Francine Shapiro Library - EMDR Bibliography Links
Choose any combination of the search options below. If you do not wish to include an option in your search, leave the box blank, or select "Any."
Your Results - you searched for the keyword Relational Context 301 Results
1. 陈维樑 [Chen Wei-Liang]. (2008, 年10月[October]). 复杂哀伤,EMDR和“人格结构性解体”理论 [Complicated grief, EMDR and the "structural disintegration of personality" theory]. Proceedings of the 5th World Congress for Psychotherapy, Beijing, China.
Language: Chinese
Format: Conference
Abstract:
Presentation will address the therapeutic issues of a complex bereavement case with traumatized history in a bicultural society. EMDR as an integrative psychotherapeutic approach and theory like the "Structural Dissociation of the Personality" as proposed by Nijenhuis, Van der Hart, Steele complements each other in working with complex bereavement. The Presentation outlines the conceptualization of the case based on this theory, the working process and milestones. As the individual grieves, various aspects of structural dissociation are observed. Symptoms are understood in light of the "Apparently Normal and the Emotional Parts of the Personality". The working procedures within the EMDR framework involve processing materials from different aspects of structural dissociation. A reduction of trauma-related symptoms (i.e. depression, phobia, anxiety) over the course of EMDR treatment was observed. Finally, treatment issues as related to attachment, traumatic memory, and daily functioning are discussed in the context of a bicultural urban city. (Presented in English)
Keywords: Complication Grief Personality Theory
Accuracy Verified: Yes
2. 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
3. Barreda-Hanson, C. (2012, Septiember). Adaptación del EMDR y terapia breve centrada en el cliente para cambiar percepciones negativas y traumaticas [EMDR adaption of brief client-centered therapy to change negative and traumatic perceptions]. Presentación en la 70 Conferencia Anual del International Council of Psychologist(ICP), Sevilla, España.
Language: Spanish
Format: Conference
Abstract:
El estrés subsiguiente después de un traumatismo, representa un trastorno disfuncional – tanto interno como externo – que se manifiesta en alteraciones en el reconocimiento cognitivo y en los comportamientos, llevando además asociados síntomas somáticos, afloramiento de problemas inconscientes y ansiedades. Pues una de las características del estrés post-traumático, es precisamente la pérdida de equilibrio entre el mundo interno y externo de quien lo sufre. Por eso, ante la complejidad de las respuestas post-traumáticas, éstas se pueden catalogar en gran medida dentro de las perturbaciones psicopatológicas.
El estrés psicológico surge por una situación estresante “real”, externa, tangible y la reacción ante esta difícil experiencia, evoca un conjunto bastante universal y coherente de síntomas y respuestas que provocan reacciones primitivas relacionadas con temores inconscientes ante las amenazas a la vida, que hacen aflorar incipientemente fantasías e impulsos abrumadores. Los resultados son los pensamientos disfuncionales que conducen a las respuestas y a los comportamientos desadaptativos.
Objetivos: el taller está diseñado para proporcionar a estudiantes y profesionales de la Psicología – que trabajan o desean trabajar en esta área del trauma y el cambio de comportamientos -, la habilidad para utilizar eficaz y rápidamente intervenciones breves, que puedan poner en practicar incluso en casa. En el taller se estudiará la forma inicial de evaluar, tanto al trauma como a la clientela. Se trabajará la historia del trauma y se profundizará en sus consecuencias y en cómo diseñar las intervenciones breves para hacerles frente. También se centrará en averiguar qué cambios quieren los y las clientes a través de relatos y visualizaciones, utilizando una adaptación de las terapias EMDR y la Solución Enfocada tanto a crear el cambio deseado, como a mantenerlo.
En consecuencia el taller es de particular interés para quienes trabajan con personas que han sufrido cualquier tipo de trauma, o quienes perciben acontecimientos de la vida, experiencias, etc. que les afectan de forma negativa en su día a día. También es útil para las personas que sufren de TOC, sobre todo trastornos del pensamiento.
Los aspectos más útiles de las dos técnicas que se han adaptado junto con otras innovaciones de la autora, guardan relación con la creación de un ambiente seguro, no-traumático, que actúa rápidamente y que además, se puede realizar en casa sin peligro de consecuencias negativas.
Objetivos específicos:
1. Ser capaz de describir e identificar las manifestaciones del trauma.
2. Aprender y describir dos técnicas terapéuticas breves en el tratamiento del trauma
3. Definir una técnica breve terapéutica que puede ser utilizada para fomentar el cambio
4. Destacar el rol del o de la terapeuta durante el tratamiento de los traumatismos
5. Ser capaz de describir, diseñar y establecer metas de la terapia y promover cambios mediante el uso de técnicas de terapia breve.
Métodos: la Desensibilización y Reprocesamiento por Movimientos Oculares (EMDR), es un método complejo e integrador de la psicoterapia individual, mediante el que se guía al cliente utilizando un procedimiento para acceder a sus experiencias y resolver sus problemas conductuales y emocionales. El EMDR utiliza elementos de múltiples orientaciones psicoterapéuticas tanto psicodinámicas, como cognitivo- conductuales, enfoques centrados en el cliente, gestalt y bioenergéticos.
La premisa subyacente de EMDR es que las experiencias de pánico y ansiedad se procesan de forma diferente por el cerebro que las experiencias habituales. La teoría subyacente es que durante el estrés, la memoria grava en una parte del cerebro responsable de las emociones de modulación (la amígdala) y se cierra temporalmente otra parte del cerebro (el hipocampo), responsable de procesamiento de la memoria normal. La experiencia traumática queda atrapada en el exterior y potencialmente no forma parte del procesamiento normal del cerebro, y el EMDR permite a la persona acceder a la experiencia y transformarla en memoria declarativa en el hipocampo. Con el método EMDR, el hipocampo se puede abrir a las emociones evocadas por la experiencia para que el/la cliente pueda soportarlas mientras se realiza el tratamiento. La distracción y la atención a la estimulación bilateral, desempeñan un importante papel que ayuda al cliente a experimentar las emociones como tolerables. Aunque cómo la distracción bilateral en concreto, facilita el procesamiento de las experiencias dolorosas, sea algo que todavía no se termina de entender.
Por otra parte, las Intervenciones Breves de Terapias enfocadas al Cliente se centran en las excepciones del problema, pensando que a continuación se desarrollará un cambio natural en el comportamiento. Es una especie de visión orientada no en las formas tradicionales, sino hacia el futuro, sin profundizar demasiado en la “patología” sino más bien centrándose en lo que el sistema puede hacer para adaptarse a ella, puesto que ambos pueden decidir si esa “patología” es un problema o no lo es.
Las Intervenciones de Terapia Breve enfocadas al Cliente se utilizan para resolver una variedad de problemas de comportamientos y actitudes, mediante el uso de los propios recursos de los y las clientes y las observaciones de las estrategias que utilizan para alcanzar los resultados deseados, en sus situaciones vitales habituales. Se trata de una buena técnica para establecer y mantener un contexto de cambio en el que los pequeños, pero útiles cambios, se anticipan y se buscan.
En definitiva, la combinación de ambas técnicas con algunas variaciones desarrolladas por la Dra. Barreda-Hanson, han demostrado ser una herramienta poderosa para mejorar la respuesta al tratamiento en un período de tiempo más corto, teniendo también la ventaja de permitir practicar los ejercicios en casa.
Aplicaciones: la aplicación habitual del EMDR ha sido el tratamiento de trastornos emocionales relacionados con eventos muy perturbadores o traumáticos. Pero también se usa para trabajar síntomas preocupantes como la ansiedad, la depresión, la culpa y la ira. E igualmente, se puede utilizar para mejorar recursos emocionales tales como la confianza y la autoestima.
Procedimientos:
- El taller se impartirá en español y el alumnado recibirá amplios folletos complementarios.
- Se realizará en una única jornada, en sesión de mañana para teoría y de tarde para prácticas, trabajando cada modelo por separado.
- Se espera que quienes asistan lleven una cuestión-problema sobre la que trabajar utilizando las diversas técnicas, pues aunque se utilizarán múltiples ej. de casos reales, se alentará a quienes participen a traer sus propias experiencias e ideas para debatir y trabajar sobre ellas.
The subsequent stress after trauma represents a dysfunctional disorder - internal and external - that is manifested in alterations in cognitive recognition and behavior, besides being associated somatic symptoms outcrop unconscious problems and anxieties. As one of the characteristics of post-traumatic stress, is the loss of balance between internal and external world of the sufferer. Therefore, given the complexity of post-traumatic responses, they can be categorized largely into psychopathological disturbances.
Psychological stress arises from a stressful situation "real" external, tangible and reaction to this difficult experience, quite evokes a universal and consistent set of symptoms that cause reactions and responses primitive unconscious fears related to threats to life, which bring out fantasies and impulses incipiently overwhelming. The results are the thoughts that lead to dysfunctional responses and maladaptive behaviors.
Objectives: The workshop is designed to provide students and psychology professionals - who work or want to work in this area of trauma and behavior change - the ability to quickly and efficiently use brief interventions, which may put in practice even in house. The workshop will explore how to evaluate initial both trauma as to clients. It will work history of trauma and its consequences will deepen and how design brief interventions to address them. It will also focus on finding out what changes customers want and through stories and views, using an adaptation of EMDR therapy and Solution Focused both to create the desired change, and to keep it.
Thus the workshop is of particular interest to those working with people who have suffered any kind of trauma, or who perceive life events, experiences, etc.. that negatively affect them in their day to day. Also useful for persons suffering from OCD, especially disorders of thought.
The most useful of the two techniques that have adapted along with other innovations of the author, are related to the creation of a safe, non-traumatic, acting quickly and also can be done at home without fear of consequences negative.
Specific objectives:
1. Be able to describe and identify the manifestations of trauma.
2. Learn and describe two brief therapeutic techniques in the treatment of trauma
3. Define a short therapeutic technique that can be used to promote change
4. Outline the role of the therapist or during treatment of injuries
5. Be able to describe, design and establish goals of therapy and promote change through the use of brief therapy techniques.
Methods: Desensitization and Reprocessing Eye Movement (EMDR), is a complex and inclusive method of individual psychotherapy, which is guided by the client using a procedure to access their experiences and address their behavioral and emotional problems. The EMDR uses multiple elements of both psychodynamic psychotherapeutic approaches as cognitive-behavioral, client-centered approaches, gestalt and bioenergy.
The underlying premise of EMDR is that experiences panic and anxiety are processed differently by the brain than normal experiences. The underlying theory is that during stress, gravel memory part of the brain responsible for emotions modulation (amygdala) and temporarily closes another part of the brain (hippocampus), responsible for normal memory processing. The trapped traumatic experience abroad and potentially not part of the normal brain processing, and EMDR allows people access to the experience and transform it into declarative memory in the hippocampus. With EMDR, the hippocampus can be opened to the emotions evoked by the experience that he / the client is able to bear while performing the treatment. Distraction and attention to bilateral stimulation, play an important role to help the client to experience emotions as tolerable. Although bilateral distraction how specifically facilitates the processing of painful experiences, is something that is not yet fully understood.
Moreover, brief interventions focused Customer Therapies focus on the exceptions of the problem, thinking that then will develop a natural change in behavior. It is a kind of non-oriented view on traditional forms, but to the future, without going too deeply into the "pathology" but rather focus on what the system can do to adapt to it, since both can decide whether this "pathology "is a problem or not.
Brief therapy interventions focused Customer are used to solve a variety of problem behaviors and attitudes, using their own resources and comments from customers and the strategies used to achieve the desired results in their situations normal life. This is a good technique to establish and maintain a context of change in that small but useful changes, anticipate and seek.
In short, the combination of both techniques with some variations developed by Dr. Barreda Hanson, have proved a powerful tool for improving the response to therapy in a shorter period of time, having also the advantage of allowing in practice exercises house.
Applications: the routine application of EMDR has been the treatment of emotional disorders associated with very disturbing or traumatic events. But also used to work worrying symptoms such as anxiety, depression, guilt and anger. And also, can be used to enhance emotional resources such as confidence and self-esteem.
Procedures:
- The workshop will be taught in Spanish and students will receive extensive additional brochures.
- Will be held in a single day, in morning session and afternoon theory to practice, working each model separately.
- Who are expected to attend with a question-problem on which to work using various techniques, for example, although multiple use. real cases, those involved are encouraged to bring their own experiences and ideas to discuss and work on them.
Keywords: Brief Therapy
Accuracy Verified: Yes
4. Knipe, J. (2010, July). Adaptive information processing as a guiding framework for the treatment of addictive disorders and addictive behavior patterns. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Within our field, the term “addiction” has been used to describe not only chemical dependence but also entrenched, selfdefeating
behavior patterns. Either type of addiction may develop in the context of traumatic experience. An impulse to
engage in addictive behavior can be thought of as a part of a dysfunctionally-stored memory network connected with
traumatic events.
In this workshop, an Adaptive Information Processing model of addiction will be presented, including guidelines for
treatment planning, preparation, resource installation, urge reduction, and (when necessary) transformation of the addict
“identity.” The content of the presentation will be illustrated with video examples.
Keywords: Addictions Addictive Behaviors Addictive Disorders
Accuracy Verified: Yes
5. Wheeler, M. S. (1997, December). Adlerian interventions and applications: The creating context technique. Journal of Individual Psychology, 53(4), 396-406.
Language: English
Format: Journal
Abstract:
Therapists who are trained in Eye Movement Desensitization and Reprocessing (EMDR) (Shapiro, 1995) may try using the Creating Context Technique when a client is not stable enough for EMDR or when a client is unwilling to try EMDR. An example will be presented to demonstrate the use of the technique with a typical problem.
Keywords: Adlerian Psychotherapy Adlerian Psychotherapy Connexions Focusing Technique Psychotherapeutic Techniques
Accuracy Verified: Yes
6. Molero-Zafra, M., & Perez-Marin, M. (2011, Julio). Adopcion: Un protocolo basado en EMDR, terapia familiar narrativa y la teoria del apego [Adoption: A protocol based on EMDR, family therapy, narrative and attachment theory]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España .
Language: Spanish
Format: Conference
Abstract:
La adopción es un tema actual, cuyo interés crece progresivamente. Su vigencia
social resulta incuestionable si atendemos al incremento exponencial de niños adoptados
por familias españolas, especialmente en adopciones internacionales. La Ley de Adopción
vigente en España contempla la adopción como un recurso de protección para aquellos
niños/as que no puedan permanecer en su propia familia. Para que se cumpla este objetivo
deben arbitrarse todos los mecanismos necesarios que garanticen al niño una familia capaz
de asegurar las atenciones propias de la función parental (atención, desarrollo y
educación).
Los niños adoptados pueden sufrir trastornos como cualquier otro niño, ahora bien,
sus experiencias de vida anteriores pueden afectar en mayor grado su desarrollo
emocional, social y familiar. Las experiencias vinculares durante la infancia, influyen
significativamente en la capacidad para formar relaciones íntimas y emocionalmente
saludables. Asimismo, para la formación y cambio de actitudes a lo largo de nuestra vida,
van a ser fundamentales nuestros grupo de referencia, siendo la familia uno de los más
importantes (López et al., 1999). La empatía, el afecto, el deseo de compartir, el inhibirse
de agredir, la capacidad de amar y ser amado y un sinnúmero de características de una
persona asertiva, operativa y feliz, están asociadas a las capacidades medulares de apego
formadas en la infancia y niñez temprana (Punset, 2008).
El objetivo de esta comunicación es presentar un protocolo de abordaje psicológico
ante las dificultades que afectan a las familias con problemas de adaptación en casos de
adopción. Partiendo de la perspectiva conceptual de la teoría del apego, intentamos
promover en estas familias una base de apego seguro, mediante el uso de herramientas
terapéuticas de la terapia familiar narrativa y el EMDR. Se presenta el protocolo elaborado
para tal fin y un caso para la comprensión de la aplicación del tratamiento.
Adoption is a current issue, whose interest grows gradually. Its validity
social is unquestionable if we consider the exponential increase of adopted children
Spanish families, especially in international adoptions. The Adoption Act
force in Spain provides for the adoption as a source of protection for those
children / as not to remain in their own family. To fulfill this objective
must be put all the necessary mechanisms to guarantee the child a family able
to secure the attentions of parenting (care, development and
education).
Adopted children may suffer from disorders like any other child, however,
previous life experiences can affect their development to a greater extent
emotional, social and family life. Relational experiences during childhood influence
significantly in the ability to form intimate and emotionally
healthy. Also, for the formation and change of attitudes throughout our lives,
will be essential to our reference group, the family being one of the most
important (Lopez et al., 1999). Empathy, affection, desire to share, the inhibited
of attack, the ability to love and be loved and a host of features of a
assertive person, operational and happy, are associated with the core competencies of attachment
formed in infancy and early childhood (Punset, 2008). The aim of this paper is to present a protocol of psychological approach
to the difficulties affecting families with adjustment problems in cases of
adoption. From the conceptual perspective of attachment theory, we try in these families to promote a secure attachment base through the use of tools therapeutic narrative family therapy and EMDR. We present a protocol developed
for this purpose and a case for understanding the application of the treatment.
Keywords: Adoption Attachment theory Family Therapy Narrative Theory Symposium
Accuracy Verified: Yes
7. Vogelmann-Sine, S., Popky, A. J., Lazrove, S., Sine, L., Speare, J., Wade, D., & Wade, T. (1995, June). Advanced clinical applications of EMDR to addictive behaviors. Symposium conducted at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
This workshop addresses the application of standard and modified EMDR treatment protocols to addictive and compulsive
behaviors including substance abuse/dependence, overeating, smoking, love addiction. Individuals with addictive and compulsive
behaviors frequently have suffered from childhood trauma and neglect resulting in developmental arrests, as well as a variety of
maladaptive behaviors which are trauma-related and serve to minimize pain. The successful implementation of EMDR to addictive
behaviors requires that EMDR be used as part of an overall treatment program carefully addressing the needs of individuals who
have been traumatized and are exhibiting addictive behaviors. A thorough diagnostic work up is needed aimed at assessing
comorbidity, dissociation, and a detailed trauma history covering childhood traumas and traumas suffered as adults including
traumas that occur as a consequence of addictive behaviors. Careful client preparation is essential to assist individuals in coping
adequately with the high levels of emotion experienced during EMDR Clients' readiness to stop compulsive/addictive behaviors
needs to be carefully evaluated.
A decision tree aimed at determining the appropriateness of EMDR to individuals diagnosed with addictive behaviors is presented
which assists clinicians in minimizing the premature use of EMDR. EMDR is a client centered method, and thus, careful pacing is
needed with this population to reprocess underlying traumatic issues. This frequently implies utilizing a modified EMDR treatment
protocol with only partial resolutions of underlying traumatic material. Guidelines will be discussed to assist clinicians in selecting
EMDR targets for optional results which relate to the stages of recovery. EMDR can be used at all stages of recovery to neutralize
the negative impact of memories contributing to problematic behaviors, such as urges to use, ambivalence about treatment, fear of
facing painfull feelings from the past. EMDR also has the power to install templates for future actions which assist individuals with
skill deficits in more rapidly acquiring necessary skills for a successful recovery. Examples of cognitive interweaves are presented
which take into consideration clients' readiness, as well as the need to accelerate the recovery process.
EMDR has a unique role in the recovery of traumatized individuals with addictive and compulsive behaviors since the accelerated
processing of negative experiences and the installation of positive adaptive cognitions assist clients in more rapidly overcoming
barriers throughout the recovery process. It also challenges rigid approaches to recovery which frequently stress that trauma work
should not be attempted before abstinence has been accomplished for a specified period of time. EMDR is especially valuable in
processing core issues which center around shame and manifest in cognitions, such as "I am defective," "There is something wrong
with me," "I am not good enough," "I am not quite right," "I don't belong," "I don't deserve to live." Case examples will be given as
to how such core issues can be targeted to accelerate the recovery process.
A.J. Popky has developed a specialized EMDR treatment protocol which targets levels of urges of addictive/compulsive behaviors
directly and installs a positive internal state of feeling empowered without relying on compulsive and addictive behaviors. Case
examples fiom clinical practice indicate that when levels of urges are targeted directly, underlying traumas frequently emerge
without increasing clients' usage. The symposium addresses the application of this protocol to a range of addictive and compulsive
behaviors.
The Wades' integrative psychotherapy combines ego-state therapy and EMDR in a psychosocial developmental context. Their
substance use disorders treatment program incorporates specialized applications of their integrative psychotherapy, which includes
both individual and group therapy and employs hypnosis as well as EMDR Their presentation focuses on applications of the
standard EMDR protocol in individual therapy, which is limited primarily to desensitization of dysphoric affect and reprocessing
negative cognitions associated with grief and trauma.
Their conceptual framework of substance use disorders proceeds from a goal of reducing the harm caused by substance use and a
primary distinction between functional and autonomous use (rather than the DSM conceptualizations of "dependence" or "abuse")
because this guides interventions. Initial treatment planning depends upon external constraints (e.g., lack of support for positive
change, hostile environment), internal limitations (e.g., severity of substance use and its effects, neurocognitive deficits, inadequate
"ego strength," lack of skills, disrupted psychosocial development, psychological trauma) and the nature of the substance use
disorder (i.e., functional, autonomous, or both).
Methods include education about substance use disorders and processes of change, group therapy to develop skills and obtain
feedback and support, individual therapy to correct disrupted development and resolve traumatic stress reactions, and exercises to
apply what is learned in real-life situations. The standard EMDR protocol is applied to disrupted development involving grief and
to resolve psychological trauma that lead to substance use. Case vignettes in which such applications of the standard EMDR
protocol were employed are presented in detail.
Keywords: Addictions Substance Abuse Symposium
Accuracy Verified: Yes
8. Dworkin, M. (2008, September). Advanced clinical strategies for clients with complex PTSD and dissociation. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ.
Language: English
Format: Conference
Abstract:
Clients with complex PTSD and dissociation present many challenges. The neurosciences have helped us to begin to understand and deal with them through a recent clarification of mirror neurons and associated neural structures in both the clinician and client. Concepts from the Boston Change Process Study Group and ego state therapy provide methods of analyzing and intervening in the “microprocesses” that occur in treatment. Hoppenwasser’s concept of “dissociative attunement” challenges thinking about the “multiple self states” both clinician and client operate from. Her ideas push us to rethink current conceptualizations of relatedness. Participants will learn how to deal with ruptures in positive empathy that may result in the history taking, assessment, and desensitization phases. In the preparation phase, participants learn to use the therapeutic relationship as an additional resource for containment. Concepts of dyadic regulation of affect, now moments and moments of meeting will be taught to deal with ruptures to the therapeutic relationship throughout treatment. Dealing productively with countertransference ruptures poses additional challenges. Participants will learn a strategy called the “relational interweave”. Its function is to restore EMDR processing when an interpersonal “event” has temporarily derailed the work. A practicum using Dworkin’s Clinician Self Awareness Questionnaire will be held in the afternoon part of the workshop to enhance learning this strategy.
Keywords: Complex Posttraumatic Stress DIsorder Complex PTSD C-PTSD Dissociation
Accuracy Verified: Yes
9. Litt, B. (2008). Advanced techniques in the use of EMDR to treat complex trauma. www.barrylittmft.com.
Language: English
Format: Other
Abstract:
Summary
• Pathogenic family dynamics (relational
configurations) are internalized as ego state
conflicts
• The resulting ego state system is a structured
complementation of the loyalty system
• The subjective sense of Self (and corresponding
relational attitude) is adaptive to the original,
formative context[Excerpt]
Keywords: Complex Trauma
Accuracy Verified: Yes
10. Tibaldi, M. (1996, June). Analytical psychology and EMDR: “active imagination” and “eye movements” in Jungian practice. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
In this paper I shall be talking about the integration of eye movements in Jungian analysis.
I am going to open my paper with a short historical premise, in order to frame Carl Gustav Jung's analytical
psychology within the broader context of depth psychologies; then I shall be describing the most important concepts of
Jungian model and the methodology of active imagination, explaining, to the end, through a short clinical example, the
reasons why I have been induced to integrate 'eye movements' and 'active imagination' in the analytical setting, to process,
in particular, 'opaque' somatic symptoms.
The aim of this paper is to point out, on the one hand, the surprising affinity among some aspects of the Jungian
model, EMDR and the results of contemporary neuro-scientific trauma researchs and to show, on the other hand, the
synergic effect of eye movements and active imagination in enlightening and unconscious sufferings.
Keywords: Analytical Psychology Jung
Accuracy Verified: Yes
11. Vos, S. M. (2005, December). An application of the transtheoretical model to a case of sexual trauma in middle childhood. University of Stellenbosch. doi:10019.1/2938 .
Language: English
Format: Dissertation/Thesis
Abstract:
This study demonstrates the use of the transtheoretical model in the context of sexual trauma in middle childhood. Exploring contemporary literature I found that there is no literature in South Africa available on this topic. It was not until 1997 that the transtheoretical model was implemented internationally with regard to sexual abuse. Taking this in consideration, I realised that there was much scope for exploring, discovering and reflecting on the transtheoretical model and its use within the boundaries of childhood sexual trauma. A qualitative case study within the social constructivist/interpretive paradigm, was chosen as research design. The study involved a participant in middle childhood. Elna (pseudonym) was selected from referrals from the Child Protection Unit of the South African Police Services to the Unit for Educational Psychology at Stellenbosch. The reason for referring Elna to the Unit was because of the negative and diverse effects sexual trauma had on her life story. The study explores the transtheoretical model and the appropriateness thereof as alternative treatment model in a case of sexual trauma, as well as insight into progression of the client in the therapeutic process. Data was collected by means of interviews and therapy sessions during which Narrative therapy, EMDR, sandtray therapy (used in a narrative context) and art therapy techniques were used in an integrated manner. The data was analysed by means of interpreting codes, categories and themes. The study concluded with a discussion of the findings and a reflection on the impact the use of the transtheoretical model had on me as a research-therapist-in-training. The literature review and the findings of this research suggest that the transtheoretical model can be applied effectively to a case of sexual trauma in middle childhood. The use of the model also gives insight into progression of the client in the therapeutic process. Thesis (MEdPsych (Educational Psychology)--University of Stellenbosch, 2005.
Keywords: Narrative Therapy South Africa Transtheoretical Model
Accuracy Verified: Yes
12. Callipo, N. (2007-2008). Applicazioni del pensiero controfattuale negli esiti post-traumatici [Applications of counterfactual thinking in post-traumatic events]. Università degli Studi di Trieste, Italia.
Language: Italian
Format: Dissertation/Thesis
Abstract:
Applicazione del pensiero controfattuale negli esiti post-traumatici
1. Introduzione.
Il pensiero controfattuale è un processo che esprime la capacità di riflettere e
modificare gli scenari di situazioni da cui sarebbero potuti conseguire esiti differenti
dalla realtà. Nella quotidianità è comune che un sentimento di rammarico – il regret -
venga provato a seguito di una discrepanza tra i risultati attesi e la realtà.
La ricerca e l’esperienza condivisa dicono che, rilevare le differenze tra ciò che
avremmo voluto e ciò che abbiamo ottenuto, ci aiuta a pianificare azioni più efficaci nel
futuro. Tuttavia, in condizioni di elevato stress, come quello provato dopo un evento
indesiderato e traumatico, possono fare irruzione nella coscienza pensieri nella forma
“Se solo non fossi stato così…”, oppure “Se solo non avessi fatto” o “Se avessi fatto
qualcosa per evitare tutto ciò”; nel tentativo di annullare (undoing) idealmente le
conseguenze dell’accaduto. Questi pensieri controfattuali possono sortire l’effetto di
amplificare emozioni e sentimenti come il biasimo, la rabbia, la vergogna e il senso di
colpa. L’attitudine alla generazione automatica, indiscriminata e non finalizzata
all’azione, di domande e affermazioni ricorsive, può condensarsi in un particolare stile
di pensiero – la ruminazione – che sottende sensazioni di disagio diffuse e invalidanti,
come gli stati depressivi, ansiosi ed ossessivi.
La prima parte di questo lavoro è occupato da una rassegna sulle ricerche che,
inizialmente, pongono il pensiero controfattuale nel quadro delle più generali abilità di
problem-solving; successivamente, la prospettiva funzionale, riesce a farne risaltare il
versante adattivo, rilevante ai fini della regolazione degli stati affettivi e, più in
generale, del mantenimento della salute mentale.
Nella seconda parte viene discusso il ruolo del pensiero controfattuale, in relazione al
suo versante disfunzionale , con particolare riguardo agli esiti post-traumatici.
Nella terza parte vengono analizzati i modelli di elaborazione delle informazioni che
riconoscono un ruolo al pensiero controfattuale nella regolazione dell’umore, citando
alcuni paradigmi psicoterapeutici, tra cui l’Eye Movement Desensitization and
Reprocessing (EMDR), ideato da Francine Shapiro.
Per verificare l’applicazione del pensiero controfattuale nel trattamento degli esiti
post-traumatici sono stati riportati due esempi: uno tratto dalla letteratura sull’EMDR e
un caso di disturbo ansioso-depressivo, in trattamento con psicoterapia a orientamento
cognitivo.
Application of counterfactual thinking in a post-traumatic results. Introduction. The counterfactual thinking is a process that expresses the ability to reflect and change scenarios of situations that could have been large gains different from reality. In everyday life it is common that a feeling of regret - the regret - should be tried as a result of a discrepancy between expected results and reality. The research says that shared experience, point out the differences between what we wanted and what we have achieved, helps us to plan more effective actions in the future. However, under conditions of high stress, such as that experienced after a traumatic event and unwanted, they can break into the conscious thoughts in the form "If only I had not been so ..." or "If only I had not done" or "If I had done something to avoid anything "in an attempt to cancel (undoing) the ideal of what the consequences. These counterfactual thoughts may have the effect of amplifying emotions and feelings such as blame, anger, shame and guilt. The ability to generate automatic, indiscriminate and not action-oriented questions and statements recursive, it can condense into a particular style of thinking - rumination - that underlies feelings of discomfort common and disabling, such as depression, anxiety and obsessive . The first part of this work is occupied by a review of the research that initially pose the counterfactual thinking in the context of more general skills of problem-solving, since then the functional perspective, can bring out the side adaptive, relevant to the regulation of affective states and, more generally, of maintaining mental health. The second part discussed the role of counterfactual thinking, in relation to its dysfunctional side, especially with regard to post-traumatic results. In the third part analyzes the patterns of information processing that recognize a role in regulating mood counterfactual thinking, citing some psychotherapeutic paradigms, including eye movement desensitization and reprocessing (EMDR), developed by Francine Shapiro. To test the application of counterfactual thinking in the treatment of post-traumatic results were two examples: one taken from the literature on EMDR and a case of anxiety-depressive disorder, treatment with cognitive-oriented psychotherapy.
Keywords: Counterfactual Thinking Informational Processing
Accuracy Verified: Yes
13. Klaff, F. (1999, December). Ask Doctor Frankie, because…There is no such thing as a silly question (Although I may have a silly answer). EMDRIA Newsletter, 4(4), 11-12.
Language: English
Format: Newsletter
Abstract:
I provide some of the questions that people have asked at my trainings on working with children in a family context.
Keywords: Children Questions and Answers
Accuracy Verified: Yes
14. Carter, A. (2007, June). Assessment and treatment of complex PTSD and dissociative disorders in childhood and adolescence, the role and use of EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France.
Language: English
Format: Conference
Abstract:
Damage occurs to a child’s self in the context of relationship when raised in an environment of abuse and neglect. This damage to self is manifested through disruptions in development. A child or adolescent will be unable to perform tasks a non-traumatized child or adolescent has not difficulty mastering. These tasks may be physical, emotional, intellectual, sexual, social, or spiritual. When these disruptions become manifest in the environment with which the child or adolescent is interacting, home, school, or community, conflict arises. The conflict is both internal with self and external in relationship, behavioral, and biological. This is generally when a child or adolescent is brought into therapy for intervention Caregivers are not always aware of the impact traumatic events have on a child’s life or may not want to deal with the impact and the long term implications. The therapeutic relationship is a context outside of the system where the child was traumatized that provide the potential environment and relationship which can facilitate healing for the child, adolescent, and possible, the system in which they live.
Children and adolescents with a complex PTSD will often employ the use of dissociation as a way to cope with overwhelming events or chronically dysfunctional lifestyles. The degree and way in which the child dissociates to self regulate internal systems will determine behavioural and neurological trajectories in their life such as, how the child will cope, rupture of developmental task attainment, and it will determine what type of attachment process the child experiences. Also determined are: impulse control, sleep regulation, meta cognitive functioning, neurobiological processes and the integrative processes of self. When there is no therapeutic intervention, the self which emerges as a result of these processes is a “traumatic self” organization, that is a self structural in response to traumatic experience determined to avoid the repetition of the traumatic experience “at all costs.” The biological body that emerges is the traumatized body organized for avoidance in the forms of fighting, fleeing, or freezing and submitting.
The assessment phase of therapy will map for the therapist and client where the internal dysregulation occur, what are the maladaptive response which have been developed, and what the negative beliefs are which all contribute to the construction of the “traumatic self." There are a variety of assessment tools specifically designed for this purpose.
Once the map is established, a plan can be developed to use with children and adolescents and family for therapy and for EMDR. There are a variety of models which have been developed to use with children and adolescents to process bad memories, negative cognitions and to strengthen internal resources. EMDR can also be used to facilitate state change, strengthen self regulatory capacities, and promote integrative processes of authentic self, facilitating healing throughout self, body, and relational systems.
Keywords: Adolescents Children Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Dissociative Disorders
Accuracy Verified: Yes
15. Oglesby, C. (1999). Assessment of the appropriateness of EMDR use in sport interventions. Symposium conducted at the annual conference of the Association of the Advancement of Applied Sport Psychology, Banff, Alberta, Canada.
Language: English
Format: Conference
Abstract:
Initial research indicated extraordinary efficacy ofEMDR
interventions with various forms of trauma. As more and more
research was undertaken, often by researchers removed from
clinical EMDR experience, contradictions emerged and
EMDR samples sometimes fared no better than others. Recent
research with an athletic population indicated that possible
"individual differences" characteristics of potential subjects
mayaccount for some of the previous contradictory results.
Possible screening devices will be discussed in the context of a successful case study report.
Keywords: Athletes Interventions Sports Psychology Symposium
Accuracy Verified: Yes
16. Nickerson, M. (2012, October). Attachment at the societal level: Reprocessing internalized stigma and oppression. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
Attachment challenges also occur at the societal level as individuals seek to integrate in a meaningful way into social groups and the larger society. An added dimension of clinical work awakens with a cultural context lens that understands social identity and addresses the traumatic impact of social marginalization and oppression. The AIP model successfully predicts that internalized stigma and oppression can be dismantled by building inner resources, reprocessing memories associated with experiencing discrimination and integrating new knowledge about social dynamics. Practical EMDR based strategies will be portrayed with clinical examples, videotaped sessions and the validating feedback from over 60 EMDR therapists who explored these issues in training practicums.
Keywords: Attachment Internalized Stigma Oppression
Accuracy Verified: Yes
17. Parnell, L. (2013, April). Attachment-focused EMDR: Healing relational trauma. New York, NY: W. W. Norton & Co.
Language: English
Format: Book
Abstract: Attachment
Accuracy Verified: No
18. Forbes, D., Creamer, M., Phelps, A., Bryant, R., McFarlane, A., Devilly, G. J., Lynda Matthews, L., Raphael, B., Doran, C., Merlin, T., & Skye N. (2007, August). Australian guidelines for the treatment of adults with acute stress disorder and post-traumatic stress disorder. Australian & New Zealand Journal of Psychiatry, 41(8), 637-648. doi:10.1080/00048670701449161.
Language: English
Format: Journal
Abstract:
Over the past 2-3 years, clinical practice guidelines (CPGs) for post-traumatic stress disorder (PTSD) and acute stress disorder (ASD) have been developed in the USA and UK. There remained a need, however, for the development of Australian CPGs for the treatment of ASD and PTSD tailored to the national health-care context. Therefore, the Australian Centre for Posttraumatic Mental Health in collaboration with national trauma experts, has recently developed Australian CPGs for adults with ASD and PTSD, which have been endorsed by the National Health and Medical Research Council (NHMRC). In consultation with a multidisciplinary reference panel (MDP), research questions were determined and a systematic review of the evidence was then conducted to answer these questions (consistent with NHMRC procedures). On the basis of the evidence reviewed and in consultation with the MDP, a series of practice recommendations were developed. The practice recommendations that have been developed address a broad range of clinical questions. Key recommendations indicate the use of trauma-focused psychological therapy (cognitive behavioural therapy or eye movement desensitization and reprocessing in addition to in vivo exposure) as the most effective treatment for ASD and PTSD. Where medication is required for the treatment of PTSD in adults, selective serotonin re-uptake inhibitor antidepressants should be the first choice. Medication should not be used in preference to trauma-focused psychological therapy. In the immediate aftermath of trauma, practitioners should adopt a position of watchful waiting and provide psychological first aid. Structured interventions such as psychological debriefing, with a focus on recounting the traumatic event and ventilation of feelings, should not be offered on a routine basis. [InformaWorld]
Keywords: ASD Guidelines Posttraumatic Stress Disorder PTSD Trauma Treatment
Accuracy Verified: Yes
19. Chen, L. (2008, June). Bereavement, EMDR & structural dissociation of the personality theory. Poster presented at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
The Poster Presentation will address the therapeutic issues of a complex bereavement case with traumatized
history in a bicultural society. EMDR as an integrative psychotherapeutic approach and theory like the
“Structural Dissociation of the Personality” as proposed by Nijenhuis, Van der Hart, & Steele complements each
other in working with complex bereavement. The Presentation outlines the conceptualization of the case based
on this theory, the working process and milestones. As the individual grieves, various levels of structural
dissociation are observed. Symptoms are understood in light of the “Apparently Normal and the Emotional Parts
of the Personality”. The working procedures within the EMDR framework involve processing materials from
different levels of structural dissociation. A reduction of trauma-related symptoms (i.e. depression, phobia,
anxiety) over the course of EMDR treatment was observed. Finally, treatment issues as related to attachment,
traumatic memory, and daily functioning are discussed in the context of a bicultural urban city. [Note: Poster and Word Versions]
Keywords: Dissociation Personality Theory Poster
Accuracy Verified: Yes
20. Marich, J. (2012, April). Beyond client, clinician and method: Enhancing empathy in the practice of EMDR/Au delà du client, du clinicien et de la méthode : favoriser l'empathie dans la pratique de l'EMDR . Presentation at the annual meeting of the EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
Even with her emphasis on fidelity to the protocols of EMDR, Shapiro acknowledges the importance of the therapeutic alliance. She described the execution of EMDR as an essential interaction between client, method, and clinician. This workshop encourages participants to take Shapiro’s thinking a step further. After attending this workshop, participants will be able explain what a general literature review of the psychotherapeutic professions reveals about the importance of empathy in treatment. After participating in a guided imagery exercise that is designed to foster empathy, participants will be able to identify with the experience of a new client presenting for and experiencing EMDR treatment. Finally, participants will be able to evaluate one’s own capacity for empathy within the therapeutic context and apply it to their own EMDR practice.
Learning objectives:
1.To explain what a general literature review of the psychotherapeutic professions reveals about the importance of empathy and therapeutic alliance in treatment (regardless of specific method)
2.To identify with the experience of a new client presenting for and experiencing EMDR treatment
3.To evaluate one’s own capacity or empathy within the therapeutic context and apply it to their own EMDR practice
Accuracy Verified: Yes
21. Litt, B. (2009, August). Beyond trauma resolution: EMDR and the growth of the relational self. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
This workshop explores family dynamics contributing to ego fragmentation and interlocking ego-state conflict in individual and couples therapy. Participants will learn about the relationship between family dynamics and ego structure, reenactments from the family of origin, and the manifestations of ego-state conflict in individual and conjoint therapy. Participants will learn a contextual model for EMDR-based assessment and treatment planning, the indications and contraindications of conjoint EMDR, a model of the Self that zeroes in on the salient negative cognitions being triggered, and learn a progression of techniques to control and focus desensitization within the optimal zone of arousal.
Keywords: Family Dynamics
Accuracy Verified: Yes
22. Litt, B. (2010, April/May). Beyond trauma resolution: EMDR and the growth of the relational self. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
This workshop explores family dynamics contributing to ego fragmentation and interlocking ego state conflict in individual and couples therapy. Participants will learn about the relationship between family dynamics and ego structure, re-enactments from the family of origin, and the manifestations of ego state conflict in individual and conjoint therapy. Participants will learn a contextual model for EMDR-based assessment and treatment planning, the indications and contraindications for conjoint EMDR, a model of the Self that zeroes in on salient negative cognitions, and a progression of techniques to control and focus desensitization within the optimal zone of arousal. (Intermediate/Advanced)
Keywords: Relational Self
Accuracy Verified: Yes
23. Litt, B. (2011, April-May). Beyond trauma resolution: EMDR and the growth of the relational self. Presentation at the EMDR Canada Workshop in Vancouver, British Columbia, Canada.
Language: English
Format: Conference
Abstract:
This workshop will explore family dynamics contributing to ego fragmentation and interlocking ego state conflict in individual and couples therapy. Participants will learn a model for EMDR-based assessment and treatment planning, describe ego state manifestations in couples conflict and learn to manage ego states in the desensitization phase of processing.
In Part One, participants will learn about the relationship between family dynamics and ego structure, reenactments from the family of origin, and the manifestations of ego state conflict in individual and conjoint therapy.
In Part Two, participants will learn a model for EMDR-based assessment and treatment planning using contextual family therapy, the indications and contraindications of conjoint EMDR, a model of the Self that zeroes in on the salient negative cognitions being triggered, and learn a progression of techniques to control and focus desensitization within the optimal zone of arousal.
This interactive workshop will include videotape and didactic material designed to facilitate a deeper understanding of this exciting new integrative model. For individual, couples, and family therapists.
Learning Objectives:
•Individual and conjoint therapists will sharpen their diagnostic skills by learning to assess intergenerational patterns that contribute to ego fragmentation in their clients.
•Couples therapists will use knowledge gained to evaluate repetition compulsions or reenactments in their client couples.
•Individual and conjoint therapists will learn to deconstruct reenactments to identify negative cognitions preparatory to doing EMDR.
•Conjoint therapists will assess for indications and contraindications for conducting conjoint EMDR sessions with client couples.
•Therapists will be able to rapidly assess negative cognitions using a new typology of Domains of the Self.
•EMDR therapists will be able to employ a model of the zone of optimal processing for efficient and safe desensitization.
•EMDR therapists will be able to use a variety of techniques for maintaining their clients within the zone of optimal processing.
Keywords: Ego State Therapy
Accuracy Verified: Yes
24. Laliotis, D. (2010, April/May). Beyond trauma: Rebuilding the self with EMDR. Presentation at the annual meeting of EMDR Canada, Toronto, Ontario.
Language: English
Format: Conference
Abstract:
Clients who present with life-long relationship problems and serious self-esteem issues often have pervasive developmental deficits that manifest as attachment and/or character disorders. While EMDR is an efficient treatment, addressing the early life experiences that contribute to a client’s ongoing difficulties is more than just reprocessing the nodal events of childhood; it is about generating corrective experiences of self in relationship with others. Participants will learn how to use EMDR to facilitate the uncoupling of negative core beliefs and core affects from positive, more adaptive aspects of self that have been depressed, dissociated, or otherwise undeveloped. To this end, clinicians will learn how to actively utilize the client’s emergent experience of self within the context of EMDR processing using an expanded repertoire of cognitive interweave strategies. Materials will be presented through lecture and videotape of actual continuous clinical cases as well as a large group discussion format in which participants will be able to discuss their own cases with the presenter. (All Levels)
Keywords: Rebuilding Self
Accuracy Verified: Yes
25. Nieuwenhuis, S., Elzinga, B. M., Ras, P., Berends, F., Duijs, P., Samara, Z., & Slagter, H. (2013, February). Bilateral saccadic eye movements and tactile stimulation, but not auditory stimulation, enhance memory retrieval. Brain & Cognition, 81(1), 52-56. doi:10.1016/j.bandc.2012.10.003.
Language: English
Format: Journal
Abstract:
Recent research has shown superior memory retrieval when participants make a series of horizontal saccadic eye movements between the memory encoding phase and the retrieval phase compared to participants who do not move their eyes or move their eyes vertically. It has been hypothesized that the rapidly alternating activation of the two hemispheres that is associated with the series of left–right eye movements is critical in causing the enhanced retrieval. This hypothesis predicts a beneficial effect on retrieval of alternating left–right stimulation not only of the visuomotor system, but also of the somatosensory system, both of which have a strict contralateral organization. In contrast, this hypothesis does not predict an effect, or a weaker effect, on retrieval of alternating left–right stimulation of the auditory system, which has a much less lateralized organization. Consistent with these predictions, we replicated the horizontal saccade-induced retrieval enhancement (Experiment 1) and showed that a similar retrieval enhancement occurs after alternating left–right tactile stimulation (Experiment 2). Furthermore, retrieval was not enhanced after alternating left–right auditory stimulation compared to simultaneous bilateral auditory stimulation (Experiment 3). We discuss the possibility that alternating bilateral activation of the left and right hemispheres exerts its effects on memory by increasing the functional connectivity between the two hemispheres. We also discuss the findings in the context of clinical practice, in which bilateral eye movements (EMDR) and auditory stimulation are used in the treatment of post-traumatic stress disorder. [Copyright &y& Elsevier].
Keywords: Bilateral Stimulation Memory Retrieval Saccadic Eye Movements Saccades Tactile Stimulation
Accuracy Verified: Yes
26. Fisher, J. (2007, September 29). The body as a shared whole: Somatic interventions for working with trauma and dissociation. Presentation at the Quarterly Meeting Program of The New England Society for the Treatment of Trauma and Dissociation.
Language: English
Format: Conference
Abstract:
To stabilize overwhelming symptoms, integrate
memories, and overcome the terror of intimacy,
traumatized clients must establish sufficient safety in the body that they do not continue to recreate the unsafe world of childhood. Otherwise, the “child in the nightmare” from decades ago remains lost in time, demoralized
by internal critics and
terrified by the threats of
hypervigilant internal
protectors.
Because the body is the
container for all past and
present experience and for
all parts of the self,
somatically oriented
approaches can address
the intense and often
baffling reactions of these
patients in a way that is
both simple and effective.
This workshop will
demonstrate bodyoriented
interventions for
working with traumatized
and dissociative patients
drawn from Sensorimotor
Psychotherapy and easily
integrated into EMDR,
IFS, and traditional
talking therapies.
Through the use of
lecture, videotape, and
demonstration, participants will have the
opportunity to observe
somatically informed
solutions to a number of
common clinical
challenges encountered in
trauma treatment.
Capitalizing on recent
advances in the research
on attachment and trauma,
the workshop will also
provide a context for
understanding how to use
the therapeutic
relationship to provide a
safe “container” for both
patient and therapist in the
challenging work of
trauma treatment.
Keywords: Dissociation Somatic Interventions Trauma
Accuracy Verified: Yes
27. Leeds, A., & Mosquera, D. (2012, October). Borderline personality disorder and EMDR. Presentation at the annual meeting of the EMDR International Association, Arlington, VA.
Language: English
Format: Conference
Abstract:
BPD patients present difficulties with self-regulation and relating to others. The management of these difficulties is central to the treatment of BPD. Working with cases of BPD and complex trauma is intrinsically relational, often involving the need to manage moments of intense affect and affect phobias in the transference and countertransference. Understanding and having strategies for addressing these issues is essential. This workshop integrates theoretical exposition with the presentation of videos cases. The general structure of EMDR therapy in treating BPD and interventions for the preparation phase and considerations for trauma-focused EMDR work will be demonstrated and explained.
Keywords: Borderline Personality Disorder
Accuracy Verified: Yes
28. Emard, P. (1995, June). A brief look at MRI brief therapy. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
The MRI approach to brief therapy originated out of the serendipitous coming together of several incredibly creative minds that
resulted in a form of psychotherapy in which the major goal was to make psychotherapy more efficient and more effective. It evolved
out of research project on communication begun by anthropologist Gregory Bateson that soon involved the work of hypnotherapist
Milton H. Erickson and psychiatrist Don Jackson. John Weakland, Jay Haley, Paul Watzlawick and Richard Fisch began to publish
the ideas that resulted fiom the early research findings and in doing so developed a particular set of assumptions about the formation
and resolution of human problems that differed significantly from traditional treatment models of the time. Further refinements
through the clinical application of these methods resulted in a model of treatment that was a pioneer of the brief psychotherapy
movement. It is based on a non-normative and non-pathological way of viewing people with problems; it looks at people in the
context of their living situations; it resists the idea of client resistance, it places great emphasis on the use of language; and it seeks
to amplify client assets and resources and minimize client liabilities and shortcomings.
Brief therapists assume a willingness to be an active change agent for the benefit of their clients. They accept responsibility for
creating an atmosphere of respect, patience, and creativity in which clients can find alternative ways to think and behave. They
believe they have a set of tasks to perform that will hopefully result in the resolution or, as a minimum, the diminishment of the
problem situation for which the client originally sought help.
These tasks consist of a combination of ways of thinking and acting that are designed to increase the likelihood that the client will
experience relief from a painful problem. One of the main tasks for a brief therapist is to find ways to construe the problems
presented by the client so that a solution can be found. Brief therapists inquire into the interactional systemic aspects of a problem,
the context or environment in which the problem occurs, the people involved in the problematic situation, and the ways the client has
attempted to resolve the problem thus far.
Another very important task is to identify and gain access to the persons who are the most interested in and willing to work toward
changing the problem situation. The idea here is to spend the bulk of the therapeutic time and effort working with the person who is
most invested in the change process. Brief therapists find ways to appeal to this person's values and belief systems so that (s)he will
engage in activities and/or alter her/his behavior in ways that are likely to change the problem situation.
A third task on which brief therapists concentrate is the establishment of clear, concrete, and doable goals of treatment. They
collaborate with the client to determine what the client hopes to gain from treatment and when the client will know she is ready to
handle life on his/her own, this assumes an emphasis on the client's present and the possibilities for the client's future rather than
his/her past.
The fourth task brief therapists focus on is the development of ways of intervening in the way the presenting problem is being
handled in the present time. This is based on the central assumption that one of the main goals of psychotherapy is to induce
clients to change the way a problem is handled. Such intervening is the result of thoughtful and careful consideration of many factors
surrounding the problem situation and involves the use of a variety of skills.
A final task for the brief therapist is to find ways to remove him/herself from the client's life in such a way that the client has faith in
her/his own ability to function effectively without the therapist.
This treatment model offers clinicians an opportunity to work in positive, goal-directed ways that clients find helpful and therapists
find challenging and satisfying. It calls upon clinicians to develop keen observation skills, the ability to see things fiom a variety of
perspectives, and an appreciation for the vast resources clients bring with them to therapy. While it is a simple model of treatment, it
is by no means an easy one to master. It requires clinicians to step outside their usual frames of reference in the pursuit of creative
solutions to difficult human problems. It rewards them with a greater sense of accomplishment and increased client satisfaction.
In the ever-changing world of mental health, this is no small achievement.
Keywords: MRI Brief Therapy
Accuracy Verified: Yes
29. Lopacka, J., & Phoeun, B. (2010, July). Building on experience: Post-typhoon trauma EMDR work in Cambodia utilising the lessons learned from Thailand's post-tsuname programme. Symposium (Carolyn L. Neunuebel, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
On September 26th 2009 Typhoon Ketsana wrought devastation on parts of the Philippines, Vietnam and Cambodia. Mindful
of the hard lessons learned running a tsunami trauma programme in Thailand in 2005/06 Jane Lopacka, an EMDR therapist
and training facilitator and director of Phnom Penh Counselling Centre, led and supervised a team of Cambodian MA in
Clinical Psychology students who were trained in Part 1 EMDR to provide EMDR treatment to Ketsana victims. The purpose
of this paper is to demonstrate the scope, assessment methods, treatment programme, constraints, financial issues, and
challenges of the programme whilst utilising the lessons learned from Thailand’s Tsunami EMDR trauma programme. The
results regarding the efficacy of EMDR in a Cambodian context will be examined using pre and post treatment data. The
results include a comparison of 4 months post-treatment evaluation compared to an assessment of an equivalent random
number of Ketsana victims from the same and neighbouring villages who did not receive treatment (to be completed in June
2010 as the farming season dictates). This paper will also demonstrate the utilisation of the lessons learned from Thailand’s
Tsunami EMDR programme in a typhoon trauma treatment programme in Cambodia. Also, this being the students’ first
exposure to trauma work using EMDR, this paper will record the experiences of the students involved. By way of conclusion
this paper will identify further lessons learned in Cambodia along with recommendations regarding future feasible and
manageable post-trauma work with limited resources and a small budget in a Southeast context.
Keywords: Cambodia Thailand Tsunami Typhoon
Accuracy Verified: Yes
30. Royle, L. (2012, October). The challenges of integrating EMDR basic training into the context of your own practice. Presentation at the at the 4th Autumn EMDR Workshop Conference, Sheffield, UK.
Language: English
Format: Conference
Abstract:
The workshop will look at common challenges faced by therapists when beginning the task of integrating EMDR basic training into their existing practice and skills. It will discuss how therapists often react to this challenge (including ‘giving up’ and ‘protocol drift’) and offer suggestions on how to overcome this. The specific difficulties encountered by those with different theoretical backgrounds will be highlighted. This workshop is aimed at novice EMDR therapists who may be feeling apprehensive about applying their new skills.
Accuracy Verified: Yes
31. Wesselmann, D. (2013, April). Changing the lives of children with reactive attachment disorder behaviors through EMDR treatment. Keynote presented at the Congress EMDR Vereniging EMDR Nederland, Nijmegen, the Netherlands.
Language: English
Format: Conference
Abstract:
Many children exhibit severe and challenging behaviors such as aggressive outbursts, arguing and defiance, lying, stealing, and sexualized behaviors due to very early life relational trauma. EMDR Integrative Team Treatment involves family therapy and EMDR. With intervention from family therapy and EMDR Attachment Resource Development, parents can provide better emotional support, allowing their children to open up emotionally. As the EMDR therapist implements therapeutic attunement, storytelling, empowerment interweaves, and role-plays, hurt children can find healing and hope. Videos will supplement this presentation.
Keywords: Children Reactive Attachment Disorder
Accuracy Verified: Yes
32. Borrelli, S. (2002). Chaper 5: Into the new millennium: Child advocacy and EMDR. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008.
Language: English
Format: Other
Abstract:
When planning treatment for a child, we must assess carefully the developmental issues
(internal press) that seem to be ascendant at different life stages, the context (external
press) in which these issues are being accomplished and probably frustrated, and
secondary gains issues. Especially for a child, the risks of change must be prepared for.
Family therapy theories remind us that as the child improves, the status quo of the family
"crisis" will also need to adapt. We’re all aware of the obvious and subtle resistances to
change offered by family members. all of whom might be vying for survival guarantees.
A sensitive assessment of the family context, then, is an essential aspect of the treatment
process. Which family members are most likely to be allies in the quest for change, and
who are the most at risk, and likely to challenge positive changes? [Excerpt]
Keywords: Children
Accuracy Verified: Yes
33. Litt, B. (2007). The child as identified patient: Integrating contextual therapy and EMDR. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 306-324). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
It is estimated that as many as 2% of children under age 12 and from 5% to 18% of adolescents suffer from a depressive disorder (Birmaher et al., 1996; Northey, Wells, Silverman, & Bailey, 2003) that will likely persist into adulthood (Northey et al., 2003; Wagner & Ambrosini, 2001). Contextual Therapy is a differentiation-based (e.g., Kerr & Bowen, 1988; Schnarch, 1991) approach in that it promotes self-determination in the face of family pressure for compliance, reliance on internal resources for self-validation rather than dependence on others for approval, and the overcoming of emotional discomfort in the interests of responsible action (Boszormenyi-Nagy & Krasner, 1986). Both the contextual approach and the Adaptive Information Processing (AIP) model predict that formative childhood experiences affect both psychological health and relational functioning. With its systemic paradigm and its ethical dimension of relationship, the contextual approach is complementary and additive to Shapiro's (2001) AIP model. The contextual approach shows the clinician where to look for the targets, and Eye Movement Desensitization and Reprocessing (EMDR) provides the potency to transform the experience. A general structure of phase-oriented therapy can be described that accounts for most, if not all, referrals for treatment. An assessment phase, a contracting phase, and an intervention phase characterize the main tasks of the therapist. In practice, these phases may overlap, coincide, or repeat themselves over the course of minutes, weeks, or months. This chapter describes only those practices that are unique to the integrated approach. (PsycINFO Database Record (c) 2008 APA, all rights reserved
Keywords: Adaptive Information Processing Model Affective Disorders Child Patients Contextual Therapy Depressive Disorder Integrated Approach Integrative Psychotherapy Major Depression Models
Accuracy Verified: Yes
34. Brand-Wilhelmy, B., Irmler, D., Adam, H., Lucas, T., Möller, B., & Riedesser, P. (2002). Child refugees in Europe: Guidelines on the psychosocial context, assessment of and interventions for traumatised children and adolescents. ECRE.
Language: English
Format: Other
Abstract:
This Good Practice Guide is part of a set of three Guides that have been developed by ECRE
member agencies active in the field of reception and integration of refugees. The Guides cover
educational advice to refugees, working with older refugees, and assisting traumatised childrefugees.
They represent the culmination of two years’ work of thematic networks in these areas,
where practitioners have discussed and developed the guiding principles that should underpin
work with asylum seekers and refugees. Networking activities have also enabled the lead
agencies to identify examples of good practice across Europe, and all these findings are presented
in the Guides.
Keywords: Adolescents Children Refugees
Accuracy Verified: Yes
35. Greenwald, R. (1995, June). Children-case presentations. Presentation at the EMDR Network Conference, Santa Monica, CA.
Language: English
Format: Conference
Abstract:
One major limitation of EMDR is that it is an individual treatment modality. However, individual treatment of a child may be
insuflicient, and broader interventions are often required. This is especially likely when environmental forces are unsupportive or in
opposition to the healing process. This presentation will focus on the use of EMDR on several levels in child treatment, including
individual treatment of traumatic memories, enhancing family support for healing, and addressing family obstacles to healing.
Format will include lecture, vignettes, and a video case presentation of the EMDR treatment of a young girl who had been raped by
a babysitter, along with the EMDR treatment of her older brother who bullied her.
Assessment of child problems includes consideration of many factors. The focus here will be on the child's trauma history, and on
the current family situation it pertains to treatment of the child's traumatic memories. Methods of assessment addressed here include
interview of the child and the parent, observation of family interactions, and observation of the child's progress, both during and after
EMDR treatment.
