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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. 朱品潔 [Chu Pin-Chieh, & Zhu Pinjie]. (1999). 個人失落與EMDR之介入:個案研究 [EMDR of personal loss and intervention: A Case Study]Educational Psychology and Counseling]. National Taiwan Normal University, Department of Educational Psychology and Counseling, Taiwan.

Language: Chinese

Format: Dissertation/Thesis

Abstract:
本研究的目的是探索的眼動脫敏和再處理(EMDR)的干預治療結果與個人的損失。通過深入了解客戶的主觀經驗和在整個治療過程中不斷變化的課程,研究人員打算證明 EMDR的治療 efficaciously幫助客戶克服個人損失的創傷,重拾信心和活力。研究人員採訪了客戶端是誰願意分享他的生活和EMDR的治療經驗,通過一個半結構化的問卷。與客戶的許可,研究人員已經獲得了客戶的臨床記錄。有條不紊地綜合各種數據後,研究人員已開發出的情況下提出的生活經驗和客戶端的EMDR的治療干預的描述。研究者分析了廣義的數據,客戶端的適應性應對整個 EMDR的治療過程,並討論了從精神科醫生和其他輔導員干預的影響。 (作者摘要)

The purpose of this study is to explore the treatment outcomes from the intervention of Eye Movement Desensitization and Reprocessing (EMDR) with personal loss. Through in-depth understanding of the client’s subjective experiences and changing courses throughout the entire therapeutic process, the researcher intends to prove that EMDR therapy has efficaciously helped the client overcome the trauma from personal loss and regain confidence and vitality. The researcher has interviewed a client who is willing to share his life and EMDR therapy experiences through a semi-structured questionnaire. With the client’s permission, the researcher has obtained the client’s clinical records. After methodically synthesizing the various data, the researcher has developed a case description presenting both the life experience and the intervention of EMDR therapy of the client. The researcher has analyzed the data, generalized the client’s adaptive coping processes throughout EMDR therapy and discussed the effects from the psychiatrist’s and other counselors’ interventions. (Author's abstract)

Keywords: Case Study  Dissociation  Personal Loss  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

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

Accuracy Verified: Yes


4. 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


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

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

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Homicide  Incarceration  Perpetrators  Poster  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Attachment  

Accuracy Verified: Yes


9. Diehle, J., Beer, R., Boer, F., & Lindauer, R. J. L. (2011, April). Behandeleffecten van traumagerichte cognitieve gedragstherapie en eye movement desensitisation and reprocessing (EMDR) [Treatment effects of trauma-focused cognitive behavior therapy and eye movement desensitisation and reprocessing (EMDR)]. Symposia op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.

Language: Dutch

Format: Conference

Abstract:
Achtergrond: Dagelijks raken veel kinderen betrokken bij ongelukken, brand, (seksueel) geweld, pesten, of andere ingrijpende gebeurtenissen. Het meemaken van dergelijke gebeurtenissen kan leiden tot een posttraumatische stressstoornis (PTSS). ptss gaat gepaard met hoge comorbiditeit, slechtere schoolprestaties en heeft een negatieve invloed op het lichamelijk herstel van kinderen (Winston 2003). In internationale richtlijnen wordt traumagerichte cognitieve gedragstherapie (TG-CGT) voor de behandeling bij kinderen aanbevolen en eye movement desensitisation and reprocessing (EMDR) is beoordeeld als veelbelovend (nice 2005). Onderzoeksresultaten naar de effecten van deze behandelingen bij kinderen zijn nog steeds schaars (Stallard 2006). Doel: Binnen een pilotonderzoek worden de behandeleffecten van TG-CGT en EMDR bij kinderen vastgesteld. Methoden: Op een poliklinische afdeling zijn gegevens verzameld van 20 kinderen tussen de 8 en 18 jaar met posttraumatische stressklachten en van hun ouders. Van deze kinderen hebben 10 een behandeling met TG-CGT ondergaan en 10 een behandeling met emdr. Bij kinderen en ouders zijn zowel voor als na de behandeling behandeling de klachten in kaart gebracht met behulp van een diagnostisch interview en verschillende vragenlijsten. Voor het stellen van de diagnose ptss en comorbide diagnosen is het Anxiety Disorders Interview Schedule for dsm-iv-Child Version (adis-c) afgenomen. Tevens werden de Children’s Revised Impact of Event Scale (CRIES-13), de Revised Child Anxiety and Depression Scale-Child Version (RCADS) en de Strengths and Difficulties Questionnaire (SDQ) afgenomen om angstklachten en gedragsproblemen te meten. Resultaten: Traumaklachten zijn zowel in de EMDR-groep alsook in de TF-CBTgroep afgenomen. Gedetailleerdere resultaten worden tijdens het congres besproken. Conclusie Zowel TG-CGT als emdr blijkt effectief te zijn bij het verhelpen van ptssklachten bij kinderen.

Background: Daily affects many children involved in accidents, fires, (sexual) violence, bullying, or other major events. The experience of such events can lead to a posttraumatic stress disorder (PTSD). PTSD is associated with high comorbidity, poorer school performance and has a negative impact on the physical recovery of children (Winston 2003). International guidelines is trauma-focused Cognitive behavioral therapy (CBT-TG) recommended for the treatment of children and Eye Movement Desensitisation and Reprocessing (EMDR) has been rated as promising (Nice 2005). Research the effects of these treatments children are still scarce (Stallard 2006). Purpose: In a pilot investigation the treatment effects of TG-CBT and EMDR in children established. Methods: In an outpatient department Data were collected from 20 children between 8 and 18 years with post traumatic stress symptoms and their parents. Of these children have a treatment with 10 undergoing TG-CBT 10 and treatment with EMDR. In children and parents before and after treatment treatment complaints mapped using a diagnostic interview and several questionnaires. For the diagnosis of PTSD comorbid diagnoses and the Anxiety Disorders Interview Schedule for DSM-IV-Child Version (ADIS-C) decreased. Also, the Children's Revised Impact of Event Scale (CRIES-13), the Revised Child Anxiety and Depression Scale-Child Version (RCADS) Strengths and Difficulties Questionnaire and (SDQ) were administered to measure anxiety and behavioral problems. Results: Trauma Complaints are both in the EMDR group and the TF-CBT-groep decreased. More detailed results be discussed during the congress. Conclusion: Both TG-CBT and EMDR appear to be resolving the ptssklachten in children.

Keywords: CBT  Cognitive Behavior Therapy  

Accuracy Verified: Yes


10. Zangwill, W. (1995, June). Beyond the basics:  Conceptual issues and advances in using EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
This workshop is designed for those comfortable with the basics of using EMDR. We shall discusses the importance of developing a conceptual framework in which to view the patient and his/her life experiences. Though any framework could potentially be used, the one we shall use is that of Jefiey Young's Schema-Focused Cognitive therapy. This workshop is too brief to go deeply into Jeff's work so let me give you some references. (Books: 1)Cognitive Therapy for Personality Disorders: A Schema Focused Appoach, Professional Resource Exchange, Sarasota, F1, (813) 366-7913 Or 2) Reinventing Your Life, Young and Klosko. Jeff can be reached at the CTC of NY (212) 717-1052). I would like to begin by presenting an overview of how I see the case conceptualization enhancing the effectiveness of EMDR. Next I want to present a case illustrating the points I am going to make. Then, for the remaining two thirds of the presentation, I would like us to share our experiences of cases using either this or your own framework. Why conceptualize the case? Why not just treat the trauma directly? Because I assume that it is the interaction of the events a person has experienced and the way in which they have interpreted, experienced and stored them that is most important in determining the amount and kind of pain that remains. If you took a group of 100 people who had been in serious accidents, were assaulted, etc. They will not all respond the same to the experience. Thus, I think that it is vitally important to "map" each patient's own idiosyncratic set of vulnerabilities, his/her schemas or life themes. One of the ways I do that is by attempting to combine all of the information that I obtain in the first few sessions. This would include history taking, any paper and pencil measures I use, e.g., Lazarus' Multimodal Life History Questionnaire (Research Press, Champagne, IL.); Young's Schema Questionnaire (Jeffrey Young, Cognitive Therapy Center of New York), and my experience of the client in session. My assumption is that we all have specific vulnerabilities. In Young's system such issues as Emotional Deprivation - the feeling that we shall never receive the kind of caring we need - Abandonment, Mistrust/Abuse, Defectives, Vulnerability, Subjugation, Entitlement, etc., are assumed to be organizing themes around which memories and experiences are stored. (Use 'Types of Fruit' metaphor here.) Once you have identified these underlying vulnerabilities and life themes, educating patients as to the role of these early maladaptive schemas in their present life difficulties is quite usefull in a variety of ways. First, is its explanatory power. One of the problems clients often present is the pain of the event itself their subsequent reactions. How many of us have heard from our clients variations on the theme of "What's wrong with me that this is still bothering me? It happened years ago; how come I'm still overreacting?" Explaining that often the event was/is so painful because it taps into a whole series of memories (the childhood file folders that Francine talks about in Level I), frequently increases clients' ability to understand their emotional reactions and reduces their tendency to blame themselves. Second, it alerts you and the client to look for other examples in the past that might be thematically connected and to be aware of situations in the future that might be troublesome. For example, imagine a client who suffered a tremendous loss as a chlld through the death of a parent, divorce, etc. Through your interviews and data collection, you realize that the issue of abandonment is a very pow& for them. Naturally, you would want to use EMDR to clean out any past experiences connected to abandonment. However, you should anticipate that situations involving future separation will need to be addressed. How will they react when their spouse goes on a business trip? The conceptualization around this theme alerts you and the client to be aware of these issues. Also, it can be very helpfull in your couples work. Take the example of the spouse that gets upset about over his wife's upcoming business trip. (Knowing that sometimes the upset shows itself prior to the trip and sometimes it is only after they return that the spouse feels punished). Without knowledge of these underlying schemas and life themes, the wife might interpret the husband's upset as a result of jealousy at her success, fear of her growth, and as being a part of his controlling nature. With these interpretations, her anger and frustration would be understandable. How differently might she respond if she saw his difficulty in her leaving as reflecting his fear of losing her and being abandoned once again. Might this interpretation allow both of them to respond in ways helpful to the relationship? With this brief background, let me present a case and show you how these issues fit together and how by conceptualizing the case accurately I was able to provide better treatment. After if I finish this presentation, I want to open the floor to your comments and questions. I would then like to propose that we take the remaining time for you to present your own cases that illustrate either the usefulness of the conceptualization you did or the problems you ran into when you didn't. Case # 1 Case discussion. Case presentations and discussion by participants.

Keywords: Conceptual Issues  

Accuracy Verified: Yes


11. Knipe, J. (1998). Blocking belief questionnaire. Jim Knipe, Ph.D.

Language: English

Format: Other

Abstract:
Sometimes a client's blocking belief will be right out their and apparent to both the client and therapist, and it can be useful to ask some version of the question, "Even though you believe (e.g. you can never get over this problem), would it be alright with you if you did?" If the client say "Yes," then "stay with that" and EM. (Excerpt)

Keywords: Blocking Beliefs  Questionnaire  

Accuracy Verified: Yes


12. Dworkin, M. (2005, September). Clinican strategies for dealing with challenging EMDR clients. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.

Language: English

Format: Conference

Abstract:
This experientially based workshop will address clinician issues with clients who are challenging to work with both before and during an EMDR session. Participants will develop greater awareness of these moments and learn strategies to overcome potential moments of misattunements. These strategies will include parts of the Procedural Steps Outline in preparation for anticipated problems; applied RDI strategies for compartmentalizing activated clinician state dependent moments in session; and using a variation of a cognitive interweave when an interruption of the flow of states between clinician and client temporarily ruptures contingent collaborative communication. "The Clinician Self Awareness Questionnaire" will be introduced as a method of enhancing these awarenesses. Participants are invited to bring their most challenging cases to work on.

Keywords: Challenging Client  Clinician Self Awareness Questionnaire  Countertransference  Trauma  Treatment  

Accuracy Verified: Yes


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

Language: English

Format: Book Section

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

Keywords: Clinician Awareness Questionnaire  Protocol  

Accuracy Verified: Yes


14. Dworkin, M. (2009). The clinician self-awareness questionnaire in EMDR. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 617-624). New York: Springer Publishing Co.

Language: English

Format: Book Section

Keywords: Questionnaire  Protocol  Self-Awareness  

Accuracy Verified: Yes


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

Language: English

Format: Journal

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

Keywords: Biofeedback  Stress Inoculation  Test Anxiety  

Accuracy Verified: Yes


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

Language: Dutch

Format: Conference

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

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

Keywords: Girls  Juvenile Insitutions  Trauma  

Accuracy Verified: Yes


17. Aytun, O. A. (2010, June). The effectiveness of EMDR and support group treatment model in smoking cessation. In Addictions. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The purpose of this study is to assess the effectiveness of a treatment model in cigarette cessation. Among the volunteers who enrolled to participate in the study, 15 participants were selected as our subject group in terms of their scores in Fagerstrom Test for Nicotine Dependence (middle or upper level of dependency). The participants of this study attended 9 weeks of treatment including a preliminary session in the first week following 8 EMDR sessions (once a week) and 4 group sessions (once every two weeks). The 5 follow up sessions (15-day, a month, 3 month. 6 month. 1 year foilow-up) are included in the study to evaluate the efficacy of the model and the relapse rate of the subjects. EMDR (Eye Movement Desensitization and Reprocessing) DeTUR Protocol (Popky, 1993) and a support group format is used as treatment methods. Hughes-Watsukami Withdrawal Questionnaire, STAI, Traumatic Life Events Questionnaire (TLEQ) and Fagerstrom Test for Nicotine Dependence is the instruments of this study.

Keywords: Group Treatment  Smoking Cessation  Symposium  

Accuracy Verified: Yes


18. Nettz, S. L. (1995, August). Effects of a single session of EMDR, flooding, and a credible placebo treatment on traumatic memories in male veterans. Illinois Institute of Technology, Chicago, IL. AAT 9614404.

Language: English

Format: Dissertation/Thesis

Abstract:
This study explored the effectiveness of a single session of three different treatments for traumatic memories. Subjects were 45 adult males, randomly assigned to Eye Movement Desensitization and Reprocessing (EMDR), Flooding, or Placebo therapy (Modified Avoidance Response Conditioning [ MARC]). Self-report and physiological measures were employed to measure treatment effectiveness. Subjects completed the following pre-treatment inventories: Michigan Alcohol Screening Test, Impact of Event Scale, State-Trait Anxiety Inventory, Questionnaire on Mental Imagery, and the Treatment Credibility Questionnaire. Post-treatment measures included self-report measures (Subjective Units of Distress [ SUDs] and Treatment Credibility Questionnaire) and physiological measures (heart rate, skin conductance, and skin temperature). Treatments were rated as equally credible before and after the session. Both EMDR and Flooding produced a significant decrease in the self-report of anxiety compared to the Placebo (MARC) group. Neither heart rate or skin conductance channels showed a significant change for any of the three groups during post-treatment assessment phases. However, skin temperature was significantly lower for the Flooding group compared to the MARC group during two post-treatment phases, suggesting that the Flooding group was more physiologically aroused than Placebo (MARC) subjects. Findings suggest that during Flooding, exposure to disturbing elements of a trauma is associated with physiological arousal, which in turn leads to lessening of subjective distress. However, a different mechanism may account for EMDR treatment effects. (PsycINFO Database Record (c) 2008 APA, all rights reserved) Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(1-B), Jul 1996, pp. 0687

Keywords: Adults  Emotional Trauma  Empirical Study  Evaluation  Male  Memory  Military  Treatment Effectiveness Treatment Outcome/Clinical Trial  Veterans  

Accuracy Verified: Yes


19. 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


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

Language: English

Format: Dissertation/Thesis

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

Keywords: Anxiety Disorders  Trauma  

Accuracy Verified: Yes


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

Language: Spanish

Format: Conference

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

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

Keywords: Clinicians  Questionnaire  Self-Awareness  

Accuracy Verified: Yes


22. 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


23. Carlson, J. G., Chemtob, C. M., Rusnak, K., Hedlund, N. L., Muraoka, M. Y., Saitou, Y., & Saitou, I. (1997). EMDR (eye movement desensitization and reprocessing) for combat related post-traumatic stress disorder. Japanese Journal of Biofeedback Research, (24), 50-64.

