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1. محمد نريمانی * و سوران رجبی [Narimani, M., Ahari, S. S., & Rajabi, S.] (2010, Winter). مقايسه تاثير روش حساسيت زدايی توام با حرکات چشم و پردازش مجدد (EMDR) با درمان شناختی ـ رفتاری (CBT) در درمان اختلال استرس [Comparison of efficacy of eye movement, desensitization and reprocessing and cognitive behavioral therapy therapeutic methods for reducing anxiety and depression of Iranian combatant afflicted by post traumatic stress disorder]. مجله علوم پزشکی دانشگاه آزاد اسلامی ، واحد پزشکی تهران، 19 (4), 236-245 [Medical Sciences Journal of Islamic Azad University, Tehran Medical Branch, 19(4(58)), 236-245].

Language: Persian

Format: Journal

Abstract:
سابقه و هدف: با توجه به ماهيت علامت محوربودن درمان دارويی، از روش های درمانی حساسيت زدايی توام با حرکات چشم و پردازش مجدد (EMDR) و شناختی- رفتاری (CBT) در درمان اختلال استرس پس از ضربه (PTSD) استفاده می شود. هدف اين مطالعه بررسی تفاوت تاثير دو روش درمانی EMDR و CBT در اختلال استرس است. روش بررسی: در اين مطالعه مورد شاهدی 51 رزمنده مبتلا به PTSD بستری در بيمارستان ايثار اردبيل يا ساکن در شهر اردبيل به روش نمونه گيری تصادفی ساده انتخاب شدند و به صورت تصادفی به سه گروه تقسيم شدند.روش مطالعه، آزمايشی گسترش يافته و طرح تحقيق از نوع پيش آزمون ـ پس آزمون چندگروهی بود. ابزارهای مورد استفاده شامل آزمون خاطره های آزاردهنده، مقياس براشفتگی ذهنی، مقياس شناخت واره های مثبت و مقياس اضطراب و افسردگی بيمارستانی بود. يافته ها: روش های درمانی EMDR و CBT باعث کاهش معنی داری در متغيرهای خاطره های آزاردهنده، اضطراب و افسردگی و برآشفتگی ذهنی شد و ميزان اعتماد به شناخت واره مثبت به طور معنی داری افزايش يافت. روش درمانی EMDR در مقايسه با CBT در کاهش علايم PTSD رزمندگان ايرانی موثرتر بود، با اين وجود هر دو روش در کاهش علايم اين اختلال موثر بودند. نتيجه گيری: با توجه به اثر درمانی EMDR و CBT در درمان PTSD، پيشنهاد می شود به منظور پيشگيری و کاهش علايم اختلال استرس پس از سانحه جنگ در رزمندگان ايرانی از روش های درمانی فوق در مراکز درمانی استفاده شود.

Background: According to symptom oriented of drug therapy in the treatment of post-traumatic stress disorder (PTSD), eye movement, desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) were increasingly used. The aim of this study was to compare effects of EMDR and CBT in acute stress. Materials and Methods : In this case-control study of 51 combat PTSD patients admitted to hospital or residing in the sacrifice of Ardabil Ardabil simple random sampling were selected randomly divided into three groups. Methods, expanded testing and research design type were tested before Chndgrvhy test. Test tools used included disturbing memories, anger scale, mental, cognitive scale Varh positive and the hospital anxiety and depression scale. Results : EMDR and CBT treatments significantly reduced the variables disturbing memories, anxiety and depression and mental frustration and level of confidence in recognizing the positive Varh significantly increased. EMDR therapy compared with CBT in reducing PTSD symptoms was more effective Iranian combatants, however, both methods were effective in reducing symptoms of this disorder. Conclusion : According to the therapeutic effect of EMDR and CBT in treating PTSD, is recommended to prevent and reduce symptoms of post traumatic stress disorder in war veterans of the Persian mentioned therapies used in treatment centers.

Keywords: Anxiety  Anxiety Disorders  CBT  Cognitive Behavioral Therapy  Cognitive Therapy  Depression  Depressive Disorders  Iranians  Middle Aged  Posttraumatic Stress Disorder  PSTD  Treatment Effectiveness  Veterans  War  

Accuracy Verified: Yes


2. محمد نريماني ، سوران رجبي [Narimani, M., & Rajabi, S.] (2009). مقايسه ي تأثير روش حساسيت زدايي توأم با حركات چشم و پردازش مجدد در درمان اختلال استرس (CBT) با درمان شناختي رفتاري (EMDR) [Comparison of efficacy of eye movement, desensitization and reprocessing and cognitive behavioral therapy methods in the treatment of stress disorder]. Medical Science Journal of Islamic Azad University - Tehran Medical Branch, 19(4), 236-245.

Language: Persian

Format: Journal

Abstract:
سابقه و هدف: با توجه به ماهيت علامت محوربودن درمان دارويي، از روش هاي درماني حساسيت زدايي توأم با حركات چشم و استفاده مي شود. هدف اين (PTSD) در درمان اختلال استرس پس از ضربه (CBT) و شناختي- رفتاري (EMDR) پردازش مجدد در اختلال استرس است. CBT و EMDR مطالعه بررسي تفاوت تأثير دو روش درماني بستري در بيمارستان ايثار اردبيل يا ساكن در شهر اردبيل به PTSD روش بررسي:در اين مطالعه مورد شاهدي 51 رزمنده مبتلا به روش نمونه گيري تصادفي ساده انتخاب شدند و به صورت تصادفي به سه گروه تقسيم شدند.روش مطالعه، آزمايشي گسترش يافته و طرح تحقيق از نوع پيش آزمون پس آزمون چندگروهي بود. ابزارهاي مورد استفاده شامل آزمون خاطره هاي آزاردهنده، مقياس برآشفتگي ذهني، مقياس شناخت واره هاي مثبت و مقياس اضطراب و افسردگي بيمارستاني بود. باعث كاهش معني داري در متغيرهاي خاطره هاي آزاردهنده، اضطراب و افسردگي و CBT و EMDR يافتهها: روش هاي درماني CBT در مقايسه با EMDR برآشفتگي ذهني شد و ميزان اعتماد به شناخت واره ي مثبت به طور معني داري افزايش يافت. روش درماني رزمندگان ايراني مؤثرتر بود، با اين وجود هر دو روش در كاهش علايم اين اختلال مؤثر بودند. PTSD در كاهش علايم پيشنهاد مي شود به منظور پيشگيري و كاهش علائم اختلال ،PTSD در درمان CBT و EMDR نتيجهگيري: با توجه به اثر درماني استرس پس از سانحه جنگ در رزمندگان ايراني از روش هاي درماني فوق در مراكز درماني استفاده شود.

Background: According to symptom oriented of drug therapy in the treatment of post-traumatic stress disorder (PTSD), eye movement, desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT) were increasingly used. The aim of this study was to compare effects of EMDR and CBT in acute stress. Materials and methods: In this case-control study, 51 combatants with PTSD hospitalized in Isar Hospital of Ardabil province or were inhabited in Ardabil were randomly divided to three groups. The method was extended test method and study design was multi-group test-retest. Used tools included boring memories test, subjective units of distress or anxiety (SUD) scale, validity of cognitions (VOC) scale and hospital anxiety and depression scale. Results: EMDR and CBT significantly decreased boring memories, mental distress, anxiety and depression, and also increased positive cognition. Although both EMDR and CBT caused significant reduction of anxiety and depression, EMDR was superior to CBT in reduction of PTSD symptoms of Iranian combatants. Conclusion: Regarding efficacy of EMDR and CBT in the treatment of PTSD , it is suggested to prevent and decrease symptoms of post traumatic stress disorder (PTSD).

Keywords: Anxiety  Depression  CBT  Cognitive Behavior Therapy  Posttraumatic Stress Disorder  PSTD  Subjective Units of Distress  SUD  Validity of Cognition  VOC  

Accuracy Verified: Yes


3. [Chang Sue-Hwang, & Lin C.-P.]. (2004年9月). 從快速眼動到EM在EMDR的:跳視眼球運動和變化的語義關係的強度 [From REM to EM in EMDR: Saccadic eye movements and change of strength of semantic associations]. 在提交的文件 第43次年度會議在台灣心理學會,研討會 焦慮症:心理素質,調解員和治療問題。政大 大學,台北,台灣,9月26日。 (國科會92 -2815- C型002 -072- H)的 [Presentation at the 43rd Annual Conferences on Taiwan Psychological Association, Symposium on Anxiety Disorders: Diatheses, Mediators and Therapeutic Implications. Chengchi University, Taipei, Taiwan, September 26. (NSC 92-2815-C-002-072-H)].

Language: Chinese

Format: Conference

Abstract:
研讨会焦虑症:糖尿病,调解员和治疗的影响;(国科会92 - 2825 -架C - 002 - 072 - H)的研究背景及目的:本研究从快速眼动睡眠的眼动脱敏和再加工(EMDR)治疗的可能机制依赖内存后处理模型(夏皮罗,1995年; Stickgold,2002年)的建议,通过睡眠诱导活化的弱协会在REM国家和新兴市场在联想记忆改变运作为REM睡眠融入一般语义记忆创伤的情节记忆。该协会的新兴市场对语义变化的影响后,跳视眼球运动是双边审查了本研究。方法:22名大学生被招募参加者。通过语义启动的任务,一个2(眼球运动情况:水平跳视眼球运动主场迎战没有眼球运动)× 2(语义关联的强度:强主场迎战弱)因子之间的题目设计进行审查的EM在变化的影响强度为否定词的语义联想。为负的刺激弱协会primeability改变反对强者来,根据不同的电磁环境进行了比较。结果:2 × 2方差分析结果表明了显着的主要电磁效应和电磁×语义联想实力显着交互作用,显示弱吸大大超过了强大的电磁吸后,而恰恰相反后非统。结论:研究结果呼应快速眼动睡眠相关记忆加工模式,认为在EMDR电磁可能反映了联想记忆系统通过激活不同的语义相关的词负语义节点协会不同强度的转变。对心理治疗的可能性和未来研究的结果所造成的影响进行了讨论。

Symposium on Anxiety Disorders: Diabetes, Mediators and Therapeutic Implications; (NSC 92-2825-C-002-072-H) Research background & aims: This study examined possible therapeutic mechanisms of Eye Movement Desensitization and Reprocessing (EMDR) from REM-sleep dependent memory reprocessing model (Shapiro, 1995; Stickgold, 2002) that proposed that sleep induced change in associative memory via activation of weak association during REM state and EMs functioned as REM sleep to integrate the episodic memory of trauma into general semantic memory. The effect of EM on change of semantic associations after saccadic bilateral eye movements was examined in the present study. Methods: Twenty two college students were recruited as participants. Via semantic priming task, a 2 (eye movement condition: horizontal saccadic eye movements vs. no eye movements) × 2 (strength of semantic association: strong vs. weak) between subject factorial design was performed to examine the effect of EM on change of strength of semantic association for negative words. Change of primeability of weak associations for negative stimuli as opposed to that of strong ones under different EM conditions was compared. Results: The 2 × 2 ANOVA showed a significant main effect for EM and a significant interaction effect of EM × strength of semantic association, indicating that weak priming significantly exceeded strong priming after EM, while the opposite was true after non-EM. Conclusions: The results echoed 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. The implications of the results for psychotherapy and future research possibilities are discussed.

Keywords: Anxiety Disorders  Postttraumatic Stress Disorder  PTSD  REM  REM-Sleep Dependent Memory Reprocessing Model  Saccadic Eye Movement  Semantic Association  Symposium  

Accuracy Verified: Yes


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

Language: Japanese

Format: Journal

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

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

Keywords: Acute Stress Disorder  ASD  Earthquake  Kobe  

Accuracy Verified: Yes


5. 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


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

Language: Chinese

Format: Conference

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

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

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

Accuracy Verified: Yes


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

Language: Chinese

Format: Dissertation/Thesis

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

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

Keywords: Autobiographic Memory  Eye Movement  Valence-Specific Hypothesis  

Accuracy Verified: Yes


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

Language: Chinese

Format: Dissertation/Thesis

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

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

Keywords: Autobiographic Memory  Valence-Specific Hypothesis  

Accuracy Verified: Yes


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

Language: Chinese

Format: Dissertation/Thesis

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

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

Keywords: autobiographic Memory  Eye Movements  Valence-Specific Hypothesis  

Accuracy Verified: Yes


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

Language: Chinese

Format: Dissertation/Thesis

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

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

Keywords: Cockroach Phobia  Eye Movement  Phobia  Positive Cognition  Psychotherapy  

Accuracy Verified: Yes


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

Language: Chinese

Format: Conference

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

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

Keywords: Cockroach Phobia  Eye Movement  Phobia  Positive Cognition  Psychotherapy  Symposium  

Accuracy Verified: Yes


12. Cohen-Posey, K. (2004, December). Abreaction and reprocessing:  The importance of defining terms. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
Chief Editor’s Introduction: We are delighted to publish Kate Cohen-Posey’s thoughts on the impact of the clinician’s perception of abreaction, especially as this relates to the practice of EMDR. Thanks to Kate for this thoughtful explanation, and for highlighting some key historic roots from which our current practices have evolved, and continue to! We wish her much success with her new book. -SEB [Editor's abstract]

Keywords: Abreaction  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


14. Lynn, B. (2000, September). Accessing pre-traumatic prenatal experience using EMDR:  Uncovering a powerful resource of equanimity, integration, and self-esteem in the pre-traumatized self. EMDRIA Newsletter, 5(3), 6-7.

Language: English

Format: Newsletter

Abstract:
This article is a preliminary report on the remarkable results some of my clients and I have been achieving using EMDR to target prenatal trauma, with a focus on the discovery of an experience of the self prior to any trauma occurring and the enormous healing power that derives from revisiting and reactivating this extraordinarily positive pretraumatic experience. It is with some hesitation that I am reporting my experience with prenatal trauma processing, as I do not wish to be seen as on the fringe or even over the edge by my colleagues. However, I realize that I was able to overcome my prejudices -through examination of the facts- about the nature of prenatal experience, when memory begins, and how it can be accessed. I have found there is a body of scientific investigation and knowledge on prenatal experience and trauma, and that indeed we do experience and are influenced by our environment in the womb. We can learn from such experience, and therefore, can be traumatized prior to birth. The prenatal self can feel and record this experience. I refer the reader to www.birthpsychology.com/resources/ index.html for a list of publications on this matter. The various kinds of pre- and perinatal trauma and the deep healing that results when processed with EMDR will be the object of other articles by myself and Dr. Heather Pearson, who is also investigating this same field. What I intend to focus on here is the discovery of a pre-traumatic experience at the embryonic stage, which I have found to be a remarkably powerful internal resource for healing, already developed and installed, simply requiring reactivation. When I saw the powerful healing results of reactivation of this pre-traumatic experience in a number of relatively “stuck” clients, I felt ethically bound to report this immediately to other clinicians using EMDR so that others may benefit.

Keywords: Prenatal  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Model  Poster  Preverbal Trauma  Theory  

Accuracy Verified: Yes


16. Hogberg, G., & Hallstrom, T. (2008). Active multimodal psychotherapy in children and adolescents with suicidality: Description, evaluation and clinical profile. Clinical Child Psychology and Psychiatry, 13(3), 435-448. doi:10.1177/1359104507088348.

Language: English

Format: Journal

Abstract:
The aim of this study was to describe and evaluate the clinical pattern of 14 youths with presenting suicidality, to describe an integrative treatment approach, and to estimate therapy effectiveness. Fourteen patients aged 10 to 18 years from a child and adolescent outpatient clinic in Stockholm were followed in a case series. The patients were treated with active multimodal psychotherapy. This consisted of mood charting by mood-maps, psycho-education, wellbeing practice and trauma resolution. Active techniques were psychodrama and body-mind focused techniques including eye movement desensitization and reprocessing. The patients were assessed before treatment, immediately after treatment and at 22 months post treatment with the Global Assessment of Functioning Scale. The clinical pattern of the group was observed. After treatment there was a significant change towards normality in the Global Assessment of Functioning scale both immediately post-treatment and at 22 months. A clinical pattern, post trauma suicidal reaction, was observed with a combination of suicidality, insomnia, bodily symptoms and disturbed mood regulation. We conclude that in the post trauma reaction suicidality might be a presenting symptom in young people. Despite the shortcomings of a case series the results of this study suggest that a mood-map-based multimodal treatment approach with active techniques might be of value in the treatment of children and youth with suicidality.

Keywords: Adolescents  Children  Suicide  

Accuracy Verified: Yes


17. Barreda-Hanson, C. (2012, Septiember). Adaptación del EMDR y terapia breve centrada en el cliente para cambiar percepciones negativas y traumaticas [EMDR adaption of brief client-centered therapy to change negative and traumatic perceptions]. Presentación en la 70 Conferencia Anual del International Council of Psychologist(ICP), Sevilla, España.

Language: Spanish

Format: Conference

Abstract:
El estrés subsiguiente después de un traumatismo, representa un trastorno disfuncional – tanto interno como externo – que se manifiesta en alteraciones en el reconocimiento cognitivo y en los comportamientos, llevando además asociados síntomas somáticos, afloramiento de problemas inconscientes y ansiedades. Pues una de las características del estrés post-traumático, es precisamente la pérdida de equilibrio entre el mundo interno y externo de quien lo sufre. Por eso, ante la complejidad de las respuestas post-traumáticas, éstas se pueden catalogar en gran medida dentro de las perturbaciones psicopatológicas. El estrés psicológico surge por una situación estresante “real”, externa, tangible y la reacción ante esta difícil experiencia, evoca un conjunto bastante universal y coherente de síntomas y respuestas que provocan reacciones primitivas relacionadas con temores inconscientes ante las amenazas a la vida, que hacen aflorar incipientemente fantasías e impulsos abrumadores. Los resultados son los pensamientos disfuncionales que conducen a las respuestas y a los comportamientos desadaptativos. Objetivos: el taller está diseñado para proporcionar a estudiantes y profesionales de la Psicología – que trabajan o desean trabajar en esta área del trauma y el cambio de comportamientos -, la habilidad para utilizar eficaz y rápidamente intervenciones breves, que puedan poner en practicar incluso en casa. En el taller se estudiará la forma inicial de evaluar, tanto al trauma como a la clientela. Se trabajará la historia del trauma y se profundizará en sus consecuencias y en cómo diseñar las intervenciones breves para hacerles frente. También se centrará en averiguar qué cambios quieren los y las clientes a través de relatos y visualizaciones, utilizando una adaptación de las terapias EMDR y la Solución Enfocada tanto a crear el cambio deseado, como a mantenerlo. En consecuencia el taller es de particular interés para quienes trabajan con personas que han sufrido cualquier tipo de trauma, o quienes perciben acontecimientos de la vida, experiencias, etc. que les afectan de forma negativa en su día a día. También es útil para las personas que sufren de TOC, sobre todo trastornos del pensamiento. Los aspectos más útiles de las dos técnicas que se han adaptado junto con otras innovaciones de la autora, guardan relación con la creación de un ambiente seguro, no-traumático, que actúa rápidamente y que además, se puede realizar en casa sin peligro de consecuencias negativas. Objetivos específicos: 1. Ser capaz de describir e identificar las manifestaciones del trauma. 2. Aprender y describir dos técnicas terapéuticas breves en el tratamiento del trauma 3. Definir una técnica breve terapéutica que puede ser utilizada para fomentar el cambio 4. Destacar el rol del o de la terapeuta durante el tratamiento de los traumatismos 5. Ser capaz de describir, diseñar y establecer metas de la terapia y promover cambios mediante el uso de técnicas de terapia breve. Métodos: la Desensibilización y Reprocesamiento por Movimientos Oculares (EMDR), es un método complejo e integrador de la psicoterapia individual, mediante el que se guía al cliente utilizando un procedimiento para acceder a sus experiencias y resolver sus problemas conductuales y emocionales. El EMDR utiliza elementos de múltiples orientaciones psicoterapéuticas tanto psicodinámicas, como cognitivo- conductuales, enfoques centrados en el cliente, gestalt y bioenergéticos. La premisa subyacente de EMDR es que las experiencias de pánico y ansiedad se procesan de forma diferente por el cerebro que las experiencias habituales. La teoría subyacente es que durante el estrés, la memoria grava en una parte del cerebro responsable de las emociones de modulación (la amígdala) y se cierra temporalmente otra parte del cerebro (el hipocampo), responsable de procesamiento de la memoria normal. La experiencia traumática queda atrapada en el exterior y potencialmente no forma parte del procesamiento normal del cerebro, y el EMDR permite a la persona acceder a la experiencia y transformarla en memoria declarativa en el hipocampo. Con el método EMDR, el hipocampo se puede abrir a las emociones evocadas por la experiencia para que el/la cliente pueda soportarlas mientras se realiza el tratamiento. La distracción y la atención a la estimulación bilateral, desempeñan un importante papel que ayuda al cliente a experimentar las emociones como tolerables. Aunque cómo la distracción bilateral en concreto, facilita el procesamiento de las experiencias dolorosas, sea algo que todavía no se termina de entender. Por otra parte, las Intervenciones Breves de Terapias enfocadas al Cliente se centran en las excepciones del problema, pensando que a continuación se desarrollará un cambio natural en el comportamiento. Es una especie de visión orientada no en las formas tradicionales, sino hacia el futuro, sin profundizar demasiado en la “patología” sino más bien centrándose en lo que el sistema puede hacer para adaptarse a ella, puesto que ambos pueden decidir si esa “patología” es un problema o no lo es. Las Intervenciones de Terapia Breve enfocadas al Cliente se utilizan para resolver una variedad de problemas de comportamientos y actitudes, mediante el uso de los propios recursos de los y las clientes y las observaciones de las estrategias que utilizan para alcanzar los resultados deseados, en sus situaciones vitales habituales. Se trata de una buena técnica para establecer y mantener un contexto de cambio en el que los pequeños, pero útiles cambios, se anticipan y se buscan. En definitiva, la combinación de ambas técnicas con algunas variaciones desarrolladas por la Dra. Barreda-Hanson, han demostrado ser una herramienta poderosa para mejorar la respuesta al tratamiento en un período de tiempo más corto, teniendo también la ventaja de permitir practicar los ejercicios en casa. Aplicaciones: la aplicación habitual del EMDR ha sido el tratamiento de trastornos emocionales relacionados con eventos muy perturbadores o traumáticos. Pero también se usa para trabajar síntomas preocupantes como la ansiedad, la depresión, la culpa y la ira. E igualmente, se puede utilizar para mejorar recursos emocionales tales como la confianza y la autoestima. Procedimientos: - El taller se impartirá en español y el alumnado recibirá amplios folletos complementarios. - Se realizará en una única jornada, en sesión de mañana para teoría y de tarde para prácticas, trabajando cada modelo por separado. - Se espera que quienes asistan lleven una cuestión-problema sobre la que trabajar utilizando las diversas técnicas, pues aunque se utilizarán múltiples ej. de casos reales, se alentará a quienes participen a traer sus propias experiencias e ideas para debatir y trabajar sobre ellas.

The subsequent stress after trauma represents a dysfunctional disorder - internal and external - that is manifested in alterations in cognitive recognition and behavior, besides being associated somatic symptoms outcrop unconscious problems and anxieties. As one of the characteristics of post-traumatic stress, is the loss of balance between internal and external world of the sufferer. Therefore, given the complexity of post-traumatic responses, they can be categorized largely into psychopathological disturbances. Psychological stress arises from a stressful situation "real" external, tangible and reaction to this difficult experience, quite evokes a universal and consistent set of symptoms that cause reactions and responses primitive unconscious fears related to threats to life, which bring out fantasies and impulses incipiently overwhelming. The results are the thoughts that lead to dysfunctional responses and maladaptive behaviors. Objectives: The workshop is designed to provide students and psychology professionals - who work or want to work in this area of ​​trauma and behavior change - the ability to quickly and efficiently use brief interventions, which may put in practice even in house. The workshop will explore how to evaluate initial both trauma as to clients. It will work history of trauma and its consequences will deepen and how design brief interventions to address them. It will also focus on finding out what changes customers want and through stories and views, using an adaptation of EMDR therapy and Solution Focused both to create the desired change, and to keep it. Thus the workshop is of particular interest to those working with people who have suffered any kind of trauma, or who perceive life events, experiences, etc.. that negatively affect them in their day to day. Also useful for persons suffering from OCD, especially disorders of thought. The most useful of the two techniques that have adapted along with other innovations of the author, are related to the creation of a safe, non-traumatic, acting quickly and also can be done at home without fear of consequences negative. Specific objectives: 1. Be able to describe and identify the manifestations of trauma. 2. Learn and describe two brief therapeutic techniques in the treatment of trauma 3. Define a short therapeutic technique that can be used to promote change 4. Outline the role of the therapist or during treatment of injuries 5. Be able to describe, design and establish goals of therapy and promote change through the use of brief therapy techniques. Methods: Desensitization and Reprocessing Eye Movement (EMDR), is a complex and inclusive method of individual psychotherapy, which is guided by the client using a procedure to access their experiences and address their behavioral and emotional problems. The EMDR uses multiple elements of both psychodynamic psychotherapeutic approaches as cognitive-behavioral, client-centered approaches, gestalt and bioenergy. The underlying premise of EMDR is that experiences panic and anxiety are processed differently by the brain than normal experiences. The underlying theory is that during stress, gravel memory part of the brain responsible for emotions modulation (amygdala) and temporarily closes another part of the brain (hippocampus), responsible for normal memory processing. The trapped traumatic experience abroad and potentially not part of the normal brain processing, and EMDR allows people access to the experience and transform it into declarative memory in the hippocampus. With EMDR, the hippocampus can be opened to the emotions evoked by the experience that he / the client is able to bear while performing the treatment. Distraction and attention to bilateral stimulation, play an important role to help the client to experience emotions as tolerable. Although bilateral distraction how specifically facilitates the processing of painful experiences, is something that is not yet fully understood. Moreover, brief interventions focused Customer Therapies focus on the exceptions of the problem, thinking that then will develop a natural change in behavior. It is a kind of non-oriented view on traditional forms, but to the future, without going too deeply into the "pathology" but rather focus on what the system can do to adapt to it, since both can decide whether this "pathology "is a problem or not. Brief therapy interventions focused Customer are used to solve a variety of problem behaviors and attitudes, using their own resources and comments from customers and the strategies used to achieve the desired results in their situations normal life. This is a good technique to establish and maintain a context of change in that small but useful changes, anticipate and seek. In short, the combination of both techniques with some variations developed by Dr. Barreda Hanson, have proved a powerful tool for improving the response to therapy in a shorter period of time, having also the advantage of allowing in practice exercises house. Applications: the routine application of EMDR has been the treatment of emotional disorders associated with very disturbing or traumatic events. But also used to work worrying symptoms such as anxiety, depression, guilt and anger. And also, can be used to enhance emotional resources such as confidence and self-esteem. Procedures: - The workshop will be taught in Spanish and students will receive extensive additional brochures. - Will be held in a single day, in morning session and afternoon theory to practice, working each model separately. - Who are expected to attend with a question-problem on which to work using various techniques, for example, although multiple use. real cases, those involved are encouraged to bring their own experiences and ideas to discuss and work on them.

Keywords: Brief Therapy  

Accuracy Verified: Yes


18. Miller, R., & Tay, K. H. (2009, August). Adapting the standard EMDR protocol for clients with mild mental retardation: Some guidelines and implications. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .

Language: English

Format: Conference

Abstract:
EMDR as a psychotherapeutic approach has been shown to be effective. However, there is a paucity of studies examining the efficacy of EMDR for clients diagnosed with mild mental retardation. The DSM-IV defines mild mental retardation as below average intelligence (IQ between 70 and 55) along with some deficiencies in adaptive functioning skills demonstrated before age 18. The purpose of our clinical project was to explore the applicability of EMDR for our adult clients (n = 12; mean age 22.5) diagnosed with mild mental retardation by adapting the standard protocol. Studies showed that individuals with mental retardation learn and retain information more effectively when materials are presented to them in a visual, concrete, and interactive manner while utilizing the principles of positive reinforcements.
The prevalence of mental health problems and the wide range of clinical symptoms among these individuals have been reported in several studies. Additionally, these adults are misunderstood as being overly limited in their ability to reap any therapeutic benefit from counseling interventions. Prout and Strohmer (1998), for instance, argued that adults with mental retardation do benefit from counseling interventions. However, they stressed the need for more sophisticated or modified use of psychotherapeutic interventions. Psychotherapeutic techniques and models should be modified, if feasible, in regards to language and cognitive levels commensurate with the clients’ background.
Based on our clinical observations, the following are some examples of proposed guidelines to assist the EMDR clinicians in thinking more creatively when adapting the standard protocol.
1) Considerable amount of preparation at the onset of EMDR is necessary, as it plays a pivotal role in ensuring a successful outcome.
2) Visual depiction of the SUDs and VOCs on a scale of 0 through 5, or 0 through 10, depending on the client’s cognitive abilities is beneficial. Use of “faces” to depict concretely various levels of distress should be made.
3) The concepts of PC and NC may be too abstract for some in this population. We assist clients by operationally defining those concepts with the list of commonly used PCs and NCs in simpler language.
4) Coping resources are sometimes limited for these adults. Clients will benefit from having multiple reinforcements of self-soothing skills thorough the installation of the “safe place” and “resources”.
5) Positive reinforcements (e.g., frequent verbal reminders) should be used regularly in sessions throughout treatment. However, be mindful of clients’ desire to please the clinician.
6) Role-playing should be used when feasible throughout treatment, e.g., during the installation of future templates, as it heightens more sensory, affective, and behavioral modes of learning rather than verbal modality alone.
Based on the treatment outcomes reported by our clients, EMDR is an effective treatment option, as evidenced by sustained reduction in their level of distress to traumatic memories. Findings from this clinical project have practice and research implications. First, the standard protocol should be adapted for use with adults with mild mental retardation to achieve optimal gain. Second, empirical research is needed to provide further evidence for the efficacy of EMDR for adults with mild mental retardation.

Keywords: Mental Retardation  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Adaptive Information Processing  AIP  Biopsychosocial  Internal Working Models  Teleofunctionalism  

Accuracy Verified: Yes


20. Follette, W. C., & Beitz, K. (2003, July). Adding a more rigorous scientific agenda to the empirically supported treatment movement. Behavior Modification, 27(3), 369-386. doi:10.1177/0145445503027003006.

Language: English

Format: Journal

Abstract:
As the empirically supported treatment (EST) effort has expanded, there are efforts to make the study of ESTs a more integral part of training programs. In its present form, the EST list provides a poor model of how to evaluate treatment and scientific issues related to our field. This article offers several suggestions regarding how to establish a more relevant scientific agenda for the committee’swork if the study of ESTs is to usefully influence training programs. Recommendations are made to encourage programs and the CSP to study mechanisms of change, important contextual variables for therapy delivery, the distinction between statistical significance and clinical meaningfulness, dissemination, cost-effectiveness, and iatrogenic effects. It is argued that any program that created a curriculum educating students to thoughtfully address these issues when evaluating therapies would be producing sound clinical scientists regardless of the quality of the EST list itself.

Keywords: Critique  Training  Committee on Science and Practice  CSP  Empirically Supported Treatments  EST  

Accuracy Verified: Yes


21. Molero-Zafra, M., & Perez-Marin, M. (2011, Julio). Adopcion: Un protocolo basado en EMDR, terapia familiar narrativa y la teoria del apego [Adoption: A protocol based on EMDR, family therapy, narrative and attachment theory]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España .

Language: Spanish

Format: Conference

Abstract:
La adopción es un tema actual, cuyo interés crece progresivamente. Su vigencia social resulta incuestionable si atendemos al incremento exponencial de niños adoptados por familias españolas, especialmente en adopciones internacionales. La Ley de Adopción vigente en España contempla la adopción como un recurso de protección para aquellos niños/as que no puedan permanecer en su propia familia. Para que se cumpla este objetivo deben arbitrarse todos los mecanismos necesarios que garanticen al niño una familia capaz de asegurar las atenciones propias de la función parental (atención, desarrollo y educación). Los niños adoptados pueden sufrir trastornos como cualquier otro niño, ahora bien, sus experiencias de vida anteriores pueden afectar en mayor grado su desarrollo emocional, social y familiar. Las experiencias vinculares durante la infancia, influyen significativamente en la capacidad para formar relaciones íntimas y emocionalmente saludables. Asimismo, para la formación y cambio de actitudes a lo largo de nuestra vida, van a ser fundamentales nuestros grupo de referencia, siendo la familia uno de los más importantes (López et al., 1999). La empatía, el afecto, el deseo de compartir, el inhibirse de agredir, la capacidad de amar y ser amado y un sinnúmero de características de una persona asertiva, operativa y feliz, están asociadas a las capacidades medulares de apego formadas en la infancia y niñez temprana (Punset, 2008). El objetivo de esta comunicación es presentar un protocolo de abordaje psicológico ante las dificultades que afectan a las familias con problemas de adaptación en casos de adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos promover en estas familias una base de apego seguro, mediante el uso de herramientas terapéuticas de la terapia familiar narrativa y el EMDR. Se presenta el protocolo elaborado para tal fin y un caso para la comprensión de la aplicación del tratamiento.

Adoption is a current issue, whose interest grows gradually. Its validity social is unquestionable if we consider the exponential increase of adopted children Spanish families, especially in international adoptions. The Adoption Act force in Spain provides for the adoption as a source of protection for those children / as not to remain in their own family. To fulfill this objective must be put all the necessary mechanisms to guarantee the child a family able to secure the attentions of parenting (care, development and education). Adopted children may suffer from disorders like any other child, however, previous life experiences can affect their development to a greater extent emotional, social and family life. Relational experiences during childhood influence significantly in the ability to form intimate and emotionally healthy. Also, for the formation and change of attitudes throughout our lives, will be essential to our reference group, the family being one of the most important (Lopez et al., 1999). Empathy, affection, desire to share, the inhibited of attack, the ability to love and be loved and a host of features of a assertive person, operational and happy, are associated with the core competencies of attachment formed in infancy and early childhood (Punset, 2008). The aim of this paper is to present a protocol of psychological approach to the difficulties affecting families with adjustment problems in cases of adoption. From the conceptual perspective of attachment theory, we try in these families to promote a secure attachment base through the use of tools therapeutic narrative family therapy and EMDR. We present a protocol developed for this purpose and a case for understanding the application of the treatment.

Keywords: Adoption  Attachment theory  Family Therapy  Narrative Theory  Symposium  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Addictions  Substance Abuse  Symposium  

Accuracy Verified: Yes


23. Dworkin, M. (2008, September). Advanced clinical strategies for clients with complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Clients with complex PTSD and dissociation present many challenges. The neurosciences have helped us to begin to understand and deal with them through a recent clarification of mirror neurons and associated neural structures in both the clinician and client. Concepts from the Boston Change Process Study Group and ego state therapy provide methods of analyzing and intervening in the “microprocesses” that occur in treatment. Hoppenwasser’s concept of “dissociative attunement” challenges thinking about the “multiple self states” both clinician and client operate from. Her ideas push us to rethink current conceptualizations of relatedness. Participants will learn how to deal with ruptures in positive empathy that may result in the history taking, assessment, and desensitization phases. In the preparation phase, participants learn to use the therapeutic relationship as an additional resource for containment. Concepts of dyadic regulation of affect, now moments and moments of meeting will be taught to deal with ruptures to the therapeutic relationship throughout treatment. Dealing productively with countertransference ruptures poses additional challenges. Participants will learn a strategy called the “relational interweave”. Its function is to restore EMDR processing when an interpersonal “event” has temporarily derailed the work. A practicum using Dworkin’s Clinician Self Awareness Questionnaire will be held in the afternoon part of the workshop to enhance learning this strategy.

Keywords: Complex Posttraumatic Stress DIsorder  Complex PTSD  C-PTSD  Dissociation  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Efficacy  Qualitative Analysis  

Accuracy Verified: Yes


25. Nielsen, T. (1991). Affect desensitization:  A possible function of REMs in both waking and sleeping states. Sleep Research, 20, 10.

Language: English

Format: Journal

Abstract:
Recent evidence (1) that rapid eye movements (REMs) elicited systemically during psychotherapy (Eye Movement Desensitization/Reprocessing (EMD/R) produce immediate and lasting alleviation of post-traumatic stress disorder (PTSD) symptoms suggests that the REMs of REM sleep may serve a similiar affect desensitization function (1.2). Although little is known about how EMD/R works, preliminary, positive results from an independent replication (3) and several independent clinical case studies (4.5) have been reported. Exploration of the relationships between EMD/R and REM sleep may thus prove useful in understanding how both RE/R and REM sleep function to modify affect.

Keywords: Affect  Rapid Eye Movements  REM  

Accuracy Verified: Yes


26. Sinici, F., Erden, H. G., & Yurttas, Y. (2009, October). Akut stres bozuklu¤unda bir müdahale tekni¤inin uygulanabilirli¤i: Göz hareketleri ile duyars›zlaflt›rma ve yeniden ‹flleme (EMDR) [Applicability of an intervention technique in acute stress disorder: Eye movement desensitization and reprocessing (EMDR)]. Yeni Symposium Journal, 47(4), 178-186.

Language: Turkish

Format: Journal

Abstract:
Akut stres bozukluğu, Türkiye'de giderek artan ve kişinin hayat kalitesini oldukça bozabilen bir sorundur. Bu konuyla ilgili olarak yapılan çalışmalarda hangi tedavi şeklinin daha yararlı olduğu konusunda kesin bir karara varılamamıştır. Göz Hareketleri ile Duyarsızlaştırma ve Yeniden İşleme [Eye Movement Desensitization and Reprocessing: EMDR] tekniği, travmatik anıların birkaç uygulama oturumunda çözümlenebileceğini ifâde eden bir yaklaşımdır. EMDR oturumlarında hastadan yaşadığı bir travma sahnesi hayâl etmesini, olumsuz benlik imajı, travma ile ilgili olumsuz duyguları ve beden duyumlarını aklında tutması istenmektedir. Hastaya çift taraflı uyarı verilmektedir [gözün sağa sola hareketi, sağ ve sol kulağa verilen ses veya sağ ve sol ele verilen titreşim vb.]. Daha sonra danışana ortaya çıkan görüntü, duygu ve fiziksel duyumları anlatmaktadır. Bu tekrarlanan işlemler hastadaki olumsuz düşünce ve duygular duyarsızlaşıncaya kadar devam etmektedir. Olumsuz duygu ve düşüncelerin yerini olumlu duygu ve düşünceler almaktadır. Bu çalışmanın amacı hastaların hayat kalitelerini bozan ve travma sonrasındaki ilk 4 hafta içinde aşırı korku, çaresizlik veya duygusal tepkisizlikle beraber, diğer belirtilerin de görülebildiği akut stres bozukluğunun tedavisinde yeni bir yöntem olan ve 2 yıldır aktif olarak uyguladığımız göz hareketleri ile duyarsızlaştırma ve yeniden işleme [EMDR] tekniği konusunda yazılmış literatür bilgilerini gözden geçirerek bu konuda son yaklaşımların ortaya konulmasını sağlamaktır. Bununla birlikte EMDR tekniğinin yaygınlaştırılarak faâl olarak kullanılması hem hastalar hem de uygulayıcılar açısından büyük yararlar sağlayacağı düşünülmektedir.

Acute stress disorder is a syndrome that significantly disturbs the quality of life and has been increasingly observed in Turkey. Although there are many studies on this subject, there is no consensus about the best treatment choice. Eye Movements Desensitization and Reprocessing [EMDR] technique is a novel approach that helps to resolve traumatic memories in a few sessions. In EMDR sessions, patients are asked to think about the trauma scene that has occurred and keep the negative self image and negative feelings about the trauma and bodily feelings in mind. Bilateral stimulation is presented to the patient [right and left movement of the eye, sound to right and left ear and vibration to right and left hand etc]. Later arising images express the feelings and physical sensations. This procedure is repeated until desensitization to negative thought and feelings are achieved. Negative thought and feelings are replaced by positive thought and feelings. Purpose of this study is to review the studies in literature and describe the up-to-date approaches about EMDR technique which is a novel method in treatment of acute stress disorder that disturbs patient quality of life and presents with excessive fear, desperation, emotional desensitization and other symptoms within 4 weeks following the trauma and we have been using this treatment method frequently for more then 2 years. Nevertheless widespread and effective use of EMDR will provide considerable benefit for both patients and the performers.

Keywords: Acute Stress Disorder  ASD: Behavior Therapy  Emotional Disorder  Eye Movement  Fear  Human  Memory Disorder  Psychologic Assessment  Quality of Life  Review  Stimulation  

Accuracy Verified: Yes


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

Language: English

Format: Publication

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

Keywords: Posttraumatic Stress Disorder  Practice Guidelines  PTSD  

Accuracy Verified: Yes


28. Erdmann, C. (2006). Allergie und EMDR - Der nächste sommer kommt bestimmt [Allergy and EMDR - The next summer is determined]. EMDRIA Deutschland e.V. Rundbrief, 7, 20-44.

Language: German

Format: Newsletter

Abstract:
Eine positive Eigenerfahrung mit einer EMDR-Allergie-Behandlung führte zur Anwendung im weiteren Praxisfeld. Vorgestellt wird ein von mir weiterentwickeltes EMDR-Allergie-Protokoll, das mehrfach von mir in der Praxis erprobt wurde und hier anhand eines konkreten Fallbeispiels vorgestellt wird. Die guten Ergebnisse sprechen dafür, dass eine allergische Immunantwort mittels EMDR in relativ kurzer Zeit positiv beeinflussbar ist und dass die positive Beeinflussung über längere Zeit hinweg stabil bleiben kann.

A positive personal experience with EMDR-allergy treatment was applied in a wider area of practice. Presented is an improved I-allergy EMDR protocol, which has been repeatedly tested by me in practice and is presented here using a real case study. The good results indicate that an allergic immune response via EMDR is positively influenced in a relatively short time and that the positive effect for a long time can remain stable.

Keywords: Allergy  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Pain  Physical Tension  

Accuracy Verified: Yes


30. Lovett, J. M. (1998). Am I real?: Mobilizing inner strength to develop a mature identity. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 191-216). New York: Norton.

Language: English

Format: Book Section

Abstract:
Chris was a 44-year old woman who had extremely low self-esteem, depression, panic attacks, and symptoms of dissociation when she began EMDR-facilitated therapy. Eye movement was used initially to reinforce healthy beliefs, physical sensations, and feelings related to experiences of safety, competence, well-being, and success based on prior learning. EMDR was then employed to target painful memories of childhood scenes with her parents, as well as erroneous beliefs and feelings of intense anxiety. Although none of the memories targeted occurred before age 5, the "white empty feeling" that was targeted seemed to represent the earlier deprivation. The desired positive cognition "I am significant" became the "umbrella cognition" containing various "sub-cognitions" (such as "I am loveable," "I deserve respect," and "I can take care of my needs").As Chris reprocessed traumatic childhood memories with EMDR, more and more of these sub-cognitions were integrated. Progress was not linear, but reprocessing the client's issues as she presented them gradually led to a more stable, flexible, and resilient sense of self. Eventually, the negative self-assessments dissipated. After 18 sessions Chris felt strong and confident, fully present, and eager to be involved in intimate relationships that were based on mutual respect. [Text, pp. 215-216] [Pilots]

Keywords: Adults  Americans  Anxiety Disorders  Case Report  Child Abuse  Cognitive Therapy  Depressive Disorders  Females  Life Experiences  Neglect  Psychotherapeutic Processes  Self Esteem  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


31. Selvig, A. L. (2004). Analyzing individual patterns of change in two treatments for posttraumatic stress disorder. University of Georgia.

Language: English

Format: Dissertation/Thesis

Abstract:
Two therapies for posttraumatic stress disorder (PTSD) have received considerable support in the clinical literature: prolonged imaginal exposure (PE) and eye movement desensitization and reprocessing (EMDR). Although PE is empirically supported, its critics purport that it causes symptom exacerbation. In contrast, proponents of EMDR claim that its response pattern is characterized by rapid decline in symptoms. The current investigation aimed to study and compare the patterns of symptom change during PE and EMDR using hierarchical linear modeling (HLM). HLM avoids many shortcomings inherent in traditional longitudinal analyses by focusing on trajectories of change rather than group means. 62 women with PTSD following rape were randomly assigned to 9 sessions of PE or EMDR. Results indicated that neither group experienced symptom exacerbation nor rapid symptom decline. The patterns of symptom change in the two groups were not significantly different. The strengths and limitations of HLM and the studys design were discussed.

Keywords: Patterns of Change  PE  Prolonged Exposure  

Accuracy Verified: Yes


32. Garcia, F. (2011, Julio). Aplicacion de EDMR en el tratamiento de distintos trastornos [Application of EMDR in the treatment of various disorders]. Presentación en la IX Congreso Nacional de Psicología Clínica, San Sebastian, España.

Language: Spanish

Format: Conference

Abstract:
EMDR es actualmente un acercamiento psicoterapéutico reconocido como tratamiento efectivo del trauma (American Psychiatric Association, 2004; Bisson y Andrew, de 2007; Bleich et al, 2002;. CREST, 2003; Foa et al, 2009; Niza, 2005). El trauma produce un cambio en nuestro sentido del yo, en nuestro sentido del significado del mundo, de su seguridad, de su racionalidad, existe un “antes y después” a nivel vivencial. La psicóloga Francine Shapiro observó que bajo ciertas condiciones el movimiento ocular puede reducir la intensidad de los pensamientos perturbadores, a partir de esta observación estudió científicamente este efecto y en 1989, informó del éxito al utilizar EMDR en el tratamiento de víctimas de trauma en el Journal of Traumatic Stress. Desde entonces, EMDR se ha desarrollado y ha evolucionado a través de las contribuciones de terapeutas e investigadores de todo el mundo. Estudios controlados en víctimas de Vietnam, abusos, accidentes, víctimas de catástrofes..., indican que EMDR es un método eficaz en el tratamiento del TEPT (trastorno por estrés postraumático), siendo también efectivo en el tratamiento de otras problemáticas como dolor crónico, trastornos psicosomáticos, problemas de apego, malos tratos y adopción.(Shapiro and Forrest, 1997; Shapiro, 2002; Shapiro, 2007; Van Der Kolk et al, 1997). El EMDR está basado en un modelo de "procesamiento adaptativo de la información" (Shapiro, 1991), que postula que la experiencia (los sentimientos, pensamientos y sensaciones) se transforma normalmente en aprendizaje adaptativo (Shapiro, 2001). Presentamos aquí este abordaje terapéutico, con una primera intervención que muestra las bases del EMDR y su aplicación en el dolor crónico y tres comunicaciones más en las que, a partir de la presentación de un caso, se mostrará la aplicación de los protocolos de tratamiento para los trastornos de la conducta alimentaria, problemas adaptativos en niños adoptados y la violencia doméstica en menores.

EMDR is now recognized as a psychotherapeutic approach effective treatment of trauma (American Psychiatric Association, 2004, Bisson and Andrew, 2007, Bleich et al, 2002,. CREST, 2003, Foa et al, 2009, Nice, 2005). The trauma causes a change in our sense of self, our sense of meaning of the world, their security, their rationality, there is a "before and after" to experiential level. The psychologist Francine Shapiro observed that under certain conditions eye movement can reduce the intensity of disturbing thoughts, from this observation scientifically studied this effect and in 1989, reported the successful using EMDR to treat trauma victims in the Journal of Traumatic Stress. Since then, EMDR has developed and evolved through contributions of therapists and researchers from around the world. Controlled studies in Victims of Vietnam, abuse, accident, disaster victims ... indicate that EMDR is a effective method in treating PTSD (PTSD), with also effective in treating other problems such as chronic pain disorders psychosomatic problems of addiction, abuse and adoption. (Shapiro and Forrest, 1997; Shapiro, 2002; Shapiro, 2007; Van Der Kolk et al, 1997). EMDR is based on a model of "adaptive processing of information "(Shapiro, 1991), which postulates that the experience (feelings, thoughts and feelings) becomes normally adaptive learning (Shapiro, 2001). We present here this therapeutic approach, with the first intervention shows the basics of EMDR and its application in chronic pain and three more communications where, from the case report will show the application of protocols of treatment for eating disorders, problems adaptive adopted children and domestic violence on children.

Keywords: Trauma  

Accuracy Verified: Yes


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

Language: Portuguese

Format: Conference

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

Keywords: Coaching  Performance Enhancement  Resource Development  

Accuracy Verified: Yes


34. Dunton, R. (1992, July). Application of EMDR in the learning process. Presentation at the Fourth World Congress on Behaviour Therapy, Queensland, Australia.

Language: English

Format: Conference

Abstract:
Individuals who have experienced learning blocks, feeling of underachievement, and patterns of failure in school and/or the work place often manifest low self-esteem, frustration, anxiety, and hopelessness, causing them to become overly sensitive to criticism, distracted by thoughts of anger, to exhibit acting out behaviour and to alienate peers. This in turn causes a continuation of learning deficits. Since EMDE can be used to desensitise reactions to past events and present stimili, as well as install positive self-assessments, it has proved very useful in the treatment of children and adults with learning problems.

Keywords: Education  Learning Process  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes


36. Cocco, N. (1995, June). Applications of EMDR to children:  EMDR in the treatment of darkness phobia in children. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
EMDR in the treatment of darkness phobia in children: 1. Overview of Darkness Phobia: A. Assessment of Childhood Phobias; B. Definition; C. Prevalence; D. Consequences.
2. Treatment Literature on Darkness Phobia: A. Invivo Exposure; B. Imaginal Desensitization; C. Modeling Symbolic and Participant; D. Coping Self Talk; E. Emotive Imagery.
3. [Preliminary Data on Controlled Comparison Between Emotive Imagery and EMDR: A. Aims of Study; B. Method: Subject, Design, Procedure: Assessment, Treatment Protocols; C. Results; D. Discussion.
4. EMDR Protocol: A. Assessment of Darkness Phobia; B. Hero Interview; C. EMDR Target Selection; D. Fantasy Based Cognitive Interweave: Linking Cues/Cognition/Affect Superheros to Change Cognition and Affect.]

Keywords: Children  Darkness Phobia  

Accuracy Verified: Yes


37. 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


38. Callipo, N. (2007-2008). Applicazioni del pensiero controfattuale negli esiti post-traumatici [Applications of counterfactual thinking in post-traumatic events]. Università degli Studi di Trieste, Italia.

Language: Italian

Format: Dissertation/Thesis

Abstract:
Applicazione del pensiero controfattuale negli esiti post-traumatici 1. Introduzione. Il pensiero controfattuale è un processo che esprime la capacità di riflettere e modificare gli scenari di situazioni da cui sarebbero potuti conseguire esiti differenti dalla realtà. Nella quotidianità è comune che un sentimento di rammarico – il regret - venga provato a seguito di una discrepanza tra i risultati attesi e la realtà. La ricerca e l’esperienza condivisa dicono che, rilevare le differenze tra ciò che avremmo voluto e ciò che abbiamo ottenuto, ci aiuta a pianificare azioni più efficaci nel futuro. Tuttavia, in condizioni di elevato stress, come quello provato dopo un evento indesiderato e traumatico, possono fare irruzione nella coscienza pensieri nella forma “Se solo non fossi stato così…”, oppure “Se solo non avessi fatto” o “Se avessi fatto qualcosa per evitare tutto ciò”; nel tentativo di annullare (undoing) idealmente le conseguenze dell’accaduto. Questi pensieri controfattuali possono sortire l’effetto di amplificare emozioni e sentimenti come il biasimo, la rabbia, la vergogna e il senso di colpa. L’attitudine alla generazione automatica, indiscriminata e non finalizzata all’azione, di domande e affermazioni ricorsive, può condensarsi in un particolare stile di pensiero – la ruminazione – che sottende sensazioni di disagio diffuse e invalidanti, come gli stati depressivi, ansiosi ed ossessivi. La prima parte di questo lavoro è occupato da una rassegna sulle ricerche che, inizialmente, pongono il pensiero controfattuale nel quadro delle più generali abilità di problem-solving; successivamente, la prospettiva funzionale, riesce a farne risaltare il versante adattivo, rilevante ai fini della regolazione degli stati affettivi e, più in generale, del mantenimento della salute mentale. Nella seconda parte viene discusso il ruolo del pensiero controfattuale, in relazione al suo versante disfunzionale , con particolare riguardo agli esiti post-traumatici. Nella terza parte vengono analizzati i modelli di elaborazione delle informazioni che riconoscono un ruolo al pensiero controfattuale nella regolazione dell’umore, citando alcuni paradigmi psicoterapeutici, tra cui l’Eye Movement Desensitization and Reprocessing (EMDR), ideato da Francine Shapiro. Per verificare l’applicazione del pensiero controfattuale nel trattamento degli esiti post-traumatici sono stati riportati due esempi: uno tratto dalla letteratura sull’EMDR e un caso di disturbo ansioso-depressivo, in trattamento con psicoterapia a orientamento cognitivo.

