Francine Shapiro Library - EMDR Bibliography Links
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1. マーフィ重松, 村川 治彦 [Shigematsu Mafi, and Murakawa Haruhiko]. (2001年12月). 第4巻 トラウマ治療のためのＥＭＤＲ [EMDR treatment for trauma, Volume 3]. 心理療法のための日本語研究所：東京 [Japanese Institute for Psychotherapy: Tokyo].
Language: Japanese
Format: Video
Abstract:
ＥＭＤＲ（眼球運動による脱感作と再処理法）は認知的、行動的、精神力動的、生理学的、相互作用的といった主要な心理療法の様々な要素を含む複雑な治療的アプローチである。 これまで眼球運動の刺激の面だけが注目を集めてきたが、ＥＭＤＲには８つの段階の介入法があり、クライアントが比較的落ち着いた状態のままできるだけ短い期間で深く総合的な治療の効果をあげることを目指している。
EMDR (and re-treatment of eye movement desensitization) is a cognitive, behavioral, psychodynamic, physiological, and therapeutic approaches for a complex variety of elements such as the main interactive psychotherapy. The plane had just paid attention to this eye movement stimulation, EMDR has a eight-step interventions, the overall effect of treatment remains deeply as possible in a short period comparatively calm clients It aims to give.
Accuracy Verified: Yes
2. 孙海霞，杨蕴萍 [Sun Hai Xia, Yang Yun Ping]. (2004, August). 眼动脱敏与再加工治疗现状 [The psychotherapy of eye movement desensitization and reprocessing]. 中国临床心理学杂志，2004，12（3）：324 [Chinese Journal of Clinical Psychology, 12(3), 324-326].
Language: Chinese
Format: Journal
Abstract:
眼动脱敏与再加工(Eye movement desensitization and reprocessing ,以下简称EMDR) 由Francine Shapiro 于1987 年创立,最初仅为眼动脱敏( EMD) ,1991 年发展为眼动脱敏与再加工,其中眼动脱敏仅是EMDR 中双侧刺激的一种,而双侧刺激是EMDR 操作中众多组分的一部分。EMDR 是一种整合的心理疗法,它借鉴了控制论(cybernetics) 、精神分析、行为、认知、生理学等多种学派的精华,建构了加速信息处理的模式,帮助患者迅速降低焦虑,并且诱导积极情感、唤起患者对内的洞察、观念转变和行为改变以及加强内部资源,使患者能够达到理想的行为和人际关系改变[1 ] 。本文拟对EMDR 的有关机理与实践应用作一综述。
(Eye movement desensitization and reprocessing, hereinafter referred to as EMDR) Francine Shapiro in 1987 by the creation of an initial eye movement desensitization only (EMD), 1991 years of development for the eye movement desensitization and reprocessing, which EMDR eye movement desensitization only in a bilateral stimulation, and EMDR bilateral stimulation is part of the operation of many components. EMDR is an integrated psychological therapy, which draw on the control theory (cybernetics), psychoanalysis, behavioral, cognitive, physiological, and other schools of the essence of information processing to speed up construction of the model, to help patients rapidly reduce anxiety, and induce positive affect, arouse patients insight into the internal, the concept of change and behavior change and the strengthening of internal resources, so that patients can achieve the desired changes in behavior and interpersonal relationships [1]. This paper about the mechanism of EMDR reviews the application and practice.
Keywords: Mechanism of Action Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
3. スペイツ C.リチャード コッチ エレン I. [Spates, C. R., and Koch, E. I.] (2003). 眼球運動脱感作と再処理(Reprocessing)から表出(Exposure)セラピーまで : 共通するメカニズムへの証拠に対する再考と概観 [From eye movement desensitization and reprocessing to exposure therapy: A review of the evidence for shared mechanisms]. 行动分析学研究18（2）、62から76 [Japanese Journal of Behavior Analysis, 18(2), 62-76].
Language: Japanese
Format: Journal
Abstract:
心的外傷後ストレス障害は、（心的外傷後ストレス障害）のすべての文化と生涯を通じて人々に影響を与える条件である。診断実践心的外傷後ストレス障害の導入以来、多くの研究は、疫学、病態生理、心理的、生理的メカニズムだけでなく、その治療に対処しています。障害の行動製剤は、分野の研究をリードの間に浸透して、効果的な治療につながるなど、暴露療法するヒューリスティックを証明されています。眼球運動脱感作は、サービス（EMD/ R）の再処理は、この定式化から出発すると主張している最近開発された介入は、その有効性の実証的な支持を受けています。本記事では、眼球運動脱感作と再処理の行動策定を支持する証拠をレビューし、それが暴露療法と行動の一般的なメカニズムを共有していることを示唆している。以上の研究関心は心的外傷後ストレス障害より寛容と、クライアントと実務に受け入れられるのレンダリング露出ベースの治療法の検討方法に与えられるべきである。
Posttraumatic stress disorder (PTSD) is a condition that affects people in all cultures and throughout the lifespan. Since the introduction of posttraumatic stress disorder into diagnostic practice, a great deal of research has addressed its epidemiology, pathophysiology, and psychological and physiological mechanisms, as well as its treatment. A behavioral formulation of the disorder has prevailed among leading researchers in the field, and has proved heuristic in leading to efficacious treatments, e.g., exposure therapy. Eye movement desensitization and reprocessing (EMD/R), a recently developed intervention that claims to be a departure from this formulation, has received empirical support for its efficacy. The present article reviews the evidence supporting a behavioral formulation of eye movement desensitization and reprocessing, and suggests that it shares common mechanisms of action with exposure therapy. Greater research attention should be given to examining ways of rendering exposure-based therapies for posttraumatic stress disorder more tolerant and acceptable to clients and practitioners. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
4. 小川 栄一 , 和田 健 , 日域 広昭 , 武井 史朗 , 矢野 智宣 , 橋元 佑美 , 佐々木 高伸 , 志和 資朗 [Eiichi Ogawa, Ken Wada, Hiroaki Jitsuiki, Shiro Takei, Tomonobu Yano, Yumi Hashimoto, Takanobu Sasaki, and Shiro Shiwa] (2007年12月). 12. EMDR(眼球運動による脱感作と再処理法)の実施が心理生理反応に及ぼす影響(第30回日本心身医学会中国・四国地方会演題抄録) [12. EMDR (treatment of eye movement desensitization and reprocessing) effects on the physiological response (The 30th Chugoku-Shikoku Regional Meeting of the Japanese Society of Psychosomatic Medicine, Meeting abstract]. 心身医学：日本誌、47（12）、1054 [Japanese Journal of Psychosomatic Medicine, 47(12), 1054].
Language: Japanese
Format: Journal
Keywords: Physiological Responses
Accuracy Verified: Yes
5. 小川 栄一 , 橋元 佑美 , 和田 健 , 日域 広昭 , 波田 紫 , 佐々木 高伸 , 志和 資朗 [Eiichi Ogawa, Hiromi Hashimoto, Ken Wada, Hiroaki Hiiki, Murasaki Hada, Takanobu Sasaki, and Shiro Shiwa]. (2009年9月). 22.EMDR(眼球運動による脱感作と再処理法)の実施が心理生理反応に及ぼす影響(第28回 日本心身医学会中国・四国地方会演題抄録,地方会抄録,学会報告) [22. EMDR (treatment of eye movement desensitization and re-) effect of the implementation of psychological physiological responses (Abstract Title: The 28th Chugoku-Shikoku Regional Meeting of the Japanese Society of Psychosomatic Medicine)]. 心身医学、46の日本誌（9）、836〜837 [Japanese Journal of Psychosomatic Medicine, 46(9), 836-837].
Language: Japanese
Format: Journal
Keywords: Physiological Responses
Accuracy Verified: Yes
6. Koshal, A. (2012, June). The 4-fields-technique in the trauma therapy of complex traumatized and addicted patients [La técnica de 4-‐Campos en la terapia de trauma complejo y pacientes adictos, incluso en tratamiento de metadona]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
This
workshop
will
employ
lecture
and
demonstration
of
several
case
studies.
The
4-‐Field-‐Technique
is
a
special
method
of
EMDR
that
was
developed
by
Jarero
et
al.
1997
in
Mexico.
For
complex
traumatized
and
drug
addicted
people
this
method
is
very
helpful.
The
risk
to
trigger
other
trauma
clusters
is
quite
minor,
because
the
patient’s
concentration
is
focused
on
his
specific
picture
and
situation.
Several
international
studies
demonstrate
that
addicted
people
are
very
often
complex
traumatized.
(Felitti
et
al.,
2003;
Schmidt,
2000
etc.)
PTSD
and
other
trauma
symptoms
cause
a
lot
of
psychophysical
deregulation.
The
psychiatrist
Khantzian
realized
1985,
that
addicted
people
suffer
a
lot
from
different
symptoms
and
try
to
reduce
the
unbearable
inner
tension
in
using
drugs.
So
Khantzian
postulated
the
“self-‐medication
hypothesis
of
addictive
disorders”.
Janina
Fisher,
Trauma
Center
Boston,
2000,
interpreted
the
correlation
of
early
traumatization
and
drug-‐addiction
as
“compensatory
strategies
aimed
at
self-‐
regulation”.
20
years
of
psychotherapeutic
work
revealed,
a
high
percentage
of
addicted
patients
use
drugs
to
influence
their
emotional
states.
Drugs
and
alcohol
do
short
term
reduce
the
mentioned
symptoms.
Addicted
patients
need
to
learn
to
cope
in
another,
more
adaptive
way
to
get
a
better
functioning
self-‐regulation.
After
stabilization,
trauma-‐therapy
can
start.
So
the
patient
can
reduce
his
psycho-‐
physiological
deregulation.
Even
when
addicted
patients
are
still
in
a
methadone-‐
treatment
trauma-‐therapy
is
effective.
Practical
experiences
show
a
lot
of
successful
treatments.
Este
taller
empleará
la
presentación
y
demostración
de
muchos
estudios
de
caso.
La
técnica
de
4
campos
es
un
método
especial
de
EMDR
que
fue
desarrollado
por
Jarero
et
al.
1997
en
Méjico.
Para
gente
con
traumas
complejos
y
adictos
este
método
resulta
ser
muy
adecuado.
El
riesgo
de
disparar
grupos
de
traumas
es
menor,
debido
a
que
la
concentración
del
paciente
está
centrada
en
una
sola
imagen
y
situación.
Muchos
estudios
demuestran
que
los
adictos
son
muy
a
menudo
traumatizados
de
manera
compleja.
(Felitti
et
al.,
2003;
Schmidt,
2000
etc.)
El
TEPT
y
otros
síntomas
del
trauma
causan
muchas
desregulaciones
psicofisiológicas.
El
psiquiatra
Khantzian
se
dio
cuenta
en
1985,
que
la
gente
que
sufre
de
adicción
sufren
también
muchos
otros
síntomas
diferentes
e
intentan
reducir
su
tensión
interna
a
través
del
uso
de
sustancias.
Por
ello
Khantzian
postuló
“
La
hipótesis
de
la
automedicación
en
trastornos
adictivos”
Janina
Fisher,
Trauma
Center
Boston,
2000,
interpretó
la
correlación
de
la
traumatización
temprana
y
la
adicción
a
la
drogas
como
“
Estrategias
compensatorias
dirigidas
a
la
autorregulación”.
20
años
de
trabajo
psicoterapéutico
muestran
que
un
gran
porcentaje
de
pacientes
adictos
usan
drogas
para
modificar
sus
estados
emocionales.
Las
drogas
y
el
alcohol
reducen
a
corto
plazo
los
síntomas
mencionados.
Los
pacientes
adictos
necesitan
aprender
a
afrontar
de
manera
más
adaptativa
su
autorregulación.
Después
de
la
estabilización,
la
terapia
del
trauma
puede
empezar.
Por
ello
el
paciente
puede
reducir
su
desregulación
psicofisiológica.
Incluso
cuando
aún
están
sometidos
a
un
tratamiento
de
metadona
la
terapia
del
trauma
es
efectiva.
Las
experiencias
en
la
práctica
muestran
una
gran
cantidad
de
tratamientos
exitosos.
Keywords: 4-Fields-Technique Addiction
Accuracy Verified: Yes
7. Talwar, S. (2007, February). Accessing traumatic memory through art making: An art therapy trauma protocol (ATTP). The Arts in Psychotherapy, 34(1), 22-35. doi:10.1016/j.aip.2006.09.001.
Language: English
Format: Journal
Abstract:
In this article I propose an art therapy trauma protocol (ATTP) designed to address the non-verbal
core of traumatic memory. Trauma theorists [van der Kolk, B.A. (2003). Frontiers in trauma treatment. Presented at the R. Cassidy Seminars, St. Louis, MO 2004; Steele, W. & Raider, M.
(2001). Structured Sensory Intervention for Traumatized Children, Adolescents and Parents-Strategies to Alleviate Trauma. New York: The Edwin Mellen Press] have endorsed alternative treatment methods such as eye movement desensitization reprocessing (EMDR), body-based psychotherapy, and expressive arts therapy
as an alternative to verbal psychotherapy. Following an overview of the role of memory and emotions in trauma and theories of art making and brain function, I describe a protocol that has had
success in integrating the cognitive, emotional and physiological levels of trauma drawing on EMDR, McNamee’s bilateral art and Michelle Cassou’s method of painting. A one-session example
serves to illustrate its use.
Keywords: Arts Bilateral Art Body-Based Psychotherapy Expressive Arts
Accuracy Verified: Yes
8. Savneet, T. (2007). Accessing traumatic memory through art making: An art therapy trauma protocol (ATTP). The Arts in Psychotherapy, 34(1), 22-35. doi:10.1016/j.aip.2006.09.001.
Language: English
Format: Journal
Abstract:
In this article I propose an art therapy trauma protocol (ATTP) designed to address the non-verbal core of traumatic memory. Trauma theorists [van der Kolk, B.A. (2003). Frontiers in trauma treatment. Presented at the R. Cassidy Seminars, St. Louis, MO 2004; Steele, W. & Raider, M. (2001). Structured Sensory Intervention for Traumatized Children, Adolescents and Parents-Strategies to Alleviate Trauma. New York: The Edwin Mellen Press] have endorsed alternative treatment methods such as eye movement desensitization reprocessing (EMDR), body-based psychotherapy, and expressive arts therapy as an alternative to verbal psychotherapy. Following an overview of the role of memory and emotions in trauma and theories of art making and brain function, I describe a protocol that has had success in integrating the cognitive, emotional and physiological levels of trauma drawing on EMDR, McNamee's bilateral art and Michelle Cassou's method of painting. A one-session example serves to illustrate its use.
Keywords: Art Therapy Art Therapy Trauma Protocol ATTP Creative Arts Therapy Creativity Emotions Memory Neurobiology Posttraumatic Stress Disorder PTSD Trauma
Accuracy Verified: Yes
9. Sack, M., Lempa, W., Steinmetz, A., Lamprecht, F., & Hofmann, A. (2008, October). Alterations in autonomic tone during trauma exposure using eye movement desensitization and reprocessing (EMDR) - Results of a preliminary. Journal of Anxiety Disorders, 22(7), 1264-1271. doi:10.1016/j.janxdis.2008.01.007.
Language: English
Format: Journal
Abstract:
EMDR combines stimuli that evoke divided attention – e.g. eye movements – with exposure to traumatic memories. Our objective was to investigate psycho-physiological correlates of EMDR during treatment sessions. A total of 55 treatment sessions from 10 patients with PTSD was monitored applying impedance cardiography. Onset of every stimulation/exposure period (n = 811) was marked and effects within and across stimulation sets on heart rate (HR), heart rate variability (HRV), pre-ejection period (PEP) and respiration rate were examined. At stimulation onsets a sharp increase of HRV and a significant decrease of HR was noticed indicating de-arousal. During ongoing stimulation, PEP and HRV decreased significantly while respiration rate significantly increased, indicating stress-related arousal. However, across entire sessions a significant decrease of psycho-physiological activity was noticed, evidenced by progressively decreasing HR and increasing HRV. These findings suggest that EMDR is associated with patterns of autonomic activity associated with substantial psycho-physiological de-arousal over time. [Author Abstract]
Keywords: Adults Germans Empirical Study Impedance Cardiography Posttraumatic Stress Disorder Psychophysiology PSTD Quantitative Study Survivors Treatment Effectiveness
Accuracy Verified: Yes
10. De Divitiis, A. M. (2008, Novembre). Applicazione dello sviluppo e installazione delle risorse (RDI) nella psicoprofilassi al parto finalizzata alla prevenzione delle depressione post partum (DPP) [Application of resource development and installation (RDI) in psychoprophylaxis geared to the prevention of postpartum depression(DPP)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Dagli ultimi dati statistici risulta che la Depressione Post Partum viene sviluppata da circa il 13% delle puerpere nel corso del secondo – terzo mese successivi al parto e la durata dei sintomi varia da qualche settimana ad un anno, con rischi di recidiva.
A differenza del Baby Blues (colpisce il 70% delle puerpere, insorge in III – VI giornata e si risolve spontaneamente nell’arco di un paio di settimane), imputabile essenzialmente alle fisiologiche modificazioni ormonali (calo degli estrogeni e progesterone) dell’im-mediato post partum, lo sviluppo della DPP sembrerebbe invece essere determinata da fattori di natura strettamente psicologica: l’esperienza del parto, il riemergere di problematiche irrisolte nelle relazioni con le figure di attaccamento, il cambiamento di ruolo della donna sia nell’ambito sociale che all’interno della coppia, il timore di non essere in grado di attendere adeguatamente alle nuove responsabilità (sia sul piano delle proprie capacità, che del nuovo carico di fatica fisica), ecc.
Le donne che hanno vissuto il parto come esperienza traumatica risultano essere maggiormente destabilizzate da tale evento e quindi maggiormente esposte allo sviluppo della DPP.
Il parto richiede alla donna il reclutamento di molteplici risorse personali. Nel corso del “travaglio” la donna deve riuscire a contenere il dolore, mentre nella fase dell’“espulsione” le viene richiesto inoltre di “spingere”, ossia di contrastare una reazione antalgica automatica (che chiuderebbe il canale da parto) per andare invece “incontro al dolore”. Se consideriamo che le “Prestazioni di Picco” si caratterizzano per essere “al di fuori” del proprio ambito di sicurezza, di agio e di conforto, nel tentativo di oltrepassare il limite estremo delle proprie capacità, l’esperienza del parto può essere inscritta a pieno titolo nelle “Prestazioni di Picco”.
Nel presente lavoro vengono descritte le modalità e i tempi di applicazione del RDI nel corso della Preparazione al Parto, finalizzata al rafforzamento delle diverse risorse personali di cui ogni gestante ha bisogno per poter vivere il parto come esperienza egosintonica. In tal senso l’RDI, tramite EMDR, è da considerarsi un vero e proprio Intervento di Prevenzione Primaria, in grado di insegnare alle donne qualcosa di positivo riguardo sé stesse, contrastando efficacemente l’insorgere della DPP. Verranno esposti, inoltre, i risultati dell’applicazione di tale tecnica su 48 gestanti, raccolti nella fase del Post Partum.
The latest statistics show that postpartum depression is developed by about 13% of mothers during the second to third months after delivery and the duration of symptoms varies from few weeks to a year, with risks of recurrence. Unlike the Baby Blues (affects 70% of mothers, occurs in III - VI day and resolves spontaneously within a couple of weeks), largely because of the physiological hormonal changes (decline in estrogen and progesterone) of IM-mediated post-partum, the development of the DPP seems to be determined by factors strictly psychological: the experience of childbirth, the resurgence of unresolved issues in relations with attachment figures, the changing role of women both in social the couple, the fear of not being able to wait adequately to new responsibility (both in terms of its ability, that the new burden of physical labor, etc.). Women who have experienced childbirth as a traumatic experience become more undermined by this event and, therefore, at greater risk of developing the DPP. The birth of the woman requires the recruitment of many personal resources. During the "Labor" the woman must be able to contain the pain, while in phase the 'expulsion' is the also required to "push", i.e. a reaction to counter analgesic automatic (which close the channel by birth) to go instead "to meet the pain." If we consider that "Peak Performance" are characterized by being "outside" the extent of its security, ease and comfort, in an attempt to go beyond the bounds of their abilities, experience delivery can be fully inscribed in the "peak performance". The present paper describes the methods and timing of application of RDI during the preparation for childbirth, which aims to reinforce the various personal resources which each pregnant woman needs to live the experience of childbirth as ego syntonic. In this sense, the RDI, through EMDR is considered true primary prevention interventions that can teach women something positive about themselves to effectively counter the rise DPP. Will be exposed, in addition, the results of applying this technique on 48 pregnant women, collected at the stage of post-partum.
Keywords: Postpartum Depression RDI Resource Development and Installation
Accuracy Verified: Yes
11. MacCulloch, M., & Barrowcliff, A. (2001, May). Are EMDR effects caused by de-arousal?. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is increasingly being recognised
as a coherent therapeutic procedure in the treatment of Post Traumatic Stress Disorder
(PTSD) and other anxiety disorders, yet we still do not fully understand by which process or
mechanisms it might work. We consider a number of models implicating orienting or
investigatory reflexes as a significant contributor to the success of EMDR as a treatment
method. A series of experiments were designed to test the predictions derived from these
models, examining the physiological effects of eye-movements following auditory challenge
compared to an eyes-stationary condition. A significant physiological de-arousal effect is
observed in conditions requiring eye-movements similar to those used in the EMDR protocol.
We go on to consider the implications for this de-arousal effect in the treatment of PTSD and
present preliminary data from a case series designed to examine the unique contribution of
EMDR when used with treatment resistant clients. A range of psychometric and
psychophysiological process and outcome measures were utilised in this study, providing a
detailed evaluation of change over the course of the treatment design. Specialised software
was developed for use in this study, in addition to a computerised test and software is
provided, along with data obtained from this test.
Keywords: De-Arousal
Accuracy Verified: Yes
12. Wilson, D. L., & Covi, W. (1991, December). Autonomic correlates of EMDR. EMDR Network Newsletter, 1(2), 6.
Language: English
Format: Newsletter
Abstract:
The purpose of this study was to identify autonomic correlates of EMDR as sampled by common measures of physiological
functioning: respiration, heart rate,
blood pressure, and the galvanic skin response.
Keywords: Autonomic Correlates
Accuracy Verified: Yes
13. Anchisi, R., Guzzi, R., Fernandez, I., Giannantonio, M., & Ziveri, D. (2001, October). Biofeedback measures in EMDR treatment. In Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaviour and Psychosomatics, (pp 141-148). Palermo, Italy.
Language: English
Format: Conference
Abstract:
We compared the pre and post therapeutic treatment data using standard EMDR, using a lool such as biofeedback, capable of measuring certain physiologcail parameters in an objective way. The goal was to check variations in the physiological indices and subjective evaluations of well being and discomfort in the subjects.
Some psychotherapists will select subjects using an initial telephone screening followed by a battery of suitable tests. Using such tools, subjects affected by PTSD without comorbidity will be chosen. Independent assessors
will evaluate them again after six weeks (blind design). After this assessment, subjective data will be collected using the SUD scale and objective data will be collected using the SPR, Thermo, Heart Rate, EMG of the biofeedback channels. After exposure the subjects will be randomly assigned to an experimenta1 group, they will be going to meet in six sessions using the EMDR standard protocol and carried out by therapits recognized by the Association EMDR Italy; the other half of the sample will
represent the control group in a waiting list. Once more, all the subjects will be exposed to the trauma, this time listening to the recording of their description of the traumatic event. The SUD and biofeedback values will be then measured again. The comparison of the data of the SUD scale with the data of the biofeedback
channels, in particular the SPR channel, plus the evaluation of the group of independent clinicians using the above-mentioned tests, will provide the co-ordinates for an evaluation (both subjetive and physiological) of the clinical results of the EMDR therapy.
Keywords: Biofeedback Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
14. van der Kolk, B. A., Hopper, J., & Spinazzola, J. (2004, November). Biological changes in arousal and cortisol following PTSD treatment. Symposium conducted (M. Olff, Chair) at the 20th annual meeting of the International Society of Traumatic Stress Studies, New Orleans, LA.
Language: English
Format: Conference
Abstract:
Effects of treatment of PTSD on psychobiological measures: It is well known that PTSD is associated with changes in several biological
systems. However little research has been done on whether it is possible to
“reset” these biological systems with effective psychotherapy of pharmacological
therapy. This symposium will present data on neuroendocrine and
neuroimaging outcome measures.
Biological changes in arousal and cortisol following PTSD treatment: This presentation will discuss the results of a controlled treatment outcome
study comparing EMDR, fluoxetine and pill placebo and demonstrate how
effective treatment resulted in changes in memory processes, utilizing the
Traumatic Memory Inventrory. In the EMDR condition, but not fluoxetine,
the change in traumatic memory towards an integrated narrative was linearly
correlated with physiological arousal in response to script driven
imagery. This presentation will also present the relationship between clinical
improvement in the three conditions and change in the cortisol
response to a dexamethasone challenge.
Keywords: Fluoxetine Pill Placebo Posttraumatic Stress Disorder PSTD Symposium
Accuracy Verified: Yes
15. Solomon, E. P., & Heide, K. M. (2005, January). The biology of trauma: Implications for treatment. Journal of Interpersonal Violence, 20(1), 51-60. doi:10.1177/0886260504268119.
Language: English
Format: Journal
Abstract:
During the past 20 years, the development of brain imaging techniques and new biochemical approaches has led to increased understanding of the biological effects of psychological trauma. New hypotheses have been generated about brain development and the roots of antisocial behavior. We now understand that psychological trauma disrupts homeostasis and can cause both short and long-term effects on many organs and systems of the body. Our expanding knowledge of the effects of trauma on the body has inspired new approaches to treating trauma survivors. Biologically informed therapy addresses the physiological effects of trauma, as well as cognitive distortions and maladaptive behaviors. The authors suggest that the most effective therapeutic innovation during the past 20 years for treating trauma survivors has been Eye Movement Desensitization and Reprocessing (EMDR), a therapeutic approach that focuses on resolving trauma using a combination of top-down (cognitive) and bottom-up (affect/body) processing. [Author Abstract]
Keywords: Adolescents Child Abuse Children Criminal Behavior Forensic Evaluation Literature Review Neglect Neuroendocrinology Neurophysiology Posttraumatic Stress Disorder PTSD Survivors
Accuracy Verified: Yes
16. Klaus, P. (2007, June). Birth trauma: Causes, effects, methods to heal with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Clinicians will gain an understanding of the types of
events that create psychological and physiological distress
and trauma both at birth and afterward. Many conditions
have their origin during this early period where generational
messages as well as traumatic events surrounding
birth and the early period of life can have negative effects.
Participants will learn methods to work within the infant
mind/body memory to retrieve early trauma and the subsequent
events that reinforced it as well as facilitate
healing through the life path of the individual. Clinicians
can benefit by recognizing the elements that influence
these situations, and with EMDR and other adjunctive
techniques learn to resolve these very early experiences to
help clients reach a higher level of adaptation for health.
Objectives:
1.Identify the characteristics of traumatic or negative birth
experiences.
2.Recognize the risk factors that affect the birth and can
be projected onto the infant.
3.Identify the effects of early trauma on parent-infant relationships,
bonding, the marital relationship, and on
the infant.
4.Learn about long-term psychological and somatic sequelae
of perinatal trauma on the adult individual.
5.Describe, demonstrate, and practice psychotherapeutic
methods with EMDR to help resolve and heal these experiences.
Keywords: Birth Trauma
Accuracy Verified: Yes
17. van der Kolk, B. A. (1994, January). The body keeps the score: Memory and the evolving psychobiology of posttraumatic stress. Harvard Review of Psychiatry, 1(5), 253-265. doi:10.3109/10673229409017088.
Language: English
Format: Journal
Abstract:
Ever since people's responses to overwhelming experiences have been systematically explored, researchers have noted that a trauma is stored in somatic memory and expressed as changes in the biological stress response. Intense emotions at the time of the trauma initiate the long-term conditional responses to reminders of the event, which are associated both with chronic alterations in the physiological stress response and with the amnesias and hypermnesias characteristic of posttraumatic stress disorder (PTSD). Continued physiological hyperarousal and altered stress hormone secretion affect the ongoing evaluation of sensory stimuli as well. Although memory is ordinarily an active and constructive process, in PTSD failure of declarative memory may lead to organization of the trauma on a somatosensory level (as visual images or physical sensations) that is relatively impervious to change. The inability of people with PTSD to integrate traumatic experiences and their tendency, instead, to continuously relieve the past are mirrored physiologically and hormonally in the misinterpretation of innocuous stimuli as potential threats. Animal research suggests that intense emotional memories are processed outside of the hippocampally mediated memory system and are difficult to extinguish. Cortical activity can inhibit the expression of these subcortically based emotional memories. The effectiveness of this inhibition depends, in part, on physiological arousal and neurohormonal activity. These formulations have implications for both the psychotherapy and the pharmacotherapy of PTSD.[MLM MEDLINE]
Keywords: Neurobiology Posttraumatic Stress Disorder Practice PTSD Theory
Accuracy Verified: Yes
18. Staff. (2005, January 27). Body over mind - A new book by an area author looks at how our memories cause physical pain--and what can be done about it. New Haven, CT: The New Haven Advocate, Lifestyle, [2 pages].
Language: English
Format: Newspaper
Abstract:
The quest to solve this riddle of her early life is one that Scarf explores through some cutting-edge mind/body therapies that have been successful in pinpointing and alleviating painful memories. Two of these are the EMDR (eye movement desensitization and reprocessing) therapy, and the PBSP (Pesso Boyden System Psychomotor) approach. EMDR was the accidental finding that emotional distress could be alleviated by rapid back and forth eye movements, a kind of rhythmical "eye-tracking" that tapped into some neuro-physiological place within the body that actually relieved pschological pain. PBSP was the group dynamic that involved support through role playing and acting out a trauma.
Keywords: General New Haven Overview
Accuracy Verified: Yes
19. Frustaci, A., Lanza, G. A., Fernandez, F., di Giannantonio, M., & Pozzi, G. (2010). Changes in psychological symptoms and heart rate variability during EMDR treatment: A case series of subthreshold PTSD. Journal of EMDR Practice and Research, 4(1), 3-11. doi:10.1891/1933-3196.4.1.3.
Language: English
Format: Journal
Abstract:
Elevated psychophysiological parameters and heightened physiological reactivity to trauma-related cues
are acquired changes following trauma exposure. Measuring improvement in these variables is an appropriate
evaluation of outcome in treatment studies. Heart Rate Variability (HRV) is a computerized measure
of physiological responsivity derived from Holter ECG recording. Four female outpatients with persistent
post-traumatic symptoms and personal impairment following “small t” trauma exposure underwent a
course of EMDR treatment and were assessed at baseline, end of treatment, day 30 and day 90 of followup,
using self-report symptom scales and 90-min Holter ECG recordings. Symptom scores decreased
between baseline and end of treatment, with improvement maintained at follow-up. Several HRV measures
changed favorably in different recording intervals. HRV is a feasible and sensitive method to measure
physiological changes in the treatment of individuals distressed by “small t” trauma. Further investigation
is advisable to expand these preliminary data.
Keywords: Case Series Heart Rate Variability HRV IES Small T Trauma
Accuracy Verified: Yes
20. Leeds, A. M., & Korn, D. L. (1998, July). Clinical applications of EMDR in the treatment of adult survivors of childhood abuse and neglect. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
This paper was co-presented with with Deborah L. Korn, Psy.D. In my portion of this presentation I introduced Alan Schore's research on the neurobiological correlates of early trauma and abuse and with implications for treatment stragegy. The presentation covered the use of EMDR, Resource Development and Resource Installation methods across the entire treatment plan. Dr. Korn reviewed treatment principles and adaptations to the EMDR trauma protocol for this population.[Author abstract]
Participants will learn how to: 1) apply specific EMDR protocols in each of the three strategies of recovery: stabilization and safety, trauma focused processing, and reconnection and identify development; 2) integrate ego strengthening strategies into a comprehensive EMDR based treatment plan for clients who have limited affect tolerance and self-capacities; 3) apply cognitive interweave strategies to address blocking beliefs and fears about the treatment process; and 4) use EMDR to address maladaptive schemas commonly seen in this population.[Conference Program Abstract]
Keywords: Adults Neglect Sexual Abuse Survivors
Accuracy Verified: Yes
21. Makinson, R. A., & Young, J. S. (2012, April). Cognitive behavioral therapy and the treatment of posttraumatic stress disorder: Where counseling and neuroscience meet. Journal of Counseling & Development, 90(2), 131-140. doi:10.1111/j.1556-6676.2012.00017.x .
Language: English
Format: Journal
Abstract:
There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the neurobiological context underlying the formation and treatment of posttraumatic stress disorders, a mental disorder frequently encountered by counselors, from a cognitive therapy framework.
Recent changes to the Council for Accreditation of Counseling and Related Educational Programs (2009) accreditation standards include the need for counselors-in-training to understand the neurobiological basis of behavior, which marks a new direction for the training of professional counselors who have historically reacted ambivalently toward medical models for understanding client concerns and treatments. Yet recent findings in neuroscience actually support the verbally based interventions that counselors typically use in treatment; therefore, there is much to be gained by counselors and counselor educators in understanding the basics of human neurobiology and how commonly used counseling interventions intervene on these biological systems. The National Institute of Mental Health (2010) stated in a recent strategic plan that “Important discoveries in areas such as genetics, neuroscience, and behavioral science largely account for the substantial gains in knowledge that have helped us to understand the complexities of mental illnesses and behavioral disorders over the past 15 years” (“Introduction,” para. 4).
Given the increasingly biological focus of mental health research, the practicing counselor is faced with the task of understanding and using the emerging mental health treatments and explaining to clients, to reimbursing agencies, and to the broader public how counseling fits within the medically dominated mental health culture. Some counselors have long reacted ambivalently toward the pathologically oriented diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV;American Psychiatric Association, 1994) system and the medication-dominated world of psychiatry. For example, the contrasting viewpoints on this issue were published in the Journal of Counseling & Development between Allen and Mary Ivey (1998, 1999) and Scott Hinkle (1999). Ivey and Ivey (1998) argued for a developmental interpretation to the DSM-IV, opposing what they called the “pathological view” (p. 334) of the manual. According to Ivey and Ivey, disorders could be viewed through a positive development tradition to lie not within the individual but within the contextual systems in which a person lives. Subsequently, disorders are viewed as a “logical response to a developmental history” (Ivey & Ivey, 1999, p. 484). By contrast, Hinkle (1999) argued that because anxiety and depressive disorders “are the most common clinical symptoms associated with presentation to counseling” (p. 475), the counseling profession is weakened if counselors shy away from direct participation in the DSM nomenclature and treatment parlance. As Hinkle indicated, “mental disorders according to the medical model describe disease processes, not people” (p. 475). Regardless of the reader's philosophical perspective, practicing counselors know participation in medical and psychiatric systems is necessary at times. Also, recent discoveries in the field of neuroscience are providing evidence that interventions often used by counselors have direct physiological impact on client neurobiology (Kennedy et al., 2007; Linden, 2006). For example, Felmingham et al. (2007) demonstrated significant differences in brain activity before and after 8 weeks of exposure therapy, which correlated with a reduction in posttraumatic stress disorder (PTSD) symptom severity. Similarly, Paquette et al. (2003) found that cognitive behavioral therapy (CBT) alters the activation and metabolism of specific brain regions following successful treatment of spider phobia. These findings, along with others (for a detailed review, see Beauregard, 2007; Frewen, Dozois, & Lanius, 2008), are significant because they support the techniques, interventions, and approaches used by counselors and provide a mechanism by which counseling positively affects brain physiology. Within the emerging physiologically based treatment milieu, counselors should be prepared to articulate how cognitive counseling interventions make measurable changes to the client. Although cognitive-behavioral-based approaches are effective in the treatment of a number of psychiatric illnesses, adult PTSD is arguably one of the best understood mental disorders from a neurological perspective. It thus presents a valuable model for exploring not only the basic tenets of neurobiology but also the mechanisms behind its successful treatment. Furthermore, PTSD is a disorder that counselors will likely encounter in practice.
PTSD is a mental disorder characterized by a sudden onset of symptoms due to environmental exposure to a psychologically stressful event such as war, natural disaster, or sexual victimization. Thus, it provides a clear example of how, even in adulthood, neurological adaptation (in this case maladaptive changes) can functionally “rewire” the brain in a short period of time, resulting in a sustained array of clinical symptoms. The diagnostic criteria for PTSD are a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyperarousal symptoms. A fifth criterion concerns duration of symptoms and a sixth assesses functioning (American Psychiatric Association, 2000).
The National Comorbidity Survey Replication, conducted between February 2001 and April 2003 (Kessler et al., 2005), determined that the estimated lifetime prevalence of PTSD among American adults is 6.8%, with women (9.7%) twice as likely as men (3.6%) to have the disorder at some point in their lives. These findings are very similar to those of the first National Comorbidity Survey conducted in the early 1990s (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995), which was composed of interviews of a representative national sample of 8,098 Americans ages 15 to 54 years. In this earlier sample, the estimated prevalence of lifetime PTSD was 7.8% in the general population. As in the more recent survey, women (10.4%) were more than twice as likely as men (5%) to have PTSD at some point in their lives (Kessler et al., 2005; Kessler et al., 1995).
