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1. Ouellette, D. W. (2007, September-October). "Getting the war out:" New paradigms for healing post-traumatic stress. Natural Life News & Directory.
Language: English
Format: Newsletter
Abstract:
EMDR is a psychotherapeutic approach developed by Francine Shapiro that uses dual
attention stimulation, such as eye movements, bilateral sound, or bilateral tactile stimulation,
to resolve symptoms resulting from exposure to a traumatic or distressing event.
Clinical trials have demonstrated EMDR's efficacy in the treatment of PTSD. It has
shown to be more effective than some alternative treatments and equivalent to cognitive
behavioral and exposure therapies.Although some clinicians may use EMDR for
various problems, its research support is primarily for disorders stemming from
distressing life experiences.
Keywords: Combat Veterans War
Accuracy Verified: Yes
2. 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
3. 海野千畝子 ウンノ チホコ [Unno Chihoko]. (2008年6月). 子ども虐待へのEMDRによる治療1―子どもへの治療― 海野千畝子 [Therapies for child abuse 1: For children]. こころのりんしょう 第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 285-287] .
Language: Japanese
Format: Journal
Keywords: Child Abuse Children
Accuracy Verified: Yes
4. 杉山 登志郎 [Sugiyama Toshiro]. (2008年6月). 子ども虐待へのEMDRによる治療2―親への治療―杉山登志郎 [Therapies for child abuse 2: For parents]. こころのりんしょう 第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 289-292] .
Language: Japanese
Format: Journal
Keywords: Child Abuse Parents
Accuracy Verified: Yes
5. 市井雅哉 [Ichii Masaya]. (1994). 心的外傷後ストレス障害(PTSD)の治療:行動療法、認知行動療法と眼球運動desensitizationと再処理(EMDR) [Therapies of posttraumatic stress disorder (PTSD): Behavior therapy, cognitive-behavior therapy and eye movement desensitization and reprocessing (EMDR)]. 成虫(5)8、110から123 [Imago, (5)8, 110-123].
Language: Japanese
Format: Journal
Keywords: Behavior Therapy Cognitive Behavior Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
6. マギーフィリップス(田中究、穂積由里子、浅田雅子(翻訳) [Maggie Phillips (Tanaka Kiwamu, Hozumi Yuriko, Asada Masako (translators)] (2002). 最新心理療法―EMDR・催眠・イメージ法・TFTの臨床例 [単行本] [Finding the energy to heal: How EMDR, hypnosis, TFT, imagery, and body-focused therapy can help resolve health problems]. 東京:春秋社。 392 pp [Tōkyō: Shunjūsha. 392 pp.].
Language: Japanese
Format: Book
Abstract:
マギー・フィリップス著 ; 田中究監訳 ; 浅田仁子,穂積由 最新心理療法: EMDR・催眠・イメージ法・TFTの臨床例 Saishin shinri ryōhō: Īemudīāru saimin imējihō tīefutī no rinshōrei 春秋社
A groundbreaking book that applies the principles of energy psychology and medicine to mind/body healing. Eastern healing focuses on correcting imbalance so that qi (life force energy) can flow freely again. This book proposes that various therapies can similarly address energies in mind/body systems and restore health. These tools can open inner, healing pathways that have been frozen by stress, trauma, and unresolved developmental issues.
Keywords: Body-Focused Therapy Hypnosis Imagery TFT Thought Field Therapy
Accuracy Verified: Yes
7. スペイツ C.リチャード コッチ エレン I. [Spates, C. R., and Koch, E. I.] (2003). 眼球運動脱感作と再処理(Reprocessing)から表出(Exposure)セラピーまで : 共通するメカニズムへの証拠に対する再考と概観 [From eye movement desensitization and reprocessing to exposure therapy: A review of the evidence for shared mechanisms]. 行动分析学研究18(2)、62から76 [Japanese Journal of Behavior Analysis, 18(2), 62-76].
Language: Japanese
Format: Journal
Abstract:
心的外傷後ストレス障害は、(心的外傷後ストレス障害)のすべての文化と生涯を通じて人々に影響を与える条件である。診断実践心的外傷後ストレス障害の導入以来、多くの研究は、疫学、病態生理、心理的、生理的メカニズムだけでなく、その治療に対処しています。障害の行動製剤は、分野の研究をリードの間に浸透して、効果的な治療につながるなど、暴露療法するヒューリスティックを証明されています。眼球運動脱感作は、サービス(EMD/ R)の再処理は、この定式化から出発すると主張している最近開発された介入は、その有効性の実証的な支持を受けています。本記事では、眼球運動脱感作と再処理の行動策定を支持する証拠をレビューし、それが暴露療法と行動の一般的なメカニズムを共有していることを示唆している。以上の研究関心は心的外傷後ストレス障害より寛容と、クライアントと実務に受け入れられるのレンダリング露出ベースの治療法の検討方法に与えられるべきである。
Posttraumatic stress disorder (PTSD) is a condition that affects people in all cultures and throughout the lifespan. Since the introduction of posttraumatic stress disorder into diagnostic practice, a great deal of research has addressed its epidemiology, pathophysiology, and psychological and physiological mechanisms, as well as its treatment. A behavioral formulation of the disorder has prevailed among leading researchers in the field, and has proved heuristic in leading to efficacious treatments, e.g., exposure therapy. Eye movement desensitization and reprocessing (EMD/R), a recently developed intervention that claims to be a departure from this formulation, has received empirical support for its efficacy. The present article reviews the evidence supporting a behavioral formulation of eye movement desensitization and reprocessing, and suggests that it shares common mechanisms of action with exposure therapy. Greater research attention should be given to examining ways of rendering exposure-based therapies for posttraumatic stress disorder more tolerant and acceptable to clients and practitioners. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
8. Grenough, M. (2007, September). 4 brief strategies to calm, relax, and re-wire the brain. Presentation at the annual meeting of EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
Looking for calm in the chaos – for you and your clients? Examine findings of recent research regarding the brain’s neuroplasticity and our ability to re-wire our own brains. Learn four 60-second strategies that can calm, relax, heighten sense of personal control, diminish power of old patterns, and strengthen healthy neural pathways. Understand, and be able to explain to clients, how research testifies to the efficacy of these simple strategies and how their implementation can be useful in EMDR treatment. In this highly experiential workshop, you will learn four strategies and explore how/when to use each with your clients – and with yourself.
Keywords: Relaxation
Accuracy Verified: Yes
9. Watkins, J. G., & Paulsen, S. L. (2004, March). Abreactions in EMDR and hypnoanalytic therapies. Presentation at the American Society for Clinical Hypnosis, Chicago, IL.
Language: English
Format: Conference
Keywords: Abreactions Hypnoanalytic Techniques
Accuracy Verified: Yes
10. Sime, W., (2002). Absorption, concentration, dissociation, desensitization, flow and neurofeedback: The essence of Tiger Woods performing optimally focused "In the zone". Winter Brain Meeting.
Language: English
Format: Conference
Abstract:
The Absorption that allows an athlete, a surgeon, an astronaut or a musician to get into the Zone, i.e., to block out all distractions
unrelated to performance has been assessed by Tellegen, Csikszentmihalyi and others in self-report measures. It occurs relatively rarely at the very highest levels and is very elusive to achieve. Qualitatively speaking, it is the phenomena of being totally immersed in the activity with time moving slowly, senses being sharpened, but pain not recognized. Thoughts and images are clear and controllable while physical performance seems effortless and automatic. To measure this phenomenon accurately and completely is not possible in a dynamic state, but to shape it's appearance and to extend duration is essential in finite psychomotor skills like golf.
Physical preparation for performance is mentally grueling and fatiguing. If often results in trance-like, dis-associative and sometimes
dissociative states where depersonalization is a valuable technique to block out the intense suffering and pain associated with running, swimming or bicycling. The difficulty in sport is being able to switch in and out of full alertness for some strategic tasks while remaining in the dissociative state for endurance. The experience of flow, absorption and being in the zone is to harness power and ultimately unleash explosive yet finely titrated effort.
Concentration is the umbrella concept that also encompasses EMDR. The process of actively shifting eye focus from left to right while striving to hold an image or statement of emotionality is exceedingly difficult and ultimately beyond control. The combination of EMDR with neurofeedback is an innovative intervention that holds potential for greater impact in removing negative images of failed effort or in solidifying the recall of a successful effort. The neurofeedback serves to reinforce the development of greater mental stamina toward intensively focus comparable to zooming in a camera lens thus blocking out distractions and irrelevant stimuli. Enhanced quality of visualization is the desired outcome for the performance enhancement sport psychology consultant and his/her client.
Keywords: Absorption Concentration Dissociation Desensitization Flow Neurofeedback Performance Enhancement Tiger Woods The Zone
Accuracy Verified: No
11. 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
12. Bjick, S. (2001, January-April). Accessing the power in the patient with hypnosis and EMDR, Eye movement desensitization and reprocessing. American Journal of Clinical Hypnosis, 43(3-4), 203-216. doi:10.1080/00029157.2001.10404277.
Language: English
Format: Journal
Abstract:
Both Ernest Rossi's ideodynamic accessing model of hypnosis and EMDR are intended to access information stored in the mind-body system. In this paper the author is suggesting that treatment effectiveness can be enhanced by combining these particular models. The similarities and the uniqueness of each method, both theoretically and in terms of the different protocols, are compared to provide a rationale for combining them. Verbatim examples from clinical cases are presented to demonstrate exactly how these models can be usefully combined in clinical practice. [Author Abstract]
Keywords: Hypnotherapy Review Treatment Effectiveness
Accuracy Verified: Yes
13. 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
14. Fisher, J. A. (2000, November). Adapting EMDR techniques in the treatment of dysregulated or dissociative patients. Presentation at the International Society for the Study of Dissociation Annual Meeting, San Antonio, Texas.
Language: English
Format: Conference
Abstract:
Since its inception, EMDR [Eye Movement Desensitization and Reprocessing]
has been understood by both clinicians and patients as a powerful vehicle for processing
traumatic experience but one to be undertaken only when the patient has achieved some
degree of stabilization (Shapiro, 1992). In DID and DDNOS patients, that baseline
stability is also supposed to include a level of internal communication and consensus that
would permit cooperation between parts of self about how to tolerate the memory
processing and how to re-stabilize afterward. However, as any clinician who works with
this population knows, some dissociative disorder patients never achieve that degree of
internal coherence, and some have a long, rocky, tumultuous, exhausting road to travel
before they get there. Faced with the DID or DDNOS patient who cannot tolerate affect
or associations to traumatic memories; who cannot control switching, get grounded, or
resolve internal struggles over power and control; who is unable to manage selfdestructive
impulses; who cannot differentiate past and present experience; who is even
unable to tolerate Resource Development (Korn & Leeds, 2002) or create a Safe Place
inside—is there any way that EMDR can be helpful?
Keywords: Dissociation Dysregulation
Accuracy Verified: Yes
15. 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
16. 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
17. Taylor, S. (2004, July). Advances in the treatment of posttraumatic stress disorder: Cognitive-behavioral perspectives.. New York, NY: Springer Publishing Company.
Language: English
Format: Book
Abstract:
Are behavioral and cognitive-behavioral therapies sufficiently broad in their effects on trauma-related psychopathology and related factors? This volume considers many of the complexities in treating PTSD, and emphasizes evidence-based approaches to treatment. A useful resource for clinicians, trainees, as well as investigators doing research into the treatment of PTSD.
Keywords: Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
18. Sack, M. (2006). Aktuelle befunde zu wirkfaktoren der EMDR-behandlung [Recent findings on effective factors of EMDR treatment]. Sack Website.
Language: German
Format: Other
Abstract:
Das EMDR-Behandlungsverfahren (EMDR= eye movement desensitization and
reprocessing) wurde von der amerikanischen Psychologin Francine Shapiro
entwickelt und seit 1989 als manualisiertes Therapieverfahren zur Behandlung von
Patienten mit Posttraumatischen Belastungsstörungen (PTSD) und anderen
traumabezogenen Symptomen eingesetzt. Die Grundvorgehensweise besteht darin,
dass der Patient in der Sicherheit einer haltgebenden therapeutischen Beziehung
eine Konfrontation mit seinen traumatischen Erinnerungen erlebt. Ziel der
Traumabearbeitung ist die Integration von kognitiven, emotionalen und körperlichen
Reaktionen auf das Trauma indem die Erinnerungen wiederbelebt, wahrgenommen
und verarbeitet werden. Anders formuliert, wird die durch das Trauma induzierte
Dissoziation wieder aufgehoben. Die in der traumatischen Situation unterbrochene
Verbindung zwischen Wahrnehmungen, Gedanken, Emotionen und
Körperreaktionen wird wieder hergestellt. Danach erfolgt eine Bearbeitung von
dysfunktionalen Kognitionen, wie z.B. von Schuldgefühlen, die auf unrealistischen
Einschätzungen der traumatischen Situation beruhen (Shapiro 1998). Abweichend
von der klassischen verhaltenstherapeutischen Traumaexposition werden im EMDR
die Traumaexpositionsphasen nur relativ kurz (30 – 90 sec) durchgeführt und durch
bilaterale Stimulierung in Form von Augenbewegungen (der Hand des Therapeuten
mit den Augen folgen) oder durch alternative Berührungsreize auf die linke und
rechte Hand (sog. Tapping) oder durch alternativ dargebotene Töne ausgelöst.
The EMDR treatment process (EMDR = eye movement desensitization and
Reprocessing) was developed by psychologist Francine Shapiro of the American
developed and since 1989 as a manualized therapies for the treatment of
Patients with post-traumatic stress disorder (PTSD) and other
traumabezogenen symptoms used. The basic approach is
that the patient in the safety of a therapeutic relationship haltgebenden
a confrontation with traumatic memories experienced. The aim of the
Trauma treatment is the integration of cognitive, emotional and physical
Reactions to the trauma memories revived by the perceived
and processed. In other words, is induced by the trauma
Dissociation rescinded. The interrupted in the traumatic situation
Link between perceptions, thoughts, emotions and
Reaction of the body is restored. This is followed by a treatment of
dysfunctional cognitions, e.g. feelings of guilt, based on unrealistic
Assessments of the traumatic situation are based (Shapiro 1998). Notwithstanding
are from the classical behavioral trauma exposure in EMDR
the phases of trauma exposure is relatively short (30-90 sec) and conducted by
bilateral stimulation in the form of eye movements (the hand of the therapist
follow with the eyes) or by alternative tactile stimuli on the left and
right hand (so-called tapping) or alternatively Helping sounds triggered.
Accuracy Verified: Yes
19. Becker, C. B., Darius, E., & Schaumberg, K. (2007, December). An analog study of patient preferences for exposure versus alternative treatments for posttraumatic stress disorder. Behaviour Research and Therapy, 45(12), 2861-2873. DOI:10.1016/j.brat.2007.05.006 .
Language: English
Format: Journal
Abstract:
Although several efficacious treatments for PTSD exist, these treatments are currently underutilized in clinical practice. To address this issue, research must better identify barriers to dissemination of these treatments. This study investigated patient preferences for PTSD treatment given a wide range of treatment options in an analog sample. 160 individuals, with varying degrees of trauma history, were asked to imagine themselves undergoing a trauma, developing PTSD, and seeking treatment. Participants evaluated 7 different treatment descriptions, which depicted treatment options that they might encounter in a clinical setting. Participants rated their most and least preferred treatments along with their personal reactions to and the perceived credibility of each treatment. Participants also completed a critical thinking skills questionnaire. Participants predominantly chose exposure or another variant of cognitive-behavioral therapy as their most preferred therapy, and those who chose exclusively empirically supported treatments evidenced higher critical thinking skills. The present study contributes to a growing literature indicating that patients may be more interested in these therapies than indicated by utilization rates. The problem of underutilization of empirically supported treatments for PTSD in clinical practice may be due to therapist factors. [Author Abstract]
Keywords: Adults Americans Cognitive Processes Cognitive Therapy College Students Evidence Based Treatment Exposure Empirically Supported Treatment Patient Preference Posttraumatic Stress Disorder Posttraumatic Stress Disorder Psychoanalytic Psychotherapy Psychotherapeutic Processes PTSD Selective Serotonin Reuptake Inhibitors Stressors Survivors TFT Thought Field Therapy
Accuracy Verified: Yes
20. 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
21. Villa, M., & Sangiovanni, L. (2008, Novembre). Applicazione dell’EMDR ad una nuova popolazione: I pazienti posturali con dolore cronico e con deficit percettivi [Applying EMDR to a new population: Patients postural with chronic pain and perceptual deficits]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Lo studio riguarda l’applicazione dell’EMDR ai Pazienti affetti da “Sindrome da deficit posturale” (Da Cuña). Il problema coinvolge il 10% della popolazione, di cui il 15% è sintomatico. È di difficile inquadramento, dato che i sintomi somatici che presenta coinvolgono tutti e tre i versanti delle regolazioni automatiche: dolori muscolo-scheletrici migranti, derivanti da disordini posturali; pseudovertigini, da deficit di localizzazione spaziale; disturbi cognitivi (fino alla dislessia), da alterata integrazione percettiva. Le modalità compensatorie a tali deficit possono investire la sfera psicologica (senso profondo di inadeguatezza, ansia, depressione...), sviluppare atteggiamenti strategici di evitamento (agorafobia da deficit di orientamento spaziale), spingere a interpretare reazioni fisiche come se fossero psicologiche (attacchi di panico, enuresi notturna…). Proprio il sottile intreccio tra aspetti somatici e psicologici rende complessa la diagnosi; può capitare infatti che un paziente con problemi di questa natura si rivolga a un terapista somatico (posturologo, osteopata…), che non coglie il problema. Abbiamo così messo a punto un sistema diagnostico che riconosca se l’aspetto psichico sia conseguenza di un vero disturbo somatico o se invece sostenga una serie di somatizzazioni tendenzialmente derivanti da traumi. Nell’uno o nell’altro caso, l’utilizzo dell’EMDR può essere risolutivo: evidentemente sul versante traumatico, ma pure per la desensibilizzazione delle convinzioni negative derivate dalle strategie psicologiche reattive al deficit somatico. Metodi. La valutazione diagnostica e le variazioni sintomatologiche sono state effettuate con DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, anamnesi posturologica, kinesiologia, posturodinamica, riflessi primitivi e sensoriali, valutazione osteopatica, Maddox, stabilometria basale e con challenges). Risultati. Gli interventi su misura hanno ridotto la sintomatologia, come è rappresentato dalle rilevazioni effettuate e dai feedback dei pazienti. La conoscenza integrata, sia che il primo approccio sia psicologico o posturale, consente una diagnosi accurata e dunque una strategia terapeutica sinergica efficace che permette di sbloccare terapie cronicizzate.
The study concerns the application of EMDR in patients with "postural deficiency syndrome" (Da Cuna). The problem affects 10% of the population, of which 15% are symptomatic. It is
classification difficult, because the somatic symptoms presenting involving all three sides automatic adjustments: musculoskeletal pain migrants from postural disorders; pseudovertigini, spatial localization deficit, cognitive problems (up to dyslexia), from altered perceptual integration. The methods compensatory these deficits can invest the ball psychological (deep sense of inadequacy, anxiety, depression ...), develop attitudes strategic avoidance (agoraphobia deficit spatial orientation), push to interpret physical reactions as if they were psychological (panic attacks, nocturnal enuresis ...). Just the subtle interplay between somatic and psychological aspects makes it difficult to diagnose and can in fact happen that a patient with problems of this nature, please ask a somatic therapy (Posture, osteopath ...), who misses the problem. We have thus developed a diagnostic system that recognize if the appearance is the result of a true mental disorder or whether it supports somatic a series of somatization tendency resulting from trauma. In either case, use EMDR can be resolutely on the side obviously traumatic, but also for desensitization of the negative beliefs derived from psychological strategies responsive to deficit somatic. Methods. The diagnostic evaluation and symptom changes are were made with DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, history Posture, kinesiology, posturodinamica, primitive reflexes and sensory evaluation osteopathic, Maddox, stabilometry baseline and challenges). Results. Tailored interventions have reduced symptomatology, as represented by the surveys conducted and feedback from patients. The integrated knowledge, whether the first approach is psychological or postural, allows a diagnosis accurate and therefore a therapeutic strategy that allows you to unlock synergistic effective therapies chronic.
Keywords: Chronic Pain Perceptual Deficits
Accuracy Verified: Yes
22. Lecoq, J. C. (2007, June). Applied EMDR in sport in the World Equestrian Games of Aachen. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
I had only three weeks to work. Only 15 days to restore self-confidence, serenity, and determination for a woman rider. One week during the competition.
The woman rider had a bad experience during the Olympic Games of Athens. She had the best and the worst during the Olympic Games, The best was a bronze model and 0 mistakes during the jump.
The worst, she made several mistakes and fell down with her horse.
I felt during the first meeting a big atmosphere of fragility (no self confidence, no serenity, big stress) because there were difficulties with her ex-husband and family (her boys).
We had a short time and I decided to use an arrangement with mental imagery and specific EMDR exercise, like butterfly exercise, to install peak performance.
I used Sam Foster’s protocol for the sport and butterfly technique. We began with a SUD=8 and VOC=6 and the SUD finished at 2. This combination gave an amazing result because she rode well and she had a good result in these world equestrian games of AAchen (semi final: 23 place).
The specific exercise in EMDR (butterfly exercise) permits a peal performance in a few times. I gave you an example about the power of EMDR in sport.
Keywords: Aachen Horses Poster Sports World Equestrian Games
Accuracy Verified: Yes
23. Forgash, C. (2008). Applying EMDR and ego state therapy in collaborative treatment. In C. Forgash and M. Copeley, (Eds.), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 313-341). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
This chapter will describe the application of the collaborative treatment model to clients who undergo EMDR and ego state therapy with a specialist in addition to their regular therapy. EMDR and ego state therapy specialists are uniquely positioned to assist primary therapists in resolving stalled therapies and enhancing the treatment provided by the primary therapist. We will explore in this chapter the issues that become problematic over time in a course of therapy, which clients are good candidates for collaborative EMDR and ego state treatment, how to develop an effective working relationship with the primary therapist, and how to avoid problems that may arise out of this dual relationship. A detailed case study will illustrate each step of the treatment, from the initial contact with the primary therapist through the conclusion of the adjunct therapy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Collaborative Treatment Ego State Therapy
Accuracy Verified: Yes
24. Bossini, L., Fernandez, I., & Mantero, M. (2006 Settembre-Dicembre). Approcci psicoterapeutici specifici [Specific psychotherapeutic approaches]. NÓOς, 12(3), 221-230.
Language: Italian
Format: Magazine
Abstract:
Verrà illustrata l’applicazione delle principali metodiche d’intervento psicoterapeutico
come l’approccio cognitivo-comportamentale e la psicoterapia ad orientamento psicodinamico
nel trattamento del Disturbo post-traumatico da stress (DPTS).
Particolare rilievo verrà dato alla illustrazione di interventi psicoterapeutici specifici e
all’Eye Movement Desensitization and Reprocessing (EMDR) che si è rivelato uno degli
interventi più mirati al nucleo psicobiologico del DPTS.
The application of main psychotherapeutic approaches, such as cognitive behavioral and
psychodynamic therapies, in the field of post-traumatic stress Disorder (PTSD) is
described.
A particular stress is put on approaches specific to PTSD. Among them Eye Movement
Desensitization and Reprocessing (EMDR) is considered as a mean of intervantion closely
aimed to the psychobiological core of the disorder.
Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD
Accuracy Verified: Yes
25. Cocco, N., & Sharpe, L. (1993, December). An auditory variant of eye movement desensitization in a case of childhood post-traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 24(4), 373-377. doi:10.1016/0005-7916(93)90062-2.
Language: English
Format: Journal
Abstract:
The present paper reports a case study documenting the success of a child-appropriate variant of eye movement desensitization (EMD) in the treatment of PTSD. Although there have been numerous case studies and some preliminary controlled trials of this method in adult cases of PTSD, there does not appear to be any information on its use in children. The available literature suggests that it is a more rapid and less traumatic treatment than traditional exposure based therapies. The present paper describes a child-appropriate auditory variant of eye-movement desensitization applied to a case of childhood PTSD. [Author Summary]
Keywords: Case Report Males Preschool Age Children Posttraumatic Stress Disorder PTSD Robbery Survivors Terrorism
Accuracy Verified: Yes
26. 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
27. Aurora, R. N., Zak, R. S., Auerbach, S. H., Casey, K. R., Chowdhuri, S., Karippot, A., Maganti, R. K., Ramar, K., Kristo, D. A., Bista, S. R., Lamm, C. I., & Morgenthaler, T. I. (2010, August). Best practice guide for the treatment of nightmare disorder in adults. Journal of Clinical Sleep Medicine, 6(4), 389-401.
Language: English
Format: Journal
Abstract:
Prazosin is recommended for treatment of Posttraumatic Stress Disorder (PTSD)-associated nightmares. Level A. Image Rehearsal Therapy (IRT) is recommended for treatment of nightmare disorder. Level A. Systematic Desensitization and Progressive Deep Muscle Relaxation training are suggested for treatment of idiopathic nightmares. Level B. Venlafaxine is not suggested for treatment of PTSD-associated nightmares. Level B. Clonidine may be considered for treatment of PTSD-associated nightmares. Level C. The following medications may be considered for treatment of PTSD-associated nightmares, but the data are low grade and sparse: trazodone, atypical antipsychotic medications, topiramate, low dose cortisol, fluvoxamine, triazolam and nitrazepam, phenelzine, gabapentin, cyproheptadine, and tricyclic antidepressants. Nefazodone is not recommended as first line therapy for nightmare disorder because of the increased risk of hepatotoxicity. Level C. The following behavioral therapies may be considered for treatment of PTSD-associated nightmares based on low-grade evidence: Exposure, Relaxation, and Rescripting Therapy (ERRT); Sleep Dynamic Therapy; Hypnosis; Eye-Movement Desensitization and Reprocessing (EMDR); and the Testimony Method. Level C. The following behavioral therapies may be considered for treatment of nightmare disorder based on low-grade evidence: Lucid Dreaming Therapy and Self-Exposure Therapy. Level C No recommendation is made regarding clonazepam and individual psychotherapy because of sparse data.
Keywords: Nightmares Posttruamatic Stress Disorder PSTD
Accuracy Verified: Yes
28. Zangwill, W. (1995, June). Beyond the basics: Conceptual issues and advances in using EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop is designed for those comfortable with the basics of using EMDR. We shall discusses the importance of developing
a conceptual framework in which to view the patient and his/her life experiences. Though any framework could potentially be used,
the one we shall use is that of Jefiey Young's Schema-Focused Cognitive therapy. This workshop is too brief to go deeply into
Jeff's work so let me give you some references. (Books: 1)Cognitive Therapy for Personality Disorders: A Schema Focused Appoach,
Professional Resource Exchange, Sarasota, F1, (813) 366-7913 Or 2) Reinventing Your Life, Young and Klosko. Jeff can be reached
at the CTC of NY (212) 717-1052). I would like to begin by presenting an overview of how I see the case conceptualization
enhancing the effectiveness of EMDR. Next I want to present a case illustrating the points I am going to make. Then, for the
remaining two thirds of the presentation, I would like us to share our experiences of cases using either this or your own framework.
Why conceptualize the case? Why not just treat the trauma directly? Because I assume that it is the interaction of the events a
person has experienced and the way in which they have interpreted, experienced and stored them that is most important in
determining the amount and kind of pain that remains. If you took a group of 100 people who had been in serious accidents, were
assaulted, etc. They will not all respond the same to the experience. Thus, I think that it is vitally important to "map" each patient's
own idiosyncratic set of vulnerabilities, his/her schemas or life themes.
One of the ways I do that is by attempting to combine all of the information that I obtain in the first few sessions. This would
include history taking, any paper and pencil measures I use, e.g., Lazarus' Multimodal Life History Questionnaire (Research Press,
Champagne, IL.); Young's Schema Questionnaire (Jeffrey Young, Cognitive Therapy Center of New York), and my experience of
the client in session. My assumption is that we all have specific vulnerabilities. In Young's system such issues as Emotional
Deprivation - the feeling that we shall never receive the kind of caring we need - Abandonment, Mistrust/Abuse, Defectives,
Vulnerability, Subjugation, Entitlement, etc., are assumed to be organizing themes around which memories and experiences are
stored. (Use 'Types of Fruit' metaphor here.)
Once you have identified these underlying vulnerabilities and life themes, educating patients as to the role of these early maladaptive
schemas in their present life difficulties is quite usefull in a variety of ways. First, is its explanatory power. One of the problems
clients often present is the pain of the event itself their subsequent reactions. How many of us have heard from our clients
variations on the theme of "What's wrong with me that this is still bothering me? It happened years ago; how come I'm still
overreacting?" Explaining that often the event was/is so painful because it taps into a whole series of memories (the childhood file
folders that Francine talks about in Level I), frequently increases clients' ability to understand their emotional reactions and reduces
their tendency to blame themselves. Second, it alerts you and the client to look for other examples in the past that might be
thematically connected and to be aware of situations in the future that might be troublesome. For example, imagine a client who
suffered a tremendous loss as a chlld through the death of a parent, divorce, etc. Through your interviews and data collection, you
realize that the issue of abandonment is a very pow& for them. Naturally, you would want to use EMDR to clean out any past
experiences connected to abandonment. However, you should anticipate that situations involving future separation will need to be
addressed. How will they react when their spouse goes on a business trip? The conceptualization around this theme alerts you and
the client to be aware of these issues. Also, it can be very helpfull in your couples work.
Take the example of the spouse that gets upset about over his wife's upcoming business trip. (Knowing that sometimes the upset
shows itself prior to the trip and sometimes it is only after they return that the spouse feels punished). Without knowledge of these
underlying schemas and life themes, the wife might interpret the husband's upset as a result of jealousy at her success, fear of her
growth, and as being a part of his controlling nature. With these interpretations, her anger and frustration would be understandable.
How differently might she respond if she saw his difficulty in her leaving as reflecting his fear of losing her and being abandoned
once again. Might this interpretation allow both of them to respond in ways helpful to the relationship?
With this brief background, let me present a case and show you how these issues fit together and how by conceptualizing the case
accurately I was able to provide better treatment. After if I finish this presentation, I want to open the floor to your comments and
questions. I would then like to propose that we take the remaining time for you to present your own cases that illustrate either the
usefulness of the conceptualization you did or the problems you ran into when you didn't.
Case # 1
Case discussion. Case presentations and discussion by participants.
Keywords: Conceptual Issues
Accuracy Verified: Yes
29. 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
30. Fisher, J. (2007, September 29). The body as a shared whole: Somatic interventions for working with trauma and dissociation. Presentation at the Quarterly Meeting Program of The New England Society for the Treatment of Trauma and Dissociation.
Language: English
Format: Conference
Abstract:
To stabilize overwhelming symptoms, integrate
memories, and overcome the terror of intimacy,
traumatized clients must establish sufficient safety in the body that they do not continue to recreate the unsafe world of childhood. Otherwise, the “child in the nightmare” from decades ago remains lost in time, demoralized
by internal critics and
terrified by the threats of
hypervigilant internal
protectors.
Because the body is the
container for all past and
present experience and for
all parts of the self,
somatically oriented
approaches can address
the intense and often
baffling reactions of these
patients in a way that is
both simple and effective.
This workshop will
demonstrate bodyoriented
interventions for
working with traumatized
and dissociative patients
drawn from Sensorimotor
Psychotherapy and easily
integrated into EMDR,
IFS, and traditional
talking therapies.
Through the use of
lecture, videotape, and
demonstration, participants will have the
opportunity to observe
somatically informed
solutions to a number of
common clinical
challenges encountered in
trauma treatment.
Capitalizing on recent
advances in the research
on attachment and trauma,
the workshop will also
provide a context for
understanding how to use
the therapeutic
relationship to provide a
safe “container” for both
patient and therapist in the
challenging work of
trauma treatment.
Keywords: Dissociation Somatic Interventions Trauma
Accuracy Verified: Yes
31. Staff. (2005, January 27). Body over mind - A new book by an area author looks at how our memories cause physical pain--and what can be done about it. New Haven, CT: The New Haven Advocate, Lifestyle, [2 pages].
Language: English
Format: Newspaper
Abstract:
The quest to solve this riddle of her early life is one that Scarf explores through some cutting-edge mind/body therapies that have been successful in pinpointing and alleviating painful memories. Two of these are the EMDR (eye movement desensitization and reprocessing) therapy, and the PBSP (Pesso Boyden System Psychomotor) approach. EMDR was the accidental finding that emotional distress could be alleviated by rapid back and forth eye movements, a kind of rhythmical "eye-tracking" that tapped into some neuro-physiological place within the body that actually relieved pschological pain. PBSP was the group dynamic that involved support through role playing and acting out a trauma.
Keywords: General New Haven Overview
Accuracy Verified: Yes
32. Reitz, S. (2008, September). Body-memories: A potential healing obstacle in trauma therapeutical and EMDR - Processes and a re-traumatization risk regarding body-based psychotherapies and other body work therapies. In H. Kanitschar (Chair), Trauma and Hypnosis. Symposium presented at the 11th Congress of the European Society of Hypnosis in Psychotherapy and Psychosomatic Medicine, Vienna, Austria.
Language: English
Format: Conference
Keywords: Body-Based Therapies Re-Traumatization Risk Symposium Trauma
Accuracy Verified: Yes
33. Rost, C. (2010, June). Bridging the gap between stabilisation and trauma confrontation. Pre-conference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
When processing trauma material during the EMDR session, we often see the spontaneous appearance of resource material. This helps patients to come to terms with the traumatic memory. With complex traumatized patients, this material appears far less frequently, and the EMDR process can be much harder. We can support the process by activating specific resources, both before and during the EMDR session.
During this workshop, specific resource techniques will be presented and practiced which can help to stabilize complex traumatized patients and which can also be combined with the EMDR standard protocol: Position of Power, Power Animal, Body Resource, CIPOS, and a protocol for early childhood memories.
Keywords: Body Resource CIPOS Position of Power Power Animal
Accuracy Verified: Yes
34. Richards, L. D. (1999, June). A case study in the application of EMDR for paranoid schizophrenia. EMDRIA Newsletter, 4(2), 11, 16, 30-31.
Language: English
Format: Newsletter
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) has shown dramatic effect in dealing with various types of trauma, with the definition of trauma encompassing much more than catastrophic occurrences or events. How a person reacts to trauma is equally broad in it display, manifestations, and consequences for every individual. This a a story of Anna, and her life as it is affected by trauma and mental illness. It testifies to the power of EMDR and, even more importantly, to the capacity of the individual to achieve inner healing.
Keywords: Paranoid Schizophrenia
Accuracy Verified: Yes
35. Scarlata, B. (1995). Changing cognitions. EMDR Network Newsletter, 5(1), 8-9.
Language: English
Format: Newsletter
Abstract:
Linda (not her real name) is a 40-
year-old professional woman whose
avocation is healing and who is proficient
in several of the touch therapies.
She has a Dissociative Disorder with
well-defined "parts," but she has not
experienced time loss. She is not on
medication and although she is often
depressed, she is able bfunction fairly
well most of the time. As a child, she
was emotionally and sexually abused
by her father for approximately ten
years. He is bedridden now, but she is
still subject to his verbal abuse when
she visits him once a week. He has
never acknowledged his abuse, nor
has she confronted him about it (although
she has told her mother). She
said she will not feel totally safe until
he is dead. We have had ten sessions
together. EMDR was used in most of
our sessions during which she processed
specific incidents of abuse that
were very traumatic for her. She
believes that she has many dissociated
infant and child parts-each of
whom hold a memory of one of the
abusive incidents she experienced.
Keywords: Cognitions
Accuracy Verified: Yes
36. CIGNA HealthCare (2008, June 15). Cigna Healthcare Coverage Position: Eye movement desensitization and reprocessing. Revised June 15, 2008, .
Language: English
Format: Publication
Abstract:
Systematic reviews: Van Etten et al. (1998) conducted a meta-analysis of the literature regarding
treatments for PTSD. The purpose of the study was to evaluate the relative efficacy of various treatments
for PTSD. A total of 41 studies were included, that yielded sixty-one treatment outcome trials. Eleven
studies were included that examined EMDR. The authors report that behavior therapy and EMDR were
the most effective psychological therapies for PTSD, with the two being generally equally efficacious. The
review noted that behavior therapy was significantly more effective than all treatments, on observer-rated
total PTSD symptoms and no differences in comparative treatment efficacy were discernable between
behavior therapy and EMDR across the specific symptom domains of PTSD. It was noted that effect sizes
for these therapies were large relative to control conditions, indicating good treatment acceptance. It was
also noted, however, that “despite its apparent efficacy, what works in EMDR and the mechanism for how
it works remains unclear. That is, we know little about the active ingredients in EMDR and the
mechanisms by which these ingredients result in decreased PTSD symptoms.” The literature is not
conclusive regarding the role of eye-movement in this treatment.
Keywords: Practice Guidelines
Accuracy Verified: Yes
37. 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
38. 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
39. Grimmett, J., Hartung, J., Galvin, M. D., & Gray, S. (2012, October). Clinician experiences with EMDR: Factors influencing attrition and retention. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Over 70,000 clinicians worldwide have participated in extensive EMDR training in the past 20 years, but, as with other therapies, not all trained clinicians continue to practice newly acquired techniques.
Whether or not a clinician uses a given treatment modality seems to be a complicated issue, the literature can be organized along the lines of five themes: (a) therapists' pre-training factors, (b) the training itself, (c) clients' experiecnes before and during EMDR, (d) post-training skill development, and (e) socio-enviromental contributors to therapist attrition and retention
Keywords: Attrition Clinician Experiences Retention Training
Accuracy Verified: Yes
40. Sharpless, B. A., & Barber, J. P. (2011). A clinician’s guide to PTSD treatments for returning veterans. Professional Psychology: Research and Practice, 42(1), 8–15. doi:10.1037/a0022351.
Language: English
Format: Journal
Abstract:
What options are available to mental health providers helping clients with posttraumatic stress disorder
(PTSD)? In this paper we review many of the current pharmacological and psychological interventions
available to help prevent and treat PTSD with an emphasis on combat-related traumas and veteran populations.
There is strong evidence supporting the use of several therapies including prolonged exposure (PE), eye
movement desensitization and reprocessing (EMDR), and cognitive processing therapies (CPT), with PE
possessing the most empirical evidence in favor of its efficacy. There have been relatively fewer studies of
nonexposure based modalities (e.g., psychodynamic, interpersonal, and dialectical behavior therapy perspectives),
but there is no evidence that these treatments are less effective. Pharmacotherapy is promising
(especially paroxetine, sertraline, and venlafaxine), but more research comparing the relative merits of
medication vs. psychotherapy and the efficacy of combined treatments is needed. Given the recent influx of
combat-related traumas due to ongoing conflicts in Iraq and Afghanistan, there is clearly an urgent need to
conduct more randomized clinical trials research and effectiveness studies in military and Department of
Veterans Affairs PTSD samples. Finally, we provide references to a number of PTSD treatment manuals and
propose several recommendations to help guide clinicians’ treatment selections.
Keywords: Posttraumatic Stress Disorder Psychotherapy Psychopharmacology PTSD
Accuracy Verified: Yes
41. Deacon, B. J., & Abramowitz, J. S. (2004, April). Cognitive and behavioral treatments for anxiety disorders: A review of meta-analytic findings. Journal of Clinical Psychology, 60(4), 429–441. doi:10.1002/jclp.10255.
Language: English
Format: Journal
Abstract:
Behavioral and cognitive psychotherapies are the most widely studied
psychological interventions for anxiety disorders. In the present article, the
results of ten years of meta-analytic studies on psychotherapies for the
various anxiety disorders are reviewed and the relative effectiveness of
cognitive and behavioral therapeutic methods is examined. Meta-analytic
results support the effectiveness of combined cognitive and behavioral
approaches for anxiety disorders. Pure behavioral therapies also are effective
and appear to work as well as combined treatment for some disorders.
Due to the small number of outcome studies involving pure cognitive
treatments, reliable conclusions about the effectiveness of this approach
cannot be offered. Additional theoretical and practical considerations are
discussed. © 2004 Wiley Periodicals, Inc. J Clin Psychol 60: 429–441,
2004.
Keywords: Anxiety GAD Generalized Anxiety Disorder Meta-Analysis Obsessive-Compulsive Disorder OCD Panic Disorder Social Phobia Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
42. Ray, A. L., & Zbik, A. (2001). Cognitive behavioral therapies and beyond. In C. D. Tollison, J. R. Satterhwaite, & J. W. Tollison (Eds.). Practical Pain Management 3rd Ed. (pp. 189-208). Philadelphia: Lippencott.
Language: English
Format: Book Section
Abstract:
The authors note that the application of EMDR guided by the Adaptive Information Processing model appears to afford benefits to chronic pain patients not found in other treatments.
Keywords: Adaptive Information Processing AIP Chronic Pain
Accuracy Verified: No
43. Hartung, J. G., & Galvin, M. D. (2002). Combining eye movement desensitization and reprocessing (EMDR) and energy therapies. In F. P. Gallo (Ed.), Energy psychology in psychotherapy: A comprehensive sourcebook (1st ed) (pp. 179-197) NewYork: W. W. Norton.
Language: English
Format: Book Section
Abstract: Observing that there has been a rapid increase in the number of practitioners trained in both eye movement desensitization and reprocessing (EMDR) and the energy psychotherapies, the authors describe ways to combine these modalities to increase their effectiveness. Topics include correcting psychological reversals prior to initiating and during EMDR; muscle testing with EMDR; EMDR along with energy therapies to limit the severity and disruption of abreaction, dissociation, "looping," and blocking beliefs; treatment of addiction; using one method to further client receptivity to use of the other; self-use of EMDR and the energy techniques; and, among others, energy training for paraprofessional crisis teams for use in residential programs with EMDR clients. [Adapted from Introduction]
Keywords: Energy Psychotherapy Latin Americans Psychotherapeutic Processes Stressors Survivors TFT Thought Field Therapy
Accuracy Verified: Yes
44. Cook, J. M., Biyanova, T., & Coyne, J. C. (2009, October). Comparative case study of diffusion of eye movement desensitization and reprocessing in two clinical settings: Empirically supported treatment status is not enough. Professional Psychology: Research and Practice, 40(5), 518-524. doi:10.1037/a0015144.
Language: English
Format: Journal
Abstract:
An in-depth comparative case study was conducted of two attempts at
diffusion of an empirically supported, but controversial, psychotherapy: eye
movement desensitization and reprocessing (EMDR). One Department of Veterans
Affairs (VA) treatment setting in which there was substantial uptake was
compared with a second VA setting in which it was not adopted. Qualitative
interviews were conducted with 10 mental health clinicians at the first
site, and 19 at the second. Critical selling points for EMDR were a highly
regarded champion, the observability of effects with patients, and
personally experiencing its effects during a role training session.
Compatibility with existing psychotherapist practices and values further
allowed the therapy to become embedded in the organizational culture. At the
second site, a sense that EMDR was not theoretically coherent or compelling
overwhelmed other considerations, including its empirical status.
Comparative studies contrasting settings in which innovative therapies are
implemented versus those in which they were rejected may aid in refining
theories of and strategies for dissemination.
Keywords: Diffusion Evidence-Supported Treatment Marketing Psychotherapy
Accuracy Verified: Yes
45. van Etten, M. L., & Taylor, S. (1998). Comparative efficacy of treatments for posttraumatic stress disorder: A meta-analysis. Clinical Psychology and Psychotherapy, 5(3), 126-144. doi:10.1002/(SICI)1099-0879(199809).
Language: English
Format: Journal
Abstract:
A meta-analysis was conducted on 61 treatment outcome trials for PTSD. Conditions included drug therapies (TCAs, carbamazepine, MAOIs, SSRIs, and BDZs), psychological therapies (behaviour therapy, Eye-Movement Desensitization and Reprocessing (EMDR), relaxation training, hypnotherapy, and dynamic therapy), and control conditions (pill placebo, wait-list controls, supportive psychotherapies, and non-saccade EMDR control). Psychological therapies had significantly lower drop-out rates than pharmacotherapies (14% versus 32%), with attrition being uniformly low across all psychological therapies. In terms of symptom reduction, psychological therapies were more effective than drug therapies, and both were more effective than controls. Among the drug therapies, the SSRIs and carbamazepine had the greatest effect sizes, although the latter was based upon a single trial. Among the psychological therapies, behaviour therapy and EMDR were most effective, and generally equally so. The most effective psychological therapies and drug therapies were generally equally effective. Differences across treatment conditions were generally evident across symptom domains, with little matching of symptom domain to treatment type. However, SSRIs had some advantage over psychological therapies in treating depression. Follow-up results were not available for most treatments, but available data indicates that treatment effects for behaviour therapy and EMDR are maintained at 15-week follow-up. [Author Abstract]
Keywords: Antimanic Drugs Benzodiazepine Derivatives Hypnotherapy Meta Analysis Monoamine Oxidase Inhibitors Posttraumatic Stress Disorder Psychoanalytic Psychotherapy PTSD Relaxation Therapy Selective Serotonin Reuptake Inhibitors Treatment Effectiveness Tricyclic Derivatives
Accuracy Verified: Yes
46. McGoldrick, T., Brown, K., & Power, K. (2003, May). A controlled comparison of EMDR vs. exposure plus cognitive restructuring vs. waiting list in the treatment of post-traumatic stress disorder. In Advances in EMDR research. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.
Language: English
Format: Conference
Keywords: Cognitive Restructuring Exposure Symposium Waiting List
Accuracy Verified: Yes
47. Power, K. G., McGoldrick, T., & Brown, K. W. (1999). A controlled comparison of eye movement desensitization and reprocessing versus exposure plus cognitive restructuring versus waiting list in the treatment of posttraumatic stress disorder. Report to the Scottish Home and Health Department, Edinburgh, Scotland.
Language: English
Format: Publication
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
48. 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
49. Karatzias, T., Power, K., Brown, K., McGoldrick, T., Begum, M., Young, J., Loughran, P., Chouliara, Z., & Adams, S. (2011, June). A controlled comparison of the effectiveness and efficiency of two psychological therapies for posttraumatic stress disorder: Eye movement desensitization and reprocessing vs. emotional freedom techniques. Journal of Nervous Mental Disease, 199(6), 372-378. doi: 10.1097/NMD.0b013e31821cd262.
Language: English
Format: Journal
Abstract:
The present study reports on the first ever controlled comparison between eye movement desensitization and reprocessing (EMDR) and emotional freedom techniques (EFT) for posttraumatic stress disorder. A total of 46 participants were randomized to either EMDR (n = 23) or EFT (n = 23). The participants were assessed at baseline and then reassessed after an 8-week waiting period. Two further blind assessments were conducted at posttreatment and 3-months follow-up. Overall, the results indicated that both interventions produced significant therapeutic gains at posttreatment and follow-up in an equal number of sessions. Similar treatment effect sizes were observed in both treatment groups. Regarding clinical significant changes, a slightly higher proportion of patients in the EMDR group produced substantial clinical changes compared with the EFT group. Given the speculative nature of the theoretical basis of EFT, a dismantling study on the active ingredients of EFT should be subject to future research.
Keywords: EFT Emotional Freedom Technique Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
50. Chard, K. M., & Gilman, R. (2005, August). Counseling trauma victims: 4 brief therapies meet the test. Current Psychiatry, 4(8). 50, 55-58, 61-62, 64.
Language: English
Format: Magazine
Abstract:
Therapists once believed trauma survivors required years of treatment, yet we now know that relatively brief cognitive-behavioral interventions can yield long-term gains in psychosocial and psychological function. Many psychiatric patients meet diagnostic criteria for PTSD, including: 33% of women experiencing sexual assault, 30% of male war veterans, and 30% of the 5 million U.S. children exposed to trauma each year. The authors offer recommendations on how to prepare traumatized adults and children for cognitive-behavioral therapy (CBT) and discuss four tested models -- prolonged exposure (PE), cognitive processing therapy (CPT), eye movement desensitization and reprocessing (EMDR), and stress inoculation training (SIT) -- that psychiatrists may find effective when treating PTSD. [Adapted from Text] [Pilots]
Keywords: Brief Psychotherapy Cognitive Therapy Exposure Therapy Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
51. Seubert, A. (2008, June). The courage to feel. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The Courage to Feel is a practical and inspiring workshop, designed to give the clinician
the experience and tools for guiding our clients into emotional expertise. It is not
simply a theoretical training that gives you a lot of information about emotions.
Because the emotional journey cuts through what is foreign territory for many of our
clients, there is need of a map, a hands-on, practical guide that clients can refer to
when learning how to do this “feelings thing”. To meet this need, this master
workshop offers four concrete steps to emotional competence and seven skills in
achieving them, all tried and proven over 25 of clinical practice. This training also
teaches the use of such a trauma-informed phase model, as well as bilateral
stimulation to reinforce learning, through video clips and in vivo practice. Andrew’s
first book, The Courage to Feel: a Practical Guide to the Power and Freedom of
Emotional Honesty, will be available through Infinity Publishing by May of 2008.
Keywords: Emotions
Accuracy Verified: Yes
52. 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).
Accuracy Verified: Yes
53. Seubert, A. (2008, September ). The courage to feel: Guiding clients into the power and freedom of emotional honesty. Poster presented at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Keywords: Emotional Honesty Poster
Accuracy Verified: Yes
54. Singer, M. T., & Lalich, J. (1996). Crazy therapies: What are they? Do they work?. San Francisco: Jossey-Bass.
Language: English
Format: Book
Abstract:
The relationship between patient and therapist is unique in important ways when compared to relationships between clients and other professionals such as physicians, dentists, attorneys, and accountants. The key difference is present from first contact: it is not clearly understood exactly what will transpire. There is no other professional relationship in which consumers are more in the dark than when they first go to see a therapist.
In other fields, the public is fairly well informed about what the professional does. Tradition, the media, and general experience have provided consumers with a baseline by which to judge what transpires. If you break your arm, the orthopedist explains she will take an X ray and set the bone; she tells you something about how long the healing will take if all goes well and gives you an estimate of the cost. When you go to a dentist, you expect him to look at your teeth, take a history, explain what was noted, and recommend a course of treatment with an estimate of time and cost. Your accountant will focus on bookkeeping, tax reports, and finances, and help you deal with regulatory agencies.
Consumers enter these relationships expecting that the training, expertise, and ethical obligations of the professional will keep the client's best interests foremost. Both the consumer and the professional are aware of each person's role, and it is generally expected that the professional will stick to doing what he or she is trained to do. The consumer does not expect his accountant to lure him into accepting a new cosmology of how the world works or to "channel" financial information from "entities" who lived thousands of years ago; or for his dentist to induce him to believe that the status of his teeth was affected by an extraterrestrial experimenting on him. Nor does the patient expect the orthopedist to lead him to think the reason he fell and broke his arm was because he was under the influence of a secret satanic cult.
But seeing a therapist is a far different situation for the consumer. In the field of psychotherapy there is no relatively agreed upon body of knowledge, no standard procedures that a client can expect. There are no national regulatory bodies, and not every state has governing boards or licensing agencies. There are many types and levels of practitioners. Often the client knows little or nothing at all about what type of therapy a particular therapist "believes in" or what the therapist is really going to be doing in the relationship with the client.
In meeting a therapist for the first time, most consumers are almost as blind as a bat about what will transpire between the two of them. At most, they might think they will probably talk to the therapist and perhaps get some feedback or suggestions for treatment. What clients might not be aware of is the gamut of training, the idiosyncratic notions, and the odd practices that they may be exposed to by certain practitioners.
Consumers are a vulnerable and trusting lot. And because of the special, unpredictable nature of the therapeutic relationship, it is easy for them to be taken advantage of. This makes it all the more incumbent on therapists to be especially ethical and aware of the power their role carries in our society. The misuse and abuse of power is one of the central factors in what goes wrong.
Questions to Ask Your Prospective Therapist
Ultimately, a therapist is a service provider who sells a service. A prospective client should feel free to ask enough questions to be able to make an informed decision about whether to hire a particular therapist.
We have provided a general list of questions to ask a prospective therapist, but feel free to ask whatever you need to know in order to make a proper evaluation. Consider interviewing several therapists before settling on one, just as you might in purchasing any product.
Draw up your list of questions before phoning or going in for your first appointment. We recommend that you ask these questions in a phone interview first, so that you can weed out unlikely candidates and save yourself the time and expense of initial visits that don't go anywhere.
If during the process a therapist continues to ask you, "Why do you ask?" or acts as though your questioning reflects some defect in you, think carefully before signing up. Those types of responses will tell you a lot about the entire attitude this person will express toward you - that is, that you are one down and he is one up, and that furthermore you are quaint to even ask the "great one" to explain himself.
If you are treated with disdain for asking about what you are buying, think ahead: how could this person lead you to feel better, plan better, or have more self-esteem if he begins by putting you down for being an alert consumer? Remember, you may be feeling bad and even desperate, but there are thousands of mental health professionals, so if this one is not right, keep on phoning and searching.
Accuracy Verified: Yes
55. Nowill, J. (2010, April). A critical review of the controversy surrounding eye movement desensitisation and reprocessing. Counselling Psychology Review, 25(1), 63-70.
Language: English
Format: Journal
Abstract:
The treatment eye movement, desensitization and reprocessing (EMDR) continues to court controversy despite its adoption by the National Institute for Health and Clinical Excellence (2005) as a preferred treatment for post-traumatic stress disorder. This article critically reviews the two issues at the heart of the controversy. First, is EMDR effective for unique reasons or is it a disguised treatment such as exposure therapy? Second, is evidence-based practice an appropriate framework within which to assess psychological therapies or are its criteria too narrow and inflexible? The article proposes practice-based evidence as a potential way forward in EMDR research and describes an appropriate model within an EMDR treatment framework.
Keywords: Review
Accuracy Verified: Yes
56. Lee, C. (2008). Crucial processes in EMDR - More than imaginal exposure. Journal of EMDR Practice and Research, 2(4), 262-268. doi:10.1891/1933-3196.2.4.262.
Language: English
Format: Journal
Abstract:
The processes that underlie the effectiveness of eye movement desensitization and reprocessing (EMDR)
are examined by evaluating the procedural differences between it and exposure therapy. Major factors
include the degree of emphasis placed on reliving versus distancing in the therapies and the degree to
which clients are encouraged to focus on direct trauma experiences versus experiences associated with
the trauma. Research results indicate that, unlike traditional imaginal exposure, reliving responses in
EMDR did not correlate with symptom improvement. Instead, consistent with an information processing
model, the degree of distancing in EMDR was significantly associated with improvement. A case study
is described to highlight these methodological divergences in the respective therapies relating to reliving.
Finally, the research regarding the possible sources of the distancing response within EMDR was
examined. The results indicate that the distancing process was more likely to be an effect produced by
eye movements than by any therapist instructions. Theoretical and research evaluations indicate that the
mechanisms underlying EMDR and traditional exposure therapy are different.
Keywords: Exposure Therapy Information Processing Posttraumatic Stress Disorder PTSD Reliving
Accuracy Verified: Yes
57. Shapiro, F., Hurley, E. C., de Roos, C., Horst, F., de Jongh, A., & Hornsveld, H. (2013, April). Current research on eye movement desensitization and reprocessing (EMDR) therapy. Presentation at the Anxiety Disorders and Depression Conference, La Jolla, CA.
Language: English
Format: Conference
Abstract:
EMDR therapy is widely recognized as an empirically supported trauma treatment and was given an “A” rating in the most recent practice guidelines of both the DVA/DOD and the International Society for Traumatic Stress Studies. Meta-analytic findings report similar effect sizes for trauma-focused cognitive behavioral therapy (TF-CBT) and EMDR therapy in the treatment of posttraumatic stress disorder (PTSD). However, there are distinct differences between the two modalities in both theory and practice. Unlike TF-CBT exposure therapies, with EMDR therapy there is only intermittent attention to the index trauma, homework is not required and detailed descriptions of the memory are not needed. Further, the eye movement component has been the subject of more than 20 randomized controlled trials that have reported positive effects supporting both working memory and orienting response/REM hypotheses. These effects include a rapid decrease in physiological arousal and negative emotion, as well as increased episodic memory retrieval and recognition of true information. Videotaped clinical sessions will illustrate these findings, as well as the differences between EMDR therapy and prolonged exposure.
Accuracy Verified: Yes
58. Spector, J., & Read, J. (1999, July). The current status of eye movement desensitization and reprocessing (EMDR). Clinical Psychology and Psychotherapy, 6(3), 165-174. doi:10.1002/(SICI)1099-0879(199907).
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing therapy (EMDR) has increasingly been proposed as an effective therapeutic procedure for post-traumatic stress disorder and other mental health problems. However, views on EMDR in the research literature have been polarized. Reasons for this are explored as is the nature and theoretical basis of EMDR. Fifteen controlled studies thus far published on EMDR and PTSD are reviewed, and it is concluded that (i) EMDR is an effective psychotherapy, (ii) EMDR's relative efficacy in comparison to behavioural exposure therapies has yet to be established, (iii) the role of eye movements and laterality in attentional focus remains controversial and (iv) a direct link between the theoretical basis of the therapy and observable psychological and neurobiological changes has yet to be established. [Wiley]
Keywords: Literature Review Posttraumatic Stress Disorder PTSD Reprocessing Therapy
Accuracy Verified: Yes
59. Cook, J. (2003, November 5). Dallaire's demons. Canada: National Post, Editorials, A17.
Language: English
Format: Newspaper
Abstract:
It is also true that there are at least three relatively new therapies widely practised in North America which can help expedite relief for PTSD sufferers. These therapies are: Eye Movement Desensitization and Reprocessing (EMDR) developed by Dr. Francine Shapiro; Traumatic Incident Reduction (TIR) developed by Frank A. Gerbode, M.D.; and even a Christian version, TheoPhostic Ministry (TPM) developed by Dr. Ed Smith.
Keywords: Editorial General Letter Overview
Accuracy Verified: Yes
60. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2011, Het Voorjaar). De behandeling van complexe ptss-patiënten: Traumagerichte therapieën [The treatment of complex PTSD patients: Trauma-focused therapies]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam .
Language: Dutch
Format: Conference
Abstract:
Bij de behandeling van
complexe ptss-patiënten wordt niet altijd de evidence-
based behandeling toegepast, zoals die wordt
beschreven in de richtlijnen. Doorgaans is de
mening, dat stabilisatie het enige mogelijke is
vanwege gevaar voor psychische decompensatie.
Inmiddels is voldoende evidentie, dat traumagerichte
therapieën ook bij complexe ptsspatiënten
mogelijk en effectief zijn.
Doel: In deze bijblijfsessie zal worden
betoogd, dat evidence-based traumagerichte behandeling
bij complexe ptss-patiënten mogelijk en
wenselijk is. Aandacht zal worden besteed aan
moeilijkheden en mogelijkheden bij deze groep
patiënten.
Methoden: Na een algemene inleiding
over de richtlijnen voor psychotherapeutische
behandeling van ptss en over complexe ptss (R.
Jongedijk), zullen vervolgens presentaties worden
gegeven over drie evidence-based behandelvormen
voor ptss, te weten het Kort Eclectisch Protocol
voor ptss (kep; B. Gersons), narratieve exposure
therapy (net; R. Jongedijk) en eye movement desensitisation
and reprocessing (emdr; J. ter Heide).
Expliciet zal worden ingegaan op de moeilijkheden
en mogelijkheden van deze therapievormen
bij complexe ptss-patiënten. De aanpassingen in
de behandeling voor deze groep patiënten zal worden besproken. Na de voordrachten zal er tijd zijn voor vragen
en discussie.
Resultaten: Er is een duidelijk overzicht
gegeven van drie evidence-based psychotherapievormen
voor ptss. Voor de complexe groep
ptss-patiënten zijn de eventuele aanpassingen
aan de standaardprocedures van de behandeling
aan bod gekomen.
Aangetoond is dat deze behandelvormen
goed toepasbaar zijn bij complexe ptss-patiënten.
Conclusie: Evidence-based behandeling
van complexe ptss-patiënten door middel van
traumagerichte psychotherapie heeft doorgaans
de voorkeur. De deelnemer van de bijblijfsessie
heeft kennis genomen van drie evidence-based
behandelvormen voor ptss en kent de moeilijkheden
en mogelijkheden om deze toe te passen bij
complexe ptss-patiënten.
In the treatment of complex PTSD patients is not always evidence-based treatment applied as described in the guidelines. Typically, the view that stabilization is the only possible because of risk of psychological decompensation. Meanwhile, sufficient evidence that trauma-focused therapies even for complex ptsspatiënten possible and effective. Purpose: This bijblijfsessie will be argued that evidence-based trauma-focused treatment for complex PTSD patients is possible and desirable. Consideration will be given to problems and opportunities in this patient group. Methods: After a general introduction about the guidelines for psychotherapeutic treatment of PTSD and complex PTSD (R. Jongedijk) will then presentations are given on three evidence-based treatments for PTSD, namely the short Eclectic Protocol for PTSD (kep; B . Gersons), narrative exposure therapy (net; R. Jongedijk) and Eye Movement Desensitisation and Reprocessing (EMDR, J. Heide). Will explicitly address the difficulties and possibilities of this therapy are patients with complex PTSD. The adjustments in the treatment of these patients will be discussed. After the presentations there will be time for questions and discussion. Results: There is a clear overview of three evidence-based forms of psychotherapy for PTSD. For the complex group of PTSD patients, the adjustments to the standard procedures of treatment addressed. It has been demonstrated that these therapies are well applicable for complex PTSD patients. Conclusion: Evidence-based treatment of complex PTSD patients by trauma-focused psychotherapy is usually preferred. The participant of bijblijfsessie has noted three evidence-based treatments for PTSD and knows the difficulties and possibilities to apply it in complex PTSD patients.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
61. 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
62. Stewart-Grey, E. (2008). De-stress: A qualitative investigation of EMDR treatment. Capella University, Minneapolis, MN. AAT 3329849.
Language: English
Format: Dissertation/Thesis
Abstract:
There is no qualitative knowledge of Eye Movement Desensitization and Reprocessing (EMDR) with a sub-clinical stressed population. The vast majority of EMDR research has focused on traumatized populations, leaving a significant gap in what the non-traumatized or sub-clinically stressed clients experience. Sub-clinical stress includes any level of stress that does not meet the DSM-IV-TR criteria for PTSD. The purpose of this study was to evaluate the lived experiences of body sensations, emotions, beliefs, and imagery during EMDR treatment of participants with sub-clinical stress. Participants fit into either a young adult (18-35), adult (36-49), or older adult (50-60) maturity category and did not meet the criteria for PTSD. The sample consisted of 12 participants, from a large metropolitan area in the Northeastern United States. A qualitative phenomenological design was used to gather data following the EMDRIAs treatment protocol including a final interview asking questions about what the participants experienced in their body, thoughts, emotions, and memory images. The data was analyzed using constant comparative techniques using open coding and will be verified with member check techniques. The results identify five thematic holistic experiences across the participants. The themes of responsibility, safety, choices, power, and value emerged from the data. The results imply that is may be necessary to address all 5 themes for effective stress resolution. Also, the scholarly, clinical, and practical understanding of the Adaptive Information Processing Model concepts of responsibility, safety, and choices manifest in participants lived sensory experiences are now expanded and in need of additional research. [Author Abstract]
Keywords: Adults Americans Effects Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
63. Thompson, P. (2007, April-May). Defending EMDR. Scientific American Mind, 18(2), 5.
Language: English
Format: Magazine
Abstract:
A letter to the editor is presented in response to the article "Taking a Closer Look," by Scott O. Lilienfeld and Hal Arkowitz in a previous issue.
The authors state that EMDR is not more effective than standard behavioral and cognitive-behavioral therapies. I have heard that EMDR is less stressful than standard therapies for PTSD and thus has a lower dropout rate and that this difference is not taken into account in studies of EMDR (because only patients who complete therapy are included in the studies). Is there indeed a difference in dropout rates?
Keywords: Letter
Accuracy Verified: Yes
64. 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
65. Shapiro, F. (2009). Desensibilizacion y reprocesamiento por medio de movimiento ocular (EMDR) [Eye movement desensitization and reprocessing (EMDR)]. Pax Mexico L.C.C.S.A.
Language: Spanish
Format: Book
Abstract:
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, modeEMDR has become more elaborate treatment for PTSD (among other disturbances) clutter. The methodEMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, the methodEMDR incorporates aspects of systemic therapies, psychodynamic, experienciales, behavioural and body. Consists of eight phases comprising the use of eye movements and other forms of left-right stimulation.
It is effective in treating post-traumatic stress disorder and re-processing thoughts and disturbing memories or psychological problems of survivors of trauma, sexual abuse, of crimes, war combat, as well as phobias and disorders caused by vivenciales experiences and provides deep and stable clinical effects in a short time.
With descriptions and detailed transcripts, the author guides the clinical through every stage of therapeutic, treatment from clients to the implementation of the method and their integration within a comprehensive clinical treatment plan selection.
Written in an accessible manner, this book is an invaluable guide for clinicians in the treatmentEMDR as for people just know the method and for advanced students of clinical psychology and psychotherapy.
Accuracy Verified: No
66. Stierum, A. J., & van Heijningen, J. G. M. (2011, April). Diagnostiek en behandeling van dissociatieve stoornissen bij kinderen en jeugdigen [Diagnosis and treatment of dissociative disorders in children and adolescents]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: Dutch
Format: Conference
Abstract:
Inhoud van de workshop: Dissociatie
en trauma zijn nauw met elkaar verbonden.
Dissociatieve stoornissen worden toch vaak niet
herkend en dissociatieve stoornissen bij kinderen
gelden als controversieel. Kinder- en jeugdpsychiaters
leren in de opleiding weinig over dissociatieve
stoornissen.
In de workshop wordt aandacht besteed aan
het herkennen van dissociatieve stoornissen bij
(seksueel) getraumatiseerde kinderen en aan de
behandeling ervan, geïntegreerd in de traumabehandeling.
Ernstig getraumatiseerde kinderen
hebben vaak meerdere diagnoses, zoals posttraumatische stoornissen essentieel is voor het slagen van een
goede traumabehandeling. We bespreken de
internationale richtlijnen en recente literatuur
over diagnostiek en behandeling van dissociatieve
stoornissen bij kinderen. Neurobiologische aspecten
van vroegkinderlijke traumatisering en de
gevolgen hiervan voor het kind worden behandeld.
Verschillende behandelmethoden zoals eye
movement desensitisation and reprocessing (EMDR) en
differentiatiefasetherapie worden besproken.
Vorm:
—— Aan de hand van presentaties worden de theorie
en de praktijk van de diagnostiek en het behandelen
van dissociatieve stoornissen bij kinderen
en jeugdigen besproken.
—— We tonen beeldmateriaal van diagnostiek en
behandeling van dissociatieve stoornissen bij
kinderen en jeugdigen.
—— Uitwisselen van ervaring en kennis, inbrengen
van casuïstiek en discussie.
Leerdoel:
—— Aan het einde van de workshop erkent de deelnemer
het belang van herkennen en behandelen
van dissociatieve stoornissen bij getraumatiseerde
kinderen en jeugdigen.
—— De deelnemer vergroot zijn kennis van diagnostiek
en behandeling van dissociatieve stoornissen
van kinderen en jeugdigen, waarbij hij op de
hoogte is van de recente literatuur.
stressstoornis (PTSS) en hechtingsstoornis.
Dissociatieve problematiek kan ook verward
worden met onder meer obsessieve-compulsieve
stoornissen (ODD), aandachtstekortstoornis met
hyperactiviteit (ADHD) en vele andere kinderpsychiatrische
stoornissen en zo het resultaat van
therapieën bemoeilijken. Wij gaan er daarom vanuit
dat herkennen en behandelen van dissociatieve.
Contents of the workshop: Dissociation
and trauma are closely linked.
Dissociative disorders are often not yet
recognized and dissociative disorders in children
construed as controversial. Child and adolescent psychiatrists
learning in the training little dissociative
disorders.
The workshop focuses on
recognition of dissociative disorders
(Sexual) traumatized children and the
its treatment, integrated into the trauma treatment.
Severely traumatized children
often have multiple diagnoses, such as post traumatic stress is essential for the success of a
good trauma treatment. We discuss the
International guidelines and recent literature
about diagnosis and treatment of dissociative
disorders in children. Neurobiological Aspects
of early childhood trauma and
consequences for the child to be treated.
Various treatments such as eye
Movement Desensitisation and Reprocessing (EMDR) and
phase modulation therapy are discussed.
Form:
- Based on the theory presentations
and practice of diagnosis and treatment
of dissociative disorders in children
and adolescents are discussed.
- We show footage of diagnosis and
treatment of dissociative disorders
children and adolescents.
- Share the experience and knowledge, contribute
of cases and discussion.
Objective:
- At the end of the workshop, the participant acknowledges
the importance of recognizing and treating
of dissociative disorders among traumatized
children and adolescents.
- Participants increased their knowledge of diagnosis
and treatment of dissociative disorders
of children and youth, taking on the
aware of the recent literature.
stress disorder (PTSD) and attachment disorder.
Dissociative problem can also confused
are including obsessive-compulsive
disorder (ODD), attention deficit
hyperactivity disorder (ADHD) and many other children's psychiatric
disorders and as a result of
therapies difficult. We therefore assume
that recognition and treatment of dissociative.
Keywords: Adolescents Children Dissociative Disorders Sexual Abuse
Accuracy Verified: Yes
67. Wagner, F. (2004). Die wirksamkeit von eye movement desensitization and reprocessing (EMDR) bei der posttraumatischen belastungsstorung im vergleich zu kontrollbedingungen und kognitiv-behavioralen therapien: Eine metaanalytische untersuchung [Efficacy of eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder compared with control conditions, and cognitive-behavioral therapies]. Zugl: Heidelberg. doi:volltextserver/volltexte/2005/5803 . --.
Language: German
Format: Book
Abstract:
Das Ziel der vorliegenden Metaanalyse war es, die Wirksamkeit von EMDR und kognitiv-behavioralen Therapieverfahren bei der posttraumatischen Belastungsstörung mit dem aktuellen Stand an Publikationen metaanalytisch zu untersuchen. In einer umfassenden Literaturrecherche wurden hierfür sowohl publizierte Originalarbeiten als auch unpublizierte Manuskripte recherchiert. Insgesamt gingen 32 Originalstudien in die Metaanalyse ein. 13 der Studien waren reine EMDR-Studien; 7 untersuchten sowohl eine Gruppe mit EMDR als auch eine Gruppe mit kognitiv-behavioraler Therapie. 12 Studien waren reine kognitiv-behaviorale Therapiestudien. Darüber hinaus sollte die Wirksamkeit unter dem Gesichtspunkt der verschiedenen PTSD- und komorbiden Symptomatiken betrachtet werden. In einem weiteren Schritt wurde EMDR direkt mit kognitiv-verhaltenstherapeutischen Behandlungsmethoden verglichen.
Effektstärken wurden sowohl für die PTSD-Symptomkategorien Intrusionen, Vermeidung und erhöhtes Arousal als auch für die komorbiden Symptome Angst und Depression berechnet. Die Berechnung der Effektstärken erfolgte anhand von standardisierten Mittelwertsvergleichen. Neben dem direkten Vergleich von EMDR mit kognitiv-behavioralen Therapieansätzen bzw. von EMDR und kognitiv-behavioraler Therapie mit Kontrollgruppen (Post-/Post-Vergleich) wurden auch die Veränderungen innerhalb der Behandlungsgruppen berechnet (Prä-/Post-Vergleich). In den Post-/Post-Vergleich gingen nur kontrollierte und randomisierte Originalstudien ein. In den Prä-/Post-Vergleich hingegen wurden auch Ein-Gruppen-Studien aufgenommen. Als Effektmaß wurde Hedges´d verwendet.
Die Ergebnisse legen nahe, dass sowohl EMDR als auch die kognitiv-behaviorale Therapie wirksam in der Behandlung der posttraumatischen Belastungsstörung sind. Beide Verfahren reduzieren in klinisch bedeutsamem Umfang, sowohl unmittelbar als auch lang anhaltend, die PTSD-Symptomatiken Intrusionen, Vermeidung und erhöhtes Arousal. Darüber hinaus führen beide Behandlungsmethoden auch zu einer Reduktion der komorbiden Symptomatiken Angst und Depression. Die Effektivität beider Verfahren zeigt sich hierbei sowohl im Prä-/Post-Vergleich als auch im direkten Post-/Post-Vergleich mit einer Kontrollbedingung. Darüber hinaus ergibt sich eine ähnlich hohe Wirksamkeit von EMDR und kognitiv-behavioraler Therapie, sowohl im Vergleich der Prä-/Post-Effektstärken als auch im direkten Post-/Post-Vergleich. Dennoch scheint es unterschiedliche Einflussfaktoren zu geben, welche die Therapieeffektivität sowohl bei EMDR als auch bei kognitiv-behavioraler Therapie beeinflussen. Aufgrund der geringen Studienzahl lassen sich diese Faktoren jedoch nicht näher untersuchen. Des Weitern zeichnen sich Unterschiede hinsichtlich der Effizienz der beiden Therapieformen ab: So beträgt die durchschnittliche Behandlungsdauer bei EMDR 5 Sitzungen, bei der kognitiv-behavioralen Therapie hingegen 8 Sitzungen. Darüber hinaus ist die Expositionsdosis bei den kognitiv-behavioralen Therapien höher als bei EMDR.
Die Befunde zur Wirksamkeit der bilateralen Stimulation sind hingegen weniger eindeutig. Allerdings sind Studien, welche den Versuch unternehmen, die Augenbewegungen bei Personen mit PTSD isoliert zu betrachten, oftmals von erheblichen methodischen Mängeln gekennzeichnet. Einzelne Befunde und Modellvorstellungen zur Rolle der bilateralen Stimulation beim EMDR werden im Diskussionsteil erörtert.
The aim of this meta-analysis is to examine the efficacy of EMDR and Cognitive Behavioral Therapy approaches in the treatment of Posttraumatic Stress Disorder (PTSD) on the basis of the publications relating to this issue up to the present. A large-scale search for pertinent literature came up with a total of 32 original studies. The results of these studies suggest that both the EMDR approach and Cognitive Behavioral Therapy methods are effective in the treatment of Posttraumatic Stress Disorder. Both approaches bring about immediate and sustained reduction of the PTSD symptoms intrusions, avoidance, and hyperarousal to a clinically significant degree. In addition, both treatments lead to a reduction of the comorbid symptomatologies anxiety and depression. The comparison of pre/post effect sizes and direct post/post comparison indicate that EMDR and cognitive behavioral therapy are similar in their efficacy. In terms of efficiency the EMDR method appears to have a slight advantage. However, the present meta-analytic study makes no attempt to address the issue of whether this efficiency advantage should be interpreted as having a bearing on clinical practice.
