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Your Results - you searched for the keyword Referral 33 Results
1. Borstein, S. S. (2008, September). Brief adjunctive EMDR: How to work collaboratively and quickly with referrals for EMDR. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Many of us have been asked to provide some EMDR to a colleague’s client. How do we decide whether to accept such a referral, define our role, and conceptualize the work? This workshop presents a model of brief adjunctive EMDR consultation, a focused application of standard EMDR therapy, provided by the EMDR consultant to clients in collaboration with their referring therapist. The workshop offers guidelines for identifying appropriate referrals and for maintaining a collaborative stance with referring therapists. Ethical issues and potential pitfalls will be discussed. Small group activities and handouts will help participants to implement the model.
Keywords: Adjunctive Therapy Referrals
Accuracy Verified: Yes
2. Greenwald, R. (1995, June). Children-case presentations. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
One major limitation of EMDR is that it is an individual treatment modality. However, individual treatment of a child may be
insuflicient, and broader interventions are often required. This is especially likely when environmental forces are unsupportive or in
opposition to the healing process. This presentation will focus on the use of EMDR on several levels in child treatment, including
individual treatment of traumatic memories, enhancing family support for healing, and addressing family obstacles to healing.
Format will include lecture, vignettes, and a video case presentation of the EMDR treatment of a young girl who had been raped by
a babysitter, along with the EMDR treatment of her older brother who bullied her.
Assessment of child problems includes consideration of many factors. The focus here will be on the child's trauma history, and on
the current family situation it pertains to treatment of the child's traumatic memories. Methods of assessment addressed here include
interview of the child and the parent, observation of family interactions, and observation of the child's progress, both during and after
EMDR treatment.
A number of interventions are available to enhance or augment individual EMDR treatment of the child. Vignettes will be
presented to illustrate the following interventions: referral to family therapy when successful EMDR highlighted the symptom's
functional role; EMDR with a parent to reduce reactivity to the child; and prompting the parent(s) to produce statements and
behaviors to be used later as content for installations.
A challenging case will be presented in which a family, though motivated, demonstrated a number of behaviors which threatened to
undermine the child's treatment. The family consisted of a single father in his late twenties, an eight year-old boy, and a seven-yearold
girl. The presenting problem was the girl's ongoing post-traumatic symptoms, particularly nightmares and social withdrawal,
some two years after having been raped by a babysitter. (the boy also had social and behavioral problems in school.) Unfortunately,
the "lessons" of the girl's traumatic experience were frequently reinforced in the family context, through the brother's bullying of his
younger sister, the father's complicity in the bullying, and the father's own tendency to be overly controlling and threatening.
Treatment began with two family sessions and one with the father alone. The next three sessions were split to provide some
individual time for each child as well as for the father. The seventh, final session included a family meeting and then some time for
each individual. Work with the father was difficult and slow, as he was very defensive regarding his own possible contributions to
his children's problems. Early interventions included delicate attempts to help the father understand the effect of his yelling and
threatening - even though he was no longer in the habit of physically striking his children. Meanwhile, in part to enhance the
therapeutic alliance, the primary focus was on direct treatment of the children. Some of this is shown on video.
The girl was asked to draw a picture of her bad dream, and then to draw it "all better." She first drew a dark picture of a large man
with fangs dripping blood. The next picture was of a nicer man on a sunny day. This activity was used as part of her introduction to
the upcoming EMDR work. In the next session she agreed to do EMDR and completed processing in 25 minutes. The following
session she indicated that the memory was no longer disturbing, and many of the symptoms had disappeared. She began to raise her
next concern, by playing with a doll and a baby bottle, and complaining that she did not get to see her mother enough.
Over the same three sessions the boy was also treated with EMDR for a number of relatively minor traumatic memories, including a
car accident, the loss of two pets, and a vision of the devil. Despite apparently successfull processing, he was unable to conclude that
he was a "good boy," due to evidence to the contrary: memories of his father's anger at him. Cognitive interweave was used to
access a sense of inner goodness. The bullying behavior reportedly disappeared both at home and at school, and he also moved on,
to express concerns about missing his mother.
Treatment was interrupted due to a change in insurance coverage, so continued treatment and follow-up was not accomplished. This
case illustrates some ways that EMDR can be enlisted to address aspects of the family context which may constitute obstacles to
healing. The girl's brother was treated with EMDR to reduce his mistreatment of her; and the boy's sense of badness, largely gained
by interaction with his father, was overcome by accessing internal resources in the absence of parental support. In conclusion,
EMDR can play multiple roles in both the diagnosis and treatment of family obstacles to healing.
Keywords: Case Presentations Children
Accuracy Verified: Yes
3. Dexter, B. A. (2006, September). Effective therapy with military and their families. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Many more families are now affected dramatically
by military service and combat. War is a
disturbing experience for the service member and
the family. Yet military culture is something that
mental health providers do not receive training
on in graduate school. Military medical systems
tend to lead military families to expect certain
services and knowledge when they seek help from
a therapist. If military families are able to utilize military medical facilities they expect they providers to be experts on military culture. It is not neccssary however, for therapists to have served in the military in order to provide high
quality service to military individuals and their
families. The military community is an entire culture with many honorable customs and
traditions. To fail to learn about military culture
when working with military families would be
tantamount to telling a client that ethnic minority
issues were not worthy of therapeutic
consideration. It is more critical now for mental health providers to learn about military culture
because many Activated Reservists, National
Guard and their families will need to receive
mental health services outside of the structured
military mental health setting. There is no one
"central source" for military information needed
by a clinician in order to provide the most effective
therapy. In this workshop we will include up-todate
handouts and referral sources for therapists
serving military families. We will also identify
how to use military culture knowledge to build
rapport and to set up effective targets for EMDR
processing.
Accuracy Verified: Yes
4. 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
5. 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
6. van den Berg, D. P. G. (2011, August-September). EMDR in patients with psychotic disorders and PTSD: A pilot study. In PTSD in patients with psychotic disorders. Symposium conducted at the 41st EABCT Annual Congress, Reykjavík, Iceland.