A number of interventions are available to enhance or augment individual EMDR treatment of the child. Vignettes will be
presented to illustrate the following interventions: referral to family therapy when successful EMDR highlighted the symptom's
functional role; EMDR with a parent to reduce reactivity to the child; and prompting the parent(s) to produce statements and
behaviors to be used later as content for installations.
A challenging case will be presented in which a family, though motivated, demonstrated a number of behaviors which threatened to
undermine the child's treatment. The family consisted of a single father in his late twenties, an eight year-old boy, and a seven-yearold
girl. The presenting problem was the girl's ongoing post-traumatic symptoms, particularly nightmares and social withdrawal,
some two years after having been raped by a babysitter. (the boy also had social and behavioral problems in school.) Unfortunately,
the "lessons" of the girl's traumatic experience were frequently reinforced in the family context, through the brother's bullying of his
younger sister, the father's complicity in the bullying, and the father's own tendency to be overly controlling and threatening.
Treatment began with two family sessions and one with the father alone. The next three sessions were split to provide some
individual time for each child as well as for the father. The seventh, final session included a family meeting and then some time for
each individual. Work with the father was difficult and slow, as he was very defensive regarding his own possible contributions to
his children's problems. Early interventions included delicate attempts to help the father understand the effect of his yelling and
threatening - even though he was no longer in the habit of physically striking his children. Meanwhile, in part to enhance the
therapeutic alliance, the primary focus was on direct treatment of the children. Some of this is shown on video.
The girl was asked to draw a picture of her bad dream, and then to draw it "all better." She first drew a dark picture of a large man
with fangs dripping blood. The next picture was of a nicer man on a sunny day. This activity was used as part of her introduction to
the upcoming EMDR work. In the next session she agreed to do EMDR and completed processing in 25 minutes. The following
session she indicated that the memory was no longer disturbing, and many of the symptoms had disappeared. She began to raise her
next concern, by playing with a doll and a baby bottle, and complaining that she did not get to see her mother enough.
Over the same three sessions the boy was also treated with EMDR for a number of relatively minor traumatic memories, including a
car accident, the loss of two pets, and a vision of the devil. Despite apparently successfull processing, he was unable to conclude that
he was a "good boy," due to evidence to the contrary: memories of his father's anger at him. Cognitive interweave was used to
access a sense of inner goodness. The bullying behavior reportedly disappeared both at home and at school, and he also moved on,
to express concerns about missing his mother.
Treatment was interrupted due to a change in insurance coverage, so continued treatment and follow-up was not accomplished. This
case illustrates some ways that EMDR can be enlisted to address aspects of the family context which may constitute obstacles to
healing. The girl's brother was treated with EMDR to reduce his mistreatment of her; and the boy's sense of badness, largely gained
by interaction with his father, was overcome by accessing internal resources in the absence of parental support. In conclusion,
EMDR can play multiple roles in both the diagnosis and treatment of family obstacles to healing.
Keywords: Case Presentations Children
Accuracy Verified: Yes
36. Yang, Y., & Wu, W. (2008, June). A Chinese way to use ‘safe place’ in grief work. Poster presented at the annual meeting of the EMDR Europe Association, London, England UK.
Language: English
Format: Conference
Abstract:
Every culture has its special way to deal with grief. In Chinese culture which is collectivism-oriented, people deal
with grief not only in a society context, but also have a lot of connection with the bereaved ones. We found that
it is hard to help the clients to be stabilized and work with EMDR on their grief before you help them to find a
“Safe place” to settle their bereaved ones down. Hence, we use a modified “safe place” technique to help the
clients to create a “heaven” for their loved ones, a “place” they can visit to say “hello” again to their bereaved
ones. Our presentation will how we did that in a case series of adults and children by using imaginary ways and
artistic ways. Using EMDR as standard protocol was effective to remove the symptoms and got the SUDs down.
Keywords: Chinese Grief Poster Safe Place
Accuracy Verified: Yes
37. Carinci, A. J., Mehta, P., & Christo, P. J. (2010, April). Chronic pain in torture victims. Current Pain Headache Reports, 14(2), 73-79 .
Language: English
Format: Journal
Abstract:
Torture is widely practiced throughout the world. Recent studies indicate that 50% of all countries, including 79% of the G-20 countries, continue to practice systematic torture despite a universal ban. It is well known that torture has numerous physical, psychological, and pain-related sequelae that can inflict a devastating and enduring burden on its victims. Health care professionals, particularly those who specialize in the treatment of chronic pain, have an obligation to better understand the physical and psychological effects of torture. This review highlights the epidemiology, classification, pain sequelae, and clinical treatment guidelines of torture victims. In addition, the role of pharmacologic and psychologic interventions is explored in the context of rehabilitation.
Keywords: Chronic Pain Torture Victims
Accuracy Verified: Yes
38. Dworkin, M. (2009). The clinician awareness questionnaire in EMDR. In M. Luber (Ed.), Eye movement desensitization and reprocessing (EMDR) scripted protocols: Basics and special situations, (pp. 401-408). New York: Springer Publishing Co.
Language: English
Format: Book Section
Abstract:
Whenever an EMDR treatment session becomes problematic, consider this self-administered instrument when reflecting on this session. EMDR consultants can also use this measure in their consulting groups to assist consultees in understanding when work with clients have an impact on the clinician. The purpose of using the Clinician Awareness Questionnaire includes the following: (1) To assist in raising awareness of what may be triggering the clinician; (2) To assess what may be coming from the clinician and what may be coming from the client; and (3) To develop EMDR Relational Strategies. Different problems can arise in different phases of the protocol. Sometimes, problems for the clinician may occur in Phase 1 when a client shares information that evokes negative arousal; or Phase 2 when the client has trouble understanding the elements of preparation or wants to get going processing trauma prematurely and the clinician has a negative response; or Phase 3 when there is a problem structuring the Assessment piece. Sometimes, client information may not evoke negative arousal in the clinician until Phase 4 when the client is actively processing. Often times, the clinician's triggers are from old memories. These memories may be explicit; at other times, implicit (somatosensory). As clinicians begin to notice these moments in themselves, they may aid themselves and their clients in continuing productive processing by using the Clinician Awareness Questionnaire. The Clinican Awareness Questionnaire Script is provided. [PsycINFO Database]
Keywords: Clinician Awareness Questionnaire Protocol
Accuracy Verified: Yes
39. Makinson, R. A., & Young, J. S. (2012, April). Cognitive behavioral therapy and the treatment of posttraumatic stress disorder: Where counseling and neuroscience meet. Journal of Counseling & Development, 90(2), 131-140. doi:10.1111/j.1556-6676.2012.00017.x .
Language: English
Format: Journal
Abstract:
There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the neurobiological context underlying the formation and treatment of posttraumatic stress disorders, a mental disorder frequently encountered by counselors, from a cognitive therapy framework.
Recent changes to the Council for Accreditation of Counseling and Related Educational Programs (2009) accreditation standards include the need for counselors-in-training to understand the neurobiological basis of behavior, which marks a new direction for the training of professional counselors who have historically reacted ambivalently toward medical models for understanding client concerns and treatments. Yet recent findings in neuroscience actually support the verbally based interventions that counselors typically use in treatment; therefore, there is much to be gained by counselors and counselor educators in understanding the basics of human neurobiology and how commonly used counseling interventions intervene on these biological systems. The National Institute of Mental Health (2010) stated in a recent strategic plan that “Important discoveries in areas such as genetics, neuroscience, and behavioral science largely account for the substantial gains in knowledge that have helped us to understand the complexities of mental illnesses and behavioral disorders over the past 15 years” (“Introduction,” para. 4).
Given the increasingly biological focus of mental health research, the practicing counselor is faced with the task of understanding and using the emerging mental health treatments and explaining to clients, to reimbursing agencies, and to the broader public how counseling fits within the medically dominated mental health culture. Some counselors have long reacted ambivalently toward the pathologically oriented diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV;American Psychiatric Association, 1994) system and the medication-dominated world of psychiatry. For example, the contrasting viewpoints on this issue were published in the Journal of Counseling & Development between Allen and Mary Ivey (1998, 1999) and Scott Hinkle (1999). Ivey and Ivey (1998) argued for a developmental interpretation to the DSM-IV, opposing what they called the “pathological view” (p. 334) of the manual. According to Ivey and Ivey, disorders could be viewed through a positive development tradition to lie not within the individual but within the contextual systems in which a person lives. Subsequently, disorders are viewed as a “logical response to a developmental history” (Ivey & Ivey, 1999, p. 484). By contrast, Hinkle (1999) argued that because anxiety and depressive disorders “are the most common clinical symptoms associated with presentation to counseling” (p. 475), the counseling profession is weakened if counselors shy away from direct participation in the DSM nomenclature and treatment parlance. As Hinkle indicated, “mental disorders according to the medical model describe disease processes, not people” (p. 475). Regardless of the reader's philosophical perspective, practicing counselors know participation in medical and psychiatric systems is necessary at times. Also, recent discoveries in the field of neuroscience are providing evidence that interventions often used by counselors have direct physiological impact on client neurobiology (Kennedy et al., 2007; Linden, 2006). For example, Felmingham et al. (2007) demonstrated significant differences in brain activity before and after 8 weeks of exposure therapy, which correlated with a reduction in posttraumatic stress disorder (PTSD) symptom severity. Similarly, Paquette et al. (2003) found that cognitive behavioral therapy (CBT) alters the activation and metabolism of specific brain regions following successful treatment of spider phobia. These findings, along with others (for a detailed review, see Beauregard, 2007; Frewen, Dozois, & Lanius, 2008), are significant because they support the techniques, interventions, and approaches used by counselors and provide a mechanism by which counseling positively affects brain physiology. Within the emerging physiologically based treatment milieu, counselors should be prepared to articulate how cognitive counseling interventions make measurable changes to the client. Although cognitive-behavioral-based approaches are effective in the treatment of a number of psychiatric illnesses, adult PTSD is arguably one of the best understood mental disorders from a neurological perspective. It thus presents a valuable model for exploring not only the basic tenets of neurobiology but also the mechanisms behind its successful treatment. Furthermore, PTSD is a disorder that counselors will likely encounter in practice.
PTSD is a mental disorder characterized by a sudden onset of symptoms due to environmental exposure to a psychologically stressful event such as war, natural disaster, or sexual victimization. Thus, it provides a clear example of how, even in adulthood, neurological adaptation (in this case maladaptive changes) can functionally “rewire” the brain in a short period of time, resulting in a sustained array of clinical symptoms. The diagnostic criteria for PTSD are a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyperarousal symptoms. A fifth criterion concerns duration of symptoms and a sixth assesses functioning (American Psychiatric Association, 2000).
The National Comorbidity Survey Replication, conducted between February 2001 and April 2003 (Kessler et al., 2005), determined that the estimated lifetime prevalence of PTSD among American adults is 6.8%, with women (9.7%) twice as likely as men (3.6%) to have the disorder at some point in their lives. These findings are very similar to those of the first National Comorbidity Survey conducted in the early 1990s (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995), which was composed of interviews of a representative national sample of 8,098 Americans ages 15 to 54 years. In this earlier sample, the estimated prevalence of lifetime PTSD was 7.8% in the general population. As in the more recent survey, women (10.4%) were more than twice as likely as men (5%) to have PTSD at some point in their lives (Kessler et al., 2005; Kessler et al., 1995).
Keywords: CBT Cognitive Behavioral Therapy Neurobiological Basis of Behavior Neurobiology Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
40. Makinson, R. A., & Young, J. S. (2012, April). Cognitive behavioral therapy and the treatment of posttraumatic stress disorder: Where counseling and neuroscience meet. Journal of Counseling & Development, 90(2), 131-140. doi:10.1111/j.1556-6676.2012.00017.x.
Language: English
Format: Journal
Abstract:
There is increasing evidence to support the biological basis of mental disorders. Subsequently, understanding the neurobiological context from which mental distress arises can help counselors appropriately apply cognitive behavioral therapy and other well-researched cognitive interventions. The purpose of this article is to describe the neurobiological context underlying the formation and treatment of posttraumatic stress disorders, a mental disorder frequently encountered by counselors, from a cognitive therapy framework.
Keywords: CBT Cognitive Behavior Therapy Neuroscience Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
41. Capps, F. (2006, January). Combining eye movement desensitization and reprocessing with Gestalt techniques in couples counseling. Family Journal, 14(1), 49-58. doi:10.1177/1066480705282055 .
Language: English
Format: Journal
Abstract:
Eye movement desensitization and reprocessing (EMDR) is gaining acceptance as efficacious treatment for PTSD for individuals but not for couples. This article reports three case studies of couples in which EMDR is combined with Gestalt therapy in a single session to resolve relational trauma effects, increase empathy and awareness in the supportive partner, and deepen intimacy within the couple. Case studies are described, and implications for research and clinical applications are discussed. [Author Abstract]
Keywords: Adults Americans Couples Therapy Family Therapy Gestalt Therapy Nonclinical Case Study Qualitative Study Perpetrators Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Spouse Abuse Survivors Trauma
Accuracy Verified: Yes
42. Tofani, L. R. (2007). Complex separation, individuation processes, and anxiety disorders in young adulthood. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp. 265-283). Hoboken, NJ: John Wiley & Sons Inc.
Language: English
Format: Book Section
Abstract:
Research has shown that anxiety in children is highly influenced by parenting style, perception of family support (Rapee & Melville, 1997), and family relational patterns. Social Anxiety Disorder (American Psychiatric Association, 1994) is considered to be a common disorder in young adults. According to Shapiro's (1995, 2001) Adaptive Information Processing model, a neurotic symptomatic situation in a young adult with an unfinished separation process may be connected to unresolved separations and other past traumas. This chapter discusses research and clinical evidence, and treatment of young adults with complex separation problems. Integration of family systems therapy and Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 2001) is discussed. In this integrated treatment procedure, family therapy follows the experiential family systems therapy approach (Giat Roberto, 1992; Napier & Whitaker, 1978), with elements of multigenerational and Structural Family Therapy styles (Bowen, 1978; Minuchin & Fishman, 1992). The EMDR standard protocol is followed. A case example and concluding discussion complete the chapter. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Anxiety Disorders Family Relations Family Systems Therapy Family Systems Theory Family Therapy Individuation Integrative Psychotherapy Separation Anxiety Separation Individuation Separation Problems Separation Reactions Structural Family Therapy Young Adulthood
Accuracy Verified: Yes
43. Wagstaff, G. F., Cole, J., Wheatcroft, J., Marshall, M., & Barsby, I. (2007). A componential approach to hypnotic memory facilitation: Focused meditation, context reinstatement and eye movements. Contemporary Hypnosis, 24(3), 97-108. doi:10.1002/ch.334.
Language: English
Format: Journal
Abstract:
Although hypnosis is now less popular as an interviewing technique in forensic investigations than it used to be, recent evidence suggests that some of the components of hypnotic interviewing might still be useful in the development of brief memory facilitation procedures. Two experiments are described which continue this componential approach to hypnotic interviewing. In the first experiment, the effects on episodic memory of a brief context reinstatement (revivication) procedure were examined together with a focused breathing meditation technique which shares similarities with traditional hypnotic induction. A second experiment investigated the effects of horizontal eye movements which some have also associated with hypnotic responding. Results indicated that a combined context reinstatement and focused meditation procedure was more effective than context reinstatement alone in facilitating memory for an emotional event without the increase in false positive errors familiar to more traditional hypnosis techniques. In contrast, an instruction to perform horizontal eye movements was not effective in facilitating memory and, when combined with a suggestion for improved recall, produced higher confidence in incorrect responses. Implications are discussed. [Abstract from author]
Keywords: Accuracy Confidence Context Reinstatement Eye Movements Forensic Hypnosis Hypnotism Interviewing Meditation Memory Memory Facilitation Testing
Accuracy Verified: Yes
44. Waayer, M., & Feijtel, M. (2006, November). Context en timing bij EMDR behandelingen met adolescenten [Context and timing of EMDR treatment with adolescents]. Workshop gepresenteerd aan de tweede congres van de Vereniging EMDR Nederland, Arnhem, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Pubers en adolescenten, leeftijd tussen 12 en 18 jaar kennen intensieve, snel wisselende ontwikkelingsfasen waarbij het veel afstemming van de therapeut vraagt hoe hij of zij contact kan aangaan met de jongere en zijn ouders.
Deze jongeren komen slechts zelden met een eigen hulpvraag bij de GGZ. Meestal trekken de ouders aan de bel, soms school, soms een andere hulpverlener.
Om met adolescenten te kunnen werken is het essentieel dat we aansluiting zoeken en vinden bij de jongere zelf en hoe die zijn probleem ervaart, ook al kan deze probleemdefinitie lijnrecht tegenover de aanmeldingsreden staan. Als er een hulpvraag is gevonden die erkent kan worden door de jonger zelf en door zijn ouders/opvoeders heeft de behandeling meer bodem om te kunnen starten.
Een indicatie voor EMDR-behandeling vraagt altijd om goede voorlichting en uitleg. Bij jongeren speelt vervolgens mee dat de identiteitsontwikkeling en de daarmee gepaard gaande onzekerheidsgevoelens er vaak aan bijdraagt dat EMDR als een “ vreemde gang van zaken” wordt beschouwd. De therapeut moet genoeg vertrouwen in zichzelf en de therapie hebben om de jongere ook het vertrouwen te geven om in proces te durven gaan. Soms gaat dit in golfbewegingen.
Het effect van de behandeling kan om dezelfde reden ontkend worden door de jongere zelf ( er zijn dingen veranderd maar dat kan natuurlijk nooit komen door dat rare gedoe, dat komt vast door die nieuwe verkering die nu zo gelukkig maakt) en belangrijk is dan om ook de context van de jongere erbij te betrekken. Ouders, brusjes of/en vrienden en school kunnen belangrijke informatiebronnen zijn om een goede inschatting te maken over het eventuele effect van de behandeling.
Timing wanneer een EMDR-behandeling kan starten zal rekening moeten houden met schoolvakanties, proefwerken, PTA’s, (examen)feesten…omdat het belangrijk is om niet teveel risico te nemen op verbreking van het verwerkingsproces.
Teenagers and adolescents, aged between 12 and 18 years have intense, rapidly varying stages of development where it is much matching the therapist asks how he or she can enter into contact with juveniles and their parents.
These young people are rare with an own demand for care in mental health. Usually the parents pull the bell, school sometimes, sometimes another helper.
To be able to work with adolescents is essential that we seek and find connections with the young people themselves and what they are experiencing problems, even though this problem definition are diametrically opposed to notification reason. If there is a demand for care is found to be acknowledge by the younger self and his parents / guardians, the more soil treatment to start.
One indication of EMDR therapy always requires good information and explanation. Among young people is then that the identity development and the associated uncertainty feelings that often contributes EMDR as a "foreign affairs" is seen. The therapist must have enough confidence in himself and the therapy to the young people the confidence to dare to go to trial. Sometimes this in waves.
The effect of the treatment can be denied for the same reason the young people themselves (there are some things changed but that can obviously never get through the crazy stuff that is established by the new traffic that is so happy) and also important is to the context of the younger involvement. Parents, siblings and / or friends and school information important to a good estimate on the possible effect of the treatment.
Timing when an EMDR treatment will have to start with school, papers, PTA's, (exam) parties ... because it's important not to take too much risk of breaking the process.
Keywords: Adolescents Juveniles
Accuracy Verified: Yes
45. Gomez, A. M. (2006, September). Creative approaches to motivate, prepare, and guide children to use EMDR. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This workshop is intended to teach specific ways to use storytelling, metaphors and play therapy
techniques within the context of the EMDR protocol. Participants will learn play therapy techniques to use during the target identification phase. Techniques such as the "mixed up box", "My yucky bags" among others, will provide a playful approach
to assist children in identifying EMDR targets as
well as to provide an opportunity for containment.
Safe place, as well as other types of resource
development, will be addressed using alternative ways to cue the child, such as olfactory stimulation. Participants will learn metaphors and stories to help children understand what happens in the mind and body when trauma occurs. These metaphors are intended to motivate children that are reluctant to embrace the memories associated to the trauma. By
using stones and metaphors, children can also
maintain emotional distance from their own
struggles. One of the main goals of this workshop
is to help clinicians learn to communicate more
effectively with children by using metaphors, stones and play. How to talk to children about EMDR and
how to prepare children for the outcome of EMDR
will be addressed. By making the process more
predictable, the likelihood of children stopping the
process when they experience the difficult feelings
associated with the trauma might be minimized.
Participants will also learn to use creative, fun and
playful ways to assist children in understanding and using the measure scales of the EMDR protocol
(SUDS and VOC).
Keywords: Children Metaphors Play Therapy Storytelling Targets
Accuracy Verified: Yes
46. Spates, C. R., Waller, S., & Koch, E. I. (2000, Summer). A critique of Lohr et al's (1998) review of EMDR and Lipke's commentary: Of messages and messengers. the Behavior Therapist, 23(7), 148-154.
Language: English
Format: Newsletter
Abstract:
Our goals are as follows: (a) to propose what we believe is a reasonable context within which to evaluate data pertinent to EMDR; (b) to examine how the evidence fits within an evaluation of the more general treatment outcome literature on PTSD; (c) to suggest a constructive direction for future research. [Adapted from Text, p. 148]
A comment on: Jeffrey M. Lohr, David F. Tolin, and Scott O. Lilienfeld, "Efficacy of eye movement desensitization and reprocessing: implications for behavior therapy", Behavior Therapy 29(1): 123-156 (Winter 1998) [20817] and Howard J. Lipke, "Comments on 'Thirty years of behavior therapy..." and the promise of the application of scientific principles", Behavior Therapist 22: 11-14 (1999).
Keywords: Methodology Posttraumatic Stress Disorder Professional Criticism PTSD Treatment Effectiveness
Accuracy Verified: Yes
47. Tol, W. A., Jordans, M. J. D., Regmi, S., & Sharma, B. (2005, June). Cultural challenges to psychosocial counselling in Nepal. Transcultural Psychiatry, 42(2), 317-333. doi:10.1177/1363461505052670.
Language: English
Format: Journal
Abstract:
This article describes the way in which the practice of psychosocial
counselling was adapted culturally to the context of Nepal within the
Centre for Victims of Torture, Nepal (CVICT). After a brief description of
the Nepali setting and CVICT’s counselling and training approach and the
relationship of its psychosocial counselling intervention with existing
methods of dealing with psychosocial problems, the cultural challenges of
implementing psychosocial counselling and our response to them are
sketched along with concepts deemed important in psychosocial counselling.
A discussion follows in which the authors’ stance on the export of
psychosocial counselling to non-western cultures is outlined.
Keywords: Centre for Victims of Torture Cross-Cultural Nepal Training
Accuracy Verified: Yes
48. Knipscheer, J., van Middendorp, H., & Kleber, R. (2011, August). De rol van cultuur in het omgaan met psychotrauma [The role of culture in coping with psychotrauma]. Psychologie & Gezondheid, 39(3), 125-131.
Language: Dutch
Format: Journal
Abstract:
The role of culture in coping with psychotrauma
In this paper, the theme of the special issue on Culture and Trauma is introduced. In both empirically oriented articles as well as theoretical and contemplative contributions, the role of culture and migration context in the development of psychological problems following trauma, culture-specific or generic coping with the consequences, help-seeking behavior, and the need for culturally sensitive treatment is explored. First, the influence of the migration context is considered with regard to the possible sickening role of the asylum procedure, the burden for immigrant women who have undergone female genital mutilation and now live in a society that seriously condemns it, and the dilemma of Islamic migrants who experience homosexual feelings while living in a secularized society. Following are some contributions on cultural diversity in the expression of trauma symptoms, like somatization among refugees and the articulation of rage and embitterment among labor migrants. The impact of trauma in combination with migration on families and how children can be affected by the traumatization of their parents is the topic of two contributions in which the role of the (extended) family is explored and a contextual approach to working with families with trauma-related symptoms (a mentalization based multifamily therapy) is described. The factors that impede therapyseeking behaviour and drop-out are discussed in a study on Moroccan or Turkish girls who were raped. Finally, the applicability and efficacy of evidence-based interventions for treating ethnic minority patients with posttraumatic stress disorder is illustrated by a study on Eye Movement Desensitization and Reprocessing with refugees and an article on specific elements of intercultural trauma therapy that appear to be culturally sensitive.
Keywords: Asylum Procedure Cultural Diversity Culture Ethnic Minority Patients Female Genital Homosexuality Islamic Migrants Mentalization-Based Multi-Family Therapy Mutilation Migration Context Posttraumatic Stress Disorder PTSD Psychotrauma Trauma
Accuracy Verified: Yes
49. Arnezeder, K. (2001). Der beziehungsaspekt in der EMDR-behandlung [The relationship aspect of EMDR treatment]. Institut fur Traumatherapie.
Language: German
Format: Other
Abstract:
Als Psychotherapeut bin ich in verschiedenen Methoden ausgebildet und diese therapeutische Sozialisation hat in mir die Identität eines „Beziehungsarbeiters“ geschaffen. Meine erste Begegnung mit EMDR war – wie könnte es anders sein – eine traumatische. Beim Schmökern im Buchladen hat mich die Lektüre eines Transskriptes einer EMDRBehandlung in Erschrecken und Erstaunen über die mangelnde Dialogbereitschaft der behandelnden Therapeutin versetzt. Die Klientin berichtet in diesem Transskript von einer traumatischen Erfahrung und die Therapeutin äußert sich dazu in der Form von: „Ja, sehr gut!“ und: „Bleiben Sie dabei!“ Offensichtlich bin ich in eine – wie ich heute weiß – „Reprozessierungsphase“ eines EMDRStandard- Protokolls geraten, und die weitere Lektüre hat suggeriert, dass es bei dieser Methode nicht auf den therapeutischen Dialog und all das ankomme, worin ich mich bislang habe schulen lassen, sondern auf einen durch Augenbewegungen initiierten inneren Verarbeitungsprozess. Inzwischen habe ich beides verarbeitet: sowohl mein Erschrecken als auch mein Erstaunen. Geblieben ist das Interesse an der Bedeutung der therapeutischen Beziehung im Rahmen der EMDR-Behandlung.
As a psychotherapist I am trained in various methods and this therapeutic socialization has created in me the identity of a "worker relationship. My first encounter with EMDR was - how could it be otherwise - a traumatic. Browsing in a bookstore I was reading a script of a Trans EMDRBehandlung in shock and surprise at the lack of dialogue of the treating therapist added. The client reported in this transcript of a traumatic experience and the therapist expresses this in the form of: "Yes, very good," and "Stay there!" Obviously I'm in a - as I now know - "Reprocessing phase" EMDR Standard a protocol advised and further reading has suggested that this method not to the therapeutic dialogue and all that matters is what I have so far can train, but on one eye movements initiated by internal processing. Meanwhile, I had processed both: both my shock and my astonishment. What remains is the interest in the importance of the therapeutic relationship in the context of the EMDR treatment.
Keywords: Transmission Dimension
Accuracy Verified: Yes
50. Patti, M. S (2010, April). Diagnosing and treating complex PTSD: An integrated approach model - Borderline personality disorder and comorbid DID: intervening with EMDR, relational and sensorymotor psychotherapies . Symposium at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland.
Language: English
Format: Conference
Abstract:
The paper presents a clinical case of an initial diagnosis of BPD referred to ARP by local psychiatric services where she was treated for a suicide attempt. The client presented serious affective dysregulation, impulse dyscontrol, dissociative symptoms and refused any medication. Clinical team opted for an integrated assessment which also stabilised the client. The assessment enabled to diagnose the client with structural dissociation isolating both ANP and EP aspects. Clinical intervention adopted an integrated approach using EMDR to treat specific dissociative traits, sensorymotor therapy to intervene on somatic symptoms, and relational therapy to develop therapeutic alliance. A preliminary stabilisation enabled the client to accept support from psychiatric services. This clinical case shed light on how the integration of assessment tools may detect better trauma disorders and challenged the importance of collaborative work between private practice and psychiatric services when intervening with seriously traumatized patients.
Keywords: Borderline Personalith Disorder Comorbid DID Complex Trauma
Accuracy Verified: Yes
51. Vanderlinden, J., & van Bellinghen, M. (2007). Dilemma’s voor de therapeut: De behandeling van een onder doodsbedreiging verkrachte vrouw [Dilemmas for the therapist: Treatment of a raped woman under death threat]. Directieve Therapie, 27(2), 58-62. doi:10.1007/BF03056845 .
Language: Dutch
Format: Journal
Abstract:
In dit artikel wordt de behandeling beschreven van een vrouw met een ernstige eenmalige traumatische ervaring. Na een moeizame start waarbij de cliënte aanvankelijk psychiatrisch-psychotherapeutisch wordt begeleid, komt er een spectaculaire verbetering na één sessie EMDR. Deze verbetering houdt echter slechts tijdelijk stand, onder meer omdat cliënte zich plotseling erg bedreigd voelt ten gevolge van een gerechtelijke beslissing. Deze tijdelijke terugval illustreert hoe de maatschappelijke en juridische context bijdragen aan het verwerken van ernstige traumatische gebeurtenissen. Tot slot volgt een reflectie op allerlei therapeutische dilemma’s bij planning van deze traumabehandeling.
This article describes the treatment of a woman who was victim of a severe traumatic experience. Since a psychotherapeutic and psychiatric approach only resulted in a small amelioration, an EMDR session was planned resulting in a spectacular improvement. The improvement however was temporarily undone when the woman received a judicial notice stating that her offender was taking the case to Supreme Court. This setback illustrates how social and judicial context attributes to the processing of extreme traumatic experiences. The article concludes with a reflection on the therapeutic dilemmas concerning this trauma treatment.
Keywords: Death Threat Rape Women
Accuracy Verified: Yes
52. [Yoshinori Fukui]. (2009, May). Discussion on the use of the dissociative experiences scale (DES): Frequency of dissociative experinces among adolescents. EMDR研究1（1）、12月23日 [Japanese Journal of EMDR Research and Practice, 1(1), 12-23].
Language: Japanese
Format: Journal
Abstract:
This research aims to look at the frequency of dissociative experiences among adolescent
population, and collect basic data. Dissociative Experiences Scale (DES) was administered to 816
university students. The results on each item were analyzed and they were very similar to those
of previous studies. I-T correlation and G-P analyses results indicate that discriminate power for each item is at best when cut-off of 25 or less is applied. Since the data was not distributed normally, test for median was performed and the same result was obtained. On top of that, to secure the normal distribution of the data, square root transformation was undertaken before the two analyses were performed. The results suggest that on G-P analysis, in order to increase
discriminate power, the cut-off needs to be less than 16. However, when false negative and positive
were taken into consideration, it was off from practical use. And when compared with other
researches, it became apparent that depending on the context of measurers used with DES, there
is a possibility of subjecrs being biased. Also it was suggested that items on DES are useful in
screening DID but they are not measuring the overall spectrum of dissociative disorder.
Keywords: Adolescence DES Dissociative Experience Dissociative Experiences Scale
Accuracy Verified: Yes
53. Cotraccia, A. (2008, June). Disorganized attachment in the “worried well”: EMDR in the treatment of adjustment disorders. Presentation at the annual meeting of the EMDR Europe Association, London, England.
Language: English
Format: Conference
Abstract:
This workshop will begin with a focus on current Adjustment Disorder literature. This section will highlight
problems of intrapersonal and interpersonal attunement as defined from an Interpersonal Neurobiological
perspective. Furthermore, literature on attachment theory will explore the importance of contingent
communication in the development of an integrated mind. The relevance of intersubjective experience in
adaptive information processing will help participants learn to identify experiences of misattuned communication
as relational trauma. Information processing will further be explored as related to self states. An emphasis on
recognizing “cohesive vs coherent” self states will be made. The understanding of the multiplicity of the mind in
this section will provide a context for considering dissociation from an attachment theory perspective. In addition
the emergence of cohesive and “disaggregated” self states will be highlighted as a result of the disorganized
attachment experience. This particular type of relational trauma will be conceptualized as a betrayal trauma.
Disavowal of self states will be established as salient in the vagueness of presenting complaints in the patient
with an Adjustment Disorder. AIP case conceptualization of Adjustment Disorders will be established and a focus
for the remainder of the workshop. Identification of memory networks associated with disorganized/unresolved
experiences and integration of cohesive self states will follow. The 8 phased 3 pronged protocol or modified egostate
specific targeting will be highlighted with a case study. Participants will learn to organize a treatment plan
around negative cognitions, affects and behaviours reflected in the presenting problem and history.
Keywords: Adjustment Disorders
Accuracy Verified: Yes
54. Freyberger, H. J., & Spitzer, C. (2005, Juli). Dissoziative störungen [Dissociative disorders]. Der Nervenarzt, 76(7), 893-900. doi:10.1007/s00115005-1956-z .
Language: German
Format: Magazine
Abstract:
Die dissoziative Störungen und Konversion sind mit erheblichen klassifikatorischen, diagnostische und therapeutische Schwierigkeiten, die nur in den historischen Kontext der Diskussion über die Hysterie verstanden werden kann, verbunden. Auch die Einstufung in die ICD-10 und DSM-IV ist heterogen. Prävalenzraten zwischen etwa 3% in der allgemeinen Bevölkerung und bis zu 30% in klinischen Populationen, jedoch beziehen sich auf die große klinische Bedeutung. Realtraumatisierungen eine wichtige Rolle in der Pathogenese. High Komorbiditätsraten mit anderen psychischen Störungen eine Tendenz zu chronischen somatischen Erkrankung und ein Konzept (insbesondere bei Patienten mit Erkrankungen erschweren Umwandlung) der psychotherapeutischen Behandlung. Dies erlaubt die Behandlung Ziele sind sowohl psychodynamische und kognitiv-verhaltenstherapeutischen in Abhängigkeit entwickelt, möglicherweise mit den Techniken der Trauma-Therapie, wie EMDR (Springer).
The dissociative and conversion disorders are associated with significant classificatory, diagnostic and therapeutic difficulties that can be understood only in the historical context of the discussion on hysteria. Even the classification in ICD-10 and DSM-IV is heterogeneous. Prevalence rates of between about 3% in the general population and up to 30% in clinical populations, however, refer to the great clinical significance. Realtraumatisierungen have an important role in the pathogenesis. High Komorbiditätsraten with other mental disorders, a tendency to chronic somatic disease and a concept (especially in patients with conversion disorders complicate) the psychotherapeutic treatment. This allows the treatment goals are designed both psychodynamic and cognitive-behavioral dependence in, possibly with the techniques of trauma therapy such as EMDR (Springer).
Keywords: Chronicity (Disorders) Comorbidity Conversion Disorder Diagnosis Dissociative Disorders Epidemiology Etiology Psychotherapy Somatization
Accuracy Verified: Yes
55. Quinn, G. (2010, July). Early interventions. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or
prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although
usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate
trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian
Assistance Program’s (HAP) Disaster Manual and Marilyn Luber’s : EMDR Scripted Protocols: Basic and Special Situations.(2009)
was developed to deal with victims of natural and man made disaster within hours of exposure to trauma. Participants in this
workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood
within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event
of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR or at other times
of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for
patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident
or in ambulances en route to medical facilities. Case examples will be presented to illustrate the successful treatment of
Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war. In this presentation
the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the
face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine
Shapiro in 1989, will be described and compared to the standard EMDR protocol with emphasis as used in emergency
settings where multiple patients need rapid treatment.
The EMDR Group Protocol will be presented as utilized in the Tsunami of 2004 and during war. A practicum will follow.
Keywords: Early Interventions
Accuracy Verified: Yes
56. Grey, E. (2009, August). Earning security with EMDR. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA .
Language: English
Format: Conference
Abstract:
The experience of safety associated with a secure attachment is essential in promoting social engagement. Social engagement requires the capacity to identify, tolerate and communicate our emotional states. This poster illustrates the pathogenic role that relational trauma plays in thwarting such intrapersonal attunement necessary for interpersonal integration. In particular, disorganized attachment experiences are highlighted as small-t traumas and “touchstone memories” related to “affect phobias”. These phobias are key psychopathological agents that maintain dissociative barriers between components of internal working models of self and other involved in attachment relationships.
Internal working models related to disorganized attachment experiences include segregated information of parent/child interactions in which the parent is the “source and solution of the child’s fright”. The establishment of “trauma coded” internal working models is instrumental in the development of “extra-personal attunement”. As opposed to intrapersonal attunement, extra-personal attunement is characterized by a preoccupation with the feelings, thoughts, and behaviors of others and simultaneous dissociation of one’s own internal experience.
In the wake of such relational trauma, the adaptive information processing system within the individual becomes “corrupt”. The AIP model provides a way to understand the salience of dysfunctionally held information in the brain in thwarting interpersonal attunement and intrapersonal attunement and maintenance of a “corrupt information processing system”. Furthermore, it assists in the clinical navigation of the paths between memory, internal working models, and auto and interactive psychobiological regulation. From a clearer point of view and with an appreciation for the vulnerability of relational misattunement to be traumatic relevant EMDR processing targets can be indentified and targeted. In addition, this AIP conceptualization of relational trauma offers a parsimonious framework within which the effects of trauma can been seen in a variety of psychopathologies.
From adjustment disorders to dissociative identity disorder the feeling of “insecurity” associated with relationships reinforces extra-personal attunement and avoidance of interactive regulation necessary for social engagement. In addition, extrapersonal attunement leads to a preoccupation with the emotional states of others, avoidance of social engagement and substitution of work, play, food, and sex to regulate distress and amplify positive affect.
This poster will offer an Adaptive Information Processing model conceptualization of relational trauma and will outline the role of EMDR in reducing phobic responses to innate affect. It will also highlight the identification and processing of touchstone memories related to disorganized attachment experiences in both the standard EMDR protocol and the adapted “Ego-state specific” protocol. These interventions will be portrayed as necessary components of a comprehensive treatment plan in the treatment of relational trauma. Finally the successful treatment of relational trauma will be depicted as a relevant in promoting intrapersonal attunement necessary for interpersonal integration.
Keywords: Affect Phobias Phobias Relational Trauma
Accuracy Verified: Yes
57. Cotraccia, T. (2009, August). Earning security with EMDR - Promoting social engagement in the wake of relational trauma. Poster presented at the annual meeting of the EMDR International Association, Atlanta, GA.
Language: English
Format: Conference
Abstract:
The experience of safety associated with a secure attachment is essential in promoting social engagement. Social engagement requires the capacity to identify, tolerate and communicate our emotional states. This poster illustrates the pathogenic role that relational trauma plays in thwarting such intrapersonal attunement necessary for interpersonal integration. In particular, disorganized attachment experiences are highlighted as small-t traumas and “touchstone memories” related to “affect phobias”. These phobias are key psychopathological agents that maintain dissociative barriers between components of internal working models of self and other involved in attachment relationships.
Internal working models related to disorganized attachment experiences include segregated information of parent/child interactions in which the parent is the “source and solution of the child’s fright”. The establishment of “trauma coded” internal working models is instrumental in the development of “extra-personal attunement”. As opposed to intrapersonal attunement, extra-personal attunement is characterized by a preoccupation with the feelings, thoughts, and behaviors of others and simultaneous dissociation of one’s own internal experience.
In the wake of such relational trauma, the adaptive information processing system within the individual becomes “corrupt”. The AIP model provides a way to understand the salience of dysfunctionally held information in the brain in thwarting interpersonal attunement and intrapersonal attunement and maintenance of a “corrupt information processing system”. Furthermore, it assists in the clinical navigation of the paths between memory, internal working models, and auto and interactive psychobiological regulation. From a clearer point of view and with an appreciation for the vulnerability of relational misattunement to be traumatic relevant EMDR processing targets can be indentified and targeted. In addition, this AIP conceptualization of relational trauma offers a parsimonious framework within which the effects of trauma can been seen in a variety of psychopathologies.
From adjustment disorders to dissociative identity disorder the feeling of “insecurity” associated with relationships reinforces extra-personal attunement and avoidance of interactive regulation necessary for social engagement. In addition, extrapersonal attunement leads to a preoccupation with the emotional states of others, avoidance of social engagement and substitution of work, play, food, and sex to regulate distress and amplify positive affect.
This poster will offer an Adaptive Information Processing model conceptualization of relational trauma and will outline the role of EMDR in reducing phobic responses to innate affect. It will also highlight the identification and processing of touchstone memories related to disorganized attachment experiences in both the standard EMDR protocol and the adapted “Ego-state specific” protocol. These interventions will be portrayed as necessary components of a comprehensive treatment plan in the treatment of relational trauma. Finally the successful treatment of relational trauma will be depicted as a relevant in promoting intrapersonal attunement necessary for interpersonal integration.
Keywords: Poster Social Engagement
Accuracy Verified: Yes
58. Staemmler, F. M. (2004, Spring). Editorial. International Gestalt Journal, 27(1), 5-7.
Language: English
Format: Journal
Abstract:
The article gives an introduction to the papers included in the present issue of "International Gestalt Journal". Spurred by the positive feedback we have received for the last two volumes of our journal the editorial board has once again made a special effort to provide our readers with interesting material. The contribution by Stephan Tobin (see record 2004-19782-003) addresses an issue that has gained great attention in recent years: the therapy of trauma. In his paper Tobin outlines his idea of an integration of EMDR and relational gestalt therapy. Dan Bloom's (see record 2004-19782-005)paper describes the development of the world's first gestalt therapy institute, which has been one of the major sources of gestalt therapy and its vicissitudes over the course of half a century. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Editorial Emotional Trauma Multimodal Treatment Approach Neurophysiology Physiology Posttraumatic Stress Disorder Psychological Stress
Accuracy Verified: Yes
59. Burt, H. (2006, Fall). Editorial. Canadian Art Therapy Association Journal, 19(2), 1.
Language: English
Format: Journal
Abstract:
In this issue several common threads weave through the articles that look at working with specific populations, the importance of working with the community in community centres, trauma, and integrating other models into our work. First, a professor from the University of Montreal presents his work with developmentally delayed and dual diagnosed adults in a community centre in Montreal. Then a specialist in the field of community art studio methods adds a political context to her work and takes us on a journey of the development of a community art studio in Albuquerque, New Mexico. And, lastly, a professor at the University of Victoria shares his groundbreaking research in art therapy and EMDR (Eye Movement Desensitization and Reprocessing). The editorial also observes that it is always exciting to see Canadian Art Therapy researchers pioneer new areas and new ways of utilizing art therapy. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Art Therapy Canadian Community Centre Community Art Studio Communities Delayed Development Developmentally Delayed Dual Diagnosed Adults Dual Diagnosis Editorial Political Context
Accuracy Verified: Yes
60. Laugharne, J. (2010, July). The effect of EMDR on pathological personality traits: An initial case series. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
There is little published data regarding the effect of Eye Movement Desensitisation and Reprocessing (EMDR) on personality
disorders and pathological personality traits. A PTSD clinic has been developed at Fremantle Hospital in Western Australia
since May 2009. All patients referred are initially assessed using the MINI–plus for DSM IV axis I diagnoses, the PTSD Checklist,
and the SCID 2 for personality traits/disorders. These assessments are carried out again post treatment. All patients accepted
for treatment have PTSD according to DSM IV criteria but most have comorbid axis I diagnoses and often marked pathological
personality traits or personality disorders. The primary psychological treatment for PTSD offered at the clinic is EMDR. In this
presentation, data will be presented regarding an initial series of cases treated for PTSD at the clinic using EMDR with an
emphasis on changes in their SCID 2 scores post-treatment and how this relates to changes in PTSD scores. The theoretical
and practical implications of the data will be discussed in the context of the existing literature as well as transcultural
considerations and future research directions outlined.
Keywords: Personality Traits
Accuracy Verified: Yes
61. Kannan, L., & Mehrotra, S. (2010, July). Effectiveness of EMDR with those undergoing traumatic divorce. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
A contested divorce in an eastern cultural context qualifies to be classified as a traumatic event. Those experiencing this
ongoing trauma often undergo PTSD and Depression. EMDR with its standard and current events protocol serves to mitigate
both the anxiety and depressive symptoms significantly. This study looks at adapting EMDR for divorcing families in court,
clinical and private settings.
Participants will learn
1. Differences in cognition of marriage in different cultures such as western, Eastern and Middle Eastern and potential
problems, which are culture specific.
2. What constitutes marital trauma and traumatic divorce in the Eastern context
3. The impact of marital trauma in terms of clinical presentation as well as non clinical parameters of well being such as self-esteem, general health, locus of control and quality of life among those undergoing EMDR.
4. How to use EMDR with those undergoing marital trauma with divorce proceedings and cultural implications.
5. Adaptations in the EMDR to the court environment as well as other setting where such clients may present themselves
Keywords: Divorce
Accuracy Verified: Yes
62. Parker, A., Relph, S., & Dagnall, N. (2008, January). Effects of bilateral eye movements on the retrieval of item, associative, and contextual information. Neuropsychology, 22(1), 136-145. doi:10.1037/0894-4105.22.1.136.
Language: English
Format: Journal
Abstract:
Two experiments are reported that investigate the effects of saccadic bilateral eye movements on the retrieval of item, associative, and contextual information. Experiment 1 compared the effects of bilateral versus vertical versus no eye movements on tests of item recognition, followed by remember-know responses and associative recognition. Supporting previous research, bilateral eye movements enhanced item recognition by increasing the hit rate and decreasing the false alarm rate. Analysis of remember-know responses indicated that eye movement effects were accompanied by increases in remember responses. The test of associative recognition found that bilateral eye movements increased correct responses to intact pairs and decreased false alarms to rearranged pairs. Experiment 2 assessed the effects of eye movements on the recall of intrinsic (color) and extrinsic (spatial location) context. Bilateral eye movements increased correct recall for both types of context. The results are discussed within the framework of dual-process models of memory and the possible neural underpinnings of these effects are considered. [PsycINFO]
Keywords: Bilateral Stimulation BLS Eye Movements
Accuracy Verified: Yes
63. Stapleton, J. A., Taylor, S., & Asmundson, G. J. (2006, February). Effects of three PTSD treatments on anger and guilt: Exposure therapy, eye movement sensitization and reprocessing, and relaxation training. Journal of Traumatic Stress, 19(1), 19-28. doi:10.1002/jts.20095.
Language: English
Format: Journal
Abstract:
This study sought to investigate the efficacy of prolonged exposure, eye movement desensitization and reprocessing (EMDR), and relaxation training on trait anger and guilt and on trauma-related anger and guilt within the context of PTSD treatment. 15 PTSD patients completed each treatment and were assessed at posttreatment and at 3-month follow-up. All three treatments were associated with significant reductions in all measures of anger and guilt, with gains maintained at follow-up. There were no significant treatment differences in efficacy or in the proportion of patients who worsened on anger or guilt measures over the course of treatment. Between-treatment effect sizes were generally very small. Results suggest that all three treatments are associated with reductions in anger and guilt, even for patients who initially have high levels of these emotions. However, these PTSD therapies may not be sufficient for treating anger and guilt; additional interventions may be required. [Author Abstract]
Keywords: Adults Anger Canadians Exposure Therapy Guilt Longitudinal Study Posttraumatic Stress Disorder PTSD Relaxation Therapy Treatment Effectiveness
Accuracy Verified: Yes
64. Swiney, U. M. (2004). The efficacy of EMDR for survivors of a natural disaster: Intervention after Hurricane Floyd. University of North Carolina at Chapel Hill. AAT 3129821.
Language: English
Format: Dissertation/Thesis
Abstract:
Eye movement desensitization and reprocessing (EMDR) is considered effective for civilian PTSD, but no controlled evaluation of EMDR, or any other treatment for PTSD, has been conducted with adults in a natural disaster context. Following Hurricane Floyd, 8 individuals from disaster-torn North Carolina communities were randomly assigned to 6 sessions of EMDR or a 1-month waiting list followed by treatment. All of the predominantly Caucasian, female participants met DSM-IV criteria for PTSD, and half reported moderate to severe levels of depression. Participants completed standardized self-report measures of PTSD, depression, and anxiety before and after the waiting period, or before, during (Session 4), and after the 6-week intervention. The principal investigator (PI) and blind assistants conducted a PTSD symptom interview before and after treatment and waiting period. Weekly progress was monitored with additional PTSD and depression self-report measures. The PI, a Level II-trained EMDR therapist, provided treatment. Treatment integrity, assessed by undergraduate assistants following an established checklist, was good.Compared to the untreated control condition, EMDR produced significantly larger decreases in self-reported PTSD and depression symptoms, and tended to promote greater improvement in observer-rated PTSD. However, random effects regression analyses of the secondary PTSD measure failed to detect a significant difference between the two groups. In contrast, random regression analyses confirmed a significant decrease in depression during treatment compared to the control condition. Controlled effect sizes for PTSD symptoms were large and compared favorably to research with other trauma populations. Nevertheless, despite sizeable reductions in symptoms, many clients continued to report elevated levels of PTSD even after treatment. In addition, despite random assignment, the average age of the two groups differed, and age was non-significantly but negatively associated with change in PTSD symptoms. This association, and the small size of this sample, limit the interpretation and generalizability of these findings. Thus, while results tentatively support extending EMDR to disaster survivors with depression and PTSD, this work is best considered as preliminary data. Research with a larger sample remains necessary to better evaluate both the impact of treatment and the potentially more complex treatment needs of this population. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(4-B), 2004, pp. 2116.
Keywords: Adults Americans Depressive Disorders Females Hurricane Floyd Hurricanes Posttraumatic Stress Disorders PTSD Random Clinical Trial RCT Recent Events Survivors Treatment Effectiveness
Accuracy Verified: Yes
65. Bumke, P. J., & Sodemann, U. (2010, July). The efficacy of EMDR in a new context: Some findings from the ACEH survey. Symposium (Carolyn L. Neunuebel, Chair) conducted at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
Context: As a response to the Tsunami in 2004 the Aceh Project organized by TraumaAid and sponsored byTDH and the BMZ
from 2007 to 2009 treated more than 3200 clients for psychic disorders related to traumatic experiences .The treatment was
given by Indonesian therapists who against the background of a lack of local therapists trained in psychotraumatology had to
be trained within the project under the auspices of TraumaAid. This combination of EMDR-Training and EMDR-Therapy in an
extremely challenging context also offered an unique opportunity for a parallel and wide ranging monitoring and evaluation
of the social and diagnostic parameters involved. Methodology: To guide the therapeutic process and to check on its long
term efficacy 1200 adults and 1000 children were at the outset of their therapies asked to contribute detailed diagnostic
data. While for adults the Hopkins Anxiety and Depression scales along with a 42-item Harvard Trauma Questionnaire was
administered, children and adolescents up to age of 17 were given an adapted version of the CBCL. At the conclusion of their
therapies 20 % of all respondents were rechecked with the same diagnostic scales, another group of 5 % again after 6 months.
Results: The diagnostic data indicate a dramatic improvement after therapies that involved a range of therapeutic techniques
including stabilising and EMDR protocols. The relation between diagnostic dimensions (intrusions, somatic reactions, social
relations, expression of feelings and attention problems) and social factors (gender, age) was further explored.
Keywords: ACEH Survey
Accuracy Verified: Yes
66. Dworkin, M. (2006, June). El cuestionario EMDR v.6 de autoconocimiento para clínicos [EMDR v.6 questionnaire for self-awareness for clinicians]. Presentation at the annual meeting of the EMDR Europe Association, Istanbul, Turkey.
Language: Spanish
Format: Conference
Abstract:
Para comprobar un conocimiento creciente de cómo los estados antiguos y
dependientes de memoria pueden ser activados; para poder valorar que es lo que
proviene del clínico y qué proviene del cliente; para desarrollar estrategias relacionales
de EMDR. Muchos problemas pueden ocurrir en la fase 1 cuando el cliente aporta
información que suscita un arousal negativo; o en la fase 2, cuando el cliente tiene
dificultades en entender los elementos de preparación o desea avanzar procesando el
trauma de forma prematura; o en la fase 3, cuando existe un problema que subyace a la
pieza de valoración. Muchas veces la información del cliente puede que no despierte un
arousal negativo hasta llegada la fase 4, cuando el cliente está procesando activamente.
Muchas veces, nuestros desencadenantes provienen de nuestros recuerdos antiguos.
Estos recuerdos pueden ser explicitados; y otras veces siguen implícitos (memoria
somatosensorial). Observando estos momentos en uno mismo puede ayudarle en la
continuidad de un proceso productivo.
To verify an increased awareness of how ancient states and
dependent memory can be activated, in order to evaluate what they
from the clinician and what comes from the client to develop relational strategies
EMDR. Many problems can occur in phase 1 when the client brings
information that raises a negative arousal, or in phase 2, when the client has
difficulties understanding the items you want to advance preparation or processing the
trauma prematurely, or in phase 3, when there is a problem underlying the
piece of assessment. Many times the customer information may not appeal to a
negative arousal to arrival phase 4, when the client is actively processing.
Many times, our triggers memories from our past.
These memories can be made explicit, and sometimes they are implicit (memory
somatosensory). Looking at these moments can help yourself in
continuity of the production process.
Keywords: Clinicians Questionnaire Self-Awareness
Accuracy Verified: Yes
67. Mattioli, G. (2006, June). El estrés postraumatico y la terapia del EMDR [Traumatic stress and EMDR therapy]. Presentación en la Asociación EMDR España, Madrid .
Language: Spanish
Format: Conference
Abstract:
Hay expresiones que cambian la historia de nuestra profesión. "Inconsciente" "doble vínculo", "indefensión aprendida", "homeostasis familiar" o "burn out" para no poner más que unos pocos ejemplos y pidiendo perdón a tantos otros. Cambian la historia de las ideas, suele decirse, basándose quizás en la ilusión de que las ideas son entelequies que flotan en el cosmos. Sin embargo es mucho más. Cuando nace una verdadera idea ya ha cambiado o está a punto de cambiar una determinada práctica social, que entonces provoca más cambios en un determinado contexto (un "discurso" vaya, ya puestos...). La palabra "autoestima", por ejemplo, surgida hace unos años se ha ido extendiendo y dejando su huella como una marca de origen en muchas expresiones alusivas a estados de ánimo hasta convertirse en moneda de cambio. Tener la autoestima "baja" o "alta", o "veo que no tienes ningún problema de autoestima" son enunciados que se ha convertido en una "seña de identidad". Feliz expresión esta última! Todos la usamos sin la menor obligación de haber leído la novela de Juan Goytisolo que la acuñó, ni tan solo la necesidad de saber que era el título.
There are expressions that change the history of our profession. "Unconscious" double bind ","learned helplessness"," family homeostasis "or" burn out "for not putting more than a few examples and asking forgiveness as many others. Change the history of ideas, they say, perhaps based on the illusion that ideas are pipe dreams floating in the cosmos. However it is much more. Birth of a true idea has changed or is about to change a particular social practice, which then causes more changes in a particular context (a "speech" will, for that matter ...). The word "esteem"for example, born a few years ago has spread and leaving his mark as a mark of origin in many expressions suggestive of moods to become currency. Having self-esteem "low" or "high" or "I see you have no self-esteem problem" are statements that has become a "hallmark. " Happy latter expression! All we use it without any obligation to have read the novel by Juan Goytisolo who coined it, not even the need to know which was the title.
Keywords: Traumatic Stress
Accuracy Verified: Yes
68. 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
69. Quinn, G. (2012, June). EMDR & acute stress syndrome/EMDR in early intervention - Immediate ERP treatment following trauma. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Victims
of
immediate
trauma
often
exhibit
“silent
terror”
or
extreme
stress
and
often
are
likely
to
develop
PTSD.
The
Emergency
Response
Procedure
(ERP),
described
in
the
Humanitarian
Assistance
Program’s
(HAP)
Disaster
Manual
and
Marilyn
Luber’s:
EMDR
Scripted
Protocols:
Basic
and
Special
Situations
(2009)
was
developed
to
deal
with
victims
of
natural
and
manmade
disaster
within
minutes
to
hours
of
exposure
to
trauma.
Learning
objectives:
Participants
in
this
workshop
will
learn
how
to
respond
to
clients
in
the
immediate
aftermath
of
trauma,
utilizing
ERP.
This
will
be
understood
within
the
overall
context
of
the
principles
of
Psychological
First
Aid.
This
same
basic
approach
can
be
applied
in
the
event
of
strong
abreaction
during
the
initial
phase
of
history-‐
taking
and
prior
to
the
Preparation
Phase
of
EMDR
or
at
other
times
of
treatment
when
patients
exhibit
strong
emotional
reactions.
Similarly,
treatment
with
ERP
may
also
be
considered
for
patients
exhibiting
this
“silent
terror”
or
extreme
stress
during
initial
treatment
by
first
responders
at
the
scene
of
an
accident
or
in
ambulances
en
route
to
medical
facilities.
A
pilot
study
(in
press)
will
be
presented
showing
effectiveness
at
possibly
preventing
PTSD
2
years
later
compared
to
“treatment
as
usual”
Las
víctimas
del
trauma
inmediato
frecuentemente
exhiben
“terror
silencioso”
o
estrés
extremo
y
a
menudo
son
susceptibles
de
desarrollar
TEPT.
El
Procedimiento
de
Respuesta
en
Emergencia
(ERP),
descrito
en
el
Manual
de
Catástrofes
de
los
Programas
de
Asistencia
Humanitaria
(HAP)
y
en
el
libro
de
EMDR
Scripted
Protocols:
Basic
and
Special
Situations
(2009)
ha
sido
desarrollado
para
lidiar
con
víctimas
de
desastres
naturales
y
causados
por
el
hombre
a
los
minutos
u
horas
de
haber
sido
expuesto
al
trauma.
Objetivos
de
aprendizaje:
Los
participantes
de
este
taller
aprenderán
cómo
responder
a
los
clientes
en
los
momentos
siguientes
al
trauma,
utilizando
PRE.
Esto
se
entenderá
en
el
contexto
general
de
los
principios
de
los
Primeros
Auxilios
Psicológicos.
Este
mismo
enfoque
básico
se
puede
utilizar
en
el
caso
de
una
abreacción
fuerte
durante
la
fase
inicial
en
la
que
se
realiza
la
historia
del
paciente
y
antes
de
la
Fase
de
Preparación
de
EMDR
o
en
otras
ocasiones
durante
el
tratamiento
cuando
los
pacientes
muestran
reacciones
emocionales
fuertes.
De
manera
similar,
el
tratamiento
con
PRE
puede
considerarse
también
para
pacientes
que
muestran
este
“terror
silencioso”
o
estrés
extremo
durante
el
tratamiento
inicial
llevado
a
cabo
por
los
servicios
de
asistencia
en
emergencias
en
la
escena
del
accidente
o
en
las
ambulancias
de
camino
a
las
instalaciones
médicas.
Un
estudio
piloto
(en
prensa)
será
presentada
mostrando
la
efectividad
de
la
posibilidad
de
prevenir
el
TEPT
2
años
después
comparándolo
con
“tratamiento
habitual.”
Keywords: Acute Stress Syndrome Early Intervention
Accuracy Verified: Yes
70. Smyth, N. J., & Rogers, S. (2002, June). EMDR & cognitive behavior therapy: Exploring shared and distinctive active components. Open discussion at the Society for Psychotherapy Research International Conference, Santa Barbara, CA.
