Francine Shapiro Library - EMDR Bibliography Links
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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. 平岡 篤武 [Hiraoka Atsutake]. (2006年5月). 加害的性逸脱行動を行った男児(被害者)にEMDRを導入した心理ケア (特集 〔日本子ども虐待防止学会〕第11回学術集会(北海道大会)) [Perpetrators were male gender deviant behavior (victim) was introduced to the psychological care EMDR (Special Child Abuse Prevention Association of Japan] [11th Annual Meeting (Conference Hokkaido))]. 児童虐待とネグレクト、8（1）、29から38 [Child Abuse and Neglect, 8(1), 29-38].
Language: Japanese
Format: Journal
Keywords: Male Gender Deviant Behavior Perpetrators
Accuracy Verified: Yes
3. 市井雅哉, 熊野 宏昭 [Ichii Masaya & Kumano Hiroaki]. (1996). 急性ストレス障害の阪神・淡路大震災被災者に対する眼球運動による脱感作法(EMD)の適用 ブリーフサイコセラピー研究 [Eye movement desensitization by Kobe earthquake victims with acute stress disorder (EMD) application]. ブリーフサイコセラピー、5、53-70の日本人会 [Japanese Association of Brief Psychotherapy, 5, 53-70].
Language: Japanese
Format: Journal
Abstract:
著者らは、EMDを（眼球運動脱感作）阪神淡路大震災から受けたとのASD（急性ストレス障害）の生存者として1ヶ月と診断地震次の2つの女性に適用されます。セッションの中で、彼らの恐れが減少した。その結果、EMDには、ASDクライアントのPTSDを防ぐために使用できることを示した。 25歳焦がすの女性は当初、外傷に関連する画像（例えば、火）、8の初期SUDにレベルを訴えた。眼球運動（EM）の苦痛のレベルの4つの後に0に減少した。眼球運動の7番目のセット後、彼女はそれが終わると、"として完全に本当だった認知"を評価した。 5ヵ月後には、これらの治療の変更が症状のいずれか再発することなく維持された。関連は、この場合、二次的利得と自己使用で議論された。また、結婚28歳の女性、EMDの治療のセッション中に恐怖感の強いreexperienced地震に関連する症状。迅速SUDには0のレベルに減少したEMの11セットの後に恐れている。同時に、彼女は彼女が望ましい認知または"すべては疑いの余地なくすべての権利"は信じられないと報じた。方法はEMDを適用することで画像や正認知の治療に議論された。また、症状の適用範囲やEMDとEMDRの違いが議論された。
Authors applied EMD (Eye Movement Desensitization) to two women who suffered from the Great Hanshin-Awaji Earthquake and diagnosed as ASD (Acute Stress Disorder) survivors one month following the earthquake. Within a session, their fears were diminished. The result showed that EMD can be used for ASD clients to prevent PTSD. A 25 year-old singe woman initially complained of trauma-related imagery (e.g., fire) with an initial SUD level of eight. After four sets of Eye Movement (EM) the level of distress decreased to 0. After the seventh set of eye movement, she rated the cognition "it was over," as completely true. Five months later, these therapeutic changes were maintained without any relapse of symptoms. Associated with this case, secondary gain and self use were discussed. In addition, a married 28-year-old woman, reexperienced earthquake-related symptoms with a strong sense of fear during the therapy session of EMD. The fear quickly decreased to a level of 0 on SUD after the eleventh set of EM. At the same time she reported that she could believe a desirable cognition or "everything is all right" without any doubt. The way to treat imagery and positive cognition in applying EMD was discussed. Furthermore, an applicable range of symptoms, and the differences between EMD and EMDR were discussed.
Keywords: Acute Stress Disorder ASD Earthquake Kobe
Accuracy Verified: Yes
4. 市井雅哉 [Ichii Masaya]. (1997年12月). 眼球運動による脱感作と再処理法(EMDR)の急性ストレス障害(ASD)を示した阪神淡路大震災被災者への適用 : ストレス障害に対するストレスの少ない治療法 [Application of eye movement desensitization and reprocessing (EMDR) to ASD survivors of the Great Hanshin-Awaji Earthquake: Treatment with less stress for stress disorder]. バイオフィードバック研究、（24）、38から44 [Japanese Journal of Biofeedback Research, (24), 38-44].
Language: Japanese
Format: Journal
Abstract:
市井 雅哉 眼球運動による脱感作と再処理法(EMDR)の急性ストレス障害(ASD)を示した阪神淡路大震災被災者への適用: ストレス障害に対するストレスの少ない治療法 バイオフィードバック研究
日本バイオフィードバック学会
阪神・淡路大震災の被災者で急性ストレス障害を呈した2名の女性に対して震災1ケ月後にEMDRを適用した.いずれも1セッションで地震への恐怖感は消失した.EMDRをPTSDやASDといったストレス障害の治療に用いることの有効性が示された.治療技法としてのEMDRの特徴として、即効性,クライエント・治療者双方に対してのストレスの少なさを指摘し,作用機序についてこれまで提唱されている仮説について紹介した.
The Author applied EMDR (Eye movement desensitization and reprocessing) to two women survivors, who suffered from the Great Hanshin-Awaji Earthquake and diagnosed as ASD one month following the earthquake. Within a session, their fears of the earthquake were diminished. The results showed that EMDR is effective for stress disorders like ASD or PTSD. A 25-year-old single woman initially complained of trauma-related imagery (e.g. fire) with an initial SUD level of eight. After four sets of eye movement (EM) the level of distress decreased to zero. After the seventh set of EM, her rating of cognition as "it was over" went up to "completely true." Five months later, these therapeutic changes were maintained without any relapse of symptoms. A married 28-year-old woman, re-experienced earthquake-related symptoms with a strong sense of fear during a therapy session of EMDR. The fear quickly decreased to a level of zero on SUD after the eleventh set of EM. At the same time she reported that she could believe a desirable cognition or that "everything is all right" without any doubt. The author pointed out that the therapeutic characteristics of EMDR are rapid effectiveness and less stress for both clients and therapists. Also some hypotheses of working mechanisms of EMDR were introduced.
Keywords: Acute Stress Disorder Clinical Case Study Earthquake Empirical Study Females Natural Disasters Posttraumatic Stress Disorder PTSD Survivors Treatment Outcome/Clinical Trial
Accuracy Verified: Yes
5. Lucchese, D. (2000, Novembre). Aborto, EMDR e prevenzione della depressione post partum: un caso [Abortion, EMDR and prevention of postpartum depression: A case]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Viene descritto il caso di una giovane donna cui è stato diagnosticata una gravidanza a rischio per malformazione genetica del feto. Dopo un sofferto aborto terapeutico, la paziente ha subito un secondo aborto spontaneo, entrambi con caratteristiche traumatiche. Trattata con EMDR, comprese le complicanze e le sequele dal momento della diagnosi fino al future template, la paziente ha con successo riprocessato i vissuti di colpa e inadeguatezza, i pensieri irrazionali generati dal trauma, e soprattutto una serie di somatizzazioni e comportamenti rituali per lei finora inspiegabili. I target trattati sono stati sei, con cognizioni negative di inadeguatezza del suo ruolo materno e di colpa per le proprie decisioni. L’interesse del caso consiste nella elaborazione di vissuti corporei simbolici e di comportamenti disturbanti anche sul piano pratico e relazionale. Risulta evidente la funzionalità del EMDR nel trattamento dei ricordi delle vicende traumatiche vissute, sperimentate anche e soprattutto sul piano corporeo. L’utilizzo dell’EMDR ha permesso inoltre di evidenziare le possibilità di questo trattamento nella prevenzione della depressione post partum
Describes the case of a young woman whose pregnancy was diagnosed at risk for genetic malformation of the fetus. After suffering a therapeutic abortion, the patient underwent a second miscarriage, both with traumatic characteristics. Treated with EMDR, including complications and sequelae from the time of diagnosis until future templates, the patient with successfully reprocessed the feelings of guilt and inadequacy, irrational thoughts generated by the trauma, especially a series of somatization and conduct rituals for her so far unexplained. I six targets were treated with negative cognition of inadequacy of its role and the breast blame for their decisions. The interest in the case consists in the elaboration of bodily experience symbolic and disruptive behavior also at the practical and relational. The apparent functionality of EMDR in the treatment of memories of traumatic events experienced, tested also and especially on the body. Using EMDR experience has also highlighted the possibility of this treatment in the prevention of postpartum depression.
Keywords: Abortion Postpartum Depression
Accuracy Verified: Yes
6. McGee, J. (2009). Addressing retraumatization and relapse when using EMDR with eating disorder patients. In R. Shapiro (Ed.), EMDR Solutions II: For depression, eating disorders, performance, and more (1st Ed.) (pp. 175-182). New York, NY: W. W. Norton & Co..
Language: English
Format: Book Section
Keywords: Eatings Disorders Relapse Retaumatization
Accuracy Verified: Yes
7. Hartung, J. (2008, Novembro). Aplicações de EMDR para o desenvolvimento de recursos, melhoria de desempenho e treinamento [Applications of EMDR to resource development, performance enhancement, and coaching]. Apresentação no II Congresso Ibero-Americano de EMDR, Brasilia, Brasil.
Language: Portuguese
Format: Conference
Abstract: The traditional focus of psychotherapists (and their clients) has been on pathology and symptom reduction. Professional therapists are becoming increasingly interested in applications of psychotherapeutic principles to prevention, growth, and other examples of what is being generically called “positive psychology”. EMDR clinicians, like other psychotherapists, are seeking more positive ways to practice, both to increase the services they offer, and to redefine themselves professionally. A focus on performance enhancement and coaching are two examples of how clinicians can offer services beyond symptom reduction. A model for using EMDR in positive applications, pilot tested in several countries, will be presented and demonstrated. The EMDR phases will be reconsidered in light of this positive focus: history taking has a greater focus on solutions; the safe place will be discussed as a tool for developing more specific and relevant resources; the TICES acronym will be expanded to include behavior and the therapy relationship; and greater flexibility will be suggested between the parallel processes of desensitization (of the traumatic past) and installation (of the positive future). This last comment relies on the assumption that participants are already skilled in the use of EMDR as a preferred treatment of trauma. The model to be presented has been successfully field tested in several countries in Asia, Europe, and the Americas.
Keywords: Coaching Performance Enhancement Resource Development
Accuracy Verified: Yes
8. De Divitiis, A. M. (2010, June). Application of resource development and installation (RDI) in delivery preparation in order to prevent post partum depression. In Female issues. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
According to the latest statistical evidence Post-Partum
Depression develops in approximately 13% of women
during the second -third month after childbirth with symptoms
lasting between few weeks and a year and risks of relapse.
Unlike the Baby Blues (affecting 70% of mothers, with onset in
the 3'd - 6" day after delivery and spontaneous recovery within
approximately two weeks), likely to be caused basically by hormone
modifications in the immediate aftermath of childbirth.
PPD development would seem to be solely determined by psychological
factors: the experience of childbirth, the surfacing of
unresolved problems in the relationships with attachment figures,
the change in the woman's role both in the social sphere and
within the couple relationship, the fear of being unable to adequately
attend to the new responsibilities (both in terms of skills
and of the ability to cope with the additional workioad), etc.
Consequently, women experiencing childbirth as a traumatic
experience are more destabilized by the event, and therefore.
at a higher risk of developing PPD.
Childbirth requires the deployment of many personal resources.
A woman in labor must be able to bear the pain, while having
to "push", 1.e. contrast the automatic antalgic reaction (which
would close the delivery channel) and "meeting the pain", during
the "expulsion" phase. Considering that "Peak Performances"
require moving out of a person's comfort zone and
stretching a person's boundaries, childbirth experience can be
rightfully considered a "Peak Performance".
This work describes RDI application times and modes during Delivery
Preparation in order to strengthen the different personal
resources needed by pregnant women to experience her childbirth
as an ego syntonic experience. In this sense, RDI associated
with EMDR can be considered an actual Primary Prevention intervention,
capable of teaching women something positive about
themselves, thus effectively offsetting the onset of PPD. Furthermore
the results of the application of this technique collected
during the Post-Partum phase on 48 women will be discussed.
Learning objectives:
1 identification of the specific issues predisposing the development
of PTSD due to Childbirth and of Post-Partum Depression.
2. Framing Childbirth as a Peak Performance.
3 Learning RDI (Resource Development and Installation) application
through Bilateral Stimuli during Delivery Preparation Courses.
Keywords: Delivery Preparation Female Issues Resource Development and Installation RDI Symposium
Accuracy Verified: Yes
9. De Divitiis, A. M. (2008, Novembre). Applicazione dello sviluppo e installazione delle risorse (RDI) nella psicoprofilassi al parto finalizzata alla prevenzione delle depressione post partum (DPP) [Application of resource development and installation (RDI) in psychoprophylaxis geared to the prevention of postpartum depression(DPP)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
Dagli ultimi dati statistici risulta che la Depressione Post Partum viene sviluppata da circa il 13% delle puerpere nel corso del secondo – terzo mese successivi al parto e la durata dei sintomi varia da qualche settimana ad un anno, con rischi di recidiva.
A differenza del Baby Blues (colpisce il 70% delle puerpere, insorge in III – VI giornata e si risolve spontaneamente nell’arco di un paio di settimane), imputabile essenzialmente alle fisiologiche modificazioni ormonali (calo degli estrogeni e progesterone) dell’im-mediato post partum, lo sviluppo della DPP sembrerebbe invece essere determinata da fattori di natura strettamente psicologica: l’esperienza del parto, il riemergere di problematiche irrisolte nelle relazioni con le figure di attaccamento, il cambiamento di ruolo della donna sia nell’ambito sociale che all’interno della coppia, il timore di non essere in grado di attendere adeguatamente alle nuove responsabilità (sia sul piano delle proprie capacità, che del nuovo carico di fatica fisica), ecc.
Le donne che hanno vissuto il parto come esperienza traumatica risultano essere maggiormente destabilizzate da tale evento e quindi maggiormente esposte allo sviluppo della DPP.
Il parto richiede alla donna il reclutamento di molteplici risorse personali. Nel corso del “travaglio” la donna deve riuscire a contenere il dolore, mentre nella fase dell’“espulsione” le viene richiesto inoltre di “spingere”, ossia di contrastare una reazione antalgica automatica (che chiuderebbe il canale da parto) per andare invece “incontro al dolore”. Se consideriamo che le “Prestazioni di Picco” si caratterizzano per essere “al di fuori” del proprio ambito di sicurezza, di agio e di conforto, nel tentativo di oltrepassare il limite estremo delle proprie capacità, l’esperienza del parto può essere inscritta a pieno titolo nelle “Prestazioni di Picco”.
Nel presente lavoro vengono descritte le modalità e i tempi di applicazione del RDI nel corso della Preparazione al Parto, finalizzata al rafforzamento delle diverse risorse personali di cui ogni gestante ha bisogno per poter vivere il parto come esperienza egosintonica. In tal senso l’RDI, tramite EMDR, è da considerarsi un vero e proprio Intervento di Prevenzione Primaria, in grado di insegnare alle donne qualcosa di positivo riguardo sé stesse, contrastando efficacemente l’insorgere della DPP. Verranno esposti, inoltre, i risultati dell’applicazione di tale tecnica su 48 gestanti, raccolti nella fase del Post Partum.
The latest statistics show that postpartum depression is developed by about 13% of mothers during the second to third months after delivery and the duration of symptoms varies from few weeks to a year, with risks of recurrence. Unlike the Baby Blues (affects 70% of mothers, occurs in III - VI day and resolves spontaneously within a couple of weeks), largely because of the physiological hormonal changes (decline in estrogen and progesterone) of IM-mediated post-partum, the development of the DPP seems to be determined by factors strictly psychological: the experience of childbirth, the resurgence of unresolved issues in relations with attachment figures, the changing role of women both in social the couple, the fear of not being able to wait adequately to new responsibility (both in terms of its ability, that the new burden of physical labor, etc.). Women who have experienced childbirth as a traumatic experience become more undermined by this event and, therefore, at greater risk of developing the DPP. The birth of the woman requires the recruitment of many personal resources. During the "Labor" the woman must be able to contain the pain, while in phase the 'expulsion' is the also required to "push", i.e. a reaction to counter analgesic automatic (which close the channel by birth) to go instead "to meet the pain." If we consider that "Peak Performance" are characterized by being "outside" the extent of its security, ease and comfort, in an attempt to go beyond the bounds of their abilities, experience delivery can be fully inscribed in the "peak performance". The present paper describes the methods and timing of application of RDI during the preparation for childbirth, which aims to reinforce the various personal resources which each pregnant woman needs to live the experience of childbirth as ego syntonic. In this sense, the RDI, through EMDR is considered true primary prevention interventions that can teach women something positive about themselves to effectively counter the rise DPP. Will be exposed, in addition, the results of applying this technique on 48 pregnant women, collected at the stage of post-partum.
Keywords: Postpartum Depression RDI Resource Development and Installation
Accuracy Verified: Yes
10. Zdravkovic, J. (1994). Behavioural-cognitive therapy of posttraumatic stress disorder. Psihijatrija Danas, 26(2-3), 129-146.
Language: English
Format: Journal
Abstract:
The basic theoretical postulations on PTSD are given in the first part of the work. Hypotheses are given on PTSD as being a kind of conditioned emotional reaction to trauma and, possibly, an illness that has disturbed REM sleep mechanism at its roots. The second part describes behavioural and cognitive techniques that have been proven empirically to be successful in the treatment and the prevention of this disorder. [Author Abstract]
Keywords: Behavior Therapy Cognitive Therapy Epidemiology Etiology Nosology Psychophysiology Posttraumatic Stress Disorder PTSD Relaxation Therapy
Accuracy Verified: No
11. Shapiro, F. (2012, November). Building sustainable mental health services in war-torn and disaster-affected areas. Presentation at the 28th Annual Meeting of the ISTSS, Los Angeles, CA.
Language: English
Format: Conference
Abstract:
The after effects of trauma can be transmitted across generations, resulting in ongoing cycles of violence
and pain that affect individuals, families and societies. For those people and organizations working in
countries in need of significant conflict prevention, mediation, reconstruction and reconciliation, these
unprocessed memories can present a grave challenge.
EMDR therapy is an empirically supported treatment for trauma. Since it does not demand a description
of the event, it has proved successful in those cultures where self-disclosure is problematic. Since it does
not need homework, it can also be implemented on consecutive days, making it amenable to the use of
field teams after both natural and manmade disasters. Program evaluations have documented positive
and rapid treatment effects using both individual and group protocols.
The EMDR-Humanitarian Assistance Programs (HAP) is a global network of volunteer educator/clinicians
working to prevent and/or remediate the psychological aftereffects of trauma. HAP projects worldwide
have provided education about trauma and stabilization techniques, and taught local clinicians how to
provide both individual and group treatment in war-torn and disaster-affected areas. The primary goal is
to train clinicians to build sustainable mental health services that will meet not only immediate crisis
needs, but also comprehensively serve future generations.
Accuracy Verified: Yes
12. Greenwald, R. (1997). Children's mental health care in the 21st century: Eliminating the trauma burden. Child and Adolescent Psychiatry On-Line.
Language: English
Format: Journal
Abstract:
Contemporary child mental health care is compared unfavorably to its medical
counterpart, which offers prevention and early intervention in addition to treatment of
symptoms. Child trauma, broadly defined., is characterized as a ubiquitous, under-treated,
primary source of psychopathology. Traumatic experiences which remain unintegrated
accumulate as a trauma burden, leading to reactivity and impairment. Two recently
developed trauma-focused interventions atre described: critical incident stress debriefing
(CISD) and eye movement desensitization and reprocessing (EMDR). Combined with
screening and early identification of traumatized children, CISD and EMDR can be used
economically for widespread elimination of the trauma burden.
Keywords: Children Mental Health Care Trauma
Accuracy Verified: Yes
13. McMulin, T. (1998, June). Combining EMDR with relapse prevention programs to enhance treatment outcomes with sex offenders. EMDRIA Newsletter, 3(2), 20-24.
Language: English
Format: Newsletter
Abstract:
There have been numerous barriers to the development of comprehensive and successful treatment for sex offenders. One of the primary barriers involved societal views of offenders as being incorrigible and first and foremost deserving of punishment. Offenders themselves have fed that view because of seemingly impenetrable defense mechanisms they develop to maintain a sense of safety from others as well as their own thoughts, feelings, and memories. Other barriers to development of comprehensive treatment models involve the failure of traditional psychodynamic techniques, which focus primarily on resolving intrapsychic conflicts, to provide cost effective, adequate, and reliable treatment results (Lockhart, Saunders, & Cleveland, 1989).
Keywords: Relapse Prevention Programs Sex Offenders
Accuracy Verified: Yes
14. Khosropour, F., Ebrahiminejad, G. H., Salehi, M., & Farzad, V. (2012, April-May). Comparing the effectiveness of psychological debriefing, eye movement desensitization reprocessing, and imaginal exposure on treatment of chronic post-traumatic stress disorder. Journal of Kerman University of Medical Sciences, 19(2), 149-159 .
Language: Farsi (Iran)
Format: Journal
Abstract:
Background & Aims: Post-traumatic stress disorder (PTSD) is considered as one of the most prevalent disorder during the life time and can negatively influence the individual, family and social relationships of patients, so, prevention and treatment of this disorder is highly important. Eye movement desensitization and reprocessing (EMDR), psychological debriefing (PD), and imaginal exposure (IE) are some treatment methods, but there is controversy about long effects of these treatments, especially among chronic patients.
Method: In a semi experimental study, a total of 54 adult male patients, based on Davidson scale and psychiatric diagnostic, were randomly selected, and then were divided into 3 equal therapy groups. All participants were evaluated before, after and 3 months after the treatment. Data were analyzed through the repeated variance and Duncan post-hoc tests.
Results: Psychological debriefing and eye movement desensitization and reprocessing were better than imaginal exposure in relief of chronic post-traumatic stress disorder signs and remaining the effectiveness in three months follow-up.
Conclusion: It is concluded that all of the above methods are effective on chronic post-traumatic stress disorder and the efficacy of the therapeutic techniques would be still in force even after 3 months.
Considering the importance of psychological interventions, it is necessary that such methods be taught to psychologists so that they can use them after traumatic accidents.
Keywords: Imaginal Exposure Posttraumatic Stress Disorder Psychological Debriefing PTSD
Accuracy Verified: Yes
15. Merkies, Y. (2012, March). Complexe PTSS: Evaluatie van een behandeling door cliënt en therapeut - "Je moet niet typen tijdens de EMDR" [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:
Inhoud Presentatie: Het behandelen van complexe PTSS gaat met ups en downs. Tevreden zijn over een behaald succes kan afgewisseld worden met een periode van wanhoop. Het is voor de behandeling van belang dat de therapeut steeds een helikopterview houdt. Vragen die de therapeut daarbij zichzelf onder andere stelt zijn: waar zitten we in het proces, ben ik als therapeut te voortvarend of neem ik te weinig risico. De patiënt kan indien mogelijk gestimuleerd worden van een afstand naar zijn eigen behandeling te kijken en te leren analyseren: waardoor krijg ik nu een terugval of hoe gaat het nu met me? De verantwoordelijkheid en de regie liggen uiteraard bij de therapeut. Hoe kijkt de patiënt achteraf terug op zijn behandeling en de verschillende fasen hierin? Wat heeft hem in moeilijke periodes geholpen? Welk gedrag van de therapeut heeft hem echt geholpen en wat was juist storend (zie titel)? In hoeverre was humor helpend? Hoe kijkt de patiënt terug op de mate van inspraak. In deze presentatie wordt aan de hand van videobeelden en een interview met een patiënt teruggekeken op het therapieproces.
De patiënt is een ernstig getraumatiseerde man, die na een periode van stabilisatie zijn traumatische ervaringen op papier tekende. De tekeningen zijn in het begin gebruikt bij de ordening en bij bepaling van de werkvolgorde van de EMDR- behandeling. Tijdens de behandeling kon hij zelf goed aangeven wat hem hielp en wat niet. Na een forse terugval was hij in staat om te analyseren waardoor dit kwam en wat er voor nodig was om hier weer uit te komen. Deelnemers krijgen mee wat de do’s en don’ts zijn vanuit patiënt perspectief. Het belang van het nadenken over de therapeutische houding wordt gestimuleerd. De mogelijke angst om blunders te maken is hierna verminderd.
"You need not type during the EMDR" Content Presentation: The treatment of complex PTSD goes with ups and downs. Satisfied with a success achieved can be varied with a period of despair. It is important that the treatment the therapist still keeps a helicopter view. Questions that the therapist himself, among other states are: where we are in the process, I as a therapist to energetically or I take too little risk. The patient may be encouraged where possible from a distance to his own treatment to look and learn to analyze: how do I get a relapse or how is it going with me? The responsibility and control are of course with the therapist. How does the patient subsequently returned to his treatment and the different phases in this? What has helped him in difficult times? What behavior of the therapist has really helped him and what was just annoying (see title)? To what extent humor was helpful? How does the patient back on the degree of involvement. In this presentation, using video footage and an interview with a patient look back on the therapy process.
The patient is a severely traumatized man, who after a period of stabilization are traumatic experiences on paper signed. The drawings are in the beginning when used in the arrangement, and determining the operating sequence of the EMDR-treatment. During treatment, he could well indicate what helped him and what not. After a sharp decline, he was able to analyze and so this was what it took to come here again. Participants will take what the do's and don'ts are from patient perspective. The importance of thinking about the therapeutic attitude is encouraged. The possible fear of making mistakes is reduced below.
Keywords: Complex Posttraumatic Stress Disorder C-PTSD Complex PTSD
Accuracy Verified: Yes
16. Dattilio, F. (2001). Crisis intervention techniques for panic disorder. American Journal of Psychotherapy, 55(3), 388-405.
Language: English
Format: Journal
Abstract:
Panic disorder is estimated to affect more than 4% of the U.S. population. It is assumed that this incident rate increases during crisis situations. While the professional literature is replete with references on the treatment of panic disorders, few authors address the use of nondrug treatment in conjunction with crisis intervention. This article provides an overview of the latest nonpharmacologic interventions for panic along with a description of their effectiveness in reducing the onset of symptomatology as well as preventing relapse during crisis.
Keywords: Crisis Intervention Non-drug Treatment Panic dsiorder Nonpharmacological Interventions
Accuracy Verified: Yes
17. Feldner, M. T., Monson, C. M., & Friedman, M. J. (2007, January). A critical analysis of approaches to targeted PTSD prevention: Current status and theoretically derived future directions. Behavior Modification, 31(1), 80-116. doi:10.1177/0145445506295057.
Language: English
Format: Journal
Abstract:
Although efforts to prevent posttraumatic stress disorder (PTSD) have met
with relatively limited success, theoretically driven preventive approaches
with promising efficacy are emerging. The current article critically reviews
investigations of PTSD prevention programs that target persons at risk for
being exposed to a traumatic event or who have been exposed to a traumatic
event. This review uniquely extends prior reviews in this area by using theories
of PTSD to suggest future directions in the area of PTSD prevention. The
authors first discuss the primary mechanisms of action believed to account
for the failure for PTSD symptoms to remit among a substantial minority of
traumatic event–exposed individuals. Second, empirical progress in PTSD
prevention efforts is reviewed. Third, the authors consider how existing prevention
programs target these mechanisms of action. Finally, the authors consider
directions for future research in the area of targeted PTSD prevention.