Keywords: CBT Cognitive Behavioral Therapy Neurobiological Basis of Behavior Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
22. Oncley, P. R. (1992). A comparison of eye movement desensitization and implosion-like therapy with adult victims of sexual abuse. Fuller Theological Seminary, Pasadena, CA. AAT 9302718.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye movement desensitization and reprocessing is a recently developed technique that has been reported in the literature to be effective in treating many of the symptoms associated with PTSD. This study investigated the role of saccadic eye movements in this technique by utilizing a multiple-baseline, across subjects design with 4 adult victims of childhood sexual abuse.Eye movement desensitization conditions (EMD) were compared to non saccadic eye movement conditions (NM) utilizing a Latin square design over one treatment session. The Structured Clinical Interview for DSM-III-R (SCID-R) and the PTSD module of the Structured Clinical Interview for DSM-III (SCID) were used for initial diagnosis and screening. Treatment effectiveness between the intervention phase and 1 week follow-up was assessed using the Impact of Event Scale (IES) and the PTSD Symptom Checklist. Skin conductance response (SCR), heart rate, and subjective units of distress (SUDS) were assessed during pretreatment, treatment, posttreatment, and follow-up phases. Results showed no significant differences across subjects among SCR, heart rate, and SUDS between the EMD and NM conditions. IES and PTSD Symptom Checklist follow-up data showed symptom improvement for 3 of the 4 subjects. One subject's intrusive symptoms worsened. All subjects displayed less physiological reactivity to the traumatic imagery at follow-up. Mechanisms that contribute to the effectiveness of EMD and recommendations for future study were discussed. [Author Abstract]
Keywords: Adults Arousal Child Abuse Exposure Therapy Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness
Accuracy Verified: Yes
23. Vienot, R. C. (1998, July). A comparison of eye movement desensitization and reprocessing and biofeedback/stress inoculation training in treating test anxiety. Union Institute and University, Cincinnati, OH. AAT 9822000.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) treatment, Biofeedback/Stress Inoculation Training (B/SIT) treatment, and no treatment (NT) were compared in treating test anxiety. Subjects (30) reporting test anxiety were randomly assigned to EMDR, B/SIT or NT. Treatment consisted of three 90 minute sessions using B/SIT and one 45 minute session/three 75 minute sessions using EMDR. Treatment therapists were licensed psychologists, counselors or social workers with two to twenty years experience using EMDR or B/SIT. Subjects in the NT group were offered treatment following the study. Six dependent variables were measured pre/post: trait and state anxiety (State Trait Anxiety Inventory, STAI-T.S.), test anxiety (Test Anxiety Inventory, TAI-T.W.E.), rationality of personal beliefs (Rational Behavior Inventory, RBI), negative self statements (TAI-W) and self report of physiological response (Autonomic Perception Inventory, APQ) using.05 level. ANOVAs were performed followed by a Newman-Keuls Multiple Comparison. There was a significant interaction between pre-post tests and type of group on all dependent measures except the RBI. EMDR showed a tendency toward greater improvement from pre to post test than B/SIT and NT. There were no significant differences between groups on the pre test. Post group means indicated: (a) STAI-S, there was no difference between the groups; (b) STAI-T and APQ, EMDR and B/SIT had a greater reduction than NT; (c) TAI-E, EMDR showed more reduction than B/SIT and NT; (d) TAI-T and W, there were differences between all three groups with EMDR showing the most reduction. A meta-analysis was performed to determine clinical significance. Prior to treatment all three groups were above the normative effect size of 1 SD. The NT group showed no change on post tests. The EMDR group showed a larger reduction in effect size than B/SIT. Based on the data both EMDR and B/SIT reduced test anxiety with EMDR generally outperforming B/SIT. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(1-B), Jul 1998, pp. 0430.
Keywords: Biofeedback/Stress Biofeedback Training Empirical Study Inoculation Training Stress Management Test Anxiety Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
24. Maxfield, L. (2008). Considering mechanisms of action in EMDR. Journal of EMDR Practice and Research, 2(4), 234-238. doi:10.1891/1933-3196.2.4.234.
Language: English
Format: Journal
Abstract:
This special issue of the Journal of EMDR Practice
and Research contains a number of articles that address
preliminary issues related to these complex
questions. There are two research studies: a study
investigating the physiological effects of EM (Sack
et al.) and a study evaluating the effect of EM on the
components of autobiographical memory (Maxfi eld
et al.) . There are several articles by researchers who
have summarized their fi ndings and provided a theoretical
perspective on related issues (Lee; Propper &
Christman; Sondergaard & Elofsson; Stickgold). Two
theoretical articles propose neurobiological and other
mechanisms of action (Bergmann; Solomon & Shapiro
). All these articles make a real contribution to our
conceptualizations of EMDR mechanisms. It is our
hope and intention that this issue will stimulate thinking,
and provide ideas and models for future research,
with the expectation that fi ndings will help to guide
and direct clinical practice. (Excerpt)
Keywords: Editorial Mechanism of Action
Accuracy Verified: Yes
25. Carrigan, M., & Levis, D. (1999, January-April). The contributions of eye movements to the efficiacy of brief exposure treatment for reducing fear of public speaking. Journal of Anxiety Disorders, 13(1-2), 101-118. doi:10.1016/S0887-6185(98)00042-5.
Language: English
Format: Journal
Abstract:
The present study was designed to isolate the effects of the eye-movement component of the Eye Movement Desensitization and Reprocessing (EMDR) procedure in the treatment of fear of public speaking. Seventy-one undergraduate psychology students who responded in a fearful manner on the Fear Survey Schedule II and on a standardized, self-report measure of public speaking anxiety (Personal Report of Confidence as a Speaker; PRCS) were randomly assigned to one of four groups in a 2 × 2 factorial design. The two independent variables assessed were treatment condition (imagery plus eye movements vs. imagery alone) and type of imagery (fear-relevant vs. relaxing). Dependent variables assessed were self-reported and physiological anxiety during exposure and behavioral indices of anxiety while giving a speech. Although process measures indicated exposure to fear-relevant imagery increased anxiety during the procedure, no significant differences among groups were found on any of the outcome measures, except that participants who received eye movements were less likely to give a speech posttreatment than participants who did not receive eye movements. Addition of the eye movements to the experimental procedure did not result in enhancement of fear reduction. It was concluded, consistent with the results of past research, that previously reported positive effects of the EMDR procedure may be largely due to exposure to conditioned stimuli (ScienceDirect).
Keywords: Americans College Students Empirical Study Experimental Stressors Females Phobia Psychophysiology Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
26. Pagani, M., Högberg, G., Fernandez, I., & Siracusano, A. (2013). Correlates of EMDR therapy in functional and structural neuroimaging: A critical summary of recent findings. Journal of EMDR Practice and Research, 7(1), 29-38. doi:10.1891/1933-3196.7.1.29.
Language: English
Format: Journal
Abstract:
Neuroimaging investigations of the effects of psychotherapies treating posttraumatic stress disorder
(PTSD), including eye movement desensitization and reprocessing (EMDR), have reported findings
consistent
with modifications in cerebral blood flow (CBF; single photon emission computed tomography
[SPECT]), in neuronal volume and density (magnetic resonance imaging [MRI]), and more recently in
brain electric signal (electroencephalography [EEG]). Additionally in the recent past, EMDR-
related neurobiological
changes were monitored by EEG during therapy itself and showed a shift of the maximal
activation from emotional limbic to cortical cognitive brain regions. This was the first time in which
neurobiological changes occurring during any psychotherapy session have been reported,
making
EMDR
the first psychotherapy with a proven neurobiological effect. The purpose of this article was to review the
results of functional and structural changes taking place at PTSD treatment and presented during the
period of 1999–2012 by various research groups. The reported pathophysiological changes are presented
by neuropsychological technique and implemented methodology
and critically analyzed.
Keywords: EEG Limbic System MRI Neurobiology SPECT
Accuracy Verified: Yes
27. Resick, P., Monson, C., Griffin, M., Rothbaum, B., Rasmusson, A., & Shalev, A. (2006, November). Cortisol pre and posttreatment with EMDR or prolonged imaginal exposure in PTSD assault survivors. In Psychobiology and Treatment of PTSD. Symposium conducted at the 22nd annual meeting of the International Society for Traumatic Stress Studies Fall Conference, Hollywood, CA.
Language: English
Format: Conference
Abstract:
Psychobiological treatment of PTSD: This symposium will examine four CBT treatment studies with
regard to biological markers. The questions here are whether pretreatment
psychobiology or physiological responding can be used to
predict treatment outcome, or whether they themselves change as a
result of effective treatment.
Cortisol pre and posttreatment with EMDR or
prolonged imaginal exposure in PTSD assault
survivors: Many studies have noted increased cortisol production in trauma
survivors with PTSD, but it is not clear whether effective treatment
alters these responses. As part of a larger study, 60 female sexual
assault survivors with PTSD began one of two types of cognitivebehavioral
treatment (Prolonged Exposure (PE) or EMDR). Each
treatment consisted of nine sessions. Sessions 1 and 2 included
information gathering, trauma education, and therapy preparation.
Sessions 3 through 9 consisted of processing traumatic memories
and emotions via either imaginal exposure or EMDR.To examine
potential cortisol changes over the course of treatment, salivary cortisol
samples were collected at three time points during treatment. A
baseline sample was taken at session 1, a second sample was taken at
the start of the treatment portion of therapy (session 3), and a third
sample was taken at the end of treatment (session 9). Of the original
sample of 60 participants, 50 women completed treatment, and ten
dropped out. Cortisol responses will be examined in treatment
responders and non-responders as well as in treatment completers
vs. treatment dropouts.
Keywords: Cortisol Posttraumatic Stress Disorder Prolonged Imaginal Exposure Assault PSTD Survivors Symposium
Accuracy Verified: Yes
28. Jensma, J. (1999, Summer). Critical incident intervention with missionaries: A comprehensive approach. Journal of Psychology and Theology, 27(2), 130-138.
Language: English
Format: Journal
Abstract:
When people are exposed to, or involved in, traumatic occurrences, they are at risk for PTSD to follow in the wake. This involves more than psychological discomfort; it involves a host of physiological, mental, emotional, and spiritual sequelae. The results of trauma can be so debilitating that a missionary might be unable to continue to minister. The effects can last a lifetime. Given the relatively high level of risk for missionaries to experience critical incidents and the possible aftereffects, it is important for churches and mission boards to have an adequate and comprehensive approach to member care in ministering to missionaries when they encounter critical incidents. A comprehensive plan would include critical incident stress debriefing as soon as possible after an incident, one-to-one counseling -- preferably with a therapist trained in eye movement desensitization and reprocessing (EMDR) -- for those individuals experiencing complex PTSD, debriefing for the debriefers, and a post-critical incident seminar at least 3 months after the incident. [Author Abstract]
Keywords: Complex PTSD Literature Review Missionaries Posttraumatic Stress Disorder Psychological Debriefing PTSD Recent Events Stressors Survivors
Accuracy Verified: Yes
29. 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.
Accuracy Verified: Yes
30. van Eijk, M. & ter Braak, A. (2008, Maart). De noodkreet van het lijf: Het lichaam spreekt [The cry of the body: The body speaks]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
De gevolgen van psychotrauma manifesteren zich in de meeste gevallen in de vorm van herbelevingen, vermijding, emotionele ontregeling, concentratiestoornissen en dergelijke.
Lichamelijke klachten worden inmiddels ook steeds vaker herkend als een van de gevolgen van PTSS.
In deze workshop wordt naast aandacht voor de theoretische achtergrond van psychofysiologische reacties, ingegaan op wat men als EMDR- therapeut in de praktijk kan tegenkomen: dit kan variëren van selectief mutisme tot stigmata en van verlammingsverschijnselen tot visus uitval. Een en ander wordt geïllustreerd aan de hand van voorbeelden en videomateriaal.
The effects of psychotrauma manifest themselves in most cases in the form of reexperiencing, avoidance, emotional disturbance, impaired concentration and the like.
Physical symptoms are also now increasingly being recognized as one of the effects of PTSD.
This workshop will next focus on the theoretical background of psycho-physiological responses, discuss what they like EMDR therapist in practice may encounter: this may range from selective mutism to stigmata and paralysis to vision loss. This is illustrated by examples and video material.
Keywords: Body Psychophysiological Responses Somatic
Accuracy Verified: Yes
31. Rassin, E., Muris, P., & Merckelbach, H. (1996). De pijndempende werking van eye movement desensitization and reprocessing (EMDR) is beperkt [The pain attenuation of EMDR is limited]. Directieve Therapie, 16(3), 274-284. doi:10.1007/BF03060149.
Language: Dutch
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) werd in 1989 door Shapiro geïntroduceerd als een therapeutische techniek voor Posttraumatische stress–stoornis (PTSS). Sindsdien hebben diverse EMDR–;therapeuten geopperd dat deze interventie ook toepasbaar is bij andere trauma–gerelateerde klachten. In een studie van Hekmat, Groth en Rogers (1994) is geclaimd dat EMDR effectief is bij de behandeling van pijn. In het onderhavige onderzoek is deze claim verder onderzocht. Daartoe werden 45 gezonde vrijwilligers onderworpen aan 8 elektrische prikkels. De proefpersonen werden verdeeld over 3 groepen: een groep die behandeld werd met EMDR, een groep die ter afleiding van de prikkels naar een cartoon keek, en een controlegroep waarbij geen verdere interventie werd uitgevoerd. Zowel fysiologische als subjectieve reacties op de pijnprikkels werden geregistreerd. Op geen enkele effectmaat werden verschillen tussen de drie groepen gevonden. In de discussie wordt dit resultaat in een breder perspectief geplaatst.
Eye Movement Desensitization and Reprocessing (EMDR) was introduced by Shapiro in 1989 as a therapeutic technique for posttraumatic stress disorder (PTSD). Since then several EMDR, therapists suggested that this intervention is also applicable to other trauma-related symptoms. In a study by Hekmat, Groth and Rogers (1994) has claimed that EMDR is effective in treating pain. In the present study further investigated this claim. For this purpose, 45 healthy volunteers subjected to 8 electrical stimuli. The subjects were divided into 3 groups: one group treated with EMDR, a group that as a distraction from the stimuli to a cartoon look, and a control group with no further intervention was performed. Both physiological and subjective responses to pain stimuli were recorded. In no effect size differences were found between the three groups. In the discussion, this results in a wider perspective.
Keywords: Pain Attenuation
Accuracy Verified: Yes
32. Worthington, R. (2012, April). Dealing with trauma as an intervention for aggression: A review of approaches and the value of reprocessing. Journal of Aggression, Conflict and Peace Research, 4(2), 108-118. doi:10.1108/17596591211208319.
Language: English
Format: Journal
Abstract:
The purpose of this paper is to explore the impact of trauma with specific consideration to the neurological impact this has on information processing and potential links with aggression. Design/methodology/approach - This paper provides a summary of the literature in relation to theories of aggression and trauma. The paper considers how the two may interact and overlap and considers a theoretical rationale for why addressing trauma through a treatment such as Eye Movement Desensitization Reprocessing (EMDR) may assist to reduce aggression. Findings - The paper argues that the experience of trauma may contribute to inputs which may take a person closer towards engaging in aggression. This is consistent with information processing models and unified models of aggression such as the General Aggression Model. Factors that were specifically identified included physiological hyper-arousal, hostile attributions of stimulus, and neurological impairments. In addition, the paper also argued that there is evidence that as a result of trauma, a person's ability to provide cognitive accounts for the function of their behaviour may also be impaired because of the reduced interactivity between the two prefrontal hemispheres. Research limitations/implications - The paper argues that as a result, interventions designed to reduce aggression may benefit from including additional elements which directly assist clients to process emotional information and that a reprocessing treatment such as EMDR could assist to reduce levels of emotional arousal and improve treatment effectiveness. Differences in the way in which EMDR is carried out and the variances in treatment protocols used should be attended to increase the reliability of future research. Originality/value - Current modes of aggression therapy have focused on exposure based and cognitive behavioural therapy (CBT). However, there is evidence that EMDR has benefits over exposure and CBT approaches because of the way in which cognitive verbal accounts of the trauma are not required and because EMDR does not require the individual to have insight into their trauma experience and the link with aggression.
Keywords: Aggression Trauma Treatment
Accuracy Verified: Yes
33. Mendez Carrillo, F. M., Quiles Sebastian, M. J., & Ortigosa, J. M. (2002). Desensibilización por movimiento de ojos y reprocesamiento: Una década después [Eye movement desensitization and reprocessing: A decade later]. Psiquis: Revista de Psiquiatria, Psicologia Medica y Psicosomatica, 23(1), 39-47.
Language: Spanish
Format: Journal
Abstract:
Zehn Jahre nach Francine Shapiro hat ihren ersten Artikel über Eye Movement Desensitization und die Wiederaufbereitung Methode (EMDR), Interesse an der therapeutischen Anwendung, theoretische Fundierung und physiologischen Mechanismen beteiligt ist gestiegen. Der vorliegende Beitrag führt eine bibliometrische Analyse der wissenschaftlichen Produktion zu dieser Methode ein Jahrzehnt nach ihrer Präsentation in der wissenschaftlichen Gemeinschaft. Die wichtigsten Ergebnisse zeigen, dass die produktivsten Jahre 1996, ist Deutschland das Land, dass die meisten veröffentlichte mit dem Thema und der Autor mit der größeren Anzahl von Literaturangaben Hinsicht ist Francine Shapiro. Auf der anderen Seite ist posttraumatischen Belastungsstörungen der Pathologie, in der EMDR wurde hauptsächlich beantragt hat.
Ten years after Francine Shapiro edited her first article about Eye Movement Desensitization and Reprocessing method (EMDR), interest in the therapeutic application, theoretical basis and involved physiological mechanisms has increased. The present article carries out a bibliometric analysis on the scientific production about this method a decade after its presentation to the scientific community. The main results indicate that the most productive year is 1996, United States is the country that has published most with regard the subject and the author with the greater number of bibliographical references is Francine Shapiro. On the other hand, posttraumatic stress disorder is the pathology in which EMDR has been principally applied.
Accuracy Verified: Yes
34. Shapiro, F., Lake, K., & Norcross, J. C. (2003, November). Desensibilización y reprocesamiento por movimientos oculares (EMDR): Un tratamiento integrador para el trauma [Eye movement desensitization and reprocessing (EMDR) as an integrative treatment for trauma]. Revista de Psicotrauma para Iberoamérica, 2(3), 4-12.
Language: Spanish
Format: Journal
Abstract:
EMDR es un método psicoterapéutico integrador que ha sido designado oficialmente una forma efectiva de tratamiento para el trastorno de estrés postraumático en la comunidad internacional. El EMDR de ocho fases proporciona un método eficiente, estructurado y seguro para hacer frente a los efectos nocivos de los eventos traumáticos. Varios aspectos del método EMDR, incluyendo su capacidad para hacer frente a los componentes múltiples de la experiencia del trauma (creencias, emociones, sensaciones fisiológicas), han hecho un llamamiento a los psicoterapeutas de diversas orientaciones teóricas. Aunque existen muchas similitudes entre el método EMDR y otros sistemas de las psicoterapias, EMDR es un enfoque distinto, debido, en parte, al uso de un modelo de procesamiento de información para explicar la psicopatología. Protocolos EMDR incorporan una combinación única de elementos que se piensa extender los resultados positivos del tratamiento. [Autor Resumen]
EMDR is an integrative psychotherapeutic approach that has been officially designated an effective form of treatment for PTSD within the international community. The eight-phase EMDR provides an efficient, structured, and safe method for addressing the deleterious effects of traumatic events. Various aspects of EMDR, including its ability to address the multiple experiential components of trauma (beliefs, emotions, physiological sensations), have appealed to psychotherapists of diverse theoretical orientations. Though many similarities exist between EMDR and other systems of psychotherapies, EMDR is a distinct approach due, in part, to its use of an information processing model to explain psychopathology. EMDR's protocols incorporate a unique combination of elements that are thought to extend positive treatment outcomes. [Author Abstract]
Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressor Survivors
Accuracy Verified: Yes
35. Softic, R, & Becirovic, E, (2009, Septembra). Desenzitizacija pokretima ociju i reprocesiranje (EMDR): Kada su rijeci nemocne [Desensitization of eye movements and reprocessing (EMDR): When words are disabled]. Prvi Psihoterapijski Simpozijum Bosne I Hercegovine Sarajevo, Bosnia and Herzegovina.
Language: Serbian
Format: Conference
Abstract:
Neki ljudi doţive traumatska stanja koja ne mogu u potpunosti opisati rijeĉima. Mnogi od njih nikada ni ne progovore o tome što su doţivjeli. Ali patnja se u njima nastavlja i organizam, a ĉesto i okolina plaćaju ogromnu cijenu. U takvim sluĉajevima psihoterapija koja koristi rijeĉi je nemoćna. Istraţivanja upućuju da jedna, relativno nova psihoterapijska metoda desenzitizacija pokretima oĉiju i reprocesiranje (EMDR), moţe pomoći i takvim osobama.
Kada neko iskusi ozbiljnu psihološku traumu, ĉini se da dolazi do narušavanja ravnoteţe u nervnom sistemu. Ta ravnoteţa je, moguće, narušena i posredstvom razliĉitih medijatora poput adrenalina, serotonina, dopamina, kortizola itd. Zbog takve neravnoteţe onemogućeno je optimalno funkcioniranje sistema za procesiranje informacija, a informacije vezane uz traumatiĉan dogaĊaj poput slika, zvukova, afekata i fiziĉkih senzacija se zadrţavaju u disfunkcionalnom, uznemirujućem obliku. Danas izranja shvatanje da postoji неуролошки balans u razliĉitim fiziološkim sistemima što omogućuje da informacije budu procesirane na adaptivan naĉin. EMDR kod nekih traumatiziranih djeluje ĉak i kada osoba ne moţe govoriti o tome što je preţivjela. Ono što je bitno jeste da se fokusira na traumatski dogaĊaj i da suraĊuje sa terapeutom u procesu stimulisanja dualne paţnje što omogućava adaptivno procesiranje informacija. Adaptivno procesiranje znaĉi uspostavljanje adekvatnih asocijacija i pojavu da iskustvo biva konstruktivno ugraĊeno u pozitivne kognitivne i emocionalne sheme pojedinca. Odnosno, oslobaĊa od simptoma i omogućava da se nova iskustva doţive bez blokirajućeg uticaja traume.
Some people doţive traumatic conditions that can not fully describe in words. Many of them never to speak of it as doţivjeli. But the suffering in them continues and the body, and environment, and often pay a huge price. In such cases psychotherapy that uses words of the powerless. Research suggests that a relatively new psychotherapeutic methods desensitization and reprocessing eye movement (EMDR), and can help such people.
When someone has experienced serious psychological trauma, it seems that there is a violation of equilibrium in the nervous system. This equilibrium is possible, and disrupted through a variety of mediators such as adrenaline, serotonin, dopamine, cortisol, etc.. Because of such imbalance prevented the optimal functioning of the system for information processing and information related to traumatic an event such as images, sounds, physical sensations and affects it retains in the dysfunctional, disturbing form. It emerges that there is understanding of neurological balance in different physiological systems, which allows information to be processed on adaptive manner. EMDR works by some traumatized even when the person can not talk about what is preţivjela. What is important is to focus on the traumatic events and to co-operate with the therapist in the process of stimulating the attention of the dual provides adaptive information processing. Adaptive processing means getting the right associations and the emergence of the experience of being a built-in positive constructive cognitive and emotional schemas of the individual. That is, oslobaĊa of symptoms and allows for new experiences doţive without blocking effects of trauma.
Keywords: Doţ ivjeli Preţ ivjela
Accuracy Verified: Yes
36. Scaer, R. (2006, September). Dissociation theory and the healing of trauma. Plenary at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The early studies of trauma in late 19th century Paris
centered on the clinical phenomenon of conversion
hysteria, a dissociative disorder. Janet and Freud
wrote extensively on this topic, and actually
described many of the posttraumatic syndromes that
we are revisiting today. I will make the case that the
late syndromes of Posttraumatic Stress Disorder,
especially dissociation, are clearly the defining
symptomatic and physiological manifestations of
trauma. These syndromes all have prominent
somatic features, all of which represent posttraumatic
sornatosensory implicit memory. This unconscious,
body-based feature of the posttraumatic syndrome
presents a compelling case for the universal
application of somatically-based therapies such as
EMDR in the healing of trauma.
Keywords: Dissociation Plenary
Accuracy Verified: Yes
37. 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
38. Meneses, J. A. (2007). Efectividad del EMDR, en la reducción de la ansiedad extrema a los exámenes academicos, en las alumnas de los sextos cursos del instituto tecnológico “Eloy Alfaro”, de la ciudad de esmeraldas, durante el ano 2.006 [Effectiveness of EMDR in reducing extreme anxiety to academic examinations in the students of the sixth technical institute courses "Eloy Alfaro" emerald city, during the year 2006]. Universidad Central Del Ecuador, Facultad de Ciencias Psicologicas, Instituto Superior de Postgrado, Quito, Ecuador.
Language: Spanish
Format: Dissertation/Thesis
Abstract:
El EMDR, es un método psicoterapéutico, efectivo para reducir la ansiedad extrema a los exámenes académicos, a niveles normales, en un 88.8%, de los casos, en 9.25 sesiones de tratamiento, como promedio, con un nivel de confianza del 95 y 99%, en las alumnas de los sextos cursos, del Instituto Tecnológico “Eloy Alfaro, de la ciudad de Esmeraldas, durante el año 2.006. OBJETIVOS DE APRENDIZAJE:
1. Demostrar que EMDR, es efectivo también para reducir la ansiedad extrema a los exámenes académicos.
2. Informar que EMDR, reduce además a niveles normales los sistemas de respuestas de ansiedad cognitiva, fisiológica, y motora y la ansiedad a la evaluación.
3. Concienciar que EMDR, provoca también cambios cognitivos, emocionales y conductuales, como por ejemplo, el aumento de la autoestima y de la autoeficacia.
4. Comunicar que, luego del estudio de seguimiento, se estableció que EMDR, es efectivo en la reducción de la ansiedad extrema a los exámenes, en forma estable, es decir sin que se produzcan recaídas o sustitución de síntomas
In this study, which is kind of explanation, then use the hypothetical-deductive method with a quasi-experimental design with experimental and control group, formed at random, with pre and post treatment, with statistical processing of data, with the Student t test, and ANOVA before and after treatment, and once tested the hypothesis, it was established that:
EMDR is a psychotherapeutic method, effective in reducing extreme anxiety to academic tests to normal levels in 88.8% of the cases, treatment sessions 9.25, on average, with a confidence level of 95 and 99 % of pupils in the sixth course, the "Eloy Alfaro" Technological Institute in Esmeraldas City Ecuador during the year 2006.
LEARNING OBJECTIVES:
1. Show that EMDR is also effective to reduce extreme anxiety to academic exams.
2. Report that EMDR also reduces systems to normal levels of anxiety responses cognitive, physiological, and motor and anxiety evaluation.
3. Awareness that EMDR also causes cognitive, emotional and behavioral, for example, increased self-esteem and self-efficacy.
4. Report that, after the follow-up study established that EMDR is effective in reducing extreme anxiety tests in stable form, ie without the occurrence of relapse or symptom substitution.
Keywords: Anxiety Eloy Alfaro Students
Accuracy Verified: Yes
39. Meneses, J. A. (2007, Novembro). Efectividad del EMDR, en la reducción de la ansiedad extrema a los exámenes académicos, en las alumnas de los sextos cursos del instituto tecnológico “Eloy Alfaro”, de la ciudad de Esmeraldas, Ecuador, durante el año 2.006 [Effectiveness of EMDR in reducing extreme anxiety, academic tests, students in the sixth high school courses technological "Eloy Alfaro" City Esmeraldas, Ecuador, during the year 2006]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.
Language: Spanish
Format: Conference
Abstract:
Objetivos de aprendizaje:
• Demostrar que EMDR es efectivo también para
reducir la ansiedad extrema a los exámenes
académicos.
• Informar que EMDR reduce además a niveles
normales los sistemas de respuestas de
ansiedad cognitiva, fisiológica, y motora y la
ansiedad a la evaluación.
• Concienciar que EMDR provoca también
cambios cognitivos, emocionales y conductuales,
como por ejemplo: el aumento de la
autoestima y de la autoeficacia.
• Comunicar que luego del estudio de seguimiento,
se estableció que EMDR, es efectivo
en la reducción de la ansiedad extrema a los
exámenes, en forma estable, es decir, sin que
se produzcan recaídas o sustitución de
síntomas.
Learning Objectives:
• Demonstrate that EMDR is effective also for
reduce extreme anxiety tests
academics.
• Inform that EMDR also reduces levels
normal response systems
cognitive anxiety, physiological, and motor and
evaluation anxiety.
• Raise awareness that EMDR also results
cognitive, emotional and behavioral
such as: increased
self-esteem and self-efficacy.
• Communicate that after the follow-up study
established that EMDR is effective
in reducing the extreme anxiety
examinations, in a stable, ie without
relapses occur or replacement of
symptoms.
Keywords: Ecuador Test Anxiety
Accuracy Verified: Yes
40. Kutz, I., Dekel, R., Schreiber, S., Resnick, V., Dolberg, O. T., Barkai, G., Leor, A., Rapoport, E., & Bloch, M. (2008, November). The effect of a single session of EMDR on intrusive distress in acute stress syndromes. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
Early diagnosis and intervention in mass
casualty events: Since September 2000, Israeli and Palestinian societies suffered
great losses. on the Israeli side, civilians of all ages, and ethnic
groups, have been exposed to various types of terrorist attacks.
This symposium examines issues of diagnosis and interventions
The effect of a single session of EMDR on intrusive distress in acute stress syndromes: Purpose: To examine the efficacy of a single session of a modified
abridged EMDR protocol in reducing Acute Stress Syndromes
(ASS) following accidents and terrorist bombing attacks.
Methods: Treatment was provided, in a general hospital inpatient
and out-patient setting to 86 patients with ASS.
Friday: 11:00 a.m. – 12:15 p.m.
Presenters are underlined and discussants are italicized.
If serving in both roles, they are both underlined and italicized. Findings: Fifty percent reported immediate fading of their intrusive
symptoms and general alleviation of their distress, 27% described
partial alleviation of their symptoms, while 23% reported no
improvement. Four week and six month follow-up, in the terror
victims group only, showed that the immediate responders
remained symptom free, while half of the non-responders, who
also received subsequent additional interventions modalities, were
still symptomatic.
Conclusions: The difference in response may be attributed, in part,
to the fact that immediate responders tended to have an
uncomplicated ASS with fewer risk factors for PTSD, while the
non-responders had higher exposure to former traumas and
endorsed more risk factors for PTSD. These results support other
anecdotal reports on the rapid effects of brief EMDR intervention in
uncomplicated cases and offer a psycho-physiological hypothesis
for immediate response. While additional controlled studies are
essential, this immediate symptomatic relief may be a potential
addition for focused interventions in acute trauma victims.
Keywords: Acute Stress Disorder ASD Bombings Israel Palenstine Panel Symposium Terrorists
Accuracy Verified: Yes
41. Vaughan, K. (1995, June). The effect of eye movement component of EMDR on emotional processing and arousal in PTSD. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract: T
he aim of this study is to investigate in a controlled manner the effect of eye movements on emotional processing and physiological
arousal in 22 PTSD patients. Changes in emotional processing and physiological arousal were measured before during and after
EMDR eye movement procedure: for this experiment the EMDR procedure was varied: with a condition with eyes moving in a
normal manner; with eyes watching a stationary non-moving finger; and with eyes closed acting as a control condition.
In order to measure emotional processing a manual for measuring emotional processing was made. In addition to the results of this
experiment the main features of this manual for scoring emotional processing including reliability measures will also be presented.
Physiological arousal was measured using galvanic skin response.
Keywords: Arousal Emotional Reprocessing Eye movement Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
42. Nettz, S. L. (1995, August). Effects of a single session of EMDR, flooding, and a credible placebo treatment on traumatic memories in male veterans. Illinois Institute of Technology, Chicago, IL. AAT 9614404.
Language: English
Format: Dissertation/Thesis
Abstract:
This study explored the effectiveness of a single session of three different treatments for traumatic memories. Subjects were 45 adult males, randomly assigned to Eye Movement Desensitization and Reprocessing (EMDR), Flooding, or Placebo therapy (Modified Avoidance Response Conditioning [ MARC]). Self-report and physiological measures were employed to measure treatment effectiveness. Subjects completed the following pre-treatment inventories: Michigan Alcohol Screening Test, Impact of Event Scale, State-Trait Anxiety Inventory, Questionnaire on Mental Imagery, and the Treatment Credibility Questionnaire. Post-treatment measures included self-report measures (Subjective Units of Distress [ SUDs] and Treatment Credibility Questionnaire) and physiological measures (heart rate, skin conductance, and skin temperature). Treatments were rated as equally credible before and after the session. Both EMDR and Flooding produced a significant decrease in the self-report of anxiety compared to the Placebo (MARC) group. Neither heart rate or skin conductance channels showed a significant change for any of the three groups during post-treatment assessment phases. However, skin temperature was significantly lower for the Flooding group compared to the MARC group during two post-treatment phases, suggesting that the Flooding group was more physiologically aroused than Placebo (MARC) subjects. Findings suggest that during Flooding, exposure to disturbing elements of a trauma is associated with physiological arousal, which in turn leads to lessening of subjective distress. However, a different mechanism may account for EMDR treatment effects. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(1-B), Jul 1996, pp. 0687
Keywords: Adults Emotional Trauma Empirical Study Evaluation Male Memory Military Treatment Effectiveness Treatment Outcome/Clinical Trial Veterans
Accuracy Verified: Yes
43. Goodwin, D., Banner, L., & Hayward, R. (1995, June). Effects of EMDR in treating erectile dysfunction measured by magnetic resonance imaging. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The experimenters seek to determine whether the reported anxiety-relieving effects of (EMDR) can be effectively applied to patients reporting erectile dysfunction and whether the expected changes in levels of anxiety can be measured as a function of changes in brain function observed through MRI tracings. The MRI is well suited to reflect hypothesized changes in the lowering of sympathetic arousal and the increasing of parasympathetic arousal as a response to EMDR procedures. This investigation, using the MRI brain scanning procedures was followed in stages of (1) establishing criteria for the radiological determination of characteristics of brain function measured with the MRI that descriminate between levels of experimentally induced anxiety and (2) conducting an experimental investigation of the application of EMDR while patients are undergoing the MRI scanning protocol. Psychological measures include the Personality Assessment Inventory(PAI) to screen for psychotherapy of subjects, the Impact of Events Scale(IOE), and the State-Trait Anxiety Inventory(STAI). Correlations between these scales and ratings of physiological changes are reported.
Keywords: Erectile Dysfunction MRI Scanning Protocol Symposium
Accuracy Verified: Yes
44. MacCulloch, M. (2006, December). Effects of EMDR on previously abused child molesters: Theoretical reviews and preliminary findings from Ricci, Clayton, and Shapiro. Journal of Forensic Psychiatry and Psychology, 17(4), 531-537. doi:10.1080/14789940601075760.
Language: English
Format: Journal
Abstract:
We publish in this issue a preliminary and tentative account of the reduction of deviant sexual arousal, as measured by phallometry, by eye movement desensitisation and reprocessing (EMDR). The purpose of this editorial is to show that the conclusions of Davidson and Parker (2001), and the comment by Salkovskis, can now be set aside, and to present our readers with some theoretical thoughts on some of the mechanisms by which EMDR could induce its effects, including trauma reduction. A major bar to the further acceptance of EMDR as a treatment and as an inviting research topic stems from the fact that workers still cannot see how eye movements can cause the reported clinical changes and the increasing number of temporally related psycho-physiological phenomena. This editorial suggests that the organs of computation of the mind have evolved by natural selection to solve problems of survival and, signally, include corollary discharge and feed forward (CD-FF) mechanisms by which they intrinsically function and also interact with one another. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Abused Child Molesters Editorial Pedophilia Physiology Sexual Arousal
Accuracy Verified: Yes
45. Schubert, S. (2010, July). The efficacy and psycho physiological correlates of dual-attention tasks in EMDR. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Methods: Sixty-two non-clinical
participants with negative autobiographical memories received a single EMDR session that involved fixed or varied rate eye
movements, or exposure without eye movements. Subjective units of distress and vividness of the memory were recorded at
pre-treatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress (SUDs)
than EMDR-without eye movements. Psycho physiological measures were continuously recorded throughout each session.
Results: Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement
sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses
were more frequent in the eye movement than no-eye movement condition at the start of exposure. Conclusion: These
findings indicate that eye movements in EMDR are beneficial, and are coupled with distinct psycho physiological changes
that may aid in the processing of negative memories. Implications for clinical practice, directions for future research, and the
importance of building bridges between East & West whilst conducting EMDR research will also be discussed.
