Francine Shapiro Library - EMDR Bibliography Links
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Your Results - you searched for the keyword Reenactment Protocol 1015 Results
1. Furlani, F. (2006, Maggio). Dentro la relazione: L’Alleanza terapeutica dalla ricerca alla pratica clinica [In the report: The therapeutic alliance research into clinical practice]. Presentazione alla Conferenza Nazionale, Associazione per l'EMDR in Italia, Firenza, Italia.
Language: Italian
Format: Conference
Abstract:
Nella presentazione verrà esposta l’evoluzione di un protocollo di ricerca in psicoterapia che considera l’andamento dell’alleanza terapeutica e del clima emotivo tra paziente e terapeuta, confrontati con la situazione clinica del paziente. Verranno inoltre presentati i primi dati di una ricerca condotta con gli stessi criteri e che prevede l’osservazione di psicoterapie con approccio terapeutico EMDR e di psicoterapie con approccio cognitivo-costruttivista. Le indicazioni ottenute saranno discusse attraverso riflessioni e stimoli per la ricaduta pratica.
In the presentation will be outlined the evolution of a research protocol that considers the trend in psychotherapy and emotional climate of the therapeutic alliance between patient and therapist, compared with the clinical situation of the patient. Will also be presented the first data of a survey conducted by the same criteria and requiring compliance with therapeutic approach to psychotherapy and EMDR psychotherapy with cognitive-constructivist approach. The indications obtained will be discussed through reflections and stimuli for relapse practice.
Keywords: Cognitive-Constructivist Approach Research Protocol Therapeutic Alliance
Accuracy Verified: Yes
2. 天野 玉記 , 精山 明敏 , 十一 元三 [Amano Tamaki, Seiyama Akitoshi, and Toichi Motomi]. (2010年1月). 左右の交互刺激を用いた幻肢痛治療法により慢性痛が改善した症例 [Phantom limb pain protocol of eye movement desensitization and reprocessing (EMDR) for chronic pain: A case report]. 日本ペインクリニック学会誌 17(1), 29-33 [Journal of Pain Clinicians, 17 (1), 29-33].
Language: Japanese
Format: Journal
Keywords: Phantom Limb Pain Protocol
Accuracy Verified: Yes
3. 菅原, 正和 芦澤, 志帆子 田山, 淳 [Sugawara Masakazu, Ashizawa Shihoko, & Tayama Jun]. (2000). 心理療法におけるEMDR(Eye movement desensitization and reprocessing のメカニズム(II): saccadeの問題 [An analysis of stimulous conditions on EMDR protocol (II): Saccadic eye movements]. 教育、岩手県、60の大学（2）、49から59の学部年報 [Annual report of the Faculty of Education, University of Iwate, 60(2), 49-59].
Language: Japanese
Format: Journal
Keywords: Saccadic Eye Movements
Accuracy Verified: Yes
4. 菅原正和・田山淳 [Masakazu Sugawara, Shihoko Ashizawa, and Jun Tayama]. (2000). 心理療法におけるEMDR(Eye movement desensitization and reprocessing)のメカニズム(I) : EMDRプロトコルの刺激条件に関する生理心理学的検討 [The organic mechanisms of EMDR in psychotherapy (I): An analysis of stimulous conditions on EMDR protocol]. 教育、岩手県、60の大学（1）、1-9学部研究年報 [Annual report of the Faculty of Education, University of Iwate, 60(1), 1-9].
Language: Japanese
Format: Journal
Keywords: Mechanisms of Action
Accuracy Verified: Yes
5. Paulsen, S. (2012, October). 31 secrets of the embodied self: Hearing baby’s story in EMDR for trauma in implicit memory. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
EMDR targeting relies on explicit memory images and verbalization of cognitions, but attachment trauma is held in the right hemisphere’s implicit memory. Any therapy purporting to treat attachment trauma must meet four criteria (Fosha) (Objective 1). This workshop draws from ego state therapy, somatic therapy, and the Early Trauma protocol of EMDR (Paulsen, in press, O’Shea & Paulsen, 2007) to provide a range of techniques to meet the Fosha criteria (Objective 2). Efficient resolution of attachment injuries can occur through temporal integration, targeting time periods instead of explicit memory (O’Shea & Paulsen, 2007, Paulsen, 2009 and in press) (Objective 3).Transforming early trauma requires listening to reenactment material, the baby state’s only “voice” to tell the non-verbal story.
Keywords: Embodied Self Implicit Memory
Accuracy Verified: Yes
6. Campbell-Beattie, J. (2005, December). Abbreviated protocols: The case of Mary. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
I had been working with Parnell's (1999) shortened protocols in a primary
health care setting where time and the number of sessions were limited.
Although the challenges are steep, they are surmountable when
incorporating flexibility to the standard protocol.
Accuracy Verified: Yes
7. Hofmann, A. (2009). Absorption technique. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 275-279). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Absorption Technique Protocol
Accuracy Verified: Yes
8. Eckers, D. (2009). The absorption technique for children. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Special populations (pp. 43-49). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Absorption Technique Children Protocol
Accuracy Verified: Yes
9. O'Shea, M. K. (2003, September). Accessing and repairing preverbal trauma/neglect. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Numerous methods have attempted to repair distress remaining from very early trauma (especially adoption) or neglect, but most have been difficult, cumbersome, even traumatic. The presenter will describe and demonstrate a direct, simple, safe and incredibly effective EMDR
extension, which is based on our current scientific knowledge of early brain development. Participants will (1) learn how to be able to adapt the Basic EMDR protocol when treating preverbal experiences with infants, children, adolescents and adults; (2) what language to use when accessing and repairing preverbal experiences: (3) be able to use "imaginative
interweaves" to stimulate release of trapped energy and fully learn from the experience; (4) learn to use the 3 R's (Review, Release, Repair) to ensure that reprocessing of preverbal material is complete.
Keywords: Adoption Neglect Preverbal Trauma
Accuracy Verified: Yes
10. Crow, C., & Sause, E. (2007, June). Accessing preverbal trauma for effective adult EMDR. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Recent research (Moberg, 2003, The Oxytocin Factor) indicates the potential of early pre-verbal trauma to set up biochemical and neurological responses which activate certain triggers. Since the touchstone event is pre-verbal, it is difficult to identify, but crucial in the resolution of later traumas resistant to full EMDR processing (Those who remain stuck at a greater than 0 SUDs). The antedotal experience is that this model can activate the material more fully and facilitate more thorough competion of phases 4-8. "Once upon a Time" contains every element of the EMDR Protocol in the prescribed order, Incident, Image, NC, PC, VOC, Emotion, SUD, Body sensation. This experimental model is not a substitute for standard EMDR. It facilitates access tohese preverbal traumas and the resultant cognitions which may have formed around them. It allows for a return to the standard EMDR protocol after this early material has been effectively targeted and reprocessed. "Once Upon a Time" model allows for fuller connection with early material. History is collected through antedotal information from third party informants and family photographs and is used to create a metaphor; this technique can access the multiple modalities of pre-verbal experience previously intellectualized. Phase three begins with a short continuation of Phase 1 using an interview format to review and briefly discuss the various elements of the troubling material. A "sentence completion" format is used to obtain the TICES elements. Those spontaneous answers form the script for a "Once Upon a Time" (Crow, 2004, EMDRIA Montreal, Canada), a deviation from Phase 4 of the standard protocol. Pertinent examples of the application of this model will be discussed and demonstrated with video taped excerpts of actual clients. Video taped client reports of the long term effect of the shifts resulting from the "Once Upon a Time" experience will provide validation that this technique enables retur to the standard EMDR protocol and full processing of previously incompletely processed material. Participants will create their own "Once Upon a Time" script from a video example of client history as an experiential introduction to the intricacies of this model. Evidence indicates that this technique is effective on a "consultant" basis, where the "Once Upon a Time" can be conducted by a separate therapist skilled in the technique, and returned to their regular EMDR therapist to complete this treatment. Currently a study is underway utilizing a pre/post text design (N=10) and statistical analysis of the results to measure the quantitative change within the client.
Keywords: Model Poster Preverbal Trauma Theory
Accuracy Verified: Yes
11. Talwar, S. (2007, February). Accessing traumatic memory through art making: An art therapy trauma protocol (ATTP). The Arts in Psychotherapy, 34(1), 22-35. doi:10.1016/j.aip.2006.09.001.
Language: English
Format: Journal
Abstract:
In this article I propose an art therapy trauma protocol (ATTP) designed to address the non-verbal
core of traumatic memory. Trauma theorists [van der Kolk, B.A. (2003). Frontiers in trauma treatment. Presented at the R. Cassidy Seminars, St. Louis, MO 2004; Steele, W. & Raider, M.
(2001). Structured Sensory Intervention for Traumatized Children, Adolescents and Parents-Strategies to Alleviate Trauma. New York: The Edwin Mellen Press] have endorsed alternative treatment methods such as eye movement desensitization reprocessing (EMDR), body-based psychotherapy, and expressive arts therapy
as an alternative to verbal psychotherapy. Following an overview of the role of memory and emotions in trauma and theories of art making and brain function, I describe a protocol that has had
success in integrating the cognitive, emotional and physiological levels of trauma drawing on EMDR, McNamee’s bilateral art and Michelle Cassou’s method of painting. A one-session example
serves to illustrate its use.
Keywords: Arts Bilateral Art Body-Based Psychotherapy Expressive Arts
Accuracy Verified: Yes
12. Savneet, T. (2007). Accessing traumatic memory through art making: An art therapy trauma protocol (ATTP). The Arts in Psychotherapy, 34(1), 22-35. doi:10.1016/j.aip.2006.09.001.
Language: English
Format: Journal
Abstract:
In this article I propose an art therapy trauma protocol (ATTP) designed to address the non-verbal core of traumatic memory. Trauma theorists [van der Kolk, B.A. (2003). Frontiers in trauma treatment. Presented at the R. Cassidy Seminars, St. Louis, MO 2004; Steele, W. & Raider, M. (2001). Structured Sensory Intervention for Traumatized Children, Adolescents and Parents-Strategies to Alleviate Trauma. New York: The Edwin Mellen Press] have endorsed alternative treatment methods such as eye movement desensitization reprocessing (EMDR), body-based psychotherapy, and expressive arts therapy as an alternative to verbal psychotherapy. Following an overview of the role of memory and emotions in trauma and theories of art making and brain function, I describe a protocol that has had success in integrating the cognitive, emotional and physiological levels of trauma drawing on EMDR, McNamee's bilateral art and Michelle Cassou's method of painting. A one-session example serves to illustrate its use.
Keywords: Art Therapy Art Therapy Trauma Protocol ATTP Creative Arts Therapy Creativity Emotions Memory Neurobiology Posttraumatic Stress Disorder PTSD Trauma
Accuracy Verified: Yes
13. Paulsen, S. (2009). ACT-AS-IF and ARCHITECTS approaches to EMDR: Treatment of dissociative identity disorder (DID). In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 357-386). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Act-As-If Architects DID Dissociative Identity Disorder Protocol
Accuracy Verified: Yes
14. Carbonell, J. L. (2008). Active ingredient study: Preliminary findings. In V. R. Volkman, (Ed.), Traumatic incident reduction: Research and results (2nd ed.) (pp. 65-73). Ann Arbor, Michigan: Loving Healing Press.
Language: English
Format: Book Section
Abstract:
In 1994, TIR, V/KD, EMDR, and TFT were investigated through a systematic clinical demonstration (SCD) methodology at Florida State University. This methodology guides the examination but does not test the effectiveness of clinical approaches. Each approach was demonstrated by nationally recognized practitioners following a similar protocol, though their methods of treatment varied. A total of 39 research participants were treated, and results showed that all four approaches had some immediate impact on clients and appear to also have some lasting impact. The paper also discusses the theoretical, clinical, and methodological implications of the study. [Text, p. 65] [Pilot]
Keywords: Adults Americans Neurolinguistic Programming NLP Random Clinical Trial RCT Stressors Survivors TIR Trauma Focus Therapy Traumatic Incident Reduction Treatment Effectiveness
Accuracy Verified: Yes
15. Carbonell, J. (2005). Active ingredient study: Preliminary findings. In V. R. Volkman, (Ed.), Beyond trauma: Conservations in trauma incident reduction (2nd ed.) (pp. 116-124). Ann Arbor, Michigan: Loving Healing Press .
Language: English
Format: Book Section
Abstract:
In 1994, TIR, V/KD, EMDR, and TFT were investigated through a systematic clinical demonstration (SCD) methodology at Florida State University. This methodology guides the examination but does not test the effectiveness of clinical approaches. Each approach was demonstrated by nationally recognized practitioners following a similar protocol, though their methods of treatment varied. A total of 39 research participants were treated, and results showed that all four approaches had some immediate impact on clients and appear to also have some lasting impact. The paper also discusses the theoretical, clinical, and methodological implications of the study. [Text, p. 116]
Keywords: Adults Americans Neurolinguistic Programming NLP Random Clinical Trial RCT Stressors Survivors TIR Trauma Focus Therapy Traumatic Incident Reduction Treatment Effectiveness
Accuracy Verified: Yes
16. Amano, T., Selyama, A., & Toichi M. (2012, June). The activity of the brain cortex measured by NIRS during EMDR session of phantom limb pain [La actividad del cortex cerebral medida por espectroscopía casi infrarroja (NIRS) durante una sesión de EMDR en Dolor de Miembro Fantasma]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
We are reporting the case of
a
female
patient
with
severe
chronic
pain,
which
was
successfully
treated
applying
a
phantom
limb
pain
(PLP)
protocol
of
the
Eye
Movement
Desensitization
and
Reprocessing
(EMDR).
The
patient
is
a
seventy-‐
year-‐old
female,
who
suffered
from
paralysis
in
the
left
lower
limb
due
to
an
accident
during
an
orthopedic
operation
for
herniated
disc.
After
the
operation,
she
began
to
experience
sharp
pain
in
the
paralyzed
limb,
and
neither
nerve
blocks
nor
trials
of
medicine
were
effective
for
this
pain.
It
continued
for
8
years
until
a
PLP
protocol
was
applied.
During
the
sessions
of
the
protocol,
her
sharp
pain
gradually
diminished
and
virtually
disappeared
at
the
end
of
the
EMDR
sessions.
A
follow-‐up
interview,
held
three
years
after
the
sessions,
confirmed
no
recurrence.
The
study
was
designed
to
examine
the
changes
of
frontal
and
temporal
cortices
in
the
blood
flow
in
brain
by
NIRS
during
sessions
of
EMDR.
During
the
recall
of
her
trauma-‐related
events,
her
heart
rate
and
the
blood
flow
increased
in
the
area
of
the
right
superior
temporal
sulcus.
Eye
movement
with
the
recall
of
traumatic
events
leads
to
a
generalized
decrease
in
brain
blood
flow.
The
results
suggest
that
a
PLP
protocol
may
be
an
effective
option
for
the
treatment
of
chronic
pain.
It
is
probably
because
the
technique,
which
is
effective
for
post-‐traumatic
stress
disorder,
can
potentially
dissolve
traumatic
pain
memory.
The
findings
on
blood
flow
seem
to
suggest
that
EMDR
is
effective
in
treating
PTSD
by
normalizing
excessive
cerebral
activation,
particularly
in
the
right
hemisphere,
which
is
related
to
the
memory
of
trauma.
Presentamos
el
caso
de
una
mujer
con
dolor
crónico
severo
tratado
con
éxito
mediante
un
protocolo
de
desensibilización
y
reprocesamiento
con
movimientos
oculares
(EMDR)
para
dolor
de
miembro
fantasma
(DMF).
Se
trata
de
una
mujer
de
setenta
y
dos
años
de
edad
que
sufría
una
parálisis
en
la
extremidad
inferior
izquierda
debido
a
un
accidente
durante
una
intervención
quirúrgica
ortopédica
por
una
hernia
discal.
Tras
la
operación,
empezó
a
experimentar
un
dolor
agudo
en
el
miembro
paralizado;
ni
los
bloqueos
nerviosos
regionales
ni
las
pruebas
con
fármacos
fueron
eficaces
para
tratar
su
dolor.
Así
siguió
durante
8
años
hasta
la
aplicación
de
un
protocolo
para
el
tratamiento
del
DMF.
Durante
las
sesiones
en
las
que
se
seguía
el
protocolo,
el
dolor
agudo
que
sufría
disminuía
progresivamente
y
desaparición
por
completo
al
finalizar
las
sesiones
de
EMDR.
Durante
una
entrevista
de
seguimiento
a
los
tres
años
se
confirmó
la
ausencia
de
una
recurrencia
del
dolor.
Se
diseñó
el
estudio
para
examinar
los
cambios
del
flujo
sanguíneo
cerebral
en
las
cortezas
frontal
y
temporal
mediante
NIRS
en
las
sesiones
de
EMDR.
Durante
el
recuerdo
de
los
eventos
relacionados
con
el
trauma,
se
aumentó
la
frecuencia
cardiaca
y
el
flujo
sanguíneo
en
el
área
del
sulco
temporal
superior
derecho.
Los
movimientos
oculares
que
se
producen
con
el
recuerdo
de
los
eventos
traumáticos
conlleva
una
disminución
generalizada
del
flujo
sanguíneo
al
cerebro.
Los
resultados
sugieren
que
un
protocolo
específico
para
DMF
puede
representar
una
alternativa
efectiva
para
el
tratamiento
del
dolor
crónico.
Probablemente
se
debe
a
que
esta
técnica
que
es
efectiva
en
el
trastorno
por
estrés
post-‐traumático,
tiene
el
potencial
de
disolver
el
recuerdo
del
dolor
traumático.
Los
hallazgos
sobre
el
flujo
sanguíneo
parecen
sugerir
que
EMDR
es
efectivo
en
el
tratamiento
del
TEPT
al
normalizar
la
activación
cerebral
excesiva,
sobre
todo
en
el
hemisferio
derecho,
que
guarda
relación
con
el
recuerdo
del
trauma.
Keywords: Brain Cortex NIRS Phantom Limb Pain
Accuracy Verified: Yes
17. Lescano, R. (2009, Junio). Adaptación de protocolo EMDR estándar a los trastornos de la conducta alimentaria [Adaptation of standard EMDR Protocol to eating behavior disorders]. Presentación en X Congreso Internacional de Estres Traumatico, Buenos Aires, Argentina.
Language: Spanish
Format: Conference
Keywords: Eating Disorders
Accuracy Verified: Yes
18. Lescano, R. (2009, Junio). Adaptación de protocolo EMDR estándar a los trastornos de la conducta alimentaria [Standard EMDR protocol adaptation to eating disorders]. Presentación en el IX Congreso Internacional de Estrés Traumático y Trastornos de Ansiedad, Buenos Aires, Argentina.
Language: Spanish
Format: Conference
Keywords: Eating Disorders
Accuracy Verified: Yes
19. Wesselmann, D. (2009, August). Adapting EMDR for children with reactive attachment disorder behaviors. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
The EMDR approach is extremely helpful for treating problems in children exhibiting behaviors associated with Reactive Attachment Disorder (RAD). However, children with early pathological care frequently suffer from severe emotion dysregulation. They lack adaptive information or insights, and they feel alienated from others. All of these problems lower the child’s ability to cope, and they become easily overwhelmed and shut down during EMDR. This presentation will help the clinician adapt the standard EMDR protocol for this difficult population through creative methods to overcome resistance, help the child stay regulated, and assist reprocessing, leading to improved behaviors, coping, and relationships.
Keywords: Children RAD Reactive Attachment Disorder
Accuracy Verified: Yes
20. Wesselmann, D. (2010, June). Adapting EMDR for children with reactive attachment disorder behaviours. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The EMDR approach is extremely helpful for treating problems in children exhibiting behaviours associated with Reactive Attachment Disorder (RAD). However, children with early pathological care frequently suffer from severe emotion dysregulation. They lack adaptive information or insights, and they feel alienated from others. All of these problems lower the child's ability to cope, and they become easily overwhelmed and shut down during EMDR. This presentation will help the clinician adapt the standard EMDR protocol for this difficult population through creative methods to overcome resistance, provide a secure holding environment, and assist reprocessing, leading to improved behaviours, coping, and relationships.
Keywords: Children RAD Reactive Attachment Disorder
Accuracy Verified: Yes
21. Miller, R., & Tay, K. H. (2009, August). Adapting the standard EMDR protocol for clients with mild mental retardation: Some guidelines and implications. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .
Language: English
Format: Conference
Abstract:
EMDR as a psychotherapeutic approach has been shown to be effective. However, there is a paucity of studies examining the efficacy of EMDR for clients diagnosed with mild mental retardation. The DSM-IV defines mild mental retardation as below average intelligence (IQ between 70 and 55) along with some deficiencies in adaptive functioning skills demonstrated before age 18. The purpose of our clinical project was to explore the applicability of EMDR for our adult clients (n = 12; mean age 22.5) diagnosed with mild mental retardation by adapting the standard protocol. Studies showed that individuals with mental retardation learn and retain information more effectively when materials are presented to them in a visual, concrete, and interactive manner while utilizing the principles of positive reinforcements.
The prevalence of mental health problems and the wide range of clinical symptoms among these individuals have been reported in several studies. Additionally, these adults are misunderstood as being overly limited in their ability to reap any therapeutic benefit from counseling interventions. Prout and Strohmer (1998), for instance, argued that adults with mental retardation do benefit from counseling interventions. However, they stressed the need for more sophisticated or modified use of psychotherapeutic interventions. Psychotherapeutic techniques and models should be modified, if feasible, in regards to language and cognitive levels commensurate with the clients’ background.
Based on our clinical observations, the following are some examples of proposed guidelines to assist the EMDR clinicians in thinking more creatively when adapting the standard protocol.
1) Considerable amount of preparation at the onset of EMDR is necessary, as it plays a pivotal role in ensuring a successful outcome.
2) Visual depiction of the SUDs and VOCs on a scale of 0 through 5, or 0 through 10, depending on the client’s cognitive abilities is beneficial. Use of “faces” to depict concretely various levels of distress should be made.
3) The concepts of PC and NC may be too abstract for some in this population. We assist clients by operationally defining those concepts with the list of commonly used PCs and NCs in simpler language.
4) Coping resources are sometimes limited for these adults. Clients will benefit from having multiple reinforcements of self-soothing skills thorough the installation of the “safe place” and “resources”.
5) Positive reinforcements (e.g., frequent verbal reminders) should be used regularly in sessions throughout treatment. However, be mindful of clients’ desire to please the clinician.
6) Role-playing should be used when feasible throughout treatment, e.g., during the installation of future templates, as it heightens more sensory, affective, and behavioral modes of learning rather than verbal modality alone.
Based on the treatment outcomes reported by our clients, EMDR is an effective treatment option, as evidenced by sustained reduction in their level of distress to traumatic memories. Findings from this clinical project have practice and research implications. First, the standard protocol should be adapted for use with adults with mild mental retardation to achieve optimal gain. Second, empirical research is needed to provide further evidence for the efficacy of EMDR for adults with mild mental retardation.
Keywords: Mental Retardation
Accuracy Verified: Yes
22. Hensley, B. J. (2012). Adaptive information processing, targeting, the standard protocol, and strategies for successful outcomes in EMDR reprocessing. Journal of EMDR Practice and Research, 6(3), 92-100. doi:10.1891/1933-3196.6.3.92.
Language: English
Format: Journal
Abstract:
This article provides excerpts from each chapter of An EMDR Primer: From Practicum to Practice (Hensley, 2009) to assist novice eye movement desensitization and reprocessing (EMDR) clinicians who are learning how to use this approach and to serve as a refresher for therapists who have not used EMDR consistently in their practices. Actual cases are presented that demonstrate various strategies that the therapist can use to help clients reach adaptive resolution of trauma. Tables and figures highlight important features to explain the obvious and subtle nuances of EMDR. Focal points are the following: (a) the adaptive information processing model; (b) the types of targets accessed during the EMDR process; (c) the 8 phases of EMDR; (d) the components of the standard EMDR protocol used during the assessment phase; (e) past, present, and future in terms of appropriate targeting and successful outcomes; and (f) strategies and techniques for dealing with challenging clients, high levels of abreaction, and blocked processing.
Keywords: Adaptive Information Processing AIP Cognitive Interweave Three-Pronged Approach Types of Targets Unblocking Strategies
Accuracy Verified: Yes
23. Holmshaw, M. (2005, April). Adaptive use of the EMDR protocol in the treatment of PTSD and trauma-related conditions, especially after RTAs, occupational accidents and assaults. Presentation at the 3rd annual conference of the EMDR UK & Ireland Association, Belfast, Ireland.
Language: English
Format: Conference
Keywords: Assault Occupational Accidents Posttraumatic Stress Disorder PTSD Roadside Traffic Accident RTA
Accuracy Verified: Yes
24. Holmshaw, M. (2005, April). Adaptive use of the EMDR protocol in the treatment of PTSD and trauma-related conditions, especially after RTAs, occupational accidents and assaults. Presentation at 3rd Annual Conference of the EMDR Association of UK and Ireland, Jordanstown, Northern Ireland .
Language: English
Format: Conference
Keywords: Posttraumatic Stress Disorder PTSD Trauma-Related Conditions
Accuracy Verified: Yes
25. Popky, A. J. (1995, February). Addiction protocol. Presentation at the EMDR Networker, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Addiction
Accuracy Verified: No
26. Waldon, A. (2008, February). Adios pensamientos y sentimientos feos, Manual de EMDR para ninos [Goodbye yucky thoughts and feelings, An EMDR workbook for children] . Lulu.com.
Language: Spanish
Format: Book
Abstract:
Translated from English by Maria Elana Aduriz, Utilizando este cuaderno, el psicoterapeuta de niño EMDR indica el cliente de niño por el protocolo de EMDR. Las ilustraciones visualmente atrayentes basadas en los dibujos de niños son utilizadas para favorecer el niño a dibujar imaginal y recursos existentes para la fuerza, para la maestría, y para el consuelo. Utilizando estos dibujos, el terapeuta prepara al niño para procesar un trauma. Entonces, después de que el niño dibuje un lugar seguro, el terapeuta utiliza el cuaderno para ayudar al niño identifica los pensamientos, las emociones, y las sensaciones del cuerpo relacionadas al trauma. El niño está entonces listo para la Fase 4, la insensibilización y volver a tratar del trauma. El cuaderno continúa ayudando al terapeuta indica el cliente de niño por las fases restantes del protocolo, terminando con un Certificado del Logro para el niño para mantener. Las instrucciones para el terapeuta y hojas de trabajo para las notas del terapeuta son incluidas.
Using this book, the child psychotherapist EMDR client indicates the child EMDR protocol. The visually appealing illustrations based on drawings by children are used to encourage the child to draw imaginal and resources for the strength, expertise, and for comfort. Using these drawings, the therapist prepares the child to process trauma. Then, after the child draw a safe place, the therapist uses the notebook to help the child identify the thoughts, emotions, and sensations of the body related to trauma. The child is then ready for Phase 4, the stunning and come back to the trauma. The book continues to help the therapist tells the client as a child for the remaining phases of the protocol, ending with a Certificate of Achievement for the child to maintain. The instructions for the therapist and worksheets for the therapist's notes are included.
Keywords: Children
Accuracy Verified: Yes
27. Molero-Zafra, M., & Perez-Marin, M. (2011, Julio). Adopcion: Un protocolo basado en EMDR, terapia familiar narrativa y la teoria del apego [Adoption: A protocol based on EMDR, family therapy, narrative and attachment theory]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España .
Language: Spanish
Format: Conference
Abstract:
La adopción es un tema actual, cuyo interés crece progresivamente. Su vigencia
social resulta incuestionable si atendemos al incremento exponencial de niños adoptados
por familias españolas, especialmente en adopciones internacionales. La Ley de Adopción
vigente en España contempla la adopción como un recurso de protección para aquellos
niños/as que no puedan permanecer en su propia familia. Para que se cumpla este objetivo
deben arbitrarse todos los mecanismos necesarios que garanticen al niño una familia capaz
de asegurar las atenciones propias de la función parental (atención, desarrollo y
educación).
Los niños adoptados pueden sufrir trastornos como cualquier otro niño, ahora bien,
sus experiencias de vida anteriores pueden afectar en mayor grado su desarrollo
emocional, social y familiar. Las experiencias vinculares durante la infancia, influyen
significativamente en la capacidad para formar relaciones íntimas y emocionalmente
saludables. Asimismo, para la formación y cambio de actitudes a lo largo de nuestra vida,
van a ser fundamentales nuestros grupo de referencia, siendo la familia uno de los más
importantes (López et al., 1999). La empatía, el afecto, el deseo de compartir, el inhibirse
de agredir, la capacidad de amar y ser amado y un sinnúmero de características de una
persona asertiva, operativa y feliz, están asociadas a las capacidades medulares de apego
formadas en la infancia y niñez temprana (Punset, 2008).
El objetivo de esta comunicación es presentar un protocolo de abordaje psicológico
ante las dificultades que afectan a las familias con problemas de adaptación en casos de
adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos
promover en estas familias una base de apego seguro, mediante el uso de herramientas
terapéuticas de la terapia familiar narrativa y el EMDR. Se presenta el protocolo elaborado
para tal fin y un caso para la comprensión de la aplicación del tratamiento.
Adoption is a current issue, whose interest grows gradually. Its validity
social is unquestionable if we consider the exponential increase of adopted children
Spanish families, especially in international adoptions. The Adoption Act
force in Spain provides for the adoption as a source of protection for those
children / as not to remain in their own family. To fulfill this objective
must be put all the necessary mechanisms to guarantee the child a family able
to secure the attentions of parenting (care, development and
education).
Adopted children may suffer from disorders like any other child, however,
previous life experiences can affect their development to a greater extent
emotional, social and family life. Relational experiences during childhood influence
significantly in the ability to form intimate and emotionally
healthy. Also, for the formation and change of attitudes throughout our lives,
will be essential to our reference group, the family being one of the most
important (Lopez et al., 1999). Empathy, affection, desire to share, the inhibited
of attack, the ability to love and be loved and a host of features of a
assertive person, operational and happy, are associated with the core competencies of attachment
formed in infancy and early childhood (Punset, 2008). The aim of this paper is to present a protocol of psychological approach
to the difficulties affecting families with adjustment problems in cases of
adoption. From the conceptual perspective of attachment theory, we try in these families to promote a secure attachment base through the use of tools therapeutic narrative family therapy and EMDR. We present a protocol developed
for this purpose and a case for understanding the application of the treatment.
Keywords: Adoption Attachment theory Family Therapy Narrative Theory Symposium
Accuracy Verified: Yes
28. Molero-Zafra, M., & Pérez-Marín, M. (2009, June). Adopción: Un protocolo basado en EMDR, terapia familiar narrativa y la tería del apego [Adoption: a protocol base on EMDR, narrativ family therapy and the theory of attachment]. Mosaico, 42, 20-27.
Language: Spanish
Format: Magazine
Abstract:
El objetivo e nuestro articulo es plantear un protocolo de abordaje psicológico ante las dificultades que afectan a las familias con problemas de adaptación en casos de adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos promover en estas familias una base de apego seguro, mediante el uso de herramientas terapéuticas de la terapia famliar narrativa y el EMDR.
The goal and our article is to propose a protocol of psychological approach to the difficulties affecting families with problems of adjustment in cases of adoption. From the conceptual perspective of attachment theory, these families are trying to promote a secure attachment base, through the use of therapeutic tools of traditional family narrative therapy and EMDR.
Keywords: Adoption Attachment Family Narrative Therapy
Accuracy Verified: Yes
29. Adler-Tapia, R., & Settle, C. (2008, September). Advanced applications of EMDR in child psychotherapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
This presentation is for therapists who have learned the basic EMDR protocol and are interested in expanding their skills in using EMDR in individual treatment with children. The presentation is focused on teaching therapists to use EMDR with specific childhood diagnoses or presenting problems, including children who are gifted and children who present with symptoms consistent with ADHD, dissociation, anxiety, attachment disorders, and sexual reactivity. Therapists will also learn how to use EMDR with regulatory issues in children including sleep issues and toilet training, as well as with behavioral issues, such as school phobias within AIP Theory.
Keywords: Children
Accuracy Verified: Yes
30. Vogelmann-Sine, S., Popky, A. J., Lazrove, S., Sine, L., Speare, J., Wade, D., & Wade, T. (1995, June). Advanced clinical applications of EMDR to addictive behaviors. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop addresses the application of standard and modified EMDR treatment protocols to addictive and compulsive
behaviors including substance abuse/dependence, overeating, smoking, love addiction. Individuals with addictive and compulsive
behaviors frequently have suffered from childhood trauma and neglect resulting in developmental arrests, as well as a variety of
maladaptive behaviors which are trauma-related and serve to minimize pain. The successful implementation of EMDR to addictive
behaviors requires that EMDR be used as part of an overall treatment program carefully addressing the needs of individuals who
have been traumatized and are exhibiting addictive behaviors. A thorough diagnostic work up is needed aimed at assessing
comorbidity, dissociation, and a detailed trauma history covering childhood traumas and traumas suffered as adults including
traumas that occur as a consequence of addictive behaviors. Careful client preparation is essential to assist individuals in coping
adequately with the high levels of emotion experienced during EMDR Clients' readiness to stop compulsive/addictive behaviors
needs to be carefully evaluated.
A decision tree aimed at determining the appropriateness of EMDR to individuals diagnosed with addictive behaviors is presented
which assists clinicians in minimizing the premature use of EMDR. EMDR is a client centered method, and thus, careful pacing is
needed with this population to reprocess underlying traumatic issues. This frequently implies utilizing a modified EMDR treatment
protocol with only partial resolutions of underlying traumatic material. Guidelines will be discussed to assist clinicians in selecting
EMDR targets for optional results which relate to the stages of recovery. EMDR can be used at all stages of recovery to neutralize
the negative impact of memories contributing to problematic behaviors, such as urges to use, ambivalence about treatment, fear of
facing painfull feelings from the past. EMDR also has the power to install templates for future actions which assist individuals with
skill deficits in more rapidly acquiring necessary skills for a successful recovery. Examples of cognitive interweaves are presented
which take into consideration clients' readiness, as well as the need to accelerate the recovery process.
EMDR has a unique role in the recovery of traumatized individuals with addictive and compulsive behaviors since the accelerated
processing of negative experiences and the installation of positive adaptive cognitions assist clients in more rapidly overcoming
barriers throughout the recovery process. It also challenges rigid approaches to recovery which frequently stress that trauma work
should not be attempted before abstinence has been accomplished for a specified period of time. EMDR is especially valuable in
processing core issues which center around shame and manifest in cognitions, such as "I am defective," "There is something wrong
with me," "I am not good enough," "I am not quite right," "I don't belong," "I don't deserve to live." Case examples will be given as
to how such core issues can be targeted to accelerate the recovery process.
A.J. Popky has developed a specialized EMDR treatment protocol which targets levels of urges of addictive/compulsive behaviors
directly and installs a positive internal state of feeling empowered without relying on compulsive and addictive behaviors. Case
examples fiom clinical practice indicate that when levels of urges are targeted directly, underlying traumas frequently emerge
without increasing clients' usage. The symposium addresses the application of this protocol to a range of addictive and compulsive
behaviors.
The Wades' integrative psychotherapy combines ego-state therapy and EMDR in a psychosocial developmental context. Their
substance use disorders treatment program incorporates specialized applications of their integrative psychotherapy, which includes
both individual and group therapy and employs hypnosis as well as EMDR Their presentation focuses on applications of the
standard EMDR protocol in individual therapy, which is limited primarily to desensitization of dysphoric affect and reprocessing
negative cognitions associated with grief and trauma.
Their conceptual framework of substance use disorders proceeds from a goal of reducing the harm caused by substance use and a
primary distinction between functional and autonomous use (rather than the DSM conceptualizations of "dependence" or "abuse")
because this guides interventions. Initial treatment planning depends upon external constraints (e.g., lack of support for positive
change, hostile environment), internal limitations (e.g., severity of substance use and its effects, neurocognitive deficits, inadequate
"ego strength," lack of skills, disrupted psychosocial development, psychological trauma) and the nature of the substance use
disorder (i.e., functional, autonomous, or both).
Methods include education about substance use disorders and processes of change, group therapy to develop skills and obtain
feedback and support, individual therapy to correct disrupted development and resolve traumatic stress reactions, and exercises to
apply what is learned in real-life situations. The standard EMDR protocol is applied to disrupted development involving grief and
to resolve psychological trauma that lead to substance use. Case vignettes in which such applications of the standard EMDR
protocol were employed are presented in detail.
Keywords: Addictions Substance Abuse Symposium
Accuracy Verified: Yes
31. Shapiro, E., & Laub, B. (2010, September/October). Advanced supervision & practicum session with the R-TEP (Recent traumatic episode protocol). Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
Keywords: Recent Events Recent Traumatic Episode Protocol R-TEP
Accuracy Verified: Yes
32. Colelli, G. (2003, September). After the World Trade Center disaster – Use of EMDR recent events protocol. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
The Recent Events Protocol was used extensively in the treatment of World Trade Center survivors, first responders and recovery workers. In
this workshop we will review the Recent Events Protocol and discuss the utilization in treating Post Traumatic Stress Disorder (PTSD). The
workshop will describe when it is appropriate to modify the Recent Events Protocol. Clinical examples for civilian and non-civilian personnel
will be presented. Specific techniques will be described on how to reprocess PTSD symptoms in 5 sessions or less even when the client has significant previous traumatic memories. The contrast in using the protocol for
PTSD symptoms as compared to grief will be discussed.
Keywords: 9/11 Recent Events September 11th World Trade Center WTC
Accuracy Verified: Yes
33. Swedish Council on Technology Assessment (2001, April). Alert: EMDR - Psychotherapy in posttraumatic stress syndrome in young people - early assessment briefs. Swedish Council on Technology Assessment in Health Care (SBU).
Language: English
Format: Publication
Abstract:
Findings by SBU Alert,
Version: 1,
METHOD AND TARGET GROUP:
EMDR (Eye Movement Desensitization and Reprocessing) is a new psychotherapeutic method aimed at processing memories of traumatic events, thereby ameliorating the psychological consequences of these memories. EMDR involves elements from several different psychological approaches. It is uncertain which of the treatment elements are effective. Clients with post traumatic stress disorder (PTSD) are the main target group for EMDR treatment. Although both children and adults have been treated with EMDR, this document is aimed particularly at children and adolescents.
PATIENTS BENEFITS, RISKS AND SIDE EFFECTS:
Published studies of EMDR mainly cover adults with PTSD. There are two randomized and controlled studies, one of which has yet to be published, of EMDR treatment in 47 children and adolescents. One of the studies suggests that EMDR yields a better treatment outcome in the short term compared to the control treatment (active listening). In the second study, no significant difference was found between EMDR treatment in combination with standard treatment and standard treatment alone as regards reduction in avoidance and invading thoughts. However, the PTSD symptom of behavioral disorders declined significantly in the EMDR group. Furthermore, numerous case studies suggest that EMDR has a positive treatment effect in children and adolescents with PTSD. No harmful effects have been reported.
ECONOMIC ASPECTS:
There are no economic assessments of EMDR. Limited data suggest that fewer treatments are needed to achieve the desired outcome with EMDR compared to other psychotherapeutic methods. This suggests that EMDR is a potentially cost-effective method in relation to the alternatives, under the assumption that the effects of treatment are permanent.
CURRENT SCIENTIFIC EVIDENCE:
There is moderate* scientific evidence to show the benefits of EMDR treatment in children and adolescents. There is no* documentation concerning the cost-effectiveness or effects beyond 6 months.
Since the scientific documentation is limited, the effects of EMDR treatment in both the short and long term should be compared in studies with other treatment alternatives, including standard treatment. Furthermore, the cost-effectiveness of the method should be studied under Swedish conditions.
*This assessment by SBU Alert uses a 4-point scale to grade the quality and evidence of the scientific documentation. The grades indicate: (1) good, (2) moderate, (3) poor, or (4) no scientific evidence on the subject.
This summary is based on a report prepared at SBU in collaboration with Kerstin Bergh Johannesson, Lic. Psychol., Akademiska Hospital, Uppsala and has been reviewed by Prof. Mats Fredriksson, Uppsala University, Uppsala.
REFERENCES:
1.) Cahill SP, Carrigan MH, Frueh BC. Does EMDR work? And if so, why? A critical review of controlled outcome and dismantling research. J Anxiety Disord 1999;13(1-2):5-33.
2.) Chemtob CM, Nakashima J, Hamada R, Carlson J. Brief treatment for elementary school children with disaster-related PTSD: a field study. J Clin Psychol, in press.
3.) Chemtob et al. Eye movement desensitization and reprocessing. In: Foa EB, Keane TM, Friedman MJ, eds. Effective treatments for PTSD. New York: Guilford, 2000.
4.) Devilly GJ, Spence SH. The relative efficacy and treatment distress of EMDR and a cognitive-behavior trauma treatment protocol in the amelioration of posttraumatic stress disorders. J Anxiety Disord 1999;13(1-2):131-57.
5.) Lovett J. Small Wonders: Healing childhood trauma with EMDR. New York: Free Press, 1999.
6.) Macklin ML, Metzger LJ, Lasko NB, Berry NJ, Orr SP, Pitman RK. Five-year follow-up study of eye movement desensitization and reprocessing therapy for combat-related post traumatic stress disorder. Comprehensive Psychiatry 2000;41(1),24-27.
7.) Puffer MK, Greenwald R, Elrod DE. A treatment outcome study of eye movement desensitization and reprocessing (EMDR) with traumatized children and adolescents. Presented at the annual conference of the EMDR International Association, Denver, June 1996.
8.) Renfrey G, Spates CR. Eye movement desensitization and reprocessing: A partial dismantling procedure. J Behav Ther Experiment Psychiatr 1994;25:231-239.
9.) Scheck MM, Schaeffer JA, Gilette CS. Brief psychological intervention with traumatized young women: The efficacy of eye movement desensitization and reprocessing. J Trauma Stress 1998;11:25-44.
10.) Shapiro F. Eye movement desensitization and reprocessing: Basic principles, protocols and procedures. New York: Guilford Press, 1995.
11.) Stallard P, Velleman R, Baldwin S. Prospective study of post-traumatic stress disorder in children involved in road traffic accidents. BMJ 1998;317:1619-1623.
12.) Soberman GB, Greenwald R, Rule DL. A controlled study of eye movement desensitization and reprocessing (EMDR) for boys with conduct problems. J Aggression Maltreatment Trauma, in press.
13.) Tinker RH, Wilson SA. Through the Eyes of a Child: EMDR with children. New York: Norton & Co, 1999.
14.) van der Kolk B. Biological response to psychic trauma. In: Wilson JP, Raphael B, eds. International Handbook of Traumatic Stress Syndromes. New York: Plenum Press, 1993:25-33.
15.) van der Kolk B, Burbridge J, Susuki J. The psychobiology of traumatic memory; clinical implications of neuroimagery studies. Annals of the New York Academy of Sciences 1997;821:99-113.
16.) van Etten M, Taylor S. Comparative efficacy of treatments for post-traumatic stress disorder: a meta-analysis. Clin Psychol Psychother 1998;5:126-144.
17.) Wilson SA, Becker LA, Tinker RH. Fifteen-month follow-up of eye movement desensitization and reprocessing (EMDR) treatment for posttraumatic stress disorder and psychological trauma. J Consult Clin Psychol 1997;65(6):1047-1056.
18.) Wilson SA, Tinker RH, Hoff.
Alert is a joint effort by the Swedish Council on Technology Assessment in Health Care (SBU), the Medical Products Agency, the National Board of Health and Welfare, and the Federation of Swedish County Councils.
The complete report is available in Swedish only.
Keywords: Posttraumatic Stress Disorder Practice Guidelines PTSD
Accuracy Verified: Yes
34. Erdmann, C. (2006). Allergie und EMDR - Der nächste sommer kommt bestimmt [Allergy and EMDR - The next summer is determined]. EMDRIA Deutschland e.V. Rundbrief, 7, 20-44.
Language: German
Format: Newsletter
Abstract:
Eine positive Eigenerfahrung mit einer EMDR-Allergie-Behandlung führte zur Anwendung im
weiteren Praxisfeld. Vorgestellt wird ein von mir weiterentwickeltes EMDR-Allergie-Protokoll,
das mehrfach von mir in der Praxis erprobt wurde und hier anhand eines konkreten
Fallbeispiels vorgestellt wird. Die guten Ergebnisse sprechen dafür, dass eine allergische
Immunantwort mittels EMDR in relativ kurzer Zeit positiv beeinflussbar ist und dass die positive
Beeinflussung über längere Zeit hinweg stabil bleiben kann.
A positive personal experience with EMDR-allergy treatment was applied in a wider area of practice. Presented is an improved I-allergy EMDR protocol, which has been repeatedly tested by me in practice and is presented here using a real case study. The good results indicate that an allergic immune response via EMDR is positively influenced in a relatively short time and that the positive effect for a long time can remain stable.
Keywords: Allergy
Accuracy Verified: Yes
35. Erdmann, C. (2009). Allergie und EMDR [Allergies and EMDR]. In R. Plassmann (Hg.), Im eigenen rhythmus, die EMDR-behandlung von essstörungen, bindungsstörungen, allergien, schmerz, angststörungen, tinnitus und süchten (pp. 95-114). Giessen, Germany: Psychosozial-Verlag.
Language: German
Format: Book Section
Abstract:
Keywords: Allergies Allergy Treatment Protocol Protocol
Accuracy Verified: Yes
36. Erdmann, C. (2006, Oktober). Allergie und EMDR, Der nächste sommer kommt bestimmt [Allergy and EMDR - The next summer is determined]. Institut fur Traumatherapie, und Blockseminare, Psychotherapeutisches Zentrum Bad Mergentheim, Deutschland.
Language: German
Format: Other
Keywords: Allergies Allergy Treatment Protocol Protocol
Accuracy Verified: Yes
37. de Roos, C., & Went, M. (2011, April). Als woorden tekort schieten: EMDR bij preverbaal trauma [When words fail: EMDR for pre-verbal trauma]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Infants (0-4 jarigen) kunnen allerlei traumatische gebeurtenissen meemaken zoals intrusieve medische handelingen, een ongeluk, seksueel misbruik en andere vormen van mishandeling. Daarnaast zijn er negatieve ervaringen die niet duidelijk identificeerbaar zijn zoals chronische oorpijn- of buikpijn. Ook deze ervaringen beinvloeden de ouder-kind interactie/ hechtingsrelatie en hebben daarmee hun weerslag op het vermogen tot emotieregulatie en het gedrag.
Herinneringen aan deze gebeurtenissen zijn preverbaal en dus niet op bewust nivo toegankelijk. Daardoor worden zij gemakkelijk over het hoofd gezien als mede-oorzaak of instandhoudende factor van emotionele of gedragsproblematiek in de basisschoolleeftijd. Na aanmelding bij de Geestelijke Gezondheidszorg wordt behandeling daarom vaak gericht op de aanpak van de huidige gedragsproblematiek (symptoombestrijding). Onze ervaring is dat EMDR hier een goede aanvulling biedt. Deze methode richt zich immers op de ‘onderlaag’ van de problematiek door negatieve ervaringen die hieraan gerelateerd zijn te verwerken. Daarna kan een inhaalslag gemaakt worden met betrekking tot de emotieregulatie waardoor zowel gedrag als de ouder-kind interactie verbeteren.
Aan de hand van casuïstiek van infants en schoolkinderen wordt de indicatiestelling en toepassing getoond van het EMDR protocol bij de behandeling van kinderen die in de eerste 4 levensjaren getraumatiseerd zijn. In de presentatie wordt geillustreerd hoe de ‘verhalenmethode’ geintegreerd kan worden in een breder behandelaanbod.
Werkvorm
In de presentatie worden theorie en praktijk gecombineerd. Videobeelden ondersteunen het verhaal.
Infants (0-4 years), all kinds of traumatic experience as intrusive medical procedures, accidents, sexual abuse and other forms ofof abuse . There are also negative experiences that are not clearly identifiable as chronic ear pain or abdominal pain. These experiences affect the parent-infant interaction / attachment relationship and thus have their impact on the capacity for emotion regulation and behavior.
Memories of these events are preverbal and not accessible on a conscious level. Thus they are easily overlooked as a cause or co-maintaining factor of emotional or behavioral problems in primary school. After reporting to the Mental Health Treatment is therefore often aimed at addressing the current behavioral problems (symptoms). Our experience here is that EMDR provides a good addition. This method is focused on the 'layer' of the problem by negative experiences related to this process. Then caught up with regard to both behavior and emotion regulation allowing the parent-child interactions improve.
Through case studies of infants and schoolchildren being shown the indication and application of the EMDR protocol in the treatment of children who are traumatized life on April 1. The presentation illustrated how the 'stories'method can be incorporated into a broader range of treatment.
Form
In the presentation combines theory and practice. Video images support the story.
Keywords: Infants Children Pre-Verbal Trauma
Accuracy Verified: Yes
38. Picciano, L. (2009, Fall). Alumni incorporate EMDR into psychodynamic treatment. GSAPP Alumni Newsletter, 10(2), 1,4.
Language: English
Format: Newsletter
Abstract:
EMDR is a treatment developed by Francine Shapiro (2001) to
reprocess traumatic experiences that are “locked” in the nervous
system and give rise to current symptomatology. It involves an
eight stage protocol in which clients select a target memory and,
with the clinician, assess its cognitive, somatic, and emotional components
as well as associated level of distress. The memory is then
reprocessed through bilateral stimulation (most commonly eye
movements) of the brain until the level of distress is reduced.
Shapiro developed the “information-processing model” to explain
EMDR’s “…treatment effects in terms of the association of memory
networks” (Shapiro, 2002, p. 29). The reprocessing allows the
client to “digest” a stuck traumatic memory by connecting it with
more adaptive memory networks in the brain. EMDR originated as
a treatment for PTSD, but EMDR protocols now exist for a variety
of issues, such as phobias and grief. Originally developed with
adults, its use has also been extended to children, but with modifications
in technique.
Accuracy Verified: Yes
39. Tarquinio, C., Houbre, B., Fayard, A., & Tarquinio, P. (2009, October-December). Application de l’EMDR au deuil traumatique après une collision de train [EMDR applied for traumatic bereavement after train collision]. L’Evolution Psychiatrique, 74(4), 567-580. doi:10.1016/j.evopsy.2009.09.004.
Language: French
Format: Journal
Abstract:
Cette étude exploratoire a pour objectif de tester l’application de la thérapie Eye Movement Desensitization
and Reprocessing (EMDR) dans le cadre de la prise en charge du deuil traumatique. Le deuil traumatique, qui
correspond à la perte brutale d’un autre significatif, répond à un tableau clinique précis dont les principales
caractéristiques sont les pensées intrusives concernant le défunt et des difficultés d’ajustement face à la
perte (sentiment de vide, difficultés à reconnaître le décès, irritabilité, absence de réactivité, etc.). Les huit
participants de l’étude sont tous des membres de la famille des victimes de la collision de train qui a eu lieu
le 12 octobre 2006 à Zoufftgen. Les sujets, âgés en moyenne de 35,2 ans (S.D. = 11,1) et comprenant 75%de
femmes, ont suivi entre huit à 15 séances (m = 10,75 ; S.D. = 2,21) répondant au protocole EMDR. L’efficacité
de la thérapie a été évaluée à partir de plusieurs critères comprenant la mesure du deuil traumatique, de
l’anxiété, de la dépression et de la détresse psychologique. Cinq évaluations ont été réalisées : avant la prise
en charge (T0), après six séances (T1), à la fin de la prise en charge (T2), puis à trois mois (T3) et 12 mois
(T4) après la fin de la thérapie. Les principaux résultats semblent indiquer une efficacité de la prise en charge
EMDR. En effet, on note une diminution de tous les indicateurs entre le début (T0) et la fin de la prise en charge (T2). En outre, lorsque cette diminution ne se poursuit pas à trois et à 12 mois, elle reste, au minimum,
stable à un an. Ces premières observations sont d’autant plus encourageantes que 10 à 15% des patients
endeuillés peuvent développer une dépression chronique.
The aim of this exploratory study is to test the application of therapy EMDR in case of traumatic bereavement.
The traumatic bereavement, which corresponds to the brutal loss of “significant other”, answers
a precise clinical picture whose principal characteristics are the intrusive thoughts concerning the late one
and of the difficulties of adjustment to the loss (feeling of vacuum, difficulties of recognizing the death,
irritability, lack of reactivity, etc). The eight participants all of this study are of the members of the family
of the victims of the train collision, which took place on October 12, 2006 in Zoufftgen. The subjects, old
on average 35.2 years (S.D. = 11.1) and including 75% women, followed between eight to 15 meetings
(m = 10.75, S.D. = 2.21) answering protocol EMDR. The effectiveness of the therapy was evaluated starting
from several criteria including traumatic bereavement, anxiety, depression and psychological distress. Five
evaluations were carried out: before the therapy (T0), after six meetings (T1), at the end of the therapy (T2),
then in three months (T3) and 12 months (T4) after the end of the therapy. The principal results seem to
indicate an effectiveness of the therapy EMDR. Indeed, we observe a reduction in all the indicators between
the beginning (T0) and the end of the therapy (T2). Moreover, when this reduction does not continue to three
and 12 months, it remains, at least, stable at one year. These observations are very encouraging especially
when it is known that 10 to 15% of the patient develops a chronic depression.
Keywords: Affective Disorder Anxiety Depression Traumatic Bereavement
Accuracy Verified: Yes
40. de Jongh, A. (1999, June). The application of EMDR in the treatment of specific phobias. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will 1) gain an understanding of when and how to apply the phobia protocol; and 2) learn to integrate the use of adaptive coping skills and exposure techniques into their EMDR work with phobic individuals.
Keywords: Phobias
Accuracy Verified: Yes
41. Hase, M. (2004, June). Application of eye movement desensitization and reprocessing (EMDR) on severe posttraumatic stress disorder following a single traumatic event in elderly psychiatric patients. In single trauma and grief (L. Cornil, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
Single traumatic events can lead to severe posttraumatic stress disorder (PTSD) with serious effects on some and psyche as well as on social functioning. Often our focus in diagnostics is limited on obvious traumatic experiences according to the ICD-10 or DSM-IV criteria of what a traumatic event should be. But trauma can be variant or masked by somatic illness or comorbid psychiatric disorder. Beside the straightforward PTSD cases, the clinician should pay attention to comorbidity and the effect of dysfunctionally stored, incompletely processed information in a variety of patients. PTSD seems to be underdiagnosed in elderly patients. This paper, as part of the symposium on the treatment of single traumatic events using EMDR, has it foundation in clinical practice and gives evidence on the importance if diagnosing for PTSD and applying appropriate treatment especially EMDR, in the subgroup of elderly patients. Two case examples of PTSD following a single traumatic event in the course of depressive illness and the course somatic illness illustrate important principles and give evidence of the successful application of EMDR in the treatment of PTSD following a single traumatic event with elderly patients. The guidelines for good clinical practice in the treatment of PSTD following a single traumatic event regarding EMDR standard protocol and procedural rules will be outlines. In some respects EMDR treatment has to be adapted to the special demands of the elderly. Some ideas will be formulated and discussed. The aim of the presentation is to encourage the clinician in engaging in active treatment of the sequelae of single traumatic events in general and specially to apply EMDR with elderly patients, hereby stimulating research on the application of EMDR with the elderly, a hitherto often neglected subgroup of patients.
Keywords: Elderly Grief Posttraumatic Stress Disorder PTSD Single Trauma Symposium
Accuracy Verified: Yes
42. Lansch, D. (2010, June). Application of the Four-Fields-Technique in treatment of a patient with dissociative disorder (case report). In Complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The treatment of complex traumatized patients is difficult.
Especially during long term treatments it is not easy for
the chronically traumatized individuals to tolerate the exhausting
confrontation with the trauma during the EMDR standard
procedure. On the other hand they have often problems to
recognize the severity of what happened to them. Many have
problems with their compromised feelings of self-worth. Those
and other clinical problems are the reason to look for alternative
EMDR techniques. The Four-Field-Technique. one of the techniques of EMDR.
could be a good approach to solve some of these problems.
It was developed by Jarero et al, as a group protocol which
followed the 8 phases of the standard EMDR protocol (STDP).
Different from the STDP is that the moment of greatest distress
is drawn on a sheet of paper (after drawing a resource image
before and installing it with (bilateral: butterfly hugs. Different
from the group protocol patients some benefit greatly from the
individual application of the technique.
In this lecture the long term treatment of a patient with a dissociative
disorder is reported. Thereby the different phases of trauma
treatment will be demonstrated via spates of pictures. The four field-
technique itself will be explained as well as the difference to
the standard protocol of EMDR as the patient experienced.
Keywords: Case Report Dissociative Disorder Four-Fields-Technique Symposium
Accuracy Verified: Yes
43. Cocco, N. (1995, June). Applications of EMDR to children: EMDR in the treatment of darkness phobia in children. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR in the treatment of darkness phobia in children:
1. Overview of Darkness Phobia:
A. Assessment of Childhood Phobias;
B. Definition;
C. Prevalence;
D. Consequences.
2. Treatment Literature on Darkness Phobia:
A. Invivo Exposure;
B. Imaginal Desensitization;
C. Modeling Symbolic and Participant;
D. Coping Self Talk;
E. Emotive Imagery.
3. [Preliminary Data on Controlled Comparison Between Emotive Imagery and EMDR:
A. Aims of Study;
B. Method: Subject,
Design,
Procedure: Assessment, Treatment Protocols;
C. Results;
D. Discussion.
4. EMDR Protocol:
A. Assessment of Darkness Phobia;
B. Hero Interview;
C. EMDR Target Selection;
D. Fantasy Based Cognitive Interweave:
Linking Cues/Cognition/Affect Superheros to Change Cognition and Affect.]
Keywords: Children Darkness Phobia
Accuracy Verified: Yes
44. Lecoq, J. C. (2007, June). Applied EMDR in sport in the World Equestrian Games of Aachen. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
I had only three weeks to work. Only 15 days to restore self-confidence, serenity, and determination for a woman rider. One week during the competition.
The woman rider had a bad experience during the Olympic Games of Athens. She had the best and the worst during the Olympic Games, The best was a bronze model and 0 mistakes during the jump.
The worst, she made several mistakes and fell down with her horse.
I felt during the first meeting a big atmosphere of fragility (no self confidence, no serenity, big stress) because there were difficulties with her ex-husband and family (her boys).
We had a short time and I decided to use an arrangement with mental imagery and specific EMDR exercise, like butterfly exercise, to install peak performance.
I used Sam Foster’s protocol for the sport and butterfly technique. We began with a SUD=8 and VOC=6 and the SUD finished at 2. This combination gave an amazing result because she rode well and she had a good result in these world equestrian games of AAchen (semi final: 23 place).
The specific exercise in EMDR (butterfly exercise) permits a peal performance in a few times. I gave you an example about the power of EMDR in sport.
Keywords: Aachen Horses Poster Sports World Equestrian Games
Accuracy Verified: Yes
45. Oren, U., & Konuk, E. (2010, July). Applied EMDR research: EMDR in the treatment of headache. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The need for research in the EMDR field has been clear since its beginning. EMDR therapists, like most other therapists,
have been reluctant to combine clinical work and research despite offers of support from the EMDR community. One of the
reasons for such an approach has to do with the sense that EMDR research has little to do with the “real” work of clinicians. A
team of Turkish therapists have decided to develop a protocol for treating chronic migraine headaches. Their work is based
on the original work of Grant (1999) and Marcus (2008). The presentation will describe the study they have conducted, the
protocol they have developed, and the future possible applications of their work. The ways in which this project can be used
as a prototype for further applied research in the EMDR field will be described.
A call for more applied research and ways to support it will be made.
Accuracy Verified: Yes
46. Ahmad, A., & Sundelin-Wahlsten, V. (2007, September). Applying EMDR on children with PTSD. European Child & Adolescent Psychiatry, 17(3), 127-132. doi:10.1007/s00787-007-0646-8.
Language: English
Format: Journal
Abstract:
Objective: To find out child-adjusted protocol for eye movement desensitization and reprocessing (EMDR). Methods: Child-adjusted modification were made in the original adult-based protocol, and within-session measurements, when EMDR was used in a randomized controlled trial (RCT) on thirty-three 6–16-year-old children with post-traumatic stress disorder (PTSD). Results: EMDR was applicable after certain modifications adjusted to the age and developmental level of the child. The average treatment effect size was largest on re-experiencing, and smallest on hyperarousal scale. The age of the child yielded no significant effects on the dependent variables in the study. Conclusions: A child-adjusted protocol for EMDR is suggested after being applied in a RCT for PTSD among traumatized and psychosocially exposed children (Springer).
Keywords: Case Studies Children Child Psychiatry Empirical Study Posttraumatic Stress Disorder Psychotherapy PTSD Quantitative Study Randomize Control Trial RCT Trauma Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
47. Casadaban, A. (1996, June). Applying EMDR to physical illness, injury, and symptoms in adults and children: EMDR protocol for the assessment and treatment of physical phenomena with selected applications. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Level I. Targeting of Physical Symptoms or Triggers.
Installing of Positive States
Use this level when:
client readiness and safety factors are met.
the experience of the symptom(s) is distressing to the client.
a limited number of therapy sessions is available.
the client does not necessarily have an awareness of the causes or
functions of the symptoms.
the client is not aware of a trauma related to the symptom.
w the assessment does not reveal trauma related to the symptom.
w trauma or other complicating issues are identified but the client's
stability or circumstances does not tolerate Level I1 or 111, and client
and therapist can devise ways to contain upsetting issues which may
come up.
the client wants to try for symptom relief without deeper processing. [Excerpt]
Keywords: Injury Physical Illness
Accuracy Verified: Yes
48. Britt, V. J., Diepold, J., & Bender, S. (2008, September). Applying energy psychology methods in the preparation phase of the EMDR eight step protocol. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
This workshop will explore and provide an additional means of stabilization and resource for the EMDR preparation phase, as well as expand therapeutic strategies to resolve treatment blocks and stuck processing. Using concepts such as correct polarity and methods like muscle-testing, which come from the emerging field of energy psychology, compromised psycho-energetic activity at the mind-body interface will be demonstrated. These methods can be incorporated into the EMDR preparation phase without compromising the 8 phase protocol.
Keywords: Energy Psychology Preparation Phase
Accuracy Verified: Yes
49. Britt, V., Diepold, J., & Bender, S. (2005, June). Applying energy psychology to treatment blocks in EMDR. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Although EMDR protocol offers a wide range of strategies to re-start blocked
processing, sometimes these methods do not resolve the impasse and
another perspective may be necessary. This workshop will expand the
concept of blocks-(i.e. blocking beliefs. looping and stuck processing) in
terms of the emerging field of energy psychology. We will demonstrate
what occurs when psycho-energetic activity in the mind-body interface is
compromised and how that can inhibit processing. It will introduce the
concepts and treatment of energetic blocks, muscle testing and polarity
compromise and explore how treatment corrections can be used to neutralize blocks without disrupting the EMDR protocol. Format: Lecture,
demonstration and experiential exercise.
Keywords: Energy Psychology
Accuracy Verified: Yes
50. 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
51. Tardy, J., & El Farricha, M. (2007, Juin). Approache Ericksonienne du traumatisme psychique et thérapie EMDR [Ericksonian approach of trauma]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.
Language: French
Format: Conference
Abstract:
Les techniques d’hypnose éricksonienne sont des outils très utiles au cours d’une psychothérapie, spécialement avec les personnes ayant connu des traumatismes répétés dans l’enfance. En effect, par le biais d’une dissociation thérapeutique, patient et thérapeute on accès à la mémoire traumatique neurobiologique et psychologique et le patient pourra (ré)experimenter la confiance dans ses propres forces naturelles.
Cependant, manié avec peu de précaution l’hypnose risqué d’aggraver la dissociation pathologique. L’association des techniques éricksoniennes et du protocole de la thérapie EMDR augmente les capacitiés de l’espirt et du corps et offre au paitent un meilleur contrôle émotionnel et un amélioration del la (ré)orientation à la réalité.
Le travail des auteurs est a situé dans le cadre de la psychothérapie brève des victimes et s’appuie sur une approche éricksonienne du traumatisme psychique et la thérapie EMDR en tant que novelle méthode thérapeutique efficace pour l’ESPT.
Mohammed El Farricha et Josette Tardy psychologues cliniciens, présenteront un apercu d’un programme de traitement psychothérapique expérimenté avec des patients en ambulatoire ces dix dernières années.
Dans cet atelier l’accent sera plus particulièrement mis sur l’apport des techniques d’hypnose éricksonienne qui semblent cliniquement efficaces et peuvent venir renforcer le protocole EMDR au cours des phases: evaluation et terminaison.
Il s’agira par exemple de démontrer comment, lors de l’évaluation, guider la personne vers la concentration interne nécessaire à une desensitisation complete? Ou encore comment mieux projeter le patient dans un future <
Ericksonian hypnosis techniques are useful tools in the course of psychotherapy, especially with people who have experienced repeated trauma in childhood. In effect, through a separation treatment, patient and therapist is memory access neurobiological and psychological trauma for the patient to (re) experiment confidence in its own natural forces.
However, handled with some caution hypnosis risked aggravating the pathological dissociation. The combination of Ericksonian techniques and EMDR protocol extends the capabilities of espirt and body and offers better paitent emotional control and improvement del (re) orientation to reality.
The authors' work is situated in brief psychotherapy of victims and an approach based on Ericksonian of psychic trauma and EMDR as an effective therapeutic method novella for PTSD.
Mohammed El Farricha and Josette Tardy clinical psychologists, will present an overview of a program of psychotherapy experimented with outpatients in the last ten years.
In this workshop the emphasis will be placed on the contribution of Ericksonian hypnosis techniques that seem clinically effective and can reinforce the EMDR protocol in phases: evaluation and termination.
Some examples demonstrate how, during the evaluation, guide the person towards the internal concentration required for a complete desensitisation? Or how to better plan the patient in a future <> limitations of trauma?
Accuracy Verified: Yes
52. Sautai, G. (2007, Juin). Approche des patient poly-traumatisés par immersion EMDR [Approach of poly traumatised patients with EMDR immersion]. Présentation à la réunion annuelle de l'Association EMDR Europe, Paris, France.
Language: French
Format: Conference
Abstract:
Certains patients présentent "traumatisme poly» ou «empoisonnement psychique» tel que décrit par Jacques Roques dans «Guérir Avec l" EMDR. "Souvent, il s'agit d'un environnement socio culturel a commencé pendant l'enfance. Sur la base de l'hypothèse formulée par Francine Shapiro que le traumatisme peut engendrer des «bloqué les réseaux neuronaux," nous supposons une mise en forme "pourrait se produire au cours de la petite période d'apprentissage.
Exposés à un traumatisme insidieux et répétitifs, un jeune cerveau Virgin Stores réseaux neuronaux liés à la vulnérabilité des enfants en tant que mécanisme de défense. Cela pourrait être obstrué par des perturbations répétitives créer une souffrance psychologique. En tant qu'adulte, ce réseau neuronal inhibiteur, stimulée par déclenchement d'exprimer des comportements excessifs et une forte émotion que nous avons appelé le «non adapté en forme» (NAF).
Nous savons combien il est difficile de prendre ce type d'intoxication »en charge des séances de thérapie EMDR traditionnels en raison de l'interférence des composants multimodal. Habituellement, ils participent émotions mixtes liés à la sécurité, l'estime de soi et le libre choix. Par conséquent, nous avons développé une modalité particulière: EMDR immersion qui est un cours intensif de 10 jours consécutifs de traitement par le patient. «L'objectif clinique est de traiter les dimensions de la croissance personnelle et le développement ainsi que l'élimination de plus de la souffrance» (Francine Shapiro).
Notre expérience comprend 24 patients avec un niveau élevé de troubles psychologiques liés à la NAF. Seuls les patients avec expérience dissociative échelle score inférieur à 25 ont été considérés.
Nous utilisons l'approche thérapie EMDR suivant les 8 étapes du protocole standard.
Nous recevons toute l'histoire chronologique du patient, «de la naissance à aujourd'hui», permet nous permet d'identifier une moyenne de sept objectifs principaux.
Pour être capable de transmuer la NAF à une résolution d'adaptation, nous introduisons un des noms de ressources notamment l '«archaïsme», définie comme «la partie de l'être humain en charge de Live principe de préservation."
Nous l'accès au réseau d'information dysfunctionally stockée par le biais des objectifs.
Nous stimulons le système de traitement de l'information et de la maintenir en forme dynamique avec tactiles et autres additifs stimulations bilatérales. Nous passons l'information par le suivi du processus de libre-association et de lancement des procédures pour s'assurer que la cible transmue à une résolution adaptative.
Comme mesure psychométrique et méthode d'évaluation, nous utilisons l'échelle PCL-S sur les traumatismes exprimé par le patient au début de MED immersion. Le score moyen est de 70 degrés avant l'immersion elle à 28 deux mois plus tard et à 26 six mois plus tard.
En ce qui concerne les résultats encourageants, nous décidons de partager l'expérience afin de mettre à jour.
Some patients present with “poly traumatism” or “psychic poisoning” as described by Jacques Roques in “guérir avec l”EMDR.” Often it is a socio cultural environment started during childhood. Based on the hypothesis formulated by Francine Shapiro that trauma could engender “blocked neuronal networks,” we assume a “formatting” could occur during the childhood learning period.
Exposed to insidious and repetitive trauma, a virgin young brain stores neuronal networks related to the child vulnerability as defense mechanism. That could get blocked by repetitive disturbances creating psychological pain. As an adult, this blocker neuronal network, stimulated by trigger express excessive behaviors and strong emotion we called the “Non Adapted Formatting” (NAF).
We know how difficult it is to take this “poisoning” in charge with traditional EMDR sessions because of the multimodal components interfering. Usually, they involved mixed emotions related to security, self esteem and free choice. Therefore, we developed a particular modality: EMDR Immersion that is an intensive, 10 consecutive days of therapy with the patient. “The clinical goal is to address the dimensions of personal growth and development along with the elimination of over suffering” (Francine Shapiro).
Our experience includes 24 patients with a high level of psychological disturbance related to the NAF. Only patients with Dissociative Experience Scale score less than 25 were considered.
We use EMDR therapy approach following the 8 phases of the standard protocol.
We receive the complete chronological story of the patient, “from birth to now,” allows allows us to identify an average of seven main targets.
To be able to transmute the NAF to an adaptive resolution, we introduce a particular resource names “Archaism” defined as “Part of the human being in charge of Live Principle Preservation.”
We access the dysfunctionally stored information network through the targets.
We stimulate the information-processing system and maintain it in dynamic form with tactile and additive alternative bilateral stimulations. We move the information by monitoring the free-association process and initiating procedures to make sure that the target transmutes to an adaptive resolution.
As psychometric measurement and method evaluation, we use PCL-S Scale on the traumatisms expressed by the patient at the beginning of MED Immersion. The average score is at 70 before Immersion it degrees to 28 two months later and to 26 six months later.
Regarding the encouraging results, we decide to share the experiment in order to upgrade it.
Keywords: EMDR Immersion
Accuracy Verified: Yes
53. Leutner, S. (2012). Arbeit mit inneren anteilen im EMDR-prozess: stärkung der bindungsfähigkeit [Working with inner components in the EMDR process: Strengthening the binding ability]. Präsentation auf EMDRIA Tag, Köln, Deutschland.
Language: Swedish
Format: Conference
Abstract:
Working with EMDR and the AIP-Model have very similar goals in that they aim to strengthen the inner process of the client and overcome the effects of trauma. It is shown that the combination of both methods provides the therapist with a powerful tool. It is discussed which inner parts can play a part in processing trauma. Here we do not only look at the patient's side, but also at the side of the therapist and his or her ego-states, suggesting not only the patient takes care of traumatized ego-states and gets into touch with inner helpers, but the therapist, too takes into consideration which of his/her ego-states may be helpful or need protection whilst applying the emdr protocol.
Keywords: Adaptive Information Processing AIP Attachment Ego State Therapy Ego States
Accuracy Verified: Yes
54. MacCulloch, M., & Barrowcliff, A. (2001, May). Are EMDR effects caused by de-arousal?. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
Eye Movement Desensitisation and Reprocessing (EMDR) is increasingly being recognised
as a coherent therapeutic procedure in the treatment of Post Traumatic Stress Disorder
(PTSD) and other anxiety disorders, yet we still do not fully understand by which process or
mechanisms it might work. We consider a number of models implicating orienting or
investigatory reflexes as a significant contributor to the success of EMDR as a treatment
method. A series of experiments were designed to test the predictions derived from these
models, examining the physiological effects of eye-movements following auditory challenge
compared to an eyes-stationary condition. A significant physiological de-arousal effect is
observed in conditions requiring eye-movements similar to those used in the EMDR protocol.
We go on to consider the implications for this de-arousal effect in the treatment of PTSD and
present preliminary data from a case series designed to examine the unique contribution of
EMDR when used with treatment resistant clients. A range of psychometric and
psychophysiological process and outcome measures were utilised in this study, providing a
detailed evaluation of change over the course of the treatment design. Specialised software
was developed for use in this study, in addition to a computerised test and software is
provided, along with data obtained from this test.
Keywords: De-Arousal
Accuracy Verified: Yes
55. Roberts, A. R. (2002, Spring). Assessment, crisis intervention, and trauma treatment: The integrative ACT intervention model. Brief Treatment & Crisis Intervention, 2(1), 1-21.
Language: English
Format: Journal
Abstract:
This article presents a conceptual three-stage framework and intervention model that should be useful in helping mental health professionals provide acute crisis and trauma treatment services. The ACT model stands for Assessment, Crisis Intervention, and Trauma Treatment. This new model may be thought of as a sequential set of assessments and intervention strategies. The ACT intervention model integrates various assessment and triage protocols with the seven-stage crisis intervention model, and the ten-step acute traumatic stress management protocol. In addition, this article introduces and briefly highlights the other eight narrative, theoretical, and empirically based papers in this issue that focus on mental health and crisis-oriented intervention strategies implemented within 1 month after the September 11, 2001, terroristic mass disaster at the World Trade Center and the Pentagon.
Keywords: ACT Model Assessment Assessment Crisis Intervention Triage Crisis Assessment Crisis Intervention Trauma Treatment
Accuracy Verified: Yes
56. Richman, S., & O'Connor, M. (2013, March). Attachment and trauma. Presentation at the annual workshops EMDR Association UK & Ireland and AGM, Newcastle.
Language: English
Format: Conference
Abstract:
Presents case studies of children and adults who have experienced early attachment disruptions that have adversely affected their development and relationships in childhood and later life. They will discuss the consequences of early attachment disruptions on relationships and learning and the ways in which the 8 phases of the EMDR protocol have to be adjusted to accommodate different attachment styles. They will discuss treatment strategies stemming from the eight-phase EMDR protocol for clients of all ages suffering from attachment disruptions, linking the effect of attachment trauma to dissociative symptoms and other developmental problems. They will also give attention to how the Adaptive Information Processing Theory addresses the impact of attachment trauma.
Keywords: Attachment Trauma
Accuracy Verified: Yes
57. Cummings, P. (2003, September). The attachment repair model (ARM). Presentation at the annual meeting of the EMDR International Assocation, Denver, CO.
Language: English
Format: Conference
Abstract:
The Attachment Repair Model (ARM) is a loose and imaginal clinical structure to identify, activate, repair, and purge the negative experiences to one's neurological functioning. The importance of ego repair via integrative interventions takes priority over the purging of traumatic events. This presentation offers a paradigm shift in therapeutic goal setting from purging and desensitization of traumatic events to the integration of ego states. Within thc ARM, The Positive Parts and Hurting Parts (PP-HP) Meetings Protocol is an infrastructure of the
ARM with sensory extension protocols to the basic EMDR Protocol. The established ethos within clinical practice to first purge negative
emotion associated with trauma is upheld by the ARM, but as a second order priority. Participants will be challenged to think about their role as
healers.
Keywords: ARM Attachment Repair Model Positive Parts and Hurting Parts (PP-HP) Meetings Protocol
Accuracy Verified: Yes
58. Cummings, P. (2004, September). The attachment repair model (ARM) – One year later. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
The Attachment Repair Model (ARM) is one comprehensive fix after all else fails within the basic EMDR Model. The importance of neurological functioning, at an ego state level, must be repaired before the processing of traumatic event work is sustainable. Within various descriptions of the ARM, the basic EMDR protocol is expanded into a secondary goal of sustained neurological integration at a traumatic event(s) level. Learning about the ARM will peek a therapist’s thinking about their larger role as an emotionally attuned healer versus the more established role of facilitator of trapped life experience(s).
Keywords: Attachment Repair Model
Accuracy Verified: Yes
59. McKelvey, A. M. (2010). Awakening the buddha within, care of the caregiver utilizing chaplaincy coaching, EMDR and positive psychology. Upaya Zen Center and Institute, 1-76.
Language: English
Format: Other
Abstract:
I began to imagine working with highly functioning and resilient individuals
who were ready to move forward into the future. I worked
with my coach, diligently creating a coaching business that would sustain
me financially, emotionally, mentally, spiritually, and physically. I
began to transform EMDR, my major source of healing, from a trauma-based
modality to a modality of proactively living and breathing into the
mystery of the moment. I fell in love with EMDR all over again as my
clients worked with the Standard Protocol through the lens of attaining
their goals and dreams. EMDR was the modality each client used to encourage
the unfolding of an enhanced life while developing action steps.
Keywords: Chaplaincy Coaching Positive Psychology
Accuracy Verified: Yes
60. Mueller-Schwefe, R. (2010, June). Back into life - EMDR with primary withdrawal after trauma. In Experimental use of EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
“Where I am? I am somewhere between heaven and
earth, but I don't know where exactly." "My therapist waited
for my anger, but it just isn't there...nowhere” – “I can't imagine
anything helpful when I feel bad, I just don't have the
energy... it's all too much for me." – “I just want to give up...”
Reaction to traumatic events can vary a lot. This is true even
when a PTSD has been diagnosed. Contrary to the 'classical'
hyper-arousal response to traumatic memories there is also a
different pattern of response that is characterized by a lack of
an increase in heart rate, and very different pattern of neural activations,
despite having a severe case of acute and subsequent
PTSD'[l] and may go along with (peri- and posttraumatic) dissociation,
emotional numbness, exhaustion, withdrawal and
depression. The above statements belong to people with this
pattern of response who have experienced subsequent difficulties
already in the stabilization phase of their trauma-therapy.
First, I will present an understanding of this symptomatology,
the hypothesis being a predominance of the dorsal vagal system
(see: Polyvagal Theory [2] and activation of the early withdrawal
reflex (or: fear-paralysis reflex). This goes along with
particular cognitive and especially emotional and physical features.
Second, I will present a way to work with this condition, taking
into account that the completion of "interrupted action." In this
case does not imply an outward (fight or fight response) but an
inward orientation withdrawal).
EMDR with an adjusted protocol and tactile bilateral stimulation
provides the way to process and pull through this interrupted
(or unsatisfied) organismic withdrawal and the fear mostly associated
with this process. Returning from this deep and primary
withdrawal from life brings back the energy and the patient
turns back towards life; vagal predominance subsides and the
stuck impulse to withdraw releases.
1. Ruth A. Lanius, James W. Hopper, Ravi 5. Menon, Individual
Differences in a Husband and Wife Who Developed PTSD After
a Motor Vehicle Accident: A Functional MRI Case Study. Am J
Psychiatry 160:4. April 2003, p. 668.
2. Porges. S.W. (2001). The Polyvagal Theory: Phylogenetic
substrates of a social nervous system. International Journal of
Psychophysiology, 42, 123-146.
Learning objectives:
1. Recognize dorsal vagal predominance and primary withdrawal
after trauma,
2. Understand the different orientation of interrupted action/
trauma scheme, 3. Know how to help withdrawal-patients to stabilize and
process with adjusted EMDR-protocol and tactile or auditory
bilateral stimulation.
New and unique: Identifying this withdrawal-type of traumatic
reaction and scheme, understanding it with the help of Polyvagal
Theory and development of EMDR- adjusted protocol and
way to process this.
Keywords: Primary Withdrawal Symposium
Accuracy Verified: Yes
61. Knipe, J. (2009). Back of the head scale (BHS). In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 233-234). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Back of the Head Scale BHS Protocol
Accuracy Verified: Yes
62. Lendl, J. (2006, September). Back to basics: The positive template & affect bridge. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
One of the reasons EMDR is such a powerful
treatment method is the eight phase, three prong
protocol. The robustness of the method is not
achieved if any part of the protocol is dismissed.
Dr. Shapiro's recent trainings have emphasized
the need for the future template. The future
template is a combination of the use of imagery,
and used successfully in sport performance and health recovery, and bi-lateral stimulation. Back
fo Basics: The Positive Template is a workshop to remind participants of the importance of
positive templates in complete and incomplete
EMDR protocol sessions. The future template,
which addresses avoidance, adaptation, and
actualization, is a part of phase eight/reevaluation
and the third prong (future) of the EMDR
protocol. Preliminary research will be presented
that suggests positive templates are useful before
phase eight. Participants will learn to integrate
the positive template to help maintain skills
between sessions, encourage new skills and
practice ways to handle resistance. There will be
supervised practica for using the future template
and ESP (End Session Positive) template.
Additionally, this workshop has been expanded
to go over the Affect Bridge and practice will be
included.
Keywords: Affect Bridge Future Template Positive Template
Accuracy Verified: Yes
63. O’Malley, A. (2012, October). BART: A new protocol to enhance EMDR therapy. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK .
Language: English
Format: Conference
Abstract:
Bilateral Affective Reprocessing of thoughts or BART is a dynamic new model of trauma therapy designed to complement traditional EMDR therapy. Often with early touchstone memories the client has no verbal recall. It is impossible to access negative cognitions. In BART gut feelings are activated and connected to feelings and sensations elsewhere in the body. Ultimately heartfelt sensations link to the cerebral hemispheres and eventually the prefrontal cortex. Examples will illustrate combining BART psychotherapy combined with traditional EMDR.
Keywords: BART Bilateral Affective Reprocessing of Thoughts
Accuracy Verified: Yes
64. Veenstra, S., & de Roos, C. (2005, November). Behandeling van chronische pijn met EMDR [Treating chronic pain with EMDR]. Presentatie aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
In deze lezing staat de toepassing van EMDR bij de behandeling van chronische pijn centraal. Na een introductie over ‘pijn in het brein’ wordt aandacht besteed aan indicatiestelling: waarom en wanneer is EMDR geïndiceerd als behandeling voor chronische pijnpatiënten.
Verder worden de resultaten van een pilot-studie (drs. C. de Roos, Rivierduinen, Leiden; drs. A.C. Veenstra, St. Elisabeth Ziekenhuis, Tilburg; dr. Y.R. van Rood, Leids Universitair Medisch Centrum, Leiden) gepresenteerd. Deze studie werd uitgevoerd om het effect van Eye Movement Desensitisation and Reprocessing op chronische fantoompijn -na amputatie van een been- te onderzoeken. Tien patiënten werden behandeld tussen oktober 2003 en november 2004. Alle tien patiënten reageerden niet op eerdere pijnbehandelingen. Metingen vonden plaats voor en na de behandeling en bij een follow-up na 3 maanden.
Het derde deel van deze lezing is toegespitst op de toepassing van het EMDR pijnprotocol. Casuïstiek van patiënten met fantoompijn of post-whiplash klachten wordt geïllustreerd met videofragmenten.
In this lecture, the application of EMDR in the treatment of chronic pain center. After an introduction on "pain in the brain" focuses on needs assessment: why and when EMDR is indicated as a treatment for chronic pain patients.
Furthermore, the results of a pilot study (Drs C. Roos, Rivierduinen, Leiden, Dr AC Veenstra, St. Elisabeth Hospital, Tilburg, Dr YR van Rood, Leiden University Medical Center, Leiden) presented. This study was conducted to evaluate the effect of Eye Movement Desensitisation and Reprocessing of chronic phantom pain after amputation of a leg to investigate. Ten patients were treated between October 2003 and November 2004. All ten patients did not respond to previous pain treatments. Measurements were performed before and after treatment and a follow-up after 3 months.
The third part of this lecture focuses on the application of the EMDR protocol pain. Case histories of patients with phantom pain or post-whiplash symptoms is illustrated with video clips.
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In this lecture, the application of EMDR in the treatment of chronic pain center. After an introduction on "pain in the brain" focuses on needs assessment: why and when EMDR is indicated as a treatment for chronic pain patients. Furthermore, the results of a pilot study (Drs C. Roos, Rivierduinen, Leiden, Dr AC Veenstra, St. Elisabeth Hospital, Tilburg, Dr YR van Rood, Leiden University Medical Center, Leiden) presented. This study was conducted to investigate and evaluate the effect of Eye Movement Desensitisation and Reprocessing of chronic phantom pain after amputation of a leg. Ten patients were treated between October 2003 and November 2004. All ten patients did not respond to previous pain treatments. Measurements were performed before and after treatment and a follow-up after 3 months.The third part of this lecture focuses on the application of the EMDR protocol pain. Case histories of patients with phantom pain or post-whiplash symptoms is illustrated with video clips.