Keywords: Posttraumatic Stress Disorder Prevention PTSD Risk Trauma
Accuracy Verified: Yes
18. McCammon, S. L., & Allison, E. J. (1995). Debriefing and treating emergency workers. In C. R. Figley (Ed.), Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized (pp. 115-130). New York: Brunner/Mazel.
Language: English
Format: Book Section
Abstract:
Chapter 6 emphasizes the importance of promoting trauma resolution and healthy coping strategies in emergency workers. Strategies that can be implemented before, during, and after a traumatic event are summarized. Pretrauma interventions include the use of a stress audit, training regarding stress and its management, and policy development.During a traumatic event, interventions include orientation to the trauma site, on-scene support, demobilization, and debriefing. Common elements among the several debriefing models described include the structuring of opportunities to review the events of the traumatic situation and to ventilate feelings, the learning of skills for integrating and mastering the event, and obtaining assistance in identifying, enlisting, and accepting help from one's support system. Post-trauma activities include individual follow-up sessions, the use of experimental procedures such as eye movement desensitization and reprocessing, and attention to anniversaries of traumatic events. A decade of anecdotal reports testifies to the effectiveness of debriefing and provides helpful insights into working with emergency responders. Currently, research efforts are under way to assess systematically the impact of debriefing. Future research should address the mediating effect of emergency workers' coping behaviors and cognitions. [Introduction, p. xix]
Keywords: Adults Critical Incidence Stress Debriefing CISD Education Medical Personnel Prevention Emergency Personnel Self-Help Techniques Vicarious Traumatization
Accuracy Verified: Yes
19. 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
20. Blore, D. C., Holmshaw, E. M., Swift, A., Standart, S., & Fish, D. M. (2013). The development and uses of the “blind to therapist“ EMDR protocol. Journal of EMDR Practice and Research, 7(2), 95-105. doi:10.1891/1933-3196.7.2.95.
Language: English
Format: Journal
Abstract:
The blind to therapist (B2T) protocol (Blore & Holmshaw, 2009a, 2009b) was devised to circumvent client unwillingness to describe traumatic memory content during eye movement desensitization and reprocessing (EMDR). It has been used with at least six clinical presentations:
• Reassertion of control among “executive decision makers“
• Shame and embarrassment
• Minimizing potential for vicarious traumatization
• Cultural issues: avoiding distress being witnessed by a fellow countryman
• Need for the presence of a translator versus prevention of information “leakage“
• Reducing potential stalling in processing: client with severe stammer
This article details the history, development, and current status of the protocol, and provides case vignettes to illustrate each use. Clinical issues encountered when using the protocol and “dovetailing“ the B2T protocol back into the standard protocol are also addressed.
Keywords: Aphasia Blind to Therapist Protocol Client-Centered Approach EMD Guilt Shame
Accuracy Verified: No
21. 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
22. Turner, S. (2005, November). Drug treatments in the management of PTSD. Symposium conducted (S. Turner, Chair) at the 21st annual meeting of the International Society for Traumatic Stress Studies, Baltimore, MD.
Language: English
Format: Conference
Abstract:
The UK National Institute for Clinical Excellence
Guidelines on PTSD: Based on rigorous meta-analysis, detailed literature review and two public
consultations, the national guidelines for the assessment, prevention and
treatment of PTSD in the UK will be presented in this symposium on behalf
of the Guideline Development Group.
Drug treatments in the management of PTSD: Drug treatments are increasingly used in the management of PTSD and have
been supported by a number of recent reviews although there have been
increasing concerns about their safety. Recent guidance has been issued in
the UK by the Regulatory Agency concerning the use of SSRI drugs in people
of all ages, but especially in children and young adults. In a meta-analysis
of the clinical trial literature for PTSD, following a rigorous bibliographic
search, 26 RCTs meeting strict criteria were identified. Data on two hitherto
unpublished trials of sertraline were available for inclusion. This review highlights
the methodological issues involved in comparing drug trials and trials
of psychological therapies. Nonetheless, meta-analysis demonstrates that
drug treatments for PTSD are probably more disappointing than hitherto
believed. Only five drugs emerged with recommendations for use. One of
these has a reliable if modest effect (paroxetine). The other four are included
on the basis of small single trial reports. Although there are clear indications
for drug treatments, in general there should be an increasing emphasis on
ensuring that trauma-focused psychological treatments (CBT and EMDR) are
widely available, delivered by competent practitioners, and easily accessible
in a timely fashion in primary and secondary care settings.
Keywords: Drug Treatment Posttraumatic Stress Disorder PTSD Symposium
Accuracy Verified: No
23. 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
24. Meneses, J. A. (2007). Efectividad del EMDR, en la reducción de la ansiedad extrema a los exámenes academicos, en las alumnas de los sextos cursos del instituto tecnológico “Eloy Alfaro”, de la ciudad de esmeraldas, durante el ano 2.006 [Effectiveness of EMDR in reducing extreme anxiety to academic examinations in the students of the sixth technical institute courses "Eloy Alfaro" emerald city, during the year 2006]. Universidad Central Del Ecuador, Facultad de Ciencias Psicologicas, Instituto Superior de Postgrado, Quito, Ecuador.
Language: Spanish
Format: Dissertation/Thesis
Abstract:
El EMDR, es un método psicoterapéutico, efectivo para reducir la ansiedad extrema a los exámenes académicos, a niveles normales, en un 88.8%, de los casos, en 9.25 sesiones de tratamiento, como promedio, con un nivel de confianza del 95 y 99%, en las alumnas de los sextos cursos, del Instituto Tecnológico “Eloy Alfaro, de la ciudad de Esmeraldas, durante el año 2.006. OBJETIVOS DE APRENDIZAJE:
1. Demostrar que EMDR, es efectivo también para reducir la ansiedad extrema a los exámenes académicos.
2. Informar que EMDR, reduce además a niveles normales los sistemas de respuestas de ansiedad cognitiva, fisiológica, y motora y la ansiedad a la evaluación.
3. Concienciar que EMDR, provoca también cambios cognitivos, emocionales y conductuales, como por ejemplo, el aumento de la autoestima y de la autoeficacia.
4. Comunicar que, luego del estudio de seguimiento, se estableció que EMDR, es efectivo en la reducción de la ansiedad extrema a los exámenes, en forma estable, es decir sin que se produzcan recaídas o sustitución de síntomas
In this study, which is kind of explanation, then use the hypothetical-deductive method with a quasi-experimental design with experimental and control group, formed at random, with pre and post treatment, with statistical processing of data, with the Student t test, and ANOVA before and after treatment, and once tested the hypothesis, it was established that:
EMDR is a psychotherapeutic method, effective in reducing extreme anxiety to academic tests to normal levels in 88.8% of the cases, treatment sessions 9.25, on average, with a confidence level of 95 and 99 % of pupils in the sixth course, the "Eloy Alfaro" Technological Institute in Esmeraldas City Ecuador during the year 2006.
LEARNING OBJECTIVES:
1. Show that EMDR is also effective to reduce extreme anxiety to academic exams.
2. Report that EMDR also reduces systems to normal levels of anxiety responses cognitive, physiological, and motor and anxiety evaluation.
3. Awareness that EMDR also causes cognitive, emotional and behavioral, for example, increased self-esteem and self-efficacy.
4. Report that, after the follow-up study established that EMDR is effective in reducing extreme anxiety tests in stable form, ie without the occurrence of relapse or symptom substitution.
Keywords: Anxiety Eloy Alfaro Students
Accuracy Verified: Yes
25. Kruse, M. J. (2011, June). The effect of energy psychology on rates of relapse and recidivism for substance abuse offenders in a community correction setting. The University of the Rockies, Colorado Springs, CO. AAI3460565.
Language: English
Format: Dissertation/Thesis
Abstract:
This dissertation was a study of a community corrections program which incorporated adjunct Energy Psychology Therapies for Substance Abuse Offenders (SAOs), who were transitioning back into community. Rates of relapse and recidivism were compared, upon success/failure to complete drug and alcohol treatment. When Energy Psychology therapies were added, assisting offenders in resolving underlying trauma issues, there were significance differences between groups. The Choices Program used brief therapies including: Eye Movement Desensitization and Reprocessing, Thought Field Therapy, Emotional Freedom Techniques, (EMDR, TFT, EFT) along with group and individual classes/sessions to relieve underlying trauma symptoms. The results indicated that people who chose to resolve underlying trauma achieved more successful treatment outcomes, thereby lowering rates of relapse and recidivism significantly.
Keywords: Community Corrections EFT motional Freedom Techniques Energy Psychology Offenders Eye Movement Social Sciences Substance Abuse Trauma
Accuracy Verified: Yes
26. 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
27. Dunn, T. M. (1995). Effectiveness of eye movement desensitization and reprocessing (EMDR) in a non-clinical population. University of Cincinnati, OH.
Language: English
Format: Dissertation/Thesis
Abstract:
Panic disorder, worsening of depression and relapse of alcohol symptoms (Pitman, et al.).
A relatively new technique for treating PTSD is reported to result in lasting reduction of
anxiety, changes in the cognitive assessment of memory and cessation of flashbacks, intrusive
thoughts, and sleep disturbances. Eye Movement Desensitization and Reprocessing (EMDR) is
an experimental treatment for PTSD which is reported to have almost immediate, long lasting
effects (Shapiro, 1989a). EMDR involves having the patient engage in a series of
therapist-directed saccadic eye movements accompanied by cognitive exercises. The treatment
may take less than an hour to administer and, it is claimed, may completely eliminate some of the
more severe symptoms associated with PTSD and can have long lasting effects (one subject
showed desensitization a year later [Shapiro, 1989a.1) Shapiro found the treatment to produce
the best effect if performed while the patient is recalls a disturbing memory of the traumatic event.
Keywords: Non-clinical Population
Accuracy Verified: Yes
28. 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
29. 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
30. Fátima Panangeiro, M. F., Torres, A. F. S., Fernandez, R. M., & Trajano, S. R. (2012, Novembro). Eicácia do EMDR na prevenção e cura do transtorno de estresse pós-traumático em vítimas de terremoto [Efficacy of EMDR in the prevention and treatment of PTSD with victims of an earthquake]. In comunicações de pesquisa. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Introdução: Sabemos que quando uma pessoa vivencia um incidente crítico, essa exposição tem impacto considerável sobre seu funcionamento global. Assim, para assegurar a recuperação dos militares brasileiros que estavam no Haiti, escolhemos a técnica EMDR criada pela Dra.Francine Shapiro, que encontra respaldo teórico em descobertas recentes no campo neuropsicológico para realizar as intervenções. Justificativa: O EMDR é uma técnica eficaz, que permite que o trauma armazenado na memória de curto prazo passe para a memória de longo prazo, uma vez que com os estímulos criam-se novas conexões neurais que trazem alívio, paz e aceitação. Atualmente existem mais de 20 estudos randomizados que apoiam sua eficácia. Objetivo: Avaliar a eficácia da técnica EMDR na recuperação de vítimas de terremoto no Haiti, que apresentavam Transtorno Estresse Pós-Traumático e/ou Transtorno Estresse Agudo. Método: O estudo foi realizado com 14 militares sobreviventes do terremoto ocorrido no Haiti em janeiro de 2010, divididos em dois grupos: A (soterrados) e B (não soterrados). Foram utilizados para avaliação: entrevista inicial entrevista inicial e final, os testes IES- Escala de Impacto de Eventos e ISSL - Inventário de Sintomas de estresse de Lipp (antes e após a intervenção), EMDR, e reencontro (follow-up) seis meses após o último atendimento. Resultados: De acordo com os resultados obtidos no IES, os sujeitos que tinham o nível de estresse entre grave, moderado e leve, passaram após a intervenção para o nível leve e recomendado. Em relação aos sintomas físicos e emocionais (flashbacks, insônia, pesadelos, agressividade, instabilidade de humor e aumento no consumo de álcool), os sujeitos não apresentavam mais a queixa ao término das intervenções. Conclusões: Com base nos resultados apresentados podemos afirmar que o EMDR é uma técnica eficaz para resolução do transtorno estresse pós-traumático, assim como na sua prevenção, em vítimas de terremoto.
Introduction: We know that when a person experiences a critical incident, such exposure has considerable impact on their overall functioning. Thus, to ensure the recovery of the Brazilian military who were in Haiti, we choose the EMDR technique created by Dra.Francine Shapiro, who finds theoretical support in recent discoveries in the field to perform neuropsychological interventions. Rationale: The EMDR is an effective technique that allows the trauma stored in short-term memory to pass the long-term memory, since with the stimuli it creates new neural connections that bring relief, peace and acceptance. Currently there are more than 20 randomized trials that support its effectiveness. Objective: To evaluate the efficacy of EMDR technique in the recovery of victims of the earthquake in Haiti, which had Post Traumatic Stress Disorder and / or Acute Stress Disorder. Method: The study was conducted with 14 military survivors of the earthquake in Haiti in January 2010, divided into two groups: A (buried) and B (not buried). All patients were evaluated: initial initial interview and final interview, tests IES-Impact of Events Scale and ISSL - Symptom Inventory stress Lipp (before and after the intervention), EMDR, and reunion (follow-up) six months after the last treatment. Results: According to the results of the IES, the subjects who had the stress level between severe, moderate and mild, passed after the intervention to the level recommended lightweight. Regarding the physical and emotional symptoms (flashbacks, insomnia, nightmares, aggression, mood instability and increased consumption of alcohol), subjects no longer had the complaint at the end of the interventions. Conclusions: Based on the presented results we can state that EMDR is an effective technique for resolution of post-traumatic stress disorder, as well as its prevention, earthquake victims.
Keywords: Acute Stress Disorder Brazil Earthquake Haiti Military Posttraumatic Stress Disorder Prevention PTSD Treatment Victims
Accuracy Verified: Yes
31. Bhattacharyya, A. (1997). Eliminating the trauma burden: A reply to Dr. Greenwald's paper. Child and Adolescent Psychiatry On-Line. Retrieved from http://www.priory.com/psych/dr.htm November 15, 2011.
Language: English
Format: Other
Abstract:
It is refreshing to find he has put the emphasis on health rather than illness. To translate that in the British context, one has to question
the real advance that has taken place in making that shift. It is fashionable to call every
service in terms of health and not illness and yet the major part of our resources go into
cure than prevention. Although it may seem like closing the stable door after the horse
has bolted, only now through extensive inducements and effort, the immunisation figures,
to quote one of Dr. Greenwald's examples, have reached 95%. Even then, there are
troughs whenever there is a scare such as with the measles and whooping cough vaccines.
Accuracy Verified: Yes
32. 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
33. Schubbe, O. (2001). EMDR - Supervision. Institut für Traumatherapie.
Language: German
Format: Other
Abstract:
Angeregt durch meine eigene Supervisionserfahrung und meine Rolle als Ausbilder für EMDR möchte ich meine Form der Supervision der therapeutischen Arbeit mit EMDR vorstellen. Ich wünsche mir, durch einen kollegialen Austausch zu neuen, und weiter verbesserten Konzepten zu gelangen. Die Grundhaltung der Psychotherapie mit EMDR spiegelt sich auch in der Supervision dieser Tätigkeit:
•im transparenten professionellen Rahmen,
•im ressourcengeleiteten Ansatz und,
•im strukturierten Vorgehen. Der Inhalt der EMDR-Supervision unterscheidet sich von üblicher Fallsupervision durch den hohen Stellenwert:
•von traumaspezifischer Gegenübertragung,
•der Notwendigkeit von Burnoutprävention, und
•der Wiederholung von Ausbildungsinhalten.
Nach einer Darstellung des äußeren Rahmens und des ressourcenorientierten Vorgehens schildere ich in der EMDR-Supervision besonders häufig angesprochene Themen.
Inspired by my own supervision experience and my role as trainers of EMDR, I would like to introduce my form of supervision of therapeutic work with EMDR. I want to go through a collegial exchange of new concepts and further improved. The stance of the psychotherapy with EMDR is also reflected in the supervision of this activity: • in transparent professional framework, • ressourcengeleiteten approach and, • the structured approach. The content of the EMDR supervision differs from the usual case supervision by the high priority: • from specific traumatic countertransference, burnout • the need for prevention, and • the repetition of course content. After a description of the outer framework and the resource-oriented approach I describe in the EMDR Supervision particularly common issues raised
Keywords: Supervision
Accuracy Verified: Yes
34. Veerbeek, V. (2010, April). EMDR als onderdeel forensische behandeling van ernstig gewelddadig gedrag: Vreemde eend in de bijt? [EMDR as part forensic examination of serious violent behavior: Odd man out?]. Workshop gepresenteerd aan de vierde congres van de Vereniging EMDR Nederland, Nijmegen, The Nederlands.
Language: Dutch
Format: Conference
Abstract:
Op ernstig geweld, zeker met fatale afloop, wordt door de maatschappij doorgaans geschokt gereageerd en is het resultaat van berechting vooral “leedtoevoeging” in de vorm van lange gevangenisstraffen. De behandeling in de gevangenis of op een forensische polikliniek staat overwegend in het teken van het nemen van verantwoording voor het gewelddadig gedrag en het aanleren van agressieregulatievaardigheden. Wanneer de cliënt zich als slachtoffer opstelt, roept dit bij de therapeut irritatie op; de cliënt merkt dit, neemt nog meer afstand van de therapeut, hetgeen vervolgens weer machteloosheid, veroordeling en boosheid oproept bij de therapeut. De cliënt als slachtoffer is taboe. In dat licht wordt door collega’s weleens met de nodige scepsis aangekeken tegen EMDR-behandeling van cliënten met ernstig gewelddadig gedrag.
In deze workshop komen allereerst de vooroordelen van de therapeut zelf tegen de cliënt en de vooroordelen van de collega’s tegen traumaverwerking bij ernstig gewelddadige cliënten aan bod. Deze vooroordelen staan goede diagnostiek en een goede therapeutische relatie in de weg. Gepropageerd wordt om “neutraal” en grondig onderzoek te doen, net als bij een vliegtuigcrash. Aan de hand van casuïstiek komen enkele sleutelvragen aan bod, die in het zoekproces en de casusconceptualisatie van groot belang zijn.
Wanneer onverwerkte ervaringen vanuit het verleden een rol spelen bij (de mate van) agressie, zullen deze ervaringen middels EMDR bewerkt dienen te worden. Hoe groter de vroeger ervaren machteloosheid en vernedering, hoe groter de kans dat de huidig ervaren agressieve lading niet zal verminderen met uitsluitend agressieregulatietherapie. Geïllustreerd wordt hoe EMDR, al of niet met recripting als CI, daarnaast een rol kan spelen bij actuele wraak-drang en wraakgedachten. Videomateriaal wordt ter illustratie gebruikt.
Stil wordt gestaan bij de waarde van het inoefenen van de veilige plek en hoe agitatie in en buiten de therapiezitting hierdoor snel kan verminderen.
Tot slot zal worden ingegaan op het experimenteel gebruik van EMDR als hulpmiddel bij delictanalyse – en delictverwerking, onder meer bij een cliënt die zijn kind ombracht. Bij huiselijk geweld is meer dan eens sprake van een lange opmaat tot het delict, waarbij een opstapeling van door de cliënt als vernedering ervaren incidenten (waarbij al of niet vroegere ervaringen worden getriggerd) kan leiden tot excessief en soms fataal geweld. Het middels EMDR “linksom” bewerken van deze “opmaat”-ervaringen, gevolgd door het middels EMDR doorwerken van het delict zelf, kunnen leiden tot het werkelijk voelen en nemen van de eigen verantwoordelijkheid, bieden een heldere inkijk in de emotionele dynamiek van de cliënt ten tijde van het plegen van het delict en bieden derhalve belangrijke aangrijpingspunten voor een gedetailleerd terugvalpreventieplan.
On serious violence, especially fatal, is usually shocked by the company responded and is mainly the result of trial "added suffering" in the form of long prison sentences. The treatment in prison or a forensic clinic is mainly devoted to taking responsibility for violent behavior and learning of aggression control skills. If the client is a victim accounts, the therapist calls this irritation, the client notes it, takes more from the therapist, which in turn helplessness, anger and condemnation by calling the therapist. The client as a victim is taboo. In that light by colleagues ever looked with skepticism at EMDR treatment of clients with serious violent behavior.
In this workshop, first, the prejudices of the therapist himself against the client and the prejudices of colleagues from trauma in severely violent clients addressed. These prejudices are good diagnosis and a good therapeutic relationship in the road. Propagated to "neutral" and thorough research, as in a plane crash. Using case studies reveal some key questions addressed, in the search process and casusconceptualisatie of great importance.
When unprocessed experiences from the past play a role (level of) aggression, these experiences need to be modified through EMDR. The greater the past experience powerlessness and humiliation, the more likely that the current load experienced aggressive not only will reduce aggression regulation therapy. Illustrated how EMDR, with or without recripting as CI, also play a role in current-craving revenge and revenge. Video material will be used for illustration.
Silence is paid to the value of practicing safe and how the agitation inside and outside the therapy session this rapid decrease.
Finally, consider the experimental use of EMDR as a tool for crime analysis - and crime scene processing, including in a client that his child killed. In domestic violence more than once been a long prelude to the offense, with an accumulation of humiliation experienced by the client as incidents (with or without previous experience are triggered) can lead to excessive and sometimes lethal force. It means EMDR "left" edit this "overture" experience, followed by using EMDR to work on the crime itself, can lead to really feel and take personal responsibility, provide a clear insight into the emotional dynamics of the client at the time of committing the offense and therefore provide important leads for a detailed relapse prevention plan.
Keywords: Forensic Examination Violent Behavior
Accuracy Verified: Yes
35. Black, A. (2010, March). EMDR and CBT - Burt and Ernie or Punch and Judy? - a joint treatment approach with complex children and adolescent trauma. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland.
Language: English
Format: Conference
Abstract:
Are EMDR and CBT sworn enemies or best friends? This
workshop will through teaching, case presentation and small group exercises explore how
Cognitive Behavioural Therapy (CBT) and EMDR can function as a seamless therapeutic
treatment model with children and adolescents of all ages.
Participants will:
• Develop an understanding of what factors constitute complex trauma in children
and adolescents and the hurdles it presents to effective treatment in EMDR.
• Discover what strategies the CBT model can offer in relation to engagement, goal
setting and relapse prevention as part of EMDR treatment.
• Practise designing behavioural experiments for children and adolescents to equip
them to test and apply their new learning following EMDR reprocessing.
• Learn how to utilise the CBT cycle model in providing a rationale for EMDR
treatment for children, adolescents and parents and post EMDR treatment
understanding and consolidation of change.
Keywords: CBT Cognitive Behavior Therapy Joint Treatment Approach Adolescents Children Cognitive Behaviorial Theapy Trauma Treatment Approach
Accuracy Verified: Yes
36. Marquis, P. (2007, June). EMDR and the treatment of anxiety disorders. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Dr. Marquis 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 interceptive exposure, psych-education, mindfulness, relaxation training, breathing retraining, cognitive techniques and exposure and response prevention with EMDR. The diagnosis of Obsessive Compulsive Disorder, Hoarding, Trichotillomonia, Skin Picking, Panic Disorder, Social Anxiety Disorders, Phobias, Generalized Anxiety Disorder, Somatization Disorder and their interaction with underlying PSTD will be discussed and standard EMDR treatment protocols presented. This will be presented in context of the Adaptive Information Processing Model. Theoretical models will be presented. This treatment integrates the use of future template and behavioral feedback for success of anxiety treatment. Participants will learn how to specify EMDR targets for rapid symptom reduction and how clients scan integrate self-use of bilateral stimulation to increase treatment results. Case examples will be presented. Participants will be encouraged to discuss and receive feedback on anxiety cases of their own. Cross-cultural applications and understanding will be explored. Dr. Marquis is the Anxiety Team Leader at Kaiser Hospital and has been practicing, teaching, and training EMDR internationally since 1991.
Keywords: Anxiety Disorders
Accuracy Verified: Yes
37. 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
38. Lackie, B. (2004). EMDR as an early itervention in trauma and disaster mental health. Presentation at the annual meeting of the American Psychological Association, Honolulu, HI.
Language: English
Format: Conference
Abstract:
Summarizes a presentation discussing EMDR as an early intervention in trauma and disaster mental health. EMDR is one of the more effective preventative approaches to the effects of disaster and trauma which has emerged over the past ten years. This part of the presentation will review the research findings for effectiveness of this particular approach to reducing the risks of future PTSD, comparing and contrasting it to the alternative approaches presented by the panel. Please see the attached author submitted abstract for more detailed informatoin on EMDR.
Keywords: Disasters Intervention Mental Health Posttraumatic Stress Disorder Prevention Risk Factors Trauma Treatment Effectiveness Evaluation
Accuracy Verified: No
39. 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
40. 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
41. Balbo, M. (2008, Novembre). EMDR e disturbi alimentari [EMDR and eating disorders]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
I Disturbi del comportamento alimentare per la complessità che li caratterizza comportano spesso problematiche relative alla diagnosi, alla scelta del trattamento primario e al tipo di terapia.
Il Workshop si propone di rispondere al quesito: “da dove cominciare”, come pianificare il trattamento con l’EMDR , qual è il problema centrale e quindi il primo e più importante da affrontare per aiutare il paziente a superare la preoccupazione estrema per il cibo e le forme corporee.
Gli argomenti che verranno presentati si propongono di affrontare le seguenti aree.:
• Diagnosi descrittiva.
• DSM IV: chiarezza classificatoria.
• Multifattorialità dei disturbi dell'alimentazione.
• Integrazione dell’EMDR nel trattamento: quando e con quale paziente.
• Ricerca dei target significativi nella storia di vita del paziente.
• Preparazione del paziente per il trattamento EMDR, come affrontare il blocco emozionale del paziente DCA e la fuga dalla consapevolezza; installazione di risorse e immagini chiave
• La motivazione al cambiamento nei pazienti difficili.
• La relazione terapeutica.
• Intervento psicoeducazionale.
• Lavoro sui target del passato.
• Aree di contenuto utilizzabili per l’intervento integrativo-cognitivo, analisi dei pensieri disfunzionali.
• Lavoro sui target del presente (gestione delle “emergenze”)
• Lavoro sul futuro:prevenzione delle ricadute e conclusione del trattamento.
• Discussione di casi.
Disorders of eating behavior of the complexity that characterizes them often involve issues related to diagnosis, choice of primary treatment and type of therapy. The Workshop aims to answer the question: "where to start, how to plan treatment with EMDR, which is the central problem and then the first and most important deal to help the patient to overcome the extreme concern for food and body shapes. The topics to be presented are intended to address the following areas.: • descriptive diagnosis. • DSM IV classificatory clarity. • multifactorial nature of eating disorders. • Integrating EMDR treatment: when and how patient. • Research targets in the history of the patient's life. • Preparing the patient for treatment EMDR, how to address the emotional blocks of the patient and the flight from DCA awareness; installation of resources and key images • The motivation to change in patients difficult. • The therapeutic relationship. • psycho-educational intervention. • Work on target in the past. • Content areas used for Integrated intervention-cognitive analysis of dysfunctional thoughts. • Work on this target (management of "emergencies") • Work on the future: prevention of relapses and end of treatment. • Discussion of cases.
