Francine Shapiro Library - EMDR Bibliography Links
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1. Brewin, C. R. (2001, April). A cognitive neuroscience account of posttraumatic stress disorder and its treatment. Behaviour Research and Therapy, 39(4), 373-393. doi:10.1016/S0005-7967(00)00087-5.
Language: English
Format: Journal
Abstract:
Recent research in the areas of animal conditioning, the neural systems underlying emotion and memory,
and the effect of fear on these systems is reviewed. This evidence points to an important distinction between
hippocampally-dependent and non-hippocampally-dependent forms of memory that are differentially affected
by extreme stress. The cognitive science perspective is related to a recent model of posttraumatic stress
disorder, dual representation theory, that also posits separate memory systems underlying vivid reexperiencing
versus ordinary autobiographical memories of trauma. This view is compared with other accounts in
the literature of traumatic memory processes in PTSD, and the contrasting implications for therapy are
discussed. 2001 Elsevier Science Ltd. All rights reserved.
Keywords: Review Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
2. Taylor, S., Thordarson, D., Maxfield, L., Fedoroff, I., Lovell, K., & Ogrodniczuk, J. (2003, April). Comparative efficacy, speed, and adverse effects of three PTSD treatments: Exposure therapy, EMDR, and relaxation training. Journal of Consulting & Clinical Psychology, 71(2), 330-338. doi:10.1037/0022-006X.71.2.330.
Language: English
Format: Journal
Abstract:
The authors examined the efficacy, speed, and incidence of symptom worsening for 3 treatments of PTSD: prolonged exposure, relaxation training, or eye movement desensitization and reprocessing (EMDR; N = 60). Treatments did not differ in attrition, in the incidence of symptom worsening, or in their effects on numbing and hyperarousal symptoms. Compared with EMDR and relaxation training, exposure therapy (a) produced significantly larger reductions in avoidance and reexperiencing symptoms, (b) tended to be faster at reducing avoidance, and (c) tended to yield a greater proportion of participants who no longer met criteria for PTSD after treatment. EMDR and relaxation did not differ from one another in speed or efficacy (Pilots).
Keywords: Adults Empirical Study Exposure Therapy Negative Therapeutic Reaction Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Relaxation Therapy Stressors Survivors Treatment Effectiveness Witnesses
Accuracy Verified: Yes
3. van Eijk, M. & ter Braak, A. (2008, Maart). De noodkreet van het lijf: Het lichaam spreekt [The cry of the body: The body speaks]. Presentatie aan de derde congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
De gevolgen van psychotrauma manifesteren zich in de meeste gevallen in de vorm van herbelevingen, vermijding, emotionele ontregeling, concentratiestoornissen en dergelijke.
Lichamelijke klachten worden inmiddels ook steeds vaker herkend als een van de gevolgen van PTSS.
In deze workshop wordt naast aandacht voor de theoretische achtergrond van psychofysiologische reacties, ingegaan op wat men als EMDR- therapeut in de praktijk kan tegenkomen: dit kan variëren van selectief mutisme tot stigmata en van verlammingsverschijnselen tot visus uitval. Een en ander wordt geďllustreerd aan de hand van voorbeelden en videomateriaal.
The effects of psychotrauma manifest themselves in most cases in the form of reexperiencing, avoidance, emotional disturbance, impaired concentration and the like.
Physical symptoms are also now increasingly being recognized as one of the effects of PTSD.
This workshop will next focus on the theoretical background of psycho-physiological responses, discuss what they like EMDR therapist in practice may encounter: this may range from selective mutism to stigmata and paralysis to vision loss. This is illustrated by examples and video material.
Keywords: Body Psychophysiological Responses Somatic
Accuracy Verified: Yes
4. 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
5. Taylor, S. (2004). Efficacy and outcome predictors for three PTSD treatments: exposure therapy, EMDR, and relaxation training. In S. Taylor (Ed.), Advances in the treatment of posttraumatic stress disorder: Cognitive-behavioral perspectives (1st ed.) (pp. 13-37). NewYork: Springer Publishing.