Keywords: Posttraumatic Stress Disorder PTSD Trauma
Accuracy Verified: Yes
68. [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
69. Scaer, R. (2006, September). Dissociation theory and the healing of trauma. Plenary at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The early studies of trauma in late 19th century Paris
centered on the clinical phenomenon of conversion
hysteria, a dissociative disorder. Janet and Freud
wrote extensively on this topic, and actually
described many of the posttraumatic syndromes that
we are revisiting today. I will make the case that the
late syndromes of Posttraumatic Stress Disorder,
especially dissociation, are clearly the defining
symptomatic and physiological manifestations of
trauma. These syndromes all have prominent
somatic features, all of which represent posttraumatic
sornatosensory implicit memory. This unconscious,
body-based feature of the posttraumatic syndrome
presents a compelling case for the universal
application of somatically-based therapies such as
EMDR in the healing of trauma.
Keywords: Dissociation Plenary
Accuracy Verified: Yes
70. Mills, S., & Hulbert-Williams, L. (2012, September). Distinguishing between treatment efficacy and effectiveness in post-traumatic stress disorder (PTSD): Implications for contentious therapies. Counselling Psychology Quarterly, 25(3), 319-330. doi:10.1080/09515070.2012.682563.
Language: English
Format: Journal
Abstract:
Research psychologists often complain that practitioners disregard research evidence whilst practitioners sometimes accuse researchers of failing to produce evidence with sufficient ecological validity. We discuss the tension that thus arises using the specific illustrative examples of two treatment methods for post-traumatic stress disorder: eye movement desensitisation and reprocessing and exposure-based interventions. We discuss the contextual reasons for the success or failure of particular treatment models that are often only tangentially related to the theoretical underpinnings of the models. We discuss what might be learnt from these debates and develop recommendations for future research.
Keywords: Clinical Medicine Patient-Centered Care Posttraumatic Stress Disorder Practice Psychotherapists' Attitudes PTSD Research
Accuracy Verified: Yes
71. 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
72. 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
73. Krafona, K. (2010). Does eye movement desensitization and reprocessing (EMDR) have any utility in intellectual disabilities? Two bereavement case reports. The Ghana International Journal of Mental Health, 2(1).
Language: English
Format: Journal
Abstract:
Individuals with intellectual disabilities (ID) are to some extent discriminated against when it comes to the psychotherapies. The long held belief that individuals with ID do not benefit from such interventions has been attributed in part to communication difficulties, lack of insight and lack of language
sophistication. Yet, it is well known that these individuals are about four-fold at risk of developing mental health problems. Cognitive behavior therapies (CBT) and other related therapies are becoming more recognized in the field of intellectual disabilities. Loss and bereavement is common among people with ID but their exposure to interventions such as Eye Movement Desensitization and Reprocessing
(EMDR) has been limited. EMDR is a psychological intervention that encompasses many aspects of
traditional therapies such as CBT and psychodynamic therapies. There is little research in this area for people with ID. This paper reports two cases in individuals with intellectual disabilities who were
struggling with bereavement. They appear to have benefited from EMDR sessions and there may be
scope for research to establish its efficacy in this field.
Keywords: Intellectual Disabilities
Accuracy Verified: Yes
74. Turner, S. (2005, November). Drug treatments in the management of PTSD. Symposium conducted (S. Turner, Chair) at the 21st annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.
Language: English
Format: Conference
Abstract:
The UK National Institute for Clinical Excellence
Guidelines on PTSD: Based on rigorous meta-analysis, detailed literature review and two public
consultations, the national guidelines for the assessment, prevention and
treatment of PTSD in the UK will be presented in this symposium on behalf
of the Guideline Development Group.
Drug treatments in the management of PTSD: Drug treatments are increasingly used in the management of PTSD and have
been supported by a number of recent reviews although there have been
increasing concerns about their safety. Recent guidance has been issued in
the UK by the Regulatory Agency concerning the use of SSRI drugs in people
of all ages, but especially in children and young adults. In a meta-analysis
of the clinical trial literature for PTSD, following a rigorous bibliographic
search, 26 RCTs meeting strict criteria were identified. Data on two hitherto
unpublished trials of sertraline were available for inclusion. This review highlights
the methodological issues involved in comparing drug trials and trials
of psychological therapies. Nonetheless, meta-analysis demonstrates that
drug treatments for PTSD are probably more disappointing than hitherto
believed. Only five drugs emerged with recommendations for use. One of
these has a reliable if modest effect (paroxetine). The other four are included
on the basis of small single trial reports. Although there are clear indications
for drug treatments, in general there should be an increasing emphasis on
ensuring that trauma-focused psychological treatments (CBT and EMDR) are
widely available, delivered by competent practitioners, and easily accessible
in a timely fashion in primary and secondary care settings.
Keywords: Drug Treatment Posttraumatic Stress Disorder PTSD Symposium
Accuracy Verified: No
75. Kruse, M. J. (2011, June). The effect of energy psychology on rates of relapse and recidivism for substance abuse offenders in a community correction setting. The University of the Rockies, Colorado Springs, CO. AAI3460565.
Language: English
Format: Dissertation/Thesis
Abstract:
This dissertation was a study of a community corrections program which incorporated adjunct Energy Psychology Therapies for Substance Abuse Offenders (SAOs), who were transitioning back into community. Rates of relapse and recidivism were compared, upon success/failure to complete drug and alcohol treatment. When Energy Psychology therapies were added, assisting offenders in resolving underlying trauma issues, there were significance differences between groups. The Choices Program used brief therapies including: Eye Movement Desensitization and Reprocessing, Thought Field Therapy, Emotional Freedom Techniques, (EMDR, TFT, EFT) along with group and individual classes/sessions to relieve underlying trauma symptoms. The results indicated that people who chose to resolve underlying trauma achieved more successful treatment outcomes, thereby lowering rates of relapse and recidivism significantly.
Keywords: Community Corrections EFT motional Freedom Techniques Energy Psychology Offenders Eye Movement Social Sciences Substance Abuse Trauma
Accuracy Verified: Yes
76. Lee, H., Yum, M. K., Kim, S. H., Lee, Y. J., & Kim, D. (2008). Effect of horizontal eye movements on the heart rate variability after exposure to a fear-inducing film clip. Korean Journal of Biological Psychiatry, 15(1), 35-45.
Language: Korean
Format: Journal
Abstract:
Objectives: There has been a continued
debate regarding the role of eye movements in Eye Movement
Desensitization and Reprocessing (EMDR). This study examined
the possible autonomic effect of horizontal eye movements after
being exposed to fearful stimuli. Methods: Fifty two healthy
adult women were randomly allocated to eye movement or eye
fixed groups after watching a five minute fear-inducing film clip.
ECG was recorded during the resting state, after watching the
clip, and the treatment. A spectral power analysis of the heart
rate variability was performed. As the variables violated the rule
of normal distribution and the number in each group is small
the non-parametric test was used. Results: Overall, we did not find the differences between the groups in both time and
frequency domains. Some minor differences found were not
consistent with results from previous studies. Conclusions:
Effect of eye movement on autonomic nervous system during fear
desensitization was not supported in this experiment. Further study
with other psychophysiological measures is needed to understand
the role of eye movements in treatment of traumatic memory.
Keywords: Autonomic Nervous System Eye Movements Eye Movements Females Fear Film Clip Heart Rate Variability Horitzontal Korean
Accuracy Verified: Yes
77. Becker, L. (2000). Effect size. Lee Becker, Ph.D..
Language: English
Format: Other
Abstract:
Effect size (ES) is a name given to a family of indices that measure the magnitude of
a treatment effect. Unlike significance tests, these indices are independent of sample
size. ES measures are the common currency of meta-analysis studies that summarize
the findings from a specific area of research. See, for example, the influential metaanalysis
of psychological, educational, and behavioral treatments by Lipsey and
Wilson (1993).
There is a wide array of formulas used to measure ES. For the occasional reader of
meta-analysis studies, like myself, this diversity can be confusing. One of my
objectives in putting together this set of lecture notes was to organize and summarize
the various measures of ES.
In general, ES can be measured in two ways:
a) as the standardized difference between two means, or
b) as the correlation between the independent variable classification and the
individual scores on the dependent variable. This correlation is called the "effect size
correlation" (Rosnow & Rosenthal, 1996).
These notes begin with the presentation of the basic ES measures for studies with two
independent groups. The issues involved when assessing ES for two dependent groups
are then described.
The psychotherapies include: behavioral treatments (primarily different forms of
exposure therapies), eye movement desensitization and reprocessing (EMDR),
relaxation therapy, hypnosis, and psychodynamic therapy.
The control conditions include: pill placebo (used in the drug treatment studies), wait
list controls, supportive psychotherapy, and no saccades (a control for eye movements
in EMDR studies).
Keywords: Effect Size
Accuracy Verified: Yes
78. 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
79. Cloitre, M. (2009, January). Effective psychotherapies for posttraumatic stress disorder: A review and critique. CNS Spectrums, 14(1, Supplement 1), 32-43 .
Language: English
Format: Journal
Abstract:
This report reviews and critiques the psychotherapy literature for the treatment of PTSD and systematically presents data on sample size, rates of completion, and effect sizes. Substantial progress has been made in the use of cognitive behavioral therapies and eye movement desensitization and reprocessing for the resolution of PTSD. Innovations in PTSD treatments are identified. Further advances are needed in the treatment of populations with complex and chronic forms of PTSD such as those found in childhood abuse populations, refugee populations, and those experiencing chronic mental illness. The need to address comorbid emotional, social, and physical health consequences of trauma, to implement treatments in community-based settings, and to incorporate larger systems of care into study designs is noted. [Author Abstract]
Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
80. Lothlorien (2010, December). The effectiveness of EMDR: A literature review. (Author) Online .
Language: English
Format: Dissertation/Thesis
Abstract:
This literature review has been conducted to study the effectiveness of Eye-Movement Desensitization and Reprocessing (EMDR) in treating trauma. Articles for this literature review were chosen using the Google Scholar database with OhioLink applying keywords such as EMDR, EMDR and trauma, and EMDR effectiveness. Articles were also found using the EMDR International Association website at http://emdria.org. Most articles were chosen due to their relevance to the research question. Other factors that were considered were the quality of the research, timeliness, the number of times an article was cited by others, and accessibility. . Of these ten articles, 2/10 (20%) were literature reviews, 2/10 (20%) were conceptual articles, and 6/10 (60%) were empirical studies. All of the empirical studies (6/6 or 100%) were quantitative. All empirical studies cited in the literature review (6/6 or 100%) used primary data based on observation. Five out of the six (83%) empirical studies used and experimental design. One out of six (17%) used a quasi-experimental design. In the six empirical studies, the mean sample size was 51. The smallest sample size was 22, and the largest sample size was 88. Based on the articles studied for this review, EMDR is found to be an effective treatment for trauma. It has also been found to work faster than other therapies. Some studies also showed it to be more easily tolerated by clients than other therapies. Major limitations to this review are the number of publications included, the fact that only articles available in full text form via OSU affiliates were selected, and time available for the literature review. Based on the conclusion that EMDR is an effective mode of treatment for trauma survivors, social workers conducting therapy with this population would benefit from learning the technique and incorporating it in their repertoire of therapies.
Keywords: Literature Review Research Methods Trauma
Accuracy Verified: Yes
81. Pagani, M., Hogberg, G., Salmaso, D, Tarnell, B., Nardo, D., Sundin, Ö., Jonsson, C., Soares, J., Aberg-Wistedt, A., Jacobsson, H., Larsson, S.A., Hällström, T. (2007, October). Effects of EMDR psychotherapy on 99mTc-HMPAO distribution in occupation-related post-traumatic stress disorder. Nuclear Medicine Communications, 28(10), 757-765. doi:10.1097/MNM.0b013e3282742035.
Language: English
Format: Journal
Abstract:
Background: Post-traumatic stress disorder (PTSD) is a derangement of mood control with involuntary, emotionally fraught recollections that may follow deep psychological trauma in susceptible individuals. This condition is treated with pharmacological and/or cognitive therapies as well as psychotherapy with eye movement desensitization and reprocessing (EMDR). However, only a very limited number of studies have been published dealing with work-related PTSD, and investigations on the effect of treatment on cerebral blood flow represent an even smaller number. Aim: To investigate the short-term outcome of occupation-related PTSD after EMDR therapy by 99mTc-HMPAO SPECT. Method: Fifteen patients, either train drivers suffering from PTSD after having been unintentionally responsible for a person-under-train accident or employees assaulted in the course of duty, were recruited for the study. 99mTc-HMPAO SPECT was performed on these patients both before and after EMDR therapy while they listened to a script portraying the traumatic event. Tracer distribution analysis was then carried out at volume of interest (VOI) level using a three-dimensional standardized brain atlas, and at voxel level by SPM. The CBF data of the 15 patients were compared before and after treatment as well as with those of a group of 27 controls who had been exposed to the same psychological traumas without developing PTSD. Results: At VOI analysis significant CBF distribution differences were found between controls and patients before and after treatment (P=0.023 and P=0.0039, respectively). Eleven of the 15 patients responded to treatment, i.e., following EMDR they no longer fulfilled the DSM-IV criteria for PTSD. When comparing only the eleven responders with the controls, the significant group difference found before EMDR (P=0.019) disappeared after treatment. Responders and non-responders showed after therapy significant regional differences in frontal, parieto-occipital and visual cortex and in hippocampus. SPM analysis showed significant uptake differences between patients and controls in the orbitofrontal cortex (Brodmann 11) and the temporal pole (Brodmann 38) both before and after treatment. A significant tracer distribution difference present before treatment in the uncus (Brodmann 36) disappeared after treatment, while a significant difference appeared in the lateral temporal lobe (Brodmann 21). Conclusion: Significant 99mTc-HMPAO uptake regional differences were found, mainly in the peri-limbic cortex, between PTSD patients and controls exposed to trauma but not developing PTSD. Tracer uptake differences between responders and patients not responding to EMDR were found after treatment suggesting a trend towards normalization of tracer distribution after successful therapy. These findings in occupational related PTSD are consistent with previously described effects of psychotherapy on anxiety disorders. [PubMed]
Keywords: 99mTc-HMPAO Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
82. Pagani, M., Hogberg, G., Salmaso, D., Nardo, D., Jonsson, C., Danielsson, A.M., Engelin, L., Jacobsson, H., Larsson, S. A., Hallstrom, T., & Sundin, Ö. (2006, September). Effects of EMDR therapy on 99mTc-HMPAO distribution in Post-traumatic stress disorder. Presentation at the European Assocation of Nuclear Medicine Congress, Athens, Greece. European Journal of Nuclear Medical and Molecular Imaging, 33, S169.
Language: English
Format: Conference
Abstract:
Background Post-traumatic stress disorder (PTSD) is a derangement of mood control with emotional trauma recollections that may follow psychological trauma. It is treated with pharmacological and cognitive therapies as well as with eye movement desensitization and reprocessing (EMDR). However, a limited number of studies have been published dealing with job related PTSD, and an even smaller number have assessed the effects of treatment on CBF. The aim of this study was to investigate the short term outcome of occupation based PTSD after EMDR therapy by 99mTc-HMPAO SPECT.
Methods Fifteen patients suffering PTSD after having experienced a person under train accident or having been assaulted at work were included into the study. 99mTc-HMPAO SPECT was performed before and after EMDR therapy while listening to a script portraying the traumatic event. Tracer distribution analysis was performed at VOI level using a 3D standardised brain atlas and at cluster of voxel level by SPM and was subjected to an analysis of treatment as well as contrasted to a group of 27 subjects exposed to the same psychological trauma and not developing PTSD.
Results Eleven of 15 patients responded to treatment, i.e. they did no longer fulfil the DSM-IV criteria for PTSD after EMDR. Overall VOI analysis showed significant differences between, both before and after treatment conditions and controls (p<0.05) but no effect of period, i.e. treatment. However, when contrasting responders to controls the significant group difference present after treatment disappeared, indicating a normalization effect due to successful EMDR treatment.
SPM analysis showed significant uptake differences in orbitofrontal cortex (Brodmann 11) and temporal pole (Brodmann 38) before as well as after treatment as compared to controls. A significant tracer uptake group difference present before treatment in uncus (Brodmann 36) disappeared after treatment while a significant difference appeared in lateral temporal lobe (Brodmann 21). No tracer uptake differences were found by SPM as an effect of treatment, nor between the 11 responders and controls.
Conclusion Significant 99mTc-HMPAO uptake differences, mainly in peri-limbic cortex, between PTSD patients investigated before and after EMDR and subject exposed to trauma not developing PTSD were found. Differences between the tracer distribution in patients before and after therapy were not significant neither at SPM nor at VOI analyses but the latter showed at group level an effect of symptom remission on tracer distribution. The findings underscore the validity of psychotherapy in anxiety disorders and confirm the efficacy of SPECT in psychiatry.
[EANM]
Keywords: 99mTc-HMPAO Distribution Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
83. Pagani, M., Hogberg, G., Salmaso, D., Nardo, D., Jonsson, C., Danielsson, A. M., Engelin, L., Jacobsson, H., Larsson, S. A., Hallstrom, T., & Sundin, Ö. (2006, September-October). Effects of EMDR therapy on 99mTc-HMPAO distribution in Post-traumatic Stress Disorder. Presentation at the European Assocation of Nuclear Medicine Congress, Athens, Greece.
Language: English
Format: Conference
Abstract:
Background Post-traumatic stress disorder (PTSD) is a derangement of mood control with emotional trauma recollections that may follow psychological trauma. It is treated with pharmacological and cognitive therapies as well as with eye movement desensitization and reprocessing (EMDR). However, a limited number of studies have been published dealing with job related PTSD, and an even smaller number have assessed the effects of treatment on CBF. The aim of this study was to investigate the short term outcome of occupation based PTSD after EMDR therapy by 99mTc-HMPAO SPECT. Methods Fifteen patients suffering PTSD after having experienced a person under train accident or having been assaulted at work were included into the study. 99mTc-HMPAO SPECT was performed before and after EMDR therapy while listening to a script portraying the traumatic event. Tracer distribution analysis was performed at VOI level using a 3D standardised brain atlas and at cluster of voxel level by SPM and was subjected to an analysis of treatment as well as contrasted to a group of 27 subjects exposed to the same psychological trauma and not developing PTSD. Results Eleven of 15 patients responded to treatment, i.e. they did no longer fulfil the DSM-IV criteria for PTSD after EMDR. Overall VOI analysis showed significant differences between, both before and after treatment conditions and controls (p<0.05) but no effect of period, i.e. treatment. However, when contrasting responders to controls the significant group difference present after treatment disappeared, indicating a normalization effect due to successful EMDR treatment. SPM analysis showed significant uptake differences in orbitofrontal cortex (Brodmann 11) and temporal pole (Brodmann 38) before as well as after treatment as compared to controls. A significant tracer uptake group difference present before treatment in uncus (Brodmann 36) disappeared after treatment while a significant difference appeared in lateral temporal lobe (Brodmann 21). No tracer uptake differences were found by SPM as an effect of treatment, nor between the 11 responders and controls. Conclusion Significant 99mTc-HMPAO uptake differences, mainly in peri-limbic cortex, between PTSD patients investigated before and after EMDR and subject exposed to trauma not developing PTSD were found. Differences between the tracer distribution in patients before and after therapy were not significant neither at SPM nor at VOI analyses but the latter showed at group level an effect of symptom remission on tracer distribution. The findings underscore the validity of psychotherapy in anxiety disorders and confirm the efficacy of SPECT in psychiatry. [EANM]
Keywords: 99mTc-HMPAO Distribution Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
84. Stapleton, J. A., Taylor, S., & Asmundson, G. J. (2006, February). Effects of three PTSD treatments on anger and guilt: Exposure therapy, eye movement sensitization and reprocessing, and relaxation training. Journal of Traumatic Stress, 19(1), 19-28. doi:10.1002/jts.20095.
Language: English
Format: Journal
Abstract:
This study sought to investigate the efficacy of prolonged exposure, eye movement desensitization and reprocessing (EMDR), and relaxation training on trait anger and guilt and on trauma-related anger and guilt within the context of PTSD treatment. 15 PTSD patients completed each treatment and were assessed at posttreatment and at 3-month follow-up. All three treatments were associated with significant reductions in all measures of anger and guilt, with gains maintained at follow-up. There were no significant treatment differences in efficacy or in the proportion of patients who worsened on anger or guilt measures over the course of treatment. Between-treatment effect sizes were generally very small. Results suggest that all three treatments are associated with reductions in anger and guilt, even for patients who initially have high levels of these emotions. However, these PTSD therapies may not be sufficient for treating anger and guilt; additional interventions may be required. [Author Abstract]
Keywords: Adults Anger Canadians Exposure Therapy Guilt Longitudinal Study Posttraumatic Stress Disorder PTSD Relaxation Therapy Treatment Effectiveness
Accuracy Verified: Yes
85. Ruozzi, A. (2002). Efficacia dell'EMDR nella psicoterapia del PTSD e dei ricordi traumatici [Effectiveness of EMDR psychotherapy on PTSD and traumatic memories]. Retrieved from http://www.psicotraumatologia.com/pubblicazioni_psicotraumatologia_italiane.htm on 10/13/2012.
Language: Italian
Format: Dissertation/Thesis
Abstract:
L’EMDR inoltre progredisce su altri due versanti: da un lato incorpora al suo interno spunti teorici ed applicativi provenienti da diversi paradigmi psicoterapeutici allo scopo di potenziare l’efficacia e la flessibilità (Shapiro, 1995); dall’altro lato, si cerca di applicare il metodo a disturbi che vanno oltre al PTSD. Attualmente nei differenti paesi del mondo le persone che hanno effettuato un training organizzato dall’EMDR Institute sono circa 30.000.In Italia i primi corsi sull’EMDR sono stati condotti nel febbraio 1999 e sono attualmente coordinati dall’Associazione EMDR Italia, a sua volta riconosciuta e patrocinata dalla EMDR Europe (Giannantonio, 2000). L’associazione ha sede a Milano e dispone di un sito internet: www.emdritalia.it.
Il dibattito sull’efficacia di questo metodo è tuttora aperto e sono numerose e contrastanti le ricerche che si sono svolte su questo argomento. La questione ha assunto a tratti i toni dello scontro ideologico e sono subentrati anche problemi di carattere commerciale, un metodo che si propone come più efficace e più rapido nella terapia di alcuni disturbi psicologici non può non essere valutato come un rivale, soprattutto in una realtà come quella del Nord America dove le spese per la psicoterapia sono pagate dalle assicurazioni (Giannantonio, 2000).
L’EMDR è uno dei metodi che vanta il maggior numero di conferme sperimentali nella psicoterapia del PTSD. Questo gli ha consentito nel 1995 di essere considerata “trattamento probabilmente efficace” (valutazione A/B) nella terapia del PTSD dalla Task Force on Psychological Intervention dell’American Psychological Association. Questa valutazione di efficacia è uguagliata solo dallo Stress Inoculation Training e dalle terapie basate sull’esposizione (Chambless et al., 1998).
Gli studi prodotti sull’efficacia dell’EMDR sono numerosi (per una rassegna vedi Giannantonio, 2000), molti sono criticabili perché mal strutturati e con grossi problemi di validità. Esistono tuttavia una serie di studi ben organizzati che si sono dimostrati inattaccabili sul piano metodologico...
Questi studi tuttavia commettono uno o più dei seguenti problemi:
1) Impiegano una o due sedute di EMDR con reduci del Vietnam forse anche a causa dell’equivoco suscitato dalla stessa Shapiro (1989) che riferiva risultati importanti nei confronti del PTSD con una sola seduta di EMDR nel 100% dei soggetti. Una tale concezione dell’EMDR non è quella più attuale e condivisa (Shapiro, 1995).
2) Trattano con l’EMDR solo uno o due episodi traumatici in soggetti che devono essere considerati “pluritraumatizzati” (Shapiro, 1999).
La presente Tesi è divisa in due parti: nella prima di carattere essenzialmente bibliografico ho analizzato la letteratura esistente sull’EMDR e sul PTSD.
Nel secondo capitolo descriverò il Disturbo Post-Traumatico da Stress analizzando i vari approcci teorici al problema del trauma.
Nel terzo capitolo verrà analizzata la teoria dell’EMDR ovvero il modello esplicativo ritenuto più adeguato che fa riferimento alla “elaborazione accelerata dell’informazione”.
Il quarto capitolo, che conclude la prima parte, riporta il protocollo standard di somministrazione dell’EMDR per adulti e adolescenti.
Nella seconda parte viene riportata la descrizione della ricerca che si sta producendo in collaborazione con l’EMDR Italia che si propone di valutare l’efficacia dell’EMDR. Nel quinto capitolo viene descritto il disegno sperimentale. Nel sesto capitolo viene analizzato il metodo di campionamento e i presupposti di validità della ricerca. Nel settimo capitolo sono descritti i test che si è deciso di analizzare nel corso della presente tesi. Infine l’ottavo capitolo si concentra sull’analisi dei primi dati emersi dalla ricerca e sulle prime conclusioni.
EnglishSpanishArabicAlpha
EMDR also progressing on two other fronts: on the one hand it incorporates theoretical insights and applications from different psychotherapeutic paradigms in order to enhance the effectiveness and flexibility (Shapiro, 1995), on the other hand, it tries to apply the method to problems that go beyond PTSD.
Currently in different countries of the world, people who have a training organized dall'EMDR Institute 30.000.In Italy are about the first courses on EMDR have been conducted in February 1999 and is currently coordinated by the Association EMDR Italy, in turn recognized and sponsored by the EMDR Europe (Giannantonio, 2000). The association is based in Milan and has a website: www.emdritalia.it.
The debate on the effectiveness of this method is still open and they are many and conflicting research that took place on this topic. The issue has assumed at times the tone of the ideological battle and were replaced also problems of a commercial nature, a method is proposed as a more effective and faster in the treatment of certain psychological disorders can not be assessed as a rival, especially in a situation such as North America where the cost of psychotherapy are paid by insurance (Giannantonio, 2000).
EMDR is one of the methods which has the highest number of experimental confirmation in psychotherapy for PTSD. This enabled him in 1995 to be considered "probably efficacious treatment" (rated A / B) in the treatment of PTSD by the Task Force on Psychological Intervention of the American Psychological Association. This assessment of effectiveness is equaled only by the stress inoculation training and exposure-based therapies (Chambless et al., 1998).
Studies on the effectiveness of EMDR are numerous products (for review see Giannantonio, 2000), many are questionable because poorly structured and serious problems of validity. There are however a number of well-organized studies that have proven resistant in terms of methodology:
......
These studies, however, have committed one or more of the following problems:
1) They use one or two sessions of EMDR with Vietnam veterans possibly because of misunderstanding caused by the same Shapiro (1989) who reported significant results against PTSD with a single session of EMDR in 100% of subjects. Such a conception of EMDR is not the most current and shared (Shapiro, 1995).
2) They deal with EMDR only one or two traumatic events in people who should be considered "pluritraumatizzati" (Shapiro, 1999).
This thesis is divided into two parts: the first character essentially bibliographic I analyzed the existing literature on EMDR and PTSD.
In the second chapter I will describe the Post-Traumatic Stress Disorder analyzing the various theoretical approaches to the problem of trauma.
In the third chapter we will analyze the theory of EMDR or the explanatory model deemed more appropriate that refers to the "accelerated processing of information."
The fourth chapter, which concludes the first part shows the standard protocol of administration of EMDR for adults and adolescents.
In the second part shows the description of the research that is being produced in collaboration with the EMDR Italy that aims to assess the effectiveness of EMDR. In the fifth chapter describes the experimental design. In the sixth chapter analyzes the sampling method and the conditions for validity of the research. In the seventh chapter describes the tests it was decided to analyze the course of this thesis. Finally, the eighth chapter will focus on early evidence from research and initial findings.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
86. Lee, C. (2006, May). Efficacy and mechanisms of action of EMDR as a treatment for PTSD. Murdoch University, Perth, Australia.
Language: English
Format: Dissertation/Thesis
Abstract:
The first aim of this thesis was to describe the characteristics of Posttraumatic Stress Disorder (PTSD) and to elucidate its place as a symptom disorder that sometimes develops when people are exposed to a traumatic event. The current major theoretical approaches to account for why some people who are exposed to trauma develop PTSD and the mechanisms by which this occurs were described. Three classes of theories were reviewed: conditioning/learning approach; information processing theories with a particular focus on the meaning of the trauma event; and biological models with an emphasis on recent neurocircuitry and neurochemistry models.
Successful treatment approaches were then reviewed which indicated two major contenders for the most efficacious treatment for PTSD: traditional cognitive behaviour therapies (CBT) using either stress inoculation or prolonged exposure; and eye movement desensitisation and processing (EMDR). Prior to the first study (Lee, Gavriel, Drummond, Richards, and Greenwald, 2002), a review of the literature indicated equivalent effects for EMDR and CBT. There had been very few direct comparison studies and each had serious methodological flaws, particularly with respect to random assignment and treatment fidelity. Therefore, the first study ensured adequate attention to these areas and involved a direct comparison between the two procedures using a sample of 24 participants diagnosed with PTSD. EMDR and stress inoculation training with prolonged exposure were found to lead to similar symptom improvement at the end of treatment, apart from a slight advantage for EMDR on intrusion symptoms. Both treatments led to significantly greater symptom reduction than a wait list control condition. At follow-up, EMDR led to greater gains on both self-report and observer rated measures of PTSD and self-report measures of depression. Overall, the findings were similar to those described in previously published studies, with a suggestion that EMDR was slightly more efficient than the standard CBT approach.
Given that the evidence suggested that EMDR was a more efficient treatment, it became critical to understand the underlying processes. A process study was undertaken that examined the responses of people with PTSD receiving EMDR treatment (Lee, Taylor, and Drummond, 2006). Guided by process studies of other treatments and theories that might account for why EMDR is effective, participants' responses were examined to see which models better accounted for symptom improvement. The main analysis tested whether or not the responses were consistent with processes that occurred during traditional CBT treatment, which prior research had identified as reliving, or whether they were more consistent with Shapiro's proposal that enhanced information processing occurs because there is a dual focus of attention (that is, the person simultaneously focuses on an external stimulus and on the traumatic memory) (Shapiro, 1995). The responses made by 44 participants were coded by an independent rater according to whether they were primarily reliving, distancing, affect or material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement occurred when the participant processed in a more detached or distant manner, whereas reliving responses were not associated with improvement. Cross-lagged panel correlations suggested that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that co-varied with improvement. The findings underscored a difference in the processes that underlie EMDR and traditional CBT.
The major question left unanswered from this second study was what causes this distancing process? Competing views were that it was facilitated by eye movement; alternatively, the therapist's instructions to participants might have precipitated this distancing phenomenon. The third study tested these ideas by randomly assigning 48 participants to either an eye movement or a no eye movement condition under two types of therapist instructions (reliving or distancing). Participants recalled personal distressing memories, and measures of distress and vividness were taken after treatment and at follow up. Only the eye movements made a significant difference to people's level of distress.
This conclusion appeared at odds with some of the previous literature that had tested the effects of eye movement on levels of distress. A meta-analysis of some of this research had suggested that there was no significant advantage of including eye movement in EMDR treatment unless the person had been diagnosed with PTSD. However, a close examination of this meta-analysis indicated some major methodological flaws in the computation; therefore, this was recalculated. The conclusion from this fourth study was consistent with study three in that EMDR with eye movement was found to lead to significantly greater improvement that EMDR without eye movement.
The results of these four studies were then discussed in terms of their implications for the theoretical models presented in Chapter 1. Aspects of learning theory that might account for EMDR efficiency were discussed as well as the failure of this model to account for treatment gains following EMDR. Information processing models were seen to better account for some of the phenomena observed in EMDR and for the findings from the four studies. Some suggestions of how eye movements might facilitate improved information processing were presented.
Finally, the relative merits of EMDR and CBT treatments were discussed and suggestions made for when to combine approaches. The conclusions highlight the point that EMDR appears to be the most promising treatment for PTSD.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
87. Bumke, P. J., & Sodemann, U. (2010, July). The efficacy of EMDR in a new context: Some findings from the ACEH survey. Symposium (Carolyn L. Neunuebel, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Context: As a response to the Tsunami in 2004 the Aceh Project organized by TraumaAid and sponsored byTDH and the BMZ
from 2007 to 2009 treated more than 3200 clients for psychic disorders related to traumatic experiences .The treatment was
given by Indonesian therapists who against the background of a lack of local therapists trained in psychotraumatology had to
be trained within the project under the auspices of TraumaAid. This combination of EMDR-Training and EMDR-Therapy in an
extremely challenging context also offered an unique opportunity for a parallel and wide ranging monitoring and evaluation
of the social and diagnostic parameters involved. Methodology: To guide the therapeutic process and to check on its long
term efficacy 1200 adults and 1000 children were at the outset of their therapies asked to contribute detailed diagnostic
data. While for adults the Hopkins Anxiety and Depression scales along with a 42-item Harvard Trauma Questionnaire was
administered, children and adolescents up to age of 17 were given an adapted version of the CBCL. At the conclusion of their
therapies 20 % of all respondents were rechecked with the same diagnostic scales, another group of 5 % again after 6 months.
Results: The diagnostic data indicate a dramatic improvement after therapies that involved a range of therapeutic techniques
including stabilising and EMDR protocols. The relation between diagnostic dimensions (intrusions, somatic reactions, social
relations, expression of feelings and attention problems) and social factors (gender, age) was further explored.
Keywords: ACEH Survey
Accuracy Verified: Yes
88. 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
89. Molero-Zafra, M., & Perez-Marín, M. (2009, June). El duelo, la familia, el trauma y el EMDR: Analisis de un caso clínco [Grief, the family, trauma and EMDR: analysis of a clinical case]. Mosaico, 42, 28-35.
Language: Spanish
Format: Magazine
Abstract:
El objetivo de este articulo es mostrar como el acercamiento terapéutico del EMDR puede integrarse en la terapia familiar y narrative favoreciendo y potenciando su poder para restablecer el proceso de duelo. Para ello presentamos el análisis de una caso de duelo complicado tratado con protocolo de EMDR e incluido en un proceso terapéutico de terapia familiar y narrativa.
The aim of this paper is to show how EMDR therapeutic approach can be integrated into family therapy and narrative encouraging and enhancing their power to restore the grieving process. We present the analysis of a case of complicated grief treated with EMDR protocol and included in a therapeutic process of family therapy and narrative.
Keywords: Family Grief Narrative Therapy Trauma
Accuracy Verified: Yes
90. Tripolt, R. (2012, June). EMDR in Motion. Using movement and body oriented therapeutic interweaves for complex trauma and dissociative symptoms [EMDR en movimiento. Usar el movimiento y la terapia orientada al cuerpo para traumas complejos y síntomas disociativos]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
"The
Body
Keeps
the
Score"
(B.
v.d.
Kolk,
1996)
Clients
who
suffer
from
traumatic
stress
are
often
afraid
about
disturbing
and
painful
somatic
symptoms.
Structural
dissociation
alienates
from
body
reactions.
Nevertheless
it
is
the
body
that
"holds"
the
discomfort
and
painful
memory
of
neglect
and
violence.
Trauma
Survivors
tend
to
perceive
their
body
as
hostile.
They
suffer
from
Alexithymia
deficiency
of
interpreting
the
meaning
of
body
reactions
and
muscle
activation.
Trauma
Survivors
are
easily
irritated
and
tend
to
react
with
rage
on
very
slight
provocations
and
freeze
when
they
are
frustrated.
Even
minor
problems
cause
fear
and
helplessness.
The
Polyvagal
Theory
(S.
Porges
2010)
proves
the
neurological
aspect
of
behavioral
patterns.
Neurozeption
describes
how
we
perceive
others
in
a
neurological
way.
Certain
behavioral
patterns
are
established
through
life
experiences.
This
research
underlines
Francine
Shapiros
AIP
model
and
confirms
the
importance
of
a
body
orientated
approach.
We
know
that
experiencing
the
effect
of
eye
movement
-‐
and
other
bilateral
stimulation,
is
a
gentle
and
powerful
way
to
bring
the
voice
of
the
body
into
the
therapeutic
space.
EMDR
helps
to
integrate
cognitive,
emotional
and
body
sensations.
Using
movement
and
body
orientated
skills
in
difficult
processes
f.e.
with
severely
and/or
early
traumatised
clients,
even
enhances
the
effect
of
EMDR.
Content
of
the
Workshop:
Short
theoretical
implications:
Polyvagal
Theory
and
AIP
Model.
Stabilisation
and
Movement
-‐
creating
a
„Moving
Container“:
How
to
create
a
safe
place
of
relationship
and
attachment
between
the
client
and
the
therapist
by
using
movement
and
bodywork?
The
body
is
the
most
powerful
resource:
How
to
use
movement
to
access
this
power.
How
to
recognize
and
dissolve
dissociation
by
body
and
movement
awareness.
EMDR
Process
and
Movement
:
How
to
widen
the
„window
of
tolerance“
by
using
movement
and
deeper
levels
of
body
consciousness.
Adding
a
fourth
level
of
attention
to
the
EMDR
process:
cognition
-‐
emotion
-‐
body
scan
-‐
movement.
Movement
and
reflex
feedback
as
interweave
technique
in
difficult
processes.
Methods
used
in
the
Workshop:
Lecture
and
Video
Presentation.
Practical
demonstration
of
some
movement
orientated
techniques.
Discussion.
“El
cuerpo
lleva
la
cuenta”
(B.
v.d.
Kolk,
1996),
los
clientes
que
sufren
de
estrés
traumático
tienen
a
menudo
miedo
sobre
sus
síntomas
somáticos
preocupantes
y
dolorosos.
La
disociación
estructural
aliena
las
reacciones
del
cuerpo,
sin
embargo
es
el
cuerpo
el
que
“mantiene”
el
disconfort
y
el
recuerdo
doloroso
de
negligencia
y
violencia.
Los
supervivientes
a
un
trauma
suelen
tender
a
percibir
su
propio
cuerpo
como
hostil.
Sufren
de
Alexitimia,
deficiencias
para
interpretar
las
señales
corporales
y
la
activación
muscular.
Son
fácilmente
irritables
y
tienden
a
reaccionar
con
ira,
con
leves
provocaciones
y
se
“congelan”
cuando
están
frustrados.
Incluso
problemas
de
fuerza
menor
causan
miedo
y
desesperanza.
La
teoría
polivagal
(S.
Porges
2010)
prueba
el
aspecto
neurológico
de
los
patrones
de
comportamiento.
La
neurocepción
describe
cómo
percibimos
a
los
otros
desde
un
punto
de
vista
neurológico.
Ciertos
patrones
de
comportamiento
están
establecidos
a
través
de
las
experiencias
vitales.
Esta
investigación
se
basa
en
el
modelo
SPIA
de
Francine
Shapiro
y
confirma
la
importancia
del
enfoque
orientado
al
cuerpo.
Sabemos
que
al
experimentar
el
efecto
de
la
estimulación
ocular,
y
otras
estimulaciones
bilaterales,
es
un
camino
poderoso
y
suave
para
traer
la
voz
del
cuerpo
dentro
del
espacio
terapéutico.
EMDR
facilita
la
integración
cognitiva
emocional
y
corporal.
Usar
el
movimiento
y
las
habilidades
orientadas
al
cuerpo
en
los
procesos
difíciles
con
clientes
traumatizados,
severamente
o
tempranamente,
incluso
amplifica
el
efecto
terapéutico
del
EMDR
Contenido
del
taller:
Implicaciones
teóricas:
Teoría
Polivagal
y
modelo
SPIA
Estabilización
y
movimiento
–
Crear
un
“recipiente
de
movimiento”
Cómo
crear
un
lugar
seguro
en
relación
al
apego
entre
el
cliente
y
el
terapeuta
usando
movimiento
y
trabajo
corporal.
El
cuerpo
es
el
recurso
más
poderoso:
Cómo
usar
el
movimiento
para
acceder
a
este
poder.
Cómo
reconocer
y
disolver
la
disociación
en
el
cuerpo
y
la
atención
al
movimiento.
Procesamiento
EMDR
y
movimiento:
Cómo
ampliar
la
"ventana
de
tolerancia"
mediante
el
uso
de
movimientos
y
niveles
más
profundos
de
la
conciencia
del
cuerpo.
Añadir
un
4
nivel
de
atención
al
procesamiento
de
EMDR:
Cognición-‐Emoción-‐
Escáner
corporal-‐movimiento.
Keywords: Body Oriented Therapeutic Interweaves
Accuracy Verified: Yes
91. Albers, J. (2008, June). EMDR & cue exposure – How cue exposure catalyses the effectiveness of the EMDR protocol to diminish craving. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
A structured six-session group therapy has been developed for overcoming craving. Treatment is
based upon a standard EMDR protocol supported by cue exposure techniques. The EMDR protocol
supported by cue exposure catalyses the recovery process as follows: In the very beginning the
participants are taught a set of three ideodynamic resources for coping with the urge to drink. Then
they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught
to initialize the standard EMDR protocol - with continued exposure to alcohol. Subsequently, the
power of desensitisation and reprocessing followed by one ideodynamic strategy influences the
intensity of craving significantly. Craving symptoms diminish and finally disappear. In addition to that
new experience the clients acquire greater and deeper knowledge about their personal drinking
triggers. They also find out which strategy is the most effective one for each specific trigger. A
strategy, which works well with one trigger, may not work with a different one. Workshop
participants will learn the system of using cue exposure as a powerful cognitive interweave. This
program is designed to improve the treatment of various types of addiction, such as gambling, etc.
and can easily be integrated into existing EMDR treatment strategies.
Keywords: Cue Exposure
Accuracy Verified: Yes
92. 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
93. Shapiro, F., & Sherwel, C. (2004). EMDR (Eye movement desensitization and reprocessing): Desensibilizacion y reprocesamiento por medio de moimiento ocular [EMDR (Eye Movement desensitization and reprocessing): Desensitization and reprocessing of eye movement]. México: Pax México.
Language: Spanish
Format: Book
Abstract:
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, how EMDR has become more elaborate treatment for posttraumatic stress disorder (in other disturbances). EMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, EMDR incorporates various aspects of systemic therapies, psychodynamic, experiential, behavioral and physical. It consists of eight phases that include the use of eye movements and other forms of left-right stimulation.
Is effective in treating post-traumatic stress disorder and reprocess disturbing thoughts and memories or psychological problems of survivors of trauma, sexual abuse, crimes of war fighting, as well as phobias and disorders caused by life experiences and provides in a short time effects clinical deep and stable.
With detailed descriptions and transcripts, the author guides the clinician through every stage of therapeutic treatment, from selection of clients to the application of the method and its integration into a comprehensive clinical treatment.
Written in an accessible, this book is an invaluable guide both for experienced clinicians in the EMDR treatment to people who just know the method, and for advanced students of clinical psychology and psychotherapy.
Accuracy Verified: Yes
94. Parnell, L. (2001). EMDR - Der weg aus dem trauma: Über die heilung von traumata und emotionalen verletzungen [Transforming trauma: EMDR]. Paderborn: Junfermann Verlag GmbH & Co.
Language: German
Format: Book
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) hat Tausenden von Menschen geholfen, die von schrecklichen Mißbrauchserlebnissen oder von Traumata verfolgt wurden. Die neue Methode vermag auch Patienten zu helfen, bei denen andere Therapieformen versagt haben, darunter Menschen, die an chronischen Problemen wie Eßstörungen, Angstzuständen, einem schwachen Selbstwertgefühl, Depressionen und Störungen ihrer Leistungsfähigkeit leiden. EMDR bringt Millionen von Menschen neue Hoffnung, denen gesagt wurde, ihre Genesung werde sich wohl über ihr ganzes weiteres Leben hinziehen.
Die EMDR-Therapie bettet die Technik der Augenbewegung in einen umfassenden Ansatz ein, durch den Informationen verarbeitet werden, die sich in unverarbeiteter Form in Körper und Geist des Patienten verkapselt haben. Dadurch werden die Betroffenen von belastenden Bildern und Körperempfindungen, bedrückenden Emotionen und Einschränkenden Überzeugungen befreit. Bei Anwendung dieser Methode tritt die Heilung nicht nur wesentlich schneller ein als in der traditionellen Therapie, sondern die Klienten erleben auch ein Gefühl der Freude, Offenheit und tiefen Verbundenheit mit anderen. Laurel Parnell veranschaulicht uns auf fesselnde Weise die Wirkung von EMDR. In ihren mutmachenden Heilungsberichten versetzt sie die Leser in die Psyche ihrer Klienten, wo die Traumata, die jene in der Vergangenheit erlebt haben, erstarrt sind. Die Autorin veranschaulicht auf sorgsame, persönliche und verständliche Weise, wie EMDR es Menschen ermöglicht, über das bloße Überleben eines traumatischen Erlebnisse hinaus zu einer Erfahrung des Wohlbefindens und der Ganzheit zu gelangen.
Ein allgemeinverständlich geschriebenes Buch, das allen, die sich erstmals mit dieser neuen revolutionären Therapieform beschäftigen wollen, einen umfassenden Einblick über die Methodik, den Ablauf, die vielfältigen Einsatzmöglichkeiten und die ungezählten erfolgreich durchgeführten Therapien vermittelt: Informativ. Fesselnd geschrieben. Hoffnung auf Heilung vermittelnd. Ein idealer Einstieg in EMDR.
EMDR (Eye Movement Desensitization and Reprocessing) has helped thousands of people who were haunted by terrible abuse experiences or trauma. The new method can also help patients who have not responded to other therapies, including people who suffer from chronic problems such as eating disorders, anxiety, a low self-esteem, depression and disturbances of their capabilities. EMDR brings new hope to millions of people who have been told, their recovery will probably drag on through its entire life. The EMDR therapy embeds the technique of eye movement in a comprehensive approach that will be processed by the information, which have encapsulated in the natural state of body and mind of the patient. Thus the person concerned of incriminating images and body sensations, emotions and limiting beliefs are oppressive, free. In applying this method, the healing occurs not only much faster than in a traditional therapy, but the clients also experience a feeling of joy, openness and deep connection with others. Laurel Parnell are illustrated with fascinating way, the effect of EMDR. In its encouragement healing reports, they leave readers into the psyche of their clients, where the traumas, the former have experienced in the past freezes are. The author demonstrates in careful, personal and understandable way, such as EMDR allows people to reach beyond the mere survival of a traumatic experience also an experience of wellness and wholeness. A book, written in generally understandable to all, who would first deal with this revolutionary new form of therapy, provides a comprehensive insight into the methodology, process, the various applications and successfully executed countless therapies: Informative. written captivating. Hope for healing mediator. An ideal introduction to EMDR.
Keywords: Trauma
Accuracy Verified: Yes
95. Hansen, H. S. (2009, Sommeren). EMDR - Et valg til behandling af PTSD?. Aalborg Universitet, Institut for Kommunikation, Aalborg, Denmark.
Language: Danish
Format: Dissertation/Thesis
Abstract:
Denne afhandling har til formål at afdække, om behandling af Eye Movement Desensibilisering
og oparbejdning (EMDR) er en effektiv behandling af Post Traumatic Stress
Disorder (PTSD). EMDR er blevet kaldt The Breakthrough behandling og
Helbredelse af PTSD. Worldwide flere nationale sundhedsorganisationer anbefaler EMDR
da behandlingen for klienter, der lider af PTSD, og denne anbefaling er understøttet
af flere internationalt anerkendte forskere. Derudover en betydelig
stort antal forskere er blevet offentliggjort, viser, at EMDR er en effektiv
måde at behandle PTSD.
I første omgang bør det præjudicielle spørgsmål være let at besvare, hvis det ikke havde været på grund af
opskæring kontrast findes i flere andre offentliggjorte forsker og artikler påstår
at EMDR ikke er effektiv, og ligger ved siden af at være en svindler. Denne kritik viser akademiske
fejl og mangler i metoder til forskning og objektivitet. Som EMDR
synes at opdele den akademiske samfund i "Hvem er for og hvem imod", det foreløbige
Spørgsmålet er ikke ansvarlig i første omgang. I nærmer et svar på spørgsmålet,
to teoretiske dele vil være repræsenteret. I første hoveddel, diagnose af
PTSD vil blive taget igennem. Diagnosen er forholdsvis ny og indeholder en kompleksitet,
som er nødvendig for at afdække, før den fremlægger det teoretiske fundament for
EMDR. Delvis kompleksitet PTSD skyldes det faktum, at mere eller mindre, PTSD
har erstattet begrebet krise i praksis, mens den tidligere adskilte diagnoser
er inkluderet i PTSD i dag. Som et eksempel det har ført til, mentalt stabile personer,
der har været traumatiseret, er diagnosticeret med samme diagnose som traumatiseret
personer, der lider af en alvorlig personlighedsforstyrrelser. For eksempel denne konstellation
gør det vanskeligt at forske i effektiviteten af de behandlinger, som den samme behandling
kan resultere forskelligt, alt efter hvilken gruppe af personer i spørgsmålet. Efter at have gjort
diagnosen PTSD igennem, den anden teoretisk vigtigste del, som er på EMDR,
vil blive præsenteret. Ved første, i denne del, vil det teoretiske grundlag for EMDR være
fremvises for at opnå et bedre perspektiv af følgende kritik. Afhandlingen
rundes af med en bred debat og en efterfølgende konklusion.
Blandt andet konkluderer afhandlingen, at EMDR virker effektivt på isolerede
symptomer på PTSD til en hel del længde. EMDR virker effektivt på flashbacks
negative og invaderende tanker og derfor EMDR kan anbefales som en mulig
valg af behandling, og bekvemt som et supplement. At den teoretiske fundament
af effektiviteten af EMDR bør ikke kun være en variant af kognitiv eksponering
terapi er imidlertid meget svage og mangler en uafhængig evidensbaseret forskning.
This dissertation seeks to uncover whether the therapy of Eye Movement Desensitization
and Reprocessing (EMDR) is an effective treatment of Post Traumatic Stress
Disorder (PTSD). EMDR has been termed as The Breakthrough Therapy and The
Cure of PTSD. Worldwide several national health organizations recommend EMDR
as the treatment for clients suffering from PTSD, and this recommendation is supported
by several internationally recognized academics. Additionally a considerable
large number of researches have been published, showing that EMDR is an effective
way of treating PTSD.
At first, the preliminary question should be easy to answer, had it not been due to
the cutting contrast found in several other published researches and articles claiming
that EMDR is not effective and is next to being a fraud. This criticism indicates academic
errors and deficiencies in methods of research and objectiveness. As EMDR
seems to divide the academic societies into “who´s for and who´s against”, the preliminary
question is not answerable at first. In approaching an answer to the question,
two theoretical parts will be represented. In the first main part, the diagnosis of
PTSD will be taken through. The diagnosis is rather new and contains a complexity,
which is necessary to uncover, before presenting the theoretical foundation of
EMDR. Partly the complexity of PTSD is due to the fact that, more or less, PTSD
has replaced the concept of crisis in practice, whereas former separated diagnoses
are included in PTSD today. As an example it has led to, mentally stable persons,
who have been traumatized, are diagnosed with the same diagnosis as traumatized
persons suffering from severe personality disorders. For example this constellation
makes it difficult to research the efficiency of the therapies, as the same therapies
can result differently according to which group of persons in question. Having taken
the diagnosis of PTSD through, the second theoretical main part which is on EMDR,
will be presented. At first, in this part, the theoretical foundation of EMDR will be
presented to obtain a better perspective of the following criticism. The dissertation
closes with a broad discussion and a subsequent conclusion.
Among others, the dissertation concludes that EMDR works effectively on isolated
symptoms of PTSD to quite some length. EMDR works effectively on flashbacks,
negative and invading thoughts and therefore EMDR is recommendable as a possible
choice of therapy, conveniently as a supplement. That the theoretical foundation
of the effectiveness of EMDR should not be only a variant of cognitive exposure
therapy is, however, very frail and lacks an independent evidence-based research.
Keywords: Literature Review
Accuracy Verified: Yes
96. 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
97. Titze, M. (1997). EMDR - Unterstützte thematisierung bei psychodynamisch fundierten fokaltherapien [EMDR - Supported theming in-depth psychodynamic focal therapy]. In C. T. Eschenröder: EMDR. Eine neue Methode zur Verarbeitung traumatischer Erinnerungen (pp. 179-188). Tübingen: DGVT-Verlag.
Language: German
Format: Book Section
Abstract:
Lange Zeit galt eine im Sinne der psychoanalytischen Standardmethode durchgeführte Langzeittherapie als qualitativ besonders hochstehend. Dabei ließ sich argumentieren, dass die entscheidenden Eckpfeiler des analytischen Prozesses (Erinnern, Wiederholen, Durcharbeiten) einer zeitaufwendigen Methodik (freie Assoziation, "gleichschwebende Aufmerksamkeit" und regressionsfördernde Zurückhaltung / Schweigen des Analytikers, Übertragungs- und Widerstandsdeutungen usw.) bedürfen (vgl. Thomä & Kächele, 1989). Eine unbestreitbare methodische Schwäche dieser Vorgehensweise resultiert allerdings aus dem Verzicht auf eine aktive Strukturierung durch den Analytiker. Dies kann dazu führen, dass sich manche Klienten in der realen therapeutischen Beziehung allein gelassen bzw. nicht ernst genommen fühlen. Eine nicht selten mehrjährige Behandlungsdauer kann zudem eine Unzufriedenheit hervorrufen, die dann zu realen Widerstandstendenzen auf Seiten des Klienten führen wird, wenn ein spürbarer Behandlungserfolg ausblieb (vgl. dazu Eschenröder, 1986, Kap. 11). Doch es sind nicht allein solche Einwände, die zu einer Relativierung der Bedeutung von analytischen Langzeittherapien geführt haben. Es waren auch reale ökonomische Gegebenheiten, die diese Bedeutung in den letzten Jahren zunehmend in Frage gestellt haben. Nachdem nämlich, zunächst in den Vereinigten Staaten, die Versicherungen dazu übergegangen sind, nur eine stark begrenzte Anzahl psychothe-rapeutischer Leistungen zu erstatten, kam es auch im Bereich der Tiefenpsychologie zu einer verstärkten Hinwendung gegenüber kurzzeittherapeutischen Verfahren (vgl. Goleman, 1981).
Long considered a standard in the sense of the psychoanalytic method carried out as long-term therapy of particularly high standing. It could be argued that the crucial cornerstone of the analytical process (remembering, repeating, working through) a time-consuming method require (free association, evenly suspended attention "and regression-promoting restraint / silence of the analyst, transference and resistance interpretations, etc.) (see Thoma & Kächele, 1989). One undoubted methodological weakness of this approach, however, results from the absence of an active structure by the analyst. This can cause that some clients feel in the real therapeutic relationship alone and not taken seriously. An often multi-year duration of treatment may also cause discontent that will lead to real resistance tendencies on the part of the client when a substantial treatment effect failed to (cf. Eschenröder, 1986, Chapter 11). But it is not only an objection that led to a relativization of the importance of long-term analytic therapies. There were also real economic conditions that have made this meaning in recent years increasingly in question. After that is to report first in the United States, the insurance companies have started, only a very limited number of psychotherapy therapeutic services were also provided in the field of depth psychology (1981 cf. Goleman,) to an increased turn over short-therapeutic procedures.
Keywords: Focal Therapy
Accuracy Verified: Yes
98. 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
99. Gupta, D. (2011). EMDR and children: Effectivesness and clinical implications. Annual National Conference of Indian Psychiatric Society (ANCIPS), Delhi, India.
Language: English
Format: Conference
Abstract:
It doesn’t matter how long the memories have been stored and for how long they have been exerting a negative effect on the child.
Children reprocess their traumas more quickly in EMDR than in other therapies and becomes desensitized to the painful memories and images.
[Excerpt]
Keywords: Children
Accuracy Verified: Yes
100. Moses, M. D. (2002, June). EMDR and conjoint couples therapy. Presnetation at the annual meeting of the EMDR International Assocation, San Diego, CA.
Language: English
Format: Conference
Abstract:
This presentation represents an integration of EMDR with Conjoint
Couples Therapy. The protocol offered is clinically and anecdotal derived,
applying EMDR with both members of a couple witnessing the other's
work. This mutual sharing around triggers and traumas, holds powerful
potential for building mutual understanding, compassion and empathy in
the relationship. As a work in progress, the presenter will welcome dialog
and empirical investigation of this protocol. The workshop will include:
guidelines; potential benefits; indications and contraindications; protocol
for EMDR and Conjoint Couples Therapy; case illustration; do's and
don'ts: coordination with other therapies/therapists; and when Conjoint
EMDR is not possible or indicated.
Keywords: Conjoint EMDR Couples Therapy
Accuracy Verified: Yes
101. Bohart, A. C., & Greenberg, L. S. (2002). EMDR and experiential psychotherapy. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 239-261). Washington: American Psychological Association.
Language: English
Format: Book Section
Abstract:
This chapter compares EMDR with three experiential approaches. Although various experiential approaches exist, the chapter concentrates on Gendlin's focusing-oriented psychotherapy (FP), Rogers's client-centered therapy (CCT), and Greenberg and colleagues' process-experiential psychotherapy (PEP) to explore similarities and differences. The exploration begins with an introduction of each approach to orient the reader. [Text, pp. 239-240]TOPICS TREATED: Self-healing; Summary of similarities between EMDR and experiential psychotherapy; Differences between EMDR and experiential psychotherapy; Integrating experiential therapies with EMDR.
Keywords: Adults Client Centered Psychotherapy Experiential Psychotherapy Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
102. Power, K., McGoldrick, T., Brown, K., Buchanan, R., Sharp, D., Swanson, V., & Karatzias, A. (2003, January). EMDR and exposure plus cognitive restructuring are found effective in treating PTSD. Clinician's Research Digest, 21(1), 2.
Language: English
Format: Newsletter
Abstract: Compared the effectiveness of eye movement desensitization and reprocessing (EMDR) versus exposure plus cognitive restructuring (ECR) versus a waiting list (WL) in treating posttraumatic stress disorder. This research appeared in Clinical Psychology and Psychotherapy, 9, 299-318.
Keywords: Cognitive Restructuring Exposure Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
103. 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
104. 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
105. Matthess, H., & Woller, W. (2010, June). EMDR and personality disorders. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Over the last few years, causal relationships between childhood traumatic experiences and the development of personalities have been increasingly discussed. An understanding of personality disorders as a consequence of attachment trauma creates new therapeutic approaches for patients who are considered difficult to treat, though urgently in need of therapy.
First of all, the workshop will present an overview of possible neurobiological causes responsible for evolutionary principles of specific patterns of experiencing and behaviour in personality disorders. Most of their features can be explained as being natural reactions to extreme traumatic stress: unresolved traumatic experiences that cannot be encoded chronologically are, to a varying degree, subjectively experienced as separated from the personality. Other features of personality disorders, such as emotion regulation and mentalization function, can be understood as being a consequence of attachment trauma as well.
Following this, a treatment conception will be presented that combines elements from trauma therapies with aspects of a psychodynamic understanding of attachment relationships. Among others, the problems of personality-disordered patients related to regulating closeness and distance, resulting from their fears of intimacy and abandonment, will be addressed. Finally, the implications of the discussed topics for EMDR treatment will be considered.
Keywords: Personality Disorders
Accuracy Verified: Yes
106. 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
107. 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
108. 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
109. van der Kolk, B. A. (2003, June). EMDR and the lessons from neuroscience research. Plenary presented at the annual meeting of the EMDR Europe Association, Rome Italy.
Language: English
Format: Conference
Abstract:
Until recently we had little knowledge how to help people integrate such disintegrated traumatic imprints. Traditionally, before the advent of contemporary methods of treatment outcome evaluation, many clinicians, from Pierre Janet to Milton Erikson and his followers, considered hypnosis to be the treatment of choice. Unfortunately the efficacy of hypnosis for the treatment of PTSD was never systematically studied. EMDR was the first of a group of new therapies that did not primarily rely on speaking about one’s traumatic experiences, but that claimed to be able to rapidly and effectively integrate traumatic memories by asking PTSD subjects to focus intensely on the emotions, sensations and meaning of the traumatic experience, while asking to follow the hand of a clinician who induces slow saccadic eye movements. EMDR had a number of advantages over hypnosis, including the fact that it could easily be put into a treatment protocol. This makes it relatively easy to conduct treatment outcome research. Since it was first articulated by Francine Shapiro, around 1988, it has received intense scientific scrutiny and has been found to be quite an effective treatment of PTSD (e.g. Chemtob et. al, 2000), even though the specific role of eye movements in its therapeutic action remains controversial.
Keywords: Neuroscience Plenary Research
Accuracy Verified: Yes
110. Horacek, C. (2005, Winter). EMDR as a therapeutic tool. The Conejo Connection, 4(1), 2-4.
Language: English
Format: Newsletter
Abstract:
The main feature of EMDR is that by bilaterally
stimulating the brain trauma, phobias and other disturbing
experiences are “reprocessed” to move from one part of
the brain to the higher-thinking cortical structures of the
brain, and seem to lose their power to be disturbing. This
is the “eye movement” part. In EMDR, the therapist
moves their fingers back and forth in front of the client’s
face and the client watches by moving their eyes (not
turning their head) left right, left right. However, it has
since been discovered that any type of bilateral stimulation
works—auditory, tactile, even walking up and down,
as the body moves first the left leg and then the right.
Accuracy Verified: Yes
111. Kiessling, R. (2010, September/October). EMDR case conceptualization from a belief focused perspective. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
While many understand the EMDR Approach to Psychotherapy, many do not fully understand the power of using core beliefs as the focal point of their EMDR case conceptualization. This workshop, through lecture, case examples and practice, will assist EMDR Trainers, Approved Consultants, Certified therapists and the newly trained EMDR therapists, in understanding the EMDR Approach, based upon the AIP model, from the core belief perspective. Using this core belief focus, targeting sequence plans will be designed, necessary and/or needed resources will be developed, and intervention strategies anticipated to help facilitate processing.
Keywords: Core Beliefs
Accuracy Verified: Yes
112. Renssen, M. (2000, May 6). EMDR compared with imaginary exposure. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.
Language: English
Format: Conference
Abstract:
According to Spector and Read (1999), “EMDR is an effective therapeutic procedure. More direct comparisons are needed with exposure therapies which up till now have generally been considered the most effective approaches to PTSD.” They further state that, “Direct comparisons with exposure therapies would be particularly meaningful and revealing if they were compared with EMDR, if the subjects were single trauma PTSD case and if EMDR were applied both with and without bilateral stimulation” (Spector & Read, 1999, the Current Status of Eye Movement Desensitization and Reprocessing (EMDR). Clinical Psychology and Psychotherapy).
In this presentation, results of a study will be shown in which EMDR was compared with the imaginary exposure procedure. Twenty-five traffic accident victims with trauma complaints were randomly allocated to either EMDR or imaginary exposure. Ten victims received imaginary exposure according to a protocol of Dancu and Foa, 1992 (translated by Arnst, 1997), while ten participants were treated with EMDR based on the PTSD protocol of Shapiro, 1995 (translated by de Jongh, 1996). In the EMDR group, people were exposed to bilateral sounds. The results were compared with an additional group consisting of 5 trauma clients who were exposed to sounds which were simultaneously presented
Keywords: Comparison Imaginary Exposure
Accuracy Verified: Yes
113. Faretta, E. (2012, March-April). EMDR e la terapia cognitivo-comportamentale nel trattamento del disturbo di panico: Un confronto [EMDR and cognitive-behavioural therapy in the treatment of panic disorder: A comparison]. Rivista di Psichiatria, 47(Supp 2):19S-25S. doi: 10.1078/1071.11735.
Language: Italian
Format: Journal
Abstract:
Un confronto tra due trattamenti utilizzati nel disturbo di panico: EMDR, un metodo evidence-based per il PTSD, e la Terapia Cognitivo Comportamentale (CBT), che è oggi considerato l'approccio più efficace psicoterapeutico per questo disordine. Metodo. Al fine di valutare eventuali miglioramento ottenuto dal trattamento adottato, un'analisi descrittiva attraverso l'uso del software SPSS è stata effettuata, su un campione di 20 soggetti, divisi in due gruppi (EMDR e CBT). Risultati. Dai dati ottenuti, una tendenza a migliorare è già chiaro dalla prima valutazione (dopo 12 sedute), in tutte le prove proposte. Il progresso sintomatica è risultato essere molto simile nei due gruppi a confronto. EMDR trattamento sembra però avere un progresso più veloce nella riduzione dei sintomi che viene mantenuta nel tempo, come evidenziato al follow-up. Conclusione. Dai risultati hanno mostrato, è possibile confermare che entrambi i trattamenti sono efficaci per la risoluzione di un disturbo di panico, anche se alcune differenze tra i due terapie sono chiari, sia dal sintomatico e un punto di vista temporizzazione. Così, si suggerisce di portare avanti la ricerca in questo settore di interesse.
A comparison between two treatments used in the Panic Disorder: EMDR, an evidence-based method for PTSD, and Cognitive Behavioural Therapy (CBT), which is nowadays considered the most effective psychotherapeutic approach for this disorder. Method. In order to evaluate any improvement obtained from the adopted treatment, a descriptive analysis through the use of the SPSS software has been carried out, on a sample of 20 subjects, divided in two groups (EMDR and CBT). Results. From the data obtained, a tendency to improve is already clear from the first evaluation (after 12 sessions), in all the proposed tests. The symptomatic progress turned out to be quite similar in the two compared groups. EMDR treatment however seems to have a faster progress in symptom reduction which is maintained over time, as evidenced at follow-up. Conclusion. From the showed results, it is possible to confirm that both treatments are effective for the resolution of a Panic Disorder, even if some differences between the two therapies are clear, both from a symptomatic and a timing point of view. So, it is suggested to carry on the research in this area of interest.
Keywords: CBT Cognitive Behavioral Therapy Panic Disorder
Accuracy Verified: Yes
114. Hoeven, S. B. (2010, Juli ). EMDR en de werkgeheugentheorie: Treden er spiegelbeeldige effecten op bij oogbewegingen en imaginatie? [EMDR and the working memory theory: Are there mirror-image effects of eye movements and imagination?]. Utrecht, Nederlands: Universiteit Utrecht.
Language: Dutch
Format: Dissertation/Thesis
Abstract:
De werking van „Eye Movement Desensitization and Reprocessing‟ (EMDR) is lange tijd onbekend gebleven, maar inmiddels zijn meerdere theorieën beschikbaar om de effecten te verklaren. De werkgeheugentheorie lijkt momenteel de theorie met de meeste wetenschappelijke ondersteuning. Het doel van het huidige onderzoek was het kritisch toetsen van de werkgeheugentheorie door het werkgeheugen te belasten met oogbewegingen tijdens het ophalen van een herinnering of maximale belasting door imaginatie en hyperconcentratie op de herinnering. Verwacht werd dat 1) oogbewegingen tijdens ophalen de herinneringen minder emotioneel, helder, compleet en waarheidsgetrouw maakt, terwijl 2) imaginatie van de herinnering resulteert in spiegelbeeldige effecten. In totaal participeerden 52 studenten verdeeld over twee experimenten, waarbij zij oogbewegingen en imaginatie aangeboden kregen tijdens het ophalen van een herinnering. Zowel oogbewegingen als imaginatie belastten het werkgeheugen in een reactietijdentaak. Imaginatie leidde tot meer complete en waarheidsgetrouwe herinneringen, terwijl voor oogbewegingen geen significante resultaten werden gevonden. Deze opmerkelijke resultaten zouden verklaard kunnen worden door de aard van de gebruikte herinneringen en de lage power van het onderzoek. De werkgeheugentheorie blijft de theorie met de meeste wetenschappelijke ondersteuning.
It has been long unknown what the mechanisms are behind Eye Movement Desensitization and Reprocessing‟ (EMDR), meanwhile there are several theories available to explain its effects. The workingmemory (WM) account seems to be a theory with most scientific support. The effort of the present study was to critically test the WM account by taxing WM with eye movements during recall or by maximum taxation with imagination of and concentration on the memory. Hypotheses were 1) eye movements during recall reduces the emotionality, vividness, completeness and veracity of the memory, while 2) imagination increases emotionality, vividness, completeness and veracity of the memory. In total participated 52 students divided in two experiments, in a within-subjects design. Both eye movements and imagination taxed WM in a reaction time task. Imagination increased the completeness and veracity of the memories, while there were no significant results in the eye movements condition. These remarkable results could be explained by the nature of the memories that were used in the experiments and low statistical power of the experiments. The WM account remains a theory with most scientific support.
Keywords: Imagination Mirror-Image Effects
Accuracy Verified: Yes
115. Goldstein, A. J., de Beurs, E., Chambless, D., & Wilson, K. (2000, December). EMDR for panic disorder with agoraphobia: Comparison with waiting list and credible attention-placebo control conditions. Journal of Consulting & Clinical Psychology, 68(6), 947-956.
Language: English
Format: Journal
Abstract:
In a randomized controlled trial, eye movement desensitization and reprocessing (EMDR) for panic disorder with agoraphobia (PDA) was compared with both waiting list and credible attention-placebo control groups. EMDR was significantly better than waiting list for some outcome measures (questionnaire, diary, and interview measures of severity of anxiety, panic disorder, and agoraphobia) but not for others (panic attack frequency and anxious cognitions). However, low power and, for panic frequency, floor effects may account for these negative results. Differences between EMDR and the attention-placebo control condition were not statistically significant on any measure, and, in this case, the effect sizes were generally small (eta2 = .00-.06), suggesting the poor results for EMDR were not due to lack of power. Because there are established effective treatments such as cognitive-behavior therapy for PDA, these data, unless contradicted by future research, indicate EMDR should not be the first-line treatment for this disorder. [Author Abstract]
Keywords: Adults African Americans Asian Americans Empirical Study European Americans Panic Disorder Phobia Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
116. Beer, R., & Hornsveld, H. (2008). EMDR in de behandeling van eetstoornissen [EMDR in the treatment of eating disorders]. In E. ten Broeke, A. de Jongh, & H. Oppenheim (Red), Praktijkboek EMDR: Casusconceptualisatie en en specifieke patiëntengroepen,(pp. 201-243). Amsterdam: Harcourt Press.
Language: Dutch
Format: Book Section
Abstract:
Dit hoofdstuk is voortgekomen uit enthousiasme voor EMDR. Eetstoornissen (anorexia nervosa, boulimia nervosa en binge eating disorder) staan bekend als moeilijk te behandelen. Behandeling van patiënten met eetstoornissen vindt bij voorkeur plaats door een multidisciplinair, specialistisch team met een gemeenschappelijke visie (Clinical Guideline Eating Disorders, 2004; Multidisciplinaire Richtlijn voor Eetstoornissen, 2006). Cognitieve gedragstherapie neemt hierbij een prominente plaats in. De weinige beschikbare gecontroleerde studies laten matige resultaten zien met behoorlijke terugvalpercentages (Multidisciplinaire Richtlijn voor Eetstoornissen, 2006). Over het algemeen geldt dat cognitieve gedragstherapie de behandeling van voorkeur is, maar ook de resultaten van deze benadering geven aanleiding tot bescheidenheid (Fairburn e.a., 1999). Onderzoekers en behandelaars zijn daarom voortdurend op zoek naar nieuwe invalshoeken en mogelijkheden. In ons werk met eetstoornispatiënten hebben wij ons afgevraagd hoe de kracht van EMDR ingezet zou kunnen worden bij de vaak moeizame behandeling van patiënten met een eetstoornis. De volgende bevindingen zijn gebaseerd op ervaringen met de behandeling van jongeren (12-18 jaar) met voornamelijk anorexia nervosa1 en volwassenen met hoofdzakelijk binge eating disorder. Daarnaast hebben wij onze klinische ervaringen uitgewisseld met collega’s2 in een werkgroep ‘EMDR en eetstoornissen’.
Onze ‘experimenten’ met EMDR vonden steeds plaats als onderdeel van een geïntegreerde, multidisciplinaire poliklinische of deeltijdbehandeling. Het is daarom moeilijk objectief vast te stellen wat specifieke effecten zijn geweest van de beschreven interventies. Onze indruk is echter dat EMDR een klinisch relevante verbetering teweeg kan brengen, waar die met de meer gangbare methoden veel lastiger of zelfs niet te bereiken zou zijn geweest.
In wetenschappelijke tijdschriften is, naar wij weten, slechts één artikel verschenen over het gebruik van EMDR in de behandeling van eetstoornissen (Hudson e.a., 1998). Over empirisch onderzoek naar de effecten van EMDR bij de behandeling van eetstoornissen is nog niets gepubliceerd. Wel is door verschillende collega’s op EMDR-congressen bruikbaar materiaal gepresenteerd voor toepassing bij patiënten met een eetstoornis (Vogelmann-Sinn e.a., 1998; Omaha, 2000; Bloomgarden en Calogero, 2002; Friedland, 2003; Hase, 2005).
This chapter is the result of enthusiasm for EMDR. Eating disorders (anorexia nervosa, bulimia nervosa and binge eating disorder) are known as difficult to treat. Treatment of patients with eating disorders is preferably carried out by a multidisciplinary specialist team with a common vision (Clinical Guideline Eating Disorders, 2004; Multidisciplinary Guideline for Eating Disorders, 2006). Cognitive behavioral therapy occupies a prominent place. The few available controlled studies have shown mixed results with significant relapse rates (Multidisciplinary Guideline for Eating Disorders, 2006). Generally, that cognitive-behavioral treatment of preference, but also the results of this approach give rise to modest (Fairburn et al, 1999). Researchers and practitioners are therefore constantly looking for new approaches and possibilities. In our work with eating disorder patients, we asked ourselves how the power of EMDR could be used in the often difficult management of patients with eating disorders. The following findings are based on experiences with the treatment of adolescents (12-18 years) with anorexia mainly nervosa1 and adults with mainly binge eating disorder. We also exchanged our clinical experiences with collega's2 in a workgroup 'EMDR and eating disorders.
Our 'experiments' with EMDR were always held as part of an integrated, multidisciplinary outpatient treatment or time. It is therefore difficult to determine objectively what specific effects have been the interventions described. Our impression is that EMDR is a clinically relevant improvement can bring, where those with the more common methods much more difficult or even impossible to achieve would have been.
In scientific journals, to our knowledge, only one article about the use of EMDR in the treatment of eating disorders (Hudson et al, 1998). On empirical research into the effects of EMDR in the treatment of eating disorders is not yet published. However, by several colleagues EMDR conferences presented useful material for use in patients with eating disorders (Mann-Sinn Vogel et al, 1998; Omaha, 2000; Bloom Garden and Calogero, 2002; Friedland, 2003; Hase, 2005).
Keywords: Anorexia Nervosa Bulimia Nervosa Binge Eating Disorder Eating Disorders
Accuracy Verified: Yes
117. Tumani, V. (2011, June). EMDR in interkulturellen therapien [EMDR in intercultural therapies]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: German
Format: Conference
Abstract:
Derzeit Migration verfügt über umfangreiche Ausmaße angenommen. Weltweit gehen wir von einer 1 bis 200 Migranten (WHO). Durch Bürgerkriege, Naturkatastrophen, politischen und wirtschaftlichen Umständen die wahre Zahl dürfte noch höher.