Application of counterfactual thinking in a post-traumatic results. Introduction. The counterfactual thinking is a process that expresses the ability to reflect and change scenarios of situations that could have been large gains different from reality. In everyday life it is common that a feeling of regret - the regret - should be tried as a result of a discrepancy between expected results and reality. The research says that shared experience, point out the differences between what we wanted and what we have achieved, helps us to plan more effective actions in the future. However, under conditions of high stress, such as that experienced after a traumatic event and unwanted, they can break into the conscious thoughts in the form "If only I had not been so ..." or "If only I had not done" or "If I had done something to avoid anything "in an attempt to cancel (undoing) the ideal of what the consequences. These counterfactual thoughts may have the effect of amplifying emotions and feelings such as blame, anger, shame and guilt. The ability to generate automatic, indiscriminate and not action-oriented questions and statements recursive, it can condense into a particular style of thinking - rumination - that underlies feelings of discomfort common and disabling, such as depression, anxiety and obsessive . The first part of this work is occupied by a review of the research that initially pose the counterfactual thinking in the context of more general skills of problem-solving, since then the functional perspective, can bring out the side adaptive, relevant to the regulation of affective states and, more generally, of maintaining mental health. The second part discussed the role of counterfactual thinking, in relation to its dysfunctional side, especially with regard to post-traumatic results. In the third part analyzes the patterns of information processing that recognize a role in regulating mood counterfactual thinking, citing some psychotherapeutic paradigms, including eye movement desensitization and reprocessing (EMDR), developed by Francine Shapiro. To test the application of counterfactual thinking in the treatment of post-traumatic results were two examples: one taken from the literature on EMDR and a case of anxiety-depressive disorder, treatment with cognitive-oriented psychotherapy.

Keywords: Counterfactual Thinking  Informational Processing  

Accuracy Verified: Yes


39. Casadaban, A. (1996, June). Applying EMDR to physical illness, injury, and symptoms in adults and children:  EMDR protocol for the assessment and treatment of physical phenomena with selected applications. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Level I. Targeting of Physical Symptoms or Triggers. Installing of Positive States Use this level when: client readiness and safety factors are met. the experience of the symptom(s) is distressing to the client. a limited number of therapy sessions is available. the client does not necessarily have an awareness of the causes or functions of the symptoms. the client is not aware of a trauma related to the symptom. w the assessment does not reveal trauma related to the symptom. w trauma or other complicating issues are identified but the client's stability or circumstances does not tolerate Level I1 or 111, and client and therapist can devise ways to contain upsetting issues which may come up. the client wants to try for symptom relief without deeper processing. [Excerpt]

Keywords: Injury  Physical Illness  

Accuracy Verified: Yes


40. 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


41. Haycock, R. D. (2009). Arming commanders to combat PTSD: A time for change – Attacking the stressors vice the symptoms. School of Advanced Military Studies, United States Army Command and General Staff College, Fort Leavenworth, Kansas.

Language: English

Format: Other

Abstract:
Arming Commanders to Combat Posttraumatic Stress Disorder by COL Robert D. Haycock, US Army, 53 pages. Just as war is not a new phenomenon, neither are the issues associated with the mental and emotional scars combat brings to those who fight a nation’s wars. Historically, the United States has assumed a reactive vice proactive posture as it relates to coping with the fiscal, and humanistic challenges that manifest within a nation at war, and those who experience the trauma of combat. The Army has proven slow to respond to the need to train and educate its leaders and instead has devoted vast capital on the assessment and treatment of posttraumatic stress disorder (PTSD), attacking the symptoms as they arise, vice attacking the stressors which cause the affliction. The invasions of Iraq and Afghanistan and the deployment of forces throughout the world to combat terror, however, have created conditions whereby PTSD is again in the lime-light. This monograph examines PTSD from a historical perspective reviewing the manner in which the Army viewed, assessed, and treated those afflicted with PTSD as well its methods for training and educating those honored with the opportunity to lead these warriors in battle. This monograph highlights existing shortfalls in assessment, training, doctrine, and education as it relates to those commanding at the battalion-level. The Army does not properly prepare battalion commanders for the complexities of coping with PTSD in their units nor arm them with the tactics, techniques, and procedures necessary to mitigate the effects of PTSD on the combat effectiveness of their units and the soldiers that fill the ranks. The Army should implement more rigorous assessment programs for units deployed to identify those at risk of PTSD or demonstrating stress-related symptoms before the mental well-being of the soldier is dramatically affected and treatment becomes more difficult. Further, the Army should review and update existing doctrine and training techniques (Battlemind training) to focus specifically on commanders at the battalion level. The Army must demonstrate a linkage between doctrine, training and education, enhance efforts to consolidate PTSD resources for ease of access, and revise strategic communications procedures to reduce stigmas associated with PTSD. The Army must arm its tactical commanders with the tools to address the stressors associated with PTSD in order to preserve the force and ensure its effectiveness in the ambiguous and complex environment which appears to best characterize the way ahead.

Keywords: Combat  Military  Monograph  Posttraumatic Stress Disorder  PTSD  Stressors  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Abreactions  Intense Affect  

Accuracy Verified: Yes


43. Solomon, R. M. (2006, September). The art of EMDR:  Dealing with abreactions. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The overall objective of this workshop is to enable the EMDR therapist to deal more effectively, and comfortably, with intense client affect. Treatment of complex trauma, where dissociation prevents the integration of traumatic memories, often involves the processing of intense emotions. The abreaction can be quite shocking to the therapist who may then engage the client in verbal interventions (e.g. interweave, resource installation, talking therapy). While this can indeed be appropriate and helpful, it is often the therapist who is uncomfortable with the level of & client affect, rather than the client being unable to deal with the intense emotions. The hallmark of EMDR is "staying out of the way" if the dysfunctionally stored information is moving. An inherent value of EMDR is to facilitate natural processing and the client's natural patterns. Assuming client readiness and preparation to deal with emotional material, an interweave (which elicits other neural networks), or resource installation (which initiates a state change) or prolonged talking (which initiates an interpersonal process) - though often useful - can interfere with the client's own internal processing and take the client away from their natural and unique resolution and integration. The therapist can enable the client to process intense material utilizing a) strong attunement skills to hold the client in one's therapeutic presence, b) recognition of behavioral manifestations of processing to guide speed, rate, and tempo of bilateral stimulation to maximize processing c) using different rate, speed, and tempo to control emotional intensity of processing; d) and knowing when to verbally intervene and when to "stay out of the way". Hence, more important than the mechanics of bilateral stimulation is the way EMDR is delivered. EMDR is a "dance" between client and therapist with the therapist interacting through bi-lateral stimulation even more than through verbal communication. This workshop will focus on dealing with intense affect with EMDR (the dance) and include discussjon of 1) How to assess client readiness for dealing with intense material, both before and during EMDR processing. 2) Therapist clinical presence and attunement skills. 3) Detecting behavioral manifestations of processing and calibrating bilateral stimulation to the client in order to maximize processing, and control intensity of processing. 4) Therapeutic choice points concerning verbal interventions and "staying out of the way". Demonstration and video tapes will be used to illustrate teaching points. (Participants should be aware that the videos have intense emotional content).

Keywords: Abreactions  

Accuracy Verified: Yes


44. Tobin, B. (2006, Fall). Art therapy meets EMDR:  Processing the paper-based image with eye movement. Canadian Art Therapy Association Journal, 19(2), 27-38.

Language: English

Format: Journal

Abstract:
This paper examines the role of the visual image in psychotherapy, and explores connections between how art therapists use physical images, and how EMDR practitioners use mental images in assisting emotional growth and healing. It outlines a clinical program in which EMDR eye-movement activity is integrated with the art therapist's use of paper-based images, and considers the merits of such a synthesis. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Art Therapy  Eye Movements  Imagery  Psychotherapy  Visual Perception  

Accuracy Verified: Yes


45. Dayton, J., & Cassity, T. (1994). Assessing dynamics and expectations to insure positive EMDR outcome. EMDR Network Newsletter, 4(3), 4-5.

Language: English

Format: Newsletter

Abstract:
An acrophobic professional requested EMDR to enhance his participation in a ropes course offered by his program for substance abusers. The representing material was his first ropes experience during which he became experience during which he became the ground. He was determined to allow himself to fall off and trust his team members to lower him safely. The incongruency between this belief and his internal psychic disturbance and his internal psychic disturbance session.

Keywords: Acrophobia  Ropes Course  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes


48. Krause, R., & Kirsch, A. (2006, Oktober). Auf das verhältnis zwischen traumatisierung, amnesie und symptom stress - Eine empirische pilotstudie [On the relationship between traumatization, amnesia and symptom stress - An empirical pilot study]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 52 (4), 392-405.

Language: German

Format: Journal

Abstract:
Ziele: In der vorliegenden Studie untersuchten wir mimisches Verhalten bei akut traumatisierten Patienten, EMDR-Therapie. Darüber hinaus untersuchten wir, ob eine Abnahme der emotionalen Betäubung wurde aufgrund einer Verringerung der Symptome. Amnestische Tendenzen waren als Moderator-Variable benutzt. Methode: Das mimisch affektive Verhalten wurde kodiert mit dem Emotional Facial Coding System Acting, ein Instrument zur Erfassung von mimischen mit emotionaler Bedeutung. Die Gesichts-affektive Verhalten der Patienten das erste und letzte EMDR-Sitzung wurde verglichen. Ergebnisse: Ein signifikanter Anstieg in Mitten affektive Verhalten sowie eine Zunahme der psychischen Beschwerden gefunden. Darüber hinaus hat die Reduzierung der amnestischen Tendenzen nicht zu einer Verringerung der Symptome führen. Schlussfolgerungen: Unter dem Einfluss der Behandlung ist es möglich, den Zugang zu episodische affektive Gedächtnis zu verbessern. Dennoch kann einen positiven Einfluss nicht am Ende der Behandlung bezeichnet werden.

Objectives: In the present study we examined facial affective behavior in acutely traumatized patients undergoing EMDR therapy. Furthermore, we analyzed Whether a decrease in emotional numbing was due to a reduction of symptoms. Amnestic tendencies were used as a moderator variable. Methods: The facial affective behavior was coded using the Emotional Facial Acting Coding System, an instrument for the registration of facial movements with emotional relevance. The facial affective behavior of the patient's first and last EMDR session was compared. Results: A significant increase in facial affective behavior as well as an increase in mental complaints were found. Furthermore, the reduction in amnestic tendencies did not result in a reduction of symptoms. Conclusions: Under the influence of the treatment it is possible to improve access to episodic affective memory. Nevertheless, a positive influence can not be denoted at the end of the treatment.

Keywords: Amnesia  Empirical Study  Facial Affective Behavior  Facial Expressions  Memory  Quantitative Study  Trauma  Traumatization  Treatment  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Rape  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


51. McKelvey, A. M. (2010). Awakening the buddha within, care of the caregiver utilizing chaplaincy coaching, EMDR and positive psychology. Upaya Zen Center and Institute, 1-76.

Language: English

Format: Other

Abstract:
I began to imagine working with highly functioning and resilient individuals who were ready to move forward into the future. I worked with my coach, diligently creating a coaching business that would sustain me financially, emotionally, mentally, spiritually, and physically. I began to transform EMDR, my major source of healing, from a trauma-based modality to a modality of proactively living and breathing into the mystery of the moment. I fell in love with EMDR all over again as my clients worked with the Standard Protocol through the lens of attaining their goals and dreams. EMDR was the modality each client used to encourage the unfolding of an enhanced life while developing action steps.

Keywords: Chaplaincy Coaching  Positive Psychology  

Accuracy Verified: Yes


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

Language: Spanish

Format: Conference

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

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

Keywords: Adoptives  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Affect Bridge  Future Template  Positive Template  

Accuracy Verified: Yes


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

Language: Dutch

Format: Conference

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

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

Keywords: Complex Trauma  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Rebuilding Self  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

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

Accuracy Verified: No


57. Christman, S. D., & Stieber, P. (2005, February). Bilateral eye movements lead to a neutralization of affective state. Poster presented at the 33rd annual meeting of the International Neuropsychological Society, St. Louis, MO.

Language: English

Format: Conference

Abstract: Engaging in bilateral eye movements (EM) leads to increases in Stroop interference, improvements in episodic memory, and decreases in false memories in a converging semantic associates paradigm. These results are interpreted as reflecting EM-induced equalization of cortical activation and subsequent enhancement of interhemispheric interaction. Since increased right versus left hemisphere activation is associated with negative versus positive affect, respectively, it was hypothesized that EMs following a mood-induction procedure should result in neutralization of affect. Seventy three right-handed participants engaged in happy or sad mood induction procedures, providing mood ratings on a 1-9 scale, followed by 30 seconds of either bilateral EMs or, as a control, watching a dot change color repeatedly. Participants then supplied a second mood rating. Analyses of the Happy condition showed no mood differences after mood induction, with all participants yielding scores significantly happier than neutral. After administration of the visual condition, participants in the Colored Dot condition showed no change in mood. In the EM condition, however, participants showed a significant reduction in positive affect. Analyses of the Sad condition showed that the mood induction procedure failed, with participants reporting neutral moods after mood induction. Post hoc analyses of only those participants reporting sad moods after induction showed that participants in the EM condition exhibited a marginally greater neutralization of affect than in the Colored Dot condition. The results provide tentative support for the hypothesis that bilateral EMs result in neutralization of emotional states, reflecting an equalization of cortical activation in the left and right hemispheres.

Keywords: Bilateral Stimulation  Eye Movements  

Accuracy Verified: Yes


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

Language: English

Format: Newsletter

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

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

Accuracy Verified: Yes


59. 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


60. Offen, L., Walker, R., & Freeman, A. (2008, August). Birmingham psychotherapy service for people with ID: 8 years on. In Symposium: EMDR therapy and psychotherapy and ID presented at the 13th World Congress of the International Association for the Scientific Study of Intellectual Disabilities, Cape Town, South Africa.

Language: English

Format: Conference

Abstract:
Aim: This study aimed to generate descriptive data relating to Birmingham Psychotherapy Services for People with Intellectual Disabilities in order to: a) Provide an understanding of the key characteristics of clients using the service. b) Identify those clients who find it difficult to engage with the service in order to introduce measures to improve its accessibility. c) Identify gaps in the information collected to date so that information gathering mechanisms can be improved. d) Provide a platform from which appropriate outcome measures for the service can be examined. Method: Data was collected by use of a proforma from client files. A selected sample of 141 files was analysed and the results collated. Results: Data pertaining to the above was analysed and the results recorded. Conclusions: A clearer profile of the clients using the service was developed that facilitated a change in clinical focus and the implementation of key changes in service delivery. This has led to a greater emphasis on the use of groups and on the development of more accessible information.

Keywords: Adolescents  Adults  Children  ID  Intellectual Disabilities  Symposium  

Accuracy Verified: Yes


61. Klaus, P. (2005, June). Birth trauma - Causes, effects, methods to heal:  An EMDR approach. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Events at birth are traumatic and create feelings of powerlessness when they are actually or appear life-threatening to self or loved ones, are sudden, change quickly from "normal" to dangerous without explanation, and when the situation appears overwhelming. There is no time to prepare, no way to plan an escape or to prevent something from happening. A number of events during labor or birth such as unplanned interventions, serious problems in the mother, physical damage, a sick infant, and separation from the baby can be classified as traumatic. Major trauma for a woman occurs in childbirth when she has inordinate fear and is in a situation where she has no control. Other aspects of trauma are more subjective and relate to how a woman is treated and how she perceives the experience, often causing humiliation and stigma. Trauma during the prenatal period can affect the parents' perception of the baby, their own self-concept, their relationship, and can impair bonding and attachment. Early trauma can have both immediate and long-range effects on the parents and the infant and may create later in the adult psychological and somatic conditions and a negative self-concept. Equally important is the history the parents bring to this event as well as the quality of their relationship. Birth is a magnet for unresolved issues to emerge. Clinicians will learn about the causes and effects of these early traumas as well as methods, including EMDR to uncover, resolve, and heal them.

Keywords: Birth Defects  

Accuracy Verified: Yes


62. 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


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

Language: English

Format: Conference

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

Keywords: Complex PSTD  Creativity  Mind/Body  Resourcing  Self Regulation  

Accuracy Verified: Yes


64. Haour, F. (2009, June). Brain source imaging of the alpha rhythm in PTSD patients using the MEG technique. In K. Zaal (Chair), Research). Symposium conducted at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Abstract:
In anxiety disorders, such as PTSD, brain imaging has demonstrated local modifications of functional activities using various techniques. In the present study the direct neuronal activities were measured in delta, theta and beta frequencies, using Magnetoencephalagraphy (MEG) which provides very fast temporal response. The technique is neither invasive nor stressful for the patients. Nineteen female volunteers with DSM-IV PTSD were included in the study. The protocol was a script-driven imagery provocation test, achieved with the patients sitting in the MEG apparatus. The scenarios, specific for ach patient, were composed of 4 active conditions: neutral image (N) traumatic memory (T), traumatic memory suppression (TS) and positive image (P) corresponding to 3 minutes where the patient had to imagine the corresponding sequence with eyes closed Measures of heat rate and subjective disturbance (SUD) were measured during the recoding. The MEG data were analysed in the source domain using a spatial filtering approach. Measurement of electrophysiological waves of various rhythms: delta: 1-4 Hetz (Hz), theta: 4.8-5.8 Hz, alpha: 8-12 Hz and beta: 12-25 Hz was obtained. Anatomical information was from MRI imaging. Signal of activation during trauma recall (T-N) were limited to the delta and theta waves and mainly found in the left hemisphere (visual, orbitofrontal and dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-19, 22, 28) and in the right supra marginal gyrus (Wernicke BA 40). Signal of inhibition during trauma recall (T-N) were found mainly in the left hemisphere, in the delta, alpha and beta waves (visual, orbitofrontal, dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-18, 22, 28), cingular cortex (BA 23-24, 31, 32), insula (BA 13) and Broca visual cortex (BA 18-19, 43-44). In conclusion trauma recall mainly induces a hypoactivation in the ventromedial prefrontal cortex and in the cingular cortices, structures linked to the experience and regulation of emotions.

Keywords: Alpha Rhythm  Brain Imaging  MEG Technique  Posttraumatic Stress Disorder  PTSD  Research  Symposium  

Accuracy Verified: Yes


65. Haour, F. (2010, June). Brain source imaging using magnetoencephalography (MEG): Modifications in various rhythms during memory recall, in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In anxiety disorders, such as PTSD, brain imaging has demonstrated local modifications of functional activities using various techniques. In the present study the direct neuronal activities were measured in delta, theta and beta frequencies, using Magnetoencephalagraphy (MEG) which provides very fast temporal response. The technique is neither invasive nor stressful for the patients. Nineteen female volunteers with DSM-IV PTSD were included in the study. The protocol was a script-driven imagery provocation test, achieved with the patients sitting in the MEG apparatus. The scenarios, specific for ach patient, were composed of 4 active conditions: neutral image (N) traumatic memory (T), traumatic memory suppression (TS) and positive image (P) corresponding to 3 minutes where the patient had to imagine the corresponding sequence with eyes closed Measures of heat rate and subjective disturbance (SUD) were measured during the recoding. The MEG data were analysed in the source domain using a spatial filtering approach. Measurement of electrophysiological waves of various rhythms: delta: 1-4 Hetz (Hz), theta: 4.8-5.8 Hz, alpha: 8-12 Hz and beta: 12-25 Hz was obtained. Anatomical information was from MRI imaging. Signal of activation during trauma recall (T-N) were limited to the delta and theta waves and mainly found in the left hemisphere (visual, orbitofrontal and dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-19, 22, 28) and in the right supra marginal gyrus (Wernicke BA 40). Signal of inhibition during trauma recall (T-N) were found mainly in the left hemisphere, in the delta, alpha and beta waves (visual, orbitofrontal, dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-18, 22, 28), cingular cortex (BA 23-24, 31, 32), insula (BA 13) and Broca visual cortex (BA 18-19, 43-44). In conclusion trauma recall mainly induces a hypoactivation in the ventromedial prefrontal cortex and in the cingular cortices, structures linked to the experience and regulation of emotions.

Keywords: Magnetoencephalography  MEG  Memory Recall  Posttraumatic Stress Disorder  PTSD  Research  Rhythms  Symposium  

Accuracy Verified: Yes


66. Amen, D. G. (2003, September). Brain SPECT imaging in PTSD and EMDR. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Brain SPECT provides a window into brain activity and helps us understand the underlying physiology of many neurological and psychiatric illnesses. Specific psychological and medical treatments enhance or change our brain function. In this lecture, Dr. Amen will describe his extensive clinical experience and research into postraumatic stress disorder and EMDR. He has been involved in performing before and after brain SPECT scans for PTSD patients for several years and recently completed a formal research project with Karen Lansing on PTSD and EMDR. The results of this study will also be discussed.

Keywords: SPECT  Brain  

Accuracy Verified: Yes


67. Miller, R. (2011, August). Breaking impulse-control disorders: A new theory and protocol for compulsions. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
The Feeling-State Theory of Impulse-Control Disorders postulates that Impulse-Control Disorders such as pathological gambling, sexual addiction, and compulsive shopping are created when intense positive feelings become linked with specific behaviors. The effect of this linkage is that the person compulsively reenacts the behavior related to that original positive-feeling event. The therapy described in this presentation is the Impulse-Control Disorder Protocol (ICDP), which uses a modified form of eye movement desensitization and reprocessing (EMDR) to address these fixations. Three case studies wiill be used to illustrate the theory and the application of ICDP.

Keywords: Feeling-State Theory  Impulse-Control Disorders  

Accuracy Verified: Yes


68. Hettiarachchi, M. (2007). Brief intervention for post traumatic stress disorder with combined use of cognitive behaviour therapy and eye movement desensitisation reprocessing. Australian e-Journal for the Advancement of Mental Health, 6(1), 1-5.

Language: English

Format: Journal

Abstract:
This case study is of a 23 year old female diagnosed with Post Traumatic Stress Disorder (PTSD) in Sri Lanka, six months following the Asian Tsunami of December 2004. The intervention was conducted in a village clinic on the southern coast of the country. Treatment involved the use of Cognitive Behavioural Therapy (CBT) and Eye Movement Desensitisation Reprocessing (EMDR). The Beck Anxiety Inventory (BAI) was used to monitor levels of anxiety. The Impact of Event Scale (IES) was administered to assess level of intrusion and avoidance (Horowitz, Wilner & Alvarez, 1979). Subjective Units of Distress Scores (SUDS) were obtained to assess level of distress and the Validity of Cognition Scale (VOC) used to assess accuracy of positive beliefs (Shapiro, 2001). A significant reduction in trauma symptoms, levels of distress, intrusion and avoidance were noted at post-treatment. Treatment gains were maintained at one month and nine month follow-up. The combined treatment protocol may be an effective brief intervention to use in situations that require rapid treatments to alleviate personal psychological distress in the aftermath of large scale disasters.

Keywords: Asian Tsunami  Brief Intervention  Clinical Case Study  Cognitive Behavior Therapy  Cognitive Therapy  Emotional Trauma  Natural Disasters  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: MRI Brief Therapy  

Accuracy Verified: Yes


70. Scheck, M. M., Schaeffer, J. A., & Gillette, C. (1998, January). Brief psychological intervention with traumatized young women:  The efficacy of eye movement desensitization and reprocessing. Journal of Traumatic Stress, 11(1), 25-44. doi:10.1023/A:1024400931106.

Language: English

Format: Journal

Abstract:
To study the efficacy of eye movement desensitization and reprocessing (EMDR) with traumatized young women, 60 women between the ages of 16 and 25 were randomly assigned to 2 sessions of either EMDR or an active listening (AL) control. Factorial ANOVA interaction effects and simple main effects for outcome measures (Beck Depression Inventory, State-Trait Anxiety Inventory, Penn Inventory for PTSD, Impact of Event Scale, Tennessee Self-Concept Scale) indicated significant improvement for both groups and significantly greater pre-post change for EMDR-treated participants. Pre-post effect sizes for the EMDR group averaged 1.56 compared to 0.65 for the AL group. Despite treatment brevity, the posttreatment outcome variable means of EMDR-treated participants compared favorably with nonpatient or successfully treated norm groups on all measures. [Author Abstract]

Keywords: Americans  Battery  Child Abuse  Effects  Emotional Abuse  Females  Empirical Study  Follow-up Study Incest  Posttraumatic Stress Disorder  PTSD  Random Clinical Trial  Rape  RCT  Stressors  Survivors  Treatment Effectiveness  Young Adults  

Accuracy Verified: Yes


71. Shapiro, F. (2012, November). Building sustainable mental health services in war-torn and disaster-affected areas. Presentation at the 28th Annual Meeting of the ISTSS, Los Angeles, CA.

Language: English

Format: Conference

Abstract:
The after effects of trauma can be transmitted across generations, resulting in ongoing cycles of violence and pain that affect individuals, families and societies. For those people and organizations working in countries in need of significant conflict prevention, mediation, reconstruction and reconciliation, these unprocessed memories can present a grave challenge. EMDR therapy is an empirically supported treatment for trauma. Since it does not demand a description of the event, it has proved successful in those cultures where self-disclosure is problematic. Since it does not need homework, it can also be implemented on consecutive days, making it amenable to the use of field teams after both natural and manmade disasters. Program evaluations have documented positive and rapid treatment effects using both individual and group protocols. The EMDR-Humanitarian Assistance Programs (HAP) is a global network of volunteer educator/clinicians working to prevent and/or remediate the psychological aftereffects of trauma. HAP projects worldwide have provided education about trauma and stabilization techniques, and taught local clinicians how to provide both individual and group treatment in war-torn and disaster-affected areas. The primary goal is to train clinicians to build sustainable mental health services that will meet not only immediate crisis needs, but also comprehensively serve future generations.

Keywords: Disasters  War  

Accuracy Verified: Yes


72. Forgash, C., Leeds, A., Stramrood, C. A. I., & Robbins, A. (2013). Case consultation: Traumatized pregnant woman. Journal of EMDR Practice and Research, 7(1), 45-49. doi:10.1891/1933-3196.7.1.45.

Language: English

Format: Journal

Abstract:
Case consultation is a new regular feature in the Journal of EMDR Practice and Research in which a therapist requests assistance regarding a challenging case and responses are written by three experts. In this article, Amy Robbins, a certified eye movement desensitization and reprocessing (EMDR) therapist from Atlanta, Georgia, briefly describes a challenging case in which a pregnant woman seeks treatment for trauma suffered in a tornado. The clinician asks if it is advisable to provide EMDR treatment and what concerns she should be aware of. The first expert, Carol Forgash, provides some general information about pregnancy and psychotherapy and outlines considerations, concerns, and contraindications for proceeding with EMDR. She recommends that if treatment is chosen, the therapist proceed with a recent trauma protocol to specifically target the traumatic memories of the recent tornado. The second expert, Andrew Leeds, comments on the absence of randomized controlled trials (RCTs) or other scientific reports exploring the safety of EMDR treatment of pregnant women. He states that pregnant women with symptoms of posttraumatic stress should understand that there is a high probability that EMDR will improve maternal quality of life and that the risks of adverse effects on stability of pregnancy are probably low, but that these remain unknown. The third expert, Claire Stramrood, explains that the few case studies that evaluated EMDR during pregnancy have found positive effects but pertained to women with posttraumatic stress disorder (PTSD) following childbirth. She asserts that once obstetricians have been consulted, women have been informed about possible risks and benefits, and, given their informed consent, they should be able to choose to commence EMDR therapy during pregnancy.

Keywords: Acute Stress Disorder  ASD  Posttraumatic Stress Disorder  Pregnancy  PTSD  Tornado  

Accuracy Verified: Yes


73. Shapiro, R., Hofmann, A., & Grey, E. (2013). Case consultation: Unremitting depression. Journal of EMDR Practice and Research, 7(1), 39-44. doi:10.1891/1933-3196.7.1.39.

Language: English

Format: Journal

Abstract:
Case Consultation is a new regular feature in the Journal of EMDR Practice and Research. In this article, an eye movement desensitization and reprocessing (EMDR) clinician briefly describes a challenging case in which a man, “George,” was referred for EMDR for treatment of a depression that began more than 2 years previously. After all his reported traumatic memories were completely processed with EMDR, George remains severely depressed and the therapist asks how to proceed effectively with treatment. Responses are written by three experts. The first expert, Robin Shapiro, describes a comprehensive list of possible etiologies, including attachment, early trauma, genetic, and other biological causes and their appropriate EMDR, ego state, or medical treatments. The second expert, Arne Hofmann, reviews the treatment that was provided and makes suggestions for alternate treatment targets, suggesting that the therapist could address the client’s belief that “nothing will change” and try the EMDR inverted protocol. The third expert, Earl Grey, recommends that the clinician focus on addressing small “t” traumas, even if the client indicates that he or she has little to no disturbance and explains how to develop and implement a “restorative life span target sequence.”

Keywords: Consultation  Depression  Treatment  

Accuracy Verified: Yes


74. Leeds, A. M. (1995, October). Case formulation:  Strategies and criteria for selection of negative and positive cognitions in EMDR, adapted and updated. Author.

Language: English

Format: Other

Abstract:
Originally a paper entitled "Case formulation: selecting positive and negative cognitions" at the Annual meeting of the EMDR Conference, Sunnyvale, CA March 1994, presented at the The process of selecting appropriate negative and positive cognitions can be a smoothly flowing preamble to an EMDR treatment session or it can be a complex search for an elusive quarry. In this paper, I will review the principles and rationale underlying the selection of cognitions in EMDR and will consider procedures to guide us safely past common problems. Most importantly, I will introduce the idea that the process of selecting cognitions can be greatly simplified and enriched when it is integrated into a case formulation approach.[1][Author abstract]

Keywords: Cognitions  

Accuracy Verified: Yes


75. Leeds, A. M. (1994, March). Case formulations:  Selecting positive and negative cognitions. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Abstract:
Case formulation: Strategies and criteria for selection of negative and positive cognitions in EMDR, Adapted and Updated Version (October 1995)available through the A. M. Leeds Presentations website link.

Keywords: Case Formulations  Cognitions  

Accuracy Verified: Yes


76. Fang, L. (2005, June). Case presentation:  “Relative mild negative situations” - 2 single session cases using the standard EMDR protocol. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
It has proven that EMDR is successful in helping people who have experienced psychological difficulties that originate from some kind of traumatic experience. I used standard EMDR protocol successfully in single session for two persons who experience short negative moments. One client was a young man who had intrusive recalls of the male acquaintance telling him about oral sex intercourse between men that happened 38 hours before he asked for psychological help. The other client was a young nurse, one of my colleagues, who was scolded and threatened by the husband of a patient less than 2 hours ago before I did EMDR for her. They both had moment of trauma was very precise and very short: the moment the words were spoken. The recent events don't have several hot spots (difficult affect laden moments in the experience), but just one clearly shocking moment. So I used standard protocol and it helped stabilizing them very quickly, they both retouched their resources quickly. Two months later, I followed up my colleague. She was still stable and had the same positive cognition about the negative moment.

Keywords: China  Psychotrauma  Symposium  

Accuracy Verified: Yes


77. Kim, D., & Kim, K-I. (2004, January). A case series of eye movement desensitization and reprocessing (EMDR) in 30 psychiatric patients: Korean experience. Journal of the Korean Neuropsychiatric Association, 43(1), 113-118.

Language: English

Format: Journal

Abstract:
Objectives: Eye Movement Desensitization and Reprocessing (EMDR) is an emerging psychotherapeutic technique for posttraumatic stress disorder and other conditions associated with psychological trauma. The effectiveness of this technique has been reported among North American and European populations; however, research on it's effectiveness among other ethnocultural groups is sparse. This is the first clinical study of EMDR in Korea with 30 Korean psychiatric patients in two clinical settings. METHODS: Diagnostically heterogeneous group of 30 psychiatric patients underwent a mean of 3.13 (95%CI=2.54-3.73) sessions of EMDR. The Clinical Global Impression-Change scale (CGI-C) was administered one week and six months after the termination of treatment. Results: Participants had a mean CGI-C score of 1.80 (95%CI=1.44-2.16). We designated as 'responders' those who were 'very much improved' or 'much improved' on the CGI-C, 23 (77%) After six months, 19/23 (83%) still characterized as remaimed responders. All the patients with posttraumatic stress disorder, phobia, and grief reaction were responders, and those with personality disorder nonresponders. Results for depressive and other disorders were mixed. Conclusion: Despite methodological limitations, results from this study suggest that the EMDR can be applied to Korean psychiatric patients.

Keywords: Korea  Psychiatric Patients  

Accuracy Verified: Yes


78. Wesselmann, D., & Potter, A. E. (2009). Change in adult attachment status following treatment with EMDR: Three case dtudies. Journal of EMDR Practice and Research, 3(3),178-191. doi:10.1891/1933-3196.3.3.178.

Language: English

Format: Journal

Abstract:
Three case studies illustrate pre- and post-eye movement desensitization and reprocessing (EMDR) adult attachment status as measured by the Adult Attachment Interview (AAI). Two adult males and one adult female presented for outpatient therapy; all of them were categorized with an insecure or disorganized attachment status at pretreatment. All presented with symptoms of depression and anxiety and complaints regarding problems in their current marital and family relationships. The three patients received 10 to 15 EMDR sessions over the course of approximately 1 year, interspersed with talk therapy sessions for the purpose of debriefing and psychoeducation. The EMDR approach utilized all eight phases of treatment within the three-pronged approach. Following EMDR therapy, all three patients made positive changes in attachment status as measured by the AAI, and all three reported positive changes in emotions and relationships. This article provides an overview of the literature related to adult attachment categories and summarizes the effect of adult attachment status on emotional and social functioning. The rationale and scoring procedures for the AAI are explained.

Keywords: Adult Attachment Interview  Attachment  Outcome  Trauma  

Accuracy Verified: Yes


79. Amen, D. G. (1999, June). Change your brain, change your life (EMDR not the focus). Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn the functions the problems associated with five different brain systems; 2) learn the impact of head injuries on psychological behavior; and 3) develop three psychological strategies for enhancing each different brain system.

Keywords: Brain  Brain Systems  Head Injuries  SPECT  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Brain  SPECT  

Accuracy Verified: Yes


81. Grant, M. (2009). Change your brain, change your pain: Based on EMDR. Wyong, NSW: Wyong Medical Centre.

Language: English

Format: Book

Abstract:
Chronic physical or emotional pain is one of the most overwhelming problems we ever have to face. It often fails to respond to normally effective treatments such as medication and counselling. Time doesn't heal some wounds, and sufferers are faced with a desperate need for solutions. One of the most exciting developments in treating pain is increased understanding of the brain's role in pain, based on new brain-scanning technology. Scientists have also discovered that the brain is malleable and capable of being changed throughout the lifespan. This enlightening and practical book explains how physical and emotional pain are stored in the brain, and what causes pain to persist after the injury or trauma that initially triggered it. The book describes five core sensory-emotional skills for reversing the brain activity that maintains pain. These are brought to life through over 20 brain-smart activities designed to neutralize the sensoryemotional reactions that maintain pain. Benefits include learning: how to understand and benefit from your emotions, even negative ones; how to cope with the effects of physical injury with less distress; how to reduce painful feelings and sensations without really trying; how to change negative emotional patterns; how to feel better about yourself; how to conquer stress; how to protect yourself against future episodes of pain; sleep better - naturally; and much more! Includes brain stimulation CD.

Keywords: Pain  

Accuracy Verified: Yes


82. Laliotis, D. (2011, March). Changing the narrative: Part 1 & part 2 - The psychotherhapy of EMDR. Presentation at the Psychotherapy Networker Symposium, Washington, DC.

Language: English

Format: Conference

Abstract:
While EMDR has become known as a highly effective psychotherapy approach for neutralizing traumatic memories, it's evolded into a comprehensive and powerful therapy that goes well beyond helping clients reprocess negative experiences to transforming the way they feel about themselves and their lives. In this workhop, you'll be introduced to the eight-phase information-processing model of EMDR, which helps clients identify and reprocess experiences that have shaped their sense of self and view of the world, limiting their capacity to live an authentic life. You'll learn how EMDR can be used to work with core themses and experiences underlying people's current life difficulties, freeing them to fully realize their own identity, change the narrative of their lives, and experience a fuller, more flexible and expansive, sense of self.

Keywords: Practice  Theory  

Accuracy Verified: Yes


83. Flint, G. (1994). A chaos model of the brain applied to EMDR. Psychoscience, 1(2), 119-130.

Language: English

Format: Journal

Abstract:
Eye movement Desensitization and Reprocessing (EMDR) is a treatment phenomena that has yet to be adequately explained. This is a procedure that usually obtains rapid cognitive and/or perceptual changes of remembered trauma. A chaos model of the process of the olfactory system was extrapolated to a theory for the whole brain process. The interesting results provided an explanation of EMDR and other treatment phenomena. The key elements of the theory are that experience changes behavior, small stimuli evoke massive responses and change takes place in active body experience. Case studies are presented that demonstrate the application of the theory.

Keywords: Chaos Model  

Accuracy Verified: Yes


84. Borrelli, S. (2002). Chaper 5: Into the new millennium: Child advocacy and EMDR. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
When planning treatment for a child, we must assess carefully the developmental issues (internal press) that seem to be ascendant at different life stages, the context (external press) in which these issues are being accomplished and probably frustrated, and secondary gains issues. Especially for a child, the risks of change must be prepared for. Family therapy theories remind us that as the child improves, the status quo of the family "crisis" will also need to adapt. We’re all aware of the obvious and subtle resistances to change offered by family members. all of whom might be vying for survival guarantees. A sensitive assessment of the family context, then, is an essential aspect of the treatment process. Which family members are most likely to be allies in the quest for change, and who are the most at risk, and likely to challenge positive changes? [Excerpt]

Keywords: Children  

Accuracy Verified: Yes


85. Monahan, K., & Forgash, C. (2012, March). Childhood sexual abuse and adult physical and dental health outcomes. In E. A. Kalfoğlu & R. Faikoglu (Eds.), Sexual Abuse - Breaking the Silence (pp. 137-152). Intechopen.

Language: English

Format: Book Section

Abstract:
Along the same lines, evidence-based assessment and interventions must be in line with the finding of how significant the subjective impressions of sexual assault are for incarcerated older adults in treatment. A promising intervention that is being piloted in the criminal justice system with younger age groups is Eye Movement Desensitization and Reprocessing (EMDR). EMDR specifically targets change in subjective units of distress among trauma survivors, particularly sexual abuse survivors, which in turn reduces post traumatic stress symptoms (Kitchiner, 2000). Moreover, previous research with incarcerated juvenile offenders shows that EMDR can work in reducing post traumatic stress reactivity resulting in less violent behavior and conduct problems among samples. Its utility for older adults, especially those with histories of sexual assault victimization and perpetration is perhaps a promising intervention. The use of evidence-based practices suggests that untreated trauma and grief are related to increased adult recidivism rates (Leach et al., 2008). Therefore, treating psychological distress and untreated symptoms effectively, which involves both screening and treatment that captures subjective experiences, may help to break the cycle of recidivism and in some case sexual offending. [Excerpt]

Keywords: Dental Health  Physical Health  

Accuracy Verified: Yes


86. Greenwald, R. (1995, June). Children-case presentations. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
One major limitation of EMDR is that it is an individual treatment modality. However, individual treatment of a child may be insuflicient, and broader interventions are often required. This is especially likely when environmental forces are unsupportive or in opposition to the healing process. This presentation will focus on the use of EMDR on several levels in child treatment, including individual treatment of traumatic memories, enhancing family support for healing, and addressing family obstacles to healing. Format will include lecture, vignettes, and a video case presentation of the EMDR treatment of a young girl who had been raped by a babysitter, along with the EMDR treatment of her older brother who bullied her. Assessment of child problems includes consideration of many factors. The focus here will be on the child's trauma history, and on the current family situation it pertains to treatment of the child's traumatic memories. Methods of assessment addressed here include interview of the child and the parent, observation of family interactions, and observation of the child's progress, both during and after EMDR treatment. A number of interventions are available to enhance or augment individual EMDR treatment of the child. Vignettes will be presented to illustrate the following interventions: referral to family therapy when successful EMDR highlighted the symptom's functional role; EMDR with a parent to reduce reactivity to the child; and prompting the parent(s) to produce statements and behaviors to be used later as content for installations. A challenging case will be presented in which a family, though motivated, demonstrated a number of behaviors which threatened to undermine the child's treatment. The family consisted of a single father in his late twenties, an eight year-old boy, and a seven-yearold girl. The presenting problem was the girl's ongoing post-traumatic symptoms, particularly nightmares and social withdrawal, some two years after having been raped by a babysitter. (the boy also had social and behavioral problems in school.) Unfortunately, the "lessons" of the girl's traumatic experience were frequently reinforced in the family context, through the brother's bullying of his younger sister, the father's complicity in the bullying, and the father's own tendency to be overly controlling and threatening. Treatment began with two family sessions and one with the father alone. The next three sessions were split to provide some individual time for each child as well as for the father. The seventh, final session included a family meeting and then some time for each individual. Work with the father was difficult and slow, as he was very defensive regarding his own possible contributions to his children's problems. Early interventions included delicate attempts to help the father understand the effect of his yelling and threatening - even though he was no longer in the habit of physically striking his children. Meanwhile, in part to enhance the therapeutic alliance, the primary focus was on direct treatment of the children. Some of this is shown on video. The girl was asked to draw a picture of her bad dream, and then to draw it "all better." She first drew a dark picture of a large man with fangs dripping blood. The next picture was of a nicer man on a sunny day. This activity was used as part of her introduction to the upcoming EMDR work. In the next session she agreed to do EMDR and completed processing in 25 minutes. The following session she indicated that the memory was no longer disturbing, and many of the symptoms had disappeared. She began to raise her next concern, by playing with a doll and a baby bottle, and complaining that she did not get to see her mother enough. Over the same three sessions the boy was also treated with EMDR for a number of relatively minor traumatic memories, including a car accident, the loss of two pets, and a vision of the devil. Despite apparently successfull processing, he was unable to conclude that he was a "good boy," due to evidence to the contrary: memories of his father's anger at him. Cognitive interweave was used to access a sense of inner goodness. The bullying behavior reportedly disappeared both at home and at school, and he also moved on, to express concerns about missing his mother. Treatment was interrupted due to a change in insurance coverage, so continued treatment and follow-up was not accomplished. This case illustrates some ways that EMDR can be enlisted to address aspects of the family context which may constitute obstacles to healing. The girl's brother was treated with EMDR to reduce his mistreatment of her; and the boy's sense of badness, largely gained by interaction with his father, was overcome by accessing internal resources in the absence of parental support. In conclusion, EMDR can play multiple roles in both the diagnosis and treatment of family obstacles to healing.

Keywords: Case Presentations  Children  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes


88. Munker-Kramer, E. (2007, June). CISD and EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Both EMDR and CISD have their positions in the treatment of PTSD and Acute Stress Disorders. They are parts of clear concepts of best practice in crisis and disaster and psychology (e.g., as one focused part CISD) in the immediate care and evaluated trauma therapy methods (with EMDR as a crucial example of well researched trauma therapy) for aftercare. It is very important for the best support of concerned persons and survivors to have good and vice versa supporting management of the interfaces on this continuum.
This lecture will emphasize the author’s opinion on the best possibilities to combine both parts and positions. This will be underlined by some actual research findings on the needs of concerned person and their perception on what they get.
The way of combining both specialized methods will be discussed out of a practitioner’s (in both methods) point of view and will be illustrated by some concrete cases. A senseful combination of EMDR and CISD and a precise consideration and screening for genuine and known risk factors and leading symptoms (e.g., hyperarousal) seem to be a good practice for those starting to suffer from stress disorders.

Keywords: CISD  Critical Incident Stress Debriefing  

Accuracy Verified: Yes


89. Wizansky, B. (2007). A clinical vignette:  Resource connection in EMDR work with children. Journal of EMDR Practice and Research, 1(1), 57-61. doi:10.1891/1933-3196.1.1.57 .

Language: English

Format: Journal

Abstract:
A vignette is a brief case report that makes a contribution to the literature, but which has used only EMDR's standard protocol measures. This vignette describes a procedure for drawing on and strengthening a child's resources in all phases of EMDR treatment. The procedure facilitates the connection to more authentic and meaningful inner resources that come directly from the child's world, thus strengthening the positive memory networks so that these are available for the child to access when processing his/her traumatic material. Three separate cases are described to illustrate the application. [Author Introduction]

Keywords: Israelis  Psychotherapeutic Processes  School Age Children  Stressors  Survivors  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

Keywords: Postrraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


91. 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


92. Otto, M. W., Penava, S. J., Pollack, R. A., & Smoller, J. W. (1996). Cognitive-behavioral and pharmacologic perspectives on the treatment of posttraumatic stress disorder. In M. H. Pollack, M. W. Otto, & J. F. Rosenbaum (Eds.). Challenges in clinical practice:  Pharmacologic and psychosocial strategies (pp. 219-260). New York:  Guilford Press.

Language: English

Format: Book Section

Abstract:
The following sections consider biologic and cognitive-behavioral perspectives on PTSD and strategies for its treatment. Pharmacologic strategies examined to date have included treatment with beta-adrenergic blockers and alpha-adrenergic agonists, benzodiazepines, antikindling agents, mood stabilizers, and various antidepressants. Exposure-based treatments have been included in a number of approaches to the disorder, but have received the most direct attention in cognitive-behavioral conceptualizations. Each of these interventions has the potential to change one aspect or a constellation of PTSD symptoms, and must be evaluated relative to the number of symptom domains that each affects. [Text, p. 222]

Keywords: Behavior Therapy  Cognitive Therapy  Drug Therapy  Literature Review  Neurobiology  Psychopharmacology  PTSD  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


93. Grandison, P. (2007). A combined approach: Using EMDR within a framework of solution focused brief therapy. Educational and Child Psychology, 24(1), 56-64.

Language: English

Format: Journal

Abstract:
This paper reports on a qualitative, exploratory study that creatively combined two therapeutic approaches: eye movement desensitisation and reprocessing (EMDR) and solution focused brief therapy. It was expected that the use of techniques drawn from solution focused brief therapy could help children to facilitate and enhance the use of techniques within EMDR. In particular, techniques focusing on current and future positive resource installation were utilised. Five primary school children age 9 to 11 years were identified by class teachers and parents as presenting as shy, anxious and lacking self-confidence. The group intervention took place in school over six sessions. Within the group setting, the children targeted their own individual area that they wished to improve. Data were collected during and after each session and post-intervention. Increases in children’s self confidence and an improvement in targeted areas were reported by children, parents and teachers. Children found the intervention helpful and were able to identify particular aspects of solution focused brief therapy and EMDR that were useful.

Keywords: Anxiety  Brief Psychotherapy  Children's Techniques  Educational Psychology  Empirical Study  Group Intervention  Group Psychotherapy  Primary School Children  Problem Solving  Psychotherapeutic Techniques  Qualitative Study  Self-Confidence  Shyness  Solution Focused Brief Therapy  Timidity  

Accuracy Verified: Yes


94. Davis, N. (1998, July). Combining visual imagery and EMDR to treat traumatic symptoms of rape, child abuse, and sudden loss of a loved one. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will learn: 1) how to use visual imagery are a part of EMDR with rape victims who are terrified of their rapist; 2) how to use visual imagery as a part of EMDR with adults, adoelscents, and children who have been abused as a way of empowering them; and 3) how to implant a positive memory of a loved one who died suddenly once EMDR has eliminated the negative flashbacks or images associated wth death.

Keywords: Child Abuse  Loss  Rape  Visual Imagery  

Accuracy Verified: Yes


95. Leeds, A. M., & Korn, D. L. (2012). A commentary on Hornsveld et al. (2011): A valid test of resource development and installation? Absolutely not. Journal of EMDR Practice and Research, 6(4), 170-173. doi:10.1891/1933-3196.6.4.170.

Language: English

Format: Journal

Abstract:
Researchers have published evidence supporting both the “working memory“ and the “REM/Orienting Response“ hypotheses as mechanisms underlying the documented treatment effects of EMDR on patients with posttraumatic stress disorder. Hornsveld et al. (2011) provide additional evidence of the impact of eye movements (EMs) on aspects of positive memory recall, but overstate their findings relevance to resource development and installation (RDI: Korn & Leeds, 2002) and to the interhemispheric interaction hypothesis (Propper & Christman, 2008). Most likely multiple mechanisms underlie the observed effects of EMDR and RDI. The needed RDI test is to randomly assign patients with Disorders of Extreme Stress not Otherwise Specified with measured coping difficulties to alternate conditions: one an RDI procedure without bilateral (or other distracting) sensory stimulation and one with bilateral EMs.

Keywords: RDI  REM/Orienting Response  Resource Development and Installation  Working Memory  

Accuracy Verified: Yes


96. Jaberghaderi, N., Greenwald, R., Rubin, A., Zand, S. O., & Dolatabadim, S. (2004, September-October). A comparison of CBT and EMDR for sexually abused Iranian girls. Clinical Psychology and Psychotherapy, 11(5), 358-368. doi:10.1002/cpp.395.

Language: English

Format: Journal

Abstract:
14 randomly assigned Iranian girls ages 12-13 years who had been sexually abused received up to 12 sessions of CBT or EMDR treatment. Assessment of post-traumatic stress symptoms and problem behaviours was completed at pre-treatment and 2 weeks post-treatment. Both treatments showed large effect sizes on the post-traumatic symptom outcomes, and a medium effect size on the behaviour outcome, all statistically significant. A non-significant trend on self-reported post-traumatic stress symptoms favoured EMDR over CBT. Treatment efficiency was calculated by dividing change scores by number of sessions; EMDR was significantly more efficient, with large effect sizes on each outcome. Limitations include small N, single therapist for each treatment condition, no independent verification of treatment fidelity, and no long-term follow-up. These findings suggest that both CBT and EMDR can help girls to recover from the effects of sexual abuse, and that structured trauma treatments can be applied to children in Iran. [Author Abstract]

Keywords: Brief Psychotherapy  CBT  Child Abuse  Cogntiive Behavorial Therapy  Cognitive Therapy  Elementary School Students  Empirical Study  Females  Incest  Iranians  Manual-Based Treatments  Posttraumatic Stress Disorder  Preadolescents  PTSD  Quantitative Study  Rape  Random Clinical Trial  RCT  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Biofeedback  Stress Inoculation  Test Anxiety  

Accuracy Verified: Yes


98. 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


99. Hunt, V. C. S. (2006). A comparison of qEEG changes associated with trauma treatment using EMDR and talk therapy. Argosy University, Chicago, IL.

Language: English

Format: Dissertation/Thesis

Keywords: QEEG Change  Trauma  Treatment  

Accuracy Verified: Yes


100. Tofani, L. R. (2007). Complex separation, individuation processes, and anxiety disorders in young adulthood. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 265-283). Hoboken, NJ: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
Research has shown that anxiety in children is highly influenced by parenting style, perception of family support (Rapee & Melville, 1997), and family relational patterns. Social Anxiety Disorder (American Psychiatric Association, 1994) is considered to be a common disorder in young adults. According to Shapiro's (1995, 2001) Adaptive Information Processing model, a neurotic symptomatic situation in a young adult with an unfinished separation process may be connected to unresolved separations and other past traumas. This chapter discusses research and clinical evidence, and treatment of young adults with complex separation problems. Integration of family systems therapy and Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 2001) is discussed. In this integrated treatment procedure, family therapy follows the experiential family systems therapy approach (Giat Roberto, 1992; Napier & Whitaker, 1978), with elements of multigenerational and Structural Family Therapy styles (Bowen, 1978; Minuchin & Fishman, 1992). The EMDR standard protocol is followed. A case example and concluding discussion complete the chapter. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Anxiety Disorders  Family Relations  Family Systems Therapy  Family Systems Theory  Family Therapy  Individuation  Integrative Psychotherapy  Separation Anxiety  Separation Individuation  Separation Problems  Separation Reactions  Structural Family Therapy  Young Adulthood  

Accuracy Verified: Yes


101. Herbert, C. (2012, October). Complex trauma: Road to psychiatric dysfunction or path toward posttrauma growth?. Keynote at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.

Language: English

Format: Conference

Abstract:
Healthcare service providers, as well as, mental health practitioners, frequently associate the suffering of complex trauma with pathology, mental illness, personality disorders and severe psychiatric dysfunction. Clients are perceived as difficult to treat, interventions are guided by the nature of the psychiatric diagnosis and therapy focuses on crisis management and on helping clients to achieve reductions of symptoms that account for the psychiatric diagnosis. Although symptom reduction can be of great value and importance to sufferers, sole focus on this misses the great potential to engage a person in a transformative process that can lead to considerable inner strengthening, alignment and positive growth, as a result and in spite of their early traumatic experiences. This keynote introduces a shift in perspective away from the traditional focus on psychiatric dysfunction toward a model of positive growth for clients suffering from Complex Trauma and Dissociative Identity Disorder (DID). It is proposed that development of empathic empowerment of the individual toward greater personal authenticity, honesty, accountability and compassion can open the path toward posttrauma growth. However, in order to achieve such development specific parameters must be fulfilled. These parameters, which include therapist factors, the nature of the therapeutic relationship, an underlying therapeutic framework for working with complex trauma and the guiding principles and ingredients that nurture growth rather than dysfunction, will be outlined and illustrated through the use of client vignettes.

Keywords: Complex Trauma  Posttraumatic Growth  

Accuracy Verified: Yes


102. Wagstaff, G. F., Cole, J., Wheatcroft, J., Marshall, M., & Barsby, I. (2007). A componential approach to hypnotic memory facilitation: Focused meditation, context reinstatement and eye movements. Contemporary Hypnosis, 24(3), 97-108. doi:10.1002/ch.334.