Keywords: Chronic Pain
Accuracy Verified: Yes
65. Kiessling, R., & Kacsur, R. (2002, June). Being brief with EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
While there have been many modifications of the standard EMDR protocol to address a multitude of client issues, little has been said about
integrating EMDR with Brief Therapy. Many clients seeking EMDR treatment may have a specific problem needing immediate relief, or have
limited time, financial resources, or insurance benefits. This workshop is
designed to help the EMDR clinician adapt brief treatment strategies to
the standard EMDR approach. A belief/feeling cluster focused history
taking approach is combined with a narrowly focused targeting strategy that effectively addresses identified past, present and future targets. The installation phase of treatment is extended into present and future
targeting strategies. This strategy not only addresses present and future issues more rapidly, but also identifies additional blocking beliefs that may require targeting in order for the client to achieve full resolution of the presenting problem.
Keywords: Brief Therapy
Accuracy Verified: Yes
66. Gersons, B., & Schnyder, U. (2007, November). Beyond exposure alone: Brief eclectic psychotherapy for PTSD. Presentation at the pre-meeting for Institute of the 23rd of the International Society for Traumatic Stress, Baltimore MD.
Language: English
Format: Conference
Abstract:
The efficacy of psychotherapeutic and pharmacotherapeutic
approaches in the treatment of PTSD can be regarded as empirically
demonstrated. Overall, effect sizes seem to be higher for psychotherapy
as compared with medication. Many well-controlled trials
with a mixed variety of trauma survivors have demonstrated that
CBT is particularly effective in treating PTSD. More specifically,
exposure therapy currently is seen as the treatment modality with
the strongest evidence for its efficacy. However dropout rates from
studies of CBT (including EMDR) usually are around 20 percent. Up
to 58 percent of patients who completed CBT are still diagnosed
with PTSD at posttreatment assessment. Furthermore, only 32-66
percent of patients included achieved good end-state functioning.
There is a need to have treatment protocols based on CBT which
meet more the expectations of traumatized clients. The 16-sessions
Brief Eclectic Protocol (BEP) originally developed for police officers
with PTSD proved to be effective in two randomized controlled trials
and has been accepted in the NICE-Guidelines (2005). The second
trial also showed effectivity on biological data. A trial in Zurich
is still running. BEP encompasses apart from a slightly different form
of exposure psychoeducation at the start (with the partner present),
the use of letter writing to express angry feelings, the use of memorabilia
and 12 sessions for the domain of meaning, how it changes
the view on the world and on the person his or herself. It is ended
with a farewell ritual. The dropout rate is lower compared to the traditional
CBT. In the workshop the protocol will be presented, discussed
and parts of it will be trained.
www.
Keywords: Brief Eclectic Psychotherapy
Accuracy Verified: Yes
67. Gomez, A. (2008, September). Beyond PTSD: Treating depression in children and adolescents using EMDR. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Traumatized children frequently exhibit symptoms of disorders other than PTSD. There is evidence of comorbidity between PTSD, depression and other behavioral disorders and a large overlap in symptom criteria between PTSD and depression in children and adolescents. The first part of this presentation explores what current research has identified as the key factors for the development of depression in children and adolescents. The evidence linking trauma, stress and PTSD to some forms of depression and the relationship between disorders of attachment, difficulties with affect regulation and the development of depression in children and adolescents will be explored. The second part of this presentation will introduce preliminary evidence that EMDR can be a potentially effective treatment for depression in children and adolescents through a series of case studies and anecdotal reports. The presentation will conclude with an overview of strategies for working with depressed children and adolescents across the eight phases of the EMDR protocol. Even though this presentation will focus on working with pediatric depression, it will provide a foundation for understanding and treating adult depression as well. Video clips of sessions will be shown to provide a concrete and tangible experience for clinicians.
Keywords: Adolescents Children Depression
Accuracy Verified: Yes
68. Korn, D., Weir, J., & Rozelle, D. (2005, June). Beyond the data: Clinical lesions learned from a four-year treatment outcome study comparing EMDR to prozac. Plenary presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
"Bridging the gap between research and clinical practice" is a challenging
and elusive goal. Outcome data, while critical for the legitimacy and
advancement of clinical work, often fail to translate into practical skill sets. It
is only when clinicians look beyond the data that they learn some of the
most valuable lessons of research.
In this session, we will present the results of a four-year, randomized
controlled study comparing EMDR to Prozac in the treatment of PTSD. We
will also explore the clinical and practical lessons learned throughout the
study. We will address assessment and history taking, treatment planning,
readiness for processing, target selection. transference and
countertransference, and adult versus childhood onset trauma.
We hope to give EMDR practitioners an in-depth analysis of the real-life
processes, dilemmas, and learning that took place during our protocol based
treatment outcome study. Video segments will be used to illustrate
clinical concepts and key points. And perhaps, most importantly, these
same segments will be used to demonstrate how we struggled to recognize
and learn from our own mistakes.
Accuracy Verified: Yes
69. Withers, D. (1999, June). Bilateral movement therapy. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) learn to implement Bilateral Movement Therapy, an innovation of EMDR, into a Group Therapy Model, establishing group safety, cohesion and culture; 2) learn to incorporate Dance Movement Therapy techniques and theory into the standard EMDR protocol using the whole body rather than just eye movements; and 3) explore the use of Bilateral Movement Therapy with a variety of treatment issues and populations and how to assess its appropriateness for each.
Keywords: Bilateral Movement Therapy Dance Movement Therapy Group Therapy Model
Accuracy Verified: Yes
70. Brisch, K.-H. (2012). Bindung und EMDR: Grundlagen für die therapeutische bindungsbeziehung und die behandlung von bindungstraumatisierungen [Binding and EMDR: Basic principles for the therapeutic relationship and the bond treating attachment traumas]. Präsentation auf EMDRIA Tag, Köln, Deutschland.
Language: German
Format: Conference
Abstract:
Bindung und EMDR III:
Prozessieren von Affekten
• EMDR Protokoll
– Aufrechterhaltung der Beziehung beim EMDR
– Therapeut sagt beim Prozessieren mit EMDR
• „ja, gut so, hm, oh ja, ich bin da, bleiben sie
dabei,…..
– Pause zwischen Sets
• Reorientierung und Einweben von Sicherheit
– Ich bin hier bei Ihnen
– Sie sind in Sicherheit [Auszug]
Binding and EMDR III:
Processing of emotions
• EMDR protocol
- Maintaining the relationship with EMDR
- Therapist says when processing with EMDR
• "Yes, that's good, huh, oh yeah, I'm there, they remain
going .....
- Break between sets
• Reorientation and weaving in security
- I'm here with you
- You're safe [Excerpt]
Keywords: Attachment Trauma
Accuracy Verified: Yes
71. Anchisi, R., Guzzi, R., Fernandez, I., Giannantonio, M., & Ziveri, D. (2001, October). Biofeedback measures in EMDR treatment. In Collegium Internationale Activitatis Nervosae Superioris; International Association for Integrative Nervous Functions, Neurobiology of behaviour and Psychosomatics, (pp 141-148). Palermo, Italy.
Language: English
Format: Conference
Abstract:
We compared the pre and post therapeutic treatment data using standard EMDR, using a lool such as biofeedback, capable of measuring certain physiologcail parameters in an objective way. The goal was to check variations in the physiological indices and subjective evaluations of well being and discomfort in the subjects.
Some psychotherapists will select subjects using an initial telephone screening followed by a battery of suitable tests. Using such tools, subjects affected by PTSD without comorbidity will be chosen. Independent assessors
will evaluate them again after six weeks (blind design). After this assessment, subjective data will be collected using the SUD scale and objective data will be collected using the SPR, Thermo, Heart Rate, EMG of the biofeedback channels. After exposure the subjects will be randomly assigned to an experimenta1 group, they will be going to meet in six sessions using the EMDR standard protocol and carried out by therapits recognized by the Association EMDR Italy; the other half of the sample will
represent the control group in a waiting list. Once more, all the subjects will be exposed to the trauma, this time listening to the recording of their description of the traumatic event. The SUD and biofeedback values will be then measured again. The comparison of the data of the SUD scale with the data of the biofeedback
channels, in particular the SPR channel, plus the evaluation of the group of independent clinicians using the above-mentioned tests, will provide the co-ordinates for an evaluation (both subjetive and physiological) of the clinical results of the EMDR therapy.
Keywords: Biofeedback Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
72. Blore, D. (2009, October). Blind to therapist protocol. Presentation at the 2nd EMDR Autumn Workshop Conference, Leeds, UK.
Language: English
Format: Conference
Abstract:
The Blind to Therapist (B2T) Protocol (Blore & Holmshaw 2006, 2009), is aimed at helping provide EMDR in special circumstances – particularly where the client is unwilling to describe a target image either because the client fears that the therapist will be disgusted or overwhelmed by the content - as in sexual abuse trauma, and/or where the client is reluctant to relinquish further perceived control for the purposes of conducting EMDR. In essence, the B2T protocol abandons the idea of 'client avoidance' and modifies EMDR so as to accommodate avoidance until the client is ready to identify traumatic material.
Keywords: Blind to Therapist Protocol
Accuracy Verified: Yes
73. Grand, D. (1996, June). Body processing: Innovative applications of EMDR to the somatic experience. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
In Dr. Francine Shapiro's development of the EMDR treatment method she has highlighted
the importance of the role played by the body (soma) in the processing experience.
According to her empirical findings, physical sensations can be activated by attending to
a traumatic memory, may be a component of the sensory experience of the target trauma
itself (i.e. an accident or an attack) and are additionally elicited by the resonance of the
negative cognition. Accordingly, body sensations are invaluable focal points for EMDR
processing. The clear body scan is a fundamental criterion used to determine the
completion of a treatment protocol. Significant somatic involvement in EMDR is also
demonstrated by the use of hand tapping as an alternative to eye movements as a method
of bi-hemispheric activation.
Keywords: Body Processing Somatic Experience
Accuracy Verified: Yes
74. Ulrich, L. (2009). The bottom-up processing protocol. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 349-356). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Bottom-Up Processing Protocol
Accuracy Verified: Yes
75. Phillips, M. (2007, September). Bottom-up processing: Working with the body through energy psychology. Vortrag im Rahmen der Ersten Europäischer Kongress für Energie-Psychologie und Psychotherapie, Heidelberg, Deutschland.
Language: English
Format: Conference
Keywords: Bottom-Up Processing Protocol
Accuracy Verified: Yes
76. Haour, F. (2009, June). Brain source imaging of the alpha rhythm in PTSD patients using the MEG technique. In K. Zaal (Chair), Research). Symposium conducted at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Abstract:
In anxiety disorders, such as PTSD, brain imaging has demonstrated local modifications of functional activities using various techniques. In the present study the direct neuronal activities were measured in delta, theta and beta frequencies, using Magnetoencephalagraphy (MEG) which provides very fast temporal response. The technique is neither invasive nor stressful for the patients.
Nineteen female volunteers with DSM-IV PTSD were included in the study. The protocol was a script-driven imagery provocation test, achieved with the patients sitting in the MEG apparatus. The scenarios, specific for ach patient, were composed of 4 active conditions: neutral image (N) traumatic memory (T), traumatic memory suppression (TS) and positive image (P) corresponding to 3 minutes where the patient had to imagine the corresponding sequence with eyes closed Measures of heat rate and subjective disturbance (SUD) were measured during the recoding. The MEG data were analysed in the source domain using a spatial filtering approach. Measurement of electrophysiological waves of various rhythms: delta: 1-4 Hetz (Hz), theta: 4.8-5.8 Hz, alpha: 8-12 Hz and beta: 12-25 Hz was obtained. Anatomical information was from MRI imaging.
Signal of activation during trauma recall (T-N) were limited to the delta and theta waves and mainly found in the left hemisphere (visual, orbitofrontal and dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-19, 22, 28) and in the right supra marginal gyrus (Wernicke BA 40).
Signal of inhibition during trauma recall (T-N) were found mainly in the left hemisphere, in the delta, alpha and beta waves (visual, orbitofrontal, dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-18, 22, 28), cingular cortex (BA 23-24, 31, 32), insula (BA 13) and Broca visual cortex (BA 18-19, 43-44).
In conclusion trauma recall mainly induces a hypoactivation in the ventromedial prefrontal cortex and in the cingular cortices, structures linked to the experience and regulation of emotions.
Keywords: Alpha Rhythm Brain Imaging MEG Technique Posttraumatic Stress Disorder PTSD Research Symposium
Accuracy Verified: Yes
77. Haour, F. (2010, June). Brain source imaging using magnetoencephalography (MEG): Modifications in various rhythms during memory recall, in PTSD patients. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
In anxiety disorders, such as PTSD, brain imaging has demonstrated local modifications of functional activities using various techniques. In the present study the direct neuronal activities were measured in delta, theta and beta frequencies, using Magnetoencephalagraphy (MEG) which provides very fast temporal response. The technique is neither invasive nor stressful for the patients.
Nineteen female volunteers with DSM-IV PTSD were included in the study. The protocol was a script-driven imagery provocation test, achieved with the patients sitting in the MEG apparatus. The scenarios, specific for ach patient, were composed of 4 active conditions: neutral image (N) traumatic memory (T), traumatic memory suppression (TS) and positive image (P) corresponding to 3 minutes where the patient had to imagine the corresponding sequence with eyes closed Measures of heat rate and subjective disturbance (SUD) were measured during the recoding. The MEG data were analysed in the source domain using a spatial filtering approach. Measurement of electrophysiological waves of various rhythms: delta: 1-4 Hetz (Hz), theta: 4.8-5.8 Hz, alpha: 8-12 Hz and beta: 12-25 Hz was obtained. Anatomical information was from MRI imaging.
Signal of activation during trauma recall (T-N) were limited to the delta and theta waves and mainly found in the left hemisphere (visual, orbitofrontal and dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-19, 22, 28) and in the right supra marginal gyrus (Wernicke BA 40).
Signal of inhibition during trauma recall (T-N) were found mainly in the left hemisphere, in the delta, alpha and beta waves (visual, orbitofrontal, dorsolateral prefrontal and temporal gyrus (BA 8-9-10-11, 18-18, 22, 28), cingular cortex (BA 23-24, 31, 32), insula (BA 13) and Broca visual cortex (BA 18-19, 43-44).
In conclusion trauma recall mainly induces a hypoactivation in the ventromedial prefrontal cortex and in the cingular cortices, structures linked to the experience and regulation of emotions.
Keywords: Magnetoencephalography MEG Memory Recall Posttraumatic Stress Disorder PTSD Research Rhythms Symposium
Accuracy Verified: Yes
78. Miller, R. (2011, August). Breaking impulse-control disorders: A new theory and protocol for compulsions. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
The Feeling-State Theory of Impulse-Control Disorders postulates that Impulse-Control Disorders such as pathological gambling, sexual addiction, and compulsive shopping are created when intense positive feelings become linked with specific behaviors. The effect of this linkage is that the person compulsively reenacts the behavior related to that original positive-feeling event. The therapy described in this presentation is the Impulse-Control Disorder Protocol (ICDP), which uses a modified form of eye movement desensitization and reprocessing (EMDR) to address these fixations. Three case studies wiill be used to illustrate the theory and the application of ICDP.
Keywords: Feeling-State Theory Impulse-Control Disorders
Accuracy Verified: Yes
79. Isermann M., & Diegelmann, C. (2000, September). Breast cancer: PTSD symptoms, EMDR and quality of life. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) learn about current research on psychological aspects of breast cancer; 2) learn about relevant dimensions of quality of life in breast cancer patients; 3) learn about the efficacy of EMDR in the treatment of breast cancer patients; and 4) learn about adaptations of the standard protocol to criteria for using EMDR in the treatment of breast cancer patients.
Keywords: Breast Cancer Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
80. Rost, C. (2010, June). Bridging the gap between stabilisation and trauma confrontation. Pre-conference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
When processing trauma material during the EMDR session, we often see the spontaneous appearance of resource material. This helps patients to come to terms with the traumatic memory. With complex traumatized patients, this material appears far less frequently, and the EMDR process can be much harder. We can support the process by activating specific resources, both before and during the EMDR session.
During this workshop, specific resource techniques will be presented and practiced which can help to stabilize complex traumatized patients and which can also be combined with the EMDR standard protocol: Position of Power, Power Animal, Body Resource, CIPOS, and a protocol for early childhood memories.
Keywords: Body Resource CIPOS Position of Power Power Animal
Accuracy Verified: Yes
81. Gersons, B. (2013, June). Brief eclectic psychotherapy for PTSD (BEP). Presentation at the 13th annual conference for the European Society for Traumatic Stress Studies (ESTSS), Bologna, Italy.
Language: English
Format: Conference
Abstract:
Brief eclectic psychotherapy for PTSD (BEP) is a trauma-focused treatment which has been shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is a need not only for decreasing anxiety but also for learning how the traumatic event has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (www.traumatreatment.eu). BEP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEP-protocol has proved to be effective in randomized controlled trials. Also psychobiological recovery has been demonstrated. In the workshop the different elements of BEP will be outlined and taught, also using a DVD. Similarities and differences between CBT and EMDR will be presented. To summarize, CBT, EMDR and BEP are equally effective in reducing PTSD by different forms of exposure. BEP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Clinical cases will be discussed.
Keywords: BEP Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
82. Gersons, B. (2011, June). Brief eclectic psychotherapy for PTSD (BEPP). Preconference presentation at the 12th annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Brief eclectic psychotherapy for PTSD (BEPP) is a trauma-focused treatment which has shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is need for not only decreasing anxiety but also for learning from the traumatic how it has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (www.traumatreatment.eu). BEPP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEPP -protocol in RCT 's has proofed to be effective. Also psychobiological recovery has been demonstrated. In the Workshop the different elements of BEPP will be outlined and trained, also with DVD. Similarities and differences with CBT and EMDR will be presented. To summarize, CBT, EMDR and BEPP are equal effective in reducing PTSD by different forms of exposure. BEPP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Cases of participants will be discussed.
Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disosder PTSD
Accuracy Verified: Yes
83. Gersons, B. (2011, June). Brief Eclectic Psychotherapy for PTSD (BEPP). Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.
Language: English
Format: Conference
Abstract:
Brief eclectic psychotherapy for PTSD (BEPP) is a trauma-focused treatment which has shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is need for not only decreasing anxiety but also for learning from the traumatic how it has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (http://www.traumatreatment.eu/). BEPP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEPP -protocol in RCT 's has proofed to be effective. Also psychobiological recovery has been demonstrated. In the Workshop the different elements of BEPP will be outlined and trained, also with DVD. Similarities and differences with CBT and EMDR will be presented. To summarize, CBT, EMDR and BEPP are equal effective in reducing PTSD by different forms of exposure. BEPP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Cases of participants will be discussed.
Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
84. Gersons, B. (2011, June). Brief Eclectic Psychotherapy for PTSD (BEPP). PreConference presentation at the 27nd annual meeting of the International Society for Traumatic Stress Studies, Vienna, Austria.
Language: English
Format: Conference
Abstract:
Brief eclectic psychotherapy for PTSD (BEPP) is a trauma-focused treatment which has shown to be equally effective for the treatment of PTSD as CBT/PE and EMDR. It is the treatment of choice if there is need for not only decreasing anxiety but also for learning from the traumatic how it has changed one's life and view on the world. It has been developed as a 16-session treatment manual for PTSD when CBT and EMDR were not available (www.traumatreatment.eu). BEPP consists of (1) psychoeducation, together with a partner or close friend; (2) imaginal exposure preceded by relaxation exercises, focused on catharsis of emotions of grief and helplessness; (3) writing tasks to express aggressive feelings and use of mementos; (4) domain of meaning, focused on learning from the trauma, oneself and the world; (5) farewell ritual, to end treatment. The BEPP -protocol in RCT 's has proofed to be effective. Also psychobiological recovery has been demonstrated. In the Workshop the different elements of BEPP will be outlined and trained, also with DVD. Similarities and differences with CBT and EMDR will be presented. To summarize, CBT, EMDR and BEPP are equal effective in reducing PTSD by different forms of exposure. BEPP also offers essential learning from the traumatizing events based on psychodynamic insights and stimulates posttraumatic growth. Cases of participants will be discussed.
Keywords: BEPP Brief Eclectic Psychotherapy Posttraumatic Stress Disosder PTSD
Accuracy Verified: Yes
85. Rossello-Mir, J., Revert-Vidal, X., Obrador, P., & Cardell, E. (2007, June). Brief EMDR protocol versus bilateral stimulation in the treatment of spider phobia. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
EMDR, that includes bilateral stimulation, causes the desensitization and reprocessing of traumatic memories, thus reducing anxiety, distress, fear, and other symptoms related with several anxiety disorders. Previous results show it is effective in reducing symptoms of PTSD, panic disorder, public speaking anxiety, etc. Relying on some previous results we think that a brief EMDR protocol could be applied to relieve symptoms of specific phobias.
To investigate this issue, we study the efficacy of a new brief EMDR protocol in the treatment of spider phobia. Furthermore, our design tries to clarify the controversy about which components of the EMDR procedure are relevant for patient’s improvement. More specifically, we compare the effectiveness of our brief procedures with that of simple bilateral stimulation that is, without eye movements, which necessity to obtain therapeutic outcome has been questioned.
We randomly assign twenty volunteers, female university students with spider phobia to one of three groups. We applied the brief EMDR protocol to the first one and bilateral stimulation to the second one, being the third group the control one. To assess the effectiveness of both treatments, in addition to apply traditional questionnaires, we designed a specific emotional Stroop task in order to make use of this tool to evaluate, before and after each treatment, the selective attentional biases, that seem to play an important role in the etiology and maintenance of anxiety disorders. We discuss the differences found in our results in reference to the controversy aforementioned and how they can help to understand the EMDR mechanism of action.
Keywords: Bilateral Stimulation BLS Brief EMDR Spider Phobia
Accuracy Verified: Yes
86. Hettiarachchi, M. (2007). Brief intervention for post traumatic stress disorder with combined use of cognitive behaviour therapy and eye movement desensitisation reprocessing. Australian e-Journal for the Advancement of Mental Health, 6(1), 1-5.
Language: English
Format: Journal
Abstract:
This case study is of a 23 year old female diagnosed with Post Traumatic Stress Disorder (PTSD) in Sri Lanka, six months following the Asian Tsunami of December 2004. The intervention was conducted in a village clinic on the southern coast of the country. Treatment involved the use of Cognitive Behavioural Therapy (CBT) and Eye Movement Desensitisation Reprocessing (EMDR). The Beck Anxiety Inventory (BAI) was used to monitor levels of anxiety. The Impact of Event Scale (IES) was administered to assess level of intrusion and avoidance (Horowitz, Wilner & Alvarez, 1979). Subjective Units of Distress Scores (SUDS) were obtained to assess level of distress and the Validity of Cognition Scale (VOC) used to assess accuracy of positive beliefs (Shapiro, 2001). A significant reduction in trauma symptoms, levels of distress, intrusion and avoidance were noted at post-treatment. Treatment gains were maintained at one month and nine month follow-up. The combined treatment protocol may be an effective brief intervention to use in situations that require rapid treatments to alleviate personal psychological distress in the aftermath of large scale disasters.
Keywords: Asian Tsunami Brief Intervention Clinical Case Study Cognitive Behavior Therapy Cognitive Therapy Emotional Trauma Natural Disasters Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
87. Zaghrout-Hodali, M., Alissa, F., & Dodgson, P. (2008). Building resilience and dismantling fear: EMDR group protocol with children in an area of ongoing trauma. Journal of EMDR Practice and Research, 2(2), 106-113. doi:10.1891/1933-3196.2.2.106.
Language: English
Format: Journal
Abstract:
A number of studies indicate that EMDR (eye movement desensitization and reprocessing) may be efficacious in treatment of children and young people with symptoms of posttraumatic stress. However, reports are limited in the use of the EMDR psychotherapy approach in situations of ongoing violence and trauma. This case study describes work with 7 children in an area of ongoing violence who were subject to repeat traumas during the course of an EMDR psychotherapy intervention, using a group protocol. Results indicate that the EMDR approach can be effective in a group setting, and in an acute situation, both in reducing symptoms of posttraumatic and peritraumatic stress and in "inoculation" or building resilience in a setting of ongoing conflict and trauma. Given the need for such applications, further research is recommended regarding EMDR's ability to increase personal resources in such settings. [Author Abstract]
Keywords: Acute Stress Disorder Cognitive Processes Conflict Intifada Group Psychotherapy Multiple Traumatic Events Palestinians Psychotherapeutic Processes Recent Events Resilience Group Therapy Survivors School Age Children Trauma Treatment
Accuracy Verified: Yes
88. Artigas, L., & Jarero, I. (2009). The butterfly hug. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Special populations (pp. 5-7). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Butterfly Hug Protocol
Accuracy Verified: Yes
89. Boèl, J. (2000, September). The butterfly hug plus drawings: Clinical and self-care applications. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) identify several vicarious traumatization and negative countertransference issues which commonly arise when working as a therapist with trauma victims; 2) demonstrate the use of countralateral self-stimulation and drawings based on a standard EMDR protocol applied to stressful work-related issues; and 3) describe the use of contralateral self-stimulation and drawings based on a standard EMDR protocol may be modified with individuals or groups of adults or older children.
Keywords: Butterfly Hug Drawings Groups Contralateral Self-Stimulation Work-Related Stress
Accuracy Verified: Yes
90. Gertner, K. (2008). Butterfly hug: An explanation of EMDR for children. emdrresources.com.
Language: English
Format: Book
Abstract:
A valuable resource for trained EMDR therapists. Butterfly Hug educates and familiarizes children in therapy (and their parents) with the EMDR process prior to actual use of the protocol. Butterfly Hug gives both the history of the approach as well as sharing an inviting story line from a child's own healing experience with EMDR.
Keywords: Butterfly Hug Children
Accuracy Verified: Yes
91. Brin, S. (2009). Butterfly protocol. EMDR Israel.
Language: English
Format: Other
Abstract:
Shula Brin, an EMDR facilitator, sent in her version of the butterfly protocol to our
journal. The butterfly hug was first developed as a self-soothing technique by Lucy
Artigas in 1997, while she was working in Acapulco with groups of survivors of
hurricane “Paulina”. A development of the "butterfly hug" was presented at the
international EMDR conference in Toronto, 2000, by Judith Boel. [Excerpt]
Accuracy Verified: Yes
92. Gauvreau, P. (2012, April). Ça bloque! Ça boucle! (looping)! Que faire? [It freezes! This loop! (looping)! What to do?]. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.
Language: French
Format: Conference
Abstract:
S’inspirant à la fois du modèle de traitement adaptatif de l’information/protocole EMDR et de notions en dissociation structurelle, des stratégies pour gérer les blocages au retraitement et les boucles seront présentées. Nous aborderons les stratégies avec ou sans tissage cognitif à l’aide d’exemples cliniques. Également, des stratégies faisant appel aux états du moi seront abordées dans des cas plus complexes de blocages au retraitement.
Objectifs d’apprentissage:
1. Identifier les clients qui sous ou sur-accèdent au matériel et les stratégies à mettre en place
2. Reconnaître quand le retraitement est bloqué ou quand il y a présence de boucles et choisir des stratégies à mettre en place
3.Connaître des stratégies sans tissage
4.Connaître des stratégies avec tissage
5.Connaître quelques stratégies faisant appel aux états du moi – dissociation structurelle.
Inspired by both the model adaptive processing of information / EMDR protocol and concepts in structural dissociation, strategies to handle deadlocks reprocessing and loops will be presented. We will discuss strategies with or without cognitive weaving using clinical examples. Also, strategies involving the ego states will be addressed in more complex cases of blockages reprocessing.
Learning Objectives: 1. Identify customers who underexposed or access the materials and strategies to implement 2. Recognize when the restatement is blocked or when there is presence of loops and choose strategies to implement strategies without 3.Connaître 4.Connaître weaving weaving 5.Connaître strategies with some strategies to use ego states - structural dissociation.
Keywords: Interweaves Looping
Accuracy Verified: Yes
93. Sabey, A. (2001, May). Can EMDR be used within a client-centred (non-directive) play therapy sessions?. Poster presented at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
The purpose of this exploratory study was to see whether EMDR could he incorporated into a
Client-Centred model of Play Therapy, to enable children and adolescents to more rapidly
process traumatic memories, thereby enhancing the therapeutic process. The Client-Centred
(non-directive) Play Therapy model is now well recognised as a way of helping children and
adolescents who have experienced psychological trauma to work through their experiences in
a way that is both empowering and non-threatening. It is based on Rogerian principles
(Rogers 1951), with the philosophy that given the right therapeutic conditions the children,
like adults, have an innate drive towards health. The child leads the way, and the therapist
follows. I have struggled to see how EMDR can fit comfortably within a client-centered play
therapy model, although I recognise that Shapiro describes the model as client-centred.
To test a hypothesis that EMDR could be integrated into a client-centred play therapy
approach, three children were identified. All 3 were waiting for some regular weekly client-centred
play therapy sessions, within the Child and Adolescent Mental Health Service, in
West Yorkshire. The subject of the study were two girls, one aged 8 years old and the other
aged 14 years with a mild learning disability, and a boy who was 13 years old. All three had
experienced complex psychological trauma including sexual abuse.
My dilemma was whether it was in fact possible to introduce EMDR within the sessions, and
if so, how to do this in a way that enhanced the therapeutic process and did not intrude. The
sessions were set up introducing the EMDR protocol alongside setting up the client-centred
play therapy sessions. Each child was offered 10-12 weekly sessions. In this presentation I
will summarise my findings and hope to show how possible ways the two approaches can be
integrated.
Keywords: Children Play Therapy Poster
Accuracy Verified: Yes
94. Greenwald, R. (2007, June). Case conceptualization for EMDR therapists. Presentation at the annual meeting of EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
This workshop will present a phase model of trauma-informed treatment that is consistent with the EMDR protocol and that clearly specifies how to go step by step towards EMDR. Participants will have practice analyzing a case from the trauma perspective, developing a structured case conceptualization and explaining this to clients, developing a structure treatment plan, and applying this model to their own cases. Case conceptualization has been widely identified as a skill in need of further development within the EMDR community; and developing a shared understanding and treatment plan has been identified as among "common factors" of effective therapy. This method of teaching case conpetualization and treatment planning has been documented to lead to improved participant attitudes and behaviors towards their challenging clients.
Keywords: Case Conceptualization
Accuracy Verified: Yes
95. Adler-Tapia, R., & Settle, C. (2009, August). Case conceptualization: Decision points in EMDR with children for attachment, dissociation, and concurrent diagnosis including OCD, ADHD, and PTSD. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This presentation will focus on illustrating decision points in EMDR in case conceptualization with children involving complex diagnoses. Videotapes will include sessions with young children diagnosed with post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD), attachment traumas, Traumatic Brain Injury (TBI), dissociation and other diagnoses. This is an interactive workshop where participants are encouraged to bring questions about the protocol and challenging issues in practice. Areas to be discussed: how attachment affects the progression of EMDR, at what point does dissociation impact the protocol, and at what point does the therapist consider installing mastery, resource development, or the Inverse Protocol.
Keywords: ADHD Attachment Disorders Attention Deficity Hyperactivity Disorder Case Conceptualization Children Dissociation Inverse Protocol Obsessive Compulsive Disorder OCD Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
96. Forgash, C., Leeds, A., Stramrood, C. A. I., & Robbins, A. (2013). Case consultation: Traumatized pregnant woman. Journal of EMDR Practice and Research, 7(1), 45-49. doi:10.1891/1933-3196.7.1.45.
Language: English
Format: Journal
Abstract:
Case consultation is a new regular feature in the Journal of EMDR Practice and Research in which a
therapist requests assistance regarding a challenging case and responses are written by three experts. In
this article, Amy Robbins, a certified eye movement desensitization and reprocessing (EMDR) therapist
from Atlanta, Georgia, briefly describes a challenging case in which a pregnant woman seeks treatment
for trauma suffered in a tornado. The clinician asks if it is advisable to provide EMDR treatment and what
concerns she should be aware of. The first expert, Carol Forgash, provides some general information about
pregnancy and psychotherapy and outlines considerations, concerns, and contraindications for proceeding
with EMDR. She recommends that if treatment is chosen, the therapist proceed with a recent trauma
protocol to specifically target the traumatic memories of the recent tornado. The second expert, Andrew
Leeds, comments on the absence of randomized controlled trials (RCTs) or other scientific reports exploring
the safety of EMDR treatment of pregnant women. He states that pregnant women with symptoms of
posttraumatic stress should understand that there is a high probability that EMDR will improve maternal
quality of life and that the risks of adverse effects on stability of pregnancy are probably low, but that
these remain unknown. The third expert, Claire Stramrood, explains that the few case studies that evaluated
EMDR during pregnancy have found positive effects but pertained to women with posttraumatic
stress disorder (PTSD) following childbirth. She asserts that once obstetricians have been consulted,
women have been informed about possible risks and benefits, and, given their informed consent, they
should be able to choose to commence EMDR therapy during pregnancy.
Keywords: Acute Stress Disorder ASD Posttraumatic Stress Disorder Pregnancy PTSD Tornado
Accuracy Verified: Yes
97. Shapiro, R., Hofmann, A., & Grey, E. (2013). Case consultation: Unremitting depression. Journal of EMDR Practice and Research, 7(1), 39-44. doi:10.1891/1933-3196.7.1.39.
Language: English
Format: Journal
Abstract:
Case Consultation is a new regular feature in the Journal of EMDR Practice and Research. In this article,
an eye movement desensitization and reprocessing (EMDR) clinician briefly describes a challenging case
in which a man, “George,” was referred for EMDR for treatment of a depression that began more than
2 years previously. After all his reported traumatic memories were completely processed with EMDR,
George remains severely depressed and the therapist asks how to proceed effectively with treatment.
Responses are written by three experts. The first expert, Robin Shapiro, describes a comprehensive list
of possible etiologies, including attachment, early trauma, genetic, and other biological causes and their
appropriate EMDR, ego state, or medical treatments. The second expert, Arne Hofmann, reviews the
treatment that was provided and makes suggestions for alternate treatment targets, suggesting that the
therapist could address the client’s belief that “nothing will change” and try the EMDR inverted protocol.
The third expert, Earl Grey, recommends that the clinician focus on addressing small “t” traumas, even if
the client indicates that he or she has little to no disturbance and explains how to develop and implement
a “restorative life span target sequence.”
Keywords: Consultation Depression Treatment
Accuracy Verified: Yes
98. Fang, L. (2005, June). Case presentation: “Relative mild negative situations” - 2 single session cases using the standard EMDR protocol. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
It has proven that EMDR is successful in helping people who have
experienced psychological difficulties that originate from some kind of
traumatic experience. I used standard EMDR protocol successfully in single
session for two persons who experience short negative moments. One client
was a young man who had intrusive recalls of the male acquaintance telling
him about oral sex intercourse between men that happened 38 hours
before he asked for psychological help. The other client was a young nurse,
one of my colleagues, who was scolded and threatened by the husband of
a patient less than 2 hours ago before I did EMDR for her. They both had
moment of trauma was very precise and very short: the moment the words
were spoken. The recent events don't have several hot spots (difficult affect laden
moments in the experience), but just one clearly shocking moment. So
I used standard protocol and it helped stabilizing them very quickly, they
both retouched their resources quickly. Two months later, I followed up my
colleague. She was still stable and had the same positive cognition about
the negative moment.
Keywords: China Psychotrauma Symposium
Accuracy Verified: Yes
99. Campbell-Beattie, J. (2002, May). Case presentation: "Swimming/fish phobia" - A single session case using an abbreviated EMDR protocol . The EMDR Practitioner. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
I have been using a short EMDR session along the same protocol lines as Parnell(1999),
being less pedantic about the ordered protocol set-up.
While the patient tells me about self and their issues, I consider the necessary approach.
In this case the value of EMDR, and a focus on what is needed for it to work best.
Working within a 40 minute time limit window some direct questioning is usually
necessary to focus the patient's attention.
Keywords: Fish Phobia Swimming Phobia
Accuracy Verified: Yes
100. Miller, P. W., McDougall, I., O'Rawe, B., & Kirk, R. T. (2007, June). A case series detailing phenomenology, EMDR protocol and clinical outcome of EMDR in severe depression with psychosis, delusional dysmorphobia and schizophrenia. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
The author will by means of oral presentation of clinical case material from patients seen as outpatients; didactic teaching and 'question and answer' explore the efficacy demonstrated by EMDR in a series of patients with disorders including ‘depression, severe with psychosis'; delusional dysmorphophobia and schizophrenia.
There will be detailed description and presentation of case studies. The author will present and discuss clinical cases seen by them and another colleague where EMDR has been used in patients preventing to their facility with ‘depression, severe with psychosis;' delusional dysmorphophobia and schizophrenia.
The author will explore the phenomenology of the case material and discuss how it potentially relates, diagnostically, to the utility of EMDR in such cases. Particular mention will be made of the role EMDR had within the overall treatment plan of these cases and discussion of potential indicators that will aid appropriate targeting of cases for EMDR will be made.
A detailed description of how to apply EMDR protocol in monosymptomatic delusional disorder, including delusional dysmorphophobia will be given. This will include discussion of the use of Floatback; explore the use of affect bridge and the possible role of the unconscious or repressed material in the development of psychotic phenomena.
As patient with psychotic phenomena are often on one if not several psychoactive medications, the author will discuss the impact of EMDR on drug therapy in this group of patients with: schizophrenia, depression, severe with psychosis and delusional dysmorphophobia, illustrating the points from the case material. They will also look at the possible effect of medication on the efficacy of EMDR in this client group.
Keywords: Delusional Dysmorphobia Depression Personality Disorders Phobias Psychosis Schizophrenia
Accuracy Verified: Yes
101. McFarlane, A. (2003, October-November). CBT vs. EMDR in the treatment of PTSD. In B. A. van der Kolk (Chair), Treatment outcome studies of PTSD. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL .
Language: English
Format: Conference
Abstract:
Treatment Outcome Studies of PTSD: This symposium presents three large carefully controlled treatment
outcome studies using four different treatment modalities (CBT,
EMDR, psychopharmacology and Cognitive Processing) and presents
data on comparative efficacy, treatment responsiveness and
resistance, effects on comorbidity, quality of life, and biological
changes that accompany symptom improvement.
CBT vs. EMDR in the treatment of PTSD: 114 subjects were randomized into the study, but only 45 completed
up to week 10. The subjects in the study comprise 45 sufferers of
Post traumatic stress disorder as defined by the Clinician
Administered PTSD Scale (CAPS) (caps score > 50, and who satisfied
criteria A,B,C and D for PTSD diagnosis) and the PCL-C (PCL-C>50).
All subjects were victims of a traumatic experience and were
recruited through newspaper or radio advertisements, referrals from
private practitioners (18 subjects) or through the State Government
Insurance Commission (SGIC) (27 subjects). Subjects were randomised
into one of three treatments. Fourteen subjects received
EMDR, 21 received CBT and 10 were control subjects. The mean
age of the sample was 41.38 (SD=11.55) with the minimum age of
19 and the maximum age of 61. Sixteen of the subjects were male
and 29 were female. During the treatment period 17 of the subjects
were taking antidepressants and 6 were taking anxiolytics.
Approximately half of the sample was married (22 subjects 48.9%),
12 had never married, 4 were separated, 1 was defacto and 6 were
divorced. The mean number of treatment sessions for the entire
sample was 8.53 (SD 1.65). Out of the 45 participants in the study, 26
had suffered only one single trauma in their lives, 11 had experienced
several single traumas, 3 had suffered one ongoing trauma
and 5 individuals had suffered at least one ongoing and one specific
trauma. The following results were performed on the treatment
groups (total 35 subjects), with the control group being excluded
from all analyses. All subjects, were aged between 18 and 65, lived
in metropolitan Adelaide and had an adequate command of
English (reading and writing).All subjects gave informed consent to
the study and expressed their willingness to comply with the protocol.
Subjects with a history of adult seizure disorder, organic brain
disease or who were assessed to be at significant suicide risk (a
score of 3 or more on suicide question in HAM-D), were excluded
from the study, as were subjects taking psychotropic drugs (anticonvulsive/
antipsychotic) or sedatives more than 4 times a week. All
assessment and treatment sessions were conducted at the
University of Adelaide Department of Psychiatry at the Queen
Elizabeth Hospital. Assessment sessions were conducted by trained
research assistants and all therapy sessions were conducted by a
clinical psychologist, trained in both EMDR and CBT. Subjects were
assessed for suitability to enter the study via an initial screening
instrument (sent out to subjects in the post) and an initial screening
interview. Patients were further evaluated at week 0
(baseline/immediately prior to commencement of treatment), 3, 4,
6, 8 10, 20 (10 week followup).
Keywords: CBT Cognitive Behavioral Therapy Symposium
Accuracy Verified: Yes
102. Royle, L. (2012, October). The challenges of integrating EMDR basic training into the context of your own practice. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.
Language: English
Format: Conference
Abstract:
The workshop will look at common challenges faced by therapists when beginning the task of integrating EMDR basic training into their existing practice and skills. It will discuss how therapists often react to this challenge (including ‘giving up’ and ‘protocol drift’) and offer suggestions on how to overcome this. The specific difficulties encountered by those with different theoretical backgrounds will be highlighted. This workshop is aimed at novice EMDR therapists who may be feeling apprehensive about applying their new skills.
Accuracy Verified: Yes
103. Omaha, J. (1998, July). Chemotion and EMDR: An EMDR treatment protocol based on a psychodynamic model chemical dependency. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Chemical dependency is a pervasive and rapidly growing problem in western societies. Chemical dependencies means obsessive and compulsive use of legal and illegal substances that is not affected by adverse consequences resulting from their consumption and is further characterized by denial of the relationship between consequences and consumption, by tolerance for the chemical, and by symptoms of withdrawal when the substance is unavailable. For the purposes of this paper, legal and illegal substances discussed include alcohol, tobacco, marijuana, cocaine, methamphetamine, opiates, hallucinogens, and prescription medications.
Keywords: Chemical Dependency Chemotion Protocol
Accuracy Verified: Yes
104. Boèl, J. (1999, Fall). Child & adolescent issue: A closer look - The butterfly hug: Some history and updates in its use with children. EMDRIA Newsletter, 4(4), Child and Adolescent Issue, Special Edition, 11-13.
Language: English
Format: Newsletter
Abstract:
Children, Adolescents, and EMDR: A closer look
In February of 1998, about four months after the devastation wrought by Hurricane Paulina, a team of Mexican therapists along with two EMDR-HAP members as “technical advisors” (myself and Judy Albert) were working with groups of children who had witnessed tragedy and suffered great losses. Our team had only three locations to help these children, so we attempted to develop group therapy situations based on the EMDR theory and protocol as much as possible.
Keywords: Adolescents Butterfly Hug Children
Accuracy Verified: Yes
105. Yang, Y., & Wu, W. (2008, June). A Chinese way to use ‘safe place’ in grief work. Poster presented at the annual meeting of the EMDR Europe Association, London, England UK.
Language: English
Format: Conference
Abstract:
Every culture has its special way to deal with grief. In Chinese culture which is collectivism-oriented, people deal
with grief not only in a society context, but also have a lot of connection with the bereaved ones. We found that
it is hard to help the clients to be stabilized and work with EMDR on their grief before you help them to find a
“Safe place” to settle their bereaved ones down. Hence, we use a modified “safe place” technique to help the
clients to create a “heaven” for their loved ones, a “place” they can visit to say “hello” again to their bereaved
ones. Our presentation will how we did that in a case series of adults and children by using imaginary ways and
artistic ways. Using EMDR as standard protocol was effective to remove the symptoms and got the SUDs down.
Keywords: Chinese Grief Poster Safe Place
Accuracy Verified: Yes
106. Levin, C., & Miller, M. (2001, June). Chronic pain: A clinical test of Mark Grant’s protocol. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
This workshop will provide the EMDR practitioner instruction in the application of Mark Grant's Pain Protocol. Participants will learn how to evaluate patients for appropriateness of treatment and how to manage the various putfalls encountered during treatment.
Keywords: Chronic Pain Mark Grant Pain Protocol
Accuracy Verified: Yes
107. Shapiro, R. (1999, June). Clearing cultural and generational trauma with EMDR. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will learn: 1) to define and identify cultural and generational trauma; 2) to help clients identify these traumas; 3) a protocol for clearing internalized cultural bias; 4) a protocol for clearing generational bias; and 5) the Two-Handed Differentiation Protocol
Keywords: Cultural Bias Cultural Trauma Differentiation Protocol Generational Bias Generational Trauma Two-Handed
Accuracy Verified: Yes
108. Leeds, A. M., & Korn, D. L. (1998, July). Clinical applications of EMDR in the treatment of adult survivors of childhood abuse and neglect. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
This paper was co-presented with with Deborah L. Korn, Psy.D. In my portion of this presentation I introduced Alan Schore's research on the neurobiological correlates of early trauma and abuse and with implications for treatment stragegy. The presentation covered the use of EMDR, Resource Development and Resource Installation methods across the entire treatment plan. Dr. Korn reviewed treatment principles and adaptations to the EMDR trauma protocol for this population.[Author abstract]
Participants will learn how to: 1) apply specific EMDR protocols in each of the three strategies of recovery: stabilization and safety, trauma focused processing, and reconnection and identify development; 2) integrate ego strengthening strategies into a comprehensive EMDR based treatment plan for clients who have limited affect tolerance and self-capacities; 3) apply cognitive interweave strategies to address blocking beliefs and fears about the treatment process; and 4) use EMDR to address maladaptive schemas commonly seen in this population.[Conference Program Abstract]
Keywords: Adults Neglect Sexual Abuse Survivors
Accuracy Verified: Yes
109. Schurmans, K. (2007). A clinical vignette: EMDR treatment of choking phobia. Journal of EMDR Practice and Research, 1(2), 118-121. doi:10.1891/1933-3196.1.2.118.
Language: English
Format: Journal
Abstract:
A vignette is a brief case report that makes a contribution to the literature, but which has used only EMDR's standard protocol measures. This vignette describes the treatment of a woman who developed a severe choking phobia following an allergic reaction to a herbal beverage. She was hospitalized on several occasions because of her resultant inability to consume food and liquids. She received four years of various types of treatment for this phobia, including eating disorder treatment, brief psychodynamic therapy, cognitive behavioral therapy, and psychopharmacological treatment. None were successful in eliminating the disorder. Then when Mary received a course of EMDR treatment, addressing childhood etiological events, there was complete remission of the choking phobia and elimination of all related behaviors. [Author Abstract]
Keywords: Adults Anaphylactic Shock Case Report CBT Child Abuse Choking Phobia Cognitive Behaviorial Therapy Eating Disorders Females Phobia Spouse Abuse Survivors
Accuracy Verified: Yes
110. Wizansky, B. (2007). A clinical vignette: Resource connection in EMDR work with children. Journal of EMDR Practice and Research, 1(1), 57-61. doi:10.1891/1933-3196.1.1.57 .
Language: English
Format: Journal
Abstract:
A vignette is a brief case report that makes a contribution to the literature, but which has used only EMDR's standard protocol measures. This vignette describes a procedure for drawing on and strengthening a child's resources in all phases of EMDR treatment. The procedure facilitates the connection to more authentic and meaningful inner resources that come directly from the child's world, thus strengthening the positive memory networks so that these are available for the child to access when processing his/her traumatic material. Three separate cases are described to illustrate the application. [Author Introduction]
Keywords: Israelis Psychotherapeutic Processes School Age Children Stressors Survivors
Accuracy Verified: Yes
111. 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
112. 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
113. Schwartz, D. A. (2003). Clinicians' and trainees' knowledge of the eye movement desensitization and reprocessing (EMDR) protocol. Argosy University, Chicago, IL.
Language: English
Format: Dissertation/Thesis
Keywords: Trainees
Accuracy Verified: Yes
114. Morris, A. (2009, October). Closing incomplete sessions. Presentation at the 3rd annual EMDR Autumn Workshop, Leeds, UK.
Language: English
Format: Conference
Abstract:
This workshop explores ways of managing sessions when there isn't time to complete the eight stage protocol, and considers the factors that make closure rather than resolution the appropriate response, timing, skills and techniques to bring down high levels of affect and contain unresolved material. This presentation includes discussion and experiential practice.
Keywords: Closure Incomplete Sessions
Accuracy Verified: Yes
115. Cusack, K. J., & Spates, C. R. (1999, January-April). The cognitive dismantling of eye movement desensitization and reprocessing (EMDR) treatment of posttraumatic stress disorder (PTSD): A case report. Journal of Anxiety Disorders, 13(1-2), 87-99. doi:10.1016/S0887-6185(98)00041-3 .
Language: English
Format: Journal
Abstract:
Twenty-seven subjects were exposed to standard Eye Movement Desensitization and Reprocessing (EMDR) treatment or a similar treatment without the explicit cognitive elements found in EMDR. Standardized psychometric assessments were administered (Structured Interview for Post Traumatic Stress Disorder, Impact of Event Scale, Revised Symptom Checklist-90) by independent assessors at pretest, posttest and two separate follow-up periods. Potential subjects met specific inclusion/exclusion criteria. Subjective measures including Subjective Units of Disturbance and Validity of Cognition assessments were also conducted. A two-factor repeated measures analysis of variance revealed that both treatments produced significant symptom reductions and were comparable on all dependent measures across assessment phases. The present findings are discussed in light of previous dismantling research that converges to suggest that several elements in the EMDR protocol may be superfluous in terms of the contribution to treatment outcome. These same elements have nevertheless entered unparsimoniously into consideration as possible explanatory variables (ScienceDirect).
Keywords: Adults Americans Empirical Study Longitudinal Study Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
116. Fine, C. G., & Berkowitz, S. A. (1999). The combined use of EMDR and hypnosis in the treatment of DID: The wreathing protocol:The imbrication of hypnosis and EMDR in the treatment of dissociative identity disorder and other dissociative responses. Presentation at the International Society for the Study of Dissociation Fall Conference, Miami FL.
Language: English
Format: Conference
Keywords: DID Dissociative Identity Disorder Hypnotherapy Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes
Accuracy Verified: No
117. van Ommeren, M. (1996, October). Comment on Greenwald (1996): The assessment of fidelity to the EMDR treatment protocol. Professional Psychology: Research & Practice, 27(5), 529. doi:10.1037/0735-7028.27.5.529.
Language: English
Format: Journal
Abstract:
Comments on R. Greenwald's (see record 83-27577) article in which he argues that fidelity to the eye movement desensitization and reprocessing (EMDR) protocol is the critical factor that determines whether a treatment outcome study will show that EMDR is effective. M. Van Ommeren recommends the formation of a panel that can make assessments as to whether or not the treatments used in EMDR outcome studies have fidelity. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Letter Methodology Professional Criticism Treatment Effectiveness
Accuracy Verified: Yes
118. Davidson, M. M., Potter, A. E., & Wesselmann, R. D. (2010, September/October). Comparing dialectical behavior therapy to eye movement desensitization and reprocessing: A phase-based trauma treatment pilot project. Poster presented at the annual meeting of the EMDR Internation Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
• More effective methods to treat adults affected by childhood trauma, disturbed attachments, and adulthood intimate partner violence are critically needed.
• Research utilizing Adult Attachment Interview (Hess, 1999) had found that when mothers hold unresolved memories of loss or childhood abuse, their children typically develop disorganized attachments and that when mothers are poorly or inconsistently responsive to their children’s cues, the children typically develop insecure attachments • A history of abuse by childhood attachment figures also increases the likelihood of becoming involved in domestic violence experiences in adulthood for both sexes (Gratz, 2009; Henderson et al, 2005) • Previous research has demonstrated that attachment experiences influence emotional functioning and vulnerability to emotion dysregulation (Critchheld et al, 2008). Numerous empirical works demonstrate the relationship between attachment style and aggression (e. g., Sockwaite et al, 2002; Henderson et al, 2005)
• Emotion dysregulation and problems with impulse control and unstable relationships are common symptoms associated with childhood abuse by attachment figures (Fonagy, 1997; Bhipman et al, 2005)
• Funding more effective treatment for problems in functioning related to childhood trauma and attachment issues is imperative. Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR) are two approaches that have proven beneficial in treating individuals with borderline personality disorders and trauma, respectively, and thus, could prove beneficial as treatment modalities for childhood trauma and attachment problems
• The current investigation is a pilot study aimed at evaluating a treatment protocol aimed at effectively assisting adults with a history of childhood abuse and/or intimate partner violence to regulate emotions, resolve childhood trauma, move toward a healthier and more secure attachment status, and reduce the risk of repeating the cycle of violence and child abuse. More specifically, this pilot project evaluated a phase-based trauma treatment program that included (a) a year-long, initial emotion regulation skills-training phases utilizing DBT and (b) a second phase of either 10 individual sessions of EMDR or 10 individual session focused on further DBT skills training
Keywords: DBT Dialectical Behavior Therapy Poster
Accuracy Verified: Yes
119. Vienot, R. C. (1999, June). A comparison of EMDR and biofeedback/stress inoculation training in treating test anxiety. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to identify issues and problems in treating test anxiety; 2) be able to identify the basic components of both the EMDR and biofeedback/stress inoculation training protocols used in this study; 3) learn the EMDR protocol used in treating test anxiety; 4) learn how EMDR, biofeedback/stress inoculation training, and a no-treatment group compare in treatment effect size on six dependent variables; and 5) learn how EMDR, biofeedback/stress inoculation trainlng and a no-treatment group compare in clinical significance on five dependent variables.
Keywords: Biofeeback Stress Inoculation Test Anxiety
Accuracy Verified: Yes
120. Tofani, L. R. (2007). Complex separation, individuation processes, and anxiety disorders in young adulthood. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 265-283). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Research has shown that anxiety in children is highly influenced by parenting style, perception of family support (Rapee & Melville, 1997), and family relational patterns. Social Anxiety Disorder (American Psychiatric Association, 1994) is considered to be a common disorder in young adults. According to Shapiro's (1995, 2001) Adaptive Information Processing model, a neurotic symptomatic situation in a young adult with an unfinished separation process may be connected to unresolved separations and other past traumas. This chapter discusses research and clinical evidence, and treatment of young adults with complex separation problems. Integration of family systems therapy and Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 2001) is discussed. In this integrated treatment procedure, family therapy follows the experiential family systems therapy approach (Giat Roberto, 1992; Napier & Whitaker, 1978), with elements of multigenerational and Structural Family Therapy styles (Bowen, 1978; Minuchin & Fishman, 1992). The EMDR standard protocol is followed. A case example and concluding discussion complete the chapter. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Anxiety Disorders Family Relations Family Systems Therapy Family Systems Theory Family Therapy Individuation Integrative Psychotherapy Separation Anxiety Separation Individuation Separation Problems Separation Reactions Structural Family Therapy Young Adulthood
Accuracy Verified: Yes
121. Leutner, S., & Cronauer, E. (2012, June). Complex trauma in mind and body [Trauma complejo en mente y cuerpo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
It will be shown how to get into touch and how to work with traumatic and
somatic ego-states by simultaneously activating resourceful ego-states in mind and
body. The work will be resource integrating from top to bottom. In the body it will be
from bottom to top.
Two different experiential protocols will be given and respective videos will be shown:
the resource integrating protocol and the bottom-up protocol
The neurological background of balancing work with traumatic memories and
resources will be discussed. It lies in promoting effective and permanent links
between the neuronal trauma network and one or more corresponding resource
networks. The integration of resources can greatly accelerate processing. It is
imperative, however, that the use of these resources is not random, rather orients
itself to the specific needs of the client at that specific point in time with attention
given to how much resource or trauma is activated.
Participants will be informed about the impact of complex trauma in mind and body.
They will learn how to apply EMDR combined with Claire Frederick's and Maggie
Phillip's Conflict Free Image as well as Gendlin's Focusing and Levine's Somatic
Experiencing. By those means complex traumatized clients are enabled to broaden
their windows of tolerance.
Participants will be able to supply their clients with a powerful tool for self healing.
Se mostrará cómo ponerse en contacto y trabajar con los estados del yo
traumático y somático mediante la activación simultánea de estados del yo
recursivo en la mente y el cuerpo. El trabajo será de integración de recursos desde
arriba hacia abajo. En el caso del cuerpo, será desde abajo hacia arriba.
Se darán dos protocolos experienciales distintos y se presentarán vídeos
pertinentes de los protocolos respectivos: el protocolo de la integración de
recursos y el protocolo desde abajo hacia arriba.
Se hablará de los antecedentes neurológicos del trabajo de equilibrio con
recuerdos traumáticos y recursos. Estriba en favorecer vínculos efectivos y
permanentes entre la red neuronal del trauma y una o más de las redes de
recursos correspondientes. La integración de recursos puede acelerar en gran
medida el procesamiento. Sin embargo, es imperativo que el empleo de estos
recursos no sea aleatorio, si no que se oriente hacia las necesidades específicas del
cliente en ese momento concreto con atención prestada a la cantidad de recursos o
el trauma activado.
Se les informará a los participantes sobre el impacto que tiene el trauma complejo
en la mente y en el cuerpo. Aprenderán a aplicar EMDR en combinación con la
“imagen libre de conflicto de Claire Frederick y Maggie Phillip”, así como con al
“Focusing de Gendlin” y la “Experimentación somática de Levine”. Con estos
medios los clientes con trauma complejo son capaces de ampliar sus ventanas de
tolerancia.
Los participantes podrán ofrecer a sus clientes con una herramienta potente para
la auto-curación.
Accuracy Verified: Yes
122. Schmidt, S. J. (2008, September). Connecting to a team of resource ego states to prepare for EMDR trauma processing. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Sometimes it is difficult to assess readiness for emotionally taxing EMDR trauma processing. The first half of this workshop will cover a protocol for helping clients connect with three Resource ego states – a Nurturing Adult Self, a Protective Adult Self, and a Spiritual Core Self. Clients with sufficient ego strength for trauma work will readily connect to these Resources. Clients with poor ego strength often encounter blocks when connecting to Resource ego states. The second half of the workshop will cover an ego strengthening intervention for clearing such blocks. This intervention can help prepare clients to tolerate trauma work.
Keywords: Ego States
Accuracy Verified: Yes
123. Lohrasbe, R. S. (2010, April/May). Connecting to a team of resource ego states to prepare for EMDR trauma processing. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
It can be difficult to assess readiness for emotionally taxing EMDR trauma processing. The first half of this workshop will cover a protocol for helping clients connect with three resource ego states – a Nurturing Adult Self, a Protective Adult Self, and a Spiritual Core Self. Clients with sufficient ego strength for trauma work will readily connect to these resources. Clients with poor ego strength often encounter blocks when connecting to resource ego states. The second half of the workshop will cover an ego-strengthening intervention for clearing such blocks. This intervention can help prepare clients to tolerate trauma work.
Keywords: Resource Ego States
Accuracy Verified: Yes
124. Prattos-Spongalides, T. A. (2001, June). Connotation difficulties encountered in the application of the EMDR protocol in one’s native language. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
The goal of this workshop is to determine connotation difficulties encountered in the application of important EMDR components like Safe Place, Negative Cognition, and VoC into one's native lnaguage; identify successful solutions already used in non-English speaking countries; share and demonstrate how cultural differences and value may alter/cloud the content of protocol components; develop a list of flexible alternative phrasings for use with novice EMDR therapists in non-English speaking countries as a resource aid and relief to the strain stemming from the unavoidable adaption of the EMDR protocol into one's native language.
Accuracy Verified: Yes
125. Prattos-Spongalides, T. A. (2002, May). Connotation difficulties encountered in the application of the EMDR protocol in one’s native language. Presentation at the annual meeting of the EMDR Europe Association, Frankfurt, Germany.
Language: English
Format: Conference
Abstract:
Chairs: Sack, M. & Spector, J.
Keywords: Cultural Considerations Native Language
Accuracy Verified: Yes
126. Schmitt, A. (2011). Conséquences des violences conjugales sur la santé psychologique des victimes, prise en charge par la thérapie EMDR [Consequences of domestic violence on the psychological health of victims, taking care by EMDR therapy]. Université de Metz, Metz, France.
Language: French
Format: Dissertation/Thesis
Abstract:
Les violences conjugales représentent un problème de santé public majeur. En 2011, en France, tous les 2.5 jours, une femme meurt sous les coups de son compagnon. Les violences conjugales résultent de la conjonction de facteurs individuels, conjugaux, sociaux mais également culturels, qui seront détaillés dans cette recherche qui présentera également l'état de l'art concernant les conséquences de ces violences, leurs possibilités de prise en charge et la thérapie EMDR. Quatre études ont été menées dans cette recherche. La première porte sur les conséquences des violences conjugales auprès d'un public de femmes bénéficiant d'un accompagnement social. Il s'agissait d'apporter une contribution aux résultats déjà observés dans la littérature. La seconde étude porte sur la prise en charge de 5 femmes ayant vécu un évènement traumatique en couple et s'étant séparées de leur agresseur. La thérapie EMDR donne des résultats véritablement encourageants, ce qui nous amène à la tester auprès d'un public plus lourdement traumatisé, ayant vécu des violences conjugales d'intensité et de nature variable, durant de nombreuses années (étude 3). Les résultats de l'étude 3 mettent en évidence l'importance de l'adaptation de l'outil thérapeutique à la problématique de la victime et les limites de l'utilisation de l'EMDR auprès de certains types de publics, dont les victimes de violences conjugales. Une analyse de contenu des séances EMDR nous a permis d'affiner nos analyses grâce à une vignette clinique présentée dans l'étude 4. De plus, des personnes n'ayant pas pu être intégrées dans le protocole expérimental ont malgré tout été suivies, ce qui permet une réflexion autour de l'adéquation de la méthode thérapeutique et du cadre expérimental à la victime grâce à une étude de cas, également présentée dans l'étude 4. Toutes ces observations permettront l'émergence de suggestions concernant la prise en charge des victimes de violences conjugales.
Domestic violence represents a major problem for public health. In France, every 2,5 days, a woman dies by the hands of her partner. Domestic violence is the result of the conjunction of individual, domestic, social and also cultural factors to be detailed in this research that will also present the state of art, regarding the consequences of this violence, its means of management and EMDR therapy. Four studies were led in this research. The first one is about the consequences of domestic violence for a group of women benefiting from social support. The idea was to bring a contribution to the results already observed in literature. The second study is about the caretaking of five women who experienced a traumatic event during their couple life, and then split up with their molester. EMDR therapy gives really encouraging results, and it led us to test it with a public more heavily traumatized, who lived intensity and variable violence during many years (study 3). The results of the third study highlight the importance of the adaptation of the therapeutic tools to the problematic of the victim, and the limits of the use of EMDR with some public, included the victims of domestic violence. An analysis of the EMDR sessions content allowed us to refine our analyses thanks to a clinical "vignette" showed in study 4. Moreover, people that could not be included in the experimental protocol were all the same followed up, allowing a reflection around the appropriateness of the therapeutic method and of the experimental frame to the victim thanks to a case study, also presented in study 4. All these observations will allow the emergence of suggestions concerning the caretaking of the domestic violence victims.
Keywords: Domestic Violence
Accuracy Verified: Yes
127. Forgash, C. (2009). Constructive avoidance of present day situations: Techniques for managing critical life issues. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 291-296). New York, NY: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Protocol
Accuracy Verified: Yes
128. Cahill, S. P. (2000, July 1). Counterpoint: Evaluating EMDR in treating PTSD. Psychiatric Times, 17(7), 3-14.
Language: English
Format: Magazine
Abstract:
EMDR: Is Psychiatry Missing the Boat? (point)
EMDR in Treating PTSD (counterpoint)
This discussion focuses on the efficacy of Eye Movement Desensitization and Reprocessing (EMDR), a highly controversial treatment for patients with posttraumatic stress disorder (PTSD). The point article stresses the extensive body of literature that shows the efficacy and safety of EMDR as a treatment protocol. It also explains the treatment process. The counterpoint article argues that much of the research supporting EMDR may not be methodologically sound and that attempting to make statements of efficacy based on the current literature may not be wise.[Psychiatric Times]
Keywords: Posttraumatic Stress Disorder PTSD Treatment
Accuracy Verified: Yes
129. Seubert, A. (2007, June). The courage to feel: The power of emotional competency within the EMDR protocol. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Much of affect education is focused on managing and tolerating emotions. What is missing on the in this is an emphasis on the positive reasons for having feelings and how they work (objective #1). We need to be able to sell our clients on the importance of emotional expertise and honesty if they are to heal. They need to develop the courage to feel, but won’t do this if feelings don’t make sense.
Because the emotional journey cuts through what is foreign territory for many of our clients, there is also a need for a map, a hands-on practical guide that clients can refer to when learning how to do this “feeling things.” For this I have developed the Four Steps to emotional competence, very teachable and very learnable (Objective #2).
Specific skills are needed to implement the Four Steps. These include the practice of awareness (the sine qua non of any therapy), breath work, visualizations, resource development and anchoring, grounding techniques, trance busters and the L.I.D.S. strategy for managing strong feelings(Objective #3). Many of these will be practiced during the workshop.
Finally, it is important for the therapist to have a trauma treatment phase model in mind in order to know where this affect education fits in and when it may need to be revisited (Objective #4). The use of EMDR to reinforce learning will be demonstrated and/or practiced during the learning of the seven skills (Objective #5).
Accuracy Verified: Yes
130. Hase, M. (2009). CravEx: An EMDR approach to treat substance abuse and addiction. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 467-488). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Addiction CravEx Protocol Substance Abuse
Accuracy Verified: Yes
131. Gomez, A. M. (2006, September). Creative approaches to motivate, prepare, and guide children to use EMDR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This workshop is intended to teach specific ways to use storytelling, metaphors and play therapy
techniques within the context of the EMDR protocol. Participants will learn play therapy techniques to use during the target identification phase. Techniques such as the "mixed up box", "My yucky bags" among others, will provide a playful approach
to assist children in identifying EMDR targets as
well as to provide an opportunity for containment.
Safe place, as well as other types of resource
development, will be addressed using alternative ways to cue the child, such as olfactory stimulation. Participants will learn metaphors and stories to help children understand what happens in the mind and body when trauma occurs. These metaphors are intended to motivate children that are reluctant to embrace the memories associated to the trauma. By
using stones and metaphors, children can also
maintain emotional distance from their own
struggles. One of the main goals of this workshop
is to help clinicians learn to communicate more
effectively with children by using metaphors, stones and play. How to talk to children about EMDR and
how to prepare children for the outcome of EMDR
will be addressed. By making the process more
predictable, the likelihood of children stopping the
process when they experience the difficult feelings
associated with the trauma might be minimized.
Participants will also learn to use creative, fun and
playful ways to assist children in understanding and using the measure scales of the EMDR protocol
(SUDS and VOC).
Keywords: Children Metaphors Play Therapy Storytelling Targets
Accuracy Verified: Yes
132. Gomez, A. M. (2007, September). Creative ways of administering the EMDR protocol with children. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
This workshop will provide a comprehensive body of knowledge and advanced techniques so EMDR clinicians can effectively implement the EMDR protocol with children. Participants will learn strategies to make children acquainted with the different components of the EMDR protocol, as well as the use of sand tray techniques to assist children during the EMDR assessment and desensitization phases. Special attention will be placed on how and when to use the cognitive interweave with children. Different types of cognitive interweaves that are more suitable for children will be presented. Additionally, this workshop will address how to work on the future template with children using play therapy and creative strategies.
Keywords: Children
Accuracy Verified: Yes
133. Hornsfeld, H. (2005, June). Cue exposure and EMDR, a new protocol description of procedure and demonstration of clinical application in the treatment of binge eating. In EMDR and eating disorders. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
In this presentation a new protocol will be described which combines EMDR
and cue exposure in the treatment of binge eating disorder. Reason to
adjust the cue exposure protocol by Jansen (1997) is that it is primarily aimed
at extinction of the conditioned response pattern, but misses the opportunity
to specifically address the processing of emotional and cognitive reactions.
Two years of experience with this new procedure show results. The
protocol will be presented and will be illustrated by video fragments. Specific issues like target selection, NC, PC and future templates will be discussed.
Keywords: Cue Exposure Eating Disorders Symposium
Accuracy Verified: Yes
134. Hornsveld, H. (2005, June). Cue exposure and EMDR, A new protocol description of procedure and demonstration of clinical application in the treatment of binge eating. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
In this presentation a new protocol will be described which combines EMDR and cue exposure in the treating of binge eating disorder. Reason to adjust the cue exposure protocol by Jansen (1997) is that it is primarily aimed at extinction of the conditioned response pattern, but misses the opportunity to specifically address the processing of emotional and cognitive reactions. Two years of experience with this new procedure show positive results. The protocol will be presented and will be illustrated by video gragments. Specific issues like target selection, NC, PC and future templates will be discussed.
Keywords: Binge Eating Cue Exposure Treatment
Accuracy Verified: Yes
135. Luber, M. (2009). Current anxiety and behavior. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 133-141). New York, NY: Springer Publishing Co.
Language: English
Format: Conference
Abstract:
This protocol is for clients with anxieties not related to major trauma. The focus here is the Standard EMDR Protocol. This is a summary of the Current Anxiety and Behavior Protocol scripted by Marilyn Luber (Shapiro, 2001, 2006). For current anxiety and behavior problems, the Standard EMDR Protocol should be applied to the following targets (assuming they are available): Past memories; Present triggers; and a Future template. The Current Anxiety and Behavior Protocol Script is provided. [PsycINFO Database]
Keywords: Current Anxiety Protocol
Accuracy Verified: Yes
136. Bertino, G. (2008, Novembre). Dal sistema, all'individuo, al sistema: l"EMDR nella terapia famigliare e nella terapi de coppia [The system, the individual, the system: EMDR and family therapy in couples therapy]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
(Chair, A. Onofri)
Nel costruire questo protocollo di lavoro parto dal presupposto che esiste nel sistema individuo e nel sistema coppia la capacità di trovare una modalità adattiva per superare lo stato di sofferenza e blocco, e che questa capacità possa essere maggiormente stimolata lavorando direttamente con l’ EMDR sugli episodi disturbanti e sulle convinzioni negative che la persona ha costruito in relazione a sé e all’altro. E’possibile in alcuni casi aiutare al persona a fare dei collegamenti con la propria storia di attaccamento e lavorare sui blocchi relativi alla propria storia personale.
In constructing this protocol work, I assume that exists in the system and individual
pair system the ability to find the appropriate method to overcome the state of suffering and block, and that this capacity could be further stimulated by working directly with 'on EMDR disturbing incidents and negative beliefs that the person has built in relation to themselves and another. It is possible in some cases help the person to make connections with their history attachment and work on the blocks for their own personal history.
Keywords: Couples Therapy Family Therapy
Accuracy Verified: Yes
137. Egli-Bernd, H. (2012, Januar). Das neue EMDR dialog‐protokoll, die kognitionen und ihre zentrale bedeutung bei der EMDR arbeit mit komplexen problemstellungen [The new dialogue EMDR protocol: The cognitions and their central role in the EMDR work with complex problems]. Präsentation am Institut für Traumazentrierte Therapie und Beratung, Zürich.
Language: German
Format: Conference
Abstract:
Die Erfahrung zeigt, dass die erfolgreiche Arbeit mit EMDR häufig wesentlich von der treffenden und
emotional bedeutungsvollen Wahl der Kognitionen abhängt. Die Erfahrung zeigt aber ebenfalls, dass diese
richtige Auswahl oft zur schwierigen Hürde werden kann beim Einstieg in komplexe EMDR‐Arbeit in Phase 3,
und zwar nicht nur für AnfängerInnen, sondern auch für erfahrene EMDR TherapeutInnen.
Dies vor allem dann, wenn der Fokus der Arbeit nicht auf klar definierten klassischen traumatischen
Einzelereignissen, sondern auf komplexen, frühen Lebensthemen liegt. Das Herausarbeiten tiefgreifender,
emotional bedeutsamer Kognitionen fällt bei solchen Themen den Betroffenen oft besonders schwer. Diese
Situation erzeugt häufig Verunsicherung bei den Klienten und Therapeuten und stellt eine Herausforderung
für die erfolgreiche und effiziente Anwendung von EMDR dar.
Mittlerweile ist in der Bindungs‐ und Traumaforschung herausgearbeitet worden, dass frühe Störungen sehr
häufig eine dissoziative Struktur bei den Betroffenen zur Folge haben. Wir müssen also davon ausgehen,
dass es in diesen Fällen auch um eine „subtile“ Dissoziation geht, die sich bei der EMDR Arbeit in Phase 3 u.a.
durch Probleme mit der Erarbeitung der Kognitionen manifestieren kann.
In den letzten Jahren habe ich das EMDR Dialog‐Protokoll entwickelt, das den Umgang mit solch komplexen
EMDR Situationen in der Phase 3 wesentlich erleichtert. Im Oktober 2009 wurde eine Kurzversion meiner
Arbeit zu diesem speziellen EMDR Protokoll im deutschen EMDR Rundbrief veröffentlicht und im August
2011 wird eine englische Übersetzung im EMDR Journal for Research & Practice veröffentlicht.
Der Workshop soll einerseits die Bedeutung der Kognitionen für die erfolgreiche EMDR Arbeit nochmals
klären sowie die dazugehörigen theoretischen Grundlagen aus der Neurobiologie, der Bindungstheorie und
den Theorien der Strukturellen Dissoziation und Ego‐State Theorie zusammenfassen. Sodann wird das
Dialog‐Protokoll im Detail erläutert und mittels Fallbeispielen in der praktischen Anwendung dargestellt.
Ein praktischer Teil des Workshops ist dem Üben von Phase 3 mit dem Dialogprotokoll vorbehalten. Die
TeilnehmerInnen sollen anhand von konkreten eigenen Beispielen die Phase 3 mit Anwendung des Dialog‐
Protokolls üben, um für die Praxis eine auf Selbsterfahrung basierende praktische Erfahrung mitzunehmen.
Es geht dabei um das Erfassen von Phase 3 bis zum VOC, nicht um eine komplette Selbsterfahrung mit
EMDR. Dabei soll die emotionale Relevanz der stimmigen und tiefgreifenden Kognition erfahrbar werden.
Wenn es der zeitliche Rahmen erlaubt, können eigene Fälle zur Diskussion gestellt werden. Der Workshop
soll eine kollegiale Diskussion von Problemen in der EMDR Anwendung ermöglichen und neue Perspektiven
eröffnen helfen.
Experience shows that successful work often with EMDR significantly taken from and
emotionally meaningful choice of cognition depends. But experience shows also that these
Proper selection can often be difficult to hurdle in entering complex EMDR work in phase 3,
and not only for beginners but also for experienced EMDR therapists.
This especially when the focus of the work of non-traumatic on clearly defined classical
Individual events, but on complex, early-life subjects. Working out of profound,
emotionally meaningful cognition falls on such topics stakeholders often particularly difficult. This
Situation often creates uncertainty among clients and therapists and offers a challenge
represents for the successful and efficient use of EMDR
Meanwhile, it has been worked into the binding and trauma research that very early interference
often have a dissociative structure among those affected the result. We must therefore assume
that in these cases, a "subtle" dissociation is, among other things, at the EMDR work in phase 3
may be manifested by problems with the development of cognition.
In recent years I have developed the dialogue EMDR protocol, how to deal with such complex
EMDR situations in phase 3 easier. In October 2009, a short version of my
Work on this specific EMDR protocol in German newsletter published EMDR and in August
2011 an English translation of the EMDR Journal for Research & Practice is published.
The workshop on the one hand the importance of cognition in the successful EMDR should work again
and clarify the related theoretical principles from neurobiology, attachment theory and
summarize the theories of Structural Dissociation and ego state theory. Then, the
Dialog protocol described in detail and illustrated using case studies in practical applications.
A practical part of the workshop is reserved for the practice of dialogue with the Phase 3 protocol. The
By means of concrete examples to own participants, phase 3 of the dialogue with application-
Exercise protocol in order for the practice to bring a hands-on experience based on personal experience.
This involves having to capturing phase 3 to the VOC, not a complete self-awareness
EMDR. It is the emotional relevance of coherent and profound cognition can be experienced.
If it is the time frame allowed to own cases are presented for discussion. The workshop
should enable a collegial discussion of issues in application of EMDR and new perspectives
help open up.
Keywords: Cognitions Dialogue Protocol
Accuracy Verified: Yes
138. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2011, April). De behandeling van complexe PTSS-patiënten [The treatment of complex PTSD patients]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: Dutch
Format: Conference
Abstract:
Vooral bij de behandeling van de complexere
patiënten met een posttraumatische stressstoornis
(PTTS) worden niet altijd de evidence-based
behandelvormen toegepast zoals die zijn beschreven
in de richtlijnen. Vaak worden slecht gedefinieerde
stabilisatietechnieken toegepast, veelal
gecombineerd met farmacotherapie.
In deze bijblijfsessie zullen een drietal traumagerichte
psychotherapeutische behandelvormen
worden gepresenteerd, met speciale aandacht
voor complexe ptss-patiënten. Dit zijn de narratieve
exposure therapy (NET), het Kort Eclectisch
Protocol voor PTSS (KEP) en eye movement desensitisation
and reprocessing (EMDR).
Betoogd zal worden, dat ook bij complex
getraumatiseerde patiënten heel goed met net,
kep of emdr traumagerichte behandeling kan
plaatsvinden en dat dit doorgaans de voorkeur
verdient boven andere behandelmethoden. Wel
zijn soms aanpassingen in de therapievorm noodzakelijk.
Bij deze aanpassingen zal worden stilgestaan.
leerdoel Aan het einde van de sessie
wordt de deelnemer geacht goed op de hoogte te
zijn van drie evidence-based behandelvormen voor
ptss; en kennis te hebben van de mogelijkheden
om ook bij complexere patiënten deze traumagerichte
behandelingen uit te voeren.
Especially in the treatment of complex
patients with post-traumatic stress disorder
(PTTS) are not always evidence-based
forms of treatment applied as described
in the guidelines. Often poorly defined
stabilization techniques, often
combined with pharmacotherapy.
This will bijblijfsessie three trauma-focused
psychotherapeutic treatment modalities
are presented, with special attention
Complex PTSD patients. These are the narrative
exposure therapy (NET), the Short Eclectic
Protocol for PTSD (SEP) and Eye Movement Desensitisation
and reprocessing (EMDR).
Will be argued that, even in complex
traumatized patients with very good network,
kep or EMDR trauma-focused treatment
place and that it is generally preferred
appropriate than other treatments. Or
adjustments are sometimes necessary in the form of therapy.
Such adjustments will be considered.
Learning Objectives At the end of the session
the participant is deemed to be well informed
of three evidence-based treatments for
PTSD, and be aware of the possibilities
even under these complex patients, trauma-focused
treatments prior to arrival.
Keywords: Narrative Exposure Therapy NET SEP Short Eclectic Protocol
Accuracy Verified: Yes
139. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2011, Het Voorjaar). De behandeling van complexe ptss-patiënten: Traumagerichte therapieën [The treatment of complex PTSD patients: Trauma-focused therapies]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam .
Language: Dutch
Format: Conference
Abstract:
Bij de behandeling van
complexe ptss-patiënten wordt niet altijd de evidence-
based behandeling toegepast, zoals die wordt
beschreven in de richtlijnen. Doorgaans is de
mening, dat stabilisatie het enige mogelijke is
vanwege gevaar voor psychische decompensatie.
Inmiddels is voldoende evidentie, dat traumagerichte
therapieën ook bij complexe ptsspatiënten
mogelijk en effectief zijn.
Doel: In deze bijblijfsessie zal worden
betoogd, dat evidence-based traumagerichte behandeling
bij complexe ptss-patiënten mogelijk en
wenselijk is. Aandacht zal worden besteed aan
moeilijkheden en mogelijkheden bij deze groep
patiënten.
Methoden: Na een algemene inleiding
over de richtlijnen voor psychotherapeutische
behandeling van ptss en over complexe ptss (R.
Jongedijk), zullen vervolgens presentaties worden
gegeven over drie evidence-based behandelvormen
voor ptss, te weten het Kort Eclectisch Protocol
voor ptss (kep; B. Gersons), narratieve exposure
therapy (net; R. Jongedijk) en eye movement desensitisation
and reprocessing (emdr; J. ter Heide).
Expliciet zal worden ingegaan op de moeilijkheden
en mogelijkheden van deze therapievormen
bij complexe ptss-patiënten. De aanpassingen in
de behandeling voor deze groep patiënten zal worden besproken. Na de voordrachten zal er tijd zijn voor vragen
en discussie.
Resultaten: Er is een duidelijk overzicht
gegeven van drie evidence-based psychotherapievormen
voor ptss. Voor de complexe groep
ptss-patiënten zijn de eventuele aanpassingen
aan de standaardprocedures van de behandeling
aan bod gekomen.
Aangetoond is dat deze behandelvormen
goed toepasbaar zijn bij complexe ptss-patiënten.
Conclusie: Evidence-based behandeling
van complexe ptss-patiënten door middel van
traumagerichte psychotherapie heeft doorgaans
de voorkeur. De deelnemer van de bijblijfsessie
heeft kennis genomen van drie evidence-based
behandelvormen voor ptss en kent de moeilijkheden
en mogelijkheden om deze toe te passen bij
complexe ptss-patiënten.
In the treatment of complex PTSD patients is not always evidence-based treatment applied as described in the guidelines. Typically, the view that stabilization is the only possible because of risk of psychological decompensation. Meanwhile, sufficient evidence that trauma-focused therapies even for complex ptsspatiënten possible and effective. Purpose: This bijblijfsessie will be argued that evidence-based trauma-focused treatment for complex PTSD patients is possible and desirable. Consideration will be given to problems and opportunities in this patient group. Methods: After a general introduction about the guidelines for psychotherapeutic treatment of PTSD and complex PTSD (R. Jongedijk) will then presentations are given on three evidence-based treatments for PTSD, namely the short Eclectic Protocol for PTSD (kep; B . Gersons), narrative exposure therapy (net; R. Jongedijk) and Eye Movement Desensitisation and Reprocessing (EMDR, J. Heide). Will explicitly address the difficulties and possibilities of this therapy are patients with complex PTSD. The adjustments in the treatment of these patients will be discussed. After the presentations there will be time for questions and discussion. Results: There is a clear overview of three evidence-based forms of psychotherapy for PTSD. For the complex group of PTSD patients, the adjustments to the standard procedures of treatment addressed. It has been demonstrated that these therapies are well applicable for complex PTSD patients. Conclusion: Evidence-based treatment of complex PTSD patients by trauma-focused psychotherapy is usually preferred. The participant of bijblijfsessie has noted three evidence-based treatments for PTSD and knows the difficulties and possibilities to apply it in complex PTSD patients.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
140. Jongedijk, R. A., Gersons, B. P. R., & ter Heide, F. J. J. (2010). De behandeling van patiënten met PTSS met narrative exposure therapy, het kort eclectisch protocol voor PTSS en eye movement desensitisation [The treatment of patients with PTSD narrative exposure therapy, the short protocol for PTSD and eclectic eye movement desensitisation]. Tijdschrift voor Psychiatrie 52(4), 4.
Language: Dutch
Format: Journal
Abstract:
Achtergrond: Bij de behandeling van patiënten met een posttraumatische stressstoornis (ptss) worden niet altijd de evidence-based behandelvormen toegepast zoals beschreven in de richtlijnen en in de literatuur. Vooral bij de complexere traumapatiënten worden regelmatig alleen stabilisatietechnieken en/of farmacotherapie toegepast.
Doel: In deze bijblijfsessie wordt betoogd dat evidence-based traumagerichte behandeling mogelijk en wenselijk is, ook bij veel complexe patiënten die te maken hebben gehad met oorlog, vervolging, geweld en/of beroepsgerelateerd trauma.
Methoden: Er zullen drie voordrachten worden gegeven, met daarna discussie, door drie specialisten in de behandeling van ptss. De voordrachten zullen drie evidence-based behandelvormen voor ptss illustreren, te weten narrative exposure therapy (net), het Kort Eclectisch Protocol voor ptss (kep) en eye movement desensitisation and reprocessing (emdr).
Resultaten: De drie getoonde behandelvormen zijn goed toepasbaar en effectief bij patiënten met een ptss. Dit zal worden aangetoond met behulp van theoretische uitgangspunten, ervaringen uit de klinische praktijk en onderzoeksgegevens.
Conclusie: Behandeling van complexe traumapatiënten met ptss door middel van traumagerichte psychotherapie heeft doorgaans de voorkeur. De deelnemer van de bijblijfsessie heeft kennisgenomen van drie evidence-based behandelvormen voor ptss.
Background: In the treatment of patients with post traumatic stress disorder (PTSD) are not always evidence-based treatment as described in the application forms and guidelines in the literature. Especially with complex trauma patients are frequently only stabilization techniques and /or pharmacotherapy used.
This goal bijblijfsessie is argued that evidence-based trauma-focused treatment is possible and desirable, even with many complex patients who have experienced war, persecution, violence and / or job-related trauma.