Language: English
Format: Conference
Abstract:
There has been extensive debate about the active treatment components involved in Eye Movement Desensitization & Reprocessing (EMDR); one commonly stated perspective is that EMDR is simply a repackaged cognitive behavior therapy (CBT). This discussion will explore the active components of EMDR and CBT for the treatment of PTSD. In order to provide a shared context for discussion, it will begin with a brief overview of the interventions (EMDR, Exposure, Stress Inoculation Therapy), including some video clips of the interventions. Following this, key questions will be presented for discussion by the entire group, such as: "What shared components are evident?" "What research designs would be appropriate to evaluate components?" "What process and outcome measures might be included to shed light on mechanisms?" Participants will be also encouraged to offer their own questions for discussion.
Keywords: Cognitive Behavior Therapy Integrative Treatment Models Open Discussion Psychotherapy Mechanisms
Accuracy Verified: Yes
71. Shapiro, F. (2002, January). EMDR 12 years after its introduction: Past and future research. Journal of Clinical Psychology, 58(1), 1-22. doi:10.1002/jclp.1126 .
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) was one of the first treatments of PTSD to be evaluated in controlled research and has to date been empirically supported by 13 such studies. This article reviews the historical context and empirical research of EMDR over the past dozen years. Historically, EMDR's name has caused confusion in that "desensitization" is considered to be only a by-product of reprocessing and because the eye movement component of EMDR is only one form of dual stimulation to be successfully used in this integrative approach. Research is needed to determine the comparative efficacy of EMDR relative to cognitive-behavioral treatments of PTSD. However, this has been hampered by the lack of independent replication studies of the latter treatments. Current component analyses of EMDR have failed to effectively evaluate the relative weighting of its procedures. Parameters for future research and the testing of protocols for diverse disorders are suggested. [Author Abstract]
Keywords: Cognitive Processes Literature Review Posttraumtic Stress Disorder PTSD Research Needs
Accuracy Verified: Yes
72. Omaha, J. (2004, June). EMDR and affect centered therapy. Presentation at the EMDR Europe Association annual meeting, Stockholm, Sweden .
Language: English
Format: Conference
Abstract:
Aim: This presentation will describe the integration of principles of emotion regulation into EMDR therapy for a range of disorders. Population: All ages; mostly Axis I and II disorders. Learning objectives: 1) to describe the development of emotion regulation beginning in the context of the attachment and continuing through adolescence; 2) to describe the origin of emotion dysregulation and psychopathology in deficit experience adversity, and trauma; 3) to describe a protocol, Affect Management Skills Training (AMST), that remediates failures of emotion regulation; 4) to describe how AMST prepares the client for uncovering therapy by providing for containment, safety, emotion regulation, improved left-right hemisphere integration, and remediation of attachment deficits; 5) to describe integration of MAST into EMDR therapies for substance abuse and eating disorders. Abstract: The workshop will summarize the principal affective developments that occur from birth through age four. These include fulfillment of yearning affect, facial imprinting, gaze transaction, stimulation of positive affect, and provision of optimal disapproval-shame experiences. The qualities of the child of “good enough” parenting are described. Developmental failures and their consequences for affect regulation and psychopathology will be described. These include: (1) avoidant attachment leading to problems of anger management, to depression, and development of narcissistic features; (2) anxious-ambivalent attachment leading to development of anxiety-related disorders and borderline features; (3) failure to elicit optimal positive affects leading to impaired vitality across the life span and depression; (4) socialization of the senior toddler with anger, leading to problems with anger expression, or with disgust, leading to problems with shame, impaired self-worth, and defective self-efficacy. Adversity (raised by a single parent, witness to spousal abuse, divorce, substance abuse in the home) and trauma (psychological, physical, and/or sexual abuse) occurring during latency and adolescence will be shown to exacerbate difficulties with emotional regulation.
The seven basic skills of the AMST protocol will be described. These skills provide for regocnition, tolerance, and regulation of both positive and negative emtoins. They include containment, safe place, sensation-affect recognition, sensation-as-signal, grounded and present, noticing, and regulation.
The workshop will describe how AMST prepares the client for uncovering therapy and for EMDR by teaching the client to regulate emotion prior to it elicitation in therapy, by improving hemispheric integration, and by correcting deficits in the attachment.
The workshop concludes by describing how MAST is integrated into EMDR therapy for substance abuse disorders (alcohol, drugs, nicotine) and eating disorders.
Keywords: Affect Centered Therapy Affect Theory
Accuracy Verified: Yes
73. Beley, T. (2001, June). EMDR and Bowen theory: A natural integration of technique and theory in therapy. Presentation at the annual meeting of the EMDR International Association, Austin, TX.
Language: English
Format: Conference
Abstract:
Although very distinct in their respective technical and theorectical approaches, EMDR and Bowen Theory hold important commonalities. Participatns will be able to 1) dsecribe the relationship of the triune brain, emotional reactiveness, and anxiety; 2) develop a basic understanding of the relationship between evolutionary processes, biologic processess, and human behavior; and 3) identify how EMDR can be used within the context of Bowen Theory and therapy.
Keywords: Bowen Theory
Accuracy Verified: Yes
74. Smyth, N. J., & Poole, A. D. (2002). EMDR and cognitive-behavior therapy: Exploring convergence and divergence. In F. Shapiro (Ed.), EMDR as an integrative psychotherapy approach: Experts of diverse orientations explore the paradigm prism (1st ed.) (pp. 151-180). Washington, DC: American Psychological Association.
Language: English
Format: Book Section
Abstract:
Since first introduced by Shapiro, eye movement desensitization and reprocessing (EMDR) has been the subject of considerable interest, debate, and controversy within the behavioral literature. In this chapter, EMDR is examined from a behavioral perspective with the goal of exploring connections between it and behavior therapy. Since its initial introduction as an intervention for PTSD, EMDR has been expanded and is used to treat a range of other disorders. The present discussion centers on its application in the management of PTSD for two reasons: First, PTSD is the diagnostic category on which the majority of research studies have focused. Second, empirical research has determined that EMDR and cognitive-behavioral therapy (CBT) are efficacious in the treatment of PTSD; they seem to be equally effective, although EMDR may be more efficient.The chapter begins with a brief consideration of the development and essential principles of behavior therapy and of the manner in which behavioral approaches have conceptualized PTSD. This context is essential to understanding how EMDR is conceptualized from a behavioral perspective. The relationship between EMDR and behavior therapy is then explored and mechanisms for its apparent effectiveness considered. Finally, contributions of behavior therapy to EMDR and of EMDR to behavior therapy are discussed, including challenges that each poses to the other. [Text, pp. 151-152]
Keywords: Adults Cognitive Therapy Posttraumtic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors
Accuracy Verified: Yes
75. Matthess, H., Vojtova, H., & Dellucci, H. (2012, March). EMDR and complex trauma. Presentation at the 3rd Bi-Annual International European Society for Trauma and Dissociation, Berlin, Germany.
Language: English
Format: Conference
Abstract:
EMDR is widely recognized as a therapy of choice in psychotraumatology. However treating clients who suffer from complex traumatization, and especially dissociative disorder, using EMDR straightaway in its standard form is very difficult.
“By far, the greatest number of reported difficulties and stories of clinical problems and potential harm through the improper use of EMDR had involved clients with dissociative disorders.” Shapiro (2001, p. 308).
Does this mean that people who have complex trauma and dissociative disorder could not benefit from EMDR?
Which adaptations of the standard protocols in the different phases of the EMDR process are crucial in order to use EMDR to enhance the clients’ capacities and diminish their suffering?
Which indicators should be considered? How can clinicians provide a safe and efficient help, without getting lost in this difficult treatment patterns, by knowing what to do and why?
This workshop is designed for practitioners familiar with EMDR. It will provide a general overview of essential modifications of the standard EMDR protocol for complex traumatized clients. The theoretical part will focus on an understanding of the underlying EMDR working mechanism as far as discussed today, on knowledge of dissociation as a result of complex traumatization, in the context of the AIP model (adaptive information processing), the attachment theory, the theory of structural dissociation and recent research findings.
The emphasis will be on practical applications of these insights into a comprehensive treatment of this group of clients. Based on the experience of the presenters, implementing use of bilateral stimulation in all phases of therapy will be shown. Important considerations according possible iatrogenic harm will be discussed. Case examples from practice will be provided, including videos.
Keywords: Complex Trauma
Accuracy Verified: Yes
76. Protinsky, H., Flemke, K., & Sparks, J. (2001, June). EMDR and emotionally oriented couples therapy. Contemporary Family Therapy, 23(2), 153-168. doi:10.1023/A:1011193518301.
Language: English
Format: Journal
Abstract:
When reviewing past and current research on the role of emotion in couples therapy, there appeared to be a lack of articulation concerning how emotional expressions and relational dynamics are affected by emotional trauma that has not been accessed. The authors demonstrate how emotionally and experientially oriented therapy with couples can be enhanced by accessing stored trauma through the use of Eye Movement Desensitization and Reprocessing (EMDR). This approach is called Eye Movement Relationship Enhancement (EMRE) therapy and includes key clinical areas such as accessing and tolerating previously disowned emotion, reprocessing emotional experiences, and amplifying couple intimacy. These key areas are discussed and illustrated with case examples. [Springer]
Keywords: Empirical Study Family Therapy Literature Review Marital Problems Nonclinical Case Study Psychotherapeutic Processes Survivors Treatment Effectiveness
Accuracy Verified: Yes
77. Siegel, I. R. (2000, September). EMDR and energy medicine: An integrative approach. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada.
Language: English
Format: Conference
Abstract:
Participants will: 1) develop an understanding of the role that energy medicine can play within the context of the EMDR protocol; 2) develop an understanding of the dynamic relationship between our physiology, our emotions, and our Human Energy Field; 3) identify the chakra systems and the levels of electro-magnetic frequency that exist within the Human Energy Field, and its relationshop to developmental theory; 4) demonstrate an ability to identify vibrational patterns of emotional trauma within the HEF; 5) develop an understanding of the role of EMDR as an effective tool in creating a bridge between science, psychotherapy, and spirituality; and 6) learn to apply effective techniques for integrating the technology of energy medicine into an EMDR practice.
Keywords: Chakra System Energy Medicine Energy Psychology HEF Human Energy Field Vibrational Patterns
Accuracy Verified: Yes
78. Barbez, C., & Devoogdt, A. (2005, June). EMDR and resolving hurt feelings. Presentation at the annual meeting of the EMDR Europe Association, Belgium, Brussels.
Language: English
Format: Conference
Abstract:
Hurt has been defined as an emotion, which arises in a social interaction as
a consequence of certain interpersonal events. Leary (1998) asserts that the
common denominator in all instances of hurt feelings is the perception of
relational devaluation.
The overall aim of the workshop is to point at the importance of hurt feelings
in unresolved interpersonal conflicts. More specific learning objectives are:
11) understanding under what conditions hurt feelings are likely to be harmful
and why, (2) how hurt feelings may affect the perception of ongoing
relationships, (3) demonstrating the use of EMDR in the resolution of hurt
feelings.
Keywords: Emotional Sensations
Accuracy Verified: Yes
79. Dworkin, M. (2005). EMDR and the relational imperative: The therapeutic relationship in EMDR treatment. New York: Routledge.
Language: English
Format: Book
Abstract:
This book is a commentary on Eye Movement Desensitization and Reprocessing (EMDR), based on my observations from clinical practice, that amplifies the relational perspective to Francine Shapiro's standard methodology. During the last 14 years I have conducted more than 5,000 EMDR sessions. The patterns of response I have seen in my clients and the latest discoveries in the neurosciences, which support my conviction in the relational imperative, have prompted me to write this commentary.The main theme of my book is that healing takes place when proper knowledge of the standard methodology is integrated into the context of the therapeutic relationship. I offer this work to enrich the reader's understanding of how I practice EMDR clinically. I have not conducted research to validate my opinions. This work is based on acute and repeated clinical observations of the many clients with whom I have had the privilege to work. [Adapted from Preface]
Keywords: Psychotherapeutic Processes PTSD Alliance
Accuracy Verified: Yes
80. Shapiro, F. (2002, December). EMDR and the role of the clinician in psychotherapy evaluation: Towards a more comprehensive integration of science and practice. Journal of Clinical Psychology, 58(12), 1453-1463. doi:10.1002/jclp.10104.
Language: English
Format: Journal
Abstract:
Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that has been consistently evaluated as efficacious in the treatment of PTSD. The information processing model that guides its clinical application posits that EMDR should be effective in treating other psychological disorders that have experiential contributors. Research is needed to assess such applications. This special issue features three case series in which EMDR was applied to the treatment of complex PTSD, phobias, and chronic pain, respectively. The authors discuss deficits in the research literature, provide preliminary data on EMDR treatment of these conditions, and offer descriptive guidelines for evaluation that are achievable by the practicing clinician. Two additional articles offer preliminary data on physiological and cognitive/affective concomitants of therapeutic change. It is argued that clinicians should play a greater role in the rigorous and extensive examination of psychological treatments in the context of the exigencies of clinical practice. [Author Abstract]
Keywords: Assessment Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD EVT Integration Pain Phobia PTSD Treatment Effectiveness
Accuracy Verified: Yes
81. 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
82. Knudsen, N. J. (2006, September). EMDR and the treatment of chronic relationship problems. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
A history of failed or disappointing relationships
is a primary symptom for many clients. Bowen
Theory is a family systems model that offers a
conceptual roadmap for working with individuals,
as well as families on enhancing the capacity to be
a Self, while staying in healthy connection to others.
The theory helps guide clear thinking about how
the emotional system works within a
multigenerational frame and offers concepts that
predict human relational behavior over time. Yet,
as we know, intellectual understanding can only
bring us so far without the kind of whole brain
integration that can be so swiftly brought about
with EMDR treatment. By integrating the Adaptive
Information Processing Model and the EMDR
approach with Bowen Theory, this treatment model
facilitates a client learning to have a whole new
experience in their significant relationships. This
workshop will provide a basic overview of Bowen
Theory. An integrative model using Bowen Theory
and EMDR will then be described, followed by an
in-depth case analysis illustrating the approach. The treatment includes an extensive assessment of the family system, the selection and processing of
EMDR targets causing high levels of reactivity
involving closeness to others, coaching to re-work
and repair significant relationships in the family
of origin, and finally the targeting of present day triggers in a newly forming relationship.
Keywords: Bowen Theory Relationship Issues
Accuracy Verified: Yes
83. Donovan, L. (2002, June). EMDR and traumatized children/adolescents: Systemic affect regulation. Presentation at the annual meeting of the EMDR International Association, San Diego, CA.
Language: English
Format: Conference
Abstract:
Developmental and systemic perspectives support incorporating the caregiver/family in EMDR treatment of children and adolescents to
maximize efficacy and minimize risks. Participants will learn to: 1)
identify multiple options, risk factors, and guidelines (eg, for timing,
sequencing, identifying the need for EMDR/RDI in the traumatized parent/caregiver as well as the child); 2) identify strategies to maximize vicarious
processing, and promote resource development and affect regulation in
the caregiver/family; 3) define with the family ways to provide safety,
take rerponsibility and guide choices; and 4) utilize the nartural relational
context to develop affect regulation in the child/adolescent.
Keywords: Adolescents Affect Regulation Children
Accuracy Verified: Yes
84. Epozdemir, P., Haciomeroglu, S., & Konuk, E. (2012, June). EMDR and treatment of stuttering: Towards a protocol [EMDR y el tratamiento del tartamudeo: Hacia un protocolo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain.
Language: English
Format: Conference
Abstract:
Stuttering can be defined in general terms as disturbance in the fluency of speech. Stuttering shows itself with psychological
reactions as abstaining from talking, being afraid of making mistakes and with motor reactions as tics in different parts of the body, elongations,
repetitions of the words and hesitations. In addition stuttering people are often observed to avoid speaking in certain situations, with certain
people, showing social anxiety, high levels of distress and muscle contractions before and/or while speaking. They are also noted to experience
relational difficulties and poor quality of life related to all the above factors.
Even though there are different etiological approaches for stuttering, we observe that people with stuttering problem have early childhood
traumas. Throughout their lives, other traumatic events, mostly related to stuttering; feelings of humiliation, inadequacy, rejection and others
worsen the problem. According to our limited number of cases working with those traumas significantly decreases our clients’ social anxiety
and this improvement is positively reflected to the fluency of their speech.
In this workshop, we will first give general information about stuttering and its etiology, emphasize how relations are organized around
stuttering and with video clips we will present how we approach the treatment of stuttering from an EMDR perspective.
En términos generales, se puede definir el tartamudeo como una alteración en la fluidez del lenguaje. El tartamudeo se
manifiesta a través de reacciones psicológicas tales como abstenerse de hablar, tener miedo de equivocarse y con reacciones motrices como
tics en distintas partes del cuerpo, prolongaciones, repeticiones de las palabras y vacilaciones. Es más, a menudo se observa que las personas
que sufren del tartamudeo evitan hablar durante ciertas situaciones, con algunas personas en particular; muestran ansiedad social, niveles
altos de estrés, y contracciones musculares antes y/o mientras hablan. También se ve que sufren dificultades con las relaciones y una mala
calidad de vida relacionada con los factores previamente mencionados.
Si bien existen planteamientos etiológicos distintos para tratar el tartamudeo, hemos observado que los individuos con problemas de
tartamudeo han sufrido eventos traumáticos en la infancia. A lo largo de sus vidas, otros sucesos traumáticos, en su mayoría relacionados
con el tartamudeo; sentimientos de humillación, ineptitud, rechazo y otros empeoran el problema. En nuestra experiencia limitada, el trabajo
con estos sucesos traumáticos disminuye significativamente la ansiedad social de nuestros clientes y dicha mejoría se refleja positivamente
en la fluidez de su habla.
En este taller, empezaremos por ofrecer información general acerca del tartamudeo y su etiología; señalaremos cómo se organizan las
relaciones entorno al tartamudeo y, con vídeos, presentaremos nuestra forma de afrontar el tratamiento del tartamudeo desde la perspectiva
de EMDR.
Keywords: Stuttering
Accuracy Verified: Yes
85. Lawrence, M. A. (1998, December). EMDR as a special form of ego state psychotherapy, Part I of II. EMDRIA Newsletter, 3(4), 7, 13-15, 24-25.
Language: English
Format: Newsletter
Abstract:
Ego state therapy has become an increasingly recognized and utilized form of psychotherapy over the past 2 years although it has been used primarily by hynotherapists in the context of the treatment of dissociative disorders. The use of Eye Movement Desensitization and Reprocessing (EMDR) has also expanded extremely rapidly over the past ten years, primarily in the treatment of acute and chronic Post Traumatic Stress Disorder (PTSD). It is the thesis of this paper that EMDR can be conceptualized as a special form of ego state therapy. EMDR’s unique contribution to the ego state therapy process is in its subtle but profound, impact on the associative/dissociative process, and ego state therapy can be considered a meta model for informing EMDR therapeutic interventions, particularly with regard to impasses.
Keywords: Ego State Therapy Posttraumatic Stress Disorder PTSD
Accuracy Verified: Yes
86. Lawrence, M. A. (1999, March). EMDR as a special form of ego state psychotherapy, Part II. EMDRIA Newsletter, 4(1), 9, 14-15, 34.
Language: English
Format: Newsletter
Abstract:
Ego state therapy has become an increasingly recognized and utilized form of psychotherapy over the past 2 years although it has been used primarily by hynotherapists in the context of the treatment of dissociative disorders. The use of Eye Movement Desensitization and Reprocessing (EMDR) has also expanded extremely rapidly over the past ten years, primarily in the treatment of acute and chronic Post Traumatic Stress Disorder (PTSD). It is the thesis of this paper that EMDR can be conceptualized as a special form of ego state therapy. EMDR’s unique contribution to the ego state therapy process is in its subtle but profound, impact on the associative/dissociative process, and ego state therapy can be considered a meta model for informing EMDR therapeutic interventions, particularly with regard to impasses.
Keywords: Ego State Therapy
Accuracy Verified: Yes
87. Kannan, L. (2010, July). EMDR as a tool in change management. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
In 2008-2009, many professionals and executives faced various organizational pressures ranging from pay slash, contrived
performance appraisals, layoffs and work overload due to the recession which impacted many traumatically. It affected the
morale, motivation and basic sense of security which was previously part of the work culture in Eastern countries especially
in India. EMDR is an effective tool for organizations to manage dramatic change without adversely impacting the individual
and consequently the organization.
Participants will learn:
1. What constitutes work trauma both direct and vicarious and how to identify its impact,
2. The impact of such work trauma on the clinical and non clinical parameters affecting performance, efficiency and well
being.
3. How to use EMDR efficiently with work trauma.
4. Adapting EMDR to the different setting where work trauma clients may present themselves in the Eastern context.
Keywords: Change Management
Accuracy Verified: Yes
88. Wesselmann, D., Davidson, M., Armstrong, S., Schweitzer, C., Bruckner, D., & Potter, A. E. (2012). EMDR as a treatment for improving attachment status in adults and children. Revue Européenne De Psychologie Appliquée/European Review of Applied Psychology, 62(4), 223-230. doi:10.1016/j.erap.2012.08.008.
Language: English
Format: Journal
Abstract:
Introduction:
The purpose of the article is to examine the current literature regarding evidence for positive change in attachment status following Eye Movement Desensitization and Reprocessing (EMDR) therapy and to describe how an integrative EMDR and family therapy team model was implemented to improve attachment and symptoms in a child with a history of relational loss and trauma.
Literature:
The EMDR method is briefly described along with the theoretical model that guides the EMDR approach. As well, an overview of attachment theory is provided and its implication for conceptualizing symptoms related to a history of relational trauma. Finally, a literature review is provided regarding current preliminary evidence that EMDR can improve attachment status in children and adults.
Clinical findings:
A case study is described in which an EMDR and family therapy integrative model improved attachment status and symptoms in a child with a history attachment trauma.
Conclusion:
The case study and literature review provide preliminary evidence that EMDR may be a promising therapy in the treatment of disorders related to attachment trauma.
Keywords: Adult Attachment Interview Attachment Disorder Family Therapy Trauma
Accuracy Verified: Yes
89. Fernandez, I. (2007). EMDR as a treatment of post-traumatic reactions: A field study on child victims of an earthquake. Educational and Child Psychology, 24(1), 65-72.
Language: English
Format: Journal
Abstract:
This field study explores the effectiveness of EMDR (eye movement desensitisation and reprocessing) for the post-traumatic reactions of child victims in the post-emergency context of an earthquake that occurred in 2002 in Molise, a region of Central Italy. EMDR was chosen as the treatment for the children of the San Giuliano Primary School in Molise. Twenty-two of the children who experienced the traumatic event, being suddenly buried under the debris of their collapsed school and in contact with the bodies of their dead classmates for hours, received three cycles of EMDR treatment over one year, with a total average of 6.5 sessions of EMDR each. The results show that EMDR contributed to the reduction or remission of PTSD symptoms and facilitated the processing of the traumatic experience. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Keywords: Child Victims Elementary Schools Emotional Trauma Field Study Natural Disasters Post-Emergency Context Molise Earthquake Post-Traumatic Reactions PTSD PTSD Symptoms Remission Traumatic Experiences
Accuracy Verified: Yes
90. Lendl, J. (2007, September). EMDR basics part I: The touchstone event. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
One of the reasons EMDR is such a powerful treatment is the Adaptive Information Processing Model with its eight phase, three- prong protocol. The robustness of the treatment is not achieved if any part of the protocol is dismissed. Dr. Shapiro’s recent trainings have emphasized the need to work beyond present-day symptoms and triggers (prong #2) to find the underlying touchstone events (prong #1). Part I will review the AIP Model, suggest channels of association most likely linked to a touchstone event/node, review the eight phases, place the touchstone event into the context of the eight phases, show video simulations of the touchstone event including the affect scan and floatback techniques, and have a supervised practicum.
Keywords: Adaptive Processing Model Channels of Association Touchstone Event
Accuracy Verified: Yes
91. Aelen, F., & Chateau, K. (2005, November). EMDR bij systeemtherapie [EMDR therapy and systems]. Workshop gepresenteerd aan de eerste congres van de Vereniging EMDR Nederland, Ede, The Netherlands.
Language: Dutch
Format: Conference
Abstract:
Bij de keuze systeemleden bij de behandeling te betrekken spelen, ook bij behandelaren, cognities een rol mee.
Cognities over de groei-en helingmogelijkheden die het gezin (van oorsprong) biedt en over zijn beperkende of zelfs schadelijke invloed op de ontwikkeling van individuen.
De systeemtherapeut beweegt zich in het -voor anderen soms onoverzichtelijke- moeras van kansen en gevaren voor het individu: zij heeft leren sturen en wijken, neemt risico’s om gedragsverandering te bewerkstelligen, maar stelt veiligheid voorop.
Hoe kan een individueel therapeut op een veilige manier systeemleden betrekken en waartoe kan een systeemtherapeut EMDR inzetten ?
Getraumatiseerd is een individu op zijn kwetsbaarst: Het besluit om systeemleden bij de behandeling te betrekken moet dan ook altijd in het voordeel van de getraumatiseerde cliënt zijn
Wanneer traumatisering heeft plaatsgevonden binnen het gezinssysteem van oorsprong (of wanneer de ouders niet bij machte zijn geweest om op traumatisering ‘van buiten’ adequaat te reageren) ontwikkelt een individu disfunctionele cognities over zichzelf en over zijn kernrelaties, die vaak generaliseren naar de wereld buiten het gezin. Dit is van invloed op o.m. latere partnerrelaties. Het betrekken bij de EMDR-behandeling van een ‘good enough’ partner kan de individuele cliënt helpen deze gegeneraliseerde cognities te vervangen door passender en meer productiever cognities.
In de workshop besteden we aandacht aan de vraag hoe een individueel therapeut op een veilige manier systeemleden kan betrekken bij de EMDR-behandeling en aan de vraag waartoe een systeemtherapeut EMDR kan inzetten.
Een eerste stap in het gebruik maken van de extra kansen die het systeemdenken biedt aan EMDR-therapeuten, is het, hypothetisch, in kaart brengen van de positieve en negatieve systeeminvloeden voor de cliënt middels het maken van het genogram . Dit om de effecten van de EMDR te plaatsen in de relationele leergeschiedenis van het individu.
Een tweede stap is het betrekken van liefdevolle en betrouwbaar geïnvolveerde partners (of vrienden) en het “verzilveren” van de EMDR met de kernrelatie, waarbij op natuurlijke wijze verbeteringen of soms (tijdelijke) moeilijkheden aan bod komen.
Een derde stap is het ineenweven van EMDR en systeemgesprekken, waarbij naast traumaverwerking gezonder verhoudingen het doel zijn en resultaten op beide gebieden elkaar logischerwijs versterken.
In select members for the treatment system involvement, here when medical professionals play a role with Cognitions.
Cognitions about the growth and healing potential of the family (or origin) and limiting or Has Been here Harmful Effects on the Development of Individuals.
The therapist moves the system to others-Sometimes-confuse Morass of opportunities and risks for the Individual: the therapist has learned to steer and districts, taking risks for behavior change, but does put safety first.
How Can an Individual therapist in a safe way to members and involvement System Which Can Deploy a system EMDR therapist?
A traumatized individuality to be vulnerable: The decision to members in the treatment system involvement Should therefore always in favor of the traumatized client
When trauma occurred HAS Within the Family System of Origin (or When parents are Unable to bone traumatization 'outside' appropriate response) initially develop an individuality Dysfunctional Cognitions about himself and his key relationships in loss or That Generalize to the world outside the family. This subsequent component seem ambiguous to partner relationships. The involvement of the EMDR treatment or a 'good enough' partner, an individuality to help client thesis generalized Cognition to replace more and more Productive Appropriate Cognitions.
In the workshop we focus on how an individuality in a safe system therapist members Can Participate in the EMDR treatment and to demand a System Which Can use EMDR therapist.
A first step in making use of the extra opportunities the system offers to think EMDR Therapists, it is, hypothetically, identify the positive and negative Influences on the client system through the creation of the genogram. That the effects of EMDR to place in the relational learning history of the individuality.
A second step is the involvement or permission and secure agreement of the partners (or friends) and "Redeem" the core relationship with EMDR, which Sometimes Naturally Speaking Improvements or (temporary) problems to be addressed.
A third step is weaving together of EMDR and system calls, which in addition to trauma and healthy relationships are the results in objectifying both areas reinforcement each other logically.
Keywords: Systems Therapy
Accuracy Verified: Yes
92. Dworkin, M. (2006, September). The EMDR clinician and the challenging client: How to improve relational responsiveness. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA.
Language: English
Format: Conference
Abstract:
This experientially based workshop will address
clinician issues with clients who are challenging to work with, both before and during an EMDR
session. Participants will develop greater awareness of these mornents and learn strategies to overcome
potentla1 moments of misattunements. These
strategies will include parts of the Procedural Steps
Outline in preparation for anticipated problems;
applied R/D/I strategies for compartmentalizing
activated clinician state dependent moments in
session; and using a variation of cognitive interweave when an interruption of the flow of states between clinician and client temporarily ruptures contingent
collaborative communication. "The Clinician Self
Awareness Questionnaire" will be introduced as a
method of enhancing these awarenesses.
Participants are invited to bring their most
challenging cases to work on.
Keywords: Challenging Client
Accuracy Verified: Yes
93. Lichti, J. (2007, September). EMDR consultation: Using practice research to develop best practices. Presentation at the annual meeting of the EMDR International Association, Dallas, TX.
Language: English
Format: Conference
Abstract:
This workshop will review the context of EMDR consultation. The differences between therapy, consultation and consultation-of-consultation will be highlighted. The implications of the literature on clinical supervision/consultation will be reviewed. Examples of tools and resources for consultants will be presented. Research on the practices of EMDRIA Approved Consultants will be presented. Best Practices emerging from the literature and consultation practices research will be identified. Participants will analyze their own consultation practices using all the above information and discuss in small groups how they plan to improve their consultation services.
Keywords: Consultation
Accuracy Verified: Yes
94. Lichti, J. (2009, May). EMDR consultation: Using practice research to develop best practices. Presentation at the EMDR Canada Conference, Vancouver, British Columbia Canada.
Language: English
Format: Conference
Abstract:
This workshop is for Approved Consultants, Consultants-in-training and those considering becoming ACs. We will
review the context of EMDR consultation and identify the differences between therapy, consultation and
consultation-of-consultation [Objective 1]. The implications of the supervision/consultation literature will be reviewed
[Objective 2]. Tools, resources and recordings from actual consultations will be presented. Original research about
EMDR consultation will be reviewed. Best Practices emerging from the literature and EMDR consultation research
will be identified [Objective 3]. Participants will use all the above information to analyze their own consultation
practices [Objective 4] and discuss with peers how to improve their consultation services [Objective 5].
Keywords: Consultation
Accuracy Verified: Yes
95. Gomes, G. F. B. (2012, Novembro). EMDR e cura sistêmica: A gestação de uma nova história de vida [EMDR and systemic cure: The gestation of a new life story]. In EMDR e visão sistêmica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil.
Language: Portuguese
Format: Conference
Abstract:
Objetivo: narrar a trajetória de uma cliente em relação a um trauma em específico, os desdobramentos deste, bem como os resultados do reprocessamento e sua abrangência no equilíbrio da ecologia de um sujeito tratado em duas sessões de EMDR. Pode-se afirmar que os sintomas são, em sua essência, um caminho que nos permite retornar ao evento chave, reprocessar a base traumática e a partir daí reescrever uma história saudável e, certamente, geradora de frutos em muitos níveis. O trabalho em questão apresentará a história de uma cliente que buscou a terapia com EMDR para reprocessar sua dificuldade de relacionamento com a irmã caçula. Fazia parte deste contexto, o acometimento da cliente em questão pela Doença de Crohn e Endometriose, além do desejo intenso de engravidar. Tendo-se definido o alvo, o trabalho com EMDR iniciou-se. Após duas sessões de reprocessamento, a cliente não só havia conseguido resolver a questão fraterna que lhe afligiu por 16 anos como, por meio de avaliação médica, constatou estar assintomática para o Crohn e com o processo de Endometriose sob controle. Ainda como possível desdobramento deste processo, o sujeito desta história pôde realizar um desejo muito especial: a gestação com a qual vinha sonhando. Após a compilação dos dados deste caso clínico, conclui-se que o EMDR é, em sua natureza, um tratamento orientado para o corpo, sendo a cura de um trauma efetivado somente quando se atinge o sistema como um todo em seus níveis fisiológico, neurológico e psicológico.
Objective: To narrate the story of a client in relation to a specific trauma, the ramifications of this, and the results of reprocessing and its coverage in the ecological balance of a subject treated in two sessions of EMDR. It can be said that the symptoms are, in essence, a way that allows us to return to the key event, reprocess the traumatic basis and from there to rewrite a story healthy and certainly generating fruit on many levels. The work in question will present the story of a client who sought therapy with EMDR to reprocess its difficult relationship with her younger sister. It was part of this context, the involvement of the client in question by Crohn's disease and endometriosis, besides the intense desire to become pregnant. Having set up the target work with EMDR started. After two sessions of reprocessing, the client had not only managed to solve the issue fraternal afflicted him for 16 years as a through medical evaluation, found to be asymptomatic for Crohn's and with the process of endometriosis under control. Yet as possible unfolding of this process, the subject of this story could make a very special wish: pregnancy with which had been dreaming. After compiling the data in this case study, it is concluded that EMDR is, in its nature, a treatment-oriented body, and the healing of trauma effected only when it reaches the system as a whole in their physiological levels, neurologic and psychological.
Keywords: Crohn's Disease Endometriosis Standard Protocol Systemic Cure
Accuracy Verified: Yes
96. Quinn, G. (2011, June). EMDR emergency treatment for manmade and natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria.
Language: English
Format: Conference
Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress .The Emergency Response Procedure (ERP), described in the Humanitarian Assistance Program’s (HAP) Disaster Manual and Marilyn Luber’s: EMDR Scripted Protocols: Basic and Special Situations (2009) was developed to deal with victims of natural and manmade disaster within hours of exposure to trauma.
Learning objectives: Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking, and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities.
Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war. In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment. The EMDR Group Protocol will be presented as utilized in the Tsunami of 2004 and during war. A practicum will follow.
Keywords: Acute Trauma Emergency Treatment Man-Made Disasters Natural Disaasters
Accuracy Verified: Yes
97. 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
98. Meignant, M. (2012, April). EMDR for a child (EMDR training on the River Kwai). Presentation at the annual meeting of the EMDR Canada, Montreal, Quebec, Canada.
Language: English
Format: Conference
Abstract:
During the EMDR training session, organized in Thailand by Trauma-Aid, HAP Germany and «Terre des Hommes» Germany , psychologist, Dagmar Eckers treated a young Indonesian boy called Ooz, who suffered from the Tsunami. His symptoms showed nightmares and a lack of concentration. This documentary film presents two sessions of EMDR on the 10 year-old child. It also shows the efforts of the EMDR trainers who, with the help of charitable organizations, trained the Burmese, Chinese, Indian, Indonesian and Thai therapists to become autonomous in practicing and teaching EMDR.
Learning objectives:
1. How to use EMDR to relieve the traumatic consequences of a disaster
2.The use of EMDR with a child in a different social and cultural setting. (the 8 phases of EMDR in this context)
Keywords: Children River Kwai Training
Accuracy Verified: Yes
99. Burzynski, S. (2010, July). EMDR for anger management. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia.
Language: English
Format: Conference
Abstract:
The presentation examines a single case study of an indigenous Australian, diagnosed with trauma based borderline
personality disorder experiencing peremptory anger. Anger within the PTSD context and ‘survival mode’ of operation are
discussed. Treatment incorporated EMDR within a paradigm of Structural Dissociation. A targeted anger laden EP is integrated
with the ANP and results discussed. The role of time orientation (presentification) and coconsciousness (personification) in
treatment are also examined.
Keywords: Anger Management
Accuracy Verified: Yes
100. Shapiro, F., & Broderson, G. (1997). EMDR for trauma: Eye movement desenitization and reprocessing. Washington, DC: American Psychological Association.
Language: English
Format: Video
Abstract:
EMDR (Eye Movement Desensitization and Reprocessing) is a complex treatment approach that combines salient elements of the major therapeutic schools (e.g., cognitive, behavioral, psychodynamic, physiological, and interactional). Although the eye movement stimulation (and other forms of dual stimulation used in the approach) have garnered the most attention professionally and publicly, EMDR actually involves a much broader spectrum of interventions, which are organized into eight phases of therapy. Currently, 13 completed controlled studies of EMDR make it one of the most researched methods of psychotherapy used in the treatment of trauma. Its efficacy has been supported by these studies: the four most recent studies of victims who have suffered single traumas have demonstrated that after the equivalent of three 90-minute sessions, 84% to 90% of patients no longer have symptoms of posttraumatic stress disorder (PTSD; Rothbaum, 1997; Wilson, Becker, & Tinker, 1995).
EMDR is based on the assumption that specific experiences from the past continue to guide the client`s responses in the present. These experiences can be the "big T" traumas that result in PTSD or the "small t" traumas that are the ubiquitous experiences known to have a less dramatic but still negative impact on personality and behavior.
To influence such experiences from the past, EMDR draws on an information processing model of behavior. Conceptually, disturbing trauma-related information is believed to be held in the patient`s nervous system in state-dependent form (e.g., the perceptions and sensations experienced at the time of the trauma are encoded in the nervous system). EMDR allows the processing of this information in an adaptive fashion so that what is useful from the experience can be learned; stored appropriately, cognitively, and affectively; and made available for behavioral guidance in the future. What is useless to adaptation, such as excess negative emotions, irrational self-assessments, and disturbing physical sensations, can be discarded.
Assessment is focused not on global diagnoses but rather on specific delineations of problematic behaviors, attitudes, and affects that need to be transmuted to allow for adaptive resolution of trauma or conflict. Specifically, the EMDR clinician asks, what is the patient being influenced by past experiences to do in the present that is dysfunctional and what is he or she prevented from doing that would be adaptive?
Although originally applied to PTSD, EMDR shows promise in a variety of clinical complaints that are based on earlier life experiences that underlie the pathology and current experiences and that restimulate the disturbance. EMDR allows clients to access and reprocess these experiences as well as to learn new skills and behaviors for managing future life events. In all cases, the goal of EMDR is to produce the most comprehensive and profound treatment effects in the shortest period of time, while helping the client to remain reasonably stable.
EMDR as an eight-phase intervention approach can be considered a complete treatment in some clinical cases, or it may be part of a more complex treatment plan that includes other more traditional approaches to treating a specific pathology (e.g., borderline personality disorder). Within this latter integrative context, EMDR appears to be useful for a broad range of clinical complaints and seems to provide more rapid achievement of positive treatment effects than do these more traditional approaches alone.
Dr. Shapiro identifies her approach as "eye movement desensitization and reprocessing." What does this imply to you? More specifically, what do you expect of her? Will Dr. Shapiro be active or passive? Will the session be structured or unstructured? Directive or nondirective? Will it focus on the past or on the present? Will the session focus on behaviors, on thoughts, or on feelings? What do you expect to be the relative balance between attention to technique versus the interpersonal interaction?
Keywords: Client Francine Shapiro Male
Accuracy Verified: Yes
101. Dworkin, M. (2003, September). EMDR from the heart: A relational view of healing traumatic memories. Presentation at the annual meeting of the EMDR International Association, Denver, CO.
Language: English
Format: Conference
Abstract:
Many memories, explicit and implicit, and their concomitant sensations, are stimulated intersubjectively, spontaneously, and continuously, forming a multiplicity of feedback loops from clinician to client. This workshop
1s designed to raise the awareness of the clinician's witting and unwitting
participation in these processes. Transferential remarks may become sources of potential targeting, which may spontaneously bring the client back to old unfinished material. Somatosensory countertransferential
reactions may serve as sources of rich data to identify and work out blocks at a moment that a session seems to stall. The Relational Interweave, a relatively new intersubjective strategy, takes reactions of
clinician and client into account and opens opportuntities for new and
more powerful links to positive neural networks enhancing the work.
This workshop will teach rapid methods of identifying and sequencing
and intervening in these intersubjective processes.
Keywords: Relational Interweave Relational Strategies
Accuracy Verified: Yes
102. Quinn, G. (2013, June). EMDR immediate emergency treatment for manmade and natural disasters. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland.
Language: English
Format: Conference
Abstract:
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress. The Emergency Response Procedure (ERP) was developed to deal with victims of natural and manmade disaster within hours of exposure to trauma.
Participants in this workshop will learn how to respond to clients in the immediate aftermath of trauma, utilizing ERP. This will be understood within the overall context of the principles of Psychological First Aid. This same basic approach can be applied in the event of strong abreaction during the initial phase of History-taking and prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions. Similarly, treatment with ERP may also be considered for patients exhibiting this “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in ambulances en route to medical facilities.
Case examples will be presented to illustrate the successful treatment of Acute Stress Disorder (ASD) with survivors the Tsunami in Thailand, and with victims of terror and war.
In this presentation the Recent Events Protocol will be examined, with particular emphasis on modifying the Positive Cognitions (PC) in the face of continuing ongoing danger. EMD (Eye Movement Desensitization), the original protocol developed by Dr. Francine Shapiro in 1989, and modified by Elan Shapio and Brurit Laub in R-TEP will be described and compared to the standard EMDR protocol with emphasis as used in emergency settings where multiple patients need rapid treatment.
A practicum will follow on ERP.
Learning objectives:
Within the overall context of the principles of Psychological First Aid, to learn how to respond to clients in the immediate aftermath of trauma utilizing ERP;
To apply ERP in the event of strong abreaction during the initial phase of History-taking, prior to the Preparation Phase of EMDR or at other times of treatment when patients exhibit strong emotional reactions;
To learn when and how to use ERP for patients exhibiting “silent terror” or extreme stress during initial treatment by first responders at the scene of an accident or in an ambulance en route to medical facilities;
How to utilize the Recent Events Protocol in the face of ongoing danger;
To understand EMDR methods that may be used in emergency settings where multiple patients need rapid treatment
Keywords: Disaster Emergency Response Procedure ERP Extreme Stress Silent Terror
Accuracy Verified: Yes
103. Sack, M., Lempa, W., & Lamprecht, F. (2003). EMDR in der behandlung dissoziativer störungen [EMDR in the treatment of dissociative disorders]. Zeitschrift für Psychotraumatologie und Psychologische Medizin, 1 (3), 25-33.
Language: German
Format: Journal
Abstract: Keywords: Dissociative Disorders, Psychotherapeutic Processes Accuracy Verified: Yes 104. Eckers, D. (2010, June). EMDR in difficult circumstances - Working with a complex traumatized boy in Thailand. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Adolescent Male Thailand Trauma Accuracy Verified: Yes 105. Tumani, V. (2011, June). EMDR in interkulturellen therapien [EMDR in intercultural therapies]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: German Format: Conference Abstract: Keywords: Intercultural Therapies Accuracy Verified: Yes 106. Lister, D. (2002). EMDR in the context of general medical practice in the UK: 4 case reports. The EMDR Practitioner. Retrievedfrom http://www.emdr-practitioner.net on 12/27/2008. Language: English Format: Other Abstract: Keywords: Case Study Medical Practice Accuracy Verified: Yes 107. Klaff, F., & Dutton, P. (2000, September). EMDR in the playroom: Creative processing. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. Language: English Format: Conference Abstract: Keywords: Children Enactment Fantasy Metaphor Play Sensory Experience Storytelling Accuracy Verified: Yes 108. Hamilton, C. (1999, June). EMDR in the treatment of dissociative disorders. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV. Language: English Format: Conference Abstract: Keywords: Dissociative Disorders Accuracy Verified: Yes 109. Groenenberg, J. M. (2005, October). EMDR in the treatment of traumatized refugees. Presentation at the Annual Meeting of the ESTSS, Stockholm, Sweden. Language: English Format: Other Abstract: Keywords: Posttraumatic Stress Disorder PTSD Refugees Treatment Accuracy Verified: Yes 110. Darker-Smith, S. (2007, June). EMDR installation for facilitating emotional identification in the treatment of attachment disorders. Poster presented at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Attachment Disorders Emotional Identification Poster Accuracy Verified: Yes 111. Zampieri, M. A. J. (2012, Novembro). EMDR no espaço pessoal and relacional [EMDR within personal and relational]. In EMDR e visão sistêmica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Family Therapy Family Therapy Intervention Combined Inter- and Intra-Psychic Accuracy Verified: Yes 112. Jarero, I., Artigas, L., & Luber, M. (2011). The EMDR protocol for recent critical incidents: Application in a disaster mental health continuum of care context. Journal of EMDR Practice and Research, 5(3), 82-94. doi:10.1891/1933-3196.5.3.82. Language: English Format: Journal Abstract: Keywords: Critical Incidents Disaster Mental Health Early EMDR Intervention Natural Disaster Posttraumatic Stress Disorder PTSD Recent Events Accuracy Verified: Yes 113. Shapiro, F., Beutler, L., Norcross, J., Maxfield, L., & Rogers, S. (2002). EMDR research and its future: Ecological validity, process research, component analysis, outcome findings, and sociopolitical context. Panel discussion at the Society for Psychotherapy Research International Conference, Santa Barbara, CA. Language: English Format: Conference Abstract: Keywords: Panel Discussion Accuracy Verified: Yes 114. Lombardo, M. (2012). EMDR target timeline. Journal of EMDR Practice and Research, 6(1), 37-46. doi:10.1891/1933-3196.6.1.37. Language: English Format: Journal Abstract: Keywords: Adaptive Information Processing AIP: Clinical Application Core Theme Time Line Treatment Target Accuracy Verified: Yes 115. Korn, D. (2013, May). EMDR the next generation: Finding your way in the dark [L’EMDR et la nouvelle génération: Trouvez votre chemin dans l’obscurité]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: AEDP Dyadic Regulation Informatiional Plateaus IFS, Interweaves Sensorimotor Psychotherapy Structural Model of Dissociation Trauma-Focused Models "True" Authentic Self Accuracy Verified: Yes 116. Ferrie, R. (2013, May). EMDR therapy and psychiatric medication. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Medication Accuracy Verified: Yes 117. Landin-Romero, R., Novo, P., Vicens, V., McKenna, P. J., Santed, A., Pomarol-Clotet, E., Salgado-Pineda, P., Shapiro. F., & Amann, B. L. (2013, March). EMDR therapy modulates the default mode network in a subsyndromal, traumatized bipolar patient. Neuropsychobiology, 67(3), 181-184. doi:10.1159/000346654. Language: English Format: Journal Abstract: Keywords: Bipolar Disorder Subsyndromal Affective Symptoms Accuracy Verified: Yes 118. Landin-Romero, R., Novo, P., Vicens, V., McKenna, P. J., Santed, A., Pomarol-Clotet, E., Salgado-Pineda, P., Shapiro. F., & Amann, B. L. (2013, March). EMDR therapy modulates the default mode network in a subsyndromal, traumatized bipolar patient. Neuropsychobiology, 67(3), 181-184. doi:10.1159/000346654. Language: English Format: Journal Abstract: Keywords: Bipolar Disorder Subsyndromal Affective Symptoms Accuracy Verified: Yes 119. Landin-Romero, R., Novo, P., Vicens, V., McKenna, P. J., Santed, A., Pomarol-Clotet, E., Salgado-Pineda, P., Shapiro. F., & Amann, B. L. (2013, March). EMDR therapy modulates the default mode network in a subsyndromal, traumatized bipolar patient. Neuropsychobiology, 67(3), 181-184. doi:10.1159/000346654. Language: English Format: Journal Abstract: Keywords: Bipolar Disorder Subsyndromal Affective Symptoms Accuracy Verified: Yes 120. Lipke, H. (2001). EMDR und andere ansätze der psychotherapie - Ein integratives modell: Theoretische und klinische empfehlungen mit schwerpunkt auf traumatischem stress [EMDR and other approaches of the psychotherapy - An inclusive model: Theoretical and clinical recommendations focusing on traumatischem stress]. Paderborn: Junfermann. Language: German Format: Book Abstract: Accuracy Verified: Yes 121. Saint Paul, N. V. (2001). EMDR und systemische familientherapie [EMDR and family systems therapy]. EMDRIA Deutschland e.V. Rundbrief, 2, 14-17. Language: German Format: Newsletter Abstract: Keywords: Family Systems Therapy Accuracy Verified: Yes 122. Saint Paul, N. V. (2001). EMDR und systemische familientherapie [EMDR and systemic family therapy]. Institut fur Traumatherapie. Language: German Format: Other Abstract: Keywords: Systemic Family Therapy Accuracy Verified: Yes 123. Ward, C. (2010, March). EMDR with a family using a group protocol. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland. Language: English Format: Conference Abstract: Keywords: Family Group Protocol Accuracy Verified: Yes 124. Ward, C. (2010, June). EMDR with children and adolescents in a family
setting using a group protocol. Presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Adolescents Children Family Group Protocol Accuracy Verified: Yes 125. Morris-Smith, J., & Silvestre, M. (2009, June). EMDR with children, adolescents and family relationships in the context of domestic violence. Presentation at the annual meeting of the EMDR Europe Association, Amsterdam, the Netherlands. Language: English Format: Conference Keywords: Children Domestic Violence Accuracy Verified: Yes 126. Meignant, I. (2011, June). EMDR with couples in the context of family therapy [EMDR mit paaren im kontext der familientherapie]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Couples Family Therapy Accuracy Verified: Yes 127. Bardin, A. (2004). EMDR within a family system perspective. Journal of Family Psychotherapy, 15(3), 47-61. doi:10.1300/J085v15n03_04. Language: English Format: Journal Abstract: Keywords: Clinical Case Study Emotional Trauma Empirical Study Family Family Therapy Posttraumatic Stress Disorder PTSD Therapeutic Process Trauma Victims Accuracy Verified: Yes 128. Jácome, S. (2007, Novembro). EMDR y psicodrama [EMDR and psychodrama]. Apresentação no I Congresso Ibero-Americano de EMDR, Brasília, Brasil. Language: Spanish Format: Conference Abstract: Keywords: Psychodrama Accuracy Verified: Yes 129. Mosconi, A., Pezzolo, M., & Trotta, B. (2012, June). EMDR y terapia sistemica - Puntos de conexión, relectura e integración en el proceso terapéutico
[EMDR and systemic psychotherapy -
Connection points, new interpretations and integrations in the therapeutic process]. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain
. Language: Spanish Format: Conference Abstract: Keywords: Poster Systemic Psychotherapy Accuracy Verified: Yes 130. Cadarso, V., Conlin, D., Hallett, J., Hewson, J. & Zvelc. G. (2005, June 30-July 3). EMDR, meridian therapies and a
relational integrative psychotherapy. Clinical forum at the 2nd International Conference
by International Integrative Psychotherapy Association, Santiago de Compostela, Spain. Language: English Format: Conference Keywords: Meridian Therapy Relational Integrative Psychotherapy Accuracy Verified: Yes 131. Fredin, I. (2005). EMDR-behandling: Barns och ungdomars upplevelser en kvalitetssäkringsstudie [EMDR treatment: Ensuring the quality of EMDR as a treatment for children and young people]. Umeå University, Sweden. Language: Swedish Format: Dissertation/Thesis Abstract: Keywords: Adolescents Children: Psychotherapy Trauma Treatment Accuracy Verified: Yes 132. Nadler, W. (1996, January). EMDR: Rapid treatment of panic disorder. International Journal of Psychiatry, 2, 1-8. Language: English Format: Journal Abstract: Keywords: Panic Disorders Accuracy Verified: Yes 133. Morris-Smith, J. (2002). EMDR: Clinical applications with children. ACPP Occasional Paper No. 19, Oxford: Blackwell Publishers. Language: English Format: Book Abstract: Keywords: Children Accuracy Verified: Yes 134. Quinn, G. (2013, May). EMDR: Immediate emergency treatment for manmade and natural disasters. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Disasters Emergency Treatment Accuracy Verified: Yes 135. Tufnell, G. (2002). EMDR: Working with the legal system. In J. Morris-Smith (2002) EMDR: Clinical applications with children, Occasional paper no. 19 (pp. 37-41) London: The Association for Child Psychology and Psychiatry. Language: English Format: Book Section Abstract: Accuracy Verified: Yes 136. Karpel, M. A. (2006, September). EMDR: Targeting the repetition compulsion in couples therapy. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Couples Therapy Repetition Compulsion Accuracy Verified: Yes 137. Quinn, G. (2007, March). Emergency EMDR - treating victims from man made to natural disasters. Presentation at the Fifth annual EMDR UK & Ireland Conference, Glasgow, Scotland. Language: English Format: Conference Abstract: Keywords: Katyushas, Man-Made Disasters Terrorist Bombings Tsunami Accuracy Verified: Yes 138. D'Anca, J. A. (1996). Employing eye movement, desensitization/reorientation (EMDR) to treat posttraumatic stress disorder: A case study. Chicago School of Professional Psychology, Chicago, IL. AAT 9701975. Language: English Format: Dissertation/Thesis Abstract: Keywords: Adults Adult Child Abuse Case Study Empirical Study Females Posttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Treatment Outcome/Clinical Trial Accuracy Verified: Yes 139. Henry-Schneider, P. (2007, September). Enhancing the flow toward mental health: Integrating EMDR and ai chi. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Ai Chi Meditation Accuracy Verified: Yes 140. Shapiro, F. (1996, September). Errors of context and review of eye movement desensitization and reprocessing research. Journal of Behavior Therapy and Experimental Psychiatry, 27(3), 313-317. doi:10.1016/S0005-7916(96)00035-3 . Language: English Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder Professional Criticism PTSD Scientific Research Accuracy Verified: Yes 141. Lindsay, J. K. (1994). Eye movement desensitization and reprocessing (EMDR) in the treatment of rape survivors. University of Oregon. AAT 9519676. Language: English Format: Dissertation/Thesis Abstract: Keywords: Adults Empirical Study Females Postttraumatic Stress Disorder PTSD Rape Survivors Treatment Effectiveness Accuracy Verified: Yes 142. Shapiro, F. (2002). Eye movement desensitization and reprocessing (EMDR): Historical context, recent research, and future directions. In L. Vandecreek, S. Knapp, & T. L. Jackson (Eds.), Innovations in clinical practice: A source book. V. 16, 1998 edition. (pp. 143-162) Sarasosta, FL: Professional Resource Press. Language: English Format: Book Section Abstract: Keywords: Disorders Future Directions History Research Accuracy Verified: Yes 143. Shapiro, F. (1996, September). Eye movement desensitization and reprocessing (EMDR): Evaluation of controlled PTSD research. Journal of Behavior Therapy and Experimental Psychiatry, 27(3), 209-218. doi:10.1016/S0005-7916(96)00029-8. Language: English Format: Journal Abstract: Keywords: Adults European Americans Arousal Literature Review Posttraumatic Stress Disorder PTSD Random Clinical Trial RCT Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 144. Tootell, E. (2004). Eye movement desensitization and reprocessing: A comprehensive literature review. Argosy University, San Francisco, CA. AAT 3118435. Language: English Format: Dissertation/Thesis Abstract: Keywords: Literature Review Treatment Effectiveness Accuracy Verified: Yes 145. Rose, L. (2012). Eye movement desensitization and reprocessing: An exploration from science to soul. Pacifica Graduate Institute, Carpinteria, CA. 1507791. Language: English Format: Dissertation/Thesis Abstract: Keywords: Archetype Biological Sciences Dream Accuracy Verified: Yes 146. Drexler, B. M. (1995). Eye movement desensitization and reprocessing: An exploration of use by licensed clinical social workers. California State University, Long Beach, CA. AAT 1377511. Language: English Format: Dissertation/Thesis Abstract: Keywords: Practice Theory Use by Social Worker Accuracy Verified: Yes 147. Dekker, A. (2001, June). Eye to eye? Bilateral stimulation in cross-cultural context. Presentation at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Keywords: Bilateral Stimulation BLS Cultural Healing Practices Accuracy Verified: Yes 148. Maccio, E., Monaco, A., & Evans, D. (2001, June). Fix my kid!: Using EMDR with adolescents with conduct problems within a family therapy context. Presentation at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Keywords: Adolescents Conduct Disorders Accuracy Verified: Yes 149. Korkmazlar, U., Kurt, B., Bilgisin, G., & Atçeken, S. H. (2012, June). From child to family: Team work with EMDR [Del Niño a la Familia: Trabajo en Equipo EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Children Family Team Work Accuracy Verified: Yes 150. Scholz, R. (2010, June). From mass trauma to chosen trauma - some
discriminations and their therapeutic relevance. In Complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Mass Trauma Symposium Accuracy Verified: Yes 151. Litt, B. (2009). From relational problems to psychological solutions: EMDR in couples therapy. In M. Luber (Ed.), Eye movement desensitization (EMDR) scripted protocols: Special populations (pp. 139-149). New York: Springer Publishing Co. Language: English Format: Book Section Keywords: Couples Therapy Protocol Accuracy Verified: Yes 152. van der Kolk, B. A. (2010, July). Frontiers of trauma treatment. Presentation at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Trauma Accuracy Verified: Yes 153. Imbroinise, F. (2008, June). The function of the EMDR approach as an anamnestic and therapeutic tool in
paediatrics - psychosocial unit. Poster session presented at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Anamnesis Children Pediatrics Accuracy Verified: Yes 154. Dellucci, H. (2012, June). The Gear Box. A structured protocol for a safe EMDR process with complex trauma [“Gearbox”
(Caja
de
cambios):
un
protocolo
estructurado
para
un
proceso
[terapéutico]
seguro
con
EMDR
[en
pacientes]
con
trauma
complejo]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Gear Box Accuracy Verified: Yes 155. Macdonald, H. (2009, October). Getting to grips with the pain protocol. Presentation at the 2nd annual EMDR Autumn Workshop, Leeds, UK. Language: English Format: Conference Abstract: Accuracy Verified: Yes 156. Delisco. T., Volkman, M., Peacock, S. A., Frater, A. (2004). Grief and Loss. In V. R. Volkman (Ed). Beyond conversations on traumatic incident reduction. (pp. 58-73). Ann Arbor, MI, US: Loving Healing Press. Language: English Format: Book Section Abstract: Accuracy Verified: Yes 157. Laliotis, D. (2009). Healing the wounds of attachment: An EMDR relational approach. In A. Bloomgarden & R. B. Mennuti (Eds). (2009). Psychotherapist revealed: Therapists speak about self-disclosure in psychotherapy. (pp. 151-162). New York, NY, US: Routledge/Taylor & Francis Group. xviii, 324 pp.. Language: English Format: Book Section Abstract: Keywords: Attachment Early Childhood Experiences Psychotherapy Relational Approach Self-Disclosure Accuracy Verified: Yes 158. Herbert, C. (2003, May). Healing the “inner child” – EMDR imagery rescripting techniques with complex trauma clients. In Attachment and complex trauma. Symposium conducted at the annual meeting of the EMDR Europe Association, Rome, Italy. Language: English Format: Conference Abstract: Keywords: Attachment Theory Complex PTSD Imagery Inner Child Rescripting Symposium Accuracy Verified: Yes 159. Solomon, M. F., & Siegel, D. J. (2003). Healing trauma: Attachment, mind, body, and brain. New York: W. W. Norton. Language: English Format: Book Abstract: Keywords: Attachment Behavior Psychotherapy Stressors Survivors Accuracy Verified: Yes 160. 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: Keywords: Emergency Workers Mirror Neuron and Stress Inoculation Rescue-Working Activity Risk Prevention and Management Accuracy Verified: Yes 161. Baddeley, M. (1996, March). Hypnotherapy, gestalt, EMDR and the treatment of post traumatic stress. Australian Journal of Clinical and Experimental Hypnosis, 17(1), 41-47. Language: English Format: Journal Abstract: Keywords: Gestalt Therapy Hypnotherapy Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors Accuracy Verified: Yes 162. Baddelely, M. (1996, March). Hypnotherapy, Gestalt, EMDR and the treatment of posttraumatic stress. Australian Journal of Clinical Hypnotherapy and Hypnosis, 17(1), 41-47. Language: English Format: Journal Abstract: Abstract: Discusses the clinical observations on the use of Gestalt therapy and Eye Movement Desensitization Reprogramming (EMDR) under hypnosis for the treatment of posttraumatic stress disorder (PTSD). The observations are made in the context of 2 cases: (1) a woman who had been bound during an armed hold-up in her home, and (2) an emergency services worker suffering from accumulated stress resulting in burn-out. Therapy for PTSD requires the re-education of the subconscious. The use of Gestalt and EMDR under hypnosis effectively brings about this re-education. (PsycINFO Database Record (c) 2010 APA, all rights reserved) Keywords: Gestalt Hynotherapy Posttraumatic Stress Disorder PSTD Accuracy Verified: Yes 163. 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: Keywords: Posttraumatic Stress Disorder PTSD Review Accuracy Verified: No 164. Fernandez, I. (2009, Marzo). Il trauma della sterilita: Applicazioni cliniche dell'EMDR [The trauma of infertility: Clinical Applications of EMDR]. Presentazione presso il soma Convegno Infertilita ARM e Psiche: Riflessioni, professinalita, Esperienza a confronto, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Infertility Accuracy Verified: Yes 165. Jacome, S. (2012, Novembro). Imagens associativas e EMDR [Associative images and EMDR]. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Associative Images Images Metaphoric Associations Target Identification Accuracy Verified: Yes 166. Henry-Schneider, P. (2013, May). The importance of working with the mind/body system. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Ai Chi Mind/Body Connection Accuracy Verified: Yes 167. Lichti, J. (2009, August). Improving EMDR consultation: Using practice research to develop best practices. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Consultation Accuracy Verified: Yes 168. Baldwin, D. (1997). Innovation, controversy, and consensus in traumatology. Traumatology, 3(1), 7-22. doi:10.1177/153476569700300103 . Language: English Format: Journal Abstract: Keywords: Child Abuse Commentary False Memory Rape Scientific Research Survivors Accuracy Verified: Yes 169. Yang, Y. (2005, June). An integrated grief-focused intervention after the death of a chief teacher. In Psychotrauma and EMDR in China and Slovakia, Part 1. Symposium conducted at the annual meeting of the EMDR Europe Association, Brussels, Belgium. Language: English Format: Conference Abstract: Keywords: China Grief Psychotrauma Slovakia Symposium Accuracy Verified: Yes 170. Parnell, L. (2010, September/October). Integrating an attachment repair orientation into EMDR treatment for clients with relational trauma. Presentation at the annual meeting of EMDR International Association, Minneapolis, MN. Language: English Format: Conference Abstract: Keywords: Attachment Repair Orientation Relational Trauma Accuracy Verified: Yes 171. Parnell, L. (2012, June). Integrating an attachment repair orientation into EMDR treatment for clients with relational trauma [EMDR
centrado
en
el
apego:
Curar
el
trauma
relacional]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Attachment Repair Relational Trauma Accuracy Verified: Yes 172. D'Hooghe, D. (2012, June). Integrating attachment theory and the AIP model in working with early childhood trauma in an attachment relationship [La
integración
de
la
teoría
del
apego
y
el
modelo
AIP
al
trabajar
sobre
el
trauma
infantil
precoz
dentro
de
una
relación
de
apego]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Adaptive Information Processing AIP Attachment Theory Childhood Trauma Accuracy Verified: Yes 173. Nichols, L. M. (2012). Integrating complementary therapies with counseling: A qualitative study of practicing counselors' approaches to wellness. Pennsylvania State University, University Park, PA. Language: English Format: Dissertation/Thesis Abstract: Keywords: Complementary Therapies Counselor Approaches Qualitative Study Accuracy Verified: Yes 174. Knudsen, N. J. (2007). Integrating EMDR and Bowen Theory in treating chronic relationship dysfunction. In F. Shaprio, F. W. Kaslow, & L. Maxfield (Eds.), Handbook of EMDR and family therapy processes (pp.169-186). Hoboken,. xxxiii, 470 pp. Language: English Format: Book Section Abstract: Keywords: Adaptive Information Processing Model AIP Bowen Theory Chronic Relationship Dysfunction Cognitive Processes Family Systems Theory Interpersonal Relationships Models Accuracy Verified: Yes 175. Heber, R., Linnihan. C., Butler, P., Leighton, J., & Knipe, J. (2003, September). Integrating EMDR and psychoanalytic psychotherapies. Symposium conducted at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Psychoanalytic Psychotherapies Symposium Accuracy Verified: Yes 176. Munnukka-Dahlqvist, M. (2004, June). Integrating EMDR in psychotherapy treating complex trauma in a client with previous long-term psychotherapies. In complex traumatisation and EMDR (K. Linder, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden . Language: English Format: Conference Abstract: Keywords: Complex Trauma Symposium Accuracy Verified: Yes 177. Whisman, M., & Keller, M. (1999, June). Integrating EMDR in the treatment of obsessive compulsive disorder. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV. Language: English Format: Conference Abstract: Keywords: Cognitive Interweave Obsessive Compulsive Disorder OCD Resource Installation Accuracy Verified: Yes 178. Darker-Smith, S. (2008, June). Integrating emotion for attached-disordered and dissociated children. Presentation at the annual meeting of the EMDR Europe Association, London, England
. Language: English Format: Conference Abstract: Keywords: Attachment Disorders Dissociation Children Accuracy Verified: Yes 179. Tobin, S. (2004, Spring). The integration of relational gestalt therapy and EMDR. International Gestalt Journal, 27(1), 55-82. Language: English Format: Journal Abstract: Keywords: Brain Brain Functioning Emotional Trauma Gestalt Therapy Integrative Therapy Integrative Psychotherapy Psychotherapy Trauma Accuracy Verified: Yes 180. Woller, W. (2011, June). Integration von EMDR in tiefenpsychologische therapien [Integration of EMDR in deep psychological therapies]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: German Format: Conference Abstract: Keywords: Posttraumatic Stress Disorder PTSD Psychodyamic Therapy Accuracy Verified: Yes 181. Ringel, S. (2012). An integrative model in trauma treatment - utilizing eye movement desensitization and reprocessing and a relational approach with adult survivors of sexual abuse. Psychoanalytic Psychology. doi:10.1037/a0030044. Language: English Format: Journal Abstract: Keywords: Adults Relational Approach Sexual Abuse Survivors Accuracy Verified: Yes 182. Wade, T., & Wade, D. (2001, January-April). Integrative psychotherapy: Combining ego-state therapy, clinical hypnosis, and eye movement desensitization and reprocessing (EMDR) in a psychosocial developmental context. American Journal of Clinical Hypnosis, 43(3-4), 233-245. doi:10.1080/00029157.2001.10404279. Language: English Format: Journal Abstract: Keywords: Clinical Hypnosis Ego Ego-State Therapy Hypnotherapy Integrative Psychotherapy Review Multimodal Treatment Approach Psychosocial Development Psychosocial Developmental Context Accuracy Verified: Yes 183. Wade, T., & Wade, D. (1996, June). Integrative psychotherapy: Combining ego-state therapy, clinical hypnosis, and EMDR in a psychosocial developmental context. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Clinical Hypnosis Ego State Therapy Integrative Psychotherapy Accuracy Verified: Yes 184. Farrell, D. (2009, October 16). Interweaves. Presentation at the 2nd annual EMDR Autumn Workshop, Leeds, UK. Language: English Format: Conference Abstract: Keywords: Interweaves Accuracy Verified: Yes 185. Snyder, M. (1996, December). Intimate partners: A context for the intensification and healing of emotional pain. Women and Therapy, 19(3), 79-92. doi:10.1300/J015v19n03_08. Language: English Format: Journal Abstract: Keywords: Adults Americans Case Report Child Abuse Family Therapy Females Homosexuals Incest Interpersonal Interaction Psychiatric Disorders Rape Survivors Accuracy Verified: Yes 186. Lytle, R. A. (1993). An investigation of the efficacy of eye-movement desensitization in the treatment of cognitive intrusions related to memories of a past stressful event. Pennsylvania State University. AAT 9334778. Language: English Format: Dissertation/Thesis Abstract: Keywords: Biologic Markers College Students Intrusive Thoughts Negative Therapeutic Reaction Posttraumatic Stress Disorder PTSD Stressors Survivors Treatment Effectiveness Witnesses Accuracy Verified: Yes 187. Knipe, J. (1998). It was a golden time...: Treating narcissistic vulnerability. In P. Manfield (Ed.), Extending EMDR: A casebook of innovative applications, (1st ed.) (pp. 232-255), New York: Norton. Language: English Format: Book Section Abstract: Keywords: Adults Americans Case Report Defense Mechanisms Life Experiences Males Posttraumatic Stress Disorder PTSD Self Concept Survivors Treatment Effectiveness Accuracy Verified: Yes 188. Brink, A. (2001). Kombinierte traumatherapie mit EMDR und hypnosetherapie [Combined with EMDR trauma therapy and hypnosis therapy]. Institut fur Traumatherapie. Language: German Format: Other Abstract: Keywords: Hypnosis Therapy Accuracy Verified: Yes 189. Lazzari, D. (2008, Novembre). L'EMDR in ottica PNEI (interazione corpo-mente) [EMDR in optical PNEI (interaction body-mind)]. Presentazione le Applicazioni Cliniche del EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Body-Mind Interaction PNEI Accuracy Verified: Yes 190. Miti, G., & Onofri, A.