Language: English

Format: Journal

Abstract:
Although hypnosis is now less popular as an interviewing technique in forensic investigations than it used to be, recent evidence suggests that some of the components of hypnotic interviewing might still be useful in the development of brief memory facilitation procedures. Two experiments are described which continue this componential approach to hypnotic interviewing. In the first experiment, the effects on episodic memory of a brief context reinstatement (revivication) procedure were examined together with a focused breathing meditation technique which shares similarities with traditional hypnotic induction. A second experiment investigated the effects of horizontal eye movements which some have also associated with hypnotic responding. Results indicated that a combined context reinstatement and focused meditation procedure was more effective than context reinstatement alone in facilitating memory for an emotional event without the increase in false positive errors familiar to more traditional hypnosis techniques. In contrast, an instruction to perform horizontal eye movements was not effective in facilitating memory and, when combined with a suggestion for improved recall, produced higher confidence in incorrect responses. Implications are discussed. [Abstract from author]

Keywords: Accuracy  Confidence  Context Reinstatement  Eye Movements  Forensic Hypnosis  Hypnotism  Interviewing  Meditation  Memory  Memory Facilitation  Testing  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Ego States  Lifespan Integration  

Accuracy Verified: Yes


104. Bergmann, U. (2012). Consciousness examined: An introduction to the foundations of neurobiology for EMDR. Journal of EMDR Practice and Research, 6(3), 87-91. doi:10.1891/1933-3196.6.3.87.

Language: English

Format: Journal

Abstract:
The human mind is difficult to investigate, but the biological foundations of the mind, especially consciousness, are generally regarded as the most daunting. In this article, excerpted from the book Neurobiological Foundations for EMDR Practice (Bergmann, 2012), we introduce and outline aspects of consciousness, information processing, and their relationship to eye movement desensitization and reprocessing (EMDR). We examine consciousness with respect to three characteristics: unity of perception and function, subjectivity, and prediction. The relationship of these characteristics to EMDR is examined.

Keywords: Consciousness  Information Processing  Neurobiology  Prediction  

Accuracy Verified: Yes


105. 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


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Combat  Controlled Treatment Outcome Study  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


108. Dial, M. (1995, June 20). Controversial therapy offered for bomb survivors. Hays, Kansas: The Hays Daily News, 5.

Language: English

Format: Newspaper

Abstract:
Shapiro said studies showing the dominant half of the brain processes positive ideas, with negative ideas processed in the other, may be a clue to how EMDR works. (Excerpt)

Keywords: Bombings  General  Oklahoma City  Overview  

Accuracy Verified: Yes


109. 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


110. de Jongh, A. (2005, June). Could EMDR be a promising treatment in the immediate aftermath of a traumatic incident?. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Various studies have shown that the counselling routinely offered to people in the immediate aftermath of a traumatic incident seldom protects them from developing post-traumatic stress -and could even delay their recovery. On the other hand, clinical experience suggests that in many cases with the proper utilization of EMDR an almost spontaneous integration of perceptions of sensory input and the cognitive components of the experience takes place. Although controlled data about types of interventions. the optimal time to intervene or predictors of response and recovery are still lacking. within the organization D.O.E.N., providing critical incident stress management services in the Netherlands, there is broad experience in utilizing EMDR with clients who exhibit severe early symptoms following trauma and who need 'first-aid' treatment. EMDR treatment is generally started when there is no evidence of change or recovery within the course of 1 or 2 weeks. Since there is a tremendous unmet need, there is an important challenge to demonstrate in controlled research the advantages of EMDR for those who suffer from symptoms of acute stress, for example in emergency departments and/or the immediate aftermath of mass trauma. This presentation will focus on the rationale for early treatment with the use of EMDR. This approach is illustrated by segments of video taped treatment sessions of clients with symptoms of acute stress.

Keywords: Practice  Symposium  Theory  

Accuracy Verified: Yes


111. Seubert, A. (2007, June). The courage to feel: The power of emotional competency within the EMDR protocol. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Much of affect education is focused on managing and tolerating emotions. What is missing on the in this is an emphasis on the positive reasons for having feelings and how they work (objective #1). We need to be able to sell our clients on the importance of emotional expertise and honesty if they are to heal. They need to develop the courage to feel, but won’t do this if feelings don’t make sense.
Because the emotional journey cuts through what is foreign territory for many of our clients, there is also a need for a map, a hands-on practical guide that clients can refer to when learning how to do this “feeling things.” For this I have developed the Four Steps to emotional competence, very teachable and very learnable (Objective #2).
Specific skills are needed to implement the Four Steps. These include the practice of awareness (the sine qua non of any therapy), breath work, visualizations, resource development and anchoring, grounding techniques, trance busters and the L.I.D.S. strategy for managing strong feelings(Objective #3). Many of these will be practiced during the workshop.
Finally, it is important for the therapist to have a trauma treatment phase model in mind in order to know where this affect education fits in and when it may need to be revisited (Objective #4). The use of EMDR to reinforce learning will be demonstrated and/or practiced during the learning of the seven skills (Objective #5).

Keywords: Strategy  Technique  

Accuracy Verified: Yes


112. Wildwind, L. (1991, December). Creating positive cognitions. EMDR Network Newsletter, 1(2), 11.

Language: English

Format: Newsletter

Abstract:
We know that having a positive cognition in mind is crucial to effective EMDR. Sometimes the patient produces an excellent positive cognition with little help. However, more often, even when asked how s/he would rather think or feel about it, the patient is still unable to produce an appropriate positive self-statement. Instead, the desired cognition may refer to the actions of others, or contain a negative, or an unrealistic component. These factors limit the usefulness of the statement since an unrealistic cognition will not 'stick' for avariety of reasons; e.g., the person knows better, negatives are very tricky at the unconscious level, the work can never control the behavior of others, etc. When difficulty arises in producing a positive cognition, it is sometimes helpful to offer alternatives to the patient. However, many of us are uncomfortable about "putting words in people's mouths," which leaves us in the position of struggling to help the client obtain a positive cognition.

Keywords: Positive Cognitions  

Accuracy Verified: Yes


113. Hornsveld, H. (2005, June). Cue exposure and EMDR, A new protocol description of procedure and demonstration of clinical application in the treatment of binge eating. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
In this presentation a new protocol will be described which combines EMDR and cue exposure in the treating of binge eating disorder. Reason to adjust the cue exposure protocol by Jansen (1997) is that it is primarily aimed at extinction of the conditioned response pattern, but misses the opportunity to specifically address the processing of emotional and cognitive reactions. Two years of experience with this new procedure show positive results. The protocol will be presented and will be illustrated by video gragments. Specific issues like target selection, NC, PC and future templates will be discussed.

Keywords: Binge Eating  Cue Exposure  Treatment  

Accuracy Verified: Yes


114. Carvalho, E. (2011, August). Curando a galera que mora la dentro: Como o EMDR e as novas terapias de reprocessamento podem curar nossos papeis internos [Healing the folks who live inside: How EMDR can heal our inner gallery of roles]. Reino Editorial .

Language: Portuguese

Format: Book

Abstract:
Este livro tem como proposta identificar e esclarecer a existência da Galera Interna – aqueles personagens que moram dentro de todos nós e que dirigem as nossas vidas, tais como a Medrosinha, o Adolescente em Crise, a Criança Assustada, o Mentiroso (que mente para mim!). Veremos como estes papéis nascem e se desenvolvem dentro de nós, qual a função que cumprem nas nossas vidas, as suas interações e algumas formas de curar aquelas personagens feridas da nossa Galera Interna que nos impedem de viver plenamente. A ênfase especial neste processo de curar é nas novas terapias de reprocessamento tais como EMDR e Brainspotting. Também se aprende a celebrar àqueles papéis que nos edificam, nos jogam para cima e para frente e nos servem de recursos positivos. Enfim, temos como proposta desenvolver a “política da boa convivência” só que dessa vez, com os personagens que vivem dentro de nós, a nossa Galera Interna.

Do you sometimes feel like you don’t understand your reactions, feelings or thoughts? As if someone had hijacked the driver’s seat of your life and you wound up doing something stupid? Or regret your response? You don’t make sense in some situations, even to yourself? Maybe a wounded inner role took over and you didn’t catch it...? This book will explain what you can do about it. Using EMDR therapy to treat our Inner Gallery of Roles has brought together the best of reprocessing and role therapy for trauma and painful memories. Written for the layperson and full of snippets from the author’s case studies, it will give readers information about emotional trauma and why we should treat it. In a fun, entertaining and yet informative manner, it illustrates how our inner roles run our lives – for better or for worse. The purpose of this book is to help identify and clarify the existence of our Inner Gallery of roles – those who live inside all of us and that drive many aspects of our lives, such as the Scaredy-Cat, the Adolescent in Crisis, the Liar (that even lies to myself!), and the Inner Doctor. We will see how these roles are born and develop within, their functions and interactions in our lives, and how to heal the wounded ones, so that we can lead more fulfilling lives. We can also learn how to celebrate those roles that build us up and move us forward in life, and serve as positive resources when we need them. Although Role Theory is an integral part of Psychodrama the special emphasis in this healing process is on EMDR, a new reprocessing therapy developed by Dr. Francine Shapiro. We tie together all of these aspects in order to help our Inner Gallery of roles develop “good neighborhood policies” and live in greater harmony and health. In this book we will explain how roles develop inside of us and how trauma and painful memories keep our roles from proper development as we grow up.

Keywords: Inner Gallery of Roles  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Practice  Research  

Accuracy Verified: Yes


116. Mazorati, C., & Bonardi, A. (2008, Novembre). Dal DSM IV all’EMDR: Dalla diagnosi psichiatrica alla relazione di aiuto: riflessioni e ipotesi di integrazione [From DSM IV to EMDR: From diagnosis to report psychiatric help: Ideas and assumptions of integration]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Le autrici ,una psichiatra e una psicologa riflettono sulla loro esperienza con EMDR. Prendono lo spunto da due casi di abuso sessuale in famiglia vissute da bambine da due loro pazienti, anche se il motivo iniziale della richiesta di aiuto era stato un altro. Nel primo caso la paziente si era presentata su richiesta del suo medico curante per la presenza di una sintomatologia depressiva vissuta dalla stessa come “pesante”, “invalidante” e che la portava a voler uscire in fretta dalla situazione depressiva. Rispetto alla sintomatologia si è lavorato in termini di psicoeducazione della depressione come sindrome si è mantenuto un atteggiamento di ascolto e di attenzione ai vari disagi lamentati dalla paziente. Tale modalità nella relazione terapeutica ha permesso alla paziente di “prendere coraggio” e di raccontare il segrete che si portava dentro di un tentativo di abuso che in famiglia era stato negato. Si è quindi Utilizzato l’EMDR per aiutarla a liberarsi dai fantasmi del passato. Nel secondo caso, la richiesta era di aiuto psicologico per un disagio relazionale non ben identificato, ma che aveva prodotto nella paziente un graduale impoverimento delle risorse, un atteggiamento “depressivo” nei confronti della propria esistenza e nella coppia problematiche sessuali. E’ stata quindi presa in carico la coppia, associato ad un trattamento individuale alla paziente e utilizzando l’EMDR quale strumento atto a risolvere le angosce delle molestie subite. In entrambe le pazienti, dopo trattamento con EMDR, si è assistito ad cambiamento significativo del tono dell’umore, un aumento della stima si sé , un aumento della loro capacità difensiva e del rispetto verso se stesse, ma soprattutto si è notato una accettazione del passato che, proprio perché ormai le rendeva libere finalmente di vivere il presente con il proprio sé.

The authors, a psychiatrist and a psychologist reflect on their experience with EMDR. Taking the cue from two cases of sexual abuse in the family experienced as children by two of their patients, even if motive of the request for aid was another. In the first case the patient had presented at the request of his doctor to the presence of depressive symptoms experienced by herself as "heavy", "disability" and that led to want to exit quickly from depressive situation. Compared to the symptoms you have worked in psychoeducation for depression as a syndrome has maintained an attitude of listening and attention to the various inconveniences complained of by the patient. This mode in the therapeutic relationship has enabled the patient to "take courage" and to tell the secret that was within an attempt to abuse in the family had been denied. Was then used EMDR to help get rid of ghosts of the past. In the second case, the request was for a psychological relationship distress is not well identified, but the patient had produced a gradual depletion of resources, a attitude "depression" to its own existence and problems in the couple orientation. It 'was then taken over the couple, combined with individual treatment to patient and using EMDR as a tool to resolve the anxieties of the harassment. In both patients, after treatment with EMDR, there has been significant change mood, increased self-esteem is an increase in their defensive ability and respect for themselves, but mainly it was noted that an acceptance of the past, precisely because now finally made them free to live the present with the self.

Keywords: Practrice  Theory  

Accuracy Verified: Yes


117. Capezzani, L. (2010, Novembre). Dati preliminari del progetto: Valutazione degli esiti medico- clinici e psicologici in seguito all’applicazione dell’EMDR in pazienti oncologici con disturbi dello spettro post traumatico da stress [Preliminary data of the project: Evaluation of medical-clinical and psychological outcomes following the application of EMDR in cancer patients with autism spectrum post-traumatic stress disorder]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.

Language: Italian

Format: Conference

Abstract:
La ricerca ha lo scopo di indicare se l’intervento con EMDR produce significativi cambiamenti dei parametri medico-clinico, oltre che psicologici, in pazienti oncologici che abbiamo ricevuto una diagnosi di PTSD o di un disturbo dello spettro post-traumatico da stress durante ciascuna delle fasi dell’evoluzione della malattia. In particolare si vuole verificare se dopo trattamento con EMDR: - i valori baseline di cortisolo nel sangue cambiano e riproducono anche in pazienti oncologici l’andamento dimostrato in letteratura: in presenza di un PTSD acuto generalmente i livelli sono alti, quando invece il PTSD è cronico i livelli di cortisolo sono bassi ma in ambedue i casi un trattamento con EMDR produce una normalizzazione di suddetti valori. - si osserva una riduzione della quantità di citochine che rappresentano gli indicatori immunologici correlati a stati di depressione ed ansia sia sottosoglia che non, quasi sempre presenti tra i disturbi dello spettro PTSD e quindi anche nella malattia oncologica (Cantelmi, 2008 in preparazione). Lo studio consente inoltre di osservare - per quali delle fasi della malattia il trattamento con EMDR produce la migliore estinzione dei disturbi post-traumatici da stress, - se le modalità di coping, cioè le strategie di adattamento alla malattia e sua gestione migliorano dopo il trattamento con EMDR

The research is intended to indicate whether the intervention with EMDR produces significant changes in clinical parameters and medical as well as psychological, in cancer patients who have received a diagnosis of PTSD or a spectrum disorder post-traumatic stress disorder during each of the stages of the disease. In particular, we want to check if after treatment with EMDR: - The values ​​of baseline cortisol in the blood change and reproduce even in cancer patients the trend shown in the literature: in the presence of an acute PTSD generally the levels are high, when instead the PTSD is chronic cortisol levels are low but in both cases treated with EMDR produces a normalization of these values. - There is a reduction in the amount of cytokines representing the immunological indicators related to states of depression and subthreshold anxiety is that, almost always present between the spectrum disorders PTSD and therefore also in the oncological disease (Cantelmi, 2008 in preparation). The study also allows you to observe - For which of the stages of the disease treatment with EMDR produces the best extinction of the symptoms of post-traumatic stress, - Whether the method of coping, ie the strategies of adaptation to the disease and its management to improve after treatment with EMDR.

Keywords: Autism  Cancer  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


118. Cornil, L. (2013, April). De kracht van het NU in EMDR [The power of NOW in EMDR]. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Deze uiteenzetting brengt een theoretisch-filosofische kijk op het tijdsconcept in EMDR. Sinds het prille begin speelt het tijdsconcept een centrale rol in de EMDR benadering. Aan de basis van het AIP model ligt het idee dat geheugennetwerken vervrozen zijn in de tijd (Shapiro 1995). De informatie is op een disfunctionele manier gestockeerd in het vervrozen nu en kan op elk moment worden getriggerd. In EMDR hebben patiënten (en therapeuten) het moeilijk om het NU van de negatieve cognitie te pakken te krijgen. Patiënten begrijpen niet wat gevraagd wordt en raken verward wanneer therapeuten vragen wat ze nu over zichzelf denken als ze denken aan toen. In de EMDR basistraining wordt aangegeven dat het vinden van een adequate negatieve cognitie een moeilijk deel is van het EMDR protocol, maar wel een noodzakelijk deel. Het NU is wat op dit moment gebeurt. Er is geen verleden, enkel de huidige perceptie van het verleden. Net zoals er geen toekomst is, enkele de huidige perceptie van mogelijkheden. Het heden is datgene waarmee men zich identificeert: wat je ziet, geloof je: wat je op een gegeven moment gewaarwordt, wordt de realiteit van het NU. Wanneer de patiënt getriggerd wordt in de perceptie van het kind, wordt de patiënt het kind en de tijdsperceptie wijzigt. Het punt dat in deze uiteenzetting naar voor wordt gebracht, is dat verandering ontstaat wanneer de patiënt stopt met zich te vereenzelvigen met het verleden dat daardoor het NU wordt. In EMDR wordt de patiënt door de therapeut uitgenodigd om dingen te laten gebeuren en te merken wat er verandert. Tijd heeft beweging nodig om te bestaan: de wijzers van de klok, de zon in de lucht, de rimpels die verschijnen op de huid verwijzen allemaal naar tijd. In plaats van de pijnlijke informatie op een afstand te proberen houden, die zich bevindt in de niet-tijd zonder beweging, wordt de patiënt juist uitgenodigd om de beweging te observeren die kan ontstaan door de positie van de dubbele aandacht in te nemen: één voet in de reële tijd en één voet in de niet-tijd. We zullen linken met mindfullness aangeven.

This statement brings a theoretical-philosophical perspective on the concept of time in EMDR. Since the very beginning the concept of time plays a central role in the EMDR approach. At the base of the AIP model is the idea that in the memory networks vervrozen time (Shapiro, 1995). The information is stored in a dysfunctional way vervrozen now and can be triggered at any time. In EMDR, patients (and therapists) is difficult to the NOW of the negative cognition to catch. Patients do not understand what is required and get confused when therapists ask what they think about themselves when they think of when. In the EMDR basic training indicated that finding an adequate negative cognition is a difficult part of the EMDR protocol, but a necessary part. The NOW is what is currently happening. There is no past, only the current perception of the past. Just as there is no future, some of the current perception of opportunities. The present is that with which one identifies: what you see, you believe what you become aware at any given time, the reality of the NOW. When the patient is triggered in the perception of the child, the patient is a child and time perception changes. The point in this discussion forward is brought, is that change occurs when the patient stops to identify with the past that result it is NOW. In EMDR, the patient by the therapist invited to make things happen and to notice what is changing. Time needs movement to exist: the clockwise direction, the sun in the sky, the wrinkles that appear on the skin all refer to time. In place of the painful information try to keep at a distance, which is located in the non-time without movement, the patient is invited to precisely observing the movement which may be caused by the position of the double attention to take: a foot in real time, and a foot in the non-time. We will link with mindfulness state.

Keywords: Present Focus  

Accuracy Verified: Yes


119. Jaspers, J. (2011, May). De relatie tussen wetenschap en klinische praktijk [The relationship between science and clinical practice]. Psychologie & Gezondheid, 32(2), 59-60. doi:10.1007/s12483-011-0016-6.

Language: Dutch

Format: Journal

Abstract:
De discussie over mindfulness die in het vorige nummer van Psychologie & Gezondheid is gevoerd, wordt in dit nummer voortgezet. Frank Vernooij reageert op de eerdere bijdragen vanuit zijn klinische ervaring metmindfulnessmeditatietraining (MTT). Hij relativeert de bijdrage die vanuit de wetenschap kan worden geleverd aan de klinische praktijk in het algemeen en aan het vaststellen van de waarde en effectiviteit van mindfulness in het bijzonder. Ook in het vorige nummer werd door Maya Schroevers en haar collega’s en door Ivan Nyklíček het effectonderzoek naar MTT al positiever ingeschat dan door Remco Havermans, maar Vernooij gaat nog een stapje verder. Hij lijkt de mogelijkheden van de wetenschap om uitspraken te doen over de klinische praktijk niet hoog in te schatten. Havermans vermoedt zelfs dat Vernooij hem beschuldigt van sciëntisme, de overtuiging dat wetenschap superieur is aan alle andere interpretaties van het leven. Havermans maakt glashelder waarom hij vindt dat wetenschap een cruciale rol vervult voor een op evidentie gebaseerde klinische praktijk. Tevens stelt hij nogmaals vast dat de evidentie voor MMT te wensen overlaat en dat ook het meest recente onderzoek, gepubliceerd in 2010 en 2011, dezelfde methodologische tekorten kent als eerder effectonderzoek naar MMT. De zoekterm ‘mindfulnesss’ leverde voor 2010 en 2011 weliswaar bijna 400 citaties op, maar hieronder vond hij slechts vijf relevante MMT-trials. Bij zijn beschrijving van deze trials stelt Havermans terloops vast dat hoge impactfactoren van tijdschriften niet garant staan voor kwalitatief het best mogelijke onderzoek. Dit laatste is mogelijk een troost voor Sandra Mulkens en andere Nederlandse onderzoekers die, geheel in de huidige academische traditie, zo hoog mogelijk proberen te scoren in Engelstalige wetenschappelijke tijdschriften, lees haar column in dit nummer. Naast effectonderzoek is onderzoek in de traditie van de experimentele psychopathologie (Jansen, Van den Hout & Merckelbach, 2010) een beproefde manier om wetenschappelijke kennis te vergaren die van groot belang kan zijn voor de klinische praktijk. Het openingsartikel van dit nummer is hiervan een voorbeeld bij uitstek. Over de werkzame factoren van EMDR (eye movement desensitization and reprocessing) is veel gespeculeerd, maar nauwelijks iets bekend. Het onderzoek van Marcel van den Hout, Iris Engelhard en collega’s heeft hierover een aannemelijk theoretisch model opgeleverd. De theorie dat belasting van het werkgeheugen een cruciale rol speelt bij het vervagen van negatieve en positieve herinneringen is door hen in een serie experimenten overtuigend aangetoond. Een van die experimenten wordt in het openingsartikel beschreven. De publicaties hierover (zowel Engelstalig als in het Nederlands) en de klinische implicaties die door de onderzoekers zijn geformuleerd, hebben tot veel reacties geleid. Gelet op de geschiedenis van EMDR in Nederland, met uitgesproken pleitbezorgers en criticasters, wekt dat wellicht weinig verbazing. In nummer 1 van Dth (Directieve therapie) van dit jaar reagerenWillen van der Does en Hellen Hornsveld op het model van Van den Hout en Engelhard en de consequenties ervan voor de klinische praktijk. Een opmerkelijke overeenkomst met de discussie over mindfulness is de verschillende interpretatie van het wetenschappelijk onderzoek, in dit geval de evidentie voor EMDR in vergelijking met cognitieve gedragstherapie (CGT): Van der Does (2011) meent dat EMDR net iets minder effectief is dan CGT, terwijl Hornsveld (2011) de conclusie trekt dat CGT, in het bijzonder imaginaire exposure, het aflegt tegen EMDR. Ook al waarschuwen beiden tegen al te snelle gevolgtrekkingen van dit experimenteel onderzoek bij niet-patiënten voor de klinische praktijk, nieuwe wetenschappelijke informatie lijkt vooral geïnterpreteerd te worden vanuit reeds eerder bestaande opvattingen en oordelen over EMDR en CGT. De suggestie van Van den Hout en Engelhard (2011) dat EMDR een gewone CGT-techniek kan worden, zal hen door de snel groeiende Vereniging EMDR Nederland niet in dank worden afgenomen, al hoopt Van der Does (2011) op decimering van het ledental. Al met al blijkt uit deze recente discussies het spanningsveld tussen wetenschap en klinische praktijk. De ontwikkelingen in de (klinische) psychologie, waarbij de kloof tussen wetenschappers en clinici alleen maar lijkt toe te nemen, onder andere omdat het door de toenemende specialisaties steeds moeilijker wordt voor psychologen om beide beroepsrollen te combineren, doen daar geen goed aan.

The discussion about mindfulness in the previous issue of Psychology & Health are hereby continued in this issue. Frank Vernooij responding to previous contributions from his clinical experience mindfulness and meditation training (MTT). He puts the contribution that science can be delivered to the clinical practice in general and to determine the value and effectiveness of mindfulness in particular. In the previous issue was Schroevers Maya and her colleagues and by Ivan Nyklicek impact study MTT been more positive assessments than by Remco Havermans, Vernooij but goes one step further. He seems the ability of science to make statements about the clinical practice to estimate high. Havermans even suspects that he Vernooij accused of scientism, the belief that science is superior to all other interpretations of life. Havermans makes clear why he thinks science is a crucial role for an evidence-based clinical practice. Also, he once again that the evidence of MMT is inadequate and that the latest research, published in 2010 and 2011, has the same methodological shortcomings as earlier research on effects MMT. The search term 'mindfulnesss "delivered in 2010 and 2011, while nearly 400 citations, but below, he found only five relevant trials MMT. In his description of these trials suggests that high Havermans casually impact factors of journals does not guarantee the best quality research. The latter may be a comfort to Sandra Mulkens and Dutch researchers, all in the current academic tradition, try to score as high as possible in English scientific journals, read her column in this issue. Besides effects research, research in the tradition of experimental psychopathology (Jansen, Van den Hout & Merckelbach, 2010) a proven way to scientific knowledge is produced that may be important for clinical practice. The opening article of this issue is an example par excellence. On the effective factors of EMDR (Eye Movement Desensitization and Reprocessing) has been much speculation but very little known. The study by Marcel van den Hout, Iris Engelhard and colleagues has made a plausible theoretical model yielded. The theory that taxes working memory plays a crucial role in the blurring of negative and positive memories by them in a series of experiments convincingly demonstrated. One of those experiments in the opening article. The publications on this subject (both English and Dutch) and the clinical implications have been formulated by the investigators, have led to many responses. Given the history of EMDR in the Netherlands, with strong advocates and critics, suggests that perhaps little surprise. In a number of Dth (directive therapy) this year to respond to van der Does and Helen Horn Field on the model of van den Hout and Engelhard and its consequences for clinical practice. A remarkable agreement with the discussion of mindfulness is the different interpretations of scientific research, in this case the evidence for EMDR compared to cognitive behavioral therapy (CBT): Van der Does (2011) believes that EMDR is slightly less effective than CBT, while Horn Field (2011) concludes that CBT, in particular imaginal exposure, it looses against EMDR. Although both warn against too rapid conclusions from this experimental study in non-patients for clinical practice, new scientific information seems to be interpreted from pre-existing beliefs and judgments about EMDR and CBT. The suggestion of Van den Hout and Engelhard (2011) that EMDR is a simple CBT techniques may be, will bring them through the fast-growing Netherlands Association EMDR not be appreciated, though hopes Van der Does (2011) on the decimation of the membership. All in all, of these recent discussions the tension between science and clinical practice. Developments in the (clinical) psychology, where the gap between scientists and clinicians only seems to be increasing, partly because it is the increasing specialization is becoming increasingly difficult for psychologists to both professional roles to combine, do not do well.

Keywords: Mindfulness and Meditation Training, MTT  

Accuracy Verified: Yes


120. Littel, M. (2013, April). De rol van emotionaliteit op de effectiviteit van EMDR [The role of emotionality in the effectiveness of EMDR]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Als tijdens het ophalen van een autobiografische herinnering een andere taak wordt uitgevoerd die het werkgeheugen belast, zoals het maken van oogbewegingen, wordt de herinnering waziger terug opgeslagen: de levendigheid en emotionaliteit van de herinnering neemt af. Dit fenomeen kan verklaren waarom EMDR zo goed werkt als behandeling voor PTSD. Al het onderzoek dat tot nu toe gedaan is naar de effecten van oogbewegingen op herinneringen maakte gebruik van emotionele (positieve/negatieve) herinneringen. In de huidige presentatie zal worden ingegaan op de rol van deze emotionaliteit op de effectiviteit van EMDR. Uit onderzoek blijkt dat emotionele gebeurtenissen beter en gedetailleerder in het geheugen worden opgeslagen dan neutrale gebeurtenissen. Dit gebeurt als gevolg van verhoogde emotionele arousal, ofwel verhoogde afgifte van diverse stoffen in het brein, met als belangrijkste noradrenaline. Als noradrenaline wordt geblokkeerd met medicatie worden emotionele gebeurtenissen namelijk even slecht onthouden als neutrale. Ook tijdens het ophalen van emotionele herinneringen ontstaat er emotionele arousal. En het blokkeren van noradrenaline na het ophalen van een emotionele herinnering zorgt ervoor dat deze minder intens wordt terug opgeslagen in het geheugen. Emotionaliteit zorgt dus voor betere geheugen (re)consolidatie. De vraag is nu of het feit dat de in EMDR opgehaalde herinneringen emotioneel geladen zijn belangrijk is voor de effectiviteit van EMDR. En zo ja, zorgt de emotionele arousal die vrijkomt er dan voor dat de wazig-gemaakte herinneringen beter worden opgeslagen in het geheugen? Of werkt het op een andere manier? In de huidige presentatie zullen de resultaten worden besproken van een studie waarin onderzocht is of ook levendige neutrale herinneringen, net als emotionele herinneringen, door oogbewegingen minder levendig kunnen worden. Voorts zullen plannen besproken worden voor een studie naar oogbewegingen waarin emotionele arousal gemanipuleerd wordt. Ook zullen wetenschappelijke en klinische implicaties worden besproken.

If during the retrieval of autobiographical memories another task that taxed working memory, such as making eye movements, the reminder is stored back blurred: the vividness and emotionality of the memory decreases. This phenomenon may explain why EMDR works so well as a treatment for PTSD. All the research done so far has been on the effects of eye movements made ​​use of emotional memories (positive / negative) memories. In the current presentation will discuss the role of emotionality on the effectiveness of EMDR. Studies show that emotional events better and more detailed in the memory than neutral events. This happens due to increased emotional arousal, or increased release of various substances in the brain, the main noradrenaline. If norepinephrine is blocked with medication emotional events are remembered because as bad as neutral. During the retrieval of emotional memories creates emotional arousal. And blocking norepinephrine after getting an emotional memory makes it less intense back stored in memory. Emotionality thus provides better memory (re) consolidation. The question now is whether the fact that the EMDR retrieved emotionally charged memories are important for the effectiveness of EMDR. And if so, will the emotional arousal released sure the blurry-made memories are better stored in memory? Whether it works in a different way? In the current presentation, the results are discussed from a study which investigated is whether vivid memories neutral, like emotional memories, by eye movements may be less vivid. Further plans will be discussed for a study of eye movements in which emotional arousal is manipulated. Also, scientific and clinical implications are discussed.

Keywords: Emotionality  

Accuracy Verified: Yes


121. Hornsveld, H., & de Jongh, A. (2011, April). De werkgeheugentheorie: Resultaten en klinische implicaties [The working theory: Results and clinical implications]. Keynote gepresenteerd op de 5e jaarlijkse conferentie van EMDR Vereniging Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Er zijn verschillende theorieën om de gunstige effecten van EMDR te verklaren. De laatste jaren wijst onderzoek op dit terrein steeds meer in de richting van de zogenaamde werkgeheugenhypothese. Niet in de laatste plaats vanwege het onderzoek van Marcel van den Hout, Iris Engelhard en Hellen Hornsveld aan de Universiteit Utrecht. Dit onderzoek kreeg in 2010 in de VS de EMDR Award for Outstanding Research. In deze presentatie zullen Hellen Hornsveld en Ad de Jongh samen ingaan op dit onderzoek en met name op de klinische implicaties van deze bevindingen. Ook zullen zij nieuwe data presenteren van een onderzoek naar het verschil tussen de effectiviteit van oogbewegingen en ‘klikjes’ binnen een klinische populatie. Aan dit onderzoek hebben een groot aantal leden van de Vereniging EMDR Nederland meegewerkt. De volgende thema’s zullen in deze presentatie aan bod komen. 1. Het gebruik van klikjes in plaats van oogbewegingen. 2. Het gebruik van ‘flash forwards’ en de nieuwe toepassingen die hierdoor ontstaan binnen het ‘linksom model’ bij de behandeling van angststoornissen. 3. Het gebruik van bilaterale stimulatie bij RDI, de veilige plek, en positief afsluiten. Sommige van deze onderwerpen zullen worden geïllustreerd door middel van videoclips. Vanzelfsprekend zal hierbij ook gelegenheid zijn voor discussie.

There are several theories to explain beneficial effects of EMDR. In recent years research in this area points increasingly towards the so-called working memory hypothesis. Not least because of the investigation of Marcel van den Hout, Iris Engelhard and Hellen Hornsveld at Utrecht University. This study was in 2010 in the U.S. EMDR Award for Outstanding Research. This presentation will Hellen Hornsveld and Ad de Jongh together and discuss this study in particular the clinical implications of these findings. They will also present new data from a study of the difference between the effectiveness of eye movements and "clicks" in a clinical population. In this study have many members of the Association EMDR Netherlands participated. The following topics will be discussed in this presentation. 1. The use of clicks rather than eye movements. 2. The use of 'flash forwards' and the resultant new applications within the 'left' model in the treatment of anxiety disorders. 3. The use of bilateral stimulation of RDI, the safe place and positive conclusion. Some of these issues will be illustrated by video clips. Obviously this will also be opportunity for discussion.

Keywords: Practice  Theory  

Accuracy Verified: Yes


122. Torres, R. V. (2012, Novembro). Depressão por parto na adoção: A cura pelo EMDR [Partum depression after adoption: The EMDR cure]. In Casos Clínicos I. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Esse trabalho tem o objetivo de apresentar um caso clínico, de uma paciente de 46 anos, no período de adaptação da adoção de uma criança de cinco anos. As dificuldades apresentadas inicialmente eram relacionadas: à vinculação afetiva materna, ao exercício dos cuidados físicos e afetivos com a criança, ao exercício e à percepção do papel materno, aliados a fortes sintomas somáticos. Com a existência de grande desejo de ser mãe, há 15 anos fazia tratamento para engravidar. A adoção não representava um tabu para a mesma. No entanto, a infância vinha à tona com frequência e representava grande parte de seu sofrimento: sua mãe estava com 46 anos quando de seu nascimento e, desde então, fora acometida de enfermidades por toda sua vida, impedindo a realização de cuidados físicos e afetivos para com ela. Foram realizadas 20 sessões de EMDR e as experiências traumáticas da relação mãe x filha, bem como os medos de repetir a história passada, foram processados a uma resolução adaptativa, que permitiram a assimilação de suas lembranças passadas e a incorporação de padrões para experiências positivas, possibilitando a oportunidade de ampliar conexões com redes positivas. As memórias armazenadas que serviam de base para percepção, atitudes e comportamentos foram reprocessadas e, com isso, os sintomas físicos foram extintos, de maneira a permitir que a paciente assumisse uma nova postura frente à maternidade. A percepção sobre sua mãe foi alterada e conseguiu trazer à tona bons momentos de sua infância com a mãe. Também foi reprocessada uma situação relacionada ao perdão mútuo. A paciente hoje vive o processo de maternidade forma saudável e feliz, e 04 meses após o encerramento das sessões, adotou um menino de 03 meses de vida, sem que os sintomas reaparecessem.

This paper aims to present a clinical case of a patient of 46 years in the adjustment period from the adoption of a child of five. Difficulties were initially related: the linking maternal affection, exercise and physical care of the child with affection, exercise and perception of the maternal role, coupled with strong somatic symptoms. With the existence of a great desire to be a mother 15 years ago was receiving treatment for getting pregnant. The adoption did not represent a taboo for the same. However, childhood came to the fore and often represented a large part of his suffering: his mother was 46 years old when his birth and has since been stricken with illness throughout his life, preventing the achievement of physical and emotional care to her. Were performed 20 sessions of EMDR and traumatic experiences of the mother x daughter, as well as fears of repeating past history, were processed to an adaptive resolution, which allowed the assimilation of their past memories and incorporation of standards for positive experiences, allowing the opportunity to expand connections with positive networks. The stored memories that served as the basis for perception, attitudes and behaviors were reprocessed and, therefore, the physical symptoms were abolished, so as to allow the patient to assume a new stance facing the motherhood. The perception has changed about his mother and managed to bring out good moments of his childhood with his mother. It was also reprocessed a situation related to mutual forgiveness. The patient now lives the process of motherhood healthy and happy, and 04 months after the close of the session, adopted a boy of 03 months, without symptoms reappeared.

Keywords: Adoption  Motherhood  Postpartum Depression  

Accuracy Verified: Yes


123. Velozo, S. A. C. (2010, Noviembre). Desarrollo y procedimiento del método psicoterapéutico llamado E.M.D.R (Desensibilización y reprocesamiento por movimiento ocular) con pacientes que sufren trastorno por estrés postraumático [Procedure development and method of psychotherapy called EMDR (eye movement desentization and reprocessing) with patients suffering from posttraumatic stress disorder]. Universidad Bolivariana, Escuela de Psicologia, Santiago, Chile.

Language: Spanish

Format: Dissertation/Thesis

Abstract:
El siguiente trabajo consta de una revision bibliografica sobre el modelo psicoterapeutico llamado E.M.D.R (Desensibilizacion y Reprocesamiento por Movimiento Ocular), utilizado en patalogias psiquicas que se originan por una vivencia traumatica, esta tecnica es vilidada cientificamente y enfatiza el Sistema de Procesaiento de Informacion intrinseco del cerebro y como son almacenadas las memorias. Se identifica el problema especifico que sera el foco del tratamiento. Mediante un protocol estructuado, la informacion que estaba atrapada y aislada en la neuro-red en la que habia sido almacenada en su forma originalmente perturbadora, es procesada y desensibilizada transformandose en algo util, functional y libre de conflict. Es un metodo psicopterapeutico innovador que accelera el tratamiento en un amplio rango de patalogias de origen psicologico, como le es el Trastorno por Estres Postraumatico. Parte por una breve resena historica del concepto de truma psiquico, descripcion del cuadro de sintomas del trastorno de ester postraumatico y una revision bibliografica sobre el modelo teorico en el que se inserta principios y procedimiento de la terapia EMDR. Por ello se presentan las fases del procedimiento, que son: 1. Historica clinica y plan de tratamiento, 2. Preparacion, 3 Evaluacion/D.I.C. E.S., 4. Desensibilizacion, 5. Instalacion de la creencia positive, 6. Chequeo corporal – Escaner corporal, 7. Cierre – Conclusion, and 8. Reevaluacion/Seguimiento. Finalmente se hara una docil comparacion con las terapias del modelo convencional en base a la triada do los sintomas del Trastorno por Estres Postraumatico, vale decir: rexpermentacion, evitacion e hiperactivacion.

The following work consists of a literature review on the psychotherapeutic model called EMDR (Desensitization and Reprocessing Eye Movement), used in psychic patalogias that are caused by a traumatic experience, this technique is scientifically and emphasizes vilidada System Information Procesaiento intrinsic brain and how memories are stored. It identifies the specific problem will be the focus of treatment. Using a structured protocol, information that was trapped and isolated in the neuro-network that had been stored as originally disturbing is processed and transformed into something useful desensitized, functional and free of conflict. It is an innovative method accelerates psicopterapeutico treatment in a wide range of psychological origin patalogias, as he is Posttraumatic Stress Disorder. Party by a brief history of the concept of psychic Truma, description of box ester disorder symptoms and posttraumatic literature review on the theoretical model that is inserted in the principles and procedure of EMDR therapy. So are procedural steps which are: 1. Historical clinical and treatment plan, 2. Preparation, 3 Evaluation / D.I.C. E.S., 4. Desensitization, 5. Installation of positive belief, 6. Check body - body scanner, 7. Close - Conclusion, and 8. Reassessment / Follow-up. Finally there will be a docile compared to the conventional therapies based on the triad do the symptoms of posttraumatic stress disorder, namely: rexpermentacion, avoidance and hyperarousal.

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


124. 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


125. Bae, H., & Daeho, K. (2012). Desensitization of triggers and urge reprocessing for an adolescent with internet addiction disorder. Journal of EMDR Practice and Research, 6(2), 73-81. DOI: 10.1891/1933-3196.6.2.73.

Language: English

Format: Journal

Abstract:
This case study reports the successful treatment of Internet addiction in a 13- year-old male using four 45-minute sessions of the desensitization of triggers and urge reprocessing (DeTUR) protocol—an addiction protocol of eye movement desensitization and reprocessing (EMDR; Popky, 2005). This protocol uses EMDR procedures to process current triggers and positive future templates, but it does not identify or directly address any past trauma. At baseline, the participant showed a moderate level of Internet addiction (scoring 75 on Young’s Internet Addiction Test [IAT]) and moderate depression (26 on the Beck Depression Inventory [BDI]). During assessment, he identified 7 triggers for Internet gaming and rated the associated urge to engage in the activity with scores of 3–9 on the level of urge scale (0 5 lowest, 10 5 strongest). Using the DeTUR protocol, the level of urge for each trigger was reduced to 2, which the participants defined as “not being able to think about or crave for the game.” After treatment, his symptoms had declined to nonclinical levels (38 on IAT and 6 on BDI) and he was able to restrict his time on the Internet to an hour per day. These therapeutic gains were maintained at 6- and 12-month follow-up. The DeTUR may be a good treatment option for Internet addiction and further controlled studies are needed.

Keywords: Adolescents  DeTUR  Game Addiction    Internet Addiction  

Accuracy Verified: Yes


126. 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


127. Popky, A. J. (2005). DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 167-188). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
The Desensitization of Triggers and Urge Reprocessing (DeTUR) model and the theories involved are based on experience from personal client observation and anecdotal reports received from other therapists using this same protocol. It is an eclectic model and combines many methodologies, including but not limited to cognitive-behavioral, solution-focused, Ericksonian hypnosis, narrative, object relations, and emotional freedom techniques (EFT), to name a few. The bilateral stimulation (BLS) in the accelerated information processing model of eye movement desensitization and reprocessing (EMDR) seems to form the catalyst for rapid processing and change, the turbocharger that speeds the healing process.This protocol represents only a small part of a complete treatment model. The therapist's role is that of a case manager, orchestrating any resources necessary to aid the patient through recovery and relapse to a successful and healthy state of functioning and coping. The therapist has to assess the severity of the addiction and also determine any other diagnosis associated with the case. This overall treatment model includes outside help, such as referrals for medication, testing for physical or neurological problems, and, depending on the situation, inpatient treatment, outpatient treatment, or detox. Other outside resources include support systems, such as 12-step groups, educational programs, skills training; couples, group, or family therapy; or acupuncture. Comorbidity issues, day-to-day stressors, and survival issues are addressed. An extremely high percentage of these populations are dually diagnosed and can therefore run the full dimensional spectrum of disorders and behaviors as described in the DSM-IV. [Text, pp. 167-168] [Pilots]

Keywords: Addiction  Addictions  Behavior Problems  Behavior Therapy  Bilateral Stimulation  Compulsions  Craving  Desensitization of Triggers  Dysfunctional Behaviors  Information Processing Model  Psychotherapeutic Techniques  Urge Reduction Protocol  

Accuracy Verified: Yes


128. DeGraffenried, D. F. (2005, September). Developing EMDR practice in community mental health & agency settings:  Working with clinical or administrative reluctantance. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
EMDR has not achieved full acceptance as a practice model within community mental health and agency settings. Some agencies are reluctant to develop an EMDR practice due to administrative concerns, clinical apprehensions or implementation reluctance. This resistance has constrained the development of EMDR in communities of color, those that are impoverished and often in settings where post traumatic stress is the focus of treatment. This workshop will identify the three common areas or agency reluctance concerning EMDR and will demonstrate the use af a simple assessment tool designed to identify where thc intervention is needed to accomplish change and support EMDR integration into the agency.

Keywords: Client or Administrative Reluctance  Community Mental Health Agencies  

Accuracy Verified: Yes


129. Bambach, S. (2003). Die 5-4-3-2-1-Übung [The 5-4-3-2-1-Exercise]. Institut fur Traumatherapie.

Language: German

Format: Other

Abstract:
Die Ausbildung in EMDR (Eye Movement Desensitization and Reprocessing) führte mich über längere Zeit zu einer intensiven Auseinandersetzung über die Vereinbarkeit von EMDR mit meiner bisherigen traumatherapeutischen Arbeit. Diese war und ist stark geprägt durch die lösungs- und ressourcenorientierte Therapie, wie ich sie von Steve de Shazer, Insoo Kim Berg, Yvonne Dolan und später in anderer Form von Gunther Schmidt erlernt habe. Zentrale Elemente der Arbeit mit traumatisierten Menschen nach lösungsorientierten Konzepten sind u. a. die aktive Unterstützung der Klienten1 bei der Entwicklung einer positiven Zukunftsvision, bei der Identifikation der individuellen Kriterien für Therapieerfolg und der kleinstmöglichen, aktiv zu unternehmenden Schritte in diese Richtung. Diese konsequent ressourcen- und lösungsorientierte Arbeitsweise schien im Widerspruch zur Traumafokussierung als zentralem Moment von EMDR zu stehen.

The training in EMDR (Eye Movement Desensitization and Reprocessing) led for a longer time to intensive Arguments on the compatibility traumatherapeutischen of EMDR with my previous Work. This was and is strongly influenced by the solution-and resource- Therapy, as I by Steve de Shazer, Insoo Kim Berg, Yvonne Dolan and later in another form I learned by Gunther Schmidt. Headquarters Elements of the work with traumatized Solution-oriented approaches to human are amongst the active support the Klienten1 in developing a positive vision for the future, in the identification the individual criteria for treatment success and the smallest, active steps to be taken in this direction. This resource consistently and solution-oriented way of working seemed Focusing as a contradiction to the trauma to be central moment of EMDR.

Keywords: 5-4-3-2-1 Exercise  

Accuracy Verified: Yes


130. Rost, C. (2009). Die arbeit mit dem positivien - Ressourcenorganization mit EMDR [Working with the positive - Resource installation with EMDR]. In R. Plassmann (Hg.), Im eigenen rhythmus, die EMDR-behandlung von essstörungen, bindungsstörungen, allergien, schmerz, angststörungen, tinnitus und süchten (pp. 143-147). Giessen, Germany: Psychosozial-Verlag.

Language: German

Format: Book Section

Keywords: Resource Installation  

Accuracy Verified: Yes


131. Rost, C. (2007, Herbst). Die arbeit mit dem positivien - Ressourcenorganization mit EMDR [Working with the positive - resource organization with EMDR]. Psychotherapeutishches Zentrum Kitzberg-Klinik Bad Mergentheim.

Language: German

Format: Other

Keywords: Resource Installation  

Accuracy Verified: Yes


132. Erdmann, C. (2005). Die beeinflussung chronischer schmerzen durch psychologische, schmerztherapisverfahren und EMDR [The influence of psychological chronic pain, chronic pain procedures and EMDR]. Institut fur Traumatherapie.

Language: German

Format: Other

Abstract:
Das in den 80er Jahren von der amerikanischen Psychologin Francine Shapiro veröffentlichte Verfahren EMDR (Eye Movement and Desensitization and Reprocessing) beinhaltet als zentrale Komponente, dass die Aufmerksamkeit des Patienten sich auf eine traumatische Erinnerung und die damit verbundenen Gedanken und Gefühle richtet, während gleichzeitig rhythmische Augenbewegungen induziert werden. (Shapiro 1998) EMDR eignet sich signifikant gut zur Behandlung der Posttraumatischen Belastungsstörung (PTBS). Hierbei handelt es sich um ein Störungssyndrom, meistens bestehend aus vegetativer Übererregtheit, Erstarrung, Schlaflosigkeit, Angst und Depression, das häufig auftritt nach sehr belastenden Ereignissen oder starken Bedrohungen, wie z.B. schweren Unfällen, Naturkatastrophen, Folter, sexuellem Missbrauch, Vergewaltigungen, usw. Das Störungsbild der PTBS zeigt große Ähnlichkeiten mit dem Chronischen Schmerzsyndrom. Chronischer Schmerz kann als eigenständiges Trauma gelten mit dem eigenen Körper als Opfer und Täter. Oft finden sich auch Traumata im Vorfeld oder begleitend. Chronischer Schmerz ist signifikant assoziiert mit Posttraumatischer Belastungsstörung, mit Angsterkrankungen, Depressionen und weiteren psychischen Störungen. EMDR wird inzwischen auch mit guten Erfolgen eingesetzt bei anderen Erkrankungen, z.B. Suchterkrankungen, Depressionen, Angst- und Zwangsstörungen. Überzeugende Erfolge stellen sich ein bei der Behandlung auch sehr kleiner Kinder mit unterschiedlichen psychischen Erkrankungen. (Tinker, Wilson 1999) Bislang gibt es aber noch relativ wenig Forschungen über die Wirksamkeit von EMDR bei Akutschmerz, bei Chronischem Schmerz und im Bereich der Psychosomatik. Es ist allerdings bekannt, dass EMDR sich bei Akutschmerz eignet zum Abbau der den Schmerz häufig begleitenden Angst und darüber hinaus bei Chronischem Schmerz zur Erhöhung der Schmerztoleranz, zu mehr Entspannung, zu positiven kognitiven Strategien, zu Desensibilisierung und zur Ablenkung. (Groth, Rogers 1994). EMDR führt zu nachweislichen neurologischen Veränderungen und damit einhergehenden vom Patienten berichteten positiven Veränderungen im Beschwerdebild. (van der Kolk 2000) EMDR lässt sich nach ersten Untersuchungen ebenfalls erfolgreich einsetzen zur Behandlung von Phantomschmerzen. (Wilson nach Tinker, Wilson 2000).

That in the 80s by the American psychologist Francine Shapiro published procedures EMDR (Eye Movement and Desensitization and Reprocessing) includes as a central component that the patient's attention on a traumatic memory and associated thoughts and feelings directed, while rhythmic eye movements be induced. (Shapiro 1998) EMDR is significantly well to the treatment of post traumatic stress disorder (PTSD). This is a disorder syndrome, consisting mostly of vegetative over-arousal, numbness, insomnia, anxiety and depression that occurs very often after stressful events or severe threats, such as serious accidents, natural disasters, torture, sexual abuse, rape, etc. The disorder of PTSD shows great similarities with the chronic pain syndrome. Chronic pain can be considered as a separate trauma of his own body as victims and perpetrators. Often also found in the run or incidental trauma. Chronic pain is significantly associated with post traumatic stress disorder, with anxiety disorders, depression and other mental disorders. EMDR is now used with good results in other diseases, such as Addiction, depression, anxiety and compulsive disorders. Convincing results are adapting to treat even very young children with different mental disorders. (Tinker, Wilson 1999) So far there is relatively little research on the effectiveness of EMDR in acute pain, Chronic pain and in the field of psychosomatic medicine. However, it is known that EMDR is suitable for acute pain to reduce the pain often associated with anxiety and also to increase the pain Chronic pain tolerance, more relaxation, positive cognitive strategies to desensitization and distraction. (Groth, Rogers 1994). EMDR leads to demonstrable neurological changes resulting from the patient and reported positive changes in symptoms. (Van der Kolk 2000), after initial investigations EMDR can also be used successfully to treat phantom pain. (Wilson to Tinker, Wilson 2000).

Keywords: Chronic Pain  Chronic Pain Protocol  Protocol  

Accuracy Verified: Yes


133. Lamprecht, F., Lempa, W., & Sack, M. (2000). Die behandlung posttraumatischer belastungsstoerungen mit EMDR [Treatment of posttraumatic stress disorder using EMDR]. Psychotherapie im Dialog, 1, 45-51.

Language: German

Format: Journal

Abstract:
Mit der EMDR-Behandlung (Eye Movement Desensitization and Reprocessing) steht ein relativ neues, sehr zeitökonomisches Verfahren zur Behandlung der Posttraumatischen Belastungsstörung zur Verfügung. Es handelt sich um eine manualisierte therapeutische Methode, die in 8 Phasen eingeteilt werden kann. Anhand von 2 Kasuistiken wird die Vorgehensweise der EMDR-Behandlung veranschaulicht. Eigene Arbeitserfahrungen und Forschungsergebnisse ergeben ein sehr positives Bild von der Wirksamkeit der EMDR-Behandlung. Auch auf der Basis der international vorliegenden Forschungsergebnisse kann daher der Schluss gezogen werden, dass EMDR eine effektive und ökonomische Methode der Behandlung Posttraumatischer Belastungsstörungen darstellt.

With EMDR (Eye Movement Desensitization and Reprocessing) is a relatively new, very time-economical method for the treatment of posttraumatic stress disorder are available. It is a manualized therapeutic method that can be divided into 8 phases. Based on 2 case reports the approach of EMDR is illustrated. Own work experiences and research results give a very positive picture of the effectiveness of EMDR treatment. Also on the basis of the internationally available research can therefore be concluded that EMDR is an effective and economical method of treating post-traumatic stress disorder the circuit.

Keywords: Posttraumatic Stress Disorder  PTSD  Stabilization  Trauma  

Accuracy Verified: Yes


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

Language: Japanese

Format: Journal

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

Keywords: Adolescence  DES  Dissociative Experience  Dissociative Experiences Scale  

Accuracy Verified: Yes


135. Chen, C. H. & Chang, S. H. (2009). Dismantling effect of eye movement and positive cognition components of EMDR on the treatment of cockraoch phobias. National Taiwan University, Taipei, Taiwan.

Language: English

Format: Dissertation/Thesis

Abstract:
This dismantling study investigated the therapeutic effects of eye movement and positive cognition components on phobias. Forty female Ss with cockroach phobias received a single therapy session. The therapy conditions constituted a 2 (eye movement/non eye movement) × 2 (treatment procedure: positive cognition installed/negative cognition prolonged) between subject design. The results revealed that all groups showed significant therapeutic effects according to macro therapeutic indices and with regard to some micro indices such as SUDs, HRs and VOCs for negative cognition. However, VOCs for positive cognition were significantly increased only for the eye movement group. The findings suggested that although exposure itself might be effective in treating phobias, eye movement could further promote participants’ VOCs for positive cognitions at the second treatment stage, probably by facilitating information processing.