Methods: will be given three nominations, followed by discussion, by three specialists in the treatment of PTSD. The presentations will be three evidence-based treatments for PTSD illustrate, namely narrative exposure therapy (NET), the Short PTSD Eclectic Protocol (KEP) and Eye Movement Desensitisation and Reprocessing (EMDR).
The results shown three forms of treatment are well applicable and effective in patients with PTSD. This will be demonstrated using theoretical assumptions, experiences from clinical practice and research.
Opinion Treatment of complex trauma patients with PTSD using trauma-focused psychotherapy is usually preferred. The participant of bijblijfsessie has noted three evidence-based treatments for PTSD.
Keywords: Narrative Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
141. Cornil, L. (2013, April). De kracht van het NU in EMDR [The power of NOW in EMDR]. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Deze uiteenzetting brengt een theoretisch-filosofische kijk op het tijdsconcept in EMDR. Sinds het prille begin speelt het tijdsconcept een centrale rol in de EMDR benadering. Aan de basis van het AIP model ligt het idee dat geheugennetwerken vervrozen zijn in de tijd (Shapiro 1995). De informatie is op een disfunctionele manier gestockeerd in het vervrozen nu en kan op elk moment worden getriggerd. In EMDR hebben patiënten (en therapeuten) het moeilijk om het NU van de negatieve cognitie te pakken te krijgen. Patiënten begrijpen niet wat gevraagd wordt en raken verward wanneer therapeuten vragen wat ze nu over zichzelf denken als ze denken aan toen. In de EMDR basistraining wordt aangegeven dat het vinden van een adequate negatieve cognitie een moeilijk deel is van het EMDR protocol, maar wel een noodzakelijk deel.
Het NU is wat op dit moment gebeurt. Er is geen verleden, enkel de huidige perceptie van het verleden. Net zoals er geen toekomst is, enkele de huidige perceptie van mogelijkheden. Het heden is datgene waarmee men zich identificeert: wat je ziet, geloof je: wat je op een gegeven moment gewaarwordt, wordt de realiteit van het NU. Wanneer de patiënt getriggerd wordt in de perceptie van het kind, wordt de patiënt het kind en de tijdsperceptie wijzigt.
Het punt dat in deze uiteenzetting naar voor wordt gebracht, is dat verandering ontstaat wanneer de patiënt stopt met zich te vereenzelvigen met het verleden dat daardoor het NU wordt. In EMDR wordt de patiënt door de therapeut uitgenodigd om dingen te laten gebeuren en te merken wat er verandert. Tijd heeft beweging nodig om te bestaan: de wijzers van de klok, de zon in de lucht, de rimpels die verschijnen op de huid verwijzen allemaal naar tijd. In plaats van de pijnlijke informatie op een afstand te proberen houden, die zich bevindt in de niet-tijd zonder beweging, wordt de patiënt juist uitgenodigd om de beweging te observeren die kan ontstaan door de positie van de dubbele aandacht in te nemen: één voet in de reële tijd en één voet in de niet-tijd. We zullen linken met mindfullness aangeven.
This statement brings a theoretical-philosophical perspective on the concept of time in EMDR. Since the very beginning the concept of time plays a central role in the EMDR approach. At the base of the AIP model is the idea that in the memory networks vervrozen time (Shapiro, 1995). The information is stored in a dysfunctional way vervrozen now and can be triggered at any time. In EMDR, patients (and therapists) is difficult to the NOW of the negative cognition to catch. Patients do not understand what is required and get confused when therapists ask what they think about themselves when they think of when. In the EMDR basic training indicated that finding an adequate negative cognition is a difficult part of the EMDR protocol, but a necessary part.
The NOW is what is currently happening. There is no past, only the current perception of the past. Just as there is no future, some of the current perception of opportunities. The present is that with which one identifies: what you see, you believe what you become aware at any given time, the reality of the NOW. When the patient is triggered in the perception of the child, the patient is a child and time perception changes.
The point in this discussion forward is brought, is that change occurs when the patient stops to identify with the past that result it is NOW. In EMDR, the patient by the therapist invited to make things happen and to notice what is changing. Time needs movement to exist: the clockwise direction, the sun in the sky, the wrinkles that appear on the skin all refer to time. In place of the painful information try to keep at a distance, which is located in the non-time without movement, the patient is invited to precisely observing the movement which may be caused by the position of the double attention to take: a foot in real time, and a foot in the non-time. We will link with mindfulness state.
Keywords: Present Focus
Accuracy Verified: Yes
142. Dautovic, E. (2013, April). De toepassing van EMDR bij volwassenen met een complexe PTSS en een licht verstandelijke beperking: Practice en evidence based [The application of EMDR in adults with complex PTSD and mild intellectual disabilities: Evidence-based and practice]. In Onderzoek track 1 and 2. Presentatie op Het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Mensen met een verstandelijke beperking hebben een verhoogde kans op het meemaken van, voor hen, ingrijpende life-events en in het verlengde hiervan een verhoogd risico op het ontwikkelen van een posttraumatische stressstoornis (PTSS). De prevalentie van PTSS blijkt significant hoger te zijn bij mensen met een verstandelijke beperking (VB) dan bij mensen zonder VB. Daarnaast valt in de praktijk, bij deze populatie, de hoge prevalentie van complexe PTSS op.
EMDR is een effectieve behandeling voor PTSS bij mensen zonder VB. Ook wordt EMDR al breed ingezet voor de behandeling van (complexe) PTSS bij mensen met een VB. Er is echter nog maar weinig onderzoek gedaan naar de effectiviteit van EMDR bij deze populatie.
Bij Kristal, centrum voor psychiatrie en verstandelijke beperking, wordt EMDR al een aantal jaar toegepast in de behandeling van volwassenen met een complex trauma en een (lichte) verstandelijke beperking. Hierbij wordt het EMDR-behandelprotocol voor jeugdigen, zoals door de VEN uitgegeven, trouw gevolgd. Dit, echter altijd in combinatie met een stabiliserende pre-treatment, welke onze doelgroep weerbaarder moet maken voor de spanning die een traumabehandeling kan opwekken.
Naast de praktische toepassing, welke deze benadering practice based maakte, heeft binnen Kristal tussen 2010 en 2013, synchroon aan de behandeling, een pilot-onderzoek naar de effectiviteit van deze behandeling gelopen. Dit met het doel deze benadering ook evidence based te maken.
People with intellectual disabilities have an increased chance of experiencing, for them, major life events and by extension an increased risk of developing post-traumatic stress disorder (PTSD). The prevalence of PTSD was significantly higher in people with intellectual disabilities (VB) than in those without VB. Furthermore falls in practice, in this population, the high prevalence of complex PTSD.
EMDR is an effective treatment for PTSD in people without VB. Even though EMDR is widely used for the treatment of (complex) PTSD in people with VB. However, there is little research on the effectiveness of EMDR in this population.
In Crystal, center for psychiatry and mental retardation, is EMDR for a number of years in the treatment of adults with complex trauma and a (mild) mental retardation . Here the EMDR treatment protocol for young people, as issued by the VEN, faithfully followed. This, however, always in combination with a stabilizing pre-treatment, which our audience resilient to make the stress of trauma treatment can generate.
Besides the practical application, which this approach practice based made, has within Crystal between 2010 and 2013, synchronously treatment, a pilot study on the effectiveness of this treatment occurred. This with the aim of this approach is to make evidence-based.
Keywords: Adults Intellectual Disabilities Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
143. Struik, A. (2010, April). De zes testen, een stabilisatie methode voor chronisch getraumatiseerde en dissociatieve kinderen [The six tests, a stabilization method for chronically traumatized children and dissociative]. Presentatie Aan de Vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
De zes testen, een stabilisatie methode voor chronisch getraumatiseerde en dissociatieve kinderen.
De stabilisatie en behandeling van deze kinderen kan gecompliceerd zijn. Vanzelfsprekend is het creëren van een veilige omgeving en een hechtingsfiguur een eerste stap. Maar wat dan? Deze kinderen functioneren soms ogenschijnlijk goed. Hun vermijdingsstrategieën zijn effectief en ze weigeren om over het trauma te praten of zeggen dat ze het vergeten zijn. Ze hebben er geen last meer van. Maar de verleiding van de therapeut om dan geen slapende honden wakker te maken is een gevaarlijke. Want onder deze ogenschijnlijk goed functionerende buitenkant, zit een constant alert, angstig en eenzaam kind. Dit kind kan zich niet hechten en dit gebrek aan veilige hechting is verwoestend voor de ontwikkeling. Dit wordt echter vaak alleen zichtbaar door er expliciet naar te zoeken.
In deze presentatie zal ik ‘De zes testen’ demonstreren, een stabilisatie methode voor kinderen en een bewerking van de drie testen (Spierings, 2008). De zes testen helpen de therapeut om te beslissen of een kind verdere stabilisatie nodig heeft en hoe dat te bereiken, voordat met EMDR gestart kan worden. Aan de hand van casuïstiek wordt dit proces en het gebruik van stabilisatietechnieken gedemonstreerd. De kinderen moeten technieken leren om emoties te reguleren en stress te verminderen. Dan wordt het hechtingssysteem geactiveerd, zodat ze stress kunnen reguleren door steun te zoeken. Zo vermindert de noodzaak tot dissociatie. Door problemen die het kind ervaart te koppelen aan ervaringen in het verleden wordt het kind gemotiveerd om naar de trauma’s te kijken en met EMDR te starten. Dan worden nog aanpassingen in het EMDR protocol besproken voor dissociatieve kinderen om ze in het desensitisatie proces te houden en wordt besproken hoe EMDR kan worden geïntegreerd in een gefaseerde behandeling.
Spierings, J. (2008). Stabilisatie, een gestructureerd programma voor taxatie en interventie. In: Ten Broeke, E. De Jongh, A., & Oppenheim, H. Praktijkboek EMDR. Amsterdam: Harcourt
The six tests, a stabilization method for chronically traumatized and dissociative children.
The stabilization and treatment of these children can be complicated. Obviously, creating a safe environment and an attachment figure is a first step. But what then? These children sometimes seem to function properly. Their avoidance strategies are effective and they refuse to talk about the trauma or say they are forgotten. They have no more trouble. But the seduction of the therapist and then to wake sleeping dogs is dangerous. For among these seemingly well-functioning exterior, is a constant alert, anxious and lonely child. This child can not attach and the lack of secure attachment is devastating for the development. This is often visible only by explicitly to search.
In this presentation I will "The six tests" demonstrate a stabilization method for children and an adaptation of the three tests (Spierings, 2008). The six tests help the therapist to decide whether a child needs further stabilization and how to reach before EMDR can be started. Using case studies this process and the use of stabilization techniques are demonstrated. The children must learn techniques to regulate emotions and reduce stress. Then the attachment system is activated, so they can be regulated by stress to seek support. Thus reduces the need for dissociation. Due to problems experienced by the child to link past experience the child is motivated to look at the trauma and EMDR to start. Then further adjustments to the EMDR protocol for dissociative children to discuss them in the desensitization process and discusses how to keep EMDR can be integrated into a phased treatment.
Spierings J. (2008). Stabilization, a structured program of assessment and intervention. In: Ten Broeke, E. De Jongh, A., & Oppenheim, H. EMDR Practice Book. Amsterdam: Harcourt
Keywords: Children Dissociation Six Tests Stabilization
Accuracy Verified: Yes
144. Stewart-Grey, E. (2008). De-stress: A qualitative investigation of EMDR treatment. Capella University, Minneapolis, MN. AAT 3329849.
Language: English
Format: Dissertation/Thesis
Abstract:
There is no qualitative knowledge of Eye Movement Desensitization and Reprocessing (EMDR) with a sub-clinical stressed population. The vast majority of EMDR research has focused on traumatized populations, leaving a significant gap in what the non-traumatized or sub-clinically stressed clients experience. Sub-clinical stress includes any level of stress that does not meet the DSM-IV-TR criteria for PTSD. The purpose of this study was to evaluate the lived experiences of body sensations, emotions, beliefs, and imagery during EMDR treatment of participants with sub-clinical stress. Participants fit into either a young adult (18-35), adult (36-49), or older adult (50-60) maturity category and did not meet the criteria for PTSD. The sample consisted of 12 participants, from a large metropolitan area in the Northeastern United States. A qualitative phenomenological design was used to gather data following the EMDRIAs treatment protocol including a final interview asking questions about what the participants experienced in their body, thoughts, emotions, and memory images. The data was analyzed using constant comparative techniques using open coding and will be verified with member check techniques. The results identify five thematic holistic experiences across the participants. The themes of responsibility, safety, choices, power, and value emerged from the data. The results imply that is may be necessary to address all 5 themes for effective stress resolution. Also, the scholarly, clinical, and practical understanding of the Adaptive Information Processing Model concepts of responsibility, safety, and choices manifest in participants lived sensory experiences are now expanded and in need of additional research. [Author Abstract]
Keywords: Adults Americans Effects Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
145. Curry, S. (2006, June). Decisions, decisions…Forks in the road in EMDR: What, when and who. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Following EMDR training, clinicians experience a steep learning curve when they attempt to implement the protocol with clients. Anecdotal evidence points to a significant reduction in numbers of EMDR trained clinicians actually utilizing it correctly with clients on a regular basis. EMDR is much more complex than it first appears; therefore those who use the protocol only occasionally or loosely will miss significant opportunities to grasp the subtleties and effective application. There is a need, even for experienced EMDR clinicians, to learn and apply a structured way of identifying the decisions we make both before and as we proceed through the protocol. A growing body of researcs exists to back up our decisions; however, some choices are made based on intuition and clinical judgment. Topics will include a self-evaluation (passions and expertise); why we sharpen our phone skills up-front; rationales for tightening up intake and case conceptualization; decisions during preparation, safe place, resource development, assessment, desensitization, and later phases of the protocol; decisions regarding cognitive interweaves; and decisions regarding time management and flexing a treatment plan. Participants will be encouraged to sharpen their thinking about how they do EMDR with their clients, by means of identifying the most important "forks in the road" before and during treatment; be able to name at least one decision point pertaining to each of the Phases covered; and finally, to provide a rationale for the choices they do make at these critical moments.
Keywords: Cognitive Interweaves Preparation Phase Time Management
Accuracy Verified: Yes
146. Curry, S. (2006, September). Decisions, decisions…Forks in the road in EMDR: What, when, and why. Presentation at an annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract: F
ollowing EMDR training, clinicians experience
a steep learning curve when they attempt to
implement the protocol with clients. Anecdotal
evidence points to a significant reduction in
numbers of EMDR trained clinicians actually
utilizing it correctly with clients on a regular basis.
EMDR is much more complex than it first
appears; therefore those who use the protocol only
occasionally or loosely will miss significant opportunities to grasp the subtleties and effective
application. There is a need, even for experienced
EMDR clinicians, to learn and apply a structured
way of identifying the decisions we make both
before and as we proceed through the protocol. A
growing body of researcs exists to back up our
decisions; however, some choices are made based
on intuition and clinical judgment. Topics will
include a self-evaluation (passions and expertise);
why we sharpen our phone skills up-front;
rationales for tightening up intake and case
conceptualization; decisions during preparation,
safe place, resource development, assessment,
desensitization, and later phases of the protocol;
decisions regarding cognitive interweaves; and
decisions regarding time management and flexing
a treatment plan. Participants will be encouraged
to sharpen their thinking about how they do
EMDR with their clients, by means of identifying
the most important "forks in the road" before and
during treatment; be able to name at least one
decision point pertaining to each of the Phases
covered; and finally, to provide a rationale for the choices they do make at these critical moments. 8
Keywords: Cognitive Interweaves Preparation Phase Time Management
Accuracy Verified: Yes
147. Forgash, C. A. (2005, June). Deepening EMDR treatment effects across the trauma spectrum: Integrating EMDR and ego state work. Föreningen EMDR Sverige, EMDR Tidningen, 7(2), 6-14.
Language: English
Format: Newsletter
Abstract:
The concepts, interventions, and techniques presented in this workshop are culled from theory and techniques of
working with the range of the dissociative disorders). They have proved to be an effective addition to the preparation
stage of the EMDR protocol. In other words, they can be used with clients who dissociate under certain conditions but
do not have a dissociative disorder
Most of the traumatized clients seen for EMDR treatment have a range of dissociative symptoms as well as
symptoms of PTSD. This combination of PTSD and a dissociative disorder is often labeled DDNOS. However, people
with a more complex variety of PTSD usually have experienced very early and enduring severe physical or sexual
abuse (generally perpetrated by a family member), atrocities, war, or severe environmental disruption such as
earthquakes. They are more accurately diagnosed with disorders of extreme stress (DESNOS). For these clients, the
dissociated neural networks, or dissociative fragmentation, cause serious problems in adult life.
The adaptive information processing system is on hold for these dissociated fragments or parts. They are easily
triggered by internal or external cues to which they can have extreme reactions, (flashbacks, amnesia, losing time and
place, and so forth.)
Our goal as therapists is to use EMDR to help clients (and their internal dissociated neural networks or parts) find
stability and resources to function adaptively in their present life, and then desensitize and reprocess the dissociated
trauma memories and the PTSD symptoms.
We aim to help our clients manage their symptoms. It is not our goal to eliminate dissociation, which has been a
major survival strategy, but to help the client utilize it with conscious control.
It is important to note that attachment issues are an aspect of development that are especially impacted by trauma.
The attachment styles of the family pre trauma may have already affected the client in negative ways, impacting the
client's resources and responses to trauma.
One way to look at this set of problems is to utilize two approaches in the preparation phase of EMDR. These
approaches combine the treatment of dissociative symptoms with ego state work and are an essential aspect of treating
these clients with EMDR. This work may extend the preparation phase considerably, but will add safety and structure
to the trauma processing experiences for these clients.
Keywords: Ego State Therapy
Accuracy Verified: Yes
148. Groenendijk, M. (2012, June). A demonstration of EMDR in the second phase of trauma-treatment of DID [Una demostración de EMDR en segunda fase del tratamiento de Trastorno de identidad disociativo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
This
workshop
is
about
the
application
of
EMDR
in
the
treatment
of
secondary
and
tertiary
structural
dissociation
with
survivors
of
early
chronic
traumatization.
The
succeeding
of
the
EMDR
sessions
in
the
treatment
of
DID,
depends
mainly
on
the
appropriate
indication
and
a
thorough
preparation.
How
to
do
this
in
clinical
practice,
will
be
pointed
out
in
this
presentation.
What
follows
is
an
explanation
of
the
process
(and
the
essential
elements
in
it)
of
the
integration
of
traumatic
memories
and
this
process
will
be
demonstrated
by
a
dvd
of
Maria,
an
woman
with
DID.
We
can
select
and
analyze
particular
scenes,
depending
on
the
requests
from
the
audience.
For
example
scenes
about
confirming
positions
of
ANP's
and
EP's
at
the
beginning
of
the
session,
attacking
the
NC
by
the
self-‐destructive
part,
guiding
reliving
experiences,
presentification,
coping
with
anger,
differentiating
between
the
past
and
the
present,
personification,
preventing
the
flight-‐reaction,
coping
with
transference
and
facilitate
internal
cooperation.
After
reporting
on
the
outcome
of
this
therapy,
the
conclusion
will
be
that
EMDR
can
be
effective
for
dissociative
patients
if
several
specific
criteria
are
met.
These
criteria
are
about
conceptualization
according
to
the
model
of
structural
dissociation,
about
indication,
timing
and
preparation
of
the
sessions,
about
adaptations
in
the
EMDR-‐protocol
and
about
integration
of
EMDR
in
the
broader
phase-‐oriented
treatment
of
DID.
Este
taller
trata
la
aplicación
de
EMDR
en
el
tratamiento
de
disociaciones
estructurales
secundarias
y
terciarias
con
supervivientes
de
la
traumatización
crónica
temprana.
El
éxito
de
la
sesiones
de
EMDR
en
el
tratamiento
de
Trastornos
de
identidad
disociativo,
depende
principalmente
de
unas
instrucciones
apropiadas
y
una
dura
preparación.
Como
hacer
esto
en
la
práctica
clínica
será
el
tema
de
esta
presentación.
Continuaremos
con
una
explicación
del
proceso
(y
los
elementos
esenciales
dentro
de
este)
de
la
integración
de
los
recuerdos
traumáticos
y
este
proceso
será
demostrado
en
el
DVD
de
María,
una
mujer
con
trastorno
de
identidad
disociativos.
Podemos
señalar
y
analizar
escenas
particulares,
dependiendo
de
las
peticiones
que
hagan
los
participantes
a
la
presentación.
Por
ejemplo,
escenas
acerca
de
la
confirmación
de
posiciones
de
ANP
y
EP
al
principio
de
la
sesión,
atacando
al
NC
por
la
parte
autodestructiva
del
yo,
guiando
y
reviviendo
experiencias,
atención
al
presente,
gestionar
la
ira,
diferenciar
entre
pasado
y
presente,
personificación,
prevenir
la
evitación,
afrontar
la
transferencia
y
facilitar
la
cooperación
interna
Después
de
informar
acerca
de
los
resultados
de
la
terapia,
la
conclusión
es
que
el
EMDR
puede
ser
efectivo
para
pacientes
disociados
si
cumplen
muchos
requisitos
previos.
Este
criterio
es
sobre
la
conceptualización
de
acuerdo
con
el
modelo
estructural
de
disociación,
sobre
la
indicación,
temporalización
y
preparación
de
las
sesiones,
sobre
las
adaptaciones
del
protocolo
del
EMDR
y
la
integración
del
mismo
en
un
tratamiento
más
amplio
en
fases
del
tratamiento
del
Trastorno
de
Identidad
Disociativo.
Keywords: DID Dissociative Identity Disorder
Accuracy Verified: Yes
149. Arnezeder, K. (2001). Der beziehungsaspekt in der EMDR-behandlung [The relationship aspect of EMDR treatment]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Als Psychotherapeut bin ich in verschiedenen Methoden ausgebildet und diese therapeutische Sozialisation hat in mir die Identität eines „Beziehungsarbeiters“ geschaffen. Meine erste Begegnung mit EMDR war – wie könnte es anders sein – eine traumatische. Beim Schmökern im Buchladen hat mich die Lektüre eines Transskriptes einer EMDRBehandlung in Erschrecken und Erstaunen über die mangelnde Dialogbereitschaft der behandelnden Therapeutin versetzt. Die Klientin berichtet in diesem Transskript von einer traumatischen Erfahrung und die Therapeutin äußert sich dazu in der Form von: „Ja, sehr gut!“ und: „Bleiben Sie dabei!“ Offensichtlich bin ich in eine – wie ich heute weiß – „Reprozessierungsphase“ eines EMDRStandard- Protokolls geraten, und die weitere Lektüre hat suggeriert, dass es bei dieser Methode nicht auf den therapeutischen Dialog und all das ankomme, worin ich mich bislang habe schulen lassen, sondern auf einen durch Augenbewegungen initiierten inneren Verarbeitungsprozess. Inzwischen habe ich beides verarbeitet: sowohl mein Erschrecken als auch mein Erstaunen. Geblieben ist das Interesse an der Bedeutung der therapeutischen Beziehung im Rahmen der EMDR-Behandlung.
As a psychotherapist I am trained in various methods and this therapeutic socialization has created in me the identity of a "worker relationship. My first encounter with EMDR was - how could it be otherwise - a traumatic. Browsing in a bookstore I was reading a script of a Trans EMDRBehandlung in shock and surprise at the lack of dialogue of the treating therapist added. The client reported in this transcript of a traumatic experience and the therapist expresses this in the form of: "Yes, very good," and "Stay there!" Obviously I'm in a - as I now know - "Reprocessing phase" EMDR Standard a protocol advised and further reading has suggested that this method not to the therapeutic dialogue and all that matters is what I have so far can train, but on one eye movements initiated by internal processing. Meanwhile, I had processed both: both my shock and my astonishment. What remains is the interest in the importance of the therapeutic relationship in the context of the EMDR treatment.
Keywords: Transmission Dimension
Accuracy Verified: Yes
150. Velozo, S. A. C. (2010, Noviembre). Desarrollo y procedimiento del método psicoterapéutico llamado E.M.D.R (Desensibilización y reprocesamiento por movimiento ocular) con pacientes que sufren trastorno por estrés postraumático [Procedure development and method of psychotherapy called EMDR (eye movement desentization and reprocessing) with patients suffering from posttraumatic stress disorder]. Universidad Bolivariana, Escuela de Psicologia, Santiago, Chile.
Language: Spanish
Format: Dissertation/Thesis
Abstract:
El siguiente trabajo consta de una revision bibliografica sobre el modelo psicoterapeutico llamado E.M.D.R (Desensibilizacion y Reprocesamiento por Movimiento Ocular), utilizado en patalogias psiquicas que se originan por una vivencia traumatica, esta tecnica es vilidada cientificamente y enfatiza el Sistema de Procesaiento de Informacion intrinseco del cerebro y como son almacenadas las memorias. Se identifica el problema especifico que sera el foco del tratamiento. Mediante un protocol estructuado, la informacion que estaba atrapada y aislada en la neuro-red en la que habia sido almacenada en su forma originalmente perturbadora, es procesada y desensibilizada transformandose en algo util, functional y libre de conflict. Es un metodo psicopterapeutico innovador que accelera el tratamiento en un amplio rango de patalogias de origen psicologico, como le es el Trastorno por Estres Postraumatico. Parte por una breve resena historica del concepto de truma psiquico, descripcion del cuadro de sintomas del trastorno de ester postraumatico y una revision bibliografica sobre el modelo teorico en el que se inserta principios y procedimiento de la terapia EMDR. Por ello se presentan las fases del procedimiento, que son: 1. Historica clinica y plan de tratamiento, 2. Preparacion, 3 Evaluacion/D.I.C. E.S., 4. Desensibilizacion, 5. Instalacion de la creencia positive, 6. Chequeo corporal – Escaner corporal, 7. Cierre – Conclusion, and 8. Reevaluacion/Seguimiento. Finalmente se hara una docil comparacion con las terapias del modelo convencional en base a la triada do los sintomas del Trastorno por Estres Postraumatico, vale decir: rexpermentacion, evitacion e hiperactivacion.
The following work consists of a literature review on the psychotherapeutic model called EMDR (Desensitization and Reprocessing Eye Movement), used in psychic patalogias that are caused by a traumatic experience, this technique is scientifically and emphasizes vilidada System Information Procesaiento intrinsic brain and how memories are stored. It identifies the specific problem will be the focus of treatment. Using a structured protocol, information that was trapped and isolated in the neuro-network that had been stored as originally disturbing is processed and transformed into something useful desensitized, functional and free of conflict. It is an innovative method accelerates psicopterapeutico treatment in a wide range of psychological origin patalogias, as he is Posttraumatic Stress Disorder. Party by a brief history of the concept of psychic Truma, description of box ester disorder symptoms and posttraumatic literature review on the theoretical model that is inserted in the principles and procedure of EMDR therapy. So are procedural steps which are: 1. Historical clinical and treatment plan, 2. Preparation, 3 Evaluation / D.I.C. E.S., 4. Desensitization, 5. Installation of positive belief, 6. Check body - body scanner, 7. Close - Conclusion, and 8. Reassessment / Follow-up. Finally there will be a docile compared to the conventional therapies based on the triad do the symptoms of posttraumatic stress disorder, namely: rexpermentacion, avoidance and hyperarousal.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
151. Popky, A. J. (2009). The desensitization of triggers and urge reprocessing (DeTUR) protocol. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 489-511). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Addiction Protocol Substance Abuse Triggers Urge
Accuracy Verified: Yes
152. Bae, H., & Daeho, K. (2012). Desensitization of triggers and urge reprocessing for an adolescent with internet addiction disorder. Journal of EMDR Practice and Research, 6(2), 73-81. DOI: 10.1891/1933-3196.6.2.73.
Language: English
Format: Journal
Abstract:
This case study reports the successful treatment of Internet addiction in a 13- year-old male using four
45-minute sessions of the desensitization of triggers and urge reprocessing (DeTUR) protocol—an addiction
protocol of eye movement desensitization and reprocessing (EMDR; Popky, 2005). This protocol
uses EMDR procedures to process current triggers and positive future templates, but it does not identify
or directly address any past trauma. At baseline, the participant showed a moderate level of Internet addiction
(scoring 75 on Young’s Internet Addiction Test [IAT]) and moderate depression (26 on the Beck
Depression Inventory [BDI]). During assessment, he identified 7 triggers for Internet gaming and rated
the associated urge to engage in the activity with scores of 3–9 on the level of urge scale (0 5 lowest,
10 5 strongest). Using the DeTUR protocol, the level of urge for each trigger was reduced to 2, which
the participants defined as “not being able to think about or crave for the game.” After treatment, his
symptoms had declined to nonclinical levels (38 on IAT and 6 on BDI) and he was able to restrict his
time on the Internet to an hour per day. These therapeutic gains were maintained at 6- and 12-month
follow-up. The DeTUR may be a good treatment option for Internet addiction and further controlled
studies
are needed.
Keywords: Adolescents DeTUR Game Addiction Internet Addiction
Accuracy Verified: Yes
153. Popky, A. J. (2009). DeTUR (Desensitization of Triggers and Urges), A. J. Popky (2005). A. J. Popky, PhD.
Language: English
Format: Other
Abstract:
Summary of A. J. Popky's standard DeTUR (Desensitization of Triggers and Urges) protocol
by Susan Brown.
Keywords: Addiction DeTUR Protocol
Accuracy Verified: Yes
154. Popky, A. J. (2005). DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 167-188). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract:
The Desensitization of Triggers and Urge Reprocessing (DeTUR) model and the theories involved are based on experience from personal client observation and anecdotal reports received from other therapists using this same protocol. It is an eclectic model and combines many methodologies, including but not limited to cognitive-behavioral, solution-focused, Ericksonian hypnosis, narrative, object relations, and emotional freedom techniques (EFT), to name a few. The bilateral stimulation (BLS) in the accelerated information processing model of eye movement desensitization and reprocessing (EMDR) seems to form the catalyst for rapid processing and change, the turbocharger that speeds the healing process.This protocol represents only a small part of a complete treatment model. The therapist's role is that of a case manager, orchestrating any resources necessary to aid the patient through recovery and relapse to a successful and healthy state of functioning and coping. The therapist has to assess the severity of the addiction and also determine any other diagnosis associated with the case. This overall treatment model includes outside help, such as referrals for medication, testing for physical or neurological problems, and, depending on the situation, inpatient treatment, outpatient treatment, or detox. Other outside resources include support systems, such as 12-step groups, educational programs, skills training; couples, group, or family therapy; or acupuncture. Comorbidity issues, day-to-day stressors, and survival issues are addressed. An extremely high percentage of these populations are dually diagnosed and can therefore run the full dimensional spectrum of disorders and behaviors as described in the DSM-IV. [Text, pp. 167-168] [Pilots]
Keywords: Addiction Addictions Behavior Problems Behavior Therapy Bilateral Stimulation Compulsions Craving Desensitization of Triggers Dysfunctional Behaviors Information Processing Model Psychotherapeutic Techniques Urge Reduction Protocol
Accuracy Verified: Yes
155. Schmidt, S. J. (2003, September). Developmental needs meeting strategy for EMDR therapists. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
This new approach for correcting developmental deficits involves meeting unmet developmental and attachment needs, to help clients get unstuck from the past. Participants will be able to: a) install a Healing Circle composed of a Spiritual Core, Nurturing Adult, and Protective Child Self; b) generally describe the 20-Step protocol for meeting developmental needs; c) identify which steps in the protocol are for meeting needs, processing strong emotions, and creating secure attachments; d) identify when to use the 20-Step protocol and when to use trauma-focused EMDR; and e) describe ways to integrate the Healing Circle with trauma-focused EMDR.
Keywords: Developmental Needs Meeting Strategy Healing Circle
Accuracy Verified: Yes
156. Laub, B., & Weiner, N. (2011). A developmental/integrative perspective of the recent traumatic episode protocol. Journal of EMDR Practice and Research, 5(2), 57-72. doi:10.1891/1933-3196.5.2.57.
Language: English
Format: Journal
Abstract:
The recent traumatic episode protocol (R-TEP) is an adaptation of the eye movement desensitization reprocessing (EMDR) standard protocol to the acute phases following trauma. In this article, the R-TEP structure and procedures were analyzed from a developmental/integrative perspective. It is proposed that the therapist's developmental understanding and attunement can enhance the therapeutic dyad and can promote flexible decision making while using the R-TEP procedures. One case illustration of a recent trauma intervention demonstrates the advantage of developmental attunement in using the R-TEP. This perspective enables the therapist to pace the various styles of processing as they relate to the different stages of the memory consolidation process.
Keywords: AIP Model Early EMDR Intervention EEI Memory Consolidation Process R-TEP Recent Events Recent Trauma Recent Traumatic Episode Protocol
Accuracy Verified: Yes
157. Erdmann, C. (2005). Die beeinflussung chronischer schmerzen durch psychologische, schmerztherapisverfahren und EMDR [The influence of psychological chronic pain, chronic pain procedures and EMDR]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Das in den 80er Jahren von der amerikanischen Psychologin Francine Shapiro veröffentlichte Verfahren EMDR (Eye Movement and Desensitization and Reprocessing) beinhaltet als zentrale Komponente, dass die Aufmerksamkeit des Patienten sich auf eine traumatische Erinnerung und die damit verbundenen Gedanken und Gefühle richtet, während gleichzeitig rhythmische Augenbewegungen induziert werden. (Shapiro 1998)
EMDR eignet sich signifikant gut zur Behandlung der Posttraumatischen Belastungsstörung (PTBS). Hierbei handelt es sich um ein Störungssyndrom, meistens bestehend aus vegetativer Übererregtheit, Erstarrung, Schlaflosigkeit, Angst und Depression, das häufig auftritt nach sehr belastenden Ereignissen oder starken Bedrohungen, wie z.B. schweren Unfällen, Naturkatastrophen, Folter, sexuellem Missbrauch, Vergewaltigungen, usw.
Das Störungsbild der PTBS zeigt große Ähnlichkeiten mit dem Chronischen Schmerzsyndrom. Chronischer Schmerz kann als eigenständiges Trauma gelten mit dem eigenen Körper als Opfer und Täter. Oft finden sich auch Traumata im Vorfeld oder begleitend. Chronischer Schmerz ist signifikant assoziiert mit Posttraumatischer Belastungsstörung, mit Angsterkrankungen, Depressionen und weiteren psychischen Störungen.
EMDR wird inzwischen auch mit guten Erfolgen eingesetzt bei anderen Erkrankungen, z.B. Suchterkrankungen, Depressionen, Angst- und Zwangsstörungen. Überzeugende Erfolge stellen sich ein bei der Behandlung auch sehr kleiner Kinder mit unterschiedlichen psychischen Erkrankungen. (Tinker, Wilson 1999)
Bislang gibt es aber noch relativ wenig Forschungen über die Wirksamkeit von EMDR bei Akutschmerz, bei Chronischem Schmerz und im Bereich der Psychosomatik. Es ist allerdings bekannt, dass EMDR sich bei Akutschmerz eignet zum Abbau der den Schmerz häufig begleitenden Angst und darüber hinaus bei Chronischem Schmerz zur Erhöhung der Schmerztoleranz, zu mehr Entspannung, zu positiven kognitiven Strategien, zu Desensibilisierung und zur Ablenkung. (Groth, Rogers 1994).
EMDR führt zu nachweislichen neurologischen Veränderungen und damit einhergehenden vom Patienten berichteten positiven Veränderungen im Beschwerdebild. (van der Kolk 2000)
EMDR lässt sich nach ersten Untersuchungen ebenfalls erfolgreich einsetzen zur Behandlung von Phantomschmerzen. (Wilson nach Tinker, Wilson 2000).
That in the 80s by the American psychologist Francine Shapiro published procedures EMDR (Eye Movement and Desensitization and Reprocessing) includes as a central component that the patient's attention on a traumatic memory and associated thoughts and feelings directed, while rhythmic eye movements be induced. (Shapiro 1998) EMDR is significantly well to the treatment of post traumatic stress disorder (PTSD). This is a disorder syndrome, consisting mostly of vegetative over-arousal, numbness, insomnia, anxiety and depression that occurs very often after stressful events or severe threats, such as serious accidents, natural disasters, torture, sexual abuse, rape, etc. The disorder of PTSD shows great similarities with the chronic pain syndrome. Chronic pain can be considered as a separate trauma of his own body as victims and perpetrators. Often also found in the run or incidental trauma. Chronic pain is significantly associated with post traumatic stress disorder, with anxiety disorders, depression and other mental disorders. EMDR is now used with good results in other diseases, such as Addiction, depression, anxiety and compulsive disorders. Convincing results are adapting to treat even very young children with different mental disorders. (Tinker, Wilson 1999) So far there is relatively little research on the effectiveness of EMDR in acute pain, Chronic pain and in the field of psychosomatic medicine. However, it is known that EMDR is suitable for acute pain to reduce the pain often associated with anxiety and also to increase the pain Chronic pain tolerance, more relaxation, positive cognitive strategies to desensitization and distraction. (Groth, Rogers 1994). EMDR leads to demonstrable neurological changes resulting from the patient and reported positive changes in symptoms. (Van der Kolk 2000), after initial investigations EMDR can also be used successfully to treat phantom pain. (Wilson to Tinker, Wilson 2000).
Keywords: Chronic Pain Chronic Pain Protocol Protocol
Accuracy Verified: Yes
158. Hopper, J., Spinazzola, J., Blaustein, M., Yehuda, R., van der Kolk, B. A., & Simpson, W. (2003, October-November). Differential biological outcomes of EMDR and fluoxetine for PTSD. In B. A. van der Kolk (Chair), Treatment outcome studies of PTSD. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
Treatment Outcome Studies of PTSD: This symposium presents three large carefully controlled treatment
outcome studies using four different treatment modalities (CBT,
EMDR, psychopharmacology and Cognitive Processing) and presents
data on comparative efficacy, treatment responsiveness and
resistance, effects on comorbidity, quality of life, and biological
changes that accompany symptom improvement.
Differential Biological Outcomes of EMDR and Fluoxetine for PTSD: Two major developments in PTSD research have been the development
of effective treatments and the delineation of pathophysiology.
While major gains have been made in both of these areas, they
have occurred in parallel. There is a need for investigations of possible
differential effects of different treatment modalities on biological
aspects of PTSD. In this randomized controlled trial (N = 105), we
compared the exposure treatment Eye Movement Desensitization
and Reprocessing, the serotonergic reuptake inhibitor fluoxetine,
and pill placebo for their effects on both PTSD symptoms and biological
parameters. The outcome measures were severity of reexperiencing,
avoidant/numbing, and hyperarousal symptoms; psychophysiological
reactivity to script-driven imagery; basal salivary
cortisol and dexamethasone suppression test (DST). At pre-treatment,
post-treatment and 3-month follow-up, saliva samples were
acquired at 8 a.m., 11 p.m. (immediately followed by dexamethasone)
and 8 a.m.. Participants also underwent a script-driven
imagery protocol utilizing four 30s scripts, each followed by a 60s
script imaging period and 2 minute recovery periods (fixed order:
neutral, trauma, neutral, trauma). Preliminary analyses partially support
hypothesizes concerning differential efficacies of pharmacological
and psychological treatments on different symptom clusters
and biological markers of the disorder, at post-treatment and 3-
month follow-up. Potential implications for treatment and future
research will be discussed.
Keywords: Fluoxetine Posttraumatic Stress Disorder PTSD Symposium
Accuracy Verified: Yes
159. Stone, C., & Goode, P. (2012, October). Dilemmas of using EMDR in time limited environments. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.
Language: English
Format: Conference
Abstract:
Applying EMDR standard protocol in time limited settings with clients who have experienced multiple traumas, often in childhood and combined with disrupted attachments, poses an ongoing clinical challenge. It is necessary to continue to explore ways in which such clients might benefit from EMDR whilst keeping the client ‘safe.’ This presentation seeks to offer some practical EMDR strategies, which have been found to be effective with such a client population in these settings, accompanied by case studies.
Keywords: Time-Limit Constraints
Accuracy Verified: Yes
160. Cotraccia, A. (2008, June). Disorganized attachment in the “worried well”: EMDR in the treatment of adjustment disorders. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
This workshop will begin with a focus on current Adjustment Disorder literature. This section will highlight
problems of intrapersonal and interpersonal attunement as defined from an Interpersonal Neurobiological
perspective. Furthermore, literature on attachment theory will explore the importance of contingent
communication in the development of an integrated mind. The relevance of intersubjective experience in
adaptive information processing will help participants learn to identify experiences of misattuned communication
as relational trauma. Information processing will further be explored as related to self states. An emphasis on
recognizing “cohesive vs coherent” self states will be made. The understanding of the multiplicity of the mind in
this section will provide a context for considering dissociation from an attachment theory perspective. In addition
the emergence of cohesive and “disaggregated” self states will be highlighted as a result of the disorganized
attachment experience. This particular type of relational trauma will be conceptualized as a betrayal trauma.
Disavowal of self states will be established as salient in the vagueness of presenting complaints in the patient
with an Adjustment Disorder. AIP case conceptualization of Adjustment Disorders will be established and a focus
for the remainder of the workshop. Identification of memory networks associated with disorganized/unresolved
experiences and integration of cohesive self states will follow. The 8 phased 3 pronged protocol or modified egostate
specific targeting will be highlighted with a case study. Participants will learn to organize a treatment plan
around negative cognitions, affects and behaviours reflected in the presenting problem and history.
Keywords: Adjustment Disorders
Accuracy Verified: Yes
161. van der Hart, O. (2011, March). Dissociation of the personality: The key to understanding chronic traumatisation and a guide to EMDR treatment. Preconference presentation at the 9th annual Conference of the EMDR UK & Ireland, Bristol.
Language: English
Format: Conference
Abstract:
There is currently consensus that the EMDR standard protocol needs to be modified
for chronically traumatized clients, such as clients with complex dissociative disorders, as it may
destabilize them. Therefore, therapists need to have a good understanding of the dissociative
personality structure that exists in these clients. Dissociation is an undue division of the personality
among two or more biopsychosocial systems or “dissociative parts” that comprise the survivor’s
personality. One or more of them function in daily life; others are fixated in traumatic experiences,
are living in trauma-time. The more severe the traumatisation, the more dissociative parts,
involving more complex trauma-related disorders, can be expected to exist. Dissociative parts have
psychobiological boundaries that are maintained, to a large degree, by different trauma-related
phobias, which are systematically resolved in phase-oriented treatment. Indeed, participants will
be able to describe structural dissociation of the personality as a specific form of integrative failure
that needs to be overcome in phase-oriented treatment, identify ways of relating dissociative
symptoms to the underlying dissociation of the personality, and identify targets such as the
dissociation-maintaining phobias, for EMDR interventions in the respective treatment phases. The
emphasis will be on the preparatory work, including how to work with dissociative parts living in
trauma-time and those perceived as being malevolent, necessary before focusing on the integration
of traumatic memories.
Keywords: Dissocation
Accuracy Verified: Yes
162. Fenstermaker, D. (1992, April). Dissociative disorders. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Abstract:
This paper details a protocol of Eye Movement Desensitization and Reprocessing (EMDR) in the treatment of Dissociative Disorders. EMDR replaces amytal abreactions, the numerous methods of restraint abreactions, and hypnotic abreactions.[Author absract]
Keywords: Dissociative Disorders
Accuracy Verified: Yes
163. Fenstermaker, D. (1993, March). Dissociative disorders. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Abstract:
This paper details a protocol of Eye Movement
Desensitization and Reprocessing (EMDR) in the
treatment of Dissociative Disorders. EMDR replaces
amytal abreactions, the numerous methods of restraint abreactions, and hypnotic abreactions.[Author absract]
Keywords: Dissociative Disorders
Accuracy Verified: Yes
164. Darker-Smith, S. (2012, October). Dissociative disorders and EMDR: Depersonalisation, derealisation and dissociation. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.
Language: English
Format: Conference
Abstract:
Within the field of dissociative disorders, EMDR clinicians are advised that there should be significant stabilisation in the preparation phase of the standard protocol. Indeed, where a client has been experiencing depersonalisation and / or derealisation for a significant period of time, there can be elements of heightened risk, such as suicidal intent caused by living in this ‘half-life’ or ‘dream-state’. For these clients, using a float-back technique to introduce body sensation as a mechanism of grounding can be, and is, highly effective in terms of stabilisation. This can enable a swifter progression to a place of stability in order to target the cause of dissociation, where it has been triggered by a natural, protective psychological avoidance to a traumatic event as well as reduce risk of suicide in clients who are experiencing significant distress at being ‘trapped’ in this ‘alternate reality’.
Keywords: Derealization Depersonalization Dissociation
Accuracy Verified: Yes
165. Fraser, G., & Welburn, K (1999, November). Dissociative table technique: Guided imagery strategy for PTSD with dissociation. Poster presented at the annual meeting of the International Society for Traumatic Stress Studies, Miami, FL.
Language: English
Format: Conference
Abstract:
In keeping with the theme of bridging gaps across disciplines, the
Dissociative Table Technique brings to this trauma conference a
strategy from the field of dissociative disorders. This therapeutic
adjunct has been used by many therapists over the past 10 years
for managing dissociated ego states in trauma victims who also
have dissociation as part of their clinical picture. This strategy has
been used with dissociative disorders, Ego-State therapy and more
recently in conjunction with EMDR for patients having dissociative
state alterations in addition to their PTSD. This guided
imagery strategy provides a protocol for clinical intervention in
such clients and will provide an additional therapeutic adjunct for
trauma workers when PTSD is complicated by dissociative pathology.
Based on gestalt, guided imagery and hypnosis strategies, the
Dissociative Table Technique assists the clinician to bring order to
the random dissociation which can complicate therapy in such
cases. Also clients can be taught to become aware of and integrate
dissociated ego states. This strategy must be carefully considered as
it can have a profound effect on the dissociative processes. It is
advised that it only be employed by clinicians whose fields permit
hypnosis-based therapy.The workshop will commence with a therapeutic
rationale for this technique followed by an outline of the
clinical application. Included will be a video introducing the technique
in a clinical case. The video will be followed by a second
speaker discussing possible applications to EMDR. Useful suggestions
for utilizing EMDR in this trance-prone population (those
with dissociation in addition to PTSD) will be addressed in addition
to presenting clinical examples in which the Dissociative Table
Technique was integrated with EMDR in appropriate clinical
groups.
Keywords: Dissociative Table Technique Dissociation Guided Imagery Poster Posttraumatic Stress Disorder PSTD
Accuracy Verified: Yes
166. Edalatian-McCain, N. (2009, August). Distal-proximal process interweave for treatment of sexual trauma in DID clients. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
Participants will learn an extended interweave strategy to reduce the likelihood of re-traumatization in DID clients processing sexual trauma within the EMDR protocol. This strategy, Distal-Proximal Process interweave, involves an orientation phase to encourage and help the “host” to stay present during processing--even at the expense of not dealing with details of a trauma that are held in alters with limited range. The implementation phase involves using the Rescue Express Merge tactic to help the client process with empowerment. The client is helped through the trauma several times, each time handling more details until he/she can process the trauma in its entirety without needing interweaves.
Keywords: DID Dissociative Identity Disorder Distal-Proximal Process Interweave Sexual Trauma
Accuracy Verified: Yes
167. Mevissen, L., Lievegoed, R., Seubert, A., & de Jongh, A. (2011, December). Do persons with intellectual disability and limited verbal capacities respond to trauma treatment?. Journal Intellectual and Developmental Disability, 36(4), 274-279.
Language: English
Format: Journal
Abstract:
Background. There is not one case report of successful trauma treatment with the use of an evidence-based treatment method in people with substantially limited verbal capacities. This paper assessed the applicability of eye movement desensitisation and reprocessing (EMDR) in two clients with moderate ID, serious behavioural problems, and histories of negative life events. Method. The 8-phase protocol of EMDR, a first-line treatment for psychological trauma, was applied. Results. In both cases, posttraumatic stress disorder (PTSD)-like symptoms decreased in a total of only 6 and 5 sessions, respectively. Gains were maintained at 32 and 10 months' follow-up. Conclusions. EMDR seems to be an applicable psychological trauma treatment for persons with limited verbal capacities. Considering the importance of these findings, further and more rigorous research is required.
Keywords: Developmental Disabiities Intellectual Disabilities
Accuracy Verified: Yes
168. Huffer, K., & Parrett, B. (1999, June). Don’t let the system do you in – Improve your odds for justice (Part I). Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will: 1) increase knowledge and awareness of this "complex PTSD;" 2) be able to integrate the 8-step protocol of "Overcoming the Devastation of Legal Abuse Syndrome" with the 8-phase protocol of EMDR; 3) learn to consider advocacy for legal consumer abuse issues; and 4) be able to discuss and develop plans for further action and research in the treatment and prevention of LAS.
Keywords: LAS Legal Abuse Syndrome Legal Consumer Abuse
Accuracy Verified: Yes
169. Wilensky, M. (2009, May). The drifters: The basic protocol and target sequencing. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.
Language: English
Format: Conference
Abstract:
Over time we all succumb to Protocol Drift. This workshop will bring us back to the Basic Protocol with practice in
following the Three Pronged Approach to a Target: Past Present Future. There will be a brief lecture and
demonstration, followed by a facilitated practicum.
Keywords: Basic Protocol Protocol Targeting Sequencing Touchstone Event
Accuracy Verified: Yes
170. Rogers, S. (2006, December). Drifting away from EMDR. EMDRIA Newsletter, 11(4), 7-8.
Language: English
Format: Newsletter
Abstract:
Those who have attended Francine Shapiro’s Plenary Addresses
in recent EMDRIA Conferences are aware of her wish that
EMDR clinicians accurately reproduce the EMDR procedure
and understand her Adaptive Information Processing model. This
concern was sparked by the frequency of phone calls to the EMDR
Institute from clients who had been treated with variations of the
EMDR protocol with poor results. Also, here in Pennsylvania, we
have had several veterans come into our treatment program claiming
that they had been treated with EMDR and it didn’t work. When
we asked for a description of the treatment, it was clear that the
therapist had added elements to the desensitization phase, such as
affi rmations, positive imagery, and relaxation techniques.
Keywords: Cautions Practice Theory
Accuracy Verified: Yes
171. Knipe, J. (2009). Dysfunctional positive affect: Codependence or obsession with self-defeating behavior. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 463-465). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Codependence Dysfunctional Positive Affect Obsession Protocol Self-Defeating Behavior
Accuracy Verified: Yes
172. Knipe, J. (2009). Dysfunctional positive affect: Procrastination. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 453-458). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Dysfunctional Postive Affect Procrastination Protocol
Accuracy Verified: Yes
173. Knipe, J. (2009). Dysfunctional positive affect: To assist clients with unwanted avoidance defenses. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 451-452). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Avoidance Defenses Dysfunctional Positive Affect Protocol
Accuracy Verified: Yes
174. Knipe, J. (2009). Dysfunctional positive affect: To clear the pain of unrequited love. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 459-462). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Dysfunctional Positive Affect Protocol Unrequited Love
Accuracy Verified: Yes
175. Shapiro, E., & Laub, B. (2008). Early EMDR intervention (EEI): A summary, a theoretical model, and the recent traumatic episode protocol (R-TEP). Journal of EMDR Practice and Research, 2(2), 79-96. doi:10.1891/1933-3196.2.2.79.
Language: English
Format: Journal
Abstract:
This article examines existing early EMDR intervention (EEI) procedures, presents a conceptual model, and proposes a new comprehensive protocol: the Recent-Traumatic Episode protocol (R-TEP). A review of research and important professional issues regarding application and parameters are presented. The commonly used EEI protocols and procedures are summarized, with the inclusion of descriptive case examples from the Lebanon war and a review of related research. Then a theoretical model is presented in which traumatic information processing is conceptualized as expanding from a narrow focus on the sensory image (perceptual level) to a wider focus on the event/episode (experiential level) and finally to a broad focus on the theme/identity (meaning level). The relationship of this model to the Recent-Traumatic Episode protocol is articulated and case examples are presented. Theoretical speculations are discussed relating to attention regulation and the Adaptive Information Processing (AIP) model. Further research is encouraged. [Author Abstract]
Keywords: Adaptive Information Processing Model AIP Cognitive Processes Crisis Intervention Early EMDR Intervention Emergency Room Patients Israel-Hezbollah War Israelis Prevention of PTSD Psychotherapeutic Processes PTSD Recent Events Survivors
Accuracy Verified: Yes
176. Shapiro, E., & Fernandez, I. (2013, June). Early EMDR intervention (EEI): Theory, Practice and research application in a mass disaster. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
EMDR has demonstrated effectiveness in treating chronic PTSD and old trauma memories, yet Early EMDR Intervention (EEI) protocols have not received sufficient attention from EMDR researchers or clinicians.
As part of a comprehensive approach to EEI, this workshop presents the Recent Traumatic Episode Protocol (R-TEP), which is an integrative protocol that incorporates and extends existing EMDR protocols within a new conceptual framework, together with additional measures for containment and safety. The application of the R-TEP will be presented with video case illustrations as well as a report of its utilisation in a mass disaster situation.
Intervening with EMDR in mass disasters has proven to give a significant contribution to this field. During the workshop the structure of an intervention in the acute phase will be described. Recent developments have been seen in the earthquake that hit northern Italy earlier this year, where EMDR was the most widely used approach and utilised with more than 2000 survivors. Epidemiological data and measured changes in post-traumatic stress before and after EMDR will be presented and practical guidelines for implementation of EMDR in the acute and chronic phase of trauma after a mass disaster outlined.
Learning objectives:
Identify and comprehend distinctive issues pertaining to Early EMDR Intervention in general.
Identify and comprehend key features, procedures and concepts of the EMDR Recent Traumatic Episode Protocol (R-TEP);
Evaluate the advantages of the R-TEP protocol for Early EMDR Intervention;
Assess the advantage of early EMDR intervention during the acute phases following a natural disaster; and
Learn the logistics involved with applying the EMDR R-TEP protocol on a large scale in a post mass disaster while obtaining pre-post and follow-up data measures.
Keywords: Early Intervention Theory EEI Mass Disaster
Accuracy Verified: Yes
177. Bisson, J. (2006, June). Early intervention method as an EMDR method. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: English
Format: Conference
Abstract:
Recommendation
• All chronic PTSD sufferers should be
offered a course of trauma-focused CBT
or EMDR, normally on an individual OP
basis, regardless of time since trauma.
• Usually 8-12 sessions, some at 90
minutes.
• May need to be longer than 12 sessions if
multiple trauma, co-morbidity, traumatic
bereavement…
• Training and competence essential.[Excerpt]
Keywords: Recents Events Protocol
Accuracy Verified: Yes
178. Quinn, G. (2010, July). Early interventions. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or
prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although
usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate
trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian
Assistance Program’s (HAP) Disaster Manual and Marilyn Luber’s : EMDR Scripted Protocols: Basic and Special Situations.(2009)
was developed to deal with victims of natural and man made disaster within hours of exposure to trauma. Participants in this
workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood
within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event
of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR or at other times
of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for
patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident
or in ambulances en route to medical facilities. Case examples will be presented to illustrate the successful treatment of
Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war. In this presentation
the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the
face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine
Shapiro in 1989, will be described and compared to the standard EMDR protocol with emphasis as used in emergency
settings where multiple patients need rapid treatment.
The EMDR Group Protocol will be presented as utilized in the Tsunami of 2004 and during war. A practicum will follow.
Keywords: Early Interventions
Accuracy Verified: Yes
179. Grey, E. (2009, August). Earning security with EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .
Language: English
Format: Conference
Abstract:
The experience of safety associated with a secure attachment is essential in promoting social engagement. Social engagement requires the capacity to identify, tolerate and communicate our emotional states. This poster illustrates the pathogenic role that relational trauma plays in thwarting such intrapersonal attunement necessary for interpersonal integration. In particular, disorganized attachment experiences are highlighted as small-t traumas and “touchstone memories” related to “affect phobias”. These phobias are key psychopathological agents that maintain dissociative barriers between components of internal working models of self and other involved in attachment relationships.
Internal working models related to disorganized attachment experiences include segregated information of parent/child interactions in which the parent is the “source and solution of the child’s fright”. The establishment of “trauma coded” internal working models is instrumental in the development of “extra-personal attunement”. As opposed to intrapersonal attunement, extra-personal attunement is characterized by a preoccupation with the feelings, thoughts, and behaviors of others and simultaneous dissociation of one’s own internal experience.
In the wake of such relational trauma, the adaptive information processing system within the individual becomes “corrupt”. The AIP model provides a way to understand the salience of dysfunctionally held information in the brain in thwarting interpersonal attunement and intrapersonal attunement and maintenance of a “corrupt information processing system”. Furthermore, it assists in the clinical navigation of the paths between memory, internal working models, and auto and interactive psychobiological regulation. From a clearer point of view and with an appreciation for the vulnerability of relational misattunement to be traumatic relevant EMDR processing targets can be indentified and targeted. In addition, this AIP conceptualization of relational trauma offers a parsimonious framework within which the effects of trauma can been seen in a variety of psychopathologies.
From adjustment disorders to dissociative identity disorder the feeling of “insecurity” associated with relationships reinforces extra-personal attunement and avoidance of interactive regulation necessary for social engagement. In addition, extrapersonal attunement leads to a preoccupation with the emotional states of others, avoidance of social engagement and substitution of work, play, food, and sex to regulate distress and amplify positive affect.
This poster will offer an Adaptive Information Processing model conceptualization of relational trauma and will outline the role of EMDR in reducing phobic responses to innate affect. It will also highlight the identification and processing of touchstone memories related to disorganized attachment experiences in both the standard EMDR protocol and the adapted “Ego-state specific” protocol. These interventions will be portrayed as necessary components of a comprehensive treatment plan in the treatment of relational trauma. Finally the successful treatment of relational trauma will be depicted as a relevant in promoting intrapersonal attunement necessary for interpersonal integration.
Keywords: Affect Phobias Phobias Relational Trauma
Accuracy Verified: Yes
180. Cotraccia, T. (2009, August). Earning security with EMDR - Promoting social engagement in the wake of relational trauma. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
The experience of safety associated with a secure attachment is essential in promoting social engagement. Social engagement requires the capacity to identify, tolerate and communicate our emotional states. This poster illustrates the pathogenic role that relational trauma plays in thwarting such intrapersonal attunement necessary for interpersonal integration. In particular, disorganized attachment experiences are highlighted as small-t traumas and “touchstone memories” related to “affect phobias”. These phobias are key psychopathological agents that maintain dissociative barriers between components of internal working models of self and other involved in attachment relationships.
Internal working models related to disorganized attachment experiences include segregated information of parent/child interactions in which the parent is the “source and solution of the child’s fright”. The establishment of “trauma coded” internal working models is instrumental in the development of “extra-personal attunement”. As opposed to intrapersonal attunement, extra-personal attunement is characterized by a preoccupation with the feelings, thoughts, and behaviors of others and simultaneous dissociation of one’s own internal experience.
In the wake of such relational trauma, the adaptive information processing system within the individual becomes “corrupt”. The AIP model provides a way to understand the salience of dysfunctionally held information in the brain in thwarting interpersonal attunement and intrapersonal attunement and maintenance of a “corrupt information processing system”. Furthermore, it assists in the clinical navigation of the paths between memory, internal working models, and auto and interactive psychobiological regulation. From a clearer point of view and with an appreciation for the vulnerability of relational misattunement to be traumatic relevant EMDR processing targets can be indentified and targeted. In addition, this AIP conceptualization of relational trauma offers a parsimonious framework within which the effects of trauma can been seen in a variety of psychopathologies.
From adjustment disorders to dissociative identity disorder the feeling of “insecurity” associated with relationships reinforces extra-personal attunement and avoidance of interactive regulation necessary for social engagement. In addition, extrapersonal attunement leads to a preoccupation with the emotional states of others, avoidance of social engagement and substitution of work, play, food, and sex to regulate distress and amplify positive affect.
This poster will offer an Adaptive Information Processing model conceptualization of relational trauma and will outline the role of EMDR in reducing phobic responses to innate affect. It will also highlight the identification and processing of touchstone memories related to disorganized attachment experiences in both the standard EMDR protocol and the adapted “Ego-state specific” protocol. These interventions will be portrayed as necessary components of a comprehensive treatment plan in the treatment of relational trauma. Finally the successful treatment of relational trauma will be depicted as a relevant in promoting intrapersonal attunement necessary for interpersonal integration.
Keywords: Poster Social Engagement
Accuracy Verified: Yes
181. Hollander, H. E., & Bender, S. S. (2001, January-April). ECEM (Eye Closure Eye Movements): Integrating aspects of EMDR with hypnosis for treatment of trauma. American Journal of Clinical Hypnosis, 43(3-4), 187-202. doi:10.1080/00029157.2001.10404276.
Language: English
Format: Journal
Abstract:
The paper addresses distinctions between hypnotic interventions and Eye Movement Desensitizing and Reprocessing (EMDR) and discusses their effect on persons who have symptoms of PTSD. Eye movements in hypnosis and EMDR are considered in terms of the different ways they may affect responses in treatment. A treatment intervention within hypnosis called ECEM (Eye Closure, Eye Movements) is described. ECEM can be used for patients with histories of trauma who did not benefit adequately from either interventions in hypnosis or the EMDR treatment protocol used separately. In ECEM the eye movement variable of EMDR is integrated within a hypnosis protocol to enhance benefits of hypnosis and reduce certain risks of EMDR. [Author Abstract]
Keywords: Hypnotherapy Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
182. Hollander, H. E. (2009, October). ECEM (eye closure, eye movements): Application to depersonalization disorder. American Journal of Clinical Hypnosis, 52(2), 95-109. doi:10.1080/00029157.2009.10401701.
Language: English
Format: Journal
Abstract:
Eye Closure, Eye Movements (ECEM) is a hypnotically-based approach to
treatment that incorporates eye movements adapted from the Eye Movement
Desensitization and Reprocessing (EMDR) protocol in conjunction with
hypnosis for the treatment of depersonalization disorder. Depersonalization
Disorder has been differentiated from post-traumatic stress disorders and
has recently been conceptualized as a subtype of panic disorder (Baker et
al., 2003; David, Phillips, Medford, & Sierra, 2004; Segui et. al., 2000).
During ECEM, while remaining in a hypnotic state, clients self-generated six
to seven trials of eye movements to reduce anticipatory anxiety associated
with depersonalization disorder. Eye movements were also used to process
triggers that elicited breath holding, often followed by episodes of
depersonalization. Hypnotic suggestions were used to reverse core symptoms
of depersonalization, subjectively described as "feeling unreal" (Simeon et
al., 1997).
Keywords: ECEM Eye Closure Eye Movements
Accuracy Verified: Yes
183. Janssen, J. (2012, February). Een bijzondere casus (serie): EMDR-behandeling van vroegkinderlijke trauma’s bij een cliënte met een eetstoornis [A special case (series): EMDR treatment of early childhood trauma in a client with an eating disorder]. Tijdschrift voor Psychotherapie, 38(1), 21-37. doi:10.1007/s12485-012-0003-3.
Language: Dutch
Format: Journal
Abstract:
Onveilige hechting en vroegkinderlijke trauma’s liggen aan de basis
van veel problemen die onze cliënten ervaren in hun dagelijkse
leven en zij leiden tot disfunctionele gedachten- en gedragspatronen.
In de babyfase ontwikkelt zich het (sociale) brein op basis van
liefde of het ontbreken ervan. Het is de interactie tussen baby’s en
hun ouders in de eerste jaren die bepalend is. Het introduceren in
de therapie van liefde en liefdevolle ouders die er voor hen zijn, lijkt
van essentieel belang te zijn voor een succesvolle behandeling.
In dit artikel wordt het vier-stappenmodel van Katie O’Shea uiteengezet.
De eerste drie stappen bieden de effectieve stabilisatie die
nodig is om de behandeling van vroegkinderlijke trauma’s aan te
gaan. In stap 4 kan deze behandeling vervolgens op gestructureerde
wijze plaatsvinden. Met haar ‘EMDR’-model creëren we als het
ware een nieuwe blauwdruk in het brein met als uitkomst ‘een reconstructie
van het zelfbeeld’. O’Shea beoogt met haar model herstel
van prenataal en perinataal trauma, wat met het standaard
EMDR-protocol niet gemakkelijk wordt bereikt.
DRS.
Insecure attachment and early childhood traumas are the basis
of many problems that our clients experience in their daily
life and they lead to dysfunctional thoughts and behavioral patterns.
In the infant stage develops the (social) brain based on
love or lack thereof. It is the interaction between babies and
their parents in the early years is decisive. Introducing into
the therapy of love and loving parents who are there for them, seems
of vital importance for a successful treatment.
In this article, the four-step model Katie O'Shea put apart.
The first three steps provide effective stabilization to the
necessary for the treatment of early childhood trauma to
go. In step 4, this treatment can then structured by
manner. With its' EMDR' model we create as
were a new blueprint in the brain as being 'a reconstruction
of the self '. O'Shea aim with the recovery model
of prenatal and perinatal trauma, what with the standard
EMDR protocol is not easily achieved.
DRS.
Keywords: Childhood Trauma Eating Disorder
Accuracy Verified: Yes
184. Kutz, I., Dekel, R., Schreiber, S., Resnick, V., Dolberg, O. T., Barkai, G., Leor, A., Rapoport, E., & Bloch, M. (2008, November). The effect of a single session of EMDR on intrusive distress in acute stress syndromes. Symposium/panel conducted at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL.
Language: English
Format: Conference
Abstract:
Early diagnosis and intervention in mass
casualty events: Since September 2000, Israeli and Palestinian societies suffered
great losses. on the Israeli side, civilians of all ages, and ethnic
groups, have been exposed to various types of terrorist attacks.
This symposium examines issues of diagnosis and interventions
The effect of a single session of EMDR on intrusive distress in acute stress syndromes: Purpose: To examine the efficacy of a single session of a modified
abridged EMDR protocol in reducing Acute Stress Syndromes
(ASS) following accidents and terrorist bombing attacks.
Methods: Treatment was provided, in a general hospital inpatient
and out-patient setting to 86 patients with ASS.
Friday: 11:00 a.m. – 12:15 p.m.
Presenters are underlined and discussants are italicized.
If serving in both roles, they are both underlined and italicized. Findings: Fifty percent reported immediate fading of their intrusive
symptoms and general alleviation of their distress, 27% described
partial alleviation of their symptoms, while 23% reported no
improvement. Four week and six month follow-up, in the terror
victims group only, showed that the immediate responders
remained symptom free, while half of the non-responders, who
also received subsequent additional interventions modalities, were
still symptomatic.
Conclusions: The difference in response may be attributed, in part,
to the fact that immediate responders tended to have an
uncomplicated ASS with fewer risk factors for PTSD, while the
non-responders had higher exposure to former traumas and
endorsed more risk factors for PTSD. These results support other
anecdotal reports on the rapid effects of brief EMDR intervention in
uncomplicated cases and offer a psycho-physiological hypothesis
for immediate response. While additional controlled studies are
essential, this immediate symptomatic relief may be a potential
addition for focused interventions in acute trauma victims.
Keywords: Acute Stress Disorder ASD Bombings Israel Palenstine Panel Symposium Terrorists
Accuracy Verified: Yes
185. Kutz, I., Resnik, V., & Dekel, R. (2008). The effect of single-session modified EMDR on acute stress syndromes. Journal of EMDR Practice and Research, 2(3), 190-200. doi:10.1891/1933-3196.2.3.190.
Language: English
Format: Journal
Abstract:
A single session of a modified, abridged EMDR protocol was provided in a general hospital inpatient and outpatient setting to 86 patients with acute stress (AS) syndrome suffering from intrusion distress following accidents and terrorist bombing attacks. Fifty percent reported immediate fading of intrusive symptoms and general alleviation of distress, 27% described partial alleviation of their symptoms and distress, while 23% reported no improvement. Partial and nonresponders were provided with or referred for more comprehensive treatment. At 4-week and 6-month follow-up, the immediate responders in the terror victims group remained symptom free. The immediate responders tended to have uncomplicated AS symptoms with fewer risk factors for posttraumatic stress disorder (PTSD), while the nonresponders had higher exposure to former traumas and endorsed more risk factors for PTSD. These results support other anecdotal reports on the rapid effects of brief EMDR intervention on intrusive symptoms in early uncomplicated posttraumatic cases. Although more controlled studies are essential, this immediate method for symptomatic relief may be a potential addition for focused interventions in acute trauma victims.
Keywords: Acute Stress Disorder ASD Intrusions Mass Casualty Event MCE Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
186. Manfield, P. (2006, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
The workshop begins with a discussion of which clients this technique is appropriate for. The
technique is not recommended for couples in which
either or both partners do not have adequate affect
tolerance, observing ego, or trust of each other's
integrety. Other risk factors for using EMDR in
couples therapy that have been highlighted in other
presentations and literature will be briefly reviewed.
Participants will learn to differentiate between
clients' statements that represent present experience
and those that represent concepts of present
experience or reporting of past experiences.
Participants will be taught specific interventions
which they will practice in guided exercise that
will enable them to facilitate both individuals and
couples to stay in their present experience during
EMDR targeting. Irrational emotional responses
to daily interactions and conflicts are often the result
of unresolved issues resulting from underlying
feeder memories. Participants will learn a simple
method for identifying underlying issues of each
individual partner related to a given conflict. The
final and most substantial portion of this
presentation will be focused on using a refined
"affect bridge" technique to identify the feeder
memories associated with those issues so that they
can be targeted with the standard EMDR protocol.
Specific methods will be taught to overcome
clients' resistance and difficulties with accessing
memories; these methods include use of accessing
cues (re: Neurolinguistic Programming) and
developing eidetics (re: Eidetic Psychotherapy)
These methods will be illustrated using a case
transcript, guided participant experiential exercise, and live demonstration.
Keywords: Couples Couples Therapy Targeting
Accuracy Verified: Yes
187. Manfield, P. (2005, September). Effective EMDR targeting with couples. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Based an a relatively simple protocol for finding targets specific to the partners' issues, this approach is especially effective with couples who tend to want to spend sessions complaining about each other and recounting the conflicts of the past week. Equal time will be devoted to identifying targets and then developing them using the basic principles of Ahsen's Eidetic Psychotherapy and a modified version of Walkins' "affect bridge." Methods will be taught to overcome resistance and difficulties clients have with accessing memories. Through case transcripts and participation exercises, the basics of this protocol will be explained and demonstrated.
Keywords: Couples Couples Therapy Targeting
Accuracy Verified: Yes
188. Smith, G. (2004, September). Effectively applying 8 phases of EMDR to any age child or adolescent. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
This workshop will provide a comprehensive system for effectively applying the eight phases of the EMDR protocol with any age client. Participants will learn: 1) Three critical components of effective EMDR Case Conceptualization with children; 2) Steps to take in the Preparation Phase to ensure optimal client safety and treatment effectiveness; 3) Age-based variations for doing BLS and obtaining the Picture, NC, PC, VOC, Emotions, SUDS, and Physical Sensations; 4) Strategies for facilitating optimal processing with children, including strategies for intervention when processing is blocked or looping; 5) Closure and reevaluation strategies for enhancing treatment effectiveness with children.
Keywords: 8 Phases Adolescents Children
Accuracy Verified: Yes
189. Borstein, S. S. (2009, August). The effectiveness of brief adjunctive EMDR: A pilot study. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
A pilot study was conducted to assess the effectiveness of brief adjunctive EMDR treatment, in the naturalistic
setting of an outpatient clinical office. All clients referred for adjunctive EMDR were considered for this study. A
total of 14 individuals were accepted for treatment and completed that treatment, utilizing the standard EMDR
protocol. Length of treatment was four to thirteen 50 minute sessions (mean = 8.8 sessions). Each subject was
administered five self-report measures pre- and post-treatment. In addition, referring therapists were asked to rate
the intensity of one to three presenting problems, pre- and post-treatment. Four out of five self-report measures
indicated statistically significant improvement, with significance greater than .001. The effect size was Large or
Very Large for those four measures.
Keywords: Adjunctive Treatment Brief Adjunctive EMDR Treatment Poster
Accuracy Verified: Yes
190. 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
191. Rubin, Al., Bischofshausen, S., Conroy-Moore, K., Dennis, B., Hastie, M., Melnick, L., Reeves, D., & Smith, T. (2001, July). The effectiveness of EMDR in a child guidance center. Research on Social Work Practice, 11(4), 435-457. doi:10.1177/104973150101100402 .
Language: English
Format: Journal
Abstract:
Objective: This study evaluated the effectiveness of adding EMDR to the routine treatment regimen of child therapists. Method: 39 child guidance center clients were randomly assigned to an experimental group that received EMDR plus the center's routine treatment package or a control group that received only the center's routine treatment package. Results: Analyses of variance found no significant differences in Child Behavior Checklist scores between groups. Subanalyses conducted for 33 clients with elevated pretest scores found moderate effect sizes that approached, but fell short of, statistical significance. Conclusions: These findings raise doubts about notions that EMDR produces rapid and dramatic improvements with children whose emotional and behavioral problems are not narrowly connected to a specific trauma and who require improvisational deviations from the standard EMDR protocol. Further research is needed in light of the special difficulties connected to implementing the EMDR protocol with clients like those in this study. [Sage]
Keywords: Affective Disorders Behavior Problems Effectiveness Emotional & Behavioral Problems Empirical Study Treatment Treatment Effectiveness Evaluation Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
192. George, A., Thilly, N., Rydberg, J. A., Luz, R., & Spitz, E. (2013, March). Effectiveness of EMDR treatment in PTSD after childbirth: A randomized controlled trial protocol. Acta Obstetricia et Gynecologica Scandinavica. doi:10.1111/aogs.12132.
Language: English
Format: Journal
Abstract:
A traumatic experience of childbirth is an important public health issue (1; 2). Approximately 1-2% of women suffer from post-traumatic stress disorder (PTSD) following childbirth (3). To date, no large research project has attempted to evaluate psychotherapeutic interventions for women suffering from PTSD after childbirth in a randomized controlled trial (4). Qualitative pilot studies and clinical expertise suggest that eye movement desensitization and reprocessing (EMDR) treatment is a highly successful psychotherapy for women suffering from traumatic birth (5;6). © 2013 Nordic Federation of Societies of Obstetrics and Gynecology, Acta Obstetricia etGynecologica Scandinavica.
Keywords: Childbirth Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
193. Beere, D. B. (2009). The effectiveness of EMDR with the dissociative disorders: A research study leading to the development of an EMDR protocol for DID. Manuscript in preparation.
Language: English
Format: Journal
Keywords: DID Dissociative Disorders Dissociative Identity Disorder Research
Accuracy Verified: No
194. Kannan, L., & Mehrotra, S. (2010, July). Effectiveness of EMDR with those undergoing traumatic divorce. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
A contested divorce in an eastern cultural context qualifies to be classified as a traumatic event. Those experiencing this
ongoing trauma often undergo PTSD and Depression. EMDR with its standard and current events protocol serves to mitigate
both the anxiety and depressive symptoms significantly. This study looks at adapting EMDR for divorcing families in court,
clinical and private settings.
Participants will learn
1. Differences in cognition of marriage in different cultures such as western, Eastern and Middle Eastern and potential
problems, which are culture specific.
2. What constitutes marital trauma and traumatic divorce in the Eastern context
3. The impact of marital trauma in terms of clinical presentation as well as non clinical parameters of well being such as self-esteem, general health, locus of control and quality of life among those undergoing EMDR.
4. How to use EMDR with those undergoing marital trauma with divorce proceedings and cultural implications.
5. Adaptations in the EMDR to the court environment as well as other setting where such clients may present themselves
Keywords: Divorce
Accuracy Verified: Yes
195. Brennstuhl, M. J., & Tarquinio, C. (2012, June). Effects of an specific EMDR protocol for the treatment of chronic pain [Los efectos de un protocolo específico de EMDR para el tratamiento del dolor crónico]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Treatment
of
chronic
pain
stays
problematic.
The
complex
part
of
cognitive,
behavioral
and
emotional
in
chronic
pain
makes
treatment
complicated.
Since
few
years,
many
authors
have
argued
on
a
traumatic
symptomatology,
which
is
responsible
of
chronic
pain
(reactive
symptom
of
PTSD)
(Bioy
&
Fouques,
2002;
Ferragut,
2007,
2010),
or
that
chronic
pain
may
induce
a
trauma
(Burloux,
2004).
This
argumentation
brought
to
us
to
envisage
the
EMDR
therapy
for
the
treatment
of
chronic
pain.
This
research
aims
to
test
the
effectiveness
of
treatment
of
chronic
pain.
We
have
elaborated
a
new
protocol,
which
focuses
on
specificities
on
chronic
pain
problematic.
This
protocol
focuses
on
pain
and
physical
sensation.
Inspiration
on
Mark
Grant
Protocol
(Grant,
2009),
R-‐Tep
and
Google
research
(Shapiro
&
Laub,
2009)
isn’t
unnoticed.
Chronic
pain
can
be
approached
like
an
elaborated
trauma,
because
it’s
always
happening.
So,
as
with
recent
event
trauma,
we
can
find
the
most
difficult
moment.
It’s
why
we
proposing
a
protocol
based
on
focusing
symptom:
pain.
Ten
patients
were
treated
with
this
new
EMDR
protocol,
specific
on
chronic
pain.
After
every
session,
and
at
the
end
of
the
treatment,
the
effects
of
this
protocol
on
chronic
pain
and
traumatic
symptomatology
were
evaluated
and
show
significant
improvement.
The
objective
is
double:
a
significant
improvement
was
made
reducing
chronic
pain
and
associated
symptoms
(depression,
anxiety...),
and
also
use
this
protocol
in
a
prevention
move
and
stop
chronicity
of
pain
in
the
beginning.
El
tratamiento
del
dolor
crónico
sigue
siendo
problemático.
Los
elementos
cognitivos,
conductuales
y
emocionales
complejos
dificultan
su
tratamiento.
Desde
hace
algunos
años,
muchos
autores
han
debatido
sobre
una
sintomatología
traumática
que
sería
la
responsable
del
dolor
crónico
(síntoma
reactivo
del
TEPT)
(Bioy
&
Fouques,
2002;
Ferragut,
2007,
2010)
o
que
el
dolor
crónico
puede
inducir
trauma
(Burloux,
2004).
Esta
controversia
nos
ha
llevado
a
contemplar
el
empleo
de
EMDR
para
el
tratamiento
del
dolor
crónico.
Esta
investigación
pretende
comprobar
la
efectividad
[de
EMDR]
del
tratamiento
del
dolor
crónico.
Hemos
elaborado
un
protocolo
nuevo
que
se
centra
en
las
especificidades
del
dolor
crónico
problemático.
Este
protocolo
se
centra
en
el
dolor
y
la
sensación
física.
No
pasa
desapercibida
la
inspiración
del
protocolo
de
Mark
Grant
(Grant,
2009),
R-‐Tep
e
investigación
en
Google
(Shapiro
&
Laub,
2009).
Se
puede
abordar
el
dolor
crónico
del
mismo
modo
que
el
trauma
elaborado,
dado
que
es
constante.
Por
lo
tanto,
al
igual
que
un
evento
reciente,
podemos
identificar
el
momento
más
difícil.
Por
eso
proponemos
un
protocolo
que
se
basa
en
centrarnos
en
el
síntoma:
el
dolor.
Diez
pacientes
fueron
tratados
con
este
nuevo
protocolo
de
EMDR,
específico
para
el
dolor
crónico.
Tras
cada
sesión
y
al
finalizar
el
tratamiento,
se
evaluaron
los
efectos
de
este
protocolo
sobre
el
dolor
crónico
y
la
sintomatología
traumática;
los
resultados
han
mostrado
una
mejoría
significativa.
El
objetivo
es
doble:
por
un
lado,
lograr
una
mejora
significativa
y
reducir
el
dolor
crónico,
así
como
los
síntomas
asociados
(la
depresión,
ansiedad...),
y
por
el
otro
lado,
usar
este
protocolo
como
estrategia
preventiva
y
poner
fin
a
la
cronificación
del
dolor
desde
un
principio.
Keywords: Chronic Pain
Accuracy Verified: Yes
196. Altan Aytun, O., Ozcan, G., Ciftci, A,. Konuk, E. Yuksek, H., Karakus, D., Cavusoglu S., & Vatan Ozcelik, D. (2010, June). The effects of early EMDR interventions (EMD and R-TEP) on the victims of a terrorist bombing in Istanbul. In Treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Presenter: Filiz Kaya
The present study is carried out within a psychological
counseling project which is governed by Istanbul metroplitan Municipality. The study was designed to assess the effects
of Early EMDR Intervention (EEI) on the victims of a terrorist
bombing in Gungoren, Istanbul. Subjects were the victims of
a terrorist bombing in Gungoren, Istanbul. The participants
were selected from a pool of children and adults, who lived in
Gungoren and scored high on the Turkish version of 'Impact of
Event Scale' (IES) and PTSD Symptom Checklist. The subjects
were contacted 2 days after the bomb attack so that we were
able to measure the event impact right after the traumatic experience,
which will help us to demonstrate how EMDR affects
the impact of the event more accurately.
Eye Movement Desensitization (EMD) as an EEI technique was
used to treat the child participants, whereas Recent Traumatic
Event Protocol (R-TEP) which incorporates the EMD and Recent
Event (RE) protocols, was received by the adult participants
The therapists (EMDR certified therapists, who were receiving
supervision) met with the participants weekly to work only on
the trauma of the bombing and participants completed impact
of Event Scale prior to each session. The number of the sessions was restricted to the completion of EMD and R-TEP. The study
is completed with a three month follow-up. Analyses of the
data collected from the participants demonstrates the level of
effectiveness of EMDR in children and adults, in prevention of
PTSD and the use of EMDR as a crises intervention tool.
Keywords: Acute Stress Bombing Early Interventions EMD Istanbul Recent Events R-TEP Symposoium Terrorism
Accuracy Verified: Yes
197. Goodwin, D., Banner, L., & Hayward, R. (1995, June). Effects of EMDR in treating erectile dysfunction measured by magnetic resonance imaging. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The experimenters seek to determine whether the reported anxiety-relieving effects of (EMDR) can be effectively applied to patients reporting erectile dysfunction and whether the expected changes in levels of anxiety can be measured as a function of changes in brain function observed through MRI tracings. The MRI is well suited to reflect hypothesized changes in the lowering of sympathetic arousal and the increasing of parasympathetic arousal as a response to EMDR procedures. This investigation, using the MRI brain scanning procedures was followed in stages of (1) establishing criteria for the radiological determination of characteristics of brain function measured with the MRI that descriminate between levels of experimentally induced anxiety and (2) conducting an experimental investigation of the application of EMDR while patients are undergoing the MRI scanning protocol. Psychological measures include the Personality Assessment Inventory(PAI) to screen for psychotherapy of subjects, the Impact of Events Scale(IOE), and the State-Trait Anxiety Inventory(STAI). Correlations between these scales and ratings of physiological changes are reported.
Keywords: Erectile Dysfunction MRI Scanning Protocol Symposium
Accuracy Verified: Yes
198. Ruozzi, A. (2002). Efficacia dell'EMDR nella psicoterapia del PTSD e dei ricordi traumatici [Effectiveness of EMDR psychotherapy on PTSD and traumatic memories]. Retrieved from http://www.psicotraumatologia.com/pubblicazioni_psicotraumatologia_italiane.htm on 10/13/2012.
Language: Italian
Format: Dissertation/Thesis
Abstract:
L’EMDR inoltre progredisce su altri due versanti: da un lato incorpora al suo interno spunti teorici ed applicativi provenienti da diversi paradigmi psicoterapeutici allo scopo di potenziare l’efficacia e la flessibilità (Shapiro, 1995); dall’altro lato, si cerca di applicare il metodo a disturbi che vanno oltre al PTSD. Attualmente nei differenti paesi del mondo le persone che hanno effettuato un training organizzato dall’EMDR Institute sono circa 30.000.In Italia i primi corsi sull’EMDR sono stati condotti nel febbraio 1999 e sono attualmente coordinati dall’Associazione EMDR Italia, a sua volta riconosciuta e patrocinata dalla EMDR Europe (Giannantonio, 2000). L’associazione ha sede a Milano e dispone di un sito internet: www.emdritalia.it.
Il dibattito sull’efficacia di questo metodo è tuttora aperto e sono numerose e contrastanti le ricerche che si sono svolte su questo argomento. La questione ha assunto a tratti i toni dello scontro ideologico e sono subentrati anche problemi di carattere commerciale, un metodo che si propone come più efficace e più rapido nella terapia di alcuni disturbi psicologici non può non essere valutato come un rivale, soprattutto in una realtà come quella del Nord America dove le spese per la psicoterapia sono pagate dalle assicurazioni (Giannantonio, 2000).