Keywords: Eating Disorders
Accuracy Verified: Yes
42. 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
43. Hofmann, A. (2010, July). EMDR for treating depression. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Scientific studies of EMDR have shown that it is one of the most effective tools to treat posttraumatic stress disorder. One of
the lesser known properties of EMDR is that it also seems to be an effective psychotherapy method in a number of disorders
that may have part of their origins in stressfull memories. One of these disorders is chronic depression. Severe depression
is one of the most common mental disorders and affects between 5-15% of the general population in their lifetimes.
Although many psychotherapeutic and pharmacologic interventions exists that are considered to be effective in depression,
the treatment is less than satisfactory. High relapse rates (ranging at 50% after two years), unsatisfactory remissions and
suicidal risks are among the major problems. Research shows that there may be a link between traumatic events (like abuse
experience in childhood) and the later occurrence of a depressive disorder. However there is no published systematic study
that tries to explore the potential use of trauma specific treatments like EMDR with depressive patients with trauma history.
The presenter will report the status of research on the subject and on a current controlled study underway to explore the
use of EMDR in depressive patients.
Keywords: Depression
Accuracy Verified: Yes
44. Beer, R., & Hornsveld, H. (2008). EMDR in de behandeling van eetstoornissen [EMDR in the treatment of eating disorders]. In E. ten Broeke, A. de Jongh, & H. Oppenheim (Red), Praktijkboek EMDR: Casusconceptualisatie en en specifieke patiëntengroepen,(pp. 201-243). Amsterdam: Harcourt Press.
Language: Dutch
Format: Book Section
Abstract:
Dit hoofdstuk is voortgekomen uit enthousiasme voor EMDR. Eetstoornissen (anorexia nervosa, boulimia nervosa en binge eating disorder) staan bekend als moeilijk te behandelen. Behandeling van patiënten met eetstoornissen vindt bij voorkeur plaats door een multidisciplinair, specialistisch team met een gemeenschappelijke visie (Clinical Guideline Eating Disorders, 2004; Multidisciplinaire Richtlijn voor Eetstoornissen, 2006). Cognitieve gedragstherapie neemt hierbij een prominente plaats in. De weinige beschikbare gecontroleerde studies laten matige resultaten zien met behoorlijke terugvalpercentages (Multidisciplinaire Richtlijn voor Eetstoornissen, 2006). Over het algemeen geldt dat cognitieve gedragstherapie de behandeling van voorkeur is, maar ook de resultaten van deze benadering geven aanleiding tot bescheidenheid (Fairburn e.a., 1999). Onderzoekers en behandelaars zijn daarom voortdurend op zoek naar nieuwe invalshoeken en mogelijkheden. In ons werk met eetstoornispatiënten hebben wij ons afgevraagd hoe de kracht van EMDR ingezet zou kunnen worden bij de vaak moeizame behandeling van patiënten met een eetstoornis. De volgende bevindingen zijn gebaseerd op ervaringen met de behandeling van jongeren (12-18 jaar) met voornamelijk anorexia nervosa1 en volwassenen met hoofdzakelijk binge eating disorder. Daarnaast hebben wij onze klinische ervaringen uitgewisseld met collega’s2 in een werkgroep ‘EMDR en eetstoornissen’.
Onze ‘experimenten’ met EMDR vonden steeds plaats als onderdeel van een geïntegreerde, multidisciplinaire poliklinische of deeltijdbehandeling. Het is daarom moeilijk objectief vast te stellen wat specifieke effecten zijn geweest van de beschreven interventies. Onze indruk is echter dat EMDR een klinisch relevante verbetering teweeg kan brengen, waar die met de meer gangbare methoden veel lastiger of zelfs niet te bereiken zou zijn geweest.
In wetenschappelijke tijdschriften is, naar wij weten, slechts één artikel verschenen over het gebruik van EMDR in de behandeling van eetstoornissen (Hudson e.a., 1998). Over empirisch onderzoek naar de effecten van EMDR bij de behandeling van eetstoornissen is nog niets gepubliceerd. Wel is door verschillende collega’s op EMDR-congressen bruikbaar materiaal gepresenteerd voor toepassing bij patiënten met een eetstoornis (Vogelmann-Sinn e.a., 1998; Omaha, 2000; Bloomgarden en Calogero, 2002; Friedland, 2003; Hase, 2005).
This chapter is the result of enthusiasm for EMDR. Eating disorders (anorexia nervosa, bulimia nervosa and binge eating disorder) are known as difficult to treat. Treatment of patients with eating disorders is preferably carried out by a multidisciplinary specialist team with a common vision (Clinical Guideline Eating Disorders, 2004; Multidisciplinary Guideline for Eating Disorders, 2006). Cognitive behavioral therapy occupies a prominent place. The few available controlled studies have shown mixed results with significant relapse rates (Multidisciplinary Guideline for Eating Disorders, 2006). Generally, that cognitive-behavioral treatment of preference, but also the results of this approach give rise to modest (Fairburn et al, 1999). Researchers and practitioners are therefore constantly looking for new approaches and possibilities. In our work with eating disorder patients, we asked ourselves how the power of EMDR could be used in the often difficult management of patients with eating disorders. The following findings are based on experiences with the treatment of adolescents (12-18 years) with anorexia mainly nervosa1 and adults with mainly binge eating disorder. We also exchanged our clinical experiences with collega's2 in a workgroup 'EMDR and eating disorders.
Our 'experiments' with EMDR were always held as part of an integrated, multidisciplinary outpatient treatment or time. It is therefore difficult to determine objectively what specific effects have been the interventions described. Our impression is that EMDR is a clinically relevant improvement can bring, where those with the more common methods much more difficult or even impossible to achieve would have been.
In scientific journals, to our knowledge, only one article about the use of EMDR in the treatment of eating disorders (Hudson et al, 1998). On empirical research into the effects of EMDR in the treatment of eating disorders is not yet published. However, by several colleagues EMDR conferences presented useful material for use in patients with eating disorders (Mann-Sinn Vogel et al, 1998; Omaha, 2000; Bloom Garden and Calogero, 2002; Friedland, 2003; Hase, 2005).
Keywords: Anorexia Nervosa Bulimia Nervosa Binge Eating Disorder Eating Disorders
Accuracy Verified: Yes
45. Bohm, K., & Voderholzer, U. (2010, September). EMDR in der behandlung von zwangsstörungen: Eine fallserie [Use of EMDR in the treatment of obsessive-compulsive disorders: A case series]. Verhaltenstherapie [Behavior Therapy], 20(3), 175–181. doi:10.1159/000319439 .
Language: English
Format: Journal
Abstract: (The above link is to the English version of the German article.)
Hintergrund: Die kognitive Verhaltenstherapie mit Exposition
und Reaktionsverhinderung ist die am besten untersuchte
und derzeit wirksamste Therapie bei Zwängen.
15–40% der Patienten können jedoch nicht von diesem
Verfahren profitieren. Sie berichten Motivationsprobleme,
brechen die Behandlung vorzeitig ab oder zeigen
anhaltende Probleme in der Emotionsregulation. Der zusätzliche
Einsatz der Therapiemethode «Eye Movement
Desensitization and Reprocessing» (EMDR) zur Reduktion
dieser Schwierigkeiten wird vorgestellt und beschrieben.
Methode: Es werden drei Kasuistiken vorgestellt,
die mittels deskriptiver Analysen ausgewertet werden.
Hierbei wird auf das inhaltliche Vorgehen sowie die
Therapiemotivation und Emotionsregulation im Therapieverlauf
eingegangen. Ein Patient mit Kontrollzwängen
erhielt zunächst EMDR-Sitzungen und anschließend Expositionsübungen.
Eine andere Patientin mit vorwiegend
Zwangsgedanken wurde zuerst mit Expositionen und danach
mit EMDR behandelt. Im dritten Fall wurden Expositionen
und EMDR-Sitzungen abwechselnd durchgeführt.
Ergebnisse: Die drei behandelten Patienten berichteten
eine Reduktion der Zwänge um etwa 60%. EMDR
wurde von allen drei Patienten als motivierend und hilfreich
beschrieben. Die Arbeit an den Emotionen konnte
durch EMDR angeregt und verstärkt werden. Eine deutliche
Reduktion der Zwänge durch die Expositionen
zeigte sich bei 2 Patienten, während diese im Zuge der
EMDR-Sitzungen nur leicht abnahmen. Diskussion:
EMDR könnte eine vielversprechende Augmentationsoption
bei der Behandlung von Zwängen darstellen. Für
eine bessere Beurteilung sind kontrollierte und randomisierte
Studien erforderlich.
Introduction: Various studies have demonstrated that
cognitive behavioural therapy with exposure response
prevention is the most effective method to treat obsessive-
compulsive disorders. However, 15–40% of patients
do not respond to it; they cannot be motivated to undergo
treatment, drop out, or experience persisting difficulties
in regulating their emotions. In this article, EMDR
is presented as an additional method for these specific
problems. Method: Three case studies are reported and
descriptively analysed. Special focus is placed on the patients’
motivation and on how they regulate their emotions.
Different ways of applying EMDR in the course of
psychological treatment are described as well. EMDR before
confrontation therapy was applied in the first patient
(checking behaviour); the second patient (compulsive
thoughts) was first treated with confrontation therapy
and then with EMDR; in the third patient, EMDR and
confrontation therapy were applied alternately. Results:
All three patients showed a reduction of symptoms by
about 60%. They experienced EMDR as a useful and motivating
method. Furthermore, they felt encouraged to
deal with their emotions in additional psychological
treatments. Confrontation therapy markedly reduced
OCD symptoms in two of the patients. Discussion: EMDR
could be a useful augmentation method in treating patients
with OCD, but further controlled and randomised
studies are required to validate this conclusion.
Keywords: Obsessive Compulsive Disorder OCD Psychotherapeutic Method Psychotherapy Research
Accuracy Verified: Yes
46. Marich, J. N. (2009). EMDR in the addiction continuing care process: Case study of a cross-addicted female's treatment and recovery. Journal of EMDR Practice and Research, 3(2), 98-106. doi:10.1891/1933-3196.3.2.98.
Language: English
Format: Journal
Abstract:
There have been suggestions in the literature since 1994 that eye movement desensitization and reprocessing (EMDR) may serve as an effective adjunct to the addiction treatment process; however, follow-up research in this area has been limited. This case study of a cross-addicted female includes a case review illustrating how EMDR was used in the continuing care process and a semistructured phenomenological interview conducted at 6-month follow-up. Prior to this course of treatment, the participant was treated 12 times with traditional approaches but was unable to achieve more than 4 months of sobriety at any given time. Following EMDR, the participant reported 18 months of sobriety and important changes in functional life domains. The phenomenological interview revealed six critical themes about the addiction and recovery process that can offer insight to clinicians treating co-occurring addiction and trauma.
Keywords: Addiction Cross-Addiction Phenomenology Posttraumatic Stress Disorder PTSD Relapse Prevention
Accuracy Verified: Yes
47. Hase, M. (2010, June). EMDR in the treatment of addiction - Reprocessing of the addiction memory. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The comorbidity of PTSD and substance abuse provides sufficient reason for treating patients, who are addicted, with EMDR while focusing on the PTSD diagnosis. However, there are several pathways leading to addiction, and PTSD is only one of them. Thirty years of addiction research have provided sufficient evidence for the crucial role of memory in drug dependency.
The Addiction Memory (AM) serves as a useful concept for "obsessive-compulsive craving" to be seen in drug addicted patients. The concept of an AM, and its importance in relapse occurrence and maintenance of learned addictive behaviour, has gained growing acceptance in the field of addiction research and treatment. The AM is interpreted as an individual-acquired memory following drug consumption in some individuals. The addiction memory is based on normal memory systems and systems of central nervous information processing. This is in accordance with the experience that the addiction memory can be activated at any time by relapse-endangering complexes as well as internal and/or external situations, which are experienced as cravings by the person in question. The implicit nature of the addiction memory seems to qualify it as a target for EMDR treatment.
Without adequate therapeutic interventions, it is hardly extinguishable, as shown in the animal model where a re-imprinting of the AM facilitated by steroids extinguished craving in opiate addicted rats. Thus, altering or extinguishing the AM in human addicts could add an important component to well-established treatment modalities. The reprocessing of the AM with EMDR should, thus, lead to measurable changes in addiction symptoms, if the AM qualifies for maladaptive memory within the AIP model. As the AM includes the urge to consume the drug being abused, more aptly named craving, reprocessing of the AM should lead to a reduction in craving.
Preliminary data demonstrates the efficacy to reduce craving in alcohol-addicted patients. Anecdotal reports from clinicians seem to indicate an effect of the reprocessing of the addiction memory in patients addicted to heroin or psycho-stimulants. According to research in the animal model, the same principles should apply.
There are, however, other aspects to addiction. Is there a difference between chemical dependency and other addictive behaviour? How much do we know already? What have we yet to discover? These questions lead to the direction of developing a comprehensive EMDR approach in the treatment of addictions.
Accuracy Verified: Yes
48. van Rood,Y., & de Roos, C. (2010, June). EMDR in the treatment of body dysmorphic disorder. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Body dysmorphic disorder (BDD) is defined in the Diagnostic
and Statistical Manual IV-TR (DSM-IV-TR) as a disorder characterised by a preoccupation with an imagined defect
in one's appearance (American Psychiatric Association (APA),
1994). BDD can be treated effectively with selective serotonin reuptake inhibitors (SSRls) or cognitive behaviour therapy (CBT)
(Williams et al.. 2006). CBT interventions which are most often
described in the literature are exposure and response prevention
(ERP) and cognitive techniques. These interventions successfully
weaken the catastrophic expectations of the patients.
However, they do not affect the negative valence of patients'
appearance. This negative meaning is not inborn but acquired
during life through association with distressful or even traumatic
events. Patients with BDD often report stressful events as the
starting point of their complaints (Buhlmann et al., 2007) as
well as PTSS like symptoms. i.e. intrusions (Osman et al.. 2004).
Processing of these unprocessed memories might free the way
to the development of a more positive meaning of their appearance.
Indeed, case series have been described in which EMDR
has been successfully applied in the treatment of BDD (Brown
et al , 1997). In the first part of this workshop background information
will be presented which might help identifying BDD
patients who might profit from EMDR and planning subsequent
EMDR treatment. In the second part of the workshop we share
our experiences treating BDD patients with EMDR. Clinical issues
will be analysed using videotaped cases of patients for illustration.
The goal of this workshop is to increase knowledge and
understanding of the use of EMDR in the treatment for BDD.
American Psychiatric Association (APA) (1994). Diagnostic and
statistical manual of mental disorders. (4th ed.) Washington
DC. American Psychiatric Association.
Brown, K. W., McGoldrick, T., & Buchanan, R. (1997). Body
dysmorphic disorder: Seven cases treated with eye movement
desensitization and reprocessing. Behavioural and Cognitive
Psychotherapy. 25(2), 203-207
Buhlmann, U., Cook, L. M., Fama, 1. M., & Wilhelm, 5. (2007).
Perceived teasing experiences in body dysmorphic disorder.
Body Image. 4, 381-385.
Osman. S., Cooper, M., Hackmann, A,, & Veale, D. (2004).
Spontaneously occurring images and early memories in people
with body dysmorphic disorder Memory, 12, 428-436.
Williams, J., Hadjistavropoulos, T., & Sharpe, D. (2006). A meta-
analysis of psychological and pharmacological treatments for
Body Dysmorphic Disorder. Behaviour Research and Therapy.
44, 99-111.
Keywords: Body Dysmorphic Disorder
Accuracy Verified: Yes
49. Hofmann, A. (2013, June). EMDR in the treatment of Depression. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
Scientific studies of EMDR have shown that it is one of the most effective tools to treat posttraumatic stress disorder. One of the lesser known properties of EMDR is that it also seems to be an effective psychotherapy method in a number of disorders that may have part of their origins in stressful memories. One of these disorders is chronic depression.
Severe depression is one of the most common mental disorders and affects between 5-15% of the general population in their lifetimes. Although many psychotherapeutic and pharmacologic interventions exists that are considered to be effective in depression, the treatment is less than satisfactory. High relapse rates (ranging at 50% after two years), unsatisfactory remissions and suicidal risks are among the major problems.
Research shows that there may be a link between traumatic events (like abuse experience in childhood) and the later occurrence of a depressive disorder. However there is no published systematic study that tries to explore the potential use of trauma-specific treatments like EMDR with depressive patients.
The presenter will report the status of research on the subject, and will talk about possible EMDR strategies that have shown to be useful in depressive patients.
Learning objectives:
Understanding the relationship of trauma and depression;
Creating a treatment plan for depressive patients following the AIP model; and
Find strategies to deal with relapsing and chronic depression
Keywords: Depression Research
Accuracy Verified: Yes
50. Silver, S. (2004, July). EMDR proves effective at Pennsylvania VA facility. U.S. Medicine.
Language: English
Format: Magazine
Abstract:
EMDR Prom Effective At Pennsylvanin VA Facility
In Sandra Basu's interesting article on the work of military mental health professionals
responding to wmbat stress reactions rNavy Used ID, Prevention To Ease Combat Stress,"
p.1, U.S. MEDICINE, April 20041, there is one comment which might mislead readers.
Discussing the work of Dr. Mark Russell using Eye Movement Desensitization and
Reprocessing (EMDR), she writes "DoD does not have an official stance on the procedure,
neither endokii it nor disapproving of if according to a Navy spokesperson."
Keywords: Letter VA Veteran's Administration
Accuracy Verified: Yes
51. Hase, M. (2010, June). EMDR to treat substance abuse and addiction. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The comorbidity of PTSD and substance abuse provides sufficient reason for treating patients, who are addicted, with EMDR while focusing on the PTSD diagnosis. However, there are several pathways leading to addiction, and PTSD is only one of them. Thirty years of addiction research have provided sufficient evidence for the crucial role of memory in drug dependency.
The Addiction Memory (AM) serves as a useful concept for "obsessive-compulsive craving" to be seen in drug addicted patients. The concept of an AM, and its importance in relapse occurrence and maintenance of learned addictive behaviour, has gained growing acceptance in the field of addiction research and treatment. The AM is interpreted as an individual-acquired memory following drug consumption in some individuals. The addiction memory is based on normal memory systems and systems of central nervous information processing. This neurobiological-based, imprinted, addictive behaviour seems to resist change under normal circumstances. The implicit nature of the addiction memory seems to qualify it as a target for EMDR treatment.
In a pilot-study group, 34 patients with chronic alcohol dependency in in-patient treatment for detoxification were randomly assigned to one of two treatment conditions: treatment as usual (TAU) or TAU+EMDR. In the TAU+EMDR group, patients received two sessions of EMDR focussing on memories of intense craving or relapse in order to activate and reprocess the addiction memory. The craving for alcohol was measured by the Obsessive-Compulsive-Drinking-Scale (OCDS) pre, post, and 1 month after treatment. The TAU+EMDR group showed a significant reduction in craving post-treatment and 1 month after treatment whereas TAU did not. The TAU+EMDR group showed lower relapse rates at the six-month follow-up. The results indicate that EMDR might be a useful approach for the treatment of addiction memory and associated symptoms of craving (Hase et al. 2008). Anecdotal reports show results with opiate and stimulant addicted patients.
This Workshop will address the EMDR treatment of comorbid PTSD and focuses on the application of EMDR as an adjunct in addiction treatment. Targets for a comprehensive EMDR treatment plan will be explained. A video demonstration, self-experience and discussion of cases shall contribute to learning.
REFERENCES
Boening, J. A. (2001). Neurobiology of an addiction memory. J Neural Transm 108(6): 755-65.
Hase, M., Schallmayer, S. and Sack, M (2008). "EMDR reprocessing of the addiction memory: Pre-treatment, post-treatment, and 1-month follow-up" J EMDR 2 (3), 170-179.
Keywords: Addiction Memory Posttraumatic Stress Disorder PTSD Substance Abuse TAU Treatment As Usual
Accuracy Verified: Yes
52. Shapiro, E. (2009). EMDR treatment of recent trauma. Journal of EMDR Practice and Research, 3(3), 141-151. doi:10.1891/1933-3196.3.3.141 .
Language: English
Format: Journal
Abstract:
Although eye movement desensitization and reprocessing (EMDR) has demonstrated efficacy in treating chronic posttraumatic stress disorder and old trauma memories, EMDR treatment of recent traumatic events has not received adequate attention from EMDR researchers or clinicians. This article presents current thinking and findings about early psychological intervention following recent traumatic events and examines the status of early EMDR intervention (EEI) concepts and research. It is contended that this area has not developed sufficient awareness and definition among EMDR clinicians. Francine Shapiro's theoretical adaptive information-processing model predicts that dysfunctionally stored trauma memories underlie many current psychological disorders. Consequently, the assumption that memories of a recent traumatic event and its sequelae are not fully consolidated offers a unique role for EEI not only in reducing acute distress but also in preventing the sensitization and accumulation of trauma memories. A call is made for a more comprehensive approach to the field of EEI to promote interest and awareness among EMDR practitioners and to generate research.
Keywords: Acute Stress Disorder ASD: Early EMDR Intervention Early Psychological Intervention EEI Prevention of Posttraumatic Stress Disorder Prevention of PTSD Recent Trauma
Accuracy Verified: Yes
53. O'Brien, J. M., & Abel, N. J. (2011). EMDR, addictions, and the stages of change: A road map for intervention. Journal of EMDR Practice and Research, 5(3), 121-130. doi:10.1891/1933-3196.5.3.121.
Language: English
Format: Journal
Abstract:
A growing body of literature indicates that eye movement desensitization and reprocessing (EMDR) can be useful in the treatment of addictions. When combined with traditional addictions treatment approaches, EMDR can enhance client stability, prevent relapse, and promote recovery. Clinical decision making about when and how to use EMDR techniques with clients who present with addictions is complicated. The purpose of this article is to explore the use of EMDR interventions with clients presenting various levels of awareness of their addiction as well as varied levels of motivation to change. The authors explore the Stages of Change and suggest appropriate pre-EMDR EMDR interventions at each stage.
Keywords: Addiction Stages of Change Trauma
Accuracy Verified: Yes
54. 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:
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.
Keywords: Addiction Comorbidity Dissociation Posttraumatic Stress Disorder PSTD Substance Use Disorder
Accuracy Verified: Yes
55. Marr, J. (2011, October). EMDR: Developments in the treatment of obsessive compulsive disorder. Presentation at the 3rd annual EMDR Yorkshire Autumn Workshop Conference, Durham, England.
Language: English
Format: Conference
Abstract:
The use of Eye Movement, Desensitisation and Reprocessing (EMDR) with the addition of a Mental Videotape with any disturbance experience by the client reprocessed with EMDR has been trialled within this research document as an alternative to exposure and response prevention (Ex/RP) or a combination of Ex/RP and CBT, for the treatment of OCD. The main hypothesis addressed was that an adapted form of EMDR with the inclusion of a Mental Videotape could also address OCD, where the Mental Videotape would replace the Exposure and the EMDR used to reprocess the response. (Author abstract)
Keywords: Obsessive Compulsive Disorder OCD Treatment
Accuracy Verified: Yes
56. Smyth, N. J., & Maccio, E. M. (2000, November). EMDR: A method to assist in substance abuse prevention & treatment?. Presentation at HOPE 2000 International Conference on HIV and Substance Abuse Prevention and Control, Mumbai, India.
Language: English
Format: Conference
Abstract:
The paper was a research paper on Eye Movement Desensitization and Reprocessing (EMDR), a trauma treatment method, which was summarised and the implications for substance abuse prevention and treatment explored, including protocols that apply EMDR to substance abuse and to disorders among youth.
Keywords: Substance Abuse
Accuracy Verified: Yes
57. Siano, J. (2008, April). Emergency intervention in art therapy with EMDR and somatic experiencing. Workshop presentation at the 1st Bi-annual International European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands .
Language: English
Format: Conference
Abstract:
The following presentation shows a model, which was built and applied with many
different populations, children, aged people and adults, during the Lebanon War 2006 and
after it. The purpose was prevention of PTSD and overcoming the difficult and painful
period. Originally it was aimed at art therapists, psychologists, and other mental health
staff – Jews and Arabs. They work with already traumatized children and youth in the
shelled north of Israel, have to contain much pain and to be strong for others. They were
close to break down, or already broke down. The same model served the presenter later
in many cases of crisis, with groups and individuals. Especially it was adapted with some
much dissociated clients, giving voice (visual representation) to the different sub –
personalities. The model aims for (1) bridging between state of freezing or collapsing and
functioning; (2) providing tools for self regulation and helping others to self regulate; and
(3) strengthening the felt sense of well-being connected to resources within the person
and preventing PTSD. The methods used are: (1) evaluation of body-sensation, feeling
and thoughts with SUDS (Subjective Units of Disturbance Scale); (2) drawing a picture of
resource; installation of resource; (3) drawing a deficiency picture, a picture which
represents the disturbing part in one’s present life; (4) EM (eye movements) between both
pictures, through working in couples - bilateral stimulation; (5) re-evaluation of body –
sensation, feeling and thought with SUDS.
Learning objectives:
1. To demonstrate the impact of art in developing inner boundaries
towards integration of ego states.
2. To legitimize extreme emotions and to understand that they are
normal defenses to trauma.
3. To acquire tools for coping with trauma in the present.
Keywords: Art Therapy Emergency Intervention Somatic Experiencing
Accuracy Verified: Yes
58. Corrigan, F. M., & Jennett, J. (2004, August). Ephedra alkaloids and brief relapse in EMDR-treated obsessive compulsive disorder. Acta Psychiatrica Scandinavica, 110(2), 158. doi:10.1111/j.1600-0047.2004.00368.x.
Language: English
Format: Journal
Abstract:
Letter to the editor commenting on an article by E. Ernst (see record 2003-05653-002). We report the case of a patient who was effectively treated for severe obsessive compulsive disorder but relapsed briefly following ingestion of herbal products containing ephedra alkaloids that she bought to facilitate weight loss. The patient was a 29-year-old woman with a 10-year history of obsessive compulsive disorder who was referred for Eye Movement Desensitisation and Reprocessing (EMDR) when her condition had not responded to cognitive behavior therapy nor to various medications including Fluoxetine, Paroxetine, Clomipramine and Amitriptyline. Her score on the Dissociative Experiences Scale was low and there was nothing in the clinical history to suggest major dissociative disorder, so after preparation with mindfulness, relaxation and safe place imagery she proceeded to treatment with EMDR. Nine months later she reported a relapse into increased anxiety with a partial return to compulsive thoughts and behaviours after she had obtained a herbal health product sold to promote weight loss. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Comment Desensitization Ephedra Letter Luvoxamine Obsessive Compulsive Disorder OCD Plant Preparations Relapse Reply Review Serotonin Uptake Inhibitors
Accuracy Verified: Yes
59. Ernst, E. (2004, August). Ephedra alkaloids and brief relapse in EMDR-treated obsessive compulsive disorder, Reply. Acta Psychiatrica Scandinavica, 110(2), 159. doi:10.1111/j.1600-0047.2004.00369.x.
