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Your Results - you searched for the keyword Psychological Therapies 1036 Results
1. 国秋 汪永光 王义强 付素芬 曹日芳 [Zhao Guo-Qiu, Wang Yong-Guang, Wang Yi-Qiang, Fu Shu-Fen, & Fang Tsao]. (2008, August). "4•28"胶济铁路交通事故伤员心理危机的干预 [Psychological intervention in the casualties of 4 · 28 train crash on the Jiao-Ji railway line]. 中華急診醫學雜誌 17卷8期 (2008/08), 800-803 [Chinese Journal of Emergency Medicine], 17(8), 800-803 .
Language: Chinese
Format: Journal
Abstract:
目的 分析淄博铁路交通事故伤员心理行为反应特点以寻找救治交通事故后患者的心理的有效方法。方法 采用心理危机结构式访谈问卷,对2008年4月28日发生的山东淄博胶济铁路重大交通事故中的226伤员进行心理状态评估,并对22名ASD患者进行眼动脱敏再加工(eye movement desensitization and reprocessing, 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,本次铁路交通事故中ASD的发生率为9.73%,伤员中主要以闯人、警觉性增高表现为主,并伴随着其他的负性情绪体验。女性组ASD的发生率(14.85%)高于男性组(5.60%),P<0.05。女性组心理行为反应结果明显重于男性组(P<0.05),EMDR能够显著改善ASD患者的闯入、警觉性增高症状(P<0.01),但愤怒情绪没有显著改善((P=0.227))。结论 铁路交通事故后,女性比男性更容易发生ASD。EMDR可有效地解决ASD患者除愤怒以外的心理危机。
Objective: To investigate the psychological characteristics in the casualties of 4.28 train crash on the Jiao-Ji railway track and to find a effective way to relieve the psychological crisis induced by traffic accident. Method: A total of 226 casualties were assessed in respect of psychological crisis with interview questionnaire after 4.28 train track on Jiao-ji railwayine. Twenty-two casualties meeting acute stress disorder (ASD) criteria from DSM-IV were treated with EMDR. The therapeutic effects of eye movement desensitization and reprocessing (EMDR) on ASD were assessed. Results: The incidence of ASD was 9.73% (22 casualties). The major psychological consequences in casualties were intrusive symptoms, symptoms of hyperarousal, and negative emotional symptoms. Significant differences on gender had been found in incidence rate of ASD female 14.85% and male 5.60%, P < 0.05. The women manifested more severe psychological consequences than men in this train crash accident. Significant treatment effect was found in EMDR on ASD. EMDR can significantly improve the intrusive symptoms and symptoms of hyperarousal (P < 0.05), but can not significantly improve negative emotional symptoms (P > 0.05). Conclusions: The women showed more severe psychological consequences than men after train crash accident. EMDR was effective treatment on ASD but negative emotional symptoms.
Keywords: Accident Acute Stress Disorder ASD: Crsis Intervention Psychological Crisis Intervention Traffic Accident Train Collision Train Crashes
Accuracy Verified: Yes
2. 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
3. Ouellette, D. W. (2007, September-October). "Getting the war out:" New paradigms for healing post-traumatic stress. Natural Life News & Directory.
Language: English
Format: Newsletter
Abstract:
EMDR is a psychotherapeutic approach developed by Francine Shapiro that uses dual
attention stimulation, such as eye movements, bilateral sound, or bilateral tactile stimulation,
to resolve symptoms resulting from exposure to a traumatic or distressing event.
Clinical trials have demonstrated EMDR's efficacy in the treatment of PTSD. It has
shown to be more effective than some alternative treatments and equivalent to cognitive
behavioral and exposure therapies.Although some clinicians may use EMDR for
various problems, its research support is primarily for disorders stemming from
distressing life experiences.
Keywords: Combat Veterans War
Accuracy Verified: Yes
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. 平岡 篤武 [Hiraoka Atsutake]. (2006年5月). 加害的性逸脱行動を行った男児(被害者)にEMDRを導入した心理ケア (特集 〔日本子ども虐待防止学会〕第11回学術集会(北海道大会)) [Perpetrators were male gender deviant behavior (victim) was introduced to the psychological care EMDR (Special Child Abuse Prevention Association of Japan] [11th Annual Meeting (Conference Hokkaido))]. 児童虐待とネグレクト、8(1)、29から38 [Child Abuse and Neglect, 8(1), 29-38].
Language: Japanese
Format: Journal
Keywords: Male Gender Deviant Behavior Perpetrators
Accuracy Verified: Yes
7. 大河原美以 [Mii Ogawara]. (2008年6月). 子どもの心理治療にEMDRを利用することの意味―感情制御の発達不全と親子のコミュニケーション―大河原美以 [Clinical meaning of EMDR for psychological treatment of children: Failure of development in emotional control and parent-child communication]. こころのりんしょう 第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 293-298] .
Language: Japanese
Format: Journal
Keywords: Children Emotional Control Failure to Develop Parent-Child Communication
Accuracy Verified: Yes
8. 海野千畝子 ウンノ チホコ [Unno Chihoko]. (2008年6月). 子ども虐待へのEMDRによる治療1―子どもへの治療― 海野千畝子 [Therapies for child abuse 1: For children]. こころのりんしょう 第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 285-287] .
Language: Japanese
Format: Journal
Keywords: Child Abuse Children
Accuracy Verified: Yes
9. 杉山 登志郎 [Sugiyama Toshiro]. (2008年6月). 子ども虐待へのEMDRによる治療2―親への治療―杉山登志郎 [Therapies for child abuse 2: For parents]. こころのりんしょう 第27巻02号 [Clinical Psychology: Various Aspects, 27(2), 289-292] .
Language: Japanese
Format: Journal
Keywords: Child Abuse Parents
Accuracy Verified: Yes
10. Hofmann, A. (2008年10月). 心理创伤治疗的新发展及作为新疗法的EMDR(眼动脱敏再加工疗法) [New developments in the treatment of psychological trauma and EMDR as a new treatment method]. 第五届世界心理治疗大会论文 [Presentation at the 5th World Congress for Psychotherapy, Beijing, China].
Language: English
Format: Conference
Abstract:
EMDR(眼动脱敏再加工疗法)就是其中一种新兴的治疗方法。该方法是加利福尼亚的研究者弗朗辛•夏皮罗博士于1987年至1990年间发展出来的,即当病人面临其创伤记忆时,使用诸如眼动的双侧刺激。控制组研究表明,EMDR是治疗创伤障碍的最为行之有效的方法之一,而...
EMDR is one of the new treatments. This approach was developed by a California researcher Dr. Francine Shapiro between 1987 and 1990, i.e. when a patient is in the processing of the trauma memories, bilateral stimulation is used, such as eye movements. A control study indicates that EMDR is one of the most effective treatments of PTSD, but…
Keywords: Advances Trauma Treatment
Accuracy Verified: Yes
11. 有村達之, 高瀬元治, 早川洋, 久保千春 [Arimura Tatsuyuki, Takase Motoharu, Hayakawa Hiroshi, and Kubo Chiharu ]. (2000年6月). 心理的外傷体験にEMDRを用いて改善した二例(パニック) [Two improved cases with EMDR for psychological trauma experience]. 心身医学:日本誌、40(サプリメント)、144 [Japanese Journal of Psychosomatic Medicine, 40(Supplement), 144].
Language: Japanese
Format: Journal
Keywords: Case Study Panic
Accuracy Verified: Yes
12. 市井雅哉 [Ichii Masaya]. (1994). 心的外傷後ストレス障害(PTSD)の治療:行動療法、認知行動療法と眼球運動desensitizationと再処理(EMDR) [Therapies of posttraumatic stress disorder (PTSD): Behavior therapy, cognitive-behavior therapy and eye movement desensitization and reprocessing (EMDR)]. 成虫(5)8、110から123 [Imago, (5)8, 110-123].
Language: Japanese
Format: Journal
Keywords: Behavior Therapy Cognitive Behavior Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
13. 陈维樑, 吴薇莉 [Chen Wei-Liang & Li Wu-Wei]. 2010年 第05期). 我所认识的EMDR陈维樑 [I know EMDR]. 西華大學學報(哲學社會科學版) 29卷5期 [West China University (Social Science Edition, 29(5))]. doi:cnki:sun:cdsf.0.2010-05-002 .
Language: Chinese
Format: Journal
Abstract:
EMDR是一种对治疗PTSD和其他创伤经历的心理治疗方法,这种方法的有效性得到了大量实证研究的支持。本文讨论了一些人们常问及的关于EMDR的基本问题,同时引用了一些案例和相关研究来帮助人们更好地理解和学习EMDR。
EMDR is the treatment of PTSD and other psychological treatment of traumatic experiences, the effectiveness of this approach are a lot of empirical research support. This article discusses some of the people often asked basic questions about EMDR, but cited a number of cases and related research to help people better understand and learn EMDR.
Keywords: Adaptive Information Processing Efficacy Studies Information Processing of Adaptability Study of Curative Effect
Accuracy Verified: Yes
14. マギーフィリップス(田中究、穂積由里子、浅田雅子(翻訳) [Maggie Phillips (Tanaka Kiwamu, Hozumi Yuriko, Asada Masako (translators)] (2002). 最新心理療法―EMDR・催眠・イメージ法・TFTの臨床例 [単行本] [Finding the energy to heal: How EMDR, hypnosis, TFT, imagery, and body-focused therapy can help resolve health problems]. 東京:春秋社。 392 pp [Tōkyō: Shunjūsha. 392 pp.].
Language: Japanese
Format: Book
Abstract:
マギー・フィリップス著 ; 田中究監訳 ; 浅田仁子,穂積由 最新心理療法: EMDR・催眠・イメージ法・TFTの臨床例 Saishin shinri ryōhō: Īemudīāru saimin imējihō tīefutī no rinshōrei 春秋社
A groundbreaking book that applies the principles of energy psychology and medicine to mind/body healing. Eastern healing focuses on correcting imbalance so that qi (life force energy) can flow freely again. This book proposes that various therapies can similarly address energies in mind/body systems and restore health. These tools can open inner, healing pathways that have been frozen by stress, trauma, and unresolved developmental issues.
Keywords: Body-Focused Therapy Hypnosis Imagery TFT Thought Field Therapy
Accuracy Verified: Yes
15. Qian Ge (2009). 汶川震后心理危机的早期干预:文献综述与评价 [Early mental crisis intervention to post-disaster in Wenchuan Earthquake: Literature review and evaluation]. 兰州学刊 2009年 第03期 [Lanzhou Academic Journal, 3].
Language: Chinese
Format: Journal
Abstract:
四)眼动脱敏再加工技术(Eye Movement Desensitizationand Reprocessing,EMDR)EMDR是一种可以在短短数次晤谈之后,便可在不用药物的情形下,有效减轻心理创伤程度及重建希望和信心的治疗方法。其治疗程序包括了八个阶段,具体见表4:表4眼动脱敏再加工技
(Fourthly, EMDR is a treatment which can effectively alleviate the psychological trauma and rebuild hope and confidence after a short period of time for treatment without medication. The treatment procedure includes eight stages, which are shown in details in the table.)
Keywords: Crisis Intervention Literature Review: Wenchuan Earthquake
Accuracy Verified: Yes
16. 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
17. 周宁 刘将 [Zhou Ning & Liu Jiang] (2009). 眼动脱敏与再建治疗的回顾与展望 [Retrospect and prospect of EMDR]. 中国医疗前沿 2009年 第07期.
Language: Chinese
Format: Journal
Abstract:
相比其他传统心理疗法,EMDR疗法有着巨大的优势,如治疗时间短、可操作性强,费用低廉等。与此同时,也存在着一些对EMDR治疗待批评性的观点,如:有些学者指出EMDR的眼动效应似乎过于表面化,因此质疑其疗效的稳定性。有人指出EMDR仅是目前比较成熟的...
(Compared to other traditional psychological treatment, EMDR has many advantages, such as it only requires a short period of time for treatment, it is easy to operate, its cost is low, etc. At the same time, there are some criticisms against EMDR. For example, some researchers pointed that the effect of the eye movement of EMDR seems to be too shallow, thus they questioned the stability of its treatment effect. Some people said that EMDR…)
Accuracy Verified: Yes
18. 陳致豪 [Chen Chih-Hao]. (2004). 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 [The efficacy of eye movement and positive cognition components of EMDR in the treatment of cockroach phobia]. 國立台灣大學心理學研究所 [National Taiwan University Graduate Institute of Psychology].
Language: Chinese
Format: Dissertation/Thesis
Abstract:
陳致豪 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效
眼動減敏訊息再處理法(Eye Movement Desensitization and Reprocessing; EMDR)是Shapiro(1989a, 1989b)所發展的一套治療方法,最早被用來治療創傷後壓力疾患(post traumatic stress disorder; PTSD,後來也被認為對其他心理疾患具有療效。雖然Shapiro認為眼動程序可以加速訊息處理並降低個案的焦慮與困擾,不同治療變項的療效仍待由控制性研究法進一步釐清。本研究以部分減除(dismantling)的方式,運用實驗法來探討「眼動」與「正向認知」對懼蟑症治療效果的影響。藉2(有眼動、無眼動)× 2(正向認知、減敏延長)受試者間設計,探討單一治療次對懼蟑症者的治療效果。受試者為自大樣本篩選出的40名懼怕蟑螂的大學女生。研究結果顯示治療程序的主要效果顯著,四組的療效相當。在治療階段中,受試者主觀害怕程度、對負向認知之相信程度皆呈顯著的線性下降;對正向認知之相信程度則僅眼動組呈顯著線性上升。雖然生理指標(心跳速率)在前測時顯著較基線時高,而在後測時回復至接近基線水準,但就微觀歷程分析,治療階段中各組之心跳速率變化為,在第一階段內逐漸上升,階段間休息時心跳速率略為降低,在第二階段開始又逐漸上升。本研究結果亦顯示,就微觀的治療歷程(micro process)而言,在正向認知的治療情境中,僅眼動組的受試者對正向認知之相信程度逐漸提高。在治療效果上,雖曝露法(exposure)本身便具有療效;但眼動能夠進一步促進受試者第二階段中正向認知的相信程度(可能藉由促進訊息處理)。就巨觀的療效指標而言,雖然單一治療次在各組皆有顯著的療效,但是正向認知對療效的影響無組別差異,該療效指標可能需要較多的治療次始能反映出來。本研究亦就研究結果所顯示的意義與未來的研究方向提出討論
Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b) was initially used to treat post-traumatic stress disorder (PTSD) and later has been thought to be effective in treating other psychological disorders also. Shapiro suggested that eye movement procedure could accelerate information processing and further reduced the client’s anxiety and disturbance. However, psychotherapy evaluation regarding crucial therapeutic parameters awaits elucidation. This dismantling study was to investigate the therapeutic effects of eye movement and positive cognition on phobias. Specifically, via a 2×2 between subject design, with “eye movement/non eye movement” and “treatment process” being two independent variables, a total of 40 female university students with fear of cockroaches were screened and recruited from introductory psychology class to explore the treatment effect of those two components. The results showed that, according to macro therapeutic indices, the effect of therapy was significant, and was not significantly different among groups. As to micro treatment process, while the participants’ SUDs decreased linearly, and so did the negative cognition VOCs, the positive cognition VOCs increased linearly only for the eye movement condition. In addition, while for macro index, the physical index, heart rate, was significantly higher at pre-test than at baseline and returned to baseline at post-test, the process measures indicated that heart rate increased during the first treatment stage, returned during rest period, and increased again during the second treatment stage. According to the micro process, the results also suggested that when presented with positive cognition participants’ VOCs of positive cognitions increased only for the eye movement condition. As to the therapeutic effects, although exposure by itself might be effective, eye movement could further promote participants’ VOCs of positive cognitions at the second treatment stage, probably by facilitating information processing. Nonetheless, regarding macro therapeutic index, there were equal therapeutic effects across groups within one-session therapy, and the superiority of positive cognition installation remained obscure, which implied that to become obvious more sessions might be called for. The implications of the present results and further research possibilities are postulated.
Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy
Accuracy Verified: Yes
19. 陳致豪 張素凰 [Chen Zhi-Hao, & Chang Sue-Hwang]. (2004年9月). 眼動減敏訊息再處理法中「眼動」與「正向認知」成分對於懼蟑症之療效 國立台灣 [The efficacy of eye movement and positive cognition components of EMDR in the treatment of cockroach phobias]. 紙發表於第43屆年會台灣心理學會會議上, 研討會焦慮症:心理素質,調解員和治療問題。 政治大學,台北,台灣 [Presentation at the 43rd Annual Conferences on Taiwan Psychological Association, Symposium on Anxiety Disorders: Diatheses, Mediators and Therapeutic Implications. Chengchi University, Taipei, Taiwan].
Language: Chinese
Format: Conference
Abstract:
眼動減敏訊息再處理法(Eye Movement Desensitization and Reprocessing; EMDR)
是Shapiro(1989a, 1989b)所發展的一套治療方法,最早被用來治療創傷後壓力
疾患(post traumatic stress disorder; PTSD,後來也被認為對其他心理疾患具有療
效。雖然Shapiro 認為眼動程序可以加速訊息處理並降低個案的焦慮與困擾,不
同治療變項的療效仍待由控制性研究法進一步釐清。本研究以部分減除
(dismantling)的方式,運用實驗法來探討「眼動」與「正向認知」對懼蟑症治
療效果的影響。藉2(有眼動、無眼動)× 2(正向認知、減敏延長)受試者間設
計,探討單一治療次對懼蟑症者的治療效果。受試者為自大樣本篩選出的40 名
懼怕蟑螂的大學女生。研究結果顯示治療程序的主要效果顯著,四組的療效相當。
在治療階段中,受試者主觀害怕程度、對負向認知之相信程度皆呈顯著的線性下
降;對正向認知之相信程度則僅眼動組呈顯著線性上升。雖然生理指標(心跳速
率)在前測時顯著較基線時高,而在後測時回復至接近基線水準,但就微觀歷程
分析,治療階段中各組之心跳速率變化為,在第一階段內逐漸上升,階段間休息
時心跳速率略為降低,在第二階段開始又逐漸上升。本研究結果亦顯示,就微觀
的治療歷程(micro process)而言,在正向認知的治療情境中,僅眼動組的受試
者對正向認知之相信程度逐漸提高。在治療效果上,雖曝露法(exposure)本身
便具有療效;但眼動能夠進一步促進受試者第二階段中正向認知的相信程度(可
能藉由促進訊息處理)。就巨觀的療效指標而言,雖然單一治療次在各組皆有顯
著的療效,但是正向認知對療效的影響無組別差異,該療效指標可能需要較多的
治療次始能反映出來。本研究亦就研究結果所顯示的意義與未來的研究方向提出 討論。
[Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989a, 1989b)
was initially used to treat post-traumatic stress disorder (PTSD) and later has been
thought to be effective in treating other psychological disorders also. Shapiro
suggested that eye movement procedure could accelerate information processing and
further reduced the client’s anxiety and disturbance. However, psychotherapy
evaluation regarding crucial therapeutic parameters awaits elucidation. This
dismantling study was to investigate the therapeutic effects of eye movement and
positive cognition on phobias. Specifically, via a 2×2 between subject design, with
“eye movement/non eye movement” and “treatment process” being two independent
variables, a total of 40 female university students with fear of cockroaches were
screened and recruited from introductory psychology class to explore the treatment
effect of those two components. The results showed that, according to macro
therapeutic indices, the effect of therapy was significant, and was not significantly
different among groups. As to micro treatment process, while the participants’ SUDs
decreased linearly, and so did the negative cognition VOCs, the positive cognition
VOCs increased linearly only for the eye movement condition. In addition, while for
macro index, the physical index, heart rate, was significantly higher at pre-test than at
baseline and returned to baseline at post-test, the process measures indicated that heart
rate increased during the first treatment stage, returned during rest period, and
increased again during the second treatment stage. According to the micro process,
the results also suggested that when presented with positive cognition participants’
VOCs of positive cognitions increased only for the eye movement condition. As to the
therapeutic effects, although exposure by itself might be effective, eye movement
could further promote participants’ VOCs of positive cognitions at the second
treatment stage, probably by facilitating information processing. Nonetheless, regarding macro therapeutic index, there were equal therapeutic effects across groups
within one-session therapy, and the superiority of positive cognition installation
remained obscure, which implied that to become obvious more sessions might be
called for. The implications of the present results and further research possibilities are
postulated.]
Keywords: Cockroach Phobia Eye Movement Phobia Positive Cognition Psychotherapy Symposium
Accuracy Verified: Yes
20. 小川 栄一 , 橋元 佑美 , 岩本 崇志 , 矢守 誉史 , 岸本 真希子 , 福本 拓治 , 和田 健 , 志和 資朗 , 佐々木 高伸 [Eiichi Ogawa, Hiromi Hashimoto, Takashi Iwamoto, Takafumi Yamori, Makiko Kishimoto, Takuzi Fukumoto, Ken Wada, Shiro Shiwa, and Takanobu Sasaki]. (2009年2月). 眼球運動による脱感作と再処理法(EMDR)を用いた心理的介入の実際(シンポジウム,第31回日本心身医学会中国・四国地方会演題抄録) [Eye movement desentization and reprocessing (EMDR) practice of using psychological interventions (Symposium, Western Regional Meeting Abstracts Abstracts 31th Japanese Society of Psychosomatic Medicine)]. 心身医学:日本誌、49(2)、172 [Japanese Journal of Psychosomatic Medicine, 49(2), 172].
Language: Japanese
Format: Journal
Keywords: Practice Symposium Theory
Accuracy Verified: Yes
21. スペイツ C.リチャード コッチ エレン I. [Spates, C. R., and Koch, E. I.] (2003). 眼球運動脱感作と再処理(Reprocessing)から表出(Exposure)セラピーまで : 共通するメカニズムへの証拠に対する再考と概観 [From eye movement desensitization and reprocessing to exposure therapy: A review of the evidence for shared mechanisms]. 行动分析学研究18(2)、62から76 [Japanese Journal of Behavior Analysis, 18(2), 62-76].
Language: Japanese
Format: Journal
Abstract:
心的外傷後ストレス障害は、(心的外傷後ストレス障害)のすべての文化と生涯を通じて人々に影響を与える条件である。診断実践心的外傷後ストレス障害の導入以来、多くの研究は、疫学、病態生理、心理的、生理的メカニズムだけでなく、その治療に対処しています。障害の行動製剤は、分野の研究をリードの間に浸透して、効果的な治療につながるなど、暴露療法するヒューリスティックを証明されています。眼球運動脱感作は、サービス(EMD/ R)の再処理は、この定式化から出発すると主張している最近開発された介入は、その有効性の実証的な支持を受けています。本記事では、眼球運動脱感作と再処理の行動策定を支持する証拠をレビューし、それが暴露療法と行動の一般的なメカニズムを共有していることを示唆している。以上の研究関心は心的外傷後ストレス障害より寛容と、クライアントと実務に受け入れられるのレンダリング露出ベースの治療法の検討方法に与えられるべきである。
Posttraumatic stress disorder (PTSD) is a condition that affects people in all cultures and throughout the lifespan. Since the introduction of posttraumatic stress disorder into diagnostic practice, a great deal of research has addressed its epidemiology, pathophysiology, and psychological and physiological mechanisms, as well as its treatment. A behavioral formulation of the disorder has prevailed among leading researchers in the field, and has proved heuristic in leading to efficacious treatments, e.g., exposure therapy. Eye movement desensitization and reprocessing (EMD/R), a recently developed intervention that claims to be a departure from this formulation, has received empirical support for its efficacy. The present article reviews the evidence supporting a behavioral formulation of eye movement desensitization and reprocessing, and suggests that it shares common mechanisms of action with exposure therapy. Greater research attention should be given to examining ways of rendering exposure-based therapies for posttraumatic stress disorder more tolerant and acceptable to clients and practitioners. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Exposure Therapy Literature Review Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
22. 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
23. Lanius, U. (2005, April). 'Dissociative processes' and EMDR - Staying connected. Presentation at 3rd Annual Conference of the EMDR Association of UK and Ireland, Jordanstown, Northern Ireland .
Language: English
Format: Conference
Abstract: D
issociative processes, common in a wide variety of psychological disorders (e.g., PTSD, Anxiety Disorders, Personality Disorders, Dissociative Disorders, etc.) can interfere with effective EMDR treatment. The information processing system gets overwhelmed and shuts down, thereby barring the integration and resolution of traumatic experience. The workshop presents a model, based on recent developments in neuroscience and the neurobiology of dissociation, that guides therapeutic interventions in general and EMDR treatment in particular. Treatment planning, target selection, the use of both body-oriented (bottom-up processing) versus cognitive and ego-state (top-down processing), and other interventions are discussed. Participants will become familiar with specific interventions designed to minimize dissociative symptoms, as well as techniques that aid clients in becoming reconnected once dissociative processes have occurred. A comprehensive therapeutic approach is described that aids clients with dissociative symptoms to stay connected and thereby enhance the likelihood of efficient information processing during EMDR treatment.
Keywords: Dissociation Dissociative Disorders
Accuracy Verified: Yes
24. Wilson, S., Becker, L., & Tinker, R. H. (1995, June). 15-Month follow up of EMDR treatment for traumatic memory. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
We previously reported on the outcomes of a controlled study of eye movement desensitization and reprocessing (EMDR)
effectiveness in the treatment of traumatic memory (Wilson, Tinker, & Becker, 1994; Wilson, Becker, & tinker, in press). In that
study we found that three, 90-minute sessions of EMDR (Shapiro, 1995) "normalized the psychological functioning of the previously
traumatized participants (g = 80) on all dependent measures. The present study is a 15-month follow up of those participants.
I Method:
The research design is shown in Table 1. Participants were randomly assigned to EMDR or to Delayed EMDR conditions.
Pretreatment measurement occurred at measurement time TI. Participants in the EMDR condition received EMDR between T1 and
T2; those in the Delayed EMDR condition received EMDR between T2 and T3. All participants were tested immediately following
treatment and at 3 months following treatment (at T4). The 15 month, long-term follow up occurred at measurement time T5. An
independent assessor collected all of the following dependent measures: Subjective Units of Disturbance Scale (SUDS; Wolpe,
1990), Impact of Events Scale (IES; Hmowitz, Wilner, & Alvarez, 1979), State/Trait Anxiety Inventory (STAI; Spielberger,
Gorsuch, Lushene, Vagg, & Jacobs, 1983), and the Symptom Checklist (SCL-90-R, Derogatis, 1992).
[Table 1. The Research Design,
Treatment Condition, Measurement Time:
T1 T2 T3 T4 T5;
EMDR Treatment: 01 x 02 03 04;
Delayed EMDR Treatment 01 02 x 03 04 05;
Note: T = Time of measurement; 0 = Observation; X = Treatment administered.]
II. Results:
Two analyses were performed to assess the impact of EMDR treatment at the 15-month follow up. First, in order to assess the
overall, long-term impact of EMDR, the 15-month follow-up scores were compared with the pretreatment scores. There was
significant improvement on all nine measures at the 15-month follow up: The multivariate effect was significant (Wilk's Lambda =.11, p<.0005) as were all nine of the univariate effects (all p <.0005). Second, in order to assess whether the improvement shown
immediately following EMDR treatment had been maintained over the following year the immediate posttreatment scores were
compared with, the 15-month follow-up scores. The multivariate test was nonsignificant (Wilk's lambda=.74, p=.079), indicating
the improvement shown immediately following EMDR was maintained 15 months later. The univariate analyses indicated
additional improvement for the PTSD symptoms of intrusions (IES Intrusion: F(1,56)=7.71, p=307) and avoidance (IES
avoidance: F_(1,56) -4.44, p=.040). None of the nine measures showed deterioration at the 15-month follow up. Prior to EMDR
treatment 45% (g= 9) of the responders had been diagnosed as PTSD, at the 15-month follow up only 7% (g = 4) were diagnosed
as PTSD (chi-squareo, N=61)= .72, p < .05).
III. Responders Versus Nonresponders at the 15-Month Follow up.:
At the time of writing this abstract, 75% of the participants (g=61) have responded to the 15-month follow up. In general,
measures taken prior to treatment did not differentiate responders fiom nonresponders. Responding at the 15-month follow up was
unrelated to age, gender, marital status or years of education, although the annual income of the responders (Mdn=21,500) was
higher than that of the nonresponders (Mdn = 14,750, Mann-Whitney U=372.5, p=.017). Responding or not at 15 months was
unrelated to the type of trauma experienced, whether or not the participants had been in therapy prior to EMDR treatment, or how
long ago the trauma had occurred. It was also unrelated to the severity of the trauma as measured by the pretreatment scores on the
nine dependent variables and to whether or not the participant met the PTSD diagnosis criteria prior to treatment.
A multiple regression analysis used the immediate posttreatment and 90-day posttreatment scores to predict whether or not the
participant responded at the 15-month follow up. Nonrespondents were more likely to be depressed at 90-days following treatment
than were respondents (R square=.O8, B=-.16, Beta = -.28, F_L1,71)=5.99, p=.017). No other variables entered into the
regression model. IV Discussiona and Conclusion, Tretement effects found immediately following EMDR treatment wer maintained or improved 15 months later and thee was a significant decrease in the number of participants diagnosed as PTSD at the 15 month follow up. The comparison of responders to nonresponders at the 15 month follow up showed that the nonresponders were more depressed than the responders, raising the possiblity that the present results may be favorably biased to some extent. The discussion will include the additional, subjective impressions of participants who did not respond to the follow up. Limitations of EMDR with this population will be discussed, including the influence of comorbidity, multiple traumas, retraumatization after treatment, and spontaneous recurrence of symptoms. V. References: 1) Derogatis, L. R. (1992). SCL-90: Administration Scoring and Procedures Manual II. Baltimore: Clinical Psychometric Research. 2) Horowitz, M. J., Wilmer, N. & Alverez, W. (1979). Impact of Event Scale: A Measure of Subjective Distress. Psychosomatic Medicine, 41, 209-218. 3) Shapiro, F. (1995), Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols, and Procedures. 4) Speilberger, C. D., Gorsuch, R. L., Lushene, R. D., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory, Palo Alto: Consulting Psychologists Press. 5) Wilson, S. A., Tinker, R. A., & Becker, L. A. (1994, November). Efficacy of Eye Movement Desensitization and Reprocessing (EMDR)Treatment for Trauma Victims. Paper presented at the Annual Meeting of the International Society for Traumatic Stress Studies, Chicago, IL. 6) Wilson, S. A., Becker, L. A., & Tinker, R. A. (In press), EMDR, treatment for psychologically traumatized individuals, Journal of Consulting and Clinical Psychology.
Keywords: Follow-up Traumatic Memory
Accuracy Verified: Yes
25. 小川 栄一 , 橋元 佑美 , 和田 健 , 日域 広昭 , 波田 紫 , 佐々木 高伸 , 志和 資朗 [Eiichi Ogawa, Hiromi Hashimoto, Ken Wada, Hiroaki Hiiki, Murasaki Hada, Takanobu Sasaki, and Shiro Shiwa]. (2009年9月). 22.EMDR(眼球運動による脱感作と再処理法)の実施が心理生理反応に及ぼす影響(第28回 日本心身医学会中国・四国地方会演題抄録,地方会抄録,学会報告) [22. EMDR (treatment of eye movement desensitization and re-) effect of the implementation of psychological physiological responses (Abstract Title: The 28th Chugoku-Shikoku Regional Meeting of the Japanese Society of Psychosomatic Medicine)]. 心身医学、46の日本誌(9)、836〜837 [Japanese Journal of Psychosomatic Medicine, 46(9), 836-837].
Language: Japanese
Format: Journal
Keywords: Physiological Responses
Accuracy Verified: Yes
26. Watkins, J. G., & Paulsen, S. L. (2004, March). Abreactions in EMDR and hypnoanalytic therapies. Presentation at the American Society for Clinical Hypnosis, Chicago, IL.
Language: English
Format: Conference
Keywords: Abreactions Hypnoanalytic Techniques
Accuracy Verified: Yes
27. Tarrier, N., Liversidge, T., & Gregg, L. (2006, November). The acceptability and preference for the psychological treatment for PTSD. Behaviour Research and Therapy, 44(11), 1643-1656. doi:10.1016/j.brat.2005.11.012.
Language: English
Format: Journal
Abstract:
The acceptability and preference of psychological treatments is important in understanding patient treatment seeking, choice, engagement and attrition and possibly treatment response in health care. The acceptability of, and preference for, 14 different types of psychological treatment for PTSD were investigated in a student population through invitation to participate in a web-based survey. Respondents were asked to rate each treatment on 10 scales and to rank the treatments in order of preference. Respondents were also asked whether they would seek treatment themselves, recommend treatment to friends and family, feel stigmatised by suffering from PTSD, had any prior knowledge of the treatments and if this had been positive or negative, and whether they had a history of psychological problems or treatment. A total of 330 respondents completed the survey. A past or current history of psychological problems and treatment was surprisingly high. Almost all respondents indicated that they would seek or recommend treatment in spite of high levels of stigmatisation. Factor analysis of the 10 scales indicated two factors: Endorsement and Discomfort. Rank ordering on preference and Endorsement scores was highly consistent. The highly preferred and endorsed treatments involved cognitive therapy, exposure, or psycho-education in spite of high levels of discomfort anticipated with exposure. Treatments involving new technologies, EMDR, and psychodynamic psychotherapy received the lowest Endorsement and preference. There was a modest influence of prior knowledge of a treatment. [Author Abstract]
Keywords: Cognitive-Behaviour Therapy Cognitive Therapy Exposure Therapy College Students Computer Assisted Psychotherapy Empirical Study Family Therapy Group Psychotherapy Posttraumatic Stress Disorder Preference Psychoanalytic Psychotherapy Psychological Treatment Psychotherapeutic Processes PTSD Quantitative Study Relaxation Therapy Treatment Acceptability Virtual Reality Exposure Web-Based Survey
Accuracy Verified: Yes
28. Barreda-Hanson, C. (2012, Septiember). Adaptación del EMDR y terapia breve centrada en el cliente para cambiar percepciones negativas y traumaticas [EMDR adaption of brief client-centered therapy to change negative and traumatic perceptions]. Presentación en la 70 Conferencia Anual del International Council of Psychologist(ICP), Sevilla, España.
Language: Spanish
Format: Conference
Abstract:
El estrés subsiguiente después de un traumatismo, representa un trastorno disfuncional – tanto interno como externo – que se manifiesta en alteraciones en el reconocimiento cognitivo y en los comportamientos, llevando además asociados síntomas somáticos, afloramiento de problemas inconscientes y ansiedades. Pues una de las características del estrés post-traumático, es precisamente la pérdida de equilibrio entre el mundo interno y externo de quien lo sufre. Por eso, ante la complejidad de las respuestas post-traumáticas, éstas se pueden catalogar en gran medida dentro de las perturbaciones psicopatológicas.
El estrés psicológico surge por una situación estresante “real”, externa, tangible y la reacción ante esta difícil experiencia, evoca un conjunto bastante universal y coherente de síntomas y respuestas que provocan reacciones primitivas relacionadas con temores inconscientes ante las amenazas a la vida, que hacen aflorar incipientemente fantasías e impulsos abrumadores. Los resultados son los pensamientos disfuncionales que conducen a las respuestas y a los comportamientos desadaptativos.
Objetivos: el taller está diseñado para proporcionar a estudiantes y profesionales de la Psicología – que trabajan o desean trabajar en esta área del trauma y el cambio de comportamientos -, la habilidad para utilizar eficaz y rápidamente intervenciones breves, que puedan poner en practicar incluso en casa. En el taller se estudiará la forma inicial de evaluar, tanto al trauma como a la clientela. Se trabajará la historia del trauma y se profundizará en sus consecuencias y en cómo diseñar las intervenciones breves para hacerles frente. También se centrará en averiguar qué cambios quieren los y las clientes a través de relatos y visualizaciones, utilizando una adaptación de las terapias EMDR y la Solución Enfocada tanto a crear el cambio deseado, como a mantenerlo.
En consecuencia el taller es de particular interés para quienes trabajan con personas que han sufrido cualquier tipo de trauma, o quienes perciben acontecimientos de la vida, experiencias, etc. que les afectan de forma negativa en su día a día. También es útil para las personas que sufren de TOC, sobre todo trastornos del pensamiento.
Los aspectos más útiles de las dos técnicas que se han adaptado junto con otras innovaciones de la autora, guardan relación con la creación de un ambiente seguro, no-traumático, que actúa rápidamente y que además, se puede realizar en casa sin peligro de consecuencias negativas.
Objetivos específicos:
1. Ser capaz de describir e identificar las manifestaciones del trauma.
2. Aprender y describir dos técnicas terapéuticas breves en el tratamiento del trauma
3. Definir una técnica breve terapéutica que puede ser utilizada para fomentar el cambio
4. Destacar el rol del o de la terapeuta durante el tratamiento de los traumatismos
5. Ser capaz de describir, diseñar y establecer metas de la terapia y promover cambios mediante el uso de técnicas de terapia breve.
Métodos: la Desensibilización y Reprocesamiento por Movimientos Oculares (EMDR), es un método complejo e integrador de la psicoterapia individual, mediante el que se guía al cliente utilizando un procedimiento para acceder a sus experiencias y resolver sus problemas conductuales y emocionales. El EMDR utiliza elementos de múltiples orientaciones psicoterapéuticas tanto psicodinámicas, como cognitivo- conductuales, enfoques centrados en el cliente, gestalt y bioenergéticos.
La premisa subyacente de EMDR es que las experiencias de pánico y ansiedad se procesan de forma diferente por el cerebro que las experiencias habituales. La teoría subyacente es que durante el estrés, la memoria grava en una parte del cerebro responsable de las emociones de modulación (la amígdala) y se cierra temporalmente otra parte del cerebro (el hipocampo), responsable de procesamiento de la memoria normal. La experiencia traumática queda atrapada en el exterior y potencialmente no forma parte del procesamiento normal del cerebro, y el EMDR permite a la persona acceder a la experiencia y transformarla en memoria declarativa en el hipocampo. Con el método EMDR, el hipocampo se puede abrir a las emociones evocadas por la experiencia para que el/la cliente pueda soportarlas mientras se realiza el tratamiento. La distracción y la atención a la estimulación bilateral, desempeñan un importante papel que ayuda al cliente a experimentar las emociones como tolerables. Aunque cómo la distracción bilateral en concreto, facilita el procesamiento de las experiencias dolorosas, sea algo que todavía no se termina de entender.
Por otra parte, las Intervenciones Breves de Terapias enfocadas al Cliente se centran en las excepciones del problema, pensando que a continuación se desarrollará un cambio natural en el comportamiento. Es una especie de visión orientada no en las formas tradicionales, sino hacia el futuro, sin profundizar demasiado en la “patología” sino más bien centrándose en lo que el sistema puede hacer para adaptarse a ella, puesto que ambos pueden decidir si esa “patología” es un problema o no lo es.
Las Intervenciones de Terapia Breve enfocadas al Cliente se utilizan para resolver una variedad de problemas de comportamientos y actitudes, mediante el uso de los propios recursos de los y las clientes y las observaciones de las estrategias que utilizan para alcanzar los resultados deseados, en sus situaciones vitales habituales. Se trata de una buena técnica para establecer y mantener un contexto de cambio en el que los pequeños, pero útiles cambios, se anticipan y se buscan.
En definitiva, la combinación de ambas técnicas con algunas variaciones desarrolladas por la Dra. Barreda-Hanson, han demostrado ser una herramienta poderosa para mejorar la respuesta al tratamiento en un período de tiempo más corto, teniendo también la ventaja de permitir practicar los ejercicios en casa.
Aplicaciones: la aplicación habitual del EMDR ha sido el tratamiento de trastornos emocionales relacionados con eventos muy perturbadores o traumáticos. Pero también se usa para trabajar síntomas preocupantes como la ansiedad, la depresión, la culpa y la ira. E igualmente, se puede utilizar para mejorar recursos emocionales tales como la confianza y la autoestima.
Procedimientos:
- El taller se impartirá en español y el alumnado recibirá amplios folletos complementarios.
- Se realizará en una única jornada, en sesión de mañana para teoría y de tarde para prácticas, trabajando cada modelo por separado.
- Se espera que quienes asistan lleven una cuestión-problema sobre la que trabajar utilizando las diversas técnicas, pues aunque se utilizarán múltiples ej. de casos reales, se alentará a quienes participen a traer sus propias experiencias e ideas para debatir y trabajar sobre ellas.
The subsequent stress after trauma represents a dysfunctional disorder - internal and external - that is manifested in alterations in cognitive recognition and behavior, besides being associated somatic symptoms outcrop unconscious problems and anxieties. As one of the characteristics of post-traumatic stress, is the loss of balance between internal and external world of the sufferer. Therefore, given the complexity of post-traumatic responses, they can be categorized largely into psychopathological disturbances.
Psychological stress arises from a stressful situation "real" external, tangible and reaction to this difficult experience, quite evokes a universal and consistent set of symptoms that cause reactions and responses primitive unconscious fears related to threats to life, which bring out fantasies and impulses incipiently overwhelming. The results are the thoughts that lead to dysfunctional responses and maladaptive behaviors.
Objectives: The workshop is designed to provide students and psychology professionals - who work or want to work in this area of trauma and behavior change - the ability to quickly and efficiently use brief interventions, which may put in practice even in house. The workshop will explore how to evaluate initial both trauma as to clients. It will work history of trauma and its consequences will deepen and how design brief interventions to address them. It will also focus on finding out what changes customers want and through stories and views, using an adaptation of EMDR therapy and Solution Focused both to create the desired change, and to keep it.
Thus the workshop is of particular interest to those working with people who have suffered any kind of trauma, or who perceive life events, experiences, etc.. that negatively affect them in their day to day. Also useful for persons suffering from OCD, especially disorders of thought.
The most useful of the two techniques that have adapted along with other innovations of the author, are related to the creation of a safe, non-traumatic, acting quickly and also can be done at home without fear of consequences negative.
Specific objectives:
1. Be able to describe and identify the manifestations of trauma.
2. Learn and describe two brief therapeutic techniques in the treatment of trauma
3. Define a short therapeutic technique that can be used to promote change
4. Outline the role of the therapist or during treatment of injuries
5. Be able to describe, design and establish goals of therapy and promote change through the use of brief therapy techniques.
Methods: Desensitization and Reprocessing Eye Movement (EMDR), is a complex and inclusive method of individual psychotherapy, which is guided by the client using a procedure to access their experiences and address their behavioral and emotional problems. The EMDR uses multiple elements of both psychodynamic psychotherapeutic approaches as cognitive-behavioral, client-centered approaches, gestalt and bioenergy.
The underlying premise of EMDR is that experiences panic and anxiety are processed differently by the brain than normal experiences. The underlying theory is that during stress, gravel memory part of the brain responsible for emotions modulation (amygdala) and temporarily closes another part of the brain (hippocampus), responsible for normal memory processing. The trapped traumatic experience abroad and potentially not part of the normal brain processing, and EMDR allows people access to the experience and transform it into declarative memory in the hippocampus. With EMDR, the hippocampus can be opened to the emotions evoked by the experience that he / the client is able to bear while performing the treatment. Distraction and attention to bilateral stimulation, play an important role to help the client to experience emotions as tolerable. Although bilateral distraction how specifically facilitates the processing of painful experiences, is something that is not yet fully understood.
Moreover, brief interventions focused Customer Therapies focus on the exceptions of the problem, thinking that then will develop a natural change in behavior. It is a kind of non-oriented view on traditional forms, but to the future, without going too deeply into the "pathology" but rather focus on what the system can do to adapt to it, since both can decide whether this "pathology "is a problem or not.
Brief therapy interventions focused Customer are used to solve a variety of problem behaviors and attitudes, using their own resources and comments from customers and the strategies used to achieve the desired results in their situations normal life. This is a good technique to establish and maintain a context of change in that small but useful changes, anticipate and seek.
In short, the combination of both techniques with some variations developed by Dr. Barreda Hanson, have proved a powerful tool for improving the response to therapy in a shorter period of time, having also the advantage of allowing in practice exercises house.
Applications: the routine application of EMDR has been the treatment of emotional disorders associated with very disturbing or traumatic events. But also used to work worrying symptoms such as anxiety, depression, guilt and anger. And also, can be used to enhance emotional resources such as confidence and self-esteem.
Procedures:
- The workshop will be taught in Spanish and students will receive extensive additional brochures.
- Will be held in a single day, in morning session and afternoon theory to practice, working each model separately.
- Who are expected to attend with a question-problem on which to work using various techniques, for example, although multiple use. real cases, those involved are encouraged to bring their own experiences and ideas to discuss and work on them.
Keywords: Brief Therapy
Accuracy Verified: Yes
29. Cotraccia, A. J. (2012). Adaptive information processing and a systemic biopsychosocial model. Journal of EMDR Practice and Research, 6(1), 27-36. doi:10.1891/1933-3196.6.1.27.
Language: English
Format: Journal
Abstract:
Shapiro's (2001) adaptive information processing (AIP) model portrays an innate healing system hypothesized to be composed of neurophysiological mechanisms of action causally related to the resolution of disturbing life experiences. The author expands the model to include psychosocial mechanisms and suggests that a model of a biopsychosocial system can best depict causal properties related to positive outcomes of eye movement desensitization and reprocessing (EMDR). Teleofunctionalist and evolutionary perspectives are applied: the first, to explain the inclusion of the psychological and social features highlighted in the updated model; the second, to support the hypothesis that AIP is a goal of the human attachment system. It is posited that bonding, following a disturbing life experience, facilitates the access of information related to previous states, thus allowing an update of self/world models. These interactions are analogous to psychotherapeutic encounters, with multiple levels of information processing at subpersonal, personal, and interpersonal levels. Analysis of the causal properties of personal and interpersonal levels supports a broader understanding of AIP's scope in conceptualizing psychopathology and informing treatment applications and research.
Keywords: Adaptive Information Processing AIP Biopsychosocial Internal Working Models Teleofunctionalism
Accuracy Verified: Yes
30. Follette, W. C., & Beitz, K. (2003, July). Adding a more rigorous scientific agenda to the empirically supported treatment movement. Behavior Modification, 27(3), 369-386. doi:10.1177/0145445503027003006.
Language: English
Format: Journal
Abstract:
As the empirically supported treatment (EST) effort has expanded, there are efforts to make the
study of ESTs a more integral part of training programs. In its present form, the EST list provides
a poor model of how to evaluate treatment and scientific issues related to our field. This article
offers several suggestions regarding how to establish a more relevant scientific agenda for the
committee’swork if the study of ESTs is to usefully influence training programs. Recommendations
are made to encourage programs and the CSP to study mechanisms of change, important
contextual variables for therapy delivery, the distinction between statistical significance and
clinical meaningfulness, dissemination, cost-effectiveness, and iatrogenic effects. It is argued
that any program that created a curriculum educating students to thoughtfully address these
issues when evaluating therapies would be producing sound clinical scientists regardless of the
quality of the EST list itself.
Keywords: Critique Training Committee on Science and Practice CSP Empirically Supported Treatments EST
Accuracy Verified: Yes
31. Molero-Zafra, M., & Perez-Marin, M. (2011, Julio). Adopcion: Un protocolo basado en EMDR, terapia familiar narrativa y la teoria del apego [Adoption: A protocol based on EMDR, family therapy, narrative and attachment theory]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España .
Language: Spanish
Format: Conference
Abstract:
La adopción es un tema actual, cuyo interés crece progresivamente. Su vigencia
social resulta incuestionable si atendemos al incremento exponencial de niños adoptados
por familias españolas, especialmente en adopciones internacionales. La Ley de Adopción
vigente en España contempla la adopción como un recurso de protección para aquellos
niños/as que no puedan permanecer en su propia familia. Para que se cumpla este objetivo
deben arbitrarse todos los mecanismos necesarios que garanticen al niño una familia capaz
de asegurar las atenciones propias de la función parental (atención, desarrollo y
educación).
Los niños adoptados pueden sufrir trastornos como cualquier otro niño, ahora bien,
sus experiencias de vida anteriores pueden afectar en mayor grado su desarrollo
emocional, social y familiar. Las experiencias vinculares durante la infancia, influyen
significativamente en la capacidad para formar relaciones íntimas y emocionalmente
saludables. Asimismo, para la formación y cambio de actitudes a lo largo de nuestra vida,
van a ser fundamentales nuestros grupo de referencia, siendo la familia uno de los más
importantes (López et al., 1999). La empatía, el afecto, el deseo de compartir, el inhibirse
de agredir, la capacidad de amar y ser amado y un sinnúmero de características de una
persona asertiva, operativa y feliz, están asociadas a las capacidades medulares de apego
formadas en la infancia y niñez temprana (Punset, 2008).
El objetivo de esta comunicación es presentar un protocolo de abordaje psicológico
ante las dificultades que afectan a las familias con problemas de adaptación en casos de
adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos
promover en estas familias una base de apego seguro, mediante el uso de herramientas
terapéuticas de la terapia familiar narrativa y el EMDR. Se presenta el protocolo elaborado
para tal fin y un caso para la comprensión de la aplicación del tratamiento.
Adoption is a current issue, whose interest grows gradually. Its validity
social is unquestionable if we consider the exponential increase of adopted children
Spanish families, especially in international adoptions. The Adoption Act
force in Spain provides for the adoption as a source of protection for those
children / as not to remain in their own family. To fulfill this objective
must be put all the necessary mechanisms to guarantee the child a family able
to secure the attentions of parenting (care, development and
education).
Adopted children may suffer from disorders like any other child, however,
previous life experiences can affect their development to a greater extent
emotional, social and family life. Relational experiences during childhood influence
significantly in the ability to form intimate and emotionally
healthy. Also, for the formation and change of attitudes throughout our lives,
will be essential to our reference group, the family being one of the most
important (Lopez et al., 1999). Empathy, affection, desire to share, the inhibited
of attack, the ability to love and be loved and a host of features of a
assertive person, operational and happy, are associated with the core competencies of attachment
formed in infancy and early childhood (Punset, 2008). The aim of this paper is to present a protocol of psychological approach
to the difficulties affecting families with adjustment problems in cases of
adoption. From the conceptual perspective of attachment theory, we try in these families to promote a secure attachment base through the use of tools therapeutic narrative family therapy and EMDR. We present a protocol developed
for this purpose and a case for understanding the application of the treatment.
Keywords: Adoption Attachment theory Family Therapy Narrative Theory Symposium
Accuracy Verified: Yes
32. Molero-Zafra, M., & Pérez-Marín, M. (2009, June). Adopción: Un protocolo basado en EMDR, terapia familiar narrativa y la tería del apego [Adoption: a protocol base on EMDR, narrativ family therapy and the theory of attachment]. Mosaico, 42, 20-27.
Language: Spanish
Format: Magazine
Abstract:
El objetivo e nuestro articulo es plantear un protocolo de abordaje psicológico ante las dificultades que afectan a las familias con problemas de adaptación en casos de adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos promover en estas familias una base de apego seguro, mediante el uso de herramientas terapéuticas de la terapia famliar narrativa y el EMDR.
The goal and our article is to propose a protocol of psychological approach to the difficulties affecting families with problems of adjustment in cases of adoption. From the conceptual perspective of attachment theory, these families are trying to promote a secure attachment base, through the use of therapeutic tools of traditional family narrative therapy and EMDR.
Keywords: Adoption Attachment Family Narrative Therapy
Accuracy Verified: Yes
33. Vogelmann-Sine, S., Popky, A. J., Lazrove, S., Sine, L., Speare, J., Wade, D., & Wade, T. (1995, June). Advanced clinical applications of EMDR to addictive behaviors. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop addresses the application of standard and modified EMDR treatment protocols to addictive and compulsive
behaviors including substance abuse/dependence, overeating, smoking, love addiction. Individuals with addictive and compulsive
behaviors frequently have suffered from childhood trauma and neglect resulting in developmental arrests, as well as a variety of
maladaptive behaviors which are trauma-related and serve to minimize pain. The successful implementation of EMDR to addictive
behaviors requires that EMDR be used as part of an overall treatment program carefully addressing the needs of individuals who
have been traumatized and are exhibiting addictive behaviors. A thorough diagnostic work up is needed aimed at assessing
comorbidity, dissociation, and a detailed trauma history covering childhood traumas and traumas suffered as adults including
traumas that occur as a consequence of addictive behaviors. Careful client preparation is essential to assist individuals in coping
adequately with the high levels of emotion experienced during EMDR Clients' readiness to stop compulsive/addictive behaviors
needs to be carefully evaluated.
A decision tree aimed at determining the appropriateness of EMDR to individuals diagnosed with addictive behaviors is presented
which assists clinicians in minimizing the premature use of EMDR. EMDR is a client centered method, and thus, careful pacing is
needed with this population to reprocess underlying traumatic issues. This frequently implies utilizing a modified EMDR treatment
protocol with only partial resolutions of underlying traumatic material. Guidelines will be discussed to assist clinicians in selecting
EMDR targets for optional results which relate to the stages of recovery. EMDR can be used at all stages of recovery to neutralize
the negative impact of memories contributing to problematic behaviors, such as urges to use, ambivalence about treatment, fear of
facing painfull feelings from the past. EMDR also has the power to install templates for future actions which assist individuals with
skill deficits in more rapidly acquiring necessary skills for a successful recovery. Examples of cognitive interweaves are presented
which take into consideration clients' readiness, as well as the need to accelerate the recovery process.
EMDR has a unique role in the recovery of traumatized individuals with addictive and compulsive behaviors since the accelerated
processing of negative experiences and the installation of positive adaptive cognitions assist clients in more rapidly overcoming
barriers throughout the recovery process. It also challenges rigid approaches to recovery which frequently stress that trauma work
should not be attempted before abstinence has been accomplished for a specified period of time. EMDR is especially valuable in
processing core issues which center around shame and manifest in cognitions, such as "I am defective," "There is something wrong
with me," "I am not good enough," "I am not quite right," "I don't belong," "I don't deserve to live." Case examples will be given as
to how such core issues can be targeted to accelerate the recovery process.
A.J. Popky has developed a specialized EMDR treatment protocol which targets levels of urges of addictive/compulsive behaviors
directly and installs a positive internal state of feeling empowered without relying on compulsive and addictive behaviors. Case
examples fiom clinical practice indicate that when levels of urges are targeted directly, underlying traumas frequently emerge
without increasing clients' usage. The symposium addresses the application of this protocol to a range of addictive and compulsive
behaviors.
The Wades' integrative psychotherapy combines ego-state therapy and EMDR in a psychosocial developmental context. Their
substance use disorders treatment program incorporates specialized applications of their integrative psychotherapy, which includes
both individual and group therapy and employs hypnosis as well as EMDR Their presentation focuses on applications of the
standard EMDR protocol in individual therapy, which is limited primarily to desensitization of dysphoric affect and reprocessing
negative cognitions associated with grief and trauma.
Their conceptual framework of substance use disorders proceeds from a goal of reducing the harm caused by substance use and a
primary distinction between functional and autonomous use (rather than the DSM conceptualizations of "dependence" or "abuse")
because this guides interventions. Initial treatment planning depends upon external constraints (e.g., lack of support for positive
change, hostile environment), internal limitations (e.g., severity of substance use and its effects, neurocognitive deficits, inadequate
"ego strength," lack of skills, disrupted psychosocial development, psychological trauma) and the nature of the substance use
disorder (i.e., functional, autonomous, or both).
Methods include education about substance use disorders and processes of change, group therapy to develop skills and obtain
feedback and support, individual therapy to correct disrupted development and resolve traumatic stress reactions, and exercises to
apply what is learned in real-life situations. The standard EMDR protocol is applied to disrupted development involving grief and
to resolve psychological trauma that lead to substance use. Case vignettes in which such applications of the standard EMDR
protocol were employed are presented in detail.
Keywords: Addictions Substance Abuse Symposium
Accuracy Verified: Yes
34. Taylor, S. (2004, July). Advances in the treatment of posttraumatic stress disorder: Cognitive-behavioral perspectives.. New York, NY: Springer Publishing Company.
Language: English
Format: Book
Abstract:
Are behavioral and cognitive-behavioral therapies sufficiently broad in their effects on trauma-related psychopathology and related factors? This volume considers many of the complexities in treating PTSD, and emphasizes evidence-based approaches to treatment. A useful resource for clinicians, trainees, as well as investigators doing research into the treatment of PTSD.
Keywords: Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
35. Sack, M. (2006). Aktuelle befunde zu wirkfaktoren der EMDR-behandlung [Recent findings on effective factors of EMDR treatment]. Sack Website.
Language: German
Format: Other
Abstract:
Das EMDR-Behandlungsverfahren (EMDR= eye movement desensitization and
reprocessing) wurde von der amerikanischen Psychologin Francine Shapiro
entwickelt und seit 1989 als manualisiertes Therapieverfahren zur Behandlung von
Patienten mit Posttraumatischen Belastungsstörungen (PTSD) und anderen
traumabezogenen Symptomen eingesetzt. Die Grundvorgehensweise besteht darin,
dass der Patient in der Sicherheit einer haltgebenden therapeutischen Beziehung
eine Konfrontation mit seinen traumatischen Erinnerungen erlebt. Ziel der
Traumabearbeitung ist die Integration von kognitiven, emotionalen und körperlichen
Reaktionen auf das Trauma indem die Erinnerungen wiederbelebt, wahrgenommen
und verarbeitet werden. Anders formuliert, wird die durch das Trauma induzierte
Dissoziation wieder aufgehoben. Die in der traumatischen Situation unterbrochene
Verbindung zwischen Wahrnehmungen, Gedanken, Emotionen und
Körperreaktionen wird wieder hergestellt. Danach erfolgt eine Bearbeitung von
dysfunktionalen Kognitionen, wie z.B. von Schuldgefühlen, die auf unrealistischen
Einschätzungen der traumatischen Situation beruhen (Shapiro 1998). Abweichend
von der klassischen verhaltenstherapeutischen Traumaexposition werden im EMDR
die Traumaexpositionsphasen nur relativ kurz (30 – 90 sec) durchgeführt und durch
bilaterale Stimulierung in Form von Augenbewegungen (der Hand des Therapeuten
mit den Augen folgen) oder durch alternative Berührungsreize auf die linke und
rechte Hand (sog. Tapping) oder durch alternativ dargebotene Töne ausgelöst.
The EMDR treatment process (EMDR = eye movement desensitization and
Reprocessing) was developed by psychologist Francine Shapiro of the American
developed and since 1989 as a manualized therapies for the treatment of
Patients with post-traumatic stress disorder (PTSD) and other
traumabezogenen symptoms used. The basic approach is
that the patient in the safety of a therapeutic relationship haltgebenden
a confrontation with traumatic memories experienced. The aim of the
Trauma treatment is the integration of cognitive, emotional and physical
Reactions to the trauma memories revived by the perceived
and processed. In other words, is induced by the trauma
Dissociation rescinded. The interrupted in the traumatic situation
Link between perceptions, thoughts, emotions and
Reaction of the body is restored. This is followed by a treatment of
dysfunctional cognitions, e.g. feelings of guilt, based on unrealistic
Assessments of the traumatic situation are based (Shapiro 1998). Notwithstanding
are from the classical behavioral trauma exposure in EMDR
the phases of trauma exposure is relatively short (30-90 sec) and conducted by
bilateral stimulation in the form of eye movements (the hand of the therapist
follow with the eyes) or by alternative tactile stimuli on the left and
right hand (so-called tapping) or alternatively Helping sounds triggered.
Accuracy Verified: Yes
36. 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
37. Formenti, L. (2008, Novembre). Alleanza terapeutica nel trattamento di bambini vittime di disastri collettivi [Therapeutic alliance in the treatment of child victims of mass disasters]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Nel lavoro verrà trattata la centralità dell’alleanza terapeutica in un intervento sul trauma effettuato su bambini vittime di disastri collettivi. L’autore illustrerà come tale alleanza risulta essere propedeutica al trattamento con EMDR e quanto sia fondamentale, per una piene riuscita della terapia, la creazione di un’alleanza allargata, che raggiunga anche i genitori e più in generale tutte le figure di accudimento che ruotano attorno ai bambini. Offrire supporto psicologico e EMDR ai genitori, infatti, accresce l’efficacia del trattamento nei bambini in quanto:
• L’accordo con i genitori sulle attività terapeutiche che verranno svolte e sugli obiettivi di tale intervento, facilita il lavoro del terapeuta nella fase di preparazione del bambino.
• La psicoeducazione fatta al genitore permette a quest’ultimo di aiutare il proprio bambino nello sviluppo di risorse aggiuntive per il contenimento emotivo, utili sia in fase di preparazione che durante la vera e propria elaborazione del trauma.
• Il benessere del genitore porta ad una risoluzione più rapida della sintomatologia del bambino, spesso determinata o aggravata proprio dall’intuizione del bambino circa il disagio del genitore e dal suo tentativo di porvi rimedio.
Tutto ciò verrà esposto con l’ausilio di due casi clinici di bambini trattati a seguito dell’incidente avvenuto in data 8 maggio 2007 a Stroppiana (VC) nel quale un pullman contenente tutti i bambini della scuola elementare si è ribaltato. 39 bambini sono sopravvissuti, 2 hanno perso la vita.
The work will be treated the centrality of the therapeutic alliance in a speech carried on trauma on child victims of collective disaster. The author illustrates how this alliance appears to be preparatory treatment with EMDR and the fundamental for a full success of
therapy, the creation of an enlarged alliance, which also reaches parents and more generally all caregivers that revolve around children. Offer psychological support and EMDR to Parents, in fact, increases the effectiveness of treatment in children because:
• The agreement with parents about therapeutic activities to be carried out and the objectives of such intervention, the therapist facilitates the work in preparing the child
• The parent psychoeducation made to allow him to help your child development of additional resources for emotional content, useful both during preparation and during the actual processing of the trauma
• The welfare of the parent leads to a more rapid resolution of symptoms of child, often determining or increasing the child's own intuition about the inconvenience the parent and its attempt to remedy. This will be explained with the help of two clinical cases of children treated after incident occurred on 8 May 2007 Stroppiana (VC) in which a bus containing all primary school children was overturned. 39 children survivors, 2 have died.
Keywords: Children Mass Disaster Therapeutic Alliance
Accuracy Verified: Yes
38. 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
39. Wartik, N. (1994, Aug 7). The amazingly simple, inexplicable therapy. Los Angeles Magazine, 9.
Language: English
Format: Magazine
Abstract:
I've just seen a demonstration taped during the course of a recent study, of what's probably the most controversial psychotherapy in
use today. In 1989, the first articles about an improbable-sounding tech
nique for treating post-traumatic stress disorder (F'ISD) appeared in the
psychological literature. PTSD. an anxiety disorder with a multitude of
mental and physical symptoms, strikes after an ordeal such as rape. combat.
chid abuse or natural disaster and can permanently scar a psyche. But with
little more than a wave of the hand, it seemed, Eye Movement Desensitizatior.
and Reprocessing (EMDR) could undo trauma's tormenting effects in a remarkably
short time, sometimes in a single session.
