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

Language: English

Format: Conference

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

Keywords: Juvenile Delinquents  Poster  

Accuracy Verified: Yes


2. Wieland, S., & Baita, S. (2009, November). "Blank" ...Using EMDR with children who dissociate. Presentation at the International Society for the Study of Trauma and Dissociation, Washington, DC.

Language: English

Format: Conference

Abstract: Dissociation is a common response for children who experience abuse, severe neglect, or extreme disorganized attachment. EMDR can help (1) increase a child´s sense of safety and stability, (2) decrease disconnection between aspects of self, and (3) process trauma. While the part of the child existing in the `now´ may be aware of safety, the younger or infant part of the child to whom trauma occurred often is not aware of present safety. This younger part which continues in fear disrupts the child´s functioning. Ideas will be presented for using EMDR to increase knowledge of present safety across the child´s dissociative system as well as recognizing where safety may not exist. Use of EMDR for building secure attachment with child and parent, processing triggers, increasing the child´s connection between dissociative states, and processing both explicit and implicit memories will be described. Dissociative children are often difficult to work with. Ideas will be given for adapting EMDR for use with these highly volatile, dissociative children. The importance of recognizing and acknowledging dissociation when it appears within the child´s EMDR processing will be emphasized. This workshop is appropriate for therapists already trained in EMDR. Numerous case examples will be given.

Keywords: Children  Dissociation  

Accuracy Verified: Yes


3. Trobisch-Lutge, S. (2010, July). "I am a consequential damage of detention" - Protreacted non-determinability in the reconstruction of traumatic experiences in the descendants of victims of political persecution byt the SED dictatorship in the GDR. Symposium (Samin Karim, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The descendants of the political persecution by the SED dictatorship in the GDR are in many ways involved in the history of the persecution of their parents. 20 years after the “Wende” the reconstruction of parental distress is distinguished by a high degree of protracted non - determinability. The descendants own traumatic experiences often join fragmented, unsettling memory segments of the parental generation. Confusing persecution practices of the Stasi have often caused grave personal uncertainties and as a consequence, have spread doubts until today about the reliability of autobiographical memories. Internal decision making and processing while living under the conditions of a dictatorship - which included how to deal with their own children, and the external influences of the persecuted parental generation are, from the viewpoint of the descendants, difficult to distinguish from each other. A successful EMDR treatment is - in case of the emotional distress of the descendants of political traumatised people - connected to a process of resolving perplex memory contents. Perpetrator-victim-collusions, which are often found in affected families, add to a concatenation of cumulative traumatic events. The non - determinability in the reconstruction of traumatic experiences cause the formation of traumatic complexes which negatively influence future events in the life of the descendants. Based on interview details of a qualitative study with descendants of victims of political persecution by the SED dictatorship in which the possibilities of handling the more difficult determination of initial traumatic events are discussed. By means of this the author clarifies the central themes of a disconcerting reconstruction of the victim’s parental and own biography.

Keywords: GRD  Political Persecution  SED Dictatorship  Victims  

Accuracy Verified: Yes


4. Flint, T. A. (2008, November). ועבודת נרטיב בטיפול בטראומה. [Treating trauma with narrative work]. לגוף עיניים - Models for EMDR treatment with Enhanced Focus on the Body, Tel Aviv, Israel.

Language: Hebrew

Format: Conference

Abstract: Tuly Amit Flint will present an integration of EMDR, SE, and Narrative work in the healing of trauma.

Keywords: Narrative Therapy  Somatic Experiencing  

Accuracy Verified: Yes


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

Language: Chinese

Format: Book

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

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

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


6. 平岡 篤武 [Hiraoka Atsutake]. (2006). 子供のための福祉施設で子供とEMDRセッションは、性的逸脱行動を示したこと [EMDR sessions with a child in the welfare facility for children having shown sexual deviant behaviour]. Kodomo no Gyakutai to Negurekuto, 8(1), 29-38.

Language: Japanese

Format: Journal

Abstract:
ここでは子供のための福祉施設のケアの逸脱性行動を示す子とEMDRセッションについて報告されている。 1)半構造化面接をするため、自己観察は、被害者への思いやりの実現に向けて子供の可能性に関しての状況を明らかにするために、さらに犠牲者を間違って、積極的な海峡および/または支配の最終的な存在行うことで配置された。また、常軌を逸した性的行動の背後にある可能性経験に基づいて、以前の子供が性的虐待の被害者自身をしていたかどうかを確認する必要があった。 2)それが唯一の光/非重大な逸脱、人は性的虐待された逸脱子供の可能性に反映して、その存在に基づいて、必要と考えられるでしょう一般的にも。 3)は、事件の記録として性的虐待からフラッシュバックを説明し、EMDRは、性的逸脱行動が消失することが効果を適用した。過去のトラウマ記憶EMDR使用することで子供は開発中の通常のイニシアチブ-豊かな生活に戻ったことで、'安全なメモリに変更されました。 4)被害者にされて消えてしまった被害者を有するとの間のリンクとして、保護と介入手段を検討して児童相談センターや福祉施設からの協調努力のために、将来の必要性がある。 [著者抄録]

Here is reported about EMDR sessions with a child showing deviant sexual behaviour, in the care of the Welfare Facility for Children. 1) Semi-structured interviews were arranged in order to clarify the situation with regards to the child's potential for self-observation, compassion for the victim, realization of having done the victim wrong, further the eventual existence of dominating and/or aggressive straits. Further, based upon the possible sexual experience behind the deviant sexual behavior, there was a need to find out whether the child earlier had himself been a victim for sexual abuse. 2) Generally even if it only would be considered a light/non-serious deviance, one should, based upon its presence, reflect upon the possibility of the deviant child having been sexually abused. 3) As the case records describe flashbacks from sexual abuse, the EMDR was applied with the effect that the sexual deviant behaviour disappeared. By using EMDR the past traumatic memory was changed into a 'safe' memory, with the child having returned to normal initiative-rich life under development. 4) As the link between being victim and having victimized has disappeared, there is a future need for a coordinated effort from the Child Guidance Center and the Welfare Facility to consider the protection and intervention methods. [Author Abstract]

Keywords: Child  Children  Sexual Abuse  

Accuracy Verified: Yes


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

Language: Chinese

Format: Conference

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

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

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

Accuracy Verified: Yes


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

Language: Chinese

Format: Conference

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

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

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

Accuracy Verified: Yes


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

Language: Chinese

Format: Dissertation/Thesis

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

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

Keywords: Cockroach Phobia  Eye Movement  Phobia  Positive Cognition  Psychotherapy  

Accuracy Verified: Yes


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

Language: Chinese

Format: Conference

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

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

Keywords: Cockroach Phobia  Eye Movement  Phobia  Positive Cognition  Psychotherapy  Symposium  

Accuracy Verified: Yes


11. 張素凰、 [Chang Sue-Hwang]. (2008年3月). 眼球運動中的作用機制 EMDR的治療:證據為基礎的研究 [Role of eye movements in the therapeutic mechanisms of EMDR: Evidence-based research]. 論文發表於2008年TACP(台灣臨床心理學協會)年度會議(第三次大會),專題討論會以證據為基礎研究在台灣第1節心理障礙,3月8-9日,政治大學,台北,台灣。 (國科會91 -2413 - H型009 -鹽度-;國科會92 -2413 - H型002 -024-;國科會93 -2413 - H型002 -002-) [Presentation at the 2008 TACP (Taiwan Association of Clinical Psychology) Annual Conference (Third General Meeting), Symposium on Evidence-Based Research in Taiwan; Section of Mental Disorders, March 8-9, Chengchi University, Taipei, Taiwan. (NSC 91-2413-H-009-SSS-; NSC 92-2413-H-002-024-; NSC 93-2413-H-002-002-)].

Language: Chinese

Format: Conference

Abstract:
研討會以證據為基礎的研究,在台灣,部分精神疾病。 (國科會 91 - 2413 - H的009 -量表中文),國家安全委員會 92 - 2413 - H的- 002 - 024 -);國家安全委員會 93 - 2413 - H的- 002 - 002 -)眼動脫敏和再加工(EMDR;夏皮羅,1989 ,1995,2001)最近聲稱要有效地紓緩創傷後應激障礙的症狀,恐怖疾病。眼運動(電磁)是一種治療的關鍵因素,其治療機制有待澄清。在這個談話的目的是要研究系列報告,從我們的實驗室就EM的作用,治療機制 EMDR。具體來說,在EMDR程序被簡單地描述,EM的功效及工藝相比,暴露了問題。此外,對影響電磁情緒變化和生動的圖像或自傳記憶,改變數量和強度的語義協會的報告。此外,關於如何EMDR問題可能的工作,無論是電磁沒有添加任何超出了純粹接觸機制和電磁相互作用,價的刺激,他們的陳述順序進行了討論。最後,在EM的作用方面提出的刺激價為了從理論的角度來看,其臨床意義,提出和未來研究的可能性進行了討論。

Symposium on Evidence-Based Research, in Taiwan; Section of Mental Disorders. (NSC 91-2413-H-009-SSS-); NSC 92-2413-H-002-024-); NSC 93-2413-H-002-002-) Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001) has recently been claimed to be effective in ameliorating the symptoms of PTSD and phobic disorders. Eye movement (EM) was one of the crucial treatment elements, of which the therapeutic mechanisms await elucidation. The aims of this talk were to report series of studies from our lab regarding the role of EM in the therapeutic mechanism of EMDR. Specifically, after EMDR procedure being briefly described, the efficacy of EM and its process compared to exposure were addressed. Further, the effects of EM on changes of emotionality and vividness of images or autobiographic memories, and changes of amount and strength of semantic associations were reported. Also, the issues regarding how EMDR might work, whether EM did add anything beyond the mechanisms of pure exposure, and the interplay of EM, valence of stimuli, and their presentation order were discussed. Finally, the role of EM in terms of stimulus valence presentation order from theoretical point of view and its clinical implications are proposed, and future research possibilities are discussed.

Keywords: Eye Movement  Exposure  Symposium  Therapeutic Mechanism  

Accuracy Verified: Yes


12. 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


13. 山口 力 [Yamaguchi Chikara]. (2009年6月). 12-093 心療内科領域でのトラウマ臨床としてのEMDRの有用性 臨床的外傷 心身医学 [12-093 Uselfullness of EMDR for clinical trauma in the area of psychomatic internal medicine (Psychosomatic medicine has a key role in the near future medical care.]. (精神科2、一般演題(ポスター発表)、近未来医療を担う心身医学、第1回日本心身医学5学会合同集会)(Psychiatry II, general lecture and (Poster display). Kickoff Meeting of the 5th Congress of Japan Society of Psychosomatic Medicine,] 心身医学 49(6), 580 [Journal of Psychosomatic Medicine, 49(6), 580].

Language: Japanese

Format: Journal

Keywords: Efficacy  Poster  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Follow-up  Traumatic Memory  

Accuracy Verified: Yes


15. Shapiro, F. (2009, August). A 20 year update of EMDR clinical applications: What is the depth and scope of treatment?. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
In 1989, the seminal randomized controlled study on EMD appeared in the Journal of Traumatic Stress. However, by the time the first trainings began in the US in 1990, the principles now known as the Adaptive Information Processing model were guiding the development of the procedures and protocols, which in 1991, were officially renamed EMDR. All participants in these early trainings and in the years following were introduced to the hypothesis that most pathology emerges from unprocessed memories of earlier life experiences (AKA “small t trauma”) and that targeting and processing these experiences could provide the basis of efficient and effective treatment outcomes. These predictions have been supported in the widespread use of EMDR. Consequently, we have much to learn from examining these treatment effects, starting with the first published report in 1991 of the elimination of a delusional state, through the myriad applications that have been reported to date. This presentation will review a variety of these clinical reports and explore their implications for current and future EMDR practice.

Keywords: Plenary  

Accuracy Verified: Yes


16. Lucchese, D. (2000, Novembre). Aborto, EMDR e prevenzione della depressione post partum: un caso [Abortion, EMDR and prevention of postpartum depression: A case]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Viene descritto il caso di una giovane donna cui č stato diagnosticata una gravidanza a rischio per malformazione genetica del feto. Dopo un sofferto aborto terapeutico, la paziente ha subito un secondo aborto spontaneo, entrambi con caratteristiche traumatiche. Trattata con EMDR, comprese le complicanze e le sequele dal momento della diagnosi fino al future template, la paziente ha con successo riprocessato i vissuti di colpa e inadeguatezza, i pensieri irrazionali generati dal trauma, e soprattutto una serie di somatizzazioni e comportamenti rituali per lei finora inspiegabili. I target trattati sono stati sei, con cognizioni negative di inadeguatezza del suo ruolo materno e di colpa per le proprie decisioni. L’interesse del caso consiste nella elaborazione di vissuti corporei simbolici e di comportamenti disturbanti anche sul piano pratico e relazionale. Risulta evidente la funzionalitŕ del EMDR nel trattamento dei ricordi delle vicende traumatiche vissute, sperimentate anche e soprattutto sul piano corporeo. L’utilizzo dell’EMDR ha permesso inoltre di evidenziare le possibilitŕ di questo trattamento nella prevenzione della depressione post partum

Describes the case of a young woman whose pregnancy was diagnosed at risk for genetic malformation of the fetus. After suffering a therapeutic abortion, the patient underwent a second miscarriage, both with traumatic characteristics. Treated with EMDR, including complications and sequelae from the time of diagnosis until future templates, the patient with successfully reprocessed the feelings of guilt and inadequacy, irrational thoughts generated by the trauma, especially a series of somatization and conduct rituals for her so far unexplained. I six targets were treated with negative cognition of inadequacy of its role and the breast blame for their decisions. The interest in the case consists in the elaboration of bodily experience symbolic and disruptive behavior also at the practical and relational. The apparent functionality of EMDR in the treatment of memories of traumatic events experienced, tested also and especially on the body. Using EMDR experience has also highlighted the possibility of this treatment in the prevention of postpartum depression.

Keywords: Abortion  Postpartum Depression  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Model  Poster  Preverbal Trauma  Theory  

Accuracy Verified: Yes


18. Shapiro, F. (2000, September). Accommodation, assimilation and growth: Integrating the future, now. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) understand the primary principles of personality developments from an information processing perspective; 2) be able to examine the integration and interface of affect and cognition; and 3) be able to examine parallels of personal and global development.

Keywords: Affect  Cognition  Information Processing  

Accuracy Verified: Yes


19. 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, Espańa.

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 diseńado 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 diseńar 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, diseńar 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, desempeńan 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 pequeńos, 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 espańol y el alumnado recibirá amplios folletos complementarios. - Se realizará en una única jornada, en sesión de mańana 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


20. 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


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

Language: English

Format: Conference

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

Keywords: Mental Retardation  

Accuracy Verified: Yes


22. Meignant, I. (2010, July). Adaptive information processing model (AIP). Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
This Abstract will explore EMDR as an AIP model of psychotherapy. The following aspects will be discussed. Foundation of pathologies: unprocessed physiologically stored memories of life experiences. Definition of Trauma: Any life experience that has a negative on going impact on a person’s life. Therapy goal: Accessing and reprocessing physiologically stored memories of life experiences, triggers and encoding future templates. Memory as composed of: sensory information (smell, image, sound, taste and touch), cognitions, emotions and body sensations. EMDR as a 3 stage therapy model: Past, Present, Future Three themes explored in EMDR therapy: 1) Responsibility (which includes Culpability and Self-esteem) 2) Safety, and 3) Choice The Eight phases of EMDR: Departure and Arrival stations: SUDs , VOC, and BODY scan

Keywords: Adaptive Information Processing Model  AIP  Poster  

Accuracy Verified: Yes


23. Hensley, B. J. (2012). Adaptive information processing, targeting, the standard protocol, and strategies for successful outcomes in EMDR reprocessing. Journal of EMDR Practice and Research, 6(3), 92-100. doi:10.1891/1933-3196.6.3.92.

Language: English

Format: Journal

Abstract:
This article provides excerpts from each chapter of An EMDR Primer: From Practicum to Practice (Hensley, 2009) to assist novice eye movement desensitization and reprocessing (EMDR) clinicians who are learning how to use this approach and to serve as a refresher for therapists who have not used EMDR consistently in their practices. Actual cases are presented that demonstrate various strategies that the therapist can use to help clients reach adaptive resolution of trauma. Tables and figures highlight important features to explain the obvious and subtle nuances of EMDR. Focal points are the following: (a) the adaptive information processing model; (b) the types of targets accessed during the EMDR process; (c) the 8 phases of EMDR; (d) the components of the standard EMDR protocol used during the assessment phase; (e) past, present, and future in terms of appropriate targeting and successful outcomes; and (f) strategies and techniques for dealing with challenging clients, high levels of abreaction, and blocked processing.

Keywords: Adaptive Information Processing  AIP  Cognitive Interweave  Three-Pronged Approach  Types of Targets  Unblocking Strategies  

Accuracy Verified: Yes


24. 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


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

Language: Spanish

Format: Conference

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

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

Keywords: Adoption  Attachment theory  Family Therapy  Narrative Theory  Symposium  

Accuracy Verified: Yes


26. Schubert, S., & Lee, C. W. (2009). Adult PTSD and its treatment with EMDR: A review of controversies, evidence, and theoretical knowledge. Journal of EMDR Practice and Research, 3(3), 117-132. doi:10.1891/1933-3196.3.3.117.

Language: English

Format: Journal

Abstract:
This article provides an overview of selective issues relating to adult posttraumatic stress disorder (PTSD) and its treatment with eye movement desensitization and reprocessing (EMDR). The article begins by providing a historical overview of PTSD, and debates about the etiology and definition of PTSD are discussed. The most predominant theories of PTSD are summarized by highlighting how they have evolved from traditional behavioral accounts based on the assumption that PTSD is an anxiety disorder to theories that now incorporate information-processing models. This article then examines the development of EMDR and the corresponding body of research that clearly demonstrates its efficacy for the treatment for adult PTSD. The underlying mechanisms of EMDR are discussed, with a focus on the importance of the eye movement component and how the therapeutic processes in EMDR differ from those of traditional exposure therapy. Finally, the adaptive information-processing (AIP) model that underlies EMDR is outlined, and evidence for the model is summarized. The article concludes by suggesting future research based on questions raised about PTSD and its treatment with EMDR when the AIP model is compared to other information-based theories of PTSD.

Keywords: Adult  Mechanism of Action  Review  Posttraumatic Stress Disorder  PTSD  Theory  

Accuracy Verified: Yes


27. Laliotis, D. (2000, September). Advance applications of cognitive interweave and resource development in EMDR. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will be able to: 1) enhance their ability to facilitate the client's processing with EMDR by broadening their repertoire of cognitive interweaves; 2) identify a variety of clinical situations where interweaves and resource development can be applied during the course of an EMDR session; 3) develop a greater understanding of the different kinds of cognitive interweaves that can be used in those clinical situations; 4) apply cognitive interweave and resource development to faclitate closure of an EMDR session and towards the creation of future templates; and 5) to develp a greater sense of how and when to intervene during a client's processing.

Keywords: Cognitive Interweave  Resource Development  

Accuracy Verified: Yes


28. Twombly, J. (2001, June). Advanced adaptations in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
Participants of this workshop will learn how to incorporate EMDR adaptations within treatment stages of Dissociative Disordered clients. They will also learn how to facilitate stability, present time, and height orientation, set up a protective format for processing traumatic material, and applications to ego state work.

Keywords: Dissociative Disorders  

Accuracy Verified: Yes


29. Adler-Tapia, R., & Settle, C. (2008, September). Advanced applications of EMDR in child psychotherapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
This presentation is for therapists who have learned the basic EMDR protocol and are interested in expanding their skills in using EMDR in individual treatment with children. The presentation is focused on teaching therapists to use EMDR with specific childhood diagnoses or presenting problems, including children who are gifted and children who present with symptoms consistent with ADHD, dissociation, anxiety, attachment disorders, and sexual reactivity. Therapists will also learn how to use EMDR with regulatory issues in children including sleep issues and toilet training, as well as with behavioral issues, such as school phobias within AIP Theory.

Keywords: Children  

Accuracy Verified: Yes


30. 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


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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes


32. Twombly, J. (2000, September). Advanced EMDR adaptations in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn how to incorporate EMDR and EMDR adaptations within the stages of treatment of Dissociative Disordered (DD) clients; 2) learn how to facilitate present time, and height orientation for clients with DDs; 3) learn how to set up a protective format for processing traumatic material with DD clients; and 4) learn how to apply EMDR adaptations in ego state work.

Keywords: Dissociative Disorders  

Accuracy Verified: Yes


33. Forgash, F., & Litt, B. (2008, September). Advanced techniques in the EMDR-based treatment of complex trauma. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
EMDR is an important therapy in the treatment of complex PTSD, including dissociative disorders and certain personality disorders. This presentation will provide solutions to problems within the 8 phases of EMDR. Objectives include managing triggers and dealing with reactions such as avoidance, freeze, and hyperarousal. Techniques include ego state work and somatic interweaves. Therapists will learn readiness criteria for trauma processing (phase 4-7) and how to avoid premature interventions. In phase 4, therapists will learn about the zone of optimal arousal and a sequence of techniques to maintain client stability and to identify when and why a patient has stopped processing.

Keywords: Complex Trauma  Treatment  

Accuracy Verified: Yes


34. Litt, B. (2012, October). Advanced techniques in the EMDR-based treatment of complex trauma. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
Abstract:EMDR is an efficacious therapy for the treatment of PTSD. Increasingly, EMDR is being recognized as an important and viable therapy in the treatment of complex PTSD, including Dissociative Disorder Not Otherwise Specified, Dissociative Identity Disorder, and personality disorders that have their origins in attachment trauma. This population presents unique clinical challenges in terms of stability, affect tolerance, and accessibility to trauma resolution. While much has been written and presented about affect regulation, attachment issues, and dissociation, therapists are not often aware that these phenomena emerge and must be managed throughout all phases of EMDR therapy. This presentation will focus on advanced techniques that provide solutions to problems within phases 2,3, and 4. Clinicians will learn techniques to incorporate in the stabilization/ preparation phase and to revisit as necessary in later stages of EMDR treatment. Objectives include helping the patient effectively deal with reactions such as avoidance, freeze, hyperarousal and numbing. Techniques include ego state work and somatic interweaves.In Phase 4, (desensitization) therapists will be learn about the Zone of Optimal Arousal and learn a sequence of advanced techniques to maintain client stability and safety, and to identify when and why a patient has stopped processing.

Learning Objectives: Participants will be able to perform a series of strategies for overcoming looping and blocking in EMDR phases three and four. Participants will be able to utilize the Domains of Self Model to rapidly assess triggers and anticipate processing style and resolution profile. Participants will be able to utilize the Zone of Optimal Processing model to assess problems with processing and select appropriate strategies to safely resume desensitization.

Keywords: Advanced Techniques  Complex Trauma  

Accuracy Verified: Yes


35. Leeds, A. (2012, June). Affect phobias in EMDR therapy - developing affect tolerance capacities in client and clinician [Fobias afectivas en la terapia con EMDR -­‐ El desarrollo de habilidades para la tolerancia afectiva en el cliente y el clínico]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Affect phobias may also be described as psychodynamic or dissociative defenses or as ego state conflicts. When patients present with affect phobias and fail to progress with standard EMDR procedural interventions, EMDR therapy can still be effective when clinicians have the conceptual knowledge and perceptual skills to recognize these defenses, and when they can make use of a flexible set of advanced EMDR procedural stills for responding. EMDR trained clinicians must also confront their own affect phobias and psychodynamic conflicts as they experience a range of responses to their work with patients including countertransference and vicarious traumatization that can disrupt their ability to make use of their conceptual, perceptual and procedural knowledge and skills. This presentation provides an overview of concepts from Short-Term Dynamic Psychotherapy (STDP: McCullough, 1997, 2003) and the Theory of Structural Dissociation of the Personality (TSDP: van der Hart, Nijenhuis & Steele, 2006) and identifies procedures from Knipe (1999, 2003, 2005, 2008, 2009, 2010a, 2010b, 2010c), Mosquera (2010, 2011), Mosquera and Gonzalez (2010), and Leeds (2001), which clinicians can employ with cases involving affect phobia. We will also consider how clinicians can be sensitive to and mitigate the potential impact of their own affect phobias in their clinical work.

Las fobias al afecto también se pueden describir como defensas psicodinámicas, disociativas ó como conflictos del estado del yo. Cuando los pacientes presentan fobias al afecto y no avanzan con las intervenciones siguiendo los procedimientos de EMDR habituales, EMDR aún puede ser efectivo cuando los clínicos gozan del conocimiento conceptual, así como las habilidades perceptivas para reconocer dichas defensas y cuándo puede servirse de un conjunto flexible de habilidades de procedimiento de EMDR para responder [ante ellas]. Los clínicos formados en el uso de EMDR también han de afrontar sus propias fobias y conflictos psicodinámicos a medida que pasen por una variedad de respuestas a su trabajo con pacientes, incluidas la contra-­‐transferencia y la traumatización indirecta que pueden perturbar su capacidad para aprovechar sus conocimientos y habilidades conceptuales, perceptivos y habilidades. La presente ponencia ofrece una visión del conjunto de los conceptos de Short-­‐Term Dynamic Psychotherapy (STDP: McCullough, 1997, 2003) [psicoterapia dinámica breve] y de Theory of Structural Dissociation of the Personality (TSDP: van der Hart, Nijenhuis & Steele, 2006) [teoría de la disociación estructural de la personalidad] e identifica procedimientos de Knipe (1999, 2003, 2005, 2008, 2009, 2010a, 2010b, 2010c), Mosquera (2010, 2011), Mosquera y Gonzalez (2010) y Leeds (2001) que pueden aplicar los clínicos en casos de fobia al afecto. También se contemplará cómo los clínicos pueden estar sensibles ante el impacto potencial de sus propias fobias al afecto y cómo mitigarlo en su trabajo clínico.

Keywords: Affect Phobias  

Accuracy Verified: Yes


36. Seidler, G. H. (2002). Aktuelle therapieansätze in der psychotraumatologie [Psychotraumatology:  Recent therapy approaches]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 48(1), 6-27.

Language: German

Format: Journal

Abstract:
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR
Heutige Therapieansätze in der Psychotraumatologie Zentrum rund um das Problem der effektiven Zugang zu spezifischen Trauma-Symptome: Einbrüche; affektive Abstumpfung und Vermeidungsverhalten, Übererregung. Unter seinem Lager aus dem deutschen und amerikanischen Leitlinien PTSD-Therapie, skizziert der Artikel die wichtigsten Therapiemethoden und bewertet sie im Hinblick auf die relevanten Qualitätskriterien. EMDR, kognitiv-behavioralen Ansätzen, modifizierte psychodynamische Methoden und Trauma-adaptierten stationären Psychotherapie können so lange empfohlen werden, da sie in Verbindung mit stabilisierenden Elemente-Therapie eingesetzt werden. Normalerweise sind weitere therapeutische Interventionen auch notwendig, Zeichnung auf traditionelle Methoden für die Integration des Traumas in den Patienten-Biographie. [Abstract Autor]

Present-day therapy approaches in psychotraumatology center around the problem of effective access to specific trauma symptoms: intrusions; affective blunting and avoidance behaviors; hyperarousal. Taking its bearings from the German and American PTSD therapy guidelines, the article outlines the most important therapy methods and assesses them in terms of relevant quality criteria. EMDR, cognitive/behavioral approaches, modified psychodynamic methods, and trauma-adapted inpatient psychotherapy can be recommended as long as they are used in conjunction with stabilizing therapy elements. Normally, further therapeutic interventions are also necessary, drawing on traditional methods for integrating the trauma into the patient's biography. [Author Abstract]

Keywords: Posttraumatic Stress Disorder  Psychotherapy  PTSD  Review  Stressors  Survivors  

Accuracy Verified: Yes


37. Zangwill, W., Scharf, C., Berliner, K., Meyers, M., Schwartzberg, N., & Weinshel, M. (2006, September). All EMDR all the time: Various clinicians present and discuss videos of actual cases. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The second most common complaint from participants at our Conference is that they don't get to see enough actual EMDR sessions. The purpose of this symposium is to have various EMDR clinicians show and discuss videos of some of their most interesting/cliallenging cases. Presentation will include a session on a single event trauma (motor vehicle accident involving the death of a loved one), a couples session, and an EMDR session with a more involved case involving sevcral small "t" traumas. This presentation will allow participants to watch actual EMDR sessions, not just segments, and discuss the strengths and weaknesses in each session with the clinician who conducted it. Three clinicians will present their cases throughout the day (for approximately 90 minutes each). The hope is that by watching complete sessions, participants will become more aware of the important and 'little' details that enrich our work.

Keywords: Case Histories  

Accuracy Verified: Yes


38. Zangwill, W. M., Scharf, C., Berliner, K., Meyers, M., Schwartberg, N., & Weinshel, M. (2006, September). All EMDR all time: Various clinicians present and discuss videos of actual cases. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Keywords: Case Presentations  

Accuracy Verified: Yes


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

Language: English

Format: Book Section

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

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

Accuracy Verified: Yes


40. 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


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

Language: Spanish

Format: Conference

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

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

Keywords: Trauma  

Accuracy Verified: Yes


42. Lupo, W., Plans, B., & Seijo, N. (2010, Abril). Aplicación de EMDR en el tratamiento del Trauma (PTSD) [EMDR in the application of trauma treatment (PSTD)]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain .

Language: Spanish

Format: Conference

Abstract:
EMDR es un modelo de terapia, que se basa en el procesamiento adaptativo de la información (AIP). Además de desensibilizar, se trata de transformar la memoria afectada por el trauma, en la que las experiencias disfuncionales queden definitivamente en el pasado e integrarlas al presente de una forma adaptativa. En el trastorno de estrés postraumático y en el DESNOS, encontramos una memoria fragmentada, con un alto nivel de activación psicofisiológica, una dificultad en regular los afectos y con los síntomas intrusivos y evitativos vinculados a las experiencias. El procedimiento de EMDR, consta de 8 fases y mostraremos su aplicación en la presentación de un caso clínico de Trastorno de Estrés Postraumático.

EMDR therapy is a model that is based on adaptive processing information (AIP). Desensitize addition, it is transformed memory affected by trauma, which experiences dysfunctional are definitely in the past to the present and integrate adaptive way. In posttraumatic stress disorder and in the DESNOS, found a fragmented memory, with a high level of activation psychophysiological a difficulty in regulating emotions and intrusive and avoidant symptoms linked to experiences. The EMDR procedure consists of eight phases and show its application in presenting a case of PTSD.

Keywords: Posttraumatic Stress Disorder  PTSD  Treatment  

Accuracy Verified: Yes


43. Lupo, W., Plans, B., & Seijo, N. (2010, Abril). Aplicación de EMDR en el tratamiento del Trauma (PTSD) [EMDR in the application of trauma treatment (PSTD)]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain .

Language: Spanish

Format: Conference

Abstract:
EMDR es un modelo de terapia, que se basa en el procesamiento adaptativo de la información (AIP). Además de desensibilizar, se trata de transformar la memoria afectada por el trauma, en la que las experiencias disfuncionales queden definitivamente en el pasado e integrarlas al presente de una forma adaptativa. En el trastorno de estrés postraumático y en el DESNOS, encontramos una memoria fragmentada, con un alto nivel de activación psicofisiológica, una dificultad en regular los afectos y con los síntomas intrusivos y evitativos vinculados a las experiencias. El procedimiento de EMDR, consta de 8 fases y mostraremos su aplicación en la presentación de un caso clínico de Trastorno de Estrés Postraumático.

EMDR therapy is a model that is based on adaptive processing information (AIP). Desensitize addition, it is transformed memory affected by trauma, which experiences dysfunctional are definitely in the past to the present and integrate adaptive way. In posttraumatic stress disorder and in the DESNOS, found a fragmented memory, with a high level of activation psychophysiological a difficulty in regulating emotions and intrusive and avoidant symptoms linked to experiences. The EMDR procedure consists of eight phases and show its application in presenting a case of PTSD.

Keywords: Posttraumatic Stress Disorder  PTSD  Treatment  

Accuracy Verified: Yes


44. Mestanza, R. (2007). Aplicación de terapia cognitivo conductual individual, grupal y EMDR, en adolescentes de 11 a 13 anos con altos nivelesde ansiedad del 8ş ano de educación básica de la red educativia Helena Cortes Bedoya, en la ciudad de Quito, ano lectivo 2006-2007 [Application of individual and group cognitive behavioral EMDR therapy to 11 to 13 year old adolescents with high levels of anxiety in the 8th year of the Helena Cortes Bedoya educational network, City of Quito School Year 2006-2007]. Universidad Central Del Ecuador, Facultad de Ciencias Psicologicas, Instituto Superior de Postgrado, Quito, Ecuador.

Language: Spanish

Format: Dissertation/Thesis

Abstract:
El presente trabajo de investigación tuvo como objetivo general, verificar si la Terapia Cognitivo-Conductual individual, grupal y EMDR disminuyen la ansiedad en adolescentes de 11 a 13 ańos del 8ş ańo de Educación Básica de la Red Educativa Helena Cortes Bedoya, Sector Carapungo de la ciudad de Quito, en el ańo lectivo 2006-2007. Se tomó como referencia que la Terapia Cognitivo-Conductual , es el conjunto de técnicas terapéuticas que han resultado del empleo sistemático del método experimental en la Psicología y demás disciplinas afines, empleados con el propósito de modificar pensamientos y conductas desadaptativas . En tanto que EMDR consiste en la Desensibilización y Reprocesamiento por medio del Movimiento Ocular u otras estimulaciones bi-hemisféricas especialmente para trabajar sobre recuerdos traumáticos. La investigación a realizarse fue de tipo explicativo con diseńo cuasi- experimental con un grupo de sujetos estimado del 30 al 50 % del total de la población de adolescentes evaluados con el test ISRA-J. Con ISRAJ (Inventario de Situaciones y Respuestas de Ansiedad – Jóvenes ) se evaluó a 70 estudiantes de 8ş Ańo de Educación Básica obteniendo 14 con alto nivel de ansiedad, a los cuales se les invitó a participar en el taller “ Jóvenes en Aprendizaje” durante 12 sesiones. Al grupo se realizó la evaluación pre y post tratamiento, para verificar si la Terapia Cognitivo Conductual individual y en grupo + EMDR, son efectivos para bajar niveles de ansiedad y considerando el género saber que grupo fue beneficiado en mayor medida. Verificada su efectividad, el programa anteriormente seńalado, se aplicará para bajar niveles de ansiedad a todos los adolescentes que luego de ser evaluados con el test ISRAJ obtenga un puntaje directo de 51 a 75, con indicación de tratamiento necesario y de 76 a 100 con necesidad de terapia urgente.

The present research aimed generally verify whether cognitive behavioral therapy individual, group and EMDR decrease anxiety in adolescents 11 to 13 years of Grade 8 Basic Education Educational Network Helena Cortes Bedoya, Sector Carapungo of Quito, in the academic year 2006-2007. The reference used was that cognitive behavioral therapy, is the set of therapeutic techniques that have resulted from the systematic use of the experimental method in psychology and other disciplines, employees with the aim of changing maladaptive thoughts and behaviors. While EMDR is Desensitization and Reprocessing Eye Movement or other bi-hemispheric stimulation specifically to work on traumatic memories. The research was carried out explanatory type quasi-experimental design with a group of subjects estimated 30 to 50% of the total population of adolescents assessed with the ISRA-J test. With ISRAJ (Inventory of Situations and Responses of Anxiety - Young) was assessed 70 students from Year 8 Basic Education getting 14 with high anxiety, to which were invited to participate in the workshop "Young People in Learning" for 12 sessions. The group evaluation was performed before and after treatment, to verify if the individual and Cognitive Behavioral Therapy + EMDR group, are effective in lowering anxiety levels and considering the genre know that group was benefited most. Verified its effectiveness, the program noted above will apply to lower levels of anxiety to all adolescents be evaluated after the test will score ISRAJ live 51 to 75, indicating the necessary treatment and from 76 to 100 with need Urgent therapy.

Keywords: Adolescents  Helena Cortes Bedoya Educational Network  Group Behavioral Therapy  Quito  

Accuracy Verified: Yes


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

Language: Portuguese

Format: Conference

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

Keywords: Coaching  Performance Enhancement  Resource Development  

Accuracy Verified: Yes


46. Schwartz, G. (2009). Appendix B: Expanding the 11-step procedure: unconsolidated sensory triggers and desensitization--running the tape. In M. Luber (Ed.), Eye movement desensitization and reporcessing (EMDR) scripted protocols: Special populations (pp. 649-653). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Triggers  

Accuracy Verified: Yes


47. Negadi, F., Pelissolo, A., Jouvent, R., & Allilaire, J. F. (2007, Septembre). Application de l’EMDR en sexotraumatologie: Évolution de la comorbidité psychopathologique ŕ propos d'un cas d'agression sexuelle [EMDR applied to sexual traumatology: Evolution of psychopathological comorbidity in the case of sexual aggression]. Annales Médico-Psychologiques, Revue Psychiatrique, 165(7), 523-528. doi:10.1016/j.amp.2007.06.002.

Language: French

Format: Journal

Abstract:
L'accčs thérapeutique des patients victimes d'agression sexuelle est souvent ŕ travers une double perspective: celle du traitement de stress post-traumatique (SSPT) et d'évitement sexuel. En légčre ou modérée cas de SSPT, il ya des formes complexes oů la comorbidité est plus évident et le taux d'échec thérapeutique est plus important. Ŕ l'heure actuelle des méthodes de traitement actif, basé sur l'exposition, plus particuličrement EMDR (désensibilisation des mouvements oculaires et retraitement) considérée comme une thérapie brčve et active, donnent de bons résultats dans le traitement de la symptomatologie traumatique. Peu d'études ont été menées sur l'évolution psychopathologique de patients ayant souffert d'agressions sexuelles et qui sont pris en charge par l'EMDR. Dans le cadre d'une étude de cas, les auteurs discutent des éléments indiquant une évolution rapide de la symptomatologie traumatique, l'évitement sexuel et de la régression de l'expression des signes de co-morbidité. [Auteur] Résumé

The therapeutic access of patients victims of sexual aggression is often through a double perspective: That of treating Post Traumatic Stress Disorder (PTSD) and of sexual avoidance. In light or moderate PTSD cases, there are complex forms in which co-morbidity is more evident and the rate of therapeutic failure is more important. At present active treatment methods based on exposure, more particularly EMDR (Eye Movement Desensitization and Reprocessing) considered as a brief and active therapy, give good results in the treatment of traumatic symptomatology. Few studies have been undertaken on the psychopathological evolution of patients having suffered from sexual attacks and who are being taken care of by EMDR. Within the framework of a case study, the authors discuss elements indicating a rapid evolution of traumatic symptomatology, of sexual avoidance and of regression of the expression of the co-morbidity signs. [Author Abstract]

Keywords: Brief Therapy  Clinical Case Study  Sexotherapy  Sexual Trauma  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Education  Learning Process  

Accuracy Verified: Yes


49. Solomon, R. M. (1998, July). The application of EMDR to critical incident trauma. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) understand what a critical incident is, and learn about the phases of the emotional aftermath; 2) learn about the application of EMDR to critical incident trauma; 3) learn about patterns of resolution that involves responsibility, present safety, and empowerment and self-efficacy; 4) learn what a Critical Incident Stress Debriefing (CISD) is, and its utilization after a critical incident; 5) learn how EMDR and CISD can be utilized together; 6) learn about integrating EMDR and CISD within an overall treatment approach.

Keywords: CISD, Critical Incident  Critical Incident Stress Debriefing  Recent Events  

Accuracy Verified: Yes


50. Manfield, P., & Shapiro, F. (2003). The application of EMDR to the treatment of personality disorders. In J. F. Magnavita (Ed.), Handbook of Personality Disorders: Theory and Practice (pp. 304-330).  New York: John Wiley & Sons.

Language: English

Format: Book Section

Abstract:
Since its inception in 1987, Eye Movement Desensitization and Reprocessing (EMDR) has evolved into an integrated approach to psychotherapy that synthesizes aspects of the major psychological orientations. As such, its comprehensive treatment effects span cognitive, somatic, and affective domains (Shapiro, 2002). Although most widely used to process single or multiple incident traumatic memories, it can be used effectively to treat many conditions. In this chapter, we describe the theoretical foundations of this approach and how it is used to treat personality disorders. A fundamental principle of the Adaptive Information Processing Model is that present disturbance and dysfunctional characteristics have their origins in past events; these antecedents, whether identified or not, can be processed to an adaptive resolution using EMDR. In treating personality disorders, the EMDR approach integrates procedures from many other orientations to stabilize clients and equip them to address their source memories. The accelerated processing of disturbing memories that takes place during EMDR makes it possible for clients to address and resolve their issues relatively rapidly. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Personality Disorders  Psychotherapeutic Processes  Theories  

Accuracy Verified: Yes


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

Language: Italian

Format: Conference

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

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

Keywords: Postpartum Depression  RDI  Resource Development and Installation  

Accuracy Verified: Yes


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

Language: Italian

Format: Dissertation/Thesis

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

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

Keywords: Counterfactual Thinking  Informational Processing  

Accuracy Verified: Yes


53. Verzolatto, N. (2008, Novembre). Applicazioni patriche dell'EMDR in ambito ospedaliero [Applications practice EMDR in hospitals]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
In ambito ospedaliero l’intervento psicologico presenta peculiaritŕ che rispondono ad alcune caratteristiche come : - la velocitŕ di intervento; - l’ esigenza di applicare protocolli rapidi ed efficaci. La necessitŕ della rapiditŕ č data dal fatto che il paziente allettato č generalmente in sofferenza fisica (spesso č presente dolore) oltre che psicologica e quindi non disponibile ad indagini ed interventi di tipo tradizionale (come assesment prolungati o studio approfondito della biografia); l’efficacia č intesa nel senso che gli strumenti devono centrare la domanda dell’inviante, che solitamente non č il paziente ma il reparto di degenza, e devono intervenire sul disagio del paziente che spesso esprime sintomi specifici. Generalmente i motivi per i quali vengono richieste le consulenze sono ascrivibili ad alcune precise categorie diagnostiche quali: -PTSD e PTSD sottosoglia. Riguardano generalmente: le comunicazioni di diagnosi gravi e/o prognosi infausta, sia nel paziente che nel familiare; eventi traumatici quali la violenza sessuale e domestica, traumi per incidenti, traumi per ricoveri in reparti particolari come le Stroke Unit o le Unitŕ di Rianimazione). -disturbi d’ansia e DAP. Rientrano in questa categoria le consulenze per le fobie per sala operatoria, per l’anestesia, la paura del non risveglio e i timori per esiti del post-interveto (per es. nel caso di prostatectomie o laringectomie). Nei casi sopra citati l’uso dell’EMDR diventa spesso lo strumento d’elezione per le peculiaritŕ proprie che rispondono perfettamente alle caratterizzazioni sopra citate. Nell’workshop si confronterŕ l’esperienza di tale attivitŕ e si discuterŕ di come l’uso dell’EMDR risponda per efficacia e velocitŕ alle esigenze sopra esplicitate.

Psychological intervention in the hospital has special features that meet certain characteristics such as: - The speed of intervention; - 'S need to implement protocols for rapid and effective. The need for speed is the fact that the patient is usually bedridden physical suffering (pain is often present) as well as psychological and therefore not available to traditional investigations and interventions (such as prolonged or assesment study of the biography); effectiveness is understood that the instruments must hit dell'inviante demand, which is usually not the patient but the ward and must act on the discomfort of the patient often expresses specific symptoms. Usually the reasons for which are claimed are attributable to some specific advice diagnostic categories such as: -PTSD and subthreshold PTSD. Generally relate to: the Communications Diagnostic serious and / or poor prognosis, both in the patient in family trauma such as sexual and domestic violence, trauma caused by accidents, trauma admissions to particular departments as the Stroke Unit or the Intensive Care Unit) . -Anxiety disorders and CAD. This category includes advice for phobias to the operating room, anesthesia, fear of not waking up and fears of post-surgical outcomes (eg. In the case of prostatectomy or laryngectomy). In the above cases the use EMDR is often the tool of choice for the special features that perfectly meet the above characterizations. Nell'workshop you compare the experience of this activity and will explore how to use EMDR effectiveness and speed to meet the requirements spelled out above.

Keywords: Hospitals  Treatment  

Accuracy Verified: Yes


54. Oren, U., & Konuk, E. (2010, July). Applied EMDR research: EMDR in the treatment of headache. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The need for research in the EMDR field has been clear since its beginning. EMDR therapists, like most other therapists, have been reluctant to combine clinical work and research despite offers of support from the EMDR community. One of the reasons for such an approach has to do with the sense that EMDR research has little to do with the “real” work of clinicians. A team of Turkish therapists have decided to develop a protocol for treating chronic migraine headaches. Their work is based on the original work of Grant (1999) and Marcus (2008). The presentation will describe the study they have conducted, the protocol they have developed, and the future possible applications of their work. The ways in which this project can be used as a prototype for further applied research in the EMDR field will be described. A call for more applied research and ways to support it will be made.

Keywords: Headache  Research  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Injury  Physical Illness  

Accuracy Verified: Yes


56. Devilly, G. J. (2004, December). An approach to psychotherapy toleration: The Distress/Endorsement Toleration Scale (DEVS) clinical outcome studies. Journal of Behavior Therapy and Experimental Psychiatry, 35(4), 319-336. doi:10.1016/j.jbtep.2004.08.001.

Language: English

Format: Journal

Abstract:
The issue of treatment tolerance within the field of psychotherapy is, at best, a nebulous construct and has been commonly evaluated via rates of subject attrition and homework compliance. This research presents the psychometric properties of a ten-item scale which endeavours to measure treatment distress and participant endorsement of therapy protocols used in clinical research. Two factors emerged and the subscales of Distress and Endorsement were derived. These subscales displayed good reliability with acceptable inter-item correlations within each subscale. The subscales were also able to differentiate the perspectives of male Vietnam veterans from their spouses on a lifestyle management course at the termination of intervention. However, this scale also displayed a cognitive behavioural trauma treatment protocol and eye movement desensitisation and reprocessing to be equivalent in treatment distress and participant endorsement in the treatment of PTSD. Preliminary findings suggest that the relationship between these two subscales and outcome may, to some extent, be population specific. First evidence suggests that intervention distress ratings may be influenced by severity of presentation, whilst endorsement ratings are more influenced by symptomatic improvement over time. Suggestions for future research are presented and the full questionnaire is attached as an appendix. [Author Abstract]

Keywords: Adults  Australians  Cognitive Therapy  Distress  Family Therapy  Endorsement  Females  Males  Outcome  Psychotherapeutic Processes  Questionnaire  Self Report Instruments  Spouses  Tolerance  Treatment  Treatment Effectiveness  Veterans  Vietnam War  

Accuracy Verified: Yes


57. Tardy, J., & El Farricha, M. (2007, Juin). Approache Ericksonienne du traumatisme psychique et thérapie EMDR [Ericksonian approach of trauma]. Présentation ŕ la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Les techniques d’hypnose éricksonienne sont des outils trčs utiles au cours d’une psychothérapie, spécialement avec les personnes ayant connu des traumatismes répétés dans l’enfance. En effect, par le biais d’une dissociation thérapeutique, patient et thérapeute on accčs ŕ la mémoire traumatique neurobiologique et psychologique et le patient pourra (ré)experimenter la confiance dans ses propres forces naturelles.
Cependant, manié avec peu de précaution l’hypnose risqué d’aggraver la dissociation pathologique. L’association des techniques éricksoniennes et du protocole de la thérapie EMDR augmente les capacitiés de l’espirt et du corps et offre au paitent un meilleur contrôle émotionnel et un amélioration del la (ré)orientation ŕ la réalité.
Le travail des auteurs est a situé dans le cadre de la psychothérapie brčve des victimes et s’appuie sur une approche éricksonienne du traumatisme psychique et la thérapie EMDR en tant que novelle méthode thérapeutique efficace pour l’ESPT.
Mohammed El Farricha et Josette Tardy psychologues cliniciens, présenteront un apercu d’un programme de traitement psychothérapique expérimenté avec des patients en ambulatoire ces dix derničres années.
Dans cet atelier l’accent sera plus particuličrement mis sur l’apport des techniques d’hypnose éricksonienne qui semblent cliniquement efficaces et peuvent venir renforcer le protocole EMDR au cours des phases: evaluation et terminaison.
Il s’agira par exemple de démontrer comment, lors de l’évaluation, guider la personne vers la concentration interne nécessaire ŕ une desensitisation complete? Ou encore comment mieux projeter le patient dans un future <> des limitations du traumatisme?

Ericksonian hypnosis techniques are useful tools in the course of psychotherapy, especially with people who have experienced repeated trauma in childhood. In effect, through a separation treatment, patient and therapist is memory access neurobiological and psychological trauma for the patient to (re) experiment confidence in its own natural forces. However, handled with some caution hypnosis risked aggravating the pathological dissociation. The combination of Ericksonian techniques and EMDR protocol extends the capabilities of espirt and body and offers better paitent emotional control and improvement del (re) orientation to reality. The authors' work is situated in brief psychotherapy of victims and an approach based on Ericksonian of psychic trauma and EMDR as an effective therapeutic method novella for PTSD. Mohammed El Farricha and Josette Tardy clinical psychologists, will present an overview of a program of psychotherapy experimented with outpatients in the last ten years. In this workshop the emphasis will be placed on the contribution of Ericksonian hypnosis techniques that seem clinically effective and can reinforce the EMDR protocol in phases: evaluation and termination. Some examples demonstrate how, during the evaluation, guide the person towards the internal concentration required for a complete desensitisation? Or how to better plan the patient in a future <> limitations of trauma?

