: Children  Efficacy  Keynote  Mass Disaster  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


351. Ricci, R. J., Clayton, C. A., Foster, S., Jarero, I., Litt, B., Artigar, L., & Kamin, S. (2009). Special applications of EMDR: Treatment of performance anxiety, sex offenders, couples, families, and traumatized groups. Journal of EMDR Practice and Research, 3(4), 279-288. doi:10.1891/1933-3196.3.4.279.

Language: English

Format: Journal

Abstract:
This article presents four brief reports that illustrate EMDR’s potential in addressing a range of pathologies and problems. These include traumatized groups, families and couples, sex offenders, and individuals with performance anxiety. Each brief report provides a short summary of the research, highlights current EMDR research, and points out what is needed for future investigations. Preliminary results suggest that the EMDR–integrative group treatment protocol may be an effective means of providing mental health care to large groups of people affected by critical incidents. The report titled “EMDR in Couples and Family Therapy” provides an overview of the field and describes the various ways in which EMDR is being incorporated. The presenting issue with performance anxiety is debilitating evaluation anxiety at the prospect of having to perform some important activity in front of an audience that matters a great deal to the client. Sex offender treatment is enhanced by an effective means of resolving psychological mechanisms that contribute to the dynamics of the offense chain.

Keywords: Couples and Family Therapy  Group Treatment  Performance Anxiety  Sex Offender Treatment  

Accuracy Verified: Yes


352. Lohr, J., DeMaio, C., & McGlynn, F. (2003, July). Specific and nonspecific treatment factors in the experimental analysis of behavioral treatment efficacy. Behavior Modification, 27(3), 322-368. doi:10.1177/0145445503027003005.

Language: English

Format: Journal

Abstract:
Interest in the empirical demonstration of the clinical efficacy of psychosocial treatments has been rekindled by societal concerns over accountability and cost-effectiveness in the delivery of mental health services. Behavior therapy has had a long history of experimental research on treatment efficacy and enjoys a visible presence in contemporary mental health practice. The demonstration of behavioral treatment efficacy, however, requires experimental evidence that shows the efficacy of prescriptive structured procedures beyond nonspecific factors in delivery of such procedures. The authors provide an analysis of the nature of nonspecific treatment factors and nonspecific effects and suggest experimental procedures testing the incremental validity of specific treatments. They examine two widely promoted, prescriptive structured treatments to analyze the specificity of their clinical efficacy: eye movement desensitization and reprocessing for anxiety disorders and cognitive-behavioral treatment of generalized anxiety disorder. They conclude that the treatments show different levels of efficacy and different degrees of specificity.

Keywords: Behavior Therapy  Efficacy  Literature Review  Methodology  Specific Factors  Treatment Effectiveness  

Accuracy Verified: Yes


353. Saverio, L. I. (2008, June). State of consciousness & paradigm: A comparison between two descriptions of the processes of change observed in a psychotherapy integrated with EMDR and some contributions on a unified theory of psychotherapy. Poster presented at the annual meeting of the EMDR Europe Conference, London, England UK.

Language: English

Format: Conference

Abstract:
This presentation compares two different descriptions: Paradigm and State of Consciousness, of the changes, observable in a psychotherapy integrated with EMDR, to establish which of the two descriptions is the most likely and consistent. Applying the method of the double description it will seek to identify contributions that may be 25 useful for the construction of a Unified Theory of Psychotherapy. At first, attention is focused upon the necessity to construct a bridge-language between the different dialects of psychotherapies. Short specialized definitions, such as Paradigm and State of Conscience, could be examples of the complex concepts, here denominated synthetic �t� metaphors, transtheorical or Tran disciplinal, to be researched for constructing a common language between the plurality of psychotherapies. Some implications of the methodological innovation carried on by EMDR in psychology, psychotherapy, and in other disciplines are then analysed and proposed. In particular, the easy integration of traditional psychotherapeutic methodologies with EMDR and the discovery of new target of psychotherapy, have led to looking at all psychological activities in terms of a spatial metaphor. On the basis of this a general map of the psychological territories of �sapiens sapiens� has been drafted. This general map is divided in two main areas: A -the psychological territories of the individual, B -the psychological territories of the species, This species map has some specific characteristics; since �sapiens sapiens� are social animals, their relations have clear functions of social and environmental group interface too. These maps will be illustrated. In its original meaning, the definition of Paradigm will be found within the maps and consequently analysed in its variations. The amplified theory of State of Conscience will be presented and analysis, similar to the previous one, will be carried out. A description of EMDR, that may be useful for implementing its understanding, will be proposed at the end.
The title link is to an Introduction in Italian.

Keywords: Poster  Unified Theory of Psychotherapy  

Accuracy Verified: Yes


354. Leeds, A. M. (2002, June). Strengthening identity and performance. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
This workshop will articulate an enlarged set of EMDR related Resource Development and Installation (RDI) protocols. All these procedures emphasize the deliberate incorporation of positive emotion as part of restructuring and developing new affect scripts across discrete behavioral states. A majority of workshop time will be devited to experiential practice in dyads and small groups of these clinically relevant procedures. Strategies for accessing and evoking positive emotion will include movement, posture, music, artistic and emotional expression, and a variety of imagery processes. In these experiential exercises, participants will identify personally relevant areas of desired professional development including issues of recurring countertransference stressors and compassion fatigue. The aim of these procedures is to access naturalistic capacities for positive emotion and incorporate these capacities into new affect scripts that strengthen identity and enhance performance and interaction.

Keywords: RDI  Resource Development and Installation  

Accuracy Verified: Yes


355. Patterson, G. T., & Chung, I. ([2010]). Stress management training and development programs for police officers and recruits. Oslo, Norway: The Campbell Collaboration. Retrieved from www.campbellcollaboration.org on 2/10/2012.

Language: English

Format: Other

Abstract:
Background and objective of this review (briefly describe the problem and the intervention): A body of knowledge exists that identifies sources of police stress, categories of stress, and the strategies officers and recruits use to cope with stress. It is generally agreed upon that stressful work and life events can have a negative impact on police officers and recruits that can be quite pervasive. Consequently, law enforcement organizations provide a wide variety of interventions to help officers manage stress. The most common intervention is training to help officers recognize the warning signs of stress, and to use individual coping strategies. However, little is known about the efficacy of the wide range of interventions given to police officers and recruits. The objectives of this systematic review are to: assess how stress management and officer development programs are evaluated; examine conceptual differences in interventions; explain variations in interventions; build the connection between the body of knowledge that describes sources and types of police and recruit stress, and interventions; discover reasons for conflicting training effects; and synthesize what is known and not known about the impact of different study designs, research methods, interventions, and data analysis procedures on outcomes.

Keywords: Policemen  Recruits  Stress Management  

Accuracy Verified: Yes


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

Language: Italian

Format: Conference

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

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

Keywords: Neurobiology  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


357. Armstrong, R. (2011, March). The subjective experiences of children following EMDR for PTSD following a single incident trauma. In EMDR research. Symposium (Derek Farrell, Chair) conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol.

Language: English

Format: Conference

Abstract:
This study explored the subjective experiences of children from 10 to 16 years who had completed an episode of Eye Movement Desensitization and Reprocessing (EMDR) therapy for the treatment of Post Traumatic Stress Disorder (PTSD) following a single traumatic incident. Interpretative phenomenological analysis (IPA) was used to elucidate the participants’ understanding of the effect of the EMDR therapy on their recovery from PTSD. Three super-ordinate themes are identified describing how the participants engaged in the therapy, were assisted to keep going and what they made of the EMDR process. Results suggest that difficulties in engaging in the therapy were overcome by a combination of desperation and determination to get better, support of family and friends, the credibility of the therapist and finding that they started to feel better after about two sessions. EMDR was perceived as a surprisingly effective therapy in the light of almost universal initial scepticism, and an approach that generally did not require a conscious effort by the participant to make it work.

Keywords: Children  Interpretative Phenomenological Analysis  IPA  Single Incident Trauma  Subjective Experiences  Symposium  

Accuracy Verified: Yes


358. Mendes, D. D., Mello, M. F., Ventura, P., Passarela, Cde. M., Mari, J. de J. (2008). A systematic review on the effectiveness of cognitive behavioral therapy for posttraumatic stress disorder. International Journal of Psychiatry Medicine, 38(3), 241-259. doi:10.2190/PM.38.3.b.