Language: English
Format: Journal
Abstract:
Reply by the current author to the comments made by E.M. Corrigan and J. Jennett (see record 2004-16054-010) on the original article (see record 2003-05653-002). They describe a 29-year-old woman with an obsessive compulsive disorder relapse following ingestion of herbal products containing ephedra alkaloids. This case report highlights a number of points which can be important for psychiatric practice: our patients often see herbal remedies as risk-free additions to their conventional treatments; in reality, however, they can contain powerful ingredients with potential to harm. One may love or hate complementary medicine, but vis-à-vis its popularity with our patients it seems an ethical imperative to know the essentials about it. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Comment Ephedra alkaloids Letter Obsessive Compulsive Disorder OCD Relapse Reply
Accuracy Verified: Yes
60. Kitchen, R. H. (1992, December). Erratum and clarification. EMDR Network Newsletter, 2(2), 9-10.
Language: English
Format: Newsletter
Abstract:
In my article, "Relapse Therapy" in
the EMDR Network Newsletter (Vol. 1, No.
2, December 1992), I made reference to a study done
by Cynthia Downing, Ph.D. - "Surrender
to Powerlessness and Its Relationship to Relapse in Recovering should have read 41 out of 50
Alcoholics" (1991), which was part of chronic relapsers.
Keywords: Relapse Therapy
Accuracy Verified: Yes
61. Des Groseilliers, I. B. (2009, June). Évaluation longitudinale de l'efficacité d'une nouvelle intervention dyadique, brève et précoce visant la prévention du TSPT [Longitudinal evaluation of the effectiveness of a new intervention dyadic brief and early for the prevention of PTSD]. Université du Québec à Montréal.
Language: French
Format: Dissertation/Thesis
Abstract:
La présente thèse s'intéresse à l'évaluation de l'efficacité à court et à long terme d'une nouvelle intervention dyadique, brève et précoce ayant pour but la prévention du trouble de stress post-traumatique (TSPT). L'exposition à un événement traumatique provoque, chez certains individus, une souffrance émotionnelle considérable qui entrave leur fonctionnement quotidien de manière parfois importante. Au cours des deux dernières décennies, des interventions curatives efficaces ont été créées, soit la thérapie cognitive-comportementale
(TCC) et la désensibilisation par mouvement oculaire (EMDR). On remarque cependant un manque criant d'interventions efficaces à court et à long terme qui ont pour but la prévention du TSPT, malgré les efforts du débriefing et de la TCC brève en ce sens. Cette thèse vise donc, dans un premier temps, à faire le point sur l'état des connaissances au niveau de l'efficacité des interventions précoces et, dans un deuxième temps, évaluer de manière empirique l'efficacité à moyen (3 mois) et surtout à long terme (2 ans) d'une nouvelle intervention dyadique, brève et précoce pour prévenir le TSPT. La nouvelle intervention dont il est question dans le présent ouvrage se déroule en deux séances et est offerte à la victime et une personne-soutien de son choix par une travailleuse sociale ou une infirmière. Elle met l'accent sur la psychoéducation, l'apprentissage à la communication exempte de soutien social négatif (minimisation, hostilité, impatience, etc.) et sur l'importance de ne pas éviter les stimuli associés à l'événement traumatique. La thèse comporte quatre chapitres. Le premier propose une recension de la littérature qui met à jour les principales conclusions quant à l'efficacité du débriefing et de la TCC brève pour prévenir le TSPT. Cette recension met en évidence les principales failles méthodologiques et les difficultés d'application de ces interventions. De plus, elle expose le rationnel derrière l'utilisation du soutien social comme ingrédient actif d'une intervention de prévention de ce trouble.
Le second chapitre présente une étude d'efficacité randomisée et contrôlée de l'efficacité de la nouvelle intervention. Soixante-six participants ont été randomisés soit dans la condition intervention ou dans la condition de contrôle. Les résultats ont démontré qu'au post-test de trois mois, les participants de la condition intervention manifestaient des symptômes de TSPT significativement moins intenses que ceux de la condition contrôle. De plus, les participants de la condition intervention rapportent une diminution significative du soutien social perçu, contrairement aux participants de la condition de contrôle qui n'observent pas cette différence. Il est intéressant de souligner que le taux d'abandons en cours de traitement fut équivalent et très bas au sein des deux groupes. Ceci suggère que les participants tolèrent bien cette nouvelle intervention. Aucune différence n'a été observée entre les deux groupes en ce qui a trait à l'occurrence de psychopathologies comorbides. Le troisième chapitre se veut une relance à 2 ans post-trauma de l'étude présentée au chapitre précédent. Quarante-six des 66 participants ont accepté de prendre part à cette relance. Les résultats révèlent que, deux ans après l'événement traumatique, les participants ayant reçu l'intervention étaient encore beaucoup moins symptomatiques que les participants
n'ayant pas reçu cette intervention. Un fait plus qu'intéressant qui ressort de cette étude est qu'aucun participant de la condition intervention ne rapporte un TSPT et cinq participants de la condition contrôle souffrent encore de ce trouble deux ans après l'événement traumatique. Parallèlement, il a été observé que les participants ayant reçu l'intervention perçoivent encore moins de soutien social négatif que ceux de la condition contrôle. À l'instar de ce qui a été rapporté au post-test de trois mois, les deux groupes ne révèlent pas de différence significative par rapport à la manifestation d'autres affections psychologiques. Le quatrième et dernier chapitre propose une discussion générale des résultats en fonction des interprétations qui peuvent en être tirées, des différentes forces et limites intrinsèques ainsi que des implications théoriques et cliniques qui peuvent en découler.
This thesis focuses on the evaluation of the effectiveness in the short and long-term reoperation dyadic brief and early aimed at the prevention of posttraumatic stress disorder (PTSD). Exposure to a traumatic event causes in some individuals, suffering considerable emotional hinders their daily operations be significant. Over the past two decades, effective curative interventions were created either cognitive-behavioral therapy
(CBT) and eye movement desensitization (EMDR). We note, however, a dearth of effective interventions in the short and long-term aim of preventing PTSD, despite the efforts of debriefing and brief CBT in this direction. This thesis therefore aims, firstly, to take stock of the state of knowledge at the effectiveness of early interventions, and in a second step, empirically assess the efficacy medium (3 months) especially in the long term (2 years) of a new intervention dyadic brief early to prevent PTSD. The new intervention mentioned in this book takes place in two sessions and is offered to the victim and a support person of their choice by a social worker or nurse. It focuses on psychoeducation, learning to communicate free of negative social support (minimization, hostility, impatience, etc..) And the importance of not avoiding stimuli associated with the traumatic event. The thesis consists of four chapters. The first provides a literature review that updates the main conclusions about the effectiveness of debriefing and brief CBT to prevent PTSD. This review highlights the main methodological flaws and difficulties in implementing these interventions. In addition, it outlines the rationale behind the use of social support as an active ingredient of an intervention to prevent this disorder.
The second chapter presents an efficacy study randomized controlled effectiveness of the new intervention. Sixty-six participants were randomized to either intervention or condition in the control condition. The results showed that post-test three months, participants in the condition action had symptoms of PTSD significantly less intense than those of the control condition. In addition, participants reported response provided a significant reduction in perceived social support, unlike the members of the control condition who do not observe this difference. It is interesting to note that the dropout rate during treatment was low and similar in both groups. This suggests that participants tolerate this new intervention. No difference was observed between the two groups in regard to the occurrence of comorbid psychopathology. The third chapter is a raise to 2 years post-trauma of the study presented in the previous chapter. Forty-six of the 66 participants agreed to take part in this revival. The results show that two years after the traumatic event, participants who received the intervention were still much less symptomatic than participants
who did not receive this intervention. A more than interesting fact that emerges from this study is that no participant intervention condition reported PTSD and five participants from the control condition still suffer from this disorder two years after the traumatic event. Meanwhile, it was observed that participants who received the intervention perceive less social support than the negative control condition. Like what has been reported in post-test three months, the two groups did not show a significant difference in the expression of other psychological ailments. The fourth and final chapter provides a general discussion of the results based on interpretations that can be drawn, different strengths and inherent limitations as well as theoretical and clinical implications that may arise.
Keywords: CBT Cognitive-Behavioral Therapy Dyadic Intervention Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
62. Gezondheidsraad (2011, June). Executive summary. In Gezondheidsraad Behandeling van de gevolgen van kindermishandeling (pp. 15-20). Den Haag: Gezondheidsraad.
Language: English
Format: Book Section
Abstract:
Compiled at the request of the Aan de staatssecretaris van Volksgezondheid, Welzijn en Sport, [The The Secretary of State for Health, Welfare and Sport] requested Gezondheidsraad [the Health Council of the Netherlands] compile this 130 page national report on child abuse. This report includes EMDR as a major tool for the treatment of abuse children. The text is in Dutch except for the "Executive Summary" which is in English. Abstract: Request for advice:
Child abuse has always been with us and it takes many different forms. It is estimated
that more than 100,000 children are abused in the Netherlands each year. In recent years, the government has taken strong measures to improve the prevention,
detection, and reporting of child abuse. Given the lack of clarity concerning
the available treatment options for juvenile and adult victims of child
abuse, the Minister for Youth and Family has requested the Health Council’s
advice on this matter. He asked for a summary of the current level of knowledge
regarding treatment of the effects of child abuse, and an explanation of the nature
of these effects. He further requested an indication of the care requirement, and
recommendations on how the care for victims can be improved.
Keywords: Abuse Children Guidelines
Accuracy Verified: Yes
63. van Trier, J. (2000). Eye movement desensitization and reprocessing (EMDR) als behandeling bij posttraumatische stress-stoornis Een gevalsbeschrijving [Eye movement desensitization and reprocessing (EMDR) as a treatment for posttraumatic stress disorder]. Tijdschrift voor Psychiatrie, 42(8), 613-617.
Language: Dutch
Format: Journal
Abstract:
Desensibilisatie Eye Movement and Reprocessing (EMDR) is een effectieve behandeling voor posttraumatische stress-stoornis. Een case-studie is een man die was opgesloten in zijn auto onder water. De negatieve cognitie: ik ben verloren, wordt omgezet in: ik kom eruit. Na een sessie alle symptomen verdwenen. Follow-up na een jaar bleek geen terugval.
Eye Movement Desensitization and Reprocessing (emdr) is an effective treatment for posttraumatic stress disorder. A case study presents a man who had been trapped in his car under water. The negative cognition: I'm lost, is transformed in: I'll come out of it. After one session all symptoms disappeared. Follow-up after one year showed no relapse.
Keywords: Posttraumatic Stress Disorder Psychotherapy PTSD
Accuracy Verified: Yes
64. Finley, P. A. (2002, April). Eye movement desensitization and reprocessing (EMDR) in the treatment of sex offenders. Walden University, Minneapolis, MN. AAT 3068413.
Language: English
Format: Dissertation/Thesis
Abstract:
Most sex offenders in treatment in the United States understand and adapt well to the predominantly cognitive/behavioral/relapse prevention (RP) aspects of their treatment. "No more victims" is the fundamental goal of sex offender treatment, and due to this focus on relapse prevention, most sex offenders do not adequately address their own emotional wounding from early trauma and victimization. This author believes these unresolved affective issues lead to the cognitive distortions and justifications that allow sex offenders to give themselves permission to offend in the first place. Eye Movement Desensitization and Reprocessing (EMDR) is a therapeutic intervention that assists in rapidly resolving troubling thoughts, feelings, and physical sensations. Incorporating EMDR into the current cognitive/behavioral/relapse prevention (RP) treatment model for sex offender treatment opens the possibility of reducing the reoffense rate in society. In this study, affective issues of adult male sex offenders (n = 27) were addressed, employing EMDR; this comprised the experimental treatment group. The experimental group received a pretest, three EMDR sessions, and a posttest over an average time of 3.8 months. The Multiphasic Sex Inventory (MSI) was the measure used for this research. The three scales on that test designed to measure for thinking errors were: the Cognitive Distortion and Immaturity (CDI Scale; the Justification (Ju) Scale; and the Treatment Attitudes (TA) Scale. Archived pretest/posttest scores of randomly selected and anonymous adult male sex offenders comprised the control group (n = 27). This group was tested on the MSI and MSI 2 before entering Module 4 and after finishing Module 5, representing 22.5 months of treatment pretest/posttest. All control and experimental group subjects took part in a mandated cognitive/behavioral/relapse prevention (RP) program. The independent two-sample t test was used to compare two means utilizing the rate of change between the experimental and control group. The results of the study indicate a statistically significant reduction in justifications for offender behavior in the experimental group on the Ju scale (p-value = 0.008). On the CDI and TA scale, the null hypotheses were supported. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Dissertation Abstracts International: Section B: The Sciences and Engineering. 63(10-B), Apr 2003, pp. 4899.
Keywords: Empirical Study Male Sex Offenders Relapse Prevention Sex Offenders Sex Offenses Sex Offender Treatment Therapeutic Intervention
Accuracy Verified: Yes
65. Adler-Tapia, R., Settle, C., & Shapiro, F. (2012). Eye movement desensitization and reprocessing (EMDR) psychotherapy with children who have experienced sexual abuse and trauma . In P. Goodyear-Brown, (Ed.), Handbook of child sexual abuse: Identification, assessment, and treatment (pp. 229-250). Hoboken, NJ: John Wiley & Sons. doi:10.1002/9781118094822.
Language: English
Format: Book Section
Abstract:
This book is a comprehensive guide to the identification, assessment, and treatment of child sexual abuse. The field of child sexual abuse has experienced an explosion of research, literature, and enhanced treatment methods over the last thirty years. Representing the latest refinements of thought in this field, this volume combines the most current research with a wealth of clinical experience. The contributing authors, many of whom are pioneers in their respective specialties, include researchers and clinicians, forensic interviewers and law enforcement professionals, caseworkers and victim advocates, all of whom do the work of helping children who have been sexually victimized. Offering a snapshot of the state of the field as it stands today, the authors explore a variety of issues related to child sexual abuse, from identification, assessment, and treatment methods to models for implementation and prevention, including: The impact of sexual abuse on the developing brain; The potential implications of early sexual victimization; Navigating the complexities of multidisciplinary teams; Forensic interviewing and clinical assessment; Treatment options for children who have traumagenic symptoms as a response to their sexual victimization; Treating children with sexual behavior problems and adolescents who engage in illegal sexual behavior; Secondary trauma and vicarious traumatization; and Cultural considerations and prevention efforts. Edited by a leader in the field of child therapy, this important reference equips helping professionals on the front lines in the battle against child sexual abuse- not merely with state-of-the-art knowledge, but also with a renewed vision for the importance of their role in the shaping of our culture and the healing of victimized children.
Keywords: Children Sexual Abuse
Accuracy Verified: Yes
66. Aetna, Inc. (2005, June 28). Eye movement desensitization and reprocessing (EMDR) therapy, No. 0583 (Rev). Aetna Clinical Policy Bulletins.
Language: English
Format: Publication
Abstract:
Policy: Aetna considers eye movement desensitization and reprocessing (EMDR) therapy medically necessary for the treatment of post-traumatic stress disorder (PTSD).
Aetna considers EMDR experimental and investigational for the prevention of PTSD or for the treatment of other psychiatric and behavioral disorders including anger, guilt, phobias, dissociative disoders, eating disorders, as well as panic and anxiety disorders other than PTSD because its effectiveness for these indications has not been established.
Keywords: Practice Guidelines
Accuracy Verified: Yes
67. Marich, J. (2010, September). Eye movement desensitization and reprocessing in addiction continuing care: A phenomenological study of women in recovery. Psychology of Additive Behaviors, 24(3), 498-507. doi:10.1037/a0018574.
Language: English
Format: Journal
Abstract:
Traditional models of addiction treatment and relapse prevention fail to consider the role that unresolved trauma plays in an addicted woman's recovery experience. Implementing Eye Movement Desensitization and Reprocessing (EMDR) into the treatment process offers a potential solution to this problem. Ten women (alumnae of an extended-care treatment facility) participated in a semistandardized interview to share their experiences with active addiction, treatment, EMDR therapy, and recovery. With the use of A. P. Giorgi's descriptive phenomenological psychological method for analysis, four major thematic areas emerged from the interview data: the existence of safety as an essential crucible of the EMDR experience, the importance of accessing the emotional core as vital to the recovery experience, the role of perspective shift in lifestyle change, and the use of a combination of factors for successful treatment. All 10 women, to some degree, credited EMDR treatment as a crucial component of their addiction continuing-care processes, especially in helping with emotional core access and perspective shift. Implications emerge from the data on how to best implement EMDR into a comprehensive addiction treatment program.
Keywords: Client-Centered Therapy Client Safety Phenomenology Protocols Therapeutic Alliance Therapists Training
Accuracy Verified: Yes
68. Shapiro, F., Vogelmann-Sine, S., & Sine, L. F. (1994, October-December). Eye movement desensitization and reprocessing: Treating trauma and substance abuse. Journal of Psychoactive Drugs, 26(4), 379-391.
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is a new psychological methodology that has been applied to a wide range of psychological disorders. Clinical reports over the past three years indicate that it is an important addition to the treatment of substance abuse. EMDR offers a structured, client-centered model that integrates key elements of intrapsychic, behavioral, cognitive, body-oriented, and interactional approaches. Treatment effects are quite rapid and, during an individual session, the therapist may witness accelerated processing of information involving a shift of cognitive structures (including the assimilation of positive beliefs) along with the desensitization of attendent traumata. The application of EMDR apparently stimulates an inherent physiological processing system that allows dysfunctional information to be adaptively resolved, resulting in increased insight and more functional behavior. The judicious use of EMDR includes a comprehensive client history and extensive preparation, allowing the client to deal with the high levels of disturbance often engendered by the treatment itself. After the inauguration of a sufficient therapeutic alliance, adequately addressing potential issues of secondary gain, and appropriate client stabilization, EMDR may be used to ameliorate the effects of earlier memories that contribute to the dysfunction, potential relapse triggers, and physical cravings. In addition, EMDR is used to incorporate new coping skills and assist in learning more adaptive behaviors. Other potential targets for reprocessing include treatment noncompliance, ambivalence about abstinence, and present crises. Finally, EMDR should be used on this clinical population only by a trained clinician who is educated and experienced with this problem area. [Author Abstract]
Keywords: Adults Drug Abuse Psychotherapeutic Processes Stressors Survivors
Accuracy Verified: Yes
69. Pellicer, X. (1993). Eye movement desensitization treatment of a child's nightmares: A case report. Journal of Behavior Therapy and Experimental Psychiatry, 24(1), 73-75. doi:10.1016/0005-7916(93)90011-K.
Language: English
Format: Journal
Abstract:
A new therapeutic method (eye movement desensitization), described in 1989 by Shapiro, was applied to the treatment of recurrent nightmares in a 10-year-old girl. The technique, in a single session, resulted in the complete remission of the nightmares. There was no relapse during a 6 month follow-up. [Author Summary]
Keywords: Case Report Females Nightmare Disorder School Age Children Spaniards Treatment Effectiveness
Accuracy Verified: Yes
70. Affonso, S. D. S. (2012, Novembro). Família vítima de sequestro em cativeiro: Intervenção com EMDR e protocolo grupal integrativo como prevenção do transtorno de estresse pós-traumático [Family kidnap victim in captivity: Intervention with EMDR protocol and group integrative prevention of disorder like post-traumatic stress]. In EMDR em traumas. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Introdução: Caso de sequestro familiar onde pai e dois filhos pequenos ficaram em cativeiro por 19 horas. Mãe teve que acompanhar os outros assaltantes durante toda a ação criminosa sob ameaça de morte. Objetivo: Reestruturação da dinâmica familiar pós-trauma de sequestro por meio da aplicação do EMDR, Grupal (PGI) e sistêmico familiar como recurso teórico e prático da resolução do trauma. Justificativa: Aplicação do EMDR como instrumento eficaz e mediador em situações de sequestro familiar, minimizando suas consequências. Empoderar a família para uma reorganização segura reincorporando as atividades do cotidiano e as biopsicossociais. Os componentes desta família foram vítimas de violência urbana com abusos emocionais físicos e ameaças de morte constantes. Metodologia: Foram realizado sete atendimentos. O primeiro com o Protocolo Grupal Integrativo (Suds e Voc - projeção do futuro com 03 membros da família) e o restante com o EMDR individual (CN-CP-Voc-E-S-Suds) e Sistêmico Familiar. Período de julho a novembro de 2011 em consultório particular na região de São Paulo. Conclusão: ao término dos atendimentos foi possível observar a capacidade de reorganização da dinâmica familiar com a resolução dos traumas por meio da aplicação do EMDR. Possibilitando o retorno gradativo dos filhos às atividades diárias e escolares, com o término dos pesadelos e comportamentos fisiológicos decorrentes do trauma sofrido, confirmando, assim, a potencialidade que o EMDR individual, grupal fortalecem e recuperam a reestruturação familiar pós-trauma em sequestro.
Introduction: Case of kidnapping family where father and two small children were in captivity for 19 hours. Mother had to follow the other robbers throughout the criminal action under threat of death. Objective: Restructuring family dynamics posttraumatic sequestration through the application of EMDR Group (PGI) and systemic family as a resource of theoretical and practical resolution of trauma. Rationale: Application of EMDR as an effective tool and mediator in situations of family abduction, minimizing their consequences. Empower the family to secure a reorganization reincorporating everyday activities and biopsychosocial. The components of this family were victims of urban violence with physical and emotional abuse constant death threats. Methods: We conducted seven sessions. The first Protocol to the Integrative Group (Suds and Voc - projection of the future with 03 family members) and the rest with the individual EMDR (CN-CP-You-ES-Suds) and Systemic Family. From July to November 2011 in private practice in the region of São Paulo. Conclusion: At the end of the visits was possible to observe the ability of reorganization of family dynamics with the resolution of trauma through the application of EMDR. Allowing the gradual return of the children to their daily activities and school, with the end of nightmares and physiological behaviors resulting from trauma, thereby confirming the potential that the EMDR individual, group and strengthen the family restructuring recover post-trauma in kidnapping.
Keywords: Family Restructuring Trauma Victims
Accuracy Verified: Yes
71. van Rens, L. W., de Weert-van Oene, G. H., van Oosteren, A. A., & Rutten, C. (2012). Gevalsbeschrijving - Klinische behandeling van posttraumatische stressstoornis bij patiënten met ernstige dubbele diagnose [Case Study - Clinical treatment of posttraumatic stress disorder in patients with serious dual diagnosis problems]. Tijdschrift voor Psychiatrie, 54(4), 383-388.
Language: Dutch
Format: Journal
Abstract:
Three patients with severe addiction problems, early sexual trauma, posttraumatic stress disorder PTSD comorbid psychotic vulnerability and personality problems received integrated treatment following admission to a clinic specialising in the care of patients with a dual diagnosis. Treatment was administered in accordance with current guidelines and involved either imaginal exposure or eye movement desensitization and reprocessing EMDR, integrated with relapse management of addiction problems. It is concluded that the current evidence-based guidelines regarding PTSD and addiction can also be applied successfully and effectively to an extremely vulnerable patient population.
Keywords: Dual Diagnosis Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
72. Hofmann, A. (2010, June). Healing depression by treating trauma?. Keynote presented at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
Scientific studies of EMDR have shown that it is one of the most effective tools for treating posttraumatic stress disorders. One of the lesser-known properties of EMDR is that it also seems to be an effective psychotherapy method in a number of disorders, which may have part of their origins in stressful memories. One of these disorders is chronic depression.
Severe depression is one of the most common mental disorders and affects between 5-15% of the general population during their lifetimes. Although many psychotherapeutic and pharmacologic interventions exist that are considered to be effective in depression, the treatment is less than satisfactory. High relapse rates (around 50% after two years), unsatisfactory remissions and suicidal risks are among the major problems.
Research shows that there may be a link between traumatic events (such as abuse experience in childhood) and the later occurrence of a depressive disorder. Research also shows that patients with a traumatic childhood history respond differently to treatment than patients without such a history do.
However, there is no published systematic study that tries to explore the potential use of trauma-specific treatments, such as EMDR, with depressive patients with a trauma history.
The presenter will report on the status of research on this subject and on a current controlled study, which is exploring the use of EMDR in depressive patients.
Keywords: Depression Keynote Trauma
Accuracy Verified: Yes
73. Adúriz, M. E., Bluthgen, C., & Knopfler, C. (2009, May). Helping child flood victims using group EMDR intervention in Argentina: Treatment outcome and gender differences. International Journal of Stress Management, 16(2), 138-153. doi:10.1037/a0014719.
Language: English
Format: Journal
Abstract:
A comprehensive group intervention with 124 children who experienced disaster-related trauma during a massive flood in Santa Fe, Argentina, in 2003 is illustrated, utilizing a one-session group eye movement desensitization and reprocessing (EMDR) protocol. A posttreatment session was done 3 months after the treatment intervention to evaluate results. Results of this one-session treatment procedure, utilizing the EMDR-Integrative Group Treatment Protocol, showed statistically significant reduction of symptoms immediately after the intervention. These statistically significant differences were sustained at posttreatment evaluation 3 months later, as measured by psychometric scales, and by clinical and behavioral observation. Data analysis also revealed significant gender differences. Despite methodological limitations, this study supports the efficacy of EMDR group treatment in the amelioration and prevention of posttraumatic stress disorder symptoms, providing an efficient, simple, and economic (in terms of time and resources) tool for disaster-related trauma. (PsycINFO Database Record (c) 2009 APA, all rights reserved)
Keywords: Argentina Floods Gender Difference Group Interventions Integrative Group Treatment Protocol Treatment Outcome Victims
Accuracy Verified: Yes
74. Rijkes, A., & Smeele, G. (2012, March). Hoofdzaken, EMDR behandeling van migraine en hoofdpijn [Basics, EMDR treatment of migraine and headache]. Presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland .
Language: Dutch
Format: Conference
Abstract:
Naast een op de toepassing gerichte theoretische inleiding krijgt u meerdere demonstraties voorgeschoteld van de EMDR behandeling van migraine en hoofdpijn. Live en video. U kunt zich een eerste indruk vormen van methode, werkwijze en effectiviteit van de behandeling. Circa 15% van de mensheid heeft last van deze pijnsoort. Migraine komt bij vrouwen ongeveer driemaal zo vaak voor als bij mannen. De meeste medicijnen bieden geen oplossing op langere termijn, hebben bovendien als bijwerking hoofdpijnklachten. De Wereld Gezondheid Organisatie, WHO, heeft in 2011 aandacht gevraagd voor de ontwikkeling van nieuwe behandelmethoden, mede gelet het enorme productiviteitsverlies in de wereld. Werkgevers en Arbo-diensten hebben interesse in deze vorm van behandelen van werknemers.
De geïntegreerde EMDR behandeling bestaat uit twee fasen; fase 1 is gericht op repressie: de behandeling van acute pijnklachten. Fase 2 is gericht op preventie: het voorkomen van pijnaanvallen in de toekomst. Cliënten hebben onmiddellijk baat bij de behandeling. Tijdens de workshop wordt tot slot informatie gegeven over de Nederlandse Special Interest Group (SIG) EMDR en Hoofdpijn.