(2011, Guigno). La psicoterapia dei disturbi dissociativi: Dalle tecniche cognitivo-comportamentali all'approccio EMDR [Psychotherapy of dissociative disorders: From cognitive-behavioral techniques to the EMDR approach]. Cognitivismo Clinico, 8(1), 73-91 . Language: Italian Format: Journal Abstract: Keywords: Dissociative Disorders Accuracy Verified: Yes 191. Jarero, I., Artigas, L., & Luber, M. (2012). Le protocole EMDR pour les incidents critiques récents: Application à un contexte de continuum de soins en santé mentale après une catastrophe [The EMDR protocol for recent critical incidents: Application in a disaster mental health continuum of care context]. Journal of EMDR Practice and Research, 6(2), E12-E25. doi:10.1891/1933-3196.6.2.E12. Language: French Format: Journal Abstract: Keywords: Critical Incidents Disaster Mental Health Early EMDR Intervention Natural Disaster Posttraumatic Stress Disorder PTSD Recent Events Accuracy Verified: Yes 192. Cohen, A. (2012, May). A long-term grief counseling group for adult survivors of childhood sexual abuse. Saint Mary’s College of California, Moraga, CA. 1514521. Language: English Format: Dissertation/Thesis Abstract: Keywords: Adult Survivors Childhood Sexual Abuse Person-Centered Group Counseling Accuracy Verified: Yes 193. Meignant, I. (2012, April). L’approche systémique et l’EMDR: Soigner le couple [The systems approach and EMDR: Treating the couple]. Présentation à la réunion annuelle de l'EMDR Canada, Montréal, Québec, Canada. Language: French Format: Conference Abstract: Keywords: Couples Accuracy Verified: Yes 194. Giannantonio, M. (2001, Ottobre). L’eye movement desensitization and reprocessing (E.M.D.R.) negli adulti e adolescenti abusati sessualmente in età infantile [The eye movement desensitization and reprocessing (EMDR) in adults and adolescents sexually abused in childhood]. Congresso AIAMC, Palermo, Italia. Language: Italian Format: Conference Abstract: Keywords: Adolescents Adults Postttraumatic Stress Disorder PTSD Sexual Abuse Accuracy Verified: Yes 195. Masson, J. (2005). L’outil EMDR en alcoologie: Reflexions theoriques et cliniques [EMDR in alcoology: Theoretical and clinical reflections]. Psychotherapies, 25(2) 117-123. doi:10.3917/psys.052.0117.. Language: French Format: Journal Abstract: Keywords: Alcoholism Evaluation Posttraumatic Stress Disorder PTSD Psychotherapeutic Processes Psychotherapy Secondary Alcoholism Treatment Effectiveness Accuracy Verified: Yes 196. Litt, B. K. (2006, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Couples Therapy Ego State Therapy Accuracy Verified: Yes 197. Litt, B. (2007, September). The marriage of EMDR and ego state theory in couples therapy. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Couples Therapy Ego State Therapy Accuracy Verified: Yes 198. Litt, B.K. (2008, September). The marriage of EMDR and ego state therapy in couples therapy. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Couples Therapy Ego State Therapy Accuracy Verified: Yes 199. Russell, M. (2008, September). Meeting military mental health needs in the 21st century and beyond: A critical analysis of the effects of dualism, disparity and scientific bias. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Military Accuracy Verified: Yes 200. Hagen, H. A. (2012, May). Mental health professionals’ perspectives of best practices with children who have
experienced complex trauma. University of St. Thomas. Language: English Format: Dissertation/Thesis Abstract: Keywords: Best Practice Children Trauma Accuracy Verified: Yes 201. Mosquera, D. (2012, March). Met behulp van EMDR bij de behandeling van borderline-stoornis bersonality [Using EMDR in the management of borderline personality disorder]. Preconference presentatie op de 6e congres van de Vereniging EMDR Nederland, Arnhem, Nederland . Language: Dutch Format: Conference Abstract: Keywords: Borderline Personality Disorder Accuracy Verified: Yes 202. Lee, C. W., & Cuijpers, P. (2012, November). A meta-analysis of the contribution of eye movements in processing emotional memories. Journal of Behavior Therapy and Experiential Psychiatry, 44(2), 231-239. doi:10.1016/j.jbtep.2012.11.001. Language: English Format: Journal Abstract: Keywords: Meta-Analysis Review Accuracy Verified: Yes 203. 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: Keywords: Attenuation Case Study Imagined Exposure Mindfulness Poster Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 204. Adler, S. P., & Heber, R. (2002, June). Multimodal approach to trauma with cross-cultural context. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Cross-Cultural Context Accuracy Verified: Yes 205. Amendolia, R. D. (1998). A narrative constructivist perspective of treatment of posttraumatic stress disorders with Ericksonian hypnosis and eye movement desensitization and reprocessing. Trauma Response, 13-14. Language: English Format: Journal Abstract: Keywords: Eriksonian Hypnosis Narrative Constructionist Accuracy Verified: Yes 206. Uram, S. (2008, June). The neurobiology of adult and childhod trauma made simple: What every EMDR clinician should know. Presentation at the annual mmeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Neurobiology Accuracy Verified: Yes 207. Krom, M. (2012, Novembro). A origem das crenças em sua relação direta com os mitos pessoais e familiares [The origin of the belief in its direct relationship with personal myths and family]. In EMDR e visão sistêmica. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Beliefs Myths Origin Accuracy Verified: Yes 208. Richard, D. (2005, November). Outlining the effectiveness of prolonged
exposure treatment. Poster presented at the 21st annual meeting of the International Society for Traumatic Stress Studies, Toronto, ON. Language: English Format: Conference Abstract: Keywords: Poster Prolonged Exposure Accuracy Verified: Yes 209. Schore, A. (2009, August). Part I: Right brain affect regulation: An essential mechanism of development, trauma, dissociation and psychotherapy. Plenary at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Dissociation Mechanism Plenary Right Brain Affect Regulation Trauma Accuracy Verified: Yes 210. Farrell, D., & Keenan, P. (2007, June). Participant's experiences of EMDR training within the UK and Ireland. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Ireland Training Treatment UK United Kingdom Accuracy Verified: Yes 211. Farrell, D. (2007, September). Participants Experiences of undertaking EMDR Training in the United Kingdom and Ireland. Presentation at the annual meeting of the EMDR International Association, Dallas, TX. Language: English Format: Conference Abstract: Keywords: Ireland United Kingdom Accuracy Verified: Yes 212. Radke, M. (2002, June). A perfect complement: EMDR and internal family systems. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: IFS Internal Family Systems Accuracy Verified: Yes 213. Mosquera, D., & Gonzalez, A. (2011, June). Personality disorders and EMDR [Persönlichkeitsstörungen und EMDR]. Presentation at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: Personality Disorders Accuracy Verified: Yes 214. Gerge, A. (2008, April). Phase I Preparations of severely traumatized women for exposure by extended
EMDR-protocols in phase II treatment. Presentation at the 1st Bi-Annual International European Society for Trauma and Dissociation Conference, Amsterdam, The Netherlands
. Language: English Format: Conference Abstract: Accuracy Verified: Yes 215. Blore, D. (2012, June). Plasticity of meaning: A proposed AIP theory of extension to explain the totality of psychological change in EMDR. Poster presented at the annual meeting of EMDR Europe, Madrid, Spain
. Language: English Format: Conference Abstract: This poster acts as additional material to the presentation at this conference on the same topic. The proposal for an extension to Adaptive Information
Processing (AIP) (Shapiro 1995, 2001) is derived from the author’s doctoral thesis (Blore 2012a) – a phenomenological study of positive psychological
changes experienced by survivors of road traffi c accidents in the post Eye Movement Desensitisation & Reprocessing (EMDR) treatment context. It is
argued that AIP does not fully account for the totality of psychological change following EMDR, partly due to lack of knowledge and partly because of the
emphasis on explaining the reduction of negative psychological change (rNPC). The main presentation expands on this reasoning, whilst this poster focuses
on the proposed theory extension a: ‘Plasticity of Meaning’ (PoM).
To illustrate this theory extension, three examples of fi gurative language use (FLU) obtained during interviews with participants are subjected to microtextual
analyses (see Smith 2004, p51). It is argued that FLU is a phenomenological (i.e. observable) event that suggests a ‘trading of words’ in turn suggesting
neurological networks connecting – a central tenet of AIP. The phrase ‘PoM’ has been coined because of hypothesised similarities to Frey & Morris’ (1997)
synaptic plasticity and Cahill & McGaugh’s (1998) reconsolidation of memory theory.
Keywords: Neurobiology Poster Accuracy Verified: Yes 216. Farrell, D. P. (2004, September). Political elements of PTSD within former Royal Ulster Constabulary (RUC) Police
Officers and its implications for effective psychological treatment. Presentation at the 34th annual Conference of the European Association for Behavioural and
Cognitive Therapies, University of Manchester Institute of Science and Technology(UMIST), Manchester, England. Language: English Format: Conference Abstract: Keywords: Politics Royal Ulster Constabulary (RUC) Police Officers Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 217. Klaff, F. (2002, June). Portrait of a family: Fitting EMDR to the family and child. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Children Accuracy Verified: Yes 218. Winkel, F. W. (2007, October 17). Post traumatic anger: Missing link in the wheel of misfortune. Lecture delivered on the official acceptance of the INTERVICT office of professor of Psychological Victimology at Tilburg University, Netherlands. Language: English Format: Other Abstract: Keywords: Anger Posttraumatic Stress Disorder PSTD Accuracy Verified: Yes 219. Gregoire, A. (2008, Mai). Pourquoi, quand et comment intégrer l’EMDR dans le processus thérapeutique [Why, when, and how to integrate EMDR in the therapeutic process]. Présentation à la Conférence EMDR Canada, Montréal, Québec, Canada. Language: French Format: Conference Abstract: Keywords: Psychotherapeutic Orientation Accuracy Verified: Yes 220. Guettler, K. (2004, June). A preverbal trauma mastered by dynamic psycho-therapy and EMDR. In psychodynamics and EMDR (B. Lilieblad, Chair). Symposium conducted at the EMDR Europe Association annual meeting, Stockholm, Sweden. Language: English Format: Conference Abstract: Keywords: Preverbal Trauma Primary Repression Repetition-Compulsion Symposium Trauma Accuracy Verified: Yes 221. Tarquinio. C., Brennstuhl, M. J., Reichenbach, S., Rydberg, J. A., & Tarquinio, P. (2012, July-September). Prise en charge précoce de victimes de viols et présentation d’un protocole d’urgence de thérapie EMDR [Early treatment of rape victims: Presentation of an emergency EMDR protocol]. Sexologies: Revue européenne de sexologie et de santé sexuelle & European Journal of Sexology and Sexual Health, 21(3), 147-156 doi:10.1016/j.sexol.2011.11.013. Language: French Format: Journal Abstract: Keywords: Emergency Protocol Rape Accuracy Verified: Yes 222. Easterling, M. (2002, June). A protocol for building emotional resilience within a troubled world. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Keywords: Emotional Resilience Protocol Heartmath Accuracy Verified: Yes 223. Steele, A. (2008, September). Providing an attachment context for adult EMDR trauma work. Presentation at the annual meeting of the EMDR International Association, Phoenix, AZ. Language: English Format: Conference Abstract: Keywords: Attachment Accuracy Verified: Yes 224. Monticelli, M. L. (2008, Novembre). Psicoterapia cognitivo costruttivista e EMDR integrati: verso un’evoluzione mente-corpo consapevole e collettiva [Cognitive constructivist EMDR integrated into development mind-body awareness and collective]. Poster presentato al Applicazioni Cliniche dell'EMDR Congresso Nazionale, Milano, Italia. Language: Italian Format: Conference Abstract: Keywords: Mind-Body Awareness Poster Accuracy Verified: Yes 225. Perkins, B. (2001, June). Psychoanalysis and EMDR: A theoretical and clinical bridge. Presentation at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Keywords: Larence Hedge's Psychoanalytic Model Psychoanalysis Transference Accuracy Verified: Yes 226. Lipke, H., & Glang, C. (2000, December). Psychological approach to Albanian Kosovar refugees with considerations for brief post-crisis services in general. Traumatology, 6(4), 295-305. doi:10.1177/153476560000600404 . Language: English Format: Journal Abstract: Keywords: Interpreters Kosovars Psychotherapeutic Processes Refugees Victim Services Accuracy Verified: Yes 227. Sondergaard, H. P., & Elofsson, U. (2008). Psychophysiological studies of EMDR. Journal of EMDR Practice and Research, 2(4), 282-288. doi:10.1891/1933-3196.2.4.282. Language: English Format: Journal Abstract: Keywords: Finger Temperature Heart Rate Variability Posttraumatic Stress Disorder Psychophysiology PTSD Accuracy Verified: Yes 228. Adler-Nevo, G., & Manassis, K. (2005, September). Psychosocial treatment of pediatric posttraumatic stress disorder: The neglected field of single-incident trauma. Depression and Anxiety, 22(4), 177-189. doi:10.1002/da.20123. Language: English Format: Journal Abstract: Keywords: Adolescents Case Studies Cognitive Therapy Literature Review Pediatric Play Therapy Psychotherapy Review School Age Children PTSD Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 229. Wheeler, K. (2007, July). Psychotherapeutic strategies for healing trauma. Perspectives in Psychiatric Care, 43(3), 132-141. doi:10.1111/j.1744-6163.2007.00122.x. Language: English Format: Journal Abstract: Keywords: Adaptive Information Processing AIP Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Cognitive Therapy Disorders of Extreme Stress (DESNOS) Healing Trauma Nursing Posttraumatic Stress DIsorder PTSD Accuracy Verified: Yes 230. Steketee, G., & Goldstein, A. J. (1994, Summer). Reflections on Shapiro’s reflections: Testing EMDR within a theoretical context. the Behavior Therapist, 17(7), 156-157. Language: English Format: Newsletter Abstract: Keywords: Research Accuracy Verified: Yes 231. Giovannozzi, G.
(2012, June). Regulated eye contact activation and installation protocol [Regulación
de
la
activación
del
contacto
ocular
y
protocolo
de
instalación]. Presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Installation Protocol Regulated Eye Contact Activation Accuracy Verified: Yes 232. Goldberg, A. (2010, October). Relational affect regulation: An integrative protocol for complex trauma surviviors. Presentation at the 27th Annual Meeting of the International Society for the Study of Trauma and Dissociation, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Complex Trauma Relational Affect Regulation Accuracy Verified: Yes 233. Mosquera, D., Gonzalez, A., & Seijo, N. (2010, April). Relational problems in severely traumatized patients. Presentation at the 2nd Bi-Annual International European Society for Trauma and Dissociation Conference, Belfast, Northern Ireland. Language: English Format: Conference Abstract: Keywords: Relationship Issues Trauma Accuracy Verified: Yes 234. Dworkin, M. (2002, June). Relational strategies in EMDR. Presentation at the annual meeting of the EMDR International Association, San Diego, CA. Language: English Format: Conference Abstract: Many memories, explicit and implicit, and their concomitant sensations, are stimulated intersubjectively, spontaneously, and continuously, forming a multiplicity of feedback loops from clinician's witting and unwitting participation in these processes. Transferential remarks may become sources of potential targeting, which may spontaneously bring the client back to old unfinished material. Somatomsensory countertransferential reactions may serve as sources of rich data to identify and work out blocks at a moment that a session seems to stall. The Relational Interweave, a relatively new intersubjective strategy, takes reactions of clinician and client into account and opens opportunities for new and more powerful links to positive neural networks enhancing the work. This workshop will teach rapid methods of identifying and sequencing and intervening in this intersubjective processes. Keywords: Relational Interweave Relational Strategies Accuracy Verified: Yes 235. Leeds, A. M. (2009). Resources in EMDR and other trauma-focused psychotherapy: A review. Journal of EMDR Practice and Research, 3(3), 152-160. doi:10.1891/1933-3196.3.3.152. Language: English Format: Journal Abstract: Keywords: Ego Strengthening RDI Resources Resource Development and Installation Review Accuracy Verified: Yes 236. Figley, C., Dietrich, A., Maxfield, L., & Gentry, J. E. (1999, November). Review of neoteric trauma treatments and suggested practice guidelines. In C. Figley (Chair) Discussion, Clinical Theory. International Society for Traumatic Stress Studies, Miami, FL. Language: English Format: Conference Abstract: Keywords: Neoteric Trauma Treatments Practice Guidelines Accuracy Verified: Yes 237. Steele, A. (2001). The right side: Therapy from the right side of the brain: A role for EMDR with imaginal nurturing in the treatment of early neglect. Unpublished. Language: English Format: Other Abstract: T Keywords: Imaginal Nurturing Neglect Accuracy Verified: Yes 238. Amendolia, R. D., Bressler-Wakesburg, E., & Giles-Monroe, E. (2004, September). The role of culture, ethnicity and spirituality in the treatment of trauma. Presentation at the annual meeting of the EMDR International Association, Montreal, Quebec Canada. Language: English Format: Conference Abstract: Keywords: Culture Ethnicity Spirituality Trauma Accuracy Verified: Yes 239. Amendolia, R. D., & Gemme, J. (2006, September). The role of culture, ethnicity and spirituality in the treatment of trauma. Presentation at the annual meeting of the EMDR International Association, Philadelphia, PA. Language: English Format: Conference Abstract: Keywords: Culture Ethnicity Spiriturality Accuracy Verified: Yes 240. Stickgold, R. (2013, May). Searching for the scientific basis of EMDR
[À la recherche des fondements scientifiques de l’EMDR]. Presentaton at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Memory Processing Posttraumatic Stress Disorder PTSD Scientific Models Sleep Cycle Sleep-Dependent Memory Evolution Accuracy Verified: Yes 241. Stickgold, R. (2013, May). Searching for the scientific basis of EMDR
[À la recherche des fondements scientifiques de l’EMDR]. Presentation at the annual EMDR Canada Conference, Banff, Alberta CAN. Language: English Format: Conference Abstract: Keywords: Memory Processing Posttraumatic Stress Disorder PTSD Scientific Models Sleep Cycle Sleep-Dependent Memory Evolution Accuracy Verified: Yes 242. Perrin, M. (2011, August). Sex addiction: Incorporating EMDR into the treatment of the sex addict. Presentation at the annual meeting of the EMDR International Association, Orange County, CA. Language: English Format: Conference Abstract: Keywords: Sex Addiction Accuracy Verified: Yes 243. Leserman, J. (2005). Sexual abuse history: Prevalence, health effects, mediators, and psychological treatment. Psychosomatic Medicine, 67(6), 906-915. doi:10.1097/01.psy.0000188405.54425.20. Language: English Format: Journal Abstract: Keywords: HMO Health Maintenance Organization HPA Hypothalamic-Pituitaryadrenocortical Review Posttraumatic Stress DIsorder PTSD Sexual Abuse Trauma Accuracy Verified: Yes 244. Edmond, T., Sloan, L., & McCarty, D. (2004, July). Sexual abuse survivors’ perceptions of the effectiveness of EMDR and eclectic therapy. Research on Social Work Practice, 14(4), 259-272. doi:10.1177/1049731504265830. Language: English Format: Journal Abstract: Keywords: Adults Americans Child Abuse Depressive Disorders Empirical Study Females Individual Psychotherapy Mixed Methods Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Quantitative Study Rape Survivors Treatment Effectiveness Accuracy Verified: Yes 245. Norcross, J. (2002, June). The sociopolitical context of EMDR research: can't we all just get along (or at least look at the data)?. In L. Beutler, Discussant, EMDR research and its future: Ecological validity, process research, component analysis, outcome findings, and sociopolitical context. Panel discussion at the (SPR)Society for Psychotherapy Research, International Conference, Santa Barbara, CA. Language: English Format: Conference Abstract: Keywords: Exposure Therapy Outcome Research Panel Discussion Accuracy Verified: Yes 246. Dworkin, M. (2010, March). Solving transference and counter-transference with dissociative disorders in EMDR. Presentation at the 8th EMDR Association UK & Ireland Annual Conference & AGM, Dublin, Ireland. Language: English Format: Conference Abstract: Keywords: Counter-transference Dissociative Disorders Transference Accuracy Verified: Yes 247. Dworkin, M. (2009, August). Solving transference and countertransference with dissociative disorders in EMDR. Presentation at the annual meeting of the EMDR International Association, Atlanta, GA. Language: English Format: Conference Abstract: Keywords: Countertransference Transference Accuracy Verified: Yes 248. Anton, A., Funabiki, D., Shiromoto, J., & Spiro, M. L. (1994, March). Somatic disorders. Presentation at the EMDR Network Conference, Sunnyvale, CA. Language: English Format: Conference Abstract: Keywords: Somatic Disorders Accuracy Verified: Yes 249. Anton, A., Funabiki, D., & Spiro, M. L. (1993, March). Somatic disorders. Presentation at the EMDR Network Conference, Sunnyvale, CA. Language: English Format: Conference Abstract: Keywords: Somatic Disorders Accuracy Verified: Yes 250. Maxfield, L., Lake, K., & Hyer, L. A. (2004). Some answers to unanswered questions about the empirical support for EMDR in the treatment of PTSD. Traumatology, 10(2), 73-89. doi:10.1177/153476560401000202. Language: English Format: Journal Abstract: Keywords: Methodology Populations Posttraumatic Stress Disorder Professional Criticism PTSD Research Treatment Effectiveness Accuracy Verified: Yes 251. van der Weele, J., & With, A. (2007, June). Stabilization groups with ethnic minority women after domestic violence: Presentation of a model based on structural theory of dissociation, EMDR, intercultural comunication and expressive artwork. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Artwork Domestic Violence Dissociation Ethnic Intercultural Communication Minority Stabilization Women Accuracy Verified: Yes 252. Dworkin, M. (2006, Maggio). Strategies related to the therapeutic role. Presentation at the National Conference, Association for EMDR in Italy, Firenza, Italy. Language: English Format: Conference Abstract: Keywords: Therapeutic Role Accuracy Verified: Yes 253. Meignant, I. (2012, April). The systemic EMDR approach: Healing the couple. Presentation at the annual meeting of EMDR Canada, Montreal, Quebec, Canada. Language: English Format: Conference Abstract: Keywords: Couples Therapy Accuracy Verified: Yes 254. Greenwald, R. (1994). The therapeutic relationship and EMDR. EMDR Network Newsletter, 4(1), 10-11. Language: English Format: Newsletter Abstract: Keywords: Therapeutic Relationship Accuracy Verified: Yes 255. Barre, K. & Biesold, K.-H. (2002). Therapie psychischer traumatisierungen bei soldaten der Bundeswehr [Treatment of psychological trauma suffered by soldiers of the Bundeswehr]. In Eberhard Okon & Rolf Meermann (Hsrg). Prävention und Behandlung posttraumatischer Störungsbilder im Rahmen militärischer
und polizeilicher Aufgabenerfüllung, (S. 41-46). Language: German Format: Book Section Abstract: Keywords: Bundeswehr Soldiers Accuracy Verified: Yes 256. Meignant, M. (2006, May 6). To love with EMDR. Presentation at the 14th Annual International Conference on Conflict Resolution, Climax, MI. Language: English Format: Conference Abstract: Keywords: Love Relational Difficulties Accuracy Verified: Yes 257. Marich, J. N. (2010). To the editor. Journal of EMDR Practice and Research, 4(2), 100-101. doi:10.1891/1933-3196.4.2.100. Language: English Format: Journal Abstract: Keywords: Letter Accuracy Verified: Yes 258. Grand, C., & Grant, D. (2003, September). Toolkits for the every body: Working with the physiology of emotion. Presentation at the annual meeting of the EMDR International Association, Denver, CO. Language: English Format: Conference Abstract: Keywords: Four Panes Model Physiology of Emotion Accuracy Verified: Yes 259. Pontes, N. O. (2012, Novembro). Transtorno reativo de vinculação na infância e suas repercussões emocionais negativas na vida adulta [Reactive attachment disorder in childhood and their negative emotional repercussions in adulthood]. In EMDR na infância. Apresentação no II Congresso Brasileiro de EMDR, Brasília, Brasil. Language: Portuguese Format: Conference Abstract: Keywords: Early Childhood trauma, Insecure Attachment Posttraumatic Stress DIsorder PTSD Trauma Accuracy Verified: Yes 260. Mosquera, D. (2011, Julio). Trastorno limite de personalidad y EMDR [Borderline personality disorder and EMDR]. En Aplicación de EMDR en el tratamiento de distintos trastornos (Francisca García Guerrero, Coordinadora). Simposio realizado en el IX Congreso Nacional de Psicología Clínica, San Sebastián, España
. Language: Spanish Format: Conference Abstract: Keywords: Borderline Personality Disorder Symposium Accuracy Verified: Yes 261. Hyer, L. A., & Sohnle, S. J. (2001). Trauma among older people: Issues and treatment. Philadelphia, PA: Brunner-Routledge. Language: English Format: Book Abstract: Keywords: Aged Anxiety Management Therapy Posttraumatic Stress Disorder PTSD Stressors Survivors Accuracy Verified: Yes 262. Haskin, P. S. (2005). Trauma and the relational matrix: The therapeutic relationship in eye movement desensitization reprocessing (EMDR): A project based upon an independent investigation. Smith College School for Social Work, Northampton, MA. Language: English Format: Dissertation/Thesis Keywords: Countertransference Intersubjectivity Transference Accuracy Verified: Yes 263. Bumke, P. (2011, June). Trauma centered psychotherapy and EMDR in a humanitarian mass disaster: Evaluating the ACEH experience. Keynote presented at the annual meeting of the EMDR Europe Association, Vienna, Austria. Language: English Format: Conference Abstract: Keywords: ACEH Disasters Keynote Plenary Accuracy Verified: Yes 264. Schleyer, M. A. (2000, July). The trauma client's experience of eye movement desensitization and reprocessing: A heuristic analysis. Union Institute and University, Cincinnati, OH. AAT 9958854 . Language: English Format: Dissertation/Thesis Abstract: Keywords: Adults Americans Empirical Study Posttraumatic Stress Disorder Psychotherapeutic Processes PTSD Stressors Survivors Treatment Effectiveness Accuracy Verified: Yes 265. Oglesby, C. (1994). Trauma in sport. In M. Williams and J. Sommers (Eds.), Handbook of post-traumatic therapy (pp ). Westport, Connecticut: Greenwood Press. Language: English Format: Book Section Abstract: Accuracy Verified: No 266. Chemtob, C. (2001, June). Trauma, culture, and public health. Presentation at the annual meeting of the EMDR International Association, Austin, TX. Language: English Format: Conference Abstract: Keywords: Health Public Health Trauma Accuracy Verified: Yes 267. Gelbach, R. A. (2008). Trauma, research, and EMDR: A disaster responder's wish list. Journal of EMDR Practice and Research, 2(2), 146-155. doi:10.1891/1933-3196.2.2.146. Language: English Format: Journal Abstract: Keywords: Disaster Disaster-Response Posttraumatic Stress Disorder PTSD Trauma Accuracy Verified: Yes 268. Woller, W. (2006). Traumaspezifische behandlungstechniken [Trauma-specific treatment techniques]
. PiD - Psychotherapie im Dialog, 7(4), 405-407. doi:10.1055/s-2006-951833. Language: German Format: Journal Abstract: Keywords: Affect Regulation Accuracy Verified: Yes 269. Loibl, B.
(2009). Traumatherapeutische elemente in der akutphase - Der ansatz des eye movement dezensitization and reprocessing (EMDR)...[Trauma therapeutic elements in the acute phase - The approach of the eye movement desensitization and reprocessing (EMDR)...]
. In B. Loibl, Psychische Traumatisierungsprozesse beim Grundschulkind nach Elternsuizid: Ursachen, Warnsignale, Akutmassnahmen [Mental traumatisation the primary school child to parent suicide: causes, warning signs, acute measures,] (pp. 70-78), Protestant University of Applied Sciences Dresden, GRIN Verlag für Akademische Texte, 129 p. ISBN (eBook): 978-3-640-30050-1, ISBN (Book): 978-3-640-30533-9, DOI:10.3239/9783640300501. Language: German Format: Book Section Abstract: Accuracy Verified: Yes 270. Forgash, C. A. (2004, Summer). Treating complex posttraumatic stress disorder with EMDR and ego state therapy. The EMDR Practitioner. Retrieved from http://www.emdr-practitioner.net on 12/27/2008. Language: English Format: Other Abstract: Keywords: Complex PTSD Ego State Therapy Accuracy Verified: Yes 271. Forgash, C. A. (2004, June). Treating complex posttraumatic stress disorder with EMDR and ego state therapy. Presentation at the annual meeting of the EMDR Europe Association, Stockholm, Sweden. Language: English Format: Conference Abstract: Keywords: C-PSTD Complex Postraumatic Stress Disorder Complex PTSD Ego State Therapy Accuracy Verified: Yes 272. Puk, G. (2011, May). Treating highly traumatized clients with EMDR. Presentation at the EMDR Canada Advanced Clinical Applications Workshop, Montreal, Quebec, Canada. Language: English Format: Conference Abstract: Keywords: Dissociation Accuracy Verified: Yes 273. Fourie, D. P. (2006, September). Treating phobias or treating people? Of acronyms and the social context. Health SA Gesondheid, 11(3), 41-47. Language: Afrikaans Format: Journal Abstract: Keywords: CBT Cognitive Behaviorial Therapy Memory Processing Phobias Social Constructionism Systematic Desensitisation SD Virtual Reality VR Accuracy Verified: Yes 274. van der Kolk, B. (2011, November). Treating trauma: Helping the entire organism feel safe and live in the present. Presentation at the 27th Annual Meeting of the International Society for Traumatic Stress Studies, Baltimore, MD. Language: English Format: Conference Abstract: Accuracy Verified: Yes 275. 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: Keywords: Obsessive Compulsive Disorder OCD Accuracy Verified: Yes 276. Oras, R., de Ezpeleta, S. C., & Ahmad, A. (2004, June). Treatment of traumatized refugee children with eye movement desensitization and reprocessing in a psychodynamic context. Nordic Journal of Psychiatry, 58(3), 199-203. doi:10.1080/08039480410006232. Language: English Format: Journal Abstract: Keywords: Children Comorbidity Depressive Disorders Empirical Study Posttraumatic Stress Disorder PTSD Quantitative Study Refugees School Age Children Adolescents Stressors Survivors Trauma Treatment Effectiveness Accuracy Verified: Yes 277. Litt, B. K. (1998, July). Trust, intimacy and sex: An integrated approach. Presentation at the annual meeting of the EMDR International Association, Baltimore, MD. Language: English Format: Conference Abstract: Keywords: Inhibited Sexual Desire Intimacy Relational Context Sex Trust Accuracy Verified: Yes 278. Litt, B. K. (1999, June). Trust, intimacy and sex: An integrated approach. Presentation at the annual meeting of the EMDR International Association, Las Vegas, NV. Language: English Format: Conference Abstract: Keywords: Inhibited Sexual Desire Intimacy Relational Context Sex Trust Accuracy Verified: Yes 279. Litt, B. K. (2000, September). Trust, intimacy, and sex: An integrated approach. Presentation at the annual meeting of the EMDR International Association, Toronto, Ontario Canada. Language: English Format: Conference Abstract: Keywords: Dimensions of Relational Context Inhibted Sexual Desire Sex Intimacy Targets Trust Accuracy Verified: Yes 280. de Jongh, A., ten Broeke, E., & Meijer, S. (2010). Two method approach: A case conceptualization model in the context of EMDR. Journal of EMDR Practice and Research, 4(1), 12-21. doi:10.1891/1933-3196.4.1.12. Language: English Format: Journal Abstract: Keywords: Case Conceptualization Model Accuracy Verified: Yes 281. Meignant, M. (2012, April). Un EMDR d’enfant (Formation EMDR sur la rivière Kwai) [A child of EMDR (EMDR Training on the River Kwai)]. Presentation at the annual meeting of the EMDR Canada, Montreal, Quebec, Canada. Language: English Format: Conference Abstract: Keywords: Video Accuracy Verified: Yes 282. Mosquera, D. (2013, June). Understanding and treating narcissistic personality disorder with EMDR. Presentation at the annual meeting of the EMDR Europe Association, Geneva, Switzerland. Language: English Format: Conference Abstract: Keywords: Narcissistic Personality Disorder Accuracy Verified: Yes 283. McFarlane, A. (2010, June). Understanding traumatic stress reactions - The linking of phenomenology, aetiology and treatment plan. Preconference presentation at the annual meeting of the EMDR Europe Association, Hamburg, Germany. Language: English Format: Conference Abstract: Keywords: Posttraumatic Stress Disorder PTSD Traumatic Stress Accuracy Verified: Yes 284. Barbieri, J. L. (2008, April). The URGES approach: Urge reduction by growing ego strength (URGES) for trauma/addiction treatment using alternate bilateral stimulation, hypnotherapy, ego state therapy and energy psychology. Sexual Addiction & Compulsivity, 15(2), 116-138. doi:10.1080/10720160802035584. Language: English Format: Journal Abstract: Keywords: Addiction Bilateral Stimulation BLS Ego State Therapy Energy Psychology Hynotherapy Trauma Treatment URGES Approach Accuracy Verified: Yes 285. Ponzano, R. A., & Gozzano, E. (2008, June). Use and consumption of the traumatic experience as a defence from pain: EMDR and defence mechanisms. Poster session presented at the annual meeting of the EMDR Europe Association, London, England. Language: English Format: Conference Abstract: Keywords: Defense Mechanisms Pain Accuracy Verified: Yes 286. Leeds, A. M. (1999, May). Using EMDR in complex PTSD and adult attachment disorders. Symposium conducted at the annual meeting of the American Psychiatric Association, Washington, DC. Language: English Format: Conference Abstract: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD RDI Resource Development and Installation Symposium Accuracy Verified: Yes 287. Thompson, P. (1995, June). Using EMDR with adolescents: Life changes for adlescents - an empowerment tool. Presentation at the EMDR Network Conference, Santa Monica, CA. Language: English Format: Conference Abstract: Keywords: Adolescents Self Coaching Accuracy Verified: Yes 288. Dworkin, M. (2008, June). Using the therapeutic relationship in EMDR with patients with complex PTSD. Presentation at the annual meeting of the EMDR Europe Association, London, England UK. Language: English Format: Conference Abstract: Keywords: Complex Posttraumatic Stress Disorder Complex PTSD C-PTSD Therapeutic Relationship Accuracy Verified: Yes 289. Rivlin, E. (2009, March). The utility of psychometric assessment and
monitoring within the Context of EMDR with
refugee and asylum seeking Children/Adolescents. Symposium conducted at the 7th annual Conference of the EMDR UK & Ireland Association, Manchester, UK. Language: English Format: Conference Abstract: Keywords: Asylum Psychometric Assessment Refuges Symposium Accuracy Verified: Yes 290. Solomon, R. (2012, June). Utilization of EMDR with vicarious trauma [Utilización de EMDR en casos de trauma indirecto]. Pre-Conference presentation at the annual meeting of the EMDR Europe Association, Madrid, Spain. Language: English Format: Conference Abstract: Keywords: Vicarious Trauma Accuracy Verified: Yes 291. Goldwasser, N. (2005, September). Utilizing EMDR to heal undesired sexual attractions and to help actualize sexual potential. Presentation at the annual meeting of the EMDR International Association, Seattle, WA. Language: English Format: Conference Abstract: Keywords: Sexual Potential Accuracy Verified: Yes 292. Seponski, D. M., Bermudez, J. M., & Lewis, D. C. (2010, July). Utilizing responsive evaluation to explore EMDR as a culturally responsive model of therapy across Asia. Poster presented at the 1st EMDR Asia Conference, Bali, Indonesia. Language: English Format: Conference Abstract: Keywords: Asia Responsive Evaluation Poster Accuracy Verified: Yes 293. Ebner, F., & von Burgsdorff, K. (2008). Vom uberleben zum leben-ressourcenaktivierung mit EMDR im stationaren kontext [From survive on life-resource-activation with EMDR in the stationary context]. In C. Rost (Hsrg.), Ressourcenarbeit mit EMDR, bewährte techniken im uberblick (pp. 153-170). Paderborn: Junfermann. Language: German Format: Book Section Accuracy Verified: Yes 294. Roberts, T. (2002). Websites relating to psychological trauma: With emphasis on children. In J. Morris-Smith (Ed.), EMDR: Clinical applications with children, Occasional paper no. 19 (pp. 51-52) London: The Association for Child Psychology and Psychiatry. Language: English Format: Book Section Abstract: Keywords: Children Occasional Paper Trauma Websites Accuracy Verified: Yes 295. Beer, R. (2001, May). What about EMDR in the treatment of anorexia nervosa?. Presentation at the EMDR Europe Association annual meeting, London, UK. Language: English Format: Conference Abstract: Keywords: Anorexia Nervosa Eating Disorders Accuracy Verified: Yes 296. Oras, R. (2000, October 14). When the trauma fades – Treatment of traumatized refugee children with EMDR in a psychodynamic context. Symposium conducted at Kindheit Und Trauma I, Bregenz, Austria. Language: English Format: Conference Keywords: Children Psychodynamic Context Refugees Symposium Accuracy Verified: Yes 297. Curry, S. (2007, June). Where protocol meets client: Choices in case conceptualization in EMDR. Presentation at the annual meeting of the EMDR Europe Association, Paris, France. Language: English Format: Conference Abstract: Keywords: Case conceptualization Protocol Accuracy Verified: Yes 298. Erdmann, C. (2006). Wirkfaktoren in der psychotherapie und der EMDR-behandlung. (Wie) kann psychotherapie wirksamer werden? [Effective factors in psychotherapy and EMDR therapy. (How can psychotherapy are effective?)]. Institut fur Traumatherapie. Language: German Format: Other Abstract: Keywords: Efficacy Accuracy Verified: Yes 299. Figgess, S. (2009). Working with trauma. A journey towards integration: Gestalt and EMDR. British Gestalt Journal, 18(1), 34-41. Language: English Format: Journal Abstract: Keywords: Body Sensation Gestalt Inter-Psychic Intersubjective Neural Integration Self-Integration Unfinished Business Accuracy Verified: Yes 300. Munker-Kramer, E., Wintersperger, S., & Hofmann, A. (2007). Zum verstandnis von EMDR als behandlungsmethode fur PTBS auf dem hintergrund der modernen psychotraumatologie [The understanding of EMDR based on modern psychotraumatology]. Psychologie in Osterreich, 27(1), 53-60. Language: German Format: Journal Abstract: Keywords: Posttraumatic Stress Disorder PTSD Accuracy Verified: Yes 301. Woltereck, B. (2001). Zur anwendung von EMDR in der einzelsupervision bzw. im coaching [For the application of EMDR in individual supervision and in coaching]. Institut fur Traumatherapie. Language: German Format: Other Abstract: Keywords: Coaching Supervision Accuracy Verified: Yes
Psychologische Behandlung von traumatischen Belastungsstörungen mit EMDR. Die EMDR-Behandlung ist nach unserer Erfahrung eine sehr effektive Technik zur Behandlung von traumatischen Erinnerungen bei Patienten mit dissoziativen Störungen. Das Ziel der Traumabehandlung bei dissoziativen Patienten zusätzlich zu der Verringerung der Belastung von posttraumatischen Symptomen, Aussetzen der zuvor abgespaltenen Erinnerungen im Sinne einer Integration von dissoziierten Erfahrung liegt. Die EMDR-Behandlung dissoziativer Patienten brauchen, wenn nötig. durch Ändern der Standard-Protokoll auf den einzelnen Elastizität eingestellt werden. Da dissoziative Speicher Barrieren durch eine EMDRBehandlung sehr schnell untergraben werden kann, kombiniert mit dem Risiko der Übererflutung durch aversive Reize, sollte dies nur von entsprechend erfahrenen Therapeuten und mit Sorgfalt im Rahmen einer umfassenden Traumatherapie eingesetzt werden.
Psychological treatment of traumatic stress disorders with EMDR. The EMDR treatment is, in our experience a very effective technique for the treatment of traumatic memories in patients with dissociative disorders. The aim of trauma treatment in dissociative patients in addition to reducing the burden of post-traumatic symptoms, exposing the previously split-off memories in the sense of an integration of dissociated experience content. The EMDR treatment of dissociative patients need, if necessary. be adjusted by modifying the standard protocol on the individual resilience. Since dissociative memory barriers through a EMDRBehandlung may be undermined very quickly, combined with the risk of Übererflutung by aversive stimuli, this should only be used by suitably experienced therapists and with care in the context of a comprehensive trauma therapy.
In 2009 a training in psychotraumatology and EMDR
was conducted in Thailand with participants from Thailand, Indonesia, Burma, Kambodscha and other countries. During that
training of 8 days a 9-years-old boy was treated after some
stabilization with 'safe place' and special containment - with
EMDR. He was diagnosed with Asperger-syndrome (a form
of autism), was traumatized by the loss of a near relative, the
burning of his home, a car accident and by Tsunami. Time was
limited, the boy wasn't acquainted with the therapist, didn't
speak much English, needed his aunt to translate and was first
time in his life away from his home. But even in these conditions treatment was possible in 1 session stabilization and 3 sessions of EMDR The case will be demonstrated with the boy's
drawings and video clips of the stabilization phase and of the
EMDR session about Tsunami.
Learning objectives: 1. Understanding a client-adapted way to applicate EMDR in children. 2. Creative working with children in their cultural and individual context, What is essential in EMDR even with child-adapted and creative modifications?
Derzeit Migration verfügt über umfangreiche Ausmaße angenommen. Weltweit gehen wir von einer 1 bis 200 Migranten (WHO). Durch Bürgerkriege, Naturkatastrophen, politischen und wirtschaftlichen Umständen die wahre Zahl dürfte noch höher.
So ist es zunehmend vor, dass Psychiater und Psychotherapeuten bei der Behandlung Einzelpersonen aus anderen Kulturen begegnen, präsentiert mit verschiedenen psychiatrischen Symptome. Die Behandlung dieser Menschen werden manchmal große Schwierigkeiten. Nicht nur wegen der Sprache, sondern auch wegen der relativen Bedeutung bestimmter Symptome in einem kulturellen Kontext, ist es wichtig, Kultur Hintergrund arbeiten Milieu und Unordnung bestimmten psychiatrischen / psychotherapeutischen betrachten. Aber was bedeutet Kultur-und Milieu sensiblen Psychiatrie oder Psychotherapie bedeuten? Basierend auf den vorhandenen Studien über Menschen mit Migrationshintergrund und die Untersuchungen des Sozio-Vision-Institute, und unsere eigenen Erfahrungen, die wir klären, wie eine interkulturelle Begegnung und ein Milieu sensiblen Psychotherapie erfolgreich angewandt werden.
Currently migration has reached extensive proportions. Globally, we assume a hundred to two hundred million migrants (WHO). Due to civil wars, natural disasters, political and economic circumstances the true figure is likely even higher.
So it increasingly occurs that psychiatrists and psychotherapists encounter in their treatment individuals from other cultures, presenting with various psychiatric symptoms. The treatment of these people will sometimes face major difficulties. Not only because of language but also because of the relative importance of certain symptoms in a cultural context, it is essential to consider culture background, working milieu and disorder specific psychiatric/psychotherapy. But what does cultural and milieu sensitive psychiatry or psychotherapy mean? Based on the existing studies about people with immigrant backgrounds and the investigations of the Socio-Vision-Institute, and our own experiences we will elucidate how an intercultural meeting and a milieu sensitive psychotherapy can be successfully applied.
Editorial note: This interesting article describes the use of EMDR in a very time-pressured general practice surgery. The description of the use of EMDR is unorthodox and must be considered anecdotal, especially the second case report. If readers have any comments on the descriptions given, please contact the editor. All responses to this article will be published on the emails to the editor page. [Editor] Abtract: Some EMDR cases that the author has conducted have taken long sessions outside of normal surgery hours, but a few have reached a successful conclusion within or nearly within the seven and a half minutes allocated to a GP consultation. Four such cases are reported here.[Author abstract]
Participants will: 1) understand the necessity of eliciting material from children in indirect, projective ways; 2) understand the meaning of "creative processing" in the EMDR context as a method of both accessing and treating children's problems where direct methods may fail to produce desired outcome; 3) learn specific skills which apply the EMDR method through the medium of fantasy, play, story, metaphor, sensory experience, and enactment; 4) learn how to apply the creative process to separate elements of the standard EMDR protocol, and to make adjustments appropriate to the age and developmental stage of the individual child; 5) observe direct use of EMDR creative processing techniques via case material and videotaped therapy sessions; and 6) recognize the importance of integrating family systemic issues into use of the techniques, as well as embedding the method into a total contextual treatment of the child.
Participants will: 1) increase their confidence in deciding how, when, and where to use EMDR in the context of long term therapy with dissociative disorders; 2) increase their skills in being able to structure safe and contained EMDR sessions with clients with dissociative disorders; 3) increase their ability to adapt the EMDR protocol to the specific needs of specific clients with dissociative disorders; and 4) increase their knowledge of both the potential risks and potential benefits of using EMDR with dissociative clients.
Refugees, who suffer from PTSD because of long-term, and repeated traumatic experiences (Type II trauma), can be successfully treated with EMDR, under certain conditions and when it is embedded in a broader therapeutic context.
The accessibility of emotions in children with attachment disorders is known to be complex at best. This presentation looks at a new method of enabling a child dissociating from emotions with severs attachment disorder and complex, traumatic histories to access emotions using the installation phase of EMDR.
For teaching purposes, this presentation will use real-life cases of 4 attachment disordered children where EMDR has been used successfully. All the children had been taught safe space (or similar containment methods) to enable them to self regulate their emotions – however, prior to the installation they did not experience emotions to self regulate.
In all four cases, none of the children were able to access emotions and were severe attachment disordered. The children aged between 12 to 13 years of age and all had a diagnosis of attachment disorder, comorbid with post traumatic stress disorder. Most of the children did not experience emotions directly and when asked where they “felt emotions,” would state that they experienced emotion because they were told that they were experiencing emotion.
An example is one child who mentioned that she had been angry – she only knew this, because an adult had told her she was angry. Some4times, her hands were mottled when she was angry – but there appeared to be no internal awareness of emotional feelings. The three other children reported similar lack of awareness of internal emotions.
Using the installation phase of EMDR within the context of a one-to-one therapy session, each child was asked to focused on a particular emotion and focus where in their body they experienced any feelings which may be associated with emotion.
The children began to describe complex emotions, which they had never previously been able to. Many of these children had never cried or expressed emotions “normally” prior to this. An example of one child’s experience follows. “I feel sad in my heart. It feels cold – as if someone has smashed it into a thousand bits. It’s blue and very lonely. It feels empty.” (This was a child who had never experienced any internal emotion since the age of t when he remembered feeling angry at being taken away from his parents by a social worker. This was the last time he remembered every experiencing any kind of emotion).
Following this, all the children were also encourage to sit with their new emotions and not to be afraid of them.
One child reported: “I never knew how god it could feel to finally be allowed to cry and my throat doesn’t feel so stuck no more.”
Another child stated, “It feels good to be sad. When I cry – that stops my heart hurting so much and the treats make the glue to fix my broken heart.”
Another child experienced: “It’s okay to be angry. Anger isn’t scary – it’s just a feeling – just because I feel it doesn’t mean I have to kick off – and it feels strong to e angry – I have a right to be angry and that’s okay.” So far, we have not experienced an unsuccessful outcome; however, this method is still in the early stages of being developed.
Proposta focalizando conceitos do EMDR, Teoria de Papéis e da Teoria Sistêmica de Terapia Familiar, de modo que o profissional já treinado (ainda que parcialmente em EMDR) possa trabalhar associando ao EMDR, situações inter e intrapsíquicas. Para tanto utilizar-se-á recursos propostos por Shapiro, Kaslow e Maxfield, e, recursos adicionais apresentados por MAJZampieri no I Congresso Brasileiro de EMDR, acrescidos por novas experiências da proponente sobre EMDR no espaço pessoal e relacional.
Proposal focusing on concepts of EMDR, Theory Papers and the Theory of Systemic Family Therapy, so that the already trained professional (albeit partially in EMDR) EMDR can work linking to, inter and intra-psychic situations. To use both features will be proposed by Shapiro, Kaslow and Maxfield, and additional resources provided by the MAJZampieri I Brazilian Congress on EMDR, plus new experiences on EMDR proponent of personal and relational space.