Language: English

Format: Journal

Abstract:
Studied the efficacy of eye movement desensitization and reprocessing (EMDR) treatment for combat-related posttraumatic stress disorder (PTSD). Human Ss: 35 male American adults (aged 41-70 yrs) (PTSD) (34 Vietnam War veterans and 1 Korean War veteran). Tests used: The Clinician Administered PTSD Scale (D. D. Blake et al, 1995), the restandardized MMPI, the Mississippi Scale for Combat Related PTSD (T. M. Keane et al, 1988), the State-Trait Anxiety Inventory, the Beck Depression Inventory, the Impact of Events Scale and the Initial Screening Questionnaire. Treatments: 10 Ss were administered 12 EMDR sessions, 13 Ss were administered 12 sessions of biofeedback and relaxation, and 12 Ss were administered standard treatment. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Combat  Empirical Study  Military  Posttraumatic Stress Disorder  PSTD  Treatment Outcome/Clinical Trial  War  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Binge Eating  Eating Disorders  Symposium  

Accuracy Verified: Yes


25. Lempa, W., Sack, M., & Lamprecht, F. (2005, September 24). EMDR bei akuter PTSD [EMDR for acute PTSD]. In A. Karl & W. Lempa, (Moderators), Symposium 2 Traumaspezifische Interventionen in Forschung und Praxis, Jahrestagung der deutschsprachigen Gesellschaft für Psychotraumatologie DeGPT, September 23-25 Dresden .

Language: German

Format: Conference

Abstract:
Anhand von klinischen und empirischen Daten wird die Anwendung von EMDR bei akuten Traumatisierungen aufgezeigt. Auf die Besonderheiten der Akutbehandlugn wird eingegangen und der therapeutische Prozess, auch anhand der Fragebogenwerte (IES, PTSS-10, SUD) veranschaulicht. Überlegungen zur Indikation, Durchführung und Kontraindikation für EMDR bei akuter PTSD werden vorgestellt. [Author abstract]

On the basis of clinical and empirical data, the use of EMDR is shown in acute trauma. The special features of Akutbehandlugn is discussed and the therapeutic process, including reference to the questionnaire values (IES, PTSS-10, SUD) illustrates. Review of indications, and contraindications for implementing EMDR with acute PTSD are presented. [Author abstract]

Keywords: Acute Stress Disorder  ASD  Symposium  

Accuracy Verified: Yes


26. Dworkin, M. (2006, September). The EMDR clinician and the challenging client:  How to improve relational responsiveness. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.

Language: English

Format: Conference

Abstract:
This experientially based workshop will address clinician issues with clients who are challenging to work with, both before and during an EMDR session. Participants will develop greater awareness of these mornents and learn strategies to overcome potentla1 moments of misattunements. These strategies will include parts of the Procedural Steps Outline in preparation for anticipated problems; applied R/D/I strategies for compartmentalizing activated clinician state dependent moments in session; and using a variation of cognitive interweave when an interruption of the flow of states between clinician and client temporarily ruptures contingent collaborative communication. "The Clinician Self Awareness Questionnaire" will be introduced as a method of enhancing these awarenesses. Participants are invited to bring their most challenging cases to work on.

Keywords: Challenging Client  

Accuracy Verified: Yes


27. Goldstein, A. J., de Beurs, E., Chambless, D., & Wilson, K. (2000, December). EMDR for panic disorder with agoraphobia:  Comparison with waiting list and credible attention-placebo control conditions. Journal of Consulting & Clinical Psychology, 68(6), 947-956.

Language: English

Format: Journal

Abstract:
In a randomized controlled trial, eye movement desensitization and reprocessing (EMDR) for panic disorder with agoraphobia (PDA) was compared with both waiting list and credible attention-placebo control groups. EMDR was significantly better than waiting list for some outcome measures (questionnaire, diary, and interview measures of severity of anxiety, panic disorder, and agoraphobia) but not for others (panic attack frequency and anxious cognitions). However, low power and, for panic frequency, floor effects may account for these negative results. Differences between EMDR and the attention-placebo control condition were not statistically significant on any measure, and, in this case, the effect sizes were generally small (eta2 = .00-.06), suggesting the poor results for EMDR were not due to lack of power. Because there are established effective treatments such as cognitive-behavior therapy for PDA, these data, unless contradicted by future research, indicate EMDR should not be the first-line treatment for this disorder. [Author Abstract]

Keywords: Adults  African Americans  Asian Americans  Empirical Study  European Americans  Panic Disorder  Phobia  Posttraumatic Stress Disorder  PTSD  Random Clinical Trial  RCT  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


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

Language: English

Format: Conference

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

Keywords: Combat  Controlled Study  

Accuracy Verified: Yes


29. 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:
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.

Keywords: Optimism Protocol  

Accuracy Verified: Yes


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

Language: English

Format: Dissertation/Thesis

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

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

Keywords: Domestic Violence  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


31. Blore, D., Dunne, T., Bodill, B., Hudson, P., & Armstrong, R. (2011, March). EMDR research. Symposium conducted (D. Farrell, Chair) at the 9th annual Conference of the EMDR UK & Ireland, Bristol.

Language: English

Format: Conference

Abstract:
Introduction & Background: Based on study of 83 EMDR Therapists who attended 10th EMDR Europe Conference, London, 2009 & York Regional Conference, Sept 2009. Quantitative & Qualitative Methods used 20 Item Questionnaire with N= 74 Quantitative data Semi-structured interview N= 9 Qualitative data [Excerpt]

Keywords: Research  Symposium  

Accuracy Verified: Yes


32. Dunne, T. (2011, March). EMDR therapists integrating EMDR into their clinical practice. Presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.

Language: English

Format: Conference

Abstract:
This research project investigated how EMDR Therapists integrated EMDR into their clinical practice post-training and what, if any, difficulties they experienced. A total of 74 respondents completed a questionnaire and 9 respondents were interviewed using a semi-structured interview, giving a total of 83 respondents. 40% of both samples (which came from around the world) reported experiencing difficulties with integrating EMDR into their clinical practice. The types of difficulties which they reported included differences between EMDR protocol and the therapists’ original training and orientation, patient characteristics, therapists’ own anxieties and confidence as well as organizational and management hostility to EMDR up to and including bullying of the therapist in different ways including “being sent to Coventry”. These organization & management issues are not covered in the current training model for EMDR and whilst supervision is necessary post training, it is not be sufficient to address the organizational issues relating to integration of EMDR into clinical practice. This will be highlighted in the presentation.

Keywords: Practice  Theory  

Accuracy Verified: Yes


33. Konuk, E., Epözdemir, H., Hacıömeroğlu Atçeken, S., Aydın, Y. E., & Yurtsever, A. (2011). EMDR treatment of migraine. Journal of EMDR Practice and Research, 5(4), 166-176. doi:10.1891/1933-3196.5.4.166.

Language: English

Format: Journal

Abstract:
This pilot study was conducted at Gaziosmanpaşa Hospital, Istanbul, to investigate the effectiveness of eye movement desensitization and reprocessing (EMDR) on migraine headache by specifically treating traumas related to headaches. The sample consisted of 11 Turkish participants with chronic daily headache: 9 women (mean age of 31.7 years) and 2 men (mean age of 30.5 years). Participants had a history of migraine ranging from 2 to 30 years (mean = 12 years). Variables included participant daily ratings of headache frequency, duration, and intensity; medication intake; hospital emergency room (ER) visits; and scores on the Symptom Assessment-45 Questionnaire. The results showed a significant decrease in headache frequency and duration with no reduction in pain intensity. There was a significant decrease in the use of painkillers and ER visits. All results were maintained at 3-month follow-up, providing some preliminary evidence that EMDR may be effective and useful as an alternative treatment for migraine.

Keywords: Headache Protocol  Migraine  

Accuracy Verified: Yes


34. van Haaften, H., Muris, P., & Mayer, B. (1996, July-August). EMDR versus exposure-in-vivo bij kinderen met een spinfobie [EMDR versus exposure in vivo in children with a spider phobia]. De Psycholoog, 7, 280-285.

Language: Dutch

Format: Magazine

Abstract:
Uitgevoerd een cross-over studie van de werkzaamheid van EMDR en in vivo exposure bij de behandeling van spinangst bij kinderen en adolescenten. Human Ss: 22 Nederlandse school-kinderen en adolescenten (leeftijd van 10-14 jaar) (spinangst). Ss werden getest, en hun galvanische huid reactie werd gemeten. Tests die worden gebruikt: De korte vorm van de Spider Phobia Questionnaire for Children (M. Kindt et al., 1996), de Self Assessment oefenpop (RL Hodes et al., 1985) en de gedragsmatige Vermijden Test. Behandelingen: alle SS werden behandeld met 1 sessie van in vivo blootstelling en 1 sessie van EMDR. (Engels abstract) (PsycINFO Database Record (c) 2008 APA, alle rechten voorbehouden)

Conducted a cross-over study of the efficacy of EMDR and in vivo exposure in the treatment of spider phobia in children and adolescents. Human Ss: 22 Dutch school-age children and adolescents (aged 10-14 yrs) (spider phobia). Ss were tested, and their galvanic skin response was measured. Tests used: The short form of the Spider Phobia Questionnaire for Children (M. Kindt et al, 1996), the Self Assessment Manikin (R. L. Hodes et al, 1985) and the Behavioral Avoidance Test. Treatments: All Ss were treated with 1 session of in vivo exposure and 1 session of EMDR. (English abstract) (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Keywords: Children  Empirical Study  Exposure  In Vivo  Spider Phobia  

Accuracy Verified: Yes


35. Bertolotti, G. (2008, June). EMDR: Should be appropriate in a rehabilitation multidisciplinary programme?. Poster session presented at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Because EMDR is a powerful short-term therapy effective for confronting and overcoming stress, anxiety, and trauma which could be its role in an intensive rehabilitation multidisciplinary programme? As well-known PTSD is the most common diagnostic category used to describe symptoms arising from emotionally traumatic experience.This disorder presumes that the person experienced a traumatic event involving actual or threatened death or injury to themselves or others. Some research shows that EMDR is rapid, safe and effective in helping those who suffer from anxiety, distressing memories, nightmares, insomnia, as consequences from traumatic events. Several recent reviews have looked at the relationship between medical illness and subsequent PTSD. Moreover Spindler(2005) published a review with focal point on subjects after cardiovascular disease and mainly with a focus on prevalence rates, risk factors, and future. Should be possible catch a trauma event right through in-hospital and use the EMDR when appropriate? Hence how should be tailored an appropriate assessment procedures during the rehabilitation in-hospital? Anxiety (using a the STAI) and Depression (measured with Depression Questionnaire) with clinical cut-off score might be useful in screening and an adequately structured interview could complete in-hospital screening. In a more wide assessment screening a device for psychophysiological assessment measuring electrodermal activity and heart rate/pulse wave. An elevated cardiovascular and electrodermal activity during the interview should be an index for selecting a clinical simple of patients where carry out a deeper assessment in search for a trauma connect to the pre-rehabilitation period or older. The aforementioned could be a wished-for screen subjects with trauma events both at short or long term insurgence.

Keywords: Rehabilitation Multidisciplinarian Program  

Accuracy Verified: Yes


36. Wolff, R. P. (2004). Evaluation of effectiveness of individual therapy sessions over 60 minutes. California Institute of Integral Studies, San Francisco, CA. AAT 3158599.

Language: English

Format: Dissertation/Thesis

Abstract:
Research has produced few studies that support the 50-minute therapy session as the most effective session length for achieving optimal therapeutic results. This descriptive study attempted to determine differences in therapists' perceptions of how session length might impact therapeutic process, therapeutic outcome, treatment of specific psychological disorders, and if session length preference was based on theoretical orientation or procedures/techniques. A total of 65 practicing therapists drawn from the International Society for the Study of Dissociation, EMDR International Association, Trauma Incident Reduction Practitioners, San Francisco Society of Lacanian Study, and California Psychological Network completed questionnaires regarding their perceptions about psychotherapy for individuals employing longer session lengths versus the standard 50-minute session.Overall frequencies of questionnaire responses and between groups comparisons were analyzed using Chi-Square. The sample endorsed the use of longer sessions at statistically significant frequencies on the following questionnaire items: three therapeutic outcome items: Increases client's satisfaction, Shortens overall duration of therapy, and Facilitates corrective emotional experience; and nine therapeutic process items: Access to client's emotional material, Integration of experience before leaving session, Deepens development of transference, Working through defenses, Access to traumatic experiences, Integrate traumatic experience within session, Working through traumatic experience, and Improving likelihood of breakthrough experiences. The sample also agreed on the use of longer sessions as potentially contributing to positive outcome for treatment of the following disorders: Substance Abuse, Panic Disorder, Agoraphobia, Specific Phobia, Social Phobia, PTSD, GAD, and Eating Disorders. The findings of this study suggest that longer session lengths may have a positive impact on therapeutic process, therapeutic outcome, and certain disorders. Specific implications for the field of psychology and suggestions for research are discussed. [Author Abstract]

Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(12-B), 2005, pp. 6680.

Keywords: Empirical Study  Health Personnel Attitudes  Individual Psychotherapy  Posttraumatic Stress Disorder  Psychotherapeutic Processes  PTSD  Quantitative Study  Treatment Duration  Treatment Effectiveness  

Accuracy Verified: Yes


37. Turpin, R. C. (1999, August). An exploration of reported transpersonal/spiritual experiences during and after eye movement desensitization and reprocessing (EMDR) treatment of traumatic memories. California Institute of Integral Studies, San Francisco, CA. AAT 9962663.

Language: English

Format: Dissertation/Thesis

Abstract:
This research project sought to investigate if EMDR therapists observed their clients reporting transpersonal/spiritual experiences during or following EMDR. In addition, it sought to identify and explore the client and therapist factors that may influence the frequency with which these experiences are observed. One hundred sixty-nine questionnaires were mailed to EMDR facilitators throughout the United States and 50 were returned with usable data. Quantitative statistical analyses were performed on much of the questionnaire data and several significant associations and differences were found (p < .05). However, these significant associations and differences did not lead to more global statements regarding the factors that were analyzed. Interviews were conducted with 11 of the respondents in an attempt to shed light on these research questions. The results indicate that a number of EMDR therapists are observing their clients reporting transpersonal/spiritual experiences during or following EMDR. Several potentially important client and therapist factors were noted that may be influencing factors in therapists observing their clients reporting these experiences. (PsycINFO Database Record (c) 2008 APA, all rights reserved)Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(2-B), Aug 2000, pp. 1099.

Keywords: Emotional Trauma  Empirical Study  Religious Experiences  Therapists  Transpersonal Psychology  Transpersonal/Spiritual Experiences  

Accuracy Verified: Yes


38. Dziegielewski, S., & Wolfe, P. (2000, September). Eye movement desensitization and reprocessing (EMDR) as a time-limited treatment intervention for body image disturbance and self-esteem:  A single subject case study design. Journal of Psychotherapy in Independent Practice, 1(3), 1-16. doi:10.1300/J288v01n03_01 .

Language: English

Format: Journal

Abstract:
This single subject case study implemented in the private practice setting examined body-image disturbance and self-esteem. Eye movement desensitization and reprocessing (EMDR) is the treatment modality. The Self-Esteem Rating Scale and the Body Image Avoidance Questionnaire are pre and post tested. A self-developed Daily Body Satisfaction Log is used throughout the 43-day observation period. Scores on subjects' self-esteem and body image avoidance showed clinical improvement over the treatment period. Based on this clinical examination, eye movement desensitization and reprocessing appears to be a promising time-limited treatment intervention that merits further research for application to eating disorder symptoms such as body image disturbance and low self-esteem. Suggestions for future research are provided.