Keywords: Erickson  Trauma  

Accuracy Verified: Yes


58. de Jongh, A. (2000, May 6). Approaches to using EMDR for the treatment of phobias. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.

Language: English

Format: Conference

Abstract:
This workshop focuses on the clinical application of EMDR with specific phobias. There are a number of advantages in using EMDR for the treatment of specific phobias compared to other approaches, such as exposure in vivo. One of the most important advantages seems to be the possibility to utilize EMDR under circumstances where the critical elicitors cannot be reproduced or simulated in real life (e.g., certain sexual, illness or death situations) or, more generally, for which phobic stimuli are hard to obtain. However, unlike patients suffering with PTSD, after deconditioning of an anxiety associated with a traumatic incident, phobic individuals till have to anticipated future anxiety evoking situations. This has important implications for treatment. For example, contrary to its application with PTSD, the treatment of specific phobias with EMDR should not be concluded until clients are prepared for future interactions with (former) anxiety-eliciting stimuli or situations. This may involve acquisition of adaptive coping skills, such as mental strategies to relax or to distract oneself, and the use of exposure (in vivo) techniques. Participants of this workshop will learn when and how to apply EMDR with specific phobias and integrate this into general (cognitive-behavioral) treatment approach. This approach is illustrated by several videotaped treatments.

Keywords: Phobias  

Accuracy Verified: Yes


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

Language: French

Format: Conference

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

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

Keywords: EMDR Immersion  

Accuracy Verified: Yes


60. Viechtbauer, W. (2007, March). Approximate confidence intervals for standardized effect sizes in the two-independent and two-dependent samples design. Journal of Educational and Behavioral Statistics, 32(1), 39-60. doi:10.3102/1076998606298034.

Language: English

Format: Journal

Abstract:
Standardized effect sizes and confidence intervals thereof are extremely useful devices for comparing results across different studies using scales with incommensurable units. However, exact confidence intervals for standardized effect sizes can usually be obtained only via iterative estimation procedures. The present article summarizes several closed-form approximations to the exact confidence interval bounds in the two-independent and two-dependent samples design. Monte Carlo simulations were conducted to determine the accuracy of the various approximations under a wide variety of conditions. All methods except one provided accurate results for moderately large sample sizes and converged to the exact confidence interval bounds as sample size increased.

Keywords: Confidence Intervals  Effect Size  Standardized Mean Difference  Two-Independent Samples Design  

Accuracy Verified: Yes


61. MacCulloch, M., & Barrowcliff, A. (2001, May). Are EMDR effects caused by de-arousal?. Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is increasingly being recognised as a coherent therapeutic procedure in the treatment of Post Traumatic Stress Disorder (PTSD) and other anxiety disorders, yet we still do not fully understand by which process or mechanisms it might work. We consider a number of models implicating orienting or investigatory reflexes as a significant contributor to the success of EMDR as a treatment method. A series of experiments were designed to test the predictions derived from these models, examining the physiological effects of eye-movements following auditory challenge compared to an eyes-stationary condition. A significant physiological de-arousal effect is observed in conditions requiring eye-movements similar to those used in the EMDR protocol. We go on to consider the implications for this de-arousal effect in the treatment of PTSD and present preliminary data from a case series designed to examine the unique contribution of EMDR when used with treatment resistant clients. A range of psychometric and psychophysiological process and outcome measures were utilised in this study, providing a detailed evaluation of change over the course of the treatment design. Specialised software was developed for use in this study, in addition to a computerised test and software is provided, along with data obtained from this test.

Keywords: De-Arousal  

Accuracy Verified: Yes


62. DeBell, C., & Jones, R. D. (1997, April). As good as it seems? A review of EMDR experimental research. Professional Psychology: Research & Practice, 28(2), 153-163. doi:10.1037/0735-7028.28.2.153 .

Language: English

Format: Journal

Abstract:
The article reviews 7 experimental studies that examined eye movement desensitization and reprocessing (EMDR) treatment. The 7 studies varied greatly in their complexity, their designs, how treatment effects were measured, and their results. Each study is detailed and critically examined. A summary of results is provided as well as suggestions for clinical application and future research. In addition, questions are raised regarding F. Shapiro's approach to disseminating information about EMDR. [Author Abstract]

Keywords: Literature Review  Methodology  Professional Criticism  Posttraumatic Stress Disorder  PTSD  Research Needs  Treatment Effectiveness  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: DVA  Outcome  Policy  PTSD  Research  Therapy  Treatment  Vietnam Veterans  

Accuracy Verified: Yes


64. Puliatti, M., Fiacchi, S., & Silipigni, F. (2007, July-September). Aspetti psicologici e psicoterapia delle donne con cistite interstiziale. Terapia cognitivo-comportamentale e EMDR: Un approccio integrate [Psychological aspects and psychotherapy of women affected by interstitial cystitis. Cognitive-behavioral therapy and EMDR: An integrated approach]. Medicina Psicosmatica, 52(3), 101-104.

Language: Italian

Format: Journal

Abstract:
La cistite interstiziale, malattia cronica e rara, si presenta con gli stessi sintomi della cistite “classica”: bruciore, dolori al basso ventre, necessitŕ di urinare di frequente (fino a 60 volte tra giorno e notte), urgenza minzionale spesso associata ad incontinenza, algie vaginali tali da provocare un’impossibilitŕ ad avere rapporti sessuali. Viene quindi coinvolto tutto l’apparato uro-genitale ed il pavimento pelvico, il dolore risponde difficilmente in modo soddisfacente ai piů comuni antidolorifici. La cistite interstiziale č una sindrome multifattoriale, in cui convergono eventi stressanti, sintomi psicologici e disordini della funzione urinaria. L’approccio terapeutico dovrebbe quindi essere di tipo integrato urologico, ginecologico, fisico-riabilitativo e psico-sessuologico.In questo lavoro viene presentato un modello di trattamento che integra l’approccio cognitivo comportamentale e l’EMDR (Eye Movement Desensitization and Reprocessing). Questi due approcci se usati in sinergia garantiscono un trattamento ad ampio raggio dei fattori disfunzionali che favoriscono e mantengono tale sintomatologia.

Interstitial cystitis, chronic and rare disease, shows the same symptoms as cystitis "classic" burning, lower abdominal pain, frequent need to urinate (up to 60 times between day and night), urgency often associated with incontinence , vaginal pains which cause an inability to have sex. It then involved the entire apparatus urogenital and pelvic floor, the pain difficult to respond satisfactorily to the most common painkillers. Interstitial cystitis is a multifactorial syndrome, which converge in stressful events, psychological symptoms and disorders of the urinary function. The therapeutic approach should be integrated type of urology, gynecology, physical rehabilitation and psycho-sessuologico.In this paper we present a treatment model that integrates cognitive behavioral el'EMDR (eye movement desensitization and reprocessing). These two approaches when used together provide a wide-ranging treatment of the factors that foster and maintain this dysfunctional symptoms.

Keywords: Interstitial Cystitis  Women  

Accuracy Verified: Yes


65. Puliatti, M., Fiacchi, S., & Silipigni, F. (2007). Aspetti psicologici e psicoterapia delle donne con cistite interstiziale. Terapia cognitivo-comportamentale e EMDR: un approccio integrato [Psychological and psychotherapy for women with interstitial cystitis. Cognitive-behavioral therapy and EMDR: An integrated approach]. Medicina Psicosomatica, 52(3), 111-117. .

Language: Italian

Format: Journal

Abstract:
La cistite interstiziale, malattia cronica e rara, si presenta con gli stessi sintomi della cistite “classica”: bruciore, dolori al basso ventre, necessitŕ di urinare di frequente (fino a 60 volte tra giorno e notte), urgenza minzionale spesso associata ad incontinenza, algie vaginali tali da provocare un’impossibilitŕ ad avere rapporti sessuali. Viene quindi coinvolto tutto l’apparato uro-genitale ed il pavimento pelvico, il dolore risponde difficilmente in modo soddisfacente ai piů comuni antidolorifici. La cistite interstiziale č una sindrome multifattoriale, in cui convergono eventi stressanti, sintomi psicologici e disordini della funzione urinaria. L’approccio terapeutico dovrebbe quindi essere di tipo integrato urologico, ginecologico, fisico-riabilitativo e psico-sessuologico.In questo lavoro viene presentato un modello di trattamento che integra l’approccio cognitivo comportamentale e l’EMDR (Eye Movement Desensitization and Reprocessing). Questi due approcci se usati in sinergia garantiscono un trattamento ad ampio raggio dei fattori disfunzionali che favoriscono e mantengono tale sintomatologia.

Interstitial cystitis, chronic and rare disease, shows the same symptoms as cystitis "classic" burning, lower abdominal pain, frequent need to urinate (up to 60 times between day and night), urgency often associated with incontinence , vaginal pains which cause an inability to have sex. It then involved the entire apparatus urogenital and pelvic floor, the pain difficult to respond satisfactorily to the most common painkillers. Interstitial cystitis is a multifactorial syndrome, which converge in stressful events, psychological symptoms and disorders of the urinary function. The therapeutic approach should be integrated type of urology, gynecology, physical rehabilitation and psycho-sessuologico.In this paper we present a treatment model that integrates cognitive behavioral EMDR (eye movement desensitization and reprocessing). These two approaches when used together provide a wide-ranging treatment of the factors that foster and maintain this dysfunctional symptoms.

Keywords: Interstitial Cystitis  Women  

Accuracy Verified: Yes


66. Gros, D. F., & Antony, M. (2006, August). The assessment and treatment of specific phobias: A review. Current Psychiatry Reports, 8(4), 298-303.

Language: English

Format: Journal

Abstract:
Specific phobia is one of the most common and easily treated mental disorders. In this review, empirically supported assessment and treatment procedures for specific phobia are discussed. Exposure-based treatments in particular are highlighted given their demonstrated effectiveness for this condition. The format and characteristics of exposure-based treatment and predictors of treatment response are outlined to provide recommendations for maximizing outcome. In addition, several other treatments for specific phobia are reviewed and critiqued, including cognitive therapy, virtual reality, eye movement desensitization and reprocessing, applied tension, and pharmacologic treatments. The review concludes with a discussion of future directions for research.

Keywords: Phobias  

Accuracy Verified: Yes


67. Pham, T., & Willocq, L. (2005, June). Assessment of traumatic stress among incarcerated homicide perpetrators. Poster presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Homicide perpetrators present a high prevalence of major mental disorders, particularly major depression associated with a substance diagnostic, and schizophreny (Cote & Hodgins, 1992). Recently, it has been suggested that the homicide behaviour itself may be conceived as a traumatic event generating multiple symptoms (Gray, et a1., 2003; Pollock. 1999}. This study assesses the relations between homicide and traumatic stress in a Belgian prison population, on the basis of a self-report questionnaire (SASRQ). Therapeutic implications of the results and relevance of EMDR practice in homicide populations will be discussed.

Keywords: Homicide  Incarceration  Perpetrators  Poster  

Accuracy Verified: Yes


68. El Khoury-Malhame, M., Lanteaume, L., Beetz, E. M., Roques, J., Reynaud, E., Samuelian, J. C., Blin, O., Garcia, R., & Khalfa, S. (2011, September). Attentional bias in post-traumatic stress disorder diminishes after symptom amelioration. Behavior Research and Therapy, 49(11), 796-801. doi:10.1016/j.brat.2011.08.006.

Language: English

Format: Journal

Abstract:
Background: Avoidance and hypervigilance to reminders of a traumatic event are among the main characteristics of post-traumatic stress disorder (PTSD). Attentional bias toward aversive cues in PTSD has been hypothesized as being part of the dysfunction causing etiology and maintenance of PTSD. The aim of the present study was to investigate the cognitive strategy underlying attentional bias in PTSD and whether normal cognitive processing is restored after a treatment suppressing core PTSD symptoms. Methods: Nineteen healthy controls were matched for age, sex and education to 19 PTSD patients. We used the emotional stroop and detection of target tasks, before and after an average of 4.1 sessions of eye movement desensitization and reprocessing (EMDR) therapy. Results: We found that on both tasks, patients were slower than controls in responding in the presence of emotionally negative words compared to neutral ones. After symptoms removal, patients no longer had attentional bias, and responded similarly to controls. Conclusion: These results support the existence of an attentional bias in PTSD patients due to a disengagement difficulty. There was also preliminary evidence that the disengagement was linked to PTSD symptomatology. It should be further explored whether attentional bias and PTSD involve common brain mechanisms.

Keywords: Attentional Bias  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


69. 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


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

Language: German

Format: Journal

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

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

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

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


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

Language: English

Format: Other

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

Keywords: Chaplaincy Coaching  Positive Psychology  

Accuracy Verified: Yes


73. Mueller-Schwefe, R. (2010, June). Back into life - EMDR with primary withdrawal after trauma. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
“Where I am? I am somewhere between heaven and earth, but I don't know where exactly." "My therapist waited for my anger, but it just isn't there...nowhere” – “I can't imagine anything helpful when I feel bad, I just don't have the energy... it's all too much for me." – “I just want to give up...” Reaction to traumatic events can vary a lot. This is true even when a PTSD has been diagnosed. Contrary to the 'classical' hyper-arousal response to traumatic memories there is also a different pattern of response that is characterized by a lack of an increase in heart rate, and very different pattern of neural activations, despite having a severe case of acute and subsequent PTSD'[l] and may go along with (peri- and posttraumatic) dissociation, emotional numbness, exhaustion, withdrawal and depression. The above statements belong to people with this pattern of response who have experienced subsequent difficulties already in the stabilization phase of their trauma-therapy. First, I will present an understanding of this symptomatology, the hypothesis being a predominance of the dorsal vagal system (see: Polyvagal Theory [2] and activation of the early withdrawal reflex (or: fear-paralysis reflex). This goes along with particular cognitive and especially emotional and physical features. Second, I will present a way to work with this condition, taking into account that the completion of "interrupted action." In this case does not imply an outward (fight or fight response) but an inward orientation withdrawal). EMDR with an adjusted protocol and tactile bilateral stimulation provides the way to process and pull through this interrupted (or unsatisfied) organismic withdrawal and the fear mostly associated with this process. Returning from this deep and primary withdrawal from life brings back the energy and the patient turns back towards life; vagal predominance subsides and the stuck impulse to withdraw releases. 1. Ruth A. Lanius, James W. Hopper, Ravi 5. Menon, Individual Differences in a Husband and Wife Who Developed PTSD After a Motor Vehicle Accident: A Functional MRI Case Study. Am J Psychiatry 160:4. April 2003, p. 668. 2. Porges. S.W. (2001). The Polyvagal Theory: Phylogenetic substrates of a social nervous system. International Journal of Psychophysiology, 42, 123-146. Learning objectives: 1. Recognize dorsal vagal predominance and primary withdrawal after trauma, 2. Understand the different orientation of interrupted action/ trauma scheme, 3. Know how to help withdrawal-patients to stabilize and process with adjusted EMDR-protocol and tactile or auditory bilateral stimulation. New and unique: Identifying this withdrawal-type of traumatic reaction and scheme, understanding it with the help of Polyvagal Theory and development of EMDR- adjusted protocol and way to process this.

Keywords: Primary Withdrawal  Symposium  

Accuracy Verified: Yes


74. Gunther-Sohst, J., & Hase, M. (2002, May). Back into the future – Research on the Client experience in the EMDR process. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.

Language: English

Format: Conference

Keywords: Research  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Affect Bridge  Future Template  Positive Template  

Accuracy Verified: Yes


76. Kiessling, R. (2008, September). Back to the future: Effective use of "future template" in EMDR treatment. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
The third prong (Future Template) is, perhaps, the most important prong in fully integrating the “trait” changes that occur during EMDR processing and perhaps the least understood by EMDR clinicians. This workshop will provide the necessary clarification and provide the protocols (through lecture and video demonstrations) for EMDR clinicians to effectively implement running “Future Template” in their EMDR practice.

Keywords: Future Template  

Accuracy Verified: Yes


77. Lendl, J. (2004, September). Basics for EMDRIA conference submissions. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Are you wanting to present at the conference but don't know where to start? Have you had a submission rejected? Are you bored with the conference offerings? Then this is the workshop for you. We will review the call for papers application, the use of the EMDRIA definition for EMDR, applicable APA ethics and standards, and possible resources for the evidence base. The Conference Program Committee process will be explained and a sample application will be provided as a model.

Keywords: Conference Submissions  

Accuracy Verified: Yes


78. Lendl, J. (2006, September). Basics for EMDRIA conference submissions. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Are you wanting to present at the Conference but don't know where to start? Have you had a submission rejected? Are you bored with the Conference offerings? Then this is the workshop for you. We will review the Call for Papers application, the use of the EMDRIA definition for EMDR, applicable APA ethics and standards, and possible resources for the evidence base. The Conference Program Committee process will be explained and a sample application will be provided as a model.

Keywords: Conference Submissions  

Accuracy Verified: Yes


79. Lendl, J. (2005, September). Basics for EMDRIA conference submissions. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Are you wanting to present at the Conference but don't know where to start? Have you had a submission rejected? Are you bored with the Conference offerings? Then this is the workshop for you. We will review the Call for Papers application, the use of the EMDRlA definition of EMDR, applicable APA ethics and standards, and possible resources for the evidence base. The Conference Program Committee process will be explained and sample application will be provided as a model.

Keywords: Conference Submissions  

Accuracy Verified: Yes


80. Lendl, J. (2008, September). Basics for EMDRIA conference submissions. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Are you wanting to present at the Conference but don’t know where to start? Have you had a submission rejected? Are you bored with the Conference offerings? Then this is the workshop for you. We will review the Call for Presentations application, the use of the EMDRIA definition of EMDR, applicable APA ethics and standards, and possible resources for the evidence base. The Conference Program Committee process will be explained and a sample.

Keywords: Conference Submissions  

Accuracy Verified: Yes


81. Lendl, J. (2007, September). Basics for EMDRIA conference submissions. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
Are you wanting to present at the Conference but don’t know where to start? Have you had a submission rejected? Are you bored with the Conference offerings? Then this is the workshop for you. We will review the Call for Papers application, the use of the EMDRIA definition for EMDR, applicable APA ethics and standards, and possible resources for the evidence base. The Conference Program Committee process will be explained and a sample application will be provided as a model.

Keywords: Conference Submissions  

Accuracy Verified: Yes


82. Gierasch, M., Greenwald, R., Shapiro, R., & Schubbe, O. (2005, September). Becoming an EMDRIA-approved trainer. Presentation at the annual meeting of EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Four EMDRlA Approved Providers of basic EMDR training, Molly Gierasch, Ricky Greenwald, Robin Shapiro and Oliver Schubbe, will speak about their unique experience of becoming trainers and their particular approach, including training settings and trainee populations, in teaching EMDR. The panel will address the present EMDRlA process and criteria for potential Approved Providers of basic EMDR training and the networking, sharing of resources, and support that has evolved over the last few years for all EMDRlA Approved Providers of basic EMDR training.

Keywords: Approved Providers  Trainer  Training  

Accuracy Verified: Yes


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

Language: Dutch

Format: Conference

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

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

Keywords: Complex Trauma  

Accuracy Verified: Yes


84. Jordan, J., Titscher, G., & Kirsch, H. (2011, September). Behandlungsmanual zur psychotherapie von akuten und posttraumatischen belastungsstörungen nach ICD-mehrfachschocks [Treatment manual for psychotherapy of acute and posttraumatic stress disorders after multiple ICD shocks]. Herzschrittmachertherapie + Elektrophysiologie, 22(3), 189-201. doi:10.1007/s00399-011-0148-8.

Language: German

Format: Journal

Abstract:
Angesichts der steigenden Zahl implantierter Defibrillatoren in allen Industrienationen wächst auch die Zahl derjenigen Menschen, die sog. Mehrfachschocks („electrical storm“, ES) erleiden. Häufige Beschwerden sind starke und ständig wiederkehrende massive Ängste, Panikattacken, Todesangst, Hilf- und Hoffnungslosigkeit, Depressionen, Nervosität und Gereiztheit, sowie Rückzugs- und ausuferndes Vermeidungsverhalten, Intrusionen, Albträume, Flashbacks, Schlaflosigkeit und die Unfähigkeit der Gefühlsempfindung sowie eine eingeschränkte Zukunftsperspektive. Da Menschen mit einem ICD häufig körperlich (sehr) krank und nach den ICD-Mehrfachschocks zusätzlich massiv verunsichert sind, scheint es wesentlich, dass die stationäre Behandlung in einer Einrichtung durchgeführt wird, die über eine enge Anbindung an und räumliche Nähe zu einer kardiologischen Abteilung verfügt. Basis der Diagnostik ist die klinische Anamnese und die systematische Exploration der traumatischen Situation und der resultierenden Beschwerden. Als zusätzliche diagnostische Elemente sollten testpsychologische Verfahren zur Erfassung der Kernsymptomatik zum Einsatz kommen (Angst, Depression, Traumasymptome). Zur Diagnostik sollte eine testpsychologische Untersuchung gehören, damit am Ende der Behandlung auch für den Patienten sichtbar wird, welche Veränderungen eingetreten sind. Im Mittelpunkt der stationären Behandlung steht die tägliche intensive Psychotherapie. In ihrem Rahmen finden Elemente tiefenpsychologisch fundierter Psychotherapie und verhaltenstherapeutisch orientierte Angsttherapie sowie kognitive Umstrukturierung und Elemente des EMDR ihren Platz. Eine Nachuntersuchung innerhalb von 4 Monaten nach den Mehrfachschocks ist angeraten, weil PTSD Symptome zuweilen erst mit großer Latenz auftreten.

In view of the inceasing number of implanted defibrillators in all industrial nations, the number of people who have suffered so-called multiple shocks (electrical storm, ES) also increases. Common complaints are severe and continuously recurrent massive anxiety, panic attacks, fear of death, helplessness and hopelessness, depression, nervosity and irritability as well as reclusive and uncontrollable avoidance behaviour, intrusions, nightmares, flashbacks, sleeplessness and the inability to show feelings and limitation of future perspectives. Because people with an ICD are often physically (very) ill and after multiple ICD shocks are additionally very insecure, it would seem logical if the inpatient treatment would be carried out in an institution which has close connections and is also spatially close to a cardiology department. The basis of the diagnostics is the clinical anamnesis and a systematic exploration of the trauma situation and the resulting complaints. As an additional diagnostic element psychological test procedures should be implemented to determine the core symptomatic (anxiety, depression, trauma symptoms). Psychological test procedures should be included in the diagnostics so that at the end of treatment it is obvious even to the patient which alterations have occurred. The core element of inpatient treatment is daily intensive psychotherapy and includes deep psychologically well-founded psychotherapy and behavioral therapeutic-oriented anxiety therapy as well as cognitive restructuring and elements of eye movement desensitization and reprocessing (EMDR). A follow-up examination within 4 months of the multiple shocks episode is recommended because symptoms of posttraumatic stress disorder often occur after a long latent time period.

Keywords: Acute Stress Disorder  Anxiety  ASD  Cardiology  Depression  ICD Shocks  Internal Medicine  Posttraumatic Stress Disorder  PTSD  Treatment Manual  

Accuracy Verified: Yes


85. Kiessling, R., & Kacsur, R. (2002, June). Being brief with EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
While there have been many modifications of the standard EMDR protocol to address a multitude of client issues, little has been said about integrating EMDR with Brief Therapy. Many clients seeking EMDR treatment may have a specific problem needing immediate relief, or have limited time, financial resources, or insurance benefits. This workshop is designed to help the EMDR clinician adapt brief treatment strategies to the standard EMDR approach. A belief/feeling cluster focused history taking approach is combined with a narrowly focused targeting strategy that effectively addresses identified past, present and future targets. The installation phase of treatment is extended into present and future targeting strategies. This strategy not only addresses present and future issues more rapidly, but also identifies additional blocking beliefs that may require targeting in order for the client to achieve full resolution of the presenting problem.

Keywords: Brief Therapy  

Accuracy Verified: Yes


86. Gersons, B., & Schnyder, U. (2007, November). Beyond exposure alone: Brief eclectic psychotherapy for PTSD. Presentation at the pre-meeting for Institute of the 23rd of the International Society for Traumatic Stress, Baltimore MD.

Language: English

Format: Conference

Abstract:
The efficacy of psychotherapeutic and pharmacotherapeutic approaches in the treatment of PTSD can be regarded as empirically demonstrated. Overall, effect sizes seem to be higher for psychotherapy as compared with medication. Many well-controlled trials with a mixed variety of trauma survivors have demonstrated that CBT is particularly effective in treating PTSD. More specifically, exposure therapy currently is seen as the treatment modality with the strongest evidence for its efficacy. However dropout rates from studies of CBT (including EMDR) usually are around 20 percent. Up to 58 percent of patients who completed CBT are still diagnosed with PTSD at posttreatment assessment. Furthermore, only 32-66 percent of patients included achieved good end-state functioning. There is a need to have treatment protocols based on CBT which meet more the expectations of traumatized clients. The 16-sessions Brief Eclectic Protocol (BEP) originally developed for police officers with PTSD proved to be effective in two randomized controlled trials and has been accepted in the NICE-Guidelines (2005). The second trial also showed effectivity on biological data. A trial in Zurich is still running. BEP encompasses apart from a slightly different form of exposure psychoeducation at the start (with the partner present), the use of letter writing to express angry feelings, the use of memorabilia and 12 sessions for the domain of meaning, how it changes the view on the world and on the person his or herself. It is ended with a farewell ritual. The dropout rate is lower compared to the traditional CBT. In the workshop the protocol will be presented, discussed and parts of it will be trained. www.

Keywords: Brief Eclectic Psychotherapy  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

Keywords: Socia Phobia  Performance Anxiety  

Accuracy Verified: Yes


88. 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


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

Language: English

Format: Conference

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

Keywords: Plenary  Prozac  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Practice  Theory  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Rebuilding Self  

Accuracy Verified: Yes


92. Christman, S. D., & Butler, M. (2005, November). Bilateral eye movements impair the encoding and enhance the retrieval of episodic memories. Presentation at the 46th annual meeting of the Psychonomic Society, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract: Engaging in bilateral saccadic eye movements (EMs) immediately prior to retrieval has been shown to enhance the retrieval of episodic, but not semantic, memories (Christman, Garvey, Propper, & Phaneuf, 2003; Christman, Propper, & Dion, 2004). The present study extended this paradigm by investigating the effect of EMs at encoding, as well as at retrieval. EMs prior to encoding led to a significant impairment in episodic recall ( p = .004), relative to no-EM controls. In contrast, in the absence of EMs at encoding, EMs at retrieval led to marginally better episodic recall ( p = .12). EM manipulations had no effects on tests of implicit and semantic memory. Thus, bilateral saccadic EMs impair versus enhance the encoding versus retrieval of episodic memories, respectively. Results are interpreted in terms of EM-induced increases in cholinergic activity (resulting in episodic memories being integrated into semantic networks) versus interhemispheric interaction (resulting in enhanced access to right-hemisphere–based retrieval mechanisms).

Keywords: Bilateral Stimulation  Eye Movements  

Accuracy Verified: Yes


93. Kuiken, D., Chudleigh, M., & Racher, D. (2010, December). Bilateral eye movements, attentional flexibility and metaphor comprehension: The substrate of REM dreaming?. Dreaming, 20(4), 227-247. doi:10.1037/a0020841.

Language: English

Format: Journal

Abstract:
Explanations for the effects of the rapid eye movements induced during Eye Movement Desensitization Reprocessing (EMDR; Shapiro, 2001) have drawn upon an analogy with the eye movements of REM sleep (Kuiken, Bears, Miall, and Smith, 2002). An extension of that analogy posits two orienting systems, one involving threat-fear related mnemonic contextualization and another involving loss-pain related monitoring of conflicting response alternatives. In a study involving individuals who had recently experienced significant loss or trauma, we found that experimentally induced saccadic eye movements decreased reaction times to unexpected stimuli among those reporting traumatic distress (characterized by hyperarousal and intrusive thoughts) and increased reaction times among those reporting separation distress (characterized by vivid reminiscences and the sense of a foreshortened future). Also, we found that saccadic eye movements increased the perceived strikingness of metaphoric sentence endings among those reporting amnesia for events related to either loss or trauma. The eye movements of both EMDR and REM sleep may differently affect the attentional and cognitive reorienting activity of those living with the consequences of loss or trauma. These differences may be evident in their waking reflections and in their dreams.

Keywords: Attention  Bereavement  Dreams  Eye Movements  Metaphors  REM Sleep  Trauma  

Accuracy Verified: Yes


94. van der Kolk, B. A., Hopper, J., & Spinazzola, J. (2004, November). Biological changes in arousal and cortisol following PTSD treatment. Symposium conducted (M. Olff, Chair) at the 20th annual meeting of the International Society of Traumatic Stress Studies, New Orleans, LA.

Language: English

Format: Conference

Abstract:
Effects of treatment of PTSD on psychobiological measures: It is well known that PTSD is associated with changes in several biological systems. However little research has been done on whether it is possible to “reset” these biological systems with effective psychotherapy of pharmacological therapy. This symposium will present data on neuroendocrine and neuroimaging outcome measures.
Biological changes in arousal and cortisol following PTSD treatment: This presentation will discuss the results of a controlled treatment outcome study comparing EMDR, fluoxetine and pill placebo and demonstrate how effective treatment resulted in changes in memory processes, utilizing the Traumatic Memory Inventrory. In the EMDR condition, but not fluoxetine, the change in traumatic memory towards an integrated narrative was linearly correlated with physiological arousal in response to script driven imagery. This presentation will also present the relationship between clinical improvement in the three conditions and change in the cortisol response to a dexamethasone challenge.

Keywords: Fluoxetine  Pill Placebo  Posttraumatic Stress Disorder  PSTD  Symposium  

Accuracy Verified: Yes


95. 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


96. Bush, Y. R. (1999, June). Bonding and attachment. Prescott College, AZ.

Language: English

Format: Dissertation/Thesis

Abstract:
This paper reviews the issues of major importance in the current study of bonding and attachment. Adopted children and children who have spent some of their childhood in foster care account for a disproportionate number of unattached children. A review of the history of literature relative to bonding and attachment from Freud to Bowlby and to present day experts is presented. The relatively new diagnosis of Reactive Attachment Disorder and the DSM IV diagnostic features are addressed. The treatment process, including the various accepted techniques that have been somewhat successful, is described. The newest technique, Eye Movement Desensitization and Reprocessing (EMDR), developed by Francine Shapiro, is being used to help children who have been diagnosed with Reactive Attachment Disorder. The technique is explained in this paper. Chapter six includes information regarding how to complete a family history and assessment and the outline for a more formal narrative report. This paper was written to explain bonding and attachment and its format was planned so that parts of it can be used as a teaching tool. The purpose of the paper is to gain knowledge and understanding in this field of study so that children will benefit. Assessing the level of bonding and attachment will assist the helping professional plan appropriate treatment for children and families.

Keywords: Adoption  Attachment  Bonding  Children  

Accuracy Verified: Yes


97. Leeds, A., & Mosquera, D. (2012, October). Borderline personality disorder and EMDR. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
BPD patients present difficulties with self-regulation and relating to others. The management of these difficulties is central to the treatment of BPD. Working with cases of BPD and complex trauma is intrinsically relational, often involving the need to manage moments of intense affect and affect phobias in the transference and countertransference. Understanding and having strategies for addressing these issues is essential. This workshop integrates theoretical exposition with the presentation of videos cases. The general structure of EMDR therapy in treating BPD and interventions for the preparation phase and considerations for trauma-focused EMDR work will be demonstrated and explained.

Keywords: Borderline Personality Disorder  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: MRI Brief Therapy  

Accuracy Verified: Yes


101. Kip, K. E., Sullivan, K. L., Lengacher, C. A., Rosenzweig, L., Hernandez, D. F., Kadel, R., Kozel, F. A., Shuman, A., Girling, S. A., Hardwick, M. J., & Diamond, D. M. (2013). Brief treatment of co-occurring post-traumatic stress and depressive symptoms by use of accelerated resolution therapy. Front Psychiatry, 4(11). doi: 10.3389/fpsyt.2013.00011.

Language: English

Format: Journal

Abstract:
This uncontrolled prospective cohort study evaluated the use of accelerated resolution therapy (ART) for treatment of comorbid symptoms of post-traumatic stress disorder (PTSD) and major depressive disorder. Twenty-eight adult subjects, mean age of 41years (79% female, 36% Hispanic), received a mean of 3.7±1.1 ART treatment sessions (range 1–5). ART is a new exposure-based psychotherapy that makes use of eye movements. Subjects completed a range of self-report psychological measures before and after treatment with ART including the 17-item PCL-C checklist (symptoms of PTSD) and 20-item Center for Epidemiologic Studies Depression Scale (CES-D). For the PCL-C, the pre-ART mean (±standard deviation) was 62.5 (8.8) with mean reductions of −29.6 (12.5), −30.1 (13.1), and −31.4 (14.04) at post-ART, 2-month, and 4-month follow-up, respectively (p<0.0001 for comparisons to pre-ART score). Compared to pre-ART status, this corresponded to standardized effect sizes of 2.37, 2.30, and 3.01, respectively. For the CES-D, the pre-ART mean was 35.1 (8.8) with mean reductions of −20.6 (11.0), −18.1 (11.5), and −15.6 (14.4) at post-ART, 2-month, and 4-month follow-up, respectively (p≤0.0001 compared to Pre-ART score). This corresponded to standardized effect sizes of 1.88, 1.58, and 1.09, respectively. Strong correlations were observed at 2-month and 4-month follow-up for post-treatment changes in PTSD and depression symptom scores (r=0.79, r=0.76, respectively, p≤0.0002). No serious treatment-related adverse effects were reported. In summary, ART appears to be a promising brief, safe, and effective treatment for adults with clinically significant comorbid symptoms of PTSD and depression. Future controlled and mechanistic studies with this emerging therapy are warranted, particularly given its short treatment duration, and in light of current heightened emphasis on health care cost constraints.

Keywords: Accelerated Resolution Therapy  ART  Brief Treatment  Depression  Exposure Therapy  Eye Movements  Posttraumatic Stress Disorder  Psychological Trauma  PTSD  

Accuracy Verified: Yes


102. Meignant, I., & Meignant, C. (2008, May). Buddy the dog's E.M.D.R. EMDR Humanitarian Assistance Programs.

Language: English

Format: Book

Abstract:
The Buddy's Extroadinary Momentum for Discovery and Reconciliation is made to help kids from 0 to 99 deal with the abreaction through the story of a traumatized dog. It allows us to understand the internal process which takes place during the acceptance creation of a trauma, a process caused by eye movements, as during the therapy EMDR.
It's also a magnificent tool for understanding the neuro emotional integration processing which takes place during the bilateral stimulation, for all those suffering traumatism in the broad sense of the term: simple or complex, unique or multiple, the traumatic disorders of development and generally the memories of the past staying emotionally in the present. These events of the past of which we say "it's as if, it was yesterday" which do not become memories which we consult and which do not hurt any more. This book shows an example of the internal process of EMDR which will allow Buddy the dog to become reconciled with himself and to be able to live WITH the memories and not IN the memories.

Keywords: Children  

Accuracy Verified: Yes


103. Lopacka, J., & Phoeun, B. (2010, July). Building on experience: Post-typhoon trauma EMDR work in Cambodia utilising the lessons learned from Thailand's post-tsuname programme. Symposium (Carolyn L. Neunuebel, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
On September 26th 2009 Typhoon Ketsana wrought devastation on parts of the Philippines, Vietnam and Cambodia. Mindful of the hard lessons learned running a tsunami trauma programme in Thailand in 2005/06 Jane Lopacka, an EMDR therapist and training facilitator and director of Phnom Penh Counselling Centre, led and supervised a team of Cambodian MA in Clinical Psychology students who were trained in Part 1 EMDR to provide EMDR treatment to Ketsana victims. The purpose of this paper is to demonstrate the scope, assessment methods, treatment programme, constraints, financial issues, and challenges of the programme whilst utilising the lessons learned from Thailand’s Tsunami EMDR trauma programme. The results regarding the efficacy of EMDR in a Cambodian context will be examined using pre and post treatment data. The results include a comparison of 4 months post-treatment evaluation compared to an assessment of an equivalent random number of Ketsana victims from the same and neighbouring villages who did not receive treatment (to be completed in June 2010 as the farming season dictates). This paper will also demonstrate the utilisation of the lessons learned from Thailand’s Tsunami EMDR programme in a typhoon trauma treatment programme in Cambodia. Also, this being the students’ first exposure to trauma work using EMDR, this paper will record the experiences of the students involved. By way of conclusion this paper will identify further lessons learned in Cambodia along with recommendations regarding future feasible and manageable post-trauma work with limited resources and a small budget in a Southeast context.

Keywords: Cambodia  Thailand  Tsunami  Typhoon  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Disasters  War  

Accuracy Verified: Yes


105. Shapiro, F. (2012). Can you benefit from EMDR therapy?. Psych Central. Retrieved from http://psychcentral.com/lib/2012/can-you-benefit-from-emdr-therapy/ on 4/18/2012.

Language: English

Format: Other

Abstract:
That’s where EMDR therapy can help. While EMDR cannot remove a problem caused by genetics or organic injury, the research indicates that even in these cases negative life experiences can exacerbate problems. When a person is held back from doing things he or she would like to do by feelings of insecurity, anxiety, fear, or unremitting sadness, or is pushed into doing things that are not useful — such as overreacting to people or situations — the reason can generally be found in the memory networks. Many times the problems are unprocessed memories from the past that are poisoning the present.

Keywords: General  Overview  

Accuracy Verified: Yes


106. Greenwald, R. (2007, June). Case conceptualization for EMDR therapists. Presentation at the annual meeting of EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
This workshop will present a phase model of trauma-informed treatment that is consistent with the EMDR protocol and that clearly specifies how to go step by step towards EMDR. Participants will have practice analyzing a case from the trauma perspective, developing a structured case conceptualization and explaining this to clients, developing a structure treatment plan, and applying this model to their own cases. Case conceptualization has been widely identified as a skill in need of further development within the EMDR community; and developing a shared understanding and treatment plan has been identified as among "common factors" of effective therapy. This method of teaching case conpetualization and treatment planning has been documented to lead to improved participant attitudes and behaviors towards their challenging clients.

Keywords: Case Conceptualization  

Accuracy Verified: Yes


107. Miller, P. W., McDougall, I., O'Rawe, B., & Kirk, R. T. (2007, June). A case series detailing phenomenology, EMDR protocol and clinical outcome of EMDR in severe depression with psychosis, delusional dysmorphobia and schizophrenia. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The author will by means of oral presentation of clinical case material from patients seen as outpatients; didactic teaching and 'question and answer' explore the efficacy demonstrated by EMDR in a series of patients with disorders including ‘depression, severe with psychosis'; delusional dysmorphophobia and schizophrenia.
There will be detailed description and presentation of case studies. The author will present and discuss clinical cases seen by them and another colleague where EMDR has been used in patients preventing to their facility with ‘depression, severe with psychosis;' delusional dysmorphophobia and schizophrenia.
The author will explore the phenomenology of the case material and discuss how it potentially relates, diagnostically, to the utility of EMDR in such cases. Particular mention will be made of the role EMDR had within the overall treatment plan of these cases and discussion of potential indicators that will aid appropriate targeting of cases for EMDR will be made.
A detailed description of how to apply EMDR protocol in monosymptomatic delusional disorder, including delusional dysmorphophobia will be given. This will include discussion of the use of Floatback; explore the use of affect bridge and the possible role of the unconscious or repressed material in the development of psychotic phenomena.
As patient with psychotic phenomena are often on one if not several psychoactive medications, the author will discuss the impact of EMDR on drug therapy in this group of patients with: schizophrenia, depression, severe with psychosis and delusional dysmorphophobia, illustrating the points from the case material. They will also look at the possible effect of medication on the efficacy of EMDR in this client group.

Keywords: Delusional Dysmorphobia  Depression  Personality Disorders  Phobias  Psychosis  Schizophrenia  

Accuracy Verified: Yes


108. Veenstra, S. (2009). Casus 19 – Op jacht naar het spook: Chronische fantoompijn die al 17 jaar bestaat [Case 19 – Hunting for the ghost: Chronic phantom limb pain that exists over 17 years]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 269-277). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_28.

Language: Dutch

Format: Book Section

Abstract:
Mevrouw Tiggelaar komt met haar scootmobiel mijn spreekkamer binnengereden. Ze is 66 jaar en mist haar linkerbeen. Haar rechterbeen ligt horizontaal op een steun. Ze is verwezen door haar internist omdat ze niet meer wil leven met de fantoompijn die al 17 jaar lang, elke dag, elk uur, aanwezig is.

Mrs. Tiggelaar comes into my office with her ​​scooter ridden. She is 66 years and misses her left leg. Her right leg lying horizontally on a support. She was referred by her internist because she no longer wants to live with the phantom pain for 17 years, every day, every hour, is present.

Keywords: Phantom Limb Pain  

Accuracy Verified: Yes


109. Kok, W. (2009). Casus 23 – Op leeftijd: Een 70+-dame met gestagneerde rouw en een beroerte in de voorgeschiedenis [Case 23 - Elderly: A 70 + lady with complicated mourning and a stroke in her medical history], (pp 313-318. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 313-318). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_33 .

Language: Dutch

Format: Book Section

Abstract:
Mevrouw Akersloot is een vrouw van in de zeventig. Zij werd verwezen door haar neuroloog, in verband met slaapproblemen en irrationele angsten. De klachten hielden verband met traumatische gebeurtenissen. In 2004 was zij opgenomen op de afdeling Neurologie in verband met een CVA (cerebrovasculair accident; een beroerte). Zij herstelde daar goed van en er bleken geen tekenen van een beginnende dementie aanwezig te zijn. Ook de fysiotherapeutische behandeling die zij kreeg in verband met instabiliteit bij het staan en lopen, had goed geholpen.

Ms. Akersloot is a woman in her seventies. She was referred by her neurologist, because of sleeplessness and irrational fears. The complaints were related to traumatic events. In 2004 she was included in the Department of Neurology associated with a stroke (cerebrovascular accident, a stroke). She recovered well and there were no signs of an incipient dementia present. The physiotherapy treatment they received in connection with instability when standing and walking, had good help.

Keywords: Grief  Complicated Mourning  Old Age  Elderly  Stroke  

Accuracy Verified: Yes


110. McLaughlin, D. F., McGowan, I. W., Paterson, M. C., & Miller, P. W. (2008, September). Cessation of deliberate self harm following eye movement desensitisation and reprocessing: A case report. Cases Journal, 1, 177-180. doi:10.1186/1757-1626-1-177.

Language: English

Format: Journal

Abstract:
We present a case report of an eighteen year old female patient presenting with a psychological trauma related complaint. Part of the manifestation of the complaint included acts of self cutting over a number of years. Following two sessions of Eye Movement Desensitization & Reprocessing with one of the authors (DM) her self cutting ceased. This is maintained at thirteen months follow up. We conclude that Eye Movement Desensitization & Reprocessing may be an effective treatment option in reducing repeat self harm where traumatic events are noted to be the precursor to deliberate self harm.[Author abstract]

Keywords: Self Harm  

Accuracy Verified: Yes


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

Language: English

Format: Book

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

Keywords: Pain  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Chronic Fatigue Syndrome  CFS  Peak Performance  Symposium  

Accuracy Verified: Yes


113. 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


114. Rost, C. (2008). CIPOS: Constant installation of present orientation and safety. 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.69-85). Paderborn: Junfermann.

Language: German

Format: Book Section

Keywords: CIPOS  Constant Installation of Present Orientation and Safety  

Accuracy Verified: Yes


115. Opdyke, D. C. (1995, May). Clinical efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of posttraumatic stress disorder. Georgia State University. AAT 9608510.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) has gained notoriety as a brief treatment for PTSD. In EMDR, clients repeatedly bring up traumatic events in memory and visually track stimuli moving back and forth in front of them. Previous group studies of EMDR have had methodological problems, however. The present study attempted to (1) assess EMDR's effectiveness compared to an Eye Focus treatment controlling for eye movement; (2) compare both treatments to a wait-list control; and (3) rate therapist characteristics to check experimenter bias.20 participants suffering from PTSD were randomly assigned to either EMDR or Eye Focus (EF) treatments, and immediate treatment or wait-list conditions. After two 90-minute treatment sessions, outcomes were assessed on subjective measures of anxiety (SUDs) and cognitive beliefs (VOCs). The mean SUDs pre-post differences on matched pairs t-tests indicated significant reduction of disturbance for both the EMDR group, p < .001, and the Eye Focus group, p < .001. VOC ratings showed similar treatment gains. Two-factor analyses assessed changes across groups (2 administrations x 2 treatment groups) on two standardized measures, the Impact of Event Scale (IES) and the Modified PTSD Symptom Scale (MPSS). The IES showed a main effect for treatment F (2, 18) = 16.45, p < .001, while wait-list remained unchanged F (2, 18) = 1.09, p > .05. A significant interaction F (2, 18) = 6.69, p < .05 supported treatment efficacy. EMDR and EF participants improved equally on the IES, i.e., no differences for type of treatment, F (2, 18) = 0.54, p > .05. The MPSS also showed a main effect for treatment, F (2, 18) = 6.46, p < .05, with wait-list unchanged, F (2, 18) = 0.27, p > .05. This interaction was not significant, p =.10. Further, both EMDR and EF groups demonstrated improvement on the MPSS. Results suggest that (1) EMDR and Eye Focus are both effective in reducing some self-reported PTSD symptoms; (2) EMDR and Eye Focus scores improved significantly compared to wait-list; and (3) ratings of experimenter bias suggested that the EMDR and Eye Focus participants were treated equally by the therapist. Future comparison studies should use larger samples, independent assessors, and equally-trained independent therapists. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(11-B), May 1996, pp. 6402

Keywords: Empirical Study  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


116. Landin-Romero, R., Novo, P., Santed, A., Vicens, V., McKenna, P. J., Pomarol-Clotet, E., Salgado-Pineda, P., Shapiro, F., & Amann, B. (2012, June). Clinical remission and functional modulation of the default mode network in a subsyndromal, traumatized bipolar patient after EMDR psychotherapy. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .

Language: English

Format: Conference

Abstract: Purpose of the study: Some patients with bipolar disorder do not show complete remission between episodes, but continue to exhibit subsyndromal mood symptoms [1]. One factor related may be comorbid posttraumatic stress disorder (PTSD), which has been found to be present in 16% to 39% of patients with bipolar disorder [2]. We describe the first case of an unstable bipolar II patient with history of various traumas that received Eye Movement Desensitization and Reprocessing (EMDR) psychotherapy and also underwent functional magnetic resonance imaging (fMRI) before and after the EMDR treatment to explore its effect on the brain’s neural networks.

Keywords: Bipolar Disorder  

Accuracy Verified: Yes


117. Grygo, M. (2008). A clinical trial of motivation-adaptive skills-trauma resolution (MASTR) therapy with conduct disordered adolescent boys. University of Manitoba, Winnipeg, Manitoba Canada. AAT NR35998.

Language: English

Format: Dissertation/Thesis

Abstract:
Conduct disorder and other disruptive behaviours represent the most common form of child and adolescent psychopathology referred for treatment by parents and teachers. A number of studies conducted in university research centers have demonstrated meaningful treatment gains especially with preadolescents with conduct disorder. However, studies conducted with older adolescents, especially those with comorbid disorders, as well as studies conducted in community-based clinic settings have been mostly unsuccessful. With a few exceptions, the extant treatments have not made any special effort to address effects of traumatic experiences that research has demonstrated to be very prevalent among conduct disordered children and adolescents. Motivation-Adaptive Skills-Trauma Resolution (MASTR) therapy developed by Ricky Greenwald (2002a) has shown promising results in his open trial study. MASTR is a complex treatment approach which addresses several key areas crucial in treating adolescents with conduct disorder: development/enhancement of motivation for treatment, development/enhancement of anger management and problem solving skills, and treatment of past trauma effects. The present study evaluated the effectiveness of MASTR therapy with 10 adolescent boys with conduct disorder placed in a residential treatment facility. This study combined single subject and qualitative research methodologies to offer a detailed look into the implementation and evaluation of MASTR therapy in a residential treatment centre. Foremost, this study demonstrates the formidable problems of conducting treatment research with this population in this kind of setting. Results suggested that, when it can be sufficiently implemented, MASTR therapy may be an effective treatment method producing some meaningful changes in behaviour for some severely disturbed adolescents with conduct problem. The study also demonstrated that EMDR may be an effective treatment for reducing emotional distress associated with past trauma in adolescents with conduct disorder. Factors associated with the limited success of this treatment study are identified and discussed. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International Section A: Humanities and Social Sciences. 69(1-A), 2008, pp. 109.