L’EMDR è uno dei metodi che vanta il maggior numero di conferme sperimentali nella psicoterapia del PTSD. Questo gli ha consentito nel 1995 di essere considerata “trattamento probabilmente efficace” (valutazione A/B) nella terapia del PTSD dalla Task Force on Psychological Intervention dell’American Psychological Association. Questa valutazione di efficacia è uguagliata solo dallo Stress Inoculation Training e dalle terapie basate sull’esposizione (Chambless et al., 1998).
Gli studi prodotti sull’efficacia dell’EMDR sono numerosi (per una rassegna vedi Giannantonio, 2000), molti sono criticabili perché mal strutturati e con grossi problemi di validità. Esistono tuttavia una serie di studi ben organizzati che si sono dimostrati inattaccabili sul piano metodologico...
Questi studi tuttavia commettono uno o più dei seguenti problemi:
1) Impiegano una o due sedute di EMDR con reduci del Vietnam forse anche a causa dell’equivoco suscitato dalla stessa Shapiro (1989) che riferiva risultati importanti nei confronti del PTSD con una sola seduta di EMDR nel 100% dei soggetti. Una tale concezione dell’EMDR non è quella più attuale e condivisa (Shapiro, 1995).
2) Trattano con l’EMDR solo uno o due episodi traumatici in soggetti che devono essere considerati “pluritraumatizzati” (Shapiro, 1999).
La presente Tesi è divisa in due parti: nella prima di carattere essenzialmente bibliografico ho analizzato la letteratura esistente sull’EMDR e sul PTSD.
Nel secondo capitolo descriverò il Disturbo Post-Traumatico da Stress analizzando i vari approcci teorici al problema del trauma.
Nel terzo capitolo verrà analizzata la teoria dell’EMDR ovvero il modello esplicativo ritenuto più adeguato che fa riferimento alla “elaborazione accelerata dell’informazione”.
Il quarto capitolo, che conclude la prima parte, riporta il protocollo standard di somministrazione dell’EMDR per adulti e adolescenti.
Nella seconda parte viene riportata la descrizione della ricerca che si sta producendo in collaborazione con l’EMDR Italia che si propone di valutare l’efficacia dell’EMDR. Nel quinto capitolo viene descritto il disegno sperimentale. Nel sesto capitolo viene analizzato il metodo di campionamento e i presupposti di validità della ricerca. Nel settimo capitolo sono descritti i test che si è deciso di analizzare nel corso della presente tesi. Infine l’ottavo capitolo si concentra sull’analisi dei primi dati emersi dalla ricerca e sulle prime conclusioni.
EnglishSpanishArabicAlpha
EMDR also progressing on two other fronts: on the one hand it incorporates theoretical insights and applications from different psychotherapeutic paradigms in order to enhance the effectiveness and flexibility (Shapiro, 1995), on the other hand, it tries to apply the method to problems that go beyond PTSD.
Currently in different countries of the world, people who have a training organized dall'EMDR Institute 30.000.In Italy are about the first courses on EMDR have been conducted in February 1999 and is currently coordinated by the Association EMDR Italy, in turn recognized and sponsored by the EMDR Europe (Giannantonio, 2000). The association is based in Milan and has a website: www.emdritalia.it.
The debate on the effectiveness of this method is still open and they are many and conflicting research that took place on this topic. The issue has assumed at times the tone of the ideological battle and were replaced also problems of a commercial nature, a method is proposed as a more effective and faster in the treatment of certain psychological disorders can not be assessed as a rival, especially in a situation such as North America where the cost of psychotherapy are paid by insurance (Giannantonio, 2000).
EMDR is one of the methods which has the highest number of experimental confirmation in psychotherapy for PTSD. This enabled him in 1995 to be considered "probably efficacious treatment" (rated A / B) in the treatment of PTSD by the Task Force on Psychological Intervention of the American Psychological Association. This assessment of effectiveness is equaled only by the stress inoculation training and exposure-based therapies (Chambless et al., 1998).
Studies on the effectiveness of EMDR are numerous products (for review see Giannantonio, 2000), many are questionable because poorly structured and serious problems of validity. There are however a number of well-organized studies that have proven resistant in terms of methodology:
......
These studies, however, have committed one or more of the following problems:
1) They use one or two sessions of EMDR with Vietnam veterans possibly because of misunderstanding caused by the same Shapiro (1989) who reported significant results against PTSD with a single session of EMDR in 100% of subjects. Such a conception of EMDR is not the most current and shared (Shapiro, 1995).
2) They deal with EMDR only one or two traumatic events in people who should be considered "pluritraumatizzati" (Shapiro, 1999).
This thesis is divided into two parts: the first character essentially bibliographic I analyzed the existing literature on EMDR and PTSD.
In the second chapter I will describe the Post-Traumatic Stress Disorder analyzing the various theoretical approaches to the problem of trauma.
In the third chapter we will analyze the theory of EMDR or the explanatory model deemed more appropriate that refers to the "accelerated processing of information."
The fourth chapter, which concludes the first part shows the standard protocol of administration of EMDR for adults and adolescents.
In the second part shows the description of the research that is being produced in collaboration with the EMDR Italy that aims to assess the effectiveness of EMDR. In the fifth chapter describes the experimental design. In the sixth chapter analyzes the sampling method and the conditions for validity of the research. In the seventh chapter describes the tests it was decided to analyze the course of this thesis. Finally, the eighth chapter will focus on early evidence from research and initial findings.
Keywords: Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
199. Jeffres, M. J. (2003). The efficacy of EMDR with traumatized children. Fielding Graduate Institute, Santa Barbara, CA. AAT 3100543.
Language: English
Format: Dissertation/Thesis
Abstract:
This study evaluated the effectiveness of up to five 60-minute sessions of eye movement desensitization and reprocessing (EMDR) for children (ages 8-12) who had suffered one or more traumas. Participants (N = 48) were randomly assigned to either an EMDR experimental group or a waiting list control. They were provided treatment by one of five therapists, all of whom were experienced, independent clinicians having received Level 2 training in the EMDR technique. The therapists followed Shapiro's protocol for children and were in 90% compliance with the protocol. The participants were carefully screened according to Shapiro criteria. This study was unique in that it included an integrated outcome measure (UCLA PTSD Index), consisting of an assessment of PTSD criteria and a rating of symptoms, reported by both parent and child. Analysis of pre-post changes consisted of two 2 x 3 ANCOVAs, one each for the child and adult report. The analysis of covariance revealed a main effect for the covariate (the pretest total PTSD Score), a main effect for group, and a significant group x time interaction effect, for both the child and adult report. Post hoc (Scheffe) analysis revealed that participants maintained the benefits of treatment at 1-month follow-up. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 64(8-B), 2004, pp. 4042.
Keywords: Emotional Trauma Empirical Study Eye Movements Quantitative Study
Accuracy Verified: Yes
200. de Jongh, A., & ten Broeke, E. (2001, March). An efficient way of targeting traumatic material. EMDRIA Newsletter, 6(1), 4.
Language: English
Format: Newsletter
Abstract:
Besides the correct application of the basic EMDR protocol,
one of the most important factors involving the treatment of
trauma related conditions, is the way the traumatic material is
targeted. For example, if clients have trouble processing, this could
be due to a lack of focus which prevents the client from successfully
tapping into his memory network. It’s our experience that, to
adequately tap into the memory network, it is most useful to use a
somewhat different strategy for ‘going back to target’ than which is
described as part of the standard EMDR procedure. We would
recommend the following procedure (see Box I).
Keywords: Targets
Accuracy Verified: Yes
201. Molero-Zafra, M., & Perez-Marín, M. (2009, June). El duelo, la familia, el trauma y el EMDR: Analisis de un caso clínco [Grief, the family, trauma and EMDR: analysis of a clinical case]. Mosaico, 42, 28-35.
Language: Spanish
Format: Magazine
Abstract:
El objetivo de este articulo es mostrar como el acercamiento terapéutico del EMDR puede integrarse en la terapia familiar y narrative favoreciendo y potenciando su poder para restablecer el proceso de duelo. Para ello presentamos el análisis de una caso de duelo complicado tratado con protocolo de EMDR e incluido en un proceso terapéutico de terapia familiar y narrativa.
The aim of this paper is to show how EMDR therapeutic approach can be integrated into family therapy and narrative encouraging and enhancing their power to restore the grieving process. We present the analysis of a case of complicated grief treated with EMDR protocol and included in a therapeutic process of family therapy and narrative.
Keywords: Family Grief Narrative Therapy Trauma
Accuracy Verified: Yes
202. Molero-Zafra, M., & Pérez-Marín, M. (2010, Abril). El EMRD aplicado al trastorno de duelo patológico. Presentación de un caso [EMDR applied to pathological grief disorder. Case report]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Espagna.
Language: Spanish
Format: Conference
Abstract:
La pérdida de un ser querido es un evento de gran impacto emocional
que afectando a todo el sistema familiar, puede ser muy diferente en el modo
en que cada uno de sus miembros perciba, interprete, afronte y se adapte
a la nueva situación tras la pérdida y las demandas por ella creadas. Es
frecuente que una pérdida no elaborada de forma adecuada dé paso a problemas
emocionales e incluso trastornos psicopatológicos al cabo de meses
o incluso años; sin embargo, un duelo adecuadamente elaborado mejora las
capacidades futuras para enfrentarse a las situaciones de pérdida, frustración
o sufrimiento.
La premisa fundamental del modelo de procesamiento adaptativo de información
(PAI) en la que se basa la terapéutica de EMDR sería: la perturbación
que la persona sufre en la actualidad es el resultado de un almacenamiento
disfuncional de la información (Shapiro, 2001). El procesamiento
implica el forjar nuevas asociaciones con información adaptativa proveniente
de otras redes de memoria disponibles para vincularse en la red de memoria
restaurando la información disfuncional almacenada. Desde este modelo, el
duelo complicado se desarrolla cuando los componentes individuales son
tan dolorosos, que se desarrolla una alta sensibilidad cada vez que se reactiva
un fragmento del recuerdo y no se logra la integración. Los fragmentos
activados pueden competir por la atención en la mente, haciendo que ésta
vaya de atrás para adelante entre dos o más aspectos de la muerte. Esta
falta de foco impide el procesamiento de los fragmentos individuales, como
cuando el procesamiento de la pérdida en si misma se desvía por el recuerdo
de los detalles de cómo la persona murió.
En esta comunicación, presentamos el protocolo de EMDR aplicado al
duelo complicado a través del análisis de un caso clínico.
The loss of a loved one is an event of great emotional impact
that affect the entire family system, may be very different in the way
in that each of its members perceive, interpret, and adapt confronts
to the new situation after the loss and the demands created by it. this is
loss often not adequately prepared to give way to problems
psychopathology emotional and even after months
or even years, but properly prepared duel improves
future capabilities to face situations of loss, frustration
or suffering.
The fundamental premise model adaptive information processing
(AIP) which is based on EMDR therapy would be: the disturbance
the person is currently suffering is the result of a storage
Dysfunctional information (Shapiro, 2001). processing
involves forging new partnerships with adaptive information from
other networks available memory on the network to link memory
restoring the dysfunctional information stored. From this model,
Complicated grief occurs when the individual components are
so painful that develops high sensitivity reactive whenever
a fragment of memory and integration is not achieved. fragments
activated can compete for attention in the mind, causing it
go back and forth between two or more aspects of death. this
lack of focus prevents processing of the individual fragments, as
when processing the loss itself is diverted by the memory
the details of how the person died.
In this paper, we present the EMDR protocol applied to
Complicated grief through the analysis of a clinical case.
Keywords: Bereavement Case Study Grief Symposium
Accuracy Verified: Yes
203. Hofmann, A., & Hase, M. (2012, June). EMDR to treat chronic depression [EMDR en el tratamiento de la depresión]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Depression is an often debilitating disease with a high prevalence. Not only is depression associated with other diseases, often leads into disability but shows a high risk of suicides. Relapse is seen often and every relapse increases the risk of chronicity. Research shows that there is no strong correlation with genetic factors but with stressful life-‐events. There is growing evidence of the efficacy of EMDR in the treatment of chronic depression. Two pilot studies show promising data. A European multicenter study is running since 2010. As EMDR is often well tolerated and accepted there is hope to gain another option in the treatment of chronic depression. The EMDR depression protocol aims to achieving more complete remissions of a depressive episode and prevent later relapse. In this workshop the presenters will explain the depression protocol, regarding treatment planning, targeting sequence and techniques. Video demonstration will outline the teaching points and will enable the participant to integrate this approach into clinical practice.
La
depresión
es
a
menudo
una
enfermedad
debilitante
con
una
alta
prevalencia.
No
sólo
se
asocia
a
otras
enfermedades,
en
muchas
ocasiones
puede
derivar
en
una
invalidez
y
muestra
un
alto
riesgo
de
suicidios.
Las
recaídas
son
muy
comunes
y
cada
recaída
incrementa
el
riesgo
de
la
cronicidad.
Las
investigaciones
muestran
que
no
existe
una
fuerte
correlación
entre
los
factores
genéticos,
pero
sí
con
eventos
vitales
estresantes.
Existe
una
creciente
evidencia
de
la
eficacia
del
EMDR
para
el
tratamiento
de
la
depresión
crónica.
Dos
estudios
piloto
muestran
datos
prometedores
en
un
centro
multidisciplinar
que
lleva
funcionando
desde
2010.
Como
la
terapia
con
EMDR
normalmente
es
bien
tolerada
y
aceptada,
existe
la
esperanza
de
contar
con
otra
opción
para
el
tratamiento
de
depresión
crónica.
El
protocolo
de
depresión
crónica
EMDR,
tiene
como
objetivo
conseguir
una
más
completa
remisión
de
los
episodios
depresivos
y
prevenir
las
recaídas.
En
este
taller
los
ponentes
explicarán
el
protocolo
de
depresión
referente
a
la
planificación
del
tratamiento,
detección
de
secuencias
y
técnicas.
Una
demostración
en
vídeo
resumirá
las
pautas
de
actuación
y
permitirá
al
profesional
integrar
este
enfoque
en
la
práctica
clínica.
Keywords: Depression
Accuracy Verified: Yes
204. Blore, D., & Holmshaw, D. (2009). EMDR "blind to therapist protocol". In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 233-240). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The "Blind to Therapist Protocol" (B2T) is, essentially, that. It allows a client to go through the Standard EMDR Protocol, without revealing the content of the problem. This protocol is often used in conjunction with any client group in which divulging information might be uncomfortable to the individual prior to the use of EMDR. It has been used to treat train engineers, airplane pilots, ship captains, police officers, prison guards, doctors, nurses, paramedics, and firemen—workers characterized by the need to make life-and-death decisions for which they are personally responsible. In other words, those who have memories associated with not being in control at precisely the time when they are responsible for being in control. Another client group that can often have difficulties with divulging information is child abuse survivors where the client fears overwhelming or disgusting the therapist with the nature of the material to be treated. In such instances the protocol is very successful and can be a useful addition to the therapist's repertoire. It helps build the therapeutic relationship by demonstrating to the client that the therapist has trust in them. Once the client has seen how the therapist copes with material being raised, the Standard EMDR Protocol would be used. The Blind to Therapist Protocol Script is presented. [PsycINFO Database]
Keywords: EMDR Blind to Therapist Protocol Script Survivors Therapeutic Relationship Traumatic Memories
Accuracy Verified: Yes
205. Albers, J. (2008, June). EMDR & cue exposure – How cue exposure catalyses the effectiveness of the EMDR protocol to diminish craving. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
A structured six-session group therapy has been developed for overcoming craving. Treatment is
based upon a standard EMDR protocol supported by cue exposure techniques. The EMDR protocol
supported by cue exposure catalyses the recovery process as follows: In the very beginning the
participants are taught a set of three ideodynamic resources for coping with the urge to drink. Then
they are exposed to alcohol until the urge to drink reaches it´s peak. At this moment they are taught
to initialize the standard EMDR protocol - with continued exposure to alcohol. Subsequently, the
power of desensitisation and reprocessing followed by one ideodynamic strategy influences the
intensity of craving significantly. Craving symptoms diminish and finally disappear. In addition to that
new experience the clients acquire greater and deeper knowledge about their personal drinking
triggers. They also find out which strategy is the most effective one for each specific trigger. A
strategy, which works well with one trigger, may not work with a different one. Workshop
participants will learn the system of using cue exposure as a powerful cognitive interweave. This
program is designed to improve the treatment of various types of addiction, such as gambling, etc.
and can easily be integrated into existing EMDR treatment strategies.
Keywords: Cue Exposure
Accuracy Verified: Yes
206. Cowart, M. (2011, August). EMDR & embodied cognition: The search for theoretical mechanisms and increased explanatory power. Poster presented at the annual conference of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
A growing number of clinical studies indicate that EMDR is an effective intervention
for PTSD. Yet, despite these successes, researchers do not fully understand exactly
how the EMDRprotocol works. Specifically, researchers are still trying to isolate the
mechanisms that explain how EMDR facilitates cognitive change by diminishing the
severity of traumatic memories resulting from PTSD. Proponents of EMDRclaim
that this promissory note will be answered as research progresses and the
mechanisms are uncovered, while critics claim that these cognitive mechanisms will
not be found because the BMDW protocol is inherently flawed.
Keywords: Mechanisms of Action Poster
Accuracy Verified: Yes
207. MacDonald, H. (2008, October). EMDR & pain. Presentation at the 1st annual EMDR Yorkshire Autumn Workshop, York, UK.
Language: English
Format: Conference
Abstract:
This workshop will give participants an introduction to using EMDR with people who have persistent pain. The EMDR protocol (Grant and Threlfo 2002) can be
used to promote more successful management of pain, and can change pain sensations. Targets might also include the impact of the pain on life situation. The
workshop is aimed at people who have completed EMDR training, but who may not have applied it with this client group.
Keywords: Pain
Accuracy Verified: Yes
208. Millar, P. (2010, March). EMDR & psychosis. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Psychotic phenomena are one of the most
challenging clinical presentations to treat, the most severe form being schizophrenia and
poor outcome schizoaffective disorder. Schizophrenia is a severe enduring mental illness
(SMI) and is characterised by core disturbances of thinking, perceptions and the emotions.
It is accepted as having a heavy burden, with significant effects on the patient, their
families and carers and it is one of the most costly illnesses worldwide. The weight of
burden falls with regard to legal problems, stigma and life expectancy: life expectancy in
this group of individuals is reduced by 10 years, mostly as a consequence of suicide
(Rossler, Salize et al. 2005). Despite more than 100 years of experience of the disease it is
still only a minority of individuals who make a full recovery.
This workshop aims to give further insight into the role of EMDR in the treatment of
schizophrenia - as defined by the genetic epidemiological work by Professor K Kendler
(Kendler, Spitzer et al. 1989; Kendler, McGuire et al. 1993; Kendler, Maguire et al. 1993).
It follows up a series of three patients with psychosis treated with EMDR one of whom met
strict criteria for schizophrenia. All 3 are now over 2 years post-EMDR. Of specific note the
man who presented with schizophrenia remains free of medication and symptoms.
The workshop will discuss the role of EMDR in the treatment of psychosis, including
schizophrenia and discuss case selection and protocol development in this area of practice.
Keywords: Psychosis Schizoaffective Disorder Schizophrenia
Accuracy Verified: Yes
209. Johannesson, K. B. (2011, June). EMDR - An integrative psychotherapy approach for working with trauma based disorders. Preconference presentation at the 12th annual meeting of the European Society for Traumatic Stress Studies (ESTSS) Conference, Vienna, Austria.
Language: English
Format: Conference
Abstract:
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children.
The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world.
Guidelines from the International Society of Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD.
This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.
Accuracy Verified: Yes
210. Johannesson, K. B. (2011, June). EMDR - An integrative psychotherapy approach for working with trauma based disorders. Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria.
Language: English
Format: Conference
Abstract:
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children.
The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world.
Guidelines from the International Society for Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD.
This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.
Keywords: Trauma-Based Disorders
Accuracy Verified: Yes
211. Fernandez, I. (2008). EMDR after a critical incident: Treatment of a tsunami survivor with acute posttraumatic stress disorder. Journal of EMDR Practice and Research, 2(2), 156-159. doi:10.1891/1933-3196.2.2.156.
Language: English
Format: Journal
Abstract:
Research indicates that EMDR is effective for the treatment of PTSD, with numerous studies showing a high percentage of symptom remission after 3 sessions. The case of a tsunami survivor with acute PTSD is presented. Treatment for overt trauma symptoms was completed within 3 sessions, including all 8 phases and the 3-pronged protocol (i.e., past, present, future targets). One EMDR session was sufficient to process the trauma and alleviate the related symptoms, while another session was necessary for re-evaluation and processing present triggers and future templates. Resource installation was particularly helpful to prepare him for those future situations that had been generating anxiety as a result of his traumatization. [Author Abstract]
Keywords: Adults Brief Psychotherapy Case Report Disaster Disaster-Response Indian Ocean Tsunami Italians Males Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Recent Events Survivors Trauma Tsunamis
Accuracy Verified: Yes
212. Adler-Tapia, R. L., & Settle, C. S. (2009, March). EMDR and adaptive information processing theory: A comprehensive approach to child psychotherapy. Clinical Child Psychology and Psychiatry, (1), 12-15.
Language: English
Format: Journal
Abstract:
Whether you are first learning about Eye Movement Desensitization and Reprocessing
(EMDR) or you have participated in EMDR training, the goal of this article is to provide the
reader with a brief overview of strategies for using the full protocol with young children. To
understand the process by which the phases of the protocol are applied with child clients, it is
important to understand the theoretical underpinnings that Adaptive Information Processing
(AIP) theory creates as a foundation for healing and health with children. After discussing the
application of AIP to children, the chapter will continue with an overview of skills therapists can
use to create a toolbox that can be integrated into the EMDR eight phase treatment protocol with
references for additional study and training on using EMDR with children. Finally, therapists
will begin to learn how to adapt the full EMDR protocol for effective psychotherapy through
developmentally suited language and interventions with even the youngest of clients.
Keywords: Adaptive Information Processing AIP
Accuracy Verified: Yes
213. Omaha, J. (2004, June). EMDR and affect centered therapy. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
Aim: This presentation will describe the integration of principles of emotion regulation into EMDR therapy for a range of disorders. Population: All ages; mostly Axis I and II disorders. Learning objectives: 1) to describe the development of emotion regulation beginning in the context of the attachment and continuing through adolescence; 2) to describe the origin of emotion dysregulation and psychopathology in deficit experience adversity, and trauma; 3) to describe a protocol, Affect Management Skills Training (AMST), that remediates failures of emotion regulation; 4) to describe how AMST prepares the client for uncovering therapy by providing for containment, safety, emotion regulation, improved left-right hemisphere integration, and remediation of attachment deficits; 5) to describe integration of MAST into EMDR therapies for substance abuse and eating disorders. Abstract: The workshop will summarize the principal affective developments that occur from birth through age four. These include fulfillment of yearning affect, facial imprinting, gaze transaction, stimulation of positive affect, and provision of optimal disapproval-shame experiences. The qualities of the child of “good enough” parenting are described. Developmental failures and their consequences for affect regulation and psychopathology will be described. These include: (1) avoidant attachment leading to problems of anger management, to depression, and development of narcissistic features; (2) anxious-ambivalent attachment leading to development of anxiety-related disorders and borderline features; (3) failure to elicit optimal positive affects leading to impaired vitality across the life span and depression; (4) socialization of the senior toddler with anger, leading to problems with anger expression, or with disgust, leading to problems with shame, impaired self-worth, and defective self-efficacy. Adversity (raised by a single parent, witness to spousal abuse, divorce, substance abuse in the home) and trauma (psychological, physical, and/or sexual abuse) occurring during latency and adolescence will be shown to exacerbate difficulties with emotional regulation.
The seven basic skills of the AMST protocol will be described. These skills provide for regocnition, tolerance, and regulation of both positive and negative emtoins. They include containment, safe place, sensation-affect recognition, sensation-as-signal, grounded and present, noticing, and regulation.
The workshop will describe how AMST prepares the client for uncovering therapy and for EMDR by teaching the client to regulate emotion prior to it elicitation in therapy, by improving hemispheric integration, and by correcting deficits in the attachment.
The workshop concludes by describing how MAST is integrated into EMDR therapy for substance abuse disorders (alcohol, drugs, nicotine) and eating disorders.
Keywords: Affect Centered Therapy Affect Theory
Accuracy Verified: Yes
214. Foster, S. (1999). EMDR and assisting athletes in coping with a critical incident. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.
Language: English
Format: Conference
Abstract:
This symposium presentation focuses on Eye Movement
Reprocessing and Desensitization (EMDR) as an intervention
to assist an athlete in recovering from the distressing effects of
a critical incident and the adverse impact that such an event
can have on the athlete's performance. Two cases will be
presented; that of a major league baseball player and a male
pair skater and national competitor. Each experienced a life threatening
critical incident which triggered symptoms of
posttraumatic stress disorder. The EMDR methodology was
first used as a treatment for trauma, its original utilization.
However, the extension of the EMDR protocol for
performance enhancement was also employed, to help restore
the athlete's desire for engaging in his sport and to provide
mental rehearsal for future participation. The presenter will
also discuss the current EMDR neurophysiological research, and the relevance of this method of enhancing athlete performance.
Keywords: Athletes Critical Incident Recent Events Symposium
Accuracy Verified: Yes
215. Darker-Smith, S. (2011, October). EMDR and borderline personality disorder and use of B2T protocol. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.
Language: English
Format: Conference
Abstract:
The adaptation of the order of the EMDR 8-phase standard protocol to target specific abandonment issues first and primarily limits the therapy interfering behaviours which lengthens overall therapeutic intervention duration and acts as a road-block (Leahy etc.) to therapy. Specifically, using a blind-to-therapist protocol for this client group once fears of abandonment (often acted out in the therapeutic dynamic) is addressed, then the risk of empathy-enhancing exaggerations is reduced. (Author abstract)
Keywords: Borderline Personality Disorder
Accuracy Verified: Yes
216. Gernani, P. D. (2006, July). EMDR and CBT. Clinical Psychology Forum, 163, 3.
Language: English
Format: Journal
Abstract:
No abstract available.
Keywords: Behavior Therapy CBT Clinical Feature Clinical Protocol Cognitive Behavior Therapy Cognitive Therapy Emotional Disorder Human Letter Posttraumatic Stress Disorder
Accuracy Verified: Yes
217. Gurnani, P. D. (2006, July). EMDR and CBT. Clinical Psychology Forum, 163(3), 1473-8279 .
Language: English
Format: Journal
Abstract:
No abstract available.
Keywords: Behavior Therapy CBT Clinical Feature Clinical Protocol Cognitive Behavior Therapy Cognitive Therapy Emotional Disorder Human Letter
Accuracy Verified: No
218. Herbert, C. (2001, May). EMDR and CBT interweave. Presentation at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
Cognitive interweaves are strategic interventions, whose utilisation relies upon therapist
recognition of their necessity at given times during the EMDR procedure, and their effective
use requires skilled therapeutic judgement and the introduction of the appropriate clinicianled
cognitive material in order to counteract the blocked processing. The use of cognitive
interweaves therefore diverges from the established EMDR protocol by introducing therapist generated
material rather than just following the clients spontaneously processed material. It will be argued in this presentation that, due to the divergence from the established EMDR
protocol, the effective implementation of cognitive interweaves, requires the knowledge of
additional therapeutic strategies, predominantly those used in Cognitive Behaviour
Therapeutic (CBT) approaches, which may not be readily accessible to EMDR practitioners
not trained in this approach. This presentation aims to bridge the gap between the
traditionally 'too-heavily protected' territories of CBT and EMDR, by introducing some CBT
strategies, such as 'Socratic Questioning (Padesky, 1993)' or the Cognitive 'Separation of the
Past from the Present (Herbert & Wetrnore, 1999'), which might be usefully drawn on, in
order to generate effective cognitive interweaves during the use of EMDR. Clinical examples from the presenter's work, as an UKCP Accredited Cognitive Behavioural Therapist and a
Level 2 trained EMDR Practitioner, with clients suffering from complex PTSD, will be
explored.
Keywords: CBT CBT Interweave Cognitive Behavioral Therapy Cognitive Interweave
Accuracy Verified: Yes
219. Rivas, C. (2012, April). EMDR and chronic illnesses. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
Chronc diseases represent a complex area on the health-illness continuum. When a chronic disease is diagnosed, clients may require ongoing support to cope with life changes and management of their health. During this workshop, participants will be introduced to the general aspects of chronic diseases and how clients’psychological symptoms can be understood from the Adaptive Information Processing(AIP) model. Also, EMDR clinicians will learn how to structure an intervention for different types of chronic diseases, using the 8 steps of the Basic Protocol, identifying the key issues for each condition, according to a past-present-future timeline. Examples will be based on cancer, diabetes, and HIV/AIDS cases.
Learning objectives:
1.Identify the challenges associated with chronic diseases such as cancer, diabetes and HIV/AIDS
2. Utilize the Adaptative Information Processing (AIP) model to understand the psychological dimension of chronic diseases (e.g. anxiety, depression, guilt, shame, self-image issues, etcetera)
3. Use the EMDR basic protocol to structure interventions suitable for people living with human health conditions.
Keywords: Chronic Illnesses
Accuracy Verified: Yes
220. Matthess, H., Vojtova, H., & Dellucci, H. (2012, March). EMDR and complex trauma. Presentation at the 3rd Bi-Annual International European Society for Trauma and Dissociation, Berlin, Germany.
Language: English
Format: Conference
Abstract:
EMDR is widely recognized as a therapy of choice in psychotraumatology. However treating clients who suffer from complex traumatization, and especially dissociative disorder, using EMDR straightaway in its standard form is very difficult.
“By far, the greatest number of reported difficulties and stories of clinical problems and potential harm through the improper use of EMDR had involved clients with dissociative disorders.” Shapiro (2001, p. 308).
Does this mean that people who have complex trauma and dissociative disorder could not benefit from EMDR?
Which adaptations of the standard protocols in the different phases of the EMDR process are crucial in order to use EMDR to enhance the clients’ capacities and diminish their suffering?
Which indicators should be considered? How can clinicians provide a safe and efficient help, without getting lost in this difficult treatment patterns, by knowing what to do and why?
This workshop is designed for practitioners familiar with EMDR. It will provide a general overview of essential modifications of the standard EMDR protocol for complex traumatized clients. The theoretical part will focus on an understanding of the underlying EMDR working mechanism as far as discussed today, on knowledge of dissociation as a result of complex traumatization, in the context of the AIP model (adaptive information processing), the attachment theory, the theory of structural dissociation and recent research findings.
The emphasis will be on practical applications of these insights into a comprehensive treatment of this group of clients. Based on the experience of the presenters, implementing use of bilateral stimulation in all phases of therapy will be shown. Important considerations according possible iatrogenic harm will be discussed. Case examples from practice will be provided, including videos.
Keywords: Complex Trauma
Accuracy Verified: Yes
221. Moses, M. D. (2002, June). EMDR and conjoint couples therapy. Presnetation at the annual meeting of the EMDR International Assocation, San Diego, CA.
Language: English
Format: Conference
Abstract:
This presentation represents an integration of EMDR with Conjoint
Couples Therapy. The protocol offered is clinically and anecdotal derived,
applying EMDR with both members of a couple witnessing the other's
work. This mutual sharing around triggers and traumas, holds powerful
potential for building mutual understanding, compassion and empathy in
the relationship. As a work in progress, the presenter will welcome dialog
and empirical investigation of this protocol. The workshop will include:
guidelines; potential benefits; indications and contraindications; protocol
for EMDR and Conjoint Couples Therapy; case illustration; do's and
don'ts: coordination with other therapies/therapists; and when Conjoint
EMDR is not possible or indicated.
Keywords: Conjoint EMDR Couples Therapy
Accuracy Verified: Yes
222. Grand, D. (2005, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Creativity was involved in the discovery and development of EMDR which is an effective tool in unblocking and enhancing creativity. EMDR processing is an essentially creative process of healing trauma, and EMDR's therapeutic relationship is a creative process. This presentation addresses creative enhancements EMDR’s healing tools: “open listening,” eye movements, integrating music and nature sounds into auditory stimulation, and using body sensations with color and imagery. Using protocol targeting of artists creative blocks, and the trauma aspects of blocks, and the future template as a tool for enhancing creativity with artists including actors, singers, dancers, writers, and painters is discussed. Mini-practica and demonstrations are used with lecture and handouts.
Keywords: Creativity Creative Blocks Future Template Open Listening
Accuracy Verified: Yes
223. Grand, D. (2006, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This presentation addresses how creativity has
been interwoven into the discovery and
development of EMDR, as well as how EMDR is
an effective tool in unblocking and enhancing
creativity. Dr. Shapiro's discovery of EMDR and
her development of the EMDR Protocol, are
examined as underpinnings of EMDR and
Creativity. EMDR processing will also be
examined as an essentially creative process at the
core of healing trauma-based blocks. The
therapeutic relationship in EMDR is discussed as
a co-creative process. This presentation addresses
creative enhancements EMDR's healing tools
including: "open listening" - avoiding
assumptions while attending to all in-the-moment
verbal and non-verbal client communications, creative use of eye movements with flowing hand
movements and shifting rates of speed, integrating
music and nature sounds into left/right auditory
stimulation and enhancing of body sensations with
color and imagery. This presentation also
addresses using EMDR in addressing issues of
creativity. Creative blocks are regularly reported
by both artists and non-artists and often cripple
and traumatize the artist, and interfere with the
creativity of diallng living of non-artists. Using
EMDR protocol to target creative blocks is
discussed, as well as the contribution of trauma
to these blocks. The EMDR future template is
discussed as a tool for enhancing creativity with
artists free of significant blocks. This includes
actors, singers, dancers, writers and graphic
artists. Mini-practica and demonstrations are used
to operationalize the concepts presented in lecture and handout format.
Keywords: Creativity Creative Blocks Future Template Open Listening
Accuracy Verified: Yes
224. Grand, D. (2004, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada.
Language: English
Format: Conference
Abstract:
Creativity was involved in the discovery and development of EMDR.
EMDR is an effective tool in unblocking and enhancing creativity. EMDR processing is an essentially creative process of healing trauma and EMDR's therapeutic relationship is a co-creative process. This presentation
addresses creative enhancements of EMDR's healing tools: ''open
listening." eye movements, integrating music and nature sounds into
auditory stimulation and using body sensations with color and imagery.
Using protocol targeting of artists creative blocks, and the trauma aspects of blocks and the future template as a tool for enhancing creativity with artists, including actors, singers, dancers, writers and painters is discussed.
Mini-practica and demonstrations also used.
Keywords: Creativity Creative Blocks Future Template Open Listening
Accuracy Verified: Yes
225. Grand, D. (2008, September). EMDR and creativity. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Creativity is interwoven into the discovery and development of EMDR which is an effective tool in unblocking creativity. EMDR processing is a creative process at the core of healing blocks. Creative enhancements EMDR’s healing tools include: “open listening” – avoiding assumptions, creative use of eye movements and eye positions, integrating bilateral healing sounds and enhancing body sensations with color. Creative blocks cripple the artist and interfere with the creativity of non-artists. The EMDR protocol (assessment, desensitization, installation and body scan) targets creative blocks with underlying trauma. The future template enhances creativity with artists (actors, singers and writers).
Keywords: Creativity Creative Blocks Future Template Open Listening
Accuracy Verified: Yes
226. Grand, D. (2007, June). EMDR and creativity. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Creativity is interwoven into the discovery and development of EMDR, which itself is an effective tool for unblocking and enhancing creativity. Dr. Shapiro’s discovery of EMDR and her development of the EMDR Protocol are underpinnings of EMDR and Creativity. EMDR processing is also an essentially creative process at the core of healing trauma-based blocks and the therapeutic relationship in EMDR is a co-creative process.
This presentation addresses creative enhancement of EMDR’s healing tools including: “open listening” – avoiding assumptions while tending to all in-the-moment verbal and non-verbal client communications, using eye movement creatively by varying speed, plane and eye gaze, integrating healing sound into AIP and enhancing of body sensations with focus, color, and imagery.
This presentation examines using EMDR with issues of creativity. Creative block often cripple and traumatize artists and interfere with the creativity of daily living of non-artists. The use of the EMDR protocol (with emphasis on assessment, desensitization, installation and body scan) to target creative blocks is discussed as well of the contribution of trauma to these blocks. The EMDR future template is discussed as a tool for enhancing creativity with artists freed from significant blocks. This includes actors, singers, dancers, writers, and graphic artists.
Lecture, PowerPoint, mini-practica and demonstrations are used to illustrate the concepts, supported by handout materials.
Keywords: Creativity
Accuracy Verified: Yes
227. Ostacoli, L. & Bertino, G. (2010, June). EMDR and drawing: A tool to integrate post-traumatic dissociation and overwhelming emotions. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The difficulty of the management of overwhelming
emotions aid dissociative reactions are challenging for any EMUR
therapist dealing with complex traumas. As a complement
to the strategies already used in EMDR, drawing gives form to
The inner representations of the trauma, objectivizing it Thus the
person no longer relates only to something inside him/her, but
rather to something he/she can see and can concretely represent
and modify In the act of drawing, the patient makes an initial
reorganisation of the form of the trauma, and begins to differentiate
the adaptive ego, which has the tools and the ability to restructure
the experiences, and the traumatic emotional part that
suffers those experiences in a condition of Impotence and passivity
The person may rapidly access preverbal and motor-sensory
language, activating inborn creative skills. The use of this tool
enables us t0 access the traumatic material gently, limiting dissociative
reactions, bypassing avoidance and flight behaviour and
setting a distance from pan by objectivizing . A protective space
is created between the self and the part that holds the suffering.
p i n g a voice to the inner child. The patient is offered the possibility
of drawing what is occurring in the self's here and now, and given a choice of different graphic materials. At the end of the
drawing and assessment phase the person is asked to note what
has emerged, and a brief space of time may be allowed for description
without interpretation. The represented Image is treated
as the inner image in the classic protocol. To start, the patent is
asked to focus on the drawing, on the negative cognition and
on the bodily location of the emotional disorder, while bilateral
stimulation is applied. At the end of each set, the patient is asked
what he/she has noticed and the therapist verifies where the person
now is in the re-elaboration. If there is a change the person
may either work on the drawing, modifying it, or, if the change of
image is radical, may produce another drawing. After several sets,
an adaptive drawing emerge5 that may be installed as a resource.
The report presents the use of the tool in various psychopathological
conditions, with the support of video and graphic materials,
particularly focusing on how to manage dissociation.
Learning objectives:
1.To learn the use of drawing as a supplementary tool, through
graphic and video material of clinical cases.
2. To recognise the indications in which it provides added value
to the classical protocol.
3. to learn its use in various psychopathological conditions,
with particular emphasis on dissociative states.
The use of drawing as a supplementary tool within the EMDR
protocol gives form to the inner representation of the trauma, objectivising
it, and creates a bridge of communication between the
self and the blocked parts, after which it will be possible to return
to desensitizing and re-elaboration with the standard protocol.
Keywords: Dissociation Drawing Emotion
Accuracy Verified: Yes
228. McNeal, S. A. (2001, July). EMDR and dream interpretation. Presentation at the International Association for the Study of Dreams, Santa Cruz, CA.
Language: English
Format: Conference
Abstract:
This paper describes a method of dream interpretation useful in psychotherapy.The therapist can use the treatment method EMDR (eye-movement desensitization and reprocessing) for processing dream images. The associations elicited in this manner provide a wealth of significant material for psychotherapy as well as resulting in meaningful dream interpretation.
Learning Objectives:
1) To present a new method of dream interpretation
2) To describe the protocol so that others could use it
3) To indicate how this method can enhance therapeutic results
Evaluation questions:
1) How does this use of EMDR differ from the standard use of EMDR with dream imagery?
2) Summarize briefly how EMDR is used for dream interpretation?
3) What are the advantages and disadvantages of this method of dream interpretation?
EMDR and Dream Interpretation
When utilizing EMDR to resolve a trauma, one of the four target areas in the standard EMDR protocol is the nightmare image. During reprocessing, the nightmare image often changes to reveal the real life experiences that are part of the traumatic material. If processing is complete, the nightmare image will not reoccur.
Theoretically, the periods of REM sleep when dreaming occurs are thought to be natural survival mechanisms whereby experiences from the day are synthesized and stored in memory. It has been speculated that nightmares are the mind's attempts to metabolize trapped information. Because trauma can also produce interrupted and dysfunctional REM sleep, nightmares may reoccur indefinitely without resolution taking place. EMDR has been shown to effectively process nightmare images so that reoccurring nightmares cease.
Less has been reported in the EMDR literature regarding dream images that are not nightmarish and do not reoccur. It is usually assumed that if the dreaming process is natural and healthy without nightmares or interrupted sleep, then it is not to be tampered with and is not a focus of treatment. However, EMDR can be very helpful in processing information from dreams, even when the dream images may not appear to be relevant. Case material will be presented to demonstrate how EMDR can be useful in processing dream images during the normal course of treatment as well as contributing to the resolution of specific traumas.
Keywords: Dreams
Accuracy Verified: Yes
229. Paterson, M. (2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Preconference presentation at the annual meeting for the European Society for Trauma and Dissociation, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders.
It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state.
This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states.
Learning objectives
Understand how complex trauma and dissociative disorders impact EMDR processing
Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol.
Learn how to access ego states in a controlled way and effect therapeutic change and stability.
Learn techniques to deal with difficult ego states.
Keywords: Dissociation Ego State Therapy
Accuracy Verified: Yes
230. Peterson, M. 2010, April). EMDR and ego state therapy: Healing complex trauma and dissociation. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
We all display particular patterns of thinking, feeling and acting, depending on the situation. The transition is usually seamless in well-adjusted people, but where there has been disrupted attachment or sustained early life trauma the result is often the formation of particular ego states, also known as alters, parts, or schema modes. These states perform roles usually geared towards survival, but in adulthood they can be dysfunctional. Depending upon a client’s early life experiences some ego states can be malevolent, wanting bad things for the client such as willing them to suffer in some way. These clients present us with the greatest challenges through what we know as complex trauma and dissociative disorders. It is necessary for clients to remain stable during EMDR sessions and contained between sessions, particularly with complex trauma and dissociative disorders. There is a need, therefore, to learn techniques to work in the Preparation Phase with more difficult clients so they too can benefit from the full EMDR protocol. It is also helpful to know how to deal with blocked processing in the Desensitization Phase due to the interference of an ego-state. This workshop initially provides an overview of dissociation and how it impacts on EMDR processing. There will be an explanation of Ego State Therapy (EST) and how it fits with EMDR to provide the stabilization clients need, as well as dealing with blocked processing. Clinical case material is used throughout to illustrate learning points. Through demonstration and practice participants will learn how to build resources for clients, access ego states in a controlled way and effect therapeutic change. In the latter part of the day, participants will see videos of live cases where EST is used effectively in the Preparation Phase of EMDR to: 1) identify the part-selves and 2) moderate the malevolence displayed by two difficult ego states. Learning objectives Understand how complex trauma and dissociative disorders impact EMDR processing Understand the concept of working with part-selves as a way of preparing clients for the standard EMDR protocol. Learn how to access ego states in a controlled way and effect therapeutic change and stability. Learn techniques to deal with difficult ego states.
Keywords: Complex Trauma Dissociation Ego State Therapy
Accuracy Verified: Yes
231. Schmidt, S. J. (2000, September). EMDR and ego state therapy: A resource-focused protocol using client art. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) learn a resource-focused protocol which integrates EMDR, art therapy, and ego state therapy; 2) learn how to elicit clients' drawings of resource ego states and traumatized ego states; 3) learn ways to use these drawings for ego state strengthening; 4) learn how to use ego state drawings as focal points for eye movements; 5) learn sample dialogues to facilitate understanding and cooperation between ego states drawn; and 6) learn ways to use ego state drawings to titrate overwhelming affect.
Keywords: Art Therapy Ego State Therapy Resource-Focused EMDR
Accuracy Verified: Yes
232. Forgash, C. A. (2000, September). EMDR and ego state therapy: Theoretical overview, diagnostic approach, and client preparation for EMDR. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will learn: 1) the fundamentals of Ego State theory, and application of Ego State work; 2) case conceptualization from an integrated Ego State/EMDR model; 3) how utilization of the Ego State model can prevent EMDR treatment failures; and 4) a variety of Ego State therapy strategies for helping prepare all clients for the EMDR protocol.
Keywords: Ego State Therapy
Accuracy Verified: Yes
233. Curran, L. A. (2009, January). EMDR and EMDR related techniques for effective trauma treatment. Wayne State University, School of Social Work, Center for Social Work Practice Policy and Research, Fort Washington, PA.
Language: English
Format: Other
Abstract:
Beginning in the 1990s, Francine Shapiro had discovered and began researching a new neurophysiological technique for treating traumatic material. This technique, alternating bilateral stimulation, was quickly subsumed by Shapiro’s psychotherapeutic orientation known as Eye Movement Desensitization and Reprocessing (EMDR). After many years of rigorous empirical studies demonstrating its uses and effectiveness in trauma treatment, EMDR has become one of only three approved treatments recommended by the veteran’s administration for the treatment of PTSD.
Through didactic illustration and explanation; videotaped demonstrations; and experiential exercises, this seminar provides clinicians the basic principles of EMDR and EMDR- related techniques and how each would be incorporated into their personal therapeutic orientation and practice.
Goals
1. Participants will gain understanding of neuroscience’s trauma paradigm
· Biological nature of trauma
· Specific trauma symptoms and their order of appearance
· Primary treatment issues in trauma therapy.
2. Participants will gain understanding of trauma’s cognitive and somatic impact and how to effectively treat its sequelae including:
· Hyperarousal
· Affect dysregulation
· Dissociation
· Body memories and “flashbacks”
3. Participants will learn the theory of Eye Movement Desensitization and Reprocessing (EMDR) and EMDR-related techniques for initial resourcing of clients, followed by desensitizing and cognitive reprocessing of traumatic material.
Objectives
1. Participants will identify the biological nature of trauma; how trauma is stored in the body and limbic system, creating physical and psychological symptoms.
2. Participants learn to identify the symptoms of trauma- hyperarousal; affect dysregulation; dissociation, body memories and “flashbacks”.
3. Participants will learn the Adaptive Information Processing Model and clinical research associated with EMDR
4. Participants will learn how EMDR and EMDR-related techniques are used as an adjunct to psychotherapy.
5. Participants will identify and demonstrate the eight 8 Phases of EMDR protocol.
6. Participants will describe the differences between eye movement, auditory and tactile stimulation.
7. Describe the process for resourcing a client prior to actual processing traumatic material.
8. Describe the process of employing tactile alternating bilateral stimulation for the processing traumatic memories.
Accuracy Verified: No
234. Siegel, I. R. (2000, September). EMDR and energy medicine: An integrative approach. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) develop an understanding of the role that energy medicine can play within the context of the EMDR protocol; 2) develop an understanding of the dynamic relationship between our physiology, our emotions, and our Human Energy Field; 3) identify the chakra systems and the levels of electro-magnetic frequency that exist within the Human Energy Field, and its relationshop to developmental theory; 4) demonstrate an ability to identify vibrational patterns of emotional trauma within the HEF; 5) develop an understanding of the role of EMDR as an effective tool in creating a bridge between science, psychotherapy, and spirituality; and 6) learn to apply effective techniques for integrating the technology of energy medicine into an EMDR practice.
Keywords: Chakra System Energy Medicine Energy Psychology HEF Human Energy Field Vibrational Patterns
Accuracy Verified: Yes
235. Robredo, J. (2011, June). EMDR and gender violence. Brief and intensive treatment for children exposed to gender violence. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
The Instituto de Psicotrauma de Alicante and the Social Services of San Juan use, since 2008, a brief intervention protocol for minors exposed to gender violence. This protocol is based on the therapeutic paradigm of EMDR©.
First results on a sample of 28 children from 4 to 12 years old were the disappearance of posttraumatic stress disorder and depression, the remission of concomitant behavior disorders (disobedience, aggression), and the improvement of the affective link with their mother.
In our last study, the sample was bigger and the treatment protocol evolved to be an intensive one, lasting three weeks.
Learning objectives:
This workshop’s aim is to show such protocol and our last study. We will present to the participants:
1.Characteristics of gender violence in mothers and symptoms in their children.
2.Relevance of the EMDR paradigm and the Structural Dissociation of Personality Theory by Onno van der Hart.
3.Assessment instruments.
4.Evidences of the structural dissociation in the children.
5.Treatment protocol.
6.Handling of sessions with mother and child.
7.Work with the dysfunctional beliefs of mothers.
8.Techniques to work with the cognitive interweaves of the child.
9.Techniques to identify and work the dissociation in the child.
10.Data and conclusions of the study
Keywords: Children Gender Violence
Accuracy Verified: Yes
236. Ostacoli:, L., Bertino, G., & Faretta, E. (2013, June). EMDR and health: EMDR brief treatment in medical conditions with a high emotional charge: A possible challenge. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Stress and high emotional situations such as complex traumas have a negative influence on the psycho – physiologic adaptive process to illness. If these experiences are not elaborated, they could be stored as dysfunctional memories causing psychophysical vulnerability. EMDR treatment requires a proper detection and reprocessing of stressing memories in present and past events and in future templates, handling worries and fears.
Treatment protocol for serious medical diseases will be presented, focusing in the domains of Multiple Sclerosis and Oncology. Starting from the person and his system (biopsychosocial model), the main interest will be placed on case conceptualization and preparation of the project with EMDR, and then the identification of targets for further processing. From here, through the exposure of specific cases treated, we will work on bodily symptoms (the feeling perceived) through floatback to promote the connection of memories. The presentation of the research project and the first data obtained will follow.
The design helps the person to relate themselves to the traumatic material as something that they can see, represent, touch, by sharing and by exploring their resonances with the therapist; the design provides an emotional containment that allows the processing of intense emotions, reduces significantly the risk of dissociations, and allows the recovery of creative resources.
The fundamental aim of the model is to facilitate the building of a constructive relationship with themselves and with the “sick body”, by elaborating the traumatic events that have led to a dysfunctional self-image and explored, strengthened their resources with the aim of building the “navigation tools” and an effective “first-aid kit” for times of crisis. It will be presented the model of the intervention and the strategies proposed and used, through the presentation of clinical cases.
The analysis of the success factors and of the difficulties encountered will allow us to define a possible direction for future brief interventions with patients affected by complex organic diseases.
Learning objectives:
To learn EMDR protocols adapted to deal with serious medical illnesses such as Cancer and Multiple Sclerosis;
To analyse the therapeutic process by narrative and graphic material; and
To learn specific features to deal with fears of loss and impairment
Keywords: Disease Medical Illness Multiple Sclerosis Oncology
Accuracy Verified: Yes
237. Bender, S., Hollander, H., & Accaria, P. (2001, June). EMDR and hypnosis. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) describe how EMDR and hypnosis differ; 2) utilize a muscle testing ideomotor signaling procedure to develop EMDR protocols; 3) apply Eriksonian training in the EMDR protocol; and 4) employ an aspect of EMDR, the eye movements, in an hypnotic protocol.
Keywords: Eriksonian Training Hypnosis Muscle Testing
Accuracy Verified: Yes
238. Whalen, J. E. (1999, September). EMDR and hypnosis: A theoretical and clinical investigation. University of Tennessee, Knoxville, TN. AAT 9923344.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is a controversial new treatment for anxiety disorders that is proported to evince rapid and lasting treatment gains. EMDR theorists argue that humans have an innate biological drive to process events and their memories into adaptive and useful forms. Traumatic memories become "stuck" and unprocessed, resulting in a host of psychopathological symptoms. EMDR's curative power rests primarily in the eye movements. Shapiro argues that the eye movements directly access and alter traumatic memories at a neurophysiological level. Memories are then processed down into adaptive forms, with a concomitant abatement of symptoms. Research supports the clinical efficacy of EMDR. However, there is much debate as to the actual mutative element in the EMDR protocol. Support for eye movements playing a curative role is meager and equivocal. This study examines the proposition that the primary mutative component of EMDR is response to suggestion. Specifically, this study proposes that the EMDR treatment protocol is laced with suggestion for improvement. Highly hypnotizable individuals will respond to these suggestions even though EMDR is an explicitly nonhypnotic treatment. That is, subjects will improve to the extent they respond to suggestion. Further, this study tests the viability of Shapiro's eye movement theory. An eye movement condition is compared to an eye fixation condition in terms of treatment outcome. Results indicate a positive correlation between subjects' hypnotizability and treatment outcome. In addition, eye movement conditions were as efficacious as eye fixation conditions where treatment outcome is concerned. (PsycINFO Database Record (c) 2008 APA, all rights reserved)Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(3-B), Sep 1999, pp. 1319.
Keywords: Anxiety Disorder Anxiety Disorders Effectiveness Empirical Study Hypnotic Susceptibility Hypnotizability Treatment Outcomes Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
239. Standart, S., & Wood, C. (2011, October). EMDR and mindfullness. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.
Language: English
Format: Conference
Abstract:
A presentation of on a case series of complex Type II PTSD for early childhood and adult trauma with scores of 50+ on the Dissociative Experiences Scale (DES) and using a phased approach to EMDR with mindfulness practice prior to EMDR. Descriptions of mindfulness practice and EMDR protocol use with outcome measure on the DES, Impact of Events Scale score (IES-R) and a depression Inventory will be presented Global outcomes such as occupational and social functioning will also be described for these clients.
Working with clients with complex trauma and marked dissociation and how to develop a timely phased protocol for these difficult to engage clients. (Author abstract)
Keywords: Mindfulness
Accuracy Verified: Yes
240. Spierings, J. (2000, May 6). EMDR and mourning. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.
Language: English
Format: Conference
Abstract:
This presentation consists of the following two parts:
I. The normal mourning process:
Defintions, phases, mourning tasks and characteristics
General treatment principles, EMDR and other treatment techniques
Therapeutic attitude and your own grief reactions as a therapist
II. The complicated mourning process:
Definitions, high-risk factors, diagnostic criteria and clinical indicators
Patterns of complicated mourning
For each pattern: specialized treatment techniques, EMDR protocols and treatment plans
Keywords: Complicated Grief Grief Mourning Protocol
Accuracy Verified: Yes
241. Fenstermaker, D. (1991, August). EMDR and MPD. EMDR Network Newsletter, 1(1), 3.
Language: English
Format: Newsletter
Abstract:
This abstract is one portion of a panel on
Eye Movement Desensitization and Reprocessing.
It was given on Saturday,
February 23, 1991, for the California
Psychological Association Conference in
San Diego. This paper details a protocol
of Eye Movement Desensitization and
Reprocessing(EMDR) in the treatment
of Dissociative Disorders.
Keywords: MPD Multiple Personality Disorder
Accuracy Verified: Yes
242. Nickeson, C. (2010, September/October). EMDR and panic disorder. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
This workshop will be a practical presentation on how to use EMDR in the treatment of panic disorder. Information will be given on what needs to be accomplished in each of the eight phases of EMDR to be effective with this population. Participants will be taught how to provide psycho-educational information using the AIP model to explain panic disorder. In panic disorder, interoceptive cues become triggers for subsequent panic attacks and it is useful to view panic disorder as a phobic reaction to bodily sensations. The workshop will conclude with the presentation of a structured protocol for treatment planning and target selection.
Keywords: Panic Disorder
Accuracy Verified: Yes
243. Zampieri, M. A. J. (2012, Novembro). EMDR and pesquisa [EMDR and research]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Nem todo profissional engaja-se na atividade científica. Além de questões vocacionais e tecnológicas, é comum encontrar-se mesmo uma reação aversiva ao tema. Nem sempre a exclusão dessa atividade é uma questão de escolha. Propõe-se incitar nessa oficina, a elaboração de pesquisa com EMDR, com utilização de protocolo para desbloqueios associados ao tema. Além disso, objetiva-se subsidiar o participante a iniciar o seu trabalho científico ao longo da atividade.
Not every professional engages in scientific activity. Besides vocational and technological issues, it is common to find even an aversive reaction to the topic. Not always the exclusion of this activity is a matter of choice. It is proposed to encourage this workshop, the development of research on EMDR, using protocol for unlocks associated with the topic. Moreover, the objective is to subsidize the participant to start your scientific work throughout the activity.
Keywords: Intervention Research
Accuracy Verified: Yes
244. Wilson, S. A., & Tinker, R. (2009). EMDR and phantom limb research protocol. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 559-571). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Phantom Limb Protocol Research
Accuracy Verified: Yes
245. Solomon, R., Hofman, A., Seidler, G., & Tiedt-Schutte, M. (2005, June). EMDR and recent event trauma: The tsunami disaster. In “EMDR in action,” Part 1. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
EMDR can be utilized shortly after a traumatic event as described by the
protocol from Shapiro and Solomon (1992 and 1995). Even if there is no
controlled study finalized, there is sufficient experience with the protocol to
guide further research. Experiences from research studies and clinical
experiences on EMDR and acute trauma will be presented. Discussion will
focus on issues of client selection, client readiness for EMDR. and timing of
EMDR. The EMDR recent event protocol and experimental protocols for
extreme dissociation following a traumatic event will be presented. A
European network for developing more research regarding the diversity of
acute trauma reactions are proposed.
Keywords: Recent Event Trauma Symposium Tsunami
Accuracy Verified: Yes
246. Leeds, A. M., & Shapiro, F. (2000). EMDR and resource installation: Principles and procedures for enhancing current functioning and resolving traumatic experiences. In J. Carlson, & L. Sperry (Eds.), Brief therapy with individuals and couples (pp. 469-534). Phoenix, Arizona: Zeig, Tucker & Theisen, Inc..
Language: English
Format: Book Section
Abstract:
This chapter presents an overview of eye movement desensitization and reprocessing (EMDR), a research-validated treatment for PTSD, and a related set of procedures known as resource development and installation (RDI), which have been reported to be useful in ego strengthening and stabilization. First, the extant research on EMDR, its theoretical model, and the 8 phases of its treatment are summarized (patient history and treatment planning, preparation, assessment, desensitization, installation, body scan, closure, and reevaluation). The 5 main elements of memory networks in EMDR are: image, thoughts and sounds, affect, sensation, and self-appraisal. The principles and theoretical foundations of RDI are then discussed. Then, 2 case examples are given. The 1st case illustrates a simple application of resource development and installation to supplement the standard EMDR PTSD protocol in the brief treatment of a marital crisis. The 2nd case summarizes the brief, strategic use of RDI to stabilize a patient with complex PTSD who was referred for collaborative treatment and to build a foundation for comprehensive EMDR treatment. [Adapted from Text, p. 469] [Pilots]
Keywords: Brief Psychotherapy Clinical Case Study Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD
Accuracy Verified: Yes
247. Carvalho, E. R. (2013, May). EMDR and role therapy: Healing the folks who live inside. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
The integration of EMDR with Role Therapy will be presented as a comprehensive approach to the treatment of
a wide spectrum of clients. Role therapy is presented as a “normalizing” approach to trauma and dissociation,
treating clients’ inner roles as EMDR targets. Central to this approach is the conceptualization of self and one’s
inner roles and counter-roles. Discussion will include how to use a developmental approach to assessment, and
will review the identification, mapping and accessing of roles, as well as how to promote the use of role-specific
EMDR targets, facilitating the enhancement of EMDR processing.
Learning Objectives:
• Participants will be able to discuss and implement the applications of Role Theory concepts and techniques to
all phases of the EMDR protocol in order to facilitate the treatment of clients.
• Participants will be able to discuss and describe how to developmentally assess, identify, map and access
client roles and how to treat roles with traditional EMDR protocols.
• Participants will be prepared to utilize EMDR targeting clients’ inner roles to enhance the processing of
clients’ issues and resolution of symptoms.
Keywords: Role Therapy
Accuracy Verified: Yes
248. Nadel, B. (2009, April 18). EMDR and somatic experiencing: A body-expansive integration. Presentation at the Western Massachusetts EMDRIA Conference "EMDR and the Body," Amherst, MA.
Language: English
Format: Conference
Abstract:
This workshop will explore EMDR and Somatic Experiencing as different paradigms for trauma resolution. It will then demonstrate that the two modalities overlap in several ways thar can facilitate a powerful integration that enhances the effectiveness of EMDR. Participants will gain somatic tools for application to their own EMDR work. They will learn how these somatic skills can deepen the Safe Place; Sensation and the Body Scan in the 8-phase Protocol.
Keywords: Somatic Experiencing
Accuracy Verified: Yes
249. de Jongh, A. (2009). EMDR and specific fears: The phobia protocol. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 575-610). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
Keywords: Fears Phobias Protocol
Accuracy Verified: Yes
250. Adler-Tapia, R., & Settle, C. (2008). EMDR and the art of psychotherapy with children. New York, NY: Springer Publishing.
Language: English
Format: Book
Abstract:
In this book the authors present an overview of how therapists can get started in conceptualizing psychotherapy with Eye Movement Desensitization and Reprocessing (EMDR) methodology through Adaptive Information Processing (AIP) theory. The focus of the book is to teach therapists to effectively use the entire EMDR protocol with young children (Springer).
Keywords: Children
Accuracy Verified: Yes
251. Phillips, M. (2001, June). EMDR and the body. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
This course presents a five-step model for body focused psychotherapy. Specific methods for incorporating EMDR into each phase are included. The existing EMDR somatic protocol is expanded to facilitate skill development in the areas of body awareness, sensory discrimination, symbolization, body learnings, and integration of more functional somatic patterns. Topics include uses of EMDR to create the body safe place, develop the body felt sense, reduce pain and increase comfort, reprocess aspects of trauma, and explore somatic developmental issues.
Keywords: Body Awareness Body Felt Sense Body-Focused Psychotherapy Body Learnings Body Safe Place Sensory Discrimination Symbolization
Accuracy Verified: Yes
252. Miller, P. (2011, August). EMDR and the ICONN protocol for schizophrenia – “Things can only get better”. Plenary presented at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Schizophrenia is challenging to treat and has a heavy burden with life expectancy being reduced by 10 years, mostly through suicide. The genetic epidemiological work of Professor K Kendler has informed a rigorous phenotype for schizophrenia. However, after over 100 years of experience only a minority make a full recovery. The ICONN protocol for EMDR has been developed from experience with a series of patients with psychotic disorders, including ‘M’, a patient who met Kendler’s strict criteria for schizophrenia. ‘M’ remains in recovery after 4 years.
Keywords: ICONN Protocol Schizophrenia
Accuracy Verified: Yes
253. McGuinness, D. P., & Charest, L. (2003, September). EMDR and the integrated diagnostic treatment of somatic complaints. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
This workshop is designed to prepare clinicians to utilize EMDR in an integrated diagnostic approach with medical professionals for clients with somatic complaints. Participants will learn to explain the principles of emotional pain manifesting itself in physical symptoms and
the use of EMDR to facilitate a breakthrough in the patient's overall treatment. Participants will practice a working protocol for treating somatic complaints with EMDR. Participants will also learn cognitive interweave strategies to facilitate the movement of somatic complaints. Participants will have the opponunity to practice these skills in small groups.
Keywords: Cognitive Interweave Somatic Complaints
Accuracy Verified: Yes
254. Weston, D. L. (1995, June). EMDR and the issues of gay clients. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
EMDR is an effective therapeutic method for working with the emotional issues of gay clients. The first portion of this workshop
will examine the "pubic" and "relationship" definitions of homosexuality. Being gay is much more than how people express
themselves sexually.
A brief historical and cultural kamework for understanding the emotional issues of lesbian I gay persons will be presented. There
will be a review of the psychological theories and the research about the origins of homosexuality.
The second portion of the workshop will focus on the psychological path of persons recognizing they are gay. The changes in the
"pre-stonewall' and "post-stonewall" experience will be highlighted. This review of psychological experience will look at the points
where EMDR therapists can be sensitive to the presence of emotional issues related to being gay.
Feeling "different" is often a precursor to recognizing that one is gay. It is impossible to grow up in our culture without
internalization of negative attitudes about gay people. When an individual recognizes (s)he is lesbian or gay, this negative learning
now applies to one's self. EMDR is effective in resolving this "internalized homophobia."
"Coming out" to one's self is a shock because, "I am no longer the person I believed myself to be." EMDR helps clients see gayness,
not as an event happening in Me at this moment, but as something with a history related to earlier life experiences and feelings.
This perception of continuity reduces the sense of crisis around being homosexual. As internalized homophobia is resolved,
acceptance and valuing of self increases.
Using the EMDR "future template" protocol assists people in preparing to "come out" to family, fiiends, employers, etc. Gay
activists suggests that lesbian/gay persons need to be "out" in all situations. EMDR can help people understand why they want to
come out to various people in various situations. It assists in idenhfxation of what people want as the result of "coming out."
EMDR is effective in workmg with the myths about homosexuality; the cultural homophobia. Among the myths to be focused are:
gay men are promiscuous, being gay is immoral, gay sexual expression is perversion, gay relationships don't last, lesbian/gay
persons recruit young people, etc.
The third portion of this workshop will focus on issues of HIV disease. There will be a brief epidemiological presentation and focus
on the medical and psychological issues of persons with HIV disease. Application of EMDR at "crisis points" of HIV disease will
be presented: (1) the worried well, a diminishing population as the aids epidmc continues, (2) the time of HIV+ diagnosis when
the potential for suicide is highest, (3) the time of the first AIDS defining illness, (4) response to declining health and approaching
death, and (5) issues of "meaning" as life moves toward death.
EMDR's application in grief and multiple loss will be presented. Our culture's attitude that grief is something to "be resolved" and
"get over" is a mistake. Grief is an ongoing process, especially when people are dealing with multiple losses of partners, fiends, etc.
EMDR is effective in reducing the pain around loss so that the grief process can proceed more comfortably.
The workshop will end with discussion of characteristics which therapists need to evaluate in relation to the decision to work or not
work with gay and gay HIV infected clients. Working with gay men leads to working with clients with HIV disease. Therapists
need to be clear about their boundaries and comfort in dealing with home and hospital visits, touching people who have AIDS, being
present at the death of a client, and other issues that arise in HIVIAIDS care.
The rewards of working with this population and the life changes it may make for the therapist will also be highlighted.
Keywords: Gay Clients Homosexuality
Accuracy Verified: Yes
255. van der Kolk, B. A. (2003, June). EMDR and the lessons from neuroscience research. Plenary presented at the annual meeting of the EMDR Europe Association, Rome Italy.
Language: English
Format: Conference
Abstract:
Until recently we had little knowledge how to help people integrate such disintegrated traumatic imprints. Traditionally, before the advent of contemporary methods of treatment outcome evaluation, many clinicians, from Pierre Janet to Milton Erikson and his followers, considered hypnosis to be the treatment of choice. Unfortunately the efficacy of hypnosis for the treatment of PTSD was never systematically studied. EMDR was the first of a group of new therapies that did not primarily rely on speaking about one’s traumatic experiences, but that claimed to be able to rapidly and effectively integrate traumatic memories by asking PTSD subjects to focus intensely on the emotions, sensations and meaning of the traumatic experience, while asking to follow the hand of a clinician who induces slow saccadic eye movements. EMDR had a number of advantages over hypnosis, including the fact that it could easily be put into a treatment protocol. This makes it relatively easy to conduct treatment outcome research. Since it was first articulated by Francine Shapiro, around 1988, it has received intense scientific scrutiny and has been found to be quite an effective treatment of PTSD (e.g. Chemtob et. al, 2000), even though the specific role of eye movements in its therapeutic action remains controversial.
Keywords: Neuroscience Plenary Research
Accuracy Verified: Yes
256. Zimmerman, E. (2010, June). EMDR and the phase two treatment of the migraine and headache-protocol. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
After the presentation of Dr. Steven Marcus PhD
on different EMDR-conferences of treating migraine and headaches
in a two-phase protocol, the authors of this presentation
decided to develop a study on the phase two treatment of the
headache protocol.
The phase one treatment of the headache protocol I-EMDR (integrated
EMDR) of Dr. Marcus is for the relief of acute headache
pain and related symptoms (nausea, vomiting, light or sound
sensitivity etc.). A research study of Dr. Marcus showed very
strong effects of the treatment of migraines in this acute phase.
(Steven V. Marcus: Phase 1 of integrated EMDR: An Abortive
Treatment for Migraine Headaches. JEMDR, Vol. 2, Number 1,
2008, pg. 15ff). The phase two treatment is a multi-session EMDR
headache treatment utilizing the Standard EMDR Protocol
to prevent or reduce future headache frequency, duration and
severity. The phase one has to be included in the second phase.
Thus, this phase two protocol has not yet been the subject of a
scientific research.
The authors present their study design and some cases with
video presentations as well as first results on the research of this
phase two treatment.
Keywords: Headache Medical Issues Migraine Symposium
Accuracy Verified: Yes
257. Eimer, B. N. (1994, March). EMDR and the puzzle of chronic pain: An evaluation and treatment protocol. Presentation at the EMDR Network Conference, Sunnyvale, CA.
Language: English
Format: Conference
Keywords: Chronic Pain Pain Pain Management
Accuracy Verified: Yes
258. Hofmann, A. (2009, June). EMDR and the treatment of adult survivors of childhood abuse and neglect. Keynote presented at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands.
Language: English
Format: Conference
Abstract:
Patients with complex PTSD and dissociative symptoms are a challenging patient population . Concepts like the Disorder of Extreme Stress (Herman et al.) and the the research on memory networks and especially structural dissociation (Nijenhuis et al.) helps to understand this patients better. In the treatment of this patients EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also enclose other EMDR modalities besides the EMDR standard protocol. New developments in EMDR and an decission help when to apply them can help pacing the therapy of these patients and making it successful.
Keywords: Adults Childhood Sexual Abuse Keynote Neglect Survivors
Accuracy Verified: Yes
259. Marquis, P., & Sprowls, C. (2011, August). EMDR and the treatment of anxiety disorders: Clinical applications using the anxiety protocol. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Dr. Marquis and Dr. Sprowls will present on the treatment of Anxiety Disorders using Eye Movement Desensitization and Reprocessing, (EMDR). This treatment is based on clinical research and practice, integrating Anxiety Disorder treatments such as interoceptive exposure, psycho-education, mindfulness, relaxation training, breathing retraining, cognitive techniques and exposure and response prevention with EMDR. Participants will learn how to specify EMDR targets for rapid symptom reduction and how clients can integrate self-use of bilateral stimulation to increase treatment results. Participants will be encouraged to discuss and receive feedback on anxiety cases of their own. Cross-cultural applications and understanding will be explored.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
260. Adler-Tapia, R. (2009, January). EMDR and the treatment of childhood depression: Findings from a pilot study. Presentation at the 23rd Annual San Diego International Conference on Child & Family Maltreatment.
Language: English
Format: Conference
Abstract:
This article describes a study initially designed to assess the ability of therapists to adhere to the Eye Movement Desensitization Reprocessing (EMDR) protocol with children two to ten years of age. Child subjects in the study were administered pre and post test measures to assess for trauma, as well as, emotional and behavioral symptoms. Initial results indicate a reduction in depressive symptoms following the child subject’s participation in the EMDR research protocol.
Even though the children in this study were identified victims of crime, the children did not demonstrate symptoms of post-traumatic stress based on standardized measures; however, the children did demonstrate symptoms consistent with depression. After participating in the research protocol, the children’s depressive symptoms were no longer exhibited at post-treatment assessment.
This study is limited by the small number of children included in the study; however, the unanticipated treatment outcomes identified in this study suggest that future research needs to assess the efficacy of EMDR treatment for children displaying symptoms of childhood depression.
Keywords: Children Depression
Accuracy Verified: Yes
261. DiGiorgio, K. E., Arnkoff, D. B., Glass, C. R., Lyhus, K. E., & Walter, R. C. (2004, September). EMDR and theoretical orientation: A qualitative study of how therapists integrate eye movement desensitization and reprocessing into their approach to psychotherapy. Journal of Psychotherapy Integration, 14(3), 227-252. doi:10.1037/1053-0479.14.3.227.
Language: English
Format: Journal
Abstract:
This study examined how 3 therapists from differing theoretical orientations (psychodynamic, humanistic, and cognitive–behavioral) integrate eye movement desensitization and reprocessing (EMDR) into their work with clients. The consensual qualitative research method was used to analyze interview responses from each of the therapists. All of the therapists deviated from the standard EMDR protocol to some degree, and their decisions to either add to or leave out various aspects of the protocol were greatly influenced by their theoretical orientation. They reported that the integration of EMDR into their usual therapy styles varied depending on their clients. The present study expands on previous psychotherapy integration research because it provides detailed descriptions as to how therapists actually use a specific method with clients. Findings may be particularly useful for researchers and therapists interested in the practice of EMDR, as well as the process of assimilative integration.
Keywords: Assimilative Integration Cognitive Behavior Therapy Cognitive-Behavioral Therapy Empirical Study Humanistic Psychotherapy Integrative Psychotherapy Humanistic Therapy Psychodynamic Psychotherapy Psychodynamic Therapy Psychotherapeutic Processes Psychotherapy Integration Qualitative Study Treatment Outcomes
Accuracy Verified: Yes
262. Artigas, L., Jarero, I., Mauer, M., Cano, T. L., & Alcala, N. (2000, September). EMDR and traumatic stress after natural disasters: Integrative treatment protocol and the butterfly hug. Poster presented at the annual EMDRIA Conference, Toronto, CA.
Language: English
Format: Conference
Keywords: Butterfly Hug
Accuracy Verified: Yes
263. Artigas, L. A., Jarero, I., Mauer M., Lopez Cano, T., & Alcala, N. (2000, September). EMDR and traumatic stress after natural disasters: Integrative treatment protocol and the butterfly hug. Poster presented at the annual meeting of the EMDR International Association, Toronto, Ontario, Canada.
Language: English
Format: Conference
Keywords: Butterfly Hug Poster
Accuracy Verified: Yes
264. Epozdemir, P., Haciomeroglu, S., & Konuk, E. (2012, June). EMDR and treatment of stuttering: Towards a protocol [EMDR y el tratamiento del tartamudeo: Hacia un protocolo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Stuttering can be defined in general terms as disturbance in the fluency of speech. Stuttering shows itself with psychological
reactions as abstaining from talking, being afraid of making mistakes and with motor reactions as tics in different parts of the body, elongations,
repetitions of the words and hesitations. In addition stuttering people are often observed to avoid speaking in certain situations, with certain
people, showing social anxiety, high levels of distress and muscle contractions before and/or while speaking. They are also noted to experience
relational difficulties and poor quality of life related to all the above factors.
Even though there are different etiological approaches for stuttering, we observe that people with stuttering problem have early childhood
traumas. Throughout their lives, other traumatic events, mostly related to stuttering; feelings of humiliation, inadequacy, rejection and others
worsen the problem. According to our limited number of cases working with those traumas significantly decreases our clients’ social anxiety
and this improvement is positively reflected to the fluency of their speech.
In this workshop, we will first give general information about stuttering and its etiology, emphasize how relations are organized around
stuttering and with video clips we will present how we approach the treatment of stuttering from an EMDR perspective.
En términos generales, se puede definir el tartamudeo como una alteración en la fluidez del lenguaje. El tartamudeo se
manifiesta a través de reacciones psicológicas tales como abstenerse de hablar, tener miedo de equivocarse y con reacciones motrices como
tics en distintas partes del cuerpo, prolongaciones, repeticiones de las palabras y vacilaciones. Es más, a menudo se observa que las personas
que sufren del tartamudeo evitan hablar durante ciertas situaciones, con algunas personas en particular; muestran ansiedad social, niveles
altos de estrés, y contracciones musculares antes y/o mientras hablan. También se ve que sufren dificultades con las relaciones y una mala
calidad de vida relacionada con los factores previamente mencionados.
Si bien existen planteamientos etiológicos distintos para tratar el tartamudeo, hemos observado que los individuos con problemas de
tartamudeo han sufrido eventos traumáticos en la infancia. A lo largo de sus vidas, otros sucesos traumáticos, en su mayoría relacionados
con el tartamudeo; sentimientos de humillación, ineptitud, rechazo y otros empeoran el problema. En nuestra experiencia limitada, el trabajo
con estos sucesos traumáticos disminuye significativamente la ansiedad social de nuestros clientes y dicha mejoría se refleja positivamente
en la fluidez de su habla.
En este taller, empezaremos por ofrecer información general acerca del tartamudeo y su etiología; señalaremos cómo se organizan las
relaciones entorno al tartamudeo y, con vídeos, presentaremos nuestra forma de afrontar el tratamiento del tartamudeo desde la perspectiva
de EMDR.
Keywords: Stuttering
Accuracy Verified: Yes
265. Eimer, B. N. (1995, June). EMDR applications for pain management. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The focus of this 3-hour workshop will be on using EMDR to alleviate emotional distress attendant to coping with acute physical
pain and living with chronic pain. Participants in this workshop will learn:
(a) how to conduct a targeted assessment of the patient whose chief complaint is physical pain;
(b) a guided pain healing meditation;
(c) an EMDR protocol for installing pain relief imagery and self-care techniques;
(d) an EMDR protocol for reprocessing covert pain talk, pain behaviors and pain-related memories;
(e) how to apply A.J. Popky's EMDR protocol for reducing substance abuse (i.e., Overeating,
drinking) and dependence on pain medication in this population.
The presentation will first address how to conduct a structured assessment that identifies targets for EMDR treatment. The
dysfunctional information package associated with chronic pain (termed the "biogram")and "seven keys" to understanding chronic
pain will be discussed. Then, essential principles for designing an effective individual psychotherapy program for the pain sufferer
will be presented.
Next, use of the "seven keys for constructing a guided healing meditation (i.e., Self-care technique) for the pain patient that also
incorporates Francine Shapiro's "light stream" and "spiral" guided meditations will be demonstrated. A script for this, termed the
"C.O.M.P.I.S.S. Pain Healing Meditation," will be distributed.
The workshop will then address how to introduce EMDR to the patient whose chief complaint is physical pain. What EMDR can
do and probably cannot do for pain patients will then be discussed. Next, principles for choosing an initial tarqet for reprocessing
will be discussed.
The presentation will then cover (with clinical case examples):
(1) Red flags and cautions to consider before proceeding with EMDR-
(2) What to do and what not to do if the patient is dissociative;
(3) How to "mirror" and install with EMDR empathic responses to underlying beliefs associated with
"secondary gains" minus primary losses;
(4) Teaching the distinction between pain sensations and suffering;
(5) How to teach and install with EMDR self-care and pain coping techniques such as pain relief
imagery, mental distraction techniques, safe place imagery, and positive motivation for healthy
self-care behaviors;
(6) How to directly address with the patient the application of "cognitive psychology" and imagery
for pain reduction;
(7) EMDR reprocessing of memories around the pain's origins;
(8) EMDR reprocessing of pain-related conflicts, negative beliefs, negative past experiences,
internalized self-identifications, self-punitive tendencies and self-defeating behaviors;
(9) Eliciting core negative pain coping cognitions and suggesting preferable positive cognitions to the pain patient;
(10) EMDR reprocessing of negative cognitions associated with depression and anxiety.
(11) Use of EMDR to facilitate mental rehearsal of coping responses to pain triggers;
(12) Material that often comes up in using EMDR with pain patients;
(13) Strategically restructuring patient "resistance" with coanitive interweave;
(14) Managing narcotic and pain medication seeking behavior and substance abuse;
(15) Use of Popky's EMDR protocol for reducing medication dependence and substance abuse in
this population;
(16) Treating pain patients who also have PTSD.
Videotaped case excerpts will be shown that illustrate important points covered.
If time permits, participants may be able to briefly discuss EMDR applications to specific medical and pain patient populations.
Keywords: Chronic Pain Pain Pain Management
Accuracy Verified: Yes
266. Wipson, E. C. (2001, June). EMDR applications in addictive disorders. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) explain addictive brain process; 2) list two client readiness safety issues; 3) list two client resources for Resource Installation with addictions; 4) know standard and addictive EMDR protocol; 5) describe one negative cognition and positive cognition example for "urge" desensitization; 6) list two blocks to processing; and 7) list three "disturbances" connected with Addictive Illness suitable for EMDR processing.
Keywords: Addictive Disorders Client Readiness Resource Installation Safety Issues Urge
Accuracy Verified: Yes
267. Mitchell, J. T., & Solomon, R. M. (1995, June). EMDR applications to critical incident stress management. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
A critical incident is any situation that causes unusually strong emotional reactions that have the potential to interfere with a person's
ability to function immediately after the incident or later. These are situations that overwhelm a person's sense of vulnerability
and/or control.
A critical incident stress debriefing (CISD) is a psychoeducational group meeting or discussion about a traumatic incident which
ideally takes place within 72 hours of the event. The goals of a CISD are to mitigate the psychological impact of a traumatic event,
prevent subsequent development of a post-traumatic syndrome, accelerate recovery, and serve as an early identification mechanism
for people who need further follow-up, including EMDR.
The steps of a CISD include:
1) introduction - to introduce the intervention team, explain the process, and set expectations.
2) fact - to describe the event from each participant's perspective on a cognitive level.
3) thought - to allow participants to describe cognitive reactions and to transition to emotional reactions.
4) reaction - to identify the most traumatic aspect of the event for participants.
5) symptom - to identify personal symptoms of distress and transition back to the cognitive level.
6) teaching - to educate as to normal reactions and adaptive coping strategies
7) reentry - to clarefy ambiguities and prepare for termination; access for follow-up.
In the opinion of the authors, the CISD facilitates the processing of the traumatic information before it becomes crystallized in
dysfunctional form.
EMDR can be very effective shortly following a CISD, and is particularly usehl for participants who are experiencing distress or
intrusive symptoms after the CISD. The CISD structure helps the participant understand the traumatic impact of the incident and
provides support and guidance toward adaptive resolution. The EMDR process begins where the CISD leaves off. The CISD helps
to delineate the traumatic image, negative cognition, and emotions associated with the event, making the subsequent EMDR process
more efficient. EMDR appears to have a very powerful and rapid effect after the CISD, perhaps, because of the initial processing.
In other words, the CISD initiates an adaptive processing of the traumatic information; EMDR completes it.
EMDR can be implemented individually immediately following the CISD, or the next day. While the CISD is a group process,
EMDR is an individual method. EMDR can be explained during the teaching phase of the CISD or after the CISD to the whole
group, but EMDR treatment is done individually and privately. EMDR can go beyond a CISD in targeting previous traumas that
may underlie the current incident, delve deeper into the meaning of the incident for the person, and target specific stimuli that are
relevant to the individual (e.g. Smells, tastes, etc.).
The workshop will discuss the application of EMDR to critical incidents. The protocol for recent events will be reviewed.
Guidelines for negative and positive cognitions will be discussed. For example, a critical incident usually involves issues of
responsibility ("Is it my fault?"), Safety ("Am I safe?"), And/or control ("Do I have choices in life?). It is important that such
dynamics are understood when formulating the negative cognition.
The dynamics of fear, a framework for understanding a critical incident and resolving issues of vulnerability and powerlessness, will
be presented. The model discusses the importance of going beyond defining the moment of peak stress to elucidating subsequent
thoughts, actions, and decisions. The implications for cognitive interweaves will be discussed.
Keywords: CISM Critical Incidence Stress Management Recent Events
Accuracy Verified: Yes
268. Tarquinio, C. (2010, June). EMDR applied for traumatic bereavement after train collision. In Accident victims. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The aim of these exploratory study is to test the application
of therapy EMDR in case of traumatic bereavement. The
traumatic bereavement, which corresponds to the brutal loss of
"other significant", answers a precise clinical picture whose principal
characteristics are the intrusive thoughts concerning the
late one and of the difficulties of adjustment to the loss (feeling
of vacuum, difficulties of recognizing the death, irritability, lack
of reactivity, etc.). The 8 participants all of this study are of the took peace on October 12, 2006 in Zoufftgen. The subjects, old
on average 35.2 years ( S D = l I . l ) and including 75% women,
followed between 8 to 15 meetings (m=10.75, SD = 2.21) answering
protocol EMDR The effectiveness of the therapy was
evaluated starting from several criteria including traumatic bereavement,
anxiety, depression and psychological distress. Five
evaluations were carried out: before the therapy (TO), after six
meetings (TI), at the end of the therapy (T2), then in three
months (T3) and twelve months (T4) after the end of the therapy.
The principal results seem to indicate an effectiveness of the
therapy EMDR. Indeed, we observe a reduction in all the indicators
between the beginning (TO) and the end of the therapy
(TI). Moreover, when this reduction does not continue to three
and twelve months, it remains, at least, stable at one year. These
observations are very encouraging especially when it is known
that 10 to 15% of the patients develop a chronic depression.