Keywords: Anorexia  Body Image Disturbances  Bulimia  Clinical Case Study  Eating Disorders  Empirical Study  Females  Self-Esteem  Single Subject Design  

Accuracy Verified: Yes


39. Vyas, K. J. (2008, April). Eye movement desensitization and reprocessing (EMDR) to decrease human immunodefiency virus (HIV) risk behaviors among Latino men who have sex with men (MSM). Presentation at the National Conference on Undergraduate Research, Salisbury University, MD.

Language: English

Format: Conference

Abstract:
Among Latino MSM, those who have reported early childhood sexual abuse continually report high levels of HIV risk behaviors. The objective of this study was to test if EMDR can be more effective as an HIV risk reduction behavioral intervention than a non-trauma based comparison, the Explore Study intervention. At a university-based outpatient clinic, 35 Latino MSM were randomized into Explore (n=13) and EMDR (n=22). The main outcome measure was a self-report questionnaire assessing unprotected anal sex, number of sexual partners, and use of substances before or during sexual activity during the previous month. Sexual risk behaviors were assessed at baseline, before randomization, and at one week post-intervention. Compared to baseline rates, participants who didn’t report unprotected receptive anal intercourse increased by 11% in Explore and decreased by 12% in EMDR. The corresponding comparisons for number of sexual partners were a 4% increase for Explore and a 41% decrease in EMDR. Explore and EMDR participants showed an increment of 25% and 9%, respectively, in those who denied having used alcohol or drugs before or during sexual activity. Follow-up data at 2 and 6 months post-intervention are being collected. This preliminary analysis suggests that certain HIV risk behaviors can be reduced by EMDR, while others can be equally reduced by more conventional interventions.

Keywords: AIDS  HIV  Latino  

Accuracy Verified: No


40. Estergard, L. (2008). Eye movement desensitization and reprocessing in the treatment of chronic pain. Walden University, Minneapolis, MN. AAT 3336660.

Language: English

Format: Dissertation/Thesis

Abstract:
Previous research has indicated that individuals with chronic pain who exhibit adaptive coping mechanisms are more likely to manage their pain effectively. If they experienced little success with pain management in the past, they are not likely to exhibit adaptive coping strategies in the present. However, there remains an important gap in the literature regarding the use of eye movement desensitization and reprocessing (EMDR) as a strategy for chronic pain. One purpose of this study was to establish the effectiveness of EMDR in the reduction of chronic pain; another was to examine the relationship between chronic pain intensity and emotion, as suggested by the biopsychosocial model of pain and measured by the Multiple Affect Adjective Checklist-Revised. In this matched 2-group design, participants were matched on pretest chronic pain scores and randomized to EMDR and a delayed treatment group. Pre- and posttreatment chronic pain levels were determined using the Short-Form McGill Pain Questionnaire. Data were analyzed using paired samples t-tests. There was a significant reduction in chronic pain following six EMDR sessions for the participants in the experimental group and the delayed-treatment group. The results also indicated a reduction in dysphoria for both groups following EMDR. The findings may help to clarify whether EMDR is effective in alleviating chronic pain, which may lead to more satisfying lives for patients and their families. This study is an important contribution to the literature and enhances social change initiatives by showing that collaboration between EMDR and other types of treatment may offer more expedient and long-term relief to patients, thus affecting the costs (e.g., health insurance) associated with chronic pain.[Author abstract]

Keywords: Biopsychosocial Models  Chronic Pain  Coping  Treatment  

Accuracy Verified: Yes


41. Mihelich, M. L. (2000). Eye movement desensitization and reprocessing treatment of adjustment disorder. University of Tulsa, Tulsa, OK. AAT 9962187.

Language: English

Format: Dissertation/Thesis

Abstract:
The advent of Eye Movement Desensitization (EMDR) for treatment of PTSD has been classified by the American Psychological Association as probably efficacious. Actual practice descriptions and EMDR training material suggest that many clinicians are using the technique to treat other mental health issues as well. This study compares outcome measures for two sessions of EMDR and two sessions of exposure for participants with Adjustment Disorder (AD). A licensed, EMDR trained mental health professional provided treatment for this serial case study (n = 9) design. A control treatment condition of time-yoked imagined exposure to disturbing memories in participants was used to control for common treatment factors and exposure elements of the treatment protocol. Measures included the Impact of Events Scale-R (IES-R), and the Outcome Questionnaire 45.2 (OQ) and the Symptom Response Rating Scale (SRRS). At follow-up, 7 of 9 individuals clinically improved by demonstrating score changes that exceeded the RCI [text missing here?] clinically significant improvement for 4 of these 6 individuals from baseline to followup as defined by the OQ authors. Those with anxious or mixed features improved, while participants with depressive features and ongoing stressors showed no improvement. This study's hypothesis was that the effects of EMDR would show score improvements on the dependent measures beyond the effects of RUIC. This was not found from baseline to follow-up. After the first treatment phase, 75% of the cases receiving EMDR produced clinically significant improvement on IES Total scores, as opposed to 25% of the RUIC treated individuals in the same phase. Implications for the clinical use of EMDR and exposure for AD are discussed. It is suggested that clinical evaluation of symptom and personality features presented by a patient prior to treatment will aid in the appropriate selection of effective treatment methods. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(2-B), Aug 2000, pp. 1091.

Keywords: Adjustment Disorder  Empirical Study  Exposure Therapy  Nonclinical Case Study  Treatment Effectiveness  Treatment Outcome/Clinical Trial  

Accuracy Verified: Yes


42. Friedberg, F. (2004, November). Eye movement desensitization in fibromyalgia:  A pilot study. Complementary Therapies in Nursing and Midwifery, 10(4), 245-249. doi:10.1016/j.ctnm.2004.06.006.

Language: English

Format: Journal

Abstract:
The purpose of this study was to investigate the effectiveness of eye movement desensitization (EMD) for the relief of pain, fatigue and anxiety and depression in fibromyalgia patients. Six Caucasian female patients (mean age=43.2 yr) participated in two treatment sessions. Outcome assessments included the Fibromyalgia Impact Questionnaire, Fatigue Scale, Beck Anxiety Inventory, and Beck Depression Inventory. In-session process measures included thermal biofeedback monitoring and subjective units of discomfort ratings of pain, stress, and fatigue. Four out of six subjects were considered treatment responders. Thermal biofeedback monitoring revealed an average increase in hand temperature of 5.4 degrees indicating a relaxation effect. At treatment termination, average scores decreased on the measures of anxiety (28.6%), depression (29.9%), fibromyalgia impact (12.6%), and fatigue (11.5%). At the 3-month follow-up assessment, total reductions in average scores from pre-treatment baseline reflected further improvements on measures of anxiety (45.8%), depression (31.6%), fibromyalgia impact (19.2%), and fatigue (26.7%). Because EMD produced a somewhat automatic relaxation response with minimal patient participation, it may be especially useful when standard relaxation techniques fail.

Keywords: Fibromyalgia  Pilot Study  

Accuracy Verified: Yes


43. Wildwind, L. (1995, June). Facilitating live consultation. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The objectives of this presentation are to define ADHD in the various ways it presents adults, using EMDR cognitions and observations of clients as clues; then, to clarify why and EMDR works differently before, during, and after diagnosis, The presenter will provide background on the biological differences of those with the disorder, some thoughts on why this diagnosis is becoming so frequent at this time, and why therapists who use EMDR may be more likely to have the disorder and to see it in their clients. During the workshop participants will explore their own attitudes toward ADHD and learn about how these attitudes influence their ability to identify and assess ADHD symptoms in clients. Values, judgments and common myths about ADHD will be briefly discussed. Specific suggestions about modifying treatment when ADHD is suspected, suggested as a possible diagnosis to the client, and treated will be given, including a list of modified positive cognitions. Treatment planning ideas for clients with a variety of concurrent diagnoses will be offered, with special attention to the problems of resistance to the diagnosis, the medications use for treatment, and the process of adapting patterns to solve specific problems, using a specific example a group treatment planning exercise will be conducted. The actual treatment history of the case will be given clarifying how the treatment goals were reached. There will he time for participants to formulate negative and positive cognitions regarding their attitudes toward ADHD clients and the use of appropriate medications, and to assess the strength those attitudes, SUDS scales will be used. Participants will have an opportunity to ask questions and will obtain a bibliography, a client questionnaire, a list of modified cognitions, and a summary of resources for medical treatment, education and social support.

Keywords: Consultation  

Accuracy Verified: Yes


44. Pagani, M., Nardo, D., Höberg, G., & Larson, S. (2009, November). Gray matter changes in limbic cortex in PTSD are associated with trauma load and EMDR outcome. Presentation at the 25th annual meeting of the International Society for Traumatic Stress Studies, Atlanta, GA.

Language: English

Format: Conference

Abstract:
Psychophysiological Research
There is converging evidence of gray matter (GM) structural alterations in different limbic structures in Post-Traumatic Stress Disorder (PTSD) patients. The aim of this study was to evaluate GM reduction in PTSD in relation to trauma load, and to assess the volumetric differences between responders (R) and non-responders (NR) to EMDR therapy. Magnetic Resonance Imaging scans of 21 subjects exposed to occupational trauma, who developed PTSD (S), and of 22 who did not (NS), were compared by means of an optimized Voxel-Based Morphometry (VBM) analysis as implemented in SPM. Within S, further comparisons were made between 10 R and 5 NR. A regression analysis between GM density and the Traumatic Antecedents Questionnaire (TAQ) was also performed on all 43 subjects. Results showed a highly significant GM volume reduction in S as compared to NS, bilaterally in posterior cingulate and in the left hemisphere in precuneus, lingual and parahippocampal gyri. Moreover, NR showed a highly significant GM volume reduction as compared to R in bilateral posterior cingulate, as well as insula, parahippocampal gyrus and amygdala in the right hemisphere. Regression analysis showed that GM volume reductions positively correlated with trauma load in bilateral anterior and posterior cingulate and right parahippocampal gyrus. In conclusion, GM volume reductions in posterior cingulate and parahippocampal cortex were associated with PTSD diagnosis, trauma load, and EMDR treatment outcome.

Keywords: Limbic Cortex  Posttraumatic Stress Disorder  PTSD  Outcome  Trauma Load  

Accuracy Verified: Yes


45. Nardo, D., Hogberg, G., Looi, J. C., Larsson, S., Hallstrom, T., & Pagani, M. (2010, May). Gray matter density in limbic and paralimbic cortices is associated with trauma load and EMDR outcome in PTSD patients. Journal of Psychiatric Research, 44(7), 477-485. doi:10.1016/j.jpsychires.2009.10.014.

Language: English

Format: Journal

Abstract:
There is converging evidence of gray matter (GM) structural alterations in different limbic structures in Post-Traumatic Stress Disorder (PTSD) patients. The aim of this study was to evaluate GM density in PTSD in relation to trauma load, and to assess the GM differences between responders (R) and non-responders (NR) to EMDR therapy. Magnetic Resonance Imaging (MRI) scans of 21 subjects exposed to occupational trauma, who developed PTSD (S), and of 22 who did not (NS), were compared by means of an optimized Voxel-Based Morphometry (VBM) analysis as implemented in SPM. Within S, further comparisons were made between 10 R and 5 NR. A regression analysis between GM density and the Traumatic Antecedents Questionnaire (TAQ) was also performed on all 43 subjects. Results showed a significantly lower GM density in S as compared to NS in the left posterior cingulate and the left posterior parahippocampal gyrus. Moreover, NR showed a significantly lower GM density as compared to R in bilateral posterior cingulate, as well as anterior insula, anterior parahippocampal gyrus and amygdala in the right hemisphere. Regression analysis showed that GM density negatively correlated with trauma load in bilateral posterior cingulate, left anterior insula, and right anterior parahippocampal gyrus. In conclusion, a GM lower density in limbic and paralimbic cortices were found to be associated with PTSD diagnosis, trauma load, and EMDR treatment outcome, suggesting a view of PTSD characterized by memory and dissociative disturbances.[Pubmed]

Keywords: Limbic Cortex  Posterior Cingulate  Posttraumatic Stress  PTSD  

Accuracy Verified: Yes


46. Pagani, M. (2010, June). Gray matter density is associated with EMDR outcome in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
There is converging evidence of gray matter (GM) structural alterations in different limbic structures in Post-Traumatic Stress Disorder patients. Eye Movement Desensitization Reprocessing (EMDR) is currently used to treat PTSD but its neurobiological implications are still unknown. The aim of this study was to evaluate GM density in PTSD relation to trauma load, and to assess the GM differences between responders (R) and non-responders (NR) to EMDR therapy. Structured clinical interviews for DSM-IV Axis I Disorders were carried out before and after EMDR treatment. Those who no longer fulfilled the DSM-IV criteria for PTSD were classified as R and those who still met the diagnostic criteria of PTSD after treatment were classified as NR. Two scales 0f self-related Trauma Antecedent Questionnaire (‘trauma and neglect’ TAQ-, and ‘resilience factors’ TAQ+), were administered to assess lifelong trauma load and resilience. Magnetic Resonance Imaging (MRI) scans 10 R and of 5 NR were compared before therapy by means of an optimized Voxel-Based Morphometry (VBM) analysis as implemented in SPM. For group analysis, a threshold of p<0.05 corrected for multiple comparisons at cluster level and an uncorrected threshold of p <0.001 at voxel-level were used. NR subjects showed no significant differences nor in TAQ- scores neither in TAQ+ as compared to R(t=0.140, p+0.891). The contract R>NR exhibited a significant GM lower density in NR as compared to R in three different cluster: the first bilaterally located over posterior cingulate (Brodmann Areas, Bas 23 and 31); the second centered over the left precentral (BA 4), middle and medial frontal gyri (BA 6); the third including anterior insula (BA 13), and the complex anterior parahippocampal gyrus/amygdala, over the right hemisphere. To our knowledge, this is the first study investigating GM alterations with a VBM approach in a sample of PTSD patients respond and non responding to EMDR therapy. Posterior cingulate, parahippocampal and insular lower GM concentrations have been found to relate to responsiveness to EMDR therapy suggesting a high vulnerability of these structures to the effects of stress and trauma. These regions are well known to be implicated in processes such as: integration, encoding and retrieval of autobiographical and episodic memories; emotional processing, interoceptive awareness and sefl-referential conscious experience. Thus, our study supports lower GM densities in limbic and paralimbic cortices as a potential structural basis for memory and dissociative dysfunction in PTSD. Using such methodological approach can contribute to better understand the neurostructural basis for traumatic responses and their treatment. The goals for the audience are: 1. To understand the methodological research principles; 2. To be updated on neurobiological research in EMDR; 3. to be informed on the neural basis of EMDR.

Keywords: Gray Matter  Posttraumatic Stress Disorder  PTSD  Research  Symposium  

Accuracy Verified: Yes


47. Honarian, M., Younesi, J., Shafiabadi, A., & Nafissi, G. (2011, July). The impact of EMDR for decreasing deterministic thinking among couples. Poster presentation at the 12th European Congress of Psychology, Istanbul, Turkey.

Language: English

Format: Conference

Abstract:
The purpose of the current research was to examine the effectiveness of eye movement desensitization and reprocessing (EMDR) for decreasing of deterministic thinking among couples. Deterministic thinking is an absolute thought to ignore any probability in incidents and their inferences. It is one of the most important cognitive distortions to sabotage martial satisfaction of couples. Twenty couples were involved in this study who to come for consultation centers from three areas of Tehran (Iran). They were randomly assigned to the experimental and control groups. The experimental group was exposed to emdr in five weekly 1.5 hour sessions. The dependent variable of this research was evaluated through questionnaire of deterministic thinking (younesi &mirafzal 2007) before and after the treatment. Then the data was analyzed through using an an COVA analysis. The results indicated that the EMDR was effective for decreasing deterministic thinking of couples.

Keywords: Couples  Determinism  

Accuracy Verified: Yes


48. Schneider, C. (2009?). Integrating energy therapies. EMDR and NFB in the treatment of closed head injuries with PTSD. Futurehealth World.