Language: English
Format: Book Section
Abstract:
In a study that directly compared exposure therapy, EMDR, and relaxation training in patients with PTSD, we simply provided patients with a verbal description of PTSD and its treatment, then assessed the patient's treatment goals, and discussed how the treatment was relevant to the goals. For patients who do not drop out of treatment, our findings suggest that the most consistent predictor of good outcome is whether or not the patient receives exposure therapy, and that the severity of reexperiencing symptoms is an important predictor of treatment outcome, largely because relaxation training has a poorer outcome when these symptoms are severe. The efficacy of exposure and EMDR does not appear to be affected by the severity of reexperiencing. These findings provide further support for the efficacy of exposure and, to a limited extent, support the use of EMDR. Our findings, however, suggest that exposure is a first-line psychosocial treatment for PTSD. [Adapted from Text, pp. 16, 34] [Pilots]
Keywords: Adults Exposure Therapy Manual-Based Treatments Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Relaxation Therapy Stressors Survivors Treatment Effectiveness
Accuracy Verified: Yes
6. Zangwill, W. M. (1994). EMDR and shame: A brief report. EMDR Network Newsletter, 4(3), 13.
Language: English
Format: Conference
Abstract:
One of the most difficult issues in
an EMDR session is when a patient is
not able to "let go" and experience the
process. There are a variety of reasons
for this happening, one of which
involves the shame patients sometimes
feel in both reexperiencing the
memories and of sharing them with
us. Despite assurances that they do
not have to share content, some patients
have still reported difficulty in
letting past material arise to be reprocessed
because of fear of embarrassment
and humiliation.
Keywords: Shame
Accuracy Verified: Yes
7. Forgash, C. A. (2002, June). EMDR/ego state work in trauma response situations: Working with survivors of the WTC 9/11 tragedy. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
Therapists who respond to massive trauma find that some clients (i.e., people who escaped the WTC Towers, rescue workers, firefighters, and those who have lost family members) may be triggered into reexperiencing earlier traumas and may present with a dissociative disorder. Integration of EMDR and Ego State Therapy provides a safer approach. Unresolved trauma necessitates dealing with ego states that hold earlier memories/symptoms to prevent poor response to standard EMDR. This presentation emphasizes practical, safety focused innovations; planing for longer EMDR treatment; developing resources, stability and readiness; container and imagery exercises to help clients deal with triggering stressful situations. This workshop will provide handout and bibliography; case illustrations and slides of clients treated in the aftermath of disaster.
Keywords: 9/11 Disaster Ego State Therapy September 11th Survivors World Trade Center WTC
Accuracy Verified: Yes
8. Taylor, S. (2003, October-November). Exposure therapy, EMDR and relaxation. In M. Creamer (Chair), PTSD treatment outcome predictors. Symposium conducted at the 19th annual meeting of the International Society for Traumatic Stress Studies, Chicago, IL .
Language: English
Format: Conference
Abstract:
Several psychosocial treatments appear to be effective in treating
posttraumatic stress disorder (PTSD). However, little is known about
the predictors of treatment outcome. It is possible that some variables
predict poor outcome for some treatments but not for others.
To investigate this issue, outcome predictors were examined for
three 8-session treatments: Exposure therapy (entailing prolonged
imaginal and in vivo exposure), relaxation training, and eye movement
desensitization and reprocessing (EMDR). Sixty people with
PTSD entered and 45 completed treatment. To our knowledge, ours
was the first EMDR study to meet all the Foa and Meadows Gold
Standards for methodologically sound outcome research.
Treatments did not differ in attrition or perceived credibility.
Predictors of treatment outcome in PTSD:
While psychological treatments for PTSD have developed considerably
in recent years, large variation in individual treatment response
is apparent. This symposium integrates research from the USA,
Canada, and Australia to examine the impact of personal characteristics,
childhood abuse history, and treatment setting as predictors
of response to cognitive behavioral interventions.
PTSD treatment outcome predictors: Exposure therapy, EMDR and relaxation: Exposure tended to be most effective, and EMDR and relaxation
did not differ in efficacy. Low patient ratings of treatment credibility
(assessed in session 2) predicted treatment dropout, regardless of
treatment type. Of the potential outcome predictors examined,
severe reexperiencing symptoms (assessed prior to treatment) predicted
poor outcome for relaxation training but not for the other
therapies. The best predictor of treatment outcome was whether or
not patients received exposure therapy.