Keywords: Dual Attention Poster Physiological Correlates
Accuracy Verified: Yes
46. Schubert, S. (2010, July). The efficacy and psychobiological correlates of dual-attention task. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The study being presented aimed to investigate the psycho physiological correlates and the effectiveness of different dualattention
tasks used during eye movement desensitisation and reprocessing (EMDR). Sixty-two non-clinical participants
with negative autobiographical memories received a single EMDR session that involved fixed or varied rate eye movements,
or exposure without eye movements. Subjective units of distress and vividness of the memory were recorded at pretreatment,
post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress (SUDs)
than EMDR-without eye movements. Psycho physiological measures were continuously recorded throughout each session.
Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets;
heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were
more frequent in the eye movement than no-eye movement condition at the start of exposure. These findings indicate that
eye movements in EMDR are beneficial, and are coupled with distinct psycho physiological changes that may aid in the
processing of negative memories. Implications for clinical practice, directions for future research, and the importance of
building bridges between East & West whilst conducting EMDR research will also be discussed.
Keywords: Dual Attention Psychophysiological Correlates
Accuracy Verified: Yes
47. Schubert, S. (2009, June). The efficacy and psychophysiological correlates of different dual attention tasks in EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Amsterdam, The Netherlands.
Language: English
Format: Conference
Keywords: Dual Attention Poster
Accuracy Verified: Yes
48. Schubert, S. J., Lee, C. W., & Drummond, P. D. (2011, January). The efficacy and psychophysiological correlates of dual-attention tasks in eye movement desensitization and reprocessing (EMDR). Journal of Anxiety Disorders, 25, 1-11. doi:10.1016/j.janxdis.2010.06.024.
Language: English
Format: Journal
Abstract:
This study aimed to investigate the psychophysiological correlates and the effectiveness of different dual-attention tasks used during eye movement desensitization and reprocessing (EMDR). Sixty-two non-clinical participants with negative autobiographical memories received a single session of EMDR without eye movements, or EMDR that included eye movements of either varied or fixed rate of speed. Subjective units of distress and vividness of the memory were recorded at pre-treatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress than EMDR-without eye movements. Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. Findings indicate that the eye movement component in EMDR is beneficial, and is coupled with distinct psychophysiological changes that may aid in processing negative memories.
Keywords: Eye Movements Autobiographical Memory Psychophysiology Orienting Response
Accuracy Verified: Yes
49. Salvador, M. C. (2010). El trauma psicologico: Un proceso neurofisiologico con consecuencias psicologicas [Psychological trauma: A neurophysiological process with psychological consequences]. Revista de Psicoterapia, 20(80), 5-16.
Language: Spanish
Format: Journal
Abstract:
En este artículo se argumenta el impacto y las secuelas del trauma psicológico en el organismo y sus repercusiones a nivel neurofisiológico. El trauma psicológico, cuando se experimenta disociación, se registra en el sistema de memoria implícita y procedimental de manera somato-sensorial, manifestando alteraciones significativas en multitud de sistemas de funcionamiento fisiológico que posteriormente actúan como mecanismos de mantenimiento y recuerdo. Se presenta una base para el enfoque del trabajo terapéutico sobre los fenómenos fisiológicos como introducción y base al abordaje con técnicas neurofisiológicas como el EMDR y Brainspotting.
This article argues the impact and consequences of psychological trauma on the body and its impact on neurophysiological level. The psychological trauma when experiencing dissociation, is recorded in the system of implicit memory and procedural manner somatosensory, showing significant changes in many physiological functioning systems then act as maintenance mechanisms and memory. We present a basis for the focus of therapeutic work on the introduction and physiological phenomena based on the approach to neurophysiological techniques such as EMDR and Brainspotting.
Keywords: Neurophysiology
Accuracy Verified: Yes
50. Grbesa, G., Simonovic, M., & Jankovic, D. (2010, April). Electrophysiological changes during EMDR treatment in patients with combat-related PTSD. Annals of General Psychiatry, 9(Supplement 1), S209. doi:10.1186/1744-859X-9-S1-S209.
Language: English
Format: Journal
Abstract:
1st International Congress on Neurobiology and Clinical Psychopharmacology and European Psychiatric Association Conference on Treatment Guidance
Background
Efficiency of the EMDR procedure is based on a presumption of neuropsychological changes in therapeutic process.The aim of the investigation is to scann and give evidence of electroactivity changes, during the process of EMDR procedure and after finishing it.
Materials and methods
We have recorded a continual polygraph EEG, before, during and after EMDR therapy, in patient with combat-related PTSD.
Results
Before the treatment, EEG recorded basic activity of low voltage (attenuation) of 20 μV, frequency of beta range (17-26 Hz), bioccipital, with no pathologic activity. Patient had prominent vegetative symptoms (anxiety, heart rate 100/min). Background activity immediately after the treatment records the amplitude values of around 50 μV, frequency of around 11-12 Hz. After the end of the treatment background activity possesses the amplitude value of about 37 μV, holding the persistence in frequency.
Conclusions
If the EMDR treatment is successful, sudden increase of amplityde activity is noted imensly. This sharp border line, which signifies normal activity, appears in 2-3 seconds affter the desensitize phase. The investigation suggest that from neurophysiological point of view, cortex (in EMDR procedure), works according to the principle "all or nothing". If there is processing of traumatic memory, the activity gets completly normal. If the therapy is not successful, there are numerous artefacts, because of increased muscle activity. This kind of activity, in our investigation is marked as "Artefact therapy".
The results, indicate maintaining low level of amplitude values of electrocortical activities during the treatment, as well as increase after successful treatment. The increase of amlitude is corelated to decrease of anxiety after the successful treatment.
Acknowledgements
The results, indicate maintaining low level of amplitude values of electrocortical activities during the treatment, as well as increase after successful treatment. The increase of amlitude is corelated to decrease of anxiety after the successful treatment.
References
EEG Asymmetry and its Clinical Correlates in PTSD, Steven Silverstein, Stewart Shankman Lea Williams, Patrick Hopkinson, Richard Bryant
Keywords: Combat Electrophysiological Change Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
51. Sittig, K. J. (2008, September). EMDR and hypnotherapy: Integration of EMDR and hypnotherapy. An innovative, highly- efficient, resources – based method for PTSD - treatment [EMDR und hypnotherapie]. Preconference presentation on EMDR at the European Congress of Hypnosis, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Treat the trauma without treating the trauma
The common opinion is that you can not resolve a trauma simply by installation of resources. Resource activation effectuates the stabilization of the patient before starting the trauma treatment. But if the resources are tailored exactly fitting the trauma–action–system that decreases the trauma arousal (SUD) or even resolves it completely.
The author could find this to be true in many cases in his psychotherapeutic work. The patients feel secure in their private sphere, because it is neither necessary to describe the traumatic experiences absorbed nor to experience them again!
This method is based on the target–focused sensitization of Resources–Ego-States (SUR–scale) exactly consistent with the trauma experience. Therefore it is necessary to define a new paradigm and a new scale: EMDR generates or reinforces resource– action–systems. To measure the arousal of the resources use the
SUR–scale, Subjective Units of Resources.
The author shortly describes and explains his model of hypno–systemic trauma therapy, the psycho–physiological and the neuro–physiological model. The integration of EMDR and hypno–systemic trauma therapy effectuates another benefaction: The therapist activates his own resources in his everyday work!
Previous knowledge is not necessary.
Keywords: Hypnotherapy
Accuracy Verified: Yes
52. Welch, K. L. (2007, August). EMDR and neuroscience research: Some questions and implications for psychotherapy integration. EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
Since its introduction, Eye Movement Desensitization and Reprocessing (EMDR) (Shapiro, 1989) has received the attention of many mental health professionals. There has been much critical debate on the subject of EMDR. Most of the clinical discussion has centered on the role of EMDR in the treatment of Posttraumatic Stress Disorder (PTSD).
While the EMDR procedure has been compared to Mesmerism (McNally, 1999), declared as pseudoscience (Herbert, Lilienfeld, Lohr, Montgomery, O’Donohue, Rosen, and Tolin, 2000), or regarded as a highly marketed placebo (Lilienfield, 1996), most studies support the efficacy of EMDR in treating PTSD (Ironson, Freund, Strauss, and Williams, 2002; Lee, Gavriel, Drummond, Richards, and Greenwald, 2002; Marcus, Marquis, and Sakai, 1997; Rothbaum, 1997; Van Etten and Taylor, 1998; Wilson, Becker, and Tinker, 1997). There has been some evidence for accompanying physiological changes in PTSD subjects treated with EMDR with patterns of cortex functioning, (Levin, Lazrove, and van der Kolk, 1999; Nicosia, 1994) event-related potential changes (Lamprecht, Kohnke, Sack, Matzke and Munte, 2004), as well as positive effects on the level of the stress hormone cortisol (Haber, Kellner and Yehuda, 2002).
Keywords: Neuroscience
Accuracy Verified: Yes
53. Browning, S. (2008, October). EMDR and self soothing. Presentation at the 1st annual EMDR Autumn Workshop, York, UK.
Language: English
Format: Conference
Abstract:
A brief review of what is happening as a physiological neurobiological level and then looking at self soothing techniques to stabilise and strengthen client's resources to tolerate EMDR processing of the trauma. Mindfulness and other techniques demonstrated and explored in a group setting. Be prepared to try it yourself!
Keywords: Self Soothing
Accuracy Verified: Yes
54. Grey, E. (2009, April). EMDR and the brain: Importance of body sensation. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA .
Language: English
Format: Conference
Abstract:
This Workshop will provide an explanation of the neuro-physiological underpinnings of the AIP model, and how memory networks are stored in the body. Educating practitioners about the neurological journey of information and the links to body sensations increases their ability to describe EDMR and how it works. A complex case of childhood ritual abuse will be presented for illustration. Participants will practice applying this understanding to cases.
Keywords: Body Sensation
Accuracy Verified: Yes
55. Shapiro, F. (2002, December). EMDR and the role of the clinician in psychotherapy evaluation: Towards a more comprehensive integration of science and practice. Journal of Clinical Psychology, 58(12), 1453-1463. doi:10.1002/jclp.10104.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that has been consistently evaluated as efficacious in the treatment of PTSD. The information processing model that guides its clinical application posits that EMDR should be effective in treating other psychological disorders that have experiential contributors. Research is needed to assess such applications. This special issue features three case series in which EMDR was applied to the treatment of complex PTSD, phobias, and chronic pain, respectively. The authors discuss deficits in the research literature, provide preliminary data on EMDR treatment of these conditions, and offer descriptive guidelines for evaluation that are achievable by the practicing clinician. Two additional articles offer preliminary data on physiological and cognitive/affective concomitants of therapeutic change. It is argued that clinicians should play a greater role in the rigorous and extensive examination of psychological treatments in the context of the exigencies of clinical practice. [Author Abstract]
Keywords: Assessment Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD EVT Integration Pain Phobia PTSD Treatment Effectiveness
Accuracy Verified: Yes
56. 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
57. Gomes, G. F. B. (2012, Novembro). EMDR e cura sistêmica: A gestação de uma nova história de vida [EMDR and systemic cure: The gestation of a new life story]. In EMDR e visão sistêmica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Objetivo: narrar a trajetória de uma cliente em relação a um trauma em específico, os desdobramentos deste, bem como os resultados do reprocessamento e sua abrangência no equilíbrio da ecologia de um sujeito tratado em duas sessões de EMDR. Pode-se afirmar que os sintomas são, em sua essência, um caminho que nos permite retornar ao evento chave, reprocessar a base traumática e a partir daí reescrever uma história saudável e, certamente, geradora de frutos em muitos níveis. O trabalho em questão apresentará a história de uma cliente que buscou a terapia com EMDR para reprocessar sua dificuldade de relacionamento com a irmã caçula. Fazia parte deste contexto, o acometimento da cliente em questão pela Doença de Crohn e Endometriose, além do desejo intenso de engravidar. Tendo-se definido o alvo, o trabalho com EMDR iniciou-se. Após duas sessões de reprocessamento, a cliente não só havia conseguido resolver a questão fraterna que lhe afligiu por 16 anos como, por meio de avaliação médica, constatou estar assintomática para o Crohn e com o processo de Endometriose sob controle. Ainda como possível desdobramento deste processo, o sujeito desta história pôde realizar um desejo muito especial: a gestação com a qual vinha sonhando. Após a compilação dos dados deste caso clínico, conclui-se que o EMDR é, em sua natureza, um tratamento orientado para o corpo, sendo a cura de um trauma efetivado somente quando se atinge o sistema como um todo em seus níveis fisiológico, neurológico e psicológico.
Objective: To narrate the story of a client in relation to a specific trauma, the ramifications of this, and the results of reprocessing and its coverage in the ecological balance of a subject treated in two sessions of EMDR. It can be said that the symptoms are, in essence, a way that allows us to return to the key event, reprocess the traumatic basis and from there to rewrite a story healthy and certainly generating fruit on many levels. The work in question will present the story of a client who sought therapy with EMDR to reprocess its difficult relationship with her younger sister. It was part of this context, the involvement of the client in question by Crohn's disease and endometriosis, besides the intense desire to become pregnant. Having set up the target work with EMDR started. After two sessions of reprocessing, the client had not only managed to solve the issue fraternal afflicted him for 16 years as a through medical evaluation, found to be asymptomatic for Crohn's and with the process of endometriosis under control. Yet as possible unfolding of this process, the subject of this story could make a very special wish: pregnancy with which had been dreaming. After compiling the data in this case study, it is concluded that EMDR is, in its nature, a treatment-oriented body, and the healing of trauma effected only when it reaches the system as a whole in their physiological levels, neurologic and psychological.
Keywords: Crohn's Disease Endometriosis Standard Protocol Systemic Cure
Accuracy Verified: Yes
58. Kapoula, Z. (2010, April). EMDR effects on pursuit eye movements. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This study aimed to objectivize the quality of smooth pursuit eye movements in a standard laboratory task before and after Eye Movement Desensitization and Reprocessing (EMDR) session. EMDR was applied on subject’s autobiographic worries causing moderate distress. The EMDR session was complete in 5 out of 7 cases; distress measured by SUDS (Subjective Units of Disturbance scale) decreased to near zero value. Smooth pursuit eye movement was recorded by Eyelink II video system before and after EMDR. For these five subjects, pursuit eye movement improved after EMDR session, namely the number of CUS (Catch-up saccades) decreased and reciprocally, the gain of the smooth components of the pursuit increased. Such improvement of the smoothness of the pursuit presumably reflects better employment of visual attention needed to follow the target accurately. Perhaps EMDR reducing distress activates a cholinergic effect known to improve ocular pursuit. This approach is novel, Eye movement semiology is known to be a great tool for exploring brain function and plasticity. This preliminary study might be a starting point for further studies of other types of eye movements bringing together neuroscience and psychotherapy.
Learning objectives: Learn the physiologic correlates of EMDR. During EMDR practice observation of the quality of eye movement (smooth and saccadic) can provide to the practitioner valuable, non-verbal feedback.
EMDR can stimulate different types of research, including laboratory research.
Keywords: Eye Movements Research Symposium
Accuracy Verified: Yes
59. Beer, R., & Hornsveld, H. (2005, November). EMDR en Eetstoornissen: Conceptualisatie en klinische toepassingen [EMDR and eating disorders: Conceptualisation and clinical applications]. Presentatie aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Renee Beer en Hellen Hornsveld bespreken in deze presentatie toepassingsmogelijkheden van EMDR bij patiënten met uiteenlopende eetstoornissen.
Eerder is over dit onderwerp gepresenteerd door beide spreeksters op een EMDR Netwerkavond in 2004 en op het Europese EMDR congres in 2005.
Samenvatting
Patiënten met Eetstoornissen (Anorexia Nervosa, Bulimia Nervosa, Binge eating disorder) krijgen doorgaans een multidisciplinaire behandeling, waarin verschillende modules een complementaire rol spelen. Resultaten zijn echter vaak teleurstellend en daarom zijn nieuwe ideeën en technieken welkom. Mogelijkheden en beperkingen van EMDR in combinatie met Cognitieve Gedragstherapie (C.G.T.) worden besproken en geïllustreerd met videobeelden.
Renee Beer zal toelichten en demonstreren
-hoe EMDR geplaatst kan worden in de context van C.G.T.,
-waarom het aantrekkelijk is voor adolescenten (“een coole combi”),
-welke targets in aanmerking kunnen komen (o.a. traumaverwerking, lichaamsbeeld en zelfbeeld),
-hoe deze targets bewerkt kunnen worden,
-en wanneer in het behandelingsproces EMDR in aanmerking komt.
Hellen Hornsveld zal vervolgens haar ervaringen presenteren met een eigen protocol ter behandeling van eetbuien en eetdrang. Dit protocol is voortgekomen uit de observatie dat patiënten vaak heftige, negatieve emoties vertonen tijdens cue exposure. Cue exposure is een gedragstherapeutische techniek, waarbij de patiënt blootgesteld wordt aan de prikkels die doorgaans een eetbui uitlokken (geur, smaak,aanwezigheid van “verboden” voedsel) zonder dat de eetbui daarbij plaats mag vinden (responspreventie). De procedure is gericht op het laten uitdoven van de fysiologische reacties op de eetbui prikkels (Jansen, 1997). Op de inhoud van de reacties en de emotionele betekenis die geassocieerd is met het eten, wordt verder niet ingegaan. De EMDR variant van dit protocol is juist gericht op de betekenisverlening en het creëren van een zo hoog mogelijke emotionele lading (“balletje op de berg”) door zoveel mogelijk het EMDR protocol te volgen. Positieve ervaringen met dit protocol zullen aan de hand van videomateriaal worden gedemonstreerd.
Renee Beer and Hellen Hornsveld in this presentation discuss applications of EMDR in patients with various eating disorders.
This issue was presented by speakers at an Evening Both EMDR Network in 2004 and the European EMDR conference in 2005.
Summary
Patients with Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, binge eating disorder) tend to have a Multidisciplinary treatment, a complementary role Which modules. Results in loss or are disappointing and therefore welcome new ideas and techniques. Possibilities and limitations of EMDR in combination with cognitive behavioral therapy (CBT) are discussed and illustrated with videos.
Renee Beer will demonstrate and explain
-How EMDR Can Be Placed in the context of CBT,
-Why is it Attractive for adolescents ("a cool combination)
Targets, Which Are Eligible (e.g. trauma, body image and self-image)
How-thesis targets Can be edited
And when in the process of EMDR treatment is Eligible.
Hellen Horn Field Will then present experiences with ITS ITS own protocol for the treatment of binge eating and eetdrang. This protocol is derived from the observation That Patients in loss or intense negative emotions show consistently cue exposure. Cue exposure is a behavioral technique in Which the patient is Exposed to the stimuli That Provoke Normally a binge (smell, taste, presence of "forbidden" foods) without taking the binge Which Should Be (response prevention). The procedure is aimed at gradually between the physiological responses to the binge stimuli (Jansen, 1997). The content of the emotional responses and Significance associated with the food is not Considered Further. The EMDR variant of this protocol is very focused on the perspectives and Creating the Highest Possible emotional charge (ball on the Mountain ") as much as Possible, the EMDR protocol to follow. Positive experience with this protocol using Will Be video material locally.
Keywords: Eating Disorders
Accuracy Verified: Yes
60. Fizel, D., Shapiro, F., Borderson, G., & Frank-NcNeil, J. (1997). EMDR for trauma (eye movement desensitization and reprocessing). Washington, DC: American Psychological Association.
Language: English
Format: Video
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is an approach that combines elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although eye movement stimulation has garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions which are organized into eight phases of therapy. EMDR is based on the assumption that specific experiences from the past continue to guide the client's responses in the present. To influence such experiences from the past, EMDR draws on an information processing model of behavior. Disturbing trauma-related information is believed to be held in the patient's nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information so that what is useful from the experience can be learned; stored appropriately, cognitively and affectively; and made available for behavioral guidance in the future. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. The goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable. [Videorecording : DVD video 1 videodisc (53 min.) : sd., col. ; 4 3/4 in.]
Keywords: Trauma
Accuracy Verified: Yes
61. Shapiro, F., & Broderson, G. (1997). EMDR for trauma: Eye movement desenitization and reprocessing. Washington, DC: American Psychological Association.
Language: English
Format: Video
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a complex treatment approach that combines salient elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although the eye movement stimulation (and other forms of dual stimulation used in the approach) have garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions, which are organized into eight phases of therapy. Currently, 13 completed controlled studies of EMDR make it one of the most researched methods of psychotherapy used in the treatment of trauma. Its efficacy has been supported by these studies: the four most recent studies of victims who have suffered single traumas have demonstrated that after the equivalent of three 90-minute sessions, 84% to 90% of patients no longer have symptoms of posttraumatic stress disorder (PTSD; Rothbaum, 1997; Wilson, Becker, & Tinker, 1995).
EMDR is based on the assumption that specific experiences from the past continue to guide the client`s responses in the present. These experiences can be the "big T" traumas that result in PTSD or the "small t" traumas that are the ubiquitous experiences known to have a less dramatic but still negative impact on personality and behavior.
To influence such experiences from the past, EMDR draws on an information processing model of behavior. Conceptually, disturbing trauma-related information is believed to be held in the patient`s nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information in an adaptive fashion so that what is useful from the experience can be learned; stored appropriately, cognitively, and affectively; and made available for behavioral guidance in the future. What is useless to adaptation, such as excess negative emotions, irrational self-assessments, and disturbing physical sensations, can be discarded.
Assessment is focused not on global diagnoses but rather on specific delineations of problematic behaviors, attitudes, and affects that need to be transmuted to allow for adaptive resolution of trauma or conflict. Specifically, the EMDR clinician asks, what is the patient being influenced by past experiences to do in the present that is dysfunctional and what is he or she prevented from doing that would be adaptive?
Although originally applied to PTSD, EMDR shows promise in a variety of clinical complaints that are based on earlier life experiences that underlie the pathology and current experiences and that restimulate the disturbance. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. In all cases, the goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable.
EMDR as an eight-phase intervention approach can be considered a complete treatment in some clinical cases, or it may be part of a more complex treatment plan that includes other more traditional approaches to treating a specific pathology (e.g., borderline personality disorder). Within this latter integrative context, EMDR appears to be useful for a broad range of clinical complaints and seems to provide more rapid achievement of positive treatment effects than do these more traditional approaches alone.
Dr. Shapiro identifies her approach as "eye movement desensitization and reprocessing." What does this imply to you? More specifically, what do you expect of her? Will Dr. Shapiro be active or passive? Will the session be structured or unstructured? Directive or nondirective? Will it focus on the past or on the present? Will the session focus on behaviors, on thoughts, or on feelings? What do you expect to be the relative balance between attention to technique versus the interpersonal interaction?
Keywords: Client Francine Shapiro Male
Accuracy Verified: Yes
62. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N. L., & Muroaka, M. Y. (1995, June). EMDR in combat-related PTSD: A controlled study. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
In view of potential, but largely undocumented benefits of eye movement desensitization and reprocessing (EMDR) as an intervention for PTSD in combat veterans, in our laboratory a study of EMDR treatment included (1) randomized patient assignment, (2) clinically appropriate comparison (treatment and control) groups, (3) a 12-session EMDR protocol administered by experienced, EMDR trained clinicians, and (4) extensive clinical assessment, including physiological evaluation at pre-treatment, post-treatment, and 3-month follow-up. Thirty-five veterans who met DSM-IV criteria for PTSD completed an extensive multimodal assessment protocol. Assessment instruments included: The Mississippi Scale for Combat-Related PTSD, the Impact of Events Scale (IES), the Clinician Administered PTSD Scale (CAPS), a self-rating of overall severity of "PTSD symptoms," the Beck Depression Inventory, and the Spielberger State and Trait Anxiety Inventories (STAI). In addition, each subject completed a Stressful Scene Construction Questionnaire (SSCQ) in which scripts of specific traumatic combat incidents were prepared for presentation during psychophysiological assessment. Following pre-assessment, a subset of the subjects constituted a waiting list control (CON, N = 12). Routine clinical care for these subjects was available at the VA Medical Center. Seven of these subjects also participated in group sessions for discussion of PTSD designed as an attentional control. There were no differences between the two control subgroups and their data was combined for all subsequent analyses. For the treatment groups, subjects assigned to the EMDR (EMD, N = 10) and relaxation (RXT, N = 13) groups were seated in a semi-reclined chair and continuous measures were taken of muscle tension levels (four sites), hand temperature, skin conductance levels, heart rate, and blood pressure. For all subjects, there were 20 minutes in each of the baseline sessions with no additional stimuli presented. At the end of session 2 of baseline, the patients remained in the experimental room and were assessed for an additional 20 minutes (pre-treatment) during which the SSCQ scripts also were presented. There were two sessions per week with a minimum of one day between sessions. Each subsequent treatment session for the EMD and RXT subjects was approximately 60 minutes in duration, allowing for set-up time and briefing. In the EMD group, a standard protocol for the EMDR interventions was administered, including periodic SUDS ratings and VoC scaling of combat and related images and cognitions (cf Shapiro, 1995). In the RXT group, home relaxation tapes and biofeedback on four sites (face, neck, arm, and back) to assist lowered muscle tension were provided. Following 12 treatment sessions (post-treatment), and again after three months (follow-up) the psychometric instruments and psychophysiological assessment were readministered using the format outlined above. Relative to the other conditions, the EMDR treatment produced substantially more positive clinical effects at post-treatment and follow-up. Comparing the EMD group to the CON group, significant effects (p<.05 or better) were obtained on measures of PTSD including the Mississippi and PTSD symptoms self-rating, and on the Beck and STAI-Trait. Comparing the EMD group to the RXT subjects, significant differences were found on the Mississippi, the IES-Intrusion scale, the CAPS, PTSD symptoms ratings, and the STAI-Trait scale. No differences were obtained on any of the physiological measures. Therefore, the present results support the effectiveness of EMDR with combat veterans with chronic PTSD. The data strongly suggest that some previous negative results obtained when EMDR was applied to chronic and severe combat PTSD may have resulted from methodological artifacts, such as inadequate amount of treatment and therapist inexperience. While the failure to find physiological effects is consistent with results of other controlled treatment exposure trials in PTSD, this finding raises clinical and conceptual questions with respect to the arousal component of the disorder.
Keywords: Combat Controlled Study
Accuracy Verified: Yes
63. Schneider, J., Hofmann, A., Rost, C., & Shapiro, F. (2008, January-February). EMDR in the treatment of chronic phantom limb pain: Theoretical implications, case study, and treatment guidelines. Pain Medicine, 9(1), 76-82. doi:10.1111/j.1526-4637.2007.00299.x.
Language: English
Format: Journal
Abstract:
Objective: Little research substantiates long-term gains in the treatment of phantom limb pain. This report describes and evaluates an eye movement desensitization and reprocessing (EMDR) treatment with extensive follow-up. Design: A case series of phantom limb pain patients. Setting. In-patient hospitalization and out-patient private practice. Patients: Case series of five patients with phantom limb pain ranging from 1 to 16 years. All patents were on extensive medication regimens prior to EMDR. Interventions: Three to 15 sessions of EMDR were used to treat the pain and the psychological ramifications. Outcome Measures: Patients were measured for continued use of medications, pain intensity/frequency, psychological trauma, and depression. Results: EMDR resulted in a significant decrease or elimination of phantom pain, reduction in depression and posttraumatic stress disorder (PTSD) symptoms to subclinical levels, and significant reduction or elimination of medications related to the phantom pain and nociceptive pain at long-term follow-up. Conclusions: The overview and long-term follow-up indicate that EMDR was successful in the treatment of both the phantom limb pain and the psychological consequences of amputation. The latter include issues of personal loss, grief, self-image, and social adjustment. These results suggest that (1) a significant aspect of phantom limb pain is the physiological memory storage of the nociceptive pain sensations experienced at the time of the event and (2) these memories can be successfully reprocessed. Further research is needed to explore the theoretical and treatment implications of this information-processing approach. [PubMed]
Keywords: Chronic Pain Empirical Study Follow-up Study Phantom Limb Pain Quantitative Study
Accuracy Verified: Yes
64. Amato, M. (2008, Novembre). EMDR nel servizio screening post-partum [EMDR in the post-partum screening service]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
L’attività è stata svolta presso l’U.O. di ginecologia-ostetricia di Lamezia Terme nella quale è stato attivato uno Screening sulla “Depressione in gravidanza e nel puerperio” che ha come obiettivo primario di individuare i soggetti vulnerabili alla depressione o PN- PTSD e di rilevare i fattori di rischio: vulnerabilità e/o scatenanti e i fattori protettivi. La gravidanza e il parto sono eventi fisiologici che segnano un periodo determinato del ciclo di vita di una donna. Sono eventi che attivano vissuti emotivi intensi e predispongono la donna ad una eccessiva sensibilità e vulnerabilità. In questo periodo la donna contatta e fa proprie una serie di processi identificativi assunti nell’infanzia che possono, se non bene rielaborati, bloccare il comportamento responsivo della futura madre con comportamenti non idonei e convizioni target inadeguate. Anche la presenza di eventi di vita stressanti possono sovraccaricare la donna a livello emotivo tale da strutturare comportamenti poco adattivi da provocare serie difficoltà nella gestione del bambino.
Nel sistematizzare tale screening si è adoperato il metodo EMDR sia nell’ambito dell’assessment nella raccolta delle informazioni dal punto degli aspetti diagnostici con riferimenti alla mappa dei traumi, che nella cura nell’uso dei tices, taping, posto al sicuro in soggetti particolarmente vulnerabili.
Tale metodologia si è dimostata efficace in quanto:
• individua in brevissimo tempo il target delle difficoltà con i possibili traumi,
• attiva i fattori di protezione con istallazione delle risorse positive,
• desensibilizza e fluidifica gli stati emotivi intensi,
• velocizza la risoluzione dei comportamenti disadattavi in comportamenti adattivi adeguati al maternage, al ben-essere della donna e della genitorialità.
The activity was held at the U. O. gynecology-obstetrics Lamezia Terme in which it was activated a screening on "Depression in pregnancy and childbirth" which has as main objective to identify those vulnerable to depression or PN-PTSD and to detect risk factors: vulnerability and / and protective factors or triggers. Pregnancy and childbirth are physiological events that mark a given period of the life cycle of a woman. They are events that trigger intense emotional experiences and predispose women to an excessive sensitivity and vulnerability. During this time she makes contact, and their identification processes undertaken a series of childhood that can, if not well elaborated, lock the responsive behavior of the mother with inappropriate behavior and inappropriate convictions target. The presence of stressful life events can overload the woman on an emotional level that structuring behavior just to cause serious problems in adaptive management of the child.
In systematizing this screening method was used in EMDR is of the Assessment in collecting information from the diagnostic aspects with reference to the map of trauma care in the use of which tices, taping, safe place particularly in subjects vulnerable.
This methodology is effective because it can show:
• identify the target in the shortest time possible difficulty with trauma,
• active protection factors with installation of positive resources,
• desensitizes and liquify the intense emotional states,
• speeds up the resolution of maladaptive behavior in adaptive behaviors adapted to mothering, the well-being of women and parenting.
Keywords: Post-Partum Depression
Accuracy Verified: Yes
65. Shapiro, F., Beutler, L., Norcross, J., Maxfield, L., & Rogers, S. (2002). EMDR research and its future: Ecological validity, process research, component analysis, outcome findings, and sociopolitical context. Panel discussion at the Society for Psychotherapy Research International Conference, Santa Barbara, CA.
Language: English
Format: Conference
Abstract:
This panel presentation addresses ecological validity, process factors, methodological variables, and sociopolitical context in the interpretation and dissemination of outcome research. Since its introduction, EMDR (eye movement desensitization and reprocessing) has been the focus of controversy because of its departure from existing paradigms, its non-traditional dissemination, and immoderate claims for rapid effectiveness. This panel reviews the socio-political context in which EMDR developed and its relevance for other emerging psychotherapeutic approaches. Findings from a recent methodological meta-analysis are reviewed to provide an empirical context for assessing the range of results in different outcome studies. Specific client, therapist, and methodological variables that could account for disparities in outcome are examined and implications for interpreting research outcomes are discussed. The panel also summarizes the findings of various recent studies that identified the effects of eye movements as decreasing vividness and emotionality of memory, physiological arousal, and in-session subjective distress. Findings from two recently completed studies are reported in which both process variables and active ingredients were examined. Limitations of the group design approach to the dismantling of psychotherapies are also discussed.
Keywords: Panel Discussion
Accuracy Verified: Yes
66. Maxfield, L., & Smyth, N. (2009, August). EMDR research: Where we stand, where we should go, and why we should care. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
The panel reviews EMDR research, explains the strengths and weaknesses of its current status, and discusses possible future research in the next 5 to 10 years. The panel begins with a discussion of the meaning of “evidence-based” designations, and related legal and ethical implications. A review of EMDR’s efficacy in the treatment of PTSD also highlights areas for future research and issues related to deviations from the standard protocol. This is followed by an overview of preliminary research evaluating EMDR’s effectiveness in the treatment of anxiety disorders, depression, somatic disorders, pain, substance abuse, and offender behavior. A summary of past and current research in these areas indicates opportunities for important future research. The panel concludes with a summary of the research on the effects of eye movements, in disrupting traumatic memories, enhancing physiological de-arousal, and creating psychological distance. The relevance of these findings for various proposed mechanisms in EMDR is discussed, and future research is encouraged.
Accuracy Verified: Yes
67. Grey, E. (2008, September). EMDR theory exists: An explanation of neuro-physiological underpinnings. Presentation at the annual meeting of EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
EMDR Theory Exists is designed to provide a peer reviewed explanation of the neuro-physiological underpinnings of the AIP model. Through educating practitioners on the links between bilateral stimulation and the brain one’s ability to describe EMDR to consumers increases. The brain mechanisms impacted by bilateral stimulation move memories into a stage in which a human naturally heals. These neuro-physiological underpinnings are illustrated through synthesis with a complex case of childhood ritual abuse. Participants will be furnished the opportunity to practice applying these underpinnings to cases and improve their ability to explain EMDR’s potential impact on a consumer.
Keywords: Theory
Accuracy Verified: Yes
68. Jacobs, S., & Strack, M. (2007, Mai). EMDR und biofeedback in der therapie posttraumatischer belastungsstörungen. Evaluation eines neuropsychotherapeutischen [EMDR and biofeedback therapy in post-traumatic stress disorder. Evaluation of a neuropsychology treatment program]. Symposium at the (R. Keller, Chair) Workshoptagung der European Society für traumatische Stress Studies (EWOTS), Hamburg, Deutschland.
Language: German
Format: Conference
Abstract:
Evaluiert wurde ein neu entwickeltes multimodales, neuropsychotherapeutisches
Programm zur Behandlung der
posttraumatischen Belastungsstörung (PTB). Ausgehend
von neueren Befunden aus den Neurowissenschaften, die
darauf hinweisen, dass eine Dissoziation zwischen implizitem
und explizitem Traumagedächtnis die wesentliche
Grundlage der PTB darstellt, wurden verschiedene Module
in das Behandlungsprogramm integriert. Dazu gehören
neben
der gezielten Bereitstellung von Informationen über
die Störungszusammenhänge, ein Patientenedukationsfilm,
spezielle kognitiv-behaviorale Interventionstechniken
sowie Biofeedback gestütztes Eye Movement Desentization
and Reprocessing (EMDR). Ziel der Anwendung des
Biofeedback im Rahmen der EMDR-Sitzungen ist es zum
einen, den PatientInnen implizite Prozesse während der
Traumaexposition zurückzumelden, zum anderen wird
anhand der Biofeedback-Aufzeichnung das Ausmaß der
Übereinstimmung zwischen subjektivem Belastungsgrad
durch die traumatische Erinnerung (SUD-Rating) und
physiologisch messbarer Erregung überprüft. Als physiologischer
Parameter wurde die elektrodermale Aktivität
(Hautleitwert, EDA) erhoben.
Was evaluated a newly developed multi-modal, neuro psychotherapeutic
Program for the treatment of
post traumatic stress disorder (PTSD). Starting
by recent findings from neuroscience, the
point out that a dissociation between implicit
Trauma and explicit memory the essential
PTB is based on, were different modules
integrated into the treatment program. These include
next
targeted provision of information on
the disorder correlations, a Patientenedukationsfilm,
specific cognitive-behavioral intervention techniques
and biofeedback-assisted Eye Movement Desentization
and Reprocessing (EMDR). The aim of the application of
Biofeedback in the EMDR sessions is to
one, the patients implicit processes during the
Trauma exposure report back, on the other hand
on the basis of biofeedback recording the extent of
Agreement between subjective stress level
by the traumatic memory (SUD rating) and
measurable physiological arousal reviewed. As a physiological
Parameters, the electrodermal activity
(skin conductance, EDA) raised.
Keywords: Biofeedback Posttraumatic Stress Disorder PTSD Symposium
Accuracy Verified: Yes
69. Jacobs, S., de Jong, A., & Strack, M. (2007). EMDR und biofeedback in der therapie posttraumatischer belastungsstörungen: Evaluation eines neuropsychotherapeutischen behandlungsprogramms [EMDR and biofeedback in the therapy of posttraumatic stress disorder: Evaluation of a neuropsychotherapeutic intervention]. VPP - Verhaltenstherapie & Psychosoziale Praxis, 39(4), 855-876.