The procedure, originated by psychologist Francine
Keywords: General Mary Overview
Accuracy Verified: Yes
40. Becker, C. B., Darius, E., & Schaumberg, K. (2007, December). An analog study of patient preferences for exposure versus alternative treatments for posttraumatic stress disorder. Behaviour Research and Therapy, 45(12), 2861-2873. DOI:10.1016/j.brat.2007.05.006 .
Language: English
Format: Journal
Abstract:
Although several efficacious treatments for PTSD exist, these treatments are currently underutilized in clinical practice. To address this issue, research must better identify barriers to dissemination of these treatments. This study investigated patient preferences for PTSD treatment given a wide range of treatment options in an analog sample. 160 individuals, with varying degrees of trauma history, were asked to imagine themselves undergoing a trauma, developing PTSD, and seeking treatment. Participants evaluated 7 different treatment descriptions, which depicted treatment options that they might encounter in a clinical setting. Participants rated their most and least preferred treatments along with their personal reactions to and the perceived credibility of each treatment. Participants also completed a critical thinking skills questionnaire. Participants predominantly chose exposure or another variant of cognitive-behavioral therapy as their most preferred therapy, and those who chose exclusively empirically supported treatments evidenced higher critical thinking skills. The present study contributes to a growing literature indicating that patients may be more interested in these therapies than indicated by utilization rates. The problem of underutilization of empirically supported treatments for PTSD in clinical practice may be due to therapist factors. [Author Abstract]
Keywords: Adults Americans Cognitive Processes Cognitive Therapy College Students Evidence Based Treatment Exposure Empirically Supported Treatment Patient Preference Posttraumatic Stress Disorder Posttraumatic Stress Disorder Psychoanalytic Psychotherapy Psychotherapeutic Processes PTSD Selective Serotonin Reuptake Inhibitors Stressors Survivors TFT Thought Field Therapy
Accuracy Verified: Yes
41. Selvig, A. L. (2004). Analyzing individual patterns of change in two treatments for posttraumatic stress disorder. University of Georgia.
Language: English
Format: Dissertation/Thesis
Abstract:
Two therapies for posttraumatic stress disorder (PTSD) have received considerable support in the clinical literature: prolonged imaginal exposure (PE) and eye movement desensitization and reprocessing (EMDR). Although PE is empirically supported, its critics purport that it causes symptom exacerbation. In contrast, proponents of EMDR claim that its response pattern is characterized by rapid decline in symptoms. The current investigation aimed to study and compare the patterns of symptom change during PE and EMDR using hierarchical linear modeling (HLM). HLM avoids many shortcomings inherent in traditional longitudinal analyses by focusing on trajectories of change rather than group means. 62 women with PTSD following rape were randomly assigned to 9 sessions of PE or EMDR. Results indicated that neither group experienced symptom exacerbation nor rapid symptom decline. The patterns of symptom change in the two groups were not significantly different. The strengths and limitations of HLM and the studys design were discussed.
Keywords: Patterns of Change PE Prolonged Exposure
Accuracy Verified: Yes
42. Kahveci, S., Erdogan, T., Karakus, D., Dogaroglu, S., Aydemir, S., Sen, G., Serpel, A., Kakan, N., & Ozgun S. (2010, June). Analyzing the effect of EMDR on pre-post menstrual disturbance. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Description of the study: Traumatic experiences may
lead to body sensations. Some illnesses such as Migraine, ulcer
and fibromyalgia which causes body disturbance have psychological
roots. Steven Marcus also shows the relation between
traumatic event and migraine in his studies. This study is inspired
by the relationship between body disturbance related illnesses
and traumatic experiences. In this study, physical and
emotional disturbances experienced by women during the
MDR menstrual cycle is studied by the use of EMDR.
Participants in this study will receive a (max) 12 session EMDR
treatment. All participants are going to fill a battery of tests
consisting of Beck Depression Scale, STAI, Life Events Check
List, Subjective Pain Level before and after the study and keep
a diary of disturbance during the study.
EMDR and the study: It is hypothesized that females who have
more traumatic experiences related to menstrual cycle will experience disturbances during the menstrual cycle and after 12 first session of EMDR treatment there will be a decrease in reported
disturbance levels. It is also hypothesized that the more negative cognitions a women has related to her gender/sexuality, the more disturbance she experiences.
Learning objectives: Showing the way EMDR can be used in
PMS and Dismenore Establishing the relationship between Pre- Post Menstrual Disturbances and negative & irrational beliefs related to gender identity.
Enhancing the knowledge on the effect of previous negative
life events on somatic sensations in the long term.
Our study suggests that: Despite the fact that premenstrual
Disturbances and Dismenore are quite common among the
women, it is rarely studied by psychotherapists. In this study
we reviewed the relevant literature and tried to show that these
problems can be studied by using EMDR.
Keywords: Female Issues Pre Menstrual Post Menstrual Symposium
Accuracy Verified: Yes
43. de Jongh, A. (2005, November). Angstjes, angsten en fobieën: Hoe pak je het simpel aan met EMDR? [Anxiety, fears and phobias: How to go about it simple with EMDR?]. Presentatie op de eerste congres van de Vereniging EMDR Nederland, Ede, Nederland.
Language: Dutch
Format: Conference
Abstract:
EMDR is een gevalideerde behandelmethode voor psychisch trauma. Maar niet altijd leidt het meemaken van een vervelende gebeurtenis tot PTSS: angsten of fobieën zullen veel vaker het gevolg zijn. In veel gevallen is de behandeling van een fobische stoornis zelfs een stuk lastiger dan van een PTSS. Dit komt omdat er meer geheugenrepresentaties moeten worden bewerkt. Een complicerende factor in de behandeling kan verder zijn dat we te maken hebben lastig, ingesleten vermijdingsgedrag (bijv. bij sociale angst) of dat een bepaalde stimulussituatie objectief vervelende kantjes heeft (bijv. bij sommige medische angsten).
In deze workshop leren de deelnemers:
- een handige manier om angsten te diagnosticeren en casuïstiek te conceptualiseren in termen van EMDR
- te beslissen in welke gevallen EMDR is aangewezen, wanneer een cognitief gedragstherapeutische aanpak (of een combinatie) beter geschikt is en hoe deze behandeling eruit ziet
- gericht angsttargets te identificeren en snel tot de juiste NCs en PCs te komen
- cliënten voor te bereiden op moeilijke of relatief onveilige stimulussituaties
Het materiaal wordt gepresenteerd aan de hand van videobeelden, demonstraties en oefeningen. De workshop is geschikt voor ervaren en minder ervaren behandelaars, zowel op het terrein van volwassenen als kinderen en jeugd.
EMDR is a validated treatment for psychological trauma but does not require the experience of an unpleasant event for PTSD: fear or phobias are more often the result. In many cases, the treatment of a phobic disorder even more difficult than one PTSD. This is because more memory representations should be modified. A complicating factor in treatment may also be that we are facing difficult ingrained avoidance behavior (e.g. social anxiety) or that a certain objective stimulussituatie nasty lace has (e.g. some medical fears).
In this workshop participants learn:
- A convenient way to diagnose anxiety and case studies to conceptualize in terms of EMDR
- To decide cases in which EMDR is appropriate when a cognitive behavioral approach (or a combination) is more suitable and how this treatment looks
- Terror targets aimed to identify and quickly correct the NCS and PCs to come
- Clients to prepare for difficult or relatively unsafe stimulussituaties
The material is presented on the video footage, demonstrations and exercises. The workshop is suitable for experienced and less experienced practitioners, both in the field of adults and children and youth.
Keywords: Anxiety Fears Phobias
Accuracy Verified: Yes
44. 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
45. Manfield, P., & Shapiro, F. (2003). The application of EMDR to the treatment of personality disorders. In J. F. Magnavita (Ed.), Handbook of Personality Disorders: Theory and Practice (pp. 304-330). New York: John Wiley & Sons.
Language: English
Format: Book Section
Abstract:
Since its inception in 1987, Eye Movement Desensitization and Reprocessing (EMDR) has evolved into an integrated approach to psychotherapy that synthesizes aspects of the major psychological orientations. As such, its comprehensive treatment effects span cognitive, somatic, and affective domains (Shapiro, 2002). Although most widely used to process single or multiple incident traumatic memories, it can be used effectively to treat many conditions. In this chapter, we describe the theoretical foundations of this approach and how it is used to treat personality disorders. A fundamental principle of the Adaptive Information Processing Model is that present disturbance and dysfunctional characteristics have their origins in past events; these antecedents, whether identified or not, can be processed to an adaptive resolution using EMDR. In treating personality disorders, the EMDR approach integrates procedures from many other orientations to stabilize clients and equip them to address their source memories. The accelerated processing of disturbing memories that takes place during EMDR makes it possible for clients to address and resolve their issues relatively rapidly. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Personality Disorders Psychotherapeutic Processes Theories
Accuracy Verified: Yes
46. De Divitiis, A. M. (2010, June). Application of resource development and installation (RDI) in delivery preparation in order to prevent post partum depression. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
According to the latest statistical evidence Post-Partum
Depression develops in approximately 13% of women
during the second -third month after childbirth with symptoms
lasting between few weeks and a year and risks of relapse.
Unlike the Baby Blues (affecting 70% of mothers, with onset in
the 3'd - 6" day after delivery and spontaneous recovery within
approximately two weeks), likely to be caused basically by hormone
modifications in the immediate aftermath of childbirth.
PPD development would seem to be solely determined by psychological
factors: the experience of childbirth, the surfacing of
unresolved problems in the relationships with attachment figures,
the change in the woman's role both in the social sphere and
within the couple relationship, the fear of being unable to adequately
attend to the new responsibilities (both in terms of skills
and of the ability to cope with the additional workioad), etc.
Consequently, women experiencing childbirth as a traumatic
experience are more destabilized by the event, and therefore.
at a higher risk of developing PPD.
Childbirth requires the deployment of many personal resources.
A woman in labor must be able to bear the pain, while having
to "push", 1.e. contrast the automatic antalgic reaction (which
would close the delivery channel) and "meeting the pain", during
the "expulsion" phase. Considering that "Peak Performances"
require moving out of a person's comfort zone and
stretching a person's boundaries, childbirth experience can be
rightfully considered a "Peak Performance".
This work describes RDI application times and modes during Delivery
Preparation in order to strengthen the different personal
resources needed by pregnant women to experience her childbirth
as an ego syntonic experience. In this sense, RDI associated
with EMDR can be considered an actual Primary Prevention intervention,
capable of teaching women something positive about
themselves, thus effectively offsetting the onset of PPD. Furthermore
the results of the application of this technique collected
during the Post-Partum phase on 48 women will be discussed.
Learning objectives:
1 identification of the specific issues predisposing the development
of PTSD due to Childbirth and of Post-Partum Depression.
2. Framing Childbirth as a Peak Performance.
3 Learning RDI (Resource Development and Installation) application
through Bilateral Stimuli during Delivery Preparation Courses.
Keywords: Delivery Preparation Female Issues Resource Development and Installation RDI Symposium
Accuracy Verified: Yes
47. De Divitiis, A. M. (2008, Novembre). Applicazione dello sviluppo e installazione delle risorse (RDI) nella psicoprofilassi al parto finalizzata alla prevenzione delle depressione post partum (DPP) [Application of resource development and installation (RDI) in psychoprophylaxis geared to the prevention of postpartum depression(DPP)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Dagli ultimi dati statistici risulta che la Depressione Post Partum viene sviluppata da circa il 13% delle puerpere nel corso del secondo – terzo mese successivi al parto e la durata dei sintomi varia da qualche settimana ad un anno, con rischi di recidiva.
A differenza del Baby Blues (colpisce il 70% delle puerpere, insorge in III – VI giornata e si risolve spontaneamente nell’arco di un paio di settimane), imputabile essenzialmente alle fisiologiche modificazioni ormonali (calo degli estrogeni e progesterone) dell’im-mediato post partum, lo sviluppo della DPP sembrerebbe invece essere determinata da fattori di natura strettamente psicologica: l’esperienza del parto, il riemergere di problematiche irrisolte nelle relazioni con le figure di attaccamento, il cambiamento di ruolo della donna sia nell’ambito sociale che all’interno della coppia, il timore di non essere in grado di attendere adeguatamente alle nuove responsabilità (sia sul piano delle proprie capacità, che del nuovo carico di fatica fisica), ecc.
Le donne che hanno vissuto il parto come esperienza traumatica risultano essere maggiormente destabilizzate da tale evento e quindi maggiormente esposte allo sviluppo della DPP.
Il parto richiede alla donna il reclutamento di molteplici risorse personali. Nel corso del “travaglio” la donna deve riuscire a contenere il dolore, mentre nella fase dell’“espulsione” le viene richiesto inoltre di “spingere”, ossia di contrastare una reazione antalgica automatica (che chiuderebbe il canale da parto) per andare invece “incontro al dolore”. Se consideriamo che le “Prestazioni di Picco” si caratterizzano per essere “al di fuori” del proprio ambito di sicurezza, di agio e di conforto, nel tentativo di oltrepassare il limite estremo delle proprie capacità, l’esperienza del parto può essere inscritta a pieno titolo nelle “Prestazioni di Picco”.
Nel presente lavoro vengono descritte le modalità e i tempi di applicazione del RDI nel corso della Preparazione al Parto, finalizzata al rafforzamento delle diverse risorse personali di cui ogni gestante ha bisogno per poter vivere il parto come esperienza egosintonica. In tal senso l’RDI, tramite EMDR, è da considerarsi un vero e proprio Intervento di Prevenzione Primaria, in grado di insegnare alle donne qualcosa di positivo riguardo sé stesse, contrastando efficacemente l’insorgere della DPP. Verranno esposti, inoltre, i risultati dell’applicazione di tale tecnica su 48 gestanti, raccolti nella fase del Post Partum.
The latest statistics show that postpartum depression is developed by about 13% of mothers during the second to third months after delivery and the duration of symptoms varies from few weeks to a year, with risks of recurrence. Unlike the Baby Blues (affects 70% of mothers, occurs in III - VI day and resolves spontaneously within a couple of weeks), largely because of the physiological hormonal changes (decline in estrogen and progesterone) of IM-mediated post-partum, the development of the DPP seems to be determined by factors strictly psychological: the experience of childbirth, the resurgence of unresolved issues in relations with attachment figures, the changing role of women both in social the couple, the fear of not being able to wait adequately to new responsibility (both in terms of its ability, that the new burden of physical labor, etc.). Women who have experienced childbirth as a traumatic experience become more undermined by this event and, therefore, at greater risk of developing the DPP. The birth of the woman requires the recruitment of many personal resources. During the "Labor" the woman must be able to contain the pain, while in phase the 'expulsion' is the also required to "push", i.e. a reaction to counter analgesic automatic (which close the channel by birth) to go instead "to meet the pain." If we consider that "Peak Performance" are characterized by being "outside" the extent of its security, ease and comfort, in an attempt to go beyond the bounds of their abilities, experience delivery can be fully inscribed in the "peak performance". The present paper describes the methods and timing of application of RDI during the preparation for childbirth, which aims to reinforce the various personal resources which each pregnant woman needs to live the experience of childbirth as ego syntonic. In this sense, the RDI, through EMDR is considered true primary prevention interventions that can teach women something positive about themselves to effectively counter the rise DPP. Will be exposed, in addition, the results of applying this technique on 48 pregnant women, collected at the stage of post-partum.
Keywords: Postpartum Depression RDI Resource Development and Installation
Accuracy Verified: Yes
48. 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
49. De Marco, A. (2008, Novembre). Applicazione dell’EMDR nel lutto complicate-resoconto di un caso clinico [Application EMDR in complicated grief-reporting of clinical case]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
L’articolo si propone di evidenziare l’efficacia dell’EMDR nei casi di lutto, in particolare quando questo evento implica un trauma psicologico, che interferisce con il normale processo di elaborazione della perdita. Si delinea allora una situazione definita “lutto complicato o traumatico”, che determina una elaborazione complessa dell’evento luttuoso bloccandone la sua risoluzione.
Una perdita traumatica sconvolge le capacità di coping della persona e pregiudica le sue facoltà di adattamento, aumentando il disagio e complicando l’elaborazione dell’evento.
Laddove il lutto acuto è dominato dal trauma, l’impiego dell’EMDR facilita il passaggio il passaggio attraverso le varie fasi dell’elaborazione del lutto e favorisce l’assimilazione e l’adattamento alla perdita.
Ad illustrare quanto enunciato dal punto di vista teorico viene presentato un caso clinico, nel quale un lutto complicato, strettamente connesso a sintomi depressivi, viene sbloccato e ricondotto ad un normale processo di elaborazione grazie all’applicazione dell’EMDR su un solo targhet specifico.
La paziente, una giovane donna di 24 anni, presentava un disturbo distimico di gravità moderata, con spunti ansiosi. Non prendeva psicofarmaci. Qualche anno prima le era stato diagnosticato un disturbo di panico con agorafobia e aveva assunto Lexotan per un certo periodo.
Sono stati somministrati appositi test psicologici, all’inizio e al termine della terapia finalizzata all’elaborazione del lutto. Un altro re-test è stato fatto a distanza di un anno circa.
The article aims to highlight the effectiveness of EMDR in cases of bereavement, particularly when this event involves a psychological trauma, which interferes with the normal process of elaboration of the loss. It then outlines a situation as "complicated grief or traumatic, determines a complex event processing mournful blocking its resolution. A traumatic loss upsets the coping skills of the person and impairs his ability to adaptation, increasing the discomfort and complicating the development of the event.
where the mourning is dominated by acute trauma, the use EMDR facilitates the passage through the various stages of mourning and promotes assimilation and adaptation to loss.
Illustrate what is stated by the theoretical point of view is presented a clinical case in which a complicated grief, which is closely linked to depressive symptoms, is unlocked and returned to a normal process by applying EMDR on one target specific. The patient, a young woman of 24 years, had a dysthymic disorder of moderate severity, with ideas anxious. Not taking psychotropic drugs. A few years earlier had been diagnosed with panic disorder with agoraphobia and had taken Lexotan for a certain period. Appropriate psychological tests were administered at the beginning and end of therapy aimed elaboration of mourning. Another re-test was done at a distance of about one year.
Keywords: Complicated Grief Poster
Accuracy Verified: Yes
50. Verzolatto, N. (2008, Novembre). Applicazioni patriche dell'EMDR in ambito ospedaliero [Applications practice EMDR in hospitals]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
In ambito ospedaliero l’intervento psicologico presenta peculiarità che rispondono ad alcune caratteristiche come :
- la velocità di intervento;
- l’ esigenza di applicare protocolli rapidi ed efficaci.
La necessità della rapidità è data dal fatto che il paziente allettato è generalmente in sofferenza fisica (spesso è presente dolore) oltre che psicologica e quindi non disponibile ad indagini ed interventi di tipo tradizionale (come assesment prolungati o studio approfondito della biografia);
l’efficacia è intesa nel senso che gli strumenti devono centrare la domanda dell’inviante, che solitamente non è il paziente ma il reparto di degenza, e devono intervenire sul disagio del paziente che spesso esprime sintomi specifici.
Generalmente i motivi per i quali vengono richieste le consulenze sono ascrivibili ad alcune precise categorie diagnostiche quali:
-PTSD e PTSD sottosoglia. Riguardano generalmente: le comunicazioni di diagnosi gravi e/o prognosi infausta, sia nel paziente che nel familiare; eventi traumatici quali la violenza sessuale e domestica, traumi per incidenti, traumi per ricoveri in reparti particolari come le Stroke Unit o le Unità di Rianimazione).
-disturbi d’ansia e DAP. Rientrano in questa categoria le consulenze per le fobie per sala operatoria, per l’anestesia, la paura del non risveglio e i timori per esiti del post-interveto (per es. nel caso di prostatectomie o laringectomie).
Nei casi sopra citati l’uso dell’EMDR diventa spesso lo strumento d’elezione per le peculiarità proprie che rispondono perfettamente alle caratterizzazioni sopra citate.
Nell’workshop si confronterà l’esperienza di tale attività e si discuterà di come l’uso dell’EMDR risponda per efficacia e velocità alle esigenze sopra esplicitate.
Psychological intervention in the hospital has special features that meet certain characteristics such as:
- The speed of intervention;
- 'S need to implement protocols for rapid and effective.
The need for speed is the fact that the patient is usually bedridden physical suffering (pain is often present) as well as psychological and therefore not available to traditional investigations and interventions (such as prolonged or assesment study of the biography);
effectiveness is understood that the instruments must hit dell'inviante demand, which is usually not the patient but the ward and must act on the discomfort of the patient often expresses specific symptoms.
Usually the reasons for which are claimed are attributable to some specific advice diagnostic categories such as:
-PTSD and subthreshold PTSD. Generally relate to: the Communications Diagnostic serious and / or poor prognosis, both in the patient in family trauma such as sexual and domestic violence, trauma caused by accidents, trauma admissions to particular departments as the Stroke Unit or the Intensive Care Unit) .
-Anxiety disorders and CAD. This category includes advice for phobias to the operating room, anesthesia, fear of not waking up and fears of post-surgical outcomes (eg. In the case of prostatectomy or laryngectomy).
In the above cases the use EMDR is often the tool of choice for the special features that perfectly meet the above characterizations.
Nell'workshop you compare the experience of this activity and will explore how to use EMDR effectiveness and speed to meet the requirements spelled out above.
Accuracy Verified: Yes
51. Forgash, C. (2008). Applying EMDR and ego state therapy in collaborative treatment. In C. Forgash and M. Copeley, (Eds.), Healing the heart of trauma and dissociation with EMDR and ego state therapy (pp. 313-341). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
This chapter will describe the application of the collaborative treatment model to clients who undergo EMDR and ego state therapy with a specialist in addition to their regular therapy. EMDR and ego state therapy specialists are uniquely positioned to assist primary therapists in resolving stalled therapies and enhancing the treatment provided by the primary therapist. We will explore in this chapter the issues that become problematic over time in a course of therapy, which clients are good candidates for collaborative EMDR and ego state treatment, how to develop an effective working relationship with the primary therapist, and how to avoid problems that may arise out of this dual relationship. A detailed case study will illustrate each step of the treatment, from the initial contact with the primary therapist through the conclusion of the adjunct therapy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Collaborative Treatment Ego State Therapy
Accuracy Verified: Yes
52. Sukirna, S., Sadatun, T. I., & Direzkia, Y. (2008, June). Applying EMDR for tsunami survivors with severe PTSD in a disaster region with minimum mental health facilities. Poster presented at the annual meeting of the EMDR Europe Association, London, England UK.
Language: English
Format: Conference
Abstract:
Tsunami that hit Aceh on the 26th of December 2004 taken approximately 150,000 lives has changed the region
into a devastated area. Although health services and facilities had been re-established and some NGOs started
delivering psychosocial and mental health services, only a few of them focussed on effective trauma therapy
while the number of survivors who need the treatment are enormous. Tsunami survivors in this region are more
likely to suffer from complex PTSD because of years of armed-conflict had been going on in this region. A survey
conducted by Crisis Centre of the Faculty of Psychology University of Indonesia in collaboration with Terre des
Hommes Germany showed high incidents of various psychological disorders amongst child survivors.. The
program of trauma therapy and EMDR organized by Indonesian Psychological Association and TdH Germany
funded by BMZ Germany since 2006 has treated a good number of tsunami survivors with severe PTSD. Hyperarousal,
flashbacks and bad dreams, avoidance, and somatisation are common. There has been no indication
whether there has been a natural process of recovery among those who were not treated. Starting in February
2008 a controlled study on the effectiveness of EMDR is conducted with 30 tsunami survivors with PTSD that will
be randomized into two groups of 15. The treatment group will be given EMDR therapy until April 2008 and
waitlist group will be given EMDR in May 2008. The effectiveness of EMDR will be measured using IES, HTQ, DES
pre and post treatment with EMDR. First follow up will be collected until June 2008.
Keywords: Disasters Poster Tsumani
Accuracy Verified: Yes
53. Greenwald, R. (1994, Winter). Applying eye movement desensitization and reprocessing (EMDR) to the treatment of traumatized children: Five case studies. Anxiety Disorders Practice Journal, 1(2), 83-97.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a recently developed psychotherapy method that appears to increase efficiency in treating traumatized psychological disturbance. Applications to child treatment were explored in five case studies of children suffering from post-traumatic symptoms several months after Hurricane Andrew. Subjects were treated with one or two EMDR sessions, until Subjective Units of Disturbance (SUDS) went to 0. Follow-up parent interviews at one and four weeks post-treatment found all subjects returning to pre-trauma levels of functioning, with additional improvement in some cases. Further study is recommended. [Author Abstract]
Keywords: Americans Females Hurricane Andrew (1992) Hurricanes Males School Age Children Survivors Treatment Effectiveness
Accuracy Verified: Yes
54. 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 <
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?
Accuracy Verified: Yes
55. Bossini, L., Fernandez, I., & Mantero, M. (2006 Settembre-Dicembre). Approcci psicoterapeutici specifici [Specific psychotherapeutic approaches]. NÓOς, 12(3), 221-230.
Language: Italian
Format: Magazine
Abstract:
Verrà illustrata l’applicazione delle principali metodiche d’intervento psicoterapeutico
come l’approccio cognitivo-comportamentale e la psicoterapia ad orientamento psicodinamico
nel trattamento del Disturbo post-traumatico da stress (DPTS).
Particolare rilievo verrà dato alla illustrazione di interventi psicoterapeutici specifici e
all’Eye Movement Desensitization and Reprocessing (EMDR) che si è rivelato uno degli
interventi più mirati al nucleo psicobiologico del DPTS.
The application of main psychotherapeutic approaches, such as cognitive behavioral and
psychodynamic therapies, in the field of post-traumatic stress Disorder (PTSD) is
described.
A particular stress is put on approaches specific to PTSD. Among them Eye Movement
Desensitization and Reprocessing (EMDR) is considered as a mean of intervantion closely
aimed to the psychobiological core of the disorder.
Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD
Accuracy Verified: Yes
56. Grecchi, V., & Grecchi, A. (2004, Novembre). Approccio psicoterapeutico integrato EMDR-Terapia psicobiologica nella depressione maggiore ricorrente [Approaching psychotherapeutic integrated EMDR – Psychological therapy in major recurrent depression]. Comunicazione al Congresso EMDR e Integrazione delle Psicoterapie, Bologna, Italia .
Language: Italian
Format: Conference
Keywords: Major Depression, Recurrent
Accuracy Verified: Yes
57. 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
58. Royle, L., & Kerr, C. (2010, March). Are EMDR therapists at greater risk of developing secondary traumatic stress disorders?. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Therapists who come
into contact with traumatised individuals are at risk of absorbing their distress resulting in
their own psychological injury. There is a variety of factors that increase the likelihood of
this happening and it can be argued that the EMDR therapist is exposed to many more of
these factors than the generic therapist or counsellor. The presenters hope to raise
awareness of these risks as the first step in addressing them and reducing the stigma in
admitting to secondary trauma.
As well as being provided with a theoretical overview of secondary trauma, participants in
this workshop will be encouraged to consider their own level of risk and practical steps
they can take to reduce this. The workshop will provide an overview of psychological
injury constructs including Compassion Fatigue, Vicarious Trauma and Burnout along with
a description of signs and symptoms of secondary trauma. Current recommendations for
treatment options are outlined and an example is given of how EMDR can be used to
successfully treat secondary trauma in the therapist.
Keywords: Burnout Compassion Fatigue Vicarious Trauma Secondary Traumtic Stress
Accuracy Verified: Yes
59. Puliatti, M., Fiacchi, S., & Silipigni, F. (2007, July-September). Aspetti psicologici e psicoterapia delle donne con cistite interstiziale. Terapia cognitivo-comportamentale e EMDR: Un approccio integrate [Psychological aspects and psychotherapy of women affected by interstitial cystitis. Cognitive-behavioral therapy and EMDR: An integrated approach]. Medicina Psicosmatica, 52(3), 101-104.
Language: Italian
Format: Journal
Abstract:
La cistite interstiziale, malattia cronica e rara, si presenta con gli stessi sintomi della cistite “classica”: bruciore, dolori al basso ventre, necessità di urinare di frequente (fino a 60 volte tra giorno e notte), urgenza minzionale spesso associata ad incontinenza, algie vaginali tali da provocare un’impossibilità ad avere rapporti sessuali. Viene quindi coinvolto tutto l’apparato uro-genitale ed il pavimento pelvico, il dolore risponde difficilmente in modo soddisfacente ai più comuni antidolorifici. La cistite interstiziale è una sindrome multifattoriale, in cui convergono eventi stressanti, sintomi psicologici e disordini della funzione urinaria. L’approccio terapeutico dovrebbe quindi essere di tipo integrato urologico, ginecologico, fisico-riabilitativo e psico-sessuologico.In questo lavoro viene presentato un modello di trattamento che integra l’approccio cognitivo comportamentale e l’EMDR (Eye Movement Desensitization and Reprocessing). Questi due approcci se usati in sinergia garantiscono un trattamento ad ampio raggio dei fattori disfunzionali che favoriscono e mantengono tale sintomatologia.
Interstitial cystitis, chronic and rare disease, shows the same symptoms as cystitis "classic" burning, lower abdominal pain, frequent need to urinate (up to 60 times between day and night), urgency often associated with incontinence , vaginal pains which cause an inability to have sex. It then involved the entire apparatus urogenital and pelvic floor, the pain difficult to respond satisfactorily to the most common painkillers. Interstitial cystitis is a multifactorial syndrome, which converge in stressful events, psychological symptoms and disorders of the urinary function. The therapeutic approach should be integrated type of urology, gynecology, physical rehabilitation and psycho-sessuologico.In this paper we present a treatment model that integrates cognitive behavioral el'EMDR (eye movement desensitization and reprocessing). These two approaches when used together provide a wide-ranging treatment of the factors that foster and maintain this dysfunctional symptoms.
Keywords: Interstitial Cystitis Women
Accuracy Verified: Yes
60. Puliatti, M., Fiacchi, S., & Silipigni, F. (2007). Aspetti psicologici e psicoterapia delle donne con cistite interstiziale. Terapia cognitivo-comportamentale e EMDR: un approccio integrato [Psychological and psychotherapy for women with interstitial cystitis. Cognitive-behavioral therapy and EMDR: An integrated approach]. Medicina Psicosomatica, 52(3), 111-117. .
Language: Italian
Format: Journal
Abstract:
La cistite interstiziale, malattia cronica e rara, si presenta con gli stessi sintomi della cistite “classica”: bruciore, dolori al basso ventre, necessità di urinare di frequente (fino a 60 volte tra giorno e notte), urgenza minzionale spesso associata ad incontinenza, algie vaginali tali da provocare un’impossibilità ad avere rapporti sessuali. Viene quindi coinvolto tutto l’apparato uro-genitale ed il pavimento pelvico, il dolore risponde difficilmente in modo soddisfacente ai più comuni antidolorifici. La cistite interstiziale è una sindrome multifattoriale, in cui convergono eventi stressanti, sintomi psicologici e disordini della funzione urinaria. L’approccio terapeutico dovrebbe quindi essere di tipo integrato urologico, ginecologico, fisico-riabilitativo e psico-sessuologico.In questo lavoro viene presentato un modello di trattamento che integra l’approccio cognitivo comportamentale e l’EMDR (Eye Movement Desensitization and Reprocessing). Questi due approcci se usati in sinergia garantiscono un trattamento ad ampio raggio dei fattori disfunzionali che favoriscono e mantengono tale sintomatologia.
Interstitial cystitis, chronic and rare disease, shows the same symptoms as cystitis "classic" burning, lower abdominal pain, frequent need to urinate (up to 60 times between day and night), urgency often associated with incontinence , vaginal pains which cause an inability to have sex. It then involved the entire apparatus urogenital and pelvic floor, the pain difficult to respond satisfactorily to the most common painkillers. Interstitial cystitis is a multifactorial syndrome, which converge in stressful events, psychological symptoms and disorders of the urinary function. The therapeutic approach should be integrated type of urology, gynecology, physical rehabilitation and psycho-sessuologico.In this paper we present a treatment model that integrates cognitive behavioral EMDR (eye movement desensitization and reprocessing). These two approaches when used together provide a wide-ranging treatment of the factors that foster and maintain this dysfunctional symptoms.
Keywords: Interstitial Cystitis Women
Accuracy Verified: Yes
61. Cocco, N., & Sharpe, L. (1993, December). An auditory variant of eye movement desensitization in a case of childhood post-traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 24(4), 373-377. doi:10.1016/0005-7916(93)90062-2.
Language: English
Format: Journal
Abstract:
The present paper reports a case study documenting the success of a child-appropriate variant of eye movement desensitization (EMD) in the treatment of PTSD. Although there have been numerous case studies and some preliminary controlled trials of this method in adult cases of PTSD, there does not appear to be any information on its use in children. The available literature suggests that it is a more rapid and less traumatic treatment than traditional exposure based therapies. The present paper describes a child-appropriate auditory variant of eye-movement desensitization applied to a case of childhood PTSD. [Author Summary]
Keywords: Case Report Males Preschool Age Children Posttraumatic Stress Disorder PTSD Robbery Survivors Terrorism
Accuracy Verified: Yes
62. Forbes, D., Creamer, M., Phelps, A., Bryant, R., McFarlane, A., Devilly, G. J., Lynda Matthews, L., Raphael, B., Doran, C., Merlin, T., & Skye N. (2007, August). Australian guidelines for the treatment of adults with acute stress disorder and post-traumatic stress disorder. Australian & New Zealand Journal of Psychiatry, 41(8), 637-648. doi:10.1080/00048670701449161.
Language: English
Format: Journal
Abstract:
Over the past 2-3 years, clinical practice guidelines (CPGs) for post-traumatic stress disorder (PTSD) and acute stress disorder (ASD) have been developed in the USA and UK. There remained a need, however, for the development of Australian CPGs for the treatment of ASD and PTSD tailored to the national health-care context. Therefore, the Australian Centre for Posttraumatic Mental Health in collaboration with national trauma experts, has recently developed Australian CPGs for adults with ASD and PTSD, which have been endorsed by the National Health and Medical Research Council (NHMRC). In consultation with a multidisciplinary reference panel (MDP), research questions were determined and a systematic review of the evidence was then conducted to answer these questions (consistent with NHMRC procedures). On the basis of the evidence reviewed and in consultation with the MDP, a series of practice recommendations were developed. The practice recommendations that have been developed address a broad range of clinical questions. Key recommendations indicate the use of trauma-focused psychological therapy (cognitive behavioural therapy or eye movement desensitization and reprocessing in addition to in vivo exposure) as the most effective treatment for ASD and PTSD. Where medication is required for the treatment of PTSD in adults, selective serotonin re-uptake inhibitor antidepressants should be the first choice. Medication should not be used in preference to trauma-focused psychological therapy. In the immediate aftermath of trauma, practitioners should adopt a position of watchful waiting and provide psychological first aid. Structured interventions such as psychological debriefing, with a focus on recounting the traumatic event and ventilation of feelings, should not be offered on a routine basis. [InformaWorld]
Keywords: ASD Guidelines Posttraumatic Stress Disorder PTSD Trauma Treatment
Accuracy Verified: Yes
63. Australian Centre for Posttraumatic Mental Health (2007, February). Australian Guidelines for the treatment of Adults with Acute Stress disorder and posttraumatic stress disorder. Melbourne, Victoria: ACPMH.
Language: English
Format: Other
Abstract:
The Australian Centre for Posttraumatic Mental Health in collaboration with national trauma experts, has recently developed Australian CPGs for adults with ASD and PTSD, which have been endorsed by the National Health and Medical Research Council (NHMRC). In consultation with a multidisciplinary reference panel (MDP), research questions were determined and a systematic review of the evidence was then conducted to answer these questions (consistent with NHMRC procedures). On the basis of the evidence reviewed and in consultation with the MDP, a series of practice recommendations were developed. The practice recommendations that have been developed address a broad range of clinical questions. Key recommendations indicate the use of trauma-focused psychological therapy (cognitive behavioural therapy or eye movement desensitization and reprocessing in addition to in vivo exposure) as the most effective treatment for ASD and PTSD. Where medication is required for the treatment of PTSD in adults, selective serotonin re-uptake inhibitor antidepressants should be the first choice. Medication should not be used in preference to trauma-focused psychological therapy. In the immediate aftermath of trauma, practitioners should adopt a position of watchful waiting and provide psychological first aid. Structured interventions such as psychological debriefing, with a focus on recounting the traumatic event and ventilation of feelings, should not be offered on a routine basis. [InformaWorld]
Keywords: Treatment Guidelines
Accuracy Verified: Yes
64. Cortés, C. (2012, June). Ayudando a desarrollar el sistema de procesamiento de la información para la reconstrucción del apego en niños adoptados [Helping to develop the adaptive information system for attachment reconstruction in adopted children]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: Spanish
Format: Conference
Abstract:
EMDR
is
based
on
the
adaptive
information
system
model.
Humans
have
an
inherent
information
processing
system
that
generally
processes
the
complex
elements
of
an
experience
to
an
adaptive
state.
In
other
words,
we
have
the
innate
capacity
to
resolve
difficult
emotional
experiences
and
move
forward
in
our
lives.
There
are
cases
where,
besides
the
trauma
of
abandonment
and
lack
of
attachment,
there
has
been
no
early
stimulation,
mainly
during
the
first
year
of
life.
Sometimes
the
emotional
environment
is
so
poor
that
results
in
insufficient
attachment,
and
prevents
the
motivational
system
from
becoming
strong
enough
to
push
the
baby
to
find
and
produce
stimulation.
Other
times,
the
environment
has
been
so
negligent
that
has
not
provided
the
conditions
for
the
baby
to
adequately
cover
this
first
sensory
stimulation.
Whether
it
is
poor
emotional
environment
or
a
negligent
environment,
or
both
at
once,
the
result
is
that
we
find
children
who
have
not
had
the
opportunity
to
generate
enough
neural
connections
or
the
quality
required
for
the
reptilian
brain
to
mature.
This
phenomenon
hinders
the
brain
integration,
both
vertically
and
horizontally,
and
makes
the
processing
of
the
adaptive
information
system
difficult,
if
not
impossible.
Aiming
to
promote
and
foster
the
development
of
the
adaptive
information
system,
we
have
focused
on
a
dual
purpose:
rebuilding
attachment
and
ensuring
the
neurofunctional
reorganization
and
development
of
the
child
at
early
stages.
For
this
we
rely
on
both;
EMDR
processing,
as
well
as
sensory
integration
and
sensorimotor
therapies,
which
promote
the
integration
of
primitive
reflexes
and
the
child´s
development
at
early
years.
Given
the
baby's
phylogenetic
development
and
the
ideal
conditions
for
such
development
to
occur,
we
try
to
generate
the
same
conditions,
with
the
aim
to
facilitate
and
complete
part
of
the
child's
development
that,
so
far,
has
not
occurred
yet.
Therefore,
the
quality
of
attachment
is
what
will
define
the
self-‐regulation
capacity
and
the
child's
motivational
system.
And
in
this
sense,
the
neurofunctional
organization
and
sensory
integration
will
provide
the
child
with
the
necessary
resources
to
meet
the
challenges
of
both,
development
and
growth,
and
the
possibility
to
achieve
success
and
thus
to
obtain
the
perception
of
efficiency.
Both
aspects,
attachment
and
neurofunctional
organization,
are
interwoven
with
each
other
and
feed
the
adaptive
information
system.
Through
videos
and
clinical
material,
we
show
the
evolution
of
adopted
children
with
whom
we
have
already
intervened
from
this
dual
therapeutic
point
of
view;
generating
a
greater
vertical
and
horizontal
integration
and
a
better
attachment
consolidation.
Parents
will
play
a
key
role
in
this
intervention
and
we
prepare
them
for
it
through
both;
psycho-‐education
and
EMDR.
In
this
way,
they
can
become
proper
therapeutic
parents,
capable
to
parenthesize
their
own
children.
EMDR
está
basado
en
el
modelo
del
sistema
adaptativo
del
procesamiento
de
la
información.
El
ser
humano
posee
un
sistema
inherente
de
procesamiento
de
la
información
que
normalmente
procesa
los
elementos
complejos
de
una
experiencia
en
un
sistema
adaptativo.
En
otras
palabras,
tenemos
una
capacidad
innata
para
resolver
las
experiencias
emocionalmente
difíciles
y
seguir
adelante
con
nuestras
vidas.
Existen
casos
donde,
tras
el
trauma
de
abandono
y
la
falta
de
apego,
no
ha
existido
estimulación
temprana,
principalmente
durante
el
primer
año
de
vida.
A
menudo
el
ambiente
emocional
es
tan
pobre
que
da
como
resultado
un
apego
insuficiente,
e
impide
que
el
sistema
emocional
sea
lo
suficientemente
fuerte
para
conseguir
que
el
bebe
encuentre
y
produzca
estimulación.
En
otras
ocasiones,
el
ambiente
ha
sido
tan
negligente
que
no
proporciona
las
condiciones
adecuadas
para
que
el
bebe
cubra
su
primera
estimulación
sensorial.
Ya
sea
por
ambiente
emocional
pobre
o
un
ambiente
negligente,
o
bien
ambos,
el
resultado
es
que
encontramos
niños
que
no
tienen
la
oportunidad
de
generar
conexiones
neurales
suficientes
o
de
calidad
requeridas
por
el
cerebro
reptiliano
para
madurar.
Este
fenómeno
dificulta
la
integración
del
cerebro
vertical
y
horizontalmente
y
hace
que
el
sistema
de
procesamiento
de
la
información
sea
deficitario,
si
no
imposible.
Con
el
objetivo
de
promover
y
fomentar
el
desarrollo
del
sistema
adaptativo
del
procesamiento
de
la
información,
nos
hemos
centrado
en
un
propósito
dual:
Reconstruir
el
apego
y
asegurarnos
de
reorganizar
y
desarrollar
la
neurofuncionalidad
del
niño
en
las
etapas
tempranas
del
niño.
Para
ello
nos
apoyamos
en
el
procesamiento
del
EMDR,
así
como
en
las
terapias
de
integración
sensorial
y
sensoriomotoras,
que
fomentan
la
integración
de
los
reflejos
primitivos
y
el
desarrollo
del
niño
en
las
etapas
tempranas.
Dado
el
desarrollo
filogenético
del
niño
y
las
condiciones
ideales
para
que
dicho
desarrollo
ocurra,
intentamos
generar
las
mismas
condiciones,
con
el
objetivo
de
facilitar
y
completar
parte
del
desarrollo
del
niño
que
hasta
ahora,
no
ha
ocurrido
todavía.
Por
tanto,
la
calidad
del
apego
es
aquella
que
será
definida
por
la
capacidad
de
autorregulación
y
el
sistema
motivacional
del
niño.
Y
en
este
sentido,
la
organización
neurofuncional
y
la
integración
sensorial
promoverán
en
el
niño
los
recursos
necesarios
para
encontrarse
con
los
retos
de
desarrollo
y
crecimiento
y
la
posibilidad
de
conseguir
el
éxito
en
ambos,
además
de
obtener
la
percepción
de
eficiencia.
Ambos
aspectos,
apego
y
organización
neurofuncional,
están
entrelazados
y
alimentan
el
sistema
adaptativo
del
procesamiento
de
la
información.
A
través
videos
y
material
clínico,
mostramos
la
evolución
de
los
niños
adoptados
los
cuales
ya
han
sido
intervenidos
desde
esta
perspectiva
terapéutica
dual;
generando
una
gran
integración
vertical
y
horizontal
y
una
mejora
en
la
consolidación
del
apego.
Los
Keywords: Adoptives
Accuracy Verified: Yes
65. 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.
Accuracy Verified: Yes
66. Laing, D. (2002, April 23). Beat trauma in a blink. London, England: The Times, Features.
Language: English
Format: Newspaper
Abstract:
A therapy which mimics Rapid Eye Movement during deep sleep is proving highly effective in the treatment of Post Traumatic Stress Disorder and repressed psychological pain. Denise Laing reports
Accuracy Verified: Yes
67. von Knorring, L., Thelander, S., & Pettersson, A. (2005, November 21-27). Behandling av angestsyndrom. En systematisklitteraturaversikt. SBUs sammanfattning och slutsatser [Treatment of anxiety syndrome: A systematic literature review. Summary and conclusions by the SBU]. Lakartidningen , 102(47), 3561-3562, 3565-3566, 3569.
Language: Swedish
Format: Journal
Abstract:
En rapport från det svenska rådet för medicinsk utvärdering (SBU) har gått igenom, klassificeras och utvärderas den vetenskapliga litteraturen om behandling av panik-syndrom, specifika fobier, social fobi, tvångssyndrom syndrom (OCD), generaliserat ångestsyndrom (GAD) och posttraumatiskt stressyndrom (PTSD). Översynen ingår behandling av barn, ungdomar och vuxna. Rapportens slutsats är att det finns effektiv behandling tillgänglig för alla ångest syndrom. Men i allmänhet, är effekten ofta måttliga och symtomen återkommer när behandlingen perioden avbryts. För vuxna, stödjer vetenskapliga bevis användning av paroxetin och sertralin för alla syndrom utom specifika fobier. För övriga SSRI-preparat Det finns också bevis för användning av Fluoxetin i OCD och PTSD, för fluvoxamin i social fobi och tvångssyndrom och för escitalopram i social fobi. Andra antidepressiva läkemedel med ett starkt vetenskapligt stöd är venlafaxin i social fobi och GAD, imipramin i panik syndrom och chlomipramine i panik syndrom och tvångssyndrom. Bland de psykologiska behandlingar, det finns vetenskapliga bevis för kognitiv beteendeterapi (KBT) för behandling av panik-syndrom, specifika fobier, social fobi, PTSD och GAD. Exponering, med eller utan andra psykoterapeutiska interventioner har vetenskapligt stöd för effekt vid paniksyndrom (både i termer av antalet panikattacker och agorafobi för), specifika fobier, tvångssyndrom och PTSD. Användning av ögonrörelser desensibilisering och upparbetning (EMDR) har vetenskapligt stöd för behandling av PTSD.
A report by the Swedish Council on Technology Assessment in Health Care (SBU) has reviewed, classified and evaluated the scientific literature on treatment of panic syndrome, specific phobias, social phobia, obsessive-compulsive syndrome (OCD), generalized anxiety syndrome (GAD) and post-traumatic stress disorder (PTSD). The review included treatment of children, adolescents and adults. The report concludes that there is effective treatment available for all anxiety syndromes. However in general, the effect is often moderate and symptoms reappear when the treatment period is discontinued. For adults, scientific evidence supports the use of paroxetine and sertraline for all syndromes except specific phobias. For the other SSRI's there is also evidence for the use of fluoxetin in OCD and PTSD, for fluvoxamine in social phobia and OCD and for escitalopram in social phobia. Other antidepressant drugs with a strong scientific support is venlafaxin in social phobia and GAD, imipramin in panic syndrome and chlomipramine in panic syndrome and OCD. Among psychological treatments, there is scientific evidence for cognitive behavior therapy (CBT) for treatment of panic syndrome, specific phobias, social phobia, PTSD and GAD. Exposure, with or without other psychotherapeutic interventions, has scientific support for efficacy in panic disorder (both in terms of number of panic attacks and for agoraphobia), specific phobias, OCD and PTSD. Use of eye movement desensitization and reprocessing (EMDR) has scientific support for treatment of PTSD.
Keywords: Review
Accuracy Verified: Yes
68. Lamprecht, F. (2003). Behandlung psychotraumatischer Belastungsstörungen mit EMDR [Psychological treatment of traumatic stress disorders with EMDR]. Heidelberg, Germany: Asanger Verlag.
Language: German
Format: Book
Keywords: Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
69. Jordan, J., Titscher, G., & Kirsch, H. (2011, September). Behandlungsmanual zur psychotherapie von akuten und posttraumatischen belastungsstörungen nach ICD-mehrfachschocks [Treatment manual for psychotherapy of acute and posttraumatic stress disorders after multiple ICD shocks]. Herzschrittmachertherapie + Elektrophysiologie, 22(3), 189-201. doi:10.1007/s00399-011-0148-8.
Language: German
Format: Journal
Abstract:
Angesichts der steigenden Zahl implantierter Defibrillatoren in allen Industrienationen wächst auch die Zahl derjenigen Menschen, die sog. Mehrfachschocks („electrical storm“, ES) erleiden. Häufige Beschwerden sind starke und ständig wiederkehrende massive Ängste, Panikattacken, Todesangst, Hilf- und Hoffnungslosigkeit, Depressionen, Nervosität und Gereiztheit, sowie Rückzugs- und ausuferndes Vermeidungsverhalten, Intrusionen, Albträume, Flashbacks, Schlaflosigkeit und die Unfähigkeit der Gefühlsempfindung sowie eine eingeschränkte Zukunftsperspektive. Da Menschen mit einem ICD häufig körperlich (sehr) krank und nach den ICD-Mehrfachschocks zusätzlich massiv verunsichert sind, scheint es wesentlich, dass die stationäre Behandlung in einer Einrichtung durchgeführt wird, die über eine enge Anbindung an und räumliche Nähe zu einer kardiologischen Abteilung verfügt. Basis der Diagnostik ist die klinische Anamnese und die systematische Exploration der traumatischen Situation und der resultierenden Beschwerden. Als zusätzliche diagnostische Elemente sollten testpsychologische Verfahren zur Erfassung der Kernsymptomatik zum Einsatz kommen (Angst, Depression, Traumasymptome). Zur Diagnostik sollte eine testpsychologische Untersuchung gehören, damit am Ende der Behandlung auch für den Patienten sichtbar wird, welche Veränderungen eingetreten sind. Im Mittelpunkt der stationären Behandlung steht die tägliche intensive Psychotherapie. In ihrem Rahmen finden Elemente tiefenpsychologisch fundierter Psychotherapie und verhaltenstherapeutisch orientierte Angsttherapie sowie kognitive Umstrukturierung und Elemente des EMDR ihren Platz. Eine Nachuntersuchung innerhalb von 4 Monaten nach den Mehrfachschocks ist angeraten, weil PTSD Symptome zuweilen erst mit großer Latenz auftreten.
In view of the inceasing number of implanted defibrillators in all industrial nations, the number of people who have suffered so-called multiple shocks (electrical storm, ES) also increases. Common complaints are severe and continuously recurrent massive anxiety, panic attacks, fear of death, helplessness and hopelessness, depression, nervosity and irritability as well as reclusive and uncontrollable avoidance behaviour, intrusions, nightmares, flashbacks, sleeplessness and the inability to show feelings and limitation of future perspectives. Because people with an ICD are often physically (very) ill and after multiple ICD shocks are additionally very insecure, it would seem logical if the inpatient treatment would be carried out in an institution which has close connections and is also spatially close to a cardiology department. The basis of the diagnostics is the clinical anamnesis and a systematic exploration of the trauma situation and the resulting complaints. As an additional diagnostic element psychological test procedures should be implemented to determine the core symptomatic (anxiety, depression, trauma symptoms). Psychological test procedures should be included in the diagnostics so that at the end of treatment it is obvious even to the patient which alterations have occurred. The core element of inpatient treatment is daily intensive psychotherapy and includes deep psychologically well-founded psychotherapy and behavioral therapeutic-oriented anxiety therapy as well as cognitive restructuring and elements of eye movement desensitization and reprocessing (EMDR). A follow-up examination within 4 months of the multiple shocks episode is recommended because symptoms of posttraumatic stress disorder often occur after a long latent time period.
Keywords: Acute Stress Disorder Anxiety ASD Cardiology Depression ICD Shocks Internal Medicine Posttraumatic Stress Disorder PTSD Treatment Manual
Accuracy Verified: Yes
70. Landgrebe, B. (2005, Februr). Beiträge der fachtagung, diagnose, therapie und berufliche rehabilitation von jungen menschen mit traumen in der lebensgeschichte [Contributions to the symposium diagnosis, therapy and vocational rehabilitation of young people with trauma in the life history]. Berufsbildungswerk Abensberg, Deutschland.
Language: German
Format: Other
Abstract:
Bevor ich die Traumabehandlung und den Prozess der Traumabewältigung auf meiner Abteilung darstelle,
möchte ich diese für die Behandlung so wesentlichen Differenzierungen etwas aufführen.
Wir Menschen haben ein natürliches Verarbeitungssystem für traumatische Erfahrungen. Nicht
jeder Traumatisierte entwickelt eine PTSD! (nur ca. 10 – 12 %). Bei der Entstehung und Aufrechterhaltung
der Störung spielen neben dem traumatischen Ereignis auch psychologische,
biologische und soziale Faktoren eine Rolle.
Before I describe the process of trauma care and trauma to my department,
I would like to perform this treatment for something so essential distinctions.
We humans have a natural system for processing traumatic experiences. not
each developed a traumatized PTSD! (only about 10 - 12%). In the formation and maintenance
the disorder play next to the traumatic event and psychological,
biological and social factors play a role.
Keywords: Trauma Vocational Rehabilitation Young People
Accuracy Verified: Yes
71. Aurora, R. N., Zak, R. S., Auerbach, S. H., Casey, K. R., Chowdhuri, S., Karippot, A., Maganti, R. K., Ramar, K., Kristo, D. A., Bista, S. R., Lamm, C. I., & Morgenthaler, T. I. (2010, August). Best practice guide for the treatment of nightmare disorder in adults. Journal of Clinical Sleep Medicine, 6(4), 389-401.
Language: English
Format: Journal
Abstract:
Prazosin is recommended for treatment of Posttraumatic Stress Disorder (PTSD)-associated nightmares. Level A. Image Rehearsal Therapy (IRT) is recommended for treatment of nightmare disorder. Level A. Systematic Desensitization and Progressive Deep Muscle Relaxation training are suggested for treatment of idiopathic nightmares. Level B. Venlafaxine is not suggested for treatment of PTSD-associated nightmares. Level B. Clonidine may be considered for treatment of PTSD-associated nightmares. Level C. The following medications may be considered for treatment of PTSD-associated nightmares, but the data are low grade and sparse: trazodone, atypical antipsychotic medications, topiramate, low dose cortisol, fluvoxamine, triazolam and nitrazepam, phenelzine, gabapentin, cyproheptadine, and tricyclic antidepressants. Nefazodone is not recommended as first line therapy for nightmare disorder because of the increased risk of hepatotoxicity. Level C. The following behavioral therapies may be considered for treatment of PTSD-associated nightmares based on low-grade evidence: Exposure, Relaxation, and Rescripting Therapy (ERRT); Sleep Dynamic Therapy; Hypnosis; Eye-Movement Desensitization and Reprocessing (EMDR); and the Testimony Method. Level C. The following behavioral therapies may be considered for treatment of nightmare disorder based on low-grade evidence: Lucid Dreaming Therapy and Self-Exposure Therapy. Level C No recommendation is made regarding clonazepam and individual psychotherapy because of sparse data.
Keywords: Nightmares Posttruamatic Stress Disorder PSTD
Accuracy Verified: Yes
72. Stein, D., Rousseau, C., & Lacroix, L. (2004, March). Between innovation and tradition: The paradoxical relationship between eye movement desensitization and reprocessing and altered states of consciousness. Transcultural Psychiatry, 41(1), 5-30. doi:10.1177/1363461504041351.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a relatively new form of psychotherapy to emerge in the West. Using both a case analysis and literature review we situate EMDR within the use of altered states of consciousness (ASCs) in psychological healing practices across times and cultures. We discuss EMDR's unique predicament as a therapy that draws upon techniques common to most therapeutic ASCs, while at the same time distancing itself from this tradition through its pseudoscientific language and technologic aesthetic. Our conclusion attempts to shed light on this paradox and raise questions for further study.
Keywords: Altered States of Consciousness Consciousness States Psychological Healing Review Transcultural Psychiatry
Accuracy Verified: Yes
73. Giti, S. M. (2011, May). Beyond social phobia: A review of the background, manifestations and varied therapeutic approaches for performance anxiety. Alliant International University, Los Angeles, California. 3503418.
Language: English
Format: Dissertation/Thesis
Abstract:
Performance anxiety is ubiquitous in our present culture and is considered one of
the most prevalent forms of anxiety. The famous actor and comedian Jerry Seinfeld once
joked, “ At a funeral, most people would rather be in the casket than giving the eulogy!”
While nearly eighty percent of people experience some form of anxiety when they are the
center of attention, individuals who experience performance anxiety are severely
distressed and debilitated by their anxiety (Plaut, 1990). In most cases, performance
anxiety threatens to restrain an individual’s profession, goals, education, relationships or
daily life activities. While the phenomenon of acute anxiety is commonly labeled as stage
fright in the world of the performing arts, in psychological literature it is rarely specified
or considered a diagnosable mental health disorder. It is often clustered with specific
phobias or social phobia.
Indeed, performance anxiety is not an experience solely limited to actors,
musicians, singers and dancers. It affects athletes, politicians, writers, students,
professionals, leaders, and individuals in all walks of life. For this reason, it is essential
that clinicians become educated in the etiology, symptoms, manifestations and
therapeutic approaches of performance anxiety.
Keywords: Socia Phobia Performance Anxiety
Accuracy Verified: Yes
74. 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
75. Cotraccia, T. (2010, September/October). Bio-psychosocial adaptive information processing. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
The role of neurobiological structures in Adaptive Information Processing (AIP) is becoming more understood. This workshop considers specific psychological and social components of the AIP model. Attunement and internal working models of self and world are suggested as additional components of a systemic AIP model. The psychotherapy relationship is conceptualized as a dynamic feedback system modeled after a securely attached caregiver-child dyad. This workshop draws from affective neuroscience, information theory, philosophy of mind and general systems theory to consider how components interact at multiple levels to resolve disturbing life experiences and enhance bio-psychosocial functioning. The additions to the model will be used to highlight clinical phenomenon relevant to EMDR practice.
Keywords: Adaptive Information Processing AIP
Accuracy Verified: Yes
76. Solomon, E. P., & Heide, K. M. (2005, January). The biology of trauma: Implications for treatment. Journal of Interpersonal Violence, 20(1), 51-60. doi:10.1177/0886260504268119.
Language: English
Format: Journal
Abstract:
During the past 20 years, the development of brain imaging techniques and new biochemical approaches has led to increased understanding of the biological effects of psychological trauma. New hypotheses have been generated about brain development and the roots of antisocial behavior. We now understand that psychological trauma disrupts homeostasis and can cause both short and long-term effects on many organs and systems of the body. Our expanding knowledge of the effects of trauma on the body has inspired new approaches to treating trauma survivors. Biologically informed therapy addresses the physiological effects of trauma, as well as cognitive distortions and maladaptive behaviors. The authors suggest that the most effective therapeutic innovation during the past 20 years for treating trauma survivors has been Eye Movement Desensitization and Reprocessing (EMDR), a therapeutic approach that focuses on resolving trauma using a combination of top-down (cognitive) and bottom-up (affect/body) processing. [Author Abstract]
Keywords: Adolescents Child Abuse Children Criminal Behavior Forensic Evaluation Literature Review Neglect Neuroendocrinology Neurophysiology Posttraumatic Stress Disorder PTSD Survivors
Accuracy Verified: Yes
77. Heide, K. M., & Solomon, E. P. (2006, May-June). Biology, childhood trauma, and murder: Rethinking justice. International Journal of Law and Psychiatry, 29(3), 220-233. doi:10.1016/j.ijlp.2005.10.001.
Language: English
Format: Journal
Abstract:
This article reviews recent findings in the developmental neurophysiology of children subjected to psychological trauma. Studies link extreme neglect and abuse with long-term changes in the nervous and endocrine systems. A growing body of research literature indicates that individuals with severe trauma histories are at higher risk of behaving violently than those without such histories. This article links these two research areas by discussing how severe and protracted child abuse and/or neglect can lead to biological changes, putting these individuals at greater risk for committing homicide and other forms of violence than those without child maltreatment histories. The implications of these biological findings for forensic evaluations are discussed. Based on new understanding of the effects of child maltreatment, the authors invite law and mental health professionals to rethink their notions of justice and offender accountability, and they challenge policymakers to allocate funds for research into effective treatment and for service delivery. [Author Abstract]
Keywords: Adolescents Attachment Brain Development Child Abuse Criminal Behavior Child Neglect Children Criminal Responsibility Forensic Evaluation Homicide Juvenile Offenders Literature Review Mitigating Factors Murder Neglect Neuroendocrinology Neurophysiology Posttraumatic Stress Disorder PTSD Sociopathy Survivors Trauma Violence
Accuracy Verified: Yes
78. Klaus, P. (2005, June). Birth trauma - Causes, effects, methods to heal: An EMDR approach. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Events at birth are traumatic and create feelings of powerlessness when they
are actually or appear life-threatening to self or loved ones, are sudden,
change quickly from "normal" to dangerous without explanation, and when
the situation appears overwhelming. There is no time to prepare, no way to
plan an escape or to prevent something from happening. A number of
events during labor or birth such as unplanned interventions, serious
problems in the mother, physical damage, a sick infant, and separation from
the baby can be classified as traumatic. Major trauma for a woman occurs
in childbirth when she has inordinate fear and is in a situation where she has no control. Other aspects of trauma are more subjective and relate to how
a woman is treated and how she perceives the experience, often causing
humiliation and stigma. Trauma during the prenatal period can affect the
parents' perception of the baby, their own self-concept, their relationship,
and can impair bonding and attachment. Early trauma can have both
immediate and long-range effects on the parents and the infant and may
create later in the adult psychological and somatic conditions and a
negative self-concept. Equally important is the history the parents bring to
this event as well as the quality of their relationship. Birth is a magnet for
unresolved issues to emerge. Clinicians will learn about the causes and
effects of these early traumas as well as methods, including EMDR to
uncover, resolve, and heal them.
Keywords: Birth Defects
Accuracy Verified: Yes
79. Klaus, P. (2007, June). Birth trauma: Causes, effects, methods to heal with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Clinicians will gain an understanding of the types of
events that create psychological and physiological distress
and trauma both at birth and afterward. Many conditions
have their origin during this early period where generational
messages as well as traumatic events surrounding
birth and the early period of life can have negative effects.
Participants will learn methods to work within the infant
mind/body memory to retrieve early trauma and the subsequent
events that reinforced it as well as facilitate
healing through the life path of the individual. Clinicians
can benefit by recognizing the elements that influence
these situations, and with EMDR and other adjunctive
techniques learn to resolve these very early experiences to
help clients reach a higher level of adaptation for health.
Objectives:
1.Identify the characteristics of traumatic or negative birth
experiences.
