Francine Shapiro Library ~ EMDR Bibliography

Francine Shapiro Library - EMDR Bibliography Links

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1. Robertson, J. M., & Williams, B. W. (2010). "Gender aware therapy" for professional men in a day treatment center. Psychotherapy Theory, Research, Practice, Training, 47(3), 316–326. doi:10.1037/a0021163.

Language: English

Format: Journal

Abstract:
High accountability men in the medical, legal, corporate, and mental health professions sometimes engage in behavior that violates their fiduciary responsibilities. These highly skilled men may engage in disruptive or explosive behavior, cross sexual boundaries with clients or patients, abuse substances, or have other psychiatric problems that compromise their workplace performance. When this occurs, licensing boards, professional societies, or supervising executives often require the dysregulated man to seek assistance. This article reports on ways the Professional Renewal Center incorporates recommendations from “Gender Aware Therapy” in developing a male-friendly approach to conducting comprehensive multidisciplinary psychological assessments, and to providing intensive, multimodal, weeks-long treatment services.

Keywords: Assessment Masculinity Professionals Treatment

Accuracy Verified: Yes

2. フランシーンシャピロ, マーゴット・シルクフォレスト, 市井雅哉 (翻訳) [Shapiro, F., and Forrest, M. S. (Ichii Masaya translator)] (2006年2月). トラウマからの解放:EMDR [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. 大阪：Nikeisha.

Language: Japanese

Format: Book

Abstract:
EMDR、または眼球運動脱感作と再処理、目の動きやハンドタップなどのリズミカルな刺激を利用して外傷の犠牲者を治療するための新しい非伝統的な、非常に短期的な治療法です。シャピロ氏は、臨床心理学者と仲間のアプローチを開発したカリフォルニア州パロアルトで、精神研究所で、これのようにわずか3として90分EMDRセッションは、患者の無効化の不安を軽減した例が報告されます。彼女は1987年に技術を開発する方法説明して、シャピロ氏は、治療について説明しますように機能するかについて、なぜ研究を支援し引き合いに出して推理。彼女はリズミカルな刺激は、プロセスのジャンプに固有の起動することを示唆していると、それらはとても自然治癒を始めることが立ち往生している外傷体験の処理を開始して犠牲者を有効にするには脳の情報処理システムを加速させます。ライターForrestは手法の有効性を実証する数多くのEMDRトレーニングを積んだセラピストによるケーススタディを掴んで提示？とりわけ、心的外傷後ストレスとベトナムのベテランは、夜の恐怖、レイプ被害者の母親と子供もほぼ悲しみに麻痺息子の死の翌年。他の研究は、終末期の患者の成功を支援麻薬中毒者を報告する。

EMDR, or eye movement desensitization and reprocessing, is a new, nontraditional, very short-term therapy for treating trauma victims that utilizes rhythmical stimulation such as eye movements or hand taps. Shapiro, a clinical psychologist and fellow at the Mental Research Institute in Palo Alto, Calif., who developed the approach, reports cases in which as few as three 90-minute EMDR sessions have relieved patients' disabling anxiety. Explaining how she developed the technique in 1987, Shapiro describes the treatment, theorizes about why it works and cites supporting research. She suggests that the rhythmical stimulation inherent in the process jump starts and accelerates the brain's information processing system to enable the victims to begin to process the traumatic experiences in which they have been stuck so that natural healing can begin. Writer Forrest presents gripping case studies from numerous EMDR-trained therapists to demonstrate the effectiveness of the technique?among others, a Vietnam veteran with post-traumatic stress, a child with night terrors, a rape victim and a mother still nearly paralyzed with grief a year after her son's death. Other studies report success helping drug addicts and the terminally ill.

Keywords: Practice Theory

Accuracy Verified: Yes

3. Dibajnia, P., Reza Zahirodin, A., & Gheidar, Z. (2012). اثر حساسيت زدایي چشمي حرکتي بر اختلال استرس پس از سانحه [Eye-movement desensitization influence on post-traumatic stress disorder]. Pejouhandeh Journal, 16(7), 322-326.

Language: Persian

Format: Journal

Abstract:
چکيده سابقه و هدف: ا ختلال پس از سانحه ) Post traumatic stress disorder ( با شيوع 5 تاا 15 درصادي در واول زنادگي 3( ماي تواناد اثرات سوء و زيانباري بر فرد و جامعه وارد كند. پژوهش حاضر با هدف بررسي اثرحساسيت زداياي شایي حركتاي Eye movement desensitization reprocessing ( در كاهش نشانه هاي PTSD در اين دسته از بيیاران انجام شده است. مواد و روشها: تعداد 13 بيیار مبتلا به PTSD به وور تصادفي انتخاب و بوسيله روش EMDR تحت درماان رارار گرفتناد. اولاعاات جیعيت شناختي و نوع يادآوري حادثه به وسيله دو پرسشنامه محقق ساخته جیع آوري گرديد. هیچنين ميازان ضاربان رلاف، فشاار خون و تعداد تنفس اين بيیاران ربل و بعد از EMDR اندازه گيري گرديد. داده هاا باه وسايله نارم افازار SPSS.16 و روشاهاي آمااري توصيفي و مجذوركا مورد تجزيه و تحليل ررار گرفتند. یافته ها: 50 % گروه مورد مطالعه در رده سني 19 تا 19 سال ررار دارند و 10 % را زنان تشكيل ميدهند. EMDR به وور باارزي ناوع و گونگي يادآوري سانحه را تغيير داد. ميزان فشار خون، ضربان رلف و تعداد تنفس به وور معناداري هیراه با يادآوري ساانحه افازايش

Background: The 5% to 25% prevalence of post-traumatic stress disorder (PTSD) during life-time can cause irrefutable harms an individuals and society. This research carried out to examine; or not eye movement desensitization and reprocessing (EMDR) treatment can improve PTSD symptoms. Materials and methods: 71 patients (56 females and 15 males) have been selected randomly. Demographic and kind of trauma-reminding information were collected by two questionnaires. Blood pressure, Heart beating and Breathing numbers before and after EMDR were measured. Data were analyzed by descriptive statistic and Q2 using SPSS software version 16. Results: 59% of patients were under 20-30 years old. 79% were females. According to the results, EMDR resulted to significant reduction of trauma reminding. Blood pressure, heart beating and breathing increased by trauma reminding significantly. ‍Conclusion: EMDR techniques promote improvement of negative symptoms of PTSD.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: Persian

Format: Journal

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

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

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

Accuracy Verified: Yes

5. محمد جواد احمدى زاده *، حسين اسکندری ، محمدرضا فلسفى نژاد و احمد برجعلی [Ahmadizadeh, M. J., Eskandari, H., Falsafinejad, M. R., & Borjali, A.] (2010, Fall). مقایسه اثر بخشی جنبش چشم "شناختی رفتاری" و " حساسیت زدایی بازفرآوری "مدل های درمان در بیماران مبتلا به جنگ پس از سانحه اختلال استرس [Comparison the effectiveness of “cognitive-behavioral” and “eye movement desensitization reprocessing” treatment models on patients with war posttraumatic stress disorder]. Iranian Journal of Military Medicine, 12(3), 173-178.

Language: Persian

Format: Journal

Abstract:
Aims: Post Traumatic Stress Disorder (PTSD) is an anxiety disorder which can develop after exposure to any event which results in psychological trauma. Cognitive-Behavioral Therapy (CBT) is the most commonly used treatment for the disease and Eye Movement Desensitization and Reprocessing (EMDR) is a more rapid, relatively recent method. This study was designed with the aim of comparing the efficacy of Cognitive- Behavioral Therapy and Eye Movement Desensitization and Reprocessing method on reduction of specific symptoms and recovery in patients suffering from PTSD due to war. Methods: This experimental study was performed in year 2008. 45 veterans suffering from PTSD were divided randomly into three CBT, EMDR and control groups. Each of the mentioned groups contained 15 members. Two questionnaires including PTSD checklist-military version and symptom checklist 90 revised were applied in order to collect data. Data was analyzed using inferential statistical tests by SPSS 16. Results: Scores of CBT group and EMDR group had a significant difference from control group scores. Conclusion: Both models are effective on reduction of symptoms in PTSD.

Keywords: CBT Cognitive Behavior Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

6. 吉田卓史秋篠雄哉柴田敬 [Takushi Yoshida, Yuya Akishino, and Kei Shibata]. (2005年3月). 症例 EMDRによってスムーズに曝露反応妨害法に導入できたOCDの1例 [EMDR was introduced into the reaction of patients exposed to smooth the interference case of OCD]. Psychiatry, 6(3), 285-288.

Language: Japanese

Format: Journal

Keywords: Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

7. 孙海霞，杨蕴萍 [Sun Hai Xia, Yang Yun Ping]. (2004, August). 眼动脱敏与再加工治疗现状 [The psychotherapy of eye movement desensitization and reprocessing]. 中国临床心理学杂志，2004，12（3）：324 [Chinese Journal of Clinical Psychology, 12(3), 324-326].

Language: Chinese

Format: Journal

Abstract:
眼动脱敏与再加工(Eye movement desensitization and reprocessing ,以下简称EMDR) 由Francine Shapiro 于1987 年创立,最初仅为眼动脱敏( EMD) ,1991 年发展为眼动脱敏与再加工,其中眼动脱敏仅是EMDR 中双侧刺激的一种,而双侧刺激是EMDR 操作中众多组分的一部分。EMDR 是一种整合的心理疗法,它借鉴了控制论(cybernetics) 、精神分析、行为、认知、生理学等多种学派的精华,建构了加速信息处理的模式,帮助患者迅速降低焦虑,并且诱导积极情感、唤起患者对内的洞察、观念转变和行为改变以及加强内部资源,使患者能够达到理想的行为和人际关系改变[1 ] 。本文拟对EMDR 的有关机理与实践应用作一综述。

(Eye movement desensitization and reprocessing, hereinafter referred to as EMDR) Francine Shapiro in 1987 by the creation of an initial eye movement desensitization only (EMD), 1991 years of development for the eye movement desensitization and reprocessing, which EMDR eye movement desensitization only in a bilateral stimulation, and EMDR bilateral stimulation is part of the operation of many components. EMDR is an integrated psychological therapy, which draw on the control theory (cybernetics), psychoanalysis, behavioral, cognitive, physiological, and other schools of the essence of information processing to speed up construction of the model, to help patients rapidly reduce anxiety, and induce positive affect, arouse patients insight into the internal, the concept of change and behavior change and the strengthening of internal resources, so that patients can achieve the desired changes in behavior and interpersonal relationships [1]. This paper about the mechanism of EMDR reviews the application and practice.

Keywords: Mechanism of Action Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: Chinese

Format: Dissertation/Thesis

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

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

Keywords: Autobiographic Memory Eye Movement Valence-Specific Hypothesis

Accuracy Verified: Yes

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

Language: Chinese

Format: Dissertation/Thesis

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

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

Keywords: Autobiographic Memory Valence-Specific Hypothesis

Accuracy Verified: Yes

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

Language: Chinese

Format: Dissertation/Thesis

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

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

Keywords: autobiographic Memory Eye Movements Valence-Specific Hypothesis

Accuracy Verified: Yes

11. 仁木啓介 [Niki Keisuke]. (2008年6月). 精神科病院でのEMDR―犯罪被害者と解離性同一性障害の治療について― 仁木啓介 [EMDR at psychiatric hospitals: Therapy for criminal victims and dissociative identity disorder] . こころのりんしょう第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 263-269].

Language: Japanese

Format: Journal

Keywords: Criminal Victims DID Dissociative Identity Disorder Psychiatric Hospitals

Accuracy Verified: Yes

12. 赵国秋汪永光王义强付素芬唐济生曹日芳 [Zhao Guoqiu, Wang Yongguang, Wang Yiqiang, FU Shufen, Tang Jisheng, & Cao Rifang] (发表时间). 胶济铁路交通事故伤员心理危机干预结果分析 [The Analysis of Intervention for Casualties in the Accident on Jiaoji Railway on April 28]. 中国首届心理咨询师大会暨心理危机干预研讨会论文集.

Language: Chinese

Format: Conference

Abstract:
对22名ASD患者进行EMDR治疗，比较EMDR治疗前后的心理行为反应的差异。结果：有22名达到ASD（急性应激障碍）诊断标准，ASD发生率为9.73%，伤员中主要以闯入、警觉性增高表现为主，并伴随着其它的负性情绪体验。女性组心理行为反应结果明显重于男性组，女性组ASD...

(Based on the treatment of EMDR for 22 ASD patients, the comparison of psychological and behavior reaction between and after the treatment is shown. Results: there were 22 patients who reached to the diagnosis standard of ASD (Acute Stress Disorder). The incident rate is 9.73%. The major reaction is the increase of intrusive thoughts and alertness, with some other negative emotional experiences. The result of the psychological and behavior reaction of the female group is evidently stronger than that of the male group. The female group…)

Keywords: Acute Stress Disorder ASD Jiaoji Railway

Accuracy Verified: Yes

13. 宋磊王振英 [Song Lei & Wang Zhen-Ying]. (2007, November). 舍曲林联合EMDR治疗抑郁症对照研究 [Sertraline treatment of depression combined EMDR research: A control study of sertraline combined with the EMDR in the treatment of depression]. 临床心身疾病，13（4） [Journal of Clinical Psychosomatic Disease, 13(4)].

Language: Chinese

Format: Journal

Abstract:
目的探讨舍曲林联合眼动脱敏和再加工治疗对抑郁症的临床疗效及安全性.方法将64例抑郁症患者随机分为两组各32例,均给予舍曲林治疗,研究组联合眼动脱敏和再加工治疗,疗程均为6w.于治疗前及治疗第1 w、2 w、6 w末采用汉密顿抑郁量表、临床总体印象量表评定临床疗效,副反应量表评定不良反应.结果治疗6 w末研究组有效率87.5%,对照组为84.4%,两组差异无显著性(χ2=0.129,P＞0.05).汉密顿抑郁量表、临床总体印象量表评分,研究组治疗1 w末均较对照组下降显著(P均＜0.05),2 w末均较对照组下降极显著(P均＜0.01),6 w末差异均无显著性(P均＞0.05).两组不良反应均轻微(P＞0.05).结论舍曲林联合眼动脱敏和再加工治疗治疗抑郁症疗效显著,起效更快,安全性高,依从性好.

Objective: To study the combined sertraline and reprocessing eye movement desensitization treatment for depression efficacy and safety. Methods 64 patients with depression were randomly divided into two groups, 32 cases were treated with sertraline treatment, the joint study group eyes Activity desensitization and reprocessing therapy, a course of 6w. in the first before treatment and 1 w, 2 w, 6 w end with Hamilton Depression Rating Scale, Clinical Global Impression Scale for assessment of clinical efficacy, adverse side effects rating scale reaction. Results 6 w end of study group and 87.5%, 84.4% of the control group, no significant difference between the two groups (χ2 = 0.129, P> 0.05). Hamilton Depression Rating Scale, Clinical Global Impression Scale scores 1 w at the end of treatment group was significantly decreased compared with the control group (P all <0.05), 2 w at the end than the control group decreased significantly (P all <0.01), 6 w at the end there was no significant difference (P all> 0.05) . two adverse reactions were mild (P> 0.05). Conclusion Joint eye sertraline desensitization and reprocessing therapy treatment of depression a significant effect, faster onset, high safety, good compliance.

Keywords: Control Study Depression Sertraline

Accuracy Verified: Yes

14. 安克昌[An Katsumasa]. (1999). 解離性障害患者におけるEMDRの使用 [The use of EMDR in patients with dissociative disorders]. こころの臨床ア・ラカルト, 18(1), 88-92 [Clinical Psychology: Various Aspects, 18(1), 88-92].

Language: Japanese

Format: Journal

Keywords: Dissociative Disorders

Accuracy Verified: Yes

15. 上田英一郎,加藤則人,岸本三郎 [Ueda Eiichiro, Kato Norito, and Kishimoto Saburo]. (2010年5月). 18.アトピー性皮膚炎患者に対するEMDRを用いたストレスケア : 習慣性掻破のコントロール(一般演題,第46回日本心身医学会近畿地方会演題抄録) [EMDR in patients with atopic dermatitis care for stress: Control of habitual scratching. (General lecture; Meeting of the 46th Kinki Regional Meeting of the Japanese Society of Psychosomatic Medicine]. 心身医学、50の日本誌（5）、412 [Japanese Journal of Psychosomatic Medicine, 50(5), 412].

Language: Japanese

Format: Journal

Keywords: Atopic Dermatitis Habitual Scratching

Accuracy Verified: Yes

16. 吉村靖司, 志和資朗, 好永順二, 中村靖, 神崎昭浩, 和田健撰尚之, 森田幸孝, 佐々木高伸 [Seiji Yoshimura, Shiro Shiwa, Junji Yoshinaga, Yasushi Nakamura, Akihiro Kanzaki, Ken Wada, Tadayuki Inui, Yukitaka Morita, and Takanobu Sasaki]. (2002年9月). 3.DVによるPTSD患者に対するEMDR適用の試み(第25回日本心身医学会中国・四国地方会演題抄録) [3. Application of EMDR for PTSD patients by Domestic violence (Meeting abstract: The 25th Chugoku-Shikoku Regional Meeting of the Japanese Society of Psychosomatic Medicine)]. 心身医学、日本の学会誌42（9）、621〜622 [Japanese Journal of Psychosomatic Medicine, 42(9), 621-622].

Language: Japanese

Format: Journal

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

17. Koshal, A. (2012, June). The 4-fields-technique in the trauma therapy of complex traumatized and addicted patients [La técnica de 4-‐Campos en la terapia de trauma complejo y pacientes adictos, incluso en tratamiento de metadona]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
This workshop will employ lecture and demonstration of several case studies. The 4-‐Field-‐Technique is a special method of EMDR that was developed by Jarero et al. 1997 in Mexico. For complex traumatized and drug addicted people this method is very helpful. The risk to trigger other trauma clusters is quite minor, because the patient’s concentration is focused on his specific picture and situation. Several international studies demonstrate that addicted people are very often complex traumatized. (Felitti et al., 2003; Schmidt, 2000 etc.) PTSD and other trauma symptoms cause a lot of psychophysical deregulation. The psychiatrist Khantzian realized 1985, that addicted people suffer a lot from different symptoms and try to reduce the unbearable inner tension in using drugs. So Khantzian postulated the “self-‐medication hypothesis of addictive disorders”. Janina Fisher, Trauma Center Boston, 2000, interpreted the correlation of early traumatization and drug-‐addiction as “compensatory strategies aimed at self-‐ regulation”. 20 years of psychotherapeutic work revealed, a high percentage of addicted patients use drugs to influence their emotional states. Drugs and alcohol do short term reduce the mentioned symptoms. Addicted patients need to learn to cope in another, more adaptive way to get a better functioning self-‐regulation. After stabilization, trauma-‐therapy can start. So the patient can reduce his psycho-‐ physiological deregulation. Even when addicted patients are still in a methadone-‐ treatment trauma-‐therapy is effective. Practical experiences show a lot of successful treatments.

Este taller empleará la presentación y demostración de muchos estudios de caso. La técnica de 4 campos es un método especial de EMDR que fue desarrollado por Jarero et al. 1997 en Méjico. Para gente con traumas complejos y adictos este método resulta ser muy adecuado. El riesgo de disparar grupos de traumas es menor, debido a que la concentración del paciente está centrada en una sola imagen y situación. Muchos estudios demuestran que los adictos son muy a menudo traumatizados de manera compleja. (Felitti et al., 2003; Schmidt, 2000 etc.) El TEPT y otros síntomas del trauma causan muchas desregulaciones psicofisiológicas. El psiquiatra Khantzian se dio cuenta en 1985, que la gente que sufre de adicción sufren también muchos otros síntomas diferentes e intentan reducir su tensión interna a través del uso de sustancias. Por ello Khantzian postuló “ La hipótesis de la automedicación en trastornos adictivos” Janina Fisher, Trauma Center Boston, 2000, interpretó la correlación de la traumatización temprana y la adicción a la drogas como “ Estrategias compensatorias dirigidas a la autorregulación”. 20 años de trabajo psicoterapéutico muestran que un gran porcentaje de pacientes adictos usan drogas para modificar sus estados emocionales. Las drogas y el alcohol reducen a corto plazo los síntomas mencionados. Los pacientes adictos necesitan aprender a afrontar de manera más adaptativa su autorregulación. Después de la estabilización, la terapia del trauma puede empezar. Por ello el paciente puede reducir su desregulación psicofisiológica. Incluso cuando aún están sometidos a un tratamiento de metadona la terapia del trauma es efectiva. Las experiencias en la práctica muestran una gran cantidad de tratamientos exitosos.

Keywords: 4-Fields-Technique Addiction

Accuracy Verified: Yes

18. 新井康祥 , 木村宏之 [Yasuhiro Arai, and Hiroyuki Kimura]. (2007年1月). 4.痛みのflashbackにEMDRを利用した症例(第55回日本心身医学会中部地方会演題抄録,地方会抄録,学会報告)[4.'A case of using EMDR for patients with a flashback accompanied with pain (Abstract Title of the 55th Chubu regional Japanese Society of Psychosomatic Medicine)]. 心身医学、47の日本学会（1）、57から58 [Japanese Journal of Psychosomatic Medicine, 47(1), 57-58].

Language: Japanese

Format: Journal

Keywords: Flashbacks Pain

Accuracy Verified: Yes

19. Corcoran, M. (2001, July 5). 6-string therapy for Dale. Austin, TX: Austin American-Statesman Starr, Sec. XL ENT.

Language: English

Format: Newspaper

Abstract:
Out of hardship often comes great art. That's the message behind "Every Song I Write Is For You," the album by Dale Watson that hits stores July 24. The hard-core honky-tonker wears his heart on his sleeve -- literally, the sleeve of his CD, which features a picture of Teresa Lynn Herbert, the girlfriend he lost to a car accident Sept. 15. She crashed en route to Houston, where Watson had a gig. He had shut off his cell phone at lunch, and when he turned it back on a couple hours later, the caller ID showed that Herbert had called 13 times. "She had something she really wanted to tell me, but I'll never know what," says Watson, who plays every Monday at Ego's. The singer took the tragedy hard, and on New Year's Eve, he swallowed a handful of pills in a suicide attempt. After being evaluated by a psychiatrist, Watson was diagnosed with post-traumatic stress disorder and has been undergoing EMDR treatments. "After about 20 minutes, I'd felt like an 800-pound gorilla had been lifted off my shoulders," Watson says of the hypnosis-like therapy said to rejuvenate sleep-deprived patients. "For four months after Teresa's death, I'd relive it every day, all day. My mind was like a needle stuck in the groove of a record." Watson's next release was supposed to be a live album for Audium/KOCH, but he insisted that this "love song album with no apologies" come out first. "It was an easy album to write, but real hard to record."

Keywords: Austin General Overview

Accuracy Verified: Yes

20. 志和資朗, 松田俊, 佐々木高伸, 小川栄一, 佐々木高 [Shiro Shiwa, Shun Matsuda, Minori Sasaki, Eiichi Ogawa, and Takashi Sasaki] (2004年10月). 6. DVによるPTSD患者に対するBF法とEMDR(第31回日本バイオフィードバック学会総会抄録集) [6.BF (biofeedback)method and EMDR for PTSD patients by domestic violence.( Abstracts: the 31st general meeting of Japanese Society of Biofeedback Research)]. バイオフィードバック研究 30, 49 [Japanese Society of Biofeedback Research, 30, 49].

Language: Japanese

Format: Journal

Keywords: Biofeedback Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Adolescents Children Suicide

Accuracy Verified: Yes

22. 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

23. McGee, J. (2009). Addressing retraumatization and relapse when using EMDR with eating disorder patients. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 175-182). New York, NY: W. W. Norton & Co..

Language: English

Format: Book Section

Keywords: Eatings Disorders Relapse Retaumatization

Accuracy Verified: Yes

24. Edgerson, L. D. (2012). Advanced trauma training: Integration of EMDR and clinical hypnosis for the effective resolution of post-traumatic stress disorder. The University of the Rockies, Colorado Spring, CO. 3539756.

Language: English

Format: Dissertation/Thesis

Abstract:
Currently, the statistics associated with PTSD are staggering. Countless numbers of men, women, and children around the world are impacted every moment of every day by this extremely disruptive disorder. PTSD is very difficult to live with and can be even more challenging to resolve. A primary reason that the resolution of traumatic memories is such a challenge to treat is the fact that whenever any ounce of negative experience connected to the initial sensitizing event is sensed, the victim immediately reacts in a self-protective fashion by avoiding the experience any way he or she can. Cognitive behavioral therapy (CBT) appears to be the treatment of choice for many mental health clinicians who attempt to help patients recover from their traumatic memories. This author believes that CBT offers some benefit with regard to an understanding of the mechanism behind post-traumatic stress, as well as offer numerous ways to manage stress related symptoms. However, it does poorly in terms of completely resolving multiple traumas or working with chronic complex cases. In addition, a CBT approach has the proclivity to make the disorder more challenging by further increasing insult on the already malfunctioning autonomic nervous system of the victim. Instead, this manual suggests the combined use of EMDR and hypnosis as a more healthy and effective therapeutic modality model that can assist most individuals who suffer from even the most severe post-traumatic stress. The combination of EMDR and hypnosis takes a holistic approach towards healing by working with the defensive systems and the complete neuroanatomical system of the human being, as opposed to against.

Keywords: Anxiety Clinical Hypnosis Posttraumatic Stress Disorder PTSD Traumatic Stress

Accuracy Verified: Yes

25. 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

26. Kirsch, A., & Seidler, G. (2007). Affekt und trauma: Mimisch affektive beziehungsregulation bei gewaltopfern in der EMDR therapie [Affect and trauma: Facial affective behavior and relationship regulation in violence victims during EMDR therapy]. Zeitschrift für Psychotraumatologie, Psychotherapiewissenschaft, Psychologische Medizin (ZPPM), 5(2), 53-66.

Language: German

Format: Journal

Abstract:
Es wird davon ausgegangen, dass Patienten mit PTBS ein spezifisches Interaktionsverhalten in die Beziehung implementieren, das sich im mimisch affektiven Ausdruck und insbesondere im affektiven Mikroverhalten ausdrückt. Das mimisch-affektive Verhalten wurde mit dem Emotional Facial Action Coding System (EMFACS) analysiert. EMFACS ist ein Kodiersystem zur Erfassung von mimischen Expressionen, die den Primäremotionen zugeordnet werden. Zusätzlich wurde das Blickverhalten der Interaktanden kodiert und mit den Emotionen in Beziehung gesetzt. Patienten mit einer akuten Traumatisierung zeigen eine Reduktion der gesamten mimischen Aktivität sowie der Primäremotionen. Bezogen auf das Blickverhalten findet sich bei den PTSD-Patienten ein reduziertes beidseitiges Anblicken. Das mimisch affektive Verhalten der Patienten wurde in der ersten und der letzten EMDR-Sitzung verglichen. Es zeigte sich eine leichte Erhöhung.

It is assumed that patients with mental diseases implement a specific interaction pattern, that is expressed in the facial affective expression and particularly in facial-affective micro-behaviours. The facial affective behaviour was coded with the Emotional Facial Acting Coding System, an instrument for the registration of facial movements with emotional relevance. Afterwards these analyses were connected with gazing behaviour. Patients with an acute trauma showed a reduction of overall facial expressions and a reduced frequency of facial affects. Taking the gazing behaviour into consideration it became obvious that PTSD patients showed decreased portion of mutual gaze. Furthermore the facial affective expression of the patients' first and last EMDR session was compared. A slight increasing of facial affective expression and also an increase of the psychic complains was found. [Author Summary]

Keywords: Crime Emotional Numbing Posttraumatic Stress Disorder PSTD Survivors

Accuracy Verified: Yes

27. Sack, M. (2006). Aktuelle befunde zu wirkfaktoren der EMDR-behandlung [Recent findings on effective factors of EMDR treatment]. Sack Website.

Language: German

Format: Other

Abstract:
Das EMDR-Behandlungsverfahren (EMDR= eye movement desensitization and reprocessing) wurde von der amerikanischen Psychologin Francine Shapiro entwickelt und seit 1989 als manualisiertes Therapieverfahren zur Behandlung von Patienten mit Posttraumatischen Belastungsstörungen (PTSD) und anderen traumabezogenen Symptomen eingesetzt. Die Grundvorgehensweise besteht darin, dass der Patient in der Sicherheit einer haltgebenden therapeutischen Beziehung eine Konfrontation mit seinen traumatischen Erinnerungen erlebt. Ziel der Traumabearbeitung ist die Integration von kognitiven, emotionalen und körperlichen Reaktionen auf das Trauma indem die Erinnerungen wiederbelebt, wahrgenommen und verarbeitet werden. Anders formuliert, wird die durch das Trauma induzierte Dissoziation wieder aufgehoben. Die in der traumatischen Situation unterbrochene Verbindung zwischen Wahrnehmungen, Gedanken, Emotionen und Körperreaktionen wird wieder hergestellt. Danach erfolgt eine Bearbeitung von dysfunktionalen Kognitionen, wie z.B. von Schuldgefühlen, die auf unrealistischen Einschätzungen der traumatischen Situation beruhen (Shapiro 1998). Abweichend von der klassischen verhaltenstherapeutischen Traumaexposition werden im EMDR die Traumaexpositionsphasen nur relativ kurz (30 – 90 sec) durchgeführt und durch bilaterale Stimulierung in Form von Augenbewegungen (der Hand des Therapeuten mit den Augen folgen) oder durch alternative Berührungsreize auf die linke und rechte Hand (sog. Tapping) oder durch alternativ dargebotene Töne ausgelöst.

The EMDR treatment process (EMDR = eye movement desensitization and Reprocessing) was developed by psychologist Francine Shapiro of the American developed and since 1989 as a manualized therapies for the treatment of Patients with post-traumatic stress disorder (PTSD) and other traumabezogenen symptoms used. The basic approach is that the patient in the safety of a therapeutic relationship haltgebenden a confrontation with traumatic memories experienced. The aim of the Trauma treatment is the integration of cognitive, emotional and physical Reactions to the trauma memories revived by the perceived and processed. In other words, is induced by the trauma Dissociation rescinded. The interrupted in the traumatic situation Link between perceptions, thoughts, emotions and Reaction of the body is restored. This is followed by a treatment of dysfunctional cognitions, e.g. feelings of guilt, based on unrealistic Assessments of the traumatic situation are based (Shapiro 1998). Notwithstanding are from the classical behavioral trauma exposure in EMDR the phases of trauma exposure is relatively short (30-90 sec) and conducted by bilateral stimulation in the form of eye movements (the hand of the therapist follow with the eyes) or by alternative tactile stimuli on the left and right hand (so-called tapping) or alternatively Helping sounds triggered.

Keywords: Practice Theory

Accuracy Verified: Yes

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

Language: Turkish

Format: Journal

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

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

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

Accuracy Verified: Yes

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

Language: English

Format: Publication

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

Keywords: Posttraumatic Stress Disorder Practice Guidelines PTSD

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Pain Physical Tension

Accuracy Verified: Yes

31. Sack, M., Lempa, W., Steinmetz, A., Lamprecht, F., & Hofmann, A. (2008, October). Alterations in autonomic tone during trauma exposure using eye movement desensitization and reprocessing (EMDR) - Results of a preliminary. Journal of Anxiety Disorders, 22(7), 1264-1271. doi:10.1016/j.janxdis.2008.01.007 .

Language: English

Format: Journal

Abstract:
EMDR combines stimuli that evoke divided attention – e.g. eye movements – with exposure to traumatic memories. Our objective was to investigate psycho-physiological correlates of EMDR during treatment sessions. A total of 55 treatment sessions from 10 patients with PTSD was monitored applying impedance cardiography. Onset of every stimulation/exposure period (n = 811) was marked and effects within and across stimulation sets on heart rate (HR), heart rate variability (HRV), pre-ejection period (PEP) and respiration rate were examined. At stimulation onsets a sharp increase of HRV and a significant decrease of HR was noticed indicating de-arousal. During ongoing stimulation, PEP and HRV decreased significantly while respiration rate significantly increased, indicating stress-related arousal. However, across entire sessions a significant decrease of psycho-physiological activity was noticed, evidenced by progressively decreasing HR and increasing HRV. These findings suggest that EMDR is associated with patterns of autonomic activity associated with substantial psycho-physiological de-arousal over time. [Author Abstract]

Keywords: Adults Germans Empirical Study Impedance Cardiography Posttraumatic Stress Disorder Psychophysiology PSTD Quantitative Study Survivors Treatment Effectiveness

Accuracy Verified: Yes

32. 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

33. Lu, D. P., Lu, G. P., & Lu, W. I. (2007). Anxiety control of dental patients by clinical combination of acupuncture, bi-digital o-ring test, and eye movement desensitization with sedation via submucosal route. Acupuncture and Electro-Therapeutics Research, 32(1-2), 15-30 .

Language: English

Format: Journal

Abstract:
The data presented in this article was collected after reviewing clinical findings gathered from using various anxiety control methods on apprehensive patients. We examined clinical applications of the eye movement (EM) component of Eye Movement Desensitization (EMD) on fearful dental patients who have histories of traumatic dental experiences. We also used Bi-Digital O-Ring Test (BDORT) to select the proper dosage of sedative to minimize the adverse side effects. For patients who did not respond well to EM, we used BDORT to select the proper sedative medication and its dosage. In certain difficult cases, we supplemented these techniques with acupuncture to augment the sedative effects. Findings were based on the clinical impressions and assessments of both the patients and the operating team. Results showed that EM, although effective in enabling patients to undergo non-invasive dental procedures such as clinical examination and simple prophylaxis, had only limited beneficial effect with invasive procedures such as extraction, drilling, and injections, etc. We also found that BDORT greatly reduced adverse side effects of sedatives such as hypertension, hypotension, hypoxia, tachycardia, bradycardia, nausea, and vomiting. For most apprehensive patients, we found that EMD and acupuncture combined with BDORT predetermined dosage for the submucosal sedation enabled these patients to undergo the complete dental treatment. The authors try to explain the mechanism of BDORT and EM in terms of visual awareness (or consciousness) and preferred patterns, where neurons in the brain respond to the actions and/or direction of movement. The authors believe that BDORT and EM could have better results if the persons performing BDORT have visual awareness and are focused on the task; whereas in EM, the patient's eye on the therapist's hand movements. A more focused approach via visual pathway will result in more favorable results in EM. Likewise, performing BDORT absentmindedly could lead to false results if visual awareness (or consciousness) is absent. "Preferred pattern" will arouse neurons in the brain to cause conscientiousness, and performing BDORT with 'open eyes' arouse the necessary visual awareness that is necessary for the successful performance of BDORT tasks

Keywords: Acupuncture Anxiety Bi-Digital O-Ring Test Dental Phobic Patients Pharmacological sedation Preferred Patterns Visual Pathway

Accuracy Verified: Yes

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

Language: Spanish

Format: Conference

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

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

Keywords: Trauma

Accuracy Verified: Yes

35. Tarquinio, C., Houbre, B., Fayard, A., & Tarquinio, P. (2009, October-December). Application de l’EMDR au deuil traumatique après une collision de train [EMDR applied for traumatic bereavement after train collision]. L’Evolution Psychiatrique, 74(4), 567-580. doi:10.1016/j.evopsy.2009.09.004.

Language: French

Format: Journal

Abstract:
Cette étude exploratoire a pour objectif de tester l’application de la thérapie Eye Movement Desensitization and Reprocessing (EMDR) dans le cadre de la prise en charge du deuil traumatique. Le deuil traumatique, qui correspond à la perte brutale d’un autre significatif, répond à un tableau clinique précis dont les principales caractéristiques sont les pensées intrusives concernant le défunt et des difficultés d’ajustement face à la perte (sentiment de vide, difficultés à reconnaître le décès, irritabilité, absence de réactivité, etc.). Les huit participants de l’étude sont tous des membres de la famille des victimes de la collision de train qui a eu lieu le 12 octobre 2006 à Zoufftgen. Les sujets, âgés en moyenne de 35,2 ans (S.D. = 11,1) et comprenant 75%de femmes, ont suivi entre huit à 15 séances (m = 10,75 ; S.D. = 2,21) répondant au protocole EMDR. L’efficacité de la thérapie a été évaluée à partir de plusieurs critères comprenant la mesure du deuil traumatique, de l’anxiété, de la dépression et de la détresse psychologique. Cinq évaluations ont été réalisées : avant la prise en charge (T0), après six séances (T1), à la fin de la prise en charge (T2), puis à trois mois (T3) et 12 mois (T4) après la fin de la thérapie. Les principaux résultats semblent indiquer une efficacité de la prise en charge EMDR. En effet, on note une diminution de tous les indicateurs entre le début (T0) et la fin de la prise en charge (T2). En outre, lorsque cette diminution ne se poursuit pas à trois et à 12 mois, elle reste, au minimum, stable à un an. Ces premières observations sont d’autant plus encourageantes que 10 à 15% des patients endeuillés peuvent développer une dépression chronique.

The aim of this exploratory study is to test the application of therapy EMDR in case of traumatic bereavement. The traumatic bereavement, which corresponds to the brutal loss of “significant other”, answers a precise clinical picture whose principal characteristics are the intrusive thoughts concerning the late one and of the difficulties of adjustment to the loss (feeling of vacuum, difficulties of recognizing the death, irritability, lack of reactivity, etc). The eight participants all of this study are of the members of the family of the victims of the train collision, which took place on October 12, 2006 in Zoufftgen. The subjects, old on average 35.2 years (S.D. = 11.1) and including 75% women, followed between eight to 15 meetings (m = 10.75, S.D. = 2.21) answering protocol EMDR. The effectiveness of the therapy was evaluated starting from several criteria including traumatic bereavement, anxiety, depression and psychological distress. Five evaluations were carried out: before the therapy (T0), after six meetings (T1), at the end of the therapy (T2), then in three months (T3) and 12 months (T4) after the end of the therapy. The principal results seem to indicate an effectiveness of the therapy EMDR. Indeed, we observe a reduction in all the indicators between the beginning (T0) and the end of the therapy (T2). Moreover, when this reduction does not continue to three and 12 months, it remains, at least, stable at one year. These observations are very encouraging especially when it is known that 10 to 15% of the patient develops a chronic depression.

Keywords: Affective Disorder Anxiety Depression Traumatic Bereavement

Accuracy Verified: Yes

36. Negadi, F., Pelissolo, A., Jouvent, R., & Allilaire, J. F. (2007, Septembre). Application de l’EMDR en sexotraumatologie: Évolution de la comorbidité psychopathologique à 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'accès thérapeutique des patients victimes d'agression sexuelle est souvent à travers une double perspective: celle du traitement de stress post-traumatique (SSPT) et d'évitement sexuel. En légère ou modérée cas de SSPT, il ya des formes complexes où la comorbidité est plus évident et le taux d'échec thérapeutique est plus important. À l'heure actuelle des méthodes de traitement actif, basé sur l'exposition, plus particulièrement EMDR (désensibilisation des mouvements oculaires et retraitement) considérée comme une thérapie brève 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

37. Srivastava, U., & Mukhopadhyay, A. (2008, September). Application of EMDR in the treatment of major depressive disorder: A case study. Indian Journal of Clinical Psychology, 35(2), 163-172.

Language: English

Format: Journal

Abstract:
This article presents a case study applying Eye Movement Desensitization and Reprocessing in major depressive disorder. The study describes the application of Shapiro’s Adaptive Information Processing (AIP) model in the treatment of major depressive disorder and explores the use of EMDR with a 30 year old woman experiencing depressive symptoms with 3 suicidal attempts in 5 years. Due to strong negative reactions to psychiatric medicines, her treatment was discontinued several times and she was referred for psychotherapeutic intervention. After 9 EMDR treatment sessions, her depression was completely cured; her coping improved and other symptoms of anxiety and social withdrawal were completely controlled. Effects were checked and found maintained up to 6 months follow up. The clinical implications of application of EMDR have been explored.

Keywords: Adaptive Information Processing AIP Bilateral Stimulation BLS Case Study Depression EMs Eye Movements Major Depressive DIsorder Somatic Symptoms BHUJ experience.

Accuracy Verified: Yes

38. Hase, M. (2004, June). Application of eye movement desensitization and reprocessing (EMDR) on severe posttraumatic stress disorder following a single traumatic event in elderly psychiatric patients. In single trauma and grief (L. Cornil, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .

Language: English

Format: Conference

Abstract:
Single traumatic events can lead to severe posttraumatic stress disorder (PTSD) with serious effects on some and psyche as well as on social functioning. Often our focus in diagnostics is limited on obvious traumatic experiences according to the ICD-10 or DSM-IV criteria of what a traumatic event should be. But trauma can be variant or masked by somatic illness or comorbid psychiatric disorder. Beside the straightforward PTSD cases, the clinician should pay attention to comorbidity and the effect of dysfunctionally stored, incompletely processed information in a variety of patients. PTSD seems to be underdiagnosed in elderly patients. This paper, as part of the symposium on the treatment of single traumatic events using EMDR, has it foundation in clinical practice and gives evidence on the importance if diagnosing for PTSD and applying appropriate treatment especially EMDR, in the subgroup of elderly patients. Two case examples of PTSD following a single traumatic event in the course of depressive illness and the course somatic illness illustrate important principles and give evidence of the successful application of EMDR in the treatment of PTSD following a single traumatic event with elderly patients. The guidelines for good clinical practice in the treatment of PSTD following a single traumatic event regarding EMDR standard protocol and procedural rules will be outlines. In some respects EMDR treatment has to be adapted to the special demands of the elderly. Some ideas will be formulated and discussed. The aim of the presentation is to encourage the clinician in engaging in active treatment of the sequelae of single traumatic events in general and specially to apply EMDR with elderly patients, hereby stimulating research on the application of EMDR with the elderly, a hitherto often neglected subgroup of patients.

Keywords: Elderly Grief Posttraumatic Stress Disorder PTSD Single Trauma Symposium

Accuracy Verified: Yes

39. Hase, M. H. (2003, May). Application of eye movement desensitization and reprocessing on psychiatric in-patients in a psychiatric hospital setting. In EMDR with specific clinical applications. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Keywords: Eating Disorders Hospital Setting In-Patients Symposium

Accuracy Verified: Yes

40. Lansch, D. (2010, June). Application of the Four-Fields-Technique in treatment of a patient with dissociative disorder (case report). In Complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The treatment of complex traumatized patients is difficult. Especially during long term treatments it is not easy for the chronically traumatized individuals to tolerate the exhausting confrontation with the trauma during the EMDR standard procedure. On the other hand they have often problems to recognize the severity of what happened to them. Many have problems with their compromised feelings of self-worth. Those and other clinical problems are the reason to look for alternative EMDR techniques. The Four-Field-Technique. one of the techniques of EMDR. could be a good approach to solve some of these problems. It was developed by Jarero et al, as a group protocol which followed the 8 phases of the standard EMDR protocol (STDP). Different from the STDP is that the moment of greatest distress is drawn on a sheet of paper (after drawing a resource image before and installing it with (bilateral: butterfly hugs. Different from the group protocol patients some benefit greatly from the individual application of the technique. In this lecture the long term treatment of a patient with a dissociative disorder is reported. Thereby the different phases of trauma treatment will be demonstrated via spates of pictures. The four field- technique itself will be explained as well as the difference to the standard protocol of EMDR as the patient experienced.

Keywords: Case Report Dissociative Disorder Four-Fields-Technique Symposium

Accuracy Verified: Yes

41. Villa, M., & Sangiovanni, L. (2008, Novembre). Applicazione dell’EMDR ad una nuova popolazione: I pazienti posturali con dolore cronico e con deficit percettivi [Applying EMDR to a new population: Patients postural with chronic pain and perceptual deficits]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
Lo studio riguarda l’applicazione dell’EMDR ai Pazienti affetti da “Sindrome da deficit posturale” (Da Cuña). Il problema coinvolge il 10% della popolazione, di cui il 15% è sintomatico. È di difficile inquadramento, dato che i sintomi somatici che presenta coinvolgono tutti e tre i versanti delle regolazioni automatiche: dolori muscolo-scheletrici migranti, derivanti da disordini posturali; pseudovertigini, da deficit di localizzazione spaziale; disturbi cognitivi (fino alla dislessia), da alterata integrazione percettiva. Le modalità compensatorie a tali deficit possono investire la sfera psicologica (senso profondo di inadeguatezza, ansia, depressione...), sviluppare atteggiamenti strategici di evitamento (agorafobia da deficit di orientamento spaziale), spingere a interpretare reazioni fisiche come se fossero psicologiche (attacchi di panico, enuresi notturna…). Proprio il sottile intreccio tra aspetti somatici e psicologici rende complessa la diagnosi; può capitare infatti che un paziente con problemi di questa natura si rivolga a un terapista somatico (posturologo, osteopata…), che non coglie il problema. Abbiamo così messo a punto un sistema diagnostico che riconosca se l’aspetto psichico sia conseguenza di un vero disturbo somatico o se invece sostenga una serie di somatizzazioni tendenzialmente derivanti da traumi. Nell’uno o nell’altro caso, l’utilizzo dell’EMDR può essere risolutivo: evidentemente sul versante traumatico, ma pure per la desensibilizzazione delle convinzioni negative derivate dalle strategie psicologiche reattive al deficit somatico. Metodi. La valutazione diagnostica e le variazioni sintomatologiche sono state effettuate con DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, anamnesi posturologica, kinesiologia, posturodinamica, riflessi primitivi e sensoriali, valutazione osteopatica, Maddox, stabilometria basale e con challenges). Risultati. Gli interventi su misura hanno ridotto la sintomatologia, come è rappresentato dalle rilevazioni effettuate e dai feedback dei pazienti. La conoscenza integrata, sia che il primo approccio sia psicologico o posturale, consente una diagnosi accurata e dunque una strategia terapeutica sinergica efficace che permette di sbloccare terapie cronicizzate.

The study concerns the application of EMDR in patients with "postural deficiency syndrome" (Da Cuna). The problem affects 10% of the population, of which 15% are symptomatic. It is classification difficult, because the somatic symptoms presenting involving all three sides automatic adjustments: musculoskeletal pain migrants from postural disorders; pseudovertigini, spatial localization deficit, cognitive problems (up to dyslexia), from altered perceptual integration. The methods compensatory these deficits can invest the ball psychological (deep sense of inadequacy, anxiety, depression ...), develop attitudes strategic avoidance (agoraphobia deficit spatial orientation), push to interpret physical reactions as if they were psychological (panic attacks, nocturnal enuresis ...). Just the subtle interplay between somatic and psychological aspects makes it difficult to diagnose and can in fact happen that a patient with problems of this nature, please ask a somatic therapy (Posture, osteopath ...), who misses the problem. We have thus developed a diagnostic system that recognize if the appearance is the result of a true mental disorder or whether it supports somatic a series of somatization tendency resulting from trauma. In either case, use EMDR can be resolutely on the side obviously traumatic, but also for desensitization of the negative beliefs derived from psychological strategies responsive to deficit somatic. Methods. The diagnostic evaluation and symptom changes are were made with DSMIV, SWAP-200, SCL90-R, TAS 20, VAS, history Posture, kinesiology, posturodinamica, primitive reflexes and sensory evaluation osteopathic, Maddox, stabilometry baseline and challenges). Results. Tailored interventions have reduced symptomatology, as represented by the surveys conducted and feedback from patients. The integrated knowledge, whether the first approach is psychological or postural, allows a diagnosis accurate and therefore a therapeutic strategy that allows you to unlock synergistic effective therapies chronic.

Keywords: Chronic Pain Perceptual Deficits

Accuracy Verified: Yes

42. Piffaut, A. M. (2007, Juin). Apport de l'EMDR dans le traitement de l'hyperacousie, des vertiges et des acouphenes, ORL psychosomatique [EMDR in the treatment of hypercousy, vertigo, and acouphens. Psychosomatic ORL]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.

Language: French

Format: Conference

Abstract:
Je voudrais partager avec vous mon bonheur de pratiquer l'EMDR et de la communication des résultats dans ma spécialité (ORL Ear Nose Throat) associée à une compétence dans phoniatrique. Je n'ai jamais réussi à guérir des patients présentant une hyperacousie douloureuse à l'aide de l'analyse transactionnelle et de la thérapie comportementale et cognitive. Ces personnes ont tendance à s'isoler, cesser de travailler, devenir ou sont socialement phobique. J'ai reçu des patients dans l'incapacité de travail. Ils sont obligés de porter un casque pour se protéger des bruits extérieurs. Leur situation est aggravée par l'acouphène, car si elles s'isoler pour se protéger contre le bruit qu'ils perçoivent encore plus leurs acouphènes.
Depuis que j'utilise l'EMDR, ces personnes ne guérir. L'autre jour, une personne qui avait souffert de l'hyperacousie pendant douze ans et même dû arrêter de travailler à cause d'elle, m'a fait écrire un document dans lequel je l'ai noté sous sa dictée qu'elle se trouva guérie. Ce certificat a été destiné à son médecin de l'entreprise afin d'éviter l'incapacité, un processus qui était en cours. Depuis, elle a pu circuler dans un train dans la zone entre deux voitures (pas loin de 100 dB) et n'a pas souffert. Un enfant, même crié à côté d'elle et elle n'a pas non plus se sentir quelque chose de désagréable. Elle est étonnée et je le suis aussi
L'objectif était de supporter le bruit intense d'une formation en passant sur un pont alors qu'elle était sous le pont. Il a été la pire situation pour elle parce que la plus intense en termes de décibels. Elle étudie plusieurs canaux dans sa mémoire jusqu'à ce qu'elle se souvenait d'un avortement horrible. Les bruits, les mots de l'équipe médicale, tous les souvenirs audience ont été poignées. C'est seulement avec l'EMDR que j'ai réussi à traiter les hyperacousie jusqu'à disparition. J'ai reçu cette personne 7 fois ¾ d'heure. Avant l'EMDR, j'ai parfois reçu jusqu'à deux ans, ces patients à la vitesse d'une session tous les deux pue et il a eu, au mieux, une amélioration de leur confort. Le bonheur de ce dernier patient était telle que j'ai eu à le partager. Depuis, elle va sur les forums de discussion pour encourager les personnes qui souffrent de ce trouble.

I would like to share with you my happiness to practice EMDR and to notice it results in my specialty ENT (Ear Nose Throat) associated to a competence in Phoniatric. I never managed to cure patients presenting a painful hyperacusis by using the transactional analysis and the behavioral and cognitive therapy. These persons tend to isolate themselves, stop working, become or are socially phobic. I received some patients in incapacity to work. They are obliged to wear a helmet to protect themselves from outside noises. Their situation is aggravated by tinnitus because if they isolate themselves to protect themselves from the noise they perceive even more their tinnitus.
Since I use EMDR, these persons do cure. The other day, one person that had been suffering of hyperacusis for twelve years and even had to stop working because of it, made me write a document where I noted under her dictation that she found herself cured. This certificate was intended for her company doctor to avoid the incapacity, a process that was in progress. Since then, she was able to circulate in a train in the zone between two cars (not far from 100 DB) and did not suffer. A child even screamed next to her and she also didn’t feel anything unpleasant. She is astonished and so am I.
The target was to bear the intense noise of a training passing on a bridge while she was under the bridge. It was the worst situation for her because the most intense in terms of decibels. She investigates several canals in her memory until she remembered a horrible abortion. The noises, the words of the medical team, all the hearing recollections were handles. It is only with EMDR that I managed to treat the hyperacusis until it disappearance. I received this person 7 times ¾ of an hour. Before the EMDR, I sometimes received up to two years these patients at the rate of a session every two reeks and it led to at best an improvement of their comfort. The happiness of this last patient was such that I had to share it. Ever since, she goes on forums of discussion to encourage the persons who suffer from this disorder.

Keywords: Hyperacusis Vertigo

Accuracy Verified: Yes

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

Language: French

Format: Conference

Abstract:
Les techniques d’hypnose éricksonienne sont des outils très 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 accès à 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 à la réalité.
Le travail des auteurs est a situé dans le cadre de la psychothérapie brève 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 dernières années.
Dans cet atelier l’accent sera plus particulièrement 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 à 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

44. 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

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

Language: French

Format: Conference

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

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

Keywords: EMDR Immersion

Accuracy Verified: Yes

46. Weiner, M., & Mullaney, D. (2006). Are 'the basics' more important than innovation?. Addiction Professional, 4(2), 1-58.