Language: English

Format: Journal

Abstract:
Objective: Cognitive behavioral therapy (CBT) is the most common psychotherapy approach for the treatment of PTSD. Nevertheless, previous reviews on the efficacy of several types of psychotherapy were unable to detect differences between CBT and other psychotherapies. The purpose of this study was to conduct systematic review on the efficacy of CBT in comparison with studies that used other psychotherapy techniques. Method: Databases were searched using the following terms: posttraumatic stress disorder/stress disorder, treatment/psychotherapy/behavior cognitive therapy, randomized trials, and adults. Randomized clinical trials published between 1980 and 2005 and that compared CBT with other treatments for PTSD was included. The main outcomes were remission, clinical improvement, dropout rates and changes in symptoms. Results: The 23 clinical trials included in the review comprised 1,923 patients: 898 in the treatment group and 1,025 in the control group. CBT had better remission rates than EMDR (RR = 0.35; 95%CI: 0.16; 0.79; p = 0.01) or supportive therapies (RR = 0.43; 95%CI: 0.25; 0.74; p = 0.002, completer analysis). CBT was comparable to Exposure Therapy (ET) (RR = 0.90; 95%CI: 0.58; 1.40; p = 0.64), and cognitive therapy (CT) (RR = 1.01; 95%CI: 0.67; 1.51; p = 0.98) in terms of efficacy and compliance. Conclusions: These findings suggest that specific therapies, such as CBT, exposure therapy and cognitive therapy are equally effective, and more effective than supportive techniques in the treatment of PTSD.

Keywords: CBT  Cognitive Behavioral Therapy  Comparative Study  Posttraumatic Stress Disorder  PTSD  Systematic Review  

Accuracy Verified: Yes


359. Tofani, L. R. (2003, May). Systemic family therapy and EMDR: Theoretical and practical considerations for their intergration. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
Conjoint use of systemic family therapy and EMDR is examined. A young adult in the "leaving home" phase of the family life cycle, affected by panic attacks and concomitant anxious/depressive disorder has been treated following the systemic approach , with family sessions and individual sessions including the use of EMDR at specific times. The clinical case is taken as an example for theoretical and practical considerations and for the analysis of the possible integration of the two approaches. This analysis underlines the use of EMDR as a "stimulating factor" in different moments of the family therapy treatment. EMDR helped to focus and elaborate a strong but undefined feeling of serious personal danger in the young identified patient and, on the other side, it helped to define clusters of cognitive conflicts which prevented the development of more adaptive behaviors. Elements that suggest a careful and skillful use of EMDR are presented together with the corresponding need for minor modifications, if associated with family therapy. The aspect of timing individual sessions with EMDR is also considered. The problem of how to interweave elements deriving from EMDR sessions and contents deriving from family sessions is discussed and useful hints about the integration are suggested. [Author abstract]

Keywords: Symposium  Systemic Family Therapy  

Accuracy Verified: Yes


360. Kapfhammer, H.-P. (2008, December). Therapeutische möglichkeiten nach traumatischen erlebnissen [Therapeutic possibilities after traumatic experiences]. Psychiatria Danubina, 20(4), 532-545.

Language: German

Format: Journal

Abstract:
Acute Belastungsstörung (ASD) und Posttraumatische Belastungsstörung (PTSD) sind häufige, aber nicht zwingend psychologische Folgeerscheinungen nach einem Trauma. Eine wichtige Untergruppe der Patienten vor einer chronischen Verlauf der Erkrankung mit einem erhöhten psychiatrischen Komorbidität und erhebliche Beeinträchtigungen in psychosozialen Anpassung assoziiert. Der typische psychopathologische Symptome von ASD und PTSD werden am besten in einem multifaktoriellen Modell der Integration sowohl neurobiologische und psychosoziale Einflüsse beschrieben. Die komplexen Ätiopathogenese von akuten und posttraumatischen Belastungsstörung begünstigt multimodalen Ansätzen in der Behandlung. Differential psychotherapeutische und pharmakologische Strategien zur Verfügung stehen. In einer kritischen Studie über empirische Studien, können psychologische Debriefing nicht als einen positiven Ansatz betrachtet werden, als allgemeine vorbeugende Maßnahme in der unmittelbaren posttraumatischen Phase empfohlen werden. Positive Auswirkungen der kognitiv-verhaltenstherapeutischen Interventionen kann für ASD eingerichtet werden. Psychodynamische Psychotherapie, kognitive Verhaltenstherapie und EMDR zeigen viel versprechende Ergebnisse bei der Behandlung von PTSD. Wesentliche klinische Einschränkungen der Patienten innerhalb von speziellen Probenahmen Forschungseinrichtungen, jedoch nicht gestatten, eine bedingungslose Verallgemeinerung dieser Daten zu psychiatrischen Routineversorgung. In einer empirischen Analyse der SSRIs sind die meisten und am besten untersuchten Medikamente für ASD und PTSD. Im Vergleich zu trizyklischen Antidepressiva SSRIs zeigen ein breiteres Spektrum an therapeutischen Wirkungen und sind besser verträglich. Die Substanzklassen der SNRI, DAS, SARI und NaSSA sind als Medikamente der zweiten Wahl angesehen werden. Sie versprechen eine therapeutische Wirksamkeit der SSRI gleichwertig, wobei bisher nur in offenen Studien untersucht. MAO-Hemmer können eine positive therapeutische Potenzial verfügen, müssen ihr Profil der Nebenwirkungen geachtet, jedoch werden. Mood-Stabilisatoren und atypische Neuroleptika können in Anspruch genommen werden und vor allem im Add-On-Strategien. Benzodiazepine sollten nur mit Vorsicht erhöht für eine kurze Zeit in den Staaten der akuten Krise eingesetzt werden. In frühen Interventionen, die blockierende Substanzen norepinephric Hyperaktivität scheinen vielversprechende Alternativen. Stress Dosen von Hydrocortison kann als experimentelle pharmakologische Strategie betrachtet so weit sein. [PubMed]

Acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) are frequent, but not obligatory psychological sequelae following trauma. A major subgroup of patients face a chronic course of illness associated with an increased psychiatric comorbidity and significant impairments in psychosocial adaptation. The typical psychopathological symptoms of ASD and PTSD are best described within a multifactorial model integrating both neurobiological and psychosocial influences. The complex etiopathogenesis of acute and posttraumatic stress disorder favours multimodal approaches in the treatment. Differential psychotherapeutic and pharmacological strategies are available. In a critical survey on empirical studies, psychological debriefing cannot be considered as a positive approach to be recommended as general preventive measure during the immediate posttraumatic phase. Positive effects of cognitive-behavioral interventions can be established for ASD. Psychodynamic psychotherapy, cognitive-behavioral therapy and EMDR show promising results in the treatment of PTSD. Major clinical restrictions of patient sampling within special research facilities, however, do not allow an unconditional generalization of these data to psychiatric routine care. In an empirical analysis the SSRIs are the most and best studied medications for ASD and PTSD. In comparison to tricyclic antidepressants SSRIs demonstrate a broader spectrum of therapeutic effects and are better tolerated. The substance classes of SSNRI, DAS, SARI and NaSSA are to be considered as drugs of second choice. They promise a therapeutic efficacy equivalent to the SSRIs, being investigated so far only in open studies. MAO-inhibitors may dispose of a positive therapeutic potential, their profile of side effects must be respected, however. Mood stabilizers and atypical neuroleptics may be used first and foremost in add-on strategies. Benzodiazepines should be used only with increased caution for a short time in states of acute crisis. In early interventions, substances blocking the norepinephric hyperactivity seem to be promising alternatives. Stress doses of hydrocortisone may be considered as an experimental pharmacological strategy so far.[PUBMED]

Keywords: Acute Stress Disorder  ASD  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


361. Rosenthal, H. 2006. Therapy's best: Practical advice and gems of wisdom from twenty accomplished counselors and therapists. Binghamton, NY, London: Haworth Reference.

Language: English

Format: Book

Abstract:
Insightful interviews with a Who’s Who of the world’s foremost therapists Therapy’s Best is a lively and entertaining collection of one-on-one interviews with some of the top therapists and counselors in the world. Educator and psychotherapist Dr. Howard G. Rosenthal talks with twenty of therapy’s legends, including Albert Ellis, arguably the greatest clinical psychologist and therapist of our time; assertiveness training pioneer Robert Alberti; experiential psychotherapist Al Mahrer; and William Glasser, the father of reality therapy and choice theory. Each interview reveals insights into the therapists’ personal lives, their observations on counseling, and the helping profession in general, and their thoughts on what really works when dealing with clients in need. The interviews found in Therapy’s Best uncover treatment strategies that are often missing from traditional textbooks, journal articles, courses, and seminars related to assertiveness training, Rational Emotive Behavior Therapy (REBT), marriage and family counseling, transactional analysis, psychoanalysis, suicide prevention, voice therapy, experiential psychotherapy, and Emotion Focused Therapy (EFT). Conversations with the “best and brightest” (including two recipients of the American Psychological Association’s Division of Psychotherapy’s “Living Legends” award) reveal why these therapists are such effective helpers, what makes their theories so popular, and most important, what makes them tick. This unique book lets you “rub elbows” with these consummate professionals and learn more about their theories, ideas, and experiences. Therapy’s Best includes interviews with: Dr. Albert Ellis—creator of Rational Emotive Behavior Therapy (REBT) and APA Division of Psychotherapy “Living Legend” Dr. Edwin Schneidman—the foremost expert on suicide prevention, suicidology, and thanatology Richard Nelson Bolles—author of What Color Is Your Parachute? Dr. Dorothy and Dr. Ray Bevcar—husband and wife therapists who write textbooks on marriage counseling Dr. Al Mahrer—father of experiential psychotherapy and APA Division of Psychotherapy “Living Legend” Les Greenberg—father of Emotion-Focused Therapy (EFT) Muriel James—co-author of Born to Win and many more! Therapy’s Best is a must read for professionals who practice counseling and psychotherapy, students preparing to do likewise, and anyone else with an interest in therapy—and the people with provide it