2.Recognize the risk factors that affect the birth and can
be projected onto the infant.
3.Identify the effects of early trauma on parent-infant relationships,
bonding, the marital relationship, and on
the infant.
4.Learn about long-term psychological and somatic sequelae
of perinatal trauma on the adult individual.
5.Describe, demonstrate, and practice psychotherapeutic
methods with EMDR to help resolve and heal these experiences.
Keywords: Birth Trauma
Accuracy Verified: Yes
80. Smith. T. C. (2010, April). Bloody Sunday - Surviving post traumatic stress disorder with EMDR. Lulu.com.
Language: English
Format: Book
Abstract:
Bloody Sunday is an honest and riveting look into the rarely exposed vulnerabilities of the author. His attempts to understand and honestly convey the physical, emotional, and psychological consequences on him and his family as a result of a tramatic event, offer a perspective to the reader that most people would never be exposed to in their own life. Bloody Sunday is a true story that will both expose the human side of our heroes that put their life on the line everyday in the service of others. It also gives hope to those who are dealing with Post Tramatic Stress Disorder themselves or with a loved one.
Keywords: Police Shootings Posttraumatic Stress Disorder PTSD
Accuracy Verified: No
81. 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
82. Staff. (2005, January 27). Body over mind - A new book by an area author looks at how our memories cause physical pain--and what can be done about it. New Haven, CT: The New Haven Advocate, Lifestyle, [2 pages].
Language: English
Format: Newspaper
Abstract:
The quest to solve this riddle of her early life is one that Scarf explores through some cutting-edge mind/body therapies that have been successful in pinpointing and alleviating painful memories. Two of these are the EMDR (eye movement desensitization and reprocessing) therapy, and the PBSP (Pesso Boyden System Psychomotor) approach. EMDR was the accidental finding that emotional distress could be alleviated by rapid back and forth eye movements, a kind of rhythmical "eye-tracking" that tapped into some neuro-physiological place within the body that actually relieved pschological pain. PBSP was the group dynamic that involved support through role playing and acting out a trauma.
Keywords: General New Haven Overview
Accuracy Verified: Yes
83. Reitz, S. (2008, September). Body-memories: A potential healing obstacle in trauma therapeutical and EMDR - Processes and a re-traumatization risk regarding body-based psychotherapies and other body work therapies. In H. Kanitschar (Chair), Trauma and Hypnosis. Symposium presented at the 11th Congress of the European Society of Hypnosis in Psychotherapy and Psychosomatic Medicine, Vienna, Austria.
Language: English
Format: Conference
Keywords: Body-Based Therapies Re-Traumatization Risk Symposium Trauma
Accuracy Verified: Yes
84. 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.
Accuracy Verified: Yes
85. 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
86. Borstein, S. S. (2009). Brief adjunctive EMDR. Journal of EMDR Practice and Research, 3(3), 198-204. doi:10.1891/1933-3196.3.3.198.
Language: English
Format: Journal
Abstract:
Question: How can I provide brief adjunctive EMDR as a
consultation service to other therapists’ clients?
ANSWER FROM SUZANNE S. BORSTEIN:
Eye movement desensitization and reprocessing
(EMDR) has been demonstrated to be an effective treatment
for posttraumatic stress disorder (PTSD), and its
application to other psychological problems has been
documented as well (Maxfi eld, 2007). As the effectiveness
of EMDR is increasingly documented not only in
the professional literature but also in the popular press,
therapists and clients alike have become curious about
whether EMDR might be helpful in their work. [Excerpt]
Keywords: Brief Adjunctive
Accuracy Verified: Yes
87. 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
88. Hettiarachchi, M. (2007). Brief intervention for post traumatic stress disorder with combined use of cognitive behaviour therapy and eye movement desensitisation reprocessing. Australian e-Journal for the Advancement of Mental Health, 6(1), 1-5.
Language: English
Format: Journal
Abstract:
This case study is of a 23 year old female diagnosed with Post Traumatic Stress Disorder (PTSD) in Sri Lanka, six months following the Asian Tsunami of December 2004. The intervention was conducted in a village clinic on the southern coast of the country. Treatment involved the use of Cognitive Behavioural Therapy (CBT) and Eye Movement Desensitisation Reprocessing (EMDR). The Beck Anxiety Inventory (BAI) was used to monitor levels of anxiety. The Impact of Event Scale (IES) was administered to assess level of intrusion and avoidance (Horowitz, Wilner & Alvarez, 1979). Subjective Units of Distress Scores (SUDS) were obtained to assess level of distress and the Validity of Cognition Scale (VOC) used to assess accuracy of positive beliefs (Shapiro, 2001). A significant reduction in trauma symptoms, levels of distress, intrusion and avoidance were noted at post-treatment. Treatment gains were maintained at one month and nine month follow-up. The combined treatment protocol may be an effective brief intervention to use in situations that require rapid treatments to alleviate personal psychological distress in the aftermath of large scale disasters.
Keywords: Asian Tsunami Brief Intervention Clinical Case Study Cognitive Behavior Therapy Cognitive Therapy Emotional Trauma Natural Disasters Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
89. Scheck, M. M., Schaeffer, J. A., & Gillette, C. (1998, January). Brief psychological intervention with traumatized young women: The efficacy of eye movement desensitization and reprocessing. Journal of Traumatic Stress, 11(1), 25-44. doi:10.1023/A:1024400931106.
Language: English
Format: Journal
Abstract:
To study the efficacy of eye movement desensitization and reprocessing (EMDR) with traumatized young women, 60 women between the ages of 16 and 25 were randomly assigned to 2 sessions of either EMDR or an active listening (AL) control. Factorial ANOVA interaction effects and simple main effects for outcome measures (Beck Depression Inventory, State-Trait Anxiety Inventory, Penn Inventory for PTSD, Impact of Event Scale, Tennessee Self-Concept Scale) indicated significant improvement for both groups and significantly greater pre-post change for EMDR-treated participants. Pre-post effect sizes for the EMDR group averaged 1.56 compared to 0.65 for the AL group. Despite treatment brevity, the posttreatment outcome variable means of EMDR-treated participants compared favorably with nonpatient or successfully treated norm groups on all measures. [Author Abstract]
Keywords: Americans Battery Child Abuse Effects Emotional Abuse Females Empirical Study Follow-up Study Incest Posttraumatic Stress Disorder PTSD Random Clinical Trial Rape RCT Stressors Survivors Treatment Effectiveness Young Adults
Accuracy Verified: Yes
90. Chemtob, C., Nakashima, J., & Carlson, J. (2002, January). Brief treatment for elementary school children with disaster-related posttraumatic stress disorder: A field study. Journal of Clinical Psychology, 58(1), 99-112. doi:10.1002/jclp.1131.
Language: English
Format: Journal
Abstract:
Effective psychological intervention is needed to help children recover from disaster-related PTSD. This controlled study evaluated the effectiveness of a brief intervention for disaster-related PTSD. At one-year follow-up of a prior intervention for disaster-related symptoms, some previously treated children were still suffering significant trauma symptoms. Using a randomized lagged-groups design, we provided three sessions of Eye Movement Desensitization and Reprocessing (EMDR) treatment to 32 of these children who met clinical criteria for PTSD. The Children's Reaction Inventory (CRI) was the primary measure of the treatment's effect on PTSD symptoms. Associated symptoms were measured using the Revised Children's Manifest Anxiety Scale (RCMAS) and the Children's Depression Inventory (CDI). Treatment resulted in substantial reductions in both groups' CRI scores and in significant, though more modest, reductions in RCMAS and CDI scores. Gains were maintained at six-month follow-up. Health visits to the school nurse were significantly reduced following treatment. Psychosocial intervention appears useful for children suffering disaster-related PTSD. Conducting controlled studies of children's treatment in the postdisaster environment appears feasible. [Author Abstract]
Keywords: Americans Brief Psychotherapy Child Treatment Disasters Elementary School Students Empirical Study Follow-up Study Health Care Utilization Hurricanes Hurricane Iniki Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT School Age Children Survivors Treatment Effectiveness Victim Service
Accuracy Verified: Yes
91. Kip, K. E., Sullivan, K. L., Lengacher, C. A., Rosenzweig, L., Hernandez, D. F., Kadel, R., Kozel, F. A., Shuman, A., Girling, S. A., Hardwick, M. J., & Diamond, D. M. (2013). Brief treatment of co-occurring post-traumatic stress and depressive symptoms by use of accelerated resolution therapy. Front Psychiatry, 4(11). doi: 10.3389/fpsyt.2013.00011.
Language: English
Format: Journal
Abstract:
This uncontrolled prospective cohort study evaluated the use of accelerated resolution therapy (ART) for treatment of comorbid symptoms of post-traumatic stress disorder (PTSD) and major depressive disorder. Twenty-eight adult subjects, mean age of 41years (79% female, 36% Hispanic), received a mean of 3.7±1.1 ART treatment sessions (range 1–5). ART is a new exposure-based psychotherapy that makes use of eye movements. Subjects completed a range of self-report psychological measures before and after treatment with ART including the 17-item PCL-C checklist (symptoms of PTSD) and 20-item Center for Epidemiologic Studies Depression Scale (CES-D). For the PCL-C, the pre-ART mean (±standard deviation) was 62.5 (8.8) with mean reductions of −29.6 (12.5), −30.1 (13.1), and −31.4 (14.04) at post-ART, 2-month, and 4-month follow-up, respectively (p<0.0001 for comparisons to pre-ART score). Compared to pre-ART status, this corresponded to standardized effect sizes of 2.37, 2.30, and 3.01, respectively. For the CES-D, the pre-ART mean was 35.1 (8.8) with mean reductions of −20.6 (11.0), −18.1 (11.5), and −15.6 (14.4) at post-ART, 2-month, and 4-month follow-up, respectively (p≤0.0001 compared to Pre-ART score). This corresponded to standardized effect sizes of 1.88, 1.58, and 1.09, respectively. Strong correlations were observed at 2-month and 4-month follow-up for post-treatment changes in PTSD and depression symptom scores (r=0.79, r=0.76, respectively, p≤0.0002). No serious treatment-related adverse effects were reported. In summary, ART appears to be a promising brief, safe, and effective treatment for adults with clinically significant comorbid symptoms of PTSD and depression. Future controlled and mechanistic studies with this emerging therapy are warranted, particularly given its short treatment duration, and in light of current heightened emphasis on health care cost constraints.
Keywords: Accelerated Resolution Therapy ART Brief Treatment Depression Exposure Therapy Eye Movements Posttraumatic Stress Disorder Psychological Trauma PTSD
Accuracy Verified: Yes
92. Shapiro, F. (2012, November). Building sustainable mental health services in war-torn and disaster-affected areas. Presentation at the 28th Annual Meeting of the ISTSS, Los Angeles, CA.
Language: English
Format: Conference
Abstract:
The after effects of trauma can be transmitted across generations, resulting in ongoing cycles of violence
and pain that affect individuals, families and societies. For those people and organizations working in
countries in need of significant conflict prevention, mediation, reconstruction and reconciliation, these
unprocessed memories can present a grave challenge.
EMDR therapy is an empirically supported treatment for trauma. Since it does not demand a description
of the event, it has proved successful in those cultures where self-disclosure is problematic. Since it does
not need homework, it can also be implemented on consecutive days, making it amenable to the use of
field teams after both natural and manmade disasters. Program evaluations have documented positive
and rapid treatment effects using both individual and group protocols.
The EMDR-Humanitarian Assistance Programs (HAP) is a global network of volunteer educator/clinicians
working to prevent and/or remediate the psychological aftereffects of trauma. HAP projects worldwide
have provided education about trauma and stabilization techniques, and taught local clinicians how to
provide both individual and group treatment in war-torn and disaster-affected areas. The primary goal is
to train clinicians to build sustainable mental health services that will meet not only immediate crisis
needs, but also comprehensively serve future generations.
Accuracy Verified: Yes
93. Sabey, A. (2001, May). Can EMDR be used within a client-centred (non-directive) play therapy sessions?. Poster presented at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
The purpose of this exploratory study was to see whether EMDR could he incorporated into a
Client-Centred model of Play Therapy, to enable children and adolescents to more rapidly
process traumatic memories, thereby enhancing the therapeutic process. The Client-Centred
(non-directive) Play Therapy model is now well recognised as a way of helping children and
adolescents who have experienced psychological trauma to work through their experiences in
a way that is both empowering and non-threatening. It is based on Rogerian principles
(Rogers 1951), with the philosophy that given the right therapeutic conditions the children,
like adults, have an innate drive towards health. The child leads the way, and the therapist
follows. I have struggled to see how EMDR can fit comfortably within a client-centered play
therapy model, although I recognise that Shapiro describes the model as client-centred.
To test a hypothesis that EMDR could be integrated into a client-centred play therapy
approach, three children were identified. All 3 were waiting for some regular weekly client-centred
play therapy sessions, within the Child and Adolescent Mental Health Service, in
West Yorkshire. The subject of the study were two girls, one aged 8 years old and the other
aged 14 years with a mild learning disability, and a boy who was 13 years old. All three had
experienced complex psychological trauma including sexual abuse.
My dilemma was whether it was in fact possible to introduce EMDR within the sessions, and
if so, how to do this in a way that enhanced the therapeutic process and did not intrude. The
sessions were set up introducing the EMDR protocol alongside setting up the client-centred
play therapy sessions. Each child was offered 10-12 weekly sessions. In this presentation I
will summarise my findings and hope to show how possible ways the two approaches can be
integrated.
Keywords: Children Play Therapy Poster
Accuracy Verified: Yes
94. Larson, J., & Rodriguez, C. (2000, September). Can EMDR bring about a remission in Parkinsonism?. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) understand the neurophysiology of Parkinsonism; 2) learn current theories about the cause of Parkinsonism; 3) understand a new hypothesis about psychological causation; 4) identify how EMDR might remove blocks in neuronal pathways; 5) learn how to measure changes in Parkisonism severity; 6) experience from a case how EMDR can be used in treatment and 7) see how Parkinsonism improved with the use of EMDR.
Keywords: Parkinsonism
Accuracy Verified: Yes
95. Bower, R. D., & Bernstein, M. A. (2004). Case presentation of a tattoo-mutilated, Bosnian torture survivor. Torture, 14(1), 16-24.
Language: English
Format: Journal
Abstract:
Torture is used to create fear, destroy individuals and communities, and to suppress unwanted political or religious views. The survivor of torture often endures significant physical and psychological trauma. The basis for treating this trauma varies according to individual needs, community resources, programme designs, and cultural acceptance. The case presented here focuses on torture occurring during the Bosnian conflict of 1992 and demonstrates how the utilisation of a community-based, multidisciplinary network model can be effective in helping survivors through the recovery process. The unique circumstances of the study identify factors of imprisonment, rape, deprivation, physical violence and, particularly, body mutilation through tattooing. [Author Abstract]
Keywords: Bosnians Case Report Cognitive Therapy Depressive Disorders Disfigurement Drug Therapy Females Generalized Anxiety Disorder Middle Aged Muslims Plastic Surgery Treatment Posttraumatic Stress Disorder PTSD Refugees Survivors Torture Yugoslav of Secession
Accuracy Verified: Yes
96. Fang, L. (2005, June). Case presentation: “Relative mild negative situations” - 2 single session cases using the standard EMDR protocol. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
It has proven that EMDR is successful in helping people who have
experienced psychological difficulties that originate from some kind of
traumatic experience. I used standard EMDR protocol successfully in single
session for two persons who experience short negative moments. One client
was a young man who had intrusive recalls of the male acquaintance telling
him about oral sex intercourse between men that happened 38 hours
before he asked for psychological help. The other client was a young nurse,
one of my colleagues, who was scolded and threatened by the husband of
a patient less than 2 hours ago before I did EMDR for her. They both had
moment of trauma was very precise and very short: the moment the words
were spoken. The recent events don't have several hot spots (difficult affect laden
moments in the experience), but just one clearly shocking moment. So
I used standard protocol and it helped stabilizing them very quickly, they
both retouched their resources quickly. Two months later, I followed up my
colleague. She was still stable and had the same positive cognition about
the negative moment.
Keywords: China Psychotrauma Symposium
Accuracy Verified: Yes
97. 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
98. Mackey, C. (2008年10月). Case study of psychological treatment including EMDR for a PTSD associated with witnessing a fatal accident 目击致命意外的PTSD患者的心理治疗(包括EMDR)个案研究(英文)]. 論文發表在第五屆世界心理治療大會論,北京,中國 [Presentation at the 5th World Congress for Psychotherapy, Beijing, China].
Language: English
Format: Conference
Abstract:
Presented in English
Treatment interventions were offered within a cognitive-behavioural framework and included psychoeducation and Eye Movement Desensitisation and Reprogramming.
治疗是在以认知行为疗法,内含的心理教育和眼动脱敏再加工疗法的框架下进行的…
Keywords: Posttraumatic Stress Disorder PTSD Vicarious Trauma
Accuracy Verified: Yes
99. Mackey, C. (2008, April). Case study of psychological treatment including EMDR for PTSD associated with witnessing a fatal accident. Presentation at the annual meeting for the European Society for Trauma and Dissociation, Belfast, Ireland.
Language: English
Format: Conference
Keywords: Motor Vehicle Accident Posttraumatic Stress Disorder PTSD Road Accident
Accuracy Verified: No
100. Cohen, A. (1997, October). Case study: EMDR in hospital intervention. EMDRIA Newsletter, 2(5), 7, 13-16.
Language: English
Format: Newsletter
Abstract:
The therapeutic effectiveness of EMDR has bee well document since 1989, but the technique is far from reaching optimal utilization in the clinical and psychological world. The following is a case in which the improvement of the patient was rapid, possibly even astounding to those who are unfamiliar with EMDR. The implications of this treatment for me, however, were much further reaching. Many of the points outlined in the theoretical training sessions were brought home most strongly and many more priceless pieces of advice for those who wish to be of assistance to someone involved in a traumatic incident were made clearly apparent.
Keywords: Hospital Intervention
Accuracy Verified: Yes
101. 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
102. Struik, A. (2009). Casus 18 – Getraumatiseerd door een eigen misdrijf: Behandeling van een 15-jarig meisje dat vrijkomt uit de jeugdgevangenis [Case 18 – Traumatized by my own crime: Treatment of a 15-year-old girl who is realeased from a youth detention center]. In H. K. Hornsveld & S. Berendsen (Eds.), Casusboek EMDR, 25 voorbeelden uit de praktijk (1st Ed.), (pp. 259-264). Houten: Bohn Stafleu Van Loghum. doi:10.1007/978-90-313-7358-1_26.
Language: Dutch
Format: Book Section
Abstract:
Gea is een meisje van 15 jaar met PDD-NOS (een stoornis in het autistisch spectrum; zie kader in de inleiding bij deel VI), waarvoor ze in behandeling is binnen de kinder- en jeugdpsychiatrie. Ze heeft gesprekken met een van mijn collega's waarin psycho-educatie centraal staat. Haar ouders hebben ouderbegeleiding omte leren omgaanmet de handicap van hun dochter. Gea leeft in haar eigen wereld en het is voor haar moeilijk om zich in te leven in gedachten en gevoelens van de mensen om haar heen. Ze reageert vaak vanuit haar eigen behoeften en gevoelens op anderen.
Gea is a girl of 15 years with PDD-NOS (a disorder in the autistic spectrum, see box in the introduction to Part VI), which it is pending in the juvenile and adolescent psychiatry. She talks with one of my colleagues that psychological education is central. Her parents learn to parent guidance omte omgaanmet their daughter's disability. Gea lives in her own world and it is difficult for her to act to live in thoughts and feelings of the people around her. She often responds from its own needs and feelings to others.
Keywords: Adolescents Crime Detention Center PDD-NOS
Accuracy Verified: Yes
103. Herbert, C. (2002, June). A CBT-based therapeutic alternative to working with complex client problems. European Journal of Psychotherapy, Counseling & Health, 5(2), 135-144.
Language: English
Format: Journal
Abstract:
This paper offers a therapeutic alternative to working with complex client problems, based on a cognitive behavioural therapy (CBT) approach, which is informed by a combination of schema-focussed cognitive behavioural therapy (McGinn and Young 1996; Young 1994; Padesky 1994; Pretzer and Fleming 1989), specialized cognitive behaviourally-focussed trauma therapy (Herbert 1996, 2001, 2002a, 2002b; Herbert and Wetmore 1999, 2001), eye movement desensitization and reprocessing techniques (EMDR - Shapiro 1995) and mindfulness techniques (Bennett-Goleman 2001; Teasdale et al. 1995; Kabat-Zinn 1994; Linehan 1993). This paper attempts to illustrate how such an approach might be applied to working with complex client problems, such as Tracey's, by addressing some of the therapeutic issues that have been highlighted in the original case study of Tracey by her therapist and introducing an alternative understanding of these.
Keywords: CBT Cognitive Behavioral Therapy Countertransference Distress Phenomenology Physical Manifestations Psychoanalysis Psychotherapy Psychoanalytic Psychotherapy Psychological Distress Psychosomatic Phenomena Self Destructive Behavior Self Harm Somatoform Disorders Thinking Trauma Therapy
Accuracy Verified: Yes
104. McLaughlin, D. F., McGowan, I. W., Paterson, M. C., & Miller, P. W. (2008, September). Cessation of deliberate self harm following eye movement desensitisation and reprocessing: A case report. Cases Journal, 1, 177-180. doi:10.1186/1757-1626-1-177.
Language: English
Format: Journal
Abstract:
We present a case report of an eighteen year old female patient presenting with a psychological trauma related complaint. Part of the manifestation of the complaint included acts of self cutting over a number of years. Following two sessions of Eye Movement Desensitization & Reprocessing with one of the authors (DM) her self cutting ceased. This is maintained at thirteen months follow up. We conclude that Eye Movement Desensitization & Reprocessing may be an effective treatment option in reducing repeat self harm where traumatic events are noted to be the precursor to deliberate self harm.[Author abstract]
Keywords: Self Harm
Accuracy Verified: Yes
105. Burns, M. (2009, March). The challenges of using EMDR with refugee and asylum seeking children/adolescents. Symposium conducted the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK.
Language: English
Format: Conference
Abstract:
This paper discusses the use of EMDR with refugee and asylum seeking
children and adolescents using clinical case examples and shares the clinician’s own personal
reflections on the lessons learned.
The challenges of working with this group are explored drawing on research findings as well
as the clinician’s experiences. Language and cultural differences can act as barriers to
assessing children’s mental health or their suitability for EMDR even though in some cases it
might be thought of as the treatment of choice. Working with Interpreters is often a key
feature of this therapeutic work. The challenges are discussed with direct reference to The
British Psychology Society’s recently published guidelines. There are ongoing stresses for these children and young people associated with displacement and their current situation in
the UK. These stresses contribute to their psychological distress.
Fear of being sent home or mistrust may also prevent them from providing full and accurate
information hindering the clinician from obtaining an accurate assessment or trauma
history.
The importance of good therapeutic skills as the basis of an EMDR Approach is highlighted
drawing upon a host of interventions (behavioural, physical, cognitive and motivational) to
support clients in building up their own resources so that they can manage their distress
between sessions. The therapist’s role in managing expressed emotions within the sessions is examined, not forgetting the impact of this on the therapist.
Keywords: Adolescents Asylum Children Refugees Symposium
Accuracy Verified: Yes
106. Amen, D. G. (1999, June). Change your brain, change your life (EMDR not the focus). Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) learn the functions the problems associated with five different brain systems; 2) learn the impact of head injuries on psychological behavior; and 3) develop three psychological strategies for enhancing each different brain system.
Keywords: Brain Brain Systems Head Injuries SPECT
Accuracy Verified: Yes
107. Frustaci, A., Lanza, G. A., Fernandez, F., di Giannantonio, M., & Pozzi, G. (2010). Changes in psychological symptoms and heart rate variability during EMDR treatment: A case series of subthreshold PTSD. Journal of EMDR Practice and Research, 4(1), 3-11. doi:10.1891/1933-3196.4.1.3 .
Language: English
Format: Journal
Abstract:
Elevated psychophysiological parameters and heightened physiological reactivity to trauma-related cues
are acquired changes following trauma exposure. Measuring improvement in these variables is an appropriate
evaluation of outcome in treatment studies. Heart Rate Variability (HRV) is a computerized measure
of physiological responsivity derived from Holter ECG recording. Four female outpatients with persistent
post-traumatic symptoms and personal impairment following “small t” trauma exposure underwent a
course of EMDR treatment and were assessed at baseline, end of treatment, day 30 and day 90 of followup,
using self-report symptom scales and 90-min Holter ECG recordings. Symptom scores decreased
between baseline and end of treatment, with improvement maintained at follow-up. Several HRV measures
changed favorably in different recording intervals. HRV is a feasible and sensitive method to measure
physiological changes in the treatment of individuals distressed by “small t” trauma. Further investigation
is advisable to expand these preliminary data.
Keywords: Case Series Heart Rate Variability HRV IES Small T Trauma
Accuracy Verified: Yes
108. Scarlata, B. (1995). Changing cognitions. EMDR Network Newsletter, 5(1), 8-9.
Language: English
Format: Newsletter
Abstract:
Linda (not her real name) is a 40-
year-old professional woman whose
avocation is healing and who is proficient
in several of the touch therapies.
She has a Dissociative Disorder with
well-defined "parts," but she has not
experienced time loss. She is not on
medication and although she is often
depressed, she is able bfunction fairly
well most of the time. As a child, she
was emotionally and sexually abused
by her father for approximately ten
years. He is bedridden now, but she is
still subject to his verbal abuse when
she visits him once a week. He has
never acknowledged his abuse, nor
has she confronted him about it (although
she has told her mother). She
said she will not feel totally safe until
he is dead. We have had ten sessions
together. EMDR was used in most of
our sessions during which she processed
specific incidents of abuse that
were very traumatic for her. She
believes that she has many dissociated
infant and child parts-each of
whom hold a memory of one of the
abusive incidents she experienced.
Keywords: Cognitions
Accuracy Verified: Yes
109. 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
110. Monahan, K., & Forgash, C. (2012, March). Childhood sexual abuse and adult physical and dental health outcomes. In E. A. Kalfoğlu & R. Faikoglu (Eds.), Sexual Abuse - Breaking the Silence (pp. 137-152). Intechopen.
Language: English
Format: Book Section
Abstract:
Along the same lines, evidence-based assessment and interventions must be in line with the
finding of how significant the subjective impressions of sexual assault are for incarcerated
older adults in treatment. A promising intervention that is being piloted in the criminal
justice system with younger age groups is Eye Movement Desensitization and Reprocessing
(EMDR). EMDR specifically targets change in subjective units of distress among trauma
survivors, particularly sexual abuse survivors, which in turn reduces post traumatic stress
symptoms (Kitchiner, 2000). Moreover, previous research with incarcerated juvenile
offenders shows that EMDR can work in reducing post traumatic stress reactivity resulting
in less violent behavior and conduct problems among samples. Its utility for older adults,
especially those with histories of sexual assault victimization and perpetration is perhaps a
promising intervention. The use of evidence-based practices suggests that untreated trauma
and grief are related to increased adult recidivism rates (Leach et al., 2008). Therefore,
treating psychological distress and untreated symptoms effectively, which involves both
screening and treatment that captures subjective experiences, may help to break the cycle of
recidivism and in some case sexual offending. [Excerpt]
Keywords: Dental Health Physical Health
Accuracy Verified: Yes
111. Klaff, F. (2007). Children of divorce. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 284-305). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Much attention has been devoted to examining whether divorce negatively impacts children's psychological adjustment, or whether divorce is now so prevalent that it can be considered a normative transitional event (Kaslow, 1981). Divorce brings many structural and functional changes. These include the logistic and emotional complications of a nonresidential parent, financial disequilibrium, and two systems with differing rules and expectations. Additionally, there are new subsystem components, such as parental figures, step- and half-siblings, and extended families with a potentially motley cast of new characters and different environments impacting the system. What constitutes "family" for children of divorce is often quite different from what is traditionally viewed as the nuclear family. This chapter discusses divorce effects on childhood adjustment; family systems-based treatment of divorce; adaptive information processing model applied to divorce issues; and the therapy process--integrative family therapy and Eye Movement Desensitization and Reprocessing (EMDR). Two case examples are presented, followed by a concluding discussion. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adaptive Information Processing Model Adjustment Children of Divorce Divorce Emotional Adjustment Family Family Systems Family Systems Theory Family Therapy Integrative Family Therapy Integrative Psychotherapy Models Therapy Process
Accuracy Verified: Yes
112. CIGNA HealthCare (2008, June 15). Cigna Healthcare Coverage Position: Eye movement desensitization and reprocessing. Revised June 15, 2008, .
Language: English
Format: Publication
Abstract:
Systematic reviews: Van Etten et al. (1998) conducted a meta-analysis of the literature regarding
treatments for PTSD. The purpose of the study was to evaluate the relative efficacy of various treatments
for PTSD. A total of 41 studies were included, that yielded sixty-one treatment outcome trials. Eleven
studies were included that examined EMDR. The authors report that behavior therapy and EMDR were
the most effective psychological therapies for PTSD, with the two being generally equally efficacious. The
review noted that behavior therapy was significantly more effective than all treatments, on observer-rated
total PTSD symptoms and no differences in comparative treatment efficacy were discernable between
behavior therapy and EMDR across the specific symptom domains of PTSD. It was noted that effect sizes
for these therapies were large relative to control conditions, indicating good treatment acceptance. It was
also noted, however, that “despite its apparent efficacy, what works in EMDR and the mechanism for how
it works remains unclear. That is, we know little about the active ingredients in EMDR and the
mechanisms by which these ingredients result in decreased PTSD symptoms.” The literature is not
conclusive regarding the role of eye-movement in this treatment.
Keywords: Practice Guidelines
Accuracy Verified: Yes
113. The Australian Psychological Society (2010, August). Clarification of evidence base for eye movement desensitisation and reprocessing (EMDR). InPsych Bulletin .
Language: English
Format: Magazine
Abstract:
In the June edition of InPsych, an article summarising a recent APS review of evidence-based psychological interventions for mental health disorders did not sufficiently highlight the high level of evidence for the effectiveness of Eye Movement Desensitisation and Reprocessing (EMDR) in the treatment of posttraumatic stress disorder (PTSD). In particular, a summary table of psychological interventions with the highest level of research evidence (according to National Health and Medical Research Council criteria) should have prominently presented EMDR for the treatment of PTSD in the body of the table. As EMDR had not been systematically included in the review of psychological interventions, a footnote to the table stated the high level of efficacy of EMDR for PTSD. This oversight has been corrected in the online version of the InPsych article (www.psychology.org.au/publications/inpsych/2010/june/murphy/#s3) and a summary of the research evidence for EMDR from 19 randomised controlled trials will be included in a revision of the full evidence-based psychological interventions review document.
Keywords: Evidence Base
Accuracy Verified: No
114. 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.
Accuracy Verified: Yes
115. Baker, N., & McBride, B. (1991, August). Clinical applications of EMDR in a law enforcement environment: Observations of the psychological service unit of the L.A. County Sheriff’s Department. Presentation at the Police Psychology (Division 18, Police & Public Safety Sub-section) Mini-Convention at the 99th annual meeting of the American Psychological Association, San Francisco, CA.
Language: English
Format: Conference
Abstract:
Crime victims, police officers, fire fighters, and field workers who are no longer disturbed by the aftereffects of violent assaults and/or the stressful nature of their work.
Keywords: Crime Victims Field Workers Fire Fighters Law Enforcement Police Officers
Accuracy Verified: Yes
116. Rhoads, J., Pearman, T., & Rick, S. (2007, October). Clinical presentation and therapeutic interventions for posttraumatic stress disorder post-Katrina. Archives of Psychiatric Nursing, 21(5), 249–256. doi:10.1016/j.apnu.2007.05.002.
Language: English
Format: Journal
Abstract:
It has been almost 2 years since Hurricane Katrina struck the Gulf Coast.
These 2 years can be characterized by constant struggle and pain as the people
try to reattain some semblance of life as they knew it before Katrina struck.
Some have chosen to leave their ancestral homes, homes where they were
raised and where they, in turn, raised their own families. Those who did leave
are able, in some way, to reestablish some semblance of normality, but those
who stayed showed manifestations of and dealt with psychological trauma.
These manifestations include regression, inattentiveness, aggressiveness, somatic
complaints, irritability, social withdrawal, nightmares, and crying. Longer
lasting effects may include depression, anxiety, adjustment disorders, and
interpersonal or academic difficulties. These postdisaster manifestations can
linger or remain hidden until well after the traumatic event and could persist
for years. This article presents issues about the effects of Katrina on the mental
health of the people of New Orleans. It discusses the profile of posttraumatic
stress disorder and presents evidence-based review of interventions the health
care provider can implement to care for thosewho continue to suffer the effects
of this horrific disaster.
Keywords: Hurricanes Intervention Katrina Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
117. Byron, H. (1999). Clinician adherence to and combination of methods with EMDR for post traumatic stress disorder. University of Canberra, Australia.
Language: English
Format: Dissertation/Thesis
Abstract:
The clinical adherence to and combination of methods with EMDR to treat PTSD has not been explored. This is of some concern as 27 000 clinicians are trained in EMDR globally. This exploratory study gained information on Australian trained EMDR clinicians' adherence to EMDR, and the methods they combined with EMDR to treat PTSD. Survey responses from 126 clinicians were analysed using predominantly descriptive statistics. The findings of this study showed that the majority of respondents perceived that they closely adhered to the standard EMDR treatment. However, respondents reported adhering more closely to the phases than the steps of EMDR. Statistically significant findings showed that more experienced EMDR level 1 clinicians were more likely to add steps and phases to EMDR, and to change the standard sequence of steps. Clinicians with greater years of experience were also more likely to change the standard sequence of steps. In addition, more experienced EMDR level 2 clinicians, were less likely to educate their clients about PTSD. Almost all respondents combined EMDR with other methods to treat PTSD. Combined methods included CBT, hypnosis / relaxation, system / solution focused methods and exposure. This research has contributed to theory and practice by uncovering that clinicians appear to use EMDR differently to researchers, by changing EMDR to meet client needs, combining EMDR with other methods and Holly Byron 16/9/99 vi therapies, and introducing EMDR in the mid stage of treatment. These findings are vital to reduce the scientist-practitioner divide by accurately testing EMDR's efficacy and enabling future controlled trials to reflect the clinical use of EMDR.
Keywords: Postrraumatic Stress Disorder PTSD
Accuracy Verified: Yes
118. Grimmett, J., Hartung, J., Galvin, M. D., & Gray, S. (2012, October). Clinician experiences with EMDR: Factors influencing attrition and retention. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Over 70,000 clinicians worldwide have participated in extensive EMDR training in the past 20 years, but, as with other therapies, not all trained clinicians continue to practice newly acquired techniques.
Whether or not a clinician uses a given treatment modality seems to be a complicated issue, the literature can be organized along the lines of five themes: (a) therapists' pre-training factors, (b) the training itself, (c) clients' experiecnes before and during EMDR, (d) post-training skill development, and (e) socio-enviromental contributors to therapist attrition and retention
Keywords: Attrition Clinician Experiences Retention Training
Accuracy Verified: Yes
119. Sharpless, B. A., & Barber, J. P. (2011). A clinician’s guide to PTSD treatments for returning veterans. Professional Psychology: Research and Practice, 42(1), 8–15. doi:10.1037/a0022351.
Language: English
Format: Journal
Abstract:
What options are available to mental health providers helping clients with posttraumatic stress disorder
(PTSD)? In this paper we review many of the current pharmacological and psychological interventions
available to help prevent and treat PTSD with an emphasis on combat-related traumas and veteran populations.
There is strong evidence supporting the use of several therapies including prolonged exposure (PE), eye
movement desensitization and reprocessing (EMDR), and cognitive processing therapies (CPT), with PE
possessing the most empirical evidence in favor of its efficacy. There have been relatively fewer studies of
nonexposure based modalities (e.g., psychodynamic, interpersonal, and dialectical behavior therapy perspectives),
but there is no evidence that these treatments are less effective. Pharmacotherapy is promising
(especially paroxetine, sertraline, and venlafaxine), but more research comparing the relative merits of
medication vs. psychotherapy and the efficacy of combined treatments is needed. Given the recent influx of
combat-related traumas due to ongoing conflicts in Iraq and Afghanistan, there is clearly an urgent need to
conduct more randomized clinical trials research and effectiveness studies in military and Department of
Veterans Affairs PTSD samples. Finally, we provide references to a number of PTSD treatment manuals and
propose several recommendations to help guide clinicians’ treatment selections.
Keywords: Posttraumatic Stress Disorder Psychotherapy Psychopharmacology PTSD
Accuracy Verified: Yes
120. Deacon, B. J., & Abramowitz, J. S. (2004, April). Cognitive and behavioral treatments for anxiety disorders: A review of meta-analytic findings. Journal of Clinical Psychology, 60(4), 429–441. doi:10.1002/jclp.10255.
Language: English
Format: Journal
Abstract:
Behavioral and cognitive psychotherapies are the most widely studied
psychological interventions for anxiety disorders. In the present article, the
results of ten years of meta-analytic studies on psychotherapies for the
various anxiety disorders are reviewed and the relative effectiveness of
cognitive and behavioral therapeutic methods is examined. Meta-analytic
results support the effectiveness of combined cognitive and behavioral
approaches for anxiety disorders. Pure behavioral therapies also are effective
and appear to work as well as combined treatment for some disorders.
Due to the small number of outcome studies involving pure cognitive
treatments, reliable conclusions about the effectiveness of this approach
cannot be offered. Additional theoretical and practical considerations are
discussed. © 2004 Wiley Periodicals, Inc. J Clin Psychol 60: 429–441,
2004.
Keywords: Anxiety GAD Generalized Anxiety Disorder Meta-Analysis Obsessive-Compulsive Disorder OCD Panic Disorder Social Phobia Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
121. Gardner, J. R. (2004, June). Cognitive behavior technique: Eye movement desensitization and reprocessing, 1st edition. Unknown.
Language: English
Format: Other
Abstract:
Eye movement desensitization and reprocessing is a
controversial technique reported to relieve traumatic
memories, phobias, and a wide variety of psychological
problems. This paper explains the EMDR procedure, and
discusses research that supports and refutes its efficacy.
Accuracy Verified: Yes
122. 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
123. Jayatunge, R. M. (2008). Combating tsunami disaster through EMDR. Journal of EMDR Practice and Research, 2(2), 140-145. doi:10.1891/1933-3196.2.2.140.
Language: English
Format: Journal
Abstract:
After the 2004 tsunami devastation in Sri Lanka, many citizens experienced severe psychological reactions. The effectiveness of EMDR is illustrated in the treatment of 7 of these individuals: 3 children and 2 adults with PTSD symptoms and 2 adults with depressive symptoms. After 3-8 sessions of EMDR the symptoms were eradicated and these clients were free from their depressive feelings, anxieties, intrusions, and nightmares, were able to function normally, and were able to lead productive lives. These outcomes replicate those in the research literature demonstrating that EMDR is an efficacious treatment for PTSD in general, with specific utility for disaster-related PTSD. It is recommended that future controlled studies be conducted to evaluate the effectiveness of EMDR in the immediate aftermath of disasters and to assess its effectiveness with major depressive disorder. [Author Abstract]
Keywords: Adults Children Disaster Recent Events South Asia Sri Lanka Tsunami
Accuracy Verified: Yes
124. Hartung, J. G., & Galvin, M. D. (2002). Combining eye movement desensitization and reprocessing (EMDR) and energy therapies. In F. P. Gallo (Ed.), Energy psychology in psychotherapy: A comprehensive sourcebook (1st ed) (pp. 179-197) NewYork: W. W. Norton.
Language: English
Format: Book Section
Abstract: Observing that there has been a rapid increase in the number of practitioners trained in both eye movement desensitization and reprocessing (EMDR) and the energy psychotherapies, the authors describe ways to combine these modalities to increase their effectiveness. Topics include correcting psychological reversals prior to initiating and during EMDR; muscle testing with EMDR; EMDR along with energy therapies to limit the severity and disruption of abreaction, dissociation, "looping," and blocking beliefs; treatment of addiction; using one method to further client receptivity to use of the other; self-use of EMDR and the energy techniques; and, among others, energy training for paraprofessional crisis teams for use in residential programs with EMDR clients. [Adapted from Introduction]
Keywords: Energy Psychotherapy Latin Americans Psychotherapeutic Processes Stressors Survivors TFT Thought Field Therapy
Accuracy Verified: Yes
125. 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
126. van Etten, M. L., & Taylor, S. (1998). Comparative efficacy of treatments for posttraumatic stress disorder: A meta-analysis. Clinical Psychology and Psychotherapy, 5(3), 126-144. doi:10.1002/(SICI)1099-0879(199809).
Language: English
Format: Journal
Abstract:
A meta-analysis was conducted on 61 treatment outcome trials for PTSD. Conditions included drug therapies (TCAs, carbamazepine, MAOIs, SSRIs, and BDZs), psychological therapies (behaviour therapy, Eye-Movement Desensitization and Reprocessing (EMDR), relaxation training, hypnotherapy, and dynamic therapy), and control conditions (pill placebo, wait-list controls, supportive psychotherapies, and non-saccade EMDR control). Psychological therapies had significantly lower drop-out rates than pharmacotherapies (14% versus 32%), with attrition being uniformly low across all psychological therapies. In terms of symptom reduction, psychological therapies were more effective than drug therapies, and both were more effective than controls. Among the drug therapies, the SSRIs and carbamazepine had the greatest effect sizes, although the latter was based upon a single trial. Among the psychological therapies, behaviour therapy and EMDR were most effective, and generally equally so. The most effective psychological therapies and drug therapies were generally equally effective. Differences across treatment conditions were generally evident across symptom domains, with little matching of symptom domain to treatment type. However, SSRIs had some advantage over psychological therapies in treating depression. Follow-up results were not available for most treatments, but available data indicates that treatment effects for behaviour therapy and EMDR are maintained at 15-week follow-up. [Author Abstract]
Keywords: Antimanic Drugs Benzodiazepine Derivatives Hypnotherapy Meta Analysis Monoamine Oxidase Inhibitors Posttraumatic Stress Disorder Psychoanalytic Psychotherapy PTSD Relaxation Therapy Selective Serotonin Reuptake Inhibitors Treatment Effectiveness Tricyclic Derivatives
Accuracy Verified: Yes
127. 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
128. Holmshaw, M., Carswell, J. W., & Allan, J. (2006, June). A comparison of EMDR, CBT or a combined approach (CBT & EMDR) in the treatment of psychological trauma following road accidents. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Keywords: CBT Cognitive Behavior Therapy Road Accidents Traffic Accidents
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. Schmitt, A. (2011). Conséquences des violences conjugales sur la santé psychologique des victimes, prise en charge par la thérapie EMDR [Consequences of domestic violence on the psychological health of victims, taking care by EMDR therapy]. Université de Metz, Metz, France.
Language: French
Format: Dissertation/Thesis
Abstract:
Les violences conjugales représentent un problème de santé public majeur. En 2011, en France, tous les 2.5 jours, une femme meurt sous les coups de son compagnon. Les violences conjugales résultent de la conjonction de facteurs individuels, conjugaux, sociaux mais également culturels, qui seront détaillés dans cette recherche qui présentera également l'état de l'art concernant les conséquences de ces violences, leurs possibilités de prise en charge et la thérapie EMDR. Quatre études ont été menées dans cette recherche. La première porte sur les conséquences des violences conjugales auprès d'un public de femmes bénéficiant d'un accompagnement social. Il s'agissait d'apporter une contribution aux résultats déjà observés dans la littérature. La seconde étude porte sur la prise en charge de 5 femmes ayant vécu un évènement traumatique en couple et s'étant séparées de leur agresseur. La thérapie EMDR donne des résultats véritablement encourageants, ce qui nous amène à la tester auprès d'un public plus lourdement traumatisé, ayant vécu des violences conjugales d'intensité et de nature variable, durant de nombreuses années (étude 3). Les résultats de l'étude 3 mettent en évidence l'importance de l'adaptation de l'outil thérapeutique à la problématique de la victime et les limites de l'utilisation de l'EMDR auprès de certains types de publics, dont les victimes de violences conjugales. Une analyse de contenu des séances EMDR nous a permis d'affiner nos analyses grâce à une vignette clinique présentée dans l'étude 4. De plus, des personnes n'ayant pas pu être intégrées dans le protocole expérimental ont malgré tout été suivies, ce qui permet une réflexion autour de l'adéquation de la méthode thérapeutique et du cadre expérimental à la victime grâce à une étude de cas, également présentée dans l'étude 4. Toutes ces observations permettront l'émergence de suggestions concernant la prise en charge des victimes de violences conjugales.
Domestic violence represents a major problem for public health. In France, every 2,5 days, a woman dies by the hands of her partner. Domestic violence is the result of the conjunction of individual, domestic, social and also cultural factors to be detailed in this research that will also present the state of art, regarding the consequences of this violence, its means of management and EMDR therapy. Four studies were led in this research. The first one is about the consequences of domestic violence for a group of women benefiting from social support. The idea was to bring a contribution to the results already observed in literature. The second study is about the caretaking of five women who experienced a traumatic event during their couple life, and then split up with their molester. EMDR therapy gives really encouraging results, and it led us to test it with a public more heavily traumatized, who lived intensity and variable violence during many years (study 3). The results of the third study highlight the importance of the adaptation of the therapeutic tools to the problematic of the victim, and the limits of the use of EMDR with some public, included the victims of domestic violence. An analysis of the EMDR sessions content allowed us to refine our analyses thanks to a clinical "vignette" showed in study 4. Moreover, people that could not be included in the experimental protocol were all the same followed up, allowing a reflection around the appropriateness of the therapeutic method and of the experimental frame to the victim thanks to a case study, also presented in study 4. All these observations will allow the emergence of suggestions concerning the caretaking of the domestic violence victims.
Keywords: Domestic Violence
Accuracy Verified: Yes
131. Fernandez, I. (2010, June). The contribution of EMDR with children survivors of mass trauma. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
This paper describes the application of EMDR as an early trauma-focused treatment with children involved in mass disasters (natural disasters, accidents and intentionally provoked incidents).
EMDR treatment was part of a comprehensive treatment of the population and was the elective treatment for children of those elementary schools, which were most exposed to the traumatic events. In most cases, 3 cycles of EMDR treatment were organized at one month, three months and one year after the critical event. Individual sessions were used for the school children due to the serious exposure to trauma and grief including: threat to life, loss of friends and siblings.
Psychological support and EMDR treatment was provided to parents and school personnel, and this aspect has been considered fundamental in enhancing treatment results in children during the last interventions.
Results of questionnaires and clinical interviews to assess posttraumatic symptomatology before and after treatment will be shown along with follow up data. Treatment groups show a significant improvement after EMDR treatment. Results and statistical data regarding EMDR treatment with heavily traumatized children will be presented.
The author will discuss clinical aspects of using EMDR with children following recent traumas of great magnitude. Analysis and evaluation of children's reactions and needs have highlighted significant epidemiological aspects.
The posttraumatic stress reactions of this group in developmental age will be discussed. EMDR treatment for parents and other adults involved in the disaster has proven critical when dealing with children's symptomatology. Guidelines and indications for structured interventions with all parties involved (parents, school personnel, community) from our field studies will be presented.
Keywords: Children Keynote Mass Trauma Survivors
Accuracy Verified: Yes
132. 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
133. Marcus, S., Marquis, P., & Sakai, C. (1997, Fall). Controlled study of treatment of PTSD using EMDR in an HMO setting. Psychotherapy, 34(3), 307-315. doi:10.1037/h0087791.
Language: English
Format: Journal
Abstract:
67 individuals diagnosed with PTSD were randomly assigned to either Eye Movement Desensitization and Reprocessing (EMDR) treatment or Standard Care (SC) treatment. Participants were assessed pretreatment, after 3 sessions, and at the completion of treatment using the Symptom Checklist-90, Beck Depression Inventory, Impact of Events Scale, Modified PTSD Scale, Spielberger State-Trait Anxiety Inventory, and Subjective Units of Disturbance. In addition, an independent evaluator assessed participants using DSM-III-R criteria for PTSD including Global Assessment of Functioning at the 3 data points. The individuals in the EMDR treatment group showed significantly greater improvement with greater rapidity than those in the SC treatment group on measures of PTSD, depression, anxiety, and general symptoms. Participants who received EMDR treatment used fewer medication appointments for their psychological symptoms and needed fewer psychotherapy appointments. [Author Abstract]
Keywords: Adults Americans Empirical Study Managed Care Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
134. 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
135. Grand, D., Hartung, J., & Bergmann, U. (2007, Novembro). Conversando com… David Grand, John Hartung, Uri Bergmann [Talking with ... David Grand, John Hartung, Uri Bergmann]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Nos últimos dez anos, as pesquisas sugerem
que o Transtorno de Estresse Pós-Traumático
(TEPT) seja uma desordem de humor, memória e integração somatossensorial. Estudos com
neuroimagens e neuroendocrinologia têm
demonstrado marcadores muito claros desse
transtorno, destacando a compreensão de que o
TEPT seja uma desordem neurobiológica e não o
reflexo de fraqueza psicológica.
Nesta apresentação examinaremos o processo de
formação e consolidação da memória, a
neurobiologia do TEPT e as neuroimagens
correspondentes. A integração dessas três linhas
ilustrarão os efeitos do TEPT sobre a regulação do
humor, memória e integração somatossensorial.
Over the past decade, research suggests
that Post-Traumatic Stressm Disorder
(PTSD) is a disorder of mood, memory and somatosensory integration. Studies with
neuroimaging and neuroendocrinology have
markers demonstrated very clear that
disorder, highlighting the understanding that
PTSD is a neurobiological disorder and not the
reflection of psychological weakness.
In this presentation we will examine the process
formation and consolidation of memory,
neurobiology of PTSD and neuroimaging
corresponding. The integration of these three lines illustrate the effects of PTSD on the regulation of mood, memory and somatosensory integration.
Keywords: Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
136. 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
137. Singer, M. T., & Lalich, J. (1996). Crazy therapies: What are they? Do they work?. San Francisco: Jossey-Bass.
Language: English
Format: Book
Abstract:
The relationship between patient and therapist is unique in important ways when compared to relationships between clients and other professionals such as physicians, dentists, attorneys, and accountants. The key difference is present from first contact: it is not clearly understood exactly what will transpire. There is no other professional relationship in which consumers are more in the dark than when they first go to see a therapist.
In other fields, the public is fairly well informed about what the professional does. Tradition, the media, and general experience have provided consumers with a baseline by which to judge what transpires. If you break your arm, the orthopedist explains she will take an X ray and set the bone; she tells you something about how long the healing will take if all goes well and gives you an estimate of the cost. When you go to a dentist, you expect him to look at your teeth, take a history, explain what was noted, and recommend a course of treatment with an estimate of time and cost. Your accountant will focus on bookkeeping, tax reports, and finances, and help you deal with regulatory agencies.
Consumers enter these relationships expecting that the training, expertise, and ethical obligations of the professional will keep the client's best interests foremost. Both the consumer and the professional are aware of each person's role, and it is generally expected that the professional will stick to doing what he or she is trained to do. The consumer does not expect his accountant to lure him into accepting a new cosmology of how the world works or to "channel" financial information from "entities" who lived thousands of years ago; or for his dentist to induce him to believe that the status of his teeth was affected by an extraterrestrial experimenting on him. Nor does the patient expect the orthopedist to lead him to think the reason he fell and broke his arm was because he was under the influence of a secret satanic cult.
But seeing a therapist is a far different situation for the consumer. In the field of psychotherapy there is no relatively agreed upon body of knowledge, no standard procedures that a client can expect. There are no national regulatory bodies, and not every state has governing boards or licensing agencies. There are many types and levels of practitioners. Often the client knows little or nothing at all about what type of therapy a particular therapist "believes in" or what the therapist is really going to be doing in the relationship with the client.
In meeting a therapist for the first time, most consumers are almost as blind as a bat about what will transpire between the two of them. At most, they might think they will probably talk to the therapist and perhaps get some feedback or suggestions for treatment. What clients might not be aware of is the gamut of training, the idiosyncratic notions, and the odd practices that they may be exposed to by certain practitioners.
Consumers are a vulnerable and trusting lot. And because of the special, unpredictable nature of the therapeutic relationship, it is easy for them to be taken advantage of. This makes it all the more incumbent on therapists to be especially ethical and aware of the power their role carries in our society. The misuse and abuse of power is one of the central factors in what goes wrong.
Questions to Ask Your Prospective Therapist
Ultimately, a therapist is a service provider who sells a service. A prospective client should feel free to ask enough questions to be able to make an informed decision about whether to hire a particular therapist.
We have provided a general list of questions to ask a prospective therapist, but feel free to ask whatever you need to know in order to make a proper evaluation. Consider interviewing several therapists before settling on one, just as you might in purchasing any product.
Draw up your list of questions before phoning or going in for your first appointment. We recommend that you ask these questions in a phone interview first, so that you can weed out unlikely candidates and save yourself the time and expense of initial visits that don't go anywhere.
If during the process a therapist continues to ask you, "Why do you ask?" or acts as though your questioning reflects some defect in you, think carefully before signing up. Those types of responses will tell you a lot about the entire attitude this person will express toward you - that is, that you are one down and he is one up, and that furthermore you are quaint to even ask the "great one" to explain himself.
If you are treated with disdain for asking about what you are buying, think ahead: how could this person lead you to feel better, plan better, or have more self-esteem if he begins by putting you down for being an alert consumer? Remember, you may be feeling bad and even desperate, but there are thousands of mental health professionals, so if this one is not right, keep on phoning and searching.
Accuracy Verified: Yes
138. Hillman, J. L. (2002). Crisis intervention and trauma, New approaches to evidence-based practice. New York, NY: Kluwer Academic/Plenum Publishers.
Language: English
Format: Book
Abstract: R
ecent findings from an American Psychological Association task force suggest that one in four therapists will experience patient suicide, and that one in eight will feel threatened by patient violence during their career. Experts from this task force have also noted that clinicians receive virtually no formal training or coursework in crisis intervention. Despite the increasing need for professional services among members of the general population, current practitioners have few texts available that provide step-by-step, detailed information about how to engage in crisis intervention, and how to integrate recent, empirical research findings into theory and practice. This volume helps bridge this critical gap by providing a theoretically advanced, yet practical guide to crisis intervention.
Particular attention is given to the role of violence within our culture, patient suicide, school and workplace violence, long-term sequelae of trauma, clinical assessment and risk management, professional boundaries and burn-out, domestic violence, and the neurophysiology of trauma, as well as the needs of typically underserved patient populations including minority group members, older adults, gays and lesbians, and children. The text also features critical reviews of controversial topics, including EMDR, critical incident stress debriefing, recovered memories, dissociative identity disorder, and alternative medicine. [Springer]
Keywords: Crisis Intervention Trauma
Accuracy Verified: Yes
139. Nurse, A. R., & Rouanzoin, C. C. (1995). Criteria for special EMDR training standards (for other than University/Professional Schools and Agency/Internship Instruction). Presentation at the annual meeting of the EMDR International Association, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR is a psychological method/intervention that should only be used by licensed
mental health professionals adequately trained in EMDR. The Training and
Standards Committee has the authority and responsibility to recommend to the
Board of EMDRIA, and hence to the public and inquiring agencies (e.g., managed
care, licensing boards, insurance companies) those training programs that meet the
following criteria.
Keywords: Training Standards
Accuracy Verified: Yes
140. Perkins, B., & Rouanzoin, C. (2002, January). A critical evaluation of current views regarding eye movement desensitization and reprocessing (EMDR): Clarifying points of confusion. Journal of Clinical Psychology, 58(1), 77-97. doi:10.1002/jclp.1130.
Language: English
Format: Journal
Abstract:
EMDR is an active psychological treatment for PTSD that has received widely divergent reactions from the scientific and professional community. This article examines points of confusion in the published literature on EMDR, including the theoretical, empirical, and historical issues around EMDR and placebo effects, exposure procedures, the eye movement component, treatment fidelity issues, and outcome studies. It also examines historical information relevant to the scientific process and charges of "pseudoscience" regarding EMDR. We conclude that the confusion in the literature is due to (a) the lack of an empirically validated model capable of convincingly explaining the effects of the EMDR method, (b) inaccurate and selective reporting of research, (c) some poorly designed empirical studies, (d) inadequate treatment fidelity in some outcome research, and (e) multiple biased or inaccurate reviews by a relatively small group of authors. Reading the original research articles frequently helps to reduce the confusion arising from the research review literature. [Author Abstract]
Keywords: Literature Review Methodology Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness
Accuracy Verified: Yes
141. Jensma, J. (1999, Summer). Critical incident intervention with missionaries: A comprehensive approach. Journal of Psychology and Theology, 27(2), 130-138.
Language: English
Format: Journal
Abstract:
When people are exposed to, or involved in, traumatic occurrences, they are at risk for PTSD to follow in the wake. This involves more than psychological discomfort; it involves a host of physiological, mental, emotional, and spiritual sequelae. The results of trauma can be so debilitating that a missionary might be unable to continue to minister. The effects can last a lifetime. Given the relatively high level of risk for missionaries to experience critical incidents and the possible aftereffects, it is important for churches and mission boards to have an adequate and comprehensive approach to member care in ministering to missionaries when they encounter critical incidents. A comprehensive plan would include critical incident stress debriefing as soon as possible after an incident, one-to-one counseling -- preferably with a therapist trained in eye movement desensitization and reprocessing (EMDR) -- for those individuals experiencing complex PTSD, debriefing for the debriefers, and a post-critical incident seminar at least 3 months after the incident. [Author Abstract]
Keywords: Complex PTSD Literature Review Missionaries Posttraumatic Stress Disorder Psychological Debriefing PTSD Recent Events Stressors Survivors
Accuracy Verified: Yes
142. Nowill, J. (2010, April). A critical review of the controversy surrounding eye movement desensitisation and reprocessing. Counselling Psychology Review, 25(1), 63-70.
Language: English
Format: Journal
Abstract:
The treatment eye movement, desensitization and reprocessing (EMDR) continues to court controversy despite its adoption by the National Institute for Health and Clinical Excellence (2005) as a preferred treatment for post-traumatic stress disorder. This article critically reviews the two issues at the heart of the controversy. First, is EMDR effective for unique reasons or is it a disguised treatment such as exposure therapy? Second, is evidence-based practice an appropriate framework within which to assess psychological therapies or are its criteria too narrow and inflexible? The article proposes practice-based evidence as a potential way forward in EMDR research and describes an appropriate model within an EMDR treatment framework.
Keywords: Review
Accuracy Verified: Yes
143. Lee, C. (2008). Crucial processes in EMDR - More than imaginal exposure. Journal of EMDR Practice and Research, 2(4), 262-268. doi:10.1891/1933-3196.2.4.262.
Language: English
Format: Journal
Abstract:
The processes that underlie the effectiveness of eye movement desensitization and reprocessing (EMDR)
are examined by evaluating the procedural differences between it and exposure therapy. Major factors
include the degree of emphasis placed on reliving versus distancing in the therapies and the degree to
which clients are encouraged to focus on direct trauma experiences versus experiences associated with
the trauma. Research results indicate that, unlike traditional imaginal exposure, reliving responses in
EMDR did not correlate with symptom improvement. Instead, consistent with an information processing
model, the degree of distancing in EMDR was significantly associated with improvement. A case study
is described to highlight these methodological divergences in the respective therapies relating to reliving.
Finally, the research regarding the possible sources of the distancing response within EMDR was
examined. The results indicate that the distancing process was more likely to be an effect produced by
eye movements than by any therapist instructions. Theoretical and research evaluations indicate that the
mechanisms underlying EMDR and traditional exposure therapy are different.
Keywords: Exposure Therapy Information Processing Posttraumatic Stress Disorder PTSD Reliving
Accuracy Verified: Yes
144. Renner, W., Banninger-Huber, E., & Peltzer, K. (2011). Culture-sensitive and resource oriented peer (CROP) - Groups as a community based intervention for trauma survivors: A randomized controlled pilot study with refugees and asylum seekers from Chechnya. Australasian Journal of Disaster and Trauma Studies, 2011-1, 1-13.
Language: English
Format: Journal
Abstract:
Asylum seekers and refugees frequently suffer from post-traumatic stress and culturally sensitive methods towards reducing symptoms should be taken into account. The aim of the work reported here was to examine the effectiveness of Culture-Sensitive and Resource Oriented Peer (CROP) - Groups for Chechen asylum seekers and refugees towards reducing post-traumatic symptoms, anxiety, and depression. Some ninety-four participants were randomly assigned to 15 sessions of CROP - or Cognitive Behavior Therapy (CBT) - Groups, to 3 single sessions of Eye Movement Desensitization and Reprocessing (EMDR), or to a Wait-List (WL). The results indicated that CROP was significantly superior to WL, and was equally effective as CBT in reducing post-traumatic symptoms, anxiety, and depression. Improvements still were present at three and six month follow-up occasions. EMDR yielded negative results. According to this pilot study, CROP-Groups pose a promising, culturally sensitive alternative to psychotherapy with Chechen migrants.
Keywords: Asylum Seekers Chechnya Community-Based Intervention CROP Culture-Sensitive and Resource Oriented Peer Pakistan Pilot Study Psychological Trauma Randomized Control Trial RCT Refugees Survivor Trauma Treatment Center Treatment Response Violent Situation in Pakistan
Accuracy Verified: Yes
145. Shapiro, F., Hurley, E. C., de Roos, C., Horst, F., de Jongh, A., & Hornsveld, H. (2013, April). Current research on eye movement desensitization and reprocessing (EMDR) therapy. Presentation at the Anxiety Disorders and Depression Conference, La Jolla, CA.
Language: English
Format: Conference
Abstract:
EMDR therapy is widely recognized as an empirically supported trauma treatment and was given an “A” rating in the most recent practice guidelines of both the DVA/DOD and the International Society for Traumatic Stress Studies. Meta-analytic findings report similar effect sizes for trauma-focused cognitive behavioral therapy (TF-CBT) and EMDR therapy in the treatment of posttraumatic stress disorder (PTSD). However, there are distinct differences between the two modalities in both theory and practice. Unlike TF-CBT exposure therapies, with EMDR therapy there is only intermittent attention to the index trauma, homework is not required and detailed descriptions of the memory are not needed. Further, the eye movement component has been the subject of more than 20 randomized controlled trials that have reported positive effects supporting both working memory and orienting response/REM hypotheses. These effects include a rapid decrease in physiological arousal and negative emotion, as well as increased episodic memory retrieval and recognition of true information. Videotaped clinical sessions will illustrate these findings, as well as the differences between EMDR therapy and prolonged exposure.