Language: English

Format: Other

Abstract: (AE-W2-028) CD, DVD, MP3: A Futurehealth workshop which covers "Symptoms of post concussive syndrome and PTSD often overlap and may cause the therapist to miss the diagnosis of one or the other syndrome. Methods for diagnosing both from QEEG and questionnaire data will be described. Treatments involving the use of EFT and EMDR will be described with case examples. In certain cases neurofeedback and EMDR can be done in the crossover state to effect resolution of persisting traumatic images. An energy therapy involving stimulation of acupressure points can sometimes normalize the QEEG with attendant changes in visual and cognitive problems, including reading and memory dysfunction. Case material and EEG data will be presented."[Author abstract]

Keywords: Closed Head Injuries  Neurofeedback  NFB  PCS  Post Concussive Syndrome  Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: No


49. Young, J., & Zangwill, W. (1995, June). Integrating schema-focused therapy & EMDR. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
Dr. Young has developed an integrative model that seems especialy appropriate for combining with EMDR. According to the theory proposed, eighteen Early Maladaptive Schemas (EMS) are at the core of personality disorders. An EMS is defined as an extremely broad, pervasive theme regarding oneself and one's relationship with others, developed during childhood and elaborated throughout one's lifetime, and dysfunctional to a significant degree. Shapiro's concept of childhood file folders would be analogous to the concept of schemas. These eighteen schemas are primarily unconscious but can be brought to awareness through various strategies, especially EMDR. This presentation will demonstrate how to integrate the use of Schema-Focused therapy with EMDR. In this model, Schema- Focused therapy serves as the primary conceptual framework for working with the client while EMDR is seen as the primary change technique. The first step in this process is a thorough history taking looking for both traumatic life events and the client's underlying vulnerabilities and schemas. History taking is accomplished both through client interviews and the use of Lazarus' Multimodal Life History Questionnaire. The Schema Questionnaire and the Parent Questionnaire developed by Young are given and scored. As part of this process, the therapist attempts to help the client discriminate memories representing primary trauma versus memories that represent life long issues. The EMDR model eliciting infonmtion - asking the client about specific events and problems, then obtaining Pictures, Negative and Positive Cognitions, Affect and Body Sensations as well as SUDS and VOC ratings - is used as soon as the client is comfortable. Collecting information this way without the use of Eye Movements has been shown to be a very effective way of tapping into the neural network where related memories are stored. The grouping of these memories often appears to be along such schema lines as Vulnerability, Defectiveness, Abandonment, etc. As the therapeutic relationship develops, clients are educated about EMDR and schemas. The last part of this process is the Case Conceptualization. This involves putting together the information from history taking, the schema questionnaire and the parent questionnaire and the client's in-session behavior to formulate a useful picture of client problems, likely problem origins, and recommended change techniques. Knowing what issues/themes your client is vulnerable to, tells you where to start your EMDR exploration. It also helps suggests where to probe when processing stops, i.e., what blocking beliefs may be present, what type of cognitive interweave to use, etc. Once the case conceptualization is complete, EMDR is used as always. However, the use of Schema Focused therapy with EMDR broadens the scope of EMDR. 1) Cognitive Therapy for Personalitv Disorders: A Schema-Focused Approach. Revised Ed. Professional Resource Press, Sarasota, FL, (813)366-7913; 2) Reinventing Your Life, J. Young and J. Klosko. New York, Plume, 1994.

Keywords: Schema-Focused Therapy  

Accuracy Verified: Yes


50. Young, J., & Zangwill, W. M. (1996, June). Integrating schema-focused therapy with EMDR. Presentation at the annual meeting of the EMDR International Association, Denver, CO.

Language: English

Format: Conference

Abstract:
Dr. Young has developed an integrative model that seems especialy appropriate for combining with EMDR. According to the theory proposed, eighteen Early Maladaptive Schemas (EMS) are at the core of personality disorders. An EMS is defined as an extremely broad, pervasive theme regarding oneself and one's relationship with others, developed during childhood and elaborated throughout one's lifetime, and dysfunctional to a significant degree. Shapiro's concept of childhood file folders would be analogous to the concept of schemas. These eighteen schemas are primarily unconscious but can be brought to awareness through various strategies, especially EMDR. This presentation will demonstrate how to integrate the use of Schema-Focused therapy with EMDR. In this model, Schema- Focused therapy serves as the primary conceptual framework for working with the client while EMDR is seen as the primary change technique. The first step in this process is a thorough history taking looking for both traumatic life events and the client's underlying vulnerabilities and schemas. History taking is accomplished both through client interviews and the use of Lazarus' Multimodal Life History Questionnaire. The Schema Questionnaire and the Parent Questionnaire developed by Young are given and scored. As part of this process, the therapist attempts to help the client discriminate memories representing primary trauma versus memories that represen life long issues. The EMDR model eliciting information - asking the client about specific events and problems, then obtaining Pictures, Negative and Positive Cognitions, Affect and Body Sensations as well as SUDS and VOC ratings - is used as soon as the client is comfortable. Collecting information this way without the use of Eye Movements has been shown to be a very effective way of tapping into the neural network where related memories are stored. The grouping of these memories often appears to be along such schema lines as Vulnerability, Defectiveness, Abandonment, etc. As the therapeutic relationship develops, clients are educated about EMDR and schemas. The last part of this process is the Case Conceptualization. This involves putting together the infonmtion from history taking, the schema questionnaire and the parent questionnaire and the client's in-session behavior to formulate a useful picture of client problems, likely problem origins, and recommended change techniques. Knowing what issues/themes your client is vulnerable to, tells you where to start your EMDR exploration. It also helps suggests where to probe when processing stops, i.e., what blocking beliefs may be present, what type of cognitive interweave to use, etc. Once the case conceptualization is complete, EMDR is used as always. However, the use of Schema Focused therapy with EMDR broadens the scope of EMDR. 1)Cognitive Therapy for Personality Disorders: A Schema-Focused Approach. Revised Ed. Professional Resource Press, Sarasota, FL, (813) 366-7913 2)Reinventing Your Life, J. Young and J. Klosko. New York, Plume, 1994.

Keywords: Schema-Focused Therapy  

Accuracy Verified: Yes


51. Keenan, L. (2010, June). The integration and progression of EMDR within a generic primary care mental health service. In Trainiing issues. Symposium conducted at the annual meeting of the Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
In 2007 the Department of Health (DoH. UK) published "Improving Access to Psychological Therapies" (IAPT). This meant that primary care mental health services (PCMHS) had to seriously consider the mode, method and efficacy of their service delivery. This paper will consider one such service, critically reflecting on the integration of EMDR as a mainstream therapeutic intervention. The service utilises therapists from various therapeutic paradigms, counselors, graduate workers, cognitive behavioural psychotherapists, cognitive analytical psychotherapists, clinical psychologists and registered mental nurses. Clients are referred with a wide range of psychological issues such as Depression, anxiety disorders, OCD, and PTSD. Following a further EMDR training initiative in 2007 (Birmingham University), the service now boasts, One EMDR Consultant/Facilitator, three accredited practitioners, three level three trained therapists and two clinicians at level two. This paper will present a brief history of the development of EMDR within the PCMHS, exploring how EMDR has been utilised not only in the treatment of PTSD (NIHCE 20051, but also in the treatment of other psychological pathologies. The paper will highlight the number of clients treated with EMDR (retrospectively over a twelve month period), the average number of sessions per client and the therapeutic outcomes as measured by the Patients Health Questionnaire [PHQ-9) (Kroenke & Spitzer, 2002) and the Generalized Anxiety Disorder Questionnaire (CAD-7) ( Spitzer et al 2006). The Dissociative Experience Scale is used when considering EMDR as an intervention strategy and the Impact of Events Scale- Revised (WEISS et al 2004) when appropriate. The paper will conclude with a brief analysis of qualitative data from clinicians as to the impact EMDR has had on their clinical practice. Learning Outcomes: By the conclusion of the presentation the participants will: 1. Be able to discuss the application of EMDR in the treatment of psychopathologies other than PTSD. 2. To consider the integration of EMDR with other psychotherapeutic paradigms. 3. To critical consider the treatment outcomes and in particular the cost effectiveness of EMDR as a psychotherapeutic tool in a generic primary care setting. 4. Be aware of the ethical and political considerations of integrating EMDR into a generic primary care mental health service. Innovation: This work is innovative as it focuses on how EMDR can be utilised within generic mental health services. It critically reflects on the phenomenology of integrating EMDR into a PCMHS and it has encouraged the training of other EMDR clinicians outside of the primary care mental health team.

Keywords: Generic Primary Care  Symposium  Training Issues  

Accuracy Verified: Yes


52. Blore, D. C. (2011, September). An interpretative phenomenological analysis (IPA) investigation of positive psychological change (PPC), including post traumatic growth (PTG). School of Health and Population Sciences, The University of Birmingham, UK.

Language: English

Format: Dissertation/Thesis

Abstract:
Positive Psychological Change (PPC) following trauma is a developing field for which there is no standard terminology. The plethora of labels, of which Post Traumatic Growth (PTG) is probably the most common descriptor, arguably masks a significant gap in clinical and theoretical understanding of the phenomenon. One specific gap addressed by this study is PPC following psychological trauma stemming from a Road Traffic Accident (RTA) in which the person involved has subsequently received Eye Movement Desensitisation & Reprocessing (EMDR). To investigate this gap in knowledge, an Interpretative Phenomenological Analysis (IPA) approach was used and twelve participants recruited via a snowball sampling method. The participants were then interviewed using a Semi-structured Interview Questionnaire (SSIQ) and the interviews were then transcribed for IPA analysis. Key themes that emerged included Navigational Struggle (NS) to describe Negative Psychological Change (NPC), and Network Growth (NG), to describe PPC. At any one post-RTA/EMDR point there was a preponderance of one over the other, however, NS and NG were inseparable and found to co-exist along an NS-NG continuum. In addition, Figurative Language Use (FLU) had a significant role in both NS and NG yet was independent of both and apparently driving change towards the development of NG. Whilst NS and NG were both post-trauma phenomena, FLU seemed to hallmark expansion of memory networks as part of a general maturation process post-RTA. Furthermore, there was evidence that participants were incorporating their traumatic experiences via FLU into the rebuilding of their assumptive worlds. To account for these findings, an extension to Adaptive Information Processing (AIP) – the theory widely accepted to underpin EMDR - is proposed based upon a hypothesised Plasticity of Meaning (PoM), which is observable through FLU. PoM predicts which, why and how memory networks connect resulting in the adaptive processing predicted by AIP. The study’s findings are re-examined in terms of consequential modifications to the clinical use of EMDR. Extensive suggestions for further research are provided.

Keywords: Interpretative Phenomenological Analysis  IPA  PPC  Positive Psychological Change  

Accuracy Verified: Yes


53. Dunne, T. (2010, March). An investigation into therapists’ beliefs about how eye movement desensitization & reprocessing (EMDR) works in clinical practice: Do the eyes have it?. Poster presented at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
These were subject to statistical analysis using Analysis of Variance (ANOVA) and Chi-Square tests to examine the relationships between Questionnaire items for significance. A total of 9 subjects agreed to be interviewed regarding their EMDR practice and integration issues. This qualititative data was content analyzed. No differences were found between both groups on Biodata factors, years of experience as a Therapist or years using EMDR which gives further confidence in the results when comparing both cohorts. Results: Respondents endorsed two types of explanation as to why they believed EMDR works (ie) EMDR facilitates communication between the Limbic system and Frontal Lobes (77%) and Adaptive Information Processing (73%). This suggests that Therapists are not just following Shapiro’s AIP model slavishly but are rather making up their own minds. There were no significant differences between Analytic, CBT, Integrative and Humanistic Therapists in terms of explanatory mechanisms endorsed about EMDR’s “active ingredient”. CBT Therapists found it easier to incorporate EMDR into their clinical practice than Analytic or Humanist Therapists. This finding was supported by the results of the qualitative interview data. Indeed, up to 40% of Therapists sampled experienced difficulties in integrating EMDR into their clinical practice, post training. The types of difficulties identified included: Differences in theoretical beliefs, more active style of EMDR, structure of EMDR Protocol, Therapist confidence issues, Organizational issues and hostility from clinical colleagues, bullying, lack of supervision and support post training. Conclusions: The results of this study confirm findings from earlier studies regarding Therapists’ beliefs about EMDR but also extend those finding internationally so that previous findings can now be accepted as universal given that this present study contained respondents from three other continents other than North America. This study also found that up to 40% of Therapists trained in EMDR experienced significant difficulties in integrating EMDR into their clinical practice post-training. Analytic and Humanist Therapists reported the biggest difficulties which included conflict with the Therapists’ original theoretical model, the EMDR Protocol structure itself, Therapist confidence and lack of supervision and support, Organizational and Management issues of opposition to EMDR and Therapist Bullying. The implications for EMDR training are discussed and communicated to relevant EMDR Training Organizations.

Keywords: Poster  Research  Therapist's Beliefs  

Accuracy Verified: Yes


54. Lytle, R. A. (1993). An investigation of the efficacy of eye-movement desensitization in the treatment of cognitive intrusions related to memories of a past stressful event. Pennsylvania State University. AAT 9334778.

Language: English

Format: Dissertation/Thesis

Abstract:
A novel clinical technique, referred to as "eye-movement desensitization," has recently been reported to rapidly achieve significant reductions in the frequency and intensity of the two primary symptoms of PTSD; cognitive intrusions and the behavioral and emotional avoidance of trauma related fear cues. The current study was intended to provide an experimentally controlled replication of this procedure. The 45 students with the highest scores on a self-report questionnaire were selected for participation in the study and randomly assigned to one of three treatment conditions. These conditions included "eye-movement desensitization," "eye-fixation desensitization," and a non-directive control condition.Sessions One and Three consisted of pretest and posttest assessment respectively, administered by questionnaire and behavioral measures of cognitive intrusions relating to the reported trauma. Session Two, consisted of immediate pretest and posttest assessment of information regarding subjective discomfort, perceived validity of adaptive cognitions, and vividness of images related to the reported trauma. The results of this experiment indicated that treatment-related pretest to posttest change was limited to (a) a relative reduction in cognitive intrusions for the eye-fixation group compared to the other treatment conditions, and (b) initial superiority of both desensitization techniques in immediately reducing subject distress, vividness of the initial image (and for eye-fixation, improved validity of an adaptive cognition) in comparison to the non-directive condition. The latter condition, however, then achieved equivalent gains by one-week follow-up. It was concluded that: (a) the relative efficacy of the eye-movement desensitization technique, was not supported in this non-clinical population, (b) to the degree that the outcomes resulting from the two desensitization conditions were at variance from those of the more traditional non-directive technique, those differences appear to have been predominantly transient in character, and (c) the induction of saccadic eye-movements did not demonstrably function as an active component of treatment within this experimental context. It was additionally concluded that further research will be required to satisfactorily resolve the discrepant findings of experimentation and case reports regarding the efficacy of this technique. Specific suggestions for further research were presented. [Truncated Author Abstract] [Pilots]

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

Accuracy Verified: Yes


55. Dunn, T. (2008, June). An investigation of therapists’ beliefs about how EMDR works?. Poster presented at the annual meeting of the EMDR Europe Association, London, England UK.

Language: English

Format: Conference

Abstract:
The aim of my study is to explore how EMDR trained Therapists explain to themselves and their clients, how EMDR works in clinical practice, in their views. A second aim of my study is to examine how EMDR trained Therapists’ explanations relate to their original clinical training. The Research Question is: Do CBT trained Therapists differ in the explanations they give about the therapeutic mechanisms of EMDR from, say, analytically oriented Therapists? Do Humanistic Therapists explain how EMDR works from existentially oriented Therapists? A third aim of my study is to examine how Therapists from different backgrounds incorporate EMDR into their clinical practice. The Research Question here is: Do Therapists from some backgrounds such as CBT find it easier to incorporate EMDR into their everyday clinical work than other types of Therapists? Research Methodology: I 24 shall use a combination of quantitative and qualitative methods in this research project. The quantitative method will be a short 2 page anonymous questionnaire which will be given out at the Conference for delegates to complete and return to the stand. I would hope to have at least 50 such Questionnaires completed by consenting delegates to the Conference. The qualitative methods will be a number of focus groups (maximum number of 12 people in each group) which I hope to run at the end of each day of the Conference. I plan to have 3-4 such focus groups from which the data will be gathered. The other qualitative method will be 1:1 semi-structured interviews either face to face at the Conference or by telephone (post conference) with consenting delegates attending the Conference. Altogether, I would hope to have a total of about 50 participants in the qualitative data gathering methods.