Language: English
Format: Conference
Abstract:
Introduction: Mueser at al. (2008) showed that a treatment
program that was predominantly based on cognitive restructuring
was effective and safe in treating PTSD in patients with Serious
Mental Illness. However, only 15.7% of the participants in this
study had a psychotic disorder. Frueh et al. (2009) conducted a
pilot study into PTSD treatment in patients with schizophrenia and
schizoaffective disorders (n=20). At three month follow-up twelve
out of thirteen completers no longer met criteria for PTSD.
Treatment caused no adverse events. Unfortunately psychosis
measures were not included in this study. A third therapy with
strong empirical support for its efficacy in treating PTSD is Eye
Movement Desensitization and Reprocessing (EMDR, Bisson et al.,
2007; Bradley, Greene, Russ, Dutra, & Westen, 2005; Seidler &
Wagner, 2006). In this presentation the results of a feasibility trial
(n=27) of EMDR in patients with psychosis and comorbid PTSD
will be presented.
Method: An open pilot trial of EMDR in treating PTSD symptoms
in participants with a diagnosis of schizophrenia or an other
psychotic disorder. Participants were all outpatients from
community mental health centres in the Netherlands. After referral
to the study patients were screened for PTSD with the Clinician
Administered PTSD Scale (CAPS, Blake et al., 1990). If PTSD was
diagnosed baseline measurements were performed after which an
informed consent was obtained. Treatment consisted of a
maximum of six weekly EMDR sessions, after which post
measurements were taken.
Results: EMDR was effective in alleviating PTSD symptoms. Out of the 25 completers, only 7 still met criteria for PTSD at post
measurement. Treatment did not result in adverse events. In fact,
other symptoms, such as delusions, auditory verbal hallucinations,
anxiety and depression decreased significantly, e.g. only four out
of the nine participants that reported voices at baseline still
reported voices at end of treatment.
Conclusions: The preliminary conclusion is that treating PTSD in
patients suffering from psychosis with EMDR is feasible, is safe
and has a positive influence on other symptoms.
Keywords: Pilot Study Postraumatic Stress Disorder PTSD Psychotic Disorders Symposium
Accuracy Verified: Yes
7. Marich, J. (2008, November). EMDR in the clinical setting: Assessing appropriateness for referral or collaboration. Presentation at the All Ohio Counselors Conference, Columbus, OH.
Language: English
Format: Conference
Keywords: Clinical Setting Collaboration Referral
Accuracy Verified: Yes
8. Bethiaume, B. (2001, May). EMDR treatment with two school-based referrals. Poster presented at the EMDR Europe Association annual meeting, London, UK .
Language: English
Format: Conference
Abstract:
School referral for behaviour is many times a last resort for teachers and administrators at a
loss to deal with a student's distress. This post illustrates two such cases and the effective use
of EMDR to clear underlying trauma at the core of the observable behaviour. It raises the
issue of age of trauma with critical developmental tasks of children and implications for
treatment. The first is a single trauma at age 11 and treated at age 13. The second occurred at
age 3 and treatment occurred at age 7.
L. is a 13 year old girl whose family had moved three times in the past 3 years and at her new
school, she became extremely distressed in the morning to the point of not being able to stay
in class. The underlying trauma took place 2 years ago, and did not manifest itself
behaviourally until the current move. Using EMDR, resolution was achieved in a short
period of time. C. is a 7 year old girl referred because her fears were preventing her from normal activities of her grade level. The sound of fire alarm bells were particularly distressful. The family recently moved from another country and reported no prior history of this type of behaviour.
Interweaving EMDR in the treatment process was effective in treating past traumas, some of
which appeared to have no verbal memory and culminated in her current distress. Parental
understanding and involvement in using EMDR was crucial to the treatment.
Keywords: Children Poster School Referrals
Accuracy Verified: Yes
9. Jones, J. (1995, June). EMDR: A candid view from the psychiatrist's couch. Presentation at the EMDR Network Conference, Santa Monica, CA .
Language: English
Format: Conference
Abstract:
I will attempt to present an overview of the major psychiatric disorders, some medical and neurologic syndromes and general concepts on how I approach diagnosis, prognosis and treatment. Our time will include all this and put special focus on psychpharmacology. The nature and scope of this material will be mostly introductory but i will certainly be open to exploring my topic at greater depth depending the needs of the group present. The audience should be any among you who would likea way to begin organizing you approach to pharmacology and the impact that is having on your practice and the use of EMDR. Licensed clinical social workers, marriage and family counselors and psychologists should especially benefit form the discussion. You can expect to hear about major depression and its variants, bipolar disorder, panic disorder and the general anxiety disorders- some coverage of eating disorders, PTSD and adult attention deficit disorder but in less detail. I shall only touch upon schzophrenia and the psychotic disorders unless you show a special interest. The same is true for medical and neurologic diagnosis which have psychotic sequelas. I shall then to proceed to describe the differences and similarities among the antidepressants following that with a less detailed presentation of anit-anxiety agents, anti-psychotics, lithium and its siblings and a few of the "tried-and-true" substances of abuse like alcohol, stimulants, hallucinogens and narcotics. Please forgive me if I draw the line at designer drugs. This is a vast amount of information. I shall empasize general organizing concepts which will help the clinician who would like to understand some of his/her clients better, know better when to make a referral to a psychiatrist, now some of the potentials and limitations of EMDR when your clients are taking medications and/or have a major psychiatric disorder. Do not come to if you wish to set sail on a sea of psychiatric and medical details - 90 minutes just will not suffice! I will depend on you to speak up at any time with your concerns and queries (not to mention contradictions) so we can tailor the moment to the real interests of those present. I will attempt to reserve a substantial amount of time for question, answers, and observations but, if we are lucky, this will be happening throughout the ninety minutes. If we have time left I will explore the subject of "you and your psychiatrist" with both panache and hubris. We have a reputation for not being the most ingratiating of colleagues. I have a number of suggestions from a psychiatrist perspective which could make it easier to manage (sic) your psychiatrist. I hope we will be able to conclude with some high spirits and as they say here in California, a time for sharing and mutual understanding.
