Francine Shapiro Library ~ EMDR Bibliography

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Your Results - you searched for the keyword Pervasive Emotion Dysregulation 160 Results

1. Tsuchimochi, S. (2010, July). The possibility of EMDR use with juvenile delinquents. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Objective: The purpose of this study was to examine the effects of EMDR use with juvenile delinquents, such as improvements of physical and mental mal-adjustment, emotion control, self-recognition and attitudes toward others. It also examined under which conditions in the judicial proceedings, it is possible to apply the EMDR therapy to juveniles. Methods: Three delinquents whose cases were in the Family Court process, were selected as participants in view of effectiveness, safety and validity. The measurement scales are as follows: (a)IES-R, (b)the Life Gram ( a wavy line drawn by the participant to describe one’s own life from the birth to present in the range of +10 and -10.), (c)SUDs, VOC, (d)self-reported impression by the participant, and (e)observation by the writer. Self-tapping on knees under the instruction by the writer was used as the bilateral stimulation. Each participant was interviewed four or five times during 4 weeks. Baseline measurements were done on 1st or 2nd interview, while post measurements were done on 4th or 5th interview after the EMDR session was held on 3rd or 4th time. Results: Results showed clear improvements by one EMDR intervention in two cases out of three. Insufficient care could be the reason for the absence of improvement with one participant. Conclusion: The results of this study suggest that the EMDR is effective for the improvements of the various symptoms and problems of the juvenile delinquents, if being properly applied on the certain guidelines set for them.

Keywords: Juvenile Delinquents Poster

Accuracy Verified: Yes

2. 張素凰、李元華 [Chang Sue-Hwang, & Li Yuan-Hua]. (2003年，10月). 眼動和情緒：眼球運動的作用在治療機制 EMDR的。 [Eye movement and emotionality: The role of eye movement in the therapeutic mechanism of EMDR]. 論文發表在第42屆大會的中國心理學會，輔仁大學，台灣 [Presentation at the 42nd annual conference of the Chinese Psychological Association, Fu-Jen Catholic University, Taiwan] NSC 91-2815-C-002-125-H.

Language: Chinese

Format: Conference

Abstract:
Shapiro 認為演動訊息在處理法（EMDR）治療程序中規律的多次快速動眼作業有助於創傷記憶的處理 (Shapiro, 1989a)，但其可能涉及的療效機制之研究尚少。本研究擬從工作記憶模式的角度來探討動眼作業在 EMDR 的療效機制。根據工作記憶模式(working memory model)，動眼作業可視為一種爭奪工作記憶中視覺和空間訊息處理能力(VSSP)系統資源的干擾作業。因此，當回憶創傷事件時，施以動眼作業可降低創傷受害者對於創傷事件記憶的清晰程度，並降低患者對於創傷事件的情緒反應，以達到某種程度的治療目的。實驗一（N = 120）採動眼作業（有、無）× 圖片的性質（正向、負向）× 時間（前測、後測）的三因子混合設計，依變項為圖片影像的清晰度與情緒感受度。實驗二（N = 120）採動眼作業（有、無）× 刺激材料的性質（圖片、影片）× 時間（前測、後測）的三因子混合設計，依變項同實驗一。實驗一與實驗二的結果皆顯示，如同工作記憶模式的預期，動眼作業造成VSSP 所同時處理的影像訊息的清晰度降低，此結果與工作記憶模式的預期一致。另外，本研究亦顯示動眼作業亦造成情緒感受度降低。上述結果顯示動眼作業可能具有臨床治療上的功效，且可藉由工作記憶模式瞭解其療效機制。本研究亦對結果所顯示的意義與未來研究方向提出討論

Eye‐movement desensitization‐reprocessing therapy (EMDR) has recently been the new effective technique to treat post‐traumatic stress disorder and other disorders. Contrasted with other psychotherapies, eye‐movements are the novel component. According to the working memory model, eye‐movements could reduce the vividness of distressing images and the intensity of the emotion associated with the images. In this study, we designed two experiments to test the effects of eye‐ movements on vividness and emotionality of imagery. In Experiment 1, with positive and negative photos as stimuli, the results showed that eye movements significantly reduced the vividness and emotionality of traumatic images. In Experiment 2, with negative photos and negative films as stimuli, we also found eye‐movements significantly reduced the vividness and emotionality of traumatic images. The implications and future research possibilities are discussed.

Keywords: Emotionality Eye Movements Posttraumatic Stress Disorder PTSD Vividness Working Memory

Accuracy Verified: Yes

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

Language: Chinese

Format: Dissertation/Thesis

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

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

Keywords: Autobiographic Memory Eye Movement Valence-Specific Hypothesis

Accuracy Verified: Yes

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

Language: Chinese

Format: Dissertation/Thesis

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

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

Keywords: Autobiographic Memory Valence-Specific Hypothesis

Accuracy Verified: Yes

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

Language: Chinese

Format: Dissertation/Thesis

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

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

Keywords: autobiographic Memory Eye Movements Valence-Specific Hypothesis

Accuracy Verified: Yes

6. Βεντουράτου, Δ. [Ventouratos, D.]. (2009). Εισαγωγή στην ψυχοτραυματολογία και στην τραυματοθεραπεία. : Η μέθοδος - EMDR [Introduction to psychotraumatology and trauma treatment and EMDR]. Πεδίο εφαρμογής Εκδόσεων, Αθήνα, Ελλάδα [Field Publications, Athens, Greece] .

Language: Greek

Format: Book

Abstract:
Συχνά, όταν βρισκόμαστε αντιμέτωποι με μια αιφνίδια στρεσογόνο εμπειρία, νιώθουμε απειλή και ανημπόρια. Αν οι προσπάθειές μας να την ξεπεράσουμε ψυχικά δεν επαρκούν, δημιουργούνται μέσα μας εσωτερικά ρήγματα. Συνήθως παγώνουμε ή απωθούμε κάθε ανάμνηση και κάθε συναίσθημα που σχετίζονται με το τραυματικό βίωμα. Οι συνέπειες αυτής της απώθησης είναι διάφορα ψυχοσωματικά συμπτώματα, φοβίες ή κατάθλιψη.
Το βιβλίο εισάγει για πρώτη φορά τον αναγνώστη στα εξειδικευμένα πεδία της ψυχοτραυματολογίας και της τραυματοθεραπείας, που ασχολούνται με την αντιμετώπιση και εξάλειψη των τραυματικών βιωμάτων στους ανθρώπους: η ψυχοτραυματολογία συμμαχεί με το υγιές εγώ και χτίζει με προσοχή μια θεραπευτική σχέση εμπιστοσύνης με στόχο την επεξεργασία και αφομοίωση του τραυματικού βιώματος.
Στο βιβλίο εξετάζεται ειδικότερα η πρωτοποριακή μέθοδος ΕΜDR της Francine Shapiro, που αποτελεί ένα πολύ ισχυρό εργαλείο στα χέρια του έμπειρου κλινικού με θεαματικά αποτελέσματα. Με τη μέθοδο αυτή το τραυματικό βίωμα νοηματοδοτείται και παίρνει τη θέση του σαν ένα ακριβό μαργαριτάρι στον θησαυρό των εμπειριών του ατόμου.

Often, when faced with a sudden stressful experience, one feels threatened and helpless. If our efforts to overcome psychologically inadequate, created through our internal divides. Usually freeze or repelled every memory and every emotion associated with the traumatic experience. The effect of this repulsion is different psychosomatic symptoms, phobias or depression. The book introduces for the first time the reader to specific areas of psychotrafmatologias and trafmatotherapeias, dealing with the treatment and elimination of traumatic experiences in people: the psychotrafmatologia allies with a healthy ego and carefully builds a therapeutic relationship of trust with the aim of treatment and assimilation of traumatic experiences. In particular the book examines innovative method of EMDR Francine Shapiro, which is a very powerful tool in the hands of an experienced clinician with spectacular results. With this method, the traumatic experience and arises only takes its place as an expensive pearl in the treasure the experience of the individual.

Keywords: Psychotraumatology Trauma Treatment

Accuracy Verified: Yes

7. Koshal, A. (2010, June). The 4-fields-technic in the traumatherapy of complex traumatized and drug-addicted people (in methadone-treatment). In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Nowadays several international studies demonstrate that the problem of drug-addiction is very often found in combination with complex traumatization in early childhood and youth. (Felitti. 2903; Kufner et al. 2000; Langeland et al. 2006; Schmidt, 2000 etc.) As we all know PTSD and the other trauma symptoms cause a lot of psychophysical dysregulation. So the psychiatrist Khantrian postulated already 1985 the "self-medication hypothesis of addictive disorders". Janina Fisher, Trauma Center Boston, 2000, called this assumed combination of trauma-consequences and drug-addiction, "compensatory strategies aimed at self-regulation" In many years of working with drug-addicted people it became very obvious that a high percentage of this people are using drugs, for example to calm down after being aggressive, may be caused by an argue: or to reduce strong inner tensions; to sleep without nightmares, to alleviate the feeling of helplessness and fear etc. Drugs and alcohol do reduce all the mentioned symptoms for a while. To learn to cope in another, more adaptive way, the addicted people need to learn alternatives strategies for a good functioning self-regulation. After stabilization, the trauma therapy can start, so the patient can reduce some of the sources of psychophysiological dysregulation. Even when the addicted people still get methadone psychotherapy is possible. Practical experience over a long time. started 1990, did show a lot of successful treatments and that methadone does not interfere a traumatherapy. The 4-Fields-Technic is a special method of EMDR that was developed by Jarero et al. 1997 in Mexico after a hurricane disaster. Dorothee Lansch modified the group method into a therapy-setting for single persons. For complex traumatized and drug-addicted people this technic is very helpful. The focus is more easy to keep in mind, - in front of the eyes. In the 4-Fields-Technic the patient focuses on a self-painted picture, that represents the worst part of a trauma experience. The patient keeps his focus on this picture, combined with bilateral stimulation, till he feels the picture should be changed. And so the process is going on till finished. The participant will be able to learn: - about the correlation between complex trauma and drug-addiction - that drug-addicted people who get methadone are able to do trauma therapy -the 4-Fieids-Technic as a method to create resources. Psychotherapy and specially psychotraumatherapy with drug-addicted people who are as well in a methadone-treatment is for many therapists still controversial. This presentation will give you an idea how good it can work, based on various case series.

Keywords: 4-Fields-Technic Complex Trauma Drug Addiciton Methodone Treatment Symposium

Accuracy Verified: Yes

8. 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

9. Wesselmann, D. (2009, August). Adapting EMDR for children with reactive attachment disorder behaviors. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
The EMDR approach is extremely helpful for treating problems in children exhibiting behaviors associated with Reactive Attachment Disorder (RAD). However, children with early pathological care frequently suffer from severe emotion dysregulation. They lack adaptive information or insights, and they feel alienated from others. All of these problems lower the child’s ability to cope, and they become easily overwhelmed and shut down during EMDR. This presentation will help the clinician adapt the standard EMDR protocol for this difficult population through creative methods to overcome resistance, help the child stay regulated, and assist reprocessing, leading to improved behaviors, coping, and relationships.

Keywords: Children RAD Reactive Attachment Disorder

Accuracy Verified: Yes

10. Wesselmann, D. (2010, June). Adapting EMDR for children with reactive attachment disorder behaviours. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The EMDR approach is extremely helpful for treating problems in children exhibiting behaviours associated with Reactive Attachment Disorder (RAD). However, children with early pathological care frequently suffer from severe emotion dysregulation. They lack adaptive information or insights, and they feel alienated from others. All of these problems lower the child's ability to cope, and they become easily overwhelmed and shut down during EMDR. This presentation will help the clinician adapt the standard EMDR protocol for this difficult population through creative methods to overcome resistance, provide a secure holding environment, and assist reprocessing, leading to improved behaviours, coping, and relationships.

Keywords: Children RAD Reactive Attachment Disorder

Accuracy Verified: Yes

11. Fisher, J. A. (2000, November). Adapting EMDR techniques in the treatment of dysregulated or dissociative patients. Presentation at the International Society for the Study of Dissociation Annual Meeting, San Antonio, Texas.

Language: English

Format: Conference

Abstract:
Since its inception, EMDR [Eye Movement Desensitization and Reprocessing] has been understood by both clinicians and patients as a powerful vehicle for processing traumatic experience but one to be undertaken only when the patient has achieved some degree of stabilization (Shapiro, 1992). In DID and DDNOS patients, that baseline stability is also supposed to include a level of internal communication and consensus that would permit cooperation between parts of self about how to tolerate the memory processing and how to re-stabilize afterward. However, as any clinician who works with this population knows, some dissociative disorder patients never achieve that degree of internal coherence, and some have a long, rocky, tumultuous, exhausting road to travel before they get there. Faced with the DID or DDNOS patient who cannot tolerate affect or associations to traumatic memories; who cannot control switching, get grounded, or resolve internal struggles over power and control; who is unable to manage selfdestructive impulses; who cannot differentiate past and present experience; who is even unable to tolerate Resource Development (Korn & Leeds, 2002) or create a Safe Place inside—is there any way that EMDR can be helpful?

Keywords: Dissociation Dysregulation

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Addictions Substance Abuse Symposium

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Affect Regulation Art Therapy Children Play Therapy Storytelling

Accuracy Verified: Yes

14. Sukirna, S. (2010, July). Alleviating physical tension and pain using EMDR. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract: This paper describes the utilization of EMDR for physical pain and tension suffered by three tsunami survivors. Physical pain can be conceptualized as caused by trauma, a reaction to trauma, may be exacerbated by trauma or a cause of trauma. Even if it is purely physical, pain apparently impacts psychological aspect of a person e.g. emotion, cognition. EMDR was used to process physical pain due to motorbike accidents and severe headache that presumably related to high blood pressure or sun stroke. During desensitization phase the patients focused mainly on their pain or part of the body that was dysfunctional, while simultaneously attended to the sensation of tapping. All of the patients admitted that the pain were completely alleviated and positive change of cognition occurred after one session of 25-35 minute (desensitization phase with tapping) EMDR. The effect of these one-session EMDR treatments on those patients maintained for months later.

Keywords: Pain Physical Tension

Accuracy Verified: Yes

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

Language: Dutch

Format: Conference

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

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

Keywords: Infants Children Pre-Verbal Trauma

Accuracy Verified: Yes

16. Sautai, G. (2007, Juin). Approche des patient poly-traumatisés par immersion EMDR [Approach of poly traumatised patients with EMDR immersion]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Certains patients présentent "traumatisme poly» ou «empoisonnement psychique» tel que décrit par Jacques Roques dans «Guérir Avec l" EMDR. "Souvent, il s'agit d'un environnement socio culturel a commencé pendant l'enfance. Sur la base de l'hypothèse formulée par Francine Shapiro que le traumatisme peut engendrer des «bloqué les réseaux neuronaux," nous supposons une mise en forme "pourrait se produire au cours de la petite période d'apprentissage.
Exposés à un traumatisme insidieux et répétitifs, un jeune cerveau Virgin Stores réseaux neuronaux liés à la vulnérabilité des enfants en tant que mécanisme de défense. Cela pourrait être obstrué par des perturbations répétitives créer une souffrance psychologique. En tant qu'adulte, ce réseau neuronal inhibiteur, stimulée par déclenchement d'exprimer des comportements excessifs et une forte émotion que nous avons appelé le «non adapté en forme» (NAF).
Nous savons combien il est difficile de prendre ce type d'intoxication »en charge des séances de thérapie EMDR traditionnels en raison de l'interférence des composants multimodal. Habituellement, ils participent émotions mixtes liés à la sécurité, l'estime de soi et le libre choix. Par conséquent, nous avons développé une modalité particulière: EMDR immersion qui est un cours intensif de 10 jours consécutifs de traitement par le patient. «L'objectif clinique est de traiter les dimensions de la croissance personnelle et le développement ainsi que l'élimination de plus de la souffrance» (Francine Shapiro).
Notre expérience comprend 24 patients avec un niveau élevé de troubles psychologiques liés à la NAF. Seuls les patients avec expérience dissociative échelle score inférieur à 25 ont été considérés.
Nous utilisons l'approche thérapie EMDR suivant les 8 étapes du protocole standard.
Nous recevons toute l'histoire chronologique du patient, «de la naissance à aujourd'hui», permet nous permet d'identifier une moyenne de sept objectifs principaux.
Pour être capable de transmuer la NAF à une résolution d'adaptation, nous introduisons un des noms de ressources notamment l '«archaïsme», définie comme «la partie de l'être humain en charge de Live principe de préservation."
Nous l'accès au réseau d'information dysfunctionally stockée par le biais des objectifs.
Nous stimulons le système de traitement de l'information et de la maintenir en forme dynamique avec tactiles et autres additifs stimulations bilatérales. Nous passons l'information par le suivi du processus de libre-association et de lancement des procédures pour s'assurer que la cible transmue à une résolution adaptative.
Comme mesure psychométrique et méthode d'évaluation, nous utilisons l'échelle PCL-S sur les traumatismes exprimé par le patient au début de MED immersion. Le score moyen est de 70 degrés avant l'immersion elle à 28 deux mois plus tard et à 26 six mois plus tard.
En ce qui concerne les résultats encourageants, nous décidons de partager l'expérience afin de mettre à jour.

Some patients present with “poly traumatism” or “psychic poisoning” as described by Jacques Roques in “guérir avec l”EMDR.” Often it is a socio cultural environment started during childhood. Based on the hypothesis formulated by Francine Shapiro that trauma could engender “blocked neuronal networks,” we assume a “formatting” could occur during the childhood learning period.
Exposed to insidious and repetitive trauma, a virgin young brain stores neuronal networks related to the child vulnerability as defense mechanism. That could get blocked by repetitive disturbances creating psychological pain. As an adult, this blocker neuronal network, stimulated by trigger express excessive behaviors and strong emotion we called the “Non Adapted Formatting” (NAF).
We know how difficult it is to take this “poisoning” in charge with traditional EMDR sessions because of the multimodal components interfering. Usually, they involved mixed emotions related to security, self esteem and free choice. Therefore, we developed a particular modality: EMDR Immersion that is an intensive, 10 consecutive days of therapy with the patient. “The clinical goal is to address the dimensions of personal growth and development along with the elimination of over suffering” (Francine Shapiro).
Our experience includes 24 patients with a high level of psychological disturbance related to the NAF. Only patients with Dissociative Experience Scale score less than 25 were considered.
We use EMDR therapy approach following the 8 phases of the standard protocol.
We receive the complete chronological story of the patient, “from birth to now,” allows allows us to identify an average of seven main targets.
To be able to transmute the NAF to an adaptive resolution, we introduce a particular resource names “Archaism” defined as “Part of the human being in charge of Live Principle Preservation.”
We access the dysfunctionally stored information network through the targets.
We stimulate the information-processing system and maintain it in dynamic form with tactile and additive alternative bilateral stimulations. We move the information by monitoring the free-association process and initiating procedures to make sure that the target transmutes to an adaptive resolution.
As psychometric measurement and method evaluation, we use PCL-S Scale on the traumatisms expressed by the patient at the beginning of MED Immersion. The average score is at 70 before Immersion it degrees to 28 two months later and to 26 six months later.
Regarding the encouraging results, we decide to share the experiment in order to upgrade it.

Keywords: EMDR Immersion

Accuracy Verified: Yes

17. Solomon, R. M. (2007, June). The art of EMDR: Dealing with abreactions. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic emotions, often involved the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in talking therapy, utilize resource installation, or provide an interweave to lower the level of intensity. While this can, at times, be appropriate and helpful, often it is counter indicated and a perceived resolution may be short lived and/or needlessly circumscribed. It is important to recognize the markers of treatment, and what choices are appropriate. Ironically, it is often the therapist who is uncomfortable with the level of client affect, rather than the client being unable to deal with the intense emotion.
The hallmark of EMDR is “staying out of the way” if the dysfunctionally stored information is moving. An inherent value of EMDR is to facilitate natural processing and the client’s natural healing patterns. Assuming client readiness and preparation to deal with emotional material, an interweave (which elicits other neural networks), or resource installation (which initiates a state change) or prolonged talking (which initiates an interpersonal process) – though often useful – can interfere with the client’s own internal processing and take the client away form their natural and unique resolution and integration. The therapist can enable the client to process intense material utilizing a) strong attunement skills to hold the client one’s therapeutic presence, b) recognition of behavioral manifestations of processing to guide speed, rate and tempo of bilateral stimulation to maximize processing, c) using different rate, speed and tempo to control emotional intensity of the processing, d) and knowing when to verbally intervene and when to “stay out of the way.”
This workshop will focus on:
a) Assessment of client readiness
b) Therapeutic clinical presence and attunement skills
c) Detecting behavioral manifestations of processing and calibrating bilateral stimulation to the client in order to maximize processing and control intensity
d) Therapeutic choice points concerning verbal interventions and “staying out of the way."
Demonstration and video tapes will be used to illustrate teaching points. (Participants should be aware that the videos have intense emotional content).

Keywords: Abreactions Intense Affect

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes

19. Paulsen, S. (2012, October). Attachment repair and temporal integration: EMDR for early trauma. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
Progress in neuroscience reveals that attachment learning, affect dysregulation, and traumatic experience are predominantly held in the right hemisphere (Schore, 2009). Therapists can access trauma and neglect held in the right hemisphere using EMDR, somatic awareness, imaginal excursions, and the therapists mirror neuronal experience. This workshop summarizes the Early Trauma approach of EMDR (O'Shea, 2009; and its variations for the dissociative client (Paulsen, in press). Of note is a new stabilization procedure that appears to work directly on the subcortical affective circuits (Panksepp, 1998). The Early Trauma approach to EMDR processes preverbal implicit memory in sequential time periods, while attending to the nuances of somatic and affective experience as they emerge both in the clients subjective report and in the relationship field. As the infants story is told with the deciphering of these nuances, the therapy repairs developmental milestones imaginally. This enables integration from the bottom up, by time frame, called Temporal Integration (Paulsen, 2009), which contrasts with Strategic and Tactical Integration. Preliminary clinical findings are that the procedure helps repair injuries of attachment, structural dissociation, affect dysregulation and personality. The workshop will interest both EMDR and non-EMDR practitioners because of its significant implications for theory and practice Learning Objectives: Participants will be able to list a modification of the ET procedure for dissociative clients for each of the four steps. Participants will be able to list the seven hardwired subcortical affective circuits described by Panksepp. Participants will be able to name four steps of the Early Trauma procedure for non-dissociative clients.

Keywords: Attachment Repair Early Trauma Temporal Integration

Accuracy Verified: Yes

20. Cummings, P. (2003, September). The attachment repair model (ARM). Presentation at the annual meeting of the EMDR International Assocation, Denver, CO.

Language: English

Format: Conference

Abstract:
The Attachment Repair Model (ARM) is a loose and imaginal clinical structure to identify, activate, repair, and purge the negative experiences to one's neurological functioning. The importance of ego repair via integrative interventions takes priority over the purging of traumatic events. This presentation offers a paradigm shift in therapeutic goal setting from purging and desensitization of traumatic events to the integration of ego states. Within thc ARM, The Positive Parts and Hurting Parts (PP-HP) Meetings Protocol is an infrastructure of the ARM with sensory extension protocols to the basic EMDR Protocol. The established ethos within clinical practice to first purge negative emotion associated with trauma is upheld by the ARM, but as a second order priority. Participants will be challenged to think about their role as healers.

Keywords: ARM Attachment Repair Model Positive Parts and Hurting Parts (PP-HP) Meetings Protocol

Accuracy Verified: Yes

21. 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

22. Laliotis, D. (2010, April/May). Beyond trauma: Rebuilding the self with EMDR. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.

Language: English

Format: Conference

Abstract:
Clients who present with life-long relationship problems and serious self-esteem issues often have pervasive developmental deficits that manifest as attachment and/or character disorders. While EMDR is an efficient treatment, addressing the early life experiences that contribute to a client’s ongoing difficulties is more than just reprocessing the nodal events of childhood; it is about generating corrective experiences of self in relationship with others. Participants will learn how to use EMDR to facilitate the uncoupling of negative core beliefs and core affects from positive, more adaptive aspects of self that have been depressed, dissociated, or otherwise undeveloped. To this end, clinicians will learn how to actively utilize the client’s emergent experience of self within the context of EMDR processing using an expanded repertoire of cognitive interweave strategies. Materials will be presented through lecture and videotape of actual continuous clinical cases as well as a large group discussion format in which participants will be able to discuss their own cases with the presenter. (All Levels)

Keywords: Rebuilding Self

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Complex PSTD Creativity Mind/Body Resourcing Self Regulation

Accuracy Verified: Yes

24. Cartwright, L. (2000, September-October). Case Studies: Expanding our tool kit: A new technique that compliments TFT and EMDR. Family Therapy Networker, 24(5), 71-82.