Besides a theoretical introduction on the dedicated you presented several demonstrations of the EMDR treatment of migraine and headache. Live and video. You can first impression of method, process and effectiveness of treatment. Approximately 15% of humanity suffers from this kind of pain. Migraine affects women about three times as often as men. Most drugs do not address the longer term, also have as a side effect headaches. The World Health Organization, WHO, in 2011 has drawn attention to the development of new treatment methods, taking into account the enormous loss of productivity in the world. Employers and occupational health services are interested in this form of treatment of workers. The integrated EMDR treatment consists of two phases: Phase 1 focused on repression: the treatment of acute pain. Phase 2 focuses on prevention: prevention of pain attacks in the future. Clients benefit directly from the treatment. During the workshop, finally, information about the Dutch Special Interest Group (SIG) EMDR and Headache.
Accuracy Verified: Yes
75. Brivio, R., & Bergamaschi, L. (2008, January). Human and organizational aspects affecting the wellbeing in rescue-working activity: EMDR (Eye movement desensitization and reprocessing), Mirror Neuron and Stress Inoculation: The role of training methods, practice and simulation for psychological risks prevention and management in emergency workers.. International Workshop Reinforce Rescuers' Resilience by Empowering a well-being Demension Workshop, Turin, Italy .
Language: English
Format: Conference
Abstract:
The wellbeing of rescuers: Relational, organizational and technical aspects that can affect rescuers' wellbeing during
rescue activities: Stress inoculation, role playing and the role of mirror neurons in training, also through the use of
video recordings. Relaxation techniques, psychological debriefing and EMDR in trainings.
Focus of our intervention is the wellbeing of the rescuer. The study and research
on this matter came and were carried out thanks to the activity done both during
trainings and simulations of the Civil Protection than real emergencies.
Our team work received contribution by some psychologists of OPP (Parma’s
Psychologists’ Observatory: A.Sozzi, E.Pedrelli, F.Frati, A. Bocelli, T. Serra). Wellbeing, defined as a subjective and positive emotional state together with a
global life satisfaction (Diener, 1984), is strongly at risk during rescuer’s
emergency activities and can affect the rescuer both physically and
psychologically. The rescuer's capabilities, that we think are technical “know how” and thorough
knowledge, are essential to give the best performance according to the complexity
and urgency of the intervention. These skills can really contribute to the rescuer's
wellbeing, because they can improve the self-efficiency perception.
To effectively manage and train rescuers, it is furthermore important to consider
and acknowledge the influence of interpersonal relationships on technical
performances. It is, in fact, particularly important to recognize and support the
typical relationships that can be created in a team with the same task and
specialization, as well as in multidisciplinary teams, or teams belonging to
different Institutions but operating in the same scenario.
In recent years increasing attention has been given to training activities, even through the use of the role play for interventions in artificial emergency
scenarios. To recreate scenarios of massive emergencies, different Civil Protection
Associations, as well as First Aid volunteer associations and the local
Institutions have been involved. In these simulations, most cases focus on improving technical performances.
Lately psychologists have been asked to join the rescuers team.
During these simulations, the role-play of emotional and psychological problems
occurs thanks to the cooperation between emergency psychologists and the
medical team. The introduction of the role and expertise of psychologists allowed to extend and
strengthen the attention to cross support and care aspects for the psychological
wellbeing of both victims and rescuers.
The psychologist must therefore consider the “wellbeing” in all the emergency
scenarios and contexts, as a sum of all the components that we talked about here
and the ones we will describe during our intervention.
He must first of all be aware of the complexity of each intervention in the field,
and adopt a kind of approach aimed at creating and recovering wellbeing
strategies, that can be used by himself as well.
Strategies on how to build, recover and maintain the wellbeing identify stress as
the first danger source the rescuer has to face in his training and emergency
activity.
When external events or stimuli are perceived as difficult to face compared with
resources available at that moment, the individual gets stressed.
When the person's efforts are not adaptive to the external requests and/or
coherent with his performance expectations, he becomes vulnerable to emotional,
behavioural, cognitive and physical reactions, which can be even very difficult to
manage both in the short and/or in the medium-long term.
This can happen when the sources of stress depend on the rescuer’s
performance, and it can also happen in case of post traumatic stress, visible in
different stages after the event.
From the psychologist's specialist background and from the integration of this
with the result of field experiences, the demand for a range of different tools to
manage the different kinds of stress emerges, and these tools must be applicable
both to the individual and to the group.
This range is still improving, and the results of our observational activity from
past and present experiences lead us to see the opportunity to carry on our
research of tools of efficacy.
During this speech we would like to underline that approaches like Stress
Inoculation Training (SIT, Michenbaum, 1983) and the use of role playing allow
the technical appraisal and let the rescuers improve their stress management
skills, and all that can lead to a decrease in the risk of PTSD.
In past simulations of emergencies, we found out that the use of videotapes for
the role plays is a tool that should be taken more into account. We think it is
important to evaluate its potential for the rescuers' benefit, because it seems to
be not only “a record of technical performances”, but also an observation and
learning tool about the rescuer's own defence and adaptive strategies.
In fact, during these simulations we found out that the rescuers' psychological
and emotional vulnerability emerged in several situations. The fact that even in these artificial situations there were acute stress episodes and O codes urged us
to focus more on the matter of mutual influence between technical performance
and internal experience of stress.
We understand that such acute stress episodes may occur during real life critical
events but we can see how role playing and video recordings show that such
acute stress episodes affected the simulators themselves even during the
simulation. The videos show that even apparently “high immunity” simulators,
who are considered 'immune' thanks to their comprehensive and strong
experience, experienced acute stress, perhaps because of an incorrect selfevaluation
of their own stress management skills.
The interest in the use of videos as a training and reprocessing tool for rescuers
led some of us to specialize in role playing recording, so as to carry out a more
accurate and comprehensive study on those same videos and use them as a
mirror of reality and better educational tool through a vicar experience or through
“seeing oneself from within the experience” and in the interpersonal dynamics
that took place in the scenario.
Videotapes are a very known and widely used tool in other kinds of trainings,
disciplines and therapies (i.e. Family Therapy and CBT).
The discovery of mirror neurons by Rizzolati, Gallese et Al., provides the evidence
that when someone observes the same action performed by another person, the
neurons "mirrors" the behaviour of that person, as though the observer were itself
acting. Thanks to these researchers it is now proven that this can happen
thanks to the motor neurons in the pre-motor cortex.
Therefore, we would like to underline the role of videos as very useful and
versatile training tools, since they expose a situation in an unexpected realistic
manner “as if” it were true and “as if” we were really experiencing that situation,
with the consequent learning movements at the emotional, cognitive and
behavioural level, at the stress management level, as well as at the level of team
work dynamics.
Visual imagination activates the same brain regions that are active during visual
perception and motor imagination activates the same brain regions activated the
movement is really happening.
More importantly, it was possible for us to verify that the videos recorded by other
operators were not focused on showing the important psychological aspects we
mentioned for the goal of the trainings, thing that happened instead with the
videos recorded by psychologists. We think therefore that the use of videotapes
recorded by psychologists should be given more consideration in the trainings of
rescuers. During this intervention we will devote part of the time to broadcasting
two short videos; the first one shows the role playing of an intervention in an
emergency context, and the second one shows a part of an EMDR session (Eye
Movement Desensitization Reprocessing). We think it is important to recreate and
protect rescuers wellbeing in the post-role playing and post emergency stages
too. For years EMDR has been proven effective in improving the individual's
coping skills and in reprocessing, wherever necessary, the post traumatic
aspects resulting from critical events to whom not only the victims, but also the rescuers too, are exposed during emergencies.
Keywords: Emergency Workers Mirror Neuron and Stress Inoculation Rescue-Working Activity Risk Prevention and Management
Accuracy Verified: Yes
76. van Uchelen, I. (2006, March). Ik dacht dat ik mijn werk no oit meer zou kunnen doen [I thought my work I could do no more of it]. Advisie, 6-7, 9.
Language: Dutch
Format: Magazine
Abstract:
Mensen die na een trauma worden gekweld door emotioneel
beladen herinneringen aan deze gebeurtenis, kunnen
door piepjes afwisselend in het linker en
rechter oor, snel weer normaal
functioneren. Deze techniek
- EMDR (Eye Movement
Desensitization and
Reprocessing) - kan
lang ziekteverzuim als
gevolg van een trauma
voorkomen.
People after a trauma are tormented by emotional
charged memories of this event may
by alternating beeps in the left and
right ear, quickly return to normal
function. This technique
- EMDR (Eye Movement
Desensitization and
Reprocessing) - can
long sick leave as
result of a trauma
prevention. [Author abstract]
Accuracy Verified: Yes
77. Occhi, S., Albiol, L. M., & Cicognani, E. (2007). Il disturbo post-traumatico da stress: Una rassegna [Post-traumatic stress disorder: A review]. Psicoterapia Cognitiva e Comportamentale, 13(3), 323-344.
Language: Italian
Format: Journal
Abstract:
Questo articolo presenta una rassegna aggiornata teorico del Post-Traumatico da Stress Disorder (PTSD) concetto, un disturbo mentale che può comparire dopo essere stato esposto direttamente o indirettamente, ad un evento traumatico. L'articolo inizia con una descrizione della sintomatologia, suddivisi in: rivivere l'evento traumatico, evitamento, ottundimento reattività generale e ipervigilanza. Questo è seguito da una presentazione dei più recenti studi che indicano la presenza di disordine da stress post-traumatico nella popolazione, sia nella popolazione generale e nei soggetti direttamente coinvolti in un evento traumatico. Post-traumatico da stress sintomi del disturbo sono identificati mediante questionari specifici descritti nella sezione riferimento a strumenti di indagine. Lo studio delle basi biologiche per il PTSD è diventata particolarmente significativo negli ultimi anni, e abbiamo analizzato questo contesto in modo più approfondito per questo motivo, con particolare riferimento al ruolo dell'asse ipotalamo-ipofisi-surrene. Un impulso importante dello studio del PTSD è dovuto alla crescente importanza dato alla prevenzione, intesa come riduzione dell'impatto dei disturbi psichiatrici che concentrandosi su Eye Movement Desensibilizzazione e ritrattamento (EMDR), il trattamento psicologico, con il supporto di tecniche che riguarda la terapia cognitivo comportamentale e il trattamento farmacologico che prevede l'uso di inibitori della ricaptazione della serotonina selettiva, quali siano le forme più studiate. (PsycINFO record del database (c) 2008 APA, tutti i diritti riservati)
This article presents an updated theoretical review of the Post-Traumatic Stress Disorder (PTSD) concept, a mental disorder that can appear after being exposed directly or indirectly to a traumatic event. The article begins with a description of the symptomatology, divided in: re-living the traumatic event, avoidance, dulling general reactivity and hyperarousal. This is followed by a presentation of the most recent studies which indicate the presence of post-traumatic stress disorder in the population, both in the general population and in subjects directly involved in a traumatic event. Post-traumatic stress disorder symptoms are identified by using specific questionnaires described in the section referring to investigation instruments. The study of the biological bases for PTSD has become particularly significant in recent years, and we analysed this context in greater detail for this reason, with particular reference to the role of the hypothalamo-pituitary-adrenocortical axis. An important boost of the study of PTSD is due to the increasing importance placed on prevention, understood as a reduction of the impact of psychiatric disorders which focusing on Eye Movement Desensitisation and Reprocessing (EMDR), on psychological treatment, with the support of techniques that concerns cognitive behavioral therapy and pharmacological treatment that involves the use of serotonin selective reuptake inhibitors, which are the forms studied most. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Posttraumatic Stress Disorder PTSD Review
Accuracy Verified: No
78. Cohn, L., & Chapman, L. (2002, June). Innovations in child trauma treatment: Combining EMDR and drawings. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
This workshop will feature a treatment intervention for traumatized children
who have experienced incident based trauma. The intervention is being utilized in a controlled study funded by the Centers for Disease Control
lnjury Prevention Grant at University of California San Francisco and Children's Hospital Oakland. Through lecture, slide and case format, this presentation will describe a protocol combining EMDR and drawing for the remediation of PSTD symptoms in children. The presenters will discuss how developmental, psychological and neurological functioning affect the
storage and retrieval of traumatic memories and sensations. They will demonstrate how and why the combination of EMDR with drawings is
effective as a method of trauma resolution therapy for children.
Keywords: Art Therapy Children Disease Control Injury Prevention Grant Treatment Intervention
Accuracy Verified: Yes
79. Anchisi, R. (1995, Aprile). L'eye movement desensitization nel trattamento degli incubi: Presentazione di un caso [The eye movement desensitization in the treatment of nightmares: Case presentation]. Psicoterapia Cognitiva e Comportamentale, 1(1), 45.
Language: Italian
Format: Journal
Abstract:
Un nuovo metodo terapeutico, descritto nel 1989 da Shapiro e de nomina to "Eye Movement Desensitization", e stato applicato al trattamento di una neurodermatite causata da incubi ricorrenti in un giovane di diciotto anni. La procedura, in due sedute, ha portato alIa completa remissione non solo degli incubi, ma anche della neurodermatite. Non vi e stata alcuna ricaduta, come risulta dal follow up di dodici mesi.
A new therapeutic method, described in 1989 by Shapiro and from appointment to "eye movement desensitization, and was applied to the treatment of neurodermatitis caused by recurring nightmares in a young man of eighteen. The procedure in two sessions, has not only leads to the complete resolution of nightmares, but also of neurodermatitis. There was no relapse, as evidenced by follow-up of twelve months.
Keywords: Case Study Desensitisation EMD Neurodermatitis Nightmares
Accuracy Verified: Yes
80. Watson, P. J., Friedman, M. J., Ruzek, J. I., & Norris, F. (2002, August). Managing acute stress response to major trauma. Current Psychiatry Reports, 4(4), 247-253. doi:10.1007/s11920-996-0043-x.
Language: English
Format: Journal
Abstract:
In this article, the authors review the current empiric literature on early interventions. Findings on the effects, course, help-seeking, and recovery from disasters are first reviewed, with recommendations given that are pertinent to intervention following mass casualties. In reviewing the most commonly used interventions, it is clear that evidence from well-controlled studies showing that early intervention can help prevent longer-term problems is limited. The authors discuss the approaches that have received the most attention or empiric support as early interventions following trauma, which include psychologic debriefing, cognitive-behavioral interventions, eye movement desensitization and processing (EMDR) and other neoteric approaches, and psychopharmacology. At this time, the most promising results for prevention of psychopathology have been achieved with brief four- or five-session cognitive-behavioral therapy. In contrast, randomized clinical trials on psychologic debriefing currently suggest that this approach is either ineffective at preventing psychopathology, or contributive to PTSD symptoms. Research support is currently lacking for EMDR and pharmacotherapy as early interventions. A major challenge to the field is to integrate the practical experience and knowledge of professional responders with well-controlled, timely intervention research, and to effectively disseminate these findings to practitioners in the field. [Author Abstract]
Keywords: Critical Incident Stress Debriefing Effects Literature Review Negative Research Needs Review Posttraumatic Stress Diorder Psychological Debriefing PTSD Stressors Survivors Therapeutic Reaction Treatment Effectiveness
Accuracy Verified: Yes
81. Binder, J. L. (2007, June). Mind or brain? Where does therapeutic change originate? A reaction to 'The reunion process: A new focus in short-term dynamic psychotherapy. Psychotherapy, 44(2), 137-141. doi:10.1037/0033-3204.44.2.137.
Language: English
Format: Journal
Abstract:
In "The Reunion Process: A New Focus in Short-Term Dynamic Psychotherapy," by Dr. Sandler (see record 2007-09422-001), addresses posttreatment relapse by a new therapeutic strategy based on attachment theory and recent research findings concerning the neurobiology of memory. This strategy involves the discovery or creation of positive childhood maternal attachment memories as a method of overcoming the dominance of negative memories. Dr. Sandler makes assumptions about what can be achieved in short-term therapies, the pace of therapeutic change, as well as the role in treatment outcome of techniques versus therapist skill and relationship factors. These assumptions are not supported by psychotherapy research. While the attempt to use new discoveries from neurobiology to guide the development of therapeutic techniques is admirable, the author appears to engage in a fair amount of speculative theoretical reductionism in attempting to explain the eventually positive outcome of the case he presents. I offer a more parsimonious psychological explanation, which is consistent with the short-term dynamic psychotherapy theory of change. (PsycINFO Database Record (c) 2007 APA, all rights reserved)
Keywords: Attachment Attachment Behavior Brief Psychotherapy Early Memories Memory Theory Panic Disorder Psychodynamic Psychotherapy Psychotherapeutic Processes Relapse Short-term Dynamic Psychotherapy
Accuracy Verified: Yes
82. Siegel, D. J. (2007, September). The mindful brain: Reflection and attunement in the cultivation of well-being. Plenary presented at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
Mindful awareness has been scientifically proven to promote social, emotional and physical well-being and is an effective part of psychotherapy practice. Research has demonstrated that mindful awareness is useful in the prevention of relapse of drug addiction and chronic depression, and in the treatment of anxiety and borderline personality disorder. This ancient practice of being fully aware in the present moment, without grasping onto judgments, has been found in cultures throughout the world. This lecture will explore the possible ways in which mindfulness may actually work to enrich our lives and be a part of EMDR and effective psychotherapy. The state of mindful awareness harnesses specific social and emotional circuits in the brain. With practice, this receptive state of mindfulness becomes a trait of resilience. The development of these “resonance circuits” creates an integrated brain state that creates the benefits of improved immune and cardiac function, enhanced empathy and self-understanding, and a deeper connection to oneself and others.
Keywords: Brain Mindfulness Plenary
Accuracy Verified: Yes
83. Darker-Smith, S. (2007, June). Mindfulness meditation to enable attenuation on imagined exposure in PTSD - A single case study. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Mindfulness mediation (based on Buddhist meditative techniques) has previously been advocated for depression relapse prevention and chronic pain reduction in former research trials (Teasdale; Kabat-zinn, etc.). Because the practice of mindfulness relates to body scans and focusing attention upon the body, it has been advised that it may cause problems in using such a method for sexual abuse and rape survivors, although no research appears to have been carried out in this area. In a single case study of child-sexual-abuse adult survivor who frequently dissociated and experienced “flashbacks” during clinical sessions, the methods of Mindfulness Mediation were introduced to her, in an attempt to keep an awareness of her surroundings whilst doing imagined exposure in for PDSD (post duress stress disorder). From dissociative phases, flashbacks and cognitive avoidance of stimuli, the client became able to focus on the traumatic information being presented and to emotionally relate and process trauma memories, which previously she had been unable to do. Her ability to attenuate upon traumatic information was increased, habituation was easier from a clinical perspective, her anxiety levels decreased (BAI) and her depression levels eased (BDI). (N.B. The client’s improved anxiety and depression scores may have been due to Mindfulness Mediation practices or to the processing of highly emotive information).
Conclusion: Mindfulness Meditation can be a useful adjunct to trauma processing when imagined exposure is being implemented for PTSD/PDSD for processing of un-integrated traumatic information, where dissociation, cognitive avoidance or flashbacks occur within the context of treatment, creating a barrier to habituation from traumatic information. [Two statistical charts which accompanied this abstract in the Conference Program entry have not been included here.]
Keywords: Attenuation Case Study Imagined Exposure Mindfulness Poster Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
84. Earley, P. H. (2009, January). New tools and troubles in addiction treatment. Presentation at the 9th annual CAPTASA (Clinical Applications of the Principles in Treatment of Addictions and Substance Abuse) Conference, Lexington, KY.
Language: English
Format: Conference
Abstract:
EMDR and Recovery
• EMDR helps patients reframe their attachment to drug
use and drug lifestyle into “addiction trauma.”
• EMDR decreases traumatic memories that destabilize the
path to recovery.
• EMDR provides hope of trauma resolution for patients
who have suffered past physical, sexual and emotional
trauma in addition to addiction trauma.
• EMDR may decrease euphoric recall.
• EMDR may reprogram the procedural learning produced
by past use behaviors, and thus, decrease relapse. [Excerpt]
Keywords: Addictions Substance Abuse
Accuracy Verified: Yes
85. Jaspers, J. (2011, March). Over behandeleffectiviteit en verandermechanismen [About treatment effectiveness and change mechanisms]. Psychologie & Gezondheid, 39(1), 3-4. doi:10.1007/s12483-011-0001-0.
Language: Dutch
Format: Journal
Abstract: In het vorige nummer van Psychologie & Gezondheid schreef Remco Havermans een kritische forumbijdrage over mindfulness. Zijn stelling, dat de werkzaamheid van mindfulnessmeditatie nog onvoldoende is aangetoond om de toepassing ervan in de gezondheidszorg te rechtvaardigen, wordt in dit nummer beargumenteerd tegengesproken door Maya Schroevers en haar collega’s en door Ivan Nyklíček. Zijmenen dat het effectonderzoek naar mindfulness weliswaar nog uitgebreider en beter kan, maar dat het onderzoek tot nu toe voldoende evidentie heeft opgeleverd om toepassing te rechtvaardigen. Nyklíčekmerkt hierbij op dat in de psychologie een nieuwe therapie meestal eerst in de klinische praktijk jarenlang wordt toegepast voordat wetenschappelijk deugdelijk wordt onderzocht of de therapie wel werkt. Havermans blijkt verre van overtuigd en fileert de aangedragen evidentie genadeloos. Deze interessante discussie roept de vraag op wanneer we een behandeling evidence based mogen noemen. Het standpunt dat hiervan pas sprake kan zijn als gecontroleerd onderzoek de effectiviteit van de behandeling heeft aangetoond, zal door de meeste vakgenoten worden onderschreven. Maar wat is ‘gecontroleerd onderzoek’? Volstaat een wachtlijstcontrolegroep of moet de (nieuwe) behandeling worden vergeleken met andere actieve interventies, waarvan al eerder de effectiviteit is aangetoond?
Ook de relatie tussen praktijk en theorie is interessant. Afgezien van de vraag of de opmerking van Nyklíček nog steeds hout snijdt in deze tijd van evidence based interventies, is het wel verantwoord om op grote schaal een nieuwe psychologische interventie toe te passen als de effectiviteit of specifieke werkzaamheid nog niet is aangetoond? Havermans meent dat men een nieuwe gedragstherapeutische interventie ontwikkelt op basis van veelbelovende klinische observaties en gedragswetenschap, met andere woorden er moet ook een theoretische onderbouwing van de interventie zijn. Voor dit laatste is inderdaad veel te zeggen, maar de geschiedenis leert dat de theorieën die aanvankelijk als verklaring voor de werkzaamheid van de interventie werden geformuleerd, meestal bij nader inzien de toets van de wetenschappelijke kritiek niet konden doorstaan. Onderzoek in de traditie van de experimentele psychopathologie (Jansen, Van den Hout & Merckelbach, 2010) heeft al heel wat reinigend werk verricht op theoretisch gebied.
Op de keper beschouwd is van heel wat evidence based interventies aangetoond dat deze effectief zijn, maar hoe deze werken is veelal nog onduidelijk of voor de theoretische onderbouwing ervan is nog onvoldoende steun gevonden. Het laatste Najaarscongres van de Vereniging voor Gedragstherapie en Cognitieve Therapie (VGCT) had als thema ‘Change. Verandermechanismen en cognitieve gedragstherapie’. Tijdens het congres werd duidelijk dat over de verandermechanismen van evidence based interventies nog veel onduidelijkheid bestaat en dat het onderzoek hiernaar soms verrassende resultaten laat zien (Jaspers, 2011). Het is bepaald niet alleen EMDR (eye movement desensitization and reprocessing), waarover de theoretische inzichten zijn veranderd, ook al bestaat over de werkzaamheid van de interventie geen twijfel. In het volgend nummer van Psychologie & Gezondheid leest u hier meer over.
In dit nummer vindt u nog een forumbijdrage, waarin de spreekwoordelijke knuppel in het hoenderhok wordt gegooid. De prikkelende titel ‘Huidige behandeling depressie is weggegooid geld’ nodigt op zijn minst uit tot lezing. Hoezo weggegooid geld? Als er een probleem is waarvoor evidence based behandelingen bestaan, is het immers depressie. Kok en collega’s laten echter zien dat ondanks de enorme bedragen die jaarlijks in Nederland worden uitgegeven aan de behandeling van depressie, in de huidige financiering van de gezondheidszorg nog onvoldoende rekening wordt gehouden met het hoge risico op terugval bij depressie. Het door velen, om uiteenlopende redenen verfoeide DBC-systeem (Diagnose Behandel Combinatie) ontmoedigt om langdurig met behandelingen door te gaan. Bestaande effectieve interventies om het risico op terugval te verminderen worden nauwelijks toegepast, terwijl deze bij de behandeling van een vaak chronische aandoening als depressie uitdrukkelijk zijn aangewezen. Hiermee wijzen de auteurs impliciet op een belangrijke tekortkoming van het bestaande effectonderzoek: het gebrek aan evaluatie van de langetermijneffecten van de onderzochte interventie. Ook voor psychologische interventies bij depressie is duidelijk dat deze werkzaam zijn. En al geldt ook voor depressie dat we nog lang niet weten wat de specifieke werkingsmechanismen zijn (hoe deze werken), de noodzaak van implementatie van evidence based interventies om terugval te vermijden of uit te stellen kan niet genoeg worden benadrukt. Het recidiverend karakter maakt depressie immers tot een aandoening met zowel hoge maatschappelijke kosten als een zeer hoge ziektelast, lijdensdruk en risico op suïcide.
In the previous issue of Psychology & Health Havermans Jim wrote a critical forum posting about mindfulness. His thesis, that the efficacy of mindfulness meditation is insufficient evidence to its application in health care to justify, this issue argued contradicted by Schroevers Maya and her colleagues and by Ivan Nyklicek. Zijmenen mindful that the impact study, while still more extensive and better, but that the investigation so far has yielded enough evidence to justify the application. Nyklíčekmerkt in psychology here that a new therapy in clinical practice usually first applied for years before being properly scientifically investigated whether the therapy works. Havermans appears far from convinced the fillets and put forward evidence mercilessly. This interesting discussion raises the question if we may call evidence-based treatment. The view that this only if there can be controlled study the efficacy of treatment has shown, most colleagues will be endorsed. But what is 'controlled study'? Is a waiting list control group or to the (new) treatment are compared with other active interventions whose effectiveness has already been demonstrated?
The relationship between practice and theory is interesting. Apart from the question whether the remark Nyklicek still holds water in this era of evidence-based interventions, it is widely recognized for a new psychological intervention should be as specific activity or effectiveness is not proven? Havermans believes that a new behavioral intervention developed on the basis of promising clinical observations and behavioral science, in other words, there is also a theoretical justification for the intervention. For the latter is indeed much to say, but history shows that the theories initially as an explanation for the efficacy of the intervention were formulated, mostly on closer inspection the test of scientific criticism could not stand. Research in the tradition of experimental psychopathology (Jansen, Van den Hout & Merckelbach, 2010) has a lot of work cleaning the theoretical field.