Accuracy Verified: Yes
10. Kingerlee, P. (2006, September). EMDR: The evidence base is growing. Clinical Psychology Forum, 165, 3 .
Language: English
Format: Journal
Abstract:
No abstract available
Keywords: Behavior Therapy Cost Effectiveness Analysis Evidence Based Medicine General Practice Human Letter Medical Decision Making Patient Counseling Patient Referral Posttraumatic Stress Disorder PTSD Treatment Outcome
Accuracy Verified: Yes
11. Leone, J., & Dayton, J. (1994). Enhance EMDR outcome through additional saccades: Case study. EMDR Network Newsletter, 4(1), 5-6.
Language: English
Format: Newsletter
Abstract:
A 47-year-old, self-employed businessman, referred for treatment after a near fatal heart attack, was treated with EMDR 6 months after the trauma, and 4 months following his introduction to psychotherapy. though financially successful, he continued to be "driven" toward seeking acclamation from his colleagues. The physician who made the referral did so on the assumption that this client required a significant life style change to decrease stress and workaholic behavior.
Keywords: Saccades
Accuracy Verified: Yes
12. Reamer, F. G. (2004, September). Ethical issues in EMDR: Risk-management implications. Presentation at the annual meeting of the EMDR International Association, Montreal, Ontario Canada.
Language: English
Format: Conference
Abstract:
This workshop will provide participants with a comprehensive overview of ethical, malpractice, and risk-management issues encountered in EMDR. Using extensive case material, participants will learn how to handle complex practice-based ethical dilemmas, prevent professional malpractice, and avoid liablity. Emphasis will be on practical strategies designed to protect clients, professionals, and employers. Key topics will include the limits to clients' rights to confidentiality and self-determination, privileged communications, informed consent procedures, the use of high-risk treatment techniques, boundary issues and dual relationships, conflicts of interest, defamation of character, consultation and referral, supervision, termination of services, documentation, and the problem of impaired colleagues. Participants will be provided with a typology of compelling ethical dilemmas and "high risk" areas, and acquainted with practical decision-making strategies.
Keywords: Ethics Risk Management
Accuracy Verified: Yes
13. de Jongh, A., & ten Broeke, E. (2010, January). Eye movement desensitization and reprocessing (EMDR). Bijblijven, 26(1), 15-20. doi:10.1007/s12414-010-0004-5 .
Language: Dutch
Format: Journal
Abstract:
EMDR is een geprotocolleerde, evidence-based behandelprocedure gericht op het ‘desensitiseren’ – verzwakken – van herinneringen aan beschadigende gebeurtenissen. Volgens de Multidisciplinaire richtlijn Angststoornissen uit 2003 is EMDR één van de twee meest in aanmerking komende psychologische interventies bij de posttraumatische stressstoornis (PTSS). Een belangrijk voordeel ten opzichte van andere behandelmethoden is de snelheid waarmee resultaten worden bereikt. Daarnaast ervaren veel patiënten en therapeuten EMDR als relatief weinig emotioneel belastend. Wij zullen de behandelaanpak illustreren aan de hand van twee casussen en informatie verschaffen over verwijzing, opleiding, beroepsvereniging en kwaliteitsbeleid.
EMDR is a manualized, evidence-based treatment procedure aimed at 'desensitisation' - weaken - memories of damaging events. According to the Anxiety Disorders Multidisciplinary guideline in 2003, EMDR is one of the two most appropriate psychological interventions for posttraumatic stress disorder (PTSD). An important advantage over other treatment methods is the speed of results. In addition, many patients experienced EMDR therapists and have relatively low emotionally stressful. We will illustrate the treatment approach using two case studies and information about referral, education, professional associations and quality.
Accuracy Verified: Yes
14. Ali, M. W., & Rana, M. H. (2008, June). Eye movement desensitization and reprocessing (EMDR) in patients of PTSD following earthquake 2005, Pakistan. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Objective: The purpose of the study is to asses the usefulness of EMDR in patients of PTSD who survived the
October 2005 earthquake in Pakistan. Background: On October the 8th an earthquake of 7.6 on rector scale
struck Kashmir and Northwest of Pakistan leaving millions injured and more than 80,000 dead. A survey of the
affected areas has shown a high prevalence of PTSD amongst the survivors. A selected series of patients with the
diagnosis of PTSD from amongst the survivors is enrolled for EMDR at CTRPI. The study is based on their response
to this intervention. Design and Settings: The study involves an ongoing compilation of clinical data and the study
of therapeutic responses to various interventions including EMDR, at a tertiary mental health facility and Centre
for Trauma Research and Psychosocial Interventions (CTRPI), Rawalpindi /Islamabad, Pakistan. This mental health
facility is the tertiary care referral point for patients from metal health relief units located allover in earthquake
affected areas of Azad Kashmir and Northwest of Pakistan. Method: Earthquake survivors who develop
psychosocial sequelae referred to CTRPI from Kashmir, who go on to fulfill the criteria of Post-traumatic Stress
Disorder according to ICD-10 are registered for further studies and appropriate interventions. A select group who
give informed consent for EMDR are then included for detailed evaluation and follow up. Sessions are conducted
in eight phases from manuals by therapists who are trained till level 2 in the method. Pre- treatment assessment
is done by an independent assessor for scores on Impact of Event Scale and Global Assessment of Functioning
(GAF). The post treatment assessment is conducted 1 week after the treatment with the same procedures as at
pretreatment. In session Scoring of subjective unit of distress is also recorded serially. According to the degree of
improvement and severity of illness, sessions of EMDR are carried out with the duration of about 60 to 90
minutes each session and with a minimum of 6 sessions using the bilateral stimulation. The authors plan to
compile their work with ten patients who fulfill the prerequisites of the study in process. Results: The work has
been done so far on three clients which suggest that EMDR is effective in reducing the scores of IES back to
normal and there is marked difference in the GAF level after the said intervention. It has a dramatic effect on
29
within-session SUD levels .Furthermore, at a qualitative level it is observed that involvement of other family
members in the therapeutic process may improve treatment adherence. Conclusions: Ongoing results of this
study tend to suggest that the EMDR is an effective intervention for patients of PTSD following a natural disaster
like an earth quake. However, the results drawn cannot be generalized on account of their small count.