Keywords: Exposure Therapy PSTD Outcome Predictors Relaxation Symposium
Accuracy Verified: Yes
9. Lansing, K. (2004, November). Images of healing: SPECT images of PTSD and recovery in police officers. Preconference presentation at the 20th annual meeting of the International Society of Traumatic Stress Studies, New Orleans, LA.
Language: English
Format: Conference
Abstract:
The effects of “lethal contact” (i.e., close range firefights) in both the military
and law enforcement populations can render long-standing psychological
impairment. In this study we evaluated the effectiveness and physiological
effects of EMDR in police officers involved with on-duty shootings who
had delayed PTSD. Method: Six police officers involved with on-duty shootings
and subsequent delayed-onset PTSD were evaluated with standard
measures, the Posttraumatic Stress Diagnostic Scale and high-resolution
brain SPECT imaging, before and after treatment. Results: All police officers
showed clinical improvement and marked reductions in the PDS (mean
reduction from scores of 43.2 pre EMDR to 5.2 post EMDR). In addition,
there were decreases in the left and right occipital lobe, left parietal lobe
and right precentral frontal lobe, as well as significant increased perfusion
(>0.001) in the left inferior frontal gyrus. Conclusions: In our study EMDR
was an effective treatment for PTSD in this police officer group, showing
both clinical and brain imaging changes. This multimedia presentation integrates
selected case reviews including the dispatch recordings of the officer’s
actual shooting incident/s, follow-up “check-in” messages documenting
the officer’s reactions upon return to duty as well as pre- and post-treatment
brain images. Brief selections of video also are used to further illustrate
key principals. Clinical methodologies that were used with this group
of subjects also will be discussed.
Participant Alert: EMDR is a stepwise protocol designed to facilitate the reexperiencing
of “trauma based” memories in order to assist the client in
reformatting them into a non-disturbing / more “normalized” memory.
During this protocol highly charged/upsetting images, feelings or experiences
can arise for the client.
Keywords: Police Officers SPECT
Accuracy Verified: Yes
10. Tokunaga, H., Ikejiri, Y., Kazui, H., Masaki, Y., Hatta, N., Doronbekov, T. K., Honda, M., Oku, N., Hatazawa, J., Nishikawa, T., & Takeda, M. (2006). Neural correlates of symptom improvement in posttraumatic stress disorder: Positron emission tomography study. In N. Kato; M. Kawata, & R. K. Pitman, (Eds.), PTSD: Brain mechanisms and clinical implications (pp. 247-254). Tokyo: Springer-Verlag.
Language: English
Format: Book Section
Abstract:
We studied the neural basis of reexperiencing in patients with PTSD using positron emission tomography (PET) and investigated the change in the neural activities from before to after improvement of PTSD symptoms. As a therapy for PTSD, we used the eye movement desensitization and reprocessing (EMDR) procedure. Although the mechanism by which EMDR acts is unclear, its efficacy for PTSD is comparable to cognitive behavioral therapy. [Text pp. 247-248][Pilots]
Keywords: Adults Arousal Brain Imaging Crime Neurophysiology Japanese Survivors Posttraumatic Stress Disorder PTSD Reexperiencing
Accuracy Verified: Yes
11. Taylor, S. (2003, Summer). Outcome predictors for three PTSD treatments: Exposure therapy, EMDR, and relaxation training. Journal of Cognitive Psychotherapy, 17(2), 149-162. doi:10.1891/jcop.17.2.149.57432.