Keywords: Francine Shapiro  Interview  Practice  Theory  

Accuracy Verified: Yes


362. Robinson, N. S. (2001). Time-line EMDR. EMDRIA Newsletter, 6(3), 4-5.

Language: English

Format: Conference

Abstract:
We often find clients who are not satisfied with their life situation, are underfunctioning, or have negative thoughts/ cognitions about themselves. These issues persist in spite of successful lives or significant amounts of therapy. Trauma concerns are either non-existent or resolved. Existing EMDR techniques such as Resource Development and Installation (Deborah Korn, Andrew Leeds), Performance Enhancement (Lendl & Foster, 1997) or doing a “float back” can be tried with these clients. RDI can strengthen clients and increase their ability to cope. Performance protocol can help them improve functioning with mental rehearsals. The float back technique can put them in touch with affect and accompanying bodily sensations which can help identify blocking beliefs or identify early events still impacting current difficulties. These techniques have not always been sufficient for some of my clients. I have turned to my family systems training in order to expand my clinical resources. Family systems reminds us that negative and positive messages, beliefs, loyalties and ways of being are passed down through generations and have a farreaching impact on each of us. I have developed a time-line technique that allows me to use EMDR to tap into historical and cultural sources to help clients clear through blockages as well as discover new personal resources.

Keywords: Genograms  Time-Line  

Accuracy Verified: Yes


363. Marich, J. N. (2010). To the editor. Journal of EMDR Practice and Research, 4(2), 100-101. doi:10.1891/1933-3196.4.2.100.

Language: English

Format: Journal

Abstract:
In Isaac Bashevis Singer’s prolifi c Holocaust novel, Enemies: A Love Story (1972), the main character, Herman Broder, sets his eyes into an oscillating motion whenever he needs to deal with stress or anxiety. The books and poems of Native American author Sherman Alexie (1992, 2009) beautifully document how centuries of tribes have utilized the dance, an activity of tactile bilateral stimulation, to cope with distress and heighten performance. Kyra Gaunt (2006) documented how generations of African American girls have used clapping games, doubledutch jump rope, and other bilateral rhythmic activities to transition into adulthood. This small collection of examples sets a larger context for the development of eye movement desensitization and reprocessing (EMDR) that I feel, in the excitement over the 20th anniversary of Shapiro’s discovery, we have failed to consider. I write this letter with a great deal of respect for Dr. Francine Shapiro as someone who has tapped into the seemingly innate, healing power of bilateral stimulation and systematized it for use in psychotherapeutic settings. In the spirit of appreciating the larger context of her contribution, I feel the need to voice my concern about several points that she articulated in the interview with Marilyn Luber. (Excerpt)

Keywords: Letter  

Accuracy Verified: Yes


364. Carvalho, E. R. (2012, Apr). Towards the application of the EMDR 8-phase approach to athletes with sports trauma. California Coast University, Santa Ana, CA.

Language: English

Format: Dissertation/Thesis

Abstract:
Theory and research in the area of trauma and neurobiology have shown that the EMDR treatment approach is useful in the desensitization and reprocessing of distressful and/or traumatic memories. The purpose of this study was to evaluate if EMDR therapy could be successfully applied to athletes with sports trauma, since the underlying causes of performance limitations can often be found in past (traumatic) events that are triggered in present-day situations. This study seeks to evaluate the possibility of understanding and defining sports performance limitations as trauma-based and explore the possibility of applying EMDR, a new psychotherapeutic approach with proven efficacy to heal trauma, to athletes in order to enhance performance by healing sports trauma. Through a critical analysis of existing theory and research regarding trauma, treatment and the diverse applications of EMDR therapy are discussed and it is shown how athletes could benefit from processing past events with EMDR therapy in order to achieve performance enhancement.

Keywords: Athletes  Sports Trauma  

Accuracy Verified: Yes


365. Schleyer, M. A. (2000, July). The trauma client's experience of eye movement desensitization and reprocessing: A heuristic analysis. Union Institute and University, Cincinnati, OH. AAT 9958854 .

Language: English

Format: Dissertation/Thesis

Abstract:
Traumatic stress and its impact on the individual, family and society have been described in the literature for over one hundred years. Controversy exists regarding etiology, determinants and therapeutic intervention for traumatic stress. There is limited research regarding the comparative value of treatment of trauma. In 1989 Eye Movement Desensitization and Reprocessing (EMDR) emerged as a therapeutic intervention for traumatic stress. Studies have shown the benefits of EMDR to be equal to or superior to those of other therapies in the treatment of PTSD. To date, the value of EMDR has been measured primarily by the decrease or amelioration of symptoms. Limited research has focused on the client's experience of EMDR and life changes after EMDR. The specific aim of this study was to: (a) generate a description of the personal experience of the EMDR process, (b) identify whether life changes had occurred after EMDR, and (c) if any life changes had occurred describe the changes and the nature of these changes.Data were collected via unstructured interviews with seven individuals who had experienced some form of trauma, and who had experienced EMDR as a therapeutic intervention for trauma. Van Manen's and Heidegger's interpretive processes were used to guide the method of data analysis. The shared meanings identified were: (a) Set-up for Harm, (b) Being Stuck, (c) Willing to Risk in Spite of..., (d) Release, (e) Movement and (f) Ongoing Movement. The participants all described childhood events of being put in harm's way. As adults participants felt frustrated with their inability to change personal and relational alienation which resulted from the childhood events. However, in spite of incredulity and fears, risking the experience of EMDR was primarily dependent on trust in the therapist. All experienced emotional, cognitive and physical release in response to the EMDR experience which allowed participants to move forward with their lives. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(1-B), Jul 2000, pp. 549.

Keywords: Adults  Americans  Empirical Study  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


366. Brown, P. A. (2012). Trauma research and treatment of combat veterans: An evidence-based integrative literature review. California Institute of Integral Studies, San Francisco, CA.

Language: English

Format: Dissertation/Thesis

Abstract:
The mainstream treatments for Post Traumatic Stress Disorder (PTSD) are Cognitive Behavioral and Prolonged Exposure Therapies (CBT & PE). These closely studied evidence based treatments also show high relapse, dropout, and failure rates of up to half of those treated (Bryant, R., et al., 2008, p. 555). While not as well researched and harder to measure in terms of the gold standard in Evidence Based Practice of Psychology (EBPP), studies of “alternative” treatments and their methods, yield different and interesting evidence. Using the standards espoused by EBPP alongside alternative movements, this study examined modalities used in veterans’ treatment. A guiding question was “What can the field of trauma studies learn from a systematic and comparative review of the research and treatment of combat veterans suffering the sequelae of trauma?” Included in this integrative literature review—which generates a critique and theoretical synthesis of a body of literature (Torraco, R., 2005, p. 356)—were peer-reviewed studies from 2006-2010. The participating studies consisted largely of Veterans Administration (VA)-funded, CBT/PE treatments, with an average of over 32 patients per participating study, of approximately 13 weeks duration, and where 20% of patients avoided treatment, 25% dropped out, and 30% failed treatment altogether. Concept matrix analysis of data included distillation of essential statements further reflecting poor tolerability, dropout, failure, and an inability to maintain symptom reductions (75% of studies). Authors tended to overstate positive effects while omitting adequate examination of study design and construct validity, leading to dearth bias, defined as scarcity of evidence hiding behind citations. From this integrative review of the literature a reconceptualization and agenda for future research emerged. The reconceptualization stems from the usefulness of hybridized efficacy and effectiveness research, self-reflection and bracketing, and more accounting for dearth bias. The future agenda recommends practitioners use concept matrices as iv research and practice tools, conduct more common factors research, and develop more clinical practice-based evidence. Especially as related to knowledge evaluation, increased accountability, and system-wide change, these recommendations can assist the spread of more diverse and useful EBPP, to help relieve some of the pain of the traumatized combat veteran.

Keywords: Combat Veterans  Literature Review  

Accuracy Verified: Yes


367. Ricci, R. J. (2004). Trauma resolution treatment as an adjunct to standard treatment for sexual offenders. Virginia Polytechnic Institute and State University. AAT 3136393.