Language: English

Format: Journal

Abstract:
Behavioral Health of the Palm Beaches (BHOPB) is a residential alcoholism and drug abuse treatment facility in Lake Worth, Florida. The desire to provide the best possible treatment for our patients has led us to seek innovative treatment interventions. Examples include Eye Movement Desensitization and Reprocessing (EMDR) for patients with symptoms of trauma and acupuncture for patients with chronic pain. Tailored interventions are also available for addicts with co-occurring chronic anxiety, unresolved anger, or grief issues. The desire to discover how well our patients have done led us to track a random sample of 90 patients for one year. Data were collected between August 2002 and December 2004. We were eager to determine an overall success rate, as well as the impact of our innovative interventions. Patients were contacted by telephone three months, six months, nine months, and one year from their date of discharge. We learned that 53% of the sample completed one year of continuous recovery. We believe these results understate patients' overall success. The essentials for treatment are discussed.

Keywords: Alcoholism Drug Abuse Drug Rehabilitation Health Care Services Residential Care Institutions

Accuracy Verified: Yes

47. Greenfield, R. (2010, October). The assessment and psychotherapy of a dissociateve adult man with complex PTSD. Presentation at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This paper presents the assessment and four year psychotherapy of a Hispanic man with Complex PTSD and Dissociative Disorder NOS. The patient’s history of childhood sexual abuse caused significant disruptions in normative developmental processes causing what van der Kolk (2005) posits as a Developmental Trauma Disorder. Based on Shapiro’s (2001) adaptive information processing paradigm, the patient’s memories of extensive childhood sexual victimization became blocked from resolution from adaptive memory networks, becoming embedded in the emotional brain and activated by the 9/11 tragedy. This stimulated an array of PTSD and Dissociative symptomatology. In treatment he verbalized and chronicled his experiences of 9/11 and memories of severe childhood sexual abuse, establishing a narrative of victimization, helplessness, and confusion about his sexual orientation (Gardner, 1999). Furthermore, there were episodes of dissociation revealing the possibility of alters. Attempts to access adaptive networks using EMDR protocols were thwarted by intractable defenses. The patient’s desire to return to work was offset by his entitlement to Social Security Disability that was initially denied. Working through my concordant countertransference (Racker, 1968), I ultimately accepted his wish for SSD, which he obtained on appeal based upon my symptom-specific evaluation. The patient transferred to a clinic that accepted SSD.
Participants will be able to : ♦♦ identify the developmental derailing effects of childhood sexual abuse on normative developmental processes. ♦♦ assess how childhood trauma(s) that are repressed or dissociated are invoked by trauma(s) in adulthood through associative memory networks causing Complex PTSD. ♦♦ apply methods of working with patients dissociative defenses in psychotherapy.

Keywords: Case Study Developmental Trauma Disorder

Accuracy Verified: Yes

48. van der Kolk, B. A. (1999, November). Assessment and treatment of complex PTSD. Specialty training course presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
While most research on PTSD has studied subjects exposed to single trauma, in clinical practice the vast majority of treatment seeking patients have histories of multiple traumas, usually interpersonal, abuse. This gives rise to complex clinical pictures, of which PTSD is just one dimension. The Trauma Center in Boston is a large, multidisciplinary, developmentally focused Clinic which specializes in the treatment of traumatized children and adults. Our clinic uses a developmentally based assessment tool which helps in the staging of appropriate treatment interventions. Special emphasis is placed on providing patients with skills to deal with complex trauma-based symptoms, such as dissociation, by teaching stablization with DBT techniques, psychoeducational groups, resource installation, SIT, and body-oriented methods, in which patients are taught skills to increase their internal locus of control. We will review the rationale for various psychopharmacological interventions and the role of groups to enhance the capacity for mutual relationships. All treatment occurs on the foundation of continuity of care with one individual therapist who follows the patient’s progress,explores life issues, helps deal with re-enactment behaviors, and does trauma-specific treatment, such as EMDR or CBT for alleviation of trauma-specific symptoms. This conference will explore these issues in depth and discuss in detail the staging and applications of various treatment techniques in clinical practice.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PSTD

Accuracy Verified: Yes

49. Sack, M., Lempa, W., & Lamprecht, W. (2007). Assessment of psychophysiological stress reactions during a traumatic reminder in patients treated with EMDR. Journal of EMDR Practice and Research, 1(1), 15-23. doi:10.1891/1933-3196.1.1.15.

Language: English

Format: Journal

Abstract:
This study investigates changes of stress-related psychophysiological reactions after treatment with EMDR. 16 patients with PTSD following type I trauma underwent psychometric and psychophysiological assessment during exposure to script-driven imagery before and after EMDR and at 6-month follow-up. Psychophysiological assessment included heart rate (HR) and heart rate variability (HRV) during a neutral task and during trauma script listening. PTSD symptoms as assessed by questionnaire decreased significantly after treatment and during follow-up in comparison to pretreatment. After EMDR, stress-related HR reactions during trauma script were significantly reduced, while HRV indicating parasympathetic tone increased both during neutral script and during trauma script. These results were maintained during the follow-up assessment. Successful EMDR treatment may be associated with reduced psychophysiological stress reactions and heightened parasympathetic tone. [Author Abstract]

Keywords: Adults Germans Manual-Based Treatments Posttraumatic Stress Disorder Psychophysiology PTSD Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

50. Cavazos, M. A. (2012, June). Atracción al mismo sexo no deseada como sintomatología de memorias traumáticas: presentación de tres casos tratados con EMDR [Not desire same sex attraction as traumatic memories symptomatology: Three cases treated with the EMDR approach]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract:
The cases presented show three patients that searched for clinical help, since they lived their sexual attraction as something dysfunctional and ego dystonic. The therapist clinically conceptualized this symptomatology as a probable result of traumatic memories, conceptualization which was finally adequate. This presentation will show three not desired sexual attraction cases treated with the EMDR approach. Cases follow-up - two months to one year and a half after treatment completion- is presented in a testimonial video from each client. Treatment phases 1,3,5,7 and 8 will clearly show similarities in the three client’s symptoms as well as the process evolution through traumatic memories reprocessing.

Los casos que se presentan se refieren a tres pacientes que llegaron a consulta debido a que vivían su atracción sexual como algo disfuncional y ego-‐ distónico, de ahí que la terapeuta conceptualizó clínicamente que esa sintomatología se podría deber a memorias traumáticas, conceptualización que resultó ser acertada. Estos pacientes fueron tratados con el abordaje psicoterapéutico EMDR, con un seguimiento -‐que va desde los 2 meses al año y medio de haber terminado su proceso psicoterapéutico. Se presentará un video testimonial de cada uno de los pacientes y se hablará sobre las fases 1, 3,5,7, y 8 del tratamiento, en donde se podrán observar con claridad la similitud y coincidencia en la sintomatología de los tres pacientes, así como la evolución del proceso a través del reprocesamiento de las memorias traumáticas con EMDR.

Keywords: Same Sex Attraction

Accuracy Verified: Yes

51. Dworkin, M. (2009, August). Attachment, attunement, and resonance in EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Attachment, attunement, and resonance in the eight phases of EMDR enhance therapeutic outcomes. Patients with disorganized attachment processes may have complications that may make EMDR treatment more difficult. This workshop is designed to teach attunement, resonance, and therapeutic relatedness strategies in the work with patients with complicated attachment histories. Problems and solutions for misattunements during the eight phases will be the main focus of this workshop. Interpersonal neurobiological concepts will be taught to enhance the participant’s effectiveness. The Clinician Self Awareness Questionnaire will be demonstrated as a tool to deal with correct therapist misattunement.

Keywords: Attachment

Accuracy Verified: Yes

52. 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, 9(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

53. 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

54. Saint Paul, N. V. (2002, May). Aus der fülle ... Ressourcen- und Korperorientierung in der traumatherapeutischen arbeit [Out of the abundance ... Resource and body orientation in trauma therapy]. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.

Language: German

Format: Conference

Abstract:
This paper describes how trauma therapy including body awareness can reduce the impact of the traumatic memory and can efficiently prevent retraumatization. The goal is to achieve the ability to self-regulate activation of the autonomic nervous system and hence, to attain access to states in which patients can maximize their resources. This procedure is based on neurobiological findings and exemplified with case studies. The approach complements other trauma therapeutic interventions, regardless of the theoretical orientation, and can be combined with techniques like, for instance, EMDR.

Keywords: Neurobiology Psychotherapy Psycho Trauma Resource Orientation Selective Mutism

Accuracy Verified: Yes

55. Saint Paul, N. V. (2008). Aus der fülle ... Ressourcen- und körperorientierung in der traumatherapeutischen arbeit [Out of the abundance ... Resource and body orientation in trauma therapy]. Interdisziplinär, 16(3), 166-175 .

Language: German

Format: Magazine

Abstract:
In diesem Beitrag wird beschrieben, wie Traumatherapie unter Einbeziehung der Körperwahrnehmung schonend gestaltet und so einer Retraumatisierungsgefahr wirksam begegnet wird. Ziel ist das Erlangen der Fähigkeit, den Aktivierungszustand des autonomen Nervensystems zu regulieren und auf diese Weise Zugang zu ressourcenvollen Ich-Zuständen zu erlangen. Das Vorgehen wird durch neurobiologische Erkenntnisse begründet und anhand von Fallbeispielen veranschaulicht. Der Ansatz wird als Ergänzung zu anderen traumatherapeutischen Verfahren, gleich welcher Schule, verstanden und lässt sich gut mit speziellen Methoden, wie beispielsweise EMDR, verbinden.

Summary: This paper describes how trauma therapy including bodyawareness can reduce the impact of the traumatic memory and can efficiently prevent retraumatization. The goal is to achive the ability to self-regulate activation of the atuonomic nervous system and hence, to attain access in states in which patients can maximize their resources. This proceedure is based on neurobiological findings and exemplified with case studies. The approach compliments other trauma therapeutic interventions, regardless of the theoretical orentation, and can be combined with techniques like, for instance, EMDR.

Keywords: Neurobiology Psychotherapy Psycho Trauma Resource Orientation Selective Mutism

Accuracy Verified: Yes

56. Kirsch, A., & Seidler, G. H. (2004). Ausdruck und erleben von emotionen bei der posttraumatischen belastungsstörung: Erste ergebnisse einer studie mit gewaltopfern [Expression and experience of emotion in patients with posttraumatic stress disorder: First result of a study with victims]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, ZPPM 2(1), 45-60.

Language: German

Format: Journal

Abstract:
Emotionale Betäubung (EN) in PTSD ist ein Cluster von schwächenden Symptomen mit Problemen in der Erfahrung und dem Ausdruck von Emotionen. EN ist in drei separate diagnostischen Kriterien dargestellt: deutlich vermindertes Interesse an wichtigen Aktivitäten, Gefühle der Ablösung oder Entfremdung von anderen, und eingeschränkte Bandbreite des Affekts. Die funktionale Beziehung zwischen anderen Klassen von PTSD Symptome und EN ist nicht gut verstanden. In diesem Artikel werden verschiedene Studien diskutiert werden. Es wird davon ausgegangen, dass Patienten mit psychischen Erkrankungen eine spezifische Wechselwirkung Muster implementieren, die in der Gesichts-affektiven Ausdruck und äußerte sich vor allem in Gesichts-affektiven Mikro-Verhalten. Das Ziel der vorliegenden Pilot-Studie war die Analyse von Gesichts-affektive Verhalten von Patienten mit PTSD im Vergleich zu gesunden Personen. Erste Ergebnisse der ersten EMDR-Sitzungen auf Video aufgezeichnet von Patienten und psychodynamischen Interviews von gesunden Personen (keine psychische / psychiatrische Störungen nach ICD-10) wurden mit dem codierten Emotional Facial Coding System Acting, ein Instrument zur Erfassung von mimischen mit emotionaler Bedeutung. Danach wurden diese Analysen mit Blickverhalten verbunden. PTSD Patienten zeigten eine Verringerung der gesamten Mimik und eine verminderte Häufigkeit von Gesichts wirkt im Vergleich zu gesunden Personen. Unter dem Blickverhalten in Betracht, wurde es offensichtlich, dass PTSD Patienten zeigten Anteil sank gegenseitigen Blick im Vergleich zu gesunden Personen. Außerdem war der Gesichtsausdruck affektiven Ausdruck von vier Patienten (Eltern, die durch den gewaltsamen Tod ihrer Kinder beraubt) erste und letzte EMDR-Sitzung verglichen. Eine leichte Erhöhung des Gesichts affektiven Ausdruck gefunden wurde. [Autor Summary)

Emotional numbing (EN) in PTSD is a cluster of debilitating symptoms involving problems in the experience and expression of emotion. EN is represented in three separate diagnostic criteria: markedly diminished interest in significant activities, feelings of detachment or estrangement from others, and restricted range of affect. The functional relationship between other classes of PTSD symptoms and EN is not well understood. In this article different studies will be discussed. It is assumed that patients with mental diseases implement a specific interaction pattern, that is expressed in the facial affective expression and particularly in facial-affective micro-behaviours. The aim of the presented pilot-study was the analysis of facial-affective behaviour of patients with PTSD in comparison to healthy persons. First results of videotaped first EMDR sessions of patients and psychodynamic interviews of healthy persons (absence of mental/psychiatric disorder according to ICD-10) were coded using the Emotional Facial Acting Coding System, an instrument for the registration of facial movements with emotional relevance. Afterwards these analyses were connected with gazing behaviour. PTSD patients showed a reduction of overall facial expressions and a reduced frequency of facial affects in comparison to healthy persons. Taking the gazing behaviour into consideration, it became obvious that PTSD patients showed decreased portion of mutual gaze compared to healthy persons. Furthermore, the facial affective expression of four patients' (parents bereaved by the violent deaths of their children) first and last EMDR session was compared. A slight increasing of facial affective expression was found. [Author Summary]

Keywords: Crime Emotional Numbing Interpersonal Interaction Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors

Accuracy Verified: Yes

57. 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

58. Chillot, R., & Smith, S. (1994, December). Banish nightmarish memories with the wave of a hand. Prevention, 46(12), 73-75.

Language: English

Format: Magazine

Abstract:
Discusses the alternative psychological therapy, Eye Movement Desensitization and Reprocessing (EMDR). Its use for people suffering from post-traumatic stress-disorder; Francine Shapiro, Ph.D., developer of EMDR; Why patients watch a waving hand while focusing on the troubling memory; Research in EMDR's favor that was presented at the American Psychological Association convention in August 1994.

Keywords: General Overview

Accuracy Verified: Yes

59. Gadd, J. (1998, March 14). Banishing bad memories with flashing lights. Toronto, Ontario: The Globe and Mail, Science, D5.

Language: English

Format: Newspaper

Abstract:
Its supporters believe a controversial technique can cure patients when years of traditional psychotherapy have not.

Keywords: General Overview Toronto

Accuracy Verified: Yes

60. Sachsse, U., & Tumani, V. (1999, November). Be borderline! A successful inpatients’ treatment program for (type II) traumatized female patients with PTSD/DES/BPD and the symptom of self-mutilation. Presentation at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
Using therapeutic experiences from the USA (Herman, Putnam, Ross) and the Netherlands (Olthuis, van der Hart) Luise Reddemann (Bielefeld) and Ulrich Sachsse(Goettingen) developed an inpatients’ program for female and some male patients with symptoms, that result from type II traumata, fulfill the phenomenological criteria of BPD and are understood as chron. PTSD/DES. The program utilizes the coping strategies of the patients for stabilisation: splitting (building up an only good world of safety, support and shelter against the only bad, demonized world of trauma); derealisation, dissociation(imagery); depersonalisation (Qi Gong, Feldenkrais). We tell and teach our patients: Be Borderlines- but inside, not in your outer social life or your therapeutic relationship! Trauma-synthesis is done after stabilisation by trauma-exposition every two weeks (EMDR, screen-technique). The patients stay for 3-5 month, sometimes twice, with very good results.

Keywords: BPD Borderline Personality Disorder DES Females Inpatient Treatment Posttraumatic Stress Disorder PSTD Self-Mutiliation

Accuracy Verified: Yes

61. Hutchinson, J. (1998, August 28). Beating an incey wincey problem: Anachnophobia. Melbourne, Australia: The Age, Living, 13.

Language: English

Format: Newspaper

Abstract:
When I raised my eyebrows in disbelief Dr Wolowski conceded he, too, had been extremely sceptical at first. But after six years of treating hundreds of patients with the technique, he is now one of its strongest advocates. While EMDR is still regarded with some scepticism by the Australian medical and scientific community, he says 20,000 clinicians world-wide have been trained in it.

Keywords: Arachnophobia General Overview

Accuracy Verified: Yes

62. Veenstra, S., & de Roos, C. (2005, November). Behandeling van chronische pijn met EMDR [Treating chronic pain with EMDR]. Presentatie aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
In deze lezing staat de toepassing van EMDR bij de behandeling van chronische pijn centraal. Na een introductie over ‘pijn in het brein’ wordt aandacht besteed aan indicatiestelling: waarom en wanneer is EMDR geïndiceerd als behandeling voor chronische pijnpatiënten. Verder worden de resultaten van een pilot-studie (drs. C. de Roos, Rivierduinen, Leiden; drs. A.C. Veenstra, St. Elisabeth Ziekenhuis, Tilburg; dr. Y.R. van Rood, Leids Universitair Medisch Centrum, Leiden) gepresenteerd. Deze studie werd uitgevoerd om het effect van Eye Movement Desensitisation and Reprocessing op chronische fantoompijn -na amputatie van een been- te onderzoeken. Tien patiënten werden behandeld tussen oktober 2003 en november 2004. Alle tien patiënten reageerden niet op eerdere pijnbehandelingen. Metingen vonden plaats voor en na de behandeling en bij een follow-up na 3 maanden. Het derde deel van deze lezing is toegespitst op de toepassing van het EMDR pijnprotocol. Casuïstiek van patiënten met fantoompijn of post-whiplash klachten wordt geïllustreerd met videofragmenten.

In this lecture, the application of EMDR in the treatment of chronic pain center. After an introduction on "pain in the brain" focuses on needs assessment: why and when EMDR is indicated as a treatment for chronic pain patients. Furthermore, the results of a pilot study (Drs C. Roos, Rivierduinen, Leiden, Dr AC Veenstra, St. Elisabeth Hospital, Tilburg, Dr YR van Rood, Leiden University Medical Center, Leiden) presented. This study was conducted to evaluate the effect of Eye Movement Desensitisation and Reprocessing of chronic phantom pain after amputation of a leg to investigate. Ten patients were treated between October 2003 and November 2004. All ten patients did not respond to previous pain treatments. Measurements were performed before and after treatment and a follow-up after 3 months. The third part of this lecture focuses on the application of the EMDR protocol pain. Case histories of patients with phantom pain or post-whiplash symptoms is illustrated with video clips. Contribute a better translation Thank you for contributing your translation suggestion to Google Translate. Contribute a better translation: In this lecture, the application of EMDR in the treatment of chronic pain center. After an introduction on "pain in the brain" focuses on needs assessment: why and when EMDR is indicated as a treatment for chronic pain patients. Furthermore, the results of a pilot study (Drs C. Roos, Rivierduinen, Leiden, Dr AC Veenstra, St. Elisabeth Hospital, Tilburg, Dr YR van Rood, Leiden University Medical Center, Leiden) presented. This study was conducted to investigate and evaluate the effect of Eye Movement Desensitisation and Reprocessing of chronic phantom pain after amputation of a leg. Ten patients were treated between October 2003 and November 2004. All ten patients did not respond to previous pain treatments. Measurements were performed before and after treatment and a follow-up after 3 months.The third part of this lecture focuses on the application of the EMDR protocol pain. Case histories of patients with phantom pain or post-whiplash symptoms is illustrated with video clips.

Keywords: Chronic Pain

Accuracy Verified: Yes

63. Veenstra, A. C., & de Roos, C. J. A. M. (2007). Behandeling van chronische pijn met EMDR, Patiëteninformatie [Treatment of chronic pain with EMDR]. Author..

Language: Dutch

Format: Other

Abstract: EMDR heeft zich bewezen als een effectieve behandelvorm voor patiënten met een posttraumatische stressstoornis. Min of meer bij toeval werd ontdekt dat sommige patiënten die ook last hadden van chronische pijn, minder pijn hadden na EMDR. Daarom gaan steeds meer EMDR therapeuten ook pijnpatiënten behandelen. Het gebruik van EMDR bij chronische pijn bevindt zich echter in een experimenteel stadium en er zijn nog weinig wetenschappelijke publicaties. Deze folder is vooral gebaseerd op praktijkervaringen en op wetenschappelijke inzichten over pijn, de hersenen en EMDR.

EMDR has proven to be an effective form of treatment for patients with posttraumatic stress disorder. More or less by chance it was discovered that some patients who also suffer from chronic pain, had less pain after EMDR. Why more and more EMDR therapists also treat pain patients. The use of EMDR in chronic pain is however, in an experimental stage and there are few scientific publications. This leaflet is mainly based on practical experience and scientific knowledge about pain, the brains and EMDR.

Keywords: Chronic Pain

Accuracy Verified: Yes

64. Zengin, F. (2006). Behandlung von hörsturz und tinnitus mit EMDR-therapie [Treatment of acute hearing loss and tinnitus with EMDR therapy]. EMDRIA Deutschland e.V. Rundbrief, 7, 45-53.

Language: German

Format: Newsletter

Abstract:
Es wurden 17 an Tinnitus leidende PatientInnen mit EMDR behandelt. Behandlung und Nachuntersuchung fanden in der Zeit von Juni 2002 bis Juni 2005 in meiner psychiatrischen und psychotherapeutischen Praxis in Solingen statt. Mit Ausnahme von zwei Patienten kamen alle Behandelten persönlich zur Kontrolluntersuchung im Folgejahr der Behandlung (88,2 %). 82,4 % aller Patienten (14) waren nach der 5-stündigen EMDR-Behandlung beschwerdefrei, 3 beklagten weiterhin (eher geringe) Beschwerden, die durch 2 weitere EMDR-Therapie- Sitzungen zum Abklingen gebracht werden konnten Ein Patient hatte nach Therapieabschluss einen Verkehrsunfall, der eine PTBS auslöste. Er wurde mit traumazentrierter Psychotherapie behandelt, die auch die Tinnitus-Symptome zum Abklingen brachte.

It treated 17 patients suffering from tinnitus with EMDR. Treatment and Follow-up found in the period from June 2002 to June 2005 in my psychiatric and psychotherapeutic practice, held in Solingen. With the exception of two patients were all patients personally for a check in the following year of treatment (88.2%). 82.4% of all patients (14) were symptom-free after 5 hours of EMDR treatment, 3 defendant continued (rather small) complaints by two other EMDR Therapy Sessions could be brought to subside after a patient had completed therapy a traffic accident that caused PTSD. He was with trauma-centered psychotherapy treated, which also brought the tinnitus symptoms to subside.

Keywords: Hearing Loss Tinnitus

Accuracy Verified: Yes

65. Zengin, F. (2009). Behandlung von hörsturz und tinnitus mit EMDR-therapie [Treatment of hearing loss and tinnitus with EMDR therapy]. In R. Plassmann, (Hg.) Im eigenen rhythmus, die EMDR-behandlung von essstörungen, bindungsstörungen, allergien, schmerz, angststörungen, tinnitus und süchten, (pp. 155-164), Giessen, Psychosozial-Verlag.

Language: German

Format: Book Section

Abstract:
Es wurden 17 an Tinnitus leidende Patienten mit der EMDR- Therapie behandelt. Behandlung und die Kontrolluntersuchungen fanden in der Zeit von Juni 2002 bis Juni 2005 in meiner psychiatrischen und psychotherapeutischen Praxis in Solingen statt. Mit Ausnahme von zwei Patienten kamen alle Behandelten persönlich zur Kontrolluntersuchung im Folgejahr der Behandlung( 88,2 %). 82,4 % waren 14 Patienten nach der 5-stündigen EMDR-Behandlung beschwerdefrei, 3 beklagten weiterhin (eher geringe) Beschwerden, die durch 2 weitere EMDR-Therapie- Sitzungen zum Abklingen gebracht konnten. Ein Patient hatte nach Therapieabschluss einen Verkehrsunfall, der eine PTBS auslöste. Er wurde mit traumazentrierter Psychotherapie behandelt, die auch die Tinnitus-Symptome zum Abklingen brachte.

It treated 17 patients suffering from tinnitus with the EMDR therapy. Treatment and control tests were held in the period from June 2002 to June 2005 in my psychiatric and psychotherapeutic practice in Solingen. With the exception of two patients, all patients were personally check-in the following year of treatment (88.2%). 82.4% were 14 patients after 5-hour EMDR treatment of symptoms, three defendants remain (rather small) complaints which could by 2 other EMDR therapy sessions brought to subside. One patient had completed therapy after an accident which triggered a PTSD. He was treated with traumazentrierter psychotherapy, which also brought the tinnitus symptoms to subside.

Keywords: Hearing Loss Tinnitus

Accuracy Verified: Yes

66. Hurley, E. C. (2012, February 28). Being a veteran can be hazardous to your health. Huffington Post. Retrieved from http://www.huffingtonpost.com/e-c-hurley-phd/ptsd-veterans_b_1299884.html on 2/28/2012.

Language: English

Format: Other

Abstract:
What are effective treatments for chronic pain? Due to the multi-dimensional aspects of pain, a number of treatment approaches have been used. They take into account the cognitive, affective, behavioral, social, and physical aspects of pain. Cognitive-behavioral therapy (CBT), hypnosis, acupuncture, and biofeedback training have all been used. While EMDR therapy was originally utilized in the treatment of PTSD the neurobiological similarities with PTSD patients and chronic pain disorders has led therapists to use EMDR in the treatment of a broad range of disorders including chronic pain, anger, anxiety, and depression (Silver, Rogers, & Russell, 2008). Studies have found EMDR effective in the treatment of chronic pain (Mazzola, Calcagno, Goicochea, Pueyrredon, Leston, & Salvat, 2009; Shapiro, 2012) [Excerpt]

Keywords: Blog Military Posttraumatic Stress Disorder PTSD Stress Veterans War

Accuracy Verified: Yes

67. ter Heide, F. J. J. (2008). Berichten uit het veld: Stabiliseren of verwerken? [Reports from the field: Stabilize or process?]. Cogiscope, 4(3), 39.

Language: Dutch

Format: Newsletter

Abstract:
Onder behandelaars van getraumatiseerde asielzoekers en vluchtelingen wordt soms hevig gediscussieerd over de vraag met welke interventies deze patiënten het beste geholpen zijn. Bijvoorbeeld: een vluchtelinge, slachtoffer van oorlogsgeweld, durft niet te slapen uit angst voor nachtmerries en heeft geen dagstructuur. Helpen we haar eerst om haar dagstructuur te verbeteren, zodat ze een traumagerichte therapie daarna beter aankan? Of behandelen we eerst haar traumatische herinneringen met EMDR of cognitieve gedragstherapie, zodat ze weer kan slapen en zelf haar dagen kan structureren? Of misschien moeten we deze benaderingen combineren in een dagklinische behandeling? Kortom, wat is de beste inhoud en timing van onze interventies? [Excerpt]

Among practitioners of traumatized asylum seekers and refugees is sometimes fierce discussed the question with which interventions these patients are best helped. For example, a refugee, victim of war, afraid to sleep for fear for nightmares and has no daily structure. We help her to her first day structure improve, so they trauma-focused therapy after better handle? or treating we first her traumatic memories EMDR or cognitive behavioral therapy, so they weather can sleep and can structure itself? her days Or maybe we need these approaches combine in a partial hospitalization treatment? In short, what is the best content and timing of our interventions? [Excerpt]

Keywords: Reprocessing Stabilization

Accuracy Verified: Yes

68. 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

69. 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

70. van der Kolk, B. A. (2002). Beyond the talking cure: Somatic experience and subcortical imprints in the treatment of trauma. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 57-83). Washington, DC: American Psychological Association.

Language: English

Format: Book Section

Abstract:
Subcortical nature of traumatic memories (Freud and trauma; the processing of experience); Trauma and physical sensations (the neurobiology of trauma; the tyranny of language); Clinical dilemmas for therapists of patients who have been traumatized (the therapeutic challenge; top-down versus bottom-up emotional processing); Learning about EMDR; Further experiences with EMDR; Integrative capacity of EMDR: transcript of one session; EMDR and the transformation of experience; What does EMDR do? [Pilots]

Keywords: Adults Cognitive Processes Posttraumatic Stress Disorder Psychotherapeutic Processes Stressors Survivors

Accuracy Verified: Yes

71. Leuenberger, R. (2007, November). Beziehungen zwischen dem modell der ersten personal-existentiellen grundmotivation in der existenzanalyse und der EMDR-methode [Relationships between the model of the first personal-existential basic motivation in the existence and analysis of the EMDR method]. Alfried Längle, Internationale Gesellschaft für Logotherapie und Existenzanalyse, Wien, Austria.

Language: German

Format: Dissertation/Thesis

Abstract:
In dieser Arbeit soll gezeigt werden, dass aufgrund der während vier Jahren in einer ärztlichen Grundversorgerpraxis mit der EMDR (Eye Movement Desensitization and Reprozessing)- Methode gesammelten Erfahrungen zur Behandlung psychisch traumatisierter Patienten mit einem PTBS (posttraumatische Belastungsstörung)) über die gängigen, zum Teil hypothetischen neurobiologischen Erklärungsversuche hinaus, die Existenzanalyse sehr viel zum psychologischen wie auch philosophischen Verständnis dieser Methode beitragen kann. Aus den verbalen Äusserungen der Patienten vor, während und nach der Behandlung kann geschlossen werden, dass von den betroffenen Defiziten der vier Grundmotivationen der Existenzanalyse die der ersten Grundmotivation am meisten Bedeutung haben. Anhand von 23 Krankengeschichten werden die Wirkfaktoren der EMDR-Methode mit den Begriffen der ersten Grundmotivation existenzanalytisch verstehbar.

In this work we will show that during the due four years in a primary care medical practice with EMDR (Eye Movement Desensitization and Reprozessing) - Method for treating mental experience traumatized patients with PTSD (post traumatic Stress disorder)) on the common, partly hypothetical neurobiological explanations addition, the Existential analysis very much a psychological as well as philosophical May contribute to understanding this method. from the verbal expressions of patients before, during and after treatment may be concluded that by affected the deficits of the four basic motivations of Analysis, the existence of the first basic motivation most Meaning. Be the basis of 23 case histories the impact factors of EMDR with the terms the first basic existential analytical understandable motivation.

Keywords: Basic Motivation Existenital Analysis Method

Accuracy Verified: Yes

72. Christman, S., & Garvey, K. (2001, June). Bilateral eye movements reduce cortical activation asymmetries. Presentation at the 2001 EMDR International Association Conference, Austin, TX.

Language: English

Format: Conference

Abstract:
Alternating left-right eye movements (EMs) have been shown to enhance episodic memory recall (Christman & Garvey, 2000). In turn, enhanced recall of episodic, or autobiographical, memories has been linked to increased interhemispheric interaction (Christman & Propper, 2001; Propper & Christman, 1997). Since leftward versus rightward EMs induce right versus hemisphere activation, respectively (Bakan & Svorad, 1969), bilateral EMs may facilitate interhemispheric interaction by balancing hemispheric activation levels. In other words, asymmetries in cortical activation may impair interhemispheric communication. Christman and Garvey (2000), however, demonstrated only that bilateral EMs enhance episodic memory performance; they did not directly measure hemispheric activation. To test this hypothesis directly, participants were administered two behavioral tests that are sensitive to variations in hemispheric activation. The Chimeric Faces Test (Levy, Heller, Banich, & Burton, 1983) involves mirror-image pairs of faces, with one smiling hemiface and one neutral hemiface, presented under conditions of free viewing. Participants are asked to judge which member of a pair looks happier. Right versus left hemiface biases are associated with relative increases in left versus right hemispheric activation. Line bisection tasks also tap into hemispheric activation, with leftward versus rightward bisection errors reflecting increased right versus left hemisphere activation. Bisection tasks, however, are also influenced by premotor asymmetries (e.g., Luh, 1995), and thus represent a less pure measure of hemispheric activation.
METHODS Participants performed blocks of chimeric face and line bisection trials. They then engaged in 30 seconds of alternating left-right saccades (2 eye movements per second). Participants then performed a second block of trials for both tasks.
RESULTS Results showed that behavioral asymmetries in the chimeric face task were significantly reduced after the EMs (p<.029). This supports the hypothesis that bilateral EMs reduce hemispheric activation asymmetries. Performance on line bisection task, however, was unaffected by EMs (F<1), perhaps reflecting the fact that this task is a less direct measure of hemispheric activation.
DISCUSSION These results provide further insight into mechanisms underlying EMDR therapy used for PTSD patients. Reduction in hemispheric activation asymmetry arising from bilateral EMs employed in the current study (and in EMDR) may enhance interhemispheric communication. This interpretation is consistent with Ramachandran (1995), who showed that vestibular stimulation (inducing optokinetic nystagmus and resulting in involuntary left-right EMs) reduces the denial of deficit found in anosagnosia patients. Ramachandran (1995) suggested that the procedure benefits the hypoaroused right hemisphere, bringing its activation level up to par with the left hemisphere. Similarly, EMs used in EMDR may balance hemispheric activation levels, in turn enhancing interhemispheric communication and retrieval of episodic memories.

Keywords: Bilateral Stimulation Eye Movements

Accuracy Verified: Yes

73. Sinici, E., Maden, O., Ak, M., Bozkurt, A., & Ozsahin, A. (2012, February). Bir cinsel tecavuz vak'asinda emdr uygulamasi: Vak'a sunumu [EMDR application on a sexual rape case: Case report]. Yeni Symposium Journal, 50(1), 58-60.

Language: Turkish

Format: Journal

Abstract:
Travmatik bir deneyim oldu hemen herkes yoğun stres belirtileri gösterebilir. Bu tecavüz edildi, özellikle halk arasında post-travmatik stres belirtileri görmek mümkündür. Son zamanlarda, tecavüz insanlara danışmanlık sağlamak için çabalar yaygın hale gelmiştir.EMDR tedavisi bellek (duygusal, bilişsel ve fiziksel), rahatsız edici olaylara ulaşmak fonksiyonları hızlandırmak ve öğrenme sürecini iyileştirmek için kadar duyusal birimleri üzerinde duruluyor. Bu EMDR tedavisi tecavüz birinin travma sonrası stres belirtileri hafifletir düşünülmektedir. 90 dakikalık EMDR seansları uygulandı. Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Envanteri (BAE), Durumluk ve Sürekli Kaygı Envanteri-I (STAI-I) ve Olaylar ScaleRevision (IES-R) Etkisi öncesi ve tedavi ve 1 ay sonra kontrol sonrası uygulanmıştır. Bu tecavüz kişinin stres belirtileri kısa bir süre sonra arasında, EMDR tedavisi öncesi azaltmak ve 1 ay sonra kontrol ettiği görülmektedir.Çalışmada bir olgu ile gerçekleştirilmiştir rağmen, sonucu cinsel travma hastalar için, EMDR uygulaması yararlı olabilir olmasıdır.

Almost anyone who had traumatic experience might show intense stress symptoms. It is possible to see post-traumatic stress symptoms among people especially who were raped. Recently, the efforts to provide counseling for raped people have become common. The EMDR treatment focuses on the sensorial units of the memory (emotional, cognitive and physical) to reach the disturbing events, accelerate functions and to improve the learning process. It is thought that EMDR treatment relieves the post traumatic stress symptoms for the raped one. 90 minute EMDR sessions were applied. Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), State and Trait Anxiety Inventory-I (STAI-I) and Impact of Events ScaleRevision (IES-R) were applied before and after treatment and 1 month-later control. It is seen that the raped one's stress symptoms decrease before the EMDR treatment, among shortly after and 1 month later controls. Although the study was conducted with one phenomenon, the result is that for patients who had sexual trauma, EMDR application might be beneficial.

Keywords: Rape Trauma

Accuracy Verified: Yes

74. 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

75. Brown, K. W., McGoldrick, T., & Buchanan, R. (1997). Body dysmorphic disorder: Seven cases treated with eye movement desensitization and reprocessing. Behavioural and Cognitive Psychotherapy, 25(2), 203-207. doi:/10.1017/S1352465800018403.

Language: English

Format: Journal

Abstract:
Body dynamic disorder is an illness of generally chronic course which can lead to significant impairment of social functioning, unnecessary plastic surgery and even suicide. It is little understood and treatment regimens have been of uncertain efficacy. Eye movement desensitization and reprocessing (EMDR) is a newly developed psychotherapeutic procedure used in the treatment of PTSD, grief reactions and generalized anxiety. In this paper we describe its use in seven consecutive cases of body dysmorphic disorder. Improvements were obtained in six of the seven patients, five of whom had a complete resolution of their symptoms (Pilots).

Keywords: Adults Case Report Clinical Case Study Empirical Study Females Males Somatoform Disorders Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

76. 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

77. Lendl, J. (2002, June). Brain performance and possible EMDR intervention. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.

Language: English

Format: Conference

Abstract:
New brain imaging technologies are giving a clearer picture of how memories are stored and how effective treatment may alter brain function. Neuroimaging researchers Bessel van der Kolk and Daniel Amen are investigating EMDR treatment effects. Van der Kolk is studying how traumatic memories differ from memories of ordinary events, while Amen concentrates on evaluating difficult psychiatric cases, ADD, head trauma, memory problems, dementia, aggression, and exposure to toxic substances. This workhop will focus on Amen's research regarding frequently found patterns of brain performance, including specific area functions and problems from a clinician's view. Significant attention will be devoted to integrating EMDR with the Amen multi-discipline intervention approach for problem brian areas.

Keywords: Amen Brain Performance van de Kolk

Accuracy Verified: Yes

78. 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

79. 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

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

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: SPECT Brain

Accuracy Verified: Yes

81. Isermann M., & Diegelmann, C. (2000, September). Breast cancer: PTSD symptoms, EMDR and quality of life. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.

Language: English

Format: Conference

Abstract:
Participants will: 1) learn about current research on psychological aspects of breast cancer; 2) learn about relevant dimensions of quality of life in breast cancer patients; 3) learn about the efficacy of EMDR in the treatment of breast cancer patients; and 4) learn about adaptations of the standard protocol to criteria for using EMDR in the treatment of breast cancer patients.

Keywords: Breast Cancer Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

82. Rost, C. (2010, June). Bridging the gap between stabilisation and trauma confrontation. Pre-conference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
When processing trauma material during the EMDR session, we often see the spontaneous appearance of resource material. This helps patients to come to terms with the traumatic memory. With complex traumatized patients, this material appears far less frequently, and the EMDR process can be much harder. We can support the process by activating specific resources, both before and during the EMDR session.
During this workshop, specific resource techniques will be presented and practiced which can help to stabilize complex traumatized patients and which can also be combined with the EMDR standard protocol: Position of Power, Power Animal, Body Resource, CIPOS, and a protocol for early childhood memories.

Keywords: Body Resource CIPOS Position of Power Power Animal

Accuracy Verified: Yes

83. Nijdam, M. J., Gersons, B. P. R., Reitsma, J. B., de Jongh, A., & Olff, M. (2012, March). Brief eclectic psychotherapy v. eye movement desensitisation and reprocessing therapy for post-traumatic stress disorder: Randomised controlled trial. British Journal of Psychiatry, 200(3), 224-231. doi:10.1192/bjp.bp.111.099234.

Language: English

Format: Journal

Abstract:
Background: Trauma-focused cognitive–behavioural therapy (CBT) and eye movement desensitisation and reprocessing therapy (EMDR) are efficacious treatments for post-traumatic stress disorder (PTSD), but few studies have directly compared them using well-powered designs and few have investigated response patterns. Aims: To compare the efficacy and response pattern of a traumafocused CBT modality, brief eclectic psychotherapy for PTSD, with EMDR (trial registration: ISRCTN64872147). Method: Out-patients with PTSD were randomly assigned to brief eclectic psychotherapy (n = 70) or EMDR (n = 70) and assessed at all sessions on self-reported PTSD (Impact of Event Scale – Revised). Other outcomes were clinician-rated PTSD, anxiety and depression. Results: Both treatments were equally effective in reducing PTSD symptom severity, but the response pattern indicated that EMDR led to a significantly sharper decline in PTSD symptoms than brief eclectic psychotherapy, with similar drop-out rates (EMDR: n = 20 (29%), brief eclectic psychotherapy: n = 25 (36%)). Other outcome measures confirmed this pattern of results. Conclusions: Although both treatments are effective, EMDR results in a faster recovery compared with the more gradual improvement with brief eclectic psychotherapy. Declaration of interest: A.d.J. teaches and supervises clinical psychologists and psychiatrists in psychological trauma and its treatment by means of seminars, workshops and conferences, for which the participants pay a fee. He is also director and shareholder of a trauma treatment unit. For both activities he has the formal permission of the executive board of the University of Amsterdam to which he is affiliated.

Keywords: BEP Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PSTD Randomized Controlled Trial

Accuracy Verified: Yes

84. Khift, R. N. (1994). Building upon our foundations. Dissociation, 7(2), 79-80.

Language: English

Format: Journal

Abstract:
It is easy to become demoralized in the face of repeated assaults on the credibility and legitimacy of our patients, our patients' given histories and allegations of mistreatment, and the very conditions that they suffer. As clinicians and scientific investigators working with trauma victims and dissociative disorder patients, we have found it difficult to withstand withering and venomous attacks upon our professions, our motivations, and ourselves as individuals. Although there have been some notable exceptions, the last several months have been remarkable for the video and print media' s love affair with those who protest the veracity of allegations of childhood mistreatment, and their willingness to promulgate polarized negative representations of those who allege childhood mistreatment and those who treat them. Since the New Year, I have been interviewed by a large number of reporters and journalists. Only two diverged from a rather stereotyped and weary script in which the legitimacy of the perspective of the False Memory Syndrome Foundation was assumed, and this assumption colored the majority of the dialog that transpired. I strongly suspect that matters will get worse before they improve.

Keywords: Editorial

Accuracy Verified: Yes

85. Dulworth, S. (2004, September). CAM offerings really can enhance quality of care for some patients. Managed Care Magazine.

Language: English

Format: Magazine

Abstract:
People flock to these services whether insurers cover them or not. When does it make economic and medical sense to offer them?

Keywords: CAM General Overview

Accuracy Verified: Yes

86. Jongedijk, R., Freeman, C., Stofsel, M., Johannesson, K. B., Groenenberg, M., & Nerad, M. (2005, October). Can evidence based trauma treatment like CGT and EMDR be used for patients with complex traumatisation and/or complex PTSD?. Presentation at the First Annual European Workshops on Traumatic and Stress, Academic Medical Center, The Netherlands .

Language: English

Format: Conference

Abstract:
CGT and EMDR are well documented treatment programmes for PTSD. Most published studies concern “simple PTSD”, in this workshop presentations and discussions are focussed on the treatment principles and possible adjustments in techniques of CGT and EMDR for complex PTSD patients.

Keywords: CGT Complex Posttraumatic Stress Disorder Complex PTSD Complex Trauma C-PTSD

Accuracy Verified: Yes

87. Rodriguez, T. (2013, January/February). Can eye movements treat trauma?. Scientific American Mind, 23(6), 9-9.

Language: English

Format: Magazine

Abstract:
The article focuses on the effectiveness of eye movement desensitization and reprocessing (EMDR) in treating post-traumatic stress disorder (PTSD). Research supports the concept of using eye movements in reducing the symptoms of PTSD. Researchers note that eye movements strip the patients' troubling memories of vividness and its distress. They discover the outperformed tones of eye movements in mitigating memories' vividness and emotional intensity level.

Keywords: Eye Movements Memory Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

88. Talen, J. (1998, April 21). Can trauma be relieved by the wave of a hand? The controversy over eye movement therapy. Washington, DC: The Washington Post, Health, Z12.

Language: English

Format: Newspaper

Abstract:
"When I started teaching EMDR in 1990, I dubbed it experimental because I didn't want therapists using it without training and then hurting their patients," Shapiro said in a telephone interview. "But there's been eight years of research that shows that it effectively treats post-traumatic stress disorder better than anything out there."

Keywords: General Overview Washington, DC

Accuracy Verified: Yes

89. Tareen, S., Farrell, D., Keenan, P., Swift, J., & Poole, D. (2008, November). Capacity building in developing country: Developing eye movement desensitisation and reprocessing (EMDR) in Pakistan. Poster presented at the All-Ireland Institute of Psychiatry Winter Meeting, Belfast, Ireland.

Language: English

Format: Conference

Abstract:
Although there is no published work on the magnitude on PTSD after the earthquake in Pakistan in 2005, 16% of patients seen in Muzafarabad and 51% in Balak...

Keywords: Developing Countries Pakistan Poster

Accuracy Verified: Yes

90. Goldman, J., & Coane, J. (2010, October). A case of strategic collaboration: Two therapists and one DDNOS patient in end phase treatment. Presenttion at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.

Language: English

Format: Conference

Abstract:
A colleague, experienced in DID treatment, was invited to collaborate by the primary therapist in the end phase of treatment to facilitate patient movement through the introduction of EMDR. The nature of the collaborative relationship, its influence on transference and countertransference, the contribution of the different genders of the two therapists, as well as issues of launching the patient more fully into adult life as influenced by the collaboration will be explored. The rationale for introducing EMDR as well as its specific contribution will be explicated. The argument for therapeutic collaboration, as related to the patients history and treatment process, will also be addressed.
Participants will be able to : ♦♦ List the indications for initiating adjunctive treatment. ♦♦ assess the effects of collaboration. ♦♦ appraise the treatment trajectory to decide when to bring in another modality.

Keywords: DDNOS

Accuracy Verified: Yes

91. 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

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

Language: English

Format: Journal

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

Keywords: Korea Psychiatric Patients

Accuracy Verified: Yes

93. Bae, H., Kim, D., & Ahn, J. (2006, September). A case series of post-traumatic obsessive compulsive disorder: A six month follow-up evaluation. Journal of the Korean Neuropsychiatric Association, 45(5), 476-480.

Language: Korean

Format: Journal

Abstract:
A number of recent case reports and series indicate that obsessive compulsive disorder (OCD) can develop after traumatic experience as a comorbid conditon to post-traumatic stress disorder (PTSD). These descriptive studies consistently addressed that those patients respond poorly to treatments and had an unfavorable outcome. However, this conclusion was not supported by prospective follow up with objective measurement of symptomatology. This report presents three single trauma-related PTSD patients who developed full-blown OCD concurrently with or after the initiation of PTSD. These patients represent 10% of new PTSD outpatients at a PTSD clinic during one year period and 25% of PTSD patients who had been admitted. In all three cases compulsion seemed to distract or serve as avoidance to intrusive symptoms of PTSD. Despite Eye Movement Desensitization and Reprocessing (EMDR) and/or exposure therapy for PTSD together with at least two antidepressant trials for PTSD and OCD, at six month follow-up PTSD partially improved and OCD remained unchanged. This finding is consistent with previous reports from western literature (KoreaMed).

Keywords: Obsessive-Compulsive Disorder OCD

Accuracy Verified: Yes

94. Lipke, H., & Botkin, A. (1992, Winter). Case studies of eye movement desensitization and reprocessing with chronic post-traumatic stress disorder. Psychotherapy: Theory, Research, Practice, Training, 29(4), 591-595. doi:10.1037/0033-3204.29.4.591.

Language: English

Format: Journal

Abstract:
Five hospitalized Vietnam combat veterans with chronic PTSD were treated with Eye Movement Desensitization and Reprocessing (EMDR), a new psychotherapeutic procedure. Changes in previously refractory symptoms of intrusiveness and arousal were noted for some subjects. The variability of effects was examined in terms of subject variables and therapist training with the procedure. REM sleep findings and studies of cognitive concomitant of waking eye movement were considered in efforts to understand EMDR effects. The overall results suggest that: (1) EMDR can be a powerful clinical tool in the treatment of PTSD, and (2) further research is strongly recommended. [Author Abstract]

Keywords: Adults African Americans Empirical Study European Americans Males Middle Aged Psychiatric Inpatients PTSD Veterans Vietnam War

Accuracy Verified: Yes

95. Loris, M., & Johnson, D. R. (2001, December). Case study: Client treatment preference and imaginal exposure in three cognitive behavioral PTSD treatment. Poster presented at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA.

Language: English

Format: Conference

Abstract: This case discussion will examine the intervention of EMDR (Shapiro, 1989), Prolonged Exposure (Foa, Rothbaum, Riggs & Murdock, 1990), and the Counting Method (Ochberg, 1996) on three adult female patients with PTSD symptoms. A recent treatment outcome study of 40 female trauma victims (Johnson and Lubin, 2001 in press) comparing these three treatments finds that the efficacy of the three treatments is supported and that the element of imaginal exposure may be the critical therapeutic factor. The presentation of these three cases focuses on the issue of client’s treatment preference and client personality traits as factors which may interface with imaginal exposure in treatment efficacy.

Keywords: Counting Method Prolonged Exposure Poster

Accuracy Verified: Yes

96. Rosental, V. (2009, Febrero 3). Caso clínico de horacio (Pedro). Trastorno por estrés postraumático crónico [Case report of Horace (Peter). Chronic PTSD]. DePsicoterapias S.R.L. Retrieved from http://www.depsicoterapias.com/articulo.asp?IdArticulo=469 4/6/2010.

Language: Spanish

Format: Other

Abstract:
Paciente que consulta a los 36 años de edad. Al momento de la consulta estaba realizando tratamientos psiquiátrico y psicológico sin resultados desde el año 1995, con un diagnóstico de Ataque de Pánico. El comienzo del problema es después de la guerra de las Malvinas. Es en el año 1985 cuando él decide consultar por primera vez porque no se sentía bien, se encontraba muy nervioso e irritable. El médico clínico, después de varios exámenes de rutina le manifiesta que se encuentra bien, aunque le prescribe un ansiolítico, psicofármaco que tomo por 11 años, hasta el año 1996. En ese año es derivado a un psiquiatra y a un psicólogo por sus reiteradas visitas a la guardia. Había estado en la guerra de las Malvinas como conscripto. Al volver, no podía concentrarse, por lo cual decidió abandonar sus estudios terciarios faltándo un año para recibirse. Se aisló además de todos sus amigos. Se casa con su vecina con quien tiene dos hijos. Presentaba dificultades maritales e inestabilidad laboral.

Patient refers to the 36 years of age. At the time of the consultation being conducted psychiatric and psychological treatments with no results since 1995, with a diagnosis of Panic Attack. The beginning of the problem is after the Falklands war. It was in 1985 when he choose to go first because he felt well, was very nervous and irritable. The clinician, after several routine tests it shows that he's fine, but prescribed an anxiolytic, psychoactive drug that took for 11 years until 1996. In that year is referred to a psychiatrist and a psychologist for his repeated visits to the emergency. He had been in the Falklands war as a conscript. Upon returning, he could not concentrate, so it decided to abandon their tertiary studies a year to graduate. Was isolated in addition to all his friends. He married his neighbor with whom he has two children. Had marital difficulties and job instability.

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

Accuracy Verified: Yes

97. Meijer, S. (2000). Casus 13 – Zoals mijn leven nu gaat mag het altijd blijven: Een borderlinecliente met ernstige PTSS en terbeschikkingstelling [Case 13 - My life should stay as it is now. A woman with borderline personality disorder and severe PTSD who had a forensic psychiatric criminal justice sentence]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 193-204). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_20.