Language: English
Format: Journal
Abstract:
Several psychosocial treatments appear to be effective in treating PTSD. However, little is known about the predictors of treatment outcome. It is possible that some variables predict poor outcome for some treatments but not for other treatments. To investigate this issue, outcome predictors were investigated for three 8-session treatments: exposure therapy (entailing prolonged imaginal and in vivo exposure), relaxation training, and eye movement desensitization and reprocessing (EMDR). 60 people with PTSD entered and 45 completed treatment. Treatments did not differ in attrition or perceived credibility. Exposure tended to be most effective, and EMDR and relaxation did not differ in efficacy. A number of clinical and cognitive variables were examined to identify predictors of treatment dropouts as well as predictors of the likelihood that patients would be remitted from PTSD after treatment. These analyses were conducted by controlling for treatment condition. Low patient ratings of treatment credibility (assessed in session 2) predicted treatment dropout, regardless of treatment type. Severe reexperiencing symptoms (assessed prior to treatment) predicted poor outcome for relaxation training but not for the other therapies. These findings suggest that treatment outcome could be improved by improving treatment credibility. The findings also support the use of exposure therapy and, to a lesser extent, the use of EMDR in treating PTSD. [Author Abstract]
Keywords: Adults Brief Psychotherapy Clinical Trial Disability Evaluation Empirical Study Exposure Therapy Follow-up Study Insurance Legal Processes Manual-Based Treatments Quantitative Study Relaxation Therapy Posttraumatic Stress Disorder PTSD Random Clinical Trial Reexperiencing RCT Social Security Stressors Survivors Treatment Dropouts Treatment Effectiveness Treatment Outcome
Accuracy Verified: Yes
12. van der Kolk, B. A. (2000). Posttraumatic stress disorder and the nature of trauma. Dialogues in Clinical Neuroscience, 2(1), 7-22.
Language: English
Format: Journal
Abstract:
The role of psychological trauma (e.g., rape, physical assaults, torture, motor vehicle accidents) as an etiological factor in mental disorders, anticipated as early as the 19th century by Janet, Freud, and Breuer, and more specifically during World War I and II by Kardiner, was "rediscovered" some 20 years ago in the wake of the psychlogical traumas inflicted by the Vietnam war and the discussion "in the open" of sexual abuse and rape by the women's liberation movement. 1980 marked a major turning point, with the incorporation of the diagnostic construct of PTSD into DSM-III and the definition of its main diagnostic criteria (reexperiencing of the traumatic event, avoidance of stimuli associated with the trauma, and symptoms of increased arousal). Initially described as resulting from a onetime severe traumatic incident, PTSD has now been shown to be triggered by chronic multiple traumas as well. This "state-of-the-art" article discusses past and current understanding of the disorder, with particular emphasis on the recent explosive developments in neuroimaging and other fields of the neurosciences that have highlighted the complex interrelationships between psychological, psychiatric, biological, and neuroanatomical components of the disorder, and opened up entirely new therapeutic perspectives on how to help the victims of trauma overcome their past. [Author Abstract]
Keywords: Etiology Historical Account Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
13. Cole, J. W. (2005). The reenactment protocol for trauma and trauma-related pain. In R. Shapiro, Robin (Ed.), EMDR solutions: Pathways to healing (pp. 213-227). New York: W W Norton & Co.
Language: English
Format: Book Section
Abstract:
After a trauma, an individual is often tormented by the images of the tragic incident. These recollections return as nightmares, intrusive thoughts, and flashbacks. Physical pain related to the trauma triggers recollections of the trauma. These images reinforce the victimization. Those who take flight or who fight back during a trauma hold images of being active while those who freeze have more passive images. The Reenactment Protocol (RP) is a process of developing a new active image that reflects control, safety, and efficacy that is then associated with the trauma to allow the client a new set of meanings. I've never seen an abreaction, or reexperiencing of the trauma, arise during the RP. After the RP, clients report feeling in control. Their Subjective Units of Distress Scale (SUDS) have significantly lowered. Their physical pain has often lessened or disappeared. Clients often laugh at the point of reenacting their story, and the positive affect remains for the rest of the session. In therapies that have relied heavily on the RP, many clients gain a sense of control and sureness and increase their assertive behaviors. [Text, p. 213] [Pilots]
Keywords: Physical Pain Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes Reexperiencing Stressors Survivors
Accuracy Verified: Yes
14. Gimenez, A., Bonet, M. D., Gonzalez, L., & Santos, L. (2011, Julio). Tratamiento preventivo con EMDR del trastorno por estres postraumatico y el duelo patologico: caso clinico [Preventive treatment with EMDR of posttraumatic stress disorder and pathological grief: Case report]. En Casos clínicos: varios. Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, Espańa.