Keywords: Accident Victims Symposium Train Accident Traumatic Bereavement
Accuracy Verified: Yes
269. Hase, M. H. (2006, September). EMDR applied to reprocess the addiction memory in alcohol addicted in-patients – Outcome and follow-up data of a clinical study. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Substance abuse and its sequels often mean
intense suffering for the individual and huge costs for society. Established treatment modalities, as good as they are, lack effectiveness. Comorbid PTST with substance abusers is more the rule,
than the exception. So the integration of
traumatherapy, especially EMDR, into addiciton therapy seems necessary. Recent research in the
field of neuroscience has shown that most
experience is automatically processed on
subcortical levels, i.e., by "unconscious"
interpretations that are made outside of conscious
awareness. Insight and understanding have only
a limited influence on the operation of these
subcortical processes. The concept of an addiction memory is helpful. It can be understood as a form maladaptive memory and EMDR could be the
tool for resolution. Targeting the addiction
memory and reprocessing should lead to a
reduction in craving. Date of a study on
alcohol addicted inpatient support the hypothesis. Data shown include outcome and follow-up data. Reprocessing of the addiction memory could lead to EMDR protocol beyond the EMDR Chemical Dependency Treatment Manual. Participants will be able to understand the concept of the addiction memory and its implications for therapy. They will be able to identify targets for EMDR. Video of treatment sessions illustrate common principles
and differences.
Keywords: Addiction Memory Substance Abuse
Accuracy Verified: Yes
270. Wilson, S., Logan, C., Becker, L., & Tinker, R. (1999, June). EMDR as a stress management tool for police officers. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV.
Language: English
Format: Conference
Abstract:
Participants will be able to describe: 1) an EMDR protocol that can be used with police officers; 2) the elements of the research design; and 3) the effective use of EMDR with specific stressors in law enforcement.
Keywords: Law Enforcement Police Officers Stress Management
Accuracy Verified: Yes
271. Parnell, L. A. (2007, September). EMDR as a transpersonal psychotherapy. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
EMDR is a powerful and effective psychotherapeutic method for healing trauma-based problems. In addition to its therapeutic effectiveness, it also leads in many cases to clients opening to transpersonal experiences. In this presentation, information on EMDR’s Adaptive Information Processing model and EMDR procedure are reviewed. Description and discussion of the spiritual unfoldment in EMDR clients is given, along with new research highlighting the following areas: the development of wisdom, compassion, trust in life, forgiveness, insights, epiphanies, experiences of spiritual freedom, and openings into the psychic realm (Turpin, 1999). Also included will be discussion of how to use EMDR to access and strengthen spiritual experiences, using EMDR with clients who have experienced near death experiences, and EMDR and after death communication to heal grief, including research using a new protocol, (Botkin, 1995, 2005). Suggestions on ways to enhance client’s spiritual experiences will be provided, as well as meditation practices.
Keywords: Transpersonal Psychotherapy
Accuracy Verified: Yes
272. Ricci, R., & Clayton, C. (2011, August). EMDR as an adjunct to cognitive behavioral treatment of sex offenders. Presentation at the annual meeting of the EMDR International Association, Orange County, CA.
Language: English
Format: Conference
Abstract:
Historically the treatment of male adult sex offenders ignored or purposely avoided developmental adversity or trauma in the history of the offender. Emerging theories in the field of adult sex offender treatment allow room for a trauma informed treatment model including collaborative practice between sex offender treatment providers and EMDR practitioners. A promising mixed-methods study adding EMDR to a standard CBT model with ten adult male child molesters found pre-post improvement in both treatment progress and significant reduction in deviant, idiosyncratic sexual arousal as measured by phallometry. The project’s qualitative analysis provides a guide to developing treatment protocol.
Keywords: CBT Cognitive Behavior Therapy Sex Offenders
Accuracy Verified: Yes
273. Adler-Tapia, R., & Settle, C. (2009). EMDR assessment and desensitization phases with children: Step-by-step session directions. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Special populations (pp. 67-94). New York: Springer Publishing Co.
Language: English
Format: Book Section
Keywords: Assessment Phase Children Desensitization Phase Protocol
Accuracy Verified: Yes
274. Rougemont-Bucking, A. (2010, June). EMDR based treatment of psychotraumatic antecedents in illicit drug abusers: A report of two cases. Poster presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany .
Language: English
Format: Conference
Abstract:
Background: EMDR has been recognized to be an efficacious
treatment of Posttraumatic Stress Disorder (PTSD). Other,
more recent indications comprise anxiety disorders and substance
use disorders (SUD). With regard to SUD, the application of EMDR
iS very challenging as patients frequently suffer from many
comorbidities. Another concern is the fact that the dissociative
experiencing during EMDR-sessions can potentially weaken the
patients' coping strategies and provoke relapse through activation
of intense drug craving.
General procedure. Sessions were proposed once a week. Specific
techniques like 'Safe Place', the technique of absorption, heart coherence training and ClPOS were applied prior to proposition
of the standard EMDR-protocol. Drug consumption and craving
was regularly monitored by means of the patents' self-reports
and drug craving scores. The therapist was regularly supervised
on the basis of video recordings.
Patient 1: A 49 year old man being diagnosed for PTSD and dependency
of opiates and benzodiazepines asked to benefit form
EMDR with regard to his PTSD symptoms. Patient was abstinent
from heroine consumption but consumed midazolam 3 times per
week when entering the therapy. Initial evaluation showed an
Impact of Event Scale (IES) score of 60, a Dissociative Experiences
Scale (DES) score of 39.6 and a midazolam craving score of 14.
Patient 2 :A 37 old man was diagnosed for borderline personality
disorder and for dependency of opiates. Heroine consumption occurred 1 to 3 times per month when starting the therapy
EMDR based therapy was proposed as he complained about
pertinacious insomnia due to trauma-like events during his childhood.
Initial evaluation showed a DES score of 7.8 and a heroine
craving score of 17.
Global impression: EMDR based treatment of severely affected
SUD patients appears to be a difficult and challenging endeavor
However, some beneficial effects on general comfort and on drug
consumption can be observed. A long stabilisation phase seems
to be mandatory and the standard EMDR protocol needs to be
conducted with much flexibility as patients were not able to handle
intensive emotional stress for a long time period. There was
no provocation of a prolonged psychological crisis or of relapse.
Experiencing of emotional stress could be limited to the sessions
and dissociation could be absorbed with specific techniques without
increasing permanently drug craving.
Learning objectives:
1. EMDR-based treatment is feasible in severely affected drug
abusers
2. Extensive stabilisation of the patient using flexible adaptation
of EMDR-related techniques is mandatory
3. Dissociation occurring during treatment has to be addressed
carefully as it can easily bridge into drug craving and relapse
What is unique: EMDR-based treatment may be a suitable way
to treat patients who are still abusing drugs as these interventions
focus on maladaptive associations that arise from both trauma
and substance related cues.
Keywords: Drug Abusers Heroine Psychotraumatic Antecedents
Accuracy Verified: Yes
275. Mitchell, R. (2009, May). The EMDR basic protocol: A review and update. Keynote presented at the 2nd annual EMDR Autumn Workshop, Leeds, UK.
Language: English
Format: Conference
Abstract:
The eight-phase protocol is the bedrock of EMDR, however, the way it is taught has evolved over the years. We will review how EMDR is currently taught and highlight some of the common mistakes and misunderstandings made by clinicians. Attendance at the workshop will therefore make certain that all delegates can proceed to the other workshops during the day, 'armed' with the latest information.
Keywords: Basic Protocol Keynote Review Standard Protocol Update
Accuracy Verified: Yes
276. Lendl, J. (2007, September). EMDR basics part I: The touchstone event. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
One of the reasons EMDR is such a powerful treatment is the Adaptive Information Processing Model with its eight phase, three- prong protocol. The robustness of the treatment is not achieved if any part of the protocol is dismissed. Dr. Shapiro’s recent trainings have emphasized the need to work beyond present-day symptoms and triggers (prong #2) to find the underlying touchstone events (prong #1). Part I will review the AIP Model, suggest channels of association most likely linked to a touchstone event/node, review the eight phases, place the touchstone event into the context of the eight phases, show video simulations of the touchstone event including the affect scan and floatback techniques, and have a supervised practicum.
Keywords: Adaptive Processing Model Channels of Association Touchstone Event
Accuracy Verified: Yes
277. Korn, D. (2010, April). EMDR behandeling bij volwassenen met een verleden van incest en verwaarlozing. Het herstellen van ontwikkelings tekorten en het beschadigde ‘zelf’ [EMDR treatment in adults with a history of incest and neglect. Developmental deficits and restore the damaged self]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederland.
Language: Dutch
Format: Conference
Abstract:
In deze workshop zal er worden ingegaan op het integreren van EMDR in een algemeen behandelingsplan voor volwassenen die incest en verwaarlozing in hun jeugd hebben meegemaakt.
De workshop is een verdieping van de keynote van het congres. De werkwijze zal gedetailleerd worden uitgelegd en zal worden geïllustreerd aan de hand van videopresentaties en bespreking van casuïstiek.
In eerste instantie wordt uitgelegd hoe de ontwikkelings- en hechtingsbehoeften van de cliënt onderzocht kunnen worden en hoe een betekenisvolle beschrijvende diagnose kan worden ontwikkeld om tot een geïntegreerd, logisch opgebouwd behandelingsplan te komen.
Bij deze groep cliënten, waarbij er sprake is van beperkte affect tolerantie, kwetsbaarheid voor hyper- en hypoarousal, en dissociatieve kenmerken, kan het standaard EMDR protocol worden aangepast met specifieke strategieën. Daar zal uitvoerig op worden ingegaan.
Ook zal er veel aandacht besteed worden aan het integreren van specifieke EMDR technieken, zoals diverse ego-versterkende protocollen en hulpbron installatie (RDI), in alle fasen van de behandeling.
Tevens zullen er technieken besproken worden die cliënten helpen om hun disfunctionele afweermechanismen los te laten, waardoor het veranderen van schema’s met hun kenmerkende kerngedachten en kernaffecten mogelijk wordt
Deelnemers aan deze workshop zullen leren om pathogene gevoelstoestanden, (zoals schaamte, wanhoop, onverdraagelijke eenzaamheidsgevoelens), angsten en ‘blocking beliefs’, ego state conflicten te herkennen, zodat de meest effectieve interweaves en hulpbron opties kunnen worden toegepast.
Verder zullen er strategieën voor herstel, zoals het verduidelijken van verantwoordelijkheid, het vaststellen van veiligheid en keuze, en het verwerken van rouw, verlangen en woede, worden besproken.
This workshop will address the integration of EMDR into an overall treatment plan for adult incest and neglect in childhood have experienced.
The workshop is a deepening of the keynote of the conference. The methodology will be explained in detail and will be illustrated with video presentations and discussion of case studies.
Initially, explains how the development and bonding needs of the client can be investigated and how a meaningful descriptive diagnosis can be developed into an integrated, logical plan of treatment.
In this group of clients, where there is limited affect tolerance, vulnerability to hyper-and hypoarousal and dissociative characteristics, the standard EMDR protocol to be adapted to specific strategies. As will be discussed in detail.
Also, much attention is paid to the integration of EMDR specific techniques, such as various ego-enhancing protocols and resource installation (RDI) in all phases of treatment.
Will also discuss techniques that help clients to their dysfunctional defense mechanisms to let go, so changing schedules with their distinctive core ideas and possible kernaffecten
Participants in this workshop will learn to pathogenic emotional states (such as shame, despair, unbearable loneliness feelings), and fears "blocking beliefs", ego-state conflicts to recognize that the most effective and interweaves resource options can be applied.
Moreover, through strategies for recovery, such as clarifying responsibilities, establishing security and choice, and the process of mourning, desire and anger are discussed.
Keywords: Adults Developmental Deficits Incest
Accuracy Verified: Yes
278. Eckers, D. (2011, June). EMDR bei kindern [EMDR for children]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: German
Format: Conference
Abstract:
In der Arbeit mit kleinen Kindern ist bei EMDR der Einsatz von therapeutischen Erzählgeschichten hilfreich um eine Traumabearbeitung zu ermöglichen, auch wenn die Kinder nur wenig sprechen können. Aber auch bei größeren Kindern und Erwachsenen bieten sich durch das Narrativ Möglichkeiten, die eigene Geschichte traumatherapeutisch zu bearbeiten, selbst wenn die frühe Entwicklungsgeschichte (wie bei Adoptiv- und Pflegefamilien) regulär wenig zugänglich ist oder die Kinder eine Bearbeitung mit dem Standardprotokoll phobisch vermeiden. Durch hypnotherapeutische Einbettung kann das Traumanarrativ dem Kind auch schonend vermittelt werden.
Learning objectives:
Im Workshop sollen anhand von vielen Fallbeispielen und Videoausschnitten die verschiedenen Einsatzmöglichkeiten von Traumanarrativen und EMDR illustriert werden.
In working with young children is on EMDR allows the use of therapeutic Tell stories to help a trauma, even if the children can speak only a little. But even in older children and adults are offered by the narrative possibilities to deal with their own history trauma therapy, even if the early developmental history (as with adoptive and foster families) are regular little accessible or prevent the children worked on with the standard protocol phobic. By embedding hypnotherapy can also be conveyed to the child Traumanarrativ gently.
Learning objectives:
The workshop will be the basis of many case examples and video clips of the various uses of EMDR Traumanarrativen and illustrated.
Keywords: Children
Accuracy Verified: Yes
279. Leuning, E., & Mevissen, L. (2012, March). EMDR bij autisme spectrum stoornis en EMDR bij verstandelijke beperking, zoek de verschillen [Complex PTSD: Evaluation of treatment by patient and therapist - "You need not type during EMDR."]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland .
Language: Dutch
Format: Conference
Abstract:
Het herkennen van PTSS bij mensen met een stoornis in het autisme spectrum (ASS), of een verstandelijke beperking (VB) kan moeilijk zijn. Bij ASS, maar ook bij VB wordt de ontregeling vaak gezien als iets dat bij de stoornis hoort, en niet gekoppeld aan bijzondere ervaringen. De client zelf beschikt doorgaans over onvoldoende vaardigheden om te overzien dat zijn veranderde stemming/gedrag te maken heeft met een bepaalde gebeurtenis, en kan dit vervolgens doorgaans ook onvoldoende helder communiceren vanwege zijn beperkingen op dit gebied.
Vanuit de literatuur is door diverse mensen aangegeven dat kinderen en jongeren met een stoornis in het autistisch spectrum een grotere kans hebben om getraumatiseerd te raken in verband met hun kwetsbaarheid en onvermogen om te communiceren. Dit geldt ook voor volwassenen met ASS en/of een verstandelijke beperking. PTSS wordt in deze beide groepen dan ook zelden onderkend.
Wanneer PTSS wel onderkend wordt, is er nagenoeg niets geschreven over eventuele behandeling ervan bij de bovengenoemde doelgroepen. Als EMDR wordt toegepast bij mensen met een verstandelijke beperking wordt het protocol afgestemd op de ontwikkelingsleeftijd. Ook voor volwassenen met een VB wordt het protocol voor kinderen gebruikt. Als er dan nog stagnaties zijn in de EMDR behandeling is de kans groot dat er sprake is van comorbide problemen. ASS is zo'n veel voorkomende comorbide stoornis bij deze populatie: in ongeveer 50% van de gevallen gaat ASS samen gaat met een VB. In de workshop worden beelden getoond van verschillen tussen cliënten met ASS en cliënten met VB. Tevens wordt aandacht besteed aan het kiezen van de juiste afleidende stimulus bij cliënten met ASS. Daarnaast wordt een video getoond van een cliënt waar naar aanleiding van het verloop van de EMDR behandeling de diagnose wordt aangescherpt.
Recognizing PTSD in people with autism spectrum disorder (ASD), or an intellectual disability (VB) can be difficult. In ASD, but also in VB is the disruption often seen as something that belongs to the disorder, and not linked to specific experiences. The client will generally have insufficient skills to oversee his altered mood / behavior has to do with a certain event, and can then usually also lack clear communication because of its limitations in this area.
From the literature by several people indicated that children and young people with autistic spectrum disorder are more likely to become traumatized because of their vulnerability and inability to communicate. This also applies to adults with ASD and / or intellectual disabilities. PTSD in these two groups therefore rarely recognized.
When PTSD is recognized, there is almost nothing written about its possible treatment with the above target groups. If EMDR is used in people with intellectual disabilities is the protocol tailored to the developmental age. For adults with VB is the protocol used for children. If there are still blockages in the EMDR treatment is likely that there is comorbid problems. ASD is a common comorbid disorder in this population in about 50% of ASD cases coincides with a VB. In the workshop are shown images of differences between clients with ASD and clients with VB. Attention is also paid to choosing the right distracting stimulus in clients with ASD. In addition, a video display of a client, which as a result of the course of the treatment EMDR the diagnosis is tightened.
Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PTSD
Accuracy Verified: Yes
280. Hees, R. (2008, Maart). EMDR bij craving: “Wanneer het verlangen verwoestend is" [EMDR in craving: "If the desire is devastating"]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
- Wat is craving (diverse aspecten)
- werkingsmechanisme EMDR bij craving (+ verwijzing wetenschappelijk onderzoek)
- Hase-protocol + Nederlandse aanpassing en varianten
- illustratie met voorbeelden en videomateriaal
- What is craving (various issues)
- Mechanism of craving in EMDR (+ reference research)
- Hase + Dutch adaptation and protocol variants
- Illustrative examples and video
Keywords: Craving
Accuracy Verified: Yes
281. ten Broeke, T., & Oppenheim, H-J. (2008, Maart). EMDR bij de behandeling van complexe PTSS en ernstige dissociatie [EMDR in the treatment of complex PTSD and severe dissociation]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Bij de behandeling van patiënten met complexe PTSS ten gevolge van type 2 trauma, wordt de behandelaar geconfronteerd met twee grote problemen: 1) hoe een overzichtelijke structuur aan te brengen in de veelheid aan traumatische gebeurtenissen, en 2) hoe om te gaan met pathologische dissociatie.
In deze voordracht wordt in eerste instantie een aanpak gepresenteerd waarmee de therapeut en patiënt kunnen komen tot een zodanige
(hiërarchische) ordening van de traumatische gebeurtenissen, dat een gefaseerde en overzichtelijke behandeling mogelijk wordt.
Vervolgens zal nader ingegaan worden op het verschijnsel dissociatie en zal worden uitgelegd welke algemene technieken toegepast kunnen worden bij dissociatieve reacties. Ten slotte zal aan de hand van videobeelden worden gedemonstreerd hoe met een aangepast EMDR basisprotocol het mogelijk is om bij mensen met secundaire en tertiaire structurele dissociatie, door activatie van een alterpersoonlijkheid, het traumatisch materiaal waardoor de alterpersoonlijkheid is ontstaan a. te ontsluiten, b. te verwerken en c.
te integreren
When treating patients with complex PTSD as a result of Type 2 trauma, the therapist faces two major problems: 1) how an organized structure to the multitude of traumatic events, and 2) how to deal with pathological dissociation .
In this lecture primarily an approach is presented that the therapist and patient can come to such a
(Hierarchical) organization of the traumatic events that a phased and orderly treatment possible.
Will then be elaborated on the phenomenon of dissociation and will explain the general techniques can be applied to dissociative reactions. Finally, using video to demonstrate how a modified EMDR basic protocol it is possible in people with secondary and tertiary structural dissociation, through activation of an alter personality, traumatic materials which alter personality created a. to access, b. processing and c. integrate.
Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD
Accuracy Verified: Yes
282. Hofmann, A. (2006, November). EMDR bij de behandeling van complexe PTSS patiënten [EMDR in the treatment of complex PTSD patients]. Keynote gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.
Language: English
Format: Conference
Abstract:
Patiënten met complexe PTSS en dissociatieve symptomen zijn een uitdagende patiëntenpopulatie. Concepten zoals de stoornis van extreme stress (Herman et al..) En het geheugen van het onderzoek naar netwerken en vooral structurele dissociatie (Nijenhuis et al..) Helpt om dit te begrijpen patiënten beter. Bij de behandeling van deze patiënten EMDR kan een van de belangrijkste benaderingen in de behandeling een therapie instelling die gewoonlijk moet ook bijvoegen andere modaliteiten naast de EMDR EMDR standaardprotocol. Nieuwe ontwikkelingen in EMDR en een decission helpen wanneer ze toe te passen kan pacing de therapie van deze patiënten te helpen en maakt het succesvol.
Patients with complex PTSD and dissociative symptoms are a challenging patient population . Concepts like the Disorder of Extreme Stress (Herman et al.) and the the research on memory networks and especially structural dissociation (Nijenhuis et al.) help to understand these patients better. In the treatment of this patients EMDR can be one of the key treatment approaches in a therapy setting that usually needs to also enclose other EMDR modalities besides the EMDR standard protocol. New developments in EMDR and an decission help when to apply them can help pacing the therapy of these patients and making it successful.
Keywords: Complex Posttraumatic Stress Disorder C-PTSD
Accuracy Verified: Yes
283. Sanders, D., & ten Broeke, E. (2011, Juni). EMDR bij de behandeling van een negatief zelfbeeld [EMDR in the treatment of low self-esteem]. Psychopraktijk, 3(3), 19-22. doi:10.1007/s13170-011-0039-z.
Language: Dutch
Format: Journal
Abstract:
Sinds de introductie in 1989 van Eye Movement Desensitization and Reprocessing (EMDR) is de methode verder ontwikkeld en verfijnd. Het toepassingsgebied is daardoor aanzienlijk uitgebreid. Zo werd een specifieke benadering voor het conceptualiseren van klachten gepresenteerd die voorafgaat aan de toepassing van EMDR bij een flink scala van andere klachten dan Posttraumatische Stress Stoornis (PTSS). Zo is er nu een behandeling met EMDR voor mensen met een negatief zelfbeeld. Na een korte schets van de achtergronden en toepassing van het EMDR-basisprotocol, wordt deze laatste aanpak hieronder aan de hand van een casus geïllustreerd.
Since its introduction in 1989 of Eye Movement Desensitization and Reprocessing (EMDR), the method developed and refined. The scope is thus greatly expanded. Thus, a specific approach to conceptualizing problems presented prior to the application of EMDR in a large variety of other symptoms than Post Traumatic Stress Disorder (PTSD). There is now an EMDR treatment for people with low self-esteem. After a brief outline of the background and application of the basic EMDR protocol, the latter approach below, using an illustrated case.
Keywords: Self-Esteem: Self-Image
Accuracy Verified: Yes
284. ter Heide, J. J. (2011, August). EMDR bij getraumatiseerde vluchtelingen [EMDR with traumatized refugees]. Psychologie & Gezondheid, 39(3), 180-185. doi:10.1007/s12483-011-0036-2.
Language: Dutch
Format: Journal
Abstract:
While EMDR is treatment of choice for traumatized adults with PTSS, its efficacy has not been validated with traumatized refugees. As long as no evidence is available for EMDR with this population, EMDR with refugees should be informed by theoretical approaches to treatment of PTSS in adults. Four approaches are discussed: the phased approach that advocates stabilization before EMDR; the multimodal approach that advocates combining EMDR with other interventions; the trauma-focused approach that advocates offering EMDR to all adults with PTSS, including refugees and, the transcultural approach that advocates a culturally sensitive administration of EMDR. Several pilot studies on EMDR with traumatized refugees, randomized controlled trials of EMDR with multiply traumatized populations, and a trial of EMDR in a non-western setting may further inform EMDR-therapists working with traumatized refugees. Suggestions are made for combining the four approaches and scientific evidence in treatment planning and execution of EMDR with this population. The EMDR protocol itself prescribes several interventions for treating multiply traumatized patients, such as resource development and installation, clustering of traumatic experiences, and cognitive interweaves. Additionally, culturally sensitive interventions may enable the refugee to actively partake in the treatment process by increasing motivation for trauma processing, by diminishing language barriers, and by facilitating the formulation of culturally congruent meanings to trauma. The question remains whether EMDR, which offers an individualistic approach to trauma, is sufficiently suited to address the collective traumatization of victims of war and organized violence.
Accuracy Verified: Yes
285. de Roos, C., & Beer, R. (2002, December). EMDR bij kinderen en adolescenten [EMDR in children and adolescents]. Kind en Adolescent Praktijk, 2(1), 117-123. doi:10.1007/BF03059493.
Language: Dutch
Format: Journal
Abstract: Abstract: Samenvatting : Om ontwikkelingsachterstanden en chronische psychopathologie te voorkomen zijn voor kinderen die lijden onder de gevolgen van traumatische ervaringen, effectieve behandelmogelijkheden van groot belang (Chemtob, Nakashima & Carlson, 2002). EMDR – Eye Movement Desensitization and Reprocessing – blijkt hierbij goede diensten te bewijzen. In dit artikel worden de procedure en de diverse aanpassingen beschreven die nodig zijn voor de toepassing van EMDR bij kinderen en adolescenten. Toepassing bij kinderen vraagt om een benadering die is afgestemd op het ontwikkelingsniveau van het kind, hetgeen vooral tot uiting komt in de attitude van de therapeut en technische aanpassingen in het protocol. Gepleit wordt voor meer aandacht in diverse opleidingen voor het kunnen herkennen van posttraumatische stressreacties en adequate doorverwijzing voor behandeling.; (AN 21283740)
Keywords: Adolescents Children
Accuracy Verified: Yes
286. de Roos, C., & Beer, R. (2003). EMDR bij kinderen en adolescenten: De klinische praktijk [EMDR in children and adolescents: The clinical practice]. Kind en Adolescent Praktijk, 2(1), 12-18.
Language: Dutch
Format: Journal
Abstract:
Om ontwikkelingsachterstanden
en chronische psychopathologie
te voorkomen zijn
voor kinderen die lijden onder
de gevolgen van traumatische
ervaringen, effectieve behandelmogelijkheden
van groot
belang (Chemtob, Nakashima
& Carlson, 2002). EMDR – Eye
Movement Desensitization
and Reprocessing – blijkt hierbij
goede diensten te bewijzen.
In dit artikel worden de
procedure en de diverse aanpassingen
beschreven die
nodig zijn voor de toepassing
van EMDR bij kinderen en
adolescenten. Toepassing bij
kinderen vraagt om een benadering
die is afgestemd op het
ontwikkelingsniveau van het
kind, hetgeen vooral tot uiting
komt in de attitude van de
therapeut en technische aanpassingen
in het protocol.
Gepleit wordt voor meer aandacht
in diverse opleidingen
voor het kunnen herkennen
van posttraumatische stressreacties
en adequate doorverwijzing
voor behandeling.
To developmental psychopathology and chronic prevention for children who suffer the consequences of traumatic experiences, effective treatment options are very important (Chemtob, Nakashima & Carlson, 2002). EMDR - eye movement desensitization and reprocessing - shows provide good service to prove. This article discusses the process and described various modifications required for the application of EMDR in children and adolescents. Application in children requires an approach tailored to the developmental level of the child, which is particularly reflected in the attitude of the therapist and technical changes to the protocol. Calling for more attention in various courses for the recognition of posttraumatic stress reactions and appropriate referral for treatment.
Keywords: Adolescents Children
Accuracy Verified: Yes
287. Kok, W. & Verschuren, N. (2011, April). EMDR bij mensen met dementie en andere cognitieve stoornissen [EMDR for people with dementia and other cognitive disorders]. Presentatie op de 5e jaarlijkse conferentie van EMDR Vereniging, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
Er is niet veel bekend over de mogelijkheden van EMDR behandeling bij mensen met hersenbeschadiging. In het casusboek EMDR is een hoofdstuk wat vertelt over de behandeling van rouw bij een vrouw met een CVA in de voorgeschiedenis.
Verder zullen de psychologen werkzaam binnen GGZ ouderenzorg, verpleeghuizen en/of revalidatie centra, EMDR proberen toe te passen in voorkomende situaties.
Werkt het en werkt EMDR altijd? Wanneer werkt het niet? Bij welke beschadiging komt er geen verwerking op gang? Is daar een lokalisatie van te geven? Welke aanpassingen aan het protocol zijn nodig? Kan EMDR helpen bij onrust, bij dementie patiënten? Kan het onrust voorkomen? Hoe uitleg te geven over de behandeling en wie dient betrokken te worden bij beslissingen over de behandeling als patiënt niet alles meer kan overzien (het betreft soms een niet voor de hand liggende stap in de behandeling)? En hoe zit het dan met medicatie? En hoe leg je het uit aan collega’s? Dit zijn enkele van de vragen die opborrelen als dit onderwerp aan de orde komt.
In deze workshop willen wij aandacht besteden aan deze vragen met als doel na te gaan wanneer EMDR het best is in te zetten bij bovengenoemde doelgroepen en hoe dat dan het best kan gebeuren. We willen graag de kennis hierover bundelen, verder onderzoek stimuleren. En zullen waarschijnlijk meer vragen oproepen dan dat we antwoorden kunnen gegeven.
Dit alles aan de hand van theorie en beeldfragmenten van behandelingen.
Inbreng van de deelnemers aan de workshop wordt zeer op prijs gesteld. Bij onvoldoende tijd kan er een vervolg aan worden gegeven.
Werkvorm:
workshop lezing met videomateriaal, enkele casussen. Discussie maakt deel uit van de workshop.
Not much is known about the potential of EMDR treatment in people with brain damage. EMDR in the case book is a chapter that tells about the treatment of grief in a woman with a history of stroke.
Furthermore, the psychologists working in mental health elderly, nursing homes and / or rehabilitation centers, EMDR try to apply in common situations.
EMDR works and always works? When does it not? In which corruption is no processing going on? Is there a localization of giving? What changes to the protocol are needed? EMDR can help with anxiety, dementia patients? Can it prevent unrest? How to explain the treatment and who should be involved in decisions about treatment as a patient can see everything more (in some cases they are not an obvious step in the treatment)? And how about those drugs? And how you put it out to colleagues? Here are some of the questions that bubble up if this topic is discussed.
In this workshop we focus on these questions in order to determine if EMDR is best to work with target groups mentioned above and how it can best be done. We would like to combine this knowledge, further research. And likely more questions than we can answer given.
All this based on theory and images of treatments.
Input from the participants of the workshop is greatly appreciated. Without adequate time, a sequel to be.
Form:
workshop reading, watching videos, some cases. Discussion is part of the workshop.
New! Click the words above to view alternate translations. Dismiss
0.
Keywords: Cognitive Disorders Dementia
Accuracy Verified: Yes
288. Lievegoed, R., & Giltaij, H. (2005, November). EMDR bij mensen met een verstandelijke en/of meervoudige beperking [EMDR with people with mental and/or multiple restriction]. Workshop gepresenteerd aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Na een korte inleiding over de speciale problemen die mensen met een Verstandelijke en/of Meervoudige (visueel-en-verstandelijke) Beperking in hun leven ontmoeten en de vele vormen van psychotrauma, die voor hen ontstaan door situaties die door anderen vaak niet als traumatisch worden ervaren (door het vermogen ervaringen zin en plaats te geven), zal vooral aan de hand van casuïstiek worden toegelicht hoe het EMDR standaardprotocol en de werkwijze aangepast kunnen worden aan de meer beperkte vaardigheden van de mensen in deze doelgroep. Hierbij zal ook gerefereerd worden aan de aanpassingen van het protocol zoals die voor jonge kinderen door diverse therapeuten is ontwikkeld, en die voor de onderhavige doelgroep vaak ook zeer relevant zijn.
De behandeling van een vrouw met een sterke visuele beperking plus een verstandelijke handicap zal d.m.v. een video gedemonstreerd worden, nadat kort gewezen is op de problemen die iemand heeft met een dubbele
handicap: er staan dan immers minder compensatiemogelijkheden voor de
handicap(s) ter beschikking.
Doelstelling:
Deelnemers leren zien dat EMDR ook bij de genoemde doelgroep(en) toegepast kan worden en maken kennis met enkele voorbeelden van hoe de behandeling specifiek vorm gegeven kan worden.
Maar belangrijkste doelstelling van deze workshop is dat behandelaars enthousiast kunnen worden voor de toepassing van EMDR juist ook voor deze kwetsbare mensen!
After a brief introduction to the special problems that people with intellectual and / or Multiple (visual and mental) limit in their lives meet and the many forms of psychotrauma, for them arise from situations that others often not as traumatic to experienced (the ability to experience meaning and place), will focus on using case studies explain how EMDR standard protocol and the method can be adapted to the more limited abilities of the people in this audience. It will also be referred to the adjustments of the protocol as for young children by different therapists was developed and used for this target group often highly relevant.
Treating a woman with a strong visual impairment and a mental disability will be using demonstrated a video, after briefly pointed to the difficulties that someone with a double
Disabled: There are after all less than redress for disability (s) available.
Objective:
Participants learn that EMDR also said the target group (s) can be applied and become familiar with some examples of how the specific form of treatment can be given.
But most important objective of this workshop is that therapists are enthusiastic for the use of EMDR for these very vulnerable people!
After a brief introduction to the special problems that people with intellectual and / or Multiple (visual and mental) limit in their lives meet and the many forms of psychotrauma, for them arise from situations that others often not as traumatic to experienced (the ability to experience meaning and place), will focus on using case studies explain how EMDR standard protocol and the method can be adapted to the more limited abilities of the people in this audience. It will also be referred to the adjustments of the protocol as for young children by different therapists was developed and used for this target group often highly relevant. Treating a woman with a strong visual impairment and a mental disability will be using demonstrated a video, after briefly pointed to the difficulties that someone with a doubleDisabled: There are after all less than redress fordisability (s) available.
Objective:Participants learn that EMDR also said the target group(s) can be applied and become familiar with some examples of how the specific form of treatment can be given. But most important objective of this workshop is that therapists are enthusiastic for the use of EMDR for these very vulnerable people!
Keywords: Mental Disabilities Visual Impairments
Accuracy Verified: Yes
289. de Roos, C., & Went, M. (2010, April). EMDR bij preverbaal trauma [EMDR for trauma, preverbal]. Presentatie aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
Hoe kan je preverbaal trauma verwerken, zodat er ruimte ontstaat voor herstel, inhalen en voortgang van de ontwikkeling?
Ook infants (0-4 jarigen) kunnen allerlei traumatische gebeurtenis(sen) in de eerste levensjaren meemaken zoals intrusieve medische handelingen, seksueel misbruik en andere vormen van mishandeling. Herinneringen aan deze gebeurtenissen zijn preverbaal en niet op bewust nivo toegankelijk. Bij deze jonge kinderen is het dan ook moeilijk te zien in hoeverre er sprake is van traumatisering. Door hun beperkte cognitieve ontwikkeling is verbale communicatie over ingrijpende gebeurtenissen niet of beperkt mogelijk. Soms zie je na enige tijd gedragsveranderingen bij dagelijkse handelingen die eerder geen probleem vormden (verzet bij verschonen, bij tandenpoetsen e.d.). Dit gedrag kan echter ook gekoppeld zijn aan de ontwikkelingsfase. Het diagnostisch beeld wordt duidelijker wanneer gedragsveranderingen (verzet, verdriet maar ook submissie!) zich voordoen bij soortgelijke traumatische ervaringen zoals nieuwe medische behandelingen. De link naar de onverwerkte traumatische gebeurtenis(sen) ligt dan voor de hand.
De ouder kan soms uit angst of schuldgevoel over de ingrijpende gebeurtenis(sen) niet goed meer als steunfiguur en opvoeder optreden. Door een klachtbestendigend interactiepatroon kunnen gedragsproblemen van het kind zelfs verergeren. De omgeving gaat denken aan ADHD of ASS...
Aan de hand van casuïstiek van infants bij wie sprake is van traumatisering worden de aanpassingen aan het EMDR protocol getoond bij de behandeling van 0 tot 4 jarigen. Pas na de verwerking van de traumatische herinneringen wordt echt duidelijk wat de invloed is geweest op het verloop van de ontwikkeling van het kind, zoals een sociaal emotionele achterstand, vertraagde spelontwikkeling etc. Er komt ruimte voor herstel, inhalen en voortzetten van de ontwikkeling. Zo nodig wordt een EMDR traject voor ouders ingezet om de behandeling af te maken.
Vorm
In de presentatie worden theorie en praktijk gecombineerd. Videobeelden ondersteunen het verhaal.
How do you handle preverbal trauma, so there room for rehabilitation, catch up and progress of the development?
Even infants (0-4 year olds) can all traumatic event(s) in the first years of life experience as intrusive medical procedures, sexual abuse, and other forms of abuse. Preverbal memories of these events, not consciously accessible level. In these young children it is therefore difficult to see how there is trauma. Because of their limited cognitive development, verbal communication on major events is not possible or limited. Sometimes you see after a while behavioral changes in daily operations which were previously not a problem (resistance to changing, with teeth, etc.). This behavior can also be linked to the development. The diagnostic picture becomes clearer when behavioral change (resistance, but also sadness Submission!) arise from similar traumatic experiences such as new medical treatments. The link to the unprocessed traumatic event (s) is then obvious.
The parent can sometimes out of fear or guilt about the traumatic event(s) not functioning properly to support action figure and educator. By klachtbestendigend interaction pattern may even worsen the child's behavior. The environment is reminiscent of ADHD or ASD ...
Based on case reports of infants with trauma,0 to 4 years old treated with the EMDR protocol show changes only after the processing of traumatic memories is really clear that the impact has been on the course of the development of the child as a social-emotional retardation, slow game development etc. There is room for recovery, overtaking and continued development. If necessary, an EMDR process for parents is used to finish the treatment.
Form
In the presentation combining theory and practice. Video images support the story.
Keywords: Prevebral Trauma
Accuracy Verified: Yes
290. Withers, D. (2001, June). EMDR bilateral movement groups for children with ADHD. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
This workshop will teach experientially how to run therapy groups for children. Specifically, it will teach Resource Installation through Dance/Movement Therapy techniques utilizing EMDR protocol, how to deal with disruptive behaviors by empowering children to come up with their own coping strategies for themselves and each other; and how to identify, locate, and regulate feelings in their bodies.
Keywords: Bilateral Children Dance Movement Therapy: Groups Resource Installation
Accuracy Verified: Yes
291. Adler-Tapia, R., & Settle, C. (2008, February). EMDR butterfly hug/group protocol: Fidelity research manual. Hamden, CT : EMDR Humanitarian Assistance Programs.
Language: English
Format: Book
Abstract:
This manual is based on EMDR theory created by Dr. Francine Shapiro and documented in Dr. Shapiro's books (1995, 2001); and, the EMDR Group Protocol created by Dr. Ignacio Jarero and Dr. Lucina Artigas documented in Artigas,L., Jarero,I., Mauer,M., López Cano,T., & Alcalá,N.(2000); Jarero, Artigas, López Cano, Maure, & Alcalá, (1999). This manual also references the fidelity manual created by Korn, D.L. & Spinazzola, J. (January, 2001); and the fidelity scales created by Korn, D.L., Zangwill, W., Lipke, H. & Smyth, N. (January, 2001).
In addition, we have included information provided by Dr. Robert Tinker and Dr. Sandra Wilson regarding additional directions for the group protocol with children.
This protocol references the book and treatment manual, EMDR and the Art of Psychotherapy with Children (2008) by Dr. Adler-Tapia and Ms. Settle.
This is a fidelity manual created for use in research. The protocol will need to be adjusted for the environment, culture and unique needs of the participants. All resources are documented in the reference section of this manual.
This manual was donated to the EMDR Humanitarian Assistance Program in order to sustain and advance the EMDR HAPKIDS Project which supports programs providing EMDR for children by training therapists, conducting research, and most importantly, providing treatment for those children who are most in need.
Keywords: Butterfly Hug Group Protocol
Accuracy Verified: Yes
292. McDonald, H. (2010, March). EMDR chronic pain protocol. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Persistent pain is common in
people who have experienced trauma; and persistent pain also leads to trauma responses.
This workshop will focus on using the Pain Protocol (Grant and Threlfo, 2002), using a
practical approach to clinical work with clients. The pain protocol is based on the Adaptive
Information Processing model, (Shapiro 1995), and takes into account the overlap
between the experience of pain and traumatic experiences. It is expected that participants
not necessarily have experience of working specifically on pain using EMDR with clients.
An increasing body of evidence suggests that using the EMDR Pain Protocol can be
effective in three main ways:
• Reducing the experience of pain;
• Targeting pain memories and
• Overcoming the impact of pain on the individual.
The application of the protocol assumes that it is possible to influence neurological
pathways involved in maintaining persistent pain messages.
The workshop will include a brief overview of research evidence and current clinical
experience, and will primarily focus on practical applications. This will include working
with imagery in specific ways relevant to working with people in pain; and discussion of
case examples.
At the end of the workshop, it is hoped that participants have increased confidence in
working with people who have pain; having practiced elements of the protocol and
discussed their implications for clinical practice.
Keywords: Chronic Pain Protocol
Accuracy Verified: Yes
293. Shapiro, F. (2007, November). EMDR clinical parameters and research findings: “What’s new and useful”. Master clinician series at the 23rd annual meeting of the International Society for Traumatic Stress, Baltimore MD.
Language: English
Format: Conference
Abstract:
Numerous controlled studies have indicated that EMDR´s effects on
PTSD symptoms are comparable to those of trauma-focused CBT.
However, EMDR does not require homework, sustained arousal,
detailed verbalization of the index trauma, or prolonged exposure to
the event. In this invited presentation, videotapes of an incest survivor
and a disaster victim will demonstrate the EMDR treatment,
and the de-arousal effects of the eye movements, which have been
documented in numerous controlled laboratory studies. In addition,
the clinical procedures of an EMDR group-protocol used subsequent
to disasters and terrorist attacks will be illustrated.
The presentation will review research findings, with long-term follow
up, indicating that the resolution of etiological events can result in
the successful treatment of conditions that have often been considered
intractable. A recent study will be used to explore the clinical
parameters of the EMDR treatment of child molesters, which has
resulted in the sustained reduction of deviant arousal. Likewise, representative
case examples from studies documenting the elimination/
reduction of phantom limb pain subsequent to EMDR processing
will be presented to explore both the clinical and theoretical
implications.
Keywords: De-arousal Effects of Eye Movement Group Protocol Master Series
Accuracy Verified: Yes
294. Renssen, M. (2000, May 6). EMDR compared with imaginary exposure. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands.
Language: English
Format: Conference
Abstract:
According to Spector and Read (1999), “EMDR is an effective therapeutic procedure. More direct comparisons are needed with exposure therapies which up till now have generally been considered the most effective approaches to PTSD.” They further state that, “Direct comparisons with exposure therapies would be particularly meaningful and revealing if they were compared with EMDR, if the subjects were single trauma PTSD case and if EMDR were applied both with and without bilateral stimulation” (Spector & Read, 1999, the Current Status of Eye Movement Desensitization and Reprocessing (EMDR). Clinical Psychology and Psychotherapy).
In this presentation, results of a study will be shown in which EMDR was compared with the imaginary exposure procedure. Twenty-five traffic accident victims with trauma complaints were randomly allocated to either EMDR or imaginary exposure. Ten victims received imaginary exposure according to a protocol of Dancu and Foa, 1992 (translated by Arnst, 1997), while ten participants were treated with EMDR based on the PTSD protocol of Shapiro, 1995 (translated by de Jongh, 1996). In the EMDR group, people were exposed to bilateral sounds. The results were compared with an additional group consisting of 5 trauma clients who were exposed to sounds which were simultaneously presented
Keywords: Comparison Imaginary Exposure
Accuracy Verified: Yes
295. Carvalho, E. R. (2009). The EMDR drawing protocol for adults. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 107-110). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
At certain points in my clinical practice, after I began using EMDR consistently, I would have clients come in who could not describe a specific scene or image for us to use as the target, yet, they would usually have a clear negative cognition that they would give spontaneously ("I'm trash"). I am a very visual and artistic person and I used drawings in my psychodrama practice. As a result, when I began to use EMDR, it was a natural evolution for me to use drawings. I began to ask my adult clients to draw a picture that would illustrate the negative cognition. Sometimes, they would have feelings about themselves or self-perceptions that would also turn into drawings, and from these drawings, the Standard EMDR Protocol ensued. I usually ask for drawings when people come in with generalities and we need to pin down a specific target to work on. The Drawing Protocol for Adults can be helpful in narrowing down a target, using a metaphor or picture—which has a strong generalizable effect—instead of a concrete scene from the past. When using this protocol, it is usually important to assure clients that most people cannot draw better than a 6-year-old and that this is not an evaluation of artistic talent. [Author abstract]
Keywords: Drawing Protocol Negative Cognition Protocol Psychodrama Standard Protocol Therapeutic Drawing Trauma
Accuracy Verified: Yes
296. Gomes, G. F. B. (2012, Novembro). EMDR e cura sistêmica: A gestação de uma nova história de vida [EMDR and systemic cure: The gestation of a new life story]. In EMDR e visão sistêmica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Objetivo: narrar a trajetória de uma cliente em relação a um trauma em específico, os desdobramentos deste, bem como os resultados do reprocessamento e sua abrangência no equilíbrio da ecologia de um sujeito tratado em duas sessões de EMDR. Pode-se afirmar que os sintomas são, em sua essência, um caminho que nos permite retornar ao evento chave, reprocessar a base traumática e a partir daí reescrever uma história saudável e, certamente, geradora de frutos em muitos níveis. O trabalho em questão apresentará a história de uma cliente que buscou a terapia com EMDR para reprocessar sua dificuldade de relacionamento com a irmã caçula. Fazia parte deste contexto, o acometimento da cliente em questão pela Doença de Crohn e Endometriose, além do desejo intenso de engravidar. Tendo-se definido o alvo, o trabalho com EMDR iniciou-se. Após duas sessões de reprocessamento, a cliente não só havia conseguido resolver a questão fraterna que lhe afligiu por 16 anos como, por meio de avaliação médica, constatou estar assintomática para o Crohn e com o processo de Endometriose sob controle. Ainda como possível desdobramento deste processo, o sujeito desta história pôde realizar um desejo muito especial: a gestação com a qual vinha sonhando. Após a compilação dos dados deste caso clínico, conclui-se que o EMDR é, em sua natureza, um tratamento orientado para o corpo, sendo a cura de um trauma efetivado somente quando se atinge o sistema como um todo em seus níveis fisiológico, neurológico e psicológico.
Objective: To narrate the story of a client in relation to a specific trauma, the ramifications of this, and the results of reprocessing and its coverage in the ecological balance of a subject treated in two sessions of EMDR. It can be said that the symptoms are, in essence, a way that allows us to return to the key event, reprocess the traumatic basis and from there to rewrite a story healthy and certainly generating fruit on many levels. The work in question will present the story of a client who sought therapy with EMDR to reprocess its difficult relationship with her younger sister. It was part of this context, the involvement of the client in question by Crohn's disease and endometriosis, besides the intense desire to become pregnant. Having set up the target work with EMDR started. After two sessions of reprocessing, the client had not only managed to solve the issue fraternal afflicted him for 16 years as a through medical evaluation, found to be asymptomatic for Crohn's and with the process of endometriosis under control. Yet as possible unfolding of this process, the subject of this story could make a very special wish: pregnancy with which had been dreaming. After compiling the data in this case study, it is concluded that EMDR is, in its nature, a treatment-oriented body, and the healing of trauma effected only when it reaches the system as a whole in their physiological levels, neurologic and psychological.
Keywords: Crohn's Disease Endometriosis Standard Protocol Systemic Cure
Accuracy Verified: Yes
297. Skowronski, A. (2012, Novembro). EMDR e tratamento de psoríase [EMDR and psoriasis]. In casos clínicos I. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Este trabalho tem como objetivo apresentar um caso clínico de psoríase utilizando o protocolo de desenhos em EMDR.
This paper aims to present a clinical case of psoriasis using the EMDR protocol drawings.
Keywords: Clincial Case Psoriasis
Accuracy Verified: Yes
298. Faretta, E. (2008, Novembre). EMDR e trattamento del disturbo di panico: Un protocollo specifico integrato [EMDR and the treatment of panic disorder: a specific protocol integrated]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Nell’ambito degli studi sulle possibilità terapeutiche offerte dall’impiego dell’EMDR in diverse patologie si sono evidenziate delle prospettive interessanti in relazione agli interventi sui disturbi di panico, in grado di fornire una possibilità di lavoro terapeutico globale e completo focalizzato non solo sulla condizione presente e quindi sulla gestione degli attacchi di panico, ma anche sulla comprensione dinamica di tale disturbo.
Facendo riferimento alla letteratura e ai resoconti che hanno supportato l’efficacia del-l’EMDR per il trattamento del Disturbo d’Attacchi di Panico (Feske & Goldstein, 1997; Goldstein & Feske, 1994; Nadler, 1996; Shapiro & Forrest, 1997) e dalla analisi ed applicazione del protocollo Whisman, è stato messo a punto, attraverso la personale pratica clinica, un preciso protocollo integrato per il trattamento del disturbo di panico secondo l’approccio EMDR.
Facendo riferimento a questi studi, l’ipotesi di intervento dalla quale sono partita è quella che si basa sulla considerazione che l’attacco di panico può rappresentare un evento traumatico di per sé e che quindi il lavoro clinico proposto, seguendo l’approccio EMDR, risulta efficace per desensibilizzare e rielaborare convinzioni, comportamenti, emozioni e sensazioni corporee legate alla paura fino a farle rientrare all’interno di un sistema di convinzioni più gestibile, in modo da permettere al paziente di affrontare le situazioni precedentemente temute e quindi evitate.
In questo workshop vengono presentate le modalità di applicazione nel disturbo panico in relazione alle 8 fasi di lavoro dell’approccio EMDR, facendo riferimento ai casi clinici e quindi ad esperienze pratiche derivanti dal personale lavoro terapeutico.
Da qui vengono fornite le linee per la strutturazione dello specifico piano di trattamento, secondo un protocollo di lavoro, appositamente elaborato, che conduce, passo dopo passo, all’applicazione del progetto terapeutico
Il protocollo di lavoro presentato si focalizza sulla rielaborazione degli attacchi di panico e quindi sulla gestione della sintomatologia caratteristica di questo disturbo.
Fornisce, inoltre, indicazioni per effettuare un’attenta anamnesi, che permetta al terapeuta di predisporre un adeguato piano di individuazione e di rielaborazione dei fattori precipitanti e delle esperienze traumatiche pregresse della storia personale del paziente sin dall’infanzia, che possono costituire la base emotiva sulla quale può instaurarsi, in particolari circostanze, la sintomatologia del DAP.
Si tratta di eventi stressanti o traumatici del passato sui quali risulta indispensabile un lavoro di rielaborazione al fine di far emergere possibili capacità e comportamenti adattivi per realizzare azioni future adeguate.
As part of studies into the therapeutic possibilities offered by EMDR in various diseases appear to be any interesting perspectives in relation to work on problems panic, unable to provide an opportunity for therapeutic work focused global and comprehensive not only on the present condition and therefore on the management of panic attacks, but also on dynamic understanding of the disorder. Referring to the literature and the reports that have supported the efficacy of on-l'EMDR the treatment of Panic Disorder (FESK & Goldstein, 1997; FESK & Goldstein, 1994; Nadler, 1996, Shapiro & Forrest, 1997) and the analysis and application of the protocol Whisman, was developed through personal clinical practice, a precise protocol integrated treatment of panic disorder according to the EMDR approach. Referring to these studies, the possibility of intervention from which game is the one based on the consideration that the panic attack can be a traumatic event in itself and therefore the clinical work proposed, following the approach EMDR, is effective for desensitize and reprocess beliefs, behaviors, emotions and body sensations associated fear until they fall within a belief system more manageable, so allow the patient to deal with situations previously feared and avoided. In this workshop presents the detailed rules in panic disorder report at 8 phases of EMDR work of the approach, referring to clinical cases and then practical experiences arising from personal therapeutic work. From here, we provide the guidelines for the structuring of a specific treatment, according a working protocol, specially developed, which leads, step by step, application
therapeutic project the protocol of work presented focuses on the recasting of panic attacks and then the management of symptoms characteristic of this disorder. Also provides instructions for making a careful medical history, which allows the therapist to
prepare an adequate plan for the identification and revision of precipitating factors and past traumatic experiences of the patient's personal history from childhood, which may form the emotional basis on which it can establish, in certain circumstances, symptoms of CAD. It is stressful or traumatic events of the past on which it is essential work of reworking in order to identify possible skills and adaptive behaviors to achieve appropriate future action.
Keywords: Panic Disorder
Accuracy Verified: Yes
299. Tonetti, F. (2008, Novembre). EMDR e trauma complesso in adolescente [EMDR and trauma in adolescents complex]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
N. è stata portata in Italia a 14 anni con l’illusione di lavorare come baby sitter, finisce invece vittima dello sfruttamento sessuale organizzato e per circa un anno subisce violenze sessuali, fisiche e psicologiche. Con forza e coraggio notevoli, riesce a fuggire, nuda, da un’auto dove stava subendo l’ennesima violenza. Ha gravi lesioni sul corpo, viene soccorsa e portata in ospedale, dove decide di denunciare i suoi vittimizzatori.
Il caso finisce alla Procura del Tribunale per i Minorenni e N. viene collocata, sotto falso nome, in una comunità.
Il mio primo contatto con la ragazza avviene quando ha 16 anni ed è in comunità da cinque mesi. Presenta ancora i sintomi invadenti del PTSD: flashback, incubi, panico, pensieri ossessivi, isolamento, distacco emotivo che a volte la fa apparire molto calma, sovreccitazione. Non sa controllare gli impulsi e regolare le emozioni: passa dalla rabbia, che sfoga picchiando pugni contro il muro fino a ferirsi o spaccando tutto ciò che le capita sotto mano, alla eccitazione, alla depressione con sentimenti di inutilità a vivere, di colpa e di vergogna (sintomi di PTSD Complesso). Propongo e spiego da subito l’EMDR ritenendo che sia l’unico approccio terapeutico utile; stabiliamo piano terapeutico e N. esprime il suo consenso al trattamento. Particolare attenzione, data la problematicità, alla fase di preparazione e stabilizzazione. Nell’anamnesi emerge primo trauma a 10 anni, prima ricorda di essersi sentita amata e protetta. Rafforzo queste esperienze positive che diventano risorse in suo possesso. Fondamentale si rivela la psicoeducazione sui disturbi: N. accoglie con sollievo l’idea che non è “pazza” o “indemoniata” ma solo traumatizzata. Immaginiamo comportamenti alternativi per esprimere le emozioni e strategie di coping.
Posto al Sicuro: servono due sedute per stabilizzare e installare il posto al sicuro.
Il protocollo EMDR sarà applicato fedelmente nelle sue fasi; i target del passato affrontati in ordine cronologico.
N. è sempre partita da 1 nella scala VoC e da 10 nella SUD; ha concluso tutte le sedute con SUD: 0 e VoC: 6 /7. Ha avuto abreazioni e una volta ha chiesto di fermarsi: la NC era”sto per morire”.
Sono stati raggiunti, dopo 10 mesi di terapia, gli obiettivi del piano terapeutico: la sintomatologia post-traumatica si è risolta dopo otto sedute.
No was taken to Italy 14 years with the illusion of working as a babysitter, instead ends up a victim of sexual exploitation and organized for about a year suffer sexual violence, physical and psychological. With remarkable courage and strength, manages to escape, naked, from where a car was undergoing yet another violence. He has serious injuries on the body, is rescued and taken to hospital, where he decides to denounce his victimization.
The event ends at the General Prosecutor of the Juvenile Court and N. is placed under a false name, in a community.
My first contact with the girl when she is 16 years and is shared by five months. Still has the intrusive symptoms of PTSD: flashbacks, nightmares, panic, obsessive thoughts, isolation, emotional detachment that sometimes makes it appear very calm, excitement. Can not control impulses and regulate emotions: anger passes, which unleashed banging his fists against the wall until injury or cracking everything that happens at hand, the excitement, depression with feelings of futility in life, guilt and shame (symptoms of complex PTSD). Propose and explain EMDR now believing it is the only therapeutic approach useful, we establish a treatment plan and N. expresses its consent to treatment. Particular attention, given the problematic, the preparation and stabilization. Nell'anamnesi apparent trauma to the first 10 years, first recalls that she felt loved and protected. Reinforces these positive experiences that become resources in their possession. Reveals the basic psychoeducation about the disorder: No welcomes with relief the idea that is not "mad" or "possessed" but traumatized. Imagine alternative behaviors to express emotions and coping strategies.
Safe place: it takes two sessions to stabilize and secure way to install.
The EMDR protocol is applied faithfully in its early stages, the targets of the past dealt with in chronological order.
No always started from a ladder in VOC and 10 in South, has completed all the sessions with SUD: 0 and VOC: 6 / 7. Abreactions and had once asked to stop: the NC was "I am going to die."
Were achieved after 10 months of therapy, the goals of treatment plan: post-traumatic symptoms resolved after eight sessions.
Keywords: Adolescents Complex Trauma
Accuracy Verified: Yes
300. Monteiro, A. M. (2012, Novembro). EMDR em posturas e movimento: Estados de ego e memórias não verbais [EMDR in posture and movement: Member of ego and non-verbal memories]. In EMDR e memórias. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Neste trabalho serão apresentadas estratégias de exploração de postura e espaço para acesso a memórias não verbais, características de ICES incompletos e frequente expressão de Estados de Ego infantilizados, primitivos. Esses casos geralmente refletem transtornos dissociativos mais pronunciados, com desafios para terapeuta montar protocolo clássico.
In this work we will present strategies for posture and space for access to non-verbal memories, characteristics of ICES incomplete and frequent expression of Ego States childish, primitive. These cases generally reflect more pronounced dissociative disorders, with challenges to mount therapist classic protocol.
Keywords: Ego States Nonverbal Memories Posture Standard Protocol
Accuracy Verified: Yes
301. Guedalia, J. B., & Yoeli, F. (2009). EMDR emergency room and wards protocol (EMDR-ER). In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 241-250). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The EMDR-Emergency Room and Wards Protocol (EMDR-ER®) was developed by Dr. Judith Guedalia, after being present at more than 26 Mass Casualty Events (MCEs). She and the other members of Shaare Zedek Medical Center's Trauma Team attended to more than 38% of the 1,623 patients injured in Jerusalem terror attacks during the "Second Intifada." The Second Intifada spanned nearly 4 years, lasting from November 2000 until September 2004. The EMDR Emergency Room and Wards Protocol (EMDR-ER) Script is provided. [PsychoINFO]
Keywords: Emergency Room Protocol Wards
Accuracy Verified: Yes
302. Quinn, G. (2011, June). EMDR emergency treatment for manmade and natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Program’s (HAP) Disaster Manual and Marilyn Luber’s: EMDR Scripted Protocols: Basic and Special Situations (2009) was developed to deal with victims of natural and manmade disaster within hours of exposure to trauma.
Learning objectives: Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities.
Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment. The EMDR Group Protocol will be presented as utilized in the Tsunami of 2004 and during war. A practicum will follow.
Keywords: Acute Trauma Emergency Treatment Man-Made Disasters Natural Disaasters
Accuracy Verified: Yes
303. van den Berg, W., & Spuijbroek, P. (2010, April). EMDR en autismespectrumstoornissen: Een creatieve uitdaging [EMDR and autism spectrum disorders: A creative challenge]. Presentatie aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
Het doel van deze presentatie is meer mensen vertrouwd maken met knelpunten en oplossingen bij gebruik van EMDR bij mensen met een autisme spectrum stoornis.
In de presentatie wordt aan de hand van casuïstiek en filmbeelden het protocol gevolgd. Aan bod komen welke zaken je kunt verwachten bij de behandeling en welke oplossingen daarvoor kunnen worden aangeboden.
The purpose of this presentation is more people become familiar with problems and solutions when using EMDR in people with autism spectrum disorder.
The presentation is based on case reports and movies followed the protocol. Addressed the matters you can expect in dealing with and what solutions can be offered.
Keywords: Autistic Spectrum Disorders
Accuracy Verified: Yes
304. Schlattmann, N. (2006). EMDR en de allerkleinsten: Een gevalsbeschrijving [EMDR and the very young: A case study]. Kinder en Jeugdpsychotherapie, 33(3), 25-38.
Language: German
Format: Magazine
Abstract:
Voor de behandeling van de posttraumatische stress stoornis (PTSS) bestaan er
twee behandelmethoden waarvan de werkzaamheid voldoende is aangetoond:
gedragstherapie (imaginaire exposure) en Eye Movement Desensitization and
Reprocessing (EMDR) (de Jongh en ten Broeke, 2003). EMDR is in Amerika
door Shapiro ontdekt en ontwikkeld. In de 90’er jaren is deze
behandelmethode in Nederland geïntroduceerd. Oorspronkelijk is het een vorm
van psychotherapie voor volwassenen. In Amerika zijn onder anderen Lovett,
Tinker en Wilson begonnen om EMDR ook bij kinderen toe te passen. Het
eerste onderzoek naar de behandeling van kinderen met EMDR is in 1996
gepubliceerd door Chemtob (Lovett, 1999).
Inmiddels zijn er in Nederland verschillende artikelen geschreven over de
toepassing van EMDR bij kinderen (de Roos en Beer, 2003; Beer en de Roos,
2004). EMDR kan goed bij schoolgaande kinderen gebruikt worden. Er wordt
dan gewerkt met het kinderprotocol. Adolescenten, pubers en lagere
schoolkinderen worden nu vaak met EMDR behandeld als er sprake is van
PTSS. De toepassing bij peuters is minder bekend.
Hoe jonger het kind des te sneller therapeuten geneigd zijn om niet met het
kind zelf te werken. Dikwijls wordt dan volstaan met ouderbegeleiding.
Ouders krijgen adviezen hoe zij hun kind kunnen helpen bij de verwerking van
het trauma. Naast de ouderbegeleiding krijgt het kind zelf vaak helemaal geen
behandeling, terwijl behandeling van het kind wel datgene is waar ouders om
vragen. Het kind behandelen werkt directer en waarschijnlijk ook efficiënter en
effectiever.
Bij kinderen onder de vier jaar zijn een heleboel elementen uit het EMDR
protocol niet uitvoerbaar. Toch is het heel goed mogelijk om EMDR ook bij de
allerkleinsten te gebruiken, namelijk door middel van de “storytelling”
techniek van Lovett (1999). De hulp en inzet van ouders is daarbij een vereiste.
In dit artikel wordt deze techniek beschreven aan de hand van een
gevalsbeschrijving van een jongetje van drie jaar, Tommy. Het artikel begint
met een uiteenzetting van de voorgeschiedenis van de casus. Daarna wordt
aangegeven welke elementen van het EMDR protocol aangepast moeten
worden bij peuters en wordt de “storytelling” techniek, oftewel de verhalenmethode, beschreven. Dan volgt een weergave van het verhaal dat de
ouders van Tommy met behulp van de therapeut voor hem schreven.
Vervolgens wordt de behandeling van Tommy beschreven. Het artikel eindigt
met een conclusie.
For the treatment of post traumatic stress disorder (PTSD), there
two treatments for which efficacy has been adequately demonstrated:
behavioral therapy (imaginal exposure) and Eye Movement Desensitization and
Reprocessing (EMDR) (de Jongh and Ten Broeke, 2003). EMDR in America
discovered and developed by Shapiro. In the 90's, this
treatment method introduced in the Netherlands. It was originally a form
of psychotherapy for adults. In America, among others Lovett,
Tinker and Wilson began to EMDR in children applying. The
first research on the treatment of children with EMDR in 1996
published by Chemtob (Lovett, 1999).
There are now several articles on the Netherlands
use of EMDR in children (de Roos and Beer, 2003, Bear and Rose,
2004). EMDR may well be used in school children. It is
then worked with the children's protocol. Adolescents, adolescents and lower
school children are now often treated with EMDR when there is
PTSD. The application in toddlers is less known.
The younger the child the faster therapists tend not to
child to work. Often parent guidance are sufficient.
Parents get advice on how they can help their child in the processing of
the trauma. Besides the parent guidance, the child itself is often no
treatment, while treatment of the child does what is true for parents
questions. The child works deal more directly and probably more efficient and
effective.
In children under four years are a lot of elements from the EMDR
protocol is not feasible. Yet it is quite possible to EMDR also in
toddlers to use, namely through the storytelling
technique of Lovett (1999). The help and commitment of parents is a prerequisite.
This article describes the technique using a
case report of a boy of three years, Tommy. The article begins
with an account of the history of the case. Then
identifying the elements of the EMDR protocol adapted to
are young children and the storytelling technique, or the stories method described. Then follows a representation of the story that
Tommy's parents by the therapist wrote for him.
Then the treatment of Tommy described. The article ends
with a conclusion.
Keywords: Case Study Children
Accuracy Verified: Yes
305. Beer, R., & Hornsveld, H. (2005, November). EMDR en Eetstoornissen: Conceptualisatie en klinische toepassingen [EMDR and eating disorders: Conceptualisation and clinical applications]. Presentatie aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Renee Beer en Hellen Hornsveld bespreken in deze presentatie toepassingsmogelijkheden van EMDR bij patiënten met uiteenlopende eetstoornissen.
Eerder is over dit onderwerp gepresenteerd door beide spreeksters op een EMDR Netwerkavond in 2004 en op het Europese EMDR congres in 2005.
Samenvatting
Patiënten met Eetstoornissen (Anorexia Nervosa, Bulimia Nervosa, Binge eating disorder) krijgen doorgaans een multidisciplinaire behandeling, waarin verschillende modules een complementaire rol spelen. Resultaten zijn echter vaak teleurstellend en daarom zijn nieuwe ideeën en technieken welkom. Mogelijkheden en beperkingen van EMDR in combinatie met Cognitieve Gedragstherapie (C.G.T.) worden besproken en geïllustreerd met videobeelden.
Renee Beer zal toelichten en demonstreren
-hoe EMDR geplaatst kan worden in de context van C.G.T.,
-waarom het aantrekkelijk is voor adolescenten (“een coole combi”),
-welke targets in aanmerking kunnen komen (o.a. traumaverwerking, lichaamsbeeld en zelfbeeld),
-hoe deze targets bewerkt kunnen worden,
-en wanneer in het behandelingsproces EMDR in aanmerking komt.
Hellen Hornsveld zal vervolgens haar ervaringen presenteren met een eigen protocol ter behandeling van eetbuien en eetdrang. Dit protocol is voortgekomen uit de observatie dat patiënten vaak heftige, negatieve emoties vertonen tijdens cue exposure. Cue exposure is een gedragstherapeutische techniek, waarbij de patiënt blootgesteld wordt aan de prikkels die doorgaans een eetbui uitlokken (geur, smaak,aanwezigheid van “verboden” voedsel) zonder dat de eetbui daarbij plaats mag vinden (responspreventie). De procedure is gericht op het laten uitdoven van de fysiologische reacties op de eetbui prikkels (Jansen, 1997). Op de inhoud van de reacties en de emotionele betekenis die geassocieerd is met het eten, wordt verder niet ingegaan. De EMDR variant van dit protocol is juist gericht op de betekenisverlening en het creëren van een zo hoog mogelijke emotionele lading (“balletje op de berg”) door zoveel mogelijk het EMDR protocol te volgen. Positieve ervaringen met dit protocol zullen aan de hand van videomateriaal worden gedemonstreerd.
Renee Beer and Hellen Hornsveld in this presentation discuss applications of EMDR in patients with various eating disorders.
This issue was presented by speakers at an Evening Both EMDR Network in 2004 and the European EMDR conference in 2005.
Summary
Patients with Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, binge eating disorder) tend to have a Multidisciplinary treatment, a complementary role Which modules. Results in loss or are disappointing and therefore welcome new ideas and techniques. Possibilities and limitations of EMDR in combination with cognitive behavioral therapy (CBT) are discussed and illustrated with videos.
Renee Beer will demonstrate and explain
-How EMDR Can Be Placed in the context of CBT,
-Why is it Attractive for adolescents ("a cool combination)
Targets, Which Are Eligible (e.g. trauma, body image and self-image)
How-thesis targets Can be edited
And when in the process of EMDR treatment is Eligible.
Hellen Horn Field Will then present experiences with ITS ITS own protocol for the treatment of binge eating and eetdrang. This protocol is derived from the observation That Patients in loss or intense negative emotions show consistently cue exposure. Cue exposure is a behavioral technique in Which the patient is Exposed to the stimuli That Provoke Normally a binge (smell, taste, presence of "forbidden" foods) without taking the binge Which Should Be (response prevention). The procedure is aimed at gradually between the physiological responses to the binge stimuli (Jansen, 1997). The content of the emotional responses and Significance associated with the food is not Considered Further. The EMDR variant of this protocol is very focused on the perspectives and Creating the Highest Possible emotional charge (ball on the Mountain ") as much as Possible, the EMDR protocol to follow. Positive experience with this protocol using Will Be video material locally.
Keywords: Eating Disorders
Accuracy Verified: Yes
306. Garcia, F. (2011, Julio). EMDR en el tratamiento del dolor crónico [EMDR treatment and chronic pain]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España.
Language: Spanish
Format: Conference
Abstract:
El modelo de intervención psicoterapéutica EMDR integra elementos de distintas
escuelas de psicoterapia, haciendo de este acercamiento una herramienta eficaz aplicable a
una enorme variedad de patologías y accesible a terapeutas de distintas orientaciones
dentro de una serie de protocolos estandarizados (Van der Kolk, B., 1997). Es el caso del
dolor crónico, donde EMDR ha desarrollado un protocolo específico para el tratamiento del
mismo.
La comprensión científica del dolor va evolucionando rápidamente. Antes se
pensaba que su presencia implicaba únicamente la existencia de un daño físico, sin
embargo, actualmente la ciencia nos ha llevado a descubrir la importancia que tienen las
consecuencias de la vivencia del dolor. Porque el dolor genera importantes reacciones
emocionales que pueden potenciar el sufrimiento que lleva asociado (García, J.A. 2009).
Desde el modelo de procesamiento de la información, el dolor puede concebirse
como una señal de que hay algo que no va bien, independientemente de la
multifactorialidad de su etiología. Sin embargo, el dolor puede continuar a veces más de lo
que puede ser funcional. En este sentido, el dolor a largo plazo puede conducir a cambios
en el sistema nervioso, que pueden cronificar el dolor o intensificarlo. Según el modelo de
procesamiento adaptativo de la información desde el que trabaja EMDR, el dolor se
mantiene porque "se trabó" en el sistema nervioso, se dio un bloqueo de la información en
la red de memoria somática. El EMDR se presenta como una herramienta eficaz para tratar
el dolor, de manera que es un medio de estimular el sistema nervioso para ayudarle a la
persona cambiar las respuestas al dolor.
En esta comunicación se presenta la conceptualización y tratamiento del dolor
crónico desde esta perspectiva a través de la presentación de un caso.
The EMDR intervention model integrates various elements
schools of psychotherapy, making this an effective approach applicable to
a huge variety of pathologies and accessible to therapists of different orientations
within a set of standardized protocols (Van der Kolk, B., 1997). This is the case
chronic pain, where EMDR has developed a specific protocol for the treatment of
same.
Scientific understanding of pain is evolving rapidly. before you
thought his presence meant only the existence of a physical injury, without
But now science has led us to discover the importance of
consequences of the experience of pain. Because pain reactions generates significant
can enhance emotional suffering associated with it (Garcia, JA 2009).
From the model of information processing, the pain can be conceived
as a sign that something is wrong, regardless of the
multifactorial in its etiology. However, the pain can sometimes continue more than
which may be functional. In this regard, the long-term pain can lead to changes
in the nervous system, which can become chronic pain or intensify. According to the model of
adaptive processing of information from which EMDR works, the pain
maintains that "locked" in the nervous system, there was an information blockade in
somatic memory network. The EMDR is presented as an effective tool for treating
pain, so that is a means to stimulate the nervous system to help the
person changing responses to pain.
This communication presents the conceptualization and treatment of pain
chronic from this perspective through the presentation of a case.
Keywords: Chronic Pain Symposium Treatment
Accuracy Verified: Yes
307. Rijnders, H. (2006, November). EMDR en schemagerichte therapie: Casusconceptualisate en traumatische kernervaringen [EMDR and schema-focused therapy: Heart and traumatic experiences case conceptilization]. Workshop gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
In deze presentatie zal een conceptueel model gepresenteerd worden voor het
vinden van de kerntraumatische ervaringen( targets) die aan de basis liggen van
de schema’s van Young. Er zal kort worden ingegaan op de theorie van de schemagerichte therapie van Jeffrey Young. De belangrijkste schema’s in zijn model
zullen worden besproken die in veel gevallen verantwoordelijk zijn voor de persoonlijkheidsproblematiek en complexe ptss klachten waar wij als behandelaars mee kunnen worden geconfronteerd. Daarnaast hoe met behulp van het emdr standaard protocol de targets worden opgespoord die ten grondslag kunnen liggen aan de eerdergenoemde schema’s of valkuilen.Het zijn deze traumatische ervaringen die later in de behandeling zullen moeten worden gedesensitiseerd.
De integratieve psychotherapeutische behandeling van persoonlijkheidsproblematiek en complexe ptss klachten gaat uit van een fasengericht traumamodel. Het thema tijdens deze presentatie omvat een belangrijk onderdeel van deze behandelingswijze. Het biedt de behandelaar zowel als de cliënt(e) inzicht in de ontwikkelingspsychologische aspecten van de klachten en kan extra motiverend werken voor langer durende behandelingen. Interessant is hoe de voorgestelde cognitieve domeinen van Eric ten Broeke en Ad de Jongh een belangrijk hulpmiddel zijn bij het vinden van de correcte NC’s en PC’s bij bovengenoemde problematiek.
De schemagerichte therapie van Young heeft op basis van recent wetenschappelijk onderzoek bewezen een van de meest effectieve behandelvormen te zijn bij ingrijpende persoonlijkheidsproblematiek. De emdr therapie van Shapiro wordt door onderzoek voortdurend genoemd als een van de meest effektieve behandelvormen bij acuut trauma. Experimenteel wordt emdr nu ook aangewend bij complex trauma. Samen vormen zij een gouden duo.
Deze presentatie lijkt geschikt voor beginnende emdr therapeuten die zich meer willen gaan bezighouden met complex trauma en persoonlijkheidsproblematiek. Voor gevorderde therapeuten is de presentatie een platform voor discussie aangezien vele wegen naar Rome leiden. Een en ander zal worden toegelicht met casuïstiek en mogelijk met videobeelden.
This presentation will be presented a conceptual model for
Finding the key traumatic experiences (targets) that form the basis of
the diagrams of Young. It will briefly examine the theory of schema-focused therapy by Jeffrey Young. The main schemes in his model
will be discussed in many cases responsible for PTSD complex personality problems and complaints that we clinicians may be faced with. In addition, how to use the EMDR standard protocol targets are identified that may underlie the aforementioned schedules or valkuilen. These traumatic experiences will be desensitized later in treatment.
The integrative psychotherapy of personality problems and complex PTSD symptoms is based on a phase oriented trauma model. The theme of this presentation includes an important component of this treatment method. It provides both the therapist and client (e) understanding of the developmental aspects of the complaint and may provide additional motivation to work for longer term treatments. It is interesting how the proposed cognitive domains of Eric ten Broeke and Ad de Jongh an important tool in finding the correct NCs and PCs to the abovementioned issues.
The schema-focused therapy for Young, based on recent scientific study proved one of the most effective forms of treatment to be for major personality problems. The EMDR therapy research by Shapiro constantly mentioned as one of the most effective forms of treatment in acute trauma. EMDR is now used experimentally to complex trauma. Together they form a golden combination.
This presentation appears to be suitable for beginning EMDR therapists who want to deal with complex trauma and personality problems. For experienced therapists, presenting a platform for discussion, since many roads lead to Rome. This will be illustrated by case studies and possibly video.
Keywords: Schema Focused Therapy
Accuracy Verified: Yes
308. van Rood, Y., & de Roos, C. (2012, March). EMDR en somatisch onvoldoende verklaarde lichamelijke klachten (SOLK)[EMDR and Somatic insufficiently explained physical complaints (SOLK)]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland.
Language: Dutch
Format: Conference
Abstract:
Somatisch onvoldoende verklaarde lichamelijke klachten (SOLK) zijn lichamelijke klachten die niet - of niet geheel - verklaard worden door een bekende ziekte bijvoorbeeld chronische pijn, tinnitus, chronische vermoeidheid, conversie- of prikkelbare darm klachten. Wanneer de beperkingen als gevolg van de lichamelijke klachten aanzienlijk zijn en/of er sprake is van aanzienlijk lijden dan is er sprake van een somatoforme stoornis volgens de DSM-IV.
Er zijn aanwijzingen dat traumatische ervaringen een rol kunnen spelen bij het ontstaan van SOLK en somatoforme stoornissen. Onverwerkte traumatische herinneringen kunnen daarnaast ook een rol spelen bij het in stand houden van SOLK (van Rood en de Roos, in druk). Uit een systematische review van de beschikbare studies blijkt dat EMDR een effectieve behandeling kan zijn voor SOLK als de lichamelijke klachten trauma gerelateerd zijn (van Rood en de Roos 2009). In deze workshop wordt aan de hand van een diagnostisch model voor SOLK (het gevolgenmodel) geïllustreerd welke rol traumatische herinneringen kunnen spelen bij het in stand houden van een SOLK en hoe dit zich verhoudt tot de rol van de andere in stand houdende gevolgen. Aansluitend zullen er drie tot vijf casussen van workshopdeelnemers centraal worden besproken. Hiervoor vragen we u om voor 1 maart 2012 een e-mail te sturen met een korte casus beschrijving en uw vragen naar yrvanrood@lumc.nl of cderoos@ggzkinderenenjeugd.nl o.v.v. VEN congres 2012 Uit de inzendingen zal een selectie worden gemaakt voor de workshop eventueel met videofragmenten wanneer de vraag betrekking heeft op toepassing van het EMDR protocol.
Somatic insufficiently explained physical complaints (SOLK) are physical symptoms that are not - or not entirely - be explained by a disease known as chronic pain, tinnitus, chronic fatigue, conversion or irritable bowel symptoms. When the limitations due to physical problems are significant and / or there is considerable suffering than there is a somatoform disorder according to DSM-IV.
There is evidence that traumatic experiences may play a role in causing SOLK and somatoform disorders. Unprocessed traumatic memories can also play a role in the maintenance of SOLK (of Red and the Rose, in press). A systematic review of the available studies show that EMDR is an effective treatment for SOLK as physical trauma related symptoms (of the Red and Rose 2009).
This workshop is based on a diagnostic model for SOLK (the consequence model) illustrated the role that traumatic memories can play in maintaining a SOLK and how this relates to the role of the other sustaining effects. Afterwards there will be three to five cases of central workshop participants are discussed. For this we ask you to 1 March 2012 e-mail with a brief case study and your questions or yrvanrood@lumc.nl cderoos@ggzkinderenenjeugd.nl stating VEN 2012 congress will be a selection from the submissions made for the workshop, possibly with video clips when the question relates to application of the EMDR.
Keywords: SOLK Somatic Insufficiently Explained Physical Complaints
Accuracy Verified: Yes
309. Tarquinio, C. (2007). EMDR et prise en charge du psychotraumatisme [EMDR and management of psychological trauma]. En L. Crocq, (Ed.), Traumatismes psychiques: Prise en charge psychologique des victimes (pp. 157-167). Issy-les-Moulineaux: Elsevier-Masson. doi:10.1016/B978-2-294-07144-7.50016-6.
Language: French
Format: Book Section
Abstract:
L’eye movement desensitization reprocessing (EMDR) est
une méthode thérapeutique inaugurée par Francine Shapiro
en 1989 et qui consiste à utiliser les mouvements oculaires
contrôlés pour décharger la conscience de ses affects pathologiques. En une dizaine d’années, l’EMDR a trouvé son indication privilégiée dans le traitement de l’état de stress posttraumatique (ESPT), donnant lieu à un grand nombre d’études. Aux États-Unis, il y a en effet aujourd’hui plus de publications d’études contrôlées sur le traitement de l’ESPT par la
thérapie EMDR que par tout autre type d’interventions cliniques, y compris les traitements médicamenteux. Les recommandations pour l’usage de cette approche thérapeutique ne
manquent pas, provenant des plus éminentes sociétés savantes reconnues sur le plan international pour leurs compétences
en ce qui concerne la question du syndrome de stress posttraumatique. L’objectif de ce chapitre sera de permettre une meilleure connaissance de la thérapie EMDR, en exposant d’abord l’historique de la méthode, puis son cadrage théorique, et ensuite le protocole de base de cette thérapie.
The eye movement Desensitization Reprocessing (EMDR) is a therapeutic method inaugurated by Francine Shapiro
in 1989 and of using eye movements controlled to discharge the consciousness of his pathological condition. In ten years, EMDR has found its ideal indication for the treatment of the state of post-traumatic stress disorder (PTSD), resulting in a large number of studies. In the U.S., there is indeed now more publications of controlled studies on the treatment of PTSD by
EMDR than any other type of clinical interventions, including medication. Recommendations for the use of this therapeutic approach does abound, from the most eminent scientific societies recognized internationally for their expertise
regarding the issue of Post Traumatic Stress Disorder. The purpose of this chapter will enable a better understanding of EMDR, exposing
First, the history of the method and its theoretical framework, and then the basic protocol of this therapy.
Keywords: Trauma
Accuracy Verified: Yes
310. Adler-Tapia, R., & Settle, C. (2006). EMDR fidelity treatment manual: Children’s protocol. Hamden, CT : EMDR Humanitarian Assistance Programs.
Language: English
Format: Book
Abstract:
This manual is based on EMDR theory created by Dr. Francine Shapiro and documented in Dr. Shapiro’s Books (1995, 2001), the fidelity manual created by Korn, D.L. & Spinazzola, J. (January, 2001), and the fidelity scales created by Korn, D.L., Zangwill, W., Lipke, H. & Smyth, N. (January, 2001). All resources are documented in the reference section of this manual. [EMDR-HAP]
Final version for pilot study, November 15, 2005
Accuracy Verified: Yes
311. Greenwald, R. (1998, July). EMDR for anger management and anger reduction. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD.
Language: English
Format: Conference
Abstract:
Participants will learn: 1) and practice a comprehensive protocol for the individual portion of the treatment of adolescents and adults with antisocial, violent, and/or criminal behaviors; 2) how to integrate EMDR into the initial interview to facilitate a commitment to change through treatment; 3) how to integrate EMDR into a comprehensive cognitive-behavior program for anger management, impulse control, and reduction of reactivity to provocation; and 4) how to integrate EMDR for trauma and loss in the treatment of angry/impulsive adolscents and adults.
Keywords: Anger Management Anger Reduction
Accuracy Verified: Yes
312. Waters, F. S., & Adler-Tapia, R. (2009, November). EMDR for children with trauma and dissociation: Case conceptualization from stabilization to integration. Presentation at the 26th annual meeting of the International Society for the Study of Trauma and Dissociation, Washington, DC .
Language: English
Format: Conference
Abstract: This workshop initially will review the 8 phase EMDR protocol for implementation with severely traumatized and dissociative children and provide advanced skills utilizing the EMDR protocol with this population. The 8 phase EMDR protocol will be described. Therapeutic challenges for therapists in implementing this protocol with young children with complex trauma will be explored with recommendations for clinicians on how to provide efficacious treatment to children. Each phase of the protocol will be discussed identifying specific goals and specialized interventions presented with linguistic sensitivity to maintain adherence to the EMDR protocol with young children. Client History and Treatment Planning Phase, and the Preparation Phase of the EMDR Protocol will be detailed. The assessment of dissociation in young children will include recommendations for specific assessment tools. Stabilization skills for helping children address the phobic response to reprocessing traumatic events with mastery and resourcing while learning self-soothing and calming techniques will be demonstrated. Innovative and creative interventions integrating play and art therapy will be presented with child friendly language using the protocol sequence for effective treatment with children. In addition, adjustments to the EMDR protocol through the trauma processing phases, including integration, will be described and demonstrated with case presentations and videos. Creatively maneuvering these phases with children who display dissociative symptoms will be explored with recommendations for the successful implementation of the protocol throughout the healing process
Keywords: Case Conceptualization Children Dissociation Stabilization Trauma
Accuracy Verified: Yes
313. Greenwald, R., Soberman, G., Shelton, D., & Fisher, B. (2000, September). EMDR for conduct problems. Presentation at the International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will be able to: 1) identify several significant contributing factors in the development and persistence of conduct problems; 2) describe several clinical applications of EMDR which are pertinent to the clinical issues presented by the conduct problem population; 3) discuss the findings of the study in which brief EMDR treatment was added to standard care for boys with conduct problems; 4) discuss the findings of the study in which the MASTR protocol was used with middle and high school students - also the preliminary findings of the MASTR study with incarcerated juveniles; and 5) discuss the findings of the study which "enhanced" EMDR was used with domestic violence offenders.
Keywords: Brief EMDR Treatment Conduct problems Domestic Violence Offenders Enhanced EMDR Incarcerated Juveniles MASTR Protocol
Accuracy Verified: Yes
314. Lievegoed, R. (2005, June). EMDR for mentally retarded people. Poster presented at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
After a short introduction concerning the special problems people with an
intellectual handicap often have in their iives and the many forms of
psychotrauma which arise for them in situations which are by others
sometimes not experienced as traumatic, we'll show by means of case
studies how the protocol can be adapted to the limited skills of people in this
target group. We also refer to the adaptations of the protocol for young
children.
Participants will learn to see that EMDR can very well be applied for this
target group and how they should proceed with the treatment.
Our most important aim is that therapists can become motivated to also use
EMDR for these people!