Language: Dutch

Format: Book Section

Abstract:
Marion is een 28-jarige vrouw die eind 2003 een tbs krijgt opgelegd vanwege een poging tot brandstichting. Haar zus doet aangifte. Er zijn geen eerdere veroordelingen geweest, maar Marion heeft wel eerder brand gesticht. In 1996 sticht zij voor het eerst brand en zij merkt dat dit haar spanningen vermindert; ze wordt er rustig en zelfs vrolijk van. Er is sprake van een borderline persoonlijkheidsstoornis; deze wordt in 2000 vastgesteld gedurende een behandeling in een psychotherapeutische gemeenschap. Marion verbetert niet tijdens deze opname en breekt de behandeling tegen advies in af. In die periode is er sprake van ernstige automutilatie en suïcidaliteit. Er zijn diverse suïcidepogingen en rond 2002 neemt Marion een grote hoeveelheid pillen in. Daaropvolgend wordt Marion opgenomen. Na vijf maanden wordt de klinische behandeling afgerond met de boodschap: ‘We kunnen niets meer doen.’ De aangeboden poliklinische behandeling kon door Marion niet worden gevolgd omdat zij toen reeds was opgepakt.

Marion is a 28-year-old woman in late 2003 a TBS is imposed for an attempted arson. Her sister does return. There have been no previous convictions, but Marion does have been arson. In 1996 she established the first fire and they find that it reduces her stress, she is calm and even cheerful. There is a borderline personality disorder, which is set in 2000 during a treatment in a psychotherapeutic community. Marion does not improve during this recording and breaks off the treatment against advice. During that time, there is serious self-harm and suicidality. There are several suicide attempts and Marion around 2002, a large quantity of pills. Subsequently, Marion recorded. After five months, the clinical treatment has been completed with the message: "We can not do anything." The outpatient treatment offered by Marion could not be followed because they had already been arrested.

Keywords: Borderline Personality Disorder BPD Posttraumatic Stress Disorder PTSD Women

Accuracy Verified: Yes

98. McFarlane, A. (2003, October-November). CBT vs. EMDR in the treatment of 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.

CBT vs. EMDR in the treatment of PTSD: 114 subjects were randomized into the study, but only 45 completed up to week 10. The subjects in the study comprise 45 sufferers of Post traumatic stress disorder as defined by the Clinician Administered PTSD Scale (CAPS) (caps score > 50, and who satisfied criteria A,B,C and D for PTSD diagnosis) and the PCL-C (PCL-C>50). All subjects were victims of a traumatic experience and were recruited through newspaper or radio advertisements, referrals from private practitioners (18 subjects) or through the State Government Insurance Commission (SGIC) (27 subjects). Subjects were randomised into one of three treatments. Fourteen subjects received EMDR, 21 received CBT and 10 were control subjects. The mean age of the sample was 41.38 (SD=11.55) with the minimum age of 19 and the maximum age of 61. Sixteen of the subjects were male and 29 were female. During the treatment period 17 of the subjects were taking antidepressants and 6 were taking anxiolytics. Approximately half of the sample was married (22 subjects 48.9%), 12 had never married, 4 were separated, 1 was defacto and 6 were divorced. The mean number of treatment sessions for the entire sample was 8.53 (SD 1.65). Out of the 45 participants in the study, 26 had suffered only one single trauma in their lives, 11 had experienced several single traumas, 3 had suffered one ongoing trauma and 5 individuals had suffered at least one ongoing and one specific trauma. The following results were performed on the treatment groups (total 35 subjects), with the control group being excluded from all analyses. All subjects, were aged between 18 and 65, lived in metropolitan Adelaide and had an adequate command of English (reading and writing).All subjects gave informed consent to the study and expressed their willingness to comply with the protocol. Subjects with a history of adult seizure disorder, organic brain disease or who were assessed to be at significant suicide risk (a score of 3 or more on suicide question in HAM-D), were excluded from the study, as were subjects taking psychotropic drugs (anticonvulsive/ antipsychotic) or sedatives more than 4 times a week. All assessment and treatment sessions were conducted at the University of Adelaide Department of Psychiatry at the Queen Elizabeth Hospital. Assessment sessions were conducted by trained research assistants and all therapy sessions were conducted by a clinical psychologist, trained in both EMDR and CBT. Subjects were assessed for suitability to enter the study via an initial screening instrument (sent out to subjects in the post) and an initial screening interview. Patients were further evaluated at week 0 (baseline/immediately prior to commencement of treatment), 3, 4, 6, 8 10, 20 (10 week followup).

Keywords: CBT Cognitive Behavioral Therapy Symposium

Accuracy Verified: Yes

99. Miller, P., McGowan, I., McLaughlin, D., & Paterson, M. (2010, April). Cessation of symptoms associated with dissociative schizophrenia following EMDR. Presentation at 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.

Language: English

Format: Conference

Abstract: Background: Despite over a 100 years experience with schizophrenia it is still only a minority of individuals who make a full recovery. Schizophrenia is a severe enduring mental illness (SMI) and the weight of burden falls with regard to legal problems, stigma and life expectancy: life expectancy in this group of individuals is reduced by 10 years, mostly as a consequence of suicide.
Aim: The aim of the presentation is to highlight the potential of EMDR as a treatment option in patients displaying symptoms associated with dissociative schizophrenia. Using a case study approach we will demonstrate the effectiveness of EMDR in relieving the symptoms of dissociative schizophrenia.
Case Study: In Patient ‘M’ using an EMDR paradigm integration was achieved using only outpatient therapy – 12 sessions, over the course of one year. Medication was used initially but made no impact on the psychotic phenomena; even when used within normally efficacious levels and duration. Naltrexone was used to help manage dissociation (Frewen & Lanius, 2006) and to facilitate Patient ‘M’ in engaging in EMDR. Patient ‘M’ is now nearly three years symptom free and medication free.
Conclusion: EMDR is effective in symptoms associated with dissociative symptoms.
Learning Outcomes By the end of the session participants will be able to; Gain an greater understanding of the clinical presentation of dissociative schizophrenia Discuss the potential of EMDR as a treatment option in patients displaying symptoms associated with dissociative schizophrenia

Keywords: Dissociative Schizophrenia

Accuracy Verified: Yes

100. Allen, J. G. (2003). Challenges in treating post-traumatic stress disorder and attachment trauma. Current Women’s Health Reports, 3, 213–220.

Language: English

Format: Journal

Abstract:
Treating women suffering from trauma poses significant challenges. The diagnostic prototype of post-traumatic stress disorder (PTSD) is based on single-event trauma, such as sexual assault in adulthood. Several effective cognitivebehavioral treatments for such traumas have been developed, although many treated patients continue to experience residual symptoms. Even more problematic is the complex developmental psychopathology stemming from a lifetime history of multiple traumas, often beginning with maltreatment in early attachment relationships. A history of attachment trauma undermines the development of capacities to regulate emotional distress and thereby complicates the treatment of acute trauma in adulthood. Such complex trauma requires a multifaceted treatment approach that must balance processing of traumatic memories with strategies to contain the intense emotions this processing evokes. Moreover, conducting such treatment places therapists at risk for secondary trauma such that trauma therapists also must process this stressful experience and implement strategies to regulate their own distress.

Keywords: Attachment Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Adult Attachment Interview Attachment Outcome Trauma

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Brain SPECT

Accuracy Verified: Yes

103. Falaschi, R., & Tizzani, E. (2001, October). Changes in electroencephalographic quantitative analysis in patients treated with EMDR. In International CIANS Conference (CIANS: Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaviour and Psychosomatics), (p 159) Palermo.

Language: English

Format: Other

Abstract:
EMDR’s basic working theory assumes that traumatic memories remain unprocessed because the innate information processing system is stuck by the psychophysiological effects of trauma. Traumatic events are stored in their original form, and the recall of traumatic memories causes a high level of disturbance.
Left-right rhythmic stimulations of EMDR seem to remove the block in the traumatic memories processing and help memories storing mechanism function at an adaptive level. In recent years, many scientific researches have focused on the opportunity to assess the functional connection between different brain areas through quantitative analysis of EEG.
According to the aim of this presentation, our attention was drawn to the correlation between slow bands (4- 7 Hz) and the activity in the sub-cortical areas involved in working memory and, also, high frequency ranges (> 36 Hz) and cortical activities during sensorial stimuli processing. There are a few quantitative EEG studies on patients with PTSD. The EEG analysis of subject with childhood abuse histories revealed less synchronization in the two hemispheres functioning compared to normal control subjects.
EEG quantitative analysis in abused children showed a higher intra-hemispheric left coherence and a lower intra-hemispheric right coherence in comparison with normal control subjects. According to these results, the aim of this presentation is to test if there are recordable changes in the intra and inter hemispheric synchronization between brain areas where information processing occurs (limbic system, prefrontal cortical area, and posterior cortical areas) in patients with PTSD after EMDR treatment.

Keywords: EEG Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

104. Oh, D., & Choi, J. (2004). Changes in the regional cerebral perfusion after EMDR: A SPECT study of two cases. Journal of the Korean Society of Biological Psychiatry, 11(2), 173-180.

Language: Korean

Format: Journal

Abstract:
Over the last decade, EMDR(Eye Movement Desensitization and Reprocessing) has emerged as a promising new treatment for trauma and other anxiety-based disorders. However, neurobiological mechanism of EMDR has not been well understood. Authors report SPECT findings of two patients of PTSD before and after EMDR.Brain 99mTc-ECD-SPECT was performed before and after EMDR treatment. To evaluate the significance of changes in the regional cerebral perfusion, t-test was conducted on the resulting images using SPM99 . In addition, clinical scales(CAPS, CGI, STAI) were employed to asses the changes in the clinical symptoms of the patients. After EMDR treatment, each showed significant improvement in clinical symptoms. The cerebral perfusion increased in bilateral dorsolateral prefrontal cortex, and decreased in the temporal association cortex. The differences in the cerebral perfusion between patients after treatment and normal controls decreased. These changes appeared mainly in the limbic area the and the prefrontal cortex.These results suggest that EMDR may show the therapeutic effect through 1) improvement in the emotional control by increased activity in the prefrontal cortex, 2) inhibited hyperstimuli on amygdala by deactivation of the association cortex, 3) inhibition on past trauma related memory, and 4) keeping the functional balance between the limbic area and the prefrontal cortex. This case report needs further replication from studies with larger sample. [Author Abstract]

Keywords: Brain Imagining Adults Females Koreans Motor Vehicle Accidents Neurophysiology Posttraumatic Stress Disorder Psychiatric Inpatients PTSD: Rape SPECT Survivors Treatment Effectiveness

Accuracy Verified: Yes

105. Oh, D. H., & Choi, J. (2007). Changes in the regional cerebral perfusion after eye movement desensitization and reprocessing: A SPECT study of two cases. Journal of EMDR Practice and Research, 1(1), 24-30. doi:10.1891/1933-3196.1.1.24.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) has emerged as a promising new treatment for trauma and other anxiety-based disorders. However, the neurobiological mechanism of EMDR has not been well understood. This study reports changes in the resting regional cerebral blood flow after successful EMDR treatment in 2 patients with PTSD. Brain 99mTc-ECD-SPECT (Technetium 99m-ethyl cysteinate dimmer-single photon emission computerized tomography) was performed before and after EMDR, and, in addition, a pre- and posttreatment comparison was made with 10 non-PTSD participants as a control group. After EMDR, cerebral perfusion increased in bilateral dorsolateral prefrontal cortex and decreased in the temporal association cortex. The differences between participants and normal controls also decreased. Changes appeared mainly in the limbic area and the prefrontal cortex. These results are in line with current understanding of neurobiology of PTSD. EMDR treatment appears to reverse the functional imbalance between the limbic area and the prefrontal cortex. [Author Abstract]

Keywords: Adults Brain Imaging Females Koreans Motor Traffic Accidents Neuroimaging Neurophysiology Posttraumatic Stress Disorder Psychiatric Inpatients PTSD Rape RCBF Regional Cerebral Blood Flow Single Photon Emission Computerized Tomography Survivors Treatment Effectiveness

Accuracy Verified: Yes

106. Litt, B. (2007). The child as identified patient: Integrating contextual therapy and EMDR. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 306-324). Hoboken, NJ: John Wiley & Sons Inc.

Language: English

Format: Book Section

Abstract:
It is estimated that as many as 2% of children under age 12 and from 5% to 18% of adolescents suffer from a depressive disorder (Birmaher et al., 1996; Northey, Wells, Silverman, & Bailey, 2003) that will likely persist into adulthood (Northey et al., 2003; Wagner & Ambrosini, 2001). Contextual Therapy is a differentiation-based (e.g., Kerr & Bowen, 1988; Schnarch, 1991) approach in that it promotes self-determination in the face of family pressure for compliance, reliance on internal resources for self-validation rather than dependence on others for approval, and the overcoming of emotional discomfort in the interests of responsible action (Boszormenyi-Nagy & Krasner, 1986). Both the contextual approach and the Adaptive Information Processing (AIP) model predict that formative childhood experiences affect both psychological health and relational functioning. With its systemic paradigm and its ethical dimension of relationship, the contextual approach is complementary and additive to Shapiro's (2001) AIP model. The contextual approach shows the clinician where to look for the targets, and Eye Movement Desensitization and Reprocessing (EMDR) provides the potency to transform the experience. A general structure of phase-oriented therapy can be described that accounts for most, if not all, referrals for treatment. An assessment phase, a contracting phase, and an intervention phase characterize the main tasks of the therapist. In practice, these phases may overlap, coincide, or repeat themselves over the course of minutes, weeks, or months. This chapter describes only those practices that are unique to the integrated approach. (PsycINFO Database Record (c) 2008 APA, all rights reserved

Keywords: Adaptive Information Processing Model Affective Disorders Child Patients Contextual Therapy Depressive Disorder Integrated Approach Integrative Psychotherapy Major Depression Models

Accuracy Verified: Yes

107. 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

108. Levin, C., & Miller, M. (2001, June). Chronic pain: A clinical test of Mark Grant’s protocol. Presentation at the annual meeting of the EMDR International Association, Austin, TX.

Language: English

Format: Conference

Abstract:
This workshop will provide the EMDR practitioner instruction in the application of Mark Grant's Pain Protocol. Participants will learn how to evaluate patients for appropriateness of treatment and how to manage the various putfalls encountered during treatment.

Keywords: Chronic Pain Mark Grant Pain Protocol

Accuracy Verified: Yes

109. Bednar, J. (2010, March 29). Clearing the block: Eye-movement technique helps patients overcome psychological traumas. BusinessWestnline, 26(24), 51-54.

Language: English

Format: Newspaper

Abstract:
The engineer was recalling all this as he began a behavioral-health technique known as eye-movement desensitization and reprocessing (EMDR), which helps victims of post-traumatic stress disorder (PTSD) and other types of psychological trauma to overcome the mental burden of disturbing events.

Keywords: General Overview

Accuracy Verified: Yes

110. Loris, M., & Johnson, D. R. (2001, December). Client treatment preference and imaginal exposure in three cognitive behavioral PTSD treatments. Presentation at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA .

Language: English

Format: Conference

Abstract:
This case discussion will examine the intervention of EMDR (Shapiro, 1989), Prolonged Exposure (Foa, Rothbaum, Riggs & Murdock, 1990), and the Counting Method (Ochberg, 1996) on three adult female patients with PTSD symptoms. A recent treatment outcome study of 40 female trauma victims (Johnson and Lubin, 2001 in press) comparing these three treatments finds that the efficacy of the three treatments is supported and that the element of imaginal exposure may be the critical therapeutic factor. The presentation of these three cases focuses on the issue of client’s treatment preference and client personality traits as factors which may interface with imaginal exposure in treatment efficacy.

Keywords: Imaginal Exposure Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

111. Figley, C. R., Carbonnell, J., Boscarino, J., & Chang, J. (1999, Summer). A clinical demonstration model for assessing the effectiveness of therapeutic interventions: An expanded clinical trials methodology. International Journal of Emergency Mental Health, 1(Part 3), 155-164 .

Language: English

Format: Journal

Abstract:
Both the evaluation of current treatment interventions and the innovation of new ones are vital to maintaining a viable clinical profession. In the field of psychology, however, often there are serious challenges facing these worthy endeavors. This article reviews several problems and limitations with evaluation of innovative psychotherapy treatments in clinical practice and suggests a strategy to overcome these. This approach, which we term the "Systematic Clinical Demonstration Methodology" (SCDM), combines the skills of clinicians with the rigors of clinical trials methods and permits concurrent clinical innovation and scientific evaluation. Here we suggest that the SCDM approach allows innovative practitioners to assist in the development and evaluation of promising clinical interventions by working closely with clinical trials researchers. This allows innovative clinicians to demonstrate new treatment approaches, while clinical researchers evaluate the effectiveness and safety of these interventions using clinical trials methods that incorporate qualitative data. We suggest that this approach can result in the development and evaluation of new treatment innovations more quickly and cost effectively than traditionally has been the case. In addition, some limitations commonly associated with clinical trials, such as not treating patients typically found in clinical practice, failing to treat patients with multiple disorders, or treating patients from different cultural or sociodemographic groups, can be more effectively addressed. Our experiences with using this method to evaluate different psychotherapy treatments for PTSD are presented as an example of this new approach. [Author Abstract]

Keywords: Brief Psychotherapy Methodology Neurolinguistic Programming NLP Outcomes Research Posttraumatic Stress Disorder PTSD Random Controlled Trials RCT Systematic Clinical Demonstration Methodology TFT Thought Field Therapy TIR Traumatic Incident Reduction Treatment Effectiveness

Accuracy Verified: Yes

112. Splete, H. (2005, January). Clinical Psychiatry news’ top stories of 2004: Development on antidepressant labeling, psychologist prescribing could affect the specialty. Clinical Psychiatry News, 33(1), 14.

Language: English

Format: Newspaper

Abstract:
Biologic and psychosocial treatments of posttraumatic stress disorder were equally effective in their first direct comparison ("Psychotherapy May Offer More Benefits for PTST," June 2004, p. 20). In addition, psychotherapy patients were more likely to remit or even become asymptomatic, according to the study of 88 adults randomized to fluoxetine, placebo, or an exposure therapy method known as eye movement desensitization reprocessing (EMDR). Patients in the EMDR group ininally responded to the treatment with psychophysiologic arousal and appeared to relive the trauma. But they ultimately improved significantly more than did the placebo group and continued to improve at 2 and 6 months' follow-up, when the fluoxetine group remained stable.

Keywords: Efficacy

Accuracy Verified: Yes

113. 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

114. Dean, G. L., Fenstermaker, D., & Anderson, K. J. (1991, November). Clinical use of eye movement desensitization/reprocessing (EMD/R) in recall and reprocessing of traumatic material in MPD patients PTSD treatments grow in evidence, effectiveness. Presentation at the annual meeting of the International Society for the Study of Dissociation Fall Conference, Chicago, IL and Monitor on Psychology, 39(1), 40-42.

Language: English

Format: Conference

Keywords: MPD Multiple Personality Disorder

Accuracy Verified: No

115. Fisher, E. (1997, May 26). Coached to success: Professional advisers help many workers break out of career and personal slumps. Washington, DC: The Washington Times, Business Times, D12.

Language: English

Format: Newspaper

Abstract:
Many in the scientific community dispute EMDR's validity, but Ms. Fox and many patients of EMDR insist the method reduces stress and improves performance at key moments.

Keywords: General Overview Washinton, DC

Accuracy Verified: Yes

116. Ray, A. L., & Zbik, A. (2001). Cognitive behavioral therapies and beyond. In C. D. Tollison, J. R. Satterhwaite, & J. W. Tollison (Eds.). Practical Pain Management 3rd Ed. (pp. 189-208). Philadelphia: Lippencott.

Language: English

Format: Book Section

Abstract:
The authors note that the application of EMDR guided by the Adaptive Information Processing model appears to afford benefits to chronic pain patients not found in other treatments.

Keywords: Adaptive Information Processing AIP Chronic Pain

Accuracy Verified: No

117. Makinson, R. A., & Young, J. S. (2012, April). Cognitive behavioral therapy and the treatment of posttraumatic stress disorder: Where counseling and neuroscience meet. Journal of Counseling & Development, 90(2), 131-140. doi:10.1111/j.1556-6676.2012.00017.x .

Language: English

Format: Journal

Abstract:
There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the neurobiological context underlying the formation and treatment of posttraumatic stress disorders, a mental disorder frequently encountered by counselors, from a cognitive therapy framework.
Recent changes to the Council for Accreditation of Counseling and Related Educational Programs (2009) accreditation standards include the need for counselors-in-training to understand the neurobiological basis of behavior, which marks a new direction for the training of professional counselors who have historically reacted ambivalently toward medical models for understanding client concerns and treatments. Yet recent findings in neuroscience actually support the verbally based interventions that counselors typically use in treatment; therefore, there is much to be gained by counselors and counselor educators in understanding the basics of human neurobiology and how commonly used counseling interventions intervene on these biological systems. The National Institute of Mental Health (2010) stated in a recent strategic plan that “Important discoveries in areas such as genetics, neuroscience, and behavioral science largely account for the substantial gains in knowledge that have helped us to understand the complexities of mental illnesses and behavioral disorders over the past 15 years” (“Introduction,” para. 4).
Given the increasingly biological focus of mental health research, the practicing counselor is faced with the task of understanding and using the emerging mental health treatments and explaining to clients, to reimbursing agencies, and to the broader public how counseling fits within the medically dominated mental health culture. Some counselors have long reacted ambivalently toward the pathologically oriented diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV;American Psychiatric Association, 1994) system and the medication-dominated world of psychiatry. For example, the contrasting viewpoints on this issue were published in the Journal of Counseling & Development between Allen and Mary Ivey (1998, 1999) and Scott Hinkle (1999). Ivey and Ivey (1998) argued for a developmental interpretation to the DSM-IV, opposing what they called the “pathological view” (p. 334) of the manual. According to Ivey and Ivey, disorders could be viewed through a positive development tradition to lie not within the individual but within the contextual systems in which a person lives. Subsequently, disorders are viewed as a “logical response to a developmental history” (Ivey & Ivey, 1999, p. 484). By contrast, Hinkle (1999) argued that because anxiety and depressive disorders “are the most common clinical symptoms associated with presentation to counseling” (p. 475), the counseling profession is weakened if counselors shy away from direct participation in the DSM nomenclature and treatment parlance. As Hinkle indicated, “mental disorders according to the medical model describe disease processes, not people” (p. 475). Regardless of the reader's philosophical perspective, practicing counselors know participation in medical and psychiatric systems is necessary at times. Also, recent discoveries in the field of neuroscience are providing evidence that interventions often used by counselors have direct physiological impact on client neurobiology (Kennedy et al., 2007; Linden, 2006). For example, Felmingham et al. (2007) demonstrated significant differences in brain activity before and after 8 weeks of exposure therapy, which correlated with a reduction in posttraumatic stress disorder (PTSD) symptom severity. Similarly, Paquette et al. (2003) found that cognitive behavioral therapy (CBT) alters the activation and metabolism of specific brain regions following successful treatment of spider phobia. These findings, along with others (for a detailed review, see Beauregard, 2007; Frewen, Dozois, & Lanius, 2008), are significant because they support the techniques, interventions, and approaches used by counselors and provide a mechanism by which counseling positively affects brain physiology. Within the emerging physiologically based treatment milieu, counselors should be prepared to articulate how cognitive counseling interventions make measurable changes to the client. Although cognitive-behavioral-based approaches are effective in the treatment of a number of psychiatric illnesses, adult PTSD is arguably one of the best understood mental disorders from a neurological perspective. It thus presents a valuable model for exploring not only the basic tenets of neurobiology but also the mechanisms behind its successful treatment. Furthermore, PTSD is a disorder that counselors will likely encounter in practice.
PTSD is a mental disorder characterized by a sudden onset of symptoms due to environmental exposure to a psychologically stressful event such as war, natural disaster, or sexual victimization. Thus, it provides a clear example of how, even in adulthood, neurological adaptation (in this case maladaptive changes) can functionally “rewire” the brain in a short period of time, resulting in a sustained array of clinical symptoms. The diagnostic criteria for PTSD are a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyperarousal symptoms. A fifth criterion concerns duration of symptoms and a sixth assesses functioning (American Psychiatric Association, 2000).
The National Comorbidity Survey Replication, conducted between February 2001 and April 2003 (Kessler et al., 2005), determined that the estimated lifetime prevalence of PTSD among American adults is 6.8%, with women (9.7%) twice as likely as men (3.6%) to have the disorder at some point in their lives. These findings are very similar to those of the first National Comorbidity Survey conducted in the early 1990s (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995), which was composed of interviews of a representative national sample of 8,098 Americans ages 15 to 54 years. In this earlier sample, the estimated prevalence of lifetime PTSD was 7.8% in the general population. As in the more recent survey, women (10.4%) were more than twice as likely as men (5%) to have PTSD at some point in their lives (Kessler et al., 2005; Kessler et al., 1995).

Keywords: CBT Cognitive Behavioral Therapy Neurobiological Basis of Behavior Neurobiology Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

119. Morgan, T. (2008, August 27-September 2). Communicating culture. Boise Weekly, 17(9), 11-15.

Language: English

Format: Newspaper

Abstract:
There's a technique called EMDR-Eye Movement Desensitization Reprocessing. It's a simple technique that activates both sides of the brain," [Leslye Boban] explained. The technique has patients focus on their trauma while an external stimulus, like tapping, is applied to the head. "We're combining it with art therapy to help them release traumas without actually having to talk about the trauma. We're working with a counseling group to also do the same technique with the parents, because you can't work with the kids and open them up like that and go home to a chaotic, unstable environment."[Alt-Press Watch]

Keywords: General Overview

Accuracy Verified: Yes

120. Cervera, M., & Acinas, P. (2012, June). Como puede la combinacion entre el EMDR y la imaginacion tartar casos con sept complejo, problemas de apego y disociacion? [How can EMDR and imagination combined, treat cases with complex PTSD, attachment and dissociative symptoms?]. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain .

Language: Spanish

Format: Conference

Abstract: ABSTRACT: La integración del EMDR con el uso de la imaginación (See Far CBT, Lahad) como un abordaje para el tratamiento de SEPT Complejo. El uso de la imaginación con cartas terapéuticas dentro de la Realidad Fantástica es una estrategia poderosa para estos pacientes. El EMDR ha sido ampliamente investigado y aprobado como una de las terapias más efectivas en este campo.

ABSTRACT: Integrate EMDR with the use of Imagination (See Far CBT, Lahad) as an approach to treat Complex Trauma with PTSD. The use of Imagination with therapeutic cards within the world of Fantastic Reality is a new powerful coping strategy for these patients. EMDR has been widely researched in this area.

Keywords: Attachment Dissociation Poster

Accuracy Verified: Yes

121. Cook, J. M., Biyanova, T., & Coyne, J. C. (2009, October). Comparative case study of diffusion of eye movement desensitization and reprocessing in two clinical settings: Empirically supported treatment status is not enough. Professional Psychology: Research and Practice, 40(5), 518-524. doi:10.1037/a0015144.

Language: English

Format: Journal

Abstract:
An in-depth comparative case study was conducted of two attempts at diffusion of an empirically supported, but controversial, psychotherapy: eye movement desensitization and reprocessing (EMDR). One Department of Veterans Affairs (VA) treatment setting in which there was substantial uptake was compared with a second VA setting in which it was not adopted. Qualitative interviews were conducted with 10 mental health clinicians at the first site, and 19 at the second. Critical selling points for EMDR were a highly regarded champion, the observability of effects with patients, and personally experiencing its effects during a role training session. Compatibility with existing psychotherapist practices and values further allowed the therapy to become embedded in the organizational culture. At the second site, a sense that EMDR was not theoretically coherent or compelling overwhelmed other considerations, including its empirical status. Comparative studies contrasting settings in which innovative therapies are implemented versus those in which they were rejected may aid in refining theories of and strategies for dissemination.

Keywords: Diffusion Evidence-Supported Treatment Marketing Psychotherapy

Accuracy Verified: Yes

122. Khosropour, F., Ebrahiminejad, G. H., Salehi, M., & Farzad, V. (2012, April-May). Comparing the effectiveness of psychological debriefing, eye movement desensitization reprocessing, and imaginal exposure on treatment of chronic post-traumatic stress disorder. Journal of Kerman University of Medical Sciences, 19(2), 149-159 .

Language: Farsi (Iran)

Format: Journal

Abstract:
Background & Aims: Post-traumatic stress disorder (PTSD) is considered as one of the most prevalent disorder during the life time and can negatively influence the individual, family and social relationships of patients, so, prevention and treatment of this disorder is highly important. Eye movement desensitization and reprocessing (EMDR), psychological debriefing (PD), and imaginal exposure (IE) are some treatment methods, but there is controversy about long effects of these treatments, especially among chronic patients. Method: In a semi experimental study, a total of 54 adult male patients, based on Davidson scale and psychiatric diagnostic, were randomly selected, and then were divided into 3 equal therapy groups. All participants were evaluated before, after and 3 months after the treatment. Data were analyzed through the repeated variance and Duncan post-hoc tests. Results: Psychological debriefing and eye movement desensitization and reprocessing were better than imaginal exposure in relief of chronic post-traumatic stress disorder signs and remaining the effectiveness in three months follow-up. Conclusion: It is concluded that all of the above methods are effective on chronic post-traumatic stress disorder and the efficacy of the therapeutic techniques would be still in force even after 3 months. Considering the importance of psychological interventions, it is necessary that such methods be taught to psychologists so that they can use them after traumatic accidents.

Keywords: Imaginal Exposure Posttraumatic Stress Disorder Psychological Debriefing PTSD

Accuracy Verified: Yes

123. 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

124. 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

125. McFarlane, A. (2000, November). Comparison of EMDR with CBT in PTSD patients. In B. A. Van Der Kolk, (Chair) Current research on EMDR. Symposium conducted at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Keywords: CBT Cognitive Behaviorial Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

126. MacFarlane, A. (2000, November). Comparison of EMDR with CBT in PTSD patients. In B. A. van der Kolk (Chair), Current Research on EMDR. Symposium conducted at the annual meeting of the International Society for the Study of Traumatic Stress, San Antonio, TX.

Language: English

Format: Conference

Keywords: CBT Cognitive Behaviorial Therapy Posttraumatic Stress Disorder PTSD Symposium

Accuracy Verified: Yes

127. McFarlane, A. (1999, November). Comparison of EMDR with CBT in PTSD patients. Presentation the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL .

Language: English

Format: Conference

Keywords: CBT Cognitive Behaviorial Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

128. Nazari, H., Momeni, N., Jariani, M., & Tarrahi, M. J. (2011, November). Comparison of eye movement desensitization and reprocessing with citalopram in treatment of obsessive-compulsive disorder. International Journal of Psychiatry in Clinical Practice, 15(4), 270-274. doi:10.3109/13651501.2011.590210.

Language: English

Format: Journal

Abstract:
Objective. Obsessive-compulsive disorder (OCD) is one of the chronic anxiety disorders that interfere with routine individual life, occupational and social functions. There is controversy about the first choice of treatment for OCD between medication and psychotherapy. Aim. the aim was to investigate the efficacy of eye movement desensitization and reprocessing (EMDR) compared with medication by citalopram in treatment of OCD. Methods. This randomized controlled trial was carried out on 90 OCD patients that randomly were assigned into two groups. They either received therapeutic sessions of EMDR or citalopram during 12 weeks. Both groups blindly were evaluated by the Yale-Brown scale before and after the trial period. Results. Pretreatment average Yale-Brown score of citalopram group was about 25.26 as well as 24.83 in EMDR group. The after treatment scores were 19.06 and 13.6, respectively. There was significant difference between the mean Yale-Brown scores of the two groups after treatment and EMDR was more effective than citalopram in improvement of OCD signs. Conclusion. It is concluded that although both therapeutic methods (EMDR and Citalopram) had significant effect in improving obsessive signs but it seems that in short term EMRD has better effect in improvement of final outcome of OCD.

Keywords: Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

129. Khosropour, F., Ebrahiminejad, G. H. Baniasadi, H., & Faryabi, M. (2012, Spring). Comparison of false memory among patients with post traumatic stress disorders (PTSD) based on the received psychological treatment. Journal of Kerman University of Medical Sciences and Health Services, 17(2),154-160.

Language: Persian

Format: Journal

Abstract:
Background & Aims: False memory is more prevalent among PTSD patients. This memory can be affected by group and intensifies the symptoms of the disorder. Psychological Debriefing (PD) and Eye Movement Desensitization and Reprocessing (EMDR) are widely used for the treatment of PTSD patients. The efficacy of these treatments is controversial. Method: A total of 219 PTSD patients were randomly selected and divided into three groups based on the received treatment type (EMDR, PD, control group). All groups were evaluated and compared by using Rodiger & McDremott False Memory Scale. Results: The EMDR group in comparison to the PD and control groups and the control group in comparison to the PD group showed lower rates of false memory (PConclusion: Considering lower level of false memory in EMDR group compared with other groups and the negative effects of false memory in identification of PTSD, EMDR is better than PD in the treatment of PTSD patients.

Keywords: False Memory Treatment Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

130. 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

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

Language: English

Format: Book Section

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

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

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Complex Trauma Posttraumatic Growth

Accuracy Verified: Yes

133. Allen, J., & Lewis, L. (1996, Spring). A conceptual framework for treating traumatic memories and its application to EMDR. Bulletin of the Menninger Clinic, 60(2), 238-263.

Language: English

Format: Journal

Abstract:
With burgeoning interest in trauma has come a proliferation of interventions for the treatment of intrusive memories. At this stage of development, uniformity of clinical practice in the trauma field is neither possible nor desirable. The literature suggests that a wide range of treatment interventions are effective. But diversity in practice does not preclude coherence in conceptualization. This article presents a general theoretical framework to provide clinicians and patients with a rationale for treating intrusive symptoms of PTSD. To illustrate the applicability of the framework, the authors critique Shapiro's recent theoretical explanation of Eye Movement Desensitization and Reprocessing (EMDR), an exemplary cognitive-behavioral approach to the treatment of trauma. EMDR merits careful theoretical reappraisal, because it has become a highly popular and seemingly effective technique that currently rests on an unsound neurobiological theoretical foundation. [Author Abstract]

Keywords: Hallucinations Intrusive Thoughts Memory Impairment Neurophysiology Professional Criticism Psychotherapeutic Processes PTSD Treatment Effectiveness

Accuracy Verified: Yes

134. Codina, C., & Olivia, A. M. (2012, June). Concordancia corazon y cerebro [Heart and brain concordance]. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain.

Language: Spanish

Format: Conference

Abstract: Abstract: Si bien es cierto que el EMDR tiene como objetivo el procesamiento de la información perturbadora hacia un estado adaptativo, no lo es menos que una exhaustiva y previa preparación de la persona, con el fin de asegurar sus recursos internos, facilita muchísimo el trabajo, cooperando en gran medida al éxito del mismo. Considero, por tanto, cuestión de responsabilidad terapéutica nutrir previamente al paciente con un amplio y efectivo surtido de ejercicios que refuercen su sentimiento de seguridad y confianza. En este sentido, la aportación de mi experiencia puede mostrar que: fomentar el desarrollo de la “Consciencia Psicocorpórea”(1) deviene el gran aliado no solamente de los seres humanos implicados en el proceso terapéutico, sino también del EMDR, el método terapéutico en sí. Llegué al EMDR impulsada por comprender ¿Qué ocurría? cuando en el proceso de solución, efectuando Constelaciones Familiares(2), los ojos cerrados del cliente(3) , a menudo, se movían como en la fase REM del sueño. Necesitaba una explicación. En el 2003 la encontré en un libro de David Servan-Schreiber sobre EMDR, generando un nuevo interrogante fruto del cual nace el trabajo: CONCORDANCIA CORAZÓN & CEREBRO CARMEN CODINA, EL EJERCICIO 5C.

Abstract: While the EMDR aims at disturbing information processing towards an adaptive state, the fact remains that a thorough and after preparation of the person, in order to ensure its internal resources, greatly facilitates the work, cooperating greatly to the success. I consider, therefore, a matter of responsibility to nurture therapeutic advance for patients with a wide and effective range of exercises to strengthen their sense of security and confidence. In this sense, the contribution of my experience may show that: encourage the development of "Psicocorpórea Consciousness" (1) becomes not only a great ally of the humans involved in the therapeutic process, but also of EMDR, the therapeutic method itself. I came to understand EMDR driven by What happened? when the settlement process, making Constellations (2), the closed eyes of the customer (3) often moved as in REM sleep. I needed an explanation. In 2003 I found a book by David Servan-Schreiber about EMDR, creating a new question which arises fruit of work: MATCHING HEART & BRAIN CODINA CARMEN, THE EXERCISE 5C.

Keywords: Poster

Accuracy Verified: Yes

135. Kluft, R. P. (1995,December). The confirmation and disconfirmation of memories of abuse in DID patients: A naturalistic clinical study. Dissociation, 8(4), 253-258.

Language: English

Format: Journal

Abstract:
The charts of 34 dissociative identity disorder (DID) patients in treatment with the author were reviewed for instances of the confirmation or disconfirmation of recalled episodes of abuse occurring naturalistically in the course of their psychotherapies. Nineteen, or 56 %, had instances of the confirmation of recalled abuses . Ten of the 19, or 53 %, had always recalled the abuses that were ronfirrned. However, 13 of the 19, or 68%, obtained documentation . of events that were recovered in the course of therapy, usually with the use of hypnosis. Three patients, or 9%, had instances in which the inaccuracy of their recollection could be demonstrated. The forgetting oftraumatic experiences, their reasonably accurate recovery in treatment, and the formation of pseudomemories in clinical populations were all documented in this study . This suggests that stances that are either extremely credulous of retrieved recollections or extremely skeptical of retrieved recollections are inconsistent with clinical data, and therefore are not constructive influences on the contemporary scientifi c study of trauma and memory. [Author Abstract]

Keywords: Abuse DID Dissociative Identity Disorder Memories

Accuracy Verified: Yes

136. Leeds, A. (2006, September). The consensus model. In criteria for assuring appropriate clinical use and avoiding misuse of resource development & installation when treating complex posttraumatic stress syndromes (A. Leeds). Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient & stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical situations the use of RDI is indicated; for which patients and clinical situations RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Complex PTSD Complex Posttraumatic Stress Disorder C-PSTD Consensus Model Resource Development & Installation RDI Treatment Criteria

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

138. 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

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

Language: English

Format: Conference

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

Keywords: Combat Controlled Treatment Outcome Study Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

140. 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

141. Chard, K. M., & Gilman, R. (2005, August). Counseling trauma victims: 4 brief therapies meet the test. Current Psychiatry, 4(8). 50, 55-58, 61-62, 64.

Language: English

Format: Magazine

Abstract:
Therapists once believed trauma survivors required years of treatment, yet we now know that relatively brief cognitive-behavioral interventions can yield long-term gains in psychosocial and psychological function. Many psychiatric patients meet diagnostic criteria for PTSD, including: 33% of women experiencing sexual assault, 30% of male war veterans, and 30% of the 5 million U.S. children exposed to trauma each year. The authors offer recommendations on how to prepare traumatized adults and children for cognitive-behavioral therapy (CBT) and discuss four tested models -- prolonged exposure (PE), cognitive processing therapy (CPT), eye movement desensitization and reprocessing (EMDR), and stress inoculation training (SIT) -- that psychiatrists may find effective when treating PTSD. [Adapted from Text] [Pilots]

Keywords: Brief Psychotherapy Cognitive Therapy Exposure Therapy Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

142. Cahill, S. P. (2000, July 1). Counterpoint: Evaluating EMDR in treating PTSD. Psychiatric Times, 17(7), 3-14.

Language: English

Format: Magazine

Abstract:
EMDR: Is Psychiatry Missing the Boat? (point) EMDR in Treating PTSD (counterpoint) This discussion focuses on the efficacy of Eye Movement Desensitization and Reprocessing (EMDR), a highly controversial treatment for patients with posttraumatic stress disorder (PTSD). The point article stresses the extensive body of literature that shows the efficacy and safety of EMDR as a treatment protocol. It also explains the treatment process. The counterpoint article argues that much of the research supporting EMDR may not be methodologically sound and that attempting to make statements of efficacy based on the current literature may not be wise.[Psychiatric Times]

Keywords: Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

143. Leeds, A. (2006, September). Criteria for assuring appropriate clinical use and avoiding misuse of Resource Development & Installation when treating complex posttraumatic stress syndromes. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient & stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients and clinical situations the use of RDI is indicated; for which patients and clinical situations RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Consensus Model RDI Resource Development and Installation Treatment Criteria

Accuracy Verified: Yes

144. Leeds, A. M. (2007, June). Criteria for assuring appropriate clinical use and avoiding misuse of resource development and installation when treating complex posttraumatic stress syndromes. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories (Brown, Scheflin, & Hammond, 1998; Chu, 1998; Courtois, 1999; Hart, Nijenhius, Steele, 2006). Resource Development and Installation (RDI) has been described in a series of published case reports as an effective stabilizing intervention for adult survivors of adverse childhood experiences (Korn & Leeds, 2202; Leeds, 1997, 1998, 2001b; Leeds & Shapiro, 2000; Popky, 2005). These clinical case reports of RDI have been described observed decreases in intense shame, depersonalization, angry outbursts, self-injurious behaviors, compulsive eating, obsessive self-critical thoughts, persistent negative emotional states (misery), sexual acting out, and substance abuse. There are now several published procedural descriptions (Korn & Leeds, 2002; Leeds, 2001; Leeds & Shapiro, 2000) and a summary in the standard reference text on EMDR (Shapiro, 2001).
The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with post traumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been persistently offered RDI without being offered standard EMDR reprocessing. EMDR has been shown to produce stable, enduring treatment effects for symptoms of posttraumatic stress disorder. RDI has not. Until recently (Korn et al, 2004; Leeds, 2005, 2006; Shapiro, 2004) little attention has been given to assuring appropriate use and avoiding misuse of RDI. This presentation will describe serious clinical and professional issues in continuing to offer RDI over repeated treatment sessions to patients with posttraumatic stress syndromes who meet or achieve readiness criteria for standard EMDR reprocessing and in failing to offer or in excessively delaying EMDR reprocessing.
This presentation will clarify and review specific criteria for identifying: for which patients (1) and clinical situations (2) the use of RDI is indicated; for which patients and clinical situations (3) RDI should be offered cautiously, if at al, but alternate stabilization methods should be considered; and for which patients (4) RDI should not be offered but where standard EMDR processing should be offered without delay. An overview of RDI procedural steps will be presented (5) to clarify its clinical application. Strategies will be offered to address technical, clinical and countertransference issues that may b associated with misuse or excessive use of RDI. A series of ten clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD RDI Resource Development and Installation

Accuracy Verified: Yes

145. Leeds, A. (2010, July). Criteria for assuring appropriate clinical use and avoiding misuse of resource development and installation when treating complex posttraumatic stress syndromes. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
The consensus model of treatment for patients with complex posttraumatic syndromes emphasizes assuring adequate stabilization before and during uncovering and resolving of traumatic memories. Resource Development and Installation (RDI) has been reported to be a potentially effective intervention for enhancing patient stabilization. There are now several published descriptions and case reports of RDI including a summary in the standard reference text on EMDR. The growing use of RDI by EMDR trained clinicians has been followed by reports indicating that a significant number of patients with posttraumatic stress syndromes who meet standard EMDR readiness criteria for ego strength and stability have been offered RDI without being offered standard EMDR reprocessing. This presentation will review specific criteria for identifying: for which patients (1) and clinical situations (3) the use of RDI is indicated; for which patients and clinical situations (4) RDI should be offered cautiously, if at all, but alternate stabilization methods should be considered; and for which patients (2) RDI should not be offered but where standard EMDR reprocessing should be offered without delay. An overview of RDI procedural steps will be presented (5) to clarify its use. Strategies will be offered to address technical, clinical and countertransference issues that may be associated with misuse of RDI. Clinical vignettes will be presented to illustrate appropriate clinical use, clinical cautions and misuse of RDI.

Keywords: Posttraumatic Stress Disorder PTSD RDI Resource Development & Installation

Accuracy Verified: Yes

146. Kluft, R. P. (2003). Current issues in dissociative identity disorder. Bridging Eastern and Western Psychiatry, 1(1), 71-87.

Language: English

Format: Magazine

Abstract:
Dissociative Identity Disorder (DID), formerly Multiple Personality Disorder (MPD), remains among the most challenging of mental disorders. It is difficult to understand, to diagnose, to treat, to discuss objectively in the face of the many controversies that swirl around it. It remains a condition that requires intensive individual psychotherapy for its satisfactory resolution. The controversies that have surrounded DID have often obscured the progress that has been made. DID is emerging as a not uncommon consequence of overwhelming childhood events. The major challenges facing the treatment of DID are disentangling this condition and its therapy from the controversies that swirl about them, encouraging the more widespread use of specific diagnostic approaches, educating managed care organizations to accept standards of care for DID that are based upon those treatment approaches that are effective, making specific treatments for DID more available, and continuing to develop more successful approaches for the more difficult-to-treat DID subgroups of DID patients.

Keywords: Dissociative Identity Disorder DID MPD Multiple Personality Disorder

Accuracy Verified: Yes

147. Young, W., Puk, G., & Rouanzoin, C. C. (1995, June). Current trends using EMDR in dissociative disorders. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This workshop covers the screening, diagnosis, treatment and pitfalls encountered in using EMDR in Dissociative Disorders. The unexpected finding of dissociative disorders among trauma victims using EMDR requires therapists to be able to recogme and screen for dissociative conditions. Under special circumstances, these patients may have negative reactions which the EMDR therapist should be prepared to manage. Treatment requires a strong alliance, an awareness of dissociation and the management of patients' abreactions. Treatment guidelines have been established for using EMDR which can guide therapists as our expmence with dissociative disorders evolves. A careful informed consent should be obtained and an assessment of the patient's inner resources made so that ffagile patients with histories of chronic trauma are not inadvertently injured. Further, EMDR is not designed as a tool for "memory work" but for the reduction of distress for events or experiences already known. Lectures, discussions, handouts and video tape demonstrations show the application of EMDR in a variety of conditions. The results of a pilot study using EMDR in 15 patients with 33 target symptoms will be presented. In this limited sample, between 50% and 60% of patients achieved significant reduction of their distress levels on selected targets. A variety of responses occurred including fusions, generalization effects, and establishmg inner dialogue. In addition, a variety of problems arose resulting in treatment failures or cessation of EMDR. These include such reactions as flooding, escalation of anger, paranoia and resistance to the treatment. The implications of these findings suggest that cautious patient selection and use of EMDR has a potential use and that as research in this population continues, strategies for overcoming problem areas can be developed.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

148. van der Kolk, B. A. (1997, July). Current understanding of the psychobiology of trauma. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.

Language: English

Format: Conference

Abstract:
Trauma as an etiological agent in the genesis of psychopathology was largely ignored between the end of the second world war and the end of the Vietnam war, forty years later. Trauma-based psychiatric problems were generally dismissed, as exemplified by the above quote about the impact of childhood sexual abuse in the leading textbook of psychiatry in 1972. In the wake of the Vietnam war the diagnosis of PTSD was constructed for inclusion in the DSM-Ill in order to capture the psychopathology associated with traumatization in adults. However, over the years, it has become clear that in clinical settings the majority of treatment seeking patients have been exposed to a range of different traumatic events over their life-span, and suffer from a variety of psychological problems that are not included in the diagnosis of PTSD. These include depression and self-hatred, dissociation and depersonalization, selfdestructive behaviors, problems with close relations and an impairment in the capacity to experience pleasure, satisfaction and 'fun'. These other problems are generally relegated to the status of "co-morbid conditions", rather than being recognized as part of a spectrum of extremely treatment resistant trauma- related problems that occur depending on the age at which the trauma occurred, the relationship to the agent responsible for the trauma, social support received and the duration of the traumatic experience(s).

Keywords: Psychobiology

Accuracy Verified: Yes

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

Language: Italian

Format: Conference

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

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

Keywords: Practrice Theory

Accuracy Verified: Yes

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

Language: Italian

Format: Conference

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

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

Keywords: Autism Cancer Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

151. Arnold, C. (2002). David Lister's 1999 paper. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.

Language: English

Format: Other

Abstract:
"I concur with David Lister's model of utilising EMDR in Medical Practice. My own personal trauma has been around radical surgery when I was 24, which was life saving but nonetheless changed the course of my life. The possibilities for healing are endless if EMDR could be incorporated into complementary care units of hospitals that are becoming popular here in the USA. (Complementary care units are quite unlike British health centres, complementary care units offer yoga, meditation, message, visualization, relaxation techniques, hypnosis and biofeedback to patients suffering from a broad range of medical problems, including those with catastrophic illness. Some include homeopathy and herbal medicine as part of the treatment plan. These units have not been without controversy, and administrators have waged a long and hard battle against the medical establishment.)

Keywords: David Lister Letter

Accuracy Verified: Yes

152. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2011, April). De behandeling van complexe PTSS-patiënten [The treatment of complex PTSD patients]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Vooral bij de behandeling van de complexere patiënten met een posttraumatische stressstoornis (PTTS) worden niet altijd de evidence-based behandelvormen toegepast zoals die zijn beschreven in de richtlijnen. Vaak worden slecht gedefinieerde stabilisatietechnieken toegepast, veelal gecombineerd met farmacotherapie. In deze bijblijfsessie zullen een drietal traumagerichte psychotherapeutische behandelvormen worden gepresenteerd, met speciale aandacht voor complexe ptss-patiënten. Dit zijn de narratieve exposure therapy (NET), het Kort Eclectisch Protocol voor PTSS (KEP) en eye movement desensitisation and reprocessing (EMDR). Betoogd zal worden, dat ook bij complex getraumatiseerde patiënten heel goed met net, kep of emdr traumagerichte behandeling kan plaatsvinden en dat dit doorgaans de voorkeur verdient boven andere behandelmethoden. Wel zijn soms aanpassingen in de therapievorm noodzakelijk. Bij deze aanpassingen zal worden stilgestaan. leerdoel Aan het einde van de sessie wordt de deelnemer geacht goed op de hoogte te zijn van drie evidence-based behandelvormen voor ptss; en kennis te hebben van de mogelijkheden om ook bij complexere patiënten deze traumagerichte behandelingen uit te voeren.

Especially in the treatment of complex patients with post-traumatic stress disorder (PTTS) are not always evidence-based forms of treatment applied as described in the guidelines. Often poorly defined stabilization techniques, often combined with pharmacotherapy. This will bijblijfsessie three trauma-focused psychotherapeutic treatment modalities are presented, with special attention Complex PTSD patients. These are the narrative exposure therapy (NET), the Short Eclectic Protocol for PTSD (SEP) and Eye Movement Desensitisation and reprocessing (EMDR). Will be argued that, even in complex traumatized patients with very good network, kep or EMDR trauma-focused treatment place and that it is generally preferred appropriate than other treatments. Or adjustments are sometimes necessary in the form of therapy. Such adjustments will be considered. Learning Objectives At the end of the session the participant is deemed to be well informed of three evidence-based treatments for PTSD, and be aware of the possibilities even under these complex patients, trauma-focused treatments prior to arrival.

Keywords: Narrative Exposure Therapy NET SEP Short Eclectic Protocol

Accuracy Verified: Yes

153. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2011, Het Voorjaar). De behandeling van complexe ptss-patiënten: Traumagerichte therapieën [The treatment of complex PTSD patients: Trauma-focused therapies]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam .

Language: Dutch

Format: Conference

Abstract:
Bij de behandeling van complexe ptss-patiënten wordt niet altijd de evidence- based behandeling toegepast, zoals die wordt beschreven in de richtlijnen. Doorgaans is de mening, dat stabilisatie het enige mogelijke is vanwege gevaar voor psychische decompensatie. Inmiddels is voldoende evidentie, dat traumagerichte therapieën ook bij complexe ptsspatiënten mogelijk en effectief zijn. Doel: In deze bijblijfsessie zal worden betoogd, dat evidence-based traumagerichte behandeling bij complexe ptss-patiënten mogelijk en wenselijk is. Aandacht zal worden besteed aan moeilijkheden en mogelijkheden bij deze groep patiënten. Methoden: Na een algemene inleiding over de richtlijnen voor psychotherapeutische behandeling van ptss en over complexe ptss (R. Jongedijk), zullen vervolgens presentaties worden gegeven over drie evidence-based behandelvormen voor ptss, te weten het Kort Eclectisch Protocol voor ptss (kep; B. Gersons), narratieve exposure therapy (net; R. Jongedijk) en eye movement desensitisation and reprocessing (emdr; J. ter Heide). Expliciet zal worden ingegaan op de moeilijkheden en mogelijkheden van deze therapievormen bij complexe ptss-patiënten. De aanpassingen in de behandeling voor deze groep patiënten zal worden besproken. Na de voordrachten zal er tijd zijn voor vragen en discussie. Resultaten: Er is een duidelijk overzicht gegeven van drie evidence-based psychotherapievormen voor ptss. Voor de complexe groep ptss-patiënten zijn de eventuele aanpassingen aan de standaardprocedures van de behandeling aan bod gekomen. Aangetoond is dat deze behandelvormen goed toepasbaar zijn bij complexe ptss-patiënten. Conclusie: Evidence-based behandeling van complexe ptss-patiënten door middel van traumagerichte psychotherapie heeft doorgaans de voorkeur. De deelnemer van de bijblijfsessie heeft kennis genomen van drie evidence-based behandelvormen voor ptss en kent de moeilijkheden en mogelijkheden om deze toe te passen bij complexe ptss-patiënten.