Keywords: Adolescent Boys  Clinical Trial  Conduct Disorder  Empirical Study  MASTR  Motivation-Adaptive Skills-Trauma Resolution Therapy  Quantitative Study  

Accuracy Verified: Yes


118. 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


119. Dworkin, M. (2009). The clinician awareness questionnaire in EMDR. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 401-408). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
Whenever an EMDR treatment session becomes problematic, consider this self-administered instrument when reflecting on this session. EMDR consultants can also use this measure in their consulting groups to assist consultees in understanding when work with clients have an impact on the clinician. The purpose of using the Clinician Awareness Questionnaire includes the following: (1) To assist in raising awareness of what may be triggering the clinician; (2) To assess what may be coming from the clinician and what may be coming from the client; and (3) To develop EMDR Relational Strategies. Different problems can arise in different phases of the protocol. Sometimes, problems for the clinician may occur in Phase 1 when a client shares information that evokes negative arousal; or Phase 2 when the client has trouble understanding the elements of preparation or wants to get going processing trauma prematurely and the clinician has a negative response; or Phase 3 when there is a problem structuring the Assessment piece. Sometimes, client information may not evoke negative arousal in the clinician until Phase 4 when the client is actively processing. Often times, the clinician's triggers are from old memories. These memories may be explicit; at other times, implicit (somatosensory). As clinicians begin to notice these moments in themselves, they may aid themselves and their clients in continuing productive processing by using the Clinician Awareness Questionnaire. The Clinican Awareness Questionnaire Script is provided. [PsycINFO Database]

Keywords: Clinician Awareness Questionnaire  Protocol  

Accuracy Verified: Yes


120. Grimmett, J. (2012). Clinician experiences with EMDR: Factors influencing attrition and retention. University of the Rockies, Colorado Springs. UMI 3517361.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated factors contributing to clinician attrition from eye movement desensitization and reprocessing therapy. The primary areas under investigation were factors contributing to attrition and retention, as well as the quest to obtain information pertaining to training experiences. A sample of 239 clinicians was purposefully obtained. Several patterns emerged within the data, highlighting the issues of attrition: Loyalty to other treatment modalities and discomfort with using EMDR, either through lack of confidence, inadequate training, or discomfort with client distress, were both correlated with clinician attrition. Treatment efficacy and ongoing consultation were remarkable for retention. Practice setting surfaced as statistically significant, and operating in private practice was positively correlated with greater participation in EMDR support activities. Additionally, the adequacy of the training format was presented, as well as how prepared the participants felt after completion of EMDR training. A number of findings were consistent with earlier studies and the converging results of loyalty to previous modalities and discomfort using EMDR gave rise to recommendations for future training and support of newly trained clinicians. The limitations of the current study were presented, in addition to directions for future research.

Keywords: Attrition  Clinician Experiences  Retention  Training  

Accuracy Verified: Yes


121. 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


122. Keane, T. (1999, November). Cognitive behavior therapy: Different approaches to different trauma populations. In R. Bryant (Chair), Symposium Intervention Research, International Society for Traumatic Stress Studies, Miami, FL .

Language: English

Format: Conference

Abstract:
This symposium presents recent findings of treatment outcome studies that have applied cognitive behavior therapy to a variety of trauma populations. Edna Foa presents data on her study that compares prolonged exposure (PE), prolonged exposure combined with cognitive restructuring (PE/CR), and a wait-list control for assault vcitims with PTSD. Initial data suggests that PE and PE/CR show comparably superior benefits in treating PTSD. Annmarie McDonagh-Coyle presents data on a major treatment study of childhood sexual abuse survivors with PTSD. This study compares CBT with Present Centered Therapy and a wait-list control condition. Initial findings point to similar improvements in CBT and PCT groups relative to controls. Claude Chemtob presents data on a community-based study of disaster-affected children who were provided with either indiviudal or group treatment that involved four sessions. At one-year follow-up, 32 children who were still symptomatic were provided with exposure-based therapy that included EMDR. Intervention resulted in symptom reduction and reduced utilization of health resources. Richard Bryant presents preliminary findings of a treatment study of acute stress disorder, which compares CBT, CBT+Hypnosis, and supportive counseling. Initial findings indicate that whereas CBT and CBT+Hypnosis are comparably more effective in preventing PTSD than supporitve counseling, hypnosis is associated with greater reductions in anxiety. As Discussant, Terry Keane integrates these diverse studies in terms of their procedural differences, conceptual overlap, and directions for more emprically based treatments of traumatic stress.

Keywords: CBT  Cognitive Behavior Therapy  Symposium  Trauma  

Accuracy Verified: Yes


123. Harvey, A.G., Bryant, R. A., & Tarrier, N. (2003, May). Cognitive behaviour therapy for posttraumatic stress disorder. Clinical Psychology Review, 23(3), 501-522. doi:10.1016/S0272-7358(03)00035-7 .

Language: English

Format: Journal

Abstract:
Following considerable empirical scrutiny, cognitive behaviour therapy (CBT) has proven to be a safe and effective treatment for posttraumatic stress disorder (PTSD). This article overviews the general principles of treatment and describes the components that comprise CBT for PTSD. We then move on to review the efficacy of CBT for the treatment of PTSD caused by various traumas, including assault, road traffic accident (RTA), combat, and terrorism. Recent advances in early intervention and in the treatment of disorders that are comorbid with PTSD are reviewed. Finally, future directions are discussed. In particular, it is proposed that randomised controlled trials (RCT) of CBT for PTSD must be conducted with enhanced methodological rigour and public health relevance. D 2003 Elsevier Science Ltd. All rights reserved.

Keywords: CBT  Cognitive Behavioral Therapy  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: CBT  Cognitive Behavior Therapy  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


126. Jayatunge, R. M. (2008). Combating tsunami disaster through EMDR. Journal of EMDR Practice and Research, 2(2), 140-145. doi:10.1891/1933-3196.2.2.140.

Language: English

Format: Journal

Abstract:
After the 2004 tsunami devastation in Sri Lanka, many citizens experienced severe psychological reactions. The effectiveness of EMDR is illustrated in the treatment of 7 of these individuals: 3 children and 2 adults with PTSD symptoms and 2 adults with depressive symptoms. After 3-8 sessions of EMDR the symptoms were eradicated and these clients were free from their depressive feelings, anxieties, intrusions, and nightmares, were able to function normally, and were able to lead productive lives. These outcomes replicate those in the research literature demonstrating that EMDR is an efficacious treatment for PTSD in general, with specific utility for disaster-related PTSD. It is recommended that future controlled studies be conducted to evaluate the effectiveness of EMDR in the immediate aftermath of disasters and to assess its effectiveness with major depressive disorder. [Author Abstract]

Keywords: Adults  Children  Disaster  Recent Events  South Asia  Sri Lanka  Tsunami  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


128. Cummings, N. A. (1999). Comment on L'Abate: Psychotherapist future shock. The Family Journal, 7(3), 221-223. doi:10.1177/1066480799073003.

Language: English

Format: Journal

Abstract:
No abstract available.

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


129. Lipke, H. (1997, November-December). Commentary on the Bates et al. report on eye-movement desensitization and reprocessing (EMDR). Journal of Anxiety Disorders, 11(6), 599-602. doi:10.1016/S0887-6185(97)00044-3.

Language: English

Format: Journal

Abstract:
In their 1996 paper, Bates, McGlynn, Montgomery, and Mattke were critical of eye-movement desensitization and reprocessing (EMDR) as an effective method of behavior therapy. The present commentary challenges the Bates et al. review of the literature, and the implementation of EMDR used in reaching their conclusions. Evidence is offered to support the clinical use of EMDR.

Keywords: Commentary  Female  Spider Phobia  

Accuracy Verified: Yes


130. Williams, K. (2006, August). A comparative experimental treatment outcome study: Female survivors of sexual assault suffering from posttraumatic stress disorder, depression, and trauma-related guilt – self-report and psychophysiological measures. Trinity Western University, Langley, British Columbia, CAN.

Language: English

Format: Dissertation/Thesis

Abstract:
Diverse psychotherapeutic approaches for treating trauma-related sequelae have emerged over the last several decades in response to the widespread prevalence of sexual assault and resultant posttraumatic stress disorder among women (PTSD). In a recent formal study (Grace, 2003), a newer treatment called one eye integration (OEI) has been shown to be effective for traumatized individuals. The purpose of this study was to build upon those findings by comparing the effectiveness of two treatments for reducing PTSD symptoms with a breathing, relaxation, autogenics, imagery, and grounding (BRAIN) control condition. Twenty-seven female rape or sexual assault survivors who met the criteria for PTSD according to the Diagnostic and Statistical Manual of Mental Disorders-Text-Revision, (DSM-IV-TR; APA, 2000) were randomly assigned to three groups: (a) a neurologically-based therapy called OEI, (b) an information processing model referred to as cognitive processing therapy-revised (CPT-R), or (c) a control condition (BRAIN), PTSD, depression, and trauma-related guilt symptoms were assessed pretreatment, posttreatment and at 3-month follow up, and qualitative electroencephalography (qEEG) brainwave patterns of two regions of the scalp (frontal and parietal) were measured pre and posttreatment. The following dependent measures were used: Clinician-Administered PTSD Scale (CAPS), Beck Depression Inventory II (BDI-II), and t he Trauma-Related Guilt Inventory (TRGI). Though there were no significant differences in PTSD symptoms between groups from pretreatment to post treatment assessments, a significant difference occurred between pretreatment and 3-month follow up, with OEI manifesting greater reductions than CPT-R or BRAIN. There were no significant differences between groups in depression, but there was a reduction in BDI-II scores over time. Reduction in guilt-related symptoms occurred on several scales and subscales for all three groups over time from pretreatment of posttreatment assessments, though not significantly by group. A significant difference was found for the Global Guilt subscale at 3-month follow up, with greater improvement for the OEI group. Preliminary results from cortical brain activity assessments indicate typical qEEG asymmetry patterns for PTSD and depression, though there were no significant group differences apart from minor post hoc analyses. Implications of these findings for clinical work and directions for future research were discussed.

Keywords: Depression  Female  Guilt  Posttraumatic Stress Disorder  PTSD  Sexual Assault  Survivors  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


132. Abyar Hosseini, A., Vaziry, S., & Lofti, F (2010, July). Comparison between combine EMDR and drug with drug only in reduction symptoms and severity of obsessive compulsive disorder. Poster presented at the 27th International Congress of Applied Psychology, Melbourne, Australia.

Language: English

Format: Conference

Abstract: This study was a comparison between the effects of combine eye movement desensitization and reprocessing (EMDR) and drug, with drug only, in the reduction of symptoms and severity obsessive compulsive disorder. Thirty patients that were assessed as suffering OCD by a psychiatrist were divided in two groups randomly (experimental and control groups). All subjects have been tested by Maudsley obsessive compulsive inventory (MOCI) and Yale-Brown obsessive-compulsive scale (Y-BOCS). The experimental group learned EMDR and across 8 weeks, when they experienced disturb thought, used EMDR without compulsive behavior. During the 8 weeks, the control group just used drugs. Results showed a significant reduction of symptoms and severity of OCD in both groups but in the experimental group, the reduction was more effective and significant. Thus, to conclude, although EMDR has been used for PTSD symptom reduction, the present study revealed that this technique is also effective for the reduction of symptoms and the severity of OCD.

Keywords: Drug Treatment  Obsessive Compilsive Disorder  OCD  Poster  

Accuracy Verified: Yes


133. Oncley, P. R. (1992). A comparison of eye movement desensitization and implosion-like therapy with adult victims of sexual abuse. Fuller Theological Seminary, Pasadena, CA. AAT 9302718.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye movement desensitization and reprocessing is a recently developed technique that has been reported in the literature to be effective in treating many of the symptoms associated with PTSD. This study investigated the role of saccadic eye movements in this technique by utilizing a multiple-baseline, across subjects design with 4 adult victims of childhood sexual abuse.Eye movement desensitization conditions (EMD) were compared to non saccadic eye movement conditions (NM) utilizing a Latin square design over one treatment session. The Structured Clinical Interview for DSM-III-R (SCID-R) and the PTSD module of the Structured Clinical Interview for DSM-III (SCID) were used for initial diagnosis and screening. Treatment effectiveness between the intervention phase and 1 week follow-up was assessed using the Impact of Event Scale (IES) and the PTSD Symptom Checklist. Skin conductance response (SCR), heart rate, and subjective units of distress (SUDS) were assessed during pretreatment, treatment, posttreatment, and follow-up phases. Results showed no significant differences across subjects among SCR, heart rate, and SUDS between the EMD and NM conditions. IES and PTSD Symptom Checklist follow-up data showed symptom improvement for 3 of the 4 subjects. One subject's intrusive symptoms worsened. All subjects displayed less physiological reactivity to the traumatic imagery at follow-up. Mechanisms that contribute to the effectiveness of EMD and recommendations for future study were discussed. [Author Abstract]

Keywords: Adults  Arousal  Child Abuse  Exposure Therapy  Posttraumatic Stress Disorder  PTSD  Rape  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


134. Alexander, R. J. (1998, September). Comparison of eye movement desensitization and reprocessing and hypnosis. Washington State University, Pullman, WA. AAT 9825908.

Language: English

Format: Dissertation/Thesis

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is being used in the treatment of numerous disorders. This research focused on EMDR and hypnosis to gain insight into whether the EMDR procedure is a hypnotic phenomenon. Ten high (SHSS:C = 10-12) and ten low hypnotizables (SHSS:C = 0-3) from a northwestern university were exposed to EMDR treatment based on Shapiro's procedure (1995). Responses to a post hypnotic suggestion given before the installation phase of EMDR were measured. Mann Whitney U results revealed a significant difference between low and high hypnotizable participants' responses suggesting that there is a hypnotic phenomenon present in EMDR. ANOVA results for Subject Units of Disturbance (SUDS) and Validity of Cognition (VOC) measures revealed significant treatment effects for both highs and lows pre- to posttreatment. Comparison of high and low hypnotizable groups on the posttreatment outcome scores of SUDS revealed that highs experienced significantly lower levels of disturbance than lows. Comparison of high and low hypnotizables on the posttreatment outcome scores of the VOC revealed no significant difference between groups. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(3-B), Sep 1998, pp. 1357.

Keywords: Hypnosis  Empirical Study  Psychotherapeutic Techniques  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


136. de Keijser, J., Denderen, M., & Verster-Bosman, M. (2013, April). Complicated grief and PTSD after murder, etiology and treatment: Research into treatment with EMDR and CBT in relatives of murder [Complexe rouw en PTSS na moord, etiologie en behandeling: Onderzoek naar behandeling met EMDR en CGT bij nabestaanden van moord]. Presentatie op het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Directe nabestaanden van slachtoffers van moord krijgen vaak te maken met een PTSS en gecompliceerde rouw. De Rijksuniversiteit Groningen is, met medefinanciering door het Fonds Slachtofferhulp, een onderzoek gestart naar de vraag of professionele hulp effectief is.
Het onderzoek kent twee doelstellingen: In hoeverre draagt een behandeling bestaande uit EMDR en CGT voor familieleden en partners van een vermoord persoon bij aan het verminderen van symptomen van gecompliceerde rouw. Daarnaast hoopt het onderzoek inzicht te krijgen in de mate waarin het effect van de behandeling met EMDR en CGT gemedieerd wordt door een afname van intrusies, vermijdingsgedrag, extreme woede en disfunctionele cognities. In de presentatie komen drie sprekers aan het woord: - Jos de Keijser, klinisch psycholoog/psychotherapeut en projectleider van het onderzoek, zal een theoretisch kader schetsen over gecompliceerde rouw en PTSS bij nabestaanden na moord, inclusief implicaties voor de praktijk. - Mariette van Denderen, criminologe en promovendus, zal de resultaten van de behandelingen met EMDR en CGT tot nu (dan) toe presenteren. - Moniek Verster, een van de behandelaren in het onderzoek, zal over de praktijk van het toepassen van EMDR en CGT bij nabestaanden van moord vertellen. Casuďstiek komt aan bod, indien mogelijk met gebruikmaking van videofragmenten.

Immediate relatives of murder victims often have to deal with PTSD and complicated grief. The University of Groningen, with co-financing by the Fund Victim, launched an investigation into whether professional help is effective. The study has two objectives: To what extent does a treatment consisting of EMDR and CBT for family members and partners of a murdered person to reducing symptoms of complicated grief. Additionally this study aims to understand the extent to which the effect of the treatment with EMDR and CBT is mediated by a decrease of intrusions, avoidance behavior, extreme anger and dysfunctional cognitions. During the presentation, three speakers to talk: - Jos de Keijser, clinical psychologist / psychotherapist and leader of the research, a theoretical framework sketches about complicated grief and PTSD in survivors after murder, including implications for practice. - Mariette of Denderen, criminologist and researcher, the results of the treatment with EMDR and CBT until now (then) to present. - Moniek Verster, one of the practitioners in the study, will the practice of using EMDR and CBT in relatives of murder tell. Casuistry is discussed, where possible using video clips.

Keywords: CBT  Cognitive Behavior Therapy  Complicated Grief  Murder  Posttraumatic Stress Disorder  PTSD  Violence  

Accuracy Verified: Yes


137. Settle, C. (2009, June). Concrete methods to elicit past, present, and future targets for EMDR with children. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Children  Targeting  

Accuracy Verified: Yes


138. Staff. (2000, September 2). Confronting the past. London, England: The Times, Features.

Language: English

Format: Newspaper

Abstract:
From Dr Aulakh It may be that Andrew Ravensdale has had enough of "therapy" (The Last Taboo, August 19). However, he might be interested to learn about EMDR - Eye Movement Desensitisation and Reprocessing, first discovered by Francine Shapiro. It is a method for treating post-traumatic stress disorder (PTSD), specifically dealing with early childhood as it is known to affect the present, and also with flashbacks.

Keywords: General  Overview  

Accuracy Verified: Yes


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

Language: French

Format: Dissertation/Thesis

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

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

Keywords: Domestic Violence  

Accuracy Verified: Yes


140. Maxfield, L. (2008). Considering mechanisms of action in EMDR. Journal of EMDR Practice and Research, 2(4), 234-238. doi:10.1891/1933-3196.2.4.234.

Language: English

Format: Journal

Abstract:
This special issue of the Journal of EMDR Practice and Research contains a number of articles that address preliminary issues related to these complex questions. There are two research studies: a study investigating the physiological effects of EM (Sack et al.) and a study evaluating the effect of EM on the components of autobiographical memory (Maxfi eld et al.) . There are several articles by researchers who have summarized their fi ndings and provided a theoretical perspective on related issues (Lee; Propper & Christman; Sondergaard & Elofsson; Stickgold). Two theoretical articles propose neurobiological and other mechanisms of action (Bergmann; Solomon & Shapiro ). All these articles make a real contribution to our conceptualizations of EMDR mechanisms. It is our hope and intention that this issue will stimulate thinking, and provide ideas and models for future research, with the expectation that fi ndings will help to guide and direct clinical practice. (Excerpt)

Keywords: Editorial  Mechanism of Action  

Accuracy Verified: Yes


141. Forgash, C. (2009). Constructive avoidance of present day situations: Techniques for managing critical life issues. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 291-296). New York, NY: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Protocol  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes


143. Carrigan, M., & Levis, D. (1999, January-April). The contributions of eye movements to the efficiacy of brief exposure treatment for reducing fear of public speaking. Journal of Anxiety Disorders, 13(1-2), 101-118. doi:10.1016/S0887-6185(98)00042-5.

Language: English

Format: Journal

Abstract:
The present study was designed to isolate the effects of the eye-movement component of the Eye Movement Desensitization and Reprocessing (EMDR) procedure in the treatment of fear of public speaking. Seventy-one undergraduate psychology students who responded in a fearful manner on the Fear Survey Schedule II and on a standardized, self-report measure of public speaking anxiety (Personal Report of Confidence as a Speaker; PRCS) were randomly assigned to one of four groups in a 2 × 2 factorial design. The two independent variables assessed were treatment condition (imagery plus eye movements vs. imagery alone) and type of imagery (fear-relevant vs. relaxing). Dependent variables assessed were self-reported and physiological anxiety during exposure and behavioral indices of anxiety while giving a speech. Although process measures indicated exposure to fear-relevant imagery increased anxiety during the procedure, no significant differences among groups were found on any of the outcome measures, except that participants who received eye movements were less likely to give a speech posttreatment than participants who did not receive eye movements. Addition of the eye movements to the experimental procedure did not result in enhancement of fear reduction. It was concluded, consistent with the results of past research, that previously reported positive effects of the EMDR procedure may be largely due to exposure to conditioned stimuli (ScienceDirect).

Keywords: Americans  College Students  Empirical Study  Experimental Stressors  Females  Phobia  Psychophysiology  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


144. 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


145. Heijmans, S. (2008, Januari). Controversie rondom EMDR, Een literatuuronderzoek naar de effectiviteit van EMDR [Controversy surrounding EMDR, a literature review on the effectiveness of EMDR]. Universiteit van Tilburg, Netherlands.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Over de effectiviteit van EMDR bestaat veel controversie. Deze thesis bevat een kritisch overzicht van de literatuur met betrekking tot de effectiviteit van EMDR. Er wordt gekeken naar de procedure die EMDR handhaaft en er worden mogelijke verklaringen gegeven voor de werking van EMDR. Vervolgens wordt de effectiviteit van EMDR onderzocht bij verschillende soorten aandoeningen en vergeleken met andere behandelingsvormen. Onderzoek laat zien dat EMDR effectief is bij de behandeling van PTSS. Ook bij fobieën is EMDR gedeeltelijk effectief. Hier wordt echter voornamelijk een afname geconstateerd op cognitief niveau en niet gedragsmatig. In vergelijking met cognitieve gedragstherapie lijkt EMDR evenredig effectief te zijn. Wanneer EMDR echter vergeleken wordt met exposure therapieën is het niet geheel duidelijk welke behandelingsvorm het meest effectief is. Exposure therapie is effectiever in de afname van herbeleving en vermijdingsgedrag, maar EMDR gaat efficiënter te werk. In de discussie worden vervolgens aanbevelingen gegeven voor toekomstig onderzoek.

There is a lot of controversy about the effectiveness of EMDR. This thesis consists of a critical overview of the literature concerning the effectiveness of EMDR. First this thesis will look at the procedure that EMDR maintains and possible explanations for how EMDR works will be given. Next the effectiveness of EMDR will be researched to see if it differs between the different diseases. EMDR will also be compared to other treatments. Research shows that EMDR is an effective treatment when treating PTSD. When treating phobias, EMDR is partly effective. The effectiveness here is mainly a decrease on a cognitive level and not a behavioural one. In comparison to CBT EMDR seems to be equally effective. But when we compare EMDR to exposure treatment it is not fully clear which treatment is the most effective. Exposure therapy is more effective when it comes to a decrease in reliving and avoidance, but EMDR has a greater efficiency. At last there will be given recommendations for future research.

Keywords: Literature Review  

Accuracy Verified: Yes


146. Medema, M. L. (2012). Coping styles in the treatment of traumatized refugees. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Which approach is most beneficial is yet unclear and Basoglu (2006) critiques this lack of progress in the field and pleas for empirically driven interventions on PTSD. To address this issue, Ter Heide is currently conducting a randomized trial to compare the efficacy of EMDR and stabilisation in a sample of of traumatized refugees and asylum seekers (hereafter the term refugees refers to both refugees and asylum seekers). The feasibility and acceptability of such a trial was demonstrated in a pilot study (Ter Heide, Mooren, Kleijn, De Jongh, & Kleber, 2011). To further counseling theory, research and practice, it should however also be examined “when” and “for whom” PTSD treatments are effective and therefore we should engage in research on moderators (Frazier, Tix & Barron; 2004). Hence, the present study examines the role ofcoping styles as possible moderators in EMDR and stabilistation treatment of traumatized refugees. This study attempts to add empirical value to the theoretical framework on the treatment of PTSD in refugees and this may also have clinical implications as to which treatment is more beneficial for which patients.

Keywords: Asylum Seekers  Coping Styles  Posttraumatic Stress Disorder  PTSD  Quality of Life  Refugees  Stabilisation  Treatment Outcome  

Accuracy Verified: Yes


147. Joseph, S. A. (2002, May). Counterpoint:  Emperor's new clothes?. The Psychologist, 15(5), 242-243.

Language: English

Format: Magazine

Abstract:
Argues that present-day scientific knowledge is inadequate to warrant the existence of a fully developed therapeutic approach based on eye movements or any other dual-attention task. A comment on: Francine Shapiro and Louise Maxfield, "In the blink of an eye," Psychologist 15(3): 120-124 (March 2002. [Pilots]

Keywords: Posttraumatic Stress Disorder  Professional Criticism  PTSD  Treatment  

Accuracy Verified: Yes


148. 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.

Keywords: Practice  Theory  

Accuracy Verified: Yes


149. Zangwill, W. M. (2005). Creating a future template. Author.

Language: English

Format: Publication

Keywords: Future Template  

Accuracy Verified: Yes


150. Gomez, A. M. (2007, September). Creative ways of administering the EMDR protocol with children. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
This workshop will provide a comprehensive body of knowledge and advanced techniques so EMDR clinicians can effectively implement the EMDR protocol with children. Participants will learn strategies to make children acquainted with the different components of the EMDR protocol, as well as the use of sand tray techniques to assist children during the EMDR assessment and desensitization phases. Special attention will be placed on how and when to use the cognitive interweave with children. Different types of cognitive interweaves that are more suitable for children will be presented. Additionally, this workshop will address how to work on the future template with children using play therapy and creative strategies.

Keywords: Children  

Accuracy Verified: Yes


151. Greenwald, R. (1999, June). A crisis response approach for suicidal teens. Poster presented at the annual meeting of the EMDR International Association, Las Vegas, NV.

Language: English

Format: Conference

Abstract:
In my current position as a clinical psychologist based on a hlgh school campus, I often have occasion to meet with adolescents who are suicidal, some having recently made suicidal gestures. Despite the complexity and variety of presenting issues, there is a set of more or less standardized steps to follow to ensure safety as well as appropriate follow-up. In this paper I present a case to illustrate how I have integrated EMDR. This approach to teen suicidality uses several elements of the motivation - anger - trauma therapy (MATT) approach for teens with conduct disorder, which has been described in detail elsewhere (Greenwald 1998, 1999, in press). In addition to the standard crisis interventions - letting the client talk out the problem, contracting for safety, implementing supports and restrictions as needed, and arranging follow-up - I have been using EMDR in various ways to enhance present safety as well as subsequent resiliency. For example: the Choices Have Consequences intervention (cited above, described below) helps the client to realize that self-harm leads to a poor outcome despite its initial appeal; the standard use of EMDR can help to reduce vulnerability to the type of stressor which led to the current crisis; and the Future Movies intervention (also cited above and described below) helps to create a more hopeful long-term perspective while enhancing coping skills.

Keywords: Adolescents  Poster  Suicide  Teens  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Posttraumatic Stress Disorder  Prevention  PTSD  Risk  Trauma  

Accuracy Verified: Yes


153. Spates, C. R., Waller, S., & Koch, E. I. (2000, Summer). A critique of Lohr et al's (1998) review of EMDR and Lipke's commentary: Of messages and messengers. the Behavior Therapist, 23(7), 148-154.

Language: English

Format: Newsletter

Abstract:
Our goals are as follows: (a) to propose what we believe is a reasonable context within which to evaluate data pertinent to EMDR; (b) to examine how the evidence fits within an evaluation of the more general treatment outcome literature on PTSD; (c) to suggest a constructive direction for future research. [Adapted from Text, p. 148] A comment on: Jeffrey M. Lohr, David F. Tolin, and Scott O. Lilienfeld, "Efficacy of eye movement desensitization and reprocessing: implications for behavior therapy", Behavior Therapy 29(1): 123-156 (Winter 1998) [20817] and Howard J. Lipke, "Comments on 'Thirty years of behavior therapy..." and the promise of the application of scientific principles", Behavior Therapist 22: 11-14 (1999).

Keywords: Methodology  Posttraumatic Stress Disorder  Professional Criticism  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes


154. Hornsfeld, H. (2005, June). Cue exposure and EMDR, a new protocol description of procedure and demonstration of clinical application in the treatment of binge eating. In EMDR and eating disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

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

Keywords: Cue Exposure  Eating Disorders  Symposium  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Binge Eating  Cue Exposure  Treatment  

Accuracy Verified: Yes


156. Renner, W., Banninger-Huber, E., & Peltzer, K. (2011). Culture-sensitive and resource oriented peer (CROP) - Groups as a community based intervention for trauma survivors: A randomized controlled pilot study with refugees and asylum seekers from Chechnya. Australasian Journal of Disaster and Trauma Studies, 2011-1, 1-13.

Language: English

Format: Journal

Abstract:
Asylum seekers and refugees frequently suffer from post-traumatic stress and culturally sensitive methods towards reducing symptoms should be taken into account. The aim of the work reported here was to examine the effectiveness of Culture-Sensitive and Resource Oriented Peer (CROP) - Groups for Chechen asylum seekers and refugees towards reducing post-traumatic symptoms, anxiety, and depression. Some ninety-four participants were randomly assigned to 15 sessions of CROP - or Cognitive Behavior Therapy (CBT) - Groups, to 3 single sessions of Eye Movement Desensitization and Reprocessing (EMDR), or to a Wait-List (WL). The results indicated that CROP was significantly superior to WL, and was equally effective as CBT in reducing post-traumatic symptoms, anxiety, and depression. Improvements still were present at three and six month follow-up occasions. EMDR yielded negative results. According to this pilot study, CROP-Groups pose a promising, culturally sensitive alternative to psychotherapy with Chechen migrants.

Keywords: Asylum Seekers  Chechnya  Community-Based Intervention  CROP  Culture-Sensitive and Resource Oriented Peer  Pakistan  Pilot Study  Psychological Trauma  Randomized Control Trial  RCT  Refugees  Survivor  Trauma  Treatment Center  Treatment Response  Violent Situation in Pakistan  

Accuracy Verified: Yes


157. Luber, M. (2009). Current anxiety and behavior. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 133-141). New York, NY: Springer Publishing Co.

Language: English

Format: Conference

Abstract:
This protocol is for clients with anxieties not related to major trauma. The focus here is the Standard EMDR Protocol. This is a summary of the Current Anxiety and Behavior Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). For current anxiety and behavior problems, the Standard EMDR Protocol should be applied to the following targets (assuming they are available): Past memories; Present triggers; and a Future template. The Current Anxiety and Behavior Protocol Script is provided. [PsycINFO Database]

Keywords: Current Anxiety  Protocol  

Accuracy Verified: Yes


158. Maxfield, L. (2007). Current status and future directions for EMDR research. Journal of EMDR Practice and Research, 1(1), 6-14. doi:10.1891/1933-3196.1.1.6.

Language: English

Format: Journal

Abstract:
This review provides the groundwork for a basic understanding of articles written about eye movement desensitization and reprocessing (EMDR), including a brief overview of theory and practice. It documents EMDR's established efficacy in the treatment of PTSD and specifies specific subsets of this population in need of further investigation. The article also provides a review of recent studies evaluating a range of EMDR's clinical applications and outlines new directions for research investigations and for developments in clinical practice. It concludes with an overview of current research evaluating pre- and post-neurobiological changes, and mechanisms of action. Specific recommendations for future areas of investigations are outlined, and rigorous evaluation is strongly encouraged. [Author Abstract]

Keywords: Efficacy  Information Processing  Literature Review  Mechanism of Action  Research Needs  Review  Treatment Effectiveness  

Accuracy Verified: Yes


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

Language: Italian

Format: Conference

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

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

Keywords: Practrice  Theory  

Accuracy Verified: Yes


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

Language: Italian

Format: Conference

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

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

Keywords: Autism  Cancer  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


161. Leenarts, L. E. W., Doreleijers, Th. A. H., Lindauer, R. J. L., Lodewijks, H. P. B., & Vermeiren, R. R. J. M. (2011, April). De effectiviteit van een traumabehandeling bij getraumatiseerde meisjes in gesloten jeugdinstellingen [The effectiveness of trauma treatment in traumatized girls in closed juvenile institutions]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam .

Language: Dutch

Format: Conference

Abstract:
Achtergrond: Uit onderzoek blijkt dat in jeugdzorginstellingen geplaatste meisjes vaak getraumatiseerd zijn en mede hierdoor ernstige problemen vertonen in het verdere leven. Onderzoek (Hamerlynck 2008) toont aan dat 85% van de meisjes een of meer trauma’s heeft meegemaakt en dat dit gerelateerd is aan zowel openlijke als heimelijke agressie. Hieruit blijkt de noodzaak om meisjes in jeugdzorginstellingen bij opname te onderzoeken op trauma en agressie, ze te behandelen en om traumabehandelingen te onderzoeken op hun effectiviteit en op de gevolgen op lange termijn. Doel: Het doel van het huidige onderzoek is de effecten vast te stellen van een traumabehandeling bij meisjes die in een jeugdzorg-plusinstelling geplaatst zijn. De behandeling die geëvalueerd wordt, is een stabilisatiefase (met als doel het reduceren van traumagerelateerde klachten) aangevuld met eye movement desensitisation and reprocessing (emdr). Methoden: Gebruik wordt gemaakt van een quasi-experimenteel onderzoeksdesign. De experimentele groep bestaat uit meisjes die hebben deelgenomen aan de stabilisatiefase gevolgd door emdr. De controlegroep bestaat uit meisjes die treatment as usual (tau) ontvangen. Verschillende meetmomenten zullen plaatsvinden. De Childhood Trauma Questionnaire ( ctq) wordt gebruikt om traumageschiedenis te onderzoeken en de Trauma Symptom Checklist for Children (tscc) wordt gebruikt om traumaklachten te bevragen. Resultaten: Tijdens het Voorjaarscongres zullen de eerste resultaten bekend zijn en gepresenteerd worden. Conclusie: Op basis van literatuur kan verondersteld worden dat een geprotocolleerde stabilisatiefase gevolgd door emdr effectiever is in de reductie van traumagerelateerde klachten dan tau bij meisjes in gesloten jeugdzorginstellingen.

Background: Research shows that girls are often placed in youth welfare institutions traumatized and because of this serious exhibit problems later in life. Research (Hamerlynck 2008) shows that 85% of the one or more girls experienced trauma and that this is related to both overt and covert aggression. This highlights the need to girls in child welfare institutions in recording research on trauma and aggression, treat them and trauma treatments to investigate their effectiveness and the long-term consequences. Purpose: The aim of the present study to determine the effects of trauma treatment girls in a youth-plus set placed. The treatment evaluated, a stabilization phase (with the aim of reducing trauma-related symptoms) supplemented with Eye Movement Desensitisation and reprocessing (EMDR). Methods: Use is made of a quasi-experimental research design. The experimental group consists of girls who have participated in the stabilization phase followed by EMDR. The control group consists of girls that treatment as usual (TAU) received. Various measurement points will occur. The Childhood Trauma Questionnaire (CTQ) is used to examine trauma history and the Trauma Symptom Checklist for Children (TSCC) is used to search for trauma symptoms. Results: During the Spring Congress the first results are known and presented. Conclusion: Based on literature can believed that food allergies stabilization phase followed by EMDR is more effective in reducing trauma-related symptoms than tau girls in secure youth institutions.

Keywords: Girls  Juvenile Insitutions  Trauma  

Accuracy Verified: Yes


162. 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


163. Rassin, E., Muris, P., & Merckelbach, H. (1996). De pijndempende werking van eye movement desensitization and reprocessing (EMDR) is beperkt [The pain attenuation of EMDR is limited]. Directieve Therapie, 16(3), 274-284. doi:10.1007/BF03060149 .

Language: Dutch

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) werd in 1989 door Shapiro geďntroduceerd als een therapeutische techniek voor Posttraumatische stress–stoornis (PTSS). Sindsdien hebben diverse EMDR–;therapeuten geopperd dat deze interventie ook toepasbaar is bij andere trauma–gerelateerde klachten. In een studie van Hekmat, Groth en Rogers (1994) is geclaimd dat EMDR effectief is bij de behandeling van pijn. In het onderhavige onderzoek is deze claim verder onderzocht. Daartoe werden 45 gezonde vrijwilligers onderworpen aan 8 elektrische prikkels. De proefpersonen werden verdeeld over 3 groepen: een groep die behandeld werd met EMDR, een groep die ter afleiding van de prikkels naar een cartoon keek, en een controlegroep waarbij geen verdere interventie werd uitgevoerd. Zowel fysiologische als subjectieve reacties op de pijnprikkels werden geregistreerd. Op geen enkele effectmaat werden verschillen tussen de drie groepen gevonden. In de discussie wordt dit resultaat in een breder perspectief geplaatst.

Eye Movement Desensitization and Reprocessing (EMDR) was introduced by Shapiro in 1989 as a therapeutic technique for posttraumatic stress disorder (PTSD). Since then several EMDR, therapists suggested that this intervention is also applicable to other trauma-related symptoms. In a study by Hekmat, Groth and Rogers (1994) has claimed that EMDR is effective in treating pain. In the present study further investigated this claim. For this purpose, 45 healthy volunteers subjected to 8 electrical stimuli. The subjects were divided into 3 groups: one group treated with EMDR, a group that as a distraction from the stimuli to a cartoon look, and a control group with no further intervention was performed. Both physiological and subjective responses to pain stimuli were recorded. In no effect size differences were found between the three groups. In the discussion, this results in a wider perspective.

Keywords: Pain Attenuation  

Accuracy Verified: Yes


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

Language: Dutch

Format: Conference

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

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

Keywords: Practice  Theory  

Accuracy Verified: Yes


165. Rijken, T. A. (2012). De werkzaamheid van eye movement desensitization and reprocessing (EMDR): Ondersteuning voor een afleidingstheorie [The efficacy of eye movement desensitization and reprocessing (EMDR): Support for a theoretical derivation]. Universiteit Utrecht, Utrecht, Netherlands.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
De eye movement desensitization and reprocessing (EMDR) interventie wordt veelvoudig gebruikt in de gezondheidszorg en is een van de meest onderzochte interventies voor posttraumatische stress-stoornis. De populariteit van deze interventie kan mede worden toegeschreven aan de aangetoonde werkzaamheid van EMDR voor het verminderen van traumasymptomen. EMDR is een behandeling die bedoeld is om de helderheid en aversiviteit van traumaherinneringen te verminderen. Tijdens de interventie staat het ophalen van traumatische herinneringen en tegelijkertijd het maken van oogbewegingen centraal. De laatste jaren zijn labstudies toegepast om te achterhalen hoe EMDR precies werkt. Uit deze studies blijkt dat de belasting van het werkgeheugen door een duale taak een belangrijk component van EMDR is. Het werkgeheugen heeft namelijk een beperkte capaciteit. Dit zorgt ervoor dat er minder capaciteit beschikbaar is voor de traumatische herinnering wanneer deze tijdens de behandeling wordt belast met een taak (bv. oogbewegingen). De werkgeheugentheorie is bruikbaar, maar er is wellicht een simpelere verklaring voor de werkzaamheid van EMDR: afleiding. Het is praktisch te weten hoe EMDR werkt zodat er meer duidelijkheid ontstaat over hoe EMDR precies moet worden toegepast. Daarnaast is het begrip van de werking van EMDR belangrijk voor het vaststellen van eventuele bruikbaarheid bij meerdere stoornissen. Het doel van huidig experiment is het kritisch onderzoeken of er een verschil is tussen het ophalen van een negatieve herinnering met een visuele afleidingstaak en het ophalen van een negatieve herinnering met het maken van oogbewegingen op de mate van levendigheid en emotionaliteit. Daarnaast dient het onderzoek als replicatie van Kavanagh et al. (2001) die hetzelfde beoogde te onderzoeken, maar geen rekening hield met de cognitieve belasting van de taken. Uit de resultaten van het huidige onderzoek blijkt dat de oogbewegingstaak en de visuele afleidingstaak verschillen in de mate van vertraging op de reactietijdtaak. De oogbewegingen leiden tot een grotere vertraging. Desondanks laten de resultaten van het experiment zien dat tijdens het toepassen van de interventies de visuele ruis tot grotere reductie van zowel levendigheid als emotionaliteit leidt in vergelijking met de oogbewegingen en het niets doen. Oogbewegingen laten intermediaire resultaten zien. Het lijkt er op dat de resultaten in strijd zijn met de gangbare werkgeheugentheorie en de ‘afleidingstheorie’ ondersteunen als verklaring voor de werkzaamheid van EMDR. Het is wellicht afleiding dat voldoende zou kunnen zijn om de werkzaamheid van EMDR te bewerkstelligen. Meer onderzoek is nodig om deze resultaten te ondersteunen.

The Eye Movement Desensitization and Reprocessing (EMDR) intervention is multiple used in health care and is one of the most studied treatments for posttraumatic stress disorder. The popularity of this intervention may also be attributed to the demonstrated efficacy of EMDR for reducing trauma symptoms. EMDR is a treatment designed to reduce the brightness and aversiviteit memories of trauma reduction. During the intervention is retrieving traumatic memories while making eye movements centrally. In recent years labstudies used to determine how EMDR works. These studies show that the load on working memory by a dual task is an important component of EMDR. The memory has a limited capacity ie. This ensures that there is less capacity available for the traumatic memory during treatment when it is subjected to a task (eg eye movements). The working memory theory is useful, but there may be a simpler explanation for the efficacy of EMDR: distraction. It is practical to know how EMDR works so that more clarity about exactly how EMDR should be applied. In addition, the concept of the operation of EMDR important for determining the potential usefulness in multiple disorders. The purpose of the present experiment is to critically examine whether there is a difference between getting a negative memory with a visual distraction task and retrieval of a negative memory making eye movements on the degree of vividness and emotionality. Research must also as a replication of Kavanagh et al (2001) that the same was intended to investigate, but took no account of the cognitive load of the tasks. The results of the present study show that the oogbewegingstaak and visual distraction task differences in the extent of delayed response task. The eye movements lead to a longer delay. Nevertheless, the results of the experiment show that while applying the intervention visual noise to greater reduction in both vividness and emotionality results in comparison with the eye movements and do nothing. Eye movements show intermediate results. It seems that the results are contrary to the usual working memory theory and the "distraction theory 'support as an explanation for the efficacy of EMDR. It might distractions that may be sufficient to establish the efficacy of EMDR to achieve. More research is needed to support these results.

Keywords: Theory Derivation  Working Memory Theory  

Accuracy Verified: Yes


166. Worthington, R. (2012, April). Dealing with trauma as an intervention for aggression: A review of approaches and the value of reprocessing. Journal of Aggression, Conflict and Peace Research, 4(2), 108-118. doi:10.1108/17596591211208319.

Language: English

Format: Journal

Abstract:
The purpose of this paper is to explore the impact of trauma with specific consideration to the neurological impact this has on information processing and potential links with aggression. Design/methodology/approach - This paper provides a summary of the literature in relation to theories of aggression and trauma. The paper considers how the two may interact and overlap and considers a theoretical rationale for why addressing trauma through a treatment such as Eye Movement Desensitization Reprocessing (EMDR) may assist to reduce aggression. Findings - The paper argues that the experience of trauma may contribute to inputs which may take a person closer towards engaging in aggression. This is consistent with information processing models and unified models of aggression such as the General Aggression Model. Factors that were specifically identified included physiological hyper-arousal, hostile attributions of stimulus, and neurological impairments. In addition, the paper also argued that there is evidence that as a result of trauma, a person's ability to provide cognitive accounts for the function of their behaviour may also be impaired because of the reduced interactivity between the two prefrontal hemispheres. Research limitations/implications - The paper argues that as a result, interventions designed to reduce aggression may benefit from including additional elements which directly assist clients to process emotional information and that a reprocessing treatment such as EMDR could assist to reduce levels of emotional arousal and improve treatment effectiveness. Differences in the way in which EMDR is carried out and the variances in treatment protocols used should be attended to increase the reliability of future research. Originality/value - Current modes of aggression therapy have focused on exposure based and cognitive behavioural therapy (CBT). However, there is evidence that EMDR has benefits over exposure and CBT approaches because of the way in which cognitive verbal accounts of the trauma are not required and because EMDR does not require the individual to have insight into their trauma experience and the link with aggression.

Keywords: Aggression  Trauma  Treatment  

Accuracy Verified: Yes


167. McCammon, S. L., & Allison, E. J. (1995). Debriefing and treating emergency workers. In C. R. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 115-130). New York: Brunner/Mazel.

Language: English

Format: Book Section

Abstract:
Chapter 6 emphasizes the importance of promoting trauma resolution and healthy coping strategies in emergency workers. Strategies that can be implemented before, during, and after a traumatic event are summarized. Pretrauma interventions include the use of a stress audit, training regarding stress and its management, and policy development.During a traumatic event, interventions include orientation to the trauma site, on-scene support, demobilization, and debriefing. Common elements among the several debriefing models described include the structuring of opportunities to review the events of the traumatic situation and to ventilate feelings, the learning of skills for integrating and mastering the event, and obtaining assistance in identifying, enlisting, and accepting help from one's support system. Post-trauma activities include individual follow-up sessions, the use of experimental procedures such as eye movement desensitization and reprocessing, and attention to anniversaries of traumatic events. A decade of anecdotal reports testifies to the effectiveness of debriefing and provides helpful insights into working with emergency responders. Currently, research efforts are under way to assess systematically the impact of debriefing. Future research should address the mediating effect of emergency workers' coping behaviors and cognitions. [Introduction, p. xix]

Keywords: Adults  Critical Incidence Stress  Debriefing  CISD  Education  Medical Personnel  Prevention  Emergency Personnel  Self-Help Techniques  Vicarious Traumatization  

Accuracy Verified: Yes


168. Errebo, N. (2010, July). A decade of EMDR humanitarian trainings in Asia. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
In 1999, EMDR Humanitarian Assistance Programs (HAP) began its work in Asia in Bangladesh. Since then HAP teams have trained clinicians in India, Indonesia, China, Thailand, Sri Lanka. This presentation will summarize what has been learned from ten years of experience in Asia. The EMDR HAP training in Sri Lanka following the 2004 tsunami will be presented in detail. Issues addressed will include needs assessment, organization, collaboration among organizations, ethics, cultural competence ,and program evaluation. Videotapes will show training and sessions of trainees with tsunami survivors. The presentation will show how to train participants to think, write, and speak about EMDR as well as how to competently and ethically utilize EMDR with clients. An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs (HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The crucial steps in establishing and implementing this training program are explained, with a summary of the subjective impressions and learning experiences most valued by the training team, including an excerpt from a trainer’s journal. This information may be useful to future cross-cultural humanitarian efforts following large-scale disasters. This article summarizes the crucial steps in establishing and carrying out this training program as well. Previous HAP programs in Bangladesh and Turkey (Konuk et al., 2006) had led to the development of a model of therapist training and service delivery following large-scale natural disasters. Great need for mental health treatment in developing countries following a disaster and the even greater challenge of delivering effective, culturally competent mental health treatment in these situations. Silove and Bryant (2006) praised the rapid needs assessment after the tsunami as an important advancement in psychiatric epidemiology that demonstrated the value of such assessment in guiding mental health interventions after disasters.They pointed out that the controversy over whether to offer psychological treatment after disasters confuses funding agencies and those planning mental health programs after disasters. Their concerns were echoed in Raphael and Stevens’s (2006) delineation of the emerging consensus about good mental health practice after disasters in an article that was not a part of the Bangkok symposium. IRT directors, EMDR-HAP staff, and SRILNAC leaders discussed crucial political, ethical, economic, and logistical decisions in conference calls and e-mails. They outlined a program that would be responsive to the culture and needs of Sri Lanka, would provide world-class EMDR training and consultation, and would follow International Society for Traumatic Stress Studies (ISTSS) guidelines for mental health programs in post disaster situations (Weine et al., 2002). Following the funding mandate of IRT, the HAP team took responsibility for ensuring that services would in fact be delivered to tsunami survivors and that those services would be clinically effective. Therefore, requirements for continuing participation were quite specific, and trainees were more thoroughly evaluated than in previous HAP projects. These 30 counselors treated more than 1,350 tsunami survivors with EMDR between March and December 2005 and submitted outcome reports on these sessions that show marked improvement in PTSD symptoms. We know from e-mail contact that a number of participants continue to use EMDR effectively. As mentioned Important elements of the HAP training program in Sri Lanka included (a) adequate funding, (b) selection of trainees, (c) negotiation of objectives among HAP,IRT, and SRILNAC, (d) the pre-EMDR training in traumatology, (e) the consultation between trainings,(f ) the requirements for ongoing participation in the training, (g) a variety of measures of competence in EMDR, (h) the continuing, ongoing consultation with trainees, and (i) dedication. A project like this is expensive. IRT received.

Keywords: Asia  HAP  Humanitarian Assistance Programs  Trainings  

Accuracy Verified: Yes


169. Forgash, C. A. (2005, June). Deepening EMDR treatment effects across the trauma spectrum: Integrating EMDR and ego state work. Föreningen EMDR Sverige, EMDR Tidningen, 7(2), 6-14.

Language: English

Format: Newsletter

Abstract:
The concepts, interventions, and techniques presented in this workshop are culled from theory and techniques of working with the range of the dissociative disorders). They have proved to be an effective addition to the preparation stage of the EMDR protocol. In other words, they can be used with clients who dissociate under certain conditions but do not have a dissociative disorder Most of the traumatized clients seen for EMDR treatment have a range of dissociative symptoms as well as symptoms of PTSD. This combination of PTSD and a dissociative disorder is often labeled DDNOS. However, people with a more complex variety of PTSD usually have experienced very early and enduring severe physical or sexual abuse (generally perpetrated by a family member), atrocities, war, or severe environmental disruption such as earthquakes. They are more accurately diagnosed with disorders of extreme stress (DESNOS). For these clients, the dissociated neural networks, or dissociative fragmentation, cause serious problems in adult life. The adaptive information processing system is on hold for these dissociated fragments or parts. They are easily triggered by internal or external cues to which they can have extreme reactions, (flashbacks, amnesia, losing time and place, and so forth.) Our goal as therapists is to use EMDR to help clients (and their internal dissociated neural networks or parts) find stability and resources to function adaptively in their present life, and then desensitize and reprocess the dissociated trauma memories and the PTSD symptoms. We aim to help our clients manage their symptoms. It is not our goal to eliminate dissociation, which has been a major survival strategy, but to help the client utilize it with conscious control. It is important to note that attachment issues are an aspect of development that are especially impacted by trauma. The attachment styles of the family pre trauma may have already affected the client in negative ways, impacting the client's resources and responses to trauma. One way to look at this set of problems is to utilize two approaches in the preparation phase of EMDR. These approaches combine the treatment of dissociative symptoms with ego state work and are an essential aspect of treating these clients with EMDR. This work may extend the preparation phase considerably, but will add safety and structure to the trauma processing experiences for these clients.