Language: German
Format: Journal
Abstract:
Eine neu entwickelte multimodale, neuropsychotherapeutic Programm für die Behandlung der Posttraumatischen Belastungsstörung (PTBS) wurde ausgewertet. Ausgehend von neueren Erkenntnissen in der Forschung neuroscienctific, so dass eine Dissoziation zwischen impliziter und expliziter Trauma-Speicher die wichtigste Grundlage der PTBS ist, verschiedene Module wurden im Rahmen der Behandlung integriert anzuzeigen. Die vereinigten Komponenten sind: spezifische Hintergrundinformationen über die Unordnung und typische PTSD-Symptome, eine pädagogische Film für Patienten, spezifische kognitive Verhaltenstherapie und Biofeedback-Techniken unterstützte Eye Movement Desensitization and Reprocessing (EMDR). Das Ziel der Biofeedback-Sitzungen während EMDR ist es, den Patienten eine direkte Rückmeldung über die implizite Prozesse während der Trauma-Exposition. Darüber hinaus Erfassung der physiologischen Daten über Biofeedback ermöglicht das Testen, ob es eine Korrelation zwischen dem Grad der subjektiven Belastung durch traumatische Erinnerungen ausgelöst (quantifiziert mit der SUD-Skala), und messbare physiologische Erregung. Elektrodermale Aktivität (EDA; Hautleitfähigkeit) wurde als eine physiologische Parameter gemessen. Die Ergebnisse einer durchgeführten Pilot-Studie (16 Patienten auf der Grundlage, mit einem wartenden Gruppe als Kontrollgruppe) zeigen verschiedene EDA-Muster während EMDR-desensitivation (fad und assoziative Wiederaufbereitung). Ein offensichtlich Reduktion der PTBS-Symptome gefunden (d = 2,27) sein, die stärker ist als in anderen Behandlungen. Die traumatischen Erinnerungen mit EMDR behandelt wurde weniger Anstrengung, die ebenfalls reflektiert in der Physiologie (verminderte autonome Erregung) und in der subjektiven Belastung fühlte sich durch die Patienten. Die Kürzungen der Erregung (d = 1,01) und subjektive Belastung (d = 2,55) zeigen, dass eine effektive Hemmung der Aktivierung der Amygdala-und damit der Angstreaktion selbst-aufgrund der Intervention geschaffen. Mit EMDR reduziert die Amygdala physiologische Erregung. Wir vermuten, dass aus diesem Grund den medialen präfrontalen Kortex und im Hippocampus kann eine kortikale Inhibition, die erfolgreich reduziert die Angst-Reaktion (Grawe, 2004) zu etablieren. Die berichteten Ergebnisse wurden durch einen dreimonatigen Follow-up-Bewertung bestätigt. Mit einer durchschnittlichen Dauer von 16 Sitzungen und einer nicht vorhandenen Drop-out-Rate (0%), die Intervention erwiesen sich ebenfalls als sehr effizient. (PsycINFO Database Record (c) 2010 APA, alle Rechte vorbehalten)
A newly developed multimodal, neuropsychotherapeutic program for the treatment of posttraumatic stress disorder (PTSD) was evaluated. Starting from recent findings in the neuroscienctific research, which indicate that a dissociation between implicit and explicit trauma-memory is the main basis of PTSD, different modules were integrated within the treatment. The combined components are: specific background information regarding the disorder and typical PTSD-symptoms, an educational movie for patients, specific cognitive behavioral intervention techniques and biofeedback-supported Eye Movement Desensitization and Reprocessing (EMDR). The aim of using biofeedback during EMDR sessions is to give patients a direct feedback about the implicit processes during trauma-exposition. In addition, recording the physiological data via biofeedback allows testing if there is a correlation between the level of subjective strain, triggered by traumatic memories (quantified with the SUD-scale), and measurable physiological arousal. Electrodermal activity (EDA; skin conductance) was measured as a physiological parameter. The results of a conducted pilot-study (based on 16 patients, with a waiting group as a control group) show different EDA-patterns during EMDR-desensitivation (bland and associative reprocessing). An evident reduction of the PTSD-symptoms could be found (d = 2.27), which is stronger than in other treatments. The traumatic memories treated with EMDR became less straining, which reflects likewise in physiology (decreased autonomous arousal) and in the subjective strain felt by the patients. The reductions of arousal (d = 1.01) and subjective strain (d = 2.55) indicate that an effective inhibition of the amygdala activation—and thereby of the anxiety reaction itself—is created due to the intervention. Using EMDR reduces the amygdala induced physiological arousal. We suppose that for this reason the medial prefrontal cortex and the hippocampus can establish a cortical inhibition, which successfully reduces the anxiety reaction (Grawe, 2004). The reported results were confirmed by a three month follow-up evaluation. With an average duration of 16 sessions and a non-existing drop-out rate (0%), the intervention also proved to be very efficient. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Keywords: Biofeedback PTSD
Accuracy Verified: Yes
70. Shapiro, F. (1996, Summer). EMDR: Adaptive information processing. Independent Practitioner, 16(3), 142-146.
Language: English
Format: Journal
Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) method defines the succesful treatment of pathology as a clinician-assisted "self-healing" process. Specifically, the individual reprocesses the dysfunctional information stored in the nervous system as a result of previous disturbing events. Congruent with the principles of mind/body psychology, there is an assumed interaction of psychological and physiological processes. The nature of the clinical disorder is defined on the basis of the type of experiences that have been dysfunctionally stored and which need to be effectively processes.
Keywords: Adaptive Information Processing AIP
Accuracy Verified: Yes
71. 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
72. Montgomery, R. W. (1993). An empirical investigation of eye movement desensitization. Georgia State University, Atlanta, GA. AAT 9409413.
Language: English
Format: Dissertation/Thesis
Abstract:
Recently, a series of studies have presented a highly unorthodox procedure, Eye Movement Desensitization (EMD), which involved the repeated exposure of a subject to their own disturbing memories while generating a series of saccadic eye movements. These reports are largely clinical case reports, therefore the technique has not been empirically validated. The current investigation determined if the simple saccadic eye movements (rhythmically tracking a stimulus) in conjunction with the repeated exposure decreased the intensity of disturbing memories experienced in PTSD or whether such decreases could be obtained through repeated exposure alone. Subject's self-reports and physiological information regarding the discomfort experienced during their disturbing memories were recorded prior to, during, and following treatment. Diagnostic procedures including a structured clinical interview were utilized in making diagnoses.A series of three multiple baseline across subjects single-case experimental designs were utilized. Results indicate that rates of distress were uniformly high during the intake/baseline. The initial control treatment condition, Shapiro's EMD treatment package minus the saccadic eye movements, was ineffective in altering these high levels of distress. Treatment of these 6 patients with the EMD protocol resulted in 5 of the 6 subjects showing clinically significant decreases in their self-reported levels of distress around their intrusive disturbing memories. Physiological data also reflected greater positive change during the EMD treatment for each subject. Overall, the EMD treatment protocol resulted in over a 70% decrease in self-reported distress across the 6 subjects investigated. This investigation of the use of EMD with non-combat PTSD subjects reflects the first investigation of EMD with this population utilizing single-case experimental methodology. The results were clear and dramatic. The treatment was effective with 5 of the 6 subjects and for that subject who reported no positive changes issues of secondary gain for continued disability were salient. Overall, this report represents an attempt to investigate EMD with a PTSD population utilizing a systematically replicated multiple baseline across subjects design. Further investigation, particularly focusing on treatment package dismantling, is therefore called for with EMD. [Author Abstract]
Keywords: Clinical Trial Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
73. Sack, M., Lempa, W., & Lamprecht, F. (2005, September 24). Empirische befunde zu wirkmechanismen des EMDR [Empirical evidence of mechanisms of action of EMDR]. In A. Karl & W. Lempa, (Moderators), Symposium 2 Traumaspezifische Interventionen in Forschung und Praxis, Jahrestagung der deutschsprachigen Gesellschaft für Psychotraumatologie DeGPT, Dresden .
Language: German
Format: Conference
Abstract:
Das Traumabearbeitungsverfahren EMDR (Eye Movement Desensitization and Reprocessing) kombiniert die imaginäre Exposition mit der traumatischen Erinnerung mit repetitiver Stimulation durch Augenbewegungen oder durch taktile bzw. auditive Reize. Während die Wirksamkeit des EMDR gut belegt ist, sind die spezifischen Wirkungen der bilateralen Stimulation noch weitgehend unbekannt. Wir führten ein psychophysiologisches Monitoring mittels Impedanzkardiographie aller EMDR-Behandlungssitzungen ( N= 55) bei 10 Patienten mit PTSD durch. Aufgezeichnet wurden Herzfrequenz (HR), Parasympathikotonus (RMSSD), Sympathikotonus (PEP), und Atemfrequenz (RESP). Beginn und Ende der Stimulationsperioden (N = 811) wurden markiert. Es fand sich ein steiler Anstieg des Parasympathikotonus verbunden mit einem signifikanten Abfall der Herzfrequenz zu Beginn der Stimulationsperioden, entsprechend dem psychophysiologischen Reaktionsmuter einer deutlich ausgeprägten Orientierungsreaktion. Im weiteren Verlauf der Stimulation nahm der Parasympathikotonus wieder ab und der Sympathikotonus nahm zu, was sich als Stresseffekt während der Exposition interpretieren lässt. Im Sitzungsverlauf zeigte sich jedoch eine signifikante Abnahme der Herzfrequenz und eine Zunahme des Parasympathikotonus. Unsere Befunde weisen darauf hin, dass es während EMDR-Sitzungen zu einem signifikanten psychophysiologischen Dearousal kommt. Die Stimulation durch Augenbewegungen scheint eine Orientierungsreaktion auszulösen, die über eine passagere Erhöhung des Parasympathikotonus eine Entspannungsreaktion auslöst. Es stellt sich die Frage, inwieweit die von uns beobachteten psychophysiologischen Reaktionen mit dem Therapieerfolg korrelieren.[Author abstract]
The EMDR trauma processing method (Eye Movement Desensitization and Reprocessing) combines the imaginary exposure to the traumatic memory with repetitive stimulation of eye movements or tactile or auditory stimuli. While the effectiveness of EMDR is well documented, the specific effects of bilateral stimulation are still largely unknown. We conducted a psycho-physiological monitoring using impedance cardiography of EMDR treatment sessions (N = 55) of 10 patients with PTSD. Recorded were heart rate (HR), parasympathetic tone (RMSSD), sympathetic (PEP) and respiratory rate (RESP). Beginning and end of the stimulation periods (N = 811) were selected. There was a steep increase in parasympathetic tone associated with a significant decrease in heart rate at the beginning of the stimulation periods, according to the psycho-physiological Reaktionsmuter a clearly marked orientation reaction. In the course of the stimulation of the parasympathetic tone took off again and the sympathetic tone increased, which can be interpreted as a stress effect during exposure. During the session, however, showed a significant decrease in heart rate and an increase in parasympathetic tone. Our findings indicate that occurs during EMDR sessions to significant psychophysiological Dearousal. The stimulation of eye movements seems to trigger a policy response that triggers a transient increase in parasympathetic tone a relaxation response. This begs the question of the extent to which we have observed psychophysiological responses correlate with treatment success. [Author abstract]
Keywords: Mechanism of Action
Accuracy Verified: Yes
74. Doering, S., Bisping, V., Nora Liebergesell, N., Hoffkes, B., Junghofer, M., & Dobel, C. (2012). Erfassung neurobiologischer orrelate der EMDR-behandlung bei patienten mit zahnbehandlungsangst [Detection of neurobiological correlates of EMDR treatment in patients with dental anxiety]. Universitätsklinikum Münster, Kliniken, Psychosomatik und Psychotherapie, Forschung, Munster, Deutschland.
Language: German
Format: Other
Abstract:
Im Rahmen des zuvor dargestellten Projektes werden die Patienten vor und nach der EMDR-Intervention mit einer Magnetencephalografie (MEG) untersucht. Dabei soll erfasst werden, ob die erwarteten angstassoziierten kortikalen Aktivierungen nach der EMDR-Behandlung zurückgehen. Als Angst auslösende Stimuli werden im MEG Bilder, Geräusche und Gerüche dargeboten werden, die in Zusammenhang mit der Zahnbehandlung stehen.
As part of the [Wirksamkeit des Eye Movement Desensitization and Reprocessing (EMDR) bei Patienten mit Zahnbehandlungsphobie, (Doering, Bisping, Bohnke)] project a Magnetencephalografie (MEG) will be presented before the patients were examined before and after the EMDR intervention. It should be recognized that the expected angst associated cortical activations to go back to the EMDR treatment. As fear-inducing stimuli in the MEG images, sounds and smells will be presented, which are associated with dental treatment.
The purpose of this study is to find out whether Eye Movement Desensitization and Reprocessing (EMDR) is effective in the treatment of patients with dental phobia. This U.S. National Institues of Health Clinical trial has been completed. (U.S. National Institutes of Health ClinicalTrials.gov Identifier: NCT01207960)
Keywords: Dental Phobia
Accuracy Verified: Yes
75. Kennedy, J. (2013, April 24). Exploring alternate ways to deal with trauma. Truro Daily News, Colchester County, Nova Scotia.
Language: English
Format: Newspaper
Abstract:
I recently received EMDR training to add to my skill set of interventions to offer clients. What is EMDR, you might ask? It is the acronym for eye movement desensitization and reprocessing. This treatment was developed by Dr. Francine Shapiro to help those with trauma related disorders such as, PTSD (post traumatic stress disorder), whose natural ability to process traumatic experiences was compromised. The hypothesis is that EMDR bilateral stimulation (eye movements, audio beeps, tactile pulses) replicates REM sleep, which is presumed to assist the brain in processing the information it received during the day. The idea being that the eye movements, or other forms of bilateral stimulation, add to the therapy’s effectiveness by evoking neurological and physiological changes to aid in the reprocessing of the traumatic memories. [Excerpt]
Keywords: Adaptive Information Processing AIP General Overview
Accuracy Verified: Yes
76. Cuppen, M. (2007, Juli). Eye movement desensitisation and reprocessing, Maakt deze bijzondere behandeling voor traumagerelateerde klachten Pesso-psychotherapie overbodig? [Eye movement desensitisation and reprocessing - Does this special treatment for trauma-related symptoms Pesso-psychotherapy redundant?]. Pesso Tijdschrift, 37-49.
Language: Swedish
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing, EMDR, har i psykoterapiforskning
visats vara en effektiv behandlingsmetod av posttraumatiskt
stressyndrom, PTSD. Däremot är ögonrörelsestimuleringen,
som är ett centralt moment i metoden, kontroversiell och dess
funktion inte klarlagd.
I föreliggande undersökning randomiserades trettiosex friska försökspersoner
till en av tre stimuleringsbetingelser: ögonrörelsestimulering,
taktil stimulering eller orörligt visuellt stimuli (kontrollgrupp). Stimuleringen
kombinerades med imaginär exponering, negativ och positiv.
Utfallet av experimentet mättes i olika fysiologiska mätparametrar,
samt självskattningar av obehagsnivån (SUD). Resultaten visade signifikant
högre hudkonduktansnivå vid ögonrörelsestimulering jämfört
med kontrollgruppen, relaterat till aktivering av det sympatiska nervsystemet.
Inga signifikanta gruppskillnader fanns i de övriga mätningarna.
Mönstret av autonom aktivering kan tyda på att ögonrörelsestimuleringen
utlöser eller förstärker en orienteringsrespons, vilket vissa
teoretiker föreslagit är den verksamma mekanismen i EMDR. Dock
behövs fortsatt forskning för att förstå denna verkan, samt koppling
till terapeutisk effekt.
Eye Movement desensitization and Reprocessing, EMDR, psychotherapy research has shown to be an effective treatment of post-traumatic stress disorder, PTSD. However, ögonrörelsestimuleringen, which is the lynchpin of the method, controversial and its function is not clear. In the present study were randomized thirty-six healthy subjects to one of the three stimulation conditions: eye movement stimulation, tactile stimulation or static visual stimuli (control group). The stimulation was combined with imaginary exposure, negative and positive. The outcome of the experiment were measured in various physiological test parameters, and self-estimates the level of discomfort (SUD). The results showed significantly higher hudkonduktansnivå of eye movement stimulation compared with control group, related to the activation of the sympathetic nervous system. No significant group differences were found in the other measurements. The pattern of autonomic activation may indicate that ögonrörelsestimuleringen trigger or reinforce an orientation response, as some theorists suggested is the active mechanism in EMDR. However, further research is needed to understand this effect, and access to therapeutic efficacy.
Keywords: Pesso Psychotherapy
Accuracy Verified: Yes
77. Kitchiner, N. J., Roberts, N., & Bisson, J. I. (2006, April). Eye movement desensitisation reprocessing (EMDR). Mental Health Practice, 9(7), 40-44.
Language: English
Format: Magazine
Abstract:
The article discusses the trauma-focused psychological therapy for PTSD that was recommended by the National Institute of Clinical Excellence in Great Britain. The development of the eye movement desensitization and reprocessing (EMDR) as a psychological treatment to alleviate the distress associated with traumatic memories is explored. EMDR facilitates the accessing and processing of traumatic memories to bring an adaptive resolution of negative beliefs of physiological arousal. [Text, p. 40] [Pilots]
Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors
Accuracy Verified: Yes
78. Shapiro, F. (1991, May). Eye movement desensitization & reprocessing procedure: From EMD to EMD/R--A new treatment model for anxiety and related traumata. the Behavior Therapist, 14(5), 133-135.
Language: English
Format: Newsletter
Abstract:
This article examines the author's physiological explanation for the efficacy of eye movement desensitization, referencing the use of this treatment in her earlier (1989) study of Vietnam War veterans and victims of rape who had PTSD-related symptoms and traumatic memories.
Keywords: Posttraumatic Stress Disorder Psychophysiology PTSD Treatment Effectiveness
Accuracy Verified: Yes
79. Montgomery, R. W., & Ayllon, T. (1994, March). Eye movement desensitization across images: A single case design. Journal of Behavior Therapy and Experimental Psychiatry, 25(1), 23-28. doi:10.1016/0005-7916(94)90059-0 .
Language: English
Format: Journal
Abstract:
The use of eye movement desensitization (EMD) was investigated in a multiple baseline across two images. The subject was diagnosed as suffering from PTSD and had suffered from two distinct traumas which continued to generate intrusive disturbing images. Dependent variables included self-report information (Subjective Units of Distress, behavioral symptoms reports) and physiological data (heart rate and systolic blood pressure). Subjective and physiological data both demonstrated significant changes during the course of treatment which were maintained at a 2-month follow-up. This study represents the first investigation of EMD with multiple images within a single subject experimental design. Findings suggest that generalization across the images under investigation was not demonstrated. EMD treatment gains were clinically significant. However, the immediate and profound effects often cited in the literature were not demonstrated. [Author Summary]
Keywords: Americans Assault Case Report Females Longitudinal Study Middle Aged Motor Traffic Accidents Posttraumatic Stress Disorder PTSD Survivors
Accuracy Verified: Yes
80. Montgomery, R. W., & Ayllon, T. (1994, September). Eye movement desensitization across subjects: Subjective and physiological measures of treatment efficacy. Journal of Behavior Therapy and Experimental Psychiatry, 25(3), 217-230. doi:10.1016/0005-7916(94)90022-1.
Language: English
Format: Journal
Abstract:
Eye movement desensitization (EMD) was investigated in an experimental multiple baseline across subjects design. Six subjects who met the diagnostic criteria for PTSD were included in the study. While the EMD technique advanced by Shapiro has been reported to be clinically effective, major methodological issues have been raised which remain to be addressed. One issue raised is whether exposure to the traumatic image is sufficient to account for the reported clinical effects of EMD or whether the addition of saccadic eye movements is central to the treatment. This study attempted to address this concern by comparing two EMD-based procedures: a Non-saccade phase (without the saccadic eye movements) which functioned as a control and a second that included saccadic eye movements. Dependent variables included self-report information (SUDs, behavioral symptoms reports) and physiological data (heart rate and systolic blood pressure). The results showed no significant decreases in SUDs level with the EMD minus the saccadic eye movements procedure. However, five of the six subjects reported clinically significant decreases in their SUDs levels with the inclusion of the saccadic eye movements. This study appears to corroborate previous work employing single-case design as well as pre and postcomparisons. [Author Summary]
Keywords: Adults Americans Posttraumatic Stress Disorder Psychophysiology PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
81. Posterski, J. (2005, July 1). Eye movement desensitization and reprocessing. EAP News, 9(3), 1-2.
Language: English
Format: Newsletter
Abstract:
What is EMDR? EMDR (Eye Movement Desensitization
and Reprocessing) is a powerful and relatively new form of psychotherapy which has been very successful in helping people
who suffer from trauma, anxiety, panic, disturbing memories, post traumatic stress, and many other emotional challenges.
The EMDR therapy uses bilateral stimulation (eye movement, tactile stimulation, or acoustic stimulation) which repeatedly
activates the opposite sides of the brain, releasing emotional experiences that are Atrapped@ in the nervous system. This assists
the neuro‑physiological system, the basis of the mind/body connection, to free itself of blockages and reconnect itself.
Keywords: EAP Employee Assistance Program
Accuracy Verified: Yes
82. Shapiro, F., & Maxfield, L. (2001). Eye movement desensitization and reprocessing (EMDR): Clinical implications of an integrated psychotherapy treatment. Directions in Clinical and Counseling Psychology, 11(6), 59-71.
Language: English
Format: Journal
Abstract:
Directions in Clinical and Counseling Psychology: A collection of 12 lessons, this volume covers a wide range of concerns in mental health counseling. The lessons, which may be applied toward continuing education credits, are: (1) "Perspectives on the Essentials of Clinical Supervision" (Stephen A. Anderson); (2) "Adlerian Group Psychotherapy: A Brief Therapy Approach" (Manford A. Sonstegard, James Robert Bitter, Pari Peggy Pelonis-Peneros, and William G. Nicholl); (3) "Substance Abuse Treatment for Pregnant and Parenting Women" (Rivka Greenberg, Judith Fry McComish, and Jennifer Kent-Bryant); (4) "Family Therapy for with Lesbians and Gay Men" (Maeve Malley and Fiona Tasker); (5) "Psychological and Cognitive Correlates of Coping by Patients with Multiple Sclerosis" (William W. Beatty and Brian T. Maynard); (6) "Eye Movement Desensitization and Reprocessing (EMDR): Clinical Implications of an Integrated Psychotherapy Treatment" (Francine Shapiro and Louise Maxfield); (7) "Counseling Strategies with Women Survivors of Child Sexual Abuse" (Kathleen M. Palm and Victoria M. Follete); (8) "Identifying and Treating Body Dysmorphic Disorder" (Dean McKay); (9) "Masochistic Phenomena Reconceptualized as a Response to Trauma: Recovery and Treatment" (Elizabeth Howell); (10) "Counseling Poor, Abused, and Neglected Children in Fair Society" (Brenda Geiger); (11) "Chronic Fatigue Syndrome: Assessing Symptoms and Activity Levels for Treatment" (Constance W. Van der Eb and Leonard A. Jason); (12) "The Limitations of the DSM-IV as a Diagnostic Tool" (G. J. Tucker); and (Special Report) Jealousy, Communication, and Attachment Style (Laura K. Guerrero). Each lesson contains references. (ERIC ED464 291)
Keywords: Integrative Psychotherapy Approach
Accuracy Verified: Yes
83. Deen, M. L., & Droogendijk, J. S. (2008, Juli). Eye movement desensitization and reprocessing (EMDR): Effect van therapeutinstructies op psychologische en fysiologische maten [Eye movement desensitization and reprocessing (EMDR): Effect of therapist instructions on psychological and physiological measures]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
Op basis van eerder onderzoek door Lee en Drummond (2007) heeft dit onderzoek onderzocht de invloed
van de aard van de therapeut instructies (herbeleven en afstand) op de verwerking van pijnlijke herinneringen.
De hypothese was dat afstand instructies, instructies ten opzichte van herbeleven, zou leiden tot een
sterkere daling van subjectieve angst en nowness van het evenement. Bovendien was de verwachting dat
de levendigheid van het evenement zou afnemen tijdens de sessie, ongeacht de instructies. In elke
onder de sympathische en parasympathische activiteit van het zenuwstelsel wordt gemeten. Het was
verondersteld dat de sympathische activiteit zou een sterkere daling in de afstand conditie moet beschikken
in vergelijking met de toestand herbeleven. Een sterkere stijging werd verwacht voor de parasympathische activiteit
in de afstand staat, in vergelijking met de toestand herbeleven. Bovendien, aan het begin van de
zitting van de sympathische activiteit hoger zou zijn in het herbeleven conditie dan in de afstand
voorwaarde dat, in tegenstelling tot de parasympathische activiteit. Het onderzoek is uitgevoerd door en onder
universitaire studenten. Een gedetailleerd protocol - gebaseerd op de originele Eye Movement en Desensibilisatie
Reprocessing (EMDR; Shapiro, 1989) protocol - werd gebruikt. De deelnemers (12 mannen en 24 vrouwen,
gemiddelde leeftijd 22,4 jaar) werden gevraagd om een pijnlijke herinnering roepen, waarna de inhoud van de
geheugen was gedesensibiliseerd door een herbeleving of afstand instructies. De resultaten tonen geen verschil in
doeltreffendheid (Suds, Nowness-Scale en levendigheid) tussen afstand en herbeleven voorwaarden.
Er was ook geen significant verschil gevonden in het sympathische (PEP) en parasympathische (HR-en
RMSSD) activiteit. Mede op basis van de gebruikte maatregelen kan worden geconcludeerd dat de manipulatie van de
voorwaarden is mislukt. Voor toekomstig onderzoek wordt aanbevolen dat het protocol worden uitgebreid en het toevoegen van een
controle conditie aan het onderzoek. [Auteur abstracte]
Based on previous research by Lee and Drummond (2007) this research has examined the influence
of the type of therapist instructions (reliving and distancing) on the processing of distressing memories.
It was hypothesized that distancing instructions, compared to reliving instructions, would cause a
stronger decrease in subjective distress and nowness of the event. Furthermore it was expected that
the vividness of the event would decrease during the session, regardless of the instructions. In every
subject the sympathetic and parasympathetic activity of the nervous system is measured. It was
supposed that the sympathetic activity would have a stronger decrease in the distancing condition
compared to the reliving condition. A stronger increase was expected for the parasympathetic activity
in the distancing condition, in comparison with the reliving condition. Moreover, at the beginning of the
session the sympathetic activity would be higher in the reliving condition than in the distancing
condition, in contrast to the parasympathetic activity. The research has been conducted by and among
university students. A detailed protocol – based on the original Eye Movement Desensitization and
Reprocessing (EMDR; Shapiro, 1989) protocol – was used. Participants (12 males and 24 females,
mean age 22.4 year) were asked to recall a distressing memory, after which the content of the
memory was desensitized by either reliving or distancing instructions. Results show no difference in
effectiveness (SUDS, Nowness-Scale and Vividness) between reliving and distancing conditions.
There was also no significant difference found in the sympathetic (PEP) and parasympathetic (HR and
RMSSD) activity. Partly based on the used measures it can be concluded that the manipulation of the
conditions failed. For future research it is recommended that the protocol be expanded and to add a
control condition to the research. [Author abstract]
Keywords: Physiological Measures Psychological Measures Therapist's Instructions
Accuracy Verified: Yes
84. Wilson, D., Silver, S., Covi, W., & Foster, S. (1993, April). Eye movement desensitization and reprocessing and ANS correlates in the treatment of PTSD. Presentation at the California Psychological Association Annual Conference, San Francisco, CA.
Language: English
Format: Conference
Keywords: ANS Correlates
Accuracy Verified: Yes
85. Wilson, D., Silver, S., Covi, W., & Foster, S.- (1995, May). Eye movement desensitization and reprocessing and ANS correlates in the treatment of PTSD. Presentation at the 148th annual meeting of the American Psychiatric Association, Miami, FL.
Language: English
Format: Conference
Keywords: ANS Correlates Posttraumatic Stress Disorder PTSD
Accuracy Verified: No
86. Carlson, J., Chemtob, C., Rusnak, K., & Hedlund, N. (1996, Spring). Eye movement desensitization and reprocessing treatment for combat PTSD. Psychotherapy, 33(1), 104-113. doi:10.1037/0033-3204.33.1.104.
Language: English
Format: Journal
Abstract:
4 Vietnam veterans diagnosed with PTSD were treated with 12 sessions of eye movement desensitization and reprocessing (EMDR), targeting their combat memories. An extensive multimodal assessment battery showed very substantial clinical improvement for 3 of the veterans along a number of psychological dimensions that characterize the disorder, but not along several physiological parameters. A fourth veteran showed only very modest changes. The results are discussed in terms of the importance of several issues, including numbers of treatment sessions and differential effects of treatment on cognitive-behavioral and physiological symptoms. [Author Abstract]
Keywords: African Americans Case Report European Americans Male Middle Aged Posttraumatic Stress Disorder Psychophysiology PTSD Treatment Effectiveness Veterans Vietnam War
Accuracy Verified: Yes
87. Muris, P., Merckelbach, H., van Haaften, H., & Mayer, B. (1997, July). Eye movement desensitization and reprocessing versus exposure in vivo: A single-session crossover study of spider-phobic children. British Journal of Psychiatry, 171(1), 82-86. doi:10.1192/bjp.171.1.82.
Language: English
Format: Journal
Abstract:
Background: Eye movement desensitisation and reprocessing (EMDR) is a relatively new therapeutic technique that has been proposed as a treatment for post-traumatic stress disorder and other anxiety complaints. Method: We compared the efficacy of EMDR with that of exposure in vivo in the treatment of a specific phobia. Twenty-two spider-phobic children who met the DSM-III-R criteria for specific phobia participated in the study. Children were treated with one session of exposure in vivo and one session of EMDR in a crossover design. Treatment outcome was evaluated by self-report measures, a behavioural avoidance test and a physiological index (skin conductance level). Results: Results showed positive effects of EMDR, but also suggest that it is especially self-report measures that are sensitive to EMDR. Improvement on a behavioural measure was less pronounced, and exposure in vivo was found to be superior in reducing avoidance behaviour. With regard to skin conductance level, EMDR and exposure in vivo did not differ. Conclusions: EMDR has no additional value in treatment of this type of animal phobia, for which exposure in vivo is the treatment of choice.
Keywords: Empirical Study Exposure Therapy Phobias Spider Phobia
Accuracy Verified: Yes
88. Shapiro, F., Vogelmann-Sine, S., & Sine, L. F. (1994, October-December). Eye movement desensitization and reprocessing: Treating trauma and substance abuse. Journal of Psychoactive Drugs, 26(4), 379-391. doi:10.1080/02791072.1994.10472458.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a new psychological methodology that has been applied to a wide range of psychological disorders. Clinical reports over the past three years indicate that it is an important addition to the treatment of substance abuse. EMDR offers a structured, client-centered model that integrates key elements of intrapsychic, behavioral, cognitive, body-oriented, and interactional approaches. Treatment effects are quite rapid and, during an individual session, the therapist may witness accelerated processing of information involving a shift of cognitive structures (including the assimilation of positive beliefs) along with the desensitization of attendent traumata. The application of EMDR apparently stimulates an inherent physiological processing system that allows dysfunctional information to be adaptively resolved, resulting in increased insight and more functional behavior. The judicious use of EMDR includes a comprehensive client history and extensive preparation, allowing the client to deal with the high levels of disturbance often engendered by the treatment itself. After the inauguration of a sufficient therapeutic alliance, adequately addressing potential issues of secondary gain, and appropriate client stabilization, EMDR may be used to ameliorate the effects of earlier memories that contribute to the dysfunction, potential relapse triggers, and physical cravings. In addition, EMDR is used to incorporate new coping skills and assist in learning more adaptive behaviors. Other potential targets for reprocessing include treatment noncompliance, ambivalence about abstinence, and present crises. Finally, EMDR should be used on this clinical population only by a trained clinician who is educated and experienced with this problem area. [Author Abstract]
Keywords: Adults Drug Abuse Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
89. Wilson, D. L., Covi, W. G., & Foster, S. (1993, March). Eye movement desensitization and reprocessing: Effectiveness and autonomic correlates. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Autonomic Correlates
Accuracy Verified: Yes
90. Foster, S., & Lendl, J. (1995, September). Eye movement desensitization and reprocessing: Initial application for enhancing performance in athletes. Presentation at the annual meeting of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA..
Language: English
Format: Conference
Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed
by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and
related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam
veterans experienced a significant decrease in distressing symptoms--flashbacks,
ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional
outcomes were the subjects cognitive restructuring of what had happened to them.
Subsequent research studies reported therapeutic outcomes with a variety of disorders-
phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder
(Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first
EMDR-trained clinician to apply EMDR in performance enhancement work,
beginning with sales professionals. The authors have now used EMDR with nearly
sixty Individual athletes ranking from amateur to Olympic hopeful, across several
different sports. Their single case findings suggest that EMDR amplifies and
accelerates the benefits of standard mental training. Their data indicates EMDR
speeds psychological recovery from sport injury and coming back from a loss, adds
in working through difficulties with past coaches, reduces fears about competition,
and improves overall athletic performance.
Keywords: Athletes Performance Enhancement
Accuracy Verified: Yes
91. Wilson, D. L., Silver, S. M., Covi, W. G., & Foster, S. (1996, September). Eye movement desensitization and reprocessing: Effectiveness and autonomic correlates. Journal of Behavior Therapy and Experimental Psychiatry, 27(3), 219-229. doi:10.1016/S0005-7916(96)00026-2.
Language: English
Format: Journal
Abstract:
18 subjects distressed by memories of a specific traumatic event were randomly assigned to a single session of 1 of 3 conditions: Eye Movement Desensitization and Reprocessing (EMDR), a Time Interval Condition (TIC), or Tapping Alternate Phalanges (TAP). All subjects treated in the EMDR group showed desensitization as monitored by SUDs, which correlated with the physiological data and cessation of pronounced symptomatology. Only 1 subject in a control group showed desensitization. Compared to TIC and TAP, autonomic measures showed distinct changes during EMDR: (1) respiration synchronized with the rhythm of the eye movements in a shallow, regular pattern; (2) heart rate slowed significantly overall; (3) systolic blood pressure increased during early sets, invariable declined during abreactions, and decreased overall; (4) finger tip skin temperature consistently increased; and (5) the galvanic skin response consistently decreased in a clear "relaxation response." This relaxing effect of the eye movements suggests that at least one of the mechanisms operating during EMDR is desensitization by reciprocal inhibition, by pairing emotional distress with an unlearned or "compelled" relaxation response. [Author Summary]
Keywords: Adults Arousal Empirical Study European Americans Longitudinal Study Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
92. Foster, S. (1995, September). Eye movement desensitization reprocessing: Initial application for enhancing performance in athletes. In (Doug Asher, Presider) Non-traditional Interventions for Performance Enhancement. Colloquium presented at the 10th Annual Conference of the Association for the Advancement of Applied Sport Psychology, New Orleans, LA.
Language: English
Format: Conference
Abstract:
The Eye Movement Desensitization and Reprocessing (EMDR) procedure, developed by Francine Shapiro, PhD, was introduced as a new rapid treatment for anxiety and
related traumata. In a controlled study (Shapiro, 1989), rape victims and Vietnam
veterans experienced a significant decrease in distressing symptoms--flashbacks,
ruminating, sleep disturbance, and uncomfortable physiological arousal. Additional
outcomes were the subjects cognitive restructuring of what had happened to them.
Subsequent research studies reported therapeutic outcomes with a variety ofdisorders-
phobias (Kleinknecht, 1993), panic disorder (Goldstein, 1992), dissociative disorder
(Paulsen et el, 1993) and PTSD (Wilson et al, In press). The first author was the first
EMDR-trained clinician to apply EMDR in performance enhancement work,
beginning with sales professionals. The authors have now used EMDR with nearly
sixty Individual athletes ranking from amateur to Olympic hopeful, across several
different sports. Their single case findings suggest that EMDR amplifies and
accelerates the benefits of standard mental training. Their data indicates EMDR
speeds psychological recovery from sport injury and coming back from a loss, adds
in working through difficulties with past coaches, reduces fears about competition,
and improves overall athletic performance.
Keywords: Athletes Colloquium Performance Enhancement
Accuracy Verified: Yes
93. Vaughan, K., Wiese, M., Gold, R., & Tarrier, N. (1994, April). Eye-movement desensitisation: Symptom change in post-traumatic stress disorder. British Journal of Psychiatry, 164(4), 533-541. doi:10.1192/bjp.164.4.533.