Keywords: Earthquake Pakistan Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
15. Farrell, D. (2005, June). An investigation into participants’ experiences of EMDR training and the implications for future developments in the teaching and learning of EMDR. In Teaching EMDR. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
This study investigates the experiences of participants (N=103) who had
undertaken EMDR Level 1 or 2 training in Ireland. The audit ascertained
participant's core profession, main psychological treatment orientation,
present utilization of EMDR within current clinical practice, number of clients
treated, types of referral issues, average number of sessions, and provision
for clinical supervision. In addition participants provided feedback as to their
views on their EMDR training experience. EMDR trainings were criticised in
areas which included participant involvement, group practicum's,
competency and fitness to practice, clinical supervision, post training
professional development, and the lack of any systems of assessment of
either knowledge or application of EMDR. The findings were integrated into
the development of a university based EMDR training at Masters Degree
level with multiple modes of assessment.
Accuracy Verified: Yes
16. Ehlers, A., Gene-Cos, N., & Perrin, S. (2009). Low recognition of post-traumatic stress disorder in primary care. London Journal of Primary Care, 2, 36–42.
Language: English
Format: Journal
Abstract:
Post-traumatic stress disorder (PTSD) is a common
and disabling disorder that develops as a consequence
of traumatic events and is characterised by
distressing re-experiencing of parts of the trauma,
avoidance of reminders, emotional numbing and
hyperarousal. The NICE guidelines for PTSD (2005)
recommend trauma-focused psychological therapy
as the first-line treatment. A survey of 129 GPs in
south London investigated the recognition and
treatment of PTSD in primary care. The majority
of GPs underestimated the prevalence of PTSD.
Most PTSD patients seen in GP surgeries currently
do not receive or are not referred for NICE recommended
psychological treatments. Medications,
especially SSRIs, appear to be more commonly
prescribed than recommended by NICE. Efforts to
disseminate information about PTSD and effective
treatments to both patients and GPs are needed to
increase recognition rates and prompter access to
treatment. The Improving Access to Psychological
Therapies (IAPT) programme will make the NICE
recommended treatments more widely available
and will allow self-referral by adults with PTSD to
trauma-focused psychological therapy.
Accuracy Verified: Yes
17. MacDonald, H. (2011, October). Marbles in the elbow and other stories: Using EMDR in treatment resistant pain. Keynote presented at the 3rd annual EMDR Autumn Workshop Conference, Durham, England.
Language: English
Format: Conference
Abstract:
Persistent pain is common in people who have experienced trauma; and persistent pain also leads to trauma responses, and between 10- 50% of those experiencing chronic pain meet criteria for PTSD. There are many people experiencing current, persistent pain in the general population, and many people referred for EMDR treatment will have pain, whether or not this is the primary reason for the referral.
Current approaches to treating persistent pain include medical and bio-psycho-social interventions. People with chronic pain have often tried multiple specialist treatments for their pain, including medication, surgery, physiotherapy and alternative treatments. The best available evidence suggests that a combination of medical, physiotherapy and psychological interventions is needed, with improved quality of life depending more on management of the emotional impact of pain than necessarily on pain reduction.
An increasing body of evidence suggests that using EMDR for pain can be effective in three main ways: for reducing the experience of pain; targeting pain memories and overcoming the impact of pain on the individual.
There will be a brief overview of research evidence and current clinical experience, and practical applications. This will include working with imagery in specific ways relevant to working with people in pain; and discussion of case examples. (Author abstract)
Keywords: Persistent Pain
Accuracy Verified: Yes
18. Noorthoorn, E. O., Havenaar, J. M., de Haan, H. A., van Rood, Y. R., & van Stiphout, W. A. (2010). Mental health service use and outcomes after the Enschede fireworks disaster: A naturalistic follow-up study. Psychiatric Services, 61(11), 1138-1143. doi:10.1176/appi.ps.61.11.1138 .
Language: English
Format: Journal
Abstract:
Objective: This study documented the number of people seeking help for mental health problems after a fireworks disaster in Enschede, the Netherlands. It describes their diagnostic characteristics, interventions provided, and their results. Methods: Researchers coded data from intakes and medical charts of all patients who sought help (N=1,659) and entered treatment (N=663) at a disaster relief service between May 13, 2000 (day of the disaster), and June 1, 2004. Patients who received more than eight treatment sessions (N=394) and were in treatment one year after the disaster were interviewed with the Composite International Diagnostic Interview (CIDI) (N=228, response rate, 58%) and other questionnaires (N=271, response rate, 69%). Results: In the population probably exposed, the cumulative referral-incidence for disaster-related mental health problems over four years was approximately 10%; in terms of referrals to the mental health facility over five years, the proportion of disaster-related referrals was 5.7%. Among adults, posttraumatic stress disorder (PTSD) was the most common clinical diagnosis (53%, chart sample). However, depression was the most common CIDI diagnosis (58%, CIDI interview sample). The recovery rate was about 50% on the basis of clinical judgment (chart sample), between 69% and 76% on the basis of "healthy" scores on symptoms, and between 39% and 60% in social and physical functioning (interview sample). Conclusions: Apart from persons seeking support during the first weeks postdisaster, the largest influx occurred after about one year and was limited in size. Clinicians in specialized services should be aware that conditions other than PTSD, such as depression, anxiety, substance abuse, and somatoform disorders, are also quite common after disasters. (Psychiatric Services 61:1138—1143, 2010)
On the afternoon of May 13, 2000, a fireworks deposit situated in a residential area exploded, killing 22 people and injuring about 1,000 in the center of Enschede, a town in the east of the Netherlands. As a result approximately 1,500 houses were damaged, of which 498 had to be demolished, leading to displacement of 4,163 inhabitants (1). An estimated 17,000 individuals were probably exposed in one way or another to this disaster (1). The event was immediately declared a national disaster. In response, a nationwide support effort was launched and funds were allocated for research to document health consequences of this disaster. As a result, data about health, well-being, and medical service use have been systematically collected since the early days after this event (2,3,4,5).