Keywords: Poster  Therapist's Beliefs  

Accuracy Verified: Yes


56. Andonucci, H. (2004). The modifications of the EMDR protocol for sexually abused children. Alliant International University, San Francisco Bay. AAT 3133439.

Language: English

Format: Dissertation/Thesis

Abstract:
There is an increasing interest in using the procedures of EMDR with sexually abused children because of its effectiveness in treating PTSD and trauma in adults and children. Within the literature clinicians have reported modifications of the standard adult protocol originally developed by Shapiro in order to facilitate the therapy with children. To date, no study has investigated the actual modifications clinicians use when treating sexually abused children. A study was designed to elicit information about the actual use of such modifications from appropriately trained clinicians who work with sexually abused children 12 years and younger. A questionnaire was developed to obtain demographic information from therapists about their background and experience with abused children. An EMDR protocol modification survey was also created to elicit information about whether and how clinicians alter the standard EMDR protocol for use with abused children. Eight completed surveys were returned and the results of data analysis showed that clinicians do indeed modify the protocol as described and discussed. In particular, the results indicated the importance of modifications in the EMDR procedure for children and suggested important changes in the questionnaire that could be used for future data collection. [Author Abstract] Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(5-B), 2004, pp. 2611.

Keywords: Child Abuse  Empirical Study  Psychotherapeutic Processes  Qualitative Study  Rape  School Age Children  Survivors  

Accuracy Verified: Yes


57. Lazarus, A. A. (1995, Issue 3). The multimodal orientation. EMDR Network Newsletter, 5(3), 3-4.

Language: English

Format: Newsletter

Abstract:
When I took the Level EMDR training, I was impressed by the fact that it dovetails very nicely with the multimodal outlook and tends to cover the same essential modalities. In Las Vegas, while we were at the Evolution of Psychotherapy Conference, Dr. Francine Shapiro and I chatted about numerous ideas, including the way in which people familiar with EMDR could profit from employing multimodal assessment methods. Dr. Shapiro perused the Multimodal Life History Questionnaire (Lazarus & Lazarus, 1991), for instance, and felt that it could be a useful addendum in the hands of well-trained EMDR therapists and invited me to write this very brief outline of the multimodal therapy rationale.

Keywords: Multimodal Approach  

Accuracy Verified: Yes


58. Lipke, H. (2007, January 24). NC event questionnaire. Howard Lipke, Ph.D..

Language: English

Format: Other

Keywords: Negative Event  

Accuracy Verified: Yes


59. Brewin, C. R., Fuchkan, N., Huntley, Z., Robertson, M., Thompson, M., Scragg, P., d'Ardenne, P., & Ehlers, A. (2010, February). Outreach and screening following the 2005 London bombings: Usage and outcomes. Psychological Medicine, 40(12), 2049–2057. doi:10.1017/S0033291710000206.

Language: English

Format: Journal

Abstract:
Background: Little is known about how to remedy the unmet mental health needs associated with major terrorist attacks, or what outcomes are achievable with evidence-based treatment. This article reports the usage, diagnoses and outcomes associated with the 2-year Trauma Response Programme (TRP) for those affected by the 2005 London bombings. Method: Following a systematic and coordinated programme of outreach, the contact details of 910 people were obtained by the TRP. Of these, 596 completed a screening instrument that included the Trauma Screening Questionnaire (TSQ) and items assessing other negative responses. Those scoring 6 on the TSQ, or endorsing other negative responses, received a detailed clinical assessment. Individuals judged to need treatment (n=217) received trauma-focused cognitive-behaviour therapy (TF-CBT) or eye movement desensitization and reprocessing (EMDR). Symptom levels were assessed pre- and post-treatment with validated self-report measures of post-traumatic stress disorder (PTSD) and depression, and 66 were followed up at 1 year. Results: Case finding relied primarily on outreach rather than standard referral pathways such as primary care. The effect sizes achieved for treatment of DSM-IV PTSD exceeded those usually found in randomized controlled trials (RCTs) and gains were well maintained an average of 1 year later. Conclusions: Outreach with screening, linked to the provision of evidence-based treatment, seems to be a viable method of identifying and meeting mental health needs following a terrorist attack. Given the failure of normal care pathways, it is a potentially important approach that merits further evaluation.

Keywords: Cognitive-Behaviour Therapy  London Bombings  Outreach  Posttraumatic Stress Disorder  PTSD  Trauma-Focused Cognitive Behavioral Therapy  Trauma Response Programme  TRP  

Accuracy Verified: Yes


60. Farrell, D. (2010, June). Participant‘s experiences of EMDR training within the UK and Ireland. In Training Issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
This study investigated the experiences of participant's experiences of EMDR training (N=484) undertaken in the United Kingdom and Ireland over the last ten years from various approved training providers. The research participants were drawn from both the membership of the EMDR UK & Ireland Association as well those who had undertaken EMDR Europe or EMDRIA approved trainings. The research ascertained information, though the use of structured questionnaire, about the nature of participant’s EMDR clinical in relation to client populations, clinical practice of EMDR, and experiences of clinical supervision. Participants also provided qualitative data regarding their experiences of EMDR training. The results raised many issues around the teaching and learning of EMDR including areas such as paradigm integration, evidence based versus practice based practice, clinical competency, confocal supervision, post training development, accreditation, and the role of the EMDR national association. The findings suggest a need to develop a more comprehensive EMDR training curriculum.

Keywords: Ireland, Symposium  Training Issues  United Kingdom  

Accuracy Verified: Yes


61. Ellis, T. L. (1999). Play therapy versus eye movement desensitization and reprocessing (EMDR): A comparative study examining the treatment effects with school-age children, Homan Elementary School, Fresno, California. California State University, Fresno. AAT 1401332.

Language: English

Format: Dissertation/Thesis

Abstract:
This study investigated the differences between play therapy and Eye Movement Desensitization and Reprocessing (EMDR) when applied to children. Eleven participants from Homan Elementary School, Fresno, California, participated in this study. The treatment consisted of four combinations of varied administrations of play therapy and EMDR. Dependent variables included the self-reporting instruments of the Trauma Reaction Indicators Child Questionnaire (TRICQ), the Subjective Units of Disturbance Scale (SUDS), the Validity of Cognition Scale (VOC), and the Global Feelings Self-Report Scale. Qualitative data included observed changes in behaviors on the educational risk assessment. No clinical significance was demonstrated on the self-report instruments; however, statistical significance was found on the qualitative data using the chi-square goodness-of-fit test on the posteducational risk assessment. Positive changes were reported in the qualitative analysis on the educational risk assessment.

Keywords: Counseling in Elementary Education  Play Therapy  

Accuracy Verified: Yes


62. Qain, M. (2010, July). Posttraumatic growth and its impact factos among earthquake victims in Sichuan. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.

Language: English

Format: Conference

Abstract:
To investigate the posttraumatic growth and its impact factors in victims having experienced Wenchuan earthquake and living in community in one of the most severe disaster area. With the Impact of Event Scale- Revised (IES-R), Posttraumatic Growth Inventory (PTGI) and questions about the objective and subjective influences (e.g. economic loss, personal feelings) of the earthquake to the subjects, data were collected from 2403 victims living in a temporary community of Pengzhou, a severe disaster impacted area. 2106 valid questionnaire were analyzed for the related factors influencing posttraumatic growth. The age of subjects and PTSD symptoms could predict posttraumatic growth significantly. Both objective and subjective influence of the earthquake on victims contributed significantly to posttraumatic growth, whereas they became less or not significant when PTSD symptoms were accounted into the regression model. PTSD symptoms were the most important factor to predict posttraumatic growth; economic loss for individual experiencing the earthquake could also predict posttraumatic growth stably.

Keywords: Earthquake  Sichaun  Victims  

Accuracy Verified: Yes


63. Brewin, C. R., Scragg, P., Robertson, M., Thompson, M., D'Ardenne, P., & Ehlers, A. (2008, February). Promoting mental health following the London bombings: A screen and treat approach. Journal of Traumatic Stress, 21(1), 3-8.

Language: English

Format: Journal

Abstract:
Following the 2005 London bombings, a novel public health program was instituted to address the mental health needs of survivors. In this article, the authors describe the rationale for the program, characteristics of individuals assessed within the program, and preliminary outcome data. In addition to validated screening instruments and routine service usage data, standardized questionnaire outcome measures were collected. 71% of individuals screened positive for a mental disorder. Of those receiving a more detailed clinical assessment, PTSD was the predominant diagnosis. Preliminary outcome data on 82 patients revealed large effect sizes for treatment comparable to those previously obtained in randomized controlled trials. The program succeeded in its aim of generating many more referrals of affected individuals than came through normal referral channels. [Author Abstract]

Keywords: Adults  British  Cognitive Therapy  Epidemiology  London Transport Bombings (2005)  Posttraumatic Stress Disorder  Psychiatric Disorders  PTSD  Survivors  Terrorism  Treatment Effectiveness  Victim Services  

Accuracy Verified: Yes


64. Gabarra, D. O. (2012, Novembro). A proposição teórica e eficácia do EMDR no tratamento da dor crônica [The theoretical proposition and efficacy of EMDR in the treatment of chronic pain]. In EMDR e dor crônica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
O presente estudo tem por objetivo apresentar os fundamentos de porque o EMDR funciona no tratamento da dor crônica e apresentar os dados de um estudo piloto que será realizado até a data da apresentação. Diante de uma experiência de dor, o cérebro desenvolve uma rede associativa de memória que pode ficar congelada devido à intensidade e/ou persistência da dor. Aspectos psicológicos associados ao evento disparador ou possíveis ganhos secundários também podem fortalecer o congelamento dessas redes associativas (Grant 2002). Dessa forma, a dor crônica, mesmo que justificada por uma questão física, vem associada à memória da dor que é expressa em sensações corporais. Entendendo que o EMDR trata o trauma psicológico por descongelar e resignificar os eventos passados por meio da reconexão dessas redes associativas com as redes de recursos psíquicos do sujeito, podemos entender que o reprocessamento da rede associativa da dor irá reorganizar essa memória de forma a desconstruir a memória da dor enquanto uma sensação corporal presente (Schneider et al 2008). O Estudo piloto será composto por 4 sujeitos adultos que desenvolveram dor crônica a partir de um trauma físico. Os sujeitos serão submetidos a uma entrevista de linha de base com os seguintes instrumentos traduzidos: MINI (Amorim 2000), Short-Form McGill Melzack Pain Questionnaire (Schneider 2008 e Melzack 1987), Impact of Event Scale (Schneider 2008) e Multiple Affect Adjective Checklist-Revised (Estergard 2008); além do registro das medicações utilizadas. Essa avaliação será realizada em 3 momentos distintos. No início do estudo; após três meses sem intervenção adicional além do tratamento que o sujeito estava previamente submetido e após a intervenção do estudo de um processo de psicoterapia breve de 12 sessões com EMDR fundamentada no Protocolo de Dor (Mark Grant 1998/2009). As diferenças entre a primeira e segunda testagem serão comparadas com a diferença entre a segunda e terceira testagem para verificar a eficácia do tratamento. Espera-se obter uma diferença significativa para fortalecer a tese da eficácia do EMDR nesse tipo de tratamento assim como demonstra a literatura levantada (Bisson et all 2007, Estergard 2008, Friedberg 2004, Grant 2002 e 2009, Schneider et all 2008 e Shapiro 2002).

The present study aims to present the fundamentals of why EMDR works in treating chronic pain and present data from a pilot study that will be held until the date of the presentation. Faced with an experience of pain, the brain develops a network of associative memory that can be frozen due to the intensity and / or persistence of pain. Psychological aspects associated with the event trigger or possible secondary gains can also strengthen the freezing of these associative networks (Grant 2002). Thus, chronic pain, even if justified by a physical issue, comes the pain associated with memory that is expressed in bodily sensations. Understanding the psychological trauma EMDR treats for thawing and reframe past events through the reconnection of these associative networks with the networks of psychological resources of the subject, we can understand that the reprocessing of pain associative network will rearrange this memory in order to deconstruct the memory of pain as a bodily sensation present (Schneider et al 2008). The pilot study will consist of four adult subjects who developed chronic pain from physical trauma. The subjects will undergo a baseline interview with the following instruments translated: MINI (Amorim 2000), Short-Form McGill Melzack Pain Questionnaire (Melzack 2008 and Schneider 1987), Impact of Event Scale (Schneider 2008) and the Multiple Affect Adjective Checklist-Revised (Estergard 2008); beyond the record of the medications used. This evaluation will be conducted in three distinct moments. At baseline and after three months without further intervention beyond treatment that the subject was previously submitted to and after intervention study of a process of brief psychotherapy of 12 sessions with EMDR based on the Pain Protocol (Mark Grant 1998/2009). The differences between the first and second test are compared with the difference between the second and third testing to verify the effectiveness of the treatment. It is expected to obtain a difference significant strengthening the argument of effectiveness of EMDR this type of treatment as well as the literature demonstrates raised (Bisson et all 2007, 2008 Estergard, Friedberg 2004, 2002 and 2009 Grant, Schneider et al 2008 and Shapiro 2002) .

Keywords: Chronic Pain  Effectiveness of Treatment  Theoretical Hypothesis  

Accuracy Verified: Yes


65. Devilly, G. J., & Borkovec, T. D. (2000, June). Psychometric properties of the credibility/expectancy questionnaire. Journal of Behavior Therapy and Experimental Psychiatry, 31(2), 73-86. doi:10.1016/S0005-7916(00)00012-4.

Language: English

Format: Journal

Abstract:
The present research evaluated the psychometric properties of the credibility/expectancy questionnaire, a quick and easy-to-administer scale for measuring treatment expectancy and rationale credibility for use in clinical outcome studies. The results suggested that this questionnaire derives the two predicted factors (cognitively based credibility and relatively more affectively based expectancy) and that these factors are stable across different populations. Furthermore, the questionnaire demonstrated high internal consistency within each factor and good test-retest reliability. The expectancy factor predicted outcome on some measures, whereas the credibility factor was unrelated to outcome. The questionnaire is appended to the paper, yet the authors stress care when utilizing the scale. During the administration of the questionnaire, the participant sees two sections -- one related to thinking and one related to feeling. However, the researcher needs to be aware that the 2 factors derived are not grouped into those questions. Instead credibility was found to be derived from the first three think questions and expectancy was derived from the fourth think question and the two feel questions. [Author Abstract]

Keywords: Adults  Australians  Cognitive Therapy  Postttraumatic Stress Disorder  PTSD  Self Report Instruments  Stressors  Survivors  

Accuracy Verified: Yes


66. Pham, T., & Willocq, L. (2005, June). Psychopathy and traumatic stress in a forensic hospital. In Research Issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.

Language: English

Format: Conference

Abstract:
It often has been theorized that psychopaths have a fundamental deficit with respect to emotions (Cleckley, 1976). They would be unable to experiment acute emotional reactions, like posttraumatic stress. The study compares posttraumatic stress between psychopaths and non psychopaths. as defined by the Hare Psychopathy Checklist (1991). The specific contribution of factor 1 (narcissistic characteristics) and factor 2 (behavioral characteristics) of psychopathy is analysed. The population includes 44 Belgian male offenders coming from a forensic hospital. Traumatic stress is assessed by the Stanford Acute Stress Reaction Questionnaire ISASRQ (Cardena, Classen, Koopman, & Spiegel, 1996). The authors will discuss the therapeutic implications.

Keywords: Forensic Hospital  Research  Symposium  

Accuracy Verified: Yes


67. Sack, M., Hofmann, A, Wizelman, L., & Lempa, W. (2007, June). Psychophysiological changes during EMDR - Are they related to treatment outcome?. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.