Language: English
Format: Journal
Abstract:
A novel approach is described for the treatment of PTSD. Eye-movement desensitisation (EMD) requires the patient to generate images of the trauma in the mind and define physiological and emotional arousal states. While concentrating on these states, lateral multisaccardic eye movements are induced. Ten consecutive cases are reported who presented with symptoms originating from a range of traumas. The effectiveness of EMD in reducing symptoms outlined by DSM-III-R is described. An independent rater indicated that eight of the ten cases showed considerable improvement in the PTSD symptoms following EMD, which was maintained at follow-up. Particular reference is given to the 'specificity' of EMD in treating symptoms and the changing pattern of effect at follow-up. [Author Abstract]
Keywords: Adults Australians Females Longitudinal Study Males Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
94. Arnold, A. (2004). Eye-movement desensitization and reprocessing and specific state anxiety in female gymnasts. Union Institute and University, Cincinnati, OH. AAT 3122853.
Language: English
Format: Dissertation/Thesis
Abstract:
Forty-two female gymnasts ages 10-16 participated in a study to determine the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) on state anxiety. Each subject identified excessive anxiety on a gymnastics element resulting from a fall, injury, observed fall, or debilitating repetitive thought process. Subjects were divided into random treatment and control groups. The treatment groups received up to 3 sessions of EMDR. Both process and outcome measures were analyzed using the Subjective Units of Disturbance scale, Validity of Cognitions scale, Sport Competition Anxiety Test, and Competitive Sport Anxiety Inventory-2. EMDR was found effective in reducing cognitive anxiety, somatic anxiety, and increasing self-confidence on the targeted element. Comparison over time from pretest to follow-up revealed no significant differences in trait anxiety for either the control or experimental group. Treatment effects of reduced cognitive anxiety, reduced somatic anxiety, and increased validity of positive cognitions were maintained for 90-days following EMDR treatment. Results indicated four processesing patterns facilitating trauma resolution: methodological, transitional object, unfinished business, and insight oriented processing. Recommendations for future research include the use of EMDR with physiological measures of state anxiety, and the replication of the four distinct processing styles found in this research. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(2-B), 2004, pp. 1020.
Keywords: Anxiety Empirical Study Female Gymnasts Quantitative Study
Accuracy Verified: Yes
95. Alatalo, G. L. (1994). Eye-movement desensitization and reprocessing: A new treatment for trauma. Spalding University, Louisville, KY. AAT 9522299.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye-movement desensitization and reprocessing (EMDR) has been hailed as a new experimental treatment for survivors of trauma that can provide rapid relief from the debilitating symptoms associated with PTSD. EMDR's efficacy reportedly stems from the use of eye-movements that are postulated to stimulate physiological changes in brain activity to produce cognitive restructuring and desensitization of emotional discomfort. This novel procedure has become more prominent with reported benefits for an increasing range of clinical applications. Since there is minimal controlled research, especially in a civilian population, on psychological methods to treat the ill effects of trauma and because EMDR has limited empirical support, further controlled investigation was warranted to supplement this limited body of scientific knowledge.Consequently, the specific goals of this controlled study were to evaluate (1) the efficacy of EMDR in the treatment of civilian trauma survivors, (2) whether or not eye-movements are instrumental to the therapeutic process, and (3) the treatment impact on intrusive and avoidant symptoms. It was hypothesized that (1) an EMDR treatment group would demonstrate greater efficacy when compared to an Alternative group which followed the same treatment protocol except for the substitution of deep breathing for the eye-movements, (2) both the EMDR and Alternative treatments would show significant improvement over a Control group, and (3) there would be similar changes in intrusive and avoidant symptoms. Findings at two month follow-up indicated the EMDR group had significant reductions in intrusive/avoidant symptoms (using the Impact of Event Scale), decreased emotional discomfort related to traumatic memories (rated by Subjective Units of Distress), and improvements in positive self-evaluations (measured by the Validity of Cognition Scale). There were similar results in the Alternative group with the exception of no significant improvement in self-evaluation. This latter finding provides some support for the hypothesis that eye-movements facilitate a cognitive restructuring. Comparisons between the EMDR and Alternative treatments, however, found no significant differences on any of the dependent measures. That is, both treatments appeared to produce comparable positive results which implied eye-movements were no more effective than deep breathing. In addition, both treatments were found to be more effective in easing intrusive symptoms. Other similarities included observable relaxation reactions in both treatments. These overall findings imply a similar change mechanism. Therefore, the efficacy of EMDR may stem more from reciprocal inhibition rather than a cognitive restructuring induced by the eye-movements. If this is valid, then EMDR may be a variant of systematic desensitization. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(3-B), Sep 1995, pp. 1690
Keywords: Americans Avoidance Cognitive Impairment Empirical Study Intrusive Thoughts Longitudinal Study Self Concept Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
96. Affonso, S. D. S. (2012, Novembro). Família vítima de sequestro em cativeiro: Intervenção com EMDR e protocolo grupal integrativo como prevenção do transtorno de estresse pós-traumático [Family kidnap victim in captivity: Intervention with EMDR protocol and group integrative prevention of disorder like post-traumatic stress]. In EMDR em traumas. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Introdução: Caso de sequestro familiar onde pai e dois filhos pequenos ficaram em cativeiro por 19 horas. Mãe teve que acompanhar os outros assaltantes durante toda a ação criminosa sob ameaça de morte. Objetivo: Reestruturação da dinâmica familiar pós-trauma de sequestro por meio da aplicação do EMDR, Grupal (PGI) e sistêmico familiar como recurso teórico e prático da resolução do trauma. Justificativa: Aplicação do EMDR como instrumento eficaz e mediador em situações de sequestro familiar, minimizando suas consequências. Empoderar a família para uma reorganização segura reincorporando as atividades do cotidiano e as biopsicossociais. Os componentes desta família foram vítimas de violência urbana com abusos emocionais físicos e ameaças de morte constantes. Metodologia: Foram realizado sete atendimentos. O primeiro com o Protocolo Grupal Integrativo (Suds e Voc - projeção do futuro com 03 membros da família) e o restante com o EMDR individual (CN-CP-Voc-E-S-Suds) e Sistêmico Familiar. Período de julho a novembro de 2011 em consultório particular na região de São Paulo. Conclusão: ao término dos atendimentos foi possível observar a capacidade de reorganização da dinâmica familiar com a resolução dos traumas por meio da aplicação do EMDR. Possibilitando o retorno gradativo dos filhos às atividades diárias e escolares, com o término dos pesadelos e comportamentos fisiológicos decorrentes do trauma sofrido, confirmando, assim, a potencialidade que o EMDR individual, grupal fortalecem e recuperam a reestruturação familiar pós-trauma em sequestro.
Introduction: Case of kidnapping family where father and two small children were in captivity for 19 hours. Mother had to follow the other robbers throughout the criminal action under threat of death. Objective: Restructuring family dynamics posttraumatic sequestration through the application of EMDR Group (PGI) and systemic family as a resource of theoretical and practical resolution of trauma. Rationale: Application of EMDR as an effective tool and mediator in situations of family abduction, minimizing their consequences. Empower the family to secure a reorganization reincorporating everyday activities and biopsychosocial. The components of this family were victims of urban violence with physical and emotional abuse constant death threats. Methods: We conducted seven sessions. The first Protocol to the Integrative Group (Suds and Voc - projection of the future with 03 family members) and the rest with the individual EMDR (CN-CP-You-ES-Suds) and Systemic Family. From July to November 2011 in private practice in the region of São Paulo. Conclusion: At the end of the visits was possible to observe the ability of reorganization of family dynamics with the resolution of trauma through the application of EMDR. Allowing the gradual return of the children to their daily activities and school, with the end of nightmares and physiological behaviors resulting from trauma, thereby confirming the potential that the EMDR individual, group and strengthen the family restructuring recover post-trauma in kidnapping.
Keywords: Family Restructuring Trauma Victims
Accuracy Verified: Yes
97. Miller, R. (2011). The feeling-state theory of behavioral and substance addictions and the feeling-state addiction protocol. Author.
Language: English
Format: Other
Abstract: The Feeling-State Theory of Behavioral and Substance Addictions postulates that addiction (both behavioral and substance) are created when positive feelings become rigidly linked with specific objects or behavior. This linkage between feeling and behavior is called a feeling-state. When the feeling-state is triggered, the entire psycho-physiological pattern is activated. The activation of the pattern then triggers the out-of-control behavior.
Keywords: Addictions Feeling-State Theory of Behavioral and Substance Addictions
Accuracy Verified: Yes
98. Shapiro, S., & Abbott, G. (2004, September). Four methods of target selection for EMDR treatment. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Research indicates that adherence to all Eight Phases of EMDR correlates with improved therapeutic results. The Adaptive Information Processing Model contributes to our understanding of this finding. The focus of this workshop will be on the EMDR Phase One imperative of comprehensive evaluation and treatment planning prior to reprocessing. Participant will review 4 strategies for selecting and ordering targets for reprocessing: 1) Shapiro’s "ten most disturbing memories"; 2) A time line method: 3) Kitchur's genogram approach: and 4) hypnotic age-regression strategy inspired by Milton Erickson. The presenters will analyze each strategy, emphasizing its unique strengths, limitations, and vulnerabilities. Participants will engage in interactive exercises.
Keywords: Target Selection
Accuracy Verified: Yes
99. Pagani, M. (2013, June). Functional and structural neuroimaging and EEG monitoring related to EMDR and CBT treatments for PTSD. Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.
Language: English
Format: Conference
Abstract:
In the recent past several neuroimaging studies aimed at evaluating the neural correlates of PTSD-related psychotherapies revealing their neurobiological effects on brain function. Functional studies by single photon emission computed tomography (SPECT) and electroencephalography (EEG) detected changes in cerebral blood flow and neuronal activation patterns, identifying the brain areas implicated in the various components of emotional processing and/or affected by the disorder. Investigations by magnetic resonance imaging (MRI) have also revealed PTSD-related structural changes.
The first part of the workshop will review the neuroimaging methodologies and findings in PTSD treatment-related research with an extensive review of previous literature on the neurobiological effects of the various psychotherapies. The second part will deal with the description and implementation in research and clinic of neuropsychological testing with brief comments and discussion about their use in recent studies published by our group. In the third part the EEG monitoring of a complete set of Eye Movement Desensitization and Reprocessing therapies in 30 patients suffering of major trauma as compared to 20 healthy controls will be presented. These findings will also be compared to the neurobiological effects of trauma-focussed Cognitive Behavioural Therapy in a second group of psychologically traumatized clients. The results are the first report ever on the neurobiological changes occurring before, during and after PTSD-related psychotherapies shedding light on the neuronal processes underlying their clinical efficacy.
The description and the discussion about the contents of the workshop will provide the audience (1) the necessary information to understand the methodological principles behind neuroimaging techniques (SPECT, EEG and MRI) and their possible applications in research and clinic; (2) the up-dated critical knowledge of the published papers in the field of PTSD-related psychotherapies functional and anatomical studies; (3) the basic research principles and examples to be motivated to start, take part and/or collaborate to functional studies in order to better understand the neural basis of psychotherapeutic techniques. The presented material will represent the state-of-the-art of the current neuroscience PTSD-related research and of the neuroimaging methodologies available at the moment.
Keywords: CBT Cognitive Behavior Therapy EEG Monitoring Neuroimaging Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
100. Unger, M. A. (2008). Fysiologiska korrelat av ögonrörelser och emotionell exponering hos friska individer: – En experimentundersökning av mekanismer i Eye Movement Desensitization and Reprocessing (EMDR) [Physiological correlates of eye movements and emotional exposure in healthy subjects - An experimental study of the mechanisms of eye movement desensitization and reprocessing (EMDR)]. Psykologexamensuppats, Stockholms Universersit, Psyckologiska Institutionen.
Language: Swedish
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing, EMDR, har i psykoterapiforskning visats vara en effektiv behandlingsmetod av posttraumatiskt stressyndrom, PTSD. Däremot är ögonrörelsestimuleringen, som är ett centralt moment i metoden, kontroversiell och dess funktion inte klarlagd.
I föreliggande undersökning randomiserades trettiosex friska försökspersoner till en av tre stimuleringsbetingelser: ögonrörelsestimulering, taktil stimulering eller orörligt visuellt stimuli (kontrollgrupp). Stimuleringen kombinerades med imaginär exponering, negativ och positiv. Utfallet av experimentet mättes i olika fysiologiska mätparametrar, samt självskattningar av obehagsnivån (SUD). Resultaten visade signifikant högre hudkonduktansnivå vid ögonrörelsestimulering jämfört med kontrollgruppen, relaterat till aktivering av det sympatiska nervsystemet. Inga signifikanta gruppskillnader fanns i de övriga mätningarna. Mönstret av autonom aktivering kan tyda på att ögonrörelsestimuleringen utlöser eller förstärker en orienteringsrespons, vilket vissa teoretiker föreslagit är den verksamma mekanismen i EMDR. Dock behövs fortsatt forskning för att förstå denna verkan, samt koppling till terapeutisk effekt.
Eye Movement desensitization and Reprocessing, EMDR, psychotherapy research has shown to be an effective treatment of post-traumatic stress disorder, PTSD. By contrast, ögonrörelsestimuleringen, which is the lynchpin of the method, the controversy and its function is not clear.
In the present study were randomized thirty-six healthy subjects to one of three stimulation conditions: eye movement stimulation, tactile stimulation or static visual stimuli (control group). The stimulation was combined with imaginary exposure, negative and positive. The outcome of the experiment were measured in various physiological measurement parameters, and self-estimates of the level of discomfort (SUD). The results showed significantly higher hudkonduktansnivå the eye movement stimulation compared with control group, related to the activation of the sympathetic nervous system. No significant group differences were found in the other measurements. The pattern of autonomic activation may indicate that ögonrörelsestimuleringen trigger or reinforce an orientation response, as some theorists suggested is the active mechanism in EMDR. However, further research is needed to understand this effect, as well as access to therapeutic efficacy.
Keywords: Eye Movements Dismantling Study Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
101. Engelhard, I. M., van den Hout, M. A., & van Uijen, S. L. (2011, May). Het vervagen van negatieve en positieve herinneringen [The blurring of negative and positive memories]. Psychologie & Gezondheid, 39(2), 61-69. doi:10.1007/s12483-011-0017-5.
Language: Dutch
Format: Journal
Abstract:
Earlier studies have shown that horizontal eye movements (EM) during retrieval of a negative memory reduce its vividness and emotionality. This may be due to both tasks competing for working memory (WM) resources. This study examined whether playing the computer game “Tetris” also blurs memory. Participants recalled negative and positive memories in three conditions: recall only, recall with concurrent EM, and recall with playing Tetris. Before and after these conditions, vividness, emotionality, and physiological startle responses during recall were measured. A reaction time task showed that EM and Tetris both draw on WM, compared to no dual-task. Compared to recall only, EMand Tetris both decreased reported emotionality and startle responses. The effects of EM and Tetris did not differ, even though the tasks differed in the degree of taxing WM. This suggests that taxing WM and its effects on emotional memories may not be linearly related. Potential clinical implications are discussed.
Keywords: Memory Retrieval Tetris
Accuracy Verified: Yes
102. Lansing, K., Amen, D. G., Hanks, C., & Rudy, L. (2005, Fall). High-resolution brain SPECT imaging and eye movement desensitization and reprocessing in police officers with PTSD. Journal of Neuropsychiatry and Clinical Neuroscience, 17(4), 526-532. doi:10.1176/appi.neuropsych.17.4.526.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) has been shown to be an effective treatment for PTSD. In this study, the authors evaluated the effectiveness and physiological effects of EMDR in police officers involved with on-duty shootings and who had PTSD. 6 police officers involved with on-duty shootings and subsequent delayed-onset PTSD were evaluated with standard measures, the Posttraumatic Stress Diagnostic Scale (PDS), and high-resolution brain single photon emission computed tomography (SPECT) imaging before and after treatment. All police officers showed clinical improvement and marked reductions in the PDS score. In addition, there were decreases in the left and right occipital lobe, left parietal lobe, and right precentral frontal lobe as well as significant increased perfusion in the left inferior frontal gyrus. In our study EMDR was an effective treatment for PTSD in this police officer group, showing both clinical and brain imaging changes. [Author Abstract]
Keywords: Empirical Study Off-Duty Shootings Police Officers Posttraumatic Stress Disorder PTSD Quantitative Study SPECT
Accuracy Verified: Yes
103. Lansing, K. (2004, November). Images of healing: SPECT images of PTSD and recovery in police officers. Preconference presentation at the 20th annual meeting of the International Society of Traumatic Stress Studies, New Orleans, LA.
Language: English
Format: Conference
Abstract:
The effects of “lethal contact” (i.e., close range firefights) in both the military
and law enforcement populations can render long-standing psychological
impairment. In this study we evaluated the effectiveness and physiological
effects of EMDR in police officers involved with on-duty shootings who
had delayed PTSD. Method: Six police officers involved with on-duty shootings
and subsequent delayed-onset PTSD were evaluated with standard
measures, the Posttraumatic Stress Diagnostic Scale and high-resolution
brain SPECT imaging, before and after treatment. Results: All police officers
showed clinical improvement and marked reductions in the PDS (mean
reduction from scores of 43.2 pre EMDR to 5.2 post EMDR). In addition,
there were decreases in the left and right occipital lobe, left parietal lobe
and right precentral frontal lobe, as well as significant increased perfusion
(>0.001) in the left inferior frontal gyrus. Conclusions: In our study EMDR
was an effective treatment for PTSD in this police officer group, showing
both clinical and brain imaging changes. This multimedia presentation integrates
selected case reviews including the dispatch recordings of the officer’s
actual shooting incident/s, follow-up “check-in” messages documenting
the officer’s reactions upon return to duty as well as pre- and post-treatment
brain images. Brief selections of video also are used to further illustrate
key principals. Clinical methodologies that were used with this group
of subjects also will be discussed.
Participant Alert: EMDR is a stepwise protocol designed to facilitate the reexperiencing
of “trauma based” memories in order to assist the client in
reformatting them into a non-disturbing / more “normalized” memory.
During this protocol highly charged/upsetting images, feelings or experiences
can arise for the client.
Keywords: Police Officers SPECT
Accuracy Verified: Yes
104. O'Malley, A. (2008, June). The impact of neglect and trauma on the developing infant brain and the implications for EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, London, England .
Language: English
Format: Conference
Abstract:
This presentation starts with sensory development in pregnancy. By 22 weeks there is already a high level of
brain organisation with touch, taste, hearing and smell already well developed. Balance, vision and motor
development follow and the links to learning and states of consciousness are explained. The concept of birth as
our first traumatic experience is introduced and the implications for future EMDR therapy are discussed. Infant
brain development occurs sequentially implying vulnerabilities during the early years of life. This has a direct
relationship on attunement, which is influenced by developmental neglect and trauma. The effects of this trauma
for EMDR therapy are explored. New information about the probable mechanism of action of the bilateral
stimulation used in EMDR is presented. The mechanism of translating sensory input into new neuronal patterns is
explained. The hypothesis of a ‘window of tolerance’ in trauma is mentioned with the reasons why EMDR can help alleviate trauma by expanding the window of tolerance. The concept of a structural developmental model of
emotional awareness is explained with how this relates to trauma and a sense of self. The anatomical correlates
of emotional processing are suggested at both cortical and limbic system levels. Ways in which EMDR can be
modified in light of this knowledge are proposed. An additional model of applying EMDR is outlined. This involves
multilateral activation of sympathetic nervous systems to consciously overcome traumas. This process will be
shown to lead to brainstem stimulation activating the cranial nerves, which innervate the ocular muscles
generating rapid eye movement.
Keywords: Infantile Brain Development
Accuracy Verified: Yes
105. Engelhard, I. M., van Uijen, S. L., & van den Hout, M. A. (2010, December). The impact of taxing working memory on negative and positive memories. European Journal of Psychotraumatology, 1, 5623,[8 pages]. doi:10.3402/ejpt.v1i0.5623.
Language: English
Format: Journal
Abstract:
Background: Earlier studies have shown that horizontal eye movement (EM) during retrieval of a negative memory reduces its vividness and emotionality. This may be due to both tasks competing for working memory (WM) resources. This study examined whether playing the computer game ‘‘Tetris’’ also blurs memory. Method: Participants recalled negative and positive memories in three conditions: recall only, recall with concurrent EM, and recall with playing Tetris. Before and after these conditions, vividness, emotionality, and physiological startle responses during recall were measured. Results: A reaction time task showed that EM and Tetris both draw on WM, compared to no dual-task. Compared to recall only, EM and Tetris decreased reported emotionality and startle responses. Conclusions: The effects of EM and Tetris did not differ, even though the tasks differed in the degree of taxing WM. This suggests that taxing WM and its effects on emotional memories may not be linearly related. Potential clinical implications are discussed.
Keywords: Emotionality Horizontal Eye Movement Vividness
Accuracy Verified: Yes
106. Flumeri, F., Salmaso, D., & Pagani, M. (2008, 26-28 Settembre). Impatto dell'EMDR sulle fuzioni e sulla neurobiologia cerebrali [Impact on EMDR and neurobiological brain functions]. In T. Farma (Chair), Simposio, Il modello psicotraumatologico: Un ponte tra indicatori neurobiologici e Psicoterapia. VII Congresso SPR Italia, Modena.
Language: Italian
Format: Conference
Abstract:
Introduzione:negli ultimi anni il numero di studi condotti nell’ambito dei disturbi causati da eventi traumatici ha subito una forte accelerazione rilevando l’esistenza di alterazioni fisiologiche e morfologiche in specifiche aree cerebrali associate sia alla risposta emotiva al trauma che alla insorgenza dei sintomi della sindrome da stress post-traumatico (PTSD).
L’impiego delle tecniche di neuroimmagine ha consentito di fare luce sui correlati neurali della psicoterapia, rivelando i suoi effetti neurobiologici sulla funzione cerebrale. Nell’ambito dei diversi approcci psicoterapeutici, l’EMDR (Eye Movement Desensitization and Reprocessing therapy) è emerso come promettente risorsa per il trattamento del trauma e di altri disturbi d’ansia, sebbene ancora non sia stata completamente chiarita la sua modalità di azione sui circuiti neurali. Molte ricerche sono state effettuate per valutare l’efficacia dell’EMDR, ma solo un numero esiguo di esse ha indagato il substrato neurobiologico di questa psicoterapia.
Le metodiche di neuroimmagini utilizzate finora per studi sull’EMDR sono la Single Photon Emission Computed Tomography (SPECT) e la Magnetic Resonance Imaging (MRI). La prima raccoglie dati sull’attivita’ cellulare cerebrale mentre la seconda riporta dati anatomici strutturali.
Gli studi funzionali condotti con SPECT consentono di identificare le variazioni del metabolismo e del flusso ematico cerebrale, suggerendo un ruolo specifico per ciascuna area cerebrale coinvolta nel complesso meccanismo che sottende il processamento delle emozioni; la MRI consente invece di rilevare la presenza di variazioni morfologiche e volumetriche di specifiche strutture cerebrali. Negli ultimi anni, studi SPECT e MRI, volti ad esaminare gli effetti dell’EMDR sulla fisiopatologia cerebrale in pazienti affetti da disturbi d’ansia, hanno riscontrato sostanziali variazioni del flusso ematico ed alterazioni strutturali di alcune regioni cerebrali in seguito a terapia.
L’efficacia dell’EMDR nel trattamento del PTSD è stata confermata da uno studio SPECT su sei soggetti ( Lansing et al.) (1) che ha evidenziato dopo terapia una diminuzione del flusso ematico nel lobo occipitale bilateralmente e nel lobo parietale sinistro e un aumento di flusso nel giro frontale inferiore sinistro. Sempre utilizzando la SPECT Oh e Choi (2) hanno riportato una significativa modificazione del flusso cerebrale in seguito ad EMDR, prevalentemente riscontrabile nell’area limbica e nella corteccia prefrontale. Un recente studio con utilizzo di MRI (3) ha inoltre messo in evidenza un aumento di volume dell’ippocampo in seguito a trattamento con EMDR, aumento invece non riportato in un lavoro di Lindauer et al. su 9 soggetti con PTSD, nonostante il successo clinico della psicoterapia eclettica eseguita (4).
Obiettivi: il nostro gruppo ha studiato gli effetti a breve e lungo termine dell’EMDR (5, 6) dimostrando la sua efficacia nel trattamento di soggetti traumatizzati sul lavoro, e una stabilità del miglioramento clinico ottenuto in risposta alla terapia, ancora presente a distanza di tre anni. Nell’ambito dello stesso progetto sono state anche studiate le variazioni del flusso ematico cerebrale e della volumetria di alcune strutture cerebrali in relazione alla terapia con EMDR. Un primo studio SPECT ha analizzato la variazione della distribuzione di flusso in 11 soggetti guariti clinicamente da PTSD in seguito a EMDR messi a confronto con 5 soggetti nei quali la terapia non ha avuto effetto (7). Risultati: è stato evidenziato nei soggetti con remissione sintomatologica significative differenze di flusso in 4 aree corticali, alla disfunzione delle quali sono ascrivibili alcuni sintomi presenti in corso di PTSD. Diminuzioni di flusso post-terapia sono state registrate nell’ippocampo, nella corteccia parieto-occipitale e nella corteccia visiva primaria. L’ippocampo e’ sede della memoria a breve termine; la corteccia parieto-occipitale processa il riconoscimento di volti, dei corpi e delle parole; la corteccia visiva primaria custodisce la memoria visiva degli eventi. La mancata inibizione e/o l’iperattivita’ di queste regioni nel PTSD sono responsabili della rivisitazione patologica dell’evento traumatico e della presenza di flashback ed immagini allucinatorie. Inoltre la corteccia frontale dorsolaterale ha dimostrato un aumento di flusso nei soggetti che hanno risposto positivamente alla terapia. Questa regione chiave oltre ad essere deputata ad inibire la risposta patologica a stimoli che ricordano l’evento traumatico e’ essenziale per i processi di attenzione e di autostima, diminuiti in corso di PTSD e recuperati in seguito alla remissione della malattia. In ulteriori studi che combinano indagini funzionali e strutturali utilizzando SPECT e MRI abbiamo messo in evidenza il valore predittivo delle dimensioni dell’ippocampo riguardo all’efficacia della terapia con EMDR (Pagani et al. sottomesso).
Conclusioni: gli effetti della terapia con EMDR sono risultati, unitamente ad un consistente miglioramento della sintomatologia e ad una riduzione della iperreattività a stimoli di carattere emotivo, in una normalizzazione funzionale di alcune aree specifiche e in un aumento del volume ippocampale probabilmente ascrivibile a neo-neurogenesi. Questi risultati sono in linea con la pregressa letteratura e con le attuali conoscenze sul PTSD e suggeriscono basi neurobiologiche dell’effetto terapeutico dell’EMDR confermandone l’impatto funzionale su strutture cerebrali coinvolte in patologie ansiogene.
Bibliografia:
1. Lansing et al. (2005). J Neuropsych Clin Neurosci;17(4):526-532.
2. Ho DH and Choi J. (2007). J EMDR Pract Res;1(1):24-30.
3. Bossini et al. (2007). J Neuropsych Clin Neurosci; 19(4):475-476.
4. Lindauer et al. (2005). Psychol Med ; 35 :1-11.
5. Hogberg et al. (2007). Nord J Psych; 61(1):54-61.
6. Hogberg et al. (2008). Psych Res; doi:10.1016/j.psychres.2007.10.019.
7. Pagani et al. (2007). Nuc Med Comm; 28(10):757-65. [Pagani abstract]
Introduction In recent years the number of studies in disorders caused by traumatic events has been greatly accelerated by detecting the existence of morphological and physiological changes in specific brain areas associated with both the emotional response to trauma to the onset of symptoms Post-traumatic stress syndrome (PTSD).
The use of neuroimaging techniques has allowed to shed light on the neural correlates of psychotherapy, revealing the neurobiological effects on brain function. Under the different psychotherapeutic approaches, EMDR (eye movement desensitization and reprocessing therapy) has emerged as a promising resource for the treatment of trauma and other anxiety disorders, although still not been fully elucidated its mode of action on neural circuits. Many studies have been carried out to assess the effectiveness EMDR, but only a small number of them have investigated the neurobiological substrate of this psychotherapy.
The methods used so far for neuroimaging studies on EMDR are Single Photon Emission Computed Tomography (SPECT) and Magnetic Resonance Imaging (MRI). The first collects data on 'brain cells while the second contains structural anatomical data.
The functional studies performed with SPECT to identify changes in metabolism and cerebral blood flow, suggesting a specific role for each brain area involved in the complex mechanism underlying the processing of emotions, instead of MRI allows detection of morphological changes and volume of specific brain structures. In recent years, MRI and SPECT studies, aimed to examine the effects of EMDR on brain pathophysiology in patients with anxiety disorders, have found substantial variations in blood flow and structural alterations of some brain regions after treatment.
The effectiveness of EMDR in the treatment of PTSD was confirmed by a SPECT study in six subjects (Lansing et al.) (1) showed that after treatment reduced blood flow in the occipital lobe bilaterally and in left parietal lobe and a increase of flow in left inferior frontal gyrus. Always using SPECT Oh and Choi (2) reported a significant change of cerebral blood flow after EMDR, mainly found in limbic and prefrontal cortex. A recent study using MRI (3) has also highlighted an increase in volume of the hippocampus after treatment with EMDR, but no increase in reported work of Lindauer et al. on 9 subjects with PTSD, despite the clinical success of eclectic psychotherapy performed (4).
Objectives: Our group has studied the effects of short and long term EMDR (5, 6) demonstrating its effectiveness in treating traumatized individuals at work, and stability of clinical improvement obtained in response to therapy, yet this distance three years. Within the same project were also studied changes in cerebral blood flow and volume of certain brain structures in relation to treatment with EMDR. A first SPECT study analyzed the change in flow distribution in 11 subjects clinically recovered from PTSD after EMDR compared with 5 subjects in whom treatment had no effect (7). Results: It was shown in patients with symptomatic remission, significant differences in flow in 4 cortical areas, which are attributable to dysfunction of some symptoms of PTSD being present. Flow decreases post-treatment were recorded in the hippocampus, cortex parietal-occipital and primary visual cortex. The hippocampus and 'seat of short-term memory, the parietal-occipital cortex processes the recognition of faces, bodies and words, the primary visual cortex preserves the visual memory of events. The lack of inhibition and / or 'hyperactivity' of PTSD in these regions are responsible for the pathological review of the traumatic event and the presence of flashbacks and hallucinatory images. Moreover, the dorsolateral frontal cortex showed an increase in flow in subjects who responded positively to therapy. This key region in addition to being appointed to inhibit the pathological response to stimuli that recall the traumatic event and 'essential for the processes of attention and self-esteem, decreased in the course of PTSD and recovered following the remission of the disease. In further studies that combine functional and structural investigations using SPECT and MRI have shown the predictive value of the size of the hippocampus on the effectiveness of EMDR therapy (Pagani et al. Submitted).
Conclusion: the effects of EMDR therapy were coupled with a significant improvement in symptoms and a reduction of hyperreactivity to stimuli, emotional, functional in a normalization of some specific areas and an increase in hippocampal volume probably due to neo- neurogenesis. These results are consistent with previous literature and with current knowledge about PTSD and suggest a neurobiological basis of therapeutic EMDR confirming the functional impact on brain structures involved in anxiety-disorders.
Bibliography:
1. Lansing et al. (2005). J Neuropsych Clin Neurosci, 17 (4) :526-532.
2. I DH and J. Choi (2007). J EMDR pract Res, 1 (1) :24-30.
3. Bossini et al. (2007). J Neuropsych Clin Neurosci, 19 (4) :475-476.
4. Lindauer et al. (2005). Psychol Med, 35 :1-11.
5. Högberg et al. (2007). Nord J Psych, 61 (1) :54-61.
6. Högberg et al. (2008). Psych Res, doi: 10.1016/j.psychres.2007.10.019.
7. Pagani et al. (2007). NUC Med Comm, 28 (10) :757-65. [Pagani abstract]
Keywords: Brain Functions Neurobiology
Accuracy Verified: Yes
107. Leeds, A. M. (1997, July). In the eye of the beholder: Reflections on shame, dissociation, and transference in complex post-traumatic stress and attachment disorders. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Abstract:
This paper covered material on how affect theory, attachment theory and EMDR theory can help with case formulation and treatment planning. This paper provided the first in depth presentation on Resource Development and Resource Installation which previously had been presented only at EMDR Institute trainings at speciality presentations. [Author abstract]
Keywords: Neurobiological Correlates RDI Resource Development and Installation Shame
Accuracy Verified: Yes
108. Bergmann, U. (2000, September/October). In your mind's eye: Speculations on the neurobiology of eye movement desensitisation and reprocessing (EMDR). New Therapist, 9, 24-27.
Language: English
Format: Magazine
Abstract:
Francine Shapiro, the originator of Eye Movement Desensitisation and Reprocessing (EMDR), stumbled quite by accident upon the potentially positive effects of eye movements in desensitising negative emotions and cognitions. Ironically, she wasn't the first to do so. These findings had been made almost two decades earlier by Antrobus and his colleagues (Antrobus, 1973; Antrobus, Antrobus, & Singer, 1964). What unified the findings of Shapiro and Antrobus, apart from their agreement on the utility of eye movements, was that there was no theoretical system which could convincingly explain the findings to the skeptical research community to which Shapiro began disclosing her findings. What distinguished their approaches was that Shapiro set out to vigorously sell her belief in their utility in the relative absence of explanations as to why that might be the case. Uri Bergmann, an EMDR Institute Facilitator in New York, has recently put together a speculative neurobiological hypothesis for the effects of EMDR. In this article, he draws on a growing body of research into the area, particularly the ideas of Harvard University sleep researcher Robert Stickgold, who first identified the physiological pathways that link EMDR to REM functioning. Bergmann' offers his thoughts on the matter in a form accessible to the neurologically naïve as a first step to understanding the neurobiology of EMDR.
Keywords: Neurobiology
Accuracy Verified: Yes
109. Knudsen, N. J. (2007). Integrating EMDR and Bowen Theory in treating chronic relationship dysfunction. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp.169-186). Hoboken,. xxxiii, 470 pp.
Language: English
Format: Book Section
Abstract:
The concept of Chronic Relationship Dysfunction was developed by the author to describe the experience of those who are unable to find and maintain a healthy relationship with a mate and who feel considerable related emotional distress. The types of experiences that people with this problem typically present in a clinical setting include the inability to make any meaningful contact with an appropriate partner and making a series of poor choices so that no relationship lasts. Clients seeking treatment for relationship problems can be effectively treated using a Bowen family systems perspective (Bowen, 1978; Kerr & Bowen, 1988) as the theoretical backdrop for understanding the bigger relational context. In addition, the Adaptive Information Processing (AIP) model (Shapiro, 2001) can be used to understand the physiological link between critical early life experiences and current dysfunction. Together these theories provide a cohesive theoretical base and integrative treatment approach for use with clients with chronic relationship dysfunction. The AIP model and the Eye Movement Desensitization and Reprocessing (EMDR) approach address current symptoms such as chronic relationship dysfunction by allowing the individual to reprocess the old material, thus integrating it with current information. The treatment model described here utilizes the basic structure of the EMDR protocol with the clinical application of Bowen Theory at certain key times. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adaptive Information Processing Model AIP Bowen Theory Chronic Relationship Dysfunction Cognitive Processes Family Systems Theory Interpersonal Relationships Models
Accuracy Verified: Yes
110. Nutting, R. W. (2003, May). The integration of EMDR and body dialogue. Presentation at the annual meeting of the EMDR Europe Assocation, Rome, Italy.
Language: English
Format: Conference
Abstract:
This paper details the Body Dialogue process and the EMDR protocol for its use and presents two case studies that demonstrate this integrative technique. Recent studies show that trauma can profoundly affect the body. Many symptoms felt by individuals who have experienced trauma appear to be somatically based. Imprinted memories from 'big T' traumas and 'little t' traumas appear to have their origins sometimes decades before the body 'remembers'. When triggered by a present stimulus, these imprinted body memories recur and the body relives the past trauma. Most methods of trauma counselling and therapy address only the cognitive and emotional components of trauma, lacking the techniques that work directly with the physiological components of past traumatic incidents. The Body Dialogue technique (Stone J, Stone H, Stone S) offers a way to explore the psychological significance of sensations such as pain, motor impulses, muscular tension, trembling, breathing and heart rate. Since such somatic disturbances contain emotional and cognitive components, this dialogue process is able to identify and explore the deep psychological issues surrounding these imprinted body sensations and muscular reactions. The Body Dialogue process is integrated into the EMDR protocol (Shapiro, 2002) when the individual is confronted with body sensations. Having identified the issues (traumas) surrounding these sensations using the dialogue technique, the EMDR protocol is resumed. This enables the processing of the original trauma to occur as well as the instillation of a positive belief. During the therapeutic process using these two therapies, the therapist never has to touch the client.