In contrast to the wealth of publications about the epidemiology of mental health problems after a disaster (6,7), there are only few studies that describe help-seeking behavior for these problems in a population stricken by disaster, or the outcomes of interventions. In this article we present the results of a chart study and interviews in early and later phases of treatment of adults who sought help from mental health services for disaster-related problems. The aim of the study was to evaluate mental health service delivery to persons affected by the fireworks disaster in Enschede during the period from May 2000 to May 2005. This study documented the number of people seeking help for disaster-related psychological problems, their sociodemographic and diagnostic characteristics, the interventions that they received, and some results of these interventions. To our knowledge this is the first systematic investigation of all adults seeking specialized mental health care in a disaster-stricken area.
Keywords: Enschede Fireworks Disaster
Accuracy Verified: Yes
19. van Dijke, A. (2011, April). The Netherlands centre for chronic early childhood traumatisation: Adults. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: English
Format: Conference
Abstract:
In the
mental health care system adequate treatment for
a large group of children and adults suffering
under the consequences of chronic early childhood
traumatisation is not available. The Netherlands
centre for chronic early childhood traumatisation
(lcvt) is aiming to enhance the treatment
services available with a nationwide offering of
tertiary referral psychotherapy, innovation,
research and education. The LCVT was formed in
2008 with eleven tertiary referral trauma centres
(TRTC), which are affiliated with mental health
care institutions. LCVT affiliated services use a
unique client-monitoring system as ‘sampling
frame’ in order to monitor the progress and results of all TRTC treatments. At the TRLCS information
is gathered systematically at regular intervals
from all patients on clinical symptoms, personality,
day-to-day functioning, quality of life, use of
health care system and social functioning. Evaluation
diagnostics give answers to what degree
treatment goals are realized.
format Workshop.
aim To provide the participants with
information on:
—— Management and implementation of TRTC and
monitoring system; —— Eye movement desensitisation and reprocessing
(emdr) and dissociative identity disorder (DID):
innovative psychotherapy possibilities;
—— Therapy effects of imaginaire exposure versus
imaginaire rescripting versus dramarescripting;
—— Trauma-related inhibitory and excitatory regulation styles.
Keywords: Childhood Traumatization
Accuracy Verified: Yes
20. van Dijke, A., & Crijnen, A. A. M. (2011, April). The Netherlands centre for chronic early childhood traumatisation: Children and adolescents. Presentatie op het 39ste Voorjaarscongres Nederlandse Vereniging voor Psychiatrie, Amsterdam.
Language: English
Format: Conference
Abstract: Contents of the workshop: Adequate treatment in the mental health care system is not available for a large group of children and adults suffering from the consequences of chronic early childhood traumatisation. The Netherlands centre for chronic early childhood traumatisation (LCVT) aims to enhance treatment services by offering a nationwide network of tertiary referral trauma centres (TRTC) providing psychotherapy, innovation and research, as well as education. In 2008 LCVT was formed with eleven trtc affiliated with Mental Health Services. lcvt affiliated services use a unique client-monitoring system as ‘sampling frame’ in order to monitor the progress and results of all trtc treatments. Information is gathered systematically and at regular intervals on all patients of the trtc on clinical symptoms, personality, day-to-day functioning, quality of life, use of health care services and social functioning. Evaluation diagnostics provide answers to which degree treatment goals are realised. Format: Workshop Aim: To provide the participants with information on: ——Management and implementation of TRTC in mental health services for children; —— Efficacy of eye movement desensitisation and reprocessing (EMDR) in children; —— The development of a consensus-based treatment monitoring system.
Keywords: Adolescents Childhood Traumatization Children
Accuracy Verified: Yes
21. Brewin, C. R., Fuchkan, N., Huntley, Z., Robertson, M., Thompson, M., Scragg, P., d'Ardenne, P., & Ehlers, A. (2010, February). Outreach and screening following the 2005 London bombings: Usage and outcomes. Psychological Medicine, 40(12), 2049–2057. doi:10.1017/S0033291710000206.
Language: English
Format: Journal
Abstract:
Background: Little is known about how to remedy the unmet mental health needs associated with major terrorist attacks, or what outcomes are achievable with evidence-based treatment. This article reports the usage, diagnoses and outcomes associated with the 2-year Trauma Response Programme (TRP) for those affected by the 2005 London bombings. Method: Following a systematic and coordinated programme of outreach, the contact details of 910 people were obtained by the TRP. Of these, 596 completed a screening instrument that included the Trauma Screening Questionnaire (TSQ) and items assessing other negative responses. Those scoring 6 on the TSQ, or endorsing other negative responses, received a detailed clinical assessment. Individuals judged to need treatment (n=217) received trauma-focused cognitive-behaviour therapy (TF-CBT) or eye movement desensitization and reprocessing (EMDR). Symptom levels were assessed pre- and post-treatment with validated self-report measures of post-traumatic stress disorder (PTSD) and depression, and 66 were followed up at 1 year. Results: Case finding relied primarily on outreach rather than standard referral pathways such as primary care. The effect sizes achieved for treatment of DSM-IV PTSD exceeded those usually found in randomized controlled trials (RCTs) and gains were well maintained an average of 1 year later. Conclusions: Outreach with screening, linked to the provision of evidence-based treatment, seems to be a viable method of identifying and meeting mental health needs following a terrorist attack. Given the failure of normal care pathways, it is a potentially important approach that merits further evaluation.