Keywords: Ego State Therapy  

Accuracy Verified: Yes


170. Groenendijk, M. (2012, June). A demonstration of EMDR in the second phase of trauma-treatment of DID [Una demostración de EMDR en segunda fase del tratamiento de Trastorno de identidad disociativo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
This workshop is about the application of EMDR in the treatment of secondary and tertiary structural dissociation with survivors of early chronic traumatization. The succeeding of the EMDR sessions in the treatment of DID, depends mainly on the appropriate indication and a thorough preparation. How to do this in clinical practice, will be pointed out in this presentation. What follows is an explanation of the process (and the essential elements in it) of the integration of traumatic memories and this process will be demonstrated by a dvd of Maria, an woman with DID. We can select and analyze particular scenes, depending on the requests from the audience. For example scenes about confirming positions of ANP's and EP's at the beginning of the session, attacking the NC by the self-­‐destructive part, guiding reliving experiences, presentification, coping with anger, differentiating between the past and the present, personification, preventing the flight-­‐reaction, coping with transference and facilitate internal cooperation. After reporting on the outcome of this therapy, the conclusion will be that EMDR can be effective for dissociative patients if several specific criteria are met. These criteria are about conceptualization according to the model of structural dissociation, about indication, timing and preparation of the sessions, about adaptations in the EMDR-­‐protocol and about integration of EMDR in the broader phase-­‐oriented treatment of DID.

Este taller trata la aplicación de EMDR en el tratamiento de disociaciones estructurales secundarias y terciarias con supervivientes de la traumatización crónica temprana. El éxito de la sesiones de EMDR en el tratamiento de Trastornos de identidad disociativo, depende principalmente de unas instrucciones apropiadas y una dura preparación. Como hacer esto en la práctica clínica será el tema de esta presentación. Continuaremos con una explicación del proceso (y los elementos esenciales dentro de este) de la integración de los recuerdos traumáticos y este proceso será demostrado en el DVD de María, una mujer con trastorno de identidad disociativos. Podemos seńalar y analizar escenas particulares, dependiendo de las peticiones que hagan los participantes a la presentación. Por ejemplo, escenas acerca de la confirmación de posiciones de ANP y EP al principio de la sesión, atacando al NC por la parte autodestructiva del yo, guiando y reviviendo experiencias, atención al presente, gestionar la ira, diferenciar entre pasado y presente, personificación, prevenir la evitación, afrontar la transferencia y facilitar la cooperación interna Después de informar acerca de los resultados de la terapia, la conclusión es que el EMDR puede ser efectivo para pacientes disociados si cumplen muchos requisitos previos. Este criterio es sobre la conceptualización de acuerdo con el modelo estructural de disociación, sobre la indicación, temporalización y preparación de las sesiones, sobre las adaptaciones del protocolo del EMDR y la integración del mismo en un tratamiento más amplio en fases del tratamiento del Trastorno de Identidad Disociativo.

Keywords: DID  Dissociative Identity Disorder  

Accuracy Verified: Yes


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

Language: Portuguese

Format: Conference

Abstract:
Esse trabalho tem o objetivo de apresentar um caso clínico, de uma paciente de 46 anos, no período de adaptaçăo da adoçăo de uma criança de cinco anos. As dificuldades apresentadas inicialmente eram relacionadas: ŕ vinculaçăo afetiva materna, ao exercício dos cuidados físicos e afetivos com a criança, ao exercício e ŕ percepçăo do papel materno, aliados a fortes sintomas somáticos. Com a existęncia de grande desejo de ser măe, há 15 anos fazia tratamento para engravidar. A adoçăo năo representava um tabu para a mesma. No entanto, a infância vinha ŕ tona com frequęncia e representava grande parte de seu sofrimento: sua măe estava com 46 anos quando de seu nascimento e, desde entăo, fora acometida de enfermidades por toda sua vida, impedindo a realizaçăo de cuidados físicos e afetivos para com ela. Foram realizadas 20 sessőes de EMDR e as experięncias traumáticas da relaçăo măe x filha, bem como os medos de repetir a história passada, foram processados a uma resoluçăo adaptativa, que permitiram a assimilaçăo de suas lembranças passadas e a incorporaçăo de padrőes para experięncias positivas, possibilitando a oportunidade de ampliar conexőes com redes positivas. As memórias armazenadas que serviam de base para percepçăo, atitudes e comportamentos foram reprocessadas e, com isso, os sintomas físicos foram extintos, de maneira a permitir que a paciente assumisse uma nova postura frente ŕ maternidade. A percepçăo sobre sua măe foi alterada e conseguiu trazer ŕ tona bons momentos de sua infância com a măe. Também foi reprocessada uma situaçăo relacionada ao perdăo mútuo. A paciente hoje vive o processo de maternidade forma saudável e feliz, e 04 meses após o encerramento das sessőes, adotou um menino de 03 meses de vida, sem que os sintomas reaparecessem.

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

Keywords: Adoption  Motherhood  Postpartum Depression  

Accuracy Verified: Yes


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

Language: Spanish

Format: Journal

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

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

Keywords: Practice  Theory  

Accuracy Verified: Yes


173. Popky, A. J. (2009). The desensitization of triggers and urge reprocessing (DeTUR) protocol. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 489-511). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Addiction  Protocol  Substance Abuse  Triggers  Urge  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Adolescents  DeTUR  Game Addiction    Internet Addiction  

Accuracy Verified: Yes


175. Popky, A. J. (2003, May). DeTUR (Desensitization of triggers and urge reprocessing). Presentation at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Keywords: DeTUR  

Accuracy Verified: Yes


176. Popky, A. J. (1999). DeTUR (desensitization of triggers and urge reprocessing):  A new approach to working with addictions. Los Gatos, CA.

Language: English

Format: Other

Keywords: DeTUR  Triggers  Urges  

Accuracy Verified: Yes


177. Popky, A. J. (2009). DeTUR (Desensitization of Triggers and Urges), A. J. Popky (2005). A. J. Popky, PhD.

Language: English

Format: Other

Abstract:
Summary of A. J. Popky's standard DeTUR (Desensitization of Triggers and Urges) protocol by Susan Brown.

Keywords: Addiction  DeTUR  Protocol  

Accuracy Verified: Yes


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

Language: English

Format: Book Section

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

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

Accuracy Verified: Yes


179. Shapiro, F. (2005). Developing a safe place, touchstone event processing triggers, and future template. Watsonville, CA : EMDR Institute Inc.

Language: English

Format: Other

Abstract:
Scripts of the following scripts developed by Dr. Shapiro: Safe Place, Tiuchstone Event, and Future Template.

Keywords: Future Template  Safe Place  Scripts  Touchstone Event  Triggers  

Accuracy Verified: Yes


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

Language: German

Format: Other

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

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

Keywords: 5-4-3-2-1 Exercise  

Accuracy Verified: Yes


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

Language: German

Format: Journal

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

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

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

Accuracy Verified: Yes


182. 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


183. Hopper, J., Spinazzola, J., Blaustein, M., Yehuda, R., van der Kolk, B. A., & Simpson, W. (2003, October-November). Differential biological outcomes of EMDR and fluoxetine for PTSD. In B. A. van der Kolk (Chair), Treatment outcome studies of PTSD. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.

Language: English

Format: Conference

Abstract:
Treatment Outcome Studies of PTSD: This symposium presents three large carefully controlled treatment outcome studies using four different treatment modalities (CBT, EMDR, psychopharmacology and Cognitive Processing) and presents data on comparative efficacy, treatment responsiveness and resistance, effects on comorbidity, quality of life, and biological changes that accompany symptom improvement.

Differential Biological Outcomes of EMDR and Fluoxetine for PTSD: Two major developments in PTSD research have been the development of effective treatments and the delineation of pathophysiology. While major gains have been made in both of these areas, they have occurred in parallel. There is a need for investigations of possible differential effects of different treatment modalities on biological aspects of PTSD. In this randomized controlled trial (N = 105), we compared the exposure treatment Eye Movement Desensitization and Reprocessing, the serotonergic reuptake inhibitor fluoxetine, and pill placebo for their effects on both PTSD symptoms and biological parameters. The outcome measures were severity of reexperiencing, avoidant/numbing, and hyperarousal symptoms; psychophysiological reactivity to script-driven imagery; basal salivary cortisol and dexamethasone suppression test (DST). At pre-treatment, post-treatment and 3-month follow-up, saliva samples were acquired at 8 a.m., 11 p.m. (immediately followed by dexamethasone) and 8 a.m.. Participants also underwent a script-driven imagery protocol utilizing four 30s scripts, each followed by a 60s script imaging period and 2 minute recovery periods (fixed order: neutral, trauma, neutral, trauma). Preliminary analyses partially support hypothesizes concerning differential efficacies of pharmacological and psychological treatments on different symptom clusters and biological markers of the disorder, at post-treatment and 3- month follow-up. Potential implications for treatment and future research will be discussed.

Keywords: Fluoxetine  Posttraumatic Stress Disorder  PTSD  Symposium  

Accuracy Verified: Yes


184. Leeds, A. M. (1992, May). Difficult cases. EMDR Network Newsletter, 2(1), 7.

Language: English

Format: Newsletter

Abstract: H
ave you experienced atypical responses to EMDR, lack of progress, even outright therapeutic failures? You are invited to submit your challenging clinical problems to "Difficult Cases." "Difficult Cases" will be a regular column in future EMDR Network new letter^. Your proposed solutions are welcome, but are not necessary. Remember, you are not the only one encountering these problems.

Keywords: Difficult Cases  

Accuracy Verified: Yes


185. Yule, W. (2008, April). Disaster, crisis and trauma psychology: Meeting the needs of children and adolescents. Presentation at the Annual Meeting of the Psychological Society of Ireland and NIBPS, Dublin,Ireland.

Language: English

Format: Conference

Abstract:
This presentation will summarise the work undertaken by the Standing Committee and describe the developments in Disaster, Crisis and Trauma Psychology as they relate to children and adolescents. Post Traumatic Stress Reactions are now well described in children, although much has still to be learned about pre-schoolers. Developmental and gender differences as well as family influences have all been investigated within a broad developmental psychopathology framework. Most excitingly, efficient and effective brief interventions such as trauma focused cognitive behaviour therapy and EMDR have been developed, applied and validated. These individually oriented interventions have also been adapted for large group interventions as are needed after major disasters and war. Recent developments will be highlighted and future directions indicated.

Keywords: Adolescents  Children  Crisis  Disaster  Trauma  

Accuracy Verified: Yes


186. Rouanzoin, C. (1993, Winter). Dissociative disorders and the “spatial map”. EMDR Network Newsletter, 3(3), 11-12.

Language: English

Format: Newsletter

Abstract:
Individuals with dissociative disorders present unique therapeutic difficulties for most therapists. These clients have developed an intricate and often creative defense structure to protect themselves from painful emotions and traumatic memories. Subjectively, extensive dissociation can occur when something so terrible happens that defend against it, a person divides or splits his or her awareness into two levels or streams of consciousness.

Keywords: Dissociation  

Accuracy Verified: Yes


187. Zucker, M., Spinazzola, J., Blaustein, M., & van der Kolk, B. A. (2006). Dissociative symptomatology in posttraumatic stress disorder and disorders of extreme stress. Journal of Trauma and Dissociation, 7(1), 19-32. doi:10.1300/J229v07n01_03.

Language: English

Format: Journal

Abstract:
The present study was designed to assess differences in dissociative symptoms in adults with Posttraumatic Stress Disorder (PTSD) vs. PTSD plus Disorders of Extreme Stress Not Otherwise Specified (DESNOS). This study was done for two reasons: (1) to better understand the clinical profile of DESNOS clients in order to inform more effective treatment, and (2) to further empirical research on the validity of the DESNOS construct. To assess severity of dissociative symptoms, the authors administered the Dissociative Experiences Scale (DES) to 155 participants with PTSD. Using the Structured Interview for Disorders of Extreme Stress (SIDES), participants were divided into two groups: those who also met criteria for DESNOS and those who did not. DES means are provided for the two groups. Participants with PTSD plus DESNOS scored higher than participants with only PTSD on the measure of dissociative symptomatology, particularly on the DES scales that tap absorption/fantasy and depersonalization/derealization. The two groups did not differ on the amnesia subscale of the DES. Findings support the construct validity of the DESNOS concept and further delineate the clinical profiles of community-based PTSD with and without DESNOS, thus contributing to the knowledge base on the assessment of complex adaptations to trauma. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-HAWORTH. E-mail address: Website: © 2006 by The Haworth Press, Inc. All rights reserved.]

Keywords: DES  DESNOS  Dissociation  Dissociative Experiences Scale  Posttraumatic Stress Disorder  PTSD  Trauma  

Accuracy Verified: Yes


188. Muret, M. (2010, April). Dissociative vs. associative techniques to treat dissociation. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract:
In the past two decades, various effective techniques have been developed for the treatment of trauma: EMDR, EMI, EFT, OEI, NLP, SE, etc. These different techniques inevitably raise the question: “Which techniques should be used for which patients? “ Because dissociative disordered patients may react to trauma work with dissociative detachment, a "low impact" technique is needed. Thus, therapeutic approaches that employ a certain degree of dissociative distancing seem to be well-suited to dissociative patients. Richard Bandler (NLP) and, more recently, Cary Craig (EFT) have developed calm, nondramatic ways to address trauma and solve problems. EMDR, a more associative method, seems better suited to stable patients who possess good resources. This workshop will present a continuum that locates techniques along a scale of increasing degrees of confrontation. Special attention will be given to EFT (Emotional Freedom Techniques), an easy-to-learn method. Techniques for reinforcing the Somatic Self during EMDR sessions will be explained. The second part of this workshop will present a conceptualization for these techniques, based on the works of Stephen Porges, Ellert Nijenhuis and Mihaly Csikszentmihalyi (Flow Theory).
Learning Outcomes The attendee will learn to consider the danger(retraumatization) of an intervention. According to the kind of patient and situation, he will be better able to choose the best available technique. For newcomers a basic methode of EFT will be taught, that can be later used in simple cases. Through a "participative" teaching the attendee will understand and integrate difficult abstracts concepts like: polyvagal model, structural dissociation, mental tension, ...

Keywords: Associative Techniques  Dissociation  Dissociative Technqiues  

Accuracy Verified: Yes


189. Edalatian-McCain, N. (2009, August). Distal-proximal process interweave for treatment of sexual trauma in DID clients. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Participants will learn an extended interweave strategy to reduce the likelihood of re-traumatization in DID clients processing sexual trauma within the EMDR protocol. This strategy, Distal-Proximal Process interweave, involves an orientation phase to encourage and help the “host” to stay present during processing--even at the expense of not dealing with details of a trauma that are held in alters with limited range. The implementation phase involves using the Rescue Express Merge tactic to help the client process with empowerment. The client is helped through the trauma several times, each time handling more details until he/she can process the trauma in its entirety without needing interweaves.

Keywords: DID  Dissociative Identity Disorder  Distal-Proximal Process Interweave  Sexual Trauma  

Accuracy Verified: Yes


190. 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


191. Samara, Z., Elzingal, B. M., Slagter, H. A., & Nieuwenhuis, S. (2011, March). Do horizontal saccadic eye movements increase interhemispheric coherence? Investigation of a hypothesized neural mechanism underlying EMDR. Frontiers in Psychiatry, 2(4), 1-9. doi:10.3389/fpsyt.2011.00004.

Language: English

Format: Journal

Abstract:
Series of horizontal saccadic eye movements (EMs) are known to improve episodic memory retrieval in healthy adults and to facilitate the processing of traumatic memories in eye-movement desensitization and reprocessing (EMDR) therapy. Several authors have proposed that EMs achieve these effects by increasing the functional connectivity of the two brain hemispheres, but direct evidence for this proposal is lacking. The aim of this study was to investigate whether memory enhancement following bilateral EMs is associated with increased interhemispheric coherence in the electroencephalogram (EEG). Fourteen healthy young adults were asked to freely recall lists of studied neutral and emotional words after a series of bilateral EMs and a control procedure. Baseline EEG activity was recorded before and after the EM and control procedures. Phase and amplitude coherence between bilaterally homologous brain areas were calculated for six frequency bands and electrode pairs across the entire scalp. Behavioral analyses showed that participants recalled more emotional (but not neutral) words following the EM procedure than following the control procedure. However, the EEG analyses indicated no evidence that the EMs altered participants’ interhemispheric coherence or that improvements in recall were correlated with such changes in coherence. These findings cast doubt on the interhemispheric interaction hypothesis, and therefore may have important implications for future research on the neurobiological mechanism underlying EMDR.

Keywords: Eye Movements  EMs  

Accuracy Verified: Yes


192. Tate, K. (2003). Does naturally occurring EMDR-like phenomena in the work environment increase employment risk for survivors of violent crimes?. Mental Health Santuary. Retrieved from http://www.naturalhealthweb.com/articles/tate1.html on 3/29/2013.

Language: English

Format: Other

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a controversial yet exciting therapy that assists many, including survivors of violent crimes to process their experiences so that they can move forward in their healing. The therapist deliberately stimulates left-right brain processing while facilitating an environment similar to that experienced while dreaming. It is particularly effective in treating people with post traumatic stress disorder. While this carefully constructed set of circumstances is beneficial in the hands of a qualified EMDR practitioner and in a safe environment, is it possible that the very factors which lead to healing in EMDR therapy present themselves unawares outside the clinical environment causing post-traumatic stress episodes? The actual triggers leading to a post traumatic stress episode vary, but perhaps upon inspection a naturally occurring commonality mimicking the EMDR phenomenon is present. Although eye movements are the most commonly used external stimulus employed by EMDR therapists, they also use auditory tones, tapping, or other types of tactile stimulation. Are there naturally occurring corollaries in the everyday environment which would make it difficult for a survivor of violent crime to function in their day to day duties? Are work tasks unknowingly triggering the beginnings of an EMDR session without the presence of an EMDR practitioner to facilitate the information processing? Is a post-traumatic stress response the result? Survivors of violent crimes are at high risk for employment. Does Naturally Occurring EMDR-Like Phenomena in the Work Environment Increase Employment Risk for Survivors of Violent Crimes?

Keywords: Posttraumatic Stress Disorder  PSTD  Survivors  Violent Crimes  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Practice  Theory  

Accuracy Verified: Yes


194. Wilensky, M. (2009, May). The drifters: The basic protocol and target sequencing. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.

Language: English

Format: Conference

Abstract:
Over time we all succumb to Protocol Drift. This workshop will bring us back to the Basic Protocol with practice in following the Three Pronged Approach to a Target: Past Present Future. There will be a brief lecture and demonstration, followed by a facilitated practicum.

Keywords: Basic Protocol  Protocol  Targeting Sequencing  Touchstone Event  

Accuracy Verified: Yes


195. Hembree, E., Foa, E., & Dorfan, N. (2002, November). Dropout rates across treatments for PTSD. In N. Feeney (Chair), Is exposure therapy for PTSD helpful or harmful? Symposium conducted at the 18th annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Is Exposure Therapy For PTSD Helpful or Harmful?: Does exposure therapy cause severe symptom exacerbation or treatment dropout? We will examine clinical impressions and research in this area. First, clinical perspectives on the tolerability of exposure will be presented.Then, three empirical papers will explore: dropout rates for exposure, symptom exacerbation in women undergoing imaginal exposure, and factors that influence treatment choices.

Dropout rates across treatments for PTSD: Many studies have demonstrated the efficacy of exposure therapy in the treatment of chronic posttraumatic stress disorder (PTSD). Despite the convincing outcome literature, a concern that this treatment may exacerbate symptoms and lead to premature dropout has been voiced on the basis of a few reports. In the present paper, we examined the hypothesis that treatments that include exposure will be associated with a higher dropout rate than treatments that do not include exposure. A literature search identified 17 controlled studies of cognitive behavioral treatment for PTSD that 67 Concurrent Sessions–Saturday,November 9 Saturday: 1:00 p.m.–2:15 p.m. included data on dropout. The results indicated no difference in dropout rates among exposure therapy, cognitive therapy, stress inoculation training, and EMDR.These findings are consistent with previous research about the tolerability of exposure therapy.

Keywords: Dropout Rate  Symposium  

Accuracy Verified: Yes


196. Manfield, P. (2013, May). Dyadic resourcing: Creating a foundation for treating early trauma [La dyade comme ressource: Créer une base solide pour traiter les traumas de la petite enfance]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
This workshop introduces “dyadic resourcing,” a resourcing approach designed to facilitate EMDR processing of very early trauma with severely deprived clients, including those with attachment disorders. The goal of this process is to help clients connect affectively to an internal experience of being in a nurturing parent-child relationship. This workshop will address the basic principles and processes central to this form of resourcing, including each of the five steps involved in establishing this resource. The process will be illustrated using clinical videos, resourcing transcripts, and a live demonstration. Links to free additional training resources will be provided.
Learning Objectives: • Explain why cognitive interweaves are often not helpful to clients with attachment disorders • List 15 possible sources of resource figures a client might have that the client can feel a present affective connection to. • List 8 techniques that can be used to help a client feel more intensely connected to a resource. • Describe 4 indications that clients are NOT assuming an outside observer role and are instead overly identifying with their child selves. • Describe how the “morphing” process minimizes a client’s resistance to feeling nurtured.

Cet atelier présente la dyade comme ressource, une approche conçue pour faciliter le retraitement en EMDR pour les traumas de la petite enfance chez des clients qui ont été sévčrement négligés dont ceux avec un trouble de l’attachement. L’objectif de ce processus est d’aider le client ŕ se connecter au niveau affectif ŕ une expérience intérieure d’ętre dans une relation nourrissante parent-enfant. Cet atelier portera sur les principes de base et les processus centraux de cette forme de ressourcement incluant les 5 étapes pour établir cette ressource. Le processus sera illustré ŕ l’aide de vidéos de transcription sur les ressources et une démonstration en direct. Il fournira aussi des ‘’liens’’ afin d’avoir accčs gratuitement ŕ des formations sur les ressources.
Objectifs d’apprentissage: • Expliquer pourquoi les tissages cognitifs ne sont pas aidant pour les clients ayant un trouble de l’attachement • Une liste de 15 figures ressourçantes pour le client et pour lesquelles il peut ressentir une connexion sur le plan affectif. • Une liste de 8 techniques qui peut ętre utiliser afin d’aider le client ŕ se sentir de plus en plus connecter ŕ une ressource. • Décrire 4 indications que le client n’adopte pas une position d’observateur mais plutôt qu’il soit vraiment identifié avec leurs ‘’soi’’ d’enfant. • Décrire comment le processus de ‘’morphing’’ peut diminuer la résistance au sentiment d’ętre nourrit affectivement

Keywords: Dyadic Resourcing  Morphing  Resource Figures  

Accuracy Verified: Yes


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

Language: English

Format: Book

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

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

Accuracy Verified: Yes


198. Ruzek, J. I., Bisson, J. I., Schnyder, U., Ritchie, E. C., & Watson, P. J. (2001, December). Early intervention to prevent PTSD: Visions of the next generation of services. Presentation at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA .

Language: English

Format: Conference

Abstract:
Although most human service professionals believe in the utility of early intervention post-trauma to prevent development of chronic psychological problems, there is little agreement as to the appropriate forms of care. A range of psychological interventions has been advocated for use with various traumatized populations within days or weeks of their trauma exposure, including education about trauma and stress reactions, critical incident stress debriefing (CISD), cognitive-behavioral brief intervention packages, EMDR, and psychopharmacological interventions. Currently, prospective research studying response to trauma and beginning within hours or days of the traumatic event is increasing rapidly, and a number of recent publications have suggested the potential effectiveness of some early interventions in preventing development of PTSD. Recent support for such interventions is developing at the same time that the evidence for the most popular early intervention, debriefing, is being called into question. In this panel discussion, four members of the recently initiated ISTSS “Early Interventions” Special Interest Group will describe their personal views as to what the next generation of early intervention services will look like, how existing models of early intervention should be improved based on current research and theory, and how improved services can be implemented in real-world settings.

Keywords: Early Intervention  Future  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


199. Hollander, H. E. (2009, October). ECEM (eye closure, eye movements): Application to depersonalization disorder. American Journal of Clinical Hypnosis, 52(2), 95-109. doi:10.1080/00029157.2009.10401701.

Language: English

Format: Journal

Abstract:
Eye Closure, Eye Movements (ECEM) is a hypnotically-based approach to treatment that incorporates eye movements adapted from the Eye Movement Desensitization and Reprocessing (EMDR) protocol in conjunction with hypnosis for the treatment of depersonalization disorder. Depersonalization Disorder has been differentiated from post-traumatic stress disorders and has recently been conceptualized as a subtype of panic disorder (Baker et al., 2003; David, Phillips, Medford, & Sierra, 2004; Segui et. al., 2000). During ECEM, while remaining in a hypnotic state, clients self-generated six to seven trials of eye movements to reduce anticipatory anxiety associated with depersonalization disorder. Eye movements were also used to process triggers that elicited breath holding, often followed by episodes of depersonalization. Hypnotic suggestions were used to reverse core symptoms of depersonalization, subjectively described as "feeling unreal" (Simeon et al., 1997).

Keywords: ECEM  Eye Closure  Eye Movements  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


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

Language: Dutch

Format: Conference

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

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

Keywords: Eye Movements  Mechanism of Action  

Accuracy Verified: Yes


202. Propper, R. E., Pierce, J., Geisler, M. W., Christman, S. D., & Bellorado, N. (2007, September). Effect of bilateral eye movements on frontal interhemispheric gamma EEG coherence: Implications for EMDR therapy. Journal of Nervous Mental Disorders, 195(9), 785-788. doi:10.1097/NMD.0b013e318142cf73.

Language: English

Format: Journal

Abstract:
The use of bilateral eye movements (EMs) is an important component of Eye Movement Desensitization and Reprocessing (EMDR) therapy for PTSD. The neural mechanisms underlying EMDR remain unclear. However, prior behavioral work looking at the effects of bilateral EMs on the retrieval of episodic memories suggests that the EMs enhance interhemispheric interaction. The present study examined the effects of the EMs used in EMDR on interhemispheric electroencephalogram coherence. Relative to noneye-movement controls, engaging in bilateral EMs led to decreased interhemispheric gamma electroencephalogram coherence. Implications for future work on EMDR and episodic memory are discussed. [Author Abstract]

Keywords: Adults  Americans  Brain Imaging  Bilateral Eye Movements  College Students  Empirical Study  Neurophysiology  Posttraumatic Stress Disorder  PTSD  Quantitative Study  

Accuracy Verified: Yes


203. Laugharne, J. (2010, July). The effect of EMDR on pathological personality traits: An initial case series. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
There is little published data regarding the effect of Eye Movement Desensitisation and Reprocessing (EMDR) on personality disorders and pathological personality traits. A PTSD clinic has been developed at Fremantle Hospital in Western Australia since May 2009. All patients referred are initially assessed using the MINI–plus for DSM IV axis I diagnoses, the PTSD Checklist, and the SCID 2 for personality traits/disorders. These assessments are carried out again post treatment. All patients accepted for treatment have PTSD according to DSM IV criteria but most have comorbid axis I diagnoses and often marked pathological personality traits or personality disorders. The primary psychological treatment for PTSD offered at the clinic is EMDR. In this presentation, data will be presented regarding an initial series of cases treated for PTSD at the clinic using EMDR with an emphasis on changes in their SCID 2 scores post-treatment and how this relates to changes in PTSD scores. The theoretical and practical implications of the data will be discussed in the context of the existing literature as well as transcultural considerations and future research directions outlined.

Keywords: Personality Traits  

Accuracy Verified: Yes


204. Smith, S. (2003, Spring). The effect of EMDR on the pathophysiology of PTSD. International Journal of Emergency Mental Health, 5(2), 85-91.

Language: English

Format: Journal

Abstract:
The process of understanding PTSD has been a long and difficult one. It is safe to say our understanding of this disorder is incomplete, and our exploration into its pathophysiology is fairly recent. As with any disorder of the brain, the complexities of PTSD are extensive and require integrating cognitive, functional, and chemical components. Given this complexity, it is no wonder that treating PTSD has also been a challenge. Treating a disorder whose components are not fully understood is similar to shooting in the dark. Some shots have hit their mark and some have missed. More than ten years after its conception, the question of whether Eye Movement Desensitization and Reprocessing (EMDR) is a hit or a miss is still debated. If understanding the pathophysiology of PTSD is still recent, understanding the possible physiology behind EMDR is just beginning. This paper will define PTSD, explain some aspects of its physiology, and present some hypotheses as to why EMDR may be a successful treatment for PTSD. [Author Abstract]

Keywords: Literature Review  Posttraumtic Stress Disorder  PTSD  Treatment Effectiveness  

Accuracy Verified: Yes


205. Rooijmans, J., Rosenkamp, N. H. G., Vernholt, P., & Visscher, R. A. (2012). The effect of eye movements on craving, pleasantness and vividness in smokers. Social Cosmos, 3(2), 200-214.

Language: English

Format: Journal

Abstract:
The presence of craving is an important factor in continuing smoking. Following the Elaborated Intrusion (EI) theory of Desire, craving is effective through the formation of smoking-related mental images. In the current study, craving was generated through the use of a future personal smoking-related image. Eye movements were observed in accordance with the Eye Movement Desensitization Reprocessing (EMDR) intervention. The effect of these eye movements on craving was investigated. In addition, the effect of eye movements on the pleasantness and vividness of the image was examined. 36 participants took part in a withinsubjects design with repeated measures. In line with expectations, perceived craving decreased immediately after the experimental condition (eye movements) was experienced. This decrease was not found in the control condition (fixation on a plain wall). After recall of the smoking-related image, the extra measurement showed that the decrease was temporary. Contrary to expectations, the degree of pleasantness and vividness did not decrease after eye movements. In conclusion, the eye movements were found to have only a temporary effect on craving for cigarettes, and did not result in desensitization of the pleasantness and vividness of the personal smoking-related images.

Keywords: Craving  EI-Theory  Eye Movement  Smoking  

Accuracy Verified: Yes


206. Colosetti, S. D. (1997). Effect of relaxation training alone and relaxation training paired with EMDR on incarcerated, battered women. University of Georgia, Athens, GA. AAT 9735499.

Language: English

Format: Dissertation/Thesis

Abstract:
Every 15 seconds a woman is beaten in the U.S. Many of these women meet the criteria for a diagnosis of PTSD. Some of them end up in prison. This study used a sample of 5 battered women, incarcerated in a Southern state prison, to test the efficacy of EMDR following relaxation training. A-B-C designs were used to compare baseline assessment (Phase A), relaxation training utilizing Miller and Halpern's audiotaped instructions (Phase B), and EMDR (Phase C). A script of the worst memory of abuse was dictated by each woman during assessment and read by the researcher at the beginning of each session. The Beck Anxiety Inventory and Impact of Events Scale, measuring avoidant behaviors and intrusive thoughts, were given weekly, following the script. Client logs and measures of SUDS and VOC were taken during the EMDR phase only. A one-month follow-up was used. ANOVAs with repeated measures comparing 2 groups, E1 (n = 2) that received 3 weeks of relaxation training prior to EMDR and E2 (n = 3) that received 6 weeks of relaxation training prior to EMDR, were not statistically significant. Avoidant Behaviors scores approached significance for the main effect of treatment (F = .06) and for the group by phase interaction (F = .08). Due to intrasubject variability, blocking was used to identify trends. A distinct improvement was noted in Subject 2 -- Anxiety dropped from 36.5 to 8.0, Intrusive Thoughts 27.5 to 11.0, and Avoidant Behaviors 27.0 to 24.0. Individually graphed data and calculated mean scores by phase permit further investigation. Implications for future research include appropriate screening for dissociation and development of coping skills prior to EMDR, decreasing avoidance by having the woman read her script aloud prior to completing outcome measures, monitoring medication during treatment, continuing treatment as needed, using additional outcome measures, and employing a multi-baseline design across subjects, matching women on several demographic variables. [Author Abstract] Dissertation Abstracts International Section A: Humanities and Social Sciences. 58(6-A), Dec 1997, pp. 2392.

Keywords: Adults  Americans  Battery  Empirical Study Females  Posttraumatic Stress Disorder  Prison Inmates  PTSD  Relaxation Therapy  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


207. Greenwald, R., & Seubert, A. (2010, September/October). The effect of resolving early memories on the level of distress associated with later memories: Two cases. Poster presented at the annual meeting of the EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Trauma therapists must make clinical judgments about which memories to target in what order, taking into account the palticular client's abiiity to tolerate a potentially challenging trauma-focused session (eg., see Greenwald, 2007). Greenwald & Schmitt (2008) previously found that working on an earlier "floated back to" - presumably thematically related - memory led to signiiicantly reduced SUDS on the later untreated memory. However, the participants were non-trearment seeking therapists, and the reduced SUDS was found immediately following treatment of the carlier memory. The questions for thc present study: Does this beneficial effect occur with real clients in treatment? Does this beneiiciai effect persist over time?

Keywords: Case Report  Memories  Poster  

Accuracy Verified: Yes


208. Manfield, P. (2006, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The workshop begins with a discussion of which clients this technique is appropriate for. The technique is not recommended for couples in which either or both partners do not have adequate affect tolerance, observing ego, or trust of each other's integrety. Other risk factors for using EMDR in couples therapy that have been highlighted in other presentations and literature will be briefly reviewed. Participants will learn to differentiate between clients' statements that represent present experience and those that represent concepts of present experience or reporting of past experiences. Participants will be taught specific interventions which they will practice in guided exercise that will enable them to facilitate both individuals and couples to stay in their present experience during EMDR targeting. Irrational emotional responses to daily interactions and conflicts are often the result of unresolved issues resulting from underlying feeder memories. Participants will learn a simple method for identifying underlying issues of each individual partner related to a given conflict. The final and most substantial portion of this presentation will be focused on using a refined "affect bridge" technique to identify the feeder memories associated with those issues so that they can be targeted with the standard EMDR protocol. Specific methods will be taught to overcome clients' resistance and difficulties with accessing memories; these methods include use of accessing cues (re: Neurolinguistic Programming) and developing eidetics (re: Eidetic Psychotherapy) These methods will be illustrated using a case transcript, guided participant experiential exercise, and live demonstration.

Keywords: Couples  Couples Therapy  Targeting  

Accuracy Verified: Yes


209. Kannan, L., & Mehrotra, S. (2010, July). Effectiveness of EMDR with those undergoing traumatic divorce. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
A contested divorce in an eastern cultural context qualifies to be classified as a traumatic event. Those experiencing this ongoing trauma often undergo PTSD and Depression. EMDR with its standard and current events protocol serves to mitigate both the anxiety and depressive symptoms significantly. This study looks at adapting EMDR for divorcing families in court, clinical and private settings. Participants will learn 1. Differences in cognition of marriage in different cultures such as western, Eastern and Middle Eastern and potential problems, which are culture specific. 2. What constitutes marital trauma and traumatic divorce in the Eastern context 3. The impact of marital trauma in terms of clinical presentation as well as non clinical parameters of well being such as self-esteem, general health, locus of control and quality of life among those undergoing EMDR. 4. How to use EMDR with those undergoing marital trauma with divorce proceedings and cultural implications. 5. Adaptations in the EMDR to the court environment as well as other setting where such clients may present themselves

Keywords: Divorce  

Accuracy Verified: Yes


210. Ernst, R. (2011, Juli). Effectiviteit van oogbewegingen, klikjes en geen dubbeltaak bij EMDR in een klinische steekproef [Effectiveness of eye movements, clicks and no double task of EMDR in a clinical sample]. Utrecht: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Een werkgeheugen rekening van Eye Movement Desensitization and Reprocessing (EMDR) is op grote schaal ondersteund door laboratoriumonderzoek. Taken die belasting werkgeheugen voldoende Het een traumatische gebeurtenis herinneren terwijl het verminderen van emotionaliteit en levendigheid van traumatische herinneringen. Vaak therapeuten vervangen EMDR-Eye Movements met minder belasten binaurale piept, terwijl de laatste Suggest Sommige onderzoeken zijn inferieur aan oogbewegingen. De huidige studie direct vergelijken oogbewegingen en piept met EMDR in een klinisch monster. In een within-subjects design, 51 patiënten verwezen voor EMDR traumatherapie Hun herinneringen herinnerde tijdens het (a) het maken van gaten horizontale bewegingen, (b) binauraal luisteren naar pieptonen en (c) gericht op een punt (controle). Volgorde van de stimulaties gerandomiseerde WAS Deelnemers en Elke stimulatie over duurde zes minuten. De resultaten toonden aan dat oogbewegingen emotionaliteit en levendigheid van de herinnering reduceert aanzienlijk meer dan de controle, terwijl de emotionaliteit Meer met aanzienlijk minder in de buurt van oogbewegingen dan met pieptonen. Geen significante verschillen in Vermindering van levendigheid en emotionaliteit Beide werden gevonden tussen piept en controle. Hun trauma patiënten gewaardeerd meestal visuele herinneringen, terwijl meer in de buurt van visuele herinneringen significant geassocieerd met een grotere daling van de emotionaliteit en levendigheid met oogbewegingen. De studie ondersteunt Bewijs voor een cumulatief voordeel van oogbewegingen met EMDR. Resultaten worden besproken Deze modaliteit in termen van een specifieke werkgeheugen rekening en klinische implicaties worden besproken.

A working memory account of Eye Movement Desensitization and Reprocessing (EMDR) has been widely supported by laboratory research. Tasks that sufficiently tax working memory while recollecting a traumatic event reduce emotionality and vividness of traumatic memories. EMDR-therapists often substitute eye movements with less taxing binaural beeps, while some studies suggest the latter are inferior to eye movements. The present study directly compares eye movements and beeps with EMDR in a clinical sample. In a within-subjects design, 51 patients referred for EMDR therapy recollected their trauma memories while (a) making horizontal eye movements, (b) listening to binaural beeps and (c) focusing on one point (control). Sequence of stimulations was randomized across participants and each stimulation lasted for six minutes. Results showed that eye movements reduce emotionality and vividness of the memory significantly more than control, while emotionality reduced near significantly more with eye movements than with beeps. No significant differences in reduction of both emotionality and vividness were found between beeps and control. Patients rated their trauma memories mostly visual, while more visual memories were near significantly associated with a larger decrease of emotionality and vividness with eye movements. The study supports evidence for a cumulative benefit of eye movements with EMDR. Results are discussed in terms of a modality specific working memory account and clinical implications are discussed.

Keywords: Eye Movements  Posttraumatic Stress Disorder  PTSD  Working Memory  

Accuracy Verified: Yes


211. Merckelbach, H., Hogervorst, E., Kampman, M., & de Jongh, A. (1994). Effects of '"eye movement desensitization" on emotional processing in normal subjects. Behavioural and Cognitive Psychotherapy, 22(4), 331-335. doi:10.1017/S1352465800013217.

Language: English

Format: Journal

Abstract:
A number of single case reports have made impressive claims for the efficacy of "eye movement desensitization" (EMD) in the treatment of traumatic memories. Many of these case reports claim that EMD reduces the unpleasant feelings associated with traumatic images. However, at present, there are no published controlled studies that provide evidence for these claims. The present experiment investigated whether EMD inhibits emotional responding during retrieval of aversive information. Normal Ss (N = 40) were exposed to an aversive slide. During a next stage, half of the Ss underwent EMD while they rehearsed the slide information, whereas the other half underwent a control procedure (i.e., finger tapping) while rehearsing slide information. Before and after EMD or control intervention, heart rate and self-report data were obtained while Ss retrieved and visualized the aversive slide. No evidence was found to suggest that EMD inhibits emotional reactivity more than does finger tapping. [Author Abstract]

Keywords: Aversive Stimulation  Emotional Responding During Retrieval of Aversive Information  Emotional Responses  Eye Movements  Treatment  

Accuracy Verified: Yes


212. Altan Aytun, O., Ozcan, G., Ciftci, A,. Konuk, E. Yuksek, H., Karakus, D., Cavusoglu S., & Vatan Ozcelik, D. (2010, June). The effects of early EMDR interventions (EMD and R-TEP) on the victims of a terrorist bombing in Istanbul. In Treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Presenter: Filiz Kaya
The present study is carried out within a psychological counseling project which is governed by Istanbul metroplitan Municipality. The study was designed to assess the effects of Early EMDR Intervention (EEI) on the victims of a terrorist bombing in Gungoren, Istanbul. Subjects were the victims of a terrorist bombing in Gungoren, Istanbul. The participants were selected from a pool of children and adults, who lived in Gungoren and scored high on the Turkish version of 'Impact of Event Scale' (IES) and PTSD Symptom Checklist. The subjects were contacted 2 days after the bomb attack so that we were able to measure the event impact right after the traumatic experience, which will help us to demonstrate how EMDR affects the impact of the event more accurately. Eye Movement Desensitization (EMD) as an EEI technique was used to treat the child participants, whereas Recent Traumatic Event Protocol (R-TEP) which incorporates the EMD and Recent Event (RE) protocols, was received by the adult participants The therapists (EMDR certified therapists, who were receiving supervision) met with the participants weekly to work only on the trauma of the bombing and participants completed impact of Event Scale prior to each session. The number of the sessions was restricted to the completion of EMD and R-TEP. The study is completed with a three month follow-up. Analyses of the data collected from the participants demonstrates the level of effectiveness of EMDR in children and adults, in prevention of PTSD and the use of EMDR as a crises intervention tool.

Keywords: Acute Stress  Bombing  Early Interventions  EMD  Istanbul  Recent Events  R-TEP  Symposoium  Terrorism  

Accuracy Verified: Yes


213. MacCulloch, M. (2006, December). Effects of EMDR on previously abused child molesters: Theoretical reviews and preliminary findings from Ricci, Clayton, and Shapiro. Journal of Forensic Psychiatry and Psychology, 17(4), 531-537. doi:10.1080/14789940601075760.

Language: English

Format: Journal

Abstract:
We publish in this issue a preliminary and tentative account of the reduction of deviant sexual arousal, as measured by phallometry, by eye movement desensitisation and reprocessing (EMDR). The purpose of this editorial is to show that the conclusions of Davidson and Parker (2001), and the comment by Salkovskis, can now be set aside, and to present our readers with some theoretical thoughts on some of the mechanisms by which EMDR could induce its effects, including trauma reduction. A major bar to the further acceptance of EMDR as a treatment and as an inviting research topic stems from the fact that workers still cannot see how eye movements can cause the reported clinical changes and the increasing number of temporally related psycho-physiological phenomena. This editorial suggests that the organs of computation of the mind have evolved by natural selection to solve problems of survival and, signally, include corollary discharge and feed forward (CD-FF) mechanisms by which they intrinsically function and also interact with one another. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Abused Child Molesters  Editorial  Pedophilia  Physiology  Sexual Arousal  

Accuracy Verified: Yes


214. 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


215. 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


216. 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


217. Wills, S. M., & Kraber, G. (2001, December). The effects of exposure-based therapy on attitudes about guilt in Vietnam combat veterans. Poster presented at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA.

Language: English

Format: Conference

Abstract:
There has long been consistent agreement that guilt has both cognitive and affective dimensions. Cognitive components of guilt can be seen in the errors of logic and resulting faulty conclusions that trauma victims often make about their roles in traumatic events. The present investigation will present outcome data on the Changing Attitudes About Guilt in a group of Vietnam Combat Veterans who were treated in a 20-week program that included a combination of Cognitive Processing group therapy and individual Eye Movement Desensitization Reprocessing (EMDR). The ten veterans participated in a structured, time-limited trauma group in which they addressed issues peripheral to combat exposure in 20 weekly 90-minute group sessions. Each individual group member also underwent a minimum of theree individual EMDR sessions to process traumatic combat experiences. The Kubany Attitudes About Guilt Inventory was administered at the beginning of the group prior to EMDR sessions and again at the final session of group. Post-group follow up data is also included in this presentation.

Keywords: Combat  Group Therapy  Poster  Veterans  Vietnam  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

Keywords: Empirical Study  Test Anxiety  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Eye Movement  Poster  Stream of Consciousness  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Neurobiological Performance  Poster  Posttraumatic Stress Disorder  PSTD  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

Keywords: Eye  Memory  Visual perception  

Accuracy Verified: Yes


223. Fleming, J. (2013). Efficacité de l’EMDR dans le traitement d’enfants et d’adolescents traumatisés [Effectiveness of EMDR in the treatment of traumatized children and adolescents]. Journal of EMDR Practice and Research, 6(1), 16–26. doi:10.1891/1933-3196.7.1.E12.

Language: French

Format: Journal

Abstract:
On trouvera ici un résumé de tous les articles qui ont étudié le traitement par l’EMDR d’enfants et d’adolescents traumatisés. L’efficacité du traitement est établie par plus de quinze études. Le présent article examine les effets de l’EMDR sur le stress traumatique d’enfants et d’adolescents aprčs des traumas de type I et II. Si un nombre considérable d’études évaluent le traitement des traumas de type I par l’EMDR, apportant des preuves solides de son efficacité, rares sont celles qui ont investigué spécifiquement le traitement EMDR des traumas de type II. L’auteur examine aussi l’effet de l’EMDR sur divers symptômes et difficultés. Elle donne enfin des recommandations pour l’application clinique de l’EMDR, et pour des recherches futures.

This paper provides a summary of all items that have studied the EMDR treatment of children and adolescents traumatized. The effectiveness of treatment is determined by more than fifteen studies. this article examines the effects of EMDR on traumatic stress in children and adolescents after trauma Type I and II. If a considerable number of studies evaluating the treatment of type I trauma EMDR, providing strong evidence of its effectiveness, few have specifically investigated EMDR trauma treatment of type II. The author also examines the effect of EMDR on various symptoms and difficulties. She finally gives recommendations for the clinical application of EMDR and for future research.

Keywords: Adolescents  Children  Posttraumatic Stress Disorder  PTSD  Trauma  Treatment Review  

Accuracy Verified: Yes


224. Schubert, S. (2010, July). The efficacy and psycho physiological correlates of dual-attention tasks in EMDR. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Methods: Sixty-two non-clinical participants with negative autobiographical memories received a single EMDR session that involved fixed or varied rate eye movements, or exposure without eye movements. Subjective units of distress and vividness of the memory were recorded at pre-treatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress (SUDs) than EMDR-without eye movements. Psycho physiological measures were continuously recorded throughout each session. Results: Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. Conclusion: These findings indicate that eye movements in EMDR are beneficial, and are coupled with distinct psycho physiological changes that may aid in the processing of negative memories. Implications for clinical practice, directions for future research, and the importance of building bridges between East & West whilst conducting EMDR research will also be discussed.

Keywords: Dual Attention  Poster  Physiological Correlates  

Accuracy Verified: Yes


225. Schubert, S. (2010, July). The efficacy and psychobiological correlates of dual-attention task. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The study being presented aimed to investigate the psycho physiological correlates and the effectiveness of different dualattention tasks used during eye movement desensitisation and reprocessing (EMDR). Sixty-two non-clinical participants with negative autobiographical memories received a single EMDR session that involved fixed or varied rate eye movements, or exposure without eye movements. Subjective units of distress and vividness of the memory were recorded at pretreatment, post-treatment, and 1 week follow-up. EMDR-with eye movements led to greater reduction in distress (SUDs) than EMDR-without eye movements. Psycho physiological measures were continuously recorded throughout each session. Heart rate decreased significantly when eye movements began; skin conductance decreased during eye movement sets; heart rate variability and respiration rate increased significantly as eye movements continued; and orienting responses were more frequent in the eye movement than no-eye movement condition at the start of exposure. These findings indicate that eye movements in EMDR are beneficial, and are coupled with distinct psycho physiological changes that may aid in the processing of negative memories. Implications for clinical practice, directions for future research, and the importance of building bridges between East & West whilst conducting EMDR research will also be discussed.

Keywords: Dual Attention  Psychophysiological Correlates  

Accuracy Verified: Yes


226. Kristjansdottir, H., Blondahl, M., Sigurosson, E., Sigurosson, J. F., & Salkovskis, P. M. (2011, August-September). Efficacy of cognitive behavioral therapy in the treatment of mood and anxiety disorders in adults - Review. Presentation at the 41st EABCT annual conference, Reykjavík, Iceland.

Language: English

Format: Conference

Abstract:
Introduction: Cognitive behavioural therapy (CBT) represents the form of psychotherapy which has the most research data to build on in the treatment of mental disorders for adults. Method: In this review we will introduce CBT and present the results of pertinent outcome research for mood and anxiety disorders. Efficacy at the end of the treatment will be discussed, as well as long term effectiveness and the efficacy of combined treatment with medication and CBT Results: The results of this review show that CBT is an effective treatment for mood and anxiety disorders; depression, dysthymnia, GAD, panic disorder, social phobia, OCD, PTSD and specific phobia. Results of follow-up studies also show that the efficacy of CBT lasts for a considerable time after the termination of treatment. CBT is more effective than other forms of psychotherapy except for behaviour activation and interpersonal therapy in treatment for depression and EMDR in treatment for PTSD. When CBT is compared with medication (SSRI) results reveal that CBT is as effective or more effective than medication. This is true except for the treatment of dysthymnia, especially when the long-term effects are considered. Results are contradictory regarding whether medication improves or reduces the efficacy of CBT, e.g., there are indications that the medication reduces the efficacy of CBT for some disorders, like panic disorder. Discussion: It is clear that CBT is an effective treatment for most common mental disorders. Side effects are almost never a problem and long-term success is a good. Further research is needed on combined treatment – CBT and medication. Conclusion: Numerous studies support the efficacy of CBT for common mood and anxiety disorders and its good long term effects.