Language: English

Format: Magazine

Abstract:
In recent years, increasing numbers of therapists have discovered the effectiveness of neurologically based therapy techniques, such as Eye Movement Desensitization and Reprocessing (EMDR) and Thought Field Therapy (TFT), not only for trauma, but for a wide range of problems, including anxiety, anger, grief and phobias. Like most therapeutic approaches, however, they provide remarkable results for one client and little or no results for another, no matter how skilled the therapist. Even more mysterious, they can significantly help a client with one problem, but not with a different problem. For instance, Sarah, age 40, had been suffering from depression for five years. The depression was triggered by the death of her father, loss of a good-paying job due to downsizing and her fiance's breaking off their engagement--all within a one-year period. After six months of increasing anxiety and worsening depression (accompanied by low energy, disinterest in life and withdrawal from social situations), Sarah entered therapy. Biweekly sessions for the next three years, which frequently included EMDR, significantly reduced her anxiety, but did not alleviate the depression. Nor did antidepressants. Years before, I had had a similar experience. EMDR had sharply reduced my obsessive-compulsive symptoms, but didn't help my depression. TFT eliminated recurring anger, but also didn't help my depression.

In the course of five years of research into neurologically based approaches, I happened upon a working hypothesis that explains such inconsistent results. The side-to-side eye movements of EMDR that activate the left and right hemispheres of the brain seem to help people resolve problems based on a lack of communication between the left and right hemispheres of the brain. The tapping, or front/back stimulation of acupuncture points, in TFT is effective when there is a lack of communication between the front and back of the nervous system (controlled by the energy center, well known to acupuncturists and martial artists, that lies below the navel). And since we are three-dimensional creatures, I hypothesized that some problems stem from a lack of communication between the top and bottom of the nervous system as well, which I correlate with the brain and the enteric nervous system of the digestive tract (the source of gut feelings). Working from this hypothesis, I have also developed processes to reintegrate the top/bottom dimension.

I have found that although certain emotions tend to be based within a given neurological dimension (indecisiveness is often in left/right, anxiety in front/back and depression in top/bottom, for example), a client may experience any emotion as a block within any dimension or combination of dimensions. As a result, depending upon both the client and the specific problem being addressed, a therapist might need to use techniques that facilitate integration of the left/right, front/back and/or top/bottom dimensions of the nervous system. When a client is blocked within two or three dimensions of the nervous system, working within just one dimension will sometimes activate healing across the entire nervous system. If this does not happen, it is then necessary to work in the remaining dimensions.

From these hypotheses I developed a system called Shifting Consciousness through Dimensions (SCtD), which provides therapists ways to assess the dimension(s) the client is blocked in, processes to identify, if necessary, which dimension to start with and specific integrating techniques for each dimension.

Keywords: TFT Thought Field Therapy

Accuracy Verified: Yes

25. Omaha, J. (1998, July). Chemotion and EMDR: An EMDR treatment protocol based on a psychodynamic model chemical dependency. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Chemical dependency is a pervasive and rapidly growing problem in western societies. Chemical dependencies means obsessive and compulsive use of legal and illegal substances that is not affected by adverse consequences resulting from their consumption and is further characterized by denial of the relationship between consequences and consumption, by tolerance for the chemical, and by symptoms of withdrawal when the substance is unavailable. For the purposes of this paper, legal and illegal substances discussed include alcohol, tobacco, marijuana, cocaine, methamphetamine, opiates, hallucinogens, and prescription medications.

Keywords: Chemical Dependency Chemotion Protocol

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Review Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

27. Davidson, M. M., Potter, A. E., & Wesselmann, R. D. (2010, September/October). Comparing dialectical behavior therapy to eye movement desensitization and reprocessing: A phase-based trauma treatment pilot project. Poster presented at the annual meeting of the EMDR Internation Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
• More effective methods to treat adults affected by childhood trauma, disturbed attachments, and adulthood intimate partner violence are critically needed. • Research utilizing Adult Attachment Interview (Hess, 1999) had found that when mothers hold unresolved memories of loss or childhood abuse, their children typically develop disorganized attachments and that when mothers are poorly or inconsistently responsive to their children’s cues, the children typically develop insecure attachments • A history of abuse by childhood attachment figures also increases the likelihood of becoming involved in domestic violence experiences in adulthood for both sexes (Gratz, 2009; Henderson et al, 2005) • Previous research has demonstrated that attachment experiences influence emotional functioning and vulnerability to emotion dysregulation (Critchheld et al, 2008). Numerous empirical works demonstrate the relationship between attachment style and aggression (e. g., Sockwaite et al, 2002; Henderson et al, 2005) • Emotion dysregulation and problems with impulse control and unstable relationships are common symptoms associated with childhood abuse by attachment figures (Fonagy, 1997; Bhipman et al, 2005) • Funding more effective treatment for problems in functioning related to childhood trauma and attachment issues is imperative. Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR) are two approaches that have proven beneficial in treating individuals with borderline personality disorders and trauma, respectively, and thus, could prove beneficial as treatment modalities for childhood trauma and attachment problems • The current investigation is a pilot study aimed at evaluating a treatment protocol aimed at effectively assisting adults with a history of childhood abuse and/or intimate partner violence to regulate emotions, resolve childhood trauma, move toward a healthier and more secure attachment status, and reduce the risk of repeating the cycle of violence and child abuse. More specifically, this pilot project evaluated a phase-based trauma treatment program that included (a) a year-long, initial emotion regulation skills-training phases utilizing DBT and (b) a second phase of either 10 individual sessions of EMDR or 10 individual session focused on further DBT skills training

Keywords: DBT Dialectical Behavior Therapy Poster

Accuracy Verified: Yes

28. Pace, P. (2003, September). Connecting ego states through time with EMDR and lifespan integration. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Participants will be introduced to Lifespan Integration, an effective new technique, which connects dissociated ego states to one another, and eventually produces an integrated self. This technique brings up images related to the targeted trauma, and gives the client insights about the lifelong pattern of behaviors resultant from the trauma. External resources are rarely needed as clients spontaneously connect to internal resources. Participants will learn how Lifespan Integration can be used adjunctive to EMDR: 1) to quickly resolve feeder memories which are interfering with processing; 2) to help clients who are flooding with emotion regain connection to their cognitive capacities; and 3) to help clients access positive internal resources related to the targeted trauma.

Keywords: Ego States Lifespan Integration

Accuracy Verified: Yes

29. Eidhof, M. B. (2012). The contribution of emotion to the effects of EMDR. Universiteit Utrecht, Utrecht, Netherlands.

Language: English

Format: Dissertation/Thesis

Abstract:
Until now, the effects of Eye Movement Desensitization and Reprocessing (EMDR), has been best explained by Working Memory (WM) theory. Research on the effects of EMDR has always concerned emotional memory, even though the WM account does not consider the emotional element in EMDR. Insights from neuroscience about emotion and its role in the consolidating of stimuli have led to questions that WM theory cannot address. Therefore, the present study introduces the WM/emotion theory on EMDR, which complements WM theory by incorporating knowledge about emotion and its expected role in EMDR treatment. WM/emotion theory expects emotion to play an important role in EMDR treatment, because the re-experiencing of emotion during the recall of an (traumatic) emotional memory seems to enhance (re)consolidation of the ‘blurred’ (as a result of taxing the WM) memory. If this is true, it means EMDR treatment would only affect memories with high emotional charge, and EMDR would be less effective with neutral memories. To test this hypothesis, an experiment was conducted in which negative emotional- and neutral memories of participants were treated with a lab version of EMDR (recall + eye movements (Recall+EM’s)) or a control intervention (Recall-only). It was expected that after Recall + EM’s the reduction of the vividness (and emotionality) would be larger for emotional memories than for neutral memories.It was found that after Recall+EM’s only the vividness (and emotionality) of emotional memories was reduced. The results of the present study suggest that emotion is a crucial element in EMDR treatment and knowledge about the workings of EMDR should be revised according to WM/emotion theory.

Keywords: Autobiographical Memories Consolidation Emotion Negative Memories Neutral Memories Reconsolidation Vividness Working Memory

Accuracy Verified: Yes

30. Spierings, J. (2001, May). Cultural adaptations of EMDR. Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
In this presentation the concept of "intercultural competence" is developed. A structured way is introduced to develop a therapeutic relationship with clients from another culture in order to build up trust and to bridge cultural differences in styles of processing and expression of emotion. The eight phases of EMDR will be reviewed and screened for necessary adaptations, leading to a series of practical guidelines, useful metaphors, rituals, and helpful concepts. The presentation will be illustrated with case examples, both successful and less successful.

Keywords: Cultural Adaptations

Accuracy Verified: Yes

31. Shapiro, F., Hurley, E. C., de Roos, C., Horst, F., de Jongh, A., & Hornsveld, H. (2013, April). Current research on eye movement desensitization and reprocessing (EMDR) therapy. Presentation at the Anxiety Disorders and Depression Conference, La Jolla, CA.

Language: English

Format: Conference

Abstract:
EMDR therapy is widely recognized as an empirically supported trauma treatment and was given an “A” rating in the most recent practice guidelines of both the DVA/DOD and the International Society for Traumatic Stress Studies. Meta-analytic findings report similar effect sizes for trauma-focused cognitive behavioral therapy (TF-CBT) and EMDR therapy in the treatment of posttraumatic stress disorder (PTSD). However, there are distinct differences between the two modalities in both theory and practice. Unlike TF-CBT exposure therapies, with EMDR therapy there is only intermittent attention to the index trauma, homework is not required and detailed descriptions of the memory are not needed. Further, the eye movement component has been the subject of more than 20 randomized controlled trials that have reported positive effects supporting both working memory and orienting response/REM hypotheses. These effects include a rapid decrease in physiological arousal and negative emotion, as well as increased episodic memory retrieval and recognition of true information. Videotaped clinical sessions will illustrate these findings, as well as the differences between EMDR therapy and prolonged exposure.

Keywords: Practice Research

Accuracy Verified: Yes

32. Patti, M. S (2010, April). Diagnosing and treating complex PTSD: An integrated approach model - Borderline personality disorder and comorbid DID: intervening with EMDR, relational and sensorymotor psychotherapies . Symposium at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
The paper presents a clinical case of an initial diagnosis of BPD referred to ARP by local psychiatric services where she was treated for a suicide attempt. The client presented serious affective dysregulation, impulse dyscontrol, dissociative symptoms and refused any medication. Clinical team opted for an integrated assessment which also stabilised the client. The assessment enabled to diagnose the client with structural dissociation isolating both ANP and EP aspects. Clinical intervention adopted an integrated approach using EMDR to treat specific dissociative traits, sensorymotor therapy to intervene on somatic symptoms, and relational therapy to develop therapeutic alliance. A preliminary stabilisation enabled the client to accept support from psychiatric services. This clinical case shed light on how the integration of assessment tools may detect better trauma disorders and challenged the importance of collaborative work between private practice and psychiatric services when intervening with seriously traumatized patients.

Keywords: Borderline Personalith Disorder Comorbid DID Complex Trauma

Accuracy Verified: Yes

33. Furukawa, D. K. (1998, June). The dive method. EMDRIA Newsletter, 3(2), 26, 31.

Language: English

Format: Newsletter

Abstract:
In life, we find that much of what holds us back is fear. This was the theme of the movies, “Defending Your Life,” in which, after dying, the main character must examine his life only to find that he continually made decisions which restrained his personal growth due to his fear and lack of belief in self. Certainly other emotions like shame and guilt, sadness and anger play key parts in the reprocessing of trauma. However, experience has shown that fear is quite often either related to the emotion that is associated with the trauma focus, or the stated emotion turns into fear as reprocessing commences.

Keywords: Dive Method Fear

Accuracy Verified: Yes

34. van Loey, C. (2009). Du microtraumatisme à la guérison, traiter l'emotion traumatique par l'hypnose et l'EMDR [Microtrauma of healing, treating traumatic emotion through hypnosis and EMDR]. Escalquens: Dangles.

Language: French

Format: Book

Keywords: Hypnosis

Accuracy Verified: Yes

35. Temple, M. (2011, October). Eating disorders and EMDR. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.

Language: English

Format: Conference

Abstract:
This workshop will focus on EMDR in eating disorders, particularly Anorexia Nervosa, commencing with a review of the evidence base particularly in relation to EMDR and perspective on aetiology / causations. The discussion will focus on physical risks and need for combined multi-disciplinary working for safe management with a specific focus on published EMDR work and the importance of the preparatory / resource phase. Target areas for using EMDR including identified trauma, attachment / abandonment issues, fear of need / emotion, specific experiences of the anorexia itself and symptom areas such as body image distortion will all be considered leading to a possible overall ‘EMDR and Eating Disorders’ model. (Author abstract)

Keywords: Eating Disorders

Accuracy Verified: Yes

36. Martin, G. (2007). Editorial - On rural services for mental. Australian e-Journal for the Advancement of Mental Health, 6(1), 1-4.

Language: English

Format: Journal

Abstract:
Sumithra attended the village clinic for three sessions of CBT and EMDR lasting ninety minutes each, during a three week period. EMDR involved supporting her to describe her fears and hold all the elements in mind while simultaneously engaging in bilateral eye-movements. Feedback was obtained on the material that was emotion provoking. This cycle was repeated, while observing for shifts in affect, physiological states and cognitive insights. Sumithra identified emotions and physical sensations, elicited when visual images of death and destruction were combined with the belief that ‘my family is dead’, ‘I have no one’, and ‘I am alone in this world’. Three cycles were carried out by rewinding to sections of the narrative that generated sadness and fear. On each occasion she reported the level of distress she experienced, and her distress scores (SUDS) were noted.

Keywords: Editorial Mental Health Rural

Accuracy Verified: Yes

37. Mei, Y. (2005, June). The effect of stabilization in helping patients to regain security and control. In Psychotrauma and EMDR in China and Slovakia, Part 1. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Before using the Eye Movement Desensitization and Reprocessing (EMDR) to treat an undergraduate student who suffered from AIDS-Hypochondrias is (caused by a traumatic event), stabilization was applied on this patient. It was found that stabilization was very significant in helping the patient to regain security. control and self-management for his emotion. This result was strongly supported by results of two subsequent Post Traumatic Stress Disorder (PTSD) undergraduate student patients. Moreover, compared to former Panic Attack cases. which were treated by using supportive skills? stabilization was found to be far more effective than supportive skills. It was profoundly effective in helping the patient to be empowered to manage their own emotions and to regain security and control.

Keywords: AIDS China Hypochondria Symposium

Accuracy Verified: Yes

38. Khalfa, S. (2012, June). Effects of EMDR on cognition, psychophysiology and cerebral mechanisms in PTSD [Efectos del EMDR en cognición, psicofisiología y mecanismos cerebrales en TEPT]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Despite the emergence of many theories on biological EMDR mechanisms, research is still needed to understand the healing processes of EMDR. We conducted four experiments to explore the effects of EMDR on PTSD with 17 to 22 patients suffering from one unique trauma. The first experiment evidenced attentional bias in PTSD towards negative words that disappeared after successful EMDR Therapy. The second experiment has shown a less efficient control of emotion in PTSD as compared to healthy controls. This altered emotional suppressing measured through psychophysiological responses was restored after symptoms disappearance following EMDR. The third experiment also using psychophysiological measures confirmed the increased fear sensitization and delayed fear extinction in PTSD and again the restoration of a normal fear conditioning and extinction processes after EMDR. The last experiment explored the negative emotional cerebral mechanisms using functional magnetic resonance imagery in PTSD. Activities in prefrontal structures were modified in PTSD as compared to healthy controls. After the EMDR treatment accompanied by symptoms removal, the prefrontal responses were not different between PTSD patients and their controls. Theoretical issues of these results will be discussed in order to integrate cognitive, psychophysiological and cerebral mechanisms observations.

A pesar del emerger de muchas teorías sobre los mecanismos biológicos del EMDR, la investigación aún necesita entender el proceso de curación que se produce en EMDR. Hemos realizado 4 experimentos para explorar los efectos del EMDR en TEPT de 17 a 22 pacientes que sufrieron un único trauma. El primer experimento evidencia un sesgo atencional del TEPT ante las palabras negativas que desaparecen después de una terapia exitosa de EMDR. El Segundo experimento mostró una baja eficiencia del control de las emociones en los TEPT comparados con el control de individuos sanos. Esta alterada supresión emocional medida a través de respuestas psicofisiológicas fue restaurada después de una desaparición de los síntomas realizando EMDR. El tercer experimento también confirma mediante medidas psicofisiológicas el aumento de la sensación de miedo y un retraso en la extinción del mismo en el TEPT. De nuevo tras administrar una terapia EMDR se produjo una restauración a una condición normal de miedo y un proceso de extinción. El último experimento explica los mecanismos negativos emocionales cerebrales usando resonancia funcional magnética en TEPT. La actividad en las estructuras prefrontales fue modificada en el TEPT comparado con el control. Después del tratamiento de EMDR acompañado de una remisión de los síntomas, las respuestas prefrontales no fueron diferentes entre los pacientes con TEPT y los controles. Cuestiones teoréticas sobre estos resultados serán discutidas con el fin de integrar cognitivamente, psicofisiológicamente y observar los mecanismos cerebrales del EMDR.

Keywords: Cognition, Psychophysiology and Cerebral Mechanisms Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

39. 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

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

Language: English

Format: Conference

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

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

Keywords: Body Oriented Therapeutic Interweaves

Accuracy Verified: Yes

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

Language: Dutch

Format: Conference

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

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

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

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Affect Centered Therapy Affect Theory

Accuracy Verified: Yes

43. Ostacoli, L. & Bertino, G. (2010, June). EMDR and drawing: A tool to integrate post-traumatic dissociation and overwhelming emotions. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The difficulty of the management of overwhelming emotions aid dissociative reactions are challenging for any EMUR therapist dealing with complex traumas. As a complement to the strategies already used in EMDR, drawing gives form to The inner representations of the trauma, objectivizing it Thus the person no longer relates only to something inside him/her, but rather to something he/she can see and can concretely represent and modify In the act of drawing, the patient makes an initial reorganisation of the form of the trauma, and begins to differentiate the adaptive ego, which has the tools and the ability to restructure the experiences, and the traumatic emotional part that suffers those experiences in a condition of Impotence and passivity The person may rapidly access preverbal and motor-sensory language, activating inborn creative skills. The use of this tool enables us t0 access the traumatic material gently, limiting dissociative reactions, bypassing avoidance and flight behaviour and setting a distance from pan by objectivizing . A protective space is created between the self and the part that holds the suffering. p i n g a voice to the inner child. The patient is offered the possibility of drawing what is occurring in the self's here and now, and given a choice of different graphic materials. At the end of the drawing and assessment phase the person is asked to note what has emerged, and a brief space of time may be allowed for description without interpretation. The represented Image is treated as the inner image in the classic protocol. To start, the patent is asked to focus on the drawing, on the negative cognition and on the bodily location of the emotional disorder, while bilateral stimulation is applied. At the end of each set, the patient is asked what he/she has noticed and the therapist verifies where the person now is in the re-elaboration. If there is a change the person may either work on the drawing, modifying it, or, if the change of image is radical, may produce another drawing. After several sets, an adaptive drawing emerge5 that may be installed as a resource. The report presents the use of the tool in various psychopathological conditions, with the support of video and graphic materials, particularly focusing on how to manage dissociation. Learning objectives: 1.To learn the use of drawing as a supplementary tool, through graphic and video material of clinical cases. 2. To recognise the indications in which it provides added value to the classical protocol. 3. to learn its use in various psychopathological conditions, with particular emphasis on dissociative states. The use of drawing as a supplementary tool within the EMDR protocol gives form to the inner representation of the trauma, objectivising it, and creates a bridge of communication between the self and the blocked parts, after which it will be possible to return to desensitizing and re-elaboration with the standard protocol.

Keywords: Dissociation Drawing Emotion

Accuracy Verified: Yes

44. Curran, L. A. (2009, January). EMDR and EMDR related techniques for effective trauma treatment. Wayne State University, School of Social Work, Center for Social Work Practice Policy and Research, Fort Washington, PA.

Language: English

Format: Other

Abstract:
Beginning in the 1990s, Francine Shapiro had discovered and began researching a new neurophysiological technique for treating traumatic material. This technique, alternating bilateral stimulation, was quickly subsumed by Shapiro’s psychotherapeutic orientation known as Eye Movement Desensitization and Reprocessing (EMDR). After many years of rigorous empirical studies demonstrating its uses and effectiveness in trauma treatment, EMDR has become one of only three approved treatments recommended by the veteran’s administration for the treatment of PTSD. Through didactic illustration and explanation; videotaped demonstrations; and experiential exercises, this seminar provides clinicians the basic principles of EMDR and EMDR- related techniques and how each would be incorporated into their personal therapeutic orientation and practice. Goals 1. Participants will gain understanding of neuroscience’s trauma paradigm · Biological nature of trauma · Specific trauma symptoms and their order of appearance · Primary treatment issues in trauma therapy. 2. Participants will gain understanding of trauma’s cognitive and somatic impact and how to effectively treat its sequelae including: · Hyperarousal · Affect dysregulation · Dissociation · Body memories and “flashbacks” 3. Participants will learn the theory of Eye Movement Desensitization and Reprocessing (EMDR) and EMDR-related techniques for initial resourcing of clients, followed by desensitizing and cognitive reprocessing of traumatic material. Objectives 1. Participants will identify the biological nature of trauma; how trauma is stored in the body and limbic system, creating physical and psychological symptoms. 2. Participants learn to identify the symptoms of trauma- hyperarousal; affect dysregulation; dissociation, body memories and “flashbacks”. 3. Participants will learn the Adaptive Information Processing Model and clinical research associated with EMDR 4. Participants will learn how EMDR and EMDR-related techniques are used as an adjunct to psychotherapy. 5. Participants will identify and demonstrate the eight 8 Phases of EMDR protocol. 6. Participants will describe the differences between eye movement, auditory and tactile stimulation. 7. Describe the process for resourcing a client prior to actual processing traumatic material. 8. Describe the process of employing tactile alternating bilateral stimulation for the processing traumatic memories.

Keywords: Practice Theory

Accuracy Verified: No

45. Errebo, N., & Sommers-Flanagan, R. (2007). EMDR and emotionally focused couple therapy for war veteran couples. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 202-222). Hoboken, NJ: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
To help veteran couples, therapists need to understand the effect of war on the warrior, the impact of the warrior's experience on intimate relationships, and effective individual and couple treatments. These considerations are discussed in this chapter. Topic include war trauma and complex posttraumatic stress disorder (PTSD); effects of PTSD symptoms on veterans and their intimate relationships; problems in veterans' marital relationships; and treatment considerations. The therapy process described here is an integration of Emotionally Focused Couple Therapy (EFT) and Eye Movement Desensitization and Reprocessing (EMDR). In case conceptualization and treatment planning, EMDR and EFT can be woven together harmoniously; many of their theoretical concepts and procedural steps are compatible with or parallel to one another. EFT and EMDR are first described separately. Next, the parallels between the two treatments are discussed. Then a plan is presented for combining EMDR and EFT in comprehensive treatment for couples affected by war trauma. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Couples Therapy EFT Emotionally Focused Couple Therapy Emotion Focused Therapy Emotional Freedom Technique Military Posttraumatic Stress Disorder PTSD Trauma Veterans War Trauma War Veteran Couples

Accuracy Verified: Yes

46. Protinsky, H., Flemke, K., & Sparks, J. (2001, June). EMDR and emotionally oriented couples therapy. Contemporary Family Therapy, 23(2), 153-168. doi:10.1023/A:1011193518301.

Language: English

Format: Journal

Abstract:
When reviewing past and current research on the role of emotion in couples therapy, there appeared to be a lack of articulation concerning how emotional expressions and relational dynamics are affected by emotional trauma that has not been accessed. The authors demonstrate how emotionally and experientially oriented therapy with couples can be enhanced by accessing stored trauma through the use of Eye Movement Desensitization and Reprocessing (EMDR). This approach is called Eye Movement Relationship Enhancement (EMRE) therapy and includes key clinical areas such as accessing and tolerating previously disowned emotion, reprocessing emotional experiences, and amplifying couple intimacy. These key areas are discussed and illustrated with case examples. [Springer]

Keywords: Empirical Study Family Therapy Literature Review Marital Problems Nonclinical Case Study Psychotherapeutic Processes Survivors Treatment Effectiveness

Accuracy Verified: Yes

47. Matthess, H., & Woller, W. (2010, June). EMDR and personality disorders. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Over the last few years, causal relationships between childhood traumatic experiences and the development of personalities have been increasingly discussed. An understanding of personality disorders as a consequence of attachment trauma creates new therapeutic approaches for patients who are considered difficult to treat, though urgently in need of therapy.
First of all, the workshop will present an overview of possible neurobiological causes responsible for evolutionary principles of specific patterns of experiencing and behaviour in personality disorders. Most of their features can be explained as being natural reactions to extreme traumatic stress: unresolved traumatic experiences that cannot be encoded chronologically are, to a varying degree, subjectively experienced as separated from the personality. Other features of personality disorders, such as emotion regulation and mentalization function, can be understood as being a consequence of attachment trauma as well.
Following this, a treatment conception will be presented that combines elements from trauma therapies with aspects of a psychodynamic understanding of attachment relationships. Among others, the problems of personality-disordered patients related to regulating closeness and distance, resulting from their fears of intimacy and abandonment, will be addressed. Finally, the implications of the discussed topics for EMDR treatment will be considered.