Keywords: Coackroach Phobia  Dismantling Study  Positive Cognition  

Accuracy Verified: Yes


136. Hassard, A. (2003, June). Distribution of targets in 400 eye-movement desensitization cases. Psychological Reports, 92(3), 717-722. doi: 10.2466/pr0.2003.92.3.717 .

Language: English

Format: Journal

Abstract:
In a series of 400 patients undergoing Eye-movement Desensitization (EMD), patients rarely reported more than 9 flashbacks or other focal targets, which may indicate the working memory limit. Eye-movement desensitization may operate by freeing working memory capacity, enabling cognitive change and memory recovery to occur. Complete EMD treatment may require sufficient eye movements to free up working memory capacity. Patients given less than this requirement may not be adequately treated. This may account for variable results in evaluations of eye-movement desensitization. Such possible dose effects may be important in this therapy. [Author Abstract]

Keywords: Adults  Cognitive Processes  Psychotherapeutic Processes  

Accuracy Verified: Yes


137. Roth, W. T. (2010). Diversity of effective treatments of panic attacks: What do they have in common?. Depression and Anxiety, 27(1), 5-11. doi:10.1002/da.20601.

Language: English

Format: Journal

Abstract:
By comparing efficacious psychological therapies of different kinds, inferences about common effective treatment mechanisms can be made. We selected six therapies for review on the basis of the diversity of their theoretical rationales and evidence for superior efficacy: psychoanalytic psychotherapy, hypercapnic breathing training, hypocapnic breathing training, reprocessing with and without eye-movement desensitization, muscle relaxation, and cognitive behavior therapy. The likely common element of all these therapies is that they reduce the immediate expectancy of a panic attack, disrupting the vicious circle of fearing fear. Modifying expectation is usually regarded as a placebo mechanism in psychotherapy, but may be a specific treatment mechanism for panic. The fact that this is seldom the rationale communicated to the patient creates a moral dilemma: Is it ethical for therapists to mislead patients to help them? Pragmatic justification of a successful practice is a way out of this dilemma. Therapies should be evaluated that deal with expectations directly by promoting positive thinking or by fostering non-expectancy.

Keywords: Anxiety  Depression  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Posttraumatic Stress Disorder  PTSD  Treatment  

Accuracy Verified: Yes


139. Friedberg, F. (2001). Do-it-yourself eye movement technique for emotional healing. Oakland, CA: New Harbinger Publications, Inc.

Language: English

Format: Book

Abstract:
Eye-movement techniques are a set of revolutionary new methods that psychologists have been using to reduce clients' emotional conflicts and redirect their thought into more positive directions. This book teaches readers how to self-administer these techniques and change their health and happiness.

Keywords: Eye Movements  

Accuracy Verified: No


140. Rost, C. (2002, May/June). Does a successful EMDR treatment have a positive effect?. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.

Language: English

Format: Conference

Keywords: Practice  Theory  

Accuracy Verified: Yes


141. Tym, R., Dyck, M., & McGrath, G. (2000, July-August). Does a visual perceptual disturbance characterize trauma-related anxiety syndromes?. Journal of Anxiety Disorders, 14(4), 377-394. doi:10.1016/S0887-6185(00)00029-3.

Language: English

Format: Journal

Abstract:
The i-test was developed to assess the visual-perceptual disturbances (VPDs) frequently reported by anxious patients. Persons with the disturbance report a specific abnormal illusion of movement when they maintain a fixed gaze at the i-test stimulus. Base rates for positive responses to the i-test and for reports of a "recurrent specific memory" (RSM) of a fear experience were obtained in psychiatric outpatient (n = 301) and community (n = 128) samples. In each case, approximately one fifth of participants had a positive response to the i-test and one fifth of participants reported an RSM of fear. A positive response to the i-test is observed in women more frequently than in men. Among psychiatric patients, approximately 90% of patients who report one symptom also report the other symptom; among community members, the concordance rate is approximately 33%. When psychiatric patients with both an abnormal illusion of movement response and an RSM of trauma are treated with eye movement desensitization, both symptoms are removed in 70% of cases; when these patients undergo some other form of treatment, both symptoms are removed in 30% of cases. These results indicate that the i-test is an effective way of identifying VPDs associated with psychopathologic conditions; the association between the abnormal illusion of movement and reports of recurrent specific memories of fear experiences suggests that the VPD may be a marker of traumatic stress syndromes. [Author Abstract]

Keywords: Adolescents  Adults  Assessment  Children  Depressive Disorders  Females  Males  Injuries  Memory Retrieval Techniques  Posttraumatic Stress Disorder  PTSD  Somatic Symptoms  Survivors  Treatment Effectiveness  Visual Hallucinations  Witnesses  

Accuracy Verified: Yes


142. Hassard, A., Jeynes, C., Smith, K., & Chung, M. C. (2008, June). Dose response, cognitive change and the working memory limit in eye movement desensitisation. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
The natural history of treatment with Eye Movement Desensitization (EMD), was investigated. EMD is defined as EMDR without the cognitive components, such as the positive cognition procedure or cognitive interleave. When EMD treatment does not proceed, then the flashback or distressing image is decomposed in various ways, until it does proceed. A retrospective audit showed that patients report an average of seven flashbacks, or images. We attempted to confirm this prospectively. One hundred and thirty patients in the Genito-Urinary Medicine Clinic were entered. Fifty-one completed treatment. Progress was assessed with questionnaires at all treatment sessions. All previously reported flashbacks or images were reassessed at the beginning of each session. All distressing images were treated, both to the initial presenting event and all other distressing life events or anxieties reported. The number of flashbacks desensitized was recorded. There was a six-month postal followup. We predicted there would be an average of seven flashbacks and that the questionnaires would reduce to low levels at this point. The mode and median values were seven. The mean was 7.9. Evaluation questionnaires reduced to good levels. An average of seven flashbacks or images was reported to completion of treatment. This seven may indicate the working memory limit. If PTSD and psychological disorder in general are caused by overloaded working memory capacity, maybe EMD works by unloading it. If WM bandwidth is liberated by treatment, then this may enable the cognitive and emotional change observed in EMD treatment. Further implications of this will be discussed.

Keywords: Cognitive Change  Dose Response  

Accuracy Verified: Yes


143. Herbert, C. (2010, June). Do‘s and don‘ts in trauma therapy: Strategies for enhancing the work with trauma of different levels of complexity – a positive growth approach. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Working with traumatized clients can be overwhelming for the therapist, especially when the trauma is complex, involves dissociative symptoms or different personality states, fragmented memories or client affect is intense and poorly regulated. My experience as a supervisor of EMDR practitioners has shown that it is not uncommon for therapists, in an attempt to be helpful to the traumatized clients, to unintentionally use strategies, which are experienced as re-traumatizing or which lead to an increase in their clients’' survival based coping strategies, including the further strengthening of the ANP (Apparently Normal Personal- ~ t y- van der Hart, Nijenhuis and Steele. 2006). This workshop highlights different therapeutic challenges, which often arise for therapists when working with trauma and introduce strategies that EMDR practitioners can use in their work with such clients. This workshop embeds the principles of Positive Growth Therapy (PGT - Herbert, 20071, which encompasses combined knowledge from a variety of disciplines, including positive psychology, information-processing theory, neurobiology, somatic psychology, developmental psychology and attachment theory, mindfulness and others. These strategies, designed to nurture growth rather than dysfunction, are linked to specific therapeutic factors relevant to the work with trauma, such as different types of trauma, the nature of dissociation, the therapeutic pathway toward integration. the concept of safety, the importance of resource installation, individual pacing of therapy and the window of tolerance, different types of processing, and the integration of rational and experiential processing systems and others, which will be explored in the course of this workshop This workshop offers opportunities for both, EMDR therapists, who are fairly new to the trauma field and would like to enhance and deepen their knowledge base, and those already experienced in the trauma field who would like to use this workshop as an opportunity to re-view, further refine or validate their current ways of working. The specific learning objectives for this workshop are: 1. To find out about specific therapeutic factors that is relevant to the work with trauma. 2. To learn about strategies to avoid and strategies, which are helpful for trauma clients. 3. To increase therapist confidence in working with traumatized clients of varying levels of complexity. This workshop is unique in the way in which it transcends specific (and sometimes too narrowly defined) therapeutic modalities or psychiatric diagnoses and instead offers solutions to EMDR practitioners of all modalities by providing deeper understanding of specific therapeutic factors relevant to the work with trauma of different complexities.

Keywords: Trauma  Treatment  

Accuracy Verified: Yes


144. Laliotis, D. (2009, March). Dreaming the future: Part 1 & Part 2 - Creating new possibilities with EMDR. Presentation at the Psychotherapy Networker Symposium, Washington, DC.

Language: English

Format: Conference

Abstract:
EMDR is often used to help clients access and rewire neural pathways to integrate traumatic memories and relieve dissociation, hyperarousal, and numbing. But it can also help clients move toward a better future by mentally rehearsing aspects of more positive, fulfilling lives. In this workshop, we'll describe how to use EMDR to develop alternative neural pathways freeing clients from the fears and self-doubts that keep them from developing to their fullest potential. We'll review the brain circuitry involved in moving from an internal state of disconnection and helplessness to one of integration and empowerment. Then through lecture, discussion, and videotaped examples, you'll learn guidelines for using EMDR to help clients develop new internal maps, future scenarios, and a clear sense of how to get from their present state to their future self.

Keywords: Practice  Theory  

Accuracy Verified: Yes


145. Rogers, S. (2006, December). Drifting away from EMDR. EMDRIA Newsletter, 11(4), 7-8.

Language: English

Format: Newsletter

Abstract:
Those who have attended Francine Shapiro’s Plenary Addresses in recent EMDRIA Conferences are aware of her wish that EMDR clinicians accurately reproduce the EMDR procedure and understand her Adaptive Information Processing model. This concern was sparked by the frequency of phone calls to the EMDR Institute from clients who had been treated with variations of the EMDR protocol with poor results. Also, here in Pennsylvania, we have had several veterans come into our treatment program claiming that they had been treated with EMDR and it didn’t work. When we asked for a description of the treatment, it was clear that the therapist had added elements to the desensitization phase, such as affi rmations, positive imagery, and relaxation techniques.

Keywords: Cautions  Practice  Theory  

Accuracy Verified: Yes


146. Knipe, J. (2009). Dysfunctional positive affect: Codependence or obsession with self-defeating behavior. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 463-465). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Codependence  Dysfunctional Positive Affect  Obsession  Protocol  Self-Defeating Behavior  

Accuracy Verified: Yes


147. Knipe, J. (2009). Dysfunctional positive affect: Procrastination. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 453-458). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Dysfunctional Postive Affect  Procrastination  Protocol  

Accuracy Verified: Yes


148. Knipe, J. (2009). Dysfunctional positive affect: To assist clients with unwanted avoidance defenses. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 451-452). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Avoidance Defenses  Dysfunctional Positive Affect  Protocol  

Accuracy Verified: Yes


149. Knipe, J. (2009). Dysfunctional positive affect: To clear the pain of unrequited love. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 459-462). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Dysfunctional Positive Affect  Protocol  Unrequited Love  

Accuracy Verified: Yes


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

Language: Italian

Format: Other

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

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

Keywords: Path Analysis  

Accuracy Verified: Yes


151. Bonnel, F. (1997, December). E.M.D.R: Eye-movement desensibilisation and reprocessing. Revue Française de Psychiatrie et de Psychologie Médicale, 1(13),.

Language: English

Format: Book

Abstract:
A new therapy using a saccadic eye-movement desensitisation .EMD procedure has recently been introduced to treat posttraumatic stress disorder, a disorder that has been difficult to treat in the past. This paper reports the treatment of a woman with posttraumatic stress disorderusing the EMD procedure. She was treated with only two sessions of EMDR lasting approximately one hour and a half. The 90 day follow-up showed that the treatment gains were maintained and after a year the positive therapeutic effects were stable. These results show the efficacy and efficiency of EMDR method in the treatment of chronic traumatic memories.
EMDR perspectives reports recent research on the adaptative and maladaptative consequences of the experience of trauma. It is suggested that EMDR generates directions for future research and is helping in the treatment of patients with impaired ego-strength. The procedure fits well in a psychodynamic oriented setting : EMDR through the flow of associations, is developing an awareness,that might help the client to establish a contact with the internal representation.

Keywords: Accelerated Information Processing  Adaptative Resolution  AIP  Desensitization  Dissociation  Negative Cognition  

Accuracy Verified: Yes


152. Quinn, G. (2010, July). Early interventions. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Program’s (HAP) Disaster Manual and Marilyn Luber’s : EMDR Scripted Protocols: Basic and Special Situations.(2009) was developed to deal with victims of natural and man made disaster within hours of exposure to trauma. Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment. The EMDR Group Protocol will be presented as utilized in the Tsunami of 2004 and during war. A practicum will follow.

Keywords: Early Interventions  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Affect Phobias  Phobias  Relational Trauma  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Poster  Social Engagement  

Accuracy Verified: Yes


155. Staemmler, F. M. (2004, Spring). Editorial. International Gestalt Journal, 27(1), 5-7.

Language: English

Format: Journal

Abstract:
The article gives an introduction to the papers included in the present issue of "International Gestalt Journal". Spurred by the positive feedback we have received for the last two volumes of our journal the editorial board has once again made a special effort to provide our readers with interesting material. The contribution by Stephan Tobin (see record 2004-19782-003) addresses an issue that has gained great attention in recent years: the therapy of trauma. In his paper Tobin outlines his idea of an integration of EMDR and relational gestalt therapy. Dan Bloom's (see record 2004-19782-005)paper describes the development of the world's first gestalt therapy institute, which has been one of the major sources of gestalt therapy and its vicissitudes over the course of half a century. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Editorial  Emotional Trauma  Multimodal Treatment Approach  Neurophysiology  Physiology  Posttraumatic Stress Disorder  Psychological Stress  

Accuracy Verified: Yes


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

Language: Dutch

Format: Conference

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

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

Keywords: Eye Movements  Mechanism of Action  

Accuracy Verified: Yes


157. Cole, F. J. (1996, November). The effect of alpha theta brainwave production on self-efficacy in the treatment of substance abuse. California School of Professional Psychology, Fresno, CA. AAT 9734483.

Language: English

Format: Dissertation/Thesis

Abstract:
Two new brief treatments, Alpha Theta Brainwave Training (ATBT) and Eye Movement Desensitization and Reprocessing (EMDR) were compared to Systematic Muscle Relaxation (SMR) training during the treatment of 45 hospitalized veterans in the Chemical Dependency Treatment Program of the Fresno Department of Veteran Affairs Medical Center. Fifteen veterans were randomly assigned to three treatment groups, ATBT, EMDR, and SMR, to investigate whether these treatments affected self-efficacy, or confidence in the ability to resist the urge to drink. In behavioral change, self-efficacy levels are consistent predictors of short and long-term success. It was hypothesized that the greater the amount of time spent in theta brainwave frequency (4-8 Hz) during treatment, the greater the increase in self-efficacy. Brainwave activity, temperature, skin conductance and electromyographic levels were recorded during the treatment sessions. Measures of self-efficacy, self-efficacy expectancy, outcome expectancy, and level of overall physical and emotional symptoms were taken before and after treatment. Results indicated that all treatments increased self-efficacy and decreased overall physical and emotional symptoms in alcoholic subjects. Overall, there was no significant difference in the amount of time spent in theta brainwave frequency between groups, but results indicated that the treatments did produce a significant difference in the amount of time spent in theta brainwave frequency between the first and last treatment sessions in the groups. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(5-B), Nov 1997, pp. 2667.

Keywords: Brain Stimulation  Drug Abuse  Drug Rehabilitation  Empirical Study  Military Veterans  Relaxation Therapy  Self Efficacy  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Anxiety  Swimming  

Accuracy Verified: Yes


159. Uribe, M. E. R., Ramirez, E. O. L., & Mena, I. J. (2010, May). Effect of the EMDR psychotherapeutic approach on emotional cognitive processing in patients with depression. The Spanish Journal of Psychology, 13(1), 396-405. doi:10.1017/S1138741600003966.

Language: English

Format: Journal

Abstract:
The current investigation, framed within the emotional cognitive science field, was conducted with three patients with major depression. They participated in a therapeutic process which involved EMDR (Eye Movement Desensitization and Reprocessing). Data were obtained in the clinical practice through a longitudinal one subject study design, including: emotional valence identification within affective priming experiments; and depressive emotional representation studies, the data of which was analyzed using multidimensional scaling. The first ones had the purpose of observing the therapeutic impact over the emotional cognitive bias mechanism regarding depresogenic words related to traumatic experiences; and the second, to analyze modifications on depressive schemata. The results showed that EMDR had a positive effect both on emotional cognitive processing and on long-term memory conceptual organization. In the discussion section, interesting remarks are made on the incorporation of emotional cognitive science tools to the EMDR clinical practice

Keywords: Depression  Emotional Cognitive Processing  

Accuracy Verified: Yes


160. Becich, H. A. (1995). The effect of varying the rate of the eye movements in eye movement desensitization reprocessing (EMDR) with battered women. California School of Professional Psychology, Los Angeles, CA. AAT 9531596.

Language: English

Format: Dissertation/Thesis

Abstract:
The rapid saccades used in eye movement desensitization reprocessing (EMDR) have been reputed to be critical to its efficacy. To evaluate this hypothesis, the rate of the eye movements was varied in this study. Subjects included 27 battered women who were rated PTSD-positive by a modified version of the Symptom Checklist (MSC). Participants were randomly assigned to one of three groups: EMDR Fast, EMDR Slow or Control.Prior to treatment, subjects completed the Revised Impact of Events Scale (IES). Treatment involved one experimental session lasting up to 90 minutes. Dependent variables included the Subjective Units of Distress (SUDs) (derived from the Subjective Units of Disturbance Scale), the Validity of Cognition (VOC) and the Vividness of Traumatic Image (VTI) Scales as well as the Intrusion subscales of the MSC and the IES. At post-treatment one week later, subjects again provided responses to the five dependent variables and, for ethical reasons, were provided another session of treatment at the EMDR Fast rate if their SUDs were 2 or greater. Results of the mixed, two factor analyses indicated no differences between the groups. Hence, the outcomes showed that the rapid eye movements did not provide a differential treatment effect as hypothesized. All groups experienced improvement on the SUDs and VTI Scales and the MSC Intrusion subscale, supporting occurrence of an exposure effect. This investigation was the first controlled EMDR study conducted with battered women, as well as the first experiment on this procedure using a clinical population in which the rate of the eye movements was varied. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(5-B), Nov 1995, pp. 2854

Keywords: Adults  Americans  Battery  Empirical Study  Follow-up Study  Females  Posttraumatic Stress DIsorder  PTSD  Spouse Abuse  Survivors  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


162. Lamphear, M. H. (2011). Effectiveness of the post critical incident seminar in reducing critical incident stress among law enforcement officers. Walden University, Minnesota. 3454138.

Language: English

Format: Dissertation/Thesis

Abstract:
Summative program evaluation was used to examine the effectiveness of the Post Critical Incident seminar (PCIS) in reducing traumatic stress symptoms of law enforcement officers (LEOs). Previous trauma theory research indicated when not addressed, the impact of such trauma leads to serious physical and mental health problems. The use of the PCIS with the study population had not been evaluated. This study was conducted, using archival data, to address this gap. The sample consisted of LEOs in the southeastern US. Officers participated in either PCIS-only or PCIS + EMDR (eye movement desensitization and reprocessing) groups and were also categorized according to time since the incident. The Impact of Events Scale-Revised (IES-R) was administered at the start of each PCIS and again at 6 months. Dependent t tests were used to demonstrate significant pre/post decreases in IES-R scores for both groups. Of clinical concern at pretest, the IES-R scores for the PCIS + EMDR group were reduced to below the scale's threshold for clinical concern. Regression analyses were used to also document significant links connecting the time since the incident, type of incident, and gender with IES-R scores. These preliminary findings lend support for the PCIS, with implications for social change and further study: With continued research and recommendations, the PCIS can be enhanced to best help LEOs remain healthy and fit for duty, resulting in a safer society.

Keywords: Critical Incidents  Law Enforcement Officers  Peer Support  Posttraumatic Stress DIsorder  Psychology  Stress  PTSD  Recent Events  Trauma  

Accuracy Verified: Yes


163. 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


164. Bailey, M. A. (1998). Effects of EMDR on hardiness and movement through stages of change. Argosy University, Chicago, IL.

Language: English

Format: Dissertation/Thesis

Keywords: Smoking Cessation Programs  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


166. Choi, K. M., Min, J. A., Park, G. H., Lee, S.-H., & Chae, J.-H. (2011). The effects of horizontal eye movement on mental health indices and psychophysiological activities in healthy subjects. Korean Journal of Biological Psychiatry, 18(3), 148-158.

Language: English

Format: Journal

Abstract:
Objectives: The eye movement (EM) has been reported to play a role in enhancing the retrieval of episodic memories and reducing effects of fearful episodes in the past and worries for the futures. However, it is still unclear in the mechanism of EM in normal subjects. We examined the horizontal eye movement (HEM) effect using an aiding apparatus on mental health indices including negative and positive psychological factors, and psychophysiological measures such as heart rate variability and quantitative electroencepaholography (qEEG) in healthy subjects.
Methods: Twenty eight healthy subjects were recruited and randomly allocated into two groups : active HEM group and control group. The active HEM group conducted the HEM training with usual stress management audio-intervention using the apparatus inducing eye movement once a day for 14 days. The control group also conducted the same training once a day for 14 days, however, the saccadic eye movement was not included in this training. Psychological measurements, neurocognitive function tests, heart rate variability measurement and qEEG were conducted before and after the training in both groups.
Results: In the active HEM group, sleep status using Sleep Quality Scale (SQS) positive factors significantly increased after the training. By contrast, scores on the negative items of Psychological Well-Being Scale (PWBS), and negative items of the Life Orientation Test-Revised (LOT-R) were significantly decreased after the training. The percentage of delta amplitude (1-3 Hz) in qEEG significantly decreased after the HEM training. The percentage of alpha amplitude (8-12 Hz) significantly increased after HEM training. The change of delta amplitude in the active HEM group was positively correlated with the change of sleep satisfaction of Visual Analogue Scale (VAS), and the change of alpha amplitude was negatively correlated with depression of VAS, anxiety of VAS and Beck Anxiety Inventory (BAI).
Conclusions: The HEM training improved sleep quality and well-being, and sense of optimism. The HEM training also increased alpha amplitude and decreased delta amplitude in qEEG. The qEEG changes were well correlated with subjective improvement of mental health indices in healthy subjects. These results suggest some evidences that HEM training using the apparatus that induces EM would be helpful in improving subjective mental health in healthy subjects. Further study with larger samples size would be needed.

Keywords: Horitzontal Eye Movements  

Accuracy Verified: Yes


167. Pastva, A. M. (2008). The effects of rhythmic and arrhythmic eye movements on memory recall. The College of William and Mary, Williamsburg, VA..

Language: English

Format: Dissertation/Thesis

Abstract:
Eye-Movement Desensitization and Reprocessing (EMDR), a therapy that treats many trauma-related disorders by requiring patients to perform rapid eye movements, has raised controversy because it lacks the support of a proven theoretical rationale. A recent theoretical explanation proposes that the eye movements reduce the vividness of the distressing images by disrupting the function of the visuospatial sketchpad (VSSP) of working memory, but support for this model has been weakened by methodological flaws that the current study attempted to overcome. The present study compared the effects of tracking rhythmic and arrhythmic stimuli on the recall of arousing television shock-ads. Eye-movement conditions did not significantly differ in terms of vividness, emotionality, or accuracy of memory as compared to the control condition. Arrhythmic targets increased the negative emotional response and decreased the vividness of the memories, but neither rhythmic nor arrhythmic target patterns produced responses that differed from the control condition. Heart rate recordings taken throughout the study did not suggest that arousal mediates the relationship between eye-movement patterns and vividness. The present study does not support the VSSP theory but provides valuable insights on the direction of future research.

Keywords: Eye  Memory  Visual perception  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Emotive Memories  Eye Movement  Imaginal Expsoure  Visio-Spatial  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Emotive Memories  Visuospatial Tasks  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes


171. Wilson, S. A. (1995). Efficacy of eye movement desensitization and reprocessing (EMDR) treatment for psychologically traumatized individuals. Union Institute and University, Cincinnati, OH. AAT 9524675.

Language: English

Format: Dissertation/Thesis

Abstract:
The effects of three, 1.5-hour Eye Movement Desensitization and Reprocessing (EMDR) treatment sessions on traumatic memories and psychological symptoms of 80 subjects were studied. The treatment sessions were administered within a two week period. 40 and 40 men ranging in age from 21-67 were interviewed and selected from a pool of 117. Subjects reported continuous difficulty and suffering (mean 13 years) in some area of their life since the occurrence of the traumatic event. Approximately 1/3 of subjects had no prior therapy experience. Subjects were randomly assigned to either EMDR treatment or delayed EMDR treatment condition, and to one of five EMDR trained therapists. Treatment therapists (licensed psychologists and counselors) consisted of 2 women and 2 men, each working with 5 men and 5 women in each group (gender study issues). The therapists had been trained in EMDR by Francine Shapiro. Each had various levels of EMDR experience and training, ranging from facilitator training with two to three years EMDR clinical experience, to Level I and minimal EMDR clinical experience. Treatment fidelity was consistent throughout the study. Subjects receiving EMDR showed decreases in anxiety and presenting complaints, and increases in positive self-evaluations. The six standardized tests and subjective reports were administered by an objective independent assessor (licensed psychologist) pre and post treatment, and at a 90-day follow-up. Subjects in the delayed EMDR treatment group showed no improvement on any of these measures during the 30 days before treatment. After treatment, the delayed EMDR treatment group showed decreases in anxiety and presenting complaints and increases in positive self-evaluations. All ANOVA interactions for both groups were significant at p < .001. These effects were maintained or improved at the 90-day follow-up. The main effect sizes in the present study range from 0.50 to 2.3, with an overall average of 0.93. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(4-B), Oct 1995, pp. 2347

Keywords: Adults  Empirical Study  Stressors  Survivors  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


172. Wilson, S. A., Tinker, R. H., & Becker, L. A. (1994). Efficacy of eye movement desensitization and reprocessing (EMDR):  Treatment for trauma victims. Presentation at the International Society for Traumatic Stress Studies Fall Conference, Chicago, IL.

Language: English

Format: Conference

Abstract:
The effects of three, 1.5 hour eye movement desensitization and reprocessing (EMDR) sessions on traumatic memories of 80 subjects were studied. Subjects were randomly assigned to treatment or delayed treatment conditions and to one of give licenses therapists trained in EMDR. Subjects receiving EMDR showed decreases in presenting complains and in anxiety, and increases in positive cognitions (all ps < .006). Subjects in the delayed treatment groups showed no improvement on any of these measures prior to treatment (all ps > .05). After treatment, the delayed treatment group showed similar improvement on all measures. These effects were maintained at the 90-day follow-up.

Keywords: Trauma  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes


174. Enright, M. B. (1995, August). The efficacy of eye movement desensitization and reprocessing in the treatment of test anxiety. University of Northern Colorado, Greeley, CO. AAT 9617465.

Language: English

Format: Dissertation/Thesis

Abstract:
This study explores the efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of test anxiety. Thirty-five college students who scored above the 50th percentile on test anxiety were randomly assigned to either a treatment or wait-list control group. Subjects received two 1 hour sessions of EMDR. After posttesting, the control group also received EMDR treatment. The treatment group had a significant reduction in Test Anxiety Inventory total score, emotionality scale score, worry scale score, and state anxiety as compared to the control group. After treatment, the control group matched the experimental group for significant reductions on all dependent measures. The subject group as a whole had significant reductions in subjective units of distress during treatment as well as a significant increase in the validity of positive self-statements. Reductions in anxiety measures were maintained at one month follow-up. The differential effect of EMDR on subjects based on gender and pretreatment level of trait anxiety was also examined. Subjects with high trait anxiety had a greater reduction in total test anxiety, emotionality, and worry on posttesting as compared to subjects with lower trait anxiety. Males and females were found to respond equally to the treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(2-B), Aug 1996, pp. 1436

Keywords: Anxiety Management  College Students  Empirical Study  Test Anxiety  Treatment of Test Anxiety  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


175. Daroff, L. H. (1996). Efficacy of eye movement desensitization and reprocessing procedure in the treatment of traumatic memories: A replication study. Temple University, Philadelphia, PA. AAT 9632020.

Language: English

Format: Dissertation/Thesis

Abstract:
The purpose of this replication study was either to support or refute the original Eye Movement Desensitization and Reprocessing research conducted by Shapiro. The present study was amended with two additional indices to assess anxiety and social functioning.14 subjects suffering long standing (one or more years) traumatic memory symptomatology, concerning rape, physical abuse, incest, and childhood sexual molestation, were randomly assigned to one of two treatment conditions. Traumatic memories were pivotal to presenting symptoms, which included panic attacks, self-blaming/guilt, intrusive thoughts, anxiety, nightmares, insomnia and avoidant thinking/behavior. All subjects were diagnosed with PTSD, by an independent licensed clinical psychologist. There were 13 females and 1 male. The male subject was in the Control Group. Age range was from 25 to 49 years with a Mean age of 38.64 years. Range for age of traumatic event was five to 19 years of age, with a Mean age of 10.14 years. Range for duration of the subjects' symptoms since traumatic event was 18 to 44 years with a Mean age of 28.5 years. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, (3) primary presenting symptom and (4) social adjustment. Measures utilized were the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition (VoC) self evaluation, primary presenting symptom self report, the Impact of Event Scale (IES), and the Social Adjustment-Self Report (SAS-SR). Initial measures demonstrated that all subjects were essentially the same prior to any treatment. Measures were obtained at the initial session and at 1- and 3-month follow-up sessions. Where applicable the analyses conducted paralleled those used in the original research. The results of the study indicated that a single session of EMDR successfully desensitized the subjects' traumatic memory, significantly mediated their cognitive assessment of the situation, as well as their social adjustment. Treatment effects were maintained over the period of the study for all subjects. These findings support the original conclusions in Shapiro's seminal study of the Eye Movement Desensitization and Reprocessing procedure. The exact neurological mechanisms involved in the Eye Movement Desensitization and Reprocessing procedure remain unknown. [Author Abstract]

Keywords: Adults  Anxiety  Child Abuse  Empirical Study  Experimental Replication  Incest  Memory  Posttraumatic Stress Disorder  PTSD  Rape  Self-Evaluation  Social Adjustment  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


176. Renfrey, G. (1993). The efficacy of eye movement desensitization in the treatment of trauma related imagery and cognitions: A partial dismantling procedure. Western Michigan University, Kalamazoo MI. AAT 9412220.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated the effects of eye movement desensitization (EMD) on post-traumatic sequelae, and attempted a partial dismantling of the procedure to determine the necessity of EMD's characteristic eye movements. 23 persons participated in three groups: (1) those receiving standard EMD, (2) those receiving a variant of EMD in which eye movements were engendered through a light tracking task, and (3) those receiving a variant of EMD in which fixed visual attention replaced eye movements. All participants had experienced traumata as defined by the DSM-III-R and were having intrusive symptoms of PTSD at pre-treatment. All but two met full DSM-III-R criteria for PTSD. Each received two to six treatment sessions.Dependent variables included heart rate changes, subjective units of distress ratings, validity of both initial and targeted trauma-related cognitions during trauma-related imagery, overall frequency and intensity scores on the Clinician Administered PTSD Scale, anxiety and depression T-scores on the Symptom Checklist (SCL-90-R), and scores on the Impact of Events Scale. Assessments were conducted at pre- and post-treatment and at a one- to three-month follow-up. All three interventions produced significant, positive changes in all dependant measures between pre- and post-treatments. Further, these changes were maintained at follow-up. No significant differences between groups were observed. These changes were of comparable magnitude to those reported elsewhere, but were brought about through a greater number of treatment sessions. It was concluded that EMD does bring about fairly rapid therapeutic changes in those post-traumatic sequelae measured, though not as efficiently as most previous reports have suggested. Further, it was concluded that the eye movements peculiar to EMD are not a necessary component of the procedure. The similarities and differences between the present findings and previous reports are discussed, as are the limitations and implications of the present study. Recommendations for future work are made. [Author Abstract]

Keywords: Clinical Trial  Partial Dismantling  Posttraumatic Stress Disorder  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes


177. Shapiro, F. (1989, April). Efficacy of the eye movement desensitization procedure in the treatment of traumatic memories. Journal of Traumatic Stress, 2(2), 199-223. doi:10.1007/BF00974159.

Language: English

Format: Journal

Abstract:
The aim of the study was to determine the effectiveness of the recently developed Eye Movement Desensitization (EMD) procedure on traumatic memory symptomatology. 22 subjects suffering from symptoms related to traumatic memories were used in the study. All had been victims of traumatic incidents concerning the Vietnam War, childhood sexual molestation, sexual or physical assault, or emotional abuse. Memories of the traumatic incident were pivotal to the presenting complaints which included intrusive thoughts, flashbacks, sleep disturbances, low self-esteem, and relationship problems. Dependent variables were (1) anxiety level, (2) validity of a positive self-statement/assessment of the traumatic incident, and (3) presenting complaints. These measures were obtained at the initial session and at 1- and 3-month follow-up sessions. The results of the study indicated that a single session of the EMD procedure successfully desensitized the subjects' traumatic memories and dramatically altered their cognitive assessments of the situation, effects that were maintained through the 3-month follow-up check. This therapeutic benefit was accompanied by behavioral shifts which included the alleviation of the subjects' primary presenting complaints. [Author Abstract]

Keywords: Americans  Anxiety  Combat  Incest  Memories  Molestation  Posttraumatic Stress Disorder  PTSD  Random Clinical Trial  Rape  RCT  Survivors  Trauma  Veterans  Vietnam War  

Accuracy Verified: Yes


178. Greenwald, R. (2002, December). An efficiency statistic for treatment studies. EMDRIA Newsletter, 7(4), 3.

Language: English

Format: Newsletter

Abstract:
I recently developed a simple new statistic that can increase the power to detect the actual effects of EMDR (or any treatment) in a treatment study. Most treatment studies now report effect sizes, which, on the specific outcome measure being evaluated, provide a standardized way of conveying the impact of the treatment, the amount of the change in the outcome measure. In treatment comparison studies in which the design specifies that the treatment ends when symptom reduction criteria are met, the number of sessions to termination is normally reported. Although these are appropriate outcomes to examine, when treatment efficiency is divided into two separate findings, the effect is watered down and may be insufficient for statistical significance. Thus, mere trends favoring EMDR (or any treatment) cannot be interpreted with confidence.

Keywords: Treatment Studies  

Accuracy Verified: Yes


179. Penarreta, L. (2011, Mayo). Eficiencia del EMDR en la psicoprofilaxis quirúrgica para disminución de los síntomas emocionales adversos, y mejoramiento del proceso de recuperación en niños de 5 a 12 anos del servicio de cirugía del hospital de niños Baca Ortiz de Quito-Ecuador [Efficiency of EMDR in the psycho surgical reduction of adverse emotional symptoms, and improvement of the recovery process for children 5 to 12 years of service children's hospital surgery Baca Ortiz in Quito, Ecuador]. Universidad Central Del Ecuador, Facultad de Ciencias Psicologicas, Instituto Superior de Postgrado, Quito, Ecuador.

Language: Spanish

Format: Dissertation/Thesis

Abstract:
Las ideas que las personas tienen de una cirugía están impregnadas de fantasías con una excesiva carga de ansiedad que impiden un adecuado control emocional y proceso de recuperación. Una intervención quirúrgica implica un desequilibrio biológico y psicológico que requiere que la persona vuelva a lograr su estabilidad. El presente trabajo tiene como objetivo verificar que el método del EMDR (Desensibilización y reprocesamiento a través de movimientos oculares) es eficiente en la psicoprofilaxis quirúrgica logrando reducir estas ansiedades y temores en los niños de 5 a12 años del Servicio de Cirugía del Hospital de Niños Baca Ortiz que tendrán que enfrentar un acto quirúrgico. A través de la identificación de los recursos necesarios para hacer frente a cada una de estas situaciones, con el EMDR se procede a instalarlos usando estimulación bilateral y acoplándolos con la correspondiente creencia positiva permitiendo que el infante consiga una exitosa evolución pre y post-quirúrgica. Se trata de una investigación correlacional cuasi-experimental en la que se seleccionó una muestra infantil con los criterios de inclusión y exclusión, que son infantes de 5 a 12 años que requieren ser operados, y que cumplan los criterios para el tratamiento con EMDR; donde se demuestra que el 100% de los niños estudiados presentan un alto nivel de ansiedad antes de la cirugía y que luego de aplicarse este método psicoterapéutico esta sintomatología disminuye llegando a niveles bajos, observándose una evolución favorable en su recuperación. Se considera por lo tanto que el EMDR es un método eficiente en la psicoprofilaxis quirúrgica infantil.

ABSTRACT. The ideas that people have about a surgery are impregnated with fantasies and an excessive burden of anxiety that impede an adequate emotional control and recovery process. Surgery involves biological and psychological imbalance that requires a person to be able to achieve stability again. The present work aims to verify that the method of EMDR (Eye Movement Desensitization and Reprocessing) is efficient in reducing these pre surgical anxieties and fears in children patients from 5 to12 years old at Children's Hospital Baca Ortiz who will face a surgical procedure. Through the identification of resources needed to address each of these situations, EMDR is appropriate to install them using bilateral stimulation and coupling them with the corresponding positive belief allowing the child to get a successful development of pre-and post-surgical procedure. This is a quasi-experimental correlational research in which a sample was selected according to the criteria of inclusion and exclusion, infants that are 5 to 12 years who require surgery, and who meet the criteria for treatment with EMDR; which shows that 100% of the children studied, had a high level of anxiety before surgery and then applying this psychotherapeutic method these symptoms decreased to low levels, showing a favorable trend in his recovery. It is considered therefore that the EMDR is an effective method in child surgery preparation.

Keywords: Adverse Emotions, Hospital Baca Ortiz  Surgery Preparation  

Accuracy Verified: Yes


180. Uribe, M. E. R., & Ramirez, E. O. L. (2006, Diciembre). El efecto de la terapia EMDR en el tratamiento de la información negativa en los pacientes que sufren depresión [The effect of EMDR therapy on the negative information processing on patients who suffer depression]. Revista Electrónica de Motivación y Emoción (REME), 9(23-24).

Language: English

Format: Magazine

Abstract:
Una investigación de las ciencias cognitivas sobre la depresión se presenta. En concreto, los pacientes con depresión mayor fueron obligados a participar en un proceso terapéutico que involucró la metodología EMDR (Eye Movement desensibilización y reprocesamiento) y los experimentos de facilitación afectiva, lo que demuestra el impacto terapéutico sobre el procesamiento emocional cognitiva acerca de la información pertinente negativo de eventos traumáticos. Los resultados mostraron un cambio significativo y también que hubo participantes que implementaron un filtro cognitivo para eliminar las palabras negativas autobiográficas. Además, se implementó un sesgo para facilitar el reconocimiento de los positivos, así como los estímulos negativos. En la sección de debate, las coincidencias entre las evaluaciones conscientes e inconscientes se analizan sobre la superación de la depresión en esta terapia.

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

Keywords: Depression  

Accuracy Verified: Yes


181. Mattioli, G. (2006, June). El estrés postraumatico y la terapia del EMDR [Traumatic stress and EMDR therapy]. Presentación en la Asociación EMDR España, Madrid .

Language: Spanish

Format: Conference

Abstract:
Hay expresiones que cambian la historia de nuestra profesión. "Inconsciente" "doble vínculo", "indefensión aprendida", "homeostasis familiar" o "burn out" para no poner más que unos pocos ejemplos y pidiendo perdón a tantos otros. Cambian la historia de las ideas, suele decirse, basándose quizás en la ilusión de que las ideas son entelequies que flotan en el cosmos. Sin embargo es mucho más. Cuando nace una verdadera idea ya ha cambiado o está a punto de cambiar una determinada práctica social, que entonces provoca más cambios en un determinado contexto (un "discurso" vaya, ya puestos...). La palabra "autoestima", por ejemplo, surgida hace unos años se ha ido extendiendo y dejando su huella como una marca de origen en muchas expresiones alusivas a estados de ánimo hasta convertirse en moneda de cambio. Tener la autoestima "baja" o "alta", o "veo que no tienes ningún problema de autoestima" son enunciados que se ha convertido en una "seña de identidad". Feliz expresión esta última! Todos la usamos sin la menor obligación de haber leído la novela de Juan Goytisolo que la acuñó, ni tan solo la necesidad de saber que era el título.

There are expressions that change the history of our profession. "Unconscious" double bind ","learned helplessness"," family homeostasis "or" burn out "for not putting more than a few examples and asking forgiveness as many others. Change the history of ideas, they say, perhaps based on the illusion that ideas are pipe dreams floating in the cosmos. However it is much more. Birth of a true idea has changed or is about to change a particular social practice, which then causes more changes in a particular context (a "speech" will, for that matter ...). The word "esteem"for example, born a few years ago has spread and leaving his mark as a mark of origin in many expressions suggestive of moods to become currency. Having self-esteem "low" or "high" or "I see you have no self-esteem problem" are statements that has become a "hallmark. " Happy latter expression! All we use it without any obligation to have read the novel by Juan Goytisolo who coined it, not even the need to know which was the title.

Keywords: Traumatic Stress  

Accuracy Verified: Yes


182. Uribe, M. E. R., Ramirez, E. O. L., & Mena, I. J. (2007, Abril). El impacto positivo de la aproximacion psicoterapeutica EMDR en pacientes con depresion [Positive impact of the psychotherapeutic approach of EMDR in patients with depression]. Asociación Mexicana para Ayuda Mental en Crisis EMDR México.

Language: Spanish

Format: Other

Abstract:
La aproximación psicoterapéutica EMDR (Eye Movement Desensitization and Reprocessing, en español Desensibilización y Reprocesamiento a través del Movimiento Ocular) aporta en relación al tratamiento de ese problema una postura interesante. Creó un nuevo territorio para la intervención psicoterapéutica, al definir la patología como información que ha sido almacenada disfuncionalmente, pero que puede ser asimilada de manera apropiada o adaptativa cuando se activa funcionalmente el sistema de procesamiento de información. Su creadora Shapiro (1991, 2001, 2002), introdujo a la práctica clínica mediante el modelo llamado Sistema de Procesamiento de Información a un estado Adaptativo (SPIA), los conceptos del procesamiento de información y de las redes asociativas que fueron originalmente presentadas por Lang (1993) y Bower (1981, 1987).

[The psychotherapeutic approach EMDR (Eye Movement Desensitization and Reprocessing, in Spanish Desensitization and Reprocessing Eye Movement) provides in relation to tackling this problem an interesting position. Creating a new territory for psychotherapeutic intervention, to define the pathology and information that has been stored dysfunctional, but can be treated properly or functionally active adaptive when the information processing system. His creative Shapiro (1991, 2001, 2002), introduced into clinical practice using the model called Information Processing System for Adaptive state (SPIA), the concepts of information processing and associative networks that were originally reported by Lang (1993) and Bower (1981, 1987). ]

Keywords: Depression  

Accuracy Verified: Yes


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

Language: Spanish

Format: Other

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

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

Keywords: Practice, Theory  

Accuracy Verified: Yes


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

Language: Spanish

Format: Journal

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

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

Keywords: Cognition  Depression  Emotion  Multidimensional Scaling  

Accuracy Verified: Yes


185. 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


186. Call, E., & Errebo, N. (1997, June). Embracing change:  Incorporating EMDR in clinical practice and systems. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Keywords: Practice  

Accuracy Verified: Yes


187. Schubbe, O. (2006). EMDR. Institut fur Traumatherapie.

Language: German

Format: Other

Abstract:
Eine Ärztin gewinnt einen verlorenen Teil ihrer Biografie zurück; ein Mann kann nach einer Geiselnahme wieder Sicherheit erleben; eine Bäckersfrau drückt den stummen Schrecken über den KZ-Tod ihrer Großeltern zum ersten Mal mit Pinsel und Farbe aus. Solche Momente geben mir das Gefühl, von meinen Klienten ganz viel zurückzubekommen. Sie rücken die Perspektive zurecht und geben den Blick auf das Wesentliche frei. Seit ich EMDR einsetze, sind sie viel häufiger. Unter Fachleuten steht EMDR für "Eye-Movement Desensitization and Reprocessing", unter Klienten auch für "einmal musst du ran", in jedem Fall aber für eine psychotherapeutische Zusatzmethode zur geschützten Verarbeitung traumatischer Erfahrungen. EMDR besteht aus den acht Phasen nach Francine Shapiro. Die beiden ersten und letzten entsprechen dem in der Traumatherapie üblichen Vorgehen, während die Schritte drei bis sechs eine typische EMDR-Sitzung ausmachen. Am Anfang stehen wie üblich Anamnese und Behandlungsplanung (erste Phase). Nach den Leitlinien zur Behandlung posttraumatischer Störungen (Flatten u.a. 2001) gehört an den Anfang außerdem eine Phase der inneren und äußeren Stabilisierung (zweite Phase). Erst danach folgen die EMDR-Sitzungen im engeren Sinne, bestehend aus der Anfangseinschätzung der Symptomatik (dritte Phase), der zentralen (vierten) Phase der Neuverarbeitung, der Verankerung des erreichten Zustandes (fünfte Phase) und der Prüfung der Restbelastung auf Körperebene - kurz: Körpertest (sechste Phase). Wie in jeder traumatherapeutischen Arbeit wird bei EMDR besonderer Wert auf einen guten Abschluss der Sitzung gelegt (siebte Phase). Und ob die mit EMDR erreichte Veränderung stabil geblieben ist, wird zu Beginn der Folgesitzung überprüft (achte Phase). Es wird nun die Arbeit mit drei Klienten beschrieben, einer Augenärztin, einem Top-Manager und einer Bäckereiangestellten. Die unterschiedlichen Fälle illustrieren in verschiedenen Facetten, wie ich die Phasen von EMDR in therapeutisches Handeln umsetze. Namen und Details habe ich zum Schutz der Klienten geändert.

A doctor will recover a lost part of her biography, a man can experience after a hostage-taking back security, a baker's wife pressed the silent alarm at the concentration camp deaths of their grandparents for the first time with a brush and color. Such moments make me feel to get back from my clients very much. You adjust the perspective and give a view of the essentials. Since I use EMDR, they are much more common. Among experts EMDR stands for Eye Movement Desensitization and Reprocessing, "among clients for" once you have ran, and in any case for a psychotherapeutic method for secure additional processing of traumatic experiences. EMDR consists of eight phases by Francine Shapiro. The two first and last correspond to the normal practice in trauma therapy, while accounting for three to six steps a typical EMDR session. In the beginning, as usual, are medical history and treatment plan (first phase). According to the guidelines for the treatment of post traumatic disorders (Flatten et al 2001) belongs also to the beginning of a phase of internal and external stability (second phase). Only after the EMDR sessions follow in the strict sense, consisting of the initial assessment of symptoms (third phase), the central (fourth) phase of the reprocessing, anchoring the achieved state (fifth phase) and the testing of residual stress on the body level - in short: Body Test (sixth phase). As in any trauma therapy work is placed in EMDR special importance to a successful conclusion of the meeting (seventh phase). And whether the change reached EMDR has remained stable, is checked at the beginning of the next meeting (sixth phase). It is now working with three clients described, an eye doctor, a top manager and a bakery employee. The different cases illustrate different facets of how I transpose the phases of EMDR in therapeutic action. I have changed names and details to protect the client.

Keywords: Practice  Theory  

Accuracy Verified: Yes


188. Konuk, E., & Ergun, B. M. (2012, June). EMDR & complex post traumatic stress disorder [EMDR y Trastorno por estrés post-­‐traumático complejo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Complex Post Traumatic Stress Disorder (C-­‐PTSD) is a psychological injury that results from protracted and repeated exposure to traumatic stressor. Though the literature in recent years presented and published papers on C-­‐PTSD, the category is under consideration for inclusion in DSM or ICD. PTSD descriptions fail to capture some of the core elements of C-­‐PTSD. Such elements include captivity, psychological fragmentation, the loss of a sense of safety, trust, and self-­‐ worth, as well as the tendency to be re-­‐victimized, and the loss of a coherent sense of self. It is this loss of a coherent sense of self, and the ensuing symptom profile, that most pointedly differentiates C-­‐PTSD from PTSD. Six clusters of symptom have been suggested for diagnosis of C-­‐PTSD. These are; 1. Alterations in regulation of affect and impulses 2. Alterations in attention or consciousness 3. Alterations in self-­‐perception 4. Alterations in relations with others 5. Somatization 6. Alterations in systems of meaning The aim of this workshop is to present C-­‐PTSD and the use of EMDR treatment of a severely disturbed young woman with unfinished bereavement for her mother lost 10 years ago, series of sexual abuse by 12 persons, rejection and emotional abuse by close family members. The case will be presented via DVD recordings of sessions.

El trastorno por estrés post-­‐traumático complejo (C-­‐TEPT) es una lesión psicológica consecuencia de una exposición prolongada y repetida a un estresor traumático. Si bien la literatura ha presentado y publicado trabajos sobre C-­‐TEPT en los últimos años, la categoría se encuentra sometida a debate para su inclusión en el DSM o CIE. Las descripciones de TEPT no captan algunos de los elementos esenciales de C-­‐ TEPT. Dichos elementos incluyen la fragmentación psicológica, la pérdida de una sensación de seguridad, confianza y valor propio de la persona, así como la tendencia a sufrir nuevas victimizaciones y la pérdida de un sentido coherente del yo. Es precisamente esta pérdida un sentido coherente del yo y el perfil sintomatológico consecuente, lo que diferencia más marcadamente el C-­‐TEPT del TEPT. Se han planteado los siguientes seis grupos (“clusters”) de síntomas para el diagnóstico de C-­‐TEPT: 1. Alteraciones de la regulación del afecto e impulsos 2. Alteraciones de la atención o conocimiento 3. Alteraciones de la auto-­‐percepción 4. Alteraciones de las relaciones con terceros 5. Somatización Alteraciones de los sistemas de significado El objetivo que persigue este taller es el de presentar el C-­‐TEPT y el empleo del tratamiento con EMDR de una joven gravemente perturbada con duelo incompleto por la pérdida de su madre hacía 10 años, una serie de abusos sexuales por parte de 12 personas, el rechazo y abuso emocional por parte de familiares cercanos. Se presentará el caso mediante las grabaciones en DVD de las sesiones.

Keywords: Complex Posttraumatic Stress Disorder  C-PTSD  Complex PSTD  

Accuracy Verified: Yes


189. Cowart, M. (2011, August). EMDR & embodied cognition: The search for theoretical mechanisms and increased explanatory power. Poster presented at the annual conference of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
A growing number of clinical studies indicate that EMDR is an effective intervention for PTSD. Yet, despite these successes, researchers do not fully understand exactly how the EMDRprotocol works. Specifically, researchers are still trying to isolate the mechanisms that explain how EMDR facilitates cognitive change by diminishing the severity of traumatic memories resulting from PTSD. Proponents of EMDRclaim that this promissory note will be answered as research progresses and the mechanisms are uncovered, while critics claim that these cognitive mechanisms will not be found because the BMDW protocol is inherently flawed.

Keywords: Mechanisms of Action  Poster  

Accuracy Verified: Yes


190. MacDonald, H. (2008, October). EMDR & pain. Presentation at the 1st annual EMDR Yorkshire Autumn Workshop, York, UK.

Language: English

Format: Conference

Abstract:
This workshop will give participants an introduction to using EMDR with people who have persistent pain. The EMDR protocol (Grant and Threlfo 2002) can be used to promote more successful management of pain, and can change pain sensations. Targets might also include the impact of the pain on life situation. The workshop is aimed at people who have completed EMDR training, but who may not have applied it with this client group.

Keywords: Pain  

Accuracy Verified: Yes


191. Herbert, C. (2008, June). EMDR & positive psychology. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
There has been increasing academic interest and growth in the field of Positive Psychology in recent years. Despite this, applied Clinical Psychology, Psychiatry and much of therapeutic practice and academic research in Europe remains focused on the diagnosis and treatment of pathology and dysfunction and the reduction in symptoms frequently used as the sole outcome measure. Most of EMDR research and practice also follows this pattern. While, achievement of symptom relief is clearly of great importance, often especially situations, which confront individuals with great inner pain, such as a life crisis or present or past trauma, have the potential to move a person into a process of enormous inner growth and positive life development. People can become more authentic, accepting and loving of themselves. This, in turn, frequently, has a very positive effect on people’s functioning in life, including improvements in their interpersonal relationships, feelings of inner happiness and greater contentment and fulfilment. This workshop introduces concepts and findings from the field of Positive Psychology and explores how these can be incorporated into the practice of EMDR to facilitate positive inner growth, the development of a more authentic Self and help individuals attain greater, personal meaning in their lives.

Keywords: Positve Psychology  

Accuracy Verified: Yes


192. Wejdsten, G. (2007, October). EMDR - Metoden [EMDR - method]. Goteborgs Universitet, Institutionen för socialt arbete, Sweden.