Keywords: Body Dialogue
Accuracy Verified: Yes
111. Faretta, E. (2004, June). Integration of hypnotic therapy with EMDR for the treatment of panic disorder: Report of twelve single case studies. In anxiety disorders and EMDR (A. de Jongh, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
The author describes a special protocol she designed for the psychotherapy of Panic Disorders based upon a precise integration of Ericksonian hypnotic techniques with EMDR. This symposium presentation reports on the results of twelve completed singles cases and four in which treatment will still be ongoing at the time of the conference. This therapy approach is based upon the standard EMDR protocol and it eight phases of treatment. However, a noteworthy aspect of this intervention is the comprehensive management of the panic episodes themselves. This protocol assists the client in learning to cope with all the symptomology related to panic attacks, that is, the physiological, cognitive, emotional, and behavioral aspects. The first panic attach is considered the primary traumatic event. From this beginning point, the client is taught to face, step by step, the subsequent panic attacks utilizing both hynotherapeutic strategies and the EMDE processing. This protocol has permitted the successful processing of the memories related to the panic episodes (including imagining of the entire scene from start to finish), appropriate cognitive restructuring of the elements of irrational fear, and planned exposure through encouragement and support for confronting avoid situations and places. A conclusion of treatment is an agreement to face new situations of life that had seemed impossible before treatment because of the level of fear.
Keywords: Anxiety Disorders Case Study Hypnosis Integrated Approach Panic Disorder Symposium
Accuracy Verified: Yes
112. Paterson, M. (2001, May). Interactive cognitive sub-systems as a theoretical basis for EMDR. Presentation at the EMDR Europe Association annual meeting, London, UK.
Language: English
Format: Conference
Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is a novel approach to treating
Post Traumatic Stress Disorder (PTSD). It relies upon having clients access images of their
traumas, negative self-schemas, emotions, and somatic memories and reprocessing these to
resolution of the traumatic memory. The simultaneous linking of these components is
accompanied by alternating stimulations of the brains hemispheres using either auditory
tones, tactile sensation, or rapid eye movements across the visual field. Successful
completion of the treatment results in trauma images fading, positive cognitive shift,
reduction of negative affect, and disappearance of somatic sensations.
Shapiro (1995) proposed an 'accelerated processing model' for EMDR that essentially pulls
together the different strands of the treatment in a coherent way. It suggests that the brain
heals itself, as with tissue damage, and changes in symptomatology are always from negative
to positive. What Shapiro's model does not do is operationally define her concepts and
explain the way changes in dysfunctional information occur. For example, the EMDR model,
as with Beck's (1987) Clinical Cognitive Model, accepts that clients place new meaning on
dysfunctionally stored information, but lacks explanation of how this occurs: i.e. the shift
from irrational to rational beliefs, and from 'cold' to 'hot' cognitions.
This paper rectifies the difficulties the 'accelerated processing model' has in acting as a
theoretical basis for EMDR. It describes firstly the received wisdom on the
neurophysiological, and psychological correlates of PTSD. It then goes on to examine the
treatment components considered necessary for the effective resolution of the disorder. In its final phase, the paper considers how well models of information processing explain the
acquisition and maintenance of PTSD. It adopts a modification of the Ingerchanging
Cognitive Subsystems (ICS) approach (Teasdale & Barnard, 1993), a theory based in
cognitive science, to operationally define EMDR's component parts and its process in the
treatment of PTSD. The ICS approach is recommended as a useful way to conceptualise the
maintenance of PTSD and a strong theoretical basis for EMDR.
Keywords: Theory
Accuracy Verified: Yes
113. Shapiro, F. (2012, October). Introduction to EMDR therapy. Presentation at the Pre-Meeting Institute of the 28th Annual Meeting of ISTSS, Los Angeles, CA.
Language: English
Format: Conference
Abstract:
This presentation will introduce the basics of EMDR therapy and provide an overview of treatment. Both the theoretical foundation and recent research findings will be explored. EMDR is an evidence-based psychotherapy supported by more than 20 randomized controlled studies. Meta-analyses have indicated that the effects of EMDR on PTSD symptoms are comparable to those of trauma-focused CBT. However, EMDR therapy does not require homework, sustained arousal, detailed descriptions of the index trauma, or extended exposure to the event. While the eye movement component has been the subject of controversy, in the past decade an additional 20 randomized trials have evaluated the eye movements and demonstrated significantly superior effects compared to “exposure-only” conditions. The eye movements have been shown to (a) decrease the emotionality and vividness of memories, (b) create physiological relaxation responses, (c) facilitate access to associative memories and (d) lead to an increase in recognition of correct information. Two dominant theories regarding the role of the eye movements have emerged: (1) disruption of working memory and (2) elicitation of an orienting response. The research and clinical implications will be examined.
The goals of this presentation parallel those of the conference itself by allowing participants to evaluate ways in which EMDR therapy offers innovations in both conceptualization and clinical treatment. These innovations include ways to support therapy retention and increase stability for those clients ordinarily considered too fragile to tolerate memory processing. Outreach can also be increased through the use of consecutive-day trauma treatment. Relevant research will be reported on the use of EMDR therapy with diverse populations.
Participants will learn how the adaptive information processing theory that guides EMDR therapy practice offers a reconceptualization of (a) psychopathology, (b) therapeutic change, (c) the therapy relationship, (d) preparation for processing and (e) the multiple methods included in the therapy. The presentation will provide participants with the theoretical basis for EMDR therapy, an overview of the eight treatment phases, the three-pronged selection of processing targets, pertinent research, as well as applications to the full range of trauma victims. Videotaped sessions will demonstrate diverse treatment effects and provide participants with comparisons to other research-supported trauma treatments.
1-Describe the relevant research findings
2-Identify the components of the standard EMDR therapy three-pronged approach to processing
3-Contrast EMDR therapy with other empirically supported trauma treatments
Accuracy Verified: Yes
114. Pagani, M. (2010, June). Introduction to neuroimaging in EMDR research. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In the recent years the number of neuroimaging studies
evaluating neural correlates of psychotherapy has steadily
increased revealing its clear neurobiological effects on brain
function across a wide range of psychiatric disorders. Functional
studies by single photon emission computed tomography
(SPECT) and positron emission tomography (PET) detect
changes in cerebral blood flow and metabolism patterns, identifying
the brain areas processing the various components of
emotional processing and/or affected by the disorders. investigations
by magnetic resonance imaging (MRI) have also revealed
psychiatry disease-related structural changes.
The first part of the workshop (20 minutes) will describe the
neuroimaging methodologies implemented in EMDR research
and their possible clinical implementations will be discussed.
In the second part (10 minutes) neuroimaging studies on the
neurobiological effect of EMDR will be reviewed (1-5).
The third part of the workshop (30 minutes) will deal with the
last findings in EMDR research and will focus on a recent studies
published by our group on the Journal of Psychiatry Research
about the predictive value of MRI on the outcome of
EMDR therapy (6).Moreover a collaborator of our group will
describe and present the preliminary findings of an ongoing experiment
aiming to identify the neurophysiological mechanisms
active during EMDR therapy.
The description and the discussion about the contents of the
workshop will provide the audience
1 the necessary information to understand the methodological
principles behind the neuroimaging techniques (PET and
SPECT) and their possible applications in research and clinic;
2, the critical knowledge of the limited number of published
papers in the field of EMDR-related functional and anatomical
studies (1-6);
3. the basic research principles and examples to be motivated
to begin, take part and/or collaborate to EMDR research in order
to shed light on the neural basis of this fascinating psychotherapeutic
technique.
The presented material will represent the state-of-the-art of the
current neuroscience EMDR-related research and of the neuroimaging
methodologies available at the moment.
in case more contributions will be included in this workshop the
proposed presentation time schedule might change.
References:
Lansing et al. (2005). J Neuropsych Clin Neurosci; l7(4):526-532.
Propper et al. (2007). J Nerv Met Dis; 195:785-788.
Ho DH and Choi J. (2007). J EMDR Pract Res; l(l):24-30.
Pagani et al. (2007). Nuc Med Comm: 28(10):757-65.
Bossini et al (2007). J Neuropsych Clin Neurosci; 19(4):475-476.
Nardo et al. (2010). J Psychiatry Res; D0110.1016/jjpsychires.2009.10.014
Keywords: Neuroimaging Research
Accuracy Verified: Yes
115. Rogers, S., & Silver, S. M. (2002, January). Is EMDR an exposure therapy? A review of trauma protocols. Journal of Clinical Psychology, 58(1), 43-59. doi:10.1002/jclp.1128.
Language: English
Format: Journal
Abstract:
This article presents the well established theoretical base and clinical practice of exposure therapy for trauma. Necessary requirements for positive treatment results and contraindicated procedures are reviewed. EMDR is contrasted with these requirements and procedures. By the definitions and clinical practice of exposure therapy, the classification of EMDR poses some problems. As seen from the exposure therapy paradigm, its lack of physiological habituation and use of spontaneous association should result in negligible or negative effects rather than the well researched positive outcomes. Possible reasons for the effectiveness of EMDR are discussed, ranging from the fundamental nature of trauma reactions to the nonexposure mechanisms utilized in information processing models. Copyright 2002 John Wiley & Sons, Inc.
Keywords: Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Trauma Trauma Protocols
Accuracy Verified: Yes
116. 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
117. Rogers, S. (2002, June). Latest findings in EMDR process research and component analyses. In L. Beutler, Discussant, EMDR research and its future: Ecological validity, process research, outcome findings, and socio-political context (Panel Discussion, June 24) (SPR) Society for Psychotherapy Research, International Conference, Santa Barbara, CA .
Language: English
Format: Conference
Abstract:
EMDR has gained recognition as an effective PTSD treatment, with effects comparable to prolonged exposure or combinations of exposure with cognitive restructuring. Attempts to dismantle EMDR have led some reviewers to conclude that the eye movements are an inert treatment component and that EMDR is simply a form of exposure therapy. However, several studies have shown that eye movements are associated with decreased subjective distress during treatment sessions, decreased vividness and emotionality of mental imagery, decreased physiological arousal and enhanced episodic memory. These findings have implications for clinicians who are interested in ‘ease of useEas well as treatment outcome. They also have implications for the habituation/extinction model of anxiety reduction. Limitations of the group design approach to the dismantling of psychotherapies will be discussed, along with the results of two recently completed studies.
Keywords: CBT Cognitive Behaviorial Therapy Component Analysis Process Research
Accuracy Verified: Yes
118. Rogers, S. (2003, August). Latest findings in EMDR process research and component analysis. Presentation at the 111th annual meeting of the American Psychological Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
EMDR has gained recognition as an effective PTSD treatment, with effects comparable to prolonged exposure or combinations of exposure and cognitive restructuring. Attempts to dismantle EMDR have led some reviewers to conclude that the eye movements are an inert treatment component and that EMDR is best regarded as a form of exposure therapy. However, several studies have shown that eye movements are associated with decreased subjective distress during treatment sessions, decreased vividness and emotionality of mental imagery, decreased physiological arousal and enhanced episodic memory. These finding have implications for clinicians who are interested in 'ease of use' as well as treatment outcome. They also have implications for the habituation model of anxiety reduction. This presentation provides a review of the results of group and single-case EMDR component analyses, methodological issues and suggestions for future research.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
119. Puliatti, M. (2009). L’EMDR nel trattamento delle sindromi uro-ginecologiche [EMDR in the treatment of uro-gynecological syndromes] . Medicina Psicosomatica, 54(4), 131-142 .
Language: Italian
Format: Journal
Abstract:
La rilevazione di disturbi uro-ginecologici è in costante crescita, è ciò probabilmente a causa della maggiore attenzione che i clinici dimostrano nei confronti di disturbi variegatati, a volte quasi impalpabili, ma che possono anche dimostrarsi invalidanti. Oltre al vaginismo e alla dispareunia, ben noti nella letteratura scientifi ca da decenni, crescente interesse stanno dimostrando disturbi come la cistite interstiziale, il dolore pelvico e la vulvodinia. Complessivamente considerati, la componente psicosomatica di tali disturbi viene abbondantemente confermata dalla letteratura. A prescindere dagli approcci più chiaramente monolaterali e riduttivi, si nota nella letteratura un interesse consolidato per una terapia che sia per definizione integrata: ginecologica/riabilitativa, psicoeducazionale, sessuologica e psicoterapeutica. L’EMDR si propone in questo ambito clinico come uno strumento di straordinaria versatilità, potendo infatti intervenire sia a livello delle cause remote (eventi stressanti/traumatici, educazione sessuale distorta, etc.), che delle contingenze attuali che mantengono o peggiorano la sintomatologia, offrendo inoltre la possibilità di intervenire direttamente sia sul dolore inteso come sintomo, che sugli scenari futuri connotati negativamente dalla paziente, che frequentemente sono connessi alla percezione del dolore stesso. Infine, si rivela di particolare utilità nel caso in cui il dolore sia correlato a difficoltà relazionali caratterizzate da scarsa assertività. In questo lavoro verranno approfondite le seguenti tematiche: • diagnosi differenziale tra i differenti tipi di dolore uro-ginecologico. • Valutazione dell’eziologia multifattoriale: cause biologiche, psicosessuali, relazionali e presenza di eventi traumatici. • Ruolo dell’abuso sessuale. • Meccanismi psicofi siologici nell’insorgenza dei disturbi: il ruolo della tensione muscolare. • Caratteristiche psicologiche della donna che presenta dolore uro-ginecologico. • Strumenti di screening psicodiagnostico. • Cenni sulle principali strategie di valutazione e di intervento uro-ginecologiche e farmacologiche • Pianifi cazione e fasi del trattamento con l’EMDR, e loro integrazione con differenti approcci psicoterapeutici: aree di indagine, aspetti psicoeducazionali, tecniche sessuologiche specifi che, target caratteristici, l’utilizzo dell’EMDR nelle differenti fasi del trattamento.
The detection of uro-gynecological disorders is growing, this is probably due to the increased attention that clinicians demonstrate against variegatati disorders, sometimes almost impalpable, but may also prove to be disabling. In addition to vaginismus and dyspareunia, well known in the scientific literature about for decades, are showing increasing interest in disorders such as interstitial cystitis, pelvic pain and vulvodynia. Overall, the psychosomatic component of these disorders is abundantly confirmed by the literature. Apart from the unilateral and reductionist approaches more clearly, there is a vested interest in the literature for a treatment that is by definition integrated: gynecological / rehabilitation, psycho-educational, sexology and psychotherapy. EMDR is proposed in this clinical setting as an instrument of extraordinary versatility, allowing it to intervene at the level of remote causes (stressful events / trauma, distorted sex education, etc..) That the current quotas that maintain or worsen the symptoms, while also offering the opportunity to speak directly about pain is understood as a symptom, which negatively on future scenarios of patient characteristics, which are frequently related to the perception of pain itself. Finally, it proves particularly useful in cases where the pain is related to relationship difficulties with low assertiveness. In this paper we will examine the following issues: • differential diagnosis between different types of pain, uro-gynecology. • Evaluation multifactorial etiology: biological, psychosexual, relationship and presence of traumatic events. • Role of sexual abuse. • psychophysical mechanisms in the onset of physiological disorders: the role of muscle tension. • Psychological characteristics of women with uro-gynecological pain. • Tools psychodiagnostic screening. • Work on the main strategies of assessment and intervention and uro-gynecological drug • Plans and application phases of treatment with EMDR, and their integration with different psychotherapeutic approaches: survey areas, psychoeducational aspects, specific sexological techniques that target characteristic the use of EMDR in various stages of treatment.
Keywords: Uro-Gynecological Syndromes
Accuracy Verified: Yes
120. Masson, J. (2005). L’outil EMDR en alcoologie: Reflexions theoriques et cliniques [EMDR in alcoology: Theoretical and clinical reflections]. Psychotherapies, 25(2) 117-123. doi:10.3917/psys.052.0117.
Language: French
Format: Journal
Abstract:
La méthode EMDR, conçue et développée par Shapiro, est une psychothérapie qui, selon les études les plus récentes (Inserm, 2004), peut être efficace dans la résolution des troubles de stress post-traumatique (SSPT). Son auteur pense qu'il s'agit d'un traitement qui est en même temps, relationnelle, intrapsychique, cognitive, comportementale et corporelle. La thèse principale de cette approche est fondée sur l'idée que les souvenirs des expériences passées physiologique est la clé pour comprendre le comportement, la personnalité et le processus psychologique. objectif de cet article est de décrire cet outil thérapeutique en tenant compte des principaux aspects théoriques sous-jacents et à réfléchir sur son utilisation pour les alcooliques qui souffrent du SSPT. (Base de données PsycINFO Record (c) 2008 APA, tous droits réservés)
The EMDR method, conceived and developed by Shapiro, is a psychotherapy which, according to most recent studies (Inserm, 2004), can be effective in the resolution of post traumatic stress disorders (PTSD). Its author thinks of it as a therapy that is at the same time relational, intrapsychic, cognitive, behavioral and corporal. The main thesis of this approach is based on the idea that physiological memories of past experiences is the key to understanding behavior, personality and psychological process. This article's aim is to describe this therapeutic tool by considering the principal subjacent theoretical aspects and to reflect on its use for alcoholics suffering from PTSD. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Alcoholism Evaluation Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes Psychotherapy Secondary Alcoholism Treatment Effectiveness
Accuracy Verified: Yes
121. Shapiro, F. (2012, February 29). The many faces of fear and how to deal with them. Huffington Post. Retrieved from http://www.huffingtonpost.com/francine-shapiro-phd/ptsd-fear_b_1299786.html on 2/29/2012.
Language: English
Format: Other
Abstract:
We've all heard the phrase "life is suffering." Unfortunately, some people misinterpret this to mean there is nothing they can do about their unhappiness. Everyday fears can range from minor anxieties to an intense fear of things that can often be avoided, like snakes or spiders. But generally people enter therapy when life has become unmanageable -- when they can't ignore the level of emotional pain they are experiencing. That often happens when they can't avoid the situation that disturbs them. For some, turning to therapy makes them feel like they have "failed" on their own and that their fears are a sign of "weakness." It helps to know that fear is not a "mental" problem. It's a physiological response arising from physiologically stored memories in your brain. However, just because a fear is "irrational," doesn't mean there is no reason for it. It just means it is unnecessary and that there are things you can do to change it. [Excerpt]
Keywords: Blog Mental Health Military Posttraumatic Stress Disorder PTSD Stress Veterans War
Accuracy Verified: Yes
122. Dunn, T. M., Schwartz, M., Hatfield, R. W., & Wiegele, M. (1996, September). Measuring effectiveness of eye movement desensitization and reprocessing (EMDR) in non-clinical anxiety: A multi-subject, yoked-control design. Journal of Behavior Therapy and Experimental Psychiatry, 27(3), 231-239. doi:10.1016/S0005-7916(96)00034-1.
Language: English
Format: Journal
Abstract:
28 subjects from a university's subject pool were paired on sex, age, severity, and type of stressful or traumatic incident. 1 subject in each pair was selected to receive EMDR; the experimental partner spent the same amount of time receiving a visual (non-movement) placebo. Subjective units of discomfort (SUD) scores and physiological measurements were taken prior to and following treatment. Analysis of physiological measurements and self-reported levels of stress were performed within and between each group. While the EMDR group showed significant reductions of stress, EMDR was no better than a placebo. This suggests EMDR's specific intervention involving eye movement may not be a necessary component of the treatment protocol. [Author Summary]
Keywords: Americans Arousal College Students Effects Empirical Study Stressors Survivors Treatment Effectiveness Young Adults
Accuracy Verified: Yes
123. Gómez, A. M. (2011). Mecanismos neurobiologicos del trastorno por estrés postraumático y la Terapia EMDR[Neurobiological mechanisms of PTSD and EMDR therapy]. Revista Iberoamericana de Psicotraumatología y Disociación, 1(1). Retrieved from http://revibapst.com/ARTICULO%20ALAIDE%202011.pdf on 12/9/2012.
Language: Spanish
Format: Other
Abstract:
El trastorno por estrés postraumático (TEPT) se caracteriza por temor, desesperanza u horror intensos en personas que han sido expuestas a acontecimientos traumáticos. La terapia de Desensibilización y Reprocesamiento por Movimiento Ocular (EMDR), es reconocida como un tratamiento efectivo y eficiente para tratar el TEPT. Diversos estudios han demostrado alteraciones anatómico-fisiológicas y neurobiológicas en los pacientes que presentan este trastorno, ya que intervienen estructuras como la amígdala, tálamo y diferentes áreas de la corteza prefrontal. Debido a lo anterior, se han realizado estudios sobre los mecanismos neurales y la implicación neurobiológica de la terapia EMDR en el TEPT, así como alteraciones en la función cognitiva dentro de la sintomatología clínica que se observa en los pacientes con este trastorno.
Posttraumatic stress disorder (PTSD) is characterized by fear, helplessness or horror severe in people who have been exposed to traumatic events. Eye Movement Desensitization and Reprocessing (EMDR) is recognized as an effective and efficient in treating PTSD. Several studies have shown anatomical and physiological alterations in neurobiological patients with this disorder, and involved structures like the amygdala, thalamus and different areas of the prefrontal cortex. Because of this, there have been studies on the neural mechanisms and neurobiological implications of EMDR in PTSD, as well as alterations in cognitive function within the clinical symptoms observed in patients with this disorder.
Keywords: Cognitive Function Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
124. EMDR Sweden. (2007, November). Medlembladet. EMDR Tidningen: Föreningen EMDR Sverige, 9(2), 1-16.
Language: Swedish
Format: Newsletter
Abstract:
Table of Contents: 1. Ordföranden har ordet
2. Från en EMDR-handledarstudents perspektiv;
5. Certifierade EMDR-terapeuter november 2007;
5. Referat från EMDR-konferensen i Paris;
7. Kompletterande tekniker – H-P Söndergaard;
9. Fysiologiska effekter av EMDR – referat av studie;
10. Journal of EMDR;
11. Inbjudan till föreningens studiedag och årsmöte;
12. Program till studiedag och årsmöte;
13. Kalendarium VT 2008;
14. Förnyelse av certifiering – blankett;
15. Diverse blänkare
1. Chairman's Message;
2. From an EMDR-mentoring student's perspective; 5. Certified EMDR therapists-November 2007;
5. Summary of EMDR conference in Paris;
7. Complementary techniques - H-P Søndergaard;
9. Physiological effects of EMDR - summaries of study;
10. Journal of EMDR;
11. Invitation to and program for the association's annual meeting and field day;
12 Programs for the study day at the annual meeting;
13. Calendar Spring 2008;
14. Renewal of certification - form;
15. Miscellaneous notices
Keywords: Complementary Techniques
Accuracy Verified: Yes
125. Shapiro, F. (2010, March). Mente humana, psicoterapia y EMDR/Human mind, psychotherapy and EMDR. XVII Scientific Symposium "From Neurobiology to Nosology of Mental Disorders," Lilly Foundation, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Over the past decade, the rapid treatment effects of EMDR have provided neuro-physiological and clinical researchers with a “window into the brain.” In addition to the neurobiological changes, the rapid shifts in cognition, affect and somatic response reveal consistent patterns of internal associative processes. Systematic evaluation has also demonstrated that a wide variety of diagnoses are caused or exacerbated by unprocessed memories. Hence, EMDR treatment directly addresses the physiologically stored memory networks that underlie both psychological problems and mental health. A clinical tape will illustrate the findings, and the implications will be explored.
Keywords: Human Mind Psychotherapy
Accuracy Verified: Yes
126. Alto, C. (2001, November). Meta-analysis of eye movement desensitization and reprocessing efficacy studies in the treatment of PTSD. Seton Hall University, South Orange, NJ. AAT 3015591.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new psychological therapy used in the treatment of PTSD and other disorders. EMDR is unique in that it combines sets of therapist-administered eye movements in conjunction with protocol-driven cognitive and affective processing related to past trauma. EMDR has become a controversial technique for reasons including a lack of explanation for why it works and stunning claims made for its efficacy in the literature. Despite a large amount of research over the past decade, EMDR has not before been studied meta-analytically in its own right.The present investigation used meta-analysis to examine the collection of EMDR PTSD studies available in the literature. The literature search resulted in a total of 21 studies, which met inclusion criteria. These primary studies in turn resulted in a collection of 118 effect sizes included in the analysis. Two separate analyses were conducted dependent on whether EMDR was compared to a no treatment control group or an alternative treatment control group. In addition to an overall estimate of the efficacy of EMDR in the treatment of PTSD represented through an effect size, five sub-hypotheses were investigated. First, it was hypothesized that RMDR would be more efficacious with a non-combat population than with combat-related PTSD. The second sub-hypothesis was that there would be significantly larger treatment effects associated with verbal report measures than with physiological outcome measures used in EMDR PTSD studies. Third, it was hypothesized that earlier EMDR studies would show larger treatment effects than more recent EMDR studies. The fourth sub-hypothesis concerned treatment dosage. It was hypothesized that there would not be significant differences based on the number of treatment sessions administered. Finally, it was hypothesized that the bilateral stimulation component of EMDR therapy would not contribute significantly to treatment effects. The analysis consisted of generating effect sizes in the form of standardized difference scores on the various outcome measures. Effect sizes were then grouped according to independent variable categories and averaged together. Before testing for between-group differences, homogeneity testing was completed. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 62(5-B), Nov 2001, pp. 2474.
Keywords: Empirical Study Meta Analysis Posttraumatic Stress Disorder PTSD Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
127. Lohr, J. M., Kleinknecht, R. A., Conley, A. T., Dal Cerro, S., Schmidt, S., & Sonntag, M. E. (1992, September). A methodological critique of the current status of eye movement desensitization (EMD). Journal of Behavior Therapy and Experimental Psychiatry, 23(3), 159-167. doi:10.1016/0005-7916(92)90032-E.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization (EMD) has been recently advocated as a rapid treatment for the elimination of traumatic memories responsible for the maintenance of a number of anxiety disorders and their clinical correlates. Despite a limited conceptual framework, EMD has attracted considerable interest among clinicians and researchers. The popularity and interest generated by EMD will likely result in wide usage. We present a methodological critique of it with reference to assessment, treatment outcome, and treatment process. We also provide guidelines for judging the methodological adequacy of research on EMD and suggest intensive research to assess effectiveness, treatment components, and comparisons with other procedures. [Author Summary]
Keywords: PTSD Assessment Instruments Literature Review Methodology Posttraumatic Stress Disorder PTSD Research Needs Review
Accuracy Verified: Yes
128. 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
129. Amendolia, R. D. (1998). A narrative constructivist perspective of treatment of posttraumatic stress disorders with Ericksonian hypnosis and eye movement desensitization and reprocessing. Trauma Response, 13-14.
Language: English
Format: Magazine
Abstract:
In a trauma survivor, physiological responses are exacerbated when the affect-laden memories stored in associative networks are triggered by environmental sensory inputs or cues and activate the autonomic nervous system. Recovery from trauma involves not only amelioration of physiological and dissociative symptoms, but also the cognitive rebuilding of a viable assumptive world view which integrates the realms of vulnerability, meaning and self-esteem. This world view is contextualized in cultural idioms and values.
From an Ericksonian perspective, persons are usually attempting to problem-solve, even in a dissociative date. A symptom such as an intrusive recollection or recurrent dream of a traumatic event is therefore construed as a request for help in problem-solving. Hypnosis is a structured dissociation which facilitates cognitive flexibility; that is, the broadening of choices of the client' s belief system, rather than direct work on changing affect or behaviors. The goal of Ericksonian hypnosis is to recontextualize the traumatic memory, the affect of fear, and the physiological hyperarousal cued by the traumatic memory. This occurs within a broader context of pride, mastery and courage, and within a context inclusive of other memories and affects, which are positive for the client.
Eye Movement Desensitization and Reprocessing (EMDR), similarly has as its goal the facilitation of a transfer of traumatic data from the cortical right hemisphere to the left hemisphere. EMDR also utilizes the attainment of a state of heightened awareness, or collaborative structured dissociation, in order to facilitate the orientation of the traumatized client's conscious mind toward "revisiting" traumatic memories.
Both interventions can facilitate the self-narrative reconstruction process of trauma survivors by simultaneously modulating the person's hyperarousal while attending to the culturally significant metaphors which form the building blocks of a person' s world of meanings.
[AAETS]
Keywords: Eriksonian Hypnosis Narrative Constructionist
Accuracy Verified: Yes
130. Tokunaga, H., Ikejiri, Y., Kazui, H., Masaki, Y., Hatta, N., Doronbekov, T. K., Honda, M., Oku, N., Hatazawa, J., Nishikawa, T., & Takeda, M. (2006). Neural correlates of symptom improvement in posttraumatic stress disorder: Positron emission tomography study. In N. Kato; M. Kawata, & R. K. Pitman, (Eds.), PTSD: Brain mechanisms and clinical implications (pp. 247-254). Tokyo: Springer-Verlag.
Language: English
Format: Book Section
Abstract:
We studied the neural basis of reexperiencing in patients with PTSD using positron emission tomography (PET) and investigated the change in the neural activities from before to after improvement of PTSD symptoms. As a therapy for PTSD, we used the eye movement desensitization and reprocessing (EMDR) procedure. Although the mechanism by which EMDR acts is unclear, its efficacy for PTSD is comparable to cognitive behavioral therapy. [Text pp. 247-248][Pilots]
Keywords: Adults Arousal Brain Imaging Crime Neurophysiology Japanese Survivors Posttraumatic Stress Disorder PTSD Reexperiencing
Accuracy Verified: Yes
131. Pagani, M. (2010, Novembre). Neurobiologia e nuovi concetti fisiopatologici dell’EMDR [Neurobiology and new concepts pathophysiological EMDR]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.
Language: Italian
Format: Conference
Abstract:
La sindrome da stress post-traumatico (PTSD) causa nel cervello cambiamenti sia anatomici sia funzionali in specifiche aree cerebrali associate alla risposta emotiva al trauma ed alla relativa insorgenza dei sintomi. Studi di immagini funzionali (tomografia ad emissione di fotone singolo, SPECT, e a emissione di positroni, PET) e strutturali (risonanza magnetica, RM) hanno evidenziato significative variazioni neuropatologiche in pazienti con PTSD durante la rivisitazione del trauma.
L’impiego di queste tecniche ha consentito di fare luce sui correlati neurali della psicoterapia, rivelando i suoi effetti neurobiologici sulle funzioni cerebrali. Nell’ambito dei diversi approcci psicoterapeutici, l’EMDR (Desensibilizzazione e rielaborazione attraverso i movimenti oculari) è emerso come promettente risorsa per il trattamento del trauma e di altri disturbi d’ansia, sebbene ancora non sia stata completamente chiarita la sua modalità di azione sui circuiti neurali. Tuttavia solo un numero esiguo di studi ha indagato il substrato neurobiologico di questa psicoterapia. Verranno discussi studi che il nostro gruppo ha recentemente pubblicato su riviste internazionali e che hanno dimostrato con la SPECT come l’EMDR normalizzi il flusso ematico cerebrale nelle aree limbiche implicate nel PTSD (1) e con la RM come nei pazienti che non rispondono a terapia molte di queste aree presentino una diminuzione rilevante della densità della sostanza grigia (2). Verranno inoltre presentati i risultati preliminari del primo studio che monitora completamente con EEG una seduta EMDR e dimostra le attivazioni che i cicli di desensibilizzazione per se provocano a livello corticale e subcorticale sia durante la prima seduta che durante l’ultima quando il soggetto ha elaborato il trauma.
1. Nardo D et al. J Psychiat Res 2010; 44:477-485
2. Pagani M et al. Nucl Med Commun 2007; 28: 757-765
The syndrome of post-traumatic stress disorder (PTSD) causes changes in the brain is anatomical and functional in specific brain areas associated with emotional response to trauma and the related onset of symptoms. Studies of the functional (single photon emission computed tomography, SPECT, and emission tomography, PET) and structural (magnetic resonance imaging, MRI) have shown significant neuropathological changes in patients with PTSD during revisiting the trauma.
The use of these techniques has allowed to shed light on the neural correlates of psychotherapy, revealing the neurobiological effects on brain function. Under the different psychotherapeutic approaches, EMDR (Desensitization and reprocessing through eye movements) has emerged as a promising resource for the treatment of trauma and other anxiety disorders, although still not been fully elucidated its mode of action neural circuits. However, only a small number of studies have investigated the neurobiological substrate of this psychotherapy. They will discuss studies that our group has recently published in international journals and who have demonstrated with SPECT as EMDR normalize cerebral blood flow in the limbic areas implicated in PTSD (1) and with MRI as in patients who do not respond to therapy many of these areas present a significant decrease in the density of gray matter (2). We will also present the preliminary results of the first study that monitors completely with EEG and demonstrates an EMDR session activations and cycles of desensitization if they cause in the cortex and subcortical both during the first session that during the last when the subject has developed the trauma.
1. D Nardo et al. J Psychiat Res 2010; 44:477-485
2. Pagani M et al. Nucl Med Commun 2007; 28: 757-765
Keywords: Neurobiology
Accuracy Verified: Yes
132. Pagani, M., DiLorenzo, G., Verardo, A. R., Nicolais, G., Monaco, L., Lauretti, G., Russo, R., Niolu, C., Ammaniti, M. Fernandex, I., & Siracusano, A. (2012). Neurobiological correlates of EMDR monitoring - an EEG study. PLoS ONE, 7(9), 1-12. doi:10.1371/journal.pone.0045753.
Language: English
Format: Journal
Abstract:
Background: Eye Movement Desensitization and Reprocessing (EMDR) is a recognized first-line treatment for psychological trauma. However its neurobiological bases have yet to be fully disclosed.
Methods: Electroencephalography (EEG) was used to fully monitor neuronal activation throughout EMDR sessions including the autobiographical script. Ten patients with major psychological trauma were investigated during their first EMDR session (T0) and during the last one performed after processing the index trauma (T1). Neuropsychological tests were administered at the same time. Comparisons were performed between EEGs of patients at T0 and T1 and between EEGs of patients and 10 controls who underwent the same EMDR procedure at T0. Connectivity analyses were carried out by lagged phase synchronization.
RESULTS: During bilateral ocular stimulation (BS) of EMDR sessions EEG showed a significantly higher activity on the orbito-frontal, prefrontal and anterior cingulate cortex in patients at T0 shifting towards left temporo-occipital regions at T1. A similar trend was found for autobiographical script with a higher firing in fronto-temporal limbic regions at T0 moving to right temporo-occipital cortex at T1. The comparisons between patients and controls confirmed the maximal activation in the limbic cortex of patients occurring before trauma processing. Connectivity analysis showed decreased pair-wise interactions between prefrontal and cingulate cortex during BS in patients as compared to controls and between fusiform gyrus and visual cortex during script listening in patients at T1 as compared to T0. These changes correlated significantly with those occurring in neuropsychological tests.
Conclusion: The ground-breaking methodology enabled our study to image for the first time the specific activations associated with the therapeutic actions typical of EMDR protocol. The findings suggest that traumatic events are processed at cognitive level following successful EMDR therapy, thus supporting the evidence of distinct neurobiological patterns of brain activations during BS associated with a significant relief from negative emotional experiences.
Keywords: EEG Study Neurobiological Correlates
Accuracy Verified: Yes
133. Pagani, M. et al (2012, June). Neurobiological correlates of EMDR monitoring - An EEG study [Correlatos neurobiológicos y monitorización EMDR – un estudio con EEG]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Background:
Eye
Movement
Desensitization
and
Reprocessing
(EMDR)
is
a
recognized
first-‐line
treatment
for
psychological
trauma.
However
its
neurobiological
bases
have
not
been
disclosed
yet.
Methods:
Electroencephalography
was
used
for
the
first
time
to
fully
monitor
neuronal
activation
during
whole
EMDR
sessions
including
the
autobiographical
script.
Ten
clients
with
major
psychological
trauma
were
investigated
during
the
first
EMDR
session
and
during
the
last
one
performed
after
processing
the
index
trauma.
Comparisons
between
the
EEG
of
the
first
and
last
EMDR
session
and
between
the
EEG
of
the
clients
at
the
first
session
and
those
of
10
controls
undergoing
the
same
EMDR
procedure
were
performed.
Results:
During
both
script
listening
and
bilateral
stimulation
EEG
showed
significantly
higher
activity
in
the
prefrontal
limbic
cortex
(Brodmann
Areas,
BA
9-‐
10)
at
the
first
as
compared
to
the
last
EMDR
session.
The
opposite
comparison
showed
a
shift
of
the
prevalent
activity
towards
temporal,
parietal
and
occipital
cortical
regions
(BAs
20,
21,
22,
37,
17,
18,
19)
with
leftward
lateralization.
The
comparison
between
the
10
clients
and
the
10
controls
confirmed
the
maximal
activation
in
the
limbic
cortex
in
the
clients
before
processing
the
trauma.
Conclusions:
The
implemented
methodology
made
possible
to
image
for
the
first
time
the
specific
activations
associated
with
the
therapeutic
actions
contemplated
by
EMDR.
The
findings
suggested
cognitive
processing
of
traumatic
events
following
successful
EMDR
therapy
supporting
the
evidence
of
distinct
neurobiological
patterns
of
brain
activations
during
bilateral
ocular
stimulation
associated
with
a
significant
relieve
from
negative
emotional
experiences.
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: EEG Study
Accuracy Verified: Yes
134. Pagani, M., Salmaso, D., Flumeri, F., & Hogberg, G. (2008, June). The neurobiological substrates of PTSD and EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, London, England UK.