Keywords: Mental Retardation Poster
Accuracy Verified: Yes
315. Blore, D. (2009). EMDR for mining and related trauma: The underground trauma protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 215-232). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
The author has been providing EMDR to traumatized miners since 1993. As with other specialized client groups, the Single Trauma (STP) and Recent Trauma Protocol (RTP) have required modifications. The author has collated the modifications made, and presented them here as the Underground Trauma Protocol (UTP). The UTP is intended to provide a rapid and effective method of conducting EMDR with traumatized miners and other similar, very specific, client groups. The principal use of the UTP is for traumatized miners of coal, gold, nickel, gems, and so forth. It has also been used with the following populations: traumatized tunnelers (e.g., excavators of tunnels in both war and peace); those traumatized in rail accidents in tunnels (e.g., fire in Channel Tunnel, Kings Cross tube fire); those traumatized in underground leisure pursuits (e.g., exploration of caves, pot holing); those traumatized by being trapped (e.g., in collapsed buildings as in Turkish earthquakes); and those traumatized during 9/11 in New York and the 7/7 bombings in London. The author recommends that the treatment of this client group only be undertaken by fully trained EMDR clinicians who have experience with modifying protocols and existing clinical experience of using cognitive interweave. The Underground Trauma Protocol Script is provided. [PsycINFO Datab]
Keywords: Disasters Mining Trauma Underground Trauma Underground Trauma Protocol
Accuracy Verified: Yes
316. Blore, D. C. (2000). EMDR for mining and related trauma: The underground trauma protocol (UTP). The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net 12/27/2008.
Language: English
Format: Other
Abstract:
The author has now been providing EMDR to traumatised miners for almost seven years. As with other specialised client groups, the single trauma (STP) and recent trauma protocols (RTP), have required modifications. The author has collated the modifications made, and presented them here as 'The Underground Trauma Protocol (UTP)'. The UTP is intended to provide a rapid and effective method of conducting EMDR with traumatised miners and other similar, very specific, client groups. The author welcomes feedback on its use.[Author abstract]
Accuracy Verified: Yes
317. Adler-Tapia, R. (2012). EMDR for the treatment of children in the welfare system who have been traumatized by abuse and neglect. In A. Rubin, (Ed.), Programs and interventions for maltreated children and families at risk, The clinician's guide to evidence-based practice series, (pp. 141-160). Hoboken, N.J.: John Wiley & Sons, Inc.
Language: English
Format: Book Section
Abstract:
The use of Eye Movement Desensitization and Reprocessing (EMDR) with traumatized children is discussed. The Adaptive Information Processing model that supports EMDR is explained, as well as assessment and diagnostic processes for children in the child welfare system, the phases of the EMDR treatment protocol, and the impact of child welfare involvement on EMDR with children.
Keywords: Abuse Children Neglect Welfare System
Accuracy Verified: Yes
318. Shapiro, R. (2010, September/October). EMDR for trauma-based, attachment-based, and endogenous depression. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN.
Language: English
Format: Conference
Abstract:
EMDR’s Protocol is a powerful intervention that can impact many kinds of depression. Participants will learn about Bessel van der Kolk’s research, other research and clinical experience to bring the EMDR Protocol to the treatment of trauma-based, attachment-based and endogenous depression and mood disorders. They will understand the etiology, assessment, and treatment for each kind of depression. They will take home EMDR skills to work with mood disorders and endogenous depression. The AIP is cited throughout. Other interventions, including ego-state and biological are described, when appropriate. The presentation is user-friendly, with interventions that can be implemented immediately.
Keywords: Attachment Depression Trauma
Accuracy Verified: Yes
319. Blore, D. (2004, February). EMDR for workplace trauma. Presentation at the 2nd annual Conference of the EMDR UK & Ireland Association, Birmingham, UK.
Language: English
Format: Conference
Abstract:
The Industrial use of EMDR requires an understanding of the subtleties of multi-relationship working, it is not just about clinical change, but about commerce, efficiency and secondary agendas - and there are frequently dilemmas....This paper aims to solve some of the issues that arise when an EMDR clinician leaves the relative 'protection' of the NHS and uses EMDR in the 'real world' of commerce and industry. As such, this paper extends some of the principles discussed in the original paper: 'EMDR and the Workplace...helpful hints for the practitioner. The author starts by pointing our that Industry is not psychologically minded and that others' perceptions and agendas may be at odds with 'purest clinical objectives.' When using EMDR, this means modifying and stressing certain parts of the basic EMDR protocol. The remainder of the paper goes through the EMDR phases and identifies each change.
Accuracy Verified: Yes
320. Kiessling, R. (2013, May). EMDR from a belief focused perspective. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN.
Language: English
Format: Conference
Abstract:
Beliefs are the meta-perception of life’s experiences (Shapiro 2001). Target Sequence Plans bundled around core
belief schema provide an effective, efficient and safe approach to case conceptualization and EMDR treatment.
This workshop will clarify questions asked by EMDR Clinicians such as:
• Are all NC/PCs Core Belief Schemas?
• Are your Targeting Sequence Plans Core Belief Schema Bundled or just a shotgun of targets based upon
“What do you want to work on today?”
• Does “What does it say about you” really address ‘what it means about you!?
• Are you’ staying out of the way’ when you should be ‘leading the way’!
These and others questions will be clarified through lecture, case examples and video demonstrations.
Through lecture, video demonstration, and practice, participants will:
• Name 3 major differences between the Standard EMDR Protocols and Procedures and EMDR from a ‘Belief Schema Perspective.’
• Describe the 4 primary Belief Schemas used in the ‘Belief Schema Perspective’ to EMDR, and how they assist
the case conceptualization and processing.
• Demonstrate the ability to develop a Belief Focused Targeting Sequence Plan and appropriately process the
targets identified within the Standard Three Pronged Protocol.
Keywords: Core Beliefs
Accuracy Verified: Yes
321. Farrell, D., Keenan, P., & Basil, J. (2006, March). EMDR HAP training in India in the aftermath of the tsunami. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK.
Language: English
Format: Conference
Abstract:
On 26th December 2005 the southern coastline of India was hit by a tsunami, which resulted in the deaths of over 28,000 people. This natural disaster caused the widespread devastation to the region. As part of the EMDR Humanitarian Assistance Programme as series of EMDR Levels 1 and 2 were established in Chennai, Southern India offering training to mental health workers specifically working the tsunami affected areas. The project was funded by Cerner/First Hand Foundation project with the remit primarily focusing upon the trauma impact upon children. For the purpose of this presentation, the Chennai project will be outlined, providing insight into how the trainings were carried out from a teaching and learning perspective. It will also consider trauma experiences from a cultural viewpoint, which potentially challenges western constructs of PTSD phenomena. Particular attention wil be focused upon the aspects of the Negative and Positive Cognition and how this seems to be potentially a cultural component to the EMDR protocol. Indian practitioners determined that 'mind and body' are one in the same. Yet EMDR training emphasises the importance of distinguishing between thoughts and feelings. As a result many of the trainees struggled with this aspect. Discussion will also explore more widespread trauma characteristics of the tsumani including how the trauma impacted from an individual, family, and community perspective.
Keywords: HAP Training Tsunami
Accuracy Verified: Yes
322. Liz Royle, L., & Kerr, C. (2012). EMDR i klinisk praktik [EMDR in clinical practice]. Studentlitteratur, Holmberg: Lund.
Language: Swedish
Format: Book
Abstract:
EMDR är en evidensbaserad metod för att behandla PTSD (Post Traumatic Stress Disorder). Emellertid kan EMDR tillämpas på ett betydligt bredare sätt. Många av de besvär som människor bär på har inte orsakats av något livshotande trauma men kan förstås utifrån att plågsamma minnen inte kunnat bearbetas. Författarna använder en enkel, rättfram framställning med många kliniska exempel. Vanliga nybörjarfel och missuppfattningar illustreras, men boken lyfter också fram sådant som underlättar bearbetningen av plågsamma minnen. Terapeuter och klienter berättar om egna erfarenheter på ett instruktivt sätt. Läsaren får följa tillämpningen av EMDR-protokollet genom samtliga åtta faser – från den första anamnesdelen till den avslutande behandlingsutvärderingen, och får praktiska råd såsom ”Vad du än gör, gör inte så här!” Boken ersätter inte en grundkurs i EMDR eller Francine Shapiros ursprungliga bok, men är ett utmärkt komplement, en handbok med konkreta förslag, väsentlig vägledning, och strategier för att undvika vanliga fallgropar i EMDR- arbete med vuxna klienter.
EMDR is an evidence-based approach to treating PTSD (Post Traumatic Stress Disorder). However, EMDR applicable to a much broader way. Many of the problems that people carry has not been caused by something life-threatening trauma but can be understood from the painful memories could not be processed. The authors use a simple, straightforward production with many clinical examples. Frequently nybörjarfel and misconceptions illustrated, but the book also highlights things that facilitate processing of painful memories. Therapists and clients talk about their experiences in an instructive way. The reader may follow the application of the EMDR protocol through all eight phases - the first history part of the final treatment evaluation, and get practical advice such as "Whatever you do, do not do this!" The book does not replace a basic course in EMDR or Francine Shapiro's original book, but is an excellent addition, a handbook of practical suggestions, guidance material, and strategies for avoiding common pitfalls in EMDR work with adult clients.
Keywords: Practice
Accuracy Verified: Yes
323. Quinn, G. (2013, June). EMDR immediate emergency treatment for manmade and natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress. The Emergency Response Procedure (ERP) was developed to deal with victims of natural and manmade disaster within hours of exposure to trauma.
Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities.
Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war.
In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, and modified by Elan Shapio and Brurit Laub in R-TEP will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment.
A practicum will follow on ERP.
Learning objectives:
Within the overall context of the principles of Psychological First Aid, to learn how to respond to clients in the immediate aftermath of trauma utilizing ERP;
To apply ERP in the event of strong abreaction during the initial phase of History-taking, prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions;
To learn when and how to use ERP for patients exhibiting “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in an ambulance en route to medical facilities;
How to utilize the Recent Events Protocol in the face of ongoing danger;
To understand EMDR methods that may be used in emergency settings where multiple patients need rapid treatment
Keywords: Disaster Emergency Response Procedure ERP Extreme Stress Silent Terror
Accuracy Verified: Yes
324. Tripolt, R. (2010, Oktober). EMDR in bewegung [EMDR in motion]. EMDRIA Deutschland e.V. Rundbrief, 21, 16-23.
Language: German
Format: Newsletter
Abstract:
Im Folgenden geht es um die Möglichkeit der Erweiterung des EMDR Protokolls um die
Dimension der Bewegung: Die Ebene der Kognitionen (PK/NK, VoC), der Emotion (SUD) und
der Körperwahrnehmung (Körpertest) wird um die Reflexionsebene der Bewegung und der
Bewegungswahrnehmung ergänzt. Dieses kann die Wirkweise von EMDR verstärken und bei
dissoziativen TraumapatientInnen die unmittelbare Anwendung von EMDR oft erst
ermöglichen. Dazu wird der Einsatz von Elementen aus 5 Rhythmen Bewegungstherapie, Tanz
und körperorientierten therapeutischen Techniken vorgestellt und anhand eines Fallbeispieles
illustriert.
I now turn to the possibility of extending the EMDR protocol to the Dimension of the movemen: the level of cognition (PC/NC,VoC ), emotion (SUD )and of body awareness (body test) is the reflection plane of movement and Motion perception complements. This may enhance the mode of action of EMDR and dissociative trauma patients, the direct application of EMDR often only allow. For this purpose, the use of elements from 5 Rhythms movement therapy, dance and body-oriented therapeutic techniques and presented a case study
illustrated.
Accuracy Verified: Yes
325. Wieland, S. (2012, June). EMDR in children with dissociative disorders [EMDR en niños con trastornos disociativos]. Pre-Conference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
The effect of early interpersonal trauma on adult clients has been extensively studied and reported. Less attention has been
given to the effects of complex trauma on children. Because childhood is the time of most rapid brain development as well as the time when
children are dependent on adult caregivers, early physical, sexual, and emotional abuse, including neglect and witnessing domestic violence,
has severe effects on infants and children – disorganized attachment, affect and behavioral dysregulation, and dissociation. In this preconference
Sandra Wieland will describe how early trauma and neglect affects the infant/child’s brain, autonomic nervous system, and body
system. She will explain how dissociation is often used by children to protect themselves from the impact – both emotional and physical – of
complex trauma. Given this high level of fragmentation and fright, children are often not able to participate successfully in the standardized
EMDR protocol. Dr. Wieland will teach ways in which the EMDR protocol can be adapted in order to access more completely the child’s
fragmented internal system. She will use clinical vignettes to describe ways EMDR can assist in each of the three stages of trauma treatment
– safety/stabilization, trauma processing, and integration. Maria Elena Aduriz will describe a case of a girl whose traumatization is the direct
consequence of a disorganized attachment to a schizophrenic, unstable and suicidal mother. Through this case she will focus on the importance
of learning how to articulate EMDR interventions with the child and her adoptive parents.
Los efectos del trauma interpersonal temprano han sido extensamente estudiados y documentados. Sin embargo, se ha prestado
menos atención a los efectos del trauma complejo en niños. Debido a la etapa del desarrollo en la que se encuentran y a la dependencia
respecto de los adultos, los niños son especialmente vulnerables a la exposición a eventos traumáticos en el seno de los cuidados familiares
tales como maltrato físico, emocional y abuso sexual. Las consecuencias postraumáticas incluyen, entre otras, apego desorganizado,
desregulación afectiva y conductual, y disociación. En esta preconferencia Sandra Wieland comenzará por describir de qué forma el trauma
temprano y la negligencia afectan el desarrollo del cerebro, del sistema nervioso autónomo y del sistema corporal del niño. Explicará de qué
manera la disociación suele ser utilizada por el niño como protección contra el impacto –tanto emocional como físico- del trauma complejo.
Debido al miedo y al alto nivel de fragmentación que presentan estos niños el protocolo EMDR estándar no puede ser utilizado de manera
eficaz. La Dra. Wieland enseñará cómo el protocolo EMDR puede ser adaptado para poder acceder de manera más completa al mundo
interno fragmentado del niño. Describirá con viñetas clínicas de qué forma EMDR puede
Keywords: Developmental Trauma Disorder
Accuracy Verified: Yes
326. 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
327. Gonzalez, A., Seijo, N., & Mosquera, D. (2009, August). EMDR in complex trauma and dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
EMDR can be safely used during the stabilization phase in a group of severely traumatized patients, not only to install positive elements, but to process dysfunctional elements (not necessarily traumatic memories, but patient-therapist relationship problems, defenses, symptoms, dissociative phobias, etc.). To postpone standard protocol until the patient has been prepared to do it in the standard way implies that the patient must resolve many of their problems without the help of EMDR processing. We will try to “think in EMDR” about severe dissociation, rather than directly apply foreign theories to EMDR work. Protocol modifications include progression, fractionation, synthesis and direction.
Keywords: Complex Trauma Dissociative Disorders
Accuracy Verified: Yes
328. Beer, R. (2006). EMDR in de behandeling van jongeren met een eetstoornis [EMDR in the treatment of adolescents with an eating disorder]. Kinder- & Jeugdpsychotherapie, 33(3), 54-64.
Language: Dutch
Format: Journal
Abstract:
Eetstoornissen zijn ernstige ziektebeelden met een grote kans op een chronisch
beloop, hoge morbiditeitcijfers en veel co-morbiditeit (van Elburg & Rijken,
2004). In de DSM IV worden verschillende eetstoornissen onderscheiden:
Anorexia Nervosa, Boulimia Nervosa en Eetstoornis Niet Anders Omschreven.
Eetstoornissen komen meestal tot bloei tijdens de adolescentie. Bij Anorexia
Nervosa ligt de piek van het ontstaan tussen veertien en achttien jaar, Boulimia
Nervosa begint doorgaans pas na het zestiende jaar (Robbe e.a., 1999;
Fleminger, 2002; Vandereyken & Noordenbos, 2002). Anorexia Nervosa (AN)
heeft het hoogste mortaliteitspercentage van alle psychiatrische stoornissen en
bij adolescenten staat het op de derde plaats in de rij van meest voorkomende
stoornissen. Behandelingsresultaten zijn weinig bemoedigend (Vandereyken &
Noordenbos, 2002). Voor AN is nog geen ‘evidence based’ behandeling
voorhanden. Zie: National Institute of Clinical Excellence (2004) en de
Multidisciplinaire Richtlijn Eetstoornissen (2006). Behandelaars zijn daarom
nog steeds op zoek naar nieuwe invalshoeken.
Op de afdeling jeugdpsychiatrie van het Universitair Medisch Centrum Utrecht
is een zorgprogramma eetstoornissen ontwikkeld, waarmee jongeren met AN en
met een Eetstoornis NAO worden behandeld door een multidisciplinair team2.
Zie voor een beschrijving van dit programma: van Elburg & Rijken (2004).
Tijdens mijn werkzaamheden voor deze afdeling (2000-2005) heb ik hieraan
mogen bijdragen door het implementeren van cognitieve gedragstherapie en
EMDR als potentiële onderdelen van een breed-spectrum behandeling. Een
beschrijving van een protocol voor cognitieve gedragstherapie is in
voorbereiding ( Beer & Tobias).
In dit artikel wordt beschreven hoe EMDR kan worden ingezet bij de
behandeling van jongeren met een eetstoornis. De hier beschreven experimentele status. De voorgestelde mogelijkheden zijn weliswaar
uitgeprobeerd door meerdere psychotherapeuten, maar van systematische
toetsing is nog geen sprake geweest. Een gedetailleerde beschrijving en
theoretische onderbouwing van de voorgestelde toepassing van EMDR is
eveneens in voorbereiding (Beer & Hornsveld). In dit artikel wordt besproken
waarom (theoretisch kader), hoe (aangrijpingspunten) en wanneer (timing)
EMDR kan worden ingezet. Na een aantal illustratieve behandelfragmenten
wordt besproken waarom het juist voor jongeren een waardevolle module kan
zijn in een multidisciplinaire behandeling (toegevoegde waarde). Afgesloten
wordt met een conclusie.
Eating disorders are serious illnesses with a high risk of chronic
course, high morbidity rates and many co-morbidity (Elburg & Rich,
2004). The DSM IV eating disorders several distinguished:
Anorexia Nervosa, Bulimia Nervosa and Eating Disorder Not Otherwise Specified.
Eating disorders usually come to fruition during adolescence. In Anorexia
Nervosa is the peak of emergence between fourteen and eighteen, Bulimia
Nervosa usually begins after the age of sixteen (Robbe et al, 1999;
Fleminger, 2002; Vander Eyken & Noorden, 2002). Anorexia Nervosa (AN)
has the highest mortality rate of all psychiatric disorders and
among adolescents is on the third row of the most common
disorders. Treatment results are very encouraging (Vander Eyken &
Noorden, 2002). AN is no "evidence based treatment
available. See: National Institute of Clinical Excellence (2004) and
Multidisciplinary Directive Eating Disorders (2006). Clinicians are therefore
still looking for new angles.
The adolescent psychiatry department at the University Medical Center Utrecht
is an eating disorder care program developed for young people with AN and
with an ED-NOS treated by a multidisciplinary team2.
For a description of this program from Elburg & Rich (2004).
During my work on this section (2000-2005) I have this
may contribute by implementing cognitive behavioral therapy and
EMDR as potential components of a broad-spectrum treatment. A
description of a protocol for CBT in
preparation (Beer & Tobias).
This article describes how EMDR can be used in the
treatment of adolescents with eating disorders. The described experimental state. The options proposed are indeed
tested by several therapists, but systematic
review has not been a case. A detailed description and
theoretical underpinning of the proposed use of EMDR is
also in preparation (Beer & Horn Field). This article discusses
why (theoretical framework), how (targets) and when (timing)
EMDR can be used. After several treatments illustrative excerpts
discuss why it is a valuable youth module
in a multidisciplinary treatment (value added). Completed
with a conclusion.
Keywords: Adolscents Eating Disorders
Accuracy Verified: Yes
329. Steeghs, M., & Gerrits, G. (2011, December). EMDR in de kindergeneeskunde [EMDR in paediatrics]. Tijdschrift voor Kindergeneeskunde, 79(6), 199-202, doi:10.1007/s12456-011-0039-2.
Language: Dutch
Format: Journal
Abstract:
Dit artikel beschrijft het belang van het inzetten van eye movement desensitization and reprocessing (EMDR) om traumatisering te voorkomen of te behandelen bij kinderen en adolescenten. Paediatric medical traumatic stress en posttraumatische stressstoornis worden besproken om de relevantie van EMDR voor de kindergeneeskunde toe te lichten. Er volgt een korte beschrijving van het behandelprotocol en twee verklaringsmodellen voor het effect van EMDR. Ter illustratie worden er in het artikel twee casussen beschreven. Er wordt gepleit voor vroege risicosignalering en tijdige doorverwijzing door kinderartsen en medische teams. Geconcludeerd wordt dat EMDR een kindvriendelijke en breed toepasbare methode is om de negatieve gevolgen van traumatische ervaringen die kinderen in een medische setting opdoen te behandelen of te voorkomen.
This article describes the importance of the use of Eye Movement Desensitization and Reprocessing (EMDR) for trauma to prevent or treat in children and adolescents. Paediatric medical traumatic stress and posttraumatic stress disorder are discussed the relevance of EMDR for pediatrics to explain. There follows a brief description of the treatment protocol and two explanatory models for the effect of EMDR. For illustration, there are two cases described in the article. There are calls for early risk detection and timely referral by pediatricians and medical teams. It is concluded that EMDR is a child-friendly and widely applicable method is to reduce the negative effects of traumatic experiences that children experience in a medical setting to treat or prevent.
Keywords: Pediatrics
Accuracy Verified: Yes
330. Bohm, K. (2011, June). EMDR in der behandlung der zwangsstörung [EMDR in the treatment of obsessive compulsive disorder]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: German
Format: Conference
Abstract:
In diesem praxisorientierten Workshop wird der Einsatz von EMDR bei Zwangsstörungen vorgestellt und eingeübt. Dabei wird auf Besonderheiten beim Einsatz von EMDR ebenso eingegangen wie auf die Kombination mit Reizkonfrontationen (Expositionsübungen). Ein verändertes Standartprotokoll wird eingeführt, das "Therapietiming“ von EMDR aufgezeigt und auf typische Probleme in der Emotionsregulation eingegangen.
Learning objectives:
Ein wichtiges Augenmerk richtet sich in der Therapie immer auf die Persönlichkeit und Lebensgeschichte des Patienten. Sie lernen EMDR auf die jeweilige Persönlichkeit zuzuschneiden und auch die Art des Zwanges zu berücksichtigen. Waschzwänge bedürfen zum Beispiel oft anderer Strategien als reine Zwangsgedanken.
Im Workshop werden Therapievideos gezeigt, das praktische Vorgehen eingeübt und die Theorie hierzu anschaulich vermittelt. Er richtet sich sowohl an verhaltenstherapeutisch als auch an tiefenpsychologisch arbeitende Kollegen.
In this hands-on workshop, the use of EMDR is presented with OCD and practiced. It is specific to the use of EMDR as well as to respond to stimulus combination confrontation (exposure exercises). A modified standard protocol is introduced, demonstrated the "treatment timing" of EMDR and discussed common problems in emotion regulation.
Learning objectives:
An important focus is always in the therapy on the personality and life history of the patient. You will learn to tailor to the particular personality and EMDR to consider the kind of coercion. Washing compulsions for example, often require different strategies than pure obsessions.
The workshop therapy videos are shown, and rehearsed the practical approach and teaches the theory on this vividly. He addresses both behavioral therapy and psychodynamic to working colleagues.
Keywords: Obsessive Compulsive Disorder OCD
Accuracy Verified: Yes
331. Bohm, K. (2012, September). EMDR in der behandlung der zwangsstörung [EMDR in the treatment of obsessive compulsive disorder]. Vortrag auf der Jahrestagung der Deutschen Gesellschaft Zwangserkrankungen Münster, Deutschland.
Language: German
Format: Conference
Abstract:
In diesem praxisorientierten Workshop wird der Einsatz von EMDR bei Zwangsstörungen vorgestellt und eingeübt. Dabei wird auf Besonderheiten beim Einsatz von EMDR ebenso eingegangen wie auf die Kombination mit Reizkonfrontationen (Expositionsübungen). Ein verändertes Standartprotokoll wird eingeführt, das "Therapietiming“ von EMDR aufgezeigt und auf typische Probleme in der Emotionsregulation eingegangen. Learning objectives: Ein wichtiges Augenmerk richtet sich in der Therapie immer auf die Persönlichkeit und Lebensgeschichte des Patienten. Sie lernen EMDR auf die jeweilige Persönlichkeit zuzuschneiden und auch die Art des Zwanges zu berücksichtigen. Waschzwänge bedürfen zum Beispiel oft anderer Strategien als reine Zwangsgedanken. Im Workshop werden Therapievideos gezeigt, das praktische Vorgehen eingeübt und die Theorie hierzu anschaulich vermittelt. Er richtet sich sowohl an verhaltenstherapeutisch als auch an tiefenpsychologisch arbeitende Kollegen.
In this hands-on workshop, the use of EMDR is presented with OCD and practiced. It is specific to the use of EMDR as well as to respond to stimulus combination confrontation (exposure exercises). A modified standard protocol is introduced, demonstrated the "treatment timing" of EMDR and discussed common problems in emotion regulation. Learning objectives: An important focus is always in the therapy on the personality and life history of the patient. You will learn to tailor to the particular personality and EMDR to consider the kind of coercion. Washing compulsions for example, often require different strategies than pure obsessions. The workshop therapy videos are shown, and rehearsed the practical approach and teaches the theory on this vividly. He addresses both behavioral therapy and psychodynamic to working colleagues.
Keywords: Obsessive Compulsive Disorder OCD
Accuracy Verified: Yes
332. Sack, M., Lempa, W., & Lamprecht, F. (2003). EMDR in der behandlung dissoziativer störungen [EMDR in the treatment of dissociative disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 1 (3), 25-33.
Language: German
Format: Journal
Abstract: Keywords: Dissociative Disorders, Psychotherapeutic Processes Accuracy Verified: Yes 333. Egli-Bernd, H. (2012, Juni). EMDR in der behandlung von dissoziativen prozessen bei bindungsstörungen.
Die bedeutung und schwierigkeiten bei der wahl guter kognitionen in diesen Behandlungen.
Das dialog protokoll [EMDR in the treatment of dissociative processes in attachment disorders.
The importance and difficulty of choosing good cognition in these treatments. Dialog protocol]
. Präsentation auf EMDRIA Tag, Köln, Deutschland. Language: German Format: Conference Abstract: Keywords: Attachment Disorders Cognitions Dissociation Accuracy Verified: Yes 334. Plassmann, R., & Seidel, M. (2003, May). EMDR in der gruppe bei essstörungen: Das ressourcen verankerungs protokoll [EMDR in the group with eating disorders: Resources for the anchoring protocol]. Vortrag auf der EMDRIA-Tagung in Rom. Language: German Format: Conference Keywords: Anchoring Protocol Eating Disorders Groups Accuracy Verified: Yes 335. Plassmann, R. & Seidel, M. (2003). EMDR in der gruppe bei rssstörungen: das ressourcenverankerungsprotokoll [EMDR in the eating disorders group: Resources for the anchorage of protocol]. Forum für Kinder- und Jugendpsychiatrie und Psychotherapie, 13(3). Language: German Format: Journal Keywords: Anchoring Protcol Eating Disorders Group Accuracy Verified: No 336. Drexler, K. (2004). EMDR in der therapie psychomatisch erkrankter [EMDR in the treatment of psychosomatic patients]. Intitut de Traumatherapie. Language: German Format: Other Abstract: Keywords: Protocol Psychosomaticism Accuracy Verified: Yes 337. Egli-Bernd, H. (2011). EMDR in dissociative processes within the framework of personality disorders: The impact of cognitions in the EMDR Process: The “dialogue protocol“. Journal of EMDR Practice and Research, 5(3), 131-139. doi:10.1891/1933-3196.5.3.131. Language: English Format: Journal Abstract: Keywords: Attachment Childhood Abuse Dimension of Cognitions Dissociation Processing Accuracy Verified: Yes 338. Miller, P. (2009, June). EMDR in psychosis: A two year follow-up and the implications for future protocol development. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands. Language: English Format: Conference Keywords: Psychosis Severe Psychiatric Disorders Accuracy Verified: Yes 339. Silver, S. (2012, October). EMDR in the military: Trauma, attachment and families. Presentation at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Keywords: Attachment Families, Military Trauma Accuracy Verified: Yes 340. Klaff, F., & Dutton, P. (2000, September). EMDR in the playroom: Creative processing. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. Language: English Format: Conference Abstract: Keywords: Children Enactment Fantasy Metaphor Play Sensory Experience Storytelling Accuracy Verified: Yes 341. Sugimoto, K. (2010, July). EMDR in the treatment for post-traumatic stress after stillbirth: How can we help grieving mothers?. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Grief Mothers Poster Posttraumatic Stress Disorder PTSD Stillbirth Accuracy Verified: Yes 342. Grant, M., & Threlfo, C. (2002, December). EMDR in the treatment of chronic pain. Journal of Clinical Psychology, 58(12), 1505-1520. doi:10.1002/jclp.10101. Language: English Format: Journal Abstract: Keywords: Chronic Pain Empirical Study Pain Control Accuracy Verified: Yes 343. Hofmann, A. (2005, June). EMDR in the treatment of complex PTSD patients. Presentation at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: English Format: Conference Abstract: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Accuracy Verified: Yes 344. Hamilton, C. (1999, June). EMDR in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV. Language: English Format: Conference Abstract: Keywords: Dissociative Disorders Accuracy Verified: Yes 345. Richman, S. (2009, March). EMDR in the treatment of survivors of torture. Symposium conducted at the 7th annual EMDR Association UK & Ireland Conference, Manchester, UK. Language: English Format: Conference Abstract: Accuracy Verified: Yes 346. Richman, A. (2006, March). EMDR in the treatment of victims of torture. Presentation at the 4th annual Conference of the EMDR UK & Ireland Association, London, UK. Language: English Format: Conference Abstract: Keywords: Victims of Torture Accuracy Verified: Yes 347. Groenendijk, M. (2010, April). EMDR in trauma-work with a patient with DID. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: EMDR is a powerfull technique for helping people overcoming their trauma’s. However, most of the clinical practice as well as the research has been focussed on type 1 trauma and simple PTSD. Gradually the field is expanding to complex early and chronic traumatization and dissociative problems. In this workshop I will share our experiences in this challenging field. I will start with a short introduction to EMDR, to structural dissociation and to the treatment of DID. Then I will present the case of an older woman with DID, who was treated in our residential psychotherapeutic setting. Central in this workshop is the very interesting (and moving) video-demonstration of EMDR with this DID-patient during a period of trauma-work. After reporting on the process and outcome of this therapy, the conclusion will be that EMDR can be effective for dissociative patients suffering from early and severe traumatization if several specific criteria are met. These criteria are about conceptualization according to the model of structural dissociation, about indication, timing, and preparation of the EMDR-sessions, about adaptation of the EMDR-protocol and about integration of EMDR in the broader phase-oriented state-of-the-art treatment of DID. At the end there will be time for questions and discussion. Keywords: DID Dissociative Identity Disorder Accuracy Verified: Yes 348. Aytun, O. A. (2010, June). The EMDR integrated group treatment with child victims of a terrorist. In treatment of children/acute stress. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Acute Stress Children Group Therapy Symposium Terrorism Victims Accuracy Verified: Yes 349. Jarero, I., Artigas, L., & Mauer, M. (2001, June). EMDR integrative group treatment protocol. Presentation at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Keywords: Group Treatment Protocol Malattunement Accuracy Verified: Yes 350. Jarero, I., Artigas, L., Alcalá, N., López, T., & Mauer, M.
(2005, April). EMDR integrative group treatment protocol. Asociación Mexicana para Ayuda Mental en Crisis, EMDR Institute, EMDR Mexico. Language: English Format: Other Keywords: Integrative Group Treatment Protocol Accuracy Verified: Yes 351. Jarero, I., & Artigas, L. (2010). The EMDR integrative group treatment protocol:
Application with adults during ongoing geopolitical crisis. Journal of EMDR Practice and Research, 4(4), 148-155. doi:10.1891/1933-3196.4.4.148. Language: English Format: Journal Abstract: Keywords: Group Treatment Human Provoked Disaster Geopolitical Crisis Posttraumatic Stress Accuracy Verified: Yes 352. Jarero, I., Artigas, L., Montero, M., & Lopez-Lena, L. (2008). The EMDR integrative group treatment protocol: Application with child victims of a mass disaster. Journal of EMDR Practice and Research, 2(2), 97-105. doi:10.1891/1933-3196.2.2.97. Language: English Format: Journal Abstract: Keywords: Children Death of Parent Explosions Females Group Psychotherapy Group Treatment Human-Provoked Disaster Industrial Accidents Latin American Males Mexicans Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Survivors School Age Children Treatment Effectiveness Accuracy Verified: Yes 353. Jarero, I., & Artigas, L. (2012). The EMDR integrative group treatment protocol: EMDR group treatment for early intervention following critical incidents. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 219-222. doi:10.1016/j.erap.2012.04.004. Language: English Format: Journal Abstract: Keywords: Critical Incident Group Treatment Integrative Group Treatment Protocol Accuracy Verified: Yes 354. Jarero, I., Artigas, L., & Hartung, J. (2006). EMDR integrative group treatment protocol: A postdisaster trauma intervention for children and adults. Traumatology, 12(2), 121-129. doi: 10.1177/1534765606294561. Language: English Format: Journal Abstract: Keywords: Children Latin America Natural Disaster Posttraumatic Stress Disorder PSTD Trauma Accuracy Verified: Yes 355. Sautai, G. (2011, June). EMDR intensive therapy (EMDRIT). Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: EMDR Intensive Therapy EMDRIT Accuracy Verified: Yes 356. Artigas, L., Jarero, I., Alcala, N., & Cano, T. L. (2009). The EMDR intregrative group treatment protocol (IGTP). In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 279-288). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Adolescents Children Disaster EMDR Integrative Group Treatment Protocol Group Therapy Trauma Trauma Survivors Accuracy Verified: Yes 357. Korn, D. (2008, September). EMDR Master Series - I. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Masters Series Accuracy Verified: Yes 358. Tinker, R., & Wilson, S. (2005, September). EMDR master series - II. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Attachment Disorder Attachment Theory Children Master Series Resource Development Accuracy Verified: Yes 359. Leeds, A. (2003, September). EMDR Master Series – II. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Master Series Accuracy Verified: Yes 360. Tinker, R. H., & Wilson, S. A. (2000). EMDR mit kindern: Ein handbuch [EMDR with children: A handbook]. Paderborn: Junfermann. Language: German Format: Book Abstract: Keywords: Children Accuracy Verified: Yes 361. Terreri, L. (2008, ). EMDR nei pazienti con tossicodipendenza: integrazione tra protocollo standard e protocolli modificati [EMDR in drug dependent subjects: integration between standard and modified protocols]. Bollettino Sulle Dipendenze, 31(4), 215-224. Language: Italian Format: Newsletter Abstract: Keywords: Affect Bridge Compulsion Trauma Withdrawal Accuracy Verified: Yes 362. Saêta, L. B. (2012, Novembro). EMDR no tratamento da dor e das sensações fantasmas [EMDR in the treatment of pain and phantom sensations]. In EMDR e dor crônica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Amputation Phantom Pain Phantom Sensation Accuracy Verified: Yes 363. Purandare, M., Bhagwagar, H., & Tank, P. (2010, July). EMDR on children affected by the earthquake. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Children Earthquake Accuracy Verified: Yes 364. Laizeau, M., Nousse, A., & Chakroun, N. (2008, June). EMDR optimism protocol: A pilot study on athletes. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Optimism Protocol Accuracy Verified: Yes 365. Chakroun, N., Laizeau, M., & Nousse, A. (2008, July). EMDR optimism protocol: A pilot study on athletes. Presentation at the 4th European Conference of Positive Psychology, Rijeka, Croatia. Language: English Format: Conference Keywords: Athletes Optimism Sports Accuracy Verified: Yes 366. MacDonald, H. (2010, March). EMDR pain control. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland
. Language: English Format: Conference Abstract: Keywords: Pain Control Accuracy Verified: Yes 367. de Roos, C., & Veenstra, S. (2009). EMDR pain control for current pain. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 537-557). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Current Pain Pain Control Protocol Accuracy Verified: Yes 368. Maccarrone, B., & De Divitiis, A. M. (2008, Novembre). EMDR per eventi recenti - Un modello e un nuovo protocollo [EMDR to recent events - a model and a new]. Presentazione Le applicazioni cliniche del EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Recent Events Protocol Accuracy Verified: Yes 369. Lendl, J., & Foster, S. (2009). EMDR performance and enhancement psychology protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 377-396). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Performance Enhancement Protocol Accuracy Verified: Yes 370. Lanius, U. F. (2005). EMDR processing with dissociative clients: Adjunctive use of opioid antagonists. In R. Shapiro (Ed.), EMDR solutions: Pathways to healing (pp. 121-146). New York: W W Norton & Co. Language: English Format: Book Section Abstract: Keywords: Analgesic Drugs Dissociative Symptoms Posttraumatic Stress Disorder PTSD Stressors Survivors Accuracy Verified: Yes 371. Beere, D. (2009). An EMDR protocol for dissociative identity disorder. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 387-425). New York: Springer Publishing Co. Language: English Format: Book Section Keywords: Dissociative Identity Disorder DID Protocol Accuracy Verified: Yes 372. Jarero, I., Artigas, L., & Luber, M. (2011). The EMDR protocol for recent critical incidents: Application in a disaster mental health continuum of care context. Journal of EMDR Practice and Research, 5(3), 82-94. doi:10.1891/1933-3196.5.3.82. Language: English Format: Journal Abstract: Keywords: Critical Incidents Disaster Mental Health Early EMDR Intervention Natural Disaster Posttraumatic Stress Disorder PTSD Recent Events Accuracy Verified: Yes 373. Jarero, I., & Uribe, S. (2011). The EMDR Protocol for recent critical incidents: Brief report of an application in a human massacre situation. Journal of EMDR Practice and Research, 5(4), 156-165. doi:10.1891/1933-3196.5.4.156. Language: English Format: Journal Abstract: Keywords: Human Massacre PRECI Posttraumatic Stress Disorder Protocol for Recent Critical Incidents PTSD Recent Events Accuracy Verified: Yes 374. Jarero, I., & Uribe, S. (2012). The EMDR protocol for recent critical incidents: Follow-up report of an application in a human massacre situation. Journal of EMDR Practice and Research, 6(2), 50-61. doi:10.1891/1933-3196.6.2.50. Language: English Format: Journal Abstract: Keywords: Human Massacre PRECI Posttraumatic Stress Disorder Protocol for Recent Critical Incidents PTSD Recent Events Accuracy Verified: Yes 375. Pillai-Friedman, S. (2009). EMDR protocol for treating sexual dysfunction. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 151-166). New York: Springer Publishing Co. Language: English Format: Book Section Keywords: Protocol Sexual Dysfunction Accuracy Verified: Yes 376. Omaha, J. (1998, July). An EMDR protocol for treatment of chemical dependency disorder. Presentation at the annual meeting of the EMDR International Assocation, Baltimore, MD. Language: English Format: Conference Abstract: Keywords: Chemotion Dreams Gestalt Object Relations Deficits Accuracy Verified: Yes 377. Guedalia, J., & Yoeli, F. (2006, August). EMDR protocols for ER and wards. Electronic Journal, EMDR-Israel. Language: English Format: Journal Abstract: When the patient is showing dissociative responses to the trauma, hysterical paralysis, fugue-like state, we don’t attempt EMDR. As the Patients are usually in the ER for many many hours (5-8) opportunities present themselves to assess the patients ability to communicate by various means. The EMDR-ER© Protocol is used with patients who do not seem able to move on to the ambulatory staging area (are still on gurney’s) and display difficulty in being able to re-assume normal- appropriate with the situation- physical and psychological, behavioral function Also EMDR is not used in the ER with patients who seem to have below borderline intelligence. I have used EMDR in the ER with patients whose language I didn’t know (Amharic for example), with an interpreter present with good results. Keywords: ER Recent Events Wards Accuracy Verified: Yes 378. Maxfield, L., & Smyth, N. (2009, August). EMDR research: Where we stand, where we should go, and why we should care. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Accuracy Verified: Yes 379. de Roos, C. & Veenstra, S. (2008, Februar/Juni). EMDR schmerzprotokoll (für aktuelle schmerzen) [EMDR (for current pain) pain protocol]. EMDRIA Deutschland e.V. Rundbrief, 15, 12-18. Language: German Format: Newsletter Abstract: Keywords: Current Pain Pain Protocol Accuracy Verified: Yes 380. [Kawamura, W.] (2009, May). EMDR sessions of a woman with obsessive-compulsive disorder. EMDR研究1（1）、四四44-五十二52
[Japanese Journal of EMDR Research and Practice, 1(1), 44-52]. Language: Japanese Format: Journal Abstract: Keywords: Obsessive Compulsive Disorder OCD Protocol Special Situations Target Memory Accuracy Verified: Yes 381. Shapiro, R. (2009). EMDR Solutions II: For depression, eating disorders, performance, and more. New York, NY: W. W. Norton & Co. Language: English Format: Book Abstract: Keywords: Depression, Eating Disorders, Performance Accuracy Verified: Yes 382. Shapiro, R. (2005). EMDR solutions: Pathways to healing. New York: W W Norton & Co. Language: English Format: Book Abstract: Keywords: Anxiety Disorders Psychotherapeutic Processes Stressors Survivors Accuracy Verified: Yes 383. Laub, B. (2006, June). EMDR standard protocol in the personal resources and the settlement to be found. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey. Language: English Format: Conference Abstract: Keywords: Historical Resource Development Resource Development Accuracy Verified: Yes 384. Luber, M. (2009). EMDR summary sheet. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 3-4). New York, NY: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Protocol Summary Sheet Accuracy Verified: Yes 385. Meignant, I. (2010, July). EMDR systemic approach: Application in couple's therapy. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Couples Therapy Accuracy Verified: Yes 386. Lombardo, M. (2012). EMDR target timeline. Journal of EMDR Practice and Research, 6(1), 37-46. doi:10.1891/1933-3196.6.1.37. Language: English Format: Journal Abstract: Keywords: Adaptive Information Processing AIP: Clinical Application Core Theme Time Line Treatment Target Accuracy Verified: Yes 387. Yordy, J. (2012, April). EMDR techniques to help children and teens tame the worry monster. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada. Language: English Format: Conference Abstract: Keywords: Adolescents Anxiety Children Accuracy Verified: Yes 388. 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: Accuracy Verified: Yes 389. Ferrie, R. (2013, May). EMDR therapy and psychiatric medication. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Medication Accuracy Verified: Yes 390. Oren, U., & Solomon, R. (2012). EMDR therapy: An overview of its development and mechanisms of action. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 197-203. doi:10.1016/j.erap.2012.08.005. Language: English Format: Journal Abstract: Keywords: Development Mechanisms of Action Accuracy Verified: Yes 391. Korn, D. (2010, April). EMDR treatment in adults with a history of incest and neglect. Developmental deficits and restore the damaged self. Presentation at the 4th EMDR Association Netherlands Conference, Nijmegen, The Nederlands. Language: English Format: Conference Abstract: Keywords: Adults Developmental Deficits Incest Accuracy Verified: Yes 392. Konuk, A. (2010, June). EMDR treatment of chronic daily headache
and migraine. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Headache Medical Issues Migraine Symposium Accuracy Verified: Yes 393. 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: Keywords: Headache Protocol Migraine Accuracy Verified: Yes 394. Konuk, E., & Epozdemir, H. (2011, June). EMDR treatment of migraine and chronic daily headache. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Accuracy Verified: Yes 395. Epozdemir, H., Haciomeroglu, S., & Konuk, E. (2012, October). EMDR treatment of migraine and chronic daily headache. Presentation at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Accuracy Verified: Yes 396. Konuk, E., Epozdemir, H., & Haciomeroglu, S. (2012, June). EMDR treatment of migraine and chronic daily headache [Tratamiento de migrañas y cefalea
diaria y crónica con EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Accuracy Verified: Yes 397. Marr, J. (2012). EMDR treatment of obsessive-compulsive disorder:
Preliminary research. Journal of EMDR Practice and Research, 6(1), 2-15. doi:10.1891/1933-3196.6.1.2. Language: English Format: Journal Abstract: Keywords: Adapted EMDR Phobia Protocol Adapted EMDR Phobia Protocol with Video Playback OCD Obsessive-Compulsive Disorder Treatment Outcome Research Accuracy Verified: Yes 398. Wilson, S., Tinker, R., Becker, L., Hofmann, A., & Cole, J. W. (2000, September). EMDR treatment of phantom limb pain with brain imaging (MEG). Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. Language: English Format: Conference Abstract: Keywords: Brain Imaging MEG Phantom Limb Accuracy Verified: Yes 399. Miller, P. (2010, September/October). EMDR treatment of psychotic disorders, including schizophrenia: A case series. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Psychotic Disorders Schizophrenia Accuracy Verified: Yes 400. Miller, P. (2011, August). EMDR treatment of psychotic disorders, including schizophrenia: Using the ICONN protocol. Presentation at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: ICONN Protocol Psychosis Psychotic Disorders Schizophrenia Accuracy Verified: Yes 401. Gimm, E. (2010, June). EMDR treatment with very young children. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Accuracy Verified: Yes 402. Kennert, G. (2008). EMDR und biofeedback in der behandlung von posttraumatischen belastungsstörungen [EMDR and biofeedback in the treatment of post traumatic stress disorder]. Forum Psychotherapeutische Praxis, 8(1), 45-46. doi:10.1026/1860-7357.8.1.45b. Language: German Format: Journal Abstract: rezensiert von Gabriele Kennert, In dem von Stefan Jacobs und Anna de Jong vorgestellten
Behandlungskonzept werden die kognitive Verhaltenstherapie, das EMDR-Verfahren sowie Biofeedback miteinander kombiniert, um die Angstreaktion im Rahmen traumatisierender Erinnerungen zu verringern
bzw. zu hemmen und somit auch die Symptomatik der
posttraumatischen Belastungsstörung abzubauen.
Im ersten Teil des Buches gehen die Autoren eingehend auf den theoretischen Hintergrund (Neurophysiologie, Hirnfunktionen) ein, die mit der neuronalen Bahnung von traumatisierenden Erinnerungen einhergehen. Hierbei vertreten sie die These, dass sich die neuronalen
Bahnungen der Traumata nicht löschen lassen, dass sozusagen die Angstreaktion in der Amygdalaregion im Gehirn löschungsresistent ist und es somit in der Konsequenz im Therapieziel nur um die Verringerung der Angstreaktion, bzw. Hemmung der Angstreaktion gehen könne. Konkret modifizieren die Autoren innerhalb des kognitiv,
verhaltenstherapeutischen Vorgehens das Modell
von Ehlers und Clark, ebenso das EMDR-Verfahren von
Shapiro. Das Biofeedbackverfahren nutzen die Autoren
als diagnostisches Instrument, um die subjektiven Bewertungen seitens der Patienten und Patientinnen auch objektiv überprüfbar zu machen mit Hilfe der Messung der elektrodermalen Aktivität (EDA). Im zweiten Teil des Buches beschreiben sie detailliert eine wissenschaftliche Studie an 16 Patienten und Patientinnen, die an dem Behandlungsprogramm an der Universität Göttingen teilgenommen haben. Hierbei sei bei allen Patienten und Patientinnen eine signifikante positive Symptomveränderung der PTB nachzuweisen gewesen. Im weiteren Teil des Buches stellen sie ihr ausführliches
Therapiekonzept und Behandlungsprotokoll vor.
Es wird eingehend auf die Diagnostik (psychologische
Testverfahren sowie Biofeedback eingegangen, ein wichtiger
Teil ist die Informationsvermittlung sowie Stabilisierung für die Patienten und Patientinnen. Danach erfolgt
die Traumabehandlung mit Konfrontation und Integration. Wert wird hierbei in Abgrenzung zu Shapiro auf die frühzeitige Verbindung zur positiven Kognition gelegt in Verbindung mit Hausaufgaben, die die Patienten
zwischen den Sitzungen bekommen mit eingehenden
Verhaltensübungen. Die Autoren grenzen ein, dass ihre Methode nicht für alle Patienten und Patie tinnen geeignet ist, sondern dissoziative
Störungen und Persönlichkeitsstörungen sowie Suchtproblematik explizit ausgeschlossen seien.
Die Stabilisierungsübungen werden praktisch beschrieben (Sicherer Ort, Tresor), ebenso die praktische Anwendung des Biofeedbackverfahrens sowie das Behandlungsprotokoll
für EMDR. Gegen Ende des Bandes schließen sich Fallstudien
aus der Arbeit der Autoren an, um die Praxis zu verdeutlichen.
Im Anhang gibt es Adressenverzeichnisse über den
Bezug von Tests, Biofeedbackgeräten oder Lehrfilmen.
Zusammenfassend kann man sagen, dass der Band
kurzgefasst, sehr übersichtlich und konkret sowie praxisnah das neuropsychotherapeutische Behandlungsprogramm darstellt, so dass dies hilfreich für die psychotherapeutische
Praxis in Bezug auf Traumabehandlungen erscheint.
Das Buch richtet sich an Fachleute und ist für
Laien eher weniger geeignet. Keywords: Biofeedback Posttraumatic Stress Disorder PTSD Treatment Accuracy Verified: Yes 403. Erdmann, C. (2007). EMDR und chronischer schmerz [EMDR and chronic pain]. Psychotherapeutisches Zentrum Bad Mergentheim, Deutschland. Language: German Format: Conference Abstract: Keywords: Chronic Pain Protocol Treatment Protocol Accuracy Verified: Yes 404. Erdmann, C. (2009). EMDR und chronischer schmerz [EMDR and chronic pain]. In R. Plassmann (Hg.), Im eigenen rhythmus, die EMDR-behandlung von essstörungen, bindungsstörungen, allergien, schmerz, angststörungen, tinnitus und süchten (pp. 115-135). Giessen, Germany: Psychosozial-Verlag. Language: German Format: Book Section Keywords: Chronic Pain Protocol Treatment Protocol Accuracy Verified: Yes 405. Wintersperger, S. (2008, September). EMDR und psychoanalyse [EMDR and psychoanalysis]. Pre-Congress am 11. Kongress der European Society of Hypnosis in Psychotherapie und Psychosomatische Medizin, Wien, Österreich. Language: German Format: Conference Abstract: Keywords: Psychoanalysis Accuracy Verified: Yes 406. Dellucci, H. (2011, February /March). EMDR using gearbox technique and letters. Presentation at the EMDR Association of India – Mumbai Chapter, Delhi, India . Language: English Format: Conference Abstract: Keywords: Gearbox Accuracy Verified: Yes 407. Ward, C. (2010, March). EMDR with a family using a group protocol. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland. Language: English Format: Conference Abstract: Keywords: Family Group Protocol Accuracy Verified: Yes 408. Amman, B. (2013, June). EMDR with bipolar disorder. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland. Language: English Format: Conference Abstract: Keywords: Bipolar Disorder Accuracy Verified: Yes 409. Settle, C. (2007, June). EMDR with children 2-10 years of age: Practical and creative therapuetic tools derived from an ongoing fidelity study based on the adaptive information processing model. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Children Fidelity Study Techniques Accuracy Verified: Yes 410. Beer, R., & de Roos, C. (2000, May). EMDR with children and adolescents. Presentation at the annual meeting of the EMDR Europe Association, Utrecht, Netherlands. Language: English Format: Conference Abstract: Keywords: Adolescents Children Accuracy Verified: Yes 411. Ward, C. (2010, June). EMDR with children and adolescents in a family
setting using a group protocol. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Adolescents Children Family Group Protocol Accuracy Verified: Yes 412. Silvestre, M., & Morris-Smith, J. (2010, July). EMDR with children and families. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Accuracy Verified: Yes 413. Tinker, R. H., & Wilson, S. A. (2007, June). EMDR with children around the world: Sixteen years later. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Children Accuracy Verified: Yes 414. Lovett, J. (2011, August). EMDR with children: Getting dtarted. Presentation at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Children Accuracy Verified: Yes 415. Vogelmann-Sine, S., & Sine, L. F. (1993, Winter). EMDR with clients in recovery from chemical dependency. EMDR Network Newsletter, 3(3), 12-15. Language: English Format: Newsletter Abstract: Keywords: Addictions Chemical Dependency Protocol Substance Abuse Accuracy Verified: Yes 416. Meignant, I. (2011, June). EMDR with couples in the context of family therapy [EMDR mit paaren im kontext der familientherapie]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Couples Family Therapy Accuracy Verified: Yes 417. Paulsen, S. (2010, October). EMDR with dissociative clients: 17 secrets. Presentation at the 27th Annual meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Dissociation Accuracy Verified: Yes 418. Seubert, A. & McDonagh, J. M. (2002, June). EMDR with mentally handicapped clients (MH/MR diagnosis. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Only within the past few decades has the use of counseling and psychotherapy for this much neglected population been validated and explored. Given the non-verbal and "right-brain" characteristics of EMDR, it seems there would be a natural fit between the needs of this population and the way in which EMDR works. Case studies will demonstrate successful use of EMDR with dually diagnosed (MH/MR)clients as well as ways in which the standard protocol may need to be adapted for this work. Theoretical speculation regarding EMDR's effectiveness with mentally impaired clients will be explored.
Keywords: Mental Retardation Accuracy Verified: Yes 419. Burdova, I., Lievegoed, R., & Wijga, S. (2006, June). EMDR with mentally ill children and adults. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey. Language: English Format: Conference Abstract: Accuracy Verified: Yes 420. Bisping, V. (2011, June). EMDR with patients with dentophobia. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Dentophobia Accuracy Verified: Yes 421. Ordoux, I. M. (2008, June). EMDR within systemic couple therapy. Presentation at the annual meeting of the EMDR Europe Assocation, London, England. Language: English Format: Conference Abstract: Keywords: Couples Therapy Accuracy Verified: Yes 422. Garcia, F. (2010, Abril). EMDR y el procesamiento adaptativo de la información [EMRD and adaptive processing of the information]. In EMDR: Un abordaje integral de la personalidad traumatizada (Francisca García Guerrero, Coordinadora). Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain. Language: Spanish Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Accuracy Verified: Yes 423. Herbert, C. (2011, June). EMDR – Practical applications and different treatment protocols for different needs. Presentation at the 7th International Congress of Cognitive Therapy, Istanbul, Turkey. Language: English Format: Conference Abstract: Accuracy Verified: Yes 424. Grand, D. (2003, May). EMDR, creavitity and the brain. In E. Tizzabu and M. Jakobsen (Chairs), EMDR empowering. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy. Language: English Format: Conference Abstract: Keywords: Brain Creativity Empowerment Symposium Accuracy Verified: Yes 425. Faust, T.
(2012, June). EMDR, los estados del yo, los policías y las reinas en un caso de ansiedad ante los exámenes[EMDR, ego states, policemen and Queens in a case
of test anxiety]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: Spanish Format: Conference Abstract: Keywords: Ego States Policement, Queens Test Anxiety Accuracy Verified: Yes 426. Yoeli, F., & Prattos, T. (2009). The EMDR-accelerated information resourcing (EMDR-AIR) protocol. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 31-45). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Accelerated Information Resourcing AIR Protocol Accuracy Verified: Yes 427. Lendl, J., & Kong, C. (2011, August). EMDR-AIP update and applications for EMDRIA approved consultants. Presentation at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Consultation Accuracy Verified: Yes 428. Kong, C., & Lendl, J. (2012, October). EMDR-AIP update and applications for EMDRIA approved consultants. Presentation at the annual meeting of the EMDR International Association, Arlington, VA. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Consultants Updates Accuracy Verified: Yes 429. Lendl, J., & Kong, C. (2010, September/October). EMDR-AIP update for EMDRIA approved consultants. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Update Accuracy Verified: Yes 430. Rougemont-Bucking, A., & Zimmermann, E. N. (2012). EMDR-based treatment of psychotraumatic antecedents in illicit drug abusers: A report of two cases. Schweizer Archiv Für Neurologie Und Psychiatrie, 163(3), 107-115. Language: English Format: Journal Abstract: Keywords: Addiction Comorbidity Dissociation Posttraumatic Stress Disorder PSTD Substance Use Disorder Accuracy Verified: Yes 431. Fredin, I. (2005). EMDR-behandling: Barns och ungdomars upplevelser en kvalitetssäkringsstudie [EMDR treatment: Ensuring the quality of EMDR as a treatment for children and young people]. Umeå University, Sweden. Language: Swedish Format: Dissertation/Thesis Abstract: Keywords: Adolescents Children: Psychotherapy Trauma Treatment Accuracy Verified: Yes 432. Bertino, G., & Ostacoli, L. (2011, June). EMDR-drawing integration in the treatment of complex PTSD and severe organic diseases. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Drawing Integration Organic Disease Complex Posttraumatic Stress Disorder Complex-PTSD C-PTSD Accuracy Verified: Yes 433. Leutner, S. (2008, Novenber). EMDR-protokoll ressourcenintegrierenden traumaverarbeitung/RIT [EMDR trauma protocol integrated resource processing/RIT]. EMDRIA Deutschland e.V. Rundbrief, 16, 26-28. Language: German Format: Newsletter Abstract: Keywords: resource Integrated Trauma Protocol RIT Accuracy Verified: Yes 434. Allen, G. J., Cónsole D. A., & Keller, M. W. (1998). EMDR: A closer look. New York: Guilford Press. Language: English Format: Video Abstract: Keywords: Manual Practice Theory Video Accuracy Verified: Yes 435. Acierno, R. E., & Cahill, S. P. (1999, January-April). EMDR: Commentary, data, and protocol specification. Journal of Anxiety Disorders, 13(1-2), 1-3. Language: English Format: Journal Abstract: Keywords: Commentary Editorial Accuracy Verified: Yes 436. Carvalho, E. R. (2007, June). EMDR: Drawings, pictures, and metaphors. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Drawings Metaphors Pictures Protocol Accuracy Verified: Yes 437. Balbo, M. (2006). EMDR: Uno strumento di dialogo fra le psicoterapie [EMDR: A tool for dialogue among the psychotherapies]. Milano: McGraw-Hill. Language: Italian Format: Book Abstract: Accuracy Verified: Yes 438. McDonnell, F. (2006). EMDR: The breakthrough therapy. Body and Soul Magazine. Language: English Format: Magazine Abstract: Accuracy Verified: Yes 439. Horne, B. (2012, April). EMDR: Containment and closure. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada. Language: English Format: Conference Abstract: Containment involves a great deal more than pretty little exercises that help the client drive home safely. This workshop will focus on the importance of containment in EMDR and its role in helping clients with the affect regulation that is necessary for trauma reprocessing. Containment work in Phase 2 can help the client develop this necessary dual attention skill (proof of requisite affect regulation). We will also look at containment in EMDR’s Phase 7 (Closure). An AIP-informed rational for containment will be offered, with supporting research. By learning an array of strategies for containing negative affect, participants will increase their ability to both prepare clients for 11-step protocols and properly close incomplete. Experiential exercises will enable participants to practice at least one new method for use with clients. Keywords: Closure Containment Accuracy Verified: Yes 440. Quinn, G. (2013, May). EMDR: Immediate emergency treatment for manmade and natural disasters. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Disasters Emergency Treatment Accuracy Verified: Yes 441. Johannesson, K. B. (2011, June). EMDR: An integrative psychotherapy approach for working with trauma based disorders. Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria
. Language: English Format: Conference Abstract: Accuracy Verified: Yes 442. Logie, R. (2011, October). EMDR: A new OCD protocol. Presentation at the 3rd annual EMDR Autumn Workshop Conference, Durham, England. Language: English Format: Conference Abstract: Keywords: Obsessive Compulsive Disorder OCD Accuracy Verified: Yes 443. Derksen, M. T. H., & Baeten, B. M. (2011, April). EMDR: theorie en praktijk binnen de ziekenhuispsychiatrie [EMDR: Theory and practice within the psychiatric hospital]. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam. Language: Dutch Format: Conference Abstract: Keywords: Practice Psychiatric Hospital Theory Accuracy Verified: Yes 444. Furukawa, D. K. (1999, June). EMDR: The problem of looping in the present. EMDRIA Newsletter, 4(2), 12, 33. Language: English Format: Newsletter Abstract: Keywords: Looping Accuracy Verified: Yes 445. Karpel, M. A. (2006, September). EMDR: Targeting the repetition compulsion in couples therapy. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Couples Therapy Repetition Compulsion Accuracy Verified: Yes 446. Karpel, M. A. (2005, September). EMDR: Targeting the repetition compulsion in couples therapy. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Couples Therapy Repetition Compulsions Accuracy Verified: Yes 447. Shapiro, F. (1999). EMDR: Working with grief. Phoenix, AZ: Zeig Tucker and Co. Language: English Format: Video Abstract: Keywords: Grief Accuracy Verified: Yes 448. Quinn, G., & Zucker, D. (2008, June). Emergency EMDR & ERP (Emergency Response Procedure): Treatment following natural man made disasters for victims experiencing immediate high stress and including the period
of ASD. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Emergency Response Procedure ERP Accuracy Verified: Yes 449. Quinn, G. (2007, March). Emergency EMDR - treating victims from man made to natural disasters. Presentation at the Fifth annual EMDR UK & Ireland Conference, Glasgow, Scotland. Language: English Format: Conference Abstract: Keywords: Katyushas, Man-Made Disasters Terrorist Bombings Tsunami Accuracy Verified: Yes 450. Quinn, G. (2007, June). Emergency EMDR - treating victims from man made to natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Emergency EMDR Man-Made Disasters Natural Disasters Accuracy Verified: Yes 451. Quinn, G. (2009). Emergency response procedure. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 271-276). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Emergency Response Procedure Protocol Accuracy Verified: Yes 452. Quinn, G. (2006, August). Emergency room (ER) protocol. In Judi Guedalia & Francis Yoeli, EMDR Protocol for ER and Wards, Shaare Zedek Medical Center, Jerusalem, Israel. Language: English Format: Book Section Abstract: Keywords: Emergency Room Protocol Accuracy Verified: Yes 453. Montgomery, R. W. (1993). An empirical investigation of eye movement desensitization. Georgia State University, Atlanta, GA. AAT 9409413. Language: English Format: Dissertation/Thesis Abstract: Keywords: Clinical Trial Posttraumatic Stress Disorder PTSD Treatment Effectiveness Accuracy Verified: Yes 454. Lohr, J., Kleinknecht, R., Tolin, D., & Barrett, R. (1995, December). The empirical status of the clinical application of eye movement desensitization and reprocessing. Journal of Behavior Therapy and Experimental Psychiatry, 26(4), 285-302. doi:10.1016/0005-7916(95)00041-0. Language: English Format: Journal Abstract: Keywords: Literature Review Methodology Posttraumatic Stress Disorder PTSD Treatment Effectiveness Accuracy Verified: Yes 455. Becker-Fritz, T. (2002, June). Encopresis and enuresis: Use of EMDR to treat these two behaviors. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Encopresis Enuresis Accuracy Verified: Yes 456. Moses, M. D. (2007). Enhancing attachments: Conjoint couple therapy. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 146-166). Hoboken, NJ: John Wiley & Sons Inc. Language: English Format: Book Section Abstract: Keywords: Attachment Attachment Behavior Conjoint Couple Therapy Conjoint Therapy Couples Couples Therapy Marriage Counseling Accuracy Verified: Yes 457. Moses, M. D. (2004, September). Enhancing couples therapy with EMDR: A protocol. Presentation at the annual meeting of the EMDR International Assocation, Montreal, Ontario Canada. Language: English Format: Conference Abstract: Keywords: Couples Therapy Accuracy Verified: Yes 458. Ferrell, D. (2013, May). Enhancing EMDR clinical supervision skills for EMDR accredited vonsultants. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Consultation Accuracy Verified: Yes 459. Foster, S. (2008, June). Enhancing EMDR resource installation with techniques from positive psychology. Presentation at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Postive Psychology Resource Installation Accuracy Verified: Yes 460. Hartung, J. (2009). Enhancing postive emotion and performance with EMDR. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 339-375). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Keywords: Performance Positive Emotion Protocol Accuracy Verified: Yes 461. Jenkins, S., & Baker, J. (2011). The equine-assisted EMDR manual: A guide to the
integration of eye movement desensitization reprocessing and equine-assisted therapy. Tempe, AZ: Dragonfly International Therapy . Language: English Format: Book Abstract: Keywords: EAP Equine-Assisted Psychotherapy Horses Accuracy Verified: Yes 462. Gabarra, D. O. (2012, Novembro). Estados de ego e o EMDR em quadros dissociativos [Ego states and EMDR in dissociative frames]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Advanced Management Dissociation Ego States Accuracy Verified: Yes 463. Morris-Smith, J. (2011, June). The European EMDR shrinking protocol for children and adolesence: Development, theoretical considerations and clinical insights. Pre-conference presentation at the 12th European Conference on Traumatic Stress (ECOTS), Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Adolescents Children Shrinking Protocol Accuracy Verified: Yes 464. Greenwald, R. (1995). Evaluating Shapiro's stance on EMDR training. OnLine Journal of Psychology, 1(1), 130-134. Language: English Format: Other Abstract: Keywords: Commentary Professional Training Accuracy Verified: Yes 465. Gracheck, K. A. (2010). Evaluating the efficacy of EMDR as an athletic performance enhancement intervention. The University of the Rockies, Colorado Springs, CO. 3433356. Language: English Format: Dissertation/Thesis Abstract: Keywords: Athletes Performance Enhancement Accuracy Verified: Yes 466. Tripp, T. (2010, April). Every picture tells a story: Art therapy and trauma processing. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: Keywords: Art Therapy Treatment Accuracy Verified: Yes 467. Crystal, S. (2010, March). Evidence based practice and practice based
evidence: Improving effectiveness and efficiency in EMDR practice. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland. Language: English Format: Conference Abstract: Keywords: Client Feedback ORS Outcome Measures Outcome Rating Scale Research Session Rating Scale SRS Gold Standard Accuracy Verified: Yes 468. Griffith, H. (2009, July). Evoking the embodied image with EMDR: Jung in the age of the brain. Presentation at the International Association for Jungian Studies Conference, Wales, Scotland. Language: English Format: Conference Abstract: Accuracy Verified: No 469. Farrell, D.
(2011, August). An exploration of the future research priorities needed in promoting the development of the teaching and learning of EMDR: A delphi study. Presentation at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Delphi Study Future Research Accuracy Verified: Yes 470. Kiessling, R. (2009). Extending resources. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 87-89). New York: Springer Publishing Co. Language: English Format: Book Section Abstract: Accuracy Verified: Yes 471. Kiessling, R. (2005, September). Extending safe place/resource development protocols to increase client stability. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Resource Installation Safe Place Accuracy Verified: Yes 472. Dunne, T. (2011, May). Eye movement desensitization & reprocessing (EMDR): A brief history, controversies and evidence of clinical effectiveness. The Irish Psychologist, 37(7), 108-185. Language: English Format: Journal Abstract: Accuracy Verified: Yes 473. Wilensky, M. (2006). Eye movement desensitization and reprocessing (EMDR) as a treatment for phantom limb pain. Journal of Brief Therapy, 5(1), 31-44. Language: English Format: Journal Abstract: Keywords: Phantom Limb Pain Accuracy Verified: Yes 474. Albright, D. L., Thyer, B., Becker, B. J., & Rubin, A. (2011, November). Eye movement desensitization and reprocessing (EMDR) for posttraumatic stress disorder (PTSD) in combat veterans. Oslow, Norway: The Campbell Collaboration. Retrieved from www.campbellcollaboration.org on 2/16/2012. Language: English Format: Other Abstract: Keywords: Combat Veterans Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 475. Fannin, J. L. (1998, February). Eye movement desensitization and reprocessing (EMDR) in the treatment of anxiety as it pertains to work-related issues. Walden University, Minneapolis, MN. AAT 9804439. Language: English Format: Dissertation/Thesis Abstract: Keywords: Anxiety Empirical Study Eye Movement Desensitization Therapy Occupational Stress Stress Management Treatment Outcome/Clinical Trial Workplace Stress Accuracy Verified: Yes 476. Soberman, G. B. (1998). Eye movement desensitization and reprocessing (EMDR) in the treatment of conduct disorder with preadolescents and adolescents. Walden University, Minneapolis, MN. AAT 9910218. Language: English Format: Dissertation/Thesis Abstract: Keywords: Adolescents Conduct Disorder Emotional Trauma Empirical Study Preadolescents Symptoms Trauma Treatment Outcomes Accuracy Verified: Yes 477. Luber, M. (2012). Eye movement desensitization and reprocessing (EMDR) scripted protocols with summary sheets CD-ROM version: Basic and special situations. New York, NY: Springer Publishing, ISBN-13:9780826193414. Language: English Format: Book Abstract: Keywords: Scripted Protocols Special Populations Summary Sheets Accuracy Verified: Yes 478. Luber, M. (2011). Eye movement desensitization and reprocessing (EMDR) scripted protocols with summary sheets CD-ROM version: Special populations. New York, NY: Springer Publishing. Language: English Format: Book Abstract: Keywords: Scripted Protocols Special Populations Summary Sheets Accuracy Verified: Yes 479. van Es, A. K. & Schoen, J. M. (2008, Juni). Eye movement desensitization and reprocessing (EMDR): Effect van instructies op de verwerking van nare herinneringen [Eye movement desensitization and reprocessing (EMDR):
Effect of instructions on the processing of unpleasant memories]. Utrecht, Nederlands: Universiteit Utrecht. Language: Dutch Format: Dissertation/Thesis Abstract: Keywords: Distancing Reliving Vividness Accuracy Verified: Yes 480. ten Broeke, E., & de Jongh, A. (1995, November). Eye movement desensitization and reprocessing (EMDR): 'Gewoon' imaginaire exposure? [Eye movement desensitization and reprocessing: Just imaginal exposure?]. Tijdschrift de Psycholoog, 30(11), 459-464. Language: Dutch Format: Magazine Abstract: Keywords: Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Accuracy Verified: Yes 481. Deen, M. L., & Droogendijk, J. S. (2008, Juli). Eye movement desensitization and reprocessing (EMDR): Effect van therapeutinstructies op psychologische en fysiologische maten [Eye movement desensitization and reprocessing (EMDR): Effect of therapist instructions on psychological and physiological measures]. Utrecht, Nederlands: Universiteit Utrecht. Language: Dutch Format: Dissertation/Thesis Abstract: Keywords: Physiological Measures Psychological Measures Therapist's Instructions Accuracy Verified: Yes 482. Hyer, L., & Kushner, B. (2007). Eye movement desensitization and reprocessing and stress: Research, theory and practical suggestions. In P. M. Lehrer, R. L. Woolfolk, & W. Sime (Eds.), Principles and Practice of Stress Management (3d ed.) (pp. 545-578). New York, NY, US: Guilford Press. xvii, 734 pp. Language: English Format: Book Section Abstract: Accuracy Verified: Yes 483. Servan-Schreiber, D., Schooler, J., Dew, M. A., Carter, C., & Bartone, P. (2006). Eye movement desensitization and reprocessing for posttraumatic stress disorder: A pilot blinded, randomized study of stimulation type. Psychotherapy and Psychosomatics, 75(5), 290-297. doi:10.1159/000093950. Language: English Format: Journal Abstract: Keywords: Bilateral Kinesthetic Stimulation Type Distress Empirical Study Posttraumatic Stress Disorder Psychotherapy PSTD Quantitative Study Stimulus Parameters Subjective Units of Distress SUD Accuracy Verified: Yes 484. Rodenburg, R., Benjamin, A., Meijer, A. M., & Jongeneel, R. (2009, September). Eye movement desensitization and reprocessing in an adolescent with epilepsy and mild intellectual disability. Epilepsy & Behavior, 16(1), 175-180. doi:10.1016/j.yebeh.2009.07.015. Language: English Format: Journal Abstract: Keywords: Case Report Children Epilepsy Intellectual Disability Reliable Change Index Trauma Symptoms Accuracy Verified: Yes 485. Maxfield, L. (2002). Eye movement desensitization and reprocessing in the treatment of post-traumatic stress disorder. In C. R. Figley, (Ed.), Brief treatments for the traumatized: A project of the Green Cross Foundation (pp. 148-169). Westport, Connecticut: Greenwood Press. Language: English Format: Book Section Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 486. Maxfield, L. (2002). Eye movement desensitization and reprocessing in the treatment of post-traumatic stress disorder. In C. R. Figley, (Ed). Brief treatments for the traumatized: A project of the Green Cross Foundation. Contributions in psychology, no. 39. (pp. 148-169). Westport, CT: Greenwood Press/Greenwood Publishing Group. Language: English Format: Book Section Abstract: Keywords: Adaptive Information Processing Model Empirical Evidence Posttraumatic Stress Disorder PTSD Traumatic Memories Accuracy Verified: Yes 487. Coleman, G. L. (1999, October). Eye movement desensitization and reprocessing in the treatment of posttraumatic stress disorder: An investigational study of the eye movement component using a within-subject design. Chicago School of Professional Psychology, Chicago, IL. AAT 9926476. Language: English Format: Dissertation/Thesis Abstract: Keywords: Avoidance Case Report Empirical Study Females Intrusive Thoughts Middle Aged PTSD Treatment Effectiveness Treatment Outcome/Clinical Trial Accuracy Verified: Yes 488. Tufnell, G. (2005, October). Eye movement desensitization and reprocessing in the treatment of pre-adolescent children with post-traumatic symptoms. Clinical Child Psychology and Psychiatry, 10(4), 587-600. doi:10.1177/1359104505056320. Language: English Format: Journal Abstract: Keywords: Brief Psychotherapy Clinical Case Study Energy Psychotherapy Posttraumatic Stress DIsorder Psychotherapeutic Processes PTSD Stressors Survivors Accuracy Verified: Yes 489. 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: Keywords: Adjustment Disorder Empirical Study Exposure Therapy Nonclinical Case Study Treatment Effectiveness Treatment Outcome/Clinical Trial Accuracy Verified: Yes 490. Solomon, R. (2008, November). Eye movement desensitization and reprocessing:
Clinical case presentation. Master clinician series at the 24th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL. Language: English Format: Conference Abstract: Keywords: Eight Phases Master Series Three-Pronged Protocol Accuracy Verified: Yes 491. Eckley, T. L. (2002, August). Eye movement desensitization and reprocessing: Efficacy with residential latency-age children. Alliant International University, Fresno, CA. AAT 3042989. Language: English Format: Dissertation/Thesis Abstract: Keywords: Depressive Disorders Dissociative Symptoms Empirical Study Posttraumatic Stress Disorder PTSD School Age Children Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 492. Drexler, B. M. (1995). Eye movement desensitization and reprocessing: An exploration of use by licensed clinical social workers. California State University, Long Beach, CA. AAT 1377511. Language: English Format: Dissertation/Thesis Abstract: Keywords: Practice Theory Use by Social Worker Accuracy Verified: Yes 493. Paulsen, S. L. (1995, March). Eye movement desensitization and reprocessing: Its cautious use in the dissociative disorders. Dissociation: Progress in the Dissociative Disorders, 8(1), 32-44. Language: English Format: Journal Abstract: Keywords: Adults Crisis Intervention Dissociative Disorders Females Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 494. Severe, N. D. (1998, July). Eye movement desensitization and reprocessing: Treatment application to post-traumatic stress disorder in a latency-aged multi-traumatized child. California School of Professional Psychology, San Diego, CA. AAT 9820480. Language: English Format: Dissertation/Thesis Abstract: Keywords: Case Report Empirical Study Male Multiple Traumatic Events Nonclinical Case Study Posttrauamtic Stress Disorder Preadolescents PTSD Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial Accuracy Verified: Yes 495. Foley, T., & Spates, C. (1995, December). Eye movement desensitization of public-speaking anxiety: A partial dismantling study. Journal of Behavior Therapy and Experimental Psychiatry, 26(4), 321-329. doi:10.1016/0005-7916(95)00048-8. Language: English Format: Journal Abstract: Keywords: Adults Americans Anxiety Disorders College Students Life Experiences Survivors Treatment Effectiveness Accuracy Verified: Yes 496. Rose, B. K. (2004). Eye movement desensitization reprocessing (EMDR): A treatment protocol for addicted inmates with traumatic histories. Carlos Albizu University, Miami, FL. AAT 3102092. Language: English Format: Dissertation/Thesis Abstract: S Keywords: Comorbidity Drug Abuse Prison Inmates Psychiatric Disorders Stressors Survivors Therapeutic Community Accuracy Verified: Yes 497. Foster, S., Lendl, J., & Wilson, D. (1992, July). Eye movement desensitization useful against anxiety, trauma. The California Psychologist, 20. Language: English Format: Magazine Abstract: Accuracy Verified: Yes 498. Alatalo, G. L. (1994). Eye-movement desensitization and reprocessing: A new treatment for trauma. Spalding University, Louisville, KY. AAT 9522299. Language: English Format: Dissertation/Thesis Abstract: Keywords: Americans Avoidance Cognitive Impairment Empirical Study Intrusive Thoughts Longitudinal Study
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR. Die EMDR-Behandlung ist nach unserer Erfahrung eine sehr effektive Technik zur Behandlung von traumatischen Erinnerungen bei Patienten mit dissoziativen Störungen. Das Ziel der Traumabehandlung bei dissoziativen Patienten zusätzlich zu der Verringerung der Belastung von posttraumatischen Symptomen, Aussetzen der zuvor abgespaltenen Erinnerungen im Sinne einer Integration von dissoziierten Erfahrung liegt. Die EMDR-Behandlung dissoziativer Patienten brauchen, wenn nötig. durch Ändern der Standard-Protokoll auf den einzelnen Elastizität eingestellt werden. Da dissoziative Speicher Barrieren durch eine EMDRBehandlung sehr schnell untergraben werden kann, kombiniert mit dem Risiko der Übererflutung durch aversive Reize, sollte dies nur von entsprechend erfahrenen Therapeuten und mit Sorgfalt im Rahmen einer umfassenden Traumatherapie eingesetzt werden.
Psychological treatment of traumatic stress disorders with EMDR. The EMDR treatment is, in our experience a very effective technique for the treatment of traumatic memories in patients with dissociative disorders. The aim of trauma treatment in dissociative patients in addition to reducing the burden of post-traumatic symptoms, exposing the previously split-off memories in the sense of an integration of dissociated experience content. The EMDR treatment of dissociative patients need, if necessary. be adjusted by modifying the standard protocol on the individual resilience. Since dissociative memory barriers through a EMDRBehandlung may be undermined very quickly, combined with the risk of Übererflutung by aversive stimuli, this should only be used by suitably experienced therapists and with care in the context of a comprehensive trauma therapy.
Es geht im Workshop um die Rolle der Kognitionen im EMDR bei der Bearbeitung früher und komplexer Themen aus dem Bereich der Bindungsstörungen. Durch die Aktivierung von Egostates respektive subtiler dissoziativer Prozesse in der Phase 3 der EMDR-Behandlung kommt es häufig zu Schwierigkeiten bei der Herausarbeitung bedeutungsvoller und hilfreicher Kognitionen. Das Dialog-Protokoll stellt eine Möglichkeit dar, diese Schwierigkeiten zu vermeiden. Durch die Wahl hilfreicher Kognitionen in einer dialogischen Formulierung zwischen zwei involvierten Selbstteilen wird der dissoziative Prozess aufgehoben und der Verarbeitungsprozess im Sinne der interaktiven Vernetzung von Vergangenheit und Gegenwart affektiv und kognitiv intensiviert und beschleunigt. Das Dialog Protokoll kann als die direkte und effiziente Verbindung von EMDR und Egostate-Arbeit angesehen werden. Im Workshop werden theoretische Grundlagen der Vorgehensweise vermittelt, eine kurze life Demonstration und/oder ein Video sollen die konkrete Anwendung des Dialogprotokolls anschaulich näherbringen.
[It's in the workshop on the role of cognitions in EMDR in the treatment earlier and complex topics in the field of attachment disorders. By activating Egostates respectively subtle dissociative processes in phase 3 of the EMDR treatment often leads to difficulties in the elaboration of meaningful and helpful cognitions. The dialog protocol provides a way to avoid these difficulties. By choosing more helpful cognitions in a dialogical formulation between two self-involved parts of the dissociative process is canceled and the manufacturing process in terms of the interactive network of past and present affective and cognitive intensified and accelerated. The dialog protocol can be used as direct and efficient connection of EMDR and egostate work are considered.
During the workshop, theoretical foundations of the approach gives a brief demonstration of life and / or a video to bring closer the actual application of the Protocol dialog clearly.]
Bei psychosomatischen Erkrankungen ist der Körper sowohl Leidtragender, als auch Leidverursacher. Dies beeinflusst die Beziehung Betroffener zu ihrem Körper in der Regel nachhaltig negativ, wodurch wiederum mögliche Ressourcen gehemmt werden.
EMDR kann maßgeblich zu einem besseren Stressmanagement beitragen (F. Shapiro).
In psychosomatic disorders, the body is both victim and also suffering polluter. This affects the relationship concerned with their body usually lasting negative, which in turn potential resources are inhibited.
EMDR can significantly contribute to a better stress management (F. Shapiro).
A theoretical analysis of the psychodynamic dimension of cognitions in the eye movement desensitization and reprocessing (EMDR) protocol can be beneficial in addressing the specific issues affecting the choice of appropriate cognitions in working with clients with personality disorders. This group of patients share the biographic commonality of emotional-narcissistic abuse and neglect in childhood by primary attachment figures and significant others in their lives. Arising from these experiences, a subtle dissociation (in childhood) can cause the development of parts of self with an emotional and cognitive fixation on a self-image. This is defined by the child's attachment figures and other significant people, and has subsequently been internalized by the child themselves. In such cases, the actual goal of treatment is not primarily the event on which the EMDR session is initially focused, but rather the complex emotional and cognitive significance that the event has on the client's self-perception and self-evaluation.
This workshop provides participants with information on the unique nature of military service, including sources of stress and trauma not commonly found in the civilian sector. The current operational environment of the Global War on Terror as well as experiences and issues of veterans of other eras are covered. Military-based trauma can be complex and therapeutic approaches often need to take this into account as well as the value systems of military personnel. While EMDR is highly effective with service members, “fine tuning” of the protocol is often useful. Family problems in attachment are addressed.
Participants will: 1) understand the necessity of eliciting material from children in indirect, projective ways; 2) understand the meaning of "creative processing" in the EMDR context as a method of both accessing and treating children's problems where direct methods may fail to produce desired outcome; 3) learn specific skills which apply the EMDR method through the medium of fantasy, play, story, metaphor, sensory experience, and enactment; 4) learn how to apply the creative process to separate elements of the standard EMDR protocol, and to make adjustments appropriate to the age and developmental stage of the individual child; 5) observe direct use of EMDR creative processing techniques via case material and videotaped therapy sessions; and 6) recognize the importance of integrating family systemic issues into use of the techniques, as well as embedding the method into a total contextual treatment of the child.
Objective: Despite advances in obstetric and neonatal care, many parents will experience the stillborn birth or death of a
infant. Stillbirth is a devastating experience for women, and sometimes leads to depression, anxiety, traumatic grief and
post-traumatic stress disorder (PTSD). There has been very little research examining effective psychotherapy for posttraumatic
stress after stillbirth. This pilot study explores the use of Eye Movement Desensitization and Reprocessing (EMDR)
in the treatment for post-traumatic stress after stillbirth. Methods: The pilot study consisted of a ‘before and after’ treatment
design combined with follow-up measurements 0.5-3 years after EMDR treatment. Quantitative data was collected using
the Impact of Event Scale-Revised (IES-R) and Self-rating Depression Scale (SDS) questionnaires. In addition, qualitative
data from individual interviews with the participants was collected. Participants in the study were four out-patient women
with post-traumatic stress after stillbirth (three of the four experienced fatal state and emergency caesarean section) in
an urban area in Japan. Results: Three of the four participants reported reduction of post-traumatic stress symptoms after
treatment (ranging from two to three sessions) and the beneficial effects remained after 0.5-3 years. One participant only
had the assessment session. Symptoms of intrusive thoughts seemed most sensitive for treatment. None of the participants
completed the full EMDR treatment protocol. The participants were not prepared to work with other disturbing memories.
They also hesitated to lose some of memories about the stillborn infant. All of the participants were afraid of how they might
be influenced in the next pregnancy. Conclusion: EMDR might be a useful tool in the treatment for post-traumatic stress after
stillbirth, but we have to take great consideration about the timing of EMDR treatment. Further research is required.