Accuracy Verified: Yes
146. Spector, J., & Read, J. (1999, July). The current status of eye movement desensitization and reprocessing (EMDR). Clinical Psychology and Psychotherapy, 6(3), 165-174. doi:10.1002/(SICI)1099-0879(199907).
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing therapy (EMDR) has increasingly been proposed as an effective therapeutic procedure for post-traumatic stress disorder and other mental health problems. However, views on EMDR in the research literature have been polarized. Reasons for this are explored as is the nature and theoretical basis of EMDR. Fifteen controlled studies thus far published on EMDR and PTSD are reviewed, and it is concluded that (i) EMDR is an effective psychotherapy, (ii) EMDR's relative efficacy in comparison to behavioural exposure therapies has yet to be established, (iii) the role of eye movements and laterality in attentional focus remains controversial and (iv) a direct link between the theoretical basis of the therapy and observable psychological and neurobiological changes has yet to be established. [Wiley]
Keywords: Literature Review Posttraumatic Stress Disorder PTSD Reprocessing Therapy
Accuracy Verified: Yes
147. 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
148. 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.
Accuracy Verified: Yes
149. Cook, J. (2003, November 5). Dallaire's demons. Canada: National Post, Editorials, A17.
Language: English
Format: Newspaper
Abstract:
It is also true that there are at least three relatively new therapies widely practised in North America which can help expedite relief for PTSD sufferers. These therapies are: Eye Movement Desensitization and Reprocessing (EMDR) developed by Dr. Francine Shapiro; Traumatic Incident Reduction (TIR) developed by Frank A. Gerbode, M.D.; and even a Christian version, TheoPhostic Ministry (TPM) developed by Dr. Ed Smith.
Keywords: Editorial General Letter Overview
Accuracy Verified: Yes
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. 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
152. 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
153. de Roos, C., & Beer, R. (2010). De kracht van een behandeling: EMDR bij kinderen en jeugdigen [The strength of a treatment: EMDR with children and youth]. Cogiscope, 2(10), 28-31.
Language: Dutch
Format: Magazine
Abstract:
Welke gezichten gaan er schuil achter de hardwerkende behandelaren van psychotrauma,
wat zijn hun drijfveren, waarom kozen ze voor het vak en waar zijn ze door
beïnvloed? Eli ten Lohuis interviewt psychotherapeuten Carlijn de Roos en Renée
Beer, pioniers in het toepasbaar maken van de behandelmethode Eye Movement
Desensitization and Reprocessing (EMDR) voor kinderen en jeugdigen.
Carlijn de Roos is klinisch en kinder- en jeugdpsycholoog. Zij werkt sinds 2000 bij
GGZ Kinderen en Jeugd, Rivierduinen te Leiden, waar zij coördinator is van het door
haar opgerichte Psychotraumacentrum. Tevens richtte zij mede de Vereniging EMDR
Nederland (VEN) op, waarvan zij thans voorzitter is.
Renée Beer, ook klinisch en kinder- en jeugdpsycholoog en gedragstherapeut, werkt
als coördinator van het Centrum voor Traumagerelateerde Stoornissen van De
Bascule, Academisch Centrum voor Kinder- en Jeugdpsychiatrie, te Amsterdam.
Which faces are hidden behind the hardworking practitioners of psychological trauma,
what are their motivations, why they chose the profession and where they are by
affected? Eli at Lohuis interviews psychotherapists Carlijn the Rose and Renee
Beer, pioneers in the applicability of the treatment method Eye Movement
Desensitization and Reprocessing (EMDR) for children and adolescents.
Carlijn the Rose is a clinical psychologist and child and youth. She works since 2000
Mental Health Children and Youth, Rivierduinen Leiden, where she is coordinator of the by
its established Psychotrauma Center. Also, she founded the Association co EMDR
Netherlands (VEN), of which she now chairs.
Renee Beer, and also clinical child and adolescent psychologist and behavioral therapist, works
as coordinator of the Center for Trauma Related Disorders of the
Bascule, Academic Centre for Child and Adolescent Psychiatry, Amsterdam.
Keywords: Adolescents Children
Accuracy Verified: Yes
154. 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. doi:10.1007/s12483-011-0026-4.
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
155. 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
156. 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
157. Schad, N. J. (2011, März). Der soldat, das einstztrauma und EMDR: Spezielle aspekte der behandlung [The soldier, trauma and EMDR: Specific aspects of treatment]. EMDRIA-Day in Berlin, Deutschland.
Language: German
Format: Other
Abstract:
Der Vortrag basiert auf den Erfahrungen einer psychologischen Psychotherapeutin in der Arbeit mit in Auslandseinsätzen traumatisierten deutschen Soldaten. Es werden sowohl die speziellen Stressoren im Einsatz als auch die charakterlichen Merkmale der Soldaten in der Patientenrolle sowie die notwendigen Fähigkeiten auf therapeutischer Seite ausgeführt. Auslösende und die PTBS aufrechterhaltende Bedingungen im Rahmen der Institution deutsche Bundeswehr sowie die daraus resultierenden Probleme und Vorteile werden benannt. Der Vortrag beschäftigt sich mit diversen Herausforderungen, die sich hier im Rahmen einer EMDR-Behandlung stellen wie etwa der Frage nach Schuld und Scham.
The talk is based on the experience of a psychological psychotherapist in working with traumatized German soldiers in missions abroad. There are both the specific stressors in the use of character and the characteristics of the soldiers in the patient role and the skills necessary to run therapeutic side. Triggering and sustaining conditions of PTSD within the institution German Bundeswehr and the resulting benefits and problems are identified. The lecture will deal with various challenges that arise here as part of an EMDR treatment such as the question of guilt and shame.
Keywords: German Bundeswehr Soldier Trauma
Accuracy Verified: Yes
158. Shapiro, F., & Mousnier-Lompré, F. (2005). Des yeux pour guérir: EMDR: La thérapie pour surmonter l’angoisse, le stress et les traumatisms [Eye to heal: EMDR: Therapy for overcoming anxiety, stress and trauma]. Paris: Seuil.
Language: French
Format: Book
Abstract:
Tout le monde connaît désormais la thérapie introduite en France par David Servan-Schreiber dans son livre Guérir. Cette nouvelle thérapie appelée EMDR (Eye Movement Desensitization & Reprocessing) consiste pour l'essentiel à refaire vivre au patient victime d'un événement traumatique la scène terrible qui est à l'origine
de sa souffrance, en lui faisant faire des mouvements oculaires provoquant une diminution progressive du stress. Les résultats sont incontestables, mais la raison des progrès enregistrés reste énigmatique. Peut-être s'agit-il d'une reconstruction ce la mémoire profonde du même ordre que celle qui se produit dans le sommeil
paradoxal (où le dormeur connaît des mouvements
oculaires analogues). Cette thérapie a été fondée par Francine Shapiro, du célèbre institut de Palo Alto. Ce livre fondateur raconte l'origine de sa découverte, donne des interprétations scientifiques possibles et surtout décrit de nombreux cas exemplaires où cette thérapie s'est révélée efficace.
Il est de ce fait très poignant. On y rencontre une femme ayant perdu son fils de huit ans dans un accident de train et accablée par l'image terrifiante du corps disloqué de l'enfant, des anciens combattants du Vietnam hantés par les images terribles de la guerre, des victimes de viol... Et surtout on y voit comment ces personnes,
emprisonnées dans leur souffrance, ont pu s'en affranchir et retrouver un équilibre psychologique.
Everyone now knows the therapy introduced in France by David Servan-Schreiber in his book Healing. This new therapy called EMDR (Eye Movement Desensitizer & Reprocessing) is essentially to re live the patient suffered a traumatic event the terrible scene which is at the origin
In his pain, making him make eye movements causing a gradual decrease of stress. The results are undeniable, but the reason of progress remains enigmatic. Perhaps it is a reconstruction of the deep memory similar to that which occurs in sleep
REM (where the sleeper knows movements
eye like). The therapy was founded by Francine Shapiro, the renowned institute Palo Alto. This seminal book describes the origin of his discovery, provides interpretations possible scientific and especially describes many exemplary cases where this therapy has proven effective.
It is therefore very poignant. We meet a woman who lost her eight year old son in a train accident and overwhelmed by the terrifying image of the broken body of the child, the Vietnam veterans haunted by the terrible images of war, victims of rape ... And especially we see how these people
trapped in their suffering, have overcome them and regain a psychological equilibrium.
Keywords: Anxiety, General Overview Stress Trauma
Accuracy Verified: Yes
159. 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
160. Shapiro, F. (2009). Desensibilizacion y reprocesamiento por medio de movimiento ocular (EMDR) [Eye movement desensitization and reprocessing (EMDR)]. Pax Mexico L.C.C.S.A.
Language: Spanish
Format: Book
Abstract:
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, modeEMDR has become more elaborate treatment for PTSD (among other disturbances) clutter. The methodEMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, the methodEMDR incorporates aspects of systemic therapies, psychodynamic, experienciales, behavioural and body. Consists of eight phases comprising the use of eye movements and other forms of left-right stimulation.
It is effective in treating post-traumatic stress disorder and re-processing thoughts and disturbing memories or psychological problems of survivors of trauma, sexual abuse, of crimes, war combat, as well as phobias and disorders caused by vivenciales experiences and provides deep and stable clinical effects in a short time.
With descriptions and detailed transcripts, the author guides the clinical through every stage of therapeutic, treatment from clients to the implementation of the method and their integration within a comprehensive clinical treatment plan selection.
Written in an accessible manner, this book is an invaluable guide for clinicians in the treatmentEMDR as for people just know the method and for advanced students of clinical psychology and psychotherapy.
Accuracy Verified: No
161. Vojtova, H., Bob, P., & Ptacek, R. (2012). Desenzitizace a zpracování pomocí očních pohybů (EMDR) - psychologické a neurobiologické souvislosti terapie posttraumatické stresové poruchy [Desensitization and processing using eye movements (EMDR) - A psychological therapy connection neurobiological posttraumatic stress disorder]. Československá psychologie, 56(5), 463-472.
Language: Czech
Format: Journal
Abstract:
Eye Movement Desenzibilizace a přepracování (EMDR) představuje slibný přístup k léčbě posttraumatické stresové poruchy. Empirické poznatky poskytují důkazy o vlivu EMDR na snížení subjektivně vnímané živostí a emocionální zátěž z autobiographic vzpomínek a na snížení vzrušení autonomního nervového systému přesouváním rovnováhy směrem aktivace parasympatiku. Poslední hypotézy naznačují, že účinky EMDR spoléhají na neurobiologických mechanismů pracujících v duálním zaměřit pozornost, orientující reflex a REM spánek. Toto přepracování se zdá vyvolat specifickou neurobiological odpověď, že dělá pro zpracování informací v centrálním nervovém systému efektivnější, zejména u jedinců s PTSD.
Eye Movement Desensitization and Reprocessing (EMDR) represents a promising approach to treatment of posttraumatic stress disorder. The empirical findings provide evidence for the effect of EMDR on decreasing of subjectively perceived vividness and emotional burden of autobiographic memories and on reducing arousal of the autonomic nervous system by shifting the balance towards parasympathetic activation. Recent hypotheses suggest that the effects of EMDR rely on neurobiological mechanisms employed in dual focus attention, orienting reflex and REM sleep. This reprocessing seems to provoke a specific neurobiological response that makes the information processing in central nervous system more efficient, particularly in individuals with PTSD [Author Abstract].
Keywords: Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
162. Softic, R, & Becirovic, E, (2009, Septembra). Desenzitizacija pokretima ociju i reprocesiranje (EMDR): Kada su rijeci nemocne [Desensitization of eye movements and reprocessing (EMDR): When words are disabled]. Prvi Psihoterapijski Simpozijum Bosne I Hercegovine Sarajevo, Bosnia and Herzegovina.
Language: Serbian
Format: Conference
Abstract:
Neki ljudi doţive traumatska stanja koja ne mogu u potpunosti opisati rijeĉima. Mnogi od njih nikada ni ne progovore o tome što su doţivjeli. Ali patnja se u njima nastavlja i organizam, a ĉesto i okolina plaćaju ogromnu cijenu. U takvim sluĉajevima psihoterapija koja koristi rijeĉi je nemoćna. Istraţivanja upućuju da jedna, relativno nova psihoterapijska metoda desenzitizacija pokretima oĉiju i reprocesiranje (EMDR), moţe pomoći i takvim osobama.
Kada neko iskusi ozbiljnu psihološku traumu, ĉini se da dolazi do narušavanja ravnoteţe u nervnom sistemu. Ta ravnoteţa je, moguće, narušena i posredstvom razliĉitih medijatora poput adrenalina, serotonina, dopamina, kortizola itd. Zbog takve neravnoteţe onemogućeno je optimalno funkcioniranje sistema za procesiranje informacija, a informacije vezane uz traumatiĉan dogaĊaj poput slika, zvukova, afekata i fiziĉkih senzacija se zadrţavaju u disfunkcionalnom, uznemirujućem obliku. Danas izranja shvatanje da postoji неуролошки balans u razliĉitim fiziološkim sistemima što omogućuje da informacije budu procesirane na adaptivan naĉin. EMDR kod nekih traumatiziranih djeluje ĉak i kada osoba ne moţe govoriti o tome što je preţivjela. Ono što je bitno jeste da se fokusira na traumatski dogaĊaj i da suraĊuje sa terapeutom u procesu stimulisanja dualne paţnje što omogućava adaptivno procesiranje informacija. Adaptivno procesiranje znaĉi uspostavljanje adekvatnih asocijacija i pojavu da iskustvo biva konstruktivno ugraĊeno u pozitivne kognitivne i emocionalne sheme pojedinca. Odnosno, oslobaĊa od simptoma i omogućava da se nova iskustva doţive bez blokirajućeg uticaja traume.
Some people doţive traumatic conditions that can not fully describe in words. Many of them never to speak of it as doţivjeli. But the suffering in them continues and the body, and environment, and often pay a huge price. In such cases psychotherapy that uses words of the powerless. Research suggests that a relatively new psychotherapeutic methods desensitization and reprocessing eye movement (EMDR), and can help such people.
When someone has experienced serious psychological trauma, it seems that there is a violation of equilibrium in the nervous system. This equilibrium is possible, and disrupted through a variety of mediators such as adrenaline, serotonin, dopamine, cortisol, etc.. Because of such imbalance prevented the optimal functioning of the system for information processing and information related to traumatic an event such as images, sounds, physical sensations and affects it retains in the dysfunctional, disturbing form. It emerges that there is understanding of neurological balance in different physiological systems, which allows information to be processed on adaptive manner. EMDR works by some traumatized even when the person can not talk about what is preţivjela. What is important is to focus on the traumatic events and to co-operate with the therapist in the process of stimulating the attention of the dual provides adaptive information processing. Adaptive processing means getting the right associations and the emergence of the experience of being a built-in positive constructive cognitive and emotional schemas of the individual. That is, oslobaĊa of symptoms and allows for new experiences doţive without blocking effects of trauma.
Keywords: Doţ ivjeli Preţ ivjela
Accuracy Verified: Yes
163. 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
164. Erdmann, C. (2005). Die beeinflussung chronischer schmerzen durch psychologische, schmerztherapisverfahren und EMDR [The influence of psychological chronic pain, chronic pain procedures and EMDR]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Das in den 80er Jahren von der amerikanischen Psychologin Francine Shapiro veröffentlichte Verfahren EMDR (Eye Movement and Desensitization and Reprocessing) beinhaltet als zentrale Komponente, dass die Aufmerksamkeit des Patienten sich auf eine traumatische Erinnerung und die damit verbundenen Gedanken und Gefühle richtet, während gleichzeitig rhythmische Augenbewegungen induziert werden. (Shapiro 1998)
EMDR eignet sich signifikant gut zur Behandlung der Posttraumatischen Belastungsstörung (PTBS). Hierbei handelt es sich um ein Störungssyndrom, meistens bestehend aus vegetativer Übererregtheit, Erstarrung, Schlaflosigkeit, Angst und Depression, das häufig auftritt nach sehr belastenden Ereignissen oder starken Bedrohungen, wie z.B. schweren Unfällen, Naturkatastrophen, Folter, sexuellem Missbrauch, Vergewaltigungen, usw.
Das Störungsbild der PTBS zeigt große Ähnlichkeiten mit dem Chronischen Schmerzsyndrom. Chronischer Schmerz kann als eigenständiges Trauma gelten mit dem eigenen Körper als Opfer und Täter. Oft finden sich auch Traumata im Vorfeld oder begleitend. Chronischer Schmerz ist signifikant assoziiert mit Posttraumatischer Belastungsstörung, mit Angsterkrankungen, Depressionen und weiteren psychischen Störungen.
EMDR wird inzwischen auch mit guten Erfolgen eingesetzt bei anderen Erkrankungen, z.B. Suchterkrankungen, Depressionen, Angst- und Zwangsstörungen. Überzeugende Erfolge stellen sich ein bei der Behandlung auch sehr kleiner Kinder mit unterschiedlichen psychischen Erkrankungen. (Tinker, Wilson 1999)
Bislang gibt es aber noch relativ wenig Forschungen über die Wirksamkeit von EMDR bei Akutschmerz, bei Chronischem Schmerz und im Bereich der Psychosomatik. Es ist allerdings bekannt, dass EMDR sich bei Akutschmerz eignet zum Abbau der den Schmerz häufig begleitenden Angst und darüber hinaus bei Chronischem Schmerz zur Erhöhung der Schmerztoleranz, zu mehr Entspannung, zu positiven kognitiven Strategien, zu Desensibilisierung und zur Ablenkung. (Groth, Rogers 1994).
EMDR führt zu nachweislichen neurologischen Veränderungen und damit einhergehenden vom Patienten berichteten positiven Veränderungen im Beschwerdebild. (van der Kolk 2000)
EMDR lässt sich nach ersten Untersuchungen ebenfalls erfolgreich einsetzen zur Behandlung von Phantomschmerzen. (Wilson nach Tinker, Wilson 2000).
That in the 80s by the American psychologist Francine Shapiro published procedures EMDR (Eye Movement and Desensitization and Reprocessing) includes as a central component that the patient's attention on a traumatic memory and associated thoughts and feelings directed, while rhythmic eye movements be induced. (Shapiro 1998) EMDR is significantly well to the treatment of post traumatic stress disorder (PTSD). This is a disorder syndrome, consisting mostly of vegetative over-arousal, numbness, insomnia, anxiety and depression that occurs very often after stressful events or severe threats, such as serious accidents, natural disasters, torture, sexual abuse, rape, etc. The disorder of PTSD shows great similarities with the chronic pain syndrome. Chronic pain can be considered as a separate trauma of his own body as victims and perpetrators. Often also found in the run or incidental trauma. Chronic pain is significantly associated with post traumatic stress disorder, with anxiety disorders, depression and other mental disorders. EMDR is now used with good results in other diseases, such as Addiction, depression, anxiety and compulsive disorders. Convincing results are adapting to treat even very young children with different mental disorders. (Tinker, Wilson 1999) So far there is relatively little research on the effectiveness of EMDR in acute pain, Chronic pain and in the field of psychosomatic medicine. However, it is known that EMDR is suitable for acute pain to reduce the pain often associated with anxiety and also to increase the pain Chronic pain tolerance, more relaxation, positive cognitive strategies to desensitization and distraction. (Groth, Rogers 1994). EMDR leads to demonstrable neurological changes resulting from the patient and reported positive changes in symptoms. (Van der Kolk 2000), after initial investigations EMDR can also be used successfully to treat phantom pain. (Wilson to Tinker, Wilson 2000).
Keywords: Chronic Pain Chronic Pain Protocol Protocol
Accuracy Verified: Yes
165. 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
166. Wagner, F. (2004). Die wirksamkeit von eye movement desensitization and reprocessing (EMDR) bei der posttraumatischen belastungsstorung im vergleich zu kontrollbedingungen und kognitiv-behavioralen therapien: Eine metaanalytische untersuchung [Efficacy of eye movement desensitization and reprocessing (EMDR) for post-traumatic stress disorder compared with control conditions, and cognitive-behavioral therapies]. Zugl: Heidelberg. doi:volltextserver/volltexte/2005/5803 . --.
Language: German
Format: Book
Abstract:
Das Ziel der vorliegenden Metaanalyse war es, die Wirksamkeit von EMDR und kognitiv-behavioralen Therapieverfahren bei der posttraumatischen Belastungsstörung mit dem aktuellen Stand an Publikationen metaanalytisch zu untersuchen. In einer umfassenden Literaturrecherche wurden hierfür sowohl publizierte Originalarbeiten als auch unpublizierte Manuskripte recherchiert. Insgesamt gingen 32 Originalstudien in die Metaanalyse ein. 13 der Studien waren reine EMDR-Studien; 7 untersuchten sowohl eine Gruppe mit EMDR als auch eine Gruppe mit kognitiv-behavioraler Therapie. 12 Studien waren reine kognitiv-behaviorale Therapiestudien. Darüber hinaus sollte die Wirksamkeit unter dem Gesichtspunkt der verschiedenen PTSD- und komorbiden Symptomatiken betrachtet werden. In einem weiteren Schritt wurde EMDR direkt mit kognitiv-verhaltenstherapeutischen Behandlungsmethoden verglichen.
Effektstärken wurden sowohl für die PTSD-Symptomkategorien Intrusionen, Vermeidung und erhöhtes Arousal als auch für die komorbiden Symptome Angst und Depression berechnet. Die Berechnung der Effektstärken erfolgte anhand von standardisierten Mittelwertsvergleichen. Neben dem direkten Vergleich von EMDR mit kognitiv-behavioralen Therapieansätzen bzw. von EMDR und kognitiv-behavioraler Therapie mit Kontrollgruppen (Post-/Post-Vergleich) wurden auch die Veränderungen innerhalb der Behandlungsgruppen berechnet (Prä-/Post-Vergleich). In den Post-/Post-Vergleich gingen nur kontrollierte und randomisierte Originalstudien ein. In den Prä-/Post-Vergleich hingegen wurden auch Ein-Gruppen-Studien aufgenommen. Als Effektmaß wurde Hedges´d verwendet.
Die Ergebnisse legen nahe, dass sowohl EMDR als auch die kognitiv-behaviorale Therapie wirksam in der Behandlung der posttraumatischen Belastungsstörung sind. Beide Verfahren reduzieren in klinisch bedeutsamem Umfang, sowohl unmittelbar als auch lang anhaltend, die PTSD-Symptomatiken Intrusionen, Vermeidung und erhöhtes Arousal. Darüber hinaus führen beide Behandlungsmethoden auch zu einer Reduktion der komorbiden Symptomatiken Angst und Depression. Die Effektivität beider Verfahren zeigt sich hierbei sowohl im Prä-/Post-Vergleich als auch im direkten Post-/Post-Vergleich mit einer Kontrollbedingung. Darüber hinaus ergibt sich eine ähnlich hohe Wirksamkeit von EMDR und kognitiv-behavioraler Therapie, sowohl im Vergleich der Prä-/Post-Effektstärken als auch im direkten Post-/Post-Vergleich. Dennoch scheint es unterschiedliche Einflussfaktoren zu geben, welche die Therapieeffektivität sowohl bei EMDR als auch bei kognitiv-behavioraler Therapie beeinflussen. Aufgrund der geringen Studienzahl lassen sich diese Faktoren jedoch nicht näher untersuchen. Des Weitern zeichnen sich Unterschiede hinsichtlich der Effizienz der beiden Therapieformen ab: So beträgt die durchschnittliche Behandlungsdauer bei EMDR 5 Sitzungen, bei der kognitiv-behavioralen Therapie hingegen 8 Sitzungen. Darüber hinaus ist die Expositionsdosis bei den kognitiv-behavioralen Therapien höher als bei EMDR.
Die Befunde zur Wirksamkeit der bilateralen Stimulation sind hingegen weniger eindeutig. Allerdings sind Studien, welche den Versuch unternehmen, die Augenbewegungen bei Personen mit PTSD isoliert zu betrachten, oftmals von erheblichen methodischen Mängeln gekennzeichnet. Einzelne Befunde und Modellvorstellungen zur Rolle der bilateralen Stimulation beim EMDR werden im Diskussionsteil erörtert.
The aim of this meta-analysis was to investigate the efficacy of EMDR and cognitive-behavioral therapy for posttraumatic stress disorder with the current meta-analysis of publications. In a comprehensive literature search for this original work, both published and unpublished manuscripts were researched. A total of 32 original studies were included in the meta-analysis. 13 of the studies were pure EMDR studies; 7 examined both a group and a group with EMDR with CBT. 12 studies were purely cognitive-behavioral therapy studies. Moreover, the effectiveness should be considered in the light of various PTSD and comorbid symptomatology. In a further step EMDR was compared directly with cognitive-behavioral treatment methods. Effect sizes were calculated for both the PTSD symptom categories intrusions, avoidance and increased arousal as well as the comorbid symptoms of anxiety and depression. The calculation of effect sizes was based on standardized mean comparisons. In addition to the direct comparison of EMDR with cognitive-behavioral therapy approaches and EMDR and CBT with control groups (Post-/Post-Vergleich) and the changes within the treatment groups were calculated (Prä-/Post-Vergleich). In the only controlled and randomized Post-/Post-Vergleich original studies were submitted. In contrast Prä-/Post-Vergleich also single-group studies were included. Hedges'd was used as a measure of effect. The results suggest that both the EMDR and cognitive-behavioral therapy are effective in the treatment of post-traumatic stress disorder. Both methods reduce in clinically relevant extent, both immediate and long lasting, the PTSD symptomatology intrusions, avoidance and increased arousal. In addition, both treatments lead to a reduction in comorbid anxiety and depression symptomatology. The effectiveness of both methods is shown here both in Prä-/Post-Vergleich as well as direct Post-/Post-Vergleich with a control condition. Moreover, there is a similar level of effectiveness of EMDR and CBT, both in comparison to the Prä-/Post-Effektstärken as well as direct Post-/Post-Vergleich. Nevertheless, there seems to be different factors that influence the effectiveness of both EMDR therapy as well as cognitive-behavioral therapy. Due to the small number of studies, these factors can, however, examine in detail. Weitern the distinguished differences in the efficiency of the two forms of therapy from: Thus, the average duration of treatment with EMDR is 5 sessions in cognitive-behavioral therapy, however, 8 sessions. In addition, the exposure dose in the cognitive-behavioral therapies is higher than EMDR.
The findings on the effectiveness of bilateral stimulation, however, are less clear. However, studies that attempt to isolate the eye movements with PTSD in persons often characterized by significant methodological flaws. Individual findings and concepts on the role of bilateral stimulation in EMDR are discussed in the discussion section.
Keywords: Posttraumatic Stress Disorder PTSD Trauma
Accuracy Verified: Yes
167. Hopper, J., Spinazzola, J., Blaustein, M., Yehuda, R., van der Kolk, B. A., & Simpson, W. (2003, October-November). Differential biological outcomes of EMDR and fluoxetine for PTSD. In B. A. van der Kolk (Chair), Treatment outcome studies of PTSD. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
Treatment Outcome Studies of PTSD: This symposium presents three large carefully controlled treatment
outcome studies using four different treatment modalities (CBT,
EMDR, psychopharmacology and Cognitive Processing) and presents
data on comparative efficacy, treatment responsiveness and
resistance, effects on comorbidity, quality of life, and biological
changes that accompany symptom improvement.
Differential Biological Outcomes of EMDR and Fluoxetine for PTSD: Two major developments in PTSD research have been the development
of effective treatments and the delineation of pathophysiology.
While major gains have been made in both of these areas, they
have occurred in parallel. There is a need for investigations of possible
differential effects of different treatment modalities on biological
aspects of PTSD. In this randomized controlled trial (N = 105), we
compared the exposure treatment Eye Movement Desensitization
and Reprocessing, the serotonergic reuptake inhibitor fluoxetine,
and pill placebo for their effects on both PTSD symptoms and biological
parameters. The outcome measures were severity of reexperiencing,
avoidant/numbing, and hyperarousal symptoms; psychophysiological
reactivity to script-driven imagery; basal salivary
cortisol and dexamethasone suppression test (DST). At pre-treatment,
post-treatment and 3-month follow-up, saliva samples were
acquired at 8 a.m., 11 p.m. (immediately followed by dexamethasone)
and 8 a.m.. Participants also underwent a script-driven
imagery protocol utilizing four 30s scripts, each followed by a 60s
script imaging period and 2 minute recovery periods (fixed order:
neutral, trauma, neutral, trauma). Preliminary analyses partially support
hypothesizes concerning differential efficacies of pharmacological
and psychological treatments on different symptom clusters
and biological markers of the disorder, at post-treatment and 3-
month follow-up. Potential implications for treatment and future
research will be discussed.
Keywords: Fluoxetine Posttraumatic Stress Disorder PTSD Symposium
Accuracy Verified: Yes
168. Scaer, R. (2006, September). Dissociation theory and the healing of trauma. Plenary at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The early studies of trauma in late 19th century Paris
centered on the clinical phenomenon of conversion
hysteria, a dissociative disorder. Janet and Freud
wrote extensively on this topic, and actually
described many of the posttraumatic syndromes that
we are revisiting today. I will make the case that the
late syndromes of Posttraumatic Stress Disorder,
especially dissociation, are clearly the defining
symptomatic and physiological manifestations of
trauma. These syndromes all have prominent
somatic features, all of which represent posttraumatic
sornatosensory implicit memory. This unconscious,
body-based feature of the posttraumatic syndrome
presents a compelling case for the universal
application of somatically-based therapies such as
EMDR in the healing of trauma.
Keywords: Dissociation Plenary
Accuracy Verified: Yes
169. Darker-Smith, S. (2012, October). Dissociative disorders and EMDR: Depersonalisation, derealisation and dissociation. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.
Language: English
Format: Conference
Abstract:
Within the field of dissociative disorders, EMDR clinicians are advised that there should be significant stabilisation in the preparation phase of the standard protocol. Indeed, where a client has been experiencing depersonalisation and / or derealisation for a significant period of time, there can be elements of heightened risk, such as suicidal intent caused by living in this ‘half-life’ or ‘dream-state’. For these clients, using a float-back technique to introduce body sensation as a mechanism of grounding can be, and is, highly effective in terms of stabilisation. This can enable a swifter progression to a place of stability in order to target the cause of dissociation, where it has been triggered by a natural, protective psychological avoidance to a traumatic event as well as reduce risk of suicide in clients who are experiencing significant distress at being ‘trapped’ in this ‘alternate reality’.
Keywords: Derealization Depersonalization Dissociation
Accuracy Verified: Yes
170. Mills, S., & Hulbert-Williams, L. (2012, September). Distinguishing between treatment efficacy and effectiveness in post-traumatic stress disorder (PTSD): Implications for contentious therapies. Counselling Psychology Quarterly, 25(3), 319-330. doi:10.1080/09515070.2012.682563.
Language: English
Format: Journal
Abstract:
Research psychologists often complain that practitioners disregard research evidence whilst practitioners sometimes accuse researchers of failing to produce evidence with sufficient ecological validity. We discuss the tension that thus arises using the specific illustrative examples of two treatment methods for post-traumatic stress disorder: eye movement desensitisation and reprocessing and exposure-based interventions. We discuss the contextual reasons for the success or failure of particular treatment models that are often only tangentially related to the theoretical underpinnings of the models. We discuss what might be learnt from these debates and develop recommendations for future research.
Keywords: Clinical Medicine Patient-Centered Care Posttraumatic Stress Disorder Practice Psychotherapists' Attitudes PTSD Research
Accuracy Verified: Yes
171. Spoormaker, V. I., & Montgomery, P. (2008, June). Disturbed sleep in post-traumatic stress disorder: Secondary symptom or core feature?. Sleep Medicine Reviews, 12(3), 169-184. doi:10.1016/j.smrv.2007.08.008 .
Language: English
Format: Journal
Abstract:
Sleep disturbances are often viewed as a secondary symptom of post-traumatic stress disorder (PTSD), thought to resolve once PTSD has been treated. Specific screening, diagnosis and treatment of sleep disturbances is therefore not commonly conducted in trauma centres. However, recent evidence shows that this view and consequent practices are as much unhelpful as incorrect. Several sleep disorders—nightmares, insomnia, sleep apnoea and periodic limb movements—are highly prevalent in PTSD, and several studies found disturbed sleep to be a risk factor for the subsequent development of PTSD. Moreover, sleep disturbances are a frequent residual complaint after successful PTSD treatment: a finding that applies both to psychological and pharmacological treatment. In contrast, treatment focusing on sleep does alleviate both sleep disturbances and PTSD symptom severity. A growing body of evidence shows that disturbed sleep is more than a secondary symptom of PTSD—it seems to be a core feature. Sleep-focused treatment can be incorporated into any standard PTSD treatment, and PTSD research needs to start including validated sleep measurements in longitudinal epidemiologic and treatment outcome studies. Further clinical and research implications are discussed, and possible mechanisms for the role of disturbed (REM) sleep in PTSD are described.
Keywords: Etiology Insomnia Nightmares Posttruamatic Stress Disorder PTSD REM Sleep Risk Factor Sleep Sleep Apnea Sleep Disorders Treatment
Accuracy Verified: Yes
172. 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
173. 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
174. Mevissen, L., Lievegoed, R., Seubert, A., & de Jongh, A. (2011, December). Do persons with intellectual disability and limited verbal capacities respond to trauma treatment?. Journal Intellectual and Developmental Disability, 36(4), 274-279. doi:10.3109/13668250.2011.621415.
Language: English
Format: Journal
Abstract:
Background. There is not one case report of successful trauma treatment with the use of an evidence-based treatment method in people with substantially limited verbal capacities. This paper assessed the applicability of eye movement desensitisation and reprocessing (EMDR) in two clients with moderate ID, serious behavioural problems, and histories of negative life events. Method. The 8-phase protocol of EMDR, a first-line treatment for psychological trauma, was applied. Results. In both cases, posttraumatic stress disorder (PTSD)-like symptoms decreased in a total of only 6 and 5 sessions, respectively. Gains were maintained at 32 and 10 months' follow-up. Conclusions. EMDR seems to be an applicable psychological trauma treatment for persons with limited verbal capacities. Considering the importance of these findings, further and more rigorous research is required.
Keywords: Developmental Disabiities Intellectual Disabilities
Accuracy Verified: Yes
175. Lockhart, S. (2009, June 16). Do the eyes have it?. Psychology Today.
Language: English
Format: Magazine
Abstract:
A few years ago, my friend Ally, who had a somewhat unwarranted confidence in my knowledge of Things Psychological, asked if I knew anything about EMDR; she had suffered some severe childhood trauma, and was thinking of trying it. "EMDR?" I asked, "Is that a new street drug?" I guess that showed her what I knew. She explained that her therapist had suggested this relatively new technique, Eye Movement Desensitization and Reprocessing, that had been shown to ease symptoms of Post Traumatic Stress Disorder (PTSD) in soldiers and rape victims. From what she understood, the therapist would help her to focus on her devastating memories of childhood abuse while directing her eyes to twitch rapidly from side to side. This, according to her shrink, would help her to better "process" her memories. "Sounds like hypnotism," I expertly analyzed. "Who knows, maybe it will work." More recently, when I wrote here about the neurobiological advantages of emotionally "finding a safe place," several readers also wrote in to ask me about EMDR. Now I understand why people want an expert opinion (and I'm no expert, by the way): a heap of controversy surrounds this popular technique.
Accuracy Verified: Yes
176. Rossi, E. L. (1999, June). Does EMDR facilitate new growth in the brain? Immediate-early genes in optimizing human potentials. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to describe the possible role of immediate-early genes and the growth of the brain during psychological arousal, creative work and innovative approaches to psychotherapy, such as EMDR; and 2) be able to outline the mind-body dynamics of our natural 90 ultradian cycle of peak performance and healing in creative work, as well as psychotherapy.
Keywords: 90 Ultradian Cycle of Peak Performance Brain Growth Immediate-Early Genes
Accuracy Verified: Yes
177. Krafona, K. (2010). Does eye movement desensitization and reprocessing (EMDR) have any utility in intellectual disabilities? Two bereavement case reports. The Ghana International Journal of Mental Health, 2(1).
Language: English
Format: Journal
Abstract:
Individuals with intellectual disabilities (ID) are to some extent discriminated against when it comes to the psychotherapies. The long held belief that individuals with ID do not benefit from such interventions has been attributed in part to communication difficulties, lack of insight and lack of language
sophistication. Yet, it is well known that these individuals are about four-fold at risk of developing mental health problems. Cognitive behavior therapies (CBT) and other related therapies are becoming more recognized in the field of intellectual disabilities. Loss and bereavement is common among people with ID but their exposure to interventions such as Eye Movement Desensitization and Reprocessing
(EMDR) has been limited. EMDR is a psychological intervention that encompasses many aspects of
traditional therapies such as CBT and psychodynamic therapies. There is little research in this area for people with ID. This paper reports two cases in individuals with intellectual disabilities who were
struggling with bereavement. They appear to have benefited from EMDR sessions and there may be
scope for research to establish its efficacy in this field.
Keywords: Intellectual Disabilities
Accuracy Verified: Yes
178. 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
179. Turner, S. (2005, November). Drug treatments in the management of PTSD. Symposium conducted (S. Turner, Chair) at the 21st annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.
Language: English
Format: Conference
Abstract:
The UK National Institute for Clinical Excellence
Guidelines on PTSD: Based on rigorous meta-analysis, detailed literature review and two public
consultations, the national guidelines for the assessment, prevention and
treatment of PTSD in the UK will be presented in this symposium on behalf
of the Guideline Development Group.
Drug treatments in the management of PTSD: Drug treatments are increasingly used in the management of PTSD and have
been supported by a number of recent reviews although there have been
increasing concerns about their safety. Recent guidance has been issued in
the UK by the Regulatory Agency concerning the use of SSRI drugs in people
of all ages, but especially in children and young adults. In a meta-analysis
of the clinical trial literature for PTSD, following a rigorous bibliographic
search, 26 RCTs meeting strict criteria were identified. Data on two hitherto
unpublished trials of sertraline were available for inclusion. This review highlights
the methodological issues involved in comparing drug trials and trials
of psychological therapies. Nonetheless, meta-analysis demonstrates that
drug treatments for PTSD are probably more disappointing than hitherto
believed. Only five drugs emerged with recommendations for use. One of
these has a reliable if modest effect (paroxetine). The other four are included
on the basis of small single trial reports. Although there are clear indications
for drug treatments, in general there should be an increasing emphasis on
ensuring that trauma-focused psychological treatments (CBT and EMDR) are
widely available, delivered by competent practitioners, and easily accessible
in a timely fashion in primary and secondary care settings.
Keywords: Drug Treatment Posttraumatic Stress Disorder PTSD Symposium
Accuracy Verified: No
180. Ravaglia, G. (2003). E.M.D.R. e percorso analitico [EMDR and path analysis]. Gianfranco Ravaglia.
Language: Italian
Format: Other
Abstract:
Le tesi sviluppate negli scritti di questo sito
rinviano a vari indirizzi psicoterapeutici che convergono nel considerare i disturbi psicologici come esiti di atteggiamenti difensivi intenzionali, anziché come "effetti" di "cause" intrapsichiche o ambientali. Il cliente in analisi non è quindi considerato un malato da curare, ma un soggetto che ha costruito le sue difese e che per questo può anche cambiare.
Il lavoro analitico verte sul chiarimento delle convinzioni irrazionali su cui si fonda la strategia difensiva della persona e sull'esplorazione dei vissuti profondi non integrati nell'infanzia perché sentiti in tale epoca come intollerabili. Il lavoro analitico si basa sull'idea che i sintomi, gli atteggiamenti difensivi ed anche molti atteggiamenti considerati normali costituiscano una risposta ragionevole nell'infanzia, ma irrazionale nella vita adulta, al dolore. Il bambino evita il dolore, mentre l'adulto può accettarlo perché dispone di risorse che nell'infanzia non aveva.
Il lavoro analitico ha come obiettivo l’elaborazione delle esperienze dolorose attuali e dei vissuti dolorosi del passato. Non “cura” i disturbi psicologici, ma serve a renderli superflui; consente quindi alla persona in analisi non solo di "star meglio", ma di modificare l'atteggiamento complessivo nei confronti della sua esistenza.
Dal 2000 ad oggi questo sito è cresciuto includendo ogni anno nuovi lavori.
Per ogni saggio indico la data della prima pubblicazione; indico anche quella dell’ultima revisione solo nei casi in cui parti significative sono state aggiunte.
The arguments in the writings of this site
refer to various addresses psychotherapy converge in considering the results of psychological disorders such as defensive intentional, rather than "effects" of "causes" intrapsychic or environmental. The customer analysis is therefore not considered a patient to be cured, but a person who has built his defenses and that this may also change.
The analytical work focuses on clarifying the irrational beliefs underlying the defensive strategy of the person and the exploration of deep feelings are not integrated in childhood because at that time felt as intolerable. The analytical work is based on the symptoms, the defensive and many considered normal behavior in childhood constitute a reasonable response, but irrational in adult life, the pain. The child avoids the pain, while the adult can accept it because it has resources that childhood did not have.
The analytical work has as objective the development of painful experiences of current and past painful experiences. Not cure psychological disorders, but serves to make them redundant; then allows the person in analysis not only of "getting better", but change the overall attitude towards its existence.
Since 2000 this site has grown to include new works each year.
For each test indicates the date of first publication, also indicates that the last review only in cases where significant parts have been added.
Keywords: Path Analysis
Accuracy Verified: Yes
181. Lueger-Schuster, B., & Olff, M. (2008, June). Early intervention following traumatic events. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
On successful completion of the workshop, participants will be able to:
· Describe the commonly used approaches to early intervention following
traumatic events and the rationale behind them including blanket
intervention, targeted interventions and the timing of them. Describe specific interventions including critical incident stress debriefing,
psychological debriefing, psychological first aid, critical incident stress
management, trauma risk management, supportive counselling and trauma
focused cognitive behavioural therapy.
Discuss the current evidence base for the effectiveness of early interventions
following traumatic events.
Keywords: Early Intervention
Accuracy Verified: Yes
182. Ruzek, J. I., Bisson, J. I., Schnyder, U., Ritchie, E. C., & Watson, P. J. (2001, December). Early intervention to prevent PTSD: Visions of the next generation of services. Presentation at the 17th annual meeting of the International Society for Traumatic Stress Studies, New Orleans, LA .
Language: English
Format: Conference
Abstract:
Although most human service professionals believe in the utility of early intervention
post-trauma to prevent development of chronic psychological problems, there is little
agreement as to the appropriate forms of care. A range of psychological interventions
has been advocated for use with various traumatized populations within days or weeks
of their trauma exposure, including education about trauma and stress reactions,
critical incident stress debriefing (CISD), cognitive-behavioral brief intervention
packages, EMDR, and psychopharmacological interventions. Currently, prospective
research studying response to trauma and beginning within hours or days of the
traumatic event is increasing rapidly, and a number of recent publications have suggested the potential effectiveness of some early interventions in preventing
development of PTSD. Recent support for such interventions is developing at the same
time that the evidence for the most popular early intervention, debriefing, is being
called into question. In this panel discussion, four members of the recently initiated
ISTSS “Early Interventions” Special Interest Group will describe their personal views as
to what the next generation of early intervention services will look like, how existing
models of early intervention should be improved based on current research and theory,
and how improved services can be implemented in real-world settings.
Keywords: Early Intervention Future Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
183. 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
184. Staemmler, F. M. (2004, Spring). Editorial. International Gestalt Journal, 27(1), 5-7.
Language: English
Format: Journal
Abstract:
The article gives an introduction to the papers included in the present issue of "International Gestalt Journal". Spurred by the positive feedback we have received for the last two volumes of our journal the editorial board has once again made a special effort to provide our readers with interesting material. The contribution by Stephan Tobin (see record 2004-19782-003) addresses an issue that has gained great attention in recent years: the therapy of trauma. In his paper Tobin outlines his idea of an integration of EMDR and relational gestalt therapy. Dan Bloom's (see record 2004-19782-005)paper describes the development of the world's first gestalt therapy institute, which has been one of the major sources of gestalt therapy and its vicissitudes over the course of half a century. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Editorial Emotional Trauma Multimodal Treatment Approach Neurophysiology Physiology Posttraumatic Stress Disorder Psychological Stress
Accuracy Verified: Yes
185. Dumery, J. (2005, September-Oktober). Eeen ogenblik EMDR [EMDR and time]. Het Perron, 21(5), 1290-1294.
Language: Dutch
Format: Magazine
Abstract:
Een T-shirt met de tekst laat zien hoe cynisch angst. We hebben aan te vallen, voor trauma, en hoe wij proberen te behandelen. Cynisme is een onaangename manier om de waarheid te vertellen misschien, Eye Movement Desensibilisatie and Reprocessing (EMDR) is een meer passende reactie op de behandeling van psychologische trauma's.
A T-shirt with the text shows how cynical fear. We have to attack, for trauma, and how we try to deal with. Cynicism is an unpleasant way to tell the truth, perhaps Eye Movement Desensitization and Reprocessing (EMDR) is a more appropriate response to the treatment of psychological trauma.
Accuracy Verified: Yes
186. 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
187. Kruse, M. J. (2011, June). The effect of energy psychology on rates of relapse and recidivism for substance abuse offenders in a community correction setting. The University of the Rockies, Colorado Springs, CO. AAI3460565.
Language: English
Format: Dissertation/Thesis
Abstract:
This dissertation was a study of a community corrections program which incorporated adjunct Energy Psychology Therapies for Substance Abuse Offenders (SAOs), who were transitioning back into community. Rates of relapse and recidivism were compared, upon success/failure to complete drug and alcohol treatment. When Energy Psychology therapies were added, assisting offenders in resolving underlying trauma issues, there were significance differences between groups. The Choices Program used brief therapies including: Eye Movement Desensitization and Reprocessing, Thought Field Therapy, Emotional Freedom Techniques, (EMDR, TFT, EFT) along with group and individual classes/sessions to relieve underlying trauma symptoms. The results indicated that people who chose to resolve underlying trauma achieved more successful treatment outcomes, thereby lowering rates of relapse and recidivism significantly.
Keywords: Community Corrections EFT motional Freedom Techniques Energy Psychology Offenders Eye Movement Social Sciences Substance Abuse Trauma
Accuracy Verified: Yes
188. 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
189. Freund, B., Ironson, G., & Bira, L. (2012, October). The effect of three treatments for recent trauma on trauma-related cognitions. Poster presented at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Objective: To determine whether (and which) of three brief (4 session) interventions would reduce trauma related cognitions: EMDR, stress management with a trauma focus (SMT), or four sessions of expanded Psychological First Aid (PFA).
Keywords: PFA Psychological First Aid SMT Stress Management with a Trauma Focus
Accuracy Verified: Yes
190. Becker, L. (2000). Effect size. Lee Becker, Ph.D..
Language: English
Format: Other
Abstract:
Effect size (ES) is a name given to a family of indices that measure the magnitude of
a treatment effect. Unlike significance tests, these indices are independent of sample
size. ES measures are the common currency of meta-analysis studies that summarize
the findings from a specific area of research. See, for example, the influential metaanalysis
of psychological, educational, and behavioral treatments by Lipsey and
Wilson (1993).
There is a wide array of formulas used to measure ES. For the occasional reader of
meta-analysis studies, like myself, this diversity can be confusing. One of my
objectives in putting together this set of lecture notes was to organize and summarize
the various measures of ES.
In general, ES can be measured in two ways:
a) as the standardized difference between two means, or
b) as the correlation between the independent variable classification and the
individual scores on the dependent variable. This correlation is called the "effect size
correlation" (Rosnow & Rosenthal, 1996).
These notes begin with the presentation of the basic ES measures for studies with two
independent groups. The issues involved when assessing ES for two dependent groups
are then described.
The psychotherapies include: behavioral treatments (primarily different forms of
exposure therapies), eye movement desensitization and reprocessing (EMDR),
relaxation therapy, hypnosis, and psychodynamic therapy.
The control conditions include: pill placebo (used in the drug treatment studies), wait
list controls, supportive psychotherapy, and no saccades (a control for eye movements
in EMDR studies).
Keywords: Effect Size
Accuracy Verified: Yes
191. Silverman, S. J. (2011). Effecting peak athletic performance with neurofeedback, interactive metronome®, and EMDR: A case study. Biofeedback, 39(1), 40-42. doi:10.5298/1081-5937-39.1.08.
Language: English
Format: Journal
Abstract:
This case study chronicles the application and effects of a customized combination of therapies, including neurofeedback, Interactive Metronome® (IM), and Eye Movement Desensitization and Reprocessing (EMDR) created to help a professional athlete improve his brain function and performance. Brian, a 28-year-old professional baseball player, sought help for difficulty maintaining focus and concentration while playing baseball. He felt his challenges impeded his athletic performance, and he wanted to perform at the highest possible level during the upcoming spring training season. Brian's history combined with the results of a QEEG brain map led to a diagnosis of Attention Deficit Disorder–Inattentive Type. The individualized treatment program for Brian included neurofeedback to lower theta activity and increase beta, IM to improve coordination and timing, and EMDR to address his feelings of anger and lack of self-confidence. At the conclusion of his training, Brian described feeling “clear-headed” and was able to focus his mind when needed. His timing and coordination improved, and he showed a positive attitude about playing baseball and felt confident that he would perform well at spring training.
Keywords: Athelete Attention Deficit Disorder–Inattentive Type IM Interactive Metronome® Neurofeedback Performance ENhancement QEEG Brain Map
Accuracy Verified: Yes
192. Cloitre, M. (2009, January). Effective psychotherapies for posttraumatic stress disorder: A review and critique. CNS Spectrums, 14(1, Supplement 1), 32-43 .
Language: English
Format: Journal
Abstract:
This report reviews and critiques the psychotherapy literature for the treatment of PTSD and systematically presents data on sample size, rates of completion, and effect sizes. Substantial progress has been made in the use of cognitive behavioral therapies and eye movement desensitization and reprocessing for the resolution of PTSD. Innovations in PTSD treatments are identified. Further advances are needed in the treatment of populations with complex and chronic forms of PTSD such as those found in childhood abuse populations, refugee populations, and those experiencing chronic mental illness. The need to address comorbid emotional, social, and physical health consequences of trauma, to implement treatments in community-based settings, and to incorporate larger systems of care into study designs is noted. [Author Abstract]
Keywords: Cognitive Therapy Exposure Therapy Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
193. Lothlorien (2010, December). The effectiveness of EMDR: A literature review. (Author) Online .
Language: English
Format: Dissertation/Thesis
Abstract:
This literature review has been conducted to study the effectiveness of Eye-Movement Desensitization and Reprocessing (EMDR) in treating trauma. Articles for this literature review were chosen using the Google Scholar database with OhioLink applying keywords such as EMDR, EMDR and trauma, and EMDR effectiveness. Articles were also found using the EMDR International Association website at http://emdria.org. Most articles were chosen due to their relevance to the research question. Other factors that were considered were the quality of the research, timeliness, the number of times an article was cited by others, and accessibility. . Of these ten articles, 2/10 (20%) were literature reviews, 2/10 (20%) were conceptual articles, and 6/10 (60%) were empirical studies. All of the empirical studies (6/6 or 100%) were quantitative. All empirical studies cited in the literature review (6/6 or 100%) used primary data based on observation. Five out of the six (83%) empirical studies used and experimental design. One out of six (17%) used a quasi-experimental design. In the six empirical studies, the mean sample size was 51. The smallest sample size was 22, and the largest sample size was 88. Based on the articles studied for this review, EMDR is found to be an effective treatment for trauma. It has also been found to work faster than other therapies. Some studies also showed it to be more easily tolerated by clients than other therapies. Major limitations to this review are the number of publications included, the fact that only articles available in full text form via OSU affiliates were selected, and time available for the literature review. Based on the conclusion that EMDR is an effective mode of treatment for trauma survivors, social workers conducting therapy with this population would benefit from learning the technique and incorporating it in their repertoire of therapies.
Keywords: Literature Review Research Methods Trauma
Accuracy Verified: Yes
194. Altan Aytun, O., Ozcan, G., Ciftci, A,. Konuk, E. Yuksek, H., Karakus, D., Cavusoglu S., & Vatan Ozcelik, D. (2010, June). The effects of early EMDR interventions (EMD and R-TEP) on the victims of a terrorist bombing in Istanbul. In Treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Presenter: Filiz Kaya
The present study is carried out within a psychological
counseling project which is governed by Istanbul metroplitan Municipality. The study was designed to assess the effects
of Early EMDR Intervention (EEI) on the victims of a terrorist
bombing in Gungoren, Istanbul. Subjects were the victims of
a terrorist bombing in Gungoren, Istanbul. The participants
were selected from a pool of children and adults, who lived in
Gungoren and scored high on the Turkish version of 'Impact of
Event Scale' (IES) and PTSD Symptom Checklist. The subjects
were contacted 2 days after the bomb attack so that we were
able to measure the event impact right after the traumatic experience,
which will help us to demonstrate how EMDR affects
the impact of the event more accurately.
Eye Movement Desensitization (EMD) as an EEI technique was
used to treat the child participants, whereas Recent Traumatic
Event Protocol (R-TEP) which incorporates the EMD and Recent
Event (RE) protocols, was received by the adult participants
The therapists (EMDR certified therapists, who were receiving
supervision) met with the participants weekly to work only on
the trauma of the bombing and participants completed impact
of Event Scale prior to each session. The number of the sessions was restricted to the completion of EMD and R-TEP. The study
is completed with a three month follow-up. Analyses of the
data collected from the participants demonstrates the level of
effectiveness of EMDR in children and adults, in prevention of
PTSD and the use of EMDR as a crises intervention tool.
Keywords: Acute Stress Bombing Early Interventions EMD Istanbul Recent Events R-TEP Symposoium Terrorism
Accuracy Verified: Yes
195. 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
196. 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
197. 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
198. Pagani, M., Hogberg, G., Salmaso, D., Nardo, D., Jonsson, C., Danielsson, A. M., Engelin, L., Jacobsson, H., Larsson, S. A., Hallstrom, T., & Sundin, Ö. (2006, September-October). Effects of EMDR therapy on 99mTc-HMPAO distribution in Post-traumatic Stress Disorder. Presentation at the European Assocation of Nuclear Medicine Congress, Athens, Greece.
Language: English
Format: Conference
Abstract:
Background Post-traumatic stress disorder (PTSD) is a derangement of mood control with emotional trauma recollections that may follow psychological trauma. It is treated with pharmacological and cognitive therapies as well as with eye movement desensitization and reprocessing (EMDR). However, a limited number of studies have been published dealing with job related PTSD, and an even smaller number have assessed the effects of treatment on CBF. The aim of this study was to investigate the short term outcome of occupation based PTSD after EMDR therapy by 99mTc-HMPAO SPECT. Methods Fifteen patients suffering PTSD after having experienced a person under train accident or having been assaulted at work were included into the study. 99mTc-HMPAO SPECT was performed before and after EMDR therapy while listening to a script portraying the traumatic event. Tracer distribution analysis was performed at VOI level using a 3D standardised brain atlas and at cluster of voxel level by SPM and was subjected to an analysis of treatment as well as contrasted to a group of 27 subjects exposed to the same psychological trauma and not developing PTSD. Results Eleven of 15 patients responded to treatment, i.e. they did no longer fulfil the DSM-IV criteria for PTSD after EMDR. Overall VOI analysis showed significant differences between, both before and after treatment conditions and controls (p<0.05) but no effect of period, i.e. treatment. However, when contrasting responders to controls the significant group difference present after treatment disappeared, indicating a normalization effect due to successful EMDR treatment. SPM analysis showed significant uptake differences in orbitofrontal cortex (Brodmann 11) and temporal pole (Brodmann 38) before as well as after treatment as compared to controls. A significant tracer uptake group difference present before treatment in uncus (Brodmann 36) disappeared after treatment while a significant difference appeared in lateral temporal lobe (Brodmann 21). No tracer uptake differences were found by SPM as an effect of treatment, nor between the 11 responders and controls. Conclusion Significant 99mTc-HMPAO uptake differences, mainly in peri-limbic cortex, between PTSD patients investigated before and after EMDR and subject exposed to trauma not developing PTSD were found. Differences between the tracer distribution in patients before and after therapy were not significant neither at SPM nor at VOI analyses but the latter showed at group level an effect of symptom remission on tracer distribution. The findings underscore the validity of psychotherapy in anxiety disorders and confirm the efficacy of SPECT in psychiatry. [EANM]
Keywords: 99mTc-HMPAO Distribution Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
199. Choi, K. M., Min, J. A., Park, G. H., Lee, S.-H., & Chae, J.-H. (2011). The effects of horizontal eye movement on mental health indices and psychophysiological activities in healthy subjects. Korean Journal of Biological Psychiatry, 18(3), 148-158.
Language: English
Format: Journal
Abstract:
Objectives: The eye movement (EM) has been reported to play a role in enhancing the retrieval of episodic memories and reducing effects of fearful episodes in the past and worries for the futures. However, it is still unclear in the mechanism of EM in normal subjects. We examined the horizontal eye movement (HEM) effect using an aiding apparatus on mental health indices including negative and positive psychological factors, and psychophysiological measures such as heart rate variability and quantitative electroencepaholography (qEEG) in healthy subjects.
Methods: Twenty eight healthy subjects were recruited and randomly allocated into two groups : active HEM group and control group. The active HEM group conducted the HEM training with usual stress management audio-intervention using the apparatus inducing eye movement once a day for 14 days. The control group also conducted the same training once a day for 14 days, however, the saccadic eye movement was not included in this training. Psychological measurements, neurocognitive function tests, heart rate variability measurement and qEEG were conducted before and after the training in both groups.
Results: In the active HEM group, sleep status using Sleep Quality Scale (SQS) positive factors significantly increased after the training. By contrast, scores on the negative items of Psychological Well-Being Scale (PWBS), and negative items of the Life Orientation Test-Revised (LOT-R) were significantly decreased after the training. The percentage of delta amplitude (1-3 Hz) in qEEG significantly decreased after the HEM training. The percentage of alpha amplitude (8-12 Hz) significantly increased after HEM training. The change of delta amplitude in the active HEM group was positively correlated with the change of sleep satisfaction of Visual Analogue Scale (VAS), and the change of alpha amplitude was negatively correlated with depression of VAS, anxiety of VAS and Beck Anxiety Inventory (BAI).
Conclusions: The HEM training improved sleep quality and well-being, and sense of optimism. The HEM training also increased alpha amplitude and decreased delta amplitude in qEEG. The qEEG changes were well correlated with subjective improvement of mental health indices in healthy subjects. These results suggest some evidences that HEM training using the apparatus that induces EM would be helpful in improving subjective mental health in healthy subjects. Further study with larger samples size would be needed.
Keywords: Horitzontal Eye Movements
Accuracy Verified: Yes
200. 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
201. Coch , I. (2012, June). The effects of trauma on gender. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain.
Language: English
Format: Conference
Abstract: INTRODUCTION: The main aim of this work is primarily centred on the concept of trauma (PK and PS) and their influences to the psychological parameters of the population. In order to understand these relations, the study is split in two parts. First, whether there could be some type of correlation between trauma with some other variables (HY, MF, D and Es) or not. And, to analyse any similarities and differences in relation to trauma arising from within the two groups, female and male.
Accuracy Verified: Yes
202. Ruozzi, A. (2002). Efficacia dell'EMDR nella psicoterapia del PTSD e dei ricordi traumatici [Effectiveness of EMDR psychotherapy on PTSD and traumatic memories]. Retrieved from http://www.psicotraumatologia.com/pubblicazioni_psicotraumatologia_italiane.htm on 10/13/2012.
Language: Italian
Format: Dissertation/Thesis
Abstract:
L’EMDR inoltre progredisce su altri due versanti: da un lato incorpora al suo interno spunti teorici ed applicativi provenienti da diversi paradigmi psicoterapeutici allo scopo di potenziare l’efficacia e la flessibilità (Shapiro, 1995); dall’altro lato, si cerca di applicare il metodo a disturbi che vanno oltre al PTSD. Attualmente nei differenti paesi del mondo le persone che hanno effettuato un training organizzato dall’EMDR Institute sono circa 30.000.In Italia i primi corsi sull’EMDR sono stati condotti nel febbraio 1999 e sono attualmente coordinati dall’Associazione EMDR Italia, a sua volta riconosciuta e patrocinata dalla EMDR Europe (Giannantonio, 2000). L’associazione ha sede a Milano e dispone di un sito internet: www.emdritalia.it.
Il dibattito sull’efficacia di questo metodo è tuttora aperto e sono numerose e contrastanti le ricerche che si sono svolte su questo argomento. La questione ha assunto a tratti i toni dello scontro ideologico e sono subentrati anche problemi di carattere commerciale, un metodo che si propone come più efficace e più rapido nella terapia di alcuni disturbi psicologici non può non essere valutato come un rivale, soprattutto in una realtà come quella del Nord America dove le spese per la psicoterapia sono pagate dalle assicurazioni (Giannantonio, 2000).
L’EMDR è uno dei metodi che vanta il maggior numero di conferme sperimentali nella psicoterapia del PTSD. Questo gli ha consentito nel 1995 di essere considerata “trattamento probabilmente efficace” (valutazione A/B) nella terapia del PTSD dalla Task Force on Psychological Intervention dell’American Psychological Association. Questa valutazione di efficacia è uguagliata solo dallo Stress Inoculation Training e dalle terapie basate sull’esposizione (Chambless et al., 1998).
Gli studi prodotti sull’efficacia dell’EMDR sono numerosi (per una rassegna vedi Giannantonio, 2000), molti sono criticabili perché mal strutturati e con grossi problemi di validità. Esistono tuttavia una serie di studi ben organizzati che si sono dimostrati inattaccabili sul piano metodologico...
Questi studi tuttavia commettono uno o più dei seguenti problemi:
1) Impiegano una o due sedute di EMDR con reduci del Vietnam forse anche a causa dell’equivoco suscitato dalla stessa Shapiro (1989) che riferiva risultati importanti nei confronti del PTSD con una sola seduta di EMDR nel 100% dei soggetti. Una tale concezione dell’EMDR non è quella più attuale e condivisa (Shapiro, 1995).
2) Trattano con l’EMDR solo uno o due episodi traumatici in soggetti che devono essere considerati “pluritraumatizzati” (Shapiro, 1999).
La presente Tesi è divisa in due parti: nella prima di carattere essenzialmente bibliografico ho analizzato la letteratura esistente sull’EMDR e sul PTSD.
Nel secondo capitolo descriverò il Disturbo Post-Traumatico da Stress analizzando i vari approcci teorici al problema del trauma.
Nel terzo capitolo verrà analizzata la teoria dell’EMDR ovvero il modello esplicativo ritenuto più adeguato che fa riferimento alla “elaborazione accelerata dell’informazione”.