Language: English

Format: Dissertation/Thesis

Abstract:
This study explored the use of adding trauma resolution therapy to standard cognitive-behavioral relapse prevention therapy for sex offenders. Ten adjudicated sex offenders with sexual abuse histories were treated with eye movement desensitization and reprocessing as an adjunct to standard outpatient sex offender treatment. Data points include self-report, other-report, assessment instruments, session transcripts, research journals, and physiological measures. Systematic treatment research and development methods (Bischoff, McKeel, Moon, & Sprenkle, 1996) resulted in a proposed treatment protocol. Emergent themes from a cross-case, grounded theory data analysis are presented. The data suggests the adjunct treatment provided some benefit both to participants and to the goals of standard sex offender-specific treatment. Implications for treatment providers, marriage and family therapy, and future research are discussed.

Keywords: Sex Offenders  Trauma  Treatment  

Accuracy Verified: Yes


368. Zampieri, A. J., Zampieri, M. J., & Godoy, M. F. (2012, Novembro). Trauma: Estudo comparativo de sessão única entre psicoterapia da fala e EMDR [Trauma: A comparative study between single-session psychotherapy and EMDR speech]. In comunicações de pesquisa. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Introdução: Flashback, sono e autoestima perturbados, reatividade e agressividade, são efeitos de traumas. Prejudicam a vida pessoal e social. Dilatam a demanda em psicoterapia desafiando a rede publica de saúde. Novas saídas fazem-se urgentes, que antecipem e melhorem efeitos curativos. Desde 87 na Califórnia, Francine Shapiro criou a Eye Movement Desensitization and Reprocessing, ou simplesmente Psicoterapia por Reprocessamento de Informações, inspirada nos movimentos oculares típicos do sono REM. Método: Estudo comparativo entre efeitos de psicoterapia com ou sem recursos do EMDR, aplicando as escalas Beck para ansiedade, depressão e desesperança, e uma escala de impacto de eventos, antes e após uma sessão. Aos sujeitos do grupo experimental foi aplicado o protocolo padrão de EMDR e para os do grupo controle, o método da psicoterapia da fala. Resultados: A análise estatística demonstrou que, embora o estado inicial dos sujeitos de ambos os grupos fosse o mesmo, houve diferença significante nos resultados, na comparação pós-intervenção, para todos os itens pesquisados. O grupo de sujeitos atendidos em psicoterapia por EMDR apresentou pontuação final muito abaixo da inicial para ansiedade (p < 0,0001), depressão (p < 0,0001), desesperança (p = 0,0001) e impacto de eventos (p = 0,0083), em relação àqueles atendidos pela terapia da fala. Conclusão: A psicoterapia com EMDR é adequada para tratamento de situações traumáticas, e apresenta resultados expressivos desde a primeira sessão sobre o impacto do evento e sintomas de ansiedade, depressão, desesperança. Pelos resultados e agilidade deve ser cogitada para grandes demandas tais como na rede pública de saúde.

Introduction: Flashback, disturbed sleep and self-esteem, aggression and reactivity, are effects of trauma. Affect the personal and social life. Dilate demand in psychotherapy defying public health network. New outlets are made urgent that anticipate and improve curative effects. From 87 in California, Francine Shapiro created the Eye Movement Desensitization and Reprocessing, or simply Psychotherapy for Reprocessing Information, inspired by the eye movements typical of REM sleep. Methods: Comparative study of effects of psychotherapy with or without features of EMDR, applying Beck scales for anxiety, depression and hopelessness, and a scale of impact of events before and after a session. The subjects in the experimental group was administered the standard protocol for EMDR and the control group, the method of psychotherapy speech. Results: Statistical analysis showed that although the initial state of the subjects in both groups were the same, there was a significant difference in results when comparing post-intervention for all items surveyed. The group of subjects treated with EMDR in psychotherapy presented final score far below the initial anxiety (p <0.0001), depression (p <0.0001), hopelessness (p = 0.0001) and impact of events (p = 0.0083), compared to those treated by speech therapy. Conclusion: Psychotherapy with EMDR is suitable for treatment of traumatic situations, and presents significant results from the first session on the impact of the event and symptoms of anxiety, depression, hopelessness. The results and agility should be considered for large demands such as in public health.

Keywords: Beck Depression Inventory  Comparative Study  Psychotherapy Speech  Single Session  Trauma  

Accuracy Verified: Yes


369. Zandvoort, J. (2013, April). Traumagerichte psychotherapie bij kinderen en jongeren: een gerandomiseerde vergelijking (RCT) tussen EMDR en Trauma-focused Cognitive Behavioural Therapy bij kinderen en jongeren met posttraumatische stress klachten [Trauma-focused psychotherapy for children and adolescents: a randomized comparison (RCT) between EMDR and Trauma-focused cognitive behavioural therapy for children and adolescents with post-traumatic stress symptoms]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Trauma en posttraumatische stress klachten komen ook bij kinderen en jongeren (hierna kinderen) frequent voor. Trauma gerelateerde symptomen bij deze leeftijdsgroepen kunnen leiden tot verminderde schoolprestaties, problemen in het sociale functioneren en een verstoring van (hersen) ontwikkeling. In de afgelopen decennia zijn er talloze onderzoeken uitgevoerd naar de behandeling van trauma klachten bij kinderen. Trauma gerichte cognitieve gedragstherapie (TF-CBT) en EMDR zijn het meest onderzocht. In het merendeel van de kinderen dat wordt behandeld met één van de therapieën verminderen de traumaklachten aanzienlijk of verdwijnen de klachten in het geheel, echter bij een deel van de kinderen persisteren klachten ook na behandeling. Studies waarin TF-CBT en EMDR direct met elkaar worden vergeleken zijn zeer schaars. Dit terwijl de resultaten van dergelijke vergelijkende studies op de lange termijn een belangrijke bijdrage kunnen leveren aan het vooraf bepalen welke behandeling bij welk kind de meeste kans van slagen heeft. In de afgelopen twee jaar zijn kinderen tussen de 8 en 18 jaar, die met een (partiële) posttraumatische stressstoornis werden gediagnosticeerd bij het trauma centrum van de Bascule, gevraagd om deel te nemen aan een vergelijkende behandelstudie (INTACT studie). Onderzoeksdeelnemers werden at random toegewezen aan ofwel 8 geprotocolleerde TF-CBT sessies ofwel 8 geprotocolleerde EMDR sessies. In totaal werden 48 kinderen gerandomiseerd. Uitgebreide traumadiagnostiek vond plaats voor behandeling, 1 week na behandeling, 6 maanden na behandeling en 1 jaar na behandeling. In de huidige voordracht zullen de behandelresultaten worden gepresenteerd. De presentatie zal zich toespitsen op behandeleffecten op postraumatische stress symptomen gemeten door middel van de CAPS-CA. Er zal verder worden stilgestaan bij het potentiële belang van de onderzoeksresultaten voor de klinische praktijk en vooruitgekeken worden op toekomstig (neurobiologisch) vervolgonderzoek.

Trauma and posttraumatic stress symptoms also occur in children and adolescents (hereafter children) frequently. Trauma-related symptoms in these populations may lead to decreased school performance, problems in social functioning and disruption (brain) development. In recent decades there have been numerous studies on the treatment of trauma symptoms in children. Trauma-focused cognitive behavioral therapy (TF-CBT) and EMDR are the most studied. In the majority of children being treated with any of the therapies significantly reduce trauma symptoms or the symptoms disappear altogether, however, some of the children symptoms persist even after treatment. Studies in which TF-CBT and EMDR directly be compared are very scarce. This while the results of such comparative studies on the long term a significant contribution to the pre-treatment to determine which child the best chance of success. During the past two years, children between 8 and 18 years, with a (partial) post-traumatic stress disorder were diagnosed in the trauma center of the Bascule, asked to participate in a comparative treatment study (INTACT study). Research participants were randomly assigned to either 8 protocolled TF-CBT sessions or 8 protocolled EMDR sessions. A total of 48 children were randomized. Extensive trauma diagnosis occurred before treatment, 1 week after treatment, 6 months after treatment and 1 year after treatment. In the current proposal, the treatment results are presented. The presentation will focus on treatment effects on post-traumatic stress symptoms measured by the CAPS-CA. There will also be given to the potential importance of the findings for clinical practice and are looking ahead to future (neurobiological) follow-up study.

Keywords: Adolescents  Chidren  Posttraumatic Stress Disoreder  PTSD  Trauma-Focused Cognitive Behavioural Therapy  

Accuracy Verified: Yes


370. Graham, L. (2004). Traumatic swimming events reprocessing with EMDR. The Sports Journal, 7 (1) 1-6.

Language: English

Format: Journal

Abstract:
Athletes who have experienced an upsetting competitive experience not only may perceive competition negatively but relive the upsetting performance event when they approach competition or contemplate competition which results in an increase in anxiety. EMDR was performed with competitive swimmers to aid them in reprocessing an upsetting swimming event. Their coping beliefs were measured and level of anxiety prior and after the EMDR. Vignettes are presented as examples of the changes in the athletes' level of anxiety coping beliefs after three sessions.

Keywords: Swimming  

Accuracy Verified: Yes


371. Kavakcı, Ö., Yildirim, O., & Swan, N. (2010). Travma sonrası stres bozukluğu ve sınav kaygısı için EMDR: Olgu sunumu [EMDR for post traumatic stress disorder and test anxiety: A case report]. Klinik Psikiyatri Dergisi, 13(1), 42-47.