So ist es zunehmend vor, dass Psychiater und Psychotherapeuten bei der Behandlung Einzelpersonen aus anderen Kulturen begegnen, präsentiert mit verschiedenen psychiatrischen Symptome. Die Behandlung dieser Menschen werden manchmal große Schwierigkeiten. Nicht nur wegen der Sprache, sondern auch wegen der relativen Bedeutung bestimmter Symptome in einem kulturellen Kontext, ist es wichtig, Kultur Hintergrund arbeiten Milieu und Unordnung bestimmten psychiatrischen / psychotherapeutischen betrachten. Aber was bedeutet Kultur-und Milieu sensiblen Psychiatrie oder Psychotherapie bedeuten? Basierend auf den vorhandenen Studien über Menschen mit Migrationshintergrund und die Untersuchungen des Sozio-Vision-Institute, und unsere eigenen Erfahrungen, die wir klären, wie eine interkulturelle Begegnung und ein Milieu sensiblen Psychotherapie erfolgreich angewandt werden.
Currently migration has reached extensive proportions. Globally, we assume a hundred to two hundred million migrants (WHO). Due to civil wars, natural disasters, political and economic circumstances the true figure is likely even higher.
So it increasingly occurs that psychiatrists and psychotherapists encounter in their treatment individuals from other cultures, presenting with various psychiatric symptoms. The treatment of these people will sometimes face major difficulties. Not only because of language but also because of the relative importance of certain symptoms in a cultural context, it is essential to consider culture background, working milieu and disorder specific psychiatric/psychotherapy. But what does cultural and milieu sensitive psychiatry or psychotherapy mean? Based on the existing studies about people with immigrant backgrounds and the investigations of the Socio-Vision-Institute, and our own experiences we will elucidate how an intercultural meeting and a milieu sensitive psychotherapy can be successfully applied.
Keywords: Intercultural Therapies
Accuracy Verified: Yes
118. Shapiro, F. (2010, Spring/Summer). EMDR therapy: Adaptive information processing, clinical applications and research recommendations. Trauma Psychology Newsletter, 12-18.
Language: English
Format: Newsletter
Abstract:
I want to begin by thanking the Division for honoring
me with the 2009 Award for Outstanding Contributions
to Practice in Trauma Psychology. I was very touched
to have received the award in the 20th year since the publication
of my first article in the Journal of Traumatic
Stress in 1989. I also appreciate this invitation to
provide an update on some of the recent advances
in eye movement desensitization and reprocessing
(EMDR) practice that are relevant to the Division,
along with a clarification of its current procedures
and theoretical underpinnings. For instance, due in
part to my first publication, which described “EMD”
solely in terms of desensitization with repeated
return to the target memory, many in the field
are unaware that, as EMDR, it is no longer simply
an exposure treatment. In fact, with the accent
on “reprocessing,” EMDR pays only occasional attention to the initial target and, importantly,
includes the facilitation of an association process
that actually contradicts most of the tenets of current exposure
therapies. Therefore, I will also take this opportunity to explain
some of the differences between these treatment orientations,
since this distinction points the way to additional clinical
applications and research opportunities. [Excerpt]
Keywords: Adaptive Information Processing AIP Ressearch
Accuracy Verified: Yes
119. 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
120. 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
121. Leeds, A. (2012). EMDR treatment of panic disorder and agoraphobia: Two model treatment plans. Journal of EMDR Practice and Research, 6(3), 110-119. doi:10.1891/1933-3196.6.3.110.
Language: English
Format: Journal
Abstract:
This article, condensed from Chapter 14 of A Guide to the Standard EMDR Protocols for Clinicians, Supervisors, and Consultants (Leeds, 2009), examines applying eye movement desensitization and reprocessing (EMDR) to treating individuals with panic disorder (PD) and PD with agoraphobia (PDA). The literature on effective treatments for PD and PDA is reviewed focusing on cognitive and behavioral therapies, pharmacotherapy, and EMDR. Case reports and controlled studies of EMDR treatment of PD and PDA are examined for lessons to guide EMDR clinicians. Two model EMDR treatment plans are presented: one for cases of simple PD without agoraphobia or other co-occurring disorders and the other for cases of PDA or PD with co-occurring anxiety or Axis II disorders. A more extensive literature discussion, detailed treatment guidelines, and client education resources can be found in the original chapter.
Keywords: Agoraphobia CBT Cognitive Behavior Therapy Panic Pharmacotherapy Review
Accuracy Verified: Yes
122. Leeds, A. (2010, September/October). EMDR treatment of panic disorder with and without agoraphobia: Two model treatment plans. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
This presentation will review strengths and limitations of treatments for PD and PDA with a focus on cognitive and behavioral therapies, pharmacotherapy, and EMDR. Two EMDR treatment plans will be presented: a Model I plan for PD without agoraphobia or other co-occurring disorders, and a Model II plan for more complex cases of PDA or PD with co-occurring anxiety or Axis II disorders. Clinical examples and specific guidelines will be presented for identifying PD targets and for when to extend preparation phase work and postpone reprocessing of core attachment material in Model II cases.
Keywords: Agoraphobia Panic Disorder
Accuracy Verified: Yes
123. Shapiro, F. (2002). EMDR treatment: Overview and integration. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 27-55). Washington, DC: American Psychological Association.
Language: English
Format: Book Section
Abstract:
EMDR is not viewed as a panacea but rather as a comprehensive approach to be applied to experiential contributors of disorder and self-enhancement. The information-processing model that governs EMDR practice invites clinicians to view the overall client picture to identify the past events that contribute to the dysfunction, the present events that trigger disturbance, and the skills and internal resources that need to be incorporated for healthy and adaptive living in the future. The approach to the clinical picture is termed the adaptive information-processing model. It was previously termed the accelerated information-processing model because the rapid learning and transmutation of characteristics can take place without the time limitations accepted and imposed on the previous traditional therapies. [Text, p. 27]TOPICS TREATED: Eight phases of treatment (client history and planning; preparation; assessment; desensitization; installation; body scan; closure; re-evaluation); Adaptive information processing (mimicking spontaneous processing; case study); Future explorations
Keywords: Adults Cognitive Therapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors
Accuracy Verified: Yes
124. Anton, A. (1995). EMDR with couples. EMDR Network Newsletter, 5(3), 5-6.
Language: English
Format: Newsletter
Abstract:
It is generally held that EMDR is not
to be used with couples, and I agree
that it is not appropriate to do so when
the primary items being dealt with are
such issues as power, intimacy, trust,
communication, conflict, or control of
impulses and emotions. However, I
discovered recently that EMDR can be
used successfully and effectively with
couples in at least one particular type
of circumstance. The circumstance I
have in mind is that in which a couple
faces an external threat or severe loss
that creates a crisis atmosphere to
which each member of the couple is
reaching considerable anxiety and
extreme distress. However, rather
than allowing their relationship to
degenerate into mutual blaming and
fault-finding, the members of the
couplemaintain their bonding to each
other, continue to support each other,
and constitute a unified front in regard
to the threat or loss.
Keywords: Couples Couples Therapy
Accuracy Verified: Yes
125. Glenn, S. (2011, March). EMDR with deaf clients. Symposium conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol .
Language: English
Format: Conference
Abstract:
This presentation will outline the utilisation of EMDR with deaf clients exploring the
challenges it presents for clinicians whilst exploring the potential for EMDR. Through the use of case
examples this session will outline the ways in which EMDR needs to be adapted for this population
Many clinicians struggle with Cognitive Behavioural Therapy (CBT) with d/Deaf clients due to
some of the abstract ideas used and the heavy reliance on spoken language. Many people, both
hearing and deaf find it difficult to think about thinking, and develop levels of insight into their
emotions and behaviours simply by talking about them. Deaf people experience trauma and abuse
at a much higher rate than hearing people, but there are few established therapies to help them.
As Deaf people do not pick up all of the auditory stimuli it is likely that the trauma or difficult
experiences that bring them to therapy may have been stored visually or kinaesthetically rather than
linguistically. Trauma may also be caused by smaller events due to lack of information available to
them. EMDR is an evidence based therapy that attempts to resolve emotional reactions to traumatic
memories and their triggers. It does this through a combination of physical stimulation and the
recollection and discussion of memories. As such, it seems ideally suited for use with people who are
Deaf and have experienced trauma in their past. I describe how EMDR lends itself for successful use
with Deaf clients and their families, giving two brief case examples where I used EMDR with Deaf
children in British Sign Language.
Keywords: Children Deafness Hearing Impairment
Accuracy Verified: Yes
126. Yule, W. (2004, February). EMDR with PTSD in children and adolescents: Overview and prospects. Keynote presented at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.
Language: English
Format: Conference
Abstract:
As with many therapies, the evidence base for the effectiveness of EMDR with children and adolescents is much less established than that with adult clients suffering PTSD. Whilst there is sufficent evidence from open studies and case studies to justify its application, there is a real need for proper evaluation with the younger clinical groups. This paper will review
existing evidence, but will also raise issues of the implications for clinical practice of working with rapidly developing children. To what extent
can and should one takecognisance of th e developmental levels, both cognitive and emotional? How is or should EMDR technique be adapted for work with young children? The actual practices of Shapiro and Tinker vary dramatically, and this needs tbe confronted and understood. The conclusions are that EMDR has an important role In helping traumatized children, but we need to understand both children and EMDR
better in order to develop even more effective interventions.
Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
127. 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
128. 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
129. Ost, J. (2005, July). EMDR – Of limited use, whichever way you look at it. HealthWatch Newsletter, 58, 4-5.
Language: English
Format: Newsletter
Abstract:
The National Institute for Clinical Excellence recently recommended a controversial form of trauma therapy called Eye Movement Desensitisation and Reprocessing (EMDR) for the treatment of post traumatic stress. In EMDR an individual is asked to create and hold in their mind a picture of the worst moment during the disaster, while following the movement of their clinical psychologist's fingers with their eyes. The psychologist instructs the patients to “let the image go freely where it wants to”. Some proponents believe this process has the power to unlock traumatic memories. Others are sceptical, among them psychologist Dr James Ost, an advisor to the British False Memory Society
Keywords: General Overview Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
130. 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.
Accuracy Verified: Yes
131. 天野タマキ 市井雅哉 [Amano Tamaki, and Ichii Masaya]. (2009年5月). EMDR痴呆(BPSD)の行動と精神的症状の治療 [Treatment of behavioral and psychological symptoms of dementia (BPSD) with EMDR]. EMDR研究1(1)、24から33 [Japanese Journal of EMDR Research and Practice, 1(1), 24-33].
Language: Japanese
Format: Journal
Abstract:
回想療法と検証療法などの非薬物療法が
BPSD(の行動と精神的症状の治療に過去の記憶へのアクセス
認知症)が有効であることが証明されている。眼球運動脱感作と再処理
(はEMDR)また、メモリにアクセスする治療の別のフォームは、効果が証明されています
外傷性記憶の処理。本論文では、2つのBPSDの場合はによって引き起こされると考えられて
traumaric思い出とEMDRによる処理が記載されている:最初の67歳女性歳
アルツハイマー病の早期発症に苦しむ患者と、2番目の85歳の男性歳
血管性認知症の患者。外傷性記憶を処理の結果
EMDR、女性患者ののろいが低下慢性的な、彼女は多くの場合、笑顔。と男性
患者の不安と大きな声を大幅に削減されます。これらの結果は衝撃的な記憶によって引き起こされるいくつかのBPSDの場合に効果的な心理療法としてEMDRを示す
Non-pharmacological therapies such as Reminiscence therapy and Validation therapy which
access to past memories in the treatment of BPSD (behavioral and psychological symptoms of
dementia) have been proven to be effective. Eye movement desensitization and reprocessing
(EMDR), another form of therapy which also accesses to memory, has been proven effective in
the processing of traumatic memories. In this paper, two BPSD cases believed to be caused by
traumaric memories and treated by EMDR are discussed: the first with a 67-year-old female
patient suffering from early-onset Alzheimer's disease, and the second with an 85-year-old male
patient suffering from vascular dementia. As a result of processing traumatic memories with
EMDR, the female patient's chronic cursing decreases and she smiles more often. and the male
patient's restlessness and loud voice are drastically reduced. These results indicate EMDR as an effective psychotherapy for some BPSD cases which are caused by traumatic memories.
Keywords: Behavioral and Psychological Symptoms of Dementia BPSD Non-Pharmacological Therapies Resource Development and Installation RDI
Accuracy Verified: Yes
132. 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
133. Cadarso, V., Conlin, D., Hallett, J., Hewson, J. & Zvelc. G. (2005, June 30-July 3). EMDR, meridian therapies and a relational integrative psychotherapy. Clinical forum at the 2nd International Conference by International Integrative Psychotherapy Association, Santiago de Compostela, Spain.
Language: English
Format: Conference
Keywords: Meridian Therapy Relational Integrative Psychotherapy
Accuracy Verified: Yes
134. 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
135. 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
136. Shapiro, F. (2008). EMDR: Desensibilización y reprocesamiento por medio de movimiento ocular [EMDR: Eye movement desensitization and reprocessing]. Santa Cruz Atoyac: Pax Mex Editorial.
Language: Spanish
Format: Book
Abstract:
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, mode EMDR has become more elaborate treatment for PTSD (among other disturbances) clutter. The methodEMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, the methodEMDR incorporates aspects of systemic therapies, psychodynamic, experienciales, behavioural and body. Consists of eight phases comprising the use of eye movements and other forms of left-right stimulation.
It is effective in treating post-traumatic stress disorder and re-processing thoughts and disturbing memories or psychological problems of survivors of trauma, sexual abuse, of crimes, war combat, as well as phobias and disorders caused by vivenciales experiences and provides deep and stable clinical effects in a short time.
With descriptions and detailed transcripts, the author guides the clinical through every stage of therapeutic, treatment from clients to the implementation of the method and their integration within a comprehensive clinical treatment plan selection.
Written in an accessible manner, this book is an invaluable guide for clinicians in the treatmentEMDR as for people just know the method and for advanced students of clinical psychology and psychotherapy.
Accuracy Verified: Yes
137. Prencipe, M. (2010). EMDR: Stato dell’arte e linee future di ricerca [EMDR: Current status and future lines of research]. Università degli Studi di Torino.
Language: Italian
Format: Dissertation/Thesis
Abstract:
“ Quando si vive un’esperienza davvero sgradevole, due sono le cose che si possono
fare, due sono le strade che si possono percorrere. Una è quella di guardare in faccia il
ricordo di quell’esperienza, continuare a pensarci, a parlarne e a provare sensazioni al
riguardo: può essere difficile, ma è come se ogni volta si desse a quel ricordo un
piccolo morso, lo si masticasse per bene e lo si digerisse. Esso allora entra a far parte
del nostro nutrimento e ci aiuta a crescere. E la parte che fa male si riduce sempre di
più. Quando si dice che attraverso i momenti difficili si diventa più forti, e a questo che
ci si riferisce. Purtroppo a volte la gente percorre l’altra strada. Il ricordo è così
doloroso, fa così male che lo si vuole solo scacciare, si vuole mettere un muro tra noi e
lui, ci si vuole soltanto sentire bene e riuscire a tirare avanti la giornata. Questo
funziona, almeno per un po’; ci dà sollievo. Ma il problema è che il ricordo non va via,
è sempre lì, fresco come il giorno in cui il fatto è accaduto, sempre pronto a
ripresentarsi per essere masticato completamente e digerito in modo da diventare parte
del passato. E poi, ogni volta, c’è qualcosa che ci fa ripensare a quel ricordo, come se
questo dicesse: ‘Ehi, ci sono anch’io, mi fai entrare adesso?’. Ecco un esempio, quasi
tutti noi, se camminando veniamo urtati incidentalmente da qualcuno, be’, forse ci
secchiamo un po’ per qualche secondo, ma non di più, basta un: ‘Mi scusi’, e tutto
finisce. Ma se la persona che viene urtata ha un mucchio di rabbia compressa dietro a
quel muro, avrà la nostra stessa minima normale reazione, con in più tutto quel
materiale che sta dietro al muro e che dice: ‘Anch’io’, per cui la persona sarà talmente
fuori dai gangheri da essere pronta a litigare. E’ questo il problema: il materiale che
sta dietro al muro; ci può saltare addosso in ogni momento e provocare in noi reazioni
eccessive, rendere difficili le cose facili. Così a volte la gente, quando si ammala per
via di questi problemi, va da un terapeuta per farsi aiutare. E con il suo aiuto riesce a
riafferrare ciò che ha cacciato dietro al muro: prende un pezzetto di quel ricordo, lo
mastica per bene, lo digerisce e diventa molto più forte. Con l’EMDR accade qualcosa
di molto simile a quanto succede con le altre terapie: si riesce a riprendere ciò che sta
dietro al muro, se ne prende un pezzo, lo si mastica per bene, tutto qui. Solo che con
l’EMDR si rivivono i vari pezzi del brutto ricordo molto più in fretta, magari si
ripercorre un intero ricordo in sole due sedute, talvolta in più, talvolta in
meno”(Greenwald, 2000, p.35).
"When you live a truly unpleasant, there are two things that you can
do, there are two ways you could go. One is to face the
memory of that experience, continue to think about it, talk about it and try to sensations
about it: it can be difficult, but it's as if every time you gave at the memory a
small bites, chew it well and it is digested. It then becomes part
of our nourishment and helps us grow. And the part that hurts is reduced more
more. When it is said that through the tough times you become stronger, and that this
it refers. Unfortunately sometimes people runs the other way. The memory is so
painful, it hurts so much that you just want to drive, you want to put a wall between us and
him, you only want to feel good and be able to get by the day. This
works, at least for a while ', gives us relief. But the problem is that the memory does not go away,
is always there, as fresh as the day on which the event took place, always ready to
recur to be chewed and digested completely in order to become part
of the past. And then, every time, there is something that makes us realize that memory, as if
this should say, 'Hey, I'm here too, let me in now?'. Here's an example, almost
all of us, if we come walking accidentally bumped by someone, well, 'maybe there
secchiamo a little 'for a few seconds, but no more, just a:' Excuse me ', and all
ends. But if the person who is hit has a bunch of repressed rage behind
that wall will have our very minimal normal reaction, plus all that
material behind the wall and says: 'I too', for which the person will be so
off the hinges to be ready to fight. And 'This is the problem: the material
behind the wall, there could pounce at any time and cause reactions in us
excessive, make difficult things easy. So sometimes, when people get sick for
Because of these problems, go to a therapist for help. And with his help can
recapture what has driven behind the wall: it takes a little bit of that memory, the
chew well, digests it, and it becomes much stronger. With EMDR something happens
very similar to what happens with other therapies: you can not take back what is
behind the wall, it takes a piece, chew it well, that's all. Only with
EMDR is reliving the various pieces of the bad memory much faster, maybe you
retraces an entire memory in just two sessions, sometimes more, sometimes in
less "(Greenwald, 2000, p.35).
Keywords: Research
Accuracy Verified: No
138. Staff (2012, December). EMDR: Técnica ajuda a superar traumas,Tratamento dura em média 15 sessões e ajuda as pessoas traumatizadas a transmutarem o pensamento negativo [EMDR: Technique helps overcome trauma, Treatment lasts an average of 15 sessions and helps traumatized people ransmute negative thinking]. Folha de Londrina Website. Retrieved from http://www.folhaweb.com.br/?id_folha=2-1--3403-20121231 12/31/2012.
Language: Portuguese
Format: Other
Abstract:
Traumas psicológicos trazem consequências emocionais e físicas. Quem passou por um trauma geralmente lembra da situação com certa frequência e o sofrimento vivido vem à tona fazendo com que a pessoa reviva o momento. Angústia profunda, sensação de estar preso, fobia, isolamento, raiva, agressividade, depressão, dificuldade nos relacionamentos interpessoais são algumas consequências de um trauma.
A questão é que a pessoa também pode apresentar sintomas físicos como enxaqueca, fibromialgia, síndrome do intestino irritável, amnésia psicogênica, tontura, sudorese, distúrbio do sono e outros. ''O trauma é um estresse crônico porque a pessoa que passa por uma situação assim fica reincidindo, lembrando da ocasião, e acaba ficando o tempo todo em estado de alerta, por isso desenvolve uma porção de sintomas que caracteriza o estresse pós-traumático'', conta a psicóloga Dorotéia Murcia Souza.
As terapias com psicólogos são eficazes na superação de traumas, mas a psicologia convencional costuma ser um tratamento de longo prazo. Uma das técnicas usadas nesta área é uma abordagem psicoterápica chamada EMDR, ou Movimento Ocular, Dessensibilização e Reprocessamento (sigla em inglês). A técnica consiste em acessar as memórias traumáticas do paciente, dessensibilizá-lo para a ocasião e reprocessar o entendimento dele referente àquelas memórias. Este tipo de tratamento dura em média 15 sessões.
Psychological traumas bring emotional and physical consequences. Who went through the trauma. Usually remember the situation with some frequency and experienced Suffering comes up Causing the person to relive the moment. Deep distress, feeling of being trapped, phobia, isolation, anger, aggression, depression, difficulty in interpersonal relationships are some Consequences of the trauma. The point Is that the person may have physical Also Symptoms such as migraines, fibromyalgia, irritable bowel syndrome, psychogenic amnesia, dizziness, sweating, sleep disturbance, and others. '' The trauma is a chronic stress because the person who goes through a situation like this is reincidindo, remembering the occasion and end up all the time on the alert, so a lot of Develops Symptoms That characterize the post-traumatic stress '' says psychologist Dorothy Souza Murcia. therapies with psychologists are effective in overcoming trauma, but conventional psychology is Often the long-term treatment. One of the techniques used in this area is a psychotherapeutic approach called EMDR, or Eye Movement, Desensitization and Reprocessing. The technique Consists in Accessing the patient's traumatic memories, it desensitize and reprocess the occasion is his understanding Regarding Those memories. This type of treatment lasts an average of 15 sessions.
Accuracy Verified: Yes
139. 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.
Accuracy Verified: Yes
140. 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.
Accuracy Verified: Yes
141. Shapiro, F., & Forrest, M. S.. (2005). EMDR: Vernieuwende therapie tegen angst, stress en trauma [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. Antwerpen; Apeldoorn: Garant. 287 pp..
Language: Dutch
Format: Book
Abstract:
EMDR staat voor "Eye Movement Desensitization and Reprocessing" en is een kortdurende, geprotocolleerde en cliëntgerichte behandelmethode om schokkende ervaringen te verwerken. Ook kan het helpen tegen angst en stress.
EMDR integreert verschillende succesvolle elementen van andere therapieën in combinatie met een afleidende stimulus. Deze stimulus kan zijn: het met de ogen volgen van de handen van de therapeut, bi-laterale audiostimulatie, of bi-laterale handstimulatie. Hierdoor wordt "het informatie-verwerkings-systeem in de hersenen" gestimuleerd. Met EMDR is het niet nodig om jarenlang te praten over het verleden. Wel worden, door het stimuleren van het informatie-verwerkings-systeem, in een relatief korte tijd therapeutische doelen bereikt. Hierbij veroorzaakt EMDR herkenbare veranderingen die ook na langere tijd blijven bestaan. De volgende gebeurtenissen kunnen, bij kinderen en volwassenen, leiden tot verwerkingsproblematiek: een (auto)ongeval, brand, diagnose van een ernstige ziekte, getuige van geweld, mishandeling, misbruik, natuurramp, overval, verkrachting of aanranding, verlies van een baan, ziekte of een ziekenhuisbezoek/opname etc.
De volgende soorten klachten kunnen kinderen en volwassenen hebben na een schokkende ervaring: herbelevingen van de ervaring, vermijdingsgedrag m.b.t. de ervaring, verhoogde arousal (opgewonden, overdreven alertheid), stress, schaamte of schuldgevoel, slecht humeur, depressie, zich zorgen maken, angsten, slecht zelfbeeld, paniek, slaapproblemen, relatieproblemen, onverklaarbare lichamelijke klachten etc. Voor meer informatie verwijs ik naar www.emdr.nl.
EMDR stands for Eye Movement desensitization and Reprocessing "is a short, recorded and client-centered treatment approach to shattering experience to process. It can also help reduce anxiety and stress. EMDR integrates various successful elements of other therapies in combination with a distracting stimulus. This incentive can be: with the eyes following the hands of the therapist, bi-lateral audio stimulation, or bi-lateral hand stimulation. This is the "information-processing system in the brains" encouraged. With EMDR is no need for years to talk about the past. Well, either by stimulating the information processing system in a relatively short time therapeutic goals. This caused EMDR recognizable changes even after long period of time. The following events may, in children and adults, leading to processing problems: a (car) accident, fire, diagnosis of a serious illness, witnessing violence, maltreatment, abuse, natural disaster, robbery, rape or sexual assault, job loss, illness or a hospital visit / recording etc. The following types of complaints, children and adults after a shocking experience: reliving the experience, avoidance of the Experience, increased arousal (excited, exaggerated alertness), stress, shame or guilt, bad mood, depression , worry, anxiety, low self-esteem, panic, sleep problems, relationship problems, unexplained physical complaints, etc. For more information I refer www.emdr.nl
Accuracy Verified: Yes
142. Brogan, J. (2000, March 26). EMDR: New look in trauma therapy. Providence, RI: The Providence Journal, Health & Fitness, M-1.
Language: English
Format: Newspaper
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR), an alternative to traditional talk
therapies, may seem bizarre.
Patients must follow the therapist's fingers waving before their eyes, as if they were trying to keep
track of a tennis match. Or they watch a blinking light traveling along a special light bar.
Keywords: General Overview Providence
Accuracy Verified: Yes
143. 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
144. Grand, D. (2003). Emotional healing at warp speed: The power of EMDR. New York: Present Tents Publishing.
Language: English
Format: Book
Abstract:
In the introduction to his new book, Emotional Healing at Warp Speed: The Power of EMDR, Dr. David Grand tells the story of his personal discovery of EMDR, opening his eyes to a whole new world. Throughout this energetic book, the reader shares his story, the shaping of a true adventurer in the field, reaching into new areas of emotional healing and well-being.
Dr. David Grand celebrates creativity. He combines the courage to step outside of the conventional, while maintaining a strong allegiance to the EMDR model and Francine Shapiro’s principles. I have enjoyed following his rise in the field over the past few years, participating in his lively and well-attended workshops here in London, and using his BioLateral CD’s with much success. Most of all, I admire his sincere approach to the puzzles of life. Wherever possible, he depathologises and enlightens the human condition. His is a supremely optimistic book.
Keywords: Biography Creativity
Accuracy Verified: No
145. Thompson, M. M., Pasto, L., & McCreary, D. R. (2002, July). Empirical assessment of Lanius, et al.s’ “functional MRI of EMDR in peacekeepers,’ a review of the EMDR literature and an annotated bibiliography. Defence R&D Canada – Toronto, Technical Memorandum, DRDC Toronto.
Language: English
Format: Other
Abstract:
This report reviews a research proposal, the major objective of which is to assess the relation between PTSD (Post Traumatic Stress Disorder) and limbic, paralimbic, and prefrontal brain function as assessed with functional MRI (Magnetic Resonance Imaging), and to determine whether an Eye Movement Desensitization and Reprocessing (EMDR) intervention causes those structures to return to a normal mode of functioning. The proposed study secondarily explores the effectiveness of EMDR in reducing PTSD symptomatology. While the first and second objectives of the study may have scientific merit, the mandates of other funding agencies would appear to be more appropriate for investigations of basic neuroscience processes associated with brain functioning in PTSD (e.g., NSERC or CIHR). Importantly, a critical review of the EMDR research reveals that a great deal of controversy surrounds the effectiveness of this therapy. EMDR has not been shown to be more effective than presently validated PTSD exposure-based therapies, and the eye movement component of EMDR appears to provide no therapeutic benefit. Finally, there is a lack of clarity around specific items listed in the proposed budget. Given these concerns it is not recommended that this proposal be funded at this time.
Keywords: Bibliographies Canada Desensitizing' Magnetic Resonance Imaging Eye Movements Mental DIsorders MRI Medical Research Order Disorder Transofrmations Signs and Symptoms Stress (Physiology) Traumatic Shock
Accuracy Verified: Yes
146. U.S. Department of Veterans Affairs, National Center for PTSD. (2001). Empirical evidence regarding behavioral treatments for PTSD, Factsheet. Washington, DC.
Language: English
Format: Publication
Abstract:
EMDR involves having the patient bring to mind images of the trauma while engaging in back-and-forth eye movements (or while alternating oneâs attention back and forth using taps or sounds). It also addresses trauma-related negative beliefs. It has been shown to be more effective than psychodynamic, relaxation, supportive, or placebo wait list therapies (where patients are put on a waiting list to receive treatment but don't actually receive it by the time they are tested). Research comparing EMDR to the more generally accepted cognitive-behavioral techniques shows significantly better results with CBT than with EMDR, particularly at three-month follow-up. CBT results also show greater sustainability. Research looking at the different components of EMDR shows that the eye
movement component adds no additional treatment effect to the imagery exposure and the process of dealing with negative beliefs.
Keywords: Behavioral Treatments Fact Sheet Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
147. Ponniah, K., & Hollon, S. D. (2009). Empirically supported psychological treatments for adult acute stress disorder and posttraumatic stress disorder: A review. Depression and Anxiety, 26(12), 1086-1109. doi:10.1002/da.20635..
Language: English
Format: Journal
Abstract:
Background: Acute stress disorder (ASD) predicts the development of posttraumatic stress disorder (PTSD), which in some sufferers can persist for years and lead to significant disability. We carried out a review of randomized controlled trials to give an update on which psychological treatments are empirically supported for these disorders, and used the criteria set out by Chambless and Hollon [1998: J Consult Clin Psychol 66:7-18] to draw conclusions about efficacy, first irrespective of trauma type and second with regard to particular populations. METHODS: The PsycINFO and PubMed databases were searched electronically to identify suitable articles published up to the end of 2008. Fifty-seven studies satisfied our inclusion criteria. RESULTS: Looking at the literature undifferentiated by trauma type, there was evidence that trauma-focused cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) are efficacious and specific for PTSD, stress inoculation training, hypnotherapy, interpersonal psychotherapy, and psychodynamic therapy are possibly efficacious for PTSD and trauma-focused CBT is possibly efficacious for ASD. Not one of these treatments has been tested with the full range of trauma groups, though there is evidence that trauma-focused CBT is established in efficacy for assault- and road traffic accident-related PTSD. Conclusions: Trauma-focused CBT and to a lesser extent EMDR (due to fewer studies having been conducted and many having had a mixed trauma sample) are the psychological treatments of choice for PTSD, but further research of these and other therapies with different populations is needed. [Pubmed]
Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder Psychological Therapies PTSD Qualitative Review Random Control Trials, RCT
Accuracy Verified: Yes
148. Weisz, J. R., Hawley, K. M., & Doss, A. J. (2004). Empirically tested psychotherapies for youth internalizing and externalizing problems and disorders. Child and Adolescent Psychiatric Clinics of North American, 13, 729–815. doi:10.1016/j.chc.2004.05.006.
Language: English
Format: Journal
Abstract:
The term psychotherapy has come to be applied to a broad array of nonmedical
interventions designed to alleviate psychologic distress, reduce maladaptive
behavior, or increase deficient adaptive behavior through counseling,
interaction, a training program, or a predetermined treatment plan. Although the
specific term is relatively recent historically, the general idea is ancient. Roots of
psychotherapy can be found in the ageless tradition of helping by listening,
discussing, and questioning. Among the early Greek philosophers, Socrates
developed a method and a thesis that presaged some modern forms of psychotherapy.
His approach involved questioning others to provoke them to examine
their beliefs, with the goal of bringing them closer to truth. His method reflected
his ‘‘midwife thesis,’’ the notion that the philosopher’s role is to deliver the truth
that already is within others, much as the midwife delivers the baby that is within
a mother. This idea, of course, is not so different from the view many modern
therapists have of their own professional roles. Other approaches that fall under the ‘‘psychotherapy umbrella’’ do not involve talk therapies but rather procedures
that parents, teachers, and other adults use to limit disobedient or disruptive
behavior by boys and girls or to help youngsters focus attention or behave less
impulsively. The struggle by adults to shape, manage, and guide youth behavior
certainly predates even the ancient Greeks.
Keywords: Adolescents Externalization Internalization
Accuracy Verified: Yes
149. Peterson, G. (2003, September). Energy healing methods to supplement EMDR in the treatment of DID. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Eye movement desensitization and reprocessing treatment (EMDR) is a powerful method for the treatment of PTSD. Therapists may uncover a
covert dissociative disorder in the course of applying EMDR. The presentation will compare the major components of EMDR and energy psychotherapy techniques. Both of these treatment methods have in common 1) focusing on (attuning to) a disturbing problem, issue, or event; 2) applying a prescribed set of procedures to resolve the disturbance or imbalance. Participants will grasp the indications/risks/contraindications of use of EMDR and energy methods with DID. They will understand how energy healing methods can support EMDR.
Keywords: Dissociative Disorders Energy Psychology Energy Therapies
Accuracy Verified: Yes
150. 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
151. Hartung, J. G. (2002, September). Energy psychology in the service of EMDR. EMDRIA Newsletter, 7(3), 3-5.
Language: English
Format: Newsletter
Abstract:
For some years EMDR has been linked with other more traditional therapies such as “psychodynamic, behavioral, Gestalt, and Adlerian
Life style Analysis” (EMDR Institute, 2002). More recently, the use of EMDR along with energy psychology (EP) techniques has also
been explored. Listed on the agenda of the 2002 EMDRIA annual Conference, for example, were two presentations explicitly referring to
combined uses of EMDR with energy psychology (Phillips, 2002; Yoder, 2002). EP can refer to as many as eight different energy systems (Eden
& Feinstein, 1998). Along with most energy practitioners in the US, I use the term primarily as a synonym for the meridian-based psychotherapies
(Gallo, 1999, 2000; Lambrou & Pratt, 2000), and secondarily as including the chakra system (Fleming, 2001).
Keywords: Energy Psychology
Accuracy Verified: Yes
152. Feinstein, D. (2008). Energy psychology: A review of the preliminary evidence. Psychotherapy, 45(2), 199-213. doi:10.1037/0033-3204.45.2.199.
Language: English
Format: Journal
Abstract:
Energy psychology utilizes imaginal and narrative-generated exposure, paired with interventions
that reduce hyperarousal through acupressure and related techniques. According to practitioners,
this leads to treatment outcomes that are more rapid, powerful, and precise than the strategies
used in other exposure-based treatments such as relaxation or diaphragmatic breathing. The
method has been exceedingly controversial. It relies on unfamiliar procedures adapted from non-
Western cultures, posits unverified mechanisms of action, and early claims of unusual speed and
therapeutic power ran far ahead of initial empirical support. This paper reviews a hierarchy of
evidence regarding the efficacy of energy psychology, from anecdotal reports to randomized
clinical trials. Although the evidence is still preliminary, energy psychology has reached the
minimum threshold for being designated as an evidence-based treatment, with one form having
met the APA Division 12 criteria as a “probably efficacious treatment” for specific phobias;
another for maintaining weight loss. The limited scientific evidence, combined with extensive
clinical reports, suggests that energy psychology holds promise as a rapid and potent treatment
for a range of psychological conditions.
Keywords: Energy psychology
Accuracy Verified: Yes
153. Schneider, C. (1999, February). Energy therapies panel with Pat Carrington - Integrating EMDR with somatic experiencing theory and treatment. Presentation at the Winter Brain Meeting, Plam Springs, CA.
Language: English
Format: Conference
Abstract:
Combining power therapies which impact different areas of the triune brain increases the power to effect lasting resolution of both the CNS and ANS effects of PTSD. Cases illustrating this will be presented. Some QEEG data and theories indicating brain stem, thalamic ROFC dysfunction in PTSD will be explored.
Keywords: Energy Therapy Pat Carrington Somatic Experiencing Theory
Accuracy Verified: Yes
154. O'Brien, E. (1993, November/December). The enigma of EMDR: Pushing the panic button. Family Therapy Networker, 17(6), 33-39.
Language: English
Format: Magazine
Abstract:
When she first heard about EMDR, and the CWMS about its high success rate with agoraphobics, I thought, 'Yeah,
right-I just roll my eyeballs around and suddenly I'm
cured!" That this trendy, new technique could end almost
20 years of paralyzing fear and dread seemed doubtful,
to put it mildly. I'd already experienced enough standard,
name-brand therapies and assorted snake-oil cures to
become a one-woman encyclopedia of clinical failures.
So my cynicism about this latest entry in the cure-all
sweepstakes was almost, almost as great as my desperation
to try anything once. Desperation won out by a hair.
Nothing, I thought, not even putting myself through the
paces of another half-baked new fad, could be as bad
as what I was going through now, and what I had been
through, off and on, for the last 18years of my life.
Keywords: Panic
Accuracy Verified: Yes
155. Ginger, S. (2008, Juillet). Enrichir la Gestalt - thérapie par l’EMDR [Enriching Gestalt - EMDR therapy]. International Journal of Psychotherapy, 12(2), 70-75.
Language: French
Format: Journal
Abstract:
Je pratique la Gestalt-thérapie depuis plus de trente cinq ans, en séances individuelles, en thérapie de couples et en groupes continus thérapeutiques. Je développe une variante intégrant les dimensions corporelles et émotionnelles, et je me suis intéressé de près aux phénomènes psychobiologiques concomitants, analysés par les recherches des neurosciences contemporaines. J’ai d’ailleurs détaillé ces aspects — insuffisamment explicités dans la littérature gestaltiste traditionnelle — dans deux ouvrages, traduits aujourd’hui en une douzaine de langues. Dès 1985, j’ai présenté aux États-Unis une conférence sur le thème : « Is Gestalt Therapy "Chemotherapy" Without Knowing It? »2 — où je développais l’idée que la Gestalt entraînait de rapides modifications biochimiques du fonctionnement du cerveau (nouvelles liaisons synaptiques et modifications des neurotransmetteurs), expliquant en partie son efficacité.
Lorsque j’aperçus, par hasard, au cours de l’un de mes fréquents déplacements aux USA, l’ouvrage de Francine Shapiro : (Eye Movement Desensitization and Reprocessing, Basic Principles, Protocols, ansd Procedures, The Guilford Press, New York, 1995) qui venait de paraître, je l’achetai donc sans hésiter, et je le parcourus avidement le soir même.
Au moment où une formation sérieuse à l’EMDR s’est mise en place en France avec David Servan-Schreiber, je me suis donc formé tout naturellement à cette approche nouvelle — qui prenait délibérément en compte l’activité cérébrale (même si elle n’a pas encore réussi à l’analyser de manière scientifique explicite).
Aujourd’hui, il m’arrive assez fréquemment d’introduire une série de sessions d’EMDR dans le suivi d’un client — notamment lorsqu’émerge dans l’anamnèse un traumatisme psychologique majeur : décès, suicide ou accident grave d’un proche (ou du client lui-même), agression, attentat, viol, annonce d’une maladie grave, etc., ou inversement, il m’arrive de prendre des clients en urgence en EMDR, puis de poursuivre et d’élargir éventuellement la psychothérapie, en Gestalt.
Je voudrais partager avec vous quelques réflexions sur une telle pratique combinée, intégrant ces deux approches.
Je ne m’attarderai pas sur la description de la Gestalt-thérapie, puisqu’il s’agit d’une méthode maintenant largement connue — bien que les styles en soient assez variés. J’ai, pour ma part, développé une approche holistique prenant en compte les cinq dimensions principales de l’être (cf. Le Pentagramme de Ginger). Je voudrais signaler, au passage, que la Gestalt-thérapie est devenue aujourd’hui l’une des méthodes les plus pratiquées au monde; ainsi, en France, elle a conquis aujourd’hui le 2e rang, après la psychanalyse, et bien avant les TCC (thérapies cognitivo-comportementales), les thérapies familiales et les autres thérapies humanistes.
I have been practicing Gestalt therapy for over thirty five years, individual sessions, couples therapy and continuous therapy groups. I develop a variant incorporating body size and emotional, and I am a keen interest in psychobiological concurrent phenomena, analyzed by the research of contemporary neuroscience. I also detailed these aspects - insufficiently explained in the traditional Gestalt literature - in two books, translated now into a dozen languages. Since 1985, I submitted to the U.S. conference on the theme: "Is Gestalt Therapy" Chemotherapy "Without Knowing It? "2 - when I developed the idea that Gestalt led rapid biochemical changes in brain function (new synaptic connections, and changes in neurotransmitters), partly explaining its effectiveness. When I saw by chance during one of my frequent trips to the USA, the work of Francine Shapiro: (Eye Movement Reprocessing and Desensitizer, Basic Principles, Protocols, Procedures ANSD, The Guilford Press, New York 1995) which had just appeared, so I bought it without hesitation, and I eagerly traveled the same evening. Just as serious training in EMDR was introduced in France with David Servan-Schreiber, so I trained quite naturally to this new approach - which deliberately took into account the brain activity (even if it has yet to analyze it scientifically explicit). Today, it happens frequently enough to introduce a series of sessions of EMDR in the monitoring of a client - including lorsqu'émerge in history a major psychological trauma, including death, suicide or serious accident of a closest (or the client itself), assault, attack, rape, announcement of a serious illness, etc.. or vice versa, I sometimes take clients emergency EMDR, then continue and possibly expand psychotherapy, Gestalt. Let me share with you some thoughts on this practice combined, integrating these two approaches. I will not dwell on the description of Gestalt therapy, since it is a method now widely known - although the styles are quite varied. For my part, developed a holistic approach taking into account the five main dimensions of being (cf. The Pentagram Ginger). I should note in passing that Gestalt therapy is now one of the most practiced in the world and in France it has won today the second largest, after psychoanalysis and long before CBT (cognitive behavioral therapy), family therapy and other therapies humanists.
Keywords: Gestalt Therapy
Accuracy Verified: Yes
156. Ginger, S. (2007, Juin ). Enrichir la gestalt - Thérapie par l’EMDR [Enriching gestalt - EMDR therapy]. Document présenté au Congrès de l' European Association for Psychotherapy Europan (EA), Florence, Italie.
Language: French
Format: Conference
Abstract:
Je pratique la Gestalt-thérapie depuis plus de trente cinq ans, en séances individuelles, en thérapie de couples et en groupes continus thérapeutiques. Je développe une variante intégrant les dimensions corporelles et émotionnelles, et je me suis intéressé de près aux phénomènes psychobiologiques concomitants, analysés par les recherches des neurosciences contemporaines. J’ai d’ailleurs détaillé ces aspects — insuffisamment explicités dans la littérature gestaltiste traditionnelle — dans deux ouvrages, traduits aujourd’hui en une douzaine de langues. Dès 1985, j’ai présenté aux États-Unis une conférence sur le thème : « Is Gestalt Therapy "Chemotherapy" Without Knowing It? » — où je développais l’idée que la Gestalt entraînait de rapides modifications biochimiques du fonctionnement du cerveau (nouvelles liaisons synaptiques et modifications des neurotransmetteurs), expliquant en partie son efficacité.
Lorsque j’aperçus, par hasard, au cours de l’un de mes fréquents déplacements aux USA, l’ouvrage de Francine Shapiro : (Eye Movement Desensitization and Reprocessing, Basic Principles, Protocols, ansd Procedures, The Guilford Press, New York, 1995) qui venait de paraître, je l’achetai donc sans hésiter, et je le parcourus avidement le soir même. Au moment où une formation sérieuse à l’EMDR s’est mise en place en France avec David Servan-Schreiber, je me suis donc formé tout naturellement à cette approche nouvelle — qui prenait délibérément en compte l’activité cérébrale (même si elle n’a pas encore réussi à l’analyser de manière scientifique explicite). Aujourd’hui, il m’arrive assez fréquemment d’introduire une série de sessions d’EMDR dans le suivi d’un client — notamment lorsqu’émerge dans l’anamnèse un traumatisme psychologique majeur : décès, suicide ou accident grave d’un proche (ou du client lui-même), agression, attentat, viol, annonce d’une maladie grave, etc., ou inversement, il m’arrive de prendre des clients en urgence en EMDR, puis de poursuivre et d’élargir éventuellement la psychothérapie, en Gestalt.
Je voudrais partager avec vous quelques réflexions sur une telle pratique combinée, intégrant ces deux approches. Je ne m’attarderai pas sur la description de la Gestalt-thérapie, puisqu’il s’agit d’une méthode maintenant largement connue — bien que les styles en soient assez variés. J’ai, pour ma part, développé une approche holistique prenant en compte les cinq dimensions principales de l’être (cf. Le Pentagramme de Ginger). Je voudrais signaler, au passage, que la Gestalt-thérapie est devenue aujourd’hui l’une des méthodes les plus pratiquées au monde ; ainsi, en France, elle a conquis aujourd’hui le 2e rang, après la psychanalyse, et bien avant les TCC (thérapies cognitivo-comportementales), les thérapies familiales et les autres thérapies humanist.
I have been practicing Gestalt therapy for over thirty five years, individual sessions, couples therapy and continuous therapy groups. I develop a variant incorporating body size and emotional, and I am a keen interest in psychobiological concurrent phenomena, analyzed by the research of contemporary neuroscience. I also detailed these aspects - insufficiently explained in the traditional Gestalt literature - in two books, translated now into a dozen languages. Since 1985, I submitted to the U.S. conference on the theme: "Is Gestalt Therapy" Chemotherapy "Without Knowing It? "- Where I developed the idea that Gestalt led rapid biochemical changes in brain function (new synaptic connections and changes in neurotransmitters), partly explaining its effectiveness.
When I saw by chance during one of my frequent trips to the USA, the work of Francine Shapiro: (Eye Movement Reprocessing and Desensitizer, Basic Principles, Protocols, Procedures ANSD, The Guilford Press, New York 1995) which had just appeared, so I bought it without hesitation, and I eagerly traveled the same evening. Just as serious training in EMDR was introduced in France with David Servan-Schreiber, so I trained quite naturally to this new approach - which deliberately took into account the brain activity (even if it has yet to analyze it scientifically explicit). Today, it happens frequently enough to introduce a series of sessions of EMDR in the monitoring of a client - including lorsqu'émerge in history a major psychological trauma, including death, suicide or serious accident of a closest (or the client itself), assault, attack, rape, announcement of a serious illness, etc.. or vice versa, I sometimes take clients emergency EMDR, then continue and possibly expand psychotherapy, Gestalt.
Let me share with you some thoughts on this practice combined, integrating these two approaches. I will not dwell on the description of Gestalt therapy, since it is a method now widely known - although the styles are quite varied. For my part, developed a holistic approach taking into account the five main dimensions of being (cf. The Pentagram Ginger). I should note in passing that Gestalt therapy is now one of the most practiced in the world and in France it has won today the second largest, after psychoanalysis and long before CBT (cognitive behavioral therapy), family therapy and other therapies humanist.
Keywords: Gestalt Therapy
Accuracy Verified: Yes
157. Sandberg, A. (2010, March 26). Erasing memories: Next treatment for PTSD and other trauma-related disorders?. Psychiatric Times. Retrieved from http://www.bbc.co.uk/worldservice/news/2010/03/100325_erasing_memories_hs.shtml 4/10/2010.
Language: English
Format: Magazine
Abstract:
Neuroscientists are exploring ways to erase bad memories in patients who have
experienced traumatic events. But, is it ethical to erase a memory or flashback and the
feelings associated with that moment to alleviate suffering, or should clinicians focus on
therapies such as CBT and EMDR (Eye Movement Desensitization and Reprocessing) to
help patients cope with a trauma? Online article includes a link to a BBC Podcast.
Keywords: CBT Cognitive Behavioral Therapy Erasing Memories Flashbacks
Accuracy Verified: Yes
158. Simonetta, E. (2010). Esperienze traumatiche di vita in età evolutiva. EMDR come terapia [Traumatic experiences of life in children: EMDR as a treatment]. Milan, Italy: Angeli, ISBN: 9788856823080 885682308X.
Language: Italian
Format: Book
Abstract:
L’EMDR è un metodo clinico innovativo che rientra nell’ambito delle terapie brevi e si è rivelato molto efficace nell’intervento delle sintomatologie che si sviluppano in seguito a un’esperienza traumatica o dopo traumi ripetuti. Questo libro nasce con l’intenzione di presentare alcune esperienze, realizzate nel nostro paese, relative all’applicazione della metodologia terapeutica EMDR con soggetti in età evolutiva.
EMDR is an innovative clinical method that is part of the short-term therapies and has proved very effective intervention of the symptoms that develop after a traumatic experience, or after repeated trauma. This book was created with the intention to present some experiences made in our country, relating to the application of the methodology with subjects EMDR therapy in children and adolescents.
Accuracy Verified: Yes
159. 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
160. 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.
Accuracy Verified: No
161. Ginger, S. (2008, October). The evolution of psychotherapy in Europe. Presentation at the 5th World Congress of Psychotherapy, Beijing, China.
Language: English
Format: Conference
Abstract:
It is a great honour and pleasure for me to have been asked to present a brief overview of
the Evolution of Psychotherapy in Europe at this 5th World Congress of Psychotherapy in China,
in October 2008.
I shall begin with outlining the 5 main categories (mainstreams) of Psychotherapy; then,
recalling some information about Europe itself and its 50 very different countries; after that,
mentioning the development of the main psychotherapies actually practiced in Europe:
psychoanalysis and the different so called “new therapies.” I shall conclude with the sociological
dimension of psychotherapy and the need of specialized training institutes.
Keywords: EMDR History
Accuracy Verified: Yes
162. Boyer, W. R. (2007). An exploratory study of the effects of EMDR on state/trait anxiety and anger in adult male sex offenders. Argosy University, San Francisco, CA. ATT 3286571.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this exploratory study was to investigate the effects of EMDR
on state and trait anxiety and anger levels associated with developmental
traumas of sexual offenders in outpatient sex offender treatment. A
qualitative component explored the participants' perceptions of their
therapy experiences as helpful in resolving problematic reactive behaviors
linked with the developmental traumas and other negative life experiences.
The male participants ranged in age from 20 to 49 and were self-selected
from a purposive sample of clients receiving treatment in an outpatient sex
offender program in Southwest Florida. From this sample group, N = 17, the
study participants were randomly assigned to one of two treatment
modalities, EMDR or CBT. This exploratory study utilized a
quasi-experimental, mixed methods format to analyze the effects of EMDR on
state/trait anxiety and anger levels. The study utilized both quantitative
and qualitative research strategies to acquire what Webster and Marshall
(2004) described as "the clearest, fullest picture of behavior" (p. 118).
The quantitative analysis of data obtained from the pre and post-testing
found no significant differences between the treatment groups in reducing
state/trait anxiety and anger levels. The analysis of the qualitative
interview data revealed four core themes: Treatment Efficacy, Emotional
Processing, Therapeutic Alliance, and Empowerment. The emergent themes of
emotional processing and the therapeutic alliance have not been fully
explored in sex offender therapy and may warrant further scrutiny.
Additionally, processing of developmental traumas and past victimization has
been avoided or minimized in standard cognitive-behavioral sex offender
treatment contrary to more recent research findings that identify attachment
problems and intimacy deficits as key dynamic risk factors associated with
sexual recidivism (Adams, 2003). The field of sex offender therapy may
benefit from future research that investigates the role of trauma resolution
in mitigating dynamic risk factors that are linked with recidivistic sexual
violence. EMDR may serve as an adjunctive therapy to assist sexual offenders
to effectively process developmental wounds and in so doing target dynamic
risk factors by improving their ability to emotionally self-regulate and
enhance their ability to more fully experience victim empathy and improve
interpersonal relationships. Future sex offender research may benefit from
more expanded investigations of EMDR and other limbic therapies. Dissertation Abstracts International: Section B: The Sciences and Engineering. 68(10-B), 2008, pp. 6951.
Keywords: Anger Anxiety Criminals Developmental Disabilities Empirical Study Qualitative Study Outpatients Quantitative Study Sex Offenders Sex Offenses Trauma Treatment
Accuracy Verified: Yes
163. 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
164. Taylor, S. (2003, October-November). Exposure therapy, EMDR and relaxation. In M. Creamer (Chair), PTSD treatment outcome predictors. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL .
Language: English
Format: Conference
Abstract:
Several psychosocial treatments appear to be effective in treating
posttraumatic stress disorder (PTSD). However, little is known about
the predictors of treatment outcome. It is possible that some variables
predict poor outcome for some treatments but not for others.
To investigate this issue, outcome predictors were examined for
three 8-session treatments: Exposure therapy (entailing prolonged
imaginal and in vivo exposure), relaxation training, and eye movement
desensitization and reprocessing (EMDR). Sixty people with
PTSD entered and 45 completed treatment. To our knowledge, ours
was the first EMDR study to meet all the Foa and Meadows Gold
Standards for methodologically sound outcome research.
Treatments did not differ in attrition or perceived credibility.
Predictors of treatment outcome in PTSD:
While psychological treatments for PTSD have developed considerably
in recent years, large variation in individual treatment response
is apparent. This symposium integrates research from the USA,
Canada, and Australia to examine the impact of personal characteristics,
childhood abuse history, and treatment setting as predictors
of response to cognitive behavioral interventions.
PTSD treatment outcome predictors: Exposure therapy, EMDR and relaxation: Exposure tended to be most effective, and EMDR and relaxation
did not differ in efficacy. Low patient ratings of treatment credibility
(assessed in session 2) predicted treatment dropout, regardless of
treatment type. Of the potential outcome predictors examined,
severe reexperiencing symptoms (assessed prior to treatment) predicted
poor outcome for relaxation training but not for the other
therapies. The best predictor of treatment outcome was whether or
not patients received exposure therapy.
Keywords: Exposure Therapy PSTD Outcome Predictors Relaxation Symposium
Accuracy Verified: Yes
165. Fernandez, I. (2001, Aprile). Eye movement desensitization and reprocessing (EMDR). Psicoterapia Cognitiva e Comportamentale, 7(1), 35.
Language: English
Format: Journal
Abstract:
L'articolo di J. Wolpe e J. Abrams presenta un caso trattato nel 1991 con Eye Movement Desensitization (EMD), erano le prime applicazioni cliniche dopo la scoperta di F. Shapiro nel 1989 dell'azione dei movimenti oculari sullo stress traumatico e sulle situazioni ansiogene. Negli anni successivi l'EMD è diventato EMDR, infatti, la desensibilizzazione è il primo effetto che avviene durante una seduta dove viene applicata la stimolazione bilaterale, ma successivamente l'osservazione massiccia ed approfondita degli effetti clinici di questo metodo terapeutico ha rivelato che il processo che avviene è molto più complesso. È stato notato che simultaneamente alla desensibilizzazione avviene una ristrutturazione cognitiva e che entrambe sono il risultato dell'elaborazione dell'informazione legata ai ricordi traumatici. Nel lavoro realizzato con la paziente Shirley, Wolpe descrive tutta la storia di terapie a cui era stata sottoposta fino a quel momento che però non erano riuscite ad affrontare e risolvere l'esperienza traumatica della violenza sessuale. L'EMDR è stato efficace perché ha lavorato sul piano neurofisiologico, dove l'informazione è immagazzinata in modo disfunzionale ed è accessibile soltanto a questo livello, infatti, le terapie prettamente verbali non sempre riescono ad accedere e ad agire su questo piano e di conseguenza non riescono a modificare gli aspetti clinici legati alle esperienze di stress traumatico. Il programma terapeutico di Wolpe per l'introduzione dell'EMDR si è focalizzato inizialmente sull'esperienza traumatica della violenza (2 sedute) e dopo aver elaborato l'esperienza in sé sono stati individuati altri bisogni terapeutici legati all'ansia sociale e agli spunti agorafobici. Le 5 sedute successive sono state utilizzate per la desensibilizzazione di una serie di situazioni a cui era stato attribuito dalla paziente un valore della scala SUD. Si è iniziato dalla situazione più ansiogena (85) nella scala SUD e anziché utilizzare il rilassamento proprio della desensibilizzazione sistematica, sono stati realizzati movimenti oculari. La paziente riportava una riduzione dell'ansia dopo ogni set di stimolazione bilaterale e l'immagine della situazione temuta tendeva a sparire e in alcune situazioni addirittura diventava positiva. La ristrutturazione cognitiva è avvenuta nella paziente in modo spontaneo man mano che la terapia procedeva, fino a riportare che poteva camminare per strada sentendosi una cittadina normale, avendo un progetto per il futuro, inoltre aveva smesso quasi completamente di bere e si sentiva che un peso si era sollevato dalle sue spalle. Riportava di essere più rilassata sul lavoro, si godeva le passeggiate solitarie sulla spiaggia, aveva cominciato a curare il suo aspetto fisico e aveva iniziato ad avere interesse per gli uomini e ad avvicinarsi a qualcuno, ha riportato che non temeva più di essere violentata e non aveva più i pensieri suicidi e gli autori hanno ritenuto la terapia conclusa. I risultati si sono mantenuti ai vari follow up realizzati nel tempo. Quindi possiamo vedere i risultati della terapia con EMDR a livello cognitivo, nelle attribuzioni che fa del mondo e di se stessa, differenziando i pericoli veri da quelli meramente ansiogeni, soggettivo per quello che la paziente riporta emotivamente e a livello comportamentale, dove ha messo in atto dei nuovi comportamenti adattivi in modo spontaneo. Nella parte conclusiva gli autori menzionano una serie di 100 casi che sarebbero stati pubblicati nel Journal of Behaviour Therapy and Experimental Psychiatry e si augurano che altre pubblicazioni potessero rispondere al bisogno di delucidare i meccanismi che permettono questi cambiamenti dopo una seduta di EMDR. Come si evince dagli articoli che vengono pubblicati in questo numero la ricerca, il lavoro empirico e le osservazioni cliniche hanno dato un grande contributo in questo senso negli ultimi anni. Sull'EMDR sono stati pubblicati più di 150 articoli che ne dimostrano la efficacia. Tra le riviste scientifiche più accreditate dove sono pubblicati dei lavori di ricerca sull'EMDR troviamo: Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behaviour and experimental psychiatry, Behavioural and Cognitive psychotherapy, Behaviour Therapy, Journal of traumatic stress, The Clinical Psychologist, Journal of Psychotherapy integration, Harvard Mental Health letter, Journal of Clinical psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Inoltre, sono stati pubblicati libri e manuali per terapeuti tradotti in varie lingue (in Italia dall'Astrolabio e dalla Mc Graw Hill Italia). Inoltre, recentemente, l'International Society for Traumatic Stress Studies (ISTSS) ha stabilito e comunicato che l'EMDR è uno dei metodi terapeutici più rapidi ed efficaci per superare e risolvere il disturbo post-traumatico da stress.
The article by J. Wolpe, J. Abrams has a case treated in 1991 with Eye Movement Desensitization (EMD), were the first clinical applications since the discovery of F. Shapiro in 1989 of the eye movements on traumatic stress and anxiety-provoking situations. In subsequent years the EMD became EMDR, in fact, the first effect is the desensitization that occurs during a session where the stimulation is applied bilaterally, but then observing massive and thorough clinical effects of this therapy revealed that the process that takes place is much more complex. It was noted that desensitization occurs simultaneously with a cognitive restructuring, and that both are the result of information related to traumatic memories. In work done with the patient Shirley, Wolpe describes the history of therapies that had been subjected up to that point but had failed to address and resolve the traumatic experience of sexual violence. EMDR was effective because he worked on the neurophysiological level, where information is stored in a dysfunctional and is accessible only at this level, in fact, purely verbal therapies are not always able to access and act on this plan and therefore can not modify the clinical aspects related to the experience of traumatic stress. The treatment plan for the introduction of Wolpe EMDR focused initially traumatic experience of violence (2 sessions) and after processing the experience itself more therapeutic needs were identified related to social anxiety and agoraphobic cues . 5 The subsequent sessions were used for the desensitization of a variety of situations to which the patient was given a value of SUD scale. It was started by the most anxiety-inducing situation (85) in the scale instead of using SUD and their relaxation in systematic desensitization, eye movements were made. The patient reported a reduction in anxiety after each set of bilateral stimulation and the image of the feared situation, and tended to disappear in some situations even became positive. The cognitive restructuring has taken place in the patient spontaneously as the therapy progressed, he could bring up to walk down the street feeling like a normal citizen, having a vision for the future, also had almost completely stopped drinking and felt that a weight had lifted from his shoulders. Reported to be more relaxed at work, enjoyed solitary walks on the beach, he began to treat her physical appearance and had started to have interest to men and to approach someone, reported that no longer feared being raped and not had more suicidal thoughts and the authors have considered the therapy ended. The results were maintained at various follow-up made in time. So we can see the results of EMDR therapy at the cognitive level, which is within the functions of the world and of itself, differentiating the real dangers than mere anxiety, subjective to what the patient experiences emotional and behavioral level, where he implemented of new adaptive behaviors in a spontaneous way. In the concluding section the authors refer to a series of 100 cases were published in the Journal of Behavior Therapy and Experimental Psychiatry and hope that other publications might respond to the need to elucidate the mechanisms that allow these changes after a session of EMDR. It is clear from articles published in this issue the research, the empirical work and clinical observations have given a great contribution in this direction in recent years. EMDR has been published over 150 articles which demonstrate its effectiveness. Among the most accredited scientific journals which are published on EMDR research work are: the Journal of Consulting and Clinical Psychology, British Journal of Clinical Psychology, Journal of Anxiety Disorders, Journal of Behavior and Experimental Psychiatry, Behavioural and Cognitive Psychotherapy, Behaviour Therapy , Journal of Traumatic Stress, The Clinical Psychologist, Journal of Psychotherapy Integration, Harvard Mental Health Letter, American Journal of Clinical Psychology, Psychotherapy, British Journal of Psychiatry, International Journal of Psychiatry. Were also published books and manuals for therapists translated into several languages (in Italy and the McGraw Hill dall'Astrolabio Italy). In addition, recently, the International Society for Traumatic Stress Studies (ISTSS) has established and communicated that EMDR is one of the fastest and most effective treatment methods to overcome and resolve the post-traumatic stress disorder.
Accuracy Verified: Yes
166. Scholten, A. (2006, December). Eye movement desensitization and reprocessing (EMDR): A controversial treatment for trauma survivors. Carl R. Darnall Army Medical Center, Mental Health, 1-3.
Language: English
Format: Newsletter
Abstract:
Proponents of eye movement desensitization and reprocessing (EMDR) claim it is a breakthrough treatment for those plagued with traumatic memories and other psychological problems. But does it actually work?
Eye movement desensitization and reprocessing (EMDR) is a relatively new therapeutic technique that increasing numbers of mental health professionals are using in the treatment of post-traumatic stress disorder (PTSD), phobias, and a wide variety of psychological disorders. According to the American Psychiatric Association, this fairly complicated treatment includes elements of behavioral, cognitive, psychodynamic, body-based, and systems therapies.
Accuracy Verified: Yes
167. Karlsson, A. (2002). Eye movement desensitization and reprocessing (EMDR): En presentation och analys av metoden, samt redogörelse för svenska utövares upplevelser [Eye Movement desensitization and processing (EMDR): A presentation and analysis of the method, and explanation of Swedish practitioners' experiences]. Psykologexamensarbete, Stockholms Universersit Psyckologiska Institutionen. .
Language: Swedish
Format: Other
Abstract:
Posttraumatiskt stressyndrom är en komplex och mångdimensionell störning.
Lyckligtvis finns det effektiva behandlingsmetoder. 1989 utvecklade
Francine Shapiro metoden, sedermera namngiven, Eye Movement Desensitization
and Reprocessing (EMDR), för behandling av traumatiska minnen.
Det hävdas att mellan 84 – 100% som behandlats med EMDR inte längre
uppfyller diagnoskriterierna för PTSD. Uppsatsens huvudsyfte är att göra en
grundläggande granskning av EMDR och metodtillämpningen i Sverige.
Datainsamling skedde genom litteraturgranskning, enkätundersökning samt
intervjuer med EMDR-utbildade kliniker. Resultatet visar att EMDR är effektivare
än ingen behandling alls eller icke-validerade behandlingsmetoder,
såsom aktivt lyssnande. Det är däremot inte styrkt att EMDR är effektivare
än KBT. Vidare antyder komponentstudier att ögonrörelsestimulering, eller
alternativ bilateral stimulering, inte är nödvändig för att uppnå behandlingsframgångar.
Samtliga intervjuade utövare upplever EMDR som ett värdefullt
och verksamt verktyg i behandlingsarbetet. Diskussion förs kring resultaten
från effektstudierna och nödvändigheten av fortsatt forskning.
Post-traumatic stress disorder is a complex, multidimensional disorder.
Fortunately there are effective treatments. 1989 Developed
Francine Shapiro method, later named, eye movement desensitization
and Reprocessing (EMDR), for the treatment of traumatic memories.
It is alleged that between 84 - 100% treated with EMDR are no longer
meet diagnostic criteria for PTSD. The main purpose is to make a
fundamental review of the EMDR method and application in Sweden.
Using data obtained from literature review, survey and
interviews with EMDR-trained clinicians. The results show that EMDR is more effective
than no treatment or non-validated therapies,
such as active listening. It is however not shown that EMDR is more effective
than CBT. Further studies suggest component of eye movement stimulation, or
alternative bilateral stimulation, it is not necessary to achieve treatment success.
All interviewees experienced EMDR practitioners as a valuable
and effective tool in the treatment process. Talk out of the result,
from efficacy trials and the need for further research.
Keywords: Component Studies Impact Studies Posttraumatic Stress Disorder PTSD Swedish Practice Travel Experiences
Accuracy Verified: Yes
168. Gupta, D., Tank, P., & Mehrotra, S. (2011, January). Eye movement desensitization and reprocessing (EMDR): A promising psychotherapeutic intervention. Presentation at the 63rd Annual National Conference of Indian Psychiatric Society, New Delhi, India.
Language: English
Format: Conference
Abstract:
It doesn’t matter how long the memories have been stored and for how long they have been exerting a negative effect on the child. Children reprocess their traumas more quickly in EMDR than in other therapies and becomes desensitized to the painful memories and images. The EMDR procedures results in: 1) Decreasing the vividness of disturbing memory, images and related affect. 2) Facilitating access to more adaptive information. 3) Forging new associations within and between memory networks.
Accuracy Verified: Yes
169. Davidson, P. R., & Parker, K. C. H. (2001, April). Eye movement desensitization and reprocessing (EMDR): A meta-analysis. Journal of Consulting & Clinical Psychology, 69(2), 305-316. doi:101037//0022-006x.69.2.305.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR), a controversial treatment suggested for PTSD and other conditions, was evaluated in a meta-analysis of 34 studies that examined EMDR with a variety of populations and measures. Process and outcome measures were examined separately, and EMDR showed an effect on both when compared with no treatment and with therapies not using exposure to anxiety-provoking stimuli and in pre-post EMDR comparisons. However, no significant effect was found when EMDR was compared with other exposure techniques. No incremental effect of eye movements was noted when EMDR was compared with the same procedure without them. R. J. DeRubeis and P. Crits-Christoph noted that EMDR is a potentially effective treatment for noncombat PTSD, but studies that examined such patient groups did not give clear support to this. In sum, EMDR appears to be no more effective than other exposure techniques, and evidence suggests that the eye movements integral to the treatment, and to its name, are unnecessary. [Author Abstract]
Keywords: Behavior Therapy Exposure Therapy Meta Analysis Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
170. Hyer, L., & Kushner, B. (2007). Eye movement desensitization and reprocessing and stress: Research, theory and practical suggestions. In P. M. Lehrer, R. L. Woolfolk, & W. Sime (Eds.), Principles and Practice of Stress Management (3d ed.) (pp. 545-578). New York, NY, US: Guilford Press. xvii, 734 pp.
Language: English
Format: Book Section
Abstract:
This chapter addresses several things. First, we consider the key features of eye-movement desensitization and reprocessing (EMDR), its theoretical foundations, and later its integration with other therapies. We consider the merits of the key (and controversial) components of EMDR and discuss the integration of EMDR in psychotherapy. We then consider the efficacy of EMDR in posttraumatic stress disorder (PTSD) and examine meta-analyses and studies that evaluate this therapeutic program. We rate the salient studies of EMDR and PTSD. Then we discuss EMDR and its limitations and contraindications. Finally, we present the EMDR protocol and three cases that demonstrate the use of EMDR. (PsycINFO Database Record (c) 2009 APA, all rights reserved)
Accuracy Verified: Yes
171. Rodenburg, R., Benjamin, A., Meijer, A. M., & Jongeneel, R. (2009, September). Eye movement desensitization and reprocessing in an adolescent with epilepsy and mild intellectual disability. Epilepsy & Behavior, 16(1), 175-180. doi:10.1016/j.yebeh.2009.07.015.
Language: English
Format: Journal
Abstract:
Intellectual disability is a comorbid condition in epilepsy. People with epilepsy and intellectual disability are at high risk of developing behavioral problems. Among the many contributors to behavioral problems in people with epilepsy and intellectual disability are those of traumatic experiences. As such, behavioral problems can be seen as a reflection of these traumatic experiences. Among established trauma therapies, eye movement desensitization and reprocessing (EMDR) is an emerging treatment that is effective in adults and also seems to be effective in children. This article is a case report of EMDR in an adolescent with epilepsy and mild intellectual disability, in whom the EMDR children’s protocol was used. The aim was to assess whether clinical trauma status significantly diminished to nonclinical status posttreatment. Change in trauma symptoms was evaluated with the Reliable Change Index (RCI). Results showed a significant decrease in trauma symptoms toward nonclinical status from pretreatment to posttreatment. EMDR consequences for epilepsy and intellectual disability are discussed.[Elsevier 2009]
Keywords: Case Report Children Epilepsy Intellectual Disability Reliable Change Index Trauma Symptoms
Accuracy Verified: Yes
172. Hudson, J., Chase, E., & Pope, H. (1998, January). Eye movement desensitization and reprocessing in eating disorders: Caution against premature acceptance. International Journal of Eating Disorders, 23(1), 1-5.
Language: English
Format: Journal
Abstract:
Objective: Eye movement desensitization and reprocessing (EMDR) has been claimed effective in the treatment of a wide variety of psychiatric disorders, including eating disorders. An informal survey suggests that EMDR is now widely offered to patients with eating disorders. Before accepting a new therapy such as EMDR, one must determine that its benefits outweigh its adverse effects. This paper reviews the literature in an attempt to assess the benefits and risks of the use of EMDR in the treatment of eating disorders. Method: We reviewed the literature on the use of EMDR to treat eating disorders and other conditions. Results: Looking at the question of its benefits, we were unable to find any methodologically sound studies that have shown efficacy for EMDR in eating disorders, or, indeed, any psychiatric disorder. We were also unable to find a sound theoretical basis for expecting EMDR to be effective. In addition, EMDR may have adverse effects. First, EMDR is sometimes used in conjunction with efforts to "recover" memories of traumatic events. But "recovered memory" therapy may carry a risk of inducing potentially harmful false memories. Second, use of EMDR may prevent or delay other therapies of established efficacy for eating disorders, such as cognitive behavioral therapy and antidepressants. Discussion: In light of the findings of our review, the risk/benefit ratio of EMDR does not as yet encourage its widespread acceptance.
Keywords: Eating Disorders Literature Review
Accuracy Verified: Yes
173. Shepherd. J., Stein, K., & Milne, R. (2000, July). Eye movement desensitization and reprocessing in the treatment of post-traumatic stress disorder: A review of an emerging therapy. Psychological Medicine, 30(4), 863-871.
Language: English
Format: Journal
Abstract:
Background: Eye Movement Desensitization and Reprocessing (EMDR) is a relatively new form of psychotherapy for PTSD. We critically reviewed randomized controlled trials of EMDR. Methods: A wide range of electronic databases and reference lists of articles obtained were searched and relevant experts were consulted. Studies were critically appraised according to established criteria. Results: We found 16 published randomized controlled trials (RCTs) comparing EMDR with alternative psychotherapy treatments, variants of EMDR, and with delayed treatment groups. Studies were generally small (mean number of patients = 35) and of variable methodological quality, with only 5 reporting blinding of outcome assessors to treatment allocation, and in some cases with high loss to follow-up. In most cases EMDR was shown to be effective at reducing symptoms up to 3 months after treatment. In one case benefit was maintained up to 9 months and in another (uncontrolled) followup treatment effect was present at 15 months. 2 studies suggest that EMDR is as effective as exposure therapies, 3 claim greater effectiveness in comparison to relaxation training, and 3 claim superiority over delayed treatment groups. Of the studies examining specific treatment components, 2 found that treatment with eyes moving was more effective than eyes fixed, while 3 studies found the two procedures to be of equal effectiveness. CONCLUSION: The evidence in support of EMDR is of limited quality but results are encouraging for this inexpensive, simple therapy. Further research is warranted in larger samples with longer periods of follow-up. [Author Abstract]
Keywords: Health Care Costs Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
174. Gosselin, P. W. (1994). Eye movement desensitization and reprocessing in the treatment of test anxiety: A study of the effects of eye movement and expectancy on the procedure's results. University of Massachusetts Amherst. AAT 9420630.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing, abbreviated EMDR, is a recently discovered technique acclaimed as a major breakthrough for the reduction of anxiety. Numerous anecdotal studies have been presented showing the efficacy of EMDR. There are currently no published studies investigating use of EMDR specifically for test anxiety.
The purpose of this study was to use the EMDR technique to study its efficacy for test anxiety. This study also examined whether or not high and low expectancy conditions significantly affected scores on post-session anxiety ratings. In addition, the procedure was used with and without eye movement to see whether or not eye movement was a critical factor in eliciting positive change in anxiety ratings.
A single session of approximately one hour was conducted individually with 41 subjects, college students reporting test anxiety. The subjects were randomly assigned to one of four conditions reflecting varying combinations of eye movement and expectancy conditions. A 2 x 2 analysis of variance was conducted for expectancy and eye movement factors on two dependent measures. These measures were Subjective Units of Disturbance Scale (SUDs) and the Test Anxiety Inventory (TAI).
Results of the study show a significantly greater amount of reduction in the SUDs using the eye movement supporting the hypothesis that eye movement is critical to the efficacy of EMDR. No other statistically significant main effects or interactions were found with measuring the SUDs or TAI. However, it should be noted that all groups showed substantial reductions in post-treatment TAI scores. The expectancy conditions presented to subjects also had no measureably significant effects. There was anecdotal support of the power of the eye movement but no significant behavioral changes other than the reduction in SUDs.
It was concluded that EMDR is worthy of further study with larger samples of the test anxious population. Further study may want to use EMDR in conjunction with other techniques and for more than one session.
Keywords: Test Anxiety
Accuracy Verified: Yes
175. EMDR International Association (EMDRIA) (2012, October 7). Eye movement desensitization and reprocessing international association response to the Institute of Medicine report on “Treatment for posttraumatic stress disorder in military and veteran populations: Initial assessment”. EMDRIA. Retrieved from http://www.emdria.org/associations/12049/files/EMDRIA%20IOM%20Response.pdf on 10/19/2012.
Language: English
Format: Other
Abstract:
In response to the Institute of Medicine’s (IOM) July 2012, publication, Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Initial Assessment, the Eye Movement Desensitization and Reprocessing International Association (EMDRIA) applauds the IOM for its leadership role in calling for the use of evidence-based methods for treatment of posttraumatic stress disorder (PTSD) and for advocating stepped-up research on therapies for war stress injuries, with an appropriate recognition of the urgency required.