This randomized, controlled group field study was conducted subsequent to a 7.2 earthquake in North Baja California, Mexico. Treatment was provided according to continuum of care principles. Crisis management debriefing was provided to 53 individuals. After this, the 18 individuals who had high scores on the Impact of Event Scale (IES) were then provided with the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical Incidents (EMDR-PRECI), a single-session modified EMDR protocol for the treatment of recent trauma. Participants were randomly assigned to two groups: immediate treatment group and waitlist/delayed treatment group. There was no improvement in the waitlist/ delayed treatment group, and scores of the immediate treatment group participants were significantly improved, compared with waitlist/delayed treatment group paticipants. One session of EMDR-PRECI produced significant improvement on symptoms of posttraumatic stress for both the immediate-treatment and waitlist/delayed treatment groups, with results maintained at 12-week follow-up, even though frightening aftershocks continued to occur frequently. This study provides preliminary evidence in support of the protocol's efficacy in a disaster mental health continuum of care context. More controlled research is recommended to evaluate further the efficacy of this intervention.
This panel presentation addresses ecological validity, process factors, methodological variables, and sociopolitical context in the interpretation and dissemination of outcome research. Since its introduction, EMDR (eye movement desensitization and reprocessing) has been the focus of controversy because of its departure from existing paradigms, its non-traditional dissemination, and immoderate claims for rapid effectiveness. This panel reviews the socio-political context in which EMDR developed and its relevance for other emerging psychotherapeutic approaches. Findings from a recent methodological meta-analysis are reviewed to provide an empirical context for assessing the range of results in different outcome studies. Specific client, therapist, and methodological variables that could account for disparities in outcome are examined and implications for interpreting research outcomes are discussed. The panel also summarizes the findings of various recent studies that identified the effects of eye movements as decreasing vividness and emotionality of memory, physiological arousal, and in-session subjective distress. Findings from two recently completed studies are reported in which both process variables and active ingredients were examined. Limitations of the group design approach to the dismantling of psychotherapies are also discussed.
This Clinical Q&A section responds to a question about organizing a client's historical information into a targeting sequence within a treatment plan that is consistent with Shapiro's (2001) three-pronged protocol. The procedures for identifying and prioritizing treatment eye movement desensitization and reprocessing (EMDR) targets are reviewed in the context of Shapiro's theoretical model, and various time line models are summarized. The author then presents her EMDR Target Time Line, which provides a practical simple visual tool for documenting past, present, and future aspects of the presenting problem. It allows the therapist to note if disturbing past experiences present around a core theme, such as negative cognitions, physical symptoms, or situations/persons/circumstances. Three clinical cases are used to illustrate the form's application with various types of treatment targets.
In this workshop, participants will be taught to use their “true” authentic selves as a resource during EMDR
processing, and to work to create a secure, responsive, and positive relational environment that supports change
and integration. A number of conceptual “maps” that incorporate and build on various ideas and strategies from
other trauma-focused models (e.g., AEDP, IFS, Sensorimotor Psychotherapy, Structural Model of Dissociation)
will be introduced. These “maps” are provided to guide case conceptualization and moment-to-moment decision-making
within a given EMDR session. Video clips will be used to demonstrate how to track a client’s progress
with greater precision, using both verbal and non-verbal markers to determine where the client is on a given
conceptual map and what type of interweave is needed to facilitate or deepen the client’s processing. Different
types of interweaves will be delineated with a clear description of the purpose or function associated with each.
Throughout this workshop, Dr. Korn will engage in spirited dialogue with participants as she presents both
didactic and video material.
Learning Objectives:
• Develop a comprehensive AIP-based case conceptualization treatment plan that will guide their moment-to-moment
decision-making during an EMDR session.
• Effectively identify the informational plateaus or schema categories (responsibility, safety, control/choice)
reflected in a client’s presenting issues, choice of targets, and stuck points.
• Utilize dyadic regulation in working with clients with limited affect tolerance and self-capacities, with the goal
of maintaining and even accelerating processing within a window of tolerance.
• Apply advanced interweave strategies to address blocking beliefs, rigid defenses, and fears about internal
experiences (i.e. affect, sensation, urges, fantasies).
• Utilize various clinical strategies/interweaves for facilitating the expression of adaptive action tendencies,
completing incomplete or truncated actions, and addressing various domains of developmental repair.
Dans son atelier, les participants apprendront à utiliser leur ‘vrai’’ et authentique soi comme une ressource
durant le traitement en EMDR et à créer un environnement où la relation soit sécurisante, sensible et positive
favorisant ainsi le changement et l’intégration.
Dr Korn nous parlera de ce modèle conceptuel des ‘cartes’ qui incorporent des idées et des stratégies qui proviennent de d’autres modèles axés sur les traumas (‘AEDP’, ‘IFS’, Psychothérapie Sensorimotrice, Modèle de
la Dissociation Structurelle). Ces ‘’cartes’’ sont un guide dans la conceptualisation de cas et la prise de décision
‘’moment par moment’’ durant une session d’EMDR. Des vidéo clips seront présentés afin de démontrer comment
suivre le progrès d’un client avec une grande précision, utilisant des repères verbaux et non verbaux pour
déterminer où se trouve le client sur une ‘’carte’’ donnée et quel type de tissage est nécessaire pour faciliter ou
approfondir le traitement du client. Objectifs d’apprentissage:
• Développer un plan de traitement compréhensif basé sur le modèle TAI –et la conceptualisation de cas
comme un guide de prise de décision ‘’moment par moment’’ durant une session d’EMDR.
• Identifier de manière efficace les plateaux informatifs ou les catégories de schémas (responsabilité, sécurité,
contrôle/choix) qui se révèlent dans ce que le client présente comme difficultés, dans le choix des cibles et les
blocages.
• Utilisation de la dyade pour aider à moduler l’affect chez les clients qui ont une très faible tolérance
émotionnelle avec comme but de maintenir et même d’accélérer le traitement à l’intérieur de la fenêtre de
tolérance.
• Avoir recours aux stratégies avancées du tissage pour traiter les croyances bloquantes, les défenses rigides
et les peurs venant de la ‘’vie intérieure’’ (c’est à dire l’affect, les sensations, les pulsions, les fantasmes).
• Utilisation de diverses stratégies cliniques et du tissage afin de favoriser l’expression d’action adaptative, de
compléter les actions inachevées ou tronquées et d’aborder différents domaines permettant de ‘’réparer’’ les
dommages survenus au cours du développement.
Many clients who present for EMDR are medicated with psychiatric drugs. The question arises whether these
medications are helpful in the context of EMDR therapy or not. We as psychotherapists, by definition, are involved
in a dialogue about mental health with our clients; therefore, on the important subject of psychoactive medication
we have a responsibility to be informed ourselves and to share this information with our clients. This presentation
is intended to provide tools especially for the non-medical therapist to learn how to navigate the territory of
psychiatric drugs-use in a way that helps clients. Included in the presentation will be a discussion of individual
case studies of traumatized clients, who had first been treated with psychiatric medication and then sought EMDR
therapy; an examination of how psychiatric drugs help or hinder and how they compare to the EMDR therapy
approach; and evidence from the current literature which calls into question the assumption of mental disorders
being due to a chemical imbalance requiring life-long medication. The robustness of the EMDR protocol and how
helpful it has proven to be to clients who have dealt with being heavily medicated and suffering from attendant
side effects will be illustrated. Learning objectives:
• Critique the evidence-based literature on psychiatric medication and the now insupportable information, given
to clients and doctors, which excludes the findings of long-term harm caused by all classes of psychiatric
medication. Participants will be able to assess the importance of the few reliable long-term outcome studies
and compare the effectiveness of psychotherapy/EMDR with psychiatric drugs.
• Evaluate a series of cases studies of clients, previously traumatized, who were medicated with psychoactive
drugs when first seeking EMDR Therapy.
• Gain knowledge of the different available protocols designed to help clients to be safely weaned off
psychiatric medication.
• In the process of discussion, participants will compare their own and other participants’ experiences with
such medicated clients.
Background: Some functional imaging abnormalities found in bipolar disorder are state related, whereas others persist into euthymia. It is uncertain to what extent these latter changes may reflect continuing subsyndromal affective fluctuations and whether those can be modulated by therapeutic interventions. Method: We report functional magnetic resonance imaging (fMRI) findings during performance of the n-back working memory task in a bipolar patient who showed a marked improvement in subsyndromal affective symptoms after receiving eye movement desensitization and reprocessing (EMDR) therapy in the context of a clinical trial. Results: The patient's clinical improvement was accompanied by marked changes in functional imaging, as compared to 30 healthy subjects. fMRI changes were noted particularly in deactivation, with failure of deactivation in the medial frontal cortex partially normalizing after treatment. Conclusions: This case supports the potential therapeutic overall benefit of EMDR in traumatized bipolar patients and suggests a possible neurobiological mechanism of action: normalization of default mode network dysfunction.
Copyright © 2013 S. Karger AG, Basel.
Background: Some functional imaging abnormalities found in bipolar disorder are state related, whereas others persist into euthymia. It is uncertain to what extent these latter changes may reflect continuing subsyndromal affective fluctuations and whether those can be modulated by therapeutic interventions. Method: We report functional magnetic resonance imaging (fMRI) findings during performance of the n-back working memory task in a bipolar patient who showed a marked improvement in subsyndromal affective symptoms after receiving eye movement desensitization and reprocessing (EMDR) therapy in the context of a clinical trial. Results: The patient's clinical improvement was accompanied by marked changes in functional imaging, as compared to 30 healthy subjects. fMRI changes were noted particularly in deactivation, with failure of deactivation in the medial frontal cortex partially normalizing after treatment. Conclusions: This case supports the potential therapeutic overall benefit of EMDR in traumatized bipolar patients and suggests a possible neurobiological mechanism of action: normalization of default mode network dysfunction.
Copyright © 2013 S. Karger AG, Basel.
Background: Some functional imaging abnormalities found in bipolar disorder are state related, whereas others persist into euthymia. It is uncertain to what extent these latter changes may reflect continuing subsyndromal affective fluctuations and whether those can be modulated by therapeutic interventions. Method: We report functional magnetic resonance imaging (fMRI) findings during performance of the n-back working memory task in a bipolar patient who showed a marked improvement in subsyndromal affective symptoms after receiving eye movement desensitization and reprocessing (EMDR) therapy in the context of a clinical trial. Results: The patient's clinical improvement was accompanied by marked changes in functional imaging, as compared to 30 healthy subjects. fMRI changes were noted particularly in deactivation, with failure of deactivation in the medial frontal cortex partially normalizing after treatment. Conclusions: This case supports the potential therapeutic overall benefit of EMDR in traumatized bipolar patients and suggests a possible neurobiological mechanism of action: normalization of default mode network dysfunction.
Copyright © 2013 S. Karger AG, Basel.
EMDR (Eye Movement Desensitization and Reprocessing) wurde vor mehr als zehn Jahren von Dr. Francine Shapiro entwickelt und galt anfangs insbesondere aufgrund nachweislich sehr schneller und überzeugender Behandlungserfolge als eine der ungewöhnlichsten psychotherapeutischen Methoden überhaupt. Aufgrund der positiven Ergebnisse wissenschaftlicher Untersuchungen wird EMDR mittlerweile von vielen Therapeuten erfolgreich eingesetzt.
Im Mittelpunkt des Buches steht das von Lipke entwickelte Vier-Aktivitäten-Modell, eine Ergänzung zu dem von Francine Shapiro (1995) entwickelten AIP-Modell der beschleunigten Informationsverarbeitung. Damit schafft Lipke einen Rahmen für das Verständnis psychotherapeutischer Arbeit im allgemeinen und für die Integration von Shapiros Theorie über die Verarbeitung dysfunktionaler Erinnerungen in die bisherigen Formen psychotherapeutischer Arbeit. Das vorgestellte Modell liefert eine Handlungsanleitung für die Anwendung von EMDR in der therapeutischen Praxis. Dabei kann Lipke auf seine fast dreißigjährige klinische Erfahrung mit traditionelleren Behandlungsansätzen ebenso zurückgreifen wie auf seine über zehnjährige Praxis in der Anwendung und Vermittlung von EMDR. Das Buch ist nicht als Einführung in die Theorie und Praxis von EMDR, sondern eher als Erläuterung der Arbeit mit dieser Methode in einem umfassenderen therapeutischen Zusammenhang gedacht.
EMDR (Eye Movement Desensitization and Reprocessing) was developed more than ten years ago by Dr. Francine Shapiro and was initially due in particular proved very fast and impressive treatment success as one of the most unusual methods of psychotherapy in general. Due to the positive results of scientific studies EMDR is now used by many therapists successfully. The focus of the book which is developed by Lipke four activities model, a complement to the Francine Shapiro (1995) developed the AIP model of accelerated information processing. This creates a framework for understanding Lipke psychotherapeutic work in general and for the integration of Shapiro's theory about the dysfunctional processing of memories in the previous forms of psychotherapeutic work. The proposed model provides a guide to action for the application of EMDR in therapeutic practice. It can draw on his nearly thirty years Lipke clinical experience with more traditional treatment approaches as well as on its more than ten years of practice in the use and placement of EMDR. The book is not intended as an introduction to the theory and practice of EMDR, but rather as an explanation of the work with this method in a wider therapeutic context.
Bei der gemeinsamen Betrachtung von EMDR mit familientherapeutischen Ansätzen fallen zunächst die Gegensätze auf.
EMDR wird üblicherweise im Einzelsetting angewendet. Die Behandlung steht meist im Kontext von bestimmten Krankheitsdiagnosen (typischerweise von traumabedingten - aber auch anderen - Störungen).
In der (systemischen) Familientherapie wird eine Diagnostizierung möglichst vermieden, Konzepte werden "verflüssigt", Symptome werden im Hinblick auf ihre Wirkung im (Familien-)System hin untersucht. Beispielsweise wird ein Patient als "Symptomträger" innerhalb der Familie bezeichnet. Man sucht also nach dem Sinn oder Nutzen, den die Symptomatik für die Familie hat. Insofern ist man recht weit davon entfernt, gezielte Interventionsmethoden zu suchen, mit denen dann der einzelne behandelt wird, um ein Symptom zu beseitigen. Allerdings wurde dies von den Begründern der Familientherapie keineswegs für ausgeschlossen erklärt (vgl. bspw. Stierlin et al. 1977, 16).
EMDR ist dementsprechend in der familientherapeutischen Literatur und den einschlägigen Fachzeitschriften bisher so gut wie nicht zur Kenntnis genommen worden. Eine Ausnahme bildet The Family Therapy Networker im Jahr 1993, der dem Thema EMDR ein Special Feature widmet (vgl. Butler (1993) und O'Brien (1993)).
Von Seiten der EMDR Praktizierenden gibt es durchaus Hinweise auf die Vereinbarkeit. Tinker & Wilson (2000, 229) verweisen auf die Nützlichkeit der Ergänzung der EMDR-Arbeit durch familientherapeutisches Vorgehen. Lempa (2000) beschreibt die Verbindung der EMDR-Einzelbehandlung mit familientherapeutischen Gesprächen innerhalb des stationären Settings und berichtet über positive Erfahrungen im Hinblick auf die Akzeptanz der Behandlung in den Familien.
Ich halte die wechselseitige Betrachtung der Ansätze für sehr fruchtbar und möchte hier einige Gedanken und Erfahrungen dazu darstellen.
In the common view of EMDR with family therapy approaches, first fall to the opposition.
EMDR is usually applied in individual settings. Treatment is usually in the context of specific disease diagnoses (typically from trauma-related - errors - but also others).
In the (systemic) family therapy, a diagnosis will be avoided where possible, concepts will be "liquefied" symptoms in terms of their effect in the (family) system were investigated. For example, a patient is a "symptom carrier" within the family. Therefore, we look for the meaning or benefit that the symptoms for the family. In this respect it is quite far from seeking specific intervention methods by which the individual is then treated to remove a symptom. However, this was by the founders of family therapy not declared excluded (see, for example, Stierlin et al. 1977, 16).
EMDR has been accordingly in the family therapy literature and the relevant journals previously taken almost no notice. The Family Therapy Networker an exception is in 1993, the subject of EMDR devotes a special feature (see Butler (1993) and O'Brien (1993)).
Sides of the EMDR practitioner, there are indications of the compatibility. Tinker & Wilson (2000, 229) point to the usefulness of supplementing EMDR work with family therapeutic approach. Lempa (2000) describes the connection of individual EMDR treatment with family therapy calls within the inpatient setting and reported positive experiences with regard to the acceptance of the treatment in the home.
I think the mutual inspection of approaches for very fruitful and would like to present some thoughts and experience to do so.
Bei der gemeinsamen Betrachtung von EMDR mit familientherapeutischen Ansätzen fallen zunächst die Gegensätze auf.
EMDR wird üblicherweise im Einzelsetting angewendet. Die Behandlung steht meist im Kontext von bestimmten Krankheitsdiagnosen (typischerweise von traumabedingten - aber auch anderen - Störungen).
In der (systemischen) Familientherapie wird eine Diagnostizierung möglichst vermieden, Konzepte werden "verflüssigt", Symptome werden im Hinblick auf ihre Wirkung im (Familien-)System hin untersucht. Beispielsweise wird ein Patient als "Symptomträger" innerhalb der Familie bezeichnet. Man sucht also nach dem Sinn oder Nutzen, den die Symptomatik für die Familie hat. Insofern ist man recht weit davon entfernt, gezielte Interventionsmethoden zu suchen, mit denen dann der einzelne behandelt wird, um ein Symptom zu beseitigen. Allerdings wurde dies von den Begründern der Familientherapie keineswegs für ausgeschlossen erklärt (vgl. bspw. Stierlin et al. 1977, 16).
In the common view of EMDR with family therapy approaches, first fall to the opposition.
EMDR is usually applied in individual settings. The treatment is usually in the context of specific disease diagnoses (typically from traumatic - but also others - problems).
In the (systemic) family therapy, a diagnosis will be avoided where possible, concepts will be "liquefied" symptoms are examined in terms of their effect in the (family) system down. For example, a patient as a "symptom carrier" means within the family. It therefore seeks for the meaning or benefit that the symptoms for the family. In this respect it is quite far away from seeking specific intervention methods by which the individual is then treated to remove a symptom. However, this was by the founders of family therapy does not declared excluded (see, for example, Stierlin et al. 1977, 16).
I will
present a way of working with families using EMDR, offer question and discussion time
and the opportunity to explore the approach. I would very much like to provide an arena
to discuss and share learning about EMDR with families and to agree some success criteria
for working in this way.
The focus of my presentation is the successful use of the EMDR group protocol to work
with domestic abuse.
I will describe the use of images to process memories and current fears.
I will cover what made the approach successful in the context of the existing resources.
Conference Abstracts
I will describe our learning about co-working across different modalities in the way that we
did.
The workshop will have an interactive and experiential focus, which I hope will capture the
energy and creativity of the approach.
New Learning points:
• Adapting and developing a group EMDR protocol
• Co-work with a parent and a colleague from another modality
• Using EMDR to process the legacy of domestic abuse
Our aim: We will present some EMDR family work,
offer question and discussion time and the opportunity to explore
the approach. We would very much like to provide an
arena to discuss and share learning about EMDR with families
and to agree some success criteria for working in this way.
The focus of our presentation is the successful use of the EMDR
group protocol with a family of 5 children. The children
had witnessed domestic abuse and had been physically abused themselves. We were greatly assisted by the children's mother Lea
who co-worked with us. We will include how we structured 1. I
support for her to carry out this difficult role.
We will describe the use of images to process the children's
memories and current fears.
We will cover what made the approach so successful in the children's and our opinion, including the context of the existing resources.
We will describe what we learnt about co-working across different
modalities in the way that we did.
The workshop will have an interactive and experiential focus which
we hope will capture the energy and creativity of the approach.
Learning points:
- Adapting and developing a group EMDR protocol to work
with a family of 5 children.
- Co-work with a parent and a colleague from another modality.
- Using EMDR to process the legacy of domestic abuse by the children's father including processing current fears.
As co-workers we found that, using the vehicle of the EMDR
group protocol has been an exciting and effective initiative. My
colleague and I came from different agencies and worked together in the family's home in a collaborative way with the children, parent and each other We will include in our presentation the children's and parent's views on what worked for them and on the process as a whole.
The use of both Mony Elkaïm’s systemic model and the AIP model is a new perspective for couples’therapy and for EMDR target plan and further in individual therapy where relational problems are involved. This workshop will teach present a way to do a target plan for relational problem treatment. Focusing on couples’therapy the workshop will show how to do an EMDR case conceptualization integrating the systemic model. It will propose clinical question/answer that will help to decide to use EMDR or not in the couple session, choosing the position of the other member of the couple during the reprocessing phases. It will show the use of individual safe places as a safe place for the couple during the session and at home.
What we propose here is that the understanding of Mony Elkaïm’s Systemic model for a couple in crisis guides us to find where to work on the past of each member to heal the couple in the EMDR target plan. We imagine that this understanding can be of help to build a bridge between any 2 parts of a relation: 2friends, 2 colleagues, 2 persons from different culture or religion.
The presentation will illustrate how the systemic model created by Mony Elkaïm for understanding couple crisis can be useful in the EMDR treatment of couples, EMDR case conceptualization and EMDR target plan. This model insists on the double bind in which each member of the couple is torn between his/her Official Program and his/her World View. For example: "I want to be loved" (O.P) and" if someone loves me he will leave me" (W.V.). These world views are creating repetitive cycles which are trapping the members of the couple or of any people in interaction. The aim of the EMDR practitioner is to treat the dysfunctional stored memories connected with these world views and give them flexibility to free the members of the couple from the vicious circle in which they are caught.
In this presentation we propose to show how making hypothesis about the World view of each member of the couple and verifying them will guide us to the individual target that will be the Gordian knot in the present problem the couple is dealing with, hence helping the system to evolve from a situation of crisis to a situation of equilibrium.
Using EMDR will help to give flexibility to the world view of each member. Using it within Mony Elkaïm’s systemic model will help the couple. Following each phase of the EMDR model eight-phases protocol, we will show how it will be applied to couple therapy with case studies and practice example. We will see how this target plan can apply to any dyad or system in crisis in family therapy, couple therapy and individual therapy.
Learning objectives:
•Understand how to use the systemic model, reciprocal double bind, to find the individual targets that are involved in the couple or any relational present problem in an EMDR target plan.
•Being able to do the installation of EMDR safe place as a resource for the couple.
•Evaluate more clearly whether and when to use EMDR in the couple therapy session.
•Knowing specifications of each of the 8 phases EMDR protocol with couple.
EMDR is a method used to help the individual trauma victim process the psychological aftereffects of trauma (PTSD). The effects of traumatic experiences, however, spread throughout the victim's family. The case presented here describes the treatment from three perspectives: individual, family, and social context (eco-social). EMDR, used with a nine-year-old stabbing victim, was integrated into wider therapeutic work within the family. This integration widened the focus from the IP to other members of the system, allowing the use of EMDR to “spread” to four out of the five family members. The effects of the trauma on the family and its members were most effectively treated by a combination of individually and systemically oriented interventions.
Objetivos de aprendizaje:
• mostrar de una manera práctica los cambios
de paradigmas en la atención psicoterapéutica
desde la perspectiva del EMDR en cuanto a
fortalecer los recursos del ser humano.
• demostrar cómo el método de EMDR puede
integrarse con otros procedimientos grupales
como el psicodrama.
• presentar la técnica psicodramática de Pilares
de la Vida con EMDR en un contexto de grupo.
Learning Objectives:
• show a practical way changes
paradigms in the psychotherapeutic
from the perspective of EMDR as a
strengthen human resources.
• demonstrate how EMDR method can
group integrated with other procedures
as psychodrama.
• present psychodramatic technique of Pillars
Life with EMDR in a group context.
En el aproche sistémico-relacional del Milán Model, el primer paso para la introducción de un cambio sea al interno de un contexto de terapia individual sea de pareja y/o familiar, es la construcción junto al paciente/sistema familiar de una Hipótesis Sistémica relativo al problema llevado. Tal proceso proporziona
la exploración en profundidad sea sincrónica sea
diacrónica de los contextos relacionales generadores del problema.
La hipótesis con respecto al sistema Relacional coconstruida
en el proceso terapéutico, toca temas
específicos a través de el uso de precisas técnicas locuaces.
Los pilastros de la hipótesis cumplen las dimensiones descritas en el cuadrilátero sistémico en el cual el problema del paciente está conectado en un proceso recursivo a los aspectos interpersonales del contexto de pertenencia.
In the systemic-relational approach of Milan Model, the first step to the introduction of a change both within the context of individual therapy and couple/family one
consists of outlining a Systemic Hypothesis on the given problem together with the patient/family system. This
process involves both synchronic and diachronic indepth exploration of the relational contexts representing the problem generators.
The hypothesis referred to the relational system, outlined together during the therapeutic process, touches specific subjects through the use of specific conversational techniques.
The pillars of the hypothesis comply with the dimensions highlighted in the Systemic Quadrilateral where the problem of the patient is connected to a process related to the interpersonal aspects of his environment.
Föreliggande studie är dels ett led i att kvalitetssäkra EMDR (Eye Movement Desensitization and Reprocessing) som behandlingsmetod för barn och ungdomar och dels att utröna om behandlingen bidragit till ett förbättrat mående. EMDR som behandlingsmetod för barn och ungdomar har stöd i kontrollerade studier, men ytterligare forskning behövs. I den här studien deltog åtta barn och ungdomar med varierande diagnoser, vilka fått EMDR-behandling i barn- och ungdomspsykiatrisk öppenvård. Behandlingen ingick i en individualterapi i ett familjeterapeutiskt sammanhang. Barnen/ungdomarna intervjuades per telefon om hur de upplevt behandlingen och om sitt mående i efterförloppet. Information om diagnoser, C-GAS, antal EMDR-sessioner samt terapeutens bedömning inhämtades som komplement till intervjun. Resultaten visar att EMDR-behandlingen upplevs ha bidragit till att obehagskänslor och symtom minskade, men i olika grad, för alla intervjuade barn/ungdomar. Denna förändring kunde också noteras i terapeutens bedömning och i de bedömda C-GAS-värdena. Alla kände sig trygga under behandlingen och tyckte att de fick tillräcklig information. Hälften tyckte att konfrontationen med de svåra minnena var det mest obehagliga. Vissa detaljer i protokollet, såsom att bestämma målbild, upplevdes svårt för över hälften. Alla intervjuade skulle rekommendera EMDR-behandling till andra. Det positiva resultatet talar för att EMDR är en användbar metod för barn- och ungdomar med traumatiska minnen, och att det är värdefullt att satsa på fortsatt forskning kring EMDR med barn- och ungdomar.
The present study is the first part of ensuring the quality of EMDR (Eye Movement Desensitization and Reprocessing) as a treatment for children and young people and also to determine if the treatment contributed to an improved malaise. EMDR as a treatment for children and adolescents is supported by controlled studies, but further research is needed. In this study, eight children and adolescents with various diagnoses who received EMDR treatment in child and adolescent psychiatric outpatients. The treatment was part of an individual therapy in a family therapy context. Children / young people were interviewed by telephone about their experiences and treatment of their malaise in its aftermath. Information on diagnosis, C-GAS, number of EMDR sessions and the therapist's assessment was collected as a supplement to the interview. The results show that EMDR treatment is perceived to have contributed to the discomfort and symptoms decreased, but to varying degrees, all interviewed children / adolescents. This change was also noted in the therapist's assessment and the assessed C-GAS-values. All felt safe during the treatment and felt they had enough information. Half thought that the confrontation with the difficult memories was the most unpleasant. Some details of the protocol, such as determining the vision, difficulty was experienced for more than half. All respondents would recommend EMDR treatment to others. The positive results suggest that EMDR is a useful method for children and adolescents with traumatic memories, and that it is worthwhile to invest in continued research on EMDR with children and adolescents.
This article describes Eye Movement Desensitization and Reprocessing (EMDR), a new treatment for Panic Disorder, and gives as an example of its application, details of a recent case which resulted in alleviation of panic attacks and a significant decrease in anticipatory anxiety within two sessions. The EMDR method also brought into consciousness a nexus of underlying issues and conflicts concerning loss, separation, anger and guilt. Implications for the treatment of panic are discussed within the context of the etiology of panic including the disparate ideas of Davanloo and Clark. EMDR may possess unique features that allow for a diverse array of treatment targets ranging from conditioned interoceptive sensations and catastrophic beliefs to repressed rage and grief. [Author abstract]
Since Francine Shapiro published her original study on Eye Movement Desensitisation Reprocessing (EMDR) in 1989, more than 20,000 therapists in 55 countries have been taught to use this technique. Over the past decade, the procedure has evolved, making it accessible to a wider range of psychological difficulties. The ACPP recently held a very successful conference examining the context in which EMDR can be applied and the range of psychological disorders that it can help.
Contents:
Robert H. Tinker. EMDR for traumatised children around the world
Ricky Greenwald. EMDR and trauma-focused treatment for conduct problems
Joanne Morris-Smith. EMDR: a case for pre-verbal memory?
Eamon McMahon. EMDR in the treatment of attachment and bonding difficulties
Guinevere Tufnell. EMDR: working with the legal system
Alison Russell & Mike O'Connor. Interventions for recovery: the use of EMDR with children in a community-based project
Umran Korkmazler-Oral & Seniz Pamuk. Group EMDR with child survivors of the earthquake in turkey
Tony Roberts. Websites relating to psychological trauma: with emphasis on children
EMDR is a well-established therapy for the treatment of Post Traumatic Stress Disorder (PTSD). PTSD can
be reduced or prevented if treated during the first month after a trauma when a person displays Acute Stress
Disorder (ASD). Although usually used later, EMDR has also been used effectively in the immediate period
following trauma. Victims of immediate trauma often exhibit “silent terror” or extreme stress. The Emergency
Response Procedure is an adaptation of the Standard EMDR Protocol which was developed to deal with victims
of natural and manmade disaster within hours of exposure to trauma. Participants in this workshop will learn
the Emergency Response Procedure and its application to treating clients immediately after a trauma. Case
examples will be presented to illustrate the successful treatment of Acute Stress Disorder with survivors of the
Tsunami in Thailand and with victims of terror and war. Learning Objectives:
• Within the overall context of the principles of Psychological First Aid, to learn how to respond to clients in the
immediate aftermath of trauma utilizing ERP
• To apply ERP in the event of strong abreaction during the initial phase of History-taking, prior to the
Preparation Phase of EMDR or at other time of treatment when patients exhibit strong emotional reactions
• To learn when and how to use ERP for patients exhibiting “silent terror” or extreme stress during initial
treatment by first responders at the scene of an accident or in an ambulance en route to medical facilities
• To understand how to utilize the Recent Events Protocol in the face of ongoing danger
• To understand EMDR methods that may be used in emergency settings where multiple patients need rapid
treatment
This paper reviews the issues with which EMDR practitioners need to be familiar when working with EMDR in a legal context. It will cover issues relating to good practice in the legal context including consent, reliability of evidence and expert witness work. It will include comparisons of hypnosis, claims of false memory, and whether or not to use or withhold EMDR before court work. The paper will assume a basic knowledge of both the legal issues affecting the work of psychotherapists in general and the basics of EMDR practice and will focus mainly on questions specifically relating to the use of EMDR in legal case.
EMDR constitutes a valuable tool for couples
therapists when one or both partners are stuck in
repetitive, reactive cycles. This workshop describes
the circumstances in which EMDR is most likely to
be helpful in couples therapy. It examines the
benefits of EMDR through the lens of the repetition compulsion, with pariicular emphasis on common - and often intractable - impasses in in the treatment of couples. The origins of the repetition compulsion
in early failures of attunement are described, as in
the re-enactment of these experiences in the adult
couples relationship. Working with EMDR is nested
within the context of a resource-based approach to
couples therapy, emphasizing how emotional
reactivity and defensive withdrawal impede the
expression of empathy, trustworthiness, intimacy and repair in the couples relationship. Different formats for conducting EMDR (separately with one partner; separately with both partners; conjointly with both partners; or adjunctively with another therapist) are
presented, along with indicators, advantages and
disadvantages of each format. Special
considerations (such as when to introduce EMDR,
balancing alliances, sequencing sessions and
instructions to an observing partner) and
modifications of the standard protocol when EMDR
is used in the context of couples treatment are also
clarified. Finally, circumstances in which EMDR
is unlikely to be helpful or in which it is contraindicated are examined.
The workshop on Emergency EMDR will give an overview of crisis intervention and principles of critical incident debriefing following man made and natural disasters. There will be a review of the Neurobiology of Stress and PTSD. The various protocols of EMDR will be discussed such as the standard Protocol, the Recent Events Protocol and the group protocol. The Emergency Response Procedure (ERP), that can be used within hours of a traumatic Incident, will be discussed with case examples demonstrating its usefulness in many cases of Acute Stress Reaction and Disorder. This will be understood within the overall context of the principles of Psychological First Aid. All of this will be discussed with case examples of victims treated after terrorist attacks and war in Israel and after the Tsunami in 2004. There will be a practicum on Group EMDR.
The author presents a case study of a 42- year-old white female, the victim of multiple sexual traumas resulting in PTSD. Eye Movement Desensitization/Reorientation (EMDR), a relatively new technique, is employed within the broader context of talk therapy to effect change. EMDR's therapeutic effectiveness is evaluated on a trauma-by-trauma basis through Subjective Units of Distress (SUD), pre- and post-treatment. The maintenance of sustained effected change in SUD ratings is monitored over time on a monthly basis throughout psychotherapy's duration. The patient's changes in overall level of functioning resulting from EMDR and talk therapy are evaluated through changes in MMPI and Rorschach scores. Patient progress is monitored three times through the assessment combination of these two measures: pre-, mid-, and post-treatment. This study addresses the following questions: Is Eye Movement Desensitization/Reorientation an effective technique in decreasing or eliminating symptomatology and psychopathology resulting from PTSD; and are any therapeutic benefits from its use maintained over a period of at least one year? Finally, what changes in the patient's overall level of functioning result from the combination of EMDR and talk therapy?The review of literature presents four models of PTSD: (a) the information processing model, (b) the psychological model, (c) the structural-developmental model (Fluid character pathology), and (d) the structural-developmental model (Dysregulation of impulse). These models offer a basis for conceptualizing PTSD as well as present the typical features of this pathology. The current diagnostic criteria for diagnosis as presented in DSM-IV also are included. Finally, a comprehensive review of the current literature available on Eye Movement Desensitization is presented. Results from the employ of EMDR evidence substantial reduction of PTSD symptomatology for all traumas treated. The reduction of symptomatology sustained for as long as 26 months. A summary of the case, findings, discussion of relevant information along with recommendations completes this work. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 57(8-B), Feb 1997, pp. 5321.
Ai Chi is a moving meditation in warm water that can be understood within the context of the Adaptive Information Processing Model. It can be utilized as part of the overall EMDR-oriented treatment plan, both to prepare for desensitization and as a way to close down incomplete sessions. It can also be part of performance enhancement EMDR. As a multimodal experience, Ai Chi helps to develop the body as a resource and parallels the interpersonal neurobiology definition of mental health. Unique qualities that Ai Chi offers will be explored. Participants will be given the opportunity to experience the process firsthand. Please Note: In order to fully participate, please bring a swimsuit or other suitable attire for use in a swimming pool.
The development of eye movement desensitization and reprocessing (EMDR) has been marked by an emphasis on research, beginning with its introduction by a controlled study in 1989. However, misconceptions regarding the method abound. A recent inaccurate literature review demonstrates the need for more careful scrutiny. To date, 12 controlled studies have been completed in the area of PTSD, most of which support EMDR's efficacy. Nevertheless, a careful examination of a number of studies and of a recent literature review reveal the need for greater methodological rigor and higher clinical standards in both the research and research evaluation process. [Author Summary]
In the context of managed care, effective short-term treatment has become a priority for psychologists. This is particularly true for the recalcitrant symptoms of PTSD which are often associated with protracted treatment and disappointing outcome.This study investigated the efficacy of Eye Movement Desensitization and Reprocessing (EMDR) as a short-term treatment for PTSD. The independent variable, EMDR, was introduced sequentially in a multiple baseline design across subjects. 5 survivors of rape who met DSM-III-R criteria for PTSD received 4 to 6 weekly sessions of EMDR provided by five licensed psychotherapists with Level 2 EMDR training. Treatment outcomes included (a) large reductions in symptomatology evident in self-monitored data and objective measures, (b) replication of treatment effect in 5 out of 5 subjects, (c) qualitative and behavior change data which corroborate treatment effect, and (d) analyses which demonstrate the clinical significance of the changes, as well as the statistical significance of the differences between pretreatment and follow-up scores (with a confidence level of .05 or beyond). The study suggests that EMDR is very effective for treating long-term, recalcitrant symptoms of PTSD which have not resolved with time or previous therapy. The study provides a methodological model for calibrating treatment and developing accountability for treatment efficacy which can be applied across treatments and settings. [Author Abstract]
I here only briefly review the 8 treatment phases of which EMDR (Eye Movement Desensitization and Reprocessing) is compromised. The remainder of this contribution reviews the current state of EMDR research and clinical practice. Specifically, I (a) explore the historical context in which EMDR is placed, (b) review the extant publications and emerging research on this method, (c) make some suggestions for clinicians who are offering or evaluating new innovations, and (d) describe some recent clinical applications of EMDR. The earlier controversy that swirled around EMDR appears symptomatic of a lamentable split between practicing therapists and researchers (usually academic) which has manifested itself in professional psychology in a variety of ways. Because of its visibility, EMDR may well prove a vehicle to help close this gap. Hopefully, the experience of offering EMDR to the field of psychology provides lessons that will prove useful to practicing clinicians and future innovators. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
The complete controlled PTSD research on eye movement desensitization and reprocessing (EMDR) is placed within the context of other methods used in the treatment of PTSD. A number of studies are presented that support EMDR as an empirically validated method. However, in several studies, clinical standards have not always been integrated with rigorous scientific methdology. The suggested standards include fidelity checks for the method being tested, the use of appropriate psychometrics, and assessment of co-morbidity factors. At the same time, because of common misconceptions about the method, a variety of problematic issues are discussed. [Author Abstract]
Since Francine Shapiro's first published paper on EMD therapy in 1989, there has been a tendency toward polarization in EMDR research. Those who tend to believe in the effectiveness of EMDR tend to find results which confirm their point of view. Those who have been very skeptical about the effectiveness of EMDR have tended to produce findings which validated their perspective also. The result of this has been years of back and forth research, without a great deal of moving forward by asking new questions based on previous findings. This literature review involved evaluating all available research on EMDR published in English as of March 1, 2002. Studies were categorized as contributing to knowledge about EMDR in general, or emphasizing specific aspects. Specific aspects were breadth of application, subjectivity of effects, EMDR's effect on intrusive PTSD symptoms, the necessity for eye movements, how EMDR works, if it does, and whether it produces lasting change.Findings included a probable effect from EMDR in treating traumatic memories. It has not been found equally effective in treating other kinds of anxiety or other psychological maladies. Subjectivity is an ongoing issue in EMDR research, yet there are several forms of data indicating an effect in a context in which subjectivity could not have been a significant factor. If EMDR works better for intrusive PTSD symptoms compared to others, the difference is minor. The necessity of eye movements has not been clarified, largely because of the use of alternate forms of bilateral brain stimulation as a control condition when these in fact may promote a similar process. EMDR appears to produce change that is as lasting as any other form of psychotherapy. The main conclusion is that there is a paucity of research including a variety of independent variables. The ongoing battle as to whether EMDR works or not has delayed thorough inquiry into for whom it works, compared to for whom it does not work. It is argued that the field, as well as the clinical population, would be well served if research could move in the direction of rectifying this situation. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 65(1-B), 2004, pp. 455.
Eye Movement Desensitization and Reprocessing (EMDR) is a treatment for trauma that has been approached primarily from cognitive-behavioral and neurobiological perspectives. This thesis explores the notion that much of EMDR's effect in the way of transformation and healing trauma is due to its ability to provoke imagination. The possibility of EMDR's connection with the imaginal faculty of the psyche is investigated with an emphasis on the qualities of EMDR that are grounded in depth psychology principles. Trauma and the importance of imagination in the healing process are discussed from the approach of the analytical and archetypal schools of psychology in addition to current bioscience perspectives. The research methodology used is alchemical hermeneutics, which facilitates the mining of unconscious material through transference dialogues. The thesis demonstrates that EMDR, when practiced within the context of depth psychology, is one avenue for activating significant, transformative imagery and accessing the unconscious to facilitate healing.
This exploratory-descriptive study presents an examination of Licensed Clinical Social Workers (LCSWs) who use Eye Movement Desensitization and Reprocessing (EMDR) and of clients with whom they use it. EMDR is a rapid exposure treatment protocol for trauma consisting of a therapeutic interview accompanied by therapist directed eye movements, and is conducted in the context of ongoing therapy.
Results of a mailed survey indicate that the 14 respondents are affluent experienced White/Anglo women working with White/Anglo women in eclectic private practices. They seek effective technologies of psychotherapy and view EMDR as such. They use EMDR with longer term treatments to help clients proceed with therapy when 'stuck'.
Additional research appears warranted.
Participants will be able to: 1) identify cross-cultural healing practices that incoporate bilateral stimilation; 2) describe relevant research studies; and 3) identiy guildeines for the development of culturally sensitive applications of EMDR.
Participants will be able to: 1) recognize adolescent clinical presentations; 2) incorporate EMDR into family therapy; 3) engage/motivate resistant youth; 4) identify stressors; 5) differentiate various non-responses; and 6) learn new methods of approaching the treatment protocol.
This presentation will focus on why we need team work especially when we are working with children and how do we integrate
EMDR into our clinical work. We believe that when working with children, the teamwork and the cooperation with the family system are
crucial. Most of the time parents bring their children to therapy as identified patients and want us to fix them. However, in the first session we
realize that most of the child’s difficulties stem from unhealthy family system and parents’ conflicted relationship patterns. Most problems
arise from attachment and trust/ security issues. We observe that when children have difficulty choosing home as safe place; this is a first sign
that there are problems in the family system. Therefore, how we integrate the safe place exercise with play therapy, and the use of EMDR with
storytelling method will be explained. We believe that after a couple of sessions with children, it is very effective referring parents to individual
or couples therapy to work on their own relational and attachment issues to improve children’s mental health. We also mention how to use
EMDR for unresolved trauma and deficient family resources that have been carried from previous generations. The effects of parents’ own
attitudes and problems on children and their own inter-generational attachment issues are going to be explicated in detail including EMDR
therapy to resolve those unfinished business. All these topics above will be explained with case examples.
Esta presentación se centrará en por qué necesitamos trabajar en equipo, especialmente cuando trabajamos con niños y cómo
integramos EMDR dentro de nuestro trabajo clínico. Creemos que cuando trabajamos con niños, el trabajo en equipo y la cooperación con
el sistema familiar son cruciales. La mayor parte del tiempo, los padres traen a sus hijos a terapia como pacientes identificados y quieren que
los curemos. Sin embargo, en la primera sesión, nos damos cuenta de que la mayoría de las dificultades del niño provienen de un sistema
familiar poco sano y de las pautas relacionales conflictivas de los padres. La mayor parte de los problemas surgen de problemas de apego y
confianza / seguridad. Observamos que cuando los niños tienen dificultades escogiendo su hogar como lugar seguro, es una primera señal
de que existen problemas en el sistema familiar. Por tanto, explicaremos cómo integramos el ejercicio del lugar seguro dentro de la terapia
de juego y cómo usamos EMDR con el método cuentacuentos. Creemos que después de un par de sesiones con niños, es muy efectivo el
derivar a los padres a terapia individual o de pareja para trabajar en sus propios problemas relacionales y de apego para mejorar la salud
mental de los niños. También mencionamos cómo usar EMDR para el trauma no resuelto y para recursos familiares deficientes que han sido
pasados de generaciones anteriores. Se explicarán en detalle los efectos de las actitudes y problemas de los padres sobre los niños y sus
propios problemas intergeneracionales de apego, incluyendo la terapia EMDR para resolver esos temas incompletos. Todos los temas
anteriores serán explicados con ejemplos de casos.
The paper is about what usually is referred to as collective
trauma and specifies this term. 'Collective trauma' here
is used as a generic term that covers mass trauma, so called
'simple' large group trauma and chosen trauma. These different
types are defined and the process and conditions are explored
that is needed to transform mass suffering into large group
trauma and then into chosen trauma. Emphasis is laid on the
process' time dimension, which is connected to different types
of memory (body memories, communicative memory, cultural
memory) modes of transition and functions for the psychic life
of a group and its members.
The basic assumption is that trauma always is relational and
thus contains a group dimension that is often ignored and to a
certain degree in some cases for practical reasons is ignorable in
treatment. But in the area of collective trauma this dimension
has to be put into the foreground to gain a sound understanding
from the processes involved.
The paper tries
- to provide EMDR-therapist with a theoretical background to
discriminate between different types of collective trauma,
- to foster an understanding of different types of memories
connected to these different trauma types,
- to convey the knowledge that different types of collective
trauma due to the different dynamics involved ask for different
types of actions,
- to give a tool to understand when and to what extend EMDR treatment
is the method of choice and what else or different is
needed in heaping people to overcome collective trauma.
The innovation is a classification of collective trauma connecting
it too different types of memories that cause different processes.
That allows getting out of the sometimes gloomy use of the term
"collective trauma". The high emotional as well as moral loading
always connected to traumatic experiences tend to obscure a
clear view on the processes at work. But a sound understanding
is needed to take appropriate measures in the different areas.
On September 26th 2009 Typhoon Ketsana wrought devastation on parts of the Philippines, Vietnam and Cambodia. Mindful
of the hard lessons learned running a tsunami trauma programme in Thailand in 2005/06 Jane Lopacka, an EMDR therapist
and training facilitator and director of Phnom Penh Counselling Centre, led and supervised a team of Cambodian MA in
Clinical Psychology students who were trained in Part 1 EMDR to provide EMDR treatment to Ketsana victims. The purpose
of this paper is to demonstrate the scope, assessment methods, treatment programme, constraints, financial issues, and
challenges of the programme whilst utilising the lessons learned from Thailand’s Tsunami EMDR trauma programme. The
results regarding the efficacy of EMDR in a Cambodian context will be examined using pre and post treatment data. The
results include a comparison of 4 months post-treatment evaluation compared to an assessment of an equivalent random
number of Ketsana victims from the same and neighbouring villages who did not receive treatment (to be completed in June
2010 as the farming season dictates). This paper will also demonstrate the utilisation of the lessons learned from Thailand’s
Tsunami EMDR programme in a typhoon trauma treatment programme in Cambodia. Also, this being the students’ first
exposure to trauma work using EMDR, this paper will record the experiences of the students involved. By way of conclusion
this paper will identify further lessons learned in Cambodia along with recommendations regarding future feasible and
manageable post-trauma work with limited resources and a small budget in a Southeast context.
652 children were treated during 2007 in our Paediatrics - psychosocial unit. The EMDR approach was a means to
do the history taking and anamnesis and it was used as well as an intervention methodology for all pathologies
and disturbances. Our clients received EMDR as inpatients in our war or as outpatients referred by the
community paediatric services. Our therapeutical programme includes a detailed anamnesis done together with
both parents or with caregivers if the child is very small or with the child himself if he’s able to provide the
information. History taking with the EMDR approach is an unique opportunity for the family to focus on family
life and its dynamics, and to analyse their unbalanced relational and affective patterns, which they are not always
aware of. Subsequently a therapeutical programme is outlined where EMDR is presented as a treatment method
to face and resolve the presenting complaints. This therapeutical approach facilitates the symptomatology
resolution and is useful to develop a more aware vision of their own family dynamics. Another beneficial effect is
to promote a greater psychophysical wellbeing for the client, providing a new meaning to the somatic disorder
and helping the family to understand and manage their child’s problems in a more functional way. This poster
describes all phases of the intervention and the disorders treated in our unit with EMDR. [There are three PDF files.]
EMDR
with
people
suffering
from
complex
trauma
often
leads
to
difficulties
regarding
the
treatment
plan,
but
also
during
desensitization,
reprocessing,
with
a
risk
of
major
destabilization,
and
treatment
drop
outs.
Often,
many
targets,
especially
those
coming
from
early
childhood,
are
pre-‐verbal
in
nature
and
stay
therefore
implicit.
Should
we
then
renounce
in
doing
EMDR
with
these
people?
Is
it
possible
to
apply
EMDR
safely
and
without
getting
lost,
adjusting
to
each
person,
so
different
from
another,
and
their
life
events
somewhat
chaotic?
The
gearbox,
through
the
metaphor
of
a
journey
by
car,
suggests
a
hierarchical
processing
structure
to
navigate
through
therapy
with
people
suffering
from
complex
trauma,
which
allows
the
therapist
to
adapt
to
the
client,
his/her
life
context,
knowing
what
to
do,
and
why.
The
result
is
a
more
self-‐confident
therapist,
who
is
able
to
adapt
to
the
client,
being
so
more
flexible
and
safe
while
doing
EMDR.
By
integrating
the
current
knowledge
of
EMDR
for
complex
trauma,
the
gearbox
is
a
dynamic
and
adaptive
tool.
EMDR
en
personas
que
sufren
trauma
complejo
a
menudo
conlleva
dificultades
respecto
al
plan
terapéutico
y
también
durante
la
desensibilización
y
reprocesamiento,
con
el
riesgo
de
una
desestabilización
mayor
y
el
abandono
del
tratamiento.
Con
frecuencia,
muchos
de
los
objetivos
y,
muy
especialmente
los
que
tienen
su
origen
en
la
primera
infancia,
son
preverbales
y,
por
lo
tanto,
permanecen
implícitos.
¿Deberíamos
renunciar
al
uso
de
EMDR
con
estas
personas?
¿Es
posible
aplicar
EMDR
de
forma
segura
y
sin
perderse,
adaptándose
a
cada
persona,
tan
distintas
unas
de
otras,
así
como
a
sus
eventos
de
vida,
algo
caóticos?
“Gearbox”,
a
través
de
una
metáfora
de
un
viaje
en
coche,
sugiere
una
estructura
jerárquica
de
procesamiento
para
navegar
por
la
terapia
con
personas
que
sufre
trauma
complejo,
lo
que
permite
al
terapeuta
a
adaptarse
al
cliente,
el
contexto
de
su
vida,
sabiendo
qué
hacer
y
por
qué.
El
resultado
es
un
terapeuta
con
más
confianza
en
sí
mismo,
capaz
de
adaptarse
al
cliente,
con
mucho
más
flexibilidad
y
seguridad
mientras
utiliza
EMDR.
Al
integrar
los
conocimientos
actuales
de
EMDR
en
casos
de
trauma
complejo,
“la
caja
de
cambios”
es
una
herramienta
dinámica
y
adaptativa.
The Pain Protocol workshop will focus on the practical application of the Pain Protocol (based on Grant and Threlfo 2002); in the context of evidence available regarding its effectiveness. The emphasis of the workshop will be on clinical work using the protocol, and sharing experiences in practice. It is aimed at participants who have completed EMDR training, but who may have not had extensive experience working with this client group using EMDR.
In this section, Teresa Descilo takes a fascinating look at grief and loss in the context of Western culture. Marian Volkman explains how a special application of TIR called "Future TIR" can be used in cases of bereavement. Sharie Peacock brings us a very moving account of a TIR session that brought about resolution of the loss of a child. And finally, Alex Prater shares some stories from his practice. /// "Relieving the Traumatic Aspects of Death with TIR and EMDR" / Teresa Descilo /// "Future TIR: A Conversation with Marian Volkman" / Marian Volkman /// "Loss of a Child - Session Notes" / Sharie Ann Peacock /// "TIR and Grief: A Brief Conversation with Alex Frater" / Alex Frater (PsycINFO Database Record (c) 2008 APA, all rights reserved)
In this chapter the author describes the use of self-disclosure during eye movement desensitization and reprocessing (EMDR) psychotherapy with a patient, Melina, who had a poor sense of self and a fear of abandonment. As an EMDR therapist with a psychodynamic, object relations background, the author describes how she explores with Melina how her early experiences as a child informed how she felt about herself as a person and how she relates to family and friends as well as her intimates. (PsycINFO Database Record (c) 2009 APA, all rights reserved)
EMDR-based imagery re-scripting techniques with a modified concept of Cognitive Schema Modes (Young, 1999). Based on clinical case examples, the use of imagery techniques, which draw on all sensory modalities (involving cognitive, emotional and somatic systems) during the auditory application of EMDR will be described, to help complex trauma clients firstly approach and recognize and subsequently attach to and nurture the image of their own “inner child”. Rather than establishing a sense of unrealistic dependency on the therapist by integrating him or her as the sole nurturer, clients are encouraged to develop an image of their own ‘healthy adult’, who can learn to take on the role of internal re-nurturing, protection and healing of the ‘inner child’. Techniques for overcoming blockages between a client’s ‘healthy adult’ and their ‘inner child’ representations are described. It is proposed that differentiating between ‘child’ and ‘adult’ modes and tuning into these through deep-level EMDR processing, allows clients to re-connect to feelings associated with their earlier experiences of helplessness and dependency during childhood, which can now be re-experienced within a safe and nurturing context. It is suggested that this will allow higher order brain systems, such as the hippocampus, to remain active and therefore enable cognitive and structural re-organization of the stored material in the brain and body cells. Once a positive attachment bond between a client’s internalised ‘inner child’ and ‘healthy adult’ modes has been achieved this can then be utilized further during direct trauma processing work. It is argued that healing of the ‘inner child’ enables healing of the adult client so that a more positive and secure sense of self can be achieved.
This book examines the following crucial issues: (1) how life experiences influence the maturation of the brain and mind in achieving mental health; (2) the central role of emotion in the functioning of healthy minds, brains, and relationships; (3) the importance of the body in influencing the nature of the mind and subjective experience; and (4) the impact of both positive and traumatic experiences on the development of coherent functioning, interpersonal relatedness, and the emergence of mental disturbance. [Text, p. xiv]TOPICS TREATED: An interpersonal neurobiology of psychotherapy: the developing mind and the resolution of trauma; Unresolved states regarding loss or abuse can have "second-generation" effects: disorganization, role inversion, and frightening ideation in the offspring of traumatized, non-maltreating parents; Early relational trauma, disorganized attachment, and the development of a predisposition to violence; PTSD and the nature of trauma; EMDR and information processing in psychotherapy treatment: personal development and global implications; Dyadic regulation and experiential work with emotion and relatedness in trauma and disorganized attachment; A clinical model for the comprehensive treatment of trauma using an affect experiencing-attachment theory approach; Connection, disruption, repair: treating the effects of attachment trauma on intimate relationships. [Pilots]
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.
The paper consists of clinical observations on the use of Gestalt and EMDR under hypnosis for the treatment of post-traumatic stress. The observations are made in the context of 2 cases:(1) an individual who had been bound during an armed hold-up in her home. (2) an emergency services worker suffering from accumulated stress resulting in burn-out. The paper concludes by drawing out a number of principles that give structure to working with the above techniques. [Author 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)
Negli ultimi 20 anni l'Eye movement desensitization and reprocessing (EMDR) come approccio terapeutico e diventato uno instrumento significativo per la practica clinica. L'EMDR costituisce un metodo psicoterapeutico innovativo, attualmente soggetto ad una grand quantita di ricerca specialmente in ambito nerurofisiologico. Attulament esiste molta evidenza empirica scaturita dalla ricerca condotta con gruppi de controllo, che supportano la validita di questo metodo e nuovo approccio terapeutico per il Disturbo Post-Traumatico da Stress (PTSD) e le linee guida internazionali per la pratica clinica lo segnalano come trattament elettivo dei disturbi post-traumatici da stress. Le esperienze traumatiche non elaborate sono in genere considerate la causa primaria della sintomatologia del disturbo post traumatico da stress e possono essere fonte de disagio concorrenti allo sviluppo di altri disturbi d'ansia e dell'umore. Data la sua efficacia nella risoluzione di sintomi da stress dope un evento traumatico particolarmente grave, l'EMDR puo essere applicato con altri disturbi che possono essere conseguenti ad un grosso stress psico-fisico. In alcune condizioni la sterilita potrebbe rientrare tra gli eventi di tipo traumatico o a forte impatto emotivo, a seconda del vissuto soggettiveo della paziente. Tenendo conto che il vissuto traumatico puo avere un impatto anche sui legami affettivi, l'identita della persona, la modulazione affettiva, il comportamento distruttivo rivolto a se o agli altri, ecc., l'EMDR potrebbe essere particolarmente indicato per il trattamento del disagio psicologico legato alla sterilita. Nel case della sterilita puo essere utilizzato per affontare: 1) traumi precedenti che possono constituire un fattore di rischio per l'insorgere della depressione. Per esempio: traumi subiti in eta percoce,compresa la perdita della capacita de regolazione emotiva, possono essere alla base di comportamenti che evidenziano una tendenza cronical ad instaurare rapporti distruttivi, la dissociazinoe e l'amnesia, la somatizzazione, e problemi caratteriali cronici come la auto-colpevolizzazione, il senso de inadeuatezza, ecc. 2) L'impatto de problemi medici e di altri natura che possono essere insorti e possono aver constituto una fonte di stress. 3) L'impatto delle difficolta oggettive e soggettive date dalla nuova condizione. 4) Schemi cognitivi difunzionali come "non sono in grado", non sono all'altezza della nuova situazione familiare", oppure "non sono una brava madre". 5) L'impatto della riattivazione de traume o situazioni disfunzionali nella propria famiglia di origine. 6) Le risorse, i comportamenti positivi e gli schemi adattivi di attaccamento devono essere rafforzati e puo essere usato l'EMDR anche per questo obiettivo.
Over the past 20 years, Eye movement desensitization and reprocessing (EMDR) as a therapeutic approach has become a significant instrumento for clinical practica. EMDR is an innovative psychotherapeutic method which is currently subject to a great deal of research especially in the context nerurofisiologico. Attulament there is plenty of empirical evidence generated by research conducted with groups of control, which support the validity of this method and new therapeutic approach for Post-Traumatic Stress Disorder (PTSD) and international guidelines for clinical practice report it as elective trattament of post-traumatic stress disorder. Traumatic experiences were not processed are generally considered the primary cause of the symptoms of post traumatic stress disorder and can be a source of discomfort to the development of competitors other anxiety and mood disorders. Because of its effectiveness in resolving symptoms of traumatic stress is a particularly serious dope, EMDR can be applied to other disorders that may be associated with a great psycho-physical stress. In some circumstances, the sterility may be among the type of traumatic event or a strong emotional impact, depending on the patient lived soggettiveo. Considering that the traumatic experience can have an impact on emotional relationships, the identity of the person, the emotional modulation, destructive behavior directed at oneself or others, etc.., EMDR may be particularly indicated for the treatment of discomfort psychological linked to infertility. In the case of infertility can be used for men faced: 1) previous trauma that can constitues a risk factor for the onset of depression. For example: age peaches in trauma, including loss of the ability of emotional regulation may be the basis of behaviors that show a tendency to establish relations cronical destructive, and the dissociazinoe amnesia, somatization, and temperament problems such as chronic self-blame, sense of inadeuatezza, etc.. 2) The impact of medical problems and other nature that may be incurred and may have constituta a source of stress. 3) The impact of objective and subjective difficulties given the new condition. 4) difunctional cognitive schemata as "can not" are not up to the new family situation, "or" not a good mother. "5) The impact of the reactivation of trauma or dysfunctional situations in their family of origin . 6) The resources and positive behaviors and adaptive patterns of attachment must be reinforced and EMDR can be used for this purpose.