In the treatment of complex PTSD patients is not always evidence-based treatment applied as described in the guidelines. Typically, the view that stabilization is the only possible because of risk of psychological decompensation. Meanwhile, sufficient evidence that trauma-focused therapies even for complex ptsspatiënten possible and effective. Purpose: This bijblijfsessie will be argued that evidence-based trauma-focused treatment for complex PTSD patients is possible and desirable. Consideration will be given to problems and opportunities in this patient group. Methods: After a general introduction about the guidelines for psychotherapeutic treatment of PTSD and complex PTSD (R. Jongedijk) will then presentations are given on three evidence-based treatments for PTSD, namely the short Eclectic Protocol for PTSD (kep; B . Gersons), narrative exposure therapy (net; R. Jongedijk) and Eye Movement Desensitisation and Reprocessing (EMDR, J. Heide). Will explicitly address the difficulties and possibilities of this therapy are patients with complex PTSD. The adjustments in the treatment of these patients will be discussed. After the presentations there will be time for questions and discussion. Results: There is a clear overview of three evidence-based forms of psychotherapy for PTSD. For the complex group of PTSD patients, the adjustments to the standard procedures of treatment addressed. It has been demonstrated that these therapies are well applicable for complex PTSD patients. Conclusion: Evidence-based treatment of complex PTSD patients by trauma-focused psychotherapy is usually preferred. The participant of bijblijfsessie has noted three evidence-based treatments for PTSD and knows the difficulties and possibilities to apply it in complex PTSD patients.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

154. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2010). De behandeling van patiënten met PTSS met narrative exposure therapy, het kort eclectisch protocol voor PTSS en eye movement desensitisation [The treatment of patients with PTSD narrative exposure therapy, the short protocol for PTSD and eclectic eye movement desensitisation]. Tijdschrift voor Psychiatrie 52(4), 4.

Language: Dutch

Format: Journal

Abstract:
Achtergrond: Bij de behandeling van patiënten met een posttraumatische stressstoornis (ptss) worden niet altijd de evidence-based behandelvormen toegepast zoals beschreven in de richtlijnen en in de literatuur. Vooral bij de complexere traumapatiënten worden regelmatig alleen stabilisatietechnieken en/of farmacotherapie toegepast. Doel: In deze bijblijfsessie wordt betoogd dat evidence-based traumagerichte behandeling mogelijk en wenselijk is, ook bij veel complexe patiënten die te maken hebben gehad met oorlog, vervolging, geweld en/of beroepsgerelateerd trauma. Methoden: Er zullen drie voordrachten worden gegeven, met daarna discussie, door drie specialisten in de behandeling van ptss. De voordrachten zullen drie evidence-based behandelvormen voor ptss illustreren, te weten narrative exposure therapy (net), het Kort Eclectisch Protocol voor ptss (kep) en eye movement desensitisation and reprocessing (emdr). Resultaten: De drie getoonde behandelvormen zijn goed toepasbaar en effectief bij patiënten met een ptss. Dit zal worden aangetoond met behulp van theoretische uitgangspunten, ervaringen uit de klinische praktijk en onderzoeksgegevens. Conclusie: Behandeling van complexe traumapatiënten met ptss door middel van traumagerichte psychotherapie heeft doorgaans de voorkeur. De deelnemer van de bijblijfsessie heeft kennisgenomen van drie evidence-based behandelvormen voor ptss.

Background: In the treatment of patients with post traumatic stress disorder (PTSD) are not always evidence-based treatment as described in the application forms and guidelines in the literature. Especially with complex trauma patients are frequently only stabilization techniques and /or pharmacotherapy used. This goal bijblijfsessie is argued that evidence-based trauma-focused treatment is possible and desirable, even with many complex patients who have experienced war, persecution, violence and / or job-related trauma. Methods: will be given three nominations, followed by discussion, by three specialists in the treatment of PTSD. The presentations will be three evidence-based treatments for PTSD illustrate, namely narrative exposure therapy (NET), the Short PTSD Eclectic Protocol (KEP) and Eye Movement Desensitisation and Reprocessing (EMDR). The results shown three forms of treatment are well applicable and effective in patients with PTSD. This will be demonstrated using theoretical assumptions, experiences from clinical practice and research. Opinion Treatment of complex trauma patients with PTSD using trauma-focused psychotherapy is usually preferred. The participant of bijblijfsessie has noted three evidence-based treatments for PTSD.

Keywords: Narrative Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

155. van der Vleugel, B. (2013, April). De behandeling van PTSS bij mensen met een psychotische stoornis [The treatment of PTSD in people with a psychotic disorder]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Trauma is een risicofactor voor het ontwikkelen van psychose. Het hebben van een ernstige psychiatrische aandoening verhoogt de kans op het ontwikkelen van een co-morbide posttraumatische stress stoornis. Desondanks wordt een co-morbide PTSS zelden gediagnostiseerd en wanneer dit wél gebeurt is behandeling van deze PTSS bepaald niet vanzelfsprekend. Behandelaren vrezen vaak dat het openlijk bespreken van traumatische levenservaringen zal leiden tot decompensatie, heropname, middelenmisbruik, zelfbeschadigend gedrag en / of suïcidaliteit. Ondertussen werken de PTSS klachten als olie op het vuur van de psychose. Omdat mensen met psychotische klachten over het algemeen werden uitgesloten van deelname aan onderzoek naar de effecten van PTSS behandeling was lang niet bekend of psychologische behandeling conform de Richtlijn Angststoornissen ook bij deze populatie veilig en effectief is. Hier begint verandering in te komen. In deze presentatie komen achtereenvolgens aan bod: - De resultaten van een pilot onderzoek naar de effecten van EMDR bij mensen met een psychotische stoornis en een co-morbide PTSS (Van den Berg & Van der Gaag, 2012). - De resultaten van een gecontroleerde multiple baseline study naar de effecten van EMDR en Prolonged Exposure bij mensen met een psychotische stoornis en een comorbide PTSS (De Bont, Van Minnen & De Jongh, submitted). - De opzet en eerste bevindingen van het onderzoeksproject Treating Trauma in Psychosis (T.TIP), een multicenter RCT naar de behandeling van PTSS bij mensen met een psychotische Trauma is a risk factor for the development of psychosis. Having a severe psychiatric condition increases the chance of the development of a co-morbid post-traumatic stress disorder. Nevertheless, a co-morbid PTSD rarely diagnosed and when this happens, treatment of these PTSD determined not obvious. Clinicians often fear that openly discussing traumatic life experiences will lead to decompensation, reuptake, substance abuse, self-injurious behavior and / or suicidality. Meanwhile, the PTSD symptoms as fuel to the fire of the psychosis. Because people with psychotic symptoms were generally excluded from research into the effects of PTSD treatment was long unknown or psychological treatment in accordance with Directive Anxiety disorders also in this population safely and effective. Here begins to be changing. This presentation will subsequently be discussed: - The results of a pilot study on the effects of EMDR in people with a psychotic disorder and comorbid PTSD (Van den Berg and Van der Gaag, 2012) . - The results of a controlled multiple baseline study on the effects of EMDR and Prolonged Exposure to people with a psychotic disorder and comorbid PTSD (De Bont, Van Minnen & De Jongh, submitted). - The design and initial findings of the research Treating Trauma in Psychosis (T.TIP), a multicenter RCT on the treatment of PTSD in people with a psychotic disorder (De Bont et al, submittedstoornis (De Bont et al., submitted).

Keywords: Posttraumatic Stress DIsorder PSTD Psychotic Disorders

Accuracy Verified: Yes

156. Ligeon, S. N. (2011). De invloed van oogbewegingen en klikjes op de naarheid en levendigheid van negatieve herinneringen [The influence of eye movements and clicks into the nature and vibrancy of negative memories]. Utrecht, Nederlands: Universiteit Utrecht.

Language: Dutch

Format: Dissertation/Thesis

Abstract: Eye movement desensitization and reprocessing (EMDR) is a widely applied therapy for posttraumatic stress disorder (PTSD). In this therapy patients make eye movements while recalling traumatic memories. It is suggested that EMDR taxes working memory and this reduces ratings of the vividness and emotionality of traumatic memories. Although this has been studied extensively for the effectiveness of eye movements, research on bilateral beeps is scarce. Whit a sample of 42 students we compared the effectiveness of eye movements and bilateral beeps. Results indicate that eye movements are more effective in reducing vividness and emotionality of negative memories. Indirectly testing a mechanism proposed by the Working Memory Theory, we found that participants with a larger working memory focused their attention more on the memory as compared to students with a smaller working memory. In sum we conclude that bilateral beeps are inferior to eye movements in the reduction of vividness and emotionality of memories

Keywords: Intrusive Memory Posttraumatic Stress Disorder PTSD Startle Reflex Working Memory

Accuracy Verified: Yes

157. 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

158. Jaspers, J. (2011, May). De relatie tussen wetenschap en klinische praktijk [The relationship between science and clinical practice]. Psychologie & Gezondheid, 32(2), 59-60. "Online First".

Language: Dutch

Format: Journal

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

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

Keywords: Mindfulness and Meditation Training, MTT

Accuracy Verified: Yes

159. Knipscheer, J., van Middendorp, H., & Kleber, R. (2011, August). De rol van cultuur in het omgaan met psychotrauma [The role of culture in coping with psychotrauma]. Psychologie & Gezondheid, 39(3), 125-131.

Language: Dutch

Format: Journal

Abstract:
The role of culture in coping with psychotrauma In this paper, the theme of the special issue on Culture and Trauma is introduced. In both empirically oriented articles as well as theoretical and contemplative contributions, the role of culture and migration context in the development of psychological problems following trauma, culture-specific or generic coping with the consequences, help-seeking behavior, and the need for culturally sensitive treatment is explored. First, the influence of the migration context is considered with regard to the possible sickening role of the asylum procedure, the burden for immigrant women who have undergone female genital mutilation and now live in a society that seriously condemns it, and the dilemma of Islamic migrants who experience homosexual feelings while living in a secularized society. Following are some contributions on cultural diversity in the expression of trauma symptoms, like somatization among refugees and the articulation of rage and embitterment among labor migrants. The impact of trauma in combination with migration on families and how children can be affected by the traumatization of their parents is the topic of two contributions in which the role of the (extended) family is explored and a contextual approach to working with families with trauma-related symptoms (a mentalization based multifamily therapy) is described. The factors that impede therapyseeking behaviour and drop-out are discussed in a study on Moroccan or Turkish girls who were raped. Finally, the applicability and efficacy of evidence-based interventions for treating ethnic minority patients with posttraumatic stress disorder is illustrated by a study on Eye Movement Desensitization and Reprocessing with refugees and an article on specific elements of intercultural trauma therapy that appear to be culturally sensitive.

Keywords: Asylum Procedure Cultural Diversity Culture Ethnic Minority Patients Female Genital Homosexuality Islamic Migrants Mentalization-Based Multi-Family Therapy Mutilation Migration Context Posttraumatic Stress Disorder PTSD Psychotrauma Trauma

Accuracy Verified: Yes

160. 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

161. Thompson, P. (2007, April-May). Defending EMDR. Scientific American Mind, 18(2), 5.

Language: English

Format: Magazine

Abstract:
A letter to the editor is presented in response to the article "Taking a Closer Look," by Scott O. Lilienfeld and Hal Arkowitz in a previous issue.
The authors state that EMDR is not more effective than standard behavioral and cognitive-behavioral therapies. I have heard that EMDR is less stressful than standard therapies for PTSD and thus has a lower dropout rate and that this difference is not taken into account in studies of EMDR (because only patients who complete therapy are included in the studies). Is there indeed a difference in dropout rates?

Keywords: Letter

Accuracy Verified: Yes

162. 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 señalar 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

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

Language: Spanish

Format: Dissertation/Thesis

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

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

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

164. Marcela, L., & Lemus, G. (2008, December). Desensibilización y reprocesamiento con movimientos oculares [Eye movement desensitization and reprocessing]. Revista Colombiana de Psiquiatría, 37(Supplement 7). .

Language: Spanish

Format: Journal

Abstract:
Introducción: La técnica de desensibilización y reprocesamiento con movimientos oculares (EMDR, por sus iniciales en inglés) es un método terapéutico relativamente reciente que ha mostrado efi cacia en el tratamiento de diferentes entidades psiquiátricas y somáticas. Se postula que sus resultados se logran a través de cambios en el proceso de almacenamiento de recuerdos y en las respuestas físicas y emocionales relacionadas. Objetivo: Describir las características principales de la EMDR y sus aplicaciones. Método: Revisión de la literatura. Desarrollo y conclusiones: La EMDR es una técnica útil para el tratamiento de una gran variedad de trastornos psiquiátricos y somáticos. Se han descrito algunas reacciones adversas, lo cual resalta la importancia de elegir adecuadamente los pacientes candidatos a ser tratados con esta terapia.

Introduction: The Eye Movement Desensitization and Reprocessing technique (EMDR) is a relatively new treatment method that has shown to be effective in treating different psychiatric and somatic entities. It is postulated that its results are achieved through changes in the process of memory storing and in the related physical and emotional responses. Objective: To describe the main characteristics of EMDR and its applications. Method: Literature review. Development and conclusions: EMDR is a useful technique in the treatment of a large series of psychiatric and somatic disorders. Some adverse reactions have been described and this stresses the importance of selecting adequately those patients to be treated with this therapy.

Keywords: Desensitization Eye Movement Psychiatric Disorders

Accuracy Verified: Yes

165. Eimer, B. N. (1993, Spring). Desensitization and reprocessing of chronic pain with EMDR. EMDR Network Newsletter, 3(1), 13-17.

Language: English

Format: Newsletter

Abstract:
There are two widely accepted assumptions about personality and psychopathology that influence the success of failure of our use of EMDR with patients. While the following notions have been restated in different ways by various schools of personality, the reader is referred to the work of George Kelly (1955) for the most complete elaboration of these assumptions.

Keywords: Chronic Pain Pain Pain Management Personality Psychopathology

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Borderline Personalith Disorder Comorbid DID Complex Trauma

Accuracy Verified: Yes

167. Stierum, A. J., & van Heijningen, J. G. M. (2011, April). Diagnostiek en behandeling van dissociatieve stoornissen bij kinderen en jeugdigen [Diagnosis and treatment of dissociative disorders in children and adolescents]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Inhoud van de workshop: Dissociatie en trauma zijn nauw met elkaar verbonden. Dissociatieve stoornissen worden toch vaak niet herkend en dissociatieve stoornissen bij kinderen gelden als controversieel. Kinder- en jeugdpsychiaters leren in de opleiding weinig over dissociatieve stoornissen. In de workshop wordt aandacht besteed aan het herkennen van dissociatieve stoornissen bij (seksueel) getraumatiseerde kinderen en aan de behandeling ervan, geïntegreerd in de traumabehandeling. Ernstig getraumatiseerde kinderen hebben vaak meerdere diagnoses, zoals posttraumatische stoornissen essentieel is voor het slagen van een goede traumabehandeling. We bespreken de internationale richtlijnen en recente literatuur over diagnostiek en behandeling van dissociatieve stoornissen bij kinderen. Neurobiologische aspecten van vroegkinderlijke traumatisering en de gevolgen hiervan voor het kind worden behandeld. Verschillende behandelmethoden zoals eye movement desensitisation and reprocessing (EMDR) en differentiatiefasetherapie worden besproken. Vorm: —— Aan de hand van presentaties worden de theorie en de praktijk van de diagnostiek en het behandelen van dissociatieve stoornissen bij kinderen en jeugdigen besproken. —— We tonen beeldmateriaal van diagnostiek en behandeling van dissociatieve stoornissen bij kinderen en jeugdigen. —— Uitwisselen van ervaring en kennis, inbrengen van casuïstiek en discussie. Leerdoel: —— Aan het einde van de workshop erkent de deelnemer het belang van herkennen en behandelen van dissociatieve stoornissen bij getraumatiseerde kinderen en jeugdigen. —— De deelnemer vergroot zijn kennis van diagnostiek en behandeling van dissociatieve stoornissen van kinderen en jeugdigen, waarbij hij op de hoogte is van de recente literatuur. stressstoornis (PTSS) en hechtingsstoornis. Dissociatieve problematiek kan ook verward worden met onder meer obsessieve-compulsieve stoornissen (ODD), aandachtstekortstoornis met hyperactiviteit (ADHD) en vele andere kinderpsychiatrische stoornissen en zo het resultaat van therapieën bemoeilijken. Wij gaan er daarom vanuit dat herkennen en behandelen van dissociatieve.

Contents of the workshop: Dissociation and trauma are closely linked. Dissociative disorders are often not yet recognized and dissociative disorders in children construed as controversial. Child and adolescent psychiatrists learning in the training little dissociative disorders. The workshop focuses on recognition of dissociative disorders (Sexual) traumatized children and the its treatment, integrated into the trauma treatment. Severely traumatized children often have multiple diagnoses, such as post traumatic stress is essential for the success of a good trauma treatment. We discuss the International guidelines and recent literature about diagnosis and treatment of dissociative disorders in children. Neurobiological Aspects of early childhood trauma and consequences for the child to be treated. Various treatments such as eye Movement Desensitisation and Reprocessing (EMDR) and phase modulation therapy are discussed. Form: - Based on the theory presentations and practice of diagnosis and treatment of dissociative disorders in children and adolescents are discussed. - We show footage of diagnosis and treatment of dissociative disorders children and adolescents. - Share the experience and knowledge, contribute of cases and discussion. Objective: - At the end of the workshop, the participant acknowledges the importance of recognizing and treating of dissociative disorders among traumatized children and adolescents. - Participants increased their knowledge of diagnosis and treatment of dissociative disorders of children and youth, taking on the aware of the recent literature. stress disorder (PTSD) and attachment disorder. Dissociative problem can also confused are including obsessive-compulsive disorder (ODD), attention deficit hyperactivity disorder (ADHD) and many other children's psychiatric disorders and as a result of therapies difficult. We therefore assume that recognition and treatment of dissociative.

Keywords: Adolescents Children Dissociative Disorders Sexual Abuse

Accuracy Verified: Yes

168. Lansch, D. (2008, Januar-März). Die arbeit mit der vier-felder-technik mit komplex traumatisierten menschen [Four-fields technique with people with complex trauma]. EMDRIA Deutschland e.V. Rundbrief, 14, 14-34.

Language: German

Format: Newsletter

Abstract:
Nachfolgend zur Vorstellung der Vier-Felder-Technik im EMDRIA Rundbrief 8 (2006) soll an Hand von Bilderserien die Anwendung der Vier-Felder-Technik bei komplex traumatisierten Patientinnen vorgestellt werden. Insbesondere wird die Arbeit mit unterschiedlichem Ausgangsmaterial als auch der Einsatz dieser Technik in verschiedenen Phasen der Behandlung erläutert. Abschließend zeigen neun Bilderserien, dass auch die Anwendung der Vier-Felder-Technik bei einer dissoziativen Patientin möglich und erfolgreich ist. Dieser Artikel basiert und erweitert die auf den EMDRIA-Tagen 2006 + 2007 gehaltenen Vorträge.

Following the presentation of the four-field technique in EMDRIA Rundbrief 8 (2006) is on the basis of series of images the application of the four-field technique for complex trauma patients are presented. In particular, working with different source material and the use of this technology in various Phases of treatment explained. Finally, nine images show series that also the Application of the four-field technique with a dissociative patient possible and successful is. This article is based and extends the hold on the EMDRIA-days 2006 + 2007 Lectures.

Keywords: Comlex Trauma Four-Fields Technique

Accuracy Verified: Yes

169. Leuenberger, R. (2008). Die EMDR - Methode und ihr bezug zurbersten grundmotivation [EMDR - the method and its relation to basic motivation]. Existenzanalyse, 25(1), 44-53.

Language: German

Format: Newsletter

Abstract:
In dieser Arbeit soll gezeigt werden, dass aufgrund der während vier Jahren in einer ärztlichen Grundversorgerpraxis mit der EMDR (Eye Movement Desensitization and Reprozessing)-Methode gesammelten Erfahrungen zur Behandlung psychisch traumatisierter Patienten mit einer PTBS (posttraumatische Belastungsstörung) über die gängigen, zum Teil hypothetischen neurobiologischen Erklärungsversuche hinaus, die Existenzanalyse sehr viel zum psychologischen wie auch philosophischen Verständnis dieser Methode beitragen kann. Aus den verbalen Äusserungen der Patienten vor, während und nach der Behandlung kann geschlossen werden, dass von den betroffenen Defiziten der vier Grundmotivationen der Existenzanalyse die der ersten Grundmotivation am meisten Bedeutung haben. Anhand von 23 Krankengeschichten werden die Wirkfaktoren der EMDR-Methode mit den Begriffen der ersten Grundmotivation existenzanalytisch verstehbar.

This thesis should demonstrate that existential analysis can make a substantial contribution to the psychological as well as philosophical understanding of the EMDR (Eye Movement Desensitization and Reprozessing) method of treating mentally traumatized patients with a PTSD (Posttraumatic Stress Disorder), and thus extends beyond the common, and to some degree hypothetical, neurobiological attempts at explaining this method. The study is based on the experiences collected over a period of four years in the practice of a general practitioner who used the EMDR method in the treatment of patients suffering from PTSD. According to the verbal statements of patients made before, during and after treatment, it can be concluded that of the relevant deficiencies in the areas of the four fundamental motivations of existential analysis, those having to do with the first fundamental motivation bear the most significance. On the basis of 23 medical histories the effective factors of the EMDR method will become understandable from an existential-analytic point of view by using the concepts of the first fundamental motivation.

Keywords: Existential Analysis: Fundamental Motivation Trauma

Accuracy Verified: Yes

170. Plassmann, R. (2007). Die kunst des lassens: Psychotherapie mit EMDR fur erwachsene und kinder [The art of giving. EMDR for adults and children]. Reihe: edition psychosozial, Giessen: Psychosozial-Verlag.

Language: German

Format: Book

Abstract:
Das Buch beschreibt auf sehr lebendige Weise, mit vielen Fallbeispielen, wie das EMDR und die moderne Hirnforschung die Psychotherapie auf eine völlig neue Grundlage gestellt haben und uns Möglichkeiten an die Hand gegeben haben, die vorher nicht bestanden. Es erläutert dem Fachmann die Arbeitsweise und deren wissenschaftliche Grundlagen und potenziellen Patienten, wie ihr Weg durch den Heilungsprozess aussieht.Wie fördert man seelische Heilungs- und Wachstumsprozesse? Vor dieser Herausforderung steht die wissenschaftliche Psychotherapie seit nunmehr 100 Jahren. Entscheidende Fortschritte sind in den letzten Jahren durch die neuen Methoden der modernen Traumatherapie möglich geworden. Gleichzeitig hat uns die moderne Hirnforschung Einblick gegeben, wie das Gehirn emotionale Belastungen verarbeitet. Die EMDR-Technik (Eye Movement Desensitization and Reprocessing) konzentriert sich der Patient auf ein belastendes Erlebnis während seine Augen gleichzeitig den Handbewegungen des Therapeuten folgen, wodurch eine entlastende Wirkung eintritt. Das Buch beschreibt mit vielen Fallbeispielen auf sehr lebendige Weise, wie das EMDR und die moderne Hirnforschung die Psychotherapie auf eine völlig neue Grundlage gestellt und uns neue Möglichkeiten an die Hand gegeben haben. Es erläutert dem Fachmann die Arbeitsweise und deren wissenschaftliche Grundlagen und potenziellen Patienten, wie ihr Weg durch den Heilungsprozess aussieht, bei Essstörungen, Borderlinestörungen, Traumafolgestörungen und bei allen durch emotionale Überlastung entstandenen Erkrankungen.

The book describes in lively fashion, with many case studies provided as EMDR and modern brain research and therapy in a completely new basis have and have given us opportunities to the hand that were not there before. It explains the workings of the expert and the scientific basis and potential patients, as its way through the healing process aussieht.Wie promotes spiritual healing and growth it processes? That is the challenge the scientific psychotherapy is now 100 years since. Decisive progress in recent years made possible by new methods of modern trauma therapy. At the same time our modern brain research has given insight into how the brain processes emotional stress. The EMDR technique (Eye Movement Desensitization and Reprocessing) focuses the patient on a stressful experience at the same time as his eyes follow the hand movements of the therapist, making an exculpatory effect occurs. The book describes many case studies have a very vivid way, as the modern brain research and the EMDR psychotherapy on an entirely new basis, and given us new opportunities to the hand. It explains the workings of the expert and the scientific basis and potential patients, as you look way through the healing process by eating disorders, borderline personality disorders, trauma disorders, and in all subsequent congestion caused by emotional disorders.

Keywords: Adults Children

Accuracy Verified: Yes

171. Vanderlinden, J., & van Bellinghen, M. (2007). Dilemma’s voor de therapeut: De behandeling van een onder doodsbedreiging verkrachte vrouw [Dilemmas for the therapist: Treatment of a raped woman under death threat]. Directieve Therapie, 27(2), 58-62. doi:10.1007/BF03056845 .

Language: Dutch

Format: Journal

Abstract:
In dit artikel wordt de behandeling beschreven van een vrouw met een ernstige eenmalige traumatische ervaring. Na een moeizame start waarbij de cliënte aanvankelijk psychiatrisch-psychotherapeutisch wordt begeleid, komt er een spectaculaire verbetering na één sessie EMDR. Deze verbetering houdt echter slechts tijdelijk stand, onder meer omdat cliënte zich plotseling erg bedreigd voelt ten gevolge van een gerechtelijke beslissing. Deze tijdelijke terugval illustreert hoe de maatschappelijke en juridische context bijdragen aan het verwerken van ernstige traumatische gebeurtenissen. Tot slot volgt een reflectie op allerlei therapeutische dilemma’s bij planning van deze traumabehandeling.

This article describes the treatment of a woman who was victim of a severe traumatic experience. Since a psychotherapeutic and psychiatric approach only resulted in a small amelioration, an EMDR session was planned resulting in a spectacular improvement. The improvement however was temporarily undone when the woman received a judicial notice stating that her offender was taking the case to Supreme Court. This setback illustrates how social and judicial context attributes to the processing of extreme traumatic experiences. The article concludes with a reflection on the therapeutic dilemmas concerning this trauma treatment.

Keywords: Death Threat Rape Women

Accuracy Verified: Yes

172. Draijer, N. (1996, December). Dissociation in an international perspective: The 1995 Amsterdam Papers. Dissociation, 9(4), 219-220.

Language: English

Format: Journal

Abstract:
Lazrove and Fine describe both the use of and contraindications to EMDR (Eye Movement Desensitization and Reprocessing) in the treatment of DID patients. This technique is an alternate method for managing the processing of trauma. It must be modified to conform to the principles of fractionated trauma work. Apparently such approaches are to be used only by clinicians highly-skilled in work with dissociative disorder patients who are also well-trained in EMDR.

Keywords: Editorial

Accuracy Verified: Yes

173. van der Hart, O. (2007). Dissociation: The key to understanding and treating traumitization. Keynote presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
A precise understanding of trauma-related dissociation is essential for clinical practice, including the use of EMDR with traumatized patients. The existence of many conflicting and vague definitions of dissociation that include a mixture of constructs has obscured understanding of the nature of dissociation. Thus, it is viewed alternately as a process, a structure, a defense mechanism, a deficit, and as various symptoms. Most contemporary clinicians and researchers working with traumatized people have lost a connection with the unifying and comprehensive theory of trauma-related dissociation already outlined over the course of the history of psychiatry. Thus, a return to the original major studies on trauma-related dissociation is essential in clarifying the concept of dissociation, in reconciling it with contemporary science, and in realizing its importance in treatment. The works of two Masters will be used to highlight this basic concept: Pierre Janet (1859-1947) and Charles Myers (1873-1947). The theory of structural dissociation of the personality integrates their original views on dissociation with modern findings from clinical practice and research and developments in the neurosciences. It emphasizes that the personality system of the trauma survivor becomes structurally divided into two or more self-conscious psychobiological subsystems. Some of these subsystems, which we have called “dissociative parts of the personality”, are engaged in daily living and avoidance of traumatic memories, other parts are fixated in traumatic experiences and essentially engaged in animal defensive actions toward perceived danger. More severe chronic traumatization leads to more complex structural dissociation, and thus to more complex trauma-related disorders. Although short-term, intensive treatments such as prolonged exposure and EMDR are appropriate for simple trauma-related disorders, a phase-oriented treatment is the standard of care formore complex disorders. Regardless of treatment modalities employed, be it EMDR or other approaches, therapists need to be skilled in the recognition of symptoms of dissociation and in special treatment approaches that support personality integration among dissociative parts, particularly in working with traumatic memories.

Keywords: Dissociation Keynote

Accuracy Verified: Yes

174. Fraser, G., & Welburn, K (1999, November). Dissociative table technique: Guided imagery strategy for PTSD with dissociation. Poster presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.

Language: English

Format: Conference

Abstract:
In keeping with the theme of bridging gaps across disciplines, the Dissociative Table Technique brings to this trauma conference a strategy from the field of dissociative disorders. This therapeutic adjunct has been used by many therapists over the past 10 years for managing dissociated ego states in trauma victims who also have dissociation as part of their clinical picture. This strategy has been used with dissociative disorders, Ego-State therapy and more recently in conjunction with EMDR for patients having dissociative state alterations in addition to their PTSD. This guided imagery strategy provides a protocol for clinical intervention in such clients and will provide an additional therapeutic adjunct for trauma workers when PTSD is complicated by dissociative pathology. Based on gestalt, guided imagery and hypnosis strategies, the Dissociative Table Technique assists the clinician to bring order to the random dissociation which can complicate therapy in such cases. Also clients can be taught to become aware of and integrate dissociated ego states. This strategy must be carefully considered as it can have a profound effect on the dissociative processes. It is advised that it only be employed by clinicians whose fields permit hypnosis-based therapy.The workshop will commence with a therapeutic rationale for this technique followed by an outline of the clinical application. Included will be a video introducing the technique in a clinical case. The video will be followed by a second speaker discussing possible applications to EMDR. Useful suggestions for utilizing EMDR in this trance-prone population (those with dissociation in addition to PTSD) will be addressed in addition to presenting clinical examples in which the Dissociative Table Technique was integrated with EMDR in appropriate clinical groups.

Keywords: Dissociative Table Technique Dissociation Guided Imagery Poster Posttraumatic Stress Disorder PSTD

Accuracy Verified: Yes

175. 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

176. Freyberger, H. J., & Spitzer, C. (2005, Juli). Dissoziative störungen [Dissociative disorders]. Der Nervenarzt, 76(7), 893-900. doi:10.1007/s00115005-1956-z .

Language: German

Format: Magazine

Abstract:
Die dissoziative Störungen und Konversion sind mit erheblichen klassifikatorischen, diagnostische und therapeutische Schwierigkeiten, die nur in den historischen Kontext der Diskussion über die Hysterie verstanden werden kann, verbunden. Auch die Einstufung in die ICD-10 und DSM-IV ist heterogen. Prävalenzraten zwischen etwa 3% in der allgemeinen Bevölkerung und bis zu 30% in klinischen Populationen, jedoch beziehen sich auf die große klinische Bedeutung. Realtraumatisierungen eine wichtige Rolle in der Pathogenese. High Komorbiditätsraten mit anderen psychischen Störungen eine Tendenz zu chronischen somatischen Erkrankung und ein Konzept (insbesondere bei Patienten mit Erkrankungen erschweren Umwandlung) der psychotherapeutischen Behandlung. Dies erlaubt die Behandlung Ziele sind sowohl psychodynamische und kognitiv-verhaltenstherapeutischen in Abhängigkeit entwickelt, möglicherweise mit den Techniken der Trauma-Therapie, wie EMDR (Springer).

The dissociative and conversion disorders are associated with significant classificatory, diagnostic and therapeutic difficulties that can be understood only in the historical context of the discussion on hysteria. Even the classification in ICD-10 and DSM-IV is heterogeneous. Prevalence rates of between about 3% in the general population and up to 30% in clinical populations, however, refer to the great clinical significance. Realtraumatisierungen have an important role in the pathogenesis. High Komorbiditätsraten with other mental disorders, a tendency to chronic somatic disease and a concept (especially in patients with conversion disorders complicate) the psychotherapeutic treatment. This allows the treatment goals are designed both psychodynamic and cognitive-behavioral dependence in, possibly with the techniques of trauma therapy such as EMDR (Springer).

Keywords: Chronicity (Disorders) Comorbidity Conversion Disorder Diagnosis Dissociative Disorders Epidemiology Etiology Psychotherapy Somatization

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Adults Cognitive Processes Psychotherapeutic Processes

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Anxiety Depression

Accuracy Verified: Yes

179. Butler, K. (1995, July-August). Divided memories. Family Therapy Networker, 19(4), 1.

Language: English

Format: Magazine

Abstract:
Ann Norris first went to see Laguna Beach psychologist Doug Sawin in 1988. She had recently graduated from college with a degree in music and suffered from insomnia and drank alcohol to sleep. But it was her relationship with her mother, Judy, that troubled her most. After Ann's triumphant college graduation vocal recital, Judy hadn't even congratulated her. Two days later, Judy had called and angrily attacked Ann over the phone until Ann cried.
It was the kind of issue that a good family or individual therapist might have addressed by building on Ann's obvious strengths, teaching her to contain and manage her feelings, and coaching her to develop a better relationship with her mother. But Sawin instead focussed intensely on the past. Ann soon had memories of her father sexually abusing her, and later of elaborate cultic abuse, which her three siblings didn't come close to corroborating. She was hospitalized after attempting suicide, and Sawin bluntly told her father, Al, over the phone, of Ann's charges Al collapsed in tears.
Over the years, Ann drew closer to Sawin while her relations with her family and her own mental state grew more troubled. She was diagnosed with Multiple Personality Disorder and, with Sawin's support, sued her parents and grandparents for $20 million. She spent six years in therapy with Sawin She now describes psychiatric hospitals where she still stays periodically because she cuts and burns herself as her "institutional mothers." She has not spoken to her true mother in six years. And she no longer sings.
It doesn't take a PhD in psychology or a seat on a state licensing board to see that Ann is worse off than when she entered therapy. Millions of nontherapists undoubtedly made just such an assessment when Ann, her therapist and her family told their stories before millions of prime-time viewers on "Divided Memories," a four-hour PBS Frontline documentary screened in early May.
In her wide-ranging investigation of therapy, sexual abuse and memory, producer Ofra Bikel used as her primary subject families divided by recovered memories of abuse. She also managed to persuade nearly half a dozen therapists to do therapy while her camera was running. It was a remarkable event, in which all of America was invited behind the one-way mirror to see therapy in action in the midst of its most divisive controversy and to judge it for themselves.

Keywords: MPD Multiple Personality Disorder

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

181. Hembree, E., Foa, E., Dorfan, N., Street, G., Kowalski, J., & Tu, X. (2003, December). Do patients drop out prematurely from exposure therapy for PTSD?. Journal of Traumatic Stress, 16(6), 555-562. doi:10.1023/B:JOTS.0000004078.93012.7d.

Language: English

Format: Journal

Abstract:
Many studies have demonstrated the efficacy of exposure therapy in the treatment of chronic 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 this 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 25 controlled studies of cognitivebehavioral treatment for PTSD that 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. [Author Abstract]

Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD Treatment Dropouts

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Cognitive Change Dose Response

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Trauma Treatment

Accuracy Verified: Yes

185. Connell-Jones, G. (2011). Drug modulated EMDR Treatment for borderline personality disorder. Presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria. European Journal of Psychotraumatology, Supplement 1, 189. doi:10.3402/ejpt.v2i0.7237189.

Language: English

Format: Journal

Abstract:
From my clinical work over the past 4 years a case series of 15 women patients, all detained in a secure hospital for periods of up to 30 years discharged after EMDR therapy. Some cases discussed in depth, others factor analysed as case series. Drug modulation permitted intensive therapy. The factors of complex stress disorder are beeing discussed and its simlarity to borderline personality disorder. The effects of long term instititutionalisation after detention in security. The responsible clinician as ‘‘goaler and therapist’’ as well as therapeutic pitfalls are being explored. The psychopathology of the flashback is contrasted with the psychpathology of the alter (dissociative identity). Prognostic factors and outcomes are being presented. The implications for personality disorder as a diagnosis contrasted with complex PTSD will be evaluated.

Keywords: Borderline Personality Disorder BPD Drug Modulation

Accuracy Verified: Yes

186. 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

187. Shapiro, E., & Laub, B. (2008). Early EMDR intervention (EEI): A summary, a theoretical model, and the recent traumatic episode protocol (R-TEP). Journal of EMDR Practice and Research, 2(2), 79-96. doi:10.1891/1933-3196.2.2.79.

Language: English

Format: Journal

Abstract:
This article examines existing early EMDR intervention (EEI) procedures, presents a conceptual model, and proposes a new comprehensive protocol: the Recent-Traumatic Episode protocol (R-TEP). A review of research and important professional issues regarding application and parameters are presented. The commonly used EEI protocols and procedures are summarized, with the inclusion of descriptive case examples from the Lebanon war and a review of related research. Then a theoretical model is presented in which traumatic information processing is conceptualized as expanding from a narrow focus on the sensory image (perceptual level) to a wider focus on the event/episode (experiential level) and finally to a broad focus on the theme/identity (meaning level). The relationship of this model to the Recent-Traumatic Episode protocol is articulated and case examples are presented. Theoretical speculations are discussed relating to attention regulation and the Adaptive Information Processing (AIP) model. Further research is encouraged. [Author Abstract]

Keywords: Adaptive Information Processing Model AIP Cognitive Processes Crisis Intervention Early EMDR Intervention Emergency Room Patients Israel-Hezbollah War Israelis Prevention of PTSD Psychotherapeutic Processes PTSD Recent Events Survivors

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Early Interventions

Accuracy Verified: Yes

189. Hollander, H. E., & Bender, S. S. (2001, January-April). ECEM (Eye Closure Eye Movements): Integrating aspects of EMDR with hypnosis for treatment of trauma. American Journal of Clinical Hypnosis, 43(3-4), 187-202. doi:10.1080/00029157.2001.10404276.

Language: English

Format: Journal

Abstract:
The paper addresses distinctions between hypnotic interventions and Eye Movement Desensitizing and Reprocessing (EMDR) and discusses their effect on persons who have symptoms of PTSD. Eye movements in hypnosis and EMDR are considered in terms of the different ways they may affect responses in treatment. A treatment intervention within hypnosis called ECEM (Eye Closure, Eye Movements) is described. ECEM can be used for patients with histories of trauma who did not benefit adequately from either interventions in hypnosis or the EMDR treatment protocol used separately. In ECEM the eye movement variable of EMDR is integrated within a hypnosis protocol to enhance benefits of hypnosis and reduce certain risks of EMDR. [Author Abstract]

Keywords: Hypnotherapy Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes Stressors Survivors

Accuracy Verified: Yes

190. 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

191. Kutz, I., Dekel, R., Schreiber, S., Resnick, V., Dolberg, O. T., Barkai, G., Leor, A., Rapoport, E., & Bloch, M. (2008, November). The effect of a single session of EMDR on intrusive distress in acute stress syndromes. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.

Language: English

Format: Conference

Abstract:
Early diagnosis and intervention in mass casualty events: Since September 2000, Israeli and Palestinian societies suffered great losses. on the Israeli side, civilians of all ages, and ethnic groups, have been exposed to various types of terrorist attacks. This symposium examines issues of diagnosis and interventions

The effect of a single session of EMDR on intrusive distress in acute stress syndromes: Purpose: To examine the efficacy of a single session of a modified abridged EMDR protocol in reducing Acute Stress Syndromes (ASS) following accidents and terrorist bombing attacks. Methods: Treatment was provided, in a general hospital inpatient and out-patient setting to 86 patients with ASS. Friday: 11:00 a.m. – 12:15 p.m. Presenters are underlined and discussants are italicized. If serving in both roles, they are both underlined and italicized. Findings: Fifty percent reported immediate fading of their intrusive symptoms and general alleviation of their distress, 27% described partial alleviation of their symptoms, while 23% reported no improvement. Four week and six month follow-up, in the terror victims group only, showed that the immediate responders remained symptom free, while half of the non-responders, who also received subsequent additional interventions modalities, were still symptomatic. Conclusions: The difference in response may be attributed, in part, to the fact that immediate responders tended to have an uncomplicated ASS with fewer risk factors for PTSD, while the non-responders had higher exposure to former traumas and endorsed more risk factors for PTSD. These results support other anecdotal reports on the rapid effects of brief EMDR intervention in uncomplicated cases and offer a psycho-physiological hypothesis for immediate response. While additional controlled studies are essential, this immediate symptomatic relief may be a potential addition for focused interventions in acute trauma victims.

Keywords: Acute Stress Disorder ASD Bombings Israel Palenstine Panel Symposium Terrorists

Accuracy Verified: Yes

192. 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

193. Vaughan, K. (1995, June). The effect of eye movement component of EMDR on emotional processing and arousal in PTSD. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract: T
he aim of this study is to investigate in a controlled manner the effect of eye movements on emotional processing and physiological arousal in 22 PTSD patients. Changes in emotional processing and physiological arousal were measured before during and after EMDR eye movement procedure: for this experiment the EMDR procedure was varied: with a condition with eyes moving in a normal manner; with eyes watching a stationary non-moving finger; and with eyes closed acting as a control condition. In order to measure emotional processing a manual for measuring emotional processing was made. In addition to the results of this experiment the main features of this manual for scoring emotional processing including reliability measures will also be presented. Physiological arousal was measured using galvanic skin response.

Keywords: Arousal Emotional Reprocessing Eye movement Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

194. Nakahara, T., Nakahara, K., Uehara, M., Koyama, K., Li, K., Harada, T., Yasuhara, D., Taguchi, H., Kojima, S., Sagiyama, K., & Inui, A. (2007, May). Effect of juggling therapy on anxiety disorders in female patients. doi:doi:10.1186/1751-0759-1-10. BioPsychoSocial Medicine, 1(10), 1-4.

Language: English

Format: Journal

Abstract:
Aims: The aim of this study was to investigate the effect of juggling therapy for anxiety disorder patients. Design and Method: Subjects were 17 female outpatients who met the DSM-IV diagnostic criteria for anxiety disorders. Subjects were treated with standard psychotherapy, medication and counseling for 6 months. For the last 3 months of treatment, subjects were randomized into either a non-juggling group (n = 9) or a juggling therapy group (juggling group: n = 8). The juggling group gradually acquired juggling skills by practicing juggling beanbags (otedama in Japan) with both hands. The therapeutic effect was evaluated using scores of psychological testing (STAI: State and Trate Anxiety Inventry, POMS: Profile of Mood Status) and of ADL (FAI: Franchay Activity Index) collected before treatment, 3 months after treatment (before juggling therapy), and at the end of both treatments. Results: After 6 months, an analysis of variance revealed that scores on the state anxiety, trait anxiety subscales of STAI and tension-anxiety (T-A) score of POMS were significantly lower in the juggling group than in the non-juggling group (p < 0.01). Depression, anger-hostility scores of POMS were improved more than non-jugglers. In the juggling group, activity scores on the vigor subscale of POMS and FAI score were significantly higher than those in the non juggling group (p < 0.01). Other mood scores of POMS did not differ between the two groups. Conclusion: These findings suggest that juggling therapy may be effective for the treatment of anxiety disorders.

Keywords: Anxiety Disorders Females

Accuracy Verified: Yes

195. Kutz, I., Resnik, V., & Dekel, R. (2008). The effect of single-session modified EMDR on acute stress syndromes. Journal of EMDR Practice and Research, 2(3), 190-200. doi:10.1891/1933-3196.2.3.190.

Language: English

Format: Journal

Abstract:
A single session of a modified, abridged EMDR protocol was provided in a general hospital inpatient and outpatient setting to 86 patients with acute stress (AS) syndrome suffering from intrusion distress following accidents and terrorist bombing attacks. Fifty percent reported immediate fading of intrusive symptoms and general alleviation of distress, 27% described partial alleviation of their symptoms and distress, while 23% reported no improvement. Partial and nonresponders were provided with or referred for more comprehensive treatment. At 4-week and 6-month follow-up, the immediate responders in the terror victims group remained symptom free. The immediate responders tended to have uncomplicated AS symptoms with fewer risk factors for posttraumatic stress disorder (PTSD), while the nonresponders had higher exposure to former traumas and endorsed more risk factors for PTSD. These results support other anecdotal reports on the rapid effects of brief EMDR intervention on intrusive symptoms in early uncomplicated posttraumatic cases. Although more controlled studies are essential, this immediate method for symptomatic relief may be a potential addition for focused interventions in acute trauma victims.

Keywords: Acute Stress Disorder ASD Intrusions Mass Casualty Event MCE Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: AIDS China Hypochondria Symposium

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Depression Emotional Cognitive Processing

Accuracy Verified: Yes

198. Ueda, E., Yamanishi, K., & Fukui, Y. (2010, July). The effective way of controlling of habitual scratching on atopic dermatitis patients with social stress by using EMDR. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
This study aims to cure refractory atopic dermatitis (AD) patients, by using EMDR, who severely suffer from habitual scratching that may derive from their unbearable social stress. The prevalence of AD is 13.2% in 3 year-old children and 8.2% among 1st grade university students in Japan, according to a Ministry of Health, Labour and Welfare study, 2000 to 2002. The patients with AD have been increasing in the past 20 years. Among these patients, 20% have more than moderate severity, and within this group, some of the patients have chronic and refractory conditions with some psychosomatic factors. So far a great deal of effort has been made to care those patients, however, there are still quite some patients who are distressed with their difficult state of condition. We then focus on treatment of controlling habitual scratching of AD patients that may generally derive from personal friction or social stress. We obtained fairly significant results with EMDR on which these patients came to be able to control themselves, reduce their scratching, and also enhance their self-efficacy. These results suggested that EMDR were useful for controlling the habitual scratching from stress of traumatic memory such as child abuse, bullying of tragedy and effective for refractory AD patients.

Keywords: Atopic Dermatitis Habitual Stress Scratching

Accuracy Verified: Yes

199. Hechler, T., Blankenburg, M., Dobe, M,, Kosfelder, J., Hübner, B., & Zernikow, B. (2010, January). Effectiveness of a multimodal inpatient treatment for pediatric chronic pain: A comparison between children and adolescents. European Journal of Pain, 14(1), 97.e1–97.e9, DOI: 10.1016/j.ejpain.2009.03.002.

Language: English

Format: Journal

Abstract:
Objectives: To evaluate short and long-term treatment outcome of children (7-10 years) in comparison to adolescents (11-18 years) with disabling chronic pain following multimodal inpatient pain treatment. Patients and Methods: Thirty-three children and 167 adolescents underwent multimodal inpatient pain treatment. Standardized assessment of pain-related variables, disability, coping, and use of analgesics was performed at admission, 3- and 12-month follow-up. Results: Children and adolescents displayed similar pain-characteristics at admission. Adolescents demonstrated significantly higher disability and passive pain coping. Children relied more on others when in pain. All core variables (i.e., pain intensity, pain-related disability, school absence and pain-related coping) decreased significantly in both children and adolescents after 3 months. Both groups maintained this decline 12 months later. More than half of the children and adolescents demonstrated a 50%-reduction in pain intensity after 3 months, and almost 60% after 12 months. Use of analgesics was significantly reduced at 3-month follow-up with no additional changes after 12 months. While age did not exert any impact on results, there were significant gender differences in pain intensity and school absence. Girls demonstrated higher pain intensity and higher school absence 1 year following treatment. Conclusions: Children display similar pain-characteristics to adolescents when entering inpatient treatment. A multimodal inpatient program appears to stop the the long-term vicious cycle of disability and pain for both children and adolescents. The demonstrated gender differences raise issues for further research and the possibility of additional pain management strategies for girls.

Keywords: Adolescents Children Multimodal Inpatient Treatment Pediatric Chronic Pain

Accuracy Verified: Yes

200. 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

201. Brennstuhl, M. J., & Tarquinio, C. (2012, June). Effects of an specific EMDR protocol for the treatment of chronic pain [Los efectos de un protocolo específico de EMDR para el tratamiento del dolor crónico]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Treatment of chronic pain stays problematic. The complex part of cognitive, behavioral and emotional in chronic pain makes treatment complicated. Since few years, many authors have argued on a traumatic symptomatology, which is responsible of chronic pain (reactive symptom of PTSD) (Bioy & Fouques, 2002; Ferragut, 2007, 2010), or that chronic pain may induce a trauma (Burloux, 2004). This argumentation brought to us to envisage the EMDR therapy for the treatment of chronic pain. This research aims to test the effectiveness of treatment of chronic pain. We have elaborated a new protocol, which focuses on specificities on chronic pain problematic. This protocol focuses on pain and physical sensation. Inspiration on Mark Grant Protocol (Grant, 2009), R-‐Tep and Google research (Shapiro & Laub, 2009) isn’t unnoticed. Chronic pain can be approached like an elaborated trauma, because it’s always happening. So, as with recent event trauma, we can find the most difficult moment. It’s why we proposing a protocol based on focusing symptom: pain. Ten patients were treated with this new EMDR protocol, specific on chronic pain. After every session, and at the end of the treatment, the effects of this protocol on chronic pain and traumatic symptomatology were evaluated and show significant improvement. The objective is double: a significant improvement was made reducing chronic pain and associated symptoms (depression, anxiety...), and also use this protocol in a prevention move and stop chronicity of pain in the beginning.

El tratamiento del dolor crónico sigue siendo problemático. Los elementos cognitivos, conductuales y emocionales complejos dificultan su tratamiento. Desde hace algunos años, muchos autores han debatido sobre una sintomatología traumática que sería la responsable del dolor crónico (síntoma reactivo del TEPT) (Bioy & Fouques, 2002; Ferragut, 2007, 2010) o que el dolor crónico puede inducir trauma (Burloux, 2004). Esta controversia nos ha llevado a contemplar el empleo de EMDR para el tratamiento del dolor crónico. Esta investigación pretende comprobar la efectividad [de EMDR] del tratamiento del dolor crónico. Hemos elaborado un protocolo nuevo que se centra en las especificidades del dolor crónico problemático. Este protocolo se centra en el dolor y la sensación física. No pasa desapercibida la inspiración del protocolo de Mark Grant (Grant, 2009), R-‐Tep e investigación en Google (Shapiro & Laub, 2009). Se puede abordar el dolor crónico del mismo modo que el trauma elaborado, dado que es constante. Por lo tanto, al igual que un evento reciente, podemos identificar el momento más difícil. Por eso proponemos un protocolo que se basa en centrarnos en el síntoma: el dolor. Diez pacientes fueron tratados con este nuevo protocolo de EMDR, específico para el dolor crónico. Tras cada sesión y al finalizar el tratamiento, se evaluaron los efectos de este protocolo sobre el dolor crónico y la sintomatología traumática; los resultados han mostrado una mejoría significativa. El objetivo es doble: por un lado, lograr una mejora significativa y reducir el dolor crónico, así como los síntomas asociados (la depresión, ansiedad...), y por el otro lado, usar este protocolo como estrategia preventiva y poner fin a la cronificación del dolor desde un principio.