Language: Swedish

Format: Dissertation/Thesis

Abstract:
Den här uppsatsen handlar om EMDR- metoden. En psykoterapeutisk metod som syftar till att bearbeta minnen från traumatiska händelser och mildra de psykologiska konsekvenserna. Francine Shapiro utvecklade denna metod 1989 för behandling av trauma. Det påstås att 84- 100 % av dem som behandlas mot Post traumatisk stress syndrom med denna metod blir fria från symptom på endast 1-3 behandlingar. Shapiro påstår att metoden är effektivare än någon annan terapeutisk behandlingsmetod. Huvudsyftet med att välja att skriva om detta, var att införskaffa kunskap om EMDR- metoden i sin helhet. Om dess uppkomst och utveckling. Vem den tillämpas på samt hur den tillämpas och mål med metoden. Jag ville veta vad forskningen säger om metoden. Uppsatsen är främst en litteraturstudie. EMDR- metoden behandlas främst i kapitel 3. Nyckelord behandlas under stycket definitioner. I Teori- delen jämför jag EMDR- metoden med; Kognitiv terapi, Kognitiv beteende terapi och Psykodynamisk terapi. Jag gör det för att jag funnit likheter och skillnader dem emellan. Jag skriver också lite om studier och forskning om metoden. Jag har lärt mig och redovisar metodens uppkomst, utveckling, mål. Hur den tillämpas och på vad. EMDR har viss effekt i behandlingen av PTSD och detta är styrkt vetenskapligt. Det är inte styrkt vetenskapligt att EMDR skulle vara effektivare än andra psykoterapeutiska metoder. Många utövare har positiv upplevelse av EMDR- utbildning och utövande. De flesta anser det är av stor vikt att man har terapi erfarenhet som exempelvis psykolog innan man utövar EMDR- metoden. Detta är också ett krav om man vill gå utbildningen. Det är ej vetenskapligt klarlagt vilken del i behandlingen som är verksam. Det är inte bevisat vad ögonrörelserna eller alternativa stimuleringar har för effekt. EMDR sammanfogar komponenter från flera psykologiska inriktningar. PTSD är den huvudsakliga målgruppen. Man behandlar både barn och vuxna. Det saknas hälsoekonomiska utvärderingar av EMDR- metoden och mer forskning behövs om metoden. Främst för att kunna bevisa effektiviteten på andra symptom än PTSD, kostnadseffektiviteten och för att se om effekten av minskade symptom kvarstår på sikt, en lång tid efter behandlingen. En socionom får gå en EMDR- utbildning om man först läser till psykoterapeut.[Science Direct]

This essay is about EMDR method. A psychotherapeutic approach designed to process the memories of traumatic events and mitigate the psychological consequences. Francine Shapiro developed this method in 1989 for the treatment of trauma. It is claimed that 84 - 100% of those under treatment for post traumatic stress syndrome with this method is free of symptoms of only 1-3 treatments. Shapiro claims that the method is more effective than any other therapeutic treatment. The main purpose of choosing to write about this, was to acquire knowledge of the EMDR method as a whole. If its origin and development. Who it applies to and how it is applied and the objectives of the method. I wanted to know what research says about the method. The essay is primarily a literature review. EMDR method is mainly addressed in Chapter 3. Keywords treated under paragraph definitions. In theory, part I compare EMDR method, Cognitive Therapy, Cognitive-behavioral therapy and psychodynamic therapy. I do it because I found the similarities and differences between them. I also write a bit of study and research methodology. I have learned and identify ways the origin, development, goals. How it is applied and on what. EMDR has some effect in the treatment of PTSD and this is proven scientifically. It is not proved scientifically that EMDR is more effective than other psychotherapeutic methods. Many practitioners have positive experience of EMDR training and exercise. Most believe it is essential that you have other therapies, such as a psychologist before practicing EMDR method. This is also a requirement if you want to attend the program. It is not scientifically clear what part of the treatment that works. It is not proven what the eye movements or alternative stimuli has for effect. EMDR merges components from several psychological approaches. PTSD is the main target group. It treats both children and adults. The lack of health economic evaluations of EMDR method and more research is needed on the method. Mainly in order to prove the effectiveness of other symptoms than PTSD, cost effectiveness and to see if the effect of decreased symptoms persist over time, a long time after treatment. A social worker may go one EMDR training on first reading to the psychotherapist. [Science Direct]

Keywords: Behavioral Theory  CBT  Cognitive Behaviorial Therapy  Cognitive Therapy  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


193. 黃翔 [Huang Xiang]. (2002). EMDR -─眼動心身重建法簡介 [EMDR - Eye tempted body reconstruction technique introduction]. 加州心理研究所臨床心理學 [California Psychological Institute of Clinical Psychology].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
EMDR─眼誘惑身體重建法“的英文全名是眼動脫敏和再加工。採訪,這是一個多次在很短的一段時間後,藥物可在任何情況下,有效地降低程度心理創傷,重建希望和在治療的信心。可減少心理創傷症狀包括“長期累積的創傷痛苦的回憶”,“因創傷引起高度的焦慮和消極情緒”,以及“身體不適造成的創傷反應”等等。一個結果接受EMDR治療可以建立一個積極的影響,包括“健康積極的思想”和“健康行為的一代”等。

"EMDR ─ eye tempted Body Renewal Law" in English is Eye Movement Desensitization and Reprocessing. This is an interview several times in a short period after the drug can be in no circumstances, effectively reducing the degree of psychological trauma, and rebuild hope and confidence in treatment. Can be to reduce the psychological trauma symptoms include "long-term cumulative trauma of painful memories," "due to trauma caused by a high degree of anxiety and negative emotions", and "the physical discomfort caused by trauma response" and so on. A result of receiving EMDR treatment can establish a positive effect, including "a healthy and positive thoughts" and "health behavior generation" and so on.

Keywords: Body Renewal Law  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Affect Centered Therapy  Affect Theory  

Accuracy Verified: Yes


195. Black, A. (2010, March). EMDR and CBT - Burt and Ernie or Punch and Judy? - a joint treatment approach with complex children and adolescent trauma. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Are EMDR and CBT sworn enemies or best friends? This workshop will through teaching, case presentation and small group exercises explore how Cognitive Behavioural Therapy (CBT) and EMDR can function as a seamless therapeutic treatment model with children and adolescents of all ages. Participants will: • Develop an understanding of what factors constitute complex trauma in children and adolescents and the hurdles it presents to effective treatment in EMDR. • Discover what strategies the CBT model can offer in relation to engagement, goal setting and relapse prevention as part of EMDR treatment. • Practise designing behavioural experiments for children and adolescents to equip them to test and apply their new learning following EMDR reprocessing. • Learn how to utilise the CBT cycle model in providing a rationale for EMDR treatment for children, adolescents and parents and post EMDR treatment understanding and consolidation of change.

Keywords: CBT  Cognitive Behavior Therapy  Joint Treatment Approach  Adolescents  Children  Cognitive Behaviorial Theapy  Trauma  Treatment Approach  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Dissociation  Drawing  Emotion  

Accuracy Verified: Yes


197. Paterson, M. J. (2009, March). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the EMDR Association UK & Ireland, Manchester, England UK .

Language: English

Format: Conference

Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. It is necessary for clients to remain safe during EMDR sessions and contained between sessions. There is a need, therefore, to learn techniques to work with more difficult clients so they too can benefit from EMDR. It is also helpful to know how to deal with blocked processing due to the interference of an ego-state. This workshop provides an overview of dissociation and a review of models to explain it. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR. Clinical case material is used to illustrate learning points. Through demonstration and practice participants will learn how to access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see a video of a live case where EST is used effectively to moderate the malevolence displayed by two difficult ego states. Learning objectives  Understand the forms of dissociation  Understand the concept of ego state therapy.  Learn how to access ego states in a controlled way and effect therapeutic change.  Learn techniques to deal with difficult ego states.

Keywords: Dissociation  Ego State Therapy  Trauma  

Accuracy Verified: Yes


198. Paterson, M. (2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Preconference presentation at the annual meeting for the European Society for Trauma and Dissociation, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders. It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state. This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states. Learning objectives Understand how complex trauma and dissociative disorders impact EMDR processing Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol. Learn how to access ego states in a controlled way and effect therapeutic change and stability. Learn techniques to deal with difficult ego states.

Keywords: Dissociation  Ego State Therapy  

Accuracy Verified: Yes


199. Peterson, M. 2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders. It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state. This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states. Learning objectives Understand how complex trauma and dissociative disorders impact EMDR processing Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol. Learn how to access ego states in a controlled way and effect therapeutic change and stability. Learn techniques to deal with difficult ego states.

Keywords: Complex Trauma  Dissociation  Ego State Therapy  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Metacognitive Therapy  Poster  

Accuracy Verified: Yes


202. 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


203. Zaccagnino, M. & Cussino, M. (2012, June). EMDR and parenting: A case-report [EMDR y crianza de los hijos: Un informe de caso]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Attachment research has investigated the role of parents’ attachment representation on the quality of attachment developed by their children (George, Kaplan e Main, 1984/1985/1996; van Ijzerdoorn, 1995). Past research on children has shown that there is an association between problematic care-­‐giving, attachment insecurity and psychopathology (e.g., Greenberg, 1999; O’Connor, Marvin, Rutter, Olrick, & Britner, 2003; Rutter, 2006). On the other hand, secure attachment in childhood and adulthood is typically associated with a history of involvement in supportive and sensitive care giving relationships (Cairns, 2002; Mikulincer & Shaver, 2007). The results lead to the hypothesis of the intergenerational transmission of attachment identified by van Ijzendoorn (1995). These studies, however, failed to explain why insecure attachment in the parent does not necessarily lead to an insecure attachment pattern of the child, nor why children can develope insecure patterns of attachment even in the case of positive attachment experiences with caregivers (Solomon e George, 2000). In the light of these considerations, and recovering an aspect sharpened by Bowlby (1969), George and Solomon (1999; Solomon e George, 2000) proposed a different approach to the study of parent-­‐child relationship, point up the differences between the attachment system and the caregiving system, despite the mutual influences due to their complementarity. These authors have proposed to investigate the specific characteristics of the system of caregiving, paying more attention to the current relationship between child and parent. Their hypothesis is that the characteristics of that relationship may affect the link between past attachment experiences of the caregiver and attachment pattern developed by the child, representing a significant element for understanding the behavior and the quality of the care of the caregiver. Therefore, the IWM of the parent would be the most important predictor of the quality of attachment developed by the children, as capable of driving the mental state of the caregiver to him (Solomon e George, 1996). Given these assumptions, it is clear that traumatic experiences in the parent, stored in a dysfunctional way, can be reactivated in the parent’s caregiving system, defining an IWM of attachment system of the child that holds the memory traces of such traumatic events. In this regard, a series of tools such as the Child Attachment Interview (Target et al. 2007) and the Parent Development Interview (Slade et al. 1993) which constitute a needful resource for the assessment of IWM of attachment and caregiving system will be presented. A clinical case in which mother in EMDR treatment had an indirect positive effect on mother-­‐child relationship and on the child’s wellbeing will be reported. The results have been documented and show clear changes in the mental representations of the caregiving system measured with PDI. The results will be shown.

La investigación sobre el apego ha proporcionado representaciones del rol del apego parental en función de la calidad del apego desarrollado por sus hijos (George, Kaplan e Main, 1984/1985/1996; van Ijzerdoorn, 1995). Investigaciones anteriores han mostrado que existe una asociación entre los cuidadores problemáticos y el apego inseguro y la psicopatológica (e.g., Greenberg, 1999; O’Connor, Marvin, Rutter, Olrick, & Britner, 2003; Rutter, 2006). Por otro lado, el apego seguro en la infancia y la etapa adulta es asociado con una historia de participación activa y sensible de las relaciones de los cuidadores (Cairns, 2002; Mikulincer & Shaver, 2007). Los resultados nos llevan a la hipótesis de transmisión intergeneracional del apego identificada por Van Ijzendoorn (1995). Estos estudios, sin embargo, fallaron a la hora de explicar porqué el apego inseguro de los padres no desembocaba necesariamente a un patrón de apego inseguro en el niño, no debido a que los patrones inseguros del apego del niño pueden llegar a desarrollarse incluso con unas experiencias positivas de apego con sus cuidadores (Solomon e George, 2000). En línea con estas investigaciones y recuperando un aspecto propuesto por Bowlby (1969), George e Solomon (1999; Solomon e George, 2000) (1969), los cuales propusieron un enfoque diferente en el estudio de las relaciones padres-­‐ hijo, señalando las diferencias entre el sistema de apego y el sistema de cuidados, debido a las influencias entre ambos debido a que son complementarios. Estos autores se propusieron investigar las características específicas del sistema de cuidado, prestando más atención a la relación entre el niño y el cuidador. Nuestra hipótesis es que las características de dicha relación pueden afectar al enlace entre las experiencias pasadas de apego del cuidador y los patrones de apego desarrollados por el niño, representando un elemento importante para el entendimiento del comportamiento y la calidad del cuidado. Sin embargo el IWM del padre, puede ser uno de os predictores más importantes a la hora de estimar la calidad del apego desarrollada por el niño, capaz de conducir el estado mental del cuidador al suyo propio (Solomon e George, 1996). Tomando estas afirmaciones, está claro que las experiencias traumáticas en los padres, almacenadas de manera disfuncional, pueden ser reactivadas en el sistema de cuidado de los padres, definiendo un IWN de sistema de apego del niño que guarda trazas de memoria de dichos eventos traumáticos En relación con esto presentaremos una serie de herramientas como la “Child Attachment Interview (Target et al. 2007) y la “Parent Development Interview” (Slade et al. 1993), que constituyen un recurso necesario para la asignación del IWN de apego y sistema de cuidado. Mostraremos un caso clínico en donde la madre realizo EMDR y tuvo un efecto indirecto positivo en la relación madre-­‐hijo y en el bienestar del niño. Los resultados han sido documentados con un claro cambio de la representación mental del sistema de cuidado medido con el PDI. Se mostrarán los resultados

Keywords: Parenting  

Accuracy Verified: Yes


204. Chandarasiri, P. (2008, June). EMDR and play therapy in traumatised children. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
Young children who are not yet fully developed mentally can not differentiate the past traumatic memory from the present reality and in metabolising disturbing trauma memories. Children usually mix their past experience and the present through play to help them connect the pieces of experience into a narrative that is understandable for them. Every piece of trauma in the past is integrated into their life and may adversely influence their personality formation. Trauma work with children through play and EMDR techniques can be helpful in preventing such distortion, especially among disable children. EMDR method was applied to a 10 years old boy with learning disability. He was separated from his family and stayed at the residential home. He had his past experience of witnessing domestic violence since early infancy. The injuries sustained by his mother had caused great concern for him. He also experienced sexual abuse by another boy which was reflected in sex play with his peers. He had attention problem, aggressive behaviours together with difficulty in regulating his moods. Because of his limitation, he preferred to communicate his emotions through action and play rather than verbally. His preoccupation was expressed through figures fighting that typically resulted in death. During the play session, the therapist would intermittently take a pause with him and the bilateral tapping was applied corresponding with the event in play, for example checking through the worst event, the negative event, the positive event, the strength, the changes taking place in their mind and the play. Most of his play started with the fighting and ended with the good figures won. The installation was applied at the end. His behaviours were monitored at the residential home and at the school. It was found later that he could control his anger better and he was able to tell the caretakers showing that he was aware of his feelings and his behaviours. The conclusion can be drawn that the use of bilateral stimulation during play therapy has facilitated changes in his behaviours, affects, and communication.

Keywords: Children  Play Therapy  

Accuracy Verified: Yes


205. McKelvey, A. M. (2009). EMDR and positive psychology. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 242-261). New York, NY: W. W. Norton & Co..

Language: English

Format: Book Section

Keywords: Positive Psychology  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Emotional Sensations  

Accuracy Verified: Yes


207. Levine, L. (1998, July). EMDR and sex therapy. Prresentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn how to identify cultural messages about sex that can have a negative impact in the belief system of a client, and use there internalized messages to identify potential targets for EMDR; 2) learn and understand how EMDR can reprocess the negative effects of small "t" trauma; 3) learn and understand how EMDR can be used to generate new pathways for positive sexual templates that will result in successful sexual experiences; 4) learn and understand how EMDR can reinforce newly achieved successful sexual experiences; 5) learn and understand why it is important to take a psychosocial sexual history; and 6) learn and share relevant resource materials on sexuality for clients and clinicians.

Keywords: Sex Therapy  

Accuracy Verified: Yes


208. Konuk, E., & Epozdemir, H. (2010, July). EMDR and strategic family therapy. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Strategic Family Therapy developed some 50 years ago by a handful of visionaries at MRI (Mental Research Institute) in Palo Alto, California. This is why sometimes it is known as the “Palo Alto Group”. The kind of therapy evolved at that time changed the therapy world radically. The major shift was that: • The theory was a theory of change. The emphasis was on change rather than to understand how and why problems exist. • The focus was relationships rather than the phenomena going on under the skin of an individual. This meant that the way the therapist approached the clients was Systemic or interactional. • Strategic map was large enough to allow the therapist work with almost any kind of problem, borrow and use different techniques that belong to other approaches without conflict and confusion. • At that time therapy meant globally 4-5 sessions a week for many years. This was reduced to an average of 7-10 sessions. So when a therapist learned one of the Family Therapies, he learned essentially how to do therapy briefly. One of the approaches that EMDR therapists may integrate efficiently into their practice is Family Therapy. It may speed up the therapy especially when both trauma and relationships are particularly having a role in the formation and maintenance of the problem. In this workshop, the participants will learn: • The basic principles and techniques of Strategic Family Therapy, • Why and how change occurs, • When Strategic Family Therapy is called upon for help, • How interventions are designed and implemented.

Keywords: Strategic Family Therapy  

Accuracy Verified: Yes


209. Konuk, E. & Epozdemir, H. (2010, March). EMDR and strategic family therapy. Presentation at the XVIII World International Family Therapy (IFTA) Congress, Buenos Aires, Argentina.

Language: English

Format: Conference

Abstract: Strategic Family Therapy developed some 50 years ago by a handful of visionaries at MRI (Mental Research Institute) in Palo Alto, California. This is why sometimes it is known as the “Palo Alto Group”. The kind of therapy evolved at that time changed the therapy world radically. The major shift was that: • The theory was a theory of change. The emphasis was on change rather than to understand how and why problems exist. • The focus was relationships rather than the phenomena going on under the skin of an individual. This meant that the way the therapist approached the clients was Systemic or interactional. • Strategic map was large enough to allow the therapist work with almost any kind of problem, borrow and use different techniques that belong to other approaches without conflict and confusion. • At that time therapy meant globally 4-5 sessions a week for many years. This was reduced to an average of 7-10 sessions. So when a therapist learned one of the Family Therapies, he learned essentially how to do therapy briefly. One of the approaches that Family and Marriage Therapists integrate efficiently into their practice is EMDR. Though EMDR (Eye Movement Desensitization and Reprocessing) is relatively new in the therapy world, now it is credited by many professional and governmental organizations as either “treatment of choice” or a valid psychotherapy approach. Especially when trauma is particularly have a role in the formation of the problem, then EMDR is a “life saver” for the therapist. In this workshop, the participants will learn: • The basic principles and techniques of EMDR and Strategic Family Therapy • Why and how change occurs • When EMDR is called upon for help • How interventions are designed and implemented The cases will be presented by live video recordings of sessions.

Keywords: Strategic Family Therapy  

Accuracy Verified: Yes


210. Solomon, R. M., & Shapiro, F. (2008). EMDR and the adaptive information processing model - Potential mechanisms of change. Journal of EMDR Practice and Research, 2(4), 315-325. doi:10.1891/1933-3196.2.4.315.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a therapeutic approach guided by the adaptive information processing (AIP) model. This article provides a brief overview of some of the major precepts of AIP. The basis of clinical pathology is hypothesized to be dysfunctionally stored memories, with therapeutic change resulting from the processing of these memories within larger adaptive networks. Unlike extinction-based exposure therapies, memories targeted in EMDR are posited to transmute during processing and are then again stored by a process of reconsolidation. Therefore, a comparison and contrast to extinction-based information processing models and treatment is provided, including implications for clinical practice. Throughout the article a variety of mechanisms of action are discussed, including those inferred by tenets of the AIP model, and the EMDR procedures themselves, including the bilateral stimulation. Research suggestions are offered in order to investigate various hypotheses.

Keywords: Adaptive Information Processing Model  AIP  Information Processing  Mechanism of Change  Psychotherapy  

Accuracy Verified: Yes


211. Shapiro, F., & Laliotis, D. (2011, June). EMDR and the adaptive information processing model: Integrative treatment and case conceptualization. Clinical Social Work Journal, 39(2), 191-200. doi:10.1007/s10615-010-0300-7.

Language: English

Format: Journal

Abstract:
EMDR is a comprehensive psychotherapy approach that is compatible with all contemporary theoretical orientations. Internationally recognized as a frontline trauma treatment, it is also applicable to a broad range of clinical issues. As a distinct form of psychotherapy, the treatment emphasis is placed on directly processing the neurophysiologically stored memories of events that set the foundation for pathology and health. The adaptive information processing model that governs EMDR practice invites the therapist to address the overall clinical picture that includes the past experiences that contribute to a client’s current difficulties, the present events that trigger maladaptive responses, and to develop more adaptive neural networks of memory in order to enhance positive responses in the future. The clinical application of EMDR is elaborated through a description of the eight phases of treatment with a case example that illustrates the convergences with psychodynamic, cognitive-behavioral, and systemic practice.

Keywords: Adaptive Information Processing  AIP  Integrative Treatment  Memory Networks  

Accuracy Verified: Yes


212. Settle, C. (2010, July). EMDR and the art of psychotherapy with children. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The presenter will use the Adaptive Information Processing (AIP) Model to explain how to creatively change the language of EMDR to meet the child’s developmental needs. Participants will learn how to develop a comprehensive treatment plan that includes the three-pronged approach. Demonstrations with pictures and a short video will show ways of getting the targets and the NC and PC through mapping, while still remaining true to the eight-phase model. Innovative child-oriented methods for Resource Development Installation (RDI) and Cognitive Interweaves (CI) will be explained.

Keywords: Children  

Accuracy Verified: Yes


213. Wizansky, B. (2011). EMDR and the challenge of treating childhood trauma: A theoretical and clinical discussion with case examples. In V. Ardino (Ed.), Post-traumatic syndromes in childhood and adolescence: A handbook of research and practice (pp. 297-321). Wiley-Blackwell.

Language: English

Format: Book Section

Abstract:
Treating childhood trauma with EMDR (Eye Movement Desensitization Reprocessing) requires the practitioner to be aware of the challenge inherent in adapting a focused therapeutic model created for adults to young developing clients. Problems involved in exposing young children to disturbing, often terrifying memories loom large. How do we cope with parents' fear of damaging their son or daughter? How do we answer our own internal resistance to leading a young client into a difficult session and the dangers of retraumatizing a child? These are problems which demand solutions. Recent neurological research has defined the necessity of including the processing of traumatic material into the treatment plan as directly as possible. No part of the brain can change if it is not activated. The chapter aims to detail how EMDR meets this challenge.

Keywords: Childhood Trauma  Children  Focused Therapeutic Model  

Accuracy Verified: No


214. Weston, D. L. (1995, June). EMDR and the issues of gay clients. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
EMDR is an effective therapeutic method for working with the emotional issues of gay clients. The first portion of this workshop will examine the "pubic" and "relationship" definitions of homosexuality. Being gay is much more than how people express themselves sexually. A brief historical and cultural kamework for understanding the emotional issues of lesbian I gay persons will be presented. There will be a review of the psychological theories and the research about the origins of homosexuality. The second portion of the workshop will focus on the psychological path of persons recognizing they are gay. The changes in the "pre-stonewall' and "post-stonewall" experience will be highlighted. This review of psychological experience will look at the points where EMDR therapists can be sensitive to the presence of emotional issues related to being gay. Feeling "different" is often a precursor to recognizing that one is gay. It is impossible to grow up in our culture without internalization of negative attitudes about gay people. When an individual recognizes (s)he is lesbian or gay, this negative learning now applies to one's self. EMDR is effective in resolving this "internalized homophobia." "Coming out" to one's self is a shock because, "I am no longer the person I believed myself to be." EMDR helps clients see gayness, not as an event happening in Me at this moment, but as something with a history related to earlier life experiences and feelings. This perception of continuity reduces the sense of crisis around being homosexual. As internalized homophobia is resolved, acceptance and valuing of self increases. Using the EMDR "future template" protocol assists people in preparing to "come out" to family, fiiends, employers, etc. Gay activists suggests that lesbian/gay persons need to be "out" in all situations. EMDR can help people understand why they want to come out to various people in various situations. It assists in idenhfxation of what people want as the result of "coming out." EMDR is effective in workmg with the myths about homosexuality; the cultural homophobia. Among the myths to be focused are: gay men are promiscuous, being gay is immoral, gay sexual expression is perversion, gay relationships don't last, lesbian/gay persons recruit young people, etc. The third portion of this workshop will focus on issues of HIV disease. There will be a brief epidemiological presentation and focus on the medical and psychological issues of persons with HIV disease. Application of EMDR at "crisis points" of HIV disease will be presented: (1) the worried well, a diminishing population as the aids epidmc continues, (2) the time of HIV+ diagnosis when the potential for suicide is highest, (3) the time of the first AIDS defining illness, (4) response to declining health and approaching death, and (5) issues of "meaning" as life moves toward death. EMDR's application in grief and multiple loss will be presented. Our culture's attitude that grief is something to "be resolved" and "get over" is a mistake. Grief is an ongoing process, especially when people are dealing with multiple losses of partners, fiends, etc. EMDR is effective in reducing the pain around loss so that the grief process can proceed more comfortably. The workshop will end with discussion of characteristics which therapists need to evaluate in relation to the decision to work or not work with gay and gay HIV infected clients. Working with gay men leads to working with clients with HIV disease. Therapists need to be clear about their boundaries and comfort in dealing with home and hospital visits, touching people who have AIDS, being present at the death of a client, and other issues that arise in HIVIAIDS care. The rewards of working with this population and the life changes it may make for the therapist will also be highlighted.

Keywords: Gay Clients  Homosexuality  

Accuracy Verified: Yes


215. Gaudiano, B. A. (2002, Fall/Winter). EMDR and the media - Is change in the wind?. The Scientific Review of Mental Health Practice, 1(2), 201-203.

Language: English

Format: Journal

Abstract:
Comments on the article "The finger-wagging cure. Saturday Night," (2001) by C. Milstone. The article began with the presentation of the harrowing story of a coal miner who developed symptoms of posttraumatic stress after being badly injured and nearly killed in a construction equipment accident. The man reported dramatic positive changes after only a few sessions of eye movement desensitization and reprocessing (EMDR) and testifies that the treatment "released the pain" of the trauma. This is usually the point at which many previous articles on EMDR would have presented one or two token skeptics and provided additional anecdotal evidence to counter any of the criticisms. However, Milstone's article did not follow this common formula. Instead, she chose to delve more deeply into the claims of EMDR proponents to contrast these claims with the research evidence. The article will likely be criticized by many EMDR proponents. Nevertheless, this article appears to be representative of a subtle shift hi the media coverage of EMDR that has been evident in recent years. (PsycINFO Database Record (c) 2007 APA, all rights reserved)

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


216. Carvalho, E. R. (2009, August). EMDR and the pillars of life: Celebrating what works. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract: This presentation will highlight the Pillars of Life, a resourcing technique adapted from the work of Dr. Carlos Raimundo, an Argentine-Australian psychodramatist. Utilized in the preparation phase, it targets resources through the use of the positive cognitions and the VoC scale. The Pillars of Life can be used at the onset as a diagnostic tool, assessing the patient’s inner resources, as well as to augment the necessary resources required during therapeutic work. Oftentimes, it can be utilized as an interweave in cases of complex PTSD when resource pendulation is required during phase 4.

Keywords: Pillars of Life  

Accuracy Verified: Yes


217. 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


218. Hale, S. J. N. (2009). EMDR and the six healing sounds. Universal Healing Tao System, Thailand.

Language: English

Format: Other

Abstract:
Master Chia has recently incorporated the use of Eye Movement Desensitization and Reprocessing (EMDR) when utilizing the Six Healing Sounds in the practice of the Universal Tao system. According to the literature on EMDR, it is believed that the left/right pattern of eye movements assist in completing emotional processing. Most of us are not very good at letting go of our negative emotions, but through the practice of using the Six Healing Sounds we learn to compost the less healthy emotions of sadness, depression, fear, anxiety, anger, cruelty, impatience, hastiness, worry or pity and change or transform them into their positive counterpart emotions of courage, stillness, generosity, happiness and compassion.

Keywords: Sounds  Tao  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Binge Eating  Eating Disorders  Symposium  

Accuracy Verified: Yes


220. Eimer, B. N. (1995, June). EMDR applications for pain management. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The focus of this 3-hour workshop will be on using EMDR to alleviate emotional distress attendant to coping with acute physical pain and living with chronic pain. Participants in this workshop will learn: (a) how to conduct a targeted assessment of the patient whose chief complaint is physical pain; (b) a guided pain healing meditation; (c) an EMDR protocol for installing pain relief imagery and self-care techniques; (d) an EMDR protocol for reprocessing covert pain talk, pain behaviors and pain-related memories; (e) how to apply A.J. Popky's EMDR protocol for reducing substance abuse (i.e., Overeating, drinking) and dependence on pain medication in this population. The presentation will first address how to conduct a structured assessment that identifies targets for EMDR treatment. The dysfunctional information package associated with chronic pain (termed the "biogram")and "seven keys" to understanding chronic pain will be discussed. Then, essential principles for designing an effective individual psychotherapy program for the pain sufferer will be presented. Next, use of the "seven keys for constructing a guided healing meditation (i.e., Self-care technique) for the pain patient that also incorporates Francine Shapiro's "light stream" and "spiral" guided meditations will be demonstrated. A script for this, termed the "C.O.M.P.I.S.S. Pain Healing Meditation," will be distributed. The workshop will then address how to introduce EMDR to the patient whose chief complaint is physical pain. What EMDR can do and probably cannot do for pain patients will then be discussed. Next, principles for choosing an initial tarqet for reprocessing will be discussed. The presentation will then cover (with clinical case examples): (1) Red flags and cautions to consider before proceeding with EMDR- (2) What to do and what not to do if the patient is dissociative; (3) How to "mirror" and install with EMDR empathic responses to underlying beliefs associated with "secondary gains" minus primary losses; (4) Teaching the distinction between pain sensations and suffering; (5) How to teach and install with EMDR self-care and pain coping techniques such as pain relief imagery, mental distraction techniques, safe place imagery, and positive motivation for healthy self-care behaviors; (6) How to directly address with the patient the application of "cognitive psychology" and imagery for pain reduction; (7) EMDR reprocessing of memories around the pain's origins; (8) EMDR reprocessing of pain-related conflicts, negative beliefs, negative past experiences, internalized self-identifications, self-punitive tendencies and self-defeating behaviors; (9) Eliciting core negative pain coping cognitions and suggesting preferable positive cognitions to the pain patient; (10) EMDR reprocessing of negative cognitions associated with depression and anxiety. (11) Use of EMDR to facilitate mental rehearsal of coping responses to pain triggers; (12) Material that often comes up in using EMDR with pain patients; (13) Strategically restructuring patient "resistance" with coanitive interweave; (14) Managing narcotic and pain medication seeking behavior and substance abuse; (15) Use of Popky's EMDR protocol for reducing medication dependence and substance abuse in this population; (16) Treating pain patients who also have PTSD. Videotaped case excerpts will be shown that illustrate important points covered. If time permits, participants may be able to briefly discuss EMDR applications to specific medical and pain patient populations.

Keywords: Chronic Pain  Pain  Pain Management  

Accuracy Verified: Yes


221. Wipson, E. C. (2001, June). EMDR applications in addictive disorders. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) explain addictive brain process; 2) list two client readiness safety issues; 3) list two client resources for Resource Installation with addictions; 4) know standard and addictive EMDR protocol; 5) describe one negative cognition and positive cognition example for "urge" desensitization; 6) list two blocks to processing; and 7) list three "disturbances" connected with Addictive Illness suitable for EMDR processing.

Keywords: Addictive Disorders  Client Readiness  Resource Installation  Safety Issues  Urge  

Accuracy Verified: Yes


222. Mitchell, J. T., & Solomon, R. M. (1995, June). EMDR applications to critical incident stress management. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
A critical incident is any situation that causes unusually strong emotional reactions that have the potential to interfere with a person's ability to function immediately after the incident or later. These are situations that overwhelm a person's sense of vulnerability and/or control. A critical incident stress debriefing (CISD) is a psychoeducational group meeting or discussion about a traumatic incident which ideally takes place within 72 hours of the event. The goals of a CISD are to mitigate the psychological impact of a traumatic event, prevent subsequent development of a post-traumatic syndrome, accelerate recovery, and serve as an early identification mechanism for people who need further follow-up, including EMDR. The steps of a CISD include: 1) introduction - to introduce the intervention team, explain the process, and set expectations. 2) fact - to describe the event from each participant's perspective on a cognitive level. 3) thought - to allow participants to describe cognitive reactions and to transition to emotional reactions. 4) reaction - to identify the most traumatic aspect of the event for participants. 5) symptom - to identify personal symptoms of distress and transition back to the cognitive level. 6) teaching - to educate as to normal reactions and adaptive coping strategies 7) reentry - to clarefy ambiguities and prepare for termination; access for follow-up. In the opinion of the authors, the CISD facilitates the processing of the traumatic information before it becomes crystallized in dysfunctional form. EMDR can be very effective shortly following a CISD, and is particularly usehl for participants who are experiencing distress or intrusive symptoms after the CISD. The CISD structure helps the participant understand the traumatic impact of the incident and provides support and guidance toward adaptive resolution. The EMDR process begins where the CISD leaves off. The CISD helps to delineate the traumatic image, negative cognition, and emotions associated with the event, making the subsequent EMDR process more efficient. EMDR appears to have a very powerful and rapid effect after the CISD, perhaps, because of the initial processing. In other words, the CISD initiates an adaptive processing of the traumatic information; EMDR completes it. EMDR can be implemented individually immediately following the CISD, or the next day. While the CISD is a group process, EMDR is an individual method. EMDR can be explained during the teaching phase of the CISD or after the CISD to the whole group, but EMDR treatment is done individually and privately. EMDR can go beyond a CISD in targeting previous traumas that may underlie the current incident, delve deeper into the meaning of the incident for the person, and target specific stimuli that are relevant to the individual (e.g. Smells, tastes, etc.). The workshop will discuss the application of EMDR to critical incidents. The protocol for recent events will be reviewed. Guidelines for negative and positive cognitions will be discussed. For example, a critical incident usually involves issues of responsibility ("Is it my fault?"), Safety ("Am I safe?"), And/or control ("Do I have choices in life?). It is important that such dynamics are understood when formulating the negative cognition. The dynamics of fear, a framework for understanding a critical incident and resolving issues of vulnerability and powerlessness, will be presented. The model discusses the importance of going beyond defining the moment of peak stress to elucidating subsequent thoughts, actions, and decisions. The implications for cognitive interweaves will be discussed.

Keywords: CISM  Critical Incidence Stress Management  Recent Events  

Accuracy Verified: Yes


223. Lawrence, M. (1998, July). EMDR as a special form of ego state psychotherapy. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) use the ego state bridge technique in order to have more complete knowledge of what issues and experiences may manifest during the EMDR processing; 2) use the ego state bridge technique to access hidden ego states which are not presenting clearly in the course of repeated EMDR sets; 3) work with a patient to formulate the patient's ego state system; 4) identify and access protector ego states which may not want the ego state system to change and which are blocking the EMDR processing; 5) combine EMDR and ego state therapy techniques to get blocking protector ego states to join the therapeutic process; and 6) identify and access appropriate resource ego states which can be used in an ego state interweave to facilitate movement of a patient out of a stuck ego state.

Keywords: Ego State Bridge  Ego State Therapy  

Accuracy Verified: Yes


224. Lawrence, M. A. (1999, June). EMDR as a special form of ego state psychotherapy. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to use the ego state bridge technique in order to have more compete knowledge of what issues and experiences may manifest during the EMDR processing; 2) be able to use the ego stale bridge technique to access hidden ego states which are not presenting clearly in the course of repeated EMDR sets (e.g., when SUD level is not subsiding); 3) know how to work with a patient to formulate the patient’s ego state system; 4) be able to identify and access protector ego states which may not want the ego state system to change and which are blocking the EMDR processing; 5) be able to combine EMDR and ego state therapy techniques to get blocking protector ego states to join the therapeutic process; 6) be able to identify and access appropriate resource ego state which can be used in an ego state interweave to facilitate movement of a patient out of a stuck ego state; and 7) be able to use a variety of general and specific EMDR techniques and strategies more effectively by using ego state psychotherapy principles as a guiding metamodel.

Keywords: Ego State Bridge  Ego State Therapy  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Change Management  

Accuracy Verified: Yes


226. Wesselmann, D., Davidson, M., Armstrong, S., Schweitzer, C., Bruckner, D., & Potter, A. E. (2012). EMDR as a treatment for improving attachment status in adults and children. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 223-230. doi:10.1016/j.erap.2012.08.008.

Language: English

Format: Journal

Abstract:
Introduction: The purpose of the article is to examine the current literature regarding evidence for positive change in attachment status following Eye Movement Desensitization and Reprocessing (EMDR) therapy and to describe how an integrative EMDR and family therapy team model was implemented to improve attachment and symptoms in a child with a history of relational loss and trauma. Literature: The EMDR method is briefly described along with the theoretical model that guides the EMDR approach. As well, an overview of attachment theory is provided and its implication for conceptualizing symptoms related to a history of relational trauma. Finally, a literature review is provided regarding current preliminary evidence that EMDR can improve attachment status in children and adults. Clinical findings: A case study is described in which an EMDR and family therapy integrative model improved attachment status and symptoms in a child with a history attachment trauma. Conclusion: The case study and literature review provide preliminary evidence that EMDR may be a promising therapy in the treatment of disorders related to attachment trauma.

Keywords: Adult Attachment Interview  Attachment Disorder  Family Therapy  Trauma  

Accuracy Verified: Yes


227. Lendl, J. (2007, September). EMDR basics part II: The positive template. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Requisite for the workshop is Part I. Part II will include a historical review of the Positive Template in psychotherapy and sport. Preliminary research suggests that the Positive Template is useful before the installation phase to help maintain skills between sessions, encourage new skills, and practice ways to handle resistance between sessions. Shapiro’s latest trainings emphasize the Future Template to address avoidance, adaptation and actualization as the third prong and installation and reevaluation phases. Simulation videos will demonstrate the decision making process and the use of resources in the Future Template and the End Session Positive (ESP) Template. There will be supervised practica utilizing the Positive Template to complete processing of the Part I Touchstone Event.

Keywords: Positive Template  

Accuracy Verified: Yes


228. Wanders, F. (2006, November). EMDR bij kinderen met gedragsproblemen: Effecten op zelfwaardering en op de effectiviteit van een behandeling in een klinische setting [EMDR in children with behavioral problems: effects on self-esteem and the efficacy of a treatment in a clinical setting]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
In deze lezing worden de resultaten gepresenteerd van een onderzoek naar de toepassing van Eye Movement Desensitization and Reprocessing (EMDR) bij kinderen, die opgenomen zijn in de kinder- en jeugdpsychiatrie. De onderzoeksvraag was of het mogelijk is de zelfevaluatie van het kind in de observatieperiode van de klinische opname positief te beïnvloeden door het toepassen van een korte EMDR-interventie en of het kind dan beter op de daaropvolgende klinische behandeling reageert. De opzet van het onderzoek was exploratief en beoogde nieuwe onderzoeksvragen te identificeren om de toepassing van EMDR verder te onderzoeken. Aan het onderzoek namen 29 kinderen deel (9 meisjes en 20 jongens) die opgenomen waren in een klinische setting in de periode tussen maart 2005 en april 2006. De leeftijd van de kinderen varieerde van 8 tot 13 jaar. De kinderen waren afkomstig uit drie verschillende voorzieningen voor kinder- en jeugdpsychiatrie (Accare) in Noord- Nederland..Het betrof hier kinderen met ernstige gedragsproblemen. De geïncludeerde kinderen werden ad random toegewezen aan een EMDR-conditie of aan een cognitieve gedragstherapie conditie (CGT). In een periode van zes weken vonden vervolgens vier geprotocolleerde behandelsessies plaats met EMDR of CGT. De behandeling was gericht op het verbeteren van de zelfevaluatie van het kind. Hiermee werd beoogd een betere basis te leggen voor de rest van de behandeling. Tijdens deze lezing krijgen de toehoorders informatie over de opzet van het onderzoek, wordt ingegaan op de geprotocolleerde behandelingen, worden de resultaten gepresenteerd en wordt beeldmateriaal getoond van EMDR sessies.

This lecture presents the results of an investigation into the use of eye movement desensitization and reprocessing (EMDR) in children who are included in child and adolescent psychiatry. The research question was whether the possibility of self-evaluation of the child in the observation period of hospitalization a positive effect by applying a brief EMDR intervention and whether the child is better than the subsequent clinical treatment. The design of the study was exploratory and sought to identify new research questions the application of EMDR to investigate further. The study included 29 children participated (nine girls and 20 boys) were included in a clinical setting in the period between March 2005 and April 2006. The age of the children ranged from 8 to 13 years. The children were from three different facilities for child and adolescent psychiatry (Accare) in North Netherlands .. This was children with severe behavioral problems. The enrolled children were randomly assigned to EMDR condition or a cognitive-behavioral condition (CBT). In a period of six weeks were then recorded four treatment sessions with EMDR or CBT. The treatment was aimed at improving the self-evaluation of the child. While designed to provide a better basis to impose the rest of the treatment. During this lecture the audience get information about the design of the study, discusses the recorded treatments, the results are presented and shown footage of EMDR sessions.

Keywords: Behavioral Problems  Children  Self-Esteem  

Accuracy Verified: Yes


229. de Roos, C., & Went, M. (2010, April). EMDR bij preverbaal trauma [EMDR for trauma, preverbal]. Presentatie aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.

Language: Dutch

Format: Conference

Abstract:
Hoe kan je preverbaal trauma verwerken, zodat er ruimte ontstaat voor herstel, inhalen en voortgang van de ontwikkeling?
Ook infants (0-4 jarigen) kunnen allerlei traumatische gebeurtenis(sen) in de eerste levensjaren meemaken zoals intrusieve medische handelingen, seksueel misbruik en andere vormen van mishandeling. Herinneringen aan deze gebeurtenissen zijn preverbaal en niet op bewust nivo toegankelijk. Bij deze jonge kinderen is het dan ook moeilijk te zien in hoeverre er sprake is van traumatisering. Door hun beperkte cognitieve ontwikkeling is verbale communicatie over ingrijpende gebeurtenissen niet of beperkt mogelijk. Soms zie je na enige tijd gedragsveranderingen bij dagelijkse handelingen die eerder geen probleem vormden (verzet bij verschonen, bij tandenpoetsen e.d.). Dit gedrag kan echter ook gekoppeld zijn aan de ontwikkelingsfase. Het diagnostisch beeld wordt duidelijker wanneer gedragsveranderingen (verzet, verdriet maar ook submissie!) zich voordoen bij soortgelijke traumatische ervaringen zoals nieuwe medische behandelingen. De link naar de onverwerkte traumatische gebeurtenis(sen) ligt dan voor de hand. De ouder kan soms uit angst of schuldgevoel over de ingrijpende gebeurtenis(sen) niet goed meer als steunfiguur en opvoeder optreden. Door een klachtbestendigend interactiepatroon kunnen gedragsproblemen van het kind zelfs verergeren. De omgeving gaat denken aan ADHD of ASS... Aan de hand van casuïstiek van infants bij wie sprake is van traumatisering worden de aanpassingen aan het EMDR protocol getoond bij de behandeling van 0 tot 4 jarigen. Pas na de verwerking van de traumatische herinneringen wordt echt duidelijk wat de invloed is geweest op het verloop van de ontwikkeling van het kind, zoals een sociaal emotionele achterstand, vertraagde spelontwikkeling etc. Er komt ruimte voor herstel, inhalen en voortzetten van de ontwikkeling. Zo nodig wordt een EMDR traject voor ouders ingezet om de behandeling af te maken. Vorm In de presentatie worden theorie en praktijk gecombineerd. Videobeelden ondersteunen het verhaal.

How do you handle preverbal trauma, so there room for rehabilitation, catch up and progress of the development? Even infants (0-4 year olds) can all traumatic event(s) in the first years of life experience as intrusive medical procedures, sexual abuse, and other forms of abuse. Preverbal memories of these events, not consciously accessible level. In these young children it is therefore difficult to see how there is trauma. Because of their limited cognitive development, verbal communication on major events is not possible or limited. Sometimes you see after a while behavioral changes in daily operations which were previously not a problem (resistance to changing, with teeth, etc.). This behavior can also be linked to the development. The diagnostic picture becomes clearer when behavioral change (resistance, but also sadness Submission!) arise from similar traumatic experiences such as new medical treatments. The link to the unprocessed traumatic event (s) is then obvious. The parent can sometimes out of fear or guilt about the traumatic event(s) not functioning properly to support action figure and educator. By klachtbestendigend interaction pattern may even worsen the child's behavior. The environment is reminiscent of ADHD or ASD ... Based on case reports of infants with trauma,0 to 4 years old treated with the EMDR protocol show changes only after the processing of traumatic memories is really clear that the impact has been on the course of the development of the child as a social-emotional retardation, slow game development etc. There is room for recovery, overtaking and continued development. If necessary, an EMDR process for parents is used to finish the treatment. Form In the presentation combining theory and practice. Video images support the story.

Keywords: Prevebral Trauma  

Accuracy Verified: Yes


230. Merckelbach, H., & Muris, P. (1995). EMDR bij spinnenfobie: Twee gevalsbeschrijvingen [EMDR with spider phobia: Two case reports]. Directieve Therapie, 15(2), 64-70. doi:10.1007/BF03060109.

Language: Dutch

Format: Journal

Abstract:
Nogal wat auteurs geven hoog op van de effecten die met Eye Movement Desensitization and Reprocessing (EMDR) te behalen zijn bij de behandeling van angststoornissen. Voor een aanzienlijk deel steunen deze loftuigingen op dubieuze casuïstiek, dat wil zeggen casuïstiek waarin de werking van EMDR wordt gedocumenteerd aan de hand van subjectieve en ongevalideerde uitkomstmaten. Dit artikel beschrijft twee spinnenfobische gevallen waarbij eerst EMDR en vervolgens exposure in vivo werd uitgevoerd. Behandelingseffecten werden geëvalueerd met zowel subjectieve als objectieve maten. De resultaten laten zien dat de gunstige effecten van EMDR zich vooral afspelen op het niveau van de subjectief gerapporteerde angst en veel minder spectaculair zijn wanneer het gaat om vermijdingsgedrag. Deze observatie stelt die EMDR–critici in het gelijk die beweren dat positieve zelfrapportage–maten na EMDR niet noodzakelijkerwijze hand in hand gaan met vergelijkbare gedragseffecten.

Quite a few authors give high on the effects of Eye Movement Desensitization and Reprocessing (EMDR) can be achieved in the treatment of anxiety disorders. For a significant part in supporting these loftuigingen dubious casuistry, ie case studies where the effect of EMDR is documented by means of subjective and non-validated outcome measures. This article describes two cases where spinnenfobische first EMDR and exposure in vivo was then performed. Treatment effects were evaluated with both subjective and objective measures. The results show that the beneficial effects of EMDR mainly play at the level of subjectively reported anxiety and much less spectacular when it comes to avoidance. This observation suggests that EMDR critics were right who claim that positive self-report measures after EMDR does not necessarily go hand in hand with similar behavioral effects.

Keywords: Case Study  Spider Phobia  

Accuracy Verified: Yes


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

Language: Dutch

Format: Conference

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

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

Keywords: Systems Therapy  

Accuracy Verified: Yes


232. Acierno, R., & Cahill, S. P. (1999, January-April). EMDR commentary, data, and protocol specification . Journal of Anxiety Disorders, 13, (1–2), 1–3. doi:10.1016/S0887-6185(98)00050-4.

Language: English

Format: Journal

Abstract:
When Michel Hersen asked me (RA) to put together this Special Issue on Eye-Movement Desensitization and Reprocessing (EMDR), I quickly agreed. I was extremely excited about the opportunity to compile examples of both emerging, methodologically rigorous clinical research and “second-generation” protocol specification (e.g., EMDR methods for phobias). My excitement stemmed from the fact that the procedure seemed to produce positive effects in victims of severe trauma. Something was happening, and we were compelled to find out what, why, and how. As is usual in these types of things, I received both more and less than I bargained for. I will let the readers judge for themselves where deficits in experimental design and data interpretation lie. My co-editor and I refrained from “over-editing” articles, choosing instead to play devil’s advocate with each manuscript during the revision process in the hopes that the final papers would stand or fall on their core merits. We believe that we have accomplished this.

Keywords: ECommentary  ditorial  

Accuracy Verified: Yes


233. Terreri, L. (2005). EMDR e crisi d'astinenza [EMDR and withdrawal symptoms]. Bollettino per le Farmacodipendenze e l'Alcolismo del Ministero della Salute, 28(3/4), 25.

Language: Italian

Format: Newsletter

Abstract:
L’EMDR (acronimo di Eye Movement Desensitization and Reprocessing) è un metodo clinico ben strutturato che può integrare i programmi terapeutici aumentandone l’efficacia. Francine Shapiro ha scoperto che alcuni tipi di stimolazione esterna possono aiutare molto efficacemente una persona a superare un evento traumatico o emotivamente disturbante. Il metodo utilizza principalmente i movimenti oculari prodotti in un paziente invitandolo a seguire il movimento della mano del terapeuta (ma anche altre forme di stimolazione destro/sinistra come, ad esempio, il tapping sulle mani). L’EMDR si basa sull’ipotesi che l’evento traumatico “congeli” l’informazione nella sua forma ansiogena originale, nello stesso modo in cui è stato vissuto. L’informazione bloccata, “congelata” nelle reti neurali, continua a provocare vari disturbi psicologici. Pensare ad un evento traumatico mentre contemporaneamente il paziente esegue determinati movimenti oculari, invece, genera l’effetto di riprendere o accelerare l’elaborazione dell’informazione. L’EMDR provoca una migliore comunicazione tra gli emisferi cerebrali ristabilendo l’equilibrio eccitatorio/inibitorio e permette il raggiungimento di una risoluzione adattiva, integrata in uno schema cognitivo ed emotivo positivo, dell’esperienza del paziente. Il metodo, quindi, permette una desensibilizzazione rapida dei ricordi traumatici e una ristrutturazione cognitiva che porta a una riduzione significativa dei sintomi del paziente.

EMDR (which stands for Eye Movement desensitization and Reprocessing) is a well-structured clinical method that can integrate treatment programs increasing effectiveness. Francine Shapiro discovered that certain of external stimulation can help most effectively a person to overcome a traumatic event or emotionally disturbing. The method mainly uses eye movements produced in a patient requesting to follow the movement of the hand therapist (But also other forms of stimulation right / left as, For example, tapping on your hands). EMDR is based on the assumption that the traumatic event "freeze" information anxiety in its original form, the same way it was lived. Information blocked "Frozen" in neural networks, continues to cause various psychological disorders. Think of a traumatic event simultaneously while the patient performs certain eye movements, however, creates the effect of return or accelerate the processing. EMDR leads to better communication between the hemispheres restoring brain balance excitatory / inhibitory and allows the achievement of adaptive resolution, embedded in a positive emotional and cognitive schema, experience of the patient. The method, therefore, allows a rapid desensitization of traumatic memories and a cognitive restructuring that leads to a reduction significant symptoms of the patient.

Keywords: Withdrawal Symptoms  

Accuracy Verified: Yes


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

Language: Italian

Format: Conference

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

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

Keywords: Eating Disorders  

Accuracy Verified: Yes


235. Hartung, J. (2007, Novembero). EMDR e Psicologia de la Energía [EMDR and the psychology of energy]. Pós-Conferência presentación en el Congresso Ibero-Americano de EMDR, Brasilia, Brasil.

Language: Spanish

Format: Conference

Abstract:
John Hartung, Psy.D. tem trabalhado há mais de dez anos em 25 países como clínico e treinador de EMDR. Defende o uso do EMDR para eliminação de sintomas assim como para o aprimoramento do pensamento, emoções e comportamentos positivos. John tem observado que a aplicação do EMDR pode avançar se outras estratégias forem utilizadas em conjunto com EMDR, tais como aquelas idealizadas para a contenção de emoções intensas (“ab-reações”), que ocorrem freqüentemente no EMDR. Com o aumento da contenção emocional, certos riscos vinculados ao emprego do EMDR por profissionais também são reduzidos: 1) EMDR pode ser utilizado com populações mais vulneráveis e que tradicionalmente tem sido excluídas do tratamento com esta abordagem, e 2) os terapeutas têm menor relutância em expandir o seu alcance. Entre as estratégias e táticas a serem discutidas e apresentadas neste workshop estão: respiração terapêutica e parassimpática, treinamento em coerência cardíaca da tradição Heartmath, métodos baseados na medicina chinesa, e métodos especiais para o uso de estimulação bilateral do EMDR de forma mais lenta e menos intensa.

John Hartung, Psy.D. has worked for more ten years in 25 countries as an EMDR clinician and trainer. Advocates the use of EMDR for disposal of symptoms as well as for the improvement of thought, emotions and behaviors positive. John has observed that the application EMDR can move forward if other strategies are used in conjunction with EMDR, such as those envisioned for the containment of emotions intense ("ab-reactions") that occur frequently in EMDR. With increasing emotional restraint, certain risks linked to use of EMDR professionals are also reduced: 1) EMDR can be used with vulnerable populations and has traditionally been excluded from treatment with this approach, and 2) the therapists are less reluctant to expand their reach. Among the strategies and tactics to be discussed and presented in this workshop are: breathing therapy and parasympathetic training in cardiac coherence of tradition HeartMath, methods based in medicine Chinese, and special methods for the use of bilateral stimulation of EMDR more slow and less intense.