Keywords: Personality Disorders

Accuracy Verified: Yes

48. Barbez, C., & Devoogdt, A. (2005, June). EMDR and resolving hurt feelings. Presentation at the annual meeting of the EMDR Europe Association, Belgium, Brussels.

Language: English

Format: Conference

Abstract:
Hurt has been defined as an emotion, which arises in a social interaction as a consequence of certain interpersonal events. Leary (1998) asserts that the common denominator in all instances of hurt feelings is the perception of relational devaluation.
The overall aim of the workshop is to point at the importance of hurt feelings in unresolved interpersonal conflicts. More specific learning objectives are: 11) understanding under what conditions hurt feelings are likely to be harmful and why, (2) how hurt feelings may affect the perception of ongoing relationships, (3) demonstrating the use of EMDR in the resolution of hurt feelings.

Keywords: Emotional Sensations

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Case Formulations

Accuracy Verified: Yes

50. Costa, C. S. (2012, Novembro). EMDR como recurso para a elaboração de laudo pericial [EMDR as a resource for the preparation of expert report]. In EMDR e memórias. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Por meio de relato de caso clínico, objetiva-se mostrar a possibilidade da do uso do EMDR para a elaboração de laudo pericial. O caso foi enviado por uma Casa de Acolhimento Institucional, órgão público vinculado à Delegacia de Defesa da Mulher, de um município da Grande São Paulo, devido à suspeita de abuso sexual da criança pelo genitor, uma vez que outros laudos profissionais, como o psicodiagnóstico de Rorscharch e o exame clínico por perito legista não foram aceitos como conclusivos pelo juiz que autorizou a visita do pai. Diante disso, o Órgão de Proteção à Criança encaminhou o caso para nova avaliação. Após as entrevistas com a criança, que se mostrava bastante resistente às perguntas feitas pela psicóloga, aplicaram-se os seguintes recursos do EMDR: identificação da imagem, crença e emoção (ICE); som bilateral; desenhos e identificação do grau de desconforto (SUDs), que lhe possibilitaram exteriorizar a situação que a incomodava, reforçada nos vários desenhos. Encaminhados os resultados ao Órgão que solicitou a avaliação foram considerados conclusivos em relação ao abuso sofrido pela criança, o que significou seu afastamento do genitor, pelo juiz, e investigação para apurar os fatos visando a proteger a vítima. Isso permite concluir que o EMDR pode ser um instrumento auxiliar para a elaboração de laudo pericial nos casos de estresse pós-traumático, como no abuso sexual de crianças.

Through clinical case, the objective is to show the possibility of the use of EMDR for the preparation of an expert report. The case was sent by a House of Hospitality Institutional, public agency linked to the Women's Police Station, a town in Greater São Paulo, due to suspicion of child sexual abuse by parent, since other reports professionals, as psychodiagnostic of Rorschach and clinical examination by forensic expert were not accepted as conclusive by the judge who authorized the visit of his father. Thus, the Child Protection Authority referred the case for further evaluation. After the interviews with the child, that proved quite resistant to the questions asked by the psychologist, we applied the following features of EMDR: identifying the image, belief and emotion (ICE); sound bilateral; drawings and identify the degree of discomfort (SUDs ), which enabled him to externalize the situation that bothered him, strengthened in various designs. Forwarded the results to the Board requesting the evaluation were considered conclusive regarding the abuse suffered by the child, which meant being away from the parent, the judge, and investigation to ascertain the facts in order to protect the victim. This indicates that EMDR can be an auxiliary tool for the development of expert opinion in cases of post-traumatic stress, such as the sexual abuse of children.

Keywords: Expert Report Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

51. Tripolt, R. (2010, Oktober). EMDR in bewegung [EMDR in motion]. EMDRIA Deutschland e.V. Rundbrief, 21, 16-23.

Language: German

Format: Newsletter

Abstract:
Im Folgenden geht es um die Möglichkeit der Erweiterung des EMDR Protokolls um die Dimension der Bewegung: Die Ebene der Kognitionen (PK/NK, VoC), der Emotion (SUD) und der Körperwahrnehmung (Körpertest) wird um die Reflexionsebene der Bewegung und der Bewegungswahrnehmung ergänzt. Dieses kann die Wirkweise von EMDR verstärken und bei dissoziativen TraumapatientInnen die unmittelbare Anwendung von EMDR oft erst ermöglichen. Dazu wird der Einsatz von Elementen aus 5 Rhythmen Bewegungstherapie, Tanz und körperorientierten therapeutischen Techniken vorgestellt und anhand eines Fallbeispieles illustriert.

I now turn to the possibility of extending the EMDR protocol to the Dimension of the movemen: the level of cognition (PC/NC,VoC ), emotion (SUD )and of body awareness (body test) is the reflection plane of movement and Motion perception complements. This may enhance the mode of action of EMDR and dissociative trauma patients, the direct application of EMDR often only allow. For this purpose, the use of elements from 5 Rhythms movement therapy, dance and body-oriented therapeutic techniques and presented a case study illustrated.

Keywords: Motion Movement

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Keywords: Developmental Trauma Disorder

Accuracy Verified: Yes

53. Bohm, K. (2011, June). EMDR in der behandlung der zwangsstörung [EMDR in the treatment of obsessive compulsive disorder]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: German

Format: Conference

Abstract:
In diesem praxisorientierten Workshop wird der Einsatz von EMDR bei Zwangsstörungen vorgestellt und eingeübt. Dabei wird auf Besonderheiten beim Einsatz von EMDR ebenso eingegangen wie auf die Kombination mit Reizkonfrontationen (Expositionsübungen). Ein verändertes Standartprotokoll wird eingeführt, das "Therapietiming“ von EMDR aufgezeigt und auf typische Probleme in der Emotionsregulation eingegangen. Learning objectives: Ein wichtiges Augenmerk richtet sich in der Therapie immer auf die Persönlichkeit und Lebensgeschichte des Patienten. Sie lernen EMDR auf die jeweilige Persönlichkeit zuzuschneiden und auch die Art des Zwanges zu berücksichtigen. Waschzwänge bedürfen zum Beispiel oft anderer Strategien als reine Zwangsgedanken. Im Workshop werden Therapievideos gezeigt, das praktische Vorgehen eingeübt und die Theorie hierzu anschaulich vermittelt. Er richtet sich sowohl an verhaltenstherapeutisch als auch an tiefenpsychologisch arbeitende Kollegen.

In this hands-on workshop, the use of EMDR is presented with OCD and practiced. It is specific to the use of EMDR as well as to respond to stimulus combination confrontation (exposure exercises). A modified standard protocol is introduced, demonstrated the "treatment timing" of EMDR and discussed common problems in emotion regulation. Learning objectives: An important focus is always in the therapy on the personality and life history of the patient. You will learn to tailor to the particular personality and EMDR to consider the kind of coercion. Washing compulsions for example, often require different strategies than pure obsessions. The workshop therapy videos are shown, and rehearsed the practical approach and teaches the theory on this vividly. He addresses both behavioral therapy and psychodynamic to working colleagues.

Keywords: Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

54. Bohm, K. (2012, September). EMDR in der behandlung der zwangsstörung [EMDR in the treatment of obsessive compulsive disorder]. Vortrag auf der Jahrestagung der Deutschen Gesellschaft Zwangserkrankungen Münster, Deutschland.

Language: German

Format: Conference

Keywords: Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

55. Rost, C. (2003). EMDR in der behandlung von chronischen schmerzen [EMDR in the treatment of chronic pain]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 1(3), 7-15.

Language: German

Format: Journal

Abstract:
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR
Chronische Schmerzen sind in unserer Gesellschaft weit verbreitet und machen das medizinische System immer noch große Probleme. Auffallend ist das häufige gemeinsame Auftreten von psychischen Störungen. Die Bedeutung von Emotionen in Schmerzwahrnehmung und-verarbeitung hat nur in den letzten Jahren untersucht worden. Bisher gibt es nur wenige Studien über die Rolle des Traumas in die Geschichte und das gleichzeitige Auftreten von chronischen Schmerzen und posttraumatischen Belastungsstörungen. Diese Kombination hat Versuche Behandlung von chronischen Schmerzen mit EMDR geführt. Die ersten Ergebnisse der Pilotstudien mit chronischen Schmerzen und Phantomschmerzen Mut zu tun, um diese Anwendung von EMDR am erkunden. Die persönlichen Erfahrungen von Patienten mit chronischen Schmerzen und begleitende PTSD positiv auf die Behandlung von EMDR mit einer Reduktion der Symptome und Schmerzen in Zusammenhang stehen.

Psychological treatment of traumatic stress disorders with EMDR
Chronic pain is widespread in our society and make the medical system still major problems. Striking is the frequent co-occurrence of mental disorders. The importance of emotion in pain perception and processing has been examined only in recent years. So far there are only few studies on the role of trauma in the history and the simultaneous occurrence of chronic pain and posttraumatic stress disorder. This combination has led to attempts at treatment of chronic pain with EMDR. The first results of pilot studies to do with chronic pain and phantom pain courage to explore this application of EMDR on. The personal experiences of patients with chronic pain and concomitant PTSD are positively related to the treatment of EMDR with a reduction of symptoms and pain.

Keywords: Comorbidity, Physical Pain, Posttraumatic Stress Disorder, PTSD, Treatment Effectiveness

Accuracy Verified: Yes

56. Bohm, K. (2009, Februar-Mai). EMDR in der behandlung von zwangsstörungen [Use of EMDR in the treatment of obsessive-compulsive disorders]. EMDRIA Deutschland e.V. Rundbrief, 18, 31-35.

Language: German

Format: Newsletter

Abstract:
In der Therapie von Zwangsstörungen mit den herkömmlichen Methoden der Verhaltenstherapie kommt es immer wieder zu Problemen innerhalb der Behandlung: 1. therapieresistente Fälle trotz Expositionen lege artis 2. Emotionsarbeit häufig problematisch 3. Expositionen sind anstrengend, belastend, für manche Patienten zu schwierig

In the treatment of OCD with the conventional methods of Behavior therapy, it always comes back to problems within the treatment: 1. therapy-resistant cases, despite exposure lege artis 2. Emotion work is often problematic 3. Exposures are demanding, stressful, too difficult for some patients

Keywords: Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

57. Darker-Smith, S. (2007, June). EMDR installation for facilitating emotional identification in the treatment of attachment disorders. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The accessibility of emotions in children with attachment disorders is known to be complex at best. This presentation looks at a new method of enabling a child dissociating from emotions with severs attachment disorder and complex, traumatic histories to access emotions using the installation phase of EMDR.
For teaching purposes, this presentation will use real-life cases of 4 attachment disordered children where EMDR has been used successfully. All the children had been taught safe space (or similar containment methods) to enable them to self regulate their emotions – however, prior to the installation they did not experience emotions to self regulate.
In all four cases, none of the children were able to access emotions and were severe attachment disordered. The children aged between 12 to 13 years of age and all had a diagnosis of attachment disorder, comorbid with post traumatic stress disorder. Most of the children did not experience emotions directly and when asked where they “felt emotions,” would state that they experienced emotion because they were told that they were experiencing emotion.
An example is one child who mentioned that she had been angry – she only knew this, because an adult had told her she was angry. Some4times, her hands were mottled when she was angry – but there appeared to be no internal awareness of emotional feelings. The three other children reported similar lack of awareness of internal emotions.
Using the installation phase of EMDR within the context of a one-to-one therapy session, each child was asked to focused on a particular emotion and focus where in their body they experienced any feelings which may be associated with emotion.
The children began to describe complex emotions, which they had never previously been able to. Many of these children had never cried or expressed emotions “normally” prior to this. An example of one child’s experience follows. “I feel sad in my heart. It feels cold – as if someone has smashed it into a thousand bits. It’s blue and very lonely. It feels empty.” (This was a child who had never experienced any internal emotion since the age of t when he remembered feeling angry at being taken away from his parents by a social worker. This was the last time he remembered every experiencing any kind of emotion).
Following this, all the children were also encourage to sit with their new emotions and not to be afraid of them.
One child reported: “I never knew how god it could feel to finally be allowed to cry and my throat doesn’t feel so stuck no more.”
Another child stated, “It feels good to be sad. When I cry – that stops my heart hurting so much and the treats make the glue to fix my broken heart.”
Another child experienced: “It’s okay to be angry. Anger isn’t scary – it’s just a feeling – just because I feel it doesn’t mean I have to kick off – and it feels strong to e angry – I have a right to be angry and that’s okay.” So far, we have not experienced an unsuccessful outcome; however, this method is still in the early stages of being developed.

Keywords: Attachment Disorders Emotional Identification Poster

Accuracy Verified: Yes

58. Gomez, A. (2012, May). EMDR therapy and adjunct approaches with children: Complex trauma, attachment, and dissociation. New York, NY: Springer Publishing.

Language: English

Format: Book

Abstract:
This is the first book to provide a wide range of leading-edge, step-by-step strategies for clinicians using EMDR therapy and adjunct approaches with children with severe dysregulation of the affective system. Written by an author internationally known for her innovative work with children, the book offers developmentally appropriate and advanced tools for using EMDR therapy in treating children with complex trauma, attachment wounds, dissociative tendencies, and compromised social engagement. The book also presents the theoretical framework for case conceptualization in EMDR therapy and in the use of the Adaptive Information Processing (AIP) model with children.
Principles and concepts derived from the Polyvagal Theory, affective neuroscience, attachment theory, interpersonal neurobiology, developmental neuroscience and the neurosequential model of therapeutics, which can greatly support and expand our understanding of the AIP model and complex trauma, are presented. The text also offers an original and pioneering EMDR therapy-based model to working with parents with abdicated caregiving systems. The model is directed at assisting parents in developing the ability for mentalization, insightfulness, and reflective capacities linked to infant's development of attachment security.
A unique and innovative feature of this book is the masterful integration of strategies from other therapeutic approaches, such as Play therapy, Sandtray therapy, Sensorimotor psychotherapy, Theraplay and Internal Family Systems (IFS), into a comprehensive EMDR treatment maintaining appropriate adherence to the AIP model and EMDR therapy methodology.
Key Features: •Provides creative, step-by-step, "how-to" information about the use of EMDR therapy with children with complex trauma from an internationally known and innovative leader in the field •Explores thoroughly the eight phases of EMDR therapy in helping children with attachment wounds, dissociative tendencies and high dysregulatio •Incorporates adjunct approaches into a comprehensive EMDR therapy while maintaining fidelity to the AIP model and EMDR therapy methodology •Contains an original EMDR therapy-based model for helping parents with abdicated caregiving systems to develop metalizing and reflective capacities

Keywords: Adjunct Approaches Attachment Children Dissociation Trauma

Accuracy Verified: Yes

59. Knipe, J. (2006, June). EMDR toolbox: Video examples of methods of targeting avoidance, procrastination, affect dysregulation, the pain of being "dumped" by a lover, and a shame-based ego state in a client with a identity disorder. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
It is clear from over 17 published studies that the EMDR method is highly effective in assisting clients in resolving PTSD (Maxfield and Hyer, 2002). However, most clients who enter therapy do not have a simple problem of a single disturbing memory, but a complex history. Typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also mental structures and actions which function to soothe, contain, avoid or dissociate from emotional disturbance. Thus, the initial presentation of most clients is complex and often ambivalent. In this workshop, examples will illustrate Adaptive Information Processing methods of targeting and resolving psychological defenses, such as avoidance, ambivalence, and idealization. Also, the BHS/CIPOS (Back-of-the-Head Scale/Constant Installation of Present Orientation and Safety) method will be described. This method is a set of procedures that can be used during the EMDR Desensitization Phase to therapeutically reverse dissociative processes while preserving emotional safety. Video segments from therapy sessions will be shown to illustrate each of these methods.

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

Accuracy Verified: Yes

60. Galvin, M. (2007, June). EMDR treatment tactics: Using the accelerating-decelerating model and energy psychology to enhance interventions. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
EMDR therapists are frequently faced with two situations where treatment must be adjusted: blocked processing and incomplete sessions. The first is address in the Part I Training Manual under Facilitating Black Processing in Phase Four. That secion describes three situations: Where processing proceeds “favorably,” where the client over-responds, and where the client under-responds. The manual then describes decelerating tactics for addressing the second situation and accelerating strategies for addressing the third situation. We will use a format introducing an expansion of the TICES (Trigger, Image, Cognition, Emotion, Sensation) model for improves pacing of treatment. The expanded model draws on Multimodal Therapy and adds the modalities of Behavior, Interpersonal Aspects, and Drugs (actually all areas of health including diet, mediation, exercise, and the like). Clinicians can utilize the concepts to recognize when therapy has stalled (or is about to stall) because of client’s under responding and over responding in the sesson, and then apply appropriate interventions. The interventions are from EMDR, from other methods, and from Energy Psychology (EP). Increasingly, EMDR therapists are also practitioners of EP. The second challenging situation faced by EMDR therapists us when time is running out, yet the level of disturbance is still elevated. The Training Manual describes a procedure for closing such a session in Phase Seven, including a containment exercise. This workshop will show how EP techniques are an additional resource to bring to bear when dealing with incomplete sessions. There will be a description and demonstration of a couple of simple but powerful EP techniques. Participants can quickly learn these methods and will be able to immediately incorporate them into their practices. Handouts on the TICES/BID/Acceleration-Decelerating model and on the Energy Psychology techniques will be distributed.

Keywords: Energy Psychology Treatment Tactics

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Keywords: Complex PTSD Dissociative Disorders

Accuracy Verified: Yes

62. 上田卓司 [Ueda Takuji]. (1998). EMDR--心理療法あるいは記憶と感情の基礎心理学のための実験パラダイム [EMDR - Experimental paradigm for psychological therapy or basic psychology of memory and emotion]. 早稲田大学大学院文学研究科科紀要。 1（44）、29から37 [Bulletin of Waseda University Graduate School of Letters, Arts and Sciences, 1 (44), 29-37].

Language: Japanese

Format: Dissertation/Thesis

Keywords: Emotional Basis Memory Psychological Basis

Accuracy Verified: Yes

63. Tinker, R. H., & Wilson, S. A. (2003, September). EMDR: The emerging science of trauma and application to the treatment of children. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
It is increasingly recognized that psychological trauma causes neurophyslological dysregulation in children, which then alters their developmental course. In this full-day seminar, we will present an organizational framework that clarifies how trauma-based diagnosis relates to traditional nosological systems, such as DSM-IV, and ICD-10, and how to treat these symptoms of dysregulation using EMDR. We will illustrate these concepts with videotapes of EMDR treatment sessions with children. These video seggments will cover a variety of applications with children of different ages, including single traumas, multiple traumas, complex disorders of childhood, attachment issues, dissociation, and group application of EMDR with war refugee children. Following the workshop, participants will be able to discuss and understand the above topics.

Keywords: Children War Refugees

Accuracy Verified: Yes

64. Shapiro, F. (1997, April). EMDR: Setting the record straight. Contemporary Psychology,APA Review of Books, 42(2), 363-364. doi:10.1037/005088 .

Language: English

Format: Journal

Abstract:
Originally published in Contemporary Psychology: APA Review of Books, 1997, Vol 42(4), 363-364. Francine Shapiro comments on Jeffrey Lohr's review (see record 2004-17623-008)of Shapiro's book Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols and Procedures (see record 1995-98132-000). The author points out that Lohr has bolstered his argument by citing his own literature reviews, which are also characterized by pervasive misrepresentations of the actual data (Lohr, Kleinknecht, Tolin, & Barrett, 1995; Tolin, Montgomery, Kleinknecht, & Lohr, 1995). In his book review, Lohr questions the interpretations of the research the author gives in the text by saying that "Published accounts that cast doubt on the effect of treatment are ignored or discounted for insubstantial reasons." The author lists four criteria specified in the book for evaluating the clinical applicability of PTSD research results and states that the readers may judge if these criteria are indeed "insubstantial". Contrary to Lohr's implications, the judicious and diverse clinical applications of EMDR explored in the book have been supported by many experts in the field in conjunction with relevant published data. Rather than argue the merits of the proposed Accelerated Information Processing model or review the pervasive errors in Lohr's discussion of it, the author will allow readers to come to their own conclusions. She reaffirms here as she does throughout the text, that debates regarding the model, or the eye movements per se, are not relevant to the question of whether or not the method actually works. EMDR consists of much more than directed eye movements (or alternate stimulation). Rather, it is a complex integrative approach, drawing from psychodynamic, behavioral, cognitive, systems, and body-oriented therapies. More positive controlled studies support EMDR than any other treatment for PTSD (e.g., Carlson, Chemtob, Rusnak, Hedlund, & Muraoka, in press; Rothbaum, in press; Scheck, Schaeffer, & Gillette, in press; Wilson, Becker, Tinker, 1995, in press; Shapiro, 1996b). All of these studies fulfill accepted standards of objective psychometrics and independent assessors. (PsycINFO Database Record (c) 2008 APA, all rights reserved).

Keywords: Lohr Point/Counterpoint

Accuracy Verified: Yes

65. Grand, D. (1998). Emerging from the coffin: Treatment of a masochistic personality disorder. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications (1st ed.) (pp. 65-90). New York: W. W. Norton.

Language: English

Format: Book Section

Abstract:
"Dan" was a 48-year old married man who, despite ten years of psychoanalytic treatment, awakened every morning with the image of lying dead in a coffin. This dovetailed with his experience of daily life as devoid of meaning and pleasure. Despite his apparent relentless suffering and preoccupation with death, Dan reported never having been actively suicidal. In fact, his life appeared to be oddly homeostatic. He sought out therapy at the urging of his wife, who was exasperated by his pervasive negativity. This case illustrates the successful use of longer-term EMDR charactered by the multiple sessions and many months to fully reprocess individual protocols. Treatment was completed, with Dan free of coffin fantasies and capable of experiencing hope, joy and purpose for the first time in his life. His positive response, over time, indicates that individuals with characterological defenses can process, albeit incrementally, difficult material and ultimately reach a level of full resolution. Since my success with Dan, I have replicated this startling outcome with numerous clients in periods ranging from 9 to 18 months. This was inconceivable for me in my pre-EMDR days when many years of treatment yielded far more limited results. [Text, pp. 66-67]

Keywords: Adults Americans Case Report Life Experiences Males Personality Disorders Psychotherapeutic Processes Survivors Treatment Effectiveness

Accuracy Verified: Yes

66. Lanius, R. A. (2010, June). Emotion regulation and the self in complex PTSD. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The lecture will focus on the core problems in PTSD related to early life trauma, including emotion dysregulation and fragmentation of the self. The neural correlates of emotional awareness, social emotion processing and self-monitoring will be described. Implications for stage oriented trauma treatment and early intervention will be discussed.

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

Accuracy Verified: Yes

67. D'Anca, J. A. (1996). Employing eye movement, desensitization/reorientation (EMDR) to treat posttraumatic stress disorder: A case study. Chicago School of Professional Psychology, Chicago, IL. AAT 9701975.

Language: English

Format: Dissertation/Thesis

Abstract:
The author presents a case study of a 42- year-old white female, the victim of multiple sexual traumas resulting in PTSD. Eye Movement Desensitization/Reorientation (EMDR), a relatively new technique, is employed within the broader context of talk therapy to effect change. EMDR's therapeutic effectiveness is evaluated on a trauma-by-trauma basis through Subjective Units of Distress (SUD), pre- and post-treatment. The maintenance of sustained effected change in SUD ratings is monitored over time on a monthly basis throughout psychotherapy's duration. The patient's changes in overall level of functioning resulting from EMDR and talk therapy are evaluated through changes in MMPI and Rorschach scores. Patient progress is monitored three times through the assessment combination of these two measures: pre-, mid-, and post-treatment. This study addresses the following questions: Is Eye Movement Desensitization/Reorientation an effective technique in decreasing or eliminating symptomatology and psychopathology resulting from PTSD; and are any therapeutic benefits from its use maintained over a period of at least one year? Finally, what changes in the patient's overall level of functioning result from the combination of EMDR and talk therapy?The review of literature presents four models of PTSD: (a) the information processing model, (b) the psychological model, (c) the structural-developmental model (Fluid character pathology), and (d) the structural-developmental model (Dysregulation of impulse). These models offer a basis for conceptualizing PTSD as well as present the typical features of this pathology. The current diagnostic criteria for diagnosis as presented in DSM-IV also are included. Finally, a comprehensive review of the current literature available on Eye Movement Desensitization is presented. Results from the employ of EMDR evidence substantial reduction of PTSD symptomatology for all traumas treated. The reduction of symptomatology sustained for as long as 26 months. A summary of the case, findings, discussion of relevant information along with recommendations completes this work. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(8-B), Feb 1997, pp. 5321.