Keywords: Chronic Pain

Accuracy Verified: Yes

202. Goodwin, D., Banner, L., & Hayward, R. (1995, June). Effects of EMDR in treating erectile dysfunction measured by magnetic resonance imaging. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The experimenters seek to determine whether the reported anxiety-relieving effects of (EMDR) can be effectively applied to patients reporting erectile dysfunction and whether the expected changes in levels of anxiety can be measured as a function of changes in brain function observed through MRI tracings. The MRI is well suited to reflect hypothesized changes in the lowering of sympathetic arousal and the increasing of parasympathetic arousal as a response to EMDR procedures. This investigation, using the MRI brain scanning procedures was followed in stages of (1) establishing criteria for the radiological determination of characteristics of brain function measured with the MRI that descriminate between levels of experimentally induced anxiety and (2) conducting an experimental investigation of the application of EMDR while patients are undergoing the MRI scanning protocol. Psychological measures include the Personality Assessment Inventory(PAI) to screen for psychotherapy of subjects, the Impact of Events Scale(IOE), and the State-Trait Anxiety Inventory(STAI). Correlations between these scales and ratings of physiological changes are reported.

Keywords: Erectile Dysfunction MRI Scanning Protocol Symposium

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

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

Accuracy Verified: Yes

204. 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

205. 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

206. 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

Keywords: 99mTc-HMPAO Distribution Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

207. Thieman, S. L. (2009). The effects of eye movement desensitization and reprocessing (EMDR) on traumatized children. Prescott College, AZ. AAT 1465372.

Language: English

Format: Dissertation/Thesis

Abstract:
The cost and benefits of Eye Movement Desensitization and Reprocessing (EMDR) on children who have endured trauma was reviewed in an effort to answer the following question: can EMDR, an established therapeutic tool for trauma recovery with adults, address the needs of children who are experiencing the after effects of trauma? This literature review included research on the brain, repercussions of trauma, and the process of EMDR treatment. A case study of an eight year old boy attending a psychiatric day treatment program depicts both childhood trauma and EMDR treatment and indicates that EMDR was an effective treatment modality for this boy with a history of abuse and neglect. The client's drawings indicate a reduction and release of trauma following a session of EMDR. These findings are congruent with much of the available literature.

Keywords: Children Trauma

Accuracy Verified: Yes

208. 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

209. Stapleton, J. A., Taylor, S., & Asmundson, G. J. (2006, February). Effects of three PTSD treatments on anger and guilt: Exposure therapy, eye movement sensitization and reprocessing, and relaxation training. Journal of Traumatic Stress, 19(1), 19-28. doi:10.1002/jts.20095.

Language: English

Format: Journal

Abstract:
This study sought to investigate the efficacy of prolonged exposure, eye movement desensitization and reprocessing (EMDR), and relaxation training on trait anger and guilt and on trauma-related anger and guilt within the context of PTSD treatment. 15 PTSD patients completed each treatment and were assessed at posttreatment and at 3-month follow-up. All three treatments were associated with significant reductions in all measures of anger and guilt, with gains maintained at follow-up. There were no significant treatment differences in efficacy or in the proportion of patients who worsened on anger or guilt measures over the course of treatment. Between-treatment effect sizes were generally very small. Results suggest that all three treatments are associated with reductions in anger and guilt, even for patients who initially have high levels of these emotions. However, these PTSD therapies may not be sufficient for treating anger and guilt; additional interventions may be required. [Author Abstract]

Keywords: Adults Anger Canadians Exposure Therapy Guilt Longitudinal Study Posttraumatic Stress Disorder PTSD Relaxation Therapy Treatment Effectiveness

Accuracy Verified: Yes

210. Oppermann-Schmid, F. (2010, Oktober). Effektivität der behandlung mit EMDR bei traumafolgestörungen in der allgemeinarztpraxis [Effectiveness of treatment with EMDR for trauma related disorders in the general practice]. EMDRIA Deutschland e.V.Rundbrief, 21, 24-25.

Language: German

Format: Newsletter

Abstract:
Patienten mit Traumafolgestörungen suchen meistens frühzeitig ihren Hausarzt auf. Das liegt einerseits daran, dass der Hausarzt in unserem Gesundheitssystem für den Erstkontakt kurzfristig zur Verfügung steht und gegebenenfalls zum Facharzt weiterleitet. Zum anderen besteht meist eine langjährige und tragfähige Beziehung: Vertrauen zum Hausarzt seitens des Patienten und ein guter Einblick in die persönliche und gesundheitliche Situation des Patienten seitens des Hausarztes.

Patients with traumatic stress disorders often look to their GP early. This is One reason that the doctor in our health care system for the first contact available at short notice and, where appropriate, will forward to the specialist. On the other there is usually a long and lasting relationship: trust on the part of the family doctor Patients and a good insight into the personal and health situation of the patient by the family doctor.

Keywords: General Practice Practice Theory Trauma

Accuracy Verified: Yes

211. Taylor, S. (2004). Efficacy and outcome predictors for three PTSD treatments: exposure therapy, EMDR, and relaxation training. In S. Taylor (Ed.), Advances in the treatment of posttraumatic stress disorder: Cognitive-behavioral perspectives (1st ed.) (pp. 13-37). NewYork: Springer Publishing.

Language: English

Format: Book Section

Abstract:
In a study that directly compared exposure therapy, EMDR, and relaxation training in patients with PTSD, we simply provided patients with a verbal description of PTSD and its treatment, then assessed the patient's treatment goals, and discussed how the treatment was relevant to the goals. For patients who do not drop out of treatment, our findings suggest that the most consistent predictor of good outcome is whether or not the patient receives exposure therapy, and that the severity of reexperiencing symptoms is an important predictor of treatment outcome, largely because relaxation training has a poorer outcome when these symptoms are severe. The efficacy of exposure and EMDR does not appear to be affected by the severity of reexperiencing. These findings provide further support for the efficacy of exposure and, to a limited extent, support the use of EMDR. Our findings, however, suggest that exposure is a first-line psychosocial treatment for PTSD. [Adapted from Text, pp. 16, 34] [Pilots]

Keywords: Adults Exposure Therapy Manual-Based Treatments Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Relaxation Therapy Stressors Survivors Treatment Effectiveness

Accuracy Verified: Yes

212. de Bont, P. (2011, August-September). Efficacy and safety of prolonged exposure or EMDR-treatment for PTSD with patients with a vulnerability for psychosis. A multiple baserate N=10 single case design. In Treating PTSD in patients with psychotic disorders. Symposium conducted at the 41st EABCT annual congress, Reykjavík, Iceland.

Language: English

Format: Conference

Abstract:
Objectives: Untill now, only a small number of studies have investigated the safety and effects of psychological treatment for PTSD in psychotic patients. The main aim of this study was to explore the effects of two psychological, highly manualized, guideline PTSD treatments: EMDR and prolonged exposure. Another important aim was to determine if negative side effects would occur as a result of therapy. Among clinicians fear exists of harming vulnerable patients with confronting therapeutic procedures, thus risking psychotic exacerbation, suicidal behaviour or other adverse events. Methods: In a N=10 single case study design the effects of psychological PTSD treatment were studied in psychiatric patients who suffer from psychoses. Participants were randomly assigned to either EMDR or Prolonged Exposure. Weekly measurements of PTSD and psychotic symptoms prior to, during and after treatment, gave a strong impression of how symptoms respond to treatment. The treatment in both conditions consisted of 12 sessions of 90 minutes. Adverse events were monitored weekly. Before, directly after and 3 months after treatment all subjects were tested more extensively for the variables PTSD and psychosis, and for three secondary outcome measures cognitive style, social functioning and quality of life. Results: The results show that PTSD-treatment can be quite effective for both PTSD and even some of the psychotic symptoms. PTSD symptoms dropped considerably, in a number of cases below the point of still having a PTSD. In some cases treatment helped diminish the occurence of harming voices. Not one patient became psychotic as a result of therapy, not even patients that went through the guided reliving of traumatic psychotic events during Prolonged Exposure. No suicide attempts occured. Occasional minor adverse events with medication occurred, but results taken as a whole the treatments were obviously safe. Conclusion: This study shows that PTSD-treatment in psychotic patients is a serious option, next to medical treatment. It can be done safely, effectively and in a manualized fashion. No information can be derived from this study as to which of the two, Prolonged Exposure or EMDR, can be best applied in specific situations. Both seem to be equal in the limited number of cases.

Keywords: PE Prolonged Exposure Psychotic Disorders Single Case Design Symposium

Accuracy Verified: Yes

213. Niroomandi, R. (2012). Efficacy of eye movement desensitization and reprocessing (EMDR) in the Iranian veterans with chronic post-traumatic stress disorder (PTSD) after Iran-Iraq War. Presentation at the International Conference on Psychological Sciences and Behaviors (ICPSB), Hong Kong.

Language: English

Format: Conference

Abstract:
To explore the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) to treat Iranian Veterans who have experienced Post-Traumatic Stress Disorder (PTSD) after Iran-Iraq war, a pilot study was designed with pre-test, post-test and control group. First through clinical interview (psychiatrist and clinical psychologist views) and PTSD scale of Mississipi, 30 people of the war Veterans suffering from chronic PTSD were chosen. Then the patients were placed in two different experimental and control groups randomly. Only experimental group were treated with EMDR for four-session in four weeks. After treatment, both groups were assessed with PTSD scale of Mississipi. The obtained results were analyzed with ANCOVA and the results showed that the difference between the experimental and control groups were statistically significant (f=5.501, p=0.027). With regard to results, it can be stated that this difference was created by EMDR treatment.

Keywords: Complext Posttraumatic Stress Disorder Complex PTSD C-PTSD Iran Iran-Iraq War Veterans

Accuracy Verified: Yes

214. Niroomandi, R. (2012). Efficacy of eye movement desensitization and reprocessing (EMDR) in the Iranian veterans with chronic post-traumatic stress disorder (PTSD) after Iran-Iraq War. International Proceedings of Economic Development and Research, 40, 52-56.

Language: English

Format: Journal

Keywords: Chronic Post-Traumatic Stress Disorder PTSD Therapy Veterans War Injured People

Accuracy Verified: Yes

215. 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

216. 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

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

Language: Spanish

Format: Dissertation/Thesis

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

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

Keywords: Adverse Emotions, Hospital Baca Ortiz Surgery Preparation

Accuracy Verified: Yes

218. Fátima Panangeiro, M. F., Torres, A. F. S., Fernandez, R. M., & Trajano, S. R. (2012, Novembro). Eicácia do EMDR na prevenção e cura do transtorno de estresse pós-traumático em vítimas de terremoto [Efficacy of EMDR in the prevention and treatment of PTSD with victims of an earthquake]. In comunicações de pesquisa. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Introdução: Sabemos que quando uma pessoa vivencia um incidente crítico, essa exposição tem impacto considerável sobre seu funcionamento global. Assim, para assegurar a recuperação dos militares brasileiros que estavam no Haiti, escolhemos a técnica EMDR criada pela Dra.Francine Shapiro, que encontra respaldo teórico em descobertas recentes no campo neuropsicológico para realizar as intervenções. Justificativa: O EMDR é uma técnica eficaz, que permite que o trauma armazenado na memória de curto prazo passe para a memória de longo prazo, uma vez que com os estímulos criam-se novas conexões neurais que trazem alívio, paz e aceitação. Atualmente existem mais de 20 estudos randomizados que apoiam sua eficácia. Objetivo: Avaliar a eficácia da técnica EMDR na recuperação de vítimas de terremoto no Haiti, que apresentavam Transtorno Estresse Pós-Traumático e/ou Transtorno Estresse Agudo. Método: O estudo foi realizado com 14 militares sobreviventes do terremoto ocorrido no Haiti em janeiro de 2010, divididos em dois grupos: A (soterrados) e B (não soterrados). Foram utilizados para avaliação: entrevista inicial entrevista inicial e final, os testes IES- Escala de Impacto de Eventos e ISSL - Inventário de Sintomas de estresse de Lipp (antes e após a intervenção), EMDR, e reencontro (follow-up) seis meses após o último atendimento. Resultados: De acordo com os resultados obtidos no IES, os sujeitos que tinham o nível de estresse entre grave, moderado e leve, passaram após a intervenção para o nível leve e recomendado. Em relação aos sintomas físicos e emocionais (flashbacks, insônia, pesadelos, agressividade, instabilidade de humor e aumento no consumo de álcool), os sujeitos não apresentavam mais a queixa ao término das intervenções. Conclusões: Com base nos resultados apresentados podemos afirmar que o EMDR é uma técnica eficaz para resolução do transtorno estresse pós-traumático, assim como na sua prevenção, em vítimas de terremoto.

Introduction: We know that when a person experiences a critical incident, such exposure has considerable impact on their overall functioning. Thus, to ensure the recovery of the Brazilian military who were in Haiti, we choose the EMDR technique created by Dra.Francine Shapiro, who finds theoretical support in recent discoveries in the field to perform neuropsychological interventions. Rationale: The EMDR is an effective technique that allows the trauma stored in short-term memory to pass the long-term memory, since with the stimuli it creates new neural connections that bring relief, peace and acceptance. Currently there are more than 20 randomized trials that support its effectiveness. Objective: To evaluate the efficacy of EMDR technique in the recovery of victims of the earthquake in Haiti, which had Post Traumatic Stress Disorder and / or Acute Stress Disorder. Method: The study was conducted with 14 military survivors of the earthquake in Haiti in January 2010, divided into two groups: A (buried) and B (not buried). All patients were evaluated: initial initial interview and final interview, tests IES-Impact of Events Scale and ISSL - Symptom Inventory stress Lipp (before and after the intervention), EMDR, and reunion (follow-up) six months after the last treatment. Results: According to the results of the IES, the subjects who had the stress level between severe, moderate and mild, passed after the intervention to the level recommended lightweight. Regarding the physical and emotional symptoms (flashbacks, insomnia, nightmares, aggression, mood instability and increased consumption of alcohol), subjects no longer had the complaint at the end of the interventions. Conclusions: Based on the presented results we can state that EMDR is an effective technique for resolution of post-traumatic stress disorder, as well as its prevention, earthquake victims.

Keywords: Acute Stress Disorder Brazil Earthquake Haiti Military Posttraumatic Stress Disorder Prevention PTSD Treatment Victims

Accuracy Verified: Yes

219. Sack, M., Lempa, W., & Lamprecht, F. (1999). Eine neue psychotherapeutische behandlungsmethode für patienten mit posttraumatischer belastungsstörung: EMDR. Behandlungsdurchführung und ergebnisse einer pilotstudie [A new psychotherapy treatment for patients with Post-Traumatic Stress Disorder: EMDR. Treatment implementation and results of a pilot study]. Psychomed, 11, 164-169 .

Language: German

Format: Journal

Abstract:
Nicht erst seit dem Zugunglück von Eschede und den damit im Zusammenhang stehenden Medienberichten wird zunehmend auch in der Öffentlichkeit bekannt, daß psychische Traumatisierungen zu einer tiefen und anhaltenden Verletzung des Gefühls der persönlichen Sicherheit und Unverletzbarkeit führen können. Dies wird oft wie ein Riß im Selbstverständnis oder wie ein Zusammenbruch des persönlichen Weltbildes beschrieben. Plötzlich wird die Welt als bedrohlich erlebt. Der Betroffene fühlt sich schutzlos und ausgeliefert. Typische Symptome, die in der Folge von belastenden Ereignissen auftreten, sind Schlafstörungen und Alpträume, quälende Wiedererinnerungen, Ängste und situationsbezogenes Vermeidungsverhalten sowie erhöhte Schreckhaftigkeit und Konzentrationsstörungen. Normalerweise bilden sich diese Symptome innerhalb einiger Tage bis einiger Wochen zurück. Bleiben diese psychischen und psychosomatischen Beeinträchtigungen jedoch bestehen, so ist bei einem Vorliegen von länger als 3 Monaten eine Posttraumatische Belastungsstörung zu diagnostizieren. In den letzten Jahren wurde die Forschung über Traumafolgen erheblich intensiviert. Es wurden neue Erkenntnisse gewonnen, die dazu beigetragen haben, daß die psychotherapeutischen Verfahren zur Behandlung traumatisierter Menschen erheblich verbessert werden konnten. Seit vier Jahren behandelt die Abteilung Psychosomatik und Psychotherapie der MHH Menschen mit Posttraumatischen Belastungsstörungen im Rahmen einer Traumasprechstunde und erforscht die psychischen und biologischen Auswirkungen von Traumatisierungen. Epidemiologie Nach Ergebnissen einer Vielzahl von epidemiologischen Studien, ist die Posttraumatische Belastungsstörung (Posttraumatic stress disorder, kurz PTSD) infolge von Traumatisierungen in der Kindheit oder im späterem Leben, eine in ihrer Häufigkeit und sozioökonomischen Bedeutung lange unterschätzte Erkrankung. Unter Zugrundelegen der Diagnosekriterien der Posttraumatischen Belastungsstörung nach DSM-III-R liegt die Lebenszeitprävalenz in den USA für beide Geschlechter bei 7,8 Prozent bis 12,3 Prozent, wobei etwa doppelt so viele Frauen betroffen sind wie Männer (5). Für die deutsche Bevölkerung gib es noch keine epidemiologisch gesicherten Prävalenzzahlen, aber die Bedeutung von "Traumatisierungen" für die Entstehung oder für die erhebliche Verschlechterung psychischer Störungen wird immer deutlicher. Ein Beispiel hierfür ist die lebhafte Diskussion in den Medien über die psychischen Folgen von Traumatisierungen für Unfallopfer und Rettungskräfte in der letzten Zeit. Die empirischen und klinischen Befunde zu Traumatisierungen in der Kindheit haben Egle, Hoffmann & Joraschky jüngst in einer Monographie zusammengestellt (1). Danach ist die Rolle von Vernachlässigung, Mißbrauch und Mißhandlung für eine Reihe von psychischen Störungen wie Selbstverletzendem Verhalten, Borderline-Störungen und Dissoziativen Störungen mittlerweile unstrittig und scheint auch für Subgruppen von Patienten mit Eßstörungen, Angststörungen, Persönlichkeitsstörungen und Somatisierungsstörungen von erheblicher Relevanz zu sein. Weit unterschätzt ist zudem die Häufigkeit von Posttraumatischen Belastungsstörungen infolge von Unfällen oder Einsätzen in Krisengebieten. 20 Jahre nach dem Vietnamkrieg leiden noch immer ca. 15 Prozent aller Vietnamkriegsveteranen an einer PTSD. Opfer von Gewaltverbrechen und Überfällen sowie auch Zeugen von Gewalttaten, wie z.B. Rettungspersonal und Feuerwehrangehörige, stellen eine weitere Risikogruppe für die Entwicklung einer PTSD dar.

Not since the train wreck of Eschede and the related media reports, is increasingly known to the public that psychological trauma can lead to a deep and persistent breach of the feeling of personal safety and invulnerability. This is often described as a crack in the self or as a breakdown of the personal worldview. Suddenly the world is experienced as threatening. The person concerned feels defenseless and delivered. Typical symptoms that occur as a result of stressful events are insomnia and nightmares, distressing recollections, fears and situational avoidance behavior and increased nervousness and difficulty concentrating. Usually these symptoms are back within a few days to a few weeks. But they remain psychological and psychosomatic disturbances exist, so with a presence of more than 3 months is a post-traumatic stress disorder to diagnose. In recent years, research on consequences of trauma was significantly intensified. It gained new insights that have contributed to the psychotherapeutic method for the treatment of traumatized people could be greatly improved. For four years, the Department of Psychosomatic Medicine and Psychotherapy, MHH treats people with post-traumatic stress disorder in a trauma clinic and explores the psychological and biological effects of trauma. Epidemiology According to results of a large number of epidemiological studies, post-traumatic stress disorder (Post Traumatic Stress Disorder, PTSD short) as a result of trauma in childhood or in later life, a decrease in frequency and socio-economic importance of long underestimated disease. Inter alia with the diagnostic criteria of posttraumatic stress disorder according to DSM-III-R lifetime prevalence in the U.S. is for both sexes at 7.8 percent to 12.3 percent, with about twice as many women are affected as men (5). For the German people give it no epidemiological prevalence data secure, but the meaning of "trauma" in the development or for the serious deterioration of mental disorders is increasingly clear. An example is the lively discussion in the media about the psychological consequences of trauma for victims and rescue workers in recent times. The empirical and clinical findings concerning traumatic experiences in childhood have Egle, Hoffmann & Joraschky recently compiled in a monograph (1). Then disorders the role of neglect, abuse and mistreatment for a number of mental disorders such as self-injurious behavior, borderline disorders and dissociative now undisputed, and appears to be for subgroups of patients with eating disorders, anxiety disorders, personality disorders and somatization disorders is of considerable relevance. Also greatly underestimated the incidence of post-traumatic stress disorder as a result of accidents or operations in critical areas. 20 years after the Vietnam War still suffer about 15 percent of Vietnam War veterans in a PTSD. Victims of violent crimes and robberies, as well as witnesses of violence, such as Rescue workers and firefighters, are another risk group for the development of PTSD dar.

Keywords: Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

220. Marx, C. (2007, Janvier). Éjaculation rapide: Une nouvelle piste thérapeutique avec l’eye-movement desensitization and reprocessing (EMDR) [Premature ejaculation: A new therapeutic with eye-movement and reprocessing Ddsensitizer (EMDR)]. Médecine Sexuelle, 1(1), 52-55.

Language: French

Format: Journal

Abstract:
Cet article est le fruit d’une étude personnelle basée sur une technique psychothérapique nouvelle, l’Eye- Movement Desensitization and Reprocessing (EMDR), appliquée à la prise en charge de l’éjaculation précoce. Le protocole thérapeutique a comporté trois consultations d’une heure, à trois semaines d’intervalle environ, précédées d’une première consultation visant à expliquer la méthode et recevoir l’accord des patients. Parmi 11 cas traités, 8 ont vu s’améliorer leur sexualité (le critère d’amélioration était le passage à une durée de rapport intravaginal « acceptable » pour les deux partenaires, avec disparition de l’anticipation négative). Deux patients n’ont remarqué aucun changement. Le dernier a dû interrompre son traitement pour une raison non liée à celui-ci. Cette expérience pilote est encourageante, et encourage à poursuivre cette recherche sur un échantillon plus large de patients.

This is the report of a pilot study of Eye-Movement Desensitization and Reprocessing (EMDR), a new psychotherapeutic method initially proposed as treatment of Post-Traumatic Stress Disorder, in 11 men with Premature Ejaculation. After an initial visit aiming to explain the principles and modalities of this therapy, and to collect the patients’ consent, each man attended 3 therapeutic sessions of one hour duration at 3 weeks interval. Eight of the 11 patients reported an increase in the duration of vaginal penetration till a length acceptable for both partners, and a disappearance of their negative anticipation. These results are encouraging, and justify to continue this research on a larger sample of patients.

Keywords: Premature Ejaculation Sexotherapy

Accuracy Verified: Yes

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

Language: English

Format: Magazine

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

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

Keywords: Depression

Accuracy Verified: Yes

222. Uribe, M. E. R. (2006). El impacto de la aproximación psicoterapéutica EMDR en el procesamiento cognitivo de la información emocional en pacientes con depresión [The impact of EMDR psychotherapy approach in cognitive processing of emotional information in depressed patients]. Tesis doctoral no publicada, Facultad de Psicología, Universidad Autónoma de Nuevo León, Mexico .

Language: Spanish

Format: Dissertation/Thesis

Abstract:

Keywords: Butterfly Hug

Accuracy Verified: Yes

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

Language: Spanish

Format: Journal

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

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

Keywords: Depression

Accuracy Verified: Yes

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

Language: Spanish

Format: Other

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

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

Keywords: Practice, Theory

Accuracy Verified: Yes

225. Grand, D. (2010, Octubre/Noviembre). El tratamiento de pacientes difíciles con EMDR: Escenas temidas [The treatment of difficult patients with EMDR: Scenes feared]. Pre congreso presentación en el II Congreso Iberoamericano de EMDR y Psicotrauma, Quito, Ecuador.

Language: Spanish

Format: Conference

Keywords: Difficult Clients

Accuracy Verified: Yes

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

Language: Spanish

Format: Journal

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

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

Keywords: Cognition Depression Emotion Multidimensional Scaling

Accuracy Verified: Yes

227. Grbesa, G., Simonovic, M., & Jankovic, D. (2010, April). Electrophysiological changes during EMDR treatment in patients with combat-related PTSD. Annals of General Psychiatry, 9(Supplement 1), S209. doi:10.1186/1744-859X-9-S1-S209.

Language: English

Format: Journal

Abstract:
1st International Congress on Neurobiology and Clinical Psychopharmacology and European Psychiatric Association Conference on Treatment Guidance
Background Efficiency of the EMDR procedure is based on a presumption of neuropsychological changes in therapeutic process.The aim of the investigation is to scann and give evidence of electroactivity changes, during the process of EMDR procedure and after finishing it. Materials and methods We have recorded a continual polygraph EEG, before, during and after EMDR therapy, in patient with combat-related PTSD. Results Before the treatment, EEG recorded basic activity of low voltage (attenuation) of 20 μV, frequency of beta range (17-26 Hz), bioccipital, with no pathologic activity. Patient had prominent vegetative symptoms (anxiety, heart rate 100/min). Background activity immediately after the treatment records the amplitude values of around 50 μV, frequency of around 11-12 Hz. After the end of the treatment background activity possesses the amplitude value of about 37 μV, holding the persistence in frequency. Conclusions If the EMDR treatment is successful, sudden increase of amplityde activity is noted imensly. This sharp border line, which signifies normal activity, appears in 2-3 seconds affter the desensitize phase. The investigation suggest that from neurophysiological point of view, cortex (in EMDR procedure), works according to the principle "all or nothing". If there is processing of traumatic memory, the activity gets completly normal. If the therapy is not successful, there are numerous artefacts, because of increased muscle activity. This kind of activity, in our investigation is marked as "Artefact therapy". The results, indicate maintaining low level of amplitude values of electrocortical activities during the treatment, as well as increase after successful treatment. The increase of amlitude is corelated to decrease of anxiety after the successful treatment. Acknowledgements The results, indicate maintaining low level of amplitude values of electrocortical activities during the treatment, as well as increase after successful treatment. The increase of amlitude is corelated to decrease of anxiety after the successful treatment. References EEG Asymmetry and its Clinical Correlates in PTSD, Steven Silverstein, Stewart Shankman Lea Williams, Patrick Hopkinson, Richard Bryant

Keywords: Combat Electrophysiological Change Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

228. Quinn, G. (2012, June). EMDR & acute stress syndrome/EMDR in early intervention - Immediate ERP treatment following trauma. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Victims of immediate trauma often exhibit “silent terror” or extreme stress and often are likely to develop PTSD. The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Program’s (HAP) Disaster Manual and Marilyn Luber’s: EMDR Scripted Protocols: Basic and Special Situations (2009) was developed to deal with victims of natural and manmade disaster within minutes to hours of exposure to trauma. Learning objectives: Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of history-‐ taking and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities. A pilot study (in press) will be presented showing effectiveness at possibly preventing PTSD 2 years later compared to “treatment as usual”

Las víctimas del trauma inmediato frecuentemente exhiben “terror silencioso” o estrés extremo y a menudo son susceptibles de desarrollar TEPT. El Procedimiento de Respuesta en Emergencia (ERP), descrito en el Manual de Catástrofes de los Programas de Asistencia Humanitaria (HAP) y en el libro de EMDR Scripted Protocols: Basic and Special Situations (2009) ha sido desarrollado para lidiar con víctimas de desastres naturales y causados por el hombre a los minutos u horas de haber sido expuesto al trauma. Objetivos de aprendizaje: Los participantes de este taller aprenderán cómo responder a los clientes en los momentos siguientes al trauma, utilizando PRE. Esto se entenderá en el contexto general de los principios de los Primeros Auxilios Psicológicos. Este mismo enfoque básico se puede utilizar en el caso de una abreacción fuerte durante la fase inicial en la que se realiza la historia del paciente y antes de la Fase de Preparación de EMDR o en otras ocasiones durante el tratamiento cuando los pacientes muestran reacciones emocionales fuertes. De manera similar, el tratamiento con PRE puede considerarse también para pacientes que muestran este “terror silencioso” o estrés extremo durante el tratamiento inicial llevado a cabo por los servicios de asistencia en emergencias en la escena del accidente o en las ambulancias de camino a las instalaciones médicas. Un estudio piloto (en prensa) será presentada mostrando la efectividad de la posibilidad de prevenir el TEPT 2 años después comparándolo con “tratamiento habitual.”

Keywords: Acute Stress Syndrome Early Intervention

Accuracy Verified: Yes

229. Holmshaw, M. (2008, June). EMDR & CBT work equally well for psychological trauma – Why?. Presentation at the annual meeting of the EMDR Europe Association, London, UK.

Language: English

Format: Conference

Abstract:
The use of EMDR, CBT or a combination of the two, in managing psychological ill health following road Traffic Accidents (RTA): The Results and analysis of 1100 consecutive referrals. This paper determines the role of trauma-focused psychological treatment in the management of psychological ill health following road traffic accidents in the UK. RTA’s are the biggest cause of PTSD in this country. All consecutively referred patients with possible psychological ill-health following a RTA were offered a comprehensive psychological assessment by an established provider of trauma services in the UK. Those with significant psychological ill health were offered trauma-focused psychological treatment, EMDR and/or CBT, in line with NICE (National Institute for Health and Clinical Excellence) guidelines. During the psychological assessment a clinical diagnosis was made and a number of psychometric scores were used. These comprised 1 DSM IV criteria for PTSD and illness severity, 2 General Health Questionnaire, 3 Impact of Event Scale, 4 Hospital Anxiety and Depression Scale. Similar subjective and objective measurements were made after every fourth session of therapy and on discharge. The results offer a breakdown of diagnoses, the number of patients who proceeded to treatment and the type of treatment and outcome of such treatment. Of the 658 patients who proceeded to Trauma-focused psychological treatment, patients had either EMDR by itself (31%), CBT by itself (36%) or a Combination of EMDR and CBT (33%). Subjectively and objectively three out of four patients were completely relieved of their symptoms or were much better. There was no significant difference between CBT and EMDR in terms of treatment results. Closer analysis of the three subgroups revealed a number of variables which seemed to be associated with failure of EMDR treatment and failure of CBT treatment. These variables will be discussed against the background of the trauma focused CBT model of Clarke, D and Ehlers A, 2002. Recommendations will be made of ways to improve the outcome of EMDR Therapy and improving EMDR training.

Keywords: CBT Cognitive Behaviorial Therapy Trauma

Accuracy Verified: Yes

230. Millar, P. (2010, March). EMDR & psychosis. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Psychotic phenomena are one of the most challenging clinical presentations to treat, the most severe form being schizophrenia and poor outcome schizoaffective disorder. Schizophrenia is a severe enduring mental illness (SMI) and is characterised by core disturbances of thinking, perceptions and the emotions. It is accepted as having a heavy burden, with significant effects on the patient, their families and carers and it is one of the most costly illnesses worldwide. The weight of burden falls with regard to legal problems, stigma and life expectancy: life expectancy in this group of individuals is reduced by 10 years, mostly as a consequence of suicide (Rossler, Salize et al. 2005). Despite more than 100 years of experience of the disease it is still only a minority of individuals who make a full recovery. This workshop aims to give further insight into the role of EMDR in the treatment of schizophrenia - as defined by the genetic epidemiological work by Professor K Kendler (Kendler, Spitzer et al. 1989; Kendler, McGuire et al. 1993; Kendler, Maguire et al. 1993). It follows up a series of three patients with psychosis treated with EMDR one of whom met strict criteria for schizophrenia. All 3 are now over 2 years post-EMDR. Of specific note the man who presented with schizophrenia remains free of medication and symptoms. The workshop will discuss the role of EMDR in the treatment of psychosis, including schizophrenia and discuss case selection and protocol development in this area of practice.

Keywords: Psychosis Schizoaffective Disorder Schizophrenia

Accuracy Verified: Yes

231. Bonstein, U. (2008, March). EMDR היבטים היפנוטיים בשיטת [Hypnotic Aspects of EMDR method/Professor Oren Kaplan]. Israel Society of Hypnosis, Ramat Gan, Israel.

Language: Hebrew

Format: Other

Abstract:
תרגום לאנגלית של עברית: המאמר בוחן את ההיבטים שיטת Hhifnotim - EMDR. אין ספק כי ה-EMDR אינו היפנוזה סמכות פורמלית. אם EMDR היא סוג של היפנוזה, ואז זה היפנוזה Arixoniani טבע, מתירנית פתוח. זה פותח את האפשרות עבור מטופלים אשר מתקשים תהליך היפנוזה פורמלית בעיניים עצומות (לרוב בשל קושי או פחד מאובדן שליטה) כדי היפנוזה "EMDR" בעיניים פקוחות מתוך אשליה כי זה לא ממש טראנס היפנוטי. גם אם ה-EMDR אינו היפנוזה יש בהחלט אלמנטים רבים ההופכים מערכת משפחתה תופעות המצב הייחודי מודעות מערכת שמשתמשת בעקרונות של תקשורת היפנוטית - סוגסטיבי. המאמר עוסק גם את המגבלות והסכנות של זה שייך

The article examines aspects Hhifnotim method - EMDR. There is no doubt that EMDR is not hypnosis formal authority. If EMDR is a form of hypnosis, then it is hypnosis Arixoniani nature, open permissive. This opens the possibility for patients who find it difficult to process a formal hypnosis with eyes closed (usually due to difficulty or fear of losing control) to "EMDR hypnosis" with open eyes from the illusion that this is not really a hypnotic trance. Even if EMDR is not hypnosis has certainly many elements that make her family system phenomena unique situation awareness system that uses the principles of hypnotic communication - suggestive. The article also discusses the limitations and dangers of this belonging.

Keywords: Hypnosis

Accuracy Verified: Yes

232. Ersen, M., & Cumartesi, H. (2009, Aralık). EMDR İle kronik başağrılarına son [EMDR with chronic headaches]. Aktüel Psikoloji.

Language: Turkish

Format: Other

Abstract:
EMDR, savaş stresi, taciz, doğal afetler veya çocukluk döneminde yaşanan üzücü olaylar gibi rahatsız edici deneyimlerin neden olduğu duygusal sorunlarda kullanılan psikolojik bir yöntem. Ayrıca fobi, performans kaygısı, panik bozukluk, yas, kronik ağrı ve başka sorunların tedavisinde de uygulanıyor. Davranış Bilimleri Entitüsü uzmanları, yöntemi kullandıkları kişilerin migren ve kronik baş ağrılarının azaldığını tespit edince migren hastalarıyla bir çalışma başlattı. Gaziosmanpaşa Hastanesi’nden en şiddetli migren hastalarını kendilerine yönlendirmelerini istediler. 10 hastaya EMDR uyguladılar. Hastalarda atak şiddeti, sıklığı, süresi ve alınan ilaçlarda ciddi düşüşler oldu.

EMDR, war stress, harassment, or natural disasters experienced in childhood, such as the irritating experience distressing events caused by psychological methods used in emotional problems. In addition, phobias, performance anxiety, panic disorder, age, in the treatment of chronic pain and other problems are being implemented. Behavioral Sciences Entitüsü experts, the method they use people and chronic migraine headaches migraine patients reduced their study found that when launched. The most severe migraine patients themselves Gaziosmanpaşa Hospital referrals wanted. 10 hastaya EMDR uyguladılar. EMDR applied to 10 patients. Attacks in patients with severity, frequency, duration and had taken drugs for serious decline.

Keywords: Emre Konuk Headaches Migraines

Accuracy Verified: Yes

233. 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. doi:doaj.org/doaj?func=openurl&genre=article&issn=10188681&date=2010&volume=23&issue=3&spage=195.

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

234. Parnell, L. (2001). EMDR - Der weg aus dem trauma: Über die heilung von traumata und emotionalen verletzungen [Transforming trauma: EMDR]. Paderborn: Junfermann Verlag GmbH & Co.

Language: German

Format: Book

Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) hat Tausenden von Menschen geholfen, die von schrecklichen Mißbrauchserlebnissen oder von Traumata verfolgt wurden. Die neue Methode vermag auch Patienten zu helfen, bei denen andere Therapieformen versagt haben, darunter Menschen, die an chronischen Problemen wie Eßstörungen, Angstzuständen, einem schwachen Selbstwertgefühl, Depressionen und Störungen ihrer Leistungsfähigkeit leiden. EMDR bringt Millionen von Menschen neue Hoffnung, denen gesagt wurde, ihre Genesung werde sich wohl über ihr ganzes weiteres Leben hinziehen. Die EMDR-Therapie bettet die Technik der Augenbewegung in einen umfassenden Ansatz ein, durch den Informationen verarbeitet werden, die sich in unverarbeiteter Form in Körper und Geist des Patienten verkapselt haben. Dadurch werden die Betroffenen von belastenden Bildern und Körperempfindungen, bedrückenden Emotionen und Einschränkenden Überzeugungen befreit. Bei Anwendung dieser Methode tritt die Heilung nicht nur wesentlich schneller ein als in der traditionellen Therapie, sondern die Klienten erleben auch ein Gefühl der Freude, Offenheit und tiefen Verbundenheit mit anderen. Laurel Parnell veranschaulicht uns auf fesselnde Weise die Wirkung von EMDR. In ihren mutmachenden Heilungsberichten versetzt sie die Leser in die Psyche ihrer Klienten, wo die Traumata, die jene in der Vergangenheit erlebt haben, erstarrt sind. Die Autorin veranschaulicht auf sorgsame, persönliche und verständliche Weise, wie EMDR es Menschen ermöglicht, über das bloße Überleben eines traumatischen Erlebnisse hinaus zu einer Erfahrung des Wohlbefindens und der Ganzheit zu gelangen. Ein allgemeinverständlich geschriebenes Buch, das allen, die sich erstmals mit dieser neuen revolutionären Therapieform beschäftigen wollen, einen umfassenden Einblick über die Methodik, den Ablauf, die vielfältigen Einsatzmöglichkeiten und die ungezählten erfolgreich durchgeführten Therapien vermittelt: Informativ. Fesselnd geschrieben. Hoffnung auf Heilung vermittelnd. Ein idealer Einstieg in EMDR.

EMDR (Eye Movement Desensitization and Reprocessing) has helped thousands of people who were haunted by terrible abuse experiences or trauma. The new method can also help patients who have not responded to other therapies, including people who suffer from chronic problems such as eating disorders, anxiety, a low self-esteem, depression and disturbances of their capabilities. EMDR brings new hope to millions of people who have been told, their recovery will probably drag on through its entire life. The EMDR therapy embeds the technique of eye movement in a comprehensive approach that will be processed by the information, which have encapsulated in the natural state of body and mind of the patient. Thus the person concerned of incriminating images and body sensations, emotions and limiting beliefs are oppressive, free. In applying this method, the healing occurs not only much faster than in a traditional therapy, but the clients also experience a feeling of joy, openness and deep connection with others. Laurel Parnell are illustrated with fascinating way, the effect of EMDR. In its encouragement healing reports, they leave readers into the psyche of their clients, where the traumas, the former have experienced in the past freezes are. The author demonstrates in careful, personal and understandable way, such as EMDR allows people to reach beyond the mere survival of a traumatic experience also an experience of wellness and wholeness. A book, written in generally understandable to all, who would first deal with this revolutionary new form of therapy, provides a comprehensive insight into the methodology, process, the various applications and successfully executed countless therapies: Informative. written captivating. Hope for healing mediator. An ideal introduction to EMDR.

Keywords: Trauma

Accuracy Verified: Yes

235. Plassmann, R., & Seidel, M. (2003, May). EMDR - Group therapy with patients having eating disorders. In Eating Disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
We understand a therapeutic group, here the EMDR-group, analog to the opinion of Watzlawick et al., Koffka and Grinberg as a multiplicity that is more than only the sum of the individuals. An individual is a part of a group, who expresses himself in the collective „we". Even if the individual expresses himself at first individually, the remarks turn into collective-appearances with basic-convictions–and assumptions. This group-structure, labeled by the authors as a dynamic collective-constellation, is based on unconscious processes projecting and introjecting identification. The group-member takes in those feelings and impulses of the others that are similar to the own emotions, and perceives them due to the experienced reinforcement more severely. Simultaneously the individual projects his objects of the unconscious imagination on the others and tries to reproduce the specific pattern of his difficult interpersonal relationships.

Keywords: Binge Eating Eating Disorders Symposium

Accuracy Verified: Yes

236. Gagnon, A. (2006). EMDR - L’introduction d’une nouvelle approche [EMDR - The introduction of a new approach]. Santé Mentale au Québec, 31(2), 257-261.

Language: French

Format: Magazine

Abstract:
L’amélioration continue de nos expertises pose un défi immense en sciences cliniques. Si l’Art clinique s’affine avec l’expérience, la Science avance aussi de son côté. À titre d’éducateur et de concepteur de projets éducatifs, on demeure perplexe devant l’écart entre les intérêts et les besoins réels de formation. Sans parler de la difficulté d’introduire de nouvelles connaissances, face aux chapelles de gens « qui savent mieux » ; ni, ce qui compte le plus, du défi de modifier les pratiques au bénéfice des patients, enjeu éthique immense et souvent mal perçu.

Continuous improvement of our expertise poses a huge challenge in Clinical Sciences. If Art is refined with clinical experience, Scientific progress is also on his side. As an educator and designer educational projects, we remain puzzled by the discrepancy between the interests and the actual training needs. Not to mention the difficulty of introducing new knowledge, meet the chapels of people "who know better "or, what matters most, the challenge of changing practices in benefit of patients, ethical issue, and largely unwelcome.

Keywords: Practice Theory

Accuracy Verified: Yes

237. Zimmermann, P., Guse, U., Barre, K., & Biesold, K. (2005, Juni). EMDR - Therapie in der bundeswehr - Zurwirksamkeit untersuchung posttraumatischer belastungsstörungv [EMDR in the German armed forces - Therapeutic impact of inpatient therapy of posttraumatic stress disorder / EMDR]. Krankenhauspsychiatrie, 16(2), 57-63. doi:10.1055/s-2004-830275.

Language: German

Format: Journal

Abstract:
In dieser retrospektiven Studie 89 deutsche Soldaten, die als stationäre zur posttraumatischen Belastungsstörung behandelt wurden, zwischen 1998 und 2002 untersucht wurden. Nach einer mittleren von 29 Monaten mit Fragebögen They Were neu bewertet. Behandelt wurden 20 Patienten mit EMDR Konnte bis 14 Patienten mit einer unterstützenden Behandlung verglichen werden. Die Ergebnisse (Jes SOUTH. Voc) direkt nach der Behandlung und in der Langzeit-Follow-up waren deutlich überlegen in der EMDR-Gruppe im Vergleich zu den Kontrollen. Traumatisierte Soldaten in Out-of-area-Einsätze eher eine bessere als die kurzfristigen Ergebnisse Traumatisierte Soldaten in Deutschland haben. (PsycINFO Database Record (c) 2008 APA, alle Rechte vorbehalten)

In this retrospective study 89 German soldiers being treated as inpatients for a posttraumatic stress disorder between 1998 and 2002 were investigated. After a mean of 29 months they were reevaluated with questionnaires. 20 patients treated with EMDR could be compared to 14 patients with a supportive treatment. The results (Isa. SUD. VoC) directly after treatment and in the long-term follow-up were significantly superior in the EMDR group compared to the controls. Soldiers traumatized in out-of-area missions tended to have a better short-term outcome than traumatized soldiers in Germany. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Empirical Study Inpatient Therapy Hospitalized Patients Longitudinal Study Military Veterans Posttraumatic Stress Disorder, PTSD, Psychotherapy, Stress Quantitative Study Retrospective Study

Accuracy Verified: Yes

238. Capezzani, L. (2012, June). EMDR and cancer patients: Effetcts on PTSD and their illness coping strategies [EMDR y pacientes con cáncer: Efectos sobre el TEPT y sus estrategias de afrontamiento de la enfermedad]. Presentation at the Annual Meeting of the EMDR Europe Association, Madrid Spain.

Language: English

Format: Conference

Abstract:
The nature of this study is both observational and clinical. On the one hand it’s aimed to see how the criteria of PTSD (DSM-‐IV, 2000) are represented in traumatized cancer patients in between two different illness stages -‐ medical treatments and medical follow-‐up stages, -‐ and to see witch coping strategies are used by these patients with PTSD in each stage. On the other hand it’s aimed to know: a) whether CBT integrated with EMDR produces different effects on PTSD in between the two illness stages and their specific coping strategies; b) whether CBT with EMDR and CBT without EMDR produce different effects on PTSD and on the coping strategies within the only medical follow-‐up stage. All 31 subjects were recruited randomly, 10 for treatment stage, 11 for follow-‐up stage, both receiving CBT and EMDR, and 10 for a follow-‐up stage treaty with CBT and no EMDR. CAPS and COPE were used to assess PTSD and coping strategies respectively. Results show similar changes in between the two illness stages after CBT with EMDR, and different ones within the follow-‐up stage depending on whether CBT with EMDR or without EMDR was used. This may suggest considering PTSD such a disorder that removes specific stage demands/threats of cancer illness, just described in literature, as well as the more functional coping for each of them. You may instead claim that only CBT with EMDR allows cancer patients to overcome the PTSD and consequently retrieve selective specificity in coping strategies for each stage.

La naturaleza de este estudio es tanto observacional como clínica. Por un lado, pretende ver como se representan los criterios del TEPT (DSM-‐IV, 2000) en pacientes con cáncer traumatizados entre dos fases diferentes de la enfermedad – fases de tratamientos médicos y seguimientos médicos -‐ , y ver qué estrategias de afrontamiento son usadas por estos pacientes con TEPT en cada una de estas fases. Por otro lado, pretende saber: a) si la TCC integrada con EMDR produce efectos diferentes sobre el TEPT entre las dos fases de la enfermedad y sus estrategias de afrontamiento específicas; b) si la TCC con EMDR y la TCC sin EMDR producen efectos diferentes sobre el TEPT y sobre las estrategias de afrontamiento tan sólo dentro de la fase de seguimiento. Cada uno de los 31 sujetos fueron seleccionados aleatoriamente, 10 para la fase de tratamiento, 11 para la fase de seguimiento, ambos grupos recibiendo TCC y EMDR, y 10 para la fase de seguimiento con TCC y sin EMDR. Se utilizaron CAPS y COPE para evaluar el TEPT y las estrategias de afrontamiento respectivamente. Los resultados muestran cambios similares entre las dos fases de la enfermedad después de la TCC con EMDR, y cambios diferentes en la fase de seguimiento en función de si se utilizaba la TCC con o sin EMDR. Esto puede sugerir que se ha de considerar al TEPT como un trastorno que quita específicas demandas/amenazas de cada una de las fases de la enfermedad del cáncer, tal y como se describe en la literatura, así como el afrontamiento más funcional para cada una de ellas. En vez de eso, se puede afirmar que tan sólo la TCC con EMDR permite a los clientes superar el TEPT y consecuentemente recuperar especificidad selectiva en estrategias de afrontamiento para cada fase.

Keywords: Cancer Coping Strategies Illness

Accuracy Verified: Yes

239. Gerge, A. (2009, June). EMDR and clinical hypnosis for enhanced healing of patients with complex PTSD and DID. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD DID Dissociative Identity Disorder Hypnosis

Accuracy Verified: Yes

240. Hofmann, A. (2001, May). EMDR and dissociation. Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
Patients with dissociative disorders usually are a complex traumatised population that has an increased risk of complications during their treatment course. In treating these patients EMDR can be one of the key treatment approaches in a therapy setting that usually needs to include a number of other treatment modalities and an overall comprehensive treatment plan. The objective of this presentation is to give an overview of the opportunities that EMDR offers and to reduce risks in the course of treatment.

Keywords: Dissociation

Accuracy Verified: Yes

241. 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

242. 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

243. Sitting, K. J. (2008, August). EMDR and hypnotherapy. Presentation at the European Congress of Hypnosis, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Treat the trauma without treating the trauma The common opinion is that you can not resolve a trauma simply by installation of resources. Resource activation effectuates the stabilization of the patient before starting the trauma treatment. But if the resources are tailored exactly fitting the trauma–action–system that decreases the trauma arousal (SUD) or even resolves it completely. The author could find this to be true in many cases in his psychotherapeutic work. The patients feel secure in their private sphere, because it is neither necessary to describe the traumatic experiences absorbed nor to experience them again! This method is based on the target–focused sensitization of Resources–Ego-States (SUR–scale) exactly consistent with the trauma experience. Therefore it is necessary to define a new paradigm and a new scale: EMDR generates or reinforces resource– action–systems. To measure the arousal of the resources use the SUR–scale, Subjective Units of Resources. The author shortly describes and explains his model of hypno–systemic trauma therapy, the psycho–physiological and the neuro–physiological model. The integration of EMDR and hypno–systemic trauma therapy effectuates another benefaction: The therapist activates his own resources in his everyday work!

Keywords: Hypnotherapy

Accuracy Verified: Yes

244. Sitting, K. J. (2008, September). EMDR and hypnotherapy: Integration of EMDR and hypnotherapy. An innovative, highly- efficient, resources – based method for PTSD - treatment [EMDR und hypnotherapie]. Pre-congress presentation on EMDR at the European Congress of Hypnosis, Vienna, Austria.

Language: English

Format: Conference

Keywords: Hypnotherapy

Accuracy Verified: Yes

245. Sochaczewsky, E. M. (2001, May). EMDR and intergenerational violence in a children's psychiatric hospital. Presentation at the EMDR Europe Association annual meeting, London, UK .

Language: English

Format: Conference

Abstract:
Most of the children who come to our Clinic are multi-traumatised and very often they have been hurt in their own families. Domestic violence is usually understood as physical and sexual abuse and neglect, and we have learned to look at the "T-traumatas", Silent Violence, the "t-traumatas", including constant negative feedback to the child, devaluation and narcissistic abuse suffered from for many years in the "ghetto family" do also cause severe woundings, which we have not yet learned to look at.

Keywords: Children Intergenerational Violence

Accuracy Verified: Yes

246. van Rood, Y., & de Roos, C. (2012, June). EMDR and medically unexplained physical symptoms (MUPS): Case conceptualisation and treatment [EMDR y los síntomas somáticos inexplicables por la medicina (MUPS): Conceptualización del caso y tratamiento]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Medically unexplained physical symptoms (MUPS) are symptoms for which adequate examination did not reveal sufficiently explanatory structural or other specified pathology. This includes patients with somatoform disorders such as conversion disorder, hypochondriasis, and pain disorder. But also patients with functional syndromes such as fibromyalgia, chronic fatigue syndrome, and irritable bowel syndrome and patients with specific physical symptoms such as pain, nausea, itch for which no medical cause has been detected. Empirical evidence suggests that traumatic experiences can play a role in the aetiology of MUPS and somatoform disorders (Roelofs & Spinhoven, 2007). Furthermore, unprocessed traumatic memories can play a role in the maintenance of MUPS (de Roos & van Rood, in press). Indeed,the results of a systematic review suggest that EMDR might be an effective treatment for MUPS and somatoform disorders, particularly when the somatic complaints are trauma related (van Rood & de Roos, 2009). Clinicians need to establish if the specific complaint of their patient is trauma related, whether the unprocessed trauma memory maintains the somatic symptom, and if so in what way. In this presentation the different ways are discussed in which trauma memories can be related to MUPS and how this may maintain the complaint; i.e. hinder recovery. The presentation will be illustrated with video fragments of the EMDR process in several patients with diverse somatic complaints.