Language: Turkish

Format: Journal

Abstract:
Travma sonrası stres bozukluğu (TSSB) gelişmesine yol açan etkenlerden biri de trafik kazalarıdır ve Türkiye'de oldukça yaygındır. Göz hareketleri ile duyarsızlaştırma ve yeniden işleme (EMDR) son yıllarda özellikle travma sonrası stres bozukluğunda (TSSB) etkili olduğu gösterilmiş bir yaklaşımdır. Sınav kaygısı; öğrenciler için sıklıkla akademik alanda performans düşüklüğü ve psikolojik problemlerle birlikte olan önemli bir sorundur. Sınav kaygısı olanlar; değerlendirileceği zaman gerilim, endişe ve santral sinir sisteminin aşırı uyarılmasını içeren istenmeyen bir durum yaşarlar. Endişe içeren tekrarlayıcı düşünceler, kendini eleştiren felaketleştirici düşünceler, fizyolojik uyarılmışlık ve belirgin duygusal sıkıntı sınav kaygısına eşlik eder. Sınavlarla ilgili olumsuz deneyimler sınav kaygısının oluşmasına neden olabilmektedir. Sınav kaygısının tedavisi için çeşitli psikoterapi yöntemlerinin yararlı olduğu bildirilmiştir. Sınav kaygısı tedavisinde EMDR denediğini bildiren az sayıda yayın vardır. Bu çalışmada trafik kazası sonrası TSSB gelişen ve EMDR uygulanması sonucunda iyileşen 17 yaşında bir olgu sunulmuştur. TSSB belirtilerinin düzelmesinin ardından üniversite giriş sınavı ile ilgili yoğun korku ve kaygı bildiren hastada, bu kaygının önceki olumsuz sınav yaşantıları ile ilişkili olduğu belirlenmiş, bu yaşantılarına yönelik EMDR tedavisi sonunda sınav kaygısı belirtilerinde belirgin düzelme görülmüştür.

Prevalence of traffic accidents is very high in Turkey and traffic accidents are one of the underlying reasons of Posttraumatic Stress Disorder (PTSD). Eye Movement Desensitization and Reprocessing (EMDR) is a new therapeutic method which is effective for PTSD. Test anxiety is a significant problem for students which leads to a decline in academic performance and cause severe psychological problems. People with test anxiety experience undesirable symptoms like tension, worry and overstimulation of the central nervous system when they are under evaluation. Recurrent worried, self-critical and catastrophic thoughts and physiologic arousal accompany test anxiety. Negative experiences about examinations can lead to test anxiety. Various psychoterapeutic approaches have been reported that are beneficial in the treatment of test anxiety. Few publications have reported trial of EMDR in the treatment of test anxiety. We describe a 17 year-old girl who had PTSD following a traffic accident and who was treated by EMDR. After treatment of PTSD, the girl reported intense fear and anxiety about the university entrance examination. This anxiety was associated with negative experiences about previous examinations. EMDR treatment focused on these negative experiences and significant improvement was obtained.

Keywords: Case Report  Posttraumatic Stress Disorer  PTSD  Test Anxiety  Traffic Accidents  

Accuracy Verified: Yes


372. Kavakci, O., Yildirim, O., & Kugu, N. (2010). Travma sonrasý stres bozukluðu ve sýnav kaygýsý için EMDR: Olgu sunumu [EMDR for postraumatic stress disorder and test anxiety: A case report]. Klinik Psikiyatri Dergisi[Journal of Clinical Psychology], 13(1), 42-47.

Language: Turkish

Format: Journal

Abstract:
Travma sonrası stres bozukluğu (TSSB) gelişmesine yol açan etkenlerden biri de trafik kazalarıdır ve Türkiye'de oldukça yaygındır. Göz hareketleri ile duyarsızlaştırma ve yeniden işleme (EMDR) son yıllarda özellikle travma sonrası stres bozukluğunda (TSSB) etkili olduğu gösterilmiş bir yaklaşımdır. Sınav kaygısı; öğrenciler için sıklıkla akademik alanda performans düşüklüğü ve psikolojik problemlerle birlikte olan önemli bir sorundur. Sınav kaygısı olanlar; değerlendirileceği zaman gerilim, endişe ve santral sinir sisteminin aşırı uyarılmasını içeren istenmeyen bir durum yaşarlar. Endişe içeren tekrarlayıcı düşünceler, kendini eleştiren felaketleştirici düşünceler, fizyolojik uyarılmışlık ve belirgin duygusal sıkıntı sınav kaygısına eşlik eder. Sınavlarla ilgili olumsuz deneyimler sınav kaygısının oluşmasına neden olabilmektedir. Sınav kaygısının tedavisi için çeşitli psikoterapi yöntemlerinin yararlı olduğu bildirilmiştir. Sınav kaygısı tedavisinde EMDR denediğini bildiren az sayıda yayın vardır. Bu çalışmada trafik kazası sonrası TSSB gelişen ve EMDR uygulanması sonucunda iyileşen 17 yaşında bir olgu sunulmuştur. TSSB belirtilerinin düzelmesinin ardından üniversite giriş sınavı ile ilgili yoğun korku ve kaygı bildiren hastada, bu kaygının önceki olumsuz sınav yaşantıları ile ilişkili olduğu belirlenmiş, bu yaşantılarına yönelik EMDR tedavisi sonunda sınav kaygısı belirtilerinde belirgin düzelme görülmüştür.

Prevalence of traffic accidents is very high in Turkey and traffic accidents are one of the underlying reasons of Posttraumatic Stress Disorder (PTSD). Eye Movement Desensitization and Reprocessing (EMDR) is a new therapeutic method which is effective for PTSD. Test anxiety is a significant problem for students which leads to a decline in academic performance and cause severe psychological problems. People with test anxiety experience undesirable symptoms like tension, worry and overstimulation of the central nervous system when they are under evaluation. Recurrent worried, self-critical and catastrophic thoughts and physiologic arousal accompany test anxiety. Negative experiences about examinations can lead to test anxiety. Various psychoterapeutic approaches have been reported that are beneficial in the treatment of test anxiety. Few publications have reported trial of EMDR in the treatment of test anxiety. We describe a 17 year-old girl who had PTSD following a traffic accident and who was treated by EMDR. After treatment of PTSD, the girl reported intense fear and anxiety about the university entrance examination. This anxiety was associated with negative experiences about previous examinations. EMDR treatment focused on these negative experiences and significant improvement was obtained.

Keywords: Posttraumatic Stress Disorder  PTSD  Test Anxiety  

Accuracy Verified: Yes


373. Forester, D. (2009). Treating bulimia nervosa with EMDR. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 151-164). New York, NY: W. W. Norton & Co..

Language: English

Format: Book Section

Keywords: Depression  Eating Disorders  Performance Enhancement  

Accuracy Verified: Yes


374. Klaff, F. R. (1995, June). Treatment of children's fears with EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Through case material, the usefullness of EMDR is illustrated for the treatment of children's fears and phobias. The issue of integrating EMDR treatment with more traditional treatment is also addressed, especially with more complex contextual problems. Three case histories are presented with emphasis on the most complicated case. Family therapy treatment espouses the notion that psychopathology in the child results from dysfunctional family functioning, and as such the entire family system has to be treated. This concept is broadened with the use of EMDR. The first case illustrates a single trauma event in which a 6 year old boy was bitten by a rottweiler. Presenting symptoms were nightmares, fear of sleeping alone, poor school performance, persistent thoughts and fear of dogs. The first session of EMDR was successful in eliminating most of these fears. A second EMDR session focusing on a nightmare was also successful. Two follow up sessions with the family dealt with other parenting issues and the possibility of attention deficit disorder. The targeted problem was eliminated via EMDR. The second case demonstrates a successful one session treatment of an otherwise healthy 6 year old girl who had fears of the dark and had slept in her parent's bed for years. In the third case, a complex symptomatology is presented of a nine year old girl (Lily) with a severe, life threatening heart condition for which she has undergone 4 delicate aortal surgeries since age 2 and is on a medication maintenance regimen. Future surgery is anticipated during adolescence. Family history is significant for mother's struggle to overcome alcohol addiction, depression and past abuse. The family has financial pressures. Family system analysis reveals over involvement between mother and daughter, peripheral father and sibling rivalry (daughter 11). Family treatment involved boundary and limit setting, hierarchical restructuring and family communication skills. The illness as an organizing factor in the family system was repeatedly addressed. Interspersed with this treatment approach were EMDR sessions for daughters and mother. Lily had fears of separation fiom mother, fears of dying, choking, becoming ill, swimming, going to bed, and fears of the devil (as learned in their fundamentalist religion) as well as several other fears. EMDR sessions targeted these fears, and sometimes several fears were intertwined, such as fear of sleeping, the devil coming into her room and taking her away to die. Cognitive interweave was used when she appeared stuck. Through the EMDR treatments, Lily was able to deeply examine her fears, based on the real life uncertainties she faced. Her progress demonstrated a particularly poignant attempt to make sense of the meaning of life and cope with the threat of death.