On closer examination of many evidence-based interventions shown to be effective, but how they work is often unclear whether the theoretical substantiation is found insufficient support. The last Autumn Congress of the Association for Behavioral and Cognitive Therapy (VGCt)'s theme was "Change. Change mechanisms and cognitive behavioral therapy. During the conference it became clear that the change mechanisms of evidence-based interventions much uncertainty and that the research on this surprising results show (Jaspers, 2011). It provides not only EMDR (Eye Movement Desensitization and Reprocessing), which the theoretical views have changed, even as to the efficacy of the intervention no doubt. In the next issue of Psychology & Health You can read more about.
In this issue you will find a forum posting where the proverbial cat among the pigeons thrown. The provocative title "Current treatment depression is a waste of money 'invites at least into reading. Why wasted? If there is a problem for which evidence-based treatments exist, it is indeed depression. Cook and colleagues reveal that despite the enormous sums spent each year in the Netherlands for the treatment of depression in the current financing of health care is still insufficiently taken into account the high risk of relapse in depression. By many, for various reasons detested system DBC (Diagnosis Treatment Combination) discourages long-term treatments to continue. Existing effective interventions to reduce the risk of relapse are rarely used, while in the treatment of a chronic condition such as depression often explicitly designated. This, the authors implied a major weakness in the current outcome research: the lack of evaluation of the long-term effects of the tested intervention. For psychological interventions for depression is clear that this work. And already includes a long depression that we do not know the specific mechanisms of action (how they work), the necessity of implementation of evidence-based interventions to prevent relapse or delay can not be overstated. The recurrent nature makes depression after a disease with both high social cost as a very high disease burden, distress and risk of suicide.
Keywords: Change Mechanisms
Accuracy Verified: Yes
86. Potter, A. E. (2005, September). Phase-based trauma treatment: EMDR and DBT or STAIR. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Clients who have experienced traumatic events, as
well as complex issues, such as substance abuse/
addiction, personality disorders, chronic and/or
severe mental illness often have significant skill
deficits in the area of emotion regulation. This
presentation will explain the concepts of emotion
regulation and dysregulation and the behavioral
manifestations of emotion dysregulation. Clients'
difficulty in regulating emotion can interfere with
their ability to process traumatic memories with a
minimum of re-traumatization and relapse in or a
worsening of symptoms. Phase-based trauma
treatment was conceptualized to assist clients in
developing adequate emotion regulation skills
during a preliminary phase of therapy prior to
trauma processing. This presentation will offer
rationale for phase-based treatment with certain
client populations. This presentation will show how sessions of trauma processing with EMDR can be
integrated into the second level of phase-based
trauma treatment, replacing the utilization of
exposure therapy for trauma processing.
Additionally, this presentation will establish how
skills learned in the initial phase of trauma
treatment can be employed during EMDR positive
resource development and as cognitive interweaves
during EMDR trauma processing. Case and
videotape examples will be utilized throughout the
presentation to illustrate topics presented in lecture and discussion.
Keywords: DBT Dialectical Behavior Therapy Stair
Accuracy Verified: Yes
87. Potter, A. E. (2006, September). Phase-based trauma treatment: EMDR and DBT or STAIR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
Clients who have experienced traumatic events, as
well as complex issues, such as substance abuse/
addiction, personality disorders, chronic and/or
severe mental illness often have significant skill
deficits in the area of emotion regulation. This
presentation will explain the concepts of emotion
regulation and dysregulation and the behavioral
manifestations of emotion dysregulation. Clients'
difficulty in regulating emotion can interfere with
their ability to process traumatic memories with a
minimum of re-traumatization and relapse in or a
worsening of symptoms. Phase-based trauma
treatment was conceptualized to assist clients in
developing adequate emotion regulation skills
during a preliminary phase of therapy prior to
trauma processing. This presentation will offer
rationale for phase-based treatment with certain
client populations. This presentation will show how sessions of trauma processing with EMDR can be
integrated into the second level of phase-based
trauma treatment, replacing the utilization of
exposure therapy for trauma processing.
Additionally, this presentation will establish how
skills learned in the initial phase of trauma
treatment can be employed during EMDR positive
resource development and as cognitive interweaves
during EMDR trauma processing. Case and
videotape examples will be utilized throughout the
presentation to illustrate topics presented in lecture and discussion.
Keywords: DBT Dialectical Behavior Therapy Stair
Accuracy Verified: Yes
88. Creamer, M., & O'Donnell, M. (2002). Post-traumatic stress disorder. Current Opinion in Psychiatry, 15(2), 163-168.
Language: English
Format: Journal
Abstract:
This paper provides an overview of recent developments in the literature on post-traumatic stress disorder. Epidemiological studies indicate that approximately 15-25% of individuals experiencing a significant trauma will go on to develop post-traumatic stress disorder, although approximately half will recover without formal intervention. Potential vulnerability factors for post-traumatic stress disorder have been identified, but the mechanisms and complexities require further exploration, with recent research suggesting that prevalence rates and risk factors may differ across populations. Studies of psychological treatment have demonstrated prolonged exposure and cognitive therapies to be equally beneficial, whereas eye movement desensitization and reprocessing may be useful but perhaps less effective in the long term. Pharmacological treatment studies indicate that selective serotonin reuptake inhibitors may be the first choice of drug treatments for post-traumatic stress disorder. Non-selective primary prevention strategies remain contentious, although secondary prevention, in the form of cognitive behavioural interventions for acutely symptomatic survivors, appears to reduce the subsequent development of post-traumatic stress disorder.
Keywords: Cognitive Therapies Drug Therapy Exposure Therapies Posttraumatic Stress Disorder Prevention Primary Prevention PTSD Risk Factors Secondary Prevention Susceptibility (Disorders) Treatment Vulnerability Factors
Accuracy Verified: Yes
89. Nelson, S. A. (2011, March). The posttraumatic growth path: An emerging model for prevention and treatment of trauma-related behavioral health conditions. Journal of Psychotherapy Integration, 21(1), 1–42. doi:10.1037/a0022908.
Language: English
Format: Journal
Abstract:
The aim of this study is threefold. First, the current evidence-based treatments for posttraumatic stress disorder (PTSD) are reviewed. Treatments reviewed for
efficacy include prolonged exposure therapy, cognitive processing therapy, and
eye movement desensitization and reprocessing. Next, concepts identified as
protective measures against chronic PTSD are explored, with particular emphasis
on resiliency and posttraumatic growth (PTG). Third, based on the abovementioned
systematic review, a new treatment model for trauma-related behavioral
health conditions, the posttraumatic growth path (PTGP), is proposed.
This research will demonstrate how this new model integrates a variety of
therapeutic approaches and protective measures to treat and mitigate the development
of chronic PTSD and other concomitant mental health concerns. Implications
for practice are discussed.
Keywords: Integrative Therapy Posttraumatic Growth Posttraumatic Stress Disorder PTG PTSD Resiliency Trauma
Accuracy Verified: Yes
90. Cahill, P. C., Pontoski, K., & D’Olio, C. M. (2005, September). Posttraumatic stress disorder and acute stress disorder II: Considerations for treatment and prevention. Psychiatry, 2(9), 34-46.
Language: English
Format: Journal
Abstract:
Posttraumatic stress disorder is a common and often chronic and disabling anxiety disorder that can develop after exposure to highly stressful events characterized by actual or threatened harm to the self or others. This is the second of two invited articles summarizing the nature and treatment of PTSD and the associated condition of acute stress disorder (ASD). The present article reviews evidence for the efficacy of psychological and pharmacological treatments for PTSD and ASD. In summary, cognitive behavior therapy (CBT) has been found efficacious in the treatment of chronic PTSD as well as the treatment of ASD/prevention of PTSD. The selective serotonin reuptake inhibitors, sertraline, paroxetine, and fluoxetine, have been found efficacious in the treatment of chronic PTSD, with sertraline and paroxetine receiving the FDA indication for this condition. There is less evidence for efficacious medications in the treatment of ASD/prevention of PTSD. At present, hydrocortisone and propranolol show the greatest promise. Limitations of these treatments, including dropout and a significant number of patients showing no or only partial response, are discussed as well as issues related to selecting among efficacious treatments.
Keywords: ASD Acute Stress Disorder Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
91. Stramrood, C., Paarlberg, K. M., Vingerhoets, A. J., van den Berg, P. P., & van Pampus, M. G. (2012, March). Posttraumatic stress following childbirth: Diagnosis, treatment and prevention. Poster presented at the 70th annual scientific meeting of the American Psychomatic Society, Athens, Greece.
Language: English
Format: Conference
Abstract:
Background: What to do with women who experienced childbirth as so
traumatic that they keep having nightmares, flashbacks and problems
concentrating, who do not want to become pregnant again or demand a
cesarean section at the next delivery? One to two percent of women
suffers from posttraumatic stress disorder (PTSD) following childbirth,
which may affect mother-child bonding as well as future pregnancies.
Methods: Based on current knowledge from literature, including own
research, an overview will be presented of the prevalence, risk factors,
diagnosis and treatment of PTSD following childbirth. Results: PTSD
is an anxiety disorder affecting 1-2 percent of women after childbirth.
Risk factors include [a] obstetric complications and interventions
(emergency cesarean section, preterm birth), [b] history of psychiatric
problems or depression/anxiety during pregnancy, [c] psychosocial
factors (low coping skills, low social support). Furthermore, 50 percent
of women with PTSD following childbirth also suffers from
postpartum depression. When PTSD is suspected, clinicians can use the
self-report measure Traumatic Event Scale-B to quantify symptoms,
and refer to a psychiatrist/psychologist if necessary. Several studies
indicate that spontaneous remission of PTSD following childbirth is
uncommon. Possible negative consequences of the condition include
insecure attachment of the infant, impaired partner relationship,
avoiding future pregnancies and demanding a cesarean section in a
subsequent pregnancy. Although these possible adverse outcomes
justify treatment and prevention, effective interventions and prevention
strategies have not been adequately researched in this patient group.
International guidelines regarding PTSD in other (non-pregnant)
populations point to eye-movement desensitization and reprocessing
(EMDR) and cognitive behavioral therapy (CBT) as the most
promising treatments. Identification of women at risk, both during
pregnancy and postpartum, is key to early intervention and possible
prevention. Conclusions: Posttraumatic stress disorder following
childbirth is a serious condition affecting 1-2 percent of postpartum
women, with higher prevalence rates among women with complicated pregnancies/deliveries and those with a history of mental health issues.
Adequate identification of women at risk and those with clinical
symptoms is key to early intervention and eventually prevention.
Keywords: Childbirth
Accuracy Verified: Yes
92. Cantelmi, T. (2010, Novembre). Prevalenza, incidenza e diagnosi differenziale dei disturbi da stress post-traumatici in oncologia [Prevalence, incidence and differential diagnosis of post-traumatic stress disorder in oncology]. Presentazione al "Convegno La psicotraumatologia Oncologica, Roma, Italia.
Language: Italian
Format: Conference
Abstract:
Il PTSD abbraccia una gamma ampia di fenomeni: dagli eventi naturali catastrofici, dalle violenze maltrattamenti ed abusi su bambini ed adulti ad altre forme di aggressioni fisiche, gravi malattie ed interventi chirurgici, gravi problemi nel lavoro, come il mobbing ed altro ancora.
L prevalenza del PTSD oscilla tra l’1 ed il 9% della popolazione generale e può raggiungere il 50/60% in sottogruppi di soggetti esposti a traumi considerati di particolare gravità.. Tra i disturbi mentali conseguenti a traumi solo il PTSD è identificato dall’evento traumatico che in questo disturbo assume un ruolo specifico, tanto che la presenza di uno stressor a cui collegare i sintomi è l’elemento necessario per fare diagnosi. Si discute se lo stesso possa e debba sufficientemente essere rappresentato da un evento che ha le qualità per minacciare alla vita e qualità della vita di un soggetto o se sia identificabile esaurientemente con un vissuto soggettivo di impotenza che cambia l’adattamento della persona alla realtà in modo disfunzionale. Sembra comunque che la malattia oncologica e le sue fasi evolutive nonché i processi di guarigione che implica presentano occasioni ripetute per il paziente oncologico a rischio di traumatizzazione sia a causa delle circostanze oggettive che mettono in pericolo la qualità di vita della persona e la sua vita medesima, sia per le simbolizzazioni drammatiche che a volte essa può assumere nell’immaginario collettivo e soggettivo. Gli studi epidemiologici indicano come il PTSD interessi maggiormente il sesso femminile (11% vs 5% del sesso maschile) sulla cui prevalenza può anche influire il tipo di trauma (violenze e molestie sessuali, neglect ed abusi infantili vs. aggressioni fisiche, minacce con armi prigionia e rapimento negli uomini.
IL PTSD rappresenta una sfida in psichiatria non solo in generale perché i sintomi che emergono sono diversi e sintetizzano una miscela di processi sociali, biologici e psicologici, ma anche soprattutto in oncologia perché esiste una vasta gamma di sintomi dello spettro post-traumatico, come ad esempio i disturbi dell’adattamento, ma si è spesso in presenza di un PTSD sottosoglia difficilmente discriminabile anche agli occhi di esperti preparati.
Così possiamo intendere i disturbi dell’adattamento come tutte quelle manifestazioni in cui, in assenza di vulnerabilità individuale, un evento stressante, ad esempio la diagnosi di cancro ed i trattamenti ad essa legati, rappresenta il fattore causale ed esclusivo di insorgenza dei sintomi, che si presume non sarebbero altrimenti occorsi. Essi influiscono negativamente sull’adattamento del soggetto alla malattia e sul funzionamento psicofisico generale. I sintomi possono essere rappresentati da reazioni depressive, reazioni d’ansia o miste (ansioso-depressive), reazioni con altri aspetti emozionali (irritabilità, aggressività labilità emotiva) o con disturbi della condotta (comportamenti inadeguati). Importante risulta la diagnosi differenziale con i disturbi d’ansia e depressivi. I disturbi dell’adattamento rappresentano i quadri di sofferenza psicologica più frequentemente diagnosticabili nei pazienti con cancro, avendo una prevalenza del 30-35%. I sintomi sottosoglia possono rappresentare invece i prodromi di una sindrome conclamata oppure i sintomi residui di un PTSD in remissione parziale. E’ importante volgere l’attenzione ai PTSD in oncologia, alla diagnosi differenziale con altri tipi di disagi psicooncologici, ed in particolare alla peculiarità, gravità cronicità del quadro clinico per la possibilità di attuare una prevenzione efficace prima che il disturbo insorga o si strutturi, e per le potenzialità di comprensione di alcuni meccanismi di funzionamento cerebrale che creano un ponte fra psicologico e biologico.
The PTSD embraces a wide range of phenomena: from natural catastrophic events, from violence and abuse, ill-treatment of children and adults with other forms of physical assaults, serious illness and surgery, severe problems in the work, such as bullying and more.
The prevalence of PTSD ranges between 1 and 9% of the general population and can reach 50/60% in subgroups of subjects exposed to trauma considered particularly serious .. Among the mental disorders resulting from trauma, PTSD is identified only by the traumatic event that in this disorder takes on a specific role, so that the presence of a stressor that link symptoms is a necessary element to diagnose. It was discussed whether the same can and should be sufficiently represented by an event that has the quality to threaten the life and quality of life of an individual, or whether it is fully identifiable with a subjective experience of powerlessness that changes to adapt to the reality of the person in dysfunctional way. It seems that the oncological disease and its evolutionary phases as well as the healing process that involves repeated opportunities to present the cancer patient at risk of trauma and because of objective circumstances that endanger the quality of life of the person and his life itself , both for the dramatic symbolization that sometimes it can take in the collective and subjective. Epidemiological studies indicate that PTSD interests most of the women (11% vs. 5% of males) on the prevalence of which may also affect the type of trauma (violence and sexual harassment, child abuse and neglect Vs. Physical attacks, threats with weapons imprisonment and kidnapping in men.
IL PTSD represents a challenge in psychiatry not only in general because the symptoms that emerge are different and synthesize a mixture of social processes, biological and psychological, but also especially in oncology because there exists a wide range of symptoms spectrum post-traumatic, such such as adjustment disorders, but it is often in the presence of a subthreshold PTSD hardly discriminated even in the eyes of experts prepared.
So we can understand the adjustment disorders like all those events where, in the absence of individual vulnerability, a stressful event, such as the diagnosis of cancer and the treatments associated with it, is the causal factor and exclusive of onset of symptoms, which it is assumed would not otherwise have occurred. They have a negative impact on the adaptation of the subject to physical and mental illness and the general operation. Symptoms may be represented by depressive reactions, anxiety reactions or mixed (anxious-depressive), reactions with other aspects of emotional (irritability, aggressiveness, emotional lability) or conduct disorder (inappropriate behavior). Important results in the differential diagnosis of anxiety disorders and depression. The adjustment disorders represent the paintings of psychological distress more frequently diagnosed in patients with cancer, having a prevalence of 30-35%. The subthreshold symptoms may instead represent the beginnings of a full-blown syndrome or residual symptoms of PTSD in partial remission. It 'important to turn our attention to PTSD in oncology, the differential diagnosis with other types of inconvenience psicooncologici, and in particular to the peculiarities, chronicity, severity of the clinical picture for the possibility of implementing effective prevention before the disorder arises or is structured, and the potential of understanding of some mechanisms of brain function that create a bridge between psychological and biological.
Keywords: Cancer Posttraumatic Stress Disorder PSTD
Accuracy Verified: Yes
93. Robredo, J., & Gordillo, M. (2010, Abril). Protocolo de tratamiento breve para menores expuestos a situaciones de violencia de género familiar [Brief treatment protocol for children exposed to domestic violence situations familiar]. In Pautas de Intervención con menores infractores y situaciones de violencia de género. Simposio realizado en el Congreso Internacional sobre Avances en Tratamientos Psicológicos, Granada, Spain .
Language: Spanish
Format: Conference
Abstract:
El Instituto de Psicotrauma de Alicante y los Servicios Sociales del Ayuntamiento
de San Juan, aplican desde 2008 un protocolo de intervención breve
para menores expuestos a violencia de género, basado en las técnicas
de desensibilización y reprocesamiento a través del movimiento de los ojos,
EMDR© (Eye Movement Desensitization and Reprocessing).
Los resultados obtenidos con 28 menores de 4 a 12 años indican una
desaparición de los cuadros clínicos de estrés postraumático y depresión,
la remisión de los problemas de conducta concomitantes (desobediencia,
agresividad) y una mejora del vínculo afectivo con la madre.
El protocolo de intervención consta de 4 fases: evaluación, tratamiento,
prevención de recaídas y seguimiento. La evaluación se realiza en 2 sesiones,
una con la madre y otra con su hij@. Consta de sendas entrevistas
clínicas y la administración de la Escala de Ansiedad Manifiesta en Niños
(CMAS-R), la Escala de Gravedad de Síntomas del Estrés Postraumático y
el Test del Dibujo de la Familia (niñ@s menores de 6 años). El tratamiento
consiste en la aplicación de técnicas de EMDR a lo largo de 7 sesiones trabajando
con los recuerdos traumáticos del menor asociados a la violencia
vivida en la familia. Las 2 últimas sesiones se hacen junto con la madre,
trabajando escenas específicamente relacionadas con la figura del maltratador.
La prevención de recaídas se realiza en 1 sesión con la madre y el/la
niñ@, y se trabajan, también con EMDR, situaciones probables de su futuro,
como pueden ser encuentros con el padre. Al mes de seguimiento se volvieron
a realizar las entrevistas y a pasar los tests de evaluación. El 100% de
los menores atendidos experimentaron la remisión de sus síntomas de estrés
postraumático y en el 80% de los casos desaparecieron sus problemas
de conducta en el entorno familiar y escolar.
Psychotrauma Institute of Alicante and the Social Services of the City
San Juan, applied since 2008, a brief intervention protocol
for children exposed to domestic violence, based on the techniques
desensitization and reprocessing through movement of the eyes,
© EMDR (Eye Movement Desensitization and Reprocessing).
The results obtained with 28 kids from 4 to 12 years indicate a
disappearance of the clinical symptoms of PTSD and depression,
remission of concomitant behavior problems (disobedience,
aggression) and improved bonding with the mother.
The intervention protocol consists of four phases: assessment, treatment,
relapse prevention and monitoring. The evaluation is done in two sessions,
with each other with their mother and hij @. It consists of individual interviews
clinical and management Manifest Anxiety Scale in Children
(CMAS-R), the Symptom Severity Scale and Posttraumatic Stress
Drawing Test Family (children under 6 s). treatment
involves the application of techniques EMDR 7 along working sessions
with the minor traumatic memories associated with violence
experienced domestically. The last 2 sessions are done with the mother,
scenes work specifically related to the figure of the perpetrator.
Relapse prevention is done in one session with the mother and / the
Nin @, and worked also with EMDR, probable future situations,
such as meetings with the father. One month after they became
to conduct interviews and assessment tests pass. 100%
treated children experienced a remission of their symptoms of stress
posttraumatic and in 80% of cases their problems disappeared
behavior in the family and school environment.
Keywords: Children Domestic Violence
Accuracy Verified: Yes
94. Kozon, A. (2007, September). Psychoedukacia a EMDR v dynamickej psychoterapii v azylovom dome pre tyrane zeny [Psychoeducation and psychotherapy, EMDR in the dynamic in the asylum house for abused women]. Psychiatria-Bratislava, 14(4), 161-164.
Language: Slovak
Format: Journal
Abstract:
Program azylového domu pre týrané ženy sa zameriava nielen na zabezpečenie ochrany klientky, ktorá opustila prostredie domáceho násilia, ale poskytuje aj konkrétnu sociálnu starostlivosť a emocionálnu podporu. Súčasťou programu je individuálna psychoterapia. Aby sa predišlo omylom a chybám, dynamická psychoterapia má svoje špecifiká vzhľadom na prítomnosť symptomatiky posttraumatickej stresovej poruchy, ktorá v prípravnej psychoterapeutickej fáze je zameraná na stabilizáciu psychických procesov ich odstránením prepracovanými technikami psychickej desenzibilizácie formou EMDR a psychoedukáciou. V ďalšej psychoterapeutickej fáze sa pozornosť upriamuje na rozvoj jadra štruktúry osobnosti – identity metodikou krátkodobej psychoanalyticky orientovanej hlbinnej psychoterapie, aby sa v budúcnosti preventívne predchádzalo stretu obete s násilím.
Asylum Program of the house for abused women in focus in order to protect clients who left the environment of domestic violence, but also provides specific social care and emotional support. The program is individual psychotherapy. To avoid mistakes and errors, dynamic psychotherapy has its own specifics to the presence of symptoms of posttraumatic stress disorder, which in the preparatory phase of psychotherapy is to stabilize the mental processes of removing the sophisticated techniques of psychological desensitization through EMDR and psychoedukáciou. In the next phase of psychotherapy it focuses on developing the core structure of personality - the identity-oriented methodology for short-term psychoanalytic psychotherapy prawn to prevent future conflict prevention with victims of violence.
Keywords: Abused Women Conscious and Unconscious Half-Way House Identity Positive Change in Perception Personality Development Psychodynamic Psychotherapy Sentences of Focus Strategy Psychotherapeutic Intervention Violence
Accuracy Verified: Yes
95. Kozoň, A. (2007). Psychoedukácia a EMDR v dynamickej psychoterapii v azylovom dome pre týrané ženy [Psychoeducation and EMDR in dynamic psychotherapy in the asylum house for abused women]. Psychiatria, 14(Part 4), 161-163.
Language: Slovak
Format: Journal
Abstract:
Program azylového domu pre týrané ženy sa zameriava nielen na zabezpečenie ochrany klientky, ktorá opustila prostredie domáceho násilia, ale poskytuje aj konkrétnu sociálnu starostlivosť a emocionálnu podporu. Súčasťou programu je individuálna psychoterapia. Aby sa predišlo omylom a chybám, dynamická psychoterapia má svoje špecifiká vzhľadom na prítomnosť symptomatiky posttraumatickej stresovej poruchy, ktorá v prípravnej psychoterapeutickej fáze je zameraná na stabilizáciu psychických procesov ich odstránením prepracovanými technikami psychickej desenzibilizácie formou EMDR a psychoedukáciou. V ďalšej psychoterapeutickej fáze sa pozornosť upriamuje na rozvoj jadra štruktúry osobnosti – identity metodikou krátkodobej psychoanalyticky orientovanej hlbinnej psychoterapie, aby sa v budúcnosti preventívne predchádzalo stretu obete s násilím.
Kľúčové slová: psychodynamická psychoterapia, psychoedukácia, EMDR, azylový dom, týrané ženy, násilie, fókusová veta, vedomie a nevedomie, stratégia psychoterapeutickej intervencie, pozitívna zmena vnímania, identita, rozvoj osobnosti.
Asylum Program of the house for battered women focuses not only protect our clients, who left the environment of domestic violence, but also provides specific social care and emotional support. The program is individual psychotherapy. To avoid mistakes and errors, dynamic psychotherapy has its own specifics to the presence symptomatiky post traumatic stress disorder, which is in the preparatory phase of psychotherapy is to stabilize the mental processes of removing the sophisticated techniques of psychological desensitisation by EMDR and psychoedukáciou. In the next phase of psychotherapy focuses on developing the core structure of personality - the identity-oriented methodology for short-term psychoanalytic psychotherapy for Northern to prevent future conflict prevention victim to violence.
Keywords: Battered Women Consciousness and the Unconscious Identity Personality Development Positive Change in Perception Psychodynamic Psychotherapy Shelter Strategy of Psychotherapeutic Interventions Violence
Accuracy Verified: Yes
96. Ilic, Z. (2004). Psychological preparation of torture victims as witnesses toward the prevention of retraumatisation. In Ž. Špiric, G. Kneževic, V. Jovic, & G. Opacic (Eds.), Torture in war: Consequences and rehabilitation of victims – Yugoslav experience. (pp. 377-387) Belgrade, Serbia: International Aid Network.
Language: English
Format: Book Section
Abstract:
This work presents psychological specificities of situations where torture victims are
witnesses at the court trial of perpetrators at the same time. Witnesses are subject to the
risk of secondary traumatisation, retraumatisation and revictimatisation, which may lead to
the deterioration of existing PTSD symptoms. Starting from the very act of reaching the
decision whether to testify, witnesses are in a state of ambivalence associated with a need
for truth and justice, the need that perpetrators should be adequately punished and thus
certain compensation be provided as well as with fear of the course that the trial itself may
take, they being partially aware of the risk for retraumatisation and retraumatisation. The
author sets forth the need for psychological-psychiatric preparation of the witness prior to
the trial, as well as co-operation between judicial organs and psychiatric-psychological
service. The paper features examples from the Centre for Rehabilitation of Torture Victims
– IAN Belgrade.
Accuracy Verified: Yes
97. Bisson, J. (2005, November). Psychological treatments for PTSD. Symposium conducted at the 21st International Society for Traumatic Stress Studies Conference, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
The UK National Institute for Clinical Excellence Guidelines on PTSD: Based on rigorous meta-analysis, detailed literature review and two public consultations, the national guidelines for the assessment, prevention and treatment of PTSD in the UK will be presented in this symposium on behalf of the Guideline Development Group.