Los síntomas somáticos médicamente inexplicables (MUPS), son síntomas para los cuales un adecuado examen no muestra una explicación estructural suficiente ni otra patología específica. Esto incluye pacientes con trastornos somatomorfos como el trastorno de conversión, hipocondría y trastorno por dolor. Pero también los pacientes con síndromes funcionales como la fibromialgia, síndrome de fatiga crónica, síndrome del colon irritable y pacientes con síntomas físicos específicos como dolor, náuseas, picores sin causa médica, fueron detectados. La evidencia empírica sugiere que las experiencias traumáticas pueden jugar un papel en la etiología del MUPS y los trastornos somatomorfos (Roelofs & Spinhoven, 2007). Es más, los recuerdos traumáticos sin procesar pueden jugar un papel en el mantenimiento del MUPS (de Roos & van Rood, in press). De hecho, los resultados de revisiones sistemáticas sugieren que el EMDR puede ser un tratamiento efectivo para MUPS y los trastornos somatomorfos, de manera específica cuando las quejas somáticas de los pacientes están relacionadas con un trauma. Los clínicos necesitan establecer si existen quejas específicas de sus pacientes relacionadas con el trauma o no. Si el trauma sin procesar mantiene los síntomas somáticos o no. En esta presentación diferentes caminos serán discutidos, en donde el trauma puede estar relacionado con el MUPS y cómo éste puede mantener la queja. La presentación será acompañada de fragmentos de vídeo para el procesamiento de EMDR en numerosos pacientes con diversas quejas somáticas.

Keywords: Medically Unexplained Physical Symptoms MUPS

Accuracy Verified: Yes

247. McGoldrick, T., Begum, M., & Brown, K. W. (2008). EMDR and olfactory feference syndrome: A case series. Journal of EMDR Practice and Research, 2(1), 63-68. doi:10.1891/1933-3196.2.1.63.

Language: English

Format: Journal

Abstract:
Olfactory reference syndrome (ORS) is an illness currently considered a delusional disorder under the DSM-IV criteria. Patients believe that they emit a foul odor, causing them great emotional distress and negative social consequences. Its etiology is inadequately understood, and there is generally a poor response to pharmacological and psychotherapeutic interventions. This article describes the treatment of four consecutive cases of ORS whose pathological symptoms had endured for 8-48 years. The administration of EMDR consisted of processing the various life experiences that appeared to cause and/or trigger the pathology. The EMDR sessions resulted in a complete resolution of symptoms in all four cases, which was maintained at follow-up. Given the rapid and sustained results, we offer a hypothesis based on the Adaptive Information Processing (AIP) model to explain the etiopathology and remission. [Author Abstract]

Keywords: Adaptive Information Processing Model Adults AIP Case Report Delusional Disorder Females Olfactory Reference Symptoms ORS Shame Stressors Survivors Trauma Treatment Effectiveness

Accuracy Verified: Yes

248. 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

249. de Jongh, A. (2008, September). EMDR and phobias: Treatment of fears and phobias with eye movement desensitization and reprocessing (EMDR)[EMDR bei angst: Und panikstörungen]. Pre-Congress presentation at the European Congress of Hypnosis, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) has been shown to be a structured, noninvasive, time-limited, and evidence-based treatment for the processing of memories of traumatic conditioning events and related symptomatology. There is a growing body of evidence showing the effectiveness of EMDR for specific phobias, a group of conditions that have been found to be more prevalent than any other group of psychiatric disorders studied. This workshop focuses on EMDR as a treatment approach for fear reactions related to - and avoidance of - specific objects and situations. The participants will learn: 1) about the fascinating possibilities of using EMDR in their work 2) how EMDR can be applied with clients who suffer from fears and phobias 3) to assess clients with patterns of fearful avoidance and to identify strategically important memories of earlier negative learning experiences for processing 4) to integrate EMDR interventions into a general (hypno)therapeutic approach. This will be illustrated by segments of video taped treatment sessions of clients suffering from a broad diversity of phobias (e.g., dental phobia, vomiting phobia, shark phobia).

Keywords: Phobias Dental Phobias Shark Phobias Vomiting Phobias

Accuracy Verified: Yes

250. Zangwill, W. M. (1994). EMDR and shame: A brief report. EMDR Network Newsletter, 4(3), 13.

Language: English

Format: Conference

Abstract:
One of the most difficult issues in an EMDR session is when a patient is not able to "let go" and experience the process. There are a variety of reasons for this happening, one of which involves the shame patients sometimes feel in both reexperiencing the memories and of sharing them with us. Despite assurances that they do not have to share content, some patients have still reported difficulty in letting past material arise to be reprocessed because of fear of embarrassment and humiliation.

Keywords: Shame

Accuracy Verified: Yes

251. Miller, P. (2011, August). EMDR and the ICONN protocol for schizophrenia – “Things can only get better”. Plenary presented at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
Schizophrenia is challenging to treat and has a heavy burden with life expectancy being reduced by 10 years, mostly through suicide. The genetic epidemiological work of Professor K Kendler has informed a rigorous phenotype for schizophrenia. However, after over 100 years of experience only a minority make a full recovery. The ICONN protocol for EMDR has been developed from experience with a series of patients with psychotic disorders, including ‘M’, a patient who met Kendler’s strict criteria for schizophrenia. ‘M’ remains in recovery after 4 years.

Keywords: ICONN Protocol Schizophrenia

Accuracy Verified: Yes

252. Hofmann, A. (2009, June). EMDR and the treatment of adult survivors of childhood abuse and neglect. Keynote presented at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Abstract:
Patients with complex PTSD and dissociative symptoms are a challenging patient population . Concepts like the Disorder of Extreme Stress (Herman et al.) and the the research on memory networks and especially structural dissociation (Nijenhuis et al.) helps to understand this patients better. In the treatment of this patients EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also enclose other EMDR modalities besides the EMDR standard protocol. New developments in EMDR and an decission help when to apply them can help pacing the therapy of these patients and making it successful.

Keywords: Adults Childhood Sexual Abuse Keynote Neglect Survivors

Accuracy Verified: Yes

253. 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

254. Hase, M. (2011, June). EMDR and trauma: Somatic disease and medical treatment. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Severe somatic disorders and the subsequent medical treatment often signify serious threat and feelings of being helplessly exposed to them. This gets obvious as one regards the phenomenon of intraoperative awareness. About 8000 - 16000 of these incidents per year are to be expected for the Federal German Republic according to recent investigations. But even less dramatic incidents within the natural course of the disease or incidents evoked by the therapeutic approach may leave their marks. However, posttraumatic stress disorder is not always easy to be diagnosed and treated. A remarkable amount of patients in psychosomatic rehabilitation is afflicted with mental consequences of somatic disorders such as cerebral infarction, coronary heart disease or, respectively, the necessary somatic treatment of these disorders. The prevalence of PTSD and the effects on the course of the disease as well as on everyday functioning are not to be underestimated here. This workshop is supposed to demonstrate the specifics of the EMDR-treatment for this population of interest. Treatment of patients with underlying cardiological and neurological diseases is further illustrated by video documentation. Considerations about the selection of target memory lead to a treatment algorithm. The contact with body memory is going to be explored by the use of case studies.

Keywords: Medical Somatic

Accuracy Verified: Yes

255. Spierings, J. (2008, September). EMDR and traumatic grief: EMDR in the treatment of traumatic grief [EMDR bei traumatischer trauer] . Pre-Congress at the 11th Congress of the European Society of Hypnosis in Psychotherapy and Psychosomatic Medicine, Vienna, Austria.

Language: English

Format: Conference

Abstract:
The lecture deals with the six patterns of complicated grief (denied, postponed, chronic, twisted, traumatic, and somatised grief) and for each pattern the outlines of a treatment plan and applications of EMDR within this treatment plan will be discussed. So this is the opportunity to hear something about a very special application of EMDR which is very useful and helpful für a large number of patients in daily practice.

Keywords: Grief

Accuracy Verified: Yes

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

Language: Portuguese

Format: Conference

Abstract:
Os idosos com dor crônica têm vivências dolorosas distintas, acompanhada na sua maioria de depressão e um alto nível de ansiedade. Os resultados seriam a redução dos sintomas através do reprocessamento, a diminuição da dor crônica ou seu desaparecimento. O objetivo do estudo é avaliar a intervenção com EMDR em idosos com diagnósticos de dor crônica e depressão e a redução dos sintomas na medida em que a ansiedade é reprocessada através da dessensibilização dos eventos traumáticos revelados pelos pacientes. A proposta é seguir por um tempo de seis meses a evolução 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 sessões, de uma paciente encaminhada por sua geriatra, diagnosticada com Parkinson e depressão profunda, sem alimentar-se corretamente há seis meses, com o peso de 32 quilos, sem conseguir caminhar em função de sua perna esquerda completamente “travada”, embora não apresentasse perdas musculares. Com poucas sessões obteve-se excelentes resultados. A paciente voltou para sua cidade, em outro estado, com um aumento significativo de peso, e será acompanhada mensalmente para averiguação de sua evolução.

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

257. 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

258. Tarquinio, C. (2010, June). EMDR applied for traumatic bereavement after train collision. In Accident victims. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The aim of these exploratory study is to test the application of therapy EMDR in case of traumatic bereavement. The traumatic bereavement, which corresponds to the brutal loss of "other significant", answers a precise clinical picture whose principal characteristics are the intrusive thoughts concerning the late one and of the difficulties of adjustment to the loss (feeling of vacuum, difficulties of recognizing the death, irritability, lack of reactivity, etc.). The 8 participants all of this study are of the took peace on October 12, 2006 in Zoufftgen. The subjects, old on average 35.2 years ( S D = l I . l ) and including 75% women, followed between 8 to 15 meetings (m=10.75, SD = 2.21) answering protocol EMDR The effectiveness of the therapy was evaluated starting from several criteria including traumatic bereavement, anxiety, depression and psychological distress. Five evaluations were carried out: before the therapy (TO), after six meetings (TI), at the end of the therapy (T2), then in three months (T3) and twelve months (T4) after the end of the therapy. The principal results seem to indicate an effectiveness of the therapy EMDR. Indeed, we observe a reduction in all the indicators between the beginning (TO) and the end of the therapy (TI). Moreover, when this reduction does not continue to three and twelve months, it remains, at least, stable at one year. These observations are very encouraging especially when it is known that 10 to 15% of the patients develop a chronic depression.

Keywords: Accident Victims Symposium Train Accident Traumatic Bereavement

Accuracy Verified: Yes

259. Hase, M. H. (2006, September). EMDR applied to reprocess the addiction memory in alcohol addicted in-patients – Outcome and follow-up data of a clinical study. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Substance abuse and its sequels often mean intense suffering for the individual and huge costs for society. Established treatment modalities, as good as they are, lack effectiveness. Comorbid PTST with substance abusers is more the rule, than the exception. So the integration of traumatherapy, especially EMDR, into addiciton therapy seems necessary. Recent research in the field of neuroscience has shown that most experience is automatically processed on subcortical levels, i.e., by "unconscious" interpretations that are made outside of conscious awareness. Insight and understanding have only a limited influence on the operation of these subcortical processes. The concept of an addiction memory is helpful. It can be understood as a form maladaptive memory and EMDR could be the tool for resolution. Targeting the addiction memory and reprocessing should lead to a reduction in craving. Date of a study on alcohol addicted inpatient support the hypothesis. Data shown include outcome and follow-up data. Reprocessing of the addiction memory could lead to EMDR protocol beyond the EMDR Chemical Dependency Treatment Manual. Participants will be able to understand the concept of the addiction memory and its implications for therapy. They will be able to identify targets for EMDR. Video of treatment sessions illustrate common principles and differences.

Keywords: Addiction Memory Substance Abuse

Accuracy Verified: Yes

260. Hammond, D. C. (1992, Summer). The EMDR bandwagon. American Society of Clinical Hypnosis (ASCH) Newsletter, 32(2), 7-8.

Language: English

Format: Newsletter

Abstract:
Shapiro, in her response to Metter and Michelson, criticizes that their failure to replicate must have been because they used an 'aberrant version' of her technique. She cites many uncontrolled case reports, but her original 1989 publication remains the only 'controlled study' in print. Her original report did not include an alternative treatment condition or betweengroups analysis, only included moderate level and temporally dlstant traumas that patients were already consciously aware.of.. and did not control for expectancy or suggestion effects.

Keywords: Letter

Accuracy Verified: Yes

261. Rougemont-Bucking, A. (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:
Background: EMDR has been recognized to be an efficacious treatment of Posttraumatic Stress Disorder (PTSD). Other, more recent indications comprise anxiety disorders and substance use disorders (SUD). With regard to SUD, the application of EMDR iS very challenging as patients frequently suffer from many comorbidities. Another concern is the fact that the dissociative experiencing during EMDR-sessions can potentially weaken the patients' coping strategies and provoke relapse through activation of intense drug craving. General procedure. Sessions were proposed once a week. Specific techniques like 'Safe Place', the technique of absorption, heart coherence training and ClPOS were applied prior to proposition of the standard EMDR-protocol. Drug consumption and craving was regularly monitored by means of the patents' self-reports and drug craving scores. The therapist was regularly supervised on the basis of video recordings. Patient 1: A 49 year old man being diagnosed for PTSD and dependency of opiates and benzodiazepines asked to benefit form EMDR with regard to his PTSD symptoms. Patient was abstinent from heroine consumption but consumed midazolam 3 times per week when entering the therapy. Initial evaluation showed an Impact of Event Scale (IES) score of 60, a Dissociative Experiences Scale (DES) score of 39.6 and a midazolam craving score of 14. Patient 2 :A 37 old man was diagnosed for borderline personality disorder and for dependency of opiates. Heroine consumption occurred 1 to 3 times per month when starting the therapy EMDR based therapy was proposed as he complained about pertinacious insomnia due to trauma-like events during his childhood. Initial evaluation showed a DES score of 7.8 and a heroine craving score of 17. Global impression: EMDR based treatment of severely affected SUD patients appears to be a difficult and challenging endeavor However, some beneficial effects on general comfort and on drug consumption can be observed. A long stabilisation phase seems to be mandatory and the standard EMDR protocol needs to be conducted with much flexibility as patients were not able to handle intensive emotional stress for a long time period. There was no provocation of a prolonged psychological crisis or of relapse. Experiencing of emotional stress could be limited to the sessions and dissociation could be absorbed with specific techniques without increasing permanently drug craving. Learning objectives: 1. EMDR-based treatment is feasible in severely affected drug abusers 2. Extensive stabilisation of the patient using flexible adaptation of EMDR-related techniques is mandatory 3. Dissociation occurring during treatment has to be addressed carefully as it can easily bridge into drug craving and relapse What is unique: EMDR-based treatment may be a suitable way to treat patients who are still abusing drugs as these interventions focus on maladaptive associations that arise from both trauma and substance related cues.

Keywords: Drug Abusers Heroine Psychotraumatic Antecedents

Accuracy Verified: Yes

262. Hofmann, A. (2008, September). EMDR bei dissoziativen störungen [EMDR and dissociative disorders]. Presentation at Pre-Congress on EMDR auf dem European Congress of Hypnosis, Wien, Österreich.

Language: German

Format: Conference

Abstract:
Mit den zunehmenden Forschungsergebnissen im Bereich psychotraumatischer bedingter Störungen sind auch neuere erfolgreiche Zugänge zur Behandlung dieser Störungen entwickelt worden. Einer dieser neuen Ansätze ist die von Dr. Francine Shapiro in Palo Alto (Kalifornien) entwickelte und mittlerweile international anerkannte EMDR-Methode.
Diese in ihrer Effektivität gut belegte Behandlungsmethode verwendet einen acht Phasen umfassenden Behandlungsansatz und kann in vielen Psychotherapien auch bei schwer dissoziativen PatientInnen wichtigen Beitrag zur Verarbeitung belastender Erinnerungen leisten.
Dies gilt auch für PatientInnen, die unter schwersten dissoziativen Störungen wie einer multiplen Persönlichkeitsstörung leiden. Die oft langwierige Behandlung dieser PatienInnen ist durch Methodenintegration und kann durch den Einsatz der EMDR-Methode sehr profitieren. Der diagnostische und behandlungstechnisch integrative EMDR-Ansatz bei diesen PatientInnen wird in seinen Forschungsergebnissen und klinischen Anwendungen im Einzelnen diskutiert werden.

Supervision will as well as coaching the professional competence of supervisees at the intersection of different factors: optimizing them accordingly serve the qualification, optimization and reflection of the professional action. With the growing research in the field of psycho-traumatic disorders induced newer successful approaches to the treatment of these disorders have been developed. One of these new approaches is that of Dr. Francine Shapiro in Palo Alto (Calif.) has developed and now internationally recognized EMDR method.
This well-documented in effectiveness treatment method uses a eight phases comprehensive approach to treatment and can afford in many psychotherapies in severely dissociative patients also important contribution to the processing of stressful memories.
This also applies to patients suffering from severe dissociative disorders, such as a multiple personality disorder. The often lengthy treatment of this PatienInnen is through integration of methods and can benefit by using the EMDR method very much. The diagnostic and treatment technique EMDR integrative approach in these patients will be discussed in its research and clinical applications in detail.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

263. van Els, H. (2008, Maart). EMDR bij allochtonen en bij ouderen: In proces krijgen én houden met contextuele aanpassingen [EMDR for immigrants and the elderly: In trial and to contextual adaptation]. Presentatie op de derde conferentie van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
Ouderen en allochtonen met PTSS zijn groepen patiënten die kunnen profiteren van behandeling met EMDR. Bied je echter, conform de multidisciplinaire richtlijn angststoornissen EMDR aan, dan stuit je op een aantal problemen. Voorbeelden daarvan zijn: geen eigen wens voor deze behandeling, sterke vermijding van het oprakelen van traumatische ervaringen, afzeggen en wegblijven, heftige lichamelijke ervaringen en afbreken van de sessie én taal als hindernis. In deze workshop worden ervaring besproken met ouderen (N=10; 62-82 jaar) en met een gevarieerde groep allochtonen (N=10) binnen een reguliere 2e lijns GGZ instelling. Allereerst worden enkele mislukkingen geanalyseerd. Het blijkt lastig te zijn om patiënt in de EMDR-procedure te krijgen en te houden. De rol van cultuur, van motivatie en committent en van taal wordt bekeken. Vervolgens worden aanpassingen getoond in: de voorbereiding, de uitleg en het te bereiken resultaat. Tevens wordt het belang aangegeven van het werken ‘als team’ met een vaste tolk. Alle inspanningen zijn gericht op het ‘gewoon’ uit kunnen voeren van EMDR.

Elderly and immigrants with PTSD groups of patients who may benefit from treatment with EMDR. However, your bid, according to the multidisciplinary guidelines for anxiety disorders EMDR, then you hit a number of problems. Examples include: no own desire for this treatment, avoiding the sharp rake of traumatic experiences, cancel and stay away, intense physical experiences and abort the session and language barrier. This workshop experience will be discussed with older people (N = 10, 62-82 years) and with a diverse group of immigrants (N = 10) in a regular second-line mental health institution. First, some failures analyzed. It seems difficult to be patient in the EMDR procedure to get and keep. The role of culture, motivation and Principals and language is viewed. Then adjustments shown in: the preparation, interpretation and results to be achieved. It also indicated the importance of working 'as a team "with a fixed interpretation. All efforts are aimed at 'ordinary' can perform EMDR.

Keywords: Anxiety Elderly Immigrants Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

264. Meijer, S. (2013, April). EMDR bij borderline problematiek: Hoe om te gaan met automutilatie en andere vormen van zelfdestructief gedrag [EMDR in borderline issues: How to deal with self-mutilation and other forms of self-destructive behavior]. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Ernstig zelfdestructief gedrag wordt doorgaans gezien als een belemmering voor een behandeling gericht op het verwerken van trauma. Vaak is dit gedrag echter gerelateerd aan ptts symptomatologie en kan het behandelen daarvan met EMDR ook vermindering te weeg brengen in dit gedrag. Uiteraard is het dan wel van belang om goed inzicht te hebben hoe dit gedrag verband houdt met het trauma om te kunnen weten welke targets gekozen moeten worden. Deze lezing geeft inzicht hoe zelfdestructief gedrag begrepen kan worden, hoe het verband kan houden met trauma en hoe dit vervolgens behandeld kan worden. Ook wordt besproken hoe patiënten met ernstige vormen van dit gedrag voorbereid kunnen worden op de EMDR behandeling zonder verder te ontregelen.

Serious self-destructive behavior is usually seen as a barrier to treatment aimed at traumas. Often this behavior is related to pTTS symptomatology and can treat them with EMDR also bring about reduction in this behavior. Of course is it important to have good insight how this behavior is related to the trauma in order to know which targets should be chosen. This lecture gives an insight into how self-destructive behavior can be understood, how it may be related to trauma and how it then can be treated. It also discusses how patients with severe forms of this behavior can be prepared on the EMDR treatment without further disrupt.

Keywords: Borderline Symptoms Self-Destructive Behaviors

Accuracy Verified: Yes

265. ten Broeke, T., & Oppenheim, H-J. (2008, Maart). EMDR bij de behandeling van complexe PTSS en ernstige dissociatie [EMDR in the treatment of complex PTSD and severe dissociation]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Bij de behandeling van patiënten met complexe PTSS ten gevolge van type 2 trauma, wordt de behandelaar geconfronteerd met twee grote problemen: 1) hoe een overzichtelijke structuur aan te brengen in de veelheid aan traumatische gebeurtenissen, en 2) hoe om te gaan met pathologische dissociatie. In deze voordracht wordt in eerste instantie een aanpak gepresenteerd waarmee de therapeut en patiënt kunnen komen tot een zodanige (hiërarchische) ordening van de traumatische gebeurtenissen, dat een gefaseerde en overzichtelijke behandeling mogelijk wordt. Vervolgens zal nader ingegaan worden op het verschijnsel dissociatie en zal worden uitgelegd welke algemene technieken toegepast kunnen worden bij dissociatieve reacties. Ten slotte zal aan de hand van videobeelden worden gedemonstreerd hoe met een aangepast EMDR basisprotocol het mogelijk is om bij mensen met secundaire en tertiaire structurele dissociatie, door activatie van een alterpersoonlijkheid, het traumatisch materiaal waardoor de alterpersoonlijkheid is ontstaan a. te ontsluiten, b. te verwerken en c. te integreren

When treating patients with complex PTSD as a result of Type 2 trauma, the therapist faces two major problems: 1) how an organized structure to the multitude of traumatic events, and 2) how to deal with pathological dissociation . In this lecture primarily an approach is presented that the therapist and patient can come to such a (Hierarchical) organization of the traumatic events that a phased and orderly treatment possible. Will then be elaborated on the phenomenon of dissociation and will explain the general techniques can be applied to dissociative reactions. Finally, using video to demonstrate how a modified EMDR basic protocol it is possible in people with secondary and tertiary structural dissociation, through activation of an alter personality, traumatic materials which alter personality created a. to access, b. processing and c. integrate.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

266. Hofmann, A. (2006, November). EMDR bij de behandeling van complexe PTSS patiënten [EMDR in the treatment of complex PTSD patients]. Keynote gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.

Language: English

Format: Conference

Abstract:
Patiënten met complexe PTSS en dissociatieve symptomen zijn een uitdagende patiëntenpopulatie. Concepten zoals de stoornis van extreme stress (Herman et al..) En het geheugen van het onderzoek naar netwerken en vooral structurele dissociatie (Nijenhuis et al..) Helpt om dit te begrijpen patiënten beter. Bij de behandeling van deze patiënten EMDR kan een van de belangrijkste benaderingen in de behandeling een therapie instelling die gewoonlijk moet ook bijvoegen andere modaliteiten naast de EMDR EMDR standaardprotocol. Nieuwe ontwikkelingen in EMDR en een decission helpen wanneer ze toe te passen kan pacing de therapie van deze patiënten te helpen en maakt het succesvol.

Patients with complex PTSD and dissociative symptoms are a challenging patient population . Concepts like the Disorder of Extreme Stress (Herman et al.) and the the research on memory networks and especially structural dissociation (Nijenhuis et al.) help to understand these patients better. In the treatment of this patients EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also enclose other EMDR modalities besides the EMDR standard protocol. New developments in EMDR and an decission help when to apply them can help pacing the therapy of these patients and making it successful.

Keywords: Complex Posttraumatic Stress Disorder C-PTSD

Accuracy Verified: Yes

267. ten Broeke, A., & de Jongh, A. (1997). EMDR bij debehandeling van Type II psychotrauma: Een casus [EMDR in the treatment of Type II psychotrauma: A case-study]. Tijdschrift voor Psychiatrie, 39(3), 249-255.

Language: Dutch

Format: Journal

Abstract:
Deze casus beschrijft de toepassing van EMDR bij de behandeling van ernstige en herhaalde seksueel misbruik. Tijdens een patiënt in de psychiatrische behandeling EMDR werd gebruikt om ongevoelig en "opwerken" de traumatische herinneringen. Zoals blijkt uit eigenbelang van de cliënt-verslag en gestandaardiseerde psychologische vragenlijsten, EMDR was succesvol in het verlichten van diverse ptss-symptomen en daarmee samenhangende klachten. De resultaten werden gehandhaafd op negen maanden follow-up. Zaak verslagen als deze kunnen stimuleren gecontroleerde outcome research over de toepassing van EMDR bij complexe (Type II) vormen van PTSS.

This case history describes the application of EMDR in the treatment of severe and repeated sexual abuse. During an in-patient psychiatric treatment EMDR was used to desensitize and 'reprocess' the traumatic memories. As is evident from the client's selfreport and standardized psychological questionnaires, EMDR was successful in alleviating various PTSD symptoms and associated complaints. The results were maintained at nine months follow-up. Case-reports like these may stimulate controlled outcomeresearch on the applications of EMDR with complex (Type II) forms of PTSD.

Keywords: Case Report Clinical Case Study Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Young Adults

Accuracy Verified: Yes

268. 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

269. ter Heide, J. J. (2011, August). EMDR bij getraumatiseerde vluchtelingen [EMDR with traumatized refugees]. Psychologie & Gezondheid, 39(3), 180-185. doi:10.1007/s12483-011-0036-2.

Language: Dutch

Format: Journal

Abstract:
While EMDR is treatment of choice for traumatized adults with PTSS, its efficacy has not been validated with traumatized refugees. As long as no evidence is available for EMDR with this population, EMDR with refugees should be informed by theoretical approaches to treatment of PTSS in adults. Four approaches are discussed: the phased approach that advocates stabilization before EMDR; the multimodal approach that advocates combining EMDR with other interventions; the trauma-focused approach that advocates offering EMDR to all adults with PTSS, including refugees and, the transcultural approach that advocates a culturally sensitive administration of EMDR. Several pilot studies on EMDR with traumatized refugees, randomized controlled trials of EMDR with multiply traumatized populations, and a trial of EMDR in a non-western setting may further inform EMDR-therapists working with traumatized refugees. Suggestions are made for combining the four approaches and scientific evidence in treatment planning and execution of EMDR with this population. The EMDR protocol itself prescribes several interventions for treating multiply traumatized patients, such as resource development and installation, clustering of traumatic experiences, and cognitive interweaves. Additionally, culturally sensitive interventions may enable the refugee to actively partake in the treatment process by increasing motivation for trauma processing, by diminishing language barriers, and by facilitating the formulation of culturally congruent meanings to trauma. The question remains whether EMDR, which offers an individualistic approach to trauma, is sufficiently suited to address the collective traumatization of victims of war and organized violence.

Keywords: Refugees Trauma

Accuracy Verified: Yes

270. Braun, P., & van Og, A. (2005, November). EMDR bij klinisch opgenomen TBS-gestelden: ”Elk voordeel heb z’n nadeel” [EMDR clinical TBS recorded as such: "Any benefit me his disadvantage"]. Presentatie op het Eerste Congres van de Vereniging EMDR Nederland, Ede, Nederland.

Language: Dutch

Format: Conference

Abstract:
Deze lezing gaat over het implementeren van EMDR in een zeer complexe (TBS) instelling, waarbij beveiliging en onlosmakelijk behandeling verweven zijn, met een diagnostisch zwaar belaste doelgroep: • Meervoudige persoonlijkheidsstoornissen • Meervoudig ernstig getraumatiseerd • Verslavingsproblematiek • Specifieke psychiatrische problematiek • Forensische problematiek • Combinaties
Het TBS systeem van behandelen (met beveiliging als belangrijk punt) verhoudt zich soms moeilijk tot de behandeling met EMDR van de individuele patiënt. Angst voor de beheersbaarheid van een patiënt gedurende de behandeling kan als een contra-indicatie worden gezien voor EMDR-behandeling. Het is de vraag of EMDR gecontraïndiceerd is in een TBS-kliniek vanwege de veiligheid. De inbedding van de behandeling in de TBS-kliniek alsmede het toepassen van zelfcontroletechnieken zijn hierbij belangrijke factoren. Complicerende factor is dat veel TBS-patiënten zowel zelf getraumatiseerd zijn als wel ernstige delicten hebben gepleegd waarmee ze anderen hebben getraumatiseerd.
In deze lezing willen wij vooral aan de orde stellen hoe de behandeling van het daderschap zich verhoudt tot de behandeling van het slachtofferschap van de patiënt. We willen hiervan zowel de inhoudelijke als de ethische kant belichten. Van belang hierbij is ook de discussie rondom de indicatiestelling: richt men zich eerst op het daderschap of juist op het slachtofferschap? Verder willen we de gelaagdheid van de behandeling benoemen: de behandelaar heeft niet alleen te maken met de problematiek van de patiënt maar ook te maken met de gesloten kliniek en verschillende functionarissen daarin. Die gelaagdheid heeft direct gevolgen voor de vorm en inhoud van de behandeling.
Als hypothese willen we naar voren brengen dat de behandeling van trauma’s essentieel kan zijn voor de behandeling van persoonlijkheidsproblematiek. Schemagerichte Cognitieve Therapie (J. Young), sluit in onze ogen naadloos aan op EMDR. Beide stromingen richten zich op dezelfde type existentiële “Ik ben ….“ opvattingen.

This lecture is about the implementation of EMDR In a very complex (TBS) of institution, and security are inextricably intertwined treatment, with a heavily loaded diagnostic target: • Multiple personality disorder • Multiple severely traumatized • Addiction Problems • Specific psychiatric problems • Forensic issues • Combinations
The TBS system of treatment (with security as an important point) does sometimes difficult to EMDR treatment of individual patients. Fear of the manageability of a patient during treatment as may be considered a contraindication for EMDR treatment. The question is whether EMDR is contraindicated in a TBS clinic for security reasons. The embedding of treatment in the TBS clinic and the use of self-control techniques are important factors. Complicating factor is that many TBS patients, both self-traumatized as well have committed serious crimes with which they have traumatized others.
In this talk we mainly discussed how the treatment of the perpetrator is related to the treatment of the victimization of the patient. We wish them both the substantive and ethical angles. Of importance here is the discussion surrounding the needs assessment: the focus is first on the perpetrator or at the very victimization? We also want to appoint the stratification of treatment: the therapist has not only faced with the problem of the patient but also to do with the clinic closed and several officers therein. Such layering has direct implications for the form and content of treatment.
As a hypothesis we want to highlight that the treatment of trauma may be essential for the treatment of personality problems. Schema-Focused Cognitive Therapy (J. Young), close our eyes seamlessly with EMDR. Both schools focus on the same existential type "I am ...." opinions.

Keywords: TBS System of Treatment

Accuracy Verified: Yes

271. Kok, W. & Verschuren, N. (2011, April). EMDR bij mensen met dementie en andere cognitieve stoornissen [EMDR for people with dementia and other cognitive disorders]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging, Nijmegen, Nederland.

Language: Dutch

Format: Conference

Abstract:
Er is niet veel bekend over de mogelijkheden van EMDR behandeling bij mensen met hersenbeschadiging. In het casusboek EMDR is een hoofdstuk wat vertelt over de behandeling van rouw bij een vrouw met een CVA in de voorgeschiedenis. Verder zullen de psychologen werkzaam binnen GGZ ouderenzorg, verpleeghuizen en/of revalidatie centra, EMDR proberen toe te passen in voorkomende situaties. Werkt het en werkt EMDR altijd? Wanneer werkt het niet? Bij welke beschadiging komt er geen verwerking op gang? Is daar een lokalisatie van te geven? Welke aanpassingen aan het protocol zijn nodig? Kan EMDR helpen bij onrust, bij dementie patiënten? Kan het onrust voorkomen? Hoe uitleg te geven over de behandeling en wie dient betrokken te worden bij beslissingen over de behandeling als patiënt niet alles meer kan overzien (het betreft soms een niet voor de hand liggende stap in de behandeling)? En hoe zit het dan met medicatie? En hoe leg je het uit aan collega’s? Dit zijn enkele van de vragen die opborrelen als dit onderwerp aan de orde komt. In deze workshop willen wij aandacht besteden aan deze vragen met als doel na te gaan wanneer EMDR het best is in te zetten bij bovengenoemde doelgroepen en hoe dat dan het best kan gebeuren. We willen graag de kennis hierover bundelen, verder onderzoek stimuleren. En zullen waarschijnlijk meer vragen oproepen dan dat we antwoorden kunnen gegeven. Dit alles aan de hand van theorie en beeldfragmenten van behandelingen. Inbreng van de deelnemers aan de workshop wordt zeer op prijs gesteld. Bij onvoldoende tijd kan er een vervolg aan worden gegeven. Werkvorm: workshop lezing met videomateriaal, enkele casussen. Discussie maakt deel uit van de workshop.

Not much is known about the potential of EMDR treatment in people with brain damage. EMDR in the case book is a chapter that tells about the treatment of grief in a woman with a history of stroke. Furthermore, the psychologists working in mental health elderly, nursing homes and / or rehabilitation centers, EMDR try to apply in common situations. EMDR works and always works? When does it not? In which corruption is no processing going on? Is there a localization of giving? What changes to the protocol are needed? EMDR can help with anxiety, dementia patients? Can it prevent unrest? How to explain the treatment and who should be involved in decisions about treatment as a patient can see everything more (in some cases they are not an obvious step in the treatment)? And how about those drugs? And how you put it out to colleagues? Here are some of the questions that bubble up if this topic is discussed. In this workshop we focus on these questions in order to determine if EMDR is best to work with target groups mentioned above and how it can best be done. We would like to combine this knowledge, further research. And likely more questions than we can answer given. All this based on theory and images of treatments. Input from the participants of the workshop is greatly appreciated. Without adequate time, a sequel to be. Form: workshop reading, watching videos, some cases. Discussion is part of the workshop. New! Click the words above to view alternate translations. Dismiss 0.

Keywords: Cognitive Disorders Dementia

Accuracy Verified: Yes

272. 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

273. Staff. (2012, March 11). EMDR can help heal effects of trauma. Charlotte Sun, Port Charlotte, FL and Englewood Sun, FL.

Language: English

Format: Newspaper

Abstract:
...her practice, eye movement desensitization and reprocessing, or EMDR -- a psychotherapy for patients who need to resolve symptoms....

Keywords: General Overview

Accuracy Verified: No

274. Post, L. L. (2000, September). EMDR case study: Micronesia. EMDRIA Newsletter, 5(3), 4-5.

Language: English

Format: Newsletter

Abstract:
As a physician board-certified in Psychiatry, Addiction Medicine, Addiction Psychiatry, Sexology, Traumatology, and with credentials in Massage Therapy, EMDR, and as a Forensic Examiner, I have worked in almost every practice setting imaginable and with a broad variety of patients. Having been based from a hospital, community clinic, halfway-house residence, private office, Veterans Administration Medical Center, training institution, and doing outreach on the streets, I am clinically familiar with the behavioral challenges of children, adolescents, young adults, old adults, couples, families, and groups manifesting acute symptoms and exacerbations of chronic disorders, with and without chemical dependency, physical problems, and sociological impairments. I like to teach trainees, do interactive lectures, travel and experience ‘difference.’ It is thus that I have found myself a settled homeowner on Saipan, a Manhattan-sized island that, as part of the Commonwealth of the Northern Mariana Islands (U.S.), is the farthest-flung American overseas possession. Always the outsider; here among the various tan tones of complexion found among the indigenous of the western Pacific, I have experimented with several interventional strategies, both to establish rapport and some trust and also to start creating that unique and culturally competent treatment modality that will foster growth among my patients. Cognitive-behavioral approaches generally work better than insight-oriented ones because of the ‘here-and-now’ mindset of Chamorros, Carolinians, Yapese, Chukese, Pohnpeians, Kosraeans, and Filipinos who comprise the population base here. Let me briefly discuss one fascinating case. Twenty two year old Chamolinian woman, married and with three young children was involved in a minor motor vehicle accident. This accident was a spinoff of a more serious one primarily involving two other vehicles. In a large truck (Toyota T100), she was not hurt, and the two children riding with her were also unharmed.

Keywords: Case Study Micronesia

Accuracy Verified: Yes

275. Sterpone, R., & Paiuzzi, E. (2008, Novembre). EMDR come momento di ulteriore integrazione professionale tra differenti operatori di cura di un ospedale infantile [EMDR as a moment of further integration between vocational different operators care children's hospital]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.

Language: Italian

Format: Conference

Abstract:
La presentazione si propone di “raccontare” come l’EMDR sia diventata, in un ospedale infantile, strumento di ulteriore integrazione professionale tra i differenti operatori di cura. L’EMDR viene utilizzata, infatti, non solo con bambini e adolescenti che giungono nella Struttura Operativa di Psicologia, ma viene richiesta dai medici dei vari reparti per i pazienti, ed eventualmente per i loro familiari, ricoverati in seguito ad esposizione ad eventi critici. L’intervento con EMDR viene, inoltre, effettuato con alcuni genitori i cui figli sono ricoverati in merito a malattie gravi o croniche. Gli stessi operatori di cura, in seguito ad eventi potenzialmente traumatici in ambito lavorativo, vengono aiutati con gruppi di debriefing, e, se necessario, con l’EMDR per riprocessare situazioni dolorose, ritrovare benessere e funzionalità lavorativa. Operatori di cura differenti, sistemi conoscitivi$differenti, ma insieme… insieme per cocostruire con il paziente e la sua famiglia una nuova narrativa ed aiutarli ad attribuire nuovi significati ad esperienze dolorose o fallimentari.

The presentation aims to "tell" how EMDR has become, in a children's hospital, tool for further integration between the different operators of professional care. EMDR is used, in fact, not only with children and adolescents who come in the Structure Works on psychology, but is required by doctors of various departments for patients, and possibly for their families, hospitalized after exposure to critical events. Intervention with EMDR is also made with some parents whose children are hospitalized on serious or chronic illnesses. Operators themselves to care, in the aftermath of potentially traumatic in employment, are helped with groups of debriefing, and, if necessary, with EMDR for reprocess painful situations, to find wellness and functionality work. Operators care ifferent cognitive systems different, but together ... together with the patient and cocostruire its family a new narrative and help to give new meaning to experiences painful or unsuccessful.

Keywords: Children

Accuracy Verified: Yes

276. Congresso EMDR de Estambul. (2006, Junio). EMDR con pacientes borderline, ¿Mision Imposible? [EMDR with borderline patients: Mission impossible?]. Presentación en la Asociación EMDR España, Madrid.

Language: Spanish

Format: Conference

Abstract:
No abstract available.

Keywords: Borderline Personality Disorder

Accuracy Verified: Yes

277. Staff. (2002, June 3). EMDR cuts to chase quickly. Redding, CA: Redding Record Searchlight, D1.

Language: English

Format: Newspaper

Abstract:
Fast transformation is a large part of the appeal of eye-movement desensitization reprocessing, or EMDR. When Susan Rogers, a psychiatric social worker in Los Angeles, attended an EMDR workshop two years ago, she was asked to think about an event in her life that was still painful.

Keywords: General Overview Redding, CA Susan Rogers

Accuracy Verified: Yes

278. 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 à 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 à 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

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

Language: Italian

Format: Conference

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

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

Keywords: Eating Disorders

Accuracy Verified: Yes

280. 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

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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes

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

Language: Dutch

Format: Conference

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

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

Keywords: Eating Disorders

Accuracy Verified: Yes

283. Groenendijk, M. & Hoven, M. (2006, November). EMDR en PMT bij de behandeling van complexe PTSS [EMDR and PMT in the treatment of complex PTSD]. Presentatie aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.

Language: Dutch

Format: Conference

Abstract:
Tijdens deze workshop zal een uitgebreide videopresentatie over een EMDR-behandeling bij complexe PTSS. Bijzonder is dat de EMDR wordt uitgevoerd in een klinische setting met de psychomotore therapeut als co-therapeut. Mariëtte Groenendijk en Marieke van de Hoven zullen ingaan op hun ervaringen met ernstig getraumatiseerde patiënten en de 'beren op de weg' die daarbij kunnen optreden zoals dissociatie, uitvalsverschijnselen en herbelevingen.

During this workshop will provide a comprehensive video presentation on an EMDR treatment for complex PTSD. Particularly is that EMDR is conducted in a clinical setting with the psychomotor therapist as co-therapist. Mariette Groenendijk and Marieke of the Courts will discuss their experiences with severe traumatized patients and the "pitfalls" that might occur as dissociation, reliving and failure phenomena.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

284. Vazquez, A. G. (2007, Novembro). EMDR en trastornos disociativos [EMDR in dissociative disorders]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.

Language: English

Format: Conference

Abstract:
Objetivos de aprendizaje: • Ofrecer una perspectiva de cómo enlazar el tratamiento de trastornos disociativos y EMDR. La disociación es un fenómeno clínico estrechamente ligado al trauma. Todos los que trabajamos con EMDR nos encontramos necesariamente con ella. Sin embargo es frecuente que los conocimientos en el área del tratamiento de la disociación sean limitados en muchos países. Muchas veces la información que se nos transmite al respecto es que “es preciso tener mucho cuidado cuando empleamos EMDR en pacientes disociativos”. Si bien esto es muy cierto, también lo es que teniendo claro el esquema de tratamiento en la disociación grave, EMDR puede utilizarse de forma eficaz y segura en estos pacientes, y resulta enormemente útil en el proceso terapéutico, acortando enormemente los tiempos de terapia. • Acercar a los asistentes a estos tratamientos de una forma eminentemente práctica, predominando en la exposición la presentación de casos clínicos, fundamentalmente en formato de video, sobre el desarrollo teórico, aunque se intentará engarzar ambos aspectos de un modo coherente y comprensible. • Crear un espacio de discusión en el que los participantes puedan aportar sus experiencias clínicas y compartir perspectivas. (Este trabajo también será presentado en forma de video. Vea el horario de la Sala 4).

Learning Objectives: • Provide an overview of how to bind the treatment of dissociative disorders and EMDR. Dissociation is a clinical phenomenon closely associated with the trauma. Everyone we work with EMDR necessarily with it. However, it is common knowledge in the area dissociation treatment are limited in many countries. Many times the information transmitted to us in this regard is that "it is must be very careful when employ EMDR in dissociative patients. " While this is very true, so is that clear light treatment scheme severe dissociation, EMDR can be used effective and safe in these patients, and is enormously helpful in the process therapeutic, greatly shortening days of therapy. • Bring attendees to these treatments of an eminently practical, predominantly presentation in the exhibition clinical cases, mainly in the form Video on the theoretical development, but will try to enshrine both aspects in a coherent and understandable. • Create a space for discussion where Participants can bring their experiences Clinical and share perspectives. (This work will also be presented as of video. See schedule of Room 4).

Keywords: Dissocative Disorders

Accuracy Verified: Yes

285. Maiberger, B. (2009). EMDR essentials: A guide for clients and therapists. New York: W. W. Norton.

Language: English

Format: Book

Abstract:
1)In easy-to-understand terms, Barb Maiberger explains EMDR to clients and, in turn, equips clinicians with a shorthand way of explaining it to their own patients. Topics include understanding trauma and its symptoms, how and why EMDR works (and when it won't), how to find the right therapist, and sample relaxation exercises. 2)This book discusses eye movement desensitization and reprocessing (EMDR) therapy. Part I explains EMDR, the phases involved in treatment, the nature of trauma and its effect on memory. Theories about why EMDR works, how it can work for children, and safety issues are addressed. Part II provides illustrations from the author's experiences as an EMDR therapist, presenting client issues and how EMDR helped them. The author notes that the purpose of this book is to inform potential EMDR clients what to expect from EMDR therapy and how it may help in trauma healing. (PsycINFO Database)

Keywords: Practice Theory

Accuracy Verified: Yes

286. 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

287. Kavakcı, O., Kaptanoğlu, E., Kugu, N., & Dogan, O. (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 yaygýn vücut aðrýlarý, belirli anatomik bölgelerde hassasiyet, azalmýþ aðrý eþiði, uyku bozukluklarý, yorgunluk ve sýklýkla psikolojik sýkýntý ile karakterize eklem dýþý romatizmal bir hastalýktýr. FMS'de psikiyatrik komorbidite yüksektir ve son zamanlarda FMS ve psikolojik travma iliþkisini gösteren yayýnlar artmaktadýr. Bu olgu sunumunun amacý psikolojik travmaya yönelik bir tedavinin FMS'nin belirtilerini yatýþtýrýp yatýþtýrmayacaðýný deðerlendirmektir. Bu amaç doðrultusunda Fizik Tedavi ve Rehabilitasyon (FTR) kliniðinden ilaç tedavisine iyi yanýt vermemiþ FMS tanýsý konulan bir hastada önce travma yaþantýsý olup olmadýðý deðerlendirilmiþ, ardýndan saptanan travmalarýna yönelik göz hareketleriyle duyarsýzlaþtýrma ve yeniden iþleme (EMDR: Eye Movement Desensitization and Reprocessing) uygulanmýþtýr. Hasta; Beþ yýldýr þikâyetleri olan 34 yaþýnda, evli, kadýn, ilaç kullanmýyor. Visuel Aðrý Skalasýnda (VAS) aðrý düzeyi 9-10, hassas nokta sayýsý 15/18 olarak belirlendi. Beck Depresyon Ölçeði puaný (BDÖ) 22 ve Foa Travma Deðerlendirme Ölçeði (TDÖ) puaný 41 olarak saptandý. EMDR tedavisi sonrasýnda; VAS 3, hassas nokta sayýsý 11/18, TDÖ 6, BDÖ puaný 2 olarak bulundu. Hastanýn 3 ve 6 aylýk takipte iyilik halinin sürdüðü tespit edildi.Bu olgunun travmalarýna yönelik tedavi uygulanmasý sonrasýnda hem psikiyatrik hem de somatik yakýnmalarýnda belirgin düzelme görülmüþ ve bu iyileþmenin olasý mekanizmalarý tartýþýlmýþtýr. FMS'li olgularda travmatik deneyimlerin aranmasý ve EMDR veya baþka travma yönelimli yaklaþýmlarýn uygulanmasý 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 Psychotherapy Trauma

Accuracy Verified: Yes

288. Kavakci, O., Kaptanoğlu, E., Kugu, N., & Dogan, O. (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 [The Journal of Clinical Psychiatry], 13(3), 2010. pp. 143-151.

Language: Turkish

Format: Journal

Keywords: Fibromyalgia Psychotherapy Trauma

Accuracy Verified: Yes

289. Beer, R. (2005, June). EMDR for adolescents with anorexia nervosa: Evolution of conceptualization and illustration of clinical applications. In EMDR and eating disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Patients with Anorexia Nervosa usually receive a multi-focused treatment program, where EMDR and Cognitive Behaviour Therapy (CBT) can play a complementary role. However, results are often disappointing and therefore new ideas and techniques are welcome. Possibilities and limitations of EMDR will be discussed and illustrated by video fragments.
Participants will learn to understand why EMDR can be used together with CBT and why it is attractive for adolescents. It will become clear for what targets, when in the treatment process, and how EMDR can be applied. Specific problems to be dealt with will be identified.

Keywords: Adolescents Anorexia Nervosa Eating Disorders Symposium

Accuracy Verified: Yes

290. Eimer, B. N. (1993, Winter). EMDR for chronic pain. EMDR Network Newsletter, 3(3), 4-7.

Language: English

Format: Newsletter

Abstract:
There are two widely accepted assumptions about personality and psychopathology that influence the success or failure of our use of EMDR with patients. While the following notions have been restated in different ways by various schools of personalit, the reader is referred to the work of George Kelley (1955) for the most complete elaboration of these assumptions.

Keywords: Chronic Pain

Accuracy Verified: Yes

291. Arabia, E., Manca, M. L., & Solomon, R. M. (2011). EMDR for survivors of life-threatening cardiac events: Results of a pilot study. Journal of EMDR Practice and Research, 5(1), 2-13. doi:10.1891/1933-3196.5.1.2.

Language: English

Format: Journal

Abstract:
This pilot study evaluated the effectiveness of eye movement desensitization and reprocessing (EMDR) in treating posttraumatic stress disorder (PTSD) symptoms and concomitant depressive and anxiety symptoms in survivors of life-threatening cardiac events. Forty-two patients undergoing cardiac rehabilitation who (a) qualified for the PTSD criterion “A” in relation to a cardiac event and (b) presented clinically significant PTSD symptoms were randomized to a 4-week treatment of EMDR or imaginal exposure (IE). Data were gathered on PTSD, anxiety, and depressive symptoms at pretreatment, posttreatment, and 6-month follow-up. EMDR was effective in reducing PTSD, depressive, and anxiety symptoms and performed significantly better than IE for all variables. These findings provide preliminary support for EMDR as an effective treatment for the symptoms of PTSD, depression, and anxiety that can follow a life-threatening cardiac event.

Keywords: Anxiety Cardiovascular Disease Depression Posttraumatic Stress Disorder PTSD Rehabilitation

Accuracy Verified: Yes

292. 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

293. Hofmann, A. (2010, July). EMDR for treating depression. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
Scientific studies of EMDR have shown that it is one of the most effective tools to treat posttraumatic stress disorder. One of the lesser known properties of EMDR is that it also seems to be an effective psychotherapy method in a number of disorders that may have part of their origins in stressfull memories. One of these disorders is chronic depression. Severe depression is one of the most common mental disorders and affects between 5-15% of the general population in their lifetimes. Although many psychotherapeutic and pharmacologic interventions exists that are considered to be effective in depression, the treatment is less than satisfactory. High relapse rates (ranging at 50% after two years), unsatisfactory remissions and suicidal risks are among the major problems. Research shows that there may be a link between traumatic events (like abuse experience in childhood) and the later occurrence of a depressive disorder. However there is no published systematic study that tries to explore the potential use of trauma specific treatments like EMDR with depressive patients with trauma history. The presenter will report the status of research on the subject and on a current controlled study underway to explore the use of EMDR in depressive patients.

Keywords: Depression

Accuracy Verified: Yes

294. Thomas, R., & Kafoury, A. (2008, Spring). EMDR HAP in India, Indian EMDR set to bloom. HAP What's Happening Now Newsletter, 4(3), Supplement to the Spring Newsletter.

Language: English

Format: Newsletter

Abstract:
In 1995 Dr. Sushma Mehrotra of Mumbai first read about a new therapy called EMDR. After studying all of the information available to her, she introduced it to the Bombay Psychological Association and then to the Bombay Psychiatric Society. To make sure she understood it correctly, Dr. Mehrotra established contact with EMDR training facilitator and HAP volunteer, Ann Kafoury. She later invited Ann to come to India to give a presentation on EMDR to mental health professionals. Since that time they have worked together to develop trainings and to bring EMDR to the people of India. Ann has served as the coordinator of EMDR HAP programs in India since that time.

Keywords: HAP India

Accuracy Verified: Yes

295. Farrell, D., Tareen, S., & Keenan, P. (2008, November). EMDR HAP training in Pakistan in the aftermath of the 2005 earthquake and the ‘War on terror’. Presentation at the 24th Annual Meeting of the International Society for Traumatic Stress Studies .

Language: English

Format: Conference

Abstract:
On Saturday 8th October 2005, a devastating earthquake measuring 7.6 on the Richter scale struck northern Pakistan. The magnitude of the earthquake wiped out entire villages and communities, destroyed 400,000 houses and created over 73,000 fatalities and 135,000 people injured. EMDR UK & Ireland, EMDR Europe, the British/ Pakistani Psychiatric Association & the University of Birmingham supported an eighteen month Humanitarian Assistance Programme to help train forty-nine mental health workers, mainly psychiatrists and psychologists from the earthquake affected areas, in the theory and practice of EMDR in the management of psychological trauma. This programme was one of the first University based HAP trainings in EMDR ever to be undertaken. This paper will provide an insight into the development and progression of the trainings in light of the ongoing political problems in Pakistan both in terms of post earthquake reconstruction and the continued threat of terrorist attacks throughout Pakistan. It will also consider cultural perspectives of trauma and how this related to both EMDR and the conceptual framework of PTSD. The paper will also highlight some of the psychometric data acquired from survivors from the earthquake areas and demonstrate the ways in which EMDR is being utilised as a psychological treatment intervention in Northern Pakistan.