Il quarto capitolo, che conclude la prima parte, riporta il protocollo standard di somministrazione dell’EMDR per adulti e adolescenti.
Nella seconda parte viene riportata la descrizione della ricerca che si sta producendo in collaborazione con l’EMDR Italia che si propone di valutare l’efficacia dell’EMDR. Nel quinto capitolo viene descritto il disegno sperimentale. Nel sesto capitolo viene analizzato il metodo di campionamento e i presupposti di validità della ricerca. Nel settimo capitolo sono descritti i test che si è deciso di analizzare nel corso della presente tesi. Infine l’ottavo capitolo si concentra sull’analisi dei primi dati emersi dalla ricerca e sulle prime conclusioni.
EnglishSpanishArabicAlpha
EMDR also progressing on two other fronts: on the one hand it incorporates theoretical insights and applications from different psychotherapeutic paradigms in order to enhance the effectiveness and flexibility (Shapiro, 1995), on the other hand, it tries to apply the method to problems that go beyond PTSD.
Currently in different countries of the world, people who have a training organized dall'EMDR Institute 30.000.In Italy are about the first courses on EMDR have been conducted in February 1999 and is currently coordinated by the Association EMDR Italy, in turn recognized and sponsored by the EMDR Europe (Giannantonio, 2000). The association is based in Milan and has a website: www.emdritalia.it.
The debate on the effectiveness of this method is still open and they are many and conflicting research that took place on this topic. The issue has assumed at times the tone of the ideological battle and were replaced also problems of a commercial nature, a method is proposed as a more effective and faster in the treatment of certain psychological disorders can not be assessed as a rival, especially in a situation such as North America where the cost of psychotherapy are paid by insurance (Giannantonio, 2000).
EMDR is one of the methods which has the highest number of experimental confirmation in psychotherapy for PTSD. This enabled him in 1995 to be considered "probably efficacious treatment" (rated A / B) in the treatment of PTSD by the Task Force on Psychological Intervention of the American Psychological Association. This assessment of effectiveness is equaled only by the stress inoculation training and exposure-based therapies (Chambless et al., 1998).
Studies on the effectiveness of EMDR are numerous products (for review see Giannantonio, 2000), many are questionable because poorly structured and serious problems of validity. There are however a number of well-organized studies that have proven resistant in terms of methodology:
......
These studies, however, have committed one or more of the following problems:
1) They use one or two sessions of EMDR with Vietnam veterans possibly because of misunderstanding caused by the same Shapiro (1989) who reported significant results against PTSD with a single session of EMDR in 100% of subjects. Such a conception of EMDR is not the most current and shared (Shapiro, 1995).
2) They deal with EMDR only one or two traumatic events in people who should be considered "pluritraumatizzati" (Shapiro, 1999).
This thesis is divided into two parts: the first character essentially bibliographic I analyzed the existing literature on EMDR and PTSD.
In the second chapter I will describe the Post-Traumatic Stress Disorder analyzing the various theoretical approaches to the problem of trauma.
In the third chapter we will analyze the theory of EMDR or the explanatory model deemed more appropriate that refers to the "accelerated processing of information."
The fourth chapter, which concludes the first part shows the standard protocol of administration of EMDR for adults and adolescents.
In the second part shows the description of the research that is being produced in collaboration with the EMDR Italy that aims to assess the effectiveness of EMDR. In the fifth chapter describes the experimental design. In the sixth chapter analyzes the sampling method and the conditions for validity of the research. In the seventh chapter describes the tests it was decided to analyze the course of this thesis. Finally, the eighth chapter will focus on early evidence from research and initial findings.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
203. Lee, C. (2006, May). Efficacy and mechanisms of action of EMDR as a treatment for PTSD. Murdoch University, Perth, Australia.
Language: English
Format: Dissertation/Thesis
Abstract:
The first aim of this thesis was to describe the characteristics of Posttraumatic Stress Disorder (PTSD) and to elucidate its place as a symptom disorder that sometimes develops when people are exposed to a traumatic event. The current major theoretical approaches to account for why some people who are exposed to trauma develop PTSD and the mechanisms by which this occurs were described. Three classes of theories were reviewed: conditioning/learning approach; information processing theories with a particular focus on the meaning of the trauma event; and biological models with an emphasis on recent neurocircuitry and neurochemistry models.
Successful treatment approaches were then reviewed which indicated two major contenders for the most efficacious treatment for PTSD: traditional cognitive behaviour therapies (CBT) using either stress inoculation or prolonged exposure; and eye movement desensitisation and processing (EMDR). Prior to the first study (Lee, Gavriel, Drummond, Richards, and Greenwald, 2002), a review of the literature indicated equivalent effects for EMDR and CBT. There had been very few direct comparison studies and each had serious methodological flaws, particularly with respect to random assignment and treatment fidelity. Therefore, the first study ensured adequate attention to these areas and involved a direct comparison between the two procedures using a sample of 24 participants diagnosed with PTSD. EMDR and stress inoculation training with prolonged exposure were found to lead to similar symptom improvement at the end of treatment, apart from a slight advantage for EMDR on intrusion symptoms. Both treatments led to significantly greater symptom reduction than a wait list control condition. At follow-up, EMDR led to greater gains on both self-report and observer rated measures of PTSD and self-report measures of depression. Overall, the findings were similar to those described in previously published studies, with a suggestion that EMDR was slightly more efficient than the standard CBT approach.
Given that the evidence suggested that EMDR was a more efficient treatment, it became critical to understand the underlying processes. A process study was undertaken that examined the responses of people with PTSD receiving EMDR treatment (Lee, Taylor, and Drummond, 2006). Guided by process studies of other treatments and theories that might account for why EMDR is effective, participants' responses were examined to see which models better accounted for symptom improvement. The main analysis tested whether or not the responses were consistent with processes that occurred during traditional CBT treatment, which prior research had identified as reliving, or whether they were more consistent with Shapiro's proposal that enhanced information processing occurs because there is a dual focus of attention (that is, the person simultaneously focuses on an external stimulus and on the traumatic memory) (Shapiro, 1995). The responses made by 44 participants were coded by an independent rater according to whether they were primarily reliving, distancing, affect or material other than the primary trauma. The coding system was found to have satisfactory inter-rater reliability. Greatest improvement occurred when the participant processed in a more detached or distant manner, whereas reliving responses were not associated with improvement. Cross-lagged panel correlations suggested that processing in a more detached manner was a consequence of the EMDR procedure rather than a measure that co-varied with improvement. The findings underscored a difference in the processes that underlie EMDR and traditional CBT.
The major question left unanswered from this second study was what causes this distancing process? Competing views were that it was facilitated by eye movement; alternatively, the therapist's instructions to participants might have precipitated this distancing phenomenon. The third study tested these ideas by randomly assigning 48 participants to either an eye movement or a no eye movement condition under two types of therapist instructions (reliving or distancing). Participants recalled personal distressing memories, and measures of distress and vividness were taken after treatment and at follow up. Only the eye movements made a significant difference to people's level of distress.
This conclusion appeared at odds with some of the previous literature that had tested the effects of eye movement on levels of distress. A meta-analysis of some of this research had suggested that there was no significant advantage of including eye movement in EMDR treatment unless the person had been diagnosed with PTSD. However, a close examination of this meta-analysis indicated some major methodological flaws in the computation; therefore, this was recalculated. The conclusion from this fourth study was consistent with study three in that EMDR with eye movement was found to lead to significantly greater improvement that EMDR without eye movement.
The results of these four studies were then discussed in terms of their implications for the theoretical models presented in Chapter 1. Aspects of learning theory that might account for EMDR efficiency were discussed as well as the failure of this model to account for treatment gains following EMDR. Information processing models were seen to better account for some of the phenomena observed in EMDR and for the findings from the four studies. Some suggestions of how eye movements might facilitate improved information processing were presented.
Finally, the relative merits of EMDR and CBT treatments were discussed and suggestions made for when to combine approaches. The conclusions highlight the point that EMDR appears to be the most promising treatment for PTSD.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
204. 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
205. Bumke, P. J., & Sodemann, U. (2010, July). The efficacy of EMDR in a new context: Some findings from the ACEH survey. Symposium (Carolyn L. Neunuebel, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Context: As a response to the Tsunami in 2004 the Aceh Project organized by TraumaAid and sponsored byTDH and the BMZ
from 2007 to 2009 treated more than 3200 clients for psychic disorders related to traumatic experiences .The treatment was
given by Indonesian therapists who against the background of a lack of local therapists trained in psychotraumatology had to
be trained within the project under the auspices of TraumaAid. This combination of EMDR-Training and EMDR-Therapy in an
extremely challenging context also offered an unique opportunity for a parallel and wide ranging monitoring and evaluation
of the social and diagnostic parameters involved. Methodology: To guide the therapeutic process and to check on its long
term efficacy 1200 adults and 1000 children were at the outset of their therapies asked to contribute detailed diagnostic
data. While for adults the Hopkins Anxiety and Depression scales along with a 42-item Harvard Trauma Questionnaire was
administered, children and adolescents up to age of 17 were given an adapted version of the CBCL. At the conclusion of their
therapies 20 % of all respondents were rechecked with the same diagnostic scales, another group of 5 % again after 6 months.
Results: The diagnostic data indicate a dramatic improvement after therapies that involved a range of therapeutic techniques
including stabilising and EMDR protocols. The relation between diagnostic dimensions (intrusions, somatic reactions, social
relations, expression of feelings and attention problems) and social factors (gender, age) was further explored.
Keywords: ACEH Survey
Accuracy Verified: Yes
206. Wilson, S. A. (1995). Efficacy of eye movement desensitization and reprocessing (EMDR) treatment for psychologically traumatized individuals. Union Institute and University, Cincinnati, OH. AAT 9524675.
Language: English
Format: Dissertation/Thesis
Abstract:
The effects of three, 1.5-hour Eye Movement Desensitization and Reprocessing (EMDR) treatment sessions on traumatic memories and psychological symptoms of 80 subjects were studied. The treatment sessions were administered within a two week period. 40 and 40 men ranging in age from 21-67 were interviewed and selected from a pool of 117. Subjects reported continuous difficulty and suffering (mean 13 years) in some area of their life since the occurrence of the traumatic event. Approximately 1/3 of subjects had no prior therapy experience. Subjects were randomly assigned to either EMDR treatment or delayed EMDR treatment condition, and to one of five EMDR trained therapists. Treatment therapists (licensed psychologists and counselors) consisted of 2 women and 2 men, each working with 5 men and 5 women in each group (gender study issues). The therapists had been trained in EMDR by Francine Shapiro. Each had various levels of EMDR experience and training, ranging from facilitator training with two to three years EMDR clinical experience, to Level I and minimal EMDR clinical experience. Treatment fidelity was consistent throughout the study. Subjects receiving EMDR showed decreases in anxiety and presenting complaints, and increases in positive self-evaluations. The six standardized tests and subjective reports were administered by an objective independent assessor (licensed psychologist) pre and post treatment, and at a 90-day follow-up. Subjects in the delayed EMDR treatment group showed no improvement on any of these measures during the 30 days before treatment. After treatment, the delayed EMDR treatment group showed decreases in anxiety and presenting complaints and increases in positive self-evaluations. All ANOVA interactions for both groups were significant at p < .001. These effects were maintained or improved at the 90-day follow-up. The main effect sizes in the present study range from 0.50 to 2.3, with an overall average of 0.93. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(4-B), Oct 1995, pp. 2347
Keywords: Adults Empirical Study Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
207. Lohr, J. M., Tolin, D. F., & Lilienfeld, S. O. (1998, Winter). Efficacy of eye movement desensitization and reprocessing: Implications for behavior therapy. Behavior Therapy, 29(1), 123-156. doi:10.1016/S0005-7894(98)80035-X.
Language: English
Format: Journal
Abstract:
The commitment of behavior therapy to empiricism has led it to a prominent position in the development of validated methods of treatment. The recent development and rapid expansion of Eye Movement Desensitization and Reprocessing (EMDR), a treatment that bears a resemblance to behavioral techniques and that has been proposed as an alternative to such techniques for numerous psychological disorders, raises important questions for the field of behavior therapy. In this article, we examine 17 recent studies on the effectiveness of EMDR and the conceptual analysis of its mechanisms of action. The research we review shows that (a) the effects of EMDR are limited largely or entirely to verbal report indices, (b) eye movements appear to be unnecessary for improvement, and (c) reported effects are consistent with non-specific procedural artifacts. Moreover, the conceptual analysis of EMDR is inconsistent with scientific findings concerning the role of eye movements. Implications of the empirical and theoretical literature on EMDR for behavior therapy are discussed. [Author Abstract]
Keywords: Aged Anxiety Disorders Behavior Modification Cognitive Therapy Depressive Disorders Drug Therapy Health Care Utilization Literature Review Psychoanalytic Psychotherapy Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
208. 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
209. 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
210. Jarero, I. (2011). El desastre después del desastre: ¿Ya pasó lo peor? [Disaster after disaster: Is the worst over?]. Revista Iberoamericana de Psicotraumatología y Disociación, 1(1), [10 pages] .
Language: Spanish
Format: Other
Abstract:
Durante y después de un desastre, el trauma psicológico es una consecuencia de las multifacéticas situaciones que viven individuos y comunidades. El modelo que se presenta a continuación, nos da una visión general del amplio espectro de los devastadores efectos psicoemocionales y psicosociales que pueden provocar los desastres a corto, mediano y largo plazo. Es una síntesis elaborada por el autor, misma que se basa en su amplia experiencia de campo, en el modelo de Manejo de Estrés en Incidentes Críticos de la International Critical Incident Stress Foundation (ICISF) y en las guías de la Organización Panamericana de la Salud (OPS) y de la Organización Mundial de la Salud (OMS).
During and after a disaster, psychological trauma is a consequence of living situations multifaceted individuals and communities. The model presented below, gives an overview of the broad spectrum of psycho-emotional and psychosocial devastating effects that can cause disasters in the short, medium and long term. It is a summary prepared by the author, it is based on his extensive field experience in the management model of Critical Incident Stress the International Critical Incident Stress Foundation (ICISF) and the guidelines of the Pan American Health Organization (PAHO) and World Health Organization (WHO).
Keywords: Complex Trauma Disaster, Management of Critical Incident Stress
Accuracy Verified: Yes
211. Jarero, I. (2011). El EMDR: Una alternativa efectiva para el tratamiento del trauma psicológico [EMDR: An effective alternative for the treatment of psychological trauma] . Revista Iberoamericana de Psicotraumatología y Disociación, 2(2).
Language: Spanish
Format: Other
Abstract:
El modelo teórico en que se basa el EMDR, es el Sistema de Procesamiento de la Información a Estados Adaptativos (SPIA). Este modelo postula que mucho de la psicopatología se debe a la codificación mal adaptativa y/o procesamiento incompleto de experiencias de vida adversas perturbadoras o traumáticas. Esto deteriora la habilidad del paciente/cliente para integrar esas experiencias de una manera adaptativa.
The theoretical model on which EMDR is the System Information Processing Adaptive States (AIP). This model postulates that much of psychopathology is due to poor adaptive coding and / or incomplete processing of adverse life experiences disturbing or traumatic. This impairs the ability of the patient / client to integrate these experiences in a way adaptive. [Excerpt]
Accuracy Verified: Yes
212. 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
213. Salvador, M. C. (2010). El trauma psicologico: Un proceso neurofisiologico con consecuencias psicologicas [Psychological trauma: A neurophysiological process with psychological consequences]. Revista de Psicoterapia, 20(80), 5-16.
Language: Spanish
Format: Journal
Abstract:
En este artículo se argumenta el impacto y las secuelas del trauma psicológico en el organismo y sus repercusiones a nivel neurofisiológico. El trauma psicológico, cuando se experimenta disociación, se registra en el sistema de memoria implícita y procedimental de manera somato-sensorial, manifestando alteraciones significativas en multitud de sistemas de funcionamiento fisiológico que posteriormente actúan como mecanismos de mantenimiento y recuerdo. Se presenta una base para el enfoque del trabajo terapéutico sobre los fenómenos fisiológicos como introducción y base al abordaje con técnicas neurofisiológicas como el EMDR y Brainspotting.
This article argues the impact and consequences of psychological trauma on the body and its impact on neurophysiological level. The psychological trauma when experiencing dissociation, is recorded in the system of implicit memory and procedural manner somatosensory, showing significant changes in many physiological functioning systems then act as maintenance mechanisms and memory. We present a basis for the focus of therapeutic work on the introduction and physiological phenomena based on the approach to neurophysiological techniques such as EMDR and Brainspotting.
Keywords: Neurophysiology
Accuracy Verified: Yes
214. Oren, U. (2002, November). EMDR. פסיכואקטואליה(Psychoactualia).
Language: Hebrew
Format: Journal
Abstract:
היא שיטת טיפול אינטגרטיביתEMDR ( Eye Movement Desensitization and Reprocessing) היא שיטת טיפול אינטגרטיבית שהוכיחה את יעילותה בטיפול במגוון של תלונות נפשיות הקשורות בין היתר לטראומה ולחרדה. מחקרים רבים מראים ששיטת EMDR מסוגלת להביא לעיבוד מהיר של זכרונות טראומטיים, המביאים לשינויים קוגניטיביים ורגשיים יציבים, ולהקלה ניכרת בסימפטומים התנהגותיים-גופניים. השיטה פותחה בסוף שנות ה-80 על ידי הפסיכולוגית האמריקנית ד"ר פרנסין שפירו ומאז עברו את ההכשרה עשרות אלפי מטפלים בכל העולם, ומתוכם למעלה מ- 750 מטפלים בישראל.
EMDR (Eye Movement Desensitization and Reprocessing) is a method of handling the tremendous attested the effectiveness in treating a variety of complaints related psychological trauma, among others. Many studies show that EMDR able to bring quick processing of traumatic memories, leading to changes in a stable, and emotional and behavioral-physical symptoms significantly.
Accuracy Verified: Yes
215. 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
216. 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
217. Konuk, E., & Ergun, B. M. (2012, June). EMDR & complex post traumatic stress disorder [EMDR y Trastorno por estrés post-‐traumático complejo]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Complex
Post
Traumatic
Stress
Disorder
(C-‐PTSD)
is
a
psychological
injury
that
results
from
protracted
and
repeated
exposure
to
traumatic
stressor.
Though
the
literature
in
recent
years
presented
and
published
papers
on
C-‐PTSD,
the
category
is
under
consideration
for
inclusion
in
DSM
or
ICD.
PTSD
descriptions
fail
to
capture
some
of
the
core
elements
of
C-‐PTSD.
Such
elements
include
captivity,
psychological
fragmentation,
the
loss
of
a
sense
of
safety,
trust,
and
self-‐
worth,
as
well
as
the
tendency
to
be
re-‐victimized,
and
the
loss
of
a
coherent
sense
of
self.
It
is
this
loss
of
a
coherent
sense
of
self,
and
the
ensuing
symptom
profile,
that
most
pointedly
differentiates
C-‐PTSD
from
PTSD.
Six
clusters
of
symptom
have
been
suggested
for
diagnosis
of
C-‐PTSD.
These
are;
1. Alterations
in
regulation
of
affect
and
impulses
2. Alterations
in
attention
or
consciousness
3. Alterations
in
self-‐perception
4. Alterations
in
relations
with
others
5. Somatization
6. Alterations
in
systems
of
meaning
The
aim
of
this
workshop
is
to
present
C-‐PTSD
and
the
use
of
EMDR
treatment
of
a
severely
disturbed
young
woman
with
unfinished
bereavement
for
her
mother
lost
10
years
ago,
series
of
sexual
abuse
by
12
persons,
rejection
and
emotional
abuse
by
close
family
members.
The
case
will
be
presented
via
DVD
recordings
of
sessions.
El
trastorno
por
estrés
post-‐traumático
complejo
(C-‐TEPT)
es
una
lesión
psicológica
consecuencia
de
una
exposición
prolongada
y
repetida
a
un
estresor
traumático.
Si
bien
la
literatura
ha
presentado
y
publicado
trabajos
sobre
C-‐TEPT
en
los
últimos
años,
la
categoría
se
encuentra
sometida
a
debate
para
su
inclusión
en
el
DSM
o
CIE.
Las
descripciones
de
TEPT
no
captan
algunos
de
los
elementos
esenciales
de
C-‐
TEPT.
Dichos
elementos
incluyen
la
fragmentación
psicológica,
la
pérdida
de
una
sensación
de
seguridad,
confianza
y
valor
propio
de
la
persona,
así
como
la
tendencia
a
sufrir
nuevas
victimizaciones
y
la
pérdida
de
un
sentido
coherente
del
yo.
Es
precisamente
esta
pérdida
un
sentido
coherente
del
yo
y
el
perfil
sintomatológico
consecuente,
lo
que
diferencia
más
marcadamente
el
C-‐TEPT
del
TEPT.
Se
han
planteado
los
siguientes
seis
grupos
(“clusters”)
de
síntomas
para
el
diagnóstico
de
C-‐TEPT:
1. Alteraciones
de
la
regulación
del
afecto
e
impulsos
2. Alteraciones
de
la
atención
o
conocimiento
3. Alteraciones
de
la
auto-‐percepción
4. Alteraciones
de
las
relaciones
con
terceros
5. Somatización
Alteraciones
de
los
sistemas
de
significado
El
objetivo
que
persigue
este
taller
es
el
de
presentar
el
C-‐TEPT
y
el
empleo
del
tratamiento
con
EMDR
de
una
joven
gravemente
perturbada
con
duelo
incompleto
por
la
pérdida
de
su
madre
hacía
10
años,
una
serie
de
abusos
sexuales
por
parte
de
12
personas,
el
rechazo
y
abuso
emocional
por
parte
de
familiares
cercanos.
Se
presentará
el
caso
mediante
las
grabaciones
en
DVD
de
las
sesiones.
Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PSTD
Accuracy Verified: Yes
218. 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
219. Shapiro, F., & Sherwel, C. (2004). EMDR (Eye movement desensitization and reprocessing): Desensibilizacion y reprocesamiento por medio de moimiento ocular [EMDR (Eye Movement desensitization and reprocessing): Desensitization and reprocessing of eye movement]. México: Pax México.
Language: Spanish
Format: Book
Abstract:
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, how EMDR has become more elaborate treatment for posttraumatic stress disorder (in other disturbances). EMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, EMDR incorporates various aspects of systemic therapies, psychodynamic, experiential, behavioral and physical. It consists of eight phases that include the use of eye movements and other forms of left-right stimulation.
Is effective in treating post-traumatic stress disorder and reprocess disturbing thoughts and memories or psychological problems of survivors of trauma, sexual abuse, crimes of war fighting, as well as phobias and disorders caused by life experiences and provides in a short time effects clinical deep and stable.
With detailed descriptions and transcripts, the author guides the clinician through every stage of therapeutic treatment, from selection of clients to the application of the method and its integration into a comprehensive clinical treatment.
Written in an accessible, this book is an invaluable guide both for experienced clinicians in the EMDR treatment to people who just know the method, and for advanced students of clinical psychology and psychotherapy.
Accuracy Verified: Yes
220. 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
221. Hansen, H. S. (2009, Sommeren). EMDR - Et valg til behandling af PTSD?. Aalborg Universitet, Institut for Kommunikation, Aalborg, Denmark.
Language: Danish
Format: Dissertation/Thesis
Abstract:
Denne afhandling har til formål at afdække, om behandling af Eye Movement Desensibilisering
og oparbejdning (EMDR) er en effektiv behandling af Post Traumatic Stress
Disorder (PTSD). EMDR er blevet kaldt The Breakthrough behandling og
Helbredelse af PTSD. Worldwide flere nationale sundhedsorganisationer anbefaler EMDR
da behandlingen for klienter, der lider af PTSD, og denne anbefaling er understøttet
af flere internationalt anerkendte forskere. Derudover en betydelig
stort antal forskere er blevet offentliggjort, viser, at EMDR er en effektiv
måde at behandle PTSD.
I første omgang bør det præjudicielle spørgsmål være let at besvare, hvis det ikke havde været på grund af
opskæring kontrast findes i flere andre offentliggjorte forsker og artikler påstår
at EMDR ikke er effektiv, og ligger ved siden af at være en svindler. Denne kritik viser akademiske
fejl og mangler i metoder til forskning og objektivitet. Som EMDR
synes at opdele den akademiske samfund i "Hvem er for og hvem imod", det foreløbige
Spørgsmålet er ikke ansvarlig i første omgang. I nærmer et svar på spørgsmålet,
to teoretiske dele vil være repræsenteret. I første hoveddel, diagnose af
PTSD vil blive taget igennem. Diagnosen er forholdsvis ny og indeholder en kompleksitet,
som er nødvendig for at afdække, før den fremlægger det teoretiske fundament for
EMDR. Delvis kompleksitet PTSD skyldes det faktum, at mere eller mindre, PTSD
har erstattet begrebet krise i praksis, mens den tidligere adskilte diagnoser
er inkluderet i PTSD i dag. Som et eksempel det har ført til, mentalt stabile personer,
der har været traumatiseret, er diagnosticeret med samme diagnose som traumatiseret
personer, der lider af en alvorlig personlighedsforstyrrelser. For eksempel denne konstellation
gør det vanskeligt at forske i effektiviteten af de behandlinger, som den samme behandling
kan resultere forskelligt, alt efter hvilken gruppe af personer i spørgsmålet. Efter at have gjort
diagnosen PTSD igennem, den anden teoretisk vigtigste del, som er på EMDR,
vil blive præsenteret. Ved første, i denne del, vil det teoretiske grundlag for EMDR være
fremvises for at opnå et bedre perspektiv af følgende kritik. Afhandlingen
rundes af med en bred debat og en efterfølgende konklusion.
Blandt andet konkluderer afhandlingen, at EMDR virker effektivt på isolerede
symptomer på PTSD til en hel del længde. EMDR virker effektivt på flashbacks
negative og invaderende tanker og derfor EMDR kan anbefales som en mulig
valg af behandling, og bekvemt som et supplement. At den teoretiske fundament
af effektiviteten af EMDR bør ikke kun være en variant af kognitiv eksponering
terapi er imidlertid meget svage og mangler en uafhængig evidensbaseret forskning.
This dissertation seeks to uncover whether the therapy of Eye Movement Desensitization
and Reprocessing (EMDR) is an effective treatment of Post Traumatic Stress
Disorder (PTSD). EMDR has been termed as The Breakthrough Therapy and The
Cure of PTSD. Worldwide several national health organizations recommend EMDR
as the treatment for clients suffering from PTSD, and this recommendation is supported
by several internationally recognized academics. Additionally a considerable
large number of researches have been published, showing that EMDR is an effective
way of treating PTSD.
At first, the preliminary question should be easy to answer, had it not been due to
the cutting contrast found in several other published researches and articles claiming
that EMDR is not effective and is next to being a fraud. This criticism indicates academic
errors and deficiencies in methods of research and objectiveness. As EMDR
seems to divide the academic societies into “who´s for and who´s against”, the preliminary
question is not answerable at first. In approaching an answer to the question,
two theoretical parts will be represented. In the first main part, the diagnosis of
PTSD will be taken through. The diagnosis is rather new and contains a complexity,
which is necessary to uncover, before presenting the theoretical foundation of
EMDR. Partly the complexity of PTSD is due to the fact that, more or less, PTSD
has replaced the concept of crisis in practice, whereas former separated diagnoses
are included in PTSD today. As an example it has led to, mentally stable persons,
who have been traumatized, are diagnosed with the same diagnosis as traumatized
persons suffering from severe personality disorders. For example this constellation
makes it difficult to research the efficiency of the therapies, as the same therapies
can result differently according to which group of persons in question. Having taken
the diagnosis of PTSD through, the second theoretical main part which is on EMDR,
will be presented. At first, in this part, the theoretical foundation of EMDR will be
presented to obtain a better perspective of the following criticism. The dissertation
closes with a broad discussion and a subsequent conclusion.
Among others, the dissertation concludes that EMDR works effectively on isolated
symptoms of PTSD to quite some length. EMDR works effectively on flashbacks,
negative and invading thoughts and therefore EMDR is recommendable as a possible
choice of therapy, conveniently as a supplement. That the theoretical foundation
of the effectiveness of EMDR should not be only a variant of cognitive exposure
therapy is, however, very frail and lacks an independent evidence-based research.
Keywords: Literature Review
Accuracy Verified: Yes
222. Johannesson, K. B. (2013, Maj). EMDR - från mirakelkur till vetenskaplig evidens [EMDR - from miracle cure to scientific evidence]. Psykologtidningen, 32-35.
Language: English
Format: Magazine
Abstract:
Eye Movement Desensitization
and Reprocessing (EMDR) är en
behandlingsmetod för plågsamma
minnen och dess psykologiska konsekvenser.
Metoden kom till mera
av en slump än utifrån teoretiska överväganden.
Den amerikanska psykologen Francine Shapiro
fann utifrån en personlig erfarenhet att obehagliga
och problematiska tankar tycktes blekna
bort när hon rörde ögonen snabbt från sida till
sida. Hon utvecklade dessa iakttagelser till en ny
behandling för posttraumatisk stress, i dag känd
som Eye Movement Desensitization and Reprocessing,
EMDR (1).
Eye Movement Desensitization
and Reprocessing (EMDR) is a
treatment for painful
memories and its psychological consequences.
The method came to more
by accident than from theoretical considerations.
The American psychologist Francine Shapiro
found from personal experience that unpleasant
and problematic thoughts seemed to fade
away when she moved her eyes rapidly from side to
side. She developed these observations into a new
treatment of post traumatic stress disorder, today known
as Eye Movement Desensitization and Reprocessing,
EMDR (1). [Excerpt]
Accuracy Verified: No
223. Wejdsten, G. (2007, October). EMDR - Metoden [EMDR - method]. Goteborgs Universitet, Institutionen för socialt arbete, Sweden.
Language: Swedish
Format: Dissertation/Thesis
Abstract:
Den här uppsatsen handlar om EMDR- metoden. En psykoterapeutisk metod som syftar till att bearbeta minnen från traumatiska händelser och mildra de psykologiska konsekvenserna. Francine Shapiro utvecklade denna metod 1989 för behandling av trauma. Det påstås att 84- 100 % av dem som behandlas mot Post traumatisk stress syndrom med denna metod blir fria från symptom på endast 1-3 behandlingar. Shapiro påstår att metoden är effektivare än någon annan terapeutisk behandlingsmetod. Huvudsyftet med att välja att skriva om detta, var att införskaffa kunskap om EMDR- metoden i sin helhet. Om dess uppkomst och utveckling. Vem den tillämpas på samt hur den tillämpas och mål med metoden. Jag ville veta vad forskningen säger om metoden. Uppsatsen är främst en litteraturstudie. EMDR- metoden behandlas främst i kapitel 3. Nyckelord behandlas under stycket definitioner. I Teori- delen jämför jag EMDR- metoden med; Kognitiv terapi, Kognitiv beteende terapi och Psykodynamisk terapi. Jag gör det för att jag funnit likheter och skillnader dem emellan. Jag skriver också lite om studier och forskning om metoden. Jag har lärt mig och redovisar metodens uppkomst, utveckling, mål. Hur den tillämpas och på vad. EMDR har viss effekt i behandlingen av PTSD och detta är styrkt vetenskapligt. Det är inte styrkt vetenskapligt att EMDR skulle vara effektivare än andra psykoterapeutiska metoder. Många utövare har positiv upplevelse av EMDR- utbildning och utövande. De flesta anser det är av stor vikt att man har terapi erfarenhet som exempelvis psykolog innan man utövar EMDR- metoden. Detta är också ett krav om man vill gå utbildningen. Det är ej vetenskapligt klarlagt vilken del i behandlingen som är verksam. Det är inte bevisat vad ögonrörelserna eller alternativa stimuleringar har för effekt. EMDR sammanfogar komponenter från flera psykologiska inriktningar. PTSD är den huvudsakliga målgruppen. Man behandlar både barn och vuxna. Det saknas hälsoekonomiska utvärderingar av EMDR- metoden och mer forskning behövs om metoden. Främst för att kunna bevisa effektiviteten på andra symptom än PTSD, kostnadseffektiviteten och för att se om effekten av minskade symptom kvarstår på sikt, en lång tid efter behandlingen. En socionom får gå en EMDR- utbildning om man först läser till psykoterapeut.[Science Direct]
This essay is about EMDR method. A psychotherapeutic approach designed to process the memories of traumatic events and mitigate the psychological consequences. Francine Shapiro developed this method in 1989 for the treatment of trauma. It is claimed that 84 - 100% of those under treatment for post traumatic stress syndrome with this method is free of symptoms of only 1-3 treatments. Shapiro claims that the method is more effective than any other therapeutic treatment. The main purpose of choosing to write about this, was to acquire knowledge of the EMDR method as a whole. If its origin and development. Who it applies to and how it is applied and the objectives of the method. I wanted to know what research says about the method. The essay is primarily a literature review. EMDR method is mainly addressed in Chapter 3. Keywords treated under paragraph definitions. In theory, part I compare EMDR method, Cognitive Therapy, Cognitive-behavioral therapy and psychodynamic therapy. I do it because I found the similarities and differences between them. I also write a bit of study and research methodology. I have learned and identify ways the origin, development, goals. How it is applied and on what. EMDR has some effect in the treatment of PTSD and this is proven scientifically. It is not proved scientifically that EMDR is more effective than other psychotherapeutic methods. Many practitioners have positive experience of EMDR training and exercise. Most believe it is essential that you have other therapies, such as a psychologist before practicing EMDR method. This is also a requirement if you want to attend the program. It is not scientifically clear what part of the treatment that works. It is not proven what the eye movements or alternative stimuli has for effect. EMDR merges components from several psychological approaches. PTSD is the main target group. It treats both children and adults. The lack of health economic evaluations of EMDR method and more research is needed on the method. Mainly in order to prove the effectiveness of other symptoms than PTSD, cost effectiveness and to see if the effect of decreased symptoms persist over time, a long time after treatment. A social worker may go one EMDR training on first reading to the psychotherapist. [Science Direct]
Keywords: Behavioral Theory CBT Cognitive Behaviorial Therapy Cognitive Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
224. Titze, M. (1997). EMDR - Unterstützte thematisierung bei psychodynamisch fundierten fokaltherapien [EMDR - Supported theming in-depth psychodynamic focal therapy]. In C. T. Eschenröder: EMDR. Eine neue Methode zur Verarbeitung traumatischer Erinnerungen (pp. 179-188). Tübingen: DGVT-Verlag.
Language: German
Format: Book Section
Abstract:
Lange Zeit galt eine im Sinne der psychoanalytischen Standardmethode durchgeführte Langzeittherapie als qualitativ besonders hochstehend. Dabei ließ sich argumentieren, dass die entscheidenden Eckpfeiler des analytischen Prozesses (Erinnern, Wiederholen, Durcharbeiten) einer zeitaufwendigen Methodik (freie Assoziation, "gleichschwebende Aufmerksamkeit" und regressionsfördernde Zurückhaltung / Schweigen des Analytikers, Übertragungs- und Widerstandsdeutungen usw.) bedürfen (vgl. Thomä & Kächele, 1989). Eine unbestreitbare methodische Schwäche dieser Vorgehensweise resultiert allerdings aus dem Verzicht auf eine aktive Strukturierung durch den Analytiker. Dies kann dazu führen, dass sich manche Klienten in der realen therapeutischen Beziehung allein gelassen bzw. nicht ernst genommen fühlen. Eine nicht selten mehrjährige Behandlungsdauer kann zudem eine Unzufriedenheit hervorrufen, die dann zu realen Widerstandstendenzen auf Seiten des Klienten führen wird, wenn ein spürbarer Behandlungserfolg ausblieb (vgl. dazu Eschenröder, 1986, Kap. 11). Doch es sind nicht allein solche Einwände, die zu einer Relativierung der Bedeutung von analytischen Langzeittherapien geführt haben. Es waren auch reale ökonomische Gegebenheiten, die diese Bedeutung in den letzten Jahren zunehmend in Frage gestellt haben. Nachdem nämlich, zunächst in den Vereinigten Staaten, die Versicherungen dazu übergegangen sind, nur eine stark begrenzte Anzahl psychothe-rapeutischer Leistungen zu erstatten, kam es auch im Bereich der Tiefenpsychologie zu einer verstärkten Hinwendung gegenüber kurzzeittherapeutischen Verfahren (vgl. Goleman, 1981).
Long considered a standard in the sense of the psychoanalytic method carried out as long-term therapy of particularly high standing. It could be argued that the crucial cornerstone of the analytical process (remembering, repeating, working through) a time-consuming method require (free association, evenly suspended attention "and regression-promoting restraint / silence of the analyst, transference and resistance interpretations, etc.) (see Thoma & Kächele, 1989). One undoubted methodological weakness of this approach, however, results from the absence of an active structure by the analyst. This can cause that some clients feel in the real therapeutic relationship alone and not taken seriously. An often multi-year duration of treatment may also cause discontent that will lead to real resistance tendencies on the part of the client when a substantial treatment effect failed to (cf. Eschenröder, 1986, Chapter 11). But it is not only an objection that led to a relativization of the importance of long-term analytic therapies. There were also real economic conditions that have made this meaning in recent years increasingly in question. After that is to report first in the United States, the insurance companies have started, only a very limited number of psychotherapy therapeutic services were also provided in the field of depth psychology (1981 cf. Goleman,) to an increased turn over short-therapeutic procedures.
Keywords: Focal Therapy
Accuracy Verified: Yes
225. 黃翔 [Huang Xiang]. (2002). EMDR -─眼動心身重建法簡介 [EMDR - Eye tempted body reconstruction technique introduction]. 加州心理研究所臨床心理學 [California Psychological Institute of Clinical Psychology].
Language: Chinese
Format: Dissertation/Thesis
Abstract:
EMDR─眼誘惑身體重建法“的英文全名是眼動脫敏和再加工。採訪,這是一個多次在很短的一段時間後,藥物可在任何情況下,有效地降低程度心理創傷,重建希望和在治療的信心。可減少心理創傷症狀包括“長期累積的創傷痛苦的回憶”,“因創傷引起高度的焦慮和消極情緒”,以及“身體不適造成的創傷反應”等等。一個結果接受EMDR治療可以建立一個積極的影響,包括“健康積極的思想”和“健康行為的一代”等。
"EMDR ─ eye tempted Body Renewal Law" in English is Eye Movement Desensitization and Reprocessing. This is an interview several times in a short period after the drug can be in no circumstances, effectively reducing the degree of psychological trauma, and rebuild hope and confidence in treatment. Can be to reduce the psychological trauma symptoms include "long-term cumulative trauma of painful memories," "due to trauma caused by a high degree of anxiety and negative emotions", and "the physical discomfort caused by trauma response" and so on. A result of receiving EMDR treatment can establish a positive effect, including "a healthy and positive thoughts" and "health behavior generation" and so on.
Keywords: Body Renewal Law
Accuracy Verified: Yes
226. Shapiro, F. (2009, December). EMDR and adaptive information processing: Applications to individual and family therapy. Presentation at the 6th Evolution of Psychotherapy Conference, Anaheim, CA.
Language: English
Format: Conference
Abstract:
EMDR directly addresses the physiologically stored
memory networks that underlie both psychological problems
and mental health. This orientation to both case conceptualization
and treatment will be explored to address
diverse clinical applications, including attachment issues,
body image, chronic pain, substance abuse, sexual dysfunction,
personality disorders, and other presenting complaints.
The Integration of EMDR with family therapy
practices will also be discussed.
Keywords: Adaptive Information Processing
Accuracy Verified: Yes
227. Omaha, J. (2004, June). EMDR and affect centered therapy. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
Aim: This presentation will describe the integration of principles of emotion regulation into EMDR therapy for a range of disorders. Population: All ages; mostly Axis I and II disorders. Learning objectives: 1) to describe the development of emotion regulation beginning in the context of the attachment and continuing through adolescence; 2) to describe the origin of emotion dysregulation and psychopathology in deficit experience adversity, and trauma; 3) to describe a protocol, Affect Management Skills Training (AMST), that remediates failures of emotion regulation; 4) to describe how AMST prepares the client for uncovering therapy by providing for containment, safety, emotion regulation, improved left-right hemisphere integration, and remediation of attachment deficits; 5) to describe integration of MAST into EMDR therapies for substance abuse and eating disorders. Abstract: The workshop will summarize the principal affective developments that occur from birth through age four. These include fulfillment of yearning affect, facial imprinting, gaze transaction, stimulation of positive affect, and provision of optimal disapproval-shame experiences. The qualities of the child of “good enough” parenting are described. Developmental failures and their consequences for affect regulation and psychopathology will be described. These include: (1) avoidant attachment leading to problems of anger management, to depression, and development of narcissistic features; (2) anxious-ambivalent attachment leading to development of anxiety-related disorders and borderline features; (3) failure to elicit optimal positive affects leading to impaired vitality across the life span and depression; (4) socialization of the senior toddler with anger, leading to problems with anger expression, or with disgust, leading to problems with shame, impaired self-worth, and defective self-efficacy. Adversity (raised by a single parent, witness to spousal abuse, divorce, substance abuse in the home) and trauma (psychological, physical, and/or sexual abuse) occurring during latency and adolescence will be shown to exacerbate difficulties with emotional regulation.
The seven basic skills of the AMST protocol will be described. These skills provide for regocnition, tolerance, and regulation of both positive and negative emtoins. They include containment, safe place, sensation-affect recognition, sensation-as-signal, grounded and present, noticing, and regulation.
The workshop will describe how AMST prepares the client for uncovering therapy and for EMDR by teaching the client to regulate emotion prior to it elicitation in therapy, by improving hemispheric integration, and by correcting deficits in the attachment.
The workshop concludes by describing how MAST is integrated into EMDR therapy for substance abuse disorders (alcohol, drugs, nicotine) and eating disorders.
Keywords: Affect Centered Therapy Affect Theory
Accuracy Verified: Yes
228. Shapiro, F. (2007). EMDR and case conceptualization from an adaptive information processing perspective. In F. Shapiro, F. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 3–36). New York: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
In its 20-year history, Eye Movement Desensitization and Reprocessing (EMDR) has evolved from a simple technique into an integrative psychotherapy approach with a theoretical model that emphasizes the brain's information processing system and memories of disturbing experiences as the basis of pathology. The eight-phase treatment comprehensively addresses the experiences that contribute to clinical conditions and those that are needed to bring the client to a robust state of psychological health. The concept of the transformation of the stored experience through a rapid learning process is the key to understanding the basis and application of EMDR and its guiding Adaptive Information Processing model (Shapiro, 1995, 2001, 2002). The purpose of this chapter is to provide an overview of both theory and practice. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Adaptive Information Processing Model AIP Brain Cognitive Processes Integrative Psychotherapy Memories Memory Models Pathology Psychotherapeutic Techniques Psychotherapy Approach Stored Experience
Accuracy Verified: Yes
229. Gupta, D. (2011). EMDR and children: Effectivesness and clinical implications. Annual National Conference of Indian Psychiatric Society (ANCIPS), Delhi, India.
Language: English
Format: Conference
Abstract:
It doesn’t matter how long the memories have been stored and for how long they have been exerting a negative effect on the child.
Children reprocess their traumas more quickly in EMDR than in other therapies and becomes desensitized to the painful memories and images.
[Excerpt]
Keywords: Children
Accuracy Verified: Yes
230. Rivas, C. (2012, April). EMDR and chronic illnesses. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
Chronc diseases represent a complex area on the health-illness continuum. When a chronic disease is diagnosed, clients may require ongoing support to cope with life changes and management of their health. During this workshop, participants will be introduced to the general aspects of chronic diseases and how clients’psychological symptoms can be understood from the Adaptive Information Processing(AIP) model. Also, EMDR clinicians will learn how to structure an intervention for different types of chronic diseases, using the 8 steps of the Basic Protocol, identifying the key issues for each condition, according to a past-present-future timeline. Examples will be based on cancer, diabetes, and HIV/AIDS cases.
Learning objectives:
1.Identify the challenges associated with chronic diseases such as cancer, diabetes and HIV/AIDS
2. Utilize the Adaptative Information Processing (AIP) model to understand the psychological dimension of chronic diseases (e.g. anxiety, depression, guilt, shame, self-image issues, etcetera)
3. Use the EMDR basic protocol to structure interventions suitable for people living with human health conditions.
Keywords: Chronic Illnesses
Accuracy Verified: Yes
231. Moses, M. D. (2002, June). EMDR and conjoint couples therapy. Presnetation at the annual meeting of the EMDR International Assocation, San Diego, CA.
Language: English
Format: Conference
Abstract:
This presentation represents an integration of EMDR with Conjoint
Couples Therapy. The protocol offered is clinically and anecdotal derived,
applying EMDR with both members of a couple witnessing the other's
work. This mutual sharing around triggers and traumas, holds powerful
potential for building mutual understanding, compassion and empathy in
the relationship. As a work in progress, the presenter will welcome dialog
and empirical investigation of this protocol. The workshop will include:
guidelines; potential benefits; indications and contraindications; protocol
for EMDR and Conjoint Couples Therapy; case illustration; do's and
don'ts: coordination with other therapies/therapists; and when Conjoint
EMDR is not possible or indicated.
Keywords: Conjoint EMDR Couples Therapy
Accuracy Verified: Yes
232. Farrell, D. (2008, October). EMDR and continuum trauma. Presentation at the 1st annual EMDR Autumn Workshop, York, UK.
Language: English
Format: Conference
Abstract:
The premise of this workshop will explore idiosyncratic characteristics encountered by survivors of continuum trauma and to then consider these experiences in light of the conceptual framework of PTSD. These idiosyncratic trauma characteristics have implications with regards to appropriate psychological interventions for survivors. This will be discussed in more detail in considering the utilisation of EMDR with this particular group.
Keywords: Continuum Trauma
Accuracy Verified: Yes
233. Shapiro, E. (2012). EMDR and early psychological intervention following trauma. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 241-251. doi:10.1016/j.erap.2012.09.003.
Language: English
Format: Journal
Abstract:
Introduction:
This article evaluates developments in the field of early psychological intervention (EPI) after trauma in general and the place of early eye movement desensitization and reprocessing (EMDR) intervention (EEI) in particular. The issues and dilemmas involved with EPI and EEI will be outlined; related research presented and the current status evaluated.
Literature and clinical findings:
Reviewing the literature and drawing on findings from initial research and case studies, the rationale and contribution that EMDR therapy has to offer is discussed relative to current evidence and theory regarding post-traumatic stress syndromes and trauma memories. The relative advantages of EEI will be elaborated.
Discussion and conclusion:
It is proposed that EEI, while trauma memories have not yet been integrated, may be used not only to treat acute distress but may also provide a window of opportunity in which a brief intervention, possibly on successive days, could prevent complications and strengthen resilience. Through the rapid reduction of intrusive symptoms and de-arousal response as well as by identifying potential obstructions to adaptive information processing (AIP), EMDR therapy may reduce the sensitisation and accumulation of trauma memories.
Keywords: Early Psychological Intervention EPI Trauma
Accuracy Verified: Yes
234. Virdi, P., Plassmann, R., Seidel, M., & Konuk, E. (2010, June). EMDR and eating disorders. In Eating disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Frequently for clients with eating disorders their complex histories contain many trauma experiences suggesting the potential illustration of EMDR as an adjunctive psychological treatment intervention. Although the amount of evidence based practice is presently not strong in supporting EMDR with this client group there is increasing practice based evidence outlining its potential usefulness with this client group. This symposium will outline the utilization of EMDR in various eating disorders clinical services in the United Kingdom, Germany and Turkey outlining how utilizing the AiP model end how EMDR was effectively integrated into the overall treatment pathway of care for children, adolescents, and adults.
Keywords: Eating Disorders Symposium
Accuracy Verified: Yes
235. Curran, L. A. (2009, January). EMDR and EMDR related techniques for effective trauma treatment. Wayne State University, School of Social Work, Center for Social Work Practice Policy and Research, Fort Washington, PA.
Language: English
Format: Other
Abstract:
Beginning in the 1990s, Francine Shapiro had discovered and began researching a new neurophysiological technique for treating traumatic material. This technique, alternating bilateral stimulation, was quickly subsumed by Shapiro’s psychotherapeutic orientation known as Eye Movement Desensitization and Reprocessing (EMDR). After many years of rigorous empirical studies demonstrating its uses and effectiveness in trauma treatment, EMDR has become one of only three approved treatments recommended by the veteran’s administration for the treatment of PTSD.
Through didactic illustration and explanation; videotaped demonstrations; and experiential exercises, this seminar provides clinicians the basic principles of EMDR and EMDR- related techniques and how each would be incorporated into their personal therapeutic orientation and practice.
Goals
1. Participants will gain understanding of neuroscience’s trauma paradigm
· Biological nature of trauma
· Specific trauma symptoms and their order of appearance
· Primary treatment issues in trauma therapy.
2. Participants will gain understanding of trauma’s cognitive and somatic impact and how to effectively treat its sequelae including:
· Hyperarousal
· Affect dysregulation
· Dissociation
· Body memories and “flashbacks”
3. Participants will learn the theory of Eye Movement Desensitization and Reprocessing (EMDR) and EMDR-related techniques for initial resourcing of clients, followed by desensitizing and cognitive reprocessing of traumatic material.
Objectives
1. Participants will identify the biological nature of trauma; how trauma is stored in the body and limbic system, creating physical and psychological symptoms.
2. Participants learn to identify the symptoms of trauma- hyperarousal; affect dysregulation; dissociation, body memories and “flashbacks”.
3. Participants will learn the Adaptive Information Processing Model and clinical research associated with EMDR
4. Participants will learn how EMDR and EMDR-related techniques are used as an adjunct to psychotherapy.
5. Participants will identify and demonstrate the eight 8 Phases of EMDR protocol.
6. Participants will describe the differences between eye movement, auditory and tactile stimulation.
7. Describe the process for resourcing a client prior to actual processing traumatic material.
8. Describe the process of employing tactile alternating bilateral stimulation for the processing traumatic memories.
Accuracy Verified: No
236. Bohart, A. C., & Greenberg, L. S. (2002). EMDR and experiential psychotherapy. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 239-261). Washington: American Psychological Association.
Language: English
Format: Book Section
Abstract:
This chapter compares EMDR with three experiential approaches. Although various experiential approaches exist, the chapter concentrates on Gendlin's focusing-oriented psychotherapy (FP), Rogers's client-centered therapy (CCT), and Greenberg and colleagues' process-experiential psychotherapy (PEP) to explore similarities and differences. The exploration begins with an introduction of each approach to orient the reader. [Text, pp. 239-240]TOPICS TREATED: Self-healing; Summary of similarities between EMDR and experiential psychotherapy; Differences between EMDR and experiential psychotherapy; Integrating experiential therapies with EMDR.
Keywords: Adults Client Centered Psychotherapy Experiential Psychotherapy Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
237. Cole, M. (2010, July). EMDR and metacognitive therapy: Same destination, different language. Poster presented at the 38th Annual Conference of the British Association for Behavioural and Cognitive Therapies, Manchester, UK.
Language: English
Format: Conference
Abstract:
The information processing model has been described in many different ways and is potentially the underlying
process that describes the psychotherapy change process, regardless of orientation. In this poster I will briefly
compare Eye Movement Desensitisation and Reprocessing and Meta-Cognitive Therapy in light of this information
processing model and conclude that although they may use different language to describe their theories, a
unifying information processing model describes both paradigms. Human beings are meaning making machines
(Robbins, 2009). We give meaning to the world, the deeds we do and the interactions we have, as well as the
more fundamental senses we experience (Frankl, 2004). Information arises either from external stimulus or
internal process’s and this information goes through our filters where we delete, distort and generalise this
information based on the rules created in our information processing unit (Fig 1). This information processing
mechanism gives meaning to this filtered information and generates a response, this response interacts with this
information and the cycle then repeats in a self regulatory manner. This process is repeated for everything we do;
we are and continues until we die. Mental health issues arise when this self regulatory system fails to make a
useful functional meaning of the information. Eye Movement Desensitisation and Reprocessing (EMDR) was
developed by Francine Shapiro (1989) for the treatment of trauma memories and associated emotions, changing
the meaning the person gives to their experiences. Metacognitive Therapy (MCT) was developed by Wells and
Matthews (1984) as a way of defining the processes that underpin a range of psychological disorders.
One of the features of psychological disorders such as anxiety or depression is that thinking becomes difficult to
control and biased in particular ways that lead to a worsening and maintenance of emotional suffering. Many
clients report that they feel that they have ‘lost control’ over their thoughts and behaviours. Another important
feature is that the persons thinking and attention becomes fixed in patterns of brooding and dwelling on the self
and threatening information. Both EMDR and MCT describe an information management/processing system that
organises and carries out various tasks such as how to open a door, how to get dressed, how to be anxious, how to
respond to a trauma memory Both therapies appear to change this system / process to something that is much
more adaptive for the client, as if they change the master information management control programme that runs
this system, in the same way a conductor influences the orchestra and the music they produce. Both models
describe the same process, although they utilise different language to describe this change process.
Perhaps a change of focus for the development of pychotherapy towards more process change models rather than
content change interventions.
Keywords: Metacognitive Therapy Poster
Accuracy Verified: Yes
238. Fenstermaker, D. (1991, August). EMDR and MPD. EMDR Network Newsletter, 1(1), 3.
Language: English
Format: Newsletter
Abstract:
This abstract is one portion of a panel on
Eye Movement Desensitization and Reprocessing.
It was given on Saturday,
February 23, 1991, for the California
Psychological Association Conference in
San Diego. This paper details a protocol
of Eye Movement Desensitization and
Reprocessing(EMDR) in the treatment
of Dissociative Disorders.
Keywords: MPD Multiple Personality Disorder
Accuracy Verified: Yes
239. St-André, E. (2009, August). EMDR and OCD. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Obsessive Compulsive Disorder (OCD) is a chronic illness with recurrent obsessions, persistent thoughts and compulsions, such as repetitive behaviors that are performed after obsessions. Current treatment for such a disorder includes antidepressants (SSRI, with additional treatment such as antipsychotics) and psychotherapy, usually cognitive behavioral approaches. Nevertheless, there is a lack of available evidence for the long-term effectiveness of psychological treatment (Cochrane Reviews on OCD treatment will be cited). EMDR can be useful in a severe case of OCD and might be of interest for other therapists struggling with OCD cases in their caseload.
Keywords: Obsessive Compulsive Disorder OCD
Accuracy Verified: Yes
240. 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
241. Eimer, B. N. (1994, May). EMDR and psychological therapy for chronic pain. Presentation at the Philadelphia EMDR Network Conference, Philadelphia, PA.
Language: English
Format: Conference
Keywords: Chronic Pain
Accuracy Verified: Yes
242. Lipke, H. (2000). EMDR and psychotherapy integration: Theoretical and clinical suggestions with focus on traumatic stress. Boca Raton, FL: CRC Press.
Language: English
Format: Book
Abstract:
This book is about what I have learned about EMDR and its clinical use, especially with combat veterans. It is also about what trying to understand how EMDR works has taught me about psychotherapy in general. That second lesson is what I call the Four-Activity Model (FAM) of Psychotherapy, which grows out of a concept that Francine Shapiro refers to as Accelerated Information Processing (AIP). Shapiro's AIP description gives name to the idea that learned psychopathology can be considered dysfunctional held information, including thoughts, emotions, sensations, and behavior, that can be modified more quickly than previously believed by most therapists. The Four-Activity Model is an attempt to conceptualize how psychotherapeutic activity can be used most efficiently to reprocess dysfunctional held material and thereby resolve psychological problems.Finally, this book is about what psychotherapy in general has taught me about EMDR. Even in her early explanations of EMDR, Shapiro taught that it was an integrative method, that it relied on the lessons learned by years of clinical work using dynamic, behavioral, and humanistic methods. In this book I will attempt to elaborate on that relationship and offer specific therapeutic suggestions that will rely on the wisdom of previously established therapeutic methods, as well as the wisdom of past philosophical inquiry and religion. The book starts with EMDR, proceeds to try to describe how EMDR and other methods can be integrated into an overall model of psychotherapy, and then works its way back to the concrete practical integration of psychotherapy in general. The second half of the book has a practical focus on examples that are created mostly from my experience working with combat trauma. I hope that readers will see how these examples of interventions are easily generalized to other learning-based problems. [Author Introduction]
Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors
Accuracy Verified: Yes
243. Zangwill, W. M. (2004, July). EMDR and sex therapy. Contemporary Sexuality, 38(7), 13-20.
Language: English
Format: Journal
Abstract:
Over the past 15 years, Eye Movement Desensitization and Reprocessing (EMDR) has been used to effectively treat the pain and dislocation caused by such trauma as rape. Research has repeatedly shown EMDR to be effective in the treatment of Post Traumatic Stress Disorder and it has been accepted as efficacious by a number of organizations in the trauma field. EMDR is an integrative, psychotherapeutic approach that assumes that information is processed and stored on a number of different dimensions: sensory, cognitive, affective, and psychological. EMDR assumes the existence of an adaptive information processing system that digests life experiences and integrates them as needed most of the time. [AN]
Keywords: Sex Therapy
Accuracy Verified: Yes
244. Konuk, E., & Epozdemir, H. (2010, July). EMDR and strategic family therapy. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Strategic Family Therapy developed some 50 years ago by a handful of visionaries at MRI (Mental Research Institute) in Palo
Alto, California. This is why sometimes it is known as the “Palo Alto Group”. The kind of therapy evolved at that time changed
the therapy world radically. The major shift was that:
• The theory was a theory of change. The emphasis was on change rather than to understand how and why problems
exist.
• The focus was relationships rather than the phenomena going on under the skin of an individual. This meant that the way
the therapist approached the clients was Systemic or interactional.
• Strategic map was large enough to allow the therapist work with almost any kind of problem, borrow and use different
techniques that belong to other approaches without conflict and confusion.
• At that time therapy meant globally 4-5 sessions a week for many years. This was reduced to an average of 7-10 sessions.
So when a therapist learned one of the Family Therapies, he learned essentially how to do therapy briefly.
One of the approaches that EMDR therapists may integrate efficiently into their practice is Family Therapy. It may speed up
the therapy especially when both trauma and relationships are particularly having a role in the formation and maintenance
of the problem.
In this workshop, the participants will learn:
• The basic principles and techniques of Strategic Family Therapy,
• Why and how change occurs,
• When Strategic Family Therapy is called upon for help,
• How interventions are designed and implemented.
Keywords: Strategic Family Therapy
Accuracy Verified: Yes
245. Konuk, E. & Epozdemir, H. (2010, March). EMDR and strategic family therapy. Presentation at the XVIII World International Family Therapy (IFTA) Congress, Buenos Aires, Argentina.
Language: English
Format: Conference
Abstract: Strategic Family Therapy developed some 50 years ago by a handful of visionaries at MRI (Mental Research Institute) in Palo Alto, California. This is why sometimes it is known as the “Palo Alto Group”. The kind of therapy evolved at that time changed the therapy world radically. The major shift was that: • The theory was a theory of change. The emphasis was on change rather than to understand how and why problems exist. • The focus was relationships rather than the phenomena going on under the skin of an individual. This meant that the way the therapist approached the clients was Systemic or interactional. • Strategic map was large enough to allow the therapist work with almost any kind of problem, borrow and use different techniques that belong to other approaches without conflict and confusion. • At that time therapy meant globally 4-5 sessions a week for many years. This was reduced to an average of 7-10 sessions. So when a therapist learned one of the Family Therapies, he learned essentially how to do therapy briefly. One of the approaches that Family and Marriage Therapists integrate efficiently into their practice is EMDR. Though EMDR (Eye Movement Desensitization and Reprocessing) is relatively new in the therapy world, now it is credited by many professional and governmental organizations as either “treatment of choice” or a valid psychotherapy approach. Especially when trauma is particularly have a role in the formation of the problem, then EMDR is a “life saver” for the therapist. In this workshop, the participants will learn: • The basic principles and techniques of EMDR and Strategic Family Therapy • Why and how change occurs • When EMDR is called upon for help • How interventions are designed and implemented The cases will be presented by live video recordings of sessions.
Keywords: Strategic Family Therapy
Accuracy Verified: Yes
246. Solomon, R. M., & Shapiro, F. (2008). EMDR and the adaptive information processing model - Potential mechanisms of change. Journal of EMDR Practice and Research, 2(4), 315-325. doi:10.1891/1933-3196.2.4.315.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a therapeutic approach guided by the adaptive
information processing (AIP) model. This article provides a brief overview of some of the major
precepts of AIP. The basis of clinical pathology is hypothesized to be dysfunctionally stored memories,
with therapeutic change resulting from the processing of these memories within larger adaptive networks.
Unlike extinction-based exposure therapies, memories targeted in EMDR are posited to transmute during
processing and are then again stored by a process of reconsolidation. Therefore, a comparison and contrast
to extinction-based information processing models and treatment is provided, including implications
for clinical practice. Throughout the article a variety of mechanisms of action are discussed, including
those inferred by tenets of the AIP model, and the EMDR procedures themselves, including the bilateral
stimulation. Research suggestions are offered in order to investigate various hypotheses.
Keywords: Adaptive Information Processing Model AIP Information Processing Mechanism of Change Psychotherapy
Accuracy Verified: Yes
247. Weston, D. L. (1995, June). EMDR and the issues of gay clients. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR is an effective therapeutic method for working with the emotional issues of gay clients. The first portion of this workshop
will examine the "pubic" and "relationship" definitions of homosexuality. Being gay is much more than how people express
themselves sexually.
A brief historical and cultural kamework for understanding the emotional issues of lesbian I gay persons will be presented. There
will be a review of the psychological theories and the research about the origins of homosexuality.
The second portion of the workshop will focus on the psychological path of persons recognizing they are gay. The changes in the
"pre-stonewall' and "post-stonewall" experience will be highlighted. This review of psychological experience will look at the points
where EMDR therapists can be sensitive to the presence of emotional issues related to being gay.
Feeling "different" is often a precursor to recognizing that one is gay. It is impossible to grow up in our culture without
internalization of negative attitudes about gay people. When an individual recognizes (s)he is lesbian or gay, this negative learning
now applies to one's self. EMDR is effective in resolving this "internalized homophobia."
"Coming out" to one's self is a shock because, "I am no longer the person I believed myself to be." EMDR helps clients see gayness,
not as an event happening in Me at this moment, but as something with a history related to earlier life experiences and feelings.
This perception of continuity reduces the sense of crisis around being homosexual. As internalized homophobia is resolved,
acceptance and valuing of self increases.
Using the EMDR "future template" protocol assists people in preparing to "come out" to family, fiiends, employers, etc. Gay
activists suggests that lesbian/gay persons need to be "out" in all situations. EMDR can help people understand why they want to
come out to various people in various situations. It assists in idenhfxation of what people want as the result of "coming out."