Uma diferença entre uma técnica e um modelo é que o último dá ao terapeuta um quadro, uma abordagem de processo e planejamento do tratamento. A conceituação de casos em terapia EMDR permite que o paciente e o terapeuta para visualizar claramente o tratamento do roteiro.
Irá abordar a conceituação dos casos e fazendo história em EMDR uso de imagens associativas ou metafórico para identificar os alvos a serem processados. Isso vai chamar a uma variedade de cartões com imagens conhecidas como cartas associativos OH, um novo resort na Europa, Canadá e Estados Unidos e fazem parte da psicoterapia. Estes grupos de letras foram criadas para promover a comunicação, o desenvolvimento, narrativa, criatividade e imaginação de adultos e crianças. Eles são ferramentas terapêuticas que podem ser utilizados na avaliação do tratamento e monitorização de pacientes com distúrbios emocionais.
Esta ferramenta é usada para ativar esquemas disfuncionais, e incentivar a reflexão, e desinibição. Estimular a capacidade associativa e narrativo, evocativo estimulante, rico em memórias e imaginação. Associações letras ajudam-nos a exteriorizar nossas idéias e emoções de forma espontânea, fazendo-a emergir em nossa consciência. Daí o seu valor na abordagem EMDR.
Também vai mostrar como desenvolver recursos de enfrentamento e imagens associativas usando EMDR e estado de ego como endereço usando imagens associativas. Este recurso pode ser aplicado a um indivíduo ou grupo de contexto.
One difference between a technical and a model is that the latter gives the therapist a framework, a process approach and treatment planning. The conceptualization of cases in EMDR therapy allows the patient and therapist to clearly visualize the treatment of the script.
Will address the conceptualization of cases and making history in EMDR use of images or metaphorical associations to identify targets to be processed. This will draw a variety of cards with letters images known as associative OH, a new resort in Europe, Canada and the United States are part of psychotherapy. These groups of letters were created to promote communication, development, storytelling, creativity and imagination of adults and children. They are therapeutic tools that can be used in the evaluation and monitoring of treatment of patients with emotional disturbances.
This tool is used to activate dysfunctional schemas, and encourage reflection, and disinhibition. Stimulating capacity and associative narrative, evocative stimulating, rich in memories and imagination. Associations letters help us to externalize our ideas and emotions spontaneously, causing it to emerge in our consciousness. Hence its value in the EMDR approach.
Also will show how to develop coping resources and associative images using EMDR and ego state as address using associative images. This feature can be applied to an individual or group of context.
Ai Chi is a moving meditation in warm water. It is a powerful way to reinforce the body as a positive resource,
because it is a multimodal experience. Ai Chi involves being aware of the body in a warm, supportive, nurturing
environment. As Bessel van der Kolk points out, “Our brains will continue to take in new information and
construct new realities as long as our bodies feel safe.” (2003) Ai Chi reinforces feelings of safety, allowing clients
to build upon positive memories and to release negative ones. Ai Chi can be integrated into various stages of the
EMDR model. Given an increased awareness of the significance of somatic interventions, an introduction to a
little-known modality is important. Utilizing concepts of interpersonal neurobiology developed by Daniel Siegel,
levels of integration that constitute mental health will be explored. It will become clear that the characteristics
that represent integration are paralleled and reinforced by the Ai Chi process. This puts both EMDR and Ai
Chi within a broader context and demonstrates how Ai Chi can reinforce and expand the effects of EMDR. The
experience of incorporating a sense of well-being becomes both literal and metaphorical. Participants will
learn some of the movements on land and also watch a video of the process. Not only is Ai Chi suitable for most
populations, it is particularly helpful for people with chronic pain issues as well as an older population.
Learning Objectives:
• Come to a basic understanding of mental health from an interpersonal neurobiological point of view
• Learn about the practice of Ai Chi
• Explore how combining EMDR and Ai Chi can promote the 9 levels of integration described by Daniel Siegel
MD
• Hear about specific cases and how combining EMDR and Ai Chi has contributed to the resolution of a variety
of mental health issues
• Experience Ai Chi and/or watch video demonstrating Ai Chi.
This workshop is for EMDRIA Approved Consultants, Consultants-In-Training and those seriously considering becoming Approved Consultants. We will review the context of EMDR consultation and identify the differences between therapy, consultation and consultation-of-consultation. The implications of the supervision/consultation literature will be reviewed, and the tools, resources, and recordings from actual consultations will be presented. Original research on the practices of EMDRIA Approved Consultants will be reviewed and Best Practices emerging from the literature and EMDR consultation research will be identified. Participants will use all the above information to analyze their own consultation practices and discuss with peers how to improve their consultation services.
Controversy follows innovation and threats to the status quo in many social domains, including the sciences. This article briefly summarizes information from the philosophy of science and data from studies of conflict in diverse fields. It then introduces two independent contemporary controversies in traumatology -- a new clinical method called EMDR and the Final Report of the APA Working Group on memories of childhood abuse -- and considers them within a broader context of the historical rift between psychological research and practice. The aim is to step outside the frame of specific conflicts and identify differences in philosophical orientation and values that contribute to communication difficulties and associated conflict between partisans. Approaches are offered toward building consensus within the field. [Author Abstract]
During the SARS outbreak in 2003, a chief middle school teacher in Beijing
unfortunately died of the disease. After her death, her students and
colleagues fell into a state of emotional and behavioral disturbance. We
describe in this paper a grief-focused intervention program offered by the
community-based youth hotline crisis intervention group and the school
counselor. In particular, the paper focuses on describing in detail a group based
intervention program for the affected students, including its
administrative structure, therapeutic objectives and interventions, and group
process. The intervention protocol was designed by combining cognitive behavior
and social therapy with some adapted skills of Eye Movement
Desensitization and Reprocessing (EMDR). It was found that stabilization and
installation were strongly significant in helping the students to recover from
this traumatic event by focusing on positive resources. We argue that in the Chinese cultural context, it is most important to build such an integrated
crisis intervention scheme to cope with such an event.
Clients who have experienced childhood traumas that have impacted their sense of safety and capacity to form close emotional relationships in adulthood require adjustments to the EMDR phases and procedural steps. These relational traumas can include childhood physical or sexual abuse, neglect, early losses, birth trauma, medical trauma, caregiver misattunement and vicarious trauma. In order for EMDR therapists to be most successful with this population it is important to incorporate an attachment repair orientation into the therapy. Through lecture, case examples, and video clips, participants will learn how an attachment-repair orientation can be integrated into all phases of EMDR treatment.
Attachment-‐focused
EMDR
is
a
new
model
of
EMDR
(Eye
Movement
Desensitization
and
Reprocessing)
developed
over
a
period
of
nineteen
years
by
psychologist
and
EMDR
trainer
Dr.
Laurel
Parnell
that
adapts
this
powerful
and
effective
trauma
therapy
to
the
needs
of
clients
with
attachment
wounds.
In
this
workshop
you
will
learn
how
the
standard
EMDR
protocol
can
be
modified
so
that
it
flows
more
easily,
supports
client
safety,
maintains
the
therapeutic
connection
and
enhances
attunement.
Attachment-‐focused
EMDR
is
client-‐centered
and
emphasizes
a
reparative
therapeutic
relationship,
using
a
combination
of
Resource
Tapping
(Parnell,
2008)
to
strengthen
clients,
EMDR
to
process
traumas
and
talk
therapy
to
help
integrate
the
information
from
the
EMDR
sessions
and
to
provide
healing
from
therapist-‐client
interaction.
In
this
workshop
Dr.
Parnell
will
present
the
five
basic
principles
of
Attachment-‐
Focused
EMDR
and
how
they
are
implemented
in
the
treatment
of
traumatized
clients
with
attachment
wounds.
Case
material
and
video
clips
of
sessions
will
be
used
to
illustrate
key
points.
El
EMDR
centrado
en
el
apego
es
un
nuevo
modelo
de
EMDR
(Eye
Movement
Desensitization
and
Reprocessing)
desarrollado
a
lo
largo
de
diecinueve
años
por
la
psicóloga
y
formadora
de
EMDR
Dra.
Laurel
Parnell
y
que
adapta
esta
terapia
de
trauma
potente
y
efectiva
a
las
necesidades
de
clientes
que
sufren
heridas
de
apego.
En
este
taller,
se
aprenderá
cómo
se
puede
modificar
el
protocolo
de
EMDR
de
tal
forma
que
fluye
con
mayor
facilidad,
apoya
la
seguridad
del
cliente,
mantiene
la
conexión
terapéutica
y
mejora
la
sintonía
(attunement).
Attachment-‐focused
EMDR
se
centra
en
el
cliente
y
refuerza
una
relación
terapéutica
reparadora,
con
una
combinación
de
Recursos
de
Tapping
(Resource
Tapping)
(Parnell,
2008)
para
fortalecer
a
los
clientes,
EMDR
para
procesar
los
traumas
y
“talk
therapy”
(terapia
hablada)
para
contribuir
a
integrar
la
información
de
las
sesiones
de
EMDR
y
para
proporcionar
la
curación
derivada
de
la
interacción
entre
terapeuta
y
el
cliente.
En
este
taller,
la
Dra.
Parnell
presentará
los
cinco
principios
básicos
de
Attachment-‐Focused
EMDR
y
cómo
se
implementan
en
el
tratamiento
de
clientes
traumatizados
y
con
heridas
de
apego.
Se
presentará
material
sobre
los
casos
y
vídeos
de
las
sesiones
para
ilustrar
los
puntos
más
importantes.
In
this
presentation
I
would
emphasize
the
relationship
between
attachment,
trauma
and
the
development
of
the
AMN
(adaptive
memory
network).
From
a
psychobiological
point
of
view,
we
understand
that
early
relational
experiences
shape
brain
growth
and
organization
and
that
the
major
environmental
influence
on
the
development
of
the
brain
is
the
attachment
relationship.
Reductions
in
brain
volume
and
dysfunctional
memory
networks
following
traumatic
experiences
in
early
childhood
are
documented.
When
there
is
a
distressing
incident,
it
may
become
stored
in
state-‐specific
form,
unable
to
connect
with
other
memory
networks
that
hold
adaptive
information.
The
research
of
the
neurobiology
of
the
social
brain
and
the
mirror
neuron
system
let
us
assume
that
the
AMN
is
developing
in
the
presence
of
an
attuned
caretaker.
Healing
traumatic
memories
is
relational
and
procedural.
I
use
EMDR
within
the
Phase-‐
model
of
trauma-‐informed
treatment.
During
the
preparation
phase
(phase
1
and
2
EMDR
protocol)
I
would
like
to
stress
the
importance
of:
• evaluating
the
attachment
pattern
of
the
child.
It
affects
how
the
child
relates
to
the
therapist.
Establishing
a
healing
therapeutic
relationship
is
a
goal
of
phase
2.
• the
activation
of
networks
containing
adaptive
information
and
positive
memories
• increasing
coping
abilities,
self-‐efficacy
and
sense
of
mastery.
That
may
result
in
reduction
of
the
fear
responses
and
enabling
changes
in
the
meaning
of
the
experiences,
and
a
new
memory
can
be
formed.
En
esta
presentación,
queremos
enfatizar
la
relación
que
existe
entre
apego,
trauma
y
desarrollo
de
la
red
adaptativa
de
memoria
(AMN).
Desde
un
punto
de
vista
psicológico,
entendemos
que
una
temprana
experiencia
relacional
forma
el
cerebro
y
hace
crecer
la
organización
y
consideramos
que
la
principal
influencia
ambiental
del
desarrollo
del
cerebro
es
la
relación
de
apego.
Las
reducciones
en
el
tamaño
del
volumen
del
cerebro
y
las
redes
de
memoria
disfuncionales
seguidas
de
experiencias
traumáticas
en
la
infancia
están
documentadas.
Cuando
existe
un
evento
vital
estresante,
puede
ser
almacenado
en
una
forma
específica
de
estado,
impidiendo
conectar
con
otras
redes
de
memoria
que
retienen
la
información
adaptativa.
La
investigación
de
la
neurobiología
del
cerebro
social
y
el
sistema
de
neuronas
espejo,
nos
permite
asumir
que
la
AMN
se
desarrolla
en
presencia
de
un
cuidador
acostumbrado.
Sanar
recuerdos
traumáticos
es
relacional
y
referente
al
procesamiento.
Yo
uso
EMDR
dentro
del
modelo-‐fase
del
tratamiento
para
el
trauma
informado
por
el
paciente.
Tratamiento
del
modelo
de
fase
para
el
trauma
informado:
Durante
la
preparación
fase
(fase
1
y
2
del
protocolo
EMDR)
me
gustaría
recalcar
la
importancia
de:
-‐ Evaluar
el
patrón
de
apego
del
niño.
Que
afecta
en
como
el
niño
se
relaciona
con
el
terapeuta.
-‐ La
activación
de
redes
que
contienen
información
adaptativa
y
recuerdos
positivos.
-‐ Incremento
de
las
habilidades
de
afrontamiento,
autoeficacia
y
autocontrol.
Esto
puede
conllevar
una
reducción
de
las
respuestas
de
miedo
e
inhibir
cambios
en
significado
de
las
experiencias
y
puede
llevar
a
la
formación
de
un
nuevo
recuerdo.
There is a growing interest in the United States in complementary therapies (CT) to
address the health needs and hopes of individuals. Research in the medical and allied
health communities has reflected the expanding interest, however, the counseling
profession has limited literature focusing on CT integration practices. The current study
expands on existing research using a constructivist lens and grounded theory approach; a
sample of 16 practicing counselors were interviewed to develop a theoretical model of
CT integration in the counseling context. Scholarly literature has described CT and
reasons for its use, which can be linked to counseling through professional identity, the
wellness model, and ethical practice. The results of this study indicate that experience,
beliefs, competence, and practice are primary factors in the integration of CT in
counseling. Implications of the results on the counseling profession will be detailed in
terms of practice, training, and future research.
The concept of Chronic Relationship Dysfunction was developed by the author to describe the experience of those who are unable to find and maintain a healthy relationship with a mate and who feel considerable related emotional distress. The types of experiences that people with this problem typically present in a clinical setting include the inability to make any meaningful contact with an appropriate partner and making a series of poor choices so that no relationship lasts. Clients seeking treatment for relationship problems can be effectively treated using a Bowen family systems perspective (Bowen, 1978; Kerr & Bowen, 1988) as the theoretical backdrop for understanding the bigger relational context. In addition, the Adaptive Information Processing (AIP) model (Shapiro, 2001) can be used to understand the physiological link between critical early life experiences and current dysfunction. Together these theories provide a cohesive theoretical base and integrative treatment approach for use with clients with chronic relationship dysfunction. The AIP model and the Eye Movement Desensitization and Reprocessing (EMDR) approach address current symptoms such as chronic relationship dysfunction by allowing the individual to reprocess the old material, thus integrating it with current information. The treatment model described here utilizes the basic structure of the EMDR protocol with the clinical application of Bowen Theory at certain key times. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
The symposium will explore integration of EMDR into analytic framework and promote a dialogue among clinicians of various orientations. The chair will provide overview and panelists will present three cases representing somewhat different orientations. Issues addressed
will include reason for doing EMDR, timing, ways of introducing and incorporating EMDR, relational considerations, and challenges of identifying and dealing with such phenomena as transference,
countertransference, enactment or resistance. Discussant will provide additional perspective by reframing some analytic constructs in term of
the EMDR trauma-based, information processing model. Second part will consist of audience participation and discussion. Case materials are
invited. Clinicians from all perspectives (analytic, cognitive, etc.) are
encouraged to participate.
The goal of this paper is to examine one therapy process in order to explore what resources EMDR treatment can provide to complex traumatized clients with previous long-term therapies. How important is the role of mind/body connection? How could it be best observed and taken into consideration when deciding on therapeutic choices during difference phases in psychotherapy? This case raises also the following questions: When it is best to use EMDR? How do the therapist and client know when the client is ready for EMDR? How can clients learn to feel, become aware of their own bodies, observe their body sensations and label these observations? What is the importance of these skills before using EMDR? How do EMDR protocols work in this context?
Case: This client had been severely traumatized in childhood and also in adult life. She came to EMDR treatment with own question: “Have I ever been able to feel anything?” She had been in different psychotherapies, but her body was not ready for EMDR and she could not regulate emotions. She had good ego strength. This presentation shows how the therapy process progressed and it includes a therorectical discussion.
It is possible to integrate different kinds of therapies. Previous “traditional talking therapies” can give to the client the necessary ego strength, boundaries and make it easier to build a therapeutic relationship. Since trauma-related syndromes split the mind and body, it is necessary to address what occurs in the body, just as it is equally necessary to use words to make sense of and describe an experience. E
Participants will: 1) learn the model of understanding and educating the client about OCD; 2) gain an understanding of biological, cognitive, behavioral, and affective theoretical orientations as they apply to OCD; 3) learn the eight stages of treatment, modification of the standards model, cognitive interweave, and resource installation; 4) learn of the foundation of success of EMDR and OCD treatment, information processing, avoidance of emotions, and the development of self; 5) be able to define a successful treatment, therapeutic stance, similarities in processing to trauma processing; and 6) learn about fear, superstition, ridigity, and control within the family context.
The accessibility of emotions in children with attachment disorders is known to be complex at best. This
presentation looks at a new method of enabling children disassociating from emotions with severe attachment
disorder and complex, traumatic histories to access emotions using the installation phase of EMDR. For teaching
purposes, this presentation will use real-life cases of 4 attachment disordered children where none of the
children were able to access emotions and were attachment disordered. The children were aged between 12 to
13 years of age and all had a diagnosis of attachment disorder, co-morbid with post traumatic stress disorder.
Most of the children did not experience emotions directly. Using the installation phase of EMDR within the context of a one-to-one therapy session, each child was asked to focus on a particular emotion and focus on
where in their body they experienced any feelings, which may be associated to that emotion. The children began
to describe complex emotions, which they had never previously expressed, prior to this. An example of one
child�s experience follows: �I feel sad in my heart. It feels cold � as if someone has smashed it into a thousand
bits��. Following on this, all the children were also encouraged to sit with their new emotions and not to be
afraid of them. One child stated: �It feels good to be sad. When I cry � that stops my heart hurting so much and
the tears make the glue to fix my broken heart.� So far, we have not experienced an unsuccessful outcome;
however, this method is still in the early stages of being developed.
In this article I attempt to show how the integration of “eye movement desensitization and reprocessing” (EMDR) techniques within a relational gestalt therapy approach results in a more powerful method than either therapeutic method alone. I describe the steps in the EMDR standard protocol, as outlined by Francine Shapiro, the founder of EMDR. I briefly discuss what we now know about how trauma affects brain functioning and EMDR’s effectiveness in resolving ‘simple’ trauma. I then explain how EMDR, within the context of a relational gestalt approach, can help to resolve therapeutic impasses, enhance the working through process of therapy and trigger associations that neither therapists nor clients anticipate or predict.
Der Workshop beschäftigt sich mit Fragen der Integration von EMDR in ein psychodynamisches Therapiesetting. Zum einen kann EMDR sinnvoll mit psychodynamischer Therapie kombiniert werden, wenn bei komplexen posttraumatischen Belastungsstörungen Symptome einer PTSD zusammen mit depressiven, dissoziativen, somatoformen und anderen Symptomen auftreten. Daneben finden sich verschiedene andere Anwendungsmöglichkeiten von EMDR im Rahmen psychodynamischer Therapien, bspw. wenn dysfunktionale Erinnerungsnetzwerke die Wirkungsweise klarifizierender, konfrontierender und deutender Interventionen blockieren. Dies gilt für Anpassungsstörungen ebenso wie fixierte, aber verhaltenssteuernde negative Selbstkognitionen und für psychosomatisch abgewehrte implizite Emotionen im Rahmen somatoformer Störungen. Schließlich können ressourcenaktivierende Interventionen im Rahmen des EMDR den Aufbau von Ich-Funktionen bei Strukturpathologien unterstützen.
The workshop will focus on integration of EMDR in a psychodynamic therapy setting. First, EMDR can be usefully combined with psychodynamic therapy, which may arise in complex post-traumatic stress disorder symptoms of PTSD with depressive, dissociative, somatoform and other symptoms. In addition, various other applications of EMDR in related psychodynamic therapies, for example, if dysfunctional memory block the operation of networks klarifizierender, confrontational and interpretive interventions. This applies for adjustment disorders as well as fixed, but behavior-controlling negative self-cognitions and psychosomatic thwarted emotions implicit in the context of somatoform disorders. Finally, support resource-activating interventions of EMDR the development of ego functions in structural pathologies.
The aim of this article is to offer an integrative approach in the treatment of adult survivors of sexual abuse. The treatment orientation is psychodynamic and intersubjective and will draw on three conceptual models: (a) a developmental model based on current attachment research, (b) current neuroscience findings concerning traumatic memory that emphasize sensory, affective, and implicit knowing in the understanding and treatment of trauma, and (c) eye movement desensitization and reprocessing as an adjunctive technique to help access traumatic memories. The author will summarize each theoretical perspective and will provide a case illustration to demonstrate a treatment approach that incorporates all three modalities.
The principles of this conceptual framework are: (1) personality organization is
dissociative as well as associative, consisting of ego states, and progresses through
stages of psychosocial development; (2) inappropriately activated ego states cause
dysfunction, which is habitual or due to the intense affect of disrupted development
or unresolved grief or trauma; (3) completely overcoming dysfunction requires
therapy with both individual ego states and the personality system; (4) clinical
hypnosis provides techniques to enhance accessing ego states; and (5) EMDR
combines ego-state therapy with eye movements (EMs) to produce a powerful
psychotherapy method. During assessment, ego states responsible for
dysfunctional emotional reactions and behavior are identified together with those
that could be appropriate instead. Included in the treatment protocol, EMs and
clinical hypnosis promote: (1) corrective developmental experiences; (2) resolution
of grief and trauma; (3) acquisition of skills and abilities; (4) co-consciousness;
and (5) negotiation among ego states. The outcome is an integrated “family of
self” that has effectively overcome developmental crises, grief, and trauma, is
aware of essential inner resources, and can consciously activate appropriate ego
states. [Author Abstract]
Conceptual framework:
Ego state theory and therapy;
Psychosocial development;
EMDR;
Clinical hypnosis;
Integration; and
Brief psychotherapy
This workshop will review the significance of using cognitive interweaves within EMDR and underline why they are an essential part of the EMDR clinician's psychotherapeutic repertoire. However In complex trauma cases often process cognitive interweaves are insufficient and therefore more elaborate ones are needed in the form of content interweaves and relational interweaves. Consequently this workshop will revisit the utilisation and elaboration of using cognitive interweaves in EMDR.
A case of a lesbian couple is presented in which one partner experienced early sexual abuse and the other a series of major losses (beginning with the death of her mother) in early childhood. The first partner developed an alcohol addiction and the second a high level of emotional lability and some practices of self-harm. Both partners developed dissociative patterns. The couple is now in a committed relationship and have continued in therapy for the last 9 months, with sessions gradually becoming less frequent. The therapeutic work has included the "externalization" of the problem(s), some individual work within the couple session using Eye Movement Desensitization and Reprocessing (EMDR), and a strong emphasis on the development of empathic skill through the technique of "becoming" the other person. The case reveals the way in which a primary relationship often surfaces intense unresolved feelings and dysfunctional relationship practices, and also the way in which emotional commitment and a structure for the couple becoming therapeutic agents to each other allows for a deep level of healing. The couple comments on their relationship process and the therapeutic process as part of the article. [Author Abstract]
A novel clinical technique, referred to as "eye-movement desensitization," has recently been reported to rapidly achieve significant reductions in the frequency and intensity of the two primary symptoms of PTSD; cognitive intrusions and the behavioral and emotional avoidance of trauma related fear cues. The current study was intended to provide an experimentally controlled replication of this procedure. The 45 students with the highest scores on a self-report questionnaire were selected for participation in the study and randomly assigned to one of three treatment conditions. These conditions included "eye-movement desensitization," "eye-fixation desensitization," and a non-directive control condition.Sessions One and Three consisted of pretest and posttest assessment respectively, administered by questionnaire and behavioral measures of cognitive intrusions relating to the reported trauma. Session Two, consisted of immediate pretest and posttest assessment of information regarding subjective discomfort, perceived validity of adaptive cognitions, and vividness of images related to the reported trauma. The results of this experiment indicated that treatment-related pretest to posttest change was limited to (a) a relative reduction in cognitive intrusions for the eye-fixation group compared to the other treatment conditions, and (b) initial superiority of both desensitization techniques in immediately reducing subject distress, vividness of the initial image (and for eye-fixation, improved validity of an adaptive cognition) in comparison to the non-directive condition. The latter condition, however, then achieved equivalent gains by one-week follow-up. It was concluded that: (a) the relative efficacy of the eye-movement desensitization technique, was not supported in this non-clinical population, (b) to the degree that the outcomes resulting from the two desensitization conditions were at variance from those of the more traditional non-directive technique, those differences appear to have been predominantly transient in character, and (c) the induction of saccadic eye-movements did not demonstrably function as an active component of treatment within this experimental context. It was additionally concluded that further research will be required to satisfactorily resolve the discrepant findings of experimentation and case reports regarding the efficacy of this technique. Specific suggestions for further research were presented. [Truncated Author Abstract] [Pilots]
This chapter focuses on EMDR-enhanced therapeutic protocols to treat individuals whose painful life experience is separated from consciousness by complex defensive structures, particularly those associated with narcissistic and avoidance defenses.In many of the clients I have worked with, the healing power of EMDR is prevented or impaired by unresolved positive feelings that block the client's full awareness of the negative experience associated with trauma. This can occur when the overall complex of posttraumatic images, self-defeating cognitions, unpleasant feelings and sensations (what Francine Shapiro calls the unprocessed "memory network") contains embedded strong positive affect that is highly valued by the client. In the case of a person with narcissistic defenses, the positive material may block awareness of negative memories, especially if the positive experience occurred in the larger context of trauma and neglect. In such instances the positive part of the experience is idealized through selective memory and strengthened in intensity, because it serves as a defense against the core PTSD. The negative part of the memory is partially or wholly dissociated and is thus less accessible to processing. [Adapted from Text, pp. 232, 233-234]
Übersicht über verschiedene heute übliche Hypnotherapieverfahren
Ich beziehe mich in diesem Abschnitt auf eine Übersicht von Revensdorf (2001), der über die Klassifikation hinaus einen Entscheidungsbaum zum strategischen Vorgehen entwickelt hat. In der Beschreibung der verschiedenen Hypnoseklassen werden hier allerdings ausschließlich die in diesem Zusammenhang interessanten Aspekte benannt. Es sind zu unterscheiden:
Typ A: unspezifische Hypnose
Typ B: spezifische implizite Hypnose
Typ C: spezifische explizite Hypnose
Overview of various common today Hypnotherapieverfahren I refer in this section to an overview of Revensdorf (2001), who has also developed a classification of the decision tree to the strategic approach. In the description of the various hypnosis classes here but only the name in this context interesting aspects. There are several types:
Type A: nonspecific hypnosis
Type B: specific implicit hypnosis
Type C: specific explicit hypnosis
In questi anni l’EMDR si è affermata come trattamento di evidenza nel più classico e più grave dei disturbi direttamente legati allo stress, cioè il PTSD (Bisson & Andrew, 2007) e sono stati evidenziati i suoi effetti sul SNC. Nonostante questo ed il suo progressivo impiego in una ampia varietà di situazioni sono ancora poche le riflessioni sull’EMDR dal punto di vista dell’integrazione mente-corpo, in particolare utilizzando i dati offerti dal campo di ricerca della PNEI. Nel presente lavoro ci soffermeremo su alcuni di questi aspetti per evidenziare come l’EMDR rappresenta una delle terapie più rispondenti alle nuove evidenze scientifiche ed alle esigenze di una scienza integrata della salute.
Tre gli elementi salienti offerti dalla ricerca:
1. La vita ha plasmato nel percorso evolutivo strutture altamente integrate, descrivibili come sistemi complessi a rete in retroazione continua con il contesto. In particolare i sistemi nervoso, endocrino ed immunitario costituiscono nel network psicocorporeo un “super-sistema” di relazione e regolazione in grado di assicurare gli equilibri adattativi incorporando l’esperienza e gestendo la dinamica mantenimento-cambiamento (“regolazione allostatica”). Quindi l’organismo non è una macchina fatta di parti autonome tra loro assemblate, ma una realtà che parte dall’unità (zigote) e mantiene tale carattere unitario in tutte le sue articolazioni.
2. Lo stress non è qualcosa di per sé eccezionale e patologico, deve invece essere visto – all’opposto – come l’espressione di un insieme di processi (un sistema) che modulano la regolazione individuo-contesto a fini adattativi. In sostanza il sistema dello stress è sempre attivo e solo in situazioni di eccesso o di carenza (acute o croniche) produce effetti progressivamente dannosi per l’individuo. Le attività legate allo stress producono un “carico allostatico” (peso biologico, energetico) che – in relazione a fattori soggettivi ed esterni – può divenire “sovraccarico” innescando una catena di successive alterazioni nel funzionamento dell’organismo. Parallelamente vi è un “carico” ed un “sovraccarico psicologico” legati al primo da processi circolari.
3. Nel network corporeo e nel sistema dello stress, ovvero nei processi di regolazione generale interni e individuo-contesto, la mente svolge un ruolo cruciale di modulazione come dimensione nella quale i segnali (interni ed esterni) vengono trasformati in informazioni (assegnazione di significati) in base ai percorsi ed alle esigenze individuali di adattamento. La mente rappresenta così la più alta espressione dell’evoluzione della vita e delle sue strategie adattative e ciò spiega il suo ruolo rispetto al funzionamento complessivo dell’organismo. Le recenti acquisizioni delle neuroscienze hanno mostrato l’interdipendenza tra attività psichica, espressione genica e plasticità cerebrale che rende possibile il ruolo della mente.
Il sovraccarico allostatico e psicologico legati allo stress dipendono in gran parte dall’attività mentale e costituiscono il principale fattore di rischio per la salute nelle società occidentali, antecedenti accertati delle patologie più diffuse. Se guardiamo a quanto detto sinora nell’ottica dello sviluppo individuale (fase intrauterina, processi di attaccamento, eventi significativi successivi) possiamo avere una idea di come mente, corpo e contesto interagiscono nella strutturazione dell’individuo ed il ruolo condizionante e de-strutturante delle situazioni e degli eventi che provocano una alterazione da stress. Le ricerche sul rapporto tra stress e sviluppo psicobiologico, tra modalità di attaccamento, strutturazione dei circuiti cerebrali, o tra queste e salute, confermano tali assunti (Lazzari, 2007). Venendo più da vicino all’EMDR, gli studi sulla psicobiologica del PTSD stanno mostrando che siamo di fronte sostanzialmente ad una manifestazione (particolarmente complessa ed accentuata) degli effetti dello stress sul network psicocorporeo (Iribarren et al., 2005). La ricerca sul PTSD (e gli altri disturbi da stress del DSM) deve incrociare necessariamente i filoni di studio sopra richiamati ed utilizzare la cornice concettuale che ne scaturisce.
Gli effetti psicobiologici dello stress estremo e del trauma vanno inquadrati nell’ambito delle
interazioni mente-corpo e della regolazione allostatica (carico vs sovraccarico allostatico).
A nostro avviso, al di là degli specifici effetti sul SNC, l’EMDR si è mostrata efficace nel PTSD in relazione alla sua caratteristica generale di ricercare ed utilizzare come “target” non singoli aspetti di una esperienza, bensì l’esperienza nei suoi diversi aspetti: cognitivi, emotivi, fisiologici e relazionali.
Il lavoro dell’EMR va a recuperare una integrazione perduta e lavora su questa.
Si deve tenere presente infatti che, in via generale e preminente, lo stress compromette i livelli di integrazione, coerenza e flessibilità del sistema: lo stress cronico per processi progressivi di disregolazione, quello acuto per “rotture”, blocchi e sconnessioni. Pertanto l’elaborazione dell’informazione (e delle conseguenze) legata ad eventi e situazioni stressanti passa attraverso una re-integrazione di tutti gli aspetti psicobiologici correlati per giungere ad una ristrutturazione.
Il livello di “penetrazione” (efficacia) di un approccio terapeutico è molto legato alla sua omogeneità con la realtà su cui interviene,cioè al fatto di parlare lo stesso linguaggio.
E questo è un punto di forza notevole per l’EMDR.
I dati disponibili sono coerenti con quanto enunciato: l’EMDR modifica i parametri fisiologici riducendo ed annullando l’attivazione da stress, spostando la bilancia dall’inibizione simpatica all’attivazione parasimpatica (Sack et al. 2007) e risulta associata l’abbassamento dell’arousal fisiologico, cioè con pattern di attività regolari e trofiche (Sack et al. 2008), mostrando similarità con quanto accade durante il sonno REM (Elofsson et al., 2008).
L’EMDR incide altresì su disturbi fisici legati al sistema dello stress, come ad esempio hanno mostrato ricerche su patologie dermatologiche (Gupta, 2002).
In recent years, EMDR has established itself as the treatment of evidence in the most classical and most serious of disorders directly related to stress, that is, PTSD (Bisson & Andrew, 2007) and were highlighted its effects on the CNS. Despite this and its progressive use in a wide variety of situations are still few reflections from the perspective sull'EMDR mind-body integration, in particular using data provided by the search of PNEI. In this work we will focus on some of these issues to highlight how EMDR is one of the therapies are more responsive to new scientific evidence and the needs of an integrated science of health. Three main elements of research are: 1. Life has shaped the evolutionary highly integrated structures, we describe how systems
complex feedback network continues with the context. In particular, the nervous, endocrine immune network and provide psycho in a "super-system" of relationship and adjustment
able to ensure the balance incorporating adaptive expertise and managing the dynamic maintenance-change ( "regulation allostatica"). Then the body is a machine made of autonomous parts, assembled together, but a reality that leaves the unit (zygote) and maintains that unitary in all its joints. 2. Stress is not something in itself exceptional and pathological, but must be seen - in contrast -- as the expression of a set of processes (a system) that modulate the individual-regulation framework for adaptive. In essence, the system of stress is always on and only in situations of excess or deficiency (acute or chronic) effects progressively damaging to the individual. The Stress-related activity produces a "load allostatico" (weight biological energy) that --
relation to subjective factors and external - can become "overloaded" by triggering a chain of subsequent alterations in the functioning of the organism. In parallel there is a "load" and a
"Overload psychological" processes related to the first round. 3. In the network system and body of stress, or in the process of setting general internal and individual-context, the mind plays a crucial role as a dimension of modulation in which signals (internal and external) are transformed into information (assigning meanings) depending on the paths and individual needs of adaptation. The mind is so the highest expression of the evolution of life and its adaptive strategies, which explains its role in relation to the overall functioning of the organism. The recent acquisitions of
neuroscience have shown the interdependence of psychic activity, gene expression and plasticity brain that makes the role of the mind. Overload allostatico and psychological stress-related depend in large part by activism mental and constitute the main risk factor for health in Western societies, antecedents established disease spreading. If we look to the foregoing view of personal development (stage intrauterine attachment process, significant events later) we can have an idea of how mind, body and environment interact in the structuring the individual and the role conditioning and de-structuring of situations and events that cause an alteration by stress. Research on the relationship between stress and psychobiological development, including mode of attachment, structure of brain circuits, or between them and health, confirmation of these given (Lazzari, 2007). Coming closer all'EMDR, psychobiological studies of PTSD are showing that we are dealing essentially an event (especially complex and pronounced) the effects of stress on the network psycho (Iribarren et al., 2005). Research on PTSD (and other stress disorders DSM) must necessarily cross the strands study mentioned above and use the conceptual framework that arises. Psychobiological effects of extreme stress and trauma should be classified within mind-body interactions and regulation allostatica (load vs. overload allostatico). In our view, beyond the specific effects on the CNS, EMDR has been shown effective in PTSD in connection with his characteristic broad research and use as a "target" rather than individual aspects of an experience, but experience in its different aspects: cognitive, emotional, physiological and relational. Work dell'EMR goes to retrieve a lost and working on this integration. It should be remembered that, in general, and prominent, stress affects the levels of integration, consistency and flexibility of the system: chronic stress for progressive process of dysregulation, the acute "broken", blocks and disconnections. Therefore processing information (and consequences) related to events and stressful situations through a re-integration of all aspects related to psychobiological reach a restructuring. The level of "penetration" (effectiveness) of a therapeutic approach is very attached to his homogeneity with the reality on which it operates, namely the fact of speaking the same language. And this is a great asset for EMDR. The available data are consistent with the statement: EMDR change physiological parameters reducing and canceling the activation by stress, shifting the balance from the inhibition nice parasympathetic activation (Sack et al. 2007) and is associated with lowering dell'arousal physiological, ie regular patterns of activity and trophic (Sack et al. 2008), showing similarities with what happens during REM sleep (Elofsson et al., 2008).
EMDR also impacts on physical ailments related to the system of stress, such as have Show searches on dermatological (Gupta, 2002).
Gli Autori illustrano i princìpi fondamentali nel trattamento dei Disturbi Dissociativi, nell’ottica della psicoterapia cognitivo-evoluzionista. Descrivono la cosiddetta “Terapia per fasi”, caratterizzata dalla iniziale ricerca della stabilizzazione del paziente e da una riduzione sintomatologica; quindi da una fase centrale di elaborazione dei traumi relazionali e complessi considerati frequentemente alla base degli stati dissociativi; infine dalla integrazione e ricerca di una “crescita post-traumatica”. Gli Autori prendono in esame le diverse strategie e tecniche più frequentemente utilizzate, da quelle legate al lavoro terapeutico sul corpo ai gruppi di mutuo aiuto, dalla psicofarmacologia all’ipnosi. Una parte significativa dell’articolo è dedicata all’uso dell’approccio EMDR nel trattamento degli stati dissociativi.
The Authors show the fundamental principles in the treatment of the Dissociative Disorders, in the perspective of the Cognitive-Evolutionary Psychotherapy. They describe the so called “Staged Therapy”, characterized by a starting phase toward the stabilization of the patient and the symptomatology’s reduction; by a central phase of processing of the relational and complex traumas often grounding the dissociative states; and then by an integration and a “post-traumatic growing”. The Authors examine the different strategies and techniques, most frequently used, from the therapeutical body work till self-help groups, from psychopharmacology till hypnosis. A significant part of the article show the importance of the EMDR approach in the treatment of dissociative states.
Cette étude de terrain randomisée et contrôlée a été réalisée après un séisme de 7,2 en Basse-Californie
au Mexique. Le traitement a été offert selon les principes du continuum de soins. Un briefing de gestion
de crise a été proposé à 53 individus Ensuite, les 18 individus qui avaient obtenu des scores élevés
sur l’échelle IES (Impact of Event Scale : échelle d’impact des événements) ont bénéficié du protocole
EMDR pour les incidents critiques récents (EMDR-PRECI: EMDR Protocol for Recent Critical Events), un
protocole EMDR modifié à séance unique qui a été élaboré pour le traitement des traumatismes récents.
Les participants ont été assignés de manière aléatoire à deux groupes : le groupe de traitement immédiat
et le groupe de de traitement retardé/liste d’attente. Il n’y a pas eu d’amélioration dans le groupe de liste
d’attente ; les scores des participants du groupe de traitement immédiat se sont significativement améliorés
en comparaison avec les participants du groupe de liste d’attente. Une séance de EMDR-PRECI
a produit une amélioration significative des symptômes de stress post-traumatique tant pour le groupe
de traitement immédiat que pour le groupe de traitement retardé/de liste d’attente, avec des résultats
maintenus lors du suivi après 12 semaines, alors que des séismes d’après-choc effrayants continuaient
à survenir fréquemment. Cette étude apporte des preuves préliminaires en faveur de l’efficacité
de ce protocole dans un contexte de continuum de soins en santé mentale après une catastrophe. Des
études contrôlées supplémentaires sont souhaitées afin d’approfondir l’évaluation de l’efficacité de cette
intervention.
This randomized, controlled group field study was conducted subsequent to a 7.2 earthquake in North Baja California, Mexico. Treatment was provided according to continuum of care principles. Crisis management debriefing was provided to 53 individuals. After this, the 18 individuals who had high scores on the Impact of Event Scale (IES) were then provided with the eye movement desensitization and reprocessing (EMDR) Protocol for Recent Critical Incidents (EMDR-PRECI), a single-session modified EMDR protocol for the treatment of recent trauma. Participants were randomly assigned to two groups: immediate treatment group and waitlist/delayed treatment group. There was no improvement in the waitlist/ delayed treatment group, and scores of the immediate treatment group participants were significantly improved, compared with waitlist/delayed treatment group paticipants. One session of EMDR-PRECI produced significant improvement on symptoms of posttraumatic stress for both the immediate-treatment and waitlist/delayed treatment groups, with results maintained at 12-week follow-up, even though frightening aftershocks continued to occur frequently. This study provides preliminary evidence in support of the protocol's efficacy in a disaster mental health continuum of care context. More controlled research is recommended to evaluate further the efficacy of this intervention.
The purpose of this project was to propose a long-term, theoretically sound and research
supported person-centered grief counseling group for adult women who were sexually abused as
children. A review of the literature indicated that child abuse survivors can benefit from
supportive group counseling; sharing a context of common experience seems to aid in their
healing process. The proposed program recognizes the need to provide women who were abused
with a trusting, social environment that helps to remove the secrecy and isolation, decrease the
feelings of shame and self-blame, and increase self-esteem and self-worth. The integration of a
nondirective approach with grief counseling creates a more comprehensive approach in which to
support the development of social skills and healthy and trusting relationships. The group is
structured for survivors to share their experiences, heal from their traumas, and find the tools to
move forward into happier, healthier, and better functioning lives.
L’utilisation conjointe du modèle systémique du double lien réciproque de Mony ElKaïm et du modèle du Traitement Adaptatif de l'Information (TAI) d’EMDR est une nouvelle perspective pour la thérapie de couple. L'utilisation des deux approches permet de développer un plan de traitement en EMDR qui tient compte et respecte les systèmes relationnels ex : couple, homme /femme, parent/enfant, employé/employeur. Lors de cette présentation les participants apprendront quand et comment travailler avec un membre du couple comme co-thérapeute ; comment un lieu sûr sur le plan individuel peut aussi s’appliquer au niveau du couple et être utilisé durant la session et à la maison ; comment déterminer les cibles dans un plan de traitement EMDR et systémique qui soit guidées par la compréhension systémique du double lien réciproque et finalement comment adapter les 8 phases du protocole EMDR auprès du couple en se basant sur le modèle systémique.
Objectifs d'apprentissage:
1. Déterminer lorsqu’il est approprié d’utiliser l’EMDR en thérapie de couple
2. Pouvoir faire l’installation d’un lieu sûr afin que cela soit une ressource pour le couple
3. Comprendre comment utiliser le modèle systémique du double lien réciproque afin d’identifier les cibles individuelles qui contribuent aux difficultés actuelles du couple
4. Comprendre les particularités de chacune des 8 phases du protocole EMDR lorsque utilisés auprès du couple.
Using both the systemic model of the double reciprocal link Mony Elkaim and model of the Adaptive Information Processing (ADP) EMDR is a new perspective for couple therapy. The use of both approaches can develop a treatment plan that considers EMDR and respects relational systems eg couple, man / wife, parent / child, employee / employer. During this presentation participants will learn when and how to work with a member of the couple as co-therapist; how a safe place at the individual level can also be applied to the couple and used during the session and at home, how identify targets in a treatment plan that is systemic and EMDR guided by the systemic understanding of the double reciprocal link and finally how to adapt the eight phases of EMDR protocol with the torque based on the systemic model.
Learning Objectives:
1. Determine when it is appropriate to use EMDR in couples therapy
2. Able to install a safe place so that this is a resource for the couple
3. Understand how to use the systemic model of the double reciprocal link in order to identify individual targets that contribute to the current difficulties of the couple
4. Understand the particularities of each of eight phases of EMDR protocol when used with the couple.
L’Eye Movement Desensitization and Reprocessing (EMDR) nasce come
interevento elettivo nella terapia del Disturbo Post-traumatico da Stress
(PTSD) e, in particolar modo nelle fasi iniziali del suo consolidamento
clinico e teoretico, ha calibrato il proprio protocollo di intervento standard sul
PTSD generato da combattimenti bellici, catastrofi naturali e provocate
dall’uomo. L’abuso sessuale, soprattutto se avvenuto nell’infanzia, in modo
prolungato ed all’interno di un contesto familiare (ovvero il tipo di abuso
sessuale sul quale concentrerò ora la mia attenzione), è un tipo di evento
traumatico che può presentare caratteristiche peculiari: elementi dissociativi
da marcati ad assenti, alterazioni mnestiche e codifiche mnestiche statodipendenti,
massicci meccanismi di repressione operanti anche per decenni,
condizionamento negativo dell’evoluzione del sistema comportamentale
dell’attaccamento, presenza di memorie somatiche di difficile gestione da
parte del paziente, disturbi sessuali, difficoltà nell’instaurazione e nel
mantenimento della relazione terapeutica. L’abuso sessuale intrafamiliare si
accompagna abitualmente alla trascuratezza emotiva ed alla violenza
psicologica, in alcuni casi anche a quella fisica. Di fronte ad un quadro
2
clinico così complesso (laddove la presenza di PTSD è semplicemente uno
dei possibili esiti psicopatologici, e con ogni probabilità non il più
frequente), l’intervento con l’EMDR richiede modificazioni rispetto al
protocollo standard di intervento per il PTSD ma, soprattutto, l'inserimento
all'interno di un intervento clinico di respiro decisamente più ampio rispetto
all’impiego di algoritmi terapeutici ridotti all’essenziale. Il sottoscritto ritiene
che, al momento attuale, lo studio più approfondito sull’argomento sia una
pubblicazione di Laurel Parnell del 1999. Personalmente, ed in modo
concorde con quest’ultimo autore, ho verificato la notevole efficacia
nell’operare con l'EMDR - anche molto direttivamente - sulla storia di
attaccamento del paziente al fine di colmarne le falle evolutive o eliminare gli
ostacoli per il conseguimento di questo fondamentale obiettivo terapeutico.
The eye movement desensitization and reprocessing (EMDR) is born as
interevento elective in the treatment of Posttraumatic Stress Disorder
(PTSD) and, especially in the early stages of its consolidation
clinical and theoretical, has calibrated their intervention protocols for the standard
PTSD generated by fighting wars, natural disasters and caused
man. Sexual abuse, especially if done in childhood, so
Prolonged and within a family context (ie the type of abuse
which focus on sex now my attention) is a type of event
trauma that may have special characteristics: elements dissociative
to be marked absent, changes in mnemonic and mnemonic encodings statodipendenti,
massive repression mechanisms operating for decades
negative evolution of behavioral conditioning system
attachment, presence of somatic memories of unmanageable
the patient's sexual problems, difficulty in establishing and
maintaining the therapeutic relationship. Sexual abuse is intrafamilial
usually accompanies the emotional neglect and violence
psychological, in some cases to physical. Faced with a framework
2
clinical as complex (where the presence of PTSD is simply a
possible outcomes of psychopathology, and probably not the most
frequent), intervention with EMDR requires changes compared to
standard protocol of intervention for PTSD but, more importantly, the inclusion
within a clinical intervention to breath much larger than
use of therapeutic algorithms reduced to essentials. My opinion
that, at present, more thorough study on the subject is a
Published by Laurel Parnell in 1999. Personally, and so
agreed with this page, I checked the remarkable effectiveness
in working with EMDR - very directly - on the history of
attachment of the patient in order to bridge the evolutionary gaps or eliminate
obstacles to achieving this important therapeutic target.
La méthode EMDR, conçue et développée par Shapiro, est une psychothérapie qui, selon les études les plus récentes (Inserm, 2004), peut être efficace dans la résolution des troubles de stress post-traumatique (SSPT). Son auteur pense qu'il s'agit d'un traitement qui est en même temps, relationnelle, intrapsychique, cognitive, comportementale et corporelle. La thèse principale de cette approche est fondée sur l'idée que les souvenirs des expériences passées physiologique est la clé pour comprendre le comportement, la personnalité et le processus psychologique. objectif de cet article est de décrire cet outil thérapeutique en tenant compte des principaux aspects théoriques sous-jacents et à réfléchir sur son utilisation pour les alcooliques qui souffrent du SSPT. (Base de données PsycINFO Record (c) 2008 APA, tous droits réservés)
The EMDR method, conceived and developed by Shapiro, is a psychotherapy which, according to most recent studies (Inserm, 2004), can be effective in the resolution of post traumatic stress disorders (PTSD). Its author thinks of it as a therapy that is at the same time relational, intrapsychic, cognitive, behavioral and corporal. The main thesis of this approach is based on the idea that physiological memories of past experiences is the key to understanding behavior, personality and psychological process. This article's aim is to describe this therapeutic tool by considering the principal subjacent theoretical aspects and to reflect on its use for alcoholics suffering from PTSD. (PsycINFO Database Record (c) 2008 APA, all rights reserved)
Great strides have been made in applying EMDR
to different populations with a variety of
diagnoses. Integrating this powerful treatment
into couples therapy is relatively new and very
promising. By augmenting EMDR with the
explanatory power and clinical inventiveness of
ego state theory, couples therapy can be brought to new levels of efficacy. Through didactic
presentation and case illustration, participants will
understand the relational nature of the Self,
psychobiological and psychodynamic mechanisms of attachment, the structure of the
relational self, and the challenges of individuation/differentiation. In addition, all participants will learn and be able to access the intergenerational pathogenesis of ego fragmentation, and will be
able to identify clinical manifestations of ego state
conflict in conjoint sessions, including the doublebind,
split loyalty, and reenactments. Participants
will be able to use this learning to diagnose the
interlock of negative cognitions in their client
couples, and implement strategies to contract for
individually-focused EMDR therapy. Participants
will be able to explain to clients the risks and
benefits of conjoint EMDR, and understand the
contraindications for conjoint EMDR. Participants will learn a model of EMDR
treatment planning that includes target selection
and salience, and will be able to utilize a
progressive sequence of techniques for facilitation
EMDR processing with dissociative clients who
are blocked, looping, or at risk of abreaction.
By augmenting EMDR with the explanatory power and clinical inventiveness of ego state theory, couples therapy can be brought to new levels of efficacy. Participants will learn about the relational nature of the Self, psychobiological and psychodynamic mechanisms of attachment, the structure of the relational self, and the challenges of differentiation. Participants will be able to diagnose the interlocking of negative cognitions of client couples and implement strategies to contract for individually focused EMDR. Participants will understand the risks and benefits of conjoint EMDR. Participants will learn a model of EMDR treatment planning that describes target selection and salience.
Ego state conflict can frequently dominate relational patterns even in clients without a trauma history. Relational partners often have poor boundaries and share a mutual dependency characterized by blame and projection. This workshop will explore family dynamics that contribute to ego fragmentation and manifestations of interlocking ego state conflict in couples therapy. Participants will learn a model for EMDR-based assessment and treatment planning, be able to describe ego state manifestations in couples conflict, and learn how to manage ego states in the desensitization phase of processing.
Since 2001, the wars in Iraq and Afghanistan have caused considerable strain on military medicine to effectively manage the large and growing mental health demand from deployed personnel. Current trends, initiatives and on-going barriers in meeting war-related mental health needs for this and future war generations as reported by military officials, including the 2007 Department of Defense’s (DoD) Task Force on Mental Health, is reviewed including training of providers, access to high quality mental health assessment and treatments and research innovations. Lastly, a model for a 21st century modern military mental health care system is proposed within the context of historical and present-day analysis of the cyclical impact of dualistic approaches toward mental and physical health and consequent effects of mental health stigma and disparity. Authors’ note: The findings and opinions expressed are the authors’ alone and are not intended to represent the views of the Department of the Navy, the Department of Defense, or the Department of Veterans Affairs.
Complex trauma in early childhood has the ability to impact a child’s development in
multiple domains, thus influencing development throughout the rest of their life. The
purpose of this study was to explore best practices with children who have experienced
complex trauma from the perspective of mental health professionals, with a focus on
children between the ages of three and five. Qualitative interviews were conducted with
six mental health professionals who were asked to discuss the presentation, interventions,
and outcomes of a case where the child experienced complex trauma. Consistent with
previous literature, all participants in this study reported self-regulation deficits and
relational impairments for the case they discussed. Additionally, all six participants
utilized play therapy and expressed the importance of collaboration with other adults and
systems in the child’s life in order for treatment to be successful, exemplifying the need
to utilize an ecological approach. Other practices used by professionals included
Cognitive Behavioral Therapies, feelings/emotion interventions, EMDR, and relational
interventions such as including the parents/caregivers in treatment, addressing the
attachment needs, and coaching parents. Overall, participants utilize a combination of
approaches and interventions in order to provide best practices, always emphasizing
safety, attachment, and development.
Onveilige en ongeorganiseerd bijlagen en het begin van relationele verwaarlozing en trauma diepgaand effect op het ontwikkelingstraject van de toekomstige volwassen en verhogen het risico op het ontwikkelen Borderline persoonlijkheidsstoornis (BPD). Mensen met een borderline-stoornis en een geschiedenis complex trauma hebben veel problemen met zelfregulering en met betrekking tot anderen. Het beheer van deze zelfregulering en relationele problemen zijn centrale aspecten in de behandeling van BPS.
De stabilisatiefase is opgemerkt als essentieel oor trauma werk. Bij de behandeling van de borderline-stoornis en complexe trauma betekent dit vele bijzonderheden die we moeten in gedachten houden, waaronder: de rol van gehechtheid-gerelateerde gemoedstoestanden en fobieën voor de bevestiging, beïnvloeden en traumatische herinneringen. Werken met gevallen van BPS en complex trauma is intrinsiek relationeel en vaak gepaard gaat met de noodzaak om momenten van intense beïnvloeden en invloed hebben op fobieën beheren in de overdracht en tegenoverdracht. Inzicht in deze aspecten en met strategieën voor het aanpakken van hen is van essentieel belang zowel voor als tijdens EMDR opwerking van traumatische herinneringen om ervoor te zorgen dat de verwerking van traumatische herinneringen veilig en effectief kan worden gedaan met deze patiënten. Deze workshop integreert theoretische uiteenzetting met de presentatie van video's gevallen. De algemene structuur van EMDR therapie bij de behandeling van BPD, interventies in de voorbereidings-en overwegingen voor trauma-gerichte EMDR werk zal worden gedemonstreerd en uitgelegd.
Insecure and disorganized attachments and early relational neglect and trauma profoundly affect the developmental trajectory of the future adult and increase the risk of developing Borderline Personality Disorder (BPD). People with BPD and a history complex trauma have many difficulties with self-regulation and relating to others. The management of these self-regulation and relational difficulties are central aspects in the treatment of BPD.
The stabilization phase has been remarked as essential prior to trauma work. In treating BPD and complex trauma this implies many particularities that we should keep in mind including: the role of attachment-related states of mind and phobias for attachment, affect and traumatic memories. Working with cases of BPD and complex trauma is intrinsically relational and often involves the need to manage moments of intense affect and affect phobias in the transference and countertransference. Understanding these aspects and having strategies for addressing them is essential both before and during EMDR reprocessing of traumatic memories to ensure that reprocessing of traumatic memories can be done safely and effectively with these patients. This workshop integrates theoretical exposition with the presentation of videos cases. The general structure of EMDR therapy in treating BPD, interventions for the preparation phase and considerations for trauma-focused EMDR work will be demonstrated and explained.
Background and Objectives: Eye Movement Desensitisation and Reprocessing (EMDR) is now considered evidence based practice in the treatment of trauma symptoms. Yet in a previous meta-analysis, no significant effect was found for the eye movement component. However methodological issues with this study may have resulted in a type II error. The aim of this meta-analysis was to examine current published studies to test whether eye movements significantly affect the processing of distressing memories.
Method: A systematic review of the literature revealed two groups of studies. The first group comprised 15 clinical trials and compared the effects of EMDR therapy with eye movements to those of EMDR without the eye movements. The second group comprised 11 laboratory trials that investigated the effects of eye movements while thinking of a distressing memory versus the same procedure without the eye movements in a non-therapy context. The total number of participants was 849.
Results: The effect size for the additive effect of eye movements in EMDR treatment studies was moderate and significant (Cohen's d = 0.41). For the second group of laboratory studies the effect size was large and significant (d = 0.74). The strongest effect size difference was for vividness measures in the non-therapy studies (d = 0.91). The data indicated that treatment fidelity acted as a moderator variable on the effect of eye movements in the therapy studies.
Conclusions: Results were discussed in terms of current theories that suggest the processes involved in EMDR are different from other exposure based therapies.
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.]
Working with trauma, therapists must be aware of different community fabrics, support systems, cultural metaphors, and belief systems that may
be different from their own. Participants will be able to identify Why, How and When combinations of modalities, including EMDR can be tailored for maximum effectiveness to specific populations. Illustrations include Latin American, European and American populations living with trauma as a result of terrorism. Additional vulnerabilities of the therapist who share past trauma histories or work in the same current environment
under the threat of terrorism will be addressed.
In a trauma survivor, physiological responses are exacerbated when the affect-laden memories stored in associative networks are triggered by environmental sensory inputs or cues and activate the autonomic nervous system. Recovery from trauma involves not only amelioration of physiological and dissociative symptoms, but also the cognitive rebuilding of a viable assumptive world view which integrates the realms of vulnerability, meaning and self-esteem. This world view is contextualized in cultural idioms and values.
From an Ericksonian perspective, persons are usually attempting to problem-solve, even in a dissociative date. A symptom such as an intrusive recollection or recurrent dream of a traumatic event is therefore construed as a request for help in problem-solving. Hypnosis is a structured dissociation which facilitates cognitive flexibility; that is, the broadening of choices of the client' s belief system, rather than direct work on changing affect or behaviors. The goal of Ericksonian hypnosis is to recontextualize the traumatic memory, the affect of fear, and the physiological hyperarousal cued by the traumatic memory. This occurs within a broader context of pride, mastery and courage, and within a context inclusive of other memories and affects, which are positive for the client.