Language: English

Format: Conference

Abstract:
Objective: Dual attention stimulation seems to provoke orienting response like patterns of psychophysiological deactivation during “real-life” EMDR treatment sessions (Sack et al, in review). Objective of this study was to investigate the association of psych-physiological effects during dual attention stimulation with treatment outcome as measured by questionnaire and by psychophysiological reactions during presentations of an individualized trauma script.
Methods: A total of 24 EMDR treatment sessions from 10 patients with PTSD were monitored applying impedance Cardiography. The onset of every stimulation/exposure period was marked and effects within and across stimulation sets on heart rate (HR), heart rate variability (RMSSD), pre-ejection period (PEP) and respiration rate were examined. Heart rate reactivity during presentation of an audiotaped trauma script was measured at beginning of every session and additionally one week before the first session and one week after the last treatment session. Statistical correlations between both subjective (Impact of Event Scale, SUD) and objective (heart rate reactivity) measures of treatment outcome with psychophysiological changes during session (orienting response at beginning of stimulation, slope of HR) were computed.
Results: A significant reduction of trauma-related symptoms was noticed over the course of EMDR treatment: (IES one week pre: 61.2(SD 10.9), IES pre: 55.4(SD 19.0), IES post: 13.3(SD 12.2), F(2,27); 32.6, p < .001). Subjective distress during trauma script decreased significantly (SUD one week pre: 6.6(SD 1.4), SUD pre: 6.9(SD1.4), SUD post: 2.1(SD 1.7); F(2, 27); 31.5, p < .001). The statistical analysis of physiological variables is currently in process. Results will be presented at the conference.
Conclusions: The results of this study will allow further insights into the working mechanism of EMDR.
This study was co-sponsored by EMDREA and EMDRIA-Germany.

Keywords: Medical  Treatment Outcome  

Accuracy Verified: Yes


68. Zhao, Dong-Mei (2009, March). Psychotherapy models and theories of mental trauma. Journal of South China Normal University (Social Science Edition).

Language: English

Format: Journal

Abstract:
Mental trauma refers to mental damnification made by some direct extra force(living event)or strong emotion hurt, especially the strong affective reaction induced by natural and man-made disasters related to these living events.The assessment of trauma, at present,just uses questionnaire or scale, like Traumatic Stress Schedule, Traumatic Events Questionnaire, etc. This article introduces some psychotherapy models and theories about trauma, such as dynamic psychology psychotherapy, Eye-Movement Desensitization and Reprocessing (EMDR),integration and development treatment model, virtual reality technique,as well as drawing therapy, dancing therapy, reading and creating therapy.

Keywords: Mental Trauma  Virtual Reality Technique  

Accuracy Verified: Yes


69. Cusack, K. J. (2001). Refugee experiences of trauma and PTSD: Effects on psychological, physical, and financial well-being. Western Michigan University. AAT 3028752.

Language: English

Format: Dissertation/Thesis

Abstract:
This study examined the traumatic experiences and psychological symptoms of 60 refugees who were recently resettled in the United States. Subjects were from Cuba, Iraq, Haiti, Sudan, and Bosnia. Data was collected for each subject on traumatic experiences occurring prior to their arrival. In addition, anxiety and depression were assessed using the Hopkins Symptom Checklist (HSC-25). Quality of life and coping skills were assessed using the WHO Quality of Life-BREF and the Coping Styles Questionnaire, respectively. Trained, bi-lingual interviewers assessed for PTSD using the Clinician-Administered PTSD Scale. All instruments were translated into the appropriate language for subjects who did not speak English. Measures were back-translated to assure accuracy of translations. Three months following their arrival, information was collected regarding employment and public assistance. Predictors of PTSD, quality of life, and refugee self-sufficiency were analyzed using multiple regression and logistic regression analyses. Trauma-related variables were predictive of PTSD, which in turn had a negative impact on quality of life and self-sufficiency. Implications for the resettlement programs of government and non-governmental organizations are discussed.

Keywords: Hopkins Symptom Checklist (HSC-25)  Posttraumatic Stress Disorder  PTSD  PTSD Scale  Surveys  

Accuracy Verified: Yes


70. Iracane-Blanco, M. (2010, June). Research to evaluate the therapeutic effectiveness of an EMDR treatment versus debriefing for victims of workplace accidents. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.

Language: English

Format: Conference

Abstract:
The objective of this study is to evaluate the therapeutic effectiveness of an EMDR treatment set-up (R-TEP protocol) within an early healthcare scheme for victims of workplace accidents, while taking into consideration such variables as institutional recognition and the availability of psychological debriefing services (inspired by Mitchell's model). The research procedure consists of first creating a program including referenced organisations (businesses, police force, hospitals...) from different French regions. Efforts will be made to raise resource people's (management, occupational health staff) awareness of PTSD prevention and of the role played by institutional recognition in the psychological recovery process. A regional network of EMDR therapists trained in debriefing (will be set up to work in partnership with the healthcare network for first line interventions following workplace accidents involving one or several workers. Participants will be recruited within these organisations. They the will all have been confronted with a single critical incident at work (accidental bodily harm of physical origin, physical aggression...) and meet DSM-IV Acute Stress Disorder criteria at the time of the therapy session. The research program will test, evaluate, and compare the effectiveness of a single therapeutic intervention taking place between Day 0 and Day 8 after exposure to a workplace accident BS do for 2 groups of 20 workers (men and women) who present the clinical signs of acute stress disorder. G1: control group - no access or refusal of care to be. G2: group with a debriefing session. G3: group with an EMDR session. In order to evaluate treatment effects on health and adaptive behavior in workers, participants will complete standardized self-evaluation scales (IESR PCLS Hamilton) before and after treatment. Another questionnaire will be completed by the therapists. Expected results: Significant decrease of symptoms and improvement of scores on measures after a single EMDR session. Greater effectiveness of EMDR compared to psychological debriefing. Eye Learning objectives: Participants will learn the advantages of promoting early interventions for victims of workplace accidents with the adapted EMDR protocol in order to prevent incapacitating PTSD and to facilitate an early return to autonomy for the worker. EMDR therapists will have a raised awareness of public health prevention initiatives, combining training and information within social and professional networks and occupational health services.

Keywords: Debriefing  Research, Symposium  Workplace Accidents  

Accuracy Verified: Yes


71. Hopper, J. W., & van der Kolk, B. A. (2001). Retrieving, assessing, and classifying traumatic memories:  A preliminary report on three case studies of a new standardized method. Journal of Aggression, Maltreatment and Trauma, 4(2), 33-71. doi:10.1300/J146v04n02_03.

Language: English

Format: Journal

Abstract:
The study of traumatic memories is still an emerging field, both methodologically and theoretically. Previous questionnaire and interview methods for studying traumatic memories have been limited in their ability to evoke and assess remembrances with the characteristics long observed by clinicians. In this article, we introduce a new standardized method that incorporates a laboratory procedure for retrieving memories of traumatic events and a clinically informed measure for assessing these memories' characteristics. We present three case studies to demonstrate the data yielded by script-driven remembering and the Traumatic Memory Inventory - Post-Script Version (TMI-PS). We then discuss subjects' script-driven remembrances in terms of methodology, theoretical classification of traumatic memories, and the interplay between the two. Finally, we critique our method in detail and offer suggestions for future research. If validated as a method for evoking and assessing traumatic memories, and shown to yield reliable data, this integrative method shows great promise for advancing both clinical and cognitive research on traumatic memories. [Author Summary]

Keywords: Adults  Brain Imaging  Interview Schedules  Memory Impairment  Memory Retrieval Techniques  PTSD Assessment Instruments  Stressors  Survivors  

Accuracy Verified: Yes


72. Chang, S. H. (2007, September). Role of EM and stimulus valence presentation order in the return of fear: Possible implications for the therapeutic mechanism. Presentation at the annual meeting of the EMDR International Association Conference, Dallas, Texas. (NSC 93-2413-H-002-002-).

Language: English

Format: Conference

Abstract:
Research background & aims: This study examined possible therapeutic mechanisms of eye movements in Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001) in terms of exposure and information processing model. While exposure model contended process of extinction and response habituation, Stickgold (2002) proposed that sleep induced change in associative memory via activation of weak association during REM state and EM functioned as REM sleep to integrate the episodic memory of trauma into general semantic memory. In this study, the effect of EM compared to that of Exposure-Only (non-EM) on process measures of SUDs, ratings of cockroach phobia across sessions, along with outcome measures were examined. Specifically, the degree of return of fear and response habituation was explored. Methods: Thirty-six college students with cockroach phobias were recruited as participants and invited after informed consent for 4 1-week interval treatment sessions and a 1 month follow-up session. The instruments for outcome measures included Cockroach Phobia Questionnaire, fear ratings of cockroach slides, FSS, STAI-S, BDI, short form of SCL-90, the Revised Thought-Action Fusion Questionnaire, White Bear Suppression Inventory, and cognitive tasks for measuring strength of associations. The SUDs, credibility and therapeutic relationship rating, and physiological measures such as HR, HRV, EOG, served as process measures. Due to space limitations, the results of cognitive task and physiological measures were reported elsewhere. The participants were randomly assigned to one of the four groups: EM condition (EM vs. Non-EM exposure only) × block order of cockroach theme presentation (negative cognition first vs. positive cognition first). A 2 (EM condition) × 2 (order of valence presentation) × 9 (time: pre-assessment and post-assessment for each of the 4 sessions plus 1 month follow-up assessment) mixed factorial design was performed, with time serving as within Ss factor and the other two variables serving as between Ss factors. There were 20 trials in each therapeutic session. The duration of each trial was 30s for both the EM and Exposure-Only conditions. Results: After preliminary analyses for group differences on pretreatment variables, credibility-relationship ratings, and outcome variables were explored, the 2 (EM condition) × 2 (order of valence presentation) × 9 (time) ANOVA on SUDs showed that the main effects of time and EM were both significant (p < .001 and p < .034). Subsequently, two 2 (order of valence presentation) × 9 (time) ANOVAs were performed for EM condition and Exposure-Only condition, respectively. The results showed that for EM condition, only time effect was significant (p < .006); while for Exposure-Only condition, there were a significant time effect (p < .001) and an approaching significant valence presentation order effect (p < .065), with the SUDs being higher in negative cognition presented first condition compared to positive cognition presented first condition; whereas the effect was not significant for the EM condition. Using trend analyses and inspection of time effect showed that significant within session SUDs reduction for Exposure-Only conditions. Notwithstanding, the pairwise comparisons for the 9 time points indicated salient phenomena of return of fear among several of the 5 sessions for this condition when comparing the pre-assessment of each session with post-assessment of its previous session. Whereas for EM condition the return of fear between sessions was small and the trend analysis showed a reduction with linear trend. Conclusions & Discussion: Compared to Exposure-Only, EM resulted in less degree of sufferings while participants encountering negative theme which in turn might facilitate further processing of negative memory. In addition, EM might add something beyond the mechanism of pure exposure. The less return of fear indicating that information processing in addition to response inhibition might take place between sessions. The results echoed Shapiro’s Adaptive Information Processing model and Stickgold’s REM-sleep dependent memory reprocessing model, suggesting that EM in EMDR might reflect a shift in associative memory systems by activating different strength of associations of negative semantic nodes for different semantically related words. Given that previous research showed that EM decreased emotionality and also generate greater amount of associations for negative stimuli, the implications of the present results from theoretical and therapeutic point of views and future research possibilities are discussed.

Keywords: Adaptive Information Processing Model  REM-Sleep Dependent Memory Reprocessing Model  Saccadic Eye Movement  Semantic Association  

Accuracy Verified: Yes


73. Chang, S. H. (2009). Role of EM and stimulus valence presentation order in the return of fear: Possible implications for the therapeutic mechanism. National Taiwan University, Taipei, Taiwan.

Language: English

Format: Dissertation/Thesis

Abstract:
Research background & aims: This study examined possible therapeutic mechanisms of eye movements in Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 1989, 1995, 2001) in terms of exposure and information processing model. While exposure model contended process of extinction and response habituation, Stickgold (2002) proposed that sleep induced change in associative memory via activation of weak association during REM state and EM functioned as REM sleep to integrate the episodic memory of trauma into general semantic memory. In this study, the effect of EM compared to that of Exposure-Only (non-EM) on process measures of SUDs, ratings of cockroach phobia across sessions, along with outcome measures were examined. Specifically, the degree of return of fear and response habituation was explored. Methods: Thirty-six college students with cockroach phobias were recruited as participants and invited after informed consent for 4 1-week interval treatment sessions and a 1 month follow-up session. The instruments for outcome measures included Cockroach Phobia Questionnaire, fear ratings of cockroach slides, FSS, STAI-S, BDI, short form of SCL-90, the Revised Thought-Action Fusion Questionnaire, White Bear Suppression Inventory, and cognitive tasks for measuring strength of associations. The SUDs, credibility and therapeutic relationship rating, and physiological measures such as HR, HRV, EOG, served as process measures. Due to space limitations, the results of cognitive task and physiological measures were reported elsewhere. The participants were randomly assigned to one of the four groups: EM condition (EM vs. Non-EM exposure only) × block order of cockroach theme presentation (negative cognition first vs. positive cognition first). A 2 (EM condition) × 2 (order of valence presentation) × 9 (time: pre-assessment and post-assessment for each of the 4 sessions plus 1 month follow-up assessment) mixed factorial design was performed, with time serving as within Ss factor and the other two variables serving as between Ss factors. There were 20 trials in each therapeutic session. The duration of each trial was 30s for both the EM and Exposure-Only conditions. Results: After preliminary analyses for group differences on pretreatment variables, credibility-relationship ratings, and outcome variables were explored, the 2 (EM condition) × 2 (order of valence presentation) × 9 (time) ANOVA on SUDs showed that the main effects of time and EM were both significant (p < .001 and p < .034). Subsequently, two 2 (order of valence presentation) × 9 (time) ANOVAs were performed for EM condition and Exposure-Only condition, respectively. The results showed that for EM condition, only time effect was significant (p < .006); while for Exposure-Only condition, there were a significant time effect (p < .001) and an approaching significant valence presentation order effect (p < .065), with the SUDs being higher in negative cognition presented first condition compared to positive cognition presented first condition; whereas the effect was not significant for the EM condition. Using trend analyses and inspection of time effect showed that significant within session SUDs reduction for Exposure-Only conditions. Notwithstanding, the pairwise comparisons for the 9 time points indicated salient phenomena of return of fear among several of the 5 sessions for this condition when comparing the pre-assessment of each session with post-assessment of its previous session. Whereas for EM condition the return of fear between sessions was small and the trend analysis showed a reduction with linear trend. Conclusions & Discussion: Compared to Exposure-Only, EM resulted in less degree of sufferings while participants encountering negative theme which in turn might facilitate further processing of negative memory. In addition, EM might add something beyond the mechanism of pure exposure. The less return of fear indicating that information processing in addition to response inhibition might take place between sessions. The results echoed Shapiro’s Adaptive Information Processing model and Stickgold’s REM-sleep dependent memory reprocessing model, suggesting that EM in EMDR might reflect a shift in associative memory systems by activating different strength of associations of negative semantic nodes for different semantically related words. Given that previous research showed that EM decreased emotionality and also generate greater amount of associations for negative stimuli, the implications of the present results from theoretical and therapeutic point of views and future research possibilities are discussed.

Keywords: Adaptive Information Processing Model  REM-Sleep Dependent Memory Reprocessing Model  Saccadic Eye Movement  Sematic Association  

Accuracy Verified: Yes


74. Kiessling, R. (2009). Simple or comprehensive treatment intake questionnaire and guidelines for targeting sequence. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 11-29). New York: Springer Publishing Co.