EMDR is effective in workmg with the myths about homosexuality; the cultural homophobia. Among the myths to be focused are:
gay men are promiscuous, being gay is immoral, gay sexual expression is perversion, gay relationships don't last, lesbian/gay
persons recruit young people, etc.
The third portion of this workshop will focus on issues of HIV disease. There will be a brief epidemiological presentation and focus
on the medical and psychological issues of persons with HIV disease. Application of EMDR at "crisis points" of HIV disease will
be presented: (1) the worried well, a diminishing population as the aids epidmc continues, (2) the time of HIV+ diagnosis when
the potential for suicide is highest, (3) the time of the first AIDS defining illness, (4) response to declining health and approaching
death, and (5) issues of "meaning" as life moves toward death.
EMDR's application in grief and multiple loss will be presented. Our culture's attitude that grief is something to "be resolved" and
"get over" is a mistake. Grief is an ongoing process, especially when people are dealing with multiple losses of partners, fiends, etc.
EMDR is effective in reducing the pain around loss so that the grief process can proceed more comfortably.
The workshop will end with discussion of characteristics which therapists need to evaluate in relation to the decision to work or not
work with gay and gay HIV infected clients. Working with gay men leads to working with clients with HIV disease. Therapists
need to be clear about their boundaries and comfort in dealing with home and hospital visits, touching people who have AIDS, being
present at the death of a client, and other issues that arise in HIVIAIDS care.
The rewards of working with this population and the life changes it may make for the therapist will also be highlighted.
Keywords: Gay Clients Homosexuality
Accuracy Verified: Yes
248. van der Kolk, B. A. (2003, June). EMDR and the lessons from neuroscience research. Plenary presented at the annual meeting of the EMDR Europe Association, Rome Italy.
Language: English
Format: Conference
Abstract:
Until recently we had little knowledge how to help people integrate such disintegrated traumatic imprints. Traditionally, before the advent of contemporary methods of treatment outcome evaluation, many clinicians, from Pierre Janet to Milton Erikson and his followers, considered hypnosis to be the treatment of choice. Unfortunately the efficacy of hypnosis for the treatment of PTSD was never systematically studied. EMDR was the first of a group of new therapies that did not primarily rely on speaking about one’s traumatic experiences, but that claimed to be able to rapidly and effectively integrate traumatic memories by asking PTSD subjects to focus intensely on the emotions, sensations and meaning of the traumatic experience, while asking to follow the hand of a clinician who induces slow saccadic eye movements. EMDR had a number of advantages over hypnosis, including the fact that it could easily be put into a treatment protocol. This makes it relatively easy to conduct treatment outcome research. Since it was first articulated by Francine Shapiro, around 1988, it has received intense scientific scrutiny and has been found to be quite an effective treatment of PTSD (e.g. Chemtob et. al, 2000), even though the specific role of eye movements in its therapeutic action remains controversial.
Keywords: Neuroscience Plenary Research
Accuracy Verified: Yes
249. Shapiro, F. (2002, December). EMDR and the role of the clinician in psychotherapy evaluation: Towards a more comprehensive integration of science and practice. Journal of Clinical Psychology, 58(12), 1453-1463. doi:10.1002/jclp.10104.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that has been consistently evaluated as efficacious in the treatment of PTSD. The information processing model that guides its clinical application posits that EMDR should be effective in treating other psychological disorders that have experiential contributors. Research is needed to assess such applications. This special issue features three case series in which EMDR was applied to the treatment of complex PTSD, phobias, and chronic pain, respectively. The authors discuss deficits in the research literature, provide preliminary data on EMDR treatment of these conditions, and offer descriptive guidelines for evaluation that are achievable by the practicing clinician. Two additional articles offer preliminary data on physiological and cognitive/affective concomitants of therapeutic change. It is argued that clinicians should play a greater role in the rigorous and extensive examination of psychological treatments in the context of the exigencies of clinical practice. [Author Abstract]
Keywords: Assessment Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD EVT Integration Pain Phobia PTSD Treatment Effectiveness
Accuracy Verified: Yes
250. Epozdemir, P., Haciomeroglu, S., & Konuk, E. (2012, June). EMDR and treatment of stuttering: Towards a protocol [EMDR y el tratamiento del tartamudeo: Hacia un protocolo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Stuttering can be defined in general terms as disturbance in the fluency of speech. Stuttering shows itself with psychological
reactions as abstaining from talking, being afraid of making mistakes and with motor reactions as tics in different parts of the body, elongations,
repetitions of the words and hesitations. In addition stuttering people are often observed to avoid speaking in certain situations, with certain
people, showing social anxiety, high levels of distress and muscle contractions before and/or while speaking. They are also noted to experience
relational difficulties and poor quality of life related to all the above factors.
Even though there are different etiological approaches for stuttering, we observe that people with stuttering problem have early childhood
traumas. Throughout their lives, other traumatic events, mostly related to stuttering; feelings of humiliation, inadequacy, rejection and others
worsen the problem. According to our limited number of cases working with those traumas significantly decreases our clients’ social anxiety
and this improvement is positively reflected to the fluency of their speech.
In this workshop, we will first give general information about stuttering and its etiology, emphasize how relations are organized around
stuttering and with video clips we will present how we approach the treatment of stuttering from an EMDR perspective.
En términos generales, se puede definir el tartamudeo como una alteración en la fluidez del lenguaje. El tartamudeo se
manifiesta a través de reacciones psicológicas tales como abstenerse de hablar, tener miedo de equivocarse y con reacciones motrices como
tics en distintas partes del cuerpo, prolongaciones, repeticiones de las palabras y vacilaciones. Es más, a menudo se observa que las personas
que sufren del tartamudeo evitan hablar durante ciertas situaciones, con algunas personas en particular; muestran ansiedad social, niveles
altos de estrés, y contracciones musculares antes y/o mientras hablan. También se ve que sufren dificultades con las relaciones y una mala
calidad de vida relacionada con los factores previamente mencionados.
Si bien existen planteamientos etiológicos distintos para tratar el tartamudeo, hemos observado que los individuos con problemas de
tartamudeo han sufrido eventos traumáticos en la infancia. A lo largo de sus vidas, otros sucesos traumáticos, en su mayoría relacionados
con el tartamudeo; sentimientos de humillación, ineptitud, rechazo y otros empeoran el problema. En nuestra experiencia limitada, el trabajo
con estos sucesos traumáticos disminuye significativamente la ansiedad social de nuestros clientes y dicha mejoría se refleja positivamente
en la fluidez de su habla.
En este taller, empezaremos por ofrecer información general acerca del tartamudeo y su etiología; señalaremos cómo se organizan las
relaciones entorno al tartamudeo y, con vídeos, presentaremos nuestra forma de afrontar el tratamiento del tartamudeo desde la perspectiva
de EMDR.
Keywords: Stuttering
Accuracy Verified: Yes
251. Mitchell, J. T., & Solomon, R. M. (1995, June). EMDR applications to critical incident stress management. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
A critical incident is any situation that causes unusually strong emotional reactions that have the potential to interfere with a person's
ability to function immediately after the incident or later. These are situations that overwhelm a person's sense of vulnerability
and/or control.
A critical incident stress debriefing (CISD) is a psychoeducational group meeting or discussion about a traumatic incident which
ideally takes place within 72 hours of the event. The goals of a CISD are to mitigate the psychological impact of a traumatic event,
prevent subsequent development of a post-traumatic syndrome, accelerate recovery, and serve as an early identification mechanism
for people who need further follow-up, including EMDR.
The steps of a CISD include:
1) introduction - to introduce the intervention team, explain the process, and set expectations.
2) fact - to describe the event from each participant's perspective on a cognitive level.
3) thought - to allow participants to describe cognitive reactions and to transition to emotional reactions.
4) reaction - to identify the most traumatic aspect of the event for participants.
5) symptom - to identify personal symptoms of distress and transition back to the cognitive level.
6) teaching - to educate as to normal reactions and adaptive coping strategies
7) reentry - to clarefy ambiguities and prepare for termination; access for follow-up.
In the opinion of the authors, the CISD facilitates the processing of the traumatic information before it becomes crystallized in
dysfunctional form.
EMDR can be very effective shortly following a CISD, and is particularly usehl for participants who are experiencing distress or
intrusive symptoms after the CISD. The CISD structure helps the participant understand the traumatic impact of the incident and
provides support and guidance toward adaptive resolution. The EMDR process begins where the CISD leaves off. The CISD helps
to delineate the traumatic image, negative cognition, and emotions associated with the event, making the subsequent EMDR process
more efficient. EMDR appears to have a very powerful and rapid effect after the CISD, perhaps, because of the initial processing.
In other words, the CISD initiates an adaptive processing of the traumatic information; EMDR completes it.
EMDR can be implemented individually immediately following the CISD, or the next day. While the CISD is a group process,
EMDR is an individual method. EMDR can be explained during the teaching phase of the CISD or after the CISD to the whole
group, but EMDR treatment is done individually and privately. EMDR can go beyond a CISD in targeting previous traumas that
may underlie the current incident, delve deeper into the meaning of the incident for the person, and target specific stimuli that are
relevant to the individual (e.g. Smells, tastes, etc.).
The workshop will discuss the application of EMDR to critical incidents. The protocol for recent events will be reviewed.
Guidelines for negative and positive cognitions will be discussed. For example, a critical incident usually involves issues of
responsibility ("Is it my fault?"), Safety ("Am I safe?"), And/or control ("Do I have choices in life?). It is important that such
dynamics are understood when formulating the negative cognition.
The dynamics of fear, a framework for understanding a critical incident and resolving issues of vulnerability and powerlessness, will
be presented. The model discusses the importance of going beyond defining the moment of peak stress to elucidating subsequent
thoughts, actions, and decisions. The implications for cognitive interweaves will be discussed.
Keywords: CISM Critical Incidence Stress Management Recent Events
Accuracy Verified: Yes
252. 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
253. Shapiro, F. (1998, October). EMDR as accelerated information processing therapy: Research and Practice. The California Psychologist, 31(10), 25-27.
Language: English
Format: Magazine
Abstract:
An exchange of views on the efficacy of eye movement desensitization and reprocessing. [Pilots] ...The California Psychologist, October 1998 Point/Counterpoint Feature: Point:
Shapiro, F. (1998, October). EMDR as accelerated information processing therapy: Research and Practice. The California Psychologist, 31(10), 25-27. Counterpoint: Rosen, G. M., McNally, R. J., Lohr, J. M., Devilly, G. J., Herbert, J. D., & Lilienfeld, S. O. (1998, October). A realistic appraisal of EMDR. The California Psychologist, 31(10), 25, 27....
[Reprinted in: Oregon Psychological Association's Newsgram, 1998, 17, 10-13; Washington Psychologist, 1998, 52, 9-10; Virginia Psychologist, 1999, 42, 11; Massachusetts Psychological Association's Quarterly, 1999, 42, 10-11; Georgia Psychologist, 1999, 53, 25; Missouri Psychologist, 1999, 11 (2), 7-8; Arkansas Psychologist, 1999, 1, 9-10; New York State Psychological Association Notebook, 1999, 11(3),19]
Keywords: Commentary Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
254. Fernandez, I. (2008, June). EMDR as an elective treatment with children survivors of mass disasters. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
This paper describes the application of EMDR as an early trauma-focused treatment with children involved in
mass disasters (natural disasters, accidents and intentionally provoked). EMDR treatment was part of a
comprehensive treatment with the population and was the elective treatment for the children of elementary
schools which were the most exposed to the traumatic events. In most cases, 3 cycles of EMDR treatment were
organized at one month, three months and a year from the critical event. Individual sessions were used for the
school children due to the serious exposure to trauma and grief including: threat to life, loss of friends and
sibling. Psychological support and EMDR treatment were provided to parents and school personnel and this
aspect has been considered in the last interventions fundamental to enhance treatment results in children.
Results of questionnaires and clinical interviews to assess post-traumatic symptomatology before and after
treatment will be shown, along with follow up data. Treatment group show a significant improvement after
EMDR treatment. Statistical analysis of results will be discussed. The author will highlight clinical aspects of using
EMDR with children following recent trauma of great magnitude. The post-traumatic stress reactions of this
group in developmental age will be discussed. EMDR treatment for parents and other adults involved in the
disaster has proved to be critical when dealing with children’s symptomatology. Guidelines and indications for
structured interventions coming from our field studies will be presented.
Keywords: Children Elective Treatment Mass Disasters Recent Events Survivors
Accuracy Verified: Yes
255. 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
256. 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
257. Manfield, P. (2003). EMDR casebook: Expanded (2nd Ed.). New York: W. W. Norton.
Language: English
Format: Book
Abstract:
This book picks up where formal EMDR training leaves off. Research has now shown that EMDR is powerfully effective in the treatment of residual psychological effects of a single-incident trauma. Through case studies, this book explores other areas where EMDR may be helpful, including long-term childhood abuse and complex PTSD. The eleven case reports illustrate the application of EMDR to a broad range of cases. The many clinical transcripts will help newly trained EMDR clinicians fell comfortable using EMDR with their clients and provide models for experienced EMDR clinicians to broaden their use of EMDR. The clear explanations of the treatment processes will demystify EMDR for both clinicians and clients.
The introduction includes basic descriptions of EMDR and the accelerated information processing model, as well as definitions of its terminology. Each of the following chapters begins with a discussion of the contributors background, the principles of the traditional treatment approach used before incorporating EMDR, and the ways he or she has integrated EMDR into that approach. The contributors, who represent various orientations, including psychodynamic, behavioral, cognitive, and systems, demonstrate the importance of procedural fidelity while extending EMDR protocols.
Keywords: Miscellanous
Accuracy Verified: Yes
258. Morgan, S. (2006, April). EMDR comes of age. Therapy Today, 17(3), 35-37.
Language: English
Format: Magazine
Abstract:
Less than 20 years after Dr Francine Shapiro discovered Eye Movement Desensitisation and Reprocessing (EMDR), its effectiveness as a psychological treatment is well established.
Accuracy Verified: Yes
259. Renssen, M. (2000, May 6). EMDR compared with imaginary exposure. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.
Language: English
Format: Conference
Abstract:
According to Spector and Read (1999), “EMDR is an effective therapeutic procedure. More direct comparisons are needed with exposure therapies which up till now have generally been considered the most effective approaches to PTSD.” They further state that, “Direct comparisons with exposure therapies would be particularly meaningful and revealing if they were compared with EMDR, if the subjects were single trauma PTSD case and if EMDR were applied both with and without bilateral stimulation” (Spector & Read, 1999, the Current Status of Eye Movement Desensitization and Reprocessing (EMDR). Clinical Psychology and Psychotherapy).
In this presentation, results of a study will be shown in which EMDR was compared with the imaginary exposure procedure. Twenty-five traffic accident victims with trauma complaints were randomly allocated to either EMDR or imaginary exposure. Ten victims received imaginary exposure according to a protocol of Dancu and Foa, 1992 (translated by Arnst, 1997), while ten participants were treated with EMDR based on the PTSD protocol of Shapiro, 1995 (translated by de Jongh, 1996). In the EMDR group, people were exposed to bilateral sounds. The results were compared with an additional group consisting of 5 trauma clients who were exposed to sounds which were simultaneously presented
Keywords: Comparison Imaginary Exposure
Accuracy Verified: Yes
260. Terreri, L. (2005). EMDR e crisi d'astinenza [EMDR and withdrawal symptoms]. Bollettino per le Farmacodipendenze e l'Alcolismo del Ministero della Salute, 28(3/4), 25.
Language: Italian
Format: Newsletter
Abstract:
L’EMDR (acronimo di Eye Movement Desensitization
and Reprocessing) è un metodo clinico ben strutturato
che può integrare i programmi terapeutici aumentandone
l’efficacia. Francine Shapiro ha scoperto che alcuni tipi
di stimolazione esterna possono aiutare molto efficacemente
una persona a superare un evento traumatico o
emotivamente disturbante. Il metodo utilizza principalmente
i movimenti oculari prodotti in un paziente invitandolo
a seguire il movimento della mano del terapeuta
(ma anche altre forme di stimolazione destro/sinistra come,
ad esempio, il tapping sulle mani). L’EMDR si basa
sull’ipotesi che l’evento traumatico “congeli” l’informazione
nella sua forma ansiogena originale, nello stesso
modo in cui è stato vissuto. L’informazione bloccata,
“congelata” nelle reti neurali, continua a provocare vari
disturbi psicologici. Pensare ad un evento traumatico
mentre contemporaneamente il paziente esegue determinati
movimenti oculari, invece, genera l’effetto di riprendere
o accelerare l’elaborazione dell’informazione. L’EMDR
provoca una migliore comunicazione tra gli emisferi
cerebrali ristabilendo l’equilibrio eccitatorio/inibitorio e
permette il raggiungimento di una risoluzione adattiva,
integrata in uno schema cognitivo ed emotivo positivo,
dell’esperienza del paziente. Il metodo, quindi, permette
una desensibilizzazione rapida dei ricordi traumatici e
una ristrutturazione cognitiva che porta a una riduzione
significativa dei sintomi del paziente.
EMDR (which stands for Eye Movement desensitization
and Reprocessing) is a well-structured clinical method
that can integrate treatment programs increasing
effectiveness. Francine Shapiro discovered that certain
of external stimulation can help most effectively
a person to overcome a traumatic event or
emotionally disturbing. The method mainly uses
eye movements produced in a patient requesting
to follow the movement of the hand therapist
(But also other forms of stimulation right / left as,
For example, tapping on your hands). EMDR is based
on the assumption that the traumatic event "freeze" information
anxiety in its original form, the same
way it was lived. Information blocked
"Frozen" in neural networks, continues to cause various
psychological disorders. Think of a traumatic event
simultaneously while the patient performs certain
eye movements, however, creates the effect of return
or accelerate the processing. EMDR
leads to better communication between the hemispheres
restoring brain balance excitatory / inhibitory and
allows the achievement of adaptive resolution,
embedded in a positive emotional and cognitive schema,
experience of the patient. The method, therefore, allows
a rapid desensitization of traumatic memories and
a cognitive restructuring that leads to a reduction
significant symptoms of the patient.
Keywords: Withdrawal Symptoms
Accuracy Verified: Yes
261. Gomes, G. F. B. (2012, Novembro). EMDR e cura sistêmica: A gestação de uma nova história de vida [EMDR and systemic cure: The gestation of a new life story]. In EMDR e visão sistêmica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Objetivo: narrar a trajetória de uma cliente em relação a um trauma em específico, os desdobramentos deste, bem como os resultados do reprocessamento e sua abrangência no equilíbrio da ecologia de um sujeito tratado em duas sessões de EMDR. Pode-se afirmar que os sintomas são, em sua essência, um caminho que nos permite retornar ao evento chave, reprocessar a base traumática e a partir daí reescrever uma história saudável e, certamente, geradora de frutos em muitos níveis. O trabalho em questão apresentará a história de uma cliente que buscou a terapia com EMDR para reprocessar sua dificuldade de relacionamento com a irmã caçula. Fazia parte deste contexto, o acometimento da cliente em questão pela Doença de Crohn e Endometriose, além do desejo intenso de engravidar. Tendo-se definido o alvo, o trabalho com EMDR iniciou-se. Após duas sessões de reprocessamento, a cliente não só havia conseguido resolver a questão fraterna que lhe afligiu por 16 anos como, por meio de avaliação médica, constatou estar assintomática para o Crohn e com o processo de Endometriose sob controle. Ainda como possível desdobramento deste processo, o sujeito desta história pôde realizar um desejo muito especial: a gestação com a qual vinha sonhando. Após a compilação dos dados deste caso clínico, conclui-se que o EMDR é, em sua natureza, um tratamento orientado para o corpo, sendo a cura de um trauma efetivado somente quando se atinge o sistema como um todo em seus níveis fisiológico, neurológico e psicológico.
Objective: To narrate the story of a client in relation to a specific trauma, the ramifications of this, and the results of reprocessing and its coverage in the ecological balance of a subject treated in two sessions of EMDR. It can be said that the symptoms are, in essence, a way that allows us to return to the key event, reprocess the traumatic basis and from there to rewrite a story healthy and certainly generating fruit on many levels. The work in question will present the story of a client who sought therapy with EMDR to reprocess its difficult relationship with her younger sister. It was part of this context, the involvement of the client in question by Crohn's disease and endometriosis, besides the intense desire to become pregnant. Having set up the target work with EMDR started. After two sessions of reprocessing, the client had not only managed to solve the issue fraternal afflicted him for 16 years as a through medical evaluation, found to be asymptomatic for Crohn's and with the process of endometriosis under control. Yet as possible unfolding of this process, the subject of this story could make a very special wish: pregnancy with which had been dreaming. After compiling the data in this case study, it is concluded that EMDR is, in its nature, a treatment-oriented body, and the healing of trauma effected only when it reaches the system as a whole in their physiological levels, neurologic and psychological.
Keywords: Crohn's Disease Endometriosis Standard Protocol Systemic Cure
Accuracy Verified: Yes
262. Faretta, E. (2012, March-April). EMDR e la terapia cognitivo-comportamentale nel trattamento del disturbo di panico: Un confronto [EMDR and cognitive-behavioural therapy in the treatment of panic disorder: A comparison]. Rivista di Psichiatria, 47(Supplement 1), 19S-25S. doi: 10.1078/1071.11735.
Language: Italian
Format: Journal
Abstract:
Un confronto tra due trattamenti utilizzati nel disturbo di panico: EMDR, un metodo evidence-based per il PTSD, e la Terapia Cognitivo Comportamentale (CBT), che è oggi considerato l'approccio più efficace psicoterapeutico per questo disordine. Metodo. Al fine di valutare eventuali miglioramento ottenuto dal trattamento adottato, un'analisi descrittiva attraverso l'uso del software SPSS è stata effettuata, su un campione di 20 soggetti, divisi in due gruppi (EMDR e CBT). Risultati. Dai dati ottenuti, una tendenza a migliorare è già chiaro dalla prima valutazione (dopo 12 sedute), in tutte le prove proposte. Il progresso sintomatica è risultato essere molto simile nei due gruppi a confronto. EMDR trattamento sembra però avere un progresso più veloce nella riduzione dei sintomi che viene mantenuta nel tempo, come evidenziato al follow-up. Conclusione. Dai risultati hanno mostrato, è possibile confermare che entrambi i trattamenti sono efficaci per la risoluzione di un disturbo di panico, anche se alcune differenze tra i due terapie sono chiari, sia dal sintomatico e un punto di vista temporizzazione. Così, si suggerisce di portare avanti la ricerca in questo settore di interesse.
A comparison between two treatments used in the Panic Disorder: EMDR, an evidence-based method for PTSD, and Cognitive Behavioural Therapy (CBT), which is nowadays considered the most effective psychotherapeutic approach for this disorder. Method. In order to evaluate any improvement obtained from the adopted treatment, a descriptive analysis through the use of the SPSS software has been carried out, on a sample of 20 subjects, divided in two groups (EMDR and CBT). Results. From the data obtained, a tendency to improve is already clear from the first evaluation (after 12 sessions), in all the proposed tests. The symptomatic progress turned out to be quite similar in the two compared groups. EMDR treatment however seems to have a faster progress in symptom reduction which is maintained over time, as evidenced at follow-up. Conclusion. From the showed results, it is possible to confirm that both treatments are effective for the resolution of a Panic Disorder, even if some differences between the two therapies are clear, both from a symptomatic and a timing point of view. So, it is suggested to carry on the research in this area of interest.
Keywords: CBT Cognitive Behavioral Therapy Panic Disorder
Accuracy Verified: Yes
263. Tonetti, F. (2008, Novembre). EMDR e trauma complesso in adolescente [EMDR and trauma in adolescents complex]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
N. è stata portata in Italia a 14 anni con l’illusione di lavorare come baby sitter, finisce invece vittima dello sfruttamento sessuale organizzato e per circa un anno subisce violenze sessuali, fisiche e psicologiche. Con forza e coraggio notevoli, riesce a fuggire, nuda, da un’auto dove stava subendo l’ennesima violenza. Ha gravi lesioni sul corpo, viene soccorsa e portata in ospedale, dove decide di denunciare i suoi vittimizzatori.
Il caso finisce alla Procura del Tribunale per i Minorenni e N. viene collocata, sotto falso nome, in una comunità.
Il mio primo contatto con la ragazza avviene quando ha 16 anni ed è in comunità da cinque mesi. Presenta ancora i sintomi invadenti del PTSD: flashback, incubi, panico, pensieri ossessivi, isolamento, distacco emotivo che a volte la fa apparire molto calma, sovreccitazione. Non sa controllare gli impulsi e regolare le emozioni: passa dalla rabbia, che sfoga picchiando pugni contro il muro fino a ferirsi o spaccando tutto ciò che le capita sotto mano, alla eccitazione, alla depressione con sentimenti di inutilità a vivere, di colpa e di vergogna (sintomi di PTSD Complesso). Propongo e spiego da subito l’EMDR ritenendo che sia l’unico approccio terapeutico utile; stabiliamo piano terapeutico e N. esprime il suo consenso al trattamento. Particolare attenzione, data la problematicità, alla fase di preparazione e stabilizzazione. Nell’anamnesi emerge primo trauma a 10 anni, prima ricorda di essersi sentita amata e protetta. Rafforzo queste esperienze positive che diventano risorse in suo possesso. Fondamentale si rivela la psicoeducazione sui disturbi: N. accoglie con sollievo l’idea che non è “pazza” o “indemoniata” ma solo traumatizzata. Immaginiamo comportamenti alternativi per esprimere le emozioni e strategie di coping.
Posto al Sicuro: servono due sedute per stabilizzare e installare il posto al sicuro.
Il protocollo EMDR sarà applicato fedelmente nelle sue fasi; i target del passato affrontati in ordine cronologico.
N. è sempre partita da 1 nella scala VoC e da 10 nella SUD; ha concluso tutte le sedute con SUD: 0 e VoC: 6 /7. Ha avuto abreazioni e una volta ha chiesto di fermarsi: la NC era”sto per morire”.
Sono stati raggiunti, dopo 10 mesi di terapia, gli obiettivi del piano terapeutico: la sintomatologia post-traumatica si è risolta dopo otto sedute.
No was taken to Italy 14 years with the illusion of working as a babysitter, instead ends up a victim of sexual exploitation and organized for about a year suffer sexual violence, physical and psychological. With remarkable courage and strength, manages to escape, naked, from where a car was undergoing yet another violence. He has serious injuries on the body, is rescued and taken to hospital, where he decides to denounce his victimization.
The event ends at the General Prosecutor of the Juvenile Court and N. is placed under a false name, in a community.
My first contact with the girl when she is 16 years and is shared by five months. Still has the intrusive symptoms of PTSD: flashbacks, nightmares, panic, obsessive thoughts, isolation, emotional detachment that sometimes makes it appear very calm, excitement. Can not control impulses and regulate emotions: anger passes, which unleashed banging his fists against the wall until injury or cracking everything that happens at hand, the excitement, depression with feelings of futility in life, guilt and shame (symptoms of complex PTSD). Propose and explain EMDR now believing it is the only therapeutic approach useful, we establish a treatment plan and N. expresses its consent to treatment. Particular attention, given the problematic, the preparation and stabilization. Nell'anamnesi apparent trauma to the first 10 years, first recalls that she felt loved and protected. Reinforces these positive experiences that become resources in their possession. Reveals the basic psychoeducation about the disorder: No welcomes with relief the idea that is not "mad" or "possessed" but traumatized. Imagine alternative behaviors to express emotions and coping strategies.
Safe place: it takes two sessions to stabilize and secure way to install.
The EMDR protocol is applied faithfully in its early stages, the targets of the past dealt with in chronological order.
No always started from a ladder in VOC and 10 in South, has completed all the sessions with SUD: 0 and VOC: 6 / 7. Abreactions and had once asked to stop: the NC was "I am going to die."
Were achieved after 10 months of therapy, the goals of treatment plan: post-traumatic symptoms resolved after eight sessions.
Keywords: Adolescents Complex Trauma
Accuracy Verified: Yes
264. Fernandez, I., & Giovannozzi, G. (2012, March-April). EMDR ed elaborazione adattiva dell’informazione. La psicoterapia come stimolazione dei processi psicologici autoriparativi [EMDR and adaptive information processing: Psychotherapy as a stimulation of the self-reparative psychological process]. Rivista di Psichiatria, 47(Supplement 1), 4S-7S. doi:10.1708/1071.11731.
Language: Italian
Format: Journal
Abstract:
A partire dal concetto di evento traumatico, viene descritto il modello dell’elaborazione adattativa dell’informazione per illustrare come l’EMDR viene applicato per la rielaborazione dei traumi e per risolvere la psicopatologia post-traumatica. Vengono quindi presentate le otto fasi del trattamento con EMDR, le modalità di funzionamento di una seduta di EMDR e il contributo e l’innovazione che l’EMDR rappresenta nel campo della terapia degli stati post-traumatici e la sua applicabilità in altri quadri sintomatici.
Based on the concept of traumatic event, the model of the adaptive information processing is described to illustrate how EMDR is applied to reprocess the trauma and resolve post-traumatic psychopathology. The eight phases of the EMDR treatment are presented together with the way an EMDR session is conducted and the contribution and innovation that EMDR represents in the field of therapy of post-traumatic states and its applicability in other symptomatic conditions.
Keywords: Adaptive Information Processing AIP
Accuracy Verified: Yes
265. 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
266. Quilez, R. (2010). EMDR en los trastornos de la conducta alimentaria: revision [EMDR in eating disorders: a review]. Revista de psicoterapia, 20(80. Terapias Psiconeurologicas del Trauma) .
Language: Spanish
Format: Journal
Abstract:
El TCA es un síndrome diagnóstico concreto de origen complejo y afectación multidimensional, cuyo tratamiento debe ser capaz de llegar de la superficie al recoveco. Los profesionales de TCA disponen en el EMDR de un modelo psicológico capaz de dar una respuesta eficaz. Este escrito presenta una revisión bibliográfica de la eficacia del EMDR en TCA así como otros estudios y datos sobre aspectos que pueden darse en el cliente y en el tratamiento de 8 fases. Aparecen datos sobre el deseo de delgadez, el control y la vergüenza, TCC, reacciones defensivas condicionadas, imagen corporal, dificultades de apego, maltrato físico, sexual, negligencia, disociación, descontrol de los impulsos, TCA como anestesia emocional, automutilaciones, necesidad de límites, etiquetas, personaje, figura masculina de apego, familias disfuncionales, etc.
The Disorder of Feeding Behavior is an specific syndrome with a complex origin and multidimensional affectation, which treatment should be able to go beyong the surface. Disorder of Feeding Behavior clinicians have in EMDR a psychological approach able to give an effective response. This article present a bibliographic review about the EMDR efficacy with Disorders of Feeding Behavior as of other studies and dates about different aspects that we can see in the patient and in the use of 8 phases of EMDR. We present dates about thinness wish, shame and control, defensive conditioned reactions, body image, attachment difficulties, physical, sexual mistreatment, neglect, dissociation, impulse uncontrol, emotional anesthesia, self-mutilation, limits need, labels, male attachment figure, disfunctional families,etc.
Keywords: Diet Disorder of Feeding Behavior Dissociation Trauma
Accuracy Verified: Yes
267. Knipe, J. (2008, Maart). EMDR en sterk wordt vastgehouden psychologische verdedigingsmechanismen het voorkomen van directe toegang tot bewuste en doelgerichtheid van de post-traumatisch materiaal [EMDR and strongly held psychological defenses preventing direct conscious access and targeting of post-traumatic material]. Presentatie op het derde congres van de Vereniging EMDR Nederland, Amersfoort, The Netherlands.
Language: English
Format: Conference
Abstract:
Een specifieke EMDR procedures die nuttig is met cliënten die zich sterk hebben gehouden psychologische verweren die bewuste directe toegang te voorkomen en de gerichtheid van post-traumatische materiaal is volledig te verklaren met uitgebreid gebruik van video-materiaal met de gerichtheid van de verdedigingswerken van vermijding (bijvoorbeeld vermijden van zeer verontrustende herinneringen , vermijden van verantwoordelijkheden, te vermijden in de vorm van uitstel), idealisering van het zelf (bijv. narcistische karaktertrekken van bijzonders en het recht) en de idealisering van anderen (bv. verlangen naar een verloren geliefde, of trauma-obligatie gehechtheid aan een dader). Vaak zijn cliënten die depressief bent en anderen die te idealiseren opereren vanuit een kern eigen ego staat van schaamte, en tijdens deze zeer praktische workshop leert u hoe jammer soms kan worden opgelost met behulp van gerichte en EMDR-methoden.
A specific EMDR procedures that is useful with clients who have strongly held psychological defenses that prevent direct conscious access and targeting of post-traumatic material is fully explained with extensive use of video material showing the targeting of defenses of avoidance (e.g. avoidance of extremely troubling memories, avoidance of responsibilities, avoidance in the form of procrastination), idealization of self (e.g. narcissistic traits of specialness and entitlement) and idealization of others (e.g. longing for a lost lover, or trauma-bond attachment to a perpetrator). Often clients who are depressed and who idealize others are operating from a core self ego state of shame, and during this highly practical workshop you will learn how shame can sometimes be targeted and resolved using EMDR methods.
Keywords: Psychological Defenses Targeting
Accuracy Verified: Yes
268. Tarquinio, C. (2007). EMDR et prise en charge du psychotraumatisme [EMDR and management of psychological trauma]. En L. Crocq, (Ed.), Traumatismes psychiques: Prise en charge psychologique des victimes (pp. 157-167). Issy-les-Moulineaux: Elsevier-Masson. doi:10.1016/B978-2-294-07144-7.50016-6.
Language: French
Format: Book Section
Abstract:
L’eye movement desensitization reprocessing (EMDR) est
une méthode thérapeutique inaugurée par Francine Shapiro
en 1989 et qui consiste à utiliser les mouvements oculaires
contrôlés pour décharger la conscience de ses affects pathologiques. En une dizaine d’années, l’EMDR a trouvé son indication privilégiée dans le traitement de l’état de stress posttraumatique (ESPT), donnant lieu à un grand nombre d’études. Aux États-Unis, il y a en effet aujourd’hui plus de publications d’études contrôlées sur le traitement de l’ESPT par la
thérapie EMDR que par tout autre type d’interventions cliniques, y compris les traitements médicamenteux. Les recommandations pour l’usage de cette approche thérapeutique ne
manquent pas, provenant des plus éminentes sociétés savantes reconnues sur le plan international pour leurs compétences
en ce qui concerne la question du syndrome de stress posttraumatique. L’objectif de ce chapitre sera de permettre une meilleure connaissance de la thérapie EMDR, en exposant d’abord l’historique de la méthode, puis son cadrage théorique, et ensuite le protocole de base de cette thérapie.
The eye movement Desensitization Reprocessing (EMDR) is a therapeutic method inaugurated by Francine Shapiro
in 1989 and of using eye movements controlled to discharge the consciousness of his pathological condition. In ten years, EMDR has found its ideal indication for the treatment of the state of post-traumatic stress disorder (PTSD), resulting in a large number of studies. In the U.S., there is indeed now more publications of controlled studies on the treatment of PTSD by
EMDR than any other type of clinical interventions, including medication. Recommendations for the use of this therapeutic approach does abound, from the most eminent scientific societies recognized internationally for their expertise
regarding the issue of Post Traumatic Stress Disorder. The purpose of this chapter will enable a better understanding of EMDR, exposing
First, the history of the method and its theoretical framework, and then the basic protocol of this therapy.
Keywords: Trauma
Accuracy Verified: Yes
269. Kavakcı, Ö., Kaptanoğlu, E., Kuğu, N., & Doğan, 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 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
270. Norgate, K. (2012, October/November). EMDR for post-traumantic stress and other psychological trauma. Nursing Times, 10(44), 24-26.
Language: English
Format: Magazine
Abstract:
Eye movement desensitisation and reprocessing (EMDR) is a powerful psychotherapy with well-researched benefits for adults and children who are experiencing post-traumatic stress and post-traumatic stress disorder. There is a wealth of research and practice-based evidence demonstrating the effectiveness of EMDR in many differing clinical presentations but the true potential of this extraordinarily beneficial therapeutic approach has not been fully embraced by the mental health nursing profession.
Keywords: Adolescents Female Posttraumatic Stress Disorder Psychotherapy PTSD
Accuracy Verified: Yes
271. 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.
Accuracy Verified: Yes
272. 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
273. 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
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 Symposium Terror
Accuracy Verified: Yes
274. 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
275. Hase, M. (2001, May). EMDR in a critical incident in Germany (prison riot). Presentation at the EMDR Europe Association annual meeting, London, UK.
Language: English
Format: Conference
Abstract:
The prison system serves, among many others, one important goal: to separate those members
of society, who are dangerous to others, from the more peaceful and law-abiding majority. As
a consequence one could assume that the inmates of a prison from a, subgroup of human
beings, distinct by their aggressive potential. Though this is not true for all of the prisoners, it may be true for many of them. It is a well known fact, at least in Germany, that procedures
for controlling the safety in a prison, can't eliminate criminal behaviour or dealing with drugs
in a prison. One could assume, that even if an adequate standard of safety is upheld, a prison
would be a dangerous place to work in and that prison staff would be at a considerable risk of
being traumatised at work. In the prison system in Lower Saxony, Germany, between 5 and
10 recently traumatised staff are invited to participate in a group consultation each year. The
number of unrecorded cases is certainly much higher. In contrast there is not much literature about traumatisation of prison staff. On the other hand
prison staff are regarded as a population often reluctant to engage in psychotherapy and
leaving psychotherapy prematurely, without a significant treatment effect.
On 13th of August 1999 a prisoner attacked prison staff at Uelzen prison in Lower Saxony,
Germany. The perpetrator killed two members of staff, wounded two others severely and
committed suicide immediately afterwards. More members of staff suffered from the
psychological effects of the violence. The Critical Incident Team within the Ministry of
Justice provided intensive care and counselling. 15 members of staff were identified as a
high risk group to develop PTSD. 10 members of staff began psychotherapy. 7 qualified for
a diagnosis of PTSD, 3 for related diagnoses, according to ICD-10 criteria None of them left
therapy prematurely. One member of staff suffered from the effects of a civil war situation
experienced 15 years before, with a late onset PTSD triggered by vicarious traumatisation.
Only one remains out of work, but does not qualify for a diagnosis of PTSD at present. Three
are still in therapy. 7 patents ended therapy with a complete recovery. EMDR was applied to
great extent in 9 of the 10 cases. EMDR was tolerated well and proved to be fast and
efficient. Treatment effects seem to last over time. Setting the focus on the trauma and using
EMDR as a specific psychotherapeutic method seems to provide an accepted strategy with
significant gains for this population.
Keywords: Critical Incident Prison Recent Events Riot
Accuracy Verified: Yes
276. Grant, M. (1997, July). EMDR in a multi-modal approach to chronic pain. Presentation at the annual meeting of the EMDR International Association, San Francisco, CA.
Language: English
Format: Conference
Abstract:
This is an outline of a psychological treatment approach to chronic
pain, integrated with medical treatment, based on EMDR.
EMDR consists of a combination of various elements of standard approaches to pain
management, together with innovations such as dual focus of attention and bilateral
stimulation. Although EMDR initially utilized bilateral eye-movements (EM'S), bilateral tones
and tapping are now also utilized. One of the central elements of EMDR is a desensitization
procedure in which the patient is assisted to focus on the negative thoughts feeling and
sensations associated with their problem, whilst simultaneously attending to a bilateral
stimulation (visual, auditory or tactile). This is frequently followed by change in the level of
distress associated with the problem (Shapiro. 1989, 1995).
Keywords: Chronic Pain
Accuracy Verified: Yes
277. Mehrotra, S. (2013, June). EMDR in Asia: Needs, challenges and way ahead. Keynote presented at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
This paper tries to highlight the milestones of some of the Asian EMDR Associations and the evolution of EMDR Asia and the practices and challenges faced. Some of the issues are related to the parity of trainees’ qualifications with those from USA, Europe and within Asia. Similarly it impacts upon the training standards. Attention is also drawn to the cultural, language and economical diversity. The task ahead is to reinforce the uniformity of EMDR practice by developing accreditation procedures, standardization, training standards, contents and duration, selection criteria and requirements for the trainees and trainers, certification process, curriculum, linkages with associations, methods of supervision and consultation. UN agencies have a huge presence in Asia for developmental and relief work. UN agencies engaged in a wide range of the health spectrum could make a huge difference if they promoted the efficacy of EMDR for effective management of psychological health. This would include the use of EMDR not only for manmade and natural disasters, but also for other chronic and life threatening illnesses e.g. HIV, cancer and other psycho-social issues related to mental health.
Keywords: Asia Diversity Keynote
Accuracy Verified: Yes
278. 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: Keywords: Dissociative Disorders, Psychotherapeutic Processes Accuracy Verified: Yes 279. 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: Keywords: Comorbidity, Physical Pain, Posttraumatic Stress Disorder, PTSD, Treatment Effectiveness Accuracy Verified: Yes 280. 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.) Keywords: Obsessive Compulsive Disorder OCD Psychotherapeutic Method Psychotherapy Research Accuracy Verified: Yes 281. Bohm, K. (2010, Juni). EMDR in der behandlung zur zwangsstorung [EMDR in the treatment of obsessive compulsive disorder]. Vortrag auf der Jahrestagung der EMDR Europe Association, Hamburg, Deutschland. Language: German Format: Conference Abstract: Keywords: Obsessive Compulsive Disorder OCD Accuracy Verified: Yes 282. 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: Keywords: Anorexia Bulimia Eating Disorders Inpatient Treatment Accuracy Verified: Yes 283. Hofmann, A., Fischer, G., Galley, N., & Solomon, R. (1999). EMDR in der therapie psychotraumatischer belastungssyndrome [EMDR in the treatment of posttraumatic stress disorder]. Stuttgart, Germany: Thieme Verlag. Language: German Format: Book Abstract: Keywords: Trauma Accuracy Verified: Yes 284. Cohen, A., & Lahad, M. (1999). EMDR in hospital intervention. In O. Ayalon, M. Lahad, A. Cohen (Ed.), Community stress prevention, v.3 (pp. 14-20). Kiriat Shmona: Community Stress Prevention Centre. Language: English Format: Book Section Abstract: Keywords: Adults Case Report Females Medical Procedures Multiple Traumatic Events Phobia Survivors Treatment Effectiveness Accuracy Verified: Yes 285. Mehrotra, S., & Wei Geng (2011, February). EMDR in India. Journal of Xihua University (Philosophy & Social Sciences). doi:CNKI:SUN:CDSF.0.2011-02-000. Language: English Format: Journal Abstract: Keywords: Drawings India Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 286. 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: Keywords: Intercultural Therapies Accuracy Verified: Yes 287. 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: Keywords: Body Dysmorphic Disorder Accuracy Verified: Yes 288. 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: Keywords: Chronic Pain Neuroplastic Processes Pain Modulation Accuracy Verified: Yes 289. 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: Keywords: Chronic Pain Empirical Study Follow-up Study Phantom Limb Pain Quantitative Study Accuracy Verified: Yes 290. Richman, S. (2009, March). EMDR in the treatment of survivors of torture. Symposium conducted at the 7th annual EMDR Association UK & Ireland Conference, Manchester, UK. Language: English Format: Conference Abstract: Accuracy Verified: Yes 291. Richman, A. (2006, March). EMDR in the treatment of victims of torture. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK. Language: English Format: Conference Abstract: Keywords: Victims of Torture Accuracy Verified: Yes 292. Jarero, I., Amaya, C., Givaudan, M., & Miranda, A. (2013). EMDR individual protocol for paraprofessional use: A randomized controlled trial with first responders. Journal of EMDR Practice and Research, 7(2), 55-64. doi:10.1891/1933-3196.7.2.55. Language: English Format: Journal Abstract: Keywords: Acute Trauma Early Psychological Intervention First Responders Peer Support Accuracy Verified: No 293. Aytun, O. A. (2010, June). The EMDR integrated group treatment with child victims of a terrorist. In treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Acute Stress Children Group Therapy Symposium Terrorism Victims Accuracy Verified: Yes 294. 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: Keywords: EMDR Intensive Therapy EMDRIT Accuracy Verified: Yes 295. 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: Keywords: Master Series Accuracy Verified: Yes 296. Dogan, E. (2009, Ocak). EMDR nedir nasil uygulanir? [How is EMDR to be applied?]. Epsikiyatri Haberleri. Retrieved from http://www.mcaturk.com/EMDR-NEDIR-NASIL-UYGULANIR_2019.html 6/12/2010. Language: Turkish Format: Journal Abstract: Keywords: Death Fear Harassment Neurophysiology Rape Trauma Accuracy Verified: Yes 297. Pozzi, M. A. (2008, Novembre). EMDR nel supporto psico-sociale de Erba [EMDR in the psycho-social support de Grass]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: CISM Critical Incident Stress Management Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 298. Jackson, J. (2002, April 8). EMDR offers new treatment for trauma. Nursing Spectrum -- New England Edition, 6(2), 17. Language: English Format: Magazine Abstract: Accuracy Verified: Yes 299. Hacker-Hughes, J., & Wesson, M. (2008, June). EMDR on the frontline: Early interventions during military operations. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Early Interventions Military Accuracy Verified: Yes 300. Laizeau, M., Nousse, A., & Chakroun, N. (2008, June). EMDR optimism protocol: A pilot study on athletes. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Optimism Protocol Accuracy Verified: Yes 301. 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: Keywords: Domestic Violence Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 302. Lendl, J., & Foster, S. (2009). EMDR performance and enhancement psychology protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 377-396). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Performance Enhancement Protocol Accuracy Verified: Yes 303. Jarero, I., & Uribe, S. (2012). The EMDR protocol for recent critical incidents: Follow-up report of an application in a human massacre situation. Journal of EMDR Practice and Research, 6(2), 50-61. doi:10.1891/1933-3196.6.2.50. Language: English Format: Journal Abstract: Keywords: Human Massacre PRECI Posttraumatic Stress Disorder Protocol for Recent Critical Incidents PTSD Recent Events Accuracy Verified: Yes 304. Guedalia, J., & Yoeli, F. (2006, August). EMDR protocols for ER and wards. Electronic Journal, EMDR-Israel. Retrieved from http://www.emdr.org.il/dls/emergency/Mador%20Herum.Brief%20P.ER%20PROTOCOL.Gudalia.doc 6/13/2008. Language: English Format: Other 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 305. Maxfield, L., & Smyth, N. (2009, August). EMDR research: Where we stand, where we should go, and why we should care. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Accuracy Verified: Yes 306. Beougher, F. (2005, January). EMDR shows positive results in treating PTSD. The Tennessee Veteran, 1(2), 3. Language: English Format: Newsletter Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 307. 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: Keywords: Aurora Shooting Accuracy Verified: Yes 308. Silver, S. M., Rogers, S., Knipe, J., & Colelli, G. (2005, February). EMDR therapy following the 9/11 terrorist attacks: A community-based intervention project in New York City. International Journal of Stress Management, 12(1), 29-42. doi:10.1037/1072-5245.12.1.29. Language: English Format: Journal Abstract: Keywords: 9/11 Americans Crisis Intervention Empirical Study Quantitative Study September 11 Survivors Terrorism Terrorist Attacks Treatment Effectiveness Accuracy Verified: Yes 309. Shapiro, F. (2011, August). EMDR therapy update: Theory, research and practice. Plenary presented at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Practice Research Theory Update Accuracy Verified: Yes 310. Shapiro, F. (2012, October). EMDR therapy update: Theory, research and practice. Plenary presented at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Keywords: Plenary Practice Research Theory Update Accuracy Verified: Yes 311. Shapiro, F. (2010, Spring/Summer). EMDR therapy: Adaptive information processing, clinical applications and research recommendations. Trauma Psychology Newsletter, 12-18. Language: English Format: Newsletter Abstract: Keywords: Adaptive Information Processing AIP Ressearch Accuracy Verified: Yes 312. Knipe, J. (2008, June). EMDR toolbox. Presentation at the annual meeting of the EMDR Europe Association, London, England
. Language: English Format: Conference Abstract: Keywords: Back-of-the-Head Scale BHS CIPOS Contant Installation of Present Orientation and Safety Psycholgical Defenses Targeting Accuracy Verified: Yes 313. Knipe, J. (2012, June). EMDR toolbox [La
Caja
de
herramientas
en
EMDR]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: EMDR Toolbox Accuracy Verified: Yes 314. Knipe, J. (2012, October). EMDR toolbox: Methods of extending EMDR to traumatized clients with significant vulnerability to dissociative abreaction and/or psychological defenses. Presentation at the 29th annual meeting of the International Society for the Study of Trauma and Dissociation, Long Beach, CA. Language: English Format: Conference Abstract: Keywords: Dissociative Abreaction Psychological Defenses Toolbox Accuracy Verified: Yes 315. Knipe, J. (2010, July). EMDR toolbox: Specific methods of treating adult clients with complex PTSD, psychological defenses and dissociative personality structure. Preconference presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD, C-PSTD Dissociative Personality Structure Psychological Defenses Toolbox Accuracy Verified: Yes 316. Knipe, J. (2006, June). EMDR toolbox: Video examples of methods of targeting avoidance, procrastination, affect dysregulation, the pain of being "dumped" by a lover, and a shame-based ego state in a client with a identity disorder. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey. Language: English Format: Conference Abstract: Keywords: Back-of-the-Head Scale BHS CIPOS Contant Installation of Present Orientation and Safety Psycholgical Defenses Targeting Accuracy Verified: Yes 317. 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: Keywords: Headache Medical Issues Migraine Symposium Accuracy Verified: Yes 318. Holmshaw, M. (2009, March). EMDR treatment of four cases of long term heterosexual unconsummated relationships: Efficacy of trauma-based, adaptive psychological
approach. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK. Language: English Format: Conference Abstract: Keywords: Heterosexual Unconsummated Relationships Symposium Accuracy Verified: Yes 319. 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: Accuracy Verified: Yes 320. 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: Accuracy Verified: Yes 321. Leeds, A. (2012). EMDR treatment of panic disorder and agoraphobia: Two model treatment plans. Journal of EMDR Practice and Research, 6(3), 110-119. doi:10.1891/1933-3196.6.3.110. Language: English Format: Journal Abstract: Keywords: Agoraphobia CBT Cognitive Behavior Therapy Panic Pharmacotherapy Review Accuracy Verified: Yes 322. Leeds, A. (2010, September/October). EMDR treatment of panic disorder with and without agoraphobia: Two model treatment plans. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Agoraphobia Panic Disorder Accuracy Verified: Yes 323. Shapiro, E. (2009). EMDR treatment of recent trauma. Journal of EMDR Practice and Research, 3(3), 141-151. doi:10.1891/1933-3196.3.3.141 . Language: English Format: Journal Abstract: Keywords: Acute Stress Disorder ASD: Early EMDR Intervention Early Psychological Intervention EEI Prevention of Posttraumatic Stress Disorder Prevention of PTSD Recent Trauma Accuracy Verified: Yes 324. 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: Keywords: Child Offenders Sexual Trauma Accuracy Verified: Yes 325. Lilienfeld, S. (2004). EMDR treatment: Less than meets the eye? Retrieved from http://www.quackwatch.org/01QuackeryRelatedTopics/emdr.html on 11/11/2011. Quackwatch. Retrieved from http://www.quackwatch.org/01QuackeryRelatedTopics/emdr.html 12/15/2005. Language: English Format: Other Abstract: Keywords: Skepticism Accuracy Verified: Yes 326. Shapiro, F. (2002). EMDR treatment: Overview and integration. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 27-55). Washington, DC: American Psychological Association. Language: English Format: Book Section Abstract: Keywords: Adults Cognitive Therapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors Accuracy Verified: Yes 327. 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 328. 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. Keywords: Biofeedback Posttraumatic Stress Disorder PTSD Treatment Accuracy Verified: Yes 329. Nijdam, M, J., Olff, M., & Gersons, B. (2009, November). EMDR versus brief eclectic psychotherapy in the treatment of PTSD: A randomized clinical trial. In M. Olff, J. J. Ter Heide, M. J. Nijdam, & S. Guay (Chairs), Advances in evidence-based treatment for PTSD. Symposium conducted at the 25th annual meeting of the International Society for Traumatic Stress Studies, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Eclectic Therapy Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Symposium Accuracy Verified: Yes 330. ter Heide, F. J. J. (2011). EMDR versus stabilisaite: Resulten van een pilot studie [Eye movement desensitisation and reprocessing (EMDR) versus stabilisation in the outpatient treatment of traumatised asylum seekers and refugees: A randomised controlled trial]. Refereer Centrum '45, Oegstgeest, the Nederlands. Language: Dutch Format: Publication Abstract: Keywords: Asylum Seekers Randomized Control Trial Outpatient Treatment RCT Refugees Accuracy Verified: Yes 331. 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: Keywords: Asylum Seekers Poster Refugees Accuracy Verified: Yes 332. [Kondo Chikako]. (2009, May). EMDR with a violent child at school: Collaborative treatment for an abused child who witnessed her mother's suicide. EMDR研究1(1)、34から43 [Japanese Journal of EMDR Research and Practice, 1(1), 34-43]. Language: Japanese Format: Journal Abstract: Keywords: Child Abuse Collaboration at School Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 333. Glenn, S. (2011, March). EMDR with deaf clients. Symposium conducted at the 9th annual Conference of the EMDR UK & Ireland, Bristol
. Language: English Format: Conference Abstract: Keywords: Children Deafness Hearing Impairment Accuracy Verified: Yes 334. Yule, W. (2004, February). EMDR with PTSD in children and adolescents: Overview and prospects. Keynote presented at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK. Language: English Format: Conference Abstract: Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 335. Boèl, J. (1997). EMDR with trauma survivors in Mexico: In the aftermath of Hurricane Paulina with the Mexican Association for crisis therapy in Acapulco. EMDR Humanitarian Assistance Programs. Language: English Format: Other Abstract: Keywords: Acapulco Butterfly Hug Children: Hurricane Pauline Mexico Recent Events Accuracy Verified: Yes 336. Friberg, M. (2004, June). EMDR with two adolescents suffering from dissociative symptoms after sexual abuse: both with considerable weight-loss during treatment. In children and EMDR (R. Oras, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Children Dissociation Sexual Abuse Symposium Accuracy Verified: Yes 337. Bardin, A. (2004). EMDR within a family system perspective. Journal of Family Psychotherapy, 15(3), 47-61. doi:10.1300/J085v15n03_04. Language: English Format: Journal Abstract: Keywords: Clinical Case Study Emotional Trauma Empirical Study Family Family Therapy Posttraumatic Stress Disorder PTSD Therapeutic Process Trauma Victims Accuracy Verified: Yes 338. Gunter, R. W., & Bodner, G. E. (2009). EMDR works . . . But how? Recent progress in the search for treatment mechanisms. Journal of EMDR Practice and Research, 3(3), 161-168. doi:10.1891/1933-3196.3.3.161. Language: English Format: Journal Abstract: Keywords: Eye Movements Psychotherapy Treatment Mechanism Accuracy Verified: Yes 339. Solomon, R. M., & Shapiro, F. (2010). EMDR y el modelo de procesamiento adaptativo de la informacion (PAI) mecanismos potenciales de cambio [EMDR and adaptive model of information processing (AIP) potential mechanisms of change]. Revista de Psicopterapia, 20(80), 17-37. Language: Spanish Format: Journal Abstract: Keywords: Adaptive Information Processing AIP Mechanisms of Change Accuracy Verified: Yes 340. Jayatunge, R. (2010, February 25). EMDR – An effective mode of psychotherapy. Sri Lanka Guardian. Retrieved from http://www.srilankaguardian.org/2010/02/emdr-effective-mode-of-psychotherapy.html om 2/30/2010. Language: English Format: Newspaper Abstract: Keywords: General Military Overview Accuracy Verified: Yes 341. Algotsson, L. (2004). EMDR – Eye movement desensitization and reprocessing, Ett försök att teoretiskt förklara en integrativ metod [EMDR - Eye movement desensitization and reprocessing: An attempt to explain theoretically integrative approach]. Umeå Universitet, Institutionen för klinisk vetenskap, Enheten för psykoterapi. Language: Swedish Format: Dissertation/Thesis Abstract: Accuracy Verified: Yes 342. Herbert, C. (2011, June). EMDR – Practical applications and different treatment protocols for different needs. Presentation at the 7th International Congress of Cognitive Therapy, Istanbul, Turkey. Language: English Format: Conference Abstract: Accuracy Verified: Yes 343. Johannesson, K. B. (2001, April). EMDR – psychotherapy in posttraumatic stress syndrome in young people. Swedish Council on Health Technology Assessment in Health Care (SBU), Stockholm, Sweden. Language: English Format: Other Abstract: Keywords: Posttraumatic Stress Disoder PTSD Young People Accuracy Verified: Yes 344. 謝馨儀.[Xie Xinyi] (1999, 2011). EMDR介入PTSD治療歷程與效果之個案研究 [EMDR treatment of PTSD intervention process and the effect of case studies]. National Taiwan Normal University, Department of Educational Psychology and Counseling, Taiwan. Language: Chinese Format: Dissertation/Thesis Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 345. 吕秋云 钱铭怡 [Lv Qiuyun & Qian Mingyi] (2010年05期). EMDR在中国的发展历程 [EMDR development in China]. 西華大學學報(哲學社會科學版) 29卷5期 [West China University (Social Science Edition, 29(5))]. doi:cnki:sun:cdsf.0.2010-05-002
. Language: Chinese Format: Journal Abstract: Keywords: China Development Process Accuracy Verified: Yes 346. 范红霞 王援朝 [Fan Hongxia, & Wang Yuan-chao] (1996). EMDR心理治疗──治疗抑郁与创伤的新方法 [EMDR psychological treatment — A new treatment of depression and trauma]. 中国临床心理学杂志1996年 第02期 [Chinese Journal of Clinical Psychology, Issue 2]. Language: Chinese Format: Journal Abstract: Keywords: Depression Trauma Accuracy Verified: Yes 347. 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: Keywords: AIDS Depression HIV Trauma Accuracy Verified: No 348. 天野タマキ 市井雅哉 [Amano Tamaki, and Ichii Masaya].
(2009年5月). EMDR痴呆(BPSD)の行動と精神的症状の治療 [Treatment of behavioral and psychological symptoms of dementia (BPSD) with EMDR]. EMDR研究1(1)、24から33 [Japanese Journal of EMDR Research and Practice, 1(1), 24-33]. Language: Japanese Format: Journal Abstract: Keywords: Behavioral and Psychological Symptoms of Dementia BPSD Non-Pharmacological
Therapies Resource Development and Installation RDI Accuracy Verified: Yes 349. 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: Accuracy Verified: Yes 350. Shapiro, F. (2007). EMDR, adaptive information processing, and case conceptualization. Journal of EMDR Practice and Research, 1(2), 68-87. doi:10.1891/1933-3196.1.2.68. Language: English Format: Journal Abstract: Keywords: Adaptive Information Processing AIP Case Conceptualization Family Systems Therapy Integrative Psychotherapy Memories Accuracy Verified: Yes 351. Jarero, I. (2011). EMDR, el SPIA y los mecanismos potenciales de accion [EMDR, AIP, and potential mechanisms of action]. Revista Iberoamericana de Psicotraumatología y Disociación, 2(2), [137 pages]. Language: Spanish Format: Other Abstract: Keywords: Adaptive Information Processing AIP Mechanism of Action Accuracy Verified: Yes 352. Cadarso, V., Conlin, D., Hallett, J., Hewson, J. & Zvelc. G. (2005, June 30-July 3). EMDR, meridian therapies and a
relational integrative psychotherapy. Clinical forum at the 2nd International Conference
by International Integrative Psychotherapy Association, Santiago de Compostela, Spain. Language: English Format: Conference Keywords: Meridian Therapy Relational Integrative Psychotherapy Accuracy Verified: Yes 353. 上田卓司 [Ueda Takuji]. (1998). EMDR--心理療法あるいは記憶と感情の基礎心理学のための実験パラダイム [EMDR - Experimental paradigm for psychological therapy or basic psychology of memory and emotion]. 早稲田大学大学院文学研究科科紀要。 1(44)、29から37
[Bulletin of Waseda University Graduate School of Letters, Arts and Sciences, 1 (44), 29-37]. Language: Japanese Format: Dissertation/Thesis Keywords: Emotional Basis Memory Psychological Basis Accuracy Verified: Yes 354. 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: Keywords: Addiction Comorbidity Dissociation Posttraumatic Stress Disorder PSTD Substance Use Disorder Accuracy Verified: Yes 355. 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: Keywords: Elderly Patient Symposium World War II Accuracy Verified: Yes 356. Capps, F., Andrade, H., & Cade, R. (2005). EMDR: An approach to healing betrayal wounds in couples counseling. In G. R. Walz & R. K. Yep (Eds.), VISTAS: Compelling Perspectives on Counseling (pp. 107-110). Alexandria, VA: American Counseling Association. Language: English Format: Book Section Abstract: Keywords: Betrayal Wounds Couples Counselling Couples Therapy Accuracy Verified: Yes 357. Perkins, B. (2003). EMDR: An overview. Presentation at the annual meeting of the American Psychological Association, Toronto, Ontario, Canada. Language: English Format: Conference Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: No 358. Sikes, C., & Sikes, V. (2003, September). EMDR: Why the controversy?. Traumatology, 9(3), 169-181. doi:10.1177/153476560300900304. Language: English Format: Journal Abstract: Keywords: Literature Review Posttraumatic Stress Disorder PTSD Treatment Effectiveness Accuracy Verified: Yes 359. Βεντουράτου, Δ. [Ventouratos, D.]. (2005). EMDR: Μια νέα μέθοδος για την επεξεργασία τραυματικών εμπειριών [EMDR: A new method for the treatment of traumatic experiences]. Τετράδια Ψυχιατρικής [Notebooks of Psychiatry], 92, 4. Language: Greek Format: Journal Abstract: Keywords: Trauma Treatment Accuracy Verified: Yes 360. Shapiro, F. (2008, May). EMDR: 21st-century therapy and the possibilities for healing. Presentation at the Academy for Guided Imagery Conference. Language: English Format: Conference Abstract: Keywords: Webcast Accuracy Verified: Yes 361. Shapiro, F., & Forrest, M. S. (1997). EMDR: The breakthrough therapy for overcoming anxiety, stress, and trauma (1st ed). New York: Basic Books. Language: English Format: Book Abstract: Keywords: Anxiety Depression Emotional Trauma Grief Major Depression Mental Disorders Nightmares Phobias Posttraumatic Stress Disorder PTSD Stress Therapy Trauma Accuracy Verified: Yes 362. Morris-Smith, J. (2002). EMDR: Clinical applications with children. ACPP Occasional Paper No. 19, Oxford: Blackwell Publishers. Language: English Format: Book Abstract: Keywords: Children Accuracy Verified: Yes 363. Shapiro, F. (2008). EMDR: Desensibilización y reprocesamiento por medio de movimiento ocular [EMDR: Eye movement desensitization and reprocessing]. Santa Cruz Atoyac: Pax Mex Editorial. Language: Spanish Format: Book Abstract: Accuracy Verified: Yes 364. Solomon, E. P., Solomon, R. M., & Heide, K. M. (2009, October). EMDR: An evidence-based treatment for victims of trauma. Victims & Offenders, 4(4), 391 - 397. doi:10.1080/15564880903227495. Language: English Format: Journal Abstract: Keywords: Child Abuse Crime Victims Evidence-Based Treatment Postraumatic Stress Disorder PTSD Trauma Traumatic Stress Accuracy Verified: Yes 365. Quinn, G. (2013, May). EMDR: Immediate emergency treatment for manmade and natural disasters. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Disasters Emergency Treatment Accuracy Verified: Yes 366. Ginger, S. (2011, January). EMDR: An integrative approach. Second EMDR University Research Seminar.