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Children  Incremental Efficacy  Meta-Analysis  Posttraumatic Stress Symptoms  

Accuracy Verified: Yes


228. de jongh, A., & van de Oord, H. J. M. (2002). Efficacy of eye movement desensitization and reprocessing (EMDR) in the treatment of specific phobias: Four single-case studies in dental phobia. Presentation at the 80th General Session of the International Association for Dental Research, San Diego, CA.

Language: English

Format: Conference

Abstract:
Objectives: Several years ago a new treatment for anxiety related problems was introduced, named Eye Movement Desensitization and Reprocessing (EMDR). EMDR combines short exposure periods with an external distracting stimulus. The aim of this study was to examine the applicability of EMDR to trauma-based dental phobia. Methods: EMDR treatment outcome was tested with four dental phobic individuals by means of a single-subject experimental design. Pretreatment assessment included: severity of dental fear (DAS), trauma-related symptomatology (IES), occurrence and believability of negative cognitions (DCQ), and general psychopathology (SCL-90-R). A psychologist administered a clinical interview and a behavior test. Behavior tests were videotaped and rated for observed anxiety level (0-10) by a blind and independent observer. Results: Following two to three sessions of EMDR treatment three of the four patients demonstrated substantially reduced self-reported and observer-rated anxiety, reduced credibility of dysfunctional beliefs, and behavior changes. These gains were maintained at six weeks follow-up. In all four cases the clinical diagnosis present at pretreatment was not present at posttreatment at a clinical level. All patients actually underwent the dental treatment they feared most within three weeks following EMDR treatment. Conclusion: The findings support the notion that EMDR can be an effective treatment alternative for traumatically induced dental phobia.

Keywords: Specific Phobias  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes


231. de Jongh, A., van den Oord, H., & ten Broeke, E. (2002, December). Efficacy of eye movement desensitization and reprocessing in the treatment of specific phobias: Four single-case studies on dental phobia. Journal of Clinical Psychology, 58(12), 1489-1503. doi:10.1002/jclp.10100.

Language: English

Format: Journal

Abstract:
A series of single-case experiments was used to evaluate the application of Eye Movement Desensitization and Reprocessing (EMDR) to traumatically induced dental phobia. Following two to three sessions of EMDR treatment, three of the four patients demonstrated substantially reduced self-reported and observer-rated anxiety, reduced credibility of dysfunctional beliefs concerning dental treatment, and significant behavior changes. These gains were maintained at six weeks follow-up. In all four cases, the clinical diagnosis present at pretreatment was not present at posttreatment at a clinical level. All patients actually underwent the dental treatment they feared most within three weeks following EMDR treatment. The findings support the notion that EMDR can be an effective treatment alternative for phobic conditions with a trauma-related etiology. [Author Abstract]

Keywords: Adults  Case Report  Dental Procedures  Females  Follow-up Study  Males  Phobia  Posttraumatic Stress Disorder  PTSD  Survivors  Treatment Effectiveness  Young Adults  

Accuracy Verified: Yes


232. Hollwig, K. E. (2002). Efficacy of eye movement desensitization and reprocessing in the treatment of trauma and anxiety disorders. California State University, Long Beach, CA. AAT 1409202.

Language: English

Format: Dissertation/Thesis

Abstract:
This study evaluated the efficacy of Eye Movement Desensitization and Reprocessing for treating trauma and anxiety disorders in adult, adolescent, and child clients with or without a dissociative disorder. Participants comprised 23 California-licensed mental health professionals who possessed at least a master's degree in the mental health field and specifically had been trained in EMDR by the EMDR Institute. Each participant completed a survey questionnaire developed specifically for this study. Results indicated significant differences between EMDR and the other surveyed therapeutic approaches for overall level of efficacy in treating trauma in adults and adolescents. Significant differences between EMDR and two other approaches for treating child trauma were also revealed. A significant difference was found between EMDR and one other approach for overall level of efficacy in treating anxiety in adults and adolescents. No significant differences were found between therapeutic approaches for treating child anxiety. Directions for future research are discussed.

Keywords: Anxiety Disorders  Trauma  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes


234. Lytle, R. A., Hazlett-Stevens, H., & Borkovec, T. D. (2002). Efficacy of eye movement desensitization in the treatment of cognitive intrusions related to a past stressful event. Journal of Anxiety Disorders, 16(3), 273-288. doi:10.1016/S0887-6185(02)00099-3.

Language: English

Format: Journal

Abstract:
Much of the Eye Movement Desensitization and Reprocessing (EMDR) efficacy research has been widely criticized, limiting scientific understanding of its therapeutic components. The present investigation of Eye Movement Desensitization (EMD) effectiveness included undergraduate students reporting current intrusive cognitions concerning a traumatic event. Forty-five participants received a single treatment session of either: (a) EMD, as described by Shapiro [J. Behav. Ther. Exp. Psychiatry 20 (1989b) 211], (b) an identical procedure which employed eye fixation on a stationary target, or (c) non-directive counseling. Standardized self-report, subjective rating, Daily Diary, and intrusive thought sampling measures were collected before and after treatment. Results indicated that participants in the eye fixation group reported marginally (p<.052) fewer cognitive intrusions than the non-directive group 1 week following treatment. No significant differences between the EMD and non-directive conditions or between the EMD and eye fixation conditions on this measure were found. During the treatment session, both desensitization groups were superior to the non-directive group in reducing reported vividness of the mental image of the original event. However, the non-directive group improved to the level of the two other groups by the following week. Rapid saccadic eye movements were therefore unrelated to immediate treatment effects for this sub-clinical sample, and non-directive treatment largely yielded eventual outcomes equivalent to the two desensitization conditions (Pilots).

Keywords: Biologic Markers  College Students  Intrusive Thoughts  Negative Therapeutic Reaction  Posttraumatic Stress Disorder  PTSD  Stressors  Survivors  Treatment Effectiveness  Witnesses  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

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

Accuracy Verified: Yes


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

Language: Spanish

Format: Dissertation/Thesis

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

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

Keywords: Adverse Emotions, Hospital Baca Ortiz  Surgery Preparation  

Accuracy Verified: Yes


237. Paulsen, S. L. (1994, March). Ego state disorders: Dissociative but not multiple. Presentation at the EMDR Network Conference, Sunnyvale, CA.

Language: English

Format: Conference

Abstract:
Conceptual Framework. In Ego State Disorders, moderate levels of dissociation are present for the purpose of isolating overwhelming affect or untenable conflict from conscious awareness. There are parts of the self'which are experienced by the host, -upon discovery, and who experience themselves, as separate. These parts,however, do no have the ability to take complete executive control of the body, or are not as complex and elaborated as in Multiple Personality Disorder, which is called Dissociative Identity Disorder in DSM-N. The closest diagnosis for describing Ego State Disorders in DSA4lV is DDNOS, or Dissociative Disorder Not Otherwise Specified, a miscellaneous category.

Keywords: Dissociation  Ego State Therapy  

Accuracy Verified: Yes


238. Dworkin, M. (2006, June). El cuestionario EMDR v.6 de autoconocimiento para clínicos [EMDR v.6 questionnaire for self-awareness for clinicians]. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: Spanish

Format: Conference

Abstract:
Para comprobar un conocimiento creciente de cómo los estados antiguos y dependientes de memoria pueden ser activados; para poder valorar que es lo que proviene del clínico y qué proviene del cliente; para desarrollar estrategias relacionales de EMDR. Muchos problemas pueden ocurrir en la fase 1 cuando el cliente aporta información que suscita un arousal negativo; o en la fase 2, cuando el cliente tiene dificultades en entender los elementos de preparación o desea avanzar procesando el trauma de forma prematura; o en la fase 3, cuando existe un problema que subyace a la pieza de valoración. Muchas veces la información del cliente puede que no despierte un arousal negativo hasta llegada la fase 4, cuando el cliente está procesando activamente. Muchas veces, nuestros desencadenantes provienen de nuestros recuerdos antiguos. Estos recuerdos pueden ser explicitados; y otras veces siguen implícitos (memoria somatosensorial). Observando estos momentos en uno mismo puede ayudarle en la continuidad de un proceso productivo.

To verify an increased awareness of how ancient states and dependent memory can be activated, in order to evaluate what they from the clinician and what comes from the client to develop relational strategies EMDR. Many problems can occur in phase 1 when the client brings information that raises a negative arousal, or in phase 2, when the client has difficulties understanding the items you want to advance preparation or processing the trauma prematurely, or in phase 3, when there is a problem underlying the piece of assessment. Many times the customer information may not appeal to a negative arousal to arrival phase 4, when the client is actively processing. Many times, our triggers memories from our past. These memories can be made explicit, and sometimes they are implicit (memory somatosensory). Looking at these moments can help yourself in continuity of the production process.

Keywords: Clinicians  Questionnaire  Self-Awareness  

Accuracy Verified: Yes


239. 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


240. Molero-Zafra, M., & Pérez-Marín, M. (2010, Abril). El EMRD aplicado al trastorno de duelo patológico. Presentación de un caso [EMDR applied to pathological grief disorder. Case report]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Espagna.

Language: Spanish

Format: Conference

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

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

Keywords: Bereavement  Case Study  Grief  Symposium  

Accuracy Verified: Yes


241. Salvador, M. C. (2010). El trauma psicologico: Un proceso neurofisiologico con consecuencias psicologicas [Psychological trauma: A neurophysiological process with psychological consequences]. Revista de Psicoterapia, 20(80), 5-16.

Language: Spanish

Format: Journal

Abstract:
En este artículo se argumenta el impacto y las secuelas del trauma psicológico en el organismo y sus repercusiones a nivel neurofisiológico. El trauma psicológico, cuando se experimenta disociación, se registra en el sistema de memoria implícita y procedimental de manera somato-sensorial, manifestando alteraciones significativas en multitud de sistemas de funcionamiento fisiológico que posteriormente actúan como mecanismos de mantenimiento y recuerdo. Se presenta una base para el enfoque del trabajo terapéutico sobre los fenómenos fisiológicos como introducción y base al abordaje con técnicas neurofisiológicas como el EMDR y Brainspotting.

This article argues the impact and consequences of psychological trauma on the body and its impact on neurophysiological level. The psychological trauma when experiencing dissociation, is recorded in the system of implicit memory and procedural manner somatosensory, showing significant changes in many physiological functioning systems then act as maintenance mechanisms and memory. We present a basis for the focus of therapeutic work on the introduction and physiological phenomena based on the approach to neurophysiological techniques such as EMDR and Brainspotting.

Keywords: Neurophysiology  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

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

Keywords: Complex Posttraumatic Stress Disorder  C-PTSD  Complex PSTD  

Accuracy Verified: Yes


243. 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


244. Galvin, M. (2003). EMDR & EP: Accelerating and decelerating strategies. In J. Hartung & M. Galvin, M. (Eds.), EMDR and energy psychology: Combining forces to optimize treatment. New York: Norton.

Language: English

Format: Book Section

Abstract:
A clinician may treat an agoraphobic person in his or her house at first, thereby delaying the additional stimulation, or the more powerful triggers, involved with having to leave home to go to the therapist’s office for the initial sessions.

Keywords: Accelerating Strategies  Decelerating Strategies  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Positve Psychology  

Accuracy Verified: Yes


246. Kavakci, O., Dogan, O., & Kugu, N. (2010, September). EMDR (Göz hareketleri ile fuyarsızlaştırma ve yeniden işleme): Psikoterapide farklı bir deçenek [EMDR (eye movement desensitization and reprocessing): A different option in psychotherapy]. Düşünen Adam Psikiyatri ve Nörolojik Bilimler Dergisi, 23(3), 195-205.

Language: Turkish

Format: Journal

Abstract:
Göz hareketleriyle duyarsızlaştırma ve yeniden işleme (EMDR: Eye Movement Desensitization and Reprocessing), son yıllarda oldukça ilgi çeken terapi yöntemlerinden biridir. Bu ilginin bir nedeni, özellikle Travma Sonrası Stres Bozukluğu (TSSB) tedavisindeki etkinliğinin pek çok çalışma ile gösterilmiş olmasıdır. EMDR, bilgi işleme süreçlerini kolaylaştıran ve travmatik anı parçalarının bütünleşmesini sağlayan yenilikçi bir terapi yöntemidir. Bu yaklaşımla bilginin gelecekte daha iyi işlevsellik sağlayacak şekilde işlenmesi sağlanır. Son yıllarda, tedavi kılavuzlarında ve meta analizlerinde EMDR, önerilen tedaviler arasında belirtilmektedir. Travma ve sonrası bozuklukların görülme sıklığı oldukça yüksektir. Buna karşın, Türkçe alanyazında bu bozuklukların tedavi seçenekleri ile ilgili yayınlar oldukça sınırlıdır. EMDR’nin etki mekanizması henüz tam olarak aydınlanmamıştır. Shapiro bir uyumsal bilgi işleme modeli önermiştir. Daha sonra, çeşitli araştırmacılar laboratuvar ve görüntüleme yöntemlerine dayanan çeşitli nörobiyolojik modeller önermişlerdir. Bu çalışmada, EMDR ve sekiz evresi açıklanmış, bir olgu örneği, seans kayıtları ile sunularak uygulaması gösterilmiş ve bu tekniğin çalışma biçimi açıklanmış, etki mekanizması ile ilgili önerilen nörobiyolojik modeller özetlenmiş, Türkiye’de EMDR ile yapılan az sayıdaki yayın gözden geçirilmiştir. Bu tekniğin ruh sağlığı çalışanlarının uygulamalarına daha çok girmesi, hem uygulayıcıların psikiyatrik bozukluklar üzerindeki yetkinliklerini arttıracak hem de travma ve benzeri bozukluklardan yakınan hastalara hızlı iyileşme şansı verecektir.

In recent years, there has been an interest in using the EMDR (Eye Movement Desensitization and Reprocessing) therapy. One of the reasons for this interest may be its effectiveness shown by numerous studies, especially, conducted with individuals who suffer from Post Traumatic Stress Disorder (PTSD). The EMDR is known to be an innovative approach that accelerates information processing and facilitates the integration of fragmented traumatic memories. This process is stated to allow better integration of the information that a person has to handle in the future. Recent practice guidelines and meta-analyses have designated the EMDR as a first-line treatment for trauma. Although the prevalences of trauma and trauma related disorders are high in Turkey, there has been a limited number of published studies highlighting treatment options. The EMDR’s mechanism of action has not yet been fully explained. Shapiro has proposed an adaptive information processing model. Later, based on laboratory and neuroimaging methods, a number of neurobiological models have been suggested. The present study explained the EMDR and its eight-phases. A case example with session records was provided to show the application and operation of the technique. After that, leading neurobiological models which attempt to explain the mechanisms of action of the EMDR were summarized. Finally, few studies conducted in Turkey using the EMDR were reviewed. Given the effectiveness of the EMDR regarding trauma and related disorders, the utilization of the technique by a broad number of mental health professionals may not only increase the professionals’ competency on psychiatric disorders, but also may provide patients suffering from these disorders a chance to recover in a relatively short period of time.

Keywords: Neurobiology  Posttraumatic Stress Disorder  PTSD  Therapy  

Accuracy Verified: Yes


247. Hensel, T. (2008). EMDR - Eye movement desensitization and reprocessing. In M. A. Landolt & T. Hensel, (Hg) Traumatherapie bei Kindern und Jugendlichen [Trauma therapy in children and adolescents] (s. 61-83) Gottingen: Hogrefe.

Language: German

Format: Book Section

Abstract:
Im vorliegenden Buch werden in einer umfassenden Übersicht die aktuellen Methoden der Traumatherapie im Kindes- und Jugendalter detailliert vorgestellt. Namhafte und erfahrene Vertreter der verschiedenen Therapieverfahren präsentieren die theoretischen Grundlagen, das therapeutische Vorgehen sowie den Stand der wissenschaftlichen Evidenz der einzelnen Methoden und illustrieren den Therapieansatz anhand von Fallbeispielen. Dargestellt werden sowohl ambulante als auch stationäre Behandlungsansätze, wie beispielsweise die traumafokussierte kognitiv-behaviorale Therapie, EMDR, die Narrative Expositionstherapie für Kinder, die traumazentrierte Spieltherapie, die psychodynamisch imaginative Traumatherapie für Kinder usw. Erstmalig im deutschen Sprachraum liegt damit eine praxisnahe und umfassende Übersicht über die verschiedenen Verfahren der Traumatherapie im Kindes- und Jugendalter vor. Das Buch kann nicht nur von Psychotherapeuten mit Gewinn gelesen werden, sondern gibt auch allen anderen Fachpersonen, die mit traumatisierten Kindern arbeiten, wichtige Informationen zur Behandlung von Traumafolgestörungen.

In this book are presented in detail in a comprehensive overview of the current methods of trauma treatment in childhood and adolescence. Well-known and experienced representatives of the various treatment methods present the theoretical bases, the therapeutic approach, and the available scientific evidence of each method and illustrate the therapeutic approach with case studies . Shown are both outpatient and inpatient treatment approaches, such as cognitive- behavioral therapy traumafokussierte, EMDR, narrative exposure therapy for the children who traumazentrierte play therapy, the psychodynamic imaginative trauma therapy for children, etc. For the first time in the German language so that there is a practical and comprehensive overview over the different methods of trauma treatment in childhood and adolescence. The book can be read with profit not only by psychotherapists, but also all other professionals who work with traumatized children, important information for the treatment of traumatic stress disorders.

Keywords: Children  Adolescents  

Accuracy Verified: Yes


248. Shapiro, F. (2002, January). EMDR 12 years after its introduction:  Past and future research. Journal of Clinical Psychology, 58(1), 1-22. doi:10.1002/jclp.1126 .

Language: English

Format: Journal

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) was one of the first treatments of PTSD to be evaluated in controlled research and has to date been empirically supported by 13 such studies. This article reviews the historical context and empirical research of EMDR over the past dozen years. Historically, EMDR's name has caused confusion in that "desensitization" is considered to be only a by-product of reprocessing and because the eye movement component of EMDR is only one form of dual stimulation to be successfully used in this integrative approach. Research is needed to determine the comparative efficacy of EMDR relative to cognitive-behavioral treatments of PTSD. However, this has been hampered by the lack of independent replication studies of the latter treatments. Current component analyses of EMDR have failed to effectively evaluate the relative weighting of its procedures. Parameters for future research and the testing of protocols for diverse disorders are suggested. [Author Abstract]

Keywords: Cognitive Processes  Literature Review  Posttraumtic Stress Disorder  PTSD  Research Needs  

Accuracy Verified: Yes


249. Fernandez, I. (2008). EMDR after a critical incident: Treatment of a tsunami survivor with acute posttraumatic stress disorder. Journal of EMDR Practice and Research, 2(2), 156-159. doi:10.1891/1933-3196.2.2.156.

Language: English

Format: Journal

Abstract:
Research indicates that EMDR is effective for the treatment of PTSD, with numerous studies showing a high percentage of symptom remission after 3 sessions. The case of a tsunami survivor with acute PTSD is presented. Treatment for overt trauma symptoms was completed within 3 sessions, including all 8 phases and the 3-pronged protocol (i.e., past, present, future targets). One EMDR session was sufficient to process the trauma and alleviate the related symptoms, while another session was necessary for re-evaluation and processing present triggers and future templates. Resource installation was particularly helpful to prepare him for those future situations that had been generating anxiety as a result of his traumatization. [Author Abstract]

Keywords: Adults  Brief Psychotherapy  Case Report  Disaster  Disaster-Response  Indian Ocean Tsunami  Italians  Males  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Recent Events  Survivors  Trauma  Tsunamis  

Accuracy Verified: Yes


250. 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


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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Athletes  Critical Incident  Recent Events  Symposium  

Accuracy Verified: Yes


253. Herbert, C. (2001, May). EMDR and CBT interweave. Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
Cognitive interweaves are strategic interventions, whose utilisation relies upon therapist recognition of their necessity at given times during the EMDR procedure, and their effective use requires skilled therapeutic judgement and the introduction of the appropriate clinicianled cognitive material in order to counteract the blocked processing. The use of cognitive interweaves therefore diverges from the established EMDR protocol by introducing therapist generated material rather than just following the clients spontaneously processed material. It will be argued in this presentation that, due to the divergence from the established EMDR protocol, the effective implementation of cognitive interweaves, requires the knowledge of additional therapeutic strategies, predominantly those used in Cognitive Behaviour Therapeutic (CBT) approaches, which may not be readily accessible to EMDR practitioners not trained in this approach. This presentation aims to bridge the gap between the traditionally 'too-heavily protected' territories of CBT and EMDR, by introducing some CBT strategies, such as 'Socratic Questioning (Padesky, 1993)' or the Cognitive 'Separation of the Past from the Present (Herbert & Wetrnore, 1999'), which might be usefully drawn on, in order to generate effective cognitive interweaves during the use of EMDR. Clinical examples from the presenter's work, as an UKCP Accredited Cognitive Behavioural Therapist and a Level 2 trained EMDR Practitioner, with clients suffering from complex PTSD, will be explored.

Keywords: CBT  CBT Interweave  Cognitive Behavioral Therapy  Cognitive Interweave  

Accuracy Verified: Yes


254. Rivas, C. (2012, April). EMDR and chronic illnesses. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.

Language: English

Format: Conference

Abstract:
Chronc diseases represent a complex area on the health-illness continuum. When a chronic disease is diagnosed, clients may require ongoing support to cope with life changes and management of their health. During this workshop, participants will be introduced to the general aspects of chronic diseases and how clients’psychological symptoms can be understood from the Adaptive Information Processing(AIP) model. Also, EMDR clinicians will learn how to structure an intervention for different types of chronic diseases, using the 8 steps of the Basic Protocol, identifying the key issues for each condition, according to a past-present-future timeline. Examples will be based on cancer, diabetes, and HIV/AIDS cases.
Learning objectives: 1.Identify the challenges associated with chronic diseases such as cancer, diabetes and HIV/AIDS 2. Utilize the Adaptative Information Processing (AIP) model to understand the psychological dimension of chronic diseases (e.g. anxiety, depression, guilt, shame, self-image issues, etcetera) 3. Use the EMDR basic protocol to structure interventions suitable for people living with human health conditions.

Keywords: Chronic Illnesses  

Accuracy Verified: Yes


255. Smyth, N. J., & Poole, A. D. (2002). EMDR and cognitive-behavior therapy: Exploring convergence and divergence. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 151-180). Washington, DC: American Psychological Association.

Language: English

Format: Book Section

Abstract:
Since first introduced by Shapiro, eye movement desensitization and reprocessing (EMDR) has been the subject of considerable interest, debate, and controversy within the behavioral literature. In this chapter, EMDR is examined from a behavioral perspective with the goal of exploring connections between it and behavior therapy. Since its initial introduction as an intervention for PTSD, EMDR has been expanded and is used to treat a range of other disorders. The present discussion centers on its application in the management of PTSD for two reasons: First, PTSD is the diagnostic category on which the majority of research studies have focused. Second, empirical research has determined that EMDR and cognitive-behavioral therapy (CBT) are efficacious in the treatment of PTSD; they seem to be equally effective, although EMDR may be more efficient.The chapter begins with a brief consideration of the development and essential principles of behavior therapy and of the manner in which behavioral approaches have conceptualized PTSD. This context is essential to understanding how EMDR is conceptualized from a behavioral perspective. The relationship between EMDR and behavior therapy is then explored and mechanisms for its apparent effectiveness considered. Finally, contributions of behavior therapy to EMDR and of EMDR to behavior therapy are discussed, including challenges that each poses to the other. [Text, pp. 151-152]

Keywords: Adults  Cognitive Therapy  Posttraumtic Stress Disorder  Psychotherapeutic Processes  PTSD  Stressors  Survivors  

Accuracy Verified: Yes


256. 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


257. Grand, D. (2005, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
Creativity was involved in the discovery and development of EMDR which is an effective tool in unblocking and enhancing creativity. EMDR processing is an essentially creative process of healing trauma, and EMDR's therapeutic relationship is a creative process. This presentation addresses creative enhancements EMDR’s healing tools: “open listening,” eye movements, integrating music and nature sounds into auditory stimulation, and using body sensations with color and imagery. Using protocol targeting of artists creative blocks, and the trauma aspects of blocks, and the future template as a tool for enhancing creativity with artists including actors, singers, dancers, writers, and painters is discussed. Mini-practica and demonstrations are used with lecture and handouts.

Keywords: Creativity  Creative Blocks  Future Template  Open Listening  

Accuracy Verified: Yes


258. Grand, D. (2006, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
This presentation addresses how creativity has been interwoven into the discovery and development of EMDR, as well as how EMDR is an effective tool in unblocking and enhancing creativity. Dr. Shapiro's discovery of EMDR and her development of the EMDR Protocol, are examined as underpinnings of EMDR and Creativity. EMDR processing will also be examined as an essentially creative process at the core of healing trauma-based blocks. The therapeutic relationship in EMDR is discussed as a co-creative process. This presentation addresses creative enhancements EMDR's healing tools including: "open listening" - avoiding assumptions while attending to all in-the-moment verbal and non-verbal client communications, creative use of eye movements with flowing hand movements and shifting rates of speed, integrating music and nature sounds into left/right auditory stimulation and enhancing of body sensations with color and imagery. This presentation also addresses using EMDR in addressing issues of creativity. Creative blocks are regularly reported by both artists and non-artists and often cripple and traumatize the artist, and interfere with the creativity of diallng living of non-artists. Using EMDR protocol to target creative blocks is discussed, as well as the contribution of trauma to these blocks. The EMDR future template is discussed as a tool for enhancing creativity with artists free of significant blocks. This includes actors, singers, dancers, writers and graphic artists. Mini-practica and demonstrations are used to operationalize the concepts presented in lecture and handout format.

Keywords: Creativity  Creative Blocks  Future Template  Open Listening  

Accuracy Verified: Yes


259. Grand, D. (2004, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Creativity was involved in the discovery and development of EMDR. EMDR is an effective tool in unblocking and enhancing creativity. EMDR processing is an essentially creative process of healing trauma and EMDR's therapeutic relationship is a co-creative process. This presentation addresses creative enhancements of EMDR's healing tools: ''open listening." eye movements, integrating music and nature sounds into auditory stimulation and using body sensations with color and imagery. Using protocol targeting of artists creative blocks, and the trauma aspects of blocks and the future template as a tool for enhancing creativity with artists, including actors, singers, dancers, writers and painters is discussed. Mini-practica and demonstrations also used.

Keywords: Creativity  Creative Blocks  Future Template  Open Listening  

Accuracy Verified: Yes


260. Grand, D. (2008, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Creativity is interwoven into the discovery and development of EMDR which is an effective tool in unblocking creativity. EMDR processing is a creative process at the core of healing blocks. Creative enhancements EMDR’s healing tools include: “open listening” – avoiding assumptions, creative use of eye movements and eye positions, integrating bilateral healing sounds and enhancing body sensations with color. Creative blocks cripple the artist and interfere with the creativity of non-artists. The EMDR protocol (assessment, desensitization, installation and body scan) targets creative blocks with underlying trauma. The future template enhances creativity with artists (actors, singers and writers).

Keywords: Creativity  Creative Blocks  Future Template  Open Listening  

Accuracy Verified: Yes


261. Grand, D. (2007, June). EMDR and creativity. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Creativity is interwoven into the discovery and development of EMDR, which itself is an effective tool for unblocking and enhancing creativity. Dr. Shapiro’s discovery of EMDR and her development of the EMDR Protocol are underpinnings of EMDR and Creativity. EMDR processing is also an essentially creative process at the core of healing trauma-based blocks and the therapeutic relationship in EMDR is a co-creative process.
This presentation addresses creative enhancement of EMDR’s healing tools including: “open listening” – avoiding assumptions while tending to all in-the-moment verbal and non-verbal client communications, using eye movement creatively by varying speed, plane and eye gaze, integrating healing sound into AIP and enhancing of body sensations with focus, color, and imagery.
This presentation examines using EMDR with issues of creativity. Creative block often cripple and traumatize artists and interfere with the creativity of daily living of non-artists. The use of the EMDR protocol (with emphasis on assessment, desensitization, installation and body scan) to target creative blocks is discussed as well of the contribution of trauma to these blocks. The EMDR future template is discussed as a tool for enhancing creativity with artists freed from significant blocks. This includes actors, singers, dancers, writers, and graphic artists.
Lecture, PowerPoint, mini-practica and demonstrations are used to illustrate the concepts, supported by handout materials.

Keywords: Creativity  

Accuracy Verified: Yes


262. Gonzalez, A., & Mosquera, D. (2012, June). EMDR and dissociation: The progressive approach. A. I. [Amazon.co.uk].

Language: English

Format: Book

Abstract:
After the first cautions for the use of EMDR in dissociative disorders, many proposals have been done to adapt EMDR procedures to this specific population. Interesting interventions have been done for the use of EMDR in the preparation phase, but in spite of these useful proposals, EMDR is still considered by many clinicians as an intervention that is limited for the treatment of traumatic memories. From this conceptualization, which we have called the all/nothing perspective, the use of EMDR is strongly limited. Many clinicians wait years for trauma reprocessing. As a consequence of this conceptualization, many EMDR therapists do not use EMDR with most of their dissociative clients, and just use it with highly functioning patients, sometimes after years of therapy with other approaches. In this workshop we will describe (and exemplify with clinical cases and videos) different interventions with EMDR in dissociative clients, from the preparatory phase, in what we have called a Progressive Approach. The way in which specific EMDR procedures can contribute to enhance recovery in survivors will be explained. For doing this, concepts from the different approaches and scientific knowledge about severe traumatization will be integrated with the Adaptive Information Processing Model from EMDR. The idea is to propose a holistic model for EMDR therapy in Dissociative Disorders. The interweaving between theoretical concepts and clinical procedures, theoretical developments and video examples, will allow the audience to assimilate information and translate it to their clinical practice. Therapist from approaches different from EMDR will understand what this therapy can offer to the treatment of severely traumatized people. EMDR therapists will learn new proposals of interventions at the different phases of the treatment. We will present different examples of interventions in severely traumatized patients: DID, DESNOS, BPD and Somatoform dissociation.

Keywords: Dissociation  

Accuracy Verified: Yes


263. Dodgson, P. (2009, March). EMDR and diversity. Keynote presented at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.

Language: English

Format: Conference

Abstract: In this keynote address, Philip Dodgson will outline some of the ways in which EMDR has been developed through the application of the Adaptive Information Processing model to new areas of clinical practice. Drawing on clinical material and published research, Philip will include case material from work in the National Health Service, private practice and the EMDR Humanitarian Assistance Program. Case material will include work with people in a setting of ongoing conflict, people involved in gender re-assignment, and people who experience hearing voices. EMDR and diversity will be explored not only in terms of current clinical work but also as a challenge for the future, both in clinical practice and in encouraging and training EMDR practitioners from a wide range of backgrounds.

Keywords: Diversity  

Accuracy Verified: Yes


264. McNeal, S. A. (2001, July). EMDR and dream interpretation. Presentation at the International Association for the Study of Dreams, Santa Cruz, CA.

Language: English

Format: Conference

Abstract:
This paper describes a method of dream interpretation useful in psychotherapy.The therapist can use the treatment method EMDR (eye-movement desensitization and reprocessing) for processing dream images. The associations elicited in this manner provide a wealth of significant material for psychotherapy as well as resulting in meaningful dream interpretation. Learning Objectives: 1) To present a new method of dream interpretation 2) To describe the protocol so that others could use it 3) To indicate how this method can enhance therapeutic results Evaluation questions: 1) How does this use of EMDR differ from the standard use of EMDR with dream imagery? 2) Summarize briefly how EMDR is used for dream interpretation? 3) What are the advantages and disadvantages of this method of dream interpretation? EMDR and Dream Interpretation When utilizing EMDR to resolve a trauma, one of the four target areas in the standard EMDR protocol is the nightmare image. During reprocessing, the nightmare image often changes to reveal the real life experiences that are part of the traumatic material. If processing is complete, the nightmare image will not reoccur. Theoretically, the periods of REM sleep when dreaming occurs are thought to be natural survival mechanisms whereby experiences from the day are synthesized and stored in memory. It has been speculated that nightmares are the mind's attempts to metabolize trapped information. Because trauma can also produce interrupted and dysfunctional REM sleep, nightmares may reoccur indefinitely without resolution taking place. EMDR has been shown to effectively process nightmare images so that reoccurring nightmares cease. Less has been reported in the EMDR literature regarding dream images that are not nightmarish and do not reoccur. It is usually assumed that if the dreaming process is natural and healthy without nightmares or interrupted sleep, then it is not to be tampered with and is not a focus of treatment. However, EMDR can be very helpful in processing information from dreams, even when the dream images may not appear to be relevant. Case material will be presented to demonstrate how EMDR can be useful in processing dream images during the normal course of treatment as well as contributing to the resolution of specific traumas.

Keywords: Dreams  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Dissociation  Ego State Therapy  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Complex Trauma  Dissociation  Ego State Therapy  

Accuracy Verified: Yes


267. Paulsen, S. L. (2003, September). EMDR and ego state therapy:  Energizing disowned aspects of self with dissociative table technique interwoven with EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Ego State Therapy is a tool for EMDR practitioners seeking to resolve looping, identify early childhood targets, enhance containment, and more. Dissociative Table is an ego state approach that enables rapid visualization of disowned ego states without formal trance induction. It energizes and egotizes aspects of self so that resistance can reduced through internal education and mediation. EMDR and ego state therapy can be interwoven to manage the level of affective arousal by creating closeness to or distance from disturbing material. The workshop will also present ACT-AS-IF, a step-by-step approach to preparing dissociative clients for EMDR processing.

Keywords: Act-As-If  Dissociative Table Technique  Ego State Therapy  

Accuracy Verified: Yes


268. Twombly, J. (2008, April). EMDR and EMDR adaptions in the treatment of dissociative disorders. Presentation at the 1st Bi-Annual European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands.

Language: English

Format: Conference

Abstract:
This workshop offers ways to incorporate Eye Movement Desensitization and Reprocessing in the treatment of clients with Dissociative Identity Disorder, Dissociative Disorder Not Otherwise Specified and ego state work. Used carefully, EMDR and EMDR adaptations can accelerate the treatment process. A liability is that its incorrect use can accelerate decompensation in clients with complex trauma and attachment disordered histories. This workshop offers suggested uses of EMDR and EMDR adaptations to facilitate stabilization, orientation to the present, decrease some negative transferences and to provide a protective format for processing traumatic material. Learning objectives: 1. Participant is able to identify stages of treatment of dissociative disordered clients where EMDR and EMDR adaptations can be used. 2. Participant is able to use EMDR adaptations to orient dissociated parts of the mind to present time. 3. Participant has knowledge of how to develop a controlled process of using EMDR for trauma processing.

Keywords: Dissociative Disorders  

Accuracy Verified: Yes


269. Robredo, J. (2011, June). EMDR and gender violence. Brief and intensive treatment for children exposed to gender violence. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
The Instituto de Psicotrauma de Alicante and the Social Services of San Juan use, since 2008, a brief intervention protocol for minors exposed to gender violence. This protocol is based on the therapeutic paradigm of EMDR©. First results on a sample of 28 children from 4 to 12 years old were the disappearance of posttraumatic stress disorder and depression, the remission of concomitant behavior disorders (disobedience, aggression), and the improvement of the affective link with their mother. In our last study, the sample was bigger and the treatment protocol evolved to be an intensive one, lasting three weeks. Learning objectives: This workshop’s aim is to show such protocol and our last study. We will present to the participants: 1.Characteristics of gender violence in mothers and symptoms in their children. 2.Relevance of the EMDR paradigm and the Structural Dissociation of Personality Theory by Onno van der Hart. 3.Assessment instruments. 4.Evidences of the structural dissociation in the children. 5.Treatment protocol. 6.Handling of sessions with mother and child. 7.Work with the dysfunctional beliefs of mothers. 8.Techniques to work with the cognitive interweaves of the child. 9.Techniques to identify and work the dissociation in the child. 10.Data and conclusions of the study

Keywords: Children  Gender Violence  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Disease  Medical Illness  Multiple Sclerosis  Oncology  

Accuracy Verified: Yes


271. McNeal, S. (2001, January-April). EMDR and hypnosis in the treatment of phobias. Eye movement and desensitization and reprocessing. American Journal of Clinical Hypnosis, 43(3-4), 263-274. doi:10.1080/00029157.2001.10404281.

Language: English

Format: Journal

Abstract:
Clinical hypnosis and EMDR have both been employed in the treatment of phobias. EMDR has been a controversial treatment method with the research showing mixed results concerning its efficacy. Many studies have shown the effectiveness of hypnosis in the treatment of phobias, but no studies have directly compared hypnosis to EMDR. This paper discusses each approach to treatment, with special emphasis on EMDR. Relevant research and current theories are reviewed along with questions raised and recommendations for future research. (ASCH)

Keywords: Hypnotherapy  Phobias  Review  

Accuracy Verified: Yes


272. Nickeson, C. (2010, September/October). EMDR and panic disorder. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
This workshop will be a practical presentation on how to use EMDR in the treatment of panic disorder. Information will be given on what needs to be accomplished in each of the eight phases of EMDR to be effective with this population. Participants will be taught how to provide psycho-educational information using the AIP model to explain panic disorder. In panic disorder, interoceptive cues become triggers for subsequent panic attacks and it is useful to view panic disorder as a phobic reaction to bodily sensations. The workshop will conclude with the presentation of a structured protocol for treatment planning and target selection.

Keywords: Panic Disorder  

Accuracy Verified: Yes


273. 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


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

Language: English

Format: Conference

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

Keywords: Children  Play Therapy  

Accuracy Verified: Yes


275. Allon, M. (2004, June). EMDR and right-left brain stimulation. Poster presented at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
This presentation will present and demonstrate my clinical observations, that clients while talking or working on their issues will sometime lean their heads toward the right or the left shoulder. People with their heads to the left will tend to report thoughts, while those with their heads to the right will tend to report images and emotions. In therapy, utilizing EMDR when clients have leaned their heads to one side, I have tended to reinforce the side they put their head to, utilizing eye movements in a diagonal direction, corresponding to the direction the head was learning. That is. If the person learned their head to the left, I would move my hand from their upper left side to their lower right side, and opposite if their heads leaned to the right. The outcome of these diagonal eye movements was that it tended to evoke cognitions when the head leaned to the left or images when the head learned to the right. Client who come to therapy requesting help concerning fears, tend to lean their heads to the rights, corresponding with imagery and imagination of the right hemisphere and may lack the cognitive, logical thinking skills (left hemisphere) to counter their fears. With these clients, when the SUDS do not drop significantly, I will tend to do body-cognitive interweave. I request that the client lean their head on the left and work over and over with cirrsponding sets of diangonal eye movmenets. The left hemisphere of the brain is thus stimulated and logical thinking (PC) is enhanced. This helps to counter and balance out the negative images, and the fear decreased.
Through care histories and examples, I would like to accomplish the following objectives: 1) to make the participants more aware of body language and it its significance in therapy; 2) to examine the differences between the right and left hemispheres of the brain and their relationship to therapy with EMDR; and 3) to introduce and demonstrate a body-cognitive interweave in EMDR therapy with client s who request help with fears.

Keywords: Body-Cognitive Interweave  Left-Right Brain  Hemispheres of the Brain  Poster  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Cultural Messages  Sexual Issues  Sex Therapy  Three Prongs  

Accuracy Verified: Yes


277. Silver, S. M. (2002, January/February). EMDR and terrorism: Combating fear of the future. EMDRNews.com, 1, 3.

Language: English

Format: Newsletter

Abstract:
The events of September 1lth further stimulated the growing interest in the uses of EMDR for traumatic reactions to terrorism. For many years EMDR has been used with survivors of terrorism all over the world and this has led to a greater understanding of terrorism, how to respond to it, and how to treat the reactions it produces.

Keywords: Terrorism  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Adaptive Information Processing  AIP  Integrative Treatment  Memory Networks  

Accuracy Verified: Yes


279. Adler-Tapia, R., & Settle, C. (2008). EMDR and the art of psychotherapy with children. New York, NY: Springer Publishing.

Language: English

Format: Book

Abstract:
In this book the authors present an overview of how therapists can get started in conceptualizing psychotherapy with Eye Movement Desensitization and Reprocessing (EMDR) methodology through Adaptive Information Processing (AIP) theory. The focus of the book is to teach therapists to effectively use the entire EMDR protocol with young children (Springer).

Keywords: Children  

Accuracy Verified: Yes


280. Bar-Sade, E. (2002, May). EMDR and the challenge of working with young children. EMDR Israel Association, Nazereth Ilit, Israel.

Language: English

Format: Other

Abstract:
Treatment of very young children who experienced trauma poses a challenge for the therapist using EMDR. Very young children lack the ability to express their experiences verbally. In addition, their cognitive development is not mature enough to process their experiences via the cognitive channel. Their understanding of time is not developed enough to distinguish between past, present and future and they are not yet able to take an alternative perspective on experiences they have encountered, some of which may have been traumatic for them.

Keywords: Children  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Gay Clients  Homosexuality  

Accuracy Verified: Yes


282. Zimmerman, E. (2010, June). EMDR and the phase two treatment of the migraine and headache-protocol. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
After the presentation of Dr. Steven Marcus PhD on different EMDR-conferences of treating migraine and headaches in a two-phase protocol, the authors of this presentation decided to develop a study on the phase two treatment of the headache protocol. The phase one treatment of the headache protocol I-EMDR (integrated EMDR) of Dr. Marcus is for the relief of acute headache pain and related symptoms (nausea, vomiting, light or sound sensitivity etc.). A research study of Dr. Marcus showed very strong effects of the treatment of migraines in this acute phase. (Steven V. Marcus: Phase 1 of integrated EMDR: An Abortive Treatment for Migraine Headaches. JEMDR, Vol. 2, Number 1, 2008, pg. 15ff). The phase two treatment is a multi-session EMDR headache treatment utilizing the Standard EMDR Protocol to prevent or reduce future headache frequency, duration and severity. The phase one has to be included in the second phase. Thus, this phase two protocol has not yet been the subject of a scientific research. The authors present their study design and some cases with video presentations as well as first results on the research of this phase two treatment.

Keywords: Headache  Medical Issues  Migraine  Symposium  

Accuracy Verified: Yes


283. Rogers, S. (1998, July). EMDR and the resolution of guilt in a veteran population. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.

Language: English

Format: Conference

Abstract:
Participants will: 1) be able to differentiate between survivor guilt, bystander guilt, and perpetrator guilt and will become familiar with some of the literature addressing this issue; 2) become familiar with common patterns of naturally-occurring resolution of guilt during EMDR; 3) learn some ways the issue of guilt in clients'presentations, how to present EMDR in a way which can be accepted by clients, and how to frame cognitive interweaves which can be used by clients whose guilt may be "reality based."

Keywords: Guilt  Veterans  

Accuracy Verified: Yes


284. Nickerson, M. (2008, June). EMDR and the treatment for angry and violent behaviours. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

Abstract:
This workshop will assist the EMDR clinician to more effectively treat angry and violent behaviour. It will include an initial review of the prevalence, impact and dynamics of the problem. The common cyclical nature of violent acting out will be depicted as well as other characteristics in a spectrum of hostile behaviours including perpetrator state and trait issues. Current non-EMDR clinical approaches and the evolving field of domestic violence will be reviewed to aid the EMDR clinician in skilfully integrating into existing clinical contexts and to appreciate the unique capacities of EMDR. The primary focus of the workshop will be on special considerations in the successfully tailored use of the 8-Phase Treatment approach. Clients with problematic anger or violent behaviour present many challenges for the often undertrained clinician and commonly avoid, resist and manipulate treatment or drop out prematurely. Keys to successful clinical engagement, risk assessment and case formulation will be highlighted as critical to early phases of treatment. A metaphor based guide to case formulation will be presented and a decision-tree style flow chart will be offered to inform treatment planning including determining client readiness for trauma processing. EMDR offers the potential for desensitizing the trauma that often drives violent behaviour. Considerations in the identification, prioritization and sequencing of targets for processing will be outlined. This will include use of the cycle of violence model for target identification. Multiple clinical examples will be offered to illuminate points including video taped case material.

Keywords: Anger  Violence  

Accuracy Verified: Yes


285. Rose-Langston, J. (2013, May). EMDR and the treatment of adolescents: A study in 3 acts. Presentation at the Western Massachusetts EMDRIA Regional Network 9th Annual Spring Conference, Amherst MA.

Language: English

Format: Conference

Abstract:
This workshop will present the use of EMDR with adolescents through case presentations with 3 different outcomes: one a success, one a failure, and one undetermined. History taking methods, preparation tools, assessment for readiness, and cognitive interweaves during memory processing will be discussed.

Keywords: Adolescents  Dissociation  

Accuracy Verified: Yes


286. Marquis, P. (2007, June). EMDR and the treatment of anxiety disorders. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Dr. Marquis will present on the treatment of Anxiety Disorders using Eye Movement Desensitization and Reprocessing (EMDR). This treatment is based on clinical research and practice, integrating Anxiety Disorder treatments such as interceptive exposure, psych-education, mindfulness, relaxation training, breathing retraining, cognitive techniques and exposure and response prevention with EMDR. The diagnosis of Obsessive Compulsive Disorder, Hoarding, Trichotillomonia, Skin Picking, Panic Disorder, Social Anxiety Disorders, Phobias, Generalized Anxiety Disorder, Somatization Disorder and their interaction with underlying PSTD will be discussed and standard EMDR treatment protocols presented. This will be presented in context of the Adaptive Information Processing Model. Theoretical models will be presented. This treatment integrates the use of future template and behavioral feedback for success of anxiety treatment. Participants will learn how to specify EMDR targets for rapid symptom reduction and how clients scan integrate self-use of bilateral stimulation to increase treatment results. Case examples will be presented. Participants will be encouraged to discuss and receive feedback on anxiety cases of their own. Cross-cultural applications and understanding will be explored. Dr. Marquis is the Anxiety Team Leader at Kaiser Hospital and has been practicing, teaching, and training EMDR internationally since 1991.

Keywords: Anxiety Disorders  

Accuracy Verified: Yes


287. Marquis, P., & Sprowls, C. (2011, August). EMDR and the treatment of anxiety disorders: Clinical applications using the anxiety protocol. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
Dr. Marquis and Dr. Sprowls will present on the treatment of Anxiety Disorders using Eye Movement Desensitization and Reprocessing, (EMDR). This treatment is based on clinical research and practice, integrating Anxiety Disorder treatments such as interoceptive exposure, psycho-education, mindfulness, relaxation training, breathing retraining, cognitive techniques and exposure and response prevention with EMDR. Participants will learn how to specify EMDR targets for rapid symptom reduction and how clients can integrate self-use of bilateral stimulation to increase treatment results. Participants will be encouraged to discuss and receive feedback on anxiety cases of their own. Cross-cultural applications and understanding will be explored.

Keywords: Anxiety Disorders  

Accuracy Verified: Yes


288. Adler-Tapia, R. (2009, January). EMDR and the treatment of childhood depression: Findings from a pilot study. Presentation at the 23rd Annual San Diego International Conference on Child & Family Maltreatment.

Language: English

Format: Conference

Abstract:
This article describes a study initially designed to assess the ability of therapists to adhere to the Eye Movement Desensitization Reprocessing (EMDR) protocol with children two to ten years of age. Child subjects in the study were administered pre and post test measures to assess for trauma, as well as, emotional and behavioral symptoms. Initial results indicate a reduction in depressive symptoms following the child subject’s participation in the EMDR research protocol. Even though the children in this study were identified victims of crime, the children did not demonstrate symptoms of post-traumatic stress based on standardized measures; however, the children did demonstrate symptoms consistent with depression. After participating in the research protocol, the children’s depressive symptoms were no longer exhibited at post-treatment assessment. This study is limited by the small number of children included in the study; however, the unanticipated treatment outcomes identified in this study suggest that future research needs to assess the efficacy of EMDR treatment for children displaying symptoms of childhood depression.

Keywords: Children  Depression  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Bowen Theory  Relationship Issues  

Accuracy Verified: Yes


290. Korn, D. L. (2009). EMDR and the treatment of complex PTSD: A review. Journal of EMDR Practice and Research, 3(4), 264-278. doi:10.1891/1933-3196.3.4.264.

Language: English

Format: Journal

Abstract:
The diagnosis of posttraumatic stress disorder (PTSD) covers a wide range of conditions, ranging from patients suffering from a one-time traumatic accident to those who have been exposed to chronic traumatization and repeated assaults beginning at an early age. While EMDR and other trauma treatments have been proven efficacious in the treatment of simpler cases of PTSD, the effectiveness of treatments for more complex cases has been less widely studied. This article examines the body of literature on the treatment of complex PTSD and chronically traumatized populations, with a focus on EMDR treatment and research. Despite a still limited number of randomized controlled studies of any treatment for complex PTSD, trauma treatment experts have come to a general consensus that work with survivors of childhood abuse and other forms of chronic traumatization should be phase-oriented, multimodal, and titrated. A phaseoriented EMDR model for working with these patients is presented, highlighting the role of resource development and installation (RDI) and other strategies that address the needs of patients with compromised affect tolerance and self-regulation. EMDR treatment goals, procedures, and adaptations for each of the various treatment phases (stabilization, trauma processing, reconnection/development of self-identity) are reviewed. Finally, reflections on the strengths and unique advantages of EMDR in treating complex PTSD are offered along with suggestions for future investigations.

Keywords: Childhood Trauma  Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  DESNOS  Psychotherapy Research  Review  

Accuracy Verified: Yes


291. DiGiorgio, K. E., Arnkoff, D. B., Glass, C. R., Lyhus, K. E., & Walter, R. C. (2004, September). EMDR and theoretical orientation:  A qualitative study of how therapists integrate eye movement desensitization and reprocessing into their approach to psychotherapy. Journal of Psychotherapy Integration, 14(3), 227-252. doi:10.1037/1053-0479.14.3.227.