Keywords: Children  Fears  

Accuracy Verified: Yes


375. Institute of Medicine, Committee on Treatment of Posttraumatic Stress Disorder (2008). Treatment of posttraumatic stress disorder: An assessment of the evidence. Atlanta, GA: The National Academies Press.

Language: English

Format: Other

Abstract:
Mental disorders, including posttraumatic stress disorder (PTSD), constitute an important health care need of veterans, especially those recently separated from service. Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence takes a systematic look the efficacy of pharmacologic and psychological treatment modalities for PTSD on behalf of the Department of Veterans Affairs. By reviewing existing studies in order to draw conclusions about the strength of evidence on several types of treatment, the Committee on the Treatment of Posttraumatic Stress Disorder found that many of these studies were faulty in design and performance, and that relatively few of these studies have been conducted in populations of veterans, despite suggestions that civilian and veteran populations respond differently to various types of treatment. The committee also notes that the evidence is scarce on the acceptability, efficacy, or generalizability of treatment in ethnic and cultural minorities, as few studies stratified results by ethnic background. Despite challenges in the consistency, quality, and depth of research, the committee found the evidence sufficient to conclude the efficacy of exposure therapies in treating PTSD. The committee found the evidence inadequate to determine efficacy of different types of pharmacotherapies, of three different psychotherapy modalities, and of psychotherapy delivered in group formats. The committee also made eight critical recommendations, some in response to the VA's questions related to recovery and the length and timing of PTSD treatment, and others addressing research methodology, gaps in evidence and funding issues.

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Adults  Imaginal Exposure  Posttraumatic Stress Disorder  PTSD  Trauma  

Accuracy Verified: Yes


377. Acierno, R., Tremont, G., Last, C., & Montgomery, D. (1994). Tripartite assessment of the efficacy of eye-movement desensitization in a multi-phobic patient. Journal of Anxiety Disorders, 8(3), 259-276. doi:0.1016/0887-6185(94)90007-8.

Language: English

Format: Journal

Abstract:
The relative efficacy of Eye-Movement Desensitization (EMD) and Eye-Focus Desensitization (i.e., a treatment procedure designed to control for the effects of eye movement) in treating multiple phobias was assessed along behavioral, cognitive, and physiological response channels in a single-subject, multiple-baseline design across fear areas. Continuous physiological measurements, rather than presession/post- session change scores, were employed to permit accurate, fine-grained analysis of each intervention's effects. Results indicated that EMD failed to produce clinically significant intra- and intersession improvements beyond those produced by the control procedure on all dependent measures. A second multiple-baseline design across fear areas was implemented with the same subject and employed in vivo exposure/reinforced practice in order to demonstrate the patient's potential responsiveness to treatment. This procedure produced dramatic improvement on behavioral and subjective measures, but not on physiological indices. Results from this single-case experiment did not support the effectiveness of EMD. [ScienceDirect]

Keywords: EMD  Phobia  

Accuracy Verified: Yes


378. Tibaldi, M. (2006). Un processo creativo di nuove sintesi. EMDR e analisi junghiana [A new synthesis of the creative process. EMDRA and Jungian analysis]. In M. Balbo (a cura). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR: A tool for dialogue among the psychotherapies] 1e edizione, (pp. 85-116). Milano, Italy: McGraw-Hill.

Language: Italian

Format: Book Section

Keywords: Jungian Analysis  

Accuracy Verified: Yes


379. Hudson, P. (2010, April). Understanding anxiety following trauma during competitive cycling: Implications for the EMDR protocol. Poster presented at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
The proposed research seeks to illuminate the impact of post-traumatic anxiety on elite level competitive cycling performance. Although there is much outcome research supporting the effectiveness of EMDR in treating post- traumatic anxiety in general, relatively little is known about the nature of anxiety among athletes who have experienced accident, injury or other trauma in sporting contexts. Interpretive Phenomenological analysis (IPA) will be used to gather data from an opportunity sample of competitive cyclists who have experienced trauma during sporting participation. Analysis of the data will attempt to capture these participants’ experience of anxiety and its impact upon performance. This information will be used to inform therapeutic practice when using EMDR with this client group. It is hypothesised that due to the specific psychomotor actions necessary for competitive cycling, adaptations to the future template within EMDR will be required to maximise therapist efficacy when working with this particular client group.

Keywords: Athletes  Cyclists  Interpretive Phenomenological Analysis  IPA  Poster  Research  

Accuracy Verified: Yes


380. Konuk, E., Pamuk, S., Ozgun, S. Yuksek, H., Eke, I., Doogu, D., & Kaya, F. (2006, June). Use of EMDR for enhancing performance of coaches and adolescent volleyball players. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Keywords: Adolescents  Coaching  Performance Enhancement  Volleyball Players  

Accuracy Verified: Yes


381. Barker, R., & Barker, S. B. (2007). The use of EMDR in reducing presentation anxiety: A case study. Journal of EMDR Practice and Research, 1(2), 100-108. doi:10.1891/1933-3196.1.2.100.

Language: English

Format: Journal

Abstract:
Effective presentation skills are vital for success in most organizations. Preparing students for their careers, college educators often require that students demonstrate effective presentation skills. While traditional approaches to managing presentation anxiety help some students, EMDR may offer an effective intervention for those with serious presentation anxiety. This case study involves a student with presentation anxiety referred for EMDR from an organizational communication class. The subject delivered videotaped presentations and completed the State-Trait Anxiety Inventory (STAI) prior to and after completing three EMDR sessions. The subject’s pre–post STAI scores reduced from the 98th to the 55th percentile. Blind expert ratings of the videotaped presentations indicated pronounced performance improvement. At 12-month follow-up, the subject was successfully employed in a management position, making effective presentations without intense anxiety.

Keywords: Performance Enhancement  Presentation Anxiety  

Accuracy Verified: Yes


382. Kaya, F. (2010, June). The use of EMDR with professional actors. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
EMDR has been used and known to be effective in performance psychology area. Although there have been studies for performance enhancement with EMDR, specific studies regarding performance enhancement of actors are limited. In this presentation, a new study with EMDR for performance enhancement with professional actors will be proposed. 45 professional actors who were acting on stage and in front of the camera with a minimum 3 years of experience were the subjects of the current study. A survey was designed and used in order to evaluate the subjective performance level (SPL) before and after the end of the sessions. Due to the performance evaluation of the actor, two different protocols was used. The protocol for performance enhancement with EMDR was applied to 23 actors and the protocol for cracking performance blocks with EMDR was applied to 22 actors. The results of the survey suggest that both the protocols have affected the subjective performance level of the actors, and EMDR may be effective means of providing performance enhancement of professional actors. The case samples will be presented and the theoretical issues concerning the current study will be discussed.

Keywords: Professional Actors  Symposium  

Accuracy Verified: Yes


383. North, T. C. (1999). Uses of EMDR with high performance issues: Classic and modified protocols. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.

Language: English

Format: Conference

Abstract:
EMDR is a psychotherapy and sport psychology technique that allows fears and traumas to be resolved and belief systems reframed at both the conscious and unconscious levels. This presentation will introduce a framework for when and how to combine work at the conscious level using cognitive behavioral techniques and in-depth techniques that work with the unconscious mind like EMDR. The preliminary and intervention phases of a high performance sport psychology framework will be discussed. The preliminary phase defines the athletes concerns. It includes a performance assessment of mental, physical, and technical aspects of performance. The assessment information is used to outline intervention goals and build rapport with the athlete. Interventions have two paths. One is cognitive behavioral; the second is working with the preconscious or unconscious mind to resolve fears or traumas and reframe belief systems. In the first path, the intervention systematically progresses, using cognitive behavioral techniques, until either the performance blocks are resolved, or the desired changes do not occur. In the case of the latter, the second (deeper) path is suggested. For those who are not, suggestions for collaborating with an individual trained in EMDR will be provided.

Keywords: Athletes  Performance Issues  Symposium  

Accuracy Verified: Yes


384. Laliotis, D. (2008, June). Using EMDR as a contemporary psychotherapy. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Twenty years ago, EMDR began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which is being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma but rather to networks of unprocessed early experiences. This workshop will help clinicians develop a way of thinking about and applying EMDR to these cases where the “traumas” are not so obvious but nonetheless a powerful contributor to the client’s current difficulties. Cases will be presented in depth with videotape to illustrate how the treatment process evolves using EMDR and how to adequately address the insidious nature of these childhood experiences. Participants will learn how to conceptualize the case over time, how to apply cognitive interweave strategies to facilitate the client’s process, and how to develop future templates to facilitate personal growth and lasting change.

Keywords: Contemporary Psychology  

Accuracy Verified: Yes


385. Foster, S. (2004, September). Using EMDR for performance enhancement in career and creative performing arts. Presentation at the annual meeting of the EMDR International Association, Montréal, Ontario Canada.