Psychological treatments for PTSD: A systematic review and meta-analysis of all randomised controlled trials of
psychological treatment for PTSD was undertaken. Thirty-eight RCTs of psychological
treatments for PTSD were identified. Trauma focused cognitive
behavioural therapy (TFCBT) and eye movement desensitisation and reprocessing
(EMDR) showed clinically important benefits over waitlist/usual care
on measures of PTSD. The evidence base for EMDR was not as strong as
that for TFCBT, both in terms of the number of RCTs available and the certainty
with which clinical benefit was established. There was limited evidence
that TFCBT and EMDR were superior to supportive/non-directive treatments,
hence it is highly unlikely that their effectiveness is due to non-specific
factors such as attention. There was limited evidence for stress management
and group CBT but other therapies (supportive/non-directive therapy,
psychodynamic therapies and hypnotherapies) that focus on current or past
aspects of the patient’s life other than the trauma or general support, did
not show clinically important effects on PTSD symptoms. However, this may
be due to the limited number of studies available and does not mean that
these treatments were shown to be ineffective.
Keywords: Posttraumatic Stress Disorder PSTD Psychological Treatments Symposium
Accuracy Verified: Yes
98. Peñalba, V., McGuire, H., & Leite, J. R. (2009). Psychosocial interventions for prevention of psychological disorders in law enforcement officers. Cochrane Database of Systematic Reviews 2008, Issue 3. Art. No.: CD005601. doi:10.1002/14651858.CD005601.pub2.
Language: English
Format: Other
Abstract:
Background:
Psychosocial interventions are widely used for the prevention of psychological disorders in law enforcement officers.
Objectives:
To assess the effectiveness and comparative effectiveness of psychosocial interventions for the prevention of psychological disorders in
law enforcement officers.
Search strategy:
CCDANCTR-References was searched on 12/5/2008, electronic databases were searched, reference lists of review articles and included
studies were checked, a specialist journal was handsearched, specialist books were checked and we contacted experts and trialists.
Selection criteria:
Randomised and quasi randomised controlled trials were eligible. The types of participants were people employed directly in law
enforcement, including police officers and military police, regardless of gender, age and country of origin, and whether or not they
had experienced some psychological trauma. All types of psychosocial intervention were eligible. The relevant outcome measures were
psychological symptoms, adverse events and acceptability of interventions.
Data collection and analysis:
Datawas entered intoReviewManager 4.2 for analysis, but this reviewwas converted toRevMan 5.0 for publication.Quality assessments
were performed. Two authors independently selected studies, extracted data and assessed the quality of studies. Summary effects were
to be calculated using RevMan but no meta-analyses were possible. For individual studies, dichotomous outcome data are presented
using relative risk, and continuous outcome data are presented using the weighted mean difference. These results are given with their
95% confidence intervals (CI).
Main results:
Psychosocial interventions for prevention of psychological disorders in law enforcement officers (Review) 1
Copyright © 2009 The Cochrane Collaboration. Published by JohnWiley & Sons, Ltd.
Ten studies were included in the review but only five reported data that could be used. Three of the ten studies were related to exercisebased
psychological interventions. Seven were related to psychological interventions. No meta-analyses were possible due to diversity of
participants, interventions and outcomes. Two studies compared a psychosocial intervention versus another intervention. Three studies
compared a psychosocial intervention to a control group. Only one primary prevention trial reported data for the primary outcomes
and, although this study found a significant difference in depression in favour of the intervention at endpoint, this difference was no
longer evident at 18 months. No studies of primary prevention comparing different interventions and reporting primary outcomes of
interest were identified.
The methodological quality of the included studies was summarised. No study met our full quality criteria and one was regarded as
low-quality. The remainder could not be rated because of incomplete data in the published reports and inadequate responses from the
trialists.
Authors’ conclusions:
There is evidence only from individual small and low quality trials with minimal data suggesting that police officers benefit from
psychosocial interventions, in terms of physical symptoms and psychological symptoms such as anxiety, depression, sleep problems,
cynicism, anger, PTSD, marital problems and distress. No data on adverse effects were available. Meta-analyses of the available data
were not possible. Further well-designed trials of psychosocial interventions are required. Research is needed on organization-based
interventions to enhance psychological health among police officers.
Keywords: Law Enforcement, Officers Review
Accuracy Verified: Yes
99. Solomon, S. D. (1997, Winter). Psychosocial treatment of posttraumatic stress disorder. In Session: Psychotherapy in Practice, 3(4), 27-41. doi:10.1002/(SICI)1520-6572.
Language: English
Format: Journal
Abstract:
A review of the psychosocial treatment research literature indicates that several forms of therapy appear to be useful in reducing the symptoms of PTSD. Strongest support is found for the treatments that combine cognitive and behavioral techniques. Hypnosis, psychodynamic, anxiety management, and group therapies may also produce short-term symptom reduction. Still unknown is whether any approach produces lasting effects. Imaginal exposure to trauma memories and hypnosis are techniques most likely to affect the intrusive symptoms of PTSD, whereas cognitive and psychodynamic approaches may better address the numbing and avoidance symptoms cluster. Treatment should be tailored to the severity and type of presenting PTSD symptoms, to the type of trauma experience, and to the many likely comorbid diagnoses and adjustment problems. [Author Abstract]
Keywords: Adults Cognitive Therapy Drug Therapy Exposure Therapy Group Psychotherapy Hypnotherapy Posttraumatic Stress Disorder Prevention Psychoanalytic Psychotherapy PTSD Stressors Survivors
Accuracy Verified: Yes
100. Schnyder, U. (2005). Psychotherapies pour les PTSD – Une vue d’ensemble [Psychotherapies for PTSD – An overview]. Psychotherapies, 25(1), 39-52. doi:10.3917/psys.051.0039.
Language: French
Format: Journal
Abstract:
Depuis le diagnostic du syndrome de stress post-traumatique (SSPT) a été introduit dans le DSM-III en 1980, une variété d'approches psychothérapeutiques ont été développées pour résoudre les problèmes et besoins spécifiques des patients traumatisés. Le succès du traitement du SSPT a besoin d'un bien pensée sur l'attitude thérapeutique. Le thérapeute doit trouver une position équilibrée entre les sur-identification et de se détourner de l'impuissance. Une attitude la recherche de sensations doivent être évités de même que le risque de traumatisme du fait d'autrui. Dans de nombreux cas, le SSPT peut pas être traité suffisamment par la psychothérapie seule: un plan complet de traitement multi-modal peut comprendre pharmacothérapeutique, les interventions physiques, sociaux, juridiques et autres. Les premières interventions psychothérapeutiques au lendemain d'un événement traumatique suivre les règles d'intervention de crise (immédiateté, l'accent sur les problèmes actuels de limitation de temps). Une attention particulière devrait être accordée aux questions de développement d'une relation de confiance thérapeutique, en créant une atmosphère de sécurité, aider le patient à reprendre le contrôle de et / ou se distancier de souvenirs intrusifs. traitements de désensibilisation des mouvements oculaires et retraitement (EMDR) et d'autres «pouvoir» peut offrir un soulagement rapide des symptômes. Après un traumatisme collectif, des débriefings psychologiques sont largement utilisés, bien que la preuve de leur utilité dans la prévention de l'ESPT est discutable. Chez les patients porteurs chroniques du SSPT, le psychothérapeute ne devrait pas travailler exclusivement sur l'événement traumatique et ses séquelles: le traitement doit être orientée vers l'avenir plutôt que par le passé. Au lieu de l'exploration, le thérapeute devrait essayer d'activer les ressources des patients et les aider à trouver un nouveau sens à leur vie future. Il ya un besoin urgent d'soigneusement conçus, randomisés, études d'intervention contrôlée sur l'efficacité de l'intervention précoce chez les patients gravement traumatisés et la mi-aux psychothérapies à long terme chez les patients souffrant de PTSD chronique. En outre, les études futures devraient inclure les approches psychodynamiques, ainsi que des protocoles de traitement multimodal, et d'élaborer des critères d'évaluation cliniques plus sophistiqués. (Base de données PsycINFO Record (c) 2008 APA, tous droits réservés)
Since the diagnosis of posttraumatic stress disorder (PTSD) was introduced in DSM-III in 1980, a variety of psychotherapeutic approaches have been developed to address the specific problems and needs of traumatised patients. Successful treatment of PTSD requires a well thought-out therapeutic attitude. The therapist must find a well-balanced position between over-identification and turning away out of helplessness. A sensation-seeking attitude should be avoided as should the danger of vicarious traumatisation. In many instances, PTSD cannot be treated sufficiently by psychotherapy alone: a comprehensive, multi-modal treatment plan may include pharmacotherapeutic, physical, social, legal, and other interventions. Early psychotherapeutic interventions in the immediate aftermath of a traumatic event follow the rules of crisis intervention (immediacy, focus on the current problems, time limitation). Special attention should be paid to the issues of developing a trusting therapeutic relationship, creating an atmosphere of safety, helping the patient to regain control over and/or distance himself from intrusive recollections. Eye Movement Desensitisation and Reprocessing (EMDR) and other "power therapies" can offer quick relief from symptoms. After collective traumatization, psychological debriefings are widely used, although the evidence for their usefulness in preventing PTSD is questionable. In patients with chronic PTSD, the psychotherapist should not work exclusively on the traumatic event and its sequelae: treatment should be oriented towards the future rather than the past. Instead of exploring, the therapist should try to activate the patients' resources and help them to find new meaning in their future life. There is an urgent need for carefully designed, randomized, controlled intervention studies investigating the effectiveness of early interventions in acutely traumatized patients and of mid- to long-term psychotherapies in patients suffering from chronic PTSD. Furthermore, future studies should include psychodynamic approaches as well as multimodal treatment protocols, and elaborate more sophisticated clinical endpoints. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Crisis Intervention Interdisciplinary Treatment Approach Multimodal Treatment Posttraumatic Stress Disorder Power Therapies Psychotherapy PTSD
Accuracy Verified: Yes
101. Corrigan, F. M. (2004). Psychotherapy as assisted homeostasis: Activation of emotional processing mediated by the anterior cingulate cortex. Medical Hypotheses, 63(6), 968-973.
Language: English
Format: Journal
Abstract:
Although psychotherapy is successful in altering emotional distress, the biological mechanism by which it achieves this has not been the subject of intensive neurobiological investigation. Mindful processing of emotion has been proposed to be a key factor in prevention of relapse in depressive illness and here that hypothesis is developed and extended to include other conditions in which emotion processing may be obstructed or dysregulated. Cognitive therapy, interpersonal psychotherapy, psycho-dynamic psychotherapy, and dialectical behaviour therapy, each in a different way and with a distinct emphasis, encourage awareness of emotions and their associated cognitions and biographies, and their varying success may depend on the degree to which they achieve activation of internal healing processes. In eye movement desensitisation and reprocessing (EMDR), the selected target is formatted for endogenous processing which is facilitated and accelerated by eye movements or alternating bilateral auditory or tactile stimulation. The ability to sustain focussed attention on the affect and its visceral, cognitive, and biographical components is postulated to activate a homeostatic process of distress resolution, seen most clearly in treatment of PTSD with EMDR, in which resolution of distress can be intense and rapid while therapist input is non-directive, although supportive, empathic, and non-judgemental. Once the therapist has helped to frame the questions, the patient's brain will find the answers needed for the resolution of the distress and all the components of the traumatic event, whether visceral, cognitive, affective, or interpersonal. The anterior cingulate cortex, especially the dorsal and rostral components, is suggested to be the key neurobiological substrate for the efficacious psychotherapeutic relief of distress, and relevant functional neuroimaging studies are summarised. One limitation of some previous imaging studies of emotion is that they have tended to use mild stimuli to discrete emotions. An alternative approach would be to image the brain during reprocessing of an unpleasant event which has profoundly affected the person so that the associated intense emotions could be clearly labelled and correlated with changes in regional brain functioning. [Author Summary]
Keywords: Cognitive Processes Cognitive Therapy Neurobiology
Accuracy Verified: Yes
102. Vickerman, K. A., & Margolin, G. (2009, July). Rape treatment outcome research: Empirical findings and state of the literature. Clinical Psychology Review, 29(5), 431-448. doi:10.1016/j.cpr.2009.04.004.
Language: English
Format: Journal
Abstract:
This article reviews empirical support for treatments targeting women sexually assaulted during adolescence or adulthood. 32 articles were located using data from 20 separate samples. Of the 20 samples, 12 targeted victims with chronic symptoms, 3 focused on the acute period post-assault, 2 included women with chronic and acute symptoms, and 3 were secondary prevention programs. The majority of studies focus on PTSD, depression, and/or anxiety as treatment targets. Cognitive Processing Therapy and Prolonged Exposure have garnered the most support with this population. Stress Inoculation Training and Eye Movement Desensitization and Reprocessing also show some efficacy. Of the 4 studies that compared active treatments, few differences were found. Overall, cognitive behavioral interventions lead to better PTSD outcomes than supportive counseling does. However, even in the strongest treatments more than one-third of women retain a PTSD diagnosis at post-treatment or drop out of treatment. Discussion highlights the paucity of research in this area, methodological limitations of examined studies, generalizability of findings, and important directions for future research at various stages of trauma recovery. [Author Abstract]
Keywords: Adults Cognitive Therapy Drug Therapy Epidemiology Exposure Therapy Females Literature Review Posttraumatic Stress Disorder Psychotherapy PTSD Rape Survivors Treatment Treatment Effectiveness
Accuracy Verified: Yes
103. Capps, F. (2005, September). Rebuilding trust: Healing for couples using EMDR. Presentation at the annual meeting of the EMDR International Association, Seattle, WA.
Language: English
Format: Conference
Abstract:
Previous couples' therapy using EMDR has focused on attachment injuries. The body of work is discussed, as is the EMDR protocol, for couples proposed by Moses (2003). This workshop focuses on trust wounds within the relationship my describing 3 scenarios: substance abuse, violence abuse, and infidelity. Protocol variants that enhance client safety are illustrated. Results that include trauma resolution, increased empathy, relapse prevention gains, and heightened intimacy are reported. Innovative outcome assessment instrumentation is demonstrated.
Keywords: Couples Therapy
Accuracy Verified: Yes
104. Kitchen, R. H. (1991, December). Relapse therapy. EMDR Network Newsletter, 1(2), 4-6.
Language: English
Format: Newsletter
Abstract:
Most therapists who treat Drug/Alcohol
addicted clients have experienced the
frustration of client relapse when therapy
appeared to be working. Chronic relapse
can occur even when the client is fully
committed to an abstinent life. Chronic
relapsers, and many recovering addicts to
some extent, suffer from what Terry
Gorski, MA, describes as Post Acute Withdrawal or "PAW." His premise,
supported by an analytical study of a
group of chronic relapse clients in 1974,
identified the thirty-seven warning signs
that were predictive of possible relapse.
(For those who wish further information,
these warning signs were first outlined in
his book, Counseling For Relapse Prevention
(T. Gorski, 1982).
Keywords: PAW Post Acute Withdrawal Relapse Therapy Terry Gorski
Accuracy Verified: Yes
105. Iracane-Blanco, M. (2010, June). Research to evaluate the therapeutic effectiveness of an EMDR treatment versus debriefing for victims of workplace accidents. In Research. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany.
Language: English
Format: Conference
Abstract:
The objective of this study is to evaluate the therapeutic effectiveness of an EMDR treatment set-up (R-TEP protocol) within an early healthcare scheme for victims of workplace accidents, while taking into consideration such variables as institutional recognition and the availability of psychological debriefing services (inspired by Mitchell's model). The research procedure consists of first creating a program including referenced organisations (businesses, police force, hospitals...) from different French regions. Efforts will be made
to raise resource people's (management, occupational health staff) awareness of PTSD prevention and of the role played by institutional recognition in the psychological recovery process. A regional network of EMDR therapists trained in debriefing (will be set up to work in partnership with the healthcare network for first line interventions following workplace accidents involving one or several workers. Participants will be recruited within these organisations. They the will all have been confronted with a single critical incident at work (accidental bodily harm of physical origin, physical aggression...) and meet DSM-IV Acute Stress Disorder criteria at the time of the therapy session. The research program will test, evaluate, and compare the effectiveness of a single therapeutic intervention taking place between Day 0 and Day 8 after exposure to a workplace accident BS do for 2 groups of 20 workers (men and women) who present the clinical signs of acute stress disorder. G1: control group - no access or refusal of care to be. G2: group with a debriefing session. G3: group with an EMDR session. In order to evaluate treatment effects on health and adaptive behavior in workers, participants will complete standardized self-evaluation scales (IESR PCLS Hamilton) before and after treatment. Another questionnaire will be completed by the therapists. Expected results: Significant decrease of symptoms and improvement of scores on measures after a single EMDR session. Greater effectiveness of EMDR compared to psychological debriefing. Eye Learning objectives: Participants will learn the advantages of promoting early interventions for victims of workplace accidents with the adapted EMDR protocol in order to prevent incapacitating PTSD and to facilitate an early return to autonomy for the worker. EMDR therapists will have a raised awareness of public health prevention initiatives, combining training and information within social and professional networks and occupational health services.
Keywords: Debriefing Research, Symposium Workplace Accidents
Accuracy Verified: Yes
106. Simonson, E. L. (2009). School-based intervention programs for symptoms of traumatic stress. Universitetet i Stavenger, Stavenger, Norway.
Language: English
Format: Dissertation/Thesis
Abstract:
This thesis attempts to provide an up-to-date overview of school-based intervention programs for symptoms of traumatic stress. The objectives were: 1) to identify school-based intervention programs for preventing or reducing symptoms of traumatic stress, 2) to examine the effectiveness of the intervention programs, and 3) to identify the accordance of the intervention programs with three current theories of posttraumatic stress disorder (PTSD). The three main academic databases used to locate the studies for this thesis were ERIC, PsycINFO, and MEDLINE. Inclusionary/exclusionary criteria included: 1) use of a control group, 2) use of randomized/quasi-experimental design, 3) school setting, 4) participant exposure to a traumatic event, 5) targeted at the prevention/ reduction of symptoms of traumatic stress, 6) use of standardized instruments, and 7) not targeted Type II trauma. Using these criteria, 19 studies conducted in 11 different countries were selected. Unfortunately, school-based studies conducted in Norway were not located. The selected studies dealt with various types of trauma exposure such as natural disasters, community violence, and war. Fourteen of the studies used cognitive-behavioral therapy (CBT) methods as the main treatment approach. Other treatment approaches used included Eye Movement Desensitization and Reprocessing (EMDR), mind-body techniques (e.g., guided imagery, relaxation techniques, and meditation), play therapy, art therapy, and drama. The findings of this thesis suggest that intervention provided within the school setting can be effective in helping children and adolescents following a variety of traumatic events. The majority of the studies had good results in relation to reducing symptoms of PTSD. Of the 19 studies, 14 had effect sizes in the medium to large range. Most of the intervention programs were found to be in accordance with the treatment recommendations of the three theories presented; however, none appeared to be explicitly based on the theories.
Keywords: Posttraumatic Stress Disorder PTSD School Intervention Trauma
Accuracy Verified: Yes
107. Chivers-Wilson, K. A. (2006). Sexual assault and posttraumatic stress disorder: A review of the biological, psychological and sociological factors and treatments. McGill Journal of Medicine, 9(2), 111-118.
Language: English
Format: Journal
Abstract:
Sexual assault occurs with alarming frequency in Canada. The prevalence of
Posttraumatic Stress Disorder (PTSD) in assault survivors is drastically higher than the national
prevalence of the disorder, which is a strong indication that the current therapies for sexualassault-
related PTSD are in need of improvement. Increasing knowledge and understanding of the
pathologies associated with rape trauma in biological, psychological and sociological domains will
help to develop more effective treatments for survivors. A dysregulation of the Hypothalamic-
Pituitary-Adrenal (HPA) axis is observed in survivors of sexual assault and this may be a
fundamental cause of the structural and functional abnormalities contributing to PTSD symptoms.
Pharmacotherapies are available to treat PTSD; however, they are often inadequate or unwanted
by the survivor. Psychological health is compromised following interpersonal trauma and many
psychological therapies are available, but with varying efficacy. A person's cognitions have a
dramatic effect on the onset, severity, and progress of PTSD following sexual assault. Sociological
impacts of assault influence the development of PTSD through victim-blaming attitudes and the
perpetuation of rape myths. Perceived positive regard and early social support is shown to be
important to successful recovery. Education is vital in rape prevention and to foster a supportive
environment for survivors. The biological, psychological and sociological impacts and treatments
should not remain mutually exclusive. A better appreciation of the biopsychosocial repercussions
of sexual assault will aid in developing a more holistic and individualized therapy to help alleviate
the physical and emotional pain following the trauma of rape.
Keywords: Pharmacotherapy Posttraumatic Stress Disorder PTSD Rape Sexual Assault Trauma
Accuracy Verified: Yes
108. Ricci, R. J., Clayton, C. A., & Shapiro, F. (2006, December). Some effects of EMDR on previously abused child molesters: Theoretical reviews and preliminary findings. Journal of Forensic Psychiatry and Psychology, 17(4), 538-562. doi:10.1080/14789940601070431.
Language: English
Format: Journal
Abstract:
Ten child molesters with reported histories of childhood sexual abuse underwent eye movement desensitization and reprocessing (EMDR) trauma treatment as an adjunct to standard cognitive-behavioural therapy-relapse prevention (CBT-RP) group treatment. Trauma resolution produced significant pre/post changes on all relevant subscales of the Sexual Offender Treatment Rating Scale (SOTRS). One unanticipated benefit was a consistent and sustained decline in deviant sexual arousal compared to the control condition. As measured by the SOTRS, decrease in arousal was also correlated with a decrease in sexual thoughts, increased motivation for treatment, and increased victim empathy. Deviant arousal is strongly associated with sexual recidivism. Clinical observations support the notion that those sexual offenders with histories of childhood sexual abuse may be left with aberrant sexual arousal, which is one pathway to sexual offending. The adaptive information processing model offers an explanation of the decreased and sustained deviant arousal observed in this study. This preliminary evidence supports a call for further research into this phenomenon.
Keywords: Child Molester Childhood Sexual Abuse Emotional Trauma Empirical Study Eye Movements Pedophilia Phallometry Quantitative Study Sex Offenders Sexual Abuse Trauma Treatment Treatment
Accuracy Verified: Yes
109. L'Abate, L. (1999). Taking the bull by the horns: Beyond talk in psychological interventions. The Family Journal: Counseling and Therapy for Couples and Families, 7(3), 206-220.
Language: English
Format: Journal
Abstract:
The purpose of this article is to argue that as long as the therapeutic community relies on commonly accepted sacred cows to produce results, little if any progress will take place. The five sacred cows of traditional psychological interventions (prevention, psychotherapy, and rehabilitation) are based on the following: (a) talk; (b) face-to-face contact; (c) the professionals’ proper style and personality; (d) adding family members, the more people the better; and (e) the more sessions the better. New psychological interventions that may challenge the sacred cows as we know them are as follows: (a) psychoeducational skill training programs; (b) computer assisted interventions, including verbal, visual (i.e., virtual reality), and neurobiofeedback; (c) manualized therapies; (d) eye movement desensitization and reprocessing; and (e) programmed distance writing, as exemplified by mental health workbooks. The latter is an inexpensive approach that can be administered concurrently with the new approaches as well as with talk-oriented interventions to obtain synergistic results. In addition, suggestions for minimally verbal and maximally action-oriented props and prescribed tasks are given.
Keywords: Commentary Computer Applications Computer Assisted & Programmed Distance Writing Interventions Oral Communication Preference to Traditional Talk-Oriented Techniques Therapeutic Processes Written Communication
Accuracy Verified: Yes
110. Araujo Souza, A. M. N. (2012, Novembro). Técnica grupal integrativa - MGI: Prevenção de TEPT–transtornos de estresse pós-traumático em grupos de crianças Vvítimas de catástrofe [Technical integrative group - MGI: Preventing PTSD disorders-posttraumatic stress in children groups Vvítimas disaster]. In EMDR em traumas. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Objetivo: Analisar o uso do Protocolo Grupal Integrativo (MGI) com o EMDR (Método de Dessensibilização e Reprocessamento pelo Movimento dos Olhos), na prevenção do Transtorno de Estresse Pós-Traumático (TEPT), em crianças vítimas de catástrofe. Método: Aplicação do Protocolo Grupal Integrativo (MGI- EMDR) em 16 crianças no município de Anchieta-SC, vítimas de tornado. Trata-se de um protocolo de EMDR utilizado em grupos, frente às situações traumáticas e permite que as vítimas entrem em contato com o evento, expressem lembranças traumáticas e sentimentos através de desenhos. Após cada desenho, o grupo foi estimulado a dessensibilizar e reprocessar os sentimentos e imagens perturbadoras através de movimentos bilateralizados do cérebro, sendo esses movimentos oculares, táteis ou sonoros. A técnica de estimulação utilizada foi o “Abraço Borboleta”, técnica desenvolvida por Artigas (2000) que consiste em cruzar as mãos e tocar a região entre a clavícula e o ombro com os dedos (estimulação tátil). A Escala de Unidade Subjetiva de Perturbação (SUDS) foi utilizada para medir o nível de perturbação ao lembrar da catástrofe. Como passo final, foi feita uma checagem corporal para verificar se havia alguma tensão física residual e a instalação de uma crença positiva de futuro. Resultados: houve redução da Escala Subjetiva de Perturbação (SUDS) na maioria das crianças e a qualidade dos sentimentos das mesmas ao entrarem em contato com a situação do tornado – “medo, desespero, tristeza, angústia” – como consequência dos fatos passados, se transformaram ao ser reprocessados em um reconhecimento de que o perigo passou. Os sentimentos se transformaram em “feliz, alívio, muito feliz, alegre“. Conclusão: O uso do MGI com EMDR em situações de catástrofes facilita a expressão da lembrança traumática armazenada no cérebro de forma disfuncional.
Objective: To analyze the use of Group Integrative Protocol (MGI) to EMDR (Desensitization and Reprocessing Method for Eye Movement), the prevention of disorder Post Traumatic Stress Disorder (PTSD) in children victims of disaster. Method: Application Protocol Integrative Group (MGI-EMDR) in 16 children in the municipality of Anchieta-SC, tornado victims. It is a protocol used EMDR in groups, face the trauma and allows victims to contact the event, express traumatic memories and feelings through drawings. After each drawing, the group was encouraged to desensitize and reprocess disturbing images and feelings through movements bilateralizados the brain, and these eye movements, tactile or audible. The stimulation technique used was the "butterfly hug" technique developed by Artigas (2000) which is to cross your hands and touch the area between the collarbone and the shoulder with fingers (tactile stimulation). The Scale of Subjective Unit of Disturbance (SUDS) was used to measure the level of disturbance to remember the disaster. As a final step, we performed a body check to see if there was any residual physical tension and installation of a positive belief in the future. Results: decreased Subjective Disturbance Scale (SUDS) in most children and quality of the same feelings to get in touch with the situation of the tornado - "fear, despair, sadness, distress" - as a result of past events, became to be reprocessed in a recognition that the danger has passed. The feelings became "happy, relieved, happy, happy." Conclusion: The use of EMDR with MGI in disaster situations facilitates the expression of traumatic memories stored in the brain so dysfunctional.
Keywords: Children MGI - Integrative Group Protocol with EMDR Reprocessing Catastrophe
Accuracy Verified: Yes
111. Rosenthal, H. 2006. Therapy's best: Practical advice and gems of wisdom from twenty accomplished counselors and therapists. Binghamton, NY, London: Haworth Reference.