Language: English

Format: Journal

Abstract:
This study examined how 3 therapists from differing theoretical orientations (psychodynamic, humanistic, and cognitive–behavioral) integrate eye movement desensitization and reprocessing (EMDR) into their work with clients. The consensual qualitative research method was used to analyze interview responses from each of the therapists. All of the therapists deviated from the standard EMDR protocol to some degree, and their decisions to either add to or leave out various aspects of the protocol were greatly influenced by their theoretical orientation. They reported that the integration of EMDR into their usual therapy styles varied depending on their clients. The present study expands on previous psychotherapy integration research because it provides detailed descriptions as to how therapists actually use a specific method with clients. Findings may be particularly useful for researchers and therapists interested in the practice of EMDR, as well as the process of assimilative integration.

Keywords: Assimilative Integration  Cognitive Behavior Therapy  Cognitive-Behavioral Therapy  Empirical Study  Humanistic Psychotherapy  Integrative Psychotherapy  Humanistic Therapy  Psychodynamic Psychotherapy  Psychodynamic Therapy  Psychotherapeutic Processes  Psychotherapy Integration  Qualitative Study  Treatment Outcomes    

Accuracy Verified: Yes


292. Epozdemir, P., Haciomeroglu, S., & Konuk, E. (2012, June). EMDR and treatment of stuttering: Towards a protocol [EMDR y el tratamiento del tartamudeo: Hacia un protocolo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Stuttering can be defined in general terms as disturbance in the fluency of speech. Stuttering shows itself with psychological reactions as abstaining from talking, being afraid of making mistakes and with motor reactions as tics in different parts of the body, elongations, repetitions of the words and hesitations. In addition stuttering people are often observed to avoid speaking in certain situations, with certain people, showing social anxiety, high levels of distress and muscle contractions before and/or while speaking. They are also noted to experience relational difficulties and poor quality of life related to all the above factors. Even though there are different etiological approaches for stuttering, we observe that people with stuttering problem have early childhood traumas. Throughout their lives, other traumatic events, mostly related to stuttering; feelings of humiliation, inadequacy, rejection and others worsen the problem. According to our limited number of cases working with those traumas significantly decreases our clients’ social anxiety and this improvement is positively reflected to the fluency of their speech. In this workshop, we will first give general information about stuttering and its etiology, emphasize how relations are organized around stuttering and with video clips we will present how we approach the treatment of stuttering from an EMDR perspective.

En términos generales, se puede definir el tartamudeo como una alteración en la fluidez del lenguaje. El tartamudeo se manifiesta a través de reacciones psicológicas tales como abstenerse de hablar, tener miedo de equivocarse y con reacciones motrices como tics en distintas partes del cuerpo, prolongaciones, repeticiones de las palabras y vacilaciones. Es más, a menudo se observa que las personas que sufren del tartamudeo evitan hablar durante ciertas situaciones, con algunas personas en particular; muestran ansiedad social, niveles altos de estrés, y contracciones musculares antes y/o mientras hablan. También se ve que sufren dificultades con las relaciones y una mala calidad de vida relacionada con los factores previamente mencionados. Si bien existen planteamientos etiológicos distintos para tratar el tartamudeo, hemos observado que los individuos con problemas de tartamudeo han sufrido eventos traumáticos en la infancia. A lo largo de sus vidas, otros sucesos traumáticos, en su mayoría relacionados con el tartamudeo; sentimientos de humillación, ineptitud, rechazo y otros empeoran el problema. En nuestra experiencia limitada, el trabajo con estos sucesos traumáticos disminuye significativamente la ansiedad social de nuestros clientes y dicha mejoría se refleja positivamente en la fluidez de su habla. En este taller, empezaremos por ofrecer información general acerca del tartamudeo y su etiología; seńalaremos cómo se organizan las relaciones entorno al tartamudeo y, con vídeos, presentaremos nuestra forma de afrontar el tratamiento del tartamudeo desde la perspectiva de EMDR.

Keywords: Stuttering  

Accuracy Verified: Yes


293. Rodrigues, S. R. C. (2012, Novembro). EMDR aplicado a tratamento com idosos [EMDR and the elderly]. In EMDR e dor crônica. Apresentaçăo no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Os idosos com dor crônica tęm vivęncias dolorosas distintas, acompanhada na sua maioria de depressăo e um alto nível de ansiedade. Os resultados seriam a reduçăo dos sintomas através do reprocessamento, a diminuiçăo da dor crônica ou seu desaparecimento. O objetivo do estudo é avaliar a intervençăo com EMDR em idosos com diagnósticos de dor crônica e depressăo e a reduçăo dos sintomas na medida em que a ansiedade é reprocessada através da dessensibilizaçăo dos eventos traumáticos revelados pelos pacientes. A proposta é seguir por um tempo de seis meses a evoluçăo de tratamento com uma amostra de idosos encaminhados pela Geriatra usando os materiais e recursos da abordagem EMDR. Para este congresso será apresentado o resultado de dez sessőes, de uma paciente encaminhada por sua geriatra, diagnosticada com Parkinson e depressăo profunda, sem alimentar-se corretamente há seis meses, com o peso de 32 quilos, sem conseguir caminhar em funçăo de sua perna esquerda completamente “travada”, embora năo apresentasse perdas musculares. Com poucas sessőes obteve-se excelentes resultados. A paciente voltou para sua cidade, em outro estado, com um aumento significativo de peso, e será acompanhada mensalmente para averiguaçăo de sua evoluçăo.

Older people with chronic pain have different experiences painful, accompanied mostly depression and a high level of anxiety. The results would be a reduction of symptoms through reprocessing, decrease chronic pain or their disappearance. The objective of the study is to evaluate the intervention with EMDR in elderly patients with diagnoses of chronic pain and depression and reduction of symptoms in that anxiety is reprocessed through the desensitization of traumatic events revealed by the patients. The proposal is for a time following six months the evolution of treatment with a sample of elderly people referred by geriatricians using the materials and resources of the EMDR approach. To this congress will present the result of ten sessions, a patient referred by a geriatrician, diagnosed with Parkinson's and depression, not eating properly for six months, with the weight of 32 pounds, unable to walk because of his leg left completely "locked", though not present muscle loss. With few sessions yielded excellent results. The patient returned to his hometown in another state, with a significant increase in weight, and will be monitored monthly to investigate its evolution.

Keywords: Anxiety  Chronic Pain  Depression  Elderly  Trauma  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Chronic Pain  Pain  Pain Management  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Change Management  

Accuracy Verified: Yes


296. Preston, J. (2000, September). EMDR as an approach to systems work. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) review basic tenants of systems theory and its application to family or couple therapy; 2) know several important aspects of using EMDR with couples and families, such as safety issues, selection of EMDR targets; and decisions about who should be present during sessions; 3) learn ways to apply systems thinking to work with individuals; and 4) review using EMDR in light of a systemic approach to individual work.

Keywords: Couple Therapy  Family Therapy  Safety Issues  Systems Theory  Targeting  

Accuracy Verified: Yes


297. Lackie, B. (2004). EMDR as an early itervention in trauma and disaster mental health. Presentation at the annual meeting of the American Psychological Association, Honolulu, HI.

Language: English

Format: Conference

Abstract:
Summarizes a presentation discussing EMDR as an early intervention in trauma and disaster mental health. EMDR is one of the more effective preventative approaches to the effects of disaster and trauma which has emerged over the past ten years. This part of the presentation will review the research findings for effectiveness of this particular approach to reducing the risks of future PTSD, comparing and contrasting it to the alternative approaches presented by the panel. Please see the attached author submitted abstract for more detailed informatoin on EMDR.

Keywords: Disasters  Intervention  Mental Health  Posttraumatic Stress Disorder  Prevention  Risk Factors  Trauma  Treatment Effectiveness Evaluation  

Accuracy Verified: No


298. de Roos, C., & Went, M. (2012, June). EMDR as trauma treatment for infants (0-4 years) [EMDR como tratamiento para el trauma en nińos pequeńos (0-­‐4 ańos)]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
In our therapeutic EMDR work with deaf and hard of hearing clients, we are forced to strongly focus on the visual world. But focus on visual aspects is not only necessary with this client group! When working with pre-­‐verbal trauma, with children or adults who are (not yet) fluent in their native speech or when we use EMDR with clients that use a second language, we will have to use alternatives to spoken languages. When used correctly, visual input can enrich and enable the EMDR process greatly. In this presentation we invite visitors to explore the visual aspects and possibilities of the EMDR process with us. Visitors will feel more adequate in using mimic, visual and imaging techniques with their clients. Video material will enrich our presentation. We will present in English and Dutch sign language. Our interpreter will translate the Dutch sign language in spoken English.

Los infantes (0-­‐4 ańos) pueden ser expuestos a diversos tipos de eventos traumáticos, por ejemplo procedimientos médicos intrusivos, abuso sexual y otras formas de violencia física o emocional, y pueden desarrollar síntomas de estrés post-­‐traumático. Por otro lado, no es fácil determinar si están traumatizados desde esa edad, la mayoría de los nińos no son capaces de comunicar verbalmente sus experiencias. En la mayoría de los ejemplo, son los padres los que notan un cambio en el comportamiento de su hijo y van en busca de ayuda. Los terapeutas junto con los padres y usando la información disponible del propio nińo, desarrollan una hipótesis sobre el origen de los síntomas. Si existen indicios de que los síntomas actuales están relacionados con un evento traumático sin procesar, EMDR es idóneo. El método de Cuenta-­‐cuentos de Lovett puede ser usado para este propósito. Se necesita prestar una especial atención a la interacción entre los padres y el nińo. Los padres pueden encontrar difícil apoyar a su hijo o reaccionar adecuadamente al comportamiento del nińo cuando se sienten ansiosos o culpables de este evento traumático. Este tipo de cuestiones deben ser tomadas en cuenta ya que pueden agravar los síntomas ya existentes en el nińo Después de una pequeńa introducción teórica, numerosos casos serán mostrados en video. Mostramos como los recuerdos traumáticos sin procesar en infantes pueden ser activados y procesados. En uno de los casos EMDR se combinará con elementos de la terapia orientada a padres. Conceptos sobre el apego y sus efectos en el EMDR serán mostrados.

Keywords: Infants  

Accuracy Verified: Yes


299. Farrell, D. (2010, June). EMDR based treatment of psychotraumatic antecedents in illicit drug abusers: A report of two cases. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In March 2007 an EMDR Europe HAP project, in conjunction with the University of Birmingham, commenced in Northern Pakistan in the aftermath of the earthquake that occurred in the region October 2005. Presently over 75 mental health workers have now been trained in EMDR in August 2009 six of these Pakistani mental health workers had successfully completed their EMDR Facilitator training. As a means of evaluating their EMDR training a Q Methodology was utilised. Q-Methodology allows a researcher to explore a complex phenomenon from a subject's point of view by using a distinct approach which rates the value of 25 statements in order from least to most desirable. These statements related to EMDR clinical practice, cultural application of EMDR. EMDR research development, and their experiences of their EMDR training. Results highlighted important issues around their training experience, how cultural sensitivities play an important part in the application of EMDR in Pakistan, and how the EMDR trainings can be adapted and improved for the future.

Keywords: HAP Project  Q-Methodology  Pakistan  Poster  

Accuracy Verified: No


300. Lendl, J. (2007, September). EMDR basics part I: The touchstone event. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.

Language: English

Format: Conference

Abstract:
One of the reasons EMDR is such a powerful treatment is the Adaptive Information Processing Model with its eight phase, three- prong protocol. The robustness of the treatment is not achieved if any part of the protocol is dismissed. Dr. Shapiro’s recent trainings have emphasized the need to work beyond present-day symptoms and triggers (prong #2) to find the underlying touchstone events (prong #1). Part I will review the AIP Model, suggest channels of association most likely linked to a touchstone event/node, review the eight phases, place the touchstone event into the context of the eight phases, show video simulations of the touchstone event including the affect scan and floatback techniques, and have a supervised practicum.

Keywords: Adaptive Processing Model  Channels of Association  Touchstone Event  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Positive Template  

Accuracy Verified: Yes


302. van Nijnatten, A. (2012). EMDR bij getraumatiseerde asielzoekers en vluchtelingen: Verschil in effectiviteit tussen visuele en auditieve stimulatie [EMDR with traumatized asylum seekers and refugees: difference in effectiveness between visual and auditory stimulation]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Objective: Recent studies suggest that eye movements are the most effective form of stimulation in EMDR, but this assertion is based primarily on studies using the general population. This study evaluated whether tones and eye movements in EMDR are equally effective in reducing symptoms of trauma, anxiety and depression among asylum seekers and refugees, who are diagnosed with PTSD. As a control the entire EMDR condition was compared with a waiting list condition, who received no treatment. Method: In the present study 43 asylum seekers and refugees in the age of 20 to 73 years, who were indicated for treatment at Stichting Centrum ’45, participated. They were assigned to three different conditions: EMDR with eye movements, EMDR with tones or no treatment. The patients were not randomly assigned to the three conditions. Trauma symptoms were measured with the CAPS and HTQ and anxiety and depression symptoms with the HSCL-25. Results: Both tones and eye movements in EMDR lead to a reduction in symptoms of trauma, according to the HTQ. When trauma symptoms are reported according to the CAPS both conditions do not lead to a significant reduction in complaints. Concerning symptoms of anxiety and depression both conditions lead to a reduction in symptoms. Again there is no difference between tones and eye movements. It appears that EMDR is not significantly better in reducing symptoms of trauma, compared to the waiting list condition. Both EMDR and no treatment do not lead to a significant reduction in symptoms of anxiety and depression and there is no distinction between the conditions. Conclusion: Eye movements and tones lead to a significant reduction in symptoms of trauma, anxiety and depression, but this reduction is insufficient compared to the control condition. This is probably due to the small sample size of the present study. The present study implies that the theory that eye movements are more effective than tones in EMDR may not be generalizable to a complex group of patients, namely asylum seekers and refugees diagnosed with PTSD.

Keywords: Asylum Seekers  Auditory Stimulation  Refugees  Visual Stimulation  

Accuracy Verified: Yes


303. van den Berg, D., & Staring, T. (2011, April). EMDR bij patiënten met psychosen, wie durft? [EMDR in patients with psychosis, who dares?]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging.

Language: Dutch

Format: Conference

Abstract:
Patiënten met psychosen hebben vaak ernstige trauma’s meegemaakt. PTSS is bij hen een van de meest voorkomende co-morbide stoornissen. De meeste therapeuten hanteren een psychotische stoornis echter als contra-indicatie voor EMDR. Tijdens deze presentatie tonen wij dat EMDR ondanks psychotische problematiek gewoon kan worden toegepast en dat dit slechts minimale aanpassingen vergt. Wij zetten daarna uiteen wat de verschillende toepassingsgebieden bij deze doelgroep zijn. EMDR kan namelijk niet alleen veilig en effectief toegepast worden bij psychosen met co-morbide PTSS, het kan ook een belangrijke rol hebben binnen CGT bij stemmen en wanen. Traumatische (leer)ervaringen zijn immers vaak betrokken bij het ontstaan van wanen en hallucinaties. Daarnaast liet recent onderzoek zien dat niet alleen retrospectieve targets behandeld kunnen worden met EMDR, maar ook situaties in de toekomst, de zogenoemde ‘flash forwards’. Dit is nuttig voor patiënten die herhaaldelijk geconfronteerd worden met stemmen of met situaties waarin paranoide gedachten worden getriggerd. Videomateriaal wordt getoond om de presentatie te ondersteunen. Tot slot is er aandacht voor obstakels in de toepassing van EMDR bij deze doelgroep. Aan het einde is er ruimte voor vragen en discussie.

Patients with psychoses often experienced severe trauma. PTSD is with them one of the most common co-morbid disorders. Most therapists use a psychotic disorder but as a contraindication to EMDR. During this presentation we demonstrate that EMDR despite psychotic problems can easily be applied and that it requires only minimal adjustments. We then set out what the different application of this target group. EMDR can not safely and effectively used in psychoses with co-morbid PTSD, it can also have an important role in CBT for voices and delusions. Traumatic (learning) experiences are often involved in the pathogenesis of delusions and hallucinations. In addition, recent studies showed that not only retrospective targets can be treated with EMDR, but also situations in the future, called "flash forwards". This is useful for patients who are repeatedly confronted with situations in which voices or paranoid thoughts are triggered. Video material is shown to support the presentation. Finally, consideration of obstacles in the application of EMDR with that audience. At the end there is room for questions and discussion.

Keywords: Pyschosis  

Accuracy Verified: Yes


304. Withers, D. (2000, December). EMDR bilateral movement groups for children with ADHD. EMDRIA Newsletter, 5(Special Edition), 11-13.

Language: English

Format: Newsletter

Abstract:
Using EMDR to treat children diagnosed with ADHD is challenging on many levels. Differentiating the effects of trauma versus pure ADHD or other diagnoses such as OCD, learning disabilities, and even autism is difficult at best because these symptoms could be present as the result of early trauma (Tinker, 1999). These experiences include birth trauma, illness, medical procedures and surgery as well as abuse or neglect (Becker, 2000). These children may be unintentionally further traumatized on a daily basis by parents, teachers, coaches and peers for missing social cues, being impulsive and disruptive and no paying attention or cooperating. They may not easily engage in therapy and tend to avoid new situations due to past failures and harbor negative views of themselves because of their belief that they somehow need to be “fixed.” These response could also be due to attachment disorders or to a “poor match” between temperament of parent and child (Bowlby, 1973).

Keywords: ADHD  Attention Deficit Hyperactivity Disorder  Children  

Accuracy Verified: Yes


305. Hagen, H., & Baas, J. (2008, Maart). EMDR binnen de schematherapie voor persoonlijkheidsproblematiek van young enkele overwegingen [Schema therapy EMDR within the personality issues of young a few thoughts]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
De laatste jaren is er veel vooruitgang geboekt in de behandeling van persoonlijkheidstoornissen van met name de borderline persoonlijkheidsstoornis (BPS) met Cognitieve Gedrags Therapie (CGT). Vooral de Schematherapie van Jeffrey Young gooit hoge ogen. Bij een hoog percentage van mensen met persoonlijkheidstoornissen en met name weer bij BPS is er sprake van traumatische gebeurtenissen in de voorgeschiedenis. EMDR gooit hoge ogen in de behandeling van de gevolgen van trauma’s. Een goede vraag is dan ook wat de plaats is van EMDR binnen de Schematherapie. Op deze vraag zullen wij ingaan tijdens onze presentatie. Eerst presenteren we een simpel model hoe je naar persoonlijkheidstoornissen kunt kijken en uit welke componenten een behandeling meestal zal bestaan. Vervolgens kijken we wat EMDR te bieden heeft binnen de verschillende componenten. Bij onze presentatie zullen we steeds praktische voorbeelden geven van succes en falen van EMDR binnen Schematherapie en bezien wat we daar uit kunnen leren. De lezing is niet geschikt voor beginners. Kennis van Schema Focused Therapy wordt aanbevolen.

In recent years there has been much progress in the treatment of personality disorders, especially borderline personality disorder (BPD) and Cognitive Behavioral Therapy (CBT). Especially the Schema Therapy Jeffrey Young gets top marks. In a high percentage of people with personality disorders and BPD in particular, again there is a history of traumatic events. EMDR gets top marks in the treatment of the effects of trauma. A good question is what the site is within the Schema Therapy EMDR. On this question we will discuss during our presentation. First we present a simple model of how personality disorders can look at and which components of treatment will usually exist. Then we see what EMDR has to offer within the various components. In our presentation we will always offer practical examples of success and failure of Schema Therapy EMDR inside and see what we can learn from. The lecture is not suitable for beginners. Schema Focused Therapy knowledge is recommended.

Keywords: Personality Disorder  Schema Therapy  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Case Formulations  

Accuracy Verified: Yes


307. Lichti, J. (2005, September). The EMDR consultation process:  Findings & fine-tuning the future. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
This workshop will review the development of EMDR consultation in order to improve future consultation practices. The differences and similarities between therapy, consultation and consultation-of-consultation will be highlighted. The literature on effective clinical supervision/consultation will be reviewed. New research on the practices of North American Approved Consultants will be presented. Current activities and innovation in EMDR consultation will be critiqued using case examples. All this information will be used to identify the knowledge and skills needed for competent consultation. Participants will then analyze their own practices using all the above information and discuss in small groups how they plan to improve their consultation services.

Keywords: Consultation  

Accuracy Verified: Yes


308. St. André, É. (2010, Avril/Mai). EMDR dans le traitement d’un trouble obsessif compulsif: Une étude de cas [EMDR in the treatment of obsessive compulsive disorder: A case study]. Atelier présenté ŕ la réunion annuelle de l'EMDR Canada, Toronto, Ontario.

Language: French

Format: Conference

Abstract:
Le trouble obsessif compulsif (TOC) est un trouble anxieux généralement chronique se présentant avec des obsessions récurrentes tel des idées persistantes, des images mentales et des compulsions (suivant les obsessions) tel des actes physiques ou mentaux répétitifs. Dans cet atelier, le médecin fournira des indications cliniques sur son utilisation de l’EMDR dans le traitement d’un patient souffrant de TOC, et donnera quelques exemples tirés de la pratique d’autres cliniciens, en sus d’une révision des notions de base utiles ŕ la compréhension du TOC (théorie neurobiologiques, épidémiologie, etc.). La présentatrice tentera de souligner ce qu’il y a d’unique dans l’utilisation de l’EMDR dans le traitement de l’OCD, les difficultés rencontrées et les solutions utilisées dans ce cas précis. Elle décrira l’utilisation de la méthode de traitement standard en 8 étapes dans un cas spécifique, et dans les modalités de temps (passé, présent, futur), Nous verrons l’identification des cibles de traitement, et la gestion des symptômes de TOC qui entravent le fonctionnement quotidien des patients affectés. Nous verrons aussi les défis proposés par cette population, en clinique. Les participants pourront utiliser certaines stratégies dans un exercice pratique. (Tous les niveaux)

Obsessive Compulsive Disorder (OCD) is an anxiety disorder typically presenting with chronic recurrent obsessions such persistent ideas, images and mental compulsions (as obsessions) as acts of physical or mental patterns. In this workshop, the doctor will provide information on clinical use of EMDR in treating a patient suffering from OCD, and provide some examples from the practice of other clinicians, in addition to a review of concepts useful background for understanding the TOC (theory neurobiology, epidemiology, etc..). The presenter will attempt to highlight what is unique in the use of EMDR in the treatment of OCD, the difficulties encountered and solutions used in this case. She will describe the use of the method of standard treatment in 8 steps in a specific case and in terms of time (past, present, future), we see the identification of treatment targets, and management of symptoms of OCD which hinder the daily operation of affected patients. We will also see the challenges offered by this population in clinical practice. Participants may use certain strategies in a practical exercise.

Keywords: Case Study  Obsessive Compulsive Disorder  OCD  

Accuracy Verified: Yes


309. Nicolais, G. (2011, Settembre). EMDR e attaccamento [EMDR and attachment]. Presentazione al Congresso EMDR Nazionale "Trauma e relazione,” Roma, Italia.

Language: Italian

Format: Conference

Abstract:
Secondo Bowlby, le esperienze precoci del bambino con le proprie figure di attaccamento determinano rappresentazioni mentali - denominate Modelli Operativi Interni della relazione - che regolano aspetti centrali dello sviluppo come la regolazione degli affetti e la fiducia interpersonale. Analogamente, il modello AIP di Shapiro ipotizza l’effetto di esperienze precoci sullo sviluppo futuro del bambino. Ricordi di eventi particolarmente stressanti o traumatici tendono ad essere immagazzinati in modo disfunzionale nel cervello in uno stato non metabolizzato, sotto forma di “network mnestici” contenenti costellazioni di percezioni, aspettative negative, affetti e sensazioni corporee che possono essere riferite all’esperienza di caregiving. In situazioni infantili all’interno di accudimento particolarmente disfunzionali, il modello di attaccamento sviluppato dal bambino conterrŕ quindi network mnestici caratterizzati dall’esperienza del rifiuto e/o del maltrattamento. Il modello AIP prefigura perciň interventi, realizzati attraverso l’approccio dell’EMDR, che agiscono in senso trasformativo sulle peculiaritŕ dei Modelli Operativi Interni della relazione. Le implicazioni di tale premessa sono l’oggetto della relazione presentata.

According to Bowlby, the child's early experiences with attachment figures determine their mental representations - called internal working models of the report - that regulate key aspects of development such as affect regulation and interpersonal trust. Similarly, the model AIP Shapiro assumed the effect of early experience on the future development of the child. Memories of traumatic or stressful events tend to be stored in a dysfunctional brain in a non-metabolized form of "network mnemonic" containing clusters of perceptions, expectations, negative emotions and bodily sensations that may be related to the experience of caregiving . In situations in caregiving particularly dysfunctional childhood, the attachment model developed by the child will then contain mnemonic networks characterized by the experience of rejection and / or mistreatment. The model therefore anticipates AIP intervention, achieved through the approach of EMDR, which act in the sense of transformation on the peculiarities of the internal working models of the relationship. The implications of this premise are the subject of the report.

Keywords: Attachment  

Accuracy Verified: Yes


310. Gomes, G. F. B. (2012, Novembro). EMDR e cura sistęmica: A gestaçăo de uma nova história de vida [EMDR and systemic cure: The gestation of a new life story]. In EMDR e visăo sistęmica. Apresentaçăo no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Objetivo: narrar a trajetória de uma cliente em relaçăo a um trauma em específico, os desdobramentos deste, bem como os resultados do reprocessamento e sua abrangęncia no equilíbrio da ecologia de um sujeito tratado em duas sessőes de EMDR. Pode-se afirmar que os sintomas săo, em sua essęncia, um caminho que nos permite retornar ao evento chave, reprocessar a base traumática e a partir daí reescrever uma história saudável e, certamente, geradora de frutos em muitos níveis. O trabalho em questăo apresentará a história de uma cliente que buscou a terapia com EMDR para reprocessar sua dificuldade de relacionamento com a irmă caçula. Fazia parte deste contexto, o acometimento da cliente em questăo pela Doença de Crohn e Endometriose, além do desejo intenso de engravidar. Tendo-se definido o alvo, o trabalho com EMDR iniciou-se. Após duas sessőes de reprocessamento, a cliente năo só havia conseguido resolver a questăo fraterna que lhe afligiu por 16 anos como, por meio de avaliaçăo médica, constatou estar assintomática para o Crohn e com o processo de Endometriose sob controle. Ainda como possível desdobramento deste processo, o sujeito desta história pôde realizar um desejo muito especial: a gestaçăo com a qual vinha sonhando. Após a compilaçăo dos dados deste caso clínico, conclui-se que o EMDR é, em sua natureza, um tratamento orientado para o corpo, sendo a cura de um trauma efetivado somente quando se atinge o sistema como um todo em seus níveis fisiológico, neurológico e psicológico.

Objective: To narrate the story of a client in relation to a specific trauma, the ramifications of this, and the results of reprocessing and its coverage in the ecological balance of a subject treated in two sessions of EMDR. It can be said that the symptoms are, in essence, a way that allows us to return to the key event, reprocess the traumatic basis and from there to rewrite a story healthy and certainly generating fruit on many levels. The work in question will present the story of a client who sought therapy with EMDR to reprocess its difficult relationship with her ​​younger sister. It was part of this context, the involvement of the client in question by Crohn's disease and endometriosis, besides the intense desire to become pregnant. Having set up the target work with EMDR started. After two sessions of reprocessing, the client had not only managed to solve the issue fraternal afflicted him for 16 years as a through medical evaluation, found to be asymptomatic for Crohn's and with the process of endometriosis under control. Yet as possible unfolding of this process, the subject of this story could make a very special wish: pregnancy with which had been dreaming. After compiling the data in this case study, it is concluded that EMDR is, in its nature, a treatment-oriented body, and the healing of trauma effected only when it reaches the system as a whole in their physiological levels, neurologic and psychological.

Keywords: Crohn's Disease  Endometriosis  Standard Protocol  Systemic Cure  

Accuracy Verified: Yes


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

Language: Italian

Format: Conference

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

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

Keywords: Eating Disorders  

Accuracy Verified: Yes


312. Didonna, F. & Pinto, A. (2006). EMDR e mindfullness: un ponte terapeutico tra passato e presente [EMDR and mindfullness: a therapeutic bridge between past and present]. In M. Balbo (a cura). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR: A tool for dialogue among the psychotherapies] 1e edizione, (pp. 307-315). Milano, Italy: McGraw-Hill.

Language: Italian

Format: Book Section

Keywords: Practice  Theory  

Accuracy Verified: Yes


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

Language: Portuguese

Format: Conference

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

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

Keywords: Family Therapy  Fibromyalgia  

Accuracy Verified: Yes


314. Arnone, R., Orrico, A., D'Aquino, G., & Di Munzio, W. (2012, March-April). EMDR e terapia psicofarmacologica nel trattamento del disturbo da stress post-traumatico [EMDR and psychopharmacological therapy in the treatment of the post-traumatic stress disorder]. Rivista di Psichiatria, 47(2), 8-11. doi:10.1708/1071.11732 .

Language: Italian

Format: Journal

Abstract:
Questo studio si propone di valutare l’efficacia di due diversi trattamenti nella cura del disturbo da stress post-traumatico (PTSD): la terapia psicofarmacologica, attraverso l’utilizzo di serotoninergici, e l’EMDR. Metodo. Sono stati utilizzati due gruppi indipendenti ai quali venivano somministrati due trattamenti differenti: il trattamento con sertralina per il gruppo assegnato alla terapia psicofarmacologica; il trattamento con sedute monosettimanali di EMDR per l’altro gruppo. Per la valutazione dei sintomi del PTSD č stata utilizzata la Clinician-Administered PTSD Scale (CAPS). L’assegnazione dei soggetti ai due gruppi č stata randomizzata. Risultati. I risultati confermano precedenti studi riportati in letteratura, evidenziando l’efficacia sia dell’EMDR sia della sertralina nel migliorare la sintomatologia post-traumatica e i livelli di sofferenza soggettiva. Tuttavia il numero di soggetti che al termine della condizione sperimentale non rientrava piů nei criteri diagnostici del PTSD č risultato nettamente superiore nel gruppo trattato con EMDR. Conclusioni. Data la differenza nei due gruppi, a favore di quello trattato con EMDR, del numero di soggetti che possono essere considerati responder e che, come tali, non soddisfano piů i criteri del PTSD al termine della condizione sperimentale, possiamo affermare che l’ipotesi per cui l’EMDR č un trattamento piů efficace rispetto al trattamento psicofarmacologico č stata confermata. Questo dato potrebbe stimolare ricerche future con campioni piů numerosi che indaghino anche l’efficacia a lungo termine.

This study evaluates the efficacy of two different treatment for post-traumatic stress disorder (PTSD): the psychopharmacological therapy, with a SSRI drug, and EMDR. Method. Two indipendent groups have been administered two different treatments: the treatment with sertraline to the group for psychopharmacological therapy; the treatment with one-week sessions of EMDR to the other group. For the evaluation of the symptoms of PTSD has been used the Clinician-Administered PTSD Scale (CAPS). The inclusion of the subjects in the two groups has been absolutely random. Results. The results confirm previous studies available in literature, pointing out the efficacy of EMDR and of sertraline in improving the post-traumatic symptomatology and the levels of subjective sufference. But the number of subjects which at the end of the study didn't satisfy any more the criteria for PTSD has been absolutely greater in the group treated with EMDR. Conclusions. The study confirms the hypothesis of EMDR as a more efficacious treatment for PTSD compared to psychopharmacological therapy. This result could be a stimolous for further research with greater groups to investigate also the long term efficacy.

Keywords: CAPS  Clinician-Administered PTSD Scale  Efficiacy  PTSD, Sertraline  

Accuracy Verified: Yes


315. Skowronski, A. (2012, Novembro). EMDR e tratamento de psoríase [EMDR and psoriasis]. In casos clínicos I. Apresentaçăo no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Este trabalho tem como objetivo apresentar um caso clínico de psoríase utilizando o protocolo de desenhos em EMDR.

This paper aims to present a clinical case of psoriasis using the EMDR protocol drawings.

Keywords: Clincial Case  Psoriasis  

Accuracy Verified: Yes


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

Language: Italian

Format: Conference

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

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

Keywords: Panic Disorder  

Accuracy Verified: Yes


317. Monteiro, A. M. (2012, Novembro). EMDR em posturas e movimento: Estados de ego e memórias năo verbais [EMDR in posture and movement: Member of ego and non-verbal memories]. In EMDR e memórias. Apresentaçăo no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Neste trabalho serăo apresentadas estratégias de exploraçăo de postura e espaço para acesso a memórias năo verbais, características de ICES incompletos e frequente expressăo de Estados de Ego infantilizados, primitivos. Esses casos geralmente refletem transtornos dissociativos mais pronunciados, com desafios para terapeuta montar protocolo clássico.

In this work we will present strategies for posture and space for access to non-verbal memories, characteristics of ICES incomplete and frequent expression of Ego States childish, primitive. These cases generally reflect more pronounced dissociative disorders, with challenges to mount therapist classic protocol.

Keywords: Ego States  Nonverbal Memories  Posture  Standard Protocol  

Accuracy Verified: Yes


318. Guedalia, J. B., & Yoeli, F. (2009). EMDR emergency room and wards protocol (EMDR-ER). In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 241-250). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
The EMDR-Emergency Room and Wards Protocol (EMDR-ER®) was developed by Dr. Judith Guedalia, after being present at more than 26 Mass Casualty Events (MCEs). She and the other members of Shaare Zedek Medical Center's Trauma Team attended to more than 38% of the 1,623 patients injured in Jerusalem terror attacks during the "Second Intifada." The Second Intifada spanned nearly 4 years, lasting from November 2000 until September 2004. The EMDR Emergency Room and Wards Protocol (EMDR-ER) Script is provided. [PsychoINFO]

Keywords: Emergency Room  Protocol  Wards  

Accuracy Verified: Yes


319. Sales, S. H. D. (2011). EMDR en de effectiviteit van tappen versus tappen en klikjes, Een onderzoek naar de efficiëntie van EMDR met betrekking tot de werkgeheugenhypothese [EMDR effectiveness in tapping vs. taps and clicks, a study of the effectiveness of EMDR in relation to the working hypothesis]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract:
Recente onderzoeken naar Eye Movement Desensitization Reprocessing (EMDR) doen een rol van het werkgeheugen vermoeden. Met betrekking tot het effect van de bilaterale stimulatie bij EMDR-therapie, is echter nog weinig onderzoek gedaan naar het effect van tappen op het terug dringen van emotionele lading en levendigheid bij negatieve herinneringen. In het huidige onderzoek zijn deze twee aspecten onderzocht. Gebruik is gemaakt van drie condities respectievelijk (1) controle; (2) tappen en (3) tappen+klikjes. Verwacht werd dat een effect zou bestaan voor de conditie 2 en 3. Ook werk verwacht dat dit effect voor conditie 3 sterker zou zijn dan voor conditie 2. Aan het onderzoek hebben 36 vrijwillige gezonde studenten van de Universiteit Utrecht deel genomen, (24 vrouwen en 12 mannen). Gebleken is een effect in conditie 2 op zowel emotionele lading als levendigheid. Dit effect was sterker voor conditie 3. Exploratief is gekeken naar het effect voor geslacht, gebleken is dat er geen verschil is tussen mannen en vrouw met betrekking tot de effectiviteit van tappen, tappen+klikjes als bilaterale stimulatie bij EMDR therapie. Uit dit onderzoek is een effect voor de bilaterale stimulatie in de vorm van tappen en de stimulatie in de vorm van tappen+klikjes gebleken. Dit doet een rol van belasting van het werkgeheugen vermoeden. Echter kunnen hieraan geen definitieve conclusies worden verbonden, meer onderzoek is nodig naar de werkgeheugen en EMDR-therapie.

Recent studies of Eye Movement Desensitization Reprocessing (EMDR) doing a role of working memory suspicion. With regard to the effect of bilateral stimulation in EMDR therapy is still little research on the effect of tapping on reducing emotional and vibrancy to negative memories. In the present study, these two aspects. Use is made of three conditions are (1) control, (2) tapping and (3) tapping + clicks. It was expected that the effect would exist for the condition 2 and 3. Work also expects that this effect for condition 3 would be stronger than for condition 2. In the study, 36 healthy volunteer students from Utrecht University participated (24 women and 12 men). It has been an effect of condition 2 on both emotional and liveliness. This effect was stronger for condition 3. Explorative looked at the effect of gender, it appears that there is no difference between men and women with regard to the effectiveness of tapping, tapping + clicks as bilateral stimulation in EMDR therapy. This study is an effect of bilateral stimulation in the form of tapping and stimulation in the form of tapping + clicks proved. This does a role of working memory load suspicion. However, can not derive any definitive conclusions be drawn, more research is needed into the memory and EMDR therapy.DanishEnglishSwedishAlpha Recent studies of Eye Movement Desensitization Reprocessing (EMDR) doing a role of working memory suspicion. With regard to the effect of bilateral stimulation in EMDR therapy is still little research on the effect of tapping on reducing emotional and vibrancy to negative memories. In the present study, these two aspects. Use is made of three conditions are (1) control, (2) tapping and (3) tapping + clicks. It was expected that the effect would exist for the condition 2 and 3. Work also expects that this effect for condition 3 would be stronger than for condition 2. In the study, 36 healthy volunteer students from Utrecht University participated (24 women and 12 men). It has been an effect of condition 2 on both emotional and liveliness. This effect was stronger for condition 3. Explorative looked at the effect of gender, it appears that there is no difference between men and women with regard to the effectiveness of tapping, tapping + clicks as bilateral stimulation in EMDR therapy. This study is an effect of bilateral stimulation in the form of tapping and stimulation in the form of tapping + clicks proved. This does a role of working memory load suspicion. However, can not derive any definitive conclusions be drawn, more research is needed into the memory and EMDR therapy.

Keywords: Therapy  

Accuracy Verified: Yes


320. 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


321. Beer, R., & Hornsveld, H. (2005, November). EMDR en Eetstoornissen: Conceptualisatie en klinische toepassingen [EMDR and eating disorders: Conceptualisation and clinical applications]. Presentatie aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Renee Beer en Hellen Hornsveld bespreken in deze presentatie toepassingsmogelijkheden van EMDR bij patiënten met uiteenlopende eetstoornissen. Eerder is over dit onderwerp gepresenteerd door beide spreeksters op een EMDR Netwerkavond in 2004 en op het Europese EMDR congres in 2005.
Samenvatting Patiënten met Eetstoornissen (Anorexia Nervosa, Bulimia Nervosa, Binge eating disorder) krijgen doorgaans een multidisciplinaire behandeling, waarin verschillende modules een complementaire rol spelen. Resultaten zijn echter vaak teleurstellend en daarom zijn nieuwe ideeën en technieken welkom. Mogelijkheden en beperkingen van EMDR in combinatie met Cognitieve Gedragstherapie (C.G.T.) worden besproken en geďllustreerd met videobeelden.
Renee Beer zal toelichten en demonstreren -hoe EMDR geplaatst kan worden in de context van C.G.T., -waarom het aantrekkelijk is voor adolescenten (“een coole combi”), -welke targets in aanmerking kunnen komen (o.a. traumaverwerking, lichaamsbeeld en zelfbeeld), -hoe deze targets bewerkt kunnen worden, -en wanneer in het behandelingsproces EMDR in aanmerking komt.
Hellen Hornsveld zal vervolgens haar ervaringen presenteren met een eigen protocol ter behandeling van eetbuien en eetdrang. Dit protocol is voortgekomen uit de observatie dat patiënten vaak heftige, negatieve emoties vertonen tijdens cue exposure. Cue exposure is een gedragstherapeutische techniek, waarbij de patiënt blootgesteld wordt aan de prikkels die doorgaans een eetbui uitlokken (geur, smaak,aanwezigheid van “verboden” voedsel) zonder dat de eetbui daarbij plaats mag vinden (responspreventie). De procedure is gericht op het laten uitdoven van de fysiologische reacties op de eetbui prikkels (Jansen, 1997). Op de inhoud van de reacties en de emotionele betekenis die geassocieerd is met het eten, wordt verder niet ingegaan. De EMDR variant van dit protocol is juist gericht op de betekenisverlening en het creëren van een zo hoog mogelijke emotionele lading (“balletje op de berg”) door zoveel mogelijk het EMDR protocol te volgen. Positieve ervaringen met dit protocol zullen aan de hand van videomateriaal worden gedemonstreerd.


Renee Beer and Hellen Hornsveld in this presentation discuss applications of EMDR in patients with various eating disorders. This issue was presented by speakers at an Evening Both EMDR Network in 2004 and the European EMDR conference in 2005.
Summary Patients with Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, binge eating disorder) tend to have a Multidisciplinary treatment, a complementary role Which modules. Results in loss or are disappointing and therefore welcome new ideas and techniques. Possibilities and limitations of EMDR in combination with cognitive behavioral therapy (CBT) are discussed and illustrated with videos.
Renee Beer will demonstrate and explain -How EMDR Can Be Placed in the context of CBT, -Why is it Attractive for adolescents ("a cool combination) Targets, Which Are Eligible (e.g. trauma, body image and self-image) How-thesis targets Can be edited And when in the process of EMDR treatment is Eligible.
Hellen Horn Field Will then present experiences with ITS ITS own protocol for the treatment of binge eating and eetdrang. This protocol is derived from the observation That Patients in loss or intense negative emotions show consistently cue exposure. Cue exposure is a behavioral technique in Which the patient is Exposed to the stimuli That Provoke Normally a binge (smell, taste, presence of "forbidden" foods) without taking the binge Which Should Be (response prevention). The procedure is aimed at gradually between the physiological responses to the binge stimuli (Jansen, 1997). The content of the emotional responses and Significance associated with the food is not Considered Further. The EMDR variant of this protocol is very focused on the perspectives and Creating the Highest Possible emotional charge (ball on the Mountain ") as much as Possible, the EMDR protocol to follow. Positive experience with this protocol using Will Be video material locally.

Keywords: Eating Disorders  

Accuracy Verified: Yes


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

Language: Spanish

Format: Magazine

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

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

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

Accuracy Verified: Yes


323. Quilez, R. (2010). EMDR en los trastornos de la conducta alimentaria: revision [EMDR in eating disorders: a review]. Revista de psicoterapia, 20(80. Terapias Psiconeurologicas del Trauma) .

Language: Spanish

Format: Journal

Abstract:
El TCA es un síndrome diagnóstico concreto de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar de la superficie al recoveco. Los profesionales de TCA disponen en el EMDR de un modelo psicológico capaz de dar una respuesta eficaz. Este escrito presenta una revisión bibliográfica de la eficacia del EMDR en TCA así como otros estudios y datos sobre aspectos que pueden darse en el cliente y en el tratamiento de 8 fases. Aparecen datos sobre el deseo de delgadez, el control y la vergüenza, TCC, reacciones defensivas condicionadas, imagen corporal, dificultades de apego, maltrato físico, sexual, negligencia, disociación, descontrol de los impulsos, TCA como anestesia emocional, automutilaciones, necesidad de límites, etiquetas, personaje, figura masculina de apego, familias disfuncionales, etc.

The Disorder of Feeding Behavior is an specific syndrome with a complex origin and multidimensional affectation, which treatment should be able to go beyong the surface. Disorder of Feeding Behavior clinicians have in EMDR a psychological approach able to give an effective response. This article present a bibliographic review about the EMDR efficacy with Disorders of Feeding Behavior as of other studies and dates about different aspects that we can see in the patient and in the use of 8 phases of EMDR. We present dates about thinness wish, shame and control, defensive conditioned reactions, body image, attachment difficulties, physical, sexual mistreatment, neglect, dissociation, impulse uncontrol, emotional anesthesia, self-mutilation, limits need, labels, male attachment figure, disfunctional families,etc.

Keywords: Diet  Disorder of Feeding Behavior  Dissociation  Trauma  

Accuracy Verified: Yes


324. Farrell, D. (2010, March). EMDR Europe accreditation session. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Over the last number of years EMDR Europe has developed a Competency Based Framework for EMDR clinicians seeking accreditation as either an EMDR Europe Practitioner or Consultant. The rationale behind this initiative is that EMDR Europe wanted to standardise the requirement for accreditation across all member nations as part of EMDR Europe. These new competency frameworks have made a significant contribution in achieving this. The need to enhance the importance of accreditation within EMDR is extremely important in terms of treatment fidelity, future research and development, and quality assurance. The purpose of this session is twofold; firstly to explore the key attributes of each of these EMDR Europe competencies based frameworks and explain how the accreditation process works within EMDR UK & Ireland. Secondly, a question and answer aspect focussing upon individual aspects to address people’s specific issues, concerns or queries EMDR clinicians may have in relation to EMDR Europe accreditation either as a practitioner or consultant.

Keywords: Accreditation  Competency-Based Framwork  

Accuracy Verified: Yes


325. Farrell, D. (2010, March). EMDR Europe accreditation session. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Over the last number of years EMDR Europe has developed a Competency Based Framework for EMDR clinicians seeking accreditation as either an EMDR Europe Practitioner or Consultant. The rationale behind this initiative is that EMDR Europe wanted to standardise the requirement for accreditation across all member nations as part of EMDR Europe. These new competency frameworks have made a significant contribution in achieving this. The need to enhance the importance of accreditation within EMDR is extremely important in terms of treatment fidelity, future research and development, and quality assurance. The purpose of this session is twofold; firstly to explore the key attributes of each of these EMDR Europe competencies based frameworks and explain how the accreditation process works within EMDR UK & Ireland. Secondly, a question and answer aspect focussing upon individual aspects to address people’s specific issues, concerns or queries EMDR clinicians may have in relation to EMDR Europe accreditation either as a practitioner or consultant.

Keywords: Accreditation  Competency-Based Framwork  

Accuracy Verified: Yes


326. Spierings, J., Oren, U., & Hofmann, A. (2008, June). EMDR Europe training standards: Past, present & future. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
It is a workshop with the emphasis on ‘working’. It is a meeting of Masterminds. The program consists of a series of challenges, presented by Joany Spierings. Every challenge provokes a debate, a contest, where the participants are asked to come up with convincing arguments for their position. The challenges are based on actual developments of EMDR in the different countries in Europe, collected by Joany Spierings on behalf of the EMDR Europe Board. Her role is to present the challenges one by one, to watch over the process and to make sure the rules of the game are strictly followed.

Keywords: Training Standards  

Accuracy Verified: Yes


327. Kavakcı, Ö, Kaptanoğlu, E., Kuğu, N., & Doğan, ). (2010). EMDR fibromiyalji tedavisinde yeni bir seçenek olabilir mi? Olgu sunumu ve gözden geçirme [EMDR: A new choice of treatment in fibromyalgia? A review and report of a case presentation]. Klinik Psikiyatri Dergisi, 13(3), 143-151.

Language: Turkish

Format: Journal

Abstract:
Fibromiyalji Sendromu (FMS) etyolojisi belli olmayan yaygın vücut ağrıları, belirli anatomik bölgelerde hassasiyet, azalmış ağrı eşiği, uyku bozuklukları, yorgunluk ve sıklıkla psikolojik sıkıntı ile karakterize eklem dışı romatizmal bir hastalıktır. FMS'de psikiyatrik komorbidite yüksektir ve son zamanlarda FMS ve psikolojik travma ilişkisini gösteren yayınlar artmaktadır. Bu olgu sunumunun amacı psikolojik travmaya yönelik bir tedavinin FMS'nin belirtilerini yatıştırıp yatıştırmayacağını değerlendirmektir. Bu amaç doğrultusunda Fizik Tedavi ve Rehabilitasyon (FTR) kliniğinden ilaç tedavisine iyi yanıt vermemiş FMS tanısı konulan bir hastada önce travma yaşantısı olup olmadığı değerlendirilmiş, ardından saptanan travmalarına yönelik göz hareketleriyle duyarsızlaştırma ve yeniden işleme (EMDR: Eye Movement Desensitization and Reprocessing) uygulanmıştır. Hasta; Beş yıldır şikâyetleri olan 34 yaşında, evli, kadın, ilaç kullanmıyor. Visuel Ağrı Skalasında (VAS) ağrı düzeyi 9-10, hassas nokta sayısı 15/18 olarak belirlendi. Beck Depresyon Ölçeği puanı (BDÖ) 22 ve Foa Travma Değerlendirme Ölçeği (TDÖ) puanı 41 olarak saptandı. EMDR tedavisi sonrasında; VAS 3, hassas nokta sayısı 11/18, TDÖ 6, BDÖ puanı 2 olarak bulundu. Hastanın 3 ve 6 aylık takipte iyilik halinin sürdüğü tespit edildi.Bu olgunun travmalarına yönelik tedavi uygulanması sonrasında hem psikiyatrik hem de somatik yakınmalarında belirgin düzelme görülmüş ve bu iyileşmenin olası mekanizmaları tartışılmıştır. FMS'li olgularda travmatik deneyimlerin aranması ve EMDR veya başka travma yönelimli yaklaşımların uygulanması olumlu sonuçlar verebilir.