Eye Movement Desensitization and Reprocessing (EMDR), similarly has as its goal the facilitation of a transfer of traumatic data from the cortical right hemisphere to the left hemisphere. EMDR also utilizes the attainment of a state of heightened awareness, or collaborative structured dissociation, in order to facilitate the orientation of the traumatized client's conscious mind toward "revisiting" traumatic memories.
Both interventions can facilitate the self-narrative reconstruction process of trauma survivors by simultaneously modulating the person's hyperarousal while attending to the culturally significant metaphors which form the building blocks of a person' s world of meanings.
[AAETS]
This workshop presents three related and integrated themes: I. - The neurobiology of trauma made simple, yet highly “usable” for clinical formulation. A. How trauma is defined by our culture and DSM-IV, versus the reality of how each human brain individually “defines” trauma. Organized and logical presentation of clinically relevant brain parts/circuits and how they process, or don’t adequately process traumatic experiences; the differing length of time the effects of trauma may manifest from these parts; the masking and masquerading of earlier traumas by the prefrontal cortex, etc. Which brain parts/circuits “trump” one another, and how this shows up in symptoms, in our personalities or in our relationships. II. - Child/Adolescent/Adult stages of human brain development made simple, but geared for clinical understanding and EMDR treatment planning. Childhood through young adulthood brain development generally mature along a sequence; Bottom to Top, and Inner to Outer .The brain areas that become more active as 31 children mature “show up” as increasing or decreasing behaviours, levels of thinking abilities, levels of emotional and mood development/stability, relational abilities, decreased dominance of certain other brain parts, etc.. Symptoms frequently reflect how each person’s level of brain maturation “filters” life experience at a given time. III. - Trauma neurobiology + different stages of brain development = potentially very different EMDR formulations, negative cognitions, etc. How the child and adult brain can identify “danger”, and therefore, “trauma” similarly, or very differently. How trauma is “understood” in the adult brain and the child brain. How and why “danger” or “traumas” are perceived, processed and present differently in children and adults
Diante da importância das crenças e resistências que se apresentam frente às mudanças que se fazem necessárias, encontram-se as crenças pessoais de profundas raízes psíquicas que necessitam ser trabalhadas. Que podem ser mais bem compreendidas, quando podemos aprofundar o olhar através das experiências de vida, e, estendê-lo ao contexto cultural e familiar de onde se originaram. Esta perspectiva pretende colaborar para identificar as várias crenças que se associam e se assemelham, fortalecendo-se mutuamente tanto nos aspectos nocivos e desorganizadores, como nos positivos e organizadores que atuam poderosamente na vida das pessoas. Pode-se oferecer também uma vivência aos participantes, de encontro com alguns elementos de seus mitos e de suas crenças pessoais.
Given the importance of beliefs and resistances that arise before the changes that are necessary, are the personal beliefs of deep psychic roots that need to be worked on. What can be better understood when we look deeper through the experiences of life, and extend it to family and cultural context from which they came. This approach intends to collaborate to identify the various beliefs that associate and resemble, strengthening one another in ways both harmful and disruptive, as well as positive and organizers who work powerfully in people's lives. You can also offer an experience for participants, meeting with some elements of their myths and their personal beliefs.
Prolonged exposure (PE) is an empirically validated treatment for PTSD.
However, there remain issues surrounding the optimal length of exposure
sessions, the efficacy of prolonged exposure vis-a-vis other behavioral (Foa et
al., 1999), cognitive (Resick et al., 2002), cognitive-behavioral (Feske &
Chambless, 1995), and EMDR (Ironson et al., 2002) interventions, whether
patterns of symptom change differ between PE and cognitive treatments
(Nishith, et al., 2002), and those variables that predict significant amounts of
variance in treatment outcome (Tarrier, Sommerfield, Pilgrim, & Faragher,
2000). In this presentation, I will discuss the theoretical basis of prolonged
exposure therapy, review the comparative outcome literature surrounding
prolonged exposure, and summarize empirical research findings with regard
to its efficacy and optimal use. Mechanisms of action involved in PE will be
discussed with an emphasis on providing a context for the subsequent
papers in the Poster.
Dr. Schore will discuss current models of the neurobiology of attachment, detailing the enduring positive and negative impact of interactively regulated and dysregulated bodily-based affective transactions on the organization of the infant’s developing right brain, which for the rest of the life span is dominant for the nonconscious processing of emotions, stress regulation, and intersubjectivity. Dr. Schore will then describe the negative impact of relational trauma on the developmental trajectory of the right brain and the origins of pathological dissociation. Applying the developmental model to the change process of psychotherapy, he will then describe the critical role of the right brain in implicit facial, gestural, and prosodic communications within the therapeutic alliance, in dysregulated states of affective hyper- and hypoarousal, and in empathy, transference-countertransference, and affect regulation. This work suggests that interactive regulation within the therapeutic alliance is a central mechanism in the treatment of patients with a history of early relational trauma.
This study investigated the experiences of several hundreds of participants who had undertaken EMDR training in the United Kingdom and Ireland over the last ten years. The research group was drawn from both the membership of the EMDR UK and I Approved Commercial Training. The research ascertained participant’s core profession, main psychological treatment orientation, present utilization of EMDR within current clinical practice, number of clients treated, types of referral issues, average number of sessions, and provision for clinical supervision. Participants were then asked to provide feedback as to their views on their EMDR training experience. Results demonstrated a significant proportion of practitioners integrated EMDR with Cognitive Behavioural Therapy more than any other paradigm. EMDR trainings were criticised in areas which included participant involvement, post training, professional development, and systems of assessment of knowledge and application of EMDR. The findings suggest a need to develop competency based curriculum training in EMDR. Arguments will be presented to support the need to teach EMDR within a wider clinical context.
The study investigated the experiences of several hundred participants who had undertaken EMDR training in the United Kingdom and Ireland. The research group was drawn from the membership of the EMDR UK & I Association and those who had undertaken approved commercial EMDR training. Research participants provided information surrounding their use and context of using EMDR and provided qualitative feedback of their EMDR training experience. However, EMDR trainings were criticized in several areas. The findings suggest an argument to develop competency based curriculum training in EMDR within a wider clinical context.
EMDR and the Internal Family System (IFS) model share a common treatment approach and their integration significantly increases the effectiveness of both. The workshop will provide a brief overview of the central IFS components. It will then demonstrate how IFS "parts" work can facilitate developing target events and memories, cognitions, feelings, and sensations, plus assist with reducing client resistance and looping. The IFS idea of "self leadership" will give a new context for "resource installation" and "cognitive interweave." A case example of abandonment by self or family will show how IFS enhances the timing and content of EMDR protocol.
Patients with personality disorders have many difficulties in their daily functioning; many have histories of traumatic events and insecure attachment. In this workshop we will focus on cluster B personality disorders, and especially on borderlines. We will try to explain the interrelation of the DSM criteria (how they “feed” on each other) and how they are fed on these early events. To understand these aspects is basic for an adequate case-conceptualization in Phase 1. Early relational trauma impacts the developmental trajectory of the future adult and this will have a deep effect on how this adult relates to others. People with personality disorders and complex trauma have many difficulties when it comes to relating to others. One of the aspects that makes personality disorders difficult to manage is the intense emotional reactions that arise in the therapist during EMDR sessions. The management of relational difficulties is a core aspect in the treatment of personality disorders, and the solid basis where EMDR should develop.
The stabilization phase has been remarked as essential prior to trauma work with EMDR. But being true this assumption, two aspects need further development. The first is to establish when a patient is ready for trauma processing since frequently the stabilization phase is unnecessarily prolonged by therapists who don´t feel secure enough working with EMDR in this clinic group. The second is the development of specific interventions from EMDR, and not just the “importation” of foreign techniques, without an adequate theoretical framework. In this workshop we will go deeper into this topic.
Trauma processing in personality disorders implies many specificities that we should have in mind. Knowing these specific aspects, trauma processing with EMDR can be safely implemented in these patients. Borderline patients can get better with different therapies but only EMDR is able to get to symptoms such as “emptiness”. The effect of EMDR therapy is evident in clinic experience, even when specific research is still under development.
Learning objectives:
One interesting aspect of this workshop is the integration of theoretical exposition and the presentation of videos cases, in order to understand how to manage relational problems with this clinical group (a group with important patient-therapist relationship problems) and specific aspects of EMDR therapy in these patients. The general structure of EMDR therapy in personality disorders, interventions for the preparation phase and considerations for trauma EMDR work will be showed and explained.
This presentation offers a description of an integrative approach of group treatment within
phase I treatment leaning on psychodynamic theory, a clear psycho-educative approach
that uses methods as hypnosis/relaxation training/mindfulness training, aims for
enhanced relational capacity and self-regulation by using hypnotic techniques aiming at
enhanced containment capacity (Brown & Fromm, 1986; Kluft, 1993, 1999; Phillips &
Fredericks 1995; Chu 1998; Cardeña et al., 2000). The treatment aims at enhanced
capacity to mentalize, i.e., using the reflective functions in self-organization (Fonagy,
1997). This is considered to offer the participants an enhanced ”self soothing capacity”
(Krystal 1988a,1988b), i. e., the capacity to calm and soothe the self by enhanced self
regulation and capacity to rest, by helping the participants to reach experiential states
where they can contain their own reactions, as well as offering training in order to tolerate
and understand the signals of the body, i. e. the “felt sense” (Gendlin, 1978; Ogden,
Minton, & Pain 2006). The trauma therapy within phase II-work by extended EMDRprotocols
is exemplified with special focus on the restoration of the capacity for adequate
self-care as well as care-giving functions.
Learning Objectives:
1. To show how an integrative group treatment in phase I treatment can be used in
trauma therapy for stabilization with patients with complex PTSD and high levels of
dissociation (psychoform and/or somatoform co-morbidity).
2. Exemplify trauma-therapy within phase II work by extended EMDR-protocols
addressing the special needs of continuous reinforcement of stabilization for the
same population.
3. Focus on restoration of the capacity for adequate self-care as well as care giving
functions.
This paper will explore some of the limitations of the Post Traumatic Stress Disorder Framework in accounting for the
myriad of psychological symptoms encountered by former Royal Ulster Constabulary (RUC) within the Northern
Ireland Province. Several case studies of ex RUC police will be used to highlight not only the legacy of multiple
trauma experiences, but also multiple re-traumatisation by both the RUC as an organisation and its individual
membership. Within the context of the war in Northern Ireland, Catholic RUC officers in particular experienced
discrimination that often maximised their exposure to additional traumas. This indicates a potential political dimension
to our conventional understanding of PTSD, which therefore has subsequent psychological treatment implications.
The Police Rehabilitation and Retraining Trust (PRRT) in Belfast offers a psychological therapy services for retired,
retiring and/ or medically discharged police officers. Predominant treatment involves a combination of Cognitive
Behavioural Therapy (CBT) and that of Eye Movement Desensitisation & Reprocessing (EMDR). However, because
of the ongoing security issues in Northern Ireland, particularly for this client group, there are several limitations within
treatment approaches particularly regarding the utilisation of exposure in vivo. In addition this client group is often
ostracised by both communities further reinforcing isolationism and social exclusion.
What is particularly unique is that this presenter has documented verbatim
scripts and filmed sessions of two families over a time span covering 8
years. It is possible from this data to track recurring themes and issues
and demonstrate how EMDR was helpful to the recipients over time.
Presented are practical and creative ways of incorporating parents into
treatment and viewing the treatment of the child in a broad context. It
demonstrates how to make actual systemic maneuvers during an EMDR session,
how to work with the individual on systemic family issues and how to follow up
EMDR sessions with further family work.
Psychological victimology concerns crime victims in need of emotional
support. Sources of support include significant others1, victim
assistance volunteers, and mental health professionals. In the
wider victimological context, victim needs spark controversy and
are subject of a seemingly endless and recurring debate (Ten
Boom & Kuijpers, 2007). The issue who is in need has a rather
straightforward answer: victims with chronic post traumatic stress
disorder (PTSD) are in need of emotional treatment, and victims
at risk of this condition are in need of preventive counseling. The
more controversial issue here is why these needs develop, and
what constitutes a helpful and effectual response.
Cette présentation explore les contributions spécifiques d’EMDR en tant que modèle d’analyse et de compréhension de la psychopathologie et en tant que technique thérapeutique. Quelles situations cliniques sont propices pour introduire l’EMDR, que le modèle soit intégré à l’intérieur du processus thérapeutique, ou encore, introduit par le biais d’une référence à un thérapeute EMDR pour une série de sessions ? Pourquoi introduire l’EMDR dans un processus thérapeutique? À quel moment l’EMDR est-il le plus approprié en tant que modèle ou comme technique? Enfin, quelle est la meilleure façon d’entreprendre un processus EMDR et quels sont les éléments cliniques pouvant servir de déclencheurs ou de préambule au protocole EMDR?
This presentation will explore the specific contributions of EMDR as model of analysis, interpretation of psychopathology and psychotherapeutic techniques within the context of the psychotherapy relationship. What
are the clinical situations in which EMDR can best be introduced either as integrated in the psychotherapy process or as we have observed, as involving a referral to an EMDR therapist for a series of sessions.
Why introduce EMDR into the psychotherapy process?,
When is an EMDR intervention most appropriate for its optimal use as model and as technique?, and
How can an EMDR process best be introduced? and what are the clinical issues which can be used as triggers and as preamble to the EMDR protocol?
A special variety of dynamic therapy is presented which was successfully
combined with EMDR. A new diagnostic category is tentatively proposed.
A man in his twenties, successful in studies and in political and welfare
organizations, managed his life by intellectual consideration but with hardly any
emotional assessment being at a loss when confronted with demands for a personal
stand.
He disliked his lack of integrity and indecision which he liberated himself
from during the initial three years of therapy in so far as friends and societies were
concerned. However, all his intimate relations kept breaking up. He could not account
for why and in this context he appeared to be alexithym.
When the partner left him it was a total surprise to him, he got very upset in a
diffuse way and quite bewildered. At some occasions he got regressive spells of
yelling, crying and struggling. They seemed to be flashbacks and not a hysterical
acting out.
As a trauma might be an etiological factor I proposed EMDR and he accepted
to try it. During four EMDR-sessions memories with intense emotional involvement
appeared. Altogether the material made me venture a construction of him as a baby
yelling and kicking in desperate need for a mother who kept being absent. Shortly
afterwards he entered a relation that was satisfying to both him and his partner. The
therapy was terminated. In a follow up two years later the relation was still good and
he told me that the construction had made him grasp his life-history.
A prerequisite for the EMDR-sessions and their effect was the three years of
psychotherapy with the focusing of his central problem, but the liberation from this
problem could not have been reached without EMDR -at least not in such a short
time.
L’objectif de cette contribution sera de tester l’efficacité d’une nouvelle forme de prise en charge précoce des conséquences de viol. Issue d’une intégration de plusieurs protocoles EMDR d’urgence comme le R-TEP (Recent Traumatic Episode Protocol) de Shapiro (2009), et Modifed Abridged EMDR Protocol de Kutz, Risnik et Dekel (2008), et inspiré par la pratique du débriefing psychologique nous avons pris en charge sur la base d’une seule séance 17 femmes victimes de viols et prises en charge dans les 24 à 78h après leur agression. Suivies après 4 semaines, puis après 6 mois, nous avons mesuré les effets de ce suivi psychologique sur la symptomatologie post-traumatique, la détresse psychologique, ainsi que sur certains indicateurs de la sexualité de ces femmes victimes, en référence à leur sexualité antérieure. Les résultats obtenus montrent qu’en une séance on assiste à une réduction intéressante des différentes mesures qui se révèle stable 4 semaines et 6 mois après la prise en charge, de la même manière que la sexualité semble réinvesti par les victimes. Si ce type d’intervention d’urgence ne se substitue en rien à une psychothérapie plus approfondie, sa contribution et sa pertinence dans le cadre d’une prise en charge immédiate ouvre des perspectives intéressantes pour la prise en charge des victimes d’agressions sexuelles.
The aim of this contribution is to test the effectiveness of a new form of early management of the consequences of rape. After an integration of several protocols EMDR emergency such as R-PET (Recent Traumatic Episode Protocol) Shapiro (2009), and modifed Abridged EMDR Protocol of Kutz, Risnik and Dekel (2008), and inspired by the practice of psychological debriefing we supported on the basis of a single session 17 women victims of rape and supported in the 24 to 78 hours after the assault. Followed after 4 weeks, then after six months, we measured the effects of psychological symptoms on post-traumatic psychological distress, as well as some indicators of sexuality of these women who, in reference to their sexuality earlier. The results show that a session there is an interesting reduction of the various measures that proves stable 4 weeks and 6 months after treatment, the same way that sexuality seems reinvested by the victims. If this type of emergency is not a substitute for psychotherapy in no further, its contribution and its relevance in the context of an immediate management opens interesting perspectives for the treatment of victims of sexual assault.
The participant will be able to 1) develop the imaginational context of and employ this stabilizing protocol, useful in clients with insecure attachments, strategically ordered to elicit and allow desensitization of the inhibitory and adaptive affects within the basic EMDR protocol to allow completion typically within a fifty minute session; 2) teach to clients necessary integrated aspects of short term anxiety regulating psychotherapy and Heartmath methods, including how innate affects can act to guide adaptive behavior within a functional and dysfunctional system and how commonly used defenses and inhibitory affects impede adaptive behavior. Case examples and videos demonstrate the protocol.
This presentation offers a context for EMDR that strengthens the client’s sense of self and security. We will consider the therapeutic relationship from an attachment perspective and explore the clinical implications or recognizing it as triadic (adult-‘child’-therapist). Participants will identify ways to facilitate experiences of connectedness and nurturance through Imaginal Nurturing, thus fostering a consistent, ongoing development of a new relationship with self for the client. Opportunities for deepening the attachment context of EMDR therapy will be explored in detail with examples. Such an approach provides solid preparation for trauma work and greater security while doing that work, thus a gentler experience for the client and less likelihood of dissociation during processing.
I limiti mentali autoimposti acquisiti da copioni familiari reiterati in età evolutiva e da modelli operativi interiori acquisiti dalle autorità societarie attraverso mezzi di comunicazione di massa e regole educativo-lavorative, inducono percentuali sempre più rilevanti della popolazione europea alla vulnerabilità psicopatologica. L’esordio delle sintomatologie psichiche e somatiche di varia entità, avviene già in fasi precoci, nella primissima infanzia e spesso già nelle fasi prenatali, e il limite di età tende percentualmente a essere sempre più sensibile fin dal primo mese di vita. In età scolare si manifestano situazioni comportamentali quali il cosiddetto “bullismo” e fenomeni con campionature rilevanti di sindromi ipercinetiche con deficit attentivo e disturbi del-l’apprendimento. In adolescenza il contesto si complica e gli attacchi di panico, le sindromi depressive e i disturbi alimentari psicogeni dilagano, fino all’esordio di disturbi post-traumatici da stress che si incrementano in seguito alle difficili scelte di orientamento universitario o lavorativo. La vulnerabilità dell’età adulta si manifesta con disturbi somatoformi di diversa natura, disturbi psicocardiologici, sindromi ansioso-depressive, attacchi di panico, disturbi di coppia e relazionali, per citare i più frequenti e limitandomi solo ad accennare l’esistenza della molteplicità di disturbi iatrogeni. In tali soggetti, la consapevolezza di essere indotti in stati di shock che incrementano molteplici disturbi somatoformi e psicopatologici è praticamente assente. Essi, come pazienti, si rivolgono agli specialisti in ambito sanitario con la convinzione, spesso indotta da propagande dei mass-media, che tutto sia solo genetico, e vada "curato" con farmaci per lunghi periodi se non per tutta la vita. Anche da parte degli operatori sanitari vi sono ampie aree di inadeguatezza metodologica: ad esempio, la gravidanza viene gestita come fosse una malattia, riducendo la donna partoriente a una paziente alla quale troppo facilmente si “consiglia” il parto cesareo (statisticamente tra i più frequenti in Italia!) come metodo “veloce e sicuro” di parto, togliendo la competenza materna dell’imprinting alla nascita del bambino con le conseguenze psicologiche che ne derivano per la relazione madre-bambino e per la crescita serena di quest’ultimo, e, sempre a titolo esemplificativo, ignorano quasi del tutto gli aspetti di psicocardiologia, e il loro intervento si riduce a esami medici invasivi e a somministrazione di farmaci. Eppure, la psicoterapia cognitiva costruttivista, e specificamente modelli teorici e tecniche strategiche specialistiche note come EMDR (Eye Movement Desensitization and Reprocessing), l’utilizzo di biofeedback, l’innovativo training emotivo-cognitivo-comportamentale da me ideato nelle due versioni per la psicoterapia e per i gruppi in formazione che incrementa il riconoscimento emotivo e l’implementazione di immagini mentali idonee a modificare cognizioni e comportamenti irrazionali, quando eticamente e competentemente applicati, fanno molto per questi pazienti, sia in quanto si incrementa sensibilmente il livello della loro consapevolezza e della loro capacità di farsi protagonisti nel-l'evoluzione positiva della loro “guarigione”, sia in quanto si può intervenire in modo mirato con sperimentati protocolli per la risoluzione dello stato di trauma psichico in tempi ragionevolmente rapidi e con risultati attendibili e verificabili. Passando dalla dimensione individuale a quella collettiva, ossia alla psicopatologia collettiva cagionata dall’esposizione (anche solo mediatica) ad eventi catastrofici o angoscianti (magari associati a senso di impotenza, insicurezza, precarietà) o a diversi tipi di stress e vulnerabilità, possiamo aggiungere che, analogamente, mediante un lavoro su sistemi di neuroni specchio e sull'attivazione di nuove connessioni di reti neurali con un modello operativo non invasivo, si potrebbe migliorare la condizione di intere popolazioni rispetto a disturbi che, oggettivamente, sono in continua diffusione.
Sarebbe opportuno iniziare una sensibilizzazione collettiva partendo dalla formazione per livelli differenziati degli operatori educativi e sanitari, per poi estenderla alla popolazione suddividendola
per fasce di età e per territori di appartenenza; purtroppo la consapevolezza non è tra le aspettative primarie di committenti rivolti solo al profitto economico.
In un contesto storico-culturale dove l’etica, le relazioni umane, la cooperazione sembrano utopiche fiabe, questa è la sfida di essere una perturbatrice emotivamente orientata ad amplificare la consapevolezza attraverso un nuovo modello psicoterapeutico e formativo integrato, al quale sto lavorando da alcuni anni con risultati incoraggianti e che sarà mia premura esporre dettagliatamente durante il Congresso EMDR 2008.
The self-imposed mental limitations acquired from family scripts repeated age and developmental models inner acquired by the company operating through means of mass communication and
educational and working rules, induce percentage increasing as the population of Europe vulnerability to psychopathology. The onset of symptoms of various psychological and somatic
entity, is already in the early stages, in early childhood and often known during prenatal and age limit percentage tends to be more sensitive since the first month of life. Age
school behavioral situations occur where the so-called "bullying" and phenomena samples relevant syndromes of attention-deficit and hyperactive disorder - learning. In adolescence the context is complicated and panic attacks, the syndromes psychogenic depression and eating disorders are rampant, until onset of post-traumatic disorders stress which increases as a result of difficult choices of university or business orientation. The vulnerability of adulthood is manifested by different types of somatoform disorders, disorders psycho, anxious-depressive syndrome, panic attacks, disorders of torque and relational to cite the most frequent is limited only to mention the existence of multiplicity of disorders iatrogenic. In these subjects, conscious of being led into a state of shock that increase multiple somatoform disorders and psychopathology is virtually absent. They, like patients, addressed to specialists in the health field with the belief, often driven by propaganda media, that everything is just genetic, and must be "cured" with drugs for long periods if not for life. Including by health workers there are large areas of inadequacy
methodological: for example, pregnancy is managed as if it were a disease, reducing the woman in labor to a patient which too easily "advise" Caesarean (statistically the most frequent in Italy!) as a method of "fast and safe childbirth, removing the competence of imprinting the birth mother of the child with the psychological consequences that entailed for the mother-child and to the peaceful growth of the latter, and, also example, know little about the aspects of psycho, and their intervention reduces to invasive medical examinations and medication. Yet, cognitive psychotherapy
constructivist theoretical models and specific strategic and technical specialists known as EMDR (eye movement desensitization and reprocessing), the use of biofeedback, the innovative
emotional-cognitive-behavioral training which I designed in two versions for psychotherapy and groups in training that increases the emotional recognition and implementation of
mental images likely to change, knowledge and irrational behavior, when ethically and competently applied, do a lot for these patients, both because it increases
significantly the level of their awareness and their ability to get players in - the positive development of their "healing", both as it can intervene in a targeted manner with
tested protocols for the resolution of the state of psychic trauma in the reasonably rapid and reliable and verifiable results. Moving from individual dimension to that
collective, that is caused by exposure to psychopathology group (even the media) to distressing or catastrophic event (perhaps associated with the sense of powerlessness, insecurity, instability) or
different types of stress and vulnerability, we can add that, similarly, through a work on systems of mirror neurons and activation of new connections of neural networks with a model
operating non-invasive, it could improve the condition of entire populations than disorders that, objectively, are in constant circulation. It would be appropriate to start a collective awareness levels, starting from training differential operators' education and health, then extend it to the population divides
by age and territories belonging unfortunately the awareness is not between the expectations primary principals addressed only in profit or loss. In a historical-cultural context where ethics, human relations, cooperation seem utopian fairy tales, this is the challenge of being an emotionally disturbing oriented to amplify the awareness through a new model of psychotherapy and integrated training, which I working for several years with encouraging results and that will spell out my readiness EMDR 2008 during the Congress.
Participants will learn to identify: 1) the role of transference in psychotherapy in general and EMDR in particular; 2) the developmental levels of Lawrence Hedge's psychoanalytic model; 3) the influence of developmental states on later traumatic events; and 4) how the therapeutic relationship can come to constitute the essential non-traumatic relational pole of the EMDR process iself.
This article focuses on an interesting experience in working with Albanian Kosovar refugees last year in a refugee camp in Hemer, Germany. The authors, though highly trained and proficient traumatologists, worked with a large number of clients for a brief amount of time who had to rely on poorly trained interpreters who were themselves refugees in need of traumatology services (and eventually received it). They describe how Western educated practitioners were forced to adopt their methods of treatment ("standard EMDR model") to fit the requirements of the context. Among other things, they had to represent their work as educational ("information focus groups") and not "treatment" (due to the stigma), skip the time-consuming activities of assessment and rapport building, and accepted the direction of the camp psychologists as to who should or should not receive assistance. The bulk of their report focuses on the their information focus: the focus group content. They most often utilized a solution-focused approach (using eye movements to reinforce positive self-referencing statements) when working with individuals, although EMDR was used successfully with the few who requested it. The latter portion of the report includes three case studies. The authors concluded what worked best is a combination of group and individual work that relied on psychoeducation, accessing positive as well as negative material, and not initially focusing on the trauma. This information should be useful to any practitioner who must overcome similar challenges. [Adapted from Introduction] [Pilots]
Eye movement desensitization and reprocessing (EMDR) has been established as an efficacious therapy
for posttraumatic stress disorder (PTSD). The working mechanism of the procedure is, however, still
partly unknown. It is therefore important to explore the physiological effects of eye movements and alternative
bilateral stimulation. This article describes our research on the effects of eye movements during
authentic EMDR sessions of chronic PTSD in refugees with war and torture experiences and places this
research in the context of other findings. The findings point to definite physiological effects of eye movements;
namely a dearousal with increased finger temperature and changes in the balance between the
parasympathetic and sympathetic autonomous nervous systems.
Despite the prevalence of childhood trauma, studies regarding psychotherapy for children suffering from PTSD are scarce, especially regarding the treatment for pediatric PTSD following single-incident trauma. Treatment practices for this population rely mainly on the paradigms of therapy for adult PTSD and pediatric PTSD following sexual abuse. This review outlines the studies published in the last 10 years pertaining to the treatment of pediatric PTSD following single-incident trauma. This is done in the context of available literature on the paradigms mentioned above. Of 742 articles dealing with treatment of pediatric trauma, 10 were found relevant to the treatment of pediatric PTSD following single-incident trauma. The modalities of treatment most frequently reported in this context were cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), and play therapy. As a whole, CBT studies were methodologically more rigorous, used manualized, reproducible treatment, and were group, school-based therapies. EMDR treatments were usually short and individual. Most studies showed statistically significant improvement but were still methodologically lacking. We conclude that research on the subject of treatment for pediatric PTSD following single-incident trauma constitutes a neglected part of the study of pediatric PTSD. This stands in contrast to the obvious prevalence of this type of trauma. We encourage future research that will address issues such as clarifying the role of pharmacotherapy, comparing different modes of treatment, dismantling treatment "packages", researching developmentally sensitive treatments, conducting long-term follow-up, and comparing different PTSD populations. [Author Abstract]
Purpose: The Adaptive Information Processing Model (AIP), originally developed by Shapiro, provides a model for understanding how trauma affects the brain and how healing occurs. Conclusions: The effects of trauma are thought to be much broader than the diagnosis of PTSD and overlap with many other diagnostic categories. Recent physiological research supports the complexity of neurobiological responses to childhood stress and trauma. Practice Implications: The Treatment Hierarchy, AIP model, and evidence-based treatment framework presented here provide the context and a compass for holistic PMH-APRN practice for working with traumatized patients. [Author Abstract]
As Shapiro points out, controversy
has surrounded Eye
Movement Desensitization and
Reprocessing (EMDR) since it was first
described. Although some of this controversy
pertains to training methods
and clinical issues (see the Behavior
Therapist, 1992), most of it focuses on
insufficient empirical study. Regardless
of whether EMDR represents a
paradigm shift as Shapiro suggests, its
clinical utility depends on empirical
demonstration of clinical efficacy and
mechanisms of action. We summarize
the available literature here to balance
Shapiro's views. In accord with Shapiro's
view that EMDR targets the
blocking effects of trauma in any context
on normal information processing,
we agree that EMDR needs to be
tested not only with posttraumatic
stress disorder (PTSD), but also with
other disorders whose etiology may be
traumatic.
Porges’
polyvagal
theory
provides
a
plausible
explanation
for
the
covariation
between
psychiatric
and
behavioral
disorders
and
the
atypical
regulation
of
the
Autonomic
Nervous
System
(ANS).
Porges
himself
associated
this
phenomenon
with
the
failed
maturation
of
the
ventrovagal
circuit,
as
well
as
with
the
child’s
failure
to
learn
the
ability
to
modulate
the
so-‐called
“vagal
break”
which
keeps
the
heart-‐rate
low
and
inhibits
the
influence
of
the
SNS,
allowing
the
modulation
of
the
facial
and
head
muscles
and,
therefore,
the
social
engagement
function,
often
impaired
in
psychiatric
pathologies.
From
a
psychotherapy
standpoint,
Porges’
finding
that
the
maturation
of
the
ventrovagal
circuit
and
of
its
associated
braking
function
occurs
ontogenetically
later
than
that
of
other
ANS
branches
(last
months
of
pregnancy
and
first
year
of
life)
and
that
a
good
relation
with
the
caregiver
is
essential
for
its
development
is
of
significant
importance.
In
this
dyad
–
with
the
cortical-‐bulbar
pathway,
sufficiently
myelinated
at
birth,
regulating
face
and
head
muscles
and
allowing
signals
exchange
with
the
caregiver
–
children
learn
to
confront
their
internal
states
and
the
environment
as
well
as
regulate
their
emotions,
regulating
an
adaptive
neuroception
with
the
consequent
possibility
of
a
good
social
involvement.
This
focus
on
the
first
year
of
life
and
the
caregiver
–
child
dyad,
in
terms
of
time
and
place
for
the
construction
of
biologically
based
behaviors
common
to
all
human
beings,
paves
the
way,
as
anticipated
by
Porges
himself,
for
new
possible
intervention
models
in
psychotherapy
directly
acting
on
the
missed
or
impaired
steps
in
this
first
phase
of
the
psycho-‐physiological
development
process,
without
disregarding
its
psychobiological
quality.
Clinical
Application
Since
I
believe
that
the
inter-‐brain
perspective
is
the
most
efficient
not
only
for
the
etiological
explanation
but
especially
for
the
restoration
of
relational
impairments
occurred
during
brain-‐brain
interactions,
I
chose
eye
contact
(EC),
because,
according
to
several
scholars,
it
is
a
privileged
communication
channel,
in
particular
between
mother
and
child.
Several
scholars
agree
that
all
forms
of
psychopathology
share
a
failure
in
emotional
regulation,
which
can
be
mostly
traced
back
to
the
failure
in
the
child-‐
caregiver
adaptive
tuning
and
therefore
to
the
impairment
of
their
inter-‐brain
communication.
An
intervention
on
the
EC
shifts
the
therapy
focus
on
this
dysregulation
to
restore
its
functions.
The
EMDR
AIP
approach
relies
on
the
brain
adaptive
processing
ability.
EMDR
has
proved,
in
appropriate
conditions
(good
therapeutic
alliance,
client
stabilization,
compliance
with
the
EMDR
protocol),
our
brain
can
repair
traumatic
injuries,
i.e.,
reacquire
and
use
information
dysfunctionally
stored
after
a
trauma.
Successful
use
of
EMDR
on
target
not
directly
traceable
to
a
traumatic
event
(e.g.,
defenses,
chronic
pain,
etc.)
allows
for
the
possibility
to
use
this
processing
tool
in
increasingly
broad
fields
and
refines
its
resources.
Thanks
to
its
three-‐pronged
approach
to
dysfunctionally
stored
information
in
the
brain
(EMDR
works
on
the
cognitive,
emotional
and
somatic
level),
the
inter-‐brain
quality
of
its
scope
(the
therapeutic
alliance
is
part
of
the
healing
process)
and
for
its
focus
on
the
present
(EMDR
works
on
the
present,
i.e.,
on
the
current
and
active
components
of
the
pathogenetic
memory,
bypassing
all
mediations
and
interpretation),
EMDR
seemed
the
most
appropriate
therapeutic
tool
to
intervene
on
the
EC
dysregulation
found
in
several
psychiatric
pathologies.
Conclusion
An
EMDR
protocol
for
the
exploration
and
modulation
of
the
EC
is
proposed.
This
protocol
proved
particularly
useful
with
depressed
or
severely
dissociative
clients.
After
making
clients
aware
of
their
difficulty
in
maintaining
the
EC,
they
are
retrained
to
use
this
contact
first
on
objects,
then
on
animals
(excellent
mediators
of
a
primitive
form
of
social
contact)
until
they
are
able
to
achieve
eye
contact
with
the
therapist.
During
this
training,
clients
are
encouraged
to
become
aware
of
their
body
sensations,
emotions
and
beliefs,
and
the
positive
ones
are
installed
with
BLS.
Memories
of
relational
situations
where
clients
identify
an
impaired
EC
are
identified
and
these
are
targeted
with
the
standard
protocol.
The
focus
then
shifts
to
present
and
future
situations.
The
regulation
purpose
of
this
protocol
affects
the
application
mode:
interventions
must
never
be
dysregulating,
therapists
must
proceed
slowly.
Clients
must
be
rigorously
kept
within
their
window
of
tolerance,
must
be
trained
to
recognize
it
and
able
of
staying
within
its
boundaries
with
respect
to
the
microregulation
of
the
EC.
La
teoría
polivagal
de
Porges
proporciona
una
explicación
plausible
para
la
covariación
entre
los
trastornos
psiquiátricos
comportamentales
y
la
regulación
atípica
del
sistema
nervioso
autónomo
(ANS).
El
propio
Porgues
asoció
este
fenómeno
con
el
fallo
de
maduración
del
circuito
ventrovagal,
por
tanto
el
niño
falla
al
aprender
una
habilidad
también
llamada
“bloqueo
vagal”,
que
mantiene
la
tasa
cardiaca
baja
e
inhibe
la
influencia
del
SNS,
permitiendo
la
modulación
de
los
músculos
faciales
y
la
cabeza,
y
por
tanto,
la
función
optima
del
compromiso
social,
a
menudo
emparejada
con
patologías
psiquíatricas.
Partiendo
desde
un
punto
de
vista
psicoterapéutico,
Porges
encontró
que
la
maduración
del
circuito
ventrovagal
y
su
asociación
con
la
función
de
frenado
ocurre
ontogenéticamente
después
que
otras
ramas
del
sistema
nervioso
autónomo
(Los
últimos
meses
del
embarazo
y
los
primeros
años
de
vida)
y
que
una
buena
relación
con
el
cuidador
es
esencial
para
su
desarrollo
es
significativamente
importante.
En
esta
línea
–
con
vía
córtico-‐bulbar,
lo
suficientemente
mielinizada
en
el
nacimiento,
regulando
los
músculos
de
la
cara
y
la
cabeza
y
permitiendo
señales
de
intercambio
con
el
cuidador-‐
Los
niños
aprenden
a
estar
cómodos
con
sus
estados
internos
y
con
un
ambiente
que
también
regula
sus
emociones,
regular
una
neurorecepción
con
la
consecuente
posibilidad
de
una
buena
integración
social.
Centrándonos
en
el
primer
año
de
vida
del
niño
y
el
cuidador
–
La
pareja
de
niños,
en
términos
de
tiempo
y
lugar
para
la
construcción
biológica
fundamentada
y
basada
en
todos
los
seres
humanos,
allana
el
camino,
como
anticipó
Porges,
para
nuevos
modelos
de
intervención
en
psicoterapia,
actuando
directamente
con
el
paso
perdido
o
afectado
de
esta
primera
fase
del
proceso
de
desarrollo
psicofisiológico,
sin
tener
en
cuenta
su
calidad
psicobiológica.
Aplicación
Clínica.
Desde
que
creó
que
la
perspectiva
del
cerebro
interior,
continúa
siendo
la
más
eficiente
no
solo
para
desarrollar
explicaciones
etiológicas,
también
para
la
restauración
de
los
desajustes
relacionados
ocurridos
durante
las
interacciones
cerebro-‐cerebro.
Escogí
contacto
visual
(ECE),
porque,
de
acuerdo
con
numerosos
investigadores,
es
un
privilegiado
canal
de
comunicación,
particularmente
eficaz
entre
una
madre
y
su
hijo.
Numerosos
profesionales
afirman
que
todas
las
formas
de
psicopatología
comparten
una
fallo
en
la
regulación
emocional,
que
solo
puede
crear
un
error
en
el
la
comunicación
interna
del
cerebro.
Esta
intervención
en
el
EC
modifica
la
terapia
y
la
centra
en
la
desregulación
y
la
restauración
de
funciones.
El
enfoque
EMDR
SPIA
está
basado
en
la
habilidad
de
procesamiento
de
la
información
relevante,
EMDR
ha
sido
probado
en
condiciones
idóneas
(buena
alianza
terapéutica,
estabilización
de
la
queja
del
cliente
disgustado
con
el
EMDR.).
Attachment theory and interpersonal neurobiology
demonstrate the importance of the therapeutic relationship as a primary change mechanism. With survivors of childhood relational trauma, betrayal of trust and attachment
issues create obstacles to developing a secure therapeutic alliance. Even when the therapeutic relationship feels more secure, these clients often experience separation between
sessions as attachment loss. This can feel burdensome to the therapist, who may receive multiple crisis phone calls throughout the week. In this presentation, the relational affect regulation protocol will be explained and case
examples will illustrate how it is put into practice. Drawing upon concepts from Stress Inoculation Training (SIT), Accelerated Experiential Dynamic Psychotherapy (AEDP)
and Eye Movement Desensitization and Reprocessing
(EMDR), the protocol helps facilitate dyadic affect regulation and object constancy during the stabilization phase of treatment with complex trauma survivors. The elements of an SIT script will be described and creative
adaptations will be proposed. AEDP microprocessing of the client’s experience of the therapist reading the script to the client will be explained and illustrated. The EMDR
procedure for installation of the therapist as a resource will be taught and strategies for utilizing this as a selfsoothing method between sessions will be delineated.
Participants will be able to:
discuss two problems clients ♦♦ with Complex PTSD
have with attachment and fear of attachment
loss in therapy, and will be able to identify
three strategies to address this issue.
♦♦ explain AEDP microprocessing of interactions
between client and therapist, and how this
technique can help survivors of childhood relational trauma to develop trust in the therapist.
♦♦ list the four essential elements of an SIT script and utilize the steps involved in the relational affect regulation protocol with their clients.
A practical workshop focused on frequent clinical situations in therapy. Its main goal is help the participants to identify relational patterns based on reciprocal role procedures, in order to be able to overcome therapist-patient difficulties. A brief therapeutic exposure about different theoretical sources will be presented: Cognitive-Analytic Therapy, Adaptive Information Processing Model and EMDR, Theory of Structural Dissociation of the Personality, Attachment Theories, psychodynamic transference-countertransference conceptualizations, and therapies focused on relational issues (systemic family therapy, psychodramatic group therapy, etc) Vignettes of frequent reciprocal role procedures in therapeutic relationship with severely traumatized people will be presented, explained the different kinds of presentation. The linking of these vignettes with the traumatic history will be developed. Short video-cases will illustrate these situations and some interventions to overcome them. Modified EMDR interventions will be described and showed.
Learning Outcomes Therapeutic relationship problems are main issues in severely traumatized people. Different authors coming from different theoretical orientations have presented thoughtful approaches to these situations and how to overcome them. In this workshop we will review many of these contributions, but we will base our theoretical development on the concept of reciprocal role procedures from the Cognitive Analytic Therapy (Ryle). From this concept we will summarize frequent relationship problems in therapy, how we conceptualize them from the Adaptive Information Processing model from EMDR and how we work on these issues using EMDR methodology. An additional learning outcome of this workshop is that the participants will review their own experience with their patients through a specific evaluation, and will have the opportunity to share their experiences.
The present review examines how resources have been used in trauma-focused psychotherapy with an emphasis on their use in eye movement desensitization and reprocessing (EMDR). Current practices of EMDR-trained clinicians are presented in a historical context and considering a range of contemporary approaches to ego strengthening. This article describes the use of resources as presented in the EMDR literature along with research findings. The review concludes with a call for controlled research on widely used resource-focused procedures and practice guidelines for their use in clinical applications of EMDR.
Eye Movement Desensitization and Reprocessing (EMDR),
Thought Field Therapy (TFT), Time-Limited Trauma Therapy (TLTT),
Traumatic Incident Reduction (TIR), and Visual/Kinesthetic
Dissociation (V/KD) are relatively new approaches in the treatment
of trauma-related disorders. These approaches have come
under intense scientific and professional scrutiny and criticism,
with proponents and critics offering diverse and intriguing arguments
in support of their respective points of view. This discussion
will focus on the current empirical and anecdotal evidence on
the efficacy of these five approaches, as well as various criticisms
that have been proferred in response to the empirical and clinical
literature on treatment efficacy and theory. EMDR will be highlighted,
given the growing empirical database on EMDR outcome
studies and the contention surrounding the treatment and its’ theory.
The evidence for and/or against the other four approaches will
also be presented, upon which we will raise for discussion issues
relating to methodological rigour, scientific reporting of clinical
data, and the interpretation of efficacy studies in general. The discussion
will occur within the context of philosophical discourse on
the ideal of integration of science and practice, and the feasibility
of attaining this ideal within the current scientific Zeitgeist.
INTERVENTION RESEARCH, CLINICAL CASE STUDY
Sandringham
Skills-Based Treatment
of Dissociation: A Case Study 238
Chair: ELHAI, Jon D., Nova Southeastern University
Discussant: GOLD, Stephen
A clinical case study of skills-based treatment of a 48-year-old,
female survivor of child sexual abuse (CSA) reporting severe dissociative
symptomatology is presented. Chief complaints were daily
amnestic episodes, depersonalization, panic attacks, agoraphobia,
and consequent long-term unemployment. In contrast to most
approaches to therapy for dissociative syndromes, it is argued that
treatment does not need to be primarily trauma-focused. Instead
treatment focused on targeting dissociation and anxiety by teaching
skills to be implemented by the client outside of session.
Functional behavioral analysis of particular recent incidents of dissociation
were conducted over several sessions. Imagery-based
relaxation and progressive muscle relaxation were used and monitored
to help the client learn additional methods of reducing distress.
Grounding techniques were implemented to counter the dissociative
tendency to lose experiential awareness of the here and
now. Cognitive interventions were utilized to challenge the erroneous
notions reported about dissociative experiences, such as the
panic she experienced when her dissociation had been revealed to
others. Last, in vivo systematic desensitization was used with a fear
hierarchy, ranging from the least to most fearful stimuli that precipitate
dissociation, where graduated exposure was followed by relaxation.
At termination the client reported elimination of panic
attacks, resumption of driving, and marked reduction in frequency
and duration of amnestic periods, with substantial additional gains
and progress in finding full-time employment reported at 8 month
follow-up. Treatment outcome is assessed based on psychological
test data obtained at intake, discharge, and 8 month follow-up, as
well as client anecdotal report.
his paper proposes that early deficits in adult clients with insecure-attachment
patterns can be addressed directly through a therapeutic component of imaginal
nurturing with EMDR. These clients may exhibit little sense of self, low self-esteem, a
sense of alienation, poor affect tolerance, inability to regulate emotions, inability to
empathize, and impaired interpersonal relationships. Traditionally, the burden of the
client's attachment deficits is left to be resolved through the therapeutic relationship
itself. In this paper, a three-pronged approach to therapy is suggested: affect tolerance
and emotion regulation skills training, imaginal nurturing, and trauma reprocessing, all
within the context of a validating and caring therapeutic relationship. The focus of this
paper is imaginal nurturing, the goals of which include developing an attachment
between the adult, and infant and child selves to create a new relationship to self in the
present. Two forms of imaginal nurturing are presented: Core Imaginal Nurturing,
freestanding imaginal work in which the client experiences both providing and
receiving nurturance, and Adjunctive Imaginal Nurturing which is incorporated into
trauma reprocessing. A conceptual basis for this work is provided, and examples are
given showing its use, benefits, and problems that can arise.
The Narrative Constructivist personal psychology model postulates that traumatized children and adults experience disturbances in cognitive schemata within domains of their psychological and interpersonal functioning: safety, trust, power, esteem and intimacy. Their processing of themselves and the world, which is greatly affected by ethno-cultural and beliefs, becomes rigidified around the "trauma story.” Their responses to stimuli are thus limited to repetitive and intrusive manifestations of fear and withdrawal. Utilizing culturally and spiritually salient metaphors as well as appropriate timing, EMDR facilitates the creation of meaningful narratives about the person's present and future and the world, enhancing sense of self and focused, purposeful behaviors. This symposium will introduce the narrative/cultural context model of trauma, with discussion, film clips and handouts; engage participants in a brief group intervention based on this model, to explore the emotional impact of ethno-cultural issues in regard to trauma and treatment interventions; and present clinical cases treated with EMDR based on cultural-sensitive choice-points and useful metaphors in work with diverse populations.
The Narrative Constructivist personal psychology
model postulates that traumatized children and
adults experience disturbances in cognitive
schemata within domains of their psychological
and interpersonal functioning: safety, trust, power,
esteem and intimacy. Their processing of
themselves and the world, which is greatly
affected by ethno-cultural and spiritual beliefs,
becomes rigidified around the "trauma story."
Their responses to stimuli are thus limited to
repetitive and intrusive manifestations of fear and
withdrawal. Utilizing culturally and spilitually
salient metaphors, as well appropriate timing,
EMDR facilitates the creation of meaningful
narratives about the person's present and future
and the world, enhancing sense of self and
focused, purposeful behaviors. This symposium
will introduce the narrative/cultural context model
of trauma, with discussion, film clips and
handouts; engage participants in a brief group
intervention based on this model, to explore the
emotional impact of ethno-cultural issues in
regard to trauma and treatment interventions; and
present clinical cases treated with EMDR based
on cultural-sensitive choice-points and useful
metaphors in work with diverse populations.
Several scientific models have been proposed to explain the unique efficacy of EMDR in treating PTSD. These
include models based on the relaxation response, on working memory, and on REM-sleep associative processing.
In this workshop I will describe and discuss these and other models within a larger framework that views PTSD as
primarily a memory disorder.
Memories are not like photographs. They evolve. After a memory is initially formed, it goes through an extended
period of processing—a complex set of automatic processes, occurring without intent or conscious awareness,
that modifies the memory. In the end, a memory can be substantially different from its original form, with some
parts still as vivid as the day they were formed and other parts forgotten. At the same time, the memory becomes
integrated into wide-ranging memory networks that create a context for the original memory and, in the process,
construct an implicit interpretation of the memory.
While the processing of small, everyday, distressful events is normally handled efficiently by these automatic
mechanisms, grief and painful traumas can overwhelm them. When this happens, the memory is left frozen in its
original form—raw, intrusive, distressing, and unexplained––a condition that can lead to PTSD. The goal of any
treatment for PTSD, then, should be to “restart” these processes of memory evolution, and to thereby support
resolution of the trauma. How each of the various scientific models of EMDR might explain this facilitation of
memory processing will be the focus of the workshop.
Learning Objectives:
• The structure and physiology of the human sleep cycle
• The role of sleep in memory “evolution”
• How PTSD can be seen as a disorder of sleep-dependent memory evolution
• How EMDR might act to restore normal memory processing
Plusieurs modèles scientifiques ont tenté d’expliquer l’efficacité de l’approche EMDR dans le traitement du SSPT.
Dans ces modèles, il y a ceux portant sur la réponse de relaxation, sur la mémoire de travail, sur le processus
associatif durant la phase ‘REM’ du sommeil. Dans cet atelier, l’auteur abordera ces différents modèles et bien
d’autres et ce dans une optique élargie mais qui se fonde sur la prémisse que le SSPT est principalement un
trouble de la mémoire.
Les souvenirs ne sont pas comme des photos. Elles évoluent. Alors que le souvenir prend forme, il se passe
un certain laps de temps où le traitement de l’information se poursuit –une série complexe de processus
automatiques, loin du champs de la conscience, modifiant le souvenir. Finalement, le souvenir peut être
considérablement différent de sa forme originale dans ce sens que certaines parties demeurent très claires et
très vivides et d’autres sont oubliées. Lorsque le souvenir se forme, celui-ci est intégré dans un large réseau de la
mémoire qui crée un contexte et dans son traitement de l’information construit une interprétation implicite de ce
souvenir.
Alors que le traitement d’événements stressants du quotidien sont normalement bien gérés par ces mécanismes
automatiques, ceux-ci sont complètement envahis par les pertes ou les traumas douloureux. Quand cela
se produit, le souvenir demeure ‘gelé’ (‘frozen’) dans sa forme originale- à l’état brute, intrusif, perturbant,
inexpliqué- conditions pouvant mener au SSPT. L’objectif du traitement du SSPT est de ‘’redémarrer’’ ces
processus évolutifs de la mémoire afin de permettre la résolution du trauma. L’intérêt premier de cet atelier
est de voir comment les différents modèles scientifiques en EMDR facilitent ces processus de traitement de la
mémoire.
Objectifs d’apprentissage:
• La structure et la physiologie du cycle du sommeil chez l’humain
• Le rôle du sommeil dans ‘’ l’évolution ‘’ de la mémoire
• Comment le SSPT peut être vu comme un syndrome dépendant du sommeil dans l’évolution de la mémoire
• Comment l’ EMDR peut jouer un rôle important à rétablir le processus normal de la mémoire.
Several scientific models have been proposed to explain the unique efficacy of EMDR in treating PTSD. These
include models based on the relaxation response, on working memory, and on REM-sleep associative processing.
In this workshop I will describe and discuss these and other models within a larger framework that views PTSD as
primarily a memory disorder.
Memories are not like photographs. They evolve. After a memory is initially formed, it goes through an extended
period of processing—a complex set of automatic processes, occurring without intent or conscious awareness,
that modifies the memory. In the end, a memory can be substantially different from its original form, with some
parts still as vivid as the day they were formed and other parts forgotten. At the same time, the memory becomes
integrated into wide-ranging memory networks that create a context for the original memory and, in the process,
construct an implicit interpretation of the memory.
While the processing of small, everyday, distressful events is normally handled efficiently by these automatic
mechanisms, grief and painful traumas can overwhelm them. When this happens, the memory is left frozen in its
original form—raw, intrusive, distressing, and unexplained––a condition that can lead to PTSD. The goal of any
treatment for PTSD, then, should be to “restart” these processes of memory evolution, and to thereby support
resolution of the trauma. How each of the various scientific models of EMDR might explain this facilitation of
memory processing will be the focus of the workshop.
Learning Objectives:
• The structure and physiology of the human sleep cycle
• The role of sleep in memory “evolution”
• How PTSD can be seen as a disorder of sleep-dependent memory evolution
• How EMDR might act to restore normal memory processing
Plusieurs modèles scientifiques ont tenté d’expliquer l’efficacité de l’approche EMDR dans le traitement du SSPT.
Dans ces modèles, il y a ceux portant sur la réponse de relaxation, sur la mémoire de travail, sur le processus
associatif durant la phase ‘REM’ du sommeil. Dans cet atelier, l’auteur abordera ces différents modèles et bien
d’autres et ce dans une optique élargie mais qui se fonde sur la prémisse que le SSPT est principalement un
trouble de la mémoire.
Les souvenirs ne sont pas comme des photos. Elles évoluent. Alors que le souvenir prend forme, il se passe
un certain laps de temps où le traitement de l’information se poursuit –une série complexe de processus
automatiques, loin du champs de la conscience, modifiant le souvenir. Finalement, le souvenir peut être
considérablement différent de sa forme originale dans ce sens que certaines parties demeurent très claires et
très vivides et d’autres sont oubliées. Lorsque le souvenir se forme, celui-ci est intégré dans un large réseau de la
mémoire qui crée un contexte et dans son traitement de l’information construit une interprétation implicite de ce
souvenir.
Alors que le traitement d’événements stressants du quotidien sont normalement bien gérés par ces mécanismes
automatiques, ceux-ci sont complètement envahis par les pertes ou les traumas douloureux. Quand cela
se produit, le souvenir demeure ‘gelé’ (‘frozen’) dans sa forme originale- à l’état brute, intrusif, perturbant,
inexpliqué- conditions pouvant mener au SSPT. L’objectif du traitement du SSPT est de ‘’redémarrer’’ ces
processus évolutifs de la mémoire afin de permettre la résolution du trauma. L’intérêt premier de cet atelier
est de voir comment les différents modèles scientifiques en EMDR facilitent ces processus de traitement de la
mémoire.
Objectifs d’apprentissage:
• La structure et la physiologie du cycle du sommeil chez l’humain
• Le rôle du sommeil dans ‘’ l’évolution ‘’ de la mémoire
• Comment le SSPT peut être vu comme un syndrome dépendant du sommeil dans l’évolution de la mémoire
• Comment l’ EMDR peut jouer un rôle important à rétablir le processus normal de la mémoire.
“Sex Addiction: Incorporating EMDR into the Treatment of the Sex Addict” will focus on understanding the foundational issues of sex addiction including the chemical and relational components. We will discuss identification and management of the traumas inherent in this addiction dynamic including attachment issues, sexual and physical dynamics that go into the creation of this addiction as well as the impact of the issue on the individual’s ability to create significant emotional attachments with others.
Objective: Lifetime history of sexual abuse is estimated to range between 15% and 25% in the general female population. People
who are sexually abused are at greater risk for a whole host of physical health disorders that may occur many years after the abusive
incident(s). Despite the high prevalence of this trauma and its association with poor health status, abuse history often remains hidden
within the context of medical care. The aims of this review are to determine which specific health disorders have been associated
with sexual abuse in both women and men, to outline the types of sexual abuse associated with the worst health outcome, to discuss
some possible explanations and mediators of the abuse/health relationship, to discuss when and how to talk about abuse within a
clinical setting, and to present evidence for which psychological treatments have been shown to improve the mental health of
patients with past sexual abuse. Method: To meet these objectives, we have reviewed a wide literature on the topic of sexual abuse.
Results: We demonstrate that abuse appears to be related to greater likelihood of headache and gastrointestinal, gynecologic, and
panic-related symptoms; that the poor health effects associated with abuse are also seen in men; that abuse involving penetration
and multiple incidents appears to be the most harmful, and that exposure-type therapies with and without cognitive behavioral
therapy hold promise for those with abuse history. Conclusion: We need more research examining psychological treatments that
might be efficacious in treating the physical health problems associated with sexual abuse history.
Objective: This article examines survivor perspectives of the effectiveness of two different treatments for trauma symptoms among adult female survivors of childhood sexual abuse -- Eye Movement Desensitization and Reprocessing (EMDR) and eclectic therapy. Method: Qualitative interviews obtained in the context of a mixed-methods study were conducted with 38 adult female survivors of childhood sexual abuse. Results: Two major differences in outcomes between the two treatment approaches were observed. There were considerable distinctions between the two treatment groups in terms of the importance and effect of the client-therapist relationship, and in terms of the depth of change reportedly caused by the different therapies. Conclusions: Survivors' narratives indicate that EMDR produces greater trauma resolution, while within eclectic therapy, survivors more highly value their relationship with their therapist, through whom they learn effective coping strategies. [Author Abstract]
EMDR (Eye Movement Desensitization and Reprocessing) has been mired in intense controversy since its inception. Initial claims of its efficacy were probably exaggerated, but many researchers continue to outright dismiss its positive outcome data. Indeed, the ongoing debate over the effectiveness of EMDR recapitulates the developmental history of validating many psychotherapy systems.
This presentation reviews sociopolitical considerations in interpreting and disseminating the burgeoning outcome research (16 plus controlled studies, several meta-analyses) on EMDR. These include paradigm strain, the initial restrictions on training in EMDR, the timing of controlled research vis a vis clinical applications, its application to disorders beyond trauma, and the unfortunate use of “eye movements" in its title. Dispassionate reviews generally find the clinical results of EMDR with PTSD to be equivalent to exposure methods in fewer sessions, but the psychotherapy research community has failed to embrace these conclusions.