Language: English

Format: Book Section

Abstract:
With the experience of teaching EMDR to many mental health practitioners over a number of years, increasingly it has become clear how important history taking is to the whole process of learning how to frame a client's information into a precise and relevant conceptualization of who the person who is sitting in front of you is, and a way to think about the problem(s) presented. This chapter by Roy Kiessling (scripted by Marilyn Luber) provides an Intake Questionnaire, guidelines for creating a Targeting Sequence Plan, and Worksheets, which are invaluable tools in assisting therapists in gathering the client's information, and for the client to incorporate the tenets of adaptive information processing into the understanding of their own issues. [PsycINFO Database]

Keywords: Intake Questionnaire  Protocol  Targeting Sequence  

Accuracy Verified: Yes


75. Ray, P., & Page, A. (2002, November). A single session of hypnosis and eye movement desensitisation and reprocessing (EMDR) in the treatment of chronic pain. Australian Journal of Clinical and Experimental Hypnosis, 30(2), 170-178.

Language: English

Format: Journal

Abstract:
Hypnosis and eye movement desensitisation and reprocessing (EMDR) in the treatment of chronic pain were examined. In a randomised controlled trial, patients in a crossover design experienced one session of hypnotherapy and EMDR. Subjective pain within treatment sessions was assessed using the McGill Pain Questionnaire. Subjective pain between treatment sessions was assessed using a diary record of pain. Treatment brought about reductions in subjective pain with evidence for the superiority of hypnosis.

Keywords: Chronic Pain  Empirical Study  Hypnosis  Hypnotherapy  Multimodal Treatment Approach  Treatment  

Accuracy Verified: Yes


76. Pasternak, J. (2009). Skuteczność terapii odwrażliwiania za pomoca̧ ruchów gałek ocznych (EMDR) u leczonych ambulatoryjnie pacjentów z zaburzeniem stresowym pourazowym [Eye movement desensitization and reprocessing effectiveness in outpatient psychotherapy for posttraumatic stress disorder]. Postepy Psychiatrii i Neurologii, 18(3), 247-254 .

Language: Polish

Format: Journal

Abstract:
Objectives. The psychological study was aimed at evaluation of the Eye Movement Desensitization and Reprocessing (EMDR), hypothesized to be effective in PTSD treatment. Method. Participants in the study were 60 outpatients (16 men and 44 women) aged 18-55, diagnosed with posttraumatic stress disorder (PTSD). They were treated with psychotherapy at the Outpatient Mental Health Clinic in Rzeszów. The patients were randomly divided into two equinumerous groups: "immediate", starting treatment directly after the initial diagnostic assessment, and "delayed", receiving the same treatment after one month delay. In the pre-and post-treatment assessment a PTSD questionnaire by Pasternak was used (in the "delayed" group an additional assessment was made 1 month after the initial one, i.e. directly preceding therapy). Results. In a vast majority of patients a statistically significant reduction in PTSD symptoms severity was noted. Three subgroups differing in treatment outcome (as measured by the Pasternak PTSD Scale scores) were identified, whose therapy was: successful (n = 37), moderately effective (n = 14), or unsuccessful (n = 9). Conclusions. The findings suggest that Eye Movement Desensitization and Reprocessing turned out to be an effective technique in the treatment for PTSD, both in the whole sample under study, and in the subgroups ("immediate" and "delayed"). © 2009 Instytut Psychiatrii i Neurologii

Keywords: Posttraumatic Stress Disorder  PTSD  

Accuracy Verified: Yes


77. Dworkin, M. (2010, March). Solving transference and counter-transference with dissociative disorders in EMDR. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.

Language: English

Format: Conference

Abstract:
Chair, Michael Paterson
This workshop will focus on the types of transference and counter-transference that arise in EMDR with dissociative clients and teach solutions. Procedural modifications have been the focus in dealing with pathological dissociation in EMDR treatment. Separately, transference and counter-transference with dissociative patients have been written about extensively by experts in the dissociation field. Research findings about the effects of mirror neurons and embedded simulation on the inter-subjective field of patient and therapist have also been published. Strategies for dealing with these transference and counter-transference in EMDR treatment have received little attention even though this population has intense transference, and can activate intense counter-transference. These issues may begin during an evaluation of the presenting problems. Strategies for identifying and using transference to enhance dual awareness during history taking will be demonstrated. An elongated preparation phase to develop enough trust and stabilization before exploring traumatic memories can limit induced transference. Different parts of a dissociative patient may have different kinds of transferences. These transferences may cause the patient to withdraw, cling or attack; affecting the therapist’s abilities to stay attuned and focused on the work in different phases of EMDR. Strategies of attunement to the activated part of the client will be demonstrated in order to repair or prevent ruptures of attunement. Interactions are bi-directional, and different (transferential) parts may activate dissociative parts of the therapist. Strategies to somatically identify and use these counter-transferential activations in the therapist will be taught through body based awarenesses. R/D/I strategies can be used to limit countertransference to remain grounded and attuned. Transference and counter-transference during the assessment phase will be identified and solutions presented. During the Desensitization phase under-accessing or over-accessing target memories; abreaction vs. vehement emotions will be discussed as unacknowledged dissociative moments with indications for inducing transference, counter-transference, or both. Decisions need be made collaboratively whether to process or contain these events. Understanding and dealing with dilemmas of dissociative enactments are crucial to keeping the healing process going. These inter-subjective issues may be most intense during the first four phases, but some problems may continue into Installation and the Body Scan. Problems and solutions during Incomplete Closure and the Re-evaluation phases will be given. Activated parts in the patient may cling or be angry with the therapist at the end of an EMDR session. Failure or defectiveness parts of the therapist may become activated as well. Solutions to these issues that occur during different phases will be taught so that participants will leave the workshop with additional strategies to use with their dissociative patients. Attunement to dissociative parts, identifying transference and counter-transference binds; The Clinician Self Awareness Questionnaire ; Compartmentalization; use of self soothing skills; using Relational, Empathic, and Transferential Interweaves; identifying moments of projective identification and enactments, and then to use them to deepen EMDR will be taught, as well as innovative inter-subjective strategies . Case examples and awareness exercises will used throughout the workshop to facilitate intellectual and experiential learning.

Keywords: Counter-transference  Dissociative Disorders  Transference  

Accuracy Verified: Yes


78. Dworkin, M. (2009, August). Solving transference and countertransference with dissociative disorders in EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.

Language: English

Format: Conference

Abstract:
This workshop will focus on transference and countertransference problems and solutions in EMDR with dissociative clients. There will be a short literature review on procedural modifications in dealing with dissociation in EMDR, and transference and countertransference with dissociative patients. Research findings on mirror neurons and embodied simulation will be taught to enhance the participant’s understanding of the neurobiological substrates for attunement and resonance, and for solving transference and countertransference with dissociatives in EMDR when ruptures to relatedness occurs. Identifying and using transference reactions to enhance dual awareness will be demonstrated in history taking. Enhancements in preparation phase will be shown through case example to limit induced transference. Transference and countertransference during the assessment phase will be identified and solutions offered. In the Desensitization phase EMDR processing may induce transference, countertransference, or both (even with procedural modifications). Intersubjective challenges seem to be more intense during phases 1 -4 and 7-8. Activated parts in the patient may cling or be angry with the therapist at the end of an EMDR session, or during Re-evaluation. Failure or defectiveness parts of the therapist may become activated then as well. Different parts of a dissociative patient may appear with different kinds of transferences during different EMDR phases. These transferences challenge therapist’s abilities to stay attuned. Strategies of attunement to the activated part of the patient will be demonstrated in order to repair or prevent ruptures to the alliance and to understand the nature of the dissociated communication. Bi-directional interactions may activate parts of the patient and therapist without conscious awareness. Strategies to somatically identify and use these countertransferential activations will be taught through experiential exercises so that the therapist may have a more in depth understanding of the dissociative patient’s communications. R/D/I strategies will be reviewed and applied to the therapist to limit countertransference activations. Dealing with dissociative enactments are crucial to identify ruptures to the therapeutic alliance, restore attunement and resonance, uncover dissociative messages that can be used during EMDR processing.. Solutions to the problems that occur during different EMDR phases will be taught using lecture, discussion, case examples, written and experiential exercises so that participants will leave the workshop with additional strategies. Solutions include how to maintain attunement to dissociative parts during transferential activations while enhancing dual awareness; how to identify transference and countertransference problems during phases 1-4 and 7-8 and use them as additional sources of dissociated communications that can be used in EMDR processing ; how to use the Clinician Self Awareness Questionnaire to identify and process countertransference problems ; how to use compartmentalization strategies using R/D/I to limit countertransference activations; how to develop self soothing skills for the therapist’s dissociated parts; how and when to use Relational, Empathic, and Transferential Interweaves during Desensitization; and how to identify moments of enactments, and using EMDR strategies to deepen the EMDR experience .

Keywords: Countertransference  Transference  

Accuracy Verified: Yes


79. Puliatti, M., & Giannantonio, M. (2008, April). T08-O-15 Childhood sexual abuse and vulvodynia: Hypnotic psychotherapy and eye movement desensitization and reprocessing (EMDR) – An integrated approach. Revue Europeènne de Sexologie et de Santè Sexuelle, 17(Supplement 1), S109-S110. doi:10.1016/S1158-1360(08)72816-0 .

Language: English

Format: Journal

Abstract:
Objectives: Dysesthetic vulvodynia plays an important role in the sexology of the most common female genital system disorders; its psychosomatic origin is by now widely acknowledged. Its main symptoms are: acute pain at each penetration attempt (dyspareunia), pain under local pressure on the vaginal vestibule, erythemas of different intensities. In recent years the role of childhood sexual abuse as one of the possible predisposing (vulnerability) factors of vulvodynia development has found positive confirmations in the literature. Author's aims are to verify this correlation and check efficacy of specific psychotherapeutical approaches. Method: The choice of psychodiagnostic reactive tests, such as the Sexuality Questionnaire (symptomatology screening), the recent Female Sexual Disorders Analytical Questionnaire (screening and sexual abuse) and the Chronic Pain Risk Factors Questionnaire, assessing stressful and traumatic events such as sexual abuse, to identify vulvodynia is of particular importance. The therapeutic approach presented here is integrated: gynecological, physical-rehabilitational, psycho-educational and psycho-sexological. Results and conclusions; The psychological therapies recommended for the treatment of this disorder and the associated abuse (substantiated by international literature and years of clinical practice) are EMDR and hypnotic psychotherapy, integrated with sexological techniques, starting from the assumption that any eventual effective therapy of vulvodynia cannot but include appropriate (psychosomatic and not merely verbal) processing of the childhood sexual abuse.

Keywords: Dyspareunia  Dysesthetic Vulvodynia  Sexual Pain  Sexological Techniques  

Accuracy Verified: Yes


80. Sivan, A. (2008, June). Therapists’ views on the use of EMDR: The case of Hong Kong. Presentation at the annual meeting of the EMDR Europe Association, London, England.

Language: English

Format: Conference

Abstract:
Since the introduction of EMDR training courses in Hong Kong a few years ago, the method has been gaining an enormously growing interest among professionals. One of the indications to the growing interest in EMDR is the high rate of participation in the training courses. While there is a volume of studies on the efficacy of EMDR among different populations, therapists’ viewpoints on its use has not been studied extensively. The purpose of the paper is to examine the views of therapists who have undergone EMDR training in Hong Kong and have used the method in their practice. Data were collected through an open-ended questionnaire and follow-up in depth interviews with a group of therapists. The questionnaire sought information about their initial experience of using EMDR, the types of patients they used it with, the contribution of the method to the therapy and the difficulties they encountered. Follow-up interviews aimed to shed more light on issues raised by the respondents and to provide a platform for their further elaboration. Participants’ responses indicated the positive effects EMDR use on clients and its facilitation of the therapy process. The respondents indicated difficulties in following the exact EDMR protocol especially in relation to the terminology such as: “completely false”, “completely true”, “emotions” and “sensation”. Additional issues raised around the use of the scales and of different bilateral stimulations. On the basis of these finding special consideration should be given to the adaptation of the EMDR protocol to the Chinese language and way of thinking.

Keywords: Hong Kong  

Accuracy Verified: Yes


81. Rasolkhani-Kalhorn, T. (2005). Translation and adaption of the EMDR protcol to the Iranian culture. Colorado School of Professional Psychology, Colorado Springs, CO. AAT 3295606.

Language: English

Format: Dissertation/Thesis

Abstract:
Francine Shapiro's eye movement desensitization and reprocessing (EMDR) treatment and training manual (1995, 2001) was translated into Persian and reviewed for cross-cultural adaptation. The EMDR Persian translated edition was clinically tested in the earthquake stricken regions of Bam and Zarand in southern Iran. Therapists using this manual provided feedback in the form of an email questionnaire. According to this feedback, the manual was useful for training therapists to administer EMDR therapy in Iran. A more recent proposal for the neurobiological basis of EMDR therapy, which I have co-authored, is presented in this dissertation project. It addresses EMDR as a physical healing process that will have further acceptance by Iranians and the Iranian medical community. (PsycINFO Database Record (c) 2008 APA, all rights reserved)

Dissertation Abstracts International: Section B: The Sciences and Engineering. 68(12-B), 2008, pp. 8409.

Keywords: Empirical Study  Eye Movements  Quantitative Study  Sociocultural Factors  

Accuracy Verified: Yes


82. Zampieri, A. J., & Filho, J. M. (2012, Novembro). Tratamento de disfunção erétil com EMDR: Estudo comparativo [Treatment of erectile dysfunction with EMDR: A comparative study]. In comunicações de pesquisa. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.

Language: Portuguese

Format: Conference

Abstract:
Introdução: A prevalência da disfunção sexual masculina em suas várias formas atinge a faixa de quase 90% em alguma fase da vida. Dentre elas, a Disfunção Erétil afeta aspectos primordiais do homem e pode ter sua origem em causas psicológicas, físicas ou mistas. Notam-se investimentos científicos para uma melhor compreensão e tratamento desses transtornos, nem sempre bem sucedidos. Objetivou-se no presente projeto comparar casos diagnosticados e encaminhados por médico urologista, em tratamento de disfunção erétil, sendo um grupo tratado com o método do EMDR, e outro tratado exclusivamente pelo médico. Os pacientes serão submetidos a uma entrevista estruturada e testes antes e após o tratamento. Método: Estudo comparativo de dois grupos com diagnóstico médico de disfunção erétil, submetidos ao tratamento médico. O grupo estudo será tratado com EMDR e o controle, apenas pelo médico. Antes e ao final do tratamento responderão a inventários de Beck para Ansiedade, depressão e desesperança além de um questionário mais específico sobre sua disfunção sexual, o Índice Internacional de Função Erétil (IIFE). Resultados: Projeto em andamento.

Introduction: The prevalence of male sexual dysfunction in its various forms reaches the age of almost 90% in some stage of life. Among them, Erectile Dysfunction affects key aspects of the man and may have its origin in causes psychological, physical or mixed. Note the scientific investments to better understanding and treatment of these disorders, not always successful. The objective of this project is to compare cases diagnosed and referred by the urologist in treating erectile dysfunction, one group treated with EMDR method and handled exclusively by another doctor. Patients will undergo a structured interview and tests before and after treatment. Methods: A comparative study of two groups with a medical diagnosis of erectile dysfunction, undergoing medical treatment. The study group will be treated with EMDR and control, just by the doctor. Before and after the treatment of inventories to respond to Beck Anxiety, depression and hopelessness as well as a more specific questionnaire about their sexual dysfunction, International Index of Erectile Function (IIEF). Results: Project in progress.

Keywords: Beck Depression Inventory  Comparative Study  Erectile Dysfunction  

Accuracy Verified: Yes


83. Robredo, J. (2011, Julio). Tratamiento intensivo para madres victimas de violencia de genero. La reconstruccion del apego [Intensive treatment for mothers victims of gender violence. The reconstruction of attachment]. Presentación en la IX Congreso Nacional de Psicología Clínica, San Sebastian, Spain.