Fibromyalgia syndrome (FMS) is a nonarticular rheumatic disease with unknown etiology and is characterized by widespread pain, increased tenderness in some anatomical regions, increased pain sensitivity, sleep disorders, fatigue and frequently by psychological distress. Psychiatric comorbidity is high in FMS and reports denoting to relationship of FMS and psychologial trauma have increased recently. We aimed to assess whether or not a treatment modality concerning trauma can alleviate symptoms of FMS. One of the FMS patients who was admitted to the outpatient department of Physical Medicine and Rehabilitation was randomly assigned to the present study. After that, assessed whether patients's traumatic experiences, and the Eye Movement Desensitization and Reprocessing (EMDR) therapy was performed to the patient. A thirty-four year old female married patient, had symptoms of FMS for five years. She was not on any medication. Intensity of her pain was identfied as 10 by visuel analog scale (VAS), tender point count was 15 out of 18 and the scores of Beck Depression Scale (BDS) and The Post Traumatic Diagnostic Scale (PDS) were 22 and 41, respectively. After the EMDR treatment VAS score was 3, tender point count was 11 and the scores of BDS and PDS were 2 and 6, respectively. The recovery was sustained at the 3rd and 6th months of follow up. In this case, we observed amelioration in both psychiatric and somatic symptoms of the patient after EMDR therapy and we discussed the possible mechanisms of this recovery. Searching for traumatic experiences and treating those traumas in FMS patients by EMDR or similar methods may result in favourable results.

Keywords: Fibromyalgia  

Accuracy Verified: Yes


328. 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


329. Fizel, D., Shapiro, F., Borderson, G., & Frank-NcNeil, J. (1997). EMDR for trauma (eye movement desensitization and reprocessing). Washington, DC: American Psychological Association.

Language: English

Format: Video

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is an approach that combines elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although eye movement stimulation has garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions which are organized into eight phases of therapy. EMDR is based on the assumption that specific experiences from the past continue to guide the client's responses in the present. To influence such experiences from the past, EMDR draws on an information processing model of behavior. Disturbing trauma-related information is believed to be held in the patient's nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information so that what is useful from the experience can be learned; stored appropriately, cognitively and affectively; and made available for behavioral guidance in the future. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. The goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable. [Videorecording : DVD video 1 videodisc (53 min.) : sd., col. ; 4 3/4 in.]

Keywords: Trauma  

Accuracy Verified: Yes


330. Shapiro, F., & Broderson, G. (1997). EMDR for trauma: Eye movement desenitization and reprocessing. Washington, DC: American Psychological Association.

Language: English

Format: Video

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a complex treatment approach that combines salient elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although the eye movement stimulation (and other forms of dual stimulation used in the approach) have garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions, which are organized into eight phases of therapy. Currently, 13 completed controlled studies of EMDR make it one of the most researched methods of psychotherapy used in the treatment of trauma. Its efficacy has been supported by these studies: the four most recent studies of victims who have suffered single traumas have demonstrated that after the equivalent of three 90-minute sessions, 84% to 90% of patients no longer have symptoms of posttraumatic stress disorder (PTSD; Rothbaum, 1997; Wilson, Becker, & Tinker, 1995).
EMDR is based on the assumption that specific experiences from the past continue to guide the client`s responses in the present. These experiences can be the "big T" traumas that result in PTSD or the "small t" traumas that are the ubiquitous experiences known to have a less dramatic but still negative impact on personality and behavior.
To influence such experiences from the past, EMDR draws on an information processing model of behavior. Conceptually, disturbing trauma-related information is believed to be held in the patient`s nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information in an adaptive fashion so that what is useful from the experience can be learned; stored appropriately, cognitively, and affectively; and made available for behavioral guidance in the future. What is useless to adaptation, such as excess negative emotions, irrational self-assessments, and disturbing physical sensations, can be discarded.
Assessment is focused not on global diagnoses but rather on specific delineations of problematic behaviors, attitudes, and affects that need to be transmuted to allow for adaptive resolution of trauma or conflict. Specifically, the EMDR clinician asks, what is the patient being influenced by past experiences to do in the present that is dysfunctional and what is he or she prevented from doing that would be adaptive?
Although originally applied to PTSD, EMDR shows promise in a variety of clinical complaints that are based on earlier life experiences that underlie the pathology and current experiences and that restimulate the disturbance. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. In all cases, the goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable.
EMDR as an eight-phase intervention approach can be considered a complete treatment in some clinical cases, or it may be part of a more complex treatment plan that includes other more traditional approaches to treating a specific pathology (e.g., borderline personality disorder). Within this latter integrative context, EMDR appears to be useful for a broad range of clinical complaints and seems to provide more rapid achievement of positive treatment effects than do these more traditional approaches alone.
Dr. Shapiro identifies her approach as "eye movement desensitization and reprocessing." What does this imply to you? More specifically, what do you expect of her? Will Dr. Shapiro be active or passive? Will the session be structured or unstructured? Directive or nondirective? Will it focus on the past or on the present? Will the session focus on behaviors, on thoughts, or on feelings? What do you expect to be the relative balance between attention to technique versus the interpersonal interaction?

Keywords: Client  Francine Shapiro  Male  

Accuracy Verified: Yes


331. Ichii, M. (2010, July). EMDR history in Asia: Past, present and future. Keynote presented at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
To know the present status of EMDR in Asian countries: Method: Inquiries by e-mail to the representatives of Asian countries and related US or European people were sent. Replies were received from countries like Australia, Cambodia, China, Hong Kong, India, Indonesia, Japan, Korea, Sri Lanka, Taiwan, and Thailand. Questions were on the origin of EMDR, the first training, the number of trainings so far, the number of trained practitioners, credentials, academic organization, acceptance from government, media, and professional world, future possibilities, and difficulties expected. Results: Some countries like Australia, Japan and Korea have already reached the moderate stage, but still they have problems to be solved. In Australia, their first training was in 1993 and many therapists have received training, but, organization started very recently and network is not strong. In Japan, Japan EMDR Association has more than 800 members and started publishing their own academic journal in 2009. However sceptical statements about EMDR can be seen in some books on trauma. In Korea, they have health insurance system for EMDR but practitioners are few. The other countries are in the early stage to grow the EMDR community or support the EMDR therapists. Most of them began the history after a big natural disaster like Tsunami or earthquake. HAP from Europe and/or US supports their beginning. The first Asian conference could be a good opportunity to start mutual understanding and cooperation in Asia.

Keywords: Asia  Keynote  History  

Accuracy Verified: Yes


332. Hase, M. (2001, May). EMDR in a critical incident in Germany (prison riot). Presentation at the EMDR Europe Association annual meeting, London, UK.

Language: English

Format: Conference

Abstract:
The prison system serves, among many others, one important goal: to separate those members of society, who are dangerous to others, from the more peaceful and law-abiding majority. As a consequence one could assume that the inmates of a prison from a, subgroup of human beings, distinct by their aggressive potential. Though this is not true for all of the prisoners, it may be true for many of them. It is a well known fact, at least in Germany, that procedures for controlling the safety in a prison, can't eliminate criminal behaviour or dealing with drugs in a prison. One could assume, that even if an adequate standard of safety is upheld, a prison would be a dangerous place to work in and that prison staff would be at a considerable risk of being traumatised at work. In the prison system in Lower Saxony, Germany, between 5 and 10 recently traumatised staff are invited to participate in a group consultation each year. The number of unrecorded cases is certainly much higher. In contrast there is not much literature about traumatisation of prison staff. On the other hand prison staff are regarded as a population often reluctant to engage in psychotherapy and leaving psychotherapy prematurely, without a significant treatment effect. On 13th of August 1999 a prisoner attacked prison staff at Uelzen prison in Lower Saxony, Germany. The perpetrator killed two members of staff, wounded two others severely and committed suicide immediately afterwards. More members of staff suffered from the psychological effects of the violence. The Critical Incident Team within the Ministry of Justice provided intensive care and counselling. 15 members of staff were identified as a high risk group to develop PTSD. 10 members of staff began psychotherapy. 7 qualified for a diagnosis of PTSD, 3 for related diagnoses, according to ICD-10 criteria None of them left therapy prematurely. One member of staff suffered from the effects of a civil war situation experienced 15 years before, with a late onset PTSD triggered by vicarious traumatisation. Only one remains out of work, but does not qualify for a diagnosis of PTSD at present. Three are still in therapy. 7 patents ended therapy with a complete recovery. EMDR was applied to great extent in 9 of the 10 cases. EMDR was tolerated well and proved to be fast and efficient. Treatment effects seem to last over time. Setting the focus on the trauma and using EMDR as a specific psychotherapeutic method seems to provide an accepted strategy with significant gains for this population.

Keywords: Critical Incident  Prison  Recent Events  Riot  

Accuracy Verified: Yes


333. Amann, B. (2012, June). EMDR in bipolar disorder: Results of a randomized, controlled pilot study [EMDR en el Trastorno Bipolar: Resultados de una muestra aleatoria, estudio piloto controlado]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
There is increasing evidence about bipolar patients are more exposed than general population to negative life events and PTSD. This has consequences on the illness course being associated with more relapses and subsyndromal symptoms within affective episodes. We conducted the first controlled, randomized study of EMDR versus treatment as usual in 20 bipolar, subsyndromal traumatized bipolar patients. 11 Patients received between 15 and 20 sessions of EMDR, the follow-up was up to 6 months in both groups. Our hypothesis was that patients in the EMDR group would be more stable in their mood, would show less affective relapses, improvement in cognition/functioning, and quality of life, when compared with the control group. We present the first data of the evaluation after three months of intervention.

Existe una creciente evidencia acerca de que los pacientes bipolares están más expuestos que la población general a eventos vitales negativos y TEPT. Esto tiene consecuencias en el curso de la enfermedad con más recaídas y síntomas subsindrómicos dentro de los episodios afectivos. Hemos realizado el primer estudio con aleatorización controlada de EMDR versus el tratamiento estándar en 20 bipolares subsindrómicos, con traumatización. 11 pacientes recibieron entre 15 y 20 sesiones de EMDR, el seguimiento fue durante 6 meses en ambos grupos. Nuestra hipótesis fue que los pacientes en el grupo EMDR tendrían una mejor estabilización de su ánimo, menos propensos a las recaídas, y mejorarían su funcionamiento cognitivo, y calidad de vida, cuando los comprásemos con el grupo control.

Keywords: Bipolar Disorder  Pilot Study  

Accuracy Verified: Yes


334. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N. L., & Muroaka, M. Y. (1995, June). EMDR in combat-related PTSD: A controlled study. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
In view of potential, but largely undocumented benefits of eye movement desensitization and reprocessing (EMDR) as an intervention for PTSD in combat veterans, in our laboratory a study of EMDR treatment included (1) randomized patient assignment, (2) clinically appropriate comparison (treatment and control) groups, (3) a 12-session EMDR protocol administered by experienced, EMDR trained clinicians, and (4) extensive clinical assessment, including physiological evaluation at pre-treatment, post-treatment, and 3-month follow-up. Thirty-five veterans who met DSM-IV criteria for PTSD completed an extensive multimodal assessment protocol. Assessment instruments included: The Mississippi Scale for Combat-Related PTSD, the Impact of Events Scale (IES), the Clinician Administered PTSD Scale (CAPS), a self-rating of overall severity of "PTSD symptoms," the Beck Depression Inventory, and the Spielberger State and Trait Anxiety Inventories (STAI). In addition, each subject completed a Stressful Scene Construction Questionnaire (SSCQ) in which scripts of specific traumatic combat incidents were prepared for presentation during psychophysiological assessment. Following pre-assessment, a subset of the subjects constituted a waiting list control (CON, N = 12). Routine clinical care for these subjects was available at the VA Medical Center. Seven of these subjects also participated in group sessions for discussion of PTSD designed as an attentional control. There were no differences between the two control subgroups and their data was combined for all subsequent analyses. For the treatment groups, subjects assigned to the EMDR (EMD, N = 10) and relaxation (RXT, N = 13) groups were seated in a semi-reclined chair and continuous measures were taken of muscle tension levels (four sites), hand temperature, skin conductance levels, heart rate, and blood pressure. For all subjects, there were 20 minutes in each of the baseline sessions with no additional stimuli presented. At the end of session 2 of baseline, the patients remained in the experimental room and were assessed for an additional 20 minutes (pre-treatment) during which the SSCQ scripts also were presented. There were two sessions per week with a minimum of one day between sessions. Each subsequent treatment session for the EMD and RXT subjects was approximately 60 minutes in duration, allowing for set-up time and briefing. In the EMD group, a standard protocol for the EMDR interventions was administered, including periodic SUDS ratings and VoC scaling of combat and related images and cognitions (cf Shapiro, 1995). In the RXT group, home relaxation tapes and biofeedback on four sites (face, neck, arm, and back) to assist lowered muscle tension were provided. Following 12 treatment sessions (post-treatment), and again after three months (follow-up) the psychometric instruments and psychophysiological assessment were readministered using the format outlined above. Relative to the other conditions, the EMDR treatment produced substantially more positive clinical effects at post-treatment and follow-up. Comparing the EMD group to the CON group, significant effects (p<.05 or better) were obtained on measures of PTSD including the Mississippi and PTSD symptoms self-rating, and on the Beck and STAI-Trait. Comparing the EMD group to the RXT subjects, significant differences were found on the Mississippi, the IES-Intrusion scale, the CAPS, PTSD symptoms ratings, and the STAI-Trait scale. No differences were obtained on any of the physiological measures. Therefore, the present results support the effectiveness of EMDR with combat veterans with chronic PTSD. The data strongly suggest that some previous negative results obtained when EMDR was applied to chronic and severe combat PTSD may have resulted from methodological artifacts, such as inadequate amount of treatment and therapist inexperience. While the failure to find physiological effects is consistent with results of other controlled treatment exposure trials in PTSD, this finding raises clinical and conceptual questions with respect to the arousal component of the disorder.

Keywords: Combat  Controlled Study  

Accuracy Verified: Yes


335. Egli-Bernd, H. (2012, Juni). EMDR in der behandlung von dissoziativen prozessen bei bindungsstörungen. Die bedeutung und schwierigkeiten bei der wahl guter kognitionen in diesen Behandlungen. Das dialog protokoll [EMDR in the treatment of dissociative processes in attachment disorders. The importance and difficulty of choosing good cognition in these treatments. Dialog protocol] . Präsentation auf EMDRIA Tag, Köln, Deutschland.

Language: German

Format: Conference

Abstract:
Es geht im Workshop um die Rolle der Kognitionen im EMDR bei der Bearbeitung früher und komplexer Themen aus dem Bereich der Bindungsstörungen. Durch die Aktivierung von Egostates respektive subtiler dissoziativer Prozesse in der Phase 3 der EMDR-Behandlung kommt es häufig zu Schwierigkeiten bei der Herausarbeitung bedeutungsvoller und hilfreicher Kognitionen. Das Dialog-Protokoll stellt eine Möglichkeit dar, diese Schwierigkeiten zu vermeiden. Durch die Wahl hilfreicher Kognitionen in einer dialogischen Formulierung zwischen zwei involvierten Selbstteilen wird der dissoziative Prozess aufgehoben und der Verarbeitungsprozess im Sinne der interaktiven Vernetzung von Vergangenheit und Gegenwart affektiv und kognitiv intensiviert und beschleunigt. Das Dialog Protokoll kann als die direkte und effiziente Verbindung von EMDR und Egostate-Arbeit angesehen werden. Im Workshop werden theoretische Grundlagen der Vorgehensweise vermittelt, eine kurze life Demonstration und/oder ein Video sollen die konkrete Anwendung des Dialogprotokolls anschaulich näherbringen.

[It's in the workshop on the role of cognitions in EMDR in the treatment earlier and complex topics in the field of attachment disorders. By activating Egostates respectively subtle dissociative processes in phase 3 of the EMDR treatment often leads to difficulties in the elaboration of meaningful and helpful cognitions. The dialog protocol provides a way to avoid these difficulties. By choosing more helpful cognitions in a dialogical formulation between two self-involved parts of the dissociative process is canceled and the manufacturing process in terms of the interactive network of past and present affective and cognitive intensified and accelerated. The dialog protocol can be used as direct and efficient connection of EMDR and egostate work are considered. During the workshop, theoretical foundations of the approach gives a brief demonstration of life and / or a video to bring closer the actual application of the Protocol dialog clearly.]

Keywords: Attachment Disorders  Cognitions  Dissociation  

Accuracy Verified: Yes


336. Woller, W. (2003). EMDR in der psychotherapie von persönlichkeitsstörungen [EMDR in the treatment of personality disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 1(3), 17-24.

Language: German

Format: Journal

Abstract:
Behandlung psychotraumatischer belastungsstörungen mit EMDR
Die Arbeit stellt dar, (1) welche Modifikationen oder Einschränkungen sich für die Behandlung Posttraumatischer Belastungsstörungen mit EMDR durch die Präsenz komorbider Persönlichkeitsstörungen ergeben und (2) welche Möglichkeiten EMDR darüber hinaus für die Behandlung von Persönlichkeitsstörungen ohne die Symptomatik einer PTBS bieten kann. Beim Vorliegen einer Persönlichkeitsstörung muss EMDR in einen Gesamtbehandlungsplan integriert werden, der neben umfassender Stabilisierung, Symptomkontrolle und Ressourcenaktivierung die Modifikation verzerrter interpersoneller Wahrnehmungsmuster und maladaptiver Interaktionsmuster umfasst. Probleme der therapeutischen Arbeitsbeziehung können die Stabilisierungsphase schwierig und zeitaufwändig gestalten. Die EMDR-Technik muss entsprechend dem Typ der Persönlichkeitsstörung, der Abwehrstruktur und der symptomatischen Komorbidität modifiziert werden. Zusätzlich zur Behandlung von Traumatisierungen kann EMDR zur Bewältigung aktueller und künftiger Stressoren und zur Ressourcenstärkung eingesetzt werden.

EMDR has been shown to be an effective treatment method in posttraumatic stress disorder (PTSD). There is a marked comorbidity between PTSD and personality disorders, some of which have been found to be long-term sequelae of cumulative childhood physical and sexual traumatization. Personality disorders are also included in the concepts of "complex PTSD" and "DESNOS". The paper discusses (1) modifications and limitations of EMDR technique required for treatment of posttraumatic stress disorder with comorbid personality disorders, and (2) further applications of EMDR in the treatment of personality disorders without PTSD. If comorbid personality disorder is present, EMDR has to be integrated into a complex treatment plan which includes stabilization, symptom control, resource installation, identification of distorted interpersonal perceptions, and modification of maladaptive interpersonal interactions. Because of the central role of generalized negative beliefs in maintaining cyclical maladaptive patterns, EMDR is regarded a valuable tool to modify negative beliefs along with processing traumatic memories and body sensations. Problems of therapeutic alliance due to transference phenomena and acting-out can make stabilization difficult and time-consuming. EMDR technique should be subjected to important modifications depending on personality disorder subtype, defence structure and symptomatic comorbidity. Structural dissociations of the personality (e.g. as in dissociative identity disorder) call for a consideration of all ego-states of the personality system before planning EMDR treatment. In addition to unresolved trauma, current and future interpersonal stressors can be chosen as EMDR targets.

Keywords: Personality Disorders  

Accuracy Verified: Yes


337. Gonzalez, A., Mosquera, D., & Seijo, N. (2011, November). EMDR in dissociative disorders: The progressive approach. Presentation at the 26th Annual International Society for the Study of Trauma and Dissociation Conference, Montreal, QE .

Language: English

Format: Conference

Abstract: Abstract: After the first cautions for the use of EMDR in dissociative disorders, many proposals have been done to adapt EMDR procedures to this specific population. Interesting interventions have been done for the use of EMDR in the preparation phase, but in spite of these useful proposals, EMDR is still considered by many clinicians as an intervention that is limited for the treatment of traumatic memories. From this conceptualization, which we have called the all/nothing perspective, the use of EMDR is strongly limited. Many clinicians wait years for trauma reprocessing. As a consequence of this conceptualization, many EMDR therapists do not use EMDR with most of their dissociative clients, and just use it with highly functioning patients, sometimes after years of therapy with other approaches. In this workshop we will describe (and exemplify with clinical cases and videos) different interventions with EMDR in dissociative clients, from the preparatory phase, in what we have called a Progressive Approach. The way in which specific EMDR procedures can contribute to enhance recovery in survivors will be explained. For doing this, concepts from the different approaches and scientific knowledge about severe traumatization will be integrated with the Adaptive Information Processing Model from EMDR. The idea is to propose a holistic model for EMDR therapy in Dissociative Disorders. The interweaving between theoretical concepts and clinical procedures, theoretical developments and video examples, will allow the audience to assimilate information and translate it to their clinical practice. Therapist from approaches different from EMDR will understand what this therapy can offer to the treatment of severely traumatized people. EMDR therapists will learn new proposals of interventions at the different phases of the treatment. We will present different examples of interventions in severely traumatized patients: DID, DESNOS, BPD and Somatoform dissociation.

Keywords: Dissociative Disorders  

Accuracy Verified: Yes


338. Cohen, A., & Lahad, M. (1999). EMDR in hospital intervention. In O. Ayalon, M. Lahad, A. Cohen (Ed.), Community stress prevention, v.3 (pp. 14-20). Kiriat Shmona: Community Stress Prevention Centre.

Language: English

Format: Book Section

Abstract:
The therapeutic effectiveness of EMDR has been wel1 documented since 1989, but the technique is far from reaching its optimal utilisation in the clinical and psychological world. I wish to present a case in which the improvement on the part of the patient was rapid, possibly even astounding to those who are unfamiliar with EMDR. The implications of this treatment for me, however, were much further reaching. Many of the points outlined in theoretical training sessions were brought home most strongly and many more priceless pieces of advice for people who wish to be of assistance to someone who has been involved in a traumatic incident were made so clearly apparent. [Text, p. 14]

Keywords: Adults  Case Report  Females  Medical Procedures  Multiple Traumatic Events  Phobia  Survivors  Treatment Effectiveness  

Accuracy Verified: Yes


339. Gonzalez, A., Mosquera, D., & Moskowitz, A. (2012, June). EMDR in psychosis and severe mental disorders [EMDR en psicosis y trastorno mental severo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Interactions between trauma and biology, dissociation and psychosis are complex. Some cases could be more biologically based, and traumatic events may trigger a psychotic episode or contribute to the low-response to usual interventions. But traumatic experiences could also influence neurodevelopment and brain structure. In some cases past adverse events may be a main factor in the development of psychotic psychopathology. The treatment of psychotic disorders with a specifically trauma-oriented therapy as EMDR, can help us to evaluate the relative contribution of these different factors from clinical results. The empirical research about the application of EMDR will be also reviewed. A relevant point for EMDR therapy in psychotic disorders is the complex relationship between dissociation and psychosis. Patients presenting with the belief of being controlled by an external force, intrusive thoughts and hallucinatory voices that comment on one's thoughts or actions or that have a conversation with other hallucinated voices, are easily diagnosed as schizophrenic or psychotic but can often be best understood and approached as dissociative symptoms. These patients can be treated with EMDR, but the procedures present relevant modifications in relation with the standard EMDR procedure for PTSD. In this workshop we will briefly describe how EMDR can be applied in different examples of psychotic patients, and based on these clinical examples (presented a case-descriptions or videos, we will reflect on the previously described aspects.

Las interacciones entre trauma y biología, disociación y psicosis son complejas. Algunos casos pueden estar más basados en el ámbito biológico, y los eventos traumáticos pueden ser disparadores de un episodio psicótico o contribuir a la baja respuesta ante las intervenciones usuales. Pero las experiencias traumáticas pueden también influenciar el neurodesarrollo y la estructura cerebral. En Algunos casos eventos adversos del pasado pueden ser el principal factor para desarrollar psicosis o una psicopatología. El tratamiento de los trastornos psicóticos con un terapia orientada al trauma como el EMDR nos ayudan a evaluar la contribución relativa de distintos factores a los resultados clínicos. La investigación empírica acerca de la aplicación del EMDR también será revisada. Un punto relevante de la Terapia EMDR en trastornos psicóticos es el resultado complejo de la relación entre disociación y psicosis. Los pacientes que presentan creencias de control por fuerzas externas, pensamientos intrusivos y voces alucinatorias que comentan las acciones o pensamientos o tienen una conversación con otras voces alucinatorias, normalmente son diagnosticadas como esquizofrenia y psicosis pero en algunas ocasiones estarían mejor entendidas desde un enfoque que las considerara síntomas disociativos. Estos pacientes pueden ser tratados con EMDR, pero los procedimientos presentan modificaciones referentes al procedimiento estándar de EMDR para el TEPT.

Keywords: Psychosis  Severe Mental Disorders  

Accuracy Verified: Yes


340. Miller, P. (2009, June). EMDR in psychosis: A two year follow-up and the implications for future protocol development. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Psychosis  Severe Psychiatric Disorders  

Accuracy Verified: Yes


341. McGoldrick, T., Brown, K., & Begum, M. (2011, March). EMDR in the treatment of body dysmorphic disorder & olfactory reference syndrome: A case series. Symposium conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol.

Language: English

Format: Conference

Abstract:
Body Dysmorphic Disorder (BDD) and a related condition Olfactory Reference Syndrome (ORS) have been debated for over a century regarding their nosology and treatment. Recent reviews suggest a variable response to various pharmacotherapy and psychotherapy. The effects of EMDR on such cases have not yet been sufficiently explored. Here we present 18 cases of both these conditions with a high success rate using EMDR. We explore the relationship between them and offer a hypothesis to explain the aetiology based on the Adaptive Information Processing Model (AIP).

Keywords: BDD  Body Dysmorphic Disorder  Olfactory Reference Syndrome  ORS  Symposium  

Accuracy Verified: Yes


342. van Rood, Y. R., & de Roos, C. (2009). EMDR in the treatment of medically unexplained symptoms: A systematic review. Journal of EMDR Practice and Research, 3(4), 248-263. doi:10.1891/1933-3196.3.4.248.

Language: English

Format: Journal

Abstract:
This systematic review presents evidence for the effectiveness of eye movement desensitization and reprocessing (EMDR) in the treatment of a diverse range of medically unexplained symptoms (MUS). Theoretical underpinning, variations in interventions, methodological issues, and outcomes are discussed, and implications for future research and clinical practice are presented. Considering the limited number of reported case series and the lack of controlled studies, it might be concluded that EMDR for MUS is only in its infancy. The preliminary results suggest that EMDR might be an effective treatment for MUS and somatoform disorders, particularly when they are related to trauma. To date, the results for phantom limb pain are the most promising.

Keywords: Adaptive Information Processing  AIP  Medically Unexplained Symptoms  MUS  Somatoform Disorders  Systematic Review  

Accuracy Verified: Yes


343. van der Horst, F. (2013, June). EMDR in the treatment of panic disorders with or without agoraphobia. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
At the department of Psychiatry at the St. Elisabeth Hospital in Tilburg, The Netherlands, several years ago a study (RCT) started investigating the treatment of panic disorder with or without agoraphobia. Within this study Eye Movement Desensitisation and Reprocessing (EMDR) is compared with Cognitive Behavioural Therapy (CBT).
Among other things, the goal is to determine whether EMDR is an effective treatment method for patients with a panic disorder with or without agoraphobia. IN this study EMDR is directly compared with a CBT treatment. In addition, this study examines the impact of both treatments on quality of life.
As a therapist in the EMDR condition of this study I would like to share my experiences with a protocolised treatment of panic disorders by means of EMDR. During the workshop, I will try to connect theory and practice. Since a large part of the EMDR treatments within this research is filmed, I will support my presentation with video material. Finally, I will present the first results of my research.
Learning objectives: Describe if EMDR is an effective treatment method for PDA compared to CBT; Describe the impact on QOL before and after both treatment methods; Describe qualitative differences between both treatment methods; and Share experiences with a protocolised treatment of panic disorders by means of EMD

Keywords: Agoraphobia  Panic Disorders  

Accuracy Verified: Yes


344. Richman, S. (2009, March). EMDR in the treatment of survivors of torture. Symposium conducted at the 7th annual EMDR Association UK & Ireland Conference, Manchester, UK.

Language: English

Format: Conference

Abstract:
This presentation seeks to address some of the challenges of using EMDR cross-culturally with highly traumatised clients who have been the victims of physical and/or psychological torture. The presentation will review characteristics of torture and how the helplessness experienced by victims physically and psychologically can help the therapist to case conceptualization and encourage adaptive learning with interweaves to assist the processing allowing adaptive linkage being made with dysfunctional memory storage. EMDR is very effective where trauma survivors present with somatisation, dissociation and frozen states but desensitization and reprocessing can only be embarked upon after adequate stabilization in the Preparation Phase. Methods of stabilization (including somatic stabilization) will be covered and thereafter the basic EMDR protocol implemented with the client focusing on damage to the self and the spirit.

Keywords: Symposium  Torture  

Accuracy Verified: Yes


345. Groenendijk, M. (2010, April). EMDR in trauma-work with a patient with DID. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract: EMDR is a powerfull technique for helping people overcoming their trauma’s. However, most of the clinical practice as well as the research has been focussed on type 1 trauma and simple PTSD. Gradually the field is expanding to complex early and chronic traumatization and dissociative problems. In this workshop I will share our experiences in this challenging field. I will start with a short introduction to EMDR, to structural dissociation and to the treatment of DID. Then I will present the case of an older woman with DID, who was treated in our residential psychotherapeutic setting. Central in this workshop is the very interesting (and moving) video-demonstration of EMDR with this DID-patient during a period of trauma-work. After reporting on the process and outcome of this therapy, the conclusion will be that EMDR can be effective for dissociative patients suffering from early and severe traumatization if several specific criteria are met. These criteria are about conceptualization according to the model of structural dissociation, about indication, timing, and preparation of the EMDR-sessions, about adaptation of the EMDR-protocol and about integration of EMDR in the broader phase-oriented state-of-the-art treatment of DID. At the end there will be time for questions and discussion.
Learning Outcomes 1. How to integrate EMDR in the phase-oriented treatment of DID 2. Inspiration for finding creative solutions for the problems that can occur during the session (e.g. dissociation, reliving traumatic experiences, acting-out) 3. Witnessing the effect of EMDR 4. Encouraging collegue’s to indicate EMDR for complex trauma (under specific conditions).

Keywords: DID  Dissociative Identity Disorder  

Accuracy Verified: Yes


346. Aytun, O. A. (2010, June). The EMDR integrated group treatment with child victims of a terrorist. In treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The present study is carried out within a psychological counseling project which is governed by Istanbul Metropolitan Municipality. The study was designed to assess the effects of EMDR Integrated Group Treatment Protocol (EMDR-ICTP: on the child victims of a terrorist bombing in Gun Goren, Istanbul. In this study the EMDR-IGTP was used with 60 children who are in 5th, 3rd and 4th grade and effected by the event (exposed, witnessed or their relatives harmed, etc.) with high scores on the Turkish version of 'Impact of Event Scale' (IES). Before the group session. Child Report of Post-Traumatic Symptoms (CROPS) and a survey asking 5 stress-related symptoms of their lives after the bomb attack were applied. The group sessions consist of: meeting with children. explaining trauma, psychological debriefing, EMDR (Installing the safe place, assessment, drawing the first picture, drawing the second and the third picture, tapping, relaxation), healing story and art therapy. Participants completed another survey about what they have realized during and after their group experience. The study is completed with a re-evaluation of one and three months follow-up. Analyses of the data collected from the participants will demonstrate the effectiveness of EMDR in group setting with children for reducing traumatic symptoms and developing new resources to handle problems. In this study the effectiveness of EMDR is examined according to the difference between the ages of children, and the level of exposure (witnessing, watching on TV etc.) to the traumatic event.

Keywords: Acute Stress  Children  Group Therapy  Symposium  Terrorism  Victims  

Accuracy Verified: Yes


347. Korn, D. (2003, September). EMDR master series – I. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
EMDR Master clinicians will present case examples that outline case conceptualization, treatment planning, and course of treatment. Each presenter will demonstrate 1) the essential elements of EMDR, 2) provide conceptional clarity as to when and why to use EMDR, 3) demonstrate perceptual fidelity using interventions, when interventions are needed and how much is needed, 4) provide clarity about why, when, and where to adapt the protocoi given the client's clinical needs.

Keywords: Master Series  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Masters Series  

Accuracy Verified: Yes


349. Leeds, A. (2003, September). EMDR Master Series – II. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
EMDR Master Clinicians will present case examples that outline case conceptualization, treatment planning, and course of treatment. Each presenter will demonstrate: 1) the essential elements of EMDR, 2) provide conceptional clarity as to when and why to use EMDR, 3) demonstrate perceptual fidelity using interventions, when interventions are needed and how much is needed. 4) provide clarity about why, when, and where to adapt the protocol given the client's clinical needs.

Keywords: Master Series  

Accuracy Verified: Yes


350. Dogan, E. (2009, Ocak). EMDR nedir nasil uygulanir? [How is EMDR to be applied?]. Epsikiyatri Haberleri. Retrieved from http://www.mcaturk.com/EMDR-NEDIR-NASIL-UYGULANIR_2019.html 6/12/2010.

Language: Turkish

Format: Journal

Abstract:
Herkesin geçmişinde büyüklü küçüklü travma yaşantıları vardır. Deprem, taciz, tecavüz gibi bir defada olan büyük travmalar olabileceği gibi çok göze çarpmayan ama süreklilik sergilediği için kişiyi ilerideki yaşantısında olumsuz etkileyebilecek olan küçük ve orta büyüklükte travmalar da vardır. İkinci gruptakileri "olay" dan ziyade süreklilik arz eden "durumlar" olarak isimlendirmek sanırım daha doğru olur. Bu gruptakilerin kişi üzerinde ileriki yaşantılarında, büyük olarak nitelendirdiklerimizden daha az etki yapacaklarını söyleyemeyiz. Bu tanımlamada büyük-küçük ayrımını yaparken kastedilenin daha çok dışarıdan bakan birisinin bu olayın ciddiyeti ile ilgili görüşü olduğu izlenimini ediniyoruz. Ancak psikolojik sağlık açısından önemli olan kişin bu olay ya da durumu iç dünyasında nasıl yaşadığıdır. Kişi çocukluğunda yaşadığı ve bir başkasının travmatik olarak isimlendireceği bir durumun etkisi ile ileride psikolojik bir problem geliştirmek zorunda değildir. Aynı şekilde, dışarıdan bakan birisinin fark edemeyeceği ama kişinin çocukluğunda maruz kaldığı olumsuz bir olay ya da süre giden bir durum o kişinin ileride psikolojik bir sıkıntı geliştirmesine neden olabilir. Örneğin, babasının yaptığı şeyleri beğenmediğini ve büyük başarılar dışında yaptığı küçük şeyleri görmediğini algılayan bir çocuk bu süre giden deneyimlerin etkisi ile ileri de ancak çok başarılı olduğu durumlarda takdir edileceği hissine sahip olabilir ve enerjisinin büyük kısmını önemli gördüğü insanlardan büyük başarılar sağlayarak takdir almaya adayabilir. Yukarıda tanımladığımız anlamda, yani kişinin ruhsal dünyasında uzun dönemli olumsuz etki yaratan bir durum olması anlamında bu durum tarvmatiktir. Diğer bir deyişle, küçüklüğünde bu kişinin maruz kaldığı durum o kişi üzerinde travmatik bir etki yaratmış ve o kişinin geleceğini etkilemiştir.

Everyone has experiences of past trauma, large and small. Earthquake, harassment, rape, such as major trauma at a time, which can be very subtle, but the person to exhibit continuity in the future could adversely affect the life of the trauma, there are also small and medium-sized. The second group are "event" rather than from the persistent "cases" as I think I would be more accurate to name. In Group on the future life of these people, do not say a large effect in less than nitelendirdiklerimizden. While this distinction meant little more than identifying large-outsider's view of someone with the impression that the seriousness of this incident ediniyoruz. However, in terms of psychological health status of the person inside the world of this event or how you live. Contact someone else's traumatic childhood and live in the future be called the psychological impact of a situation to develop is not a problem. Similarly, outsiders can not but notice one person while a child is exposed to an adverse event or a situation to develop that person's future can cause psychological distress. For example, outside the great achievements of his father and his little things he did not see things beğenmediğini detect the effect of experiences with a child going forward at this time but would be appreciated if the feeling may have to be very successful and very successful in providing energy to the majority of people it deems important to appreciate the adayabilir. Sense defined above, that person's mental world in terms of long-term negative impact that this is a situation tarvmatiktir. In other words, this person's childhood exposure to a traumatic effect on the situation created by that person and that person has affected the future of.

Keywords: Death  Fear  Harassment  Neurophysiology  Rape  Trauma  

Accuracy Verified: Yes


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

Language: Italian

Format: Newsletter

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

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

Keywords: Affect Bridge  Compulsion  Trauma  Withdrawal  

Accuracy Verified: Yes


352. Amato, M. (2008, Novembre). EMDR nel servizio screening post-partum [EMDR in the post-partum screening service]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
L’attivitŕ č stata svolta presso l’U.O. di ginecologia-ostetricia di Lamezia Terme nella quale č stato attivato uno Screening sulla “Depressione in gravidanza e nel puerperio” che ha come obiettivo primario di individuare i soggetti vulnerabili alla depressione o PN- PTSD e di rilevare i fattori di rischio: vulnerabilitŕ e/o scatenanti e i fattori protettivi. La gravidanza e il parto sono eventi fisiologici che segnano un periodo determinato del ciclo di vita di una donna. Sono eventi che attivano vissuti emotivi intensi e predispongono la donna ad una eccessiva sensibilitŕ e vulnerabilitŕ. In questo periodo la donna contatta e fa proprie una serie di processi identificativi assunti nell’infanzia che possono, se non bene rielaborati, bloccare il comportamento responsivo della futura madre con comportamenti non idonei e convizioni target inadeguate. Anche la presenza di eventi di vita stressanti possono sovraccaricare la donna a livello emotivo tale da strutturare comportamenti poco adattivi da provocare serie difficoltŕ nella gestione del bambino. Nel sistematizzare tale screening si č adoperato il metodo EMDR sia nell’ambito dell’assessment nella raccolta delle informazioni dal punto degli aspetti diagnostici con riferimenti alla mappa dei traumi, che nella cura nell’uso dei tices, taping, posto al sicuro in soggetti particolarmente vulnerabili. Tale metodologia si č dimostata efficace in quanto: • individua in brevissimo tempo il target delle difficoltŕ con i possibili traumi, • attiva i fattori di protezione con istallazione delle risorse positive, • desensibilizza e fluidifica gli stati emotivi intensi, • velocizza la risoluzione dei comportamenti disadattavi in comportamenti adattivi adeguati al maternage, al ben-essere della donna e della genitorialitŕ.

The activity was held at the U. O. gynecology-obstetrics Lamezia Terme in which it was activated a screening on "Depression in pregnancy and childbirth" which has as main objective to identify those vulnerable to depression or PN-PTSD and to detect risk factors: vulnerability and / and protective factors or triggers. Pregnancy and childbirth are physiological events that mark a given period of the life cycle of a woman. They are events that trigger intense emotional experiences and predispose women to an excessive sensitivity and vulnerability. During this time she makes contact, and their identification processes undertaken a series of childhood that can, if not well elaborated, lock the responsive behavior of the mother with inappropriate behavior and inappropriate convictions target. The presence of stressful life events can overload the woman on an emotional level that structuring behavior just to cause serious problems in adaptive management of the child. In systematizing this screening method was used in EMDR is of the Assessment in collecting information from the diagnostic aspects with reference to the map of trauma care in the use of which tices, taping, safe place particularly in subjects vulnerable. This methodology is effective because it can show: • identify the target in the shortest time possible difficulty with trauma, • active protection factors with installation of positive resources, • desensitizes and liquify the intense emotional states, • speeds up the resolution of maladaptive behavior in adaptive behaviors adapted to mothering, the well-being of women and parenting.

Keywords: Post-Partum Depression  

Accuracy Verified: Yes


353. Moore, R. (2001). EMDR offers hope – an effective treatment for trauma. Massachusetts Office for Victim Assistance, Victim Impact, 2(1), 5.

Language: English

Format: Newsletter

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a procedure that is increasingly used in psychotherapy to help victims reduce the impact of negative experiences from the past that intrude on present day life. Often these negative life experiences involve a trauma such as sexual assault, abuse, a car crash, or the murder of a loved one.

Keywords: Practice  Theory  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Children  Earthquake  

Accuracy Verified: Yes


355. Hacker-Hughes, J., & Wesson, M. (2008, June). EMDR on the frontline: Early interventions during military operations. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Some of the earliest applications of EMDR were with military veterans (Shapiro 1995, Shapiro & Forrest 1997). EMDR is now widely used to treat UK military personnel suffering from combat related PTSD. This presentation will consider extending the use of EMDR as an early intervention during frontline operations. Research suggests the importance of early detection in PTSD (Lee et al 2005) and the benefits of early intervention (North 2001). Current practice is that UK personnel who are having significant difficulties in functioning after exposure to trauma are sent back to the UK for treatment after a brief period of watchful waiting. This is can be detrimental, both to the unit and individual (Shepard 2000, Solomon et al 2005). EMDR offers a potential solution to this problem. A case study will be presented of a soldier who was suffering significant post trauma symptoms whilst serving in Afghanistan. Through the successful use of EMDR in theatre just 2 weeks after the trigger event, he was able to resume his normal duties and hence avoid the negative effects of being returned to the UK for treatment. The use of EMDR as a frontline treatment has far reaching implications but currently there is little evidence for its use as an early intervention with military personnel (Russell 2006). Future research to evaluate this novel application of EMDR is planned. This presentation will introduce participants to the challenges of providing psychological treatment during military operations and the potential value of EMDR in this setting.

Keywords: Early Interventions  Military  

Accuracy Verified: Yes


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

Language: Italian

Format: Conference

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

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

Keywords: Recent Events Protocol  

Accuracy Verified: Yes


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

Language: English

Format: Book Section

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

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

Accuracy Verified: Yes


358. Guedalia, J., & Yoeli, F. (2006, August). EMDR protocols for ER and wards. Electronic Journal, EMDR-Israel.

Language: English

Format: Journal

Abstract: When the patient is showing dissociative responses to the trauma, hysterical paralysis, fugue-like state, we don’t attempt EMDR. As the Patients are usually in the ER for many many hours (5-8) opportunities present themselves to assess the patients ability to communicate by various means. The EMDR-ER© Protocol is used with patients who do not seem able to move on to the ambulatory staging area (are still on gurney’s) and display difficulty in being able to re-assume normal- appropriate with the situation- physical and psychological, behavioral function Also EMDR is not used in the ER with patients who seem to have below borderline intelligence. I have used EMDR in the ER with patients whose language I didn’t know (Amharic for example), with an interpreter present with good results.

Keywords: ER  Recent Events  Wards  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Panel Discussion  

Accuracy Verified: Yes


361. Maxfield, L., & Smyth, N. (2009, August). EMDR research: Where we stand, where we should go, and why we should care. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
The panel reviews EMDR research, explains the strengths and weaknesses of its current status, and discusses possible future research in the next 5 to 10 years. The panel begins with a discussion of the meaning of “evidence-based” designations, and related legal and ethical implications. A review of EMDR’s efficacy in the treatment of PTSD also highlights areas for future research and issues related to deviations from the standard protocol. This is followed by an overview of preliminary research evaluating EMDR’s effectiveness in the treatment of anxiety disorders, depression, somatic disorders, pain, substance abuse, and offender behavior. A summary of past and current research in these areas indicates opportunities for important future research. The panel concludes with a summary of the research on the effects of eye movements, in disrupting traumatic memories, enhancing physiological de-arousal, and creating psychological distance. The relevance of these findings for various proposed mechanisms in EMDR is discussed, and future research is encouraged.

Keywords: Plenary  Research  

Accuracy Verified: Yes


362. Laub, B. (2006, June). EMDR standard protocol in the personal resources and the settlement to be found. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
Resource Development, EMDR is an addition to standard protocol. Procedure of each session to reveal the source of healing and therapy by the end of the beginning of a resource series covers the creation. Personal resources and the settlement to be found exactly matching procedure to the problem of uncovering the unconscious and strengthen cross-country skiing in both sessions, as well as in everyday life is to make accessible. There are three types of resource development: Historical Resource Development, Present and Future Development Resources Resources Development. Standard protocol problems, sensory, cognitive, emotional and somatic components are becoming a focus can be achieved. Personal Resources Development in the settlement, resources focus dialectic movement is intensified. Sources of development activity in recent years both in Israel and other EMDR therapists Brurit Laub'ın is observed in the practice. Procedures and video images live applications and small groups will be presented with applications that can be made, personal resources development and placement will be given immediately to the practice of protocol participants.

Keywords: Historical Resource Development  Resource Development  

Accuracy Verified: Yes


363. Meignant, I. (2010, July). EMDR systemic approach: Application in couple's therapy. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The presentation will illustrate how the systemic model created by Mony Elkaďm for understanding couple crisis can be useful in the EMDR treatment of couples. This model insists on the double bind in which each member of the couple is torn between his/her Official Program and his/her World View. For example: “I want to be loved” (O.P) and” if someone loves me he will leave me” (W.V.). These world views are creating repetitive cycles which are trapping the members of the couple or of any people in relationship. The aim of EMDR practitioner is to treat the dysfunctional stored memories connected with these worldviews and give them flexibility to free the members of the couple from the vicious circle in which they are caught. In this presentation we propose to show how making hypothesis about the World view of each member of the couple and verifying them will guide us to the individual target that will be the Gordian knot in the present problem which the couple come with, helping the system to evolve from a situation of crisis to a situation of equilibrium. Using EMDR will help to give flexibility to the world view of each member. Using it within Mony Elkaďm’s systemic model will help the couple. Following each phase of the EMDR model eight phases protocol, we will show how it will be applied to couple therapy with case studies and practice example. This target plan can be apply to any dyad or system in crisis.

Keywords: Couples Therapy  

Accuracy Verified: Yes


364. Lombardo, M. (2012). EMDR target timeline. Journal of EMDR Practice and Research, 6(1), 37-46. doi:10.1891/1933-3196.6.1.37.

Language: English

Format: Journal

Abstract:
This Clinical Q&A section responds to a question about organizing a client's historical information into a targeting sequence within a treatment plan that is consistent with Shapiro's (2001) three-pronged protocol. The procedures for identifying and prioritizing treatment eye movement desensitization and reprocessing (EMDR) targets are reviewed in the context of Shapiro's theoretical model, and various time line models are summarized. The author then presents her EMDR Target Time Line, which provides a practical simple visual tool for documenting past, present, and future aspects of the presenting problem. It allows the therapist to note if disturbing past experiences present around a core theme, such as negative cognitions, physical symptoms, or situations/persons/circumstances. Three clinical cases are used to illustrate the form's application with various types of treatment targets.

Keywords: Adaptive Information Processing  AIP: Clinical Application  Core Theme  Time Line  Treatment Target  

Accuracy Verified: Yes


365. Shapiro, F. (2000). EMDR ten years after its introduction:  A review of past, present, and future directions. Mental Research Institute, Palo Alto, CA, 1-15.

Language: English

Format: Other

Abstract:
At the time a controlled study of Eye Movement Desensitization and Reprocessing (EMDR) was introduced in a peerreviewed journal (Shapiro, 1989a) as a method for treating post-traumatic stress disorder (PTSD) only one other controlled clinical outcome study of this disorder had been published (Peniston, 1986). The Peniston (1986) study compa.red 45 sessions of relaxation and biofeedback-assisted desensitization to a non-treatment control and reported significant differences in muscle tension and in unstandardized measures of nightmares and anxiety. In the same year as the Shapiro study, three other controlled PTSD studies were published (Brom, Kleber, & Defares, 1989; Cooper & Clum, 1989; Keane, Fairklank, Caddell, & Zimering, 1989). The Brom et al. (1989) study compared the results of psychodynamic therapy, hypnotherapy, and desensitization based on a mean of 16 sessions. Equivalent (small to moderate) clinical treatment effects were obtained with all three approaches in approximately 60% of the subjects as assessed by various measures. The Cooper and Clun? (1989) study compared flooding to standard VA care and reported small clinical effects after 6-14 sessions, with a 30% partiicipant drop-out rate. The Keane et al. (1989) study compared flooding to a wait-list control and reported small clinical effects after 14-16 sessions. In contrast to the preceding three studies, Shapiro (1989a) found very substantial treatment effects with EMDR (then called 'EMD") after only one session.

Keywords: Review  

Accuracy Verified: Yes


366. Ferrie, R. (2013, May). EMDR therapy and psychiatric medication. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.

Language: English

Format: Conference

Abstract:
Many clients who present for EMDR are medicated with psychiatric drugs. The question arises whether these medications are helpful in the context of EMDR therapy or not. We as psychotherapists, by definition, are involved in a dialogue about mental health with our clients; therefore, on the important subject of psychoactive medication we have a responsibility to be informed ourselves and to share this information with our clients. This presentation is intended to provide tools especially for the non-medical therapist to learn how to navigate the territory of psychiatric drugs-use in a way that helps clients. Included in the presentation will be a discussion of individual case studies of traumatized clients, who had first been treated with psychiatric medication and then sought EMDR therapy; an examination of how psychiatric drugs help or hinder and how they compare to the EMDR therapy approach; and evidence from the current literature which calls into question the assumption of mental disorders being due to a chemical imbalance requiring life-long medication. The robustness of the EMDR protocol and how helpful it has proven to be to clients who have dealt with being heavily medicated and suffering from attendant side effects will be illustrated. Learning objectives: • Critique the evidence-based literature on psychiatric medication and the now insupportable information, given to clients and doctors, which excludes the findings of long-term harm caused by all classes of psychiatric medication. Participants will be able to assess the importance of the few reliable long-term outcome studies and compare the effectiveness of psychotherapy/EMDR with psychiatric drugs. • Evaluate a series of cases studies of clients, previously traumatized, who were medicated with psychoactive drugs when first seeking EMDR Therapy. • Gain knowledge of the different available protocols designed to help clients to be safely weaned off psychiatric medication. • In the process of discussion, participants will compare their own and other participants’ experiences with such medicated clients.