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

Accuracy Verified: Yes

68. 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

69. 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

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

Language: Spanish

Format: Other

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

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

Keywords: Affective Priming Cognition Depression, Depressive Patterns Emotion

Accuracy Verified: Yes

71. Tripp, T. (2010, April). Every picture tells a story: Art therapy and trauma processing. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
In the aftermath of trauma, it is widely accepted that memories are stored predominately in the right hemisphere of the brain, where they lack narrative organization and cognitive perspective. Preverbal, implicit memories of trauma appear to be held in fragments best expressed visually in images and somatically through body sensation. For this reason, art therapy, a non verbal expressive and body based approach, may be ideally suited for facilitating the healing of complex psychological trauma. This paper will illustrate the use of art therapy in resolving traumatic memories in the case of a woman with complex trauma. The author, an art therapist and social worker, utilized a modified EMDR protocol with bilateral stimulation: tapping the body while the patient created consecutive images on paper. It is hypothesized that the tapping facilitated a relaxation response and aided the processing of negative emotion while the creation of imagery produced a tangible graphic narrative tracking shifts in emotional states and making the process visible. Once the trauma processing was complete, the art productions were reviewed with increased insight and reflective distance. Ultimately, the patient was able to make a dramatic shift in both cognition and perception, and a desired, positive outcome was achieved. Learning Outcomes Gain an awareness of the power of the image to express and contain trauma Describe a modification of the EMDR protocol that introduces art making and tactile bilateral stimulation Understand the significance of using non verbal approaches in healing of complex psychological trauma

Keywords: Art Therapy Treatment

Accuracy Verified: Yes

72. Blue Cross Blue Shield of North Carolina. (2008, August). Evidence based guideline EMDR (eye movement desensitization and reprocessing). Blue Cross Blue Shield of North Carolina.

Language: English

Format: Publication

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a non-drug, non-hypnosis psychotherapy procedure. It is used to treat post traumatic stress syndrome. It involves the patient moving the eyes rapidly back and forth while following the therapist’s hands as they move side to side across the patient’s visual field. During these eye movements, the therapist is guiding the patient to concentrate on a troubling memory or emotion. This rapid eye movement, which occurs naturally during dreaming, is thought to speed the patient’s movement through a healing process.

Keywords: Blue Cross Blue Shield of North Carolina Insurance Practice Guidelines

Accuracy Verified: Yes

73. Garner, C. (2003, January 20). Expresswoman: What's the alternative? Speech therapy. The Express, Features, 37.

Language: English

Format: Newspaper

Abstract:
EMDR involves desensitising the emotion attached to a particular issue. A typical session begins with a discussion of what is responsible for the fear. Often it comes from having being put on the spot in childhood. It may be that your father or teacher was always critical.

Keywords: General Overview

Accuracy Verified: Yes

74. Richards, D. (1999, January). The eye movement desensitization and reprocessing debate: Commentary on Rosen et al. and Poole et al. Behavioural and Cognitive Psychotherapy, 27(1), 13-17. doi:10.1017/S1352465899271044.

Language: English

Format: Journal

Abstract:
The debate conducted in this journal and elsewhere on the effectiveness of eye movement desensitization and reprocessing (EMDR) is characterized by incredulity, fervent belief and emotion. Theorists and clinical pragmatists, not to mention the “discovers” of EMDR, have often taken up oppositional stances that impede rationale debate. Whilst some may be offended by the overt commercialism and messianic fervour of the EMDR lobby, the best response is to engage in dialogue, collaboration and scientific experiment. These experiments should combine the best randomized clinical trial methods with experimental deconstruction of the complex mix that now comprises EMDR. Those who have developed EMDR should cease the commercial and empirical protectionism that has characterized the EMDR movement and open their methods to such investigation by the healthily sceptical.

Keywords: Outcome Research Posttraumatic Stress Disorder PTSD Treatment Effectiveness.

Accuracy Verified: Yes

75. Estergard, L. (2008). Eye movement desensitization and reprocessing in the treatment of chronic pain. Walden University, Minneapolis, MN. AAT 3336660.

Language: English

Format: Dissertation/Thesis

Abstract:
Previous research has indicated that individuals with chronic pain who exhibit adaptive coping mechanisms are more likely to manage their pain effectively. If they experienced little success with pain management in the past, they are not likely to exhibit adaptive coping strategies in the present. However, there remains an important gap in the literature regarding the use of eye movement desensitization and reprocessing (EMDR) as a strategy for chronic pain. One purpose of this study was to establish the effectiveness of EMDR in the reduction of chronic pain; another was to examine the relationship between chronic pain intensity and emotion, as suggested by the biopsychosocial model of pain and measured by the Multiple Affect Adjective Checklist-Revised. In this matched 2-group design, participants were matched on pretest chronic pain scores and randomized to EMDR and a delayed treatment group. Pre- and posttreatment chronic pain levels were determined using the Short-Form McGill Pain Questionnaire. Data were analyzed using paired samples t-tests. There was a significant reduction in chronic pain following six EMDR sessions for the participants in the experimental group and the delayed-treatment group. The results also indicated a reduction in dysphoria for both groups following EMDR. The findings may help to clarify whether EMDR is effective in alleviating chronic pain, which may lead to more satisfying lives for patients and their families. This study is an important contribution to the literature and enhances social change initiatives by showing that collaboration between EMDR and other types of treatment may offer more expedient and long-term relief to patients, thus affecting the costs (e.g., health insurance) associated with chronic pain.[Author abstract]

Keywords: Biopsychosocial Models Chronic Pain Coping Treatment

Accuracy Verified: Yes

76. Welch, K. L., & Beere, D. B. (2002, May-June). Eye movement desensitization and reprocessing: A treatment efficacy model. Clinical Psychology and Psychotherapy, 9(3), 165-176. doi:10.1002/cpp.323.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR), though controversial, is increasingly utilized for treatment of PTSD. This article reviews the debate concerning efficacy and concludes that the evidence, though not definitive, supports EMDR's positive treatment effects. The authors argue that EMDR is a therapeutic intervention different from exposure. The authors set forth three interrelated hypotheses to explain EMDR's therapeutic mechanism: bilateral hemispheric activation, normalized brain activation patterns, and activation/desensitization of emotion/arousal; avoidant/constricted attention is disrupted, allowing normalizing processes to occur. Lowered arousal then leads to a resumption of more adaptive cognitive processing. Some predictions to test this model are presented. [Author Abstract]

Keywords: Evidence-Based Treatment Posttraumatic Stress Disorder PTSD Treatment Effectiveness

Accuracy Verified: Yes

77. Medeiros, K. (2009). Eye-movement desensitization and reprocessing: Implementation and utilization of EMDR as a treatment for trauma. Undergraduate Review, 5(9), 32-36.

Language: English

Format: Journal

Abstract:
Trauma is a pervasive global issue that affects both children and adults. It is officially defined in the most recent Diagnostic Manual as an event that threatens death or serious injury, and that elicits a response of fear, helplessness, or horror (American Psychiatric Association, 2002). Other respected definitions include a “sudden, unexpected, overwhelmingly intense emotional blow....[that] quickly becomes incorporated into the mind” (Terr, 1992, p. 8), and something that makes “both internal and external resources... inadequate to cope with external threat” (Van der Kolk, 1989, p. 393). Literature suggests that people who have experienced trauma may present with symptoms including depression, anxiety, insomnia, phobias, delayed development, difficulty maintaining social relationships, and personality disorders.

Keywords: Trauma Treatment

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

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

Language: English

Format: Other

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

Keywords: Children Footsteps Through the Maze Opposition Disorder

Accuracy Verified: Yes

80. 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

81. Marries, D. (2011, March 3). Giffords' aide on the road to recovery for both mind and body. KOLD News 13, Tucson, AZ [2 p].

Language: English

Format: Newspaper

Abstract:
Barber is meeting with a counselor and using a form of psychotherapy called EMDR, or eye movement desensitization and reprocessing, "it hasn't stopped the dreams the dreams or stopped the remembering but it has given me a way to deal with emotion that comes up."

Keywords: Barber General Gifford Overview Gifford

Accuracy Verified: Yes

82. Solomon, M. F., & Siegel, D. J. (2003). Healing trauma: Attachment, mind, body, and brain. New York: W. W. Norton.

Language: English

Format: Book

Abstract:
This book examines the following crucial issues: (1) how life experiences influence the maturation of the brain and mind in achieving mental health; (2) the central role of emotion in the functioning of healthy minds, brains, and relationships; (3) the importance of the body in influencing the nature of the mind and subjective experience; and (4) the impact of both positive and traumatic experiences on the development of coherent functioning, interpersonal relatedness, and the emergence of mental disturbance. [Text, p. xiv]TOPICS TREATED: An interpersonal neurobiology of psychotherapy: the developing mind and the resolution of trauma; Unresolved states regarding loss or abuse can have "second-generation" effects: disorganization, role inversion, and frightening ideation in the offspring of traumatized, non-maltreating parents; Early relational trauma, disorganized attachment, and the development of a predisposition to violence; PTSD and the nature of trauma; EMDR and information processing in psychotherapy treatment: personal development and global implications; Dyadic regulation and experiential work with emotion and relatedness in trauma and disorganized attachment; A clinical model for the comprehensive treatment of trauma using an affect experiencing-attachment theory approach; Connection, disruption, repair: treating the effects of attachment trauma on intimate relationships. [Pilots]

Keywords: Attachment Behavior Psychotherapy Stressors Survivors

Accuracy Verified: Yes

83. Ichii, M., Amano, T., & Yoshikawa, H. (2012, June). Hemodynamic responses during EMDR treatment of traumatic memory [Respuestas hemodinámicas durante el tratamiento de memorias traumáticas con EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
In order to investigate brain activity during EMDR, 52-channel NIRS（near –infrared spectroscopy) and heart rate were measured in treating a traumatic memory of non-clinical twenty five year old woman. A target memory was sexually molestation by a stranger when she was ten years old, and forced to touch penis of perpetrator. And IES-R score was as low as 11. A well-experienced EMDR therapist (=M.I.) applied estandarized EMDR protocol. Negative cognition was “I am shameful person”, and positive cognition was ”I deserve to live.” The body location is both arms and hands. By thirty-seven sets of EM, 7.5 level of SUDs decreased to 0, and VOC went up from 3.5 to 7. The [oxy-Hb] change in right orbitofrontal cortex increased as the negative emotion went up, and decreased rapidly after processing. The [oxy-Hb] change in left orbitofrontal cortex decreased just after cognitive interweave of responsibility was done. The [oxy-Hb] variation in right temporal lobe increased rapidly, and the [oxy-Hb] change in left temporal lobe decreased when direction of EM was changed from horizontal to diagonal movement when negative imagery disappeared. Heart rate data show gradual decreasing tendency throughout the session. Within each set, heart rate also decreased by EM. By monitoring NIRS, various techniques or pivotal processes in EMDR may be supposed to influence brain. In order to confirm the relationship, we should collect data from more subjects.

Para poder investigar la actividad cerebral durante EMDR, se midieron la NIRS (espectroscopia cercana al infrarrojo) de 52 canales y el ritmo cardíaco para tratar los recuerdos traumático de una mujer no clínica de veinticinco años. Un recuerdo diana fue un abuso sexual de un extraño cuando tenía 10 años y el agresor la obligó a tocarle el pene. La puntuación del IES-‐R fue de 11. Un terapeuta EMDR con experiencia (=M.I.) aplicó el protocolo estándar de EMDR. La cognición negativa fue “Soy una persona vergonzosa”, y la cognición positiva fue ”Merezco vivir.” La localización corporal fue en ambos brazos y manos. Después de 37 sets de movimientos oculares, el SUD de 7,5 bajó a 0, y el VOC subió de un 3,5 a un 7. El cambio [oxy-‐Hb] en el córtex órbitofrontal derecho aumentó a medida que aumentaba la emoción negativa, y disminuyó rápidamente después del procesamiento. El cambio [oxy-‐Hb] en el córtex órbitofrontal izquierdo disminuyó justo después de hacerse un entrelazado cognitivo de responsabilidad. La variación [oxy-‐Hb] en el lóbulo temporal derecho aumentó rápidamente, y el cambio [oxy-‐Hb] en el lóbulo temporal izquierdo disminuyó al cambiar la dirección de los movimientos oculares de horizontal a diagonal cuando desapareció la imagen negativa. Los datos del ritmo cardíaco muestran una tendencia decreciente gradual a lo largo de la sesión. En cada una de las tandas, el ritmo cardíaco también disminuyó por los movimientos oculares. A través de monitorear el NIRS, se supone que diversas técnicas o procesos centrales en EMDR influyen en el cerebro. Para poder confirmar esta relación, deberíamos recolectar datos de más sujetos.

Keywords: Hemodynamic Responses

Accuracy Verified: Yes

84. Leeds, A. & Bergmann, U. (1998, July). How does EMDR work? An exploration of possible neurobiological mechanisms. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) gain an understanding as to the formation and consolidation of emotions and memory; 2) understand the pathways of trauma in the brain and their respective psychological symptoms; 3) become more knowledgeable about the neurological research which appears to support the hypotheses of the accelerated information processing system; and 4) gain an understanding of various possible mechanisms of EMDR's treatment effects.

Keywords: Emotion Hypotheses of Accelerated Information Processing Memory Neurobiology Neurological Research Treatment Effects

Accuracy Verified: Yes

85. Leeds, A. (2007, June). Improving self-regulation and social functioning for survivors of early emotional neglect and abuse with positive affect tolerance and integration protocol: A case series. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Survivors of early emotional neglect experience pervasive difficulties including vulnerability to adult psychiatric disorders and inability to regulate emotional states (Schore, 1996, 1997, 2000, 2001a, 2001b; Teicher, 2000, 2002; Teicher et al, 1993; Teicher et al., 1997). Their inability to regulate emotional states is not solely linked to effects of adverse events, but is significantly linked to insufficient exposure to normal, developmental attachment sequences that foster capacities for self-regulation.
A subset of adult survivors of early, pervasive, emotional neglect who meet full or partial criteria for posttraumatic stress disorder also present with comorbid Cluster C Axis II symptoms (Avoidant, Dependent, Obsessive-Compulsive) and meet criteria for dismissing (or fearful) insecure attachment (Cassidy & Shaver, 1999; Main, 1996).
Clinical assessment reveals these patients have low tolerance for positive interpersonal emotions and engage in defensive strategies to dismiss, minimize, deny or subtly avoid experiencing and assimilating this positive emotional states into their internal model of self. These strategies include overt and covert behavioral avoidance as well as dissociate defenses. Paradoxically, these patients may show superficial characteristics or competence, interpersonal skills, or emotional stability which on closer examination prove to be fragile or which collapse in the face of social stressors.
The general theoretical base for the Positive Affect Tolerance and Integration (PAT) protocol is related to McCullough’s (1996, 2003) model of affect phobia and recognizes McCullough’s emphasis on an anxiety regulating, titrated approach to developing tolerance for adaptive affect and associated coping behaviors. Putnam’s (1997) discrete behavioral states model provides an important conceptual framework for understanding these patients’ needs to gradually develop new discrete behavioral (psychophysiological and affective) states and new pathways (schemes and scripts) fostering access to these shared positive states often as a crucial early phase of treatment to help resolve their impairments in emotional self-regulation.
This presentation describes the use of standard EMDR procedural steps in a treatment plan that postpones the standard three pronged (past, present, future) PTSD protocol, but which is consistent with the consensus model for Complex PTSD (Brown, Scheflin & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhuis, Steele, 2006) and other EMDR approaches focused initially on improving response to current stimuli (Hoffman, 2004; Leeds & Korn, 1998; Leeds & Shapiro, 2000) before attempting to target childhood traumatic memories. Targets for PAT are recent experiences in which the patient was exposed to positive, shared, interpersonal emotional states. The purposes for applying PAT to these targets are: to decrease defensive avoidance; dissociation and anxiety about shared positive emotional states; to increase capacity to tolerate and enjoy these shared positive emotional states; and to integrate these shared positive emotional states into positive schemas and self-concepts. Observed clinical gains following PAT included: improved mood and resilience, and decreased depersonalization during subsequent use of EMDR to reprocess traumatic memories.
The goal in presenting this “Positive Affect Tolerance and Integration Protocol” case series is to encourage research to evaluate the clinical effectiveness of this application of the standard EMDR procedures for a clinical subpopulation generally considered challenging to treat.

Keywords: Affect Tolerance Poster Self-Regulation Social Functioning

Accuracy Verified: Yes

86. Andresen, K. (1993, Fall/Winter). Innovative uses: EMDR body centered processing. EMDR Network Newsletter, 3(2), 19.

Language: English

Format: Newsletter

Abstract:
Soon after I took the Level I training, I read an EMDR Newsletter article by Ron Martinez (August, 1991), in which Ron described having clients touch and press the area of their body where they were feeling emotion. (He said that he got this idea from his familiarity with therapeutic body-work.) Ron reported that 70% of the clients obtained a picture or memory, which they then processed.

Keywords: Body Innovative Uses

Accuracy Verified: Yes

87. Potexki, A. K. (2012, Novembro). Integração da dimensão espiritual na cura do trauma [Integration of the spiritual dimension in healing trauma]. In temas diversos. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Objetivo: Apresentar situações que sugerem que um trauma afeta a dimensão espiritual e, uma vez reintegrada, colabora com a cura do trauma. David Grand, diz que o EMDR integra corpo, mente, pensamento, emoção e espírito. Então, as interconexões entre essas partes voltam a acontecer. Sabe-se que alguns traumas estão ligados a pensamentos referentes a Deus, como: “Deus me abandonou”; “Deus me castigou”. A sensação de “abandono por Deus”, causa um profundo sofrimento à pessoa, Bessel Van Der Kolk, evidencia aquilo que ele denomina God-Forsaken (sensação de abandono por parte de Deus, solidão; não se acredita mais em nada, há falta de significado para a vida). Um paciente, violentado na infância, durante a sessão disse: “Eu tenho mágoa de Deus ... Deus esta olhando e não está fazendo nada!... Abandono de Deus... isso me corroía... Eu estendia o bracinho, mas não havia ninguém...Deus não estava lá!” Certa paciente veio com um histórico de agressão física por parte do marido. No decorrer da sessão, foi se lembrando dos piores episódios. A pior surra foi quando estava grávida. Ao longo das sessões foi possível perceber que as frases a respeito de Deus afetaram diretamente sentimentos, emoções, relacionamentos, enfim, a vida como um todo. No momento em que o paciente reprocessa essas frases a cura acontece.

Objective: To present situations that suggest that trauma affects the spiritual dimension and once reinstated, collaborates with the healing of trauma. David Grand, says the EMDR integrates body, mind, thought, emotion and spirit. So, the interconnections between these parties happen again. It is known that some traumas are linked to thoughts concerning God as "God forsaken me", "God punished me." The feeling of "abandonment by God," cause deep suffering to the person, Bessel van der Kolk, highlights what he calls God-Forsaken (feeling of abandonment by God, loneliness, no longer believe in anything, there is a lack of meaning to life). A patient abused in childhood, during the session said: "I have hurt God ... God is watching and not doing anything! ... Abandonment of God ... it gnawed me ... I stretched a little arm, but there was nobody ... God was not there! "One patient came with a history of physical abuse by her husband. During the session, was remembering the worst episodes. The worst spanking was when I was pregnant. Throughout the sessions was possible to see that the phrases about God directly affected feelings, emotions, relationships, finally, life as a whole. At the time the patient reprocesses these phrases healing occurs.

Keywords: Integration of the Spiritual Dimension

Accuracy Verified: Yes

88. Cooke, L. J., & Grand, C. (2007, September). Integrating EMDR in the treatment of eating disorders. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
This is a day-long program designed for the EMDR professional interested in enhancing their ability to conceptualize and provide effective EMDR treatment in working with the complexity of eating disorder symptoms. Paralleling phase-oriented treatment for trauma, this workshop will focus on stabilization skills utilizing state-to-state techniques with or without bilateral stimulation; working through underlying traumatic experiences utilizing the standard protocol; and future template work for integration of the psycho-biological changes. Current treatment approaches on attachment issues and emotion regulation, trauma’s impact on the brain and body, and affect management will be integrated throughout the program. Participants are invited to bring their most challenging cases to work on in practice sessions or during the case consultation segment of the program.

Keywords: Eating Disorders

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Brain Injury

Accuracy Verified: Yes

90. Darker-Smith, S. (2008, June). Integrating emotion for attached-disordered and dissociated children. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
The accessibility of emotions in children with attachment disorders is known to be complex at best. This presentation looks at a new method of enabling children disassociating from emotions with severe attachment disorder and complex, traumatic histories to access emotions using the installation phase of EMDR. For teaching purposes, this presentation will use real-life cases of 4 attachment disordered children where none of the children were able to access emotions and were attachment disordered. The children were aged between 12 to 13 years of age and all had a diagnosis of attachment disorder, co-morbid with post traumatic stress disorder. Most of the children did not experience emotions directly. Using the installation phase of EMDR within the context of a one-to-one therapy session, each child was asked to focus on a particular emotion and focus on where in their body they experienced any feelings, which may be associated to that emotion. The children began to describe complex emotions, which they had never previously expressed, prior to this. An example of one childï¿½s experience follows: ï¿½I feel sad in my heart. It feels cold ï¿½ as if someone has smashed it into a thousand bitsï¿½ï¿½. Following on this, all the children were also encouraged to sit with their new emotions and not to be afraid of them. One child stated: ï¿½It feels good to be sad. When I cry ï¿½ that stops my heart hurting so much and the tears make the glue to fix my broken heart.ï¿½ So far, we have not experienced an unsuccessful outcome; however, this method is still in the early stages of being developed.

Keywords: Attachment Disorders Dissociation Children

Accuracy Verified: Yes

91. Potter, A. E. (2003, September). Integrating inner child therapy and dialectical-behavior therapy with EMDR resource installation. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Before ciients begin processiing traumatic memories with the EMDR trauma protocol, a modified resource development protocol is utilized, integrating Inner Child Therapy and Dialectical-Behavior Therapy, to assist clients in developing skills for affect tolerance/emotion regulation, distress tolerance, and mindfulness. The modified resource installation protocol also helps clinicians in assessing clients' emotional readiness for initiating trauma work with the EMDR trauma protocol. Inner Child Therapy provides an overall cognitive framework for trauma work based on the Transtheoretical stages of change. Inner Child Therapy and Dialectical-Behavior Therapy are employed as strategies to minimize re-traumatization, affect/emotion dysregulation, and problems with impulsive and compulsive behaviors during the trauma-processing phase of therapy.