EMDRRevue, Theorie et Clinique therapeutiques, Metz, France. Language: English Format: Other Abstract: Accuracy Verified: Yes 367. Derksen, M. T., & Baeten, B. M.
(2010, April). EMDR: Kijken met een diagnostische 'traumabril' in de ziekenhuispsychiatrie [EMDR: A diagnostic check with trauma glasses' in the psychiatric hospital]. Presentatie op het 38ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Maastricht, The Netherlands. Language: Dutch Format: Conference Abstract: Keywords: Hospital Accuracy Verified: Yes 368. Cazabat, E. H. (2004, Febrero). EMDR: Principios básicos y estado actual de este novedoso método terapéutico [EMDR: Basic principles and current state of this novel psychotherapeutic approach]. Comunicación presentada en: 5º Congreso Virtual de Psiquiatría
. Language: Spanish Format: Conference Abstract: Keywords: Practice Psychological Trauma Theory Accuracy Verified: Yes 369. Prencipe, M. (2010). EMDR: Stato dell’arte e linee future di ricerca [EMDR: Current status and future lines of research]. Università degli Studi di Torino. Language: Italian Format: Dissertation/Thesis Abstract: Keywords: Research Accuracy Verified: No 370. Fournel, V., & Bardot, E. (2008, Juin). EMDR: Succès et écueils de la technique [EMDR: Successes and pitfalls of technology]. In C. Duchet, (Modérateur)Thème libre. Un document présenté a la 10es Journées Scientifiques Internationales des Cump, Clermont-Ferrand, France
. Language: French Format: Conference Abstract: Accuracy Verified: Yes 371. Staff (2012, December). EMDR: Técnica ajuda a superar traumas,Tratamento dura em média 15 sessões e ajuda as pessoas traumatizadas a transmutarem o pensamento negativo [EMDR: Technique helps overcome trauma, Treatment lasts an average of 15 sessions and helps traumatized people ransmute negative thinking]. Folha de Londrina Website. Retrieved from http://www.folhaweb.com.br/?id_folha=2-1--3403-20121231 12/31/2012. Language: Portuguese Format: Other Abstract: Accuracy Verified: Yes 372. Parnell, L. (2009, December). EMDR: A trauma therapy power-tool. Presentation at the 21st International Psychology of Health, Immunity & Disease Conference, Hilton Head, SC. Language: English Format: Conference Abstract: Accuracy Verified: Yes 373. Parnell, L. (2009, October). EMDR: A trauma therapy power-tool. Presentation at the NICABM (National Institute for the Clinical Application of Behavioral Medicine) Conference, Hilton Head, SC. Language: English Format: Conference Abstract: Accuracy Verified: Yes 374. Roques, J. (2004). EMDR: Une révolution thérapeutique [EMDR: A revolutionary therapy]. Paris: Desclee de Brouwer. Language: French Format: Book Abstract: Accuracy Verified: Yes 375. Morgan, S. (2008, October 17). EMDR: Unlocking and unblocking the ties that bind us. Presentation at the BACP annual conference, Telford, UK. Language: English Format: Conference Abstract: Accuracy Verified: Yes 376. Kellogg-Spadt, S, (2007, August). EMDR: A useful adjuvant for sexual healing. Women's Health Care, 6(8), 24-25. Language: English Format: Journal Abstract: Keywords: Psychotherapy Psychological Theory Sexual Abuse
Sexual Abuse Treatment Outcomes Accuracy Verified: Yes 377. Shapiro, F., & Forrest, M. S.. (2005). EMDR: Vernieuwende therapie tegen angst, stress en trauma [EMDR: The breakthrough therapy for overcoming anxiety, stress and trauma]. Antwerpen; Apeldoorn: Garant. 287 pp.. Language: Dutch Format: Book Abstract: Accuracy Verified: Yes 378. Shapiro, F. (1996, Summer). EMDR: Adaptive information processing. Independent Practitioner, 16(3), 142-146. Language: English Format: Journal Abstract: Keywords: Adaptive Information Processing AIP Accuracy Verified: Yes 379. Tinker, R. H., & Wilson, S. A. (2003, September). EMDR: The emerging science of trauma and application to the treatment of children. Preconference presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Children War Refugees Accuracy Verified: Yes 380. Brogan, J. (2000, March 26). EMDR: New look in trauma therapy. Providence, RI: The Providence Journal, Health & Fitness, M-1. Language: English Format: Newspaper Abstract: Keywords: General Overview Providence Accuracy Verified: Yes 381. Grant, M. (2000, May). EMDR: A new treatment for trauma and chronic pain. Complementary Therapies in Nursing and Midwifery, 6(2), 91-94. doi:10.1054/ctnm.2000.0459. Language: English Format: Journal Abstract: Keywords: Chronic Pain Pain Control Trauma Accuracy Verified: Yes 382. Doner, K. (1994, April). EMDR: A radical new treatment for psychological trauma. Self, 16(4), 70. Language: English Format: Magazine Abstract: Reports on the eye-movement desensitization and reprocessing (EMDR) as a psychotherapy method. Therapy for victims of post-traumatic stress disorder (PTSD); Methodology of EMDR; Development in 1987 by Francine Shapiro, senior research fellow at the Mental Research Institute in Palo Alto, California; Relief on 100,000 people; Belief on EMDR; Number of therapists trained in the method. Accuracy Verified: Yes 383. Shapiro, F. (1997, April). EMDR: Setting the record straight. Contemporary Psychology,APA Review of Books, 42(2), 363-364. doi:10.1037/005088 . Language: English Format: Journal Abstract: Keywords: Lohr Point/Counterpoint Accuracy Verified: Yes 384. Shapiro, E. (1993, Fall/Winter). EMDR: Warts and all. EMDR Network Newsletter, 3(2), 4-5. Language: English Format: Newsletter Abstract: Keywords: Outcome Positive Effects Accuracy Verified: Yes 385. Bower, B. (1995, October 21). EMDR: Promise and dissent. Science News, 148(17), 270-271. Language: English Format: Magazine Abstract: Keywords: Research Accuracy Verified: Yes 386. Quinn, G. (2007, March). Emergency EMDR - treating victims from man made to natural disasters. Presentation at the Fifth annual EMDR UK & Ireland Conference, Glasgow, Scotland. Language: English Format: Conference Abstract: Keywords: Katyushas, Man-Made Disasters Terrorist Bombings Tsunami Accuracy Verified: Yes 387. Quinn, G. (2006, August). Emergency room (ER) protocol. In Judi Guedalia & Francis Yoeli, EMDR Protocol for ER and Wards, Shaare Zedek Medical Center, Jerusalem, Israel. Language: English Format: Book Section Abstract: Keywords: Emergency Room Protocol Accuracy Verified: Yes 388. Thompson, M. M., Pasto, L., & McCreary, D. R. (2002, July). Empirical assessment of Lanius, et al.s’ “functional MRI of EMDR in peacekeepers,’ a review of the EMDR literature and an annotated bibiliography. Defence R&D Canada – Toronto, Technical Memorandum, DRDC Toronto. Language: English Format: Other Abstract: Keywords: Bibliographies Canada Desensitizing' Magnetic Resonance Imaging Eye Movements Mental DIsorders MRI Medical Research Order Disorder Transofrmations Signs and Symptoms Stress (Physiology) Traumatic Shock Accuracy Verified: Yes 389. U.S. Department of Veterans Affairs, National Center for PTSD. (2001). Empirical evidence regarding behavioral treatments for PTSD, Factsheet. Washington, DC. Language: English Format: Publication Abstract: Keywords: Behavioral Treatments Fact Sheet Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 390. DeRubeis, R., & Crits-Christoph, P. (1998, February). Empirically supported individual and group psychological treatments for adult mental disorders. Journal of Consulting & Clinical Psychology, 66(1), 37-52. doi:10.1037/0022-006X.66.1.53 . Language: English Format: Journal Abstract: Keywords: Review Accuracy Verified: Yes 391. Ponniah, K., & Hollon, S. D. (2009). Empirically supported psychological treatments for adult acute stress disorder and posttraumatic stress disorder: A review. Depression and Anxiety, 26(12), 1086-1109. doi:10.1002/da.20635.. Language: English Format: Journal Abstract: Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder Psychological Therapies PTSD Qualitative Review Random Control Trials, RCT Accuracy Verified: Yes 392. Spates, C. R. (2012). Empirically supported psychological treatments: EMDR. In J. G. Beck & D. M. SLoan (Eds.), The Oxford handbook of traumatic stress (pp. 449-462). New York, NY: Oxford University Press. Language: English Format: Book Section Abstract: Accuracy Verified: Yes 393. Weisz, J. R., Hawley, K. M., &
Doss, A. J. (2004). Empirically tested psychotherapies for youth
internalizing and externalizing problems
and disorders. Child and Adolescent Psychiatric Clinics of North American, 13, 729–815. doi:10.1016/j.chc.2004.05.006. Language: English Format: Journal Abstract: Keywords: Adolescents Externalization Internalization Accuracy Verified: Yes 394. D'Anca, J. A. (1996). Employing eye movement, desensitization/reorientation (EMDR) to treat posttraumatic stress disorder: A case study. Chicago School of Professional Psychology, Chicago, IL. AAT 9701975. Language: English Format: Dissertation/Thesis Abstract: Keywords: Adults Adult Child Abuse Case Study Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial Accuracy Verified: Yes 395. Ogden, P. (2004, September). Empowering the body: Somatic awareness and physical action in the treatment of trauma and dissociation. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Quebec Canada. Language: English Format: Conference Abstract: Keywords: Dissociation Somatism Trauma Accuracy Verified: Yes 396. Reyes, G., Elhai, J. D., & Ford, J. D. (2008, October). The encyclopedia of psychological trauma. Hoboken, NJ: John Wiley & Sons. Language: English Format: Book Abstract: Keywords: Trauma Accuracy Verified: Yes 397. Peterson, G. (2003, September). Energy healing methods to supplement EMDR in the treatment of DID. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Dissociative Disorders Energy Psychology Energy Therapies Accuracy Verified: Yes 398. Hartung, J., & Galvin, M. (2003). Energy psychology & EMDR: Combining forces to optimize treatment (1st ed). New York: W. W. Norton. Language: English Format: Book Abstract: Keywords: Energy Psychotherapy Psychotherapeutic Processes Stressors Survivors Accuracy Verified: Yes 399. Hartung, J. G. (2002, September). Energy psychology in the service of EMDR. EMDRIA Newsletter, 7(3), 3-5. Language: English Format: Newsletter Abstract: Keywords: Energy Psychology Accuracy Verified: Yes 400. Feinstein, D. (2008). Energy psychology: A review of the preliminary evidence. Psychotherapy, 45(2), 199-213. doi:10.1037/0033-3204.45.2.199. Language: English Format: Journal Abstract: Keywords: Energy psychology Accuracy Verified: Yes 401. Schneider, C. (1999, February). Energy therapies panel with Pat Carrington -
Integrating EMDR with somatic experiencing theory and treatment. Presentation at the Winter Brain Meeting, Plam Springs, CA. Language: English Format: Conference Abstract: Keywords: Energy Therapy Pat Carrington Somatic Experiencing Theory Accuracy Verified: Yes 402. Butler, K. (1993, November/December). The enigma of EMDR: Too good to be true?. Family Therapy Networker, 17(6), 19-31. Language: English Format: Magazine Abstract: Keywords: Professional Training Accuracy Verified: Yes 403. O'Brien, E. (1993, November/December). The enigma of EMDR: Pushing the panic button. Family Therapy Networker, 17(6), 33-39. Language: English Format: Magazine Abstract: Keywords: Panic Accuracy Verified: Yes 404. Ginger, S. (2008, Juillet). Enrichir la Gestalt - thérapie par l’EMDR [Enriching Gestalt - EMDR therapy]. International Journal of Psychotherapy, 12(2), 70-75. Language: French Format: Journal Abstract: Keywords: Gestalt Therapy Accuracy Verified: Yes 405. Ginger, S. (2007, Juin ). Enrichir la gestalt - Thérapie par l’EMDR [Enriching gestalt - EMDR therapy]. Document p
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.
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.
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.
In diesem praxisorientierten Workshop den Einsatz von EMDR mit Zwangsstörung (OCD) werden vorgestellt und geübt werden. In diesem Workshop werden wir die Besonderheiten der Verwendung von EMDR sowie die Kombination mit Stimulus Konfrontation (Exposition Übungen) umfassen wird. Ein Standard-Eintrag verändert wird umgesetzt, das "Timing der Therapie" von EMDR wird gezeigt und die typischen Probleme im Zusammenhang mit der Regulierung von Emotionen wird geprüft werden.
Der Workshop richtet sich an alle Kolleginnen und Kollegen arbeiten in-Tiefe sind psychische und Verhaltensstörungen Therapeutika ausgerichtet.
In this practice-oriented workshop the use of EMDR with Obsessive Compulsive Disorder (OCD) will be presented and practiced. During this workshop we will cover the special features of using EMDR as well as the combination thereof with stimulus confrontation (exposure exercises). An altered standard record will be implemented, the “timing of the therapy” of EMDR will be shown and the typical problems relating to the regulation of emotions will be looked into.
The workshop is aimed at all colleagues who are working in-depth with psychological and behavioural therapeutics.
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.
EMDR ist eine der effektivsten und verträglichsten Behandlungsmethoden für Menschen, die an den komplexen Folgen seelischer Traumatisierung leiden.Das bewährte Konzept der bisherigen Auflagen: ausführliche Darstellung des psychodynamischen Hintergrundes von Traumatisierungen
Überblick über den großen Bereich der Traumafolgestörungen
praxisnahe Erläuterung der einzelnen Phasen der EMDR-Behandlung
Neu in der vorliegenden 3. Auflage: Nachweis der Wirksamkeit durch neue neurobiologische Erkenntnisse
Erweiterung des Behandlungsspektrums durch Studien aus angrenzenden Bereichen
Kriterien zur Qualitätskontrolle
Das Buch wendet sich an Psychiater, Psychotherapeuten und psychotherapeutisch tätige Ärzte.EMDR ist eine der effektivsten und verträglichsten Behandlungsmethoden für Menschen, die an den komplexen Folgen seelischer Traumatisierung leiden.Das bewährte Konzept der bisherigen Auflagen: ausführliche Darstellung des psychodynamischen Hintergrundes von Traumatisierungen
Überblick über den großen Bereich der Traumafolgestörungen
praxisnahe Erläuterung der einzelnen Phasen der EMDR-Behandlung
Neu in der vorliegenden 3. Auflage: Nachweis der Wirksamkeit durch neue neurobiologische Erkenntnisse
Erweiterung des Behandlungsspektrums durch Studien aus angrenzenden Bereichen
Kriterien zur Qualitätskontrolle
Das Buch wendet sich an Psychiater, Psychotherapeuten und psychotherapeutisch tätige Ärzte.
EMDR is one of the most effective and tolerable treatments for people at the complex consequences of mental trauma leiden.Das proven concept of the previous editions: detailed description of the psychodynamic background of trauma
Overview of the major field of trauma disorders
practical explanation of the various phases of EMDR treatment
New in this 3rd Reprint demonstrating the effectiveness of new neurobiological findings
Extension of the range of treatments offered by studies from adjacent areas
Criteria for quality control
The book is intended for psychiatrists, psychotherapists and psychotherapy active Ärzte.EMDR is one of the most effective and tolerable treatments for people who have complex effects on the psychological trauma leiden.Das proven concept of previous editions: a detailed description of the psychodynamic background of trauma
Overview of the major field of trauma disorders
practical explanation of the various phases of EMDR treatment
New in this 3rd Reprint demonstrating the effectiveness of new neurobiological findings
Extension of the range of treatments offered by studies from adjacent areas
Criteria for quality control
The book is intended for psychiatrists, psychotherapists and psychotherapy employed physicians.
The therapeutic effectiveness of EMDR has been wel1 documented since 1989, but the technique is far from reaching its optimal utilisation in the clinical and psychological world. I wish to present a case in which the improvement on the part of the patient was rapid, possibly even astounding to those who are unfamiliar with EMDR. The implications of this treatment for me, however, were much further reaching. Many of the points outlined in theoretical training sessions were brought home most strongly and many more priceless pieces of advice for people who wish to be of assistance to someone who has been involved in a traumatic incident were made so clearly apparent. [Text, p. 14]
After the earthquake in January 2001 in India,40 trained EMDR Therapists participated in helping more than 1600 people.The symptoms of Post Traumatic Stress Disorder(PTSD) were observed both in children and adults;no gross disintegration of personality was noted.Through analyzing children's drawings,the study finds the relationship between individual emotions and traumatic impact on their psychological health.Although people who had suffered greater destruction and severe loss demonstrated greater emotional upheaval,people in the large residential areas mostly intact from the earthquake felt more insecure than those in severely destructed areas,due to the threat of further destruction.
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.
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.
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.
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]
This presentation seeks to address some of the challenges of using EMDR
cross-culturally with highly traumatised clients who have been the victims of physical and/or
psychological torture. The presentation will review characteristics of torture and how the
helplessness experienced by victims physically and psychologically can help the therapist to
case conceptualization and encourage adaptive learning with interweaves to assist the
processing allowing adaptive linkage being made with dysfunctional memory storage.
EMDR is very effective where trauma survivors present with somatisation, dissociation and
frozen states but desensitization and reprocessing can only be embarked upon after
adequate stabilization in the Preparation Phase. Methods of stabilization (including somatic
stabilization) will be covered and thereafter the basic EMDR protocol implemented with the
client focusing on damage to the self and the spirit.
As trauma therapists we are increasingly encountering the challenges of using
EMDR cross-culturally with highly traumatised clients who are refugees from wartorn
countries and/or oppressive regimes. This presentation seeks to address
some of the issues to be taken into consideration and the difficulties in working
with the victims of systematic infliction of physical and/or psychological torture.
Use of EMDR with these highly traumatised individuals will be examined and
ways in which the basic EMDR protocol may need to be adapted to treat these
highly traumatised individuals will be examined.
The eye movement desensitization and reprocessing (EMDR) individual protocol for paraprofessional use in acute trauma situations (EMDR-PROPARA) is part of a project developed at the initiative of Dr. Francine Shapiro. This randomized clinical trial examined the effectiveness of the protocol administered by experienced EMDR therapists. There were 39 traumatized first responders on active duty randomly assigned to receive two 90-min sessions of either EMDR-PROPARA or of supportive counseling. Participants in the EMDR-PROPARA group showed benefits immediately after treatment, with their scores on the Short PTSD Rating Interview (SPRINT) showing further decreases at 3-month follow-up. In comparison, supportive counseling participants experienced a nonsignificant decrease after treatment and an increase in the SPRINT scores at the second follow-up. The significant difference between the two treatments provides preliminary support for EMDR-PROPARA's effectiveness in reducing severity of posttraumatic symptoms and subjective global improvement. More controlled research is recommended to evaluate further the efficacy of this intervention.
The present study is carried out within a psychological
counseling project which is governed by Istanbul Metropolitan Municipality. The study was designed to assess the effects
of EMDR Integrated Group Treatment Protocol (EMDR-ICTP:
on the child victims of a terrorist bombing in Gun Goren, Istanbul.
In this study the EMDR-IGTP was used with 60 children
who are in 5th, 3rd and 4th grade and effected by the event
(exposed, witnessed or their relatives harmed, etc.) with high
scores on the Turkish version of 'Impact of Event Scale' (IES).
Before the group session. Child Report of Post-Traumatic Symptoms
(CROPS) and a survey asking 5 stress-related symptoms
of their lives after the bomb attack were applied. The group sessions consist of: meeting with children. explaining trauma,
psychological debriefing, EMDR (Installing the safe place, assessment,
drawing the first picture, drawing the second and the
third picture, tapping, relaxation), healing story and art therapy.
Participants completed another survey about what they have
realized during and after their group experience.
The study is completed with a re-evaluation of one and three
months follow-up. Analyses of the data collected from the participants
will demonstrate the effectiveness of EMDR in group
setting with children for reducing traumatic symptoms and developing
new resources to handle problems. In this study the
effectiveness of EMDR is examined according to the difference
between the ages of children, and the level of exposure (witnessing,
watching on TV etc.) to the traumatic event.
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.
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.
Herkesin geçmişinde büyüklü küçüklü travma yaşantıları vardır.
Deprem, taciz, tecavüz gibi bir defada olan büyük travmalar olabileceği gibi çok göze çarpmayan ama süreklilik sergilediği için kişiyi ilerideki yaşantısında olumsuz etkileyebilecek olan küçük ve orta büyüklükte travmalar da vardır. İkinci gruptakileri "olay" dan ziyade süreklilik arz eden "durumlar" olarak isimlendirmek sanırım daha doğru olur. Bu gruptakilerin kişi üzerinde ileriki yaşantılarında, büyük olarak nitelendirdiklerimizden daha az etki yapacaklarını söyleyemeyiz. Bu tanımlamada büyük-küçük ayrımını yaparken kastedilenin daha çok dışarıdan bakan birisinin bu olayın ciddiyeti ile ilgili görüşü olduğu izlenimini ediniyoruz. Ancak psikolojik sağlık açısından önemli olan kişin bu olay ya da durumu iç dünyasında nasıl yaşadığıdır. Kişi çocukluğunda yaşadığı ve bir başkasının travmatik olarak isimlendireceği bir durumun etkisi ile ileride psikolojik bir problem geliştirmek zorunda değildir. Aynı şekilde, dışarıdan bakan birisinin fark edemeyeceği ama kişinin çocukluğunda maruz kaldığı olumsuz bir olay ya da süre giden bir durum o kişinin ileride psikolojik bir sıkıntı geliştirmesine neden olabilir. Örneğin, babasının yaptığı şeyleri beğenmediğini ve büyük başarılar dışında yaptığı küçük şeyleri görmediğini algılayan bir çocuk bu süre giden deneyimlerin etkisi ile ileri de ancak çok başarılı olduğu durumlarda takdir edileceği hissine sahip olabilir ve enerjisinin büyük kısmını önemli gördüğü insanlardan büyük başarılar sağlayarak takdir almaya adayabilir. Yukarıda tanımladığımız anlamda, yani kişinin ruhsal dünyasında uzun dönemli olumsuz etki yaratan bir durum olması anlamında bu durum tarvmatiktir. Diğer bir deyişle, küçüklüğünde bu kişinin maruz kaldığı durum o kişi üzerinde travmatik bir etki yaratmış ve o kişinin geleceğini etkilemiştir.
Everyone has experiences of past trauma, large and small.
Earthquake, harassment, rape, such as major trauma at a time, which can be very subtle, but the person to exhibit continuity in the future could adversely affect the life of the trauma, there are also small and medium-sized. The second group are "event" rather than from the persistent "cases" as I think I would be more accurate to name. In Group on the future life of these people, do not say a large effect in less than nitelendirdiklerimizden. While this distinction meant little more than identifying large-outsider's view of someone with the impression that the seriousness of this incident ediniyoruz. However, in terms of psychological health status of the person inside the world of this event or how you live. Contact someone else's traumatic childhood and live in the future be called the psychological impact of a situation to develop is not a problem. Similarly, outsiders can not but notice one person while a child is exposed to an adverse event or a situation to develop that person's future can cause psychological distress. For example, outside the great achievements of his father and his little things he did not see things beğenmediğini detect the effect of experiences with a child going forward at this time but would be appreciated if the feeling may have to be very successful and very successful in providing energy to the majority of people it deems important to appreciate the adayabilir. Sense defined above, that person's mental world in terms of long-term negative impact that this is a situation tarvmatiktir. In other words, this person's childhood exposure to a traumatic effect on the situation created by that person and that person has affected the future of.
Il CRSP (centro di ricerche e studi in psicotraumatologia) sede di Erba, operativo già da alcuni anni sul territorio , si è trovato ad intervenire, nell'emergenza all'evento critico avvenuto ad Erba (Co) l'11 dicembre 2006 ( tristemente noto come “Strage di Erba”) . Si è lavorato in un complesso intervento di Psicologia dell'Emergenza. Questo ha visto applicati i criteri e le azioni derivanti dal modello teorico del Critical Incident Stress Management (CISM) di George S. Everly e Jeffrey T. Mitchell (1983). Secondo questi criteri viene individuata una vittima di secondo tipo, una bimba di 8 anni (amica degli aggressori) seguita in psicoterapia individuale per PTSD ad un mese dall'evento, con EMDR. Questo è il tema principale della relazione.
Riteniamo inoltre, di poter contribuire nell'esplicitare il nostro operato, di quanto sia possibile intervenire in un evento critico , sensibilizzando gli amministratori comunali, gli operatori del soccorso e la popolazione sull’importanza e utilità dell’intervento psicologico nei contesti d’emergenza. Attivando una capillarità dell’intervento stesso: più destinatari, più metodologie usate e flessibilità , con un lavoro di rete sul territorio. Ed infine con interventi efficaci sul PTSD quali il trattamento con EMDR.
The CRSP (center for research and studies in psychotraumatology) when Grass, operating for some years in the area, was found to intervene in emergency critical event occurred in Erba (CO) December 11, 2006 (notorious as "Massacre of Erba"). He worked in a complex intervention of Emergency Psychology. This has since applied the criteria and actions arising from the theoretical model of Critical Incident Stress Management (CISM), George S. Everly and Jeffrey T. Mitchell (1983). According to these criteria, identified the victim of a second type, a child of 8 years (friend of the attackers) followed in individual psychotherapy for PTSD one month after the event, with EMDR. This is the main theme of the report. We also can help make explicit what we are doing what is possible to intervene in a critical event, sensitizing the community leaders, emergency workers and people on the importance and utility of psychological intervention in emergency situations. Activating a capillary of the action: multiple recipients, more flexibility and methodologies used, with a working network in the area. And finally with PTSD on effective interventions such as treatment with EMDR.
His therapist felt that Jack could be helped by a relatively new therapy, Eye Movement Desensitization and Reprocessing (EMDR). EMDR was originated in 1987 and has become a recognized means of helping those dealing with the effects of traumatic events. EMDR-centered therapy allows the mind to heal from psychological trauma in much the same way that the body heals from physical trauma. If an infection or foreign body interferes with physical healing, medical treatment can allow the normal healing process to continue. EMDR works to unblock emotional trauma so that the mind's natural healing process can continue. (Excerpt)
Some of the earliest applications of EMDR were with military veterans (Shapiro 1995, Shapiro & Forrest 1997).
EMDR is now widely used to treat UK military personnel suffering from combat related PTSD. This presentation
will consider extending the use of EMDR as an early intervention during frontline operations. Research suggests
the importance of early detection in PTSD (Lee et al 2005) and the benefits of early intervention (North 2001).
Current practice is that UK personnel who are having significant difficulties in functioning after exposure to
trauma are sent back to the UK for treatment after a brief period of watchful waiting. This is can be detrimental,
both to the unit and individual (Shepard 2000, Solomon et al 2005). EMDR offers a potential solution to this
problem. A case study will be presented of a soldier who was suffering significant post trauma symptoms whilst
serving in Afghanistan. Through the successful use of EMDR in theatre just 2 weeks after the trigger event, he
was able to resume his normal duties and hence avoid the negative effects of being returned to the UK for
treatment. The use of EMDR as a frontline treatment has far reaching implications but currently there is little
evidence for its use as an early intervention with military personnel (Russell 2006). Future research to evaluate
this novel application of EMDR is planned. This presentation will introduce participants to the challenges of
providing psychological treatment during military operations and the potential value of EMDR in this setting.
Peterson and Seligman (1984) developed a theory based on the psychological characteristic of optimism. They
discovered that a more pessimistic explanatory style is correlated with a deeper depression. The most optimistic
explanatory style for a bad event is external, specific and temporary. For a good event the explanatory style is
reverse. The pessimistic explanatory style evaluates the causes of bad and good events in the opposite way.
Seligman and al (1990) administrated the Attribution Style Questionnaire (ASQ) to swimmers. After negative
feedback, optimistic swimmers swim significantly faster compared to pessimistic swimmers. Goldwurm and al.
23
(2006) showed the efficacy of an optimism training proposed by Seligman. Andrew Leeds worked in 1997 on a
new protocol known as Resource Development and Installation (RDI). This protocol has been reported to be
useful in ego strengthening and stabilization. RDI protocol comes from EMDR that has been extensively
researched and proven effective for the treatment of trauma even on athletes (Graham, 2004). An expansion of
the basic EMDR protocol, called “EMDR Peak Performance protocol” has been developed by Lendl & Foster
(1997) for enhancing performance in the workplace, to aid in the reduction of performance anxiety experienced
by creative and performing artists, and for competition preparation and psychological recovery from injury in
athletes. This orientation leads us to go on with a nonpathologizing view developing optimistic client’s potential
with the elaboration of this new protocol that we call: the EMDR optimism protocol (Laizeau and Nousse 2008). It
has been developed on the basis of a study lead on rugbymen and swimmers. The aim of our study was to show
that this EMDR optimism protocol can easily improve athletic performance.
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.
The EMDR Performance Enhancement Psychology Protocol (EMDR-PEP) addresses performance anxiety, self-defeating beliefs, behavioral inhibition, posttraumatic stress, and psychological recovery from injury for creative and performing artists, workplace employees, and athletes. The EMDR-PEP can be very useful with everyday nonpathological complaints such as procrastination, fear of failure, setbacks, and life transitions. Note: Clinicians, working with athletes require rigorous training in Sport Psychology and Sociology of Professional Sport. The EMDR-PEP encompasses a full spectrum viewpoint (body, mind, and spirit) regarding optimal functioning at work and in life. This perspective inspires clients to identify their strengths as well as areas to improve and to prioritize their work accordingly. The EMDR-PEP approach draws upon Maslow's (1971) Human Potential Movement and Positive Psychology (Amen, 2002; Buss, 2000; Csikzentmihalyi, 1990; Seligman, 1998; Taylor, Kemeny, Reed, Bower, & Gruenwald, 2000), as well as Sport Psychology Research and Principles (levleva & Orlick, 1991; Kohl, Ellis, & Roenkerm, 1992; Mamassis & Doganis, 2004; Martin, Moritz, & Hall, 1999; Nideffer, 1976; Short & Short, 2005; Simons, 2000; Unestahl, 1982), and Health Psychology (Graham, 1995; Levine, 1991; Simonton & Creighton, 1982; Whiting & den Brinker, 1982). The first single subject series (Foster & Lendl, 1996) reported promising findings with four diverse work-related situations and was republished in APA's seminal coaching papers in Consulting Psychology, The Wisdom of Coaching (Foster & Lendl, 2007). Reduced anxiety and increased self-confidence were reported for mature performing artists launching an existing repertoire into a new arena (Foster, 2000) and in a controlled study of master swimmers (Linebarger, 2005). Note: The Linebarger study included the Brief Intervention Focusing Protocol; the paper does not include inner advisor and mental room. Special attention is given to performance elements such as ability, focus, and motivation. The EMDR Performance Enhancement Psychology protocol Forms and Script are included. [PsycINFO Database]
This article reports the follow-up results of our field study (Jarero & Uribe, 2011) that investigated the
application of the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical
Incidents (EMDR-PRECI) in a human massacre situation. A single individual session was provided to
32 forensic personnel of the State Attorney General in the Mexican state of Durango who were working
with 258 bodies recovered from clandestine graves. Pre-post results showed significant improvement for
both immediate treatment and waitlist/delayed treatment groups on the Impact of Event Scale (IES) and
Short PTSD Rating Interview (SPRINT). In this study, we report the follow-up assessment, which was
conducted, at 3 and 5 months posttreatment. Follow-up scores showed that the original treatment results
were maintained, with a further significant reduction of self-reported symptoms of posttraumatic stress
and PTSD between posttreatment and follow-up. During the follow-up period, the employees continued
to work with the recovered corpses and were continually exposed to horrific emotional stressors, with
ongoing threats to their own safety. This suggests that EMDR-PRECI was an effective early intervention,
reducing traumatic stress for a group of traumatized adults continuing to work under extreme stressors in
a human massacre situation. It appears that the treatment may have helped to prevent the development
of chronic PTSD and to increase psychological and emotional resilience.
The panel reviews EMDR research, explains the strengths and weaknesses of its current status, and discusses possible future research in the next 5 to 10 years. The panel begins with a discussion of the meaning of “evidence-based” designations, and related legal and ethical implications. A review of EMDR’s efficacy in the treatment of PTSD also highlights areas for future research and issues related to deviations from the standard protocol. This is followed by an overview of preliminary research evaluating EMDR’s effectiveness in the treatment of anxiety disorders, depression, somatic disorders, pain, substance abuse, and offender behavior. A summary of past and current research in these areas indicates opportunities for important future research. The panel concludes with a summary of the research on the effects of eye movements, in disrupting traumatic memories, enhancing physiological de-arousal, and creating psychological distance. The relevance of these findings for various proposed mechanisms in EMDR is discussed, and future research is encouraged.
“Eye Movement Desensitizing and Reprocessing” or EMDR, is an innovative treatment for psychological disorders such as PTSD, first discovered and developed by California psychologist Francine Shapiro, PhD. in the 1980’s. EMDR uses eye movements to turn on memory processing systems that are normally activated by Rapid Eye Movement (RIM) during periods of sleep. During REM, our brains are processing memories, deciding what to keep and what to discard. However, when the brain attempts to process traumatic memories, the intense emotions often associated by them causes the sleeper to have nightmares and wake up before the memory can be processed. The results can be continued nightmares, flashbacks, insomnia, depression, and anxiety. Normally, with just a few treatments, EMDR can help the brain to process the traumatic memories by initiating RIM while the patient is fully awake. For more information on EMDR visit: www.emdr.com
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]
This article presents the results of a time-limited psychological relief effort using eye movement desensitization and reprocessing (EMDR) following the attacks on the World Trade Center on September 11, 2001. Clients made highly significant positive gains on a range of outcome variables, including validated psychometrics and self-report scales. Analyses of the data suggest 2 broad conclusions: EMDR is a useful treatment intervention both in the immediate aftermath of disaster as well as later; the longer treatment is delayed, the greater the level of disturbance experienced by clients. Also discussed are problems in conducting research during mass disaster response situations. A demonstration of an analog to a wait-list control group is provided. [Author Abstract]
EMDR therapy directly addresses the physiologically stored memory networks that underlie both psychological problems and mental health. This adaptive information processing orientation to both case conceptualization and clinical application will be explored in relation to diverse populations. The latest research evaluating both treatment outcomes and underlying mechanisms will be addressed. In addition, clinical cases and questions collected from participants will be used to illustrate the ways in which EMDR can be applied.
EMDR therapy directly addresses the physiologically stored memory networks that underlie both psychological problems and mental health. This adaptive information processing orientation to both case conceptualization and clinical application will be explored in relation to diverse populations. The latest research evaluating both treatment outcomes and underlying mechanisms will be addressed. In addition, clinical cases and questions collected from participants will be used to illustrate the ways in which EMDR can be applied.
I want to begin by thanking the Division for honoring
me with the 2009 Award for Outstanding Contributions
to Practice in Trauma Psychology. I was very touched
to have received the award in the 20th year since the publication
of my first article in the Journal of Traumatic
Stress in 1989. I also appreciate this invitation to
provide an update on some of the recent advances
in eye movement desensitization and reprocessing
(EMDR) practice that are relevant to the Division,
along with a clarification of its current procedures
and theoretical underpinnings. For instance, due in
part to my first publication, which described “EMD”
solely in terms of desensitization with repeated
return to the target memory, many in the field
are unaware that, as EMDR, it is no longer simply
an exposure treatment. In fact, with the accent
on “reprocessing,” EMDR pays only occasional attention to the initial target and, importantly,
includes the facilitation of an association process
that actually contradicts most of the tenets of current exposure
therapies. Therefore, I will also take this opportunity to explain
some of the differences between these treatment orientations,
since this distinction points the way to additional clinical
applications and research opportunities. [Excerpt]
It is clear from over 17 published studies that the EMDR method is highly effective in assisting clients in resolving PTSD (Maxfield and Hyer, 2002). However, most clients who enter therapy do not have a simple problem of a single disturbing memory, but a complex history. Typically, clients come to therapy with a mixed presentation, of not only emotional disturbance, but also mental structures and actions which function to soothe, contain, avoid or dissociate from emotional disturbance. Thus, the initial presentation of most clients is complex and often ambivalent. In this workshop, examples will illustrate Adaptive Information Processing methods of targeting and resolving psychological defenses, such as avoidance, ambivalence, and idealization. Also, the BHS/CIPOS (Back-of-the-Head Scale/Constant Installation of Present Orientation and Safety) method will be described. This method is a set of procedures that can be used during the EMDR Desensitization Phase to therapeutically reverse dissociative processes while preserving emotional safety. Video segments from therapy sessions will be shown to illustrate each of these methods.
EMDR
has
had
a
profound
positive
impact
on
the
lives
of
many
clients
and
has
been
shown
in
more
than
seventeen
published
trials
to
be
effective
in
the
treatment
of
PTSD
(Maxfield
&
Hyer,
2002).
However,
the
DSM
IV
definition
of
PTSD
is
focused
on
the
single
traumatic
incident,
and
many
clients
seeking
relief
in
therapy
have
a
damaging
traumatic
history
that
extended
over
repeated
events
or
over
long
periods
of
time.
The
term,
Complex
PTSD
(Herman,
1992,
van
der
Kolk,
2005)
has
been
proposed
to
describe
a
pattern
of
negative
effects
of
prolonged
and
extreme
stress,
particularly
during
childhood.
The
focus
of
this
workshop
is
to
describe
a
theoretical
framework,
and
specific
therapy
“tools”
which
may
be
useful
in
providing
effective
therapy,
within
the
EMDR
Adaptive
Information
Processing
Model,
to
individuals
suffering
with
Complex
PTSD.
Important
concepts
and
particular
interventions
will
be
illustrated
through
video
examples
and
transcripts
from
therapy
sessions.
Dr.
Knipe
will
present
methods
for
identifying
and
treating
specific
dissociative
symptoms
with
accompanying
evidence
from
available
research
or
case
studies.
He
will
offer
EMDR
“tools”
that
can
be
used
to
make
the
healing
power
of
EMDR
more
available
to
clients
who
are
avoidant,
and/or
highly
vulnerable
to
dissociative
abreaction,
chronic
shame,
and
unrealistic
idealization
of
self
or
of
others.
He
will
discuss
the
primary
characteristics
of
clients
with
Complex
PTSD,
including
problems
with
disrupted
attachment
and
inappropriate
psychological
defenses.
He
will
illustrate
how
to
identify
various
Ego-‐States
and
work
with
these
within
the
Adaptive
Information
Processing
Therapy
Approach.
Time
will
be
available
for
participants
to
discuss
difficult
EMDR
cases.
EMDR
ha
tenido
un
profundo
efecto
sobre
la
vida
de
muchos
clientes
y
ha
demostrado
en
más
de
diecisiete
ensayos
publicados,
ser
eficaz
para
el
tratamiento
del
TEPT
(Maxfield
&
Hyer,
2002).
Sin
embargo,
la
definición
del
DSM
IV
del
TEPT
está
centrada
en
el
incidente
traumático
único,
mientras
que
en
muchos
de
los
clientes
que
buscan
el
alivio
a
través
de
la
terapia
su
historial
traumático
incluye
episodios
traumáticos
repetidos
o
que
se
extienden
a
lo
largo
de
períodos
prolongados
de
tiempo.
Se
ha
propuesto
el
término
TEPT
complejo
(Herman,
1992,
van
der
Kolk,
2005)
para
describir
un
patrón
de
efectos
negativos
derivados
una
situación
de
estrés
prolongado
e
intenso
que
ha
aparecido
principalmente
en
la
infancia.
Este
taller
estará
centrado
en
describir
el
marco
teórico
y
las
“herramientas”
terapéuticas
específicas
que
pueden
ser
necesarias
para
proporcionar
,
dentro
del
modelo
de
procesamiento
adaptativo
de
la
información
de
EMDR,
una
terapia
eficaz
a
los
individuos
que
sufran
de
un
cuadro
de
TEPT
complejo.
Los
conceptos
importantes
y
las
intervenciones
concretas
que
se
realizan
serán
ejemplificadas
mediante
ejemplos
en
vídeo
y
mediante
transcripciones
de
sesiones
de
terapia.
El
Dr.
Knipe
presentará
diversos
métodos
que
permitan
identificar
y
tratar
los
síntomas
disociativos
específicos,
los
cuales
irán
acompañado
de
la
evidencia
de
que
se
dispone
procedente
de
la
investigación
existente
o
de
los
estudios
de
casos.
Ofrecerá,
además,
aquellas
“herramientas”de
EMDR
que
pueden
ser
empleadas
para
que
el
poder
sanador
del
EMDR
esté
más
disponible
para
aquellos
clientes
con
comportamientos
evitativos
y/o
que
son
extremadamente
sensibles
a
experimentar
abreacciones
disociativas,
vergüenza
crónica
o
conceptos
idealizados
de
sí
mismos
o
de
los
demás
no
realistas.
Comentará
también
cuales
son
las
características
principales
de
los
pacientes
que
padecen
de
TEPT
complejo,
entre
los
que
se
incluyen
los
vínculos
afectivos
perturbados
y
los
mecanismos
de
defensa
psicológica
inadecuados.
Ilustrará,
igualmente,
cómo
poder
identificar
los
diversos
estados
del
ego
que
se
producen
y
cómo
trabajar
con
ellos
en
el
marco
del
procesamiento
adaptativo
de
la
información.
Se
dispondrá
de
un
tiempo
adicional
para
comentar
con
los
participantes
los
casos
difíciles
que
se
presenten
con
EMDR.
Abstract:The focus of this workshop will be to describe a theoretical framework, and specific EMDR-related therapy tools which may be useful during Janets Phase 2, the Phase of trauma processing, for multiply-traumatized clients with Complex PTSD. Points of similarity and difference will be described between the EMDR Adaptive Information Processing Model, and two other models of dissociation treatment: the Theory of Structural Dissociation of the Personality and the Internal Family Systems model. EMDR variations will be described which increase emotional safety, and thereby extend the use of EMDR to clients who might otherwise be vulnerable to the intrusion of overwhelming post-traumatic memory material. Through transcript and video examples, the Loving Eyes method (for safely accessing a traumatized Part), the Back-of-the-Head Scale (for measuring the degree of dissociative experience, moment-to-moment, in a therapy session), and the method of Constant Installation of Present Orientation and Safety (for maintaining emotional safety during the processing of a traumatic memory) will be presented. In addition, the structure and treatment of psychological defenses will be conceptualized within the Adaptive Information Processing Model.
Learning Objectives:
1. Describe the Loving Eyes method of developing a co-consciousness between an adult Part and a traumatized child Part.
2. Describe the clinical situations in which the use of the Back-of-the-Head Scale and the method of Constant Installation of Present Orientation and Safety would be likely to be helpful to a traumatized client.
3. Describe how psychological defense may be conceptualized within the Adaptive Information Processing model, and how defenses may be safely released, so that underlying post-traumatic material may be processed.
EMDR has had a profound positive impact on the lives of many clients and has been shown in more than
twenty randomized, peer-reviewed trials to be effective in the treatment of PTSD. However, the DSM IV
definition of PTSD is focused on the single traumatic incident, and many clients seeking relief in therapy
have a damaging traumatic history that extended over repeated events or over many years. The term,
Complex PTSD (Herman, 1992, van der Kolk, 2005) has been proposed to describe a pattern of negative
effects of prolonged and extreme stress, particularly during childhood. The focus of this workshop
is to describe a theoretical framework, and specific therapy “tools” which may be useful in providing
effective therapy, within the EMDR Adaptive Information Processing Model, to individuals suffering with
Complex PTSD. Methods will be described that can make the healing power of EMDR more available to clients who are
avoidant, defensive, and/or highly vulnerable to dissociative abreaction, chronic shame, and unrealistic idealization of self or
of others. Important concepts and particular interventions will be illustrated through video examples and transcripts from
therapy sessions.
It is clear from over 17 published studies that the EMDR method is highly effective in
assisting clients in resolving PTSD (Maxfield and Hyer, 2002). However, most clients
who enter therapy do not have a simple problem of a single disturbing memory, but a
complex history. Typically, clients come to therapy with a mixed presentation, of not
only emotional disturbance, but also mental structures and actions which function to
soothe, contain, avoid or dissociate from emotional disturbance. Thus, the initial
presentation of most clients is complex and often ambivalent. In this workshop,
examples will illustrate Adaptive Information Processing methods of targeting and
resolving psychological defenses, such as avoidance, ambivalence, and idealization.
Also, the BHS/CIPOS (Back-of-the-Head Scale/Constant Installation of Present
Orientation and Safety) method will be described. This method is a set of procedures
that can be used during the EMDR Desensitization Phase to therapeutically reverse
dissociative processes while preserving emotional safety. Video segments from therapy
sessions will be shown to illustrate each of these methods.
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.
Four women between the ages of 29 and 35 presented with distress
and relationship problems due to their perceived inability to sexually consummate their
marriages. On average they had been married for 48 months and in all four cases presented
with considerable distress as they perceived themselves as failures fearing that they would
not be able to have children.
Despite varied past histories, this small cohort all had either sexual abuse histories (one
case) or unusual fantasies about sexual penetration and their own and their partners’ sexual
organs.
This presentation illustrates the helpfulness of history taking and case conceptualisation
with specific emphasis on sexual and developmental history, the role of the “normal” male
partner and the use of the touchstone memory in obtaining initial targets for processing
The four women are compared to establish individual variables which determined sessions
numbers and successful treatment outcome. (Session numbers varied between 6 and 35,
with three subjects needing fewer than 10 sessions).
Suggestions for the use of a similar approach to treat sexual performance anxiety are put
forward
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.
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.
This article, condensed from Chapter 14 of A Guide to the Standard EMDR Protocols for Clinicians, Supervisors, and Consultants (Leeds, 2009), examines applying eye movement desensitization and reprocessing (EMDR) to treating individuals with panic disorder (PD) and PD with agoraphobia (PDA). The literature on effective treatments for PD and PDA is reviewed focusing on cognitive and behavioral therapies, pharmacotherapy, and EMDR. Case reports and controlled studies of EMDR treatment of PD and PDA are examined for lessons to guide EMDR clinicians. Two model EMDR treatment plans are presented: one for cases of simple PD without agoraphobia or other co-occurring disorders and the other for cases of PDA or PD with co-occurring anxiety or Axis II disorders. A more extensive literature discussion, detailed treatment guidelines, and client education resources can be found in the original chapter.
This presentation will review strengths and limitations of treatments for PD and PDA with a focus on cognitive and behavioral therapies, pharmacotherapy, and EMDR. Two EMDR treatment plans will be presented: a Model I plan for PD without agoraphobia or other co-occurring disorders, and a Model II plan for more complex cases of PDA or PD with co-occurring anxiety or Axis II disorders. Clinical examples and specific guidelines will be presented for identifying PD targets and for when to extend preparation phase work and postpone reprocessing of core attachment material in Model II cases.
Although eye movement desensitization and reprocessing (EMDR) has demonstrated efficacy in treating chronic posttraumatic stress disorder and old trauma memories, EMDR treatment of recent traumatic events has not received adequate attention from EMDR researchers or clinicians. This article presents current thinking and findings about early psychological intervention following recent traumatic events and examines the status of early EMDR intervention (EEI) concepts and research. It is contended that this area has not developed sufficient awareness and definition among EMDR clinicians. Francine Shapiro's theoretical adaptive information-processing model predicts that dysfunctionally stored trauma memories underlie many current psychological disorders. Consequently, the assumption that memories of a recent traumatic event and its sequelae are not fully consolidated offers a unique role for EEI not only in reducing acute distress but also in preventing the sensitization and accumulation of trauma memories. A call is made for a more comprehensive approach to the field of EEI to promote interest and awareness among EMDR practitioners and to generate research.
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.
Originally published in Skeptical Inquirer January/February, 1996. Posted Quackwatch April 6, 2004.
Quick fixes,, for emotional maladies have struck a responsive chord in the general public, as biopsychologist B. L. Beyerstein (1990) has noted Because these interventions often hold out the hope of alleviating long-standing and previously intractable problems with a minimum of time and effort, they are understandably appealing to both victims of psychological disorders and their would-be healers.
EMDR is not viewed as a panacea but rather as a comprehensive approach to be applied to experiential contributors of disorder and self-enhancement. The information-processing model that governs EMDR practice invites clinicians to view the overall client picture to identify the past events that contribute to the dysfunction, the present events that trigger disturbance, and the skills and internal resources that need to be incorporated for healthy and adaptive living in the future. The approach to the clinical picture is termed the adaptive information-processing model. It was previously termed the accelerated information-processing model because the rapid learning and transmutation of characteristics can take place without the time limitations accepted and imposed on the previous traditional therapies. [Text, p. 27]TOPICS TREATED: Eight phases of treatment (client history and planning; preparation; assessment; desensitization; installation; body scan; closure; re-evaluation); Adaptive information processing (mimicking spontaneous processing; case study); Future explorations
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.
A large number of studies have demonstrated the efficacy
of cognitive behavioural therapy (CBT) and Eye Movement
Desensitization and Reprocessing therapy (EMDR) in the
treatment of posttraumatic stress disorder (PTSD), and metaanalyses
have shown similar effect sizes for both treatment
conditions. However, less is known about the effectiveness
of these treatments in routine clinical care. Therefore, we
conducted a randomized clinical trial that compared EMDR (n
= 70) to a form of CBT, Brief Eclectic Psychotherapy (BEP; n =
70). Treatment conditions resembled routine care as much as
possible. Participants were outpatients who were referred to the
Center for Psychological Trauma of the Academic Medical Center
with a diagnosis of PTSD after various kinds of type I trauma.
Primary outcome was PTSD symptomatology as measured by
the Impact of Event Scale – Revised. Other measures that were
applied to assess pre-post differences were the Structured
Interview for PTSD, Structured Clinical Interview for DSM-IV Axis
I disorders, MOS Short Form -36, and Posttraumatic Growth
Inventory. Preliminary analyses indicate a significant decrease
in PTSD symptomatology for both treatment conditions, with an
earlier decrease of symptoms in EMDR compared to BEP. Results
of the complete trial will be presented and clinical implications of
the findings are discussed.
Despite the scientific evidence concerning the efficacy of EMDR in the treatment of PTSD, in clinical practice many clinicians are reluctant to apply EMDR to traumatised asylum seekers and refugees. Because they regard the traumatisation of this population as too complex, and for fear of psychological decompensation, they tend to avoid confrontation with traumatic memories and stick to stabilisation techniques. This research project focuses on the efficacy of EMDR versus stabilisation in traumatised asylum seekers and refugees. The aim is to improve the treatment of this target group. (Doctoral research project of Jackie June ter Heijde, clinical psychologist, with the cooperation of Dr Trudy Mooren, Dr Jeroen Knipscheer and Prof. Dr Rolf Kleber)
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.
The junior high school girl in this case witnessed her mother's suicide at the age of four. She
has been acting violently since she entered elementary school. One yearbefore the author met
her, a consultation office for children intervened due to physical abuse by her father. Flashbacks
and dissociation caused wrist cutting and panic. After a few EMDR sessions, wrist cutting, panic
and PTSD symptoms disappeared. As she gained affect regulation skills, she gradually improved
her interpersonal relationship and began to trust others. The consultation aclivities by a school
counselor, namely the offering of psycho-educational information to the school, supporting teachers
and improving teacher's psychological understandings about her, was also important in addition to
individual treatment. The author discussed about the treatment of school children survivors who
rarely visit mental or medical institutions.
This presentation will outline the utilisation of EMDR with deaf clients exploring the
challenges it presents for clinicians whilst exploring the potential for EMDR. Through the use of case
examples this session will outline the ways in which EMDR needs to be adapted for this population
Many clinicians struggle with Cognitive Behavioural Therapy (CBT) with d/Deaf clients due to
some of the abstract ideas used and the heavy reliance on spoken language. Many people, both
hearing and deaf find it difficult to think about thinking, and develop levels of insight into their
emotions and behaviours simply by talking about them. Deaf people experience trauma and abuse
at a much higher rate than hearing people, but there are few established therapies to help them.
As Deaf people do not pick up all of the auditory stimuli it is likely that the trauma or difficult
experiences that bring them to therapy may have been stored visually or kinaesthetically rather than
linguistically. Trauma may also be caused by smaller events due to lack of information available to
them. EMDR is an evidence based therapy that attempts to resolve emotional reactions to traumatic
memories and their triggers. It does this through a combination of physical stimulation and the
recollection and discussion of memories. As such, it seems ideally suited for use with people who are
Deaf and have experienced trauma in their past. I describe how EMDR lends itself for successful use
with Deaf clients and their families, giving two brief case examples where I used EMDR with Deaf
children in British Sign Language.
As with many therapies, the evidence base for the effectiveness of EMDR with children and adolescents is much less established than that with adult clients suffering PTSD. Whilst there is sufficent evidence from open studies and case studies to justify its application, there is a real need for proper evaluation with the younger clinical groups. This paper will review
existing evidence, but will also raise issues of the implications for clinical practice of working with rapidly developing children. To what extent
can and should one takecognisance of th e developmental levels, both cognitive and emotional? How is or should EMDR technique be adapted for work with young children? The actual practices of Shapiro and Tinker vary dramatically, and this needs tbe confronted and understood. The conclusions are that EMDR has an important role In helping traumatized children, but we need to understand both children and EMDR
better in order to develop even more effective interventions.
Hurricane Paulina ravaged Acapulco, Mexico, in October of 1997. Two weeks of
torrential rains, floods and landslides followed. At least 2500 people died. In one poor
neighbourhood on the banks of what had been an almost dry riverbed, 400 people were
buried alive before they could escape or be rescued. Despite acts of incredible heroism
which occurred during the hurricane and floods and in the following days, the initial
rescue efforts were hampered by the lack of infrastructure for emergencies of such scale.
The firemen worked alongside volunteers for 15 days taking only 'cat naps' in their
trucks. They received no psychological debriefing from the horrors they witnessed until
three months later, when Dr. Ignacio Jarero and I (as members of the Mexican
Association for Crisis Therapy core team met to debrief with them. Some of the most
stalwart rescuers with whom we spoke still had recurring images of partial corpses of
children stuck in trees and bodies of pregnant women floating along the main streets of
old Acapulco.
Clinical case-presentation of EMDR-treatment of a boy and a girl, sixteen and eighteen years of age respectively, both with a history of different dissociative symptoms. Both were sexually abuse and both had a considerable weight-loss during EMDR-treatment. Symptoms prior to my contact with the body was pseudo-epileptic fits with shaking, cramps, eyes turning “inside out” and sometimes turning quite blue. After he could be spoken to, he could drink and seemed oriented in time and space, but later had total amnesia of the dissociative episode that could last for several hours. He also had pain in one leg and got the diagnosis “Sympatic Dystrophia” and “Complex Regional Pain Syndrome.” Memory of the sexual abuse was completely hidden behind a screen memory of being abuse physically by a schoolmate until very late in EMDR-treatment. The girl had family relations problems, eating disturbance, suicidal behavior and intense sways in temper and server conflicts with her mother. The sexual abuse by a relative was known and the dissociation was not diagnosed before screening with DES>
Both had different kinds of somatic and/or psychological long treatment, with little success, before entering EMDR-treatment. Both had an EMDR-treatment period of almost one-year and both were given the Putnam DES-scale before, during, and eight months after treatment.
In both cases, there was decline from very high Putnam DES scores to normal. At the eight month follow-up, the boy’s results persisted and weight was regained. The girl us just about to end treatment so there are no follow-up results. However, her weight is back to normal.
Is weight loss during EMDR-treatment noticed by other EMDR-therapists?
EMDR is a method used to help the individual trauma victim process the psychological aftereffects of trauma (PTSD). The effects of traumatic experiences, however, spread throughout the victim's family. The case presented here describes the treatment from three perspectives: individual, family, and social context (eco-social). EMDR, used with a nine-year-old stabbing victim, was integrated into wider therapeutic work within the family. This integration widened the focus from the IP to other members of the system, allowing the use of EMDR to “spread” to four out of the five family members. The effects of the trauma on the family and its members were most effectively treated by a combination of individually and systemically oriented interventions.
Eye movement desensitization and reprocessing (EMDR) is a highly scrutinized but efficacious psychotherapy commonly used in the treatment of posttraumatic stress disorder. Despite much theorizing and speculation, EMDR's mechanism of action remains unspecified. This article reviews several accounts of how EMDR works to reduce symptoms and/or aid memory reprocessing, including disruption of a traumatic recollection in working memory, increased psychological distance from the trauma, enhanced communication between brain hemispheres, and psychophysiological changes associated with relaxation or evocation of a rapid-eye-movement-like brain state. Several gaps in knowledge are also identified: The working memory account has received considerable support but has yet to be evaluated using clinical samples. How psychological distancing translates into symptomatic improvement is unclear. Psychophysiological effects of EMDR are well demonstrated but leave open the question of whether they constitute a treatment mechanism or an outcome of memory processing. Multiple mechanisms may work to produce treatment gains in EMDR; hence, an integrative model may be necessary to capture its myriad effects.
La desensibilización y reprocesamiento mediante movimientos oculares (EMDR) es un abordaje terapéutico que está guiado por el modelo de procesamiento adaptativo de la información (PAI). Este artículo proporciona una breve visión de conjunto de algunos de los principales preceptos del PAI. Se plantea la hipótesis de que la base de la patología clínica radicaría en los recuerdos almacenados disfuncionalmente, derivándose los resultados terapéuticos obtenidos del procesamiento de tales recuerdos dentro de redes adaptativas mayores. A diferencia de las terapias de exposición basadas en la extinción, se postula que los recuerdos considerados como diana en el EMDR pueden sufrir la transmutación durante el procesamiento para ser luego almacenados nuevamente durante el proceso de reconsolidación. Por ello, se proporciona una comparación y un contraste con los modelos de procesamiento de la información basados en la extinción como así también el tratamiento, que incluye las repercusiones que puede tener para la práctica clínica. A lo largo del artículo se comenta una diversidad de mecanismos de acción, incluidos aquellos que se deducen de los principios del modelo PAI como de los propios procedimientos del EMDR, entre los que figura la estimulación bilateral. A fin de investigar las diversas hipótesis, se ofrecen sugerencias de investigación.
"Eye movement desensitization and reprocessing (EMDR) is a therapeutic approach guided by the adaptive information processing (AIP) model. This article provides a brief overview of some of the major precepts of AIP. The basis of clinical pathology is hypothesized to be dysfunctionally stored memories,with therapeutic change resulting from the processing of these memories within larger adaptive networks. Unlike extinction-based exposure therapies, memories targeted in EMDR are posited to transmute during processing and are then again stored by a process of reconsolidation. Therefore, a comparison and contrast to extinction-based information processing models and treatment is provided, including implications for clinical practice. Throughout the article a variety of mechanisms of action are discussed, including those inferred by tenets of the AIP model, and the EMDR procedures themselves, including the bilateral stimulation. Research suggestions are offered in order to investigate various hypotheses."
Introduction of cognitive therapies gave a new hope. Beck and other pioneers in CBT helped a large number of people with emotional problems. Among all contemporary psychotherapies EMDR (Eye Movement Desensitization and Reprocessing) became unique. What is exceptional about EMDR? It is easy to administer, gives quick positive results and no side effects. EMDR facilitates to ease traumatic experiences.
EMDR – Eye Movement Desensitization and Reprocessing är en behandlingsmetod
som främst visat sig vara effektiv vid behandling av posttraumatiskt stressyndrom.
Francine Shapiro som upptäckt och utvecklat metoden grundar den på ide´n om
hjärnan som ett självreglerande, självorganiserande system och kallar sin
förklaringsmodell Adaptive Information Processing model.
Syfte med detta arbete är att beskriva dess verksamma faktorer, då den inte fungerar
samt försöka anknyta teorier som neuropsykologi, dynamisk systemteori och
dialektisk konstruktivism till metoden och dess modell.
Resultatet ger vid hand att den dynamiska systemteorin främst förklarar de både
snabba och plötsliga förändringar som kan noteras vid användandet av metoden, att
senare neuropsykologisk forskning förmår bekräfta metodens användbarhet då det
gäller att beskriva och förklara det som neuropsykologiskt sker vid behandlingen
samt att terapeutisk förändring ofta inbegriper ett pendlande mellan erfarande och
förklarande.
EMDR - Eye Movement desensitization and Reprocessing is a method of treatment
primarily shown to be effective in treating post-traumatic stress disorder.
Francine Shapiro, who discovered and developed the method based on the ide'n
brain as a self-regulating, self-organizing systems and calls its
explanation Adaptive Information Processing model.
Aim of this work is to describe the active factors, then it does not work
and try to link theory to neuro-psychology, dynamic systems theory and
dialectical constructivism to the method and its model.
The result shows that the dynamical systems theory mainly explains both the
rapid and abrupt changes occurring in the use of the method, the
recent neuropsychological research is able to confirm the usefulness of the method when the
to describe and explain what occurs at the neuro-psychological treatment
and that therapeutic change often involves oscillating between experiencing and
explanatory.