Keywords: Cognitive-Behaviour Therapy London Bombings Outreach Posttraumatic Stress Disorder PTSD Trauma-Focused Cognitive Behavioral Therapy Trauma Response Programme TRP
Accuracy Verified: Yes
22. Farrell, D., & Keenan, P. (2007, June). Participant's experiences of EMDR training within the UK and Ireland. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
This study investigated the experiences of several hundreds of participants who had undertaken EMDR training in the United Kingdom and Ireland over the last ten years. The research group was drawn from both the membership of the EMDR UK and I Approved Commercial Training. The research ascertained participant’s core profession, main psychological treatment orientation, present utilization of EMDR within current clinical practice, number of clients treated, types of referral issues, average number of sessions, and provision for clinical supervision. Participants were then asked to provide feedback as to their views on their EMDR training experience. Results demonstrated a significant proportion of practitioners integrated EMDR with Cognitive Behavioural Therapy more than any other paradigm. EMDR trainings were criticised in areas which included participant involvement, post training, professional development, and systems of assessment of knowledge and application of EMDR. The findings suggest a need to develop competency based curriculum training in EMDR. Arguments will be presented to support the need to teach EMDR within a wider clinical context.
Keywords: Ireland Training Treatment UK United Kingdom
Accuracy Verified: Yes
23. Staff. (2002, May 26). Post traumatic stress. Glasgow, Scotland: Sunday Mail.
Language: English
Format: Newspaper
Abstract:
Sometimes an anti-depressant helps alleviate some of the anxiety symptoms. Referral to a psychologist is often needed for cognitive behavioural and relaxation therapies. There is also a new technique called EMDR that is practised by some psychologists and psychiatrists which helps symptoms within two or three sessions. It involves thinking about the trauma while the therapist moves his finger back and forward twice a second, asking you to follow it with your eyes.
Keywords: Glasgow, Scotland Posttraumatic Stress
Accuracy Verified: Yes
24. Gregoire, A. (2008, Mai). Pourquoi, quand et comment intégrer l’EMDR dans le processus thérapeutique [Why, when, and how to integrate EMDR in the therapeutic process]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada.
Language: French
Format: Conference
Abstract:
Cette présentation explore les contributions spécifiques d’EMDR en tant que modèle d’analyse et de compréhension de la psychopathologie et en tant que technique thérapeutique. Quelles situations cliniques sont propices pour introduire l’EMDR, que le modèle soit intégré à l’intérieur du processus thérapeutique, ou encore, introduit par le biais d’une référence à un thérapeute EMDR pour une série de sessions ? Pourquoi introduire l’EMDR dans un processus thérapeutique? À quel moment l’EMDR est-il le plus approprié en tant que modèle ou comme technique? Enfin, quelle est la meilleure façon d’entreprendre un processus EMDR et quels sont les éléments cliniques pouvant servir de déclencheurs ou de préambule au protocole EMDR?
This presentation will explore the specific contributions of EMDR as model of analysis, interpretation of psychopathology and psychotherapeutic techniques within the context of the psychotherapy relationship. What
are the clinical situations in which EMDR can best be introduced either as integrated in the psychotherapy process or as we have observed, as involving a referral to an EMDR therapist for a series of sessions.
Why introduce EMDR into the psychotherapy process?,
When is an EMDR intervention most appropriate for its optimal use as model and as technique?, and
How can an EMDR process best be introduced? and what are the clinical issues which can be used as triggers and as preamble to the EMDR protocol?
Keywords: Psychotherapeutic Orientation
Accuracy Verified: Yes
25. Brewin, C. R., Scragg, P., Robertson, M., Thompson, M., D'Ardenne, P., & Ehlers, A. (2008, February). Promoting mental health following the London bombings: A screen and treat approach. Journal of Traumatic Stress, 21(1), 3-8.
Language: English
Format: Journal
Abstract:
Following the 2005 London bombings, a novel public health program was instituted to address the mental health needs of survivors. In this article, the authors describe the rationale for the program, characteristics of individuals assessed within the program, and preliminary outcome data. In addition to validated screening instruments and routine service usage data, standardized questionnaire outcome measures were collected. 71% of individuals screened positive for a mental disorder. Of those receiving a more detailed clinical assessment, PTSD was the predominant diagnosis. Preliminary outcome data on 82 patients revealed large effect sizes for treatment comparable to those previously obtained in randomized controlled trials. The program succeeded in its aim of generating many more referrals of affected individuals than came through normal referral channels. [Author Abstract]
Keywords: Adults British Cognitive Therapy Epidemiology London Transport Bombings (2005) Posttraumatic Stress Disorder Psychiatric Disorders PTSD Survivors Terrorism Treatment Effectiveness Victim Services
Accuracy Verified: Yes
26. Gillies, D., Taylor, F., Gray, C., O’Brien, L., & D’Abrew, N. (2012). Psychological therapies for the treatment of post-traumatic stress disorder in children and adolescents (Review). Cochrane Database of Systematic Reviews (Online), 12, CD006726. doi:10.1002/14651858.CD006726.pub2.
Language: English
Format: Journal
Abstract:
Background:
Post-traumatic stress disorder (PTSD) is highly prevalent in children and adolescents who have experienced trauma and has high
personal and health costs. Although a wide range of psychological therapies have been used in the treatment of PTSD there are no
systematic reviews of these therapies in children and adolescents.
Objectives:
To examine the effectiveness of psychological therapies in treating children and adolescents who have been diagnosed with PTSD.
Search methods:
We searched the Cochrane Depression, Anxiety and Neurosis Review Group’s Specialised Register (CCDANCTR) to December 2011.
The CCDANCTR includes relevant randomised controlled trials fromthe following bibliographic databases: CENTRAL (the Cochrane
Central Register of Controlled Trials) (all years), EMBASE (1974 -), MEDLINE (1950 -) and PsycINFO (1967 -). We also checked
reference lists of relevant studies and reviews. We applied no date or language restrictions.