We do, however, see errors and omissions in the portrayal of eye movement desensitization and reprocessing (EMDR) therapy in the IOM reports; we believe that the misrepresentation of EMDR in the 2008 document unfortunately has been perpetuated in the 2012 Initial Assessment. We are concerned that these misunderstandings will be incorporated as Phase 2 of this study proceeds; thus we are providing you with information with the hope that these inaccuracies can be addressed and corrected. This would positively impact further research on the treatment of PTSD. In the following, we have identified several specific statements in the IOM report that misquote or misrepresent the original EMDR research papers. The inaccuracy of the quotes are serious enough to bias the conclusions of the IOM report and call into question the validity of the document.
In addition, we want to highlight the fact that the original IOM report on PTSD called for randomized clinical trials (RCT) to further evaluate EMDR (IOM, 2008), but this recommendation has not been implemented. It is our hope that our response will encourage the IOM to address this lack of follow through and advocate for randomized clinical trials to test the efficacy of all the evidence-based therapies.
Keywords: Institute of Medicine Report IOM Report Military Posttraumatic Stress PTSD
Accuracy Verified: Yes
176. Salkovskis, P. (2002, February). Eye movement desensitization and reprocessing is not better than exposure therapies for anxiety of trauma. Evidence-Based Mental Health, 5(1), 13. doi:10.1136/ebmh.5.1.13.
Language: English
Format: Journal
Abstract:
Comment on: Davidson, P. R., & Parker, K. C. H. (2001, April). Eye movement desensitization and reprocessing (EMDR): A meta-analysis. Journal of Consulting & Clinical Psychology, 69(2), 305-316; with the QUESTION: Is eye movement desensitisation and reprocessing (EMDR) effective for trauma or anxiety? Do the presence of eye movements, therapist training, or disorder influence effectiveness?
Keywords: Practice Theory Treatment Effectiveness
Accuracy Verified: Yes
177. Foley, T. (1996). Eye movement desensitization and reprocessing treatment of communication anxiety: A closer look. Western Michigan University. AAT 9640073.
Language: English
Format: Dissertation/Thesis
Abstract:
The purpose of this study was to replicate the results of previous research with respect to EMD/R (eye movement desensitization and reprocessing) and of this researcher's investigation of EMD/R treatment of public-speaking anxiety (Foley & Spates, 1995). The present study, however, included components to permit more extensive analysis of the elements of treatment that contribute to therapeutic effectiveness. The study investigated the contribution of assessment speeches to treatment effectiveness by using a two factor design in which one factor featured a condition of pre-treatment/post-treatment speeches vs. a condition of post-treatment speeches only. The other factor featured two treatment conditions, permitting consideration of the contribution of the imaginal exposure component of EMD/R to treatment effectiveness. One treatment condition received EMD/R while the other condition received an alternative treatment that differed from EMD/R only in that there were no instructions to visualize the traumatic event during the eye movement component. Subjects were 32 college students who suffered from communication anxiety and had experienced a specific traumatic event related to a communication situation. The research was carried out in a two factor repeated measures design consisting of four treatment groups: EMD/R-speech condition, EMD/R-no speech condition, Alternative treatment-speech condition, Alternative treatment-no speech condition. Results showed a significant decrease from pre to post-treatment for all groups on several measures. There were no significant differences between groups; however, the results on one measure (CAI) suggests that if power were increased, the groups would differ significantly with respect to the pre-treatment behavioral assessment factor. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(7-B), Jan 1997, pp. 4705.
Keywords: Assessment Speeches College Students With Communication Anxiety Effectiveness Evaluation Empirical Study Oral Communication Speech Anxiety Treatment Treatment Effectiveness
Accuracy Verified: Yes
178. Krafona, K. (2010). Eye movement desensitization and reprocessing with individuals with autistic spectrum disorders: Two case reports. The Ghana International Journal of Mental Health, 2(1).
Language: English
Format: Journal
Abstract: Individuals with intellectual disabilities (ID) as well as those with autistic spectrum disorders (ASD) tend to have mental health problems as well. Many individuals with intellectual disability and ASD do not receive mainstream psychotherapy. Cognitive behavioral therapy appears to be making good success among this client group. Eye movement desensitization and reprocessing (EMDR) is relatively new among the psychological therapies but it has made a great impact in the treatment of post-traumatic stress disorders (PTSD) and anxiety-related problems. In this paper, the use of EMDR with two individuals who had ASD as well as ID is reported and implications for further research delineated.
Keywords: Autistic Spectrum Disorder
Accuracy Verified: Yes
179. Protinsky, H., Sparks, J., & Flemke, K. (2001, June). Eye movement desensitization and reprocessing: Innovative clinical applications. Journal of Contemporary Psychotherapy, 31(2), 125-135. doi:10.1023/A:1010217707351.
Language: English
Format: Journal
Abstract:
Neurologically-based therapies such as Eye Movement Desensitization and Reprocessing (EMDR) are being clinically implemented and researched in the field of psychotherapy. While EMDR has a theoretical base and some research support for its effectiveness with PTSD, therapists are now developing and using EMDR for other clinical problems. This report illustrates some of the unique applications of EMDR with clinical problems such as: driving phobia, interpersonal arguments, dyspareunia, depression, anxiety, and eating problems. [Author Abstract]
Keywords: Anxiety Conflict Depressive Disorders Dyspareunia Eating Disorders Interpersonal Interaction Phobia Posttraumatic Stress Disorder PTSD Sexual Dysfunctions Somatic Symptoms Stressors Survivor Treatment Effectiveness
Accuracy Verified: Yes
180. Taylor, S. (2001, Augusto). Eye movement desensitization and reprocessing: Current debates and comparative efficacy. Psicoterapia Cognitiva e Comportamentale, 7(2), 169-178.
Language: English
Format: Journal
Abstract:
For over a decade, Eye Movement Desensitization and Reprocessing (EMDR) has been used to treat symptoms of PTSD. While EMDR advocates have been enthusiastic of this treatment, EMDR critics have raised several important concerns. This article examines claims presented in this journal by two comentators; one an EMDR critic and the other an EMDR advocate. One argues that dismantling studies that test the effects of bilateral stimulation will end the EMDR controversy. While such studies will provide useful information, such studies are incapable of resolving the controversy. This is because there are several contentious issues concerning EMDR. For clinicians treating PTSD, perhaps the most important question concerns the efficacy of EMDR compared to other therapies. This issue is not addressed in dismantling studies. The other commentator claims that EMDR is the treatment of choice for PTSD. While the literature suggests that EMDR is a useful intervention, the available data does not support their claim. EMDR appears to be no more effective than well-established behavioural and cognitive-behavioural therapies, and there is no consistent evidence that EMDR works more quickly than other therapies. There are currently no empirical guidelines for deciding whether the first choice of treatment should be EMDR or some other intervention, such as behvioural or cognitve-behavioural therapy. Patient preference and therapist expertise in one treatment versus another are important considerations. [Author Summary]
Keywords: Debates Eye Movements Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
181. Brown, D. E. (1994, May). Eye movement desensitization, reprocessing can tame power of memories, dreams, researcher says. Psychiatric Times, 35-36.
Language: English
Format: Newsletter
Abstract:
The eyes. say the poets, are the windows to
the soul. They may also be a catalyst for the
brain. According to Francine Shapiro. Ph.D..
senior research fellow at the Mental Research
Institute in Palo Alto, Calif., there is an intimate
relationship between eye movement and
the processing of emotionally charged images
and memories. During a recent conference
of the Anxiety Disorders Association of
America, Shapiro described her discovery
and development of a therapeutic technique
that uses guided eye movement to accelerate
the treatment of a wide range of psychological
disorders.
Accuracy Verified: Yes
182. McDonnell, F. (2012, October). Facilitating EMDR with Ericksonian hypnosis. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.
Language: English
Format: Conference
Abstract:
The spirit and principles of Ericksonian Hypnosis work well with other therapies and can be integrated effectively with the eight-phase EMDR protocol. The workshop will introduce some key concepts and elements of Ericksonian trance work.
Conversational Ericksonian Hypnosis provides an elegant method for using metaphors and doing “parts work”, which can be combined with other interweaves. The application is particularly relevant where avoidance, ambivalence and blocking beliefs are an issue in treatment.
Keywords: Ericksonian Hypnosis
Accuracy Verified: Yes
183. Rubin, A. (2004, June). Fallacies and deflections in debating the empirical support for EMDR in the treatment of PTSD: A reply to Maxfield, Lake, and Hyer. Traumatology, 10(2), 91-105. doi:10.1177/153476560601200101.
Language: English
Format: Journal
Abstract:
The Maxfield, Lake, and Hyer acerbic attack on my review is filled with fallacies and inaccurate and unwarranted accusations that deflect attention away from the main issue pertaining to the insufficient evidence base for current claims that EMDR is more effective than exposure therapies and is an empirically-supported treatment for children, combat PTSD, and multiple trauma PTSD. More research is needed before such claims can be called evidence-based. [Author Abstract]
Keywords: Letter Posttraumatic Stress Disorder Professional Criticism PTSD Reply Treatment Effectiveness
Accuracy Verified: Yes
184. Brown, L. S. (2002). Feminist therapy and EMDR: theory meets practice. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 263-287). Washington: American Psychological Association.
Language: English
Format: Book Section
Abstract:
This chapter includes a review of certain core concepts of feminist therapy theory and an exploration of how EMDR can be integrated into feminist practice as a means of operationalizing that theory. Because feminist therapy is inherently technically eclectic, embracing interventions ranging from the psychodynamic to the most radically behavioral, the question to be addressed regarding EMDR as a feminist practice is whether its use in therapy supports feminist models of change. In feminist practice, that question is the boundary condition for inclusion of a strategy: Can its use promote feminist models and outcomes? Not every way of practicing therapy does this, and some strategies, particularly those that emphasize strategic approaches in which therapists intentionally use their power over the client, are per se problematic. However, EMDR seems to fall easily within the parameters of feminist practice and even in the hands of nonfeminist therapists advances the goals of feminist social and personal change that are at the core of feminist therapy models. In arguing that EMDR does support feminist strategies, this chapter explores the way feminist practice conceptualizes the notions of change and goodness of outcome. To some degree, these notions are very similar to those of nonfeminist therapies, and in other respects they are radically different. [Text, p. 266]
Keywords: Adults Feminist Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
185. Phillips, M. (2000). Finding the energy to heal: How EMDR, hypnosis, TFT, imagery, and body-focused therapy can help restore mindbody health. (1st ed.) New York: Norton.
Language: English
Format: Book
Abstract:
I have found that more traditional models of psychological healing, such as self-object relations, ego psychology, cognitive behaviorism, and developmental psychology, along with theories of trauma, dissociation, and attachment, are invaluable in helping to identify the general patterns of disharmony that can activate illness. Once my clients and I have sketched the broad outlines of where and how their pathways to healing may be blocked, then we can use the relatively more precise implements of hypnosis, EMDR, imagery, and body-focused therapies to reopen them again. The basic strategy illustrated throughout this book, then, is one of combining traditional psychological models for assessment with special tools to activate energy shifts that can rebalance the mindbody system.Three kinds of common stressors associated with problematic health provide the framework for this book: (1) General stress-related symptoms; (2) Psychophysiological symptoms that result from posttraumatic stress; (3) Stress connected with organic conditions. [Adapted from Text, pp. xiv, xv] [Pilots]
Keywords: Body Psychotherapy Cognitive Therapy Ego State Therapy Hypnotherapy Stressors Survivors TFT: Thought Field Therapy
Accuracy Verified: Yes
186. McGuire-Bouwman, K. (1998). Focusing and the "power" therapies. Presentation at the 10th International Focusing Conference, Spring Valley, New York .
Language: English
Format: Conference
Abstract:
While research is needed to prove what look to be dramatic effects, the attention of medical and psychological science is being captured by approaches which work with the "body,"such as Eye Movement Desensitization and Reprocessing (EMDR), Thought Field Therapy, and Emotional Freedom Techniques™. Focusing has always been a "body-based" therapy and has always, in the experience of we who practice focusing-oriented therapy, produced results much more dramatic than "just talking" therapy. What is the relationship between focusing, EMDR, TFT, and EFT? How are they similar/different? How can knowledge of focusing therapy integrate with and enhance the application of these new "power" therapies? Without claiming to be an expert in the new techniques, Dr. McGuire will demonstrate Focusing Therapy, EMDR, and EFT with audience volunteers and lead a discussion on inter-relationships. Other focusing-oriented therapists who are specialized in one of the power therapies would be welcome to participate. If others have submitted similar proposals, we could combine into a three-hour panel with demonstrations. 1.5 hrs. Kathy McGuire-Bouwman, PhD.
Keywords: EFT Focusing Therapy
Accuracy Verified: Yes
187. Marler, M. (2005, September). Frank, E.R. Wrecked, a novel. Kliatt.
Language: English
Format: Novel(Book)
Abstract:
To quote the review of the hardcover in KLIATT, September 2005: Sixteen-year-old Anna kills her brother's girlfriend Cameron in a car crash after drinking at a party, but she was not drunk. Her best friend Ellen is also seriously injured. To make matters worse, Anna and her brother have an emotionally abusive father, a weak and distant mother, and this problem has driven a wedge into their relationship even before the trauma of the accident. This is a story of grief and the different ways people are changed by extreme events and how they heal. It is also the story of the power of friendship and the need for other people in our lives and suggests the necessity of forgiveness for the weakness of others. In addition, it explores the use of EMDR therapy to deal with post-traumatic stress disorder. Frank's use of language and her powerful flashbacks, accompanied by her insight into the human condition, make this novel rich and compelling, one whose images linger in the memory after the last page. Frank (author of America, Friction, and Life is Funny) allows her characters to speak for themselves. No authorial voice jumps in to make pronouncements. The characters chide, comfort, warn, and get angry at each other and ultimately their interactions are an essential part of the healing process. This novel's themes and execution make it an excellent read for all adolescents, though younger teens may not appreciate it as much as older teens because of its sophisticated imagery.
Accuracy Verified: No
188. Martin, K. (2013, May). Fraser’s dissociative table: When and how to use it to identify and heal emotional parts of the personality. Presentation at the Western Massachusetts EMDRIA Regional Network 9th Annual Spring Conference, Amherst MA.
Language: English
Format: Conference
Abstract:
This introductory workshop will teach the
8 steps of Fraser’s Dissociative Table Technique and
how to incorporate it into the EMDR Standard Protocol.
Case examples and video clips will be used to demonstrate
the power of this technique to identify and work
with emotional parts of the personality throughout the
healing process.
Keywords: Dissocation Fraser's Dissociative Table
Accuracy Verified: Yes
189. van der Kolk, B. A. (2005, December). Frontiers of trauma treatment. Presentation at the 5th Evolution of Psychotherapy Conference, Anaheim, CA.
Language: English
Format: Conference
Abstract:
Starting with a review of recent studies on the neurobiology of trauma, Dr. van der Kolk will examine the utility of approaches from the
fields of hypnosis, body oriented therapies and EMDR, both with research data and videotapes clinical interventions. The integration
of these approaches during different stages of treatment will be discussed.
Keywords: Trauma Treatment
Accuracy Verified: Yes
190. Pagani, M. (2013, June). Functional and structural neuroimaging and EEG monitoring related to EMDR and CBT treatments for PTSD. Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.
Language: English
Format: Conference
Abstract:
In the recent past several neuroimaging studies aimed at evaluating the neural correlates of PTSD-related psychotherapies revealing their neurobiological effects on brain function. Functional studies by single photon emission computed tomography (SPECT) and electroencephalography (EEG) detected changes in cerebral blood flow and neuronal activation patterns, identifying the brain areas implicated in the various components of emotional processing and/or affected by the disorder. Investigations by magnetic resonance imaging (MRI) have also revealed PTSD-related structural changes.
The first part of the workshop will review the neuroimaging methodologies and findings in PTSD treatment-related research with an extensive review of previous literature on the neurobiological effects of the various psychotherapies. The second part will deal with the description and implementation in research and clinic of neuropsychological testing with brief comments and discussion about their use in recent studies published by our group. In the third part the EEG monitoring of a complete set of Eye Movement Desensitization and Reprocessing therapies in 30 patients suffering of major trauma as compared to 20 healthy controls will be presented. These findings will also be compared to the neurobiological effects of trauma-focussed Cognitive Behavioural Therapy in a second group of psychologically traumatized clients. The results are the first report ever on the neurobiological changes occurring before, during and after PTSD-related psychotherapies shedding light on the neuronal processes underlying their clinical efficacy.
The description and the discussion about the contents of the workshop will provide the audience (1) the necessary information to understand the methodological principles behind neuroimaging techniques (SPECT, EEG and MRI) and their possible applications in research and clinic; (2) the up-dated critical knowledge of the published papers in the field of PTSD-related psychotherapies functional and anatomical studies; (3) the basic research principles and examples to be motivated to start, take part and/or collaborate to functional studies in order to better understand the neural basis of psychotherapeutic techniques. The presented material will represent the state-of-the-art of the current neuroscience PTSD-related research and of the neuroimaging methodologies available at the moment.
Accuracy Verified: Yes
191. Gaynor, S. T. (2002). Getting ahead of the data: Not all threats are equal. the Behavior Therapist, 25(7/8), 137-139.
Language: English
Format: Newsletter
Abstract:
I have different replies to the two
responses to my recent paper
(Corrigan, 2001). Thanks to Gaynor
(2002) for providing single-subject evidence
about Functional Analytic
Psychotherapy (FAP). My goal was not to
dismiss FAP or any of the other therapies
as ineffective. Rather, I wanted to encourage
researchers to look at the data, much
as Gaynor has done here. It also seems
that Gaynor and I agree that “going
beyond the data in promoting and disseminating
new treatments” should be a
matter of concern to behavior therapists.
We seem to part company in considering
when specific therapies fall in this error.
Gaynor seems to view behavior therapy
more liberally, suggesting the dissemination
of FAP before its empirical findings
are obtained serves the purpose of promoting
discussion and research. I have a
more conservative view. Therapies and
data are co-synchronous; one should not
precede the other
Keywords: Acceptance & Commitment Therapy Behavior Therapy Dialectical Behavior Therapy Functional Analytic Psychotherapy Letter
Accuracy Verified: Yes
192. Corrigan, P. (2001, October). Getting ahead of the data: A threat to some behavior therapies. the Behavior Therapist, 24(9), 189-193.
Language: English
Format: Newsletter
Abstract:
Replies to the comments by H. Lipke (see record 2002-12440-004) concerning the article by G. J. Devilly (see record 2001-18447-002) which discussed distraction during exposure. The author presents evidence that he feels will help an audience reach their own conclusions regarding misrepresentations in his paper. The evidence involves a brief discussion of effect sizes. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Acceptance & Commitment Therapy Behavior Therapy DBT Dialectical Behavior Therapy Functional Analytic Psychotherapy Letter Reply
Accuracy Verified: Yes
193. Richards, J. B. (2010, June). Group EMDR after individual trauma treatment as assistance back into everyday life. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The learning objectives are as follows;
By the end of the workshop, participants will demonstrate:
An awareness of the potential value of group EMDR for traumatised
clients.
An understanding of the place of group EMDR as a final stage
in treatment, after individual EMDR trauma therapy.
Familiarity with a range of EMDR techniques which are useful
in this mode of treatment.
This experiential workshop will commence with a short Power-
Point presentation, including some client material.
There will then follow a brief discussion, followed by an opportunity
to try out a group experience of using EMDR techniques
The use of group EMDR as a stage of EMDR trauma treatment
arose from the expressed need of clients for a sense of shared
experience, and peer support as they returned to everyday life
as a changed person. Many have physical impairments as a re^
suit of their traumatic experiences, and feel a sense of empathic
understanding when sharing their difficulties.
A further benefit has been the improved reflective functioning displayed
by the group members, which may be related to greater
Vagus nerve relaxation, and resulting increased neocortical activity.
The workshop leader is an accredited EMDR practitioner, who
has been treating traumatised people individually and in groups
for more than thirty years, and has been using EMDR in groups
increasingly in recent times.
Keywords: Group Therapy
Accuracy Verified: Yes
194. Allon, M. (2010, June). Group therapy of women raped in the Congo. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In 2008 i was invited to work and train professionals
working with women who had been raped in the wars raging in
the Congo. Seeing that there are tens of thousands of women
who were raped, I decided to apply a group therapy model using
EMDR The Power Point presentation will include videos of the
work and the process that was used. In addition the statistical
methods and findings of the work will be provided. The workshop
will provide further information about the power of EMDR in group settings. The workshop will provide information about
how to work with groups and when group work is not an appropriate
method of therapy. The workshop will also teach what
tools to use prior and post for assessing the results of group therapy.
The workshop will also address the difficulties and methods of
working with a population that does not know to read or write.
Keywords: Congo Group Therapy Rape Women
Accuracy Verified: Yes
195. Schneider, C. & Gismondi, M. (1999, February). A guide to the neurodevelopmental "power therapies" and their use in the treatment of PTSD and related somatic complaints . Presentation at the Winter Brain Meeting, Plam Springs, CA.
Language: English
Format: Conference
Abstract:
In this four-hour workshop, we will combine hands-on technique demonstration with psychobiological theory concerning the state-of-the-art psychotherapeutic treatment of trauma and related somatization disorders.
Learning Objectives
(1) Understand the significance and evolution of the Power Therapies, i.e., those new or little known trauma psychotherapy techniques that offer significant improvements over traditional methods in terms of the speed, depth and permanence of trauma symptom
reduction while minimizing client retraumatization or destabilization. The original "Power Therapies" categorization was developed by traumatologist Dr. Charles Figley and involves four "cutting edge" trauma psychotherapy techniques, Eye Movement
Desensitization and Reprocessing (EMDR), Thought Field Therapy (an accupressure-based desensitization tool) , Traumatic Incident Reduction and Neurolingusitic Programming's Visual-Kinesthetic Dissociation. Protocols for all four methods will be reviewed.
(2) Achieve introductory-level working knowledge of both the techniques, their underlying theoretical rationale and suspected neurophysiological mechanisms of action.
(3) Learn Power Therapy integration strategies and explore their clinical utility.
(4) Become familiar with the concept of the Neurodevelopmental Power Therapy integration strategies, it's roots in the work of Allen Schore, Bruce Perry and Bessel Van der Kolk and it's implications for Neurotherapy and the Neurosciences as a whole.
(5) Review the field experiments of Dr. Schneider combining EMDR with the "crossover point" in alpha-theta training and the possible therapeutic/ scientific synergies between EEG Brainmapping and neurotherapy on the one hand and the neurodevelopmental power therapies on the other.
Keywords: Energy Psychology Neurodevelopment Power Therapies
Accuracy Verified: Yes
196. Shapiro, F., Kaslow, F. W., & Maxfield, L. (2007). Handbook of EMDR and family therapy processes. New York: John Wiley & Sons Inc. xxxiii, 470 pp.
Language: English
Format: Book
Abstract:
Starting with the Foreword by Daniel Siegel, MD, the Handbook demonstrates in superb detail how you can combine EMDR’s information processing approach with family systems perspectives and therapy techniques. An impressive and needed piece of work, Handbook of EMDR and Family Therapy Processes provides a clear and comprehensive bridge between individual and family therapies.
Keywords: Family Therapy Processes Practice Theory
Accuracy Verified: Yes
197. Freeman, C., & Power, M. J. (2007). Handbook of evidenced-based psychotherapies: A guide to research and practice. Hoboken, NJ: John Wiley & Sons.
Language: English
Format: Book
Abstract:
At a time when evidence is everything, the comprehensive Handbook of Evidence-Based Psychotherapies handbook provides a unique, up-to-date overview of the current evidence-base for psychological therapies and major psychological disorders. The editors take a pluralistic approach, covering cognitive and behavioural therapies as well as counselling and humanistic approaches. Internationally-renowned expert contributors guide readers through the latest research, taking a critical overview of each practice’s strengths and weaknesses. A final chapter provides an overview for the future.
Keywords: Evidence-Based Psychotherapy
Accuracy Verified: Yes
198. Crenshaw, D. (2008, September-October). The healing power of play; Helping the traumatized child find safety again. Psychotherapy Networker, 32(5), 61-65.
Language: English
Format: Magazine
Abstract: W
hen children are too anxious, afraid, or traumatized to play, they can't utilize this natural resource of childhood to relieve a painful emotional state. Child therapists can help children reclaim this vital feature of emotional self-regulation by teaching, modeling, and setting the stage for the child to play.
Keywords: Children Play Therapy Psychotherapy Youth
Accuracy Verified: Yes
199. Laub, B. (2003, June). The healing power of resource connection (RC). Presentation at the annual meeting of the EMDR International Association, Rome Italy .
Language: English
Format: Conference
Abstract:
RC originated when I perceived a need to complement the standard EMDR protocol by emphasizing resources. Coming from a dialectical perspective it appeared that RC may supply accessibility to resources in the same way in which the standard protocol achieves accessibility to the problem when inquiring at the beginning of the session about the Sensory (Picture),Cognitive (NC), Emotional (feelings and SUDs) and Somatic (sensation) aspects of the problem (SCES). The dialectical tension created between the accessible poles of both, the problem and the resource, enhances the healing process by aiming towards a new balance.
The clinical experience accumulated in Israel by my collegues and myself in the last four years indicates that the procedure is working well for clients.
Keywords: Resource Connection
Accuracy Verified: Yes
200. Laub, B. (2002). The healing power of resource connection in the EMDR protocol. Presentation at the annual meeting of the EMDR Canada Association, Vancouver, British Columbia Canada.
Language: English
Format: Conference
Keywords: Resource Connection
Accuracy Verified: No
201. Laub, B. (2001, December). The healing power of resource connection in the standard EMDR protocol. EMDRIA Newsletter, 6(Special Edition), 21-27.
Language: English
Format: Newsletter
Abstract:
In the EMDR standard protocol the problem becomes accessible by inquiring about its sensory, cognitive, emotional an somatic aspects. The RC procedure similarly focused on the accessibility of resources. My assumption is that the dialectical tension between the accessible poles of the problem and the resource enhances the healing process aiming towards a new balance.
Keywords: Resource Connection
Accuracy Verified: Yes
202. Adler-Tapia, R., & Settle, C. (2009). Healing the origins of trauma: An introduction to EMDR in psychotherapy with children and adolescents. In A. Rubin & D. W. Springer (Eds.) Treatment of traumatized adults and children - Clinician's guide to evidence-based practice series (pp. 349-418). New York, NY: Wiley.
Language: English
Format: Book Section
Abstract:
What if the brain had a similar mechanism for healing psychological injuries as the body does, just like a finger can heal a cut? Imagine tapping into that healing process in the brain and helping a child who witnessed her brother accidentally killed by a school bus, who then developed a school phobia, be able to return to school and eliminate her depression. What if you could help a foster child with a history of severe and chronic abuse, reduce his disruptive symptoms within a 9-month period so that he could stabilize and be adopted? Eye movement desensitization and reprocessing (EMDR) can be used in psychotherapy to help children heal from stressful experiences of both traumatic and developmental origins. And, while EMDR is not a magic wand, it is remarkable in its efficiency in reducing or eliminating significant mental health symptoms and healing the origins of trauma. This chapter is written for clinicians who have had little or no exposure to the EMDR treatment methodology or for those who may have wondered what it is and how it works. The goal of this chapter is to summarize the use of EMDR with children with case presentations woven through the steps of the EMDR protocol. As a potential paradigm shift for child and adolescent therapists who have been trained in child development and play therapy, this chapter will not only explain why EMDR with children and adolescents makes sense, but why EMDR is the treatment of choice for many children presenting with symptoms of trauma. The experienced child therapist will also learn how child development, play therapy, and other child-focused therapies can be integrated to overall case conceptualization with the eight phases of the EMDR protocol. Initially, this chapter provides a brief description of EMDR. While Chapter 5 covered EMDR with adult clients, this chapter will focus on translating the EMDR protocol into child language from a developmentally grounded perspective for use with child clients. Given that focus, this chapter will minimize coverage of generic EMDR content that was already covered in Chapter 5. However, some overlap is inescapable. For example, like Chapter 5, this chapter will address the Adaptive Information Processing (AIP) theory that underlies the eight phases of the EMDR treatment protocol. This chapter also includes a brief theoretical overview of trauma and the impact on neurodevelopment as it guides psychotherapy. With a detailed explanation of the description, purpose, and concepts of each phase of the EMDR protocol, this chapter describes the clinical implications and procedural considerations for effectively using EMDR with children through each phase of the protocol. The chapter concludes with information for clinicians to learn how to get basic training in EMDR and advanced training in using EMDR with children. Integrated throughout this chapter are practical applications for successfully using EMDR in psychotherapy with children in order to heal the origins of trauma. With this introduction to EMDR, the reader should note that throughout this chapter, the terms client and child are often interchanged, and any reference to a child includes children and adolescents unless otherwise noted. Finally, the terms parent and caregiver refer to the child's primary caregiver. (PsycINFO Database Record (c) 2010 APA, all rights reserved)
Keywords: Adolescents Children
Accuracy Verified: Yes
203. Steele, S. L. (2003). Healing trauma: Creating a theoretical structure for nonverbal and expressive therapies in the treatment of trauma. Chicago School of Professional Psychology, Chicago, IL. AAT 3093612.
Language: English
Format: Dissertation/Thesis
Abstract:
Expressive and nonverbal therapies are increasingly being used in the treatment of trauma. This paper provides a theoretical structure that explains the mechanisms of therapeutic action so that empirical investigations can be conducted to determine the effectiveness of these modalities. Trauma, PTSD, memory, dissociation, alexithymia, and somatization are discussed. Donnel B. Stern's conceptualization of unformulated experience and David Kreuger's discussion of the body self and psychological self are explored and integrated with the neuropsychological research of Bessel A. van der Kolk and others. Finally, these concepts and research findings are integrated with expressive and nonverbal treatment approaches, including Eye Movement Desensitization and Reprocessing, Somatic Experiencing, Sensorimotor Psychotherapy, and Dance/Movement and Voice Movement therapies. [Author Abstract]
Keywords: Alexithymia Body Psychotherapy Cognitive Processes Dance Therapy Dissociative Disorders Expressive Psychotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Somatic Symptoms
Accuracy Verified: Yes
204. Burne, J. (2004). Healing without Freud or prozac. London, England: The Independent.
Language: English
Format: Newspaper
Abstract:
Where do you get the blues? Most people would say in the head. That's
where we look for mental problems. Depression, anxiety, distress are all the
result of brain chemistry going wrong - not enough serotonin, for example.
And that's why we treat them with talking therapies and "serotonin reuptake
inhibitors" such as Prozac.
Keywords: General London Overview
Accuracy Verified: Yes
205. Seubert, A. (2007, June). The heart with a door: EMDR with clients with mental disability. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract: For the past three decades clinical experience as well as research has supported the validity of counseling and psychotherapy in the treatment of clients with mental disability (MH/MR)(Objective #1). At first, behavioural therapies and later various forms of process-oriented therapy (Gestalt, creative arts, body-centered, play) have been effectively employed with this population. Particularly through the use of process therapies, it has become clear that traditional insight and cognitive therapy must be adopted in favor of experience, action, body-centeredness and “right-brain” functioning to be impactful with this population.
EMDR, given it primarily non-verbal mode of functioning, holds great promise as an effective and efficient therapy for trauma treatment with dually diagnosed clients, a population inherently vulnerable to traumatic impact. This presentation will emphasize the “phase model” aspects of trauma treatment and will demonstrate where EMDR is effective within this model (Objective #2). Attention will also be given to ways in which the basic EMDR protocol need to be adapted to meet the needs of these clients (Objective #3).
A report on the progress of a series of single case studies with client with mental disabilities in Pennsylvania as well as anecdotal reports will be utilized to demonstrate EMDR effectiveness with this population. Video clip of sessions involving clients with varying levels of functioning will give the audience a concrete experience of the adaptive use of EMDR (Objective #4).
The workshop will leave time for participants to apply the learning to cases of their own (Objective #5).
Keywords: Mental Disability
Accuracy Verified: Yes
206. Seubert, A. (2006, September). The heart with a door: An EMDR with clients with mental disabilities. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
For the past three decades clinical experience, as
well as research, has supported the validity of
counseling and psychotherapy in the treatment of
dually diagnosed (MH/MR) clients. At first
behavioral therapies and later various forms of
process-oriented therapy (Gestalt, creative arts,
body-centered, play) have been effectively
employed with this population. Particularly
through the use of process therapies it has become
clear that traditional insight,and cognitive therapy
must be adapted in favor of experience, action,
body-centeredness and "right-brain" functioning
to be impactful with this population. EMDR,
given its primarily non-verbal mode of
functioning, holds great promise as an effective
and efficient therapy for trauma treatment with
dually diagnosed clients, a population inherently
vulnerable to traumatic impact. This presentation
will emphasize the "phase model" aspects of
trauma treatment and will demonstrate where
EMDR is effective within this model. Attention
will also be given to ways in which the basic
EMDR protocol would need to be adapted to meet
the needs of these clients. A report on the progress
of a series of single case studies with clients with
mental disabilities in Pennsylvania, as well as
anecdotal reports, will be utilized to demonstrate
EMDR effectiveness with this population. Video
clips of sessions involving clients with varying
levels of functioning will give the audience a
concrete experience of the adaptive use of EMDR.
The workshop will leave time for participants to
apply the learning to cases of their own.
Keywords: Mental Retardation
Accuracy Verified: Yes
207. Seubert, A. (2008, June). A heart with a door: EMDR with clients with mental disability. Presentation at the annual meeting of the EMDR Europe Association, London, England .
Language: English
Format: Conference
Abstract:
For the past three decades clinical experience as well as research has supported the validity of counselling and
psychotherapy in the treatment of dually diagnosed (MH/MR) clients. At first behavioural therapies and later
various forms of process-oriented therapy (Gestalt, creative arts, body-centred, play) have been effectively
employed with this population. Particularly through the use of process therapies it has become clear that
traditional insight and cognitive therapy must be adapted in favour of experience, action, body-centeredness and
“right-brain” functioning to be impactful with this population. EMDR, given its primarily non-verbal mode of
functioning, holds great promise as an effective and efficient therapy for trauma treatment with dually diagnosed
clients, a population inherently vulnerable to traumatic impact. This presentation will emphasize the “phase
model” aspects of trauma treatment and will demonstrate where EMDR is effective within this model. Attention
will also be given to ways in which the basic EMDR protocol would need to be adapted to meet the needs of
these clients. A report on the progress of a series of single case studies with clients with mental disabilities in
Pennsylvania as well as anecdotal reports will be utilized to demonstrate EMDR effectiveness with this
population. Video clips of sessions involving clients with varying levels of functioning will give the audience a
concrete experience of the adaptive use of EMDR. The workshop will leave time for participants to apply the
learning to cases of their own.
Keywords: Mental Disabilities
Accuracy Verified: Yes
208. Koppel, H. (2002, February). High-speed therapy. CPJ: Counselling & Psychotherapy Journal, 13(1), 20-21 .
Language: English
Format: Magazine
Abstract: Accuracy Verified: Yes 209. Grey, E. (2009, August). Holistically stressed: A qualitative investigation of EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA . Language: English Format: Conference Abstract: Keywords: Poster Sub-Clinical Stress Accuracy Verified: Yes 210. Shapiro, F. (2012, June 13). How to take back your power after a divorce. Huffinton Post. Retrieved from http://www.huffingtonpost.com/francine-shapiro-phd/how-to-take-back-your-pow_b_1582534.html on 6/13/2012. Language: English Format: Other Abstract: Accuracy Verified: Yes 211. Brivio, R., & Bergamaschi, L. (2008, January). Human and organizational aspects affecting the
wellbeing in rescue-working activity: EMDR (Eye
movement desensitization and reprocessing),
Mirror Neuron and Stress Inoculation: The role of
training methods, practice and simulation for
psychological risks prevention and management in
emergency workers.. International Workshop Reinforce Rescuers' Resilience by Empowering a well-being Demension Workshop, Turin, Italy . Language: English Format: Conference Abstract: Keywords: Emergency Workers Mirror Neuron and Stress Inoculation Rescue-Working Activity Risk Prevention and Management Accuracy Verified: Yes 212. Lallerstedt, C. (2010). Hypnos som komplement till EMDR i behandling av posttraumatiskt stressyndrom [Hypnosis as an adjunct to EMDR in the treatment of post-traumatic stress disorder]. Orebro, Sweden: Mementum Nr 50, Rapportserie från Psykiatriskt forskningscentrum. Language: Swedish Format: Book Abstract: Keywords: Hypnosis Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 213. Lallerstedt, C. (2010). Hypnos som komplement till EMDR i behandling av posttraumatiskt stressyndrom: En deskriptiv studie, del 1 [Hypnosis as an adjunct to EMDR in the treatment of post-traumatic stress disorder: A descriptive study, part 1]
. HypnosNytt, 3, 5-17. Language: Swedish Format: Journal Abstract: Keywords: Hypnosis Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 214. van Loey, C. & Assante, S. (2011). Hypnose, EMDR, EFT -les nouveaux chemins de la guérison : soigner le corps et le psychisme par les thérapies du mouvement et de la representation [Hypnosis, EMDR, EFT-new ways of healing: healing the body and psyche in therapy movement and representation]. Escalquens : Dangles édition, ; ISBN: 9782703309000 (br) 2703309007 (br) . Language: French Format: Book Abstract: Accuracy Verified: Yes 215. Kwiatkowski, J. (2001, April 17). Hypnosis is hip: More and more people are turning to trance therapies for help with emotional problems. Buffalo, NY: The Buffalo News, Final, Lifestyles, C1. Language: English Format: Newspaper Abstract: Keywords: Buffalo Hypnosis Kent Bath Trance Therapies Accuracy Verified: Yes 216. Gaarde Madsen, P-E. (2009). I patientens tjeneste: NLP, hypnose og EMDR i kombination og samspil som en mulig virksom form for psykoterapi i det 21. århundrede [Inpatient services, NLP, hypnosis and EMDR in combination and interaction as a possible form of psychotherapy in the 21st century]. Udgave: 1, Oplag: 1 [1st ed] , Copenhagen, Dansk: Frydenlund. Language: Danish Format: Other Abstract: Keywords: Hypnosis Neurolingquistic Programming NLP Accuracy Verified: Yes 217. Klaus, P. (2005, September). The impact of childhood sexual abuse on childbearing: EMDR and other therapeutic interventions. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Child Bearing Sexual Abuse Accuracy Verified: Yes 218. Colt, K. M., & Marvasti, J. A. (2004). Innovative therapies for trauma related disorders: TARGET, TREM, and EMDR. In J. A. Marvasti (Ed.), Psychiatric treatment of victims and survivors of sexual trauma: A neuro-bio-psychological approach (pp. 73-95). Springfield, IL: Charles C. Thomas Publisher. Language: English Format: Book Section Abstract: Keywords: Emotional Trauma Empowerment Female Victims Group Education and Therapy Group Psychotherapy Human Females Models Nontraditional Treatment Models Psychological Trauma Sexual Abuse Symptoms Treatment Victimization Accuracy Verified: Yes 219. Winkler, N. (2013, May 9). Innovative therapy helps Minnesotans recover from trauma. ABC Channel 5 Eye Witness News. Retrieved from http://kstp.com/article/stories/s3028427.shtml on 5/14/2013. Language: English Format: Video Abstract: Keywords: Trauma Accuracy Verified: No 220. Nichols, L. M. (2012). Integrating complementary therapies with counseling: A qualitative study of practicing counselors' approaches to wellness. Pennsylvania State University, University Park, PA. Language: English Format: Dissertation/Thesis Abstract: Keywords: Complementary Therapies Counselor Approaches Qualitative Study Accuracy Verified: Yes 221. Talan, B. S. (2007). Integrating EMDR and imago relationship therapy in couple treatment. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 187-201). Hoboken, NJ: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Conflict Couples Couples Therapy Couple Treatment Imago Relationship Therapy Integrative Psychotherapy Integrative Therapy Approach Marriage Counseling Accuracy Verified: Yes 222. Munnukka-Dahlqvist, M. (2004, June). Integrating EMDR in psychotherapy treating complex trauma in a client with previous long-term psychotherapies. In complex traumatisation and EMDR (K. Linder, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Complex Trauma Symposium Accuracy Verified: Yes 223. Peterson, G. (2002, November). Integrating EMDR with energy healing in the treatment of DID. Presentation at the International Society for the Study of Dissociation Fall Conference, Baltimore, MD. Language: English Format: Conference Keywords: DID Dissociative Identity Disorder Energy Psychology Energy Therapies Accuracy Verified: Yes 224. Schneider, C. (2009?). Integrating energy therapies. EMDR and NFB in the treatment of closed head injuries with PTSD. Futurehealth World. Language: English Format: Other Abstract: (AE-W2-028) CD, DVD, MP3: A Futurehealth workshop which covers "Symptoms of post concussive syndrome and PTSD often overlap and may cause the therapist to miss the diagnosis of one or the other syndrome. Methods for diagnosing both from QEEG and questionnaire data will be described. Treatments involving the use of EFT and EMDR will be described with case examples. In certain cases neurofeedback and EMDR can be done in the crossover state to effect resolution of persisting traumatic images. An energy therapy involving stimulation of acupressure points can sometimes normalize the QEEG with attendant changes in visual and cognitive problems, including reading and memory dysfunction. Case material and EEG data will be presented."[Author abstract]
Keywords: Closed Head Injuries Neurofeedback NFB PCS Post Concussive Syndrome Posttraumatic Stress Disorder PTSD Accuracy Verified: No 225. Koehler, J., Zangwill, W., & Lotz, L. (2000, May). Integrating the power of EMDR into sex therapy. Presentation at the 32nd Annual Conference of the American Association of Sex Educators, Counselors,and Therapists, Atlanta, Georgia
. Language: English Format: Conference Keywords: Sex Therapy Accuracy Verified: Yes 226. Moore, R. H., Dryden, W., Frater, A., Volkman, M., Volkman, V. R., & Gerbode, F. A. (2004). Integrating therapies. In V. R. Volkman (Ed.), Beyond conversations on traumatic incident reduction (pp. 155-179). Ann Arbor, MI: Loving Healing Press. ix, 292 pp. Language: English Format: Book Section Abstract: Keywords: Behavior Therapy Cognitive Therapy Counseling Multimodal Treatment Approach EFT Emotional Freedom Therapy Emotional Trauma Integrative Psychotherapy Integrative Therapy Rational Emotive Behavior Therapy Reduction Psychotherapeutic Processes Psychotherapeutic Techniques Psychotherapy TFT Thought Field Therapy TIR Traumatic Incident Visual/Kinesthetic Dissociation V/KD Accuracy Verified: Yes 227. Keenan, L. (2010, June). The integration and progression of EMDR
within a generic primary care mental health
service. In Trainiing issues. Symposium conducted at the annual meeting of the Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Generic Primary Care Symposium Training Issues Accuracy Verified: Yes 228. Nutting, R. W. (2003, May). The integration of EMDR and body dialogue. Presentation at the annual meeting of the EMDR Europe Assocation, Rome, Italy. Language: English Format: Conference Abstract: Keywords: Body Dialogue Accuracy Verified: Yes 229. Maxfield, L., Kaslow, F. W., & Shapiro, F. (2007). The integration of EMDR and family systems therapies. In F. Shapiro, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and Family Therapy Processes (pp. 407-422). Hoboken, NJ: John Wiley & Sons Inc. xxxiii, 470 pp. Language: English Format: Book Section Abstract: Keywords: Family System Therapy Accuracy Verified: Yes 230. Woller, W. (2011, June). Integration von EMDR in tiefenpsychologische therapien [Integration of EMDR in deep psychological therapies]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: German Format: Conference Abstract: Keywords: Posttraumatic Stress Disorder PTSD Psychodyamic Therapy Accuracy Verified: Yes 231. de Villiers, E. F. (2005). An integrative approach to narrative therapy and eye movement desensitization and reprocessing (EMDR). University of Stellenbosch, South Africa. Language: English Format: Dissertation/Thesis Abstract: Keywords: Education Narrative Therapy Psychic Trauma Accuracy Verified: Yes 232. Albers, J. (2010, July). The interplay of resourcefulness and resilience in recovery: A six session approach treating addictive behaviour, an extended EMDR protocol. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Addiction Addictive Behavior Resourcefulness Resilience Accuracy Verified: Yes 233. Treadway, D. C. (2008, September). Intimacy and healing: Utilizing EMDR in couples therapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Couples Therapy Accuracy Verified: Yes 234. Miller, K. (2013, May). The intricacies of time orientation: Going beyond “What year is this?
. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Orientation Interventions Time Orientation Skills Accuracy Verified: Yes 235. Peterson, G. (2001, December). Introduction to the power therapies. Presentation at the International Society for the Study of Dissociation Fall Conference, New Orleans, LA. Language: English Format: Conference Keywords: Power Therapies Accuracy Verified: No 236. Dunne, T., & Farrell, D. (2011). An investigation into clinicians' experiences of integrating EMDR into their clinical practice. Journal of EMDR Practice and Research, 5(4), 177-188. doi:10.1891/1933-3196.5.4.177. Language: English Format: Journal Abstract: Keywords: Dissemination of Empirically Supported Therapies Integration Psychtherapeutic Orientations Accuracy Verified: Yes 237. McGoldrick, J. (1997, November/December). Invisible force. Common Boundary. Language: English Format: Magazine Abstract: Keywords: Energy Psychology TFT Thought Field Therapy Accuracy Verified: Yes 238. Snyker, E. (1998). The invisible volcano: Overcoming denial of rage. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 91-112). New York: W. W. Norton. xii, 292 pp. Language: English Format: Book Section Abstract: Keywords: Adults Americans Anger Anxiety Disorders Brief Psychotherapy Case Report Child Abuse Defense Mechanisms Depressive Disorders Females Life Experiences Psychotherapeutic Processes Survivors Treatment Effectiveness Accuracy Verified: Yes 239. Holmshaw, E. M. (2012, October). Is EMDR a safe place plus desensitisation? Considerations for when, how and why to ‘embed’ EMDR in other therapies. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK. Language: English Format: Conference Abstract: Accuracy Verified: Yes 240. Staff. (2001, December). Is EMDR effective? A meta-analytic answer. Clinician's Research Digest, 19(12), 5. Language: English Format: Newsletter Abstract: Keywords: Efficacy Accuracy Verified: Yes 241. Knipe, J. (1998). It was a golden time...: Treating narcissistic vulnerability. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 232-255), New York: Norton. Language: English Format: Book Section Abstract: Keywords: Adults Americans Case Report Defense Mechanisms Life Experiences Males Posttraumatic Stress Disorder PTSD Self Concept Survivors Treatment Effectiveness Accuracy Verified: Yes 242. Burne, J. (1994, July 26). Just follow my finger, can simple eye treatments cure deep-seated traumas?. London, England: The Independent. Language: English Format: Newspaper Abstract: At 38, Emma was walking Which? -guide to therapies:
behaviourist, cognitive, hypnosis,
family and psychiatry. For
18 years she had tried the lot in an
increasingly despairing attempt 'to
conquer her agoraphobia. So it was
with considerable scepticism that
she embarked last year on a new
therapy - Eye Movement
Desensitisation and Reprocessing
(EMDR) - that was apparently
achieving miracle cures across the
United States. What made her
even more wary was that It
sounded as absurdly simple as it
was bizarre. Keywords: General London Overview Accuracy Verified: Yes 243. Shapiro, F. (2006, September). Know the why and how to choose your what: Some essentials of EMDR model and methodology. Preconference presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: P Keywords: Methodology Accuracy Verified: Yes 244. Ziveri, D. (2002). L'efficacia dell‘EMDR nella psicoterapia del PTSD e dei ricordi traumatici: Valutazione delle risposte del potenziale elettrodermico (SPR) attraverso il biofeedback [The effectiveness of EMDR psychotherapy on PTSD and traumatic memories: Assessing the potential electrodermal responses (SPR) through biofeedback]. WWW.Psicotraumatologia.com, Pubblicazioni in linguia italiana.. Language: Italian Format: Dissertation/Thesis Abstract: Keywords: Biofeedback Posttraumatic Stress Disorder PTSD SPR Treatment Efficacy Accuracy Verified: Yes 245. Lazzari, D. (2008, Novembre). L'EMDR in ottica PNEI (interazione corpo-mente) [EMDR in optical PNEI (interaction body-mind)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Body-Mind Interaction PNEI Accuracy Verified: Yes 246. Sanchez, G. (2012). La felicidad sabe a mandarina – Una reflexión sobre el desplazamiento forzado en colombia e intervención psicoterapeutica con EMDR [Happiness knows Mandarin - A reflection on forced displacement in Colombia and psychotherapeutic intervention with EMDR]. Revista Iberoamericana de Psicotraumatología y Disociación, 4(1). Language: Spanish Format: Other Abstract: Keywords: Colombia Displacement Accuracy Verified: Yes 247. Gauvreau, P. (2007). La methode eye movement desensitization and reprocessing (EMDR) comme traitement du trouble d'anxiete generalisee [The method and eye movement desensitization reprocessing (EMDR) as treatment of generalized anxiety disorder] [Second article:] Preliminary evidence for the efficacy of EMDR in treating generalized anxiety disorder.. Universite de Sherbrooke, Canada, 115 pages. AAT NR37973. Language: English Format: Dissertation/Thesis Abstract: Keywords: GAD Generalized Anxiety Disorder Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 248. Servan-Schreiber, D. (2002). La psychothérapie par l’EMDR et la nouvelle médecine humaniste [Psychotherapy by EMDR and the new medical humanist]. Présentation de la thérapie EMDR par
David Servan-Schreiber, MD, PhD(1), Revue Américaine Alternatives Therapies in Health Medecine. Language: French Format: Other Abstract: Keywords: Medical Humanist Accuracy Verified: Yes 249. Haour, F., & Servan-Schreiber, D. (2009). Les bases neuroscientifiques de l’EMDR [Neuroscientific bases of EMDR]. In J. Cottraux (Ed.), TCC et Neurosciences (pp.187-202). Issy-les-Moulineaux: Elsevier Masson. Language: French Format: Book Section Abstract: Keywords: Neuroscience Neuroscientific Bases Accuracy Verified: Yes 250. Naden, G. (2002, May 25). Life's a stitch. United Kingdom: Telegraph. Language: English Format: Newspaper Abstract: Keywords: General London Overview Accuracy Verified: Yes 251. Lucena, R. (2011, 24 de Setembro). Livro aborda terapia contra traumas [Book covers therapy for trauma]. Tribuna do Norte. Retrieved from http://tribunadonorte.com.br/noticia/livro-aborda-terapia-contra-traumas/197067 on September 25, 2011. Language: English Format: Newspaper Abstract: Accuracy Verified: Yes 252. Paulsen, S. L. (2010, February). Looking through the eyes: EMDR & ego state therapy across the dissociative continuum. Presentation at the 3rd World Congress of Ego State Therapy, Sun City, South Africa. Language: English Format: Conference Abstract: There are two workshops that are similar, in that they describe ways to work with dissociative clients in the phased approach recommended by the Treatment Guidelines of the International Society for the Study of Trauma and Dissociation, to which Dr. Paulsen contributed for the Third Revision That phased approach emphasizes stabilization and containment before conducting EMDR, and then using a measured approach to pace the use of EMDR for maximal safety for dissociative clients. The first workshop teaches the ego state methods to do this, and this second workshop describes somatic methods as well as ego state methods.
[The second workshop ”Looking Through the Eyes: EMDR & Ego State and Somatic Therapies Acrosss the Dissociative Continuum” with its own entry describes somatic methods as well as ego state methods, making that workshop very full indeed.]
This first workshop will elaborate on the key phase of stabilization, before ever conducting EMDR for a dissociative client. It will describe ways to increase affect tolerance, employ somatic resourcing, and other somatic methods to reconfigure ego states, use a two-step containment strategy for traumatic material and for ego states. A key focus is on working directly with perpetrator introjects or other “monstrous” disowned or shameful parts, to minimize resistance and internal conflict. Leading edge methods for resetting affective circuits and clearing very early attachment trauma will be touched upon.
Participants will be able to: 1. Explain why and when to assess every client for degree of dissociation prior to doing EMDR and choose an appropriate protocol, 2. Utilize a phased approach to therapy, including EMDR when and where appropriate, for complex dissociative clients, 3. List six tactics for stabilizing clients, prior to doing EMDR for dissociative clients to increase rapport, increase soma tolerance, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources, 4. Prepare for EMDR processing using ego state and other methods to clarify roles and plan the work, 5. Structure EMDR sessions using imagery, ego state interventions (and somatic methods, for the second workshop) for pacing, fractionating and trouble shooting the work, and 6.For the somatic version of the workshop, list several somatic interventions to assist with various phases work with dissociative clients.
Keywords: Dissociative Continuum Ego State Therapy Accuracy Verified: Yes 253. Paulsen, S. L. (2009). Looking through the eyes: EMDR, Ego state & somatic therapies across the dissociative continuum. Presentation at the Bainbridge Institute for Integrative Psychology, Bainbridge Island, Washington
. Language: English Format: Other Abstract: Keywords: Dissociative Continuum Ego State Therapy Somatic Resourcing Accuracy Verified: Yes 254. Ehlers, A., Gene-Cos, N., & Perrin, S. (2009). Low recognition of post-traumatic stress
disorder in primary care. London Journal of Primary Care, 2, 36–42. Language: English Format: Journal Abstract: Accuracy Verified: Yes 255. Greenwald, R. (1993, Fall/Winter). Magical installations can empower clients to slay their dragons. EMDR Network Newsletter, 3(2), 16-17. Language: English Format: Newsletter Abstract: Keywords: Installation Premature Installation Accuracy Verified: Yes 256. Litt, B. K. (2005, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Couples Therapy Ego State Therapy Integenerational Pathogegenesis of Ego Fragmentation Accuracy Verified: Yes 257. Litt, B. K. (2004, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada. Language: English Format: Conference Abstract: Keywords: Couples Therapy Ego State Therapy Accuracy Verified: Yes 258. Litt, B. K. (2006, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Couples Therapy Ego State Therapy Accuracy Verified: Yes 259. Litt, B. (2007, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Couples Therapy Ego State Therapy Accuracy Verified: Yes 260. Litt, B. (2008, September). The marriage of EMDR and ego state theory in couples therapy - Power tips. Author. Language: English Format: Other Abstract: Keywords: Couples Therapy Ego State Therapy Power Tips Accuracy Verified: Yes 261. Litt, B. K. (2003, September). The marriage of EMDR and ego state therapy in couples therapy. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Couples Therapy Ego State Therapy Integenerational Pathogogenesis of Ego Fragmentation Accuracy Verified: Yes 262. Babb, N. R. (2006, May 25). MCLB Barstow provides revolutionary therapy to cure PTSD in fewer visits. Defense Department Documents and Publications, Department of Defense U. S. Marine Corps Releases. Language: English Format: Other Abstract: Keywords: Base Barstow David Nieman Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 263. Suzuki, A., Josselyn, S. A., Frankland, P. W., Masushige, S., Silva, A. J., & Satoshi, K. (2004). Memory reconsolidation and extinction have distinct temporal and biochemical signatures. Journal of Neuroscience, 24(20), 4787–4795. doi:10.1523/jneurosci.5491-03.2004. Language: English Format: Journal Abstract: Keywords: Consolidation Extinction Fear Conditioning Reconsolidation Protein Synthesis Spatial Memory Accuracy Verified: Yes 264. Hagen, H. A. (2012, May). Mental health professionals’ perspectives of best practices with children who have
experienced complex trauma. University of St. Thomas. Language: English Format: Dissertation/Thesis Abstract: Keywords: Best Practice Children Trauma Accuracy Verified: Yes 265. Usita, A. L. (2012, April). Mental health providers' perspectives on youth trauma services: Usual care and evidence-based practices. University of Hawaii at Hilo. 1511570. Language: English Format: Dissertation/Thesis Abstract: Keywords: EBP Evidence-based practices Accuracy Verified: Yes 266. Lee, C. W., & Cuijpers, P. (2012, November). A meta-analysis of the contribution of eye movements in processing emotional memories. Journal of Behavior Therapy and Experiential Psychiatry, 44(2), 231-239. doi:10.1016/j.jbtep.2012.11.001. Language: English Format: Journal Abstract: Keywords: Meta-Analysis Review Accuracy Verified: Yes 267. Kehle, S., Polusny, M., & Meis, L. (2009, November). A meta-analytic review of exposure
therapy and EMDR in the treatment of
adult PTSD. Presentation at the 25th Annual Meeting of the International Society for Traumatic Stress Studies, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Exposure Therapy Meta-analysis Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 268. Kehle, S., Polusny, M., & Meis, L. (2009, November). A meta-analytic review of exposure therapy and EMDR in the treatment of adult PTSD. Presentation at the 25th annual meeting of the International Society for Traumatic Stress Studies, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Adult Exposure Therapy Meta-Analytic Review Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 269. Binder, J. L. (2007, June). Mind or brain? Where does therapeutic change originate? A reaction to 'The reunion process: A new focus in short-term dynamic psychotherapy. Psychotherapy, 44(2), 137-141. doi:10.1037/0033-3204.44.2.137. Language: English Format: Journal Abstract: Keywords: Attachment Attachment Behavior Brief Psychotherapy Early Memories Memory Theory Panic Disorder Psychodynamic Psychotherapy Psychotherapeutic Processes Relapse Short-term Dynamic Psychotherapy Accuracy Verified: Yes 270. Siegel, D. (2011, August). Mindsight and the power of neutral integration in healing. Plenary presented at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Neural Integration Accuracy Verified: Yes 271. Cooper, G. (2007, January-February). A more powerful antidepressant. Psychotherapy Networker, 31(1), 19-22. Language: English Format: Magazine Abstract: Keywords: Antidepressants Chronic Fatigue Syndrome Mental Health Care Medical Treatment Accuracy Verified: Yes 272. Wells, J. (1992, October 26). Moving finger points way to better performance. The Australian. Language: English Format: Magazine Abstract: Keywords: General Overview Sports Performance Accuracy Verified: No 273. de Tienda, R. & de Lafregeyre, R. (2010, Marzo). Nacer conectado, vivir consciente: amor, quiropractica, EMDR: las tres claves para crecer sano [To be born connected, to live consciously: Love, chiropractic and EMDR]. Barcelona, Espana: Ediciones Obelisco . Language: Spanish Format: Book Abstract: Keywords: Chiropractic Medicine Health Infants Natural Therapies Accuracy Verified: Yes 274. Manfield, P. (1995, June). Narcissistic disorders: Using EMDR with these difficult clients. Presentation at the EMDR Network Conference Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Narcissistic Personality Disorder Accuracy Verified: Yes 275. Martino, B. (2009, July 3). The neurobiologically inferred treatments for trauma: EMDR and sensorimotor therapies. Presentation at the National Register of Advanced Hypnotherapists and the Swindon PTSD Working Group, Swindon, UK. Language: English Format: Conference Keywords: Neurobiology Sensimotor Techniques Accuracy Verified: Yes 276. Paulsen, S., & Lanius, U. (2011, November). Neurobiology and dissocation: Information processing and the embodied self. Presentation at the 28th annual meeting of the International Society for the Study of Trauma and Dissociation, Montreal, Quebec. Language: English Format: Conference Abstract: Keywords: Dissociation Embodies Self Information Processing Neurobiology Accuracy Verified: Yes 277. Pagani, M. (2011, June). Neuroimaging and novel neurobiological findings in EMDR research [Neuroimaging und neuartige neurobiologische erkenntnisse in der EMDR forschung]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Neurobiology Neuroimaging Accuracy Verified: Yes 278. Husted, A. (1994, November 9). New therapies help rape survivors recover. Atlanta, GA: The Atlanta Journal and The Atlanta Constitution, Health Watch, G/3. Language: English Format: Newspaper Abstract: Keywords: Atlanta Barbara Rothbaum Rape Accuracy Verified: Yes 279. Zangwill, W. (1996). New trends in cognitive behavioral therapies: EMDR. Presentation at the annual conference of the American Psychological Association, Toronto, Ontario Canada. Language: English Format: Conference Keywords: CBT Cognitive Behavioral Therapy Accuracy Verified: No 280. Gene-Cos, N. (2010, April). New ways of working with complex PTSD and head injury. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: Keywords: Head Injury Traumatic Brain Injury Posttraumatic Stress DIsorder PTSD Accuracy Verified: Yes 281. Staff. (2001, November 5). Nontraditional therapy uses eye movement to ‘desentisize’. Lancaster, PA: Intelligencer Journal, Lifestyle, B-5. Language: English Format: Newspaper Abstract: Keywords: Donna Knudsen General Lancaster Overview Accuracy Verified: Yes 282. Goes, D. A. B. (2012, Novembro). O poder da minha prática: Um caso clínico de enurese noturna [The power of my practice: A case study of nocturnal enuresis]. In EMDR na infância. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Clinical Case Enuresis Accuracy Verified: Yes 283. Zanonato, A. S., & Carvalho, E. R. (2009, Dezembro). O uso do EMDR na terapia de casais e famílias [The use of EMDR in couples and family therapy]. Pensando Famílias, 13(2), 117-129. Language: Portuguese Format: Journal Abstract: Keywords: Couples Therapy Family Therapy Trauma Accuracy Verified: Yes 284. Grenough, M. (2008, September). OASIS in the overwhelm - For you & your clients: 4 breif strategies to calm, relax, re-wire the brain. Presentation at the annual meeting of EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: OASIS Relaxation Exercises Accuracy Verified: Yes 285. Harper, M., Rasolkhani-Kalhorn, T., & Drozd, J. F. (2009, June). On the neural basis of EMDR therapy: Insights from qEEG studies. Traumatology, 15(2), 81-95. doi:10.1177/1534765609338498 . Language: English Format: Journal Abstract: Keywords: Memory Neuronal Response Frequency Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 286. Taylor, S. (2003, Summer). Outcome predictors for three PTSD treatments: Exposure therapy, EMDR, and relaxation training. Journal of Cognitive Psychotherapy, 17(2), 149-162. doi:10.1891/jcop.17.2.149.57432. Language: English Format: Journal Abstract: Keywords: Adults Brief Psychotherapy Disability Evaluation Empirical Study Exposure Therapy Follow-up Study Insurance Legal Processes Manual-Based Treatments Quantitative Study Relaxation Therapy Posttraumatic Stress Disorder PTSD Random Clinical Trial Reexperiencing RCT Social Security Stressors Survivors Treatment Dropouts Treatment Effectiveness Treatment Outcome/Clinical Trial Accuracy Verified: Yes 287. Agius, M., Middleton, E., & Zaman, R. (2011, January). P02-466 - Audit and re-audit of patients with PTSD in a community team in Bedfordshire, UK. European Psychiatry, 26(1), 1062. doi:10.1016/S0924-9338(11)72767-5. Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 288. Anderson, S. (2002, September 25). Parent power. Glasgow, Scotland: Daily Record, Vital, 14. Language: English Format: Newspaper Abstract: Keywords: General Glasgow, Scotland Overview Accuracy Verified: Yes 289. Lanius, U., & Paulsen, S. L. (2010, September/October). Part II - Towards an embodied self: The treatment of traumatic dissociation. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Embodied Self Traumatic Dissociation Accuracy Verified: Yes 290. Mosquera, D., & Gonzalez, A. (2011, June). Personality disorders and EMDR [Persönlichkeitsstörungen und EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Personality Disorders Accuracy Verified: Yes 291. Elofsson, U. O. E., von Scheele, B., Theorell, T., & Sondergard, H. P. (2008, May). Physiological correlates of eye movement desensitization and reprocessing. Journal of Anxiety Disorders, 22(4), 622-634. doi:10.1016/j.janxdis.2007.05.012. Language: English Format: Journal Abstract: Keywords: Autonomic Physiology Empirical Study Heart Rate Variability Males Orienting Response Posttraumatic Stress Disorder Psychophysiology PTSD Quantitative Study Respiration Refugees Accuracy Verified: Yes 292. Park, S.-C. (2011, February). Plasma levels of neurotrophic factors predict responses to eye movement desensitization and reprocessing
in complex posttraumatic stress disorder. Hanyang University, Graduate School, Seoul, Korea. Language: English Format: Dissertation/Thesis Abstract: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Neurotrophic Factors Plasma Levels Accuracy Verified: Yes 293. Daniel, J. (2000). Play therapy and EMDR. The Children’s Group Association Newsletter. Retrieved from http://www.cgta.net/newsletters/play_therapy.html
November 16, 2011. Language: English Format: Newsletter Abstract: Keywords: Children Play Therapy Accuracy Verified: Yes 294. Neely, J. T. (1998, January 27). Pod Power – Psychologist explores innovative, drug-free treatment of attention deficit hyperactivity disorder. Spokane, WA: The Spokesman-Review, Spokane, D1. Language: English Format: Newspaper Abstract: Accuracy Verified: No 295. Rost, C. (2008). Position der macht [Position of power]. In C. Rost (Hsrg.) Ressourcenarbeit mit EMDR, bewährte techniken im uberblick [Resources working with EMDR. Proven techniques at a glance: From survival to life] (pp. 31-38). Paderborn: Junfermann. Language: German Format: Book Section Accuracy Verified: Yes 296. Tryon, W. W. (2005, January). Possible mechanisms for why desensitization and exposure therapy work. Clinical Psychology Review, 25(1), 67-95. doi:10.1016/j.cpr.2004.08.005. Language: English Format: Journal Abstract: Keywords: Systematic Desensitization Exposure Therapy Learning-Memory Mechanism Accuracy Verified: Yes 297. Staff. (2002, May 26). Post traumatic stress. Glasgow, Scotland: Sunday Mail. Language: English Format: Newspaper Abstract: Keywords: Glasgow, Scotland Posttraumatic Stress Accuracy Verified: Yes 298. Creamer, M., & O'Donnell, M. (2002). Post-traumatic stress disorder. Current Opinion in Psychiatry, 15(2), 163-168. Language: English Format: Journal Abstract: Keywords: Cognitive Therapies Drug Therapy Exposure Therapies Posttraumatic Stress Disorder Prevention Primary Prevention PTSD Risk Factors Secondary Prevention Susceptibility (Disorders) Treatment Vulnerability Factors Accuracy Verified: Yes 299. Sekhon, R. (2008). Post-traumatic stress disorder and treatment. Rose University of Lethbridge, Lethbridge, Alberta Canada. Language: English Format: Dissertation/Thesis Abstract: Keywords: Posttraumatic Stress Disorder PTSD Treatment Accuracy Verified: Yes 300. Brock, S. E. (2007, August). Posttraumatic stress disorder: Effective school mental health response. Chicago Public Schools,and University of Illinois at Chicago, Student Center West. Language: English Format: Other Abstract: Keywords: Posttraumatic Stress Disorder PTSD Schools Accuracy Verified: Yes 301. Cohen-Posey, K. (2009, August). The power of EMDR: Evoking the self. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Negative Cognitions Accuracy Verified: Yes 302. Cohen-Posey, K. (2011, May). The power of EMDR: Evoking the self. Presentation at the Israel EMDR Association. Language: Hebrew Format: Conference Abstract: Accuracy Verified: Yes 303. Cornil, C. (2012, June). The power of now in EMDR [El
poder
del
ahora
en
EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Power of Now Accuracy Verified: Yes 304. Justman, S. (2011, March). The power of rhetoric: Two healing movements. Yale Journal of Biology and Medicine, 84(1), 15-25. Language: English Format: Journal Abstract: Keywords: Mesmerism Accuracy Verified: Yes 305. Greenwald, R. (1999, November-December). The power of suggestion - Comment on EMDR and mesmerism: A comparative historical analysis. Journal of Anxiety Disorders, 13(6), 611-615. doi:10.1016/S0887-6185(99)00019-5.. Language: English Format: Journal Abstract: Keywords: Franz Anton Hypnotherapy Mesmerism Professional Criticism Accuracy Verified: Yes 306. Devilly, G. J. (2005, June). Power therapies and possible threats to the science of psychology and psychiatry. Australian & New Zealand Journal of Psychiatry, 39(6), 437-445. doi:10.1111/j.1440-1614.2005.01601.x
. Language: English Format: Journal Abstract: Keywords: Commentary Energy Psychotherapy Literature Review Neurolinguistic Programming NLP Psychotherapeutic Processes TFT: Thought Field Therapy TIR: Traumatic Incident Reduction Treatment Effectiveness Accuracy Verified: Yes 307. Rosen, G., Lohr, J., McNally, R. J., & Herbert, J. D. (1998, April). Power therapies, miraculous claims, and the cures that fail. Behavioural and Cognitive Psychotherapy, 26(2), 99-101. Language: English Format: Journal Abstract: Keywords: Commentary Placebo Postraumatic Stress Disorder PTSD Stressors Survivors TFT Thought Field Therapy TIR Traumatic Incident Reduction Treatment Effectiveness Accuracy Verified: Yes 308. Rosen, G., Lohr, J., McNally, R. J., & Herbert, J. D. (2000). Power therapies, miraculous claims, and the cures that fail. In M. J. Scott & S. Palmer (Eds.), Trauma and post-traumatic stress disorder (pp. 134-136) New York: Cassell Books. Language: English Format: Book Section Abstract: Recent 'Power Therapies' claim near miraculous cures but fare less well under controlled testing. These developments recall for cognitive behavior therapists the history of past 'cures' that temporarily induced high levels of expectancies, but failed the test of time. [Author Abstract]
Originally published as "Power therapies, miraculous claims, and the cures that fail," Behavioural and Cognitive Psychotherapy 26: 99-101 (1998) [Pilots] Keywords: Posttraumatic Stress Disorder PTSD Stressors Survivors TFT Thought Field Therapy TIR Traumatic Incident Reduction Treatment Effectiveness Accuracy Verified: Yes 309. Commons, M. L. (2000, August). The power therapies: A proposed mechanism for their action and suggestions for future empirical validation. Traumatology, 6(2), 119-138. doi:10.1177/153476560000600205 . Language: English Format: Journal Abstract: Keywords: Conditioned Emotional Responses TFT Thought Field Therapy Neurolinguistic Programming NLP: Posttraumatic Stress Disorder PTSD TIR: Traumatic Incident Reduction Accuracy Verified: Yes 310. Poole, A. D., de Jongh, A., & Spector, J. (1999, January). Power therapies: Evidence versus emotion: A reply to Rosen, Lohr, McNally and Herbert. Behavioural and Cognitive Psychotherapy, 27(1), 3-8. Language: English Format: Journal Abstract: Keywords: Letter Literature Review Outcome Research Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness Accuracy Verified: Yes 311. Rosen, G., Lohr, J., McNally, R. J., & Herbert, J. D. (1999, January). Power therapies: Evidence vs. miraculous claims. Behavioural and Cognitive Psychotherapy, 27(1), 9-12. Language: English Format: Journal Abstract: Keywords: Letter Placebo Posttraumatic Stress Disorder PTSD Stressors Sham Therapies Survivors TFT Thought Field Therapy TIR Traumatic Incident Reduction Treatment Effectiveness Accuracy Verified: Yes 312. Spierings, J. (2010, June). Power-interweaves: (Non-)cognitive interweaves
for persistent guilt and other
tenacious problems. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Cognitive Interweave Persistent Guilt Power Interweave Accuracy Verified: Yes 313. American Psychiatric Association. (2004, November). Practice guidelines for the treatment of patients with acute stress disorder and posttraumatic stress disorder. Arlington, VA: American Psychiatric Association Practice Guidelines. Language: English Format: Publication Abstract: Keywords: Treatment Guidelines Accuracy Verified: Yes 314. Karatzias, A., Power, K., McGoldrick, T., Brown, K., Buchanan, R., Sharp, D., & Swanson, V. (2007, February). Predicting treatment outcome on three measures for post-traumatic stress disorder. European Archives of Psychiatry and Clinical Neuroscience, 257(1), 40-46. doi:10.1007/s00406-006-0682-2. Language: English Format: Journal Abstract: Keywords: Empirical Study Postraumatic Stress Disorder Predictors PTSD Quantitative Study Treatment Outcome Accuracy Verified: Yes 315. Lehrer, P. M., Woolfolk, R. L., & Sime, W. E. (2007). Principles and practice of stress management. (3rd. ed.) New York, NY, US: Guilford Press. Language: English Format: Book Abstract: Keywords: Stress Management Accuracy Verified: Yes 316. Gonzalez, A., Mosquera, D., & Seijo, N. (2010, April). Processing dissociative phobias with EMDR. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: The standard EMDR protocol (SP) was designed for the treatment of simple PTSD, and when it´s used on this cases, EMDR is a very powerful therapy. But when SP is applied on complex trauma and dissociative disorders 20% of patients may become de-compensated. The importance of the stabilization phase has been remarked by different authors. The existent proposals are to use interventions coming from different approaches sometimes enhanced with bilateral stimulation. Standard procedures used for simple PTSD must be adapted and modified for working with dissociative disorders. To do this is important to understand from recent research work what we know about the effects of EMDR therapy. We will try to dynamically integrate these features with conceptualizations coming from the EMDR Adaptive Information Processing Model (AIP) and the Theory of the Structural Dissociation of the Personality (TSDP) TSDP emphasizes the importance of working with dissociative phobias prior to trauma work. In the stabilization phase the work on the phobia of dissociative parts and of attachment (and the attachment with the therapist) is the most important one. We will show with clinic cases the effect of this intervention on improving internal communication and collaboration and overcoming therapist-patient relationship problems. Keywords: Phobias Accuracy Verified: Yes 317. Lohr, J. M., Montgomery, R. W., Lilienfeld, S. O., & Tolin, D. F. (1999). Pseudoscience and the commercial promotion of trauma treatments. In R. Gist, & B. Lubin, (Eds.), Response to disaster: psychosocial, community, and ecological approaches (pp. 291-326). Philadelphia: Brunner/Mazel. Language: English Format: Book Section Abstract: Keywords: Posttraumatic Stress Disorder Professional Criticism PTSD Scientific Research Stressors Survivors TFT Thought Field Therapy Treatment Effectiveness Accuracy Verified: Yes 318. Crnobaric, C. O., Milovanovic, S., & Simic, S. (2002 ). Psihoterapija post-traumatskog stresnog poremećaja [Psychotherapy of post traumatic stress disorders]. Engrami - časopis za kliničku psihijatriju, psihologiju i granične discipline, 24(3-4), 123-133. Language: Croatian Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD Accuracy Verified: Yes 319. Freeman, C. (2006, July). Psychological and drug therapies for post-traumatic stress disorder. Psychiatry, 5(7), 231-237. doi:10.1016/j.mppsy.2009.06.001. Language: English Format: Journal Abstract: Keywords: Cognitive Therapy Drug Treatment Exposure Posttraumatic Stress Disorder PTSD SSRIs Stress-related Disorders Trauma Trauma Psychotherapy Accuracy Verified: Yes 320. Freeman, C. P. (2009, August). Psychological and drug therapies for posttraumatic stress disorder. Psychiatry, 8(8), 301-309. doi:10.1016/j.mppsy.2009.06.001. Language: English Format: Journal Abstract: Keywords: BEP Brief Eclectic Psychotherapy Drug Therapies Drug Treatment Group Psychotherapy PE Prolonged Exposure Posttraumatic Stress Disorder Psychotherapy PTSD Trauma-Focused CBT Treatment Accuracy Verified: Yes 321. Bryant, R. A. (2011). Psychological interventions for trauma exposure and PTSD. In Dan J. Stein, Matthew J. Friedman, & Carlos Blanco (eds.), Post-traumatic stress disorder (pp. 171-202). Chichester, West Sussex, UK : John Wiley & Sons. Language: English Format: Book Section Abstract: Keywords: Interventions Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 322. Adshead, G. (2000). Psychological therapies for post-traumatic stress disorder. British Journal of Psychiatry, 177(2), 144-148. doi:10.1192/bjp.177.2.144. Language: English Format: Journal Abstract: Keywords: Fear Posttraumatic Stress Disorder PTSD Shame Accuracy Verified: Yes 323. Gillies, D., Taylor, F., Gray, C., O’Brien, L., & D’Abrew, N. (2012). Psychological therapies for the treatment of post-traumatic stress disorder in children and adolescents (Review). Cochrane Database of Systematic Reviews (Online), 12, CD006726. doi:10.1002/14651858.CD006726.pub2. Language: English Format: Journal Abstract: Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD Review Accuracy Verified: Yes 324. Carruth, B. (2006). Psychological trauma and addiction treatment. Binghamton, NY: Haworth Press. Language: English Format: Book Abstract: Accuracy Verified: Yes 325. Bisson, J., & Andrew, M. (2007, 2009 ). Psychological treatment of post-traumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews, 3, Art. no. CD003388. doi:10.1002/14651858.CD003388.pub3. Language: English Format: Journal Abstract: Keywords: Meta-analysis Review Accuracy Verified: Yes 326. Bisson, J. I., Ehlers, A., Matthews, R., Pilling, S., Richards, D., & Turner, S. (2007, February). Psychological treatments for chronic post-traumatic stress disorder: Systematic review and meta-analysis. British Journal of Psychiatry, 190(2), 97-104. doi:10.1192/bjp.bp.106.021402. Language: English Format: Journal Abstract: Keywords: Chronic Mental Illness Cognitive Behavior Therapy Cognitive Therapy Group Counseling Literature Review Meta Analysis Posttraumatic Stress Disorder PTSD Stress Management Systematic Review Trauma Accuracy Verified: Yes 327. Bisson, J. (2005, November). Psychological treatments for PTSD. Symposium conducted at the 21st International Society for Traumatic Stress Studies Conference, Toronto, Ontario. Language: English Format: Conference Abstract: Keywords: Posttraumatic Stress Disorder PSTD Psychological Treatments Symposium Accuracy Verified: Yes 328. Goode, E. (2004, March 9). Psychology police challenge theories. Torrance, CA: Daily Breeze, A7. Language: English Format: Newspaper Abstract: Keywords: General Overview Torrance, CA Accuracy Verified: Yes 329. Rosen, G. M., & Davidson, G. C. (2003, July). Psychology should list empirically supported principles of change (ESPs) and not credentialed trademark therapies or other treatment packages. Behavior Modification, 27(3), 300-312. doi:10.1177/0145445503027003003. Language: English Format: Journal Abstract: Keywords: Behavior Principles Empirically Supported Therapy Treatment Outcome Accuracy Verified: Yes 330. Schellong, J. (2010, June). Psychophysiological responsivity to trauma and internal resources in patients with PTSD and healthy subjects. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Posttraumatic Stress Disorder PTSD Research Responsivity Symposium Trauma Accuracy Verified: Yes 331. Adler-Nevo, G., & Manassis, K. (2005, September). Psychosocial treatment of pediatric posttraumatic stress disorder: The neglected field of single-incident trauma. Depression and Anxiety, 22(4), 177-189. doi:10.1002/da.20123. Language: English Format: Journal Abstract: Keywords: Adolescents Case Studies Cognitive Therapy Literature Review Pediatric Play Therapy Psychotherapy Review School Age Children PTSD Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 332. Solomon, S. D. (1997, Winter). Psychosocial treatment of posttraumatic stress disorder. In Session: Psychotherapy in Practice, 3(4), 27-41. doi:10.1002/(SICI)1520-6572. Language: English Format: Journal Abstract: Keywords: Adults Cognitive Therapy Drug Therapy Exposure Therapy Group Psychotherapy Hypnotherapy Posttraumatic Stress Disorder Prevention Psychoanalytic Psychotherapy PTSD Stressors Survivors Accuracy Verified: Yes 333. Foa, E. (2000). Psychosocial treatment of posttraumatic stress disorder. Journal of Clinical Psychiatry, 61(Supplement 5), 43-51. Language: English Format: Journal Abstract: Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness Accuracy Verified: Yes 334. Rothbaum, B. (2001). Psychosocial treatments for posttraumatic stress disorder. The Economics of Neuroscience: Ten, 3(10), 59-63. Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD Review Accuracy Verified: Yes 335. Fouya, V. (2010, Novembre). Psychotherapie - EMDR: Le pouvoir des yeux [Psychotherapy - EMDR: The power of eyes]. Le Vif/L'express, (Supplement) Extra, (46), 36. Language: French Format: Magazine Abstract: Accuracy Verified: Yes 336. Nijdam, N. J., Gersons, B. P. R., Reitsma, J. B., de jongh, A., & Olff, M. (2012). Psychotherapie voor posttraumatische stressstoornis: Directe vergelijking van twee
behandelingen [Psychotherapy for posttraumatic stress disorder: Direct comparison of two treatments]. Tijdschrift voor Psychiatrie, 54(4), 397-398. Language: Dutch Format: Journal Abstract: Keywords: CBT Cognitive Behavioral Therapy Research Accuracy Verified: No 337. Schnyder, U. (2005). Psychotherapies pour les PTSD – Une vue d’ensemble [Psychotherapies for PTSD – An overview]. Psychotherapies, 25(1), 39-52. doi:10.3917/psys.051.0039. Language: French Format: Journal Abstract: Keywords: Crisis Intervention Interdisciplinary Treatment Approach Multimodal Treatment Posttraumatic Stress Disorder Power Therapies Psychotherapy PTSD Accuracy Verified: Yes 338. Porpiglia, T. (2011, June 30). PTSD can be managed!. Salem-News. Retrieved from http://www.salem-news.com/articles/june302011/managing-ptsd-tp.php on 2/3/2013. Language: English Format: Newspaper Abstract: Keywords: General Overview Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 339. Atkinson, C. (2011, June 6). PTSD therapy offered to army by Ministry of Defence. BBC News. Retrieved from http://www.bbc.co.uk/news/health-13672770 on June 12, 2011. Language: English Format: Other Abstract: Keywords: Military Ministry of Defence Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 340. Cahill, S. P., & Foa, E. B. (2007, March 1). PTSD: Treatment efficacy and future directions. Psychiatric Times, 24(3), 32. Language: English Format: Magazine Abstract: Keywords: Posttraumatic Stress Disorder PSTD Treatment Efficacy Accuracy Verified: Yes 341. Miller, P. W. (2004, December). Pure gold – an EMDR case cameo from Northern Ireland. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net 12/27/2008. Language: English Format: Other Abstract: Keywords: Cognitive Interweave Accuracy Verified: Yes 342. Cuvelier, M. (2001, July/August). The pursuit of pseudoscience. Psychology Today, 34(4), 24-25. Language: English Format: Magazine Abstract: F Keywords: Pseudoscience Accuracy Verified: Yes 343. van der Gaag, M., van der Vleugel, B., van den Berg, D., de Bont, P., de Jongh, A., & van Minnen, A. (2011, August-September). A randomized multicentered trial of trauma
focused treatment of psychotic patients with
PTSD in the Netherlands; design and research
questions. In Treating PTSD in patients
with psychotic disorders. Symposium conducted at the 41st EABCT Annual Congress, Reykjavík, Iceland . Language: English Format: Conference Abstract: Keywords: Netherlands Posttraumatic Stress Disorder PTSD Psychotic Disorders Symposium Accuracy Verified: Yes 344. Mason, P. (2013, March 5). The realities of PTSD: Healing in small doses. LivingWithAnxiety.com. Retrieved from http://www.livingwithanxiety.com/lifestyle/ptsd/the-realities-of-ptsd-healing-in-small-doses 3/13/2013. Language: English Format: Other Abstract: Keywords: Blog Posttraumatic Stress Disorder PTSD Veterans Accuracy Verified: Yes 345. Stern, L. L., & Grey, E. (2010, September/October). A recipe for health: Combining expressive arts with EMDR in the treatment of eating disorders. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Eating Disorders Expressive Arts Poster Accuracy Verified: Yes 346. Cole, J. W. (2005). The reenactment protocol for trauma and trauma-related pain. In R. Shapiro, Robin (Ed.), EMDR solutions: Pathways to healing (pp. 213-227). New York: W W Norton & Co. Language: English Format: Book Section Abstract: Keywords: Physical Pain Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes Reexperiencing Stressors Survivors Accuracy Verified: Yes 347. Gallo, F. P. (1996, January). Reflections on Active Ingredients in Efficient Treatments of PTSD,, Part 2. Traumatology, 2(2), 9-14. doi:10.1177/153476569600200202. Language: English Format: Journal Abstract: Keywords: Neurolinguistic Programming NLP Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD TFT Thought Field Therapy TIR Traumatic Incident Reduction Accuracy Verified: Yes 348. Jadrnak, J. (1997, May 19). Refocusing with the eyes. Albuquerque, NM: Albuquerque Journal, Health, C1. Language: English Format: Newspaper Abstract: Keywords: Albuquerque General Overview Accuracy Verified: Yes 349. Mosquera, D., Gonzalez, A., & Seijo, N. (2010, April). Relational problems in severely traumatized patients. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: Keywords: Relationship Issues Trauma Accuracy Verified: Yes 350. Parnell, L. (2012). Resource tapping activating your healing resources through bilateral stimulation. Shreveport, LA: Summit Interactive. Language: English Format: Video Abstract: Keywords: Resource Tapping Accuracy Verified: Yes 351. Parnell, L. (2009, July). Resource tapping: Step-by step instructions for managing emotions and reducing anxiety with trauma patients
. Presentation at the National Institute for the Clinical Application of Behavioral Medicine Annual Conference, Hilton Head, S.C.. Language: English Format: Conference Abstract: Keywords: Mind-Body Medicine Resource Tapping Accuracy Verified: Yes 352. Greyber, L., Dulmus, C. N., & Cristalli, M. E. (2009, October). A review of EMDR intervention studies with children. Poster presented at Society for Psychotherapy Research European Conference, Bolanzo, Italy. Language: English Format: Conference Abstract: Accuracy Verified: Yes 353. Bogdanovic, V. (2008, Novembre). Rileggere la scuola del dissociazionismo (da Janet, Ferenzi, Jung fino a Kalsched) - le radici e oltre [Reread the dissociation school(from Janet, Ferenzi, Jung to Kalsched) - The roots and beyond]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia
. Language: Italian Format: Conference Abstract: Keywords: Dissociation Janet Jung Poster Accuracy Verified: Yes 354. Dietrich, A. M. (2001, April). Risk factors in PTSD and related disorders: Theoretical, treatment, and research implications. Traumatology, 7(1), 23-50. doi:10.1177/153476560100700103. Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PSTD Risk Factors Accuracy Verified: Yes 355. Sharp, I. R. (2003, August). The role of critical thinking skills in practicing psychologists' theoretical orientation and choice of intervention techniques. Drexel University. Language: English Format: Dissertation/Thesis Abstract: Accuracy Verified: Yes 356. Amendolia, R. D., Bressler-Wakesburg, E., & Giles-Monroe, E. (2004, September). The role of culture, ethnicity and spirituality in the treatment of trauma. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada. Language: English Format: Conference Abstract: Keywords: Culture Ethnicity Spirituality Trauma Accuracy Verified: Yes 357. Amendolia, R. D., & Gemme, J. (2006, September). The role of culture, ethnicity and spirituality in the treatment of trauma. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Culture Ethnicity Spiriturality Accuracy Verified: Yes 358. Smyth, N. (2003, August). Role of exposure in EMDR treatment of PTSD. Presentation at 111th the annual meeting of the American Psychological Association, Toronto, Ontario Canada. Language: English Format: Conference Abstract: Keywords: Exposure Therapy Posttraumatic Stress Disorder PTSD Treatment Outcomes Accuracy Verified: Yes 359. Direzkia, Y., & Syahriati, E. (2010, July). Safe place: An ambilvance?. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Safe Place Accuracy Verified: Yes 360. Young, J. E., Klosko, J. S., & Weishaar, M. E.