Language: Spanish
Format: Conference
Abstract:
Introducción:
La desensibilización y reprocesamiento por movimientos oculares (EMDR) es un
abordaje psicoterapéutico que acelera el tratamiento de diversas patologías fóbicas y
traumáticas, especialmente del Trastorno por estrés postraumático (TEPT). En el abordaje
de duelos traumáticos , derivados de una situación excepcionalmente impactante para el
paciente, puede prevenir el desarrollo de un TEPT grave. Se pretende realizar una investigación sobre cómo una intervención temprana y
breve con EMDR en un caso de síndrome por estrés agudo reactivo a duelo puede paliar
los síntomas característicos del TEPT y complicaciones psicológicas del duelo. Permitiendo
la elaboración temprana de la situación traumática para que no devenga patológica en el
futuro.
Material y métodos
Paciente de 50 ańos diagnosticada de estrés agudo reactivo a duelo que acude a
consulta de salud mental por muerte brusca de su pareja en una situación violenta y muy
traumática.
Método: 2 sesiones de EMDR en dos semanas (sesiones de 90 minutos).
Instrumentos: Escala de gravedad del TEPT (Echeburúa), Escala de depresión de
ZUNG y Escala de ansiedad‐estado (STAI).
Resultados:
Se observa mejoría significativa en Escala de gravedad del TEPT, con disminución en
síntomas de reexperimentación, evitación y aumento de la activación. Se aprecia un leve
incremento en síntomas ansioso‐ depresivos más característicos de un proceso de duelo
normal.
Conclusiones:
Con el tratamiento con EMDR podemos reducir los síntomas del TEPT, así como la
prevención de un duelo patológico. Que el paciente sea derivado tempranamente a la
unidad de salud mental, y que se intervenga con esta herramienta, puede ser un recurso
muy valioso, rápido y breve con unos beneficios importantes para su salud.
Introduction:
Desensitization and reprocessing eye movement (EMDR) is a
psychotherapeutic approach that accelerates the treatment of various diseases and phobic
traumatic, especially posttraumatic stress disorder (PTSD). In dealing with traumatic grief, derived from an exceptionally impressive to the patient, can prevent the development of severe PTSD.
It aims to conduct research on how early intervention and
EMDR brief in a case of acute stress syndrome, reactive to grief may alleviate the characteristic symptoms of PTSD and psychological complications of grief. Allowing early development of the trauma accrues not to be pathological in the future.
Material and methods:
50 year old patient diagnosed with acute stress reactive to grief that comes to
mental health consultation sudden death of his partner in a violent situation and very traumatic.
Method: 2 sessions of EMDR in two weeks (90 minute sessions).
Instruments: Scale of severity of PTSD (Echeburúa), Scale for Depression
Zung scale and state anxiety (STAI).
Results: Observed significant improvement in PTSD severity scale, with a decrease in
symptoms of reexperiencing, avoidance and increased arousal. It shows a slight
increase in anxiety-depressive symptoms more characteristic of a grieving process
normal.
Conclusions:
With EMDR therapy can reduce symptoms of PTSD and the
prevention of pathological mourning. That the patient be referred to early
mental health unit, and to intervene with this tool, you can be a resource
very valuable, quick and short with significant benefits to your health.
Keywords: Pathological Grief Posttraumatic Stress Disorder Preventive Treatment PTSD Symposium
Accuracy Verified: Yes
15. Balibey, H., & Balikçi, A. (2013). Travma sonrası stres bozukluğu tanılı hastada göz hareketleri ile duyarsızlaştırma ve yeniden işleme (EMDR) tedavisi: Olgu sunumu ]Eye movement desensitization and reprocessing (EMDR) treatment at a patient diagnosed with post-traumatic stress disorder: Case report]. Düşünen Adam Psikiyatri ve Nörolojik Bilimler Dergisi, 26(1), 96-101. doi:10.5350/DAJPN2013260111.
Language: Turkish
Format: Journal
Abstract:
Travma sonrası stres bozukluğu tanılı hastada göz hareketleri ile duyarsızlaştırma ve
yeniden işleme (EMDR) tedavisi: Olgu sunumu
Travma sonrası stres bozukluğu (TSSB), kişinin aşırı bir travmatik stresörle karşılaşmasından, yaşamasından
veya duymasından sonra, olayların kişiye sıkıntı veren bir biçimde yeniden yaşanması, kaçınma örüntüsü,
duygulanımda küntlük ile birlikte otonomik, disforik ve bilişsel bulguların değişik derecelerde bulunması ile
belirli bir ruhsal bozukluktur.