Chair, Michael Paterson
This workshop will focus on the types of transference and counter-transference that arise in
EMDR with dissociative clients and teach solutions. Procedural modifications have been the
focus in dealing with pathological dissociation in EMDR treatment. Separately, transference
and counter-transference with dissociative patients have been written about extensively by
experts in the dissociation field. Research findings about the effects of mirror neurons and
embedded simulation on the inter-subjective field of patient and therapist have also been
published. Strategies for dealing with these transference and counter-transference in EMDR
treatment have received little attention even though this population has intense transference,
and can activate intense counter-transference. These issues may begin during an evaluation
of the presenting problems. Strategies for identifying and using transference to enhance
dual awareness during history taking will be demonstrated. An elongated preparation phase
to develop enough trust and stabilization before exploring traumatic memories can limit
induced transference. Different parts of a dissociative patient may have different kinds of
transferences. These transferences may cause the patient to withdraw, cling or attack;
affecting the therapist’s abilities to stay attuned and focused on the work in different phases
of EMDR. Strategies of attunement to the activated part of the client will be demonstrated
in order to repair or prevent ruptures of attunement. Interactions are bi-directional, and
different (transferential) parts may activate dissociative parts of the therapist. Strategies to
somatically identify and use these counter-transferential activations in the therapist will be
taught through body based awarenesses. R/D/I strategies can be used to limit countertransference
to remain grounded and attuned. Transference and counter-transference during
the assessment phase will be identified and solutions presented. During the Desensitization
phase under-accessing or over-accessing target memories; abreaction vs. vehement emotions
will be discussed as unacknowledged dissociative moments with indications for inducing
transference, counter-transference, or both. Decisions need be made collaboratively whether
to process or contain these events. Understanding and dealing with dilemmas of dissociative
enactments are crucial to keeping the healing process going. These inter-subjective issues
may be most intense during the first four phases, but some problems may continue into
Installation and the Body Scan. Problems and solutions during Incomplete Closure and the
Re-evaluation phases will be given. Activated parts in the patient may cling or be angry with
the therapist at the end of an EMDR session. Failure or defectiveness parts of the therapist
may become activated as well. Solutions to these issues that occur during different phases
will be taught so that participants will leave the workshop with additional strategies to use
with their dissociative patients. Attunement to dissociative parts, identifying transference
and counter-transference binds; The Clinician Self Awareness Questionnaire ;
Compartmentalization; use of self soothing skills; using Relational, Empathic, and
Transferential Interweaves; identifying moments of projective identification and enactments,
and then to use them to deepen EMDR will be taught, as well as innovative inter-subjective
strategies . Case examples and awareness exercises will used throughout the workshop to
facilitate intellectual and experiential learning.
This workshop will focus on transference and countertransference problems and solutions in EMDR with dissociative clients. There will be a short literature review on procedural modifications in dealing with dissociation in EMDR, and transference and countertransference with dissociative patients. Research findings on mirror neurons and embodied simulation will be taught to enhance the participant’s understanding of the neurobiological substrates for attunement and resonance, and for solving transference and countertransference with dissociatives in EMDR when ruptures to relatedness occurs. Identifying and using transference reactions to enhance dual awareness will be demonstrated in history taking. Enhancements in preparation phase will be shown through case example to limit induced transference. Transference and countertransference during the assessment phase will be identified and solutions offered. In the Desensitization phase EMDR processing may induce transference, countertransference, or both (even with procedural modifications). Intersubjective challenges seem to be more intense during phases 1 -4 and 7-8. Activated parts in the patient may cling or be angry with the therapist at the end of an EMDR session, or during Re-evaluation. Failure or defectiveness parts of the therapist may become activated then as well. Different parts of a dissociative patient may appear with different kinds of transferences during different EMDR phases. These transferences challenge therapist’s abilities to stay attuned. Strategies of attunement to the activated part of the patient will be demonstrated in order to repair or prevent ruptures to the alliance and to understand the nature of the dissociated communication. Bi-directional interactions may activate parts of the patient and therapist without conscious awareness. Strategies to somatically identify and use these countertransferential activations will be taught through experiential exercises so that the therapist may have a more in depth understanding of the dissociative patient’s communications. R/D/I strategies will be reviewed and applied to the therapist to limit countertransference activations. Dealing with dissociative enactments are crucial to identify ruptures to the therapeutic alliance, restore attunement and resonance, uncover dissociative messages that can be used during EMDR processing.. Solutions to the problems that occur during different EMDR phases will be taught using lecture, discussion, case examples, written and experiential exercises so that participants will leave the workshop with additional strategies. Solutions include how to maintain attunement to dissociative parts during transferential activations while enhancing dual awareness; how to identify transference and countertransference problems during phases 1-4 and 7-8 and use them as additional sources of dissociated communications that can be used in EMDR processing ; how to use the Clinician Self Awareness Questionnaire to identify and process countertransference problems ; how to use compartmentalization strategies using R/D/I to limit countertransference activations; how to develop self soothing skills for the therapist’s dissociated parts; how and when to use Relational, Empathic, and Transferential Interweaves during Desensitization; and how to identify moments of enactments, and using EMDR strategies to deepen the EMDR experience .
Is the anxiety reaction better conceptualized as a post-traumatic
effect of the client's illness experiences and/or medical
interventions?
Identify relevant anxiety-provoking stimuli (sensory,
cognitions, images) related to the past experience.
Establish EMDR targets and desired cognitions.
EMDR procedure.
Assess for generalization of therapeutic effects.
Evaluate anticipatory anxiety for the medical intervention. Can
the intervention be conceptualized as an acute psychological
crisis?
Understand the client's "explanatory models for the illness
as it relates to the medical intervention.
Determine client's knowledge about the illness and
intervention; provide educational component as necessary.
Identify salient anxiety-provoking stimuli (sensory,
cognitions, images).
Assist client in developing a "personal places or a state of
"0 SUDS".
Use Guided Imagery to help client reframe the medical
intervention.
Use imagery and metaphor to create a therapeutic context for
the medical intervention.
Incorporate key elements of the interventions (e.g., preoperative
preparation, the surgery room, the medical staff
and apparatuses).
Rehearse cognitions involving coping strategies.
Is the anxiety reaction better conceptualized as a post-traumatic
effect of the client's illness experiences and/or medical
interventions?
Identify relevant anxiety-provoking stimuli (sensory,
cognitions, images) related to the past experience.
Establish EMDR targets and desired cognitions.
EMDR procedure.
Assess for generalization of therapeutic effects.
Evaluate anticipatory anxiety for the medical intervention. Can
the intervention be conceptualized as an acute psychological
crisis?
Understand the client's "explanatory models for the illness
as it relates to the medical intervention.
Determine client's knowledge about the illness and
intervention; provide educational component as necessary.
Identify salient anxiety-provoking stimuli (sensory,
cognitions, images).
Assist client in developing a "personal place or a state of
"0 SUDS".
Use Guided Imagery to help client reframe the medical
intervention.
Use imagery and metaphor to create a therapeutic context for
the medical intervention.
Incorporate key elements of the interventions (e.g., preoperative
preparation, the surgery room, the medical staff
and apparatuses).
Rehearse cognitions involving coping strategies.
A recent review [by Rubin] summarized research studies investigating EMDR treatment of PTSD. Rubin identified populations in which there has been insufficient research to determine what treatments, if any, are effective, and he articulated questions about EMDR's efficacy with these groups. He also addressed the problem of potential reviewer bias. Unfortunately his own review of the literature contained numerous errors and failed to consider the context of the larger research field. The purpose of the current article is to provide a more balanced perspective and to clarify confusion that may have been raised by Rubin's article. We provide some answers to the unanswered questions about the efficacy of EMDR treatment for PTSD with child, multiply traumatized civilian, and combat-veteran populations. We also address the methodological questions raised by Rubin (Pilots).
Alternative to violence has developed a group treatment model structured by the theory of structural dissociation and EMDR trauma treatment theory. Woman with ethnic minority background received short terms group treatment at a shelter for victims of domestic violence at an outpatient clinic and at a domestic violence family treatment center. The groups were supplements to individual therapy/counseling. We have had 10 groups; one with only Pakistani women, several mixed ethnic minority cultural groups with translation and groups in “simple Norwegian.” Recruitment was enhanced by the policy of sharing of symptoms and problems today with no obligation to share about personal past. The model has low drop out rate and therapist working with the individuals report more effective treatment sessions. For some women the group becomes the preferred choice of treatment. We discovered that early phase trauma work can be done in a group format with severely and recently traumatized women. Methods used are resource installation and safe place work, increase awareness of negative/positive cognitions, butterfly hug, nightmare protocol, expressive art therapy techniques as grounding, breathing techniques working with personal borders, working with imagination and playfulness. Structural therapy of dissociation concepts as ANP/EP structures and mental capacity, working from here and now, focusing on the ANP above EP's are woven into how the therapists regulate the group process and plan content. The theory organizes how we handle flashbacks, current acute crisis and how we focus on the womens’ personal trauma. We also teach about the effect of violence in relationships, the need to work on personal safety and the needs of children in the aftermath of violence. Theory from the field of intercultural communication gave us guidelines in working with women from high context, indirect and collectivistic cultures. A workbook for the clients on violence, PTSD symptoms and stabilisation treatment has been developed in the aftermath of these groups and is translated into several languages. We will present the material at the conference in the structure of the early fase trauma treatment group format. Showing in vivo how we apply the theory to severely traumatized women. We will share some of our favorite group exercises, metaphors and group rituals. Our goal is: 1. to show how the theory of structural dissociation serves as guideline for organizing and resulting treatment with severely traumatized clients in groups. 2. Give insight into typical adjustments that have been made to tailor treatment to ethnic minority populations. 3. Explain how expressive art work needs to make adjustments to the population of severely traumatized women. 4. Finally show how the group uses elements from EMDR and enhances individual EMDR work. In our experience, the stabilisation groups have integrated the heart, mind and body in the work of healing with a population that is often found difficult to treat effectively. We hare started to retain other therapists in using the model and are in the process of applying for a research grant.
Therapists who work with EMDR can facilitate change in patients through an understanding of their participation in the therapeutic process. The workshop will last one day, will address the topic of the role of the therapist and his self-understanding in working with patients who may become a challenge before, during and after a session of EMDR.
Participants will delve into the use of the guideline to the procedure as a means of self-awareness, you also learn to use strategies for development and installation of resources for self-restraint necessary when their memories are elicited during a sitting. You will also learn a variation Integrative Cognitive intervention (intervention Relational) to fix an imbalance of power of the therapeutic alliance.
Combining Mony Elkaim's Reciprocal Double Bind Systemic Model with the EMDR Adaptive Information Processing (AIP) model is a new perspective for couple therapy. This combination of approaches can be used to develop an EMDR treatment plan that incorporates and respects the relational systems, e.g., spouses and intimate partners, parent/child, employer/employee. In this presentation, participants will learn how and when it is appropriate to work with the one member of a couple as a co-therapist; how individual safe places can be applied to develop a safe place for the couple, both during the session and at home; how to develop a systemic EMDR targeting plan, guided by the understanding of the Reciprocal Double Bind, and finally, how to apply the 8 phases EMDR protocol to couple work, based on a Systemic Model.
Learning objectives:
1.Evaluate when to use EMDR in couple therapy session
2.Be able to do the installation of EMDR safe place as a resource for the couple
3.Understand how to use the systemic model, reciprocal double bind, to find the individual targets that are involved in the couple’s current issues and presenting problems.
4.Learn to apply the specifications of each of the 8 phases EMDR protocol with a couple.
Given the diversity of the therapists
who are interested in EMDR, an old
debate may be fruitfully revived. Does
therapy consist of task-oriented collaborative
consultation and guidance,
or is the negotiation of the therapeutic
relationship itself the primary task?
To the extent that EMDR may constitute
a new treatment context, the role
of the therapeutic relationship in
EMDR treatment is of particular interest.
How much of EMDR is inside
the client, and how much is between
the client and the therapist? Is successful
EMDR simply a function of the client's (guided) internal processing,
or is it somehow dependent upon the
quality of the therapeutic relationship,
or is it both.
Traumatherapie ist eine spezifische Form der Psychotherapie. Sie orientiert sich schulübergreifend am Drei-Phasen-Modell von P. Janet. Im Bundeswehrkrankenhaus Hamburg werden seit 1994 Soldaten mit einsatzbedingten und einsatzunabhängigen psychotraumatischen Syndromen behandelt. Dabei wird im Rahmen eines integrativen Therapieansatzes insbesondere Eye-Movement-Desensitization-and-Reprocessing (EMDR) als therapeutische Methode eingesetzt. Der therapeutische Ansatz wird erläutert. Auf die spezifischen Bedingungen
im soldatischen Umfeld und anderen Gefahrenberufen wird eingegangen.
Trauma therapy is a specific form of psychotherapy. It is oriented across schools at the three-phase model of P. Janet. In Armed Forces Hospital Hamburg since 1994, soldiers with service-related and use-independent psycho-traumatic syndromes treated. It is in the context of an integrative therapy approach, in particular eye movement desensitization-reprocessing-and-(EMDR) is used as a therapeutic method. The therapeutic approach is discussed. On the specific conditions
in the military environment and other hazardous occupations will be discussed.
The strict EMDR protocols are used to treat love, sexual and relational difficulties. The traumatic target is selected in the childhood and in the affective life since the beginning of the love and the sexual life. EMDR sessions are powerful to develop love sentiments and resolve couple crisis. EMDR protocol is also use to develop love resources.
In Isaac Bashevis Singer’s prolifi c Holocaust novel,
Enemies: A Love Story (1972), the main character,
Herman Broder, sets his eyes into an oscillating
motion whenever he needs to deal with stress or
anxiety. The books and poems of Native American
author Sherman Alexie (1992, 2009) beautifully document
how centuries of tribes have utilized the dance,
an activity of tactile bilateral stimulation, to cope
with distress and heighten performance. Kyra Gaunt
(2006) documented how generations of African
American girls have used clapping games, doubledutch
jump rope, and other bilateral rhythmic activities
to transition into adulthood. This small collection
of examples sets a larger context for the development
of eye movement desensitization and reprocessing
(EMDR) that I feel, in the excitement over the 20th
anniversary of Shapiro’s discovery, we have failed to
consider. I write this letter with a great deal of respect
for Dr. Francine Shapiro as someone who has
tapped into the seemingly innate, healing power of
bilateral stimulation and systematized it for use in
psychotherapeutic settings. In the spirit of appreciating
the larger context of her contribution, I feel the
need to voice my concern about several points that
she articulated in the interview with Marilyn Luber. (Excerpt)
Learn how to work more directly with the body and the physiology of emotion during key phases of EMDR treatment with individuals, including
assessment, case conceptualization, affect tolerance work, resource development and trauma/standard protocol processing. Celia Grand, LCSW; and Deborah Grant, LCSW; will introduce workshop panicipants to the Four Panes Model as a treatment model for using somatically-based work
in the context of EMDR therapy. They will present psychophysical techniques and protocols for managing and regulating arousal states, giving
special attention to when to use these techniques and why using them may best support clients in working with complex PTSD.
Objetivo: Traçar um paralelo entre os aspectos de vida na infância e na fase adulta de um caso clínico, com base na Teoria do Apego de John Bowlby e enfoque na modalidade de apego inseguro e ambivalente. Este pode muitas vezes levar o indivíduo a produzir um vínculo disfuncional e antiprodutivo consigo mesmo. Método: Apresentar o caso clínico para ilustrar e enriquecer os aspectos teóricos abordados, comparando atitudes e comportamentos no passado e no presente. A tendência destrutiva da paciente lugar a pensamentos construtivos e transformações em sua vida, depois do tratamento com a técnica de EMDR, passando por todas as fases do protocolo desenvolvido por Francine. Resultado: O caso nos mostra melhora significativa no quadro de depressão recorrente seguida de somatização e tentativas de suicídio. Atualmente, podemos dizer que essa paciente não apresenta pensamentos destrutivos nem comportamento suicida. Conclusão: Os bons resultados obtidos com intervenções psicológicas focadas em trauma e memória dessas imagens, principalmente nos primeiros anos de vida, nos fazem pensar seriamente no aprofundamento e na utilização da técnica do EMDR. Essa nova abordagem pode beneficiar de modo marcante pessoas que sofrem dor psíquica constante.
Objective: To establish a parallel between aspects of life in childhood and adulthood of a case, based on Attachment Theory John Bowlby and focus on the type of insecure attachment and ambivalent. This can often cause the individual to produce a bond dysfunctional and counterproductive himself. Method: To present a case to illustrate and enrich the theoretical aspects discussed, comparing attitudes and behaviors in the past and present. The destructive tendency of the patient to place thoughts and constructive changes in your life, after treatment with the technique of EMDR, through all phases of the protocol developed by Francine. Result: The case shows significant improvement in the context of recurrent depression and somatization then attempted suicide. Currently, we can say that this patient has no destructive thoughts or suicidal behavior. Conclusion: Good results with psychological interventions focused on trauma and memory of these images, especially early in life, make us think seriously about stepping in and using the technique of EMDR. This new approach may benefit markedly from those suffering psychic pain constantly.
Los trastornos de personalidad son un grupo complejo a la hora de trabajar en
psicoterapia. Los problemas relacionales y las reacciones emocionales desbordantes suelen estar en un primer plano. Muchos de estos trastornos están generados en una historia de trauma temprano y relaciones de apego disfuncionales con los cuidadores primarios que pueden ser tratados con EMDR.
El trastorno límite de la Personalidad o TLP, se ha relacionado con una historia
temprana de apego disfuncional, con trauma en la infancia (abuso sexual, físico, trauma de apego y/o negligencia), sin embargo no todas las orientaciones terapéuticas específicas para el trastorno límite abordan de modo directo estas experiencias traumáticas previas.
Algunos autores destacan los contextos invalidantes en la historia biográfica de las
personas con este diagnostico, lo que suele ir unido a una traumatización compleja. El
concepto de trauma en EMDR es un concepto mucho más amplio del que se maneja de manera habitual, no solo es trauma. Francine Shapiro explica que muchos de nosotros pensamos que el trauma consiste en grandes acontecimientos que aparecen en las noticias (veteranos de guerra, sobrevivientes de catástrofes naturales y ataques terroristas……) pero, de hecho, por definición, trauma es cualquier hecho que ha tenido un efecto negativo duradero.
La terapia EMDR ha demostrado su eficacia en el trastorno de estrés postraumática,
siendo en estos momentos un tratamiento de elección para el TEPT. Su aplicación en una amplia gama de trastornos en cuya base se encuentran experiencias traumáticas previas se está desarrollando cada vez más. Uno de estos diagnósticos es el del trastorno límite de la personalidad que será planteado en esta mesa con un caso práctico que permitirá visualizar los resultados que se pueden conseguir en una sesión. A través del caso se
ilustrará la teoría del Modelo de Procesamiento Adaptativo de la Información (PAI) y la
posible aplicación de EMDR en los trastornos de la personalidad con trauma complejo
Personality disorders are a complex group when working in
psychotherapy. Relational problems and emotional reactions are often overflowing
be in the forefront. Many of these disorders are built on a history of
early trauma and dysfunctional attachment relationships with primary caregivers
can be treated with EMDR.
The BPD or BPD personality has been associated with a history
early attachment dysfunctional childhood trauma (sexual abuse, physical trauma
attachment and / or neglect), but not all specific therapeutic guidelines
for BPD directly addressed these previous traumatic experiences.
Some authors emphasize the disabling contexts in the biographical history of the
People with this diagnosis, which often goes hand in complex traumatization. The
EMDR trauma concept is a much broader concept of which is handled as usual, not only is trauma. Francine Shapiro explains that many of us
think that the trauma is to great events in the news (War veterans, survivors of natural disasters and terrorist attacks ......)
but, in fact, by definition, trauma is any event that has had a negative effect
durable. EMDR therapy has proven effective in post-traumatic stress disorder, being at present a treatment of choice for PTSD. Its application in a wide range of disorders whose base are previous traumatic experiences are
is developing more and more. One of these diagnoses is that of BPD personality that will be raised at this table with a case study that will
visualize the results that can be achieved in one session. Through the case
illustrate the theory of Model Adaptive Information Processing (AIP) and
possible application of EMDR in personality disorders with complex trauma.
This book is about trauma in a select population, older people. This is important because this group is usually given short shrift because of certain convictions about age, as well as an excessive emphasis on specific trauma-related techniques. In fact, the older group is complex when it comes to trauma. There is much to be exported about older people from knowledge of earlier ages, and there is much that is not. Our basic belief is that the human change process is highly individualized at later life but certainly understandable within an integrated formulation of the person. We address this "formulation." [Preface, p. vii]TOPICS TREATED: Aging and trauma; PTSD in the context of aging; Life story of the aging person; Person and memory; Treatment: PTSD and beyond; Key ingredients to psychotherapy; Treatment model: early stages; Personality; Core memory: the "good" memory; The trauma memory: the "bad" memory; Grief work and forgiveness in the context of PTSD; Using assessment data to inform the treatment plan.
In a project carried out by Trauma Aid-HAP Germany between 2007 and 2009 and sponsored by Terre des Hommes
and the German Official Development Assistance more than 3200 adult and child clients were treated
for mental disorders related to traumatic experiences after the Tsunami in 2004 and the civil war in Aceh/
Indonesia.
An accompanying monitoring and research component provided detailed diagnostic data before and after therapy.
This guided both the therapeutic process, and the training process in psychotraumatology. Also with this
component the long term effectiveness of the interventions was assessed. In turn these findings were related to
various traumatic events, socio-economic conditions and other non-psychological factors that influenced therapy
outcome. Particular attention was paid to a variety of cultural implications entailed in using therapies such as
EMDR in a non-Western, deeply religious and traditional context. Main results, implications for further research
and future intervention strategies will be addressed.
Traumatic stress and its impact on the individual, family and society have been described in the literature for over one hundred years. Controversy exists regarding etiology, determinants and therapeutic intervention for traumatic stress. There is limited research regarding the comparative value of treatment of trauma. In 1989 Eye Movement Desensitization and Reprocessing (EMDR) emerged as a therapeutic intervention for traumatic stress. Studies have shown the benefits of EMDR to be equal to or superior to those of other therapies in the treatment of PTSD. To date, the value of EMDR has been measured primarily by the decrease or amelioration of symptoms. Limited research has focused on the client's experience of EMDR and life changes after EMDR. The specific aim of this study was to: (a) generate a description of the personal experience of the EMDR process, (b) identify whether life changes had occurred after EMDR, and (c) if any life changes had occurred describe the changes and the nature of these changes.Data were collected via unstructured interviews with seven individuals who had experienced some form of trauma, and who had experienced EMDR as a therapeutic intervention for trauma. Van Manen's and Heidegger's interpretive processes were used to guide the method of data analysis. The shared meanings identified were: (a) Set-up for Harm, (b) Being Stuck, (c) Willing to Risk in Spite of..., (d) Release, (e) Movement and (f) Ongoing Movement. The participants all described childhood events of being put in harm's way. As adults participants felt frustrated with their inability to change personal and relational alienation which resulted from the childhood events. However, in spite of incredulity and fears, risking the experience of EMDR was primarily dependent on trust in the therapist. All experienced emotional, cognitive and physical release in response to the EMDR experience which allowed participants to move forward with their lives. [Author Abstract]
Dissertation Abstracts International: Section B: The Sciences and Engineering. 61(1-B), Jul 2000, pp. 549.
As many of us with careers in sport science and physical education, I began as an athlete. Thus I experienced years of training and competition in the disciplines of sport long before those of science and research. Although I had no words for such experiences at the tine, in the intense and dedicated efforts of my involvements, I moved through both polar-opposite twins of sports' altered states; flow and trauma. It is my supposition that almost all serious athletes do, although I will not live long enough to make much headway on empirical proof in that regard. As I have added psychology training to that in sport and exercise psychology, I have gathered formal and anecdotal support for the notion of trauma experiences inside the context of sport and have had success in the application of a trauma healing technique to ease some of the damage and pain wrought by occurrences within intense commitment to sport.
The field of trauma has made significant strides in the past quarter century. It is now recognized that trauma is a "behavioral toxin" associated wuth a number of significant deleterious psychological and physical consequences for health. A public health informed approach to trauma must address the cultural context in which victimization occurs and must address its cultural roots. In order to achieve our public health agenda, it will be critical to develop conceptual and methodological frameworks requisite to develop knowledge to address trauma's impact on populations.
Disasters, both natural and "man-made", affect a large portion of the Earth's population and can be expected to increase in intensity over the coming decades. The impact of disasters on mental health of affected populations is substantial and likely to be insufficiently addressed in the overall context of disaster response. While successful mental health intervention has been demonstrated in a variety of cases, including through the use of EMDR treatment, this problem needs more attention. Effective mental health response will be greatly supported by increased research on questions related to the incidence, form, and prognosis of disaster-generated traumatic stress, as these are affected by type of disaster, culture of affected population, sociological conditions, and neuropsychological factors, and the interactions among these. A brief summary of desirable research is presented that could help responders meet these challenges. [Author Abstract]
Trauma-Behandlung spezifischer Techniken verfolgen das Ziel, den traumatischen Stress-Symptomen und Stress abbauen und heben Sie die Dissoziation von traumatischen Erinnerungen. Es kann Techniken der Trauma-spezifische Stabilisierungs-und Verarbeitungstechniken von Traumata kommen angewandt. Traumaassozierten zur Verringerung der Symptome, Verbesserung der Fähigkeit, Emotionen zu regulieren und sich von traumatischen Erfahrungen Trauma-spezifische Techniken Stabilisierung Entfernung sind von großer Bedeutung. Dazu gehören Techniken Aufmerksamkeitsumfokussierung, imaginative Techniken und Distanzierung ressourcenaktivierende Techniken. Eine Integration der dissoziierten traumatischen Erinnerungen im biographischen Kontext der Lebensgeschichte erfordert den Einsatz traumabearbeitender (traumakonfrontativer) Verfahren. Verfahren mit nachgewiesener Wirksamkeit sind EMDR und kognitiv-verhaltenstherapeutischen Konfrontationstherapie. Ein traumakonfrontatives Ansatz wird durch strenge Indikationsstellung Kriterien gebunden. Äußere Sicherheit, psychologische Stabilität und eine verbesserte Fähigkeit, Emotionen zu regulieren sind wesentliche Voraussetzungen.
Trauma-specific treatment techniques pursue the goal of the traumatic stress symptoms and reduce stress and lift the dissociation of traumatic memories. It may come techniques of trauma-specific stabilization and processing techniques of trauma applied. Traumaassozierten to reduce symptoms, improve ability to regulate emotions and to distance themselves from traumatic experience trauma-specific stabilization techniques are of great importance. These include techniques Aufmerksamkeitsumfokussierung, imaginative distancing techniques and ressourcenaktivierende techniques. An integration of dissociated traumatic memories in the biographical context of the life history requires the use traumabearbeitender (traumakonfrontativer) procedures. Procedure with proven efficacy are EMDR and cognitive-behavioral exposure therapy. A traumakonfrontatives approach is bound by strict indication criteria. External security, psychological stability and an enhanced ability to regulate emotions are essential prerequisites.
In der vorliegenden Arbeit geht es im Nähren um die Darstellung dreier Sachverhalte. Zum einen soll das elternbezogenen Bindungsgefüge beleuchtet werden, welches konstitutiv einen Einfluss auf die gesunde biopsychosoziale Entwicklung eines Kindes nimmt. Die irreversible Auflösung dieser fundamentalen Beziehung beansprucht weiterhin die Erörterung des kindlichen Verlusterlebens und des daraus resultierenden physischen, psychischen und sozialen Gefährdungspotenzials. Dahingehend wird besonders eine Betrachtung hinsichtlich der emotionalen Schemata des Trauerns relevant sowie gegenüber den damit korrespondierenten Phänomen der psychischen Traumatisierung. Letztlich wird es von Bedeutung sein, Hilfeinterventionen zu beleuchten, die einer Gefährdung des Kindes entgegenwirken. Da meine berufliche Handlungsfähigkeit im Arbeitsfeld der Notfallversorgung verankert ist, möchte ich diesbezüglich nach der Möglichkeit von Sofortmassnahmen suchen, die unmittelbar nach dem Verlusterlebnis eingeleitet werden können. Hinsichtlich dieser Betrachtungsweise lassen sich zwei thematische Fragestellungen formulieren. (1) Welche Relevanz übt eine Eltern-Kind-Beziehung auf die kindliche Entwicklung aus und inwieweit leitet ihre Auflösung, im Kontext eines Eltersuizides, eine mögliche trauma-basierende, psychopathologische Störung des Kindes ein? (2) Welche Massnahmen der kindlichen Akutbetreuung lassen einen adäquaten Beitrag zur kognitiven und emotionalen Rehabilitierung des Kindes versprechen?
In the present work is in nurturing the image of three issues. On the one hand, the parents moved into bond structures are illuminated, which constitutively takes a biopsychosocial influence on the healthy development of a child. The irreversible resolution of this fundamental relationship claims continue to discuss the child's loss experience and the resulting physical, mental and social potential hazard. To that effect, is a consideration particularly with regard to the emotional patterns of mourning and relevant in relation to the phenomenon of psychological trauma that korrespondierenten. Ultimately, it will be important to shed light on using interventions to counter the threat of the child. Since my professional capacity is rooted in the working field of emergency care, I would look in this regard to the possibility of immediate measures that can be initiated immediately after the loss experience. Regarding this approach can be formulated in two thematic issues. (1) What relevance exerts a parent-child relationship on child development and how far forward its resolution in a context of parental suicide, a possible trauma-based, psycho-pathological disorder of the child? (2) What measures of children's emergency care can be an adequate contribution to cognitive and emotional rehabilitation of the child's promise?
In this adaptation of her keynote address presented at the European EMDR Annual Conference in Frankfurt, Germany, in May, 2002, psychotherapist Carol Forgash explains that the context of psychotherapeutics has changed since the early years of EMDR. This change supports the combining of EMDR with ego state psychology to better deal with the complex consequences of serious trauma. Forgash proposes that ego state conceptualizations provide a constructive, efficient, and accessible means for therapist and client to work through these complexities.
In this adaptation of her keynote address presented at the European EMDR Annual Conference in
Frankfurt, Germany, in May, 2002, psychotherapist Carol Forgash explains that the context of
psychotherapeutics has changed since the early years of EMDR. This change supports the combining of
EMDR with ego state psychology to better deal with the complex consequences of serious trauma.
Forgash proposes that ego state conceptualizations provide a constructive, eficient, and accessible
means for therapist and client to work through these complexities.
Patients exhibiting chronic dissociative symptoms are among the most complicated patients to be treated in psychotherapy. Their treatment tends to be a multi-faceted approach of which EMDR is only one part, albeit, a very important component.
The objective of this course is to assist the treating clinician in identifying the chronic dissociative patient, conceptualizing and implementing an effective treatment plan for the patient. This will include integrating the traditional three-stage model (stabilization, trauma work and integration) of working with patients with dissociative symptoms using the EMDR Eight Phase Treatment Model. Emphasis will be placed on stabilization and pacing the trauma work with individual patients.
This workshop format will include lecture and presentation of clinical case material. Participants are encouraged to bring clinical cases to the workshop for discussion.
Workshop Objectives:
Assess and identify clients presenting with dissociative symptoms;
•Formulate case conceptualization,
•Treatment planning to include EMDR based trauma processing,
•Integrate the 8 phases of EMDR with traditional treatment for trauma,
•Identify when clients with dissociative symptoms are ready for EMDR treatment,
•Pace the treatment, shifting between stabilization trauma reprocessing and relational work,
•Manage therapeutic complications that arise during treatment.
Fobies is van die mees algemene versteurings wat onder die aandag van terapeute en dokters kom. Die klassieke
behandeling van keuse was SD (sistematiese desensitisasie), soms in kombinasie met hipnose. Meer onlangs het
VR- (virtuele realiteit) prosedures en EMDR (oogbeweging desensitisasie herprosessering) na vore gekom as
opwindende alternatiewe. SD en die VR-prosedures is operasionaliserings van kognitiewe gedragsterapie (CBT) en
is op leerteorie gebaseer terwyl EMDR gewoonlik vanuit ‘n psigoneurologiese perspektief beskou word. Die oorwegend
goeie resultate wat met die metodes behaal word waarna hierdie akronieme verwys, word dikwels gebruik om die
geldigheid van die onderliggende teorie te bevestig. Hierdie teorieë onderverteenwoordig egter die interpersoonlike
of sosiale aspekte van fobiese gedrag. Deur ‘n inter-persoonlike fokus by die algemene intra-persoonlike beskouing
van fobiese gedrag te voeg, word beide die sukses van die gewone behandelingsmetodes en die relatief-rare
mislukkings meer volledig verklaar. Deur gevalle as illustrasies te gebruik, werp hierdie artikel lig op die wyse
waarop fobiese gedrag dikwels ingebed is in ‘n matriks van interpersoonlike en sosiale invloede en stel dit die meer
gerigte en effektiewe benutting hiervan in die behandeling van fobielyers voor.
HEALTH
Phobias are some of the most common disorders brought to the attention of treatment agents. Classically, the treatment of choice was SD (systematic desensitisation), sometimes combined with hypnosis. More recently, VR (virtual reality) procedures and EMDR (eye movement desensitisation reprocessing) emerged as exciting alternatives.
SD and the VR procedures are operationalisations of CBT (cognitive behaviour therapy) and are based on learning theory, while EMDR is usually viewed from a psychoneurological perspective. The generally good results obtained with the methods known by these acronyms are often taken to confirm the soundness of the particular underlying theory. However, these theories under-represent the interpersonal or social aspects of phobic behaviour. Adding an inter-personal focus to the generally intra-personal view of this behaviour much more fully explains both the success of the usual treatment procedures and the relatively rare failures. Using case illustrations, this paper highlights the way in which phobic behaviour is often embedded in a matrix of interpersonal and social influences
and suggests the more deliberate and effective utilisation of these in the treatment of phobic sufferers.[Journal abstract]
Trauma affects the entire human organism, which gets stuck in neruobiological, immunological and relational survival modes. Neuroscience research shows that the brain regions most affected by trauma are involved in attention and perception, biasing the organism into preceiving threat and annihilation. The subcortical process are independent from conscious appraisal and conscious control. This presentation will focus on evidence based treatments that address basic issues of safety, threat appraisal and embodied awareness, illustrated by EMDR, meditation, yoga, theater, martial arts and sensory integration.
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
This study examines the effects of a psychodynamic approach of Eye Movement Desensitization and Reprocessing (EMDR) in treatment of traumatized refugee children. Among a child psychiatric outpatient refugee team, 13 children with post-traumatic stress disorder (PTSD), were treated by EMDR incorporated in a traditional psychodynamic therapeutic approach. The Posttraumatic Stress Symptom Scale for Children (PTSS-C) and the Global Assessment of Functioning (GAF) were administered before and after the treatment, to measure the effects. After treatment, a significant improvement was noticed in the functioning level and all PTSS-C scales, mostly in re-experiencing and least in the avoidance symptoms. The improvement in the functioning level was significantly correlated with the reduction of the PTSD-non-related and the depression, but not with that of the PTSD-related symptoms. Used in a psychodynamic context, EMDR is suggested to be effective treatment for traumatized refugee children. Our findings support the hypothesis of child-specific criteria for PTSD.
Participants will be able to: 1) identify four dimensions of the relational context; 2) understand inhibited sexual desire using this model; 3) formulate assessments and treatment plans using the four dimensional framework; 4) choose relational systemic or psychological interventions, including EMDR, using the model presented; and 5) elicit salient EMDR targets for maximum therapeutic benefit.
Participants will be able to: 1) identify four dimensions of the relational context; 2) understand inhibited sexual desire using this model; 3) formulate assessments and treatment plans using the four dimensional framework; 4) choose relational systemic or psychological interventions, including EMDR, using the model presented; and 5) elicit salient EMDR targets for maximum therapeutic benefit.
Participants will be able to: 1) identify four dimensions of the relational context; 2) understand inhibited sexual desire using the model; 3) formulate assessments and treatment plans using the four dimensional framework; 4) choose relations, systemic or psychological interventions, including EMDR, using the model presented, and 5) elicit salient EMDR targets for maximum therapeutic benefit.
This article outlines a comprehensive model that helps to identify crucial target memories for EMDR treatment.
The “Two Method Approach” can be used for conceptualization and treatment implementation for a
broad spectrum of symptoms and problems, other than those related to PTSD per se. The model consists of
two types of case conceptualizations. The First Method deals with symptoms whereby memories of the etiological
and/or aggravating events can be meaningfully specifi ed on a time line. It is primarily aimed at the
conceptualization and treatment of DSM-IV-TR Axis I disorders. The Second Method is used to identify memories
that underlie patients’ so-called dysfunctional core beliefs. This method is primarily used to treat more
severe forms of pathology, such as severe social phobia, complex PTSD, and/or personality disorders. The two
methods of case conceptualization are explained step by step in detail and are illustrated by case examples.
Film de Michel Meignant(en anglais avec sous-titres français suivi d’une discussion en français) (Tous les niveaux)[Film by Michel Meignant (in English with French subtitles followed by a discussion in French
Lors de l’atelier de formation d’EMDR organisé en Thaïlande par Trauma-Aid, HAP Allemagne et Terre des Hommes Allemagne, la psychologue Dagmar Eckers se prépare à traiter par l’EMDR le jeune Indonésien Ooz, victime du Tsunami. Il souffre de cauchemars et de difficultés de concentration. Ce film présente deux séances d’EMDR sur cet enfant de 10 ans. Il montre aussi les efforts des formateurs EMDR qui, avec l’aide des associations caritatives, forment les Birmans, Chinois, Indiens, Indonésiens et Thaïlandais à devenir autonomes dans la pratique et l’enseignement de l’EMDR.
Objectifs d’apprentissage:
1. Comment utiliser l'EMDR pour soulager les conséquences traumatiques d'une catastrophe de la nature
2. L'utilisation d'EMDR auprès d'un enfant dans un contexte social et culturel non-occidental. (les 8 phases de la démarche EMDR dans un tel contexte)
During the training workshop held in Thailand by EMDR Trauma-Aid, PAHs and Germany Terre des Hommes Germany, psychologist Dagmar Eckers prepares to deal with the young Indonesian EMDR OOZ, victims of the Tsunami. He suffers from nightmares and difficulty concentrating. This film has two sessions of EMDR on this 10 year old child. It also shows the efforts of EMDR trainers who, with help from charities, are the Burmese, Chinese, Indians, Indonesians and Thais to become independent in practice and teaching of EMDR.
Learning Objectives:
1. How to use EMDR to relieve the traumatic consequences of a catastrophe of nature
2. The use of EMDR with a child in a social and cultural non-Western. (the 8 phases of EMDR approach in this context)
Narcissistic Personality Disorder is associated with selfish behaviors and lack of empathy towards others. Patients with this diagnosis show a self-centered profile and a (sometimes only apparent) lack of concern about the suffering that they can cause in other people but this is only part of the picture.
The DSM-IV description of narcissistic personality disorder focuses on the “overt” qualities of narcissism (grandiosity, exploitation, arrogance, interpersonal problems and rage) while omitting the less obvious and more subtle “covert” characteristics (tendency to be shame sensitive, introverted, vulnerable, inhibited and anxiety-prone). All of these aspects may be present in both abusers and victims, in either overt or subtle presentations. In this presentation we will show how to conceptualize and treat different profiles characterized by self-centeredness, selfish attitudes and a lack of empathy from the EMDR perspective.
To conceptualize EMDR therapy in these cases it is important to understand the developmental pathways from early experiences to present problems. Narcissism features can be final outcomes of a neglecting environment, chronic abuse or other adverse experiences. In some cases it can even be related to excessive appraisal. A variety of attachment disturbances with primary caregivers can lead to lack of empathy and self-centeredness. Being able to identify (and reprocess) the etiological experiences at the roots of the symptoms is crucial for an adequate case conceptualization.
All these aspects and the complexity of therapeutic relationship in narcissistic personalities will be reviewed in this presentation linking theory and case examples. Video cases will be shown to illustrate case conceptualization and treatment methods.
Learning objectives:
Narcissism is in many cases a trauma-based disorder. Students will be able to understand Narcissism from a trauma perspective; as a presentation of early complex traumatization.
Special interest will be placed on relevant aspects for the history taking and how present symptoms can be linked to traumatic events (triggers).
Relational difficulties and defenses are key aspects in the treatment of personality disorders and their management will be one of the objectives of this workshop.
Treatment and conceptualization of these complex cases will be explained with the necessary adaptations of the EMDR procedures for narcissism.
Description of how workshop would achieve the learning outcomes:
The theory will be illustrated through case examples. Videos of interviews and clinical sessions will be showed, maintaining an interactive dialogue with the audience, where theoretical concepts will be exemplified and discussed with the participants.
One of the most intriguing aspects of traumatic stress has been the repeated learning and forgetting of lessons about its importance as a cause of psychopathology. It remains the case that the broader body of psychiatry and psychology has an ambivalent relationship with the field of traumatic stress and the nature of posttraumatic stress disorder. The origins of this ambivalence and their impact will be discussed. It is important that practitioners in the field of traumatic stress be aware of these barriers and how to address them in a research setting and clinical practice.
The underlying phenomenology of posttraumatic stress disorder will be explored and its neurobiological origins will be highlighted. It is important to deconstruct posttraumatic stress disorder into the different symptom components, as they have substantially different mechanisms underpinning their intensity and presentation. Posttraumatic stress disorder is a dynamic condition in which symptoms fluctuate with time and are substantially influenced by the environmental demands placed upon the individual.
It is often forgotten that somatic symptoms are a core element of the experience of individuals with PTSD. The nature of these somatic dimensions of distress and their significance will be discussed.
The epidemiology of posttraumatic stress disorder highlights how the prevalence of these conditions is seemingly increasing. However, this reflects the developments in the measurement of the effects of trauma in research settings. This has major implications for clinicians as to how best take a history about exposures to traumatic events. The evidence is that systematic investigation is critical and that unless questions are asked, symptoms will frequently go unreported. Recent evidence suggests that PTSD may be in fact more common than major depressive disorders. Equally, it should not be forgotten that depression is an important dimension of posttraumatic reactions. There is also an associated comorbidity with substance abuse. The risks associated with trauma exposure have a long tale of effect and these will be described.
The challenges of treatment will be discussed in the context of early intervention and workplace intervention. Treatment needs to be a sequential process where there are a variety of strategies, including EMDR, which can be used in treatment. The sequence of these strategies in treatment is a challenging question that has not been systematically addressed in research.
It remains the case that one of the primary issues in treatment is early identification, and this raises questions about the importance of screening in at-risk populations. Again, there are significant differences in opinion; however, the militaries around the world are now regularly screening populations returning from deployment. A recent novel approach to considering the issues of treatment is whether a staging approach should be used for conditions such as PTSD.
In summary, it is critical that clinicians have an explicit model of the mind and its neurobiology. Posttraumatic stress disorder can best be understood as an information processing disorder, which both impacts upon an individual's ability to engage with their day to day environment as well as integrate past experiences as a source of information to influence current behaviour. The integration and modulation of neural systems that manage environmental input is critical to adaptive functioning. The ways that these systems become dysregulated in PTSD will be highlighted and how these underlying deficits can be addressed in treatment will be focused upon.
A further issue that needs to be considered in the treatment of PTSD is the long-term risk of individuals, who have developed this condition, to have relapses after a successful intervention. Some long-term treatment outcome data will be presented.
The URGES approach is a theory and protocol to treat trauma and addiction simultaneously. It combines hypnotherapy, ego state work, alternate bilateral stimulation, and energy psychology.It was developed to meet the need to address trauma without disturbing mainstream addiction treatment. Based on the premise that trauma and addiction are co-relational, this method uses ego state images including an Addict ego state that hypothetically reflect brain chemistry dynamics and changes.URGES is a combination method that incorporates basic concepts from hypnotherapy, Eye Movement Desensitization and Reprocessing, ego state therapy and several energy psychology techniques.Orchestrated ego state conflicts hypothetically exercise the brain.Ego state patterns are emerging from URGES that indicate a degree of predictability in assessing patient's internal response to treatment.The main focus of this approach is using the addictive urge to locate and process underlying trauma.
Objective: to illustrate the EMDR usefulness within the psycho-dynamical therapy. Foreword: a type of pain exists
that’s nameless and inenarrable. During our psycho-dynamical practice as EMDR specialists, we met various
defensive modalities adopted by patients presenting diverse pathologies to elude grief associated to that type of
pain left segregated within the emotional portion of the brain. In particular, we take into account patients keen
to coactively repeat the traumatic experience either directly in-person or through using others. The presumption
is that the traumatic experience, when too early, too invasive or reiterated, may render it impossible to be
expressed verbally (by use of the cortex), leading to express it either through the body or through reiterated use
of the traumatic experience itself (coactions to repeat). This last point, within our clinical experience, seems
being linked to ambivalent feelings vs. the very resolution of the experience itself (healing). Patients living this
type of situation may namely be entangled by two conflicting wishes to either wish a real improvement of their
condition or to seek maintaining that pathology in the fear of loosing the sense of security inspired them by the
type of fake identity they built around the trauma. Benefits: using the technique of bilateral sensorial stimuli
strives breaking off that defensive mood that feeds pathological coactions to reiterate the experience as the
means to tolerate the grief. Namely its purpose is to penetrate through those defensive modalities and to
successfully aid patients to abandon them thanks to a low structured context adequately freed by internal or
external conditioning (ambivalence, judgement, rationalization, etc.).
"Using EMDR in Complex PTSD and Adult Attachment Disorders" was presented as a part of a symposium organized by Bessel A. van der Kolk, M.D with additional papers by Francine Shapiro, Ph.D., Friedhelm Lamprecht, MD and Bessel A. van der Kolk, M.D., at the 1999 American Psychiatric Association (May 19) in Washington, DC.
This talk frames the use of Resource Development and Installation in the larger historical context of ego strengthening and briefly reviews theoretical and neurobiological correlates hypothesized to be involved in the application of RDI. The case material presented is similar to that presented in 1997 and 1998 EMDRIA presentations.
This presentation describes an EMDR protocol for working with an adolescent in such a way as to enhance their self-empowerment
capabilities. As a preliminary, a medical and developmental history of the adolescent is taken from the parents, as well as obtaining
their view of present problems. Using this infomation and a subsequent history obtained from the adolescent provides the basis for
what may prove to be targets later.
I will talk about how, in early discussions with adolescents, when my aim is to gain rapport, I often go back over some of the
information their parents provided so as to obtain the teenager's views and feelings, idenfying the highs and lows in their view of
their life so far. I look for where they have felt successful and powerful, and where they have suffered trauma, loss and sadness with
reference to themselves as individuals and also in their family relationships. I seek to refine targets from both parental and
adolescent information. I also seek to understand what the teen would like in their life and begin to introduce the idea that they can
give direction to their life.
I believe it is important to provide the adolescent with new or clarified information about him or her. I use psychological tests to
assist in this process. I will cover briefly ways that I use the Behavior Assessment System for Children (BASC), as well as other
assessment instruments such as the Strong Interest Inventory, Rorschach and Millon Adolescent Personality Inventory (MAPI), to
give both the adolescent and me important information. Because the information stems from a comparison with the general
population, I can present it more objectively than if it were solely my assessment of them. The adolescent decides what fits them
and what doesn't. This process allows us jointly to identify problems and to look for ways to handle them. Emphasis is always
placed on the adolescent having the power - the information about themselves is power. What they choose to do with it breeds
power. They are in control. This process usually leads to a further explanation of EMDR and how they might choose to work with
me using EMDR.
In summary, I will cover :
Helping the adolescent look at choices as giving freedom Presenting EMDR as a way of having more choices; Looking at behavior problems as habits that can be changed if desired. Encouraging the use of imagination, imaging, finding a
safe place and helping make changes; Taking the position of being their coach for their effort to develop the kind of life they want.
Looking at what they think stands in their way and what they can do to change it.
Identifying negative cognition from these blocks.
Using EMDR in the context of what they want.
Building Self Esteem through goal attainment-EMDR as a tool for performance.
Coaching for positive change and clear thinking.
Teaching self direction and organization reinforcing with EMDR.
Teaching self coaching.
Now that the therapeutic relationship is firmly part of EMDR, it is time to show its uses with difficult populations.
Skilful emphasis on empathic attunement beginning in the history taking phase with emphasis on using the
Procedural Steps Outline diagnostically, and Light stream as an affect management tool, starting in the first
session will be shown to be of use specifically with this population. This population needs special attention
regarding alterations in affect regulation, self perception, consciousness and attention, somatisation, trust, and
identity. In the preparation phase participants will learn various relational strategies to accomplish these tasks.
They will also learn to use the relationship as an additional resource for containment with appropriate
boundaries. Relational concepts such as “Implicit Relational Knowing”, “Moments of Meeting”, and “Dyadic
Expansion of Consciousness” will be taught to expand methods of stabilization for preparation, and for active
trauma work. Modifications of active trauma work using active resourcing; titrating or dosing; treating
transference and counter transference phenomenon will all be demonstrated to enhance EMDR work with
complex PTSD and Dissociation. Dworkin's Trauma Case Conceptualization Questionnaire and his Clinician Self
Awareness Questionnaire will be taught and used to
Accurate neuropsychological/psychological assessment and monitoring are
crucial to complex cases of refugee and asylum seeking children and adolescents. These are
examined in the context of relevant case vignettes. The limitations and relevance of
accurate and therapeutic assessment and monitoring are examined and the utility of
psychological instruments. Language and timing of interventions are also considered. The
use of a multimodal approach sensitive to individual and intellectual differences and
relevance of EMDR is discussed.
Vicarious traumatization has been defined as the "negative effects of caring about and caring for others” (Pearlman and Saakvitne
1995), It results from exposure to clients’ traumatic material and can disrupt the therapist’s view of the themselves’, other people, and the
world. Vicarious Trauma has been discussed in terms of the Constructivist Self Development Theory (McCann & Pearlman, 1992), which states
that the changes in the therapist’s schemas and perceptions result from the interaction of clients’ stories and therapist personal characteristics.
In this context, vicarious traumatization can be understood through the Adaptive Information Processing Model (Shapiro, 199, 2001) where
current difficulties are understood to be the result of past experiences that are dysfunctionally stored in the brain. This workshop will focus on how EMDR can be used to treat Vicarious Traumatization by processing relevant past memories, present triggering
circumstances, and laying down a future template for adaptive future behavior. Lecture material will be supplemented by case examples and
demonstrations.
Se ha definido la traumatización indirecta como los “efectos negativos de preocuparse por y cuidar de terceras personas”
(Pearlman and Saakvitne 1995). Es la consecuencia de la exposición al material traumático de los clientes y puede perturbar cómo el terapeuta
se vea a sí mismo, a terceros y al mundo. Se ha hablado de la traumatización indirecta en términos de la Teoría del autodesarrollo
constructivista (McCann & Pearlman, 1992), que afirma que los cambios en los esquemas del terapeuta, así como en sus percepciones se
derivan de la interacción de las historias de los clientes y las características personales del terapeuta. En este contexto, la traumatización
indirecta se puede comprender a través del Modelo del procesamiento de la información a estados adaptativos (Shapiro, 199, 2001) en el
cuál las dificultades actuales se comprenden como el fruto de experiencias pasadas almacenadas en el cerebro de forma disfuncional.
Este taller se centrará en cómo se puede utilizar EMDR para tratar la traumatización indirecta mediante el procesamiento de los recuerdos
relevantes del pasado, las circunstancias desencadenantes en el presente y el establecimiento de una plantilla para el futuro para una
conducta adaptativa en el futuro. El material de la conferencia será suplementado con casos ilustrativos y demostraciones.
The utilization of EMDR will be discussed within the context of a multi-modal treatment paradigm to treat unwanted sexual attractions and to help to actualize sexual potential in an individual desiring to alter their sexual arousal patterns. Specifically, focus will be place on the ways in which childhood and adolescent traumas can derail psychosexual development and contribute to the development of these attractions. Applications of standard EMDR protocols to this treatment paradigm will be described, in terms of healing the traumas that may have contributed to the developmental of undesired sexual attractions. Furthermore, speicifc EMDR components that can enhance the actualization of sexual potential will be identified and discussed. Specific focus will be placed on parameters of utilizing this paradigm, ensuring that all treatment goals are client-driven and not reflecting the values of the therapist, and ensuring that all APA Ethical Guidelines are carefully considered.
Traditional therapy models often reflect Western values and norms and may be inappropriate for use with many non-Western
cultures. Worldwide, therapists are beginning to examine how they can make these models culturally sensitive to minorities,
immigrants, and non-Western clients; however, it is time to go beyond “being aware,” understanding and appreciating
differences, and adapting individual interventions to actively responding to the needs of their clients by using models that
have theoretical underpinnings, underlying assumptions, and basic tenets that are consistent with those of non-Western
clients (Carlson, 1999) and promote social justice for those clients, their families, and the surrounding communities. This
paper suggests the use of responsive evaluation to explore Eye Movement Desensitization and Reprocessing (EMDR) as
a culturally responsive therapy. Responsive evaluation can be used to consider each unique client and therapist context,
culture, power, needs, and beliefs, and family and individual needs in determining a culturally responsive model of therapy.
In this presentation, we provide therapists and scholars a model for offering culturally responsive EMDR therapy and
research using responsive evaluation as a framework. An in-depth description of responsive evaluation will be provided, and
explanations and examples of how it is consistent with the goals and theories underlying culturally responsive therapy will
be given. Finally, concrete suggestions of how EMDR clinicians and scholars can apply this methodology will be provided. As
the EMDR continues to be taught and used across Asia, it is crucial that we continue to observe and respond to the needs of
clients throughout Asia.
Since Francine Shapiro published her original study on Eye Movement Desensitisation Reprocessing (EMDR) in 1989, more than 20,000 therapists in 55 countries have been taught to use this technique. Over the past decade, the procedure has evolved, making it accessible to a wider range of psychological difficulties. The ACPP recently held a very successful conference examining the context in which EMDR can be applied and the range of psychological disorders that it can help.
In our specialised treatment centre for adolescents with severe anorexia nervosa, we found
that EMDR can be a very useful and powerful tool in the context of a multifaceted treatment
program for anorectic adolescents. We noticed that setback and delay can occur during the
process of regaining weight as a consequence of relived memories of traumatic experiences.
Emotions linked to these memories are felt more intensely when they are recovering. These
memories can become significant blocks to moving forward to achieving our goal of
normalisation of weight and eating habits. We are in the process of listing the specific issues
that need to be addressed in the applications of EMDR to this target group. Experiences,
solutions and hypotheses will be presented.
EMDR is being increasingly – and successfully – utilized for a broader range of big “T” and small “t” traumas. Research indicates that adherence to the 8-phase protocol and the 3-pronged approach brings about the most successful outcomes in our clients. The problem in their application, however, is frequently “how?” A day in the life of an EMDR therapist can involve a plethora of symptoms: attachment difficulties, anxiety, Phobias, relational dysfunction, dissociation, and mood disorders, to name just a few client presentations. Much confusion and discouragement can arise as the clinician struggles with the variety of client presentations and the awkwardness of learning a significantly different approach to psychotherapy. Consultation experience reveals that it is most often psychotherapy. Consultation experience reveals that it is most often these two factors which bring about the unfortunate discrepancy between the numbers of those who take EMDR training and those who utilize it frequently. By means of a discussion of pre-screening typical and atypical case scenarios and the provision of a decision tree using appropriate resources and specialize protocols, participants will learn a more systematic way to conceptualize their cases. In addition, there will be a summary of frequently asked questions about the course of EMDR therapy garnered from the presenter’s consultees. And guidelines for keeping treatment on a course as common challenges in EMDR present themselves. This workshop is an outgrowth of “Decisions, Decisions ... Forks in the Road in EMDR: What, When and Why” presented at the EMDR Europe Conference in Istanbul and the EMDRIA conference in Philadelphia in 2006.
Auf der Grundlage neurowisenschaftlicher Erkenntnisse werden in der letzten Zeit vermehrt Psychotherapiemethoden und -verfahren neu bewertet und evaluiert. Zunehmend werden in diesem Zusammenhang Wirkfaktoren diskutiert, denen Klaus Grawe (Prof. Dr. K. Grawe, ehem. Psychologisches Institut der Universität Bern) und seinen Mitarbeitern zufolge eine besondere Bedeutung für eine effektive psychotherapeutische Behandlung und in der psychotherapeutischen Ausbildung zukommen sollte.
Based on findings neurowisenschaftlicher recently increased psychotherapy methods and procedures re-evaluated and evaluated. Increasingly discussed in this context, effective factors, which Klaus Grawe (Prof. Dr. K. Grawe, former Department of Psychology, University of Bern) and to send his staff that a special importance for effective treatment and psychotherapy in psychotherapeutic training should ..
This article explores points of convergence and divergence between EMDR and Gestalt in the context of one Gestalt therapist's experience in integrating EMDR and its derivatives into her practice. A longer case example illustrates the power of an EMDR-derived approach to facilitate a client's personal integration of traumatic material.
In diesem Beitrag wird zunachst beschrieben, mit welchen
typischen S)7nptomen sich traumatisierte PatientInnen
in der arztlichen oder psychologischen Praxis
einfinden. Die Zusammenhange und die lVotwendigkeit
profimder Differentialdiagnostik werden erliiutert.
Es Jolgt ein kurzer historischer Abriss iiber die wichtigsten
Schritte in der theoretischen und klinischen BeJassung
mit verschiedenen TraumaJolgestonmgen bis zur
Anerkennung der Posttraumatischen Belastungsstonmg
durch die WHO 1980. Psychisches Trauma wird
dann dargestellt als T7erarbeitungsstorung von Extremstress.
Das Konzept der Storung in der neuronalen InJormationsverarbeitung
und InJormationsspeichenmg
und dessen klinische Relevanz flir die Symptomatik der
PTBS Jolgt. Dies dient als Grundlage flir das T7erstiindnis
und die wissenschaJtliche Einordnung von EMDR
(Eye Movement Desensitization and Reprocessing) als
wichtige lmd evaluierte Behandlungsmethode for
PTBS. Die Methode wird detailliert beschrieben und
der Beitrag wird durch ein Fallbeispiel (Monotrauma)
und einige Uberlegungen zur Qualitatssicherung abgeschlossen.
Abstract
In this article at first characteristic symptoms of patients
asking Jar psychological and medical treatment with
trauma-related disorders and comorbidities and thlls
the necessity oj well grollnded clinical diagnostics is
emphasized. A short historical review oj the most important
theoretical and clinical milestones concerning
the consideration oj trauma-related disorders is described
up to the acknowledgement oj PTSD by the TForld
Health Organization in 1980. A well grounded and detailed
explanation oj neurobiology and neuropsychology
oj extreme stress and its clinical implications Jollows
to open the understanding and the scientific
context oJEMDR (Eye Movement Desensitization and
Reprocessing) as an important and well evaluated treatment
method Jar PTSD. It is described step by step
and illustrated by a short example (monotrauma). Final!),
some recommendations and further infomwtions
concerning quality of treatment and training are given.
Coaching verstehe ich in diesem Zusammenhang als einen Teilbereich der Einzelsupervision: es ist eine verheißungsvollere und verkaufsfördernde Bezeichnung dessen, was zuvor unter "Leitungssupervision" verstanden wurde (vgl. "Supervision und Coaching - Gleiches Angebot mit unterschiedlicher Aufschrift?", in: DGSv aktuell 4.2000, Köln, 2000, S.1-10).
Ich werde hier Einzelsupervision, Supervision und Coaching synonym verwenden.
Supervision will as well as coaching the professional competence of supervisees at the intersection of different factors: optimizing them accordingly serve the qualification, optimization and reflection of the professional action.
Coaching I understand in this context as a part of individual supervision: it is an auspicious and promotional description of what was previously understood as "management supervision" (see "Supervision and Coaching - The same offer with different words?", In: DGSv currently 4.2000 , Cologne, 2000, p.1-10).