Language: English

Format: Conference

Abstract:
In her thirteen years of work with EMDR and peak performance, Dr. Sandra "Sam" Foster has found that EMDR can be a powerful tool for helping higher functioning people achieve their goals in career and in the performing and creative arts. This advanced EMDR specialty training teaches you how to use the EMDR Peak Performance Protocol to help clients break rhrough obstacles of performance anxiety, perfectionism, fear of failure, and concerns about sustaining success. This protocol is also useful for clients who have made good progress in their therapy and now wish to make their future template real -- going to work, beginning a relationship, or starting a family. Come learn how to develop an area of private practice with healthy clients who want to overcome past setbacks and disappointments to become all they wish to be. Experience for yourself how to create resources for possibility and self-actualization.

Keywords: Peak Performance Protocol  

Accuracy Verified: Yes


386. Staff. (1997, May). Using EMDR to treat psychological trauma. Clinician's Research Digest, 15(5), 3.

Language: English

Format: Newsletter

Abstract:
This article discusses outcome studies on eye movement desensitization and reprocessing (EMDR). It is noted that EMDR was originally designed for rapid treatment of traumatic memories, but practitioners have also applied it to such other problems as phobias, panic disorder, grief, chemical dependence, and dissociative disorders. Since the development of EMDR, numerous outcome reports in the form of case studies, single-subject experiments, and group design experiments have appeared in the literature. Several studies and meta-analyses of EMDR are described. While one meta-analysis concluded that the effects of EMDR are (a) not strong, (b) most apparent with self-report measures but absent with physiological indices of the disorder, and (c) absent altogether in some studies, other authors believe this is an overstatement. Two other meta-analyses note that there have been more controlled studies of EMDR than all other treatments for post-traumatic stress disorder (PTSD), and both acknowledge a range in findings. It has been suggested that there are numerous explanations for negative or limited findings for EMDR, most notably the use of chronic, multiply traumatized veterans (where secondary gain may be a concern), lack of treatment fidelity, and insufficient length of treatment.

Keywords: Emotional Trauma  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


387. Thompson, P. (1995, June). Using EMDR with adolescents: Life changes for adlescents - an empowerment tool. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This presentation describes an EMDR protocol for working with an adolescent in such a way as to enhance their self-empowerment capabilities. As a preliminary, a medical and developmental history of the adolescent is taken from the parents, as well as obtaining their view of present problems. Using this infomation and a subsequent history obtained from the adolescent provides the basis for what may prove to be targets later. I will talk about how, in early discussions with adolescents, when my aim is to gain rapport, I often go back over some of the information their parents provided so as to obtain the teenager's views and feelings, idenfying the highs and lows in their view of their life so far. I look for where they have felt successful and powerful, and where they have suffered trauma, loss and sadness with reference to themselves as individuals and also in their family relationships. I seek to refine targets from both parental and adolescent information. I also seek to understand what the teen would like in their life and begin to introduce the idea that they can give direction to their life. I believe it is important to provide the adolescent with new or clarified information about him or her. I use psychological tests to assist in this process. I will cover briefly ways that I use the Behavior Assessment System for Children (BASC), as well as other assessment instruments such as the Strong Interest Inventory, Rorschach and Millon Adolescent Personality Inventory (MAPI), to give both the adolescent and me important information. Because the information stems from a comparison with the general population, I can present it more objectively than if it were solely my assessment of them. The adolescent decides what fits them and what doesn't. This process allows us jointly to identify problems and to look for ways to handle them. Emphasis is always placed on the adolescent having the power - the information about themselves is power. What they choose to do with it breeds power. They are in control. This process usually leads to a further explanation of EMDR and how they might choose to work with me using EMDR. In summary, I will cover : Helping the adolescent look at choices as giving freedom Presenting EMDR as a way of having more choices; Looking at behavior problems as habits that can be changed if desired. Encouraging the use of imagination, imaging, finding a safe place and helping make changes; Taking the position of being their coach for their effort to develop the kind of life they want. Looking at what they think stands in their way and what they can do to change it. Identifying negative cognition from these blocks. Using EMDR in the context of what they want. Building Self Esteem through goal attainment-EMDR as a tool for performance. Coaching for positive change and clear thinking. Teaching self direction and organization reinforcing with EMDR. Teaching self coaching.

Keywords: Adolescents  Self Coaching  

Accuracy Verified: Yes


388. Friday, S. (2003). Using eye movement desensitization and reprocessing as an intervention for trauma and behavior symptom severity in attention deficit hyperactivity disorder. Capella University, Minneapolis, MN. AAT 3093820.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated the intervention effects of Eye Movement Desensitization Reprocessing (EMDR) on the trauma and behavior symptom severity of 10 children, ages 8 to 11, diagnosed with Attention Deficit Hyperactive Disorder (ADHD). ADHD is a common childhood disorder with increasing prevalence rates that raise questions concerning overdiagnoses, misdiagnoses, and possible inadequate assessment of primary, comorbid, and differential diagnoses. Accurate assessments for ADHD and trauma-related attentional problems have important implications for diagnostic intervention and treatment planning. The purpose of this research was to investigate if a three-phased treatment intervention including EMDR, a therapy method proven effective in the reduction of PTSD, would show a reduction in the trauma and behavior symptom severity in children with ADHD and trauma symptoms. Evaluation of the efficacy of EMDR in the treatment of ADHD was examined using a multiple-component case study and a repeated measure design for evidence of trauma. Two of the three treatment phases were randomly adjusted from one to three sessions in length, with the intervention method, EMDR, remaining constant for a total of three sessions. Outcome measures were the Subjective Units of Disturbance Scale (SUDS), the Behavioral Assessment of Children Scales (BASC), (teacher and parent forms), and repeated assessments of trauma using the Lifetime Incidence of Traumatic Events Scales (LITE-P&S, parent and student forms), the Child and Parent Reports of Post-Traumatic Symptoms Scales (PROPS & CROPS), and the Problem Rating Scales (PRS). The results from quantitative analysis suggested that the intervention method incorporating EMDR affected a decrease in Externalizing and Internalizing behavior symptom severity and trauma symptom severity in the ADHD children that were studied. Qualitative data suggested that trauma and behavioral symptom severity decreased as a result of the intervention method incorporating EMDR. The results underscore the need for further research to distinguish between the symptom presentation of ADHD and comorbid trauma and behavioral symptoms. A continuous refining of the method of diagnosis and determination of the comorbid disorders is warranted. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 64(6-B), 2003, pp. 2901

Keywords: Comorbidity  Disruptive Behavior Disorders  Elementary School Students  Posttraumatic Stress Disorder  PTSD  Empirical Study  Quantitative Study  School Age Children  Stressors  Treatment Effectiveness  

Accuracy Verified: Yes


389. Laliotis, D. (2008, Mai). Utiliser l’EMDR comme psychothérapie contemporaine [Using EMDR as a contemporary psychotherapy]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.

Language: French

Format: Conference

Abstract:
Il y a 20 ans l’EMDR débutait en tant que technique pour aider les clients à retraiter des expériences traumatiques. Depuis, l’EMDR s’est développé et constitue une approche thérapeutique complexe utilisée pour traiter des enjeux d’estime personnelle, de difficultés relationnelles ou de performances qui ne sont pas toujours reliées à des traumatismes majeurs, mais plutôt à des réseaux d’expériences non-intégrées. Le but de cet atelier est d’aider les cliniciens à développer une vision quant à la façon d’appliquer l’EMDR à ces situations où les « traumas » ne sont pas aussi évidents, mais où les expériences du passé ont encore des impacts importants sur les difficultés actuelles du client. Des présentations cliniques sur bande vidéo, permettront d’illustrer l’évolution du traitement EMDR et la manière adéquate de traiter la nature insidieuse de ces expériences de l’enfance. Les participants apprendront à conceptualiser le traitement, à appliquer les tissages cognitifs de façon à faciliter le processus de retraitement, et comment développer des projections futures qui supporteront la croissance personnelle et des changements durables.

Twenty years ago, EMDR began as a clinical technique used to help clients reprocess major traumatic experiences. Since then, EMDR has developed into a comprehensive psychotherapy approach which is being used to treat low self-esteem, relationship difficulties, and performance issues not connected to major trauma but rather to networks of unprocessed early experiences. This workshop will help clinicians develop a way of thinking about and applying EMDR to these cases where the “traumas” are not so obvious but nonetheless a powerful contributor to the client’s current difficulties. Cases will be presented in depth with videotape to illustrate how the treatment process evolves using EMDR and how to adequately address the insidious nature of these childhood experiences. Participants will learn how to conceptualize the case over time, how to apply cognitive interweave strategies to facilitate the client’s process, and how to develop future templates to facilitate personal growth and lasting change.

Keywords: Practice  Theory  

Accuracy Verified: Yes


390. Cybela, D. & Karger, B. (2008, Mai). Utiliser l’EMDR pour l’amélioration de la performance et développement du leadership dans des organismes gouvernementaux [Using EMDR in Performance Enhancement for Leadership Development in a government organization]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.