Keywords: Medication  

Accuracy Verified: Yes


367. Gomez, A. M., & Shapiro, F. (2012, Winter). EMDR therapy with children: Journey into wholeness. Child and Family Professional, 15(3), 20-30.

Language: English

Format: Magazine

Abstract:
Trauma and adversity affect millions of children and their families. Without appropriate treatment, many of these children are destined to a life of hardship and suffering, transmitting their unresolved trauma into the future generations. Fortunately, treatment approaches such as Eye Movement Desensitization and Reprocessing (EMDR) therapy can now help children find healing and a path that will lead them to achieve full mental health.

Keywords: Children  Trauma  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Research  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Development  Mechanisms of Action  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Breast Cancer  

Accuracy Verified: Yes


371. Knipe, J. (2008, June). EMDR toolbox. Presentation at the annual meeting of the EMDR Europe Association, London, England .

Language: English

Format: Conference

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

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

Accuracy Verified: Yes


372. 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 acompańado 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


373. Knipe, J. (2012, October). EMDR toolbox: Methods of extending EMDR to traumatized clients with significant vulnerability to dissociative abreaction and/or psychological defenses. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA.

Language: English

Format: Conference

Abstract:
Abstract:The focus of this workshop will be to describe a theoretical framework, and specific EMDR-related therapy tools which may be useful during Janets Phase 2, the Phase of trauma processing, for multiply-traumatized clients with Complex PTSD. Points of similarity and difference will be described between the EMDR Adaptive Information Processing Model, and two other models of dissociation treatment: the Theory of Structural Dissociation of the Personality and the Internal Family Systems model. EMDR variations will be described which increase emotional safety, and thereby extend the use of EMDR to clients who might otherwise be vulnerable to the intrusion of overwhelming post-traumatic memory material. Through transcript and video examples, the Loving Eyes method (for safely accessing a traumatized Part), the Back-of-the-Head Scale (for measuring the degree of dissociative experience, moment-to-moment, in a therapy session), and the method of Constant Installation of Present Orientation and Safety (for maintaining emotional safety during the processing of a traumatic memory) will be presented. In addition, the structure and treatment of psychological defenses will be conceptualized within the Adaptive Information Processing Model.

Learning Objectives: 1. Describe the Loving Eyes method of developing a co-consciousness between an adult Part and a traumatized child Part. 2. Describe the clinical situations in which the use of the Back-of-the-Head Scale and the method of Constant Installation of Present Orientation and Safety would be likely to be helpful to a traumatized client. 3. Describe how psychological defense may be conceptualized within the Adaptive Information Processing model, and how defenses may be safely released, so that underlying post-traumatic material may be processed.

Keywords: Dissociative Abreaction  Psychological Defenses  Toolbox  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes


375. Forgash, C. (2009, August). An EMDR treatment approach to addressing health problems of complex trauma survivors. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract: In this workshop, the EMDR clinician will learn how to deal with the effects of trauma, PTSD, illness, and chronic pain often suffered by complex trauma clients. Participants will understand how these issues interfere with access to healthcare and successful treatment. This workshop will demonstrate how to help the client avoid retraumatization in healthcare settings, by teaching interventions within the preparation phase for management of dissociation and affective problems, as well as PTSD symptoms. Clinicians will learn how to develop connections between present health problems (chronic illness, pain) and earlier trauma, to develop specific EMDR targets for reprocessing. This workshop will emphasize skills development and future template work.

Keywords: Health Problems  Trauma Survivors  

Accuracy Verified: Yes


376. Ahmad, A., Larsson, B., & Sundelin-Wahlsten, V. (2007). EMDR treatment for children with PTSD: Results of a randomized controlled trial. Nordic Journal of Psychiatry, 61(5), 349-354. doi:10.1080/08039480701643464.

Language: English

Format: Journal

Abstract:
The objective of the study was to examine the efficacy of EMDR treatment for children with post-traumatic stress disorder (PTSD) compared with untreated children in a waiting list control group (WLC) participating in a randomized controlled superiority trial (RCT). Thirty-three 6-16-year-old children with a DSM-IV diagnosis of PTSD were randomly assigned to eight weekly EMDR sessions or the WLC group. The Posttraumatic Stress Symptom Scale for Children (PTSS-C scale) was used in interviews with children to evaluate their symptoms and outcome. Post-treatment scores of the EMDR group were significantly lower than the WLC indicating improvement in total PTSS-C scores, PTSD-related symptom scale, and the subscales re-experiencing and avoidance among subjects in the EMDR group, while untreated children improved in PTSD-non-related symptom scale. The improvement in re-experiencing symptoms proved to be the most significant between-group difference over time. The results of the present exploratory study including a limited number of children with PTSD are encouraging and warrant further controlled studies of larger samples of children suffering from PTSD. [Author Abstract]

Keywords: Children  Empirical Study  Posttraumatic Stress Disorder  PTSD  Quantitative Study  Random Control Trial  RCT  Trauma  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Adolescents  Children  Choking Phobia  Specific Phobia  

Accuracy Verified: Yes


378. Konuk, A. (2010, June). EMDR treatment of chronic daily headache and migraine. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Chronic headache is a prevalent clinical problem which affects negatively the majority of the population. The most common type of headache is migraine and tension headache. These can decrease the functioning and the quality of life of people who suffer from headaches in different contexts as work, family, school and social life. In addition, a lot of psychological disorders such as depression and anxiety are seen or occur in people who have headaches. Purpose: The purpose of this study is to investigate the effectiveness of EMDR (Eye Movement Desensitization and Reprocessing) on Chronic Daily Headache and Migraine. Within this framework there are three goals, one of which is to measure the efficiency of EMDR treatment on chronic headache population. The second one is to develop an EMDR Headache Protocol so that the treatment is standardized and will be used, revised and updated by researchers and clinicians in the future. The third one IS to find an answer to the question: How long does it take to treat a headache? That is, to determine the minimum and maximum sessions necessary for the treatment. Method: The study is carried out at Gaziosmanpa,sa Hospital Neurology Department in Istanbul with 11 Turkish patients who had suffered from chronic daily headache and migraine. The sample of this study consisted of 9 women and 2 males. Results: The results demonstrated that the frequency, the intensity and the duration of headaches were reduced by using EMDR Also it was shown that the number of emergency visits and the amount of painkillers used were decreased. The study will be explained in more detail and the results will be discussed during the presentation. Our learning objectives are: 1. to gain theoretical information about the rationale of using EMDR in treatment of chronic headache and migraine 2. to gain empirical information about the efficacy of this treatment and 3. to discuss the EMDR Headache Protocol as well as the number of sessions necessary for the treatment. In previous studies, EMDR has been found to be efficient in the treatment of chronic pain. Nevertheless, there was a gap in the literature regarding the efficacy of EMDR in the treatment of chronic daily headache and migraine. The novelties that are provided by this current study are 1. It may be an alternative treatment for chronic headache and migraine in the future 2. although the research question needs further investigation, it is the first empirical study which examines the effectiveness of this treatment.

Keywords: Headache  Medical Issues  Migraine  Symposium  

Accuracy Verified: Yes


379. Abel, N. J., & O'Brien, J. M. (2010). EMDR treatment of comorbid PTSD and alcohol dependence: A case example. Journal of EMDR Practice and Research, 4(2), 50-59. doi:10.1891/1933-3196.4.2.50.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is a therapy that has been demonstrated to be effective in the treatment of posttraumatic stress disorder (PTSD). A relatively small but growing body of literature indicates that EMDR may be an effective adjunctive treatment for substance abuse. This article reviews the various protocols that have been developed for that purpose, including protocols by Vogelmann-Sine et al., Omaha, Popky, and Hase. A case study that incorporates the use of some of these interventions is presented to illustrate successful EMDR treatment of a woman who had long-standing comorbid alcohol abuse and PTSD. Two-year follow-up after EMDR showed that the woman was successfully maintaining sobriety and that the PTSD continued in full remission. After a discussion of the important aspects of this case, the authors explore future directions for research.

Keywords: Alcohol Dependence  Comorbid PTSD  

Accuracy Verified: Yes


380. Konuk, E., & Epozdemir, H. (2011, June). EMDR treatment of migraine and chronic daily headache. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
The prevalence of chronic migraine headache in western societies ranges between 12-24% for women and 5-12% for men. In Turkey, about 21% of women and 11% of men suffer from migraine. It is one of the most disabling problems that a person can have. Pharmacological treatment and behavioral interventions are the most widely used approaches for migraine. The term ‘chronic’ implies that the problem is not solvable. In this case it means that although pharmacological treatments and behavioral interventions meaningfully reduce the pain for some of the patients, there remains a population of headache sufferers who get large amounts of medicine, have to go to the emergency room frequently because of too much pain prolonged over many hours and at times days. Furthermore, some medications have moderate to severe adverse effects or contraindicate with clients’ existing conditions. Eye movement desensitization and reprocessing (EMDR) is an integrative psychotherapy approach that was developed to reduce or eliminate the symptoms resulting from unresolved traumatic memories. Recently EMDR treatment has provided promising results in alleviating chronic pain and increasing sufferers’ psychological wellbeing. Research pointing out the neurobiological similarities found in patients who suffers PTSD and chronic pain, encouraged many clinician and researcher to explore the utilization of EMDR in the treatment of chronic pain. We developed the EMDR Chronic Migraine Headache Protocol in order to obtain and maintain a high level of treatment fidelity and stick to scientific rigor and as a guide for future research. In collaboration with a public hospital in Turkey, we conducted a pilot study with chronic migraine patients diagnosed also as having chronic daily headache. The study continues with an enlarged sample and the present analyses revealed that there was a significant decrease in the frequency, the duration and the strength of the headaches of patients treated with the EMDR Chronic Headache Protocol. Besides, the number of the Emergency Care visits and the amount of medication taken were also decreased significantly in patients treated with EMDR. Learning objectives: The major aim of this workshop, is to present to the participants, how to use The EMDR Chronic Headache Protocol in the treatment of patients diagnosed as having both Chronic Migraine and Chronic Daily Headache (CDH). Participants will gain detailed information about how to use EMDR Chronic Migraine Headache Protocol in emergency cases too. There will be DVD recordings of sessions demonstrating how to intervene a migraine attack during a session and also how the EMDR Chronic Headache Protocol is used for the treatment of chronic migraine headache.

Keywords: Headache  Migraine  

Accuracy Verified: Yes


381. Konuk, E., Epozdemir, H., & Haciomeroglu, S. (2012, June). EMDR treatment of migraine and chronic daily headache [Tratamiento de migrańas y cefalea diaria y crónica con EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
The prevalence of chronic migraine headache in western societies ranges between 12-­‐24% for women and 5-­‐12% for men. In Turkey, about 21% of women and 11% of men suffer from migraine. It is one of the most disabling problems that a person can have. Pharmacological treatment and behavioral interventions are the most widely used approaches for migraine. The term ‘chronic’ implies that the problem is not solvable. In this case it means that although pharmacological treatments and behavioral interventions meaningfully reduce the pain for some of the patients, there remains a population of headache sufferers who get large amounts of medicine, have to go to the emergency room frequently because of too much pain prolonged over many hours and at times days. Furthermore, some medications have moderate to severe adverse effects or contraindicate with clients’ existing conditions. Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that was developed to reduce or eliminate the symptoms resulting from unresolved traumatic memories. Recently EMDR treatment has provided promising results in alleviating chronic pain and increasing sufferers’ psychological wellbeing. Research pointing out the neurobiological similarities found in patients who suffers PTSD and chronic pain, encouraged many clinician and researcher to explore the utilization of EMDR in the treatment of chronic pain. We developed the EMDR Chronic Migraine Headache Protocol in order to obtain and maintain a high level of treatment fidelity and stick to scientific rigor and as a guide for future research. In collaboration with a public hospital in Turkey, we conducted a pilot study with chronic migraine patients diagnosed also as having chronic daily headache. The study continues with an enlarged sample and the present analyses revealed that there was a significant decrease in the frequency, the duration and the strength of the headaches of patients treated with the EMDR Chronic Headache Protocol. Besides, the number of the Emergency Care visits and the amount of medication taken were also decreased significantly in patients treated with EMDR. The major aim of this workshop, is to present to the participants, how to use The EMDR Chronic Headache Protocol in the treatment of patients diagnosed as having both Chronic Migraine and Chronic Daily Headache (CDH). Participants will gain detailed information about how to use EMDR Chronic Migraine Headache Protocol in emergency cases too. There will be DVD recordings of sessions demonstrating how to intervene a migraine attack during a session and also how the EMDR Chronic Headache Protocol is used for the treatment of chronic migraine headache. The assessment tools used for the project will be given to participants as hand outs

La prevalencia de migrańa crónica en las sociedades occidentales oscila entre el 12-­‐24% entre las mujeres y el 5-­‐12% en los hombres. En Turquía, alrededor del 21% de las mujeres y 11% de los hombres sufren jaquecas. Es una de las dolencias más discapacitantes que se pueda tener. Los tratamientos más habituales para tratar las migrańas son de tipo farmacológico e intervenciones conductuales. El término ‘crónico’ implica que el problema no tiene solución. En este caso, significa que aunque los tratamientos farmacológicos y conductuales reducen el dolor significativamente en algunos pacientes, sigue habiendo una población de individuos que sufren cefaleas y que reciben grandes cantidades de medicamentos, que tienen que acudir a urgencias con frecuencia debido a que sufren demasiado dolor que se prolonga durante muchas horas y, en ocasiones, días. Es más, algunos fármacos tienen efectos secundarios entre moderados y graves o cuyas contraindicaciones incluyen afecciones que padecen los clientes. La desensibilización y reprocesamiento con movimientos oculares (EMDR) supone un planteamiento psicoterapéutico integral desarrollado para reducir o eliminar los síntomas que son consecuencia de recuerdos traumáticos sin resolver. Hace poco, se ha visto que el tratamiento con EMDR ha logrado resultados prometedores en el alivio del dolor crónico y que aumenta el bienestar psicológico de las personas afectadas. Las investigaciones que seńalan las similitudes neurobiológicas detectadas entre los pacientes que sufren TEPT y los que padecen el dolor crónico han animado a muchos clínicos e investigadores a explorar el empleo de EMDR en el tratamiento del dolor crónico. Hemos desarrollado el protocolo de EMDR para tratar la migrańa crónica para conseguir y mantener un alto nivel de fidelidad terapéutico y para mantener el rigor científico, además de para que sirva para orientar la investigación en el futuro. En colaboración con un hospital público en Turquía, hemos llevado a cabo un estudio piloto en pacientes con un diagnóstico de migrańa crónica diaria. El estudio sigue en curso con una muestra ampliada y los análisis actuales han mostrado que ha habido una disminución significativa en la frecuencia, duración e intensidad de las cefaleas de los pacientes tratados con el protocolo de EMDR para tratar la cefalea crónica. Es más, el número de visitas a urgencias y la cantidad de fármacos administrados también se redujo de forma significativa en los pacientes tratados con EMDR.

Keywords: Headaches  Migraines  

Accuracy Verified: Yes


382. Marr, J. (2012). EMDR treatment of obsessive-compulsive disorder: Preliminary research. Journal of EMDR Practice and Research, 6(1), 2-15. doi:10.1891/1933-3196.6.1.2.

Language: English

Format: Journal

Abstract:
This article reports the results of two experiments, each investigating a different eye movement desensitization and reprocessing (EMDR) protocol for obsessive-compulsive disorder (OCD) and each with two young adult male participants with long-standing unremitting OCD. Two adaptations of Shapiro’s (2001) phobia protocol were developed, based on the theoretical view that OCD is a self-perpetuating disorder, with OCD compulsions and obsessions and current triggers reinforcing and maintaining the disorder. Both adaptations begin by addressing current obsessions and compulsions, instead of working on past memories; one strategy delays the cognitive installation phase; the other uses mental video playback in the desensitization of triggers. The four participants received 14–16 one-hour sessions, with no assigned homework. They were assessed with the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), with scores at pretreatment in the extreme range (mean 5 35.3). Symptom improvement was reported by participants after 2 or 3 sessions. Scores at posttreatment were in the subclinical/mild range for all participants (mean 5 8.5). Follow-up assessments were conducted at 4–6 months, indicating maintenance of treatment effects (mean 5 7.5). Symptom reduction was 70.4% at posttreatment and 76.1% at follow-up for the Adapted EMDR Phobia Protocol and 81.4% at posttreatment and at follow-up for the Adapted EMDR Phobia Protocol with Video Playback. Theoretical implications are discussed, and future research is recommended.

Keywords: Adapted EMDR Phobia Protocol  Adapted EMDR Phobia Protocol with Video Playback  OCD  Obsessive-Compulsive Disorder  Treatment Outcome Research  

Accuracy Verified: Yes


383. Maxfield, L. (2008). EMDR treatment of recent events and community disasters. Journal of EMDR Practice and Research, 2(2), 74-78. doi:10.1891/1933-3196.2.2.74.

Language: English

Format: Journal

Abstract:
This special issue on eye movement desensitization and reprocessing (EMDR) treatment of recent events and community disasters gathers information on the application of EMDR in situations of extreme chaos, disaster, violence, and war. The authors provide a global perspective, writing from Israel, Palestine, the United Kingdom, Sri Lanka, the United States, Italy, and Mexico. They describe the effectiveness and utility of EMDR in treating severe distress subsequent to experiences of overwhelming terror, loss, and despair. This is a vital topic, suggesting the possibility of reducing exceptional emotional disturbance, helping restore function and stability to individuals and communities. The reports from these authors are encouraging and hopeful, stimulating thought and suggesting direction and guidance for future research. (Excerpt)

Keywords: Community Disasters  Recent Events  Treatment  

Accuracy Verified: Yes


384. Haour, F., Meignant, I., & De Beaurepaire, C. (2012, June). EMDR treatment of sexual traumas in a child offender [Tratamiento EMDR de traumas sexuales en un pedófilo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Child offenders have been abused 3 to 6 time more than controls during childhood and these figures are probably grossly underestimated. Most of them exhibit all or many symptoms of Post Traumatic Stress Disorders (PTSD) in association with anxiety-­‐depression-­‐addiction. TCC treatments are useful but with limited efficacy (Brooks-­‐ Gordon B et al, Journal of forensic Psychiatry and Pathology, 2006; 17:442-­‐466). The treatment by the EMDR approach of the traumatic memories should be beneficial to these patients. Previous work (Ricci RJ et al, Journal of forensic Psychiatry and Pathology, 2006; 17:538-­‐562) has provided preliminary results in child molesters. Clinical Case: A 40 years old male convicted and jailed for sexual abuse (pedophilia) at 33 years of age. He lives with a wife and a son (9 year old) and has a regular job. His medications are: antipsychotic, antidepressor, antiepileptic, anxiolytic and anti androgens. He sees regularly a psychologist but is submitted to anxious attacks and pedophilic desires. He usually needs to be hospitalized several weeks twice a year. Following assessment and psychological evaluation (DSM IV, PCLS, SOS, BECK 21, DES) and case conceptualisation, the traumatic events were desensitized and reprocessed through EMDR treatment: rape and sexual abuse by an older brother from 5 to 12, familial humiliations, rape under threat, at 11 year of age by an adult, accusation by a 13 years old partner at 33 years of age, prison, trial, etc. The themes of the first 8 EMDR sessions (first 3 months) were: helplessness/control, danger/ security, and will be exposed in details. The changes in the patient appreciation of himself and his symptoms were followed during this period. A sharp decline in the anxiety scores (Beck 21) and a rapid increase in the SOS (Schwartz outcome scale: quality of life) were observed. At the same time the pedophilic desires were disappearing. This allowed the psychiatrist to reduce the antiandrogenic treatments as well as antipsychotic, antiepileptic and antidepressor. Nine month after the beginning of therapy the patient was without antiandrogens. The SOS scores remained high but episodes of anxiety and depression were still present (9 to 12 months after beginning of EMDR treatment). In conclusion, desensitization of traumatic memories lied to a dramatic improvement of anxiety and changes in sexual desire in a man convicted for pedophilia.

Los abusadores sexuales han sido, durante la infancia, víctimas de abusos sexuales de 3 a 6 veces más que los controles y estos datos están lejos de aproximarse a un dato real. Muchos de ellos exhiben todos o muchos, síntomas del Trastorno de Estrés Post-­‐traumático (TEPT) en asociación con ansiedad, depresión o adicciones. Los tratamiento TCC son útiles pero de limitada eficacia. (Brooks-­‐ Gordon B et al, Journal of forensic Psychiatry and Pathology, 2006; 17:442-­‐466). El tratamiento a través de EMDR de los recuerdos traumáticos debería ser beneficioso para el paciente. En trabajos previos (Ricci RJ et al, Journal of forensic Psychiatry and Pathology, 2006; 17:538-­‐562) han mostrado resultados preliminares en pedófilos. Caso Clínico: Un convicto varón, 40 ańos, entró en la cárcel por abusos sexuales (Pedofilia) a la edad de 33 ańos. Vive con su mujer y su hijo (9 ańos de edad) y posee un trabajo estable. Su tratamiento farmacológico es: Antipsicóticos, antidepresivos, antiepilépticos, ansiolíticos y anti-­‐andrógenos. Muestra un patrón psicológico regular pero está supeditado a ataques de ansiedad y deseos pedófilos. Normalmente necesita ser hospitalizado durante varias semanas 2 veces al ańo. Siguiendo las tareas y la evaluación psicológica (DSM IV, PCLS, SOS, BECK 21, DES), conceptualización del caso, los eventos traumáticos donde se ha aplicado el tratamiento EMDR: Violación y abuso sexual por su hermano mayor desde los 5 hasta los 12 ańos, humillaciones familiares, violación bajo amenaza por un adulto a la edad de 11 ańos., acusación por un nińo de 13 ańos, ingreso en prisión, juicio… Las temáticas en las primeras 8 sesiones de EMDR (los primeros 3 meses) fueron: Desesperanza/Control, peligro/ Seguridad, y serán expuestas en detalle. Se hizo un seguimiento de los cambios apreciados por el paciente y sus síntomas. Una fuerte bajada de las puntuaciones en ansiedad (Beck21) y un rápido aumento de la SOS (Schwartz outcome scale: quality of life) fueron observadas. Al mismo tiempo que los deseos pedófilos iban desapareciendo. Esto permitía al psiquiatra reducir los tratamiento antiandrogénicos, antiepilépticos, antidepresores y antipsicóticos. Nueve meses más tarde del comienzo del tratamiento el paciente abandonó los antiandrógenos. Las puntaciones del SOS seguían altas pero los episodios de ansiedad y depresión seguían presentes (de 9 a 12 meses después del tratamiento EMDR) En conclusión, desensibilizar recuerdos dramáticos ligados a una espectacular mejora de la ansiedad y cambios en el deseo sexual del convicto por pedofilia.

Keywords: Child Offenders  Sexual Trauma  

Accuracy Verified: Yes


385. Holmshaw, M. (2004, February). EMDR treatment of travel phobia after road traffic incidents (RTI). Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.

Language: English

Format: Conference

Abstract:
Road Traffic Incidents are the most common cause of PTSD (post-traumatic stress disorder) in the UK. Travel phobia is a frequent comorbid condition in these cases and in some cases the primary disorder with which clients present. This paper addresses the systematic treatment of travel phoia after RTIs, highlighting the following: assessment and preparation for treatment with the emphasis on safety and resource installation; common themes or treatment targets to be addressed with EMDR; common blocking beliefs which prevent treatment progress and practical homework tasks to be used in conjunction with future templates. The aim of the paper is to offer a focused approach to the treatment of travel phobia with or without PTSD which has a high success rate in the author's experience.

Keywords: Road Traffic Incidents  RTI  Travel Phobia  

Accuracy Verified: Yes


386. 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


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

Language: English

Format: Other

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

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

Keywords: Complex Trauma  Future Orientation  

Accuracy Verified: Yes


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

Language: German

Format: Newsletter

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

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

Keywords: Family Systems Therapy  

Accuracy Verified: Yes


389. Shapiro, F. (2007, September). EMDR update: Theory, research, and practice. Keynote presented at the EMDR International Association annual conference, Dallas, TX.

Language: English

Format: Conference

Abstract:
New research continues to shed light on EMDR as a distinct psychotherapy approach. Dr. Shapiro will review several new studies and their implications for both theory and future clinical development. The Adaptive Information Processing model and research on underlying mechanisms will be used as a springboard to explore potential applications and ways to overcome a variety of clinical difficulties. Specific clinical cases will be used to illustrate the integration of EMDR with other orientations. Questions from conference participants will be taken in advance to address aspects of the model and methodology.

Keywords: Adaptive Processing Model  AIP  Keynote  Research  

Accuracy Verified: Yes


390. Dellucci, H. (2011, February /March). EMDR using gearbox technique and letters. Presentation at the EMDR Association of India – Mumbai Chapter, Delhi, India .

Language: English

Format: Conference

Abstract:
The new protocol has been likened to the gears of a vehicle where on each speed a certain amount of work is done to deal with the trauma in a gradual fashion.
Speed zero deals with stabilization; speed 1 deals with desensitizing future fears; speed 2 touches upon desensitizing emotions or body sensations without touching on the actual trauma. At speed 3 the client works on early imprints (any issues from the age of birth to 3 years). Speed 4 deals with desensitizing present triggers and speed 5 deals with use of EMDR on past events. Helene will also be teaching how she also ingeniously uses LETTER WRITING(from the future or standard) with bilateral stimulation. The above protocol is useful even for dissociative or complex trauma clients Helene has summarized her therapy by saying: “Different clients evolve at different speeds, as a function of many parameters that we often are not able to control as therapists. Our basic assumption is that clients go as fast as they can, given their particular situation. If they slow down, it is because they have good enough reasons, whether conscious or not. What we try to avoid is them slowing down because of the therapist. Our motto is to progress as fast as possible, as long as the road and the weather permit it, and go as slowly as necessary to keep the journey secure.”

Keywords: Gearbox  

Accuracy Verified: Yes


391. ter Heide, J. J. (2008, June). EMDR versus stabilisation in the treatment of traumatised asylum seekers and refugees: Preliminary results of a pilot RCT. Poster presented at the annual meeting of the EMDR Europe Conference, London, England UK.

Language: English

Format: Conference

Abstract:
Despite the high prevalence of PTSD in refugee populations, it is as yet unclear how to treat traumatised refugees and asylum seekers most effectively. Whilst EMDR is a treatment of choice for PTSD, it is considered good clinical practice to use a phased model of intervention with these patients. In this model, a stabilisation phase precedes EMDR. Many clinicians are reluctant to try EMDR with this population for fear of psychological decompensation. They tend to stick to stabilisation techniques. Centrum ’45 in the Netherlands is a national centre for mental health care, specialising in the treatment of victims of war and organised violence. In order to optimise the mental health care offered, the centre is conducting a pilot RCT to see which is more effective in the treatment of traumatised asylum seekers and refugees: eight sessions of EMDR or eight sessions of stabilisation. The study population consists of 20 adult patients who applied for treatment and who met the DSM-IV criteria of PTSD, excluding those who are suicidal, psychotic, (hypo) manic or who suffer from substance abuse or eating disorders. Patients are screened for participation using the SCID module PTSD and part of the MINI. Symptoms of PTSD, depression and anxiety, and quality of life are assessed at pre- and post-treatment and follow-up, using the HTQ, HSCL-25 and the WHOQOL-BREF. The pilot study is due to finish in October 2008. In this poster presentation, we present preliminary findings, including data from the pre- and post-treatment assessments.

Keywords: Asylum Seekers  Poster  Refugees  

Accuracy Verified: Yes


392. Ward, C. (2010, March). EMDR with a family using a group protocol. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
I will present a way of working with families using EMDR, offer question and discussion time and the opportunity to explore the approach. I would very much like to provide an arena to discuss and share learning about EMDR with families and to agree some success criteria for working in this way. The focus of my presentation is the successful use of the EMDR group protocol to work with domestic abuse. I will describe the use of images to process memories and current fears. I will cover what made the approach successful in the context of the existing resources. Conference Abstracts I will describe our learning about co-working across different modalities in the way that we did. The workshop will have an interactive and experiential focus, which I hope will capture the energy and creativity of the approach. New Learning points: • Adapting and developing a group EMDR protocol • Co-work with a parent and a colleague from another modality • Using EMDR to process the legacy of domestic abuse

Keywords: Family  Group Protocol  

Accuracy Verified: Yes


393. Amman, B. (2013, June). EMDR with bipolar disorder. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Research of the last decade suggests a decisive role of traumatic events on the onset and on the course of severe mental disease, especially affective disorders. The robustness of this data has been largely ignored by the psychiatric community, also due to a striking lack of trials designated to traumatized patients with severe mental disease. With this workshop we aim to create awareness on that issue by reviewing existing evidence of the impact of trauma on the patients’ life with severe mental disease. We also will show first controlled data of EMDR in instable, traumatized bipolar patients, with a focus on its effect on trauma and mood stabilization. Furthermore, we will present for the first time a Spanish Bipolar EMDR protocol as direct result of the above-mentioned study; to highlight practical details of this protocol, we also will discuss two cases of the study in an interactive way with the audience.
Learning objectives: Trauma in severe mental disorder is so far not adequately recognized and treated by therapists; Understanding the role of trauma in severe mental disorder, with a focus on bipolar disorder; Results of a first controlled pilot study of instable bipolar patients suggest that EMDR reduces effectively trauma symptoms and trauma load; and Results also suggest that EMDR stabilizes better the mood of subsyndromal, instable bipolar patients than a control group.

Keywords: Bipolar Disorder  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Adaptive Information Processing  AIP  Children  Fidelity Study  Techniques  

Accuracy Verified: Yes


395. Ward, C. (2010, June). EMDR with children and adolescents in a family setting using a group protocol. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Our aim: We will present some EMDR family work, offer question and discussion time and the opportunity to explore the approach. We would very much like to provide an arena to discuss and share learning about EMDR with families and to agree some success criteria for working in this way. The focus of our presentation is the successful use of the EMDR group protocol with a family of 5 children. The children had witnessed domestic abuse and had been physically abused themselves. We were greatly assisted by the children's mother Lea who co-worked with us. We will include how we structured 1. I support for her to carry out this difficult role. We will describe the use of images to process the children's memories and current fears. We will cover what made the approach so successful in the children's and our opinion, including the context of the existing resources. We will describe what we learnt about co-working across different modalities in the way that we did. The workshop will have an interactive and experiential focus which we hope will capture the energy and creativity of the approach.
Learning points:
- Adapting and developing a group EMDR protocol to work with a family of 5 children.
- Co-work with a parent and a colleague from another modality.
- Using EMDR to process the legacy of domestic abuse by the children's father including processing current fears.
As co-workers we found that, using the vehicle of the EMDR group protocol has been an exciting and effective initiative. My colleague and I came from different agencies and worked together in the family's home in a collaborative way with the children, parent and each other We will include in our presentation the children's and parent's views on what worked for them and on the process as a whole.

Keywords: Adolescents  Children  Family  Group Protocol  

Accuracy Verified: Yes


396. Tinker, R. H., & Wilson, S. A. (2007, June). EMDR with children around the world: Sixteen years later. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The present workshop will be primarily practice oriented, with the morning session focusing on Age-Related Protocols with progressively younger children (down to age one year), and the afternoon session focusing on the use of EMDR in a group format with children traumatized by war. We will present data on its effectiveness with two groups of Ethnic Albanian refugee children held in a German refugee camp. A group exercise will assist workshop participants in understanding the protocol for group administration of EMDR. Other research considerations will be presented, related to successful and unsuccessful projects with children. Also in the afternoon, we will target the more severe disorders of childhood, such as multiply-traumatized children and attachment disordered children. We will give attention to issues related to trauma-based diagnosis, the use of art with EMDR, and a treatment model featuring short interventions throughout the developmental years and how these affect developmental trajectories. Throughout the workshop, we will use videotapes to illustrate the issues that are most salient, the importance of attunement and finer points of technique

Keywords: Children  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Children  Chronic Abuse, Domestic Violence  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Children  

Accuracy Verified: Yes


399. Beer, R., & de Roos, C. (2008, April). EMDR with chronologically traumatized children and adolescents. Workshop presentation at the 1st Bi-annual International European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands.

Language: English

Format: Conference

Abstract:
In this workshop important aspects of the treatment, with EMDR as the main approach, of chronically traumatized children and adolescents will be discussed. What are the necessary conditions to be present or to be created in the preparatory phase of treatment? How much and what kind of stabilization is needed as the bottom line before trauma processing by EMDR can be initiated? An overview of empirical studies on treatment effects with this specific population will be discussed. Using video fragments, we will clarify how EMDR can be embedded in multifaceted treatment programs in different treatment settings. The question will be dealt with how parents can (not) be involved in order to reach optimal treatment outcome. Learning objectives: 1. Enhance knowledge and understanding of the benefit of EMDR in the treatment of chronically traumatized children and adolescents 2. Enhance knowledge for identification of children and adolescents for whom EMDR may be appropriate. 3. Enhance understanding of the role for parents in the EMDR treatment with these clients.

Keywords: Adolescents  Children  Trauma  

Accuracy Verified: Yes


400. Meignant, I. (2011, June). EMDR with couples in the context of family therapy [EMDR mit paaren im kontext der familientherapie]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
The use of both Mony Elkaďm’s systemic model and the AIP model is a new perspective for couples’therapy and for EMDR target plan and further in individual therapy where relational problems are involved. This workshop will teach present a way to do a target plan for relational problem treatment. Focusing on couples’therapy the workshop will show how to do an EMDR case conceptualization integrating the systemic model. It will propose clinical question/answer that will help to decide to use EMDR or not in the couple session, choosing the position of the other member of the couple during the reprocessing phases. It will show the use of individual safe places as a safe place for the couple during the session and at home. What we propose here is that the understanding of Mony Elkaďm’s Systemic model for a couple in crisis guides us to find where to work on the past of each member to heal the couple in the EMDR target plan. We imagine that this understanding can be of help to build a bridge between any 2 parts of a relation: 2friends, 2 colleagues, 2 persons from different culture or religion. The presentation will illustrate how the systemic model created by Mony Elkaďm for understanding couple crisis can be useful in the EMDR treatment of couples, EMDR case conceptualization and EMDR target plan. This model insists on the double bind in which each member of the couple is torn between his/her Official Program and his/her World View. For example: "I want to be loved" (O.P) and" if someone loves me he will leave me" (W.V.). These world views are creating repetitive cycles which are trapping the members of the couple or of any people in interaction. The aim of the EMDR practitioner is to treat the dysfunctional stored memories connected with these world views and give them flexibility to free the members of the couple from the vicious circle in which they are caught. In this presentation we propose to show how making hypothesis about the World view of each member of the couple and verifying them will guide us to the individual target that will be the Gordian knot in the present problem the couple is dealing with, hence helping the system to evolve from a situation of crisis to a situation of equilibrium. Using EMDR will help to give flexibility to the world view of each member. Using it within Mony Elkaďm’s systemic model will help the couple. Following each phase of the EMDR model eight-phases protocol, we will show how it will be applied to couple therapy with case studies and practice example. We will see how this target plan can apply to any dyad or system in crisis in family therapy, couple therapy and individual therapy. Learning objectives: •Understand how to use the systemic model, reciprocal double bind, to find the individual targets that are involved in the couple or any relational present problem in an EMDR target plan. •Being able to do the installation of EMDR safe place as a resource for the couple. •Evaluate more clearly whether and when to use EMDR in the couple therapy session. •Knowing specifications of each of the 8 phases EMDR protocol with couple.

Keywords: Couples  Family Therapy  

Accuracy Verified: Yes


401. 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


402. Paulsen, S. (2010, October). EMDR with dissociative clients: 17 secrets. Presentation at the 27th Annual meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Unmodified EMDR can harm dissociative clients if it prematurely breaches dissociative barriers overwhelming the client’s capacity and resources. Practitioners must screen for dissociation and use special procedures to safely use EMDR with these clients. The workshop will cover critical guidelines and techniques to pace and troubleshoot EMDR with dissociative clients within the phased treatment model, for clients ranging from DDNOS to DID. Assessment and stabilization are key to preparing clients for trauma work. The workshop offers methods to increase affect tolerance, establish a two-step containment habit, and orient personalities to person place and time. Other topics include: increasing tolerance of body sensation and affect, and enhancing compassion for self and others, directly working with introjects or other “monstrous” shame-laden parts, essential to reducing internal conflict and resistance to therapy. The workshop instructs in specific ego state strategies and imagery to provide sufficient resources, maintain an observing ego. Rooted in the hypnotic tradition, stabilization methods to pace and fractionate the work within EMDR while interspersing trauma work with sessions that consolidate gains. The workshop also describes the conference room method and means to trouble-shoot stuck processing. Finally, the workshop describes the final phases of therapy, skills building, integration and fusion.
Participants will be able to : ♦♦ explain why and when to assess every client for degree of dissociation and choose an appropriate protocol. ♦♦ list six tactics for stabilizing clients, prior to doing EMDR for dissociative clients, to increase rapport, contain affect, orient to present circumstances, reduce inner conflict, and build coping resources. ♦♦ structure EMDR sessions using imagery and ego state interventions for pacing, fractionating and trouble-shooting the work.

Keywords: Dissociation  

Accuracy Verified: Yes


403. Solomon, R. M. (2008, June). EMDR with grief and mourning. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
The death of a loved one confronts people with particularly complicated challenges at a time of often unparalleled distress. This workshop will focus on integrating EMDR into the treatment of grief and mourning. Understanding grief and mourning in terms of the Adaptive Information Processing model will be presented and illustrated by case presentations and videos of EMDR sessions. EMDR does not shorten the phases the mourner has to go through for adaptive assimilation and accommodation of the loss, but processes the factors that can complicate the mourning. The processes the mourner has to go through for assimilation and accommodation of the loss, and how EMDR facilitates movement through them, will be presented. Particular attention will be paid to how EMDR facilitates the emergence of adaptive inner representations. We do not lose attachments to loved ones that die, they are transformed. We move from loving in presence to loving in absence. Memories of the deceased often emerge during EMDR treatment. It is the emergence of memories of the deceased that let us know and acknowledge the meaning of the relationship, the person’s role in our lives and identity, and enable us to carry the basic security of having loved and been loved into the future. We can go forward in a world without the deceased, because we have an adaptive inner representation to take with us. Content includes: · Overview of AIP model and how it applies to grief and mourning · Acute grief as a form of traumatic stress · Common responses to loss · The six “R” processes of mourning · High-risk factors predisposing to complicated mourning · General principles of EMDR treatment in grief and mourning

Keywords: Bereavement  Grief  Mourning  Psychotherapeutic Processes  Survivors  

Accuracy Verified: Yes


404. Bisping, V. (2011, June). EMDR with patients with dentophobia. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
An appointment at the dentist’s is not what most people look forward to. For some people, however, even the mere thought of having to undergo dental treatment causes them to feel extreme fear and panic. Between 5 and 15% of the world population suffer from such a pathological form of dental fear, called dental phobia. Dentally anxious individuals commonly avoid necessary dental procedures for many years despite deteriorating oral health, agonizing pain and severe psychosocial problems. The majority of individuals with dental phobia recall a traumatic event as cause for the onset of their fear. Interestingly, nearly 50% of them even suffer from posttraumatic stress symptoms, such as intrusive memories, nightmares, hyperarousal and avoidance behavior. EMDR can be a very useful instrument to help dentally anxious people to cope with past traumatic experiences and to prepare them for future confrontations with phobic stimuli. The 90-minute workshop will give background information to the problem of pathological dental fear and present evidence from research showing that EMDR is an effective treatment method for dentophobia. The main focus will be on the practical procedure, which will be illustrated using video sequences of patient sessions. Learning objectives: This workshop will provide you with the following information: •a short review of current research and literature •the use of the EMDR protocol in its specific application to dentally anxious patients, with special emphasis on preparing the patient for future confrontations by working with flashforwards, future template and video check •ways of combining EMDR with other cognitive, behavioral and imagery techniques in the treatment of dental phobia.

Keywords: Dentophobia  

Accuracy Verified: Yes


405. Keenan, L., Keenan, P., & Wright, C. (2007, June). EMDR with perinatal post traumatic stress disorder. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
For most people, childbirth is a time for celebration and joy. However, for some women it can prove a harrowing and traumtising experience. This may result in mothers developing Peri-Natal Post Traumatic Stress Disorder (PN-PSTD), (Slade, 2006)). The reported prevalence of PTSD following childbirth ranges from 1.5% to 6% (Beck, 2004). However, there is a general lack of awareness of this issue, encompassing all health care professions (General Practitioners, Health Visitors, Obstetricians, and non-specialist Psychiatrists) (Robinson, 2003)). This can lead to misdiagnosis and inappropriate treatments being offers (Czamocks & Slade, 2000). This paper will critically examine some of the common themes associated with PN-PTSD. It will explore how Eye Movement Desensitization and Reprocessing (EMDR) can and should be used as an effective treatment intervention (Madrid, Skolek, and Shapiro 2007). Evidence based practice and practice based evidence (case studies) will show how EMDR can be adapted for this client group. The presentation will also reflect on future training needs and research implications.

Keywords: Health Problems  Perinatal  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


406. Mosquera, D. (2012, March). EMDR with trauma and narcissism [EMDR met trauma en narcisme]. Keynote resentatie op de 6e congres van de Vereniging EMDR Nederland, Arnghem, The Nederlands.

Language: English

Format: Conference

Abstract:
The devaluation of self and others is a relevant issue in the field of trauma and dissociation but therapy usually focuses on a victim-abuser perspective where we tend to pay attention to victims and their symptoms, and when narcissistic features are described, they tend to be considered as characteristics of the abusive figure. From this perspective, victims are described as depressed, submissive, vulnerable and usually trapped in learned helplessness. Although this picture describes some situations related to maltreatment and abuse, it can be simplistic and minimize or overlook internalization of some abuser features by victims (e.g., the presence of perpetrator-imitator parts in DID). Narcissistic features can be a cause and consequence of traumatization and can be treated effectively with EMDR. Targeting the roots of the symptoms is crucial for an adequate case conceptualization. A core characteristic of narcissism is lack of empathy. While empathy issues can be present in many people with personality disorders, there are two personality disorders that are more related with lack of empathy, and a (sometimes only apparent) lack of concern about the suffering that they can cause in other people: narcissist and antisocial personality disorder. Both types of personalities share this self-centered profile. A description of different profiles characterized by self-centerness, selfish attitude and lack of empathy will be described in this presentation. These aspects may be present in abusers and victims, in overt or subtle presentations. To conceptualize EMDR therapy in these cases it is important to understand the pathway from early experiences to present problems. Narcissism and antisocial features can be final outcomes of a neglecting environment, chronic abuse or excessive appraisal. Different attachment disturbances with primary caregivers can lead to lack of empathy and self-centerness. In some cases, structural dissociation is underlying narcissistic or antisocial features that can characterize some dissociative parts of the personality. All these aspects and the complexity of therapeutic relationship in narcissistic and antisocial personalities will be reviewed in this presentation.

Keywords: Narcissim  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Trauma  

Accuracy Verified: Yes


408. Ordoux, I. M. (2008, June). EMDR within systemic couple therapy. Presentation at the annual meeting of the EMDR Europe Assocation, London, England.

Language: English

Format: Conference

Abstract:
The presentation will illustrate how the systemic model created by Mony Elkaďm for understanding couple crisis can be useful in the EMDR treatment of couples. He insists on the double bind in which each member of the couple is torn between his/her Official Program and his/her World View. For example: “I want to be loved” (O.P) and” if someone loves me he will leave me” (W.V.). These world views are creating repetitive cycles which are trapping the members of the couple. The aim of EMDR practitioner is to treat the dysfunctional stored memories connected with these world views and give them flexibility to free the members of the couple from the vicious circle in which they are caught. In this presentation we propose to show how making hypothesis about the World view of each member of the couple and verifying them will guide us to the individual target that will be the Gordian knot in the present problem which the couple come with, helping the system to evolve from a situation of crisis to a situation of equilibrium. Using EMDR will help to give flexibility to the world view of each member. Using it within Mony Elkaďm’s systemic model will help the couple. Following each phase of the EMDR eight phases protocol, we will show how it will be applied in relation to couple therapy. With case studies and practice example, we will see how we get through each phase with couples.

Keywords: Couples Therapy  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Mechanism of Action  Research  Symposium  

Accuracy Verified: Yes


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

Language: Spanish

Format: Conference

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

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

Keywords: Adaptive Information Processing  AIP  

Accuracy Verified: Yes


411. Jácome, S. (2007, Novembro). EMDR y psicodrama [EMDR and psychodrama]. Apresentaçăo no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.

Language: Spanish

Format: Conference

Abstract:
Objetivos de aprendizaje: • mostrar de una manera práctica los cambios de paradigmas en la atención psicoterapéutica desde la perspectiva del EMDR en cuanto a fortalecer los recursos del ser humano. • demostrar cómo el método de EMDR puede integrarse con otros procedimientos grupales como el psicodrama. • presentar la técnica psicodramática de Pilares de la Vida con EMDR en un contexto de grupo.

Learning Objectives: • show a practical way changes paradigms in the psychotherapeutic from the perspective of EMDR as a strengthen human resources. • demonstrate how EMDR method can group integrated with other procedures as psychodrama. • present psychodramatic technique of Pillars Life with EMDR in a group context.

Keywords: Psychodrama  

Accuracy Verified: Yes


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

Language: Chinese

Format: Dissertation/Thesis

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

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

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


413. Shapiro, F. (2007). EMDR, adaptive information processing, and case conceptualization. Journal of EMDR Practice and Research, 1(2), 68-87. doi:10.1891/1933-3196.1.2.68.

Language: English

Format: Journal

Abstract:
EMDR is an integrative, client-centered psychotherapy approach that emphasizes the brain's information processing system and memories of disturbing experiences as the bases of those pathologies not caused by organic deficit or insult. EMDR addresses the experiences that contribute to clinical conditions and those needed to bring the client to a robust state of psychological health. Overviews of the history, development, and research that have established EMDR as an empirically supported treatment are provided. Subsequent to an explanation of the adaptive information processing model, an extended case example is used to illustrate the recommended EMDR case conceptualization and eight phases of treatment. This approach is used to process the early memories that set the foundation for the pathology and the present situations that trigger the dysfunction, while providing templates for appropriate future action that incorporate the information and behaviors needed to overcome skill and/or developmental deficits. The benefits of integrating EMDR and family systems perspectives to provide the most comprehensive therapeutic effects are described. [Author Abstract]

Keywords: Adaptive Information Processing  AIP  Case Conceptualization  Family Systems Therapy  Integrative Psychotherapy  Memories  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Addiction  Stages of Change  Trauma  

Accuracy Verified: Yes


415. Grand, D. (2003, May). EMDR, creavitity and the brain. In E. Tizzabu and M. Jakobsen (Chairs), EMDR empowering. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
This paper addresses how creativity has been interwoven into the discovery and development of EMDR, how EMDR is an effective tool in unblocking and enhancing creativity and how our understanding of the brain enhances our knowledge in this area. Dr. Shapiro’s inspiration leading to her discovery and development EMDR are the underpinnings of EMDR and its interweave with creativity. EMDR processing is also an essentially creative process at the core of healing trauma-based blocks. The therapeutic relationship in EMDR can be conceptualized as a co-creative process. This paper also addresses using EMDR in addressing issues of creativity. Creative blocks are regularly reported by both artists and non-artists and often cripple and traumatize the artist, and interfere with the creativity of daily living of non-artists. The EMDR protocol can be used to target creative blocks as trauma is an integral part of these blocks. The EMDR future template is a tool for enhancing creativity with artists free of significant blocks. This includes actors, singers, dancers, writers and graphic artists. [Author abstract]

Keywords: Brain  Creativity  Empowerment  Symposium  

Accuracy Verified: Yes


416. 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


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

Language: Spanish

Format: Conference

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

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

Keywords: Ego States  Policement, Queens  Test Anxiety  

Accuracy Verified: Yes


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

Language: Swedish

Format: Dissertation/Thesis

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

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

Keywords: Adolescents  Children: Psychotherapy  Trauma  Treatment  

Accuracy Verified: Yes


419. Errebo, N., Knipe, J., Forte, K., Karlin, V., & Altayli, B. (2008). EMDR-HAP training in Sri Lanka following the 2004 tsunami. Journal of EMDR Practice and Research, 2(2), 124-139. doi:10.1891/1933-3196.2.2.124.

Language: English

Format: Journal

Abstract:
On December 26, 2004, an earthquake in the Indian Ocean triggered a catastrophic tsunami. In Sri Lanka, 35,000 people died, 21,000 were injured, and more than half a million were displaced. An EMDR training program was conducted as a joint project of three organizations: EMDR Humanitarian Assistance Programs (HAP), International Relief Teams (IRT), and the Sri Lankan National Counselors Association (SRILNAC). Between March and December 2005, 30 Sri Lankan counselors were trained in EMDR. These counselors demonstrated competence in EMDR on several measures, treated more than 1,000 children and more than 350 adult tsunami victims with EMDR in 2005, provided narrative reports and outcome measures for most of their clients, and formed the Sri Lanka EMDR Association (SEA). The crucial steps in establishing and implementing this training program are explained, with a summary of the subjective impressions and learning experiences most valued by the training team, including an excerpt from a trainer's journal. This information may be useful to future cross-cultural humanitarian efforts following large-scale disasters. [Author Abstract]

Keywords: Adults  Children  Cross-Cultural Treatment  Humanitarian Efforts  Indian Ocean Tsunami  Mental Health Personnel  Personal Narrative  Professional Training  Sri Lanka  Sri Lankans  Survivors  Treatment Effectiveness  Tsunamis  

Accuracy Verified: Yes


420. Burkhardt, L. (2010, June). The EMDR-treatment of traumatisation in World War 2 in an elderly patient: The story of Luise. In Complex t