Keywords: DBT Dialectical Behavior Therapy Inner Child Therapy Modified Resource Development and Resource Installation Protocol RDI

Accuracy Verified: Yes

92. Young, J., & Zangwill, W. (1995, June). Integrating schema-focused therapy & EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Dr. Young has developed an integrative model that seems especialy appropriate for combining with EMDR. According to the theory proposed, eighteen Early Maladaptive Schemas (EMS) are at the core of personality disorders. An EMS is defined as an extremely broad, pervasive theme regarding oneself and one's relationship with others, developed during childhood and elaborated throughout one's lifetime, and dysfunctional to a significant degree. Shapiro's concept of childhood file folders would be analogous to the concept of schemas. These eighteen schemas are primarily unconscious but can be brought to awareness through various strategies, especially EMDR. This presentation will demonstrate how to integrate the use of Schema-Focused therapy with EMDR. In this model, Schema- Focused therapy serves as the primary conceptual framework for working with the client while EMDR is seen as the primary change technique. The first step in this process is a thorough history taking looking for both traumatic life events and the client's underlying vulnerabilities and schemas. History taking is accomplished both through client interviews and the use of Lazarus' Multimodal Life History Questionnaire. The Schema Questionnaire and the Parent Questionnaire developed by Young are given and scored. As part of this process, the therapist attempts to help the client discriminate memories representing primary trauma versus memories that represent life long issues. The EMDR model eliciting infonmtion - asking the client about specific events and problems, then obtaining Pictures, Negative and Positive Cognitions, Affect and Body Sensations as well as SUDS and VOC ratings - is used as soon as the client is comfortable. Collecting information this way without the use of Eye Movements has been shown to be a very effective way of tapping into the neural network where related memories are stored. The grouping of these memories often appears to be along such schema lines as Vulnerability, Defectiveness, Abandonment, etc. As the therapeutic relationship develops, clients are educated about EMDR and schemas. The last part of this process is the Case Conceptualization. This involves putting together the information from history taking, the schema questionnaire and the parent questionnaire and the client's in-session behavior to formulate a useful picture of client problems, likely problem origins, and recommended change techniques. Knowing what issues/themes your client is vulnerable to, tells you where to start your EMDR exploration. It also helps suggests where to probe when processing stops, i.e., what blocking beliefs may be present, what type of cognitive interweave to use, etc. Once the case conceptualization is complete, EMDR is used as always. However, the use of Schema Focused therapy with EMDR broadens the scope of EMDR. 1) Cognitive Therapy for Personalitv Disorders: A Schema-Focused Approach. Revised Ed. Professional Resource Press, Sarasota, FL, (813)366-7913; 2) Reinventing Your Life, J. Young and J. Klosko. New York, Plume, 1994.

Keywords: Schema-Focused Therapy

Accuracy Verified: Yes

93. Young, J., & Zangwill, W. M. (1996, June). Integrating schema-focused therapy with EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Dr. Young has developed an integrative model that seems especialy appropriate for combining with EMDR. According to the theory proposed, eighteen Early Maladaptive Schemas (EMS) are at the core of personality disorders. An EMS is defined as an extremely broad, pervasive theme regarding oneself and one's relationship with others, developed during childhood and elaborated throughout one's lifetime, and dysfunctional to a significant degree. Shapiro's concept of childhood file folders would be analogous to the concept of schemas. These eighteen schemas are primarily unconscious but can be brought to awareness through various strategies, especially EMDR. This presentation will demonstrate how to integrate the use of Schema-Focused therapy with EMDR. In this model, Schema- Focused therapy serves as the primary conceptual framework for working with the client while EMDR is seen as the primary change technique. The first step in this process is a thorough history taking looking for both traumatic life events and the client's underlying vulnerabilities and schemas. History taking is accomplished both through client interviews and the use of Lazarus' Multimodal Life History Questionnaire. The Schema Questionnaire and the Parent Questionnaire developed by Young are given and scored. As part of this process, the therapist attempts to help the client discriminate memories representing primary trauma versus memories that represen life long issues. The EMDR model eliciting information - asking the client about specific events and problems, then obtaining Pictures, Negative and Positive Cognitions, Affect and Body Sensations as well as SUDS and VOC ratings - is used as soon as the client is comfortable. Collecting information this way without the use of Eye Movements has been shown to be a very effective way of tapping into the neural network where related memories are stored. The grouping of these memories often appears to be along such schema lines as Vulnerability, Defectiveness, Abandonment, etc. As the therapeutic relationship develops, clients are educated about EMDR and schemas. The last part of this process is the Case Conceptualization. This involves putting together the infonmtion from history taking, the schema questionnaire and the parent questionnaire and the client's in-session behavior to formulate a useful picture of client problems, likely problem origins, and recommended change techniques. Knowing what issues/themes your client is vulnerable to, tells you where to start your EMDR exploration. It also helps suggests where to probe when processing stops, i.e., what blocking beliefs may be present, what type of cognitive interweave to use, etc. Once the case conceptualization is complete, EMDR is used as always. However, the use of Schema Focused therapy with EMDR broadens the scope of EMDR. 1)Cognitive Therapy for Personality Disorders: A Schema-Focused Approach. Revised Ed. Professional Resource Press, Sarasota, FL, (813) 366-7913 2)Reinventing Your Life, J. Young and J. Klosko. New York, Plume, 1994.

Keywords: Schema-Focused Therapy

Accuracy Verified: Yes

94. Tripolt, R. (2008, September). Körpererfahrung und EMDR-prozess [Body experience and the EMDR process]. Vortrag im Rahmen der Pre-Kongress zum Thema EMDR bei der Vorkkongress EMDR beim Europaischen Hypnoeskongress, Wien, Österreich.

Language: German

Format: Conference

Abstract:
Menschen die an einer PTBS und deren Folgen leiden, erleben den Körper und dessen Symptome oft als Feind. Die sanfte, geleitete Schulung der Körperwahrnehmung ist ein Weg sich mit dem Körper anzufreunden. Lernen, angenehme Körperempfindungen wahrzunehmen erhöht das Vertrauen und erleichtert die Verarbeitung schmerzvoller Erfahrungen. Lernen mit unangenehmen oder schmerzhaften Körperwahrnehmungen umzugehen, reduziert die Angst. Den Focus auf die Körpersensationen zu richten, setzt voraus, mit den auftretenden Körpererinnerungen, Schmerzen und/oder der Übererregung fertig werden zu können. Die Kombination von Körper- und Körperimpulswahrnehmung und bewusster Bewegung im EMDR Prozess gibt die notwendige Sicherheit und erlaubt durch tiefe und bewußte Körpererfahrung eine sanfte Verarbeitung und Integration traumatischer Erfahrungen. Stabilisierungsphase: Aufbau und Verankerung positiver Körpererfahrung und Körperressourcen mit bilateraler Stimulierung. Schulung der sinnlichen Wahrnehmung und deren Verbalisierung. Psychoedukation in Hinblick auf amnestische und/oder vorsprachlich codierte Erfahrungen im sinnlich, körperlichen Bereich. EMDR Prozess: Erweiterung des EMDR Protokolls um das Installieren von Körperressourcen. Einweben von Bewegungsimagination und gerichteter Aufmerksamkeit auf bewusste Handlungsimpulse. Bewusstmachen und therapeutisches Nutzen von Körperhaltungen, Bewegungsimpulsen und Bewegungen während der Prozessierungsphase. Abschluss und Integration: Körpertest vor Abschluss des Protokolls. Integration von neuer Körpererfahrung in Bewegung, Handlung und Begegnung. Führen eines Therapietagebuchs mit den Kategorien: Ich denke (Kognition) – Ich fühle(Emotion) – Ich spüre (sinnliches Erleben).

People suffering from PTSD and the consequences of experiencing the body and its symptoms often an enemy. The gentle, conducted training of body awareness is a way to make friends with the body. Learning to perceive pleasant body sensations increased confidence and facilitate the processing of painful experiences. Learning to deal with unpleasant or painful body awareness, reduces anxiety. The focus to addressing the body sensations presupposes being able to cope with the developing body memories, pain and / or hyperarousal. The combination of body and body movement in the conscious perception and impulse EMDR process provides the necessary security and allows the body through deep and conscious experience a gentle processing and integration of traumatic experiences. Stabilization phase: structure and anchoring positive body experience and body resources with bilateral stimulation. Training of sensory perception and its verbalization. Psychoeducation in terms of amnesic and / or encoded preverbal experience in sensual, physical area. EMDR process: expansion of the EMDR protocol for the installation of body resources. Weaving of movement and imagination directed attention to conscious action impulses. Awareness and therapeutic benefits of postures, movement, impulses and movements during the Prozessierungsphase. Completion and integration: body test before the conclusion of the Protocol. Integration of new body of experience in movement, action and encounter. Run a therapy diary with the categories: I think (cognition) - I feel (emotion) - I feel (sensory experience).

Keywords: Body Experience

Accuracy Verified: Yes

95. Lazzari, D. (2008, Novembre). L'EMDR in ottica PNEI (interazione corpo-mente) [EMDR in optical PNEI (interaction body-mind)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
In questi anni l’EMDR si è affermata come trattamento di evidenza nel più classico e più grave dei disturbi direttamente legati allo stress, cioè il PTSD (Bisson & Andrew, 2007) e sono stati evidenziati i suoi effetti sul SNC. Nonostante questo ed il suo progressivo impiego in una ampia varietà di situazioni sono ancora poche le riflessioni sull’EMDR dal punto di vista dell’integrazione mente-corpo, in particolare utilizzando i dati offerti dal campo di ricerca della PNEI. Nel presente lavoro ci soffermeremo su alcuni di questi aspetti per evidenziare come l’EMDR rappresenta una delle terapie più rispondenti alle nuove evidenze scientifiche ed alle esigenze di una scienza integrata della salute. Tre gli elementi salienti offerti dalla ricerca: 1. La vita ha plasmato nel percorso evolutivo strutture altamente integrate, descrivibili come sistemi complessi a rete in retroazione continua con il contesto. In particolare i sistemi nervoso, endocrino ed immunitario costituiscono nel network psicocorporeo un “super-sistema” di relazione e regolazione in grado di assicurare gli equilibri adattativi incorporando l’esperienza e gestendo la dinamica mantenimento-cambiamento (“regolazione allostatica”). Quindi l’organismo non è una macchina fatta di parti autonome tra loro assemblate, ma una realtà che parte dall’unità (zigote) e mantiene tale carattere unitario in tutte le sue articolazioni. 2. Lo stress non è qualcosa di per sé eccezionale e patologico, deve invece essere visto – all’opposto – come l’espressione di un insieme di processi (un sistema) che modulano la regolazione individuo-contesto a fini adattativi. In sostanza il sistema dello stress è sempre attivo e solo in situazioni di eccesso o di carenza (acute o croniche) produce effetti progressivamente dannosi per l’individuo. Le attività legate allo stress producono un “carico allostatico” (peso biologico, energetico) che – in relazione a fattori soggettivi ed esterni – può divenire “sovraccarico” innescando una catena di successive alterazioni nel funzionamento dell’organismo. Parallelamente vi è un “carico” ed un “sovraccarico psicologico” legati al primo da processi circolari. 3. Nel network corporeo e nel sistema dello stress, ovvero nei processi di regolazione generale interni e individuo-contesto, la mente svolge un ruolo cruciale di modulazione come dimensione nella quale i segnali (interni ed esterni) vengono trasformati in informazioni (assegnazione di significati) in base ai percorsi ed alle esigenze individuali di adattamento. La mente rappresenta così la più alta espressione dell’evoluzione della vita e delle sue strategie adattative e ciò spiega il suo ruolo rispetto al funzionamento complessivo dell’organismo. Le recenti acquisizioni delle neuroscienze hanno mostrato l’interdipendenza tra attività psichica, espressione genica e plasticità cerebrale che rende possibile il ruolo della mente. Il sovraccarico allostatico e psicologico legati allo stress dipendono in gran parte dall’attività mentale e costituiscono il principale fattore di rischio per la salute nelle società occidentali, antecedenti accertati delle patologie più diffuse. Se guardiamo a quanto detto sinora nell’ottica dello sviluppo individuale (fase intrauterina, processi di attaccamento, eventi significativi successivi) possiamo avere una idea di come mente, corpo e contesto interagiscono nella strutturazione dell’individuo ed il ruolo condizionante e de-strutturante delle situazioni e degli eventi che provocano una alterazione da stress. Le ricerche sul rapporto tra stress e sviluppo psicobiologico, tra modalità di attaccamento, strutturazione dei circuiti cerebrali, o tra queste e salute, confermano tali assunti (Lazzari, 2007). Venendo più da vicino all’EMDR, gli studi sulla psicobiologica del PTSD stanno mostrando che siamo di fronte sostanzialmente ad una manifestazione (particolarmente complessa ed accentuata) degli effetti dello stress sul network psicocorporeo (Iribarren et al., 2005). La ricerca sul PTSD (e gli altri disturbi da stress del DSM) deve incrociare necessariamente i filoni di studio sopra richiamati ed utilizzare la cornice concettuale che ne scaturisce. Gli effetti psicobiologici dello stress estremo e del trauma vanno inquadrati nell’ambito delle interazioni mente-corpo e della regolazione allostatica (carico vs sovraccarico allostatico). A nostro avviso, al di là degli specifici effetti sul SNC, l’EMDR si è mostrata efficace nel PTSD in relazione alla sua caratteristica generale di ricercare ed utilizzare come “target” non singoli aspetti di una esperienza, bensì l’esperienza nei suoi diversi aspetti: cognitivi, emotivi, fisiologici e relazionali. Il lavoro dell’EMR va a recuperare una integrazione perduta e lavora su questa. Si deve tenere presente infatti che, in via generale e preminente, lo stress compromette i livelli di integrazione, coerenza e flessibilità del sistema: lo stress cronico per processi progressivi di disregolazione, quello acuto per “rotture”, blocchi e sconnessioni. Pertanto l’elaborazione dell’informazione (e delle conseguenze) legata ad eventi e situazioni stressanti passa attraverso una re-integrazione di tutti gli aspetti psicobiologici correlati per giungere ad una ristrutturazione. Il livello di “penetrazione” (efficacia) di un approccio terapeutico è molto legato alla sua omogeneità con la realtà su cui interviene,cioè al fatto di parlare lo stesso linguaggio. E questo è un punto di forza notevole per l’EMDR. I dati disponibili sono coerenti con quanto enunciato: l’EMDR modifica i parametri fisiologici riducendo ed annullando l’attivazione da stress, spostando la bilancia dall’inibizione simpatica all’attivazione parasimpatica (Sack et al. 2007) e risulta associata l’abbassamento dell’arousal fisiologico, cioè con pattern di attività regolari e trofiche (Sack et al. 2008), mostrando similarità con quanto accade durante il sonno REM (Elofsson et al., 2008). L’EMDR incide altresì su disturbi fisici legati al sistema dello stress, come ad esempio hanno mostrato ricerche su patologie dermatologiche (Gupta, 2002).

In recent years, EMDR has established itself as the treatment of evidence in the most classical and most serious of disorders directly related to stress, that is, PTSD (Bisson & Andrew, 2007) and were highlighted its effects on the CNS. Despite this and its progressive use in a wide variety of situations are still few reflections from the perspective sull'EMDR mind-body integration, in particular using data provided by the search of PNEI. In this work we will focus on some of these issues to highlight how EMDR is one of the therapies are more responsive to new scientific evidence and the needs of an integrated science of health. Three main elements of research are: 1. Life has shaped the evolutionary highly integrated structures, we describe how systems complex feedback network continues with the context. In particular, the nervous, endocrine immune network and provide psycho in a "super-system" of relationship and adjustment able to ensure the balance incorporating adaptive expertise and managing the dynamic maintenance-change ( "regulation allostatica"). Then the body is a machine made of autonomous parts, assembled together, but a reality that leaves the unit (zygote) and maintains that unitary in all its joints. 2. Stress is not something in itself exceptional and pathological, but must be seen - in contrast -- as the expression of a set of processes (a system) that modulate the individual-regulation framework for adaptive. In essence, the system of stress is always on and only in situations of excess or deficiency (acute or chronic) effects progressively damaging to the individual. The Stress-related activity produces a "load allostatico" (weight biological energy) that -- relation to subjective factors and external - can become "overloaded" by triggering a chain of subsequent alterations in the functioning of the organism. In parallel there is a "load" and a "Overload psychological" processes related to the first round. 3. In the network system and body of stress, or in the process of setting general internal and individual-context, the mind plays a crucial role as a dimension of modulation in which signals (internal and external) are transformed into information (assigning meanings) depending on the paths and individual needs of adaptation. The mind is so the highest expression of the evolution of life and its adaptive strategies, which explains its role in relation to the overall functioning of the organism. The recent acquisitions of neuroscience have shown the interdependence of psychic activity, gene expression and plasticity brain that makes the role of the mind. Overload allostatico and psychological stress-related depend in large part by activism mental and constitute the main risk factor for health in Western societies, antecedents established disease spreading. If we look to the foregoing view of personal development (stage intrauterine attachment process, significant events later) we can have an idea of how mind, body and environment interact in the structuring the individual and the role conditioning and de-structuring of situations and events that cause an alteration by stress. Research on the relationship between stress and psychobiological development, including mode of attachment, structure of brain circuits, or between them and health, confirmation of these given (Lazzari, 2007). Coming closer all'EMDR, psychobiological studies of PTSD are showing that we are dealing essentially an event (especially complex and pronounced) the effects of stress on the network psycho (Iribarren et al., 2005). Research on PTSD (and other stress disorders DSM) must necessarily cross the strands study mentioned above and use the conceptual framework that arises. Psychobiological effects of extreme stress and trauma should be classified within mind-body interactions and regulation allostatica (load vs. overload allostatico). In our view, beyond the specific effects on the CNS, EMDR has been shown effective in PTSD in connection with his characteristic broad research and use as a "target" rather than individual aspects of an experience, but experience in its different aspects: cognitive, emotional, physiological and relational. Work dell'EMR goes to retrieve a lost and working on this integration. It should be remembered that, in general, and prominent, stress affects the levels of integration, consistency and flexibility of the system: chronic stress for progressive process of dysregulation, the acute "broken", blocks and disconnections. Therefore processing information (and consequences) related to events and stressful situations through a re-integration of all aspects related to psychobiological reach a restructuring. The level of "penetration" (effectiveness) of a therapeutic approach is very attached to his homogeneity with the reality on which it operates, namely the fact of speaking the same language. And this is a great asset for EMDR. The available data are consistent with the statement: EMDR change physiological parameters reducing and canceling the activation by stress, shifting the balance from the inhibition nice parasympathetic activation (Sack et al. 2007) and is associated with lowering dell'arousal physiological, ie regular patterns of activity and trophic (Sack et al. 2008), showing similarities with what happens during REM sleep (Elofsson et al., 2008). EMDR also impacts on physical ailments related to the system of stress, such as have Show searches on dermatological (Gupta, 2002).

Keywords: Body-Mind Interaction PNEI

Accuracy Verified: Yes

96. Nathanson, D. (1998, July). Locating EMDR: Affect, scene, and script. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) learn the language of affect, feeling, emotion, mood, disorders of mood, and script; 2) identify the affect that has precitated someone into patient status; and help the patient identify and understand that affect; and 3) determine with increased accuracy the clinical situations within which EMDR may be expected to work.

Keywords: Affect

Accuracy Verified: Yes

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

Language: English

Format: Book Section

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

Keywords: Dual Attention

Accuracy Verified: Yes

98. 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

99. Hagen, H. A. (2012, May). Mental health professionals’ perspectives of best practices with children who have experienced complex trauma. University of St. Thomas.

Language: English

Format: Dissertation/Thesis

Abstract:
Complex trauma in early childhood has the ability to impact a child’s development in multiple domains, thus influencing development throughout the rest of their life. The purpose of this study was to explore best practices with children who have experienced complex trauma from the perspective of mental health professionals, with a focus on children between the ages of three and five. Qualitative interviews were conducted with six mental health professionals who were asked to discuss the presentation, interventions, and outcomes of a case where the child experienced complex trauma. Consistent with previous literature, all participants in this study reported self-regulation deficits and relational impairments for the case they discussed. Additionally, all six participants utilized play therapy and expressed the importance of collaboration with other adults and systems in the child’s life in order for treatment to be successful, exemplifying the need to utilize an ecological approach. Other practices used by professionals included Cognitive Behavioral Therapies, feelings/emotion interventions, EMDR, and relational interventions such as including the parents/caregivers in treatment, addressing the attachment needs, and coaching parents. Overall, participants utilize a combination of approaches and interventions in order to provide best practices, always emphasizing safety, attachment, and development.

Keywords: Best Practice Children Trauma

Accuracy Verified: Yes

100. Fisher, J. A. (2008, June). Minding the body: Somatic interventions for enhancing EMDR effectiveness. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
The use of EMDR is often complicated with traumatized clients who cannot modulate arousal, stay present rather than dissociating, tolerate positive or negative affect, or differentiate past and present. Beset with an array of baffling, intense symptoms that “tell the story” without words, they become uncertain both of what happened and how they endured it. To make sense of the sensations and overwhelming emotions, clients rely upon trauma-related cognitive schemas to interpret their experience: “I am still not safe,” “I am a marked woman,” “I am worthless and unlovable.” These cognitive schemas often increase the bodily dysregulation, resulting in looping or inability to fully process and integrate the traumatic events. With such clients, the use of body-centred techniques in preparation for or during EMDR processing can help to increase affect and autonomic tolerance, strengthen both somatic and psychological resources, and increase EMDR effectiveness by facilitating optimal levels of autonomic arousal, which is neither too high nor too low, however is necessary for successful desensitization and integration. This workshop will introduce a number of interventions for working with traumatically encoded somatic experience derived from Sensorimotor Psychotherapy, a bodycentred talking therapy for trauma developed by Pat Ogden, Ph.D. that addresses the non-verbal, autonomic components of PTSD by using the body both as a source of information and a reservoir of resources. Sensorimotor Psychotherapy offers simple body-oriented interventions for tracking, naming, and safely exploring trauma-related experience, modulating a dysregulated autonomic nervous system, creating new resources and competencies, and restoring a somatic sense of self. Sensorimotor Psychotherapy can be easily integrated into EMDR treatments, used during stabilization to prepare clients for more effective EMDR processing, during processing to ensure effective and complete desensitization, or to enhance installation of positive cognitions and facilitate integration.

Keywords: Somatic Psychotherapy

Accuracy Verified: Yes

101. Fisher, J. A. (2005, September). Minding the body: Working with the somatic legacy of trauma. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
As the price for surviving trauma, individuals are left with an inadequate memory record and a host of easily re-activated neurobiological responses. Trauma-related autonomic dysregulation prohibits processing and resolution, and the somatic responses, divorced from the events that caused them, are interpreted as data about the self or the world. This worksop will introduce approaches for working with traumatically encoded somatic experience using Sensorimotor Psychotherapy, a body-entered talking therapy that addresses these non-verbal, autonomic components by using the body as the entry point in treatment, rather than the event. Sensorimotor Psychotherapy offers simple body-oriented interventions for tracking, naming, and safely exploring trauma-related somatic activation, modulating a dysregulated nervous system, creating new resources and competencies, and restoring a somatic sense of self. Sensorimotor Psychotherapy can be easily integrated into EMDR and other trauma treatments and used to enhance installation of positive cognitions and resources or to facilitate processing and integrating of traumatic memories.

Keywords: Somatic Psychotherapy

Accuracy Verified: Yes

102. Cartoni, A., Gaudin, M., Astori, M. G., Mannatrizio, A., & Brunati, E. (2012, June). Mistakes to not repeat: When the child´s body talks of the mother´s traumatic past (case) [Errores a no repetir: Cuando el cuerpo del niño habla del pasado traumático de la madre (caso)]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Following Siegel’s model (2005), the authors present a single case that undergone a therapeutic intervention with EMDR aimed to reprocess infantile traumatic memories reactivated in the parenting. A 4 year old child came to our Child Neuropsychiatric Unit because she presented a toe walking in absence of neurological signs. She undergone periodic physiatrist visits for one year without any symptoms regression. She was then seen from a Child Neuropsychiatrist and a Psychomotor Therapist who evaluated the importance of observations by a psychologist. Method: The psychologist observed a general anxiety state in the child characterized by perfectionism, inhibition and hypervigilance to the environment demand. The mother's life story was that of a child with an alcoholic father who she wished to save with her love and who died for cirrhosis. It was clear how the parenting experience reactivated infantile traumatic memories. It was proposed a treatment with EMDR. The child treatment was addressed to install resources and to reprocess stressing interactions with the mother. The mother treatment was aimed to reprocess infantile traumatic experience and to look at the present triggers in the interaction with the daughter who reactivated traumatic memories and cause emotion dysregulation. Results: The treatment brought to a resolution of the child symptoms and a reorganization of the interaction between the child and the mother. Conclusions: This single case report highlights the importance to understand well the psychological origin of somatic symptoms and gives an evidence of the efficacy of the treatment with EMDR following Siegel’s model.

Antecedente Teórico: La desensibilización y reprocesamiento por el movimiento ocular (EMDR) es una reconocida primera línea para el tratamiento del trauma psicológico. Sin embargo sus bases neurobiológicas no han sido descifradas todavía. Método: La electroencefalografía ha sido usada por primera vez para monitorizar completamente la activación neuronal durante sesiones enteras de EMDR incluyendo el guión autobiográfico. 10 Clientes con traumas psicológicos mayores fueron investigados durante la primera sesión de EMDR y durante la última después del procesamiento del trauma raíz. Las comparaciones entre los EEG de la última y primera sesión y las de EEG de los clientes en la primera sesión y 10 controles realizando el mismo procedimiento de EMDR fueron realizadas. Resultados: Durante ambos procesos, la escucha y la estimulación bilateral, el EEG mostró una actividad significativamente mayor en el córtex límbico prefontral (Brodmann Areas, BA 9-‐10) al principio comparadas con la última sesión de EMDR. La comparación opuesta muestra un cambio en la actividad fundamental entre las regiones corticales temporal, parietal y occipital (BAs 20, 21, 22, 37, 17, 18, 19) con lateralizaciones hacia la izquierda. La comparación entre los 10 clientes y los controles confirman la activación máxima de la corteza límbica en los clientes antes de procesar el trauma. Conclusiones: La metodología usada hizo posible visualizar la neuroimagen por primera vez de las activaciones cerebrales asociadas con las acciones terapéuticas que acontecen en el EMDR. Los hallazgos sugieren que el procesamiento cognitivo de los eventos traumáticos seguidos de una terapia EMDR exitosa apoyan la evidencia de un patrón neurobiológico diferenciado en las activaciones del cerebro durante la estimulación ocular bilateral asociados con una acumulación un experiencias emocionales negativas.