Language: French

Format: Conference

Abstract:
Ce programme d’amélioration de la performance utilisant l’EMDR peut être un outil efficace de développement du leadership. La problématique de gestion du stress relié à la gestion a été identifiée comme obstacle au leadership efficace. Ce programme innovateur de développement du leadership a démontré des résultats positifs sur l’amélioration de la confiance en soi, l’optimisme, les habiletés sociales et la réduction du stress dans le milieu de travail. En combinant un instrument de mesure des stratégies de gestion du stress et EMDR, ce programme identifie les croyances négatives et positives spécifiques à ces populations. Le programme présenté inclut la description de la préparation, du protocole, de son application et du follow-up utilisés avec les gestionnaires et administrateurs au Marathon County.

A Performance Enhancement Program using EMDR can be an effective leadership development tool. The issue of management-related stress was explored as a roadblock to effective leadership. APEX, LLC, in partnership with Marathon County (State of Wisconsin), has established an innovative program for leadership development which has demonstrated positive results in improving the participant's self-confidence, optimism, and social skills in the work setting, along with reducing overall job stress. The Performance Enhancement Program incorporates EMDR and a non-clinical personality instrument to assess the individual's coping style for managing stress in the workplace. Specific strategies for identifying negative & positive cognitions unique to this population are noted for the EMDR protocol. The program includes a description of the set-up, protocols, pilot program, implementation, and follow-up ("refresher course option") used with Marathon County managers and administrators.

Keywords: Leadership Development  Management Stress  Performance Enhancement  

Accuracy Verified: Yes


391. Forgash, C. A. (1997, Spring). Utilizing EMDR consultation in a concurrent treatment model. The Clinician, 28(2), 1-2.

Language: English

Format: Newsletter

Abstract:
Concurrent psychotherapy is valuable by providing timely interventions to patients with specialized needs. Clinicians refer patients for psychiatric consultations group work and to therapists who specialize in problem areas such as panic disorder, trauma, child abuse issues and substance abuse. Such traumas as child sexual abuse, family violence and disasters result in a large population suffering from Post Traumatic Stress Disorder and other Dissociative Disorders. Other patients have long-standing depressions, panic and psychosomatic disorders, performance anxiety and phobias stemming from traumas which do not resolve in traditional psychotherapy.

Keywords: Concurrent Treatment Model  Consultation  

Accuracy Verified: Yes


392. Russell, M. C. (2008). War-related medically unexplained symptoms, prevalence, and treatment: Utilizing EMDR within the armed services. Journal of EMDR Practice and Research, 2(3), 212-225. doi:10.1891/1933-3196.2.3.212.

Language: English

Format: Journal

Abstract:
The mental health impact of war is often underestimated by military, government, and media officials who focus primarily on well-known conditions like depression and posttraumatic stress disorder (PTSD) while ignoring the complex toll of modern warfare. These effects are clearly evident in "war syndromes," many of which can be collectively understood as medically unexplained symptoms (MUS). The current study provides a brief historical review of combat-related MUS as well as an analysis of present evidence of a possible "Iraqi War Syndrome." An overview of past and current treatments for combat MUS is followed by a single case study treating an Iraqi war combat veteran with combat-related MUS with eye movement desensitization and reprocessing (EMDR). Therapy resulted in significant improvement of the patient's 1-year psychophysical condition and comorbid PTSD. We provide a detailed account of those treatment sessions as well as a discussion of EMDR's potential to simultaneously treat a range of combat-related psychophysical conditions without requiring extensive homework or self-disclosure that some military patients may resist. The results are promising, but they require further research. [Author Abstract]

Keywords: Adults  Americans  Iraq War  Marine Personnel  Medically Unexplained Symptoms  Military Psychiatry  Operation Iraqi Freedom  Combat  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Somatic Symptoms  Veterans  War Syndromes  

Accuracy Verified: Yes


393. Foster, S. (2003, September). Weaving positive psychology into EMDR peak performance work. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
This workshop integrates the EMDR Peak Performance protocol with techniques from positive psychology, 'launched' by APA President Martin Seligman as the science of happiness and excellence, and understanding strengths such as courage. Participants will be introduced to the EMDR Peak Performance protocol and learn to guide clients in developing "Peak" resources for empowerment. Participants will learn and practice techniques of positive psychology that amplify the efficacy of the Peak Performance work: using positive emotions in the client's performance venue; the Appreciative Inquiry method for strategic performance improvement; and optimistic explanatory style.

Keywords: Appreciative Inquiry Method  Peak Performance  

Accuracy Verified: Yes


394. Armstrong, R. (2008, June). What do the children say? Traumatised children’s experience of EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
This study explored experiences of children treated with Eye Movement Desensitisation and Reprocessing (EMDR) for Post Traumatic Stress Disorder (PTSD). The research aimed to understand more about salient aspects of the therapy such as needing therapy, parent support, the relationship with the therapist and the impact of the EMDR. Semi-structured interviews were carried out with nine children across England and Scotland, aged 10 to 16 years who had completed EMDR therapy within the past two years. Interpretative phenomenological analysis (IPA) was used to elucidate the participants’ understanding of the effect of the EMDR therapy on their recovery from PTSD. Three super-ordinate themes are identified which describe how the participants engaged in the therapy, were assisted to keep going and what they made of EMDR. Results suggest that difficulties in engaging in the therapy were overcome by determination to get better, support of family and friends, the credibility of the therapist and starting to feel better after about two sessions. EMDR was perceived as an effective therapy despite initial scepticism, and an approach that generally did not require a conscious effort by the participant to make it work. Findings are related to neurobiological hypotheses concerning underlying neurological mechanisms for the resolution of traumatic memories. Practical implications fro improving clinical practice with children and families will be presented.

Keywords: Children  

Accuracy Verified: Yes


395. Staff. (2003). What is the scientific status of eye movement desensitization and reprocessing therapy?. Clinician's Research Digest, 21(5).

Language: English

Format: Newsletter

Abstract:
Eye movement desensitization and reprocessing (EMDR) has enjoyed rapid dissemination and adoption since being introduced by Christine Shapiro in the 1980s as a 1-session treatment for posttraumatic stress disorder (PTSD) and other anxiety disorders. EMDR is now offered as a treatment for a variety of other problems, including substance abuse, personality disorder, and athletic performance enhancement, and large numbers of therapists have been trained by the EMDR Institute.

Keywords: Anxiety Disorders  Athletic Performance  Drug Abuse  Personality Disorders  Posttraumatic Stress Disorder  PTSD  Treatment  

Accuracy Verified: No


396. Levin, P., Lazrove, S., & van der Kolk, B. (1999, January-April). What psychological testing and neuroimaging tell us about the treatment of posttraumatic stress disorder by eye movement desensitization and reprocessing. Journal of Anxiety Disorders, 13(1-2), 159-172. doi:10.1016/S0887-6185(98)00045-0.

Language: English

Format: Journal

Abstract:
To better understand the pathophysiology and treatment of Posttraumatic Stress Disorder (PTSD), standard psychological testing, Rorschach Ink Blot testing, and neuroimaging using Single Photon Emission Computed Tomography (SPECT) were administered to subjects with PTSD prior to and following three sessions of Eye Movement Desensitization and Reprocessing (EMDR). Using this within-subject design, data from one of six subjects in our series is presented as a case report. Following EMDR, the subject experienced improvement in his level of distress, which correlated with decrements in PTSD and depressive symptomatology on psychological testing. Analysis of the Rorschach data corroborated these changes. Among other findings, the Hypervigilance Index went from positive to negative, indicating that the subject was spending less time scanning the environment for threats, and available ego resources also increased, as measured by the Experience Actual variable. Upon recall of the traumatic memory during SPECT scanning, two areas of the brain were hyperactive post-EMDR treatment relative to pretreatment: the anterior cingulate gyrus and the left frontal lobe. These changes were consistent with summed data from four out of six subjects in the ongoing study. An important implication of these findings is that successful treatment of PTSD does not reduce arousal at the limbic level, but instead, enhances the ability to differentiate real from imagined threat. The psychology and neurophysiology of PTSD are discussed in greater detail. (ScienceDirect)

Keywords: Adults  Americans  Brain Imaging  Empirical Study  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes


397. Foster, S. (1998, July). Where do you want to go tomorrow?  Issues of self-actualization, fear of success, and fear of failure in EMDR peak performance work. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) understand the primary factors involved in fear of failure when clients desire to improve their performance; 2) understand the primary factors involved in fear of success when clients desire to improve their performance; and 3) be able to discuss the "extended" use of future templates in EMDR peak performance work.

Keywords: Extended Use of Future Templates  Fear of Failure  Fear of Success  Peak Performance  

Accuracy Verified: Yes


398. 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


399. 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

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: Eye Movements  Mechanism of Action  Memory Components  Working Memory  

Accuracy Verified: Yes