Selection criteria:
All randomised controlled trials of psychological therapies compared to a control, pharmacological therapy or other treatments in
children or adolescents exposed to a traumatic event or diagnosed with PTSD.
Data collection and analysis:
Two members of the review group independently extracted data. If differences were identified, they were resolved by consensus, or
referral to the review team.
We calculated the odds ratio (OR) for binary outcomes, the standardised mean difference (SMD) for continuous outcomes, and 95%
confidence intervals (CI) for both, using a fixed-effect model. If heterogeneity was found we used a random-effects model. Main results
Fourteen studies including 758 participants were included in this review. The types of trauma participants had been exposed to included
sexual abuse, civil violence, natural disaster, domestic violence and motor vehicle accidents. Most participants were clients of a traumarelated
support service.
The psychological therapies used in these studies were cognitive behavioural therapy (CBT), exposure-based, psychodynamic, narrative,
supportive counselling, and eye movement desensitisation and reprocessing (EMDR). Most compared a psychological therapy to a
control group. No study compared psychological therapies to pharmacological therapies alone or as an adjunct to a psychological
therapy.
Across all psychological therapies, improvement was significantly better (three studies, n = 80, OR 4.21, 95% CI 1.12 to 15.85) and
symptoms of PTSD (seven studies, n = 271, SMD -0.90, 95% CI -1.24 to -0.42), anxiety (three studies, n = 91, SMD -0.57, 95% CI
-1.00 to -0.13) and depression (five studies, n = 156, SMD -0.74, 95% CI -1.11 to -0.36) were significantly lower within a month of
completing psychological therapy compared to a control group.
The psychological therapy for which there was the best evidence of effectiveness was CBT. Improvement was significantly better for
up to a year following treatment (up to one month: two studies, n = 49, OR 8.64, 95% CI 2.01 to 37.14; up to one year: one study,
n = 25, OR 8.00, 95% CI 1.21 to 52.69). PTSD symptom scores were also significantly lower for up to one year (up to one month:
three studies, n = 98, SMD -1.34, 95% CI -1.79 to -0.89; up to one year: one study, n = 36, SMD -0.73, 95% CI -1.44 to -0.01),
and depression scores were lower for up to a month (three studies, n = 98, SMD -0.80, 95% CI -1.47 to -0.13) in the CBT group
compared to a control. No adverse effects were identified.
No study was rated as a high risk for selection or detection bias but a minority were rated as a high risk for attrition, reporting and
other bias. Most included studies were rated as an unclear risk for selection, detection and attrition bias.
Authors’ conclusions:
There is evidence for the effectiveness of psychological therapies, particularly CBT, for treating PTSD in children and adolescents for
up to a month following treatment. At this stage, there is no clear evidence for the effectiveness of one psychological therapy compared
to others. There is also not enough evidence to conclude that children and adolescents with particular types of trauma are more or less
likely to respond to psychological therapies than others.
The findings of this review are limited by the potential for methodological biases, and the small number and generally small size
of identified studies. In addition, there was evidence of substantial heterogeneity in some analyses which could not be explained by
subgroup or sensitivity analyses.
More evidence is required for the effectiveness of all psychological therapiesmore than one month after treatment.Much more evidence
is needed to demonstrate the relative effectiveness of different psychological therapies or the effectiveness of psychological therapies
compared to other treatments. More details are required in future trials in regards to the types of trauma that preceded the diagnosis
of PTSD and whether the traumas are single event or ongoing. Future studies should also aim to identify the most valid and reliable
measures of PTSD symptoms and ensure that all scores, total and sub-scores, are consistently reported.
Keywords: Adolescents Children Posttraumatic Stress Disorder PTSD Review
Accuracy Verified: Yes
27. Smith, L. E. (2007, September). The role of memory for trauma in the development of post-traumatic stress disorder following traumatic brain injury and research portfolio (Volume I). Department of Psychological Medicine, University of Glasgow, Scotland.
Language: English
Format: Dissertation/Thesis
Abstract:
Comparison of referrals found no significant differences in age, gender, trauma
type, time from trauma to referral, or attendance rates between services.
Significantly more EMDR patients received additional professional support during
their treatment.
Keywords: Memory Posttraumatic Stress Disorder PTSD Research TBI Traumatic Brain Injury
Accuracy Verified: Yes
28. Oxlade, R., & Day, D. (2000, September). Sleep disorders: From EMDR obstacles to keys to comprehension. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) be able to recognize and inquire for sleep disorders, such as sleep apnea and restless legs in their trauma patients; 2) learn how to recognize important features of these conditions, and how they are easily confused with, and thereby overlooked, and commonly found in PSTD suffering clients; 3) learn how to apply this knowledge in their clinical practice to achieve referral for effective treatment for these co-morbid primary sleep problems, and also how to spare themselves and their clients fruitless effort through the use of potentially non-productive EMDR; 4) learn how disorders disrupting REM sleep shed light on theoretical mechanisms and physiology of PTSD, and EMDR, and how this knowledge can be employed in numerous clinically helpful ways; and 5) learn how they can use standard EMDR protocols more effectively with patients with pronounced breathing and speech-related patho-physiology, and thereby enhance the range of treatable patients benefiting from EMDR.
Keywords: Breathing Restless Leg Sleep Apnea Sleep Disorders Speech
Accuracy Verified: Yes
29. Shapiro, F. (1995). Stray thoughts. EMDR Network Newsletter, 5(3), 1-2.
Language: English
Format: Newsletter
Abstract:
One of the most upsetting professional
experiences I have so far encountered
occurred in November 1995. One of
the participants at the Level I1 training
in New York handed me a letter
from a relative of hers. She had suggested
that her sister get EMDR treatment
and counseled her to call the
EMDR Institute office for a referral.