(2003). Schema therapy: A practitioner's guide. New York: The Guilford Press
. Language: English Format: Book Abstract: Keywords: Schema-Focused Therapy Accuracy Verified: Yes 361. Lilienfeld, S. (2012). Science and pseudoscience in clinical psychology. New York: Guilford Publications . Language: English Format: Book Abstract: Keywords: Pseudoscience Skeptics Accuracy Verified: Yes 362. Scarf, M. (2004). Secrets, lies, betrayals: How the body holds secrets of a life and how to unlock them. 1st ed. New York: Random House. Language: English Format: Book Abstract: Accuracy Verified: Yes 363. Schwartz, M. (1998, May 19). Seeing their way clear - Eye movement psychotherapy is helping people who seem unable to free themselves from negative memories, reactions and behaviors. Riverside, CA: The Press-Enterprise, F01. Language: English Format: Newspaper Abstract: Keywords: General Oveview Riverside Accuracy Verified: Yes 364. Sorensen, S. (2007). Seelische selbstheilungskraft
ganzheitliche EMDR-selbsttherapie und individuierende selbstanalyse [Mental self-healing: Holistic self-therapy and EMDR individuating self] . Norderstedt: Books on Demand GmbH . Language: German Format: Book Abstract: Keywords: Holistic Healing Individuation Accuracy Verified: Yes 365. Sorensen, S. (2007). Seelische selbstheilungskraft ganzheitliche EMDR - Selbsttherapie und individuierende selbstanalyse [Mental self healing power: Holistic EMDR self therapy and individual self-analysis]. Norderstedt Books on Demand GmbH. Language: German Format: Book Abstract: Accuracy Verified: No 366. Forrest, M. S. (1995, June). Self-soothing and the multiple trauma survivor. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Accuracy Verified: Yes 367. Carlos, R. M. (2011, janeiro). Sem medo de voar: Terapia de reprocessamento de memórias promete combater os antigos [Flying without fear: Therapy for the reprocessing of old memories vows to fight]. Aero Magazine, 26-27. Language: Portuguese Format: Magazine Abstract: Keywords: Fear of flying Carvalho Accuracy Verified: Yes 368. Bates, B. (2003, August). Sensory-based PTSD therapy may prove more calming than words. Clinical Psychiatry News, 31(8), 53. Language: English Format: Newspaper Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 369. Leserman, J. (2005). Sexual abuse history: Prevalence, health effects, mediators, and psychological treatment. Psychosomatic Medicine, 67(6), 906-915. doi:10.1097/01.psy.0000188405.54425.20. Language: English Format: Journal Abstract: Keywords: HMO Health Maintenance Organization HPA Hypothalamic-Pituitaryadrenocortical Review Posttraumatic Stress DIsorder PTSD Sexual Abuse Trauma Accuracy Verified: Yes 370. Edmond, T., Sloan, L., & McCarty, D. (2004, July). Sexual abuse survivors’ perceptions of the effectiveness of EMDR and eclectic therapy. Research on Social Work Practice, 14(4), 259-272. doi:10.1177/1049731504265830. Language: English Format: Journal Abstract: Keywords: Adults Americans Child Abuse Depressive Disorders Empirical Study Females Individual Psychotherapy Mixed Methods Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Quantitative Study Rape Survivors Treatment Effectiveness Accuracy Verified: Yes 371. Chivers-Wilson, K. A. (2006). Sexual assault and posttraumatic stress disorder: A review of the biological, psychological and sociological factors and treatments. McGill Journal of Medicine, 9(2), 111-118. Language: English Format: Journal Abstract: Keywords: Pharmacotherapy Posttraumatic Stress Disorder PTSD Rape Sexual Assault Trauma Accuracy Verified: Yes 372. Koedam, W. S. (2007). Sexual tauma in dsfunctional marriages: Integrating structural therapy and EMDR. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp.223-242). Hoboken, NJ: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Dysfunctional Marriages Emotional Trauma Integrative Psychotherapy Marriage Counseling. Sexual Abuse Sexual Trauma Structural Family Therapy Accuracy Verified: Yes 373. Minton, K. (2009, May). Somatic resourcing and EMDR. Plenary presented at the EMDR Canada Conference, Vancouver, British Columbia Canada. Language: English Format: Conference Abstract: Keywords: Depression Plenary Somatic Resourcing Accuracy Verified: Yes 374. Arnold, L. (1995). Some nontraditional (unconventional and/or innovative) psychosocial treatment for children and adolescents: Critique and proposed screening principles. Journal of Abnormal Child Psychology, 23(1), 125-140. doi:10.1007/BF01447048 . Language: English Format: Journal Abstract: Keywords: Adolescents Adventure Therapy Aversion Therapy Biofeedback Training Body Psychotherapy Children Literature Review Research Needs Treatment Effectiveness Accuracy Verified: Yes 375. Dworkin, M. (2006, Maggio). Strategies related to the therapeutic role. Presentation at the National Conference, Association for EMDR in Italy, Firenza, Italy. Language: English Format: Conference Abstract: Keywords: Therapeutic Role Accuracy Verified: Yes 376. Pelling, N., Brear, P., & Lau, M. (2006, June). A survey of advertised Australian counsellors. International Journal of Psychology, 41(3), 204-215, DOI: 10.1080/00207590544000202. . Language: English Format: Journal Abstract: Keywords: Counseling Counselor Characteristics Counselors Counselor Education Empirical Study Professional Development Professional Organizations Quantitative Study Accuracy Verified: Yes 377. Mendes, D. D., Mello, M. F., Ventura, P., Passarela, Cde. M., Mari, J. de J. (2008). A systematic review on the effectiveness of cognitive behavioral therapy for posttraumatic stress disorder. International Journal of Psychiatry Medicine, 38(3), 241-259. doi:10.2190/PM.38.3.b. Language: English Format: Journal Abstract: Keywords: CBT Cognitive Behavioral Therapy Comparative Study Posttraumatic Stress Disorder PTSD Systematic Review Accuracy Verified: Yes 378. Puliatti, M., & Giannantonio, M. (2008, April). T08-O-15 Childhood sexual abuse and vulvodynia: Hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR) – An integrated approach. Revue Europeènne de Sexologie et de Santè Sexuelle, 17(Supplement 1), S109-S110. doi:10.1016/S1158-1360(08)72816-0 . Language: English Format: Journal Abstract: Keywords: Dyspareunia Dysesthetic Vulvodynia Sexual Pain Sexological Techniques Accuracy Verified: Yes 379. L'Abate, L. (1999). Taking the bull by the horns: Beyond talk in psychological interventions. The Family Journal: Counseling and Therapy for Couples and Families, 7(3), 206-220. Language: English Format: Journal Abstract: Keywords: Commentary Computer Applications Computer Assisted & Programmed Distance Writing Interventions Oral Communication Preference to Traditional Talk-Oriented Techniques Therapeutic Processes Written Communication Accuracy Verified: Yes 380. Iglesias, E. (2000, June 16). Terapias para fortalercer el yo interno [Therapies to strengthen the inner self]. Miami, FL: El Nuevo Herald, Final, Galeria, 8C. Language: Spanish Format: Newspaper Abstract: Keywords: General Overview Miami Accuracy Verified: Yes 381. Tullis, K. F., Westscott, C. L., & Winton, T. R.
(2003). A theory on the use of cognitive behavioral therapy (CBT) plus eye movement desensitization and reprocessing (EMDR) to reduce suicidal thoughts in childhood trauma victims. In K. F. Tullis's (Ed.), The Courage to Live Workbook. Memphis: KFT Press. Language: English Format: Other Abstract: Keywords: CBT Cognitive Behavioral Therapy Accuracy Verified: Yes 382. Woller, W. (2010, July). Therapeutic relationship in the treatment of traumatized clients with personality disorders. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Interpersonal Relationship Personality Disorders Accuracy Verified: Yes 383. Musaeus-Schurmann, B. (2005, June). Therapeutical difficulties in the trauma therapy of a three year old boy bitten by a dog. EMDR and children. Symposium conducted at the annual meeting of the EMDR Europe Assocation, Brussels, Belgium. Language: English Format: Conference Abstract: Keywords: Children Dog Bite Symposium Accuracy Verified: Yes 384. McAleavy, T. (1996, April 22). Therapies opening a “window of understanding”. Bergen County, NJ: The Record, All Editions, Lifestyle, H4. Language: English Format: Newspaper Abstract: Keywords: Bergen County General Overview Accuracy Verified: Yes 385. Marich, J. N. (2010). To the editor. Journal of EMDR Practice and Research, 4(2), 100-101. doi:10.1891/1933-3196.4.2.100. Language: English Format: Journal Abstract: Keywords: Letter Accuracy Verified: Yes 386. Knipe, J. (2002, June). A tool for working with dissociative clients. EMDRIA Newsletter, 7(2), 14-15. Language: English Format: Newsletter Abstract: Keywords: Dissociation Accuracy Verified: Yes 387. Parnell, L. (2011). Transformation through the power of EMDR
advanced clinical applications. Shreveport, LA: Summit Interactive. Language: English Format: Video Abstract: Keywords: Container Accuracy Verified: Yes 388. Welling, H. (2012, June). Transformative emotional sequence: Towards a common principle of change. Journal of Psychotherapy Integration, 22(2), 109 -136. doi:10.1037/a0027786. Language: English Format: Journal Abstract: Keywords: Accelerated Experiential-Dynamic Psychotherapy AEDP Coherence Therapy CT EFT Emotopm-Focused Therapy TES Transformative Emotional Sequence Accuracy Verified: Yes 389. Ferrie, R. K. (2006, September). Transforming imagery in the treatment of complex PTSD. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Mental Imagery Accuracy Verified: Yes 390. Krystal, D. S., Berbower, S., Katz, I., Pregerson, S., Slyman, S., & Wager, J. (1995, June). Transpersonal psychotherapy panel: EMDR & transpersonal approaches to psychotherapy. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Guided Imagery Hypnosis Panel Transpersonal Transpersonal Psychotherapy Accuracy Verified: Yes 391. Lievegoed, R., & Seubert, A. (2004, June). Trauma and beyond: EMDR in the treatment of traumatized clients with mental retardation (MH/MR diagnosis). In children and EMDR (J. Morris-Smith, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden
. Language: English Format: Conference Abstract: Keywords: Children Developmentally Disabled Dually Diagnosed (MH/MR) Mental Retardation Symposium Posttraumatic Stress Disorder PTSD Trauma Treatment Accuracy Verified: Yes 392. Bumke, P. (2011, June). Trauma centered psychotherapy and EMDR in a humanitarian mass disaster: Evaluating the ACEH experience. Keynote presented at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: ACEH Disasters Keynote Plenary Accuracy Verified: Yes 393. Schleyer, M. A. (2000, July). The trauma client's experience of eye movement desensitization and reprocessing: A heuristic analysis. Union Institute and University, Cincinnati, OH. AAT 9958854 . Language: English Format: Dissertation/Thesis Abstract: Keywords: Adults Americans Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 394. Brown, P. A. (2012). Trauma research and treatment of combat veterans: An evidence-based integrative literature review. California Institute of Integral Studies, San Francisco, CA. Language: English Format: Dissertation/Thesis Abstract: Keywords: Combat Veterans Literature Review Accuracy Verified: Yes 395. Zandvoort, J. (2013, April). Traumagerichte psychotherapie bij kinderen en jongeren: een gerandomiseerde vergelijking (RCT) tussen EMDR en Trauma-focused Cognitive Behavioural Therapy bij kinderen en jongeren met posttraumatische stress klachten [Trauma-focused psychotherapy for children and adolescents: a randomized comparison (RCT) between EMDR and Trauma-focused cognitive behavioural therapy for children and adolescents with post-traumatic stress symptoms]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland. Language: Dutch Format: Conference Abstract: Keywords: Adolescents Chidren Posttraumatic Stress Disoreder PTSD Trauma-Focused Cognitive Behavioural Therapy Accuracy Verified: Yes 396. Huso, D. R. (2010, March/April). Treating child abuse trauma with EMDR. Social Work Today, 10(2), 20. Retrieved from http://www.socialworktoday.com/archive/032210p20.shtml 8/3/2010 . Language: English Format: Magazine Abstract: Accuracy Verified: Yes 397. Staff. (2000). Treating complex PTSD II: Stabilization techniques, therapeutic modalities. Cavalcade Productions, Inc., Nevada City, CA. Language: English Format: Video Abstract: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Posttraumatic Stress Disorder PTSD Stabilization Techniques Therapeutic Modalities Treatment Accuracy Verified: No 398. Peterson, G. (2003, November). Treating DID with energy psychotherapies. Presentation at the 20th International Society for the Study of Dissociation Fall Conference, Chicago, IL. Language: English Format: Conference Keywords: DID Dissociative Identity Disorder Energy Psychology Energy Therapies Accuracy Verified: Yes 399. Marcus, S. (2007, June). Treating headaches with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Headaches Health Problems Illness Pain Accuracy Verified: Yes 400. Marcus, S. (2010, June). Treating headaches with integrated EMDR. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Headaches Accuracy Verified: Yes 401. Falls, N. (1998). Treating trauma with focusing and EMDR. Presentation at the 10th Annual International Focusing Conference. Language: English Format: Conference Abstract: Keywords: Focusing Accuracy Verified: Yes 402. United Kingdom Department of Health. (2001). Treatment choice in psychological therapies and counseling; evidence based clinical practice guideline. London, England: Author. Language: English Format: Publication Abstract: Keywords: Treatment Guidelines Accuracy Verified: Yes 403. Ford, J. D. (2009). Treatment of children and adolescents with traumatic stress disorders. In J. D. Ford's (Ed.) Posttraumatic Stress Disorder: Scientific And Professional Dimensions (pp. 223-250). New York: Academia Press. Language: English Format: Book Section Abstract: Keywords: Adolescents Children Traumatic Stress Disorders Accuracy Verified: No 404. Institute of Medicine, Committee on Treatment of Posttraumatic Stress Disorder (2008). Treatment of posttraumatic stress disorder: An assessment of the evidence. Atlanta, GA: The National Academies Press. Language: English Format: Other Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 405. Ladd, G. (2007). Treatment of psychological injury after a scuba-diving fatality. Diving and Hyperbaric Medicine, 37(1), 36-39. Language: English Format: Journal Abstract: Keywords: Scuba Diving Accuracy Verified: Yes 406. Hodes, M., & Diaz-Caneja, A. (2007). Treatment options for young people and refugees with post-traumatic stress disorder II. In A. A. Hosin (Ed.), Responses to traumatized children, (pp. 40-65). Basingstoke, England: Palgrave Macmillan. Language: English Format: Book Section Abstract: Keywords: Posttraumatic Stress Disorder PTSD Refugees Treatment Young People Accuracy Verified: Yes 407. van der Kolk, B. A. (2004, September). Treatment outcome research in EMDR. Plenary presented at the annual meeting of the EMDR International Association, Montréal, Quebec Canada. Language: English Format: Conference Abstract: Keywords: Outcome Research Plenary Accuracy Verified: Yes 408. Vidal, C., Santed, A., Sánchez, S., Mattioli, G., & Serrano, M. J. (2006, Febrero). Un caso clínico de trastorno de identidad disociativo (TID) tratado con EMDR e ICV: Una cierta integración (que para la paciente ha representado una experiencia vitalizante mayúscula) [A clinical case Dissociative Identity Disorder (DID) treated with EMDR and ICV: A certain integration has been reached (which for the patient has represented a major revitalizing experience)]. Comunicación presentada en: 7º Congreso Virtual de Psiquiatría, Barcelona, Spain. Language: Spanish Format: Conference Abstract: Keywords: DID Dissociation Dissociative Identity Disorder MPD Multiple Personallity Disorder Psychological Trauma Psychotherapy, VCI Psychotherapy Accuracy Verified: Yes 409. Rubin, A. (2003, March). Unanswered questions about the empirical support for EMDR in the treatment of PTSD: A review of research. Traumatology, 9(1), 4-30. doi:10.1177/153476560300900102 . Language: English Format: Journal Abstract: Keywords: Literature Review Posttraumtic Stress Disorder PTSD Treatment Effectiveness Accuracy Verified: Yes 410. National Center for PTSD. (2011, February). Understanding PTSD treatment. Washington, DC: U. S. Department of Veteran's Affairs. Language: English Format: Publication Abstract: Keywords: Posttraumatic Stress Disorder PTSD Treatment Accuracy Verified: Yes 411. Taylor, S. (2000, July 14). University of British Columbia UBC psychologists offer free post-trauma stress therapy. PressWire. Language: English Format: Other Abstract: Keywords: Trauma Therapy Accuracy Verified: Yes 412. Chambless, D.L., Sanderson, W.C., Shoham, V., Bennett Johnson, S., Pope, K.S., Crits-Christoph, P., Baker, M., Johnson, B., Woody, S.R., Sue, S., Beutler, L., Williams, D.A., & McCurry, S. (1996). An update on empirically validated therapies. The Clinical Psychologist, 49, 5-18. Language: English Format: Journal Abstract: Accuracy Verified: Yes 413. Chambless, D. L., Baker, M. J., Baucom, D. H., Beutler, L. E., Calhoun, K. S., Crits-Christoph, P., Daiuto, A., DeRubeis, R., Detweiler, J., Haaga, D. A. F., Bennett Johnson, S., McCurry, S., Mueser, K. T., Pope, K. S., Sanderson, W. C., Shoham, V., Stickle, T., Williams, D. A., & Woody, S. R. (1998, Winter). Update on empirically validated therapies, II. Clinical Psychologist, 51(1), 3-16. Language: English Format: Journal Abstract: Keywords: Treatment Guidelines Accuracy Verified: Yes 414. Salomonsen, L. J., Skovgaard, L., la Cour, S., Nyborg. L., Launsø, L., & Fønnebø, V. (2011, January). Use of complementary and alternative medicine at Norwegian and Danish hospitals. BMC Complementary and Alternative Medicine, 11(4), 8 pages. doi:10.1186/1472-6882-11-4. Language: English Format: Journal Abstract: Keywords: Alternative Medicine Complementary Medicine Denmark Norway Accuracy Verified: Yes 415. Ferrie, R. (2012, April). The use of dreams in ego state and EMDR therapies for trauma and dissociation. Presentation at the annual meeting of the EMDR Canada, Montreal, Canada. Language: English Format: Conference Abstract: Keywords: Dissociation Dreams Ego State Therapy Trauma Accuracy Verified: Yes 416. Dellucci, H. (2011, December). The use of EMDR in the treatment of patients with complex dissociative disorders related
to trauma. Presentation at the First European Society for Trauma and Dissociation, Paris, France . Language: English Format: Conference Abstract: Keywords: Dissociative Disorders Accuracy Verified: Yes 417. Gupta, M., & Gupta, A. (2003, September/October). Use of eye movement desensitization and reprocessing (EMDR) in the treatment of dermatologic disorders. Journal of Cutaneous Medicine and Surgery, 6(5), 415-421. doi:10.1007/s10227-001-0116-8. Language: English Format: Journal Abstract: Keywords: Dermatological Disorders Accuracy Verified: Yes 418. Bermudez, J. S. (2002, January). The use of eye movement desensitization and reprocessing (EMDR) within a multi-modal treatment program for child victims of extrafamilial sexual abuse. Carlos Albizu University, Miami, FL. AAT 3057608. Language: English Format: Dissertation/Thesis Abstract: Keywords: Brief Psychotherapy Child Abuse Empirical Study Family Therapy Posttraumatic Stress Disorder PTSD Rape School Age Children Survivors Accuracy Verified: Yes 419. Holstein, B. (2001, June). The use of focusing with EMDR. Presentation at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Accuracy Verified: Yes 420. Gross, L., & Ratner, H. (2002). The use of hypnosis and EMDR combined with energy therapies in the treatment of phobias and dissociative, posttraumatic stress, and eating disorders. In F. P. Gallo (Ed.), Energy psychology in psychotherapy: A comprehensive sourcebook (1st ed.) (pp. 219-231) New York: W. W. Norton. Language: English Format: Book Section Abstract: Keywords: Adults Dissociative Disorders Eating Disorders Energy Psychotherapy Hypnotherapy Phobias Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD TFT Thought Field Therapy Stressors Survivors Accuracy Verified: Yes 421. Rost, C. (2005, June). Using EMDR during the stabilization phase for patients with complex trauma. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: English Format: Conference Abstract: Keywords: Complex Trauma Stabilization Accuracy Verified: Yes 422. Carbone, D. (2004, September). Using EMDR to treat trauma as a result of childhood ridicule in gay men. Presentation at the annual meeting of the EMDR International Association, Montréal, Quebec Canada. Language: English Format: Conference Abstract: Keywords: Gay Men Homosexuals Ridicule Accuracy Verified: Yes 423. Thompson, P. (1995, June). Using EMDR with adolescents: Life changes for adlescents - an empowerment tool. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Adolescents Self Coaching Accuracy Verified: Yes 424. Gates, D. P. (2001, June). Using EMDR with juvenile sex offenders. Presentation at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Keywords: Juvenile Sex Offenders Accuracy Verified: Yes 425. Gates, D. P. (2002, June). Using EMDR with juvenile sex offenders and sexually reactive children. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Juvenile Sex Offenders Sexual Reactivity Accuracy Verified: Yes 426. Kreitzberg, J. (2011). Using magneto encephalography to determine the therapeutic efficacy of EMDR in the treatment of PTSD. Symposium presented at the Annual Linfield College Science Symposium. Language: English Format: Conference Abstract: Keywords: Efficacy Magneto Encephalography Posttraumatic Stress Disorder PTSD Treatment Accuracy Verified: Yes 427. Lovell, C., & Langford, K. (2005, September). Utilizing EMDR and DBT techniques in trauma and abuse recovery groups. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Borderline Personality Disorder CBT Cognitive Behavioral Therapy, Dialectical Behavioral Therapy DBT Posttrauamatic Stress Disorder PTSD Trauma Recovery Groups Accuracy Verified: Yes 428. Lovell, C. (2005). Utilizing EMDR and DBT techniques in trauma and abuse recovery groups. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 263-282). New York: W W Norton & Co. Language: English Format: Book Section Abstract: Keywords: Adults Borderline Personality Disorder Cognitive Therapy Comorbidity DBT Dialectical Behavior Therapy Females Group Psychotherapeutic Processes Posttraumatic Stress Disorder Psychotherapy PTSD Stressors Survivors Accuracy Verified: Yes 429. Seponski, D. M., Bermudez, J. M., & Lewis, D. C. (2010, July). Utilizing responsive evaluation to explore EMDR as a culturally responsive model of therapy across Asia. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Asia Responsive Evaluation Poster Accuracy Verified: Yes 430. U.S. Department of Veterans Affairs & U.S. Department of Defense. (2004). VA/DoD clinical practice guidelines for the management of post-traumatic stress. Washington, DC: Office of Quality and Performance (10Q-CPG/PTSD-04). Language: English Format: Publication Abstract: Keywords: Treatment Guidelines Accuracy Verified: Yes 431. Frazier, K. (2000, July/August). The visible appeal of invisible energy fields. Skeptical Inquirer, 24(4), 4. Language: English Format: Magazine Abstract: Keywords: Editorial Energy Fields Accuracy Verified: Yes 432. Martinez, M. (2001, June 25). Waking from the nightmare. El Paso, TX: El Paso Times, Relationships, 03D. Language: English Format: Newspaper Abstract: Keywords: El Paso General Overview Accuracy Verified: Yes 433. Elgin, E. (2008, September 7). What is EMDR? A client's perspective. Mental Health Issues Examiner. Retrieved from http://www.examiner.com/x-796-Mental-Health-Issues-Examiner~y2008m9d7-What-is-EMDR-A-Clients-Perspective 3/4/2009. Language: English Format: Other Abstract: Accuracy Verified: Yes 434. Amendolia, RA., & Morier, J. (1998, July). When right is might: The power of visual metaphor in EMDR treatment of children and adults. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD . Language: English Format: Conference Abstract: Keywords: Affect Cognitions Cognitive Interweaves Narrative Constrictionism Research Protocol Visual Metaphor Accuracy Verified: Yes 435. Amendolia, R., & Morier, J. (1998, July). When right is might: The power of visual metaphor in EMDR treatment of children and adults. Presentation at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Keywords: Adults Children Metaphor Accuracy Verified: Yes 436. Hurley, E. C. (2012, January 27). When veterans come home. Huffington Post. Retrieved from http://www.huffingtonpost.com/e-c-hurley-phd/ptsd-veterans_b_1228541.html on 1/27/2012. Language: English Format: Other Abstract: Keywords: Blog Postraumatic Stress Disorder PTSD Veterans War Accuracy Verified: Yes 437. Scaer, R. (1999, February). Whiplash, pain and PTSD: The gain in pain comes mainly from the brain. Presentation at the Winter Brain Meeting, Palm Springs, CA. Language: English Format: Conference Abstract: Keywords: Pain Posttraumatic Stress Disorder PSTD Whiplash Accuracy Verified: Yes 438. Figgess, S. (2009). Working with trauma. A journey towards integration: Gestalt and EMDR. British Gestalt Journal, 18(1), 34-41. Language: English Format: Journal Abstract: Keywords: Body Sensation Gestalt Inter-Psychic Intersubjective Neural Integration Self-Integration Unfinished Business Accuracy Verified: Yes 439. Fine, C. J., & Berkowitz, S. A. (1999, November). Wreathing Protocol: The imbrication of EMDR and
hypnosis in the treatment of childhood onset PTSD. Poster presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL. Language: English Format: Conference Abstract: Keywords: Children Hypnosis Poster Posttraumtic Stress Disorder PTSD Wreathing Protocol Accuracy Verified: Yes 440. Silver, S. M. (1995). The “active ingredient” project and EMDR perspective of a participant. EMDR Network Newsletter, 5(3), 4-5. Language: English Format: Newsletter Abstract: Keywords: Active Ingredient Accuracy Verified: Yes 441. Rosen, G. M., & Davison, G. C. (2001, October). “Echo attributions” and other risks when publishing on novel therapies without peer review. Journal of Clinical Psychology, 57(10), 1245–1250. doi:10.1002/jclp.1092. Language: English Format: Journal Abstract: Keywords: Echo Attributions Power Therapies TFT Thought Field Therapy Accuracy Verified: Yes 442. Ramírez, S. G. U. (2010, Octubre/Noviembre
To the researcher’s knowledge, there is no phenomenological knowledge of Eye Movement Desensitization and Reprocessing (EMDR) with a sub-clinical stressed population. The vast majority of EMDR research has focused on traumatized and clinical populations, leaving a significant gap in what the non-traumatized or sub-clinically stressed participants’ experience. Sub-clinical stress includes any level of stress that does not meet the DSM-IV-TR’s criteria for posttraumatic stress disorder (PTSD) or acute stress disorder (ASD). Additionally, a gap in the literature exists in giving a voice to the participants’ experience of EMDR treatment. The purpose of this study was to evaluate the lived experiences of body sensations, emotions, beliefs, and imagery during EMDR treatment of participants with sub-clinical stress. Participants fit into either a young adult (18-35), adult (36-49), or older adult (50-60) maturity category and did not meet the criteria for PTSD or ASD. The sample consisted of 12 participants, from a large metropolitan area in the Northeastern United States. The participants chief complaints included economic stress, relationship stressor, and critical self-talk. The researcher employed a qualitative phenomenological design to gather data in order to answer the research question: what are the lived experiences of sub-clinically stressed participants’ body sensations, beliefs, emotions, and memory imagery during EMDR treatment? The data was collected using the EMDRIA approved research treatment protocol. The researcher included the floatback technique in every reprocessing session to complying with the tenet of the Adaptive Information Processing Model. After installing a safe-place and five reprocessing sessions, the researcher administered a final interview asking questions about what the participants’ experienced in their body, thoughts, emotions, and memory images. All reprocessing session were completed when the participant indicated a SUDs of ‘0’ and a VOC of ‘7’. The data collected during every reprocessing session and the final interviews were analyzed using constant comparative techniques and open coding; verified with member check techniques. The results identify five thematic holistic experiences common in all participants. The themes of responsibility, safety, choices, power, and value emerged from the data. The findings indicate a participants’ lived experience may expand the cognitive themes described in the Adaptive Information Processing Model. The themes of responsibility, safety, power, and value were targeted and reprocessed as disturbing memories. The participants experienced these themes as feeling overly responsible, unsafe, valueless, and/or powerless. The holistic manifestation of the themes of choices emerged as the outcome towards a more adaptive perspective of the disturbing targeted memories. The results of this study further indicate that it may be beneficial to address all four maladaptive themes in mind and body for effective sub-clinical stress resolution. The findings inform scholarly and clinical understanding of the Adaptive Information Processing Model concepts of responsibility, safety, and choices. The findings of this study preliminarily expand the previously unknown holistic manifestation of these themes in sub-clinical participants’ lived sensory experiences. These themes are now in need of additional research to verify and validate the findings of this study.
Self-help techniques can often do the trick and may make it possible to deal with negative emotions, images and thoughts that arise. For instance, here's one from my book, Getting Past Your Past: Take Control of Your Life with Self-Help Techniques from EMDR Therapy: Whenever you find yourself bothered by negative self-talk (you know, that voice that tells you how defective you are), notice how your body feels. Then think of a cartoon character with a funny voice like Elmer Fudd, Popeye or Daffy Duck and make your critical inner voice sound like that character. For most people, the disturbing feelings will go away. {Excerpt]
The wellbeing of rescuers: Relational, organizational and technical aspects that can affect rescuers' wellbeing during
rescue activities: Stress inoculation, role playing and the role of mirror neurons in training, also through the use of
video recordings. Relaxation techniques, psychological debriefing and EMDR in trainings.
Focus of our intervention is the wellbeing of the rescuer. The study and research
on this matter came and were carried out thanks to the activity done both during
trainings and simulations of the Civil Protection than real emergencies.
Our team work received contribution by some psychologists of OPP (Parma’s
Psychologists’ Observatory: A.Sozzi, E.Pedrelli, F.Frati, A. Bocelli, T. Serra). Wellbeing, defined as a subjective and positive emotional state together with a
global life satisfaction (Diener, 1984), is strongly at risk during rescuer’s
emergency activities and can affect the rescuer both physically and
psychologically. The rescuer's capabilities, that we think are technical “know how” and thorough
knowledge, are essential to give the best performance according to the complexity
and urgency of the intervention. These skills can really contribute to the rescuer's
wellbeing, because they can improve the self-efficiency perception.
To effectively manage and train rescuers, it is furthermore important to consider
and acknowledge the influence of interpersonal relationships on technical
performances. It is, in fact, particularly important to recognize and support the
typical relationships that can be created in a team with the same task and
specialization, as well as in multidisciplinary teams, or teams belonging to
different Institutions but operating in the same scenario.
In recent years increasing attention has been given to training activities, even through the use of the role play for interventions in artificial emergency
scenarios. To recreate scenarios of massive emergencies, different Civil Protection
Associations, as well as First Aid volunteer associations and the local
Institutions have been involved. In these simulations, most cases focus on improving technical performances.
Lately psychologists have been asked to join the rescuers team.
During these simulations, the role-play of emotional and psychological problems
occurs thanks to the cooperation between emergency psychologists and the
medical team. The introduction of the role and expertise of psychologists allowed to extend and
strengthen the attention to cross support and care aspects for the psychological
wellbeing of both victims and rescuers.
The psychologist must therefore consider the “wellbeing” in all the emergency
scenarios and contexts, as a sum of all the components that we talked about here
and the ones we will describe during our intervention.
He must first of all be aware of the complexity of each intervention in the field,
and adopt a kind of approach aimed at creating and recovering wellbeing
strategies, that can be used by himself as well.
Strategies on how to build, recover and maintain the wellbeing identify stress as
the first danger source the rescuer has to face in his training and emergency
activity.
When external events or stimuli are perceived as difficult to face compared with
resources available at that moment, the individual gets stressed.
When the person's efforts are not adaptive to the external requests and/or
coherent with his performance expectations, he becomes vulnerable to emotional,
behavioural, cognitive and physical reactions, which can be even very difficult to
manage both in the short and/or in the medium-long term.
This can happen when the sources of stress depend on the rescuer’s
performance, and it can also happen in case of post traumatic stress, visible in
different stages after the event.
From the psychologist's specialist background and from the integration of this
with the result of field experiences, the demand for a range of different tools to
manage the different kinds of stress emerges, and these tools must be applicable
both to the individual and to the group.
This range is still improving, and the results of our observational activity from
past and present experiences lead us to see the opportunity to carry on our
research of tools of efficacy.
During this speech we would like to underline that approaches like Stress
Inoculation Training (SIT, Michenbaum, 1983) and the use of role playing allow
the technical appraisal and let the rescuers improve their stress management
skills, and all that can lead to a decrease in the risk of PTSD.
In past simulations of emergencies, we found out that the use of videotapes for
the role plays is a tool that should be taken more into account. We think it is
important to evaluate its potential for the rescuers' benefit, because it seems to
be not only “a record of technical performances”, but also an observation and
learning tool about the rescuer's own defence and adaptive strategies.
In fact, during these simulations we found out that the rescuers' psychological
and emotional vulnerability emerged in several situations. The fact that even in these artificial situations there were acute stress episodes and O codes urged us
to focus more on the matter of mutual influence between technical performance
and internal experience of stress.
We understand that such acute stress episodes may occur during real life critical
events but we can see how role playing and video recordings show that such
acute stress episodes affected the simulators themselves even during the
simulation. The videos show that even apparently “high immunity” simulators,
who are considered 'immune' thanks to their comprehensive and strong
experience, experienced acute stress, perhaps because of an incorrect selfevaluation
of their own stress management skills.
The interest in the use of videos as a training and reprocessing tool for rescuers
led some of us to specialize in role playing recording, so as to carry out a more
accurate and comprehensive study on those same videos and use them as a
mirror of reality and better educational tool through a vicar experience or through
“seeing oneself from within the experience” and in the interpersonal dynamics
that took place in the scenario.
Videotapes are a very known and widely used tool in other kinds of trainings,
disciplines and therapies (i.e. Family Therapy and CBT).
The discovery of mirror neurons by Rizzolati, Gallese et Al., provides the evidence
that when someone observes the same action performed by another person, the
neurons "mirrors" the behaviour of that person, as though the observer were itself
acting. Thanks to these researchers it is now proven that this can happen
thanks to the motor neurons in the pre-motor cortex.
Therefore, we would like to underline the role of videos as very useful and
versatile training tools, since they expose a situation in an unexpected realistic
manner “as if” it were true and “as if” we were really experiencing that situation,
with the consequent learning movements at the emotional, cognitive and
behavioural level, at the stress management level, as well as at the level of team
work dynamics.
Visual imagination activates the same brain regions that are active during visual
perception and motor imagination activates the same brain regions activated the
movement is really happening.
More importantly, it was possible for us to verify that the videos recorded by other
operators were not focused on showing the important psychological aspects we
mentioned for the goal of the trainings, thing that happened instead with the
videos recorded by psychologists. We think therefore that the use of videotapes
recorded by psychologists should be given more consideration in the trainings of
rescuers. During this intervention we will devote part of the time to broadcasting
two short videos; the first one shows the role playing of an intervention in an
emergency context, and the second one shows a part of an EMDR session (Eye
Movement Desensitization Reprocessing). We think it is important to recreate and
protect rescuers wellbeing in the post-role playing and post emergency stages
too. For years EMDR has been proven effective in improving the individual's
coping skills and in reprocessing, wherever necessary, the post traumatic
aspects resulting from critical events to whom not only the victims, but also the rescuers too, are exposed during emergencies.
Posttraumatiskt stressyndrom (PTSD) innebär en ångestproblematik och en svårighet att
hantera affekter och stress på ett funktionellt sätt. Traumatiska minnen väcker starka känsloreaktioner
som kan vara översvallande och upplevas som förgörande för individen. Vissa
individer kan ha svårighet att hantera affekter pga. irrationella tankar och föreställningar
som stör förmågan att hantera stress, eller så har patienten aldrig utvecklat förmågan att
hantera intensiva affekter och som hindrar en bearbetning. I den här studien vill jag visa hur
hypnos och EMDR i kombination skulle kunna hjälpa klienter att hantera dessa reaktioner
där hypnos kan ha en stabiliserande effekt och EMDR en mer bearbetande effekt. Studien har
en kvalitativ undersökningsdesign och är upplagd som en fallstudie av tre patienter som
genomgick en psykoterapeutisk traumaterapi. Datainsamlingen gjordes genom deltagande
observation och efter varje avslutad session gjordes minnesanteckningar som sedan systematiserades
och analyserades. Behandlingsutfallet utvärderades med hjälp av Impact Event
Scale som visade en påtaglig minskning av traumasymtom. En slutsats av denna studie är att
det finns många fördelar med att använda hypnotiska tekniker för att skapa stabilitet i det
terapeutiska rummet vid behandling av posttraumatisk stress med EMDR.
Post-traumatic stress disorder (PTSD) is an anxiety problems, and difficulty
manage emotions and stress in a functional way. Traumatic memories arouses strong emotions
which can be exuberant and experienced as devastating to the individual. Some
individuals may have difficulty dealing with emotions due. irrational thoughts and beliefs
that interferes with the ability to handle stress, or so the patient has never developed the ability to
manage intense emotions that prevent a machine. In this study, I show how
hypnosis and EMDR in combination could help clients to manage these reactions
where hypnosis can have a stabilizing effect and EMDR more processing power. The study has
a qualitative research design is conceived as a case study of three patients
underwent a psychotherapeutic trauma therapy. The data was collected by participating
observation and after completion of each session were made notes which are then systematized
and analyzed. Treatment outcome was evaluated using the Impact Event
Scale showed a significant reduction in trauma symptoms. One conclusion of this study is to
there are many advantages to using hypnotic techniques to create stability in the
therapeutic consideration in the treatment of post traumatic stress disorder with EMDR.
Posttraumatiskt stressyndrom (PTSD) innebär en ångestproblematik och en svårighet att
hantera affekter och stress på ett funktionellt sätt. Traumatiska minnen väcker starka känsloreaktioner
som kan vara översvallande och upplevas som förgörande för individen. Vissa
individer kan ha svårighet att hantera affekter pga. irrationella tankar och föreställningar
som stör förmågan att hantera stress, eller så har patienten aldrig utvecklat förmågan att
hantera intensiva affekter och som hindrar en bearbetning. I den här studien vill jag visa hur
hypnos och EMDR i kombination skulle kunna hjälpa klienter att hantera dessa reaktioner
där hypnos kan ha en stabiliserande effekt och EMDR en mer bearbetande effekt. Studien har
en kvalitativ undersökningsdesign och är upplagd som en fallstudie av tre patienter som
genomgick en psykoterapeutisk traumaterapi. Datainsamlingen gjordes genom deltagande
observation och efter varje avslutad session gjordes minnesanteckningar som sedan systematiserades
och analyserades. Behandlingsutfallet utvärderades med hjälp av Impact Event
Scale som visade en påtaglig minskning av traumasymtom. En slutsats av denna studie är att
det finns många fördelar med att använda hypnotiska tekniker för att skapa stabilitet i det
terapeutiska rummet vid behandling av posttraumatisk stress med EMDR.
Post-traumatic stress disorder (PTSD) is an anxiety problems, and difficulty
manage emotions and stress in a functional way. Traumatic memories arouses strong emotions
which can be exuberant and experienced as devastating to the individual. Some
individuals may have difficulty dealing with emotions due. irrational thoughts and beliefs
that interferes with the ability to handle stress, or so the patient has never developed the ability to
manage intense emotions that prevent a machine. In this study, I show how
hypnosis and EMDR in combination could help clients to manage these reactions
where hypnosis can have a stabilizing effect and EMDR more processing power. The study has
a qualitative research design is conceived as a case study of three patients
underwent a psychotherapeutic trauma therapy. The data was collected by participating
observation and after completion of each session were made notes which are then systematized
and analyzed. Treatment outcome was evaluated using the Impact Event
Scale showed a significant reduction in trauma symptoms. One conclusion of this study is to
there are many advantages to using hypnotic techniques to create stability in the
therapeutic consideration in the treatment of post traumatic stress disorder with EMDR.
Le traumatisme est un phénomène d’arrêt sur image qui nous empêche d’habiter notre propre existence. Le sujet ne peut se réaliser pleinement car il est sans arrêt confronté à une résurgence de son passé qui l’empêche de vivre l’instant présent.
Dès lors, les thérapies verbales, comme la psychanalyse restent impuissantes et ne permettent pas de produire l’impulsion nécessaire à la restitution d’un vécu authentique et plein de promesses à venir. Le sujet reste alors prisonnier de son passé, et par conséquent ne peut pas dépasser l’impact dévastateur produit par le traumatisme et cela quelque en soit l’intensité.
Avec pertinence, Corinne Van Loey défend l’idée que seules les thérapies de la représentation et du mouvement nous permettent de gommer ces instants où la sidération a fait place à l’action. Elle nous propose donc de renouer le fil du temps, de réactualiser les gestes laissés en suspens en permettant leurs achèvements nécessaires. Bref, de retrouver-enfin- cette complémentarité entre corps et esprit que le traumatisme avait fait éclater.
S’appuyant sur de nombreuses années de pratique, ainsi que sur les travaux les plus récents en sciences cognitives l’auteur aborde de manière détaillée et progressive tous les éléments constitutifs du traumatisme et du processus de guérison.
La lecture de cet ouvrage accessible à tous, apportera les éclairages nécessaires à la compréhension de ces nouveaux chemins de guérison que sont l’HYPNOSE, l’EMDR et l’EFT.
Trauma is a picture off phenomenon that prevents us from living our own lives. The subject can not be fully realized because it is constantly facing a resurgence of his past that prevents him from living in the moment.
Therefore, verbal therapies, such as psychoanalysis remain powerless and do not produce the necessary impetus for the restoration of an authentic and full of promise coming through. The subject is then a prisoner of his past, and therefore can not exceed the devastating impact caused by trauma and that in some of the intensity.
With relevance, Corinne Van Loey argues that only therapies representation and movement allow us to erase those moments when the stunning gave way to action. It therefore proposes to renew over time, update actions in abeyance for their completions necessary. In short, to find-last-complementarity between mind and body that the trauma had burst.
Based on many years of practice, as well as the most recent work in cognitive science the author discusses in detail all the progressive elements of trauma and healing process.
Reading this book accessible to all, provide the necessary clarifications to the understanding of these new ways of healing are Hypnosis, EMDR and EFT
Eye Movement Desensitization and Reprocessing, developed on the West Coast in 1987, is a treatment Bath uses to help people who suffer from post-traumatic stress syndrome.
He estimates that 30 to 40 percent of his clients experience anxiety problems: social phobias, panic disorders, obsessive compulsive disorders. Post-traumatic stress disorder is a key anxiety disorder, according to Bath, and EMDR helps people confront their traumas.
Beskrivelse
Det etablerede systems opfattelse af sig selv og af såkaldt alternativ terapi debatteres i denne bog. Forfatteren har valgt at sætte fokus på problemerne med spiseforstyrrelser. Kritikken af de eksisterende forhold i det etablerede system på dette område er meget skarp, men derimod er de beskrevne terapeutiske forslag om en mulig virksom terapi generøse. Disse nye muligheder er terapeutiske tiltag, der stadig betragtes som alternative, men de kan ikke desto mindre anvendes på alle de områder, hvorom man i dag mener, der kan bedrives psykoterapi. Det kræver dog, at man forlader illusionen om, at terapi baseret på samtale med såkaldt sund fornuft har nogen som helst terapeutisk effekt. Den omfattende, mulige terapeutiske værktøjskasse beskrives. Det drejer sig om NLP som basis for hypnose. Denne metode kan kombineres med modificeret EMDR. Der fremlægges i bogen mange forskellige paradigmer; det drejer sig bl.a. om tilknytningsteorier, affectteorier, den tredelte hjerne og ikke mindst også de resultater, som den moderne hjerneforskning har produceret i de sidste femten år. Dette omfattende materiale bliver sat sammen til en klinisk enhed, der er fleksibel og mangfoldig. Desuden rummer bogen detaljerede beskrivelser af terapiforløbet for flere patienter med en spiseforstyrrelse. --
Description: The system established perceptions of themselves and the so-called alternative therapies discussed in this book. The author has chosen to focus on problems with eating disorders. Criticism of the existing conditions in the established system in this area is very sharp, but they are described therapeutic suggestions about a possible business therapy generous.
These new opportunities are therapeutic interventions that are still considered alternative, but they can nevertheless be applied to all areas on which we now believe there may commit psychotherapy. It requires that you leave the illusion that therapy based on interviews with "common sense has any therapeutic effect.
The extensive potential therapeutic tool sets. It is about NLP as a basis for hypnosis. This method can be combined with modified EMDR.
Presented in the book many different paradigms, namely, inter alia, on related theories affectteorier, the triune brain, and not least also the results of modern brain research has produced over the last fifteen years. This extensive material is put together to form a clinical entity that is flexible and diverse. In addition the book contains detailed descriptions of therapy for more patients with an eating disorder.
Childhood abuse memories can be activated at significant developmental periods
or at stressful life events. Childbearing is especially vulnerable due perhaps to
uncontrollable factors such as rapid changes in the woman's body, uncertainty
and pain of labor, numerous invasive procedures, coping with medical
professionals who are strangers with authority and power, and responsibility
for a tiny, dependent infant. Participants will identify symptoms that may be
exhibited during childbearing, recognize specific triggers that activate abuse
memories and interfere with birth or parenting, and learn how to incorporate
EMDR with specific interventions to help survivors reduce fears, minimize
htrggers, promote healing and bonding.
In this chapter, Marvasti and Colt explore the victims' response to trauma and examine nontraditional treatment models for psychological trauma. The TARGET model (Trauma Adaptive Recovery Group Education and Therapy) of treatment focuses on current symptoms. Treatment is aimed at helping the victim move from maladaptive patterns of thought and behavior toward healthy ways of managing life. TREM (Trauma Recovery and Empowerment Model) was created to assist disempowered female victims of trauma to develop self-esteem and coping skills. EMDR (eye movement desensitization and reprocessing) is a set of protocols designed to decrease the symptoms of traumatic stress by use of rhythmic movements and cognitive restructuring. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
5 Eyewitness News has been granted a rare glimpse at an innovative therapy that's helping Minnesotans recover from trauma in ways other therapies have not enabled them to do.
EMDR, or eye movement desensitization and reprocessing, uses light-emitting devices patients follow with their eyes to reprocess traumatic memories.
People undergoing therapy are prompted to relive traumatic experiences in an effort to ultimately remember them differently.
The goal is to neutralize or even replace negative thoughts or emotions with more positive thoughts.
5 Eyewitness News went inside a therapy session to show how the therapy is helping a veteran recover from traumatic Iraq war experiences.
Also highlighted is the recovery effort of a survivor of the mass workplace shooting incident at Accent Signage in Minneapolis last year.
The therapy has been so successful it is being offered for free for up to 100 veterans in Minnesota.
[Excerpt]
There is a growing interest in the United States in complementary therapies (CT) to
address the health needs and hopes of individuals. Research in the medical and allied
health communities has reflected the expanding interest, however, the counseling
profession has limited literature focusing on CT integration practices. The current study
expands on existing research using a constructivist lens and grounded theory approach; a
sample of 16 practicing counselors were interviewed to develop a theoretical model of
CT integration in the counseling context. Scholarly literature has described CT and
reasons for its use, which can be linked to counseling through professional identity, the
wellness model, and ethical practice. The results of this study indicate that experience,
beliefs, competence, and practice are primary factors in the integration of CT in
counseling. Implications of the results on the counseling profession will be detailed in
terms of practice, training, and future research.
Imago Relationship Therapy (IRT; Hendrix, 1996, 2001) is designed to process negative experiences to heal early wounds of childhood, resolve marital conflict and criticism, and increase connection and intimacy. The goal of treatment is for the partners to become individually whole and conscious and an "intentional couple"; this concept emphasizes the importance of making conscious and deliberate choices rather than being reactive. Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1995, 2001) is a psychotherapy created to access and process the disturbing memories and deep wounds of childhood and bring them to adaptive resolution (Shapiro, 2001; Shapiro & Maxfield, 2002). In the integrative therapy approach described in this chapter, IRT is used to organize the approach to therapy, identify unprocessed targets for EMDR processing, facilitate communication between the partners, and help couples become less reactive and more intentional, separate and ultimately more connected. Advantages of integrating EMDR and IRT may include faster and deeper resolution of early childhood wounds and trauma and increased compassion and intimacy, enabling the couple to establish a healing connection, which breaks the symbiosis created in early childhood. Separation due to personal growth allows the couple to honor each other's differences and often results in greater connection. The integration of EMDR with IRT appears to provide more comprehensive desensitization, reprocessing, and healing than either of these therapies might provide individually. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
The goal of this paper is to examine one therapy process in order to explore what resources EMDR treatment can provide to complex traumatized clients with previous long-term therapies. How important is the role of mind/body connection? How could it be best observed and taken into consideration when deciding on therapeutic choices during difference phases in psychotherapy? This case raises also the following questions: When it is best to use EMDR? How do the therapist and client know when the client is ready for EMDR? How can clients learn to feel, become aware of their own bodies, observe their body sensations and label these observations? What is the importance of these skills before using EMDR? How do EMDR protocols work in this context?
Case: This client had been severely traumatized in childhood and also in adult life. She came to EMDR treatment with own question: “Have I ever been able to feel anything?” She had been in different psychotherapies, but her body was not ready for EMDR and she could not regulate emotions. She had good ego strength. This presentation shows how the therapy process progressed and it includes a therorectical discussion.
It is possible to integrate different kinds of therapies. Previous “traditional talking therapies” can give to the client the necessary ego strength, boundaries and make it easier to build a therapeutic relationship. Since trauma-related syndromes split the mind and body, it is necessary to address what occurs in the body, just as it is equally necessary to use words to make sense of and describe an experience. E
"TIR and Rational Emotive Behavioral Therapy (REBT): A Conversation with Robert H. Moore, Ph.D" / Robert H. Moore / Moore, who is well-versed in Rational Emotive Behavioral Therapy (REBT) provides insights on how lessons learned from TIR can influence an REBT practice. /// "A Conversation with Windy Dryden, Ph.D" / Windy Dryden / Dryden also describes integration of REBT with TIR. /// "Using TIR in a Psychotherapy Practice: A Conversation with Alex Frater" / Alex Frater / Frater describes the use of TIR, REBT, and Thought Field Therapy in a psychotherapy practice. /// "TIR and EFT: A Practitioner's Perspective A Conversation with Marian Volkman" / Marian Volkman / Volkman describes the use of TIR and EFT (emotional freedom technique) in her private practice. /// "TIR and EMDR: Notes from the Field" / Victor R. Volkman / Describes similarities and differences in TIR and EMDR. /// "Comparing TIR and Other Techniques" / Frank A. Gerbode / Gerbode compares TIR with other techniques, such as EMDR, V/KD, DTE (direct therapeutic exposure), and TFT. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
In 2007 the Department of Health (DoH. UK) published
"Improving Access to Psychological Therapies" (IAPT). This meant
that primary care mental health services (PCMHS) had to seriously
consider the mode, method and efficacy of their service delivery.
This paper will consider one such service, critically reflecting on the
integration of EMDR as a mainstream therapeutic intervention.
The service utilises therapists from various therapeutic paradigms,
counselors, graduate workers, cognitive behavioural psychotherapists,
cognitive analytical psychotherapists, clinical psychologists
and registered mental nurses. Clients are referred with a wide range of psychological issues such as Depression, anxiety disorders,
OCD, and PTSD. Following a further EMDR training initiative in 2007 (Birmingham University), the service now boasts,
One EMDR Consultant/Facilitator, three accredited practitioners,
three level three trained therapists and two clinicians at level two.
This paper will present a brief history of the development of EMDR
within the PCMHS, exploring how EMDR has been utilised
not only in the treatment of PTSD (NIHCE 20051, but also in the
treatment of other psychological pathologies. The paper will highlight
the number of clients treated with EMDR (retrospectively
over a twelve month period), the average number of sessions per
client and the therapeutic outcomes as measured by the Patients
Health Questionnaire [PHQ-9) (Kroenke & Spitzer, 2002) and the
Generalized Anxiety Disorder Questionnaire (CAD-7) ( Spitzer et
al 2006). The Dissociative Experience Scale is used when considering
EMDR as an intervention strategy and the Impact of Events
Scale- Revised (WEISS et al 2004) when appropriate. The paper
will conclude with a brief analysis of qualitative data from clinicians
as to the impact EMDR has had on their clinical practice.
Learning Outcomes:
By the conclusion of the presentation the participants will:
1. Be able to discuss the application of EMDR in the treatment
of psychopathologies other than PTSD.
2. To consider the integration of EMDR with other psychotherapeutic
paradigms.
3. To critical consider the treatment outcomes and in particular
the cost effectiveness of EMDR as a psychotherapeutic tool in a
generic primary care setting.
4. Be aware of the ethical and political considerations of integrating
EMDR into a generic primary care mental health service.
Innovation: This work is innovative as it focuses on how EMDR
can be utilised within generic mental health services. It critically
reflects on the phenomenology of integrating EMDR into
a PCMHS and it has encouraged the training of other EMDR
clinicians outside of the primary care mental health team.
This paper details the Body Dialogue process and the EMDR protocol for its use and presents two case studies that demonstrate this integrative technique. Recent studies show that trauma can profoundly affect the body. Many symptoms felt by individuals who have experienced trauma appear to be somatically based. Imprinted memories from 'big T' traumas and 'little t' traumas appear to have their origins sometimes decades before the body 'remembers'. When triggered by a present stimulus, these imprinted body memories recur and the body relives the past trauma. Most methods of trauma counselling and therapy address only the cognitive and emotional components of trauma, lacking the techniques that work directly with the physiological components of past traumatic incidents. The Body Dialogue technique (Stone J, Stone H, Stone S) offers a way to explore the psychological significance of sensations such as pain, motor impulses, muscular tension, trembling, breathing and heart rate. Since such somatic disturbances contain emotional and cognitive components, this dialogue process is able to identify and explore the deep psychological issues surrounding these imprinted body sensations and muscular reactions. The Body Dialogue process is integrated into the EMDR protocol (Shapiro, 2002) when the individual is confronted with body sensations. Having identified the issues (traumas) surrounding these sensations using the dialogue technique, the EMDR protocol is resumed. This enables the processing of the original trauma to occur as well as the instillation of a positive belief. During the therapeutic process using these two therapies, the therapist never has to touch the client.
A fundamental tenet of systems theory is that the whole is greater than the sum of its parts (von Bertalanaffy, 1968). Clearly, this basic principle can be applied to the integration of Eye Movement Desensitization and Reprocessing (EMDR) and family systems therapy (FST): The combined approach has a synergistic effect, with each of the two treatment components intertwining to maximize the individual effects of the other. This integrative treatment approach can result in profound changes for both the individual and the family. This chapter presents a case study of EMDR treatment of Tara, a 15-year-old girl, who was treated successfully with EMDR (for details, refer to Chapter 1; see record 2007-01569-001). This case is summarized here to serve as a foundation for a discussion of similarities and differences among the various FST models, as well as to provide an overview of an integrative FST and EMDR treatment. The authors suggest how the various integrative treatment approaches described in this book could have been used if the parents had been willing to engage in family therapy with Tara. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Der Workshop beschäftigt sich mit Fragen der Integration von EMDR in ein psychodynamisches Therapiesetting. Zum einen kann EMDR sinnvoll mit psychodynamischer Therapie kombiniert werden, wenn bei komplexen posttraumatischen Belastungsstörungen Symptome einer PTSD zusammen mit depressiven, dissoziativen, somatoformen und anderen Symptomen auftreten. Daneben finden sich verschiedene andere Anwendungsmöglichkeiten von EMDR im Rahmen psychodynamischer Therapien, bspw. wenn dysfunktionale Erinnerungsnetzwerke die Wirkungsweise klarifizierender, konfrontierender und deutender Interventionen blockieren. Dies gilt für Anpassungsstörungen ebenso wie fixierte, aber verhaltenssteuernde negative Selbstkognitionen und für psychosomatisch abgewehrte implizite Emotionen im Rahmen somatoformer Störungen. Schließlich können ressourcenaktivierende Interventionen im Rahmen des EMDR den Aufbau von Ich-Funktionen bei Strukturpathologien unterstützen.
The workshop will focus on integration of EMDR in a psychodynamic therapy setting. First, EMDR can be usefully combined with psychodynamic therapy, which may arise in complex post-traumatic stress disorder symptoms of PTSD with depressive, dissociative, somatoform and other symptoms. In addition, various other applications of EMDR in related psychodynamic therapies, for example, if dysfunctional memory block the operation of networks klarifizierender, confrontational and interpretive interventions. This applies for adjustment disorders as well as fixed, but behavior-controlling negative self-cognitions and psychosomatic thwarted emotions implicit in the context of somatoform disorders. Finally, support resource-activating interventions of EMDR the development of ego functions in structural pathologies.
As I engaged in a therapy journey with a single client, the possibilities for research on the
integrative use of narrative therapy and EMDR unfolded. I investigated recent literature and
realised that much had been written about narrative therapy as single approach to therapy
within the postmodern paradigm. There was also extensive writing on EMDR and its
integrative use with other therapies in assisting people who struggle with upsetting memories
of trauma.
Since I was unable to find any literature to date on the integrative use of narrative therapy
and EMDR, I realized that there was much to be discovered and learned on such an
integrative research journey.
The client's experiences and descriptions of overwhelming emotional distress (as the
problem in her life) during the process of integration was the main focus of this qualitative
case study. During our therapy conversations knowledges were gathered and
deconstructed. Video or tape recordings, photographs, work with clay, sketches, letters and
other documents were useful in keeping track of the research journey. A reflecting team and
the participation of the client's boyfriend contributed and enriched both the therapy and
research journeys.
Tydens terapeutiese werk met 'n enkele kliënt het die moontlikhede van navorsing oor die
integrasie van narratiewe terapie en EMDR vir my 'n werklikheid geword. Ek het onlangse
navorsing bestudeer en besef dat narratiewe terapie as 'n enkele benadering tot terapie
binne die post-moderne paradigma, al 'n geruime tyd lank nagevors is. Daar bestaan ook
literatuur oor EMDR en die integrasie daarvan met ander terapeutiese benaderings in die
ondersteuning van persone wat probleme ondervind met ontstellende herinnerings van
trauma.
Aangesien ek tot op hede geen literatuur oor die integrasie van narratiewe terapie en EMDR
kon vind nie, het ek vermoed dat 'n navorsingsreis op hierdie terrein verskeie ontdekkings en
die ontginning van nuwe kennis moontlik sou maak.
Die fokus van hierdie kwalitatiewe gevallestudie val op die kliënt se belewing en beskrywings
van oorweldigende emosies (as probleem in haar lewe) tydens die terapeutiese
integrasieproses. Waarhede of kennis is tydens terapiegesprekke versamel en
gedekonstrueer. Video- of bandopnames, foto's, kleiwerk, sketse, briewe en ander
dokumente was waardevol om die koers van die navorsingsreis aan te dui. Insette en
deelname van 'n refekterende span, asook die kliënt se kêrel, het beide die terapie- en
navorsingsreise verryk en uitgebrei.
A structured six-session group therapy has been developed and approved for overcoming craving. The six session protocol
can easily be integrated to well-applied EMDR protocols (DeTur from Popky, CravEx from Haase) supported by systematic
implementation of cue exposure techniques and guided imagery. The EMDR protocol supported by cue exposure catalyses
the recovery process as follows:
At the beginning the patients are taught a set of three ideodynamic resources for coping with the urge to drink; “Rewards
of sobriety”, “Support of relatives and friends” and “Irrepressible commitment to sobriety”. The patients learn rapid activation
of these resources by the use of the “Seven Cue Word Induction–technique” and kinaesthetic bilateral stimulation (SingleblAiR).
Then they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught to initialize
resourcefulness - with continued exposure to alcohol. Subsequently, the power of one ideodynamic strategy diminishes
the intensity of craving significantly. Craving symptoms finally disappear and are replaced by self-reinforcing thoughts and
feelings due to state dependent learning. In addition to this new experience the patients acquire a high level of self-efficacy
as well as greater and deeper knowledge about their personal drinking triggers. They also find out which strategy is the
most effective one for each specific trigger. After regaining self-control over triggers, the patients are more receptive to
working with their core addiction issues, which have now become easier to treat by especially using Desensitization and
Reprocessing of the Standard- EMDR protocol. Workshop participants will become acquainted with the six-session protocol
by the use of DVD-demonstrations and by practising. In addition they will receive a manual with standardised instructions.
Finally they will also be given the opportunity to participate in a cross-cultural research project proving the effectiveness of
the six-step program which starts in 2011. This approach is designed to improve the treatment of various types of addiction
and can easily be integrated into existing EMDR treatment strategies.
Many couples struggle with intimacy and sexuality issues, often, due to the harm done to one or both members of the couple by emotional and sexual abuse from their early childhoods. Dr. Treadway, who specializes in working with couples, will discuss how he utilizes adjunctive short term EMDR in his work with couples and their PTSD issues. Treadway will discuss both referring a member of a couple out for EMDR around their trauma issues so that they might have the privacy of a relationship with EMDR specialist, as well as the value of bringing an EMDR therapist into couples therapy as a consultation and piece of work with one or both members of the couple. Although not an EMDR practitioner himself, Dr. Treadway has profound respect for the therapeutic power of EMDR to clear significant trauma and help clients separate their past pain from their present lives and relationships. Dr. Treadway will also discuss how to integrate the deep healing work into the couple’s relationship in order to enhance their experience of a deep, compassionate, loving connection.
Dual attention is necessary for successful EMDR trauma reprocessing. This implies the client has sufficient time
orientation, knowing the feelings are from a memory and the event is not happening now. Complex trauma and
PTSD’s component of flashbacks and reliving requires that clinicians have a myriad of time orientation skills
readily available when needed. EMDR therapists need to be especially attentive to this issue because of the
high intensity of affect EMDR can stimulate. This 90 minute workshop will teach the art and intricacies of time
orientation within an EMDR framework. Lecture, case transcripts and video clips will show the power, depth and
art of time orientation skills. Learning Objectives:
• Describe the theoretical reason why time orientation skills are
• Necessary when using EMDR with PTSD and complex trauma
• Describe the EMDR Standard Protocol Phase where the majority of time orientation interventions are used.
• Describe 5 ways to time orient a client
• Understand the power of time orientation to stabilize a client when using EMDR.
This study was conducted in the United Kingdom at two major conferences to examine how therapists (N = 83) integrated eye movement desensitization reprocessing (EMDR) into their clinical practice. Data from a mixed methodology suggests that up to 40% of the sample experienced difficulties post-EMDR training. Results indicated that analytically trained and humanistic therapists experienced significantly more difficulties in integrating EMDR into the current clinical practice than integrative or cognitive behavioral clinicians. This study also ascertained that EMDR clinicians experienced workplace difficulties and challenges. Consideration is given to how the study findings may have implications for both the teaching and learning of EMDR and workplace issues.