Language: Spanish

Format: Conference

Abstract:
El Instituto de Psicotrauma de Alicante en colaboración con los Servicios Sociales de diversos Ayuntamientos de la Comunidad Valenciana aplican desde 2009 un protocolo de intervención para madres víctimas de violencia de género, basado en las técnicas de desensibilización y reprocesamiento a través del movimiento de los ojos, EMDR© (Eye Movement Desensitization and Reprocessing), teorías del apego ( John Bowlby) y teoría de la disociación estructural de la personalidad (Ono Van der Hart) Los resultados observados en una muestra de 15 madres y sus hijos de 4 a 16 años indican una desaparición de los cuadros clínicos de estrés postraumático y depresión, la remisión de los problemas de conducta concomitantes (desobediencia, agresividad) y una mejora del vínculo afectivo con la madre. El protocolo de intervención consta de 5 fases: evaluación, psicoeducación, tratamiento, prevención de recaídas y seguimiento La evaluación consta de sendas entrevistas clínicas y la administración de la Escala de Ansiedad Manifiesta en Niños (CMAS‐R), la Escala de Gravedad de Síntomas del Estrés Postraumático, el Test del Dibujo de la Familia (niñ@s menores de 6 años) y el cuestionario para la evaluación de adoptantes (CUIDA). El tratamiento consiste en la instalación de recursos con la madre y reprocesamiento con EMDR a lo largo de 20 sesiones trabajando con los recuerdos traumáticos de la madre y el menor asociados a la violencia vivida en la familia. El reprocesamiento del niño se hace junto a la madre. El formato de tratamiento es intensivo con 5 sesiones de terapia semanal durante 4 semanas. El 100% de los menores y las mujeres atendidas experimentaron la remisión de sus síntomas de ansiedad y en el 80% de los casos desaparecieron sus problemas de conducta en el entorno familiar y escolar. Además se observó que el tipo de apego había cambiado al final de tratamiento.

The Institute of Alicante Psychotrauma in collaboration with Social Services various municipalities of Valencia since 2009 implemented a protocol intervention for mothers victims of domestic violence, based on techniques desensitization and reprocessing through eye movement, EMDR © (Eye Movement Desensitization and Reprocessing), attachment theory (Bowlby) and theory structural dissociation of the personality (Van der Hart Ono). The results of a sample of 15 mothers and their children aged 4 to 16 years indicate a disappearance of clinical PTSD and depression, remission of comorbid conduct problems (disobedience, aggression) and a improvement bond with the mother. The intervention protocol consists of 5 phases: assessment, psychoeducation, treatment, relapse prevention and monitoring The assessment consists of separate clinical interviews and administration of the Scale in Children's Manifest Anxiety (CMAS-R), the Symptom Severity Scale Stress Posttraumatic Drawing Test Family (children 's children under 6 years) and questionnaire for the assessment of adopters (CARE). Treatment involves the installation of resources with the mother and EMDR reprocessing over 20 sessions working with the memories traumatic mother and child associated with violence experienced domestically. The reprocessing of the child is with the mother. The format is intensive treatment with 5 sessions of weekly therapy for 4 weeks. 100% of children and women treated experienced remission of their anxiety symptoms and 80% of cases behavioral problems disappeared in the family and school. We observed that the attachment classification was changed to end of treatment.

Keywords: Attachment  Gender Violence  

Accuracy Verified: Yes


84. Marcus, S. (2010, June). Treating headaches with integrated EMDR [Behandeling van hoofdpijn met geïntegreerde EMDR]. Presentation at the Fourth Congress of the Association EMDR Netherlands, Nijmegen, the Nederlands.

Language: English

Format: Conference

Abstract:
An overview of the current standard treatments of headache. Participants train in Phase 1 (acute headache relief), Phase 2 (multi-session headache treatment) and 'Phase 3' (home treatment program for Patients after having had 35 successful full Phase 1 and Phase 2 treatments). Participants learn about the etiology of headache, taking a brief headache questionnaire, identification of headache triggers, the "headache threshold theory ', Dr. Marcus' migraine research, the Integrated EMDR protocol and are trained in applying the protocol in practice, informed consent, transfer issues and understanding the role of the executor of the treatment.

Een overzicht bieden van de huidige gangbare behandelingen van hoofdpijn. Deelnemers trainen in Phase 1 (acute headache relief), Phase 2 (multi-session headache treatment) en ‘Phase 3’ (home treatment program for patients after having had 35 succesfull Phase 1 and Phase 2 treatments). Deelnemers leren over de etiologie van hoofdpijn, het afnemen van een korte hoofdpijn vragenlijst, identificatie van hoofdpijntriggers, de ‘headache threshold theory’, Dr. Marcus’ migraine onderzoek, het ‘Integrated EMDR protocol’ en worden getraind in het toepassen van het protocol in de praktijk, informed consent, overdrachts issues en het begrijpen van de rol van de uitvoerder van de behandeling.

Keywords: Headaches  

Accuracy Verified: Yes


85. Triscari, M. T., Faraci, P., D’Angelo, V., Urso, V., & Catalisano, D. (2011). Two treatments for fear of flying compared: Cognitive behavioral therapy combined with systematic desensitization or eye movement desensitization and reprocessing (EMDR). Aviation Psychology and Applied Human Factors, 1(1), 9-14. doi:10.1027/2192-0923/a00003.

Language: English

Format: Journal

Abstract:
This study aimed to test a combined treatment with eye movement desensitization and reprocessing (EMDR) and cognitive behavioral therapy (CBT), compared with CBT integrated with systematic desensitization, in reducing fear of flying. Participants were patients with aerophobia, who were randomly assigned to two experimental groups in a before- and after-treatment research design. The Flight Anxiety Situations Questionnaire (FAS) and the Flight Anxiety Modality Questionnaire (FAM) were used. The efficacy of each program was evaluated comparing the pre- and post-treatment levels of fear of flying within subjects. A comparison of the post-treatment scores between subjects was also conducted. Results showed the effectiveness of each model with a significant improvement in the examined psychological outcomes in both groups. (PsycINFO Database Record (c) 2011 APA, all rights reserved

Keywords: Air Transportation  Phobias  Psychotherapeutic Techniques  Psychotherapy  Treatment Effectiveness Evaluation  

Accuracy Verified: Yes


86. Salomonsen, L. J., Skovgaard, L., la Cour, S., Nyborg. L., Launsø, L., & Fønnebø, V. (2011, January). Use of complementary and alternative medicine at Norwegian and Danish hospitals. BMC Complementary and Alternative Medicine, 11, 4. doi:10.1186/1472-6882-11-4.

Language: English

Format: Journal

Abstract:
Background: Several studies have found that a high proportion of the population in western countries use complementary and alternative medicine (CAM). However, little is known about whether CAM is offered in hospitals. The aim of this study was to describe to what extent CAM is offered in Norwegian and Danish hospitals and investigate possible changes in Norway since 2001. Methods: A one-page questionnaire was sent to all included hospitals in both countries. The questionnaire was sent to the person responsible for the clinical activity, typically the medical director. 99 hospitals in the authority (85%) in Norway and 126 in Denmark (97%) responded. Given contact persons were interviewed. Results: CAM is presently offered in about 50% of Norwegian hospitals and one-third of Danish hospitals. In Norway CAM was offered in 50 hospitals, 40 of which involved acupuncture. 19 hospitals gave other alternative therapies like biofeedback, hypnosis, cupping, ear-acupuncture, herbal medicine, art therapy, homeopathy, reflexology, thought field therapy, gestalt therapy, aromatherapy, tai chi, acupressure, yoga, pilates and other. 9 hospitals offered more than one therapy form. In Denmark 38 hospitals offered acupuncture and one Eye Movement Desensitization and Reprocessing Light Therapy. The most commonly reported reason for offering CAM was scientific evidence in Denmark. In Norway it was the interest of a hospital employee, except for acupuncture where the introduction is more often initiated by the leadership and is more based on scientific evidence of effect. All persons (except one) responsible for the alternative treatment had a medical or allied health professional background and their education/training in CAM treatment varied substantially. Conclusions: The extent of CAM being offered has increased substantially in Norway during the first decade of the 21st century. This might indicate a shift in attitude regarding CAM within the conventional health care system.

Keywords: Alternative Medicine  Complementary Medicine  Denmark  Norway  

Accuracy Verified: Yes


87. de Jongh, A., Holmshaw, M., Carswell, W., & van Wijk, A. (2011, March-APril). Usefulness of a trauma-focused treatment approach for travel phobia. Clinical Psychology and Psychotherapy, 18(2), 124-37. doi:10.1002/cpp.680.

Language: English

Format: Journal

Abstract:
Despite its prevalence and potential impact on functioning, there are surprisingly little data regarding the treatment responsiveness of travel phobia. The purpose of this non-randomized study was to evaluate the usefulness of a trauma-focused treatment approach for travel phobia, or milder travel anxiety arising as a result of a road traffic accident. Trauma-focused Cognitive Behavioural Therapy (TF-CBT), and Eye Movement Desensitization and Reprocessing were used to treat a sample of 184 patients, who were referred to a psychological rehabilitation provider. Patients in both treatment groups were encouraged to encounter their feared objects and situations between sessions. Specific (i.e., travel) phobia was diagnosed in 57% of cases. Patients in both treatment conditions showed equally large, and clinically significant, decreases in symptoms as indexed by three validated measures (Impact of Event Scale, Hospital Anxiety and Depression Scale, and General Health Questionnaire), therapist ratings of treatment outcome, and a return to driving or travelling by car or motorbike. These improvements were obtained within an average course of 7.3 sessions of 1 hour each. Patients with travel phobia responded with a greater reduction of anxiety and post-traumatic stress disorder symptoms than those with milder travel anxiety. Passengers reported higher levels of trauma symptoms than drivers, but no difference in effectiveness of treatment was found between these groups. The results suggest that trauma-focused psychological interventions can be a treatment alternative for patients with travel anxiety. Given the seriousness of the clinical problems related to road traffic accidents more rigorous outcome research is warranted and needed. Copyright (c) 2010 John Wiley & Sons, Ltd.Key Practitioner Message: As the literature on the treatment of travel phobia is largely limited to small-n studies, this is the largest naturalistic outcome study of the treatment of patients with fear and avoidance of travel, subsequent to a traumatic event, to date. Travel phobia following road traffic accidents should be regarded as a treatable psychological condition requiring a limited number of sessions. In a significant minority of cases the condition is unlikely to remit spontaneously, potentially disrupting occupational, social and personal adjustment. Besides a purely exposure, in vivo-based approach, a mainly trauma-focused approach, such as imagery exposure or Eye Movement Desensitization and Reprocessing, can be an effective intervention for both travel phobia and milder forms of travel anxiety, and for both drivers and passengers.

Keywords: Phobia  Travel Phobia  

Accuracy Verified: Yes


88. Dworkin, M. (2008, June). Using the therapeutic relationship in EMDR with patients with complex PTSD. Presentation at the annual meeting of the EMDR Europe Association, London, England UK.

Language: English

Format: Conference

Abstract:
Now that the therapeutic relationship is firmly part of EMDR, it is time to show its uses with difficult populations. Skilful emphasis on empathic attunement beginning in the history taking phase with emphasis on using the Procedural Steps Outline diagnostically, and Light stream as an affect management tool, starting in the first session will be shown to be of use specifically with this population. This population needs special attention regarding alterations in affect regulation, self perception, consciousness and attention, somatisation, trust, and identity. In the preparation phase participants will learn various relational strategies to accomplish these tasks. They will also learn to use the relationship as an additional resource for containment with appropriate boundaries. Relational concepts such as “Implicit Relational Knowing”, “Moments of Meeting”, and “Dyadic Expansion of Consciousness” will be taught to expand methods of stabilization for preparation, and for active trauma work. Modifications of active trauma work using active resourcing; titrating or dosing; treating transference and counter transference phenomenon will all be demonstrated to enhance EMDR work with complex PTSD and Dissociation. Dworkin's Trauma Case Conceptualization Questionnaire and his Clinician Self Awareness Questionnaire will be taught and used to

Keywords: Complex Posttraumatic Stress Disorder  Complex PTSD  C-PTSD  Therapeutic Relationship  

Accuracy Verified: Yes


89. Tarquinio C., Schmitt, A., & Tarquinio, P. (2012, January-March). Violences conjugales et psychothérapie eye movement desensitization reprocessing (EMDR): études de cas [Conjugal violence and eye movement desensitization and reprocessing (EMDR): Case studies]. L’évolution Psychiatrique, 77(1), 97-108. doi:10.1016/j.evopsy.2011.11.002 .

Language: French

Format: Journal

Abstract:
Cet article décrit les effets d’une prise en charge de femmes victimes de violences conjugales par la thérapie Eye Movement Desensitization Reprocessing (EMDR). L’objectif était de mettre en évidence les effets curatifs de la thérapie EMDR en ce qui concerne la réduction des symptômes d’état de stress posttraumatique (ESPT), d’anxiété et de dépression. La population était constituée de cinq femmes ayant suivi entre trois et neuf sessions de 60 minutes d’EMDR. Les femmes prises en charge grâce à la thérapie EMDR, voient l’ESPT et l’anxiété dont elles souffraient accuser une baisse significative et durable (maintenue à la réévaluation, six mois après la prise en charge). Les résultats obtenus vont dans le sens d’une efficacité de la thérapie EMDR auprès de ce public particulier. Ces études de cas permettent de se pencher sur la fac¸on dont se résorbent les symptômes d’ESPT (vitesse de diminution rapide mais non homogène entre les différents symptômes). Malgré l’absence de groupe contrôle constituant une limite, ces études de cas laissent entrevoir des résultats encourageants et dégagent des pistes de réflexion en vue de nouvelles études.

The objective of this article is to investigate the effects of Eye Movement Desensitization Reprocessing treatment for victims of domestic violence. Five women were offered treatment with between three and nine 60-minute EMDR sessions. Assessments were completed at pre-treatment, post-treatment, and at the 6-month follow-up, with the purpose of demonstrating the ability of EMDR psychotherapy to reduce Posttraumatic Stress Disorder (PTSD), anxiety, and depressive symptoms. Results showed a significant reduction in PTSD scores (intrusion, avoidance symptoms), anxiety, and depression, and were maintained after 6 months. This study opens up original perspectives for the treatment of domestic violence victims. The question of EMDR therapy's adequacy and pertinence for the treatment of domestic violence will be discussed. In any case, EMDR therapy seems to offer a promising therapeutic, social, and clinical response for this population, which is often difficult to treat.

Keywords: Anxiety  Cognitive Therapy  Depression: Domestic Violence  Posttraumatic Stress Disorder  Psychological Balance  PTSD  Questionnaire  Symptom Clinical Case  

Accuracy Verified: Yes


90. Wildwind, L. (1995, June). When something is wrong with me--EMDR and ADHD. Presentation at the EMDR Network Conference, Santa Monica, CA.

Language: English

Format: Conference

Abstract:
The objectives of this presentation are to define ADHD in the various ways it presents adults, using EMDR cognitions and observations of clients as clues; then, to clarify why and EMDR works differently before, during, and after diagnosis, The presenter will provide background on the biological differences of those with the disorder, some thoughts on why this diagnosis is becoming so frequent at this time and why therapists who use EMDR may be more likely to have the disorder and to see it in their clients. During the workshop participants will explore their own attitudes toward ADHD and learn about how these attitudes influence their ability to identify and assess ADHD symptoms in clients. Values, judgments and common myths about ADHD will be briefly discussed. Specific suggestions about modifying treatment when ADHD is suspected, suggested as a possible diagnosis to the client, and treated will be given, including a list of modified positive cognitions. Treatment planning ideas for clients with a variety of concurrent diagnoses will be offered, with special attention to the problems of resistance to the diagnosis, the medications use for treatment, and the process of adapting patterns to solve specific problems, using a specific example a group treatment planning exercise will be conducted. The actual treatment history of the case will be given clarifying how the treatment goals were reached. There will he time for participants to formulate negative and positive cognitions regarding their attitudes toward ADHD clients and the use of appropriate medications, and to assess the strength those attitudes, SUDS scales will be used. Participants will have an opportunity to ask questions and will obtain a bibliography, a client questionnaire, a list of modified cognitions, and a summary of resources for medical treatment, education and social support.

Keywords: ADHD  Attention Deficit Hyperactive Disorder  

Accuracy Verified: Yes