EMDR’nin TSSB’da etkililiği kanıtlanmış psikodinamik, bilişsel, davranışsal ve danışan merkezli yaklaşımlar gibi çok
iyi bilinen farklı yaklaşımların öğelerini bir araya getiren psikolojik bir tedavi yöntemidir.
Bu yazıda geçirdiği trafik kazası sonrasında Travma sonrası stres belirtileri gösteren vakamızın Göz Hareketleri
İle Duyarsızlaştırma ve Yeniden İşleme (EMDR) yöntemi ile tedavisi süreci ve klinisyenlerce Travma sonrası
stres bozukluğu vakalarında bu yöntemin daha sık ve yaygın bir şekilde kullanılmasının gerekliliği tartışılacaktır.
Post-traumatic stress disorder (PTSD) is a psychiatric disorder that is characterised with autonomic, dysphoric and cognitive signs together with affective numbing, distressed reexperiencing and avoidance from previous traumatic events at a person who has encountered, lived or heard an excessive traumatic event. EMDR is a psychological method which has proven to be effective and it brings together elements of well established approaches such as psychodynamic, cognitive, behavioral and client-centered approaches. In this paper treatment process with Eye Movement Desensitization and Reprocessing (EMDR) of a case who shows signs of post-traumatic stress disorder after a car accident and the need for using this method by clinicians more frequent and widespread at post-traumatic stress disorder patients will be discussed.
Keywords: Case Study Posttraumatic Stress Disorder
Accuracy Verified: Yes
16. Cohena, J. A., Mannarino, A. P., & Rogal, S. (2001, January). Treatment practices for childhood posttraumatic stress disorder. Child Abuse and Neglect, 25(1), 123-135. doi:10.1016/S0145-2134(00)00226-X.
Language: English
Format: Journal
Abstract:
Objective: This study surveyed practices in treating childhood PTSD among child psychiatrists and non-M.D. therapists with self-identified interest in treating traumatized children. Method: An anonymous survey was mailed to 207 child psychiatrists ("medical") [members of the American Academy of Child and Adolescent Psychiatry] and 460 nonphysician ("non-medical") therapists [members of the International Society for Traumatic Stress Studies] inquiring about current interventions used to treat children with PTSD. Results: 247 responses were received: of 77 medical and 82 nonmedical respondents who currently treat children with PTSD, a wide variety of modalities are used. Most preferred modalities among medical responders were pharmacotherapy, psychodynamic, and cognitive-behavioral therapy. Most preferred modalities among nonmedical respondents were cognitive-behavioral, family, and nondirective play therapy. 95% of medical respondents used pharmacotherapy for this disorder; most preferred medications to treat childhood PTSD were selective serotonin reuptake inhibitors and alpha-adrenergic agonists. Several significant differences between medical and nonmedical practices were identified. Conclusions: There is little clinical consensus regarding the effectiveness of the many modalities used to treat traumatized children who have PTSD symptoms; empirical research is particularly needed to evaluate the efficacy of pharmacotherapy and EMDR. [Author Abstract]
Keywords: Adolescents Arousal Avoidance Children Drug Therapy Mental Health Personnel Reexperiencing Posttraumatic Stress Disorder PTSD Treatment Effectiveness
Accuracy Verified: Yes
17. Lazrove, S. (1993, October). The use of EMDR in abreaction. Presentation at the International Society for the Study of Dissociation Fall Conference, Chicago, IL.
Language: English
Format: Conference
Abstract:
The role and management of abreaction, defined here as the reexperiencing of trauma in a therapeutic setting, is of particluar importance to clinicians treating patients with multiple personality disorder(MPD). Initial enthusiasm for the abreactive work waned after investigators recognized that patients can be retraumatized by intense abreaction and can decompenate clincially (Kluft). Still, mastery over past events is an essential element of recovery, so there is usually a need to titrate abreaction which results in a prolonged course of treatment. It will be suggested tha the use of EMDR can make abreactive work less painful and therefore has the potential to shorten treastment. This case supports the supposition that detoxifying and resolving traumatic memories is valuable in patients with MPD. Accordingly, it is suggested that the use of EMDR to manage abreaction in patients with MPD accelerates the treatment process, to the benefit of patient and clinician alike.
Keywords: Abreations
Accuracy Verified: Yes