The following are excerpts from the
letter:
Keywords: General
Accuracy Verified: Yes
30. Latenstein, E., & de Roos, C. (2005, June). Treatment of a couple that survived the tsunami with their four children. In "EMDR in action." Part 2. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium.
Language: English
Format: Conference
Abstract:
Twelve days after the 26th of December 2004 a couple came to my private
practice, on referral from Prof. Dr. Ad de Jongh. that looked death in the
eye when the Tsunami hit Sri Lanka. The couple has four children, age four to
eleven, who survived with them. On Sri Lanka they were called 'The fortune
family'. They both had severe symptoms of Acute Stress Disorder: reliving the
disaster day and night and were, only just, managing to take care of the
children and their daily life.
They already read about EMDR and had their hopes up that I could help
them stabilize. As soon as they started telling me about their distressing
experience I noticed that, especially the woman, started reliving it. Knowing
that they had been telling everything already many times to family and friends, I asked them f I could immediately do the first EMDR session with each of them. Quite noticeable was that the experience was still in their minds with every detail and with several peaks of the most distressing
moments. In total they had three single sessions each with two-days intervals.
Their children who at first were doing relatively well had started to develop
serious symptoms and needed treatment; after the three EMDR sessions for
each of the parents they were stable and could give their full attention to
EMDR-treatment of their children, who went to Carlijn de Roos MA, clinical
child-psychologist, who leads a trauma centre for children in the
Netherlands. At the end of February the parents were still doing well and at
the time of the EMDR Europe Conference I will have seen them for a follow-up.
Accuracy Verified: Yes
31. Bilal, M. S., & Rana, M. H. (2008, June). Use of eye movement desensitization and reprocessing (EMDR) in battle hardy soldiers after sustaining psychological trauma in various suicide bomb blast: A series of cases of post traumatic stress in terrorist acts. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
Objective: The purpose of the study is to show the impact of the use of EMDR in survivors of suicide bomb blasts
in North of Pakistan. Design and Settings: The study involves an ongoing compilation of clinical data and the
study of therapeutic responses to various interventions including EMDR, at a tertiary mental health facility and
Centre for Trauma Research and Psychosocial Interventions (CTRPI), Rawalpindi /Islamabad, Pakistan. This mental
health facility is the catchment area of patients from Northern areas of Pakistan, currently the part of the
country, worst affected by series of suicide bombings targeting military and civil population. Method: Families of
the victims and those who survive suicide bombings without physical injuries are referred to CTRPI from
peripheral areas / hospitals for assessment for psychosocial consequences of facing a man made disaster.
Patients are interviewed at the point in time of referral and scoring is done on Impact of Event Scale (IES). Those
who fulfill the criteria of Post traumatic Stress Disorder according to ICD-10 are registered for further studies and
appropriate interventions. The individuals who fulfil the criteria for PTSD or any other psychiatric morbidity are
then enrolled for regular psychiatric follow up. The patients are first offered the use of EMDR and all who give an
informed consent are then assigned to a psychiatrist trained in EMDR (Level 2). Sessions of EMDR as per the
protocol of 8 stages are carried out. Scoring on IES is recorded serially. According to the degree of improvement
and severity of illness, sessions of EMDR are carried out using the bilateral stimulation during the hospital stay.
Results: The three individuals who have completed EMDR treatment had survived the suicidal bombing attacks
and fulfilled the entry criteria were administered 8 stage protocol EMDR. They all improved in their symptoms of
intrusive images, hyper-arousal, autonomic instability and avoidance. Their sleep improved and nightmares
diminished. Their social and interpersonal functioning improved. There was marked reduction of basal anxiety
levels in all three. Scores on IES done after intervention (EMDR) improved from initial pre EMDR score of 41, 38
and 40 respectively to post EMDR scores of 18, 15 and 14 for the three subjects who completed EMDR protocol
of 8 stages. On reporting to their respective units their occupational effectiveness has returned to previous levels
of functioning. Conclusions: EMDR proves to be an effective non pharmacological intervention in terms of post
traumatic stress disorder in special circumstances of acts of terrorism involving suicide bombing. The data
presented is only preliminary and is based on a small number out of a larger sample.
Keywords: Military Posttraumatic Stress Disorder PTSD Terrorism
Accuracy Verified: Yes
32. Shellenberger, S. (2007). Use of the genogram with families for assessment and treatment. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 76-94). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
In this chapter, the use of the genogram is highlighted as a tool for couple or family assessment, to determine therapeutic options, and to intervene. Typical symbols used and questions asked for the purpose of building the genogram are described. Several cases are presented, the first of which illustrates the intertwining of assessment and intervention in couple's therapy. The second case presents the challenge of interviewing and drawing a genogram of a family where there are multiple partners, children by different partners, and complex relationship dynamics. The third case shows both the biological and adoptive families of one adult. In the portrayal of the cases, points of referral for Eye Movement Desensitization and Reprocessing (EMDR) therapy are noted. Adaptations of the traditional genogram, including socially constructed genograms, projective genograms, and community genograms, are discussed along with limitations of the genogram technique. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Couple Assessment Family Family Assessment Family Systems Theory Family Therapy Genogram Psychotherapeutic Techniques Therapeutic Options
Accuracy Verified: Yes
33. Carbone, D. (2004, September). Using EMDR to treat trauma as a result of childhood ridicule in gay men. Presentation at the annual meeting of the EMDR International Association, Montréal, Quebec Canada.
Language: English
Format: Conference
Abstract:
This training will enable participants to identify trauma responses in sexual minority clients (Gay, Lesbian, Bisexual, Transgender) and the developmental origins of these responses. The trauma addressed is a result of a long-term pattern of childhood social ridicule. Participants will learn how to screen for certain psychological disorders that are more common in this population and situations whereby supplemental therapies are needed. The effectiveness of EMDR in reprocessing the trauma will be demonstrated through a presentation of 6 cases. Participants will become familiar with the importance of gay affirmative psychotherapy and referral sources.
Keywords: Gay Men Homosexuals Ridicule
Accuracy Verified: Yes