Of course, not all therapists who learn TFT stick to it exclusively. Many combine talk
therapy with both TFT and Eye Movement Desensitization and Reprocessing (EMDR), in
which a client recalls a traumatic memory while moving his or her eyes in a prescribed
pattern. While both therapies apparently break up long-held patterns, EMDR is usually
described in terms of physiology, not energy. EMDR, practitioners say, reconnects the
brain's neural networks that have been isolated by trauma.
The case in this chapter integrates EMDR and interpretive short-term dynamic therapy as contrasted with cognitive, interpersonal, or existential short-term therapies. I became interested in Davanloo's technique of intensive short-term dynamic psychotherapy (ISTDP) after attending a workshop in 1981. Short-term dynamic therapy, which is rooted in psychoanalytic theory, emphasizes brevity, focus, therapist activity, and patient selection. The goal is to effect change in the personality or character structure of the person, not simply alleviate symptoms. The treatment is dynamic in that it emphasizes a single focal issue that serves as a link to core conflicts arising from early life experiences. The transference relationship is used to examine and reexperience important past relationships that account for current difficulties. In addition to dealing with issues of transference and complexity of the case (single versus multi-foci), handling resistance (conscious and unconscious) aimed at avoiding painful affects must be addressed. [Text, p. 91]
The aim of the presentation is to offer a background from the findings of the 700 cases to understand how clinicians employed the use of EMDR against the background of other therapies:
1. To consider the efficacy of this approach
2. To question whether embedding should be a random/ spontaneous intervention or part of treatment planning and goal setting
3. To judge whether there could be guidelines as to how and when to ‘embed’ and how to develop these
4. To think which of the eight phases are most likely to be used in this way
5. To discuss whether this approach is likely to aid the development of EMDR or have the opposite effect.
A recent meta-analysis of 34 experimental treatment studies and 2 within-participant studies attempted to answer the following 4 questions about eye movement desensitization and reprocessing (EMDR): (1) Is EMDR effective? (2) Are eye movements necessary? (3) Is EMDR more or less effective for different client populations? and (4) Is EMDR more or less effective on the basis of whether the therapist was trained by the EMDR Institute? The authors conclude that EMDR is a more effective treatment than no treatment and nonspecific treatments. In addition, EMDR seems not superior but rather equal in effectiveness to other exposure-based therapies.
This chapter focuses on EMDR-enhanced therapeutic protocols to treat individuals whose painful life experience is separated from consciousness by complex defensive structures, particularly those associated with narcissistic and avoidance defenses.In many of the clients I have worked with, the healing power of EMDR is prevented or impaired by unresolved positive feelings that block the client's full awareness of the negative experience associated with trauma. This can occur when the overall complex of posttraumatic images, self-defeating cognitions, unpleasant feelings and sensations (what Francine Shapiro calls the unprocessed "memory network") contains embedded strong positive affect that is highly valued by the client. In the case of a person with narcissistic defenses, the positive material may block awareness of negative memories, especially if the positive experience occurred in the larger context of trauma and neglect. In such instances the positive part of the experience is idealized through selective memory and strengthened in intensity, because it serves as a defense against the core PTSD. The negative part of the memory is partially or wholly dissociated and is thus less accessible to processing. [Adapted from Text, pp. 232, 233-234]
aper 1 of 2: In its twenty-year history, EMDR has evolved
a from a simple technique into an integrative psychotherapy approach with a theoretical model
that emphasizes the brain's information
processing system and memories of disturbing
experiences as the basis of pathology. Process
studies and qualitative analyses have identified
distinct treatment effects (including a rapid reduction of subjective distress) that differentiate EMDR fiom other therapies. This workshop will explore some essential conceptual and procedural elements necessary to practice EMDR. A thorough understanding of the elements allows for both flexibility and comprehensive attention
to the full clinical picture. The morning session
is based upon sections of the trainer's training
that Dr. Shapiro has conducted over the past
fifteen years. The choice of afternoon sessions
will be conducted by experts in various special
interest areas that will continue the instruction
through the presentation of detailed case examples
and clinical supervision.
Nel XXI secolo per la prima volta l'uomo avrà il potere di plasmare la Terra che desidera, costruire edifici alti come montagne e navi capaci di portarlo nello spazio, mettere insieme macchine intelligenti, sconfiggere molte malattie e cambiare se stesso intervenendo sui geni. A queste visioni ottimistiche (rassicuranti?) del futuro risponde la realtà del nuovo millennio: situazione ecologica planetaria prossima al collasso, panico ad occidente e disperazione a Sud. Vi sono circa 50 guerre in atto nel mondo con milioni di morti quasi tutti civili e colonne di profughi in fuga, nuovi pericoli terroristici e rilancio delle armi atomiche e dell'industria bellica. Ci sembra che tutto questo accada altrove, al di là di uno schermo televisivo; ma se oggi anche i problemi sono globalizzati allora allarmi ed appelli alla giustizia, alla pace ed alla solidarietà sono rivolti ad ogni coscienza. Particolarmente attente dovrebbero essere le menti di politici e scienziati di ogni parte del mondo. Particolarmente sensibili alle tematiche in questione dovrebbero essere le professioni d'aiuto. Dobbiamo chiederci cosa succeda alle vittime del potere di pochi.
“E poi so bene: tutto ciò che si affonda in noi, come un mucchio di pietrame, finché dura la guerra, si ridesterà un giorno a guerra finita, e allora comincerà la resa dei conti, per la vita e per la morte.” (Niente di nuovo sul fronte occidentale, Erich Maria Remarque, 1929).
Nella tradizione rileviamo un'attenzione quasi esclusiva per l’organismo e per le lesioni fisiche dell'uomo colpito dalla violenza. Il passo in avanti 6
consiste nel superare l'attenzione esclusiva al corpo per occuparsi anche delle ferite psichiche, altrettanto gravi e profonde di quelle fisiche.
Se il termine psicologia significa nella sua origine greca "discorso sull'anima" ad indicare la ricerca della conoscenza del comportamento e dell'animo umano, esso indica oggi una disciplina sempre più attenta al suo essere scientifica. Tuttavia non dobbiamo disgiungere la scientificità della ricerca dall'utilità dell'intervento clinico, fine ultimo della professione.
Il lavoro che vado presentando nasce da una riflessione sulla capacità della psicologia di fornire risposte concrete a situazioni complesse ed altrimenti difficili per ogni uomo. Ogni violenza, dai lontani scenari di guerra a quelli domestici di abuso, è un'immane tragedia: la ricerca sul disturbo post-traumatico da stress (PTSD) e gli interessanti e promettenti risultati di tecniche terapeutiche come l'Eyes Movements Desensitization and Reprocessing (EMDR) meritano perciò molta attenzione.
Si ricordi che nel 1987 il primo studio della dott.sa Francine Shapiro, scopritrice di tale metodo, aiutò proprio una vittima della guerra del Vietnam. Questo caso oltre a gettare le basi per le successive ricerche controllate su tale terapia innovativa e a permetterne lo sviluppo, lasciò intravedere una speranza per le molte vittime dei conflitti armati e della violenza.
L’EMDR si presenta come una buona risposta rapida ed efficace, la più efficace secondo alcune valutazioni meta-analitiche, all’insorgenza del PTSD per la risoluzione di eventi non elaborati. Non stiamo parlando di una panacea indistinta per tutti i casi in ogni condizione. Tuttavia le sue caratteristiche di brevità (in circostanze favorevoli), di buoni risultati, di integrazione tra diversi approcci ed il carattere non invasivo, ne fanno un candidato ideale come strumento d’elezione per il PTSD.
7
Dato quindi l’alto potenziale presentato dalla metodica in ambito clinico, la ricerca si pone come assolutamente necessaria e le prove sperimentali come essenziali.
Queste alfine sono le considerazioni da cui muove l’intero percorso sperimentale qui esposto.
Vorrei testimoniare con questo lavoro l’affetto verso i miei genitori. Ringrazio l’equipe che sta conducendo questa ricerca: il relatore prof. Roberto Anchisi, il correlatore prof. Roberto Guzzi, il correlatore dott. Michele Giannantonio e l’Associazione Emdr per l’Italia, specialmente la dott.sa Isabel Fernandez, nonché i valutatori indipendenti.
Ringrazio di cuore tutte le persone a me vicine che mi hanno aiutato, Diego per la correzione delle bozze, il dott. Davide Gerevini perché è un amico e per il suo paziente aiuto.
Non dimenticherò mai Capitan Max, l'imprevedibile Davide e Valentina, le persone più speciali che abbia incontrato durante questo corso di laurea.
In the twenty first century man has the power to shape the earth he wants to build tall buildings like mountains and ships able to carry it into space, putting together intelligent machines, overcome many diseases and change himself by acting on genes. These optimistic views (reassuring?) Of the future meets the reality of the new millennium: global ecological situation close to collapse, panic and despair in the south west there are about 50 wars taking place in the world with millions of dead civilians and almost all columns of refugees fleeing new dangers of terrorism and revival of atomic weapons and war industry. It seems that this happens elsewhere, beyond the television screen, but if the problems today are globalized, then alarms and calls for justice, peace and solidarity are addressed to all consciousness. Should be particularly attentive minds of politicians and scientists all over the world. Particularly sensitive to these themes should be the helping professions. We must ask ourselves what happens to victims of the power of a few. "And then I know: all that sinks in us, like a pile of stones, as long the war lasts, you awaken one day after the war, and then begin the reckoning for the life and death." (All Quiet on the Western Front, Erich Maria Remarque, 1929). In tradition we find an almost exclusive to the body and the human suffering personal injury from violence. The sixth step is to overcome the exclusive attention to the body to deal also with psychic wounds, serious and profound as those of individuals. If the word psychology in its Greek origin means "soul talk" to indicate the search for knowledge of the behavior and the human soul, it now shows a discipline increasingly attentive to its being scientific. But we must not separate the scientific research of clinical utility of the intervention, the ultimate goal of the profession. The work that I presented comes from a reflection on the ability of psychology to provide practical answers to complex situations and otherwise difficult for everyone. All violence, far from war scenarios to domestic abuse, is a great tragedy: the research on post-traumatic stress disorder (PTSD) and the interesting and promising results of therapeutic techniques such as desensitization and reprocessing Eyes Movements ( EMDR) deserve so much attention. Remember that in 1987 the first study of dott.sa Francine Shapiro, discoverer of that method, he helped his victim of the Vietnam War. This case as well as lay the groundwork for subsequent research on that check and allow the development of innovative therapy, suggests a hope for many victims of armed conflicts and violence. EMDR is as good a rapid and effective response, the most effective according to some meta-analytic assessments, the occurrence of PTSD for the resolution of events not processed. We're not talking about a vague panacea for all cases in all conditions. However, the characteristics of brevity (under favorable circumstances), good results of integration between different non-invasive approaches and make it an ideal candidate as a tool of choice for PTSD. 7 Since then the high potential of the method presented in the clinical setting, the research is absolutely necessary and the tests as essential. These are the considerations which finally moves the entire experimental process outlined here. I would witness this job affection to my parents. I thank the team that is conducting this research: the advisor prof. Roberto Anchises, the co-professor. Roberto Guzzi, the co-Dr. Michael Giannantonio EMDR and the Association for Italy, especially dott.sa Isabel Fernandez, as well as independent evaluators. I warmly thank all the people close to me who helped me, Diego for proofreading, Dr. David Gerevini because he is a friend and for his patient help. I will never forget Captain Max, David and Valentina unpredictable, the most special people I have met during this course.
In questi anni l’EMDR si è affermata come trattamento di evidenza nel più classico e più grave dei disturbi direttamente legati allo stress, cioè il PTSD (Bisson & Andrew, 2007) e sono stati evidenziati i suoi effetti sul SNC. Nonostante questo ed il suo progressivo impiego in una ampia varietà di situazioni sono ancora poche le riflessioni sull’EMDR dal punto di vista dell’integrazione mente-corpo, in particolare utilizzando i dati offerti dal campo di ricerca della PNEI. Nel presente lavoro ci soffermeremo su alcuni di questi aspetti per evidenziare come l’EMDR rappresenta una delle terapie più rispondenti alle nuove evidenze scientifiche ed alle esigenze di una scienza integrata della salute.
Tre gli elementi salienti offerti dalla ricerca:
1. La vita ha plasmato nel percorso evolutivo strutture altamente integrate, descrivibili come sistemi complessi a rete in retroazione continua con il contesto. In particolare i sistemi nervoso, endocrino ed immunitario costituiscono nel network psicocorporeo un “super-sistema” di relazione e regolazione in grado di assicurare gli equilibri adattativi incorporando l’esperienza e gestendo la dinamica mantenimento-cambiamento (“regolazione allostatica”). Quindi l’organismo non è una macchina fatta di parti autonome tra loro assemblate, ma una realtà che parte dall’unità (zigote) e mantiene tale carattere unitario in tutte le sue articolazioni.
2. Lo stress non è qualcosa di per sé eccezionale e patologico, deve invece essere visto – all’opposto – come l’espressione di un insieme di processi (un sistema) che modulano la regolazione individuo-contesto a fini adattativi. In sostanza il sistema dello stress è sempre attivo e solo in situazioni di eccesso o di carenza (acute o croniche) produce effetti progressivamente dannosi per l’individuo. Le attività legate allo stress producono un “carico allostatico” (peso biologico, energetico) che – in relazione a fattori soggettivi ed esterni – può divenire “sovraccarico” innescando una catena di successive alterazioni nel funzionamento dell’organismo. Parallelamente vi è un “carico” ed un “sovraccarico psicologico” legati al primo da processi circolari.
3. Nel network corporeo e nel sistema dello stress, ovvero nei processi di regolazione generale interni e individuo-contesto, la mente svolge un ruolo cruciale di modulazione come dimensione nella quale i segnali (interni ed esterni) vengono trasformati in informazioni (assegnazione di significati) in base ai percorsi ed alle esigenze individuali di adattamento. La mente rappresenta così la più alta espressione dell’evoluzione della vita e delle sue strategie adattative e ciò spiega il suo ruolo rispetto al funzionamento complessivo dell’organismo. Le recenti acquisizioni delle neuroscienze hanno mostrato l’interdipendenza tra attività psichica, espressione genica e plasticità cerebrale che rende possibile il ruolo della mente.
Il sovraccarico allostatico e psicologico legati allo stress dipendono in gran parte dall’attività mentale e costituiscono il principale fattore di rischio per la salute nelle società occidentali, antecedenti accertati delle patologie più diffuse. Se guardiamo a quanto detto sinora nell’ottica dello sviluppo individuale (fase intrauterina, processi di attaccamento, eventi significativi successivi) possiamo avere una idea di come mente, corpo e contesto interagiscono nella strutturazione dell’individuo ed il ruolo condizionante e de-strutturante delle situazioni e degli eventi che provocano una alterazione da stress. Le ricerche sul rapporto tra stress e sviluppo psicobiologico, tra modalità di attaccamento, strutturazione dei circuiti cerebrali, o tra queste e salute, confermano tali assunti (Lazzari, 2007). Venendo più da vicino all’EMDR, gli studi sulla psicobiologica del PTSD stanno mostrando che siamo di fronte sostanzialmente ad una manifestazione (particolarmente complessa ed accentuata) degli effetti dello stress sul network psicocorporeo (Iribarren et al., 2005). La ricerca sul PTSD (e gli altri disturbi da stress del DSM) deve incrociare necessariamente i filoni di studio sopra richiamati ed utilizzare la cornice concettuale che ne scaturisce.
Gli effetti psicobiologici dello stress estremo e del trauma vanno inquadrati nell’ambito delle
interazioni mente-corpo e della regolazione allostatica (carico vs sovraccarico allostatico).
A nostro avviso, al di là degli specifici effetti sul SNC, l’EMDR si è mostrata efficace nel PTSD in relazione alla sua caratteristica generale di ricercare ed utilizzare come “target” non singoli aspetti di una esperienza, bensì l’esperienza nei suoi diversi aspetti: cognitivi, emotivi, fisiologici e relazionali.
Il lavoro dell’EMR va a recuperare una integrazione perduta e lavora su questa.
Si deve tenere presente infatti che, in via generale e preminente, lo stress compromette i livelli di integrazione, coerenza e flessibilità del sistema: lo stress cronico per processi progressivi di disregolazione, quello acuto per “rotture”, blocchi e sconnessioni. Pertanto l’elaborazione dell’informazione (e delle conseguenze) legata ad eventi e situazioni stressanti passa attraverso una re-integrazione di tutti gli aspetti psicobiologici correlati per giungere ad una ristrutturazione.
Il livello di “penetrazione” (efficacia) di un approccio terapeutico è molto legato alla sua omogeneità con la realtà su cui interviene,cioè al fatto di parlare lo stesso linguaggio.
E questo è un punto di forza notevole per l’EMDR.
I dati disponibili sono coerenti con quanto enunciato: l’EMDR modifica i parametri fisiologici riducendo ed annullando l’attivazione da stress, spostando la bilancia dall’inibizione simpatica all’attivazione parasimpatica (Sack et al. 2007) e risulta associata l’abbassamento dell’arousal fisiologico, cioè con pattern di attività regolari e trofiche (Sack et al. 2008), mostrando similarità con quanto accade durante il sonno REM (Elofsson et al., 2008).
L’EMDR incide altresì su disturbi fisici legati al sistema dello stress, come ad esempio hanno mostrato ricerche su patologie dermatologiche (Gupta, 2002).
In recent years, EMDR has established itself as the treatment of evidence in the most classical and most serious of disorders directly related to stress, that is, PTSD (Bisson & Andrew, 2007) and were highlighted its effects on the CNS. Despite this and its progressive use in a wide variety of situations are still few reflections from the perspective sull'EMDR mind-body integration, in particular using data provided by the search of PNEI. In this work we will focus on some of these issues to highlight how EMDR is one of the therapies are more responsive to new scientific evidence and the needs of an integrated science of health. Three main elements of research are: 1. Life has shaped the evolutionary highly integrated structures, we describe how systems
complex feedback network continues with the context. In particular, the nervous, endocrine immune network and provide psycho in a "super-system" of relationship and adjustment
able to ensure the balance incorporating adaptive expertise and managing the dynamic maintenance-change ( "regulation allostatica"). Then the body is a machine made of autonomous parts, assembled together, but a reality that leaves the unit (zygote) and maintains that unitary in all its joints. 2. Stress is not something in itself exceptional and pathological, but must be seen - in contrast -- as the expression of a set of processes (a system) that modulate the individual-regulation framework for adaptive. In essence, the system of stress is always on and only in situations of excess or deficiency (acute or chronic) effects progressively damaging to the individual. The Stress-related activity produces a "load allostatico" (weight biological energy) that --
relation to subjective factors and external - can become "overloaded" by triggering a chain of subsequent alterations in the functioning of the organism. In parallel there is a "load" and a
"Overload psychological" processes related to the first round. 3. In the network system and body of stress, or in the process of setting general internal and individual-context, the mind plays a crucial role as a dimension of modulation in which signals (internal and external) are transformed into information (assigning meanings) depending on the paths and individual needs of adaptation. The mind is so the highest expression of the evolution of life and its adaptive strategies, which explains its role in relation to the overall functioning of the organism. The recent acquisitions of
neuroscience have shown the interdependence of psychic activity, gene expression and plasticity brain that makes the role of the mind. Overload allostatico and psychological stress-related depend in large part by activism mental and constitute the main risk factor for health in Western societies, antecedents established disease spreading. If we look to the foregoing view of personal development (stage intrauterine attachment process, significant events later) we can have an idea of how mind, body and environment interact in the structuring the individual and the role conditioning and de-structuring of situations and events that cause an alteration by stress. Research on the relationship between stress and psychobiological development, including mode of attachment, structure of brain circuits, or between them and health, confirmation of these given (Lazzari, 2007). Coming closer all'EMDR, psychobiological studies of PTSD are showing that we are dealing essentially an event (especially complex and pronounced) the effects of stress on the network psycho (Iribarren et al., 2005). Research on PTSD (and other stress disorders DSM) must necessarily cross the strands study mentioned above and use the conceptual framework that arises. Psychobiological effects of extreme stress and trauma should be classified within mind-body interactions and regulation allostatica (load vs. overload allostatico). In our view, beyond the specific effects on the CNS, EMDR has been shown effective in PTSD in connection with his characteristic broad research and use as a "target" rather than individual aspects of an experience, but experience in its different aspects: cognitive, emotional, physiological and relational. Work dell'EMR goes to retrieve a lost and working on this integration. It should be remembered that, in general, and prominent, stress affects the levels of integration, consistency and flexibility of the system: chronic stress for progressive process of dysregulation, the acute "broken", blocks and disconnections. Therefore processing information (and consequences) related to events and stressful situations through a re-integration of all aspects related to psychobiological reach a restructuring. The level of "penetration" (effectiveness) of a therapeutic approach is very attached to his homogeneity with the reality on which it operates, namely the fact of speaking the same language. And this is a great asset for EMDR. The available data are consistent with the statement: EMDR change physiological parameters reducing and canceling the activation by stress, shifting the balance from the inhibition nice parasympathetic activation (Sack et al. 2007) and is associated with lowering dell'arousal physiological, ie regular patterns of activity and trophic (Sack et al. 2008), showing similarities with what happens during REM sleep (Elofsson et al., 2008).
EMDR also impacts on physical ailments related to the system of stress, such as have Show searches on dermatological (Gupta, 2002).
Son numerosos los hechos sociales violentos que han enmarcado la historia de Colombia, la guerra siempre presente en el recorrido del siglo XX, sus causas: El poder político y económico de los distintos actores armados y la incorporación a mediados del siglo de la guerrilla, seguida años después por el paramilitarismo y el narcotráfico, se unen de manera siniestra para acorralar y desplazar a miles de campesinos de sus tierras a futuros urbanos inciertos marcados por la pobreza y la incertidumbre.
There are numerous social events that have framed the violent history of Colombia, war is always present in the course of the twentieth century, its causes: The political and economic power of the different armed groups and the incorporation in the mid of the guerrillas, followed years later by the paramilitaries and drug traffickers, a sinister bind to corral and displacing thousands of farmers from their land to urban uncertain future marked by poverty and uncertainty.
This doctoral dissertation in clinical psychology sought to investigate the potential efficacy of Eye Movement Desensitization and Reprocessing (EMDR) in treating generalized anxiety disorder (GAD). It consists of two articles. The first article, written in French, presents a recent review of the literature on the efficacy of EMDR in treating post-traumatic stress disorder (PTSD). Having focused on recent experimental designs and meta-analyses, this review indicates that (1) EMDR's efficacy is superior to the absence of treatment or than non-specific treatments; (2) EMDR and cognitive-behavioral approaches are equally efficacious in treating PTSD; and (3) that the effects of EMDR are maintained over time. A brief discussion on the possible distinctions between EMDR and exposure therapies is presented, as well as hypotheses concerning the possible role of eye movements.
The second article constituting this doctoral dissertation focuses on and presents the results following this initial investigation of EMDR's potential efficacy in treating GAD. A single-case design with multiple baselines across participants was used for this research. It sought to investigate to effects of 15 EMDR sessions for four participants. Results indicate that by targeting past experiential contributors, current and future triggers of excessive worry with EMDR, there was a statistically significant decrease in levels of excessive worry and its accompanying anxiety, as indicated by Time-series analyses. As well, various self-report and clinician administered measures show that at both post-treatment and at follow-up all four participants no longer presented a diagnosis of GAD.
First article is in French, Second article is in English
(1) David Servan-Schreiber est Professeur de Psychiatrie Clinique à l’École de Médecine de l’Université de Pittsburgh aux Etats-Unis et Chargé de cours à la Faculté de Médecine de Lyon I. Cet article est tiré en partie d'une traduction d'un article paru en 2002 dans la revue américaine Alternative Therapies in Health Medicine, 8:100-103. Nous remercions Pauline Guillerd, psychologue et praticienne EMDR, pour la traduction de l'anglais.
(1) David Servan-Schreiber is Professor of Clinical Psychiatry, School of Medicine of the University of Pittsburgh in the United States and Lecturer at the Faculty of Medicine of Lyon I. This article is partly based on a translation of an article published in 2002 in the journal Alternative Therapies in Health Medicine, 8:100-103. We thank Pauline Guillerd Psychologist and EMDR practitioner, for the translation of English.
France Haour et David Servan-Schreiber présentent avec clarté la désensibilisation
par les mouvements oculaires et le retraitement de l’information (EMDR),
ainsi que les études qui ont été effectuées par des méthodes neuroscientifiques
pour tester ces processus. Plusieurs points restent néanmoins en suspens. Effectivement,
l’EMDR est d’efficacité démontrée dans le stress post-traumatique, et
les traumatismes plus légers, mais il n’y a pas de données dures pour le valider
dans d’autres indications. De plus, son processus, comme il est souligné dans le
chapitre, demeure controversé. Il ne faudrait pas oublier qu’un EMDR sans
mouvements oculaires aboutit à de résultats identiques à ceux d’un EMDR avec
mouvements oculaires, dans la méta-analyse de Davidson et Parker (2001), qui
inclut 13 études comparant ces deux conditions. Cinq méta-analyses ne retrouvent
pas de différence d’efficacité entre TCC et EMDR. Ces faits expérimentaux
ont amené aussi bien l’Association psychiatrique américaine (2004) que le rapport
INSERM (2004) à classer l’EMDR dans les TCC, dont il représente une variante
technique, sans véritable discontinuité. Par ailleurs, l’analogie souvent
faite entre EMDR et la phase REM (phase paradoxale du sommeil correspondant
au rêve et à des mouvements oculaires rapides) n’est qu’une hypothèse et
ne repose pas à ce jour sur des données scientifiques. Enfin, toutes les thérapies
d’exposition utilisent des distracteurs (relaxation, images mentales de sécurité,
pensées positives) pour faciliter l’accès aux émotions liées au traumatisme.
L’hypnose, qui a montré son efficacité dans le stress post-traumatique lors
d’une seule étude contrôlée (Brom, 1989), elle aussi, se sert de mouvements
oculaires, pour capter l’attention. Ainsi faisait son ancêtre, Franz Anton Mesmer,
comme le montre le rapport établi en 1784 par la commission royale sur le
magnétisme animal (Darnton, 1995). Quoi qu’il en soit, l’EMDR propose un
protocole utile, robuste et aisé à enseigner et à appliquer.
France Haour and David Servan-Schreiber present with clarity desensitization
Eye Movement and reprocessing of information (EMDR)
and studies that have been conducted by neuroscientists methods
to test these processes. Several points are still open. Indeed,
EMDR is proven efficacy in post-traumatic stress, and
lighter injuries, but there is no hard data to validate
in other indications. In addition, its process, as outlined in the
chapter remains controversial. We should not forget that EMDR without
eye movements leads to results identical to those of EMDR with
eye movements in the meta-analysis of Davidson and Parker (2001), which
includes 13 studies comparing these two conditions. Five meta-analyzes found
no difference in efficacy between CBT and EMDR. These experimental facts
led both the American Psychiatric Association (2004) report that the
INSERM (2004) to classify EMDR in CBT, which is a variant
technique, no real discontinuity. Moreover, the analogy often
made between EMDR and REM sleep (REM sleep corresponding
dreams and rapid eye movement) is only a hypothesis and
not based so far on scientific data. Finally, all therapies
exposure using distractors (relaxation, mental imagery security
positive thoughts) to facilitate access to the emotions related to the trauma.
Hypnosis, which has shown its effectiveness in post-traumatic stress in
one controlled study (Brom, 1989), it also uses movements
eye for attention. So was his ancestor, Franz Anton Mesmer,
as shown in the report prepared in 1784 by the Royal Commission on
Animal Magnetism (Darnton, 1995). Anyway, EMDR offers a
useful protocol, robust and easy to teach and apply.
Dr. William Davies, director of APT, the Association for Psychological Therapies in Leicester, says it is significant that the girls are in the midst of taking exams. "They are moving their eyes from right to left in the same way as EMDR, which gives them a relaxing feeling," he says.
Um assalto, um acidente de trânsito, a separação dos pais ou mesmo uma discussão grave entre familiares. Esses são alguns exemplos de eventos causadores de traumas que podem durar muitos anos. Dependendo do tamanho da dor psicológica, é preciso recorrer às psicoterapias e uso de medicamentos para aliviar o sofrimento. Porém, uma nova técnica promete ajudar pacientes a enfrentarem seus medos. Trata-se do "Eye Movement Desensitization and Reprocessing" (Dessensibilização e Reprocessamento por meio dos Movimentos Oculares), conhecida pela sigla EMDR. A terapia, descoberta nos Estados Unidos pela psicóloga Francine Shapiro, foi introduzida no Brasil, há seis anos, pela também psicóloga Esly Regina Souza de Carvalho que lança, hoje à noite, o livro "Curando a galera que mora lá dentro - Como o EMDR e as novas terapias de reprocessamento podem tratar nossos papéis internos".
An assault, a traffic accident, her parents' separation or even a serious discussion among family members. These are some examples of events that cause trauma that can last for many years. Depending on the size of psychological pain must rely on psychotherapy and medications to relieve suffering. However, a new technique promises to help patients cope with their fears. This is the "Eye Movement Desensitization and Reprocessing" (by Desensitization and Reprocessing Eye Movement), known by the acronym EMDR. The therapy was discovered in the United States by psychologist Francine Shapiro, was introduced in Brazil six years ago, the psychologist also Esly Regina Souza de Carvalho throws tonight, the book "Healing the people that lives there - How EMDR and new therapies can treat our reprocessing internal roles. " {Excerpt]
There are two workshops that are similar, in that they describe ways to work with dissociative clients in the phased approach recommended by the Treatment Guidelines of the International Society for the Study of Trauma and Dissociation, to which Dr. Paulsen contributed for the Third Revision That phased approach emphasizes stabilization and containment before conducting EMDR, and then using a measured approach to pace the use of EMDR for maximal safety for dissociative clients. The first workshop ["Looking Through the Eyes: EMDR & Ego State Therapy Across the Dissociative Continuum” with its own entry] teaches the ego state methods to do stabilization and containment. This second workshop describes somatic methods as well as ego state methods, making that workshop very full indeed. This workshop will elaborate on the key phase of stabilization, before ever conducting EMDR for a dissociative client. It will describe ways to increase affect tolerance, employ somatic resourcing, and other somatic methods to reconfigure ego states, use a two-step containment strategy for traumatic material and for ego states. A key focus is on working directly with perpetrator introjects or other “monstrous” disowned or shameful parts, to minimize resistance and internal conflict. Leading edge methods for resetting affective circuits and clearing very early attachment trauma will be touched upon.
Partipants will be able to: 1. Explain why and when to assess every client for degree of dissociation prior to doing EMDR and choose an appropriate protocol, 2. Utilize a phased approach to therapy, including EMDR when and where appropriate, for complex dissociative clients, 3. List six tactics for stabilizing clients, prior to doing EMDR for dissociative clients to increase rapport, increase soma tolerance, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources, 4. Prepare for EMDR processing using ego state and other methods to clarify roles and plan the work, 5. Structure EMDR sessions using imagery, ego state interventions (and somatic methods, for the second workshop) for pacing, fractionating and trouble shooting the work, and 6. For the somatic version of the workshop, list several somatic interventions to assist with various phases work with dissociative clients.
Post-traumatic stress disorder (PTSD) is a common
and disabling disorder that develops as a consequence
of traumatic events and is characterised by
distressing re-experiencing of parts of the trauma,
avoidance of reminders, emotional numbing and
hyperarousal. The NICE guidelines for PTSD (2005)
recommend trauma-focused psychological therapy
as the first-line treatment. A survey of 129 GPs in
south London investigated the recognition and
treatment of PTSD in primary care. The majority
of GPs underestimated the prevalence of PTSD.
Most PTSD patients seen in GP surgeries currently
do not receive or are not referred for NICE recommended
psychological treatments. Medications,
especially SSRIs, appear to be more commonly
prescribed than recommended by NICE. Efforts to
disseminate information about PTSD and effective
treatments to both patients and GPs are needed to
increase recognition rates and prompter access to
treatment. The Improving Access to Psychological
Therapies (IAPT) programme will make the NICE
recommended treatments more widely available
and will allow self-referral by adults with PTSD to
trauma-focused psychological therapy.
There are several ways to help clients
gain access to the resources necessary
for successful processing when it does
not occur spontaneously. For example,
when two or three sets of eye movements
occur with no progress, I occasionally
use a "premature" positive
installation. By doing so, the source
of remaining discomfort may come
into sharper focus, revealing an appropriate
target for continued processing.
Alternatively, the installation
may have positive impact, giving the
client more freedom from the habitual
negative stance, and perhaps additional
strength with which to face
whatever discomfort still remains.
With either outcome, this strategy
can be helpful in getting the process
back on track. (However, sometimes
it does not work, perhaps because the
available positive cognition does not
have sufficien1;power to overcome the
block.)
By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. This workshop will describe theoretical, clinical, and ethical issues in incorporating EMDR into work with couples. Integenerational pathogegenesis of ego fragmentation will be described. Indications ad containdications for conjoint EMDR sessions will be discussed. Through didactic presentation and case illustration, participants will learn how to use ego state theory in their assessment, introduce EMDR into the treatment planning, and learn advanced techniques for facilitating processing with "stuck" or difficult clients.
By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. This workshop will describe theoretical, clinical and ethical issues in incorporating EMDR into work with couples. Intergenerational pathogogenesis of ego fragmentation will be described. Indications and contraindications for conjoint EMDR sessions will be discussed. Through didactic presentation and case illustration, participants will learn how to use ego state theory in their assessment, introduce EMDR into the treatment planning, and learn advanced techniques for facilitating information processing with “stuck” or difficult clients.
Great strides have been made in applying EMDR
to different populations with a variety of
diagnoses. Integrating this powerful treatment
into couples therapy is relatively new and very
promising. By augmenting EMDR with the
explanatory power and clinical inventiveness of
ego state theory, couples therapy can be brought to new levels of efficacy. Through didactic
presentation and case illustration, participants will
understand the relational nature of the Self,
psychobiological and psychodynamic mechanisms of attachment, the structure of the
relational self, and the challenges of individuation/differentiation. In addition, all participants will learn and be able to access the intergenerational pathogenesis of ego fragmentation, and will be
able to identify clinical manifestations of ego state
conflict in conjoint sessions, including the doublebind,
split loyalty, and reenactments. Participants
will be able to use this learning to diagnose the
interlock of negative cognitions in their client
couples, and implement strategies to contract for
individually-focused EMDR therapy. Participants
will be able to explain to clients the risks and
benefits of conjoint EMDR, and understand the
contraindications for conjoint EMDR. Participants will learn a model of EMDR
treatment planning that includes target selection
and salience, and will be able to utilize a
progressive sequence of techniques for facilitation
EMDR processing with dissociative clients who
are blocked, looping, or at risk of abreaction.
By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. Participants will learn about the relational nature of the Self, psychobiological and psychodynamic mechanisms of attachment, the structure of the relational self, and the challenges of differentiation. Participants will be able to diagnose the interlocking of negative cognitions of client couples and implement strategies to contract for individually focused EMDR. Participants will understand the risks and benefits of conjoint EMDR. Participants will learn a model of EMDR treatment planning that describes target selection and salience.
EMDR Power Tip #1
• Staying out of the way ensures that the
therapy is about the client—not us
• Interpretations make the client object to
therapist’s subject role [Excerpt]
By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. This workshop will describe theoretical, clinical and ethical issues in incorporating EMDR into work with couples. Integenerational pathogogenesis of ego fragmentation will also be described. Indications and contraindications for conjoint EMDR sessions will be discussed. Through didactic presentation and case illustration, participants will learn how to use ego state theory in their assessment, introduce EMDR into the treatment planning, and learn advanced technqiues for facilitating information processing with "stuck" or difficult clients.
"EMDR is one of the most researched therapies around," said Nieman, who then added, "but I have not had one person who was not dramatically helped by this."
Also pubished in US Fed News.
The article explores the differences between memory reconsolidation and extinction. This new area of investigation is worthy of additional attention. Reconsolidation may prove to be the underlying mechanism of EMDR, as opposed to extinction caused by prolonged exposure therapies. “Memory reconsolidation after retrieval may be used to update or integrate new information into long-term memories . . . Brief exposure … seems to trigger a second wave of memory consolidation (reconsolidation), whereas prolonged exposure . . leads to the formation of a new memory that competes with the original memory (extinction).”
Complex trauma in early childhood has the ability to impact a child’s development in
multiple domains, thus influencing development throughout the rest of their life. The
purpose of this study was to explore best practices with children who have experienced
complex trauma from the perspective of mental health professionals, with a focus on
children between the ages of three and five. Qualitative interviews were conducted with
six mental health professionals who were asked to discuss the presentation, interventions,
and outcomes of a case where the child experienced complex trauma. Consistent with
previous literature, all participants in this study reported self-regulation deficits and
relational impairments for the case they discussed. Additionally, all six participants
utilized play therapy and expressed the importance of collaboration with other adults and
systems in the child’s life in order for treatment to be successful, exemplifying the need
to utilize an ecological approach. Other practices used by professionals included
Cognitive Behavioral Therapies, feelings/emotion interventions, EMDR, and relational
interventions such as including the parents/caregivers in treatment, addressing the
attachment needs, and coaching parents. Overall, participants utilize a combination of
approaches and interventions in order to provide best practices, always emphasizing
safety, attachment, and development.
Background and Objectives: Eye Movement Desensitisation and Reprocessing (EMDR) is now considered evidence based practice in the treatment of trauma symptoms. Yet in a previous meta-analysis, no significant effect was found for the eye movement component. However methodological issues with this study may have resulted in a type II error. The aim of this meta-analysis was to examine current published studies to test whether eye movements significantly affect the processing of distressing memories.
Method: A systematic review of the literature revealed two groups of studies. The first group comprised 15 clinical trials and compared the effects of EMDR therapy with eye movements to those of EMDR without the eye movements. The second group comprised 11 laboratory trials that investigated the effects of eye movements while thinking of a distressing memory versus the same procedure without the eye movements in a non-therapy context. The total number of participants was 849.
Results: The effect size for the additive effect of eye movements in EMDR treatment studies was moderate and significant (Cohen's d = 0.41). For the second group of laboratory studies the effect size was large and significant (d = 0.74). The strongest effect size difference was for vividness measures in the non-therapy studies (d = 0.91). The data indicated that treatment fidelity acted as a moderator variable on the effect of eye movements in the therapy studies.
Conclusions: Results were discussed in terms of current theories that suggest the processes involved in EMDR are different from other exposure based therapies.
Eye movement desensitization (EMDR) and exposure therapies
(e.g. prolonged exposure therapy) have both been recommended
as first-line treatments for posttraumatic stress disorder (PTSD).
However, relatively little is known about the comparative efficacy
of the two types of treatments. To date, the few studies that have
been conducted have small sample sizes, making it difficult
to draw conclusions. The goal of the current study was to use
meta-analytic techniques to synthesize the existing data on the
relative efficacy of exposure therapies and EMDR. Through a
comprehensive literature search, we identified six randomized
control trials that met our inclusion criteria. We calculated
Hedges g effect sizes for the continuous variables (positive values
favor exposure therapies) and risk ratios (RRs) for dichotomous
variables (values greater than one favor exposure therapies).
EMDR and exposure therapies did not differ significantly on
clinician-rated PTSD (g = 0.32), self-report PTSD (g = -0.08), selfreport
depression (g = -0.01), loss of PTSD diagnosis (RR = 1.46),
or dropout (RR = 0.79). However, higher-quality studies (based
on Foa & Meadows’ 1997 criteria) consistently favored exposure
therapies. Clinical implications will be discussed
Treatment Studies: I
Eye movement desensitization (EMDR) and exposure therapies
(e.g. prolonged exposure therapy) have both been recommended
as first-line treatments for posttraumatic stress disorder (PTSD).
However, relatively little is known about the comparative efficacy
of the two types of treatments. To date, the few studies that have
been conducted have small sample sizes, making it difficult
to draw conclusions. The goal of the current study was to use
meta-analytic techniques to synthesize the existing data on the
relative efficacy of exposure therapies and EMDR. Through a
comprehensive literature search, we identified six randomized
control trials that met our inclusion criteria. We calculated
Hedges g effect sizes for the continuous variables (positive values
favor exposure therapies) and risk ratios (RRs) for dichotomous
variables (values greater than one favor exposure therapies).
EMDR and exposure therapies did not differ significantly on
clinician-rated PTSD (g = 0.32), self-report PTSD (g = -0.08), selfreport
depression (g = -0.01), loss of PTSD diagnosis (RR = 1.46),
or dropout (RR = 0.79). However, higher-quality studies (based
on Foa & Meadows’ 1997 criteria) consistently favored exposure
therapies. Clinical implications will be discussed.
In "The Reunion Process: A New Focus in Short-Term Dynamic Psychotherapy," by Dr. Sandler (see record 2007-09422-001), addresses posttreatment relapse by a new therapeutic strategy based on attachment theory and recent research findings concerning the neurobiology of memory. This strategy involves the discovery or creation of positive childhood maternal attachment memories as a method of overcoming the dominance of negative memories. Dr. Sandler makes assumptions about what can be achieved in short-term therapies, the pace of therapeutic change, as well as the role in treatment outcome of techniques versus therapist skill and relationship factors. These assumptions are not supported by psychotherapy research. While the attempt to use new discoveries from neurobiology to guide the development of therapeutic techniques is admirable, the author appears to engage in a fair amount of speculative theoretical reductionism in attempting to explain the eventually positive outcome of the case he presents. I offer a more parsimonious psychological explanation, which is consistent with the short-term dynamic psychotherapy theory of change. (PsycINFO Database Record (c) 2007 APA, all rights reserved)
In this seminar, we’ll discuss strategies that patients can learn to monitor and modify energy and information flow with more clarity and power, and also describe how the process of integration can serve as an organizing principle that illuminates the nature of resilience and well-being. Integration is defined as the linkage of differentiated parts of a system. When integration is present, flexibility and harmony result; when integration is absent, chaos or rigidity occur. EMDR can be seen as a profoundly useful integrative therapeutic practice. Mindsight is a teachable skill with which people can learn to monitor energy and information flow with clarity and depth and then modulate that flow with specificity and power toward integration. Within this framework, clinicians can focus assessment on the findings of chaos and rigidity as examples of impediments to integration. Clinical intervention harnesses the power of therapeutic techniques to cultivate differentiation and linkage in various domains of integration that may be impaired.
Cooper discusses current trends in mental health treatment. Among the topics explored are effective versus discredited therapies, antidepressants, and appropriate treatment for chronic fatigue syndrome.
The moving finger may
have written one of the most
important sport storles of the
age in the past fortnight.
The finger of Sydney psychiatrist
Dr. Bob Hampshire
was waved daily in the eyes of
Brett Dutton, Jeff Stewart,
Jamie Kelly, David Perry, and
Mark Elliott of the Ansett
Australia team during the
Pacific Power-Commonwealth
Bank Cycle Classic.
And if Hampshire is right, a
painless technique called
EMD (Eye Movement Desensitisation)
may have opened
up a golden avenue in the
brain for improved sporting
performance.
“Nacer conectado, vivir consciente” se diferencia de otros textos habituales de crianza natural como los de Michel Odent, Alice Miller, James Prescott, Casilda Rodrigañez, Laura Gutman, Sue Gerhardt, Carlos González, Punset -a quien se cita en el prólogo- … porque, además del papel del cerebro desde los avances en psicobiología y neurociencia, también explica el papel de dos terapias naturales importantes en la salud pero poco conocidas, la QUIROPRÁCTICA y sus ajustes desde bebés y EMDR (Desensibilización y reproceso a través del movimiento ocular) desarrollada por Francine Shapiro y considerada como una importante llave de acceso al cerebro.
" Nacer connected, live consciously " differs from other natural breeding standard texts such as Michel Odent, Alice Miller, James Prescott, Casilda Rodrigáñez, Laura Gutman, Sue Gerhardt, Carlos Gonzalez, Punset -who is quoted in the prologue, " ... because, besides the role of the brain from the advances in psychobiology and neuroscience , it also explains the role of two major natural therapies in health but little-known Chiropractic and their babies and settings from EMDR ( through desensitization and reprocessing eye movement ) developed by Francine Shapiro and considered an important key to the brain.
Definition of client population:
Disorder of the self. The narcissistic character is often identified by his or her grandiose facade concealing an underlying sense of
emptiness and worthlessness. To experience the underlying emptiness is so painful for them that these people cut off their inner
experience and rely instead on external admiration and praise to support their grandiose or superior view of themselves; their
condition is often referred to as a "disorder of the self." Because of their dependence on others for their sense of themselves, they are
exquisitely sensitive to criticism or disapproval, often warding off deflation by becoming increasingly grandiose, superior, disdainful
or demeaning. Many conceal their grandiosity, maintaining a secret sense of superiority which may be based upon their
perfectionism or their quiet devaluing of others.
View of others: there is a range of severity of the narcissistic character from personality disorders to a narcissistic character style.
People with personality disorders, are unable to form a trusting bond with another person; they view people primarily as
interchangeable, performing a function which could equally be performed by many others. Less impaired narcissistic characters,
however, are able to form varying degrees of attachments to other people, although their ability to trust and care about other people
is limited. Most commonly they relate to people they can idealize or be admired by. People tend to be seen in extremes as either
superior and powerful or inferior and worthless; supportive and admiring or critical and attacking.
Difficulties in using EMDR:
Clinically these clients represent a difficult and often frustrating population to treat; they are brittle and easily injured if they to not
feel perfectly understood by their therapists, and they will distance at the slightest hint that they are being judged or used. They
resist focusing inward and defining their problems as arising within themselves, and find it difficult to sustain any genuine affect,
other than perhaps rage. If they feel understood and accepted, however, they will eventually talk about their sense of emptiness and
worthlessness and their confusion about who they are and what is truly meaningful and valuable to them.
Beck, Young and others have described factors that make it difficult to treat any personality disorder using a cognitive behavioral
approach. There have in fact been very few reported "successes" in the literature. Most of the difficulties are related to the self and
object splitting characteristic of these clients. These clients have limited access to feelings, limited access to spontaneous thoughts,
body sensations, memories, etc., and vague unfocussed presenting problems making targeting difficult. They usually have difficulty
with emotional and often intellectual continuity from session to session; they will rarely keep a log or follow through with
homework; transference issues often come into central focus and must be addressed before other targets; and their selfdefeating
beliefs and behavior patterns are extremely deeply held, pervasive and resistant to change.
In addition to varying degrees of these difficulties, narcissistic clients present all of the problems in EMDR that they do in more
traditional therapies; including their tendencies to act out, deny, and avoid. These and other defenses interfere with completion of
segments of therapeutic work and make it difficult for the clinician to keep work focused within one neural network. Self and object
splitting leads to continuity problems within or between sessions and a difficulty maintaining clarity about the reason for being in
treatment. The client may feel suicidal one week and declare himself or herself to be fully recovered the next. Perhaps the most
confirming aspect of the treatment of these clients, however, is their emotionally impoverished pasts; they have very limited
experience of nurturing, loving and caring to draw !?om in order to interweave new meanings and perspectives into traumatic or
painful past experiences.
Length of treatment:
I have found that I have been able to achieve good results with higher level narcissistic clients with whom I have had an established
relationship at the time I introduced EMDR into the treatment. My results with clients who have come to therapy asking specifically
for EMDR and with whom I have begun using EMDR soon after the beginning of treatment have been generally poorer, varying
with the severity of the client's disorder, the less severe doing best. The client needs to be able to establish a meaningful trusting
relationship with the therapist; the more severe the client's difficulties with attachment, the more time this process requires.
Narcissistic clients do not tend to see their difficulty with vulnerability, trust and intimacy as a problem within themselves. If they
are able to recognize personal problems, they are usually in the area of self esteem and obstacles to achievement. When they are
able to resolve some of these latter problems fairly rapidly through treatment they tend to terminate, no longer seeing a sufficient
purpose for treatment. In a sense, they can become better narcissists; their grandiose view of themselves is enhanced and they are
reinforced in their use of self-sufficiency as a defense against interpersonal vulnerability. I view the relative efficiency of EMDR as
a problem for deeper treatment of narcissistic clients because there is less time for the therapeutic relationship to develop and
consequently a limited opportunity to impact the client's object splitting. I believe that this is why I have found EMDR with
narcissistic clients to be most effective when it is introduced after a therapeutic relationship has had time to develop. Negative cognitions:
The early maladaptive schemas of narcissistic clients are pervasive in their lives and point to a plethora of negative cognitions.
Typical early schemas are: I must control myself (or my feelings, my behavior, my body) at all times; no one cares; my needs will
never be met; I can't trust anyone; I am deeply flawed and unlovable; I am dikeable, unattractive to others; I will always fail; my
flaws are totally unacceptable to others; I must be perfect or I am worthless; I deserve to be treated more specially than others; I must
please others to avoid attack; I'm alone; nobody understands me; I am OK if I am better than others; I am OK only if others admire
me. It is often helpful to narrow these cognitions down to make them manageable with EMDR
Treatment:
In addition to the recommended protocol of establishing a safe space to which the client can retreat if necessary, before doing an
EMDR session with one of these clients, the therapist should identify as many of the client's emotional resources possible, in
particular expriences if any of having felt loved and accepted ad examples of loving people or relationships the client has observed
Among other things, these facilitate more effective copitive interweaves.
The initial task in doing an EMDR session with this client population is to establish an appropriate and richly defined target. Since
it is more difficult for these clients to access meanm&l memories in an emotionally alive way, the therapist must be more active in
helping the client stimulate the associated neural netork as I l l y as possible. In addition to the client's reaction to the plight of
children he may be related to or observe (Level I1 training), a rich source of emotional responsiveness and resources is the client's
own response to situations he has witnessed in news media, TV, movies or theater.
A major challenge in addressing a narcissistic character type using EMDR is tracking the course of the session with these clients
and identifying when they drip out of the targeted neural network. This process can be subtle because it requires an ability to
differentiate true avoidance hm spontaneous associations which may appear at hat to be irrelevant; it requires a familiarity with
and sensitivity to the protective or defensive mechanisms they use to insulate themselves fiom painful memories and affect. As the
patterns ofmovement in and out of the targeted network are identified it is important to use interventions that are experienced by the
client as supportive but nevertheless make hun or her aware of having wandered.
Although the narcissistic client may initiate treatment with the stated goal of improving his performance in specified areas, he will
agree upon reflection that the real problem is that he feels an overriding need to perform in order to feel worthwhile. Since he has
never known any other way of dealing with his self-worth, he will be skeptical about whether it is possible to feel a sense of worth
that is not based upon performance, and it is easy for the therapist to lose perspective and join him in that beliet especially while
doing EMDR with its potential for reprocessing with extraordinary precision specific obstacles to performance. The therapist must,
however, retain her healthy perspective if the client is to learn to accept himself.
For more clinical information about treating disorders of the self:
1.)Beck, Aaron T., et al, Cognitive Therapy Of Personality Disorder Guilford Press, New York,
N. Y., 1990
2.)Manfield, Philip, Split Self/Split Object: Understanding And Treating Borderline, Narcissistic And Schizoid Disorders, Jason Aronson Publishers, Northvale, N.J., 1992.
3.)Young, Jeffrey, E, Cognitive Therapy For Personality Disorders: A Schema-Focused Approach,
Professional Resource Exchange, Inc., Sarasota, Florida, 1990.
Neuroscience research can guide trauma treatment including EMDR, ego state, somatic, and attachment therapies (Lanius, Paulsen & Corrigan, in press). Traumatic memories tend to be encoded somatically and affectively in implicit memory. Lower brain structures, particularly basic affective circuits and the periaqueductal gray (PAG) (Panksepp, 1998), are essential to understanding of both traumatic memory and and dissociation. The polyvagal nervous system (Porges, 2001) is key to understanding the activation of different affective circuits, including the interplay between social engagement and connection, fight/flight and dissociation. A model is proposed that links alterations in consciousness to failure of integration and ultimately to structural dissociation (van der Hart et al., 2006). It is suggested that attachment trauma contributes to the failure of horizontal integration of the columnar organization of affective states, which, over time, become the foundation of discontinuous self-states: Discontinuity of self-states, amnesia barriers and dissociative state switching develop in lieu of smooth state transitions. Somatic interventions can enable sensory integration and personification (Janet, 1929), prior to trauma processing with EMDR that engages brain processing inter-hemispherically and across cortical and subcortical levels. The workshop will highlight implications of recent neurobiological findings for clinical practice.
Learning Objectives:
Articulate the role of the periaqueductal gray (PAG) in the expression and experience of emotion.
Identify two brain structures implicated in integrating affective and sensory information.
Name three branches of the polyvagal nervous systems described by Porges.
In the recent years the number of neuroimaging studies evaluating neural correlates of psychotherapy has steadily increased revealing its clear neurobiological effects on brain function across a wide range of psychiatric disorders. Functional studies by single photon emission computed tomography (SPECT) and positron emission tomography (PET) detect changes in cerebral blood flow and metabolism patterns, identifying the brain areas processing the various components of emotional processing and/or affected by the disorders. Investigations by magnetic resonance imaging (MRI) have also revealed psychiatry disease-related structural changes.
The first part of the workshop (20 minutes) will describe the neuroimaging methodologies and findings in PTSD/EMDR research with and extensive review of previous literature on the neurobiological effects of EMDR. The second part of the workshop (20 minutes) will deal with the description and implementation in research and clinic of neuropsychological testing with brief comments and discussion about their use in the recent experiments performed by our group. In the third part the EEG monitoring of a complete set of EMDR therapies in 10 patients suffering of major trauma will be presented. The relative results are the first report ever on the neurobiological changes occurring before, during and after EMDR therapy sheding light on the neuronal processes underlying its clinical efficacy.
Learning objectives:
The description and the discussion about the contents of the workshop will provide the audience (1) the necessary information to understand the methodological principles behind the neuroimaging techniques (PET, SPECT and MRI) and their possible applications in research and clinic; (2) the critical knowledge of the limited number of published papers in the field of EMDR-related functional and anatomical studies; (3) the basic research principles and examples to be motivated to begin, take part and/or collaborate to EMDR research in order to better understand the neural basis of this fascinating psychotherapeutic technique.
For Ivey, therapy involved an unconventional approach called Eye Movement Desensitization and Reprocessing or EMDR. The patient focuses on the traumatic event while moving her eyes from side to side, following a therapist's fingers.
I will begin by outlining the appropriate assessment procedures for complex cases, including bio-psychosocial factors within a multidisciplinary approach. This will be followed by the presentation of two clinical cases, the first of which is one of severe head injury (with severe language impediment) and severe PTSD. In this case I will describe the use of Sensorimotor Therapy and a modified EMDR protocol. The second case is of severe developmental trauma with forensic and substance misuse background, where the treatment used is Lifespan Integration. In both cases I will give a full picture of methods and of outcomes, including videos of the treatment. I will seek to offer delegates a hands-on understanding both of the assessment issues and of the therapies.
Learning Outcomes Learning how to assess complex PTSD cases within a multidisciplinary framework. Dealing with patients whose clinical presentation falls outside the remit of NICE PTSD guidelines. Delegates will be introduced to new therapeutic approaches including Sensorimotor Therapy, Lifespan Integration, and a modified protocol for EMDR with the above clinical cases.
EMDR proponents claim it is effective where traditional therapies have failed. They say EMDR works a lot faster than talk therapy to help people work through deeply rooted memories and traumatic events.
Myra sought out therapist Donna Knudsen, a doctor of clinical psychology in Quarryville with a practice in Media. Knudsen has completed two levels of EMDR training plus workshops. They agreed to work together.
Júlia é uma menina de seis anos de idade. Sempre foi acompanhada por mim, como pediatra, desde o seu nascimento. Nasceu de parto cesáreo e é a primeira filha. Teve um desenvolvimento psicomotor e físico normal até o momento. Fruto de uma relação estável, os pais da Júlia são relativamente bem estruturados. A mãe tem 38 anos, é professora universitária. O pai tem 40 anos e é também professor universitário. Júlia apresentou enxaqueca infantil entre dois e três anos, que melhorou com medicação homeopática. Tem uma irmãzinha de um ano e meio. A queixa atual é de que não consegue controlar o xixi de noite, e acorda sempre molhada. Já foram feitas várias tentativas para melhorar isso. Diminuir a água da noite, por a Júlia no vaso antes de ir dormir, acordar com despertador, usar remédio homeopático, usar remédio alopático, mas nada dá resultado. Júlia acorda sempre molhada. Após quatro sessões, a partir de jogos, as cartas de bons e maus pensamentos, brincadeiras com as com as tabelas de Suds e de Voc, leitura do livro “Um dia Ruim”, os ajudantes de EMDR (Eva, Maravilha, Dudu e Requinho), entre outros recursos, Júliabv passou a semana inteira acordando sequinha, e nunca mais fez xix na cama.
English
Portuguese
Galician
Julia is a girl of six years old. Where was accompanied by me, as a pediatrician, since birth. He was born by cesarean section, and is the first child. Had a normal physical and psychomotor development so far. The result of a stable relationship, Julia's parents are relatively well structured. The mother is 38 years old, is a university professor. The father is 40 years old and is also a university professor. Julia had migraine child between two and three years, which improved with homeopathic medication. It has a little sister a year and a half. The current complaint is that you can not control the pee at night and always wake up wet. Various attempts have been made to improve this. Lowering the water at night, by Julia in the vase before going to sleep, waking up alarm, use homeopathic medicine, allopathic medicine use, but nothing has worked. Julia always wake up wet. After four sessions, from games, letters of good and bad thoughts, jokes with with tables and Suds You, reading the book "A Day Poor," the helpers of EMDR (Eva, Wonder, and Dudu Requinho ), among other features, Júliabv spent the whole week waking sequinha, and never did in bed xix
Published by Domus - Centro de Terapia de Casal e Famila (Brazil)
O presente trabalho pretende mostrar a validade do EMDR como um instrumento útil em terapias de casais e família, quando experiencias traumáticas do passado estão dificultando o relacionamento entre seus membros. Ressaltam como essa abordagem tem-se mostrado eficaz no tratamento dos Transtornos de Estresse Pós-Traumáticos (TEPT) e em todas as disfunções dele decorrentes. Discutem o conceito de trauma e a forma como, junto com as vivências traumáticas, se mantêm inalteradas as memórias e as emoções a ela associadas, bem como as crenças negativas construídas a partir delas. As autoras relatam dois casos clínicos e lustram como esse recurso pode ser utilizado. Finalmente, consideram a importância da integração de diferentes teorias e técnicas por parte dos terapeutas contemporâneos para um atendimento mais eficaz de seus pacientes.
The present paper intends to show the validity of EMDR as a useful tool in the therapies of couples and families, when traumatic experiences from the past are making difficult the relationship between its members. It stands out how this approach has revealed efficient in the treatment of post-traumatic stress disorder (PTSD) and associated dysfunctions. It talks over the concept of trauma and the way how, with traumatic experiences, the memories and the emotions connected to them as well as the negative beliefs created from the remain unchanged. The authors report two clinical vignettes and illustrate how this resource can be used. Finally, they take into account the importance of integrate different theories and approaches by contemporary therapist for a more efficient assistance of their patients.
Looking for calm in the chaos – for you and your clients? Examine findings of recent research regarding the brain’s neuroplasticity and our ability to re-wire our own brains. Learn four 60-second strategies that can calm, relax, heighten sense of personal control, diminish power of old patterns, and strengthen healthy neural pathways. Understand and be able to explain to clients how research testifies to the efficacy of these simple strategies and how their implementation can be useful in EMDR treatment. In this highly experiential workshop, you will learn four strategies and explore how/when to use each with your clients – and with yourself.
Eye movement desensitization and reprocessing (EMDR) therapy has been shown by empirical studies to be effective in relief from psychological traumas including posttraumatic stress disorder (PTSD). Several logical concepts regarding the origin of the EMDR effect have been presented, but no detailed neural explanation is available. This lack of a widely accepted
scientific explanation for the EMDR effect has led to skepticism about the therapy by many therapists and potential clients. The authors present evidence based primarily on quantitative electroencephalogram studies that the neural
basis for the EMDR effect is depotentiation of fear memory synapses in the amygdala during an evoked brain state similar to that of slow wave sleep. These studies suggest that brain stimulation during EMDR significantly increases the power of a naturally occurring low-frequency rhythm in memory areas of the brain, binding these areas together and causing receptors on the synapses of fear memory traces to be disabled. This mechanical change in the memory trace enables it to be incorporated into the normal memory system without the extreme emotions previously associated with it. EMDR is a medical procedure because it changes the physical structure of the brain to modify problematically stored memories.
Several psychosocial treatments appear to be effective in treating PTSD. However, little is known about the predictors of treatment outcome. It is possible that some variables predict poor outcome for some treatments but not for other treatments. To investigate this issue, outcome predictors were investigated for three 8-session treatments: exposure therapy (entailing prolonged imaginal and in vivo exposure), relaxation training, and eye movement desensitization and reprocessing (EMDR). 60 people with PTSD entered and 45 completed treatment. Treatments did not differ in attrition or perceived credibility. Exposure tended to be most effective, and EMDR and relaxation did not differ in efficacy. A number of clinical and cognitive variables were examined to identify predictors of treatment dropouts as well as predictors of the likelihood that patients would be remitted from PTSD after treatment. These analyses were conducted by controlling for treatment condition. Low patient ratings of treatment credibility (assessed in session 2) predicted treatment dropout, regardless of treatment type. Severe reexperiencing symptoms (assessed prior to treatment) predicted poor outcome for relaxation training but not for the other therapies. These findings suggest that treatment outcome could be improved by improving treatment credibility. The findings also support the use of exposure therapy and, to a lesser extent, the use of EMDR in treating PTSD. [Author Abstract]
Post-traumatic stress disorder (PTSD) is a disorder which can develop following exposure to one or more severely traumatic events. Symptoms experienced by PTSD suffers include re-experiencing the trauma through intrusive ‘flashbacks’ and recurrent dreams or nightmares, distress when exposed to reminders of the trauma, hyperarousal and emotional blunting. These symptoms can cause significant impairment of function and reduction in quality of life for suffers. Both psychotherapies, including cognitive behavioural therapies (CBTs) and eye movement desensitisation and reprocessing (EMDR), and pharmacotherapy are used in the treatment of PTSD.
Method
We audited patients with PTSD in Bedford East performed in November 2008. A re-audit was performed using data from August 2010 patient database. Demographic information, risk factors, co-morbidities, psychological therapy and pharmacotherapy were compared between these audit and re-audit.
Results
There is increased use of antidepressant augmentation between 2008 and 2010. While no patients in 2008 were on antidepressant augmentations, by 2010, 9 patients were. All 25 patients on anti-psychotics have important identified risk factors. There is no evidence of Psychosis in our PTSD patients except in two cases. There is an increase in Anti-psychotic use in our PTSD Patients. There is an increased use of Mood Stabilisers in our patients with PTSD.
Discussion
PTSD is being identified more frequently in our patients, probably because of greater awareness and more accurate identification.
Conclusion
New patients being identified represent a group of more difficult to treat patients who represent severe risks. Present psychotherapies offered are not all recommended in present guidelines.
EMDR stands for Eye Movement Desensitisation and Reprocessing.
This long and complicated term refers to a technique discovered to alleviate the symptoms of post-traumatic stress disorder or PTSD.
This workshop synthesizes neurobiology, EMDR, and elements from ego state, somatic, and attachment therapies. 1) Prior to EMDR: a) somatic interventions for affect and soma tolerance, b) hypnotic containment, c) ego state maneuvers to decrease, d) resetting affective circuits, and e) planning fractionation. 2) During EMDR: a) temporal integrationism or fractionating by time segments from conception to repair attachment b) accelerating processing with somatic, ego state, imaginal, and information channel interweaves, and c) decelerating processing by further fractionating by channel. Please note: Part I (Session 332) and Part II (Session 432) each stand alone without prerequisite and are designed to complement each other. You do NOT have to take Part I to take Part II.
Patients with personality disorders have many difficulties in their daily functioning; many have histories of traumatic events and insecure attachment. In this workshop we will focus on cluster B personality disorders, and especially on borderlines. We will try to explain the interrelation of the DSM criteria (how they “feed” on each other) and how they are fed on these early events. To understand these aspects is basic for an adequate case-conceptualization in Phase 1. Early relational trauma impacts the developmental trajectory of the future adult and this will have a deep effect on how this adult relates to others. People with personality disorders and complex trauma have many difficulties when it comes to relating to others. One of the aspects that makes personality disorders difficult to manage is the intense emotional reactions that arise in the therapist during EMDR sessions. The management of relational difficulties is a core aspect in the treatment of personality disorders, and the solid basis where EMDR should develop.
The stabilization phase has been remarked as essential prior to trauma work with EMDR. But being true this assumption, two aspects need further development. The first is to establish when a patient is ready for trauma processing since frequently the stabilization phase is unnecessarily prolonged by therapists who don´t feel secure enough working with EMDR in this clinic group. The second is the development of specific interventions from EMDR, and not just the “importation” of foreign techniques, without an adequate theoretical framework. In this workshop we will go deeper into this topic.
Trauma processing in personality disorders implies many specificities that we should have in mind. Knowing these specific aspects, trauma processing with EMDR can be safely implemented in these patients. Borderline patients can get better with different therapies but only EMDR is able to get to symptoms such as “emptiness”. The effect of EMDR therapy is evident in clinic experience, even when specific research is still under development.
Learning objectives:
One interesting aspect of this workshop is the integration of theoretical exposition and the presentation of videos cases, in order to understand how to manage relational problems with this clinical group (a group with important patient-therapist relationship problems) and specific aspects of EMDR therapy in these patients. The general structure of EMDR therapy in personality disorders, interventions for the preparation phase and considerations for trauma EMDR work will be showed and explained.
Eye movement desensitization and reprocessing (EMDR) is an established treatment for post-traumatic stress disorder (PTSD). However, its working mechanism remains unclear. This study explored physiological correlates of eye movements during EMDR in relation to current hypotheses; distraction, conditioning, orienting response activation, and REM-like mechanisms. During EMDR therapy, fingertip temperature, heart rate, skin conductance, expiratory carbon dioxide level, and blood pulse oximeter oxygen saturation, were measured in male subjects with PTSD. The ratio between the low and high frequency components of the heart rate power spectrum (LF/HF) were computed as measures of autonomic balance. Respiratory rate was calculated from the carbon dioxide trace. Stimulation shifted the autonomic balance as indicated by decreases in heart rate, skin conductance and LF/HF-ratio, and an increased finger temperature. The breathing frequency and end-tidal carbon dioxide increased; oxygen saturation decreased during eye movements. In conclusion, eye movements during EMDR activate cholinergic and inhibit sympathetic systems. The reactivity has similarities with the pattern during REM-sleep. [Author Abstract]
Complex PTSD is a proposed diagnosis that describes psychological sequelae of survivors with prolonged, repeated, and interpersonal trauma, including childhood physical abuse, incest, and other forms of family violence (Herman, 1992). The diagnostic criteria for complex PTSD are composed of the functional alterations in six areas: (1) regulation of affect and impulses; (2) attention or consciousness; (3) self-perception; (4) relations with others; (5) somatization; and (6) system of meaning (Pelcovitz et al., 1997). Recently, a morphometric study showed that patients with childhood abuse-related complex PTSD had more extensive involvements of neural substrates (reduced anterior cingulate and orbitofrontal volumes) than those with classical PTSD (Thomaes et al., 2009). Changes in the neural substrates of patients with complex PTSD may reflect the relationship, established in critical developmental phases, between traumatic experiences and neurobiological factors.
Eye movement desensitization and reprocessing (EMDR) is an integrative and comprehensive psychotherapy that contains various effective elements of psychodynamic, cognitive-behavioral, interpersonal, and body-centered therapies (Shapiro and Maxfield, 2002). It was originally developed to resolve symptoms of psychic trauma, and has been shown to be highly effective in reducing the symptoms of posttraumatic stress disorder (PTSD) (Bradely et al., 2005; van der Kolk et al., 2007). It has been also proposed as a rapid and effective application for treating the core symptoms of complex PTSD (Korn and Leeds, 2002; Kim and Choi, 2004; Kim, 2003). Thus, the investigation of the effects of treatment of complex PTSD by EMDR may reveal aspects of neurobehavioral plasticity dependent on neurotrophic factors.
Children vary greatly in their ability to tolerate focusing on “the problem.” The wise EMDR therapist has various ways of approaching a traumatic memory or a current day problem to fit the tolerance level of the client. EMDR and the process of bilateral stimulation to address problematic material is one method of speeding up therapeutic work with children. However, when using bilateral stimulation with children I am simultaneously using my training as a family systems therapist, and the various play therapy strategies that were the backbone of my work with children before I learned EMDR or other alternative therapies. In a way, EMDR and the sand tray saved my professional life. In my first year of practice after my family therapy post-graduate training, I got a job at a family therapy clinic in Louisville, Kentucky. I was assigned to handle all referrals that came to the agency through a Victim Assistance grant. All of these were cases in which a child had been victim of some crime, and the majority were victims of abuse from some one other than a family member. You can imagine the population. Families who had found that a neighbor or teacher had abused their child were common. Both child and family were traumatized. My family therapy skills were good. But in addition to them I needed two things: a better way for children to communicate their feelings and a way to help both adults and children reduce the intensity of emotions around the trauma they had been through. Just (Continued from page 1) when I was beginning to feel that I was not up to the job, I learned EMDR. With this wonderful knowledge, I found I could help both children and adults move beyond the trauma and regain their grasp on the present moment, their strengths and their security. A deepening understanding of play therapy provided the additional communication tools I needed. Since Then I have never looked back, and find that our field is continually generating new perspectives and more efficient tools for us to use.
In the late '80s, Weathers and his wife Mary, also a Spokane psychologist, discovered an odd, new form of psychotherapy in California, called Eye Movement Desensitization and Reprocessing (EMDR). Along with the usual talk and tears of traditional psychotherapy, the therapist periodically would sweep his or her fingers back and forth in front of the client's eyes 20 or 30 times.
Rosen and Davison [Rosen, G.M. and Davison, G.C. (2003). Psychology should list empirically supported principles of change (ESPs) and not credential trademarked therapies or other treatment packages. Behavior Modification, 27, 300–312] recommended that empirically supported principles be listed instead of empirically supported treatments because the latter approach enables the creation of putatively new therapies by adding functionally inert components to already listed effective treatments. This article attempts to facilitate inquiry into empirically supported principles by reviewing possible mechanisms responsible for the effectiveness of systematic desensitization and exposure therapy. These interventions were selected because they were among the first empirically supported treatments for which some attempt was made at explanation. Reciprocal inhibition, counterconditioning, habituation, extinction, two-factor model, cognitive changes including expectation, self-efficacy, cognitive restructuring, and informal network-based emotional processing explanations are considered. Logical problems and/or available empirical evidence attenuate or undercut these explanations. A connectionist learning-memory mechanism supported by findings from behavioral and neuroscience research is provided. It demonstrates the utility of preferring empirically supported principles over treatments. Problems and limitations of connectionist explanations are presented. This explanation warrants further consideration and should stimulate discussion concerning empirically supported principles.
Sometimes an anti-depressant helps alleviate some of the anxiety symptoms. Referral to a psychologist is often needed for cognitive behavioural and relaxation therapies. There is also a new technique called EMDR that is practised by some psychologists and psychiatrists which helps symptoms within two or three sessions. It involves thinking about the trauma while the therapist moves his finger back and forward twice a second, asking you to follow it with your eyes.
This paper provides an overview of recent developments in the literature on post-traumatic stress disorder. Epidemiological studies indicate that approximately 15-25% of individuals experiencing a significant trauma will go on to develop post-traumatic stress disorder, although approximately half will recover without formal intervention. Potential vulnerability factors for post-traumatic stress disorder have been identified, but the mechanisms and complexities require further exploration, with recent research suggesting that prevalence rates and risk factors may differ across populations. Studies of psychological treatment have demonstrated prolonged exposure and cognitive therapies to be equally beneficial, whereas eye movement desensitization and reprocessing may be useful but perhaps less effective in the long term. Pharmacological treatment studies indicate that selective serotonin reuptake inhibitors may be the first choice of drug treatments for post-traumatic stress disorder. Non-selective primary prevention strategies remain contentious, although secondary prevention, in the form of cognitive behavioural interventions for acutely symptomatic survivors, appears to reduce the subsequent development of post-traumatic stress disorder.
Post-traumatic stress disorder and treatment
Abstract: Post-traumatic stress disorder (PTSD) symptoms have been estimated to affect about 8 to 9% of the world population. Research has shown that PTSD occurs in 25% of persons who have been exposed to a traumatic stressor. It has occurred in 35-92% of those who have experienced rape, 65% of those who have endured a nonsexual assault, and 30% of Vietnam veterans. In 1980, the definition of PTSD was created and counsellors were at a loss of how to treat this disorder. Presently, treatment for this disorder is still being developed. This paper conducts a literature review on therapies for PTSD and available studies of their effectiveness. Most psychotherapies for PTSD focus on the reprocessing of traumatic memory, through cognitive or exposure strategies. These treatments include various cognitive behavioural therapies such as exposure therapy, eye movement desensitization and reprocessing (EMDR), psychoanalytic, as well as multimodal combinations of therapies. Research has shown that some of these interventions have produced favourable results in providing relief of symptoms to victims of PTSD. The current discussion found that therapies such as cognitive and exposure have been successful in decreasing symptoms of PTSD; certain therapies were found to be more successful than others with clients who suffered from specific trauma-inducing events.
Interventions for PTSD
EMDR Pros
More efficient (less total treatment time)
Reduces trauma related symptoms
Comparable to other Cognitive Behavioral
Therapies
Suggested to be more effective than Prolonged Exposure [Excerpt]
EMDR has enjoyed a comfortable alliance with Ego-State Therapy. ‘Inner Critics’ or ‘People Pleasers’ may be the repository for such Negative Cognitions (NCs) as, “It’s my fault,” or, “I cannot upset anyone.” But who is the author of Positive Cognitions (PCs)? Are they constructed in the assessment phase of treatment, or do PCs emerge spontaneously with Dual Attention Stimuli from the Self: our unfettered awareness and contemplation? This workshop reveals EMDR as a catalyst for dialogues between the Self and NCs. Extraordinary imagery tools that enhance work with children and adults are offered to illuminate the surfacing of the Self.
Who is the author of PCs? Are they constructed during the assessment phase of treatment or do empowering, calming thoughts emerge during processing? Can we think of these compassionate, confident thoughts as the Self that has been described historically by Carl Jung and currently by Eckart Tolle? This workshop will offer surprising answers to these questions and suggest a new perspective on what really happens during EMDR processing. The Standard Protocol is not changed, but re-examined and extended with exciting treatment tools.
Psychodrama, presenter/participant dialogues, role plays, small group discussion, and practicum experience make this a highly experiential training that is backed by cutting edge neurobiological research and solid theory from leaders in the field.