Keywords: Energy Psychology  

Accuracy Verified: Yes


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

Language: Spanish

Format: Conference

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

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

Keywords: Positive Psychology  

Accuracy Verified: Yes


237. Salomoni, S. R. (2012, Novembro). EMDR e terapia familiar: Um caso de fibromialgia [EMDR and family therapy: A case of fibromyalgia]. In EMDR e fibromialgia. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Terapia Familiar Sistêmica, de forma integrada. Objetivo: Demonstrar como a associação das duas abordagens permite alterar o foco do individual para o familiar e do familiar para o individual, resultando em superação de traumas e integração individual, com relações mais saudáveis. Método: O EMDR foi utilizado para reprocessar traumas, a partir de queixas da cliente. Segundo Bruck, “o trauma é uma experiência que explode a capacidade de suportar um revés, traz perda de sentido, desorganização corporal e paralisação da consciência corporal; pode deixar marcas que influenciam a criatividade e a motivação para a vida”. Assim, mesmo uma pessoa com boa estrutura de personalidade, resiliente e com família funcional, não está imune ao trauma.O outro pilar teórico norteador do trabalho é a Terapia Familiar, uma vez que os modelos de transação experimentados na família de origem constituem-se matrizes de aprendizagem para as transações sociais futuras. Para Souza, a família é um microcosmo, um universo em miniatura, representativo do mundo lá fora e do lá dentro de cada um de nós. Considera-se também a rede social pessoal, definida por Sluzki como a soma das relações que o indivíduo percebe serem significativas para si. Desta maneira, busca-se a dinâmica na família, que pode facilitar ou dificultar o trabalho com o indivíduo. Com o EMDR lidamos com traumas recentes e antigos e com crenças limitantes, e a partir daí são mobilizados recursos positivos inacessíveis até então, devido ao bloqueio de traumas. Esses recursos individuais já mais acessíveis são então integrados na vida familiar e social. Resultados: Apresento o caso de uma moça de 28 anos com diagnóstico médico de fibromialgia, universitária, que tinha abandonado os estudos e estágio, com fortes dores e muito tempo na cama, que após 15 sessões de psicoterapia, incluindo as sessões familiares, voltou às suas atividades normais.

Systemic Family Therapy, seamlessly. Objective: To demonstrate how the combination of the two approaches allows you to change the focus from the individual to the family and the family for the individual, resulting in overcoming traumas and individual integration with healthier relationships. Method: The EMDR was used to reprocess trauma, from customer complaints. According to Bruck, "trauma is an experience that explodes the ability to support a setback, brings loss of meaning, and paralysis of body clutter body awareness, can leave marks that influence creativity and motivation for life." Thus, even a person with good personality structure, resilient and functional family, is not immune to trauma.O another pillar guiding theoretical work is Family Therapy, once the transaction models experienced in the family of origin constitute matrices of social learning for future transactions. For Souza, the family is a microcosm, a miniature universe, representative of the outside world and the inside of each of us. It is also considered a social network, defined by Sluzki as the sum of the relations that the individual perceives itself to be significant. In this way, search the dynamics in the family, which can facilitate or hinder the work with the individual. With EMDR deal with recent and old traumas and limiting beliefs, and from there are positive resources mobilized hitherto inaccessible, due to blockage of trauma. These individual features are now more accessible then integrated into family and social life. Results: I present the case of a girl of 28 years with a medical diagnosis of fibromyalgia, university, who had abandoned his studies and internship, with severe pain and a lot of time in bed, that after 15 sessions of psychotherapy, including family sessions, returned to their normal activities.

Keywords: Family Therapy  Fibromyalgia  

Accuracy Verified: Yes


238. Tonetti, F. (2008, Novembre). EMDR e trauma complesso in adolescente [EMDR and trauma in adolescents complex]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
N. è stata portata in Italia a 14 anni con l’illusione di lavorare come baby sitter, finisce invece vittima dello sfruttamento sessuale organizzato e per circa un anno subisce violenze sessuali, fisiche e psicologiche. Con forza e coraggio notevoli, riesce a fuggire, nuda, da un’auto dove stava subendo l’ennesima violenza. Ha gravi lesioni sul corpo, viene soccorsa e portata in ospedale, dove decide di denunciare i suoi vittimizzatori. Il caso finisce alla Procura del Tribunale per i Minorenni e N. viene collocata, sotto falso nome, in una comunità. Il mio primo contatto con la ragazza avviene quando ha 16 anni ed è in comunità da cinque mesi. Presenta ancora i sintomi invadenti del PTSD: flashback, incubi, panico, pensieri ossessivi, isolamento, distacco emotivo che a volte la fa apparire molto calma, sovreccitazione. Non sa controllare gli impulsi e regolare le emozioni: passa dalla rabbia, che sfoga picchiando pugni contro il muro fino a ferirsi o spaccando tutto ciò che le capita sotto mano, alla eccitazione, alla depressione con sentimenti di inutilità a vivere, di colpa e di vergogna (sintomi di PTSD Complesso). Propongo e spiego da subito l’EMDR ritenendo che sia l’unico approccio terapeutico utile; stabiliamo piano terapeutico e N. esprime il suo consenso al trattamento. Particolare attenzione, data la problematicità, alla fase di preparazione e stabilizzazione. Nell’anamnesi emerge primo trauma a 10 anni, prima ricorda di essersi sentita amata e protetta. Rafforzo queste esperienze positive che diventano risorse in suo possesso. Fondamentale si rivela la psicoeducazione sui disturbi: N. accoglie con sollievo l’idea che non è “pazza” o “indemoniata” ma solo traumatizzata. Immaginiamo comportamenti alternativi per esprimere le emozioni e strategie di coping. Posto al Sicuro: servono due sedute per stabilizzare e installare il posto al sicuro. Il protocollo EMDR sarà applicato fedelmente nelle sue fasi; i target del passato affrontati in ordine cronologico. N. è sempre partita da 1 nella scala VoC e da 10 nella SUD; ha concluso tutte le sedute con SUD: 0 e VoC: 6 /7. Ha avuto abreazioni e una volta ha chiesto di fermarsi: la NC era”sto per morire”. Sono stati raggiunti, dopo 10 mesi di terapia, gli obiettivi del piano terapeutico: la sintomatologia post-traumatica si è risolta dopo otto sedute.

No was taken to Italy 14 years with the illusion of working as a babysitter, instead ends up a victim of sexual exploitation and organized for about a year suffer sexual violence, physical and psychological. With remarkable courage and strength, manages to escape, naked, from where a car was undergoing yet another violence. He has serious injuries on the body, is rescued and taken to hospital, where he decides to denounce his victimization. The event ends at the General Prosecutor of the Juvenile Court and N. is placed under a false name, in a community. My first contact with the girl when she is 16 years and is shared by five months. Still has the intrusive symptoms of PTSD: flashbacks, nightmares, panic, obsessive thoughts, isolation, emotional detachment that sometimes makes it appear very calm, excitement. Can not control impulses and regulate emotions: anger passes, which unleashed banging his fists against the wall until injury or cracking everything that happens at hand, the excitement, depression with feelings of futility in life, guilt and shame (symptoms of complex PTSD). Propose and explain EMDR now believing it is the only therapeutic approach useful, we establish a treatment plan and N. expresses its consent to treatment. Particular attention, given the problematic, the preparation and stabilization. Nell'anamnesi apparent trauma to the first 10 years, first recalls that she felt loved and protected. Reinforces these positive experiences that become resources in their possession. Reveals the basic psychoeducation about the disorder: No welcomes with relief the idea that is not "mad" or "possessed" but traumatized. Imagine alternative behaviors to express emotions and coping strategies. Safe place: it takes two sessions to stabilize and secure way to install. The EMDR protocol is applied faithfully in its early stages, the targets of the past dealt with in chronological order. No always started from a ladder in VOC and 10 in South, has completed all the sessions with SUD: 0 and VOC: 6 / 7. Abreactions and had once asked to stop: the NC was "I am going to die." Were achieved after 10 months of therapy, the goals of treatment plan: post-traumatic symptoms resolved after eight sessions.

Keywords: Adolescents  Complex Trauma  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

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

Keywords: Adults  Intellectual Disability  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


240. Quinn, G. (2011, June). EMDR emergency treatment for manmade and natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Program’s (HAP) Disaster Manual and Marilyn Luber’s: EMDR Scripted Protocols: Basic and Special Situations (2009) was developed to deal with victims of natural and manmade disaster within hours of exposure to trauma. Learning objectives: Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment. The EMDR Group Protocol will be presented as utilized in the Tsunami of 2004 and during war. A practicum will follow.

Keywords: Acute Trauma  Emergency Treatment  Man-Made Disasters  Natural Disaasters  

Accuracy Verified: Yes


241. 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


242. Aneiros, I., González, A., Laredo, M., Mosquera, D., Taboada, M. J., & Sánchez-Caballero, I. V. (2012, Setembro ). EMDR en el tratamiento de la depresión [EMDR in the treatment of depression]. Psicologia, 16, 22-36. Retrieved from http://www.psiquiatria.com/bibliopsiquis/handle/10401/5515 on 12/5/2012.

Language: Spanish

Format: Magazine

Abstract:
La depresión constituye actualmente uno de los problemas más acuciantes en el ámbito de la salud mental. Este artículo presenta una revisión bibliográfica en la que se refleja la eficacia de la terapia de Desensibilización y Reprocesamiento por Movimientos Oculares (EMDR por sus siglas en inglés, Eye Movement Desensitization and Reprocessing) en el tratamiento de los trastornos depresivos. Aunque este enfoque psicoterapéutico surge inicialmente como una herramienta eficaz en el tratamiento de los trastornos de base traumática, existe cada vez mayor evidencia acerca de su efectividad en el tratamiento de la depresión, dada la relación existente entre la aparición de este trastorno y los acontecimientos vitales estresantes. Presentamos además una visión general de la terapia EMDR y sus ocho fases, y el modelo sobre el que se sustenta, el Modelo PAI (Procesamiento Adaptativo de la Información). El Modelo PAI explica las bases de la patología, predice éxitos en los resultados clínicos, y guía en la conceptualización de casos y los planes de tratamiento. En consonancia con otras teorías del aprendizaje, el modelo PAI propone la existencia de un sistema de procesamiento de la información capaz de integrar nuevas experiencias en las redes de memoria ya existentes. Esas redes de memoria constituyen las bases de la percepción, de las actitudes y del comportamiento. Las percepciones acerca de las situaciones actuales se conectan automáticamente con las redes de memoria asociadas.

At present, the Depression is one of the most pressing problems in the field of the mental health. This article presents a bibliography review where the EMDR (Eye Movement Desensitization and Reprocessing) approach shows efficacy in the Depressive Disorders. Although, this psychotherapy approach emerges, in the beginning as a efficiency tool in the treatment of the disorders with traumatic basis, its increasingly clear the evidence about of EMDR effectiveness in the Depression treatment, under the relationship between the inception of the disorder and vital stress events. We present an overview of the EMDR therapy, his eight phases and the AIP (Adaptative Information Processing) model is supported on. The AIP model explains the basis of pathology, predicts successful clinical outcomes, and guides case conceptualization and treatment procedures. Consistent with other learning theories, the AIP model posits the existence of an information processing system that assimilates new experiences into already existing memory networks. These memory networks are the basis of perception, attitudes, and behavior. Perceptions of current situations are automatically linked with associated memory networks.

Keywords: Adaptive Information Model  AIP Model  Depression  PAI Model  Stressful Events  

Accuracy Verified: Yes


243. Greenwald, R. (1998, July). EMDR for anger management and anger reduction. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will learn: 1) and practice a comprehensive protocol for the individual portion of the treatment of adolescents and adults with antisocial, violent, and/or criminal behaviors; 2) how to integrate EMDR into the initial interview to facilitate a commitment to change through treatment; 3) how to integrate EMDR into a comprehensive cognitive-behavior program for anger management, impulse control, and reduction of reactivity to provocation; and 4) how to integrate EMDR for trauma and loss in the treatment of angry/impulsive adolscents and adults.

Keywords: Anger Management  Anger Reduction  

Accuracy Verified: Yes


244. Ribchester, T., Yule, W., & Duncan, A. (2010). EMDR for childhood PTSD after road traffic accidents: Attentional, memory, and attributional processes. Journal of EMDR Practice and Research, 4(4), 138-147. doi:10.1891/1933-3196.4.4.138.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) was used with 11 children who developed posttraumatic stress disorder (PTSD) after road traffi c accidents. All improved such that none met criteria for PTSD on standardized assessments after an average of only 2.4 sessions. Signifi cant improvements in PTSD, anxiety, and depression were found both immediately after treatment and at follow-up. Attentional, memory, and attributional processes associated with PTSD were assessed and their relationship to therapeutic change examined. Treatment was associated with a signifi cant trauma-specifi c reduction in attentional bias on the modifi ed Stroop task, with results apparent both immediately after therapy and at follow-up.

Keywords: Attention  Attribution  Child  Memory  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


245. 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


246. Blore, D. (2004, February). EMDR for workplace trauma. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.

Language: English

Format: Conference

Abstract:
The Industrial use of EMDR requires an understanding of the subtleties of multi-relationship working, it is not just about clinical change, but about commerce, efficiency and secondary agendas - and there are frequently dilemmas....This paper aims to solve some of the issues that arise when an EMDR clinician leaves the relative 'protection' of the NHS and uses EMDR in the 'real world' of commerce and industry. As such, this paper extends some of the principles discussed in the original paper: 'EMDR and the Workplace...helpful hints for the practitioner. The author starts by pointing our that Industry is not psychologically minded and that others' perceptions and agendas may be at odds with 'purest clinical objectives.' When using EMDR, this means modifying and stressing certain parts of the basic EMDR protocol. The remainder of the paper goes through the EMDR phases and identifies each change.

Keywords: Trauma  Workplace  

Accuracy Verified: Yes


247. Kiessling, R. (2013, May). EMDR from a belief focused perspective. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
Beliefs are the meta-perception of life’s experiences (Shapiro 2001). Target Sequence Plans bundled around core belief schema provide an effective, efficient and safe approach to case conceptualization and EMDR treatment. This workshop will clarify questions asked by EMDR Clinicians such as: • Are all NC/PCs Core Belief Schemas? • Are your Targeting Sequence Plans Core Belief Schema Bundled or just a shotgun of targets based upon “What do you want to work on today?” • Does “What does it say about you” really address ‘what it means about you!? • Are you’ staying out of the way’ when you should be ‘leading the way’! These and others questions will be clarified through lecture, case examples and video demonstrations. Through lecture, video demonstration, and practice, participants will: • Name 3 major differences between the Standard EMDR Protocols and Procedures and EMDR from a ‘Belief Schema Perspective.’ • Describe the 4 primary Belief Schemas used in the ‘Belief Schema Perspective’ to EMDR, and how they assist the case conceptualization and processing. • Demonstrate the ability to develop a Belief Focused Targeting Sequence Plan and appropriately process the targets identified within the Standard Three Pronged Protocol.

Keywords: Core Beliefs  

Accuracy Verified: Yes


248. Dworkin, M. (2003, September). EMDR from the heart: A relational view of healing traumatic memories. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Many memories, explicit and implicit, and their concomitant sensations, are stimulated intersubjectively, spontaneously, and continuously, forming a multiplicity of feedback loops from clinician to client. This workshop 1s designed to raise the awareness of the clinician's witting and unwitting participation in these processes. Transferential remarks may become sources of potential targeting, which may spontaneously bring the client back to old unfinished material. Somatosensory countertransferential reactions may serve as sources of rich data to identify and work out blocks at a moment that a session seems to stall. The Relational Interweave, a relatively new intersubjective strategy, takes reactions of clinician and client into account and opens opportuntities for new and more powerful links to positive neural networks enhancing the work. This workshop will teach rapid methods of identifying and sequencing and intervening in these intersubjective processes.

Keywords: Relational Interweave  Relational Strategies  

Accuracy Verified: Yes


249. Jacob, P. (2012, Novembro). EMDR gerando frutos: Relato de caso [EMDR generating fruits: A case report]. In casos clínicos I. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Já é sabido no meio científico ligado ao EMDR e percebido diariamente nos consultórios dos psicoterapeutas que utilizam essa técnica inovadora que a terapia por EMDR tem um alcance muitas vezes maior do que o inicialmente planejado. A presente apresentação objetiva relatar um desses casos: o caminho da psicoterapia de Ana (nome fictício), de trinta e seis anos de idade, desde seu pedido inicial de amenizar sua autocobrança excessiva, passando pelo momento em que percebeu que sua crença negativa mais atuante poderia ser um dos fatores que impediam sua fertilidade, até sua gravidez, antes imaginada como impossível. Após quase três anos de tentativas frustradas de engravidar naturalmente, Ana procurou uma clínica de reprodução humana. Nos sete anos seguintes Ana passou por vários tratamentos, entre eles duas inseminações com resultado positivo que resultaram em abortos retidos algumas semanas depois, e uma fertilização com sucesso até o final, a gestação da qual nasceu seu filho, hoje com cinco anos de idade. Embora sem um diagnóstico preciso, os médicos que a acompanharam durante todos esses anos, levando em conta seu histórico, relatavam que Ana apresentava uma esterilidade sem causa aparente, com somente 1% de chance de engravidar naturalmente. Este trabalho sistematiza e compartilha a fase do tratamento por EMDR desta paciente que resultou na gravidez tão celebrada. Palavras-chave: EMDR; esterilidade; infertilidade; gestação. 4. 3. Depressão por Parto na Adoção: A Cura pelo EMDR Roberta Vanessa Torres - Psicóloga Clínica, Especialista em Saúde Coletiva, Psicóloga Social em abrigos, Terapeuta de EMDR (em formação) Esse trabalho anos, levando em conta seu histórico, relatavam que Ana apresentava uma esterilidade sem causa aparente, com somente 1% de chance de engravidar naturalmente. Este trabalho sistematiza e compartilha a fase do tratamento por EMDR desta paciente que resultou na gravidez tão celebrada.

It is known in scientific circles connected to EMDR and perceived daily in the offices of psychotherapists who use this innovative technique that EMDR therapy has a range many times greater than originally planned. This presentation aims to report a case in point: the path of psychotherapy Ana (not her real name), thirty-six years old, since its initial order to mitigate their excessive autocobrança past the moment he realized that his negative belief more active could be one of the factors that hindered their fertility until her pregnancy before imagined as impossible. After nearly three years of failed attempts to conceive naturally, Ana sought a clinical human reproduction. In the seven years following Ana underwent various treatments, including two inseminations with positive outcome that resulted in miscarriages held a few weeks later, and a successful fertilization until the end of the pregnancy which was born his son, now five years old. Although without an accurate diagnosis, doctors who accompanied her all these years, taking into account its historical, reported that Ana had a sterility without apparent cause, with only a 1% chance of getting pregnant naturally. This paper systematizes and shares the stage EMDR treatment for this patient that resulted in pregnancy so celebrated. Keywords: EMDR; sterility, infertility, pregnancy. 4th. 3rd. Depression by Calving in Adoption: Healing the EMDR Roberta Vanessa Torres - Clinical Psychologist, Specialist in Public Health, Social Psychologist in shelters, EMDR Therapist (in training) This work years, taking into account its historical, reported that Ana had a sterility without apparent cause, with only a 1% chance of getting pregnant naturally. This paper systematizes and shares the stage EMDR treatment for this patient that resulted in pregnancy so celebrated.

Keywords: Case Study  Fertility  Pregnancy  Sterility  

Accuracy Verified: Yes


250. Farrell, D., Keenan, P., & Basil, J. (2006, March). EMDR HAP training in India in the aftermath of the tsunami. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.

Language: English

Format: Conference

Abstract:
On 26th December 2005 the southern coastline of India was hit by a tsunami, which resulted in the deaths of over 28,000 people. This natural disaster caused the widespread devastation to the region. As part of the EMDR Humanitarian Assistance Programme as series of EMDR Levels 1 and 2 were established in Chennai, Southern India offering training to mental health workers specifically working the tsunami affected areas. The project was funded by Cerner/First Hand Foundation project with the remit primarily focusing upon the trauma impact upon children. For the purpose of this presentation, the Chennai project will be outlined, providing insight into how the trainings were carried out from a teaching and learning perspective. It will also consider trauma experiences from a cultural viewpoint, which potentially challenges western constructs of PTSD phenomena. Particular attention wil be focused upon the aspects of the Negative and Positive Cognition and how this seems to be potentially a cultural component to the EMDR protocol. Indian practitioners determined that 'mind and body' are one in the same. Yet EMDR training emphasises the importance of distinguishing between thoughts and feelings. As a result many of the trainees struggled with this aspect. Discussion will also explore more widespread trauma characteristics of the tsumani including how the trauma impacted from an individual, family, and community perspective.

Keywords: HAP Training  Tsunami  

Accuracy Verified: Yes


251. Shapiro, F. (2012, September). EMDR Humanitarian Assistance Programs: Building sustainable mental health resources worldwide. ISTSS Traumatic StressPoints, 26(5), 2-3.

Language: English

Format: Newsletter

Abstract:
EMDR Humanitarian Assistance Programs (HAP) began in 1995 as a response to the Oklahoma City bombing. An FBI agent who had previously received EMDR therapy called requesting help, stating that the local mental health professionals were overwhelmed by the task. After a needs assessment, approximately 100 volunteer clinicians trained in EMDR therapy were rotated in to provide pro bono treatment for the bombing victims and front-line responders. A program evaluation indicated that over 80 percent achieved beneficial treatment effects within three sessions, and, in the same year, a study using a delayed treatment control group also showed positive results (Wilson, Becker & Tinker, 1995). Subsequently, free trainings in EMDR therapy were offered and provided to 290 clinicians in collaboration with local agencies. The feedback was so positive that a 501(c)3 organization was soon established. [Excerpt]

Keywords: EMDR-HAP  

Accuracy Verified: Yes


252. Quinn, G. (2013, June). EMDR immediate emergency treatment for manmade and natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress. The Emergency Response Procedure (ERP) was developed to deal with victims of natural and manmade disaster within hours of exposure to trauma.
Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities.
Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war.
In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, and modified by Elan Shapio and Brurit Laub in R-TEP will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment.
A practicum will follow on ERP.
Learning objectives: Within the overall context of the principles of Psychological First Aid, to learn how to respond to clients in the immediate aftermath of trauma utilizing ERP; To apply ERP in the event of strong abreaction during the initial phase of History-taking, prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions; To learn when and how to use ERP for patients exhibiting “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in an ambulance en route to medical facilities; How to utilize the Recent Events Protocol in the face of ongoing danger; To understand EMDR methods that may be used in emergency settings where multiple patients need rapid treatment

Keywords: Disaster  Emergency Response Procedure  ERP  Extreme Stress  Silent Terror  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Chronic Pain  

Accuracy Verified: Yes


254. Shapiro, F., & Forrest, M. (2002). EMDR in aktion - Die neue kurzeittherapie in der praxis [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. Paderborn, Germany, Junfermann Verlag GmbH & Co.

Language: German

Format: Book

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) ist eine von Francine Shapiro entwickelte innovative klinische Behandlungsmethode für Trauma-Opfer. Aufgrund äußerst positiver neuer Untersuchungsergebnisse ist EMDR mittlerweile die am gründlichsten untersuchte Methode zur Behandlung der Posttraumatischen Belastungsstörung (PTBS). Gleichzeitig werden Untersuchungen über die Möglichkeiten der Anwendung von EMDR bei anderen Störungen durchgeführt. EMDR ist eine zeitsparende, umfassende Methode zur Behandlung traumatischer Erfahrungen, die die Ursache vieler Pathologien sind. Als integratives Therapiemodell, das verhaltenspsychologische, kognitive, psychodynamische, körperorientierte und systemische Elemente umfaßt, ermöglicht EMDR, in relativ kurzer Zeit tiefreichende und stabile Resultate zu erzielen. Die EMDR-Behandlungssequenz, die acht Phasen umfaßt und Augenbewegungen sowie andere Methoden der Rechts-Links-Stimulation nutzt, hilft Trauma-Opfern bei der Aufarbeitung beunruhigender Gedanken und Erinnerungen. Dieses umfassende Basiswerk zum Thema EMDR gibt einen Überblick über die Entwicklung und Erforschung der neuen Methode. Zu den vielen Patientengruppen, bei denen mit EMDR gearbeitet werden kann, zählen die Opfer von sexuellem Mißbrauch, von Verbrechen, kämpferischen Auseinandersetzungen, Kriegsfolgen und Phobie-Patienten. Als Einführung in eine neue wichtige Methode im Bereich der Traumabehandlung ist dieses Buch eine unverzichbare Lektüre für alle Kliniker und Forscher, die sich für die Arbeit mit Trauma-Opfern interessieren. Das Lehrbuch zu EMDR, dieser neuen, so überaus erfolgreichen Therapiemethode zur Behandlung von Traumaopfern.

EMDR (Eye Movement Desensitization and Reprocessing) is a technology developed by Francine Shapiro innovative clinical treatment for trauma victims. Due to extremely positive new findings EMDR is now the most thoroughly studied method for the treatment of post traumatic stress disorder (PTSD). At the same tests are carried out on the possibilities of the use of EMDR with other disorders. EMDR is a time-saving, comprehensive method for the treatment of traumatic experiences, which are the cause of many diseases. As an integrative therapy model includes the behavioral, cognitive, psychodynamic, body-oriented and systemic elements, EMDR allows to achieve in a relatively short time, profound and stable results. The EMDR treatment sequence that includes eight stages, and uses eye movements as well as other methods of left-right stimulation helps trauma victims in the processing disturbing thoughts and memories. This comprehensive work based on EMDR provides an overview of the development and exploration of the new method. Among the many groups of patients that can be worked in those with EMDR, including the victims of sexual abuse, crime, fight conflicts, war and phobia patients. As an introduction to an important new method in the field of trauma treatment, this book is a unverzichbare reading for all clinicians and researchers interested in working with trauma victims. The textbook to EMDR, this new, so very successful treatment method for the treatment of trauma victims

Keywords: Practice  Theory  

Accuracy Verified: Yes


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

Language: German

Format: Newsletter

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

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

Keywords: Motion  Movement  

Accuracy Verified: Yes


256. 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


257. Poon, Wai-Ling, M. (2012). EMDR in competition with fate: A case study in a Chinese woman with multiple traumas. Case Reports in Psychiatry, 2012, 1-4. doi:10.1155/2012/827187.

Language: English

Format: Journal

Abstract:
This paper described the application of eye movement desensitization reprocessing (EMDR) for addressing the posttraumatic stress disorder (PTSD) symptoms in a Chinese woman who had experienced multiple traumas in her childhood. EMDR is an integrative therapeutic intervention that uses a standardized eight-phase approach to treatment. It is also a proven, effective, and efficient treatment for trauma. In this client with multiple traumas, the etiological event that lay the foundation of her dysfunctional responses was reprocessed first. The successful resolution of this event allowed the positive treatment effects to transfer to other traumatic events of a similar theme. This case also illustrates the importance of identifying a culturally appropriate positive cognition (PC) in contributing to the success of the treatment.

Keywords: Case Study  China  Trauma  Woman  

Accuracy Verified: Yes


258. Gonzalez, A., Seijo, N., & Mosquera, D. (2009, August). EMDR in complex trauma and dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
EMDR can be safely used during the stabilization phase in a group of severely traumatized patients, not only to install positive elements, but to process dysfunctional elements (not necessarily traumatic memories, but patient-therapist relationship problems, defenses, symptoms, dissociative phobias, etc.). To postpone standard protocol until the patient has been prepared to do it in the standard way implies that the patient must resolve many of their problems without the help of EMDR processing. We will try to “think in EMDR” about severe dissociation, rather than directly apply foreign theories to EMDR work. Protocol modifications include progression, fractionation, synthesis and direction.

Keywords: Complex Trauma  Dissociative Disorders  

Accuracy Verified: Yes


259. Gambuzza, C. A. (2010, June). EMDR in complex trauma of perinatal disorder and abuse. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .

Language: English

Format: Conference

Abstract:
This paper reports a case of PN-PTSD (Perinatal Disorder), this being a disorder that is not frequently diagnoses and not classified in DSM-IV, where a technical variation of floatback, i. e., floatback-floatforward on timeline successfully overcame the posttraumatic amnesia, optimized access to the dissociated parts of the Self, and integrated the Internal Family System with EMDR and Ego State Therapy. The sixteen year old patient, S, sniffed heron and practised self mutilation. After two years' therapy the family secret was revealed in a dream and led us towards the abuse. I adopted the theoretical reference models on dissociation reported by M. Steinberg, B. A. van der Kolk, 0. van der Hart, and C. McFarlane's operative EMDR model and Ego State Therapy. The aim of the therapy was to rebuild integrity of the Self and to foster individualization- separation processes. The main goal was create a sense of loyalty during therapy that would allow S to be able to control in transitions in her dissociated mental states. Negotiation between the ego states were created so that S could face the states of terror and anxiety and gradually become integrated. Alter had different names and distinctively different preferences and personality traits, at times those alter took complete executive control of the body and of the self. Initially the alter has names outside the Self, then during the course of therapy their names began with '5'. The dissociated alters have become targets far EMDR. The story of S, revolves round two traumas: PN-PTSD and abuse. Perinatal trauma and uterine perception of her mother's depressive emotional states triggered difficulties in the child latching on to the mother's breast, and the lack of mirroring and affective syntonization caused the failure of internalization processes that lead to identity. 5 was aware of the trauma of abandonment, but not of the trauma of abuse that she defined as 'a deep impenetrable hole'. In order to address the life-threatening trauma. S used an invasive ego-dystonic coping mechanism: dissociation of the object and the Self. By placing the abuse in an alter, S could still feel attached to her family members that abused her, actively or passively using silence. While the DES scale did not provide significant dissociation results, the SCID-LIST furnished high values. The self-mutilation practised by S may represent her hate of her body that did not rebel to the abuse it was subjected to, or, as she said it may represent "a way to punish herself for the guilt of existing or to inflict upon herself physical pain to conceal the anxiety of death". EMDR was a challenge; it reached the preverbal states of the arena of the primary process, it bound with emotions and led her to symbolization, t resolved the traumatic matter that was frozen In the neural networks and determined Self- integration. The Ego States Therapy was a useful tool.

Keywords: Perinatal Disorder  

Accuracy Verified: Yes


260. Kaslow, F. W., Nurse, A. R., & Thompson, P. (2002). EMDR in conjunction with family systems therapy. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 289-318). Washington: American Psychological Association.

Language: English

Format: Book Section

Abstract:
The field of family therapy seemed to coalesce around 1960, although some of the early pioneers were already conducting and writing about family systems and treating multipatient units before then. This chapter offers a brief overview of the field and then provides case studies in which EMDR is the primary treatment methodology, used within a family systems perspective, or both. [Text, p. 289]TOPICS TREATED: Evolution of the field (key concepts; various conceptual models); EMDR and family systems therapy (Case studies: EMDR used to break an impasse, EMDR used to facilitate effective coparenting during a divorce, EMDR used in a transgenerational transmission process; additional uses of EMDR with family systems therapy); EMDR and traditional thought in family systems therapy; Description of positive treatment effects of EMDR; How EMDR lets family therapists use what they know; How EMDR extends the outcomes of family therapy; Suggestions for strengthening EMDR; Using EMDR to investigate interesting areas in family therapy.

Keywords: Adults  Family Therapy  Life Experiences  Marital Problems  Psychotherapeutic Processes  Survivors  

Accuracy Verified: Yes


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

Language: German

Format: Journal

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

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

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

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Attachment  Childhood Abuse  Dimension of Cognitions  Dissociation  Processing  

Accuracy Verified: Yes


263. van den Berg, D. P. G. (2011, August-September). EMDR in patients with psychotic disorders and PTSD: A pilot study. In PTSD in patients with psychotic disorders. Symposium conducted at the 41st EABCT Annual Congress, Reykjavík, Iceland.

Language: English

Format: Conference

Abstract:
Introduction: Mueser at al. (2008) showed that a treatment program that was predominantly based on cognitive restructuring was effective and safe in treating PTSD in patients with Serious Mental Illness. However, only 15.7% of the participants in this study had a psychotic disorder. Frueh et al. (2009) conducted a pilot study into PTSD treatment in patients with schizophrenia and schizoaffective disorders (n=20). At three month follow-up twelve out of thirteen completers no longer met criteria for PTSD. Treatment caused no adverse events. Unfortunately psychosis measures were not included in this study. A third therapy with strong empirical support for its efficacy in treating PTSD is Eye Movement Desensitization and Reprocessing (EMDR, Bisson et al., 2007; Bradley, Greene, Russ, Dutra, & Westen, 2005; Seidler & Wagner, 2006). In this presentation the results of a feasibility trial (n=27) of EMDR in patients with psychosis and comorbid PTSD will be presented. Method: An open pilot trial of EMDR in treating PTSD symptoms in participants with a diagnosis of schizophrenia or an other psychotic disorder. Participants were all outpatients from community mental health centres in the Netherlands. After referral to the study patients were screened for PTSD with the Clinician Administered PTSD Scale (CAPS, Blake et al., 1990). If PTSD was diagnosed baseline measurements were performed after which an informed consent was obtained. Treatment consisted of a maximum of six weekly EMDR sessions, after which post measurements were taken. Results: EMDR was effective in alleviating PTSD symptoms. Out of the 25 completers, only 7 still met criteria for PTSD at post measurement. Treatment did not result in adverse events. In fact, other symptoms, such as delusions, auditory verbal hallucinations, anxiety and depression decreased significantly, e.g. only four out of the nine participants that reported voices at baseline still reported voices at end of treatment. Conclusions: The preliminary conclusion is that treating PTSD in patients suffering from psychosis with EMDR is feasible, is safe and has a positive influence on other symptoms.

Keywords: Pilot Study  Postraumatic Stress Disorder  PTSD  Psychotic Disorders  Symposium  

Accuracy Verified: Yes


264. Parnell. L. A. (1999, June). EMDR in the treatment of adults abused as children. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to describe the three phases of treatment; 2) be able to use at least three ego strengthening methods using EMDR, including identification, development, and installation of inner and outer resources important for preparing clients for EMDR processing, such as: safe place, positive internal resource images, such as the inner advisor child-self – adult-self assessment and development, nurturer and protector figures, spiritual resources, positive memories, images from nature, and others; 3) learn tips for successful target development; 4) learn how to develop and use special targets for EMDR processing such as: visual memories, including flashbacks; dreams; artwork; emotions, physical sensations, and body memories; TV shows and movies; and negative cognitions; 5) learn helpful modifications to the standard EMDR procedural steps; 6) learn at least two interventions to help clients who experience problems during EMDR processing with, such as dissociation, numbness, sleepiness, lack of channel activation and integration, and memory chaining; 7) learn at least two suggestions for working with client transference; 8) learn at least five techniques for working with blocked processing and abreactions; 9) learn how to use a selection of imaginal and cognitive interweaves; and 10) learn at least three techniques for closing incomplete sessions.

Keywords: Abreaction  Abuse  Adults  Blocked Processing  Closing Incomplete Session  Cogntive Interweave  Ego Strengthening  Imaginal Interweave  Target Development  Transference    

Accuracy Verified: Yes


265. McMahon, E. (2002). EMDR in the treatment of attachment and bonding difficulties. In J. Morris-Smith (Ed.), EMDR: Clinical applications with children, Occasional paper no. 19 (pp. 31-36). London: The Association for Child Psychology and Psychiatry.

Language: English

Format: Book Section

Abstract:
A case of a young mother with an insecure attachment history herself who suffered severe post-natal depression after the birth of her first child and who regretted having this baby. Although recovering well from depression when first seen, having benefited from drug therapy and group therapy, there ware nevertheless little progress regarding her bonding with the child. Assessment indicated the emergence of an insecure/ambivalent attachment on the part of the baby resulting in excessive clinginess, sleeping, feeding and management difficulties. Apart from EMDR a number of other models of therapy were used in this case, including mother-infant psychotherapy, solution-focused and narrative therapy. In my own estimation, and in feedback from Susan, EMDR was the most powerful of all interventions. I think this care then represents a very good example of how EMDR is integrated with other therapeutic approaches. In terms of our understanding of this process, one conceptual model (Shapiro, 1995) is that the positive perspective and more adaptive interpretation that traditional therapy provides – including insight and a coherent narrative – is held in a separate neurological network and therefore cannot influence the network containing the dysfunction ally stored material associated with the traumatic memory. Traditional therapy is often unable to help the client link one to the other, and this is where EMDR is so impressively effective.

Keywords: Attachment  Bonding  Children  Occasional Paper  

Accuracy Verified: Yes


266. van Winkle, V. (1998, July). EMDR in the treatment of attention deficit disorder in adults. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will learn: 1) to understand themes common to adults with ADD; 2) to recognize these themes through case examples; 3) how to develop from these themes the "set up" for EMDR, including the development of negative and positive cognitions; and 4) how to understand and break into the cycle of Hyperfocus/ Hypervigilance, Overwhelm/Chaos, Exhaustion/Collpase common to adults with ADD.

Keywords: ADD  Adults  Attention Deficit Disorder  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Body Dysmorphic Disorder  

Accuracy Verified: Yes


268. Brown, S., & Shapiro, F. (2006). EMDR in the treatment of borderline personality disorder. Clinical Case Studies, 5(5), 403-420. doi:10.1177/1534650104271773.

Language: English

Format: Journal

Abstract:
Individuals diagnosed with borderline personality disorder (BPD) usually experience significant impairment in their ability to function. Impulsivity, affect instability, interpersonal difficulties, and identity problems are hallmark features of this disorder, frequently leading to suicidal and parasuicidal behaviors. Although BPD has traditionally been considered chronic and enduring, recent research has indicated that it can remit over time and that psychotherapy can accelerate this process. The etiology of BPD has been associated with childhood abuse and inadequate attachment. Given the significance of childhood abuse and trauma, eye movement desensitization and reprocessing (EMDR), a recognized trauma therapy, may be a reasonable treatment option for BPD. The positive effects noted in the following case illustrate EMDR's utility in the treatment of BPD and indicate that further controlled studies are warranted. [Author Abstract]

Keywords: Adults  Americans  Borderline Personality Disorder  Case Report  Child Abuse  Clinical Case Study  Empirical Study  Females  Incest  Individual Psychotherapy  Interpersonal Difficulties  Interpersonal Interaction  Psychotherapeutic Processes  Qualitative Study Rape  Suicide  Survivors  Treatment  

Accuracy Verified: Yes


269. Mazzola, A., Calcagno, M. L., Goicochea, M. T., Pueyrredòn, H., Leston, J., & Salvat, F. (2009). EMDR in the treatment of chronic pain. Journal of EMDR Practice and Research, 3(2), 66-79. doi:10.1891/1933-3196.3.2.66.

Language: English

Format: Journal

Abstract:
Chronic pain can significantly diminish life quality, causing depression, anxiety, and sleep disturbances, and may lead to neuroplastic processes that influence pain modulation. The current study investigated eye movement desensitization and reprocessing (EMDR) treatment of 38 patients suffering from chronic pain with 12 weekly 90-minute sessions. A battery of self-reported questionnaires assessing quality of life, pain intensity, and depression level were administered pre- and posttreatment for objective outcome evaluation. The Structured Clinical Interview for DSM was administered at pretreatment to identify participants' personality traits that may influence pain perception. Patients showed statistically significant improvement relative to baseline after 12 weeks of EMDR treatment. Our findings suggest that EMDR is an effective tool in the psychological treatment of chronic pain, resulting in decrease pain sensations, pain-related negative affect, and anxiety and depression levels. We examine possible theories about the mechanisms by which EMDR achieves these effects. Results were consistent with the underlying EMDR premise that posits the important effect of emotions on pain perception.

Keywords: Chronic Pain  Neuroplastic Processes  Pain Modulation  

Accuracy Verified: Yes


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

Language: English

Format: Newsletter

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

Keywords: Practice  Theory  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Masters Series  

Accuracy Verified: Yes


272. Zangwill, W. (2004, September). EMDR master series– I. Presentation at the annual meeting of the EMDR International Association, Montréal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Many therapists erroneously think of EMDR as the phase of treatment involving eye movements or other forms of bilateral stimulation. EMDR treatment begins the moment there is contact between client and clinician. From first contact, to target assessment, from bilateral stimulation to reevaluation, effective EMDR processing depends on a case formulation that enables the clinician to vary EMDR implementation depending on the client's underlying issues and maladaptive coping strategies. Using discussion, videotapes and live demonstration, this presentation will provide the EMDR clinician with an increased ability to recognize and target both the clients' painful memories and their underlying blocking beliefs. In every aspect of EMDR, from developing a therapeutic relationship to choosing targets, from obtaining negative and positive cognitions to developing cognitive interweaves, and even knowing when to restart bilateral stimulation, developing and using a conceptual framework will enable the EMDR clinician to provide much more effective treatment.

Keywords: Master Series  

Accuracy Verified: Yes


273. Terreri, L. (2008, ). EMDR nei pazienti con tossicodipendenza: integrazione tra protocollo standard e protocolli modificati [EMDR in drug dependent subjects: integration between standard and modified protocols]. Bollettino Sulle Dipendenze, 31(4), 215-224.

Language: Italian

Format: Newsletter

Abstract:
Riassunto, Alcuni autori (Shapiro F., Omaha J., Popky A.J., Hase M.), ipotizzano che il metodo EMDR (Eye Movement Desensitization and Reprocessing) possa essere utile ai pazienti tossicodipendenti sia per avere una migliore adattabilità e funzionalità del comportamento sia per allontanare il tempo delle ricadute. Tuttavia gli studi con l’EMDR applicato alle tossicodipendenze sono rari e in Italia pressoché assenti. L’autore, con l’intento di offrire un input per stimolare future ricerche, riassume il protocollo standard dell’EMDR, il protocollo DSRC sulla desensibilizzazione degli stimoli e la rielaborazione della compulsione e il protocollo DRDA sulla desensibilizzazione e rielaborazione del ricordo del disturbo d’astinenza. Nei soggetti che hanno effettuato i vari protocolli EMDR è stato possibile rilevare un risultato positivo a breve termine tramite i punteggi delle scale SUD (Subjective Units of Disturbance), VOC (Validity of Cognition), LOU (Level of Urge) e anche attraverso la valutazione di disegni effettuati prima e dopo la seduta EMDR.///

Shapiro F., Omaha J., Popky A. J., Hase M. et al. have speculated that Eye Movement Desensitization and Reprocessing (EMDR) could be useful in the treatment of drug addicted subjects, to reach better adjustment and behavioural functioning and/or to increase the time interval between relapses. Currently, studies reporting the use of EMDR with drug addicted patients are scarce and, in Italy, absent. The article, in order to offer an input to stimulate further research and increase its application, summarizes the EMDR method and considers the possibility for the use of the “Standard EMDR protocol”, the “Desensitization of Triggers and Urge Reprocessing” protocol and the “Withdrawal Disorder Memory Desensitization and Reprocessing” protocol within the Public Drug Abuse Departments. Subjects who underwent the various EMDR treatment protocols showed positive results in the short-term period, when tested with SUD (Subjective Units of Disturbance), VOC (Validity of Cognition) and LOU (Level of Urge)scales. Encouraging results were also obtained through the evaluation of drawings done by the subjects before and after the EMDR treatments.[Author Abstract]

Keywords: Affect Bridge  Compulsion  Trauma  Withdrawal  

Accuracy Verified: Yes


274. 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


275. Saêta, L. B. (2012, Novembro). EMDR no tratamento da dor e das sensações fantasmas [EMDR in the treatment of pain and phantom sensations]. In EMDR e dor crônica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Sujeitos vítimas de amputação podem apresentar, imeditamente após a mesma, algum tipo de desconforto no membro ausente, descrito como formigamento, dormência, posição do membro, temperatura, latejamento, choque e apertamento que podem manifestar-se com a presença ou não de dor, tendo sua qualidade de vida reduzida. Observa-se que atualmente, as abordagens terapêuticas usadas no manejo da dor e das sensações fantasmas podem ser organizadas em três modalidades: medicamentosa, de apoio e cirúrgica, feitas em conjunto ou separadamente. Os tratamentos de apoio mais conhecidos incluem estimulação elétrica nervosa transcutânea, terapia vibratória, acupuntura, hipnose e biofeedback. A proposta desse estudo foi verificar a eficiência do EMDR na redução e/ou eliminação das sensações e da dor fantasmas aplicado a seis sujeitos com amputação de membro inferior, num período de um a três meses de duração (de 4 a 12 sessões de 60 a 90 minutos de duração), utilizando o protocolo EMDR padrão e o protocolo EMDR para a dor, e também exercícios corporais de respiração consciente, aliados, em casos de resistência dos sujeitos ao EMDR, à ativação da visão macular dos dois olhos e a exercícios rítmicos de espernear. Tais procedimentos proporcionaram uma melhor comunicação entre os hemisférios cerebrais, numa reorganização cortical que facilitou o aumento da consciência e aceitação da perda do membro amputado, sendo possível presenciar efeitos terapêuticos positivos e rápidos. Constatou-se que as sensações e as dores fantasmas diminuíram significativamente em três participantes e desapareceram por completo nos outros três, comprovando a eficácia e eficiência do EMDR no processo de inclusão e readaptação social em sujeitos vítimas de amputação.

Subjected victims of amputation may have, immediately after it, some kind of discomfort absent member, described as tingling, numbness, limb position, temperature, throbbing, clenching and shock that may occur with the presence or absence of pain, having a reduced quality of life. It is observed that currently, the therapeutic approaches used in the management of pain and phantom sensations can be organized into three types: medication, and surgical support, made ​​jointly or separately. The most popular treatments include support transcutaneous electrical nerve stimulation, vibratory therapy, acupuncture, hypnosis and biofeedback. The purpose of this study was to examine the efficacy of EMDR in the reduction and / or elimination of phantom sensations and pain applied to six subjects with lower limb amputation in a period of one to three months duration (4 to 12 sessions of 60 to 90 minutes), using the standard EMDR protocol and the protocol EMDR for pain, and also body conscious breathing exercises, combined, in cases of resistance to the subject of EMDR, the activation of macular vision in both eyes and rhythmic exercises kicking . These procedures allow for a better communication between the cerebral hemispheres, cortical reorganization in which facilitated the increased awareness and acceptance of the loss of the amputated limb, and you can witness the positive therapeutic effects and fast. It was found that the sensations and phantom pain significantly decreased in three participants and disappeared completely in the other three, proving the efficiency and effectiveness of EMDR in the process of inclusion and social rehabilitation of victims subject to amputation.

Keywords: Amputation  Phantom Pain  Phantom Sensation  

Accuracy Verified: Yes


276. Purandare, M., Bhagwagar, H., & Tank, P. (2010, July). EMDR on children affected by the earthquake. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Efficacy of EMDR on Children Affected by Earthquake: The aim of the study was to investigate the efficacy of EMDR as an intervention technique for trauma victims. A sample of 50 students, studying in 10th grade, age ranging from 14 to 16 years were selected. The Impact of Event Scale (IES) was administered to measure the intensity of trauma experienced. A pre-post test research design was used in the study. The results were in the predicted direction. EMDR was found to be effective in reducing avoidance, intrusion and hyper arousal as well as overall impact of trauma. “Group EMDR With Earthquake Survivors” The current study is an attempt to understand the impact of a specific traumatic events and its expression in children i.e. the earthquake that occurred in Gujarat, Western India in January 2001. This study was a part of the therapy work conducted with the survivors of the earthquake by the group of 40 practitioners from Mumbai and was over 4 months. The paper will present the following aspects: 1. The symptoms seen among the children depicting PTSD as per DSM IV criteria. Signs of Hyper-arousal, Avoidance and Intrusion were clearly seen especially in children 2. The process used. This was a modified version of the standard 8 phase protocol appropriate for use with group work. Butterfly hugs were used as BLS. Stages of EMDR for this group: 3. Observations and a few unique experiences These include blocking of trauma image, difficulty in safe place visualizing, difficulty in distancing and using creative techniques for soothing and relaxation. 4. Impact of the EMDR intervention with this group More than 16000 children from about 30 schools were seen. based on observations and reports by teachers during the follow up showed reduction in anxiety, reports of life resembling pre-earthquake, improved attention and concentration, better sleeping patterns and lowering of somatic complaints. Impact and expression of trauma in children exposed to the earthquake: The current study is an attempt to understand the impact of a specific traumatic event and its expression in children i.e. the earthquake that occurred in Gujarat, western India in January 2001. The Butterfly hug technique for bilateral stimulation was used following 8 steps of EMDR. Drawings of children were used as their expressions during different phases of EMDR. Drawings during “ Assessment phase” depicted feelings of insecurity, a sense of vacuum and emptiness, low energy levels, a desire for contact and help, feelings of guilt, poor body image, hypersensitivity was noticed almost universally and even during therapy. Drawings, following the processing and installation phases indicated the facial expression changed to a smile. Tears which were present in almost all drawings were not noted Positive cognitions were reflected in terms of the growth and freshness e.g. the newly growing grass. In spite of the various symptoms of post traumatic stress disorder, no gross disintegration of personality had been noted.

Keywords: Children  Earthquake  

Accuracy Verified: Yes


277. Maccarrone, B., & De Divitiis, A. M. (2008, Novembre). EMDR per eventi recenti - Un modello e un nuovo protocollo [EMDR to recent events - a model and a new]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Il ricordo di un trauma recente differisce da quello di un trauma avvenuto in un passato più distante, poiché è ancora frammentato e disorganizzato e quindi non si è ancora integrato all’interno di un evento coerente, pertanto potrebbe non essere ancora generalizzato e rappresentato da un’immagine. Questo è il motivo per cui per il trattamento terapeutico di eventi traumatici avvenuti da alcune settimane, o forse anche da pochi mesi, sarà necessario ricorrere ad un protocollo specifico che pur preservando l’integrità delle 8 fasi del protocollo EMDR standard, sia in grado di approcciare l’evento all’interno di un resoconto. In questo lavoro verrà descritto un protocollo, elaborato da Elan Shapiro e Brurit Laub per il trattamento dell’Episodio Traumatico Recente ( Recent Traumatic Episodi Protocol ; R-TEP), il quale approccia l’evento in termini di episodio intero (definito come il periodo che va dall’evento traumatico ad oggi) ed introduce una strategia per la scelta del target, da loro denominata “Google Search”. L’ipotesi è che l’assimilazione e l’integrazione dell’informazione traumatica avvenga ristabilendo la regolazione adattiva dell’attenzione; le relazioni parte/tutto si muovono attraverso catene associative nella direzione della differenziazione e integrazione puntando al completamento, nel senso dell’integrazione armonica delle esperienze negative e positive. L’elaborazione si muove da un ristretto focus sull’immagine (livello percettivo), ad un più ampio focus sull’evento /episodio (livello esperienziale), sino ad un focus esteso riferito al tema/identità (livello di significato). Il completamento dell’elaborazione di un trauma recente potrà prevenire lo sviluppo di un PTSD, ristabilendo l’Elaborazione Adattiva dell’Informazione (AIP).

The memory of a recent trauma differs from that of a trauma occurred in a past more distant it is still fragmented and disorganized and therefore not yet integrated in a event consistent, so it may not yet be generalized and represented by an image. That is why for the treatment of traumatic events that occurred some weeks, or maybe even a few months, you must use a specific protocol that even preserving the integrity of the 8 phases of EMDR standard protocol, is able to approach the event within a report.
In this paper we describe a protocol, developed by Elan Shapiro and Laub Brurit for Traumatic handling of the episode recently (Traumatic Recent Episodes Protocol, R-TEP) which approaches the event in terms of the whole episode (defined as the period from event traumatic present) and introduces a strategy for choosing the target, which they called "Google Search. The hypothesis is that the assimilation and integration of information occurs traumatic adaptive re-establishing control of attention, relations part/whole move through associative chains in the direction of differentiation and integration aiming at completion, harmonious integration in the sense of positive and negative experiences. Processing moves by a narrow focus on the image (perceptual level), to a broader focus on the event/episode (experiential level), up to an expanded focus refers to theme / identity (level of meaning).
Completing the development of a recent trauma may prevent the development of PTSD, restoring the Adaptive Information Processing (AIP).

Keywords: Recent Events Protocol  

Accuracy Verified: Yes


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

Language: English

Format: Book Section

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

Keywords: Performance Enhancement  Protocol  

Accuracy Verified: Yes


279. Lanius, U. F. (2005). EMDR processing with dissociative clients: Adjunctive use of opioid antagonists. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 121-146). New York: W W Norton & Co.

Language: English

Format: Book Section

Abstract:
Dissociative symptoms are common in traumatic stress syndromes (e.g., complex PTSD, disorder of extreme stress not otherwise specified [DESNOS], borderline personality disorder, and dissociative disorders). They commonly interfere with psychotherapy including EMDR treatment. It appears that the adaptive information processing system gets overwhelmed and shuts down, thereby barring the integration and resolution of traumatic experience and thus precluding positive treatment outcomes. A series of case studies by Ferrie and Lanius found that the administration of an opioid antagonist prior to EMDR treatment significantly reduced dissociative symptoms, somatization, and numbing, as well as aiding trauma processing. The present chapter describes the relevant scientific research, as well as a theoretical rationale and a protocol, for the use of opioid antagonists in trauma processing with EMDR. [Text, p. 121]

Keywords: Analgesic Drugs    Dissociative Symptoms  Posttraumatic Stress Disorder  PTSD  Stressors  Survivors  

Accuracy Verified: Yes


280. Hase, M., Schallmayer, S., & Sack, M. (2008). EMDR reprocessing of the addiction memory: Pretreatment, posttreatment, and 1-month follow-up. Journal of EMDR Practice and Research, 2(3), 170-179. doi:10.1891/1933-3196.2.3.170.