Language: English
Format: Book
Abstract:
Insightful interviews with a Who’s Who of the world’s foremost therapists
Therapy’s Best is a lively and entertaining collection of one-on-one interviews with some of the top therapists and counselors in the world. Educator and psychotherapist Dr. Howard G. Rosenthal talks with twenty of therapy’s legends, including Albert Ellis, arguably the greatest clinical psychologist and therapist of our time; assertiveness training pioneer Robert Alberti; experiential psychotherapist Al Mahrer; and William Glasser, the father of reality therapy and choice theory. Each interview reveals insights into the therapists’ personal lives, their observations on counseling, and the helping profession in general, and their thoughts on what really works when dealing with clients in need.
The interviews found in Therapy’s Best uncover treatment strategies that are often missing from traditional textbooks, journal articles, courses, and seminars related to assertiveness training, Rational Emotive Behavior Therapy (REBT), marriage and family counseling, transactional analysis, psychoanalysis, suicide prevention, voice therapy, experiential psychotherapy, and Emotion Focused Therapy (EFT). Conversations with the “best and brightest” (including two recipients of the American Psychological Association’s Division of Psychotherapy’s “Living Legends” award) reveal why these therapists are such effective helpers, what makes their theories so popular, and most important, what makes them tick. This unique book lets you “rub elbows” with these consummate professionals and learn more about their theories, ideas, and experiences.
Therapy’s Best includes interviews with:
Dr. Albert Ellis—creator of Rational Emotive Behavior Therapy (REBT) and APA Division of Psychotherapy “Living Legend”
Dr. Edwin Schneidman—the foremost expert on suicide prevention, suicidology, and thanatology
Richard Nelson Bolles—author of What Color Is Your Parachute?
Dr. Dorothy and Dr. Ray Bevcar—husband and wife therapists who write textbooks on marriage counseling
Dr. Al Mahrer—father of experiential psychotherapy and APA Division of Psychotherapy “Living Legend”
Les Greenberg—father of Emotion-Focused Therapy (EFT)
Muriel James—co-author of Born to Win
and many more!
Therapy’s Best is a must read for professionals who practice counseling and psychotherapy, students preparing to do likewise, and anyone else with an interest in therapy—and the people with provide it
Keywords: Francine Shapiro Interview Practice Theory
Accuracy Verified: Yes
112. Robredo, J. (2011, Julio). Tratamiento intensivo para madres victimas de violencia de genero. La reconstruccion del apego [Intensive treatment for mothers victims of gender violence. The reconstruction of attachment]. Presentación en la IX Congreso Nacional de Psicología Clínica, San Sebastian, Spain.
Language: Spanish
Format: Conference
Abstract:
El Instituto de Psicotrauma de Alicante en colaboración con los Servicios Sociales de
diversos Ayuntamientos de la Comunidad Valenciana aplican desde 2009 un protocolo de intervención para madres víctimas de violencia de género, basado en las técnicas de desensibilización y reprocesamiento a través del movimiento de los ojos, EMDR© (Eye Movement Desensitization and Reprocessing), teorías del apego ( John Bowlby) y teoría de la disociación estructural de la personalidad (Ono Van der Hart)
Los resultados observados en una muestra de 15 madres y sus hijos de 4 a 16 años
indican una desaparición de los cuadros clínicos de estrés postraumático y depresión, la
remisión de los problemas de conducta concomitantes (desobediencia, agresividad) y una
mejora del vínculo afectivo con la madre.
El protocolo de intervención consta de 5 fases: evaluación, psicoeducación, tratamiento, prevención de recaídas y seguimiento
La evaluación consta de sendas entrevistas clínicas y la administración de la Escala
de Ansiedad Manifiesta en Niños (CMAS‐R), la Escala de Gravedad de Síntomas del Estrés
Postraumático, el Test del Dibujo de la Familia (niñ@s menores de 6 años) y el cuestionario para la evaluación de adoptantes (CUIDA). El tratamiento consiste en la instalación de recursos con la madre y reprocesamiento con EMDR a lo largo de 20 sesiones trabajando con los recuerdos traumáticos de la madre y el menor asociados a la violencia vivida en la familia. El
reprocesamiento del niño se hace junto a la madre.
El formato de tratamiento es intensivo con 5 sesiones de terapia semanal durante 4
semanas. El 100% de los menores y las mujeres atendidas experimentaron la remisión de sus
síntomas de ansiedad y en el 80% de los casos desaparecieron sus problemas de conducta
en el entorno familiar y escolar. Además se observó que el tipo de apego había cambiado al
final de tratamiento.
The Institute of Alicante Psychotrauma in collaboration with Social Services
various municipalities of Valencia since 2009 implemented a protocol
intervention for mothers victims of domestic violence, based on techniques
desensitization and reprocessing through eye movement, EMDR © (Eye
Movement Desensitization and Reprocessing), attachment theory (Bowlby) and theory
structural dissociation of the personality (Van der Hart Ono).
The results of a sample of 15 mothers and their children aged 4 to 16 years
indicate a disappearance of clinical PTSD and depression,
remission of comorbid conduct problems (disobedience, aggression) and a
improvement bond with the mother.
The intervention protocol consists of 5 phases: assessment, psychoeducation,
treatment, relapse prevention and monitoring
The assessment consists of separate clinical interviews and administration of the Scale
in Children's Manifest Anxiety (CMAS-R), the Symptom Severity Scale Stress
Posttraumatic Drawing Test Family (children 's children under 6 years) and
questionnaire for the assessment of adopters (CARE).
Treatment involves the installation of resources with the mother and
EMDR reprocessing over 20 sessions working with the memories traumatic mother and child associated with violence experienced domestically. The reprocessing of the child is with the mother. The format is intensive treatment with 5 sessions of weekly therapy for 4
weeks. 100% of children and women treated experienced remission of their
anxiety symptoms and 80% of cases behavioral problems disappeared in the family and school. We observed that the attachment classification was changed to end of treatment.
Keywords: Attachment Gender Violence
Accuracy Verified: Yes
113. 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, España.
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 años 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
114. Paola, P. (2008, Novembre). Trauma ed EMDR nei pazienti oncologici [Trauma and EMDR in patients with cancer]. Presentazione al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia.
Language: Italian
Format: Conference
Abstract:
L’intensità delle reazioni individuali quando viene comunicata una diagnosi di tumore può avere accenti diversi ma, generalmente, alla comunicazione della diagnosi si apre una prima fase psicologica caratterizzata da uno stato di shock per una notizia appresa come una catastrofe.
Il momento della diagnosi può rappresentare uno shock traumatico perché, da un istante all’altro, la persona si trova di fronte ad una condizione di minaccia alla propria vita. I sintomi che si presentano sono gli stessi dei Disturbi Post traumatici da Stress.
Nel corso del workshop verranno presentate le modalità efficaci di trattamento con l’approccio EMDR.
Il primo obiettivo da stabilire con il paziente è il seguente: trasformare il suo ruolo da vittima di eventi incontrollabili (malattia vissuta come una condanna che viene dall’alto) a protagonista attivo della propria vita (farò tutto il possibile per vincere la malattia). Un altro obiettivo importante è quello di risolvere i sintomi relativi al PTSD.
Al termine del trattamento EMDR, il paziente si trova non più bloccato al momento della diagnosi e della paura di non farcela, ma con un atteggiamento più consapevole e più forte associato alla sensazione di potercela fare.
Oltre che per il trauma della diagnosi, l’EMDR si può utilizzare in modo molto efficace per rielaborare anche altri nodi traumatici che i pazienti possono manifestare:
1. la paura di fare la stessa fine dell’amica/parente malata di cancro, ora deceduta;
2. la paura di guardarsi allo specchio e vedere un corpo mutilato o disgustoso;
3. l’ansia di seguire i trattamenti post-operatori e le loro conseguenze (chemioterapia, radioterapia);
4. l’ansia, che tende ad affacciarsi alla fine di questo lungo percorso, della recidiva.
L’EMDR viene applicato sui ricordi dei momenti più traumatici, sulla situazioni attuali che causano ansia e disagio e su quelle future che creano ansia anticipatoria e angoscia.
The intensity of individual reactions will be notified when a diagnosis of cancer can have different accents but, generally, the communication of the diagnosis opens a first phase characterized by a psychological state of shock for information acquired as a catastrophe.
The time of diagnosis can be a traumatic shock because, from one moment to another, the person is faced with a condition of threat to their lives. The symptoms that occur are the same as Post Traumatic Stress Disorder.
The workshop will discuss the effective ways to approach treatment with EMDR.
The first objective to determine the patient is as follows: to transform its role from being a victim of uncontrollable events (illness experienced as a conviction that comes from) to an active player of his life (I will do everything possible to cure disease). Another important objective is to resolve the symptoms related to PTSD.
After treatment, EMDR, the patient is no longer locked at the time of diagnosis and the fear of not succeeding, but with a more conscious and more associated with the strong feeling we can do it.
In addition to the trauma of diagnosis, EMDR can be used very effectively in other nodes to reprocess traumatic patients may experience:
1. the fear of the same fate of his friend / relative suffering from cancer, now deceased;
2. fear of looking in the mirror and see a mutilated body or disgusting;
3. anxiety to follow post-operative treatments and their consequences (chemotherapy, radiotherapy);
4. anxiety, which tends to appear at the end of this long process of relapse.
EMDR is applied on the memories of the most traumatic, the actual situations that cause anxiety and unease about future ones that create anxiety and anticipatory anxiety.
Accuracy Verified: No
115. Brown, P. A. (2012). Trauma research and treatment of combat veterans: An evidence-based integrative literature review. California Institute of Integral Studies, San Francisco, CA.
Language: English
Format: Dissertation/Thesis
Abstract:
The mainstream treatments for Post Traumatic Stress
Disorder (PTSD) are Cognitive Behavioral and Prolonged
Exposure Therapies (CBT & PE). These closely studied evidence based
treatments also show high relapse, dropout, and failure
rates of up to half of those treated (Bryant, R., et al., 2008, p.
555). While not as well researched and harder to measure in
terms of the gold standard in Evidence Based Practice of
Psychology (EBPP), studies of “alternative” treatments and their
methods, yield different and interesting evidence.
Using the standards espoused by EBPP alongside
alternative movements, this study examined modalities used in
veterans’ treatment. A guiding question was “What can the field
of trauma studies learn from a systematic and comparative
review of the research and treatment of combat veterans
suffering the sequelae of trauma?” Included in this integrative literature review—which
generates a critique and theoretical synthesis of a body of
literature (Torraco, R., 2005, p. 356)—were peer-reviewed
studies from 2006-2010. The participating studies consisted
largely of Veterans Administration (VA)-funded, CBT/PE
treatments, with an average of over 32 patients per participating
study, of approximately 13 weeks duration, and where 20% of
patients avoided treatment, 25% dropped out, and 30% failed
treatment altogether. Concept matrix analysis of data included
distillation of essential statements further reflecting poor
tolerability, dropout, failure, and an inability to maintain
symptom reductions (75% of studies). Authors tended to
overstate positive effects while omitting adequate examination of
study design and construct validity, leading to dearth bias,
defined as scarcity of evidence hiding behind citations.
From this integrative review of the literature a
reconceptualization and agenda for future research emerged.
The reconceptualization stems from the usefulness of hybridized
efficacy and effectiveness research, self-reflection and
bracketing, and more accounting for dearth bias. The future
agenda recommends practitioners use concept matrices as
iv
research and practice tools, conduct more common factors
research, and develop more clinical practice-based evidence.
Especially as related to knowledge evaluation, increased
accountability, and system-wide change, these recommendations
can assist the spread of more diverse and useful EBPP, to help
relieve some of the pain of the traumatized combat veteran.
Keywords: Combat Veterans Literature Review
Accuracy Verified: Yes
116. Ricci, R. J. (2004). Trauma resolution treatment as an adjunct to standard treatment for sexual offenders. Virginia Polytechnic Institute and State University. AAT 3136393.
Language: English
Format: Dissertation/Thesis
Abstract:
This study explored the use of adding trauma resolution therapy to standard cognitive-behavioral relapse prevention therapy for sex offenders. Ten adjudicated sex offenders with sexual abuse histories were treated with eye movement desensitization and reprocessing as an adjunct to standard outpatient sex offender treatment. Data points include self-report, other-report, assessment instruments, session transcripts, research journals, and physiological measures. Systematic treatment research and development methods (Bischoff, McKeel, Moon, & Sprenkle, 1996) resulted in a proposed treatment protocol. Emergent themes from a cross-case, grounded theory data analysis are presented. The data suggests the adjunct treatment provided some benefit both to participants and to the goals of standard sex offender-specific treatment. Implications for treatment providers, marriage and family therapy, and future research are discussed.
Keywords: Sex Offenders Trauma Treatment
Accuracy Verified: Yes
117. Ricci, R. J. (2006, June). Trauma resolution using eye movement desensitization and reprocessing with an incestuous sex offender: An instrumental case study. Clinical Case Studies, 5(3), 248-265. doi:10.1177/1534650104265276.
Language: English
Format: Journal
Abstract:
This case describes the use of eye movement desensitization and reprocessing (EMDR) to reduce reactivity to childhood trauma in an incestuous sex offender. It explores the relationship between desensitization and reprocessing of traumatic memory and how this may promote sex offender treatment progress as an enhancement of, not a replacement for, the cognitive-behavioral or relapse prevention treatment of sexual offenders. Pretreatment and posttreatment self-report and other-report instruments and semistructured interviews are employed to explore the results of this intervention. Implications and suggestions for this treatment protocol are suggested.
Keywords: Childhood Trauma Clinical Case Study Emotional Trauma Eye Movements Incest Incestuous Sex Offender Sex Offenders Sex Offenses Trauma Resolution Treatment
Accuracy Verified: Yes
118. Cooke, L. J., & Grand, C. (2006, September). Treating eating disorders using EMDR and its variations. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This is a three-hour program designed for the
EMDR professional who is interested in learning
about using EMDR with clients with eating disorders. Attendees will receive updated, current
treatment approaches, with the latest research on
attachment and its impact on early brain
development. The program will describe how
early brain development relates to the
development of eating disorders. Trauma's impact
on the body will be reviewed. Trauma's impact
on emotion regulation and the management of
affect will be discussed. Participants will learn to integrate EMDR into a phase oriented treatment approach through the following techniques:
Variations of EMDR for symptom reduction and
stabilization in eating disorder treatment;
Resource development for affect regulation;
Identification of triggers and targets for standard
EMDR protocol; Working with future templates
for relapse prevention using EMDR.
Keywords: Eating Disorders
Accuracy Verified: Yes
119. Rauch, S., & Cahill, S. (2003, August). Treatment and prevention of posttraumatic stress disorder. Primary Psychiatry, 10(8), 60-65.
Language: English
Format: Journal
Abstract:
What treatments are effective for chronic posttraumatic stress disorder (PTSD) and the prevention of PTSD following trauma? The current review illustrates the basic efficacy of several psychosocial treatments for PTSD (ie, exposure, stress inoculation training, eye movement desensitization and reprocessing, cognitive therapy); discusses comparative studies of these treatments; examines two preventive interventions for trauma survivors (i.e., psychological debriefing, cognitive behavioral programs); and suggests future research directions. Several psychosocial treatments for chronic PTSD have been proven effective. The few randomized, comparative studies do not provide strong evidence for the superiority of one intervention over another. Further, these studies do not support an additive benefit for combined treatments. While evidence does not support the efficacy of psychological debriefing in preventing PTSD following trauma, studies do suggest that brief cognitive-behavioral programs may accelerate recovery and prevent the development of chronic PTSD following trauma. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Cognitive Therapy Emotional Trauma Posttraumatic Stress Disorder Prevention Psychosocial Treatments Psychotherapeutic Techniques PTSD PTSD Treatment Survivors Stress Management Trauma
Accuracy Verified: Yes
120. de Jongh, A. (2012). Treatment of a woman with emetophobia: A trauma focused approach. Mental Illness, 4(1), 10-14. doi:10.4081/mi.2012.e3.
Language: English
Format: Journal
Abstract:
A disproportionate fear of vomiting, or emetophobia,
is a chronic and disabling condition
which is characterized by a tendency to avoid a
wide array of situations or activities that might
increase the risk of vomiting. Unlike many
other subtypes of specific phobia, emetophobia
is fairly difficult to treat. In fact, there are only
a few published cases in the literature. This
paper presents a case of a 46-year old woman
with emetophobia in which a trauma-focused
treatment approach was applied; that is, an
approach particularly aimed at processing disturbing
memories of a series of events which
were considered to be causal in the etiology of
her condition. Four therapy sessions of Eye
Movement Desensitization and Reprocessing
(EMDR) produced a lasting decrease in symptomatology.
A 3-year follow up showed no indication
of relapse.
Keywords: Emetophobia Specific Phobia Vomiting Phobia
Accuracy Verified: Yes
121. Sprowls, C., & Marquis, P. (2012, June). Treatment of OCD [Tratamiento del TOC]. Presentation at the annual meeting of EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Will
present
on
the
treatment
of
OCD
and
OCD
Spectrum
y
Disorders
using
Eye
Movement
Desensitization
and
Reprocessing,
(EMDR).
This
treatment
is
based
on
clinical
research
and
practice,
integrating
Anxiety
Disorder
treatments
such
as
cognitive
techniques
and
response
prevention
with
EMDR.
The
diagnoses
of
Obsessive
Compulsive
Disorder,
Hoarding,
Trichotillomania
and
Skin
Picking
and
their
interaction
with
underlying
PTSD
will
be
discussed
and
standard
EMDR
treatment
protocols
presented.
This
will
be
presented
in
the
context
of
the
Adaptive
Information
Processing
Model.
Theoretical
models
will
be
presented.
This
treatment
integrates
the
use
of
future
template
and
behavioral
feedback
for
success
of
anxiety
treatment.
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.
Case
examples
will
be
presented.
Participants
will
be
encouraged
to
discuss
and
receive
feedback
on
OCD
cases
of
their
own.
Cross-‐cultural
applications
and
understanding
will
be
explored.
Dr.
Marquis
is
the
Anxiety
Team
Leader
at
Kaiser
hospital
and
has
been
practicing,
teaching
and
training
EMDR
internationally
since
1991.
Dr.
Sprowls
is
an
expert
in
PTSD
and
Anxiety
Disorder.
She
has
been
practicing,
teaching
and
training
EMDR
internationally
since
1993.
Presentaremos
el
tratamiento
del
TOC
y
trastornos
del
espectro
obsesivo-‐compulsivo
usando
el
reprocesamiento
ocular
rápido
EMDR.
Este
tratamiento
está
basado
en
investigaciones
y
práctica
clínica,
integrando
tratamientos
para
los
trastornos
de
ansiedad,
como
técnicas
cognitivas
de
prevención
de
respuesta
con
EMDR.
El
diagnóstico
del
trastorno
obsesivo
compulsivo,
más
concretamente,
la
Tricotilomanía
y
desgaste
epitelial
y
su
interacción
con
un
oculto
TEPT
serán
discutidas
y
los
protocolos
estándar
de
tratamiento
EMDR
serán
presentados.
Será
presentado
en
el
contexto
del
modelo
de
procesamiento
adaptativo
de
la
información.
Los
modelos
teoréticos
serán
presentados.
Este
tratamiento
integra
el
uso
de
planes
de
futuro
y
feedback
comportamental
para
el
éxito
en
el
tratamiento
de
la
ansiedad.
Los
asistentes
aprenderán
a
especificar
las
dianas
del
EMDR
para
una
reducción
rápida
de
los
síntomas
y
como
el
cliente
puede
integrar
el
uso
de
la
estimulación
bilateral
para
incrementar
los
resultados
del
tratamiento.
Ejemplos
de
caso
serán
presentados.
Animamos
a
los
participantes
a
discutir
y
recibir
feedback
en
casos
de
TOC
propios.
Las
aplicaciones
interculturales
y
el
entendimiento
del
trastorno
serán
explorados.
El
Dr.
Marquis
es
el
director
del
equipo
de
ansiedad
en
el
hospital
Kaiser
y
ha
estado
practicando
y
entrenando
EMDR
de
manera
internacional
desde
1991.
La
Dra.Sprowls
es
una
experta
en
TEPT
y
trastornos
de
ansiedad.
Ha
estado
practicando,
enseñando
y
formando
en
EMDR
de
manera
internacional
desde
1993
Keywords: Obsessive Compulsive Disorder OCD
Accuracy Verified: Yes
122. Nijdam, M., Pol, M. V. D., Dekens, R., Olff, M., & Denys, D. (2013). Treatment of sexual trauma dissolves contamination fear. European Journal of Psychotraumatology, 3(0). doi:10.3402/ejpt.v4i0.19157.
Language: English
Format: Journal
Abstract:
Background: In patients with co-morbid obsessive−compulsive disorder (OCD) and posttraumatic stress disorder (PTSD), repetitive behavior patterns, rituals, and compulsions may ward off anxiety and often function as a coping strategy to control reminders of traumatic events. Therefore, addressing the traumatic event may be crucial for successful treatment of these symptoms.
Objective: In this case report, we describe a patient with comorbid OCD and PTSD who underwent pharmacotherapy and psychotherapy.
Methods: Case Report. A 49-year-old Dutch man was treated for severe PTSD and moderately severe OCD resulting from anal rape in his youth by an unknown adult man.
Results: The patient was treated with paroxetine (60 mg), followed by nine psychotherapy sessions in which eye movement desensitization and reprocessing (EMDR) and exposure and response prevention (ERP) techniques were applied. During psychotherapy, remission of the PTSD symptoms preceded remission of the OCD symptoms.
Conclusions: This study supports the idea of a functional connection between PTSD and OCD. Successfully processing the trauma results in diminished anxiety associated with trauma reminders and subsequently decreases the need for obsessive−compulsive symptoms.
Keywords: Combined Treatment Comorbidity Obsessive Compulsive Disorder OCD Pharmacological Treatment Posttraumatic Stress Disorder Psychotherapy PTSD
Accuracy Verified: Yes
123. Fine, C. G. (1991). Treatment stabilization and crisis prevention: Pacing the therapy of the multiple personality disorder patient. Psychiatric Clinics of North America, 14(3), 661-675.
Language: English
Format: Journal
Abstract:
This article briefly reviews the tactical integrationist's perspective in the work with multiple personality disorder patients. Its foundation is a cognitively based treatment paradigm geared toward controlled abreactions with cognitive restructuring throughout therapy. It is a suppression-dilution-of-affect model that focuses on the achievement of control and mastery for patient and therapist alike.
Keywords: Crisis Prevention MPD Multiple Personality Disorder Treatment Stablization
Accuracy Verified: Yes
124. Fleury, M. (2008). Un canon sur la tempe [A pistol at your temple]. Imaginaire et Inconscient, 22(2), 83-95.
Language: French
Format: Journal
Abstract:
Illustration of EMDR therapy with five clinical cases of bank employees : victims of robberies. Diversity of immediate stress reactions and long term stress reactions ; and response to desensitization. Curative and preventive contributions of this practice in the aftermath of attacks.
Keywords: Cure Posttraumtic Stress Prevention Robberies Victims
Accuracy Verified: Yes
125. Freedland, E. (2002, June). Using EMDR with eating disorders. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
This presentation will focus on the integration of EMDR into the treatment
of Eating Disorders, primarily Bulimia and Binge Eating Disorder.
Participants will learn the aspects of history taking, treatment planning,
and preparation unique to working with this population. Videotaped
client sessions will demonstrate how to implement a variation of Resource
lnstallation before, during, and after EMDR processing and choose EMDR
targets, including those based on the client's "Eating Disorder Myths."
Moving flexibly through the eight phases of treatment, allowing for
relapse, will be highlighted and handouts will be given to assist clinicians
in organizing these complex cases.
Keywords: Binge Eating Bulimia Eating Disorders Myths Resource Installation
Accuracy Verified: Yes
126. Beer, R., & van der Meijden, H. (2013, April). Why EMDR in the treatment of an eating disorder? How? So ...: ideas, hypotheses and findings with respect EMDR aimed at influencing a negative body image [Hoezo EMDR bij behandeling van een eetstoornis? Hoe? … Zo: ideeën, hypothesen en bevindingen t.a.v. EMDR gericht op beïnvloeding van een negatieve lichaamsbeleving]. Presentatie op het congres EMDR Vereniging EMDR Nederland, Nijmegen, Nederland.
Language: Dutch
Format: Conference
Abstract:
EMDR kan een waardevolle bijdrage leveren aan de vaak moeizame behandeling van cliënten met een eetstoornis. Het behandelplan is bij voorkeur opgezet vanuit een cognitief leertheoretisch kader, gebaseerd op het model van Fairburn (2003), omdat dit het best en meest onderzochte verklaringsmodel is voor in stand blijven van de eetstoornis (Beer & Tobias, 2011). Ook bij behandelingen op basis van andere verklaringsmodellen kan EMDR worden ingezet.
Negatieve lichaamsbeleving is een van de meest hardnekkige aspecten van een eetstoornis. Het is de belangrijkste in standhoudende en de moeilijkst te beïnvloeden factor. Als de lichaamsbeleving nog steeds negatief is bij afsluiting van de behandeling, dan is dit een significante voorspeller voor terugval (Jansen e.a., 2006). Welke rol kan EMDR hier spelen?
Deelnemers van de SIG EMDR en eetstoornissen presenteren ideeën, hypothesen en eerste bevindingen m.b.t. de toepassing van EMDR op een negatieve lichaamsbeleving bij cliënten met een eetstoornis:
- opties voor targetselectie (protocol aanscherping)
- eerste resultaten van een pilot t.a.v. toepassing van EMDR bij cliënten met een eetstoornis en de effecten daarvan op negatieve lichaamsbeleving (voor- en nametingen)
- de veronderstelde relatie tussen lichaamsbeleving en zelfbeeld; wat kunnen zeggen over de effecten op het zelfbeeld?
De presentatie zal worden geïllustreerd met beeldmateriaal. Revolutionaire benadering? Of helemaal niet?
EMDR can be a valuable contribution to the often laborious treatment of clients with eating disorders. The treatment is preferably designed from a cognitive learning theory framework, based on the model of Fairburn (2003), because this is the best and most researched explanatory model for perpetuation of the eating disorder (Beer & Tobias, 2011). Even with treatments based on different explanatory models can be used EMDR.
Negative body image is one of the most intractable aspects of eating disorders. It is the most important in sustaining and the hardest to influence factor. If the body perception is still negative at the end of treatment, then this is a significant predictor of relapse (Jansen et al, 2006). What role can EMDR play here?
Participants of the SIG EMDR and eating disorders presenting ideas, hypotheses and initial findings regarding the application of EMDR to a negative body image in clients with eating disorders:
- options for target selection (protocol tightening)
- first results of a pilot concerning application of EMDR with clients with eating disorders and their effects on negative body image (for-and post)
- the supposed relationship between body image and self-esteem, what can be said about the effects on body image?
The presentation will be illustrated with images. Revolutionary approach? Or not at all?
Keywords: Eating Disorders Negative Body Image
Accuracy Verified: Yes