Chronic pain presents a persistent and significant clinical challenge. Research examining commonly used psychotherapeutic treatments suggests that the results are not always well maintained, and that pain often is unrelieved. Continued exploration of new and more effective approaches is necessary. This article outlines an application of Eye Movement Desensitization and Reprocessing (EMDR), developed to improve coping and reduce chronic pain and suffering. The effectiveness of the EMDR Chronic Pain Protocol was investigated with three adult chronic pain sufferers. Intervention effectiveness was measured at baseline, during, and postintervention, with a two-month follow-up. All clients reported substantially decreased pain levels, decreased negative affect, and increased ability to control their pain following treatment. These results indicate that EMDR may be efficacious in the treatment of chronic pain and that further research is warranted. Copyright 2002 Wiley Periodicals, Inc. [PubMed]
Patients with complex PTSD are a challenging patient population. Even if
concepts like the Disorder of Extreme Stress (Herman et 01.1 and the new
research on structural dissociation (Nijenhuis et al.) helps to understand these
patients better, their treatment course is often complicated. In the
treatment of these patients EMDR can be one of the key treatments
approaches in a therapy setting that usually needs to also enclose other
treatment modalities and the overall treatment plan.
The objective of this course is to help therapists use the opportunities that the
8 phase EMDR treatment plan offers and to reduce the risks for their
treatment course. Also the implications of the use of the standard protocol
for EMDR and the inverted standard protocol are discussed.
Depending on the size of the group, time for discussion about clinical cases
of participants is welcome.
Participants will: 1) increase their confidence in deciding how, when, and where to use EMDR in the context of long term therapy with dissociative disorders; 2) increase their skills in being able to structure safe and contained EMDR sessions with clients with dissociative disorders; 3) increase their ability to adapt the EMDR protocol to the specific needs of specific clients with dissociative disorders; and 4) increase their knowledge of both the potential risks and potential benefits of using EMDR with dissociative clients.
This presentation seeks to address some of the challenges of using EMDR
cross-culturally with highly traumatised clients who have been the victims of physical and/or
psychological torture. The presentation will review characteristics of torture and how the
helplessness experienced by victims physically and psychologically can help the therapist to
case conceptualization and encourage adaptive learning with interweaves to assist the
processing allowing adaptive linkage being made with dysfunctional memory storage.
EMDR is very effective where trauma survivors present with somatisation, dissociation and
frozen states but desensitization and reprocessing can only be embarked upon after
adequate stabilization in the Preparation Phase. Methods of stabilization (including somatic
stabilization) will be covered and thereafter the basic EMDR protocol implemented with the
client focusing on damage to the self and the spirit.
As trauma therapists we are increasingly encountering the challenges of using
EMDR cross-culturally with highly traumatised clients who are refugees from wartorn
countries and/or oppressive regimes. This presentation seeks to address
some of the issues to be taken into consideration and the difficulties in working
with the victims of systematic infliction of physical and/or psychological torture.
Use of EMDR with these highly traumatised individuals will be examined and
ways in which the basic EMDR protocol may need to be adapted to treat these
highly traumatised individuals will be examined.
Learning Outcomes 1. How to integrate EMDR in the phase-oriented treatment of DID 2. Inspiration for finding creative solutions for the problems that can occur during the session (e.g. dissociation, reliving traumatic experiences, acting-out) 3. Witnessing the effect of EMDR 4. Encouraging collegue’s to indicate EMDR for complex trauma (under specific conditions).
The present study is carried out within a psychological
counseling project which is governed by Istanbul Metropolitan Municipality. The study was designed to assess the effects
of EMDR Integrated Group Treatment Protocol (EMDR-ICTP:
on the child victims of a terrorist bombing in Gun Goren, Istanbul.
In this study the EMDR-IGTP was used with 60 children
who are in 5th, 3rd and 4th grade and effected by the event
(exposed, witnessed or their relatives harmed, etc.) with high
scores on the Turkish version of 'Impact of Event Scale' (IES).
Before the group session. Child Report of Post-Traumatic Symptoms
(CROPS) and a survey asking 5 stress-related symptoms
of their lives after the bomb attack were applied. The group sessions consist of: meeting with children. explaining trauma,
psychological debriefing, EMDR (Installing the safe place, assessment,
drawing the first picture, drawing the second and the
third picture, tapping, relaxation), healing story and art therapy.
Participants completed another survey about what they have
realized during and after their group experience.
The study is completed with a re-evaluation of one and three
months follow-up. Analyses of the data collected from the participants
will demonstrate the effectiveness of EMDR in group
setting with children for reducing traumatic symptoms and developing
new resources to handle problems. In this study the
effectiveness of EMDR is examined according to the difference
between the ages of children, and the level of exposure (witnessing,
watching on TV etc.) to the traumatic event.
Participants will be able to describe the design, implementation, and results of the EMDR Integrative Group Treatment Protocol for diaster survivors. Participants will have the opportunity to learn the application of protocol with adults throught experiential demonstration.
The eye movement desensitization and reprocessing Integrative Group Treatment Protocol (EMDR-IGTP)
has been used in its original format or with adaptations to meet the circumstances in numerous settings
around the world for thousands of disaster survivors after natural or man-made incidents. In this
study, the EMDR-IGTP was applied during three consecutive days to a group of 20 adults during ongoing
geopolitical crisis in a Central American country in 2009. Results in this uncontrolled study showed significant decreases in scores on the Subjective Unit of Disturbance Scale and the Impact of Event Scale
(IES). Changes on the IES were maintained at 14 weeks follow-up even though participants were still
exposed to ongoing crisis. Controlled research is recommended to further evaluate the efficacy of this
intervention.
The EMDR Integrative Group Treatment protocol (EMDR-IGTP) has been used in different parts of the world since 1998 with both adults and children after natural or man-made disasters. This protocol combines the eight standard EMDR treatment phases with a group therapy model, thus providing more extensive reach than the individual application of EMDR. In this study the EMDR-IGTP was used with 16 bereaved children after a human provoked disaster in the Mexican State of Coahuila in 2006. Results showed a significant decrease in scores on the Child's Reaction to Traumatic Events Scale that was maintained at 3-month follow-up. Although controlled research is needed to establish the efficacy of this intervention, preliminary results suggest that EMDR-IGTP may be an effective means of providing treatment to large groups of people impacted by large-scale critical incidents (e.g., human-provoked disasters, terrorism, natural disasters. [Author Abstract]
Introduction:
This paper presents an overview of the Eye Movement Desensitization and Reprocessing – Integrative Group Treatment Protocol (EMDR-IGTP) that has been used since 1998 with both children and adults in its original format or with adaptations to meet the circumstances in numerous settings around the world for thousands of survivors of natural or man-made disasters and during ongoing geopolitical crisis.
Method:
The author's intention is to highlight and enlightened the reader of the existence of this protocol that combines the eight standard EMDR treatment phases with a group therapy model and an art therapy format and use the Butterfly Hug as a form of a self-administered bilateral stimulation, thus providing more extensive reach than the individual EMDR application.
Conclusion:
Randomize Controlled Trial Research is suggested to establish the efficacy of this intervention.
Eye movement desensitization and reprocessing (EMDR) is recognized as an effective and efficient treatment for trauma-related issues. This article describes an integrated EMDR and group treatment for children and adults traumatized by natural disasters in several Latin American countries. This protocol combines the eight standard EMDR treatment phases with a group therapy model. The hypothesis is that the resulting hybrid offers more extensive reach than did the original EMDR model, which was intended for use with individuals, and takes treatment efficacy and efficiency well beyond that expected from traditional group process. To illustrate the application of the model, one formally measured field study and nine pilot projects are described. The promising results of this intervention suggest that EMDR is an effective means of providing treatment to large groups of people impacted by large-scale traumatic events (e.g., natural disasters). Controlled research is needed to clarify this issue.
Therapeutic Process seems to be blocked for some patients with strong Developmental Disorders or exposed to Disturbing Early Life Experiences (Bessel A. van der Kolk). A specific approach during EMDR Intensive Therapy (EMDRIT) using the Case Conceptualisation (Andrew Leeds), based on the Adaptive Information Processing (AIP) model (Francine Shapiro), the Attachment Theory (John Bowlby) and the Useful and Necessary Renouncement Principe (Judith Viorst) allow those patients to progress.
As a pilot experience, we have been able to use this EMDRIT framework with 64 clients.
Their complex disorders included, for each of them, at least 3 of the following symptoms:
Anxiety, depression, primary structural dissociation, alcohol addiction, eating behaviour disorders, travel phobia, emotional numbing, affective isolation, hypochondria, phantom limb syndrome, fibromyalgia, cancer, psychological or physical abuse survivor, perpetrator of violent aggressions.
For the 25 first clients, we have used the PCL-S (pathology threshold > 44) test. Their pre-treatment average score was 70. It dropped to 28 after EMDRIT treatment, down to 26 after 3 months and stabilised at 29 after 1 year. These first results allowed us to define a target population and an adapted protocol that provides client safety, efficiency and result sustainability. For the 39 next clients, we measured a decrease of the SCL-90-R (pathology threshold > 1,5) test score from 3 before treatment down to 1,4 after treatment, 1,2 after 3 months and 1,3 after 1 year. We measure efficiency on 87% of the clients and a suppression of 80% of the symptoms after 1 year. At the same time, a control cohort of 20 people with identical pathologies saw their score drop from 3 to 2,3 with the same treatment time, using the standard EMDR protocol. From this preliminary result, we are developing some research hypothesis:
•Selection criteria for EMDRIT, based on the patient ability accessing Adaptive Memory Networks (AMN).
•The Targeting Sequence Plan, seen as an expression of the Dysfunctional Memory Networks (DMN).
•The importance of the client emotional Window Of Tolerance (WOT) for the efficiency of the Adaptive Information Processing system.
•Epigenetic show possible structural brain modifications by rehabilitation of fluid links across the 3 levels of the brain (reptilian, limbic and neo-cortical). These changes are immediate and permanent.
•Need to standardize appropriate scale for database, in order to foster international research and results sharing.
We sea AIP model as an opportunity to move from an analytic and sequential approach to a systemic and integrative approach based on Complex System for a global understanding.
The effectiveness of EMDR with trauma survivors has been widely reported. Studies support the use of EMDR in the treatment of symptoms caused by trauma in children and adolescents, and they have evaluated the usefulness of EMDR following disaster events Group therapy is a well-proven form of treatment for traumatized children and adolescents. The EMDR Integrative Group Treatment Protocol (IGTP) combines the Standard EMDR treatment Phases 1 through 8 with a Group Therapy model. Designed initially for work with children, the EMDR-IGTP has also been found suitable for group work with adults. The EMDR Integrative Treatment Protocol Script is provided. (PsycINFO Database Record (c) 2009 APA, all rights reserved)
This workshop will address the challenges of working with clients raised in invalidating environments marked by deprivation and neglect. With significant disruptions in attachment (caregivers who were unpredictable, rejecting, frightening or frightened) and without the experience of a secure base from which to explore the world, such individuals often fail to develop a sense of object constancy and permanence and the capacity for reflection and metacognition. They lack self-compassion, self-confidence, and the capacity to self-regulate. They are often plagued by a profound sense of aloneness, shame, and self-hatred, denying their needs or convinced that their needs can never be met. Together, we will examine the ways in which EMDR can be utilized to promote the development of a secure, coherent sense of self. Protocol adaptations and cognitive interweaves to address feelings and beliefs associated with invisibility, unworthiness, and core badness will be highlighted. Cases will be presented with accompanying videotape segments, highlighting EMDR developmental repair strategies.
The effectiveness of EMDR with children can be enhanced with the use of a number of theoretical conceptualizations, protocol modifications, and specific techniques. In this master class, we will cover: understanding how attachment
theory informs the use of EMDR with attachment-disordered children; how EMDR can be used on a group basis across cultures, with children scarred by war as well as natural disasters; how attunement is more important than relationship
in EMDR; how resource development can be used within the EMDR protocol, instead of beforehand; how dissociation is manifested and treated with children; how additional techniques can be used to jump-start stalled processing with
children; how trauma-based diagnosis relates to DSM-lV nomenclature; how heart math solutions can be combined with Safe Place; and how one- and two-year-old childrcn can benefit from EMDR. Also, participants will be encouraged to share their own experiences, techniques, and conceptualizations with EMDR and children.
EMDR Master Clinicians will present case examples that outline case conceptualization, treatment planning, and course of treatment. Each presenter will demonstrate: 1) the essential elements of EMDR, 2) provide conceptional clarity as to when and why to use EMDR, 3) demonstrate
perceptual fidelity using interventions, when interventions are needed and how much is needed. 4) provide clarity about why, when, and where to
adapt the protocol given the client's clinical needs.
EMDR (Eye Movement Desensitization and Reprocessing) hat Tausenden von Erwachsenen geholfen, die unter den Nachwirkungen traumatischer Erlebnisse litten. Für die Arbeit mit Kindern und Heranwachsenden wird das EMDR-Protokoll so modifiziert, dass es sogar bei Kindern im Alter von zwei Jahren angewandt werden kann. Ein System zur Klassifizierung von Kindheitstraumata, das es Therapeuten ermöglicht, die Reaktion eines Kindes auf EMDR einzuschätzen, wird ebenfalls vorgestellt. Fallbeispiele veranschaulichen die Anwendung von EMDR bei unterschiedlichen Traumata.
Ein ausführlicheres Bild von diesem Buch können sich die Leser durch die Leseproben auf der Verlags-Website machen.
EMDR (Eye Movement Desensitization and Reprocessing) has helped thousands of adults who suffered from the aftereffects of traumatic experiences. To work with children and adolescents, the EMDR protocol is modified so that it can be applied even in children aged two years. A system for classification of childhood trauma, which allows therapists to assess the reaction of a child to EMDR is also presented. Case studies illustrate the application of EMDR with various traumas. A more complete picture of this book can make the reader through the excerpts on the publisher's website.
Riassunto, Alcuni autori (Shapiro F., Omaha J., Popky A.J., Hase M.), ipotizzano che il metodo EMDR (Eye Movement Desensitization and Reprocessing) possa essere utile ai pazienti tossicodipendenti sia per avere una migliore adattabilità e funzionalità del comportamento sia per allontanare il tempo delle ricadute.
Tuttavia gli studi con l’EMDR applicato alle tossicodipendenze sono rari e in Italia pressoché
assenti. L’autore, con l’intento di offrire un input per stimolare future ricerche, riassume il protocollo standard dell’EMDR, il protocollo DSRC sulla desensibilizzazione degli stimoli e la rielaborazione della compulsione e il protocollo DRDA sulla desensibilizzazione e rielaborazione del ricordo del disturbo d’astinenza. Nei soggetti che hanno effettuato i vari protocolli EMDR è stato possibile rilevare un risultato
positivo a breve termine tramite i punteggi delle scale SUD (Subjective Units of Disturbance), VOC
(Validity of Cognition), LOU (Level of Urge) e anche attraverso la valutazione di disegni effettuati prima e dopo la seduta EMDR.///
Shapiro F., Omaha J., Popky A. J., Hase M. et al. have speculated that Eye Movement Desensitization and Reprocessing (EMDR) could be useful in the treatment of drug addicted subjects, to reach better adjustment and behavioural functioning and/or to increase the time interval between relapses. Currently,
studies reporting the use of EMDR with drug addicted patients are scarce and, in Italy, absent. The article, in order to offer an input to stimulate further research and increase its application, summarizes the
EMDR method and considers the possibility for the use of the “Standard EMDR protocol”, the
“Desensitization of Triggers and Urge Reprocessing” protocol and the “Withdrawal Disorder Memory Desensitization and Reprocessing” protocol within the Public Drug Abuse Departments. Subjects who underwent the various EMDR treatment protocols showed positive results in the short-term period, when tested with SUD (Subjective Units of Disturbance), VOC (Validity of Cognition) and LOU (Level of Urge)scales. Encouraging results were also obtained through the evaluation of drawings done by the subjects
before and after the EMDR treatments.[Author Abstract]
Sujeitos vítimas de amputação podem apresentar, imeditamente após a mesma, algum tipo de desconforto no membro ausente, descrito como formigamento, dormência, posição do membro, temperatura, latejamento, choque e apertamento que podem manifestar-se com a presença ou não de dor, tendo sua qualidade de vida reduzida. Observa-se que atualmente, as abordagens terapêuticas usadas no manejo da dor e das sensações fantasmas podem ser organizadas em três modalidades: medicamentosa, de apoio e cirúrgica, feitas em conjunto ou separadamente. Os tratamentos de apoio mais conhecidos incluem estimulação elétrica nervosa transcutânea, terapia vibratória, acupuntura, hipnose e biofeedback. A proposta desse estudo foi verificar a eficiência do EMDR na redução e/ou eliminação das sensações e da dor fantasmas aplicado a seis sujeitos com amputação de membro inferior, num período de um a três meses de duração (de 4 a 12 sessões de 60 a 90 minutos de duração), utilizando o protocolo EMDR padrão e o protocolo EMDR para a dor, e também exercícios corporais de respiração consciente, aliados, em casos de resistência dos sujeitos ao EMDR, à ativação da visão macular dos dois olhos e a exercícios rítmicos de espernear. Tais procedimentos proporcionaram uma melhor comunicação entre os hemisférios cerebrais, numa reorganização cortical que facilitou o aumento da consciência e aceitação da perda do membro amputado, sendo possível presenciar efeitos terapêuticos positivos e rápidos. Constatou-se que as sensações e as dores fantasmas diminuíram significativamente em três participantes e desapareceram por completo nos outros três, comprovando a eficácia e eficiência do EMDR no processo de inclusão e readaptação social em sujeitos vítimas de amputação.
Subjected victims of amputation may have, immediately after it, some kind of discomfort absent member, described as tingling, numbness, limb position, temperature, throbbing, clenching and shock that may occur with the presence or absence of pain, having a reduced quality of life. It is observed that currently, the therapeutic approaches used in the management of pain and phantom sensations can be organized into three types: medication, and surgical support, made jointly or separately. The most popular treatments include support transcutaneous electrical nerve stimulation, vibratory therapy, acupuncture, hypnosis and biofeedback. The purpose of this study was to examine the efficacy of EMDR in the reduction and / or elimination of phantom sensations and pain applied to six subjects with lower limb amputation in a period of one to three months duration (4 to 12 sessions of 60 to 90 minutes), using the standard EMDR protocol and the protocol EMDR for pain, and also body conscious breathing exercises, combined, in cases of resistance to the subject of EMDR, the activation of macular vision in both eyes and rhythmic exercises kicking . These procedures allow for a better communication between the cerebral hemispheres, cortical reorganization in which facilitated the increased awareness and acceptance of the loss of the amputated limb, and you can witness the positive therapeutic effects and fast. It was found that the sensations and phantom pain significantly decreased in three participants and disappeared completely in the other three, proving the efficiency and effectiveness of EMDR in the process of inclusion and social rehabilitation of victims subject to amputation.
Efficacy of EMDR on Children Affected by Earthquake: The aim of the study was to investigate the efficacy of EMDR as an
intervention technique for trauma victims. A sample of 50 students, studying in 10th grade, age ranging from 14 to 16 years
were selected. The Impact of Event Scale (IES) was administered to measure the intensity of trauma experienced. A pre-post
test research design was used in the study. The results were in the predicted direction. EMDR was found to be effective in
reducing avoidance, intrusion and hyper arousal as well as overall impact of trauma.
“Group EMDR With Earthquake Survivors”
The current study is an attempt to understand the impact of a specific traumatic events and its expression in children i.e. the
earthquake that occurred in Gujarat, Western India in January 2001.
This study was a part of the therapy work conducted with the survivors of the earthquake by the group of 40 practitioners
from Mumbai and was over 4 months.
The paper will present the following aspects:
1. The symptoms seen among the children depicting PTSD as per DSM IV criteria. Signs of Hyper-arousal, Avoidance and
Intrusion were clearly seen especially in children
2. The process used. This was a modified version of the standard 8 phase protocol appropriate for use with group work.
Butterfly hugs were used as BLS. Stages of EMDR for this group:
3. Observations and a few unique experiences
These include blocking of trauma image, difficulty in safe place visualizing, difficulty in distancing and using creative
techniques for soothing and relaxation.
4. Impact of the EMDR intervention with this group
More than 16000 children from about 30 schools were seen. based on observations and reports by teachers during the
follow up showed reduction in anxiety, reports of life resembling pre-earthquake, improved attention and concentration,
better sleeping patterns and lowering of somatic complaints.
Impact and expression of trauma in children exposed to the earthquake: The current study is an attempt to understand
the impact of a specific traumatic event and its expression in children i.e. the earthquake that occurred in Gujarat, western
India in January 2001. The Butterfly hug technique for bilateral stimulation was used following 8 steps of EMDR. Drawings
of children were used as their expressions during different phases of EMDR. Drawings during “ Assessment phase” depicted
feelings of insecurity, a sense of vacuum and emptiness, low energy levels, a desire for contact and help, feelings of guilt, poor
body image, hypersensitivity was noticed almost universally and even during therapy. Drawings, following the processing
and installation phases indicated the facial expression changed to a smile. Tears which were present in almost all drawings
were not noted Positive cognitions were reflected in terms of the growth and freshness e.g. the newly growing grass. In spite
of the various symptoms of post traumatic stress disorder, no gross disintegration of personality had been noted.
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.
Persistent pain is common in
people who have experienced trauma; and persistent pain also leads to trauma responses.
This workshop will focus on using the Pain Protocol (Grant and Threlfo, 2002), using a
practical approach to clinical work with clients. The pain protocol is based on the Adaptive
Information Processing model, (Shapiro 1995), and takes into account the overlap
between the experience of pain and traumatic experiences. It is expected that participants
not necessarily have experience of working specifically on pain using EMDR with clients.
An increasing body of evidence suggests that using the EMDR Pain Protocol can be
effective in three main ways:
• Reducing the experience of pain;
• Targeting pain memories; and
• Overcoming the impact of pain on the individual.
The application of the protocol assumes that it is possible to influence neurological
pathways involved in maintaining persistent pain messages.
The workshop will include a brief overview of research evidence and current clinical
experience, and will primarily focus on practical applications. This will include working
with imagery in specific ways relevant to working with people in pain; and discussion of
case examples.
At the end of the workshop, it is hoped that participants have increased confidence in
working with people who have pain; having practiced elements of the protocol and
discussed their implications for clinical practice.
It is estimated that approximately 30% of the population world-wide suffer
from chronic pain. In this workshop you will learn how to use EMDR in
order to treat patients who have specific forms of chronic pain e.g. phantom
limb pain, whiplash and chronic differentiation pain. Theoretical
information, practical instructions with demonstration videos of illustrative
cases and exercises or role-playing to practise yourself will all be utilised.
You will be provided with enough information and skills in order to be
confident to start treating pain patients in your own clinical practice.
This workshop will provide you with the following information:
•relevant neurobiological information about chronic pain in order to
determine whether a specific type of pain can be treated using EMDR
•the empirical status of the application of EMDR on pain and a short
review of current research and literature
•how to motivate this difficult patient group to try EMDR
•how to conceptualise a case for EMDR, the indications and contraindications
•how to choose suitable targets with pain patients
•the use of the EMDR protocol in its specific application to pain
patients and how to work with pain itself as a target
•complications you can expect and how to deal with these.
Aims:
•identify clients with chronic pain for whom EMDR may be
appropriate
•increase knowledge and understanding of the use of EMDR
in the treatment of chronic pain
•apply EMDR in the treatment of patients with chronic pain.
Target group:
EMDR trained therapists working with patients with chronic pain.
Il ricordo di un trauma recente differisce da quello di un trauma avvenuto in un passato più distante, poiché è ancora frammentato e disorganizzato e quindi non si è ancora integrato all’interno di un evento coerente, pertanto potrebbe non essere ancora generalizzato e rappresentato da un’immagine. Questo è il motivo per cui per il trattamento terapeutico di eventi traumatici avvenuti da alcune settimane, o forse anche da pochi mesi, sarà necessario ricorrere ad un protocollo specifico che pur preservando l’integrità delle 8 fasi del protocollo EMDR standard, sia in grado di approcciare l’evento all’interno di un resoconto.
In questo lavoro verrà descritto un protocollo, elaborato da Elan Shapiro e Brurit Laub per il trattamento dell’Episodio Traumatico Recente ( Recent Traumatic Episodi Protocol ; R-TEP), il quale approccia l’evento in termini di episodio intero (definito come il periodo che va dall’evento traumatico ad oggi) ed introduce una strategia per la scelta del target, da loro denominata “Google Search”. L’ipotesi è che l’assimilazione e l’integrazione dell’informazione traumatica avvenga ristabilendo la regolazione adattiva dell’attenzione; le relazioni parte/tutto si muovono attraverso catene associative nella direzione della differenziazione e integrazione puntando al completamento, nel senso dell’integrazione armonica delle esperienze negative e positive. L’elaborazione si muove da un ristretto focus sull’immagine (livello percettivo), ad un più ampio focus sull’evento /episodio (livello esperienziale), sino ad un focus esteso riferito al tema/identità (livello di significato).
Il completamento dell’elaborazione di un trauma recente potrà prevenire lo sviluppo di un PTSD, ristabilendo l’Elaborazione Adattiva dell’Informazione (AIP).
The memory of a recent trauma differs from that of a trauma occurred in a past more distant it is still fragmented and disorganized and therefore not yet integrated in a event consistent, so it may not yet be generalized and represented by an image. That is why for the treatment of traumatic events that occurred some weeks, or maybe even a few months, you must use a specific protocol that even preserving the integrity of the 8 phases of EMDR standard protocol, is able to approach the event within a report.
In this paper we describe a protocol, developed by Elan Shapiro and Laub Brurit for Traumatic handling of the episode recently (Traumatic Recent Episodes Protocol, R-TEP) which approaches the event in terms of the whole episode (defined as the period from event traumatic present) and introduces a strategy for choosing the target, which they called "Google Search. The hypothesis is that the assimilation and integration of information occurs traumatic adaptive re-establishing control of attention, relations part/whole move through associative chains in the direction of differentiation and integration aiming at completion, harmonious integration in the sense of positive and negative experiences. Processing moves by a narrow focus on the image (perceptual level), to a broader focus on the event/episode (experiential level), up to an expanded focus refers to theme / identity (level of meaning).
Completing the development of a recent trauma may prevent the development of PTSD, restoring the Adaptive Information Processing (AIP).
The EMDR Performance Enhancement Psychology Protocol (EMDR-PEP) addresses performance anxiety, self-defeating beliefs, behavioral inhibition, posttraumatic stress, and psychological recovery from injury for creative and performing artists, workplace employees, and athletes. The EMDR-PEP can be very useful with everyday nonpathological complaints such as procrastination, fear of failure, setbacks, and life transitions. Note: Clinicians, working with athletes require rigorous training in Sport Psychology and Sociology of Professional Sport. The EMDR-PEP encompasses a full spectrum viewpoint (body, mind, and spirit) regarding optimal functioning at work and in life. This perspective inspires clients to identify their strengths as well as areas to improve and to prioritize their work accordingly. The EMDR-PEP approach draws upon Maslow's (1971) Human Potential Movement and Positive Psychology (Amen, 2002; Buss, 2000; Csikzentmihalyi, 1990; Seligman, 1998; Taylor, Kemeny, Reed, Bower, & Gruenwald, 2000), as well as Sport Psychology Research and Principles (levleva & Orlick, 1991; Kohl, Ellis, & Roenkerm, 1992; Mamassis & Doganis, 2004; Martin, Moritz, & Hall, 1999; Nideffer, 1976; Short & Short, 2005; Simons, 2000; Unestahl, 1982), and Health Psychology (Graham, 1995; Levine, 1991; Simonton & Creighton, 1982; Whiting & den Brinker, 1982). The first single subject series (Foster & Lendl, 1996) reported promising findings with four diverse work-related situations and was republished in APA's seminal coaching papers in Consulting Psychology, The Wisdom of Coaching (Foster & Lendl, 2007). Reduced anxiety and increased self-confidence were reported for mature performing artists launching an existing repertoire into a new arena (Foster, 2000) and in a controlled study of master swimmers (Linebarger, 2005). Note: The Linebarger study included the Brief Intervention Focusing Protocol; the paper does not include inner advisor and mental room. Special attention is given to performance elements such as ability, focus, and motivation. The EMDR Performance Enhancement Psychology protocol Forms and Script are included. [PsycINFO Database]
Dissociative symptoms are common in traumatic stress syndromes (e.g., complex PTSD, disorder of extreme stress not otherwise specified [DESNOS], borderline personality disorder, and dissociative disorders). They commonly interfere with psychotherapy including EMDR treatment. It appears that the adaptive information processing system gets overwhelmed and shuts down, thereby barring the integration and resolution of traumatic experience and thus precluding positive treatment outcomes. A series of case studies by Ferrie and Lanius found that the administration of an opioid antagonist prior to EMDR treatment significantly reduced dissociative symptoms, somatization, and numbing, as well as aiding trauma processing. The present chapter describes the relevant scientific research, as well as a theoretical rationale and a protocol, for the use of opioid antagonists in trauma processing with EMDR. [Text, p. 121]
This randomized, controlled group field study was conducted subsequent to a 7.2 earthquake in North Baja California, Mexico. Treatment was provided according to continuum of care principles. Crisis management debriefing was provided to 53 individuals. After this, the 18 individuals who had high scores on the Impact of Event Scale (IES) were then provided with the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical Incidents (EMDR-PRECI), a single-session modified EMDR protocol for the treatment of recent trauma. Participants were randomly assigned to two groups: immediate treatment group and waitlist/delayed treatment group. There was no improvement in the waitlist/ delayed treatment group, and scores of the immediate treatment group participants were significantly improved, compared with waitlist/delayed treatment group paticipants. One session of EMDR-PRECI produced significant improvement on symptoms of posttraumatic stress for both the immediate-treatment and waitlist/delayed treatment groups, with results maintained at 12-week follow-up, even though frightening aftershocks continued to occur frequently. This study provides preliminary evidence in support of the protocol's efficacy in a disaster mental health continuum of care context. More controlled research is recommended to evaluate further the efficacy of this intervention.
This ongoing field study was conducted subsequent to the discovery of clandestine graves with 218 bodies recovered in the Mexican state of Durango in April 2011. A preliminary psychometric assessment was conducted with the 60 State Attorney General employees who were working with the corpses to establish a triage criterion and provide baseline measures. The Impact of Event Scale (IES) and the short posttraumatic stress disorder (PTSD) rating interview were administered, and the 32 individuals whose scores indicated moderate-to-severe posttraumatic stress and PTSD symptoms were treated with the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical Incidents (EMDR-PRECI). Participants were assigned to two groups: immediate treatment (severe scores) and waitlist/delayed treatment (moderate scores). Each individual client session lasted between 90 and 120 minutes. Results showed that one session of EMDR-PRECI produced significant improvement on self-report measures of posttraumatic stress and PTSD symptoms for both the immediate treatment and waitlist/delayed treatment groups. This study provides preliminary evidence in support of the protocol's efficacy in a natural setting of a human massacre situation to a group of traumatized adults working under extreme stressors. More controlled research is recommended to evaluate further the protocol's efficacy.
This article reports the follow-up results of our field study (Jarero & Uribe, 2011) that investigated the
application of the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical
Incidents (EMDR-PRECI) in a human massacre situation. A single individual session was provided to
32 forensic personnel of the State Attorney General in the Mexican state of Durango who were working
with 258 bodies recovered from clandestine graves. Pre-post results showed significant improvement for
both immediate treatment and waitlist/delayed treatment groups on the Impact of Event Scale (IES) and
Short PTSD Rating Interview (SPRINT). In this study, we report the follow-up assessment, which was
conducted, at 3 and 5 months posttreatment. Follow-up scores showed that the original treatment results
were maintained, with a further significant reduction of self-reported symptoms of posttraumatic stress
and PTSD between posttreatment and follow-up. During the follow-up period, the employees continued
to work with the recovered corpses and were continually exposed to horrific emotional stressors, with
ongoing threats to their own safety. This suggests that EMDR-PRECI was an effective early intervention,
reducing traumatic stress for a group of traumatized adults continuing to work under extreme stressors in
a human massacre situation. It appears that the treatment may have helped to prevent the development
of chronic PTSD and to increase psychological and emotional resilience.
Participants will learn: 1) the Chemotion Model for chemical dependency disorder describing how substance abuse presents an reenactment of childhood emotional trauma: 2) how specific object relations deficits constitute emotional traumas that translate into specific chemical dependencies in the adult substance abuses; 3) how the object relations deficits driving chemical dependency can be evoked through Gestalt communication technique or recognized in dreams; and 4) how to apply principles of EMDR to desensitize and reprocess object relations deficits driving chemical dependency.
The panel reviews EMDR research, explains the strengths and weaknesses of its current status, and discusses possible future research in the next 5 to 10 years. The panel begins with a discussion of the meaning of “evidence-based” designations, and related legal and ethical implications. A review of EMDR’s efficacy in the treatment of PTSD also highlights areas for future research and issues related to deviations from the standard protocol. This is followed by an overview of preliminary research evaluating EMDR’s effectiveness in the treatment of anxiety disorders, depression, somatic disorders, pain, substance abuse, and offender behavior. A summary of past and current research in these areas indicates opportunities for important future research. The panel concludes with a summary of the research on the effects of eye movements, in disrupting traumatic memories, enhancing physiological de-arousal, and creating psychological distance. The relevance of these findings for various proposed mechanisms in EMDR is discussed, and future research is encouraged.
Erinnerungen an traumatische Ereignisse oder schmerzbezogene Erinnerungen, die
gegenwärtig noch negative Affekte hervorrufen und eine dysfunktionale Bedeutung haben,
kann man zuvor mit Hilfe des Standardprotokolls prozessieren. Dieses EMDR
Schmerzprotokoll wurde für aktuelle Schmerzen als Zielsymptom entwickelt. Die Zielsetzung
dieses Schmerzprotokolls besteht in der Reduktion aktueller Schmerzen.
Memories of traumatic events or pain-related memories,
currently still cause negative emotions and have a dysfunctional importance
before one can litigate with the standard protocol. The EMDR
Pain protocol was developed for current pain as a target symptom. The objective
Minutes of this pain is the reduction of current pain.
The subject of this paper is a woman with obsessive-compulsive disorder who had previously
worked as a nurse, and underwent EMDR treatment. She obsessively blamed herself, stating "The
patient might have died as a result of my mistake". Being convinced of her own guilt, she started
showing maladjustment, and subsequently quit working.
Her treatment showed modification that strayed from the regular course of standard EMDR
sessions due to the uniqueness of the target memories. In all EMDR sessions. she checked the
traumatic memories from first to last. The therapist had her visualize images of happiness from
her own experience and taught her a technique to suppress negative images. By expressing her
feelings in a protected clinical environment, she was able to recover the self-esteem.
A clear and comprehensive guide to using EMDR in clinical practice. This edited collection—a follow-up to Shapiro’s successful EMDR Solutions—presents step-by-step instructions for implementing EMDR approaches to treat a range of issues, written by leading EMDR practitioners. The how-to approach, mixed with ample clinical wisdom, will help clinicians excel when using EMDR to treat their clients. The units include:
A comprehensive compendium of EMDR interventions for Depression, it begins with Robin Shapiro’s Assessment, Trauma-Based and Endogenous Depression chapters, continues with Jim Knipe’s Shame-Based Depression chapter, and ends with Shapiro’s Attachment-Based chapter.
The eight chapters of the Eating Disorder unit cover all the bases. From etiology to neurology through Preparation phases and treatment strategies, you’ll learn how to work with Bulimia, Anorexia, Body Dysmorphia, Binge Eating Disorder, disorders of Desire and more. Andrew Seubert is the ring leader. The other writers are Janie Scholom, Linda Cooke, Celia Grand, DaLene Forester, Janet McGee, Catherine Lidov, and Judy Lightstone.
Performance, Coaching, and Positive Psychology unit emphasizes strengths, skills, focus, and whatever gets in the way of reaching the goal. David Grand shares his foundational 15 Strategies for Performance enhancement. Ann Marie McKelvey integrates EMDR with Coaching and Positive Psychology.
The Complex Trauma unit includes Katie O’Shea’s useful and user-friendly Preparation Methods and Early Trauma Protocol, Sandra Paulsen and Ulrich Lanius’s brilliant collaboration Integrating EMDR with Somatic and Ego State Interventions, Liz Massiah’s hair-raising Intrusive Images chapter, and Shapiro’s treatment strategies for OCPD.
Robin Shapiro gives an overview of Medically-Based Trauma and her strategies for successful treatment of Multiple Chemical Sensitivities. Katherine Davis shows us how Post-Partum “Depression” is often treatable Post-Partum PTSD.
Ronald Ricci and Cheryl Clayton tell us how to use EMDR in our work with Sex Offenders and their complete therapeutic milieu.
Martha S. Jacobi develops our “third ear” for using EMDR with Religious and Spiritually-Attuned clients.
This book is a manual for doing EMDR with diverse client populations. [Text, P. 3]TOPICS TREATED: The strategic developmental model for EMDR; Integrating resource development strategies into your EMDR practice; EMDR for clients with dissociative identity disorder, DDNOS, and ego states; EMDR processing with dissociative clients: adjunctive use of opioid antagonists; The phantom limb pain protocol; The two-hand interweave; DeTUR, an urge reduction protocol for addictions and dysfunctional behaviors; Targeting positive affect to clear the pain of unrequited love, codependence, avoidance, and procrastination; The reenactment protocol for trauma and trauma-related pain; EMDR with cultural and generational introjects; Exiting the binge-diet cycle; Utilizing EMDR and DBT techniques in trauma and abuse recovery groups; Using EMDR in couples therapy; EMDR with clients with mental disability; Treating anxiety disorders with EMDR; Affect regulation for children through art, play, and storytelling. [Pilots]
Resource Development, EMDR is an addition to standard protocol. Procedure of each session to reveal the source of healing and therapy by the end of the beginning of a resource series covers the creation. Personal resources and the settlement to be found exactly matching procedure to the problem of uncovering the unconscious and strengthen cross-country skiing in both sessions, as well as in everyday life is to make accessible. There are three types of resource development: Historical Resource Development, Present and Future Development Resources Resources Development. Standard protocol problems, sensory, cognitive, emotional and somatic components are becoming a focus can be achieved. Personal Resources Development in the settlement, resources focus dialectic movement is intensified. Sources of development activity in recent years both in Israel and other EMDR therapists Brurit Laub'ın is observed in the practice. Procedures and video images live applications and small groups will be presented with applications that can be made, personal resources development and placement will be given immediately to the practice of protocol participants.
This author has been interested in the idea of consolidating information in an accessible form throughout her career. The EMDR Summary Sheet was the result of a need on her part to have access to all of the relevant information concerning client information and EMDR interventions at a glance. This EMDR Summary Sheet is a way to consolidate important client information quickly and succinctly. [PsycINFO Database]
The presentation will illustrate how the systemic model created by Mony Elkaïm for understanding couple crisis can be
useful in the EMDR treatment of couples. This model insists on the double bind in which each member of the couple is torn
between his/her Official Program and his/her World View. For example: “I want to be loved” (O.P) and” if someone loves me
he will leave me” (W.V.). These world views are creating repetitive cycles which are trapping the members of the couple or of
any people in relationship.
The aim of EMDR practitioner is to treat the dysfunctional stored memories connected with these worldviews and give them
flexibility to free the members of the couple from the vicious circle in which they are caught.
In this presentation we propose to show how making hypothesis about the World view of each member of the couple and
verifying them will guide us to the individual target that will be the Gordian knot in the present problem which the couple
come with, helping the system to evolve from a situation of crisis to a situation of equilibrium. Using EMDR will help to give
flexibility to the world view of each member. Using it within Mony Elkaïm’s systemic model will help the couple. Following
each phase of the EMDR model eight phases protocol, we will show how it will be applied to couple therapy with case studies
and practice example. This target plan can be apply to any dyad or system in crisis.
This Clinical Q&A section responds to a question about organizing a client's historical information into a targeting sequence within a treatment plan that is consistent with Shapiro's (2001) three-pronged protocol. The procedures for identifying and prioritizing treatment eye movement desensitization and reprocessing (EMDR) targets are reviewed in the context of Shapiro's theoretical model, and various time line models are summarized. The author then presents her EMDR Target Time Line, which provides a practical simple visual tool for documenting past, present, and future aspects of the presenting problem. It allows the therapist to note if disturbing past experiences present around a core theme, such as negative cognitions, physical symptoms, or situations/persons/circumstances. Three clinical cases are used to illustrate the form's application with various types of treatment targets.
The number of children and teens struggling with symptoms of stress and anxiety disorders is increasing at an alarming rate. This workshop will discuss some causes for the increase in stress and anxiety disorders among children and teens. An introduction to the Triune Brain Theory and brief explanation of the implications of the changes on the anxious child or teenage brain will be highlighted. Next, effective exercises to calm the body and rewire the brain will be introduced. Creating new neural pathways, through the use of Positive Resource Building utilizing EMDR, will also be taught. Looking specifically at anxiety and how to target it when using EMDR, will also be explored. The workshop will conclude by introducing how to shrink the “Worry Monster” using an EMDR protocol.
Learning objectives:
1.Describe the Triune Brain Theory and how trauma rewires the brain to create heightened levels of anxiety and stress.
2.Demonstrate 5 exercises which help calm the stress response within the body.
3.List 5 “Positive Resources ”which when combined with EMDR anchor calm feelings in the brain/body and rewire the brain.
4.Discuss how to chose appropriate targets for EMDR processing with anxious kids.
5.Describe how to create a “Worry Monster” for processing anxiety with EMDR.
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.
Many clients who present for EMDR are medicated with psychiatric drugs. The question arises whether these
medications are helpful in the context of EMDR therapy or not. We as psychotherapists, by definition, are involved
in a dialogue about mental health with our clients; therefore, on the important subject of psychoactive medication
we have a responsibility to be informed ourselves and to share this information with our clients. This presentation
is intended to provide tools especially for the non-medical therapist to learn how to navigate the territory of
psychiatric drugs-use in a way that helps clients. Included in the presentation will be a discussion of individual
case studies of traumatized clients, who had first been treated with psychiatric medication and then sought EMDR
therapy; an examination of how psychiatric drugs help or hinder and how they compare to the EMDR therapy
approach; and evidence from the current literature which calls into question the assumption of mental disorders
being due to a chemical imbalance requiring life-long medication. The robustness of the EMDR protocol and how
helpful it has proven to be to clients who have dealt with being heavily medicated and suffering from attendant
side effects will be illustrated. Learning objectives:
• Critique the evidence-based literature on psychiatric medication and the now insupportable information, given
to clients and doctors, which excludes the findings of long-term harm caused by all classes of psychiatric
medication. Participants will be able to assess the importance of the few reliable long-term outcome studies
and compare the effectiveness of psychotherapy/EMDR with psychiatric drugs.
• Evaluate a series of cases studies of clients, previously traumatized, who were medicated with psychoactive
drugs when first seeking EMDR Therapy.
• Gain knowledge of the different available protocols designed to help clients to be safely weaned off
psychiatric medication.
• In the process of discussion, participants will compare their own and other participants’ experiences with
such medicated clients.
Introduction:
This article examines the history and development of Eye Movement Desensitization and Reprocessing (EMDR), from Dr. Francine Shapiro's original discovery in 1987, to current findings and future directions for research and clinical practice.
Elements of the literature:
An overview is provided of significant milestones in the evolution of EMDR over the first 20 years, including key events, research and scientific publications, and humanitarian efforts. The authors also describe the Adaptive Information Processing (AIP) model, which is the theoretical basis of the therapy; they address the question of mechanisms of action, and EMDR's specific contribution to the field of psychotherapy.
Discussion:
EMDR is an integrative psychotherapy, which sees dysfunctionally stored memories as the core element of the development of psychopathology. In its view of memory, it integrates information that is sensory, cognitive, emotional and somatic in nature. The EMDR protocol looks at past events that formed the presented problem, at the present situations where the problem is experienced, and at the way, the client would like to deal with future challenges.
Conclusion:
EMDR is a 25-year-old therapy that has accumulated a substantial body of research proving its efficiency, and is now part of many professional treatment guidelines. The research is pointing to its potentially large positive impact in the fields of mental and physical health.
This workshop will address the integration of EMDR into an overall treatment plan for adult incest and neglect in childhood have experienced.
The workshop is a deepening of the keynote of the conference. The methodology will be explained in detail and will be illustrated with video presentations and discussion of case studies.
Initially, explains how the development and bonding needs of the client can be investigated and how a meaningful descriptive diagnosis can be developed into an integrated, logical plan of treatment.
In this group of clients, where there is limited affect tolerance, vulnerability to hyper-and hypoarousal and dissociative characteristics, the standard EMDR protocol to be adapted to specific strategies. As will be discussed in detail.
Also, much attention is paid to the integration of EMDR specific techniques, such as various ego-enhancing protocols and resource installation (RDI) in all phases of treatment.
Will also discuss techniques that help clients to their dysfunctional defense mechanisms to let go, so changing schedules with their distinctive core ideas and possible kernaffecten
Participants in this workshop will learn to pathogenic emotional states (such as shame, despair, unbearable loneliness feelings), and fears "blocking beliefs", ego-state conflicts to recognize that the most effective and interweaves resource options can be applied.
Moreover, through strategies for recovery, such as clarifying responsibilities, establishing security and choice, and the process of mourning, desire and anger are discussed.
Chronic headache is a prevalent clinical problem
which affects negatively the majority of the population. The
most common type of headache is migraine and tension headache.
These can decrease the functioning and the quality of
life of people who suffer from headaches in different contexts
as work, family, school and social life. In addition, a lot of psychological
disorders such as depression and anxiety are seen or
occur in people who have headaches.
Purpose: The purpose of this study is to investigate the effectiveness
of EMDR (Eye Movement Desensitization and Reprocessing)
on Chronic Daily Headache and Migraine. Within this
framework there are three goals, one of which is to measure the
efficiency of EMDR treatment on chronic headache population.
The second one is to develop an EMDR Headache Protocol so
that the treatment is standardized and will be used, revised and
updated by researchers and clinicians in the future. The third
one IS to find an answer to the question: How long does it take
to treat a headache? That is, to determine the minimum and
maximum sessions necessary for the treatment.
Method: The study is carried out at Gaziosmanpa,sa Hospital
Neurology Department in Istanbul with 11 Turkish patients
who had suffered from chronic daily headache and migraine.
The sample of this study consisted of 9 women and 2 males.
Results: The results demonstrated that the frequency, the intensity
and the duration of headaches were reduced by using
EMDR Also it was shown that the number of emergency visits
and the amount of painkillers used were decreased. The study
will be explained in more detail and the results will be discussed
during the presentation.
Our learning objectives are:
1. to gain theoretical information about the rationale of using
EMDR in treatment of chronic headache and migraine
2. to gain empirical information about the efficacy of this treatment
and
3. to discuss the EMDR Headache Protocol as well as the number
of sessions necessary for the treatment.
In previous studies, EMDR has been found to be efficient in the
treatment of chronic pain. Nevertheless, there was a gap in the
literature regarding the efficacy of EMDR in the treatment of
chronic daily headache and migraine.
The novelties that are provided by this current study are
1. It may be an alternative treatment for chronic headache and
migraine in the future
2. although the research question needs further investigation, it is the first empirical study which examines the effectiveness
of this treatment.
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.
The prevalence of chronic migraine headache in western societies ranges between 12-24% for women and 5-12% for men. In Turkey, about 21% of women and 11% of men suffer from migraine. It is one of the most disabling problems that a person can have.
Pharmacological treatment and behavioral interventions are the most widely used approaches for migraine. The term ‘chronic’ implies that the problem is not solvable. In this case it means that although pharmacological treatments and behavioral interventions meaningfully reduce the pain for some of the patients, there remains a population of headache sufferers who get large amounts of medicine, have to go to the emergency room frequently because of too much pain prolonged over many hours and at times days. Furthermore, some medications have moderate to severe adverse effects or contraindicate with clients’ existing conditions.
Eye movement desensitization and reprocessing (EMDR) is an integrative psychotherapy approach that was developed to reduce or eliminate the symptoms resulting from unresolved traumatic memories. Recently EMDR treatment has provided promising results in alleviating chronic pain and increasing sufferers’ psychological wellbeing. Research pointing out the neurobiological similarities found in patients who suffers PTSD and chronic pain, encouraged many clinician and researcher to explore the utilization of EMDR in the treatment of chronic pain.
We developed the EMDR Chronic Migraine Headache Protocol in order to obtain and maintain a high level of treatment fidelity and stick to scientific rigor and as a guide for future research. In collaboration with a public hospital in Turkey, we conducted a pilot study with chronic migraine patients diagnosed also as having chronic daily headache. The study continues with an enlarged sample and the present analyses revealed that there was a significant decrease in the frequency, the duration and the strength of the headaches of patients treated with the EMDR Chronic Headache Protocol. Besides, the number of the Emergency Care visits and the amount of medication taken were also decreased significantly in patients treated with EMDR.
Learning objectives:
The major aim of this workshop, is to present to the participants, how to use The EMDR Chronic Headache Protocol in the treatment of patients diagnosed as having both Chronic Migraine and Chronic Daily Headache (CDH). Participants will gain detailed information about how to use EMDR Chronic Migraine Headache Protocol in emergency cases too. There will be DVD recordings of sessions demonstrating how to intervene a migraine attack during a session and also how the EMDR Chronic Headache Protocol is used for the treatment of chronic migraine headache.
Chronic migraine is one of the most disabling problems that a person can have. Pharmacological treatment and behavioral interventions are the most widely used approaches for migraine with no much meaningful effect. The EMDR Chronic Migraine Protocol was developed and tested in a pilot study in Turkey. There was a significant decrease in the frequency, duration and strength of the headaches. Besides, Emergency Care visits and medication were also decreased significantly. The major aim of this workshop, is to teach the participants, how to use EMDR Chronic Headache Protocol in the treatment of migraine patients.
The
prevalence
of
chronic
migraine
headache
in
western
societies
ranges
between
12-‐24%
for
women
and
5-‐12%
for
men.
In
Turkey,
about
21%
of
women
and
11%
of
men
suffer
from
migraine.
It
is
one
of
the
most
disabling
problems
that
a
person
can
have.
Pharmacological
treatment
and
behavioral
interventions
are
the
most
widely
used
approaches
for
migraine.
The
term
‘chronic’
implies
that
the
problem
is
not
solvable.
In
this
case
it
means
that
although
pharmacological
treatments
and
behavioral
interventions
meaningfully
reduce
the
pain
for
some
of
the
patients,
there
remains
a
population
of
headache
sufferers
who
get
large
amounts
of
medicine,
have
to
go
to
the
emergency
room
frequently
because
of
too
much
pain
prolonged
over
many
hours
and
at
times
days.
Furthermore,
some
medications
have
moderate
to
severe
adverse
effects
or
contraindicate
with
clients’
existing
conditions.
Eye
Movement
Desensitization
and
Reprocessing
(EMDR)
is
an
integrative
psychotherapy
approach
that
was
developed
to
reduce
or
eliminate
the
symptoms
resulting
from
unresolved
traumatic
memories.
Recently
EMDR
treatment
has
provided
promising
results
in
alleviating
chronic
pain
and
increasing
sufferers’
psychological
wellbeing.
Research
pointing
out
the
neurobiological
similarities
found
in
patients
who
suffers
PTSD
and
chronic
pain,
encouraged
many
clinician
and
researcher
to
explore
the
utilization
of
EMDR
in
the
treatment
of
chronic
pain.
We
developed
the
EMDR
Chronic
Migraine
Headache
Protocol
in
order
to
obtain
and
maintain
a
high
level
of
treatment
fidelity
and
stick
to
scientific
rigor
and
as
a
guide
for
future
research.
In
collaboration
with
a
public
hospital
in
Turkey,
we
conducted
a
pilot
study
with
chronic
migraine
patients
diagnosed
also
as
having
chronic
daily
headache.
The
study
continues
with
an
enlarged
sample
and
the
present
analyses
revealed
that
there
was
a
significant
decrease
in
the
frequency,
the
duration
and
the
strength
of
the
headaches
of
patients
treated
with
the
EMDR
Chronic
Headache
Protocol.
Besides,
the
number
of
the
Emergency
Care
visits
and
the
amount
of
medication
taken
were
also
decreased
significantly
in
patients
treated
with
EMDR.
The
major
aim
of
this
workshop,
is
to
present
to
the
participants,
how
to
use
The
EMDR
Chronic
Headache
Protocol
in
the
treatment
of
patients
diagnosed
as
having
both
Chronic
Migraine
and
Chronic
Daily
Headache
(CDH).
Participants
will
gain
detailed
information
about
how
to
use
EMDR
Chronic
Migraine
Headache
Protocol
in
emergency
cases
too.
There
will
be
DVD
recordings
of
sessions
demonstrating
how
to
intervene
a
migraine
attack
during
a
session
and
also
how
the
EMDR
Chronic
Headache
Protocol
is
used
for
the
treatment
of
chronic
migraine
headache.
The
assessment
tools
used
for
the
project
will
be
given
to
participants
as
hand
outs
La
prevalencia
de
migraña
crónica
en
las
sociedades
occidentales
oscila
entre
el
12-‐24%
entre
las
mujeres
y
el
5-‐12%
en
los
hombres.
En
Turquía,
alrededor
del
21%
de
las
mujeres
y
11%
de
los
hombres
sufren
jaquecas.
Es
una
de
las
dolencias
más
discapacitantes
que
se
pueda
tener.
Los
tratamientos
más
habituales
para
tratar
las
migrañas
son
de
tipo
farmacológico
e
intervenciones
conductuales.
El
término
‘crónico’
implica
que
el
problema
no
tiene
solución.
En
este
caso,
significa
que
aunque
los
tratamientos
farmacológicos
y
conductuales
reducen
el
dolor
significativamente
en
algunos
pacientes,
sigue
habiendo
una
población
de
individuos
que
sufren
cefaleas
y
que
reciben
grandes
cantidades
de
medicamentos,
que
tienen
que
acudir
a
urgencias
con
frecuencia
debido
a
que
sufren
demasiado
dolor
que
se
prolonga
durante
muchas
horas
y,
en
ocasiones,
días.
Es
más,
algunos
fármacos
tienen
efectos
secundarios
entre
moderados
y
graves
o
cuyas
contraindicaciones
incluyen
afecciones
que
padecen
los
clientes.
La
desensibilización
y
reprocesamiento
con
movimientos
oculares
(EMDR)
supone
un
planteamiento
psicoterapéutico
integral
desarrollado
para
reducir
o
eliminar
los
síntomas
que
son
consecuencia
de
recuerdos
traumáticos
sin
resolver.
Hace
poco,
se
ha
visto
que
el
tratamiento
con
EMDR
ha
logrado
resultados
prometedores
en
el
alivio
del
dolor
crónico
y
que
aumenta
el
bienestar
psicológico
de
las
personas
afectadas.
Las
investigaciones
que
señalan
las
similitudes
neurobiológicas
detectadas
entre
los
pacientes
que
sufren
TEPT
y
los
que
padecen
el
dolor
crónico
han
animado
a
muchos
clínicos
e
investigadores
a
explorar
el
empleo
de
EMDR
en
el
tratamiento
del
dolor
crónico.
Hemos
desarrollado
el
protocolo
de
EMDR
para
tratar
la
migraña
crónica
para
conseguir
y
mantener
un
alto
nivel
de
fidelidad
terapéutico
y
para
mantener
el
rigor
científico,
además
de
para
que
sirva
para
orientar
la
investigación
en
el
futuro.
En
colaboración
con
un
hospital
público
en
Turquía,
hemos
llevado
a
cabo
un
estudio
piloto
en
pacientes
con
un
diagnóstico
de
migraña
crónica
diaria.
El
estudio
sigue
en
curso
con
una
muestra
ampliada
y
los
análisis
actuales
han
mostrado
que
ha
habido
una
disminución
significativa
en
la
frecuencia,
duración
e
intensidad
de
las
cefaleas
de
los
pacientes
tratados
con
el
protocolo
de
EMDR
para
tratar
la
cefalea
crónica.
Es
más,
el
número
de
visitas
a
urgencias
y
la
cantidad
de
fármacos
administrados
también
se
redujo
de
forma
significativa
en
los
pacientes
tratados
con
EMDR.
This article reports the results of two experiments, each investigating a different eye movement desensitization
and reprocessing (EMDR) protocol for obsessive-compulsive disorder (OCD) and each with two
young adult male participants with long-standing unremitting OCD. Two adaptations of Shapiro’s (2001)
phobia protocol were developed, based on the theoretical view that OCD is a self-perpetuating disorder,
with OCD compulsions and obsessions and current triggers reinforcing and maintaining the disorder.
Both adaptations begin by addressing current obsessions and compulsions, instead of working on past
memories; one strategy delays the cognitive installation phase; the other uses mental video playback in
the desensitization of triggers. The four participants received 14–16 one-hour sessions, with no assigned
homework. They were assessed with the Yale-Brown Obsessive Compulsive Scale (Y-BOCS), with scores
at pretreatment in the extreme range (mean 5 35.3). Symptom improvement was reported by participants
after 2 or 3 sessions. Scores at posttreatment were in the subclinical/mild range for all participants
(mean 5 8.5). Follow-up assessments were conducted at 4–6 months, indicating maintenance of treatment
effects (mean 5 7.5). Symptom reduction was 70.4% at posttreatment and 76.1% at follow-up
for the Adapted EMDR Phobia Protocol and 81.4% at posttreatment and at follow-up for the Adapted
EMDR Phobia Protocol with Video Playback. Theoretical implications are discussed, and future research
is recommended.
Participants will be able to: 1) decribe phantom limb pain and its parameters; 2) understand the current use of MEG technology with respect to phantom limb pain; and 3) understand and describe EMDR treatment protocol for phantom limb pain.
Psychotic phenomena are challenging to treat; the most severe being schizophrenia, which has a heavy burden: life expectancy being reduced by 10 years, mostly through suicide. After over 100 years of experience only a minority make a full recovery. This workshop will examine the role of EMDR in the treatment of schizophrenia - as defined by the genetic epidemiological work of Professor Kenneth Kendler - and follows three patients treated with EMDR; one met strict criteria for schizophrenia and remains in recovery after 3 years. The workshop will discuss case selection and protocol development.
Psychotic phenomena are challenging to treat. The most severe psychosis is schizophrenia, which has a heavy burden and reduced life expectancy through physical illness and suicide. Psychotherapy in psychosis is experiencing a renaissance and this workshop will discuss case selection and the application of the ICONN protocol for EMDR with psychosis. The ICONN protocol has been developed from experience with a series of patients with psychotic disorders, including ‘M’, a patient who met Kendler’s strict criteria for schizophrenia. ‘M’ remains in recovery after 4 years.
The use of EMDR is extremely helpful especially in the
treatment of very young children. The presentation will demonstrate
the work with both an acute and a complex traumatized
child of the age under 4 years. The acute traumatized child (6
month old) was traumatized by medical treatment that was vitally
necessary. After the stay in the clinic the child expressed symptoms
of PTSD. The child was treated in 4 sessions: in 2 of these
sessions the baby got EMDR treatment with trauma narratives.
The complex traumatized child is a boy now 4 years old. The
EMDR treatment started when he was 2,7 years. As a baby he
was physically extremely abused and showed strong symptoms.
The participants will see that even in such a young child affect
bridges turn up during the EMDR-Treatment. Memories which
were dissociated till that moment came back and could be processed.
Work with a continuous trauma narrative that is illustrated
by the therapist will be presented and later work with the child
adapted EMDR standard protocol. 8y these two cases participants
will learn more about trauma focused diagnostics, treatment
possibilities and treatment course in very young children and babies;
the presentation will be illustrated by video clips.
In the presented text by Stefan Jacobs and Anna de Jong, the treatments approached are the cognitive-behavioral therapy,
the EMDR method and biofeedback
combined to the fear reaction Framework to reduce traumatic memories
or to inhibit and thus the symptoms of
reduce post-traumatic stress disorder.
In the first part of the book, the authors detail
to the theoretical background (neurophysiology,
Brain functions, a), the facilitation of the neuronal accompanied by traumatic memories.
Here, they argued that the neuronal
Facilitations of trauma can not be cleared, so to speak, that the fear response in the Amygdalaregion Brain is resistant to extinction and thus in consequence the goal of therapy just to reduce the fear response, and inhibiting the fear response could. Specifically, the authors modify within the cognitive, behavioral approach, the model
by Ehlers and Clark, as well as the method of EMDR
Shapiro. The biofeedback method, the authors use
as a diagnostic tool for the subjective evaluation
on the part of the patients also
making objectively verifiable by measuring
electrodermal activity (EDA).
In the second part of the book they describe in detail a scientific study of 16 male and female patients, where the treatment program at the University Göttingen participated. Here is at
all patients, and patients had a significant positive Detect symptom change the PTB have been.
In another part of the book they put their detailed Therapeutic approach and treatment protocol first. It will detail the psychological diagnosis (
Test procedures and biofeedback received an important
Part is to communicate information and stabilization for male and female patients. Thereafter the confrontation with trauma treatment and integration. Value in this case in contrast to Shapiro on down early connection to the positive cognition in conjunction with homework, the patients who get between meetings with incoming Behavioral exercises.
The authors of a frontier that their method is not for All male and female patients is appropriate, but dissociative And personality disorders and addiction are explicitly excluded.
The stabilization exercises are described practically
(Safe Place, Safe), as well as the practical
Application of biofeedback procedure and the treatment protocol for EMDR. Towards the end of the tape to close case studies from the work of the authors in order to clarify the practice.
In the appendix, there are records of the address
Terms of testing, biofeedback devices or educational films. In summary, one can say that the band concise, very clear and concrete and practical the neuro-psychological treatment program represents, so this is helpful for the psychotherapeutic Practice in relation to trauma treatment appears. The book is aimed at professionals and is for Lay less suitable.
Das in den 80er Jahren von der amerikanischen Psychologin Francine Shapiro veröffentlichte Verfahren
EMDR (Eye Movement and Desensitization and Reprocessing) beinhaltet als zentrale Komponente, dass
die Aufmerksamkeit des Patienten sich auf eine traumatische Erinnerung und die damit verbundenen
Gedanken und Gefühle richtet, während gleichzeitig rhythmische Augenbewegungen induziert werden.
(Shapiro 1998).
The published in the 80s by the American psychologist Francine Shapiro Procedure
EMDR (Eye Movement Desensitization and Reprocessing and) includes as a central component that
the patient's attention on a traumatic memory and associated
Thoughts and feelings directed, while rhythmic eye movements are induced.
(Shapiro 1998).
EMDR wurde als ein Verfahren entwickelt, um belastende/traumatische Erinnerungen nachträglich zu verarbeiten/integrieren. Phase 4 des EMDR- Standardprotokolls, das sogenannte „Prozessieren“ hat hierbei eine zentrale Bedeutung, es ist ein spezifisches Kernstück in der EMDR-Behandlungstechnik.
Es handelt sich dabei um eine gezielt in Gang gesetzte besondere Form des assoziativen „Denkens“, (das neurobiologisch gesprochen ein „subkortikales Denken“ ist), welches an das Freie Assoziieren in der Psychoanalyse erinnert.
EMDR was developed as a method to integrate process stressful / traumatic memories later /. Phase 4 of the EMDR standard protocol, the so-called "litigation" has a central role here, there is a specific key instrument in the EMDR treatment technology.
This is a deliberately set in motion particular form of associative "thinking" (which is spoken a neurobiological "subcortical thinking"), which commemorates the free associating in psychoanalysis.
Based on this observation I would make the attempt, on the one hand against the background Psychotraumatological concepts of integration and the other along the dimension of psychoanalytic concepts of insight and change illustrate this phenomenon.
My working hypothesis is: The KH-views and treatment concepts of psychoanalysis and the neurobiological findings of psycho trauma are not incompatible in the focal point of change, he is now litigating or free association, faces some of the ways.
As a conclusion I'm going to answer the question, can be combined if and under what conditions the EMDR treatment technique of psychoanalytic psychotherapy.
The new protocol has been likened to the gears of a vehicle where on each speed a certain amount of work is done to deal with the trauma in a gradual fashion.
Speed zero deals with stabilization;
speed 1 deals with desensitizing future fears;
speed 2 touches upon desensitizing emotions or body sensations without touching on the actual trauma. At speed 3 the client works on early imprints (any issues from the age of birth to 3 years). Speed 4 deals with desensitizing present triggers and speed 5 deals with use of EMDR on past events. Helene will also be teaching how she also ingeniously uses LETTER WRITING(from the future or standard) with bilateral stimulation. The above protocol is useful even for dissociative or complex trauma clients
Helene has summarized her therapy by saying: “Different clients evolve at different speeds, as a function of many parameters that we often are not able to control as therapists. Our basic assumption is that clients go as fast as they can, given their particular situation.
If they slow down, it is because they have good enough reasons, whether conscious or not.
What we try to avoid is them slowing down because of the therapist. Our motto is to progress as fast as possible, as long as the road and the weather permit it, and go as slowly as necessary to keep the journey secure.”
I will
present a way of working with families using EMDR, offer question and discussion time
and the opportunity to explore the approach. I would very much like to provide an arena
to discuss and share learning about EMDR with families and to agree some success criteria
for working in this way.
The focus of my presentation is the successful use of the EMDR group protocol to work
with domestic abuse.
I will describe the use of images to process memories and current fears.
I will cover what made the approach successful in the context of the existing resources.
Conference Abstracts
I will describe our learning about co-working across different modalities in the way that we
did.
The workshop will have an interactive and experiential focus, which I hope will capture the
energy and creativity of the approach.
New Learning points:
• Adapting and developing a group EMDR protocol
• Co-work with a parent and a colleague from another modality
• Using EMDR to process the legacy of domestic abuse
Research of the last decade suggests a decisive role of traumatic events on the onset and on the course of severe mental disease, especially affective disorders. The robustness of this data has been largely ignored by the psychiatric community, also due to a striking lack of trials designated to traumatized patients with severe mental disease. With this workshop we aim to create awareness on that issue by reviewing existing evidence of the impact of trauma on the patients’ life with severe mental disease. We also will show first controlled data of EMDR in instable, traumatized bipolar patients, with a focus on its effect on trauma and mood stabilization. Furthermore, we will present for the first time a Spanish Bipolar EMDR protocol as direct result of the above-mentioned study; to highlight practical details of this protocol, we also will discuss two cases of the study in an interactive way with the audience.
Learning objectives:
Trauma in severe mental disorder is so far not adequately recognized and treated by therapists;
Understanding the role of trauma in severe mental disorder, with a focus on bipolar disorder;
Results of a first controlled pilot study of instable bipolar patients suggest that EMDR reduces effectively trauma symptoms and trauma load; and
Results also suggest that EMDR stabilizes better the mood of subsyndromal, instable bipolar patients than a control group.
This presentation will encompass the findings from a current and ongoing research study on EMDR with young children, with implications for clinical practice arising from this study. The clinical experiences of the presenter, which include treating traumatized children and training EMDR therapists, led to the first EMDR fidelity study on children. From that study, our preliminary findings led us to formulate suggestions about training therapists; these ideas will be explained in the workshop.
Examples will be discussed of how issues related to the therapist, client, and patient, home environment, clinical environment, and therapist training all impact the EMDR treatment protocol with children 20 to 10 years of age. Participants will also learn to identify developmentally appropriate and child-specific languaging in order to conceptualize the treatment of children using the EMDR protocol. Using Dr. Shapiro’s Adaptive Information Processing model, participants will learn to attune to the child verbally and non-verbally to understand how the child has learned to store the trauma in their memory network, versus how the parent or therapist believes the trauma to be stored. Specific tools like mapping and graphing that are used to tease out all the pieces of the EMDR protocol and develop case conceptualization will be demonstrated with associated videos. Through the use of Powerpoint presentation, case presentation, and handouts, additional practical and interesting tools will be presented to assist therapists in using Resource Development, Mastery, and Safe Place exercises in the efficacious treatment of young children. Creative tools used to identify targets, emotions, body sensation, and negative and positive cognitions, will be demonstrated, as well as measurements to aid the child in eliciting the VOC and SUDs. Also, the important of the three-pronged approach (the process of addressing targets from the past, present, and future), and how to develop targets from a child’s often concrete perspective, will be discussed. Finally, participants will be able to use a specific format for reevaluation from both the child’s and parents’ point of view. With these advanced skills in translating EMDR into developmentally appropriate terms and imaginative tools for implementation, participants will return to their practices encouraged to use the entire EMDR protocol with even the youngest of clients. The workshop, which is based on clinical experience and research, will teach creative skills in applying the eight-phase protocol to young children.
EMDR can also be successfully applied to children. Results may even occur more rapidly than in the case of adult treatment. In this workshop, guidelines will be presented for adapting EMDR to children. Special attention is given to modifications in the EMDR protocol and to differences between children and adults in their response both to trauma and EMDR. Indications and contraindications will be discussed as well as ways to involve parents in the treatment. Research information regarding EMDR with children will be resumed. The presentation will be illustrated by videotapes and case discussions.
Our aim: We will present some EMDR family work,
offer question and discussion time and the opportunity to explore
the approach. We would very much like to provide an
arena to discuss and share learning about EMDR with families
and to agree some success criteria for working in this way.
The focus of our presentation is the successful use of the EMDR
group protocol with a family of 5 children. The children
had witnessed domestic abuse and had been physically abused themselves. We were greatly assisted by the children's mother Lea
who co-worked with us. We will include how we structured 1. I
support for her to carry out this difficult role.
We will describe the use of images to process the children's
memories and current fears.
We will cover what made the approach so successful in the children's and our opinion, including the context of the existing resources.
We will describe what we learnt about co-working across different
modalities in the way that we did.
The workshop will have an interactive and experiential focus which
we hope will capture the energy and creativity of the approach.
Learning points:
- Adapting and developing a group EMDR protocol to work
with a family of 5 children.
- Co-work with a parent and a colleague from another modality.
- Using EMDR to process the legacy of domestic abuse by the children's father including processing current fears.
As co-workers we found that, using the vehicle of the EMDR
group protocol has been an exciting and effective initiative. My
colleague and I came from different agencies and worked together in the family's home in a collaborative way with the children, parent and each other We will include in our presentation the children's and parent's views on what worked for them and on the process as a whole.
During this practical skills gaining workshop using video examples of clinical material and theoretical presentation, we will talk
about basic ideas of EMDR work with children, EMDR protocol adaptation according to the child developmental level, safety
and attachment issues, family dynamics and integration with family therapy work. We will discuss case conceptualisation
and treatment planning through video clips analysis. The participants will be invited to bring case material and questions
during the course of the workshop.
The present workshop will be primarily practice oriented,
with the morning session focusing on Age-Related Protocols
with progressively younger children (down to age
one year), and the afternoon session focusing on the use
of EMDR in a group format with children traumatized by
war. We will present data on its effectiveness with two
groups of Ethnic Albanian refugee children held in a German
refugee camp. A group exercise will assist workshop
participants in understanding the protocol for group administration
of EMDR. Other research considerations will
be presented, related to successful and unsuccessful projects
with children. Also in the afternoon, we will target
the more severe disorders of childhood, such as multiply-traumatized
children and attachment disordered children.
We will give attention to issues related to
trauma-based diagnosis, the use of art with EMDR, and a
treatment model featuring short interventions throughout
the developmental years and how these affect developmental
trajectories. Throughout the workshop, we
will use videotapes to illustrate the issues that are most
salient, the importance of attunement and finer points of
technique
Dr. Lovett’s workshop will focus on practical treatment approaches for resolving trauma in children and adolescents, focusing on the 8 phases of EMDR and the 3 pronged protocol. Participants will learn to identify developmental differences in the encoding and retrieval of a memory that would impact EMDR processing with children. They will learn to use EMDR with cooperation games as a source of resources for children. The presentation will include videos, case discussion and experiential learning.
We have found that the treatment protocol outlined below has been very helpful in our work with clients suffering from substance abuse or dependence.
The use of both Mony Elkaïm’s systemic model and the AIP model is a new perspective for couples’therapy and for EMDR target plan and further in individual therapy where relational problems are involved. This workshop will teach present a way to do a target plan for relational problem treatment. Focusing on couples’therapy the workshop will show how to do an EMDR case conceptualization integrating the systemic model. It will propose clinical question/answer that will help to decide to use EMDR or not in the couple session, choosing the position of the other member of the couple during the reprocessing phases. It will show the use of individual safe places as a safe place for the couple during the session and at home.
What we propose here is that the understanding of Mony Elkaïm’s Systemic model for a couple in crisis guides us to find where to work on the past of each member to heal the couple in the EMDR target plan. We imagine that this understanding can be of help to build a bridge between any 2 parts of a relation: 2friends, 2 colleagues, 2 persons from different culture or religion.
The presentation will illustrate how the systemic model created by Mony Elkaïm for understanding couple crisis can be useful in the EMDR treatment of couples, EMDR case conceptualization and EMDR target plan. This model insists on the double bind in which each member of the couple is torn between his/her Official Program and his/her World View. For example: "I want to be loved" (O.P) and" if someone loves me he will leave me" (W.V.). These world views are creating repetitive cycles which are trapping the members of the couple or of any people in interaction. The aim of the EMDR practitioner is to treat the dysfunctional stored memories connected with these world views and give them flexibility to free the members of the couple from the vicious circle in which they are caught.
In this presentation we propose to show how making hypothesis about the World view of each member of the couple and verifying them will guide us to the individual target that will be the Gordian knot in the present problem the couple is dealing with, hence helping the system to evolve from a situation of crisis to a situation of equilibrium.
Using EMDR will help to give flexibility to the world view of each member. Using it within Mony Elkaïm’s systemic model will help the couple. Following each phase of the EMDR model eight-phases protocol, we will show how it will be applied to couple therapy with case studies and practice example. We will see how this target plan can apply to any dyad or system in crisis in family therapy, couple therapy and individual therapy.
Learning objectives:
•Understand how to use the systemic model, reciprocal double bind, to find the individual targets that are involved in the couple or any relational present problem in an EMDR target plan.
•Being able to do the installation of EMDR safe place as a resource for the couple.
•Evaluate more clearly whether and when to use EMDR in the couple therapy session.
•Knowing specifications of each of the 8 phases EMDR protocol with couple.
Unmodified EMDR can harm dissociative clients if it prematurely breaches dissociative barriers overwhelming
the client’s capacity and resources. Practitioners must
screen for dissociation and use special procedures to safely
use EMDR with these clients. The workshop will cover critical guidelines and techniques to pace and troubleshoot
EMDR with dissociative clients within the phased
treatment model, for clients ranging from DDNOS to DID.
Assessment and stabilization are key to preparing clients
for trauma work. The workshop offers methods to increase
affect tolerance, establish a two-step containment habit, and
orient personalities to person place and time. Other topics
include: increasing tolerance of body sensation and affect,
and enhancing compassion for self and others, directly
working with introjects or other “monstrous” shame-laden
parts, essential to reducing internal conflict and resistance
to therapy. The workshop instructs in specific ego state
strategies and imagery to provide sufficient resources,
maintain an observing ego. Rooted in the hypnotic tradition,
stabilization methods to pace and fractionate the work
within EMDR while interspersing trauma work with sessions
that consolidate gains. The workshop also describes the
conference room method and means to trouble-shoot
stuck processing. Finally, the workshop describes the final
phases of therapy, skills building, integration and fusion.
Participants will be able to :
♦♦ explain why and when to assess every client for degree
of dissociation and choose an appropriate protocol.
♦♦ list six tactics for stabilizing clients, prior to doing
EMDR for dissociative clients, to increase rapport,
contain affect, orient to present circumstances,
reduce inner conflict, and build coping resources.
♦♦ structure EMDR sessions using imagery
and ego state interventions for pacing,
fractionating and trouble-shooting the work.
Fragments of a treatment
different from the protocol
Asking the client to choose the aspect of the
abuse that is most difficult to her at the
moment, accomponied by auditory
stimuli.
Installing the positive cognition while the
tension is still 9 (SUD). [Excerpt]
An appointment at the dentist’s is not what most people look forward to. For some people, however, even the mere thought of having to undergo dental treatment causes them to feel extreme fear and panic. Between 5 and 15% of the world population suffer from such a pathological form of dental fear, called dental phobia. Dentally anxious individuals commonly avoid necessary dental procedures for many years despite deteriorating oral health, agonizing pain and severe psychosocial problems. The majority of individuals with dental phobia recall a traumatic event as cause for the onset of their fear. Interestingly, nearly 50% of them even suffer from posttraumatic stress symptoms, such as intrusive memories, nightmares, hyperarousal and avoidance behavior. EMDR can be a very useful instrument to help dentally anxious people to cope with past traumatic experiences and to prepare them for future confrontations with phobic stimuli.
The 90-minute workshop will give background information to the problem of pathological dental fear and present evidence from research showing that EMDR is an effective treatment method for dentophobia. The main focus will be on the practical procedure, which will be illustrated using video sequences of patient sessions.
Learning objectives:
This workshop will provide you with the following information:
•a short review of current research and literature
•the use of the EMDR protocol in its specific application to dentally anxious patients, with special emphasis on preparing the patient for future confrontations
by working with flashforwards, future template and video check
•ways of combining EMDR with other cognitive, behavioral and imagery techniques in the treatment of dental phobia.
The presentation will illustrate how the systemic model created by Mony Elkaïm for understanding couple crisis
can be useful in the EMDR treatment of couples. He insists on the double bind in which each member of the
couple is torn between his/her Official Program and his/her World View. For example: “I want to be loved” (O.P)
and” if someone loves me he will leave me” (W.V.). These world views are creating repetitive cycles which are
trapping the members of the couple. The aim of EMDR practitioner is to treat the dysfunctional stored memories
connected with these world views and give them flexibility to free the members of the couple from the vicious
circle in which they are caught. In this presentation we propose to show how making hypothesis about the World
view of each member of the couple and verifying them will guide us to the individual target that will be the
Gordian knot in the present problem which the couple come with, helping the system to evolve from a situation
of crisis to a situation of equilibrium. Using EMDR will help to give flexibility to the world view of each member.
Using it within Mony Elkaïm’s systemic model will help the couple. Following each phase of the EMDR eight
phases protocol, we will show how it will be applied in relation to couple therapy. With case studies and practice
example, we will see how we get through each phase with couples.
El EMDR se ha desarrollado como una psicoterapia integrada que se ha
utilizado a nivel mundial en la última década como tratamiento empíricamente
validado para el trauma. A lo largo de este tiempo, se ha hecho evidente
que es posible aliviar el sufrimiento, ayudar a parar el ciclo de la violencia y
abordar los devastadores efectos de la transmisión generacional.
Este acercamiento psicoterapéutico utiliza un protocolo de tratamiento
para acceder a los sucesos vitales perturbadores, los disparadores actuales
y las experiencias futuras proyectadas, y procesarlas con una resolución
adaptativa (Shapiro, 2002). Se accede a todos los aspectos de la experiencia
(imaginación, creencias, afecto y sensaciones corporales), mientras de
forma simultánea se da estimulación dual de la atención, por movimientos
oculares bilaterales, tonos o estimulación táctil. El procesamiento de las memorias
perturbadoras indica un cambio simultáneo en la cognición, el afecto
y las sensaciones físicas, dando como resultado una integración adaptativa
de la experiencia.
Este acercamiento integra elementos de distintas escuelas de psicoterapia,
haciendo del EMDR aplicable a una enorme variedad de patologías
y accesible a terapeutas de distintas orientaciones dentro de una serie de
protocolos estandarizados (Van der Kolk, B., 1997).
En esta presentación exponemos las líneas generales de este modelo
psicoterapéutico a partir de la descripción del protocolo básico en EMDR
que se estructura en ocho fases: 1) Recopilación sobre la historia del cliente;
2) preparación del cliente para el trabajo a realizar; 3) valorar todos los componentes
de la diana de tratamiento 4) desensibilizar el material traumático
objeto de la diana mediante la estimulación bilateral; 5) instalar la cognición
positiva identificada; 6)revisar el cuerpo para localizar cualquier material residual
sin resolver; 7) cierre de la sesión y 8) reevaluación del impacto del
evento reprocesado.
EMDR has been developed as an integrated psychotherapy has
used worldwide in the last decade as a treatment empirically
validated for trauma. Throughout this time, it has become evident
it is possible to alleviate suffering, help stop the cycle of violence and
address the devastating effects of the generational transmission.
This approach uses a psychotherapeutic treatment protocol
accessing disruptive life events, current triggers
and projected future experiences, and process them with a resolution
Adaptive (Shapiro, 2002). Access to all aspects of the experience
(Imagination, beliefs, affection and bodily sensations), while in
simultaneously gives dual attention stimulation for movement
bilateral eye tones or tactile stimulation. The processing of memories
disturbing indicates a simultaneous change in cognition, affection
and physical sensations, resulting adaptive integration
experience.
This approach integrates elements from different schools of psychotherapy,
doing the EMDR applicable to a wide variety of pathologies
therapists and accessible to different orientations within a range of
standardized protocols (Van der Kolk, B., 1997).
In this paper we present the outlines of this model
psychotherapeutic from the description of the basic EMDR protocol
which is divided into eight phases: 1) collection on the history of the client;
2) preparing the client for the work to be performed, 3) evaluate all components
treatment of the target 4) desensitize traumatic material
object of the target by bilateral stimulation; 5) install cognition
positively identified; 6) reviewing the body to locate any residual material
unresolved; 7) logoff and 8) reassessment of the impact of
reprocessed event.
Eye-movement desensitization and reprocessing (EMDR) was introduced by Shapiro (1989) as a cognitivebehavioural
therapy for clients with trauma a little over 20 years ago. After an initial period of intense
controversy and scepticism regarding its proclaimed evidence base, EMDR has been studied extensively, its
efficacy has been confirmed (Van Etten & Taylor, 1998; Shepherd et al. 2000, Alto, 2001; Davidson &
Parker, 2001; Maxfield & Hyer, 2002; Bisson & Andrew, 2005; Bradley, et.al., 2005; Bisson, Ehlers,
Matthews, Pilling, Richards, & Turner, 2007) and is one of the effective treatments of PTSD recommended
by the National Institute of Clinical Excellence (NICE) of the UK Department of Health in March 2005. It has
been estimated (Farrell & Keenan, 2010) that in the United Kingdom and Ireland approximately 6,000
mental health clinicians have been trained in EMDR. Although studies have evaluated EMDR as a distinct
therapeutic modality, during the course of their different levels of EMDR training, clinicians are encouraged
to integrate the EMDR treatment protocol into their predominant therapeutic orientation. Thus, EMDR can
be used across different psychological therapies, including the Cognitive Psychotherapies. While this makes
EMDR a highly versatile modality, it can pose a practical challenge to clinicians in terms of when and how to
integrate EMDR into their work with clients. Further, for therapists not trained in EMDR, the concepts may
seem strange and scepticism may remain to this date.
This workshop seeks to close the gap between false perception and reality about EMDR, by drawing on the
facilitator’s 14 years of practical experience in the use and integration of EMDR alongside her work as a
Cognitive Behavioural Psychotherapist. This practice-oriented workshop will explore different applications
of EMDR across the trauma spectrum, as well as, some treatment protocols for other client problems. The
important roles of resource installation and interweaves will be introduced. Several forms of bilateral
stimulation (DAS - Dual attention stimulus) and an EMDR-based protocol for the installation of a Safe Place
for complex trauma (Herbert, 2002) will be practically demonstrated.
Learning Objective
• To learn about different EMDR applications both in the treatment of different types of trauma, as
well as, other psychological problems.
• To alleviate scepticism and encourage understanding on how EMDR can be integrated alongside
the Cognitive Psychotherapies.
• To gain some practical exposure on how EMDR is applied.
Training Modality
• Training will be practice-oriented and will include some experiential exercise.
This paper addresses how creativity has been interwoven into the discovery and development of EMDR, how EMDR is an effective tool in unblocking and enhancing creativity and how our understanding of the brain enhances our knowledge in this area. Dr. Shapiro’s inspiration leading to her discovery and development EMDR are the underpinnings of EMDR and its interweave with creativity. EMDR processing is also an essentially creative process at the core of healing trauma-based blocks. The therapeutic relationship in EMDR can be conceptualized as a co-creative process.
This paper also addresses using EMDR in addressing issues of creativity. Creative blocks are regularly reported by both artists and non-artists and often cripple and traumatize the artist, and interfere with the creativity of daily living of non-artists. The EMDR protocol can be used to target creative blocks as trauma is an integral part of these blocks. The EMDR future template is a tool for enhancing creativity with artists free of significant blocks. This includes actors, singers, dancers, writers and graphic artists.
[Author abstract]
We
present
a
case
of
Test
Anxiety,
handled
using
a
combination
of
EMDR
and
Ego
State
Short
Term
Therapy.
Shira,
aged
27,
is
a
bright
science
student.
She
recently
failed
a
math
test
due
to
an
anxiety
attack.
Shira
feels
that
her
ability
to
complete
her
degree
studies
is
under
a
real
threat.
Reported
symptoms:
great
stress,
chest
pain,
pessimistic
thoughts,
and
a
general
feeling
of
low
self-‐esteem.