Language: English

Format: Journal

Abstract:
This randomized controlled study investigated the effects of eye movement desensitization and reprocessing (EMDR) in the treatment of alcohol dependency. EMDR was applied to reprocess the addiction memory (AM) in chronically dependent patients. The AM includes memories of preparatory behavior, drug effects (drug use), and loss of control (Wolffgramm, 2002). It is understood to involve extensive brain circuitry, drive part of conscious and unconscious craving, change environmental response at an organic level, and modify circuits that link to feelings of satisfaction, future planning, and hope. Thirty-four patients with chronic alcohol dependency were randomly assigned to one of two treatment conditions: treatment as usual (TAU) or TAU plus two sessions of EMDR (TAU+EMDR). The craving for alcohol was measured by the Obsessive-Compulsive Drinking Scale (OCDS) pre-, post-, and 1 month after treatment. The TAU+EMDR group showed a significant reduction in craving posttreatment and 1 month after treatment, whereas TAU did not. Results indicate that EMDR might be a useful approach for the treatment of addiction memory and associated symptoms of craving.

Keywords: Adaptive Information Processing  Addiction Memory  Craving  Treatment  TAU  Treatment As Usual  

Accuracy Verified: Yes


281. Beougher, F. (2005, January). EMDR shows positive results in treating PTSD. The Tennessee Veteran, 1(2), 3.

Language: English

Format: Newsletter

Abstract:
“Eye Movement Desensitizing and Reprocessing” or EMDR, is an innovative treatment for psychological disorders such as PTSD, first discovered and developed by California psychologist Francine Shapiro, PhD. in the 1980’s. EMDR uses eye movements to turn on memory processing systems that are normally activated by Rapid Eye Movement (RIM) during periods of sleep. During REM, our brains are processing memories, deciding what to keep and what to discard. However, when the brain attempts to process traumatic memories, the intense emotions often associated by them causes the sleeper to have nightmares and wake up before the memory can be processed. The results can be continued nightmares, flashbacks, insomnia, depression, and anxiety. Normally, with just a few treatments, EMDR can help the brain to process the traumatic memories by initiating RIM while the patient is fully awake. For more information on EMDR visit: www.emdr.com

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


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

Language: English

Format: Book

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

Keywords: Depression, Eating Disorders, Performance  

Accuracy Verified: Yes


283. Shapiro, R. (2005). EMDR solutions: Pathways to healing. New York: W W Norton & Co.

Language: English

Format: Book

Abstract:
This book is a manual for doing EMDR with diverse client populations. [Text, P. 3]TOPICS TREATED: The strategic developmental model for EMDR; Integrating resource development strategies into your EMDR practice; EMDR for clients with dissociative identity disorder, DDNOS, and ego states; EMDR processing with dissociative clients: adjunctive use of opioid antagonists; The phantom limb pain protocol; The two-hand interweave; DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors; Targeting positive affect to clear the pain of unrequited love, codependence, avoidance, and procrastination; The reenactment protocol for trauma and trauma-related pain; EMDR with cultural and generational introjects; Exiting the binge-diet cycle; Utilizing EMDR and DBT techniques in trauma and abuse recovery groups; Using EMDR in couples therapy; EMDR with clients with mental disability; Treating anxiety disorders with EMDR; Affect regulation for children through art, play, and storytelling. [Pilots]

Keywords: Anxiety Disorders  Psychotherapeutic Processes  Stressors  Survivors  

Accuracy Verified: Yes


284. Staff. (1994, September). EMDR study yields positive results. Psychotherapy Letter, 6(9), 11.

Language: English

Format: Newsletter

Abstract:
Reports on the findings from a clinical trial suggesting the effectiveness of eye movement desensitization and reprocessing (EMDR) in treating post-traumatic stress disorder (PTSD). How EMDR is conducted.[Manisses Comm]

Keywords: Posttraumatic Stress Disorder  PTSD  Treatment  

Accuracy Verified: Yes


285. Yordy, J. (2012, April). EMDR techniques to help children and teens tame the worry monster. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.

Language: English

Format: Conference

Abstract:
The number of children and teens struggling with symptoms of stress and anxiety disorders is increasing at an alarming rate. This workshop will discuss some causes for the increase in stress and anxiety disorders among children and teens. An introduction to the Triune Brain Theory and brief explanation of the implications of the changes on the anxious child or teenage brain will be highlighted. Next, effective exercises to calm the body and rewire the brain will be introduced. Creating new neural pathways, through the use of Positive Resource Building utilizing EMDR, will also be taught. Looking specifically at anxiety and how to target it when using EMDR, will also be explored. The workshop will conclude by introducing how to shrink the “Worry Monster” using an EMDR protocol.
Learning objectives: 1.Describe the Triune Brain Theory and how trauma rewires the brain to create heightened levels of anxiety and stress. 2.Demonstrate 5 exercises which help calm the stress response within the body. 3.List 5 “Positive Resources ”which when combined with EMDR anchor calm feelings in the brain/body and rewire the brain. 4.Discuss how to chose appropriate targets for EMDR processing with anxious kids. 5.Describe how to create a “Worry Monster” for processing anxiety with EMDR.

Keywords: Adolescents  Anxiety  Children  

Accuracy Verified: Yes


286. Korn, D. (2013, May). EMDR the next generation: Finding your way in the dark [L’EMDR et la nouvelle génération: Trouvez votre chemin dans l’obscurité]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
In this workshop, participants will be taught to use their “true” authentic selves as a resource during EMDR processing, and to work to create a secure, responsive, and positive relational environment that supports change and integration. A number of conceptual “maps” that incorporate and build on various ideas and strategies from other trauma-focused models (e.g., AEDP, IFS, Sensorimotor Psychotherapy, Structural Model of Dissociation) will be introduced. These “maps” are provided to guide case conceptualization and moment-to-moment decision-making within a given EMDR session. Video clips will be used to demonstrate how to track a client’s progress with greater precision, using both verbal and non-verbal markers to determine where the client is on a given conceptual map and what type of interweave is needed to facilitate or deepen the client’s processing. Different types of interweaves will be delineated with a clear description of the purpose or function associated with each. Throughout this workshop, Dr. Korn will engage in spirited dialogue with participants as she presents both didactic and video material. Learning Objectives: • Develop a comprehensive AIP-based case conceptualization treatment plan that will guide their moment-to-moment decision-making during an EMDR session. • Effectively identify the informational plateaus or schema categories (responsibility, safety, control/choice) reflected in a client’s presenting issues, choice of targets, and stuck points. • Utilize dyadic regulation in working with clients with limited affect tolerance and self-capacities, with the goal of maintaining and even accelerating processing within a window of tolerance. • Apply advanced interweave strategies to address blocking beliefs, rigid defenses, and fears about internal experiences (i.e. affect, sensation, urges, fantasies). • Utilize various clinical strategies/interweaves for facilitating the expression of adaptive action tendencies, completing incomplete or truncated actions, and addressing various domains of developmental repair.

Dans son atelier, les participants apprendront à utiliser leur ‘vrai’’ et authentique soi comme une ressource durant le traitement en EMDR et à créer un environnement où la relation soit sécurisante, sensible et positive favorisant ainsi le changement et l’intégration. Dr Korn nous parlera de ce modèle conceptuel des ‘cartes’ qui incorporent des idées et des stratégies qui proviennent de d’autres modèles axés sur les traumas (‘AEDP’, ‘IFS’, Psychothérapie Sensorimotrice, Modèle de la Dissociation Structurelle). Ces ‘’cartes’’ sont un guide dans la conceptualisation de cas et la prise de décision ‘’moment par moment’’ durant une session d’EMDR. Des vidéo clips seront présentés afin de démontrer comment suivre le progrès d’un client avec une grande précision, utilisant des repères verbaux et non verbaux pour déterminer où se trouve le client sur une ‘’carte’’ donnée et quel type de tissage est nécessaire pour faciliter ou approfondir le traitement du client. Objectifs d’apprentissage: • Développer un plan de traitement compréhensif basé sur le modèle TAI –et la conceptualisation de cas comme un guide de prise de décision ‘’moment par moment’’ durant une session d’EMDR. • Identifier de manière efficace les plateaux informatifs ou les catégories de schémas (responsabilité, sécurité, contrôle/choix) qui se révèlent dans ce que le client présente comme difficultés, dans le choix des cibles et les blocages. • Utilisation de la dyade pour aider à moduler l’affect chez les clients qui ont une très faible tolérance émotionnelle avec comme but de maintenir et même d’accélérer le traitement à l’intérieur de la fenêtre de tolérance. • Avoir recours aux stratégies avancées du tissage pour traiter les croyances bloquantes, les défenses rigides et les peurs venant de la ‘’vie intérieure’’ (c’est à dire l’affect, les sensations, les pulsions, les fantasmes). • Utilisation de diverses stratégies cliniques et du tissage afin de favoriser l’expression d’action adaptative, de compléter les actions inachevées ou tronquées et d’aborder différents domaines permettant de ‘’réparer’’ les dommages survenus au cours du développement.

Keywords: AEDP  Dyadic Regulation  Informatiional Plateaus  IFS, Interweaves  Sensorimotor Psychotherapy  Structural Model of Dissociation  Trauma-Focused Models  "True" Authentic Self  

Accuracy Verified: Yes


287. Shapiro, F. (2012, February 27). EMDR therapy and Getting Past Your Past. Good Therapy. Retrieved from http://www.goodtherapy.org/blog/emdr-therapy-your-past-0227126/ on 6/26/012.

Language: English

Format: Other

Abstract:
The purpose of Getting Past Your Past is to help liberate readers by giving them a comprehensive understanding of why they respond to the world in ways that don’t serve them and what they can do about it. The book provides self-help procedures derived from EMDR therapy to identify the earlier memories that are the basis of the problem and other techniques to help change their reactions. Through stories, detailed descriptions, and step-by-step instructions, readers will be able to take self-exploration and healing into their own hands. Guidelines are also provided to help them decide if additional professional assistance is needed. The book is written in an easy conversational style so that it is accessible to both the general public and therapists interested in exploring a different paradigm. A wide range of luminaries in the field of psychology have highly recommended the book for both clinicians and laypeople (http://www.emdr.com/coming-soon.html). [Excerpt]

Keywords: General  

Accuracy Verified: Yes


288. Silver, S. M., Rogers, S., Knipe, J., & Colelli, G. (2005, February). EMDR therapy following the 9/11 terrorist attacks: A community-based intervention project in New York City. International Journal of Stress Management, 12(1), 29-42. doi:10.1037/1072-5245.12.1.29.

Language: English

Format: Journal

Abstract:
This article presents the results of a time-limited psychological relief effort using eye movement desensitization and reprocessing (EMDR) following the attacks on the World Trade Center on September 11, 2001. Clients made highly significant positive gains on a range of outcome variables, including validated psychometrics and self-report scales. Analyses of the data suggest 2 broad conclusions: EMDR is a useful treatment intervention both in the immediate aftermath of disaster as well as later; the longer treatment is delayed, the greater the level of disturbance experienced by clients. Also discussed are problems in conducting research during mass disaster response situations. A demonstration of an analog to a wait-list control group is provided. [Author Abstract]

Keywords: 9/11  Americans  Crisis Intervention  Empirical Study  Quantitative Study  September 11  Survivors  Terrorism  Terrorist Attacks  Treatment Effectiveness  

Accuracy Verified: Yes


289. Shapiro, F. (2012). EMDR therapy: An overview of current and future research. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 193-195. doi:10.1016/j.erap.2012.09.005.

Language: English

Format: Journal

Abstract:
Introduction: EMDR therapy is an eight-phase treatment approach widely recognized as a frontline treatment for trauma. Research over the past decade has addressed the utility of the eye movements, mechanism of action and comparisons with other forms of therapy. Literature and clinical findings: More than two-dozen randomized controlled trials (RCT) demonstrate the positive effects of EMDR therapy with trauma victims. Comparisons with trauma-focused cognitive behavioral therapy (TF-CBT) indicate comparable effects sizes. Approximately 20 additional RCT evaluated the eye movement component of EMDR in isolation, without the rest of the therapy procedures. These studies document a variety of positive effects, including a rapid decrease in distress and reduced clarity of the targeted disturbing image when compared to exposure-only conditions. Discussion: Research findings indicate that EMDR therapy and TF-CBT are based on different mechanisms of action in that EMDR therapy does not necessitate daily homework, sustained arousal or detailed descriptions of the event, and appears to take fewer sessions. EMDR is guided by the adaptive information processing model, which posits a wide range of adverse life experiences as the basis of pathology. Conclusions: Research is suggested to further explore mechanisms of action and address issues of efficiency and treatment differences. Rigorous research is also needed to investigate additional clinical applications.

Keywords: Research  

Accuracy Verified: Yes


290. Oren, U., & Solomon, R. (2012). EMDR therapy: An overview of its development and mechanisms of action. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 197-203. doi:10.1016/j.erap.2012.08.005.

Language: English

Format: Journal

Abstract:
Introduction: This article examines the history and development of Eye Movement Desensitization and Reprocessing (EMDR), from Dr. Francine Shapiro's original discovery in 1987, to current findings and future directions for research and clinical practice. Elements of the literature: An overview is provided of significant milestones in the evolution of EMDR over the first 20 years, including key events, research and scientific publications, and humanitarian efforts. The authors also describe the Adaptive Information Processing (AIP) model, which is the theoretical basis of the therapy; they address the question of mechanisms of action, and EMDR's specific contribution to the field of psychotherapy. Discussion: EMDR is an integrative psychotherapy, which sees dysfunctionally stored memories as the core element of the development of psychopathology. In its view of memory, it integrates information that is sensory, cognitive, emotional and somatic in nature. The EMDR protocol looks at past events that formed the presented problem, at the present situations where the problem is experienced, and at the way, the client would like to deal with future challenges. Conclusion: EMDR is a 25-year-old therapy that has accumulated a substantial body of research proving its efficiency, and is now part of many professional treatment guidelines. The research is pointing to its potentially large positive impact in the fields of mental and physical health.

Keywords: Development  Mechanisms of Action  

Accuracy Verified: Yes


291. Murray, K. (2010, September/October). EMDR to reduce fears of recurrence of breast cancer. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
How can we support women with breast cancer (BC) in their bio-psycho-social healing? Are fearsof recurrence inevitable or a re-experiencing of unresolved BC diagnosis and treatment experiences? Participants will identify traumatic stress symptoms in women with BC, and the impacton treatment, quality of life, and fears of recurrence; review the seven cancer treatment stages, and potential traumas, triggers, and EMDR interventions of each; describe phase two interventions to manage worry, develop healing imagery and promote coping and positive health behaviors; and explain how past-present-future targeting can address fears of recurrence. Expanded from 2008, this workshop draws on psycho-oncology literature, clinical observations, and one client’s EMDR journey from “coping” to “living”.

Keywords: Breast Cancer  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


293. Hase, M. (2010, June). EMDR to treat substance abuse and addiction. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The comorbidity of PTSD and substance abuse provides sufficient reason for treating patients, who are addicted, with EMDR while focusing on the PTSD diagnosis. However, there are several pathways leading to addiction, and PTSD is only one of them. Thirty years of addiction research have provided sufficient evidence for the crucial role of memory in drug dependency. The Addiction Memory (AM) serves as a useful concept for "obsessive-compulsive craving" to be seen in drug addicted patients. The concept of an AM, and its importance in relapse occurrence and maintenance of learned addictive behaviour, has gained growing acceptance in the field of addiction research and treatment. The AM is interpreted as an individual-acquired memory following drug consumption in some individuals. The addiction memory is based on normal memory systems and systems of central nervous information processing. This neurobiological-based, imprinted, addictive behaviour seems to resist change under normal circumstances. The implicit nature of the addiction memory seems to qualify it as a target for EMDR treatment.
In a pilot-study group, 34 patients with chronic alcohol dependency in in-patient treatment for detoxification were randomly assigned to one of two treatment conditions: treatment as usual (TAU) or TAU+EMDR. In the TAU+EMDR group, patients received two sessions of EMDR focussing on memories of intense craving or relapse in order to activate and reprocess the addiction memory. The craving for alcohol was measured by the Obsessive-Compulsive-Drinking-Scale (OCDS) pre, post, and 1 month after treatment. The TAU+EMDR group showed a significant reduction in craving post-treatment and 1 month after treatment whereas TAU did not. The TAU+EMDR group showed lower relapse rates at the six-month follow-up. The results indicate that EMDR might be a useful approach for the treatment of addiction memory and associated symptoms of craving (Hase et al. 2008). Anecdotal reports show results with opiate and stimulant addicted patients.
This Workshop will address the EMDR treatment of comorbid PTSD and focuses on the application of EMDR as an adjunct in addiction treatment. Targets for a comprehensive EMDR treatment plan will be explained. A video demonstration, self-experience and discussion of cases shall contribute to learning.
REFERENCES Boening, J. A. (2001). Neurobiology of an addiction memory. J Neural Transm 108(6): 755-65.
Hase, M., Schallmayer, S. and Sack, M (2008). "EMDR reprocessing of the addiction memory: Pre-treatment, post-treatment, and 1-month follow-up" J EMDR 2 (3), 170-179.

Keywords: Addiction Memory  Posttraumatic Stress Disorder  PTSD  Substance Abuse  TAU  Treatment As Usual  

Accuracy Verified: Yes


294. Knipe, J. (2012, June). EMDR toolbox [La Caja de herramientas en EMDR]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
EMDR has had a profound positive impact on the lives of many clients and has been shown in more than seventeen published trials to be effective in the treatment of PTSD (Maxfield & Hyer, 2002). However, the DSM IV definition of PTSD is focused on the single traumatic incident, and many clients seeking relief in therapy have a damaging traumatic history that extended over repeated events or over long periods of time. The term, Complex PTSD (Herman, 1992, van der Kolk, 2005) has been proposed to describe a pattern of negative effects of prolonged and extreme stress, particularly during childhood. The focus of this workshop is to describe a theoretical framework, and specific therapy “tools” which may be useful in providing effective therapy, within the EMDR Adaptive Information Processing Model, to individuals suffering with Complex PTSD. Important concepts and particular interventions will be illustrated through video examples and transcripts from therapy sessions. Dr. Knipe will present methods for identifying and treating specific dissociative symptoms with accompanying evidence from available research or case studies. He will offer EMDR “tools” that can be used to make the healing power of EMDR more available to clients who are avoidant, and/or highly vulnerable to dissociative abreaction, chronic shame, and unrealistic idealization of self or of others. He will discuss the primary characteristics of clients with Complex PTSD, including problems with disrupted attachment and inappropriate psychological defenses. He will illustrate how to identify various Ego-­‐States and work with these within the Adaptive Information Processing Therapy Approach. Time will be available for participants to discuss difficult EMDR cases.

EMDR ha tenido un profundo efecto sobre la vida de muchos clientes y ha demostrado en más de diecisiete ensayos publicados, ser eficaz para el tratamiento del TEPT (Maxfield & Hyer, 2002). Sin embargo, la definición del DSM IV del TEPT está centrada en el incidente traumático único, mientras que en muchos de los clientes que buscan el alivio a través de la terapia su historial traumático incluye episodios traumáticos repetidos o que se extienden a lo largo de períodos prolongados de tiempo. Se ha propuesto el término TEPT complejo (Herman, 1992, van der Kolk, 2005) para describir un patrón de efectos negativos derivados una situación de estrés prolongado e intenso que ha aparecido principalmente en la infancia. Este taller estará centrado en describir el marco teórico y las “herramientas” terapéuticas específicas que pueden ser necesarias para proporcionar , dentro del modelo de procesamiento adaptativo de la información de EMDR, una terapia eficaz a los individuos que sufran de un cuadro de TEPT complejo. Los conceptos importantes y las intervenciones concretas que se realizan serán ejemplificadas mediante ejemplos en vídeo y mediante transcripciones de sesiones de terapia. El Dr. Knipe presentará diversos métodos que permitan identificar y tratar los síntomas disociativos específicos, los cuales irán acompañado de la evidencia de que se dispone procedente de la investigación existente o de los estudios de casos. Ofrecerá, además, aquellas “herramientas”de EMDR que pueden ser empleadas para que el poder sanador del EMDR esté más disponible para aquellos clientes con comportamientos evitativos y/o que son extremadamente sensibles a experimentar abreacciones disociativas, vergüenza crónica o conceptos idealizados de sí mismos o de los demás no realistas. Comentará también cuales son las características principales de los pacientes que padecen de TEPT complejo, entre los que se incluyen los vínculos afectivos perturbados y los mecanismos de defensa psicológica inadecuados. Ilustrará, igualmente, cómo poder identificar los diversos estados del ego que se producen y cómo trabajar con ellos en el marco del procesamiento adaptativo de la información. Se dispondrá de un tiempo adicional para comentar con los participantes los casos difíciles que se presenten con EMDR.

Keywords: EMDR Toolbox  

Accuracy Verified: Yes


295. Knipe, J. (2010, July). EMDR toolbox: Specific methods of treating adult clients with complex PTSD, psychological defenses and dissociative personality structure. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
EMDR has had a profound positive impact on the lives of many clients and has been shown in more than twenty randomized, peer-reviewed trials to be effective in the treatment of PTSD. However, the DSM IV definition of PTSD is focused on the single traumatic incident, and many clients seeking relief in therapy have a damaging traumatic history that extended over repeated events or over many years. The term, Complex PTSD (Herman, 1992, van der Kolk, 2005) has been proposed to describe a pattern of negative effects of prolonged and extreme stress, particularly during childhood. The focus of this workshop is to describe a theoretical framework, and specific therapy “tools” which may be useful in providing effective therapy, within the EMDR Adaptive Information Processing Model, to individuals suffering with Complex PTSD. Methods will be described that can make the healing power of EMDR more available to clients who are avoidant, defensive, and/or highly vulnerable to dissociative abreaction, chronic shame, and unrealistic idealization of self or of others. Important concepts and particular interventions will be illustrated through video examples and transcripts from therapy sessions.

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD, C-PSTD  Dissociative Personality Structure  Psychological Defenses  Toolbox  

Accuracy Verified: Yes


296. Higa, M., & Tsuda, A. (2005, September). EMDR treatment and psychophysiological changes: A preliminary study. Poster presented at the annual meeting of EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Keywords: Poster  Psychophysiological Change  

Accuracy Verified: Yes


297. McGoldrick, T. (2001, May). EMDR treatment of body dysmorphobia". Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
Body Dysmorphic Disorder presents a preoccupation with imagined ugliness, typically involving facial flaws, such as spots or wrinkles, or the shape of the face, nose, mouth or jaw. More rarely the complain involves the appearance of the feet, hands, breasts or genitalia. It is frequently chronic and may lead to marked disruption of the patients social, marital and occupational life (Phillips, 1991). The disorder is fairly unremitting with few symptom-free periods, although the body part focused upon may change over time. It is generally regarded as a condition that is difficult to treat (Phillips, 1991). A variety of cognitive and behavioural techniques have been described to have some effect but all tend to be lengthy. To the author's knowledge here are no reports on the use of Eye Movement Desensitisation and Reprocessing (EMDR) in its treatment. Here we describe our use of EMDR in fourteen consecutive patients with body dysmorphic disorder. Outcome data is presented. The treatment time is much less than the combination of treatment and homework used in imaginal exposure (Vaughan et al, 1994). Such homework was not given to our patients. Furthermore, as EMD leads to involuntary changing images throughout a session, the exposure element is further reduced. In contrast to exposure, EMDR does not involve exacerbating or increasing the patients level of anxiety and, whilst patients experience a rapid positive shift in cognitions during EMDR, this has not been found in treatments with exposure only (Kilpatrick, Veronen & Resnick, 1982).

Keywords: Body Dysmorphic Disorder  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Adolescents  Children  Choking Phobia  Specific Phobia  

Accuracy Verified: Yes


299. Bambach, S. (1994). EMDR und aktive zukunftsorientierung in der therapie von komplex traumatisierten menschen [EMDR and active future orientation in the treatment of complex trauma human]. Author.

Language: English

Format: Other

Abstract:
Die Ausbildung in EMDR (Eye Movement Desensitization and Reprocessing) führte mich über längere Zeit zu einer intensiven Auseinandersetzung über die Vereinbarkeit von EMDR mit meiner bisherigen traumatherapeutischen Arbeit. Diese war und ist stark geprägt durch die lösungs- und ressourcenorientierte Therapie, wie ich sie von Steve de Shazer, Insoo Kim Berg, Yvonne Dolan und später in anderer Form von Gunther Schmidt erlernt habe. Zentrale Elemente der Arbeit mit traumatisierten Menschen nach lösungsorientierten Konzepten sind u. a. die aktive Unterstützung der Klienten1 bei der Entwicklung einer positiven Zukunftsvision, bei der Identifikation der individuellen Kriterien für Therapieerfolg und der kleinstmöglichen, aktiv zu unternehmenden Schritte in diese Richtung. Diese konsequent ressourcen- und lösungsorientierte Arbeitsweise schien im Widerspruch zur Traumafokussierung als zentralem Moment von EMDR zu stehen.

The training in EMDR (Eye Movement Desensitization and Reprocessing) took me a long time to an intense debate about the compatibility of my recent trauma with EMDR therapy work. This was and is strongly influenced by the solution-and resource-oriented therapy, as I have of Steve de Shazer, Insoo Kim Berg, Yvonne Dolan and I have learned later in another way, by Gunther Schmidt. Key elements of the work with traumatized people after solution-oriented concepts, including the active support of Klienten1 in developing a positive vision for the future, in the identification of the individual criteria for treatment success and the smallest, active steps to be taken in this direction. This resource consistently and solution-oriented approach seemed to contradict the trauma as the central focus of EMDR are at the moment.

Keywords: Complex Trauma  Future Orientation  

Accuracy Verified: Yes


300. Lipke, H. (2001). EMDR und andere ansätze der psychotherapie - Ein integratives modell: Theoretische und klinische empfehlungen mit schwerpunkt auf traumatischem stress [EMDR and other approaches of the psychotherapy - An inclusive model: Theoretical and clinical recommendations focusing on traumatischem stress]. Paderborn: Junfermann.

Language: German

Format: Book

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) wurde vor mehr als zehn Jahren von Dr. Francine Shapiro entwickelt und galt anfangs insbesondere aufgrund nachweislich sehr schneller und überzeugender Behandlungserfolge als eine der ungewöhnlichsten psychotherapeutischen Methoden überhaupt. Aufgrund der positiven Ergebnisse wissenschaftlicher Untersuchungen wird EMDR mittlerweile von vielen Therapeuten erfolgreich eingesetzt. Im Mittelpunkt des Buches steht das von Lipke entwickelte Vier-Aktivitäten-Modell, eine Ergänzung zu dem von Francine Shapiro (1995) entwickelten AIP-Modell der beschleunigten Informationsverarbeitung. Damit schafft Lipke einen Rahmen für das Verständnis psychotherapeutischer Arbeit im allgemeinen und für die Integration von Shapiros Theorie über die Verarbeitung dysfunktionaler Erinnerungen in die bisherigen Formen psychotherapeutischer Arbeit. Das vorgestellte Modell liefert eine Handlungsanleitung für die Anwendung von EMDR in der therapeutischen Praxis. Dabei kann Lipke auf seine fast dreißigjährige klinische Erfahrung mit traditionelleren Behandlungsansätzen ebenso zurückgreifen wie auf seine über zehnjährige Praxis in der Anwendung und Vermittlung von EMDR. Das Buch ist nicht als Einführung in die Theorie und Praxis von EMDR, sondern eher als Erläuterung der Arbeit mit dieser Methode in einem umfassenderen therapeutischen Zusammenhang gedacht.

EMDR (Eye Movement Desensitization and Reprocessing) was developed more than ten years ago by Dr. Francine Shapiro and was initially due in particular proved very fast and impressive treatment success as one of the most unusual methods of psychotherapy in general. Due to the positive results of scientific studies EMDR is now used by many therapists successfully. The focus of the book which is developed by Lipke four activities model, a complement to the Francine Shapiro (1995) developed the AIP model of accelerated information processing. This creates a framework for understanding Lipke psychotherapeutic work in general and for the integration of Shapiro's theory about the dysfunctional processing of memories in the previous forms of psychotherapeutic work. The proposed model provides a guide to action for the application of EMDR in therapeutic practice. It can draw on his nearly thirty years Lipke clinical experience with more traditional treatment approaches as well as on its more than ten years of practice in the use and placement of EMDR. The book is not intended as an introduction to the theory and practice of EMDR, but rather as an explanation of the work with this method in a wider therapeutic context.

Keywords: Practice  Theory  

Accuracy Verified: Yes


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

Language: German

Format: Book Section

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

Keywords: Biofeedback  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


302. Kennert, G. (2008). EMDR und biofeedback in der behandlung von posttraumatischen belastungsstörungen [EMDR and biofeedback in the treatment of post traumatic stress disorder]. Forum Psychotherapeutische Praxis, 8(1), 45-46. doi:10.1026/1860-7357.8.1.45b.

Language: German

Format: Journal

Abstract: rezensiert von Gabriele Kennert, In dem von Stefan Jacobs und Anna de Jong vorgestellten Behandlungskonzept werden die kognitive Verhaltenstherapie, das EMDR-Verfahren sowie Biofeedback miteinander kombiniert, um die Angstreaktion im Rahmen traumatisierender Erinnerungen zu verringern bzw. zu hemmen und somit auch die Symptomatik der posttraumatischen Belastungsstörung abzubauen. Im ersten Teil des Buches gehen die Autoren eingehend auf den theoretischen Hintergrund (Neurophysiologie, Hirnfunktionen) ein, die mit der neuronalen Bahnung von traumatisierenden Erinnerungen einhergehen. Hierbei vertreten sie die These, dass sich die neuronalen Bahnungen der Traumata nicht löschen lassen, dass sozusagen die Angstreaktion in der Amygdalaregion im Gehirn löschungsresistent ist und es somit in der Konsequenz im Therapieziel nur um die Verringerung der Angstreaktion, bzw. Hemmung der Angstreaktion gehen könne. Konkret modifizieren die Autoren innerhalb des kognitiv, verhaltenstherapeutischen Vorgehens das Modell von Ehlers und Clark, ebenso das EMDR-Verfahren von Shapiro. Das Biofeedbackverfahren nutzen die Autoren als diagnostisches Instrument, um die subjektiven Bewertungen seitens der Patienten und Patientinnen auch objektiv überprüfbar zu machen mit Hilfe der Messung der elektrodermalen Aktivität (EDA). Im zweiten Teil des Buches beschreiben sie detailliert eine wissenschaftliche Studie an 16 Patienten und Patientinnen, die an dem Behandlungsprogramm an der Universität Göttingen teilgenommen haben. Hierbei sei bei allen Patienten und Patientinnen eine signifikante positive Symptomveränderung der PTB nachzuweisen gewesen. Im weiteren Teil des Buches stellen sie ihr ausführliches Therapiekonzept und Behandlungsprotokoll vor. Es wird eingehend auf die Diagnostik (psychologische Testverfahren sowie Biofeedback eingegangen, ein wichtiger Teil ist die Informationsvermittlung sowie Stabilisierung für die Patienten und Patientinnen. Danach erfolgt die Traumabehandlung mit Konfrontation und Integration. Wert wird hierbei in Abgrenzung zu Shapiro auf die frühzeitige Verbindung zur positiven Kognition gelegt in Verbindung mit Hausaufgaben, die die Patienten zwischen den Sitzungen bekommen mit eingehenden Verhaltensübungen. Die Autoren grenzen ein, dass ihre Methode nicht für alle Patienten und Patie tinnen geeignet ist, sondern dissoziative Störungen und Persönlichkeitsstörungen sowie Suchtproblematik explizit ausgeschlossen seien. Die Stabilisierungsübungen werden praktisch beschrieben (Sicherer Ort, Tresor), ebenso die praktische Anwendung des Biofeedbackverfahrens sowie das Behandlungsprotokoll für EMDR. Gegen Ende des Bandes schließen sich Fallstudien aus der Arbeit der Autoren an, um die Praxis zu verdeutlichen. Im Anhang gibt es Adressenverzeichnisse über den Bezug von Tests, Biofeedbackgeräten oder Lehrfilmen. Zusammenfassend kann man sagen, dass der Band kurzgefasst, sehr übersichtlich und konkret sowie praxisnah das neuropsychotherapeutische Behandlungsprogramm darstellt, so dass dies hilfreich für die psychotherapeutische Praxis in Bezug auf Traumabehandlungen erscheint. Das Buch richtet sich an Fachleute und ist für Laien eher weniger geeignet.

In the presented text by Stefan Jacobs and Anna de Jong, the treatments approached are the cognitive-behavioral therapy, the EMDR method and biofeedback combined to the fear reaction Framework to reduce traumatic memories or to inhibit and thus the symptoms of reduce post-traumatic stress disorder. In the first part of the book, the authors detail to the theoretical background (neurophysiology, Brain functions, a), the facilitation of the neuronal accompanied by traumatic memories. Here, they argued that the neuronal Facilitations of trauma can not be cleared, so to speak, that the fear response in the Amygdalaregion Brain is resistant to extinction and thus in consequence the goal of therapy just to reduce the fear response, and inhibiting the fear response could. Specifically, the authors modify within the cognitive, behavioral approach, the model by Ehlers and Clark, as well as the method of EMDR Shapiro. The biofeedback method, the authors use as a diagnostic tool for the subjective evaluation on the part of the patients also making objectively verifiable by measuring electrodermal activity (EDA). In the second part of the book they describe in detail a scientific study of 16 male and female patients, where the treatment program at the University Göttingen participated. Here is at all patients, and patients had a significant positive Detect symptom change the PTB have been. In another part of the book they put their detailed Therapeutic approach and treatment protocol first. It will detail the psychological diagnosis ( Test procedures and biofeedback received an important Part is to communicate information and stabilization for male and female patients. Thereafter the confrontation with trauma treatment and integration. Value in this case in contrast to Shapiro on down early connection to the positive cognition in conjunction with homework, the patients who get between meetings with incoming Behavioral exercises. The authors of a frontier that their method is not for All male and female patients is appropriate, but dissociative And personality disorders and addiction are explicitly excluded. The stabilization exercises are described practically (Safe Place, Safe), as well as the practical Application of biofeedback procedure and the treatment protocol for EMDR. Towards the end of the tape to close case studies from the work of the authors in order to clarify the practice. In the appendix, there are records of the address Terms of testing, biofeedback devices or educational films. In summary, one can say that the band concise, very clear and concrete and practical the neuro-psychological treatment program represents, so this is helpful for the psychotherapeutic Practice in relation to trauma treatment appears. The book is aimed at professionals and is for Lay less suitable.

Keywords: Biofeedback  Posttraumatic Stress Disorder  PTSD  Treatment  

Accuracy Verified: Yes


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

Language: German

Format: Book Section

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

Keywords: Biofeedback  

Accuracy Verified: Yes


304. Wintersperger, S. (2008, September). EMDR und psychoanalyse [EMDR and psychoanalysis]. Pre-Congress am 11. Kongress der European Society of Hypnosis in Psychotherapie und Psychosomatische Medizin, Wien, Österreich.

Language: German

Format: Conference

Abstract:
EMDR wurde als ein Verfahren entwickelt, um belastende/traumatische Erinnerungen nachträglich zu verarbeiten/integrieren. Phase 4 des EMDR- Standardprotokolls, das sogenannte „Prozessieren“ hat hierbei eine zentrale Bedeutung, es ist ein spezifisches Kernstück in der EMDR-Behandlungstechnik. Es handelt sich dabei um eine gezielt in Gang gesetzte besondere Form des assoziativen „Denkens“, (das neurobiologisch gesprochen ein „subkortikales Denken“ ist), welches an das Freie Assoziieren in der Psychoanalyse erinnert.

EMDR was developed as a method to integrate process stressful / traumatic memories later /. Phase 4 of the EMDR standard protocol, the so-called "litigation" has a central role here, there is a specific key instrument in the EMDR treatment technology. This is a deliberately set in motion particular form of associative "thinking" (which is spoken a neurobiological "subcortical thinking"), which commemorates the free associating in psychoanalysis. Based on this observation I would make the attempt, on the one hand against the background Psychotraumatological concepts of integration and the other along the dimension of psychoanalytic concepts of insight and change illustrate this phenomenon. My working hypothesis is: The KH-views and treatment concepts of psychoanalysis and the neurobiological findings of psycho trauma are not incompatible in the focal point of change, he is now litigating or free association, faces some of the ways. As a conclusion I'm going to answer the question, can be combined if and under what conditions the EMDR treatment technique of psychoanalytic psychotherapy.

Keywords: Psychoanalysis  

Accuracy Verified: Yes


305. Saint Paul, N. V. (2001). EMDR und systemische familientherapie [EMDR and family systems therapy]. EMDRIA Deutschland e.V. Rundbrief, 2, 14-17.

Language: German

Format: Newsletter

Abstract:
Bei der gemeinsamen Betrachtung von EMDR mit familientherapeutischen Ansätzen fallen zunächst die Gegensätze auf. EMDR wird üblicherweise im Einzelsetting angewendet. Die Behandlung steht meist im Kontext von bestimmten Krankheitsdiagnosen (typischerweise von traumabedingten - aber auch anderen - Störungen). In der (systemischen) Familientherapie wird eine Diagnostizierung möglichst vermieden, Konzepte werden "verflüssigt", Symptome werden im Hinblick auf ihre Wirkung im (Familien-)System hin untersucht. Beispielsweise wird ein Patient als "Symptomträger" innerhalb der Familie bezeichnet. Man sucht also nach dem Sinn oder Nutzen, den die Symptomatik für die Familie hat. Insofern ist man recht weit davon entfernt, gezielte Interventionsmethoden zu suchen, mit denen dann der einzelne behandelt wird, um ein Symptom zu beseitigen. Allerdings wurde dies von den Begründern der Familientherapie keineswegs für ausgeschlossen erklärt (vgl. bspw. Stierlin et al. 1977, 16). EMDR ist dementsprechend in der familientherapeutischen Literatur und den einschlägigen Fachzeitschriften bisher so gut wie nicht zur Kenntnis genommen worden. Eine Ausnahme bildet The Family Therapy Networker im Jahr 1993, der dem Thema EMDR ein Special Feature widmet (vgl. Butler (1993) und O'Brien (1993)). Von Seiten der EMDR Praktizierenden gibt es durchaus Hinweise auf die Vereinbarkeit. Tinker & Wilson (2000, 229) verweisen auf die Nützlichkeit der Ergänzung der EMDR-Arbeit durch familientherapeutisches Vorgehen. Lempa (2000) beschreibt die Verbindung der EMDR-Einzelbehandlung mit familientherapeutischen Gesprächen innerhalb des stationären Settings und berichtet über positive Erfahrungen im Hinblick auf die Akzeptanz der Behandlung in den Familien. Ich halte die wechselseitige Betrachtung der Ansätze für sehr fruchtbar und möchte hier einige Gedanken und Erfahrungen dazu darstellen.

In the common view of EMDR with family therapy approaches, first fall to the opposition. EMDR is usually applied in individual settings. Treatment is usually in the context of specific disease diagnoses (typically from trauma-related - errors - but also others). In the (systemic) family therapy, a diagnosis will be avoided where possible, concepts will be "liquefied" symptoms in terms of their effect in the (family) system were investigated. For example, a patient is a "symptom carrier" within the family. Therefore, we look for the meaning or benefit that the symptoms for the family. In this respect it is quite far from seeking specific intervention methods by which the individual is then treated to remove a symptom. However, this was by the founders of family therapy not declared excluded (see, for example, Stierlin et al. 1977, 16). EMDR has been accordingly in the family therapy literature and the relevant journals previously taken almost no notice. The Family Therapy Networker an exception is in 1993, the subject of EMDR devotes a special feature (see Butler (1993) and O'Brien (1993)). Sides of the EMDR practitioner, there are indications of the compatibility. Tinker & Wilson (2000, 229) point to the usefulness of supplementing EMDR work with family therapeutic approach. Lempa (2000) describes the connection of individual EMDR treatment with family therapy calls within the inpatient setting and reported positive experiences with regard to the acceptance of the treatment in the home. I think the mutual inspection of approaches for very fruitful and would like to present some thoughts and experience to do so.

Keywords: Family Systems Therapy  

Accuracy Verified: Yes


306. Wanders, F., Serra, M., & de Jongh, A. (2008). EMDR versus CBT for children with self-esteem and behavioral problems: A randomized controlled trial. Journal of EMDR Practice and Research, 2(3), 180-189. doi:10.1891/1933-3196.2.3.180.

Language: English

Format: Journal

Abstract:
This study compared eye movement desensitization and reprocessing (EMDR) with cognitive-behavioral therapy (CBT). Twenty-six children (average age 10.4 years) with behavioral problems were randomly assigned to receive either 4 sessions of EMDR or CBT prior to usual treatment provided in outpatient and inpatient clinics. To evaluate the effectiveness of treatment, parents and mentors completed a wide variety of self-report instruments and behavioral measures, and the children completed self-assessment instruments prior to therapy, directly after completion of therapy, and at 6-month follow-up. EMDR and CBT were found to have significant positive effects on behavioral and self-esteem problems. Although the differences between treatment effectiveness for EMDR and CBT were small, the children who originally received EMDR showed significantly larger changes in target behaviors than those in the CBT group. The results support the use of EMDR, focused on the desensitization of a series of meaningful memories, to produce significantly positive and sustained effects on children's self-esteem and related problems.

Keywords: Children  Behavior Problems  CBT  Cognitive Behavioral Therapy  Random Control Trial  RCT  Self-Esteem  

Accuracy Verified: Yes


307. Settle, C. (2007, June). EMDR with children 2-10 years of age: Practical and creative therapuetic tools derived from an ongoing fidelity study based on the adaptive information processing model. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
This presentation will encompass the findings from a current and ongoing research study on EMDR with young children, with implications for clinical practice arising from this study. The clinical experiences of the presenter, which include treating traumatized children and training EMDR therapists, led to the first EMDR fidelity study on children. From that study, our preliminary findings led us to formulate suggestions about training therapists; these ideas will be explained in the workshop.
Examples will be discussed of how issues related to the therapist, client, and patient, home environment, clinical environment, and therapist training all impact the EMDR treatment protocol with children 20 to 10 years of age. Participants will also learn to identify developmentally appropriate and child-specific languaging in order to conceptualize the treatment of children using the EMDR protocol. Using Dr. Shapiro’s Adaptive Information Processing model, participants will learn to attune to the child verbally and non-verbally to understand how the child has learned to store the trauma in their memory network, versus how the parent or therapist believes the trauma to be stored. Specific tools like mapping and graphing that are used to tease out all the pieces of the EMDR protocol and develop case conceptualization will be demonstrated with associated videos. Through the use of Powerpoint presentation, case presentation, and handouts, additional practical and interesting tools will be presented to assist therapists in using Resource Development, Mastery, and Safe Place exercises in the efficacious treatment of young children. Creative tools used to identify targets, emotions, body sensation, and negative and positive cognitions, will be demonstrated, as well as measurements to aid the child in eliciting the VOC and SUDs. Also, the important of the three-pronged approach (the process of addressing targets from the past, present, and future), and how to develop targets from a child’s often concrete perspective, will be discussed. Finally, participants will be able to use a specific format for reevaluation from both the child’s and parents’ point of view. With these advanced skills in translating EMDR into developmentally appropriate terms and imaginative tools for implementation, participants will return to their practices encouraged to use the entire EMDR protocol with even the youngest of clients. The workshop, which is based on clinical experience and research, will teach creative skills in applying the eight-phase protocol to young children.

Keywords: Adaptive Information Processing  AIP  Children  Fidelity Study  Techniques  

Accuracy Verified: Yes


308. Case, C. (2013, May). EMDR with children ages 3-12, a developmental and attachment perspective. Presentation at the Western Massachusetts EMDRIA Regional Network 9th Annual Spring Conference, Amherst MA.

Language: English

Format: Conference

Abstract:
This workshop will address EMDR preparation phase work for children ages three to twelve. A developmental lens will be applied to helping children develop an Observing Self and internalized positive cognitions for successful processing. Enlisting parents as allies, and choosing the best method of processing will also be addressed.

Keywords: Children  Observing Self  

Accuracy Verified: Yes


309. Morris-Smith, J. (2001, May). EMDR with children exposed to chronic abuse and domestic violence. Presentation at the EMDR Europe Association annual meeting, London, UK.

Language: English

Format: Conference

Abstract:
This paper aims to discuss some of the issues of working using EMDR, as a part of the integrated treatment process of children, who have been exposed to chronic abuse and domestic violence. These children are all in the care system and are living with foster parents who know very little about their previous lives. Often the professionals caring for them also have little of the child's history and many details of what they have been exposed to are not known. The children are frequently detached, dissociated and shut down from their past experiences, though their traumatised behaviours continue to blight and dominate their entire lives and present major difficulties in their daily management and future planning. Their emotional and social development appears to be arrested by their chronic multiple traumatisation. They are also kept in transitional placements for long periods of time, whilst their long-term needs are assessed. There is a struggle to identify appropriate long-term placements for such damaged children as their severe multiple traumatisation prevents them from being able to trust or begin to form new attachments or even to develop a sense of safety. There is a nee for early intervention to treat their severely traumatised symptoms and memories, to help rid them of their overwhelming terror and fears of the adult world and to free them to begin to form healthier more appropriate behaviours and attachments. How using EMDR to enable these children to develop and progress emotionally and socially towards a more positive future is described.

Keywords: Children  Chronic Abuse, Domestic Violence  

Accuracy Verified: Yes


310. Lovett, J. M. (1995, June). EMDR with Children: Eleven months to eleven years. Presentatioj at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
There are special considerations when treating children for critical incidents, anxiety, or other "EMDR amenable" conditions. Especially challenging for EMDR practitioners, young children may not be able to verbalize their thoughts, feelings, or beliefs children old enough to understand treatment options may choose to keep their symptoms rather than experience temporarily increased anxiety during treatment. Even cooperative children may not be able to identify a positive cognition because their life experience and/or cognitive development have not yet permitted resources for self-soothing or making sense of life changing events. Furthermore, children are dependent on an adult or family for their physical safety and emotional wellbeing. Although the child may be the "identified patient," the parents' own post-traumatic beliefs may be triggering the child's symptoms, and a successful outcome for the child may depend on the parents' reprocessing of traumatic material. Case studies will be presented to illustrate how the EMDR practitioner workmg with children can integrate EMDR techniques with play therapy, use "EMDR enhanced" games, choose an appropriate positive cognition for a young child, introduce creative interweaves to reach trauma resolution, and work with parents to separate their PTSD triggers from their child's behavior.

Keywords: Children  

Accuracy Verified: Yes


311. Shapiro, R. (2005). EMDR with cultural and generational introjects . In R. Shapiro (Ed.), EMDR solutions: Pathways to healing, (pp. 228-240). New York: W W Norton & Co. xi, 360 pp.

Language: English

Format: Book Section

Abstract:
No abstract available.

Keywords: Attitude Change  Class Expectations  Cultural Expectations  Cultural Introjects  Destructive Beliefs  Emotional Trauma  Generational Introjects  Introjection  Racial and Ethnic Attitudes  Racism  Sexual Attitudes  Sexism  Social Class  Trauma  Treatment  

Accuracy Verified: Yes


312. Burdova, I., Lievegoed, R., & Wijga, S. (2006, June). EMDR with mentally ill children and adults. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
Fragments of a treatment different from the protocol Asking the client to choose the aspect of the abuse that is most difficult to her at the moment, accomponied by auditory stimuli. Installing the positive cognition while the tension is still 9 (SUD). [Excerpt]

Keywords: Adults  Children  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Trauma  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Mechanism of Action  Research  Symposium  

Accuracy Verified: Yes


315. Solomon, R. M., & Shapiro, F. (2010). EMDR y el modelo de procesamiento adaptativo de la informacion (PAI) mecanismos potenciales de cambio [EMDR and adaptive model of information processing (AIP) potential mechanisms of change]. Revista de Psicopterapia, 20(80), 17-37.

Language: Spanish

Format: Journal

Abstract:
La desensibilización y reprocesamiento mediante movimientos oculares (EMDR) es un abordaje terapéutico que está guiado por el modelo de procesamiento adaptativo de la información (PAI). Este artículo proporciona una breve visión de conjunto de algunos de los principales preceptos del PAI. Se plantea la hipótesis de que la base de la patología clínica radicaría en los recuerdos almacenados disfuncionalmente, derivándose los resultados terapéuticos obtenidos del procesamiento de tales recuerdos dentro de redes adaptativas mayores. A diferencia de las terapias de exposición basadas en la extinción, se postula que los recuerdos considerados como diana en el EMDR pueden sufrir la transmutación durante el procesamiento para ser luego almacenados nuevamente durante el proceso de reconsolidación. Por ello, se proporciona una comparación y un contraste con los modelos de procesamiento de la información basados en la extinción como así también el tratamiento, que incluye las repercusiones que puede tener para la práctica clínica. A lo largo del artículo se comenta una diversidad de mecanismos de acción, incluidos aquellos que se deducen de los principios del modelo PAI como de los propios procedimientos del EMDR, entre los que figura la estimulación bilateral. A fin de investigar las diversas hipótesis, se ofrecen sugerencias de investigación.

"Eye movement desensitization and reprocessing (EMDR) is a therapeutic approach guided by the adaptive information processing (AIP) model. This article provides a brief overview of some of the major precepts of AIP. The basis of clinical pathology is hypothesized to be dysfunctionally stored memories,with therapeutic change resulting from the processing of these memories within larger adaptive networks. Unlike extinction-based exposure therapies, memories targeted in EMDR are posited to transmute during processing and are then again stored by a process of reconsolidation. Therefore, a comparison and contrast to extinction-based information processing models and treatment is provided, including implications for clinical practice. Throughout the article a variety of mechanisms of action are discussed, including those inferred by tenets of the AIP model, and the EMDR procedures themselves, including the bilateral stimulation. Research suggestions are offered in order to investigate various hypotheses."

Keywords: Adaptive Information Processing  AIP  Mechanisms of Change  

Accuracy Verified: Yes


316. Garcia, F. (2010, Abril). EMDR y el procesamiento adaptativo de la información [EMRD and adaptive processing of the information]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain.

Language: Spanish

Format: Conference

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

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

Keywords: Adaptive Information Processing  AIP  

Accuracy Verified: Yes


317. Mosconi, A., Pezzolo, M., & Trotta, B. (2012, June). EMDR y terapia sistemica - Puntos de conexión, relectura e integración en el proceso terapéutico [EMDR and systemic psychotherapy - Connection points, new interpretations and integrations in the therapeutic process]. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .

Language: Spanish

Format: Conference

Abstract:
En el aproche sistémico-relacional del Milán Model, el primer paso para la introducción de un cambio sea al interno de un contexto de terapia individual sea de pareja y/o familiar, es la construcción junto al paciente/sistema familiar de una Hipótesis Sistémica relativo al problema llevado. Tal proceso proporziona la exploración en profundidad sea sincrónica sea diacrónica de los contextos relacionales generadores del problema. La hipótesis con respecto al sistema Relacional coconstruida en el proceso terapéutico, toca temas específicos a través de el uso de precisas técnicas locuaces. Los pilastros de la hipótesis cumplen las dimensiones descritas en el cuadrilátero sistémico en el cual el problema del paciente está conectado en un proceso recursivo a los aspectos interpersonales del contexto de pertenencia.

In the systemic-relational approach of Milan Model, the first step to the introduction of a change both within the context of individual therapy and couple/family one consists of outlining a Systemic Hypothesis on the given problem together with the patient/family system. This process involves both synchronic and diachronic indepth exploration of the relational contexts representing the problem generators. The hypothesis referred to the relational system, outlined together during the therapeutic process, touches specific subjects through the use of specific conversational techniques. The pillars of the hypothesis comply with the dimensions highlighted in the Systemic Quadrilateral where the problem of the patient is connected to a process related to the interpersonal aspects of his environment.

Keywords: Poster  Systemic Psychotherapy  

Accuracy Verified: Yes


318. Jayatunge, R. (2010, February 25). EMDR – An effective mode of psychotherapy. Sri Lanka Guardian. Retrieved from http://www.srilankaguardian.org/2010/02/emdr-effective-mode-of-psychotherapy.html om 2/30/2010.

Language: English

Format: Newspaper

Abstract:
Introduction of cognitive therapies gave a new hope. Beck and other pioneers in CBT helped a large number of people with emotional problems. Among all contemporary psychotherapies EMDR (Eye Movement Desensitization and Reprocessing) became unique. What is exceptional about EMDR? It is easy to administer, gives quick positive results and no side effects. EMDR facilitates to ease traumatic experiences.

Keywords: General  Military  Overview  

Accuracy Verified: Yes


319. Algotsson, L. (2004). EMDR – Eye movement desensitization and reprocessing, Ett försök att teoretiskt förklara en integrativ metod [EMDR - Eye movement desensitization and reprocessing: An attempt to explain theoretically integrative approach]. Umeå Universitet, Institutionen för klinisk vetenskap, Enheten för psykoterapi.