Eye-movement desensitization and reprocessing (EMDR) was introduced by Shapiro (1989) as a cognitivebehavioural
therapy for clients with trauma a little over 20 years ago. After an initial period of intense
controversy and scepticism regarding its proclaimed evidence base, EMDR has been studied extensively, its
efficacy has been confirmed (Van Etten & Taylor, 1998; Shepherd et al. 2000, Alto, 2001; Davidson &
Parker, 2001; Maxfield & Hyer, 2002; Bisson & Andrew, 2005; Bradley, et.al., 2005; Bisson, Ehlers,
Matthews, Pilling, Richards, & Turner, 2007) and is one of the effective treatments of PTSD recommended
by the National Institute of Clinical Excellence (NICE) of the UK Department of Health in March 2005. It has
been estimated (Farrell & Keenan, 2010) that in the United Kingdom and Ireland approximately 6,000
mental health clinicians have been trained in EMDR. Although studies have evaluated EMDR as a distinct
therapeutic modality, during the course of their different levels of EMDR training, clinicians are encouraged
to integrate the EMDR treatment protocol into their predominant therapeutic orientation. Thus, EMDR can
be used across different psychological therapies, including the Cognitive Psychotherapies. While this makes
EMDR a highly versatile modality, it can pose a practical challenge to clinicians in terms of when and how to
integrate EMDR into their work with clients. Further, for therapists not trained in EMDR, the concepts may
seem strange and scepticism may remain to this date.
This workshop seeks to close the gap between false perception and reality about EMDR, by drawing on the
facilitator’s 14 years of practical experience in the use and integration of EMDR alongside her work as a
Cognitive Behavioural Psychotherapist. This practice-oriented workshop will explore different applications
of EMDR across the trauma spectrum, as well as, some treatment protocols for other client problems. The
important roles of resource installation and interweaves will be introduced. Several forms of bilateral
stimulation (DAS - Dual attention stimulus) and an EMDR-based protocol for the installation of a Safe Place
for complex trauma (Herbert, 2002) will be practically demonstrated.
Learning Objective
• To learn about different EMDR applications both in the treatment of different types of trauma, as
well as, other psychological problems.
• To alleviate scepticism and encourage understanding on how EMDR can be integrated alongside
the Cognitive Psychotherapies.
• To gain some practical exposure on how EMDR is applied.
Training Modality
• Training will be practice-oriented and will include some experiential exercise.
EMDR (Eye Movement Desensitization and Reprocessing) is a new psychotherapeutic method aimed at processing memories of traumatic events, thereby ameliorating the psychological consequences of these memories. EMDR involves elements from several different psychological approaches. It is uncertain which of the treatment elements are effective. Clients with post traumatic stress disorder (PTSD) are the main target group for EMDR treatment. Although both children and adults have been treated with EMDR, this document is aimed particularly at children and adolescents.
Patient Benefits, Risks, and Side Effects
Published studies of EMDR mainly cover adults with PTSD. There are two randomized and controlled studies, one of which has yet to be published, of EMDR treatment in 47 children and adolescents. One of the studies suggests that EMDR yields a better treatment outcome in the short term compared to the control treatment (active listening). In the second study, no significant difference was found between EMDR treatment in combination with standard treatment and standard treatment alone as regards reduction in avoidance and invading thoughts. However, the PTSD symptom of behavioral disorders declined significantly in the EMDR group. Furthermore, numerous case studies suggest that EMDR has a positive treatment effect in children and adolescents with PTSD. No harmful effects have been reported.
視為一個較新起源於西方國家,眼動脫敏和再加工治療(EMDR)已被證明效率大量的研究。然而,由於這樣的事實,在台灣沒有太多的相關研究,這項研究的目的是在心理治療,EMDR的申請在台灣未來的探索實踐。通過客戶的積極治療和比較 EMDR的干預之前和之後的創傷後應激障礙(PTSD)治療的結果,預計 EMDR將實行更在心理治療領域,從而分散在台灣。 (作者摘要)
Regarded as one newer therapy originated from Western countries, Eye Movement Desensitization and Reprocessing (EMDR) has been proven efficient by numerous researches. However, due to the fact that there is not much related research in Taiwan, this study aims at a psychological therapy practice applying EMDR in Taiwan for the future exploration. Via a client’s positive result from the therapy and the comparison before and after the intervention of EMDR to the Post Traumatic Stress Disorder (PTSD) therapy, it is anticipated that EMDR will be practiced more in the psychotherapeutic field and thus dispersed in Taiwan. (Author abstract)
本世纪初,EMDR引入中国,开始了八年艰苦发展历程:从人们对它一无所知,到现在有了自己的组织;从最初的30余人,到目前近200人参与学习和应用;从我国在国际EMDR领域上的空白,到开始听到中国EMDR专业人士的声音,并在亚洲EMDR组织中占有重要的一席之地。这一步一步走来,无不凝聚了中国EMDR治疗推动者们的心血与努力。今天,越来越多的专业人士开始关注EMDR的治疗效果,5.12地震带来的巨大灾难,更是凸显了EMDR在平复灾区民众心理创伤中的重要作用。
【作者单位】: 北京大学精神卫生研究所;北京大学心理学系;
From the people know nothing about it, and now have their own organizations; from the initial 30 people, nearly 200 people involved in the current study and applications; from EMDR in the international field of the blank, to begin to hear the voice of the Chinese professionals in EMDR and EMDR in Asia, occupies an important place in the organization. This step by step way, embodied the EMDR treatment of the Chinese efforts and the efforts of their promoters. Today, more and more professionals began to focus the therapeutic effect of EMDR, 5.12 enormous earthquake disaster, but also highlights the EMDR people in the affected areas to calm down the important role of psychological trauma.
EMDR心理治疗──治疗抑郁与创伤的新方法范红霞,王援朝山西大学教育系心理室北京医科大学医学心理教研室EMDR(EyeMovementDesensitizationandReprocessing),即眼动脱敏和再加工,是目前对抑郁与创伤的心理治疗的新方法,这种方法产生于1987年,创始人是美国哲学博士夏皮诺(Francineshapiro)。1990年,EMDR正式作为一种新的治疗方法被传授。目前在美国已约有九千人在使用这种方法,但在我国被介绍尚属首次。一、关于EMDR的理论和实验曾有各种各样的假说被提出来解释EMDR心理疗法的作用机制,但至今尚无确凿的证据能充分证实之。有假说认为:“创伤”事件(即经验中的痛苦而难忘的事件)破坏了大脑信息加工系统的生化平衡,干扰了信息加工系统原本具有的适应性处理功能,并把个体关于这一事件的感知“锁定”在神经系统中。反复眼动,能活化大脑这一自动信息处理系统。支持这一理论的神经生物学的研究发现:持续的低电流刺激对突触电位会产生同样的持久效应而且呈现出有益的记忆。EMDR也可被看作是一种再加工方法,其基本干预步骤是图像再现、认知......(本文共计2页)
EMDR psychotherapy to treat depression and trauma ─ ─ a new method Fan Hongxia, Wang Yuanchao Shanxi University Psychology Department of Education Department of Medical Psychology, Beijing Medical Room EMDR (EyeMovementDesensitizationandReprocessing), the eye movement desensitization and reprocessing, is currently on the treatment of depression and psychological trauma the new method, which produced in 1987, is the founder of the American Philosophical 博士夏皮诺 (Francineshapiro). 1990, EMDR officially as a new method of treatment is to teach. Currently there are about 9000 people in the United States using this method, but the first time was introduced in our country. First, on the theoretical and experimental EMDR had a variety of hypotheses have been proposed to explain the mechanism of action of EMDR psychotherapy, but so far there is no conclusive evidence to fully confirm it. There are hypotheses that: "traumatic" event (ie, the experience of traumatic events) destroys brain biochemical balance of information processing systems, interference with an information processing system was originally adaptive processing functions, and to individuals about this event perception "locked" in the nervous system. Repeated eye movement, can activate the brain that automated information processing systems. Support this theory neurobiological findings: Continuous low current stimulation on synaptic potentials would produce the same effect but also presents useful lasting memories. EMDR can also be seen as a re-processing method, the basic procedure is the image reproducing intervention, cognitive ...... (article 2 Pages)
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.
回想療法と検証療法などの非薬物療法が
BPSD(の行動と精神的症状の治療に過去の記憶へのアクセス
認知症)が有効であることが証明されている。眼球運動脱感作と再処理
(はEMDR)また、メモリにアクセスする治療の別のフォームは、効果が証明されています
外傷性記憶の処理。本論文では、2つのBPSDの場合はによって引き起こされると考えられて
traumaric思い出とEMDRによる処理が記載されている:最初の67歳女性歳
アルツハイマー病の早期発症に苦しむ患者と、2番目の85歳の男性歳
血管性認知症の患者。外傷性記憶を処理の結果
EMDR、女性患者ののろいが低下慢性的な、彼女は多くの場合、笑顔。と男性
患者の不安と大きな声を大幅に削減されます。これらの結果は衝撃的な記憶によって引き起こされるいくつかのBPSDの場合に効果的な心理療法としてEMDRを示す
Non-pharmacological therapies such as Reminiscence therapy and Validation therapy which
access to past memories in the treatment of BPSD (behavioral and psychological symptoms of
dementia) have been proven to be effective. Eye movement desensitization and reprocessing
(EMDR), another form of therapy which also accesses to memory, has been proven effective in
the processing of traumatic memories. In this paper, two BPSD cases believed to be caused by
traumaric memories and treated by EMDR are discussed: the first with a 67-year-old female
patient suffering from early-onset Alzheimer's disease, and the second with an 85-year-old male
patient suffering from vascular dementia. As a result of processing traumatic memories with
EMDR, the female patient's chronic cursing decreases and she smiles more often. and the male
patient's restlessness and loud voice are drastically reduced. These results indicate EMDR as an effective psychotherapy for some BPSD cases which are caused by traumatic memories.
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.
EMDR is an integrative, client-centered psychotherapy approach that emphasizes the brain's information processing system and memories of disturbing experiences as the bases of those pathologies not caused by organic deficit or insult. EMDR addresses the experiences that contribute to clinical conditions and those needed to bring the client to a robust state of psychological health. Overviews of the history, development, and research that have established EMDR as an empirically supported treatment are provided. Subsequent to an explanation of the adaptive information processing model, an extended case example is used to illustrate the recommended EMDR case conceptualization and eight phases of treatment. This approach is used to process the early memories that set the foundation for the pathology and the present situations that trigger the dysfunction, while providing templates for appropriate future action that incorporate the information and behaviors needed to overcome skill and/or developmental deficits. The benefits of integrating EMDR and family systems perspectives to provide the most comprehensive therapeutic effects are described. [Author Abstract]
El corazón del EMDR involucra la transmutación de estas experiencias almacenadas disfuncionalmente a una resolución adaptativa que promueve la salud psicológica.
The heart of EMDR involves the transmutation of these stored experiences dysfunctional to an adaptive resolution that promotes psychological health. [Excerpt]
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.
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.
Since its introduction by Francine Shapiro in
1989, eye movement desensitization and reprocessing
(EMDR) has gained wide acceptance as an efficacious
clinical treatment. It is particularly useful in the
treatment of posttraumatic stress disorder (PTSD) (Alto,
2001). Despite its relative novelty, EMDR has been used
to treat survivors, emergency workers, and disaster
relief counselors worldwide. EMDR therapists have
successfully employed EMDR in Oklahoma City,
Belfast, Zagreb, Rwanda, Dunblane, Sarajevo,
Columbine, and Londonderry. EMDR has also been
used in the treatment of PTSD for combat veterans from
World War II, the Korean War, Beirut, and the Vietnam
War (Silver & Rogers, 2002, p. xix). EMDR effects
exceed those of nonspecific effects shared by all
treatments and are independent of client expectations.
Moreover, EMDR effects are at least equal to effects
of cognitive behavioral therapy, and EMDR requires
less time than other models with less client attrition
(Silver & Rogers, p. 254). Importantly, the American
Psychological Association has listed EMDR as an
efficacious treatment for civilian PTSD (Alto, 2001).
Eye movement desensitization and reprocessing (EMDR) is an active psychological treatment for Posttraumatic Stress Disorder (PTSD). This presentation provides an introduction to the procedure, including an overview of the model and method of EMDR as well as the 14 controlled PTSD research studies and the most recent outcome research in the treatment of civilian and combat-related PTSD. It also suggests the clinical and research parameters which remain to be addressed in the future.
Eye-movement Desensitization and Reprocessing (EMDR) has been widely supported in the literature for its effectiveness in treating PTSD and a variety of other diagnoses and symptoms. The variable findings regarding whether its effects are for reasons unique to this treatment, however, have become the focus of extensive discussion and debate. The following article reviews the studies targeting this question, and proceeds to consider why these studies' findings, and other findings in the EMDR literature, vary so vastly. Implications of the EMDR controversy for the process of psychological research at large are considered. [Author Abstract]
EMDR (Eye Movement Απευαισθητοποίηση και επανεπεξεργασίας - απευαισθητοποίηση οφθαλμοκινητικών και επανεπεξεργασίας) είναι μια νεότερη (ανακαλύφθηκε από τον F. Shapiro το 1989-1991) και ίσως πιο αποτελεσματική θεραπευτική μέθοδος για τη θεραπεία του μετατραυματικού στρες, όπως αποδεικνύεται από πλήθος ερευνών. Σε διεθνές επίπεδο αναγνωρίζεται τόσο από το APA (American Psychological Association), καθώς και η ISTSS (International Society for μετατραυματικού στρες Σπουδών), και ήδη 53.000 θεραπευτές σε όλο τον κόσμο έχουν εκπαιδευτεί στην αίτηση. Μετά από μια παρουσίαση σχετικά με τις αρχές και την θεραπευτική μέθοδο EMDR, θα αναφερθώ εν συντομία σε κάποια έρευνα που αποδεικνύουν την αποτελεσματικότητα. Τέλος, η παρουσίαση της κλινικής εκδήλωσης έχει ως στόχο να δώσουμε μια ιδέα της μεθόδου στην πράξη.
The EMDR (Eye Movement Desensitization and Reprocessing - oculomotor
desensitization and reprocessing) is a newer (discovered by F. Shapiro
in 1989-1991) and perhaps more effective therapeutic method to treat
PTSD, as evidenced by a multitude of investigations. At international level
recognized by both the APA (American Psychological Association), and the ISTSS
(International Society for Traumatic Stress Studies), and already 53,000 therapists throughout
the world have trained in the application.
After a presentation on the principles and therapeutic method
EMDR, we briefly introduce some research demonstrating
effectiveness. Finally, the presentation of a clinical event aims
To give an idea of the method in practice.
EMDR (Eye Movement Desensitization and Reprocessing) has been so well researched that it is
now recommended as a front line treatment for trauma in the Practice Guidelines of American
Psychiatric Association, and those of the Department of Defense and of Veterans Affairs. It is
an integrative psychotherapy that offers a new and distinct approach to personality
development and the treatment of pathology.
The clinical applications of EMDR with an information processing focus can be used as a general
model of psychotherapy addressing a full range of issues of everyday clinical practice, including
family therapy impasses. Increasingly, research evidence is showing that there’s a kind of
psychological change that can happen at the level of adaptive information processing, opening
up the possibility of powerful therapeutic effects that can exceed expectations both in the speed
and depth of their impact.
In this presentation, you’ll get an experience of the implicit and associational memory networks
that govern our feelings, thoughts, and reactions outside the realm of rational thought. You’ll
learn how EMDR and the Adaptive Information Processing model apply not only to trauma, but
also to personality disorders, depression, chronic pain, sexual compulsivity, and other
dysfunctional behaviors and thoughts.
EMDR group protocols will be illustrated that have been used worldwide after both natural and
man-made disasters. It is believed that the treatment of trauma through networks of clinicians
can aid in breaking the cycle of violence worldwide.
Hailed as the most important method to emerge in psychotherapy in decades, Eye Movement Desensitization and Reprocessing (EMDR) has successfully treated psychological problems and illnesses--from depression, phobias, and recurrent nightmares to post-traumatic stress disorders and grief--in more than one million sufferers worldwide, with a rapidity that almost defies belief. This Updated Edition Features a new introduction and new appendices by the author, reflecting the changes and additional research that has been done since the book's original publication. It describes a breakthrough therapy acclaimed by many clinicians and supported by exhaustive research The book also includes an extensive list of EMDR resources and directions for finding and choosing one of the more than 20,000 trained EMDR therapists in the United States Finally, this work presents case histories of people whose lives have been transformed through EMDR. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Since Francine Shapiro published her original study on Eye Movement Desensitisation Reprocessing (EMDR) in 1989, more than 20,000 therapists in 55 countries have been taught to use this technique. Over the past decade, the procedure has evolved, making it accessible to a wider range of psychological difficulties. The ACPP recently held a very successful conference examining the context in which EMDR can be applied and the range of psychological disorders that it can help.
Contents:
Robert H. Tinker. EMDR for traumatised children around the world
Ricky Greenwald. EMDR and trauma-focused treatment for conduct problems
Joanne Morris-Smith. EMDR: a case for pre-verbal memory?
Eamon McMahon. EMDR in the treatment of attachment and bonding difficulties
Guinevere Tufnell. EMDR: working with the legal system
Alison Russell & Mike O'Connor. Interventions for recovery: the use of EMDR with children in a community-based project
Umran Korkmazler-Oral & Seniz Pamuk. Group EMDR with child survivors of the earthquake in turkey
Tony Roberts. Websites relating to psychological trauma: with emphasis on children
En tan solo unos cuantos años, el modo EMDR se ha convertido en el tratamiento más elaborado para el desorden de estrés postraumático (entre otras perturbaciones). El método EMDR es un tratamiento legítimo y poderoso.
Modelo integral y eficiente en el tratamiento de experiencias perturbadoras, el método EMDR incorpora diversos aspectos de terapias sistémicas, psicodinámicas, experienciales, conductuales y corporales. Consiste en ocho fases que comprenden el uso de movimientos oculares y otras formas de estimulación izquierda-derecha.
Es eficaz para tratar el desorden de estrés postraumático y reprocesar pensamientos y recuerdos perturbadores o problemas psicológicos de sobrevivientes de traumas, de abuso sexual, de crímenes, de combate bélico, así como de fobias y desórdenes causados por experiencias vivenciales y proporciona en poco tiempo efectos clínicos profundos y estables.
Con descripciones y transcripciones detalladas, la autora guía al clínico por cada etapa del tratamiento terapéutico, desde la selección de los clientes hasta la aplicación del método y su integración dentro de un plan integral de tratamiento clínico.
Escrito de manera accesible, este libro es una guía invaluable tanto para los clínicos experimentados en el tratamiento EMDR como para las personas que acaban de conocer el método, y para los estudiantes avanzados de psicología clínica y psicoterapia.
In just a few years, mode EMDR has become more elaborate treatment for PTSD (among other disturbances) clutter. The methodEMDR is a legitimate and powerful treatment.
Comprehensive and efficient model in the treatment of disturbing experiences, the methodEMDR incorporates aspects of systemic therapies, psychodynamic, experienciales, behavioural and body. Consists of eight phases comprising the use of eye movements and other forms of left-right stimulation.
It is effective in treating post-traumatic stress disorder and re-processing thoughts and disturbing memories or psychological problems of survivors of trauma, sexual abuse, of crimes, war combat, as well as phobias and disorders caused by vivenciales experiences and provides deep and stable clinical effects in a short time.
With descriptions and detailed transcripts, the author guides the clinical through every stage of therapeutic, treatment from clients to the implementation of the method and their integration within a comprehensive clinical treatment plan selection.
Written in an accessible manner, this book is an invaluable guide for clinicians in the treatmentEMDR as for people just know the method and for advanced students of clinical psychology and psychotherapy.
More than half of the United States population has been affected by psychological trauma. Many individuals who survive traumatic experiences develop post-traumatic stress disorder (PTSD) and related psychological problems. Eye Movement Desensitization and Reprocessing (EMDR) is an effective treatment for such disorders. EMDR focuses on reprocessing the dysfunctionally stored memories of the traumatic experience, enabling the client to progress through appropriate stages of affect and insight to reach an adaptive resolution regarding critical issues such as personal responsibility, safety in the present, and the availability of choices in the future. This article describes EMDR, discusses studies of its effectiveness, and concludes with recommendations for trauma-related policy and practice.
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 is an adaptation of the Standard EMDR Protocol which was developed to deal with victims
of natural and manmade disaster within hours of exposure to trauma. Participants in this workshop will learn
the Emergency Response Procedure and its application to treating clients immediately after a trauma. Case
examples will be presented to illustrate the successful treatment of Acute Stress Disorder with survivors of the
Tsunami in Thailand and with victims of terror and war. 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 time 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
• To understand 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
Today, I often include a series of EMDR sessions in my work with a client –
especially when major psychological traumas emerge in their case history: a death, a
suicide or a serious accident affecting someone close to them (or the client himself),
violence, murder, rape, diagnosis of a serious illness, etc. Sometimes I also take on clients
in emergency situations through EMDR, and then to go on to expand their treatment
through Gestalt Therapy.
I would like to share some ideas about how I combine these various practices, using
these two methods.
Inhoud van de workshop: EMDR (eye movement desentization and reprocessing) is een intensieve vorm van psychotherapie voor mensen die last houden van de gevolgen van een (of meerdere) schokkende ervaring(en). Een deel van de getroffenen verwerkt deze ervaringen op eigen kracht, anderen ontwikkelen psychische klachten. Juist deze klachten in het hier en nu als gevolg van een schokkende gebeurtenis in het verleden maken de gebeurtenis tot een traumatische gebeurtenis. Een ogenschijnlijk eenvoudige medische ingreep kan leiden tot reactivering van eerdere traumatische ervaringen. De kern van deze workshop is het leren herkennen en vaststellen van de 'ontwrichtende ervaringen' die van blijvende invloed zijn op het functioneren van de patiënt. Verder wordt aandacht besteed aan het diagnostisch leren kijken met een 'traumabril' en het leren kennen van het indicatiegebied van emdr binnen de ziekenhuispsychiatrie. emdr is volgens internationale en nationale richtlijnen de behandeling van eerste keus bij PTSS. EMDR kan ook toegepast worden bij traumagerelateerde stoornissen die niet per se hoeven te voldoen aan de diagnose ptss, zoals bij angststoornissen, eetstoornissen, pijnstoornissen, somatoforme stoornissen, seksuele stoornissen en verslaving. De bijzondere kenmerken en effecten van emdr worden besproken. Gecontroleerde effectstudies laten zien dat EMDR even effectief of effectiever is dan de huidige meest effectieve therapievorm, de cognitieve gedragstherapie. EMDR-behandeling is bovendien sneller en minder belastend voor patiënten.
Vorm: Presentatie, geïllustreerd met videobeelden, tijd voor vragen en een interactieve discussie.
Leerdoelen: Na de workshop kunnen de deelnemers kijken met de diagnostische 'traumabril', hebben zij inzicht in het brede indicatiegebied van EMDR en hebben zij kennis van deze vorm van psychotherapie en de plaats van EMDR binnen de psychotherapie.
Contents of the workshop: EMDR (eye movement desentization and reprocessing) is an intensive form of psychotherapy for people to suffer from the effects of one (or more) shocking experience (s). Some of the affected processes these experiences on their own, others developed psychological problems. Precisely these problems in the here and now because of a shocking event in the past to make the event a traumatic event. A seemingly simple medical intervention can lead to reactivation of previous traumatic experiences. The core of this workshop is learning to recognize and identify the "disruptive experiences" of lasting impact on the functioning of the patient. Attention is paid to the diagnostic learning to look with an "eye trauma 'and getting to know the indication of EMDR in the psychiatry hospital. EMDR has been under international and national guidelines the treatment of choice for PTSD. EMDR can also be applied to trauma-related disorders that do not necessarily have to meet the PTSD diagnosis, such as anxiety disorders, eating disorders, pain disorders, somatoform disorders, sexual disorders and addictions. The particular characteristics and effects of EMDR are discussed. Controlled Impact studies show that EMDR is as effective or more effective than the current most effective form of therapy, cognitive behavioral therapy. EMDR treatment is faster and less stressful for patients.
Methods: Presentation, illustrated with video, an interactive time for questions and discussion.
Objective: After the workshop the participants can see the diagnostic trauma spectacles, they understand the broad indication in EMDR and have knowledge of this form of psychotherapy and the place of EMDR in psychotherapy.
EMDR (Desensibilización y Reprocesamiento por Movimientos Oculares) es un abordaje terapéutico novedoso y efectivo. Desarrollado por Francine Shapiro a partir de 1987, ha concitado la atención de clínicos e investigadores, contando al día de la fecha con la mayor cantidad de estudios controlados en el campo del trauma psicológico, brindándole un sólido apoyo empírico.
Integrando elementos de orientaciones tales como la psicodinámica, la cognitiva, la conductual, y la corporal, EMDR trasciende a todas ellas, constituyendo un abordaje en sí mismo.
Compuesto por ocho fases claramente establecidas, EMDR brinda alivio rápido y duradero a diversos problemas.
EMDR (Eye Movement Desensitization and Reprocessing) is a novel effective psychotherapeutic approach. Developed by Francine Shapiro since 1987, it has interested clinicians and researchers alike. Up to date, it has undergone more controlled studies in the field of psychological trauma than any other psychotherapy, which has granted it strong empirical support.
Taking elements from psychodynamic, cognitive, behavioral and body-oriented approaches, EMDR surpasses them all to become an approach on its own right. EMDR, structured in eight well defined phases, provides quick and lasting relief for various psychological conflicts.
“ Quando si vive un’esperienza davvero sgradevole, due sono le cose che si possono
fare, due sono le strade che si possono percorrere. Una è quella di guardare in faccia il
ricordo di quell’esperienza, continuare a pensarci, a parlarne e a provare sensazioni al
riguardo: può essere difficile, ma è come se ogni volta si desse a quel ricordo un
piccolo morso, lo si masticasse per bene e lo si digerisse. Esso allora entra a far parte
del nostro nutrimento e ci aiuta a crescere. E la parte che fa male si riduce sempre di
più. Quando si dice che attraverso i momenti difficili si diventa più forti, e a questo che
ci si riferisce. Purtroppo a volte la gente percorre l’altra strada. Il ricordo è così
doloroso, fa così male che lo si vuole solo scacciare, si vuole mettere un muro tra noi e
lui, ci si vuole soltanto sentire bene e riuscire a tirare avanti la giornata. Questo
funziona, almeno per un po’; ci dà sollievo. Ma il problema è che il ricordo non va via,
è sempre lì, fresco come il giorno in cui il fatto è accaduto, sempre pronto a
ripresentarsi per essere masticato completamente e digerito in modo da diventare parte
del passato. E poi, ogni volta, c’è qualcosa che ci fa ripensare a quel ricordo, come se
questo dicesse: ‘Ehi, ci sono anch’io, mi fai entrare adesso?’. Ecco un esempio, quasi
tutti noi, se camminando veniamo urtati incidentalmente da qualcuno, be’, forse ci
secchiamo un po’ per qualche secondo, ma non di più, basta un: ‘Mi scusi’, e tutto
finisce. Ma se la persona che viene urtata ha un mucchio di rabbia compressa dietro a
quel muro, avrà la nostra stessa minima normale reazione, con in più tutto quel
materiale che sta dietro al muro e che dice: ‘Anch’io’, per cui la persona sarà talmente
fuori dai gangheri da essere pronta a litigare. E’ questo il problema: il materiale che
sta dietro al muro; ci può saltare addosso in ogni momento e provocare in noi reazioni
eccessive, rendere difficili le cose facili. Così a volte la gente, quando si ammala per
via di questi problemi, va da un terapeuta per farsi aiutare. E con il suo aiuto riesce a
riafferrare ciò che ha cacciato dietro al muro: prende un pezzetto di quel ricordo, lo
mastica per bene, lo digerisce e diventa molto più forte. Con l’EMDR accade qualcosa
di molto simile a quanto succede con le altre terapie: si riesce a riprendere ciò che sta
dietro al muro, se ne prende un pezzo, lo si mastica per bene, tutto qui. Solo che con
l’EMDR si rivivono i vari pezzi del brutto ricordo molto più in fretta, magari si
ripercorre un intero ricordo in sole due sedute, talvolta in più, talvolta in
meno”(Greenwald, 2000, p.35).
"When you live a truly unpleasant, there are two things that you can
do, there are two ways you could go. One is to face the
memory of that experience, continue to think about it, talk about it and try to sensations
about it: it can be difficult, but it's as if every time you gave at the memory a
small bites, chew it well and it is digested. It then becomes part
of our nourishment and helps us grow. And the part that hurts is reduced more
more. When it is said that through the tough times you become stronger, and that this
it refers. Unfortunately sometimes people runs the other way. The memory is so
painful, it hurts so much that you just want to drive, you want to put a wall between us and
him, you only want to feel good and be able to get by the day. This
works, at least for a while ', gives us relief. But the problem is that the memory does not go away,
is always there, as fresh as the day on which the event took place, always ready to
recur to be chewed and digested completely in order to become part
of the past. And then, every time, there is something that makes us realize that memory, as if
this should say, 'Hey, I'm here too, let me in now?'. Here's an example, almost
all of us, if we come walking accidentally bumped by someone, well, 'maybe there
secchiamo a little 'for a few seconds, but no more, just a:' Excuse me ', and all
ends. But if the person who is hit has a bunch of repressed rage behind
that wall will have our very minimal normal reaction, plus all that
material behind the wall and says: 'I too', for which the person will be so
off the hinges to be ready to fight. And 'This is the problem: the material
behind the wall, there could pounce at any time and cause reactions in us
excessive, make difficult things easy. So sometimes, when people get sick for
Because of these problems, go to a therapist for help. And with his help can
recapture what has driven behind the wall: it takes a little bit of that memory, the
chew well, digests it, and it becomes much stronger. With EMDR something happens
very similar to what happens with other therapies: you can not take back what is
behind the wall, it takes a piece, chew it well, that's all. Only with
EMDR is reliving the various pieces of the bad memory much faster, maybe you
retraces an entire memory in just two sessions, sometimes more, sometimes in
less "(Greenwald, 2000, p.35).
L’EMDR se situe comme une technique très adaptée au traitement du psychotraumatisme. Pourtant, malgré
le succès parfois spectaculaire de cette méthode, certains patients ne présentent aucune amélioration.
EMDR is a technique very suitable for the treatment of psychological trauma. Yet, despite
sometimes spectacular success of this method, some patients show no evidence thatEMDR is a technique very suitable for the treatment of psychological trauma. Yet, despite
sometimes spectacular success of this method, some patients show no improvement.
Traumas psicológicos trazem consequências emocionais e físicas. Quem passou por um trauma geralmente lembra da situação com certa frequência e o sofrimento vivido vem à tona fazendo com que a pessoa reviva o momento. Angústia profunda, sensação de estar preso, fobia, isolamento, raiva, agressividade, depressão, dificuldade nos relacionamentos interpessoais são algumas consequências de um trauma.
A questão é que a pessoa também pode apresentar sintomas físicos como enxaqueca, fibromialgia, síndrome do intestino irritável, amnésia psicogênica, tontura, sudorese, distúrbio do sono e outros. ''O trauma é um estresse crônico porque a pessoa que passa por uma situação assim fica reincidindo, lembrando da ocasião, e acaba ficando o tempo todo em estado de alerta, por isso desenvolve uma porção de sintomas que caracteriza o estresse pós-traumático'', conta a psicóloga Dorotéia Murcia Souza.
As terapias com psicólogos são eficazes na superação de traumas, mas a psicologia convencional costuma ser um tratamento de longo prazo. Uma das técnicas usadas nesta área é uma abordagem psicoterápica chamada EMDR, ou Movimento Ocular, Dessensibilização e Reprocessamento (sigla em inglês). A técnica consiste em acessar as memórias traumáticas do paciente, dessensibilizá-lo para a ocasião e reprocessar o entendimento dele referente àquelas memórias. Este tipo de tratamento dura em média 15 sessões.
Psychological traumas bring emotional and physical consequences. Who went through the trauma. Usually remember the situation with some frequency and experienced Suffering comes up Causing the person to relive the moment. Deep distress, feeling of being trapped, phobia, isolation, anger, aggression, depression, difficulty in interpersonal relationships are some Consequences of the trauma. The point Is that the person may have physical Also Symptoms such as migraines, fibromyalgia, irritable bowel syndrome, psychogenic amnesia, dizziness, sweating, sleep disturbance, and others. '' The trauma is a chronic stress because the person who goes through a situation like this is reincidindo, remembering the occasion and end up all the time on the alert, so a lot of Develops Symptoms That characterize the post-traumatic stress '' says psychologist Dorothy Souza Murcia. therapies with psychologists are effective in overcoming trauma, but conventional psychology is Often the long-term treatment. One of the techniques used in this area is a psychotherapeutic approach called EMDR, or Eye Movement, Desensitization and Reprocessing. The technique Consists in Accessing the patient's traumatic memories, it desensitize and reprocess the occasion is his understanding Regarding Those memories. This type of treatment lasts an average of 15 sessions.
Eye Movement Desensitization and Reprocessing (EMDR) is a revolutionary, powerful therapeutic method for healing the devastation of trauma. In addition to the treatment of PTSD, EMDR can treat the psychological effects of smaller traumas related to symptoms of depression, anxiety, phobias, low self-esteem, creativity blocks and relationship difficulties. Not only can healing occur more rapidly with EMDR than in traditional therapy, but the clearing of emotional/physical blockages results in positive spirituality.
Eye Movement Desensitization and Reprocessing (EMDR) is a revolutionary, powerful therapeutic method for healing the devastation of trauma. In addition to the treatment of PTSD, EMDR can treat the psychological effects of smaller traumas related to symptoms of depression, anxiety, phobias, low self-esteem, creativity blocks and relationship difficulties. Not only can healing occur more rapidly with EMDR than in traditional therapy, but the clearing of emotional/physical blockages results in positive spirituality.
Voici une découverte thérapeutique qui bouleverse notre compréhension du fonctionnement psychique. Conçu en 1987 aux USA par Francine Shapiro pour guérir les traumatismes psychiques, l'EMDR permet de soigner aussi bien d'autres problématiques névrotiques (phobies, angoisses, états dépressifs, etc.). Cette méthode a été importée en France en 1994. Son efficacité a pu être vérifiée aussitôt en cabinet et en milieu hospitalier. Eye Movement Desensitization and Reprocessing ou EMDR peut se traduire par Désensibilisation et retraitement (de l'information) par les mouvements oculaires. Si le mouvement de l'œil revêt effectivement une grande importance dans la gestion neurologique de la mémoire, il n'en est pas l'unique ressort comme on pourrait le croire. D'autres modes complémentaires de stimulation sensorielle alternée du cerveau, mis en œuvre par un thérapeute expérimenté, peuvent activer pareillement le travail de cicatrisation psychique et de guérison. Ce livre a pour vocation d'éclairer et d'informer, mais aussi d'enseigner. Il est accessible à toute personne désireuse de comprendre la pathologie et son traitement. A vocation didactique, il s'adresse également aux professionnels du soin en raison de sa dimension théorique approfondie et de ses développements cliniques.
Here is a drug discovery that overturns our understanding of psychic functioning. Designed in 1987 by Francine Shapiro in the U.S. to heal the psychological trauma, EMDR can cure anything other neurotic problems (phobias, anxiety, depression, etc..). This method has been imported into France in 1994. Its effectiveness has been verified once in office and hospital. Eye Movement Reprocessing, or EMDR Desensitizer and may result in desensitization and reprocessing (of information) by eye movements. If the eye movement is actually of great importance in the management of neurological memory, it is not the only emerging as one might think. Other complementary modes of alternating sensory stimulation of the brain, implemented by an experienced therapist, may similarly activate the work of healing and psychic healing. This book aims to enlighten and inform, but also to teach. It is available to anyone wishing to understand the pathology and treatment. A didactic, it also addresses care professionals because of its theoretical dimension and depth of its clinical development.
Dr. Francine Shapiro, psychologist and Senior Research Fellow at the
Mental Research Institute in Palo Alto, USA discovered the powerful effect
of eye movements in 1987. She then developed and researched a
psychotherapeutic approach called EMDR (Eye Movement Desensitisation
and Reprocessing) which is now widely acknowledged as a highly effective
treatment for PTSD (post traumatic stress disorder). In 2005 it was
validated by NICE as a preferred treatment for PTSD. There are now over
4,000 EMDR trained therapists in the UK and Ireland, from a wide variety of
theoretical backgrounds, integrating EMDR into their treatment of
numerous presenting psychological problems.
The text consist of two pages of questions and answers about the utilization of EMDR as a treatment with successful outcomes.
EMDR staat voor "Eye Movement Desensitization and Reprocessing" en is een kortdurende, geprotocolleerde en cliëntgerichte behandelmethode om schokkende ervaringen te verwerken. Ook kan het helpen tegen angst en stress.
EMDR integreert verschillende succesvolle elementen van andere therapieën in combinatie met een afleidende stimulus. Deze stimulus kan zijn: het met de ogen volgen van de handen van de therapeut, bi-laterale audiostimulatie, of bi-laterale handstimulatie. Hierdoor wordt "het informatie-verwerkings-systeem in de hersenen" gestimuleerd. Met EMDR is het niet nodig om jarenlang te praten over het verleden. Wel worden, door het stimuleren van het informatie-verwerkings-systeem, in een relatief korte tijd therapeutische doelen bereikt. Hierbij veroorzaakt EMDR herkenbare veranderingen die ook na langere tijd blijven bestaan. De volgende gebeurtenissen kunnen, bij kinderen en volwassenen, leiden tot verwerkingsproblematiek: een (auto)ongeval, brand, diagnose van een ernstige ziekte, getuige van geweld, mishandeling, misbruik, natuurramp, overval, verkrachting of aanranding, verlies van een baan, ziekte of een ziekenhuisbezoek/opname etc.
De volgende soorten klachten kunnen kinderen en volwassenen hebben na een schokkende ervaring: herbelevingen van de ervaring, vermijdingsgedrag m.b.t. de ervaring, verhoogde arousal (opgewonden, overdreven alertheid), stress, schaamte of schuldgevoel, slecht humeur, depressie, zich zorgen maken, angsten, slecht zelfbeeld, paniek, slaapproblemen, relatieproblemen, onverklaarbare lichamelijke klachten etc. Voor meer informatie verwijs ik naar www.emdr.nl.
EMDR stands for Eye Movement desensitization and Reprocessing "is a short, recorded and client-centered treatment approach to shattering experience to process. It can also help reduce anxiety and stress. EMDR integrates various successful elements of other therapies in combination with a distracting stimulus. This incentive can be: with the eyes following the hands of the therapist, bi-lateral audio stimulation, or bi-lateral hand stimulation. This is the "information-processing system in the brains" encouraged. With EMDR is no need for years to talk about the past. Well, either by stimulating the information processing system in a relatively short time therapeutic goals. This caused EMDR recognizable changes even after long period of time. The following events may, in children and adults, leading to processing problems: a (car) accident, fire, diagnosis of a serious illness, witnessing violence, maltreatment, abuse, natural disaster, robbery, rape or sexual assault, job loss, illness or a hospital visit / recording etc. The following types of complaints, children and adults after a shocking experience: reliving the experience, avoidance of the Experience, increased arousal (excited, exaggerated alertness), stress, shame or guilt, bad mood, depression , worry, anxiety, low self-esteem, panic, sleep problems, relationship problems, unexplained physical complaints, etc. For more information I refer www.emdr.nl
The Eye Movement Desensitization and Reprocessing (EMDR) method defines the succesful treatment of pathology as a clinician-assisted "self-healing" process. Specifically, the individual reprocesses the dysfunctional information stored in the nervous system as a result of previous disturbing events. Congruent with the principles of mind/body psychology, there is an assumed interaction of psychological and physiological processes. The nature of the clinical disorder is defined on the basis of the type of experiences that have been dysfunctionally stored and which need to be effectively processes.
It is increasingly recognized that psychological trauma causes neurophyslological dysregulation in children, which then alters their developmental course. In this full-day seminar, we will present an organizational framework that clarifies how trauma-based diagnosis relates to traditional nosological systems, such as DSM-IV, and ICD-10, and how to treat these symptoms of dysregulation using EMDR. We will illustrate these concepts with videotapes of EMDR treatment sessions with children. These video seggments will cover a variety of applications with children
of different ages, including single traumas, multiple traumas, complex
disorders of childhood, attachment issues, dissociation, and group application of EMDR with war refugee children. Following the workshop,
participants will be able to discuss and understand the above topics.
Eye Movement Desensitization and Reprocessing (EMDR), an alternative to traditional talk
therapies, may seem bizarre.
Patients must follow the therapist's fingers waving before their eyes, as if they were trying to keep
track of a tennis match. Or they watch a blinking light traveling along a special light bar.
EMDR (eye movement desensitization and reprocessing) is a new psychological treatment for trauma that is capable of facilitating rapid and permanent reduction in distressing thoughts and feelings (Carlson et al. 1998,Wilson et al. 1995). In addition to reduction of psychological distress, the method leads to more adaptive attitudes and functioning. The utility of the method also appears to extend beyond trauma with Goldstein & Feske 1994, Grant 1986). As a treatment for pain EMDR offers a method of positive results reported in the treatment of addictions, phobias, and pain (Henry 1996, facilitating permanent changes in how pain is experienced somatically and emotionally. Knowledge and understanding of the principles underlying EMDR can also provide a guide for more effective interventions by pain specialists. [PubMed]
Originally published in Contemporary Psychology: APA Review of Books, 1997, Vol 42(4), 363-364. Francine Shapiro comments on Jeffrey Lohr's review (see record 2004-17623-008)of Shapiro's book Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols and Procedures (see record 1995-98132-000). The author points out that Lohr has bolstered his argument by citing his own literature reviews, which are also characterized by pervasive misrepresentations of the actual data (Lohr, Kleinknecht, Tolin, & Barrett, 1995; Tolin, Montgomery, Kleinknecht, & Lohr, 1995). In his book review, Lohr questions the interpretations of the research the author gives in the text by saying that "Published accounts that cast doubt on the effect of treatment are ignored or discounted for insubstantial reasons." The author lists four criteria specified in the book for evaluating the clinical applicability of PTSD research results and states that the readers may judge if these criteria are indeed "insubstantial". Contrary to Lohr's implications, the judicious and diverse clinical applications of EMDR explored in the book have been supported by many experts in the field in conjunction with relevant published data. Rather than argue the merits of the proposed Accelerated Information Processing model or review the pervasive errors in Lohr's discussion of it, the author will allow readers to come to their own conclusions. She reaffirms here as she does throughout the text, that debates regarding the model, or the eye movements per se, are not relevant to the question of whether or not the method actually works. EMDR consists of much more than directed eye movements (or alternate stimulation). Rather, it is a complex integrative approach, drawing from psychodynamic, behavioral, cognitive, systems, and body-oriented therapies. More positive controlled studies support EMDR than any other treatment for PTSD (e.g., Carlson, Chemtob, Rusnak, Hedlund, & Muraoka, in press; Rothbaum, in press; Scheck, Schaeffer, & Gillette, in press; Wilson, Becker, Tinker, 1995, in press; Shapiro, 1996b). All of these studies fulfill accepted standards of objective psychometrics and independent assessors. (PsycINFO Database Record (c) 2008 APA, all rights reserved).
After my first training with Francine
in 1989, in Israel, I was excited by
this promising method and infected
with her enthusiasm. I went on to
use EMDR whenever I could in my
work at the Nazareth Ilite Educational
Psychological Service and in
my private practice, as well as during
my present sabbatical leave in London.
I often incorporated EMDR into
my work and felt comfortable and
confident with a wide range of clients,
ages, and difficulties and was
ready to explore further with the
method. Since my Level II training
in November of 1992, I have learned
to be more discerning, perhaps even
overcautious for the time being, in
applying EMDR. Reflecting over my
earlier years of bolder and freer uses
of EMDR, I did not encounter any
negative effects. The worst that happened
was that nothing much happened,
and this occurred in a minority
of cases (perhaps in less than
20%). Even with those cases, I had
noticed that there may have been a
tendency to underestimate positive
effects. One of the subtle difficulties
I observed assessing outcomes was
that the cognitive changes that occurred
were sometimes so spontaneous
and "naturally" that the client took
them for granted. I first notice this
phenomenon clearly in two cases.
Scientists rarely sound as apologetic as Charles R. Figley did after discussing his latest investigation at the American Psychological Association's annual meeting in New York City this August. "I'm taking a major risk in presenting such odd and unusual techniques to you," Figley told the assembled clinicians. "But these are potentially revolutionary treatments for traumatic stress reactions."
The workshop on Emergency EMDR will give an overview of crisis intervention and principles of critical incident debriefing following man made and natural disasters. There will be a review of the Neurobiology of Stress and PTSD. The various protocols of EMDR will be discussed such as the standard Protocol, the Recent Events Protocol and the group protocol. The Emergency Response Procedure (ERP), that can be used within hours of a traumatic Incident, will be discussed with case examples demonstrating its usefulness in many cases of Acute Stress Reaction and Disorder. This will be understood within the overall context of the principles of Psychological First Aid. All of this will be discussed with case examples of victims treated after terrorist attacks and war in Israel and after the Tsunami in 2004. There will be a practicum on Group EMDR.
This section EMDR treatment immediately after a traumatic event. The treatment combines shock treatments with ingredients
From EMDR. This treatment protocol is not official yet and would like to bring a summary of our experience in treating victims of terrorism in the ICU. Representative of the protocol has been formulated so far (it probably will take some developments) as well as a case study illustrates the use of the protocol. Nurse in the ICU is Dr. Judy Gedalia receiving immediate training. Yoeli Francis on line. SCREENING
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.
This report reviews a research proposal, the major objective of which is to assess the relation between PTSD (Post Traumatic Stress Disorder) and limbic, paralimbic, and prefrontal brain function as assessed with functional MRI (Magnetic Resonance Imaging), and to determine whether an Eye Movement Desensitization and Reprocessing (EMDR) intervention causes those structures to return to a normal mode of functioning. The proposed study secondarily explores the effectiveness of EMDR in reducing PTSD symptomatology. While the first and second objectives of the study may have scientific merit, the mandates of other funding agencies would appear to be more appropriate for investigations of basic neuroscience processes associated with brain functioning in PTSD (e.g., NSERC or CIHR). Importantly, a critical review of the EMDR research reveals that a great deal of controversy surrounds the effectiveness of this therapy. EMDR has not been shown to be more effective than presently validated PTSD exposure-based therapies, and the eye movement component of EMDR appears to provide no therapeutic benefit. Finally, there is a lack of clarity around specific items listed in the proposed budget. Given these concerns it is not recommended that this proposal be funded at this time.
EMDR involves having the patient bring to mind images of the trauma while engaging in back-and-forth eye movements (or while alternating oneâs attention back and forth using taps or sounds). It also addresses trauma-related negative beliefs. It has been shown to be more effective than psychodynamic, relaxation, supportive, or placebo wait list therapies (where patients are put on a waiting list to receive treatment but don't actually receive it by the time they are tested). Research comparing EMDR to the more generally accepted cognitive-behavioral techniques shows significantly better results with CBT than with EMDR, particularly at three-month follow-up. CBT results also show greater sustainability. Research looking at the different components of EMDR shows that the eye
movement component adds no additional treatment effect to the imagery exposure and the process of dealing with negative beliefs.
The experimental literature on individual and group psychological treatments for adult disorders is reviewed. For each of the 11 disorders or problems covered, treatments that fall into the following categories, as defined by D.L. Chambless and S. D. Hollon (1998), are identified: efficacious and specific, efficacious, and possibly efficacious. Behavioral and cognitive-behavioral treatments dominate the lists, especially in the anxiety disorders, with notable exceptions. Reasons for the hegemony of the behavioral and cognitive modalities are discussed, and some limitations of the empirically supported treatment concept are addressed. Continued research is recommended on Aptitude x Treatment interactions, cost-benefit ratios, and generalization of treatments to a variety of patient populations, therapists, and treatment settings.
Background: Acute stress disorder (ASD) predicts the development of posttraumatic stress disorder (PTSD), which in some sufferers can persist for years and lead to significant disability. We carried out a review of randomized controlled trials to give an update on which psychological treatments are empirically supported for these disorders, and used the criteria set out by Chambless and Hollon [1998: J Consult Clin Psychol 66:7-18] to draw conclusions about efficacy, first irrespective of trauma type and second with regard to particular populations. METHODS: The PsycINFO and PubMed databases were searched electronically to identify suitable articles published up to the end of 2008. Fifty-seven studies satisfied our inclusion criteria. RESULTS: Looking at the literature undifferentiated by trauma type, there was evidence that trauma-focused cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) are efficacious and specific for PTSD, stress inoculation training, hypnotherapy, interpersonal psychotherapy, and psychodynamic therapy are possibly efficacious for PTSD and trauma-focused CBT is possibly efficacious for ASD. Not one of these treatments has been tested with the full range of trauma groups, though there is evidence that trauma-focused CBT is established in efficacy for assault- and road traffic accident-related PTSD. Conclusions: Trauma-focused CBT and to a lesser extent EMDR (due to fewer studies having been conducted and many having had a mixed trauma sample) are the psychological treatments of choice for PTSD, but further research of these and other therapies with different populations is needed. [Pubmed]
In this chapter we review the empirical foundation for Eye Movement Desensitization and Reprocessing Therapy (EMDR) for posttraumatic stress disorder. We present a brief description of the therapy, critically review recent primary and meta-analytic investigations concerning its efficacy and effectiveness, offer a summary of recent primary investigations that addressed the mechanism of action for EMDR, and based on this overall review, we suggest limitations with recommendations for future research. Recent empirical investigations of the efficacy of EMDR have improved along a number of important dimensions, and these along with the few completed effectiveness trials, position this therapy among evidence-based frontline interventions for PTSD. What is less thoroughly researched, and thus less well understood, are putative models of its theoretical mechanism of action. In addition to continuing specific improvements in research concerning efficacy and effectiveness, we recommend more and higher quality empirical studies of its mechanism of action. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
The term psychotherapy has come to be applied to a broad array of nonmedical
interventions designed to alleviate psychologic distress, reduce maladaptive
behavior, or increase deficient adaptive behavior through counseling,
interaction, a training program, or a predetermined treatment plan. Although the
specific term is relatively recent historically, the general idea is ancient. Roots of
psychotherapy can be found in the ageless tradition of helping by listening,
discussing, and questioning. Among the early Greek philosophers, Socrates
developed a method and a thesis that presaged some modern forms of psychotherapy.
His approach involved questioning others to provoke them to examine
their beliefs, with the goal of bringing them closer to truth. His method reflected
his ‘‘midwife thesis,’’ the notion that the philosopher’s role is to deliver the truth
that already is within others, much as the midwife delivers the baby that is within
a mother. This idea, of course, is not so different from the view many modern
therapists have of their own professional roles. Other approaches that fall under the ‘‘psychotherapy umbrella’’ do not involve talk therapies but rather procedures
that parents, teachers, and other adults use to limit disobedient or disruptive
behavior by boys and girls or to help youngsters focus attention or behave less
impulsively. The struggle by adults to shape, manage, and guide youth behavior
certainly predates even the ancient Greeks.
The author presents a case study of a 42- year-old white female, the victim of multiple sexual traumas resulting in PTSD. Eye Movement Desensitization/Reorientation (EMDR), a relatively new technique, is employed within the broader context of talk therapy to effect change. EMDR's therapeutic effectiveness is evaluated on a trauma-by-trauma basis through Subjective Units of Distress (SUD), pre- and post-treatment. The maintenance of sustained effected change in SUD ratings is monitored over time on a monthly basis throughout psychotherapy's duration. The patient's changes in overall level of functioning resulting from EMDR and talk therapy are evaluated through changes in MMPI and Rorschach scores. Patient progress is monitored three times through the assessment combination of these two measures: pre-, mid-, and post-treatment. This study addresses the following questions: Is Eye Movement Desensitization/Reorientation an effective technique in decreasing or eliminating symptomatology and psychopathology resulting from PTSD; and are any therapeutic benefits from its use maintained over a period of at least one year? Finally, what changes in the patient's overall level of functioning result from the combination of EMDR and talk therapy?The review of literature presents four models of PTSD: (a) the information processing model, (b) the psychological model, (c) the structural-developmental model (Fluid character pathology), and (d) the structural-developmental model (Dysregulation of impulse). These models offer a basis for conceptualizing PTSD as well as present the typical features of this pathology. The current diagnostic criteria for diagnosis as presented in DSM-IV also are included. Finally, a comprehensive review of the current literature available on Eye Movement Desensitization is presented. Results from the employ of EMDR evidence substantial reduction of PTSD symptomatology for all traumas treated. The reduction of symptomatology sustained for as long as 26 months. A summary of the case, findings, discussion of relevant information along with recommendations completes this work. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(8-B), Feb 1997, pp. 5321.
The repetitive traumatic patterns our clients come to us to change are not only psychological but somatic, clearly reflected in posture, energy level, movement, regulation of arousal and other physical attributes. Changing these patterns cannot be accomplished by insight alone. The procedural memory that keeps such behaviors and dissociative patterns in in place must be addressed. A body-oriented approach is indicated that facilitates new actions and addresses dissociative symptoms, including somaticcomponents of traumatic memories (e.g., pain, analgesia, and motor inhibitions) and avoidance-related symptoms such as bodily anesthesia. Sensorimotor Psychotherapy emphasizes practicing new actions and building other somatic resouces to mitigate symptoms and develop a somatic sense of self. In this workshop, somatic interventions that can be integrated into existing clinical skills will be taught and illustrated through excerpts of videotaped therapy sessions and brief experiential exercises.
Every major healthcare, social and behavioral science, education, and human services discipline and sub-specialty now includes trauma/posttraumatic stress disorder as a focal topic for researchers, educators, and practitioners. The Encyclopedia of Psychological Trauma is the only authoritative reference on the scientific evidence, clinical practice guidelines, and social issues addressed within the field of trauma and posttraumatic stress disorder. Edited by the leading experts in the field, mental health practitioners will turn to this resource for complete coverage of evidence-based and standard treatments and topics as well as controversial topics including EMDR, virtual reality therapy, and much more.
Eye movement desensitization and reprocessing treatment (EMDR) is a powerful method for the treatment of PTSD. Therapists may uncover a
covert dissociative disorder in the course of applying EMDR. The presentation will compare the major components of EMDR and energy psychotherapy techniques. Both of these treatment methods have in common 1) focusing on (attuning to) a disturbing problem, issue, or event; 2) applying a prescribed set of procedures to resolve the disturbance or imbalance. Participants will grasp the indications/risks/contraindications of use of EMDR and energy methods with DID. They will understand how energy healing methods can support EMDR.
As clinical and consulting psychologists, we have continually searched for ever better ways to help people. At this point after almost 60 years of combined practice, we have come to rely on energy psychology (EP) and eye movement desensitization and reprocessing (EMDR) as our preferred methods. In this book we present the clinical findings that have led us to believe that these methods excel -- especially in combination -- in helping clients achieve profound change and growth, usually quickly and with stable results.We hope to persuade energy therapists to look at the richness that EMDR has to offer, keeping in mind that the interests of some clients sometimes might be better served by treatment with EMDR than EP. We also hope to convince EMDR clinicians to consider using energy techniques as additional resources for those times when EMDR stalls. For readers yet untrained in either, we offer an overview of the two brief therapies that have transformed our professional lives. [Adapted from Preface]
For some years EMDR has been linked with other more traditional therapies such as “psychodynamic, behavioral, Gestalt, and Adlerian
Life style Analysis” (EMDR Institute, 2002). More recently, the use of EMDR along with energy psychology (EP) techniques has also
been explored. Listed on the agenda of the 2002 EMDRIA annual Conference, for example, were two presentations explicitly referring to
combined uses of EMDR with energy psychology (Phillips, 2002; Yoder, 2002). EP can refer to as many as eight different energy systems (Eden
& Feinstein, 1998). Along with most energy practitioners in the US, I use the term primarily as a synonym for the meridian-based psychotherapies
(Gallo, 1999, 2000; Lambrou & Pratt, 2000), and secondarily as including the chakra system (Fleming, 2001).
Energy psychology utilizes imaginal and narrative-generated exposure, paired with interventions
that reduce hyperarousal through acupressure and related techniques. According to practitioners,
this leads to treatment outcomes that are more rapid, powerful, and precise than the strategies
used in other exposure-based treatments such as relaxation or diaphragmatic breathing. The
method has been exceedingly controversial. It relies on unfamiliar procedures adapted from non-
Western cultures, posits unverified mechanisms of action, and early claims of unusual speed and
therapeutic power ran far ahead of initial empirical support. This paper reviews a hierarchy of
evidence regarding the efficacy of energy psychology, from anecdotal reports to randomized
clinical trials. Although the evidence is still preliminary, energy psychology has reached the
minimum threshold for being designated as an evidence-based treatment, with one form having
met the APA Division 12 criteria as a “probably efficacious treatment” for specific phobias;
another for maintaining weight loss. The limited scientific evidence, combined with extensive
clinical reports, suggests that energy psychology holds promise as a rapid and potent treatment
for a range of psychological conditions.
Combining power therapies which impact different areas of the triune brain increases the power to effect lasting resolution of both the CNS and ANS effects of PTSD. Cases illustrating this will be presented. Some QEEG data and theories indicating brain stem, thalamic ROFC dysfunction in PTSD will be explored.
Since 1987, when an unknown clinical psychology graduate student named Francine Shapiro discovered the technique while walking in a California park, more than 4,000 therapists in America, Israel and Australia have been trained in eye movement desensitization and reprocessing (EMDR), and it has captured the attention of respected therapists from widely divergent psychological traditions.This article discusses the effectiveness of such treatment, including clinical, research, professional and ethical issues. Emphasis is especially given to the importance of training therapists in its use. [Adapted from Text, p. 22]
When she first heard about EMDR, and the CWMS about its high success rate with agoraphobics, I thought, 'Yeah,
right-I just roll my eyeballs around and suddenly I'm
cured!" That this trendy, new technique could end almost
20 years of paralyzing fear and dread seemed doubtful,
to put it mildly. I'd already experienced enough standard,
name-brand therapies and assorted snake-oil cures to
become a one-woman encyclopedia of clinical failures.
So my cynicism about this latest entry in the cure-all
sweepstakes was almost, almost as great as my desperation
to try anything once. Desperation won out by a hair.
Nothing, I thought, not even putting myself through the
paces of another half-baked new fad, could be as bad
as what I was going through now, and what I had been
through, off and on, for the last 18years of my life.
Je pratique la Gestalt-thérapie depuis plus de trente cinq ans, en séances individuelles, en thérapie de couples et en groupes continus thérapeutiques. Je développe une variante intégrant les dimensions corporelles et émotionnelles, et je me suis intéressé de près aux phénomènes psychobiologiques concomitants, analysés par les recherches des neurosciences contemporaines. J’ai d’ailleurs détaillé ces aspects — insuffisamment explicités dans la littérature gestaltiste traditionnelle — dans deux ouvrages, traduits aujourd’hui en une douzaine de langues. Dès 1985, j’ai présenté aux États-Unis une conférence sur le thème : « Is Gestalt Therapy "Chemotherapy" Without Knowing It? »2 — où je développais l’idée que la Gestalt entraînait de rapides modifications biochimiques du fonctionnement du cerveau (nouvelles liaisons synaptiques et modifications des neurotransmetteurs), expliquant en partie son efficacité.
Lorsque j’aperçus, par hasard, au cours de l’un de mes fréquents déplacements aux USA, l’ouvrage de Francine Shapiro : (Eye Movement Desensitization and Reprocessing, Basic Principles, Protocols, ansd Procedures, The Guilford Press, New York, 1995) qui venait de paraître, je l’achetai donc sans hésiter, et je le parcourus avidement le soir même.
Au moment où une formation sérieuse à l’EMDR s’est mise en place en France avec David Servan-Schreiber, je me suis donc formé tout naturellement à cette approche nouvelle — qui prenait délibérément en compte l’activité cérébrale (même si elle n’a pas encore réussi à l’analyser de manière scientifique explicite).
Aujourd’hui, il m’arrive assez fréquemment d’introduire une série de sessions d’EMDR dans le suivi d’un client — notamment lorsqu’émerge dans l’anamnèse un traumatisme psychologique majeur : décès, suicide ou accident grave d’un proche (ou du client lui-même), agression, attentat, viol, annonce d’une maladie grave, etc., ou inversement, il m’arrive de prendre des clients en urgence en EMDR, puis de poursuivre et d’élargir éventuellement la psychothérapie, en Gestalt.
Je voudrais partager avec vous quelques réflexions sur une telle pratique combinée, intégrant ces deux approches.
Je ne m’attarderai pas sur la description de la Gestalt-thérapie, puisqu’il s’agit d’une méthode maintenant largement connue — bien que les styles en soient assez variés. J’ai, pour ma part, développé une approche holistique prenant en compte les cinq dimensions principales de l’être (cf. Le Pentagramme de Ginger). Je voudrais signaler, au passage, que la Gestalt-thérapie est devenue aujourd’hui l’une des méthodes les plus pratiquées au monde; ainsi, en France, elle a conquis aujourd’hui le 2e rang, après la psychanalyse, et bien avant les TCC (thérapies cognitivo-comportementales), les thérapies familiales et les autres thérapies humanistes.
I have been practicing Gestalt therapy for over thirty five years, individual sessions, couples therapy and continuous therapy groups. I develop a variant incorporating body size and emotional, and I am a keen interest in psychobiological concurrent phenomena, analyzed by the research of contemporary neuroscience. I also detailed these aspects - insufficiently explained in the traditional Gestalt literature - in two books, translated now into a dozen languages. Since 1985, I submitted to the U.S. conference on the theme: "Is Gestalt Therapy" Chemotherapy "Without Knowing It? "2 - when I developed the idea that Gestalt led rapid biochemical changes in brain function (new synaptic connections, and changes in neurotransmitters), partly explaining its effectiveness. When I saw by chance during one of my frequent trips to the USA, the work of Francine Shapiro: (Eye Movement Reprocessing and Desensitizer, Basic Principles, Protocols, Procedures ANSD, The Guilford Press, New York 1995) which had just appeared, so I bought it without hesitation, and I eagerly traveled the same evening. Just as serious training in EMDR was introduced in France with David Servan-Schreiber, so I trained quite naturally to this new approach - which deliberately took into account the brain activity (even if it has yet to analyze it scientifically explicit). Today, it happens frequently enough to introduce a series of sessions of EMDR in the monitoring of a client - including lorsqu'émerge in history a major psychological trauma, including death, suicide or serious accident of a closest (or the client itself), assault, attack, rape, announcement of a serious illness, etc.. or vice versa, I sometimes take clients emergency EMDR, then continue and possibly expand psychotherapy, Gestalt. Let me share with you some thoughts on this practice combined, integrating these two approaches. I will not dwell on the description of Gestalt therapy, since it is a method now widely known - although the styles are quite varied. For my part, developed a holistic approach taking into account the five main dimensions of being (cf. The Pentagram Ginger). I should note in passing that Gestalt therapy is now one of the most practiced in the world and in France it has won today the second largest, after psychoanalysis and long before CBT (cognitive behavioral therapy), family therapy and other therapies humanists.