Language: English
Format: Conference
Abstract:
In the recent years, the number of studies using neuro-imaging to evaluate neural correlates of psychotherapy
has steadily increased revealing its clear neurobiological effects on brain function across a wide range of
psychiatric disorders. Functional studies by single photon emission computed tomography (SPECT) and positron
emission tomography (PET) can now reliably detect changes in cerebral blood flow (CBF) and metabolism
patterns, suggesting a specific role for each of the brain areas in various components of emotional processing.
Investigations by magnetic resonance imaging (MRI) have also revealed psychiatry disease-related structural
changes. Some regions have been reported to be associated with emotional response to trauma, and with
symptom formation in posttraumatic stress disorder (PTSD). Several studies have provided evidence for the
efficacy of Eye Movement Desensitization and Reprocessing therapy (EMDR) in the treatment of PTSD. However
a very limited number of studies have investigated the neurobiological substrate of such therapy in clinical
practice. SPECT and MRI studies, performed to examine the effects of EMDR on brain patho-physiology have
provided some preliminary evidence that changes in brain CBF and structure patterns may follow effective
treatment. In general in PTSD and in anxiety disorders functional deactivations parallel symptoms relief and
decreased hyperreactivity to emotional and memory disturbances. Functional neuro-imaging is a promising tool
for the investigation of the physiological impact of psychotherapy in anxiety related disorders and may thus pave
the road for a better detection of its effects in psychiatric treatment. The scientific literature reporting
PTSD/EMRD related neuro-imaging studies will be extensively reviewed.
Keywords: Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
135. Pagani, M. (2011, June). Neuroimaging and novel neurobiological findings in EMDR research [Neuroimaging und neuartige neurobiologische erkenntnisse in der EMDR forschung]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
In the recent years the number of neuroimaging studies evaluating neural correlates of psychotherapy has steadily increased revealing its clear neurobiological effects on brain function across a wide range of psychiatric disorders. Functional studies by single photon emission computed tomography (SPECT) and positron emission tomography (PET) detect changes in cerebral blood flow and metabolism patterns, identifying the brain areas processing the various components of emotional processing and/or affected by the disorders. Investigations by magnetic resonance imaging (MRI) have also revealed psychiatry disease-related structural changes.
The first part of the workshop (20 minutes) will describe the neuroimaging methodologies and findings in PTSD/EMDR research with and extensive review of previous literature on the neurobiological effects of EMDR. The second part of the workshop (20 minutes) will deal with the description and implementation in research and clinic of neuropsychological testing with brief comments and discussion about their use in the recent experiments performed by our group. In the third part the EEG monitoring of a complete set of EMDR therapies in 10 patients suffering of major trauma will be presented. The relative results are the first report ever on the neurobiological changes occurring before, during and after EMDR therapy sheding light on the neuronal processes underlying its clinical efficacy.
Learning objectives:
The description and the discussion about the contents of the workshop will provide the audience (1) the necessary information to understand the methodological principles behind the neuroimaging techniques (PET, SPECT and MRI) and their possible applications in research and clinic; (2) the critical knowledge of the limited number of published papers in the field of EMDR-related functional and anatomical studies; (3) the basic research principles and examples to be motivated to begin, take part and/or collaborate to EMDR research in order to better understand the neural basis of this fascinating psychotherapeutic technique.
Keywords: Neurobiology Neuroimaging
Accuracy Verified: Yes
136. Fernandez, I., & Solomon, R. M. (2001, October). Neurophysiological components of EMDR treatment. In International CIANS Conference (CIANS: Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaviour and Psychosomatics), (pp 137-140) Palermo, Italy.
Language: English
Format: Conference
Abstract:
The research on Eye Movement Desensitization and Reprocessing (EMDR) has had a significant development in the last 10 years. The EMDR consists on a dual focalization activity (the use o eye movements or other forms of left/right rhythmical stimulation, while focusing on personal disturbing material). Many hypotheses have been made on how EMDR works and why the clinical results are so significant. One of the most possible reasons may regard the fact that there seems to be an innate information processing system that is physiologically configured to facilitate mental health in much the same way the rest of the body is designed to heal itself when injured (Shapiro, 1995). When operating appropriately, this system takes the perceptual and emotional information from a traumatic event to an adaptive resolution - useful information is stored with appropriate affect and is available for future use. The physiological and emotional arousal stemming from a traumatic event may disrupt the information processing mechanism. The blocked processing prevents the traumatic information from progressing through the normal steps of adaptive integration. The physiological stimulation appears to activate the innate information processing systems and may be linked to the mechanisms inherent in memory storage. EMDR apparently intervenes in brain functions, especially in the limbic system and amygdale, which have been already identified as actively involved in traumatic experiences.
Keywords: Information Processing System Neurophysiology
Accuracy Verified: Yes
137. Hedstrom, J. (1991, March). A note on eye movements and relaxation. Journal of Behavior Therapy and Experimental Psychiatry, 22(1), 37-38. doi:10.1016/0005-7916(91)90031-Y.
Language: English
Format: Journal
Abstract:
Eye movements and certain visual mechanisms appear to be related to states of relaxation and levels of wakefulness. The hatha yoga tradition in its historical and contemporary forms uses certain eye 'exercises' or postures to induce relaxation and reduce arousal. Visual correlates of the alpha state are well known. These phenomena may be involved in the success of the new eye desensitization procedure.
Keywords: Eye Movements Relaxation
Accuracy Verified: Yes
138. Greway, G. (2003). Personality change in trauma victims by the use of eye movement desensitization and reprocessing, resource development and installation, and emotional freedom techniques. Union Institute and Unversity, Cincinnati, OH. AAT 3088540.
Language: English
Format: Dissertation/Thesis
Abstract:
Personality change in victims of trauma has been demonstrated by key researchers in the field of trauma. This research explored this area further by studying if problem personality patterns can improve to healthier levels by processing trauma symptoms with new rapid trauma techniques. This research provides new information in trauma and personality, as well as offers links to possible new treatment methods. The hypothesis tested in this research was that significant change in problem personality patterns would occur in trauma subjects whose symptoms were processed through a multi-impact therapy that included Eye Movement Desensitization and Reprocessing (EMDR), building ego structure through Resource Installation and Development and reducing physiological stress through the use of Emotional Freedom Techniques, as compared to subjects in the control group who received talking therapy. A sample of ten female participants was selected that had traumatic backgrounds and posttraumatic symptoms. All subjects received the Millon Clinical Multiaxial Inventory III (MCMI III) as a pre and a post test, and the Personality Assessment Screener (PAS) throughout 14 weeks of treatment. The PAS provided a means to measure subjects through descriptive statistics and the MCMI III measured the three highest clinical personality scales and the changes that occurred after the treatment. Within the two groups, the results of the PAS showed that talking therapy may be extremely helpful for personality improvement for some individuals processing trauma issues, but not all. The MCMI III results showed that the multi-impact group appeared to be somewhat more stable, meaning that the multi-impact treatment appeared to aid improvement on all three personality scales. The talking treatment group showed improvement on the most problematic personality scale, minimal increase on the second highest personality scale, and the third highest personality scale became significantly worse as compared to the multi-impact treatment group. This confirmed the hypothesis that there would be significant change in clinical personality scores. This implies that the multi-impact treatment helped individuals in a more efficient manner, in that improvement on personality syndromes or disorders was global. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 64(4-B), 2003, pp. 1902.
Keywords: Emotional Freedom Techniques Emotional Trauma Emotions Freedom Empirical Study Personality Change Resource Development Resource Installation Trauma Victims
Accuracy Verified: Yes
139. Elofsson, U. O. E., von Scheele, B., Theorell, T., & Sondergard, H. P. (2008, May). Physiological correlates of eye movement desensitization and reprocessing. Journal of Anxiety Disorders, 22(4), 622-634. doi:10.1016/j.janxdis.2007.05.012.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is an established treatment for post-traumatic stress disorder (PTSD). However, its working mechanism remains unclear. This study explored physiological correlates of eye movements during EMDR in relation to current hypotheses; distraction, conditioning, orienting response activation, and REM-like mechanisms. During EMDR therapy, fingertip temperature, heart rate, skin conductance, expiratory carbon dioxide level, and blood pulse oximeter oxygen saturation, were measured in male subjects with PTSD. The ratio between the low and high frequency components of the heart rate power spectrum (LF/HF) were computed as measures of autonomic balance. Respiratory rate was calculated from the carbon dioxide trace. Stimulation shifted the autonomic balance as indicated by decreases in heart rate, skin conductance and LF/HF-ratio, and an increased finger temperature. The breathing frequency and end-tidal carbon dioxide increased; oxygen saturation decreased during eye movements. In conclusion, eye movements during EMDR activate cholinergic and inhibit sympathetic systems. The reactivity has similarities with the pattern during REM-sleep. [Author Abstract]
Keywords: Autonomic Physiology Empirical Study Heart Rate Variability Males Orienting Response Posttraumatic Stress Disorder Psychophysiology PTSD Quantitative Study Respiration Refugees
Accuracy Verified: Yes
140. MacCulloch, M. (2002, June). Physiological data confirm that EMDR is a unique re-processing therapy: A synergistic theoretical approach to the nature of both EMDR and PTSD. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
In 1996, the existence of a cerebral de-arousal reflex was predicted. A suite of computer programs has been developed to administer EMDR and
take sequential measurements of changes in PTSD symptoms. Physiological data show that computer-induced eye movements produce de-arousal, causing attitude, and mood changes within and between
EMDR treatments. Theories to explain the variation in symptomatology in PTSD in terms of individual differences in "the strength of the nervous system" and the mechanism of EMDR are presented.
Keywords: Cerebral De-Arousal Reflex
Accuracy Verified: Yes
141. Kreyer, A. K., & Egon, S. (2008, June). Physiological effects of eye movements of different speeds and eye fixation during engagement in negative autobiographical memories: Experimental research regarding EMDR. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract: The aim of the study was to explore the working mechanism of the bilateral stimulation component in EMDR in relation to current hypotheses. Physiological hypotheses (of orienting response and relaxation response) were tested in an analogous experimental setting. Moreover, the clinical advice to use different stimulation speeds for different phases of EMDR was examined at the autonomic level, exploring two different speeds of eye movements. In a within-subject design 42 female students performed 7 short sets each of rapid eye movements (1 Hz), slow eye movements (0.3 Hz) and eye fixation while engaging in negative autobiographical memories. Order of the tasks was counterbalanced. Electrooculogramm (EOG), electrocardiogramm, electrodermal activity and distal pulswave were recorded continuously. Skin conductance level (SCL), heart rate (HR), heart rate variability (RMSSD) and pulse wave transit time (PWTT) were calculated. Performance of the eye movement tasks were controlled through EOG. All three conditions showed a clear-cut de-arousal at stimulation onset, which was 30 indicated by a decrease in HR and SCL and an increase in RMSSD and PWTT. That means, fast and slow eye movements as well as eye fixation initiated a moderate, but clear relaxation response with increased parasympathetic and reduced sympathetic activity. These results suggest that the speed of eye movements do not influence autonomic functions. Furthermore, the results of this study do not support most of the current hypotheses regarding the working mechanism of the bilateral stimulation in EMDR. Alternative explanations are discussed
Keywords: Autobiographical Memories Research
Accuracy Verified: Yes
142. Blore, D. (2012, June). Plasticity of meaning: A proposed AIP theory extension to explain the totality of psychological change in EMDR [Plasticidad del Significado: Una extensión a la teoría del modelo PAI (AIP) para explicar la totalidad del cambio psicológico en EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
There
is
some
debate
(Greenwald
&
Shapiro
2010)
as
to
the
usefulness
of
AIP,
the
theory,
(which
is
more
correctly
a
hypothesis),
widely
accepted
to
underpin
EMDR.
On
the
one
hand
AIP
is
seen
as
redundant
because
of
the
extensive
evidence
base
for
EMDR.
In
essence:
EMDR
works
therefore
what
role
does
AIP
have?
On
the
other
hand
theorising
results
in
research
hypotheses,
the
expansion
of
knowledge
and
thus
further
understanding.
The
current
author
supports
the
latter
position,
but
believes
AIP
does
not
fully
account
for
psychological
change
in
EMDR.
I
shall
argue
that
AIP,
as
it
stands,
actually
constricts
research
into
EMDR
as
it
is
essentially
a
theory
of
the
reduction
of
negative
psychological
change,
although
it
does
‘leave
the
door
open’
to
the
possibility
of
positive
psychological
change
(PPC).
However,
negative
psychological
change
and
its
reduction
is
by
no
means
the
only
effect
of
EMDR.
This
suggests
that
AIP
is
a
‘partial
theory’
of
psychological
change.
It
also
means
more
fundamentally
that
there
is
a
‘blind
spot’
in
research
and
that
the
full
potential
of
EMDR
is
being
consistently
–
and
considerably
–
underestimated.
In
the
current
form
of
AIP,
the
use
of
words
such
as
‘digested’
or
‘metabolised’
whilst
extending
the
physiological
corollary
central
to
AIP,
does
little
to
explain
the
How,
Why,
and
When,
of
PPC.
I
shall
propose
a
theory
extension
I
have
coined:
‘Plasticity
of
Meaning’
(POM),
which
is
grounded
in
phenomenological
findings,
superficially
parallels
the
Consolidation
of
Memory
Theory
and
goes
at
least
some
way
to
converting
AIP
into
a
unified
theory
of
psychological
change
and
thus
provide
research
‘pointers’
to
expand
the
appreciation
of
the
potential
of
EMDR.
Existe
algo
de
debate
(Greenwald
&
Shapiro
2010)
con
respecto
a
la
utilidad
del
SPIA,
la
teoría
(mas
correctamente
nombrada
como
una
hipótesis),
ampliamente
aceptada
para
corroborar
el
EMDR.
Por
un
lado
el
procesamiento
adaptativo
de
la
información
se
ha
visto
redundante
debido
a
la
extensiva
evidencia
que
existe
para
el
EMDR.
En
esencia:
EMDR
funciona,
por
lo
tanto
¿Qué
papel
juega
el
procesamiento
de
la
información?
Por
el
otro
lado
teorizando
los
resultados
en
las
hipótesis
de
las
investigaciones,
la
expansión
del
conocimiento
y
mas
profundizado
entendimiento.
El
presente
autor
apoya
la
última
posición
descrita,
pero
piensa
que
SPIA
no
explica
completamente
los
cambios
psicológicos
que
acontecen
en
el
EMDR.
Voy
a
argumentar
que
SPIA,
tal
y
como
esta,
actualmente
reduce
la
investigación
dentro
del
EMDR
como
es
esencialmente
una
teoría
sobre
la
reducción
del
cambio
psicológico
negativo,
aunque
deja
una
puerta
abierta
a
la
posibilidad
de
cambio
psicológico
positivo.
Sin
embargo
el
cambio
psicológico
negativo
y
su
reducción
es
sin
ningún
significado
el
único
efecto
del
EMDR.
Esto
sugiere
que
la
SPIA
es
una
teoría
parcial
del
cambio
psicológico.
También
significa
más,
fundamentalmente
que
existe
un
“punto
ciego”
dentro
de
la
investigación
que
tiene
un
gran
potencial
en
el
EMDR
que
está
siendo
consistentemente
y
considerablemente
ignorado.
En
la
actual
forma
del
SPIA,
el
uso
de
palabras
como
“digerido”
o
“metabolizado”,
mientras
se
extiende
el
corolario
fisiológico
central
para
la
SPIA,
hace
poco
para
explicar
el
cómo
el
porqué
y
el
cuándo
del
cambio
psicológico
positivo.
Yo
propongo
una
extensión
a
la
teoría
que
he
acuñado:
“La
Plasticidad
del
Significado”
(PDS),
que
está
basada
en
hallazgos
fenomenológicos,
superficialmente
paralelos
a
la
Teoría
de
la
Consolidación
de
la
Memoria
y
va
por
lo
menos
de
alguna
manera
convirtiendo
la
SPIA
a
una
teoría
unificada
del
cambio
psicológico
y
que
proporciona
marcadores
de
investigación
para
extender
el
reconocimiento
del
potencial
del
EMDR.
Keywords: Adaptive Information Processing AIP David Blore Plasticity of Meaning
Accuracy Verified: Yes
143. Lamprecht, F., Sack, M., Lempa, W., & Eickhoff-Fels, S. (2001). Psychophysiological activation via trauma script in PTSD patients and matched healthy controls and its reversal after succesful treatment. Presentation at the annual meeting of the German Society for Psychotraumatology.
Language: English
Format: Conference
Abstract:
Purpose: It is well known that hyperarousal in PTSD patients leads to an increase in heart rate to trauma related stimuli. The purpose of this study was to see if this peripheral physiological activation in PTSD patients by a trauma script can be reversed by successful trauma treatment including EMDR (Eye Movement Desensitization and Reprocessing).
Methods:
12 PTSD patients fulfilling DSM IV criteria with 52.6 mean level of the impact of event scale (IES) and 8.1 of the subjective unit of distress (SUD) were compared to 12 matched healthy controls (IES level 23, SUD level 4.8). Glued electrodes were placed according to published guidelines for electrophysiological research on thorax (ECG) and palmar skin of the left (non dominant) hand (SCL). Psychophysiological data (heart rate and skin conductance) were recorded continually and stored on a PC card during three conditions: neutral, relaxation and trauma script. In the patient group the procedure was repeated after finishing treatment.
Results: The patient group and control group did not differ in the baseline heart rate, however, the stimulation by the trauma script in the PTSD patients was significant in the mean 15.6 (T-2.88) (p < 0.01) increase in heart rate and in the control group 1.6 not significant (the script here was derived from the worst life event). There was a wide variation in the patient group with three patients without any reaction. In those with a strong reaction after trauma script, successful treatment was accompanied by a decline in heart rate response after trauma script, which remained stable during 6 months follow-up. SCL data did not show any consistent relationship. Since this is an ongoing study with increasing numbers and further analysis, additional data will be given during presentation. A decline of the SUD level to 2.3 and within the IES-score to 21 at the three months follow-up measurement was also significant (p < 0.01).
Keywords: Posttraumatic Stress Disorder Psychophysiological Activation PSTD Trauma Script
Accuracy Verified: Yes
144. Sack, M., Hofmann, A, Wizelman, L., & Lempa, W. (2007, June). Psychophysiological changes during EMDR - Are they related to treatment outcome?. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Objective: Dual attention stimulation seems to provoke orienting response like patterns of psychophysiological deactivation during “real-life” EMDR treatment sessions (Sack et al, in review). Objective of this study was to investigate the association of psych-physiological effects during dual attention stimulation with treatment outcome as measured by questionnaire and by psychophysiological reactions during presentations of an individualized trauma script.
Methods: A total of 24 EMDR treatment sessions from 10 patients with PTSD were monitored applying impedance Cardiography. The onset of every stimulation/exposure period was marked and effects within and across stimulation sets on heart rate (HR), heart rate variability (RMSSD), pre-ejection period (PEP) and respiration rate were examined. Heart rate reactivity during presentation of an audiotaped trauma script was measured at beginning of every session and additionally one week before the first session and one week after the last treatment session. Statistical correlations between both subjective (Impact of Event Scale, SUD) and objective (heart rate reactivity) measures of treatment outcome with psychophysiological changes during session (orienting response at beginning of stimulation, slope of HR) were computed.
Results: A significant reduction of trauma-related symptoms was noticed over the course of EMDR treatment: (IES one week pre: 61.2(SD 10.9), IES pre: 55.4(SD 19.0), IES post: 13.3(SD 12.2), F(2,27); 32.6, p < .001). Subjective distress during trauma script decreased significantly (SUD one week pre: 6.6(SD 1.4), SUD pre: 6.9(SD1.4), SUD post: 2.1(SD 1.7); F(2, 27); 31.5, p < .001). The statistical analysis of physiological variables is currently in process. Results will be presented at the conference.
Conclusions: The results of this study will allow further insights into the working mechanism of EMDR.
This study was co-sponsored by EMDREA and EMDRIA-Germany.
Keywords: Medical Treatment Outcome
Accuracy Verified: Yes
145. Schellong, J. (2010, June). Psychophysiological responsivity to trauma and internal resources in patients with PTSD and healthy subjects. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This study aims to measure psychophysiological
parameters during activation of internal resources k g .
positive memories) and to compare these to activated traumatic
internal networks.
Antecedent studies show that traumatic stimulation on patients
with posttraumatic stress disorder (PTSD) finalizes in various
psychophysiological correlates. During therapy of these patients
a strong demand for activation of internal resources, i.e. activation
of fortitude and positives thoughts, exists. Especially EMDR
therapy uses resource stimulating elements such as position of
power and absorption in preparation for exposure. In this study
standardized EMDR protocols establish a solid basis to explore
individual internal resources.
Researches on trauma stimuli in EMDR- patients show effects
on parasympathetic tonus (Sack 2006) as well as increased cerebral
blood flow in defined brain regions (Levin 1999. Lamprecht
2000). Especially the heart rate variability (HRV) may describe
the sympatheticovagal balance (Cohen, 2002, Porges 1991). This
study focuses on psychophysiological effects and neurobiological
regulative mechanisms of stabilizing methods and activation of
internal resources in PTSD patients and healthy control group.
Methods: Healthy subjects and patients with diagnosed PTSD
(DIAX) listened to a commonly neutral script, an individual
trauma script and an individual absorption script. Following
each script measurements of heart rate variability (HRV), respiratory
flow, skin conductance responses (SCR) and skin blood
flow (LCF, TU50%) took place.
Results: Preliminary results revealed a significant reduced heart
rate variability in patients compared to the healthy controls in
reaction to the stress script as well as to the positive and the
neutral scripts.
Conclusion: To our knowledge this is the first time to be proven
that altered autonomous functions are found in PTSD not only
in reaction to traumatic reminders, but even to a positive, resource
activation situation. This provides our basement for further
research. Detailed analysis of different effects to each script
on both groups are currently underway.
Keywords: Posttraumatic Stress Disorder PTSD Research Responsivity Symposium Trauma
Accuracy Verified: Yes
146. Sondergaard, H. P., & Elofsson, U. (2008). Psychophysiological studies of EMDR. Journal of EMDR Practice and Research, 2(4), 282-288. doi:10.1891/1933-3196.2.4.282.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) has been established as an efficacious therapy
for posttraumatic stress disorder (PTSD). The working mechanism of the procedure is, however, still
partly unknown. It is therefore important to explore the physiological effects of eye movements and alternative
bilateral stimulation. This article describes our research on the effects of eye movements during
authentic EMDR sessions of chronic PTSD in refugees with war and torture experiences and places this
research in the context of other findings. The findings point to definite physiological effects of eye movements;
namely a dearousal with increased finger temperature and changes in the balance between the
parasympathetic and sympathetic autonomous nervous systems.
Keywords: Finger Temperature Heart Rate Variability Posttraumatic Stress Disorder Psychophysiology PTSD
Accuracy Verified: Yes
147. Sondergaard, H. P., von Scheele, B., Garpe, F., Elofsson, U., & Theorell, T. (2004, June). The psychophysiology effects of eye movement in EMDR. In symposium EMDR, biology, and the body (J. Spector, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
EMDR has in its short time of existence become an established therapy treating PTSD. The importance of the eye movement (EM) has so far been difficult to demonstrate, given that data supporting possible relationships between physiological variables and the therapeutic effect while conducting EM has not yet been recorded. Although theories have been presented, there is no data to support them. Our dismantling case study presents the first preliminary results from actual treatment studies and compares them with suggested theories. The results are based on three EMDR sessions treating a refugee diagnosed with chronic PTSD. In each session, heart rate, skin conductance, finger temptation, EMG, expiratory carbon dioxide, and oxygen saturation were recorded continuously. Our data demonstrates a strong and consistent trend toward an altered physiological state during EM. The directions of physiological change were consistent in all sessions. All alterations indicated raised activitry in the parasympatic nervous system and were thus compatible with the Stickgold hypothesis suggestion that EMDR increases processing of unprocessed traumatic memories through activation of cholinergic systems. Despite the small scale of our study, these novel and interesting findings generate a new fore further research. Our psychophysiological approach appears to be a promising path.
Keywords: Dismantling Study Psychophysiology Symposium
Accuracy Verified: Yes
148. Wheeler, K. (2007, July). Psychotherapeutic strategies for healing trauma. Perspectives in Psychiatric Care, 43(3), 132-141. doi:10.1111/j.1744-6163.2007.00122.x.
Language: English
Format: Journal
Abstract:
Purpose: The Adaptive Information Processing Model (AIP), originally developed by Shapiro, provides a model for understanding how trauma affects the brain and how healing occurs. Conclusions: The effects of trauma are thought to be much broader than the diagnosis of PTSD and overlap with many other diagnostic categories. Recent physiological research supports the complexity of neurobiological responses to childhood stress and trauma. Practice Implications: The Treatment Hierarchy, AIP model, and evidence-based treatment framework presented here provide the context and a compass for holistic PMH-APRN practice for working with traumatized patients. [Author Abstract]
Keywords: Adaptive Information Processing AIP Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Cognitive Therapy Disorders of Extreme Stress (DESNOS) Healing Trauma Nursing Posttraumatic Stress DIsorder PTSD
Accuracy Verified: Yes
149. Hogberg, G., Pagani, M., Salmaso, D., Stain, R., Soares, J., Aberg-Wisted, A., Jacobsson, H., Hallstrom, T., Larsson, S. A., & Sundin, Ö. (2005, June). A randomised study of public transportation workers suffering PTSD, being treated with EMDR and assessed by psychometric scales and physiological parameters during symptom provocation. Symposium conducted at the 9th European Conference on Traumatic Stress, Stockholm, Sweden.
Language: English
Format: Conference
Keywords: Posttraumatic Stress Disorder Psychometric Scales PTSD Public Transportation Symposium Symptom Provocation
Accuracy Verified: Yes
150. Hogberg, G., Pagani, M., Salmaso, D., Stain, R., Soares, J., Jacobsson, H., Hallström, T., Larsson, S. A., & Sundin, O. (2005, June). A randomised study of public transportation workers suffering PTSD, being treated with EMDR and assessed by psychometric scales and physiological parameters during symptom provocation. In J. Ford (Chair) Methods of Treatment of Today. Symposium presented at the 9th European Conference on Traumatic Stress (ECOTS), Stockholm, Sweden.
Language: English
Format: Conference
Keywords: Public Transportation Workers Randomized Study Posttraumatic Stress Disorder Psychometic Scales PTSD Symptom Provation
Accuracy Verified: Yes
151. Kleinknecht, R. (1993, September). Rapid treatment of blood and injection phobias with eye movement desensitization. Journal of Behavior Therapy and Experimental Psychiatry, 24(3), 211-217. doi:10.1016/0005-7916(93)90023-P.
Language: English
Format: Journal
Abstract:
A 21-year-old woman with injection and blood phobias was treated successfully using eye movement desensitization. Treatment was conducted over four abbreviated sessions involving less than 1 hour of actual treatment time. Fear changes following treatment were monitored through self-report and physiological response, both within and between sessions, and in relation to the behaviors of seeking and receiving an injection (flu shot) and having blood drawn. Treatment effects were maintained at follow-ups of 1, 14, and 24 weeks.
Keywords: Blood Phobia Injection Phoba
Accuracy Verified: Yes
152. Courtois, C. (1998, July). Recollections of sexual abuse: Principles and guidelines of treatment (EMDR not the focus). Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) discuss some of the major issues in the delayed/recovered memory controversy; 2) list some of the long-term clinical correlates associated with a history of child sexual abuse; 3) list some of the clinical presentations of adults abuse or possibly abused as children as they pretain to memory; and 4) describe suggested guidelines for treatement of adults abused or possibley abused as children and most common stages and tasks of posttrauma treatment.
Keywords: Sexual Abuse
Accuracy Verified: Yes
153. 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
154. Parnell, L. (2012). Resource tapping activating your healing resources through bilateral stimulation. Shreveport, LA: Summit Interactive.
Language: English
Format: Video
Abstract:
Dr. Parnell teaches basic skills in resource tapping, an EMDR-related technique that harnesses the power of imagery and bilateral body stimulation to achieve healing. She describes how this clinically recognized system impacts affect management, ego strengthening, and emotional regulation as well as its capacity to build resilience and calm the body on a deep physiological level.
Keywords: Resource Tapping
Accuracy Verified: Yes
155. Hassard, A. (1996, October). Reverse learning and the physiological basis of eye movement desensitization. Medical Hypotheses, 47(4), 277-282. doi:10.1016/S0306-9877(96)90067-5.
Language: English
Format: Journal
Abstract:
Eye movement desensitization is a new and effective procedure for PTSD that requires explanation. Reverse learning is a model developed in artificial neural networks as a theoretical explanation of rapid-eye-movement sleep. It demonstrates that an overloaded node within a network can be consolidated with a series of non-specific activations. Rapid-eye-movement sleep is suspected to have a memory consolidation function. Ponto-geniculo-occipital spikes, which occur in rapid-eye-movement sleep, are a candidate for such activations in the real brain. In cats, the phasic functions of rapid-eye-movement sleep are driven by ponto-geniculo-occipital spikes, which are non-specific, at highest amplitude in the visual system but present in other parts of the cortex. Such spikes can be evoked by sensory events such as eye movements. There is evidence of similar events in the human brain. Induced eye movements could generate ponto-geniculo-occipital equivalent spikes and eye movement desensitization/reprocessing could be explained as a focused and artificial exploitation of the rapid-eye-movement sleep mechanism. This theory of eye movement desensitization/reprocessing enables some explanation of current results and may be relevant to other problems, such as stereotyped behaviour. [Author Abstract]
Keywords: Neurophysiology Posttraumatic Stress Disorder PTSD Review Sleep Behavior
Accuracy Verified: Yes
156. Chang, S. H. (2007, September). Role of EM and stimulus valence presentation order in the return of fear: Possible implications for the therapeutic mechanism. Presentation at the annual meeting of the EMDR International Association Conference, Dallas, Texas. (NSC 93-2413-H-002-002-).
Language: English
Format: Conference
Abstract:
Research background & aims: This study examined possible therapeutic mechanisms of eye
movements in Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989,
1995, 2001) in terms of exposure and information processing model. While exposure model
contended process of extinction and response habituation, Stickgold (2002) proposed that
sleep induced change in associative memory via activation of weak association during REM
state and EM functioned as REM sleep to integrate the episodic memory of trauma into
general semantic memory. In this study, the effect of EM compared to that of Exposure-Only
(non-EM) on process measures of SUDs, ratings of cockroach phobia across sessions, along
with outcome measures were examined. Specifically, the degree of return of fear and response
habituation was explored.
Methods: Thirty-six college students with cockroach phobias were recruited as participants
and invited after informed consent for 4 1-week interval treatment sessions and a 1 month
follow-up session. The instruments for outcome measures included Cockroach Phobia
Questionnaire, fear ratings of cockroach slides, FSS, STAI-S, BDI, short form of SCL-90, the
Revised Thought-Action Fusion Questionnaire, White Bear Suppression Inventory, and
cognitive tasks for measuring strength of associations. The SUDs, credibility and therapeutic
relationship rating, and physiological measures such as HR, HRV, EOG, served as process
measures. Due to space limitations, the results of cognitive task and physiological measures
were reported elsewhere. The participants were randomly assigned to one of the four groups:
EM condition (EM vs. Non-EM exposure only) × block order of cockroach theme
presentation (negative cognition first vs. positive cognition first). A 2 (EM condition) × 2
(order of valence presentation) × 9 (time: pre-assessment and post-assessment for each of the
4 sessions plus 1 month follow-up assessment) mixed factorial design was performed, with
time serving as within Ss factor and the other two variables serving as between Ss factors.
There were 20 trials in each therapeutic session. The duration of each trial was 30s for both
the EM and Exposure-Only conditions.
Results: After preliminary analyses for group differences on pretreatment variables, credibility-relationship ratings, and outcome variables were explored, the 2 (EM condition) ×
2 (order of valence presentation) × 9 (time) ANOVA on SUDs showed that the main effects of
time and EM were both significant (p < .001 and p < .034). Subsequently, two 2 (order of
valence presentation) × 9 (time) ANOVAs were performed for EM condition and
Exposure-Only condition, respectively. The results showed that for EM condition, only time
effect was significant (p < .006); while for Exposure-Only condition, there were a significant
time effect (p < .001) and an approaching significant valence presentation order effect (p
< .065), with the SUDs being higher in negative cognition presented first condition compared
to positive cognition presented first condition; whereas the effect was not significant for the
EM condition. Using trend analyses and inspection of time effect showed that significant
within session SUDs reduction for Exposure-Only conditions. Notwithstanding, the pairwise
comparisons for the 9 time points indicated salient phenomena of return of fear among several
of the 5 sessions for this condition when comparing the pre-assessment of each session with
post-assessment of its previous session. Whereas for EM condition the return of fear between
sessions was small and the trend analysis showed a reduction with linear trend.
Conclusions & Discussion: Compared to Exposure-Only, EM resulted in less degree of
sufferings while participants encountering negative theme which in turn might facilitate
further processing of negative memory. In addition, EM might add something beyond the
mechanism of pure exposure. The less return of fear indicating that information processing in
addition to response inhibition might take place between sessions. The results echoed
Shapiro’s Adaptive Information Processing model and Stickgold’s REM-sleep dependent
memory reprocessing model, suggesting that EM in EMDR might reflect a shift in associative
memory systems by activating different strength of associations of negative semantic nodes
for different semantically related words. Given that previous research showed that EM
decreased emotionality and also generate greater amount of associations for negative stimuli,
the implications of the present results from theoretical and therapeutic point of views and
future research possibilities are discussed.
Keywords: Adaptive Information Processing Model REM-Sleep Dependent Memory Reprocessing Model Saccadic Eye Movement Semantic Association
Accuracy Verified: Yes
157. Chang, S. H. (2009). Role of EM and stimulus valence presentation order in the return of fear: Possible implications for the therapeutic mechanism. National Taiwan University, Taipei, Taiwan.
Language: English
Format: Dissertation/Thesis
Abstract:
Research background & aims: This study examined possible therapeutic mechanisms of eye
movements in Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989,
1995, 2001) in terms of exposure and information processing model. While exposure model
contended process of extinction and response habituation, Stickgold (2002) proposed that
sleep induced change in associative memory via activation of weak association during REM
state and EM functioned as REM sleep to integrate the episodic memory of trauma into
general semantic memory. In this study, the effect of EM compared to that of Exposure-Only
(non-EM) on process measures of SUDs, ratings of cockroach phobia across sessions, along
with outcome measures were examined. Specifically, the degree of return of fear and response
habituation was explored.
Methods: Thirty-six college students with cockroach phobias were recruited as participants
and invited after informed consent for 4 1-week interval treatment sessions and a 1 month
follow-up session. The instruments for outcome measures included Cockroach Phobia
Questionnaire, fear ratings of cockroach slides, FSS, STAI-S, BDI, short form of SCL-90, the
Revised Thought-Action Fusion Questionnaire, White Bear Suppression Inventory, and
cognitive tasks for measuring strength of associations. The SUDs, credibility and therapeutic
relationship rating, and physiological measures such as HR, HRV, EOG, served as process
measures. Due to space limitations, the results of cognitive task and physiological measures
were reported elsewhere. The participants were randomly assigned to one of the four groups:
EM condition (EM vs. Non-EM exposure only) × block order of cockroach theme
presentation (negative cognition first vs. positive cognition first). A 2 (EM condition) × 2
(order of valence presentation) × 9 (time: pre-assessment and post-assessment for each of the
4 sessions plus 1 month follow-up assessment) mixed factorial design was performed, with
time serving as within Ss factor and the other two variables serving as between Ss factors.
There were 20 trials in each therapeutic session. The duration of each trial was 30s for both
the EM and Exposure-Only conditions.
Results: After preliminary analyses for group differences on pretreatment variables, credibility-relationship ratings, and outcome variables were explored, the 2 (EM condition) ×
2 (order of valence presentation) × 9 (time) ANOVA on SUDs showed that the main effects of
time and EM were both significant (p < .001 and p < .034). Subsequently, two 2 (order of
valence presentation) × 9 (time) ANOVAs were performed for EM condition and
Exposure-Only condition, respectively. The results showed that for EM condition, only time
effect was significant (p < .006); while for Exposure-Only condition, there were a significant
time effect (p < .001) and an approaching significant valence presentation order effect (p
< .065), with the SUDs being higher in negative cognition presented first condition compared
to positive cognition presented first condition; whereas the effect was not significant for the
EM condition. Using trend analyses and inspection of time effect showed that significant
within session SUDs reduction for Exposure-Only conditions. Notwithstanding, the pairwise
comparisons for the 9 time points indicated salient phenomena of return of fear among several
of the 5 sessions for this condition when comparing the pre-assessment of each session with
post-assessment of its previous session. Whereas for EM condition the return of fear between
sessions was small and the trend analysis showed a reduction with linear trend.
Conclusions & Discussion: Compared to Exposure-Only, EM resulted in less degree of
sufferings while participants encountering negative theme which in turn might facilitate
further processing of negative memory. In addition, EM might add something beyond the
mechanism of pure exposure. The less return of fear indicating that information processing in
addition to response inhibition might take place between sessions. The results echoed
Shapiro’s Adaptive Information Processing model and Stickgold’s REM-sleep dependent
memory reprocessing model, suggesting that EM in EMDR might reflect a shift in associative
memory systems by activating different strength of associations of negative semantic nodes
for different semantically related words. Given that previous research showed that EM
decreased emotionality and also generate greater amount of associations for negative stimuli,
the implications of the present results from theoretical and therapeutic point of views and
future research possibilities are discussed.