Language: Swedish

Format: Dissertation/Thesis

Abstract:
EMDR – Eye Movement Desensitization and Reprocessing är en behandlingsmetod som främst visat sig vara effektiv vid behandling av posttraumatiskt stressyndrom. Francine Shapiro som upptäckt och utvecklat metoden grundar den på ide´n om hjärnan som ett självreglerande, självorganiserande system och kallar sin förklaringsmodell Adaptive Information Processing model. Syfte med detta arbete är att beskriva dess verksamma faktorer, då den inte fungerar samt försöka anknyta teorier som neuropsykologi, dynamisk systemteori och dialektisk konstruktivism till metoden och dess modell. Resultatet ger vid hand att den dynamiska systemteorin främst förklarar de både snabba och plötsliga förändringar som kan noteras vid användandet av metoden, att senare neuropsykologisk forskning förmår bekräfta metodens användbarhet då det gäller att beskriva och förklara det som neuropsykologiskt sker vid behandlingen samt att terapeutisk förändring ofta inbegriper ett pendlande mellan erfarande och förklarande.

EMDR - Eye Movement desensitization and Reprocessing is a method of treatment primarily shown to be effective in treating post-traumatic stress disorder. Francine Shapiro, who discovered and developed the method based on the ide'n brain as a self-regulating, self-organizing systems and calls its explanation Adaptive Information Processing model. Aim of this work is to describe the active factors, then it does not work and try to link theory to neuro-psychology, dynamic systems theory and dialectical constructivism to the method and its model. The result shows that the dynamical systems theory mainly explains both the rapid and abrupt changes occurring in the use of the method, the recent neuropsychological research is able to confirm the usefulness of the method when the to describe and explain what occurs at the neuro-psychological treatment and that therapeutic change often involves oscillating between experiencing and explanatory.

Keywords: Practice  Theory  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Coaching  Performance Enhancement  Resource Installation  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Protocols  Treatment  

Accuracy Verified: Yes


322. Johannesson, K. B. (2001, April). EMDR – psychotherapy in posttraumatic stress syndrome in young people. Swedish Council on Health Technology Assessment in Health Care (SBU), Stockholm, Sweden.

Language: English

Format: Other

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a new psychotherapeutic method aimed at processing memories of traumatic events, thereby ameliorating the psychological consequences of these memories. EMDR involves elements from several different psychological approaches. It is uncertain which of the treatment elements are effective. Clients with post traumatic stress disorder (PTSD) are the main target group for EMDR treatment. Although both children and adults have been treated with EMDR, this document is aimed particularly at children and adolescents. Patient Benefits, Risks, and Side Effects Published studies of EMDR mainly cover adults with PTSD. There are two randomized and controlled studies, one of which has yet to be published, of EMDR treatment in 47 children and adolescents. One of the studies suggests that EMDR yields a better treatment outcome in the short term compared to the control treatment (active listening). In the second study, no significant difference was found between EMDR treatment in combination with standard treatment and standard treatment alone as regards reduction in avoidance and invading thoughts. However, the PTSD symptom of behavioral disorders declined significantly in the EMDR group. Furthermore, numerous case studies suggest that EMDR has a positive treatment effect in children and adolescents with PTSD. No harmful effects have been reported.

Keywords: Posttraumatic Stress Disoder  PTSD  Young People  

Accuracy Verified: Yes


323. 謝馨儀.[Xie Xinyi] (1999, 2011). EMDR介入PTSD治療歷程與效果之個案研究 [EMDR treatment of PTSD intervention process and the effect of case studies]. National Taiwan Normal University, Department of Educational Psychology and Counseling, Taiwan.

Language: Chinese

Format: Dissertation/Thesis

Abstract:
視為一個較新起源於西方國家,眼動脫敏和再加工治療(EMDR)已被證明效率大量的研究。然而,由於這樣的事實,在台灣沒有太多的相關研究,這項研究的目的是在心理治療,EMDR的申請在台灣未來的探索實踐。通過客戶的積極治療和比較 EMDR的干預之前和之後的創傷後應激障礙(PTSD)治療的結果,預計 EMDR將實行更在心理治療領域,從而分散在台灣。 (作者摘要)

Regarded as one newer therapy originated from Western countries, Eye Movement Desensitization and Reprocessing (EMDR) has been proven efficient by numerous researches. However, due to the fact that there is not much related research in Taiwan, this study aims at a psychological therapy practice applying EMDR in Taiwan for the future exploration. Via a client’s positive result from the therapy and the comparison before and after the intervention of EMDR to the Post Traumatic Stress Disorder (PTSD) therapy, it is anticipated that EMDR will be practiced more in the psychotherapeutic field and thus dispersed in Taiwan. (Author abstract)

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


324. 范红霞 王援朝 [Fan Hongxia, & Wang Yuan-chao] (1996). EMDR心理治疗──治疗抑郁与创伤的新方法 [EMDR psychological treatment — A new treatment of depression and trauma]. 中国临床心理学杂志1996年 第02期 [Chinese Journal of Clinical Psychology, Issue 2].

Language: Chinese

Format: Journal

Abstract:
EMDR心理治疗──治疗抑郁与创伤的新方法范红霞,王援朝山西大学教育系心理室北京医科大学医学心理教研室EMDR(EyeMovementDesensitizationandReprocessing),即眼动脱敏和再加工,是目前对抑郁与创伤的心理治疗的新方法,这种方法产生于1987年,创始人是美国哲学博士夏皮诺(Francineshapiro)。1990年,EMDR正式作为一种新的治疗方法被传授。目前在美国已约有九千人在使用这种方法,但在我国被介绍尚属首次。一、关于EMDR的理论和实验曾有各种各样的假说被提出来解释EMDR心理疗法的作用机制,但至今尚无确凿的证据能充分证实之。有假说认为:“创伤”事件(即经验中的痛苦而难忘的事件)破坏了大脑信息加工系统的生化平衡,干扰了信息加工系统原本具有的适应性处理功能,并把个体关于这一事件的感知“锁定”在神经系统中。反复眼动,能活化大脑这一自动信息处理系统。支持这一理论的神经生物学的研究发现:持续的低电流刺激对突触电位会产生同样的持久效应而且呈现出有益的记忆。EMDR也可被看作是一种再加工方法,其基本干预步骤是图像再现、认知......(本文共计2页)

EMDR psychotherapy to treat depression and trauma ─ ─ a new method Fan Hongxia, Wang Yuanchao Shanxi University Psychology Department of Education Department of Medical Psychology, Beijing Medical Room EMDR (EyeMovementDesensitizationandReprocessing), the eye movement desensitization and reprocessing, is currently on the treatment of depression and psychological trauma the new method, which produced in 1987, is the founder of the American Philosophical 博士夏皮诺 (Francineshapiro). 1990, EMDR officially as a new method of treatment is to teach. Currently there are about 9000 people in the United States using this method, but the first time was introduced in our country. First, on the theoretical and experimental EMDR had a variety of hypotheses have been proposed to explain the mechanism of action of EMDR psychotherapy, but so far there is no conclusive evidence to fully confirm it. There are hypotheses that: "traumatic" event (ie, the experience of traumatic events) destroys brain biochemical balance of information processing systems, interference with an information processing system was originally adaptive processing functions, and to individuals about this event perception "locked" in the nervous system. Repeated eye movement, can activate the brain that automated information processing systems. Support this theory neurobiological findings: Continuous low current stimulation on synaptic potentials would produce the same effect but also presents useful lasting memories. EMDR can also be seen as a re-processing method, the basic procedure is the image reproducing intervention, cognitive ...... (article 2 Pages)

Keywords: Depression  Trauma  

Accuracy Verified: Yes


325. O'Brien, J. M., & Abel, N. J. (2011). EMDR, addictions, and the stages of change: A road map for intervention. Journal of EMDR Practice and Research, 5(3), 121-130. doi:10.1891/1933-3196.5.3.121.

Language: English

Format: Journal

Abstract:
A growing body of literature indicates that eye movement desensitization and reprocessing (EMDR) can be useful in the treatment of addictions. When combined with traditional addictions treatment approaches, EMDR can enhance client stability, prevent relapse, and promote recovery. Clinical decision making about when and how to use EMDR techniques with clients who present with addictions is complicated. The purpose of this article is to explore the use of EMDR interventions with clients presenting various levels of awareness of their addiction as well as varied levels of motivation to change. The authors explore the Stages of Change and suggest appropriate pre-EMDR EMDR interventions at each stage.

Keywords: Addiction  Stages of Change  Trauma  

Accuracy Verified: Yes


326. Carvalho, E. (2012, June). EMDR, fotos, dibujos y metáforas [EMDR, pictures, drawings and metaphors]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract:
This workshop will present the adaptation of the traditional 8-­‐phase EMDR treatment approach using drawings, pictures and metaphorical language; with adults. The eight phases will be described in detail, and presentations from client cases will illustrate its use. Pictures will be shown from the beginning and end of the same session as a means of demonstrating the efficacy of EMDR and its power for change.
En este taller se presentará la adaptación del tratamiento tradicional de 8 fases EMDR usando dibujos, pinturas y lenguaje metafórico; con adultos. Las 8 fases serán descritas en detalle, y las presentaciones de casos clínicos reales ilustraran su uso. Las pinturas serán mostradas desde el principio hasta el final de la misma sesión con el fin de demostrar la eficacia del EMDR y su poder de cambio.

Keywords: Drawings, Metaphors  Pictures  

Accuracy Verified: Yes


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

Language: Spanish

Format: Conference

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

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

Keywords: Ego States  Policement, Queens  Test Anxiety  

Accuracy Verified: Yes


328. Fredin, I. (2005). EMDR-behandling: Barns och ungdomars upplevelser en kvalitetssäkringsstudie [EMDR treatment: Ensuring the quality of EMDR as a treatment for children and young people]. Umeå University, Sweden.

Language: Swedish

Format: Dissertation/Thesis

Abstract:
Föreliggande studie är dels ett led i att kvalitetssäkra EMDR (Eye Movement Desensitization and Reprocessing) som behandlingsmetod för barn och ungdomar och dels att utröna om behandlingen bidragit till ett förbättrat mående. EMDR som behandlingsmetod för barn och ungdomar har stöd i kontrollerade studier, men ytterligare forskning behövs. I den här studien deltog åtta barn och ungdomar med varierande diagnoser, vilka fått EMDR-behandling i barn- och ungdomspsykiatrisk öppenvård. Behandlingen ingick i en individualterapi i ett familjeterapeutiskt sammanhang. Barnen/ungdomarna intervjuades per telefon om hur de upplevt behandlingen och om sitt mående i efterförloppet. Information om diagnoser, C-GAS, antal EMDR-sessioner samt terapeutens bedömning inhämtades som komplement till intervjun. Resultaten visar att EMDR-behandlingen upplevs ha bidragit till att obehagskänslor och symtom minskade, men i olika grad, för alla intervjuade barn/ungdomar. Denna förändring kunde också noteras i terapeutens bedömning och i de bedömda C-GAS-värdena. Alla kände sig trygga under behandlingen och tyckte att de fick tillräcklig information. Hälften tyckte att konfrontationen med de svåra minnena var det mest obehagliga. Vissa detaljer i protokollet, såsom att bestämma målbild, upplevdes svårt för över hälften. Alla intervjuade skulle rekommendera EMDR-behandling till andra. Det positiva resultatet talar för att EMDR är en användbar metod för barn- och ungdomar med traumatiska minnen, och att det är värdefullt att satsa på fortsatt forskning kring EMDR med barn- och ungdomar.

The present study is the first part of ensuring the quality of EMDR (Eye Movement Desensitization and Reprocessing) as a treatment for children and young people and also to determine if the treatment contributed to an improved malaise. EMDR as a treatment for children and adolescents is supported by controlled studies, but further research is needed. In this study, eight children and adolescents with various diagnoses who received EMDR treatment in child and adolescent psychiatric outpatients. The treatment was part of an individual therapy in a family therapy context. Children / young people were interviewed by telephone about their experiences and treatment of their malaise in its aftermath. Information on diagnosis, C-GAS, number of EMDR sessions and the therapist's assessment was collected as a supplement to the interview. The results show that EMDR treatment is perceived to have contributed to the discomfort and symptoms decreased, but to varying degrees, all interviewed children / adolescents. This change was also noted in the therapist's assessment and the assessed C-GAS-values. All felt safe during the treatment and felt they had enough information. Half thought that the confrontation with the difficult memories was the most unpleasant. Some details of the protocol, such as determining the vision, difficulty was experienced for more than half. All respondents would recommend EMDR treatment to others. The positive results suggest that EMDR is a useful method for children and adolescents with traumatic memories, and that it is worthwhile to invest in continued research on EMDR with children and adolescents.

Keywords: Adolescents  Children: Psychotherapy  Trauma  Treatment  

Accuracy Verified: Yes


329. Bertino, G., & Ostacoli, L. (2011, June). EMDR-drawing integration in the treatment of complex PTSD and severe organic diseases. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
As a complement to the strategies already used in EMDR, drawing gives form to the inner representations of the trauma, objectivising it. Thus the person no longer relates only to something inside him/her, but rather to something he/she can see and can concretely represent and modify. In the act of drawing, the patient makes an initial reorganisation of the form of the trauma, and begins to differentiate the adaptive ego, which has the tools and the ability to restructure the experiences, and the traumatic emotional part that suffers those experiences in a condition of impotence and passivity. The person may rapidly access preverbal and motor-sensory language, activating inborn creative skills. The use of this tool enables us to access the traumatic material gently, limiting dissociative reactions, bypassing avoidance and flight behaviour and setting a distance from pain by objectivising it. A protective space is created between the self and the part that holds the suffering. The patient is offered the possibility of drawing what is occurring in the self’s here and now, and given a choice of different graphic materials. At the end of the drawing and assessment phase the person is asked to note what has emerged, and a brief space of time may be allowed for description without interpretation. The represented image is treated as the inner image in the classic protocol. To start, the patient is asked to focus on the drawing, on the negative cognition and on the bodily location of the emotional disorder, while bilateral stimulation is applied. At the end of each set, the patient is asked what he/she has noticed and the therapist verifies where the person now is in the re-elaboration. If there is a change the person may either work on the drawing, modifying it, or, if the change of image is radical, may produce another drawing. After several sets, an adaptive drawing emerges that may be installed as a resource. The workshop focuses on the treatment of two clinical conditions, complex PTSD and severe medical diseases, with the support of video and graphic materials. It includes a practical experience of the Technique Learning objectives: To learn the use of drawing as a supplementary tool, through graphic and video material of clinical cases. To recognise the indications in which it provides added value to the classical protocol. To learn its use in various psychopathological conditions, with particular emphasis on dissociative states and severe medical diseases. The use of drawing as a supplementary tool within the EMDR protocol gives form to the inner representation of the trauma, objectivising it, and creates a bridge of communication between the self and the blocked parts, after which it will be possible to return to desensitising and re-elaboration with the standard protocol.

Keywords: Drawing Integration  Organic Disease  Complex Posttraumatic Stress Disorder  Complex-PTSD  C-PTSD  

Accuracy Verified: Yes


330. Wesselmann, D., Schweitzer, C., Bruckner, D., & Armstrong, S. (2012, October). EMDR-family therapy integrative team approach for healing attachment trauma in children. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
Children who have experienced early maltreatment and who have been relinquished or removed from birth families frequently exhibit severe and challenging behaviors. Therapists are caught in a Catch-22, as children require an emotionally supportive environment from caregivers to open up emotionally and address the traumas underlying their behaviors, and yet the child behaviors create feelings in the the parents that prevent them from being able to provide emotional support. The EMDR Integrative Team model allows for collaboration between a family therapist and an EMDR therapist in order to change parent-child patterns and create a “secure holding environment” for trauma therapy.

Keywords: Attachment Trauma  Children  Family Therapy Intergrative Approach  

Accuracy Verified: Yes


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

Language: French

Format: Magazine

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

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

Keywords: Substantive Evidence  

Accuracy Verified: Yes


332. Eschenroder, C. T. (2003). EMDR. La nuova tecnica sul movimento guidato degli occhi che fa superare traumi, fobie e ansia [EMDR. The new technique on the guided movement of the eyes that overcomes trauma, phobias and anxiety]. Red Edizioni, collana L'altra medicin, Libreria Universitaria.

Language: Italian

Format: Book

Abstract:
Emdr è una nuova psicoterapia che mediante precisi movimenti degli occhi, guidati dalle dita del terapeuta, permette in poco tempo di superare positivamente i traumi dovuti a esperienze particolarmente dolorose: incidenti gravi, abusi, violenze. Ma il suo campo di intervento si è ora allargato fino a comprendere le fobie, gli attacchi di panico, i disturbi dell'alimentazione, le tossicodipendenze.

EMDR is a psychotherapy that new form of specific eye movements, led by the fingers of the therapist, brings us quickly to overcome the traumas caused by positive experiences particularly painful accidents, abuse, violence. But its field of action has now expanded to include phobias, panic attacks, eating disorders, drug addiction.

Keywords: Practice  Theory  

Accuracy Verified: Yes


333. Carvalho, E. R. (2007, June). EMDR: Drawings, pictures, and metaphors. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
This workshop will present the adaptation of the traditional 8-phase EMDR protocol to the use of drawings, pictures and metaphorical language with adults. The protocol will be described in detail, and presentations from client cases will illustrate its use. Pictures will be shown from the beginning and end of the same sessions as a means of demonstrating the efficacy of EMDR and its power for change.

Keywords: Drawings  Metaphors  Pictures  Protocol  

Accuracy Verified: Yes


334. Hofmann, A. (1996). EMDR: Eine neue methode zur behandlung posttraumatischer belastungsstoerungen [Eye movement desensitization and reprocessing: A new treatment method for post-traumatic stress disorder]. Psychotherapeut, 41(6), 368-372. doi:10.1007/s002780050045.

Language: German

Format: Journal

Abstract:
8 stationäre Patienten mit chronischen PTSD wurden mit einem Durchschnitt von 4 Sitzungen der Augenbewegung Desensibilisierung und Wiederaufbereitung (EMDR) behandelt, eine neue Behandlungsmethode. Konkordant mit anderen Fallberichten und Studien, 7 der Patienten berichteten eine deutliche Entlastung von 17 schmerzhaften Erinnerungen verarbeitet, das war in der signifikanten Abnahme der Suds (subjektive Einheiten des Unbehagens, einer Skala von 0-10 dargestellt) von durchschnittlich 6,5 bis 0,9 nach der Behandlung mit EMDR (P <0,001). Dies wurde durch einen Rückgang in anderen Symptome und eine Verbesserung der negativen Selbst-bezogene Denken einher. 1 Patient zeigte keine Besserung. In einem Drittel der Erinnerungen verarbeitet werden, einen starken Anstieg der Suds (Rückblende) aufgetreten war und aufbereitet werden. Die positiven therapeutischen Wirkungen waren stabil 3 und 6 Monate nach der Behandlung, in 2 Fällen, berichtet nach einem Jahr zeigten anhaltende positive Ergebnisse. Keine negativen Ergebnisse der Behandlung berichtet wurden. Es wird vorgeschlagen, dass EMDR könnte ein nützliches Instrument bei der Behandlung von Patienten mit chronischer PTBS werden. Das Verfahren passte gut in einer psychodynamisch orientierten stationären Bereich. Diese Kombination schien zu helfen, speziell bei der Behandlung von Trauma-Patienten mit eingeschränkter Ich-Stärke. [Autor Zusammenfassung]

8 inpatients with chronic PTSD were treated with an average of 4 sessions of eye movement desensitization and reprocessing (EMDR), a new treatment method. Concordant with other case reports and studies, 7 of the patients reported a significant relief of 17 processed painful memories; this was shown in the significant decrease of SUDs (subjective units of discomfort, a 0-10 scale) from an average of 6.5 to 0.9 after treatment with EMDR (P < 0.001). This was paralleled by a decrease in other symptoms and an improvement in negative self-related thinking. 1 patient showed no improvement. In one third of the memories processed, a strong increase in SUDs (flashback) occurred and was reprocessed. The positive therapeutic effects were stable 3 and 6 months after treatment, In 2 cases, reports after a year showed persistent positive results. No negative results of the treatment were reported. It is suggested that EMDR could be a useful instrument in the treatment of patients with chronic PTSD. The procedure fitted well in a psychodynamically oriented inpatient setting. This combination seemed to help specifically in the treatment of trauma patients with impaired ego strength. [Author Summary]

Keywords: Adults  Empirical Study  Longitudinal Study  Psychiatric Inpatients  PTSD  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


335. Shapiro, F. (2008, May). EMDR: 21st-century therapy and the possibilities for healing. Presentation at the Academy for Guided Imagery Conference.

Language: English

Format: Conference

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) has been so well researched that it is now recommended as a front line treatment for trauma in the Practice Guidelines of American Psychiatric Association, and those of the Department of Defense and of Veterans Affairs. It is an integrative psychotherapy that offers a new and distinct approach to personality development and the treatment of pathology. The clinical applications of EMDR with an information processing focus can be used as a general model of psychotherapy addressing a full range of issues of everyday clinical practice, including family therapy impasses. Increasingly, research evidence is showing that there’s a kind of psychological change that can happen at the level of adaptive information processing, opening up the possibility of powerful therapeutic effects that can exceed expectations both in the speed and depth of their impact. In this presentation, you’ll get an experience of the implicit and associational memory networks that govern our feelings, thoughts, and reactions outside the realm of rational thought. You’ll learn how EMDR and the Adaptive Information Processing model apply not only to trauma, but also to personality disorders, depression, chronic pain, sexual compulsivity, and other dysfunctional behaviors and thoughts. EMDR group protocols will be illustrated that have been used worldwide after both natural and man-made disasters. It is believed that the treatment of trauma through networks of clinicians can aid in breaking the cycle of violence worldwide.

Keywords: Webcast  

Accuracy Verified: Yes


336. Carvalho, E. R. (2008). EMDR: Pillars of life in EMDR sessions. Counseling and Psychotherapy Transcripts, Client Narratives, and Reference Works.

Language: English

Format: Journal

Abstract:
This specific form of psychotherapy called the "Pillars of Life" focuses on all the positive things in an individual's life instead of dealing with the negatives.

Keywords: Pillars of Life  

Accuracy Verified: No


337. Derksen, M. T. H., & Baeten, B. M. (2011, April). EMDR: theorie en praktijk binnen de ziekenhuispsychiatrie [EMDR: Theory and practice within the psychiatric hospital]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Inhoud van de workshop: EMDR (eye movement desensitisation and reprocessing) is een intensieve vorm van psychotherapie voor mensen die last houden van de gevolgen van een (of meerdere) schokkende ervaring(EN). Over het effect van emdr is wetenschappelijk aangetoond dat het mogelijk is kwellende herbelevingen van vroegere gebeurtenissen kwijt te raken. emdr is, volgens (inter)nationale richtlijnen, de eerste keus bij behandeling van posttraumatische stressstoornis (PTSS). emdr maakt de in het geheugen opgeslagen traumatische ervaringen toegankelijk en activeert het natuurlijk verwerkingsproces zodat deze gebeurtenissen worden ontdaan van hun emotionele lading en een nieuwe betekenis krijgen. emdr kan ook toegepast worden bij traumagerelateerde stoornissen zoals bij angststoornissen, eetstoornissen, somatoforme stoornissen, seksuele stoornissen, verslaving en chronisch pijn. EMDR is een relatief nieuwe therapie, overigens alweer 20 jaar oud. Grondlegster is de Amerikaanse Francine Shapiro, die in 1989 een eerste versie van emdr beschreef. Door Shapiro zelf en later ook door andere therapeuten is het EMDRprotocol aangescherpt en verbeterd. Halverwege de jaren ’90 van de vorige eeuw introduceerden Ad de Jongh en Erik ten Broeke emdr in Nederland. De laatste jaren wordt er nauwelijks nog iets aan het basisprotocol veranderd of toegevoegd. De belangrijkste ontwikkelingen vinden plaats in de theorievorming en de toepassingsmogelijkheden. Hoe werkt EMDR, welke hersengebieden zijn erbij betrokken, wat is het werkzame mechanisme en bij welke stoornissen kan deze therapie worden toegepast. De kern van deze workshop is het leren kennen van recente verklaringsmodellen over de werking van emdr. De bijzondere kenmerken en effecten van EMDR en de verschillende toepassingsgebieden worden besproken. Vorm: Presentatie, geïllustreerd met videobeelden, tijd voor vragen en een interactieve discussie. Leerdoel: Na de workshop heeft de deelnemer zicht op de verschillende recente theoretische verklaringsmodellen van emdr en heeft hij kennis van het brede indicatiegebied van EMDR en de plaats van emdr binnen de psychotherapie.

Contents of the workshop: EMDR (Eye Movement Desensitisation and Reprocessing) is a intensive form of psychotherapy for people that to suffer the consequences of one (or more) shocking experience (S). On the effects of EMDR has been scientifically proven that it is possible agonizing reliving past losing events. EMDR is, according to (inter) national guidelines, The first choice of treatment for posttraumatic stress disorder (PTSD). EMDR allows the memory traumatic experiences accessible and activates the natural process so that events are stripped of their emotional charge and a new meaning. EMDR can also be applied in trauma-related disorders such as anxiety disorders, eating disorders, somatoform disorders, sexual disorders, addiction and chronic pain. EMDR is a relatively new therapy, however already 20 years old. Founder is the U.S. Francine Shapiro, who in 1989 first version of EMDR described. By Shapiro himself and later by other therapists is EMDRprotocol strengthened and improved. Mid-90s of the last century Ad de Jongh introduced and Erik ten Broeke EMDR in the Netherlands. In recent years there hardly anything to change the basic protocol or added. The main developments are place in the theory and application. How does EMDR, which brain areas are involved, what is the active mechanism and disorders which can therapy administered. The core of this workshop is to learn Declaration of recent models on the operation EMDR. The particular characteristics and EMDR and the effects of different application are discussed. Methods: Presentation, illustrated with video, time for questions and an interactive discussion. Objective: After the workshop, the participant view of the various recent theoretical explanatory models of EMDR and has broad knowledge of the indication area of ​​EMDR and the location of EMDR in psychotherapy.

Keywords: Practice  Psychiatric Hospital  Theory  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Practice  Theory  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Practice  Theory  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Accelerated Emotional Learning  Therapeutic Integation  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Chronic Pain  Pain Control  Trauma  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Lohr  Point/Counterpoint  

Accuracy Verified: Yes


343. Shapiro, E. (1993, Fall/Winter). EMDR:  Warts and all. EMDR Network Newsletter, 3(2), 4-5.

Language: English

Format: Newsletter

Abstract:
After my first training with Francine in 1989, in Israel, I was excited by this promising method and infected with her enthusiasm. I went on to use EMDR whenever I could in my work at the Nazareth Ilite Educational Psychological Service and in my private practice, as well as during my present sabbatical leave in London. I often incorporated EMDR into my work and felt comfortable and confident with a wide range of clients, ages, and difficulties and was ready to explore further with the method. Since my Level II training in November of 1992, I have learned to be more discerning, perhaps even overcautious for the time being, in applying EMDR. Reflecting over my earlier years of bolder and freer uses of EMDR, I did not encounter any negative effects. The worst that happened was that nothing much happened, and this occurred in a minority of cases (perhaps in less than 20%). Even with those cases, I had noticed that there may have been a tendency to underestimate positive effects. One of the subtle difficulties I observed assessing outcomes was that the cognitive changes that occurred were sometimes so spontaneous and "naturally" that the client took them for granted. I first notice this phenomenon clearly in two cases.

Keywords: Outcome  Positive Effects  

Accuracy Verified: Yes


344. D‘Hooghe, D. (2010, June). EMDR‘s application in the treatment of children with selective mutism. In Experimental use of EMDR. Symposium presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
This case concerns a 4,5 year old girl with Selective Mutism. In this particular case. I considered Selective Mutism a symptom of an attachment trauma. Since the trauma wasn't accessible seeing her age and the complexity of the trauma, I used the symptom as a target. I applied EMDR within a phase model: the preparation phase, confrontation phase and integration phase. During these three phases I continuously worked with bilateral stimulation It is my hypothesis that in this case the bilateral stimulation: 1. stimulated and strengthened positive links in the adaptive network. 2 synchronized the activity of both cerebral hemispheres, resulting in a connection between the primary emotions of traumatic experiences and rational insights and language. 3. unblocked the traumatic information and reactivated the natural healing process of the brain. I used several forms of bilateral stimulation as visual stimulation, tactile stimulation and the butterfly hug. Because of her lack of words, she wasn't able to tell me anything. So through storytelling I offered her different themes to which she could respond by making drawings, figures in clay, etc. During the preparation phase, I focused on safety, ego strengthening and affect management to reduce the fear to speak. 1. Working with safety : the eye movements were first accomplished using a safe Image which brought up her own sense of security. Then, after imagining this safe place, the child was willing to play tapping games to strengthen feelings of safety. 2. Ego strengthening : to feel as strong as possible by installing resources and positive cognitions, and guiding the child towards acceptance and development of its unique being. Bilateral stimulation was used to strengthen the positive experiences. 3. Affect management: in the process of strengthening affect management, the child was given access to her anxiety by storytelling linked to visualization, the use of images and bodywork. Again, bilateral stimulation was used to strengthen the positive experiences/skills. After a few sessions. I introduced the use of language and stimulated her to make sounds, followed by pronouncing places of words and finally the pronunciation of complete words and sentences. Through this whole process, 1 combined the specific exercises to learn how to speak with bilateral stimulations. During the twelfth session, the child started talking spontaneously Given the fact that there wasn't any direct confrontation work during the sessions, we are left to wonder whether there has or hasn't occurred any trauma processing. The symptom came to a halt, together with the disappearance of other symptoms that were Inked to the trauma. The question is whether it is necessary to confront young children with their trauma in order to heal. Nevertheless, it seems like the combination of bilateral stimulation with storytelling, art therapy, play therapy and visualization speeded up the elimination of the child's trauma symptoms considerably.

Keywords: Experimental Use  Selective Mutism  

Accuracy Verified: Yes


345. Quinn, G., & Zucker, D. (2008, June). Emergency EMDR & ERP (Emergency Response Procedure): Treatment following natural man made disasters for victims experiencing immediate high stress and including the period of ASD. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
EMDR is a well established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). It is believed that PTSD can be reduced or prevented if treated early. Although usually used at a later time, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Programs (HAP) Disaster Manual, was developed to deal with victims of natural and man made disaster within hours of exposure to trauma. Participants in this workshop will learn how to respond to these clients in the immediate aftermath of trauma, utilizing Debriefing and ERP. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors of the earthquake in Turkey and the Tsunami in Thailand, and with victims of terror and war in Israel. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. The EMDR Group Protocol will be presented and followed by a practicum. [There are 2 PDF files.]

Keywords: Emergency Response Procedure  ERP  

Accuracy Verified: Yes


346. Quinn, G. (2007, June). Emergency EMDR - treating victims from man made to natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
EMDR is a well-established theory for Post Traumatic Stress Disorder (PTSD). EMDR has also been used effectively in the immediate period following trauma. The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Programs (HAP) Disaster Manual and developed to deal with victims of terror within hours of exposure to trauma, will be discussed and taught. Participants will learn how to respond to clients in the immediate aftermath of trauma utilizing Debriefing and ERP. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) and PTSD with survivors of the earthquake in Turkey and the Tsunami in Thailand, and with victims of terror in Jerusalem and those in bomb shelters during the last Lebanon war. In this presentation, the Recent Events Protocol will be reexamined with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. The EMDR Group Protocol, used with large numbers of disaster victims needing simultaneous treatment, will be presented and followed by a practicum.

Keywords: Emergency EMDR  Man-Made Disasters  Natural Disasters  

Accuracy Verified: Yes


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

Language: English

Format: Book Section

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

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

Accuracy Verified: Yes


348. Grainger, R., Levin, C., Allen-Byrd, L., Doctor, R., & Lee, H. (1997, October). An empirical evaluation of eye movement desensitization and reprocessing (EMDR) with survivors of a natural disaster. Journal of Traumatic Stress, 10(4), 665-671. doi:10.1023/A:1024806105473.

Language: English

Format: Journal

Abstract:
Controlled studies of treatments effective with victims of natural disasters are almost nonexistent. This is a small study conducted under difficult conditions to test the effectiveness of Eye Movement Desensitization and Reprocessing (EMDR) in treating trauma related reactions following Hurricane Andrew. The results were positive in that EMDR produced significant improvement over wait list controls in perceived posttraumatic avoidance behaviors and thoughts as measured by changes in the Impact of Event Scale and significant improvement in subjective aversive reactions to representative experiences of the hurricane. These results suggest and support other studies that EMDR can be an effective therapeutic intervention for trauma reactions. [Author Abstract]

Keywords: Adults  Americans  Disaster  Effects  Empirical Study  Hurricane Andrew (1992)  Hurricanes  Longitudinal Study  Non-Randomized Study  Survivors  Treatment Effectiveness  Trauma  

Accuracy Verified: Yes


349. 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


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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes


351. Ogden, P. (2004, September). Empowering the body:  Somatic awareness and physical action in the treatment of trauma and dissociation. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
The repetitive traumatic patterns our clients come to us to change are not only psychological but somatic, clearly reflected in posture, energy level, movement, regulation of arousal and other physical attributes. Changing these patterns cannot be accomplished by insight alone. The procedural memory that keeps such behaviors and dissociative patterns in in place must be addressed. A body-oriented approach is indicated that facilitates new actions and addresses dissociative symptoms, including somaticcomponents of traumatic memories (e.g., pain, analgesia, and motor inhibitions) and avoidance-related symptoms such as bodily anesthesia. Sensorimotor Psychotherapy emphasizes practicing new actions and building other somatic resouces to mitigate symptoms and develop a somatic sense of self. In this workshop, somatic interventions that can be integrated into existing clinical skills will be taught and illustrated through excerpts of videotaped therapy sessions and brief experiential exercises.

Keywords: Dissociation  Somatism  Trauma  

Accuracy Verified: Yes


352. Hartung, J., & Galvin, M. (2003). Energy psychology & EMDR:  Combining forces to optimize treatment (1st ed). New York: W. W. Norton.

Language: English

Format: Book

Abstract:
As clinical and consulting psychologists, we have continually searched for ever better ways to help people. At this point after almost 60 years of combined practice, we have come to rely on energy psychology (EP) and eye movement desensitization and reprocessing (EMDR) as our preferred methods. In this book we present the clinical findings that have led us to believe that these methods excel -- especially in combination -- in helping clients achieve profound change and growth, usually quickly and with stable results.We hope to persuade energy therapists to look at the richness that EMDR has to offer, keeping in mind that the interests of some clients sometimes might be better served by treatment with EMDR than EP. We also hope to convince EMDR clinicians to consider using energy techniques as additional resources for those times when EMDR stalls. For readers yet untrained in either, we offer an overview of the two brief therapies that have transformed our professional lives. [Adapted from Preface]

Keywords: Energy Psychotherapy  Psychotherapeutic Processes  Stressors  Survivors  

Accuracy Verified: Yes


353. Leone, J., & Dayton, J. (1994). Enhance EMDR outcome through additional saccades:  Case study. EMDR Network Newsletter, 4(1), 5-6.

Language: English

Format: Newsletter

Abstract:
A 47-year-old, self-employed businessman, referred for treatment after a near fatal heart attack, was treated with EMDR 6 months after the trauma, and 4 months following his introduction to psychotherapy. though financially successful, he continued to be "driven" toward seeking acclamation from his colleagues. The physician who made the referral did so on the assumption that this client required a significant life style change to decrease stress and workaholic behavior.

Keywords: Saccades  

Accuracy Verified: Yes


354. Datta, P., & Wallace, J. W. (1996, June). Enhancement of victim empathy along with reduction in anxiety and increase of positive cognition of sex offenders after treatment with EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Treatment of sex offenders who have been themselves sexually abused in their childhood, offers a significant challenge for many therapists. The traumas related to abuse are unique to the individual offender and need to be addressed to enhance victim empathy that is so crucial in breaking the cycle of offense. Treatment of a group of sexually abused adolescent sex offenders using eye movement desensitization and reprocessing (EMDR) showed reduction in anxiety and increase in positive cognition. A pre- and post-treatment evaluation using the Datta Empathy Scale (DES), after an average of 3 sessions, showed a significant increase in empathy for respective victims. The DES was administered one year after the cessation of EMDR treatment and the results showed a sustaining effect of EMDR on victim empathy, anxiety and positive cognition.

Keywords: Empathy  Sex Offenders  

Accuracy Verified: Yes


355. Datta, P. C., & Wallace, J. W. (1996, November). Enhancement of victim empathy along with reduction in anxiety and increase of positive cognition of sex offenders after treatment with EMDR: Maintenance after three years. Presentation at the EMDR Special Interest Group at the Annual Convention of the Association for the Advancement of Behavior Therapy, New York.

Language: English

Format: Conference

Abstract:
Treatment of sex offenders who have been themselves sexually abused n their childhood, offers a significant challenge for many therapists. The traumas related to abuse are unique to the individual offender and need to be addressed to enhance victim empathy that is so crucial in breaking the cycle of offense. Treatment of a group of sexually abused adolescent sex offenders using eye movement desensittization and reprocessing (EMDR) showed reduction in anxiety and increase in positive cognition. A pre- and post-treatment evaluation using the Datta Empathy Scale (DES), after an average of 3 sessions, showed a significant increase in empathy for respective victims. The victim empathy (using DES), anxiety (using SUDS0, and cognition control (using VoC scale) were also measured in the available subjects one year after and three years after the cessation of EMDR treatment, the results showed a sustaining effect of EMDR on victim empathy, anxiety, and positive cognition.

Keywords: Anxiety  Sex Offenders  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Postive Psychology  Resource Installation  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Performance Enhancement  Positive Emotion  

Accuracy Verified: Yes


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

Language: English

Format: Book Section

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

Keywords: Performance  Positive Emotion  Protocol  

Accuracy Verified: Yes


359. Du Bois, M. G., & de Kroon, M. (2008, August). Enlarging skills and self-efficacy as an important outcome of EMDR with individuals with ID. Poster presented at the 13th World Congress of the International Association for the Scientific Study of Intellectual Disabilities, Cape Town, South Africa.

Language: English

Format: Conference

Abstract:
Many individuals with behaviour problems have long-lasting negative experiences in relation to their environment. Because of this they often have low self-esteem. The treatment is focussed on reduction of complaints and acquisition of skills. But the treatment is more successful when there is also the acquisition of a positive view of the self. EMDR is mainly focussed on trauma treatment and positive cognitive connotation. This competence is very useful as a therapeutic intervention when reinforcing a positive self in people with ID. For our target group it is difficult to translate a positive cognition to daily life. With the use of resources from EMDR such as the use of objects and manual communication, the self image can be reinforced and advance the practising of behaviour experiments. This poster will focus on theory of EMDR and practical implications.

Keywords: ID  Intellectual Disabilities  Poster  

Accuracy Verified: Yes


360. du Bois, M. G., & de Kroon, M. (2008, August). Enlarging skills and self-efficacy as an important outcome of EMDR with individuals with ID: Presenting a video case. Poster presented at the 13th World Congress of the International Association for the Scientific Study of Intellectual Disabilities, Cape Town, South Africa .

Language: English

Format: Conference

Abstract: Eye Movement Desensitisation and Reprocessing’s basic principles, procedures and protocols direct the clinician in assisting clients to transmute negative experiences into adaptive learning experiences. EMDR is also recognised as giving resources with a positive picture to assist processing the traumatic experiences. The so-called Resource Development and Installation (RDI) is a specific strategy to strengthen the client by mobilising and strengthening positive cognitions associated with positive experiences in the past. By activating positive functional memory networks and relating the positive picture with the present, the client will be able to practise these in situations where they feel problematic. A client with ID is able to transfer a positive picture to the present. On the basis of these data, presented in a video case, we will give examples of our practise as clinicians in the mental health care of individuals with ID.

Keywords: ID  Intellectual Disabilities  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Epigenetics  Plenary  Survivors  Trauma  

Accuracy Verified: Yes


362. Ohtani, T., Matsuo, K., Kasai, K., Kato, T., & Kato, N. (2010, February). Erratum to “Hemodynamic responses of eye movement desensitization and reprocessing in posttraumatic stress disorder”. Neuroscience Research, 66(2), 232. doi:10.1016/j.neures.2009.12.002.

Language: English

Format: Journal

Abstract:
Reports an error in "Hemodynamic responses of eye movement desensitization and reprocessing in posttraumatic stress disorder" by Toshiyuki Ohta ni, Koji Matsuo, Kiyoto Kasai, Tadafumi Kato and Nobumasa Kato (Neuroscience Research, 2009[Dec], Vol 65[4], 375-383). The publisher regrets that the surname of Dr. Ohtani was incorrectly spelt in the original article. The corrected author listing is given in the erratum. (The following abstract of the original article appeared in record 2009-20201-001). Eye movement desensitization and reprocessing (EMDR) is an effective psychological intervention for posttraumatic stress disorder (PTSD). Trauma-related recall (Recall) with eye movements (EMs) is thought to reduce distress. However, the neural mechanisms underlying this process remain unknown. Thirteen patients with PTSD received EMDR treatment over the course of 2–10 weeks. We assessed the change in hemoglobin concentration in the lateral prefrontal cortex (PFC) during Recall with and without EM using multi-channel near-infrared spectroscopy (NIRS). Clinical diagnosis and improvement were evaluated using the Clinician-Administered PTSD Scale. Recall with EM was associated with a significant decrease in oxygenated hemoglobin concentration ([oxy-Hb]) in the lateral PFC as compared with Recall without EM. Longitudinally, [oxy-Hb] during Recall significantly decreased and the amount of decrease was significantly correlated with clinical improvement when the post-treatment data was compared with that of the pre-treatment. Our results suggest that performing EM during Recall reduces the over-activity of the lateral PFC, which may be part of the biological basis for the efficacy of EMDR in PTSD. NIRS may be a useful tool for objective assessment of psychological intervention in PTSD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Hemodynamic Responses  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


363. Wildwind, L. (1999). Essential experience interweaves:  Deepening resource installation for personality change; An advanced workshop and clinical practice with case consultation. Presentation at the Minnesota EMDR Network, Minneapolis, MN.

Language: English

Format: Conference

Keywords: Essential Experience Interweaves  RDI  Resource Development and Installation  

Accuracy Verified: No


364. Gabarra, D. O. (2012, Novembro). Estados de ego e o EMDR em quadros dissociativos [Ego states and EMDR in dissociative frames]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
O objetivo da oficina é abordar como os processos de dissociação consciente de papéis ou estados de ego podem ser utilizados para potencializar a reintegração psíquica dos pacientes dissociativos. Pacientes dissociativos sempre foram um dos grandes temores dos terapeutas em EMDR para o uso da fase 3 em diante. Geralmente esses quadros requerem um grande tempo de preparação além de um manejo mais avançado e interventivo durante o reprocessamento. Entretanto, entre pacientes com alto grau dissociativo é comum encontrarmos pessoas com grande fragilidade psíquica, acesso a um pobre histórico de recursos, uma grande dificuldade em se expressar, perceber e nomear seus sentimentos além de grande dificuldade em relatar seus traumas. Então, como avançar no protocolo de EMDR com pessoas tão fragilizadas e que quase não nos dão dicas do conteúdo de seus traumas? Alguns critérios hipotéticos auxiliam a instrumentalizar tanto o profissional quanto o paciente a enfrentarem o reprocessamento. Primeiramente, (a) se diante de uma história de traumas intensos a pessoa sobreviveu e chegou até você, é porque ela tem recursos importantes, mesmo que tenha dificuldade de acessá-los. Um desses recursos é o próprio quadro dissociativo que a protege da intensidade dos traumas e possibilita a vida “apesar de...”. (b) Se essas partes estão tão distantes uma da outra, é porque elas tiveram um motivo para isso, mas talvez esse motivo já esteja no passado, e hoje podemos caminhar para uma conversa. (c) Sendo todos esses papéis ou egos são partes do eu, certamente eles querem algo de positivo para esse eu, mesmo que aparentemente seja difícil perceber isso. Essas hipóteses ou crenças positivas a respeito do paciente devem ser checadas com dados de realidade para que possam ser fortalecidas, mas, mais do que isso, é fundamental que elas "transpirem por todos os poros do corpo do terapeuta". Identificados os estados de ego presentes no evento traumático parece ser mais fácil seguir com a etapa do reprocessamento de deforma menos interventiva, principalmente quando não se tem o conteúdo do evento em questão. Obviamente que todo esse processo deve levar todo o tempo necessário e seguido de todos os cuidados que a aplicação do EMDR demanda.

The goal of the workshop is to discuss how the processes of conscious dissociation of roles or ego states can be used to enhance the reintegration of the psychic dissociative patients. Dissociative patients have always been one of the great fears of EMDR therapists for use in phase 3 onwards. Generally these paintings require a great preparation time plus a more advanced and interventional management during reprocessing. However, among patients with high dissociative is common to find people with great fragility psychic, poor access to a historical resource, a great difficulty in expressing themselves, perceive and name their feelings besides great difficulty in reporting their trauma. So, how to advance the EMDR protocol with people so fragile and hardly give us hints of the contents of their trauma? Some hypothetical criteria help to equip both the professional and the patient to face the reprocessing. First, (a) in front of a history of severe trauma the person survived and came to you, it is because it has important features, even if you have difficulty accessing them. One of these features is the very dissociative disorder that protects the intensity of the trauma and allows life "although ...". (B) If these parties are so far apart, it's because they had a reason for that, but maybe that reason is already in the past, and today we can walk into a conversation. (C) Since all these roles and egos are part of me, surely they want something positive to me, although apparently it is difficult to realize this. These positive beliefs or assumptions about the patient be checked against data from reality so that they can be strengthened, but more than that, it is crucial that they "transpire from every pore of the body of the therapist." Identified ego states present at the traumatic event seems to be easier to follow with step of reprocessing deforms less interventionist, especially when you do not have the content of the event in question. Obviously, this entire process should take all the time necessary and followed by all care that the application of EMDR demand.

Keywords: Advanced Management  Dissociation  Ego States  

Accuracy Verified: Yes


365. Greenwald, R. (1995). Evaluating Shapiro's stance on EMDR training. OnLine Journal of Psychology, 1(1), 130-134.

Language: English

Format: Other

Abstract:
Shapiro has enjoined clinicians not to use eye movement desensitization and reprocessing (EMDR), a treatment for traumatic memories, unless trained by her organization. Some have objected, especially on the grounds that sole-source training may interfere with independent research. However, those trained in EMDR agree that such training is important. Research findings have been consistently positive when treatment was conducted according to the full EMDR protocol taught by Shapiro, and negative only when that protocol was not used. Shapiro's stance has supported the effectiveness and research integrity of EMDR. [Author Abstract]

Keywords: Commentary  Professional Training  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Eye Movements  RDI  Resource Development and Installation  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

Keywords: Athletes  Performance Enhancement  

Accuracy Verified: Yes


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

Language: French

Format: Journal

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

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

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

Accuracy Verified: Yes


369. Wolff, R. P. (2004). Evaluation of effectiveness of individual therapy sessions over 60 minutes. California Institute of Integral Studies, San Francisco, CA. AAT 3158599.

Language: English

Format: Dissertation/Thesis

Abstract:
Research has produced few studies that support the 50-minute therapy session as the most effective session length for achieving optimal therapeutic results. This descriptive study attempted to determine differences in therapists' perceptions of how session length might impact therapeutic process, therapeutic outcome, treatment of specific psychological disorders, and if session length preference was based on theoretical orientation or procedures/techniques. A total of 65 practicing therapists drawn from the International Society for the Study of Dissociation, EMDR International Association, Trauma Incident Reduction Practitioners, San Francisco Society of Lacanian Study, and California Psychological Network completed questionnaires regarding their perceptions about psychotherapy for individuals employing longer session lengths versus the standard 50-minute session.Overall frequencies of questionnaire responses and between groups comparisons were analyzed using Chi-Square. The sample endorsed the use of longer sessions at statistically significant frequencies on the following questionnaire items: three therapeutic outcome items: Increases client's satisfaction, Shortens overall duration of therapy, and Facilitates corrective emotional experience; and nine therapeutic process items: Access to client's emotional material, Integration of experience before leaving session, Deepens development of transference, Working through defenses, Access to traumatic experiences, Integrate traumatic experience within session, Working through traumatic experience, and Improving likelihood of breakthrough experiences. The sample also agreed on the use of longer sessions as potentially contributing to positive outcome for treatment of the following disorders: Substance Abuse, Panic Disorder, Agoraphobia, Specific Phobia, Social Phobia, PTSD, GAD, and Eating Disorders. The findings of this study suggest that longer session lengths may have a positive impact on therapeutic process, therapeutic outcome, and certain disorders. Specific implications for the field of psychology and suggestions for research are discussed. [Author Abstract]

Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(12-B), 2005, pp. 6680.

Keywords: Empirical Study  Health Personnel Attitudes  Individual Psychotherapy  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Quantitative Study  Treatment Duration  Treatment Effectiveness  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Art Therapy  Treatment  

Accuracy Verified: Yes


371. Griffith, H. (2009, July). Evoking the embodied image with EMDR: Jung in the age of the brain. Presentation at the International Association for Jungian Studies Conference, Wales, Scotland.

Language: English

Format: Conference

Abstract:
A new paradigm for understanding psychopathology is emerging out of the convergence of research in formerly disparate domains such as neurobiology, attachment theory, and the effects of trauma. At the same time, unorthodox treatment modalities such as EMDR (Eye Movement Desensitization and Reprocessing) and the Energy therapies are beginning to gain favour in mainstream psychotherapy, not only because they seem to be supported by findings in fields such as neurobiology, but because they are so effective. As Jungians, I believe that our challenge is to revisit our work in the light of these latest scientific discoveries. In this paper, I first outline what brain imaging techniques are revealing about the importance of the dance between mother and infant in the actual hard-wiring of the babys developing brain. I then focus on trauma research, which shows how the release of stress induced hormones can result in the disorganization of the brain and the consequent shut down of integrative neuronal pathways. If we bring these two streams of research together we can see how early trauma within the parent infant bond, in which there is no adequate container to prevent the baby from falling into unbearable anxiety and terror, can initiate the hard-wiring of dysfunctional attitudes and behaviours that become reinforced throughout the childs development. I then briefly describe the EMDR protocol, which is proving to be a very effective technique in helping adult patients work through some of these dysfunctional patterns internalized in that very early parental dyad. This protocol uses a bilateral stimulation of the brain to engage a wider network of neuronal pathways to help process the painful psychological material, or complex, with which the patient is struggling. Facilitating a successful EMDR session is a little like witnessing a spontaneous active imagination as the patient weaves together the threads of a multitude of images, sensations, emotions, and cognitions into the fabric of a fuller, more nuanced, healing story of the self. The purpose of my paper is to demonstrate how these recent theoretical insights and treatment protocols can illuminate and enhance a Jungian approach to conducting psychotherapy. What I find remarkable is the compatibility between much of the contemporary research on the brain and many of Jungs ideas about the psyche. In this paper, however, I focus primarily on what we can learn about the complex. Drawing on numerous examples from case histories, I illustrate the effectiveness of the EMDR protocol in evoking the affect and embodied image at the core of the complex. I also demonstrate how the bilateral stimulation of the brain not only helps facilitate change but also, through the material which is engendered, gives us a window into how the complex was constructed in the first place.

Keywords: Brain  Jung  

Accuracy Verified: No


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

Language: English

Format: Dissertation/Thesis

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

Keywords: Empirical Study  Grounded Theory  Quantitative Study  Therapeutic Processes  Trauma  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes


374. McCullough, L. (2002, December). Exploring change mechanisms in EMDR applied to "small-t trauma" in short-term dynamic psychotherapy: Research questions and speculations. Journal of Clinical Psychology, 58(12), 1531-1544. doi:10.1002/jclp.10103.

Language: English

Format: Journal

Abstract:
This article represents a process of preliminary search and discovery regarding the active mechanisms in Eye Movement Desensitization and Reprocessing (EMDR) when used in Short-Term Dynamic Psychotherapy (STDP). Patients' (N = 7) responses to EMDR interventions were categorized as either "trauma" or "resolution" responses and examined in relationship to (a) the number of EMDR sets, (b) patient Global Assessment of Functioning Rating (GAF) scores, and (c) raw change in Subjective Units of Distress (SUD) ratings of severity of traumatic memory and Validity of Cognition (VoC) ratings of positive cognitions before and after EMDR sessions. Further subcategorization and development of the broad categories of trauma and resolution were recommended and may be useful in shedding light on how change happens in EMDR. This study was exploratory and attempted only to identify possible variables for further study. However, the results show potential relationships among variables that merit further refinement and study. Research questions generated from this study are discussed. [Author Abstract]

Keywords: Effects  Empirical Study  Posttraumatic Stress Disorder  Psychoanalytic Psychotherapy  PTSD  Research Needs  Stressors  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


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

Language: English

Format: Book Section

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

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

Accuracy Verified: Yes


376. Kiessling, R. (2005, September). Extending safe place/resource development protocols to increase client stability. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
While many clients are able to immediately access and utilize their safe place/resource development strategies for EMDR trauma reprocessing, some are not. This workshop will teach participants the difference between state and trait change, and how to develop access, utilize, and strengthen a client's safe place/resource during and between sessions. Clinicians will learn, through a live demonstration, the extending safe place/resource development protocols. Clinicians wlll be able to discuss how re-evaluation helps increase client stability and bullds confidence in their safe place/resource to the point where they are ready to address their traumatic material with the EMDR protocol.

Keywords: Resource Installation  Safe Place  

Accuracy Verified: Yes


377. 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