Keywords: Body

Accuracy Verified: Yes

103. Aubert-Khalfa, S., & Roques, J. (2007, Juin). Modifications des résponses psychophysiologiques au stress chez les patients PTSD aprés une seule séance d'EMDR [Modifications of psychophysiologcal response to stress in PTSD patients after a single EMDR session]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Patients atteints de SSPT démontrer anormale des réponses psychophysiologiques aux événements stressants. Ce dérèglement automatique est donc l'une des mesures objectives de stress post-traumatique qui pourrait également être utilisé pour évaluer les effets traitement du SSPT. Étant donné que la thérapie EMDR semble être un traitement de choix pour les victimes de traumatismes, l'objectif de l'étude était de vérifier que les réponses psychophysiologiques au stress a diminué après une séance EMDR unique. Six patients atteints du SSPT ont été traités par un thérapeute EMDR. Tout d'abord, au niveau clinique, à la fin de la session, les six patients ont eu une réduction très nette de leur niveau de perturbation subjective (SUD), leurs scores SSPT diminué (évaluée par le PLC-S), et leur auto-évaluation ( COV) est devenue positive, confirmant des études antérieures sur l'efficacité de l'EMDR. Deuxièmement, leurs réponses psychophysiologiques (rythme cardiaque, la conductance de la peau, le rythme respiratoire et la température de la peau) pendant un état de détente et tout en visualisant leur propre événement traumatique ont été enregistrées avant et après la session de l'EMDR. Malgré un nombre restreint de patients, après une seule séance EMDR, les réponses physiologiques à l'évocation de l'événement traumatique a diminué de manière significative. Cela comprenait la conductance de la peau, la fréquence cardiaque et la température de la peau. Ces résultats de l'étude préliminaire de confirmer l'efficacité du traitement EMDR sur le SSPT de la première session. Ils mettent également en évidence les effets thérapie EMDR sur le système nerveux autonome. Les changements psychophysiologiques enregistrés peuvent faire partie de mécanismes sous-jacents de traitement EMDR. D'autres études, y compris ces mesures seront donc nécessaires pour tester l'hypothèse.

PTSD patients demonstrate abnormal psychophysiological responses to stressful events. This automatic dysregulation is thus one of the objective measures of PTSD which could also be used to assess therapy effects on PTSD. Given that the EMDR therapy appears to be a treatment of choice for trauma victims, the aim of the study was to verify that the psychophysiological responses to stress decreased after a single EMDR session. Six PTSD patients have been treated by an EMDR therapist. First, at the clinical level, at the end of the session, all six patients had a very clear reduction of their subjective disturbance level (SUD), their PTSD scores diminished (as assessed by PLC-S), and their self-assessments (VOC) became positive, confirming previous studies on EMDR’s efficacy. Second, their psychophysiological responses (heart rate, skin conductance, respiration rate, and skin temperature) during a relaxing state and while visualizing their own traumatic event were recorded before and after the EMDR session. Despite small number of patients, after only one EMDR session, physiological responses to the evocation of the traumatic event decreased significantly. This included skin conductance, heart rate and skin temperature. These preliminary study results confirm the EMDR treatment efficiency on PTSD from the first session. They also highlight the EMDR therapy effects on the autonomic nervous system. The psychophysiological changes recorded may be part of the mechanisms underlying EMDR treatment. Further studies including these measures will therefore be necessary to test the hypothesis.

Keywords: Immersion Stress Posttraumatic Stress Disorder Psychophysiological Responses PTSD

Accuracy Verified: Yes

104. 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

105. Paulsen, S., & Lanius, U. (2011, November). Neurobiology and dissocation: Information processing and the embodied self. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec.

Language: English

Format: Conference

Abstract:
Neuroscience research can guide trauma treatment including EMDR, ego state, somatic, and attachment therapies (Lanius, Paulsen & Corrigan, in press). Traumatic memories tend to be encoded somatically and affectively in implicit memory. Lower brain structures, particularly basic affective circuits and the periaqueductal gray (PAG) (Panksepp, 1998), are essential to understanding of both traumatic memory and and dissociation. The polyvagal nervous system (Porges, 2001) is key to understanding the activation of different affective circuits, including the interplay between social engagement and connection, fight/flight and dissociation. A model is proposed that links alterations in consciousness to failure of integration and ultimately to structural dissociation (van der Hart et al., 2006). It is suggested that attachment trauma contributes to the failure of horizontal integration of the columnar organization of affective states, which, over time, become the foundation of discontinuous self-states: Discontinuity of self-states, amnesia barriers and dissociative state switching develop in lieu of smooth state transitions. Somatic interventions can enable sensory integration and personification (Janet, 1929), prior to trauma processing with EMDR that engages brain processing inter-hemispherically and across cortical and subcortical levels. The workshop will highlight implications of recent neurobiological findings for clinical practice.

Learning Objectives: Articulate the role of the periaqueductal gray (PAG) in the expression and experience of emotion. Identify two brain structures implicated in integrating affective and sensory information. Name three branches of the polyvagal nervous systems described by Porges.

Keywords: Dissociation Embodies Self Information Processing Neurobiology

Accuracy Verified: Yes

106. van der Schoot, O. M. (2010, Juli). Oogbewegingen en imaginatie: Een kritische toets van de werkgeheugen theorie bij EMDR [Eye movements and imagination: A critical test of working memory theory in EMDR]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
‘Eye movement desensitization and reprocessing’ (EMDR), een veel gebruikte behandelingbij posttraumatische stressstoornis, kan de helderheid en emotionaliteit van plezierige enonplezierige herinneringen reduceren. Tevens kunnen visuele beelden van gevreesdetoekomstige gebeurtenissen worden gedegradeerd. Verondersteld wordt dat EMDR zijnwerking verleent door manipulatie van het gelimiteerde werkgeheugen. In de huidige tweeexperimenten wordt deze veronderstelling nogmaals kritisch getoetst aan de hand van eenoogbewegingen, alleen ophalen (controle) en imaginatie conditie. Er werd verondersteld datwanneer imaginatie gebruik zou maken van dezelfde processen als EMDR (manipulatie vanhet werkgeheugen) er spiegelbeeldige effecten zouden moeten optreden. In experiment 1 werdgebruik gemaakt van neutrale herinneringen (huiskamers). In de oogbewegingen en alleenophalen conditie werd geen effect gevonden. In de imaginatie conditie nam de compleetheiden waarheidsgetrouwheid van de herinnering toe. In experiment 2 werd gebruik gemaakt vaneen Reactie Tijden (RT) taak om te objectiveren of de oogbewegingen en de imaginatiedaadwerkelijk het werkgeheugen taxeren: zowel oogbewegingen als imaginatie vertraagdende RT, maar oogbewegingen het meest, hetgeen suggereert dat oogbewegingen het meestewerkgeheugen taxeert. Vervolgens werd experiment 1 herhaald, echter ditmaal met specifiekepositieve autobiografische herinneringen. In de drie condities werd geen effect gevonden.Huidig onderzoek biedt geen ondersteuning voor de werkgeheugentheorie. Echter, geen vande andere prominente theorieën over het werkingsmechanisme van EMDR kan het uitblijvenvan effect in huidig onderzoek verklaren. Verder onderzoek naar EMDR zal nodig zijn om debehandeling verder te kunnen optimaliseren en het werkingsmechanisme beter te kunnenbegrijpen.

"Eye Movement Desensitization and Reprocessing (EMDR), a widely used behandelingbij posttraumatic stress disorder, the clarity and emotion of pleasant memories enonplezierige reduced. It may also feared future events of visual images are degraded. It is assumed that EMDR effect gives through manipulation of the limited memory. In the present two experiments were critically tested this assumption on the basis of one eye movements, only to retrieve (control), and imagery condition. It was assumed datwanneer imagination would use the same processes as EMDR (manipulation of working memory) are mirrored effects should arise. In experiment 1 was used neutral memories (homes). In the retrieval condition, eye movements and all found no effect. In the imagination condition heathlands took the complete veracity of the increased memory. Experiment 2 was used asunder Reaction times (RT) task to objectify or eye movements and working memory imaginatiedaadwerkelijk value: both eye movements and imagination-using RT slowed, but the most eye movements, suggesting that eye movements appraises the most memory. Experiment 1 was then repeated, this time with specific positive autobiographical memories. In the three conditions, no effect gevonden.Huidig research does not support the working memory theory. However, no Vande other prominent theories on the mechanism of EMDR uitblijvenvan effect may explain current research. Further research on EMDR debehandeling will be needed to further optimize the mechanism and to better understand.

Keywords: Imagination Posttraumatic Stress Disorder PTSD Vividness Working Memory

Accuracy Verified: Yes

107. Engelhard, I. M., & van den Hout, M. A. (2010). Oogbewegingen verminderen de helderheid en emotionaliteit van "flashforwards" [Eye movements reduce the clarity and emotion of "flash forwards"]. De Psycholoog, 45(6), 10-18. doi:1874/203246 .

Language: Dutch

Format: Magazine

Keywords: Eye Movements Flashforwards

Accuracy Verified: Yes

108. Keenan, P. S. (2004, September). Outcome of CBT with adults; The treatment of non-psychotic morbid jealousy using EMDR and cognitive interweave. Poster presented at the 34th annual Conference of the European Association for Behavioural and Cognitive Therapies, University of Manchester Institute of Science and Technology(UMIST), Manchester, England.

Language: English

Format: Conference

Abstract:
Jealousy is an unwelcome emotion, which most people will have experienced at sometime in their lives. In its mildest form it may be seen as an expression of devotion, however, for some people it can become obsessive and destructive (Mullen, 1990) The possible consequences of this very serious condition can result in suspician, violence and the complete breakdown of a relationship. This study highlights the case of a man with a long standing history of jealousy towards his partner. Cognitive Behavioural Therapy (CBT) would suggest that jealousy was maintained by a person's erroneous assumptions about sexual behaviour and attractiveness of their partner, as well as pervasive negative schemas of self-worth. Any consideration for treatment therefore, needed to address both these areas. The treatment intervention of Eye Movement Desensitisation and Reprocessing (EMDR) utilising cognitive interweave was used to reduce the intensity of the emotionof jealous reactions. Results showed a marked reduction in the intensity of the emotion of jealousy, which lead to a reduction in the client's challenging and checking behaviours towards his partner. Results also indicate a clear reduction in the client's erroneous automatic negative and jelous thoughts. What is unclear is whether it was the EMDR therapy itself, or a combination of EMDR and other cognitive behavoural therapy interventions that brought about these reducitons in symptomatology. Acknowledging the limitations of generalising from single case designs, consideration will be given to the need for further investigation and research in to the application of EMDR with this client group.

Keywords: CBT Cognitive Behaviorial Therapy Cognitive Interweave Morbid Jealousy

Accuracy Verified: Yes

109. Grant, M. (2001). Pain Control with EMDR: An Information Processing Approach. (2nd ed) Waterloo, ON: TherapistsResources.com.

Language: English

Format: Book

Abstract: Pain Control with EMDR is an 'information-processing' based approach to the psychological management of pain, using Eye Movement Desensitization & Reprocessing (EMDR). The title of this manual 'Pain Control with EMDR' is meant to suggest that pain can be overcome. But the approach described herein differs significantly from mainstream approaches to pain management. I want to suggest that pain is most effectively controlled when the patient is supported in having their experience, and then learning to master it.
Information processing approaches are based on a model of learning that incorporates emotion, cognition, and neurological processes. Some psychotherapies seek to help the patient cope with their pain, but information processing approaches (e.g., EMDR, EEG biofeedback) seek to change the way the patient experiences their pain, by changing the way it is stored in the nervous system. Information processing approaches to seek to do this by appealing as directly as possible to the nervous system.
This manual is divided into two parts, between theory and practice. Part one is a review of historical ideas and treatments for pain, in order to gain an appreciation of how history still shapes how we approach this problem. In part two the practicalities of treating chronic pain using EMDR are described.

Keywords: Chronic Pain Pain Control

Accuracy Verified: Yes

110. Grant, M. (2002). Pain control with eye movement desensitization and reprocessing: An information reprocessing approach. Waterloo, ON: Therapists Resources.com.

Language: English

Format: Book

Abstract:
Pain Control with EMDR is an 'information-processing' based approach to the psychological management of pain, using Eye Movement Desensitization & Reprocessing (EMDR). The title of this manual 'Pain Control with EMDR' is meant to suggest that pain can be overcome. But the approach described herein differs significantly from mainstream approaches to pain management. I want to suggest that pain is most effectively controlled when the patient is supported in having their experience, and then learning to master it. Information processing approaches are based on a model of learning that incorporates emotion, cognition, and neurological processes. Some psychotherapies seek to help the patient cope with their pain, but information processing approaches (e.g., EMDR, EEG biofeedback) seek to change the way the patient experiences their pain, by changing the way it is stored in the nervous system. Information processing approaches to seek to do this by appealing as directly as possible to the nervous system. This manual is divided into two parts, between theory and practice. Part one is a review of historical ideas and treatments for pain, in order to gain an appreciation of how history still shapes how we approach this problem. In part two the practicalities of treating chronic pain using EMDR are described. (Revision)

Keywords: Chronic Pain Pain Control Pain

Accuracy Verified: Yes

111. Potter, A., & Wesselmann, D. (2009, August). Phase-based trauma treatment of adults with problems of trauma and attachment: DBT and EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Clients who have experienced traumatic events, as well as other complex psychiatric issues, have significant skill deficits in the area of emotion regulation and attachments. Phase-based trauma treatment (DBT followed by EMDR) assists clients in developing adequate emotion regulation skills and developing healthy interpersonal relationships during a preliminary phase of therapy prior to trauma processing. This presentation offers rationale and instruction for phase-based treatment with complex client populations. Case and video examples and the results of a small pilot project are utilized to illustrate topics presented.

Keywords: DBT Dialectical Behavior Therapy

Accuracy Verified: Yes

112. Potter, A. E. (2005, September). Phase-based trauma treatment: EMDR and DBT or STAIR. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Clients who have experienced traumatic events, as well as complex issues, such as substance abuse/ addiction, personality disorders, chronic and/or severe mental illness often have significant skill deficits in the area of emotion regulation. This presentation will explain the concepts of emotion regulation and dysregulation and the behavioral manifestations of emotion dysregulation. Clients' difficulty in regulating emotion can interfere with their ability to process traumatic memories with a minimum of re-traumatization and relapse in or a worsening of symptoms. Phase-based trauma treatment was conceptualized to assist clients in developing adequate emotion regulation skills during a preliminary phase of therapy prior to trauma processing. This presentation will offer rationale for phase-based treatment with certain client populations. This presentation will show how sessions of trauma processing with EMDR can be integrated into the second level of phase-based trauma treatment, replacing the utilization of exposure therapy for trauma processing. Additionally, this presentation will establish how skills learned in the initial phase of trauma treatment can be employed during EMDR positive resource development and as cognitive interweaves during EMDR trauma processing. Case and videotape examples will be utilized throughout the presentation to illustrate topics presented in lecture and discussion.

Keywords: DBT Dialectical Behavior Therapy Stair

Accuracy Verified: Yes

113. Potter, A. E. (2006, September). Phase-based trauma treatment: EMDR and DBT or STAIR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Keywords: DBT Dialectical Behavior Therapy Stair

Accuracy Verified: Yes

114. Wesselmann, D. (2003, May). Plenary. Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract: Attachment theory has identified adults with a secure attachment style as more resilient to stress and trauma than insecurely attached adults. The secure adult tends to have supportive relationships which buffer him from stress (Bowlby, 1988), and he is able to reflect upon his inner state and process emotions without becoming overwhelmed (Fonagy, 2000; van der Kolk 1996). In infancy secure attachment is related to the capacity to be soothed and comforted by the caregiver. The caregivers of secure infants are observed to be emotionally attuned, responsive and nurturing (Solomon & George, 1999). Schore (1996) explains that mothers of secure babies synchronize with the infant. The mother's organized brain synchronizes or harmonizes with the baby's disorganized brain, attuning to its feelings and needs, helping it calm when distressed and stay regulated when it is happy and excited. As a result, the infant's brain develops optimal circuitry for emotion regulation, and also learns through experience to trust and be comforted and to comfort himself. His basic sense of safety and trust gives him confidence as he begins leaving his parent's side and exploring the world.

Keywords: Plenary

Accuracy Verified: Yes

115. Poole, A. D., de Jongh, A., & Spector, J. (1999, January). Power therapies: Evidence versus emotion: A reply to Rosen, Lohr, McNally and Herbert. Behavioural and Cognitive Psychotherapy, 27(1), 3-8.

Language: English

Format: Journal

Abstract:
Rosen, Lohr, McNally and Herbert’s (1998) arguments directed at the so-called “Power Therapies” and, in particular, Eye Movement Desensitization and Reprocessing (EMDR) are examined. It is suggested that their paper does not adequately review the available research data and, therefore, draws unwarranted conclusions. Based on published controlled studies it is concluded that there is evidence to support the use of EMDR in the treatment of post traumatic stress disorder (PTSD).

Keywords: Letter Literature Review Outcome Research Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness

Accuracy Verified: Yes

116. Fletcher, K. (2000). Pro and con -- Eye movement desensitization and reprocessing. The Child Survivor of Traumatic Stress.

Language: English

Format: Other

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a complex method which combines elements of behavioral and client- centered approaches. Briefly, the procedure involves having the client concentrate intensely on the most distressing segment of a traumatic memory while moving the eyes rapidly from side to side (by following the therapist's fingers moving across the visual field). Following the initial focus on the memory segment, after each "set" of eye movements (of about 30 seconds), the client is asked to report anything that "came up," whether an image, thought, emotion, or physical sensation (all are common). The focus of the next set is determined by the client's changing status. For example, if the client reports, "Now I'm feeling more anger," the therapist may suggest concentrating on the anger in the next set. The procedure is repeated until the client reports no further distress and can fully embrace a positive reframe. [Abstract]

Keywords: Children Commentary Trauma Treatment

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Affect Tolerance Clearing

Accuracy Verified: Yes

118. van Loey, N. E. E., & van Son, M. J. M. (2003). Psychopathology and psychological problems in patients with burn scars: Epidemiology and management. American Journal of Clinical Dermatology, 4(4), 245-272. doi:10.2165/00128071-200304040-00004.

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

119. Omaha, J. (2004). Psychotherapeutic interventions for emotion regulation: EMDR and bilateral stimulation for affect management. New York: W. W. Norton.

Language: English

Format: Book

Abstract:
The present work represents a new phase in a profound revolution in psychotherapy, in which affects take their rightful place of equality with cognitions, drives, and behavior among the modalities that must be interpreted by theory and embraced by therapy in understanding both normal and pathological personality development (Cicchetti, Ackerman, & Izard, 1995). The book synthesizes experimental and theoretical advances regarding the primacy of affect in both human psychological health and dysfunction. These advances are translated into practical clinical applications the clinician can immediately utilize. The clinical interventions presented here are solidly grounded in recent experimental advances in understanding the developmental neurobiology of affect (Schore, 1994). These skills and concepts lay the foundation for a new approach to treating psychopathology that begins with the affects. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Affect Management Emotional Control Emotional States Mental Health Personality Development Personality Disorders Psychopathology Psychotherapeutic Techniques

Accuracy Verified: Yes

120. Corrigan, F. M. (2004). Psychotherapy as assisted homeostasis: Activation of emotional processing mediated by the anterior cingulate cortex. Medical Hypotheses, 63(6), 968-973. doi:10.1016/j.mehy.2004.06.009.

Language: English

Format: Journal

Abstract:
Although psychotherapy is successful in altering emotional distress, the biological mechanism by which it achieves this has not been the subject of intensive neurobiological investigation. Mindful processing of emotion has been proposed to be a key factor in prevention of relapse in depressive illness and here that hypothesis is developed and extended to include other conditions in which emotion processing may be obstructed or dysregulated. Cognitive therapy, interpersonal psychotherapy, psycho-dynamic psychotherapy, and dialectical behaviour therapy, each in a different way and with a distinct emphasis, encourage awareness of emotions and their associated cognitions and biographies, and their varying success may depend on the degree to which they achieve activation of internal healing processes. In eye movement desensitisation and reprocessing (EMDR), the selected target is formatted for endogenous processing which is facilitated and accelerated by eye movements or alternating bilateral auditory or tactile stimulation. The ability to sustain focussed attention on the affect and its visceral, cognitive, and biographical components is postulated to activate a homeostatic process of distress resolution, seen most clearly in treatment of PTSD with EMDR, in which resolution of distress can be intense and rapid while therapist input is non-directive, although supportive, empathic, and non-judgemental. Once the therapist has helped to frame the questions, the patient's brain will find the answers needed for the resolution of the distress and all the components of the traumatic event, whether visceral, cognitive, affective, or interpersonal. The anterior cingulate cortex, especially the dorsal and rostral components, is suggested to be the key neurobiological substrate for the efficacious psychotherapeutic relief of distress, and relevant functional neuroimaging studies are summarised. One limitation of some previous imaging studies of emotion is that they have tended to use mild stimuli to discrete emotions. An alternative approach would be to image the brain during reprocessing of an unpleasant event which has profoundly affected the person so that the associated intense emotions could be clearly labelled and correlated with changes in regional brain functioning. [Author Summary]

Keywords: Cognitive Processes Cognitive Therapy Neurobiology

Accuracy Verified: Yes

121. Zhao, Dong-Mei (2009, March). Psychotherapy models and theories of mental trauma. Journal of South China Normal University (Social Science Edition).

Language: English

Format: Journal

Abstract:
Mental trauma refers to mental damnification made by some direct extra force(living event)or strong emotion hurt, especially the strong affective reaction induced by natural and man-made disasters related to these living events.The assessment of trauma, at present,just uses questionnaire or scale, like Traumatic Stress Schedule, Traumatic Events Questionnaire, etc. This article introduces some psychotherapy models and theories about trauma, such as dynamic psychology psychotherapy, Eye-Movement Desensitization and Reprocessing (EMDR),integration and development treatment model, virtual reality technique,as well as drawing therapy, dancing therapy, reading and creating therapy.

Keywords: Mental Trauma Virtual Reality Technique

Accuracy Verified: Yes

122. Ross, R. J., Ball, W. A., Dinges, D. F., Kribbs, N. B., Morrison, A. R., Silver, S. M., & Mulvaney, F. D. (1994, February). Rapid eye movement sleep disturbance in posttraumatic stress disorder. Biological Psychiatry, 35(3), 195–202, doi:10.1016/0006-3223(94)91152-5.

Language: English

Format: Journal

Abstract:
The subjective sleep disturbance in posttraumatic stress disorder (PTSD), including the repetitive, stereotypical anxiety dream, suggests dysfunctional rapid eye movement (REM) sleep mechanisms. The polysomnograms of a group of physically healthy combat veterans with current PTSD were compared with those of an age-appropriate normal control group. Tonic and phasic REM sleep measures in the PTSD subjects were elevated on the second night of recorded sleep. Increased phasic REM sleep activity persisted in the PTSD group on the subsequent night. During the study, an anxiety dream occurred in a PTSD subject in REM sleep. The results are consistent with the view that a dysregulation of the REM sleep control system, particularly phasic event generation, may be involved in the pathogenesis of PTSD. The finding of a specific disturbance of sleep unique to PTSD may have significant implications for the design of effective treatments for PTSD.