Keywords: Earthquake HAP Pakistan

Accuracy Verified: Yes

296. Farrell, D. (2008, November). EMDR HAP training in Pakistan in the aftermath of the 2005 earthquake and the ‘war on terror’. Symposium conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.

Language: English

Format: Conference

Keywords: Earthquake HAP Pakistan Symposium Terror

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Disaster Emergency Response Procedure ERP Extreme Stress Silent Terror

Accuracy Verified: Yes

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

Language: German

Format: Book

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

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

Keywords: Practice Theory

Accuracy Verified: Yes

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

Language: German

Format: Newsletter

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

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

Keywords: Motion Movement

Accuracy Verified: Yes

300. 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

301. 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

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

Language: English

Format: Conference

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

Keywords: Complex Trauma Dissociative Disorders

Accuracy Verified: Yes

303. Beer, R., & Hornsveld, H. (2008). EMDR in de behandeling van eetstoornissen [EMDR in the treatment of eating disorders]. In E. ten Broeke, A. de Jongh, & H. Oppenheim (Red), Praktijkboek EMDR: Casusconceptualisatie en en specifieke patiëntengroepen,(pp. 201-243). Amsterdam: Harcourt Press.

Language: Dutch

Format: Book Section

Abstract:
Dit hoofdstuk is voortgekomen uit enthousiasme voor EMDR. Eetstoornissen (anorexia nervosa, boulimia nervosa en binge eating disorder) staan bekend als moeilijk te behandelen. Behandeling van patiënten met eetstoornissen vindt bij voorkeur plaats door een multidisciplinair, specialistisch team met een gemeenschappelijke visie (Clinical Guideline Eating Disorders, 2004; Multidisciplinaire Richtlijn voor Eetstoornissen, 2006). Cognitieve gedragstherapie neemt hierbij een prominente plaats in. De weinige beschikbare gecontroleerde studies laten matige resultaten zien met behoorlijke terugvalpercentages (Multidisciplinaire Richtlijn voor Eetstoornissen, 2006). Over het algemeen geldt dat cognitieve gedragstherapie de behandeling van voorkeur is, maar ook de resultaten van deze benadering geven aanleiding tot bescheidenheid (Fairburn e.a., 1999). Onderzoekers en behandelaars zijn daarom voortdurend op zoek naar nieuwe invalshoeken en mogelijkheden. In ons werk met eetstoornispatiënten hebben wij ons afgevraagd hoe de kracht van EMDR ingezet zou kunnen worden bij de vaak moeizame behandeling van patiënten met een eetstoornis. De volgende bevindingen zijn gebaseerd op ervaringen met de behandeling van jongeren (12-18 jaar) met voornamelijk anorexia nervosa1 en volwassenen met hoofdzakelijk binge eating disorder. Daarnaast hebben wij onze klinische ervaringen uitgewisseld met collega’s2 in een werkgroep ‘EMDR en eetstoornissen’. Onze ‘experimenten’ met EMDR vonden steeds plaats als onderdeel van een geïntegreerde, multidisciplinaire poliklinische of deeltijdbehandeling. Het is daarom moeilijk objectief vast te stellen wat specifieke effecten zijn geweest van de beschreven interventies. Onze indruk is echter dat EMDR een klinisch relevante verbetering teweeg kan brengen, waar die met de meer gangbare methoden veel lastiger of zelfs niet te bereiken zou zijn geweest. In wetenschappelijke tijdschriften is, naar wij weten, slechts één artikel verschenen over het gebruik van EMDR in de behandeling van eetstoornissen (Hudson e.a., 1998). Over empirisch onderzoek naar de effecten van EMDR bij de behandeling van eetstoornissen is nog niets gepubliceerd. Wel is door verschillende collega’s op EMDR-congressen bruikbaar materiaal gepresenteerd voor toepassing bij patiënten met een eetstoornis (Vogelmann-Sinn e.a., 1998; Omaha, 2000; Bloomgarden en Calogero, 2002; Friedland, 2003; Hase, 2005).

This chapter is the result of enthusiasm for EMDR. Eating disorders (anorexia nervosa, bulimia nervosa and binge eating disorder) are known as difficult to treat. Treatment of patients with eating disorders is preferably carried out by a multidisciplinary specialist team with a common vision (Clinical Guideline Eating Disorders, 2004; Multidisciplinary Guideline for Eating Disorders, 2006). Cognitive behavioral therapy occupies a prominent place. The few available controlled studies have shown mixed results with significant relapse rates (Multidisciplinary Guideline for Eating Disorders, 2006). Generally, that cognitive-behavioral treatment of preference, but also the results of this approach give rise to modest (Fairburn et al, 1999). Researchers and practitioners are therefore constantly looking for new approaches and possibilities. In our work with eating disorder patients, we asked ourselves how the power of EMDR could be used in the often difficult management of patients with eating disorders. The following findings are based on experiences with the treatment of adolescents (12-18 years) with anorexia mainly nervosa1 and adults with mainly binge eating disorder. We also exchanged our clinical experiences with collega's2 in a workgroup 'EMDR and eating disorders. Our 'experiments' with EMDR were always held as part of an integrated, multidisciplinary outpatient treatment or time. It is therefore difficult to determine objectively what specific effects have been the interventions described. Our impression is that EMDR is a clinically relevant improvement can bring, where those with the more common methods much more difficult or even impossible to achieve would have been. In scientific journals, to our knowledge, only one article about the use of EMDR in the treatment of eating disorders (Hudson et al, 1998). On empirical research into the effects of EMDR in the treatment of eating disorders is not yet published. However, by several colleagues EMDR conferences presented useful material for use in patients with eating disorders (Mann-Sinn Vogel et al, 1998; Omaha, 2000; Bloom Garden and Calogero, 2002; Friedland, 2003; Hase, 2005).

Keywords: Anorexia Nervosa Bulimia Nervosa Binge Eating Disorder Eating Disorders

Accuracy Verified: Yes

304. Beer, R. (2006). EMDR in de behandeling van jongeren met een eetstoornis [EMDR in the treatment of adolescents with an eating disorder]. Kinder- & Jeugdpsychotherapie, 33(3), 54-64.

Language: Dutch

Format: Journal

Abstract:
Eetstoornissen zijn ernstige ziektebeelden met een grote kans op een chronisch beloop, hoge morbiditeitcijfers en veel co-morbiditeit (van Elburg & Rijken, 2004). In de DSM IV worden verschillende eetstoornissen onderscheiden: Anorexia Nervosa, Boulimia Nervosa en Eetstoornis Niet Anders Omschreven. Eetstoornissen komen meestal tot bloei tijdens de adolescentie. Bij Anorexia Nervosa ligt de piek van het ontstaan tussen veertien en achttien jaar, Boulimia Nervosa begint doorgaans pas na het zestiende jaar (Robbe e.a., 1999; Fleminger, 2002; Vandereyken & Noordenbos, 2002). Anorexia Nervosa (AN) heeft het hoogste mortaliteitspercentage van alle psychiatrische stoornissen en bij adolescenten staat het op de derde plaats in de rij van meest voorkomende stoornissen. Behandelingsresultaten zijn weinig bemoedigend (Vandereyken & Noordenbos, 2002). Voor AN is nog geen ‘evidence based’ behandeling voorhanden. Zie: National Institute of Clinical Excellence (2004) en de Multidisciplinaire Richtlijn Eetstoornissen (2006). Behandelaars zijn daarom nog steeds op zoek naar nieuwe invalshoeken. Op de afdeling jeugdpsychiatrie van het Universitair Medisch Centrum Utrecht is een zorgprogramma eetstoornissen ontwikkeld, waarmee jongeren met AN en met een Eetstoornis NAO worden behandeld door een multidisciplinair team2. Zie voor een beschrijving van dit programma: van Elburg & Rijken (2004). Tijdens mijn werkzaamheden voor deze afdeling (2000-2005) heb ik hieraan mogen bijdragen door het implementeren van cognitieve gedragstherapie en EMDR als potentiële onderdelen van een breed-spectrum behandeling. Een beschrijving van een protocol voor cognitieve gedragstherapie is in voorbereiding ( Beer & Tobias). In dit artikel wordt beschreven hoe EMDR kan worden ingezet bij de behandeling van jongeren met een eetstoornis. De hier beschreven experimentele status. De voorgestelde mogelijkheden zijn weliswaar uitgeprobeerd door meerdere psychotherapeuten, maar van systematische toetsing is nog geen sprake geweest. Een gedetailleerde beschrijving en theoretische onderbouwing van de voorgestelde toepassing van EMDR is eveneens in voorbereiding (Beer & Hornsveld). In dit artikel wordt besproken waarom (theoretisch kader), hoe (aangrijpingspunten) en wanneer (timing) EMDR kan worden ingezet. Na een aantal illustratieve behandelfragmenten wordt besproken waarom het juist voor jongeren een waardevolle module kan zijn in een multidisciplinaire behandeling (toegevoegde waarde). Afgesloten wordt met een conclusie.

Eating disorders are serious illnesses with a high risk of chronic course, high morbidity rates and many co-morbidity (Elburg & Rich, 2004). The DSM IV eating disorders several distinguished: Anorexia Nervosa, Bulimia Nervosa and Eating Disorder Not Otherwise Specified. Eating disorders usually come to fruition during adolescence. In Anorexia Nervosa is the peak of emergence between fourteen and eighteen, Bulimia Nervosa usually begins after the age of sixteen (Robbe et al, 1999; Fleminger, 2002; Vander Eyken & Noorden, 2002). Anorexia Nervosa (AN) has the highest mortality rate of all psychiatric disorders and among adolescents is on the third row of the most common disorders. Treatment results are very encouraging (Vander Eyken & Noorden, 2002). AN is no "evidence based treatment available. See: National Institute of Clinical Excellence (2004) and Multidisciplinary Directive Eating Disorders (2006). Clinicians are therefore still looking for new angles. The adolescent psychiatry department at the University Medical Center Utrecht is an eating disorder care program developed for young people with AN and with an ED-NOS treated by a multidisciplinary team2. For a description of this program from Elburg & Rich (2004). During my work on this section (2000-2005) I have this may contribute by implementing cognitive behavioral therapy and EMDR as potential components of a broad-spectrum treatment. A description of a protocol for CBT in preparation (Beer & Tobias). This article describes how EMDR can be used in the treatment of adolescents with eating disorders. The described experimental state. The options proposed are indeed tested by several therapists, but systematic review has not been a case. A detailed description and theoretical underpinning of the proposed use of EMDR is also in preparation (Beer & Horn Field). This article discusses why (theoretical framework), how (targets) and when (timing) EMDR can be used. After several treatments illustrative excerpts discuss why it is a valuable youth module in a multidisciplinary treatment (value added). Completed with a conclusion.

Keywords: Adolscents Eating Disorders

Accuracy Verified: Yes

305. Horst, F., & Baeten, B. (2012, Maart). EMDR in de behandeling van paniekstoornissen met of zonder agorafobie [EMDR in the treatment of panic disorders with or without agoraphobia]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.

Language: Dutch

Format: Conference

Abstract:
Op de polikliniek psychiatrie van het St. Elisabeth Ziekenhuis in Tilburg loopt sinds anderhalf jaar een wetenschappelijk onderzoek (RCT) naar de behandeling van paniekstoornissen met of zonder agorafobie. De therapievorm Eye Movement Desensitisation and Reprocessing (EMDR) wordt hierbij vergeleken met Cognitieve Gedrags Therapie (CGT). Zo wordt onder meer onderzocht of EMDR een effectieve behandelmethode is voor patiënten met een paniekstoornis met of zonder agorafobie. EMDR wordt hierbij direct vergeleken met een CGT behandeling. Daarnaast wordt in dit onderzoek onderzocht wat de impact van beide behandelingen is op de kwaliteit van leven. Als behandelaren in de EMDR conditie van dit onderzoek willen we graag vertellen wat onze ervaringen zijn met een geprotocolleerde behandeling van paniekstoornissen middels EMDR. Tijdens onze workshop zal getracht worden de theorie en praktijk met elkaar te verbinden. Aangezien een groot gedeelte van de EMDR behandelingen binnen dit wetenschappelijk onderzoek gefilmd wordt, zullen we ons verhaal ondersteunen met veel filmmateriaal.

On the psychiatry outpatient clinic of the St. Elisabeth Hospital in Tilburg runs a half years since a scientific trial (RCT) for the treatment of panic disorders with or without agoraphobia. The form of therapy Eye Movement Desensitisation and Reprocessing (EMDR) is hereby compared with Cognitive Behavioural Therapy (CBT). These include whether EMDR is an effective treatment for patients with panic disorder with or without agoraphobia. EMDR is hereby directly compared with a treatment CBT. In addition, this study investigated the impact of both treatments on the quality of life. As clinicians in the EMDR condition of this research we would like to tell you what our experiences with food allergies treatment of panic disorder using EMDR. During our workshop will be tried with the theory and practice together. Since a large part of the EMDR treatments within this research is being filmed, we will support our story with lots of footage.

Keywords: Agoraphobia Panic Disorders

Accuracy Verified: Yes

306. Melbeck, H. H. (2003, Oktober). EMDR in der behandlung akut traumatisierter patienten [EMDR in the treatment of acutely traumatized patients]. [Ernst-Moritz-Arndt-Universität Greifswald] PTSD-UNIT Traumatherapie, 1-19.

Language: German

Format: Other

Keywords: Trauma

Accuracy Verified: Yes

307. Hofmann, A., & Solomon, R. (2009). EMDR in der behandlung akut traumatisierter [EMDR in the treatment of acutely traumatized]. In A. Hofmann, N. Galley, & R. A. Solomon, EMDR – Therapie psychotraumatischer Belastungssyndrome, 2 Tabellen, (4., unveränd. Aufl.) (pp 107-114 ) Stuttgart: Georg Thieme Verlag KG.

Language: German

Format: Book Section

Abstract:
Mit den zunehmenden Erfahrungen und Forschungsergebnissen im Bereich psychotraumatischer Reaktionen gelangte in den Jahren nach der Entwicklung der Konzepte über die chronischen traumatischen Störungen auch der Bereich der akuten Traumatisierungen in das Blickfeld systematischer Studien und Interventionsversuche. So wurden zunehmend diagnostische und therapeutische Konzepte entwickelt, in denen versucht wird, Opfern von z. B. krimineller Gewalt, schweren Unfällen oder kritischen Zwischenfällen im polizeilich/militärischen Bereich bereits kurz nach den traumatischen Ereignissen hilfreich zur Seite zu stehen und – wenn möglich – sogar die Entwicklung schwerer Störungen zu verhindern. Als günstig erwies sich dabei, dass sich die Mehrzahl der Opfer akuter Traumatisierungen innerhalb einer Zeit von mehreren Wochen bis Monaten ohne äußeres therapeutisches Eingreifen spontan erholen und das Ereignis seelisch bewältigen können (Rothbaum u. Foa 1993). Als problematisch zeigte sich aber einerseits die Vielfalt möglicher Symptome direkt nach einem traumatischen Ereignis, andererseits der zunehmende Übergang in eine posttraumatische Symptomatik (aber auch andere) bei einer meist kleineren Gruppe der Traumatisierten (Orner u. Schnyder 2003). Forscherische und therapeutische Bemühungen versuchen derzeit, die Gruppe der Traumaopfer, die ein erhöhtes Risiko haben könnten, später eine posttraumatische Störung zu entwickeln, zu identifizieren und ihnen – wenn möglich – schon frühzeitig gezielt Hilfe zukommen zu lassen. Auf der anderen Seite wird so versucht, die Traumaopfer, bei denen eine Bewältigung des traumatischen Ereignisses ohne spezifische therapeutische Hilfe erwartet werden kann, nicht unnötig zu pathologisieren, ihnen aber ausreichend Unterstützung und Hilfe zu gewähren, sodass sie den Verarbeitungsvorgang ohne äußere Irritationen abschließen können (Fischer et al. 1998). Diese diagnostischen und therapeutischen Forschungen sind derzeit noch in vollem Gange, gesicherte Forschungsergebnisse liegen bisher nur in wenigen Bereichen der Behandlung akuter Traumatisierungen vor (Barre u. Biesold 2002, Orner u. Schnyder 2003, Yehuda 1998). Dennoch liegen bereits Modellrechnungen der Kostenträger vor, die belegen, dass frühe, fundierte Interventionsansätze bei akut Traumatisierten (z. B. Überfallopfern) erhebliche Kosteneinsparungen der Kostenträger bewirken (Wiessmann 2002). Angesichts der großen Zahl der täglich bei schweren Unfällen oder Verbrechen akut traumatisierten Menschen, die derzeit mit einer Vielzahl empirisch wenig validierter Konzepte behandelt werden müssen, wird der hohe Handlungsdruck einerseits, die Einschränkung vieler der folgenden Anhaltspunkte für therapeutische Intervention andererseits, deutlich. Auch Hinweise und Empfehlungen bezüglich eines Einsatzes der EMDR-Methode bei diesen Patienten sollten mit diesen Einschränkungen verstanden werden. Auch wenn es einige erste Hinweise auf einen erfolgversprechenden Einsatz der EMDR-Methode bei akut Traumatisierten gibt, so sollte eine Therapie mittels EMDR in einen umfassenden, z. B. dynamisch-behavioralen, Behandlungsplan dieser Patienten eingebettet werden (Bisson 2003, McNally u. Solomon 1999). Weiterhin sollte der systematische Einsatz der EMDR-Methode derzeit – wenn irgend möglich – an hohen Qualitätsstandards orientiert und forschungsmäßig evaluiert werden, um die Nutzen-Risiko-Abwägung bezüglich bestimmter Patientengruppen sowie den optimalen Einsatzzeitpunkt konfrontierender Verfahren systematisch verbessern zu können.

With increasing experience and research results in the field of psycho-traumatic Responses came in the years after the development of concepts about the chronic traumatic disorders, the area of acute trauma in the field of view systematic studies and intervention trials. Thus, more diagnostic and therapeutic concepts developed in which attempts are is, for example, victims of criminal violence, serious accidents or critical incidents the police / military shortly after the traumatic events to help Page is available and - if possible - even the to prevent development of severe disorders. Proved to be favorable, that the Most of the victims of acute trauma in a period of several weeks to months without an external therapeutic intervention spontaneously recover and cope with the emotional event can (Rothbaum and Foa 1993). One problem was but one part of the Variety of possible symptoms immediately after a traumatic event, on the other hand, the increasing Transition to a post-traumatic symptoms (And others) usually at a smaller group of traumatized (and Orner Schnyder 2003). Research and therapeutic efforts currently trying the group of trauma victims, an increased risk could later to develop post-traumatic disorder to identify them and - if possible - early to be targeted to come help. On the other hand, will attempt to Trauma victims, where a managing traumatic event without specific therapeutic Assistance can be expected not unnecessarily pathologization them but enough to provide support and assistance so that they the processing operation without external irritation can conclude (Fischer et al. 1998). These diagnostic and therapeutic research are still in full swing, secured Research results are presently available in few areas of acute trauma and before (Barre and Biesold 2002, Orner Schnyder 2003, Yehuda 1998). Nevertheless, there are already Model calculations of the cost modes, in the Demonstrating that early, in-depth intervention approaches in acute trauma (such as assault victims) significant cost savings for payers cause (Wiesmann 2002). Given the high volume of daily at serious accidents or crimes acutely traumatized People currently with a variety empirically validated concepts treated less must be the high pressure to act one hand, the restriction of many of the following Indications for therapeutic intervention on the other, significantly. Also advice and recommendations regarding of using the EMDR method in these patients should understand these limitations be. Although there are some initial indications a promising application of EMDR method in acutely traumatized people are so should be a therapy using EMDR in a comprehensive, such as dynamically-behavioral, treatment plan these patients are embedded (Bisson 2003, McNally and Solomon 1999). Furthermore, should be the systematic use of the EMDR method now - if possible - to high Quality standards and research-oriented terms is assessed to the benefit / risk ratio with respect to specific patient groups and the optimal use time of confrontational Method to improve systematically.

Keywords: Trauma

Accuracy Verified: Yes

308. Sack, M., Lempa, W., & Lamprecht, F. (2003). EMDR in der behandlung dissoziativer störungen [EMDR in the treatment of dissociative disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 1 (3), 25-33.

Language: German

Format: Journal

Abstract:
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR. Die EMDR-Behandlung ist nach unserer Erfahrung eine sehr effektive Technik zur Behandlung von traumatischen Erinnerungen bei Patienten mit dissoziativen Störungen. Das Ziel der Traumabehandlung bei dissoziativen Patienten zusätzlich zu der Verringerung der Belastung von posttraumatischen Symptomen, Aussetzen der zuvor abgespaltenen Erinnerungen im Sinne einer Integration von dissoziierten Erfahrung liegt. Die EMDR-Behandlung dissoziativer Patienten brauchen, wenn nötig. durch Ändern der Standard-Protokoll auf den einzelnen Elastizität eingestellt werden. Da dissoziative Speicher Barrieren durch eine EMDRBehandlung sehr schnell untergraben werden kann, kombiniert mit dem Risiko der Übererflutung durch aversive Reize, sollte dies nur von entsprechend erfahrenen Therapeuten und mit Sorgfalt im Rahmen einer umfassenden Traumatherapie eingesetzt werden.

Psychological treatment of traumatic stress disorders with EMDR. The EMDR treatment is, in our experience a very effective technique for the treatment of traumatic memories in patients with dissociative disorders. The aim of trauma treatment in dissociative patients in addition to reducing the burden of post-traumatic symptoms, exposing the previously split-off memories in the sense of an integration of dissociated experience content. The EMDR treatment of dissociative patients need, if necessary. be adjusted by modifying the standard protocol on the individual resilience. Since dissociative memory barriers through a EMDRBehandlung may be undermined very quickly, combined with the risk of Übererflutung by aversive stimuli, this should only be used by suitably experienced therapists and with care in the context of a comprehensive trauma therapy.

Keywords: Dissociative Disorders, Psychotherapeutic Processes

Accuracy Verified: Yes

309. Hofmann, A. (2005, September). EMDR in der behandlung komplexer traumafolgestörungen [EMDR in the treatment of complex trauma disorder]. Jahrestagung der deutschsprachigen Gesellschaft für Psychotraumatologie DeGPT, Dresden.

Language: German

Format: Conference

Abstract:
Mit den zunehmenden Forschungsergebnissen im Bereich psychotraumatischer Störungen sind auch neuere erfolgreiche Zugänge wie die EMDR-Methode entwickelt und anerkannt worden. Die von Dr. Francine Shapiro entwickelte und in ihrer Effektivität gut belegte EMDR-Methode kann hierbei in vielen Behandlungen psychisch traumatisierter Patienten einen wichtigen Beitrag leisten. Der diagnostische und behandlungstechnisch integrative Ansatz der EMDR-Methode wird im in seinen Forschungsergebnissen und klinischen Anwendungen im einzelnen diskutiert werden. Fragen zu eigenen Patienten sind willkommen.

With increasing research in the field of psycho-traumatic disorders including recent additions such as the successful EMDR method has been developed and approved. By Dr. Francine Shapiro developed EMDR and in their well-documented effectiveness of this method can provide many treatments mentally traumatized patients an important contribution. The diagnostic and treatment technique integrative approach of the EMDR method will be discussed in the in its research and clinical applications in detail. Questions about their own patients are welcome.

Keywords: Complex Trauma Treatment

Accuracy Verified: Yes

310. Seidler, G. H., Wagner, F. E., Feurer, D. C., Micka, R., Kirsch, A., & Hofmann, A. (2004). EMDR in der behandlung von akut traumatisierten mit "akuter PTSD" [EMDR in the treatment of acute traumatized patients with "acute PTSD"]. Zeitschrift für Psychotraumatologie und Psychologische Medizin (ZPPM), 2(1), 61-72.

Language: German

Format: Journal

Abstract:
Nach begrifflichen Präzisierungen zum Verständnis von „akut“ wird eine Studie skizziert, in der akut traumatisierte Gewaltopfer mit unterschiedlichen treatments (nur EMDR, EMDR und Stabilisierungsgruppe, nur Stabilisierungsgruppe) behandelt werden. Zu den Untersuchungen gehören auch Mimikanalysen. Erste Ergebnisse belegen die Wirksamkeit der EMDR-Therapie und demonstrieren unterschiedliche mimische Aktivitätsmuster in Abhängigkeit von der Schwere des jeweiligen Traumas.

We are conducting a study according to conceptual specifications of our understanding of 'acute', in which acutely traumatized victims of violence are treated with various treatments (either solely EMDR, EMDR and stabilization exercises in group setting, or solely stabilization exercises in group setting). Analyses of facial expressions are included in the research. The initial findings prove the efficacy of EMDR therapy and demonstrate the different mimic or facial patterns as dependent on the severity of the trauma experienced. [Author Summary]

Keywords: Acute Stress Disorder ASD Clinical Trial Crime Germans Interpersonal Posttraumatic Stress Disorder PTSD Survivors Treatment Effectiveness

Accuracy Verified: Yes

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

Language: German

Format: Journal

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

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

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

Accuracy Verified: Yes

312. Hofmann, A. & Sack, M. (2006). EMDR in der behandlung von patienten mit chronish komplexer PTBS und schweren dissoziativen storungen [EMDR in the treatment of patients with complex PTSD and severe dissociative disorders]. In: F. Lamprecht (Hrsg.), Praxisbuch EMDR: modifizierungen für spezielle anwendungsgebiete [EMDR practice book: modifications for special areas of application] (pp. 172-194). Stuttgart: Klett-Cotta.

Language: German

Format: Book Section

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

Accuracy Verified: Yes

313. Zobel, M. (2006). EMDR in der behandlung von suchtpatienten mit posttraumatischer belas tungsstörung [EMDR in the treatment of addicted patients with post-traumatic stress disorder]. In Schriftenreihe des Fachverbandes Sucht, e.V. Band 29 "’Integrierte Versorgung’: Chancen und Risiken für die Suchtrehabilitation" Beiträge des 18. Heidelberger Kongresses 2005, Geesthacht: Neuland..

Language: English

Format: Other

Abstract:
Die Wahrscheinlichkeit, dass wir im Laufe unseres Lebens einem oder mehreren traumatisierenden Ereignissen ausgesetzt sind, ist relativ hoch: Die Lebenszeitprävalenzen von traumatischen Ereignissen und einer posttraumatischen Belastungsstörung betragen in internationalen epidemiologischen Studien für Frauen 17,7 – 74,2 Prozent (PTBS: 1,3 - 12,3 Prozent) und für Männer 25,2 - 81,3 Prozent (PTBS: 0,4 - 6,0 Prozent) (Kuhn, 2004). Menschen mit Suchtproblemen berichten dabei überzufällig häufig von Gewalt- und Missbrauchserfahrungen in Kindheit, Jugend und im Erwachsenenalter. In vielen Fällen kann ein Zusammenhang zwischen dem traumatischen Ereignis, der Entwicklung einer posttraumatischen Belastungsstörung und Alkoholmissbrauch und –abhängigkeit abgeleitet werden (Perkonigg et al., 2000; Zobel, 2006). Bei Vorliegen einer PTBS íst das Risiko einer Suchterkrankung oder anderer komorbider Störungen um das 4-5fache erhöht (Breslau, 2002).

The probability that we are in the course of our lives one or more traumatic events are exposed, is relatively high: the lifetime prevalence of traumatic events and posttraumatic stress disorder be in international epidemiological studies for women from 17.7 to 74.2 Percent (PTSD: 1.3 - 12.3 percent) for men and from 25.2 to 81.3 percent (PTSD: 0.4 - 6.0 percent) (Kuhn, 2004). People with addiction problems to report here than chance often violence and abuse experiences in childhood, adolescence and adulthood. In many cases, a connection between the traumatic Event, the development of post traumatic stress disorder and alcohol abuse and are derived dependence (Perkonigg et al., 2000; Zobel, 2006). In the event of a PTSD is a risk of addiction or other comorbid disorders at the 4-5-fold increased (Breslau, 2002).

Keywords: Addictions Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: German

Format: Newsletter

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

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

Keywords: Obsessive Compulsive Disorder OCD

Accuracy Verified: Yes

315. Bohm, K., & Voderholzer, U. (2010, September). EMDR in der behandlung von zwangsstörungen: Eine fallserie [Use of EMDR in the treatment of obsessive-compulsive disorders: A case series]. Verhaltenstherapie [Behavior Therapy], 20(3), 175–181. doi:10.1159/000319439 .

Language: English

Format: Journal

Abstract: (The above link is to the English version of the German article.)
Hintergrund: Die kognitive Verhaltenstherapie mit Exposition und Reaktionsverhinderung ist die am besten untersuchte und derzeit wirksamste Therapie bei Zwängen. 15–40% der Patienten können jedoch nicht von diesem Verfahren profitieren. Sie berichten Motivationsprobleme, brechen die Behandlung vorzeitig ab oder zeigen anhaltende Probleme in der Emotionsregulation. Der zusätzliche Einsatz der Therapiemethode «Eye Movement Desensitization and Reprocessing» (EMDR) zur Reduktion dieser Schwierigkeiten wird vorgestellt und beschrieben. Methode: Es werden drei Kasuistiken vorgestellt, die mittels deskriptiver Analysen ausgewertet werden. Hierbei wird auf das inhaltliche Vorgehen sowie die Therapiemotivation und Emotionsregulation im Therapieverlauf eingegangen. Ein Patient mit Kontrollzwängen erhielt zunächst EMDR-Sitzungen und anschließend Expositionsübungen. Eine andere Patientin mit vorwiegend Zwangsgedanken wurde zuerst mit Expositionen und danach mit EMDR behandelt. Im dritten Fall wurden Expositionen und EMDR-Sitzungen abwechselnd durchgeführt. Ergebnisse: Die drei behandelten Patienten berichteten eine Reduktion der Zwänge um etwa 60%. EMDR wurde von allen drei Patienten als motivierend und hilfreich beschrieben. Die Arbeit an den Emotionen konnte durch EMDR angeregt und verstärkt werden. Eine deutliche Reduktion der Zwänge durch die Expositionen zeigte sich bei 2 Patienten, während diese im Zuge der EMDR-Sitzungen nur leicht abnahmen. Diskussion: EMDR könnte eine vielversprechende Augmentationsoption bei der Behandlung von Zwängen darstellen. Für eine bessere Beurteilung sind kontrollierte und randomisierte Studien erforderlich.

Introduction: Various studies have demonstrated that cognitive behavioural therapy with exposure response prevention is the most effective method to treat obsessive- compulsive disorders. However, 15–40% of patients do not respond to it; they cannot be motivated to undergo treatment, drop out, or experience persisting difficulties in regulating their emotions. In this article, EMDR is presented as an additional method for these specific problems. Method: Three case studies are reported and descriptively analysed. Special focus is placed on the patients’ motivation and on how they regulate their emotions. Different ways of applying EMDR in the course of psychological treatment are described as well. EMDR before confrontation therapy was applied in the first patient (checking behaviour); the second patient (compulsive thoughts) was first treated with confrontation therapy and then with EMDR; in the third patient, EMDR and confrontation therapy were applied alternately. Results: All three patients showed a reduction of symptoms by about 60%. They experienced EMDR as a useful and motivating method. Furthermore, they felt encouraged to deal with their emotions in additional psychological treatments. Confrontation therapy markedly reduced OCD symptoms in two of the patients. Discussion: EMDR could be a useful augmentation method in treating patients with OCD, but further controlled and randomised studies are required to validate this conclusion.

Keywords: Obsessive Compulsive Disorder OCD Psychotherapeutic Method Psychotherapy Research

Accuracy Verified: Yes

316. Plassmann, R. (2005, September). EMDR in der stationaren therapie der essstorungen[EMDR in the inpatient treatment of eating disorders]. Vortrag auf der 13th International Conference on Eating Disorders, Innsbruck, Österreich.

Language: German

Format: Conference

Abstract:
Die stationare Essstorungstherapie lasst sich in vier Phasen unterteilen: Die Stabilisierungsphase, die Ressourcenorganisation, die Exposition und die Neuorientierungsphase. Fur diese Behandlungsphasen lassen sich Methoden der modernen Traumatherapie sinnvoll nutzen. Diese beruhen im Kern auf selbstorganisatiorischen Prinzipien, also der Arbeit mit dem psychischen Selbstheilungssystem. In Weiterentwicklung der Methodik der modernen Traumatherapie wurde fur die stationare Essstorungstherapie in der Stabilisierungsphasedas Konzept der akitiven Selbstailisierung entwickelt und fur die Ressourcenorganisation und Exposition die Technik des bipolaren EMDR. Durch Einfuhrung dieser Stategien haben sich die Behandlungsergebnisse erheblich verbessert. Der Vortag stellt die Arbeitwiese dar und die Behandlungsergebnisse an 176 Fallen stationarer Psychotherapie von Patientinnen mit Anorexie und Bulimie dar.

The steady Essstorungstherapie let be divided into four phases: the phase of stabilization, resource organization, exposition and reorientation phase. Treatment for these phases can be methods of modern trauma therapy sensibly. These are based on the core principles selbstorganisatiorischen, so working with the psychological self-healing system. In developing the methodology of modern trauma therapy for the steady Essstorungstherapie in Stabilisierungsphasedas concept of akitiven Selbstailisierung developed and resources for the organization and exposition of the art bipolar EMDR. By the introduction of this State Gien the results of treatment have improved significantly. The talk is the work area and represents the results of treatment in 176 cases of sta-tionary psychotherapy patients with anorexia and bulimia.

Keywords: Anorexia Bulimia Eating Disorders Inpatient Treatment

Accuracy Verified: Yes

317. Drexler, K. (2004). EMDR in der therapie psychomatisch erkrankter [EMDR in the treatment of psychosomatic patients]. Intitut de Traumatherapie.

Language: German

Format: Other

Abstract:
Bei psychosomatischen Erkrankungen ist der Körper sowohl Leidtragender, als auch Leidverursacher. Dies beeinflusst die Beziehung Betroffener zu ihrem Körper in der Regel nachhaltig negativ, wodurch wiederum mögliche Ressourcen gehemmt werden.
EMDR kann maßgeblich zu einem besseren Stressmanagement beitragen (F. Shapiro).

In psychosomatic disorders, the body is both victim and also suffering polluter. This affects the relationship concerned with their body usually lasting negative, which in turn potential resources are inhibited. EMDR can significantly contribute to a better stress management (F. Shapiro).

Keywords: Protocol Psychosomaticism

Accuracy Verified: Yes

318. 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

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

Language: English

Format: Journal

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

Keywords: Attachment Childhood Abuse Dimension of Cognitions Dissociation Processing

Accuracy Verified: Yes

320. Tumani, V. (2011, June). EMDR in interkulturellen therapien [EMDR in intercultural therapies]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: German

Format: Conference

Abstract:
Derzeit Migration verfügt über umfangreiche Ausmaße angenommen. Weltweit gehen wir von einer 1 bis 200 Migranten (WHO). Durch Bürgerkriege, Naturkatastrophen, politischen und wirtschaftlichen Umständen die wahre Zahl dürfte noch höher. So ist es zunehmend vor, dass Psychiater und Psychotherapeuten bei der Behandlung Einzelpersonen aus anderen Kulturen begegnen, präsentiert mit verschiedenen psychiatrischen Symptome. Die Behandlung dieser Menschen werden manchmal große Schwierigkeiten. Nicht nur wegen der Sprache, sondern auch wegen der relativen Bedeutung bestimmter Symptome in einem kulturellen Kontext, ist es wichtig, Kultur Hintergrund arbeiten Milieu und Unordnung bestimmten psychiatrischen / psychotherapeutischen betrachten. Aber was bedeutet Kultur-und Milieu sensiblen Psychiatrie oder Psychotherapie bedeuten? Basierend auf den vorhandenen Studien über Menschen mit Migrationshintergrund und die Untersuchungen des Sozio-Vision-Institute, und unsere eigenen Erfahrungen, die wir klären, wie eine interkulturelle Begegnung und ein Milieu sensiblen Psychotherapie erfolgreich angewandt werden.

Currently migration has reached extensive proportions. Globally, we assume a hundred to two hundred million migrants (WHO). Due to civil wars, natural disasters, political and economic circumstances the true figure is likely even higher. So it increasingly occurs that psychiatrists and psychotherapists encounter in their treatment individuals from other cultures, presenting with various psychiatric symptoms. The treatment of these people will sometimes face major difficulties. Not only because of language but also because of the relative importance of certain symptoms in a cultural context, it is essential to consider culture background, working milieu and disorder specific psychiatric/psychotherapy. But what does cultural and milieu sensitive psychiatry or psychotherapy mean? Based on the existing studies about people with immigrant backgrounds and the investigations of the Socio-Vision-Institute, and our own experiences we will elucidate how an intercultural meeting and a milieu sensitive psychotherapy can be successfully applied.

Keywords: Intercultural Therapies

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Pilot Study Postraumatic Stress Disorder PTSD Psychotic Disorders Symposium

Accuracy Verified: Yes

322. Ali, M. W. (2009, June). EMDR in PSTD patients of the 2005 earthquake in Pakistan. In A. de Jongh (Chair), PTSD research. Symposium conducted at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.

Language: English

Format: Conference

Keywords: Earthquake Pakistan Posttraumatic Stress Disorder PTSD Research Symposium

Accuracy Verified: Yes

323. 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

324. 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

325. Hase, M. (2010, June). EMDR in the treatment of addiction - Reprocessing of the addiction memory. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The comorbidity of PTSD and substance abuse provides sufficient reason for treating patients, who are addicted, with EMDR while focusing on the PTSD diagnosis. However, there are several pathways leading to addiction, and PTSD is only one of them. Thirty years of addiction research have provided sufficient evidence for the crucial role of memory in drug dependency.
The Addiction Memory (AM) serves as a useful concept for "obsessive-compulsive craving" to be seen in drug addicted patients. The concept of an AM, and its importance in relapse occurrence and maintenance of learned addictive behaviour, has gained growing acceptance in the field of addiction research and treatment. The AM is interpreted as an individual-acquired memory following drug consumption in some individuals. The addiction memory is based on normal memory systems and systems of central nervous information processing. This is in accordance with the experience that the addiction memory can be activated at any time by relapse-endangering complexes as well as internal and/or external situations, which are experienced as cravings by the person in question. The implicit nature of the addiction memory seems to qualify it as a target for EMDR treatment.
Without adequate therapeutic interventions, it is hardly extinguishable, as shown in the animal model where a re-imprinting of the AM facilitated by steroids extinguished craving in opiate addicted rats. Thus, altering or extinguishing the AM in human addicts could add an important component to well-established treatment modalities. The reprocessing of the AM with EMDR should, thus, lead to measurable changes in addiction symptoms, if the AM qualifies for maladaptive memory within the AIP model. As the AM includes the urge to consume the drug being abused, more aptly named craving, reprocessing of the AM should lead to a reduction in craving.
Preliminary data demonstrates the efficacy to reduce craving in alcohol-addicted patients. Anecdotal reports from clinicians seem to indicate an effect of the reprocessing of the addiction memory in patients addicted to heroin or psycho-stimulants. According to research in the animal model, the same principles should apply.
There are, however, other aspects to addiction. Is there a difference between chemical dependency and other addictive behaviour? How much do we know already? What have we yet to discover? These questions lead to the direction of developing a comprehensive EMDR approach in the treatment of addictions.

Keywords: Addiction Keynote

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Body Dysmorphic Disorder

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

Keywords: Chronic Pain Neuroplastic Processes Pain Modulation

Accuracy Verified: Yes

328. Schneider, J., Hofmann, A., Rost, C., & Shapiro, F. (2008, January-February). EMDR in the treatment of chronic phantom limb pain: Theoretical implications, case study, and treatment guidelines. Pain Medicine, 9(1), 76-82. doi:10.1111/j.1526-4637.2007.00299.x.

Language: English

Format: Journal

Abstract:
Objective: Little research substantiates long-term gains in the treatment of phantom limb pain. This report describes and evaluates an eye movement desensitization and reprocessing (EMDR) treatment with extensive follow-up. Design: A case series of phantom limb pain patients. Setting. In-patient hospitalization and out-patient private practice. Patients: Case series of five patients with phantom limb pain ranging from 1 to 16 years. All patents were on extensive medication regimens prior to EMDR. Interventions: Three to 15 sessions of EMDR were used to treat the pain and the psychological ramifications. Outcome Measures: Patients were measured for continued use of medications, pain intensity/frequency, psychological trauma, and depression. Results: EMDR resulted in a significant decrease or elimination of phantom pain, reduction in depression and posttraumatic stress disorder (PTSD) symptoms to subclinical levels, and significant reduction or elimination of medications related to the phantom pain and nociceptive pain at long-term follow-up. Conclusions: The overview and long-term follow-up indicate that EMDR was successful in the treatment of both the phantom limb pain and the psychological consequences of amputation. The latter include issues of personal loss, grief, self-image, and social adjustment. These results suggest that (1) a significant aspect of phantom limb pain is the physiological memory storage of the nociceptive pain sensations experienced at the time of the event and (2) these memories can be successfully reprocessed. Further research is needed to explore the theoretical and treatment implications of this information-processing approach. [PubMed]

Keywords: Chronic Pain Empirical Study Follow-up Study Phantom Limb Pain Quantitative Study

Accuracy Verified: Yes

329. Hofmann, A. (2005, June). EMDR in the treatment of complex PTSD patients. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
Patients with complex PTSD are a challenging patient population. Even if concepts like the Disorder of Extreme Stress (Herman et 01.1 and the new research on structural dissociation (Nijenhuis et al.) helps to understand these patients better, their treatment course is often complicated. In the treatment of these patients EMDR can be one of the key treatments approaches in a therapy setting that usually needs to also enclose other treatment modalities and the overall treatment plan. The objective of this course is to help therapists use the opportunities that the 8 phase EMDR treatment plan offers and to reduce the risks for their treatment course. Also the implications of the use of the standard protocol for EMDR and the inverted standard protocol are discussed. Depending on the size of the group, time for discussion about clinical cases of participants is welcome.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

330. Hofmann, A. (2004, September). EMDR in the treatment of complex PTSD patients. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.

Language: English

Format: Conference

Abstract:
Patients with complex PTSD are a challenging patient population. Even if concepts like the Disorder of Extreme Stress (Herman et al.) and the new research on structural dissociation (Nijenhuis et al.) help to understand these patients better, their treatment course is often complicated. In the treatment of these patients, EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also include other treatment modalities and the overall treatment plan.

Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD

Accuracy Verified: Yes

331. Hofmann, A. (2013, June). EMDR in the treatment of Depression. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.

Language: English

Format: Conference

Abstract:
Scientific studies of EMDR have shown that it is one of the most effective tools to treat posttraumatic stress disorder. One of the lesser known properties of EMDR is that it also seems to be an effective psychotherapy method in a number of disorders that may have part of their origins in stressful memories. One of these disorders is chronic depression.
Severe depression is one of the most common mental disorders and affects between 5-15% of the general population in their lifetimes. Although many psychotherapeutic and pharmacologic interventions exists that are considered to be effective in depression, the treatment is less than satisfactory. High relapse rates (ranging at 50% after two years), unsatisfactory remissions and suicidal risks are among the major problems.
Research shows that there may be a link between traumatic events (like abuse experience in childhood) and the later occurrence of a depressive disorder. However there is no published systematic study that tries to explore the potential use of trauma-specific treatments like EMDR with depressive patients.
The presenter will report the status of research on the subject, and will talk about possible EMDR strategies that have shown to be useful in depressive patients.
Learning objectives: Understanding the relationship of trauma and depression; Creating a treatment plan for depressive patients following the AIP model; and Find strategies to deal with relapsing and chronic depression

Keywords: Depression Research

Accuracy Verified: Yes

332. Hofmann, A. (2000, May 6). EMDR in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.

Language: English

Format: Conference

Abstract:
Patients with dissociative disorders are a complex patient population in which EMDR can be one of the key treatment approaches in a therapy setting that usually needs to enclose a number of other treatment modalities and an overall comprehensive treatment plan. If undiagnosed, dissociative patients are, on the other hand, at increased risk of developing complications during the treatment with EMDR. In this workshop, participants will learn how to: (1) develop a comprehensive treatment plan that includes trauma work with EMDR, (2) integrate the 8 phases of EMDR with the three general phases of trauma treatment according to Janet (stabilization, trauma work, integration), (3) find a good balance to interchange in therapy between stabilization phases, trauma work with EMDR and work within the therapeutic relationship, and (4) recognize and possibly counter treatment complications.

Keywords: Dissociative Disorders

Accuracy Verified: Yes

333. 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

334. Kaiser, L. (2005). EMDR in the treatment of specific phobia. Norwegian University of Science and Technology, St. Olavs Hospital, Trondheim, Norway.

Language: English

Format: Other

Abstract:
Aims: To test the hypothesis that one session EMDR is more effective for the treatment of specific (animal) phobia than relaxation immediately after treatment and at follow-up. Secondly to test whether an additional one-session exposure therapy offered to both treatment groups (EMDR patients and relaxation patients) improves outcome in the EMDR-group and results in equal outcome for both treatment groups.

Keywords: Animal Phobia Specific Phobia

Accuracy Verified: Yes

335. 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

336. Sautai, G. (2011, June). EMDR intensive therapy (EMDRIT). Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.

Language: English

Format: Conference

Abstract:
Therapeutic Process seems to be blocked for some patients with strong Developmental Disorders or exposed to Disturbing Early Life Experiences (Bessel A. van der Kolk). A specific approach during EMDR Intensive Therapy (EMDRIT) using the Case Conceptualisation (Andrew Leeds), based on the Adaptive Information Processing (AIP) model (Francine Shapiro), the Attachment Theory (John Bowlby) and the Useful and Necessary Renouncement Principe (Judith Viorst) allow those patients to progress. As a pilot experience, we have been able to use this EMDRIT framework with 64 clients. Their complex disorders included, for each of them, at least 3 of the following symptoms: Anxiety, depression, primary structural dissociation, alcohol addiction, eating behaviour disorders, travel phobia, emotional numbing, affective isolation, hypochondria, phantom limb syndrome, fibromyalgia, cancer, psychological or physical abuse survivor, perpetrator of violent aggressions. For the 25 first clients, we have used the PCL-S (pathology threshold > 44) test. Their pre-treatment average score was 70. It dropped to 28 after EMDRIT treatment, down to 26 after 3 months and stabilised at 29 after 1 year. These first results allowed us to define a target population and an adapted protocol that provides client safety, efficiency and result sustainability. For the 39 next clients, we measured a decrease of the SCL-90-R (pathology threshold > 1,5) test score from 3 before treatment down to 1,4 after treatment, 1,2 after 3 months and 1,3 after 1 year. We measure efficiency on 87% of the clients and a suppression of 80% of the symptoms after 1 year. At the same time, a control cohort of 20 people with identical pathologies saw their score drop from 3 to 2,3 with the same treatment time, using the standard EMDR protocol. From this preliminary result, we are developing some research hypothesis: •Selection criteria for EMDRIT, based on the patient ability accessing Adaptive Memory Networks (AMN). •The Targeting Sequence Plan, seen as an expression of the Dysfunctional Memory Networks (DMN). •The importance of the client emotional Window Of Tolerance (WOT) for the efficiency of the Adaptive Information Processing system. •Epigenetic show possible structural brain modifications by rehabilitation of fluid links across the 3 levels of the brain (reptilian, limbic and neo-cortical). These changes are immediate and permanent. •Need to standardize appropriate scale for database, in order to foster international research and results sharing. We sea AIP model as an opportunity to move from an analytic and sequential approach to a systemic and integrative approach based on Complex System for a global understanding.

Keywords: EMDR Intensive Therapy EMDRIT

Accuracy Verified: Yes

337. Puk, G. (2008, September). EMDR master series - II. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.

Language: English

Format: Conference

Abstract:
Patients experiencing severe and repeated psychological trauma are among the most complicated patients to be treated in psychotherapy. Their treatment tends to be a multi-faceted approach of which EMDR is only one part, albeit a very important component. The objectives of the presentation are to assist the treating clinician in identifying the self-regulation deficits and degree of dissociation of their patients, as well as conceptualizing and implementing an effective treatment plan for the patient. This will include integrating the traditional three-stage model (stabilization, trauma processing and integration) of working with multiply-traumatized patients with the EMDR eight phase treatment model. Emphasis will be placed on stabilization, identifying when your patient is ready to begin trauma processing, as well as pacing the trauma work and managing clinical challenges during EMDR sessions. Clinical case material will be discussed in depth to illustrate the above.

Keywords: Master Series

Accuracy Verified: Yes

338. Hofmann, A. (2006, September). EMDR Master Series – I. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
EMDR is a method that has a number of interesting possibilities that are needed to work with some of the more challenging complex PTSD patients. Concepts like the Disorder of Extreme Stress (Herman et al.) and the concept of structural dissociation (Nijenhuis et al.) help to understand the patient better. The treatment course, also with the use of EMDR, is often complicated. EMDR can be one of the key treatment approaches in a therapy setting for those patients, however, it usually needs also to enclose other treatment modalities in an overall treatment plan. The objective of this presentation is to help therapists use the opportunities that EMDR offers and to reduce the risks for their treatment course. Depending in the size of the group, time for discussion about clinical cases of participants is welcome.

Keywords: Disorder of Extreme Stress Master Series Structural Dissociation

Accuracy Verified: Yes

339. Rouanzoin, C. (2006, September). EMDR Master Series – II. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
Dissociation is a normal human process. We all dissociate. Some individuals are so severely and chronically traumatized that, in order to survive, they split their awareness into at least two levels or streams of consciousness - one level being the participant in the abuse drama and the other level being an observer watching as if the abuse was happening to someone close. This defense mechanism, which allows severely abused individuals to survive, can become an obstacle to the reprocessing of their traumatic memories. This presentation will discuss dissociative process from the Accelerated Informational Processing Model of EMDR. It will cover: the implications and complications of clinical treatment with dissociative process; the nature of dissociative process; screening for dissociation and the 'Red Flags' of treatment concerns; the differential diagnoses of dissociation - from dissociation found in diagnostic categories other than Dissociative Disorders (e.g., Mood Disorders, Anxiety Disorders, PTSD) to DDNOS (ego states work) and DID; the use of EMDR in the treatment of dissociation in relation to trauma; therapist attributes that help contribute to the successful treatment of dissociative patients. Participants will be encouraged to share their own insights and difficulties in working with this very traumatized population of individuals.

Keywords: Accelerated Information Processing Model AIP DID Dissociation

Accuracy Verified: Yes

340. Seubert, A. & McDonagh, J. (2002). EMDR mit geistig behinderten Menschen [EMDR with mentally disabled clients]. Institut fur Traumatherapie [8 pages].

Language: German

Format: Other

Abstract:
John ist Psychotherapeut und arbeitet seit einigen Jahren mit Menschen mit geistiger Behinderung, allerdings betont er mehrfach, dass es sich bei seinen Klienten um mildly retarded clients mit guten sprachlichen Möglichkeiten handelt, das entspricht im Deutschen eher dem Begriff der Lernbehinderung. Er bedauert, dass es nach wie vor die weitverbreitete Annahme gibt, dass Menschen mit psychiatrischen Problemen und einer leichten geistigen Behinderung nicht von Psychotherapie profitieren können oder dass sie allenfalls mit Verhaltenstherapie oder Medikamenten behandelt werden. Dabei hat er selbst die Erfahrung gemacht, dass diese Klienten genauso gut auf EMDR ansprechen, wie andere auch.

John is a psychotherapist and has worked for several years with people with intellectual disabilities, but he repeatedly stressed that it is mildly retarded with his clients to clients with good linguistic possibilities, which corresponds more to the German concept of learning disability. He regrets that it still is the widespread assumption that persons with psychiatric problems and a slight mental disability can benefit from psychotherapy or that they at best treated with behavioral therapy or medications. He himself made the experience that these clients respond as well to EMDR, like any other.