Keywords: Adaptive Information Processing Model REM-Sleep Dependent Memory Reprocessing Model Saccadic Eye Movement Sematic Association
Accuracy Verified: Yes
158. Giovannozzi, G. (2013, June). Safety, regulation, self-regulation and eye contact: New challenges for EMDR therapy. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Porges’ polivagal theory of the hierarchical interpretation of the autonomic nervous system (ANS), in addition to extending the range of human beings’ possible responses to environmental demands, links the first line ventral-vagal response with the regulation of important viscera as well as that of facial and head muscles, mediating social interactions, and associates its activation with the feeling of safety, identifying this latter condition as essential for a person’s well-being.
Without safety no social relations, physiological regulation or healing are possible. Hence the importance for EMDR therapists to lead their clients to this condition: lacking the activation of the ventral-vagal circuit there can be no processing. EMDR therapists will be provided with tools to keep their clients in safe conditions within the setting.
Clients exposed to trauma and/or insecure attachment do not have a good ANS regulation and maintain inadequate defensive attitudes – as demonstrated by Porges’ results, easily comparable with Schore’s on affective development and with those of several multi-disciplinary scholars.
Exploring this dysfunction provides EMDR therapists with useful elements to guide their clients in the difficult task of confronting what they did not/could not process at that time. We propose a three-pronged cross-sectional assessment, regardless of the pathology, aimed at identifying the defensive arousal state of the ANS needed to face the dysregulating impact at that time, focusing on the prevalent activation style of the client, when meeting environmental challenges, and that emerging in the session. Starting from this assessment, EMDR therapists will be provided with tools to help clients recognize and master their defenses to increase their flexibility.
Using the regulation as a healing instrument and goal, and given the two-directional psychophysiological approach, where psychological and physiological processes meet, a new intervention model, stemming from the AIP-EMDR approach, is proposed, acting directly on the missing or impaired developmental stages of the self-regulation ability, consistently with what Porges hoped for.
The intervention focuses on Eye Contact (EC), because, as confirmed by several scholars, this is a privileged communication pathway, in particular in the mother-child dyad, to learn self-regulating skills and is easily impaired in psychiatric clients.
Learning objectives:
Raise EMDR therapists’ awareness of the importance of safety for their clients, based on Porges’ Polyvagal Theory;
Provide therapists with tools to maintain clients’ safety during the session;
Help EMDR therapist to recognize and modulate clients’ Autonomic Nervous System activation; and
Present an EMDR Protocol to regulate Eye Contact
Keywords: Eye Contact Protocol Regulation Safety
Accuracy Verified: Yes
159. Maxfield, L., & Melnyk, W. (2000, April). Single session treatment of test anxiety with eye movement desensitization and reprocessing (EMDR). International Journal of Stress Management, 7(2), 87-101. doi:10.1023/A:1009580101287.
Language: English
Format: Journal
Abstract:
One session of Eye Movement Desensitization and Reprocessing (EMDR) appeared to be an effective treatment for test anxiety, reducing reported physiological distress, worry, and fears of negative evaluation. The research design included two components: a comparison study, comparing Immediate Treatment and Wait List groups, and a replication study comparing the treatment response of Immediate and Delayed (Treated Wait List) groups. 17 test anxious university students were randomly assigned to one session of EMDR or Wait List. At post-test, the Immediate group demonstrated significant improvement, compared to the Wait List group, on the Test Anxiety Inventory (TAI) and Fear of Negative Evaluation Scale. Treatment effects were maintained at follow-up. The Wait List group received treatment after post-measures were taken. Treatment of the Delayed group replicated effects. Improvement was reflected by large treatment effect sizes and a decrease in percentile ranking on the TAI from the 90th to the 50th percentile (Pilots).
Keywords: Anxiety Disorders Brief Psychotherapy College Students Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Random Clinical Trial RCT Stressors Survivors Test Anxiety Treatment Effectiveness Treatment Outcome
Accuracy Verified: Yes
160. Bossini, L., Casolaro, I., Santarnecchi, E., Caterini, C., Koukouna, D., Fernandez, I., & Fagiolini, A. (2012, March-April). Studio di valutazione dell'efficacia clinica e neurobiologica dell'EMDR in pazienti affetti da disturbo da stress post-traumatico [Evaluation study of clinical and neurobiological efficacy of EMDR in patients suffering from post-traumatic stress disorder]. Rivista di Pschiatria, 47(Supplement 1), 12S-15S. doi:10.1078/1071.11733.
Language: Italian
Format: Journal
Abstract:
Un forte supporto all'uso prove di EMDR nei pazienti affetti da disturbo post-traumatico da stress (PTSD). Obiettivo. Per valutare l'efficacia clinica e neurobiologica-strutturale di EMDR alla droga naïve PTSD senza comorbidità. Materiali e metodi. Abbiamo fatto una valutazione clinica e la misurazione del volume ippocampale da MRI su 29 soggetti affetti da PTSD e su 30 soggetti sani di controllo. Quindi, i pazienti sono stati trattati con EMDR e dopo tre mesi di psicoterapia della valutazione clinica e l'esame di risonanza magnetica sono state risposto. Risultati e discussione. I nostri risultati hanno dimostrato che la diagnosi di PTSD non era più possibile su tutti i pazienti che hanno terminato la psicoterapia (n = 18). Allo stesso tempo, tutti i pazienti hanno mostrato un aumento medio del 6% dei volumi dell'ippocampo. Conclusioni. La reaserach suggerisce che il trattamento EMDR correla non solo con un miglioramento significativo dei sintomi di PTSD, ma anche con un significativo aumento del volume dell'ippocampo.
Strong evidence support use of EMDR in patients suffering from post-traumatic stress disorder (PTSD). Aim. To evaluate clinical and neurobiological-structural efficacy of EMDR on drug-naïve PTSD without comorbidity. Materials and methods. We made clinical evaluation and hippocampal volume measurement by MRI on 29 subjects suffering from PTSD and on 30 healthy control-subjects. Then, patients were treated with EMDR and after three months of psychotherapy the clinical evaluation and the MRI exam were replied. Results and discussion. Our results demonstrated that the diagnosis of PTSD was no more possible on all the patients who terminated the psychotherapy (n=18). At the same time, all the patients showed an average increase of 6% in hippocampal volumes. Conclusions. Our reaserach suggests that EMDR treatment correlates not only with a significant improvement of symptoms of PTSD, but also with a significant increase of hippocampal volumes.
Keywords: Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
161. Pagani, M., Lorenzo, Gd., Verardo, A., Nicolais, G., Monaco, L., Niolu, C., Fernandez, I., & Siracusano, A. (2012, March-April). Substrato neurobiologico della terapia con EMDR [Neurobiological correlates of EMDR therapy]. Rivista di Psichiatria, 47(Supplement 1), 16S-18S. doi:10.1708/1071.11734.
Language: Italian
Format: Journal
Abstract:
I EEG in un gruppo di dieci soggetti con grave trauma psicologico trattati con EMDR e in dieci controlli sono stati registrati sia durante l'ascolto del racconto autobiografico del trauma indice (script) e nel corso di una intera sessione EMDR. Gli EEG sono stati eseguiti nuovamente durante l'ultima sessione di EMDR quando i pazienti erano liberi da sintomi. Durante l'ascolto uno script di attivazione prevalente delle regioni limbiche corrispondenti alla corteccia prefrontale e orbitofrontale è stato registrato, essere spiegato come l'eccitazione emotiva durante trauma rivivere nella fase sintomatica. La diminuzione significativa di tali attivazioni durante la fase tardiva asintomatica rappresenta il correlato neurobiologico del recupero. Inoltre, l'evidenza di una significativa attivazione corticale nelle aree temporo-parieto-occipitale, durante l'ultima sessione, suggerisce uno switch del segnale elettrico dominante verso aree corticali con funzione prevalente cognitiva.
The EEGs in a group of ten subjects with major psychological trauma treated with EMDR and in ten controls have been registered both during the listening of the autobiographical narrative of the index trauma (script) and during a whole EMDR session. The EEGs have been performed again during the last EMDR session when patients were free of symptoms. During script listening a prevalent activation of the limbic regions corresponding to prefrontal and orbitofrontal cortex has been registered, being explained as the emotional arousal during trauma reliving at the symptomatic phase. The significant decrease of such activations during the late asymptomatic phase represents the neurobiological correlate of recovery. Moreover, the evidence of significant cortical activation in the parietal-temporo-occipital areas, during the last session, suggests a switch of the dominant electrical signal towards cortical areas with a prevalent cognitive function.
Keywords: Neurobiology
Accuracy Verified: Yes
162. Borden, T. (2009, January). Successful treatment of trauma and addictions using EMDR (Eye movement desenitization and reprocessing), Parts I and II. Presentation at the San Diego International Conference on Child and Family Maltreatment.
Language: English
Format: Conference
Abstract:
Over the past two decades we have seen an increase in the relationship between Trauma and Addiction including eating disorders. Studies have focused on the psychobiological effects on the brain and PTSD symptomology. Eye Movement Desensitization and Reprocessing has gained great respect in the field for its efficacy and long term benefits with PTSD (Trauma Survivors) and Substance Abuse. Research suggests that PTSD clients are more responsive to treatments that specifically "process" traumatic memories such as EMDR. EMDR is an exposure treatment in which clients perform saccidic eye movements to process traumatic memories which in turn accelerates the processing of information involving a shift of cognitive structures ( including the assimilation of positive beliefs)." The application of EMDR apparently stimulates an inherent physiological processing system that allows dysfunctional information to be adaptively resolved, resulting in increased insight, cognitive restructing of potential relaspe triggers and physical cravings";Shapiro F.(1994). What we have learned over the years is that brain function can be altered by external stimuli; with the use of EMDR, eye movement "Naturally" occures in the rem sleep as well as activating it in the wake states has proven to be quite effective in the treatment of maladaptive behaviors: This workshop will look at this treatment modality its effectiveness and use with Trauma and Addictions; Workshop format will include lecture, case examples, and experiental exercises.
Keywords: Addictions Children
Accuracy Verified: Yes
163. Foreningen EMDR Sverige. (2009). Synpunkter akutstressyndrom och PTSD [EMDR Sweden Association comments acute stress syndrome and PTSD]. In Foreningen EMDR Sverige, Inkomna synpunkter, Nationella riktlinjer för depressionssjukdom och ångestsyndrom preliminär, (pp. 163-164). Denmark: Riksforeningen Psykoterapi Centrum.
Language: Swedish
Format: Newsletter
Abstract:
Föreningen EMDR Sverige vill lämna följande kommentarer till
utkastet till riktlinjer avseende behandling av akut stressyndrom
och posttraumatiskt stressyndrom.
International Society for Traumatic Stress studies gör regelbundet sammanställningar
av evidensläget [1]. Det är viktigt att beakta att psykologiska
behandlingsformer i form av traumafokuserad KBT och EMDR är de viktigaste
och mest effektiva behandlingar. EMDR har varit kontroversiell men
är det inte längre, utan är en internationellt accepterad behandlingsmetod för
PTSD. Det är fortfarande inte allmänt accepterad att ögonrörelser har betydelse,
men nyligen har svensk och australisk forskning visat att ögonrörelser
under EMDR har tydliga fysiologiska effekter som är meningsfulla [2, 9],
dessutom har alla studier av fysiologi vid EMDR hittills samstämmande
visat dessa effekter, enligt en litteratursammanställning [3].
Under senaste åren har forskning om minnesfunktion och sakkadiska
ögonrörelser visat att minnessystem som till exempel episodminne (som ofta
är störd vid PTSD) påverkas på ett gynnsamt sätt av ögonrörelser [4-8]. Således
finns det i dag mycket som stödjer att ögonrörelser är meningsfulla
även om det kan vara svårt att förstå vid första anblicken. EMDR och exponeringsbehandling
är lika effektiva enligt metastudier, bland annat Cochrane
och i ISTSS aktuella genomgång av effektiva behandlingsmetoder för
PTSD.
Referenser
1. Foa E, Keane TM, Friedman MJ & Cohen JA. 2009. Effective
Treatments for PTSD Practice Guidelines from the International Society
fro Traumatic Stress Studies. Guilford,New York.
2. Elofsson, U.O., et al., Physiological correlates of eye movement desensitization
and reprocessing. Journal of anxiety disorders, 2008.
22(4): p. 622-34.
3. Söndergaard, E., Psychophysiological studies of EMDR. Journal of
EMDR Practice and Research, 2008. 2(4): p. 282-288.
4. Stickgold, R., EMDR: A putative neurobiological mechanism of action.
Journal of Clinical Psychology, 2002. 58(1): p. 61-75.
5. Parker, A. and N. Dagnall, Effects of bilateral eye movements on
gist based false recognition in the DRM paradigm. Brain and cognition,
2007. 63(3): p. 221-5.
6. Parker, A., S. Relph, and N. Dagnall, Effects of bilateral eye movements
on the retrieval of item, associative, and contextual information.
Neuropsychology, 2008. 22(1): p. 136-45.
EMDR Association of Sweden makes the following comments to
Draft Guidelines for the treatment of acute stress disorder
and post-traumatic stress disorder.
International Society for Traumatic Stress Studies makes regular summaries
of evidence-mode [1]. It is important to note that psychological
treatments in the form of trauma-focused CBT and EMDR is the most important
and most effective treatments. EMDR has been controversial but
it is no longer, but is an internationally accepted method of treatment for
PTSD. There is still no generally accepted that eye movements are important,
but lately, Swedish and Australian research has shown that eye movements
during EMDR has clear physiological effects that are meaningful [2, 9],
Moreover, all studies of physiology at the convergence of EMDR to date
shown these effects, according to a literature review [3].
In recent years, research on memory function and Sakka wash
eye movements showed that memory systems, such as episodic memory (which is often
is disturbed in PTSD) is affected in a favorable way of eye movements [4-8]. Thus
today there are a lot of support that eye movements are meaningful
although it may be difficult to understand at first glance. EMDR and exposure therapy
are as effective as meta-studies, including Cochrane
and in ISTSS current review of effective treatments for
PTSD.
References
1st Foa E, Keane TM, Friedman MJ & Cohen JA. 2009th Effective
Treatments for PTSD Practice Guidelines from the International Society
fro Traumatic Stress Studies. Guilford, New York.
2nd Elofsson, UO, et al., Physiological correlator of eye movement desensitization
and Reprocessing. Journal of Anxiety Disorders, 2008.
22 (4): p. 622-34.
3rd Sondergaard, E., Psychophysiological studies of EMDR. Journal of
EMDR Practice and Research, 2008. 2 (4): p. 282-288.
4th Gold Stick, R., EMDR: A putative neuro Biological mechanism of action.
Journal of Clinical Psychology, 2002. 58 (1): p. 61-75.
5th Parker, A. and N. Dagnall, Effects of bilateral eye movements on
GIST-based false recognition in the DRM paradigm. Brain and Cognition,
2007th 63 (3): p. 221-5.
6th Parker, A., S. Relph, and N. Dagnall, Effects of bilateral eye movements
On the retrieval of item, associative, and contextual information.
Neuro-Psychology, 2008. 22 (1): p. 136-45.
Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
164. Swatzyna, R. (1998, July). A tactical therapeutic protocol, for the treatment of PTSD, accentuating both neurologic and psychologic desensitization. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will: 1) understand the theory behind neurologic desensitization and it physiological necessity as a precursor to EMDR therapy; 2) explore Benson and Everly's strategic metatherapeutic approach to PSTD for the purpose of understanding the design necessities required of tactical therapeutic protocols; and 3) gain a knowledge of Biofeedback Assisted Relaxation training and its applicability to the establishment of a "Safe Place" during the first phase of EMDR, and the return to a "Safe Place" during the closure phase.
Keywords: Benson and Everly's Strategic Metatherapeutic Approach Safe Place Biofeedback Assisted Relaxation Neurologic Desensitization Tactile Protocol
Accuracy Verified: Yes
165. Lamprecht, F. (2003). Themenschwerpunkt behandlung psychotraumatischer belastungsstörungen mit EMDR [Topics focus on treatment of psychological trauma with EMDR]. Kröning: Asanger.
Language: German
Format: Book
Abstract:
Mit Beiträgen über EMDR in der Behandlung von chronischem Schmerz, EMDR in der Psychotherapie von Persönlichkeitsstörungen mit und ohne Symptomatik einer PTPS, EMDR in der Behandlung dissoziativer Störungen, EMDR bei Schädel-Hirn-Traumatisierten, über die psychophysiologische Regulation bei Patienten mit PTSD und den Veränderungen nach einer EMDR-Behandlun sowie den physiologischen und biologischen Veränderungen nach frühen kindlichen Traumata und deren Behandlungsmöglichkeit.
Focus: Treatment of psycho traumatischer stress disorders with EMDR (ed. Lamprecht). With contributions of EMDR in the treatment of chronic pain, EMDR in psychotherapy personality disorders with and without symptoms of a PTPS EMDR in treatment of dissoziativer disorders, EMDR at skull-brain-Traumatisierten, on the psycho physiological regulation in patients with underlying and changes after a EMDR Behandlun and the physiological and biological changes after early infant trauma and their treatment option.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
166. Samardzic, D. (2010, August). Trauma and the body: The somatic experience in psychotherapy. John F. Kennedy University, Pleasant Hill, CA.
Language: English
Format: Dissertation/Thesis
Abstract:
According to recent neuroscience research, psychological trauma disrupts homeostasis
and can negatively affect various organs and biological systems (Solomon & Heide,
2005). Somatic therapy addresses the physiological elements of the trauma by focusing
on the body, which, in turn, helps individuals cognitively and emotionally process trauma
(Ogden & Minton, 2000; Levine, 1997). This qualitative study aimed to explore the
experience of 5 participants who underwent ongoing somatic therapy in the treatment of
symptoms associated with Posttraumatic Stress Disorder (PTSD). The results revealed
twelve common essential elements among all the participants that illustrated their
experience prior to and during the somatic therapeutic process. Some of the elements
identified included: presence of severe trauma history of emotional, physical, and/or
sexual abuse; failure to treat PTSD symptoms prior to somatic therapy; manifestation of
PTSD in physical symptoms and/or illness; increasing awareness of body allowed access
to trauma; newfound knowledge and tools gained in helping to manage triggers; and
gaining a sense of physical and psychological freedom. Three additional essential
elements were found that were not shared by all or most of the participants, which included: EMDR as unsuccessful in treating PTSD symptoms; healing through artistic
expression; and ineffectiveness of psychotropic medication in the treatment of PTSD. A
process was identified in which a non-verbal bodily experience became a verbal,
intellectual, or cognitive experience. In addition, seven characteristics were identified
within the transformative process of improving PTSD symptoms occurring during the
somatic therapy. According to the participants’ reports, somatic therapy not only
decreased their PTSD symptoms, but the process had a significant positive impact on the
quality of their lives. This study’s findings highlight the potential of somatic therapy to
help those dealing with the effects of psychological trauma.
Keywords: Body Biological Systems Somatic Therapy Trauma
Accuracy Verified: Yes
167. Zantvoord, J. (2012, November). Trauma focused psychotherapies from a neurodevelopmental perspective: fMRI and physiological pilot outcome data from a RCT conducted in the Netherlands with children suffering from PTSD. Symposium conducted at the 28th annual meeting of the ISTSS, Los Angeles, CA.
Language: English
Format: Conference
Abstract:
Neurobiological treatment outcome studies in adults with PTSD have shown that successful treatment is
associated with changes in activity of frontal brain areas and the amygdala, brain areas which are
involved in fear conditioning and extinction. Frontal brain regions undergo considerable maturation
during childhood and adolescence and only reach anatomical and functional maturity well within the
third decade of life. In this light, results obtained in neurobiological studies in adults can’t be readily
translated to children and adolescents. Neurobiological treatment outcome studies in children with
PTSD are thus required, yet are almost nonexistent to date. Neurobiological treatment outcome studies
addressing the mechanism involved in treatment response or non response can contribute to improve
treatment strategies for non responders especially for treatment non responders and in time help
clinicians to tailor treatment for individuals with PTSD.
In this part of the symposium we will present treatment outcome data of our neurobiological pilot study
conducted in children with PTSD in the Netherlands. Children aged 8 to 18 with PTSD were randomly
assigned to receive either 8 sessions of manualized Trauma Focus cognitive behavioral therapy or EMDR.
fMRI data of a working memory task with emotional distracters and physiological data obtained during
script driven imagery will be presented. Treatment outcome results will be placed in a
neurodevelopmental framework.
Keywords: Children, fMRI Netherlands Neurodevelopment Pilot Posttraumatic Stress Disorder PTSD Random Control Trial RCT
Accuracy Verified: Yes
168. Ricci, R. J. (2004). Trauma resolution treatment as an adjunct to standard treatment for sexual offenders. Virginia Polytechnic Institute and State University. AAT 3136393.
Language: English
Format: Dissertation/Thesis
Abstract:
This study explored the use of adding trauma resolution therapy to standard cognitive-behavioral relapse prevention therapy for sex offenders. Ten adjudicated sex offenders with sexual abuse histories were treated with eye movement desensitization and reprocessing as an adjunct to standard outpatient sex offender treatment. Data points include self-report, other-report, assessment instruments, session transcripts, research journals, and physiological measures. Systematic treatment research and development methods (Bischoff, McKeel, Moon, & Sprenkle, 1996) resulted in a proposed treatment protocol. Emergent themes from a cross-case, grounded theory data analysis are presented. The data suggests the adjunct treatment provided some benefit both to participants and to the goals of standard sex offender-specific treatment. Implications for treatment providers, marriage and family therapy, and future research are discussed.
Keywords: Sex Offenders Trauma Treatment
Accuracy Verified: Yes
169. Zobel, M. (2006). Traumatherapie, eine einführung [Trauma Therapy, An introduction] . Psychiatrie-Verlag, 190 p.
Language: German
Format: Book
Abstract:
Martin Zobel hat als Herausgeber ein Team von zwölf erfahrenen Autorinnen und Autoren versammelt, darunter ausgewiesene Spezialisten auf dem Gebiet der Traumatherapie wie Luise Reddemann und Oliver Schubbe. Auch der kürzlich verstorbene Klaus Grawe ist vertreten.Nach einem kurzen Überblick über die historische Entwicklung der Traumatherapie und über die neurophysiologischen Grundlagen, die zum Verständnis der Traumafolgestörungen notwendig sind, geht es um das konkrete Vorgehen in der therapeutischen Praxis. Der Schwerpunkt liegt bei verhaltenstherapeutischen Zugängen und EMDR, dem Verfahren, das in den letzten Jahren als sowohl Therapeuten als auch Klienten schonendes und hilfreiches Verfahren Verbreitung gefunden hat. In je eigenen Beiträgen werden folgende Themen behandelt Diagnosestellung, Stabilisierung, verhaltenstherapeutische Interventionen, EMDR, der Umgang mit Dissoziationen, die medikamentöse Behandlung sowie der Umgang mit den Angehörigen.
Martin Zobel has assembled a team as editor of twelve experienced authors, including experienced experts in the field of trauma therapy as Louise Redd and Oliver Schubbe. Even the late Klaus Grawe vertreten. Nach is a brief overview of the historical development of trauma treatment, and the neuro-physiological bases for the understanding of traumatic stress disorders necessary, it is about the actual procedure and in therapeutic practice. The focus is on behavioral approaches and EMDR, the method has in recent years, both as therapist and client-friendly and useful technique has spread. Each in their own contributions Topics include diagnosis, stabilization, behavioral interventions, EMDR, the treatment of dissociation, the medical treatment and dealing with the relatives.
Accuracy Verified: Yes
170. Gelinas, D. (2006, September). Treating complex PTSD with EMDR. Presentation at the annual EMDR International Association Conference, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Research has demonstrated that EMDR is
efficacious in treating PTSD. Many clinicians
however treat clients with more complicated forms
of PTSD resulting from early, repeated trauma
experiences. This workshop will provide a
framework for beating complex PTSD using EMDR.
It will first summarize the clinical picture of complex PTSD, including it's bi-phasic numbing/constricting interspersed with repetitive intrusions, chronic physiological hyperarousal, distortions of the self,
and the presence of dissociation, which includes for some clients, the presence of ego states. This
information will be used to demonstrate EMDR Case
Conceptualizations and several approaches to target selection, depending upon the characteristics of the
clinical situation. The workshop will provide a
number of EMDR methods for stabilizing clients
early in treatment then will focus on Assessment and
Desensitization. Complex PTSD frequently calls
for extensive use of cognitive interweaves because
of the significant distortions in sense of self, and so
their use will be reviewed. As they emerge in the
different phases of EMDR, different types of
dissociation present the clinician with choice points about how to proceed. The workshop will provide
sevcral ways to recognize the emergence of
dissociation during each of the 8 phases of EMDR
and the choice points this represents. It will discuss several ways to manage dissociation as it emerges, including ego states, so that EMDR can proceed productively. Present triggers and future considerations will be included. Time will be included for questions and for focused discussion.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
171. Acierno, R., Tremont, G., Last, C., & Montgomery, D. (1994). Tripartite assessment of the efficacy of eye-movement desensitization in a multi-phobic patient. Journal of Anxiety Disorders, 8(3), 259-276. doi:10.1016/0887-6185(94)90007-8.
Language: English
Format: Journal
Abstract:
The relative efficacy of Eye-Movement Desensitization (EMD) and Eye-Focus Desensitization (i.e., a treatment procedure designed to control for the effects of eye movement) in treating multiple phobias was assessed along behavioral, cognitive, and physiological response channels in a single-subject, multiple-baseline design across fear areas. Continuous physiological measurements, rather than presession/post- session change scores, were employed to permit accurate, fine-grained analysis of each intervention's effects. Results indicated that EMD failed to produce clinically significant intra- and intersession improvements beyond those produced by the control procedure on all dependent measures. A second multiple-baseline design across fear areas was implemented with the same subject and employed in vivo exposure/reinforced practice in order to demonstrate the patient's potential responsiveness to treatment. This procedure produced dramatic improvement on behavioral and subjective measures, but not on physiological indices. Results from this single-case experiment did not support the effectiveness of EMD. [ScienceDirect]
Accuracy Verified: Yes
172. MacPhee, A. R., & Andrews, J. J. W. (2003, December). Twelve-year review of in vivo exposure: Treating specific phobias in children. Canadian Journal of School Psychology, 18(1/2). 183-201. doi:10.1177/082957350301800109.
Language: English
Format: Journal
Abstract:
This article reviews 15 studies using in vivo exposure to treat specific
phobias in children. Six elements of research methods are considered:
(a) participants clinically diagnosed; (b) subjective, behavioral, and
physiological components of the fear reaction measured; (c) research
design; (d) inclusion of a control group; (e) follow-up data collected; and,
(f) necessity of including other treatments with in vivo exposure. The
studies were obtained through a computerized search of PsycINFO
and CISTI This investigation revealed that all six elements of research
mc-,ethods examined inthis reieware in need ofimprovement. Suggestions
for future research in this area are provided.
Keywords: Children In Vivo Phobias
Accuracy Verified: Yes
173. Russell, M. C. (2012, February 5). Underestimating the true prevalence of war stress injury in the military. Huffington Post. Retrieved from http://www.huffingtonpost.com/mark-c-russell-phd-abpp/ptsd-military-_b_1250227.html on 2/5/2012.
Language: English
Format: Other
Abstract:
Media and official reports on prevalence rates of military war stress injury have focused almost exclusively on escalating rates of well-known war stress injuries such as PTSD, depression, generalized anxiety, substance abuse, and traumatic brain injury (TBI). Take a look at some of this week's headlines:
•Michelle Obama Tackling PTSD Treatment For Veterans
•Veteran PTSD: Lawmakers Want Audit Of Wait Times For Appointments
However, the true impact from war trauma cannot be reduced to a handful of psychiatric diagnoses, as some may want. It is a well-established, albeit uncomfortable, and conveniently ignored historical, medical and scientific fact that human adaptation to uncontrollable, unpredictable and potentially traumatic stress "causes" or significantly contributes to a wide-range of neurobiological, physical, cognitive, emotional and behavioral changes that, when chronic and/or severe enough, will inevitably cause significant physiological alterations in the brain-mind-body, eventually leading to physical and/or psychological breakdown. It's not just me saying it. [Excerpt]
Keywords: Blog Military Posttraumatic Stress Disorder PTSD Veterans War
Accuracy Verified: Yes
174. Uram, S. (2007, September). Understanding Your Adult EMDR Clients from a Developmental perspective: How childhood brain development correlates with coping skills and vulnerabilities to trauma. Presentation at the annual mmeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
This workshop presents a developmental model that is an integration of the three areas that can be utilized when formulating your understanding and treatment of your adult EMDR clients: developmental neurobiology (presented in a simple and down to earth manner), plus development of increasingly sophisticated coping and relating skills that result from the maturing brain, plus relevant traumatology. Participants should be able to then utilize this integrated developmental model to better identify key nodes, targets and interweaves for EMDR processing.
Keywords: Brain Development
Accuracy Verified: Yes
175. Friedhelm Lamprecht, F., & Steinmetz, A. (2007). Untersuchung von wirkmechanismen der EMDR- traumatherapie: Psychophysiologische veränderungen während therapiesitzungen [Investigation of mechanism of action of EMDR trauma therapy: Psycho-physiological changes during therapy sessions]. Medizinischen Hochschule, Hannover.
Language: German
Format: Dissertation/Thesis
Keywords: Mechanism of Action Psychophysiological Changes
Accuracy Verified: Yes
176. Kutz, I. (2007, June). The use of single session EMDR protocol in acute stress syndromes (ASS). Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The workshop provides novel concepts regarding the nature of Acute Stress Syndromes following research in Israel. The use of a single session, modified protocol for EMDR in ASS is described, following terror attacks, motor vehicle accidents, and the war with Lebanon. The following themes will be covered in the workshop.
Part one: Novel approaches to Acute Stress Syndromes – Redefining the time axis of SS; the diagnosis of Immediate; Acute Stress Reaction (ASR) and Prediction of Risk Vulnerability: A novel assessment tool; a review of Acute Post Traumatic Stress Syndromes and how they differ from chronic PTSD; the characteristics of intrusive phenomena in ASS; and a phase oriented intervention model for ASS.
Part Two: EMDR in ASS – A brief review regarding the nature of EMDR and PTSD; the modified brief EMDR Protocol; the use of a single session EMDR in ASS – in a GH practice, during terror attacks and following war situations; clinical demonstrations of a single session EMDR in ASS patients (video movies); indications, advantages and precautions using the single session EMDR intervention; and possible psycho-physiological mechanisms.
Keywords: Acute Stress Syndrome Early Intervention
Accuracy Verified: Yes
177. Leeds, A. M. (1999, May). Using EMDR in complex PTSD and adult attachment disorders. Symposium conducted at the annual meeting of the American Psychiatric Association, Washington, DC.
Language: English
Format: Conference
Abstract:
"Using EMDR in Complex PTSD and Adult Attachment Disorders" was presented as a part of a symposium organized by Bessel A. van der Kolk, M.D with additional papers by Francine Shapiro, Ph.D., Friedhelm Lamprecht, MD and Bessel A. van der Kolk, M.D., at the 1999 American Psychiatric Association (May 19) in Washington, DC.
This talk frames the use of Resource Development and Installation in the larger historical context of ego strengthening and briefly reviews theoretical and neurobiological correlates hypothesized to be involved in the application of RDI. The case material presented is similar to that presented in 1997 and 1998 EMDRIA presentations.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD RDI Resource Development and Installation Symposium
Accuracy Verified: Yes
178. Staff. (1997, May). Using EMDR to treat psychological trauma. Clinician's Research Digest, 15(5), 3.
Language: English
Format: Newsletter
Abstract:
This article discusses outcome studies on eye movement desensitization and reprocessing (EMDR). It is noted that EMDR was originally designed for rapid treatment of traumatic memories, but practitioners have also applied it to such other problems as phobias, panic disorder, grief, chemical dependence, and dissociative disorders. Since the development of EMDR, numerous outcome reports in the form of case studies, single-subject experiments, and group design experiments have appeared in the literature. Several studies and meta-analyses of EMDR are described. While one meta-analysis concluded that the effects of EMDR are (a) not strong, (b) most apparent with self-report measures but absent with physiological indices of the disorder, and (c) absent altogether in some studies, other authors believe this is an overstatement. Two other meta-analyses note that there have been more controlled studies of EMDR than all other treatments for post-traumatic stress disorder (PTSD), and both acknowledge a range in findings. It has been suggested that there are numerous explanations for negative or limited findings for EMDR, most notably the use of chronic, multiply traumatized veterans (where secondary gain may be a concern), lack of treatment fidelity, and insufficient length of treatment.
Keywords: Emotional Trauma Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
179. Kreitzberg, J. (2011). Using magneto encephalography to determine the therapeutic efficacy of EMDR in the treatment of PTSD. Symposium presented at the Annual Linfield College Science Symposium.
Language: English
Format: Conference
Abstract:
Post-traumatic stress disorder (PTSD) is a condition that can be produced by traumatic experiences. A new study has shown that a brain scan called magneto encephalography (MEG) can identify people who have PTSD with an accuracy of 95%. Sensors measure tiny magnetic fields generated by currents flowing in and around neurons. In addition they have recently stated in the Journal of Neural Engineering that they can now watch the brain as it experiences PTSD. Imaging shows that the brain becomes hyperactive in the right temporal lobe, the location responsible for memory. Besides diagnosing PTSD, the researchers also are able to judge the severity of how much patients are suffering. Eye-movement desensitization and reprocessing (EMDR) was designed in 1987 as a treatment for PTSD. EMDR is a structured eight-phase therapy that allows for adequate reprocessing of dysfunctionally stored memory. In the processing phases the client attends to the disturbing memory in brief intervals of 15-30 seconds while also experiencing bilateral stimulation (eye movements, tones or tapping). The eight phases integrate effective elements of psychodynamic, imaginal exposure, cognitive therapy, interpersonal, experiential, physiological and somatic therapies. Now that we can locate specific biomarkers for PTSD using MEG, my hypothesis is that we will find a statistically significant difference between the control group and the group that has EMDR treatment, and that EMDR will be shown to be effective in resolving PTSD as measured by pre and post therapy MEG scans. Also using the MEG, we may be able to observe those brain actions responsible for the therapeutic efficacy of EMDR and isolate which components of EMDR trigger those brain actions. The significance of finding the answer to these questions could potentially help millions of people overcome years of suffering from psychological pain due to the after effects of severe trauma and restore them to productive lives. It could establish the status of EMDR, assisting in the decision of whether it should be listed among the evidence-based, best-practice therapy modalities and covered by insurance. Also knowing the underlying pathophysiology could contribute to the evolution, revision and refinement of diagnostic constructs for PTSD.
Keywords: Efficacy Magneto Encephalography Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
180. Zantvoord, J. B., Diehle, J., & Lindauer, R. J. (2013, March). Using neurobiological measures to predict and assess treatment outcome of psychotherapy in posttraumatic stress disorder: Systematic review. Psychotherapy and Psychosomatics, 82, 142-151. doi:10.1159/000343258.
Language: English
Format: Journal
Abstract:
Background: Trauma-focused cognitive-behavioral therapy (TF-CBT) and eye movement desensitization and reprocessing (EMDR) are effective treatments for posttraumatic stress disorder. However, little is known about their neurobiological effects. The usefulness of neurobiological measures to predict the treatment outcome of psychotherapy also has yet to be determined. Methods: Systematic review of randomized controlled trials (RCTs) focused on neurobiological treatment effects of TF-CBT or EMDR and trials with neurobiological measures as predictors of treatment response. Results: We included 23 publications reporting on 16 separate trials. TF-CBT was compared with a waitlist in most trials. TF-CBT was associated with a decrease in heart rate and blood pressure and changes in activity but not in volume of frontal brain structures and the amygdala. Neurobiological changes correlated with changes in symptom severity. EMDR was only tested against other active treatments in included trials. We did not find a difference in neurobiological treatment effects between EMDR and other treatments. Publications on neurobiological predictors of treatment response showed ambiguous results. Conclusion: TF-CBT was associated with a reduction of physiological reactivity. There is some preliminary evidence that TF-CBT influences brain regions involved in fear conditioning, extinction learning and possibly working memory and attention regulation; however, these effects could be nonspecific psychotherapeutic effects. Future trials should use paradigms aimed specifically at these brain regions and physiological reactivity. There are concerns regarding the risk of bias in some of the RCTs, indicating that methodologically more rigorous trials are required. Trials with neurobiological measures as predictors of treatment outcome render insufficient results to be useful in clinical practice.
Copyright © 2013 S. Karger AG, Basel.
Keywords: Neurological Measures Posttraumatic Stress Disorder PTSD TF-CBT Trauma-Focused Cognitive-Behavioral Therapy
Accuracy Verified: Yes