This
presentation
will
be
a
theoretical,
philosophical
approach
to
the
concept
of
time
as
utilized
in
EMDR.
From
the
very
beginning
the
concept
of
time
plays
a
major
role
in
the
EMDR
approach.
At
the
basis
of
the
AIP
model
lays
the
idea
of
memory
networks
frozen
in
time
(Shapiro
1995).
The
information
is
dysfunctionally
stored
in
the
frozen
now
and
can
be
triggered
at
any
moment.
In
EMDR
we
all
struggle
with
the
now
of
the
negative
cognition.
Patients
do
not
understand
and
get
confused
when
therapists
ask
about
beliefs
they
have
about
themselves
now
as
they
think
about
the
past.
In
trainings
it
is
announced
as
the
most
difficult
part
of
the
EMDR
protocol.
But
it
is
an
essential
part.
The
now
is
what
is
happening
right
at
this
moment.
There
is
no
past,
only
the
present
perception
of
the
past.
As
there
is
no
future,
only
the
present
perception
of
possibilities.
The
present
is
what
one
identifies
with.
When
one
sees,
one
believes:
what
is
experienced
at
a
certain
moment
becomes
the
felt
reality
in
the
now.
When
the
patient
is
triggered
into
the
perception
of
the
child,
she
becomes
the
child
and
time
shifts.
The
point
this
workshop
wants
to
make
is
that
change
comes
about
as
the
patient
stops
identifying
with
the
past
thus
making
it
the
now,
but
instead
is
invited
by
the
therapist
to
let
things
happen
and
to
notice
what
moves.
For
time
to
exist
movement
is
needed:
the
hands
of
the
clock,
the
sun
in
the
sky,
the
wrinkling
of
the
skin
all
indicate
time.
Instead
of
trying
to
keep
at
a
distance
painful
information
which
exists
in
an
eternal
now
without
movement,
the
client
is
invited
just
to
observe
the
movement
that
can
come
about
by
taking
the
position
of
double
attention:
one
leg
in
real
time
and
one
leg
in
no
time.
We
will
explore
links
with
the
process
of
mindfulness.
Este
taller
presentará
un
planteamiento
teórico
y
filosófico
al
concepto
del
tiempo
tal
como
se
usa
en
EMDR.
Desde
el
mismo
comienzo,
el
concepto
del
tiempo
ejerce
una
función
fundamental
en
el
planteamiento
de
EMDR.
La
idea
de
redes
de
recuerdos
congelados
en
el
tiempo
se
encuentra
en
los
cimientos
del
modelo
AIP
(Shapiro,
1995).
La
información
se
almacena
de
forma
disfuncional
en
el
ahora
congelado
y
que
puede
“dispararse”
en
cualquier
momento.
En
EMDR,
todos
luchamos
contra
el
ahora
de
la
cognición
negativa.
Los
pacientes
no
entienden
y
se
confunden
cuando
el
terapeuta
pregunta
por
las
creencias
que
tienen
respecto
a
sí
mismos
ahora
cuando
piensan
acerca
del
pasado.
En
las
formaciones,
se
presenta
como
el
elemento
más
difícil
del
protocolo
de
EMDR.
No
obstante,
supone
un
elemento
esencial.
El
ahora
es
lo
que
ocurre
en
este
preciso
momento.
No
existe
el
pasado,
únicamente
la
percepción
presente
del
pasado,
al
igual
que
no
hay
futuro,
solamente
la
percepción
presente
de
posibilidades.
El
presente
es
aquello
con
lo
que
uno
se
identifica.
Cuando
se
ve,
se
cree:
aquello
que
se
vive
en
un
momento
dado
se
convierte
en
la
realidad
experimentada
en
el
ahora.
Cuando
al
paciente
se
le
dispara
hacia
la
percepción
de
la
niña,
se
convierte
en
la
niña
y
el
tiempo
cambia.
Lo
que
pretende
dejar
claro
este
taller
es
que
el
cambio
se
produce
a
medida
que
el
paciente
deja
de
identificarse
con
el
pasado,
lo
que
lo
convierte
en
el
ahora,
sino
de
la
mano
del
terapeuta,
permite
que
las
cosas
ocurran
y
se
fija
en
lo
que
se
mueve.
Para
que
exista
el
tiempo,
es
necesario
el
movimiento:
las
manecillas
del
reloj,
el
sol
en
el
cielo,
el
arrugar
de
la
piel,
todo
indica
tiempo.
En
lugar
de
intentar
mantener
distante
la
información
dolorosa
que
existe
en
un
ahora
externo
sin
movimiento,
se
le
invita
al
cliente
a
simplemente
observar
el
movimiento
que
se
puede
producir
al
adoptar
la
postura
de
la
atención
escindida:
con
una
pierna
en
el
tiempo
real
y
una
en
la
intemporalidad.
Exploraremos
las
relaciones
con
el
proceso
de
“mindfulness”
(conciencia
plena).
Though we might suppose that our sensations are unaffected by the talk around us, the rhetoric surrounding a treatment can in fact color the experience of those having the treatment. So it is with both Eye Movement Desensitization and Reprocessing (EMDR dagger) and the 18th-century therapy that has been cited as its predecessor: mesmerism. in both cases, rhetoric itself is conscripted into the service of therapeutic ends. Reports of cures are advertised and celebrated in a way that builds the expectation and feeds the experience of more of the same. Precisely because they are rooted in and speak to their time and place, however, the efficacy of these therapies may be limited. An investigation of the kinship between the two healing movements - and the driving force of a movement is nothing other than rhetoric - throws light on possibly social sources of therapeutic efficacy.
This response to McNally challenges the notion that scientific controversy should be waged with smear tactics. McNally's anti-EMDR conclusions are contested as premature and based on red herrings, selective neglect of the literature, and erroneous application of scientific principles. The importance of treatment fidelity is highlighted as a way of distinguishing between EMDR studies of widely varying quality (ScienceDirect).
Objective: Advocates of new therapies frequently make bold claims regarding therapeutic effectiveness, particularly in response to disorders which have been traditionally treatment-refractory. This paper reviews a collection of new therapies collectively self-termed "The Power Therapies", outlining their proposed procedures and the evidence for and against their use. These therapies are then put to the test for pseudoscientific practice. Method: Therapies were included which self-describe themselves as "Power Therapies". Published work searches were conducted on each therapy using Medline and PsychInfo databases for randomized controlled trials assessing their efficacy, except for the case of Eye Movement Desensitization and Reprocessing (EMDR). Eye Movement Desensitization and Reprocessing has more randomized controlled studies conducted on its efficacy than any other treatment for trauma and thus, previous meta-analyses were evaluated. Results and conclusions: It is concluded that these new therapies have offered no new scientifically valid theories of action, show only non-specific efficacy, show no evidence that they offer substantive improvements to extant psychiatric care, yet display many characteristics consistent with pseudoscience. [Author Abstract]
Recent "Power Therapies" claim near miraculous cures but fare less well under controlled testing. These developments recall for cognitive behavior therapists the history of past "cures" that temporarily induced high levels of expectancies, but failed the test of time. [Author Abstract]
Power Therapies claim to achieve rapid results in reducing fear elicited by a large number of situations. This paper presents a theory of how competition among stimuli may be the basis for how the Power Therapies work. The compelling features of these therapies are that they all interrupt old habits and conditioned reflexes and provide new habits and conditioning. Therefore, many of the protocols involve overcoming prior-stimulus dominance. In addition to proposing a mechanism for these therapies, this article also reveals that, despite superficial differences, power therapies fundamentally accomplish the same thing. These therapies reduce the intensify of emotional responses elicited by stimuli associated with trauma. It is proposed that they accomplish this end through working at the subcortical level of brain activity to interrupt the negative emotional responses elicited by the trauma stimuli. [Author Abstract]
Rosen, Lohr, McNally and Herbert’s (1998) arguments directed at the so-called “Power Therapies” and, in particular, Eye Movement Desensitization and Reprocessing (EMDR) are examined. It is suggested that their paper does not adequately review the available research data and, therefore, draws unwarranted conclusions. Based on published controlled studies it is concluded that there is evidence to support the use of EMDR in the treatment of post traumatic stress disorder (PTSD).
Poole, de Jongh and Spector ask for empirical research rather than emotive arguments when evaluating EMDR. When one applies this standard, Poole et al.’s remaining points are devoid of substance. EMDR, like other Power Therapies, is a “miracle” cure that has failed. [Cambridge Journals]
Working with severely damaged clients, the clinician
many times is faced with complex and challenging problems.
and staying out of the way during the desensitization phase
definitely not enough to get the SUD's down.
In this workshop a number of new types of interweaves will be
presented, developed to deal with clients who get severely stuck
during the desensitization phase, mostly in complex guilt-issues.
Many times standard cognitive interweaves are not enough to
unblock the EMDR processing, and the clinician has to be creative in order to help clients with these difficult issues. The more damaged the client, the more powerful interweaves are needed.
In this presentation new types of high-impact interweaves are introduced, involving non-cognitive aspects, e.g. visual, sensorimotor, symbolic, spiritual. Learning objectives:
1. Participants develop sensitivity to the dynamics underlying complex guilt-related problems.
2. Participants learn about the characteristics of high-impact interventions.
3. Participants learn to use their own creativity in developing new interweaves.
4. Participants add several powerful new interweaves to their of existing repertoire.
New in this presentation: These interweaves have not been described or presented before. They are applied within the standard EMDR-protocol, so they are an extension of existing principles and techniques.
Eye movement desensitization and reprocessing (EMDR)
EMDR is a form of psychotherapy that includes an exposure-based therapy (with multiple
brief, interrupted exposures to traumatic material), eye movement, and recall and verbalization
of traumatic memories of an event or events. It therefore combines multiple theoretical perspectives
and techniques, including cognitive behavior therapy. Some point to the use of directed
eye movements as a feature markedly distinguishing this form of therapy from other cognitive
behavior approaches. Others point to the fact that traumatic material need not be verbalized;
instead, patients are directed to think about their traumatic experiences without having to discuss
them. Like many of the studies of other cognitive behavior and exposure therapies, most
of the well-designed EMDR studies have been small, but several meta-analyses have demonstrated
efficacy similar to that of other forms of cognitive and behavior therapy (189�192).
Studies also suggest that the eye movements are neither necessary nor sufficient to the outcome
(193�195), but these findings remain controversial (196, 197). Although it appears that efficacy
may be related to the components of the technique common to other exposure-based cognitive
therapies, as in the previously described cognitive behavior therapies, further study is
necessary to clearly identify the effective subcomponents of combined techniques. Follow-up
studies are also needed to determine whether observed improvements are maintained over time.
The aim of the present study was to investigate predictors of treatment outcome for Posttraumatic Stress Disorder (PTSD) after treatment completion and at 15-months follow-up (n = 48), in a trial of Eye Movement Desensitisation and Reprocessing (EMDR) versus Imaginal Exposure and Cognitive Restructuring (E+CR). Factors associated with treatment outcome were investigated using regression analyses with the mean change scores in three assessor and self-rated PTSD symptomatology measures, including the Clinician-Administered PTSD Scale (CAPS), the Impact of Events Scale (IES) and the PTSD Symptom Checklist (PCL) from pre- to post-treatment and pre-treatment to follow-up as the dependent variables and demographics, trauma, clinical and personality measures as independent variables. Irrespective to outcome measures and assessment points it was found that four variables were able to predict significantly treatment outcome. These included baseline PTSD symptomatology, number of sessions, gender and therapy type. Overall, our results showed that it is difficult to use pre-treatment variables as a powerful and reliable tool for predicting treatment outcome, as significant predictors were found to be sample-specific and outcome measure-specific. Clinical relevance of the present results and directions for future research are discussed.
Recent years have seen significant advances in understanding psychosocial stress and its clinical management. Now in a thoroughly revised and expanded third edition, this comprehensive work reviews effective stress management techniques and their applications for treating psychological problems and enhancing physical health and performance. Bringing together recognized leaders in the field to present their respective approaches and demonstrate the nuts and bolts of intervention, the volume is structured for optimal use as a clinical reference and text. All chapters retained from the prior edition have been extensively rewritten, and many new chapters have been added. Part I examines conceptual foundations and describes basic mechanisms of stress and relaxation. Part II, the largest section, covers the full range of methods, including progressive relaxation, hypnosis, biofeedback, meditation, cognitive methods, and other therapies. Each tightly edited chapter: (1) Details the method's history, theoretical underpinnings, and evidence base; (2) Spells out assessment procedures and techniques; (3) Provides step-by-step implementation guidelines; (4) Considers common treatment obstacles and how to overcome them; (5) Discusses strategies for increasing patient motivation and adherence; and (6) Illustrates the method with an in-depth case example. New to the third edition are chapters on mindfulness meditation, neurofeedback, EMDR, breathing retraining, heart rate variability biofeedback, exercise therapy, and Qigong. Finally, Part III explores applications in mental health, behavioral medicine, and sport psychophysiology (another new topic in this edition), shedding light on which approaches are most suitable for particular problems. The concluding chapter reviews the clinical research literature and offers clear recommendations for improving outcomes. This timely, authoritative book is an indispensable resource for clinical and health psychologists, psychiatrists, social workers, counselors, nurses, and other professionals interested in learning and using stress management techniques. It will serve as a text in graduate-level courses in stress management, behavioral medicine, social work in health care, and related areas. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Learning Outcomes For those who are not EMDR therapists this workshop will help to understand how EMDR conceptualizes the work in structural dissociation from the Adaptive Information Processing Model (AIP). For people who are not expertise on Theory of Structural Dissociation of the Personality (TSDP) a brief description of dissociative phobias and their importance in the work with dissociative disorders will be put forward. The assistants will watch videos of therapies with different patients, in which EMDR is applied using dissociative phobias as targets. Differences with ego states therapy without introducing bilateral stimulation and with standard EMDR protocol will be observable in the case-examples and will be explained in detail. This work represents a different way of using EMDR to stabilize the patient and prepare her/him for future traumatic memory processing.
The authors take as specific exemplars two of the popularized "power therapies" -- eye movement desensitization and reprocessing (EMDR) and thought field therapy (TFT) -- to demonstrate the influence of pseudoscience in the contemporary trauma industry. [Adapted from Introduction, p. 239]
Tokom prethodne dve decenije dolazi do novih podataka u vezi efikasnosti psihoterapijskih tehnika u tretmani posttraumatskog stresnog poremećaja. Najveći broj ispitivanja na ovu temu se bavi kognitivno bihejvioralnim tehnikama kao i metodom desenzitizacije i reprocesiranja pokretima očiju, dok je manji broj psihodinamskih i psihoanalitičkih ispitivanja. Aktuelne studije se razlikuju po metodologiji (nedostatak kontrolne grupe, nejasno definisanje simptomatologije i nepouzdani dijagnostički instrumenti, mali uzorak, itd). U radu se diskutuje o kompleksnosti kako pristupa tako i primena terapijskih tehnika.
The past two decades have produced increased knowledge about the efficacy of psychological treatment for post-traumatic stress disorder (PTSD). The majority of existing studies examined the usefulness of cognitive-behavioural treatments and eye-movement desensitization and reprocessing, whereas the efficacy of psychodynamic treatments has been the object of only few studies. Existing studies vary considerably in methodology and often are present with methodological limitations (e.g. lack of control group, of clear description of the participants' symptoms, and reliable diagnostic instruments, use of mixture of therapeutic approaches, small sample size, etc) that preclude definitive conclusions. Benefits from cognitive and behavior therapies have been reported in many studies, but methodological shortcomings in some of these studies pose problems in drawing conclusions. Treatments such as SIT EMDR and CBT have several therapeutic components, and it is difficult to tell which elements led to improvement and which are redundant. Another matter of concern is the ease of dissemination of treatment among nonexpert clinicians. Some treatments (psychodynamic psychotherapy, cognitive therapy and SIT) are relatively complex, as they comprise multiple components. Other treatments (exposure) may be less complex and more easily accessible to clinicians outsized of specialized settings. Such treatments may be more useful both in routine clinical practice and in emergency situations where larger number of trauma-survivors require help (e.g. in the aftermath of natural disaster or in war torn countries).[Author abstract]
There is an impressive evidence base for the psychological treatment of post-traumatic stress disorder (PTSD). The strongest evidence is for trauma-focused cognitive therapy and eye movement desensitization and reprocessing (EMDR) but brief eclectic psychotherapy is a promising alternative. As well as this strong evidence for efficacy there is emerging evidence for effectiveness, using these treatments in routine clinical practice without highly trained specialized staff. The treatment of PTSD is more than the use of structured psychotherapy packages – it involves careful assessment and attention to safety, boundary and termination issues. We know much less about how to deal with treatment resistance or complex trauma. Drug treatment is well evaluated with large trials, and has statistical but not clinical efficacy.
Since the last edition of this review, there has been an impressive body of new evidence adding to our knowledge of psychological treatments. There have also been two new major reviews covering the complete range of available treatments: the second edition of the guidelines from the International Society for Traumatic Stress Studies (ISTSS) and the US Institute of Medicine's review. The National Institute for Clinical Excellence (NICE) guidelines were published before the last edition of this article, and there are currently no plans to revise them. However, the Australian guidelines build on the NICE guidelines, and provide the most comprehensive and user-friendly clinical guidance currently available. It is fascinating that such major and thorough reviews have arrived at different conclusions. The Institute of Medicine endorses trauma-focused cognitive behavioural therapy (TF-CBT) and prolonged exposure but not eye movement desensitization and reprocessing (EMDR) or drug treatment; NICE endorses TF-CBT and EMDR but not drugs; and the ISTSS guidelines, second edition, endorses drugs, EMDR, and TF-CBT. What is the bewildered therapist to do? Hopefully this review will clarify some of these issues. In truth, the discrepancy arises not because these learned and expert bodies have been perverse, negligent, or biased in their reviewing, but largely because they differ in what they have regarded as a clinically significant difference between two interventions as opposed to a statistical difference.
Psychological interventions are a first-line treatment for post-traumatic stress disorder (PTSD). Most international treatment guidelines, including those in the UK, the USA, and Australia, converge on the conclusion that trauma-focused psychotherapy is the treatment of choice relative to other modalities. This chapter reviews the background and rationale for trauma-focused psychotherapy, outlines the evidence for the major variants of psychological interventions and discusses clinical guidelines for implementing these interventions with patients suffering PTSD. Trauma-focused therapies have been the focus of many well-controlled studies in the past two decades. The convergent finding across many of these studies is that cognitive-behavioral therapy (CBT), and the lesser-studied eye movement desensitisation and reprocessing (EMDR), have proven efficacy in reducing PTSD symptoms and increasing functioning and/or quality of life. There is agreement internationally that trauma-focused therapies are the treatment of choice for PTSD. Despite their success, we need to recognise some important limitations in our current knowledge. Many patients do not respond adequately to these therapies, and there is a need to explore means to augment or modify trauma-focused therapies to increase the number of patients who do respond. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Background After exposure to traumatic stressors, a subgroup of survivors (20-30%) will develop post-traumatic stress disorder (PTSD). Aims: Since the incidence and prevalence rates for PTSD in the community are significant, it is important that general practitioners and psychiatrists be familiar with possible therapeutic options. In this review we shall look at the published evidence about the effectiveness of psychological treatments for PTSD. Method: The psychopathological mechanisms involved in PTSD are discussed. Studies of the effectiveness of different psychological therapies are reviewed. Results: The review suggests that persistent fear or shame reactions are key aspects of PTSD. Evidence from systematic reviews suggests that psychotherapeutic treatments are effective in the therapy of reactions based on fear, and may increase the effectiveness of pharmacological therapy. There is less systematic evidence for the efficacy of interventions for symptoms based on shame. Conclusions: Although a proportion of patients with complex or chronic PTSD may require specialist interventions, most patients can be treated effectively by a general psychiatric service which can offer both pharmacological and psychological interventions (BJPsych).
Background:
Post-traumatic stress disorder (PTSD) is highly prevalent in children and adolescents who have experienced trauma and has high
personal and health costs. Although a wide range of psychological therapies have been used in the treatment of PTSD there are no
systematic reviews of these therapies in children and adolescents.
Objectives:
To examine the effectiveness of psychological therapies in treating children and adolescents who have been diagnosed with PTSD.
Search methods:
We searched the Cochrane Depression, Anxiety and Neurosis Review Group’s Specialised Register (CCDANCTR) to December 2011.
The CCDANCTR includes relevant randomised controlled trials fromthe following bibliographic databases: CENTRAL (the Cochrane
Central Register of Controlled Trials) (all years), EMBASE (1974 -), MEDLINE (1950 -) and PsycINFO (1967 -). We also checked
reference lists of relevant studies and reviews. We applied no date or language restrictions.
Selection criteria:
All randomised controlled trials of psychological therapies compared to a control, pharmacological therapy or other treatments in
children or adolescents exposed to a traumatic event or diagnosed with PTSD.
Data collection and analysis:
Two members of the review group independently extracted data. If differences were identified, they were resolved by consensus, or
referral to the review team.
We calculated the odds ratio (OR) for binary outcomes, the standardised mean difference (SMD) for continuous outcomes, and 95%
confidence intervals (CI) for both, using a fixed-effect model. If heterogeneity was found we used a random-effects model. Main results
Fourteen studies including 758 participants were included in this review. The types of trauma participants had been exposed to included
sexual abuse, civil violence, natural disaster, domestic violence and motor vehicle accidents. Most participants were clients of a traumarelated
support service.
The psychological therapies used in these studies were cognitive behavioural therapy (CBT), exposure-based, psychodynamic, narrative,
supportive counselling, and eye movement desensitisation and reprocessing (EMDR). Most compared a psychological therapy to a
control group. No study compared psychological therapies to pharmacological therapies alone or as an adjunct to a psychological
therapy.
Across all psychological therapies, improvement was significantly better (three studies, n = 80, OR 4.21, 95% CI 1.12 to 15.85) and
symptoms of PTSD (seven studies, n = 271, SMD -0.90, 95% CI -1.24 to -0.42), anxiety (three studies, n = 91, SMD -0.57, 95% CI
-1.00 to -0.13) and depression (five studies, n = 156, SMD -0.74, 95% CI -1.11 to -0.36) were significantly lower within a month of
completing psychological therapy compared to a control group.
The psychological therapy for which there was the best evidence of effectiveness was CBT. Improvement was significantly better for
up to a year following treatment (up to one month: two studies, n = 49, OR 8.64, 95% CI 2.01 to 37.14; up to one year: one study,
n = 25, OR 8.00, 95% CI 1.21 to 52.69). PTSD symptom scores were also significantly lower for up to one year (up to one month:
three studies, n = 98, SMD -1.34, 95% CI -1.79 to -0.89; up to one year: one study, n = 36, SMD -0.73, 95% CI -1.44 to -0.01),
and depression scores were lower for up to a month (three studies, n = 98, SMD -0.80, 95% CI -1.47 to -0.13) in the CBT group
compared to a control. No adverse effects were identified.
No study was rated as a high risk for selection or detection bias but a minority were rated as a high risk for attrition, reporting and
other bias. Most included studies were rated as an unclear risk for selection, detection and attrition bias.
Authors’ conclusions:
There is evidence for the effectiveness of psychological therapies, particularly CBT, for treating PTSD in children and adolescents for
up to a month following treatment. At this stage, there is no clear evidence for the effectiveness of one psychological therapy compared
to others. There is also not enough evidence to conclude that children and adolescents with particular types of trauma are more or less
likely to respond to psychological therapies than others.
The findings of this review are limited by the potential for methodological biases, and the small number and generally small size
of identified studies. In addition, there was evidence of substantial heterogeneity in some analyses which could not be explained by
subgroup or sensitivity analyses.
More evidence is required for the effectiveness of all psychological therapiesmore than one month after treatment.Much more evidence
is needed to demonstrate the relative effectiveness of different psychological therapies or the effectiveness of psychological therapies
compared to other treatments. More details are required in future trials in regards to the types of trauma that preceded the diagnosis
of PTSD and whether the traumas are single event or ongoing. Future studies should also aim to identify the most valid and reliable
measures of PTSD symptoms and ensure that all scores, total and sub-scores, are consistently reported.
Important reading for current and future addictions treatment clinicians--this book synthesizes and integrates the expanding body of knowledge about combined trauma/addiction treatment to specifically address the needs of clinicians in addiction treatment environments
Here, in a single source, is an essential overview of trauma treatment for people in addiction treatment settings. Psychological Trauma and Addiction Treatment presents specific methodologies and techniques for clients in inpatient and outpatient addiction/mental health settings. The contributors--leading clinicians and researchers in the field--provide a comprehensive set of scientific treatment approaches addressing a broad spectrum of trauma disorders.
Psychological Trauma and Addiction Treatment brings you up-to-date, authoritative coverage of:
The dynamics of co-occurring psychological trauma and addiction
All of the primary treatment frameworks currently utilized in trauma treatment
Treatment frameworks that take gender into account
Cognitive therapies in treating these co-occurring disorders
The role of psychodynamic psychotherapies in treatment
Attachment disorders and their relation to trauma and addiction treatment
EMDR as a treatment for traumatized addicts
The psychoneurology of trauma and the implications of psychoneurology in addictions and trauma treatment
How self-help groups can contribute to and limit recovery for psychologically traumatized clients
Forgiveness therapy as an adjunct to trauma treatment
Counselor self-care for those who work with this client population
Ultimately, this is a book of hope. Every author in this text has a firm belief that people with co-occurring trauma and addiction can recover, can maintain quality relationships, can confront life's challenges as they arise, and can be happy and fulfilled. Psychological Trauma and Addiction Treatment is designed as essential reading for entry-level and experienced addiction counselors, social workers, professional counselors, psychologists, and others working in the trauma treatment field.
This review concerns the efficacy of psychological treatment in the treatment of PTSD. There is evidence that individual trauma focused cognitive-behavioural therapy (TFCBT), eye movement desensitisation and reprocessing (EMDR), stress management and group TFCBT are effective in the treatment of PTSD. Other non-trauma focused psychological treatments did not reduce PTSD symptoms as significantly. There is some evidence that individual TFCBT and EMDR are superior to stress management in the treatment of PTSD at between 2 and 5 months following treatment, and also that TFCBT, EMDR and stress management are more effective than other therapies. There is insufficient evidence to show whether or not psychological treatment is harmful. Trauma focused cognitive behavioural therapy or eye movement desensitisation and reprocessing should be considered in individuals with PTSD. Psychological treatments can reduce symptoms of post traumatic stress disorder (PTSD). Trauma focused treatments are more effective than non-trauma focused treatments.
Background: The relative efficacy of different psychological treatments for chronic PTSD is unclear.AIMS: To determine the efficacy of specific psychological treatments for chronic PTSD. Method: In a systematic review of randomised controlled trials, eligible studies were assessed against methodological quality criteria and data were extracted and analysed. RESULTS: 38 randomised controlled trials were included in the meta-analysis. Trauma-focused cognitive-behavioural therapy (TFCBT), eye movement desensitisation and reprocessing (EMDR), stress management, and group cognitive-behavioural therapy improved PTSD symptoms more than waiting-list or usual care. There was inconclusive evidence regarding other therapies. There was no evidence of a difference in efficacy between TFCBT and EMDR but there was some evidence that TFCBT and EMDR were superior to stress management and other therapies, and that stress management was superior to other therapies. Conclusions: The first-line psychological treatment for PTSD should be trauma-focused (TFCBT or EMDR). [Author Abstract]
The UK National Institute for Clinical Excellence Guidelines on PTSD: Based on rigorous meta-analysis, detailed literature review and two public consultations, the national guidelines for the assessment, prevention and treatment of PTSD in the UK will be presented in this symposium on behalf of the Guideline Development Group.
Psychological treatments for PTSD: A systematic review and meta-analysis of all randomised controlled trials of
psychological treatment for PTSD was undertaken. Thirty-eight RCTs of psychological
treatments for PTSD were identified. Trauma focused cognitive
behavioural therapy (TFCBT) and eye movement desensitisation and reprocessing
(EMDR) showed clinically important benefits over waitlist/usual care
on measures of PTSD. The evidence base for EMDR was not as strong as
that for TFCBT, both in terms of the number of RCTs available and the certainty
with which clinical benefit was established. There was limited evidence
that TFCBT and EMDR were superior to supportive/non-directive treatments,
hence it is highly unlikely that their effectiveness is due to non-specific
factors such as attention. There was limited evidence for stress management
and group CBT but other therapies (supportive/non-directive therapy,
psychodynamic therapies and hypnotherapies) that focus on current or past
aspects of the patient’s life other than the trauma or general support, did
not show clinically important effects on PTSD symptoms. However, this may
be due to the limited number of studies available and does not mean that
these treatments were shown to be ineffective.
The challengers have also criticized a number of fashionable therapies, including "critical incident" psychological debriefing for trauma victims, eye-movement desensitization and reprocessing, or EMDR, and other techniques.
"These guys are sort of the Ralph Naders of psychology," said David Barlow, director of the Center for Anxiety and Related Disorders at Boston University.
Current systems for listing empirically supported therapies (ESTs) provide recognition to treatment packages, many of them proprietary and trademarked, without regard to the principles of change believed to account for their effectiveness. Our position is that any authoritative body representing the science and profession of psychology should work solely toward the identification of empirically supported principles of change (ESPs). As challenging as it is to take this approach, a system that lists ESPs will keep a focus on issues central to the science and practice of psychology while also insulating the profession from undue entrepreneurial influences.
This study aims to measure psychophysiological
parameters during activation of internal resources k g .
positive memories) and to compare these to activated traumatic
internal networks.
Antecedent studies show that traumatic stimulation on patients
with posttraumatic stress disorder (PTSD) finalizes in various
psychophysiological correlates. During therapy of these patients
a strong demand for activation of internal resources, i.e. activation
of fortitude and positives thoughts, exists. Especially EMDR
therapy uses resource stimulating elements such as position of
power and absorption in preparation for exposure. In this study
standardized EMDR protocols establish a solid basis to explore
individual internal resources.
Researches on trauma stimuli in EMDR- patients show effects
on parasympathetic tonus (Sack 2006) as well as increased cerebral
blood flow in defined brain regions (Levin 1999. Lamprecht
2000). Especially the heart rate variability (HRV) may describe
the sympatheticovagal balance (Cohen, 2002, Porges 1991). This
study focuses on psychophysiological effects and neurobiological
regulative mechanisms of stabilizing methods and activation of
internal resources in PTSD patients and healthy control group.
Methods: Healthy subjects and patients with diagnosed PTSD
(DIAX) listened to a commonly neutral script, an individual
trauma script and an individual absorption script. Following
each script measurements of heart rate variability (HRV), respiratory
flow, skin conductance responses (SCR) and skin blood
flow (LCF, TU50%) took place.
Results: Preliminary results revealed a significant reduced heart
rate variability in patients compared to the healthy controls in
reaction to the stress script as well as to the positive and the
neutral scripts.
Conclusion: To our knowledge this is the first time to be proven
that altered autonomous functions are found in PTSD not only
in reaction to traumatic reminders, but even to a positive, resource
activation situation. This provides our basement for further
research. Detailed analysis of different effects to each script
on both groups are currently underway.
Despite the prevalence of childhood trauma, studies regarding psychotherapy for children suffering from PTSD are scarce, especially regarding the treatment for pediatric PTSD following single-incident trauma. Treatment practices for this population rely mainly on the paradigms of therapy for adult PTSD and pediatric PTSD following sexual abuse. This review outlines the studies published in the last 10 years pertaining to the treatment of pediatric PTSD following single-incident trauma. This is done in the context of available literature on the paradigms mentioned above. Of 742 articles dealing with treatment of pediatric trauma, 10 were found relevant to the treatment of pediatric PTSD following single-incident trauma. The modalities of treatment most frequently reported in this context were cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), and play therapy. As a whole, CBT studies were methodologically more rigorous, used manualized, reproducible treatment, and were group, school-based therapies. EMDR treatments were usually short and individual. Most studies showed statistically significant improvement but were still methodologically lacking. We conclude that research on the subject of treatment for pediatric PTSD following single-incident trauma constitutes a neglected part of the study of pediatric PTSD. This stands in contrast to the obvious prevalence of this type of trauma. We encourage future research that will address issues such as clarifying the role of pharmacotherapy, comparing different modes of treatment, dismantling treatment "packages", researching developmentally sensitive treatments, conducting long-term follow-up, and comparing different PTSD populations. [Author Abstract]
A review of the psychosocial treatment research literature indicates that several forms of therapy appear to be useful in reducing the symptoms of PTSD. Strongest support is found for the treatments that combine cognitive and behavioral techniques. Hypnosis, psychodynamic, anxiety management, and group therapies may also produce short-term symptom reduction. Still unknown is whether any approach produces lasting effects. Imaginal exposure to trauma memories and hypnosis are techniques most likely to affect the intrusive symptoms of PTSD, whereas cognitive and psychodynamic approaches may better address the numbing and avoidance symptoms cluster. Treatment should be tailored to the severity and type of presenting PTSD symptoms, to the type of trauma experience, and to the many likely comorbid diagnoses and adjustment problems. [Author Abstract]
This article reviews empirically validated psychosocial treatments for PTSD and considers factors associated with successful therapy outcome. Most of the treatments whose efficacy was studied empirically fall within the broad category of cognitive-behavioral therapy. These include exposure therapy, anxiety management programs, and cognitive therapy. These therapy modalities have been developed to modify conditioned fear and erroneous cognitions that are thought to underlie PTSD. Exposure therapy has the most empirical support because it was found to be effective across different populations of trauma victims with PTSD. Combinations of therapies have also been used, and the value of these is discussed. In addition, this article presents recent evidence about the efficacy of eye movement and desensitization reprocessing. A growing body of evidence supports the use of psychosocial treatments for PTSD, but not all patients benefit. Future research should develop programs that increase the motivation of patients to take advantage of these efficacious treatments. [Author Abstract]
Impressive advances in treating posttraumatic stress disorder (PTSD) have been made in the past 15 years especially with respect to pharmacotherapy and cognitive-behavioral therapy (CBT). This review offers a summary of literature on psychosocial interventions for PTSD. It begins with a brief review of traditional therapies for PTSD and then examines the larger literture on the efficacy of CBTs for PTSD.
Ce sont d’abord les vétérans de la guerre du Vietnam qui en ont bénéficié. Aujourd’hui, l’EMDR s’utilise pour guérir des traumatismes de toutes natures. Rien qu’en bougeant les yeux...
Traumatisme. Le mot résonne avec force. Il est associé à la violence, à l’intensité, à la mémoire aussi. Le traumatisme laisse des traces, il empêche souvent de vivre. On le conçoit aisément quand il s’agit de catastrophe naturelle ou de conflit armé, mais les blessés de la vie, nous en croisons tous les jours... La perte d’un enfant, des violences sexuelles, un accident de la route, ...
Comment continuer après ?
Psychologue spécialisée dans les traumatismes, Evelyne Josse a appris à utiliser l’EMDR lors d’interventions humanitaires ou auprès d’enfants malades. « La psychanalyse ne fonctionne pas pour ce type d’indications. Vous pouvez revisiter votre passé à loisir et identifier les causes de vos difficultés, ce n’est pas pour autant que vous serez soulagé de vos symptômes » D’abord séduite par l’hypnose, la psychothérapeute recourt aujourd’hui également à l’EMDR - désensibilisation et retraitement par le mouvement des yeux - pour traiter les phobies, les troubles alimentaires, les acouphènes, les dépressions et les stress post- traumatiques. « Non seulement c’est efficace mais c’est aussi rapide et une fois traités, les symptômes ne reviennent plus. »
Concrètement, le travail démarre par un ou deux entretiens préalables qui vont permettre au thérapeute de cerner les difficultés de son patient. Ou plutôt sa difficulté majeure car il n’est pas question ici de s’interroger ici sur le sens de l’existence.... On identifie un problème spécifique et on s’attache à le traiter. Au cours des séances, le patient doit associer une image et des sensations à son expérience négative ; pendant qu’il la revit, il suit des yeux les mouvements des doigts du thérapeute. Une manière de stimuler latéralement les hémisphères cérébraux qui permettrait de « débloquer » l’information traumatique et de la reprogrammer de manière adéquate dans le cerveau. Anne a assisté à l’assassinant de son voisin. L’image de la terrasse ensanglantée la hantait jour et nuit et elle souffrait de crampes abdominales. « Pendant les séances, dès que les mouvements oculaires commençaient, les sensations revenaient en même temps que mes crampes. Au fur et à mesure, je suis arrivée à effacer ces images insoutenables et à les remplacer par des images plus « gérables ». J’ai retrouvé le sommeil, je peux à nouveau voir du sang et je me sens suffisamment sereine. J’ai fait 6 séances en tout et pour tout.»
First come the veterans of the Vietnam War who have benefited. Today, EMDR is used to heal injuries of all kinds. Just by moving the eyes ...
Trauma. The word resonates strongly. It is associated with violence, intensity, memory too. Trauma leaves its mark, it often prevents them from living. It is easy to see when it comes to natural disaster or armed conflict, but the casualties of life, we come across every day ... The loss of a child, sexual violence, a car accident, ...
How to continue after that?
Psychologist specializing in trauma, Evelyne Josse has learned to use EMDR during humanitarian or with sick children. "Psychoanalysis does not work for such indications. You can revisit your past at your leisure and identify the causes of your problems is not to say that you will be relieved of your symptoms "At first seduced by hypnosis, psychotherapy today also uses EMDR - desensitization and reprocessing eye movement - to treat phobias, eating disorders, tinnitus, depression and post traumatic stress. "It's not only effective but also fast and once treated, the symptoms come back. "
Specifically, the work starts with one or two prior interviews that will allow the therapist to identify the difficulties of his patient. Or rather the major problem because it is not about to question here on the meaning of life .... We identify a specific problem and is working to address it. During the sessions, the patient must attach an image and feeling to his negative experience, as he saw her, his eyes follow the movements of the fingers of the therapist. One way of stimulating the cerebral hemispheres laterally that would "unlock" the traumatic information and reprogram adequately in the brain. Anne attended the killing of his neighbor. The image of the terrace bloody haunted her day and night and she suffered from abdominal cramps. "During the meeting, that the eye movements began, the feeling came back together my cramps. As in, I got to clear these unbearable images and replace them with images more "manageable." I found the sleep, I can again see blood and I feel calm enough. I made six sessions in all and for all. "
Waarom dit onderzoek? Uit vele studies en meta-analyses
komen traumagerichte cognitieve gedragstherapie (cgt) en eye
movement desensitization and reprocessing (emdr-therapie) naar voren
als de effectiefste interventies voor de behandeling van de posttraumatische
stressstoornis (ptss). Deze behandelingen zijn nooit
direct met elkaar vergeleken in een gerandomiseerde effectstudie
met voldoende onderscheidingsvermogen (statistische power). Ook
hebben slechts enkele studies het beloop van de symptomen tijdens
de interventies onderzocht.
Why this research? Many studies and meta-analyzes are trauma focused cognitive behavioral therapy (CBT) and eye Movement Desensitization and Reprocessing (EMDR Therapy) forward be the most effective interventions for the treatment of post-traumatic stress disorder (PTSD). These treatments are never directly compared in a randomized clinical study with sufficient discernment (statistical power). also have only a few studies the evolution of symptoms during the interventions studied.
Depuis le diagnostic du syndrome de stress post-traumatique (SSPT) a été introduit dans le DSM-III en 1980, une variété d'approches psychothérapeutiques ont été développées pour résoudre les problèmes et besoins spécifiques des patients traumatisés. Le succès du traitement du SSPT a besoin d'un bien pensée sur l'attitude thérapeutique. Le thérapeute doit trouver une position équilibrée entre les sur-identification et de se détourner de l'impuissance. Une attitude la recherche de sensations doivent être évités de même que le risque de traumatisme du fait d'autrui. Dans de nombreux cas, le SSPT peut pas être traité suffisamment par la psychothérapie seule: un plan complet de traitement multi-modal peut comprendre pharmacothérapeutique, les interventions physiques, sociaux, juridiques et autres. Les premières interventions psychothérapeutiques au lendemain d'un événement traumatique suivre les règles d'intervention de crise (immédiateté, l'accent sur les problèmes actuels de limitation de temps). Une attention particulière devrait être accordée aux questions de développement d'une relation de confiance thérapeutique, en créant une atmosphère de sécurité, aider le patient à reprendre le contrôle de et / ou se distancier de souvenirs intrusifs. traitements de désensibilisation des mouvements oculaires et retraitement (EMDR) et d'autres «pouvoir» peut offrir un soulagement rapide des symptômes. Après un traumatisme collectif, des débriefings psychologiques sont largement utilisés, bien que la preuve de leur utilité dans la prévention de l'ESPT est discutable. Chez les patients porteurs chroniques du SSPT, le psychothérapeute ne devrait pas travailler exclusivement sur l'événement traumatique et ses séquelles: le traitement doit être orientée vers l'avenir plutôt que par le passé. Au lieu de l'exploration, le thérapeute devrait essayer d'activer les ressources des patients et les aider à trouver un nouveau sens à leur vie future. Il ya un besoin urgent d'soigneusement conçus, randomisés, études d'intervention contrôlée sur l'efficacité de l'intervention précoce chez les patients gravement traumatisés et la mi-aux psychothérapies à long terme chez les patients souffrant de PTSD chronique. En outre, les études futures devraient inclure les approches psychodynamiques, ainsi que des protocoles de traitement multimodal, et d'élaborer des critères d'évaluation cliniques plus sophistiqués. (Base de données PsycINFO Record (c) 2008 APA, tous droits réservés)
Since the diagnosis of posttraumatic stress disorder (PTSD) was introduced in DSM-III in 1980, a variety of psychotherapeutic approaches have been developed to address the specific problems and needs of traumatised patients. Successful treatment of PTSD requires a well thought-out therapeutic attitude. The therapist must find a well-balanced position between over-identification and turning away out of helplessness. A sensation-seeking attitude should be avoided as should the danger of vicarious traumatisation. In many instances, PTSD cannot be treated sufficiently by psychotherapy alone: a comprehensive, multi-modal treatment plan may include pharmacotherapeutic, physical, social, legal, and other interventions. Early psychotherapeutic interventions in the immediate aftermath of a traumatic event follow the rules of crisis intervention (immediacy, focus on the current problems, time limitation). Special attention should be paid to the issues of developing a trusting therapeutic relationship, creating an atmosphere of safety, helping the patient to regain control over and/or distance himself from intrusive recollections. Eye Movement Desensitisation and Reprocessing (EMDR) and other "power therapies" can offer quick relief from symptoms. After collective traumatization, psychological debriefings are widely used, although the evidence for their usefulness in preventing PTSD is questionable. In patients with chronic PTSD, the psychotherapist should not work exclusively on the traumatic event and its sequelae: treatment should be oriented towards the future rather than the past. Instead of exploring, the therapist should try to activate the patients' resources and help them to find new meaning in their future life. There is an urgent need for carefully designed, randomized, controlled intervention studies investigating the effectiveness of early interventions in acutely traumatized patients and of mid- to long-term psychotherapies in patients suffering from chronic PTSD. Furthermore, future studies should include psychodynamic approaches as well as multimodal treatment protocols, and elaborate more sophisticated clinical endpoints. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
In 1987, a new technology called Eye Movement Desensitization Reprocessing (EMDR) was in the early stages of development. An internationally respected PTSD expert, psychologist Charles Figley, director of the Institute of Traumatology at Florida State University, did a formal research project on EMDR in 1993. Additionally, Figley also researched Thought Field Therapy (TFT – the grandfather of EFT), Traumatic Incident Reduction (TIR) and Visual Kinesthetic Dissociation (VKD) at the same time. Figley and an associate conducted the research because Figley deeply understood that the conventional therapies were not suitable for treating PTSD. That research proved both EMDR and TFT as effective treatments for PTSD both achieving over 50% reduction in symptoms. Although the DOD has officially approved EMDR for PTSD treatment (http://www.news.navy.mil/search/display.asp?), many VA centers do not allow its use.
In the interim, psychiatrist and PTSD expert Bessel van der Kolk, presently the Medical Director at the Trauma Center in Massachusetts, (http://www.traumacenter.org/) began groundbreaking researching on PTSD. Dr. van der Kolk is trained in both EMDR and TFT/EFT and now endorses the use of Energy Psychology methods like EFT to alleviate the symptoms of PTSD in a very gentle, quick, safe and easy manner.
The Ministry of Defence has awarded a three year contract to offer a relatively unknown psychological therapy to help service personnel with Post Traumatic Stress Disorder.
Known as EMDR it's one of two therapies recommended by the National Institute for Health and Clinical Excellence for PTSD.
In this article, we provide a summary of research on the efficacy of treatments for PTSD and suggest directions for future work. Although numerous psychological therapies have been suggested and used in patients with PTSD, most efficacy research using gold standard randomized controlled treatment methodology2 has focused on various cognitive-behavioral therapy (CBT) programs. Accordingly, our review will also focus on CBT.
I'm just writing this as we approach St Patrick's Day and with it the
symbolism of the Shamrock. The story goes that St Patrick used it to explain
the doctrine of the Trinity to the Irish. He took something they were familiar
with and used it to explain something profound. In therapy we can often
harness the power of the iconic when working in the area of resource
installation or when the client becomes stuck and we introduce a cognitive
interweave. I want to share such a case cameo with you.
ocuses on the efforts of Jeffrey Lohr of the Science and Pseudoscience Review Special Interest Group of the Association for Advancement of Behavior Therapy to help clinical scientists identify bogus therapies in the United States. Details on the Eye Movement Desensitization and Reprocessing; Findings of Scott Lilenfeld on Rebirthing Theory. (Academic Search Premiere)
Objectives: The prevalence of postraumatic stress disorder
(PTSD) in severe mental illness varies from 10 to 60% is the
published literature. Probably between 10 to 20% of lifetime
psychotic patients, also meet the criteria for having a PTSD. There
is not much evidence for the efficacy and safeness of treatment in
patients with a lifetime psychotic disorder who also meet the
criteria for PTSD. Some pilot studies show promising results.
Method: A study is designed to investigate whether treatment of
PTSD is effective and safe in a group of people with a psychotic
disorder? A multi-site randomised clinical trial with 80 patients
Eye Movement Desensitisation and Reprocessing (EMDR) versus
80 patients Prolonged Exposure (PEx) versus 80 patients
Treatment as Usual/Waiting list (TAU) is now being performed to
answer these research questions. The outcome measures in this
study are: Primary: Posttraumatic stress disorder (diagnose and
severity) Secundary: psychosis, depression, adverse events.
Moderators en mediators of treatment success. Cost-effectiveness
will be assessed and expressed in Euro per gained Quality
Adjusted Life Years. If no effectivity can be demonstrated, a costminimalisation
calculation will be made.
Results: Therapist have been trained in EMDR and in PEx during
eight days. Therapies are closely supervised an monitored during
the study. Fidelity measures are collected from a rond sample of
sessions.
Conclusions and Discussion: Pilots have been promising in
showing effective treatment for PTSD without any adverse events
or worsening of the condition in psychotic patients with a chronic
course. If this study can demonstrate effectivesness and safety,
this can change the treatment for many patients with severe
mental illness and reduce suffering from symptoms of PTSD and
probably also the burden of psychotic symptoms can be reduced
in a subsample of the patients.
A lot of VAs do offer EMDR these days, and it works for many people. Processing the trauma may only be the beginning of recovery, however, if you grew up in a home where there was a war between men and women. EFT offers the chance to make your home a sanctuary instead of a battleground. So does applying the principles of Al-anon to life with PTSD, and I'm sure there are other effective therapies, but this is the one that I know about. [Excerpt]
Eating-disordered clients begin treatment with a series of
unique and specific behavioral symptoms such as binge
eating, bingeing and purging, starving themselves, or overexercising,
that impede progress when using purely verbal
therapies. The research team has found that the
combination of expressive arts techniques and EMDR
treatment can be highly effective in overcoming these
impediments. This poster will briefly review basic
knowledge and practice concerning the major eating
disorders and their etiologies. We will then describe our
therapeutic process that combines expressive arts with
EMDR. This process includes (1) preparation of the client
for EMDR treatment through the use of expressive arts
techniques done in between sessions at home, (2) the use
of client drawing and writing as targets when they appear
to be a useful tool, (3) the use of a mirror exercise with
BLS as a resourcing tool to address, desensitize and help
the client reformulate body image distortion and body
hatred, and (4) the reiniorcement of gains from
reprocessing through the use of expressive techniques
throughout treatment. This poster describes these
additions to and modifications of the EMDR protocol with
expressive arts techniques, as well as the results of a pilot
experiment that compares outcomes for clients treated
with expressive arts approaches, with and without EMDR.
After a trauma, an individual is often tormented by the images of the tragic incident. These recollections return as nightmares, intrusive thoughts, and flashbacks. Physical pain related to the trauma triggers recollections of the trauma. These images reinforce the victimization. Those who take flight or who fight back during a trauma hold images of being active while those who freeze have more passive images. The Reenactment Protocol (RP) is a process of developing a new active image that reflects control, safety, and efficacy that is then associated with the trauma to allow the client a new set of meanings. I've never seen an abreaction, or reexperiencing of the trauma, arise during the RP. After the RP, clients report feeling in control. Their Subjective Units of Distress Scale (SUDS) have significantly lowered. Their physical pain has often lessened or disappeared. Clients often laugh at the point of reenacting their story, and the positive affect remains for the rest of the session. In therapies that have relied heavily on the RP, many clients gain a sense of control and sureness and increase their assertive behaviors. [Text, p. 213] [Pilots]
Part 2 of this paper focuses on possible active, change-producing elements of the four therapies for PTSD included in the Active Ingredients Demonstration Project (Figley, C and Carbonell, J., 1995). The methods studied were Eye Movement Desensitization and Reprocessing (Shapiro, 1995), Visual/Kinesthetic Dissociation (Bandler & Grinder, 1979), Traumatic Incident Reduction (Gerbode, 1989), and Thought Field Therapy (Callahan, 1985). While detailed research is indicated toward clarifying the extent of treatment effects, as well as the necessary ingredients involved, momentarily allow some speculation as to the active ingredients. The following is not intended to be a comprehensive compilation but rather a highlighting of some feasible ingredients. It is hoped that this will prove of heuristic value toward advancing understanding of active ingredients, stimulating research, and promoting the evolution and utilization of effective means of treating trauma-based conditions.
Perhaps the most familiar power therapy is EMDR -- Eye Movement Desensitization and Reprocessing
A practical workshop focused on frequent clinical situations in therapy. Its main goal is help the participants to identify relational patterns based on reciprocal role procedures, in order to be able to overcome therapist-patient difficulties. A brief therapeutic exposure about different theoretical sources will be presented: Cognitive-Analytic Therapy, Adaptive Information Processing Model and EMDR, Theory of Structural Dissociation of the Personality, Attachment Theories, psychodynamic transference-countertransference conceptualizations, and therapies focused on relational issues (systemic family therapy, psychodramatic group therapy, etc) Vignettes of frequent reciprocal role procedures in therapeutic relationship with severely traumatized people will be presented, explained the different kinds of presentation. The linking of these vignettes with the traumatic history will be developed. Short video-cases will illustrate these situations and some interventions to overcome them. Modified EMDR interventions will be described and showed.
Learning Outcomes Therapeutic relationship problems are main issues in severely traumatized people. Different authors coming from different theoretical orientations have presented thoughtful approaches to these situations and how to overcome them. In this workshop we will review many of these contributions, but we will base our theoretical development on the concept of reciprocal role procedures from the Cognitive Analytic Therapy (Ryle). From this concept we will summarize frequent relationship problems in therapy, how we conceptualize them from the Adaptive Information Processing model from EMDR and how we work on these issues using EMDR methodology. An additional learning outcome of this workshop is that the participants will review their own experience with their patients through a specific evaluation, and will have the opportunity to share their experiences.
Dr. Parnell teaches basic skills in resource tapping, an EMDR-related technique that harnesses the power of imagery and bilateral body stimulation to achieve healing. She describes how this clinically recognized system impacts affect management, ego strengthening, and emotional regulation as well as its capacity to build resilience and calm the body on a deep physiological level.
Resource Tapping is a powerful and effective EMDR-related technique that uses imagery and bilateral stimulation to harness the power of inner resources. It is an effective, easy-to-use technique for ego strengthening, affect regulation and stress reduction in the treatment of trauma. This technique can be used to help rebalance the nervous system, activate the parasympathetic restoration cycle, and teach self-regulation. Participants will learn to interweave this mind-body technique throughout the course of treatment to help with anxiety, sleep problems, triggers, depression, and strong emotions such as fear, anger, and sadness. .
Dating back to 1987, Eye Movement Desensitization Reprocessing (EMDR) is a comprehensive treatment
approach theoretically founded in cognitive, behavior, experiential, hypnotic, systems, and
psychodynamic therapies. Although the use of EMDR with adults has received much attention
throughout the past two decades, research is lacking in the area of randomized controlled trials testing
the efficacy and effectiveness of EMDR with children. This presentation reviews all EMDR randomized
controlled trial studies conducted with children from 1998 to 2008 and summarizes outcomes,
methodological approaches and limitations, as well as recommendations for future research. Research
indicates that EMDR may be a promising treatment for children experiencing PTSD symptoms, or other
residual traumatic effects from distressing occurrences. Although promising, research warrants more
RCTs with a higher level of methodological rigor in order to test the effectiveness and efficacy of EMDR
with children. The clinical utility of EMDR implemented with children is questionable until further
research ensures that the benefits to children greatly outweigh risks.
L’autore segue le tracce a partire dalla filosofia “associazionistica” fino la scuola “dissociazionistica” a partire da Janet, Binet, Charcot. Viene messa a fuoco la teoria della mente freudiana, intesa come prima teoria, teoria del trauma, vista nell’ottica della “corrente” dissociazonistica come anche successivo allontanamento con la seconda topica. Si prosegue con
altri autori della corrente psicoanalitica, come Sandor Ferenczi, il qui il pensiero venne riscoperto recentemente (Bonomi e Borgogno). L’attualità del lavoro di Ferenczi, è riconoscibile nel suo sottolineare l’importanza del trauma per lo sviluppo della psicopatologia e l’importanza della relazione terapeutica con la rivalutazione critica della tecnica psicoanalitica seguita dai suoi originali contributi. La modalità “tecnica” risolutiva di Ferenczi nella forma della “neo-catarsi”, come viene nominata, si avvicina alle terapie attualmente accreditate per il trattamento dei vissuti traumatici, una delle quali è appunto l’EMDR. Anche K.G. Jung riconosce l’importanza di riportare la questione, per tanti anni nell’ombra, dell’attenzione scientifica - la validità di teoria traumatica delle nevrosi. Molti concetti di Psicologia Analitica di Jung si avvicinano ai concetti di psicotraumatologia moderna “dell’ambiente traumatico”, del “trauma cumulativo” nascosto dentro la memoria implicita (van der Kolk, van der Hart) e lo porta a fare riflessioni sulla revisione del metodo terapeutico dell’abreazione. L’immaginazione attiva, la tecnica terapeutica creata da Jung, in alcuni passi procedurali sembra vicina alla modalità del lavoro terapeutico svolto con l’EMDR. Viene rivisitato l’effervescente pensiero di Donald Kalsched, uno degli attuali autori junghiani di maggiore spessore e originalità, il quale amplifica le posizioni storiche di Jung sul trauma, insieme ad altre correnti del pensiero e della ricerca, soprattutto quelli delle “relazioni oggettuali” e della “psicologia del sé”.
The author follows the trail from the philosophy of "associational" until the school of
"Dissociation" from Janet, Binet, Charcot. Focus is the theory of mind Freud, understood as the first theory, trauma theory, viewed from the standpoint of the "current" dissociation as well as subsequent removal with the second topic. Continue with other authors of the current psychoanalytic as Sandor Ferenczi, the thinking here was rediscovered recently (Bonomi and Burgundy). The actuality of the work of Ferenczi, is recognizable in its emphasis of the importance of trauma for the development of psychopathology and the importance of therapeutic relationship with the critical re-evaluation of psychoanalytic technique followed by its original contributions. Mode "technical" termination of Ferenczi in the form of "neo-catharsis" as it is named, was approached therapies currently approved for the treatment of experienced traumatic, one of which is precisely EMDR. KG Jung also recognizes the importance of bringing the question for many years in the shadows, scientific attention - the validity of the theory traumatic neuroses. Many concepts of Analytical Psychology of Jung's approach to the concepts of psychotraumatology modern "environmental traumatic", the "cumulative trauma" hidden inside implicit memory (van der Kolk, van der Hart) and takes him to make reflections on the revision of therapeutic method dell'abreazione. Active imagination, therapeutic technique created by Jung, some steps of the procedure seems close to the mode of therapeutic work done with EMDR. Is revisited the effervescent Kalsched thought of Donald, one of the Jungian authors of the current greater depth and originality, which amplifies the historical positions of Jung on trauma, together to other currents of thought and research, especially those of "object relations" and "Psychology of self."
Contemporary treatment approaches for Posttraumatic Stress Disorder
(PTSD) include traditional approaches such as Cognitive-Behavioral therapy,
Psychodynamic therapy, Group Therapy, Pharmacotherapy, et cetera, as well as
experimental approaches such as Body therapies (e.g., Sensorimotor Processing)
(Ogden & Minton, in press) and other Asian-based approaches (often termed
“Energy Therapies”). These approaches have varying degrees of data in support of
their effectiveness, that range from anecdotal case reports to randomized and
controlled studies (e.g., see Dietrich, et al., 2000; Foa, Keane, & Friedman, 2000;
Shalev, Bonne & Eth, 1996; van der Kolk, McFarlane, & van der Hart, 1996).
Over the past two decades, professional psychology has witnessed a growing
movement towards the utilization of psychotherapies that have empirical support.
Despite this development, therapies that have not been empirically supported
continue to experience widespread use. Concurrently, a collection of novel
interventions, known as Power/Energy therapies (P/ET’s), has emerged. Although
these therapies are based on questionable theoretical foundations and enjoy little or no
empirical support, their popularity with clinicians appears to be strong and growing.
There is scant research examining individual differences with respect to the practice
habits of professional psychologists. The present study examined whether critical
thinking skills are a factor in psychologists’ choice of therapeutic interventions,
including their use of P/ET’s. As hypothesized, participants who reported using a
number of techniques from Power and Energy therapies scored significantly lower on
a measure of critical thinking skills. Also as hypothesized, individuals who reported
using a number of cognitive-behavioral techniques scored significantly higher on the
measure of critical thinking skills. Implications and suggestions for future research
are discussed.
The Narrative Constructivist personal psychology model postulates that traumatized children and adults experience disturbances in cognitive schemata within domains of their psychological and interpersonal functioning: safety, trust, power, esteem and intimacy. Their processing of themselves and the world, which is greatly affected by ethno-cultural and beliefs, becomes rigidified around the "trauma story.” Their responses to stimuli are thus limited to repetitive and intrusive manifestations of fear and withdrawal. Utilizing culturally and spiritually salient metaphors as well as appropriate timing, EMDR facilitates the creation of meaningful narratives about the person's present and future and the world, enhancing sense of self and focused, purposeful behaviors. This symposium will introduce the narrative/cultural context model of trauma, with discussion, film clips and handouts; engage participants in a brief group intervention based on this model, to explore the emotional impact of ethno-cultural issues in regard to trauma and treatment interventions; and present clinical cases treated with EMDR based on cultural-sensitive choice-points and useful metaphors in work with diverse populations.
The Narrative Constructivist personal psychology
model postulates that traumatized children and
adults experience disturbances in cognitive
schemata within domains of their psychological
and interpersonal functioning: safety, trust, power,
esteem and intimacy. Their processing of
themselves and the world, which is greatly
affected by ethno-cultural and spiritual beliefs,
becomes rigidified around the "trauma story."
Their responses to stimuli are thus limited to
repetitive and intrusive manifestations of fear and
withdrawal. Utilizing culturally and spilitually
salient metaphors, as well appropriate timing,
EMDR facilitates the creation of meaningful
narratives about the person's present and future
and the world, enhancing sense of self and
focused, purposeful behaviors. This symposium
will introduce the narrative/cultural context model
of trauma, with discussion, film clips and
handouts; engage participants in a brief group
intervention based on this model, to explore the
emotional impact of ethno-cultural issues in
regard to trauma and treatment interventions; and
present clinical cases treated with EMDR based
on cultural-sensitive choice-points and useful
metaphors in work with diverse populations.
A standard treatment for anxiety disorders involves exposing clients to anxiety eliciting stimuli. Some theorists have argued that exposure is an essential element in the successful treatment of post traumatic stress disorder (PTSD). Exposure therapy and Eye Movement Desensitization and Reprocessing (EMDR) are two therapeutic approaches that have been identified as efficacious in the treatment of PTSD. It has been proposed that exposure is the active element in all effective treatments for PTSD, including EMDR. This presentation will address various issues that should be considered in evaluating this proposal. Theories underlying exposure therapies will be summarized and differences between process and mechanism will be discussed. Brief overviews of EMDR and exposure therapies will be provided. Video clips of treatment sessions with exposure therapy and with EMDR will be shown, to illustrate the differences in treatment approaches, clinical focus, and client experience. Shared and unique components will be identified. The use of exposure in EMDR and its possible contribution to treatment outcome will be examined. Unlike prolonged exposure therapy, EMDR uses extremely brief repeated exposures (i.e., 20-50 seconds). Instead of continual and uninterrupted exposure, EMDR repeatedly interrupts the client's focus. Exposure therapy typically maintains a focus on the targeted incident, while EMDR uses a free association process to elicit other related material. Research has shown that high levels of anxiety during sessions of exposure therapy typically predict good outcome with that modality; however in successful EMDR treatment, the client's distress is substantially reduced during the session. Suggestions will be made for future research to identify and investigate mechanisms of action in exposure therapy and EMDR.
Conflict and tsunami events have left behind many traumatic experiences in people of Aceh. Many people in Aceh have lost
their families, children after the tsunami are still experiencing separation anxiety, and many children have lost motivation to
study, learn or play. Children are forced by circumstances to survive like an adult, whilst they still need protection and aegis
of the parent. This leads to consequences like irritability, impulsivity and somatic symptoms.
The treatment conducted by the practitioner especially for the children were the safe-place, resource activation and the
protocol of EMDR.
The safe-place technique is one of the most frequent techniques used for children. The safe-place technique is something like
a gate to get into the children’s experience through the Tsunami or conflict events. Some of the children in orphanages who
were treated by EMDR, specifically using the safe-place technique showed interesting findings. Some clients described the
sea as a safe-place. This becomes an interesting experience because it is well known that the sea was a trigger for traumatic
experiences related to the tsunami. However, it turns out that with children, the sea was also a source of power and made
them feel safe. This would raises some questions in our mind, whether the phenomenon is an ambivalence, or is there
something related to the culture or belief that the children have through their own life? It seems like an ambivalence, since
on one hand the children suffered a disaster directly related to the sea (tsunami) and on the other hand they think that the
sea is an integral part of their lives
Designed to bring about lasting change in clients with personality disorders and other complex difficulties, schema therapy combines proven cognitive-behavioral techniques with elements of interpersonal, experiential, and psychodynamic therapies.
This book offers a rigorous examination of a variety of therapeutic, assessment, and diagnostic techniques in clinical psychology, focusing on practices that are popular and influential but lack a solid grounding in empirical research. Featuring chapters from leading clinical researchers, the text helps professionals and students evaluate the merits of novel and controversial techniques and differentiate between those that can stand up to scientific scrutiny and those that cannot. Reviewed are widely used therapies for alcoholism, infantile autism, and ADHD; the use of EMDR in the treatment of.
Bestselling author Scarf (Intimate Partners; Unfinished Business) explores new therapies that claim to be able to "reprocess" or "detoxify" traumatic memories through physical manipulation of the nervous system. Via accessibly presented neuroscience, Scarf explains how the body stores memories of intensely stressful experiences. A writer rather than a clinician (she's a senior fellow at Yale's Bush Center in Child Development and Social Policy), Scarf generates her data through meeting women subjects in marital distress and exploring their pasts through gentle discussion. Throughout, Scarf weaves her own autobiographical reflections, centered on painful memories of an autocratic father and a negligent mother. Seeking to advance her own emotional well-being, she enters into a reprocessing therapy session and becomes an advocate of the technique; she persuades one of her subjects to try it out, with apparently successful results. Although the physical ailments presented in Scarf's account seem extremely slight, she makes much of a sense of emotional breakthrough and release. Scarf's investigation into the methodology of reprocessing therapies is scientifically limited, yet she does allow us some insights into how they function. Admirers of her work will enjoy her ability to evoke relationship dynamics (including abusive relationships), her seductively flowing style and her emphasis on perceptive readings of life histories. Readers with a serious interest in psychology will find little cutting-edge scholarship here, and some may question why all Scarf's subjects are women.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
What just transpired is a psychotherapy called eye movement desensitization and reprocessing (EMDR).
It has emerged over the past decade as one of the hottest - and some say most powerful - therapies for those who seem stuck in negative memories, reactions and behaviors. Once harshly criticized, EMDR's growing clinical and research track record has won over most detractors. Disagreements among mental-health professionals no longer focus on whether it works, but on how it works.
Seelische Selbstheilungskraft - Ganzheitliche EMDR-Selbstherapie und individuierende Selbstanalyse. In dem 700 Seiten umfassenden Werk inklusive umfangreichen Nachschlageverzeichnissen beschreibt Sofia Sörensen ihre Selbstheilung von einer ausgeprägten posttraumatischen Belastungsstörung, die ihr Leben 53 Jahre lang nach einem Mordanschlag und schwerem Mobbing in der Kindheit geprägt hat. Die Störungen bestanden in hoher Empfindlichkeit, Hypervigilanz, zuweilen Panikstörungen, Phobien, teils suchtartigen Verhaltensweisen mit Kaufrausch und Zwängen, Alpträumen, Gedankenkreisen, teilweise schweren psychosomatischen Krämpfen, Angina pectoris, Stimmritzenkrämpfen, hoher Infektanfälligkeit und vor allem unter neuen Traumatisierungen und Frust auch in allgemein gestörtem sozialen Verhalten. Kompensation und Dekompensation bestimmten ihr Kräfte aufreibendes Leben. Sofia Sörensen hat sich schließlich selbst geheilt, indem sie sich intensiv sachkundig gemacht hat, ihre seelischen Selbstheilungskräfte nicht mehr durch Ängste und vorgefasste Ansichten blockierte sondern durch eine mehrdimensionale, ganzheitliche Selbsttherapie unter Einbeziehung von EMDR freigelegt hat. Selbsttherapie ist letztendlich auf die immer vorhandene Selbstheilungskraft zurückzuführen. Diese schreibt die Autorin der Schöpfungskraft und damit dem Schöpfer selbst zu. Das Buch ist zugleich Erfahrungsbericht, Biografie und Sachbuch.
Mental self-healing-Holistic EMDR Selbstherapie and individuating self. In the 700 page work, including extensive Nachschlageverzeichnissen Sofia Sorensen describes their self-healing from a severe post-traumatic stress disorder, which has shaped their lives 53 years after an assassination attempt and severe bullying in childhood. The disturbances were in high sensitivity, hypervigilance, and sometimes panic disorders, phobias, sometimes addictive behaviors with a spending spree and constraints, nightmares, thoughts circles, some severe psychosomatic cramps, angina pectoris, glottic spasm, high susceptibility to infection and especially under the new trauma and frustration in general degraded social behavior. Compensation and decompensation certain forces exhausting their life. Sofia Sorensen has finally cured himself, has made intense by competent, their psychological self-healing by no more fears and preconceived views blocked but has uncovered a multidimensional and holistic self-therapy, involving EMDR. Self-therapy is ultimately due to the ever-present self-healing power. This writes the author of the power of creation and thus to the Creator himself. The book is also a field report, biography and nonfiction.
//www.emdr-selbsttherapie.de//
Erfahrungsbericht einer Selbsttherapie an Leib und Seele, Biografie und Sachbuch. Sofia Sörensen hat sich während ihres turbulenten Lebens selbst sachkundig gemacht und mutig unter multidimensionaler Psychotherapie mit EMDR, Verhaltenstherapie, Psychoanalyse und anderem selbständig erfolgreich behandelt. In der Wagneroper Die Meistersinger von Nürnberg fragt Walther von Stolzing: "Wie fang' ich nach der Regel an?" Und Hans Sachs antwortet ihm: "Ihr stellt sie selbst und folgt ihr dann." Der eigene Leitsatz von Sofia Sörensen lautet: "Irren kann ich mich auch selbst. Dafür benötige ich keinen Therapeuten mehr."Erfahrungsbericht einer Selbsttherapie an Leib und Seele, Biografie und Sachbuch. Sofia Sörensen hat sich während ihres turbulenten Lebens selbst sachkundig gemacht und mutig unter multidimensionaler Psychotherapie mit EMDR, Verhaltenstherapie, Psychoanalyse und anderem selbständig erfolgreich behandelt. In der Wagneroper Die Meistersinger von Nürnberg fragt Walther von Stolzing: "Wie fang' ich nach der Regel an?" Und Hans Sachs antwortet ihm: "Ihr stellt sie selbst und folgt ihr dann." Der eigene Leitsatz von Sofia Sörensen lautet: "Irren kann ich mich auch selbst. Dafür benötige ich keinen Therapeuten mehr."
Review of self-therapy, body and soul, biography and nonfiction. Sofia Sorensen has made during her turbulent life itself competently and courageously with under multidimensional EMDR psychotherapy, behavior therapy, psychoanalysis and other self-treated successfully. In Wagner's opera Die Meistersinger von Nürnberg Walther von Stolzing asks: "How could I begin to the rule?" And Hans Sachs replied: "You will own it and then follows her." The own motto of Sofia Sorensen is: "To err may I also own this I do not need a therapist anymore." Review of self-therapy, body and soul, biography and nonfiction. Sofia Sorensen has made during her turbulent life itself competently and courageously with under multidimensional EMDR psychotherapy, behavior therapy, psychoanalysis and other self-treated successfully. In Wagner's opera Die Meistersinger von Nürnberg Walther von Stolzing asks: "How could I begin to the rule?" And Hans Sachs replied: "You will own it and then follows her." The own motto of Sofia Sorensen is: "To err may I also own this I do not need a therapist anymore."
Remember the joke about the doctor who says, "The operation was a success, but the patient died"? That's how some clients feel
about EMDR. They succeed in accessing deep and important material, but find themselves extremely depressed and/or anxious in
the days afterward. For these clients, who are often survivors of multiple trauma such as long-tenn child abuse or incest, the ability
to self-soothe (both during and after an EMDR session) makes the difference between whether they regard EMDR as a useful tool or
a necessary evil.
To find out what self-control techniques work best for such clients, I interviewed EMDR clients (all women) who had experienced
long-term sexual abuse in childhood.
The first thing I learned was that for survivors of multiple trauma, the ability to feel safe starts long before EMDR is ever used.
Many women cited their relationship with their therapist as the foundation of their feeling safe with EMDR: "I trust my therapist
absolutely." One client's therapist told her he had used EMDR himself: "That made a huge difference to me," she said.
Other advance work included planning and taking preventative measures. Planning means picking the right time (and pace) for
doing EMDR: being sure the therapist and/or other support people will be available in the days after the session; not driving or
going back to work afterward (if possible); being able to have plenty of alone time; and going slowly, doing EMDR in small
increments. "I didn't expect myself to go out in the world and be social afterward. I was pretty raw for a few days, sometimes for a
whole week," B. told me.
Planning also means taking preventive measures, such as teaching the client how to find "a safe place." Most clinicians know the
importance of this, but one of the women I interviewed was emphatic that creating a safe place was very different from being able to
go to it when she was in a session and reliving the experience of being a three-year-old overwhelmed by extreme grief or terror. She
said she needed a lot of practice accessing her safe place and some special interventions (see below) to get through the intense times.
Being able to self-soothe between sets of eye movements was very difficult for most clients. "I cry all the time we do it," S. told me.
"I have to sit near the door and not have my therapist sit too close," said M. Another woman said, "We do the eye movements for a
few seconds and we talk in between."One successful intervention, especially for clients overwhelmed by the intensity of their
feelings, involved the therapist asking his client to listen to the sound of his breathing and to breathe along with him. Another
clinician has his client when she gets extremely upset ask her "inner guide or "higher power" whether it's "okay to continue;" a third
asks, "Is there more underneath or is it time to wind down?" Letting the client control the pace and progress of his/her own
processing can be an important way to teach self-trust -- especially to people for whom loss of power was endemic to their abuse.
Some clients are able to repeat special phrases or afirmations over and over between sets to calm themselves. L., a ritual abuse
survivor, said she grounds herself by silently reciting a mindfulness verse from Zen master Thich Naht Hanh in time with her inbreath
and out-breath: "In, out. Deep, slow, Calm, ease. Smile, release. In, out. Deep, slow ......
Different kinds of self-soothing techniques work best after the eye-movement sets are completed.
Immediately afterwards, while still in session, one client said she falls asleep for a few minutes -- she finds this a big help in
countering the dissociated state in which she typically concludes an EMDR session. Another said she and her therapist share a cup
of tea and talk over what happened as a way to "come down" and normalize the experience.
Some clinicians close a session by doing eye movements to reinforce the client's safe place. One woman said her therapist has her
"cement the present in place" by doing eye movements on either a present-day image, an image of her inner child in the safe place, or
a positive statement.
Francine Shapiro has often said that what happens after the EMDR session can be as important as what happens during it. The
women I interviewed felt exactly the same way. They had learned the necessity of talung exquisitely good care of themselves in the
hours and days that follow. "I take time-and time out," declared B., who often has a delayed fear reaction following EMDR.
Most clients said they go home and either curl up in bed or in a favorite rocking chair with their stuffed animals. They cry, sleep,
write in their journals, draw pictures, listen to music, look at favorite photographs, and/or call a support person. M. uses self-talk to
ease her feelings: "I say to myself, 'You know that knot of fear. I know it's only fear. I know that nothing is going to hurt me right
now'." For others, going home immediately is not the best option: D. takes a walk along the shores of Long Island Sound; C., the
mother of three young children, finds solace in a favorite bookstore.
Sometimes all the planning in the world doesn't help: the abreaction seems to launch the client back to the age she was when she
was abused - and she simply can't remember how to calm herself. To counter this, several clients said they carry a list of things
they can do to quiet themselves. S. finds reading mystery stories comforting("At the end you always find out what really happened."), but has to keep two of them on her bedside table at all times: "If they're not in full view, I forget about using them."
One interesting example of "assigned" self-soothing was given by a ritual abuse survivor who was new to EMDR. After a session
when a lot of memories came up about how her sexuality was used and degraded during the abuse, her therapist gave her very
specific instructions on how to care for herself, including buying a romantic nightgown and soaking in bath salts for 45 minutes;
listening to romantic music; and not touching or kissing her partner for 48 hours. "It worked out great!" she told me happily. "I felt
SO pretty and so safe."
The conclusion I reached about how multiple-trauma survivors learn to self-soothe in the face of the intense feelings EMDR can
trigger is not revolutionary. The recipe is: Step 1. Plan for the worst. Step 2. Let the client select the self-soothing techniques that
specifically fit for her or him. Step 3. Make sure s/he is able to use these techniques no matter how intense his/her emotions are.