Keywords: Mentally Disabled Mentally Handicapped

Accuracy Verified: Yes

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

Language: Italian

Format: Newsletter

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

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

Keywords: Affect Bridge Compulsion Trauma Withdrawal

Accuracy Verified: Yes

342. de Roos, C., & Veenstra, S. (2009). EMDR pain control for current pain. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 537-557). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
It is estimated that approximately 30% of the population world-wide suffer from chronic pain. In this workshop you will learn how to use EMDR in order to treat patients who have specific forms of chronic pain e.g. phantom limb pain, whiplash and chronic differentiation pain. Theoretical information, practical instructions with demonstration videos of illustrative cases and exercises or role-playing to practise yourself will all be utilised. You will be provided with enough information and skills in order to be confident to start treating pain patients in your own clinical practice.
This workshop will provide you with the following information:
•relevant neurobiological information about chronic pain in order to determine whether a specific type of pain can be treated using EMDR
•the empirical status of the application of EMDR on pain and a short review of current research and literature
•how to motivate this difficult patient group to try EMDR
•how to conceptualise a case for EMDR, the indications and contraindications
•how to choose suitable targets with pain patients
•the use of the EMDR protocol in its specific application to pain patients and how to work with pain itself as a target
•complications you can expect and how to deal with these.
Aims:
•identify clients with chronic pain for whom EMDR may be appropriate
•increase knowledge and understanding of the use of EMDR in the treatment of chronic pain
•apply EMDR in the treatment of patients with chronic pain.
Target group:
EMDR trained therapists working with patients with chronic pain.

Keywords: Current Pain Pain Control Protocol

Accuracy Verified: Yes

343. Montes-Berges, B., Aranda, M., Castillo-Mayén, M. del R. (2011). EMDR Para el tratamiento de estrés postraumático en casos de violencia de género [EMDR for treatment of PTSD in cases of domestic violence]. Universidad de Jaén, Jaén, Spain.

Language: English

Format: Dissertation/Thesis

Abstract:
Introducción: La violencia de género es uno de los problemas sociales más graves de nuestra sociedad tanto por su prevalencia (en el pasado año 2010 fueron asesinadas 74 mujeres, y se estima que alrededor del 11.1% de las mujeres andaluzas son maltratadas), como por las consecuencias psicológicas que conlleva en las víctimas. Objetivos: En el Gabinete de Psicología de la Universidad de Jaén, atendemos a las mujeres (alumnas, PAS o PDI o familiares de éstos) que han sido o aún son víctimas de violencia de género, con el objetivo prioritario de que superen las situaciones traumáticas y que estén preparadas emocional y cognitivamente para llevar una vida plena con el desarrollo máximo de sus capacidades. Durante la evaluación, entre otras escalas, las usuarias contestan al cuestionario sobre Síndrome de Estrés Postraumático (Echeburúa, Corral, Amor, Zubizarreta y Sarasúa, 1997), pues los episodios de violencia psicológica, sexual y física extrema que la mayoría de ellas viven, ocasionan en el 100% de los casos este síndrome de manera crónica y acusada. Metodología: Para tratar este síndrome se acomete el entrenamiento en técnicas de respiración y relajación y posteriormente el tratamiento con EMDR. Esta técnica consiste en el procesamiento de los sucesos que quedaron bloqueados por el miedo sentido en el momento en que ocurrieron, mediante la movilización de los ojos de manera simultánea a la escucha del episodio, tratando nuevamente de revivirlo. Aplicamos esta técnica con 5 pacientes. Resultados: En todos los casos las usuarias superaban la situación en 4 o 5 sesiones de 5 minutos cada una, de manera que posteriormente, informaron de que la situación ya no les producía tristeza ni dolor, y que la habían aceptado. Discusión: Estos resultados sugieren que esta técnica es eficaz y rápida en la intervención de sucesos traumáticos de violencia de género, por lo que resulta altamente recomendable para estos casos.

Introduction: Gender violence is one of the most serious social problems our society because of its prevalence (in the past year 2010 were killed 74 women, and it is estimated that about 11.1% of women are battered Andalusian), as for the psychological consequences on the victims involved. Objectives: In the Cabinet of Psychology, University of Jaén, we look at women (students, PAS or PDI or their relatives) who have been or still are victims of domestic violence, with priority objective of exceeding trauma and who are prepared emotionally and cognitively to lead a full life with the maximum development of their capabilities. During the assessment, including scales, users answer the questionnaire on PTSD (Echeburúa, Corral, Love, Zubizarreta and Sarasua, 1997), because episodes of psychological, physical and sexual extreme than most living, result in 100% of cases this syndrome chronically and charged. Methodology: To treat this syndrome is undertaken the training in breathing and relaxation techniques and subsequent treatment with EMDR. This technique consists in processing events that were blocked sense of fear at the time they occurred, by mobilizing the eyes simultaneously listening to the episode, trying to revive him again. We apply this technique in 5 patients. Results: In all cases the user exceeded the 4 or 5 position in 5-minute sessions each, so that subsequently reported that the situation no longer produce sadness or pain, and that the had accepted. Discussion: These results suggest that this technique is effective and fast intervention in the traumatic events of violence, so it is highly recommended for these cases.

Keywords: Domestic Violence Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

344. 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

345. 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

346. 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

347. Doherty, M. (2012, July 27). EMDR therapy can alleviate PTSD for those affected by Aurora shooting. Austin, TX, SBWire. Retrieved from http://www.sbwire.com/press-releases/emdr-therapy-can-alleviate-ptsd-for-those-affected-by-aurora-shooting-155639.htm on 7/29/2012.

Language: English

Format: Other

Abstract:
There are a number of accepted psychological treatments that can alleviate the mental suffering and heal individuals. Among them is Eye Movement Desensitization and Reprocessing (EMDR), an extensively researched psychotherapy approach. It is an efficient and rapid treatment of trauma, incorporating elements of many other treatment modalities. EMDR has helped an estimated two million people. EMDR has been accepted as a treatment for PTSD and Acute Stress Disorder by the American Psychological Association, American Psychiatric Association, U. S. Department of Defense, and the U. S. Department of Veterans Affairs. The intensity of experiencing a life-threatening trauma can take time to subside. Seeking treatment for PTSD can help restore balance, control, and enjoyment to life. [Excerpt]

Keywords: Aurora Shooting

Accuracy Verified: Yes

348. Matthes, H., & Hofmann, A. (2012, June). EMDR therapy in different psychiatric diagnosis: A review of the scientific evidence. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
No abstract available.

Keywords: Review

Accuracy Verified: Yes

349. Matthes, H., & Hofmann, A. (2012, June). EMDR therapy in different psychiatric diagnosis: A review of the scientific evidence [Terapia con EMDR en varias enfermedades psiquiátricas: Una revisión de la evidencia científica]. Preconference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.

Language: English

Format: Conference

Abstract:
Abstract: Scientific studies of EMDR have shown that it is one of the most effective tools to treat posttraumatic stress disorder. One of the lesser known properties of EMDR is that it also seems to be an effective psychotherapy method in a number of disorders that have part of their origins in dysfunctional implicit memory structures. Some of these disorders are complex trauma based disorders like dissociative disorders and some patients with symptoms of borderline disorder others are traumatized offenders, some forms of substance dependencies and depressive disorders. Many of these patients are challenging populations and some of the direct EMDR approaches may only be partly successful. In this workshop an overview of the new areas for the application of EMDR will be given and participants will hear where and how EMDR can be used in a treatment plan. Also the research status of these new approaches will be reported. If time permits cases can be discussed too.

Los estudios científicos de EMDR han comprobado que es una de las herramientas más efectivas en el tratamiento del trastorno por estrés postraumático. Una de las propiedades menos conocidas de EMDR es que también parece suponer un método de psicoterapia efectivo en varios trastornos que se originan parcialmente en estructuras disfuncionales de la memoria implícita. Algunos de estos trastornos son trastornos basados en el trauma complejo, como los trastornos disociativos y algunos casos de trastorno límite de la personalidad; también se pueden incluir agresores traumatizados, algunas formas de dependencias de sustancias y trastornos depresivos. Muchos de estos pacientes suponen poblaciones de especial dificultad y algunos de los abordajes directos con EMDR pueden tener un éxito únicamente parcial. Este taller ofrecerá una perspectiva global de las nuevas áreas de aplicación de EMDR y se les explicará a los participantes en qué casos y cómo se puede utilizar EMDR en un plan terapéutico. También se informará respecto al estado de la investigación de estos nuevos planteamientos. Si hay tiempo, también se podrán presentar algunos casos.

Keywords: Research

Accuracy Verified: Yes

350. Landin-Romero, R., Novo, P., Vicens, V., McKenna, P. J., Santed, A., Pomarol-Clotet, E., Salgado-Pineda, P., Shapiro. F., & Amann, B. L. (2013, March). EMDR therapy modulates the default mode network in a subsyndromal, traumatized bipolar patient. Neuropsychobiology, 67(3), 181-184. doi:10.1159/000346654.

Language: English

Format: Journal

Abstract:
Background: Some functional imaging abnormalities found in bipolar disorder are state related, whereas others persist into euthymia. It is uncertain to what extent these latter changes may reflect continuing subsyndromal affective fluctuations and whether those can be modulated by therapeutic interventions. Method: We report functional magnetic resonance imaging (fMRI) findings during performance of the n-back working memory task in a bipolar patient who showed a marked improvement in subsyndromal affective symptoms after receiving eye movement desensitization and reprocessing (EMDR) therapy in the context of a clinical trial. Results: The patient's clinical improvement was accompanied by marked changes in functional imaging, as compared to 30 healthy subjects. fMRI changes were noted particularly in deactivation, with failure of deactivation in the medial frontal cortex partially normalizing after treatment. Conclusions: This case supports the potential therapeutic overall benefit of EMDR in traumatized bipolar patients and suggests a possible neurobiological mechanism of action: normalization of default mode network dysfunction. Copyright © 2013 S. Karger AG, Basel.

Keywords: Bipolar Disorder Subsyndromal Affective Symptoms

Accuracy Verified: Yes

351. Landin-Romero, R., Novo, P., Vicens, V., McKenna, P. J., Santed, A., Pomarol-Clotet, E., Salgado-Pineda, P., Shapiro. F., & Amann, B. L. (2013, March). EMDR therapy modulates the default mode network in a subsyndromal, traumatized bipolar patient. Neuropsychobiology, 67(3), 181-184. doi:10.1159/000346654.

Language: English

Format: Journal

Keywords: Bipolar Disorder Subsyndromal Affective Symptoms

Accuracy Verified: Yes

352. Landin-Romero, R., Novo, P., Vicens, V., McKenna, P. J., Santed, A., Pomarol-Clotet, E., Salgado-Pineda, P., Shapiro. F., & Amann, B. L. (2013, March). EMDR therapy modulates the default mode network in a subsyndromal, traumatized bipolar patient. Neuropsychobiology, 67(3), 181-184. doi:10.1159/000346654.

Language: English

Format: Journal

Keywords: Bipolar Disorder Subsyndromal Affective Symptoms

Accuracy Verified: Yes

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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes

355. Hase, M. (2006, November). EMDR toegepast op de addicition geheugen in alcohol verslaafde patiënten opnieuw te verwerken in - Resultaten en follow-up gegevens van een klinische studie [EMDR applied to reprocess the addicition memory in alcohol addicted in-patients – Outcome and follow-up data of a clinical study]. Keynote gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Amersfoort, The Netherlands.

Language: English

Format: Conference

Abstract:
Alcohol afhankelijkheid en haar gevolg op betekenen vaak intens lijden voor het individu en enorme kosten voor de samenleving. Gevestigde behandelmethoden, zo goed als ze zijn, gebrek aan effectiviteit. Uit recent onderzoek op het gebied van de neurowetenschappen is gebleken dat de meeste ervaring wordt automatisch verwerkt op subcorticaal niveau, dat wil zeggen door 'onbewust' interpretaties die buiten bewustzijn gemaakt. Inzicht en begrip hebben slechts een beperkte invloed op de werking van deze subcorticale processen. Deze bevindingen zijn ook van toepassing op verslaafde mensen een bijdragen aan een nieuwe aanpak te creëren. Het concept van een addicition geheugen is behulpzaam (Wolffgramm 2000; Wolffgramm 2002). Het kan worden opgevat als een vorm van onaangepast geheugen en EMDR is het hulpmiddel voor de resolutie (Shapiro 2001). De presentatie richt zich op theorie en praktijk van een EMDR aanpak van de verslaving opwerken geheugen (Hase 2006). Gegevens van een klinische studie zullen worden gepresenteerd en besproken.

Alcohol dependency and its sequela often mean intense suffering for the individual and huge costs for society. Established treatment modalities, as good as they are, lack effectiveness. Recent research in the field of neuroscience has shown that most experience is automatically processed on subcortical levels, i.e. by “unconscious” interpretations that are made outside of conscious awareness. Insight and understanding have only a limited influence on the operation of these subcortical processes. These findings are also applicable on addicted people an help to create a new approach. The concept of an addicition memory is helpful (Wolffgramm 2000; Wolffgramm 2002). It can be understood as a form of maladaptive memory and EMDR is the tool for resolution (Shapiro 2001). The presentation focusses on theory and practice of an EMDR approach to reprocess the addiction memory (Hase 2006). Data of a clinical study will be presented and discussed.

Keywords: Addiction Memory Inpatients

Accuracy Verified: Yes

356. Bossini, L., Tavanti, M., & Costrogiovanni, P. (2008, June). EMDR treatment for PTSD: Effect on hippocampal volume. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Animal and human subjects studies have shown that psychotropic drugs promote hippocampus neurogenesis and block or modulate the effects of stress on the hippocampus. However, the only study that has investigated the effects of psychotherapy on hippocampus volume failed to show any volumetric increase (1). Purpose of the Study: Aim of the study is to assess the effects of Eye Movement Desensitization and Reprocessing (EMDR) treatment on hippocampal volume and on PTSD symptoms in ten drug-free patients with Post Traumatic Stress Disorder (PTSD). Methods Used: First, we have compared hippocampal volumes of 10 drug-free patients with chronic PTSD to 10 case-matched non-PTSD comparison subjects. PTSD diagnosis and severity were established by the administration the Clinician Administered Posttraumatic Stress Disorder Scale (CAPS) (Phase 1). Second, we have assessed the effect of three months of EMDR treatment on hippocampal volumes and on PTSD symptoms of 10 outpatients with PTSD (Phase 2). Results: Phase 1 -A p less than .05 was chosen to indicate statistical significance. The results showed that patients had significantly smaller hippocampal volumes at baseline compared to the control subjects. Phase 2 - EMDR treatment resulted in a significant increase of right and left hippocampal volumes and in a significantly decrease of CAPS total score. Conclusions: The first part of this study confirmed that PTSD patients have smaller hippocampal volumes if compared to comparison subjects. The second part suggests that EMDR treatment is associated with a significant improvement of PTSD symptoms and an increase in hippocampal volumes.

Keywords: Hippocampal Volume Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: English

Format: Conference

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

Keywords: Body Dysmorphic Disorder

Accuracy Verified: Yes

358. Tormey, M. E. (2003, May). EMDR treatment of children and adolescents with school refusal in the outpatient setting: The role of trauma resolution, imaginal exposure and in vivo desensitization and reprocessing resulting in student reintegration to the classroom. In EMDR with children and adolescents. Symposium conducted at the annual mmeting of the EMDR Europe Association, Rome, Italy.

Language: English

Format: Conference

Abstract:
School refusal behavior is defined as a child-motivated refusal to attend school, or difficulties remaining in school for the entire day. As a heterogeneous condition, it can encompass aspects of phobic-type responses or separation anxiety disorder. This condition interferes with the child’s development as it impacts upon academic performance, family and peer relationships in the short-term realm. Long-term effects may include fewer employment and educational opportunities, as well as the development of psychiatric sequelae. This presentation will describe the use of EMDR as a comprehensive treatment for the child or adolescent with school refusal. Case presentations will describe assessment of the problem, with treatment of targets in the individual child or as part of a family systems intervention. Highlights will be placed on the rapid resolution of school refusal behaviors through the processing of traumatic incidents, versus those conditions requiring a more extended and extensive treatment program. The creative implementation of in vivo EMDR will be described in the successful classroom reintegration of two students [Author abstract]

Keywords: Adolescents Children Imaginal Exposure, In Vivo Desentization, Outpatient Setting School Refusal Student Reintegration Symposium

Accuracy Verified: Yes

359. 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

360. Cvetek, R. (2008). EMDR treatment of distressful experiences that fail to meet the critieria for PTSD. Journal of EMDR Practice and Research, 2(1), 2-14. doi:10.1891/1933-3196.2.1.2.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR) is thought to successfully treat not only PTSD but also other psychiatric disorders and mental health problems inasmuch as these have experiential contributions. This randomized clinical trial investigated the effects of treatment of distressful experiences (or small "t" trauma) that fail to meet the criteria for PTSD. Three hours of a slightly adapted form of EMDR were compared to active listening (attentional placebo, also 3 hours) and wait list. Results with 90 participants showed that EMDR produced significantly lower scores on the Impact of Event Scale than active listening or wait list. EMDR also resulted in a significantly smaller increase on the State-Trait Anxiety Inventory (State subscale) after memory recall. Some limitations and implications of findings are discussed. [Author Abstract]

Keywords: Dysfunctionally Stored Stressful Experiences Effectiveness Life Experiences Random Clinical Trial RCT Slovenes Small “T” Trauma Survivors Treatment Effectiveness Young Adults

Accuracy Verified: Yes

361. 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

362. Epozdemir, H., Haciomeroglu, S., & Konuk, E. (2012, October). EMDR treatment of migraine and chronic daily headache. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.

Language: English

Format: Conference

Abstract:
Chronic migraine 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 with no much meaningful effect. The EMDR Chronic Migraine Protocol was developed and tested in a pilot study in Turkey. There was a significant decrease in the frequency, duration and strength of the headaches. Besides, Emergency Care visits and medication were also decreased significantly. The major aim of this workshop, is to teach the participants, how to use EMDR Chronic Headache Protocol in the treatment of migraine patients.

Keywords: Headaches Migraines

Accuracy Verified: Yes

363. Konuk, E., Epozdemir, H., & Haciomeroglu, S. (2012, June). EMDR treatment of migraine and chronic daily headache [Tratamiento de migrañas 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 migraña 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 migrañas 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 señalan 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 migraña 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 migraña 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

364. Young, W. (1994, June). EMDR treatment of phobic symptoms in multiple personality disorder. Dissociation, 7(2), 129-133.

Language: English

Format: Journal

Abstract:
Two multiple personality disorder patients with severe, persistent phobias were treated using Eye Movement Desensitization/Reprocessing (EMDR). Both patients achieved significantly beneficial results with a single session in one patient and two sessions in another. Each patient confronted the previously phobic object successfully showing an objective measure of success and results were maintained at six months follow-up. Caution should be exercised from generalizing the use of EMDR for specific target symptoms to using it as a total treatment technique. Further research is needed to determine the efficacy of EMDR as a treatment procedure in general and its role in the overall treatment of dissociative conditions. [Author Abstract]

Keywords: Adults Child Abuse DID Dissociative Identity Disorder Empirical Study Females Follow-up Study Incest Phobia Rape Survivors

Accuracy Verified: Yes

365. Miller, P. (2010, September/October). EMDR treatment of psychotic disorders, including schizophrenia: A case series. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.

Language: English

Format: Conference

Abstract:
Psychotic phenomena are challenging to treat; the most severe being schizophrenia, which has a heavy burden: life expectancy being reduced by 10 years, mostly through suicide. After over 100 years of experience only a minority make a full recovery. This workshop will examine the role of EMDR in the treatment of schizophrenia - as defined by the genetic epidemiological work of Professor Kenneth Kendler - and follows three patients treated with EMDR; one met strict criteria for schizophrenia and remains in recovery after 3 years. The workshop will discuss case selection and protocol development.

Keywords: Psychotic Disorders Schizophrenia

Accuracy Verified: Yes

366. Miller, P. (2011, August). EMDR treatment of psychotic disorders, including schizophrenia: Using the ICONN protocol. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.

Language: English

Format: Conference

Abstract:
Psychotic phenomena are challenging to treat. The most severe psychosis is schizophrenia, which has a heavy burden and reduced life expectancy through physical illness and suicide. Psychotherapy in psychosis is experiencing a renaissance and this workshop will discuss case selection and the application of the ICONN protocol for EMDR with psychosis. The ICONN protocol has been developed from experience with a series of patients with psychotic disorders, including ‘M’, a patient who met Kendler’s strict criteria for schizophrenia. ‘M’ remains in recovery after 4 years.

Keywords: ICONN Protocol Psychosis Psychotic Disorders Schizophrenia

Accuracy Verified: Yes

367. 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 años, entró en la cárcel por abusos sexuales (Pedofilia) a la edad de 33 años. Vive con su mujer y su hijo (9 años 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 año. 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 años, humillaciones familiares, violación bajo amenaza por un adulto a la edad de 11 años., acusación por un niño de 13 años, 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

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

Language: German

Format: Book Section

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

Keywords: Biofeedback Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: German

Format: Journal

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

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

Keywords: Biofeedback Posttraumatic Stress Disorder PTSD Treatment

Accuracy Verified: Yes

370. Jacobs, A. & de-Jongh, S. (2007). EMDR und biofeedback in der behandlung von posttraumatischen belastungsstörungen: Ein neuropsychotherapeutisches behandlungsprogramm [EMDR and biofeedback in the treatment of post-traumatic stress disorders]. Göttingen, Germany: Hogrefe. ISBN: 9783801720391.

Language: German

Format: Book

Abstract:
Das Manual stellt ein neu entwickeltes, multimodales neuropsychotherapeutisches Therapieprogramm zur Behandlung der posttraumatischen Belastungsstörung (PTB) vor. Ausgehend von neueren Befunden aus den Neurowissenschaften, die darauf hinweisen, dass eine Dissoziation zwischen implizitem und explizitem Traumagedächtnis die wesentliche Grundlage der PTB darstellt, wurden verschiedene Module in das Behandlungsprogramm integriert. Dazu gehören spezielle kognitiv-behaviorale Interventionstechniken, Biofeedback-gestütztes Eye Movement Desensitization and Reprocessing (EMDR) sowie die gezielte Bereitstellung von Informationen über die Störungszusammenhänge für den Patienten. Mittels Biofeedback wird die elektrodermale Aktivität der Patienten während der EMDR-Sitzungen als Indikator für die autonome Erregung aufgezeichnet. Die bei der Traumaexposition implizit ablaufenden Prozesse werden somit an Therapeut und Patient zurückgemeldet. Dadurch ist es möglich, zu kontrollieren, ob das Ausmaß der autonomen Erregung soweit gesenkt werden konnte, dass eine erfolgreiche Verarbeitung und Abspeicherung der traumatischen Erinnerungen im expliziten Gedächtnissystem möglich wird. Studien belegen die Wirksamkeit des Programms. So zeigen Ergebnisse eine deutliche Reduktion der PTB Symptomatik sowie eine starke Abnahme der autonomen Erregung und der subjektiven Belastung.

The manual presents a newly developed multi-modal neuropsychotherapeutisches therapy program for treatment of post traumatic stress disorder (PTSD before). Based on recent findings from the neurosciences that suggest that a dissociation between implicit and explicit memory of trauma is the main basis of the PTB, different modules were integrated into the treatment program. These include specific cognitive-behavioral intervention techniques, biofeedback-assisted Eye Movement Desensitization and Reprocessing (EMDR) and the targeted provision of information about the disorder correlations for the patient. Biofeedback is recorded, the electrodermal activity of patients during the EMDR sessions as an indicator of autonomic arousal. The case of trauma exposure implicit processes involved are therefore reported to the therapist and patient. This makes it possible to check whether the degree of autonomic arousal could be lowered so far that a successful processing and storage of traumatic memories is possible in the explicit memory system. Studies show the effectiveness of the program. Results nevertheless show a significant reduction of symptoms and PTB a strong decrease of the autonomous arousal and subjective burden.

Keywords: Biofeedback Therapy Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

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

Language: German

Format: Book Section

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

Keywords: Biofeedback

Accuracy Verified: Yes

372. Jacobs, S., & Strack, M. (2007, Mai). EMDR und biofeedback in der therapie posttraumatischer belastungsstörungen. Evaluation eines neuropsychotherapeutischen [EMDR and biofeedback therapy in post-traumatic stress disorder. Evaluation of a neuropsychology treatment program]. Symposium at the (R. Keller, Chair) Workshoptagung der European Society für traumatische Stress Studies (EWOTS), Hamburg, Deutschland.

Language: German

Format: Conference

Abstract:
Evaluiert wurde ein neu entwickeltes multimodales, neuropsychotherapeutisches Programm zur Behandlung der posttraumatischen Belastungsstörung (PTB). Ausgehend von neueren Befunden aus den Neurowissenschaften, die darauf hinweisen, dass eine Dissoziation zwischen implizitem und explizitem Traumagedächtnis die wesentliche Grundlage der PTB darstellt, wurden verschiedene Module in das Behandlungsprogramm integriert. Dazu gehören neben der gezielten Bereitstellung von Informationen über die Störungszusammenhänge, ein Patientenedukationsfilm, spezielle kognitiv-behaviorale Interventionstechniken sowie Biofeedback gestütztes Eye Movement Desentization and Reprocessing (EMDR). Ziel der Anwendung des Biofeedback im Rahmen der EMDR-Sitzungen ist es zum einen, den PatientInnen implizite Prozesse während der Traumaexposition zurückzumelden, zum anderen wird anhand der Biofeedback-Aufzeichnung das Ausmaß der Übereinstimmung zwischen subjektivem Belastungsgrad durch die traumatische Erinnerung (SUD-Rating) und physiologisch messbarer Erregung überprüft. Als physiologischer Parameter wurde die elektrodermale Aktivität (Hautleitwert, EDA) erhoben.

Was evaluated a newly developed multi-modal, neuro psychotherapeutic Program for the treatment of post traumatic stress disorder (PTSD). Starting by recent findings from neuroscience, the point out that a dissociation between implicit Trauma and explicit memory the essential PTB is based on, were different modules integrated into the treatment program. These include next targeted provision of information on the disorder correlations, a Patientenedukationsfilm, specific cognitive-behavioral intervention techniques and biofeedback-assisted Eye Movement Desentization and Reprocessing (EMDR). The aim of the application of Biofeedback in the EMDR sessions is to one, the patients implicit processes during the Trauma exposure report back, on the other hand on the basis of biofeedback recording the extent of Agreement between subjective stress level by the traumatic memory (SUD rating) and measurable physiological arousal reviewed. As a physiological Parameters, the electrodermal activity (skin conductance, EDA) raised.

Keywords: Biofeedback Posttraumatic Stress Disorder PTSD Symposium

Accuracy Verified: Yes

373. Jacobs, S., de Jong, A., & Strack, M. (2007). EMDR und biofeedback in der therapie posttraumatischer belastungsstörungen: Evaluation eines neuropsychotherapeutischen behandlungsprogramms [EMDR and biofeedback in the therapy of posttraumatic stress disorder: Evaluation of a neuropsychotherapeutic intervention]. Verhaltenstherapie & Psychosoziale Praxis: VPP, 39(4), 855-876.

Language: German

Format: Journal

Abstract:
Eine neu entwickelte multimodale, neuropsychotherapeutic Programm für die Behandlung der Posttraumatischen Belastungsstörung (PTBS) wurde ausgewertet. Ausgehend von neueren Erkenntnissen in der Forschung neuroscienctific, so dass eine Dissoziation zwischen impliziter und expliziter Trauma-Speicher die wichtigste Grundlage der PTBS ist, verschiedene Module wurden im Rahmen der Behandlung integriert anzuzeigen. Die vereinigten Komponenten sind: spezifische Hintergrundinformationen über die Unordnung und typische PTSD-Symptome, eine pädagogische Film für Patienten, spezifische kognitive Verhaltenstherapie und Biofeedback-Techniken unterstützte Eye Movement Desensitization and Reprocessing (EMDR). Das Ziel der Biofeedback-Sitzungen während EMDR ist es, den Patienten eine direkte Rückmeldung über die implizite Prozesse während der Trauma-Exposition. Darüber hinaus Erfassung der physiologischen Daten über Biofeedback ermöglicht das Testen, ob es eine Korrelation zwischen dem Grad der subjektiven Belastung durch traumatische Erinnerungen ausgelöst (quantifiziert mit der SUD-Skala), und messbare physiologische Erregung. Elektrodermale Aktivität (EDA; Hautleitfähigkeit) wurde als eine physiologische Parameter gemessen. Die Ergebnisse einer durchgeführten Pilot-Studie (16 Patienten auf der Grundlage, mit einem wartenden Gruppe als Kontrollgruppe) zeigen verschiedene EDA-Muster während EMDR-desensitivation (fad und assoziative Wiederaufbereitung). Ein offensichtlich Reduktion der PTBS-Symptome gefunden (d = 2,27) sein, die stärker ist als in anderen Behandlungen. Die traumatischen Erinnerungen mit EMDR behandelt wurde weniger Anstrengung, die ebenfalls reflektiert in der Physiologie (verminderte autonome Erregung) und in der subjektiven Belastung fühlte sich durch die Patienten. Die Kürzungen der Erregung (d = 1,01) und subjektive Belastung (d = 2,55) zeigen, dass eine effektive Hemmung der Aktivierung der Amygdala-und damit der Angstreaktion selbst-aufgrund der Intervention geschaffen. Mit EMDR reduziert die Amygdala physiologische Erregung. Wir vermuten, dass aus diesem Grund den medialen präfrontalen Kortex und im Hippocampus kann eine kortikale Inhibition, die erfolgreich reduziert die Angst-Reaktion (Grawe, 2004) zu etablieren. Die berichteten Ergebnisse wurden durch einen dreimonatigen Follow-up-Bewertung bestätigt. Mit einer durchschnittlichen Dauer von 16 Sitzungen und einer nicht vorhandenen Drop-out-Rate (0%), die Intervention erwiesen sich ebenfalls als sehr effizient. (PsycINFO Database Record (c) 2010 APA, alle Rechte vorbehalten)

A newly developed multimodal, neuropsychotherapeutic program for the treatment of posttraumatic stress disorder (PTSD) was evaluated. Starting from recent findings in the neuroscienctific research, which indicate that a dissociation between implicit and explicit trauma-memory is the main basis of PTSD, different modules were integrated within the treatment. The combined components are: specific background information regarding the disorder and typical PTSD-symptoms, an educational movie for patients, specific cognitive behavioral intervention techniques and biofeedback-supported Eye Movement Desensitization and Reprocessing (EMDR). The aim of using biofeedback during EMDR sessions is to give patients a direct feedback about the implicit processes during trauma-exposition. In addition, recording the physiological data via biofeedback allows testing if there is a correlation between the level of subjective strain, triggered by traumatic memories (quantified with the SUD-scale), and measurable physiological arousal. Electrodermal activity (EDA; skin conductance) was measured as a physiological parameter. The results of a conducted pilot-study (based on 16 patients, with a waiting group as a control group) show different EDA-patterns during EMDR-desensitivation (bland and associative reprocessing). An evident reduction of the PTSD-symptoms could be found (d = 2.27), which is stronger than in other treatments. The traumatic memories treated with EMDR became less straining, which reflects likewise in physiology (decreased autonomous arousal) and in the subjective strain felt by the patients. The reductions of arousal (d = 1.01) and subjective strain (d = 2.55) indicate that an effective inhibition of the amygdala activation—and thereby of the anxiety reaction itself—is created due to the intervention. Using EMDR reduces the amygdala induced physiological arousal. We suppose that for this reason the medial prefrontal cortex and the hippocampus can establish a cortical inhibition, which successfully reduces the anxiety reaction (Grawe, 2004). The reported results were confirmed by a three month follow-up evaluation. With an average duration of 16 sessions and a non-existing drop-out rate (0%), the intervention also proved to be very efficient. (PsycINFO Database Record (c) 2010 APA, all rights reserved)

Keywords: Biofeedback PTSD

Accuracy Verified: Yes

374. 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

375. Zobel, M. (2010, June). EMDR with alcohol addicted patients with comorbid PTSD in a treatment facility for alcoholism - experiences, outcome, perspectives. In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Patients with alcohol addiction often report sexual abuse and neglect in childhood and/or other traumatic events during lifetime. In addiction treatment facilities symptoms of PTSD are frequently not treated, because there is no sufficient method. which could be completed within the addiction treatment period? The lecture will inform about an ongoing scientific project dealing with the question, if EMDR is an intervention, which is equal or superior to common multimodal stabilizing interventions. The project is supported by the Deutsche Rentenversicherung Bund. Patients with alcohol addiction and comorbid PTSD are divided into two groups: EMDR or multimodal therapy including stabilizing methods. Prevalence of PTSD-symptoms is measured before and after intervention and one year after treatment. Up to date nearly 90 Patients with alcohol addiction and PTSD have been treated. Data indicate, that both trauma treatments are effective but that EMDR leads to a significant larger decrease in trauma symptoms. The results of the one year after treatment evaluation are presented and discussed. Educational objectives: Addiction therapy in a treatment facility can be effectively combined with trauma therapy. EMDR is an effective method in the treatment of patients with alcohol addiction and comorbid PTSD. Most patients with alcohol addiction and PTSD show multiple trauma and need a prolonged period of treatment. What's new? There are only few studies in Germany, which have investigated the effects of EMDR in a sample of alcohol addicted patients. The presented study includes a follow up evaluation one year after treatment (currently in progress), which rarely is the case in research on EMDR-effectiveness.

Keywords: Alcoholism Treatment Comorbid Posttraumatic Stress Disorder Comorbid PTSD Symposium

Accuracy Verified: Yes

376. 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

377. Servan-Schreiber, D. (2007, June). EMDR with life-threatening medical illness. Keynote presented at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
The relation between mind and body is more clearly understood than ever before. Stress reactions influence biological mechanisms such as immunity and inflammation that profoundly influence the course of medical conditions. PTSD is a predictor of ill-health. Powerlessness is associated with cancer progression. This presentation will review the mind-body connection in relation to severe illness, and the role of EMDR in helping patients facing lifethreatening diseases.

Keywords: Keynote Medical Illness

Accuracy Verified: Yes

378. Wilcox, J. (1994). EMDR with panic disorder: Patients who inhibit anxiety reactions. EMDR Network Newsletter, 4(1), 9-10.

Language: English

Format: Newsletter

Abstract:
Introducing EMDR to panic disorder patients who have been educated in that reduce anxiety responses can pose some interesting challenges. Several patients who had been in therapy with me for a year or more had learned quite well the skills of using deep breathing, relaxation, and cognitive pattern interruption techniques to inhibit their anxiety reactions. I discovered how well they internalized these strategies as we began the EMDR in our attempts to clear the root causes of their panic disorder.

Keywords: Panic Disorders

Accuracy Verified: Yes

379. 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

380. 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

381. 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

382. Gonzalez, A., & & Mosquera, D. (2012). EMDR y disociación. El enfoque progresivo [EMDR and dissociation: The progressive approach]. Madrid, Spain: Ediciones Pleyades.

Language: Spanish

Format: Book

Abstract:
Durante las últimas dos décadas, el EMDR se ha convertido en una opción de primera línea para el tratamiento de trastornos de estrés postraumático asociados a la exposición de eventos traumáticos, como accidentes, catástrofes naturales o desastres creados por el hombre. Mientras tanto, los clínicos han visto que la aplicación de EMDR es útil en el tratamiento de pacientes que han sufrido episodios emocionalmente traumáticos, descritos por ellos como característicos de su familia de origen, su historia personal y sus relaciones de apego. Un gran número de investigaciones y publicaciones han examinado en profundidad la eficacia de EMDR en este campo de trabajo de la psicoterapia. Por lo tanto, el EMDR está siendo utilizando cada vez más por los clínicos, trabajando con personas que sufren de traumas crónicos vinculados a relaciones interpersonales traumáticas. Es de sobra conocido que, en los primeros años de vida, las interacciones con los demás dan lugar a conexiones importantes en el cerebro, que progresivamente influyen en la sensación interna que tenemos de nosotros mismos y la capacidad de tener relaciones sanas con el mundo exterior. Las experiencias de relaciones con las figuras de apego durante la infancia temprana pueden ayudar a desarrollar la autorregulación emocional y contribuir a la formación de patrones cognitivos, conductuales y emocionales. La investigación sobre el apego ha demostrado que son estas relaciones las que influyen en el desarrollo de la capacidad de equilibrar las emociones, establecer intimidad interpersonal, así como de la capacidad de autorreflexión y mentalización. Además, es evidente que la comunicación interpersonal y emocional dentro de la familia de origen puede sentar las bases para el desarrollo de recursos, el sentirse valioso y la resiliencia cuando uno está bajo una fuerte tensión emocional, fomentando por tanto la salud mental.

During the past two decades, EMDR has become a first line option for the treatment of PTSD associated with exposure to traumatic events such as accidents, natural disasters or man-made disasters. Meanwhile, clinicians have found that the application of EMDR is useful in treating patients who have suffered emotionally traumatic events described by them as characteristic of their family of origin, personal history and their attachment relationships. A lot of research and publications have examined in depth the effectiveness of EMDR in this field of work of psychotherapy. Therefore, EMDR is being used increasingly by clinicians, working with people suffering from chronic trauma related to interpersonal trauma. It is well known that in the first years of life, interactions with others lead to important connections in the brain that progressively influence the internal sense of ourselves and the ability to have healthy relationships with the outside world . The experiences of relationships with attachment figures in early childhood may help develop emotional self-regulation and contribute to the formation of cognitive patterns, behavioral and emotional problems. The attachment research has shown that it is these relationships that influence the development of the ability to balance emotions, establish interpersonal intimacy and the capacity for self-reflection and awareness. It is also clear that interpersonal and emotional communication within the family of origin may lay the foundation for the development of resources, to feel valued and resilience when one is under emotional stress, thus promoting mental health.

Keywords: Dissociation

Accuracy Verified: Yes

383. Moura, J. G. D. (2012, Novembro). EMDR – Construção de diagnóstico comum ou acertando o alvo [EMDR - Construction of common diagnosis or hitting the target]. In temas diversos. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
A estabilização é o momento do processo onde recebemos o paciente construímos rapport, entendimento comum do que esta se passando, damos informações psicopedagógicas sobre o trauma e o que é EMDR e o preparamos para as próximas fases. Esta apresentação pretende focar esta primeira etapa, que seria a construção do que convencionamos chamar de setting terapêutico dentro da perspectiva do EMDR. Este é um momento fundamental para o sucesso do tratamento. Quando nos posicionamos de forma correta frente a ele construindo um entendimento comum, que também podemos chamar de diagnostico comum, emparelhamos, damos sentido e fluidez ao processo. Reproduzimos e ativamos dentro do jogo psicoterapêutico capacidade inata de nós seres humanos de mimetização e sincronização com o outro na intenção de realizar algo, aprender e melhorar nossas chances de sobreviver. Lançamos mão constantemente como terapeutas desta aptidão para resolução das equações trazidas por nossos pacientes e não raramente nos beneficiamos aprendendo mais sobre nós e o mundo. Este processo pressupõe um exercício de entrar na plástica do outro, estranhá-la e refletir para e com ele sobre o que o aflige e suas potencialidades. Como se dá este processo? Como podemos transformar impressões em narrativa? Como construímos um diagnostico comum?

The stabilization process is the time where we get the patient build rapport, common understanding of what is going on, we psychopedagogical information about trauma and what is EMDR and prepare for the next phases. This presentation aims to address this first phase, the construction of what would conventionally call the therapeutic setting within the perspective of EMDR. This is a critical time for successful treatment. When positioned correctly in front of him building a common understanding, which we can also call common diagnosis, emparelhamos, give direction and fluidity to the process. Reproduced within the game and activate innate ability psychotherapeutic us humans to mimic and synchronize with each other in an attempt to accomplish something, learn and improve our chances of survival. We used this constantly as therapists ability to solve the equations brought by our patients and not infrequently we benefit by learning more about ourselves and the world. This process involves an exercise of plastic entering the other, her strange and reflect and to him about what ails you and your capabilities. How is this process? How can we turn impressions into narrative? How to build a common diagnosis?

Keywords: Body Language Building Common Diagnosis Phases 1 Phase 2 Stabilization

Accuracy Verified: Yes

384. Ost, J. (2005, July). EMDR – Of limited use, whichever way you look at it. HealthWatch Newsletter, 58, 4-5.

Language: English

Format: Newsletter

Abstract:
The National Institute for Clinical Excellence recently recommended a controversial form of trauma therapy called Eye Movement Desensitisation and Reprocessing (EMDR) for the treatment of post traumatic stress. In EMDR an individual is asked to create and hold in their mind a picture of the worst moment during the disaster, while following the movement of their clinical psychologist's fingers with their eyes. The psychologist instructs the patients to “let the image go freely where it wants to”. Some proponents believe this process has the power to unlock traumatic memories. Others are sceptical, among them psychologist Dr James Ost, an advisor to the British False Memory Society

Keywords: General Overview Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

385. 近藤千加子 [Kondo Chikako]. (2005年12月). EMDRとイメージ中心の認知行動療法が心的外傷記憶の怒りの処理に奏功した事例 (ケース報告特集号) -- (ケース報告) [A successful case: EMDR and cognitive behavioral therapy based on images worked for traumatic memory patients’ anger management (Special Issue Case Reports) - (Case Report)]. 日本カウンセリング学会 [The Japanese Association of Counseling Science, 38(4), 353-360].

Language: Japanese

Format: Journal

Keywords: Case Report CBT Cognitive Behavior Therapy

Accuracy Verified: Yes

386. 陈庆玲 [Chen Qingling] (2012). EMDR用于艾滋病患者心理康复研究——以某一艾滋病患者创伤心理治疗的成功个案为例 [The EMDR for AIDS patients psychological Rehabilitation Research - successful cases of an AIDS patient trauma psychotherapy]. 西华大学学报：哲学社会科学版,6.

Language: Chinese

Format: Dissertation/Thesis

Abstract:
感染艾滋病病毒对于生命和躯体安全都是一个严重的创伤性事件,患者往往会承受巨大的精神压力,并有不同程度的情感障碍问题。本文采用EMDR方法对一例具有抑郁情绪和人际交往障碍的艾滋病患者进行治疗,治疗结果显示对HIV/AIDS患者采用EMDR方法能获得良好的效果,因此有必要进行更深入的研究和应用。

HIV infection for the safety of life and body are a serious traumatic event, patients tend to be under tremendous mental stress, and have varying degrees of affective disorder. In this paper, the EMDR method for treatment of one case of AIDS patients with depression and interpersonal barriers, treatment outcomes of HIV / AIDS patients can get good results with EMDR method, it is necessary to carry out more in-depth research and application.

Keywords: AIDS Depression HIV Trauma

Accuracy Verified: No

387. 杨善真 [Yang Zhen]. (2006). EMDR（眼动身心重建法）的研究探讨 [EMDR (Eye Movement mental and physical reconstruction of Law), a detailed study]. 嘉义大学辅导咨商学系研究所 [National Chiayi University, Counseling Institute, Chiayi, Taiwan].

Language: Chinese

Format: Dissertation/Thesis

Abstract:
EMDR（眼動身心重建法）的研究探討
眼物质重建法（眼动脱敏和再加工）在过去10年来，作为一个新兴的心理治疗方法，并正成为越来越受欢迎，并确保特别是对创伤后应激综合征的治疗，是新兴的治疗方法，根据Greewald回想起来，一个文献研究指出，“它已被用于治疗许多人的选择”（由约翰库萨克和斯帕茨，1999年报价），因为传统的治疗心理咨询技术的使用往往需要耗费时间，对于一些不长的治疗或治疗病人的具有时间限制并不适用，而且还描述伤痛的经历，以repeat简单动作usually只会使病情恶化，最后连药物也无效，所以今天非常受欢迎并EMDR可应用于其他精神疾病，如：恐惧，疼痛疾病，性虐待的创伤，手术后感情伤害，而且由于其方法和结果仍在广泛讨论，因此对EMDR in treatment和谐促进more 。

Eye physical reconstruction method (Eye Movement Desensitization and Reprocessing) for the last 10 years, emerging as a psychological treatment method, and are becoming increasingly popular, and sure, especially for the treatment of post-traumatic stress syndrome is emerging treatment techniques, according to Greewald In retrospect, a study of the literature pointed out that "it has been used as treatment for many people a choice" (a quote from Cusack & Spates, 1999), because the use of traditional healing counseling psychology techniques often require time-consuming, for some not long for treatment or for treatment of patients has its time limits do not apply, but also describing the traumatic experience to repeat simple movements usually only make the patient's condition worsened and finally even the drugs are also ineffective, so very popular today and be EMDR be applied to other mental diseases, such as: fear, pain diseases, sexual abuse trauma, post-operative emotional harm, and because of its methods and results are still being widely discussed, so the promotion of EMDR in treatment more harmony.

Keywords: Practice Theory

Accuracy Verified: Yes

388. Rougemont-Bucking, A., & Zimmermann, E. N. (2012). EMDR-based treatment of psychotraumatic antecedents in illicit drug abusers: A report of two cases. Schweizer Archiv Für Neurologie Und Psychiatrie, 163(3), 107-115.

Language: English

Format: Journal

Abstract:
The co-occurrence of PTSD and of substance use disorder (SD) is known to be very high. However the question of whether and how to treat such patients remains largely unanswered in the EMDR community. We report on two cases of EMDR-based treatment of heavily affected SD patients in whom psychotraumatic antecedents were identified. EMDR sessions focused on trauma-related material and not on the expression of cue-induced drug craving. The treatment appeared to be a difficult and challenging endeavour. However, some beneficial effects on general comfort and on drug consumption could be observed. A long stabilisation phase was mandatory and the standard EMDR protocol needed to be conducted with much flexibility. Interestingly, there was no provocation of a prolonged psychological crisis or of relapse. Experiencing of emotional stress could be limited to the sessions and dissociation could be absorbed with specific well-known techniques without permanently increasing drug craving. These observations are discussed in relation to previously published concepts of using EMDR in the field of trauma and substance abuse.

Keywords: Addiction Comorbidity Dissociation Posttraumatic Stress Disorder PSTD Substance Use Disorder

Accuracy Verified: Yes

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

Language: Swedish

Format: Dissertation/Thesis

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

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

Keywords: Adolescents Children: Psychotherapy Trauma Treatment

Accuracy Verified: Yes

390. Fine, C. G. (1996, June). EMDR-facilitated trauma work in patients with dissociative identity disorders. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Keywords: DID Dissociative Identity Disorder

Accuracy Verified: Yes

391. Burkhardt, L. (2010, June). The EMDR-treatment of traumatisation in World War 2 in an elderly patient: The story of Luise. In Complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
Goals: How to deal with medical and psychological problems of patient aged over 70 and encourage colleagues to work with older patients. To show how war traumatization may shake up a live as long as 60 years after the end of war. To understand the shock of mass-bombing on a person. In this presentation I would like to present the biography and the treatment with EMDR of an old women suffering from PTSD since 1945 after surviving three mass-bombings and two attacks of strafers in WW 2. She came in treatment after the attack on W C on 9/11/2001 witch had increased her intrusions to a very high level. The practical part of the presentation will show a video of her EMDR-treatment and the necessity to use cognitive interweaves in this particular situation.

Keywords: Elderly Patient Symposium World War II

Accuracy Verified: Yes

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

Language: German

Format: Journal

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

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

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

Accuracy Verified: Yes

393. McCabe, S. (2004, September-October). EMDR: Implications of the use of reprocessing therapy in nursing practice. Perspectives in Psychiatric Care, 40(3), 104-113. doi:10.1111/j.1744-6163.2004.tb00003.x.

Language: English

Format: Journal

Abstract:
Eye movement desensitization and reprocessing (EMDR). Purpose: To examine the available evidence base for EMDR treatment in psychiatric nursing practice. Sources: Evidenced-based research findings, published case and anecdotal reports, and primary source documents on the development of the treatment method. Conclusions: EMDR use remains controversial. Although it is safe, little is known regarding the mechanism of action of any therapeutic effect; more rigorous empirical establishment of efficacy is needed. [Author Abstract]

Keywords: Clinical Efficacy Literature Review Nursing Posttraumatic Stress Disorder PTSD

Accuracy Verified: Yes

394. Doner, K. (1994, September). EMDR: Miracle cure or sleight of hand? . . . Eye movement desensitization and reprocessing. American Health, 13(7), 78-79.

Language: English

Format: Magazine

Abstract:
Thousands of victims of phobias, rape, childhood abuse, natural disasters, and combat-related post-traumatic stress disorder have benefited from a controversial new treatment called Eye Movement Desensitization and Reprocessing (EMDR). Developed in the late 1980s by psychologist Francine Shapiro, EMDR involves having patients move their eyes back and forth, following a practitioner's fingers, while the practitioner evokes an image or feeling about a specific trauma. Shapiro speculates that the method may unlock traumatic feelings and pictures from the nervous system because the eye movements in EMDR are similar to movements that occur during REM sleep, which is when the brain processes disturbing memories. Researchers are currently trying to measure the effectiveness of EMDR, which is used by an estimated 7,000 therapists across the U.S. Some critics dismiss EMDR as pop psychology promoted by hucksters.

Keywords: Practice Theory

Accuracy Verified: Yes

395. Balbo, M. (2006). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR: A tool for dialogue among the psychotherapies]. Milano: McGraw-Hill.

Language: Italian

Format: Book

Abstract:
Negli ultimi anni, con l’affermarsi dell’EMDR (Eye Movement Desensitization Reprocessing) come approccio terapeutico consolidato, sono stati formati nel mondo più di 80.000 terapeuti di matrice psicoterapeutica diversa, 1600 soltanto in Italia. Un così ampio interesse per questo metodo potrebbe far rilevare che proprio nell’EMDR i terapeuti, seppure di differente formazione, abbiano ricercato e intravisto uno strumento per poter avviare un dialogo, costruttivo e non soltanto oppositivo, iniziando a considerare la patologia attraverso un nuovo e integrante punto di vista. Il paradigma dell’Elaborazione Adattiva dell’Informazione messo a punto da Francine Shapiro parte dal presupposto che i fenomeni patologici dipendono da esperienze disturbanti del passato che avviano un modello permanente di emozioni, cognizioni, comportamenti e le strutture di identità che ne conseguono. Il paradigma, pertanto, offre una teoria unificante che può essere considerata come substrato per tutti gli orientamenti terapeutici quando si definisce la patologia come informazione immagazzinata in modo disfunzionale e che può essere adeguatamente integrata attraverso un sistema di elaborazione e risoluzione adattiva, attivato attraverso il protocollo EMDR. Questo è il primo testo che affronti il tema assai vivo e di attualità dell’integrazione fra i diversi orientamenti psicoterapeutici attraverso un metodo eclettico quale l’EMDR. I contributi degli autori - rappresentanti delle principali scuole di pensiero attualmente presenti nel mondo della psicoterapia italiana - tracciano un percorso di lettura che dimostra come i costrutti teorici e il protocollo EMDR siano compatibili ed efficacemente integrabili con i maggiori nuclei teorici, tradizionali e innovativi. E sono proprio l’elaborazione dei vissuti e i nuovi e più adattivi insight dei pazienti che si attivano attraverso l’approccio EMDR a poter consentire ai terapeuti di capirsi e di utilizzare un linguaggio comune.

In recent years, with l’affermarsi dell’EMDR (Eye Movement Desensitization Reprocessing) as consolidated therapeutic approach have been trained in the world of 80,000 practitioners of different psicoterapeutica array, 1600 only in Italy. A so broad interest for this method could detect that your nell’EMDR therapists, albeit different training, have looked up and saw a tool to be able to start a constructive dialogue and not only oppositivo, beginning to consider the disease through a new and an integral point of view. The Adaptive Information Processing model paradigm made to point by Francine Shapiro part from the assumption that the pathological phenomena depend on disturbing experiences of the past that initiate a permanent model of emotions, knowledge, attitudes and structures of identity that it entails. The paradigm, therefore, provides a unifying theory that can be considered as a substrate for all therapeutic guidelines when you define the pathology as information stored so dysfunctional and can be adequately integrated through a system of processing and adaptive resolution activated through the EMDR protocol. This is the first text that tackles the issue very live and topical dell’integrazione between the differe