Keywords: Eye Movement Posttraumatic Stress Disorder PTSD Sleep Disturbance

Accuracy Verified: Yes

123. Giovannozzi, G. (2012, June). Regulated eye contact activation and installation protocol [Regulación de la activación del contacto ocular y protocolo de instalación]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Porges’ polyvagal theory provides a plausible explanation for the covariation between psychiatric and behavioral disorders and the atypical regulation of the Autonomic Nervous System (ANS). Porges himself associated this phenomenon with the failed maturation of the ventrovagal circuit, as well as with the child’s failure to learn the ability to modulate the so-‐called “vagal break” which keeps the heart-‐rate low and inhibits the influence of the SNS, allowing the modulation of the facial and head muscles and, therefore, the social engagement function, often impaired in psychiatric pathologies. From a psychotherapy standpoint, Porges’ finding that the maturation of the ventrovagal circuit and of its associated braking function occurs ontogenetically later than that of other ANS branches (last months of pregnancy and first year of life) and that a good relation with the caregiver is essential for its development is of significant importance. In this dyad – with the cortical-‐bulbar pathway, sufficiently myelinated at birth, regulating face and head muscles and allowing signals exchange with the caregiver – children learn to confront their internal states and the environment as well as regulate their emotions, regulating an adaptive neuroception with the consequent possibility of a good social involvement. This focus on the first year of life and the caregiver – child dyad, in terms of time and place for the construction of biologically based behaviors common to all human beings, paves the way, as anticipated by Porges himself, for new possible intervention models in psychotherapy directly acting on the missed or impaired steps in this first phase of the psycho-‐physiological development process, without disregarding its psychobiological quality. Clinical Application Since I believe that the inter-‐brain perspective is the most efficient not only for the etiological explanation but especially for the restoration of relational impairments occurred during brain-‐brain interactions, I chose eye contact (EC), because, according to several scholars, it is a privileged communication channel, in particular between mother and child. Several scholars agree that all forms of psychopathology share a failure in emotional regulation, which can be mostly traced back to the failure in the child-‐ caregiver adaptive tuning and therefore to the impairment of their inter-‐brain communication. An intervention on the EC shifts the therapy focus on this dysregulation to restore its functions. The EMDR AIP approach relies on the brain adaptive processing ability. EMDR has proved, in appropriate conditions (good therapeutic alliance, client stabilization, compliance with the EMDR protocol), our brain can repair traumatic injuries, i.e., reacquire and use information dysfunctionally stored after a trauma. Successful use of EMDR on target not directly traceable to a traumatic event (e.g., defenses, chronic pain, etc.) allows for the possibility to use this processing tool in increasingly broad fields and refines its resources. Thanks to its three-‐pronged approach to dysfunctionally stored information in the brain (EMDR works on the cognitive, emotional and somatic level), the inter-‐brain quality of its scope (the therapeutic alliance is part of the healing process) and for its focus on the present (EMDR works on the present, i.e., on the current and active components of the pathogenetic memory, bypassing all mediations and interpretation), EMDR seemed the most appropriate therapeutic tool to intervene on the EC dysregulation found in several psychiatric pathologies. Conclusion An EMDR protocol for the exploration and modulation of the EC is proposed. This protocol proved particularly useful with depressed or severely dissociative clients. After making clients aware of their difficulty in maintaining the EC, they are retrained to use this contact first on objects, then on animals (excellent mediators of a primitive form of social contact) until they are able to achieve eye contact with the therapist. During this training, clients are encouraged to become aware of their body sensations, emotions and beliefs, and the positive ones are installed with BLS. Memories of relational situations where clients identify an impaired EC are identified and these are targeted with the standard protocol. The focus then shifts to present and future situations. The regulation purpose of this protocol affects the application mode: interventions must never be dysregulating, therapists must proceed slowly. Clients must be rigorously kept within their window of tolerance, must be trained to recognize it and able of staying within its boundaries with respect to the microregulation of the EC.

La teoría polivagal de Porges proporciona una explicación plausible para la covariación entre los trastornos psiquiátricos comportamentales y la regulación atípica del sistema nervioso autónomo (ANS). El propio Porgues asoció este fenómeno con el fallo de maduración del circuito ventrovagal, por tanto el niño falla al aprender una habilidad también llamada “bloqueo vagal”, que mantiene la tasa cardiaca baja e inhibe la influencia del SNS, permitiendo la modulación de los músculos faciales y la cabeza, y por tanto, la función optima del compromiso social, a menudo emparejada con patologías psiquíatricas. Partiendo desde un punto de vista psicoterapéutico, Porges encontró que la maduración del circuito ventrovagal y su asociación con la función de frenado ocurre ontogenéticamente después que otras ramas del sistema nervioso autónomo (Los últimos meses del embarazo y los primeros años de vida) y que una buena relación con el cuidador es esencial para su desarrollo es significativamente importante. En esta línea – con vía córtico-‐bulbar, lo suficientemente mielinizada en el nacimiento, regulando los músculos de la cara y la cabeza y permitiendo señales de intercambio con el cuidador-‐ Los niños aprenden a estar cómodos con sus estados internos y con un ambiente que también regula sus emociones, regular una neurorecepción con la consecuente posibilidad de una buena integración social. Centrándonos en el primer año de vida del niño y el cuidador – La pareja de niños, en términos de tiempo y lugar para la construcción biológica fundamentada y basada en todos los seres humanos, allana el camino, como anticipó Porges, para nuevos modelos de intervención en psicoterapia, actuando directamente con el paso perdido o afectado de esta primera fase del proceso de desarrollo psicofisiológico, sin tener en cuenta su calidad psicobiológica. Aplicación Clínica. Desde que creó que la perspectiva del cerebro interior, continúa siendo la más eficiente no solo para desarrollar explicaciones etiológicas, también para la restauración de los desajustes relacionados ocurridos durante las interacciones cerebro-‐cerebro. Escogí contacto visual (ECE), porque, de acuerdo con numerosos investigadores, es un privilegiado canal de comunicación, particularmente eficaz entre una madre y su hijo. Numerosos profesionales afirman que todas las formas de psicopatología comparten una fallo en la regulación emocional, que solo puede crear un error en el la comunicación interna del cerebro. Esta intervención en el EC modifica la terapia y la centra en la desregulación y la restauración de funciones. El enfoque EMDR SPIA está basado en la habilidad de procesamiento de la información relevante, EMDR ha sido probado en condiciones idóneas (buena alianza terapéutica, estabilización de la queja del cliente disgustado con el EMDR.).

Keywords: Installation Protocol Regulated Eye Contact Activation

Accuracy Verified: Yes

124. Walter, U. M., & Petr, C. (2004, June). Report #11 Reactive attachment disorder: Concepts, treatment and research. University of Kansas, School of Social Welfare and the Kansas Social Rehabilitation Services.

Language: English

Format: Publication

Abstract:
Reactive Attachment Disorder (RAD) is a disorder characterized by controversy, both with respect to its definition and its treatment. By definition, the RAD diagnosis attempts to characterize and explain the origin of certain troubling behaviors in children. The RAD diagnosis presumes that “pathogenic care” of a young child can result in an array of markedly disturbed behaviors in social interactions and poor attachments to caregivers and others. (See full definition in the body of this report). The RAD diagnosis derives from the attachment theories of John Bowlby and Mary Ainsworth. Several authors question whether RAD is a valid diagnostic category, citing the overlap of symptoms with Pervasive Developmental Disorder and other disorders, the inconsistent connection to attachment theory, and the lack of empirical validation.

Keywords: Children Reactive Attachment Disorder

Accuracy Verified: Yes

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

Language: English

Format: Other

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

Keywords: Imaginal Nurturing Neglect

Accuracy Verified: Yes

126. 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

127. Dworkin, M., & Errebo, N. (2010). Rupture and repair in the EMDR client/clinician relationship: Now moments and moments of meeting. Journal of EMDR Practice and Research, 4(3), 113-123. doi:10.1891/1933-3196.4.3.113.

Language: English

Format: Journal

Abstract:
This article proposes that eye movement desensitization and reprocessing (EMDR) would be strengthened by being conceptualized as a two-person therapy; that is, a therapy that employs dialogue between clinician and client about the resonance, attunement, and intention of their relationship. Current research on the mirror neuron system provides a hypothetical neurological underpinning to this proposal. Detailed clinical examples illustrate rupture (Now Moments) and subsequent repair (Moments of Meeting) of the therapeutic relationship in the Eight Phases of EMDR. The high potential for relationship rupture during EMDR therapy is discussed. Suggestions are made for improving EMDR practice, training, and consultation by attending to the intersubjective experience between client and clinician, especially when working with clients who have experienced repeated and pervasive disappointments in love and work.

Keywords: Integrative Therapy Now Moments Moments of Meeting Therapeutic Relationship

Accuracy Verified: Yes

128. Dworkin, M., & Errebo, N. (2011). Rupture et réparation dans la relation patient/thérapeute EMDR: Moments urgents et moments de rencontre [Rupture and repair in the EMDR client/clinician relationship: Now moments and moments of meeting]. Journal of EMDR Practice and Research, 5(4), E74-E85. doi:10.1891/1933-3196.5.4.E74.

Language: French

Format: Journal

Abstract:
Cet article avance l’idée qu’il serait avantageux de conceptualiser l’EMDR (désensibilisation et retraitement par les mouvements oculaires) comme une thérapie à deux personnes, c’est-à-dire une thérapie qui emploie le dialogue entre le thérapeute et le patient autour de la résonance, de l’accordage mutuel et de l’objectif de leur relation. Les recherches en cours sur le système des neurones-miroirs fournissent une possible base neurologique à cette proposition. Des exemples cliniques détaillés illustrent la rupture (moments urgents) et la réparation subséquente (moments de rencontre) de la relation thérapeutique au cours des huit phases EMDR. Nous exposons le risque élevé de rupture de la relation au cours de la thérapie EMDR. Nous faisons des propositions pour améliorer la pratique, la formation et les consultations d’EMDR en prêtant attention à l’expérience intersubjective entre le patient et le thérapeute, en particulier dans le travail avec des patients qui ont vécu des déceptions répétées et généralisées dans leurs relations amoureuses ou professionnelles.

This article proposes that eye movement desensitization and reprocessing (EMDR) would be strengthened by being conceptualized as a two-person therapy; that is, a therapy that employs dialogue between clinician and client about the resonance, attunement, and intention of their relationship. Current research on the mirror neuron system provides a hypothetical neurological underpinning to this proposal. Detailed clinical examples illustrate rupture (Now Moments) and subsequent repair (Moments of Meeting) of the therapeutic relationship in the Eight Phases of EMDR. The high potential for relationship rupture during EMDR therapy is discussed. Suggestions are made for improving EMDR practice, training, and consultation by attending to the intersubjective experience between client and clinician, especially when working with clients who have experienced repeated and pervasive disappointments in love and work.

Keywords: Integrative Therapy Now Moments Moments of Meeting Therapeutic Relationship

Accuracy Verified: Yes

129. Lanius, U. (2012, October). Science & practice: Attachment, dissociation and EMDR. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
EMDR is a powerful integrative psychotherapeutic intervention. However, in the case of disrupted attachment and significant dissociative symptoms EMDR can be destabilizing if used early on in treatment. That is, fragmentation of self and dissociative symptoms commonly interfere with information processing, thus barring the integration and resolution of the traumatic experience through EMDR. Dissociation interferes with clients sense of their own body, their ability to experience emotion, their capacity for emotional regulation and their sense of self. Addressing dissociative symptoms prior to proceeding with EMDR treatment is essential for positive treatment outcomes. A neurobiological model is described that guides therapeutic interventions and integrates diverse approaches that include not only EMDR and relevant target selection, but also mindfulness, body therapy approaches, ego-state interventions, sensory integration, as well as neurobiologically based interventions. Such interventions can be used both in the preparation phase but can also form useful interweaves during EMDR information processing. Using a neurobiologically informed approach, the case is made for the use of somatic and ego-state interventions when dissociation is a signiﬁcant part of the clinical presentation. Specific focus is on different ego-state and body therapy interventions to increase awareness of the self and ones body. Body therapy and somatic interventions are distinguished from other psychotherapeutic interventions in that they are expressed in markedly slowed-down time, in order to give clients ample time to experience the felt sense of their bodies. Similarly ego-state work can be utilized to titrate information processing, as well as provide clients with internal resources that aid in enhanced information processing. Attendees will gain knowledge about possible underlying neurobiological processes with regard to attachment, dissociation and adaptive information processing and how this relates to EMDR treatment. The workshop will teach specific interventions intended to stabilize clients, create safety, help the client stay connected or get reconnected and therefore minimize dissociative symptoms and their effect. Participants will learn how to effectively integrate different somatic and ego-state interventions in the treatment of attachment and trauma related syndromes and dissociative disorders, as well as how to enhance information processing during the EMDR treatment. The workshop also will discuss innovative use of opioid antagonists in the treatment of dissociative symptoms with a particular focus on EMDR.

Learning Objectives: Attendees will gain knowledge about possible underlying neurobiological processes with regard to attachment, dissociation and adaptive information processing and how this relates to EMDR treatment. Participants will learn how to effectively integrate different somatic and ego-state interventions in the treatment of attachment and trauma related syndromes and dissociative disorders, as well as how to enhance information processing during the EMDR treatment. The workshop will teach specific interventions intended to stabilize clients, create safety, help the client stay connected or get reconnected and therefore minimize dissociative symptoms and their effect.

Keywords: Attachment Dissociation

Accuracy Verified: Yes

130. Chivers-Wilson, K. A. (2006). Sexual assault and posttraumatic stress disorder: A review of the biological, psychological and sociological factors and treatments. McGill Journal of Medicine, 9(2), 111-118.

Language: English

Format: Journal

Abstract:
Sexual assault occurs with alarming frequency in Canada. The prevalence of Posttraumatic Stress Disorder (PTSD) in assault survivors is drastically higher than the national prevalence of the disorder, which is a strong indication that the current therapies for sexualassault- related PTSD are in need of improvement. Increasing knowledge and understanding of the pathologies associated with rape trauma in biological, psychological and sociological domains will help to develop more effective treatments for survivors. A dysregulation of the Hypothalamic- Pituitary-Adrenal (HPA) axis is observed in survivors of sexual assault and this may be a fundamental cause of the structural and functional abnormalities contributing to PTSD symptoms. Pharmacotherapies are available to treat PTSD; however, they are often inadequate or unwanted by the survivor. Psychological health is compromised following interpersonal trauma and many psychological therapies are available, but with varying efficacy. A person's cognitions have a dramatic effect on the onset, severity, and progress of PTSD following sexual assault. Sociological impacts of assault influence the development of PTSD through victim-blaming attitudes and the perpetuation of rape myths. Perceived positive regard and early social support is shown to be important to successful recovery. Education is vital in rape prevention and to foster a supportive environment for survivors. The biological, psychological and sociological impacts and treatments should not remain mutually exclusive. A better appreciation of the biopsychosocial repercussions of sexual assault will aid in developing a more holistic and individualized therapy to help alleviate the physical and emotional pain following the trauma of rape.

Keywords: Pharmacotherapy Posttraumatic Stress Disorder PTSD Rape Sexual Assault Trauma

Accuracy Verified: Yes

131. Struik, A. (2011, April). Slapende honden? Wakker maken! Een stabilisatie methode voor vroegkinderlijk, chronisch getraumatiseerde kinderen [Dogs? Wake up! A stabilization method for early, chronic traumatized children]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
De stabilisatie en behandeling van deze kinderen kan gecompliceerd zijn. Vanzelfsprekend is het creëren van een veilige omgeving en een hechtingsfiguur een eerste stap. Maar wat dan? Deze kinderen functioneren soms ogenschijnlijk goed. Hun vermijdingsstrategieën zijn effectief en ze weigeren om over het trauma te praten of zeggen dat ze het vergeten zijn. Ze hebben er geen last meer van, of ze weten er niks meer van omdat ze een dissociatieve stoornis hebben. Maar de verleiding van de therapeut om dan geen slapende honden wakker te maken is een gevaarlijke. Want onder deze ogenschijnlijk goed functionerende buitenkant, zit een constant alert, angstig en eenzaam kind. Dit kind kan zich niet hechten en dit gebrek aan veilige hechting is verwoestend voor de ontwikkeling. Dit wordt echter vaak alleen zichtbaar door er expliciet naar te zoeken, zeker als er sprake is van dissociatie. In deze presentatie zal ik toelichten hoe je deze stabilisatiemethode, welke een bewerking is van De drie testen (Spierings, 2008), kunt gebruiken en met name bij dissociatieve stoornissen. Deze methode helpt de therapeut om te beslissen of een kind verdere stabilisatie nodig heeft en hoe dat te bereiken, voordat met EMDR gestart kan worden. Deze workshop is anders dan de presentatie van vorig jaar omdat de focus meer ligt op het toepassen van de methode en dan met name bij dissociatie. Allereerst begin je natuurlijk met diagnostiek van dissociatie. Door dan de problemen die het kind ervaart te koppelen aan ervaringen in het verleden wordt het kind gemotiveerd voor behandeling. Dan worden de zes stappen van de stabilisatiemethode (veiligheid, rust in het dagelijks leven, hechting verbeteren, emotieregulatie, zelfbeeld en notendop) toegelicht. Dan wordt besproken hoe EMDR kan worden geïntegreerd in een gefaseerde behandeling voor deze kinderen en wat aanpassingen zijn bij dissociatieve stoornissen.

The stabilization and treatment of these children can be complicated. Obviously, creating a safe environment and an attachment figure is a first step. But what then? These children sometimes seemingly functioning properly. Their avoidance strategies are effective and they refuse to talk about the trauma or say they forgot it. They have no more trouble, they know nothing more because they have a dissociative disorder. But the seduction of the therapist and then to wake sleeping dogs is dangerous. For, by this seemingly well-functioning without, is a constant alert, anxious and lonely child. This child can not stick and this lack of secure attachment is devastating for the development. This is often visible only by explicitly to look for, especially when there is dissociation. In this presentation I will explain how this stabilization method, which is a reworking of the three tests (Spierings, 2008), can use and in particular in dissociative disorders. This method helps the therapist to decide whether a child needs further stabilization and how to reach before EMDR can be started. This workshop is different than the presentation of last year because the focus is more on applying the method and especially for dissociation. First you start with diagnostics course of dissociation. By then the problems the child experiences to link past experiences, the child is motivated for treatment. Then the six steps of the method of stabilization (safety, peace in everyday life, improve adherence, emotion regulation, and self nutshell) explained. Then discusses how EMDR can be integrated into a phased treatment for these children and what changes in dissociative disorders.

Keywords: Children Dissociative Disorders Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

132. Taboada, M. J., & Baragaña, M. (2010, April). Some tecniques for emotional regulation with EMDR. Poster presented at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract: The poster will present in graphic vignetes diferent tecnics which will described several intervention with EMDR usig instalation and procesing elements. Learning Outcomes
The aplications the EMDR in complex trauma cases needs a carefully planned stabilitation phase. Emotion des-regulations is a frequent problem in this clinical group. To improve self-regulation abilities is a very important aspect to develop before proceeding with trauma procesing. The

Keywords: Emotional Regulation Poster

Accuracy Verified: Yes

133. Bergmann, U. (1998). Speculations on the neurobiology of EMDR. Traumatology, 4(1), 4-16. doi:10.1177/153476569800400102.

Language: English

Format: Journal

Abstract:
This discussion explores current neurobiological findings in the areas of the limbic system, REM-sleep, and psychological trauma. The formation and consolidation of memory and emotion are discussed. Research regarding the mediating anatomy and physiology of REM-sleep is explicated, particularly the function of REM-sleep in memory processing. The pathways of trauma are outlined. Speculations are then offered, based on these findings, as to the underlying mechanisms of Eye Movement Desensitization and Reprocessing (EMDR). [Author Abstract]

Keywords: Neurobiology

Accuracy Verified: Yes

134. Bergmann, U. (1996, October 18). Speculations on the neurobiology of the EMDR. Presentation at an all-day symposium at Harvard University - Cambridge Hospital, Harvard University, Massachusetts.

Language: English

Format: Conference

Keywords: Neurobiology

Accuracy Verified: Yes

135. 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

136. 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

137. Fullam, P. (2007, August). Successful EMDR in conditions of patient avoidance: To seek or not to seek the negative cognition. EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
The willingness of a victim to re-experience trauma through the use of words and felt emotion, to approach rather than avoid the experience under conditions of safety, is generally associated with the resolution of the trauma (Van der Kolk 2002, Harbour & Pennebaker, 1992). This is usually considered an essential prerequisite for successful therapy. In this paper I would like to consider two associated areas, those of control and the role of semantic processing as they relate to the conduct of brief therapy under adverse conditions in cases where there remain high levels of avoidance.

Keywords: Avoidance Negative Cognition

Accuracy Verified: Yes

138. Paulsen, S. L., & Golston, J. (2005, September). Taming the storm: 43 secrets to successful stabilization. Presentation at the annual meeting of the EMDR Interational Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Clients with complex and severe trauma histories require stabilization of symptoms, and containment of affect before ever beginning EMDR. A wealth of stabilization tools helps mitigate the impact of dysregulated affect and physiology. The tools reduce risk of retraumatization, client loss of hope, and abandonment of treatment. They also protect practitioners from reenacting unprocessed client material, ethical and clinical error, and therapist overwhelm. The presenters will identify risks and manifestations of client affect dysregulation, bridging theory and practice, and equipping participants with both a rich toolkit of specific tactics, as well as a decision process for matching tool and circumstance.

Keywords: Affect Dysregulation Bridging Theory Stabilization

Accuracy Verified: Yes

139. Lipke, H. (1995, June). Theoretical understanding of EMDR: Examples from treatment of veterans. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The rapidity and thoroughness of EMDR therapeutic effectiveness, compared to more traditional methods of psychotherapy, calls for a general reconceptualization of the field. As EMDR and, perhaps, other new methods continue to demonstrate what Francine Shapiro has referred to as "accelerated information processing" these new therapeutic effects will undoubtedly become better understood. In an initial effort to systematically integrate EMDR with other methods of treatment, the following four categories of psychotherapeutic activity are proposed: 1. Accessing of present associative networks - the bringing forward of information (distressing, dysfunctional, comforting, adaptive, etc.) already stored in both procedural and non-procedural systems. 2. Introduction of new information - the teaching of facts and skills, which form new or add to old associative networks. 3. Inhibition of information accessing - the tuming of attention away from dysfunctional information, with the goal of decreasing arousal, such as with relaxation training. 4. Facilitation of the processing of information - abstract activity that makes it more likely information networks will connect in an adaptive way, leading to the dissipation of unwarranted negative emotion and the attainment of adaptive understanding. Methods of psychotherapy may be distinguished by the ways in which they use or don't use activities in each of these categories. EMDR like other methods can be so distinguished. While the proposed categorization system can be used to clarify the differences and similarities among the various methods of psychotherapy, more relevantly to clinical practice, this conceptualization may promote more efficient intervention choices when progress during therapy sessions has slowed or stopped. Examples of the theoretical and clinical value of the proposed model are offered, especially in the treatment of combat related psychological trauma.

Keywords: Veterans

Accuracy Verified: Yes

140. Woller, W. (2010, July). Therapeutic relationship in the treatment of traumatized clients with personality disorders. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Therapeutic relationship is often a major challenge in the treatment of traumatized clients with comorbid personality disorders. Maladaptive interpersonal styles and negative transferences resulting from attachment trauma can make a trauma-oriented therapy very difficult. However, an understanding of personality disorders as a consequence of attachment trauma creates new therapeutic possibilities for patients who are considered difficult to treat though urgently in need of therapy. Given this background, the workshop aims at enhancing the participants’ capacity to manage problems of therapeutic relationship in traumatized clients with personality disorder. In the first part of the workshop, an overview on possible neurobiological causes of specific patterns of experiencing and behavior in personality disorders will be given. Deficits in emotion regulation, mentalization function, and personality integration, all of which have been identified as underlying dysfunctional and self-destructive behavioral patterns, can be understood as consequences of attachment trauma. In the second part of the workshop, a phase-oriented treatment conception will be presented which combines elements from resource-oriented trauma therapies with aspects of a psychodynamic understanding of attachment relationships. In the framework of this concept, the notions of transference and countertransference will be introduced to explain difficulties typically arising in the relationship with traumatized clients with severe personality disorders. On the basis of case material, strategies will be presented to deal with recurrent problems of therapeutic relationship.

Keywords: Interpersonal Relationship Personality Disorders

Accuracy Verified: Yes

141. 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

142. Grand, C., & Grant, D. (2003, September). Toolkits for the every body: Working with the physiology of emotion. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Learn how to work more directly with the body and the physiology of emotion during key phases of EMDR treatment with individuals, including assessment, case conceptualization, affect tolerance work, resource development and trauma/standard protocol processing. Celia Grand, LCSW; and Deborah Grant, LCSW; will introduce workshop panicipants to the Four Panes Model as a treatment model for using somatically-based work in the context of EMDR therapy. They will present psychophysical techniques and protocols for managing and regulating arousal states, giving special attention to when to use these techniques and why using them may best support clients in working with complex PTSD.