Sometimes this will call for the therapist to take an active role by either leading the client in specific calming techniques or by
assigning very clear-cut homework.
If the recipe calls for planning and practicing, then the pot in which the ingredients are cooked is labeled "TRUST"-trust before
initiating EMDR, trust during the eye movements, and trust after the sets are completed. Unless the client deeply trusts the
clinician, the method itself, and his or her own capacity to go into the feelings and me out safely, the recipe for success with
EMDR can turn into a recipe for disaster.
O medo de avião já virou até música composta por Belchior. Mas, nem sempre, é fácil conviver com o problema, que acaba afetando a vida pessoal e profissional, e transformá-lo em arte. Novas terapias foram desenvolvidas para tentar curar esse problema, que atinge diversas pessoas. Um método de tratamento é o reprocessamento de lembranças difíceis, usado em terapias como o EMDR (Eye Movement Desensitization and Reprocessing ou Dessensibilização e Reprocessamento por meio de Movimentos Oculares), que permite resolver medos, ansiedades e fobias de uma forma rápida e eficiente.
The fear of flying has turned to music composed by Belchior. But not always easy to live with the problem, which ultimately affects the personal and professional life, and transform it into art. New therapies have been developed to try to cure this problem, which affects many people. A method of treatment is difficult to reprocess memories, used in therapies such as EMDR (Eye Movement Desensitization and Reprocessing and Desensitization and Reprocessing by Eye Movements), which allows resolving fears, anxieties and phobias quickly and efficiently.
Vancouver, BC — Terror registers most sharply in the subcortical brain, not the prefrontal cortex, explaining why talk-based therapies for posttraumatic stress disorder often have limited success, Dr. Bessel van der Kolk said at a meeting on Posttraumatic Stress Disorder sponsored by Vancouver General Hospital. [Elsevier]
Objective: Lifetime history of sexual abuse is estimated to range between 15% and 25% in the general female population. People
who are sexually abused are at greater risk for a whole host of physical health disorders that may occur many years after the abusive
incident(s). Despite the high prevalence of this trauma and its association with poor health status, abuse history often remains hidden
within the context of medical care. The aims of this review are to determine which specific health disorders have been associated
with sexual abuse in both women and men, to outline the types of sexual abuse associated with the worst health outcome, to discuss
some possible explanations and mediators of the abuse/health relationship, to discuss when and how to talk about abuse within a
clinical setting, and to present evidence for which psychological treatments have been shown to improve the mental health of
patients with past sexual abuse. Method: To meet these objectives, we have reviewed a wide literature on the topic of sexual abuse.
Results: We demonstrate that abuse appears to be related to greater likelihood of headache and gastrointestinal, gynecologic, and
panic-related symptoms; that the poor health effects associated with abuse are also seen in men; that abuse involving penetration
and multiple incidents appears to be the most harmful, and that exposure-type therapies with and without cognitive behavioral
therapy hold promise for those with abuse history. Conclusion: We need more research examining psychological treatments that
might be efficacious in treating the physical health problems associated with sexual abuse history.
Objective: This article examines survivor perspectives of the effectiveness of two different treatments for trauma symptoms among adult female survivors of childhood sexual abuse -- Eye Movement Desensitization and Reprocessing (EMDR) and eclectic therapy. Method: Qualitative interviews obtained in the context of a mixed-methods study were conducted with 38 adult female survivors of childhood sexual abuse. Results: Two major differences in outcomes between the two treatment approaches were observed. There were considerable distinctions between the two treatment groups in terms of the importance and effect of the client-therapist relationship, and in terms of the depth of change reportedly caused by the different therapies. Conclusions: Survivors' narratives indicate that EMDR produces greater trauma resolution, while within eclectic therapy, survivors more highly value their relationship with their therapist, through whom they learn effective coping strategies. [Author Abstract]
Sexual assault occurs with alarming frequency in Canada. The prevalence of
Posttraumatic Stress Disorder (PTSD) in assault survivors is drastically higher than the national
prevalence of the disorder, which is a strong indication that the current therapies for sexualassault-
related PTSD are in need of improvement. Increasing knowledge and understanding of the
pathologies associated with rape trauma in biological, psychological and sociological domains will
help to develop more effective treatments for survivors. A dysregulation of the Hypothalamic-
Pituitary-Adrenal (HPA) axis is observed in survivors of sexual assault and this may be a
fundamental cause of the structural and functional abnormalities contributing to PTSD symptoms.
Pharmacotherapies are available to treat PTSD; however, they are often inadequate or unwanted
by the survivor. Psychological health is compromised following interpersonal trauma and many
psychological therapies are available, but with varying efficacy. A person's cognitions have a
dramatic effect on the onset, severity, and progress of PTSD following sexual assault. Sociological
impacts of assault influence the development of PTSD through victim-blaming attitudes and the
perpetuation of rape myths. Perceived positive regard and early social support is shown to be
important to successful recovery. Education is vital in rape prevention and to foster a supportive
environment for survivors. The biological, psychological and sociological impacts and treatments
should not remain mutually exclusive. A better appreciation of the biopsychosocial repercussions
of sexual assault will aid in developing a more holistic and individualized therapy to help alleviate
the physical and emotional pain following the trauma of rape.
Sexual abuse survivor couples who choose to engage in marital therapy often present with problems around attachment, intimacy, infidelity, rage, a sense of entrapment, feelings of betrayal, low self-esteem, powerlessness, codependency, and a need to control or have power. Their individual histories become critical to understanding what type of interventions to implement as these individuals continue to respond to one another in an almost stylized and predictable manner. This chapter describes a treatment approach that combines Structural Family Therapy (SFT) and Eye Movement Desensitization and Reprocessing (EMDR) in marital therapy when one or both partners have a history of childhood sexual abuse. In this approach, the therapist begins with SFT and then shifts to EMDR treatment of the traumatized partner. This shift is to process the survivor's abuse experience so that he or she can come to an adaptive resolution. This sets the stage for the survivor to respond differently to the possible triggers in his or her life as well as in the relationship. Once the EMDR process is complete and the couple participates in joint debriefing of the EMDR intervention, they reengage in the SFT marital sessions while integrating insights and adaptations the trauma survivor has gained from the EMDR work. This approach involves the applications of the EMDR standard protocol. It also uses the core elements of SFT, such as joining, restructuring diffuse and rigid boundaries, relabeling, and enactments. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
This seminar will describe particular means to strengthen the somatic component of the EMDR Protocol for clients
that have the following characteristics: dissociation from the body, ungrounded, unable to feel somatic sensations
and impulses, lack of a somatic sense of self due to developmental or traumatic wounding, disconnection from
feelings of physical strength, ability to defend oneself, pleasure or power in the body. We will look at different
kinds of somatic resources: groundedness, boundaries, defensive musculature, centering, and physical
empowerment. We will also look at using somatic resourcing with an expanded standard and/or RDI protocol to be
utilized while evoking state specific trauma processing and without evoking state specific trauma processing.
Five examples of nontraditional psychosocial treatments used for children/adolescents are reviewed: eye movement desensitization and reprocessing, electroencephalographic (EEG) biofeedback, deep pressure/touch therapies, stress-challenge treatments, and confrontational scare treatments. The generic recommendations from the September 1992 National Institutes of Health Conference on Unconventional Medical Treatments are summarized. Additional screening principles specific for psychosocial treatments are proposed and applied to the five treatments. The screens do not validate treatment efficacy or evaluate the quality of any previous research, but only facilitate decisions as to whether treatments deserve controlled investigation. Scientific evaluation of the nontraditional treatments reviewed could in general benefit from blinds (at least for assessment); control conditions matched for intensity, frequency, and duration (double blind where feasible); dose-response studies; testing of generalization and endurance supplements or boosters for quick, cheap treatments with time- or domain-limited effects; and comparing cost-effectiveness with established treatments. Two unscientific pitfalls must be avoided: embracing new treatments uncritically and rejecting them without fair examination. These pitfalls must be skirted without dissipating scarce research resources. [Author Abstract]
Therapists who work with EMDR can facilitate change in patients through an understanding of their participation in the therapeutic process. The workshop will last one day, will address the topic of the role of the therapist and his self-understanding in working with patients who may become a challenge before, during and after a session of EMDR.
Participants will delve into the use of the guideline to the procedure as a means of self-awareness, you also learn to use strategies for development and installation of resources for self-restraint necessary when their memories are elicited during a sitting. You will also learn a variation Integrative Cognitive intervention (intervention Relational) to fix an imbalance of power of the therapeutic alliance.
As counselling is a developing profession without statutory regulation in Australia, anyone can engage in counselling practice and use “counsellor” as a professional title. Not much is known about those who call themselves counsellors in Australia. This survey research in a field setting aimed to describe Australian Yellow Pages Advertised Counsellors, thus providing a snapshot of advertised counsellors in Australia. This research was thus designed to describe those who are engaging in advertised counselling practice in Australia. Data was collected using a multiple mailing survey method and resulted in a 62.2% return rate. The counsellors' (1) demographic characteristics, (2) counselling training and development, (3) provision of counselling services, and (4) professional involvement were assessed. Advertised Australian counsellors tend to be female, mature, Caucasian, married or partnered, heterosexual, have families, and hold Christian beliefs. The majority of counsellors live in urban areas. The field could arguably benefit from increasing the diversity of its members. Nevertheless, advertised Australian counsellors are qualified professionals who tend to hold university qualifications and are likely to have received their training in counselling from a university provider. They are experienced service providers and engage in ongoing supervision as a supervisee. Moreover, these counsellors are involved in a variety of professional organizations. Advertised Australian counsellors, however, often struggle with issues related to burnout. They demonstrate their belief in the power of counselling by engaging in personal counselling. Advertised Australian counsellors actively engage in professional development, read professional journals, and report wanting further training regarding cognitive behaviour therapy, family therapy, EMDR, hypnosis, and trauma‐related difficulties. The majority of counsellors indicate making $40,000 or less per year. Survey results clearly indicate that the professionalisation of counselling is underway. Tandis que le counseling est une profession en développement sans régulation statutaire en Australie, n'importe qui peut s'engager dans la pratique du counseling et utiliser le titre professionnel de “conseiller.” Très peu est connu sur ceux qui se prétendent conseillers en Australie. Cette enquête visait à décrire les conseillers annonçant dans les pages jaunes en Australie, permettant d'avoir une image de ces derniers. Elle cherchait donc à décrire ceux qui étaient engagés dans la pratique du counseling publicisé en Australie. Les données furent collectées par le biais d'une méthode d'enquête par multiples envois postaux résultant à un taux de réponse de 62,2%. Les facteurs évalués chez les conseillers incluent: (a) les caractéristiques démographiques, (b) la formation et le développement en counseling, (c) les services desservis et (d) l'implication professionnelle. Les conseillers australiens publicisés tendent à montrer les caractéristiques suivantes: femmes, matures, caucasiens, mariés ou en couple, hétérosexuels, ayant une famille et ayant des croyances chrétiennes. La majorité des conseillers vivent dans les zones urbaines. Le domaine peut sans conteste bénéficier d'une plus grande diversité de ses membres. Néanmoins, les conseillers australiens publicisés sont des professionnels qualifiés qui tendent à posséder des qualifications universitaires et qui sont susceptibles d'avoir reçu leur formation en counseling d'une université. Les conseillers australiens publicisés sont des professionnels d'expérience et sont engagés dans de la supervision en tant que supervisés. De plus, ces conseillers sont impliqués dans une variété d'organizations professionnelles. Cependant, ils font souvent face à des problèmes reliés au burn‐out. Ils montrent leur croyance dans le pouvoir du counseling en recevant eux‐mêmes des services de counseling. Les conseillers australiens publicisés s'engagent activement dans le développement professionnel, ils lisent des revues professionnelles et ils rapportent vouloir davantage de formation sur la thérapie cognitivo‐comportementale, la thérapie familiale, la désensibilisation et le retraitement du mouvement de l'oeil, l'hypnose et les difficultés reliées aux traumatismes. La majorité d'entre eux indique faire 40,000$ ou moins par année. Les résultats de cette enquête indiquent clairement que la professionnalisation du counseling est sur la bonne voie. Debido a que en Australia el consejo es una profesión en desarrollo sin reglamentación estatutaria, cualquier persona pued.
Objective: Cognitive behavioral therapy (CBT) is the most common psychotherapy approach for the treatment of PTSD. Nevertheless, previous reviews on the efficacy of several types of psychotherapy were unable to detect differences between CBT and other psychotherapies. The purpose of this study was to conduct systematic review on the efficacy of CBT in comparison with studies that used other psychotherapy techniques. Method: Databases were searched using the following terms: posttraumatic stress disorder/stress disorder, treatment/psychotherapy/behavior cognitive therapy, randomized trials, and adults. Randomized clinical trials published between 1980 and 2005 and that compared CBT with other treatments for PTSD was included. The main outcomes were remission, clinical improvement, dropout rates and changes in symptoms. Results: The 23 clinical trials included in the review comprised 1,923 patients: 898 in the treatment group and 1,025 in the control group. CBT had better remission rates than EMDR (RR = 0.35; 95%CI: 0.16; 0.79; p = 0.01) or supportive therapies (RR = 0.43; 95%CI: 0.25; 0.74; p = 0.002, completer analysis). CBT was comparable to Exposure Therapy (ET) (RR = 0.90; 95%CI: 0.58; 1.40; p = 0.64), and cognitive therapy (CT) (RR = 1.01; 95%CI: 0.67; 1.51; p = 0.98) in terms of efficacy and compliance. Conclusions: These findings suggest that specific therapies, such as CBT, exposure therapy and cognitive therapy are equally effective, and more effective than supportive techniques in the treatment of PTSD.
Objectives: Dysesthetic vulvodynia plays an important role in the sexology of the most common female genital system disorders; its psychosomatic origin is by now widely acknowledged.
Its main symptoms are: acute pain at each penetration attempt (dyspareunia), pain under local pressure on the vaginal vestibule, erythemas of different intensities.
In recent years the role of childhood sexual abuse as one of the possible predisposing (vulnerability) factors of vulvodynia development has found positive confirmations in the literature. Author's aims are to verify this correlation and check efficacy of specific psychotherapeutical approaches.
Method: The choice of psychodiagnostic reactive tests, such as the Sexuality Questionnaire (symptomatology screening), the recent Female Sexual Disorders Analytical Questionnaire (screening and sexual abuse) and the Chronic Pain Risk Factors Questionnaire, assessing stressful and traumatic events such as sexual abuse, to identify vulvodynia is of particular importance.
The therapeutic approach presented here is integrated: gynecological, physical-rehabilitational, psycho-educational and psycho-sexological.
Results and conclusions; The psychological therapies recommended for the treatment of this disorder and the associated abuse (substantiated by international literature and years of clinical practice) are EMDR and hypnotic psychotherapy, integrated with sexological techniques, starting from the assumption that any eventual effective therapy of vulvodynia cannot but include appropriate (psychosomatic and not merely verbal) processing of the childhood sexual abuse.
The purpose of this article is to argue that as long as the therapeutic community relies on commonly accepted sacred cows to produce results, little if any progress will take place. The five sacred cows of traditional psychological interventions (prevention, psychotherapy, and rehabilitation) are based on the following: (a) talk; (b) face-to-face contact; (c) the professionals’ proper style and personality; (d) adding family members, the more people the better; and (e) the more sessions the better. New psychological interventions that may challenge the sacred cows as we know them are as follows: (a) psychoeducational skill training programs; (b) computer assisted interventions, including verbal, visual (i.e., virtual reality), and neurobiofeedback; (c) manualized therapies; (d) eye movement desensitization and reprocessing; and (e) programmed distance writing, as exemplified by mental health workbooks. The latter is an inexpensive approach that can be administered concurrently with the new approaches as well as with talk-oriented interventions to obtain synergistic results. In addition, suggestions for minimally verbal and maximally action-oriented props and prescribed tasks are given.
La neurolingüística y el EMDR (Eye Movement Desensitization and Reprocessing, por sus siglas en inglés) son dos sistemas terapeúticos que se utilizan para reprogramar a las personas.
Neurolinguistics and EMDR (Eye Movement Desensitization and Reprocessing, for short) are two therapeutic systems that are used to reprogram people.
Many victims of childhood trauma struggle with recurrent suicidal thoughts and behaviors even after traditional therapies. We used a combination of Cognitive Behavioral Therapy (CBT) plus Eye Movement Desensitization and Reprocessing (EMDR) in five patients with histories of childhood trauma and recurrent suicidal thoughts to reduce or eliminate suicidal thoughts, behaviors, and attempts after 3 months to 5 years follow up. These findings suggest that CBT plus EMDR might be a combination therapy to reduce or eliminate suicidal thoughts in victims of childhood trauma.
K. Tullis, C. Westcott, T. Winton, A Theory on the Use of Cognitive Behavioral
Therapy (CBT) Plus Eye Movement Desensitization and Reprocessing (EMDR)
To Reduce Suicidal Thoughts in Childhood Trauma Victims, appendix in, The
Courage to Live Workbook, Memphis: KFT Press, 2003.
Therapeutic relationship is often a major challenge in the treatment of traumatized clients with
comorbid personality disorders. Maladaptive interpersonal styles and negative transferences resulting
from attachment trauma can make a trauma-oriented therapy very difficult. However, an understanding
of personality disorders as a consequence of attachment trauma creates new therapeutic possibilities
for patients who are considered difficult to treat though urgently in need of therapy.
Given this background, the workshop aims at enhancing the participants’ capacity to manage problems
of therapeutic relationship in traumatized clients with personality disorder.
In the first part of the workshop, an overview on possible neurobiological causes of specific patterns of experiencing and
behavior in personality disorders will be given. Deficits in emotion regulation, mentalization function, and personality
integration, all of which have been identified as underlying dysfunctional and self-destructive behavioral patterns, can
be understood as consequences of attachment trauma. In the second part of the workshop, a phase-oriented treatment
conception will be presented which combines elements from resource-oriented trauma therapies with aspects of a
psychodynamic understanding of attachment relationships. In the framework of this concept, the notions of transference
and countertransference will be introduced to explain difficulties typically arising in the relationship with traumatized clients
with severe personality disorders. On the basis of case material, strategies will be presented to deal with recurrent problems
of therapeutic relationship.
Type I traumata in children are often quick and rewarding therapies. But
sometimes even in uncomplicated cases there is only limited progress in
therapy. Exemplary with the case vignette of a three year old boy, bitten by a dog
and treated with EMDR, the problems of this case will be discussed and
possible solutions are delivered with the focus on systemic therapeutical
work and EMDR.
When EMDR was first introduced by clinical psychologist Francine Shapiro in 1987, Danubio was among many critics who had trouble believing that rapid eye movement could be emotionally therapeutic.
In Isaac Bashevis Singer’s prolifi c Holocaust novel,
Enemies: A Love Story (1972), the main character,
Herman Broder, sets his eyes into an oscillating
motion whenever he needs to deal with stress or
anxiety. The books and poems of Native American
author Sherman Alexie (1992, 2009) beautifully document
how centuries of tribes have utilized the dance,
an activity of tactile bilateral stimulation, to cope
with distress and heighten performance. Kyra Gaunt
(2006) documented how generations of African
American girls have used clapping games, doubledutch
jump rope, and other bilateral rhythmic activities
to transition into adulthood. This small collection
of examples sets a larger context for the development
of eye movement desensitization and reprocessing
(EMDR) that I feel, in the excitement over the 20th
anniversary of Shapiro’s discovery, we have failed to
consider. I write this letter with a great deal of respect
for Dr. Francine Shapiro as someone who has
tapped into the seemingly innate, healing power of
bilateral stimulation and systematized it for use in
psychotherapeutic settings. In the spirit of appreciating
the larger context of her contribution, I feel the
need to voice my concern about several points that
she articulated in the interview with Marilyn Luber. (Excerpt)
For those clients who are suffering from Complex PTSD, especially those whose condition originates in childhood abuse or neglect,
dissociation is likely to be part of the presenting clinical picture. To the extent that dissociation is occurring, the healing power of EMDR
may be blocked, and more importantly, the use of the standard EMDR protocol may put the client at risk for a non-therapeutic dissociative
abreaction.
In this complete two-day lecture/workshop, Dr. Parnell reviews the basics of EMDR, first focusing on client preparartion and assessment, and then teaches ways in which EMDR can be modified to be used successfully with a range of different clients--From container
Transformative emotional sequence (TES) is proposed as a common principle of therapeutic change underlying a number of therapies: Emotion-focused therapy (EFT), coherence therapy (CT), accelerated experiential-dynamic psychotherapy (AEDP), and eye movement desensitization and reprocessing (EMDR). TES consists of emotional activation of a problematic emotional state followed by the activation of adaptive emotional state(s) within a short window of time. The resulting change is the creation of a permanent connection between previously unintegrated maladaptive emotional memory networks and adaptive emotional networks. Memory reconsolidation provides a plausible explanation for the mechanism underlying the effectiveness of TES. I compare TES to exposure, and argue that it is the intervention of choice for transforming maladaptive emotions, whereas exposure is most appropriate for accessing disowned and avoided experiences. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Many trauma therapies, including EMDR, rely
on the transformation of traumatic imagery to
images of self-empowerment and safety, either
spontaneously or by design. When traumatic
memories resolve by transformation, many of the
same areas of the brain are involved, as in the
original perception: the brain revisits the scene
and has a second chance to "see" it a different
way i.e. to reprocess the memory. This workshop
will begin by examining the neuroscience
supporting this hypothesis. Fortunately, not only
is mental imagery central to trauma therapy,
facility with mental imagery is a set of skills,
which can be learned by clients. Participants will
be introduced to a method of teaching mental
imagery skills as part of no overall resource
development protocol the presenter has used in a single-case design study of Complex PTSD. This
study examines the correlation between the
client's degeee of facility with mental imagery and
subsequent recovery from the symptoms of
Complex PTSD. The method and results of this
study will be presented. Client material will be
used to illustrate these techniques and their
application to EMDR therapy. Participants will
be able to critique this study as well, and in the
process, will learn how to apply the single case
design paradigm to their own practices.
1) In the Transpersonal approach to psychotherapy, the existence is acknowledged and the presence is invoked of a higher
order of Consciousness, the already healthy and perfect organizing principle that Jung called the Self. After using EMDR
to process and integrate the personal history, it is possible to transcend the personal self and its strong beliefs and attitudes,
and to rest in a state of no-mind or Self, which is beyond or before the experience of duality, and is often recognized as
emptiness, peace, contentment, wisdom and love. It is from this state that the therapist can best use EMDR, fully listening
to the Oneness of himself and the client. This listening is often called intuition. In addition to introducing the
Transpersonal approach in general, Sheila Krystal will present psychotherapy as Satsang and describe the use of EMDR to
facilitate movement from self to Self. She will discuss the state of mind most effective for the therapist to enter while using
EMDR and will lead a meditation to help create this no-mind state.
2) Joan Wager will present the basic premises of body-based psychology within a Transpersonal content and its relationship to
EMDR, illustrating through discussion and case presentation how embodied consciousness, wisdom, compassion, concern
for all sentient beings, is the path of body-based transpersonal psychology. She will show how, as we broaden., our concept
of who we are, and as body, emotions and mind become integrated, we experience transformation of our being with a new
sense of Self in relation to others and the universe.
3) Suzanne Slyman will demonstrate, through theoretical discussion and case presentations, how she combines Gestalt, Self-
Acceptance-Training, Transpersonal approaches to psychotherapy, and EMDR She will emphasize several interesting
commonalties in these approaches to psychotherapy, including the following; each relies on the belief that there is, in every
individual, an inner organizing principle that moves towards wholeness, each assumes that we are self-regulating
organisms, each understands and values the power of being witness to the present moment, and each makes room for the
client to discover a heretofore "unimaginable outcome" to his or her work.
The Enneagram is an ancient psychological typology that describes nine personality types and their interrelationships.
Each type is defined by a chief mental and emotional preoccupation to which attention habitually returns. The types
correlate well with the diagnostic categories of current psychological practice, but can open us to the fact that the repeating
preoccupation of heart and mind that we in the West tend to dismiss as merely neurotic can also be used as potential access
points to higher states of consciousness.
5) During their presentation, Sharon Berbower and Suzanne Pregerson will explore their use of the Enneagram and EMDR
especially examining how EMDR can access the core personality strategies and defense mechanisms of each of the nine
types. With the deconstruction of the habitual responses of the personality, the possibility exists for the emergence of 'True
Self. EMDR may be a key to the profound transformation of personality types.
6) Irv Katz will then make a concluding presentation including tying the earlier presentations together and facilitating a
question and answer period between the audience and the panel members.
For the past three decades, clinical experience as well as research has supported the validity of counseling and psychotherapy in the treatment of dually diagnosed (MH/MR) clients. At first behavioral therapies and later various forms of process-oriented therapy (Gestalt, creative arts, body-centered, play) have been effectively employed with this population, Particularly through the use of process therapies it has become clear that traditional insight and cognitive therapy must be adapted in favor of experience, action, body-centeredness and “right-brain” functioning to be impactful with this population.
EMDR< given its primarily non-verbal mode of functioning, holds great promise as an effective and efficient therapy for trauma treatment with dually diagnosed clients, a population inherently vulnerable to traumatic impact. Anecdotal case presentations with mental retarded clients, corroborated by both client report and by clinical observation. In all cases, therapeutic gains remained intact after treatment.
This presentation will introduce a “phase model” of trauma treatment for this population and will demonstrate were EMDR would be most effective within this model. Attention will also be given to ways in which the basic EMDR protocol would need to be adapted to meet the needs of these clients.
In a project carried out by Trauma Aid-HAP Germany between 2007 and 2009 and sponsored by Terre des Hommes
and the German Official Development Assistance more than 3200 adult and child clients were treated
for mental disorders related to traumatic experiences after the Tsunami in 2004 and the civil war in Aceh/
Indonesia.
An accompanying monitoring and research component provided detailed diagnostic data before and after therapy.
This guided both the therapeutic process, and the training process in psychotraumatology. Also with this
component the long term effectiveness of the interventions was assessed. In turn these findings were related to
various traumatic events, socio-economic conditions and other non-psychological factors that influenced therapy
outcome. Particular attention was paid to a variety of cultural implications entailed in using therapies such as
EMDR in a non-Western, deeply religious and traditional context. Main results, implications for further research
and future intervention strategies will be addressed.
Traumatic stress and its impact on the individual, family and society have been described in the literature for over one hundred years. Controversy exists regarding etiology, determinants and therapeutic intervention for traumatic stress. There is limited research regarding the comparative value of treatment of trauma. In 1989 Eye Movement Desensitization and Reprocessing (EMDR) emerged as a therapeutic intervention for traumatic stress. Studies have shown the benefits of EMDR to be equal to or superior to those of other therapies in the treatment of PTSD. To date, the value of EMDR has been measured primarily by the decrease or amelioration of symptoms. Limited research has focused on the client's experience of EMDR and life changes after EMDR. The specific aim of this study was to: (a) generate a description of the personal experience of the EMDR process, (b) identify whether life changes had occurred after EMDR, and (c) if any life changes had occurred describe the changes and the nature of these changes.Data were collected via unstructured interviews with seven individuals who had experienced some form of trauma, and who had experienced EMDR as a therapeutic intervention for trauma. Van Manen's and Heidegger's interpretive processes were used to guide the method of data analysis. The shared meanings identified were: (a) Set-up for Harm, (b) Being Stuck, (c) Willing to Risk in Spite of..., (d) Release, (e) Movement and (f) Ongoing Movement. The participants all described childhood events of being put in harm's way. As adults participants felt frustrated with their inability to change personal and relational alienation which resulted from the childhood events. However, in spite of incredulity and fears, risking the experience of EMDR was primarily dependent on trust in the therapist. All experienced emotional, cognitive and physical release in response to the EMDR experience which allowed participants to move forward with their lives. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(1-B), Jul 2000, pp. 549.
The mainstream treatments for Post Traumatic Stress
Disorder (PTSD) are Cognitive Behavioral and Prolonged
Exposure Therapies (CBT & PE). These closely studied evidence based
treatments also show high relapse, dropout, and failure
rates of up to half of those treated (Bryant, R., et al., 2008, p.
555). While not as well researched and harder to measure in
terms of the gold standard in Evidence Based Practice of
Psychology (EBPP), studies of “alternative” treatments and their
methods, yield different and interesting evidence.
Using the standards espoused by EBPP alongside
alternative movements, this study examined modalities used in
veterans’ treatment. A guiding question was “What can the field
of trauma studies learn from a systematic and comparative
review of the research and treatment of combat veterans
suffering the sequelae of trauma?” Included in this integrative literature review—which
generates a critique and theoretical synthesis of a body of
literature (Torraco, R., 2005, p. 356)—were peer-reviewed
studies from 2006-2010. The participating studies consisted
largely of Veterans Administration (VA)-funded, CBT/PE
treatments, with an average of over 32 patients per participating
study, of approximately 13 weeks duration, and where 20% of
patients avoided treatment, 25% dropped out, and 30% failed
treatment altogether. Concept matrix analysis of data included
distillation of essential statements further reflecting poor
tolerability, dropout, failure, and an inability to maintain
symptom reductions (75% of studies). Authors tended to
overstate positive effects while omitting adequate examination of
study design and construct validity, leading to dearth bias,
defined as scarcity of evidence hiding behind citations.
From this integrative review of the literature a
reconceptualization and agenda for future research emerged.
The reconceptualization stems from the usefulness of hybridized
efficacy and effectiveness research, self-reflection and
bracketing, and more accounting for dearth bias. The future
agenda recommends practitioners use concept matrices as
iv
research and practice tools, conduct more common factors
research, and develop more clinical practice-based evidence.
Especially as related to knowledge evaluation, increased
accountability, and system-wide change, these recommendations
can assist the spread of more diverse and useful EBPP, to help
relieve some of the pain of the traumatized combat veteran.
Trauma en posttraumatische stress klachten komen ook bij kinderen en jongeren (hierna kinderen) frequent voor. Trauma gerelateerde symptomen bij deze leeftijdsgroepen kunnen leiden tot verminderde schoolprestaties, problemen in het sociale functioneren en een verstoring van (hersen) ontwikkeling. In de afgelopen decennia zijn er talloze onderzoeken uitgevoerd naar de behandeling van trauma klachten bij kinderen. Trauma gerichte cognitieve gedragstherapie (TF-CBT) en EMDR zijn het meest onderzocht. In het merendeel van de kinderen dat wordt behandeld met één van de therapieën verminderen de traumaklachten aanzienlijk of verdwijnen de klachten in het geheel, echter bij een deel van de kinderen persisteren klachten ook na behandeling. Studies waarin TF-CBT en EMDR direct met elkaar worden vergeleken zijn zeer schaars. Dit terwijl de resultaten van dergelijke vergelijkende studies op de lange termijn een belangrijke bijdrage kunnen leveren aan het vooraf bepalen welke behandeling bij welk kind de meeste kans van slagen heeft.
In de afgelopen twee jaar zijn kinderen tussen de 8 en 18 jaar, die met een (partiële) posttraumatische stressstoornis werden gediagnosticeerd bij het trauma centrum van de Bascule, gevraagd om deel te nemen aan een vergelijkende behandelstudie (INTACT studie). Onderzoeksdeelnemers werden at random toegewezen aan ofwel 8 geprotocolleerde TF-CBT sessies ofwel 8 geprotocolleerde EMDR sessies. In totaal werden 48 kinderen gerandomiseerd. Uitgebreide traumadiagnostiek vond plaats voor behandeling, 1 week na behandeling, 6 maanden na behandeling en 1 jaar na behandeling.
In de huidige voordracht zullen de behandelresultaten worden gepresenteerd. De presentatie zal zich toespitsen op behandeleffecten op postraumatische stress symptomen gemeten door middel van de CAPS-CA. Er zal verder worden stilgestaan bij het potentiële belang van de onderzoeksresultaten voor de klinische praktijk en vooruitgekeken worden op toekomstig (neurobiologisch) vervolgonderzoek.
Trauma and posttraumatic stress symptoms also occur in children and adolescents (hereafter children) frequently. Trauma-related symptoms in these populations may lead to decreased school performance, problems in social functioning and disruption (brain) development. In recent decades there have been numerous studies on the treatment of trauma symptoms in children. Trauma-focused cognitive behavioral therapy (TF-CBT) and EMDR are the most studied. In the majority of children being treated with any of the therapies significantly reduce trauma symptoms or the symptoms disappear altogether, however, some of the children symptoms persist even after treatment. Studies in which TF-CBT and EMDR directly be compared are very scarce. This while the results of such comparative studies on the long term a significant contribution to the pre-treatment to determine which child the best chance of success.
During the past two years, children between 8 and 18 years, with a (partial) post-traumatic stress disorder were diagnosed in the trauma center of the Bascule, asked to participate in a comparative treatment study (INTACT study). Research participants were randomly assigned to either 8 protocolled TF-CBT sessions or 8 protocolled EMDR sessions. A total of 48 children were randomized. Extensive trauma diagnosis occurred before treatment, 1 week after treatment, 6 months after treatment and 1 year after treatment.
In the current proposal, the treatment results are presented. The presentation will focus on treatment effects on post-traumatic stress symptoms measured by the CAPS-CA. There will also be given to the potential importance of the findings for clinical practice and are looking ahead to future (neurobiological) follow-up study.
EMDR has been successful in treating trauma from childhood abuse in victims and survivors young and old.
With more than 3 million instances of child abuse reported annually in the United States and probably many more cases going unreported, social workers face an often daunting client list of children and adults who are or have been victims of abuse and neglect. Left untreated, these individuals’ chances of leading lives fraught with substance abuse, incarceration, unwanted pregnancies, and future psychological conditions are multiplied by many degrees.
In the last two decades, however, researchers have made major strides in developing methods for treating victims and survivors of child abuse, including therapies that work as well (and in some cases better) with children as with adults. Among the most successful of these treatments is Eye Movement Desensitization and Reprocessing (EMDR), a therapeutic process that uses eye movements, sounds, and repetitive motions to help clients process and come to terms with traumatic memories more quickly than talk therapy alone. And since many children and some adults are unable to verbalize traumatic experiences, EMDR can often provide the breakthrough that more traditional therapies can’t.
This video presents information on treating complex PTSD. Topics discussed include: Importance of Stabilization Work, Stabilization Techniques, Adjunctive Therapies in PTSD Treatment, EMDR as Resource Development, Psychodrama, Group Therapy, Body-Oriented Group Work. Also included with this video is a trainer's guide.
Headaches are the most common pain-related complaint and the seventh leading ailment seen in medical practice. Yearly, over 35% of the population is affected by tension-type headaches. Migraine headaches are a common condition with one-year prevalence rates around 15%. Prevalence rates generally peak in the third and fourth decades but for many migraines become a chronic condition requiring a lifetime of treatment.
Migraine sufferers are frequently disabled during their acute attacks. A 2001 study found that 90% of migraineurs reported functional impairment. 53% required bed rest and nearly 30% missed 1 day of work or school within a 3-month period. Migraine in the USA results in 112 million bedridden days per year. The cost of the migraine to the total American work force is estimated at $13 billion per year in missed work days and lost productivity. Direct medical costs (i.e., MD office visits, prescription medication claims, and hospitalizations) for migraine care average $1 billion annually. Clouse & Osterhaus (1994) found that migraineurs generate twice the medical claims and two times the pharmacy claims in HMO’s when compared to patients without migraines.
Considering the sheet number of individuals afflicted with migraine and tension headaches, the societal impact with increased medical costs, lost work days, and reduced productivity represent a major public health concern.
The pharmacologic therapies have long been the most common and widely used method of treating headaches. Unfortunately, pharmacologic treatments are ineffective or inadequate for a sizeable number of patients. One third of patients participating in clinical trials with oral triptans fail to respond. Moreover, fewer than half become pain-free, which is the primary efficacy measure recommended by the International Headache Society. Reasons for considering an EMDR treatment for migraine and tension headaches are patient preferences for non-pharmacologic interventions, pregnancy, planned pregnancy or nursing, deficient stress coping skills, medication rebound, patient overuse of medications, medical contraindications, and poor medication tolerance.
In view of the state of the art of current headache treatment an EMDR approach that can eliminate severe headache pain in less time than an oral medication (20 to 30 min) and within 5 to 10 sessions may reduce frequency, duration and intensity of future headaches could result in a decrease in medication utilization, physician visits and overall medical costs, with an improvement in patient satisfaction. This would be a welcome addition to current headache treatments.
This workshop will employ lecture, demonstration and actual practice of an integrated EMDR approach. The purpose of this teaching strategy is to prepare you for clinical practice. Objectives include understanding headache etiology, headache trigger identification, threshold theory, training in the EMDR protocol used in Dr. Marcus’s migraine research, discussion of protocol utilization in clinical practice, informed consent, transference issues, and discussion of the role of provider when deploying this approach. This workshop is for advanced EMDR practitioners but previous experience in headache treatment is not required.
Overview of Headache Problem.
1. 90% of people worldwide have experienced a headache.
2. 35% of public have Tension Headaches.
3. 15% of public experience Migraine.
4. Considering the sheer number of individuals afflicted with
migraine and tension headaches, the societal impact with increased
medical costs, lost workdays and reduced productivity
represent a major public health concern.
B. Pharmacologic therapies have long been the most common
and widely used method for treating headaches. Unfortunately.
pharmacologic treatments are ineffective or inadequate for a
sizable number of patients. One third of patients participating
in clinical trials with oral triptans fail to respond. Moreover,
fewer than half become pain-free. Reasons for considering
an EMDR treatment for migraine and tension headaches
are patient preferences for non-pharmacological interventions. Overview of Headache Problem.
1. 90% of people worldwide have experienced a headache.
2. 35% of public have Tension Headaches.
3. 15% of public experience Migraine.
4. Considering the sheer number of individuals afflicted with
migraine and tension headaches, the societal impact with increased
medical costs, lost workdays and reduced productivity
represent a major public health concern.
B. Pharmacologic therapies have long been the most common
and widely used method for treating headaches. Unfortunately.
pharmacologic treatments are ineffective or inadequate for a
sizable number of patients. One third of patients participating
in clinical trials with oral triptans fail to respond. Moreover,
fewer than half become pain-free. Reasons for considering
an EMDR treatment for migraine and tension headaches
are patient preferences for non-pharmacological interventions.
While research is needed to prove what look to be dramatic effects, the attention of medical and psychological science is being captured by approaches which work with the "body,"such as Eye Movement Desensitization and Reprocessing (EMDR), Thought Field Therapy, and Emotional Freedom Techniques™. Focusing has always been a "body-based" therapy and has always, in the experience of we who practice focusing-oriented therapy, produced results much more dramatic than "just talking" therapy. What is the relationship between focusing, EMDR, TFT, and EFT? How are they similar/different? How can knowledge of focusing therapy integrate with and enhance the application of these new "power" therapies? Without claiming to be an expert in the new techniques, Dr. McGuire will demonstrate Focusing Therapy, EMDR, and EFT with audience volunteers and lead a discussion on inter-relationships. Other focusing-oriented therapists who are specialized in one of the power therapies would be welcome to participate. If others have submitted similar proposals, we could combine into a three-hour panel with demonstrations.
Best evidence of efficacy was reported for EMDR, exposure, and stress inoculation.
Excerpt: Practice guidelines for the assessment and treatment of children and adolescents
with posttraumatic stress disorders (PTSD) were first developed by an expert
panel convened more than a decade ago by Cohen and the American Academy
of Child and Adolescent Psychiatry Work Group on Quality Issues (1998). Since
the release of that seminal set of practice guidelines, substantial additional validation
has been provided in scientific studies of the most robustly evidence-based
treatment model, trauma-focused cognitive behavior therapy (TF-CBT; Cohen
et al., 2006, 2008). Other approaches to the treatment of children and adolescents
with PTSD have been sufficiently clinically or scientifically tested to be
included as actually or potentially evidence-based (Saxe et al., 2007b; Vickerman
and Margolin, 2007) in the recent second edition of the International Society
for Traumatic Stress Studies (ISTSS) Practice Guidelines, Effective Treatments
for PTSD (Foa et al., 2008). These include eye movement desensitization and
reprocessing (EMDR; Spates et al., 2008), school-based cognitive behavior therapies
(Jaycox et al., 2008), psychodynamic therapies (Lieberman et al., 2008),
creative arts therapies (Goodman et al., 2008) and psychopharmacotherapy (treatment
with therapeutic medications; Donnelly, 2008). Family systems therapies
were included in the ISTSS Practice Guidelines only for adults, but promising
approaches for family therapy with children with PTSD have been developed (Ford
and Saltzman, 2009).
Chapter Outline
• Evidence-Based and Empirically-Informed Psychotherapy Models for Children with PTSD
• Trauma focused-cognitive behavior therapy (TF-CBT)
• Eye Movement Desensitization and Reprocessing (EMDR; Spates et al., 2008)
• Cognitive behavior therapy in schools (Jaycox et al., 2008)
• Psychodynamic therapies (Lieberman et al., 2008)
• Creative arts therapies (Goodman et al., 2008)
• Family systems therapies (Ford and Saltzman, 2009)
• Affective and interpersonal regulation therapies (Ford and Cloitre, 2009)
• Psychopharmacotherapy (Connor and Fraleigh, 2008; Donnelly, 2008)
• Integrative psychotherapy and pharmacotherapy models
• Real World Challenges in Treating Children with PTSD
• Conclusion
Mental disorders, including posttraumatic stress disorder (PTSD), constitute an important health care need of veterans, especially those recently separated from service. Treatment of Posttraumatic Stress Disorder: An Assessment of the Evidence takes a systematic look the efficacy of pharmacologic and psychological treatment modalities for PTSD on behalf of the Department of Veterans Affairs. By reviewing existing studies in order to draw conclusions about the strength of evidence on several types of treatment, the Committee on the Treatment of Posttraumatic Stress Disorder found that many of these studies were faulty in design and performance, and that relatively few of these studies have been conducted in populations of veterans, despite suggestions that civilian and veteran populations respond differently to various types of treatment. The committee also notes that the evidence is scarce on the acceptability, efficacy, or generalizability of treatment in ethnic and cultural minorities, as few studies stratified results by ethnic background.
Despite challenges in the consistency, quality, and depth of research, the committee found the evidence sufficient to conclude the efficacy of exposure therapies in treating PTSD. The committee found the evidence inadequate to determine efficacy of different types of pharmacotherapies, of three different psychotherapy modalities, and of psychotherapy delivered in group formats. The committee also made eight critical recommendations, some in response to the VA's questions related to recovery and the length and timing of PTSD treatment, and others addressing research methodology, gaps in evidence and funding issues.
After the death of a student during an ocean scuba training dive, the student's diving instructor was suffering from Acute Stress Disorder, a post-traumatic stress reaction. The treatment of the instructor's distress using a combination of two recognized trauma therapies: Eye movement desensitization and reprocessing (EMDR) and cognitive-behaviour therapy (CBT) is described. Improvement was noted after four treatment sessions. The instructor reported further improvement at a two-month follow-up and the positive effects were maintained nineteen months later.
This chapter focuses on the effective treatments for PTSD which are used with young people, particularly young refugees. Comprehensive accounts of treatments and treatment efficacy for PTSD in young people have been provided elsewhere. The aims of this chapter are therefore twofold: first to describe the more established treatments for young people with PTSD, and second to look at all innovative treatment approaches that have been developed for young refugees. The chapter has an evidence-based perspective, and so provides data regarding the efficacy of the treatments described.In order to achieve these aims, it was felt necessary to describe the background to evidence-based practice. This will be followed by a summary of children's and adolescents' reactions to traumatic events, and salient developmental factors. The description of treatments begins then with the therapies for which there is currently most evidence, e.g. cognitive behavioural and related treatments, including group CBT and exposure therapy. Two other individual treatments -- EMDR and psychopharmacology -- will also be described in this chapter. There is then consideration of some innovative therapies that have been used for young refugees with PTSD, such as testimony therapy and narrative exposure therapy. Non-directive therapies such as art therapy are highlighted and discussed alongside the role of the family and its potential for involvement in treatment and any proposed management plan. Finally, attention is given to some contextual factors that will influence choice of treatments. [Text, p. 40][Pilots]
Despite a large number of well-controlled studies there continues to be considerable skepticism about the specificity of EMDR's usefulness at a treatment of PTSD. It therefore was gratifying that the National institutes of Mental Health in the USA funded the first study to compare a proven psychological treatment (EMDR) with a proven pharmacological agent, Prozac, and the first to use a pill placebo group. Both Prozac and pill placebo did very well in this study - once again demonstrating the power of the placebo response in PTSD. EMDR did significantly better than the placebo after 8 weeks of treatment. After the end of treatment the EMDR group continued to improve, to the point that six months later 60% of the EMDR was entirely asymptomatic, compared with none in the Prozac group. However, the group with adult onset trauma did markedly better than the childhood onset group. The data on how EMDR differentially affected memory of the trauma give another glimpse into possible modes of action of this treatment. This Plenary will discuss issues of research, treatment outcome, the therapeutic relationship, the Impact of trauma at different levels of development, the nature of traumatic memory, and the emerging understanding of how EMDR may effect its therapeutic action.
Se aborda el caso de una paciente que sufre un TID (como consecuencia de una infancia traumática). Se presentan las principales características del caso y de los cambios que se fueron produciendo en las sesiones del tratamiento (EMDR e ICV básicamente). Se comparan los resultados con las referencias más relevantes y recientes de los trastornos disociativos y por estrés postraumático. Se discute acerca de que el TID es un diagnóstico mucho más frecuente de lo que se pensaba, instrumentos de valoración, y terapias específicas que están ofreciendo algunos resultados. Se extraen algunas conclusiones acerca de las particularidades del abordaje de este tipo de casos.
The paper addresses the clinical case of a patient suffering from DID (following a traumatic childhood). It also examines the main features of the case and the changes produced in the patient during the course of the sessions of the treatment (basically, EMDR and ICV). We correlate our results with the most recent and relevant references on dissociative and posttraumatic stress disorders. We discuss about the possibility that DID is a much more frequent diagnosis than it was believed to be; instruments of evaluation, and that new specific therapies are offering some results. Some conclusions are extracted about the peculiarities of the handling of this type of cases.
A literature review was conducted to examine whether EMDR should be considered an empirically-supported treatment for PTSD. Relying largely but not exclusively on electronic data bases such as Medline and PsycInfo, journal articles published through April 2003 were identified which reported a randomized experimental evaluation of the effectiveness of EMDR in treating PTSD. EMDR appears to be an empirically supported treatment for adults with single-trauma civilian PTSD. However, the evidence supporting the effectiveness of EMDR is much less compelling when we focus on children, combat PTSD, multiple-trauma PTSD, and whether EMDR is more effective than exposure therapies. Proponents of EMDR hotly debate proponents of exposure therapy regarding methodological issues, with each side in the debate frequently employing a double standard. Clinicians are advised to use either EMDR, exposure therapy, or stress-inoculation therapy when treating civilian adults with single-trauma PTSD. They may also want to employ EMDR when treating children with PTSD or clients with multiple-trauma or chronic PTSD. But if they do, they should do so in light of the inadequate evidence base, be guided by future evaluations of EMDR with these populations, and recognize that many more sessions of EMDR, with less robust effects, may be required than what they might currently expect. [Author Abstract]
Do you or a loved one have PTSD? There is no need to suffer. Treatment works. If you have PTSD - posttraumatic stress disorder - you don't have to suffer. There are good treatments that can help. This booklet describes therapies and medications that are proven to help people with PTSD. You'll hear from experts about what treatment is like, and how it can help you. Don't let PTSD get in the way of your enjoyment of life, hurt your relationships, or cause problems for you at work or school. PTSD treatment works.
In the first direct comparison study ever done, researchers who are also qualified therapists will evaluate the effectiveness of two traditional therapies (exposure therapy and relaxation training) and eye movement desensitization and reprocessing (EMDR).
EMDR, a controversial treatment created in the mid-1980s, combines conscious rapid eye movement and thoughts of the trauma. Although shown to be effective, it has not been directly compared to traditional treatments.
In 1995 the Division 12 Task Force on Promotion and
Dissemination of Psychological Procedures published its
report in this journal. A major focus of that report was
increasing training in psychological interventions that have
been supported in empirical research by making clinical
psychologists and students more aware of these treatments
and facilitating training opportunities. To provide the basis
for a survey on the degree to which clinical programs and
internships were currently providing training in empirically
supported therapies, the task force constructed a list of
examples of treatments meeting criteria for efficacy as
established by the task force.
Based on feedback that members of the profession found
this list of interventions to be very useful in training and
clinical work, while also recognizing its very incomplete
basis, the Division 12 board charged the succeeding task
force (Task Force on Psychological Interventions), appointed
in succession by Presidents Martin Seligman and Gerald
Koocher, with adding to this preliminary list on an annual
basis. This is one purpose of the current report. In
addition, we raise several issues about the use and
limitations of empirically supported treatments as currently
identified. In keeping with the practice established by the
first task force, the members of the group who constructed
the present report are diverse in theoretical orientation and
work in a variety of settings -- psychology departments,
medical schools, and private practice.
According to a taskforce of the Clinical Division of the American Psychological Association, the only methods empirically supported for the treatment of any post-traumatic stress disorder population were EMDR, exposure therapy, and stress inoculation therapy.
Background: Several studies have found that a high proportion of the population in western countries use complementary and alternative medicine (CAM). However, little is known about whether CAM is offered in hospitals. The aim of this study was to describe to what extent CAM is offered in Norwegian and Danish hospitals and investigate possible changes in Norway since 2001.
Methods: A one-page questionnaire was sent to all included hospitals in both countries. The questionnaire was sent to the person responsible for the clinical activity, typically the medical director. 99 hospitals in the authority (85%) in Norway and 126 in Denmark (97%) responded. Given contact persons were interviewed.
Results: CAM is presently offered in about 50% of Norwegian hospitals and one-third of Danish hospitals. In Norway CAM was offered in 50 hospitals, 40 of which involved acupuncture. 19 hospitals gave other alternative therapies like biofeedback, hypnosis, cupping, ear-acupuncture, herbal medicine, art therapy, homeopathy, reflexology, thought field therapy, gestalt therapy, aromatherapy, tai chi, acupressure, yoga, pilates and other. 9 hospitals offered more than one therapy form. In Denmark 38 hospitals offered acupuncture and one Eye Movement Desensitization and Reprocessing Light Therapy. The most commonly reported reason for offering CAM was scientific evidence in Denmark. In Norway it was the interest of a hospital employee, except for acupuncture where the introduction is more often initiated by the leadership and is more based on scientific evidence of effect. All persons (except one) responsible for the alternative treatment had a medical or allied health professional background and their education/training in CAM treatment varied substantially.
Conclusions: The extent of CAM being offered has increased substantially in Norway during the first decade of the 21st century. This might indicate a shift in attitude regarding CAM within the conventional health care system.
Today, the dreaming mind is understood to improve learning, organize novel solutions to problems from waking consciousness and, thus, creatively support survival. This function, of finding new creative solutions, is also observed in the desensitization phase four of the EMDR protocol and is a key component in Ego State Therapy (EST). Dreams appear to select targets from the client’s history, that are causing problems in current time. In addition, dreams may respond to interventions made during a therapeutic session, as if the dreaming mind were in a dialogue with the client and the therapist. This type of dream leads to a more creative dialogue in subsequent therapy. Repetitive nightmares are the dreaming signature of PTSD, and these too respond well to EMDR and rehearsed changes in imagery, including that of ego states and can result in improved sleep quality. Dreams can offer a resource figure in blocked therapy; demonstrate the validity of ego states and of ego state relationships. This presentation focuses on the use of dreams, in combination with EMDR, as well as EST, for clients suffering from post traumatic syndromes. A review of the literature will be given but primarily case studies and video material from actual sessions will shared.
Learning objectives:
1. Understand the neuroscience that underlies the present state ofknowledge of the dreaming mind/brain
2. Develop skill in using the language of the dreaming mind to improve interweaves and interventions in the course of therapy
3. Develop skills in carrying nightmares forward using EMDR and thus improving sleep quality
4. Formulate a script that explains to clients why dreams and the imagination are useful in therapy.
5. Participate in a practicum on the use of dreams.
Today EMDR is widely recognized as one of the most effective therapies for simple trauma. But if people
suffer from complex trauma, with dissociative disorder, EMDR, as it has been invented originally,
becomes problematic. The therapist has then to develop his/her art in order to keep the therapeutic
process ongoing. Numerous authors conceptualized many different ways of adapting the EMDR standard
protocol for those apparently difficult clients. Here also, there is no consensus between therapists who
are extremely cautious and take a lot of time before coming to the trauma confronting phase, and those
who go earlier to desensitization and do further adaptations. Which are the risks ? How to adapt therapy
to the sometimes chaotic life style of the person ? In which ways EMDR could be adapted to overcome
this dilemma and be more efficient, even with those clients known as being difficult ?
Background: The use of psychological therapies in dermatology is being increasingly recognized because stress and negative emotions are major factors in a wide range of dermatologic disorders. Eye movement desensitization and reprocessing (EMDR) is a relatively new psychological intervention which was first described to be effective in post-traumatic stress disorder, a condition associated with extremely stressful life situations. Objective: We evaluated the efficacy of EMDR in primary dermatologic disorders where psychological stress plays an important part in the pathogenesis of the disorder, and in clinical situations where the dermatologic symptom is the feature of a stress-related psychiatric disorder. Methods: Four patients (two patients with atopic dermatitis and psoriasis, respectively, whose symptoms were exacerbated by stress, one patient with acne excoríee associated with body image pathology as a result of childhood emotional abuse, and one patient with generalized urticaria associated with post-traumatic stress disorder) were treated using the standard EMDR protocol with 3–6 sessions for a period ranging from 4 to 12 weeks, and followed up for 6–12 months after the end of EMDR therapy. Results: All 4 patients experienced a marked improvement in their symptoms after 3–6 sessions of EMDR, within a period of ?3 months, and maintained improvement during followup periods of 6–12 months. Conclusion: Our preliminary findings suggest that EMDR may be beneficial in the treatment of a wide range of stress-mediated dermatologic symptoms.
Antécédents: Le stress et les émotions négatives étant les principales causes de certaines dermatoses, la psychothérapie est de plus en plus reconnue en dermatologie. La désensibilisation des mouvements oculaires et retraitement est une intervention psychologique relativement nouvelle, qui, à l'origine, était décrite comme efficace pour le syndrome de stress post-traumatique, une condition associée à un style de vie extrêmement stressant. Objectif: Nous avons évalué l'efficacité de la désensibilisation des mouvements oculaires et retraitement dans les troubles dermiques primaires, où le stress psychologique joue un rôle important dans la pathogenèse du trouble, et dans les situations cliniques où le symptôme cutané est causé par le trouble psychique relié au stress. Méthodes: Quatre patients (2 patients souffrant l'un de dermatite atopique et l'autre de psoriasis, dont les symptômes ont été exacerbés par le stress, une patiente souffrant d'acné excoriée associée à un complexe de l'image du corps découlant d'abus psychologiques durant l'enfance et un patient atteint d'urticaire genéralisée associée au syndrome de stress post-traumatique) ont été traités à la désensibilisation des mouvements oculaires et retraitement, avec 3 à 6 séances durant une période allant de 4 à 12 semaines, et suivis pendant 6 à 12 mois après la fin du traitement. Résultats: Les 4 patients ont été soulagés de leurs symptômes aprés 3 à 6 séances de traitement au cours d'une période ne dépassant pas 3 mois et leur amélioration s'est maintenue durant les 6 à 12 mois de suivi. Conclusion: Les résultats préliminaires suggèrent que la désensibilisation des mouvements oculaires et retraitement pourrait être bénéfique dans le traitement d'un éventail de symptômes cutanés reliés au stress.
Sexual abuse has created multiple short and long term problems for many individuals in society today. It often occurs in childhood and the scars that are left can be permanent. Statistically, it occurs with far greater frequency than should be tolerated. However, it is frequently unreported and can be difficult to detect in a child that experiences this form of trauma. There is a significant need to help these children that have been victims of this crime. Extrafamilial sexual abuse in particular appears to occur with greater frequency than intrafamilial sexual abuse. Studies show that it has lasting effects on children. Two of the most common and consistent symptoms seen with these children are PTSD and sexualized behavior. Other symptoms that have been found with these children include: depression, anxiety, fear, and difficulty managing anger.Although there have been many program designs implemented for child sexual abuse victims, most do not properly assess the level of improvement through objective measures that show that the treatment was responsible for the observed change and not some other variable. Many different forms of treatment have been used to treat sexual abuse victims, such as different forms of traditional individual therapies, family therapy, group therapy, drama therapy, and art therapy. One innovative psychotherapeutic technique that has been used recently with these types of clients and those who have experienced other types of traumatic events is Eye Movement Desensitization and Reprocessing (EMDR). EMDR is a relatively new form of treatment developed in 1987 by Francine Shapiro. There have been controlled research studies that have shown the efficacy of this technique. Although there are some researchers who are skeptical of the use of this technique and challenge its effectiveness, studies have nonetheless shown that it is an effective form of brief therapy with long-term effects. This proposed treatment program would be developed for children, aged 6-12 years, who have been victims of extrafamilial sexual abuse. It is designed to be short term, lasting 4 months, and EMDR will be utilized as the primary psychotherapeutic tool to assist the children in reprocessing their traumatic experience. Mental health services that would be provided include individual therapy consisting primarily of EMDR, group therapy for the child and the parents or caretakers provided separately, and family therapy that would include the parents, child, and siblings if deemed necessary. The children admitted to the program would meet criteria for a diagnosis of PTSD. They would also be given psychological measures in order to establish a baseline in terms of current symptoms such as depression and anxiety. The same measures would be administered again at the completion of treatment allowing for the measurement of any improvements. It is expected that children who complete the program would show a significant reduction or elimination of PTSD symptoms. This can be done more effectively by treating the family as a unit in dealing with such a traumatic experience. It is believed that this form of treatment would provide a valuable service to the community and further our understanding regarding the efficacy of EMDR. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(6-B), Jan 2002, pp. 3000.
Gene Gendlin, noted Philosopher and Psychologist, did extensive research regarding exactly when deep "change" occurred in clients during therapeutic sessions. Based on the assumption of an integral mind-body connection, he developed specific steps to help the client "listen to and dialogue with" the body, including both the boldily-held trauma, as well as the body without trauma (state of fullest potential). Participants of this workshop will: 1)learn a cognitive understanding of the focusing approach; 2) experience, through exercises, the power of focusing; and 3) learn a practical format of an integration of focusing and EMDR for work with clients.
The treatment of dissociative disorders, PTSD, eating disorders, and phobias is frequently difficult and traumatic for the client. One author (LG) has been treating clients with a combination of hypnosis, eye movement desensitization and reprocessing (EMDR), thought field therapy, emotional freedom technique, visual kinesthetic dissociation, and other energy field therapies for the purpose of shortening the length of therapy and making it less painful. Clients occasionally feel violated when such energy therapies are used on their own. For those clients it is upsetting to have their symptoms taken away without having any sense of the process involved as it takes place. When this reaction occurs, EMDR and hypnosis can be extremely useful when used in combination with thought field therapy and other energy therapies.To decide which modalities to use for a particular client, a clinician can make use of muscle testing. My experience has been that, except for the simplest cases, none of the therapies alone (i.e., hypnosis, psychotherapy, EMDR, or variations of energy therapies) may be sufficient. The combination, however, is a powerful treatment modality that can accomplish excellent results in a very short time frame. [Text, p. 219]
This presentation offers a systematic approach for the treatment of patients
with complex traumatization. The first step involves assessing the severity of
the illness, using Babette Rothchild's trauma classification. A variety of
techniques will then be introduced, all of which have recently been
successfully combined with bipolar EMDR stimulation, and which serve to
increase stability and resources ["a safe place", Forgash's body sensation
resource, working with the inner child, Popkin's "position of power",
Hofmann's absorption routine, the CIPOS-technique developed by Knipe and
Forgash, etc.]. The lecture closes with a survey of methods useful for
fractioning trauma in EMDR.
This training will enable participants to identify trauma responses in sexual minority clients (Gay, Lesbian, Bisexual, Transgender) and the developmental origins of these responses. The trauma addressed is a result of a long-term pattern of childhood social ridicule. Participants will learn how to screen for certain psychological disorders that are more common in this population and situations whereby supplemental therapies are needed. The effectiveness of EMDR in reprocessing the trauma will be demonstrated through a presentation of 6 cases. Participants will become familiar with the importance of gay affirmative psychotherapy and referral sources.
This presentation describes an EMDR protocol for working with an adolescent in such a way as to enhance their self-empowerment
capabilities. As a preliminary, a medical and developmental history of the adolescent is taken from the parents, as well as obtaining
their view of present problems. Using this infomation and a subsequent history obtained from the adolescent provides the basis for
what may prove to be targets later.
I will talk about how, in early discussions with adolescents, when my aim is to gain rapport, I often go back over some of the
information their parents provided so as to obtain the teenager's views and feelings, idenfying the highs and lows in their view of
their life so far. I look for where they have felt successful and powerful, and where they have suffered trauma, loss and sadness with
reference to themselves as individuals and also in their family relationships. I seek to refine targets from both parental and
adolescent information. I also seek to understand what the teen would like in their life and begin to introduce the idea that they can
give direction to their life.
I believe it is important to provide the adolescent with new or clarified information about him or her. I use psychological tests to
assist in this process. I will cover briefly ways that I use the Behavior Assessment System for Children (BASC), as well as other
assessment instruments such as the Strong Interest Inventory, Rorschach and Millon Adolescent Personality Inventory (MAPI), to
give both the adolescent and me important information. Because the information stems from a comparison with the general
population, I can present it more objectively than if it were solely my assessment of them. The adolescent decides what fits them
and what doesn't. This process allows us jointly to identify problems and to look for ways to handle them. Emphasis is always
placed on the adolescent having the power - the information about themselves is power. What they choose to do with it breeds
power. They are in control. This process usually leads to a further explanation of EMDR and how they might choose to work with
me using EMDR.
In summary, I will cover :
Helping the adolescent look at choices as giving freedom Presenting EMDR as a way of having more choices; Looking at behavior problems as habits that can be changed if desired. Encouraging the use of imagination, imaging, finding a
safe place and helping make changes; Taking the position of being their coach for their effort to develop the kind of life they want.
Looking at what they think stands in their way and what they can do to change it.
Identifying negative cognition from these blocks.
Using EMDR in the context of what they want.
Building Self Esteem through goal attainment-EMDR as a tool for performance.
Coaching for positive change and clear thinking.
Teaching self direction and organization reinforcing with EMDR.
Teaching self coaching.
Participants will witness a juvenile sex offender, through the use of EMDR, take full responsibility for his aberrant behaviors, re-think his need for power, describe his fantasy and planning, and by the use of EMDR, meet and process difference parts of himself leading to a choice to life a life in more productive ways.
Participants will witness through audio/video presentation how EMDR
facilitates the therapeutic treatment of Juvenile Sex Offenders and Sexually
Reactive Children by accessing their innate information processing system.
Participants will view a Juvenile Sex Offender (JSO), discover and process
different parts of himself leading to resolution of his issues and another
JSO resolve past and present issues of power and trust. Participants will
also learn to identify the criteria that names Sexually Reactive Children
and by demonstration be exposed to various forms of bilateral stimulation
in order to expand their repertoire of techniques. Finally, participants will
witness a Sexually Reactive Child process how to protect himself, find
solutions to his problems and discover his power.
Post-traumatic stress disorder (PTSD) is a condition that can be produced by traumatic experiences. A new study has shown that a brain scan called magneto encephalography (MEG) can identify people who have PTSD with an accuracy of 95%. Sensors measure tiny magnetic fields generated by currents flowing in and around neurons. In addition they have recently stated in the Journal of Neural Engineering that they can now watch the brain as it experiences PTSD. Imaging shows that the brain becomes hyperactive in the right temporal lobe, the location responsible for memory. Besides diagnosing PTSD, the researchers also are able to judge the severity of how much patients are suffering. Eye-movement desensitization and reprocessing (EMDR) was designed in 1987 as a treatment for PTSD. EMDR is a structured eight-phase therapy that allows for adequate reprocessing of dysfunctionally stored memory. In the processing phases the client attends to the disturbing memory in brief intervals of 15-30 seconds while also experiencing bilateral stimulation (eye movements, tones or tapping). The eight phases integrate effective elements of psychodynamic, imaginal exposure, cognitive therapy, interpersonal, experiential, physiological and somatic therapies. Now that we can locate specific biomarkers for PTSD using MEG, my hypothesis is that we will find a statistically significant difference between the control group and the group that has EMDR treatment, and that EMDR will be shown to be effective in resolving PTSD as measured by pre and post therapy MEG scans. Also using the MEG, we may be able to observe those brain actions responsible for the therapeutic efficacy of EMDR and isolate which components of EMDR trigger those brain actions. The significance of finding the answer to these questions could potentially help millions of people overcome years of suffering from psychological pain due to the after effects of severe trauma and restore them to productive lives. It could establish the status of EMDR, assisting in the decision of whether it should be listed among the evidence-based, best-practice therapy modalities and covered by insurance. Also knowing the underlying pathophysiology could contribute to the evolution, revision and refinement of diagnostic constructs for PTSD.
There is a strong link between Borderline Personality Disorder and Post
Traumatic Stress Disorder. DBT is the most effective method of treating
Borderline Personality Disorder. EMDR and adjunct therapies may be
effectively incorporated into these groups for more substantial results that
remain over time. As new skills are mastered. EMDR is the most effective
method of strengthening these. Increasing mindfulness, improving
interpersonal relationships and improving emotional regulation skills, are of
tremendous benefit to PTSD patients. In this workshop, participants will
learn the format to do this and receive suggestions for the ways to use EMDR
and adjunct therapies to increase results over time.
Marsha Linehan's dialectical behavior therapy (DBT) is a wonderfully effective treatment for people with borderline personality. It is a non-blaming, compassionate, therapeutic approach, based solidly on research data about what borderline personality disorder (BPD) is and how to treat it effectively. I have used the techniques of DBT for the past 9 years in trauma and abuse recovery groups for women. DBT provides a solid foundation for the group. EMDR, adjunct therapies, and other trauma related resources complete DBT by including the treatment of trauma within the group setting. The groups are successful in that the intensity of symptoms decreases and the group members report feeling increased competency regulating their emotions. [Adapted from Text, p. 263] [Pilots]
Traditional therapy models often reflect Western values and norms and may be inappropriate for use with many non-Western
cultures. Worldwide, therapists are beginning to examine how they can make these models culturally sensitive to minorities,
immigrants, and non-Western clients; however, it is time to go beyond “being aware,” understanding and appreciating
differences, and adapting individual interventions to actively responding to the needs of their clients by using models that
have theoretical underpinnings, underlying assumptions, and basic tenets that are consistent with those of non-Western
clients (Carlson, 1999) and promote social justice for those clients, their families, and the surrounding communities. This
paper suggests the use of responsive evaluation to explore Eye Movement Desensitization and Reprocessing (EMDR) as
a culturally responsive therapy. Responsive evaluation can be used to consider each unique client and therapist context,
culture, power, needs, and beliefs, and family and individual needs in determining a culturally responsive model of therapy.
In this presentation, we provide therapists and scholars a model for offering culturally responsive EMDR therapy and
research using responsive evaluation as a framework. An in-depth description of responsive evaluation will be provided, and
explanations and examples of how it is consistent with the goals and theories underlying culturally responsive therapy will
be given. Finally, concrete suggestions of how EMDR clinicians and scholars can apply this methodology will be provided. As
the EMDR continues to be taught and used across Asia, it is crucial that we continue to observe and respond to the needs of
clients throughout Asia.
EMDR was one of four therapies given the highest level of evidence and recommended for treatment of PTSD.
Excerpt. One common theme of much modern pseudoscience is the idea that "power" or "energy" emanates from the human body and can be treated and manipulated. The Chinese concept of chi is based on it (SI, Summer 1988, July/August 1996, September/October 1996). We've seen the idea applied recently to therapy with Eye Movement Desensitization and Reprocessing Therapy (EMDR, see SI, January/February 1996) and Therapeutic Touch, which is taught in many university nursing schools and actually involves waving the hands over a patient without touching her (see SI, Winter 1993 and Spring 1993).
Many therapies and treatments are used to treat PTSD. Cognitive behavioral therapy, or verbal counseling, combined with medication is the most common. But experts are also using eye-movement desensitization and reprocessing, or EMDR, which was developed in 1987. In it, the patient discuss the traumatic event while the therapist conducts the directional eye movement therapy.
(PTSD), Borderline Personality Disorder (BPD) or any number of personality or disorders, a new
type of therapy has emerged as a hopeful alternative in recent years. Eye Movement Desensitization and Reprocessing (EMDR) is an information processing psychotherapy that was
developed to resolve symptoms resulting from disturbing and unresolved life experiences. Containing aspects of many different types of therapy including psychodynamic, cognitive behavioral, interpersonal, experiential, and body-centered therapies, has had a very impressive success rates in recent years using double blind placebo studies.
This workshop will: 1) provide a theroretical assumptive base from which participants may derive a cognitive framework for understanding the interactive/synergistic treatment effects of two transformational therapeutic processes; 2) extend and deepen the participants' understanding of this synergistic transformational process through audiovisual and anecdotal case presentations of EMDR with Visual Metaphor treatment with children and adults; 3) further expand participants' clinical creativity and facility with innovative, safe and meaningful cognitive interweaves and elicitation of targets, effect and cognitions; and 4) introduce a pilot EMDR research protocol and preliminary data of treatment outcome with both children and adults based on the Narrative Constructionist theoretical and clinical moel presented.
This workshop will: 1)provide a theoretical assumptive base from which participants may derive a cognitive framework for understanding the interactive/synergistic treatment of two transformational therapeutic processes; 2) extend and deepen the particpants' understanding of this synergistic transformational process through audovisual and anecdotal case presentations of EMDR with Visual Metaphor treatment with children and adults; 3) further expand participants' clinical creativity and facility with innovative, safe and meaningful cognitive interweaves and elicitation of targets, affect and cognitions; and 4) introduce a pilot EMDR research protocol and preliminary data of treatment outcome with both children and adults based on the Narrative Constructionist theoretical and clinical model presented.
It's important to remember that there are different types of treatments being used for veterans. There are three evidence-based models of psychotherapy that have been deemed efficacious as a category "A" (top rating) in the treatment of adult trauma. They are Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE). However, each of these forms of therapy has its unique approach in treating trauma. Those differences can affect the outcomes with individuals seeking therapy. If veterans have had a poor experience in treatment they should not be discouraged but rather seek other options. I'll be discussing the therapies and their differences in the future. [Excerpt]
The whiplash syndrome is a complex, poorly understood and controversial cluster of symptoms including spinal pain, cognitive dysfunction, neurologic symptoms and emotional complaints consistent with posttraumatic stress disorder. Perhaps its most perplexing feature is the fact that symptoms frequently are far out of proportion to the severity of the accident itself. The frequency of emotional symptoms has led many physicians to attribute symptoms of whiplash to somatization. The typical syndrome of whiplash includes chronic headaches, spinal and jaw pain, usually classified as myofascial pain. Neurologic symptoms include cognitive dysfunction, positional vertigo, balance disturbance, blurring of vision, photophobia and phonophobia, all of which are attributed to minor traumatic brain injury. Emotional complaints include driving phobias, irritability, hypervigilence, exaggerated startle, flashbacks, depression, nightmares and sleep disturbance. DSM IV compatible or subsyndromal forms of PTSD occur in up to 60% of patients.
I began to question the traumatic basis for whiplash when I discovered that most of my patients with delayed recovery had remarkable past histories of trauma, especially child abuse. I discovered that early and rigorous use of somatically based trauma therapies, especially EMDR and Somatic Experiencing resulted in clearing not only of emotional symptoms, but also neurologic and pain-related complaints in many cases. I have concluded that the neurophysiological basis for traumatization includes not only kindled arousal, explicit and procedural memory circuits, but also automatic patterns of neuromuscular bracing, stored in procedural memory analogous to motor skill memory. Bracing patterns of involved muscles represent protective motor reflexes from the moment of injury. Linked to memory and arousal, this kindled circuit leads to perpetuation of regional myofascial pain. Dissociation plays a major role in perpetuation of this phenomenon, and accounts for many of the unusual neurologic symptoms of whiplash.
This model conforms to current theories of PTSD as a model of kindling, but includes the somatic element that I believe is a universal part of the syndrome of traumatization. The pervasive neurohormonal effects of trauma account for the remarkable amount of somatic complaints in this syndrome, and may be the basis for many poorly understood chronic idiopathic disease processes. Incorporation of the neuromuscular system in the process of traumatization pleads for the study of somatically-based therapies for PTSD.
This article explores points of convergence and divergence between EMDR and Gestalt in the context of one Gestalt therapist's experience in integrating EMDR and its derivatives into her practice. A longer case example illustrates the power of an EMDR-derived approach to facilitate a client's personal integration of traumatic material.
This paper will describe a “Wreathing” protocol which involves the
imbrication of EMDR and hypnosis in the structured treatment of
individuals who struggle with complex childhood onset PTSD
and/or DDNOS and/or DID. In recent years, Shapiro has succesfully
promoted the uses of EMDR in patients who suffer from
PTSD with the caveat that dissociative disordered individuals
ought not undergo such therapeutic methodology. The current
authors have devised a protocol which will be respectful of the
structured phase based therapies typically associated with
Dissociative Disorders and complex childhood onset PTSD. The
“wreathing” protocol will be described as it is systematically joined
into a therapy informed by hypnosis and where the patients use
EMDR to do the abreactive work. This “wreathing” protocol uses
as a foundation for elaboration the BASK model of dissociation
where each BASK dimension becomes the starting point from
which an abreactive event is initiated and eventually integrated into
the main stream of consciousness. Clinical examples will illustrate
each therapeutic approach and demonstrate that not only will the
EMDR used in this manner not destabilize or decompensate the
patient, but more importantly it will better facilitate for the patient
the integration of dissociated material.
As one of the two EMDR clinicians
involved in the "Active Ingredient"
project (Roger Solomon being the
other), I have found myself receiving
a number of questions about the other
therapies investigated and how they
might relate to EMDR. In the EMDR
Level I trainings I have conducted, it
has become clear that some clinicians
have heard a variety of storiesof what
took place at Florida State University
(under the direction of Charles Figley,
Ph.D.), where the project was conducted,
which has led to some unfortunate
misunderstandings.
A special series on Thought Field Therapy in the Journal of Clinical Psychology
provides an opportunity for psychologists to learn about techniques
and theories outside the mainstream of our field. Unfortunately, by
publishing this series of manuscripts without meeting the standards of
peer review, the Journal also provides an avenue for the misuse of its good
reputation and the improper promotion of untested methods. “Echo attributions”
can be made whereby an author attributes the source of his own
words to the professional journal in which the text appears. Historical
examples illustrate that such misuse of scientific journals and institutions
occurs. A formal statement of guidelines is needed to instruct authors on
appropriate versus unethical representations of their publications.