The
treatment
consisted
of
four
sessions
before
her
forthcoming
math
exam,
and
a
fifth
follow-‐up
session
after
it.
The
therapeutical
approach
Psycho-‐educational
counseling,
self-‐relaxation
and
guided
imagery,
EMDR
phobia
protocol
(Shapiro
F.),
use
of
puppets
for
work
on
Ego
States
(Cohen-‐Posey
K.)
based
on
Voice
Dialogue
(Stone).
During
her
EMDR
processing,
Shira
chose
different
puppets
to
represent
both
her
negative
and
positive
cognitions
(PC,
NC).
A
Policeman
puppet
(NC)
represented
the
"protecting
part"
of
the
vulnerable
child.
This
failed
part
lacks
in
self-‐confidence
and
blocks
her
progress.
Shira's
successful
PC
part
is
represented
by
the
Queen
puppet.
She
is
sure
Shira
will
succeed,
because
she's
able
to.
During
the
desensitization
process,
Shira
created
a
dialogue
between
her
different
parts,
and
empowered
the
successful,
functioning,
Queen
part.
This
reinforced
her
self-‐esteem
and
her
Ego
Awareness
The
awareness
of
these
parts
in
her
becomes
a
resource
used
by
Shira
for
a
successful
performance
in
her
math
exam,
in
which
she
gets
the
highest
grades.
We
shall
present
the
protocol
of
our
sessions,
and
the
use
of
puppets
as
projection
tools
of
the
Ego
parts.
Presentamos
un
caso
de
ansiedad
ante
exámenes,
llevado
a
través
del
uso
del
EMDR
y
la
terapia
breve
de
estados
del
Ego
combinados.
Shira,
tiene
27
años,
es
una
brillante
estudiante
de
ciencias.
Recientemente
suspendió
un
test
de
matemáticas
debido
a
un
ataque
de
ansiedad.
Shira
siente
que
su
habilidad
para
completar
sus
estudios
de
grado
esta
bajo
una
amenaza
real.
Síntomas
registrados:
Gran
estrés,
dolor
de
pecho,
pensamientos
pesimistas,
y
sentimientos
generales
de
baja
autoestima.
El
tratamiento
consistió
en
cuatro
sesiones
antes
de
su
siguiente
examen
de
matemáticas,
y
un
seguimiento
de
5
sesiones
después
de
este.
El
enfoque
terapéutico.
El
consejo
psico-‐educacional,
auto-‐relajación
e
imaginación
guiada,
protocolo
EMDR
para
fobia(Shapiro
F.),
uso
de
marionetas
para
trabajar
con
los
estados
del
Ego
(Cohen-‐Posey
K.)
basado
en
el
la
voz
del
dialogo
(Stone).
Durante
su
procesamiento
EMDR,
Shira
escoge
diferentes
marionetas
para
representar
sus
cogniciones
negativas
y
positivas
(PC,
NC).
Una
marioneta
de
agente
de
policía
(NC)
representaba
la
“parte
protectora”
de
un
niño
vulnerable.
Esta
parte
fallo
en
su
autoconfianza
y
bloque
su
progreso.
La
parte
que
representaba
el
éxito
de
Shira
PC
era
la
marioneta
de
la
Reina.
Ella
estaba
segura
de
que
Shira
Durante
el
proceso
de
desensibilización,
Shira
creó
un
dialogo
entre
sus
diferentes
partes,
y
reforzó
el
existo,
y
el
funcionamiento
de
la
parte
de
la
Reina.
Esto
reforzó
su
autoestima
y
su
conciencia
del
Ego.
La
conciencia
de
estas
partes
se
convirtió
en
un
recurso
usado
por
Shira
para
el
existo
en
la
realización
de
su
examen
de
matemáticas,
en
donde
saco
las
notas
más
altas.
Presentaremos
el
protocolo
con
nuestras
sesiones
y
el
uso
de
marionetas
como
herramientas
de
proyección
de
las
partes
del
ego.
The EMDR Accelerated Information Resourcing Protocol (EMDR-AIR Protocol®) is designed to accelerate the search for the resources necessary to resolve the client's current crisis or long-term issues. The idea evolved from the "Double-Hai" paradigm (Yoeli & Prattos, 2005), which is a short-term intervention for use with couples. The EMDR-AIR Protocol is designed to look for that learned generational reaction to trauma that the client is currently using to cope with the current situation while, at the same time, tapping into the historical strengths and resources that enabled survival. These resources are found through the rapid accessing of client history by using the Multi-Tiered Trans-Generational Genogram (MTTG). The MTTG is a format that brings life and new energy into your work with clients and into the life of your client. As the therapist and the client evolve the MTTG, the client teaches the therapist and himself about his richly textured history. Through the legacy of this history, the client gains clarity about his circumstances and an appreciation of life under the best and worst circumstances. Through the practitioner's interest and curiosity, the client learns the fascination that comes from viewing the dynamics of his family through the generations. The process creates a longer lasting effect, solidifying the results of the EMDR session [(PsycINFO Database Record (c) 2009 APA]
Consultation is playing a larger role in EMDR training. It is necessary for completion of the basic training, for EMDRIA certification, and for becoming a Consultant. Participants will be able to cite EMDRIA’s definition of EMDR and apply it in consultation sessions; describe the concept of Adaptive Information Processing (AIP) as it informs the EMDR psychotherapy methodology; explain the 8-Phase/3-Prong Protocol through the AIP lens; and describe several coaching methods for use in EMDR consultation. The workshop will include lecture, handouts, and role-play of consultation situations, with time for questions from participants’ consulting experiences. This workshop will not discuss EMDRIA certification requirements or how to become a consultant.
Consultation is playing a larger role in EMDR training. It is necessary for completion of the basic training, for EMDRIA certification, and for becoming a Consultant. Participants will be able to: 1) cite EMDRIA’s definition of EMDR and apply it in consultation situations; 2) describe Adaptive Information Processing (AIP) Theory as it applies to EMDR psychotherapy, for use in consultation; and 3) explain the 8-Phase/3-Prong Protocol in EMDR for use in consultation situations. The workshop will include lecture, handouts, and role-play of consultation situation vignettes, with time for questions from participants’ consulting experiences. This workshop will not discuss EMDRIA certification requirements or how to become a consultant.
Consultation is playing a larger role in EMDR training. It is necessary for completion of the basic training, for EMDRIA Certification, and for becoming an Approved Consultant. Participants will be able to cite EMDRIA’s Definition of EMDR and apply it in consultation sessions; describe the concept of Adaptive Information Processing (AIP) as it informs the EMDR psychotherapy methodology; and explain the eight-Phase/three-Prong Protocol through the AIP lens. The workshop will include lecture, handouts, and role-play of consultation situations, with time for questions from participants’ consulting experiences. This workshop will not discuss EMDRIA Certification requirements or how to become an Approved Consultant.
The co-occurrence of PTSD and of substance use disorder (SD) is known to
be very high. However the question of whether and how to treat such
patients remains largely unanswered in the EMDR community. We report on
two cases of EMDR-based treatment of heavily affected SD patients in whom
psychotraumatic antecedents were identified. EMDR sessions focused on
trauma-related material and not on the expression of cue-induced drug
craving. The treatment appeared to be a difficult and challenging endeavour.
However, some beneficial effects on general comfort and on drug consumption
could be observed. A long stabilisation phase was mandatory and the
standard EMDR protocol needed to be conducted with much flexibility.
Interestingly, there was no provocation of a prolonged psychological crisis or
of relapse. Experiencing of emotional stress could be limited to the sessions
and dissociation could be absorbed with specific well-known techniques
without permanently increasing drug craving. These observations are discussed
in relation to previously published concepts of using EMDR in the
field of trauma and substance abuse.
Föreliggande studie är dels ett led i att kvalitetssäkra EMDR (Eye Movement Desensitization and Reprocessing) som behandlingsmetod för barn och ungdomar och dels att utröna om behandlingen bidragit till ett förbättrat mående. EMDR som behandlingsmetod för barn och ungdomar har stöd i kontrollerade studier, men ytterligare forskning behövs. I den här studien deltog åtta barn och ungdomar med varierande diagnoser, vilka fått EMDR-behandling i barn- och ungdomspsykiatrisk öppenvård. Behandlingen ingick i en individualterapi i ett familjeterapeutiskt sammanhang. Barnen/ungdomarna intervjuades per telefon om hur de upplevt behandlingen och om sitt mående i efterförloppet. Information om diagnoser, C-GAS, antal EMDR-sessioner samt terapeutens bedömning inhämtades som komplement till intervjun. Resultaten visar att EMDR-behandlingen upplevs ha bidragit till att obehagskänslor och symtom minskade, men i olika grad, för alla intervjuade barn/ungdomar. Denna förändring kunde också noteras i terapeutens bedömning och i de bedömda C-GAS-värdena. Alla kände sig trygga under behandlingen och tyckte att de fick tillräcklig information. Hälften tyckte att konfrontationen med de svåra minnena var det mest obehagliga. Vissa detaljer i protokollet, såsom att bestämma målbild, upplevdes svårt för över hälften. Alla intervjuade skulle rekommendera EMDR-behandling till andra. Det positiva resultatet talar för att EMDR är en användbar metod för barn- och ungdomar med traumatiska minnen, och att det är värdefullt att satsa på fortsatt forskning kring EMDR med barn- och ungdomar.
The present study is the first part of ensuring the quality of EMDR (Eye Movement Desensitization and Reprocessing) as a treatment for children and young people and also to determine if the treatment contributed to an improved malaise. EMDR as a treatment for children and adolescents is supported by controlled studies, but further research is needed. In this study, eight children and adolescents with various diagnoses who received EMDR treatment in child and adolescent psychiatric outpatients. The treatment was part of an individual therapy in a family therapy context. Children / young people were interviewed by telephone about their experiences and treatment of their malaise in its aftermath. Information on diagnosis, C-GAS, number of EMDR sessions and the therapist's assessment was collected as a supplement to the interview. The results show that EMDR treatment is perceived to have contributed to the discomfort and symptoms decreased, but to varying degrees, all interviewed children / adolescents. This change was also noted in the therapist's assessment and the assessed C-GAS-values. All felt safe during the treatment and felt they had enough information. Half thought that the confrontation with the difficult memories was the most unpleasant. Some details of the protocol, such as determining the vision, difficulty was experienced for more than half. All respondents would recommend EMDR treatment to others. The positive results suggest that EMDR is a useful method for children and adolescents with traumatic memories, and that it is worthwhile to invest in continued research on EMDR with children and adolescents.
As a complement to the strategies already used in EMDR, drawing gives form to the inner representations of the trauma, objectivising it. Thus the person no longer relates only to something inside him/her, but rather to something he/she can see and can concretely represent and modify. In the act of drawing, the patient makes an initial reorganisation of the form of the trauma, and begins to differentiate the adaptive ego, which has the tools and the ability to restructure the experiences, and the traumatic emotional part that suffers those experiences in a condition of impotence and passivity. The person may rapidly access preverbal and motor-sensory language, activating inborn creative skills. The use of this tool enables us to access the traumatic material gently, limiting dissociative reactions, bypassing avoidance and flight behaviour and setting a distance from pain by objectivising it. A protective space is created between the self and the part that holds the suffering.
The patient is offered the possibility of drawing what is occurring in the self’s here and now, and given a choice of different graphic materials. At the end of the drawing and assessment phase the person is asked to note what has emerged, and a brief space of time may be allowed for description without interpretation. The represented image is treated as the inner image in the classic protocol. To start, the patient is asked to focus on the drawing, on the negative cognition and on the bodily location of the emotional disorder, while bilateral stimulation is applied. At the end of each set, the patient is asked what he/she has noticed and the therapist verifies where the person now is in the re-elaboration. If there is a change the person may either work on the drawing, modifying it, or, if the change of image is radical, may produce another drawing. After several sets, an adaptive drawing emerges that may be installed as a resource.
The workshop focuses on the treatment of two clinical conditions, complex PTSD and severe medical diseases, with the support of video and graphic materials. It includes a practical experience of the Technique
Learning objectives:
To learn the use of drawing as a supplementary tool, through graphic and video material of clinical cases.
To recognise the indications in which it provides added value to the classical protocol.
To learn its use in various psychopathological conditions, with particular emphasis on dissociative states and severe medical diseases.
The use of drawing as a supplementary tool within the EMDR protocol gives form to the inner representation of the trauma, objectivising it, and creates a bridge of communication between the self and the blocked parts, after which it will be possible to return to desensitising and re-elaboration with the standard protocol.
Das ressourcenintegrierende Protokoll stellt eine Möglichkeit der schonenden Annäherung an
die Traumabegegnung nach dem Standardprotokoll dar und ersetzt dieses in vielen Fällen so
lange, bis das explizite Zurückgreifen auf die Ressource immer weniger notwendig ist. Die
Anwendung ist auch bei Erfolgsblockaden möglich. Es kann auch für Klientinnen eingesetzt
werden, die zwar schon gute Ressourcen haben, wenn sie in die Behandlung kommen, aber
mit der EMDR-Methode wenig vertraut und eher ängstlich sind, waThe resource-integrated protocol provides a facility to the gentle approach
meeting after the trauma to the standard protocol and supersedes that in many cases so
until the explicit recourse is less and less necessary to the resource. The
Application is possible even if successful blockades. It can also be used for clients
be, although they have been good resources when they come into treatment, but
with the EMDR method unfamiliar and rather anxious are, what their own emotional tolerance
concernss ihre eigene Affekttoleranz
betrifft.
This video provides an insightful view of Eye Movement Desensitization and Reprocessing (EMDR), probing both its widespread popularity and areas of controversy. Larry Beutler, prominent psychotherapy researcher, serves as commentator in a program that features Francine Shapiro, EMDR's originator, as well as others in the field. The video offers a demonstration of the eight-step EMDR protocol and explores a range of issues surrounding this unique therapy. The accompanying manual by Jon Allen and associates reviews the clinical protocol and available research and features a helpful patient education handout. (Video and Manual)
When Michel Hersen asked me (RA) to put together this Special Issue on
Eye-Movement Desensitization and Reprocessing (EMDR), I quickly agreed.
I was extremely excited about the opportunity to compile examples of both
emerging, methodologically rigorous clinical research and “second-generation”
protocol specification (e.g., EMDR methods for phobias). My excitement
stemmed from the fact that the procedure seemed to produce positive
effects in victims of severe trauma. Something was happening, and we were
compelled to find out what, why, and how.
This workshop will present the adaptation of the traditional 8-phase EMDR protocol to the use of drawings, pictures and metaphorical language with adults. The protocol will be described in detail, and presentations from client cases will illustrate its use. Pictures will be shown from the beginning and end of the same sessions as a means of demonstrating the efficacy of EMDR and its power for change.
Negli ultimi anni, con l’affermarsi dell’EMDR (Eye Movement Desensitization Reprocessing) come approccio terapeutico consolidato, sono stati formati nel mondo più di 80.000 terapeuti di matrice psicoterapeutica diversa, 1600 soltanto in Italia. Un così ampio interesse per questo metodo potrebbe far rilevare che proprio nell’EMDR i terapeuti, seppure di differente formazione, abbiano ricercato e intravisto uno strumento per poter avviare un dialogo, costruttivo e non soltanto oppositivo, iniziando a considerare la patologia attraverso un nuovo e integrante punto di vista.
Il paradigma dell’Elaborazione Adattiva dell’Informazione messo a punto da Francine Shapiro parte dal presupposto che i fenomeni patologici dipendono da esperienze disturbanti del passato che avviano un modello permanente di emozioni, cognizioni, comportamenti e le strutture di identità che ne conseguono. Il paradigma, pertanto, offre una teoria unificante che può essere considerata come substrato per tutti gli orientamenti terapeutici quando si definisce la patologia come informazione immagazzinata in modo disfunzionale e che può essere adeguatamente integrata attraverso un sistema di elaborazione e risoluzione adattiva, attivato attraverso il protocollo EMDR.
Questo è il primo testo che affronti il tema assai vivo e di attualità dell’integrazione fra i diversi orientamenti psicoterapeutici attraverso un metodo eclettico quale l’EMDR. I contributi degli autori - rappresentanti delle principali scuole di pensiero attualmente presenti nel mondo della psicoterapia italiana - tracciano un percorso di lettura che dimostra come i costrutti teorici e il protocollo EMDR siano compatibili ed efficacemente integrabili con i maggiori nuclei teorici, tradizionali e innovativi. E sono proprio l’elaborazione dei vissuti e i nuovi e più adattivi insight dei pazienti che si attivano attraverso l’approccio EMDR a poter consentire ai terapeuti di capirsi e di utilizzare un linguaggio comune.
In recent years, with l’affermarsi dell’EMDR (Eye Movement Desensitization Reprocessing) as consolidated therapeutic approach have been trained in the world of 80,000 practitioners of different psicoterapeutica array, 1600 only in Italy. A so broad interest for this method could detect that your nell’EMDR therapists, albeit different training, have looked up and saw a tool to be able to start a constructive dialogue and not only oppositivo, beginning to consider the disease through a new and an integral point of view.
The Adaptive Information Processing model paradigm made to point by Francine Shapiro part from the assumption that the pathological phenomena depend on disturbing experiences of the past that initiate a permanent model of emotions, knowledge, attitudes and structures of identity that it entails. The paradigm, therefore, provides a unifying theory that can be considered as a substrate for all therapeutic guidelines when you define the pathology as information stored so dysfunctional and can be adequately integrated through a system of processing and adaptive resolution activated through the EMDR protocol.
This is the first text that tackles the issue very live and topical dell’integrazione between the different psychotherapy guidelines through an eclectic method such as EMDR. Contributions by authors - representatives of major schools of thought are currently in the world of Italian psychotherapy - draw a path of reading that shows how the theoretical constructs and EMDR Protocol are compatible and effectively integrate with the more theoretical, traditional and innovative nuclei. And its elaboration of the living and the new and more adaptive insight of patients that trigger through EMDR to allow practitioners understand you and use a common language.
In 2005 the National Institute for Health and Clinical Excellence (NICE) published
new guidelines on Post-Traumatic Stress Disorder (PTSD), recommending either
trauma-focused CBT or Eye Movement Desensitisation and Reprocessing (EMDR)
as treatment. EMDR was created in the1980s by the American clinical psychologist
Dr Francine Shapiro. From her research with Vietnam veterans she developed a
specific protocol. Now worldwide over a million people have been treated and EMDR
is the most thoroughly researched method of trauma treatment.
Learning Objectives:
1. Participants will identify the importance of containment in EMDR and its implications with respect to dual attention and trauma reprocessing
2. Participants will identify some key strategies for completing Phase 2 (Preparation) with respect to building the affect regulation skill necessary for maintaining dual awareness during trauma reprocessing (Phases 3-7)
3. Participants will be able to define and describe the essentials of Phase 7 (Closure) of the EMDR protocol, in particular, the need to ensure containment of remaining negative affect in the case of incomplete protocols.
4. Participants will develop knowledge of several effective closure methods
5. Participants will acquire mastery of at least one new closure method through practicum experience
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can
be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress
Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period
following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress. The Emergency
Response Procedure is an adaptation of the Standard EMDR Protocol which was developed to deal with victims
of natural and manmade disaster within hours of exposure to trauma. Participants in this workshop will learn
the Emergency Response Procedure and its application to treating clients immediately after a trauma. Case
examples will be presented to illustrate the successful treatment of Acute Stress Disorder with survivors of the
Tsunami in Thailand and with victims of terror and war. Learning Objectives:
• Within the overall context of the principles of Psychological First Aid, to learn how to respond to clients in the
immediate aftermath of trauma utilizing ERP
• To apply ERP in the event of strong abreaction during the initial phase of History-taking, prior to the
Preparation Phase of EMDR or at other time of treatment when patients exhibit strong emotional reactions
• To learn when and how to use ERP for patients exhibiting “silent terror” or extreme stress during initial
treatment by first responders at the scene of an accident or in an ambulance en route to medical facilities
• To understand how to utilize the Recent Events Protocol in the face of ongoing danger
• To understand EMDR methods that may be used in emergency settings where multiple patients need rapid
treatment
EMDR is a trauma-focused method for treating PTSD and painful memories. The method integrates elements from several psychotherapeutic schools such as cognitive, behavioural, and psychodynamic orientations. Although there are elements of free associations during processing, the treatment follows a structured protocol with components of dosed exposure. The method has been noticed for its elements of bilateral stimulation; however it has been considered that several parts of the method contribute to its effectiveness. For a single traumatic experience, usually only a few sessions seem to be required even if in complex cases the length of treatment can become quite extended. In its original form EMDR was developed for adults, but the method can easily be adapted also for children.
The first study was published in 1989 by Francine Shapiro, the inventor of EMDR, demonstrating that clients after three sessions of EMDR did not longer meet criteria for PTSD. Her publication was met by both interest and scepticism. Today EMDR is widely accepted and practiced by psychotherapists in many countries throughout the world.
Guidelines from the International Society of Traumatic Stress Studies recommend EMDR for the treatment of PTSD and British researchers have found that EMDR is equally effective as trauma-focussed CBT for chronic PTSD.
This workshop will give an introduction to EMDR: explaining the theoretical model underlying the method, presenting the structure of a session, and discussing suggested mechanisms of action. In addition some case examples will be highlighted.
OCD is described and current recognised treatment approaches are outlined. Existing literature regarding the treatment of OCD with EMDR is reviewed. Theories about the aetiology of OCD are described in relation to the Adaptive Information Processing (AIP) model and a rationale for the use of EMDR is described. A protocol for the use of EMDR in treating OCD is explained. Finally two case studies are described in order to illustrate the proposed protocol. (Author abstract)
Inhoud van de workshop: EMDR
(eye movement desensitisation and reprocessing) is een
intensieve vorm van psychotherapie voor mensen
die last houden van de gevolgen van een (of meerdere)
schokkende ervaring(EN). Over het effect van
emdr is wetenschappelijk aangetoond dat het mogelijk is kwellende herbelevingen van vroegere
gebeurtenissen kwijt te raken.
emdr is, volgens (inter)nationale richtlijnen,
de eerste keus bij behandeling van posttraumatische
stressstoornis (PTSS).
emdr maakt de in het geheugen opgeslagen
traumatische ervaringen toegankelijk en activeert
het natuurlijk verwerkingsproces zodat deze
gebeurtenissen worden ontdaan van hun emotionele
lading en een nieuwe betekenis krijgen.
emdr kan ook toegepast worden bij traumagerelateerde
stoornissen zoals bij angststoornissen,
eetstoornissen, somatoforme stoornissen,
seksuele stoornissen, verslaving en chronisch pijn.
EMDR is een relatief nieuwe therapie, overigens
alweer 20 jaar oud. Grondlegster is de Amerikaanse
Francine Shapiro, die in 1989 een eerste
versie van emdr beschreef. Door Shapiro zelf en
later ook door andere therapeuten is het EMDRprotocol
aangescherpt en verbeterd.
Halverwege de jaren ’90 van de vorige eeuw
introduceerden Ad de Jongh en Erik ten Broeke
emdr in Nederland. De laatste jaren wordt er
nauwelijks nog iets aan het basisprotocol veranderd
of toegevoegd.
De belangrijkste ontwikkelingen vinden
plaats in de theorievorming en de toepassingsmogelijkheden.
Hoe werkt EMDR, welke hersengebieden
zijn erbij betrokken, wat is het werkzame
mechanisme en bij welke stoornissen kan deze
therapie worden toegepast.
De kern van deze workshop is het leren kennen
van recente verklaringsmodellen over de werking
van emdr. De bijzondere kenmerken en
effecten van EMDR en de verschillende toepassingsgebieden
worden besproken.
Vorm: Presentatie, geïllustreerd met
videobeelden, tijd voor vragen en een interactieve
discussie.
Leerdoel: Na de workshop heeft de deelnemer
zicht op de verschillende recente theoretische
verklaringsmodellen van emdr en heeft hij
kennis van het brede indicatiegebied van EMDR en
de plaats van emdr binnen de psychotherapie.
Contents of the workshop: EMDR
(Eye Movement Desensitisation and Reprocessing) is a
intensive form of psychotherapy for people
that to suffer the consequences of one (or more)
shocking experience (S). On the effects of
EMDR has been scientifically proven that it is possible agonizing reliving past
losing events.
EMDR is, according to (inter) national guidelines,
The first choice of treatment for posttraumatic
stress disorder (PTSD).
EMDR allows the memory
traumatic experiences accessible and activates
the natural process so that
events are stripped of their emotional
charge and a new meaning.
EMDR can also be applied in trauma-related
disorders such as anxiety disorders,
eating disorders, somatoform disorders,
sexual disorders, addiction and chronic pain.
EMDR is a relatively new therapy, however
already 20 years old. Founder is the U.S.
Francine Shapiro, who in 1989 first
version of EMDR described. By Shapiro himself and
later by other therapists is EMDRprotocol
strengthened and improved.
Mid-90s of the last century
Ad de Jongh introduced and Erik ten Broeke
EMDR in the Netherlands. In recent years there
hardly anything to change the basic protocol
or added.
The main developments are
place in the theory and application.
How does EMDR, which brain areas
are involved, what is the active
mechanism and disorders which can
therapy administered.
The core of this workshop is to learn
Declaration of recent models on the operation
EMDR. The particular characteristics and
EMDR and the effects of different application
are discussed.
Methods: Presentation, illustrated with
video, time for questions and an interactive
discussion.
Objective: After the workshop, the participant
view of the various recent theoretical
explanatory models of EMDR and has
broad knowledge of the indication area of EMDR and
the location of EMDR in psychotherapy.
EMDR tends to work most efficiently and effectively when the core trauma is accessed and is targeted for reprocessing. The standard protocol of asking the client to recall the “first and worst” incident of a series of related traumas works effectively in tracking down a core trauma. When the original core has been identified, reprocessing tends to proceed smoothly and fluidly. There are times, however, when a client is mainly concerned with a present issue or experience and is unable or unwilling to explore earlier life experiences as per the standard protocol.
EMDR constitutes a valuable tool for couples
therapists when one or both partners are stuck in
repetitive, reactive cycles. This workshop describes
the circumstances in which EMDR is most likely to
be helpful in couples therapy. It examines the
benefits of EMDR through the lens of the repetition compulsion, with pariicular emphasis on common - and often intractable - impasses in in the treatment of couples. The origins of the repetition compulsion
in early failures of attunement are described, as in
the re-enactment of these experiences in the adult
couples relationship. Working with EMDR is nested
within the context of a resource-based approach to
couples therapy, emphasizing how emotional
reactivity and defensive withdrawal impede the
expression of empathy, trustworthiness, intimacy and repair in the couples relationship. Different formats for conducting EMDR (separately with one partner; separately with both partners; conjointly with both partners; or adjunctively with another therapist) are
presented, along with indicators, advantages and
disadvantages of each format. Special
considerations (such as when to introduce EMDR,
balancing alliances, sequencing sessions and
instructions to an observing partner) and
modifications of the standard protocol when EMDR
is used in the context of couples treatment are also
clarified. Finally, circumstances in which EMDR
is unlikely to be helpful or in which it is contraindicated are examined.
EMDR can help couples in therapy when one or both partners experience distress which creates obstacles or impasses in treatment. The benetits of EMDR are
examined through the lens of the repetition compulsion and nested within a
resource~based approach to couples therapy (fostering attunement, trustworthness
and vitality). Different formats for conducting EMDR (conjointly, separarely, and
adjunctively) are presented along with their indicators, advantages and disavantages.
Special considerations (such as, when to introduce EMDR, balancing alliances, sequencing sessions and instructions to an observing partner) and modifications the standard protocol are clarified. Contraindications for EMDR in couples therapy are also examined.
Sit in on therapy with the masters! This video is part of the innovative "Brief Therapy Inside Out" series - a unique series that puts you directly in the therapy room to watch as leading therapists demonstrate their approaches in 45-minute, unrehearsed clinical sessions with real clients (not actors).
EMDR founder Francine Shapiro has trained over 30,000 clinicians worldwide in her unique approach to the treatment of trauma. Known formally as Eye Movement Desensitization and Reprocessing, EMDR has been used successfully in critical incident work with victims of such tragedies as the Oklahoma City bombing, with both single-incident rape and incest survivors, with survivors of chronic abuse, even with treatment-resistant Vietnam vets.
Here, Shapiro illustrates her eight-phase EMDR protocol with Angie, a recovering addict struggling with the sudden loss of her lover. While the exact neural mechanisms underlying EMDR are still not precisely understood, what is clear is that with skilled use of this potent reprocessing treatment, painful experiences that used to take months or years to treat have been resolved in as few as one to three 90-minute sessions. The videotape provides a singular introduction to this powerful approach as demonstrated by its extremely skilled founder.
The clinical session is preceded by an introductory interview with series hosts Drs. Jon Carlson and Diane Kjos in which Shapiro explains basic principles underlying her approach. The video closes with a Q&A segment in which key interactions from the eight-phase treatment protocol are replayed and discussed. 95 minutes.
EMDR is a well established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). It is believed that
PTSD can be reduced or prevented if treated early. Although usually used at a later time, EMDR has also been
used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent
terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance
Programs (HAP) Disaster Manual, was developed to deal with victims of natural and man made disaster within
hours of exposure to trauma. Participants in this workshop will learn how to respond to these clients in the
immediate aftermath of trauma, utilizing Debriefing and ERP. This same basic approach can be applied in the
event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR.
Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress
during initial treatment by first responders at the scene of an accident or in ambulances en route to medical
facilities. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD)
with survivors of the earthquake in Turkey and the Tsunami in Thailand, and with victims of terror and war in
Israel. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying
the Positive Cognitions (PC) in the face of continuing ongoing danger. The EMDR Group Protocol will be
presented and followed by a practicum. [There are 2 PDF files.]
The workshop on Emergency EMDR will give an overview of crisis intervention and principles of critical incident debriefing following man made and natural disasters. There will be a review of the Neurobiology of Stress and PTSD. The various protocols of EMDR will be discussed such as the standard Protocol, the Recent Events Protocol and the group protocol. The Emergency Response Procedure (ERP), that can be used within hours of a traumatic Incident, will be discussed with case examples demonstrating its usefulness in many cases of Acute Stress Reaction and Disorder. This will be understood within the overall context of the principles of Psychological First Aid. All of this will be discussed with case examples of victims treated after terrorist attacks and war in Israel and after the Tsunami in 2004. There will be a practicum on Group EMDR.
EMDR is a well-established theory for Post Traumatic Stress Disorder (PTSD). EMDR has also been used effectively in the immediate period following trauma. The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Programs (HAP) Disaster Manual and developed to deal with victims of terror within hours of exposure to trauma, will be discussed and taught. Participants will learn how to respond to clients in the immediate aftermath of trauma utilizing Debriefing and ERP. Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) and PTSD with survivors of the earthquake in Turkey and the Tsunami in Thailand, and with victims of terror in Jerusalem and those in bomb shelters during the last Lebanon war. In this presentation, the Recent Events Protocol will be reexamined with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. The EMDR Group Protocol, used with large numbers of disaster victims needing simultaneous treatment, will be presented and followed by a practicum.
The Emergency Response Procedure (ERP) was initially developed to help victims within hours of a terrorist attack, but can be applied in the immediate aftermath of any trauma. Patients may present with "silent terror," shaking and inability to speak, or if they are verbal, often they are in a highly agitated state. The procedure has been used in the emergency room and during hospitalization. It is also appropriate for immediate intervention at the scene of critical incidents such as car accidents, earthquakes, natural or man-made disasters, and in ambulances. While taking an initial history, prior to the Preparation Phase of EMDR, ERP can be put into effect if patients suddenly abreact. This procedure presumes familiarity with the Standard EMDR Protocol of which it is an adaptation. Clinicians highly experienced in dealing with patients immediately after a traumatic event—who are not familiar with EMDR—will still benefit from this report. Note: This procedure has not received official sanctioning from the EMDR Institute and has not been validated by research. This procedure can only be considered after all medical needs have been evaluated or treated. The Emergency Response Procedure Script is provided. [PsycINFO Database]
This section EMDR treatment immediately after a traumatic event. The treatment combines shock treatments with ingredients
From EMDR. This treatment protocol is not official yet and would like to bring a summary of our experience in treating victims of terrorism in the ICU. Representative of the protocol has been formulated so far (it probably will take some developments) as well as a case study illustrates the use of the protocol. Nurse in the ICU is Dr. Judy Gedalia receiving immediate training. Yoeli Francis on line. SCREENING
When the patient is showing dissociative responses to the trauma, hysterical paralysis, fugue-like state, we don’t attempt EMDR. As the Patients are usually in the ER for many many hours (5-8) opportunities present themselves to assess the patients ability to communicate by various means.
The EMDR-ER© Protocol is used with patients who do not seem able to move on to the ambulatory staging area (are still on gurney’s) and display difficulty in being able to re-assume normal- appropriate with the situation- physical and psychological, behavioral function Also EMDR is not used in the ER with patients who seem to have below borderline intelligence. I have used EMDR in the ER with patients whose language I didn’t know (Amharic for example), with an interpreter present with good results.
Recently, a series of studies have presented a highly unorthodox procedure, Eye Movement Desensitization (EMD), which involved the repeated exposure of a subject to their own disturbing memories while generating a series of saccadic eye movements. These reports are largely clinical case reports, therefore the technique has not been empirically validated. The current investigation determined if the simple saccadic eye movements (rhythmically tracking a stimulus) in conjunction with the repeated exposure decreased the intensity of disturbing memories experienced in PTSD or whether such decreases could be obtained through repeated exposure alone. Subject's self-reports and physiological information regarding the discomfort experienced during their disturbing memories were recorded prior to, during, and following treatment. Diagnostic procedures including a structured clinical interview were utilized in making diagnoses.A series of three multiple baseline across subjects single-case experimental designs were utilized. Results indicate that rates of distress were uniformly high during the intake/baseline. The initial control treatment condition, Shapiro's EMD treatment package minus the saccadic eye movements, was ineffective in altering these high levels of distress. Treatment of these 6 patients with the EMD protocol resulted in 5 of the 6 subjects showing clinically significant decreases in their self-reported levels of distress around their intrusive disturbing memories. Physiological data also reflected greater positive change during the EMD treatment for each subject. Overall, the EMD treatment protocol resulted in over a 70% decrease in self-reported distress across the 6 subjects investigated. This investigation of the use of EMD with non-combat PTSD subjects reflects the first investigation of EMD with this population utilizing single-case experimental methodology. The results were clear and dramatic. The treatment was effective with 5 of the 6 subjects and for that subject who reported no positive changes issues of secondary gain for continued disability were salient. Overall, this report represents an attempt to investigate EMD with a PTSD population utilizing a systematically replicated multiple baseline across subjects design. Further investigation, particularly focusing on treatment package dismantling, is therefore called for with EMD. [Author Abstract]
The published reports of the clinical application of eye movement desensitization and reprocessing (EMDR) are reviewed in terms of empirical validity. Case studies, single-subject experiments and group design experiments on clinical problems are evaluated for the effectiveness of the protocol, component effects, comparative effects and treatment fidelity. Classification of disorders and measurement issues are addressed. The protocol frequently reduces verbal report and independent observer ratings of distress - strikingly in some instances. Psychophysiologic measures show little effect of treatment. There is little empirical evidence to indicate the effect of treatment on motoric or behavioral indices. Eye movements do not appear to be an essential component of treatment, and there have been no substantial comparisons with other treatments. No studies have adequately controlled for nonspecific (placebo) effects of treatment. Suggestions are made for applying improved methodological controls for future applications of EMDR to clinical disorders. [Author Summary]
This workshop will provide an assessment list to rule out medical causes
for the behaviors of encopresis and enuresis. It will create a step by step
process to prepare the child for EMDR. Then a protocol using EMDR
and play therapy that can be used for children age 3 and older will be
shared. Finally, several case studies will be presented where the protocol
has been used successfully after only 2 sessions, 1 hour each.
This chapter addresses the integration of EMDR processing when working with couples in conjoint therapy, specifically targeting the problem of attachment issues. When precautions are taken, applying EMDR with couples produces the potential for a deepand mutually productive experience. EMDR’s uniquely rapid processing of interrelated attachment issues lessens the intensity of “triggers” and can free the couple from their long-standing impasses. Many couples struggle with over- or under-reactivity, generally referred to as “triggers”. These triggers are typically rooted in early attachment injuries, as well as injuries generated from the couple’s own relationship. While EMDR is most commonly used in individual treatment, it can also be bridged to the relationship system as a powerful and effective treatment modality for couples. The therapeutic effect of the partners witnessing each other’s EMDR processing work is often enormous. Done conjointly, each partner becomes increasingly more compassionate and understanding of the other. Ultimately, progress is hastened … enhancing the therapy, and allowing the couple to develop new and more fulfilling connections and attachments. In sequence, this chapter covers the following areas: attachment issues from a Family Systems perspective; therapeutic guidelines for EMDR usage with couples; identification of “small t” attachment triggers; indications and contraindications; a specific EMDR protocol for work with couples; two detailed couples case illustrations and treatments, focused on problems rooted in attachment issues; and finally, reflection and discussion of the advantages and benefits for integrating EMDR into work with couples.
The model proposed in their workshop is an integration, elaboration and system for applying EMDR as an experiential technique within a conjoint (both partners present) couples therapy, focused an uncovering and processing triggers from previous traumatic events. The protocol is intended as a useful roo1 for applying EMDR lo lessen the intensity of interactional triggers. Done conjointly, there is n compassionate witnessing by each partner respectively. This mutual sharing around the traumas holds powerful potential far building mutual understanding, compassion and empathy in the relationship.
In the last 20 years EMDR has progressed from that of a technique to a psychotherapeutic method. Yet the format
of EMDR trainings remains fairly short in duration. This workshop will outline some of the research findings from
a Delphi study that were carried out with an international group of EMDR Consultants which explored four areas:
1. EMDR Protocol
2. Teaching & Learning of EMDR
3. EMDR Research & Development
4. Professional Standing of EMDR
The implications of the research findings will be discussed in relation to ‘core characteristics’ of the EMDR
Consultant and will utilise a model of clinical supervision as a framework for ascertaining EMDR clinical skills
and competency. Learning objectives:
• Critically consider the current teaching and learning of EMDR
• Integrate the core aspects from a Delphi study which explores aspects around EMDR practice, development
and clinical governance
• Evaluate the key components of EMDR Consultants with particular reference to EMDR clinical supervision and
Consultation
The field of positive psychology is emerging as a specialty area within psychology. As such, it has much to offer us
as clinicians and those of us who have been involved in peak performance work. This workshop provides the
participants with immediately usable techniques that can enhance their existing resource work with clients.
There is a well established empirical basis for the efficacy of the techniques presented, very much in keeping with
EMDR’s scientific roots. This workshop is the first effort (originally conducted in 2003 at the EMDRIA Conference)
20
to integrate into EMDR Peak Performance work specific techniques from positive psychology, the emerging
science of happiness and excellence and strengths such as courage. The presenter will explain how the EMDR
Peak Performance protocol (which she co-created) is based on the standard EMDR protocol with three
modifications: the Future is emphasized; resource development is oriented toward empowerment and
possibility; and skills are taught to help clients reach optimal functioning. While the ‘Peak’ protocol already had
self-actualization as its goal, its efficacy is enhanced by integrating the positive psychology techniques of using:
positive emotions in the performance venue of importance to the client; the Appreciative Inquiry method for
envisioning the future and for performance improvement; and optimistic explanatory style. Given time
constraints, it is not possible to fully prepare participants to use the Peak Performance protocol. However, in an
interactive format that includes a mini practicum, participants will be able to:
1-describe the key differences between the Peak and basic protocols,
2-help clients develop ‘Peak’ resources,
3-begin to establish an empowerment stance with clients, 4-summarize the benefits of teaching clients basic positive psychology concepts,
5-pursue further learning from the extensive positive psychology bibliography
The scripts included in this chapter exemplify how an EMDR therapist might talk with a client when the focus is on positive psychology and performance enhancement: reaching for a goal not yet realized, looking for a way to strengthen a positive quality, or hoping to fine-tune existing skills. The scripts accompany a model that has been taught in a number of countries to therapists, coaches, and human resource advisors. The model combines elements of coaching and psychotherapy. Coaches attend to a client's skills and deficits, look for solutions that are behavioral and strategic, and focus on the present and future while downplaying the past. Psychotherapists, on the other hand, attend to the client's internal experience: emotions, self-talk, beliefs, and other not-so-observable factors. The focus is largely on the past and present. It follows that the model will be most useful to persons who practice both coaching and psychotherapy. As a coach, the practitioner is familiar with the situation in which the client seeks to perform, whether the client hopes to run faster, lead more effectively, parent better, or study smarter. Competency issues for coaches have been detailed by Hays. As a psychotherapist, the practitioner—it will be assumed—will be comfortable using EMDR in the treatment of traumatic memories and other matters that interfere with the client's personal growth. This chapter provides appropriate scripts. [PsycINFO Database]
This manual includes an overview of Equine-Assisted Psychotherapy (EAP) and Eye Movement Desensitization Reprocessing (EMDR) individually, and the rationale for integrating them through the EquiLateral Protocol(TM). Learn about EMDR practitioner types and organizations in the marketplace. You will also get valuable "how-to's" for client selection, case conceptualization, target sequence planning and treatment planning! In addition, you will find case examples for each phase, treatment team roles, along with a sample eight-phased equine-based activity!
O objetivo da oficina é abordar como os processos de dissociação consciente de papéis ou estados de ego podem ser utilizados para potencializar a reintegração psíquica dos pacientes dissociativos. Pacientes dissociativos sempre foram um dos grandes temores dos terapeutas em EMDR para o uso da fase 3 em diante. Geralmente esses quadros requerem um grande tempo de preparação além de um manejo mais avançado e interventivo durante o reprocessamento. Entretanto, entre pacientes com alto grau dissociativo é comum encontrarmos pessoas com grande fragilidade psíquica, acesso a um pobre histórico de recursos, uma grande dificuldade em se expressar, perceber e nomear seus sentimentos além de grande dificuldade em relatar seus traumas. Então, como avançar no protocolo de EMDR com pessoas tão fragilizadas e que quase não nos dão dicas do conteúdo de seus traumas? Alguns critérios hipotéticos auxiliam a instrumentalizar tanto o profissional quanto o paciente a enfrentarem o reprocessamento. Primeiramente, (a) se diante de uma história de traumas intensos a pessoa sobreviveu e chegou até você, é porque ela tem recursos importantes, mesmo que tenha dificuldade de acessá-los. Um desses recursos é o próprio quadro dissociativo que a protege da intensidade dos traumas e possibilita a vida “apesar de...”. (b) Se essas partes estão tão distantes uma da outra, é porque elas tiveram um motivo para isso, mas talvez esse motivo já esteja no passado, e hoje podemos caminhar para uma conversa. (c) Sendo todos esses papéis ou egos são partes do eu, certamente eles querem algo de positivo para esse eu, mesmo que aparentemente seja difícil perceber isso. Essas hipóteses ou crenças positivas a respeito do paciente devem ser checadas com dados de realidade para que possam ser fortalecidas, mas, mais do que isso, é fundamental que elas "transpirem por todos os poros do corpo do terapeuta". Identificados os estados de ego presentes no evento traumático parece ser mais fácil seguir com a etapa do reprocessamento de deforma menos interventiva, principalmente quando não se tem o conteúdo do evento em questão. Obviamente que todo esse processo deve levar todo o tempo necessário e seguido de todos os
cuidados que a aplicação do EMDR demanda.
The goal of the workshop is to discuss how the processes of conscious dissociation of roles or ego states can be used to enhance the reintegration of the psychic dissociative patients. Dissociative patients have always been one of the great fears of EMDR therapists for use in phase 3 onwards. Generally these paintings require a great preparation time plus a more advanced and interventional management during reprocessing. However, among patients with high dissociative is common to find people with great fragility psychic, poor access to a historical resource, a great difficulty in expressing themselves, perceive and name their feelings besides great difficulty in reporting their trauma. So, how to advance the EMDR protocol with people so fragile and hardly give us hints of the contents of their trauma? Some hypothetical criteria help to equip both the professional and the patient to face the reprocessing. First, (a) in front of a history of severe trauma the person survived and came to you, it is because it has important features, even if you have difficulty accessing them. One of these features is the very dissociative disorder that protects the intensity of the trauma and allows life "although ...". (B) If these parties are so far apart, it's because they had a reason for that, but maybe that reason is already in the past, and today we can walk into a conversation. (C) Since all these roles and egos are part of me, surely they want something positive to me, although apparently it is difficult to realize this. These positive beliefs or assumptions about the patient be checked against data from reality so that they can be strengthened, but more than that, it is crucial that they "transpire from every pore of the body of the therapist." Identified ego states present at the traumatic event seems to be easier to follow with step of reprocessing deforms less interventionist, especially when you do not have the content of the event in question. Obviously, this entire process should take all the time necessary and followed by all
care that the application of EMDR demand.
The development of the Shrinking Protocol and its application has given rise to many interesting questions relating to the nature of trauma in childhood including whether pre-verbal trauma exists and is treatable; what constitutes a trauma in childhood; how does attachment and family dynamics affect EMDR therapy; what is dissociation in childhood and how can it be managed in EMDR therapy; what are the effects of chronic long-term traumatisation in early childhood and how soon can these be addressed. Also interesting questions have included how does it get integrated with other therapeutic modes and when to start. Further interesting discoveries have also been made when applying it to special groups, for example children with ASD and other developmental and medical conditions. EMDR therapy for children and adolescents is now being found to have very wide-ranging applications.
This workshop will describe the evolution of the Shrinking Protocol which was based on the earlier work of Tinker & Wilson (1999) and demonstrate some of its different applications and uses with different conditions which will be illustrated with video clips. It also will demonstrate how EMDR therapy has led to new insights into the nature of traumatisation in childhood and suggest potential new directions for research and therapy.
Shapiro has enjoined clinicians not to use eye movement desensitization and reprocessing (EMDR), a treatment for traumatic memories, unless trained by her organization. Some have objected, especially on the grounds that sole-source training may interfere with independent research. However, those trained in EMDR agree that such training is important. Research findings have been consistently positive when treatment was conducted according to the full EMDR protocol taught by Shapiro, and negative only when that protocol was not used. Shapiro's stance has supported the effectiveness and research integrity of EMDR. [Author Abstract]
Eye movement desensitization and reprocessing (EMDR) is traditionally regarded as a treatment for trauma; however, recent literature suggested that EMDR is also a promising athletic performance enhancement intervention. Sport psychology literature cited the need for scientifically sound research investigating new performance enhancement interventions. This study answered that call and sought to determine the validity of theories speculating about the efficacy of EMDR in sport. An internationally competitive cyclist participated in a case study investigating the efficacy of a unique EMDR protocol designed specifically for sport. The protocol integrated Resource Development and Installation, typically conducted during Phase 8, into Phase 2. Quantitative and qualitative results demonstrated that EMDR had a positive impact on measurable performance outcomes, performance anxiety, self-esteem, and motivation.
In the aftermath of trauma, it is widely accepted that memories are stored predominately in the right hemisphere of the brain, where they lack narrative organization and cognitive perspective. Preverbal, implicit memories of trauma appear to be held in fragments best expressed visually in images and somatically through body sensation. For this reason, art therapy, a non verbal expressive and body based approach, may be ideally suited for facilitating the healing of complex psychological trauma. This paper will illustrate the use of art therapy in resolving traumatic memories in the case of a woman with complex trauma. The author, an art therapist and social worker, utilized a modified EMDR protocol with bilateral stimulation: tapping the body while the patient created consecutive images on paper. It is hypothesized that the tapping facilitated a relaxation response and aided the processing of negative emotion while the creation of imagery produced a tangible graphic narrative tracking shifts in emotional states and making the process visible. Once the trauma processing was complete, the art productions were reviewed with increased insight and reflective distance. Ultimately, the patient was able to make a dramatic shift in both cognition and perception, and a desired, positive outcome was achieved.
Learning Outcomes Gain an awareness of the power of the image to express and contain trauma Describe a modification of the EMDR protocol that introduces art making and tactile bilateral stimulation Understand the significance of using non verbal approaches in healing of complex psychological trauma
There have been over five “gold standard” studies supporting the importance of routine
measurement of outcome in clinical practice. However, no measures that take more than 5
minutes would appeal to clinicians. The Outcome Rating Scale (ORS or Child ORS) and the
Session Rating Scale (SRS or Child SRS) are both four-item measures developed to track
outcome and the therapeutic alliance, respectively. The measures have been tested and
correlated to other reputable measures for their robust reliability, validity and most
importantly feasibility. In addition, these measures are a clinical tool for the EMDR
practitioner as, it takes under a minute to score and, it helps to focus each session on what
is relevant for the client; giving us the opportunity to tailor and pace the protocol to a
better” fit” for each particular client; offering us a chance to improve our drop out rates.
Learning points:
1) Updated research information on the importance of using client’s feedback in
everyday practice;
2) Introduction of brief measures that can have immediate application in your EMDR
practice.
3) Learn about a system that can help you learn about and increase your
effectiveness as a therapist in comparison to a normative data of thousands of
practitioners.
4) How to download for free and to use routine outcome measures to monitor the
quality of the therapeutic relationship and to inform the fit between the EMDR
and the clients’ perceptions.
A new paradigm for understanding psychopathology is emerging out of the convergence of research in formerly disparate domains such as neurobiology, attachment theory, and the effects of trauma. At the same time, unorthodox treatment modalities such as EMDR (Eye Movement Desensitization and Reprocessing) and the Energy therapies are beginning to gain favour in mainstream psychotherapy, not only because they seem to be supported by findings in fields such as neurobiology, but because they are so effective. As Jungians, I believe that our challenge is to revisit our work in the light of these latest scientific discoveries.
In this paper, I first outline what brain imaging techniques are revealing about the importance of the dance between mother and infant in the actual hard-wiring of the babys developing brain. I then focus on trauma research, which shows how the release of stress induced hormones can result in the disorganization of the brain and the consequent shut down of integrative neuronal pathways. If we bring these two streams of research together we can see how early trauma within the parent infant bond, in which there is no adequate container to prevent the baby from falling into unbearable anxiety and terror, can initiate the hard-wiring of dysfunctional attitudes and behaviours that become reinforced throughout the childs development.
I then briefly describe the EMDR protocol, which is proving to be a very effective technique in helping adult patients work through some of these dysfunctional patterns internalized in that very early parental dyad. This protocol uses a bilateral stimulation of the brain to engage a wider network of neuronal pathways to help process the painful psychological material, or complex, with which the patient is struggling. Facilitating a successful EMDR session is a little like witnessing a spontaneous active imagination as the patient weaves together the threads of a multitude of images, sensations, emotions, and cognitions into the fabric of a fuller, more nuanced, healing story of the self.
The purpose of my paper is to demonstrate how these recent theoretical insights and treatment protocols can illuminate and enhance a Jungian approach to conducting psychotherapy. What I find remarkable is the compatibility between much of the contemporary research on the brain and many of Jungs ideas about the psyche.
In this paper, however, I focus primarily on what we can learn about the complex. Drawing on numerous examples from case histories, I illustrate the effectiveness of the EMDR protocol in evoking the affect and embodied image at the core of the complex. I also demonstrate how the bilateral stimulation of the brain not only helps facilitate change but also, through the material which is engendered, gives us a window into how the complex was constructed in the first place.
Research Question: What are the future research priorities needed in promoting the development of the teaching and learning of EMDR? The Delphi Expert Panel was asked questions in relation to the following four areas: (1) Their utilization of EMDR within their current clinical practice specifically in relation to their interpretation of the EMDR protocol, (2) teaching and Learning of EMDR, (3) EMDR Research & Future developments, and (4) the Professional Standing of EMDR. Data was carried out using an online form of data collection known as ‘Survey Monkey’. For the purpose of this presentation data will be presented from this study outlining the implications for the future teaching and learning of EMDR.
Some clients may be able to talk about their trauma; however, the thought of processing it with the Standard EMDR Protocol may seem too overwhelming. In cases such as these, having the client develop a resource to address the "fear of the fear" may reduce the anxiety of reprocessing the traumatic memory. The Wedging Technique Script is provided. (PsycINFO Database]
While many clients are able to immediately access and utilize their safe
place/resource development strategies for EMDR trauma reprocessing, some
are not. This workshop will teach participants the difference between state
and trait change, and how to develop access, utilize, and strengthen a client's
safe place/resource during and between sessions. Clinicians will learn, through
a live demonstration, the extending safe place/resource development
protocols. Clinicians wlll be able to discuss how re-evaluation helps increase
client stability and bullds confidence in their safe place/resource to the point
where they are ready to address their traumatic material with the EMDR
protocol.
In the previous paper, [Dunne, T. (2011, February). The history and development of eye movement desensitization and reprocessing. The Irish Psychologist, 37(4), 99-105] we reviewed the origins and beginnings of EMDR and outlined the EMDR Protocol in clinical practice. I should now like to critically examine the literature on the effectiveness of EMDR in the treatment of post traumatic stress disorder (PTSD) as this is the area where most of the studies on EMDR have been conducted.[Author abstract]
Five consecutive cases of phantom limb pain were treated with EMDR. The time since the amputation ranged from one week to three years. Four of the five clients completed the prescribed treatment and reported that pain was completely eliminated, or reduced to a negligible level. The one client who stopped treatment chose to do so after reducing his pain by one half. The standard EMDR treatment protocol was used to target the accident that caused the amputation, and other related events. The five cases are described in detail. The treatment and theoretical implications are explored and recommendations are made for future research.
EMDR was introduced as a treatment modality about twenty five years ago (Shapiro, 1989). EMDR has eight treatment phases. The first three stages include: 1) history taking; 2) preparation (introduction to the EMDR protocol, coping strategies and affect management techniques) and 3) assessment (bringing to mind an image of a traumatic incident, identifying beliefs and emotions associated with that incident, rating the degree of disturbance felt in recalling the traumatic incident, and rating the validity of preferred cognitions about oneself). During the next phase desensitization the core component of the intervention is implemented. It involves using a dual attention/bilateral stimulation procedure that aims to reprocess the disturbing emotions and cognitions associated with the traumatic incident. The client is instructed to keep in mind the image, beliefs and cognitions while simultaneously visually tracking the therapist’ s fingers as they are moved back and forth in front of the client in a prescribed manner. (Bilateral tactile taps or auditory tones are used instead of eye movements for clients who have difficulty visually tracking.) Bilateral stimulation is also used during the next two phases - installation and body scan - which aim to install a positive cognition to replace the negative cognition associated with the trauma and to reprocess any remaining bodily sensations. During the next phase closure the client is advised about what to do between sessions if experiencing distress. The final phase re-evaluation occurs at the start of the next session and involves identifying and reprocessing any residual material from the previous session or that arose between sessions. The length of treatment sessions varies, but typically lasts from 60 to 90 minutes. The number of treatment sessions also varies, ranging between 5 and 15 sessions. [Excerpt]
The purpose of this study was to determine the effect Eye Movement Densitization and Reprocessing (EMDR) has as a treatment protocol on work-related stressors. Today's faster pace, the growing perception of job insecurity, greater demands on the job, and inability to juggle family and work responsibilities has left millions of Americans to experience the debilitating effects of anxiety and stress. Many people lack the knowledge, resources, and strategies to effectively deal with such problems. The issue of stressors in work-related situations is costly and negatively impacts many individuals, organizations, and families. EMDR was found to be both effective and efficient in removing or substantially decreasing anxiety associated with work-related stressors and increase the association to positive cognitions. The data indicated both statistical and clinical improvement in all four areas of measure: subjective units of disturbance (SUD), verification of cognition (VOC), emotional state, and trait anxiety, after EMDR had been administered to members of the experimental group. This study found no statistical significance with these measures as they pertain to the control group. The three null hypotheses were rejected. Several different measures were employed to evaluate the statistical significance of the data produced by this study. Process measures of the verification of cognition (VOC) and subjective units of disturbance (SUD) scales were evaluated through paired sample t-tests. Analysis of variance (ANOVA) was used to evaluate the state and trait anxiety measures. Interactional analysis tested the hypotheses for interaction using repeated measures ANOVA with method and time. Pearson's product moment correlation tested for the association between two variables. Further study is recommended in both the conceptual and theoretical foundations of the EMDR protocol. Such research could lead to more effective and cost-efficient therapy for a wide range of problems affecting the individual, family, and the organization. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 58(8-B), Feb 1998, pp. 4512.
The purpose of this study was determine the efficacy of Eye Movement Desensitization Reprocessing (EMDR) with traumatized adolescents primarily diagnosed with conduct disorder (CD). The effect of exposure to domestic violence and other forms of human initiated violence puts children at risk of developing significant mental health problems including CD and other childhood disorders that can have a profound effect on the community. In order to test the null hypotheses that the EMDR treatment protocol would not lead to any significant reduction in posttraumatic or behavioral symptoms with this population, a repeated measures MANOVA was utilized for four of the five dependent variables. These variables were the Impact of Event Scale (IES), the Child Report of Posttraumatic Symptoms (CROPS), the Parent Report of Posttraumatic Symptoms (PROPS), and the Problem Rating Scale (PRS). A simple two-group independent t-test analysis was used to analyze the fifth independent variable (reward points) and the 2-month follow-up data. All of the 5 null hypotheses were supported by an inferential analysis (MANOVA; t-test) of the dependent variables of this study. EMDR treatment was not found to be statistically significant on any of the dependent variables. Despite these findings, future research should continue to focus on the efficacy of EMDR with childhood trauma. Future research should also continue to focus on the emotional needs of children in residential treatment, the benefits of therapeutic as opposed to punitive intervention with delinquent youths, and the role that EMDR can play in breaking the cycle of violence in our society. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(10-B), April 1999, pp. 5587.
These scripted protocols and summary sheets in a fill-in PDF format offer the EMDR practitioner an adjunct to the chapters of Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: Basics and Special Situations. The excerpted digitalized scripts give the clinician a unique opportunity to record data on the computer or as a hard copy. In addition, there are new summary sheets for each chapter to condense the data collected, allowing for quick retrieval. These digital scripts and summary sheets assist in protocol information retrieval for different populations, and facilitate the gathering and organization of important client data, as well as case conceptualization. These forms are available as a digital download or on a CD-ROM and are compatible with any computer or device that supports PDF.
Special populations addressed include children, adolescents, couples, and clients suffering from complex posttraumatic stress disorder, dissociative disorders, anxiety, addictive behaviors, and severe pain.
Key Features:
•Available in an expandable and editable digital format for easy access and customized tailoring
•Provides concise summary sheets for quick information retrieval and case conceptualization
•Facilitates gathering and organization of protocol and client data
•Assists in the formulation of concise and clear treatment plans
•Offers select scripts and summary sheets customized for client populations
•Includes templates for repeat use
These fill-in PDF forms offer editable and savable summary sheets and actual scripts of protocols from Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: Basics and Special Situations. The digital summary sheets and scripts consolidate all material needed for case conceptualization, and facilitate the gathering and organization of important client data, protocol information retrieval, and treatment implementation. These forms are available as a digital download or on a CD-ROM, and are compatible with any computer or device that supports PDF. A one-stop resource which uniquely facilitates EMDR treatment, this product is invaluable for mental health practitioners, consultants, and supervisors who are fully trained in the practice of EMDR.
Op basis van eerder onderzoek door Lee en Drummond (2007), heeft dit onderzoek onderzocht de invloed van de aard van de therapeut instructies (herbeleven en afstand) op de verwerking van pijnlijke herinneringen. Bovendien, dit onderzoek onderzocht of het type van het trauma ook de manier waarop het geheugen wordt verwerkt invloeden. Het onderzoek is uitgevoerd door en onder studenten. Een gedetailleerd protocol - gebaseerd op de originele Eye Movement Desensibilisatie and Reprocessing (EMDR; Shapiro, 1989)-protocol werd gebruikt. De deelnemers (13 mannen en 23 vrouwen, gemiddelde leeftijd 22,4 jaar) werden gevraagd om een pijnlijke herinnering roepen, waarna de inhoud van het geheugen was gedesensibiliseerd herbeleven door een van beide of afstand instructies. De resultaten tonen geen verschil in effectiviteit tussen afstand en herbeleven voorwaarden. Verder werden geen verschillen gevonden tussen de condities onmacht en schuld / schaamte. Mede op basis van de gebruikte maatregelen kan worden geconcludeerd dat de manipulatie van de voorwaarden is mislukt. Voor toekomstig onderzoek wordt aanbevolen dat het protocol worden uitgebreid en de voorwaarden van het type van het trauma worden aangepast. Verder is het aangeraden om een controle conditie toe te voegen aan het onderzoek, om te bepalen of de bilaterale stimuli doeltreffend zijn en of ze invloed op de effectiviteit van de therapeut instructies.
Based on previous research by Lee and Drummond (2007), this research has examined the influence
of the type of therapist instructions (reliving and distancing) on the processing of distressing
memories. Furthermore, this research examined whether the type of the trauma also influences the
way the memory is being processed. The research has been conducted by and among university
students. A detailed protocol – based on the original Eye Movement Desensitization and
Reprocessing (EMDR; Shapiro, 1989) protocol –was used. Participants (13 males and 23 females,
mean age 22.4 year) were asked to recall a distressing memory, after which the content of the
memory was desensitized by either reliving or distancing instructions. Results show no difference in
effectiveness between reliving and distancing conditions. Furthermore, no differences were found
between the conditions powerlessness and guilt/shame. Partly based on the used measures it can be
concluded that the manipulation of the conditions failed. For future research it is recommended that
the protocol be expanded and the conditions of the type of trauma be adjusted. Furthermore it is
recommended to add a control condition to the research, in order to determine whether bilateral stimuli
are effective and whether they influence the effectiveness of therapist instructions.
Oogbeweging desensibilisatie and Reprocessing (EMDR) is een relatief nieuwe methode voor de behandeling van PTSS. Sinds de eerste studie meer dan 10.000 artsen zijn opgeleid hele wereld en de positieve resultaten met EMDR zijn gemeld met een groot aantal van de bevolking. Er is gesuggereerd dat EMDR is niets meer dan een complexe vorm van de blootstelling. Het doel van dit artikel is om deze bewering te kritisch aan te pakken. Een korte schets van exposure in vivo behandeling, de EMDR-behandeling protocol, EMDR en een case-studie worden gepresenteerd. Geconcludeerd wordt dat de waargenomen procedurele en theoretische verschillen tussen blootstelling en EMDR leiden tot de conclusie dat de effectiviteit van EMDR, meest waarschijnlijk is, niet kan worden verklaard door de effecten van imaginaire exposure alleen. [Samenvatting Auteur] [Loodsen]
Eye movement desensitization and reprocessing (EMDR) is a relatively new treatment method for PTSD. Since the initial study over 10,000 clinicians have been trained world-wide and positive results with EMDR have been reported with a wide number of populations. It has been suggested that EMDR is nothing more than a complex form of exposure. The aim of the present article is to address this claim critically. A brief outline of exposure in vivo treatment, the EMDR treatment protocol, and an EMDR case-study are presented. It is concluded that observed procedural and theoretical differences between exposure and EMDR lead to the conclusion that the effectiveness of EMDR, most likely, cannot be explained by the effects of imaginal exposure only. [Author Summary] [Pilots]
Op basis van eerder onderzoek door Lee en Drummond (2007) heeft dit onderzoek onderzocht de invloed
van de aard van de therapeut instructies (herbeleven en afstand) op de verwerking van pijnlijke herinneringen.
De hypothese was dat afstand instructies, instructies ten opzichte van herbeleven, zou leiden tot een
sterkere daling van subjectieve angst en nowness van het evenement. Bovendien was de verwachting dat
de levendigheid van het evenement zou afnemen tijdens de sessie, ongeacht de instructies. In elke
onder de sympathische en parasympathische activiteit van het zenuwstelsel wordt gemeten. Het was
verondersteld dat de sympathische activiteit zou een sterkere daling in de afstand conditie moet beschikken
in vergelijking met de toestand herbeleven. Een sterkere stijging werd verwacht voor de parasympathische activiteit
in de afstand staat, in vergelijking met de toestand herbeleven. Bovendien, aan het begin van de
zitting van de sympathische activiteit hoger zou zijn in het herbeleven conditie dan in de afstand
voorwaarde dat, in tegenstelling tot de parasympathische activiteit. Het onderzoek is uitgevoerd door en onder
universitaire studenten. Een gedetailleerd protocol - gebaseerd op de originele Eye Movement en Desensibilisatie
Reprocessing (EMDR; Shapiro, 1989) protocol - werd gebruikt. De deelnemers (12 mannen en 24 vrouwen,
gemiddelde leeftijd 22,4 jaar) werden gevraagd om een pijnlijke herinnering roepen, waarna de inhoud van de
geheugen was gedesensibiliseerd door een herbeleving of afstand instructies. De resultaten tonen geen verschil in
doeltreffendheid (Suds, Nowness-Scale en levendigheid) tussen afstand en herbeleven voorwaarden.
Er was ook geen significant verschil gevonden in het sympathische (PEP) en parasympathische (HR-en
RMSSD) activiteit. Mede op basis van de gebruikte maatregelen kan worden geconcludeerd dat de manipulatie van de
voorwaarden is mislukt. Voor toekomstig onderzoek wordt aanbevolen dat het protocol worden uitgebreid en het toevoegen van een
controle conditie aan het onderzoek. [Auteur abstracte]
Based on previous research by Lee and Drummond (2007) this research has examined the influence
of the type of therapist instructions (reliving and distancing) on the processing of distressing memories.
It was hypothesized that distancing instructions, compared to reliving instructions, would cause a
stronger decrease in subjective distress and nowness of the event. Furthermore it was expected that
the vividness of the event would decrease during the session, regardless of the instructions. In every
subject the sympathetic and parasympathetic activity of the nervous system is measured. It was
supposed that the sympathetic activity would have a stronger decrease in the distancing condition
compared to the reliving condition. A stronger increase was expected for the parasympathetic activity
in the distancing condition, in comparison with the reliving condition. Moreover, at the beginning of the
session the sympathetic activity would be higher in the reliving condition than in the distancing
condition, in contrast to the parasympathetic activity. The research has been conducted by and among
university students. A detailed protocol – based on the original Eye Movement Desensitization and
Reprocessing (EMDR; Shapiro, 1989) protocol – was used. Participants (12 males and 24 females,
mean age 22.4 year) were asked to recall a distressing memory, after which the content of the
memory was desensitized by either reliving or distancing instructions. Results show no difference in
effectiveness (SUDS, Nowness-Scale and Vividness) between reliving and distancing conditions.
There was also no significant difference found in the sympathetic (PEP) and parasympathetic (HR and
RMSSD) activity. Partly based on the used measures it can be concluded that the manipulation of the
conditions failed. For future research it is recommended that the protocol be expanded and to add a
control condition to the research. [Author abstract]
This chapter addresses several things. First, we consider the key features of eye-movement desensitization and reprocessing (EMDR), its theoretical foundations, and later its integration with other therapies. We consider the merits of the key (and controversial) components of EMDR and discuss the integration of EMDR in psychotherapy. We then consider the efficacy of EMDR in posttraumatic stress disorder (PTSD) and examine meta-analyses and studies that evaluate this therapeutic program. We rate the salient studies of EMDR and PTSD. Then we discuss EMDR and its limitations and contraindications. Finally, we present the EMDR protocol and three cases that demonstrate the use of EMDR. (PsycINFO Database Record (c) 2009 APA, all rights reserved)
Backgroound: Eye movement desensitization and reprocessing (EMDR) is becoming a recognized and accepted form of psychotherapy for posttraumatic stress disorder (PTSD). Yet, its mechanism of action remains unclear and much controversy exists about whether eye movements or other forms of bilateral kinesthetic stimulation contribute to its clinical effects beyond the exposure elements of the procedure. Methods: Twenty-one patients with single-event PTSD (average Impact of Event Scale score: 49.5) received three consecutive sessions of EMDR with three different types of auditory and kinesthetic stimulation (tones and vibrations): intermittent alternating right-left (as commonly used with the standard EMDR protocol), intermittent simultaneous bilateral, and continuous bilateral. Therapists were blinded to the type of stimulation they delivered, and stimulation type assignment was randomized and counterbalanced. Results: All three stimulation types resulted in clinically significant reductions of subjective units of distress (SUD). Yet, alternating stimulation resulted in faster reductions of SUD when only sessions starting with a new target memory were considered. Conclusions: There are clinically significant effects of the EMDR procedure that appear to be independent of the nature of the kinesthetic stimulation used. However, alternating stimulation may confer an additional benefit to the EMDR procedure that deserves attention in future studies.
Intellectual disability is a comorbid condition in epilepsy. People with epilepsy and intellectual disability are at high risk of developing behavioral problems. Among the many contributors to behavioral problems in people with epilepsy and intellectual disability are those of traumatic experiences. As such, behavioral problems can be seen as a reflection of these traumatic experiences. Among established trauma therapies, eye movement desensitization and reprocessing (EMDR) is an emerging treatment that is effective in adults and also seems to be effective in children. This article is a case report of EMDR in an adolescent with epilepsy and mild intellectual disability, in whom the EMDR children’s protocol was used. The aim was to assess whether clinical trauma status significantly diminished to nonclinical status posttreatment. Change in trauma symptoms was evaluated with the Reliable Change Index (RCI). Results showed a significant decrease in trauma symptoms toward nonclinical status from pretreatment to posttreatment. EMDR consequences for epilepsy and intellectual disability are discussed.[Elsevier 2009]
Since Eye Movement Desensitization and Reprocessing (EMDR) was introduced 12 years ago it has become the most researched treatment for PTSD and its efficacy has been widely recognized. EMDR is a comprehensive treatment protocol in which the client attends to emotionally disturbing material in short sequential doses while simultaneously focusing on an external stimulus (therapist-directed eye movements, hand-tapping, auditory tones). This chapter provides an overview of the development of EMDR and Shapiro's Adaptive Information Processing model, which hypothesizes that EMDR works by forging new links between elements of traumatic memories and adaptive information contained in other memory networks. The empirical evidence is examined, with summaries of 12 controlled studies: civilian participants demonstrated a 70 to 90% decrease in PTSD diagnosis after 3 to 4 EMDR sessions, and combat veterans a 78% decrease in PTSD diagnosis after 12 sessions. A concise explanation of the 8 phases of EMDR treatment process is augmented with multiple client vignettes. Finally, a case illustration provides a detailed description of the application of EMDR in the treatment of PTSD (Pilots). [Text, p. 148]
Since Eye Movement Desensitization and Reprocessing (EMDR) was introduced 12 years ago (F. Shapiro, 1989), it has become the most research treatment for posttraumatic stress disorder (PTSD) and its efficacy has been widely recognized. EMDR is a comprehensive treatment protocol in which the client attends to emotionally disturbing material in short sequential doses while simultaneously focusing on an external stimulus. This chapter provides an overview of the development of EMDR and Shapiro's (2001) Adaptive Information Processing Model, which hypothesizes that EMDR works by forging new links between elements of traumatic memories and adaptive information contained in other memory networks. The empirical evidence is examined, with summaries of 12 controlled studies: Civilian participants demonstrated a 70-90% decrease in PTSD diagnosis after 3-4 EMDR sessions. A concise explanation of the 8 phases of EMDR treatment process is augmented with multiple client vignettes. Finally, a case illustration provides a detailed description of the application of EMDR in the treatment of PTSD. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Eye movement desensitization and reprocessing (EMDR) is a recently developed psychotherapy treatment procedure which combines imaginal exposure with eye movements and is reported to dramatically reduce negative symptoms associated with trauma related psychological disturbances and memories. The author reviewed and analyzed the current literature regarding EMDR, and conducted a within-subject design investigating the importance of the eye movement component in the EMDR treatment protocol by comparing the efficacy of an eye movement treatment condition, with two non-eye movement treatment conditions. The use of two different control conditions allowed comparisons of the eye movement condition (EMDR), which involved bilateral stimulation of the brain, with exposure to memory of the trauma without eye movements (Eye-Focus Desensitization), which served as a placebo, and exposure to memory of the trauma with a competing motor activity (Single Hand Tapping), which represented unilateral stimulation of the brain. This study also employed a delayed treatment condition to investigate the overall effectiveness of EMDR in treating PTSD. The subject was a 53-year-old Caucasian female who met DSM-IV criteria for PTSD. Dependent variables included a diagnostic instrument, which was the Structured Interview for Posttraumatic Stress Disorder (SI-PTSD); global instruments, which included the Beck Anxiety Inventory (BAI), Impact of Events Scale (IES), and Subjective Units of Distress scale (SUDs); process measures, which included the Subjective Units of Distress scale (SUDs) and Validity of Cognition (VOC) scale; and a self-report measure of overall improvement, which was the Image Desensitization Rating Scale (IDRS).Results demonstrated support for the superiority of an eye movement condition over that of both a no-eye movement condition (EFD), and a competing motor activity of single hand tapping (SHT) on process variables (SUDs and VOC), but not on weekly global measures (IES, BAI, and SUDs) in the single subject studied. Also, this study found support for the effectiveness of EMDR (delayed treatment phase) in reducing symptoms of anxiety, intrusiveness and avoidance, and subjective distress related to memory of trauma as measured by BAI, IES, and SUDs, and also in alleviating DSM-IV symptoms of Posttraumatic Stress Disorder for this subject. Experimental single-subject studies, as well as group designs, need to investigate possible neurological and theoretical explanations for the effectiveness of EMDR in future research. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 60(4-B), Oct 1999, pp. 1846.
This article describes the treatment of PTSD using eye movement desensitization and reprocessing (EMDR) with four pre-adolescent children. EMDR has been shown to bring rapid relief in adults with PTSD. Studies are beginning to show that it can also be useful in work with young children. However, the standard protocol requires some adjustment to make it suitable for use with young children. In addition, in situations where children have complex difficulties in addition to PTSD, EMDR may need to be used alongside other interventions within a complex treatment package. This study describes brief work carried out with four pre-adolescent children with PTSD. Three of these children had received no treatment despite suffering from significant and chronic symptoms for some years. One had suffered a recent traumatic bereavement. All had additional problems that required intervention. EMDR was used as part of a multimodal treatment package. In all cases, the children's PTSD symptoms resolved within 2-4 sessions of EMDR. The maximum total number of sessions was 7. The children's symptomatic improvements were maintained at 6-month follow-up. EMDR can be adapted for use with pre-adolescent children. It can provide rapid and lasting symptomatic relief. EMDR can be a useful part of a multi-modal treatment package for young children with PTSD and additional mental health problems. [Author 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.
Eye Movement Desensitization and Reprocessing (EMDR) is an
integrative psychotherapeutic approach that conceptualizes current
symptoms resulting from experiences that are inadequately
processed; that is, “frozen” in the brain. When these inadequately
stored memories are triggered, symptoms result (e.g. nightmares,
flashbacks, intrusive thoughts, etc.). The EMDR protocol involves
accessing the dysfunctionally stored information, stimulating the
innate processing system through standardized protocols (including
eye movements), allowing it to transmute the memory to an
adaptive resolution. Processing is evident by a rapid progression of
intrapsychic connections as emotions, insights, sensations and
memories surface and change with each new set of bilateral
stimulation. The mechanisms of action include adaptive information
from other memory networks linking into the network holding the
dysfunctionally stored information. There is a shifting of the
information from implicit to episodic and then semantic memory.
The memory is no longer isolated, and becomes appropriately
integrated within the larger memory network. Hence, processing
involves the forging of new associations and connections enabling
learning to take place with the memory stored in a new adaptive
form.
This presentation will discuss the eight phases, three-pronged,
EMDR treatment model and illustrate the dynamics of treatment
through a video case presentation.
Participant Alert: A taped session with a client who has
experienced trauma will be presented.
This archival study examined the efficacy of EMDR with residential latency-age children. Participants in the study were the records of 5 children who completed a 10-week EMDR treatment protocol, and 4 children who were in a control group. Treatment included art therapy, play therapy, drama therapy, and talk therapy. EMDR was included as a component of the overall treatment for the experimental group. Pre- and post-measures were assessed using the Behavior Assessment Scale for Children (BASC) and the Trauma Symptom Checklist for Children (TSCC). Three versions of the BASC were used in this study: the Parent Rating Scale (PRS), the Teacher Rating Scale (TRS), and the Self Report of Personality (SRP).Paired-sample t tests demonstrated significant differences on the BASC-SRP and the TSCC for the experimental group at pre- and post-measures. For the BASC-SRP, the children in the experimental group endorsed significantly fewer items for Atypicality, Locus of Control, Social Stress, and Anxiety at the conclusion of the study as compared to initial results. For the experimental group, three of the six scales on the TSCC were significantly lower at the end of the study than at the beginning of the study. The children endorsed significantly fewer symptoms of PTSD, Depression, and Dissociation at the end of treatment as compared to the beginning of treatment. Because of the numerous limitations of this study, generalizability is inevitably limited. However, the outcome of this research indicates that EMDR can be effective to reduce overall symptomology of severely traumatized children. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(2-B), Aug 2002, pp. 1021.
This exploratory-descriptive study presents an examination of Licensed Clinical Social Workers (LCSWs) who use Eye Movement Desensitization and Reprocessing (EMDR) and of clients with whom they use it. EMDR is a rapid exposure treatment protocol for trauma consisting of a therapeutic interview accompanied by therapist directed eye movements, and is conducted in the context of ongoing therapy.
Results of a mailed survey indicate that the 14 respondents are affluent experienced White/Anglo women working with White/Anglo women in eclectic private practices. They seek effective technologies of psychotherapy and view EMDR as such. They use EMDR with longer term treatments to help clients proceed with therapy when 'stuck'.
Additional research appears warranted.
Eye Movement Desensitization and Reprocessing (EMDR) is described in terms of clinical phenomena, the need for appropriate training in EMDR, and the consistency of neural network theory with BASK theory of dissociation. EMDR treatment failures occur in dissociative disorder patients when EMDR is used without making diagnosis of the underlying dissociative condition and without modifying the EMDR procedure to accommodate it. Careful informed consent and the use of the dissociative table technique can allow EMDR to move successfully to completion in a dissociative patient. Certain "red flags" contraindicate the use of EMDR for some dissociative patients. A protocol for EMDR with dissociative patients is offered, for crisis intervention (rarely appropriate), abreactive trauma work, and integration/fusion. The safety and effectiveness of EMDR's use in the dissociative disorders requires adequate preparation and skillful trouble-shooting during the EMDR. [Author Abstract]
This document presents an individual case study focusing on the qualitative application of the Eye Movement Desensitization and Reprocessing (EMDR) treatment to PTSD in a latency-aged multi-traumatized child. Theoretical, empirical and clinical descriptions of PTSD and EMDR are presented in order to understand childhood psychological trauma and its treatment. Further, an explanation of childhood psychic trauma is presented to distinguish between single event trauma (Type I Trauma) and multiple exposure to psychologically overwhelming events (Type II Trauma) as defined by Lenore Terr. Child abuse and specifically sexual abuse is described as an example of a Type II trauma that is closely related to the development of post-traumatic symptoms and reactions. EMDR is selected as the main cognitive behavioral treatment to help reduce PTSD symptoms in an 11-year-old male who has witnessed and experienced numerous interpersonal stressor related traumatic events.A clinical review of the child's EMDR focused treatment is summarized in a total of twenty-five sessions that follow Shapiro's EMDR 8-Step Treatment Model. Qualitative changes to the standard adult EMDR protocol made by the treating therapist are presented to illustrate how EMDR can be modified and adapted to work with latency age children. The results of the study suggest that EMDR may be a useful adjunct to an overall treatment plan aimed at ameliorating the traumatic symptoms and developmental difficulties associated with PTSD in children. The author emphasizes the need for the clinician using EMDR with children and adults to constantly target and assess the impact of present stressors and their role in the maintenance of PTSD symptomatology. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 59(1-B), Jul 1998, pp. 0438.
40 college students suffering from public speaking anxiety and having experienced a specific traumatic speech-related event were exposed to either a standard EMD protocol with eye movements; a moving audio stimulus in place of the eye movements; a protocol with eyes resting on the hands in place of the eye movement, or a no-treatment control condition. The results revealed that EMD is comparable in limited effectiveness to the other procedures and that the eye movements are not a crucial component of the treatment with this population. [Author Abstract]
ubstance Abuse is the use and abuse of mood and mind altering substances often having undesired effects on the lives of those addicted, and having a negative impact on the lives of others. Those addicted may expose themselves and others to physical and psychological harm; may create forensic problems; cause disintegration of the family, and problematic interpersonal relationships. Underlying reasons for addictive behavior include but are not limited to: genetic predisposition, psychosocial involvement, psychobiological complications, developmental conditions, and pre-existing psychological and environmental events. Some deficits found in those addicted include: poor coping skills, inability to problem solve, inability to function in difficult situations, and may use cognitive avoidance as a means of coping with life. The idea that children might be negatively impacted by exposure to substance abuse using parents is not a new revelation. However, the degree of damage done to these children is severe, and more is being learned about the severity of that damage. Children often are enmeshed with their dysfunctional families, and many problems arise involving their inability to maintain intimate relationships with others. Attachment issues may develop in infancy and early stages of maturation, and adversely affect children's ability to function as adults. Abusive pasts and traumatic incidents often may hinder the psychological growth and maturity of those who have experienced trauma and abuse.Eye Movement Desensitization Reprocessing (EMDR) is a fairly new concept of treatment. It was first designed to address therapy with those who had been exposed to trauma. However, over the past 22 years since its inception, it has been adapted to treat many other types of Axis I disorders. It has been determined that EMDR is useful in addressing substance abuse and other Axis I diagnoses, especially PTSD. Hiller, Knight, and Simpson completed a study with 161 persons who resided at a residential halfway house for newly released inmates. Their results found: 80% of the sample of had psychological problems; 72% had significant drug abuse problems; 58% had concurrent psychopathology and drug abuse problems. Research indicates prison confinement is increasing, and the idea of therapy in the forensic setting is gaining in popularity. Thus, the purpose of this dissertation is to design a substance abuse program to address the difficulties of substance abuse treatment for the dual diagnosed clients. The data collected from this program will help provide much needed information in order to further research and increase our understanding of the needs of this underserved population. [Author Abstract]
The Eye Movement Desensitization
and Reprocessing (EMDR)
procedure, developed by Francine
Shapiro, Ph.D., was introduced as a
new rapid treatment for anxiety and
related traumata. Dr. Shapiro
serendipitously discovered that
lateral eye movements (saccades)
produced a decrease in distress
associated with dysfunctional
thoughts. The basic protocol for
integrating EMDR into clinical work
involves the client performing sets
of saccades (usually when tracking
the therapist's finger) while visualizing
a disturbing image, thinking a
disconcerning thought or focusing
on an unpleasant affect. The result is
- often a rapid working through of
even strong negative feelings, a
disappearance of the upsetting
images and a facilitation of cognitive restructuring of dysfunctional
thoughts.
Eye-movement desensitization and reprocessing (EMDR) has been hailed as a new experimental treatment for survivors of trauma that can provide rapid relief from the debilitating symptoms associated with PTSD. EMDR's efficacy reportedly stems from the use of eye-movements that are postulated to stimulate physiological changes in brain activity to produce cognitive restructuring and desensitization of emotional discomfort. This novel procedure has become more prominent with reported benefits for an increasing range of clinical applications. Since there is minimal controlled research, especially in a civilian population, on psychological methods to treat the ill effects of trauma and because EMDR has limited empirical support, further controlled investigation was warranted to supplement this limited body of scientific knowledge.Consequently, the specific goals of this controlled study were to evaluate (1) the efficacy of EMDR in the treatment of civilian trauma survivors, (2) whether or not eye-movements are instrumental to the therapeutic process, and (3) the treatment impact on intrusive and avoidant symptoms. It was hypothesized that (1) an EMDR treatment group would demonstrate greater efficacy when compared to an Alternative group which followed the same treatment protocol except for the substitution of deep breathing for the eye-movements, (2) both the EMDR and Alternative treatments would show significant improvement over a Control group, and (3) there would be similar changes in intrusive and avoidant symptoms. Findings at two month follow-up indicated the EMDR group had significant reductions in intrusive/avoidant symptoms (using the Impact of Event Scale), decreased emotional discomfort related to traumatic memories (rated by Subjective Units of Distress), and improvements in positive self-evaluations (measured by the Validity of Cognition Scale). There were similar results in the Alternative group with the exception of no significant improvement in self-evaluation. This latter finding provides some support for the hypothesis that eye-movements facilitate a cognitive restructuring. Comparisons between the EMDR and Alternative treatments, however, found no significant differences on any of the dependent measures. That is, both treatments appeared to produce comparable positive results which implied eye-movements were no more effective than deep breathing. In addition, both treatments were found to be more effective in easing intrusive symptoms. Other similarities included observable relaxation reactions in both treatments. These overall findings imply a similar change mechanism. Therefore, the efficacy of EMDR may stem more from reciprocal inhibition rather than a cognitive restructuring induced by the eye-movements. If this is valid, then EMDR may be a variant of systematic desensitization. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 56(3-B), Sep 1995, pp. 1690