Keywords: Four Panes Model Physiology of Emotion

Accuracy Verified: Yes

143. Siegel, D. J. (2001, June). Toward an interpersonal neurobiology of the developing mind. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Expanding on the overview provided in the plenary, this day-long workshop will offer an in-depth exploration of the interdisciplinary findings that are the foundation for an "interpersonal neurobiology" approach to understanding development, subjective-experience, and psychotherapy. The topics covered will include: mind, brain, and experience, memory, attachment, emotion, mental representation and neural asymmetry, state of mind, self-regulation, interpersonal connections, and neural integration. The weaving of these ideas with discussion of the psychotherapeutic process throughout the workshop will reveal the practical applicaitons of this neurobiological view of the development and trauma.

Keywords: Neurobiology

Accuracy Verified: Yes

144. Aduriz, M. E. (2007, Novembro). Trabajando creativamente con EMDR en niños y familia - Como motivar al niño a usar EMDR [Working creatively with EMDR children and family - How to motivate the child to use EMDR]. Presentación en el Primer Congreso Iberoamericano de EMDR, Brasilia, Brasil.

Language: Spanish

Format: Conference

Abstract:
Como aplicar las 8 fases a distintas edades en relación a: • Informar que es EMDR y que sucede en el cerebro • Acceder a la Estimulación Bilateral como una experiencia segura • Maneras de armar y amplificar la función del Lugar Seguro • Introducir el I C E S (Imagen- Creencia – Emoción – Sensación Corporal).y las Escalas del SUD y VOC • Reconocimiento y tolerancia de las emociones• Fase de desensibilización. Su diferencia con los adultos. • Como detectar y superar: ab-reacciones - bloqueos – riesgo de disociación • Modos de instalar y amplificar la creencia positiva. • Como hacer cierre de sesión en las distantes edades y situaciones • Importancia del Seguimiento o reevaluación con la ayuda de los padres.

How to apply the 8 stages at different ages in relation to: • Report is EMDR and what happens in the brain • Access to a Bilateral Stimulation safe experience • Ways to set up and amplify the role of Safe Place • Enter the I C E S (Picture-Belief - Emotion - Feeling Body). And Scales of SUD and VOC • Recognition and tolerance of emotions • Phase desensitization. The difference with adults. • How to identify and overcome: ab-reactions - blocks - the risk of dissociation • Ways to set up and amplify the belief positive. • How to logout in the distant ages and situations • Importance of monitoring or reassessment with the help of parents.

Keywords: Children Family

Accuracy Verified: Yes

145. Welling, H. (2012, June). Transformative emotional sequence: Towards a common principle of change. Journal of Psychotherapy Integration, 22(2), 109 -136. doi:10.1037/a0027786.

Language: English

Format: Journal

Abstract:
Transformative emotional sequence (TES) is proposed as a common principle of therapeutic change underlying a number of therapies: Emotion-focused therapy (EFT), coherence therapy (CT), accelerated experiential-dynamic psychotherapy (AEDP), and eye movement desensitization and reprocessing (EMDR). TES consists of emotional activation of a problematic emotional state followed by the activation of adaptive emotional state(s) within a short window of time. The resulting change is the creation of a permanent connection between previously unintegrated maladaptive emotional memory networks and adaptive emotional networks. Memory reconsolidation provides a plausible explanation for the mechanism underlying the effectiveness of TES. I compare TES to exposure, and argue that it is the intervention of choice for transforming maladaptive emotions, whereas exposure is most appropriate for accessing disowned and avoided experiences. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

Keywords: Accelerated Experiential-Dynamic Psychotherapy AEDP Coherence Therapy CT EFT Emotopm-Focused Therapy TES Transformative Emotional Sequence

Accuracy Verified: Yes

146. Molero, M. (2012, June). Trauma prenatal y del nacimiento en relación a un trastorno fóbico. Casos clínicos resueltos con EMDR [Prenatal and birth trauma in relation to a phobic disorder. Clinical cases resolved with EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract:
EMDR is being successful in treatment of individuals with affect dysregulation from early traumatic experience included prenatal and birth traumatic experiences. There is a body of scientific investigation and knowledge on prenatal experience and trauma, and that indeed we do experience and are influenced by our environment in the womb. We can learn from such experience, and therefore, can be traumatized prior to birth. The prenatal self can feel and record this experience. Some researchers point that there is a pre-‐traumatic experience at the embryonic stage that could let somatic memories in the brain. In some individuals, reactivation of this pre-‐traumatic experience provokes some clinical disorders as specific phobia. We present two clinical cases of phobia treated with EMDR, one of them is a child with fireworks phobia and the other one is an adult with agoraphobia.

EMDR ha sido un tratamiento exitoso en individuos con desregulaciones desde una experiencia traumática temprana, incluyendo los traumas prenatales y del nacimiento. Existe un cuerpo de investigación científica y conocimiento acerca de la experiencia prenatal y el trauma, y de hecho, tenemos experiencias que están influenciadas por nuestro ambiente en el útero. Podemos aprender de ese tipo de experiencias y, por tanto, ser traumatizados antes del nacimiento. El yo prenatal puede sentir y grabar esta experiencia. Muchos investigadores señalan que existe una experiencia pre-‐traumática en el estado embrionario que permite los recuerdos somáticos en el cerebro. En algunos individuos, la reactivación de esta experiencia pre-‐traumática provoca algunas patologías clínicas y fobias específicas. Presentamos dos casos clínicos de fobia tratada con EMDR, uno de ellos es un niño con miedo a los petardos y el otro es un adulto que sufre de agorafobia.

Keywords: Prenatal Trauma

Accuracy Verified: Yes

147. Gomez, A. (2009, August). Treating children with persuasive emotion dysregulation using EMDR and adjunctive approaches. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA .

Language: English

Format: Conference

Abstract:
This presentation will provide theoretical and practical step-by-step strategies to assist clinicians working with children with severe dysregulation of the affective system, such as children exhibiting insecure patterns of attachment, complex PTSD and dissociation. Clinicians will learn key elements to develop case conceptualization skills and treatment plans based on the Adaptive Information Processing Model (AIP). How to use EMDR with adjunct approaches and strategies, such as ego-state therapy and somatic intervention, with children will be addressed. Strategies directed to titrate amount of trauma and keep children manageable and tolerable levels of activation to facilitate reprocessing will be demonstrated.

Keywords: Children Dysregulation Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

148. Gomez, A. (2010, September/October). Treating children with pervasive emotion dysregulation EMDR and adjunctive approaches. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
This presentation will provide theoretical and practical step-by-step strategies to assist clinicians working with children with severe dysregulation of the affective system such as: children exhibiting insecure patterns of attachment, complex trauma and dissociation. A broader perspective is presented by integrating concepts from the AIP model, attachment theory, affect regulation theory, and interpersonal neurobiology. An overview of how to incorporate other approaches such as play therapy, ego state therapy, theraplay activities and somatic intervention, while maintaining adherence to the protocol, will be addressed. How to use interweaves that can help complete defensive responses, repair the attachment system and integrate dissociated material will be presented.

Keywords: Children Adjunctive Approaches Pervasive Emotion Dysregulation

Accuracy Verified: Yes

149. Gelinas, D. (2008, September). Treating complex PTSD using EMDR. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
This workshop will provide a framework for treating complex PTSD (CPTSD) using EMDR. It will review core elements of PTSD and the added features of CPTSD, including dissociation, somatization, and affect dysregulation, then use this information to demonstrate EMDR case conceptualization, targeting strategies, and some cognitive interweaves that are particularly helpful for individuals with histories of childhood repetitive trauma. The workshop will also describe how to recognize and work with dissociation, including ego states, during the EMDR phases, so that the EMDR can proceed to its usual adaptive resolution of traumatic memories and the resolution of the individual’s complex PTSD.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

150. Forgash, C. A. (2007, June). Treating complex trauma with integrated EMDR and ego state therapy. Pre-conference presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
This workshop will focus on the integration of EMDR and Ego State Work in the treatment of highly traumatized clients with complex diagnoses, including dissociative disorders and complex PTSD. People suffering with these problems often require an extensive preparation phase to develop a therapeutic relationship and deal with stabilization, affect regulation, dissociative symptoms and resistance. Integrating Ego state work with EMDR in this expanded protocol achieves more extensive goals than merely elimination of PTSD and dissociative symptoms Working from a position of empathy and understanding of the legacies of trauma, loss and attachment disruption, we help our patients resolve their critical issues and develop a blueprint for living. Clear theoretical basics, technical innovation and practical strategies for incorporating EMDR and Ego StateWork will be provided through lecture, demonstration, experiential work/practicum and case presentations. Participants will learn: 1. The relationship of Ego State Theory to the Adaptive Information Processing Model. 2. The rationale for an EMDR/Ego State Integrated Phased Treatment Model in the treatment of complex trauma. 4. Specific stabilization strategies to help clients manage dissociation and affect dysregulation throughout the treatment. 5. Advanced techniques and interweaves that promote resolution within the EMDR trauma processing phase.

Keywords: Ego State Therapy Integrated Phased Treatment

Accuracy Verified: Yes

151. Cooke, L. J., & Grand, C. (2006, September). Treating eating disorders using EMDR and its variations. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
This is a three-hour program designed for the EMDR professional who is interested in learning about using EMDR with clients with eating disorders. Attendees will receive updated, current treatment approaches, with the latest research on attachment and its impact on early brain development. The program will describe how early brain development relates to the development of eating disorders. Trauma's impact on the body will be reviewed. Trauma's impact on emotion regulation and the management of affect will be discussed. Participants will learn to integrate EMDR into a phase oriented treatment approach through the following techniques: Variations of EMDR for symptom reduction and stabilization in eating disorder treatment; Resource development for affect regulation; Identification of triggers and targets for standard EMDR protocol; Working with future templates for relapse prevention using EMDR.

Keywords: Eating Disorders

Accuracy Verified: Yes

152. Keenan, P., & Farrell, D. P. (2000, June). Treating morbid jealousy with eye movement desensitization and reprocessing utilizing cognitive inter-weave: A case report. Counselling Psychology Quarterly, 13(2), 175-189. doi:10.1080/713658482.

Language: English

Format: Journal

Keywords: Clinical Case Study Cognitive Techniques Empirical Study Jealousy

Accuracy Verified: Yes

153. Keenan, P. (2004, February). Treating non-psychotic morbid jealousy with EMDR utilising cognitive interweave. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.

Language: English

Format: Conference

Abstract:
Jealousy is an unwelcomed emotion, which most poeple will have experienced at some time in their lives. In its mildest form, it may be seen as an expression of devoion, however, for some people it can become obsessive and destructive (Mulle, 1991). The possible consequences of this very serious condition can result in suspicion, violence, and the complete breakdown of a relationship. This study highlights the case of man with a long-standing history of jealousy towards his partner. Cognitive Behavioural Therapy (CBT) would suggest that jealousy was maintained by the person's erroneous assumptioms about sexual behaviour and attractiveness of their partner, a well as pervasive negative schemes of self worth. Any consideration for treatment therefore, needed to address both these areas. The treatment intervention of Eye Movement Desensitization and Reprocessing (EMDR) utilising cognitive interweaved was used to reduce the inensity of the jealous reaction. Results showed a marked reduction in the intensity of the emotion of jealosy, which lead to a reduction in the client's challenging and checking behaviours towards his partner. Results also indicate a clear reduction in the client's erroneous automatic negative and jealous thoughts. What is uclear is whether it was the EMDR therapy itself, or a combination of EMDR and other cognitive behavioural therapy interventions that brought about these reductions in symtomatology. Acknowledging the limitations of generalising from single case designs, consideration will be given to the need for further inestigation and research in to the application of EMDR with this client group.

Keywords: Cognitive Interweave Jealousy

Accuracy Verified: Yes

154. Snyker, E. (1998, July). Treatment of affect phobias using EMDR. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will be able to 1) describe and use Tomkin's Three System Model of Emotion; 2) differentiate between the regressive/hysterical and obsessive/compulsive character defensive styles and modify treatment plans accordingly; 3) describe and apply the concept of the Two Triangles; 4) distinguish the functions of affect in order to determine if it is being used adaptively or maladaptively; and 5) integrate the knowledge gained with EMDR to help clients move through their defenses and become desensitized to their affect phobia.

Keywords: Afffect Phobia Phobias Tomkin's Three System Model of Emotion Two Triangles

Accuracy Verified: Yes

155. Klaus, P. (2007, June). The use of EMDR in medical and somatic problems. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Clients facing medical problems or experiencing somatic conditions may present for psychotherapy with a variety of concerns which include: distress or fears about the illness or condition itself (e.g., cancer, anxiety about various aspects of the treatment they need to undergo, surgery, etc., and some trepidation and genitive experiences from their interaction with the medical system or medical personnel, causing secondary trauma, Clients may also be concerned about the strength or weakness of their own bodies to heal immune system, mind/body potential). Many clients suffer from chronic conditions, which occur in either acute or chronic episodes and undermine their lives, leaving them feeling debilitated and less functional than desired (i.e., asthsma, migraine, bowel problems, ulcerative colitis, Cohn’s disease, PMS, insomnia). Some aspects of illness may be the result of somatization due to childhood trauma, secondary gain (a defense against strong feelings), unconscious need to mask strong negative affect; dissociative disorders of co aversion reactions; as well as acute or chronic stress. Some chronic symptoms may be due to long-term interpersonal problems. Clients may be suffering from maladaptive patterns established during infancy or childhood creating pervasive dysfunction in one’s sense of self, one’s relationships, or in one’s life function. Psychosomatic conditions may result.
History taking includes several levels of investigation, including current and past psychosocial and symptom history, looking for premorbid or comorbid conditions, and helping clients uncover related trauma as well as unrecognized strengths. Since a number of somatic and medical problems often have their origins in more obscure beginnings, this method helps reveal a deeper and more comprehensive history taking and decision-making process to help the clinician choose the level of complexity to use in the face of a client’s physical or emotional distress. This process may enable the clinician to help the client more quickly gain access to underlying factors which may block healing. Along with a clearer picture of the condition, integrating a variety of healing mechanisms with EMDR provides an individualized approach to activate the client’s own potential to heal.

Keywords: Health Problems Medical Problems Somatic Problems

Accuracy Verified: Yes

156. Klaus, P. (2008, June). The use of EMDR in somatic & medical problems: Special emphasis on early life interventions. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Clients facing medical problems or experiencing somatic conditions present for psychotherapy with a variety of concerns which include: distress or fears about the illness or condition itself i.e., cancer, anxiety about various aspects of the treatment they need to undergo, surgery, etc., and some have trepidation and negative experiences from their interaction with the medical system or medical personnel, causing secondary trauma. Clients may also be concerned about the strength or weakness of their own bodies to heal (immune system, mind/body potential). Many clients suffer from chronic conditions, which occur in either acute or chronic episodes and undermine their lives, leaving them feeling debilitated and less functional than desired (i.e., asthma, migraine, bowel problems, ulcerative colitis, Crohn’s disease, PMS, insomnia). Some aspects of illness may be the result of somatisation due to childhood trauma, secondary gain (a defence against strong feelings), unconscious need to mask strong negative affect; dissociative disorders or conversion reactions; as well as acute or chronic stress. Some chronic symptoms may be due to long-term interpersonal problems. Clients may be suffering from maladaptive patterns established during infancy or childhood creating pervasive dysfunction in one’s sense of self, one’s relationships, or in one’s life function. Psychosomatic conditions my result. History taking includes several levels of investigation, including current and past psychosocial and symptom history, looking for pre-morbid or co-morbid conditions, and helping clients uncover related traumas as well as unrecognized strengths. Clinicians will learn a special multi-layered approach for assessment and developing targets for EMDR processing.

Keywords: Early Life Interventions Medical Problems Somatic Problems

Accuracy Verified: Yes

157. Wesselmann, D. (2013, April). Using EMDR to treat attachment trauma in adults and children. Preconference presentation at the Congress EMDR Vereniging EMDR Nederland, Nijmegen, the Netherlands.

Language: English

Format: Conference

Abstract:
Trauma experienced within the earliest attachment relationships leave children and adults at great risk for the development of psychiatric disorders. Maltreatment by attachment figures and traumatic losses are both closely associated with attachment disorganization, the attachment category identified in 70% of patients in psychiatric hospitals. Research shows insecure and disorganized attachments to be transmitted transgenerationally at a rate of between 70 and 80%.Adults and children with disturbed attachments frequently experience severe emotional dysregulation along with intense feelings of despair, anxiety, shame, and mistrust of others. Affected children and adults frequently lack helpful or adaptive information or insights and exhibit behaviors that elicit negative responses from those around them. Due to heavy defenses and poor self-regulation and self-awareness, patients suffering from attachment trauma are traditionally difficult to treat. However, with proper adaptations, the EMDR approach becomes a powerful method for healing attachment injuries in adults, children, and parent-child dyads. Participants will learn creative methods of adapting EMDR for the special challenges that accompany attachment injury. Participants will learn to utilize attachment resource development techniques designed to strengthen the capacity for closeness, trust, and self-compassion. They will discover how to coach an attachment figure to provide emotional regulation and help with cognitive interweaves. Participants will be able to write a therapeutic story to help process pre-verbal trauma and develop adaptive information for successful reprocessing. Creative interweaves, contained reprocessing, and methods for weaving together of past, present, and future will help participants experience successful EMDR with their most challenging cases. Case studies, video, and EMDR/attachment research will be presented.

Keywords: Adults Children Trauma Attachment

Accuracy Verified: Yes

158. Scaer, R. (1999, February). Whiplash, pain and PTSD: The gain in pain comes mainly from the brain. Presentation at the Winter Brain Meeting, Palm Springs, CA.

Language: English

Format: Conference

Abstract:
The whiplash syndrome is a complex, poorly understood and controversial cluster of symptoms including spinal pain, cognitive dysfunction, neurologic symptoms and emotional complaints consistent with posttraumatic stress disorder. Perhaps its most perplexing feature is the fact that symptoms frequently are far out of proportion to the severity of the accident itself. The frequency of emotional symptoms has led many physicians to attribute symptoms of whiplash to somatization. The typical syndrome of whiplash includes chronic headaches, spinal and jaw pain, usually classified as myofascial pain. Neurologic symptoms include cognitive dysfunction, positional vertigo, balance disturbance, blurring of vision, photophobia and phonophobia, all of which are attributed to minor traumatic brain injury. Emotional complaints include driving phobias, irritability, hypervigilence, exaggerated startle, flashbacks, depression, nightmares and sleep disturbance. DSM IV compatible or subsyndromal forms of PTSD occur in up to 60% of patients. I began to question the traumatic basis for whiplash when I discovered that most of my patients with delayed recovery had remarkable past histories of trauma, especially child abuse. I discovered that early and rigorous use of somatically based trauma therapies, especially EMDR and Somatic Experiencing resulted in clearing not only of emotional symptoms, but also neurologic and pain-related complaints in many cases. I have concluded that the neurophysiological basis for traumatization includes not only kindled arousal, explicit and procedural memory circuits, but also automatic patterns of neuromuscular bracing, stored in procedural memory analogous to motor skill memory. Bracing patterns of involved muscles represent protective motor reflexes from the moment of injury. Linked to memory and arousal, this kindled circuit leads to perpetuation of regional myofascial pain. Dissociation plays a major role in perpetuation of this phenomenon, and accounts for many of the unusual neurologic symptoms of whiplash. This model conforms to current theories of PTSD as a model of kindling, but includes the somatic element that I believe is a universal part of the syndrome of traumatization. The pervasive neurohormonal effects of trauma account for the remarkable amount of somatic complaints in this syndrome, and may be the basis for many poorly understood chronic idiopathic disease processes. Incorporation of the neuromuscular system in the process of traumatization pleads for the study of somatically-based therapies for PTSD.

Keywords: Pain Posttraumatic Stress Disorder PSTD Whiplash

Accuracy Verified: Yes

159. Kliem, S., Kroger, C., Sarmadi, N. B., & Kosfelder, J. (2012). Wie werden verbesserungen nach typ-II-traumata infolge unterschiedlicher traumabearbeitender interventionen eingeschätzt? Eine re-analyse der umfrage unter psychotraumatologisch erfahrenen psychologischen psychotherapeuten [How will improvements assessed for type II traumas due to different editing trauma interventions? A re-analysis of the survey psychotraumatologisch experienced psychological psychotherapist]. Zeitschrift für Klinische Psychologie und Psychotherapie: Forschung und Praxis, 41(1), 30-37. doi:10.1026/1616-3443/a000117.

Language: German

Format: Journal

Abstract:
Hintergrund: Für die Behandlung von Post-Traumatic Stress Disorder (PTSD) nach Typ-II-Trauma, verschiedene Trauma-Verarbeitung Methoden sind derzeit in der klinischen Praxis eingesetzt. Ziel: Um zu ermitteln, wie sich die Verbesserungen in mehreren Symptom-Clustern (Intrusion, Vermeidung, Übererregung, Dissoziation, zusätzliche Beschwerden), retrospektiv sind von Praktikern als Funktion der Verwendung verschiedener Trauma-Verarbeitung Interventionen bewertet. Methode: In einer Umfrage der lizenzierten Psychotherapeuten (N = 272), wurden die Fälle enthalten, in denen die Therapeuten (1) ein Ereignis, das den Typ-II-Trauma zugeordnet werden konnten berichtet, und (2) identifizierten spezifischen Trauma-Verarbeitung Eingriffe nach zur Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), Eye Movement Desensitization and Reprocessing (EMDR), oder Psychodynamische Imaginative Trauma-Therapie (PITT) (n = 37). Zusätzlich, Therapeuten retrospektiv die Verbesserungen auf dem Symptom-Clustern an post-Behandlung bewertet. Ergebnisse: Mehr als 40% der Therapeuten berichteten über imaginative Techniken zur Dissoziation und Emotionsregulation sowie die Verarbeitung des Täters Introjekte sensu PITT durch Trauma-Verarbeitung Interventionen entweder TF-CBT (35,1%) oder EMDR (21,6%) gefolgt. Diese Therapeuten, die mit Interventionen der beiden letztgenannten Methoden des Patienten verbessern höher in allen Symptom Cluster als Therapeuten, die mit Trauma-Verarbeitung Interventionen PITT gemeldet bewertet berichtet. Fazit: Die retrospektive Bewertungen von Verbesserungen stehen im Einklang mit den Empfehlungen der Leitlinien für die Behandlung von PTSD. (PsycINFO Database Record (c) 2012 APA, alle Rechte vorbehalten).

Background: For the treatment of Post-Traumatic Stress Disorder (PTSD) following type-II-trauma, different trauma-processing methods are currently used in clinical practice. Objective: To determine how the improvements in several symptom clusters (intrusion, avoidance, hyperarousal, dissociation, additional complaints) are retrospectively rated by practitioners as a function of using different trauma-processing interventions. Method: In a survey of licensed psychotherapists (N = 272), those cases were included in which the therapists (1) reported an event that could be assigned to type-II-trauma, and (2) identified specific trauma-processing interventions according to Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), Eye Movement Desensitization and Reprocessing (EMDR), or Psychodynamic Imaginative Trauma-Therapy (PITT) (n = 37). Additionally, therapists retrospectively rated the improvements on the symptom clusters at post-treatment. Results: More than 40% of therapists reported using imaginative techniques for dissociation and emotion regulation, as well as processing the perpetrator’s introjects sensu PITT, followed by trauma-processing interventions of either TF-CBT (35.1%) or EMDR (21.6%). Those therapists who reported using interventions of the latter two methods rated the patient’s improvements higher in all symptom clusters than therapists who reported using trauma-processing interventions of PITT. Conclusion: The retrospective ratings of improvements are in line with the recommendations of guidelines for the treatment of PTSD. (PsycINFO Database Record (c) 2012 APA, all rights reserved).

Keywords: Intervention Posttraumatic Stress Disorder PTSD Psychotherapists Trauma

Accuracy Verified: Yes

160. O'Shea, K., Goeller, J. & Goeller, G. (2010, April). A wounded mind?. Presentation at the 25th Annual Alzheimer’s Conference, Seattle, Washington.

Language: English

Format: Conference

Abstract:
This Powerpoint presentation makes use of the Powerpoint Presentation: "From Eye movement Desensitization and Reprocessing (EMDR): QEEG’s of PTSD and dementia look alike (slow wave movement in the occipital lobe)
James Kowal - 2008 EMDRIA Conference, Phoenix" to (1)"To ask the question: Is learning more important in the treatment of Alzheimer’s than we’ve thought?"; "(2)To share what I’ve learned: - about the impact of trauma (chronic illness) - about the importance of beliefs - about the role of emotion - how trauma processing might benefit those with Alzheimer’s and their caretakers"; and (3) "What works". [EMDR Editor]

Keywords: Alzheimers Caretakers Trauma

Accuracy Verified: Yes